1

To the
University of Osnabrück
c/o ASSIST e.V.
Geneststrasse 5
10829 Berlin
Germany

I hereby apply for admission to the

International Master Programme in «Cognitive Science» (M.Sc.)

Winter term Summer term Year:

Application deadlines:
summer term: 15th January
winter term: 15th July

I received a Bachelor degree (or equivalent) from a non-German university 1.

Personal details (as written in your passport):

Family name

First name
Corresponding address

Street and house number

Postcode, Town, Country

Telephone number

E-mail address

Home address

Street and house number

Postcode, Town, Country

Telephone number

Date of Birth, Place of Birth

Nationality

Sex
female □ male □

1If not applicable this is not the correct application form. Please, use the correct application form!
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Details of secondary school education
List of secondary school qualifications attained (0+A-Level, Baccalaureat, etc.) ________________
________________________________________________________________________________

Name of town and country where certificates were attained

________________________________________________________________________________
________________________________________________________________________________
Further details of your school education

Country / town Name of high school Month/Year Month/Year Degree awarded Grade
courses courses
started finished

from - to Details
Total duration of schooling
Primary/Elementary school
to the end of your schooling

Date Original name, e.g. baccalauréat, Lise Country

diplomasi…
School leaving certificates

Details of university education

Information concerning university entrance examination in home country (if this applies to you)
________________________________________________________________________________

Which universities have you attended to date?

Country Name of university Subjects Year Year Details of Dates of Examina-
course course examinations examina- tion results
started finished tions

University grades obtained to date (B.A., B.Sc., M.A., M.Sc. etc.) __________________________
________________________________________________________________________________

Please enclose officially authenticated photocopies of school and university certificates (incl.
transcripts of academic records) along with officially authenticated translations into the
German or English language.
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Proficiency in German and English

My mother tongue is

□ German □ English □ ________________________

□ I enclose the TOEFL-test certificate (with a score of at least 550 points or computer based test with
a score of at least 213 points)
□ I enclose an equivalent certificate proving my proficiency in English

□ I enclose certificates proving that I have studied English for at least 6 years at school

Proficiency in German is not mandatory, nevertheless it helps in daily life:

□ I enclose the following certificate proving my proficiency in German: ___________________

□ I have already studied _________ hours of German language lessons
□ I would like to attend German language lessons at the University of Osnabrück

Online option

There is a limited capacity for students to take an online option for the Master Programme (limited to
the focus areas Artificial Intelligence, Neuroinformatics and Neuroscience).
Please carefully read the further information at http://vt.uos.de/cosmos.

□ I am applying for the online option only. I declare that I agree with the conditions stated at
http://vt.uos.de/cosmos. I am including a statement in my application materials explaining why I
want to take this option, why I will be successful in an online course, and how I am able to
complete the course of study online.
□ I am applying for the online option as my first preference, but I would also be able to attend the
programme on-site in Osnabrück. I declare that I agree with the conditions stated at
http://vt.uos.de/cosmos. I am including a statement in my application materials explaining why I
want to take this option, why I will be successful in an online course, and how I am able to
complete the course of study online.
(Not applying for the online option means that I apply for the regular on-site study programme.)

All documents must be submitted in the form of officially authenticated photocopies: Please
enclose officially authenticated photocopies of school and university certificates (incl.
transcripts of academic records) along with officially authenticated translations into the
German or English language.

Students who do not have a Bachelor's degree in Cognitive Science must include in their
application materials a statement explaining why they wish to change their previous field of
study and obtain an MSc in Cognitive Science. Please be as specific as possible.

Apart from the documents required in this form, make sure that you enclose all documents
required by ASSIST (cf. www.uni-assist.de)

I confirm that the above information is correct and complete to the best of my knowledge.

I hereby declare that I have taken note of the matriculation regulations.

_________________________________ __________________________________
Place, Date Signature