Aial Application Form

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AIAL Attach one

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Please read the ‘Institute Prospectus’ before completing
this form.
‘Online’, ‘MS Word & PDF format’ application forms are
available on the website.
www.aial.edu.so

Please complete this form in BLOCK capitals using BLACK INK.


Personal Details
First name

Address (If in Somalia)

Street

Town

City

Country

Telephone No.

Mobile No.

Email

Course Details and Payment of fees

Course Title

Course start date Duration

Who is responsible for payment of your course fees? Self Others

Other please, please specify name and contact details (please send attachment)
Name
Address:
Telephone No. : Email:

Education and Academic qualifications (we may ask proof of all qualifications and certificates
obtained if they are required for acceptance on a course)
Name of institute, Duration From Degree/Diploma/ Certificate Class/ Medium of
Institute, university & to (mm/yy) (ie BSc, HSC, BBA result instruction ie
country (Professional English, Arabic,
Training Institutes) Somalia

Employment/work records (if any)


Designation/Post/ Job Employer Employment Period
title
From: To:

How did you hear about the Institute?


Newspaper/Magazine Relative/Friend Website

Workshop/open day Agent/consultant Email

Other sources (please state):

References
Name: Name:

Full Address: Full Address:

Relationship (i.e. Relationship (i.e.


employer, teacher, family) employer, teacher, family)

Telephone No. Telephone No.

Email: Email:

Declaration
I confirm by submitting this application form that, to the best of my knowledge, the information in this
form is correct. I have read the Institute prospectus/course brochure. I understand and agree to abide
by the conditions and regulations of the Institute, which I accept as a condition of this application.

Applicant’s signature: Date:

Enrolment Procedure
A. Complete the Application for Admission, and send it with • one color passport-size photo, and •
Certified copies of relevant certificates e.g. academic qualification to the Admission Office.
B. When your application has been processed, the Institute will issue a ‘Letter of Acceptance’
C. On receipt of the tuition fee, the Institute will issue the ‘Letter of Enrolment’

For Admission Office


Application received hand, online, email: Date:
Comments and Actions:

Director’s Signature ___________________ Stamp Date ____ / _______ 2022

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