Online Registration Form
Please fill in this form to register your children to Nour Salam Islamic School. We will contact you for further action.

( * ) Mandatory Fields

Student Background
 
Branch : *
Year Intake : *
Student Status : *
Student Name : *
Date of Birth : ( Eg : 14/05/2013 )
Gender : *
Nationality : *
 
Academic Background
 
Previous School : *
Applying For : *
Reading/Writing/Counting Skill :
 
Guardian Background
 
Guardian Name : *
Guardian Contact No. : * ( Eg : 012-1234567 )
Guardian E-mail : *
 
About Us
 
How did you know about us :
 
Referral Programme
 
If you were referred by another Nour Salam parents, please provide the referer name.
 
Referer Name :