Universidad Internacional de Andalucía

Application and/or Enrolment Form

N.B. Before completing your application, please read instructions on the last page of this form. Please complete shaded boxes using the codes shown in "Instructions for completion of enrolment form".
Academic Programme Code / Title / Branch Campus

A. Personal information

A1. First surname / A2. Second surname / A3. First name
A4. ID or Passport Number / A5. Place of birth / A6. Date of birth / A7. Nationality / A8. Sex:
Male Female
A9. Telephone / A10. Cell telephone / A11. E-mail

B. Usual address

B1. Street name / B2. Street number / B3. Flat /House number
B4. Postal code / B5. Town/City / B6. Province/State / B7. Country

C. Qualifications and professional background (See enclosed "Instructions for completion of enrolment form")

C1. University or higher studies
Level of education (1) / University attended (2) / Degree obtained or expected (3) / Year (if you are currently studying)
C2. Other qualifications (Non-university. Complete only if you have no university or higher studies).
Level of education(1) / Qualifications obtained or expected / Institution / Year (if you are currently studying)
C3. Employment

Employment: YES NO Public sector Private sector
Professional status (4) / Employer's name / Job title

D. Enrolment

D1. Branch Campus Code ** / D2. Programme or Event Code / D3. Course enrolment:
Full programme Individual course or subject
D4. Programme or Event Name
D5. If the programme provides a choice of individual courses or subjects, please indicate in which courses or subjects you wish to enrol.
Name of the course or subject in which you wish to enrol / Credits
D6. Have you applied for a UNIA scholarship for this course?
Yes, I have applied for a UNIA scholarship
D7. Have you applied for an assistance grant from UNIA for this course?
Yes, for accommodation Yes, for accommodation and maintenance

E. Type of enrolment

NON-ACCREDITED COURSES

Ordinary enrolment

UNIA Scolarship /
ACCREDITED COURSES

Ordinary enrolment
UNIA Scholarship / MEPSYD (Ministry for Education, Social Policies and Sport) Scholarship
General large family discount
Special large family discount
Person with disability (minimum 33% disability) and victims of terrorism

F. Payment

N.B. Please consult enrolment instructions for your course in the course information brochure or on the web page to find out the applicable amounts and concepts.
F1. Payment of Summer Courses
Academic services
Price per course (107 €, except for course 308CV01, the price of which is 172€ ) / €
Administrative services
Registration fees (compulsory payment of 8 €) / €
Total
/ €
F2. Payment of other teaching programmes (Accredited Master's Courses)
Academic services
/ Price of full course/programme / €
Price per credit (indicate number of credits and €/credit)
/ / credits @ / €/credit / €
PhD Supervision Fee / €
Administrative services
/ Registration / €
Student ID Card / €
Student Insurance 1,12 € / €
Certificate issuance fee / €
Miscellaneous services
Health Insurance / €
Total
/ €
F3. Method of payment
Cash deposit * / Single payment of full amount
Bank transfer* / Partial payment
Electronic payment
(**) Branch Campus Code (*) and account number for bank transfer or cash deposit.
01 / Monasterio de la Cartuja. Seville / Cajasol / 2098.0145.58.0102000075 / 03 / Antonio Machado de Baeza / Caja Rural Jaén / 3067.0012.52.1147998627
02 / Santa María de La Rábida / Cajasol / 2098.0148.94.0107581982 / 04 / Sede Tecnológica de Málaga / Unicaja / 2103.0287.65.0030000369

G. Documents to be submitted

G1. General documents:
·  Photocopy of ID card, foreign citizen's tax ID (N.I.E.) or passport, in the case on non-Spanish citizens.
·  Payment receipt
G2. Specific documents:
·  Please consult the instructions on the website or in the information brochure for documents to be submitted for each programme.
In , on , .
Applicant's signature

I do not wish to receive information from UNIA about future courses or cultural activities.

I do not give my permission for UNIA to notify me on my application status by e-mail or SMS. Please bear in mind that SMS or E-mail enables applicants to receive notifications much faster.
According to Basic Law 15/1999 on the Protection of Personal Data, we hereby inform you that your personal data will be included in a file at Universidad Internacional de Andalucía, at Monasterio Santa María de las Cuevas, c/ Américo Vespucio nº 2, 41092 - Seville, for the purpose of processing your application and implementing the required procedures. Your data may be forwarded to any public administration, as provided by law, and to any insurance company with whom UNIA has entered into a contract.
You may exercise your rights to access, rectify or cancel your data: by writing to the above address, for the attention of the LOPD Department ; by e-mail to ; or personally, at any UNIA branch campus.
By signing this application, you authorize international data transfers of your data, within the scope of teaching, to lecturers residing outwith the European Economic Area.

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