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  • Master's Enrollment Form

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    cesarionfisica
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    This document contains an enrollment application form for a university master's degree course. [1] It requests personal information such as name, contact details, payment details, and permission to share information. [2] It also lists extra-academic services offered by the university that the applicant can enroll in. [3] Finally, it states that submitting accurate information and paying fees on time are required for a valid enrollment.

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    Original Title

    Application

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    © Attribution Non-Commercial (BY-NC)

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    This document contains an enrollment application form for a university master's degree course. [1] It requests personal information such as name, contact details, payment details, and permission to share information. [2] It also lists extra-academic services offered by the university that the applicant can enroll in. [3] Finally, it states that submitting accurate information and paying fees on time are required for a valid enrollment.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    17 views2 pages

    Master's Enrollment Form

    Uploaded by

    cesarionfisica
    This document contains an enrollment application form for a university master's degree course. [1] It requests personal information such as name, contact details, payment details, and permission to share information. [2] It also lists extra-academic services offered by the university that the applicant can enroll in. [3] Finally, it states that submitting accurate information and paying fees on time are required for a valid enrollment.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    PLEASENOTE

    Fordetailsontheassessmentsystem,applicantsshouldconsultthecourseplanofeachsubject.

    ENROLMENTAPPLICATIONFORMFORANOFFICIALUNIVERSITYMASTERSDEGREECOURSE
    ACADEMICYEAR2011/2012
    PERSONALINFORMATION
    Nationalidentitynumber/
    passportnumber

    Town/city

    Streetname

    Dateofbirth

    Surnames

    Name

    Landlinetelephonenumber

    Flat/floor

    Number

    Emailaddress

    TickoneofthefollowingtwoboxestoindicateifyouauthorizetheUBtouseyournameandaddress:

    Mobiletelephonenumber

    Postalcodi

    Yes

    No

    IherebyapplytoformalizemyenrolmentintheOfficialmastersdegreecourse________________________________________________________
    (nameofdegreecourse)organizedby __________________________________________________________________________________________

    CONTRIBUTIONTOTHEUBSOLIDARITYFUNDATION

    TickoneofthefollowingtwoboxestoindicateifyouwouldliketocontributetotheUBSolidarityFoundation:

    Yes

    No

    EXTRAACADEMICSERVICES
    ConsultwhatthefollowingservicesofferattheUBwebpage

    TheUBscooperativebookshop
    LEconomista:

    UBEsports
    Yearlypaymtent

    InicialQuota

    Yes

    Quotarennewal

    Yes

    No

    Insurancepolicyforaccidents
    (TickNOtodeclinethisvoluntarypolicy)

    No

    Yes

    No

    Yes

    No

    FINANCIALINFORMATION

    Iaminpossessionofthefollowingcardorthereceiptofapplicationforit:

    CardNumber

    Cardholdersname

    Category:

    Numberofchildrenasindicatedonthecard

    General

    Special

    Dateofexpiry

    ModeofPayment

    Singlepaymentmadeincash

    Paymentincashininstalments

    Singlepaymentchargedtotheapplicantsbankaccount

    Ifyouarenotplanningtopayincash,youmustfillinthefollowingfieldswithyourbankdetails:
    Bank

    Accountholdersnumber
    CaixaCatalunya LaCaixa BancoSantander

    PaymentinmonthlyinstalmentsusinganAGAURuniversityresearchgrant(AgencyforAdministrationofUniversityandResearchGrants)

    Bank
    LaCaixa

    BancdeSabadell

    Accountholdersnumber

    ThepersonaldatayouprovideshallberecordedinthefileAcademicManagement,whichbelongstotheUniversityofBarcelonaandismanagedbytheGeneral
    SecretarysOffice.Thedatawillbeusedtofacilitateuniversityadmissionproceduresandacademicandadministrativeprocedures,andtoofferyouinformationon
    theUniversitysservices.Youmaychoosetoaccessthisdataatanytimethatyouconsiderappropriateandrectifyorremoveanydetailscontainedtherein,eitherby
    writingtotheGeneralSecretarysOfficeoftheUniversityofBarcelonaatitspostaladdress(SecretariaGeneraldelaUniversitatdeBarcelona,GranViadelesCorts
    Catalanes,585,08007Barcelona)oratitsemailaddress(secretaria.general@ub.edu).Inbothcases,yourlettershouldincludeacopyofyournationalidentity
    documentorpassport.Doyougivepermissionforyournameandsurname(s),telephonenumberandpostalandemailaddressestobeusedbyUniversityof
    BarcelonathirdpartiessothatyoumayreceiveinformationontheUniversitysservices?
    Yes

    No

    Notethatyoumaywithdrawthispermissionatanymomentyouchoose.
    I understand that the validity of my enrolment is subject to the veracity of the information I have provided here and to my observance of all such regulations
    governing the payment of fees pending within the deadlines established by the university. I also understand that any papers which I neglect to include in my
    enrolmentandthatIaminformedofinduecoursemustbesubmittedbytheendoftendaysfromthedateoftheenrolment.
    Barcelona,.(day)(month)..(year)
    (studentssignature)

    PLEASENOTE

    Fordetailsontheassessmentsystem,applicantsshouldconsultthecourseplanofeachsubject.

    ENROLMENTAPPLICATIONFORMFORANOFFICIALUNIVERSITYMASTERSDEGREECOURSE
    ACADEMICYEAR2011/2012
    OnlyfillinthisformifitisrequiredbytheSecretarysOfficeforStudentsandTeachingStaffatyourfacultyorschool.

    Iwishtoenrolintheuniversitymastersdegreecourse:____________________________________________________________________,
    inthespecialiststudyarea(ifapplicable):_________________________________________________________________________________
    Inthecourseunits/subjectsIhavelistedbelow:

    SPECIALIST: Code

    Name

    SUBJECTS:

    Code

    Name

    DOCTORALSTUDIES

    (Onlyfillinthissectionifyouplantogoontodoctoralstudiesaftercompletingyourmastersdegree)

    CodeNameofdoctorate

    APPROVALOFTHEENROLMENTAPPLICATION

    Ofthemodulesandsubjectsinwhichstudentwishestoenrol:

    Barcelona,______________(day)________________(month)__________(year)
    Thetutor(signed)

    Barcelona,(day)(month).(year)

    (studentssignature)

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