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NSTU_application_form

This document is an application form for Novosibirsk State Technical University, collecting personal details, educational background, work experience, and language proficiency from prospective students. It includes sections for consent to personal data processing and outlines various academic programs offered by the university. Applicants are required to submit copies of their passport and educational certificates along with the completed form.

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faisalkkarim827727
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11 views

NSTU_application_form

This document is an application form for Novosibirsk State Technical University, collecting personal details, educational background, work experience, and language proficiency from prospective students. It includes sections for consent to personal data processing and outlines various academic programs offered by the university. Applicants are required to submit copies of their passport and educational certificates along with the completed form.

Uploaded by

faisalkkarim827727
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Novosibirsk State Technical University

Address: 20, Prospect K. Marksa, Novosibirsk, Russia


Tel.: +7 (383) 346 05 11, +7 (383) 346 00 73
Fax: +7 (383) 346 02 09
E-mail: [email protected]
Websites: www.nstu.ru, www.en.nstu.ru

APPLICATION FORM
Surname Name
Male Female Single Married
Date of birth Citizenship
(Day/Month/Year)
Personal Details

Place of birth
Country State/Province City

Home address:
ZIP/Postal Code Country
State/Province City
Street/District Block/house Apartment/Flat
Telephone E-mail
Passport number Date of expire
Passport and

Place of visa receipt


Country City
visa

Date of arrival to Novosibirsk


(4-5 weeks are required to prepare documents for a visa)

Invitation: Electronic Paper


Educational background:
School College University
Education

Institute Name
Institution Address
Dates of study (from to )
Qualification (Certificates/Diploma details)

Most recent work experience:


experience

Position Held
Work

Employer/Company Name
Employer/Company Address
Dates of Employment (from to )
Russian English German French Chinese
Proficiency
Language

Beginner
Intermediate
Advanced
Russian Language Course: 1 year 2 year
Pre-university training in the following areas (1 year starting from fall semester):
Russian language and engineering
Russian language and economics
1.5 year starting from the
Academic Program

Russian language and humanities


spring semester
Russian language, medicine and biology
Russian language, natural and science profile
Degree programs:
Bachelor Program (4 years) Master Program (2 years)

Engineer/Specialist Program (5 years) Ph.D. Program (3 years)

Internship (from 2 weeks up to 3 months)


Area of Training/Research

Please pick me up at the airport


Yes No
Accommodation
Hostel Hotel Other
Financial support
State support Exchange program Self-support Other
Additional information you wish to provide

I hereby certify that the information provided in this application is, to the best of my
knowledge, true and complete.

DATE_____________________________ SIGNATURE_____________________________

Please enclose copies of your passport and educational certificates/diplomas.

Consent to Personal Data Processing

I, (Name, Surname) (hereinafter referred to as «Person»), give


my consent to the Federal State-Financed Educational Institution of Higher Professional Education «Novosibirsk State Technical
University» represented by Vice Rector for Academic Affairs Anatoliy Andreevich Bataev (hereinafter referred to as «Operator»)
to personal data processing under the following conditions:
1. I give my consent to personal data processing including collection, systematization, accumulation, amendment (update, change),
depersonalization, blocking, elimination, and use of the data by Operator’s staff members (the abovementioned methods of data
processing are stated in the Federal Law of Russian Federation #152 of 27 July 2006) for the period of application documents
preparation and registration (taking entrance examinations), and in case of admission to Novosibirsk State Technical University
for the period of study for the purposes of informational support and monitoring of the educational process, scientific,
organizational and financial economic activities of the University, and in cases stated by regulations of superior bodies and laws
of Russian Federation. The Operator may disclose any information to law-enforcement authorities by their official inquiry in cases
stated by laws in the country of residence of the Person.
2. In accordance with the University admission rules, I give my consent to publishing of my entrance examinations results on the
Operator’s website.
3. The personal data submitted to Operator for processing are: name, surname, date and place of birth, information about my previous
education (city, educational institution, period of study, information about educational documents), place of registration,
residence, passport information, information necessary for obtaining privileges, information about the University educational
process, information used in access control and management systems in the University campus, academic performance, contact
information.
4. The consent is valid throughout the personal data storage period.

DATE_____________________________ SIGNATURE_____________________________

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