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Annex to the Order of the

Minister of Education and
Science of the Republic of
Kazakhstan
from "__" ______ № __

Appendix 4
to the Rules for the selection of
applicants for participation in
scholarship programs

Application form for participation in scholarship programs

Last name Rasooli Citizenship Afghanistan

Name Fiza Passport P05456384
number
Patronymic Authority Kabul Central Passport
(if any) Department
Date of 02/Nov/2004 Date of 06/May/2023
birth issue
Place of Maidan Wardak Date of 06/May/2028
birth expiry

Address of residence 13th District, Kabul, Afghanistan.

(Country, city, street, house)
Phone number +93788498833
E-mail fizarasooli8@gmail.com
Place of work
Year of graduation from 2021
last education
Name of the previous Mohammad Asif Mayel High School, 6th District, Kabul,
educational institution, its Afghanistan.
location

Information about the previous level of education:

I have a:
 secondary education
higher education (bachelor degree)
postgraduate education (Master degree)
 8
Previously studied foreign language / its level:
English,  German,  French,  another
(specify) __Dari, Pashto_______________________.
А1. Beginner
А2. Elementary
B1. Intermediate
B2. Upper intermediate
C1. Advanced
C2. Proficiency

I want to be accepted for:

The level of education Bachelor
Master
PhD

The chosen University al-Farabi Kazakh National University

Speciality/Educational 6B06104 Computer science
program
(indicate the code and
name of the specialty/
educational program)
language of instruction Kazakh,Russian,
English

______________ (Applicant's signature)

I agree to the processing of my personal data in the manner prescribed by the Law of the Republic of
Kazakhstan "On Personal Data and their Protection".