Additional Form for Enrollment - TU Berlin · I hereby declare my consent that my personal data...

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TUB/IA1/Stand: 21.06.2017 Seite 1 von 6 Bearbeitungsvermerk IA 1 Immatrikulation am: Kurzzeichen: Additional Form for Enrollment for a Continuing Education in a Master’s Program for a Special Program for a Doctoral Exchange for Summer Semester________/ Winter Semester__________________ Surname (last/family name) - (according to your passport) First (given) name(s) - (according to your passport) Date of birth Enrollment No. of TU Berlin (if already enrolled at TU Berlin) Application No. of your online registration Please fill in your current address only if different from the address provided in the online registration form. Address Postcode City, Country Phone (only German phone number) E-mail Course of study (Please specify a degree course offered by TU Berlin.) Student Status O = Regular student M = Student at several institutions of higher learning in Berlin or Brandenburg with the membership rights not being exercised at the Technische Universität Berlin (Please enclose a current enrollment certificate of your first institution to this form. The certificate must contain information on your current study program, the total number of all academic semesters you have/had been enrolled in as well as the total number of semesters in your current course of study) F = Participant in a dual-degree program (TU Berlin is your home university) E = Participant in a dual-degree program (with temporary enrollment at TU Berlin, home university is located in a foreign country, cf. Regulations Governing General Study and Examination Procedures - AllgStuPO) S = Student with a scholarship or grant (only for international students holding a scholarship or grant funded by the German Federal Government or one of its Federal State Governments; e.g. DAAD scholarship or similar please enclose the respective statement of award to this form) Technische Universität Berlin Servicebereich Master IA 1 Hauptgebäude, Raum H 48-50 Straße des 17. Juni 135 10623 Berlin

Transcript of Additional Form for Enrollment - TU Berlin · I hereby declare my consent that my personal data...

Page 1: Additional Form for Enrollment - TU Berlin · I hereby declare my consent that my personal data (private address and e-mail address) which is stored in the university’s databank

TUB/IA1/Stand: 21.06.2017 Seite 1 von 6

Bearbeitungsvermerk IA 1 Immatrikulation am: Kurzzeichen:

Additional Form for Enrollment

for a Continuing Education in a Master’s Program

for a Special Program

for a Doctoral Exchange

for Summer Semester________/ Winter Semester__________________

Surname (last/family name) - (according to your passport) First (given) name(s) - (according to your passport)

Date of birth Enrollment No. of TU Berlin

(if already enrolled at TU Berlin) Application No. of your online registration

Please fill in your current address only if different from the address provided in the online registration form. Address

Postcode City, Country

Phone (only German phone number) E-mail

Course of study (Please specify a degree course offered by TU Berlin.)

Student Status

O = Regular student

M = Student at several institutions of higher learning in Berlin or Brandenburg with the membership rights not being exercised at the Technische Universität Berlin (Please enclose a current enrollment certificate of your first institution to this form. The certificate must contain information on your current study program, the total number of all academic semesters you have/had been enrolled in as well as the total number of semesters in your current course of study)

F = Participant in a dual-degree program (TU Berlin is your home university)

E = Participant in a dual-degree program (with temporary enrollment at TU Berlin, home university is located in a foreign country, cf. Regulations Governing General Study and Examination Procedures - AllgStuPO)

S = Student with a scholarship or grant (only for international students holding a scholarship or grant funded by the German Federal Government or one of its Federal State Governments; e.g. DAAD scholarship or similar – please enclose the respective statement of award to this form)

Technische Universität Berlin Servicebereich Master – IA 1 Hauptgebäude, Raum H 48-50 Straße des 17. Juni 135 10623 Berlin

Servicebereich Master
Hilfe
DD.MM.YYYY
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Commitee Elections

You have the right to vote for representative bodies at the university like the student parliament. To be registered as a voter, the following information is required (not valid for students with student status M). It is possible to change your choice at every re-registration for a new semester.

