Registration

IN THE NAME OF ALLAH

Term-1: Start From    20/4/2017     every Thursday     6 :00 PM – 7:30 PM

NOTE: The fields with * means required.

Student(1)
Name(1)*
Date Of Birth(1):*
 / 
 / 
Student(2)
Name(2)
Date Of Birth:(2)
 / 
 / 
Student(3)
Name(3)
Date Of Birth:(3)
 / 
 / 
Family Name:*
E-mail:*
Phone/Mobile:
-
Parents Name:
Word Verification:

Each student: $50 Per Term

ELZAHRA ISLAMIC COMMUNITY

ANZ BANKING GROUP LIMITED

BRANCH (BSB): 013-405

ACC number:     218886609