Enrolment Form

www.almaghrib.org

For office use only

Amount Paid: ______._ _

Date of Payment: __ __/ __ __/ __ __

Type of Payment: Full Payment

Deposit

Received by: ___________________________________________________________
Payment Method: Cash

Cheque

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Payment Receipt

I hereby verify that ____________________________________________________________ have paid for the
amount of ____________ for the seminar titled ____________________________________________________
Student Signature:

AlMaghrib’ Representative:

......................................................

Name: ...................................................................

I accept all terms and conditions of enrolment

Signature: ..............................................................
Email: malaysia@almaghrib.org
Tel: +603.2161.3141
Mob: +6013.399.8837
Fax: +603.2027.4770

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