Student's File Academic Year 2023/2024

PERSONAL DATE
Last name (Surname ): Family name:

First name : Second name:

Father's name : Mother's name:

Date of birth: Place of Birth: Country of birth

PESEL: Citizenship:

The name and the number of identity confirmation document (Passport)

and the name of the country which issued it: ,

E-mail address: Telephone number:

The place of residence before studying: Gender:

Mr.
STUDIES CHOSEN BY THE CANDIDATE

MASTER PROGRAM

FULL-TIME STUDIES IN ENGLISH

The field of study: MANAGEMENT

Choose the training course:

Foreign language:

☑ English

PLACE OF RESIDENCE
 CORRESPONDENCE ADRESS

EDUCATION

Higher education: , in the year

The number of higher education diploma:

ATTACHMENTS

1. ◻ Three colour photos

2. ◻ A copy of the first – cycle graduation (Bachelor ) diploma certified by the University

2a. ◻ Apostille/Legalization of the above - mentioned document

2b. ◻ Translation of the above – mentioned document

3. ◻ A copy of the list of grades for the first - cycle graduation (Bachelor ) diploma certified by the
University

3a. ◻ Apostille/Legalisation of the above - mentioned document

3b. ◻ Translation of the above – mentioned document

4. ◻ Health Insurance Certificate

5. ◻ A copy of the Pole´s Card confirmed by the University

☑ I have read the content of the information clause of the processing of personal data, GPPR (General Data
Protection Regulation) including information about the purpose and methods of personal data processing and
the right to access my data and the right to correct it.

☑ I agree to receive all information related to the process of electronic registration, recruitment and
implementation of educational services by the Academy of Applied Sciences in Opole via email, recruitment
platform, telephone or SMS (Short Message Service) in accordance with the Act of 18 July 2002 on Providing
Services by Electronic Means (Dz.U.2013.1422 j.t.) and the Act of 16 July 2004. Telecommunications Law
(Dz.U.2016.1489 j.t.).
After adding me to the list of students, I undertake to use the student's mail on the
@g.wszia.opole.pl server in order to contact the Academy and agree to send all correspondence
with all decisions to this mailbox.

☑ I accept the Refund policy the Rules and regulations of payments.

☑ I am informed and I accept that classes in the 1st semester will be held on-line and I have sufficient
technical and telecommunication facilities to attend these classes. In the event of problems with access to e-
learning tools, I undertakes to inform the Academy by e-mail in order to solve them.

29-06-2023

Date and signature of the candidate Date and signature of the University employee