Statement

                 To the Board Member – Vice-Rector for strategic development and             

                digitalization of Abylkas Saginov Karaganda Technical University

                 Kanapyanov T.E.

 

 

From_______________________________________________________________

(last name, first name, patronymic)

Resident(s)

(actual address of residence)

 

Graduated from a specialized master’s degree program

(educational institution, year graduation, name of the specialized department, code and name of the specialty)

 

Statement

I request to be enrolled for training on a paid basis under the educa

tional program of the pedagogical profile for individuals who have completed a relevant master’s degree

Language of instruction_________________________________________________________

(Kazakh, Russian)

I provide the following information about myself:

Gender                                                     Date of birth

                                                      

 

Place of work

(legal name of the enterprise, organization, position)

Email address

 

Phone number                                                                                                                                       

(home, mobile)

No.                                                                   date of issue Issued by IIN

Identity card details:

 

                                      

                                      

 

 

 

 

Date                                               

(signature)