Application form for admission to studies

Applicant number: 2477712

Semester: Winter Semester 2021/22
Higher Education Institute: Technische Universität Dortmund

1. Information on the desired degree course

Target degree in Germany : Master 1-Fach
Course number Course name Course
1. course Data Science 1

2. Personal details
Surname/Family name Subedi
First/Given name(s) Subarna
Sex male
Date of birth 29.09.1998
Place of birth Nawalparasi
Nationality/Nationalities Nepal

3. Correspondence address
c/o
House number/Street/Road etc. Harichowk, 16
Address continued Bagar 01, Pokhara, Kaski
Postcode/Zip code 33700
Place/delivery area Gandaki
Country Nepal
E-Mail subedisubarna2055@gmail.com

4. School leaving certificate

Country Nepal

Studies completed at a German university/ German university of applied sciences

Studies completed outside of Germany

1st apprenticeship/study course/work placement - from

Computer Engineering
MM/YY to MM/YY
Name and place of institution (in the original language in Kathmandu University, Dhulikhel,
latin script!) Kavre, Nepal
Specify the field/subject(s): Computer Engineering
Name of qualification/position of employment/placement Undergraduate Study
Pass? yes
2nd apprenticeship/study course/work placement - from
MM/YY to MM/YY

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Activities prior to application

Length of activity (from MM/YY to MM/YY)

[✓] I have read and do accept the current terms and conditions (AGB) as well as uni-assist's
privacy policy.

[✓] I assure in all conscience that all the information I have given on this form is complete and
accurate. I confirm that I did not conceal any asked university studies at home and abroad.I
am aware that giving false information may lead to exclusion from the admissions procedure
or to the cancellation of my admission or enrollment by the university.

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