University Admissions
Application Form
Stamp of university, Department:
1
Masters, Engineering – 2nd Level
Academic Year:
20
/ 20
Registration Number:
Citizenship:
Date of delivery:
First name:
Academic Title:
Surname:
Maiden Name:
Marital Status:
1
Date of Birth:
female
day
month
Gender :
year
Place of Birth:
Country:
Personal ID Number:
Nationality:
ID Card Number (Passport Number):
Tel. No.:
E-mail address:
Permanent residence:
Street and House Number:
City (town):
Zip Code:
District/ Region:
Country:
Mailing address (if different than permanent residence):
Street and House Number:
City (town):
Zip Code:
District/ Region:
Country:
University:
Department:
Faculty:
3
Study Programme :
2
3
Form of Study :
Study Programme
Method of Study :
3)
:
2
3
Form of Study :
Method of Study :
3
Study Programme :
2
Form of Study :
I will be taking an entry exam in a foreign language
Completed University Bachelor's Degree:
3
Method of Study :
6
:
male
University:
Department:
Faculty:
Study programme:
Field of study:
Commencement of studies:
Completion of studies:
Academic title:
COMPLETE LEGIBLY IN CAPITAL LETTERS.
Instructions are on Page 3.
The Ministry of Education of the Slovak Republic, November 2006
1st Page
7
Overview of further (including unfinished) university studies :
University:
Department:
Faculty:
Study programme:
Field of study:
Level of achieved education:
Commencement of studies:
Completion of studies:
Academic Title:
In accordance with university requirements, the applicant shall indicate the study results for all individual terms of
their Bachelor's degree course or supply a statement of the results of their Bachelor's degree course issued by the
University Studies Department and also enclose an attested copy of their Bachelor's Degree Diploma.
Attendance and success in Olympiads, Competitions, Student Scientific Vocational Activity, Invention or
Industrial Design Authorship will be stated on a separate attachment, as requested by the university or
department in the admission conditions.
Results of a Bachelor degree in individual terms
Alternatively document Bachelor's study results with a statement issued by the University Studies
Department
Subject
I.
II.
III.
Term
IV.
V.
VI.
VII.
VIII.
Grade Point Average (according to the Ministry of Education of the Slovak Republic Public Notice
on the credit study system No. 614/2002 Coll.)
Confirmation of accuracy of data ( if the student is not a graduate of the same university):
Date:
Signature:
Stamp of the department/faculty:
Medical statement confirming the required level of health to study and work in the chosen field of study
(following the university/department's request):
Date:
Physician’s signature:
Physician’s stamp:
The Ministry of Education of the Slovak Republic, November 2006
2nd Page
Instructions and notes for the completion of application:
1 Cross
out options that do not apply.
The application is for Bachelor's
degree graduates.
2 In
the Gender section – indicate with a cross.
3 The
applicant should complete one title of a study programme.
The titles
of several study programmes will be completed according to university
instructions.
4
In the Form of Study section – specify daily or distance learning
according to study options information.
5
In the Method of Study section - specify attendance or distance, or combined
according to study option information.
6 If
the entry exam includes a foreign language exam, the applicant should
choose one foreign language according to study option information.
7)
If you cannot fit all your information in the pre-printed form, please use a separate
attachment.
Please specify completed studies, current studies or
unfinished studies (e.g. terms attended)
Applicants with disabilities can request an exam method that takes their
disability into account.
Confirmation of admissions process payment
Applicant’s Declaration and Agreement
I hereby confirm that all information I have provided is true and no information has been withheld. According to
provisions of Art. 7 of Act No. 363/2005, Coll. on the Protection of Personal Data, I hereby grant with my signature
permission to process my personal data for the purposes of the application for study until the date of enrolment in
a first year Masters or Engineering university degree course. T h i s p e rm i s s i o n r ef e rs t o t h e p e rs o n a l
d a t a i n t h e a p p l i c a t i o n a n d a t t a c h m e n t s t ha t t h e u n i v e r s i t y i s e n t i t l e d t o r e q u e s t according to
the provisions of Art. 58 item 5 of Act No. 131/2002, Coll. on universities and Colleges as amended (“the Act”). I
am aware that I may cancel my permission only with substantial justification in writing with the relevant university
or department. I am also aware that this data can only be processed by authorised persons, who are obliged to
adhere to Act No. 363/2005 Coll. on the Protection of Personal Data, and the processed data will be archived and
disposed of in accordance with valid legislation of the Slovak Republic.
Notes to Applicant’s Declaration and Agreement:
This permission refers to specific data regarding further conditions of university admissions, that cannot be
specified in detail by the legislation due to the diversity of university requirements (e.g. health information) – see
Art. 58 item 5 of the Act.
This permission does not refer to first name, surname, ID Number, date of birth, marital status, nationality and
other, therefore permission to process this data is not requested – see Art. 58 item 3 of the Act, where this data is
listed. The permission refers to all other data.
Attachments:
1. CV
2. Confirmation of admissions process payment
3. Attested copies of degree documents (Degree Diploma, Certificate of the State Examination, Diploma
Supplement) according to university requirements
Date:
Applicant’s signature:
The Ministry of Education of the Slovak Republic, November 2006
3rd Page
Admissions process Record:
Admissions exams:
Subject
Date
Form of exam
Result
Overall assessment of applicant:
Number of points achieved:
Order Number:
Fulfilment of Admissions Process Conditions:
Recommendation of Admissions Board:
Date:
Signature of Admissions Board Chairman:
Suggestion of Admissions Board:
Date:
Signature of Admissions Board Chairman:
Dean’s (Rector’s) Decision:
Date:
Signature of the Faculty Dean (University Rector):
Rector’s decision (academic senate) on the application to review the decision of non-admission to
university or faculty (Art. 58 (9) Act No. 131/2002 Coll):
Date:
Rector’s signature (Chairman of the academic senate):
Dean’s decision (rector’s decision) on admission according to provisions of Art. 58 item 10 Act No.
131/2002, Coll.:
Date:
Signature of the Faculty Dean (University Rector):
The Ministry of Education of the Slovak Republic, November 2006
4th Page