Direct Debit Form

"*" indicates required fields

Country of residence*

First Name*

Last Name*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Confirm Email*

Mobile Number*

BANK NAME

ACCOUNT NUMBER

SORT CODE

Preferred Monthly Direct Debit Date*

Child 1: Full Name*

Year Group

If you have more than one child enrolled please add them below

Yes

Child 2: Full Name

Year Group

Child 3: Full Name

Year Group

Child 4: Full Name

Year Group

Registered

Haya online Girl school helps you save both time and money since it is offered anywhere worldwide, without anyone having to travel.

Haya Online Girls School is a trading name of Digital Schooling Ltd , Registered in England Company number 16959704