In which faculty would you like to exercise your voting rights? (see page 4 for the respective faculty )

In which department/institute of this faculty would you like to exercise your voting rights? (see page 5 for the the respective institute)

Statement regarding the Disclosure of Private Address Data

I hereby declare my consent that my personal data (private address and e-mail address) which is stored in the university’s databank of students may be forwarded to organizational units within the Technische Universität Berlin in order to stay informed about events which are conducted by the Technische Universität Berlin or in cooperation with external institutions.

Yes No

Former Studies in the Federal Republic of Germany (Please submit documentation)

Only to be filled in if you are currently not enrolled at TU Berlin.

Have you been enrolled at a university in the Federal Republic of Germany before?

Yes (please fill in the following fields) No (please go to page 3).

1st Enrollment from (e.g. WS 09/10)

until (e.g. SS 13)

University (offical title) License Plate of Study Location

Type of Degree (see page 6)

Study Program (Major/Minor) Number of Regular Semesters

2nd Enrollment from (e.g. WS 09/10)

until (e.g. SS 13)

University (offical title) License Plate of Study Location

Type of Degree (see page 6)

Study Program (Major/Minor) Number of Regular Semesters

3rd Enrollment from (e.g. WS 09/10)

until (e.g. SS 13)

University (offical title) License Plate of Study Location

Type of Degree (see page 6)

Study Program (Major/Minor) Number of Regular Semesters

Servicebereich Master
Hilfe
e.g. for German license plate (KfZ-Kennzeichen): B=Berlin, M=Munich, HH=Hamburg e.g. for internationale license plate (KfZ-Kennzeichen): D=Germany, F=France, VRC=China
Servicebereich Master
Hilfe
e.g. for German license plate (KfZ-Kennzeichen): B=Berlin, M=Munich, HH=Hamburg e.g. for internationale license plate (KfZ-Kennzeichen): D=Germany, F=France, VRC=China
Servicebereich Master
Hilfe
Semester - please enter the following way: e.g..: winter semester 2012/2013 = 1213 sommer semester 2012 = 12
Servicebereich Master
Hilfe
Semester - please enter the following way: e.g..: winter semester 2012/2013 = 1213 sommer semester 2012 = 12
Servicebereich Master
Hilfe
Semester - please enter the following way: e.g..: winter semester 2012/2013 = 1213 sommer semester 2012 = 12
Servicebereich Master
Hilfe
Semester - please enter the following way: e.g..: winter semester 2012/2013 = 1213 sommer semester 2012 = 12
Servicebereich Master
Hilfe
e.g. for German license plate (KfZ-Kennzeichen): B=Berlin, M=Munich, HH=Hamburg e.g. for internationale license plate (KfZ-Kennzeichen): D=Germany, F=France, VRC=China
Servicebereich Master
Hilfe
Semester - please enter the following way: e.g..: winter semester 2012/2013 = 1213 sommer semester 2012 = 12
Servicebereich Master
Hilfe
Semester - please enter the following way: e.g..: winter semester 2012/2013 = 1213 sommer semester 2012 = 12
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Course Work and Examinations

Regarding the above mentioned study programs, I have course work or examination results that received

the grade „not passed“ (with no option to repeat).

Yes No

If answered with „Yes“, please fill in and submit the following credit transfer application form (Antrag auf Anerkennung; see link below) which has to be confirmed by the respective examination board (of your prospective TU Faculty) that your past course work/examination results pose no hindrance for enrollment. Otherwise, please be aware that you would be excluded from enrollment! www.tu-berlin.de/?id=144776

Closing Statement

I hereby declare and confirm with my signature the following statements:

1. I have neither been excluded from studies at a German university due to criminal proceedings nor are there currently any criminal proceedings pending against me.

2. I am currently not enrolled within the jurisdiction of the Higher Education Framework Act at any other German university in the same study program which I now apply for at Techniche Universität Berlin.

3. I am aware of the fact that I will be excluded from enrollment in the above requested study program of Technische Universität Berlin if I have been enrolled in the same study program at the Technische Universität Berlin or any other German university before and if

I have not passed the intermediate or final examination (i.e. with no option to repeat), or if

I have not been able to present the required certification of performance according to the examination regulations.

4. I authorize the Technische Universität Berlin to use and publish my exercises, seminar work and examination results for teaching and research purposes.

