personal data _________________________________________________________
family name*
first name*
gender* gender* female male
date of birth*
place of birth*
nationality*
address _________________________________________________________
c/o:
street, house no.*
postal code, city*
country*
phone:
mobile phone:
e-mail*
study _________________________________________________________
my home university*
my study course*
I'm going to study during summer term 2009 at FH Osnabrück* I'm going to study during summer term 2009 at FH Osnabrück* yes no
working group _________________________________________________________
notice: Your choice is not binding, you may change your decision at the beginning of the course.
I choose the following working group: I choose the following working group: society and culture (training in general German) economy (training in economic German) technology (training in technical German)
level of German proficiency _________________________________________________________
I learned German ...
at school
years:
at university
years:
at a language school
years:
I took the following exam:
I've been to Germany before
for:
weeks months years
accommodation _________________________________________________________
attention! Please complete only if you do NOT continue your stay as a (guest) student! If you study at FH Osnabrück as a (guest) student after the language course, our housing officer will arrange accommodation for you.
notice: FH Osnabrück will try to but cannot guarantee to consider your wishes.
I'd like to ... I'd like to ... live in the International Guest House of the university live in a flat shared with other students arrange accommodation by myself
I accept accommodation in a double room in the International Guest House I accept accommodation in a double room in the International Guest House yes no
I'm a ... I'm a ... non-smoker smoker
payment method _________________________________________________________
notice: FH Osnabrück will confirm your registration. The payment is due within 10 days after receipt of this confirmation. Please choose the method of payment you prefer.
I'll pay by ...* I'll pay by ...* cheque postal money order bank transfer
remarks _________________________________________________________
I'd like to remark the following:
general conditions _________________________________________________________
· The fees for international students of FH Osnabrück and for students of our partner universities are 300.00 €. If you cancel your registration after December 31, the fee will be reimbursed apart from a registration fee of 50.00 €.
· Registrations are accepted in order of receipt. Therefore, early registration is recommended.
· Participants are not insured against illness, accidents etc. by FH Osnabrück. We strongly recommend to take out relevant insurances (health insurance, liability insurance, accident insurance).
send form _________________________________________________________
important! I've read the general conditions. By clicking the send button I declare my consent.
