Return to: Section for Student and Faculty Services, P. O. BOX 7800, 5020 Bergen « + 47 55 58 94 19 / Fax +47 55 58 88 21
PERSONAL DATA Personalia
Family name/Etternavn: : First (and middle) name(s)/Fornavn: Date of birth/Fødselsdato Norw. ID-no/Norsk personnr
E-mail: Telephone/Telefon:
RESIDENCE PERMIT
6WXGHQWDW8L%
Quota Self financing master Erasmus Bilateral Nordplus/Nordliks
Guest Others specify):__________________________________________________________________
Dept. of affiliation at the University of Bergen: _____________________________________________________________________
5HIXJHHVDQGLPPLJUDQWV:
Refugee status/Flyktning Work permit/Arbeidstillatelse Spouse/Ektefelle *
*Please indicate the status of your spouse’s residence permit/Ektefelles oppholdstillatelse basert på:
Norwegian citizen/norsk statsborger Other (Please specify)/Annet (Vennligst spesifiser):____________________________________
PREVIOUS APPLICATION
Have you applied for a Norwegian course at UiB previously?/Har du søkt opptak til UiB norskkurs tidligere? Yes No
If you are going to take a Norwegian course examination this semester, please indicate the level and date/skal du ta eksamen denne semester,
vennligst skriv ned nivå og dato:
ADMISSION
Application for: Autumn semester 20___________________ Spring semester 20___________________
Courses with normal progression: Courses with fast progression (cover 2 levels in one semester):
NOR-U01 Level 1 NOR-U1/2 Level 1+2
NOR-U1 Level 1 NOR-U2/3 Level 2+3
NOR-U2 Level 2
NOR-U3 Level 3
Refugees and immigrants are offered courses during daytime (levels 2B and 3B)/Bosatte søkere tilbys i hovedsak spesielt
tilrettelagte kurs på dagtid (2b og 3b).
DO NOT WRITE HERE, for internal use/IKKE SKRIV HER, for intern bruk
Plasseringsprøve Dokumentasjon Status/merknad:
KNOWLEDGE OF NORWEGIAN
Do you have any knowledge of Norwegian? Har du kunnskaper i norsk?
No/Nei Poor/Svake Moderate/Middels Good/Gode
Examinations taken at the University of Bergen/Eksamener tatt ved UiB:
Level/Trinn Year/ År: Semester/Semester: Result/Resultat:
EDUCATIONAL BACKGROUND/Utdanningsbakgrunn
Institution/Institusjon: From: To: Degree/Certificate:
ENCLOSURES/ Vedlegg
6WXGHQWV
Certified copy of letter of acceptance/letter of extension
5HIXJHHVDQGLPPLJUDQWV:
Certified copy of educational background/utdanningsbakgrunn
Certified copy of valid residence permit (passport)/oppholdstillatelse
Other
____________________________________________________________________________________________________________
Please make a list of all documents to be forwarded later (Deadline 1 June/1 November)/Ettersendinger (frist 1.juni/1. november). :
____________________________________________________________________________________________________________
___________________________________________________________________________________________________________
____________________________________________________________________________________________________________
The application will not be processed unless you document your education. Copies of diplomas etc. must be certified by a
public office / Søknaden vil ikke bli vurdert dersom utdanningen ikke dokumenteres. Kopier av vitnemål og lignende må
være attestert ved et offentlig kontor (Deadline /frist 1 June/1 Nov).
,FHUWLI\WRWKHEHVWRIP\NQRZOHGJHWKDWDOOLQIRUPDWLRQJLYHQRQWKLVDSSOLFDWLRQIRUPLVFRUUHFWDQG
FRPSOHWH-HJEHNUHIWHUDWDOOLQIRUPDVMRQLV¡NQDGHQHUNRUUHNWRJNRPSOHWW
Date/Dato:_____________________________ Place/Sted:________________________________
Signature/Signatur: __________________________________