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Not to be filled in by the applicant!

APPLICATION FOR ADMISSION FOR FOREIGN


APPLICANTS
Eingangsdatum
Semester: WS 2018/19 Campus Essen
Bewerber-ID: 145069
Please observe the application deadlines! Antrags-Nr.: 201821447
1 November - 15 January for the following summer semester
(starts in April)
HZB ja nein
1 May - 15 July for the following winter semester
(starts in October) Art: Fach:
Note: Datum:
1. DESIRED DEGREE COURSE
Erststudium Zweitstudium
1.1 1st choice degree course Aufbaustudium Promotion
Major subject: Computational Mechanics
Specialisation: Feststellungsprüf.: ja nein
Target degree: Master of Science
Studienkolleg: -Kurs
1st minor subject: leer
2nd minor subject: leer
APS:
1.2 2nd choice degree course FS: PA am
Major subject: Mechanical Engineering
NC:
Specialisation: General Mech. Engineering
Target degree: Master of Science
1st minor subject: leer Deutschkenntnisse
2nd minor subject: leer Gesamtstundenzahl:
Niveau:
DSH erforderlich
2. PERSONAL DETAILS DSH nicht erforderlich
DSH liegt vor
Family name: Banik
First name: Bijoy Krishna (m) Englischkenntnisse
Date of birth: 01.07.1993 ausreichend
Place of birth: Silchar TOEFL
Nationality: Indien IELTS

Nachreichung angefordert
3. ADDRESS Frist:

c/o: Sreenath Baikunthanath Banik Ablehnung


Street: House no-71, Janiganj Bazar,Silchar,Assam
Supplements: Zugangsbescheid Prüfungsergebnis
Postcode: 788001 Sprachkurs T kT
City: Silchar DSH B nB kT
Country: Indien Fachstudium Erasmus
Telephone: 9582098823
E-Mail: bijoykrb93@gmail.com
4. YOUR EDUCATIONAL BACKGROUND
(Attach your certificates in full!)

All details must be proven by copies of the original documents (e.g. school leaving certificates, records of study, transcripts, etc.) and German or
English translations. The aforementioned documents have to be attached to this application form. Please be aware that we cannot process your
application without complete documentation or if any details are missing.

CURRICULUM VITAE

Education/Training Duration Details: name, location and country of educational institution

School education 1998-2010 Silchar Collegeiate School,Silchar,Assam,India


Period of schooling 2010-2012 Ramanuj Gupta junior college,Silchar,Assam,India
(Primary/elementary school to the 2013-2017 Galgotias University,Greater Noida,Uttar Pradesh,India
end of schooling)

Which school leaving certificate Date Original name: e.g. baccalauréat, Lise diplomasi, Maturität
did you obtain? May 29,2010 Board of Secondary Education,Assam

Country: Indien

Did you take an entrance NO


qualification exam for higher
education in the country in which
you did the schooling?

Have you ever studied in


Germany and/or in a foreign
country?
NO

Subjects, examinations, degrees

Studienkolleg Date of assessment test Name and place of the Studienkolleg Course focus
(Preparatory/foundation course)
Did you attend a Studienkolleg in
Germany or take the assessment
test (Feststellungsprüfung)?
NO

Curriculum Vitae 1998-2010` High School


2010-2012 Pre-University
20 Graduation
German Language School,Internship
5. LANGUAGE PROFICIENCY
(Attach your certificates in full!)

5.1 Command of German

Have you ever taken lessons in German? YES


Which level? Basic: A1,A2 Intermediate: B1,B2.1 Hours in total: 500+
Full name of the certificate awarded: Goethe Zertifikat B1
At which institution? Max Muller Bhavan
Date awarded: 07.11.2017 Where? New Delhi
Have you taken the TestDaF? NO
Are you currently attending a German language course? YES
Full name of the institution: Max Muller Bhavan(Pursuing B2.2)

5.2 Which other language skills do you possess?

English Degree Courses: IELTS


Score: 7
Bengali,Hindi

6. APPLICATION FOR ADMISSION TO A LANGUAGE COURSE

Do you wish to apply for admission to a German language course?


NO

Die Kosten hierfür werden von den am Markt tätigen Sprachschulen direkt erhoben. Diese Sprachschulen legen auch die Zuweisung für eine
Kursstufe fest.
Das Fachstudium kann erst nach erfolgreich abgelegter Deutschprüfung (DSH) aufgenommen werden!

7. OTHER QUESTIONS

Student support: Have you been awarded a grant? NO


From which institution?
Other sources of founding (voluntary answer):

Are you participating in any student exchange programme with our university? NO
Which programme?
Home university

8. OTHER APPLICATIONS

Have you ever applied to Duisburg-Essen University before?


NO
Please name all other German higher education institutions you have applied/intend to apply too:
TU Kaiserslautern,TuHH,RWTH Aachen
9. PREVIOUS UNIVERSITY EDUCATION IN GERMANY

Have you ever studied in Germany? NO


Complete name of college(s)/university(-ies):
Where in Germany?
Semester of first enrolment: WS
Which course(s) did you study in Germany?
If you have already studied in Germany, which semester are you/were you in?
Semesters in total: Subj.-related sem.: Semesters on leave: Period (in semesters) without studying:
Degrees:

10. INFORMATION ABOUT THE STUDIENKOLLEG

The Studienkolleg offers foundation courses for foreign students as preparation for studying in Germany in cases where the school leaving certificate
is not recognised in Germany. Studienkolleg courses finish with the assessment test (Feststellungsprüfung). In order to be admitted to Studienkolleg
you have to take an entrance test (Aufnahmeprüfung).
Duisburg-Essen University does not offer a Studienkolleg. You need to apply to the Studienkolleg directly:

Studienkolleg, Bezirksregierung Düsseldorf


Postfach 30 80 65, D - 40408 Düsseldorf
Tel.: +49(0)211/475-0, Fax: +49(0)211/475-5978

The application deadlines are 15 May for the following winter semester and 31 October for the following summer semester.

IMPORTANT NOTES

We can only process your application if sufficient and precise information is given, the form is signed and all required documents are enclosed!

I confirm that to the best of my knowledge and belief all the information I have given on this form is true, complete and accurate. The required
documents (copies of school leaving certificates, records of study, proofs, transcripts, etc.) are enclosed. For Chinese applicants: The original of the
APS-certificate has to be submitted.
I accept full responsibility for the completeness of my application and keeping my details up to date (e.g. addresses).
I am aware that intentionally or negligently giving false information constitutes an administrative offence and may lead to exclusion from the
admissions procedure or - if discovered at a later date - to the cancellation of my admission or enrolement. Giving false information in the said manner
can result in the exclusion from university study.
I certify that no other university in Germany has ever excluded me from studying. Furthermore, I affirm that I did not ultimately fail any examination that
is stipulated by the respective examination rules of an institute of higher education in Germany.
I agree to the storage and processing of my data by Duisburg-Essen University. They are fully covered by the data protection regulations currently in
force.
I am aware that my documents will not be stored for longer than one semester if I do not enrol at Duisburg-Essen University in the semester I
requested or if I do not reply to any queries from the University within two months. In either of these cases my records and documents will be
destroyed within a year on March 31 or September 30.
Under certain circumstances students have to pay study fees in North Rhine-Westphalia. More information can be obtained on the internet:
http://www.uni-due.de/international/en_studyfees.shmtl.

I declare that I have read the Leaflet on the Application Form for Admission to Studies and the enrolment regulations.

Place Date Signature