Financial Form 2019-2020 PARENTS INFORMATIONPARENTS/ GUARDIAN NAME *FirstLastADDRESS *Address Line 1Address Line 2CityState / Province / RegionPostal CodeCountryAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia (Republic of)MadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States of AmericaUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)Viet NamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweCountryPAYMENT STRUCTUREPAYMENTS a) Direct Deposit - Complete Direct Deposit Routing Number form on page 2 of this form. b) Payment Date: 1st of each Month. No other payment dates will be considered. c) NSF charges - Paid by the Parents/ Guardians or $ 25 will be applied. d) Late Fee Charges: $ 25.00 per Month (Fee payments not received by the due date will be subject to late payment fees.) e) Leave: Any student who takes a leave of absence from school for any length of time during the academic year must pay full fees for that period. REFUNDS a) NO REFUND of Tuition Fee for the semester and Supply Fee in case student chooses to withdraw their names from the school for any given reason. (WITHDRAWAL FORM can be obtained at the Administration Office) b) NO REFUND of Tuition Fee for the semester and Supply Fee in case if student is found in violation of school regulations and asked to withdraw from the school. c) NO REFUND will be made case of holidays, absences or if classes are cancelled due to the calamities (e.g.: Weather)FEE STRUCTURE GRADE LEVEL Tuition Fee/ Child (10 Months) New Student Registration Fee Supply Fee (Non Refundable) MONTESSORI $4,500 Annually $50 $250 GRADE 1-8 $4,350 Annually $50 $250 HIFZ $4,000 Annually $50 $200 FEE DETAILSSTUDENTS NAME *FirstLastGRADE ENTERING *MONTESSORIGRADE 1-8HIFZNew Student Registration Fee *New Student Registration FeeOld StudentNo FeeSupply Fee *Supply Fee$250$200GRAND TOTAL *Tuition FeeTuition Fees (10 months)Payment MethodSupply and/or Registration FeePayment methodPayment methodChequeCash RcptDirect DepositDebit or Credit CardIf the payment method is Cheque/ Cash Rcpt/ Debit/ Credit card, then mention the following cheque/ Cash Rcpt/ Debit/ Credit card No.DIRECT DEPOSIT ROUTING NUMBEREnter the branch number, institution number, and account number for depositing your payment. You can find the required information on the bottom left corner of your cheque or deposit slip as shown below: |:798||' |:00026||¹¹¹00 2|: 06485||'8|||' Cheque number (not required) | Five-digit branch number |Three-digit institution number | Account numberBRANCH NUMBER *INSTITUTION NUMBER *ACCOUNT NUMBER *NAME(s) OF THE ACCOUNT HOLDER(s) *FINANCIAL INSTITUTION NAME & ADDRESS *TELEPHONE NUMBER OF FINANCIAL INSTITUTIONS *DECLARATIONI hereby authorize Al-Manarat Heights to initiate automatic deposits to my account at the financial institution named above. I also authorize Al-Manarat Heights to make withdrawals from this account in the event that a credit entry is made in error. Further, I agree not to hold Al-Manarat Heights responsible for any delay or loss of funds due to incorrect or incomplete information supplied by me or by my financial institution or due to an error on the part of my financial institution in depositing funds to my account. This agreement will remain in effect until Al-Manarat Heights receives a written notice of cancellation from me or my financial institution, or until I submit a new direct deposit form to Al-Manarat Heights.PLEASE ATTACH A VOID CHEQUE WITH THIS FORM!Checkboxes *I take full responsibility to enroll my Child at Al-Manarat Heights.I am financially responsible and agree to the terms and conditions.Date *Signature of Guardian 1 *Clear SignatureSignature of Guardian 2Clear SignatureCommentSubmit