Certificate Request Form

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Certificate Request Form

IC-TUMS Educational Office

Certificate Request Form

Upon completion of your certificate requirements, you may request your certificate by completing this form. In order to satisfy a certificate requirement you must receive at least a passing grade in that course.

Please wait until your final grade for your final certificate requirement has been posted before you apply for your certificate. To check if your grade has been released please contact the IC-TUMS Educational Office.

Full Name*

Please type your Information exactly as it appears on your passport. Do not use nicknames or abbreviations.

Pasport No*

Gender*

Female
Male

Please choose your Gender.

Mailing Address(overseas)*

Your Nationality*

Date of birth*

PersianGregorian

City*

Country*

Email*

Postal Code*

Please write 4 digits of your postal code, or type 0000 if your country does not provide you with a postal/zip code

IC-TUMS Student Number*

Name of the certificate you have completed in your previous Education*

Name of your School*

Graduation date of your previous Education*

PersianGregorian

How would you like your name to appear on the certificate?*

Please choose below how you would like to receive your certificate.*

By mail
Pick-up at the Educational Office, 2nd floor, International Office , Baradarane Mozafar St. Dameshgh St.. Vali-e-Asr Sq. Tehran, Iran.

You will be contacted by email when ready

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