AL-FARABI KAZAKH NATIONAL UNIVERSITY

INTERNATIONAL COOPERATION AND

INTERNATONALIZATION DEPARTMENT

APPLICATION FORM

1. General Information
First name: Altaf__ Last name: ___Mazidi________
Sex: □ Male □ Female Date of birth: _02/01/2002_ (dd/mm/yy)

Nationality:Afghanistan Country of birth: Afghanistan

Home address: 12th Street, Shafakhana Station, Dasht Barchi, Kabul, Afghanistan

Telephone: 0093789846054 Mobile: 0093799379588

Email:Mazidialtaf@gmail.com Passport No: P05795752

Passport date of issue: 16th September 2023 Passport date of expiry: 16th September
2033
Passport’s authority: Kabul Central Passport Department (MOI)
Place of visa issue: Kabul, Afghanistan
(please, indicate the nearest Consulate or Embassy of Kazakhstan, where you will apply for visa)

2. Academic Information

Name of Home University:

Major : Degree:

Duration at Al-Farabi KazNU:6

year
Name and Signature: Altaf
Mazidi
Date:17th September, 2023