Application Form for English Certificate


Tracking code of this form: P354-F333-U0-N205275          
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1. Please fill the application form.
2. After completing your application form, Tracking code of this form and Attachment Documents send to internationaloffice.khu@gmail.com.
3. After completing your application form and send email, your request  will be reviewed  within the next 5 calendar days and respond via email.

(*) indicates required fields
:: Personal Details

Passport Number
First Name (Persian)
First Name (English)
Last Name (Persian)
Last Name (English)
:: Contact information

Cellphone
Email
:: Educational Information

Student Number
Faculties
Degree
Associate’s degree
Bachelor’s degree
Master’s Degree
Ph.D.
Field of Study & Orientation (Persian)
Field of Study & Orientation (English)
Graduation Date (Solar Date)

Jalali date

:: Application

Type of Certificate
Certificate student
Graduation Certificate
Financial support
Name of destination country
This section is completed only for the financial support certificate.
Cause of Migration (Persian)
Name of destination university
This section is completed only for the financial support certificate.
Date of departure from Iran
This section is completed only for the financial support certificate.
Gregorian date:
Duration of stay in the destination country (months)
This section is completed only for the financial support certificate.
Picture of commitment letter
This section is completed only for the financial support certificate.

Download raw commitment letter

Allowed extensions : pdf,jpg - Allowed file size : 1000 KB
Passport (First Page Scan)

Allowed extensions : pdf,jpg,png - Allowed file size : 1000 KB
Persian University Approval Letter

Allowed extensions : pdf,jpg,png - Allowed file size : 1000 KB