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United Arab Emirates-Ajman, AL Cornish, Owis Tower Building ,901, Mob: +971502649978

Regestration Form
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__________________________________: ______________________: _______:___________:
________________________:

_____CompleteName:_______________________________________Nationality:__________________Gender:__________Age:____________State:
_______

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___________________________: ______________:________________________________:
_____________________:)(

Mobile
_____________No:__________________________Landline:_____________________Email:_______________________________EmergencyNumber:

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_______________________: ______________:__________________:
________________________

________________________CourseName:______________________Hours:________________Batch:_________________StartDate:
_____

Office Use Only


____________________: _____________: __________: _________:
_______:

Admisstions
________Officer:______________DateOfRegestration:______________Price:__________Payment:__________TypeOfPayment:

_______________________: __________________: ) (

____________Recipit Number:____________-________ChequeNumber:____________-

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United Arab Emirates-Ajman, AL Cornish, Owis Tower Building ,901, Mob: +971502649978

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