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First Name: *

Surname or Family Name: *

Nationality: *

Email: *

Mobile Number: *

Address *

Date of Birth *

Year *

Month *

Day *

Native Language: *

Other Spoken Languages:

University attended or currently attending: *

Qualification Obtained: *

Why are you applying to Tashkeel? *

How did you come to know Tashkeel? *

Previous experience within art and design: *

Membership Fee

Membership payment must be made before use of Tashkeel facilities at the beginning of each month of intended membership.

Please mark the method of payment:

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Declaration

I certify that the information given on this form is correct and I recognise that this information will be kept confidential. If accepted to be part of Tashkeel I agree to conform to Tashkeel's Terms and Conditions.