University of Laghouat

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International Student pre-registration

International Student Pre-registration Form

Full Name *

First

Middle

Last

Date of Birth *

Age *

Gender *

Mobile *

E-mail *

Permanent Contact Details *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Language(s) spoken at home *

Residential Contact Details (In Algeria) *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Do you suffer from any disability ? *

Yes
No

Cases à cocher

Hearing
Learning
Mobility
Visual
Medical
Other

If other, Please specify

How did you hear about University Amar Telidji of Laghouat ? *

Education Agent
Career & Education Expo
Careers Adviser
Billboard
Print / Newspaper
Word of Mouth
Google or other search engine
Other

Do you have an enrollment authorization issued by the Ministry of Higher Education and Scientific Research in Algeria? *

Yes
No

Do you need training in a foreign language ? *

Yes
No

If yes *

University of Laghouat

Université Amar Telidji

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