Apply to Charles University Third Faculty of Medicine

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

What do you want to study?

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.

Privacy and consent

Medical Doorway needs the contact information you provide to us to contact you about our products and services. You may unsubscribe from these communications at any time. For information on how to unsubscribe, as well as our privacy practices and commitment to protecting your privacy, please review our Privacy Policy.