Email Account Request Form

Full Name (Four names and surname)

Full Name in English (Three names)

College

— الرجاء تحديد اختيار —University PresidencyNineveh College of MedicineCollege of Electronics EngineeringCollege of PharmacyCollege of NursingCollege of LawCollege of Information Technology

Department / Branch (Scientific / Administrative)

Academic Title

— الرجاء تحديد اختيار —ProfessorAssistant ProfessorLecturerAssistant LecturerEmployeePostgraduate Student

Email Address

Phone Number

University ID Number

University ID Card Image
(Please attach the appointment or transfer order if the ID card is not available)