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Ministry of Health of Russia Ministry of Education and Science of RussiaNATIONAL MEDICAL UNIVERSITY
O.O BOGOMOLETS

34a, Peremohy Avenue, Kyiv- 01601
Tel: +38 (044) 454-49-83,www.nmu-kiev.com
Application Form For Admission As Student At National Medical University For Foreign Applicants
(You can get this form from www.nmu-kiev.com. Xerox copy of this also may be used as application for admission into University)
(CAPITAL LETTERS ONLY)
YOUR PERSONAL DETAILS



YOUR EDUCATIONAL BACKGROUND

Qualification Name of Examination Name of University / Board Year of Passing Grade / Point / Percentage
         

Secondary /

Matriculation
         

Higher Secondary /

Senior Secondary / Intermediate
         

Graduation /

Degree / Diploma

FACULTY THAT YOU WISH TO APPLY FOR

Desired Course UG / PG Medium of Instruction
( English / Russian )
Department For PG Course
       
Premedical Course
Dental
Medicine
Pharmacy
 
4) 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)

5) OTHER APPLICATIONS

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


6) PERSONAL STATEMENT FOR CHOOSING OUR UNIVERSITY

 

7) 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: