UNIVERSITY OF PCS

Medical School
TRANSFER APPLICATION FORM

A.

Applicants data

Family name:

Given name:

Place and date of birth:

Mothers maiden name:

Telephone:

e-mail:

Mailing address:

Nr. of passport:

Major of choice:

General Medicine

B.

Dentistry

Medical university of present studies

Name of university:
Address of university:
Major:

Start of studies:

Contact person at university:

e-mail, website of university:

C.

I, the undersigned declare that:

1. I have a valid and unterminated students legal status with the university in section B
2. I have transferred the transfer fee (9000 HUF) to the give account number (proof is attached),
3. I attached the required documents to this application (original or official copy of student status certificate,
transcript, curriculum of major and course descriptions).

Signature of applicant:

D.

RESOLUTION OF THE EDUCATIONAL COMMITTEE:

Based on Article 18 of the Code of Studies and

Based on Article 18 of the Code of Studies and

Examination the request of the applicant is

ACCEPTED.

Examination the request of the applicant is DENIED.

Reasoning:

The beginning of studies at UP MS:

Major of studies:
Version of recommended curriculum:

Chair of Educational Committee

Admin. Officer at RO:

Seal

Set in ETR:

Date:

Reg. nr.: 814-

To be submitted to: UP MS Registrars Office (H-7624 Pcs, Szigeti t 12, Hungary) until January 10 or August 10.