Scholarship Registration
* Required fields are denoted with an asterisk
Personal Information
* Please fill the n
ames as in the passport
Name in English
First Name
*
Second Name
*
Third Name
*
Family Name
*
الاسم الثلاثي / Full Name
لأول / First
الثاني / Second
الثالث / Third
لقبيلة / Surname or Family
Email
*
Nationality
*
United Arab Emirates
Only UAE nationals can apply
Contact No
*
050
052
055
056
-
Date of birth
*
[Age should be between 15-30]
Gender
*
-Select-
Male
Female
Marital Status
*
-Select-
Divorcee
Legally Separated
Married
Single
Widowee
Current City
*
-Select-
Abu Dhabi
Ajman
Dubai
Fujairah
Ras al-Khaimah
Sharjah
Umm al-Quwain
Passport Details
Passport No
Issue Date
Expiry Date
Unified No
Guardian Details
Name
Relationship
-Select-
Father
Mother
Husband
Brother
Sister
Contact Number
050
052
055
056
-
Additional Information
Tawteen No
Are you working now?
-Select-
Yes
No
Military Experience
-Select-
Yes
No
Academic Information
Are you studying?
*
-Select-
Yes
No
Latest Degree
*
-Select-
Grade 11
Grade 12
Injaz
Diploma
Higher Diploma
Bachelor
Subject
*
-Select-
Engineering
Information Technology
Computer and Information Science
Business
Media
Education
Health Sciences
Other
Name of the institute
*
اسم المؤسسة التعليمية بالعربي / Educational Institution’s Name in Arabic
*
Year of completion
*
Result(%)
*
If you have other qualifications mention it below:
Educational Level
Name Of Educational Institute
Year Of Graduation
Result/ Score(%)
English Language Skills (Select courses as applicable)
Course Name
Year
Overall Band Score(%)
Supporting Documents [Files of type .doc/.docx/.pdf/.jpg/.png only]. File size should not exceed 1MB.
Sr#
Description
File to Upload
1
Passport Copy (First & Last Page) [Colored Copy]
Select your file
Upload File
2
CV(Word or PDF format)
Select your file
Upload File
3
Police Clearance
Select your file
Upload File
4
Educational Certificate
Select your file
Upload File
Declaration
I certify that the information given in this application is correct and complete. I agree that the Company may process personal data contained in this form, or other data which the Company may obtain from me or other people whilst I am an applicant and student, for any purposes connected with my application or for any other legitimate reason.
Disclaimer:
The Company reserves the right to make variations to the contents or methods of delivery of courses, to discontinue, merge or combine courses, and to introduce new courses.
GAL ANS, LLC - All rights reserved ©