ЗАХІДНОУКРАЇНСЬКИЙ НАЦІОНАЛЬНИЙ УНІВЕРСИТЕТ

Application form

To Rector of TERNOPIL NATIONAL ECONOMIC UNIVERSITY

 

FROM___________________________________________________________________________

(surname, first name in printed letters)

who lives ________________________________________________________________________

(write the fixed address)

___________________________telephone _____________________email___________________

 

graduate from______________________________________________________________________

(name of institution)

________________________________________________________________________________name and number of the document of education, date of issue, qualified level, specialty, honour.

 

What foreign language did you study at the scholastic institution_____________________________

 

APPLICATION

I apply to allow me to pass the entrance examinations for the full-time, part-time, extramural education (underline)

Faculty______________________________________________________________________________

in

specialty_________________________________________________________________________

with the study in_____________________________________________________________________

(name of the educational centre)

 

I give the following information about myself:

Citizenship _______________________ Nationality_________________ Sex_________________

Date

and place of birth___________________________________________________________________

 

Employment before entrance _________________________________________________________

(name and address of enterprise (organization); position)

 

I need a hostel; I don't need a hostel (underline). Surname, first name, middle name, place of their address:

Father______________________________________________________________________________

 

______________________________________________telephone____________________________

 

Mother______________________________________________________________________________

 

______________________________________________telephone____________________________

 

I announce additionally about

______________________________________________________________________

(presence of immunity, prescribed by rules of admission according to the legislation of Ukraine)

I have learnt the rules of admission, licence and certificate about  the accreditation of higher institution in the chosen direction of preparation (specialty).

 

“ _____” ___________________200 _

 

Signature____________________________

 

At what address will you stay during the examinations__________________________________