Documente Academic
Documente Profesional
Documente Cultură
Fordetailsontheassessmentsystem,applicantsshouldconsultthecourseplanofeachsubject.
ENROLMENTAPPLICATIONFORMFORANOFFICIALUNIVERSITYMASTERSDEGREECOURSE
ACADEMICYEAR2011/2012
PERSONALINFORMATION
Nationalidentitynumber/
passportnumber
Town/city
Streetname
Dateofbirth
Surnames
Name
Landlinetelephonenumber
Flat/floor
Number
Emailaddress
TickoneofthefollowingtwoboxestoindicateifyouauthorizetheUBtouseyournameandaddress:
Mobiletelephonenumber
Postalcodi
Yes
No
IherebyapplytoformalizemyenrolmentintheOfficialmastersdegreecourse________________________________________________________
(nameofdegreecourse)organizedby __________________________________________________________________________________________
CONTRIBUTIONTOTHEUBSOLIDARITYFUNDATION
TickoneofthefollowingtwoboxestoindicateifyouwouldliketocontributetotheUBSolidarityFoundation:
Yes
No
EXTRAACADEMICSERVICES
ConsultwhatthefollowingservicesofferattheUBwebpage
TheUBscooperativebookshop
LEconomista:
UBEsports
Yearlypaymtent
InicialQuota
Yes
Quotarennewal
Yes
No
Insurancepolicyforaccidents
(TickNOtodeclinethisvoluntarypolicy)
No
Yes
No
Yes
No
FINANCIALINFORMATION
Iaminpossessionofthefollowingcardorthereceiptofapplicationforit:
CardNumber
Cardholdersname
Category:
Numberofchildrenasindicatedonthecard
General
Special
Dateofexpiry
ModeofPayment
Singlepaymentmadeincash
Paymentincashininstalments
Singlepaymentchargedtotheapplicantsbankaccount
Ifyouarenotplanningtopayincash,youmustfillinthefollowingfieldswithyourbankdetails:
Bank
Accountholdersnumber
CaixaCatalunya LaCaixa BancoSantander
PaymentinmonthlyinstalmentsusinganAGAURuniversityresearchgrant(AgencyforAdministrationofUniversityandResearchGrants)
Bank
LaCaixa
BancdeSabadell
Accountholdersnumber
ThepersonaldatayouprovideshallberecordedinthefileAcademicManagement,whichbelongstotheUniversityofBarcelonaandismanagedbytheGeneral
SecretarysOffice.Thedatawillbeusedtofacilitateuniversityadmissionproceduresandacademicandadministrativeprocedures,andtoofferyouinformationon
theUniversitysservices.Youmaychoosetoaccessthisdataatanytimethatyouconsiderappropriateandrectifyorremoveanydetailscontainedtherein,eitherby
writingtotheGeneralSecretarysOfficeoftheUniversityofBarcelonaatitspostaladdress(SecretariaGeneraldelaUniversitatdeBarcelona,GranViadelesCorts
Catalanes,585,08007Barcelona)oratitsemailaddress(secretaria.general@ub.edu).Inbothcases,yourlettershouldincludeacopyofyournationalidentity
documentorpassport.Doyougivepermissionforyournameandsurname(s),telephonenumberandpostalandemailaddressestobeusedbyUniversityof
BarcelonathirdpartiessothatyoumayreceiveinformationontheUniversitysservices?
Yes
No
Notethatyoumaywithdrawthispermissionatanymomentyouchoose.
I understand that the validity of my enrolment is subject to the veracity of the information I have provided here and to my observance of all such regulations
governing the payment of fees pending within the deadlines established by the university. I also understand that any papers which I neglect to include in my
enrolmentandthatIaminformedofinduecoursemustbesubmittedbytheendoftendaysfromthedateoftheenrolment.
Barcelona,.(day)(month)..(year)
(studentssignature)
PLEASENOTE
Fordetailsontheassessmentsystem,applicantsshouldconsultthecourseplanofeachsubject.
ENROLMENTAPPLICATIONFORMFORANOFFICIALUNIVERSITYMASTERSDEGREECOURSE
ACADEMICYEAR2011/2012
OnlyfillinthisformifitisrequiredbytheSecretarysOfficeforStudentsandTeachingStaffatyourfacultyorschool.
Iwishtoenrolintheuniversitymastersdegreecourse:____________________________________________________________________,
inthespecialiststudyarea(ifapplicable):_________________________________________________________________________________
Inthecourseunits/subjectsIhavelistedbelow:
SPECIALIST: Code
Name
SUBJECTS:
Code
Name
DOCTORALSTUDIES
(Onlyfillinthissectionifyouplantogoontodoctoralstudiesaftercompletingyourmastersdegree)
CodeNameofdoctorate
APPROVALOFTHEENROLMENTAPPLICATION
Ofthemodulesandsubjectsinwhichstudentwishestoenrol:
Barcelona,______________(day)________________(month)__________(year)
Thetutor(signed)
Barcelona,(day)(month).(year)
(studentssignature)