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Hochschule Ostwestfalen-Lippe

Registration Office
32657 Lemgo, Germany
I. Application for admission
I apply for admission in the Masters study programme
Production Engineering and Management
for the: Winter semester

Summer semester

(please tick appropriate)

Year: 201....

II. Personal information (please use block letters)


....................................................................... ..................................................... ......................................
Last name
First name
Date of birth
.............................................................. ........................................................ ...................................................
Birth name (if applicable)
Place of birth
Country of birth
Gender

Nationality German
m

f
or other ..................................................................................................

................................................................................................................................. ...........................................
Current address
Phone number
.......................... ........................................................................................ ......................................................
Zip code
City (primary residence according to identity card)
Area

E-Mail: .

III. Qualification for admission to higher education HZB -

(please tick appropriate)

A-Levels
Advanced Technical College Entrance Qualification
Master craftsman / Technician / Business specialist, etc.
According to 2 Berufsbildungshochschulzugangsverordnung (BBHZG-VO)
Professional education (at least 2 years) and 3 year occupation
in a job related to the education ( 3 BBHZG-VO)
Entrance examination
Successful studies on probation
Year of the HZB: ............................ Country:.
City:............ Area (licence tag) only for HZB in Germany:..
Please turn over!

IV. Prerequisite for studies and statistical data


Ive never been enrolled at a German university.
I was or I am currently enrolled at a German university:
Name of the university: ..
Date of the first enrolment (day, month, year)

......................................

Date of de-registration (day, month, year)

......................................

I have successfully completed the following course of studies at a German university or aboard:
......................................................... ................................................................. ..................................................
Name of the university

Course of studies

Type of final degree i.e. Bachelor

.............................................. .............................. ................................. .........


Date of examination

Final grade i.e. 2,5

Subject-related semester

Standard period of studies

In case you studied abroad, please fill in the following:


.......................................................... ................................................................. .................................................
Country
Course of studies
Duration in month / semester

You are in which semester at university when you start your studies at the Hochschule Ostwestfalen-Lippe?

.. semester at university
Any leave of absence?
If so, how many semester?: .

In case you were employed after the A-Levels / Advanced Technical College Entrance Qualification, please fill in
the following:
Type of employment

Duration of employment in months

Professional education with degree

Internship for studies

Others

V. Declaration
I declare that all the given information is correct and complete.

....................................................................... ..................................... ................................................................


City
Date
Signature of applicant

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