()HCDP

File No. :

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Current Date:

- A ( )
. Mobile No.

Full Name in English

Province

Full Name in Arabic
(Title )
( )
Gender
Citizenship
Occupation
Email Address

Emergency Contact Relation
( )
Aboard Address

Date of Birth

MR. Mrs. Miss. Ms.

Male Female

/
/
Single , Married

Marital Status
Country of Birth
Place of Work
Emergency Contact name
.
Emergency Contact No.
Specialty

Passport Issue Place

Passport Expiry Date

.Passport No.

Passport Issue date

20

20

- B () BSc MSc
BSc University
MSc College

.1
.2
.3
.4
.5

BSC Department
MSc Department

BSc College

( )A4
( )Financial Support Letter
CAS ( ATAS )
() ( )Language Course
() ( )Offer Letter

- C

Country of language course

Start of Language Course

Language Course Fees

School of Language Course

End of Language Course

20

etc

- D

Country of Study

Start of Academic Course

Academic Course tuition Fees

20

University of Academic Study

End of Academic Course

20

etc

20
$

.6 ( ) ()
.7 ( ) ()
.8 ( ) ( 75 / 121 ) ( + )
.9 ( )()
.11( ) ()
.11 ( ) Student Visitor Visa ().
.12 ( ) ( )
.13 ( )IELTS ( )4 .
.14 ().
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.
.

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Ver. 3

20

hcdp.pay@mhe-krg.org

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20

Email : hcdp@mhe-krg.org

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20

Ministry of Higher Education & Scientific Research