ECTS - EUROPEAN CREDIT TRANSFER SYSTEM
STUDENT APPLICATION FORM
ACADEMIC YEAR 20...../20.....
FIELD OF STUDY: .........................................................
This application should be completed in BLACK in order to be easily copied and/or telefaxed.
SENDING INSTITUTION
Name and full address: ......................................................................................................................................
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Department coordinator - name, telephone and telefax numbers, e-mail box ..................................................
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Institutional coordinator - name, telephone and telefax numbers, e-mail box ..................................................
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STUDENT’S PERSONAL DATA
(to be completed by the student applying)
Family name: .......................................................
Current address: ..............................................................
First name: ……………………………………... .........................................................................................
Middle name: ………………………………….. .........................................................................................
Place of Birth: ..................................................... .........................................................................................
Date of birth: ....................................................... …………………………………………………………..
Gender: ............................................................... Email ID: .........................................................................
Nationality: .......................................................... Tel.: .................................................................................
Maritial status: ………………………………… Cell phone: ......................................................................
PREVIOUS AND CURRENT STUDY
Diploma/Study Degree for which you are currently studying: .........................................................................
Number of higher education study years prior to departure abroad: ................................................................
Have you already been studying abroad? Yes No
If Yes, when? At which institution? .................................................................................................................
Planned duration of study at HS OWL: ……………………………………………………………………….
LANGUAGE COMPETENCE
Mother tongue: ................... Language of instruction at home institution (if different): ..................................
Other languages I am currently studying I have sufficient I would have sufficient knowledge to
this language knowledge to follow follow lectures if I had some extra
lectures preparation
yes no yes no yes no
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I, the undersigned, certify that all the information provided in this application is complete and accurate to the best
of my knowledge. I hereby apply to the program and agree to comply with the rules and regulations of University
of Applied Sciences OWL l if admitted
Applicant's signature: _________________________ Date: ________________________
Enclosures:
1. Certificate of enrollment at your university
2. Completed form “Learning Agreement”
3. Official Academic Transcripts
4. Resumé
5. Language Certificate for international Applicants
RECEIVING INSTITUTION
We hereby acknowledge receipt of the application, the proposed learning agreement and the candidate’s
Transcript of records.
The above-mentioned student is provisionally accepted at our institution
not accepted at our institution
Departmental coordinator’s signature Institutional coordinator’s signature
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Date: .................................................................... Date: ...............................................................................