Semester:  Fall  Spring Year: ……………….

……………

Doctorate of Business Administration (DBA):

 Entrepreneurship  Marketing
 Finance & Investment  Human Resources Management

1-Personal Information

 Male  Female ‫ أنثى‬ ‫ ذكر‬

..................................................................................................................................... : ‫االسم باللغة العربية‬

Name: ………………………………………………………………………………………………………………..
Date of Birth: ………………………………….... .............................................................. : ‫تاريخ الميالد‬

Place of Birth: ………………………………..... ................................................................. :‫محل الميالد‬

Sponsor: ………………………………………... ..................................................................‫جهة اإليفاد‬

Nationality: ……………………………………... ..................................................................... : ‫الجنسية‬

I.D / Passport: ………………………………….. ................................................ : ‫ جواز السفر‬/ ‫الرقم القومي‬

Home Address: …………………………………………………………………………………….……………

City: …………………………………………………. Country: ………………………………………………..

Telephone: Mobile:

E-Mail:

In case of any modifications in the date / time of Lectures / Exams, students will be notified by
E-mail / SMS.

2-Emergency Contact

Name: ………………………………………………………………………………………………………………

Relationship: ………………………………………. Mobile:

3- Knowledge of Languages

Other Languages:
Arabic English

Writing Speaking Reading Writing Speaking Reading Writing Speaking Reading

Excellent    Excellent    Excellent   

Good    Good    Good   

Fair    Fair    Fair   

 4- Professional Tests

Exam Month / Year Score

TOEFL / IETLS
GMAT

5-Computer Skills

 Excellent  Good  Poor

6- Academic History

 Please list ONLY University degrees, begin with the most recent:

College/Institute University Major Grade/ GPA

c:
 Graduated for more than 10 years 
 Graduated for less than 10 years 

c:
7- Work Experience

Company Position Date From - To

8- Current Employer

Company Name: ……………………………………… Position Title: ……………………………..…….

Address: …………………………………………City: …………………………. Country: ………………..

Telephone (work): ……………………………. E-mail: ………………………………………………………..

Work Sector: Services  Industry 

How did you hear about the DBA program?

c:  Newspaper - which ………………………………………………...  Website  Friends

 Others – specify: ………………………………………………………...…………………………

Be Noted: Application, GMAT and TOEFL fees (Non-Refundable).

 Admission Documents

Status
Document
Check Box

Original Bachelor

Original Bachelor Transcript

Original MBA, M.Sc. degree certificate “Very Good”

Original MBA, M.Sc. Transcript

Bachelor Accreditation from the High Supreme Council of Universities

MBA, M.Sc. Accreditation from the High Supreme Council of Universities

For non-Egyptian Original Embassy approval letter

ID copy / passport copy

4 photos

 I declare that above-mentioned information, to the best of my knowledge, is

complete and accurate.
 I agree to abide by all Rules & Regulations of Arab Academy for Science,
Technology and Maritime Transport, and fulfill the academic process.
Signature: …………………………. Date: ……………………………
.

Students Affairs Officer: ………………………………….

 ‫‪Graduate School of Business‬‬

‫إقــــــــرار‬

‫أقر أنا ‪……………………………………………………………/‬‬

‫بأنى سوف استكمل باقى األوراق الخاصة بقبول تسجيلى فى برنامج الدراسات‬
‫)‪.‬‬ ‫) وذلك قبل بدء الفصل الدراسى (‬ ‫العليا القسم (‬

‫مع تحملي للمسئولية الكاملة عن أي نتائج قد تترتب على تأخر التسجيل‬

‫باألكاديمية أوعدم صحة أي مستندات أو بيانات غير مطابقة لشروط الدراسة طبقا‬
‫للوائح األكاديمية‪.‬‬

‫وهذا إقرار منى بذلك‪.‬‬

‫االسم ‪...................................../‬‬
‫التوقيع ‪...................................../‬‬
‫التاريخ ‪...................................../‬‬
 ‫‪Graduate School of Business‬‬

‫إقرار‬

‫أقر أنا الموقع أدناه ‪..................................................................:‬‬

‫المسجل لدرجة ‪......................................................................:‬‬

‫في كلية الدراسات العليا في اإلدارة بأنني غير مقيد بأي دراسات عليا أخرى حاليا سواء داخل‬

‫األكاديمية أو في أي جامعة أخرى‪ ،‬وفي حالة ثبوت عكس ذلك يكون لألكاديمية الحق في إيقاف‬

‫قيدي دون أحقيتي في المطالبة بأي شهادات أو مستحقات مالية‪.‬‬

‫وهذا إقرار مني بذلك‪،،،‬‬

‫اسم الطالب‪..................... :‬‬

‫التوقيع‪.......................... :‬‬

‫التاريخ‪.......................... :‬‬

‫رقم التليفون‪..................... :‬‬