AQA Student – Installment Payment Form
Thank you for continuing your Islamic education with AQA. Please review your payment details before submitting to finalize your payment.
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Receiver: Fatima Sherlyn R. IsmunPhone Number: 0917-315-4856Address: Zamboanga City, Philippines
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Before submitting, please review your payment details:
Name: {name-1}
Course: {select-1}
Additional Person Payment: {select-6}**If paying for an additional person, their names & courses have been recorded
Payment Method: {select-8}
Amount to Pay: {select-9}
Date of Payment: {date-1}
If all the details are correct, please proceed to SUBMIT to complete your enrollment.