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SCHOLARSHIP APPLICATION FORM FOR PHYSICIANS
Personal Info
Contact Info
Academic Info
Employment Info
Scholarship Info
when entering your
NAME IN ARABIC
please start with your given name from the right
*
Name in English:
*
Name in Arabic:
*
Saudi ID:
-
-
-
*
Gender:
Male
Female
Place Of Birth:
*
Date of Birth:
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Marital Status:
Single
Married
No. of Children:
<-- Select -->
No Children
1 Child
2 Children
3 Children
4 Children
5 Children
6 Children
7 Children
8 Children
9 Children
10 Children
Health Problems ?
Yes
No
if yes mention
*
English Skills:
<-- Select -->
Excellent
Good
Fair
*
Computer Skills:
<-- Select -->
Excellent
Good
Fair
