In the Name of the Most High
Attach a
recent
photograph
here
The Institute Of Short Term
Educations & Sabbaticals
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.:
Family Information
Relationship
Name
Father
Former
Citizenship: Present:
Marital Status: Single Married
Date of Issue:
Age
Religion
B. Educational Background
Hawza (Islamic Seminary) Qualifications:
Last books studied
Name of school
Country:
Occupation
City/Country
Former:
Date of Expiry:
Education
Nationality
Entry Date
Citizenship
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.
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C. Extracurricular Activities
Specify your competence in the Holy Qur’an.
Excelle
Holy Qur’an
Good
Fair
nt
Recitation
Tajwid
Tartil
Tafsir
Specify your competence in languages with Good, Fair, and Weak.
Weak
Language Skill
Persian
Arabic
English
Comprehension
Speaking
Writing
Reading
State any of your cultural and, social activities.
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Indicate your artistic or technical skills and list any books or articles published.
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Why did you choose Al-Mostafa International University for your studies? Who encouraged you to do so?
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Which one of the following courses would you like to enroll for?
Duration:
Short-term course Sabbatical opportunity
20 days 1 month 45 days
2 month more than available option
Give contact details of one friends who reside in your country.
Name
Occupation
Address
Phone Number and
Email
Give contact details of your one friend in Iran.
Name
Occupation
Address
Phone Number and
Email
List the countries that you have visited along with the purpose of travel.
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Indicate how you intend to finance your studies while in the Islamic Republic.
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Write a brief biography of yourself.
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What do you plan to do after returning to your country of origin?
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Give your mailing address in your country and in Iran (if available).
Number and street
City
State/Province
Postal
Code
Phone Number
(with area code)
Country
I. R. of Iran
Email Address:
Phone - Fax Number:
I understand that completing of this form does not fulfill the registration requirements of Al-Mustafa International University (the institut
of short term ( 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
- 1 recent 3+4 photograph
For further information, please refer to the website of
Al-Mustafa International University:
http://istes.miu.ac.ir
) The Institute Of Short Term Educations & Sabbaticals (
Or contact the Office of Evaluation and Admission at:
Tel: +98(0)25-37110700; 37110800; 37110704
Fax: +98(0)25-37717756; 37110704
Email::istes@miu.ac.ir
Post Box: 37195-1186
Address : str 41/ ave noozdah-e- day/qom/Iran