• Individual Bookings Enrolment Form

    Adult Student (16+)

  • Student's Personal Information 

  • Gender
  • Date of Birth (MM/DD/YYYY)*
     / /
    2 digit month, 2 digit day, 4 digit year
  • Passport Expiry Date (DD/MM/YYYY)
     - -
    2 digit day, 2 digit month, 4 digit year

  • English Language Level

  • Current Level of English:*

  • Course Details

  • Visa type
    • 1-Year Student Visa Package (with Emirates ID) — available when you book a course of 24 weeks or more (15 or 20 hours per week)
    • 24-Week Visa Package — available when you book a course of at least 16 weeks (15 or 20 hours per week)
    • 3-Month Package — available when you book a course of at least 2 weeks; includes a tourist visa (not an educational visa).

    All packages include accommodation, airport transfer upon arrival, insurance, registration fees, and learning materials. 

     

  • One-to-One lessons are available as follows:

    • 1-Year Student Visa minimum package is 126 hours, other packages: 132, 138, 144, 150, 156, 162, 168, 174, 180, 186, 192, 198 hours, etc. 
    • 24-Week Visa minimum package is 60 hours, other packages: 66, 72,78, 84, 90, 96, 102, 108, 114, 120, 126 hours 
    • 3-Month Visa minimum package - 36 hours, other packages: 42, 48, 54, 60 hours
  • Start Date (DD/MM/YYYY)*
     / /
    2 digit day, 2 digit month, 4 digit year

  • Package Add-ons

  • Additional services to the Package*

  • *Upgrade to Single room is USD 100 per week ( KSK Homes, The Myriad, The Nook).

    *Upgrade to Single Premium Accommodation is USD 200 per week (it's located near the school).

    *Short-term Medical Insurance for 1 Year Student Visa to cover the first several weeks after arrival before Emirates ID and resident insurance cover are issued. 

     

  • Additional learning

  • If you require additional One-to-One lessons (minimum 12 hours booking), kindly specify below.

  • Accomodation Arrangements

  • Do you require accommodation?
  • Accommodation Start Date (DD/MM/YYYY)
     / /
    2 digit day, 2 digit month, 4 digit year
  • Accommodation End Date (DD/MM/YYYY)
     / /
    2 digit day, 2 digit month, 4 digit year

  • Airport Transfer

  • Do you require airport transfer?

  • Emergency Contact Details

  • Parental / Guardian
    Information (if applicable - if student is minor)

  • Payment menthod

  • Preferred payment method

  • Declaration & Agreement

  •  1. I confirm that the information provided is accurate and complete.
     2. I have read and agreed to the Headway Institute Terms and Conditions (available on our website)
     3. I understand the cancellation and refund policies.
     4. I authorize Headway Institute to act in case of medical emergency;
         I am responsible for all medical expenses incurred.
     5. I agree to abide by the institute's policies during my course.

    6. I acknowledge and consent that my personal data, registration details, and academic performance records will be shared with awarding and certification organisations (such as Pearson) and local regulatory authorities (KHDA) for registration, certification, and quality assurance purposes in accordance with UAE Data Protection regulations.

  • Date (MM/DD/YYYY):
     / /
    2 digit month, 2 digit day, 4 digit year

  • Passport

    Kindly upload your passport (2 opposite pages with your signature and a passport cover)

  • Photo

    Please upload your photo following the guidelines https://drive.google.com/file/d/1KCc1MpxUjLtd0Y4MO1J6UoFPbeGWJNOP/view?usp=sharing

  • For any questions kindly approach admissions@headin.pro

  •  
  • Should be Empty: