Kursk State Medical University Student Candidate Application Form

TRC MD/BS/MPH Value added program: Medical Degree program from Kursk State Medical University and BS/MPH from Charisma University Application form

Application Form

1. Personal Information

Full Name

Date of Birth

Gender

Nationality

Email

Whatsapp Phone Number

WeChat ID

Permanent Address

City

State

Zip Code

Country

2. Program Selection (dual qualification programs)

Please tick (✔) the program you are applying for:

Multiselect

3. Educational Background

Name of Secondary School

Country

Year Completed

Subjects Studied

Grades Achieved

4. English Language Proficiency

Is English your first language? (Yes/No)

Yes

No

If no, please specify your English level:

5. Declaration
I hereby declare that all the information provided in this application is true and correct to the best of my knowledge. I understand that any false information may result in the rejection of my application.

APPLICATION FORM

Kursk State Medical University Student Candidate Application Form