Innovation Ambassador Registration

Please fill in accurate details. After submission you will receive a registration number.

School Code (if any) - helps enforce max 2

School / Institution Name *

Branch (optional)

Governorate

City / Wilayah

Address

Website

Official Email

Phone

Supervisor Name *

Role/Title

Phone

Nomination Letter (optional)

Ambassador Name *

Job Title

Ambassador Type

Email *

Phone

Years of Experience

Focus Areas (innovation/robotics/coding/entrepreneurship...)

Short Bio

CV (optional)

I agree to Terms & Conditions *

I consent to data collection for registration, follow-up, documentation, and card issuance

I agree to be contacted via email/phone/WhatsApp