FORMA (To be filed in CAPITAL LETTERS) PRE-ENROLLMENT APPLICATION FORM FOR NON-EU CITIZENS LIVING OUTSIDE ITALY Academie Vear 2016/2017 ‘Tothe Recor of | POLITECNICO DI TORINO. “The undersigned Surname (max 2 works) YOUSEF ELOLEIMY {or marred women: please indicate your maiden name ist) ‘Name (max 2 words), MOHAMED YOUSEF ABDELAATY | Bom on 25/2/1995 in BEHEIRA raver (Ci) (Coun) EGYPTIAN M (citizenship) ex) Audios: BEHIND4S, GAMAL ABD ELNASSER STREET, VICTORIA ALEXANDRIA 02030 (Street name and number) (City and 21P Code) payer (002 01205770085 ‘myenge98Sq@gmail.com (Country) (Telephone number) (e-mail addres) Im possesion of (Please cross othe option, which does nt apy) Fal sceol leaving qualitiaton achievedattndane detail ofthe lst yer of High Schoo! EGYPTIAN GENERAL SECONDARY CERTIFICATE (12 YEARS) (lease specify the nae ofthe qualification inthe orginal language) Universiy-level quaiffation/postseeondary qualification achieved at a non-academic Institution, which entitles the student to aceess the following level of academic education. The tile in question has been achieved ale High School completion and afer oles than 12 years of global schooling (Please cross ou the option, which does no apply) (lease specify the name ofthe qualification in the original language) Final mark indicated on the qualification 404/410, (98.5%) Issuing institution Name of the Institution, 7 ELTHAGR EXPERIMENTAL LANGUAGE SCHOOL Foreign education system of reference (1): EGYPT.YOUSEE... ELOLEAHY... HaBlaun ‘Test of academic suitability (2) passed/o be st on .. (Please ross out the option, whieh does not apply) ‘The candidate applies for pre-enrolment in: (Please eross out the options, whieh donot apply) year / degree course reduction’ one-black 2uieycle degree courselondinary 2aseyeledagies course -BACHELOR DEGRUE IN MECHANICAL ENGINEERING (HELD IN ENGLISH) For the above-mentioned purposes please find attached: k (Please cross out the option, which donot apply) Certified true copy ofthe sehoo! leavin the substi, ‘High School education (Please cross out the option, which does not apply) duly legalized by the alien Diplomatic Authorities inthe country of reference (1), provided with consular legalization, the Dichianacione di valore tn loco ‘and with an offieil translation into Haan: Certified true copy of the final academic qualification achieveWof a post-secondary qualification achieved at 2 non-academic Institution, which earitls the student to have access to the following level of academic education. (Please cross out the option, which does not apply) duly legalized by the Italian Diplomatic Authorities in the country of reference (1), provided with consular legalization, the Dickianssione di valore in loco and with sn official transation into Italian; “Transcript of exams issued by the competent University ~ approved by the I country of reference (1) ~ with the name of each attended, required to achieve the final tle in question, = two passportsize photographs, one of which must be certified 4 ich one) that coul tance oft 1 andlor fort with legal vazione di valore in lace (DV) al transla ian Diplomatic Authority in the massed exams and the detailed syllabi of each course Furthermore the documents listed below will be attached, as requited by the University (3): ‘The undersigned declares: + Tobe aware that: ‘The Italian language testis going to take place at the selected Uni = The dates of the possible test oF academic suitability and of the e with mumerus efausus will be duly communicated by the University, = they dispose ofthe necessary financial means; ly bit. 64, congma I, letter C + they own a medical insurance to caver medical expenses and possible hospitalization as pAbGid4ERy2OiBtalian law oF to commit sabsribe ane oom a5 they enter aly : + Within 8 (ci) days from arval nly, to subi the application to obtain the stay permit Fr study purposes tnermesso di sogsiomo per studio) tote loa! Policestation (Qresur). by presenting the entrance visa for study purposes issued by the competent Haan Diplomat authorities, inorder llow the prospect stunt o sit the Snrane examinstion forthe academic year 2016/2017: + In-casqnenaweidenes premeLadmitted, they must go back to their country of residence within the expiry date of sty permit CAIRO Jouaty.. (Signature ofthe Italian Diplomatic Authority} OS a a ae fou tral el Ala Mohamed JoureP cblelrdy . agree a sitascato da Ble. 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