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® NEAR EAST UNIVERSITY S"™
Agency Cote
APPLICATION FORM FOR UNDERGRADUATE PROGRAMS
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pstnames MONA
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Seman /Fantyname: _ABYAN,
Genderse77m10. deteotonth: 44 FER 1999
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viettsune: — STINGLE
Passport Number: P0044 ATS 4
rts F28263 4302990
Email: Mohabshi @ genail » com
+ Soma (Mabie) » English and Arabic.
Spoken tanguage
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Applicant's Permanent Home Address mandatory):
Do youhave any disbity?
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[Alnames stand otver! must be file in exacty a they appear In your passpor.)
tuame Surname: SAYA ADEN TACHA
Motherstel: __ 252634938845
Mother's Occupation; __Shop_Manegey
Mothers Education _Gachelor's _Aegres «
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Fathers Name /Sumame: MOHAMED ARYAN
Fathers: + 252634433 535
Father’ Occupation; Gussinexs man
fetigrstdection Bachelor's Degree
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Family Address: (shamed Mi, Guras , Tooter, Sonmabie
Names Ayan Mahone b. Names Aedslaki Ahmed
42s 202 4A TORE ADS 263 ATA OB AD
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MAN - SHAFTE ‘Someta ois — 30st Seeendary Coote as.
». English Language Qualifications «Professional Qualifications / Certificates
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APPLICATION FORM FOR UNDERGRADUATE PROGRAMS.
Fall(Sepremben)
Year of try: 2021
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computer information system,
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a®D NEAR EAST UNIVERSITY
APPLICATION FORM FOR UNDERGRADUATE PROGRAMS
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11 Government or Governmental.
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Scholarship (please speciy)
Contact details ofthe sponsor
company Name:__Sagal Tek Company
Company Contact Person:_Mchanied Alege _Wasnnn
Teltcmai:_+952054433536
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Do you hold dual cizenships? it yes ploase give details)
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Tis section must be filed by agent if this application is made via an agency.
‘Agency Code (Given by the Unversity. Country
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Name of the Contact Person:
Address
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APPLICATION FORM FOR UNDERGRADUATE PROGRAMS
a. Type of Accommodation Prefered: "| Urivesty Dorms Private
‘Would you lke to benefit from the meal package? [7 Yesi'vespeasecreoseoneepton) 7H
‘Annual Tutti Fee Three Meals 2 Day flectrcy, Water ance leaning charges are included.
“Formers aternatv options plane vist: Mtp/day.neuedtvp-cotetplondstes161/201905 Meat East Unter - Economie Pachages Fer 201206052018-729¢|
“hereby appiy to Near East Unversity. | am aware ofthe standards for academic performance and personal conduct outlined inthe General Catalog,
Wile enrelied ava student, wil respect and abige by Near East Universit/s academic and socal expectavons.| certify that te Information on Ws frm
[correct and compiste- understand that any mieprecertation maybe the cause for refusing or revoking admission.
sinatra BL pate: 24) FEB , 2004
The following shouldbe submited tothe Incernational Students Office together with your application (or SendtoInfo@newedut)
*1- Original copy ofthe Diploma
2.2 Passport sted photograph
3- Photocopy ofthe passport
“ACA reference letter from the school you last attended
'5-Copy of English Language qualification