Document

Yerevan Gladzor University

State Accredited University /N 52/

MEDICAL FACULTY

No:

/
/

2024

Address: Yerevan, Gr. Lusavorich 7/1 st., Phone number: 54-59-80, 54-59-82, 54-59-84, E-mail: gladzor@gladzor.am, www.gladzor.am

To the Rector of Yerevan Gladzor University

S. J. D Professor of Law Zhora D. Jhangiryan

APPLICATION

I graduated from

(the name of educational instituation, date of graduation)

I have studied

(foreign languages)

Please, allow me to take part in the admission of 2023-2024 academic year for the specialty

Hereby I agree to provide the following information about my identity:

Sex

Nationality, citizenship

Place and date of birth

Father Name

Emergency Contact

Skype ID

(name, surname, mobile no)
( Enter Your Name )
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