Student Admission Application

This application form must be filled in completely and clearly.

Personal Data

First Name
First Name is Required
Middle Name
Middle Name is Required
Last Name
Last Name is Required
Nationality
Gender
Date of Birth
Day Month Year
Date of Birth is Required
Birth Place
Birth Place is Required
Religion
E-mail address
e-mail address is Required
Student Mobile
Mobile is Required
National ID
الاسم بالكامل باللغة العربية

Family Information

Name of Father / Legal Guardian
Name of Father is Required
Profession
Profession is Required
Company
Company is Required
Business Address
Business Address is Required
Telephone
Phone is Required
Fax
Fax Number is Required
Mobile
Mobile is Required  
E-mail address
e-mail address is Invalid
Has brother/sister at MIU :

Address Information

Building no.
building number invalid  
Street Name
Street Name is Required
Area
Area is Required
City
City is Required
Country
Country is Required
Telephone
Permanent Phone is Invalid
Mobile
P
P.O. Box
Fax
العنوان باللغة العربية

Admission Information

Semester Applied for :
Major Applied For : First Choice
Faculty is Required
Second Choice

Certificate & School Information

Certificate Type
State type of certificate
Name of School


Year of Graduation
Year of Graduation is Required
Country
School Country is Required
City
School City is Required

Preferred Placement Exam Date

Date
Select Time

How did you know about MIU ?

Others
How did you know about MIU ?. is Required

In case of emergency, please contact :

Name / الاسم
Contact Name is Required
Relation / صلة القرابة
Relation is Required
Address / العنوان
Contact Address is Required
Phone / التليفون
Contact Phone is Required  
Fax / الفاكس
Mobile / التليفون المحمول
Contact Mobile is Required  
Enter the code shown:

© 2010 Misr International University
KM 28 Cairo - Ismailia Road (Ahmed Orabi District)
Cairo - Egypt

Telephone
Short Number: 19-MIU / 19648
Telephone Number: +02 (2) 4477 1560 (7 Lines)
Mobile Number: +20 (10) 6069494 - +20 (10) 6069898

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