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Programme specific application form MSc programmes of the Departments of

Computer Science

Please write in CAPITALS

Personal details:

Family name: ……………………………………… Mr / Mrs / Miss / Ms

Given name(s): …………………………………….. male / female

Telephone: ……………………………………………
E-mail: …………………………………………………

Apply for: O MSc Business Information Technology


O MSc Computer Science
O MSc Geo Informatics
O MSc Human Media Interaction
O MSc Telematics

Qualifications (attach certified copies of all qualifications and your academic record including grades)

name of institution years attended name of award / degree

………………………………. ……………… ……………………………

………………………………. ……………… ……………………………

Work experience (please list details of any relevant work experience you have undertaken)

employer years of service position

………………………. ……………… ……………………………

……………………… ……………… ……………………………

Other relevant information (use additional paper if necessary)

………………………………………………………………………………………………………….

………………………………………………………………………………………………………….

……………

Do you have any publications? yes / no (if so please list)

………………………………………………………………………………………………………….

………………………………………………………………………………………………………….

Continue on next page!


Financial support (how do you plan to finance your education at the University of Twente?)

O Self

O Own institute Please provide details: ……..……………………………………..

O Other sources Please provide details like name of organisation issuing scholarship
value or award ………………………….
O Unknown

Native language:

…………………………………………………………………………………………….

If native language is not English please fill in:

comprehension written verbal Test taken: yes / no

fair ……………… ……… .……. IELTS

good ………………. ……… ….…. Score:………

excellent ……………….. ……… …….. Date:……….

Declaration

I declare that the information given in this form is complete and correct.
I authorise the University of Twente to obtain an official record, if necessary, from any educational
institution that I have attended.

Signature: ………………………………………… Date: ………………………

Please do not forget to enclose the following in the application package which you send to the
University of Ttwente, Admission Office, building Bastille, P.O.Box 217, 7500 AE Enschede, The
Netherlands

- This application form


- A proof of English language: IELTS (6.5)
- A copy of a certificate for your degree (translated in English by an official institute)
- A documentation of the student’s academic record including grades (translated in
English by an official institute)
- A curriculum vitae.
- Two letters of recommendation from academic referees.

Please write your a-number on all documents!

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