BUTIRAN PELANGGAN
adalah butiran
ibu bapa & penjaga.
BUTIRAN PESERTA
adalah butiran
pelajar/anak.
Attention!
Please complete the form.
Required fields
PURCHASE DETAILS
Product
Quantity
Price (RM)
English SPM Speaking Final Lap
0
1
2
3
TOTAL
GRAND TOTAL (RM)
Merchant Service Charge (RM)
CLIENT DETAILS
Login
or
Get Client Data
Name
Email
Mobile Number
Select country dial code for your mobile phone number...
Afghanistan (+93)
Albania (+355)
Algeria (+213)
American Samoa (+1 684)
Andorra (+376)
Angola (+244)
Anguilla (+1 264)
Antarctica (+672)
Antigua and Barbuda (+1 268)
Argentina (+54)
Armenia (+374)
Aruba (+297)
Australia (+61)
Austria (+43)
Azerbaijan (+994)
Bahamas (+1 242)
Bahrain (+973)
Bangladesh (+880)
Barbados (+1 246)
Belarus (+375)
Belgium (+32)
Belize (+501)
Benin (+229)
Bermuda (+1 441)
Bhutan (+975)
Bolivia (+591)
Bosnia and Herzegovina (+387)
Botswana (+267)
Brazil (+55)
British Indian Ocean Territory (+246)
British Virgin Islands (+1 284)
Brunei (+673)
Bulgaria (+359)
Burkina Faso (+226)
Burma (Myanmar) (+95)
Burundi (+257)
Cambodia (+855)
Cameroon (+237)
Canada (+1)
Cape Verde (+238)
Cayman Islands (+1 345)
Central African Republic (+236)
Chad (+235)
Chile (+56)
China (+86)
Christmas Island (+61)
Cocos (Keeling) Islands (+61)
Colombia (+57)
Comoros (+269)
Cook Islands (+682)
Costa Rica (+506)
Croatia (+385)
Cuba (+53)
Cyprus (+357)
Czech Republic (+420)
Democratic Republic of the Congo (+243)
Denmark (+45)
Djibouti (+253)
Dominica (+1 767)
Dominican Republic (+1 809)
Ecuador (+593)
Egypt (+20)
El Salvador (+503)
Equatorial Guinea (+240)
Eritrea (+291)
Estonia (+372)
Ethiopia (+251)
Falkland Islands (+500)
Faroe Islands (+298)
Fiji (+679)
Finland (+358)
France (+33)
French Polynesia (+689)
Gabon (+241)
Gambia (+220)
Georgia (+995)
Germany (+49)
Ghana (+233)
Gibraltar (+350)
Greece (+30)
Greenland (+299)
Grenada (+1 473)
Guam (+1 671)
Guatemala (+502)
Guinea (+224)
Guinea-Bissau (+245)
Guyana (+592)
Haiti (+509)
Holy See (Vatican City) (+39)
Honduras (+504)
Hong Kong (+852)
Hungary (+36)
Iceland (+354)
India (+91)
Indonesia (+62)
Iran (+98)
Iraq (+964)
Ireland (+353)
Isle of Man (+44)
Israel (+972)
Italy (+39)
Ivory Coast (+225)
Jamaica (+1 876)
Japan (+81)
Jersey (+44)
Jordan (+962)
Kazakhstan (+7)
Kenya (+254)
Kiribati (+686)
Kuwait (+965)
Kyrgyzstan (+996)
Laos (+856)
Latvia (+371)
Lebanon (+961)
Lesotho (+266)
Liberia (+231)
Libya (+218)
Liechtenstein (+423)
Lithuania (+370)
Luxembourg (+352)
Macau (+853)
Macedonia (+389)
Madagascar (+261)
Malawi (+265)
Malaysia (+60)
Maldives (+960)
Mali (+223)
Malta (+356)
Marshall Islands (+692)
Mauritania (+222)
Mauritius (+230)
Mayotte (+262)
Mexico (+52)
