Mohammed Abu Shawish - Khalid Be Al Waleed - 0097 Nusierat - Palestine

Akad. Auslandsamt Karlsruher Institut fr Technologie (KIT) Adenauerring 2 D-76128 Karlsruhe

Nicht vom Bewerber auszufllen!

Karlsruhe Institute of Technology (KIT) Application Form for the summer semester 2011

Bearbeiter:

Matrikelnummer:

11104724

Studiengebhren:

Foto

Fach I: Krzel:

Abschl.:

Fach II: Krzel:

Abschl.:

Note:

Family name First name Application No. Degree course 2. Wish Date of birth Country of citizenship

Abu Shawish Mohammed 11104724 Informatik (Master)

Kommentare: Bescheid Krzel:

19th Apr. 1986 Palestine

DK

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KARLSRUHE INSTITUTE OF TECHNOLOGY (KIT) APPLICATION FORM FOR THE SUMMER SEMESTER 2011
11104724 - Abu Shawish, Mohammed

Personal details
Family name Maiden name First name Sex Date of birth Country of birth Place of birth Nationality (country) 2nd nationality (country)

Abu Shawish Mohammed male 19th Apr. 1986 Palestine Gaza Palestine

Current postal address

c/o Street and street number Additional address information Postal/Zip code City Country Phone No. E-mail address Mobile No Fax

Khalid Be Al Waleed 0097 Nusierat Palestine mks_cit@yahoo.com

Permanent address
c/o Street and street number Additional address information Postal/Zip code City Country

Selected Degree Course

Degree Course Degree Semester of application Would you like to apply for a higher startsemester?

Informatik (Master) Master summer semester 2011 No

General Information
Country of school leaving certificate Name/place of school Date of completion

Palestine Nusirat Aug. 2003

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KARLSRUHE INSTITUTE OF TECHNOLOGY (KIT) APPLICATION FORM FOR THE SUMMER SEMESTER 2011
11104724 - Abu Shawish, Mohammed

School Education / School Leaving Certificate outside of Germany

Name of school leaving certificate in the original language Begin of school education End of school education Did you pass an additional university entrance exam?

Khalid Ben Al Waleed Secondary School Sept. 2002 Aug. 2003 No

School Education / School Leaving Certificate in Germany

Name/type of school leaving certificate Name/place of school

Study periods at Higher Education Institutions in Germany or foreign countries.

Country of the institution Name and location of the institution Web address of the institution Name of the degree course Type of degree From Until Did you graduate in this degree programme? Date / Estimated date of examination Gained / Aspired qualification or description of examination Did you pass the examination?

Palestine Gaza www.alazhar-gaza.edu.ps Computer & Information Technology Bachelor Sept. 2003 Sept. 2007 Yes

Yes

Language Skills - Part 1

Language Language test Grade / Rating Institution Date of examination or expected date of examination

German Deutsch als Fremdsprache - Grundstufe (Basic level)

Language Skills - Part 2

Language Language test

English

More information
Would you like to take part in the entrance examination for the language course, because you will be able to provide sufficient language skills (at least intermediate level I) before admission deadline.

Yes

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KARLSRUHE INSTITUTE OF TECHNOLOGY (KIT) APPLICATION FORM FOR THE SUMMER SEMESTER 2011
11104724 - Abu Shawish, Mohammed

Work experiences and practical trainings

Country Place Company name Description of work experience Contact person From Until

Other skills
Other skills (computers, etc.)

MCPD Course C#.NET ASP.NET

Further information
How did you find out about your chosen degree course? Will you recieve a grant / scholarship? If yes, from which organization? Do you have asylum rights in Germany? Please list all German colleges / universities, you have also applied to for the coming semester Have you previously applied to Karlsruhe Institute of Technology (KIT)? Have you been enrolled at Karlsruhe Institute of Technology (KIT) before?

Friends and relatives

No No

Legal Notice
I affirm that all details I gave are complete and accurate. All documents required are enclosed (transcripts, certificates, motivation letter, curriculum vitae). Incomplete applications will not be processed. I know that negligent or intentional misinformation may lead to my exclusion from the admission or - if discovered later - to the revocation of my admission and to my removal from the register of students.

Date

Signature

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KARLSRUHE INSTITUTE OF TECHNOLOGY (KIT) APPLICATION FORM FOR THE SUMMER SEMESTER 2011
11104724 - Abu Shawish, Mohammed

Documents to be enclosed with application

Important note on certificates an translations:All certificates must be submitted as certified copies. We accept certificates in the German, English or French language.If your certificates are not in German, English or French you must additionally provide official translations in one of these languages. You can get these translations certified by the German embassy or consulate in your country of origin, or by a certified translator in Germany. The certified copy and official translation have to be attached to each other to ensure recognition.

School leaving certificate Official translation of school leaving certificate If your school leaving certificate is not in German, English or French please provide an official translation. Overview of subjects and grades of secondary school education (Transcript of Records) Official translation of overview of subjects and grades of secondary school education (Transcript of Records) If your Transcript of Records is not in German, English or French please provide an official translation. Overview of subjects and grades of your study periods at Higher Education Institutions (Transcript of Records) Official translation of the Transcript of Records of your study periods at Higher Education Institutions (Transcript of Records) If your Transcript of Records is not in German, English or French please provide an official translation. University graduation certificate Official translation of university graduation certificate If your university graduation certificate is not in German, English or French, please provide an official translation. Evidence of German language skills Curriculum Vitae Please provide a complete C.V. (1-2 pages). Your C.V. should include the following: Education from beginning of school education to date, Occupations and work, experience or internships, Time spent abroad, Voluntary work, Prizes and awards Letter of motivation Please describe, on a separate sheet (1 page), why you have chosen your course of study, why you wish to study and which career goals you aspire to. Please also indicate any other extracurricular activities.

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