International Office - University of Vienna

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International Office - University of Vienna

Student Application Form

Non-EU Student Exchange program with partner universities in Africa & Asia

Field of Study : ...................................................................................................................................................

Students Personal Data Studienkennzahl: A

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Family name: ............................................................

Date of birth: ...............................

Nationality: ...............................................................

Postal address: .......................................................

First name: .........................................................

Sex (m/f): .....................

Student ID: A -

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Phone.: ...............................................................

................................................................................... E-mail:..................................................................

Ranking of institutions

(Please number 1 - 3 in the order of your preference)

Period of attendance:

(Please tick according to your preference)

University-wide Agreements:

China

Japan

Chinese University of Hongkong……..

Renmin University…….. academic year 2016/17…… academic year 2016/17……

Nankai University…….. academic year 2016/17……

China University of Political Science and Law….. winter term 2016.… summer term 2017…

Fudan University, Shanghai

City University of Hongkong.

Hitotsubashi University……..

Kyoto University …….. winter term 2016.… winter term 2016.… summer term 2017… summer term 2017… academic year 2016/17……

Momoyama Gakuin - St. Andrew’s University …...

Osaka University ……..

Tohoku University ……..

Tokyo Metropolitan University …….. academic year 2016/17…… academic year 2016/17…… academic year 2016/17…… academic year 2016/17…… academic year 2016/17…… academic year 2016/17…… academic year 2016/17……

Waseda University ……..

South Korea

Seoul National University……..

Korea University……..

Yonsei University……..

Taiwan

Tamkang University……..

National Taiwan University……..

National Chengchi University

South Africa

University of Pretoria ……..

Department of East Asian Studies academic year 2016/17…… academic year 2016/17…… academic year 2016/17…… academic year 2016/17…… winter term 2016…… summer term 2017……

Japan Hosei University ……..

Meiji University ……..

Tokyo University of Foreign Studies ……..

Yokohama City University……..

Department of Business Administration

Singapore Singapore Management University ……..

Department of Protestant Theology /Cultural and Social Anthropology

Lebanon Near East School of Theology, Beirut ……..

University of Balamand ……..

Université Saint-Joseph …….. academic year 2016/17…… academic year 2016/17…… academic year 2016/17…… academic year 2016/17…… winter term 2016…… summer term 2017…… academic year 2016/17…… academic year 2016/17…… academic year 2016/17……

Department of African Studies

Tanzania

University of Dar Es Salaam…….. winter term 2016…… summer term 2017……

Language skills: requirements see webpage (http://non-eu-exchange.univie.ac.at)

English Korean Chinese Japanese

……………

Excellent

Good

Basic knowledge

Proof of the language competences:

Academic transcript (for philological studies)

Language test

Name of the test:

Date:

Score:

D e c l a r a t i o n

I have read the information on the Non-EU Student Exchange Program available at the International Office´s website of the University of Vienna. I realize that some university agreements have special requirements which

I have to fulfill in order to apply for them.

I wish to apply for the program(s) that I indicated on the first page of this application form. I hereby certify that

I fulfill the application qualifications according to the University of Vienna’s scholarship requirements.

Furthermore, I certify that the statements I have made on this application are true and correct. I know that I have to repay the scholarship if my application shows contradictory or false statements. I will inform the

International Office in case there are any alterations to this application or in case I will receive any other scholarship. I understand that the application process may include supplementary documents which I agree to complete promptly.

I understand that in case of a nomination I will be studying on a non-fee/non-degree-status basis. I hereby authorize my application to be distributed to other participants in the exchange program. I agree to participate in a buddy program that offers support to incoming students. I further agree that neither the University of

Vienna nor the partner university will be held responsible for any liabilities whatsoever; furthermore, neither the University of Vienna nor the partner university shall be required to purchase any insurance against loss or damage to any personal property to which this application relates.

Due to the limited number of places and the fact that nominated students must be distributed on the first or second semester of the academic year, I understand that in case of a nomination the period of attendance may be different from the one I indicated on the first page of this application form.

I am responsible to cover and pay for any desired health/accident/travel insurance myself. In any case I will maintain my Austrian health insurance during my stay abroad.

Applicant's signature: ........................................... Date: .........................

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