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1. Higher education entrance qualification Acquired through Education background Date of graduation Equivalent grade in German system Acquisition of qualifications in If in Germany, in which state/region ? 2. Education level Highest acquired degree Date of graduation Final grade Acquired abroad? (if so, please stae in which country) Information on university education in Germany to date*: Name of university Course of studies Type of university Started (e.g. WS 05/ SS 05) Ended (e.g. WS 10 / SS 10) Desired degree Studies completed high school degree subject-specific academic equivalent foreign secondary school foreign secondary school with some university education Final grade Date of graduation Totatal semesters studied Total semesters on leave of absence Student ID (if you have already been enrolled at the University of Paderborn) * If you have already been enrolled at more than one university or for more than one degree or course of studies, please provide the following information on a separate sheet of paper. 2
Information on university education abroad to date: Country of study Type of study Length of study ( in months) Number of semesters at a preparatory school or in German courses for non native speakers Job-related activities: Number of months Type of activity: apprenticeship with certification other occupational actvity internship Health insurance in Germany: Insured through national health care Free movers I am enrolled at another university and would like to apply to be a free mover My application to be a free mover according to Hochschulgesetz NRW Law of the Universities of the State of North-Rhine Westphalia § 52(1) for the following courses course Free movers are not obligated to provide certification of health insurance. They must, however, turn in proof of registration from their home university Right to vote (not applicable to free movers): The student body elects the Student Parliament (Studierenden- parlament) and the Departmental Student Delegation (Fachschaftsvertretung). Please choose from the drop box the department to which your study program or one of your courses of study belongs and in which you would like to exercises your right to vote: Right to vote Name of insurer Postal address Insurer ID number Member ID number Exempted from national health insurance in preparation for future studies at the University of Paderborn not in preparation for future studies at the University of Paderborn 3
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