H CU H am burg -Studienbew erbung- AdH O CH N agelsw eg 39 20097 H am burg G erm any O nly for non EU foreigners w ithout a G erm an university entrance qualification [Eingangsstem p el] Application Form for M aster Program m es GM eom.sc atik G eom atik (H ydrography-english) W inter Sem ester2010/2011 In this case,h CU H am burg is offering to point out errors and om issions in your application.please note that due to the large num ber ofapplications w e cannot offer this service during the application period.w e recom m end that you subm it your application for us to check before the start ofthe application period. Your application w ilonly be considered ifyou inform us in w riting w ithin the relevant application period that you are still interested in studying at H CU H am burg. Last N am e First N am e Please send us this form only,w hen your certificates have b een ap proved by U ni-assist Please com plete and sign this form and enclose the necessary docum ents. Please send your application by July 15 th,2010 at the latest. Applications received after this date cannot be processed! Im portant: Please provide copies ofthe certificates w ith authenticated translations ifthe docum ents are not in G erm an orenglish!w e cannot accept authentications from church organisations or insurances! 1

1 Last N am e 2 First N am e 3 D ate of Birth day m onth year 4 Place of Birth 5 N ationality 6 Sex m ale fem ale 7 Correspondence Address Street H ouse num ber c/o PostalCode City Telephone M obile Phone E-M ail Im portantifyou don t live in Europe! 2

8 D egree Q ualifications W hich kind ofuniversity degree do you hold (Bachelor,M aster,other)? Finalgrade, A t w hich university did you acquire your degree? D uration ofstudies? sem esters W hat kind ofsecondary schoolcertificate do you have (GCE (O + A level),baccalaureat)? Please include proofofthe duration ofthe course ofyour degree program m e (transcript etc.)! 9 Are or have you been enrolled at the H CU? Enro lm ent.: Those already enro led m ust also include theirschooland university certificates. 10 D o you have a good know ledge of the English language? For those applicants w hose first language is not English please provide proof of: TO EFL test w ith at least 550 points paper test / 220 points com puter test.o ur TO EFL institution code is 4304. IELTS,m inim um Band 6 Cam bridge Certificate CA E / CPE 3

11C V / Resum é Please enclose a com plete CV / Resum é w ith yourapplication. 12 Statem ent of M otivation Please enclose an essay (m ax.tw o pages)explaining the reasons for your choice ofprogram m e and how it is linked to your previous qualifications. 13D eclaration Iherew ith declare that Ihave not definitively failed a D ip lom a or B.Sc.or M.Sc.or equivalent exam ination in a sam e or sim ilar b ranch of study at a university and also that no such exam ination is p ending. Ifurtherm ore declare that Ihave com p leted this form to m y best know ledge and that the inform ation given is correct.the requested docum ents (authenticated cop ies of certificates,transcrip ts etc.) are included.iam aw are that false inform ation w illlead to m y being excluded from the application process or if it is d iscovered at a later date to m y enrollm ent on a program m e being nulland void.ialso d eclare that Ihave m ad e only one application to the H afencity U niversität H am b urg. Iknow,that this form w illnot be accep ted w ithout sending m y adequate docum ents to uni-assist,to achieve an p relim inary assessem ent docum entation of uni-assist. D ate Signature 4

Attachm ent Transcript Evaluation Form To be filed out by the Registrar s O ffice ofyour university Personaldetails to be filled out by the applicant Yourstudent,M r/m rs/m s: Student.: has requested adm ission to our M aster ofscience program m e.since it is difficult for us to judge the grading standards existing in the various different countries our students com e from,w e kindly ask that you include the follow ing inform ation on this student s academ ic perform ance: This student s average m ark for the totaldegree w as % (Please give the finalpercentages for the entire period ofstudy.) This student s G PA for the totaldegree w as This student w as the top in a class of students. The regular passing m ark at our university is 40 % 45 % 50 % 55 % 60 % 65 % 70 % This course ofstudy has regular totalduration of years. W e w ould also greatly appreciate your including a linear table ofconversion for your grading system (e.g.,a = very good;b = good;c = average;etc.): N am e ofschoolofficial: D ate Signature Stam p Please rem em ber:transcrip t Evaluation Form s can only be accep ted if they are signed and stam ped w ith an officialuniversity stam p! 5