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Student Registration Form
1. First Name:
*
2. Last Name:
*
3. Date of Birth:
(mm/dd/yyyy)
*
4. Mobile Number:
*
5. Email ID
(students will receive event/sessions update through email):
*
6. Current city of residence
*
Select
Abbottabad
Bahawalpur
Dera Ghazi Khan
Dera Ismail Khan
Faisalabad
Gilgit
Gujranwala
Gujrat
Haripur
Hazara
Hunza
Hyderabad
Islamabad
Jamshoro
Jhelum
Karachi
Kohat
Kohat
Lahore
Larkana
Lasbela
Mansehra
Mansehra
Mardan
Mirpur
Multan
Muzaffarabad
Nawabshah
Nowshera
Other
Peshawar
Quetta
Rawalpindi
Sarghoda
Sheikhupura
Sialkot
Sukkur
Swabi
Swabi
Swat
Taxila
Topi
Turbat
Wah Cantt
7. Gender
*
M
F
8. Current study/work status
*
Enrolled in school
Enrolled in college/university
Working or seeking employment
Other
9. Highest level of education?
*
Grade 9-10
Grade 11-12
Bachelor's
Master's
PhD
10. Level of U.S. study in which you are interested
*
Bachelor's
Master's
PhD
10(a). I am intending to apply for the current Fulbright Student (Master's/PhD) competition
*
Yes
No
11. Specialization closest to your intended field of study (Chemical Engineering, Actuarial Sciences)
*
Select
Agriculture and Related Sciences
Architecture and Related Programs
Arts: Visual and Performing
Biological/Biotech/Bio-medical Sciences
Business Management/Finance/Marketing & related courses
Computer Sciences/IT/Information Sciences
Ecology/Resources/Environment Mgt & related courses
Engineering & related courses
English Literature/Communication/Journalism
Foreign Languages & Literature
Health Professionals/Hospital Admin/Clinical Sciences
Humanities: History/Philosophy/Religion
Interdisciplinary Studies: Arts & Sciences
International Relations/Public Policy/Public Administration
Law & Legal Studies
Liberal Arts
Library & Information Sciences
Licensure Exams: Dental/USMLE/CPA
Mathematical Sciences/Actuarial Sciences/Statistics
Medicine
Not Sure
Nutrition Related Studies
Other
Physical Education, Sports & related courses
Physical Science/Chemistry
Pilot training & aviation related courses
Social Science: Psych/Socio/Eco/Anthropology
Undecided
Agriculture and Related Sciences
Register!