Registration Form

Name of Student *

School Name

Age *

Class

Select Your Gender *

Mobile Number *

Email *

Name Of Parent

Registration Date *

Payment On Registration

By Cheque or Bank Transfer
Cheques to be made in the name of “Nelson D’souza”)
Bank Details: Name of Beneficiary: Nelson D’souza - Account No. 0025505143001
Bank: National Bank of Ras Al Khaimah
IBAN No. AE030400000025505143001

Nelson D’souza
Telephone No.04 3420662
Mobile No.050 5988697
Email: nelson@muzikminds.com
www.muzikminds.com

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