Personal Information      

Last Name (like in the passport) *
First Name (like in the passport) *
Father's Name (like in the passport)
Gender *
Date Of Birth (like in the passport) *

Permanent Residence Information      

Country Of Residence *
Citizenship *
Ethnic Origin *
If Your Ethnic Origin not Listed. Please type your Ethnic Origin
Region Of Permanent Residence (For Citizens Of Uzbekistan)

Contact Information      

Address *
(example: 12 Istiqbol Str., M.Ulugbek dist., Tashkent, Uzbekistan, 100047)
Home Phone Number (+998) *
Mobile Phone Number (+998) *
Email *
Confirm Email *

Passport Information – your application will be deleted if incorrect information is entered      

Passport Series * / Passport Number *
Place of Issue *
Given by IIB of (UZB:Kim Tomonidan Berilgan) *
Date of Issue *
Date of Expiration *

How did you first know about the University and course you are applying for?

Select source*

Confirmation

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