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Technische Universitt Berlin

Abt. I - Studierendenservice

FORM I

EXCHANGE STUDENT APPLICATION


to be completed by computer!

Technische Universitt Berlin Akademisches Auslandsamt ID Strae des 17. Juni 135 10623 Berlin Germany

(Picture)

Date: Month Year Enrolment for: Winter Semester and/or Summer Semester

For a total period from*: Month Year to: Month Year Personal Data Family Name: Gender: Male Female

First Name(s): Nationality:

Date of Birth (day/month/year): Place of Birth (city/country): Address until arrival in Berlin

Phone:

Fax:

Technische Universitt Berlin


Abt. I - Studierendenservice

E-Mail:
*Preceeding each semester the Center for Modern Languages (ZEMS) of TU Berlin is offering a 4 week intensive German language Course (60h) for exchange students who already have a certain German competence. Courses start in the beginning of March for summer semesters and in the beginning of September for winter semesters. Please consider this when filling in the form.

Academic Data Home University: Country: Field of Study: Bachelor Dual Degree Master Erasmus-subject area code:
(Applicable for Erasmus students only)

Erasmuscode:

(Applicable for Erasmus students only)

(please include a copy of your BA degree)

(only if offered under the exchange agreement)

Buddy-Service Would you like to get in touch with a TU-student as your buddy? Yes No
(As soon as we find a buddy for you we will inform you via email. Should you not receive an email, we were unfortunately not able to assign a buddy to you)

TO BE COMPLETED BY INTERNATIONAL OFFICE OR EXCHANGE COORDINATOR

This is to certify that (students name) at (home university)

is enrolled and is nominated

to participate in our exchange programme with Technische Universitt Berlin from to .

Exchange Coordinators Signature

Home Universitys Stamp

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