Tahfiz IntensiveRegistration Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Your age: *12 years and below13 years and abovePlease state the current juz/surah you are memorizing now: *Please state the juz/surah you want to memorize during Camp: *Please choose your week(s): *1st wk : 25 – 29 Nov 20242nd wk : 2 - 6 Dec 20243rd wk : 9 - 13 Dec 20244th wk : 16 – 20 Dec 2024Choose your week(s): *1st wk : 25 – 29 Nov 20242nd wk : 2 – 6 Dec 20243rd wk : 9 – 13 Dec 20244th wk : 16 – 20 Dec 20241st wk: Choose your time: *9.00am - 12.00pm (3 hrs)2.30pm - 4.30pm (3 hrs)2nd wk: Choose your time: *9.00am - 12.00pm (3 hrs)2.30pm - 4.30pm (3 hrs)3rd wk: Choose your time: *9.00am - 12.00pm (3 hrs)2.30pm - 4.30pm (3 hrs)4th wk: Choose your time: *9.00am - 12.00pm (3 hrs)2.30pm - 4.30pm (3 hrs)STUDENT'S PARTICULARSAre you a DH Student/Ex-student? *NoYesDo you have the green Student Progress Book? *NoYesLast 4 figures of your IC *Example: 123AName *Blk/Hse Num & Street Name#Postal CodeDate of Birth *Gender *Please choose genderMaleFemaleMobile Number *For children, please give parent's mobile number.Email *For children, please give parent's email address.PARENT'S PARTICULARSPlease fill this section if the registrant is below 16 years old.Relationship to child: *MotherFatherGuardianParents's Name *Parent's Mobile Number *Parents's Email Address *How did you get to know about this program? *WebsiteInternet seachEmailWord of mouthInstragramFacebookTiktokConsent *I confirm that by providing my personal data and contact details, I express my agreement to receive messages via email from Darul Huffaz Learning Centre, in accordance with the Personal Data Protection Act, until such time I unsubscribe from Darul Huffaz Learning Centre’s mailing list through Darul Huffaz’s webpage.TOTAL FEES PAYABLE Order Summary Item Quantity Total There are no products selected. Please choose your week(s): - 1st wk : 25 – 29 Nov 20241$50.00Please choose your week(s): - 2nd wk : 2 - 6 Dec 20241$50.00Please choose your week(s): - 3rd wk : 9 - 13 Dec 20241$50.00Please choose your week(s): - 4th wk : 16 – 20 Dec 20241$50.00Choose your week(s): - 1st wk : 25 – 29 Nov 20241$75.00Choose your week(s): - 2nd wk : 2 – 6 Dec 20241$75.00Choose your week(s): - 3rd wk : 9 – 13 Dec 20241$75.00Choose your week(s): - 4th wk : 16 – 20 Dec 20241$75.00Are you a DH Student/Ex-student? - No1$25.00Are you a DH Student/Ex-student? - Yes1$0.00Do you have the green Student Progress Book? - No1$5.00Do you have the green Student Progress Book? - Yes1$0.00Total$0.00 $0.00Submit
