Course Registration Form

Office# 504, Bank Street Building, Khalid Bin Al Waleed Road - Dubai - United Arab Emirates

Tel: +971 4380 1666, WhatsApp: +971 58123 6600, E: info@edoxi.com, www.edoxi.com

REGISTRATION FORM

Registration No:

Name of Candidate (Full Name) * Course Joining For * Parents / Spouse Name *

Date of Birth * Occupation Telephone No (Res) Mobile No * Academic Qualification * Nationality *

Email ID * Address *