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Full Legal Name: Mr./Ms.

Last Name

First Name

Middle

2.Mother's Full maiden name

3.Married name for women applicants

4.Gender

Male

Female

5.Date of birth

Month

Day

Year

6.Marital Status

Single

Married

Other

(Specify)

Permanent Address:

Building/Floor

Street/Nearby

City/Country

8.Telephone (Home)

9.Mobile

10.E-mail Address

11.Country of birth

Nationality

Lebanese

Other

Other Nationality

Passport information, if non-Lebanese

Passport no.

Expiration date

13.List the name(s) of high schools, secondary schools or universities at which you studied.

1-(a).Name of school/university(Major)

1-(b).Location ( City & Country)

1-(c).From(Month/Year)

1-(d).To(Month/Year)

1-(e).Date of graduation

2-(a).Name of school/university(Major)

2-(b).Location (City & Country)

2-(c).From(Month/Year)

2-(d).To(Month/Year)

2-(e).Date of graduation

3-(a).Name of school/university(Major)

3-(b).Location ( City & Country)

3-(c).From(Month/Year)

3-(d).To(Month/Year)

3-(e).Date of graduation

4-(a).Name of school/university(Major)

4-(b).Location (City & Country)

4-(c).From(Month/Year)

4-(d).To(Month/Year)

4-(e).Date of graduation

14.If you hold the Lebanese Baccalaureate Part ||, please indate the type of certificate (literature and humanities, sociology and economics, general sciences and life sciences):

15.If you are currently empolyed, please indicate your job and occupation:

16.List your hobbies and extracurricular activities in the order of importance to you:

17.How did you hear about CAMM:

Friend

Family Member

CAMM student

Other

(Specify)

18.In case of emergency

1-(a).Name

1-(b).Relationship

1-(c).Address

1-(d).Telephone (Home)

1-(e).Mobile

2-(a).Name

2-(b).Relationship

2-(c).Address

2-(d).Telephone (Home)

2-(e).Mobile

I certify that the information provided in this application is, to the best of my knowledge, complete and accurate. I further understand that mispresentations or material or missions made in his application render me morally and legally liable

NB: If applicant is under 18 years of age, the legal guardian is to sign together with the applicant.

Chose Major

Fashion Design

Pattern Making

Date

Month

Day

Year

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