5. I am aware that I am obligated to hold a valid residence permit for enrollment at TU Berlin (to be applied for at the Foreigners’ Registration Office). For more detailed information, please contact TU’s department for international students (Akademisches Auslandsamt), rooms H 51-55. – www.tu-berlin.de/?id=6986

The TU Berlin is not obliged to officially establish the facts of individual cases in which documents

are missing, incomplete, or not certified/legalized. Therefore, please take utmost care that your

application data and documents are complete. Any missing or incorrect document will not be

subject to additional demand!

Date Signature

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Index of Keys for Committee Elections

Note: If you should not find the required information in the table listed below, please contact our staff at the Office of

Graduate Admissions or write your own note (in legible block letters) next to the appropriate space.

Faculties: Please find below an index of all faculties that can be chosen for the individual study programs or major/minor subjects at TU Berlin. Indicating this information will allow you to be registered in a students' electoral register in order to exercise active and passive voting rights at the respective departmens/institutions (scientific departments) and different faculties of the TU Berlin. If your study program belongs to different faculties and you do not specify any option, you will officially be assigned to the Faculty written in bold (see page 5).

Master’s programs

Master’s program School Master’s program School

Architektur VI Produktionstechnik V

Architecture - Typology VI Regenerative Energiesysteme III

Audiokommunikation und –technologie I Schiffs- und Meerestechnik V

Automotive Systems IV Scientific Computing IV

Bauingenieurwesen VI Soziologie technikwissenschaftlicher Richtung VI

Bildungsmanagement I Sprache und Kommunikation I

Bildungswissenschaft - Organisation und Beratung

I Stadtökologie VI

Biomedizinische Technik V Stadt- und Regionalplanung VI

Biotechnologie III Statistik VII

Brauerei- und Getränketechnologie III Technischer Umweltschutz III

Chemie II Technomathematik II

Chemieingenieurwese II Urban Design VI

Computational Neuroscience IV Werkstoffwissenschaften III

Computer Engineering IV Wirtschaftsingenieurwesen VII

Computer Science IV Wirtschaftsmathematik II

Deutsch als Fremd- und Fachsprache I

Elektrotechnik IV Master of Education study programs School

Energie- und Verfahrenstechnik III Arbeitslehre I

Environmental Planning (Umweltplanung) III Bautechnik I

Environmental Policy and Planning VI Elektrotechnik I

Fahrzeugtechnik V Elektrotechnik/Informationstechnik zum Quereinstieg (Lehramt)

I

Gebäudeenergiesysteme III Ernährung / Lebensmittelwissenschaft I

Geodesy and Geoinformation Science VI Land- und Gartenbauwissenschaften/ I

Geotechnologie VI Landschaftsgestaltung I

Geschichte und Kultur der Wissenschaft und Technik

I Metalltechnik I

Historische Bauforschung und Denkmalpflege VI

Historische Urbanistik / Historical Urban Studies V Continuing master’s program School

Human Factors IV Bühnenbild_Szenischer Raum VI

ICT Innovation IV Building Sustainability – Management Methods for Energy Efficiency

VI

Industrial and Network Economics I Business Engineering Energy Zi El Gouna

Information Systems Management IV Energieeffiziente urbane Verkehrssysteme V

Informationstechnik im Maschinenwesen V Energy Engineering (El Gouna) Zi El Gouna

Innovation Management, Entrepreneurship and Sustainability (IMES)

VII Energy Management (EM) VII

Interdisziplinäre Antisemitismusforschung I Europawissenschaften I

Kunstwissenschaft I European and International Energy Law VII

Landschaftsarchitektur VI Global Production Engineering (GPE) V

Lebensmitteltechnologie III IT for Energy Zi El Gouna

Luft- und Raumfahrttechnik V Real Estate Management V

Maschinenbau V Space Engineering VI

Mathematik II Urban Development (El Gouna) Zi El Gouna

Medieninformatik IV Sustainable Mobility Management V

Medienwissenschaft I Urban Management VI

Ökologie und Umweltplanung VI Water Engineering (El Gouna) Zi El Gouna

Patentingenieurwesen V

Philosophie des Wissens und der Wissenschaften

I

Physik II

Physikalische Ingenieurwissenschaft V

Planung und Betrieb im Verkehrswesen V

Polymer Science III

Process, Energy and Environmental Systems Engineering – PEESE

III

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Index of Keys for Committee Elections Departments/Institutions in Individual Faculties This information is also relevant for your active and passive voting rights at the respective Institutes/Departments(scientific Departments) and the different Faculties of the Technische Universität Berlin.

