APPLICATION FORM // Master of European and International Law For international students of the 2016 intake (2016-17 Academic Year) Please complete the form in English. 1. Personal information Family name Given name Gender Nationality ID number / passport number Date of birth (dd/mm/yyyy) Place of birth (city, country) 2. Contact information Postal address Postal code Telephone number (country code and area code) Mobile phone number E-mail 3. Contact person in case of emergency Family name Given name Relationship to the applicant Postal address Postal code Telephone number (country code and area code) Mobile phone number E-mail 1 4. Educational background (High School and above) Name of institution/ school Programme Dates of study Major Degree obtained If the categories above do not correspond to your own educational experience, please describe it in an equally detailed way below. 5. Language proficiency Mother tongue Was your undergraduate or postgraduate education in English? Certificate of English language ability (for non-native English speakers) Name of certificate Score Date of examination TOEFL IELTS Certificate of Chinese language ability (for non-native Chinese speakers) Title of the certificate and level achieved Experience in Chinese language studies (e.g. lecture hours) If you have studied languages other than English or Chinese, please explain below what they are and what level you have in reading, writing and speaking. 2 6. Work experience (including internships) Institution Title and area of responsibility Period of employment Referee (name, title, e-mail and telephone number) 7. Personal statement (maximum 500 words) Please provide information useful for assessing your application that is not included in any of items above. 3 8. Information policy How did you learn about the Master of European and International Law? Please check the boxes that best correspond to your answer, multiple answers are possible. Internet. I visited the following page(s): Social Media I read about it on: Fellow students/colleagues Family and friends My professor/lecturer Event/fair/conference Name of the event: Advertisement (online) Brochure/Leaflet CESL information event at my home university Print media article In this magazine or paper: Other Please describe: 9. Declaration I hereby confirm the information provided in this application is accurate. I am aware that any false information will lead to the invalidation of my application or expulsion from the programme. Signature: Date: 4 5