JAHROM UNIVERSITY OF MEDICAL SCIENCES
SCHOOL OF MEDICINE
APPLICATION FOR ADMISSION TO 2020 MEDICAL PROGRAM
1. ENROLMENT NUMBER (to be assigned by the admission office of JUMS)
|
|
|
|
|
|
|
|
|
|
|
2. Full Name of the Candidate (Type in Capital Letter)………………………………………
- as appeared in his/her passport
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
3. Name of Father / Guardian / Husband
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Date Month Year Male Female
4. Date of Birth 5. Sex
- as per Christian era
6. Nationality……………….. 7. Community……………….. 8. Religion…………………..
Yes No
9. Are you physically challenged? 10. Mother Tongue………………….
10. Postal Address for Communication (Type in Capital Letters)
Name: ……………………………………… Address: ………………………………………
………………………………………………………………………………………...………
Postal Code:
|
|
|
|
|
|
|
|
|
|
|
11. Phone (Res): …………… 12. Reg. Mobile: ……………… Affix
-area code to be included Recent Passport Size
13. E-mail: …………………………………………………….. Photo
14. Where do you want to apply for Iranian visa: ……………..
Place:
Date: Signature of the Candidate:
JAHROM UNIVERSITY OF MEDICAL SCIENCES
SCHOOL OF MEDICINE
DETAILS OF EDUCATION UNDERGONE BY THE CANDIDATE
Full Name of the Candidate (Type in Capital Letter)………………………………………
- as appeared in his/her passport
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1. Pattern of Education: 12 11 + 1 10 + 2
Others (Specify ………………)
2. Marking Pattern: 0-20 0-100 Others (Specify …………)
3. Details of the Last Three Years of Secondary School Education:
Exams Passed |
Country / City |
Name of the Institution |
Reg. No. |
Date |
Subject |
Grade Obtained |
S.S.L.C./12th Std. |
|
|
|
|
|
|
S.S.L.C./11th Std. |
|
|
|
|
|
|
S.S.L.C./10th Std. |
|
|
|
|
|
|
4. Details of Higher Education, If Any:
Exams Passed |
Country / City |
Name of the Institution |
Reg. No. |
Date |
Subject |
Grade Obtained |
Advanced Diploma |
|
|
|
|
|
|
Bachelor Degree |
|
|
|
|
|
|
Master Degree |
|
|
|
|
|
|
M.Phil. |
|
|
|
|
|
|
PhD |
|
|
|
|
|
|
Place: Date: Signature of the Candidate:
JAHROM UNIVERSITY OF MEDICAL SCIENCES
SCHOOL OF MEDICINE
DOCUMENTS TO BE ENCLOSED BY THE CANDIDATE
5. Provide copy for the above stated documents.
6. Get the stated documents attested by an official of your country.
7. Include a copy of your passport.
8. E-mail and contact No. to be used in emergencies.
9. Type name, address, phone No. and e-mail of the institutions in which the candidate has undergone education:
…………………………………………………………………………………………………..
…………………………………………………………………………………………………..
…………………………………………………………………………………………………..
…………………………………………………………………………………………………..
…………………………………………………………………………………………………..
…………………………………………………………………………………………………..
…………………………………………………………………………………………………..
…………………………………………………………………………………………………..
…………………………………………………………………………………………………..
…………………………………………………………………………………………………..
…………………………………………………………………………………………………..
…………………………………………………………………………………………………..…………………………………………………………………………………………………..
…………………………………………………………………………………………………..
…………………………………………………………………………………………………..
…………………………………………………………………………………………………..
…………………………………………………………………………………………………..
…………………………………………………………………………………………………..
10. Medium of Instruction Opted Persian English
11. Applicants have to download the forms; Type the required information and mail them to the e-mail address of the Office of International Affairs, JUMS: ia@jums.ac.ir.
Place:
Date: Signature of the Candidate:
* Provisional admission is issued for the candidates that are found eligible for medical program. They will receive a soft copy of provisional admission at their e-mail accounts. After getting visa, their admission will be finalized.
JAHROM UNIVERSITY OF MEDICAL SCIENCES
SCHOOL OF MEDICINE
ADDRESS SLIP
TYPE YOUR ADDRESS IN THE FOLLOWING SLIPS. USE CAPITAL LETTERS.
Name:……………………………………..
…………………………………………….
Address:…………………………………..
…………………………………………….
…………………………………………….
PIN / ZIP
Contact No……………………………….
Name:……………………………………..
…………………………………………….
Address:…………………………………..
…………………………………………….
…………………………………………….
PIN / ZIP
Contact No……………………………….
Name:……………………………………..
…………………………………………….
Address:…………………………………..
…………………………………………….
…………………………………………….
PIN / ZIP
Contact No……………………………….
Name:……………………………………..
…………………………………………….
Address:…………………………………..
…………………………………………….
…………………………………………….
PIN / ZIP
Contact No……………………………….
Name:……………………………………..
…………………………………………….
Address:…………………………………..
…………………………………………….
…………………………………………….
PIN / ZIP
Contact No……………………………….
Name:……………………………………..
…………………………………………….
Address:…………………………………..
…………………………………………….
…………………………………………….
PIN / ZIP
Contact No……………………………….
JAHROM UNIVERSITY OF MEDICAL SCIENCES
SCHOOL OF MEDICINE
TUITION FEE STRUCTURES
Jahrom University of Medical sciences (JUMS), like other state universities of Iran, receives no tuition fees from Iranian students. However, international applicants who desire to join our school of medicine are required to pay for tuition and other services they get from JUMS. The fees are subject to change as a matter of global inflation and will be update annually. For the 2020 MD applicants the total amount of fees would be $ 39,000 which covers their entire course and will not be changed later. For the ease of the applicants, those who can’t afford to pay all the money in one go, are permitted to pay by six instalments. The fees cover the following expenses:
Sl. No. |
Nature of Fees
|
1 |
Eligibility Process |
2 |
Registration |
3 |
Tuition |
4 |
Housing |
5 |
Food |
6 |
Health Insurance |
7 |
ID Smart Card |
8 |
Library |
9 |
Internet |
10 |
Sports |
11 |
Cultural Functions |
12 |
Soft Skills |
13 |
Other Processing Fees |
None of the above mentioned fees are refoundable, once paid.
Place:
Date: Signature of the Candidate:
For Official Use Only
Eligibility Section
Head School of Medicine
Registration Office
Admission Section
...