)(HCDP

) - A )
Province

Full Name in Arabic
)Title (
) (
Gender

MR. Mrs. Miss. Ms.

Male

Female

/20

Current
Date:

. .Mobile No

Full Name in English
Date of Birth
Marital Status

/
/
Single , Married

Country of
Birth
Place of Work
Emergency
Contact name

Citizenship
Occupation
Email
Address

Emergency Contact
Relation
) (
Aboard Address

.
.Emergency Contact No
Specialty

. .Passport No

Passport Issue date

File No. :

20

Passport Issue Place

Passport Expiry Date

20

B ) MSc ( BSc BSc

University
MSc
College

.1
.2
.3
.4
.5

BSc College

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

C
Country of language
course

Start of Language
Course

Language Course
Fees

20

Academic Course
tuition Fees

School of Language
Course

End of Language
Course

20

20
$

etc

D
Country of Study

Start of Academic
Course

BSC
Department
MSc
Department

University of
Academic Study

End of Academic
Course

etc

20
$

.6 ) ( )(
.7 ) ( )(
.8 ) ( ) 75 / 120 ( ) + (
.9 ) ()(
.10) ( )(
.11 ) (Student Visitor Visa )(.
.12 ) ( ) (
.13 ) (IELTS ) (4 .
.14 )(.
:
Ver. 3

Email : hcdp@mhe-krg.org

Ministry of Higher Education & Scientific Research

hcdp.pay@mhe-krg.org

 .
.
.

:
20

Ver. 3

Email : hcdp@mhe-krg.org

20

.
20

Ministry of Higher Education & Scientific Research

hcdp.pay@mhe-krg.org