REGISTRATION FORM
A. Personal Details
Name:…………………………………………………………….. Surname:…………………………………………..…………………….
Gender:…………………………...…..                      Citizenship:………………………………………………………..……
Date of birth:………………………..                    ID No:………………………………………………………………………
Height:…………………………………                         Colour of eyes:………………………………………………………
Physical Address:………………………………………………………………………………………………………………………………..
……………………………………………………….                       Marital status:………………………………………………….……..
Email address:…………………………………………….………………………………………………………………………………………
Contact details:………………………………………………………..
B. Parent/Guardian’s name………………………………………………………………………………………………………………….
Address (If different from above)…………………………………………………………………………………………………………
Date of birth………………………………………..                     ID No:…………………………………………….……………
Email address:…………………………………………………………….. Contact details:……………………………….………….
Marital status:………………………………………..                   Occupation…………….…………………………………..
C. Academic
Primary education:…………………………………………………              Subjects passed:……………………………………….
Secondary education:……………………………………………              Subjects passed:……………………………….………
D. DIYANET Scholarship
Please state the program being applied for
First choice:______________________________________________________________________
Second choice:____________________________________________________________________
Third Choice:______________________________________________________________________
Please tick in the box to select country of study
        Turkeye
        Canada
        China
                   Support your choice in a summary of not more than 50 words.
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I _________________________________________ have consented to my
parent/guardian______________________________ to register me for
______________________________________ in the above selected country for the 2026 DIYANET
Scholarships.
Dated at___________________________ on the _____________________ of September 2025.
Signature of student_________________________________________
Witness:___________________________________________
Parent/Guardian_____________________________________
Imaam hatip.Diyanet@scholarships2026