House No./Street

City/Town

Postcode/Zipcode

Country

Email Address 1

Email Address 2

Telephone Number Mobile

CONTACT DETAILS

House No./Street

City/Town

Postcode/Zipcode

Country

Tel. (inc. country code)

HOME COUNTRY ADDRESS

Surname/Family Name (As indicated in passport) Male Female

Mr. Ms.

Mrs. Other

First/Given Name(s)(As indicated in passport)

Date of Birth (dd/mm/yy)

Nationality(As indicated in passport)

Passport Number Valid till

APPLICANT DETAILS

www.amityuniversity.ae1

APPLICATION FORM

self-attested

recent colour

photograph

here

1st Preference

2nd Preference

Intake September

AMITY PROGRAMME YOU WISH TO APPLY FOR

Name & Address of Secondary School/High School/College/University

Dates AttendedFrom (mm/yy)To (mm/yy)

(eg: International Baccalaureate,GCSE, A-Level, CBSE/ICSE)

GradeAchieved

Are you seeking advanced standing? Yes No

If yes, please attach detailed course syllabus with application.

EDUCATION

AWARDS/ACHIEVEMENTS (IF ANY)

ADVANCED STANDING/CREDIT TRANSFER

www.amityuniversity.ae2

January

Employer Period of Employment

PositionFrom To

Yes No

WORK EXPERIENCE (ATTACH DETAILED CV/RESUME FOR POST GRADUATE COURSE)

HOW DID YOU COME TO KNOW ABOUT AMITY UNIVERSITY DUBAI CAMPUS?

DO YOU REQUIRE A STUDENT VISA?

www.amityuniversity.ae3

Declaration

inaccurate, either intentionally or unintentionally.

Date_________________________

Place________________________

Signature of Student

________________________

APPLICATION INSTRUCTIONS

CHECK LIST

3. How to submit the Application Form? Amity University Dubai Dubai International Academic City P.O. Box 345019, Dubai, UAE Phone: 04 4554900

4. You are advised to keep a photocopy of the complete Application Form.

Six passport size photographs

Enclose student and sponsor documents as follows:

- Passport Copy

- Emirates ID

- Medical Insurance Card

- UAE Residency Visa (if applicable)

Personal Statement (minimum 200 words)

Detailed course syllabus for applications requesting credit transfer

Detailed CV/Resume for Postgraduate Students

www.amityuniversity.ae4