Application for enrollment | Adam University

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Last Name*

First Name*

Middle name

Photo 3x4

Direction*

Form of study*

Stage of education*

Select the course

Registration address

Country*

Region

District

City/village*

Address*

Address of the actual residence

Country*

Region

District

City/village*

Address*

Contact details

Telephone*

E-mail

Passport details

Date of Birth*

Nationality*

Citizenship*

Place of Birth*

Passport Series

Number*

Issuing authority*

Date of issue*

Copy of the document*

Education Details

Education document*

Document Number*

Date of issue*

Name of educational institution issuing the document*

Location of the educational institution*

Copy of the document*

Certificate of national testing

For citizens of the Kyrgyz Republic entering undergraduate and specialty programs after grade 11

Registration number

Date of issue

Copy of the document

Parents

Only for applicants for undergraduate and specialty programs

Father

Mother

Additional Information

Knowledge of a foreign language

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