Page 1 of 2

Course Registration Form

Student's Details
Please type your full name.

Please type your full name.

Please specify your position in the company

/ / Invalid Input

Invalid Input

Invalid email address.

Invalid Code

Invalid Country

Invalid Mobile

Invalid email address.

Parents/Gaurdians Details for students Under 18 years of age
Please type your full name.

Please type your full name.

Invalid email address.

Invalid Code

Invalid Country

Invalid Mobile

Invalid email address.

Course Information. The time for group courses UK time at present
Invalid Input

Invalid Input

Invalid Input

Invalid Input

Mandatory Field

PREFERRED DAYS & TIME: SHOULD BE AT LEAST TWO WEEKS FROM NOW Hrs per week For Arabic: 2 days : 1.5 hrs each Quran : 4 days 0.5 hrs each or 2 days 1 hr each. NOTE: Teachers are based in Egypt. UK time you select will have to change in Summer/Winter as teacher's time will remain the same.
Invalid Input

Invalid Input

Invalid Input

TERMS AND CONDITIONS Each Conditions should be accepted by selecting the radio button
Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

REPORTING CANCELLATIONS.
Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Captcha
Refresh Invalid Input