Foreign student application form

Study programme please chooseInternational Business - undergraduateInternational Business - graduateFinance and Accounting for Business undergraduateARIMA Joint Master’s Degree European Business and Finance - joint Master'sFinance & Acctng for Intl Business -graduate
Financing: / Fee-paying
Fees the same as Polish students (available only to EU/EEC citizens, refugees, residents, holders of Karta Polaka etc.)

PERSONAL DATA

Given name(s): / Surname:
Family name (if changed in the past): / Sexplease chooseFemaleMale
Date of birth (DD/MM/YEAR): / Place of birth:
Father’s name and surname: / Mother’s name: Mother’s family name:
Citizenship: Karta Polaka please chooseYESNO / PESEL (if applicable):

CONTACT DETAILS

Permanent address: / Street and number Town
Post code Country
Correspondence address: / the same as permanent address
different: street and number Town
Post code Country
Telephone: / International dialling code telephone number
e-mail:

EDUCATION

Document confirming education: / please chooseSecondary school leaving certificateDiploma of 1st cycle studies (Bachelor-level)
Institution which issued the document:
Place of issue:
Serial number of the document:
Date of issue:

PERSON TO BE NOTIFIED IN CASE OF EMERGENCY

Name and surname
Telephone: / International dialling code telephone number
e-mail:

I confirm that the information given above is true and I agree to the processing of my personal data for the purposes of the recruitment procedure, pursuant to the Personal Data Protection Act of 29 August 1997 (Dziennik Ustaw No. 133, item 883 as amended)

Attachments:

copy of passport
please choosecopy of visacopy of residence permit
recent official health certificate issued by a medical doctor, stating that there are no contraindications for your undertaking studies
certified translation of the health certificate into Polish (if applicable)
Document confirming education, legalized or bearing an apostille please chooseYESNO
Certified translation into Polish of the document confirming education
Complete transcript of subjects and results obtained during the course of studies (applicants to Master’s programmes)
Certified translation of the transcript into Polish
English language certificate (please specify)
Confirmation of the secondary school certificate’s equivalence with the Polish maturity certificate
Other

I am entitled to pursue education in Poland in compliance with therules applicable to Polish nationals (EU/EEC citizen, holder of Karta Polaka, or referred to in Article 43(2) of the Law on Higher Education) YES NO

I confirm that I have sufficient funds to cover the fees and costs of living in Poland during my studies. YES NO

Additional information/remarks (max. 1500 characters including spaces):

Place and date / ......
Signature