Formulair d'inscription Mekka .pdf

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Kingdom of Saudi Arabia
Ministry of Higher Education
Umm Al-Qura University
Makkah Al-Mukarramah
Arabic Language Institute
‫ﺻﻮﺭﺓ‬
Photo
3cm x 3cm

Please fill out this form in English or Arabic .

‫اﻟﻠﻘﺐ‬

Last Name

‫@اﻟﺤﺎﻟﺔ اﻻﺝﺘﻤﺎﻋﻴﺔ‬

Marital Status
‫ ﻋﺪﺩ ﺍﻷﻃﻔﺎﻝ‬Married ‫… ﻣﺘﺰﻭﺝ‬

No. of Children

Father’s Name@

‫@ﺗﺎریﺦ اﻟﻤﻴﻼد‬

‫ﻣﻜﺎن اﻟﻤﻴﻼد‬

Date of Birth@

@ @‫اﻻﺳﻢ اﻷول‬

First Name

‫اﻟﺠﻨﺴﻴﺔ‬

Place of Birth@

Nationality@

‫ﻣﻜﺎن اﻹﺻﺪار‬

‫@رﻗﻢ ﺝﻮاز اﻟﺴﻔﺮ‬
Passport No.@

Single ‫… ﻏﲑﻣﺘﺰﻭﺝ‬

@‫@ﺗﺎریﺦ اﻻﻥﺘﻬﺎء‬

‫@ﺗﺎریﺦ اﻹﺻﺪار‬

Expiry Date

Date of Issue@

‫@هﻞ ﺳﺒﻖ ﻟﻚ زیﺎرة اﻟﻤﻤﻠﻜﺔ‬

@‫اﻟﺠﻨﺲ‬

Yes ‫… ﻧﻌﻢ‬

Place of Issue@

‫ﺗﺎریﺦ اﻟﺘﺨﺮج‬

Graduation Dates@

Gender

Have you ever visited K.S.A.

No ‫… ﻻ‬

‫اﺳﻢ اﻟﻮاﻟﺪ‬

@ @‫اﺳﻢ اﻟﺠﺪ‬

Grand Father’s Name@

F ‫… ﺃﻧﺜﻰ‬

M ‫… ﺫﻛﺮ‬

‫@اﻟﻤﺆهﻞ اﻟﻌﻠﻤﻲ‬

Qualification@

High School ‫… ﺍﻟﺜﺎﻧﻮﻳـﺔ‬
Bachelor’s ‫… ﺍﻟﺒﻜﺎﻟﻮﺭﻳﻮﺱ‬

‫@اﺳﻢ اﻟﻤﺤﺮم أو اﻟﺰوج‬

‫ﺡﺪد ﺻﻠﺔ اﻟﻘﺮاﺏﺔ‬

Specify the Relationship@

Name of Mahram or Spouse

‫أﻗﺮب ﺳﻔﺎرة ﺳﻌﻮدیﺔ‬

‫@اﻟﻌﻨﻮان اﻟﺪاﺋﻢ‬

Nearest Saudi Embassy

Permanent Address

REQUIRED DOCUMENTS :
1- Photo copy of high school diploma & transcript with at least
B – GRADE.
2- Letters of recommendation from known Islamic
Organizations or personalities.
3- Four recent photos & copy of passport.
4- Birth & Health certificates.
5- Age should not exceed 25 years.
6- Female students should have Mahram in Makkah.
7- Applicant should obtain permission from his/her government
for studying in Saudi Arabia.
8- All documents must be translated in Arabic or English
language and attested from Saudi Embassy.
™ All Documents Should be Submitted to Saudi Embassy in
your country .

