Registration - Grigol Robakidze University

Registration for 2024 Session

Grigol Robakidze University Admission Application Form

Application Form

1. General Information

Name:

Date of Birth:(dd/mm/yy):

Place of birth: (City/Country):

Citizenship(s):

Gender: (Male/Female):

Address:

Phone:

Skype:

Email:

Email (other):

2. Information about desired program

Name of the program / qualification (major):

Start Date:

Date of accomplishment:

School leaving certificate number:

Home country entitlement to pursue higher education (Yes/No):

4. NEET Qualification

Neet score:

5. Information about language proficiency

Date of Birth:(dd/mm/yy):

Place of birth: (City/Country):

Citizenship(s):

Gender: (Male/Female):

6. Permanent address

7. Name of Intermediary institution(s) / Agent(s) supporting your application

Date of Birth:(dd/mm/yy):

Citizenship(s):

Gender: (Male/Female):

8. Information about preferred Medical Licence examination (only MD Student)

9. Confirm and Signature:

I hardly confirm correctness and accuracy of submitted information and awareness that the provision of incorrect or inaccurate information may cause refusal of enrolment.

Signature:

Choose File

Date:

Passport size photo:

Choose File

Registration for 2024 Session

Grigol Robakidze University Admission Application Form

Quick Links

Important Links

Official Address

Indian Representative

Pankaj Singh Dhami