Tuesday, April 25, 2017
Application Form and Fees

JAHROM UNIVERSITY OF MEDICAL SCIENCES

SCHOOL OF MEDICINE

APPLICATION FOR ADMISSION TO 2017 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:

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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 2016 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

 

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2017/03/21
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دانشگاه علوم پزشکی جهرم
Jahrom University Of Medical Sciences
كليه حقوق اين پايگاه متعلق به دانشگاه علوم پزشكي و خدمات بهداشتي درماني جهرم مي باشد.
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