Registration No.:

Permanent residence address:
Street and No.:
City(municipality): / ZIP code:
District: / Country:
Postal address (if different from the permanent residence address):
Street and No.:
City(municipality): / ZIP code:
District: / Country:
Place of abode of the alien resident3):
Street and No.:
City(municipality): / ZIP code:
District: / Country:
University:
Faculty:
Detached department:
Study programme4):
Form of study 5): / Method of study6):
Study programme4):
Form of study 5): / Method of study6):
Study programme4):
Form of study 5): / Method of study6):
Ishall take the admittance test in aforeign language 7):

FILL IN LEGIBLY IN BLOCK CAPITAL LETTERS.

See p. 4 for notes.

Ministry of Education, Science, Research and Sport of the Slovak Republic,09/2013Page 1

The year of the secondary school leaving examination8): / Secondary school code9):
Secondary school passed2): / Gymnasium / Secondary vocational school / Secondary vocational apprentice school / Conservatory / comprehensive secondary schol / other
Name10):
Street and No.:
City (municipality): / ZIP code: / Country:
Field of study 11): / Field of study code:
Level of education attained:

The applicant shall enter the results of their study at the secondary school to the extent as required by the University or the Faculty. The applicant taking their school leaving examination in the current school year shall not fill in the results of their study in the final year, and in the part School-leaving Grading shall only complete the column the School-leaving Examination Study Subject and the column Level. The applicant taking their school leaving examination earlier than in the year 2004 shall fill in the column the School-leaving Examination Study Subject in the part the School-leaving Grading, the column Oral form (grade) within the internal part, the Date of the School-leaving Examination, and the Average Grade of the School-leaving Examination.

The applicant shall specify in a separate annex their participation and achievements in conferences, competitions, authorship of discoveries or industrial designs, and the results of their spare time activity, if so required by the University or Faculty in the conditions for admission.

Study results as per the final-year Report in individual grades of the secondary school
(do not enter assessment of conduct)
Study Subject / Grade
I / II / III / IV / V / VI
Average grading (specify at two decimal places)

The School-leaving Examination grading

The School-leaving Examination Study Subject / Level / External part / Internal part
% / Percentil / Written form
(%) / Oral form
(grade)
The School-leaving Examination date: / The School-leaving Examination Average:maturitnejskúšky:

Ministry of Education, Science, Research and Sport of the Slovak Republic,09/2013Page 1

Certification of the data correctness12):

Date: Signature: School stamp impress:

Asurvey of the previous(even uncompleted) university study:
University:
Faculty:
Detached department:
Study programme:
Field of study:
Level of education attained 9):
Date of the commencement of study / Date of the completion of study: / Academic degree:

Occupation(profession, employer´s name):

Previous: Present:

Declaration of and consent by the applicant

Ihereby declare that all the information I have provided is true, and that Idid not withhold any material facts. In accordance

with Section 11 Law Act No. 122/2013 Book of Statutes on the protection of personal data and on amendments to certain

laws I hereby give my consent by attaching below my handwritten signature to process my personal data for the purposes of

the application to the date of enrolment in the first grade of my PhD. study at the university. This consent applies to the

personal particulars given in the application form and its annexes, which the university is entitled to request under Section 58

paragraph 5 Law Act No. 131/2002 Book of Statutes on Higher Education and amending certain laws, as amended

(hereinafter the "Law Act" ) in addition to the data according to Section 58 paragraph Law Act. I understand that I may only

revoke this consent in writing by giving the reasons at the appropriate university or faculty in the event serious reasons appear

for doing so. I am also aware that the data may only be processed only by authorized persons who are required to comply

with provisions of Law Act No.122/2013 Book of Statutes on the Protection of Personal Data and on amendments to certain

laws, and the processed data shall be archived and disposed of in accordance with the legislation of the Slovak Republic.

Annexes to the application form 14):

1. the CV

2. acopy of the proof of payment the fee for the admission procedure (pay slip, statement of account)

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

Date: Signature of the applicant:

Ministry of Education, Science, Research and Sport of the Slovak Republic,09/2013Page 1

Instructions and notes for completing the application form:

1)Delete where not applicable. The study linking the first and the second levels in a single unit is a doctoral study or a Magister's

degree study. The telephone No. and the e - mail address of the applicant are optional particulars.

2)Tick the box forthe “Gender” and the “Secondary Schoolpassed” entries.

3) In the “Civil ID No. of the alien citizen” entry, the ID number shall be entered, if assigned by the Ministry of the

Interior. The place of residence in the Slovak Republic shall also be entered.

