Student Data Form
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Last modified: March 16, 2017 13:35:15.

Please submit

STEP 1:

QU online admission application

Please note: you will be asked to provide a reference number from QU online admission application to proceed.

STEP 2:

Please visit the Admission Process page for a more detailed description of the CMED admission process.

Student Data Form

Reference number from QU online admission application*:
Your name as mentioned in your ID/ passport in English*:
Your name as mentioned in your ID/ passport in Arabic*:
Male
Female
Qatari
Other, please specify:

Arabic
English
Other, please specify:

Yes
No
Other, please specify:

Contact Info

Competency Requirements

IELTS TOEFL Other, please specify:*
Listening
Reading
Speaking
Writing
Exam date (dd/mm/yyyy)*:

SAT ACT Other, please specify:
Independent
International
Other, please specify:

Your high school name*:
Your final GPA in level 11*:
Your GPA in the first exam in level 12*:
Yes
No
No
Yes
Other, please specify:

Biology
Chemistry
Physics

Volunteer Work

Please list any significant extracurricular or community activities in which you have participated

Institution name
Duration
No. of volunteer hours
Certificate availability
allowed file format (.pdf,.doc,.zip,.docx,.jpg,.jpeg)
     Add +

Required Attachments

allowed file format (.pdf,.doc,.zip,.docx,.jpg,.jpeg)
One personal photo ( pass port size)*
English score certificate (copy)*
Final grades of level 11 (copy)*
Grades of first exam in level 12 (copy)*
Volunteer work certificates
Others



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