*BE6P5CZZS*T.C.

ERCİYES ÜNİVERSİTESİ REKTÖRLÜĞÜGenel Sekreterlik

Evrakı Doğrulamak İçin : http://ebys.erciyes.edu.tr/enVision-Sorgula/validate_doc.aspx?V=BE6P5CZZS Pin : 23342

Yenidoğan Mahallesi Turhan Baytop Sokak No:1 38280 Talas KAYSERİ Ayrıntılı bilgi için irtibat: Labe MutluTelefon: (0352)4374921–(0352)4380663 Faks: (0352)4374931–(0352)4371140E-Posta: yaziisleri@erciyes.edu.tr/Kep Adresi:erciyesuni@hs01.kep.tr Elektronik Ağ: www.erciyes.edu.tr

Sayı :96493450/010.07.02/E. 55367 05/06/2018Konu :Burs Duyurusu

MÜHENDİSLİK FAKÜLTESİ DEKANLIĞINA

İlgi : Polonia Üniversitesi'nin 30.05.2018 tarih ve 265/RA/AG/18 sayılı yazısı.

Polonia Üniversitesi'nin lisans ve yüksek lisans öğrencilerine verilecek olan burs ile ilgili yazısı ve ekleri yazımız ekinde gönderilmiştir.

Bilgilerinizi ve gereğini rica ederim.

e-imzalıdır

Prof.Dr. Mustafa Kemal APALAKRektör Yardımcısı

EK :İlgi yazı ve ekleri

DAĞITIMMühendislik Fakültesi Dekanlığınaİktisadi ve İdari Bilimler Fakültesi DekanlığınaHukuk Fakültesi DekanlığınaHavacılık ve Uzay Bilimleri Fakültesi DekanlığınaDış İlişkiler Ofisi Başkanlığına

Evrak Tarih ve Sayısı: 05/06/2018-E.55367

Bu belge 5070 sayılı Elektronik İmza Kanununun 5. Maddesi gereğince güvenli elektronik imza ile imzalanmıştır.

Ek-1

Czestochowa, 30.05.2018

№ 265/RA/AG/18

Prof.Dr. Muhammet GÜVEN

President

of Erciyes University

Yenidoğan Mahallesi Turhan

Baytop Sokak No:1 38280

TALAS / KAYSERİ - Türkiye

+90 352 437 49 22

+90 352 437 52 66

rektor@erciyes.edu.tr

Dear President!

With regard to the correspondence of April 19, 2018

(Ref.: 1308) concerning Rector’s scholarship of Polonia University I am writing

to kindly ask to send us individual nominations for the aforementioned

scholarship together with the complete application file of each nominated

candidate in the electronic version to sekretariat@ap.edu.pl

1) The APPLICATION FILE includes: a) Application form (filled in electronically and signed) –

template attached to the present letter;

b) 4 photos (size 35 x 45 – without headgear); c) A copy of identity card; d) A copy of passport; e) Official High School Diploma + Transcript of Records with

Certified English Translations (for candidates applying for

Bachelor programme) – original or authorized copy;

f) Official Bachelor's Degree diploma + Transcript of Records with Certified English Translations (for candidates

applying for Master programme);

g) Health certificate confirming the applicant’s good health condition;

h) Certificate of Proficiency in English; i) CV (resume) – Europass template:

https://europass.cedefop.europa.eu/documents/curriculum-

vitae

j) Motivation letter k) Letter of recommendation from Rector or other competent

authority

l) Copy of visa (if existent); m) Medical Insurance (which shall be complemented with a

Polish medical insurance upon arrival);

n) Police Clearance Certificate.

Considering the above, we kindly ask You to provide us with the complete

application files of the nominated students by June 30, 2018.

