Students Application Form 2025Institutions' Application Form 2025 Students Application Form 2025 Number of Previously Applied If you have previously applied to or been enrolled at this University, please provide your student/application number : Personal Information Title Ms Mr Miss Mrs * Full Name * Gender Female Male * First Name * Last Name * Father’s Name * Date of Birth * عدد وارده شده صحیح نیست. Nationality * Marital Status Single Married * Number of Children if married * عدد وارده شده صحیح نیست. Passport number * Upload Your Passport Image *JPEG Format, Size: 800*600 You can not attach this type of file. Upload your recent Photo *JPEG Format, Size: 400*600 You can not attach this type of file. Your Job Title * Your Father's Job Title * Your Mother's Job Title * Contact Information Country of Citizenship Please select... Afghanestan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Arjentina Armenia Aruba Australia Austria Azerbaijan Bahama Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comros Congo(Democratic Republic of) Cookiland Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Grenada Guadeloup Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland, Republic of Italy Jamaica Japan Jordan Kazakhstan Kenya Korea(south) kosovo Kuwait Kyrgyzestan La Reunion Laos Latvia Lebanon Lesoto Liberia Libya Liechtenstein Lithuania Luxembourg Macao SAR Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martiniqu Mauritania Mayotte Mauritius Mexico Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nepal Netherlands New Caldonia New Zealand Nicaragua Niger Nigeria North Korea Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Sant Lucia Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands U.S Virgin Islands Uganda Ukraine United Arab Emirates (UAE) United Kingdom (UK) United States of America (USA) Uruguay Uzbekistan Vanuaatu Venezuela Vietnam Walis and Futuna Yemen Zambia Zimbabwe * Counrty of Birth * Town/City * Post/ Zip code * عدد وارده شده صحیح نیست. Home Phone Number * عدد وارده شده صحیح نیست. Parents' Emergency Contact No * عدد وارده شده صحیح نیست. Emergency Contact Number Address in Home Country * Search Your House Location: Google Map →Find your location →Right Click →Copy the link to the box * Your Email Address * ایمیل وارده شده صحیح نیست. Programs and Level of Study Choose your preferred level of study and program Choose your preferred level of study and program Undergraduate Programs ...Please Select Doctor of Medicine, MD Doctor of Pharmacy, Pharm.D Doctor of Dental Surgery, D.D.S Surgical Technology, Discontinuous BSc Radiology, Discontinuous BSc Laboratory Sciences, Discontinuous BSc Emergency Medicine, Discontinuous BSc Anesthesia, Discontinuous BSc Surgical Technology, BSc Nuclear Medicine, BSc Radiology Technology, BSc Laboratory Sciences, BSc Health Information Technology, BSc Anesthesia, BSc MBBS, BSc MPharm, BSc Midwifery, Discontinuous BSc Nursing, BSc Midwifery, BSc Nutritional Sciences, BSc Food Science and Technology, BSc Public Health, Discontinuous BSc Public Health, BSc Occupational Health Engineering, BSc Environmental Health Engineering, BSc Health Care Management, BSc Speech Therapy, BSc Rehabilitation, BSc Physiotherapy, BSc * Master Programs ...Please Select Hematology Radiation Biology Operating Room Technology Surgical Technology Radiobiology & Radiation Protection Dental Prosthesis Oral and Maxillofacial Surgery Advanced Orthodontics NanoMedicine Clinical Biochemistry Clinical Psychology Anatomy Medical Physics Physiology Biomedical Engineering (Bioelectric) Microbiology Medical Nanotechnology Medical Biotechnology Medical-Surgical Nursing Intensive Care Nursing Psychiatric Nursing Counseling in Midwifery Geriatric Nursing Emergency Nursing Nutritional Sciences Food science & Technology (Quality Control) Nutritional Sciences Food Hygiene and Safety Community Nutrition Medical Nanotechnology Epidemiology Biostatistics Health Education & Health Promotion Environmental Health Engineering (Environmental Health) Occupational Health Engineering Human Factors and Ergonomics Health Care Management Health Economics Health Policy Health in Emergencies and Disasters (Emergency & Disaster Management) Entrepreneurship in Health System Health Technology assessment Human Ecology Medical Journalism Gerontology or Health and Ageing Health, Safety, Environment Management (HSE) Ergonomics Environmental Toxicology Air pollution Management and Control Waste Management Engineering Operation and Maintenance in Urban Health Facilities Radiation Health