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Umm Al-Qura University

Umm Al-Qura University

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Request to Send the Academic Graduation Certificate and Internship Completion Certificate to the College of Physicians and Surgeons of Ontario (CPSO)

This form requests the official sending of graduation and internship certificates to an external organization. Please complete all required fields accurately and upload the necessary documents.

     From : - 2025/12/23 م , To : - 2028/12/31 م
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This service enables medical school graduates to submit an official request for sending the academic graduation certificate and internship completion certificate to the College of Physicians and Surgeons of Ontario (CPSO), in support of international registration or licensure requirements.
Applicants are required to accurately complete the electronic form, provide admission and graduation dates, enter the application number issued by the receiving authority, and upload all required documents in clear and official formats.
All requests are subject to review by the Vice Deanship for Academic Affairs, College of Medicine. Applicants may be contacted to provide additional information or documentation if required. Once the request is approved, the necessary arrangements will be made to officially send the documents to the designated authority, and the applicant will be notified of the request status via the registered email.

User Details :

Following Data will be included with the From
    Title of the Request

    Please enter the title of the request

    Applicant Information

    * Applicant Name

    Please enter your full name as registered in academic records.

    * Applicant (University) Number

    Used to verify the applicant’s academic record.

    * Application Number

    Please enter the application number issued by the external authority (CPSO).

    * Applicant’s Number

    Please enter the applicant’s number issued by the external authority (CPSO)

    * Admission Date (YYYY-MM-DD)

    Please enter your medical school admission date as per academic records. Must be according to the required format (YYYY-MM-DD)

    * Graduation Date (YYYY-MM-DD)

    Please enter your official graduation date. Must be according to the required format (YYYY-MM-DD)

    * Email Address

    This email address will be used to contact the applicant and provide request status updates.

     Mobile Number

    Please provide an active mobile number for contact if needed.

     Recipient Organization Email Address (if applicable)

    Please enter the official email address of the receiving organization if the documents will be sent via email.

    * Does the receiving organization require a specific submission method?

    If “No” is selected, the standard procedure of the Vice Deanship for Academic Affairs will be followed.

     Required Submission Method

    Fill only if you select "Yes" in the previous question Required Submission Method

     Recipient Organization Details (if applicable)

    Recipient Organization Name Please enter the name of the receiving organization.

     Recipient Organization Email Address

    Please enter the official email address of the receiving organization.

     Electronic Portal Link

    Please provide the electronic portal link for document submission, if available.

    Required Attachments

    * Graduation Certificate

    A clear and official copy of the graduation certificate.

    Allowed extensions : mp3, wav, wma, mp4, wmv, avi, flv, gif, jpg, jpeg, png, 7z, csv, doc, docx, gz, gzip, pdf, ppt, pptx, ppsx, txt, xls, xlsx, zip
    Allowed Size : 1024
     Show
    * Medical School Transcript

    Official medical school academic transcript.

    Allowed extensions : mp3, wav, wma, mp4, wmv, avi, flv, gif, jpg, jpeg, png, 7z, csv, doc, docx, gz, gzip, pdf, ppt, pptx, ppsx, txt, xls, xlsx, zip
    Allowed Size : 1024
     Show
    * Internship Completion Certificate

    An official certificate confirming completion of the internship year.

    Allowed extensions : mp3, wav, wma, mp4, wmv, avi, flv, gif, jpg, jpeg, png, 7z, csv, doc, docx, gz, gzip, pdf, ppt, pptx, ppsx, txt, xls, xlsx, zip
    Allowed Size : 1024
     Show
    * Passport Copy

    To verify the applicant’s name in English as stated in official documents.

    Allowed extensions : mp3, wav, wma, mp4, wmv, avi, flv, gif, jpg, jpeg, png, 7z, csv, doc, docx, gz, gzip, pdf, ppt, pptx, ppsx, txt, xls, xlsx, zip
    Allowed Size : 1024
     Show

    Declaration and Acknowledgment

      * 

    I, the undersigned applicant, hereby confirm that this form has been completed by me, and I certify the accuracy of all information provided and the validity of all attached documents. I accept full responsibility for any incorrect information.


     
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