In case of any questions please contact me: tel.: +48 34 3684270,

email: sekretariat@ap.edu.pl

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mailto:rektor@erciyes.edu.trmailto:sekretariat@ap.edu.plhttps://europass.cedefop.europa.eu/documents/curriculum-vitaehttps://europass.cedefop.europa.eu/documents/curriculum-vitaemailto:sekretariat@ap.edu.pl

APPLICATION FORM TO THE RECTOR OF POLONIA

UNIVERSITY IN CZĘSTOCHOWA

I apply to be admitted to: first-cycle studies/second-cycle studies*, full-time/part-time* system* delete as appropriate

INTERDISCIPLINARY FACULTYProgramme: Specialization*

*** candidates select the specialization during the studies in case of the faculties of Economy and Administration of first and second cycle and second cycle of Philology.** specializations are established when the sufficient number of students apply.

1. Personal details (please complete using capital letters)

Surname: Names:

Date of birth: - - Place of birth:

Father’s name: Mother’s name:

Citizenship: Series and number of identity card:

PersonalIdentification Number:

Series and number of passport:

Issued by* Valid until* - -

Degree of disability YES NO If yes, to what degree

* Series and number of passport/issued by/valid until – filled by foreginers

2. Address of permanent residence

Street: House No/ Flat No

City Postcode -

Province

Phone (including area code)

Mobile phone

E - mail

1

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3. Correspondence address

Street name

House No / Flat No

City Postcode -Province

Phone (including area code)

Mobile phone

E - mail

4. Secondary School Details

Full Name of Secondary SchoolCity Date of

graduationNumber of Certificate of Secondary Education

Type of school-leaving exam

5. Prior University Education details:Having regarded the type of studies, it should be underlined: first-cycle studies, second-cycle studies, one-cycle five-year master degree study

Full name of university

City

Type of studies Years

Programme: Specialization:

Number of completed semesters and title obtained

Reason for termination

Full name of university

City

Type of studies Years

ProgrammeSpecialization

Number of completed semesters and title obtained

Reason for termination

2

6. Workplace

7. I designate the following person for emergency contact purposes

Surname First name

Address of residence:

Land line Mobile phone:

I hereby certify that information given in this application form is accurate to the best of my knowledge

Częstochowa, /date .............................. 20........r. .......................................... legible signature of student

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Name Position:

AddressEmployed from Work phone:

8. Attachments

I enclose the following Confirmation of receipt

□ 4 photos (size 35 x 45 – without headgear) I confirm the receipt of documents……………………………………..□

A copy of identity card (page with photo, date of birth, nationality, number and permanent address – original available on request)

I confirm the receipt of documents

……………………………………..

□ High School Diploma with Certified English Translation (for bachelor’s degree students) – original or authorized copyI confirm the receipt of documents

……………………………………..

□ Official Bachelor's Degree diploma (for master’s degree students)I confirm the receipt of documents

……………………………………..

□ Official Transcript of Records with Certified English Translation issued by High School or UniversityI confirm the receipt of documents

……………………………………..

□ Health certificate confirming the applicant’s good health conditionI confirm the receipt of documents

……………………………………..

□ Certificate of Proficiency in English I confirm the receipt of documents……………………………………..□ CV (resume) I confirm the receipt of documents……………………………………..□ Motivation letter I confirm the receipt of documents……………………………………..□ Letter of recommendation from Rector or other competent authority

I confirm the receipt of documents

……………………………………..

□ Copy of visa (if existent) I confirm the receipt of documents……………………………………..□ Medical Insurance (which shall be complemented with a Polish medical insurance upon arrival)

I confirm the receipt of documents

……………………………………..

□ Police Clearance Certificate I confirm the receipt of documents……………………………………..

.....................................................................

.......Confirmation of document’s receiving signature of Polonia University’s employee

I certify that I have familiarized with Polonia University Regulations, as well as, with rules of enrollment.

4

I hereby agree for processing the personal information strictly for enrollment purposes in accordance with the regulation regarding the protection data passed of the following date 29.08.97, Dz.U. No 133 poz. 883 and for processing the personal information through Polonia University in Częstochowa ( in accordance with the regulation regarding the protection data passed the following date: 29.08.97, Dz.U. 133 poz 883 about personal details protection.)

Częstochowa, /date .............................. 20........r................................................................

legible signature of student

5