Apply to Charles University Third Faculty of Medicine

Czech Republic application - Canada entrance examination

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

Canada 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

Date of expiry

Date of issue

Education status

Name of secondary school/college

City of secondary school/college

Year of school graduation

What do you want to study?

What university(s) are you apply to?

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

e.g. US High School Diploma/IB

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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