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Application Form for International Student


Tracking code of this form: P350-F329-U0-N413573          
[ Print the form ]
1. Please fill the application form.
2. Your Attachment Documents must be signed and sealed by the embassy or the consult of the Islamic Republic of Iran.
3. After completing application form, your request  will be reviewed  within the next 20 days and respond via email.

(*) indicates required fields
:: Personal Details
First Name
Middle Name
Last Name
Father's Name
Mother's Name
N.I.C No.
Gender
Male
Female
Marital Status
Single
Married
Spouse's Name (if Married)
Number of Children (if Married)
Nationality
Religion
Date of Birth
Gregorian date:
Place of Birth (Country/City)

Country City
Passport Information

Passport No Date of Issue Place of Issue Date of Expiry
:: Contact information
Present Address
Postal Code
Telephone No.
Mobile No.
Email
Name, Addresses and Tel. numbers of two relatives and friends in Iran (If any):

Name Relationship Telephone No. Address
:: Educational Information
1.All school attended in chronological order:

Comments Field of Study Starting Date Graduation Date Grade Point Average School/ University City Country
High School
Bachelor Degree
Master Degree
2-1. In which faculties do you want to study at KHU?
2-2. Which Degree do you plan to study at KHU?
Bachelor’s Degree
Master’s Degree
Ph.D. Degree
2-3.Which department(s) and major(s) do you plan to study at KHU?
1.3.Are you studying in any institution at present?
Yes
No
2.3.If yes, please complete the following table

Field of Study Name of Institute Location of the Institute Level of Education Starting Date
4.Financial Supports
If Scholarship of institution, a copy of your proof Scholarship must be signed and sealed by the embassy or the consult of the Islamic Republic of Iran.
Scholarship of institution
Personal Income
Family Support
Other
1.5.Fluency in Language(s)

Comments Reading (Good/Fair/Poor) Writing (Good/Fair/Poor) Speaking (Good/Fair/Poor)
Persian
English
Arabic
2.5. Any Other Language:

Language Name Reading (Good/Fair/Poor) Writing (Good/Fair/Poor) Speaking (Good/Fair/Poor)
3.5. Do you have any Language certificate (e.g. TOEFL, IELTS, etc.)?
Yes
No
4.5. If yes, please complete the following table:
(A copy of your certificate must be attached)

Certificate Title Grade
6.Article Published

Title Language Place of Publication Publisher Year
:: Attachment Documents
Personal Photo
A photo that is clearly scanned
Allowed extensions : jpg - Allowed file size : 1000 KB
Passport (First Page Scan)

Allowed extensions : pdf,jpg - Allowed file size : 1000 KB
Academic Certificate
For admission to Ph.D., Master's and Bachelor's degrees: Scanning the following documents is required as follows:
1- Master's and Bachelor degrees. (For Ph.D. Applicants)
2- Bachelor's degree. (For Applicants of the Master's Degree)
3- Diploma. (For applicants of undergraduate courses)
Allowed extensions : pdf,jpg - Allowed file size : 1000 KB
Transcript List

Allowed extensions : pdf,jpg - Allowed file size : 1000 KB
CV
The applicant's CV in Persian or English (mentioning the email address and telephone number of the applicant is necessary.)
Allowed extensions : pdf - Allowed file size : 1000 KB
Evidence of adequate Persian language proficiency, if available
For students studying in Persian language
Allowed extensions : pdf,jpg - Allowed file size : 1000 KB
Evidence of adequate English language proficiency, if available
For students studying in English
Allowed extensions : pdf,jpg - Allowed file size : 1000 KB
:: Confirmation
Declare to the best of my knowledge all particulars supplied by me are correct and complete and I am aware that false statement will lead to my application being rejected or the annulment of an admission already granted.
 Yes
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