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Al-Diwan Summer Camp Registration Form
Kuala Lumpur – Malaysia

1 - 31 July

   
Important

NOTICE:
* Summer camp only.
* Summer Program is limited only to one track: Modern Standard

1- DO NOT use this form unless all your questions have been answered, and you are ready to start studying and travelling to Al-Diwan Center in Kuala Lumpur.
If you STILL HAVE QUESTIONS CONTACT US NOW, FIRST
2- Please fill out ALL the fields in this registration form with accurate and complete data.

Al-Diwan Online Registration Form

FirstName, Last Name

 

Email:

 

Sex:

Male Female

Date of Birth:

dd  / mm  / yyyy  (Example: 26/09/1980 ))

Your Country

 

Have you studied Arabic before?

Yes No

If you studied Arabic before, for how many hours/ weeks, from what book, and who was your teacher(s)/ school or center, and where?

Additional Services?
If you'll arrive before the program start and need our help tell us.

  • Airport Pick-Up
  • Hotel Reservation
  • Babysitter
  • Tourism guide

Date of arrival at KLIA Airport, Malaysia

Provide Date Now:
OR:
I'll send my Date of Arrival Later

Flight Information (i.e.: Number, City of departure, airlines, etc.)

Provide Flight Information Now:
OR:
  I'll send Flight Information Later

What is your main goal of studying Arabic?

  • Religion - Business - Arabic Studies
  • Other, please indicate

How did you know about Al-Diwan center?

  • Friend
  • Internet Search
  • Your Advertisment on this WebSite:
  • Al-Diwan Student (Name: )
  • Other, please indicate
  • If you come through Al-Diwan's agent kindly write his name

Comments?

  •  NOTE: Please allow 48 hours to get a confirmation email from Al-Diwan (M) to assure that we have received your online application and to confirm whether there will be seats available in your selected course(s) close to your date of arrival or not, and to learn about the registration deposit payment system.
     
  • The date we receive your registration deposit is the date upon which you will be (or not) eligible for any date-based discounts offered.
     
  • IMPORTANT: Please make sure you pay $250 registration fee for your registration form to be valid. You will not be registered until your deposit is paid and received.

    I will pay the 250$ USD registration fee within a week.

I read, and agree to the Payment, Cancellation and Refund Policies of Al-Diwan Center Summer Program.

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