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Campus & Semester
Campus: Semester:
Personal Information
First Name: Middle Name: Last Name:
الاسم: اسم الاب: الشهرة:
Mother Name: Date of Birth: Gender:
Male   Female
Place Of Birth: Nationality 1: Nationality 2:
Country Of Birth: رقم السجل: المحلة:
Emergency
Contact Person: Telephone:
Mailing Address
Area: Street: Building:
Phone: Mobile: example: 03222222 or 70222222
Father/Mother Occupation
Student Occupation:
Unemployed Self Employed Public Sector Private Sector
Company Name:
Father Occupation:
Unemployed Self Employed Public Sector Private Sector
Company Name:
Mother Occupation:
Unemployed Self Employed Public Sector Private Sector
Company Name:
Academic Information
Attended school:
From: To: Diploma
Choice of program:
Regular Freshman Transfer
Education Level:
Undergraduate Graduate
Your Choice:
School: Major:
Additional Information
Handwriting:
Right Left
Placement Test Language:
English French
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