Slovak University of Technology in Bratislava

Slovak University of Technology in Bratislava

Faculty of Mechanical Engineering

Slovenská technická univerzita v Bratislave

Strojnícka fakulta

APPLICATION FORM

(Please complete legibly in BLOCK CAPITALS, in black ink or typescript)

Full Name (Please underline your surname/family name):

Home address:

Correspondence address:

E-mail address:

Telephone number (with area code):

Sex and marital status:

Date of birth:

Place of birth:

Nationality: Country:

Passport No: When issued: By whom:

Next of kin:

Relationship to candidate:

Address of next of kin:

Where will you apply for a Slovak visa:

Level of the study:

BachelorEngineerDoctor

Study Program1 (Branch of Study):

Form of study:dailydistance learning

Study Program1 (Branch of Study):

Form of study: dailydistance learning

Financing of study:

own financial resourcesscholarship of the Slovak government

other financial arrangements (describe precisely):

Schools and other education2 (please, enter type of school, name and address, duration from-to, branch of study and accumulated result/GPA/average mark):

Practice (please, enter employer name and address, duration from-to, position and work performed):

Knowledge of Slovak language:very good  good weak no 

Knowledge of English language3:very good  good weak no 

Knowledge of other languages:

…………………………………….very good  good weak no 

…………………………………….very good  good weak no 

…………………………………….very good  good weak no 

I need preparation in Slovak language before study:

I prefer study in English language:

Other facts you want to mention:

Instruction and notes for completion of application:

Applicant’s Declaration and Agreement

:

I hereby confirm that all information I have provided is true and no information has been withheld. According to provisions of Art. 7 Act No. 363/2005, Coll. on the Protection of Personal Data, I hereby grant with my signature permission to process my personal data for the purposes of the application for study until the date of enrolment on a first year Masters or Engineering university degree course. This permission refers to the personal data in the application and attachments that the university is entitled to request according to the provisions of Art. 58 item 5 of Act No. 131/2002, Coll. on universities and Colleges as amended (“the Act”). I am aware that I may cancel my permission only with substantial justification in written form with the relevant university or department. I am also aware that this data can only be processed by authorised persons, who are obliged to adhere to Act No. 363/2005 Coll. on the Protection of Personal Data, and the processed data will be archived and disposed of with in accordance with valid legislation of the Slovak Republic.

Notes to Applicant’s Declaration and Agreement:

This permission refers to specific data regarding further conditions of university admissions that cannot be specified in detail by the legislation due to the diversity of university requirements (e.g. health information) – see Art. 58 item 5 of the Act.

This permission does not refer to first name, surname, ID Number, date of birth, marital status, nationality and other, therefore a permission to process the data is not requested – see Art. 58 item 3 Of the Act, where this data is listed. The permission refers to all other data.

Attachments:

1. CV
2. Documents of level of educations
3. Medical statement confirming the required level of health to study (obtainable also in Slovakia)
4. Confirmation of admission fee payment

Date:Applicant´s signature