Registration Form

Personal Information

Download the registration form, complete and email it to info@arabicacademymalysia.com

Registration Form (0.08MB)

OR FILL IN THE ONLINE FORM BELOW.

A. Personal Information
Name
Address
Tel: Home				Mobile:
Email				DOB
Occupation				Gender
Company

B. Arabic Proficiency Info
Past study: please give brief details on your Arabic proficiency and any Arabic studies you have undertaken
Course				Institution
Year				Country		Duration
Speaking			Understanding	Reading		Writing
Please rate: Poor Fair Good Very good Advanced

C. Course Information
Please tick the level you want to register for
Basic Arabic				Intermediate Arabic		Higher Arabic
Conversation Club				Arabic for Islamic Studies		Arabic for University
Arabic for Children				Tourism Arabic		Business Arabic
Please tick the package you want to register for
Individual	Family	Group		Children	Corporate	Private

D. Class Preference
Please indicate your preferred class day and time
Commencement date				Time Morning Afternoon Evening
No of days per week				Preferred days Mon Tue Wed Thu Fri Sat Sun

E. Reference Information
Please tick the appropriate box to indicate how you heard about Arab Academy Malaysia:
Internet Brochure Others (Please indicate)				Banner / Bunting Friends / Family

F. Declaration
I accept the term and conditions for registering for classes at Arab Academy Malaysia. By registering I agree to pay the course fees in full*. I understand the fees are non refundable should I decide to withdraw from the course.
[ ] * Full course and material fees must be paid for the whole level.