English Form
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In the Name of the Most High Attach a recent photograph here Department of Education Office of Evaluation and Admission Admissions Application Form Please complete this application form accurately and legibly. A. Personal Information Full Name: Date of Birth: Day Month Nationality: Year Other Name(s): Place of Birth: City State/Province: Religion: Present: Gender: Male Female Passport No.: Former Citizenship: Present: Marital Status: Single Married Date of Issue: Family Information Relationship Name Age Father Mother Spouse Number of Children: Sons: Daughters: B. Educational Background Hawza (Islamic Seminary) Qualifications: Last books studied Name of school Religion Country: Former: Health: Medically Fit Date of Expiry: Occupation Education Nationality Number of Sibling: Brothers: City/Country Entry Date Disabled Citizenship Sisters: Completion Date Academic Qualifications Intermediary school Secondary school Pre-university University Postgraduate G.P.A. of the last academic year: State your last academic degree, field of study, and its grade. ...................................................................................... C. Extracurricular Activities Specify your competence in the Holy Qur’an. Holy Qur’an Excelle Good Fair nt Recitation Tajwid Tartil Tafsir Weak Specify your competence in languages with Good, Fair, and Weak. Language Skill Persian Arabic English Comprehension Speaking Writing Reading To what extent have you memorized the Holy Qur’an, Nahj al-Balagha, Sahifa-e Sajjadiya, or Dua’s? ......................................................................... ......................................................................................... ......................................................................................... ................ State any of your cultural, da’wah, social, and/or political activities. ........................................................................................................... ................................................................................................. ......................................................................................... .................................................................................. Indicate your artistic or technical skills and list any books or articles published. ................................................................................................... .......... ............................................................................................................ .......................................................................................... ....................................................................... Why did you choose Al-Mostafa International University for your studies? Who encouraged you to do so? ......................................................................................................... .............................................................................. ...................................................................................... ....................................................................................................... ......................................................................................... ............................................................................. Which one of the following courses would you like to enroll for? Introductory course (one year) Associate Diploma (3 years) Bachelor’s (5 years) Master’s (8 years) Postgraduate Short-term course Sabbatical opportunity Give contact details of two friends who reside in your country. Name Occupation Address Phone Number and Email Give contact details of your two friends in Iran. Name Occupation Address Phone Number and Email List the countries that you have visited along with the purpose of travel. ............................................................................................ ................................................................................................ ........................................................ ....................................................................................................... ......................................................................................... ........................................................................... Indicate how you intend to finance your studies while in the Islamic Republic. ...................................................................................................................... ......................................................................................... ............................................................................ ......................................................................................... ............. Write a brief biography of yourself. .............................................................................................................................................................. ......................................................................................... .................................................................. ................................... ............................................................................. .................................................................. ......................................................................................... ......................................................................................... ........................ ......................................................................................... ..................................................................................... ......................................................................................... ..... What do you plan to do after returning to your country of origin? ......................................................................................... .................................................. ........................................................................................................................................................................................................................ ......................... In the event that you are offered admissions to AMIU, please specify the city and country in which Iran has an embassy or consulate and in which you wish to receive your student visa. ............................................................................................................................................ ......................................................................................... ........ Give your mailing address in your country and in Iran (if available). Number and street City State/Province Postal Code Country I. R. of Iran Phone Number (with area code) جامع ة الم صط فی العال میة Email Address: Fax Number: I understand that completing of this form does not fulfill the registration requirements of Al-Mustafa International University. I certify that all information given on this application is true and complete. If admitted, I will abide by the rules and regulation of the University. Applicant’s name and signature: Date: Application Requirement: - Copies of certificate(s) and/or degree(s) obtained along with official transcript (hawza and schools or colleges) - Copy of a valid passport - Medical certificate - 4 recent passport-sized colored photographs Please note: 1- Avoid entering Iran before obtaining a student visa A2-LThe - above mentioned documents should be enclosed with the completed application form and should be certified by the representative (Embassy or Consulate) of the Islamic Republic of Iran in the country concerned. MOSTAFA 3- Submitting this completed form does not guarantee the applicant’s admission. INTERNAT 4- Submitted documents will not be returned. IONAL For further information, please refer to the website of Al-Mostafa International University: www.miu.ac.ar, UNIVERSIT orYcontact the Office of Evaluation and Admission at Telephone: +98 251 7172172 or Email: svp@miu.ac.ir
