Course Registration Form
Course Title
Date
Personal Information
First Name : ____________________
Middle Name :________________
Last Name: ________________
Date of Birth
Nationality
__________/________/_________
___________________________
Sex:
Male (
)
Female (
)
Education :
____________________________________________________________________________________
Mobile No.
____________________________
Tel No.
_____________________________
Fax No.
____________________________
E-mail
_____________________________
Other Information
____________________________________________________________
Business Address
Organization / Company Name
P.O.Box
Tel No.
___________________________
________________________________
___________________________
Fax No.
E-mail
Other Information
____________________________
________________________________
___________________________
How to Apply
(1)
Print the application form by logging on : http://www.qu.edu.qa/offices/ceo/
(2)
Fax your filled – in application form to: (4403 4021). Alternatively you can send your filled in application by e-
mail: ContinuingEducation@qu.edu.qa
(3)
Pay your tuition fees either using your debit card at our office or at the Student Affairs – Treasury section.
(4)
If the payment is done at Student Affairs – Treasury section, please fax/email the receipt to our office or submit the
original at our office.
Application’s Signature: ____________________________
For more information, please contact:
Date : __________________
 Continuing Education Office : Tel : (+974) 4403 4025 , 4403 4026 , 4403 4027 , Fax : (+974) 4403 4021
 E-mail : ContinuingEducation@qu.edu.qa