NR.

Prot MASH ___________ Data ____________________ FORMULAR PR NJOHJE DIPLOME / DIPLOMA RECOGNITION APPLICATION FORM Dokumentet e Krkuara Required Documents

Diplom dhe list notash t legalizuara1 / Legalized Diploma and Transcript Formati i aplikimit i plotsuar / Filled-out application form Dy fotografi / 2 photos Dokument Identifikimi (fotokopje e thjesht) / Photocopy of ID / passport Mandatpagesa -2.500 lek- n numrin e llogaris 0104030780 s MASH / Invoice for 2.500 ALL at Ministrys account - 0104030780

Dokumentet e msiprme duhet t jen t prkthyera n shqip. Pr dokumentet n gjuhn angleze, italiane dhe frnge nuk sht i nevojshm prkthimi. Fotokopjet pranohen vetm t noterizuara The above documents should be translated in Albanian. Documents in English, French and Italian do not require translation. Only noterized photocopies will be accepted.
T dhnat e aplikantit Applicants data

Mbiemri / Surname ___________________________ Emri / Name ________________________________ Atsia / Fathers name _________________________ Telephone __________________________________ E-mail _____________________________________

Legalizimi nnkupton : a) vuln Apostile pr vendet antare t Konvents s Hags. Vula Apostile merret zakonisht n prefektur dhe n disa vende n Ministrin e Jashtme. (Apostille Seal, or, where it is not applied, legalisation from the competent local authority plus the Albanian Consulate) b) pr vendet si Italia, Greqia, Gjermania, Spanja, Belgjika bhet legalizimi nga autoriteti lokal (prefektura ose ministria e landit ose ministria e jashtme plus nga konsullata shqiptare q e mbulon rajonin prkats)

DIPLOMA Q KRKONI T NJHNI / DIPLOMA TO BE RECOGNIZED : Emrtimi i Diploms / Degree Title _________________________________________________ Pranuar n / admitted in_____________diplomuar m / graduated in_______ Kohzgjatja legale / legal length of study________vite / years _______semestra / semesters Pragu i pranimit pr kt nivel studimi / Admission requirement on the specific study program ___________________________________________________________________________ Niveli i studimit q mund t vazhdohet me kt diplom / Study level able to be pursued after this degree ___________________________________________________________________________________ Kontaktet zyrtare t universitetit (adres postare, e-mail) / Offical contacts of the university (postal address, e-mail)

Faqe personale n website-in e shkolls suaj / Personal account on the universitys website Jepni udhzime nse nevojiten / Provide instruction if necessary full link:________________________________________________________________________ username_____________________________password_____________________________ CV e kualifikimeve akademike duke filluar nga shkolla e mesme / Academic CV starting from High School

Firma / Signature _________________________________

Data / Date ____________________________