POLITECNICO DI TORINO

NB. This form must be printed, filled out (in capital letter) and sent to the Politecnico di Torino together with the rest of the required
documentation

I (First name and Last Name) ……………………………………………………...........born in (place of

birth) ..............………………………………….................................. in the (date of
birth)……………………......................... and resident in (permanent address)
…………………………………………………………...............................................................................

APPLY

for the enrolment in the following specializing Master course in:

Automatica and control Technologies

E-Business and ICT for Management
Navigation and Related Applications
Wireless Systems and Related Technologies

ACCEPT

that admission is subject to the passing of the ultimate year at the University of origin (in terms of
exams/academic years/credits depending on the current system) by August 31st, 2010;
the use and circulation, as stipulated by D. LGSV 30 giugno 2003 n. 196, of the information
contained in the application filled out in the line and in the documents I attach to the present form
for my candidature;

CERTIFY

that to the best of my knowledge all information given on this application and on the attached
complementary paper documents are correct and complete;

ACCEPT

that if an inquiry should find that the information given on this application are not correct, it will
be possible for the Politecnico di Torino to suspend the evaluation of the application for the
Master and the possible allocation of a grant.

(Date) …………………………
(Signature) …………………………………..
 POLITECNICO DI TORINO

QUESTIONNAIRE

• How did you hear about the Specializing Master course?

Politecnico di Torino website
Other websites (if yes, which one? _______________________________________)
Newsletter, e-mailing (if yes, which one? _________________________________)
Advertising material (leaflet, poster, etc.)
Direct contact with Master Office
Referred by other people
Newspaper (if yes, which one? ____________________________________)
Other _______________________________________________________

• Have you already studied at the Politecnico di Torino? Have you ever got a Politecnico
scholarship? If yes, through which project?
__________________________________________________
__________________________________________________
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• Have you already applied for a Politecnico di Torino Master course? If yes for which
Master course and in which year?
__________________________________________________
__________________________________________________
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