Fakultät I - Geisteswissenschaften

3131 Institut für Philosophie, Wissenschaftstheorie, Wissenschafts- und Technikgeschichte, Literaturwissenschaft

3132 Institut für Geschichte und Kunstgeschichte

3133 Institut für Gesellschaftswissenschaften und

historisch-politische Bildung

3134 Institut für Erziehungswissenschaft

3135 Institut für Sprache und Kommunikation

3136 Institut für Berufliche Bildung und Arbeitslehre

Fakultät II - Mathematik und Naturwissenschaften

3231 Institut für Festkörperphysik

3233 Institut für Theoretische Physik

3235 Institut für Chemie

3236 Institut für Mathematik

3237 Institut für Optik und Atomare Physik

Fakultät III - Prozesswissenschaften

3331 Institut für Biotechnologie

3332 Institut für Lebensmitteltechnologie und Lebensmittelchemie

3333 Institut für Technischen Umweltschutz

3334 Institut für Werkstoffwissenschaften und -technologie

3335 Institut für Prozess- und Verfahrenstechnik

3337 Institut für Energietechnik

Fakultät IV - Elektrotechnik und Informatik

3431 Institut für Energie- und Automatisierungstechnik

3432 Institut für Hochfrequenz- und Halbleiter- Systemtechnologien

3433 Institut für Telekommunikationssysteme

3434 Institut für Technische Informatik und

Mikroelektronik

3435 Institut für Softwaretechnik und Theoretische

Informatik

3436 Institut für Wirtschaftsinformatik und Quantitative Methoden

Fakultät V - Verkehrs- und Maschinensysteme

3531 Institut für Strömungsmechanik und Technische

Akustik

3532 Institut für Psychologie und Arbeitswissenschaft

3533 Institut für Land- und Seeverkehr

3534 Institut für Luft- und Raumfahrttechnik

3535 Institut für Konstruktion, Mikro- und

Medizintechnik

3536 Institut für Werkzeugmaschinen und

Fabrikbetrieb

3537 Institut für Mechanik

Fakultät VI - Planen Bauen Umwelt

3631 Institut für Bauingenieurwesen

3632 Institut für Angewandte Geowissenschaften

3633 Institut für Geodäsie und Geoinformationtechnik

3634 Institut für Ökologie

3635 Institut für Landschaftsarchitektur- und Umweltplanung

3636 Institut für Stadt- und Regionalplanung

3637 Institut für Soziologie

3638 Institut für Architektur

Fakultät VII - Wirtschaft und Management

3831 Institut für Volkswirtschaftslehre und

Wirtschaftsrecht

3832 Institut für Betriebswirtschaftslehre

3833 Institut für Technologie und Management

Zentralinstitut (Zi) El Gouna

3931 Zentralinstitut El Gouna

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Index of Keys for General University Entrance Qualification

University: Diplom 11 Diplom (Übersetzer) 13 Diplom (Dolmetscher) 12 Magister 02 Master 88 Bachelor 82 Diplom Kurzstudium 14 Promotion mit Abschlussprüfung 06 Bachelor mit Lehramtsoption 31 Master of Education 30

University of Applied Sciences:

Diplom 51 Diplom (Übersetzer) 54 Diplom (Dolmetscher) 52 Magister 02 Bachelor 84 Master 90

Art college:

Künstlerische Abschlussprüfung 80 Bachelor 83 Master 89

State examination:

Staatsexamen / 1. Staatsprüfung 26 Staatsexamen einphasig 29

Foreign university: Abschluss außerhalb von Deutschland 96 (University degree from outside of Germany)