Apply to Palacký University

Czech Republic application - Azerbaijan entrance examination

Palacky University Medicine and Dentistry — Palacký University

Czechia

Use this form to apply to participating Czech universities if you intend to sit your entrance examination in Azerbaijan.

Azerbaijan application. Fields marked with are required.

First name

Middle name

Last name

Date of Birth

Gender

Nationality

City of birth

Phone number

Marital status

Who is funding your studies?

Permanent address

Postal address (if different)

Travel document number

Enter your passport number here

Date of expiry

Date of issue

What do you want to study?

To which universities are you applying?

Charles University First Faculty of MedicineCharles University in Hradec KrálovéPalacky UniversityOstrava University

Education status

Name of secondary school/college

City of secondary school/college

Year of school graduation

Your educational qualifications (inc. subjects & grades/predicted grades)

e.g. A-levels/IB/Leaving Certificate

University

If you are a graduate or a current student please tell us your university

Year of university graduation

Degree title and classification

Passport upload

If you have a copy of your passport please upload it here

PDF, DOC, DOCX, JPG or PNG. Up to 10 MB per file.

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