Registration Form (Men's Division) /
طلب الإلتحاق (قسم البنين)
Note: Fields marked with * are mandatory /
الحقول المعلمة بعلامة * إجبارية
Desired Qualification /
الشهادة المطلوبة
BTEC National Diploma
BTEC Higher National Diploma
*
Desired Department /
التخصص المطلوب
Electrical/Electronics Engineering
Telecommunication
Mechanical Engineering
Information Technology
Automotive Engineering
Civil Engineering
Business Administration
*
Full Name (English) /
الإسم بالكامل -إنجليزي
*
Full Name (Arabic) /
الإسم بالكامل - عربي
Upload your picture /
الصورة الشخصية
( The picture must be either JPG, PNG or GIF with size < 100 KB)
Address (in UAE) /
العنوان - في دولة الامارات
*
Emirates - Area /
المنطقة - الإمارة
\n
(Abu Dhabi) - Abu Dhabi City
(Abu Dhabi) - Madina Zayed
\n
\n
(Ajman) - Ajman City
\n
\n
(Dubai) - Abu Hail
(Dubai) - Al Badaa
(Dubai) - Al Barsha
(Dubai) - Al Garhoud
(Dubai) - Al Ghubaiba
(Dubai) - Al Hudaiba
(Dubai) - Al Jaddaf
(Dubai) - Al Karaama
(Dubai) - Al Khabeesi
(Dubai) - Al Khawaneej
(Dubai) - Al Mamzar
(Dubai) - Al Mina
(Dubai) - Al Mizhar
(Dubai) - Al Muhaisna
(Dubai) - Al Muteena
(Dubai) - Al Nasar
(Dubai) - Al Quoz
(Dubai) - Al Qusais
(Dubai) - Al Rafa
(Dubai) - Al Rashidiya
(Dubai) - Al Rigga
(Dubai) - Al Sabkha
(Dubai) - Al Safa
(Dubai) - Al Tawar
(Dubai) - Al Wasal
(Dubai) - Arabian Ranches
(Dubai) - Bur Dubai
(Dubai) - Deira
(Dubai) - Dubai Marina
(Dubai) - Emirates Hill
(Dubai) - Endurance City
(Dubai) - Hamriya
(Dubai) - Hor Al Anz
(Dubai) - International City
(Dubai) - Investment Park
(Dubai) - Jafiliya
(Dubai) - Jebel Ali Free Zone
(Dubai) - Jebel Ali Gardens
(Dubai) - Jumeira
(Dubai) - Mankhool
(Dubai) - Mirdif
(Dubai) - Muntaza
(Dubai) - Nad Al Shiba
(Dubai) - Naif
(Dubai) - Por Saeed
(Dubai) - Ras Al Khor
(Dubai) - Satwa
(Dubai) - The Greens
(Dubai) - The Meadows
(Dubai) - Umm Hurair
(Dubai) - Umm Suqaim
(Dubai) - Zabeel
\n
\n
(Fujairah) - Fujairah City
\n
\n
(Ras Al Khaimah) - Ras Al Khaimah City
\n
\n
(Sharjah) - Abu Shagara
(Sharjah) - Al Abar
(Sharjah) - Al Darari
(Sharjah) - Al Dhaid
(Sharjah) - Al Ezra
(Sharjah) - Al Fayha
(Sharjah) - Al Fisht
(Sharjah) - Al Flaj
(Sharjah) - Al Ghaphia
(Sharjah) - Al Ghuwair
(Sharjah) - Al Goaz
(Sharjah) - Al Gulayaa
(Sharjah) - Al Hamariya
(Sharjah) - Al Hazana
(Sharjah) - Al Hubaiba
(Sharjah) - Al Jazzat
(Sharjah) - Al Jubail
(Sharjah) - Al Khan
(Sharjah) - Al Khezammia
(Sharjah) - Al Majaz
(Sharjah) - Al Mamzar
(Sharjah) - Al Manakh
(Sharjah) - Al Mansura
(Sharjah) - Al Merraija
(Sharjah) - Al Mirgab
(Sharjah) - Al Mujarrah
(Sharjah) - Al Mussala
(Sharjah) - Al Nabbaa
(Sharjah) - Al Nad
(Sharjah) - Al Nahda
(Sharjah) - Al Nasserya
(Sharjah) - Al Qadsia
(Sharjah) - Al Ramaqia
(Sharjah) - Al Ramla
(Sharjah) - Al Rifaah
(Sharjah) - Al Seef
(Sharjah) - Al Shahba
(Sharjah) - Al Shuwaiheen
(Sharjah) - Al Soor
(Sharjah) - Al Subaaikha
(Sharjah) - Al Suwaihat
(Sharjah) - Al Talaa
(Sharjah) - Al Yarmook
(Sharjah) - Bu Danig
(Sharjah) - Bu Tina
(Sharjah) - Industrial Area 01
(Sharjah) - Industrial Area 02
(Sharjah) - Industrial Area 03
(Sharjah) - Industrial Area 04
(Sharjah) - Industrial Area 05
(Sharjah) - Industrial Area 06
(Sharjah) - Industrial Area 07
(Sharjah) - Industrial Area 08
(Sharjah) - Industrial Area 09
(Sharjah) - Industrial Area 10
(Sharjah) - Industrial Area 11
(Sharjah) - Industrial Area 12
(Sharjah) - Industrial Area 13
(Sharjah) - Industrial Area 15
(Sharjah) - Industrial Area 17
(Sharjah) - Kalba
(Sharjah) - Khorfakkan
(Sharjah) - Masaloon
(Sharjah) - Samnan
(Sharjah) - Sharqan
(Sharjah) - Um Tarrafa
\n
\n
(Um Al Quwain) - Um aL Quwain City
\n
*
Email /
البريد الإلكتروني
*
Mobile /
الهاتف المتحرك
+971(50)
+971(56)
+971(55)
*
Home Phone /
هاتف المنزل
+971(2)
+971(3)
+971(4)
+971(6)
+971(7)
+971(9)
Passport No /
رقم الجواز
*
Place of Issue
/ جهة الإصدار
*
Issue Date /
تاريخ الإصدار
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
*
Expiry Date /
تاريخ الإنتهاء
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2010
2011
2012
2013
2014
2015
2016
2017
*
Date of Birth /
تاريخ الميلاد
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
*
Place of Birth /
مكان الميلاد
*
Nationality /
الجنسية
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burma (Myanmar)
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Cook Islands
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See (Vatican City)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
US Virgin Islands
Uzbekistan
Vanuatu
Venezuela
Vietnam
Wallis and Futuna
Yemen
Zambia
Zimbabwe
*
National ID No. /
رقم بطاقة الهوية
*
Current Qualification /
الشهادة الحالية
Grade 09
Grade 10
Grade 11
Grade 12
BTEC National Diploma
*
Date of Issue /
تاريخ إصدار الشهادة
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
*
Guardian Name (English) /
اسم ولي الأمر - إنجليزي
*
Guardian Name (Arabic) /
اسم ولي الأمر - عربي
Guardian Mobile /
الهاتف المتحرك لولي الأمر
+971(50)
+971(56)
+971(55)
*
Transportation /
وسيلة المواصلات
Not Required
Required
*
Payment Mode /
طريقة الدفع
Cash
2 installments
*
How did you hear about us? /
كيف سمعت عنا؟
Newspaper
Website
Friend
Television Adv
*