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سّجل الآن!
Register Now!
Application Instructions
1) Complete all sections of this application.Please print clearly.
2) Attach photocopy of your Qatari ID Card.
3) Submit this application via email, fax, or in person.
4) Payments can be made in Person using an ATM card in Room 140 at the Center of
Continuing Education, QU - Library Building (B13).
( ﻳﺮﺟﻰإﻛﻤﺎلﺟﻤﻴﻊأﻗﺴﺎما ﺳﺘﻤﺎرةواﻟﻜﺘﺎﺑﺔﺑﻮﺿﻮح.
١
( إرﻓﺎقﺻﻮرةﻣﻦاﻟﺒﻄﺎﻗﺔاﻟﺸﺨﺼﻴﺔاﻟﺨﺎﺻﺔﺑﻚ.
٢
( ﻳﺘﻢإﺳﺘﻼماﺳﺘﻤﺎرةاﻟﺘﺴﺠﻴﻞإﻟﻜﺘﺮوﻧﻴﺂ أوﻋﻦﻃﺮﻳﻖاﻟﻔﺎﻛﺲأواﻟﺤﻀﻮر ﺷﺨﺼﻴﺄ
٣
ﻟﻰﻟﻠﺪﻓﻊاﻟﺸﺨﺼﻲﻓﻲﻣﺮﻛﺰ اﻟﺘﻌﻠﻴﻢاﻟﻤﺴﺘﻤﺮ ،
¢
( ﻳﺘﻢﻗﺒﻮلﺑﻄﺎﻗﺎتاﻟﺼﺮافا
٤
ﻓﻲﻣﺒﻨﻰﻣﻜﺘﺒﺔﺟﺎﻣﻌﺔﻗﻄﺮ.
١٤٠
رﻗﻢ
Course Title & Code:
ﻋﻨﻮانورﻣﺰاﻟﺪورة:
Full Name:
ا ﺳﻢاﻟﻜﺎﻣﻞ:
ﺣﻘﻮلإﺟﺒﺎرﻳﺔ
Email Address:
ﻋﻨﻮاناﻟﺒﺮﻳﺪا ﻟﻜﺘﺮوﻧﻲ:
Mobile Number:
رﻗﻢاﻟﺠﻮال:
Alternative Number:
رﻗﻢﻫﺎﺗﻒﺑﺪﻳﻞ:
Institution Name:
إﺳﻢاﻟﺸﺮﻛﺔ:
Contact Person:
إﺳﻢاﻟﺸﺨﺺاﻟﻤﺴﺆول:
Telephone:
اﻟﻬﺎﺗﻒ:
Email:
اﻟﺒﺮﻳﺪا ﻟﻜﺘﺮوﻧﻲ:
Qatar ID Card Number:
رﻗﻢاﻟﺒﻄﺎﻗﺔاﻟﺸﺨﺼﻴﺔاﻟﻘﻄﺮﻳﺔ:
Occupation:
اﻟﻮﻇﻴﻔﺔ:
Place of Work:
Are you a:
QU Student
ﻣﻜﺎناﻟﻌﻤﻞ:
ﻫﻞأﻧﺖ:
ﻃﺎﻟﺐﻓﻲﺟﺎﻣﻌﺔﻗﻄﺮ
ﻣﻮﻇﻒﻓﻲﺟﺎﻣﻌﺔﻗﻄﺮ
ﻓﺮدى
ﺑﺮﻋﺎﻳﺔﻣﺆﺳﺴﺔ
ﻋﻀﻮﺧﺮﻳﺠﻴﻦﺟﺎﻣﻌﺔﻗﻄﺮ
إذا ﻛﺎﻧﺖا ﺟﺎﺑﺔﺑﻨﻌﻢ، ﻳﺮﺟﻰإرﻓﺎقﻧﺴﺨﺔﻣﻦاﻟﺒﻄﺎﻗﺔ.
إذا ﻛﺎﻧﺖا ﺟﺎﺑﺔﺑﻨﻌﻢ، ﻳﺮﺟﻰإرﻓﺎقﺧﻄﺎبﺗﺮﺷﻴﺢﻣﻦ
ﺟﻬﺔاﻟﻌﻤﻞ، وﺗﻌﺒﺌﺔاﻟﺒﻴﺎﻧﺎتاﻟﺘﺎﻟﻴﺔ
ﻧﻌﻢ
ﻻ
ﻻ
ﻻ
ﻧﻌﻢ
ﻧﻌﻢ
Educational Qualifications:
اﻟﻤﺆﻫﻞاﻟﺘﻌﻠﻴﻤﻲ:
Personal Information
اﻟﻤﻌﻠﻮﻣﺎت اﻟﺸﺨﺼﻴﺔ
Work Information
ﻣﻌﻠﻮﻣﺎت اﻟﻌﻤﻞ
Contact Information
ﻣﻌﻠﻮﻣﺎت اﻻﺗﺼﺎل
Payment Information
ﻣﻌﻠﻮﻣﺎت اﻟﺪﻓﻊ
Please Turn Over & Sign
ﻳﺮﺟﻰ ا ﻃﻼع ﻓﻲ اﻟﺨﻠﻒو اﻟﺘﻮﻗﻴﻊ
Secondary
Undergraduate Degree
Yes No
QU Employee
Yes No
Self-Paying Individual
Yes No
Sponsored by Company
Yes No
QU Alumni Member
if yes, please provide your card copy.
Must Be Completed
if yes, please sumbit a letter of nomination from
employer, and complete the following informations:
ﻧﻌﻢ
ﻻ
ﻧﻌﻢ ﻻ
Yes No
Post-Graduate Degree
Diploma
ﺛﺎﻧﻮى
دﺑﻠﻮم
ﺑﻜﺎﻟﻮرﻳﻮس
أﻋﻠﻰﻣﻦاﻟﺒﻜﺎﻟﻮرﻳﻮس
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