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7/23/2019 Application Master2015-2017
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APPLICATION FORM
MASTER IN AUTOMOTIVE ENGINEERINGYears 2015 – 2017
To be submitted for Non EU students till the st M!" #$%& for the EU studentstill the st 'une #$% to the one of the (!rtner uni)ersities
CTU in Prague, G. Achtenová, Technická 4, Praha 6, CZ-166 07, Czech reu!"ic#A$, %. &ou'(an, P.).&o* ++17, Arnhe(, $-60+ C, The $ether"an/$TA &retagne, 2. 3arco, + rue rancoi 5ern, &ret, -+06, rance
TU Che(nitz, A"ternative ahrzeugantrie!e, Pro8. T. von Un'erth, 0107 Che(nitz, Ger(an9T&, 9. P. $urraetio, :". Ganea 10, &an/ung 401;+, 9n/oneia
I* PERSONAL +ATA
a(i" na(e irt na(e
<ate o8 !irth Gen/er
3
$ationa"it P"ace o8 !irth =cit, countr>
II* POSTAL A++RESS C?o
treet an/ houe nu(!er
Area co/e Cit Countr
Phone nu(!er -(ai"
Paort nu(!er
PHOTOGRAPH
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#
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III* E+UCATION
College and university it, in chrono"ogica" or/er, 8ro( the !eginning o8 our higher e/ucation@
the intitution 'here ou have tu/ie/
the coure ou have taken
the /i"o(a o!taine/ 'ith the correon/ing (ark an/ teacher areciation
the !reak in our tu/ie, i8 an.
Please enclose the photocopies of all reports and transcripts mentioned
+ur!tion
From , till
N!me of uni)ersit" !nd-ountr"
Sub.e-t !nd de/ree !-hie)edResults !nd
m!r0s
Gr!de PointA)er!/e
+!te of !1!rd
2
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IV* C3OICE OF STRUCTURE OF MASTER IN AUTOMOTIVE ENGINEERING
Cro in the 8o""o'ing che(e the choo" ou 'ou"/ "ike to 8o""o'. Cro But one choo" 8or the 8irt ear an/ But one choo" 8or the econ/ ear. Czech an/ "ovaktu/ent 'i""ing to tu/ on CTU hou"/ han/ over a"o the Czech a"ication =ee 'e! ite o8 CTU, acu"t o8 3echanica" ngineering>. tu/ent o8 a"" nationa"itie'i""ing to tu/ at TU Che(nitz have to a" earate" at TU Che(nitz 8or the tu/ coure Auto(o!i"ro/uktion un/-technik. or (ore in8or(ation "eae contact@/iana."oheD(!.tu-che(nitz./e
4
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Are ou a"ing 8or other otgra/uate rogra((e E 2e $o
98 ou /o, 'hich rogra((e E ...............................................................................................................
#o' /i/ ou get the kno'"e/ge a!out 3A rogra((eE FFFFFFFFFFFFFF
V* LANGUAGES
hat i our (other "anguage EFFFFFFFF..FFFFFFFFF.....................................
ENGLIS3 LEVEL
98 ou /i/ not tu/ on one o8 the artner univeritie, ou have to tate our T) =(ini(u( HH0>, Co(uterie/T) =(ini(u( +1;>, 9nternet !ae/ T) =(ini(u( 7>, T)9C =(ini(u( 7H0> or 9T =(ini(u( 6> core an/enc"oe the hotoco o8 the core reort.
core an/ te o8 eva"uation FFFFFFFFFF.FFFFFFFFFFFF..FFFFFFF
98 ou tu/ie/ on one o8 the artner univeritie enc"oe the tate(ent o8 our teacher eva"uating our kno'"e/ge o8 ng"ih "anguage.98 ou 'ih to 8o""o' univeritie, 'here the "anguage o8 intruction i /i88erent than ng"ih, the ng"ih certi8icate i
not reIuete/.
