Udfyld med titel, navn, fødselsdato, køn, statsborgerskab og etnicitet. Angiv din nuværende adresse i Danmark, telefon, fax, mobil og .

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1 Vejledning til udfyldelse af ansøgningsskema AUT Study Abroad SECTION ONE: PERSONAL DETAILS Udfyld med titel, navn, fødselsdato, køn, statsborgerskab og etnicitet. SECTION TWO: CONTACT DETAILS Angiv din nuværende adresse i Danmark, telefon, fax, mobil og . SECTION THREE: ALTERNATIVE CONTACT DETAILS Angiv din kontaktadresse i Danmark, mens du er i New Zealand (hvis den er anderledes fra din nuværende). Skriv oplysningerne på en kontaktperson i Danmark. SECTION FOUR: AGENCY Udfyldes med EDU (hvis ikke allerede udfyldt på forhånd). SECTION FIVE: ENGLISH PROFICIENCY Angiv dit første sprog. Kryds af hvis du har taget en engelsk sprogtest og vedlæg dokumentation herfor. Hvis du ikke har taget en sprogtest vedlæg anden dokumentation for dine engelskkundskaber. Se AUT s universitetsprofil på EDU s hjemmeside for yderligere information: SECTION SIX: PAPER/COURSE SELECTION Denne sektion skal du ikke udfylde. SECTION SEVEN: ACADEMIC BACKGROUND Angiv først detaljer om din gymnasielle uddannelse. Du skal angive følgende oplysninger: navn på institution land kvalifikation (General Upper Secondary School) startdato og slutdato vejledning@edu-danmark.dk Senest opdateret 3. august 2016

2 Angiv dernæst hvilke videregående uddannelsesforløb, du har afsluttet eller er i gang med. Du skal angive følgende oplysninger: navn på institution land kvalifikation (bachelor eller kandidat) startdato og slutdato Kryds af i Yes hvis ikke alle dine fag fremgår af din karakterudskrift (fx de fag du følger i øjeblikket, og som du forventer at afslutte inden afrejse). SECTION EIGHT: STATISTICAL INFORMATION Kryds af hvor du først hørte om AUT, samt hvor du befandt/vil befinde dig d. 1. oktober inden studiestart på AUT. SECTION NINE: DISABLED STUDENTS AND DEAF STUDENTS Kryds af i Yes hvis du har et handikap, der skal tages specielt hensyn til. Angiv hvilket samt vedlæg dokumentation herfor. SECTION TEN: STUDENT CHECKLIST For at din ansøgning skal komme i betragtning skal du have udfyldt alle felter samt vedlægge de efterspurgte dokumenter. Side 3 SECTION ELEVEN: STUDENT DECLARATION Læs informationen godt igennem og påfør underskrift og dato på at oplysningerne i ansøgningen er korrekte. Ved spørgsmål er du velkommen til at kontakte os på vejledning@edu-danmark.dk. vejledning@edu-danmark.dk Senest opdateret 3. august 2016

3 study abroad application official use only - id number barcode here id card photograph Please staple a passport-sized photograph to this box and print your name and date of birth on the reverse (this box is not to scale) who should complete this form? who should not complete this form? section one personal details You must attach a certified copy have changed your name please attach evidence (e.g. certified copy of marriage certificate). Mr Ms Mrs Miss Other marriage certificate) 1.3 First name(s) 1.4 Preferred first name d d m m y y 1.6 Gender Male Female section three alternative contact details Please no agent details in this section - see section four. 3.7 Who is your emergency contact? section four for aut registered agents only Please complete section four if applying through an agent. If not, please go to section five. Please note - we have the contact details for all AUT registered agents. If you apply through an AUT registered agent, then all correspondence relating to your application will be forwarded to that agent. 4.1 What is the name of the agency and code? section two applicant s contact details Please no agent details in this section - see section four. 2.1 What is your main contact address? Please note: All applicants must up-to-date at all times and advise us if it changes. 2.5 Post code 2.8 Fax 2.9 Mobile for agency only or ed scanned documents are acceptable if of a high quality and are legible. You may on page 3. section five english proficiency 5.1 What is your first language? one boxes that applies to you years of

4 section six paper/course selection section eight statistical information paper name paper/course code 1 code 2 code 3 code 4 code 5 code 6 code 6.2 What is your preferred starting semester? 6.3 What is your intended length of study? Family member Friends Other before you start your study? If living in New Zealand, please specify: Yes section seven academic background overseas senior high school/nz secondary school, foundation study or language school: section nine disabled students and deaf students disability? Yes Hearing impairment Blind Vision impairment Medical Mental health university/home institution Other - please state section ten student check list Please send certified copies only. Have you... transcripts including graduating certificates and explanation of the grading system provided. signed and dated this application form Yes

5 section eleven student declaration application and enrolment process ALL STUDENTS MUST READ THE FOLLOWING INFORMATION AND SIGN or terminate my enrolment if false information has been supplied or required enrolment. information about me in the course of conducting its proper business and enrolment may be terminated. students. enrolment Your signature: Date: To be signed by the applicant: To be signed by a parent/guardian for applicants under the age of 18 years only: Parent s/guardian s signature: Date: If the applicant is not able to sign above, an authorised person or AUT registered agent may sign on applicant s behalf (not applicable for applicants under the age of 18 years) Name of person: Signature: Date: Your relationship to the applicant: where to send this form Postal address: Physical address/courier address: For more information please contact: Phone: Web: Step One Step Two Step Three Step Four date of payment. Step Five Step Six how to certify your documents Legal certification (proof that a photocopy is a true copy of the original document) must be provided and is very important. This can be done in several ways: If overseas: Member of Parliament of your country to administer an oath If in New Zealand: by the staff member as being a true Member of Parliament All documents must be certified. If you do not do this it can cause lengthy delays and you cannot be enrolled. Please don t send original documents as they will not be returned. must your study.

6 privacy fees information from this database may be made available to external organisations. uses of information collected organisations which may use the information* are generally set in the second quarter of the preceding academic year. fees applicable for that calendar year (s). Please note that the Offer of Place is valid for the entire period of study in a programme provided that the student has a current their records. medical and travel insurance fee. based on the number of additional credit points studied. at refund summary code of practice date of refund request the start of the programme From 7 days prior to the start of the programme until 11 days after the start of the programme effect refund due 100% (less admin. fee) 90% (less admin. fee) administration fee academic result statutes, regulations and policies precedence over information in this form at all times. From 12 days after the programme start date but before 75% of class duration completed duration completed result complete result refundable in all circumstances.