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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

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

ﻧﻌﻢ ﻻ

Yes No

Post-Graduate Degree

Diploma

ﺛﺎﻧﻮى

دﺑﻠﻮم

ﺑﻜﺎﻟﻮرﻳﻮس

أﻋﻠﻰﻣﻦاﻟﺒﻜﺎﻟﻮرﻳﻮس

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