Z@‫اﻟﻤﺴﺘﻨﺪات اﻟﻤﻄﻠﻮﺏﺔ‬

.‫ ﻣﻊ ﺇﺭﻓﺎﻕ ﻛﺸﻒ ﺍﻟﺪﺭﺟﺎﺕ‬،‫ – ﺻﻮﺭﺓ ﺷﻬﺎﺩﺓ ﺍﻟﺜﺎﻧﻮﻳﺔ ﺑﺘﻘﺪﻳﺮ ﻻ ﻳﻘﻞ ﻋﻦ ﺟﻴﺪ ﺟﺪﺍﹰ‬١
. ‫ – ﺗﺰﻛﻴﺔ ﻣﻦ ﻫﻴﺌﺔ ﺃﻭ ﲨﺎﻋﺔ ﺇﺳﻼﻣﻴﺔ ﻣﻌﺮﻭﻓﺔ‬٢
. ‫ﺻﻮﺭ ﴰﺴﻴﺔ ﺣﺪﻳﺜﺔ ﻭﺻﻮﺭﺓ ﺟﻮﺍﺯ ﺍﻟﺴﻔﺮ‬٤ ‫ – ﻋﺪﺩ‬٣
. ‫ ﺻﻮﺭﺓ ﺷﻬﺎﺩﺓ ﺍﳌﻴﻼﺩ ﻭﺍﻟﺸﻬﺎﺩﺓ ﺍﻟﺼﺤﻴﺔ‬- ٤
. ‫ ﻋﺎﻣﹰﺎ‬٢٥ ‫ – ﺃﻥ ﻻ ﻳﺰﻳﺪ ُﻋﻤْﺮ ﺍﳌﺘﻘﺪﻡ ﻋﻦ‬٥
. ‫ – ﻭﺟﻮﺩ ﳏﺮﻡ ﺷﺮﻋﻲ ﻟﻠﻄﺎﻟﺒﺔ ﰲ ﻣﻜﺔ ﺍﳌﻜﺮﻣﺔ‬٦
. ‫ – ﺍﳊﺼﻮﻝ ﻋﻠﻰ ﻣﻮﺍﻓﻘﺔ ﺣﻜﻮﻣﺔ ﺑﻠﺪﻙ ﻟﻠﺪﺭﺍﺳﺔ ﺑﺎﳌﻤﻠﻜﺔ ﺍﻟﻌﺮﺑﻴﺔ ﺍﻟﺴﻌﻮﺩﻳﺔ‬٧
‫ – ﺃﻥ ﺗﻜﻮﻥ ﲨﻴﻊ ﺍﻟﻮﺛﺎﺋﻖ ﻣﺘﺮﲨﺔ ﺇﱃ ﺍﻟﻠﻐﺔ ﺍﻟﻌﺮﺑﻴﺔ ﺃﻭ ﺍﻹﳒﻠﻴﺰﻳﺔ ﻭﻣﺼﺪﻗﺔ ﻣﻦ‬٨
. ‫ﺍﻟﺴﻔﺎﺭﺓ ﺍﻟﺴﻌﻮﺩﻳﺔ‬

. ‫™ ﺗﻘﺪم ﺝﻤﻴﻊ اﻟﻤﺴﺘﻨﺪات آﺎﻣﻠﺔ إﻟﻰ اﻟﺴﻔﺎرة اﻟﺴﻌﻮدیﺔ ﻓﻲ ﺏﻠﺪك‬

. ‫ ﻭﺍﻟﻄﻠﺒﺎﺕ ﺍﻟﻨﺎﻗﺼﺔ ﺗﻌﺘﱪ ﻣﺮﻓﻮﺿﺔ ﻣﺒﺪﺋﻴﹰﺎ‬، ‫ ﻟﻠﻤﻌﻬﺪ ﺣﻖ ﺍﻻﺣﺘﻔﺎﻅ ﺑﺎﻟﻄﻠﺒﺎﺕ ﺍﳌﻘﺪﻣﺔ ﻭﻋﺪﻡ ﺇﺭﺟﺎﻋﻬﺎ ﺩﻭﻥ ﺇﺑﺪﺍﺀ ﺍﻷﺳﺒﺎﺏ‬: ‫ﻣﻠﺤﻮﻇﺔ‬
Note: The Iinstitute reserves the right to keep all applications. Incomplete applications will not be processed.
Umm AL-Qura University – A.L.Institute
Makkah Al Mukarramah P.O. Box 3712
Tel & Fax : +966-2-5562525
E-mail : arabic@uqu.edu.sa

Version : 5

8/2004 A.C ‫ﻫـ‬١٤٢٥/٧

‫ﺟﺎﻣﻌﺔ ﺃﻡ ﺍﻟﻘﺮﻯ – ﻣﻌﻬﺪ ﺗﻌﻠﻴﻢ ﺍﻟﻠﻐﺔ ﺍﻟﻌﺮﺑﻴﺔ‬
٣٧١٢ : ‫ﺏ‬.‫ﻣﻜﺔ ﺍﳌﻜﺮﻣﺔ ﺹ‬
+٩٦٦-٢-٥٥٦٢٥٢٥ : ‫ﻫﺎﺗﻒ ﻭﻓﺎﻛﺲ‬
arabic@uqu.edu.sa : ‫ﺑﺮﻳﺪ ﺇﻟﻜﺘﺮﻭﱐ‬



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