E photograph cts – european credit transfer system




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E

Photograph


CTS – EUROPEAN CREDIT TRANSFER SYSTEM



Student Application Form

Academic year: 20__ / 20__


Field of study:
This application should be in BLACK

in order to be easily copied and/or telefaxed


Sending Institution


Name and full address Technische Universität Berlin



Straße des 17. Juni 135

D – 10623 Berlin
Departmental Coordinator:

(Name, Telephone, Fax and Email)


Institutional Coordinator Dr. Carola Beckmeier

Technische Universität Berlin - International Office ID

Straße des 17. Juni 135

D – 10623 Berlin

Tel. +49-30-314-24799, Fax +49-30-314-24067



carola.beckmeier@tu-berlin.de


Students Personal Data


(to be completed by the student applying)


Family name:




First name:




Date of birth:




Sex:




Place of birth:




Nationality:




Current address:




Permanent address:




























Current address is valid until:







Tel.:

Tel. :

E-Mail:





List of institutions which will receive this application form (in order of preference)


Institution

Country

Period of study

Duration of

stay months)

No. of expected

ECTS credits

from

to

1.
















2.
















3.


















Name of student




Sending institution: Technical University Berlin
Germany




Briefly state the reasons why you wish to study abroad:



LANGUAGE COMPETENCE





Mother tongue:




Language of instruction at home institution:

German

Other languages:

I am currently studying

this language



I have sufficient knowledge to follow lectures

I would have sufficient know-ledge to follow lectures if I had some extra preparation




YES

NO

YES

NO

YES

NO

1.

[ ]

[ ]

[ ]

[ ]

[ ]

[ ]

2.

[ ]

[ ]

[ ]

[ ]

[ ]

[ ]

3.

[ ]

[ ]

[ ]

[ ]

[ ]

[ ]


WORK EXPERIENCE RELATED TO CURRENT STUDY (if relevant)


Type of work experience

Firm/organisation

Dates

Country







































PREVIOUS AND CURRENT STUDY





Diploma/degree for which you are currently studying:

Number of higher education study years prior to departure abroad:




Have you already been studying abroad?

Yes [ ]

No [ ]

If Yes, when ? at which institution ?










The attached Transcript of Records includes full details of previous and current higher education study. Details not known at the time of application will be provided at a later stage.



Do you wish to apply for a mobility grant to assist towards the additional costs of your study period abroad ?




Yes [ ]

No [ ]



Receiving institution





We hereby acknowledge receipt of the application, the proposed learning agreement and the

candidate’s transcript of records.












The above-mentioned student is

[ ]

provisionally accepted at our institution




[ ]

not accepted at our institution










Date: …………………………………..




Date: …………………………………..



















Departmental Coordinator’s signature




Institutional Coordinator’s signature




ECTS Application Form Page of 2


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