Application Form

University

Presidency of the University

Publications

Journals

Step 1

Last Name

Middle Name

First Name

-- Male

... Female

Gender

Date of Birth

.Valid Passport No

NOTE: Valid at least for Six Months

Image of a Valid Passport

E-mail

Mailing Address

.Telephone No

.Mobile No

Step 2

High School Name

Degree Title

City

Country

Field of Study

From

Image of High School Diploma

Image of High School Transcripts

University 1

Degree title 1

City

Country

Field of Study

From

Image of University Degree (1)

Image of University Transcripts (1)

English Language Proficiency

Persian Language Proficiency

Step 3

Bsc.

Msc.

General Doctorate

Ph.D.

Specialized Residency

.I intend to enroll in the ... program

I intend to study in the field of:

Step 4

I declare that all the answers to this application are complete and accurate to the best of my knowledge including the information on my academic background. I have been informed on the regulations of admittance to the University and on the tuition fees. I am prepared to cover the expenses of studying and living in Islamic Republic of Iran in a timely manner. I am warned that failure to report all the complete and accurate information will invalidate my application and result in the invalidity of a degree obtained if admitted.

Approval

QOM UNIVERSITY OF MEDICAL SCIENCES