Personal Information       how to fill

First Name (like in the passport/ID/Birth Certificate) *
Last Name (like in the passport/ID/Birth Certificate) *
Middle Name (like in the passport/ID/Birth Certificate)
Gender *
Date Of Birth (like in the passport/ID/Birth Certificate) *

Permanent Residence Information       how to fill

Country Of Residence *
Citizenship *
Ethnic Origin *
If Your Ethnic Origin not Listed. Please type your Ethnic Origin
Region Of Permanent Residence (For Citizens Of Uzbekistan)
District (For Citizens Of Uzbekistan)

English Proficiency Information       how to fill

Have you taken IELTS Test?
No Yes

English Proficiency Test Type Taken or Registered for (IELTS, TOEFL, Other) *
Overall Band Score (if available)
Entered value should be number or empty string
Writing Component Score (if available)
Entered value should be number or empty string
Reading Component Score (if available)
Entered value should be number or empty string
Speakng Component Score (if available)
Entered value should be number or empty string
Listening Component Score (if available)
Entered value should be number or empty string
IELTS Test Report Form Number
Date Of Expiration

Module

Select course *

Contact Information       how to fill

Address *
(example: 12 Istiqbol Str., M.Ulugbek dist., Tashkent, Uzbekistan, 100047)
Home Phone Number (+998) *
Mobile Phone Number (+998) *
Parent Phone Number (+998) *
Email *
Confirm Email *

Do you have local Passport or ID card?

No Yes

Passport Information – your application will be deleted if incorrect information is entered       how to fill

Passport Series * / Passport Number *
PINFL *
Place Of Issue *
Given by IIB of (UZB:Kim Tomonidan Berilgan) *
Date Of Issue *
Date Of Expiration *

Birth Certificate – your application will be deleted if incorrect information is entered       how to fill

Birth Certificate Number *
Date Of Issue *

How did you first know about the University and course you are applying for?

Select source *
Does you sibling study in WIUT?
Yes No

Confirmation

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*