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										| 4. | تاریخ تولد;Date of Birth |  
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										| 5. | شماره پاسپورت;Passport Number |  
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										| 6. | رشته قبولی; Enrolled Field of Study |  
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										| 7. | دین; Religious Affinity |  
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										| 8. | مذهب; Religion |  
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										| 9. | آدرس; Home Address |  
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										| 10. | تلفن همراه; Cell Phone Number |  
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										| 11. | شهر تولد; Birth place |  
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										| 13. | مقطع قبولی; Enrolled Level of Study |  
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										| 15. | تاهل; Marital Status: |  
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										| 16. | آپلود عکس پذیرفته شده ; Please Upload your Color Personal Photo Here |  
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										| 17. | آپلود مدرک دیپلم; Please Upload Color Image of Your Diploma Certificate Here |  
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										| 18. | آپلود صفحه اول پاسپورت;Please Upload Color Image of Your Passport’s First Page Here |  
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