{1}
##LOC[OK]##
{1}
##LOC[OK]##
##LOC[Cancel]##
{1}
##LOC[OK]##
##LOC[Cancel]##
Coach Information
First Name
*
This is a required field.
Last Name
*
This is a required field.
Email Main
*
This is a required field.
Invalid Email
Mobile number
*
(0501234567)
This is a required field.
Invalid Mobile Number
Institute Name
*
This is a required field.
Team Name
*
This is a required field.
Please choose a category
*
Artificial Intelligence
Mobile Application
Programming
This is a required field.
Member 1
First Name
*
This is a required field.
Middle Name
*
This is a required field.
Last Name
*
This is a required field.
Full Name in Arabic
*
(As in your Emirates ID)
This is a required field.
Email
*
This is a required field.
Invalid Email
Mobile number
*
(0501234567)
This is a required field.
Invalid Mobile Number
Gender
*
Male
Female
This is a required field.
Select Uniform Size
*
Select
XS
S
M
L
XL
2XL
3XL
4XL
5XL
6XL
7XL
8XL
This is a required field.
Uniform Type
*
Did you participate in any of the above categories
*
Yes
No
This is a required field.
Emirate
*
Select
Abu Dhabi
Dubai
Sharjah
Ras Al Khaima
Fujaira
Umm Ul Quain
Ajman
Al Ain
Western Region
This is a required field.
Emirates ID
*
(###-####-#######-#)
This is a required field.
Invalid Emirates ID
Affliation
*
School
College or University
Other
This is a required field.
School / College / University
*
This is a required field.
Other
*
This is a required field.
Date of Birth
*
Year
2008
2007
2006
2005
2004
2003
2002
2001
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
This is a required field
Do you have any medical condition?
*
Yes
No
This is a required field.
Please mention
This is a required field.
Personal Photo
*
Maximum upload size is 2Mb
Please upload your Photo
Emirates ID Back
*
Maximum upload size is 2Mb
Please upload front EID
Emirates ID Front
*
Maximum upload size is 2Mb
Please upload back EID
Add second member
I agree to the ETIC
Terms & Conditions
.
In order to register in the National Competition, you must agree to the ETIC Terms & Conditions.*