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Libya-

Ministry of Higher Education


& Scientific Research

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Department of scholarships abroad


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<......................................................................................................................................................................................... :
Mr. Mrs. Miss.
Student name: ....................................................................................................................................................................................
Pass. no: ................................................................................................................................................................ :
Country of study: ...................................................................................................................................... :

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Major of study: .................................................................................................................................................................................

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University: ............................................................................................................................................................................. :

Date of birth

Pass. no

Relationship

No

Name

.
:

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