FRENC3& GERMAN LEVEL !nd LEVEL OF OT3ER LANGUAGES
98 ou 'ant to tu/ the 3ater coure at $TA &retagne or at TU Che(nitz, ou hou"/ rove the kno'"e/ge o8rench or Ger(an, reective". The (ini(u( reIuire(ent 8or TU Che(nitz i "eve" &+ accor/ing to the Co((onuroean ra(e'ork o8 Je8erence 8or anguage. $on-native eaker o8 Ger(an nee/ to a// a "anguagecerti8icate con8ir(ing the reIuire/ "anguage co(etence to the a"ication 8i"e =<#-1, <#-+, <#-;, Tet<a =tu8e;>, Z)P, %<, G<, << 99, P, Goethe-9ntitut Zeugni (in &+>.
P"eae in/icate our "eve" o8 ki"" in the "anguage "ite/ !e"o' =8ro( 0 to H 0 K no kno'"e/ge, H K e*ce""ent> @
ENGLIS3 FRENC3 GERMAN C5EC3 +UTC3Jea/ing co(rehenion
Converation
Technica" "anguage
VI* INTEREST IN T3IS PROGRAM
P"eae an'er thi Iuetion 'ith a earate "etter - one to t'o age =tate(ent o8 uroe> in/icating our (otivation an/ eecia"" @
the reaon 8or 'hich ou are coni/ering to tu/ Auto(otive ngineering
the reaon o8 our choice o8 choo" 8or the 8irt an/ econ/ ear
ho' ou coni/er thi rogra( in vie' o8 our career.
VII* FINANCIAL AI+
P"eae in/icate our 8inancia" uort 8or the /uration o8 the rogra(.
#ave ou a"ie/ 8or a cho"arhi E 2e $o
98 ou have, in/icate the intitution ou have contacte/FFFF.FFFFF.FFFFF..FFFFFFFFF.
%
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VIII* ACA+EMIC OR IN+USTRIAL REFERENCES
Provi/e the na(e an/ co("ete contact in8or(ation o8 our t'o re8eree kno'ing our 'ork an/ rea/ to eva"uateour tu/ caa!i"itie, that the a/(iion co((iion can eventua"" contact the( 8or 8urther in8or(ation.
st Referee #nd Referee
$a(e
Tit"e
9ntitute?Co(an
A//reCountr
Te"ehone
a*
(ai"
I -ertif" th!t the inform!tion /i)en !bo)e is !--ur!te* All the do-uments re6uired !re en-losed*I !m !1!re th!t if !n" in-orre-t d!t! 1!s to be found& m" !((li-!tion -ould be re.e-ted or studies interru(ted 1ithout 1!rnin/*
Cit , /ate Si/n!ture
CHECK LIST
7our !((li-!tion file must in-lude the follo1in/ do-uments 8
tate(ent o8 uroe.
C5.
)88icia"" veri8ie/ co o8 trancrit o8 recor/ ou 8o""o'e/ in our univerit o8 origin =i8 the /ocu(ent i
not /e"ivere/ in ng"ih then the 'orn tran"ation into ng"ih hou"/ !e u!(itte/ a"o>.
i""e/ e"8 ae(ent ta!"e o8 our kno'"e/ge in (athe(atic, (echanic, ther(o/na(ic an/
technica" /ra'ing.
)88icia"" veri8ie/ co o8 our /i"o(a =i8 the /i"o(a i not /e"ivere/ in ng"ih then the 'orn
tran"ation into ng"ih hou"/ !e u!(itte/ a"o>
T'o re8erence "etter o8 re8eree kno'ing our 'ork.
Photocoie o8 ng"ih or rench "anguage certi8icate that ou have ae/. The certi8icate o8
"anguage o8 intruction o8 the univeritie o8 the 8irt an/ econ/ ear hou"/ !e rovi/e/ henco(ing 8ro( artner univerit the certi8icate 8ro( "anguage teacher 8ro( our univerit o8 origin iu88icient. or Ger(an an origina" o8 o88icia" certi8icate i (an/ator.
i""e/ an/ igne/ A"ication 8or( 8or Certi8icate o8 recognition ! CTU in Prague =i8 one o8 the choo" i
CTU in Prague>
Co o8 aort
9