MIRZO ULUG‘BEK NOMIDAGI O‘ZBEKISTON MILLIY UNIVERSITETI JIZZAX FILIALI

First name *

Middle name *

Last name *

Date of birth *

Contry of birth *

Citizenship *

Your nationality *

Full address *

Passport series and number *

Your gender *

Male

Female

Passport date of issue *

Data of expiry *

Copy of your Passport (.pdf) *

Copy of the document (school, college or lyceum diploma) with transcript (grades). *

Contact information *

Valid phone number *

Extra phone number(Phone number that is valid with Telegram, Whatsup and Viber) *

Fullname *

Relation *

occupation *

Country *

Email *

Phone number *

Address *

Name of Educational Institution *

Type of education certificate *

Year of graduation *

Document series and number *

Copy of the document (school, college or lyceum diploma) with transcript (grades). *

Foreign language qualifications *

Note! You will have an interview in the language that you have chosen

Do you have a higher education diploma?

Yes, I do

No, I don't

Do you need a dormitory? *

Yes, I do

No, I don't

Name of the higher educational institution *

Do you have any disability? *

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