Student Registration - Al Siraj Higher Education Services

Al Siraj Higher Educational Services FZE LLC, UAE
[email protected]
+971-55-817-8417

Student Registration Form

Student Name *

Firstname	Lastname

Date of Birth *

Gender

Email *

Mobile Number *

Area Code	Phone Number

Alternate Mobile Number

Area Code	Phone Number

Indian Contact Number

Area Code	Phone Number

Emirates ID Number *

Passport Number *

Aadhaar Number

Address in UAE

Name of Father *

Name of Mother *

Address in INDIA

House Name/ Number

Street Address

Post Office & Pin Code

District

State

Present Educational Qualification *

Year in which you completed your Last Educational Qualification *

Course you wish to Join Now *

Branch/Specialization

10th Standard Mark list/ KSLMA DOCUMENTS

File types accepted: jpg,jpeg,png,pdf Max File size is 1MB

File name:

File size:

12th Standard Mark list / Diploma Mark list

File types accepted: jpg,jpeg,png,pdf Max File size is 1MB

File name:

File size:

Degree Mark lists & Certificate (Upload as single pdf file)

File types accepted: jpg,jpeg,png,pdf Max File size is 1MB

File name:

File size:

Aadhar Card

File types accepted: jpg,jpeg,png,pdf Max File size is 1MB

File name:

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Passport Copy

File types accepted: jpg,jpeg,png,pdf Max File size is 1MB

File name:

File size:

Emirates ID Copy

File types accepted: jpg,jpeg,png,pdf Max File size is 1MB

File name:

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Photo

File types accepted: jpg,jpeg,png,pdf Max File size is 1MB

File name:

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I agree that the above facts are true to the best of my knowledge and belief *

YesNo

I am aware that my admission to the selected University/Board is solely upon the discretion of the concerned University/Board and any delay in the issuance of marklists and certificates are mainly at the responsibility of the concerned University/Board *

YesNo

Signature of the Applicant *

File types accepted: jpg,jpeg,png,pdf,doc Max File size is 1MB

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Signature of the Parent *

File types accepted: jpg,jpeg,png,pdf,doc Max File size is 1MB

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File size: