International Student Housing Form

Personal Info

First name in arabic *

Middle name in arabic *

Last name in arabic *

Personal Info_1

First name in english *

Middle name in english *

Last name in english *

Personal Info_2

Email *

Phone no. *

Personal Info_3

Nationality *

Country *

City *

Personal Info_4

Date of Birth *

MonthJanFebMarAprMayJunJulAugSepOctNovDec Month

Day12345678910111213141516171819202122232425262728293031 Day

Year19541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024 Year

Marital Status * -Select- Married Un married

Gender * -Select- Male Female

Disability_info

Disability * - Select - Yes No

Disablity type *

Health Status info

Health Status * Disease-free HCV HIV/AIDS HBsAg TPHA-Ab Other

Other Health Status *

Health certificate *

Upload

More information

• Files must be less than 10 MB.
• Allowed file types: pdf.