Immunology * PhD Programs ...Please Select Oral and Maxillofacial Surgery Dental Prosthesis Advanced Orthodontics Clinical Biochemistry Complementary & Alternative Medicine Anatomy Immunology Medical Bacteriology Medical Microbiology Medical Biotechnology Molecular Medicine Intensive Care Nursing Medical-Surgical Nursing Psychiatric Nursing Food Science and Technology Food Hygiene and Safety Nutritional Sciences Pharmaceutical Biomaterials Pharmaceutical Biotechnology Pharmacognosy Environmental Health Engineering Epidemiology Health in Emergencies and Disasters (Emergency & Disaster Management) Biostatistics Health Education and Promotion Environmental Toxicology Air pollution Management and Control Waste Management Engineering Operation and Maintenance in Urban Health Facilities Radiation Health Dental Prosthesis Advanced Orthodontics Clinical Biochemistry Complementary & Alternative Medicine Anatomy Immunology Medical Bacteriology Medical Microbiology Medical Biotechnology Molecular Medicine Intensive Care Nursing Medical-Surgical Nursing Psychiatric Nursing Food Science and Technology Food Hygiene and Safety Nutritional Sciences Pharmaceutical Biomaterials Pharmaceutical Biotechnology Pharmacognosy Environmental Health Engineering Epidemiology Health in Emergencies and Disasters (Emergency & Disaster Management) Biostatistics Health Education and Promotion Environmental Toxicology Air pollution Management and Control Operation and Maintenance in Urban Health Facilities Radiation Health Specialty Programs ...Please Select Orthopedics Urology Pathology Dermatology Internal Medicine Infectious Diseases & Tropical Medicine Cardiovascular Diseases Pediatrics Neurology Anesthesiology Radiotherapy General Surgery Neurosurgery Ophthalmology Radiology Psychiatry Emergency Medicine Subspecialty Programs ...Please Select Cardiac Surgery Pediatric Urology Pediatric Infectious Diseases Vascular Surgery Fellowship Programs ...Please Select Fertility & Infertility Interventional Cardiology GI Vascular Surgery Interventional Radiology Your preferred semester: September February * Please choose your prerferred start date. Document Submission Upload your Diploma in PDF Format: * You can not attach this type of file. Upload your Academic Transcript in PDF Format: * You can not attach this type of file. Upload your CV/Resume in PDF Format: * You can not attach this type of file. For Postgraduate Applicants: Upload your Previous Academic Degree in PDF Format: You can not attach this type of file. Upload your English Proficiency Certificate in PDF Format: You can not attach this type of file. Upload your Recommendation Letter PDF Format: You can not attach this type of file. Upload your Motivation Letter in PDF Format: You can not attach this type of file. Secondary Information for Undergraduate Applicants School or Institution Name: * County or Region: * Graduation Date: * Date is not correct. * Type of School Public School Private School * GPA * عدد وارده شده صحیح نیست. Math score * عدد وارده شده صحیح نیست. Biology Score * عدد وارده شده صحیح نیست. Chemistry score * عدد وارده شده صحیح نیست. English score * عدد وارده شده صحیح نیست. Medical Conditions Please check one of the following conditions: Healthy Surgery or Medical Procedure Accident or Injury Disability or Medical Condition * If applicable, please upload relevant medical documents or certifications: You can not attach this type of file. Financial Information Source of Funding: * Carrier Bank Statement (Last 6 months): * Declaration of Information I hereby declare that all the information provided in this application form is true, accurate, and complete to the best of my knowledge. I understand that providing false or misleading information may result in the rejection of the application or termination of the enrollment if discovered later. I understand that providing false or misleading information may lead to legal consequences, and the institute may face penalties or sanctions as per applicable laws and regulations. I consent to the university verifying the information provided and conducting necessary background checks as part of the application process. I confirm I have read, understood and agree to the declaration of information above on behalf of the student * To send your form please at first enter the code and click on preview button,then enter new code and click on send button Generate New Image Generate New Image * = Required Institutions' Application Form 2025 Number of Previously Applied If you have previously applied to or