APPLICATION FORM FOR SHORT TERM COURSES


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First Name
*
Middle Name

Last Name
*
Email ID  *
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Program
*
Mobile No. *
Telephone No.
P. O. Box
Year *
Gender *
Marital Status*
Nationality*
Date of Birth*

Mother Tongue*
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Name of Guardian / Spouse
Guardian / Spouse Mobile No.
Address for Correspondence (Parents) with P.O Box  
Guardian / Spouse Email ID
Visa Status
Parent Email ID
Passport No
Date of Expiry
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High School (12th Grade)

Academic Degree (Any Heath Science)

Any Other Document







Employment Details (If Employed)
From
To
Name of Institution
Area of Expertise
Declaration: I understand that Short courses offer the learning platform for students who do not wish to complete a full qualification that can take up to many years. Since it is a part-time program, I would like to attend the program for knowledge enhancement only. I also know that Gulf Medical University is a higher education institute and that the university is under no obligation whatsoever to offer me employment or assist me in finding employment after completing the course I have applied for.

I have carefully read the instruction given in the prospectus and I agree to abide by the decision of the Institute’s authorities regarding my selection for the program. I further certify that the particulars given by me in this application are true to the best of my knowledge and belief.

Place
Date