Register - Gashe Institute

Personal Information

Step 1 of 6

Student's Full Name (Kurdish) *

Please enter the full name in Kurdish

Student's Full Name in English (as on passport) *

Please enter the full name in English

Gender *

Male

Female

Please select a gender

Date of Birth *

Please enter the date of birth

City of Birth *

Please enter the city of birth

Country of Birth *

Please enter the country of birth

Nationality *

Please select a nationality

Identity Document (Upload ID or passport photo) *

Drop your ID or passport photo here

PNG, JPG, PDF - Max file size 5MB

Please upload an ID photo

Academic Selection

Step 2 of 6

Select Center *

Please select a center

Education Level *

Please select an education level

Scientific Department *

Please select a scientific department

Previous Education *

Please enter previous education

Final Grade *

Please enter the final grade

Upload Academic Documents *

Drop your academic documents here

PNG, JPG, PDF - Max file size 5MB

Please upload academic documents

Guardian Information

Step 3 of 6

Father/Guardian Name *

Please enter the father/guardian name

Father's Occupation *

Please enter the father's occupation

Mother's Name *

Please enter the mother's name

Mother's Occupation *

Please enter the mother's occupation

Primary Mobile Number (WhatsApp & Contact) *

+964

Please enter a mobile number

Emergency Mobile Number *

+964

Please enter an emergency mobile number

Residential Address *

Please enter the residential address

Health Profile

Step 4 of 6

Blood Group *

Please select a blood group

Does the student have any chronic disease? *

Yes

No

Please select an answer

Allergies: Does the student have any allergies to medication or food?

Special Notes

Additional Services

Step 5 of 6

Transportation (Bus): Do you need bus transportation? *

Yes

No

Please select an answer

Support Course: Would you like to join a summer course? *

Yes

No

Please select an answer

How did you hear about us? *

Please select an answer

Declaration & Submit

Step 6 of 6

Legal Agreement

As the legal guardian of the student, I declare that all the above information is accurate and I commit to the guidelines of the Gashe Institute.

I agree to all terms and confirm the accuracy of all information. *

Please accept the declaration

Electronic Signature (Type your name as signature) *

Type your name here as an electronic signature

Please enter an electronic signature

Student Registration Form

Personal Information

Academic Selection

Guardian Information

Health Profile

Additional Services

Declaration & Submit

Legal Agreement

Information Summary

Your application has been submitted successfully!