An:

International Office der Universitt Ulm

Albert-Einstein-Allee 5
D-89081 Ulm

Date of receipt (to be filled by the I.O.): _______________

Fax: +49 (0)731/50-22016

Application Form for International Students

for a Degree Scholarship
for help from the Matching-Funds Emergency Aids
for the Consultation Scholarship
(Please indicate)

Personal Data
Surname:
______________________________________________________________
First Name: ______________________________________________________________
Place of Birth: ______________________________________________________________
Date of Birth (dd.mm.yyyy): __________________________________________________
Nationality: ______________________________________________________________
Marital Status: ______________________________________________________________
Number and Age of Children:__________________________________________________
Do you have maintenance obligationfor them? No Yes
Your Actual Address: ________________________________________________________
Phone:
______________________________________________________________
Mail:
______________________________________________________________
Bank Details
Account Number (KtoNr):____________________ Bank Code (BLZ):
________________
Bank Name: ____ __________________________________________________________

Details about Your Studies

Course of studies:
________________________________________________________
Full Study Semester(s):
____
Number of Semester(s) in a German University: ____
Desired degree:
________________________________________________________
Expected date of this degree: _________________________________________________
Already gained degrees (if existing): ____________________________________________

Questions Regarding the Financing of Your Studies

1. How much money do you have available per month?
If different: How much money do your other household members have available per
month?
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

2. Will this situation soon be changed?

No
Yes - If yes: why? How much money will you have available then (per month)?
____________________________________________________________________
____________________________________________________________________
___________________________________________________________________
3. Do you have saving deposits?
No
Yes - If yes: How much is it and why dont you use it for your living-costs?
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
4. How have you financed your studies until now? Is this or another way of financing (for
example working as student assistant, working outside of the university, getting
another scholarship, getting maintenance from your parents, using your saving
deposits or a student loan) still possible? If no: why not?
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
5. Have you applied for another scholarship?
No
Yes
- If yes: which one, which amount has it and when is it expected to
end? _______________________________________________________________
____________________________________________________________________
____________________________________________________________________
6. Did you apply for another scholarship?
No
Yes
- If yes: when will the decision be made, if you can get the funds, and
which amount it will have? ______________________________________________
____________________________________________________________________
____________________________________________________________________
7. How much money do your parents approximately earn per month (in euro)? _______
How many persons are living from this money (exept you)? ____________________
8.

[Only to be answered if you are going to apply for the consultation scholarship]

Please describe your social involvment:

____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
2

Declaration:
I hereby affirm that the details stated above are complete and accurate, and that, to the best
of my knowledge, I have not omitted any information. I commit to inform the International
Office of Ulm University of every change of my personal data and the financial situation
during the application period or, if I am getting funds, until the end of the benefit period.
I know that culpably wrong or missing information, notably to the financial questions, can
result in a loss of aid and the obligation to repay the funds I already received.

_________________________

_________________, the ____________

(Signature of the applicant)

(City)

(Date)

Advises:
Application deadlines are 28.02 (for the following summer semester) and 30.09 (for the
following winter semester) respectively. The applications are only valid for the upcoming
term! If you want to reapply, you have to fill in a new form in the next application period.
Please submit the application at the International Office (helpdesk) of Ulm University.
Requested documents to attach to the application form:
Summary of your study records (for example a copy of your transcript)
Curriculum vitae
Income statement (for example a statement of your bank account)
Current certification of enrolment
Copy of your passport or your identity card
If possible: income statement of your parents (copy and translation by yourself)
Only if you are applying for a Degree-Scholarship:
Registration certificate of the thesis
Only if you are applying for aid from the Matching-Funds:
Explanation / Evidence of financial hardship (for example this may be the same documents
as the income statement)