DEUTSCH-KOMPAKT:

							                                                                                                                                                   Please submit a
DEUTSCH-KOMPAKT / LANGUAGE COURSE                                                                                                                  recent passport
- APPLICATION FORM -                                                                                                                               photo. Thank you!
August, 31st – October, 1st, 2009
Course fee: 795 €
                              st
Application deadline: July, 31 . Applications are closed once 45 participants
have been accepted.
______________________________________________________________________________________________________
(Please print clearly.)

          LAST NAME: ﾐ Mr. ﾐ Ms. ......................................................................................................

          FIRST NAME: .................................…………………………………………………………………

          DATE OF BIRTH: ...........................………………………………………………………………….

          HOME ADDRESS: ..........................…………………………………………………………………

          ……………………………………………………………………………..…………………………….

          TELEPHONE: ...........................................................................................................................

          E-MAIL: ……………………………………………………………………………......……………….

          NAME OF YOUR UNIVERSITY: …………………………………....……………………………….

          MAJOR AREA OF STUDY: .............…………………………………………………………………


          AFTER THE PROGRAM I WILL STUDY:                                          ﾐ at the University of Tübingen
                                                                                   ﾐ at another German University
                                                                                   ﾐ I will not study in Germany / I will go back to my home country

          We offer courses at the following levels: A2/B1 – lower intermediate, B1 - intermediate, B2 – upper-
          intermediate. Please note: we don't have a course for beginners and no course "Oberstufe C".
          Requierement for Participation: at least 200 hours of german tuition.
          _________________________________________________________________________
          I CHOOSE TO PAY THE COURSE FEES:
          ﾐ by bank transfer         ﾐ by credit card

          COURSE FEE WILL BE PAYED:
          ﾐ by myself                                                ﾐ by the university

          ATTENTION:
          A place will not be guaranteed for you until we have received your complete payment! Make sure that you promtly
          return to the “Studentenwerk” the form “Application of Housing” which you received with your letter of admission
          from the university of Tübingen.
          Rent for the Tübingen dormitory is not included.
          ______________________________________________________________________________________
          With my signature, I accept the DEUTSCH-KOMPAKT Language Course conditions for participation.

          DATE AND PLACE: .............................................. SIGNATURE: ................................
           ______________________________________________________________________________________________________
Please print out this registration form, enclose a passport photo, and send it to:

                                                                 1. via mail: deutsch-kompakt@isp.uni-tuebingen.de

                                                                 2. via post:
                                                                 Universität Tübingen
                                                                 Abteilung Deutsch als Fremdsprache und Interkulturelle Programme
                                                                 "Deutsch-Kompakt"
                                                                 Wilhelmstr. 9 - 72074 Tübingen - Germany
                                                                 Tel: ++49 - (0) 7071 / 2975409 or 2974408

                                                                 3. via fax: ++49 - (0) 7071 / 295380