INTERNATIONAL ALASIA UNIVERSITY

(*) Fields that must be filled.

Applicants may apply to maximum 3 programs. (Please make your program choices according to the order of your preference as 1st, 2nd, 3rd choice).

The applications are asked to choose first the program and then the module they want to apply (if any):

* Program 1st Choice:

* Program 2nd Choice:

* Program 3rd Choice:

Passport Number: *

Gender:

Male Female

Name: *

Surname: *

Father Name: *

Mother Name: *

Place of Birth: *

Date of birth:

Nationality: *

Home Address:

Phone Numbers:

Cellular:

Home:

Business:

Email: *

Where did you hear about us?

High School Graduated: *

Graduated Country

Graduated Date:

Cumulative GPA:

English Proficieny Exam Type

Score:

International or National Test Score (if available):

Do you have any transfer courses?

Photo:

High School Graduation Document 1:

High School Graduation Document 2:

Transcript 1:

Transcript 2:

Copy of Passport:

English Exam Document 1:

English Exam Document 2: