Application for Admission (dd/mm/yyyy) For the: Summer Semester Winter Semester Year: Please complete the application form electronically. It is not necessary to sign this form! 1. Desired degree program: Master's degree CHEMISTRY 2. Personal details Already student@UR? Matriculation number: (please enter exactly as shown in your passport) Surname / family name First / given name(s) Date of birth (dd/mm/yyyy) sex (male / female / divers) Place of birth Nationality / Nationalities 3. Postal address c/o Room number House number / Street Postal code / City Country Telephon number Email adress 4. Educational Background - first university degree exact name of your first university degree graduation degree (e.g. B.Sc.) Certificate date currently achieved number of credit points maximum number of credit points University / University of Applied Sciences Country Other fully completed degree programs (please also indicate if you already have a M.Sc. degree or similar) University / University of Applied Sciences Certificate date Country
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Application for Admission (dd/mm/yyyy)
For the: Summer Semester Winter Semester Year:
Please complete the application form electronically. It is not necessary to sign this form!