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Hungary Helps Agency Private Limited Liability Company 1011 Budapest, Szilagyi Dezs6 tér 1. +36 1.896 5950 € HUNGARY HELPS SCYP@hungaryhelps.gov.hu Statement To Postpone the submission of the Medical Certificate*/Certificate of language proficiency/School certificates and their translations/Copy of Passport underline the relevant one(s)- This is a statement stating that the applicant for the grant is waiting for the result of the required medical certificate/certificate of language proficiency/school certificates and their translations/copy of passport (underline the relevant one(s)), and a copy of it will be send automatically after the issuance. This statement was made in accordance with the basic conditions required by the Call for Application. The applicant must respect this statement and submit the required document(s) before the due date. In case of delay, the full responsibilty willbe bome by the applicant and the applicant will be disqualified from the application procedure. * Please, bear in mind that the Medical Certificate must be submitted until 30" April (it must be submitted by those applicants whose applications are forwarded for entrance examination to the chosen Host Institution, however, it is possible to upload it from the beginning of the application period). 2 | confirm that | have read, understand and agree to the content of this statement and the above procedure for participation. Name of the Applicant (Capital letters) Reza bwh Pepin. 2 kee Signature of the Applicant: Date of signature: OS. lot (224

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