Questionnaire

Before Saxion will process your application, you must fill out this form digitally and upload this document in the Saxion Application Portal
(sis.saxion.nl) under Documents – document name: ‘Questionnaire'.

Personal data:
• First name Ajith

• Last name Ganesan

• Nationality INDIAN

• Date of birth (dd/mm/yyyy) 05/04/1997

• Saxion student number 552580

• Marital status (single/married) ✔ Single Married

• Address + postal code NO:64B, MVK Street

• City PERAMBALUR
• Country INDIA

Preliminary education:
• What is the highest level of education you have completed?

MASTER OF SCIENCE
• What is the graduation date of your most recent education?

16/12/2019

Additional information:
• Are you applying through an agent / intermediary?

Yes

✔ No
If yes, what is the name of your agent/intermediary?

• Have you studied in the Netherlands before?

Yes

✔ No
 If yes, which degree programme do/did you study? NA

At which university? NA
If applicable; last study date at this university: NA

• Are you currently living in the Netherlands?

Yes > please upload a copy of your valid residence permit (front and back) in the Saxion Application
Portal (sis.saxion.nl).
✔ No

• Have you also applied to other Dutch higher education institutions? Or are you planning to?
Yes

✔ No

If yes, what is the name of the institution and study programme?

NA

• Why did you choose to apply at Saxion?

Saxion University offers the education I'm particularly looking for, and the internet claims
the assistance is also top-notch. Saxion is among my best options in terms of price and
financial assistance, and also the technologies and instruction are top-notch. After I
finish my degree, I'm expecting it will present me with numerous fantastic work prospects.

• Why did you apply for this study course / programme?

I applied to both the MBA and robotics system engineer courses. The major reason I
chose these programs was to advance my career and increase my skill set. My current
area of manufacturing will allow me to advance to the senior level with an MBA degree.
Robotics system engineering is used in many of the products, services, and tools we use
every day. A master's degree in robotics engineering can significantly advance my skills
and knowledge in this rapidly developing field, opening up a variety of career options.
 By submitting this form I declare that:
In the event Saxion finds out that you have not told the truth, this can be a reason for our institution to withdraw your application
and you will not able to study with us anymore.

• I have read and understand the rules and regulations in the brochure 'Coming to study in the Netherlands'
https://ind.nl/en/forms/3087.pdf

✔ Yes

No

• I allow that the International Office of Saxion makes inquiries about my legal status and my (educational) background in the
with third parties such as the Immigration Services (IND) as well as my former Dutch educational institution(s).

✔ Yes

No

• I am aware of the fact that Saxion will notify the Immigration Services (IND) the moment my enrolment into my study
programme is terminated, which can result in the IND revoking my residence permit.

✔ Yes

No

• I am aware of the fact that my residence permit can be revoked the moment I no longer show up and actively participate in
the study programme at Saxion and/or when I do not obtain 50% of the nominal number of ECTs per academic year
(MoMi- Study Progress Monitoring).

✔ Yes

No

• I have filled in this form completely and truthfully

✔ Yes

No

Date: City:
08/04/2023 Perambalur, TN, India.

Signature:*
*handwriting