1010 You must sign on page 3 Page 1 of 3

SU

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PLEASE FILL OUT

THE DANISH

VERSION!

Information form - application for equal status with Danish citizens

Foreign citizen Read the conditions on www.su.dk > select English > SU as a foreign citizen

1 Given name

Family name

To be filled in by the educational institution

Institution code Programme code

Received at the educational institution

DD MM YY

2 Danish civil registration number

_

Institution address/stamp

3 Nationality

Nationality, specify country or stateless....................................

4 Residence permit/work permit

Do you have a residence permit? ............................................

Do you have a work permit? ....................................................

Yes No Yes No

If Yes, you must enclose a copy of all

the permits you have received since you came to Denmark

Do you have an EU/EEA registration certificate? ...........

Yes No

If Yes, you must enclose a copy of the certificate of registration and the covering letter from the State Administration which says "Vigtig information / Important information".

5 Southern Slesvig

If you belong to the Danish minority in Southern Slesvig, please

tick this box ......................................................................................Yes

You must document your affiliation to Denmark

e.g. by enclosing a copy of your diploma from a

Danish school in Southern Slesvig. Next, only fill

in sections 13 and 14.

6 20 years Did you move to Denmark with your parents beforeyour 20th

birthday, and does your family continue to reside here? Yes No

7 The Danish Integration Act Are you covered by section 2, subsection 2 (refugees) of the Danish integration act or subsection 3 (family reunification of foreigners)? .................................................................................... Yes No If yes, please enclose a copy of your residence permit from the Danish Immigration Service which must show that you are or

have been covered by the Integration Act.

8 Residence in Denmark

Have you resided in Denmark continuously since you first settled here? ......................................................................

Yes No

If yes, please enter the date of your arrival to Denmark

DD MM YYYY

If no, please enter the date of your arrival end departure DD MM YYYY DD MM YYYY from Denmark (do not enter absence of less than 3 months) ...

DD MM YYYY

DD MM YYYY

9 Married to a Danish citizen

Are you married to or in a registered partnership with a Danish citizen? .................................................................... Yes No

If yes, when were you married or when did you enter into

registered partnership? ..........................................................

Also see section 11 - Spouse of:

DD MM YYYY

http://www.su.dk/

_ Information form foreign citizens - Page 2 of 3 Civil registration no.

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10 Work in Denmark Have you had work or been self-employed in Denmark? ...... Yes No

From To MM YYYY MM YYYY

If yes, during which period ..................................................... Please enclose employer's declaration, contract or

payslips for the entire period.

Hours

If yes, indicate the no. of hours per week...................

11 EU/EEA regulations

Are you an EU or EEA citizen (Norway, Iceland or Liechtenstein)?.................................. ........................ Yes No

When was the first time you sent an application for

admission to your educational institution ..........................

Do you have work or are you self-employed?....................

MM YYYY

Yes No If yes:

What kind of work have you had in Denmark? (enter field of work/profession) ....................................

Will you working while studying? ............................ Yes No Hours

If yes, please state the number of hours per week.. (Enclose documentation)

If you will not be working while studying:

Have you been dismissed from your job? ...................... Yes No

Enclose documentation

of the cause of dismissal.

Are you the child, spouse (or registered partner) or

parent of an EU or EEA citizen (Norway, Iceland or Liechtenstein)? ............................................................

Child of:

Is your parent who is an EU or EEA citizen working or

self-employed in Denmark?.........................................

Child

Yes N

Spouse Parent

No

If yes, enter period of work and enclose documentation...

Does your parent who is an EU or EEA citizen provide

From To MM YYYY MM YYYY

If yes,enclose confirmation from

for you? ...... Yes No your provider.

Spouse of:

Is your spouse a migrant worker or self-employed in

in Denmark? ................................................................. Yes No

From To

If yes, enter period of work and enclose documentation MM YYYY MM YYYY

Parent of:

Is the child who is an EU or EEA citizen working or self-

employed in Denmark? ...... Yes No

From To

If yes, enter period of work and enclose documentation MM YYYY MM YYYY

Does the child who is an EU or EEA citizen provide for you? ........................................................................... Yes No

If yes,enclose confirmation from your provider.

You must sign on page 3

_ Information form foreign citizens - Page 3 of 3 Civil registration no.

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THE DANISH

VERSION!

12 Education in Denmark Are you pursuing or have you completed an education in

Denmark?..........................................................................

Yes No

If yes, during what period and on what study programme ....

From To MM YYYY MM YYYY

Study programme Educational institution

13 Support from another country

Have you applied for financial support from another country for your studies in Denmark?........................................

If yes, what was the outcome of your application?................

Yes No Enclose documentation of the outcome.

Are you eligible for financial support for studies according to

the regulationss in your home country? ......

Yes No

14 Signature

Aware of the criminal liability that can be incurred for making false statements, I hereby confirm that the information I have given is correct. I am aware, that false information may mean that my SU must be repaid.

Date

Applicant's signature

Telephone number

The rules on access to Danish state education support for foreign citizens can be found in part 18 of ministerial order no. 455 of 8 June 2009 on state education support (known as SU-bekendtgrelsen in Danish).

The form must be handed in at your educational institution.

Disclaimer:

This is UCNs translation of the Danish SU application form for foreign citizens. It is only intended for your information. You must fill in the Danish version of the application form as only the Danish version is valid under Danish legislation. In case of discrepancies between the Danish text and this translation, the Danish text shall prevail. UCN shall not be liable for any misunderstandings or misinterpretations of the translated text nor for any errors, omissions or inaccuracies.