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Bachelor's degree

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Bachelor's degree Powered By Docstoc
					Application is to be submitted in person or by post to: Útvar vzdelávania a starostlivosti o študentov R STU, Vazovova 5, 812 43 Bratislava 1

APPLICATION for a duplicate diploma (EXTRACT FROM THE BOOK OF DIPLOMAS) OF THE GRADUATE:

□ Bachelor's degree * □ Engineering degree *
TO BE FILL ED BYT HE APP LICA NT APPLICANT’S NAME AND SURNAME: NAME AND SURNAME listed on the diploma:

□ PhD *

( * indicate)
Titles:

Permanent residence:

Nationality:

:
e-mail: Zip Code: Date of Birth: Place of Birth: Country: Year of finishing:

ID card No/Passport No: Department: study programme:

study field: Reason for application:

I grant the permission to process my personal data according the provisions of Article 7 and 9 of Act No. 428/2002, Coll. on the Protection of Personal Data.

TO BE FILLED BY THE UNIVERSI TY

Date: Protocol Number:

Applicant’s signature: Officer’s signature:

Date of payment: Payment Method: Notes:

Sum: Application processed/date:

Please attach the form of payment to the application: Account Number: 7000084007, Bank code: 8180 KS: 0308, VS when paying by: - postal cheque: 901 110 - Bank transfer: in the section for Information for the client write: 901 110 Surname of the sender /e.g.: 901 110 Baláž/.

The fee for issuing the document and the methods of payments are governed by the “directive” valid for the relevant academic year and are published on the address: www.stuba.sk under the heading “studygraduate-study documents”.


				
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