facebook/daniaitovabbtanulas
(Photograph)
compulsory
Please fill-in the form and return to us in Word format! A) STUDENTS PERSONAL DATA
Family Name (Surname) First Name (s) (Given name) Gender (tick ) Date of Birth (dd/mm/yyyy) Place of Birth Nationality Citizenship Street & No. Permanent Postal code & address City Country Address for Street and No. correspondenc Postal Code & e (if different City from above) Country Telephone No. (remember country code) Mobile No. (remember country code) E-mail (regularly checked!) CPR Number*
Female
Male
B) Application for admission to (please write here the name of the programme you are applying) : AP Degree in Bachelor Degree in Top-up Bachelor in Name of Institution C) If you are currently applying to other universities/colleges/academies in Denmark,
please list them below in order of priority (It is compulsory to fill in this section. The order of priority has to be the same as it is written in the KOT Application and Priority form.) Order of Admission Name of study programme Name of priority area no. (if university/academy/college any) 1. 2. 3. 4. 5. 6. 7.
*date/month/year of birth first two letters of your given name, first letter of your family name, gender: 1= male, 2= female Example: Emilia Solyom, 28 November 1993 CPR number: 281193 EMS2
Field of study Diplomas/degrees obtained (please attach copy) Year of graduation Students notes if any
F) LANGUAGE COMPETENCE
Mother Tongue ENGLISH language competence: Do you have one of the following English tests? Please tick YES or NO NO Grade/results obtained (please attach a copy of your diploma) Date of exam (or expected date)
YES IELTS FCE/CAE TOEFL Oxford Placement Test online Oxford Placement Test paper Other ENGLISH language tests: Name of test:
Grade/results obtained