Student Discount Application

Full legal name * Nationality * Birth year *

Gender *

Male Female

Mobile number * National card number * Neighborhood * Voter number * Registration center number * Polling center number * Polling center / school name * University / Institute * Choose university or institute زانکۆی کەرکوك زانکۆی کتاب ئەهلی زانکۆی قەڵەم ئەهلی زانکۆی بابە گورگور ئەهلی پەیمانگای تەکنیکی کەرکوك پەیمانگای قەڵەمی ئەهلی شوێنێکی تر Write another place College and department * Stage * Choose stage 1 2 3 4 5 6

Martyr in family? *

Yes No

Relationship to martyr

Political prisoner in family? *

Yes No

Relationship to political prisoner

Received a discount before? *

Yes No

Previous discount percentage

%

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