Registration Form

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Enrollment Confirmation – Registration Form Required

Date of Registration

Date of the Course given by the team

Name of the Course (One or more than one course)

First Name

Last Name

Date of Birth

Mailing Address (home/office)

Gender (Tick the Appropriate Box)

Male Female

Mobile Number

WhatsApp Number

Nationality

Education Field

Profession

Name of Organization (Organization that you work for)

New or Renewal Course (Tick the Appropriate Box)

New Renewal Course

How did you hear about us (Tick the Appropriate Box)

Google Facebook Instagram My Company A Friend Others

Emirates ID Copy or Passport Copy (PLEASE ATTACH A COPY PIC OF YOUR EMIRATES ID OR PASSPORT)

Candidate Live Signature

By Clicking on below checkbox, you agree to our Terms & Conditions:

1. All candidates are advised to be on the training premises at least 20 minutes before scheduled course timing.

2. NO SHOWS and LATECOMERS (15min) will not be tolerated at all; hence payment fees will be forfeited.

3. Prime Wellness Training Institute LLC has the right to cancel or reschedule a specific course. In case of cancellation and rescheduling, we will notify all candidates and thus will have the opportunity to select a suitable alternative course.

4. We can accommodate the rescheduling of the course only for valid reason with supportive documents (ex: Medical Report, Police Report, etc..) subject to Prime Wellness Training Institute LLC management approval.

5. No refund Policy is permitted

(AHA DISCLAIMER): The American Heart Association strongly promotes knowledge and proficiency in all AHA courses and has developed instructional materials for this purpose. Use of these materials in an educational course does not represent course sponsorship by the AHA. Any fees charged for such a course, except for a portion of fees needed for AHA course materials, do not represent income to the AHA.

I agree (as a confirmation on all)