EGEI

MA Economics of Globalisation and European Integration
2013-2014

Student Application Form

(Deadline for submission of this application form:  31 May 2013)
Parallelly, send by air mail (mandatory) and fax or e-mail with scanned electronic copies (optional) a letter of motivation, an authenticated TOEFL certificate or equivalent, authenticated copies of official documents containing your study results (diplomas/certificates, transcripts), two recommendation letters of your teachers indicating your ranking within your student generation and an extensive c.v. to the administrative coordinator of the programme, Mrs. Mieke Vermeire (mieke.vermeire@ua.ac.be), Faculty of Applied Economics, University of Antwerp, Prinsstraat 13, B-2000 Antwerp, Belgium.
Please read carefully the section on the 'Admission and Enrolment Procedure' on the 'General Information' page.)

Personal data
Gender *:
Family name *:
First name(s) *:
Citizenship :
Birthplace :
Date of birth :
Passport number, and place of issue :
Official address (street and number) :
Official address (town) :
Official address (postal code) :
Official address (country) :

If different from official address:

Correspondence address (street and number) :
Correspondence address (town) :
Correspondence address (postal code) :
Correspondence address (country) :
Telephone :
Mobile telephone :
Fax :
E-mail 1 *:
E-mail 2 :

University education :
Economics, Applied Economics or Business Administration Degree:

Name of university / institution :
Address :
Study period ('from') :
Study period ('to') :
Date of completion :
Main subject area :
Grade point average :
Class (grade) of degree :
Document here the marking system  
used in your university :
Other university degrees : (name of university, address, study period, main field, grade point average, class of degree) 
Titles of economic and quantitative subjects taken and year during which they are taken : 

(Please send authenticated copies of the diploma(s)/certificates and transcripts as well as grade lists as documentary evidence with air mail, fax or e-mail with scanned electronic copies. Only applications that conform to this requirement will be considered.)

Give the title and a summary (max. 200 words) of your dissertation work or final assignment.
Indicate credits earned and grade obtained :

Please read carefully the following text and certify your complete agreement with it.

I certify that the information provided in this application is accurate. Furthermore I agree to inform the Programme coordinator immediately of any changes and amendments.
I have taken notice of the information provided in and regarding this application, as well as the provisions about the storage of personal data.
I agree that this application and accompanying documents shall remain with the administrative coordinator of the Programme.
I certify that I have received and understood the information supplied regarding
    - tuition fees,
    - personal health care insurance/medical insurance (obligatory),
    - home insurance, third party insurance (recommended),
    - accommodation,
    - personal registration,
and that I am personally responsible for the arrangement of these issues before I enter the Programme.
I certify that I am fully aware of the requirements with respect to the necessary visa, and that I will take care of them personally.

 

 

 
Inhoudsverantwoordelijke(n) : guido.erreygers mieke.vermeire wim.meeusen