‫ﺟﺎﻣﻌﺔ اﻟﺴﻠﻄﺎن ﻗﺎﺑﻮس‬
Sultan Qaboos University
‫ﻋﻤﺎدة اﻟﻘﺒﻮل واﻟﺘﺴﺠﻴﻞ‬
Deanship of Postgraduate Studies
‫اﺳﺘﻤﺎرة ﺗﻘﻴﻴﻢ و ﻣﻘﺎﺑﻠﺔ ﻟﻠﻘﺒﻮل ﺑﺎﻟﺪراﺳﺎت اﻟﻌﻠﻴﺎ‬
Post-Graduate Admission Evaluation and Interview Form
:‫اﻟﻌﺎم اﻟﺠﺎﻣﻌﻲ‬
Academic Year:
:‫اﻟﻔﺼﻞ اﻟﺪراﺳﻲ‬
Semester:
Application Type (Circle one):
Full Time
Part Time
Applicant Name: ____________________________________________________:‫أﺳﻢ اﻟﻤﺘﻘﺪم‬
‫ اﻟﺒﻴﺎﻧﺎت اﻟﻌﻠﻤﻴﺔ‬-1
1. Educational Background
B. Eng Degree
MSc Degree
‫اﻟﺠﺎﻣﻌﺔ اﻟﺘﻲ ﺗﺨﺮج ﻣﻨﻬﺎ‬
University from which the
student graduated
College/Major
‫اﻟﺘﺨﺼﺺ‬/‫اﻟﻜﻠﻴﺔ‬
‫اﻟﻤﻌﺪل اﻟﺘﺮاﻛﻤﻲ‬
Cumulative GPA
English Test Result
(TOFEL/IELTS) and Date of
Test
Program Applied for (Circle one)
TOFEL
‫ﺗﻮﻓﻞ‬
__________
MSc
IELTS
‫آﻳﻠﺘﺲ‬
__________
‫ﻧﺘﻴﺠﺔ اﺧﺘﺒﺎر ﻣﺴﺘﻮى اﻟﻠﻐﺔ اﻹﻧﺠﻠﻴﺰﻳﺔ وﺗﺎرﻳﺦ‬
‫اﻟﺤﺼﻮل ﻋﻠﻴﻪ‬
‫اﻟﺒﺮﻧﺎﻣﺞ اﻟﻤﺘﻘ َﺪم ﻟﻪ‬
Ph.D
‫ اﻟﺘﻘﻴﻴﻢ‬-2
2. Evaluation
Skills
‫اﻟﻌﻼﻣﺔ اﻟﻤﻜﺘﺴﺒﺔ‬
‫اﻟﻌﻼﻣﺔ اﻟﻘﺼﻮى‬
Earned Points
Maximum Points
‫اﻟﻤﻬﺎرات‬
Language Proficiency
10
‫اﻟﻘﺪرات اﻟﻠﻐﻮﻳﺔ‬
Knowledge of Subject
10
‫اﻟﻤﻌﺮﻓﺔ ﺑﺎﻟﺘﺨﺼﺺ‬
Intellectual Abilities
10
‫ﻣﺴﺘﻮى اﻟﺬﻛﺎء‬
Problem Solving and
Decision Making
10
Personality / Career
Expectation
Other Notable Skills
Total
10
‫اﻟﻘﺪرة ﻋﻠﻰ اﺗﺨﺎذ اﻟﻘﺮار وﺣﻞ‬
‫اﻟﻤﺸﻜﻼت‬
‫ اﻟﻄﻤﻮح‬/ ‫اﻟﺸﺨﺼﻴﺔ‬
10
60
‫اﻟﻤﺠﻤﻮع‬
‫ﻣﺮاﺟﻌﺔ ﻃﻠﺐ اﻟﻘﺒﻮل‬-3
3. Review of Application
Application reviewed by (atleast two faculty members):
Faculty Name
Signature & date
Recommendation
1) _______________________________
________________________
____________
2) _______________________________
________________________
____________
3) _______________________________
________________________
____________
4) _______________________________
________________________
____________
For Ph.D. Applications, only:
Proposed area for specialization:
________________________________________________________________________________________
Preleminary Supervisor /Signature: _______________________________________________________
HoD Signature & Date:
____________________________________________________________
Resources Available for Research (please circle one):
If yes, please give details
Yes / No
_________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Additional Comments, if any:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
‫* ﻳﺮﺟﻰ ذﻛﺮ اﻷﺳﺒﺎب واﻟﻤﻘﺮرات اﻟﺘﻜﻤﻴﻠﻴﺔ إن وﺟﺪت‬
‫ﻧﺘﻴﺠﺔ اﻟﻤﻘﺎﺑﻠﺔ‬
‫‪ .1‬ﻣﻘﺒﻮل‬
‫‪ .2‬ﻏﻴﺮ ﻣﻘﺒﻮل‬
‫‪ .3‬ﻗﺒﻮل ﻣﺸﺮوط*‬
‫‪4. Bridging / Required Courses, if any‬‬
‫‪1. Admitted‬‬
‫‪2. Not Admitted‬‬
‫‪Interview‬‬
‫‪Result‬‬
‫* ‪3. Conditional Admission‬‬
‫ﺗﻮﻗﻴﻊ رﺋﻴﺲ اﻟﻘﺴﻢ‬
‫ﺗﻮﻗﻴﻊ ﻣﺴﺎﻋﺪ اﻟﻌﻤﻴﺪ ﻟﻠﺪراﺳﺎت اﻟﻌﻠﻴﺎ واﻟﺒﺤﺚ اﻟﻌﻠﻤﻲ‬
‫‪HOD Signature‬‬
‫‪Assist. Dean for Graduate Studies & Research‬‬
‫_______________________‬
‫_______________________‬
‫اﻟﺘﺎرﻳﺦ‪Date:_____________________________ :‬‬