Statement

As a former applicant of the Stipendium Hungaricum Scholarship Program, I would like

to benefit from the reduced tuition fee offered to me by the University of Debrecen,
for the academic year of 2024/25.

I have submitted my application, paid the application procedure fee of 150 USD to
the University of Debrecen, and would like to take the entrance examination.

Full Name:_____________________________________________________________

Date and place of birth: __________________________________________________

Nationality: ____________________________________________________________

Chosen Program: _______________________________________________________

Stipendium Hungaricum ID nr.: ____________________________________________

Signature: