Registration Form

Personal Information

Download the registration form, complete and email it to

Registration Form (0.08MB)    Download Registration Form    or fill in the online form below.


A. Personal Information

Name*
Address
Tel: Home
Mobile*
Email*
DOB
Occupation
Gender
Company

B. Arabic Proficiency Info

Past study: please give brief details on your Arabic proficiency and any Arabic studies you have undertaken

Course
Institution
Year
Country
Duration
Speaking
Understanding
Reading
Writing

Please rate: Poor Fair Good Very good Advanced

C. Course Information

Please tick the level you want to register for

Basic Arabic
Intermediate Arabic
Higher Arabic
Conversation Club
Arabic for Islamic Studies
Arabic for University
Arabic for Children
Tourism Arabic
Business Arabic

Please tick the package you want to register for

Individual     Family     Group     Children     Corporate     Private    

D. Class Preference

Please indicate your preferred class day and time

Commencement date
Time
Morning
Afternoon
Evening
No of days per week
Preferred days
Mon
Tue
Wed
Thu
Fri
Sat
Sun

E. Reference Information

Please tick the appropriate box to indicate how you heard about Arab Academy Malaysia:

Internet
Brochure
Banner / Bunting
Friends / Family
Others (Please indicate)

F. Declaration

I accept the term and conditions for registering for classes at Arab Academy Malaysia. By
registering I agree to pay the course fees in full*. I understand the fees are non refundable
should I decide to withdraw from the course.

[ ] * Full course and material fees must be paid for the whole level.