Georgetown American University (GAU) - Application Form

Personal Details

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Program of Interest

eg. Premed II is the 2nd term of Premedical Sciences, MD 1 is the 1st Preclinical Sciences (Basic Sciences) term, MD 5 is the last Preclinical Sciences term etc.

Emergency Contact


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List the most recient College/University attended

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List any additional tertiary Institution(s) attended

List the name of qualifications obtained from above mention institution(s)

Academic Records: Upload all required information below. If unable to do so at this time kindly email the documents to This application cannot be processed until all required documents are on file.

Professional Certifications/Degrees

Copy of Transcript/Grade Sheet



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