been enrolled at this University, please provide your student/application number : Institute Information Name of Institute (Full Name): * National ID of Institute's Representative: * Email: * ایمیل وارده شده صحیح نیست. Phone No: * Address: * آدرس اینترنتی وارده شده صحیح نیست. Applicant's Personal Information Title Ms Mr Miss Mrs * Full Name * Gender Female Male * First Name * Last Name * Father’s Name * Date of Birth (in Gregorian format) mm/dd/yy * Date of Birth (in Hijri format) yy/mm/dd * Nationality * Marital Status Single Married * Number of children if married * Passport Number * Upload Applicant's Passport Image *JPEG Format, Size: 800*600 You can not attach this type of file. Upload Applicant's Recent Photo *JPEG Format, Size: 400*600 You can not attach this type of file. Applicant's Job Title * Father's Job Title of Applicant: * Mother's Job Title of Applicant: * Contact Information Country of Citizenship Please select... Afghanestan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Arjentina Armenia Aruba Australia Austria Azerbaijan Bahama Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comros Congo(Democratic Republic of) Cookiland Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Grenada Guadeloup Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland, Republic of Italy Jamaica Japan Jordan Kazakhstan Kenya Korea(south) kosovo Kuwait Kyrgyzestan La Reunion Laos Latvia Lebanon Lesoto Liberia Libya Liechtenstein Lithuania Luxembourg Macao SAR Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martiniqu Mauritania Mayotte Mauritius Mexico Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nepal Netherlands New Caldonia New Zealand Nicaragua Niger Nigeria North Korea Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Sant Lucia Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands U.S Virgin Islands Uganda Ukraine United Arab Emirates (UAE) United Kingdom (UK) United States of America (USA) Uruguay Uzbekistan Vanuaatu Venezuela Vietnam Walis and Futuna Yemen Zambia Zimbabwe * Counrty of Birth * Town/City * Post/ Zip code * عدد وارده شده صحیح نیست. Home Phone Number * عدد وارده شده صحیح نیست. Parents' Mobile Number/cell * عدد وارده شده صحیح نیست. Emergency Contact Number عدد وارده شده صحیح نیست. Address in Home Country * Search Your House Location: Google Map →Find your location →Right Click →Copy the link to the box * Your Email Address * Programs and Level of Study Choose your preferred level of study and program Choose your preferred level of study and program Undergraduate Programs ...Please Select Doctor of Medicine, MD Doctor of Pharmacy, Pharm.D Doctor of Dental Surgery, D.D.S Surgical Technology, Discontinuous BSc Radiology, Discontinuous BSc Laboratory Sciences, Discontinuous BSc Emergency Medicine, Discontinuous BSc Anesthesia, Discontinuous BSc Surgical Technology, BSc Nuclear Medicine, BSc Radiology Technology, BSc Laboratory Sciences, BSc Health Information Technology, BSc Anesthesia, BSc MBBS, BSc MPharm, BSc Midwifery, Discontinuous BSc Nursing, BSc Midwifery, BSc Nutritional Sciences, BSc Food Science and Technology, BSc Public Health, Discontinuous BSc Public Health, BSc Occupational Health Engineering, BSc Environmental Health Engineering, BSc Health Care Management, BSc Speech Therapy, BSc Rehabilitation, BSc Physiotherapy, BSc * Master Programs ...Please Select Hematology Radiation Biology Operating Room Technology Surgical Technology Radiobiology & Radiation Protection Dental Prosthesis Oral and Maxillofacial Surgery Advanced Orthodontics NanoMedicine Clinical Biochemistry Clinical Psychology Anatomy Medical Physics Physiology Biomedical Engineering (Bioelectric) Microbiology Medical Nanotechnology Medical Biotechnology Medical-Surgical Nursing Intensive Care Nursing Psychiatric Nursing Counseling in Midwifery Geriatric Nursing Emergency Nursing Nutritional Sciences Food science & Technology (Quality Control) Nutritional Sciences Food Hygiene and Safety Community Nutrition Medical Nanotechnology Epidemiology Biostatistics Health Education & Health Promotion Environmental Health Engineering (Environmental Health) Occupational Health Engineering Human Factors and Ergonomics Health Care Management Health Economics Health Policy Health in Emergencies and Disasters (Emergency & Disaster Management) Entrepreneurship in Health System Health Technology assessment Human Ecology Medical Journalism Gerontology or Health and Ageing Health, Safety, Environment Management (HSE) Ergonomics Environmental Toxicology Air pollution Management and