University of Siegen (Germany) International Graduate Studies (IGS) in Chemistry
Application Form p1
APPLICATION FORM
University of Siegen, International Graduate Studies (IGS)
Master of Science (M.Sc. in Chemistry)
A) INFORMATION ON STUDENT
Family Name: ...........………………….……….……………………….……………………………………………
First (and Middle) Name(s): .........…………………………………………………………………..……........….
Maiden (Birth) Name if applies: .............……………………………………………………………….…...........
Date of Birth: ..........……......…..
Place of Birth (both, City and Country): ..........…………………………………………………………..…….….
Citizenship (Nationality): ...........………………..……..…………
Sex: male/female: ……………...
Permanent address: .............................................................................................…….................................
Mailing address: .........................................................……………………………………………………………
Telephone: ......................………..………
Fax: .......…………………......................
E-mail (in capital letters): ...........................................................................................................……….......
B) EDUCATION
B1) School (primary and secondary)
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from ............... to ................. institute ……………………………………….. average grade: ……………
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from ............... to ................. institute …………………....………………….. average grade: ……………
B2) University (current or last)
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Name of Institution, Department, with complete address (in English)
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date of entrance .........….…. present study year ........... degree (to be) awarded….…..…………..….…
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2 academic contact persons (name, academic degree, phone, fax, e-mail)
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University of Siegen (Germany) International Graduate Studies (IGS) in Chemistry
Application Form p2
B3) Previously completed studies, and grades achieved:
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Degree(s) already obtained with institute(s), study dates (from, to, year/month) and average grade(s):
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……………………………………………………………………………………………………….……..………
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B4) Special honors and awards (including extracurricular activities)
B5) Knowledge of languages ……………………………………………………………….……………….……
B6) Knowledge of computers ………………………………………………………………………….……….…
B7) Interests and hobbies …..……………………………………………………………………….…….………
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C) FINANCIAL SUPPORT/SITUATION
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Way of financing (grant, scholarship, privately) ...............…………..
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Name of funding institution .....................................……….…………………………………..…….……….
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I have at my own disposal …………. EUR/month
D) LIST OF ATTACHED DOCUMENTS (please mark)
Certified copies of original documents accompanied by an English or German translation are needed
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Curriculum vitae including overall grades
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University entrance qualification (school-leaving certificate(s))
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Record of university degrees (bachelor, intermediate or final exams)
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List of courses taken (title, number of hours, grades with grading scale)
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Proof of English Language proficiency (e.g. TOEFL 533 (paper-based), 200 (computer-based), 72
(internet-based), Cambridge (C1), IELTS (6.0) or equivalent)
E) ADDRESS
Application should be sent not later than July 31st to Department of Chemistry and Biology,
University of Siegen, 57068 Siegen, Germany, or by e-mail to: msc.chemistry@uni-siegen.de
F) SIGNATURE OF STUDENT (with starting semester)
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This application is for winter semester ……….……….(insert the year)
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place
date
signature