# Payment Attachment

- Please provide your valid identification used for registration.
- Email or Passport ID:

# © 2015 Al-Lughah Languages Centre

# Payment Attachment

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- Payment Attachment Form
- Applicant Name:
  Passport ID:
  Prefered Course:
  Expected Date:
  Program Cost:
- Please attach proof of payment:

# © 2015 Al-Lughah Languages Centre

## Settings

Ping Interval (Minute):

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# Sample

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# © 2015 Al-Lughah Languages Centre

# Applicant Details

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- Application Registration Details
- First Name:
  Last Name:
- Passport ID:
- Course Preference:
- Expect date to join the courses
- English Proficiency:
- Education Level:
- Gender: Male Female
- Age:
- Nationality:
- Occupation:
- Contact Address 1:
- Contact Address 2:
- City:
- State / Province / Region:
- Postal / Zip Code:
- Country:
- Mobile Phone:
- Email:
- Approval: Approved Not Approved
- Please proceed if your registration details are correct.

- Office
- Staff Name:
- Receipt No:
- Date:
- Submit

# © 2015 Al-Lughah Languages Centre

# Payment Attachment Success

- Your proof of payment attachment successfully saved.
- You will be contacted by our representative shortly.

# © 2015 Al-Lughah Languages Centre

# Notification

This page contains various progressive-enhancement driven form controls. Native elements are sometimes hidden from view, but their values are maintained so the form can be submitted normally. Browsers that don't support the custom controls will still deliver a usable experience because all are based on native form elements.

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