South Westphalia University of Applied Sciences Postgraduate Studies in Systems Engineering & Engineering Management RECENT PHOTOGRAPH Submit to: Hochschulabteilung Soest FB16-MSC Luebecker Ring 2 D-59494 Soest Germany November 30 (for Summersemester) Application Deadline: THIS FORM IS ONLY TO BE COMPLETED BY SELF-SUPPORTING STUDENTS, I.E. BY APPLICANTS WHO HAVE NOT APPLIED AND WILL NOT APPLY FOR A DAAD SCHOLARSHIP PLEASE TYPE OR PRINT CLEARLY USING BLACK INK PERSONAL INFORMATION Family Given name(s) Present Mailing Address Valid until:___________ Street Zip code City Phone Zip code City Phone Permanent Address Street Date of Birth: Gender: day/month/year F‰ M‰ Native Language: ____________ Place of Birth: Citizenship: Marital Status: Other Language Fluency: Office use only Date of Submission: Date/time: Accepted: Notified: Notified: EDUCATIONAL HISTORY Undergraduate / Graduate / Postgraduate Study (start with most recent) College/University/Fachhochschule (Example: Fachhochschule Münster City &Country Date(s) 30.03.97 Degree Dipl.-Ing.(FH) in subject total marks/scale* Elektrot. 2,97/4) * Average WORK EXPERIENCE How many years of full-time work experience will you have at the time you enter the program? Begin with the most recent employment. List any full-time or part-time positions including present and summer employment. (If necessary, attach additional sheets using the same format). Dates Employer City/Country Position hours per week Employer City/Country Position/Title hours per week Employer City/Country Position/Title hours per week Responsibilities Dates Responsibilities Dates Responsibilities Please list all countries in which you have lived or visited for one month or more and the nature of your stay (work, study, etc.). country year length of stay purpose Other experiences in English language: ‰ Single degree ‰ Double degree (studying 2. Semester at the Bolton University, UK - Sem. Fee 2165 £) &onditions of Participation All registrations will be considered and confirmed in order of receipt; they will be processed by means of an address file. Registration fees are free of VAT, and should be paid without deductions on receipt of our invoice. Cancellations not received three days before the start of the course will have to be charged in full. It is not possible for courses to be only partially attended against a reduced fee, or for one place to be divided between more than one participant. We reserve the right to cancel courses in circumstances for which we can not be held responsible (e.g. insufficient number of registrations, illness of lecturers, etc.). In this case participants will be informed as soon as possible. Registration fees will be refunded, but no further claims can be considered. In exceptional cases the staff, program, or contents of a course may be subject to alteration. I affirm that this application contains no misrepresentation or falsification and that the information given by me is true and complete to the best of my knowledge and belief. If admitted into the Postgraduate Program, I agree to observe the rules and regulations of the University of Paderborn and Bolton Institute. Signature Date The copies of degrees, curriculum vitae are enclosed. Information regarding your application Please attach the following documents: • two letters of reference from senior academics from the applicant's field • curriculum vitae Officially authenticated copies of the following: • all university end of year exam certificates with individual grades • university diploma/bachelor or degree certificate (equivalent to Bach. Degree) indicating the final grade All certificates must be accompanied by an explanation of the grading system. Copies of certificates must be officially authenticated. Certificate copies may be authenticated as true copies of the originals with stamp and signature by the school or university which conferred the degree. • English language certificate (a TOEFL score 550/213/79) or IELTS band 6 is required)