Deposit Account for International Students - Reply Slip

I, the undersigned, accept the offer of transferring the money needed for documenting
sufficient financial means for obtaining a student residence permit / visa to Norway to the
Deposit Account for International Students provided by NTNU. I, the undersigned, hereby
declare that I have read and understood the conditions as stated in the letter above and agree
to its terms.

Family name: Given name:

Date of birth: Citizenship:

Degree Student Bilateral Exchange Student Other

Programme of study at NTNU:………………………………………………………………….

Email address for reply (BLOCK LETTERS):………………………………………………...

Information about bank account in your home country in case the deposit you have paid has to
be refunded. Note that only one bank account can be used. Only one transfer will be made to
refund the deposit.

Bank account number:……………………………….….…………………………………..

SWIFT code:…………………………………………………………………….…… … …

Iban code:……….……………………………………………………………………...........

For accounts from USA, Canada, Australia and South Africa: FedWire/ Routing number/
ABA/ Clearingnr:……………………………… ………………………………………….

Account owner:…………………………………………………………… ……….….…

Account title:……………………………… …………..............................................….…

Bank’s postal address / country:

………………………………………………….……………………….…………………..

Account owner’s postal address / country

…………………………………………………..…………………………………………..

Student’s postal address / country (if different to account owner’s)

…………………….…………………………………………………………………………

Date: …………………… Signature: …………………………………………………...

Send it as an attachment by email to maja.h.svendsen@ntnu.no