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Adult Application

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* Required information.
Full Name: *
Nationality: *
Date of Birth: *
Gender: *
Male
Female
Address: *
Telephone/ Mobile Number: *
Email Address: *
Occupation:
Mother Tongue:
Other spoken languages
Any previous knowledge of Arabic?
Yes
No
(If yes, please give details in the space: Number of hours studied, where and for how long):
Course title & schedule you wish to join: *
Any learning or physical disabilities? *
Yes
No
(if yes, please provide details)
Accessibility special requirements? *
Yes
No
(if yes, please provide details)
How did you hear about our academy?
Comments and other information you’d like to tell us about:

Terms and Conditions

I have read the terms and conditions (viewable on the website) and accept them.
By sending this application form, I agree with NEALA Academy rules and policies for the School and the treatment of my personal data according to the Personal Data Protection Act 1998.

Please tick for your acceptance: *
I Accept

*For students under 18, a parent or guardian must sign this form on their behalf.

** We occasionally take photos and videos in our classes and use them on our academy website and social media to show our students’ and teachers’ work.

If you DO NOT want your photo to be used, please tick here:
No Image Please

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