Personal Data

First Name

Middle Name

Family Name

Student Name in Arabic

Legal Full Name as on Government ID (English)

Number Gender Layout

Legal Full Name as on Government ID (Arabic)

Date Of Birth

Student Gender

Occupation

Passport Number

City of Birth

Country of Birth

Nationality

Contact Information

E-Mail Address

Cell Phone Number

Home Phone Number

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Academic Information

Highest Level of Education

Field of Study

Grade Point Average (GPA)

Name of College University

Location of College/University

Graduation Date

Briefly Describe Yourself

Academic Degree to be Enrolled In

Select a Program Type

Select one:

Diploma
Bachelor’s Degree
Master’s Degree

Please allow 24-48 hours for processing after submitting this form, insha’Allah. You will be contacted via EMAIL/Whatsapp for next steps to finalize enrollment

Select one: (copy)

Please allow 24-48 hours for processing after submitting this form, insha’Allah. You will be contacted via EMAIL/Whatsapp for next steps to finalize enrollment

Application Fee

$75 Application Fee

FERPA Notice
Under the Family Educational Rights and Privacy Act (FERPA), you have the right to access, review, and request corrections to your education records. By submitting this application, you acknowledge receipt of this notice.

FERPA Acknowledgement

I have read and understand my FERPA rights

Registration Form

Personal Data

Contact Information

Academic Information

Academic Degree to be Enrolled In

Arab Republic of Egypt

United States of America