- FOREIGN STUDIES MASTERS DEGREES

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APPLICATION FOR ASSESSMENT OF THE MINIMUM CURRICULAR REQUIREMENTS AND ASSESSMENT OF ADEQUATE PERSONAL KNOWLEDGE - FOREIGN STUDIES MASTERS DEGREES Marca da bollo Euro 16.00 Revenue stamp 16 I the undersigned Family name First name Born in ( ) on place country date birth Personal infomation Citizenship Address if not Italian Tax code Postal code City ( ) country Telephone number e-mail use capital letters @ mobile phone Secondary school diploma Secondary school diploma name certificate or diploma obtained Date with a final grade / Country Years school attendance information to be found in the Dichiarazione di valore Gives legal access to the chosen University degree course Does not give legal access to the chosen University degree course degree exams passed without obtaining a degree Foreign university degrees/ certificates higher education University Faculty Name course Date degree final grade / (to be completed if the degree has been obtained) Legal duration the degree as indicated in the Dichiarazione di valore REQUEST the Commissione pratiche studenti to evaluate my academic credentials for Second-cycle degree (Master) Curriculum if provided PRIMARY PURPOSE OF THE EVALUATION: branch if different from Padua APPLICATION FOR ADMISSION TO THE COURSE, WITH A REDUCTION, OR RECOGNITION OF EQUIVALENT CREDENTIALS, according to the number acknowledged FURTHER VALIDATION* (students the University Padua who are already enrolled in the University degree for which evaluation credits is requested. Please indicate your Student identification number here ) * Validation and acknowledgement in the on-line libretto will be carried out automatically by the Segreteria Studenti

In this page, please list: Exams with relative dates and marks, if available, and number teaching hours. AND/OR: Other training activities including non-university activities (pressional training courses, seminars, internships, jobs) To be completed by the Board for the Management student files 1 Date Exam/training activity Mark Hours (Reference to the academic year the acknowledged exam/training activity: 20 /20 ) Mark 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 SURNAME NAME

In this page, please list: Exams with relative date and mark, if available, and number teaching hours AND/OR: Other training activities including non-university activities- (pressional training courses, seminars, internships, jobs) To be completed by the Board for the Management student files 27 Date Exam/training activity Mark Hours (Reference to the academic year the acknowledged exam/training activity: 20 /20 ) Mark 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 SURNAME NAME

Exams to be listed if not taken yet/ongoing training activities at the moment application. These exams/activities are expected to be taken/finished at the moment enrolment in our course. To be completed by the Board for the Management Student Files Validation A1 A2 A3 A4 A5 A6 Exam/training activity (Admission to the course year selected and validation will come into force only after these exams/training activities have been confirmed and recorded) Discipline sector (Reference to the academic year the acknowledged exam/training activity: 20 /20 ) Validation I hereby declare that I have/have not applied for other evaluations for the academic year 20 /20. The interested party declares that all above-mentioned information is true, pursuant to sections 46 and 47, D.P.R. 445/2000, regarding equivalent declarations certification and sworn statements; he/she is aware penal sanctions as per section 76 D.P.R. 445/2000, in the case false information and falsification records. Documents to be attached to the evaluation application: copy secondary school diploma, translated and legalised by the Italian Embassy with a Statement Validity. copy university degree (or diploma post-secondary studies), translated and legalised by the Italian Embassy with a Statement Validity (where applicable). copy ficial transcript records.translated and legalised. copy every exam programme, translated and legalised. copy document identification Non-EU students: copy valid visitors permit stay payment administration fees IF another evaluation was submitted to our university in the current year other documents Given our educational fer for the academic year We hereby approve admission to the year equivalence University degree Second- level (master) In With validation the above-mentioned training activities for The applicant will/will not need to take an admission test With regard to second level degree, the applicant Has minimum curricular requirements does not have the minimum curricular requirements Has a suitable graduation mark does not have asuitable graduation mark Notes: Padova, Signature Information regarding personal data pursuant to section 13, D.Lgs. 30 th June 2003, n.196: The University Padua declares that personal details the interested party will be used only for administrative purposes computerised use included for the requested practice (ref. to rights the interested party pursuant to section 7, D.Lgs. 196/2003). On resolution the Board for the Management Student Files, For the Board: signature the person in charge date SURNAME NAME