Kings Global Academy – Registration Form

Full Name of Applicant

Date of Birth

Gender
—Please choose an option—MaleFemaleOther

Organization

Current Position
—Please choose an option—JuniorMidSenior

Address (Native)

Address (Current)

Phone Number

Email

Course Name

Course Mode
—Please choose an option—RegularFast TrackDistance Learning

Course Dates

Course Time
—Please choose an option—MorningAfternoon

Additional Services (Optional)

Other Services (Optional)

Photo ID / Passport Copy

Signature (Type your full name)

Date