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Last

Date of Birth:

Gender:

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Other:

Nationality(ies):

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Marital Status:

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Dependent Information (if applicable):

Permanent Residence Address:

Address Line 1:

Address Line 2:

City:

State/Province:

Postal Code:

Country:

Address During Academic Period (if different):

Address Line 1:

Address Line 2:

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State/Province:

Postal Code:

Country:

Contact Phone Number:

Email Address:

Emergency Contact:

Name:

Relationship:

Phone Number:

Address:

Secondary Education:

Institution Name:

Years Attended:

Graduation Date:

Post-secondary Education (if applicable):

Institution(s):

Degree(s) Earned:

Years Attended:

Graduation Date:

Academic Honors and Recognitions:

Academic Honors and Recognitions

Current / Most Recent Employment:

Employer:

Position:

Employment Dates:

Responsibilities:

Previous Employment History:

Relevant Contact exchanges,

Employer:

Position:

Employment Dates:

Responsibilities

Relevant Professional Achievements:

Source of Education Funding:

Self
Scholarships
Sponsors

Details of Scholarships or Financial Aid Applied for or Received:

Native Language(s):

Other Languages and Competency Levels:

Language

Competency Level:

Basic
Intermediate
Advanced
Fluent

Significant Cultural Experiences (e.g., exchanges, living abroad):

Current Visa Status (if applicable):

Need for Visa Process Assistance:

Yes
No

Long-term Motivations and Goals in Choosing the Program:

Interest in Exchange Programs or International Collaborations:

Yes
No

Personal and Professional Purpose Statement:

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Please attach a personal statement (500-1000 words) explaining why you wish to study at Turkmenistan University of Medical Sciences, your academic and career goals, and how you believe our program will help you achieve them.

Essay on Relevant Personal Experiences and Achievements:

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Please provide an essay detailing any significant personal experiences and achievements relevant to your application.

Consent for Processing Personal Data:

I consent to the processing of my personal data as provided in this application form for the purpose of evaluating my application for admission to Turkmenistan University of Medical Sciences.

Declaration of Truthfulness of the Information Provided:

I declare that the information provided in this application is complete and accurate to the best of my knowledge. I understand that any false statements or omissions may result in my application being denied or my enrollment being revoked.

Applicant's Signature:

Clear Signature

Date:

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Permanent Residence Address:

Address During Academic Period (if different):

Emergency Contact:

Secondary Education:

Post-secondary Education (if applicable):

Academic Honors and Recognitions:

Current / Most Recent Employment:

Previous Employment History:

Other Languages and Competency Levels:

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