Father/ Guardian Information as per passport

Iqama No./Saudi I.D

First Name(in Arabic)

Last Name(in Arabic)

First Name(in English)

Last Name (in English)

Mobile No

Nationality

E-mail

Mother's Name (EnglishName)

Father's Name (EnglishName)

Grand Father's Name (EnglishName)

Family Name (EnglishName)

Educational Level

Mobile No

Student Information as per passport

Student Name (in Arabic)

Father’s Name(in Arabic)

Grandfather’s Name(in Arabic)

Last Name (in Arabic)

First Name(in English)

Father’s Name (in English)

Grandfather’s Name (in English)

Last Name (in English)

Nationality

Iqama No./Saudi I.D (Student)

City *

Region *

Home Number

Passport # :

Gender :
Male Female

Date of Birth

Passport Expiry Date

Registration Year

Term

Grade Level Applied to: