Student Registration Form

Personal Details

First Name

Last Name

Date of Birth

Gender

Nationality

Emirates ID / Passport Number (Optional)

Address

Mobile Number

Email Address

Occupation / School / University (if applicable)

Emergency Contact

Emergency Contact Name

Relationship

Emergency Contact Number

Emergency Contact Address

Course Information

Course Name

Course Category

Level (if applicable)

Mode of Study

Preferred Schedule (Days & Times)

Start Date

Additional Information

Referral Source (How did you hear about us?)

Special Needs / Requests (if any)

Note (open field for extra info)

Consent & Declaration

I confirm that the information provided is correct.

I agree to Artin Institute’s terms, policies, and code of conduct.

I give permission to use photos/videos taken during class for educational and promotional purposes (optional).

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