4)The applicant shall fill in the name of one study programme. The names of several study programmes are to be completed according to the instructions of the University.

5)In the “Form of study” entry, the words “full-time” or “part-time” are to be completed according to the information

on study options.

6)In the “Method of study” entry, add the words “attendance” or “distance” or “combined” under the information

on study options. The study programme not indicating the method of study in the instructions by the University, the

study is carried out in the attendance method; the distance method of study or the combined method of study is

indicated with the study programme.

7)If the examination in a foreign language is part of the admission examination, the applicant shall choose one foreign language

according to the information on the study options published by the University.

8)The applicants taking their school-leaving examination in this school year shall indicate the calendar year in which the school-

leaving examination will be held. Graduates from secondary schools shall enter the first year of their school-leaving

examination.

9)The “Secondary School Code” entry shall only be completed by applicant taking their school-leaving examination in this

school year according to the instructions of the secondary school. The secondary school code is a 9- digit identification number

of the school and shall be completed according to the "Register of Schools and School Facilities." Check it online at

There one should fill in the Type of school and Territory,

and in the optional entries one should select School Code and click the button Create List. The secondary school code will be

shown in the last column of the list. For the comprehensive secondary school, always quote the code of its branch (school), for

example: if the comprehensive secondary school has two branches: the Business Academy and the Central Agricultural School,

then the graduate applicant from the Business Academy of the comprehensive secondary school shall fill in the Business

Academy code, and the graduate applicant from the Secondary Agricultural School shall fill in the Agricultural School code.

10)Copy the name of the secondary school from the Report of the School-leaving Examination or from the annual Report. For the

comprehensive secondary school complete: "The Comprehensive Secondary School - the name of the branch of the

comprehensive secondary school".

11)Under the “Field of Study” entry indicate the name of the field of study from the “Report of the

School-leaving Examination”entry or an annual school report. If the School-leaving Examination Certificate contains two

names listed on two lines after the 5-digit number (field of study) and after the 2-digit number (specialization), then indicate

in your application form their joined name as follows: "the name after the 5-digit number - the name after the 2-digit number".

In the “Field of Study code” entry, enter the 7-digit numeric code, whichshall be copied from the “Report of the School-

leaving Examination” or from the annual school report, in accordance with the Statistical Office of the Slovak Republic

Decree, which issues the "Statistical Classification of the Fields of Education". In the event that the 7- digit code of the field of

study is divided in the first line of the “Report of the School-leaving Examination”, in the 5-digit number (field of study) and

in the second line in the 2-digit number (specialization), it is necessary to combine the 5-digit and the 2-digit numbersinto a

single unit. If there exists just one 5-digit number at the Report of the School-leaving Examination, you need to add two zeros

after the 5-digit number. The level of education attained is given in the Report of the School-leaving Examination or in the

annual school report in the Field of Study code at the fifth position from the left. The level of education attained for the

graduates from the conservatories is stated on the certificate of graduation or inthe annual school report in the Field of Study

code at the fifth position from the left.

12)For applicants not taking their school-leaving examinations in this school year, it is not necessary to validate the accuracy of

the data by the secondary school.

13)In the case of the completed university studies, indicate the following by giving the number or the word: 1 –the first level

university study, 2 - the second level university study, 1 +2 –the combined first and second level of university study in a single

unit and 3 – the third level university study.

14)The applicant shall attach other annexes as per the requirement of the University.

15)Record of the Admission Proceeding is intended for universities or faculties as a model.

Applicants with special needs may apply for a form of the admission examination and the method of its implementation taking into consideration their specific needs.

Ministry of Education, Science, Research and Sport of the Slovak Republic,09/2013Page 1

Record of the Admission Proceeding16)

Admission examination:

Overall assessment of the applicant:
Number of points earned:
Position:
Compliance with the conditions of the admission proceeding:

The Board of Examiners´ proposal:

Date: Signature of the Chairperson of the Board of Examiners:

Proposal of the Admission Board:

Date: Signature of the Admission Board Chairperson:

Decision by the Dean of the Faculty (University Rector)on admission pursuant to Section 58paragraph 9 Law Act No. 131/2002Book of Statutes:

Date: Signature of the Dean of the Faculty (University Rector):

Decision by the Rector (the Academic Senate)on the application to review the decision on non-admission to the University or the Faculty (Section 58 paragraph 9 Law Act No. 131/2002 Book of Statutes):

Date: Signature of the Rector (Chairperson of the Academic Senate):

Ministry of Education, Science, Research and Sport of the Slovak Republic,09/2013Page 1