Registration type:

Please select your registration type

Fist and Last name:(فارسی)

Please enter yout fistname and your lastname in persian


use persian letters
First name and Last name(English):

Please enter yout fistname and your lastname in english


use english letters
gender:
Last degree:
Field of study:

University/organization:

province:
city:

Address:

username:

just use english letters for username


English letters
E-mail:


Standard e-mail
Mobile:


090|091|092|093
Password:

leave blank for random password

Re-password:
image code:

طراحی و اجرا: اداره فناوری اطلاعات دانشگاه شهید مدنی آذربایجان