FAE Students Registration Form 𝐏𝐥𝐞𝐚𝐬𝐞 𝐂𝐨𝐦𝐩𝐥𝐞𝐭𝐞 𝐭𝐡𝐢𝐬 𝐟𝐨𝐫𝐦 𝐭𝐨 𝐄𝐧𝐫𝐨𝐥 𝐚𝐭 𝐅𝐢𝐭𝐧𝐞𝐬𝐬 𝐀𝐜𝐚𝐝𝐞𝐦𝐲 𝐄𝐮𝐫𝐨𝐩𝐞 𝐔𝐀𝐄𝐂𝐨𝐮𝐫𝐬𝐞/𝐄𝐯𝐞𝐧𝐭 𝐍𝐚𝐦𝐞 REPs UAE Level 2 Certificate in Fitness Instructing REPs UAE Level 2 Certificate in Group Fitness Instructing REPs UAE Level 3 Certificate in Personal Training REPs UAE Level 3 Diploma in Fitness Instructing and Personal Training NASM CPT 𝐈𝐟 𝐭𝐡𝐞 𝐜𝐨𝐮𝐫𝐬𝐞 𝐲𝐨𝐮 𝐚𝐫𝐞 𝐢𝐧𝐭𝐞𝐫𝐞𝐬𝐭𝐞𝐝 𝐢𝐧 𝐢𝐬 𝐧𝐨𝐭 𝐥𝐢𝐬𝐭𝐞𝐝 𝐚𝐛𝐨𝐯𝐞, 𝐩𝐥𝐞𝐚𝐬𝐞 𝐬𝐩𝐞𝐜𝐢𝐟𝐲 𝐭𝐡𝐞 𝐜𝐨𝐮𝐫𝐬𝐞 𝐲𝐨𝐮 𝐰𝐨𝐮𝐥𝐝 𝐥𝐢𝐤𝐞 𝐭𝐨 𝐞𝐧𝐫𝐨𝐥 𝐢𝐧𝐅𝐢𝐫𝐬𝐭 𝐍𝐚𝐦𝐞 - 𝐓𝐡𝐢𝐬 𝐰𝐢𝐥𝐥 𝐛𝐞 𝐭𝐡𝐞 𝐧𝐚𝐦𝐞 𝐝𝐢𝐬𝐩𝐥𝐚𝐲𝐞𝐝 𝐨𝐧 𝐲𝐨𝐮𝐫 𝐂𝐞𝐫𝐭𝐢𝐟𝐢𝐜𝐚𝐭𝐞(𝐬)*𝐋𝐚𝐬𝐭 𝐍𝐚𝐦𝐞 - 𝐓𝐡𝐢𝐬 𝐰𝐢𝐥𝐥 𝐛𝐞 𝐭𝐡𝐞 𝐧𝐚𝐦𝐞 𝐝𝐢𝐬𝐩𝐥𝐚𝐲𝐞𝐝 𝐨𝐧 𝐲𝐨𝐮𝐫 𝐂𝐞𝐫𝐭𝐢𝐟𝐢𝐜𝐚𝐭𝐞(𝐬)*𝐆𝐞𝐧𝐝𝐞𝐫:* Female Male Prefer not to say Other GenderOtherAddress* Street Address City ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country 𝐃𝐚𝐭𝐞 𝐨𝐟 𝐁𝐢𝐫𝐭𝐡*MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920𝐓𝐞𝐥𝐞𝐩𝐡𝐨𝐧𝐞 𝐍𝐮𝐦𝐛𝐞𝐫*𝐄𝐦𝐚𝐢𝐥 𝐀𝐝𝐝𝐫𝐞𝐬𝐬* 𝐏𝐚𝐬𝐬𝐩𝐨𝐫𝐭 