Medical observations form

I Personal information

First name *

Surname *

No. Passport / No. Identity document *

Phone *

Email *

Blood type*

Country *

City *

Birth date *

Sex *

In case of emergency contact:

First Name

Relationship

Emergency email

II Academic information

University *

Country *

Major *

Semester (If applicable)

Documentation (Formats: jpg, jpeg, png, pdf)

Passport size photo* (378x508 px)

Maximum 1 file.
5 MB limit.
Allowed types: jpg jpeg png pdf.

Passport valid for at least six months *

jpg, jpeg, png, pdf ..

Vaccine certificate: Covid-19, Hepatitis B and Influenza *

Sponsorship letter from your university or teaching unit addressed to International Relations, with contact information for the person in charge (email - telephone number)*

Motivation letter *

Copy of medical degree *

Curriculum vitae *

Once they arrive at the University of Azuay, they must pay the registration fee and license fee upon arrival.
This amount ($201.75) must be paid into the university treasury with the right numerous 1166 y 917.

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