Evidence number:
Application form
master – second degree	
	
The stamp of Matej Bel University or faculty of the university:	

Academic year:    20	/ 20		

Citizenship:	
Date of delivery:	

First and middle name:	
Academic title:	
 Surname:		

 Maiden surname:	
Marital status:	

Date of birth:/day
				
month			year						Sex :                      male
(put in an „X“)		female

Place of birth:	
Country:	
 Personal  ID Nr:												
Nationality:	
ID card number (by foreign participant passport number):	

Phone number:	
E-mail address:	
Parent: first name and surname:
	Maiden surname	

Parent: first name and surname:	Maiden surname	

Home address:	

Street and Number:	

City:	
Post code:	

Region:	
State:	

Correspondence address  (if it is different from home address):	

Street and Number:	

City:	
Post code:	

Region:	
State	

Place of residence of the exchange student in the Slovak Republic 	

Street and Number:	

City:	
Post code:	

Region:	
State	

University name:  Matej Bel University in Banská Bystrica, Slovakia	

Faculty name:       	
Study programme:	
Form of study:   FULL-TIME	Method of study :   DAILY	

FILL IN ALL SECTIONS OF THE APPLICATION LEGIBLY (HANDWRITTEN CAPITALS)

Ministry of Education, science, research and sport  SR, 09/2013	Page 1

Completed bachelor study at University:	
University name:	

Faculty name:	

Affiliate branch:	

Study programme - specialization:	
Study programme:	

Study began:	
 Study finished:	
 Academic title:	

Previous university study education, including not finished)	
University name:	
Faculty name:	
Affiliate branch:	
Study programme - specialization:	
Study programme:	
Received degree of education:	
Study began:	Study finished:	Academic title:	

Profession (name of employer):	
Current:	
Former: 	

Fill in the results from the bachelor study for each term or semester and attach a photocopy of the bachelor diploma and/or transcript.  

The results of the bachelor study in each semester/term
(or attach the official University transcript)

Subject	
Semester/Term	
	I.	II.	III.	IV.	V.	VI.	VII.	VIII.	

									

									

									

									

									

Grade point average									

 I confirm that the data is correct. Not necessary if transcript has an official seal

Date: 	                                Signature : 	                                                                School stamp:	

Ministry of Education, science, research and sport  SR, 09/2013	Page 2

Enclosures to the application:
1. Curriculum vitae / Resume
2. Confirmation of payment of the admission fee 
3. Certified photocopies of completed studies (university diploma, state exam certificate, additional certificates) according to the university requirements
4. Photocopy of passport

Declaration and consent of the applicant
I confirm that all information I have provided is true and I have not withheld any important facts. In accordance with § 11 of the Act No. 122/2013 about the protection of personal data, by signing this document I am giving the Faculty of Economics permission to process my personal data for the purposes of entrance exams until the date of sign up to the first year of study at the University. 
This consent applies to the personal data stated in the application and its enclosures, which the University is entitled to request in accordance with § 58 para 5 of the Act No. 131/2002 about Universities excluding the information stated in § 58 para 3 of the Act. I understand that I can revoke this consent in writing to the respective University or Faculty only when providing significant reasons. At the same time, I am aware of the fact that the data can only be processed by authorized personnel who are obliged to comply with the provisions of the Act No. 122/2013 about the protection of personal data, and the processed information will be archived and disposed of in accordance with the applicable legislation of the Slovak Republic.	

Date:	Signature of applicant :

Ministry of Education, science, research and sport SR, 09/2013	3. page