Application form for admission to studies for foreign applicants

Applicant number: 2038324

Semester: summer semester 2019 (beginning of studies in march/april 2019)

Higher Education Institute: Chemnitz, Technische Universität Chemnitz (TU)

Application form for course of study:

Master Automotive Software Engineering

1. Information on the desired degree course

1.1. Course 1. choice (submitted)

Target degree in Germany : Master

Course number Course name Course semester

1. course Automotive Software Engineering 1

2. Personal details
Surname/Family name Razzaq

First/Given name(s) Umar

Sex male Date of birth 6.8.1993

Place of birth Kharian

Nationality/Nationalities Pakistan

3. Correspondence address
c/o

House number/Street/Road Village Murala Tehisl Kharain District Gujrat

etc.

Postcode/Zip code 50090 Town/City/Postal Gujrat

district

Country Pakistan

E-Mail umarrazzaq007@gmail.com

Telephone 0092537530132

Mobile phone 00923009823715

4. School leaving certificate

Date 2013-12-27

Original name Higher Secondary (School) Certificate / Intermediate (Examination)

Certificate (bzw. Zeugnisersatzbescheinigung), Group: Science / Pre-
Engineering / Pre-Medical

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 Country Pakistan,Islamische Rep.

5. Your educational background

All details must be proven by enclosing officially certified/attested certificates/supporting documents and
officially certified/attested German or English translations. It is essential that you include these with your
application. Important Note. Some higher education institutions (HEIs) do accept certificates/supporting
documents in other languages (please observe the detailed information provided by the HEI in question).

Studies completed at a German university/ German university of applied sciences

Studies completed outside of Germany

1st apprenticeship/study course/work placement - from MM/YY Sep/2013 to Feb/2018

to MM/YY

Name and place of institution (in the original language in latin University of Gujrat
script!)

Specify the field/subject(s): IT and Computing

Name of qualification/position of employment/placement Bachelor of Software Engineering

Pass? yes

2nd apprenticeship/study course/work placement - from March/2011 to June/2013

MM/YY to MM/YY

Name and place of institution (in the original language in latin Garrison Academy, Kharian Cantt
script!)

Specify the field/subject(s): Engineering

Name of qualification/position of employment/placement FSC (Pre-Engineering)

Pass? yes

3rd apprenticeship/study course/work placement - from MM/YY March/2009 to March/2011

to MM/YY

Name and place of institution (in the original language in latin Garrison Academy, Kharian Cantt
script!)

Specify the field/subject(s): Science

Name of qualification/position of employment/placement Matric in Science

Pass? yes

Activities prior to application

Length of activity (from MM/YY to MM/YY) 03/2017 to Onward

Type of activity Network Engineer

Length of activity (from MM/YY to MM/YY) 08/2014 to 02/2017

Type of activity As Computer Science Teacher

German language skills

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 Do you have any knowledge of German? no

Have you completed any of the following standards tests? ---

Are you currently enrolled on a German course? no

Details of English language skills

Do you have any knowledge of English? yes

What is the level of your English skills (if English is not your CERF (B2)
native language/the language of administration in your country,
and if you have not completed one of the standards tests
below)

IELTS academics yes

If yes, please provide your level CERF (B2)

(reading/listening/writing/speaking)

If yes, please enter your Overall Band Score 5.5

Other relevant questions for admission (in keeping with German federal regulations
regarding allocation of study places)

Have you been granted asylum in the Federal Republic of no

Germany? (If yes, please attach proof)

Are you taking part in an exchange programme with our no

university?

Studienkolleg und Feststellungsprüfung

Are you applying for admission to the next available no

"Studienkolleg" course?

Have you already been examined for admission to a no

Studienkolleg course?

Pre-study preparatory German course and DSH language test

Are you applying for admission to the next available pre-study no

preparatory German course at the university you have applied
to?

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. Beyond that I assure that my specifications about my academic background are
complete and that I did not conceal any studies done at a university. I have enclosed the required documents
(certificates, supporting documents, etc.). I am aware that intentionally or negligently giving false information
constitutes an administrative offense and may lead to exclusion from the admissions procedure or – if
discovered at a later date – to the cancellation of my admission or enrollment. I confirm that I have read the
admissions information.
All entries completed? Please print out form and sign it. Please enclose all documents.

Place Date Signature

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The above information will be stored and processed by the higher education institutions. They are fully
subject to the data protection regulations currently in force.

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