Address for applications only:

International School for Graduate Studies (ISGS)

University of Kaiserslautern Gottlieb-Daimler-Str. 47 67663 Kaiserslautern Germany

APPLICATION FORM FOR INTERNATIONAL APPLICANTS TO OBTAIN ADMISSION TO THE DEGREE PROGRAM OF

MASTER OF SCIENCE IN ELECTRICAL & COMPUTER ENGINEERING

1 BRANCH OF SPECIALIZATION (make a preliminary choice)

Automation and Control Communication Systems Integrated Systems Embedded Computing Systems Power Systems Mechatronics
Photo

2 PERSONAL DETAILS
Family Name First Name Sex/ Date of Birth Place of Birth Citizenship Male Female dd/mm/yy

3 CORRESPONDENCE ADDRESS (Address to which correspondence will be sent from now on)
c/o House No./ Street Postal/ Zip code Town Country Email Phone/ Fax

4 HOME ADDRESS (if different from 3.)

House No./ Street Postal/ Zip code Town Country Email Phone/ Fax

5 YOUR EDUCATIONAL BACKGROUND

All details must be confirmed by enclosing officially certified/ attested certificates and documents and officially certified/ attested German or English translations! Please do not send the originals of the Certificates!

5.1 School Education

What is the highest level of your secondary education?

5.2 Higher Education

At which university or universities have you been studying so far? University 1 Name of University Country Study programme Period of Study Language of Instruction Degree obtained (year) Degree class (excellent, with distinction, 8 of 10) University 2

5.3 Graduate Record Examination (GRE)

If you have already taken a GRE, please indicate date, place and result!

Date Place Result Please enclose certificate!

5.4 Other Activities

Which other activities have you carried out or which trainings have you pursued that could be relevant for your application (e.g. professional or vocational training, further education)?

6 LANGUAGE PROFICIENCY
6.1 German language skills
Have you ever learnt German? No Yes. If yes:

Where Which level How many hours Name of the institution Full name of certificate Place and Date

Are you a member of a German-speaking minority abroad?

Yes

No

6.2 English language skills

Which English proficiency test have you taken and what was the result?

TOEFL IELTS Others

Which other languages do you speak and at what level?

6.3 Financing of your Studies?

Have you been awarded a scholarship? (If yes, please enclose supporting documents.) I will apply for scholarship at: Yes No

I have other sources of funding (voluntary answer)

Have you been granted asylum in the Federal Republic of Germany? (If yes, please enclose supporting documents.)

Yes

No

7 VOLUNTARY INFORMATION (how did you learn about this program?)

I confirm to the best of my knowledge and belief all the information I have given on this form is true, complete and accurate. I have enclosed the required documents (certificates, supporting documents). I am aware that intentionally or negligently giving false information constitutes an administrative offence and may lead to exclusion from the admissions procedure or if discovered at a later date to the cancellation of my admission or enrolment. I confirm that I have read the admission information.

Place

Date

Signature

Please note: The above information will be stored and processed by the ISGS and the central administration of the University of Kaiserslautern. They are fully subject to the data protection regulations currently in force.

ver10/05/2011

CHECKLIST FOR YOUR APPLICATION (I have included the following documents)

Please note: If any of the documents listed are missing, your application cannot be considered! Application form (all entries completed) Curriculum Vitae Certified copy of your Bachelor/Master degree and transcript Certified translation (German or English) of your Bachelor/Master certificate and transcript Short description of the subjects covered during your previous studies Motivation letter Two recommendation letters from faculty staff Proof of your English proficiency (TOEFL 213/550/80 or IELTS 6.0 or equivalent) Proof of your German proficiency, if existing GRE (strongly recommended) APS (for applicants of the Peoples Republic of China, Mongolia & Vietnam)

Please send the application to: Name: University of Kaiserslautern | International School for Graduate Studies (ISGS) Address: Gottlieb-Daimler-Str. 47 Post Code: 67663 | City: Kaiserslautern | Country: Germany