STUDENT NOMINATED

REF.

IMPORTANT: Under no circumstances are you allowed to contact the company before being accepted.
You are accepted for this training offer only after receipt of the IAESTE acceptance forms.
Personal information
Family name: Al Hasani

Date of birth (day/month/year): 11-5-1992

Place of birth: Muscat

First and/or other names: Abdulrahman

Nationality: Omani
Home address: 2626

Passport no:
Issued at:
Valid until (day/month/year):

Phone no: 968 96099477

Email: a2010bdu@hotmail.com
Sex: male
Address during terms:
Marital status:
Are you medically fit: yes
(if not give details in encl.)

Phone no:
Study information
University/ College: Sultan Qaboos University /Engineering

Knowledge of languages: 1
(1=excellent, 2=good, 3=fair)

Faculty: Engineering
Specialization: Civil
Completed years of study: 4

Total years required: 5

IMPORTANT: A list of subjects studied by the time training begins must be enclosed with this form as
well as a Curriculum Vitae (including details of previous work) and an introductory letter to the employer.
Training Period
Desired period of training (day/month/year)
(within the period specified by the employer):

from:

to:

Do you wish lodging to be found for you?

Are you required/do you wish to prepare a technical report during the training period?
Date:
For official use only

Students signature:

Date:

Nominating country:

On behalf of sending country:

..............

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