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Apply Online for MBBS Admission 2021-2022

Uzhhorod National University

Universytets'ka St, 14, Uzhhorod, Zakarpats'ka oblast, Ukraine, 88000
Tel: +380-637-251-523, www.uzhnuedu.com
Application Form For Admission As Student At Uzhhorod National University For Foreign Applicants
(You can get this form from www.uzhnuedu.com Xerox copy of this also may be used as application for admission into college)
(CAPITAL LETTERS ONLY)

YOUR PERSONAL DETAILS

First Name

Last Name

Contact No

Birthday

Gender

Nationality

Country of Residence

Address

Visa Issuing Place

International Passport No

Issued on DD-MM-YYYY

Valid to DD-MM-YYYY

YOUR EDUCATIONAL BACKGROUND

Qualification

Secondary / Matriculation
Higher Secondary / Senior Secondary /Intermediate
Graduation / Degree / Diploma

Name of Examination

Name of University / Board

Year of Passing

Grade / Point / Percentage

FACULTY THAT YOU WISH TO APPLY FOR

Desired Course

Premedical Course
Dental
Medicine
Pharmacy

UG / PG

Medium of Instruction( English / Russian )

Department For PG Course

LIST OF DOCUMENTS TO BE SEND WITH THE APPLICATION

1. Scan copy of Educational Certificates (.jpg)

2. Scan copy of International Passport (Main pages) (.jpg)

3. Scan copy of Birth Certificate (.jpg)

OTHER APPLICATIONS

Have you ever applied for any other Educational Institution in Ukraine? If yes, furnish the details

6) PERSONAL STATEMENT FOR CHOOSING OUR UNIVERSITY

SWORN STATEMENT

I confirm that to best of my knowledge and belief that all the information I have given on this form is true , complete and accurate . I have enclosed the required documents (certificates, supporting documents, etc.). I am aware that intentionally or negligently giving false information constitutes an administrative offence and may lead to exclusion from the admission procedures or – if discovered at letter date – to the cancellation of my admission or enrolment.

Place:

Date:

Name/Signature:

Need some help? Drop a message below and our Admission Department shall respond within next 6 hours.