Postgraduate Education Application Service | Kasr Al-Ainy Urology Department, Cairo University

Urology Department, Cairo University

Please use the form below to submit an application for one of the postgraduate educational programs provided by the Department. Required fields are indicated by (*). You may also submit a copy of your updated curriculum vitae and your medical school diploma/degree at this time.
This application will be processed and a representative from our Postgraduate Education Office will contact you (via email) for further information. Please make sure you add the address pgedu@kasralainyurology.net to your email contacts to avoid this reply being diverted to your bulk/spam folders.

Application for Postgraduate Education at the Kasr Al-Ainy Department of Urology, Faculty of Medicine, Cairo University.

Personal Information

First Name*
Middle Name
Last Name*
Gender*

Date of Birth*
Country of Citizenship*
Passport Number

Program Details

Program you are applying for*
Date of start*
Date ending (if applying for an observership)

Your Contact Information

Mailing address (for correspondence)*
Phone (international code first)
Fax (international code first)
Email (for all correspondence)*
Verify Email Address*

Medical Education

Medical Degree (School/University, Location, Date of Graduation)*
Other Medical Training (Specialty, Graduate Level, Hospital, Location, Length, Date of Completion)
Current and Prior Appointments or Positions (Hospital, Location, Date)
Are you ECFMG certified?*

Certification date

Personal Statement

Please provide a short description of your learning and training intents as well as your expectations of the program you are applying for
Do you have any special needs or disabilities?*

Have you visited or studied in Egypt before?

Documents


Please Upload a Copy of Your Curriculum Vitae
Please Upload a Copy of your Medical School Degree
Please Upload a Recent Passport-Size Photograph
Please Upload a Copy of your License to Practice in your own country:
     

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