Application for Admission

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					                       Faculty of Medicine & Health Sciences
     Application for Admission to Master of Medical Sciences (M.Med. Sc.)


This application should be submitted only after careful review of the Master’s program description.
1.     Complete the application form (Incomplete applications will not be considered)
2.     Be available for an interview
3.     Mail the completed application form and required attachments to:
            Office of Research and Graduate Studies
            Master of Medical Sciences Program
            Faculty of Medicine & Health Sciences
            UAE University
            P. O. Box 17666, Al Ain
            United Arab Emirates.
            Telephone: +971-3-7137115 or +971 3 7672000 (Ms Amal Al Hassani)
            E mail: graduatestudies@uaeu.ac.ae

Personal Data:
Name: _________________________________________________________________________________
                  First                               Middle                               Last (family)
Date of Birth: __________________________________________________________________________

Marital Status:            S - Single                         Gender:             M - Male
                           M - Married                                            F - Female

Address: _______________________________________________________________________________
_______________________________________________________________________________________
Telephone ____________________ Fax ___________________ P.O.Box ___________________________
E-mail _________________________________

Passport Details:
Passport Number: ---------------------------------- Date of Issue: ----------------------------------------------------
Place of Issue: ----------------------------------    Date of Expiry: ----------------------------------------------------
Nationality: --------------------------------------   Country of Residence: --------------------------------------------

     Degree obtained or in                      University                        Year       Transcript      Transcript
           progress                                                                           Attached       to be sent




                                                                                                                  P. T.O
Application for Admission - Master of Medical Sciences (M.Med.Sc.)                                                    Page 2



Graduate Program preferred (tick one):
      Microbiology & Immunology                        Pharmacology & Toxicology

Employment:
Current Position: ----------------------------------------------        Date of starting: ----------------------------------
Employer’s Work Address: ---------------------------------------------------------------------------------------------
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Describe briefly your professional experience:

1) Provide a 1-2 page Statement of Interest/Letter of Intent describing academic and scientific interest,
   research interest, motivation for pursuing graduate studies in Microbiology & Immunology or
   Pharmacology & Toxicology.
2) Resume or CV

What do you expect to gain from this program?
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Name three referees:

                         Name                                Position                             Address

 1
 2
 3

I hereby certify that all the above information is correct. In case of admission to the program, I
will abide by the rules and regulations of the Faculty of Medicine and Health Sciences and UAE
University.



Name: ----------------------------------------- Signature: ------------------------ Date: -------------------
Application for Admission - Master of Medical Sciences (M.Med.Sc.)                     Page 3

Attachments:

                                              Documents                        Check
             1.    Copy of passport (Photo and ID pages)
             2.    Copy of Khulasat Al Qaid (for UAE Nationals only)
             3.    Official Copy of academic certificates and transcripts
             4.    Copy of TOEFL or IELTS certificate
             5.    Copy of experience certificates
             6.    Written permission from employer
             7.    Guarantee for payment of fees
             8.    4 passport photos
                   Equivalency Certificate from Ministry of Higher Education
             9.
                   and Scientific Research for (Certificates outside UAE)
            10.    Curriculum Vita (CV)
            11.    *200 AED Application Fee

*Application Fees to be paid at a Union National Bank, Account No: 820 100 1969 and
deposit slip to be enclosed with documents.

				
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posted:9/26/2011
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