ASTI ACADEMY

ASTI ACADEMY

AL SHABAKA TECHNICAL INSTITUTIONAL ACADEMY
APPLICATION FORM
QUALIFICATION DETAILS
Qualification Title
Check with your Admission Councellor if you not sure
PERSONAL DETAILS
Please print your name as it appears on your passport.
Title

Mr.Ms.Mrs.
Name in Block Letters*
Date of birth*

MonthDayYear
Date
Civil status
Emirates ID number
Nationality
Mobile number*
Passport number
Email address*
example@example.com
CURRENT ADDRESS
Address
Emirate/state
Country
PREFERRED MAILING ADDRESS (IF DIFFERENT FROM CURRENT ADDRESS)
Address
Emirate/state
Country
FOR WORKING STUDENTS
Name of company
Position
Years of service
Years of service
EDUCATIONAL QUALIFICATIONS
Please provide details of all formal studies you have completed and those you are currently undertaking. You are required to supply a certified copy of your academic award/s and transcript/s for all tertiary studies except those undertaken at ASTI.

Expected Date of

	Education Title	university/country	Completed? (yes/no)	Start Date (month/year)	Completion Date (month/year)
First highest qualification
Second highest qualification
Third highest qualification

SPONSOR/PARENT/GUARDIAN DETAILS (PLEASE ATTACH SPONSORSHIP LETTER IF AVAILABLE)
Will your Tuition Fees will be paid by government/organization?

YesNo
If Yes, name of the Organisation
Mr.Ms.Mrs.
Parent name
Nationality
Passport number
Emirates ID number
Email address
example@example.com
Email address
example@example.com
Email address
example@example.com
Registration Information, Terms and Conditions

معلومات التسجيل والشروط والأحكام
Registration Terms

شروط التسجيل

Program prices, dates and times are subject to change without notice. Please confirm course fees at Registration.
ASTI ACADEMY will provide a statement of account and receiptoutlining remaining fees to be paid.
ASTI ACADEMY reserves the right to terminate its agreement with any student if false declarations are made during the registration process.

أسعار البرنامج وتواريخه وأوقاته عرضة للتغيير دون إشعار. يرجى تأكيد رسوم الدورة عند التسجي

ستقدم أكاديمية كشف حساب وإيصال يوضح الرسوم المتبقية الواجب دفعها

تحتفظ أكاديمية بالحق في إنهاء اتفاقها مع أي طالب إذا تم تقديم تصريحات كاذبة أثناء عملية التسجيل

General Terms

شروط عامة
- Program prices, dates and times are subject to change without notice. Please confirm course fees at Registration.
- ASTI ACADEMY will provide a statement of account and receiptoutlining remaining fees to be paid.
- ASTI ACADEMY reserves the right to terminate its agreement with any student if false declarations are made during the registration process
The following documents must be submitted together with the application form:

➢Passport copy

➢copy of certificates

➢Four (4) passport-size photos with white background

➢Emirates ID for U.A.E Residents / Visa copy

➢Experience certificate/letter

➢Transfer certificate
Non-Disclosure and Confidentiality Declaration

إعلان عدم الإفشاء والسرية

All written and oral information, including all materials and terms such as the amount of the fees provided by ASTI to me under this Declaration is deemed “Confidential Information’” regardless of whether it was provided before or after the date of this Declaration or how it was provided to me. I acknowledge and understand that any unauthorized disclosure of the Confidential Information, in any form whatsoever, whether such disclosure is intentional or accidental, may result in legal or other action against me. Any unauthorized disclosure may ultimately result in termination of the financial assistance and/or could also result in my dismissal from ASTI. Any action taken shall be in the sole discretion of the ASTI Administration in order to protect the integrity and values of ASTI.

تعتبر جميع المعلومات المكتوبة والشفوية ، بما في ذلك جميع المواد والمصطلحات مثل مبلغ الرسوم التي قدمتها ASTI بموجب هذا ّإليالإعلان "معلومات سرية" بغض النظر عما إذا تم تقديمها قبل أو بعد تاريخ هذا الإعلان أو كيف تم توفيره لي. أقر وأدرك أن أي إفشاء غير مصرح به للمعلومات السرية ، بأي شكل من ا ، قد يؤدي إلى اتخاذ ًا أو عرضيًالأشكال ، سواء كان هذا الكشف مقصودإجراءات قانونية أو إجراءات أخرى ضدي. قد يؤدي أي إفشاء غير مصرح به في النهاية ا إلى فصلي ًإلى إنهاء المساعدة المالية و / أو قد يؤدي أيضمن ASTI ا لتقدير إدارةًيجب أن يكون أي إجراء يتم اتخاذه وفق ASTI وحدها من أجل حماية سلامة وقيم ASTI

Declaration
- All of the information and supporting documents provided with this form are true and correct.
- I will inform the institution immediately if any of the information provided changes.
- I understand the structure and content of the programme I am applying for.
- I have access to sufficient funds to meet the tuition, travel and living costs of living in UAE for the duration of my studies.
I agree to the terms and conditions of the institution.I declare that the information provided by me on this form is true and correct, and I understand that this information will be treated as private and confidential.

جميع المعلومات والوثائق الداعمة المقدمة مع هذا النموذج صحيحة وصحيحة

سأبلغ المؤسسة على الفور إذا تغير أي من المعلومات المقدمة

أفهم هيكل ومحتوى البرنامج الذي أتقدم إليه

إمكانية الوصول إلى الأموال الكافية لتغطية الرسوم الدراسية ّلديوتكاليف السفر والمعيشة للعيش في الإمارات العربية المتحدة طوال مدة دراستي

أوافق على شروط وأحكام المؤسسة أقر بأن المعلومات التي قدمتها في هذا النموذج صحيحة وصحيحة ، وأتفهم أنه سيتم التعامل مع هذه المعلومات على أنها معلومات خاصة وسري
Applicant Signature*

Clear
Date*

MonthDayYear
Date
Parent/guardian signature (if applicant under 18)

Clear
Date

MonthDayYear
Date
FOR OFFICE USE ONLY
Date of Joining:

MonthDayYear
Date
Course Selected:
Course Coordinator:
Registration Number:
Seal & Signature:
Should be Empty:

ASTI ACADEMY

APPLICATION FORM

QUALIFICATION DETAILS

PERSONAL DETAILS

CURRENT ADDRESS

FOR WORKING STUDENTS

EDUCATIONAL QUALIFICATIONS

Registration Information, Terms and Conditions

Registration Terms

General Terms

Non-Disclosure and Confidentiality Declaration

Declaration

FOR OFFICE USE ONLY