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Master of Science
Information and Communications Engineering (ICE)
APPLICATION FORM ICE Master Course 14/15 starting in October 2014
Please TYPE your entries in the form and then print it or use CAPITAL LETTERS if you hand-write
Last (family) name
First Name:
(as written on your passport):
( ) Male
Marital status:
City/Country of birth
( ) Female
Date of birth
Country of citizenship
Correspondence address
Permanent address if different
Street / number
City/State
Postal code
Country
email address
ACADEMIC BACKGROUND
Name of your
University
City, Country (
Name of your College
City / State / Country
Dates of attendance
Type of degree
obtained
Grades
(e.g. 3.82/4 or 2.0)
Explanation of grading
system:
The information in this section has to be very precise (exactly as indicated on your university documents)
From (MM/YY)
To (MM/YY)
Write the title of your degree in the original language on the degree certificates. For languages which are not with the Latin alphabet,
please write the title phonetically (for example Karshenasi mohandesi, bakalavr, Idjaza 5, etc.)
Semester 1
Semester 2
Semester 3
Semester 4
Semester 5
Semester 6
Semester 7
Semester 8
Semester 9 (if applicable)
Semester 10 (if applicable
OVERALL GRADE of Bachelor’s degree
Highest grade possible:
Minimum passing mark:
Further details if applicable:
If degree is pending:
Name of degree pursued
+ Expected date of completion:
+ Complete list of outstanding
subjects:
Other university degree
you have completed
Please add all details: Name of university, college, dates of attendance (MM/YY)
Details about previous
incomplete or failed
program of study
Please add all details: Name of university, college, dates of attendance (MM/YY)
Name and date of your
high school completion
certificate
Write the title of your high school completion certificate in the original language on the degree certificates. For languages which are not
with the Latin alphabet, please write the title phonetically
Document1
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Photograph on p. 1
Master of Science
Information and Communications Engineering (ICE)
APPLICATION FORM ICE Master Course 14/15 starting in October 2014
Please TYPE your entries in the form and then print it or use CAPITAL LETTERS if you hand-write
Last (family) name
First Name:
(as written on your passport):
LANGUAGE SKILLS / COMPETENCE
ENGLISH
( ) TOEFL Score obtained:
An examination for
English is absolutely
necessary
Date:
( ) IELTS Score obtained:
Date:
If your examination for English is pending: Which examination is pending?:
Date of availability of your final score?
GERMAN
1-
Compulsory section
2-
( ) I am attaching the results of my examination for level A1
Language Institute:………...
Number of hours: ………….
( ) I am in the process of learning German (please download the document called
“German” on our website and fill it out, add it to your application documents. German is a
requirement for our program and the applications can only be processed with valid and
complete information about your situation regarding a language course.
Compulsory section
( ) I am aware that my application can only be processed if I already have an examination
for level A1 or if I can provide all details about the German course I am attending (Date of
examination for level A1, latest September 15, 2014)
PROFESSIONAL EXPERIENCE (Optional - please list the work experience with a duration > 1year)
Employer 1
Name and address of employer /Position / Start and Enddate (MM/YY)
Employer 2
Name and address of employer /Position / Start and Enddate (MM/YY)
HOW DID YOU FIND US? (..) DAAD
(..) Internet
(..) Flyer
(..) others
FINANCIAL ARRANGEMENTS
Do you need a visa?
If yes, what is the amount of money required for per year of studies by the German Consulate nearest to you?
Amount in EURO:______
To which other universities have you applied?
Declaration
I declare that the information submitted in my application is correct and complete. I authorise the University to obtain information
from any educational institution previously or currently attended by me. If any information supplied by me is considered to be
untrue, incomplete or misleading in any respect, I understand the University may take such action as it believes necessary,
including the disclosure of the information to any person or body the University considers has a legitimate interest in receiving it,
and I consent to such disclosure. I understand the University reserves the right to vary or reverse any decision made on the basis
of untrue, incomplete or misleading information.
Signature:
Our postal address:
Document1
Date:
Technische Hochschule Mittelhessen
Ms. Anton – Master ICE
Wilhelm-Leuschner Str. 13
61169 Friedberg
Germany
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