Andijan State Medical Institute

Registration Form

- Registration only for foreign citizens / Регистрация только для иностранных граждан
-Registration in Russian, English only*

for
-foreign applicants*
-of applicants for a joint educational program*

First Name

Last Name

Father's name

Date of Birth*

^{(d. m. y)}

Gender

Female

Male

Passport number

Validity

^{(d. m. y)}

Citizenship

City

Address

Other

Certificate -received score (State sample)

Phone number

Your phone number won't be disclosed anywhere

Your own photo (3x4)

Send documents to this email address: registration2024@adti.uz

WEB dasturchi:

N.N. To'raxonov