Teaching Qualification Request Form
Name
*
First Name
Last Name
Mobile Number
*
-
Code(eg.0300)
Number
E-mail
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
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Iran
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Israel
Italy
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Japan
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Jordan
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Kenya
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North Korea
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Laos
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Liberia
Libya
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Lithuania
Luxembourg
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Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
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Turks and Caicos Islands
Tuvalu
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Ukraine
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Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
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Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Name of Course
*
This is the course for which you are filling this form
Course Start Date
*
-
Day
-
Month
Year
Course End Date
*
-
Day
-
Month
Year
Today's Date
*
-
Day
-
Month
Year
You Request (Please write in detail)
*
eg. name amendment/course extension/late fee submission etc.
Is it a course extension request?
*
Yes
No
In case of course extension request, please upload a consent form (signed by the whole class for face to face classes)
The consent form should include the terms and conditions below
Documents to support your request
Please upload one PDF file for all related documents
Terms and Conditions
*
I acknowledge that my request is subject to approval and if not approved, I shall have no objection and will continue the course, as is. I also acknowledge that there may be a fee for this request and I agree to pay that.
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