𝐎𝐑 𝐃𝐫𝐢𝐯𝐢𝐧𝐠 𝐋𝐢𝐜𝐞𝐧𝐬𝐞 𝐍𝐮𝐦𝐛𝐞𝐫*𝐄𝐦𝐞𝐫𝐠𝐞𝐧𝐜𝐲 𝐂𝐨𝐧𝐭𝐚𝐜𝐭 𝐍𝐚𝐦𝐞/𝐍𝐮𝐦𝐛𝐞𝐫/𝐑𝐞𝐥𝐚𝐭𝐢𝐨𝐧𝐬𝐡𝐢𝐩*𝐅𝐢𝐭𝐧𝐞𝐬𝐬 𝐀𝐜𝐚𝐝𝐞𝐦𝐲 𝐄𝐮𝐫𝐨𝐩𝐞 𝐰𝐢𝐬𝐡 𝐭𝐨 𝐬𝐮𝐩𝐩𝐨𝐫𝐭 𝐲𝐨𝐮 𝐢𝐧 𝐲𝐨𝐮𝐫 𝐥𝐞𝐚𝐫𝐧𝐢𝐧𝐠 𝐚𝐧𝐝 𝐫𝐞𝐜𝐨𝐠𝐧𝐢𝐬𝐞𝐬 𝐭𝐡𝐚𝐭 𝐬𝐨𝐦𝐞 𝐬𝐭𝐮𝐝𝐞𝐧𝐭𝐬 𝐦𝐚𝐲 𝐡𝐚𝐯𝐞 𝐚 𝐝𝐢𝐬𝐚𝐛𝐢𝐥𝐢𝐭𝐲 𝐨𝐫 𝐥𝐞𝐚𝐫𝐧𝐢𝐧𝐠 𝐝𝐢𝐟𝐟𝐢𝐜𝐮𝐥𝐭𝐲. 𝐓𝐡𝐢𝐬 𝐢𝐧𝐟𝐨𝐫𝐦𝐚𝐭𝐢𝐨𝐧 𝐢𝐬 𝐜𝐨𝐦𝐩𝐥𝐞𝐭𝐞𝐥𝐲 𝐜𝐨𝐧𝐟𝐢𝐝𝐞𝐧𝐭𝐢𝐚𝐥. 𝐏𝐥𝐞𝐚𝐬𝐞 𝐬𝐞𝐥𝐞𝐜𝐭 𝐚𝐬 𝐧𝐞𝐜𝐞𝐬𝐬𝐚𝐫𝐲 Visual Impairment Hearing Impairment Dyslexia Disability Affecting Mobility Other Physical Disabilities None Other 𝐅𝐢𝐭𝐧𝐞𝐬𝐬 𝐀𝐜𝐚𝐝𝐞𝐦𝐲 𝐄𝐮𝐫𝐨𝐩𝐞 𝐰𝐢𝐬𝐡 𝐭𝐨 𝐬𝐮𝐩𝐩𝐨𝐫𝐭 Other𝐈𝐟 𝐎𝐭𝐡𝐞𝐫 𝐩𝐥𝐞𝐚𝐬𝐞 𝐞𝐥𝐚𝐛𝐨𝐫𝐚𝐭𝐞*𝐇𝐨𝐰 𝐝𝐢𝐝 𝐲𝐨𝐮 𝐡𝐞𝐚𝐫 𝐚𝐛𝐨𝐮𝐭 𝐅𝐀𝐄?*𝐓-𝐒𝐡𝐢𝐫𝐭 𝐒𝐢𝐳𝐞* XS S M L XL Other 𝐓-𝐒𝐡𝐢𝐫𝐭 𝐒𝐢𝐳𝐞 other𝐈𝐟 𝐚𝐩𝐩𝐥𝐢𝐜𝐚𝐛𝐥𝐞, 𝐏𝐥𝐞𝐚𝐬𝐞 𝐮𝐩𝐥𝐨𝐚𝐝 𝐚𝐧𝐲 𝐏𝐫𝐞-𝐑𝐞𝐪𝐮𝐢𝐬𝐢𝐭𝐞 𝐂𝐞𝐫𝐭𝐢𝐟𝐢𝐜𝐚𝐭𝐞𝐬 𝐟𝐨𝐫 𝐘𝐨𝐮𝐫 𝐂𝐨𝐮𝐫𝐬𝐞 Drop files here or Select files Max. file size: 500 MB. FileMax. file size: 500 MB.𝐈/𝐰𝐞 𝐜𝐞𝐫𝐭𝐢𝐟𝐲 𝐭𝐡𝐚𝐭 𝐭𝐡𝐞 𝐚𝐛𝐨𝐯𝐞 𝐢𝐧𝐟𝐨𝐫𝐦𝐚𝐭𝐢𝐨𝐧 𝐩𝐫𝐨𝐯𝐢𝐝𝐞𝐝 𝐛𝐲 𝐦𝐞/𝐮𝐬 𝐢𝐬 𝐜𝐨𝐫𝐫𝐞𝐜𝐭* Yes No 𝐈 𝐮𝐧𝐝𝐞𝐫𝐭𝐚𝐤𝐞 𝐭𝐨 𝐬𝐮𝐛𝐦𝐢𝐭 𝐚𝐥𝐥 𝐭𝐡𝐞 𝐝𝐨𝐜𝐮𝐦𝐞𝐧𝐭𝐬 𝐢𝐧 𝐨𝐫𝐢𝐠𝐢𝐧𝐚𝐥 𝐟𝐨𝐫 𝐯𝐞𝐫𝐢𝐟𝐢𝐜𝐚𝐭𝐢𝐨𝐧* Yes No
