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Student Office III/ Int. Master's programmes - Badensche Str. 50-51 - 10825 Berlin Tel.: +49 (0)30 / 857 89 - 425

Application form for Master's programme

INTERNATIONAL ECONOMICS

winter semester 2011

1. Personal Details - Application number: 1202868

Surname/ Familiy name

Marimon Garcia

Any previous family name

Alexa del Carmen

First/ Given name(s)

Title

Gender

Male

Female

Date of birth

09.03.1988

Nationality

Kolumbien

Relevant courses for International Economics

ECTS credits

Course title

Grade

International Economics

Macroeconomics

Microeconomics

Others

Have you been a student of this or a similar Master's programme at an institution of higher education before and did you fail any examinations so that a degree in this programme could not be awarded to you?

Yes

No

I confirm that the information I have given in this application is complete and accurate. I am aware of the fact that I may be excluded from the selection process according to article 15 of the Staatsvertrag (State treaty) if the information I have given is false or incomplete. Should facts come to light after enrolment at the Hochschule fr Wirtschaft und Recht Berlin that otherwise would have lead to a rejection, the enrolment will be invalidated.

I have read the information that follows. I am aware that the information given in this application will only be considered if formally certified copies of the original documents required are included.

Name of place, date

Signaure