AUM Language Center Registration Form
  1. (*) Means Required Field to Fill
  2. Academic Year(*)
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  3. Are You..(*)
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  4. AUM Student's No.
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  5. Semester(*)
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  6. Your Personal Information as in your Passport
  7. Last Name(*)
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  8. First Name(*)
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  9. Middle Name(*)
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  10. Date of Birth(*)
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  11. Gender(*)
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  12. Country(*)
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  13. City(*)
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  14. Native Language(*)
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  15. Address(*)
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  16. Contact Information
  17. Land Telephone(*)
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  18. Mobile (Cellular)(*)
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  19. Occupation(*)
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  20. E-mail(*)
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  21. Languages Options
  22. English Language






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  23. Arabic Language





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  24. Other Languages





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  25. Comments
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  26. Schedule to be confirmed by AUM L.C.

    Please choose from the following options:-

  27. Monday & Wednesday
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  28. OR
  29. Tuesday & Thursday
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  30. Additional Information
  31. How did you hear about the Language Center at American University of Madaba?
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  32. (*)
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  33. (*)
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  34. (*)
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  35. Date(*)

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  36. How should we contact you?(*)


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  37. For AUM | Language Center Use Only
  38. Director's Name and Signature
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  39. Signature Date
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  40. Director's Comment
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  41. Submit Area (Please check all information before you submit)
  42. Spam Check(*)
    <b><FONT COLOR=black>Spam Check
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  43. Send Form

Contact Details

American University of Madaba

Language Center

Telephone: (05) 329-4444 Ext. 1414
Website: lc.aum.edu.jo
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