Control Waste Management Engineering Operation and Maintenance in Urban Health Facilities Radiation Health Immunology * PhD Programs ...Please Select Oral and Maxillofacial Surgery Dental Prosthesis Advanced Orthodontics Clinical Biochemistry Complementary & Alternative Medicine Anatomy Immunology Medical Bacteriology Medical Microbiology Medical Biotechnology Molecular Medicine Intensive Care Nursing Medical-Surgical Nursing Psychiatric Nursing Food Science and Technology Food Hygiene and Safety Nutritional Sciences Pharmaceutical Biomaterials Pharmaceutical Biotechnology Pharmacognosy Environmental Health Engineering Epidemiology Health in Emergencies and Disasters (Emergency & Disaster Management) Biostatistics Health Education and Promotion Environmental Toxicology Air pollution Management and Control Waste Management Engineering Operation and Maintenance in Urban Health Facilities Radiation Health Dental Prosthesis Advanced Orthodontics Clinical Biochemistry Complementary & Alternative Medicine Anatomy Immunology Medical Bacteriology Medical Microbiology Medical Biotechnology Molecular Medicine Intensive Care Nursing Medical-Surgical Nursing Psychiatric Nursing Food Science and Technology Food Hygiene and Safety Nutritional Sciences Pharmaceutical Biomaterials Pharmaceutical Biotechnology Pharmacognosy Environmental Health Engineering Epidemiology Health in Emergencies and Disasters (Emergency & Disaster Management) Biostatistics Health Education and Promotion Environmental Toxicology Air pollution Management and Control Operation and Maintenance in Urban Health Facilities Radiation Health Specialty Programs ...Please Select Orthopedics Urology Pathology Dermatology Internal Medicine Infectious Diseases & Tropical Medicine Cardiovascular Diseases Pediatrics Neurology Anesthesiology Radiotherapy General Surgery Neurosurgery Ophthalmology Radiology Psychiatry Emergency Medicine Subspecialty Programs ...Please Select Cardiac Surgery Pediatric Urology Pediatric Infectious Diseases Vascular Surgery Fellowship Programs ...Please Select Fertility & Infertility Interventional Cardiology GI Vascular Surgery Interventional Radiology Your preferred semester: September February * Please choose your prerferred start date. Document Submission Upload your Diploma in PDF Format: * You can not attach this type of file. Upload your Academic Transcript in PDF Format: * You can not attach this type of file. Upload your CV/Resume in PDF Format: * You can not attach this type of file. For Postgraduate Applicants: Upload your Previous Academic Degree in PDF Format: You can not attach this type of file. Upload your English Proficiency Certificate in PDF Format: You can not attach this type of file. Upload your Recommendation Letter PDF Format: You can not attach this type of file. Upload your Motivation Letter in PDF Format: You can not attach this type of file. Secondary Information for Undergraduate Applicants School or Institution Name: * County or Region: * Graduation Date: * Date is not correct. * Type of School Public School Private School * GPA * عدد وارده شده صحیح نیست. Math score * عدد وارده شده صحیح نیست. Biology Score * عدد وارده شده صحیح نیست. Chemistry score * عدد وارده شده صحیح نیست. English score * عدد وارده شده صحیح نیست. Medical Conditions Please check one of the following conditions: Healthy Surgery or Medical Procedure Accident or Injury Disability or Medical Condition * If applicable, please upload relevant medical documents or certifications: You can not attach this type of file. Financial Information Source of Funding: * Carrier Bank Statement (Last 6 months): * Declaration of Information I hereby declare that all the information provided in this application form is true, accurate, and complete to the best of my knowledge. I understand that providing false or misleading information may result in the rejection of the application or termination of the enrollment if discovered later. I understand that providing false or misleading information may lead to legal consequences, and the institute may face penalties or sanctions as per applicable laws and regulations. I consent to the university verifying the information provided and conducting necessary background checks as part of the application process. I confirm I have read, understood and agree to the declaration of information above on behalf of the student * To send your form please at first enter the code and click on preview button,then enter new code and click on send button Generate New Image Generate New Image * = Required