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C Learners WW) University College Leam. Achiave, Succeed. APPLICATION FORM CHOOSE THE INSTITUTION ssM Singhania omHM ditto) ale eae Salutation: Mr/ Ms Name: Zareen Qidwal FatherName: Adee! Anmad Qidwai Mother Name: Parveen Qidwal Daeottity 08 | 07 J 1 9 9 4 Gender Male Female Nationaty: India PassportNo, 24164430 CourseName: Bed Specialization: Session: Year 2023 Month july U1) ) i Cel DB toy Latah Aiea Last ed Address (Steet, Number)* 19A Amman street ‘Address (Steet, Numben* 19A , Amman Street Postal Code Postal Code cays Dubai cy Dubai county UAE county* UAE Phone? 0545491189 Phone? 0545491189 Emait _Zareen.kidwal25@gmail.com Email Zareen.kidwal25@gmail.com Secondary School 2009 UP. Board Sr Secondary 2014 UP . Board Under Graduation 2014 Lucknow University Post-Graduation 2016 Lucknow University MPhil Pho other same AEN Current Employer: Ini Poston Department Time Period: Curent Psion: Department REQUIRED DOCUMENTS Complete cv Copies of Degree Transcript or Mark sheet Work Experience Letter Passport Size Photo Copy ofPassport Copy ofvisaResidence Permit cna C Learners University College a a a a C Leamers WY) University College Bias b eA Pee), PINRO) hy By submitting your application you agree to the terms and conditions as follows: L Univers College. understand and accept the tems, rules and regulations ofthe University that govern the admission proceciure | certily that | understand that | must satisfactonly meet the admission requlrements to be accepted for entolment into the LUC programs | agree to mect my financial obligations to Learners University College in full and by the due date provided to me by invoice and understand that ill aot be Permitted to enral or gracuate if fil todo 0, | understand that ial withdraw from a course by the relevant advised withdrawal dates willincur the fll fes for that course | understand that alla course and are required to re-enrllin order to meet the requirements of the awa will incur fees fr th reenrolment. understand thatif exceed the minimum candidature period prescribed by LUG Iwillincur candidature extension fees, subject tomy making satisfactory Progress during the course of my caneidature, and commitment to progress milestones. | understand that policy, procedures, and financial obligations may be amended at the discretion of Leamers Unversity College lam responsible ro meet allthe requirements fo the course 1am enrolled or at LUC, Learners University College preferred method of communicaton with students \s by email and Iwill be responsible for checking my student temailaccount ona regular basis, as well as anyother accounts provided with this application form. willbe responsible for notifying university in caseof any changed in my registered contact details. (email address/contact number ete) Lam responsible for familiarizing myself with and abiding by ll Learners University College student polices, and administrative procedures | consent to the release of personal and academic information by Learners University College in accordance with the Confidentiality of Students’ Personal Information policy “= hereby apply for admission to the —————-——--__.. program at Learners PRIVACY STATEMENT Learmers University College respects your privacy and strictly controls use of personal information, The information you provided on your ‘enrolment wl be used in administering the eanners University College program, which involves the use of extemal service providers Where itis necessary to involve a thi party service provide, Learners University College ensures that a confidentiality agreement isin place to protect your personal details ane will only supply detall which ae necessary to provide the agreed service. Your enrolment will be an indleation of our consent to utilize any necessary information te administer the program by University and these til party service provie Ee reese | declare shat to the best ofthe above shard information towards this application for admission to the Leamnets Unversity College program Is correct and complete have rea the relevant aémission requirements fee policy, privacy statement and course structure information, acknowledge that is my responsibly to ensure that seek advice onre-enrolment and variances to my re-envolment that Imay eur agree to pay any fees and charges up front each study period fr any unis to enroll in. acknowledge that while Lam ervoed ina Learners ‘University College program | am subject to the legislation, polices and procedures ofthat program and terms & conditions of Learners University College Signature Name, Date Learners University College has no connection with any private oF public education establishment within UAE and wll not directly issue

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