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Account Information

Email:*

Enter a Gmail account to be used in University's affaires, Instructions for creating an acceptable Gmail account is available in this website. If you do not follow the required instructions, your form will be deleted.

Password:*

Re-Enter Password:*

Personal Info.

Full Name*

Write In Kurdish Unicode

Full Name:*

Write In English like in Passport

Full Name

Upload Personal Photo

Nickname:

Write In Kurdish Unicode

Identity Card Number:

Written on the top of Id Card Number.

Blood Type:*

Gender:*

Male Female

Marital Status:*

Married Single

Phone Number:*

write in English

Birth Date:*

Place

Religion:

Nation:*

Are You resident in Erbil or outside of Erbil City*

Outside Erbil Inside Erbil

Permanent Address:

Write In Kurdish Unicode

City:*

Quarter:*

House Number:*

Address:

Write In Kurdish Unicode

Country:*

Parents Or Householder

Parent Job:*

Phone Number:* write in English

Address:*

Write In Kurdish Unicode

Study Information (Secondary School)

Year of graduating the school:*

Enter the year that you completed and graduated the School

Study Stage:*

Islamic, Literary or Scientific study

Total Marks:*

Subject Marks

Kurdish

Arabic

English

Math

Physic

Chemistry

Biology

Graduation Round:*

First Trial Second Trial

Did you passed your last grade grade by more than one year

Yes No More

University Study Information

College:*

Choose the College that you want to study in:

Department:*

Choose the Department that you want to study in:

Dep

Year Of starting Study:*

Please Fill Year Of starting Study

Study System*

You have been accepted at the University as

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Study Leave *

In case you are an employee, Have you got the study leave to study in the University?

|| Yes No

Your Current Study Stage:*

For those who are currently students in the University, choose your current stage. but for those who graduated, choose (Graduated)

University Order:*

Ministry Order:*

Notes:

Confirmation

Choose the following just as a confirmation

I read and signed the commitment*

I read and signed the credentials*

Your Names in English:*

Do you have any official letter to prove your correct names in english? Like Passport

Yes

No