Registration for Technical Studies COMPLEX

Course: Engineering COMPLEX
Variant: Technical Studies COMPLEX
Centre: Podebrady

REQUIRED FIELDS *

Complete the application in Latin script.
Enter your personal information as it appears in your passport.

The deadline for submitting the application is:

15 May	for students who require a visa Applications submitted after this date will be considered for admission on an individual basis. Admission is not guaranteed.
31 Aug	for students from the European Union

The study department will process your application and send you further necessary information and instructions for payment and accommodation. Information will be sent to the email provided on the application. For students requiring a visa, after receipt of payment we send a study confirmation to the address provided on the approved application form. The study confirmation is necessary for requesting a visa. We send the confirmation by regular mail.

Identification information

Name:
Surname:
E-mail:

Basic Information

Gender:
Date of birth:
Country of birth:
Passport number:
Nationality:

Home address

Street:
House/Apt. No.:
Town/City:
ZIP code:
Country:
Cell Phone:
	If another person is assisting you with this application and you want the information to be sent to the person's email, please write the contact name here:
Name:
Email:
Phone:
Name of Agency:

Education and Studies

Education Completed:
Study programme:
Specify the Study programme:

I have:
Level of proficiency:

Visa

I will request a study visa:
Where:

Accommodation

I would like accommodation:

Health Insurance

I am interested in health insurance provided by ILPS CU:
	KZPC PLUS = Comprehensive Health Insurance PLUS - indemnity limit (sum insured) 2 000 000,- CZK (75 000,- EUR) KZPC PLUS with a higher limit = Comprehensive Health Insurance PLUS with a higher limit - indemnity limit (sum insured) 2 600 000,- CZK (100 000,- EUR)
	Further information on page Health insurance for foreigners

Confirmation

I want the visa confirmation sent:

Information about this course

Where did you learn about studying atl ILPS CU?:	ILPS CU website ILPS CU blog YouTube Facebook Instagram Vkontakte Twitter Recommendation of a friend/graduate/family Agency Study Fair

Comments

Comments:

Attachments

Letter of Motivation/Questionnaire:
	Letter of Motivation/Questionnaire in English, Czech or Russian. Upload your own motivation letter, or download, complete, and then upload the Motivation Letter Form.
Copy of document of secondary school completion:
	Copy of document of secondary school completion – including grades or diploma. You can send the document later via email. Translations are not necessary for these languages: Russian, Ukranian, English, German, Spanish, French. Official translations in English or Czech are required for all other languages.
Copy of Passport:
	Copy of Passport – the page containing personal data. You can send the document later via email.

FAQ

+420 224 990 420

Registration for Technical Studies COMPLEX

Course: Engineering COMPLEXVariant: Technical Studies COMPLEXCentre: Podebrady

Course: Engineering COMPLEX
Variant: Technical Studies COMPLEX
Centre: Podebrady