student application

Personal informationFIRST NAME:

THIRD NAME:

Family Book Number:

GENDER: FEMALE MALE

Father's Name:

FAMILY NAME:

AGE:

EMIRATE:

Contact informationSTUDENT MOBILE PHONE:

HOME TELEPHONE:

EMAIL ADDRESS:

PLEASE RE-TYPE THE EMAIL ADDRESS:

Permanent address in the UAECITY:

EMIRATE:

Academic CertificateHIGH SCHOOL:

GRADUATION YEAR:

HIGH SCHOOL PERCENTAGE:

EMIRATE:

SECTION:

ACADEMIC IELTS SCORE:

SCHOOL CERTIFICATES:

Sponsorship detailsDO YOU CURRENTLY HAVE A SPONSORSHIP WITH ANY EMPLOYER? yes no

Next Step

PLEASE NOTE THAT SUBMITTING THE ABOVE REQUIRED INFORMATION IS IMPORTANT FOR THE INITIAL REGISTRATION FOR THE HIGHER DIPLOMA IN NUCLEAR TECHNOLOGY SCHOLARSHIP PROGRAM. YOU WILL RECEIVE AN EMAIL WITH INSTRUCTIONS AND REQUIRED DOCUMENTS TO COMPLETE YOUR REGISTRATION.