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APPLICATION FOR ADMISSION

F O R F O R E I G N A P P L I C A N T S
for the Winter Semester 20___ / 20___ Duisburg Campus
for the Summer Semester 20___ Essen Campus
Not to be filled in by the applicant!
Please observe the application deadlines (and our website)!
15 January for the following summer semester (starts in April)
15 July for the following winter semester (starts in October)

1. DESIRED DEGREE COURSE Eingang


1.1 1st choice degree course Bewerber-ID:
1st major subject/ Semester*
degree course
2nd major Antrags-Nr.

Course focus HZB ja nein


*Which semester are you applying for? Enter only if you have a credit transfer note.
Target degree for the 1st choice degree course Art Fach
Diplom Staatsexamen Bachelor’s Master’s Doctorate Note Datum
No formal degree Other degree/qualification Teaching degree for __________schools
Erststudium Zweitstudium
1.2 2nd choice degree course
Aufbaustudium Promotion
Which degree course do you wish to apply for if you cannot be admitted to the 1st choice degree course?
1st major subject/ Semester* Feststellungsprüfung ja nein
degree course
2nd major Studienkolleg - Kurs

Course focus APS


*Which semester are you applying for? Enter only if you have a credit transfer note. FS PA am
Target degree for the 2nd choice degree course NC
Diplom Staatsexamen Bachelor’s Master’s Doctorate
Deutschkenntnisse
No formal degree Other degree/qualification Teaching degree for __________schools Gesamtstundenzahl
Niveau
2. PERSONAL DETAILS (Enter exactly as stated in your passport!) DSH erforderlich
Surname/Family name Gender: DSH nicht erforderlich
Male Female DSH liegt vor
First/Given name(s) Englischkenntnisse
ausreichend
TOEFL
Date of birth
IELTS

Place of birth
Nachreichung angefordert
Day Month Year Nationality(-ies)

Frist
3. ADDRESS
c/o Ablehnung
Zugangsbescheid Prüfungsergebnis
Sprachkurs T kT
House No./Street/Road, etc.
DSH B nB kT
Fachstudium Kooperation
Supplements (e.g. Block, Building, Room No., etc.)

Postcode/Zip Code Town/City/Postal District

Country Tel./Fax Email

Are you already residing in Germany? Yes No


4. YOUR EDUCATIONAL BACKGROUND (Attach your certificates in full!)

All details must be proven by copies of the original documents (e.g. school leaving certificates, records of study,
transcripts, etc.) and German or English translations. The aforementioned documents have to be attached to this
application form. Please be aware that we cannot process your application without complete documentation or if any
details are missing.
(Please write in block capitals.)
CURRICULUM VITAE
Education/Training Duration Details: name, location and country of educational institution
from - to
School education
(enter details of university study
below)

Period of schooling
Primary/elementary school to the
end of your schooling

Which school leaving certificate Date Original name: e.g. baccalauréat, Lise diplomasi, Maturität
did you obtain?

Country
Did you take an entrance
qualification exam for no Name
higher education in the
country in which you did yes
the schooling? Month
If yes, please enter date and name. Year

Have you ever studied in Germany


and/or in a foreign country?
yes no
If yes, please enter when and where.
Also see no. 9!
Studies
Which course of study at which
institution? Details of the subject(s)
studied. Which examinations did
you take? Which qualifications/
degrees did you earn? (Please
also enter any failed exams.)

Studienkolleg Date of assessment test Name and place of the Studienkolleg Course focus
(Preparatory/foundation course)
Did you attend a Studienkolleg in
the Federal Republic of Germany
or take the assessment test
(Feststellungsprüfung)?
yes no

Curriculum Vitae

Higher education/occupational
training from school leaving
certificate until today (date of this
application)

Please enter your educational


background/career in chronological
order. (Duplicate entries - in addition
to the above - are desired.)

!
5. LANGUAGE PROFICIENCY (Please enclose copies of all your supporting documents!)
5.1 Command of German
Have you ever taken lessons in German? yes no
Which level? Basic (Grundstufe) Intermediate (Mittelstufe) How many hours in total? hrs

Full name of the certificate awarded Date awarded

At which institution? Where?


Have you taken the TestDaF? yes no if yes, please enter all levels ______ ______ _____ ______TDN
reading listening writing speaking
Are you currently attending a
German language course? yes no if yes, please state the full name of the institution

5.2 Which other language skills do you possess? English


(for degree courses which are not or not only instructed in German)
Which certificates do you hold in this language?
(e.g. TOEFL, IELTS, CET, Cambridge Certicate, etc.) Score

6. APPLICATION FOR ADMISSION TO A LANGUAGE COURSE

Do you wish to apply for admission to a German language course? yes no

The costs are directly charged by the language schools that are active on the market. These schools also
assess the respective level of the language courses. The degree course -where the language of instruction
is German- can only be started in case that the DSH exam has been passed!

7. OTHER APPLICATIONS
Have you ever applied to Duisburg-Essen University before?

yes for the winter semester 20 __ / __ for the summer semester 20 __

Duisburg Campus Degree course

Essen Campus Degree course

no

Please name all other German higher education institutions (colleges/universities) you have applied/intend to apply
to:
8. PREVIOUS UNIVERSITY EDUCATION IN GERMANY
Have you ever studied in Germany? yes no
In case that you did, please submit confirmation about period of studies.
Complete name of college(s)/university(-ies)
Semester of SS WS
Where in Germany? 1st enrolment Year?
Which course(s)/major(s) did you
study in Germany?
If you have already studied in Germany, which semester are you/were you in?
Semesters Subject-related Semesters on leave Period (in semesters)
in total semesters (Urlaubssemester) without studying
Which grades/degrees did you obtain at the aforementioned college(s)/university(-ies) in Germany?

9. INFORMATION ABOUT THE STUDIENKOLLEG


According to a resolution of the state government of North Rhine-Westphalia the state-run preparatory courses
„Studienkollegs“ were abolished.

More information about Studienkollegs outside North Rhine-Westphalia:


http://www.studienkolleg.de

We can only process your application if sufficient and precise information is given, the form is signed, and all required documents are enclosed!
Important information - Read carefully !!!

I confirm that to the best of my knowledge and belief all the information I have given on this form is true, complete and accurate. The required documents (copies
of school leaving certificates, records of study, proofs, transcripts, etc.) are enclosed. For Chinese, Mongolian and Vietnamese applicants: The original of the APS-
certificate has to be submitted.
I accept full responsibility for the completeness of my application and keeping my details up to date (e.g. addresses).
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. Giving false information in the said manner can result in the exclusion from
university study.
I certify that no other university in Germany has ever excluded me from studying. Furthermore, I affirm that I did not ultimately fail any examination that is stipulated
by the respective examination rules of an institute of higher education in Germany.
I am aware that my documents will be destroyed within a year March 31 or September 30.
Students have to pay study fees in North Rhine-Westphalia. More information can be obtained on the internet: http://www.uni-due.de/international/en_studyfees.shtml.
I agree to the storage and processing of my data by the University of Duisburg-Essen. They are fully covered by the data protection regulations currently in force.
I declare that I have read the Information Leaflet on the Application Form for Admission to Studies and the enrolment regulations (Einschreibungsordnung).

Place Date Signature

Please do not fail to meet the application deadline and forward this application together with your complete documents
(depending on the campus where the study course of your first choice is offered) either
to: International Office or to: International Office
University of Duisburg-Essen University of Duisburg-Essen
Geibelstr. 41 Universitaetsstr. 2
Stand: 11 / 10

47057 Duisburg 45141 Essen


Germany Germany