Department name

Choose Department name الصيدلة مساعد طبيب مختبرات قبالة وتوليد تمريض تقنية معلومات محاسبة ادارة اعمال

Full Name

Sex

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Birth Day

Place of Birth

Choose your Place of Birth Amant Al-Asamah Sana'a Aden Dhamar Amran Ibb Taiz Mareb Sa'adah Al-Hodidah Hajjah Al-Mahwait Al-Dhala Al-Jawaf Raimah Others

Mobile Number

High School Percentage

Year Of Gradution

Address

Choose your Address Amant Al-Asamah Sana'a Aden Dhamar Amran Ibb Taiz Mareb Sa'adah Al-Hodidah Hajjah Al-Mahwait Al-Dhala Al-Jawaf Raimah Others

Guardian Mobile Number

type of relationship with the student

Choose type of relationship with the student Father Mother Brother Uncle

Confirm Guardian Mobile Number