Online Form for Doctoral Studies and for Degree Programmes with Unrestricted Admission Targeted Degree

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1 Targeted Degree Please select the targeted degree. Degree Target * Please select Bachelor of Science Doctoral Degree

2 Subject of Study Degree Target: Doctoral Degree Please enter requested subject of study and select semester of application. Subject of Study Please select (Major) * Subject-related Semester * 1 Semester * Summer Semester 2014 _ Form of Study * Doctoral Studies _

3 Personal Details First Name * Surname * Sex * Please select male/female Academic Title Name Affix Date of Birth * (YYYY-MM-DD) Help Place of Birth * Name at Birth Nationality * Germany Help Country of Birth * Germany

4 Addresses and Communication Address Help Street and House No. * Address Line 2 (c/o, Room, Appt.) Country Germany Postal Code * Location * Communication Help Telephone Number * Address *

5 Previous Studies German University/University of Applied Sciences of First Enrolment: Primary University * Hannover, Leibniz Universität Help If you have not been enrolled before, insert coming semester, i. e. summer semester Semester of First Enrolment * 2014 Summer Semester _ Have you already been enrolled at Leibniz Universität Hannover? If so, insert previous enrolment number here! Previous Enrolment Number: Semester Counter Only if you have already been studying before, semesters of study at German universities/ universities of applied sciences should be entered here, including semesters of academic leave or internship semesters, if any, but disregarding times spent at a Studienkolleg (preparatory college)! Number of Previous Semesters at University 0 Help of which Semesters of Academic Leave 0 Help Internship Semesters 0 Help In Addition, Semesters Spent at a Studienkolleg 0 Semesters of Interruption 0 Help Semesters of Study in the former GDR Kind of Study (former GDR) Please select

6 Studies Abroad Only fill in if you have already studied at a foreign university. 1 st State Please select Number of Months Please select 2 nd State Please select Number of Months Please select

7 Profession and Internship Please specify activities performed after obtaining the Higher Education Entrance Qualification! Vocational Qualification Internship/Traineeship for 1 st Degree Course Internship/ Traineeship for 2 nd Degree Course No / Yes No / Yes No / Yes

8 Final Remarks Note: Your application will only be taken into consideration if you have inserted your data online AND the written application documents have been received at Leibniz Universität by the expiry of the application deadline (30 th September or 31 st March 24:00 hours). To ensure timely receipt, allow for about three days delivery time. Applications for doctoral studies may, in principle, be filed at any time. _ Complete and True Statements and Affirmation Based on my above statements which I affirm to be true and correct, I herewith apply for a place of study. Being aware of criminal liability for a false declaration, I herewith affirm that I have neither concealed periods of study spent nor degrees obtained at German universities. I have noted that false, simulated or concealed declarations, after coming to light at a later date, may entail deregistration of the student; that for each semester, re-registration for studies has to be done by paying the respective semester fees by expiry of the deadline at the latest and that, failing this, enrolment may be terminated. I am aware that false declarations may entail revocation of enrolment. By finally sending off the data, I confirm my agreement with the above.

9 Completion of Application Thanks for entering your data. Your APPLICATION NUMBER is?? Please click "Print of PDF" first! Afterwards, you can follow the link(s)! Print of Covering Letter Now please print the covering letter addressed to Gottfried Wilhelm Leibniz Universität Hannover, which is provided as PDF behind the following button. Print of PDF Attach records specified in the printout which please sign and send, in due time, together with the attachments, to Leibniz Universität Hannover Immatrikulationsamt Welfengarten Hannover Certifications Your proofs of enrolment (student card, certificate of enrolment) will be sent to you automatically as soon as your complete records have been received. Information for Doctoral Students Flyer "Promotion plus" Flyer "Graduiertenakademie" Info "Graduiertenakademie" Security Advice: Now please close the browser, to prevent subsequent users from viewing the data you have entered. Submit

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