Visa Application form for International Students
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1. Please fill out this form in block letters.
2. After completing application form, your request will be reviewed within the next 7 or 10 days and Will be sent application Result to your Email.
(
*
) indicates required fields
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Personal Details
1
Name (English)
2
Name (Persian)
3
Surname (English)
4
Surname (Persian)
5
Gender
Select from list
Male (مذکر - مرد)
Female (مؤنث - زن)
6
Father’s Name (English)
7
Father’s Name (Persian)
8
Date of Birth (Gregorian Date)
Gregorian date:
9
Date of Birth (Solar Date)
Jalali date
10
Nationality (English)
11
Nationality (Persian)
12
Passport Information
Comments
.
Passport Number
.
Date of Issue
.
Expiry Date
.
English / Gregorian Date
.
.
.
.
Persian / solar Date
.
.
.
.
13
Visa Issuance Place (English)
(The Place your visa to be issued)
14
Visa Issuance Place (Persian)
(The Place your visa to be issued)
15
Acceptance Type (English)
16
Acceptance Type (Persian)
17
Marital Status
Select from list
Single (مجرد)
Married (متأهل)
18
The University Name (English)
19
The University Name (Persian)
20
Your Major (English)
21
Your Major (Persian)
22
Current Degree
Select from list
Bachelor’s Degree (کارشناسی)
Master’s Degree (کارشناسی ارشد)
Doctorate / Ph.D. (دکتری تخصصی)
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Contact information
23
Postal Code
24
Email Address
25
Your home tel. Number
26
Your Home Cell Number
27
Tel Number in Iran
28
Postal Address (in Iran)
English
29
Postal Address (in Iran)
Persian
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Attachment Documents
30
Personal Photo
photo that is clearly scanned
Please attach the requested file to the form.
31
Passport (First Page Scan)
Please attach the requested file to the form.