Micronesia (+691)
Moldova (+373)
Monaco (+377)
Mongolia (+976)
Montenegro (+382)
Montserrat (+1 664)
Morocco (+212)
Mozambique (+258)
Namibia (+264)
Nauru (+674)
Nepal (+977)
Netherlands (+31)
Netherlands Antilles (+599)
New Caledonia (+687)
New Zealand (+64)
Nicaragua (+505)
Niger (+227)
Nigeria (+234)
Niue (+683)
Norfolk Island (+672)
North Korea (+850)
Northern Mariana Islands (+1 670)
Norway (+47)
Oman (+968)
Pakistan (+92)
Palau (+680)
Panama (+507)
Papua New Guinea (+675)
Paraguay (+595)
Peru (+51)
Philippines (+63)
Pitcairn Islands (+870)
Poland (+48)
Portugal (+351)
Puerto Rico (+1)
Qatar (+974)
Republic of the Congo (+242)
Romania (+40)
Russia (+7)
Rwanda (+250)
Saint Barthelemy (+590)
Saint Helena (+290)
Saint Kitts and Nevis (+1 869)
Saint Lucia (+1 758)
Saint Martin (+1 599)
Saint Pierre and Miquelon (+508)
Saint Vincent and the Grenadines (+1 784)
Samoa (+685)
San Marino (+378)
Sao Tome and Principe (+239)
Saudi Arabia (+966)
Senegal (+221)
Serbia (+381)
Seychelles (+248)
Sierra Leone (+232)
Singapore (+65)
Slovakia (+421)
Slovenia (+386)
Solomon Islands (+677)
Somalia (+252)
South Africa (+27)
South Korea (+82)
Spain (+34)
Sri Lanka (+94)
Sudan (+249)
Suriname (+597)
Svalbard (+47 79)
Swaziland (+268)
Sweden (+46)
Switzerland (+41)
Syria (+963)
Taiwan (+886)
Tajikistan (+992)
Tanzania (+255)
Thailand (+66)
Timor-Leste (+670)
Togo (+228)
Tokelau (+690)
Tonga (+676)
Trinidad and Tobago (+1 868)
Tunisia (+216)
Turkey (+90)
Turkmenistan (+993)
Turks and Caicos Islands (+1 649)
Tuvalu (+688)
Uganda (+256)
Ukraine (+380)
United Arab Emirates (+971)
United Kingdom (+44)
United States (+1)
Uruguay (+598)
US Virgin Islands (+1 340)
Uzbekistan (+998)
Vanuatu (+678)
Venezuela (+58)
Vietnam (+84)
Wallis and Futuna (+681)
Western Sahara (+212)
Yemen (+967)
Zambia (+260)
Zimbabwe (+263)
Promotion source
How did you hear about this program?
Instagram
Facebook
Telegram
Google Search
Whatsapp
Primaly's Teacher
Primaly's Affiliate
Friend/Family
Email
Thread
Have joined a Primaly program before
Khalifah Academy
The Thinking Space
Other
Title
Gelaran
Encik
Puan
Cik
Dr.
Dato'
Datin
Tan Sri
Puan Sri
Tun
Toh Puan
Ar.
Ir.
Ts.
Lain-lain
State
Kuala Lumpur
Selangor
Johor
Kedah
Kelantan
Melaka
Negeri Sembilan
Pahang
Pulau Pinang
Perak
Perlis
Sabah
Sarawak
Terengganu
PARTICIPANT DETAILS
PAYMENT DETAILS
Payment Method
Select Bank Account
Pay Through
Internet Banking
Cash Deposit Machine
Payment Time
Payment Date
Payment Note
Payment Proof
Select File
Change File
×
Press the button above to select a file.
Select a file in JPG, PNG, GIF, PDF or DOC format only.
Make sure the file's size is not more than 20000 KB.
Make Payment
