Apply to GOUMS Non-degree Programs (Medical Electives & Short-term Training Courses)


Tracking code of this form: P381-F466-U0-N236055          
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(*) indicates required fields
:: Personal Details

Title
Last Name
First Name
Middle Name
Gender
Female
Male
Date of Birth
Gregorian date:
Marital Status
Single
Married
Country of Citizenship/Nationality
If OTHER, Please Specify
Country of Residence
If OTHER, Please Specify
Do you hold dual Citizenship?
Yes
No
If YES, Pleas Specify
:: Contact Information

Telephone Number

- Maximum characters : 15 Character(s)
Email Address
Correspondence Address
City
State/Province
Postcode
:: Program of Interest

Level of Interest
Medical Electives (Internship)
Short-term Training Courses
Choose your Program
If Other, Please Specify
:: Supporting Documents
(All the documents should be in English)
Passport Photograph

Allowed extensions : jpg - Allowed file size : 1000 KB
Copy of Passport

Allowed extensions : jpg - Allowed file size : 1000 KB
Curriculum Vitae (C.V.) / Résumé

Allowed extensions : doc,docx,pdf,jpg - Allowed file size : 1000 KB
Medical Elective Application Form
 Template pdf
 Template docx

Allowed extensions : pdf,jpg - Allowed file size : 1000 KB
English Proficiency Certificate

Allowed extensions : pdf,jpg - Allowed file size : 1000 KB
Certificate of Studies (Only for Short-term Training Programs)

Allowed extensions : pdf,jpg - Allowed file size : 1000 KB
:: Additional Information

Please Upload Your Sponsership Letter
(if you have one)

Allowed extensions : pdf,jpg - Allowed file size : 1000 KB
Are you applying through a GOUMS Official Agent?
Yes
No
If YES, Please type in the Name or the Code of the agent
How did you hear about us?


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