Course registration

Personal data

Is this your first enrolment? *

Yes

Gender *

Male

Female

First name *

Last name *

Passport/Identity card nr. *

Date of birth *

Day

Month

Year

Marital status

Single

Married

Divorcee

Widower

Home address

Street address *

City *

Country *

Email *

Phone number *

Citizenship (By Ministry of the Interior) *

Israeli citizen

Newcomer

Student

Tourist

Other

Did you come to Israel for a course? *

Yes

Employment

Current job *

Current position at work *

How long is the current job *

Education

School name *

End of school year *

City *

Country *

Enrollment

Rough diamond courses

Course code *

Price *

Language *

Date *

Location *

Payment of the course fee

Payment option *

Cash / Payment by phone

Bank transfer

Declare *

I hereby declare the above mentioned data to be correct and agree to the enrolment conditions.

Leave this field blank