Application Form (.pdf)

Registration number:
Application Form for University Study
PhD study – third degree
FILL OUT IN CAPITAL LETTERS Explanatory notes are on page 3
University, faculty stamp:
Academic year: 20 / 20
Citizenship:
Filing date:
First name:
Academic degree:
Surname:
Maiden name:
Marital status:
Date of birth: day month year Sex 1) : male female
Place of birth:
Country:
Personal identification number:
Nationality:
Identity card number (foreigners provide passport number):
Telephone number:
E-mail address:
Permanent address:
Street and number:
Town (municipality):
Region:
ZIP code:
Country:
Correspondence address (if different than the permanent address):
Street and number:
Town (municipality):
Region:
ZIP code:
Country:
University:
Faculty:
Detached workplace:
Study program:
Study field:
Form of study 2) : Method of study 3) :
External educational instituion:
Dissertation thesis topic:
Advisor:
Graduation from second-degree university study:
University:
Faculty:
Detached workplace:
Study program:
Study field:
Start of study:
End of study:
Academic degree:
Page 1

Applicant’s declaration and consent
I declare that all data provided by me is true and that I have not concealed any significant facts. In accordance
with Article 7 of Act No. 363/2005 Coll. on Protection of Personal Data I give consent with my own autograph that
the university can process my personal data for the purposes of admission proceedings until the date of
registration to the first year of the PhD study at the university. This consent relates to personal data stated in the
application form and its appendices, which the university is eligible to ask for in accordance with Article 58 Section
5 of Act No. 131/2002 Coll. on Universities and on Amendments of Some Acts as amended by later regulations
(hereinafter referred to as ”act”). I take into account that I can cancel this consent in writing only in the relevant
university or faculty if there occur any relevant reasons. At the same time I take into account that the data can be
processed only by authorized persons who are obliged to observe regulations of Act No. 363/2005 Coll. on
Protection of Personal Data, and the processed data will be archived and discarded in accordance with effective
legal regulations of the Slovak Republic.
Date:
Applicant’s signature:
Ministry of Education of the SR, 11/2006
Page 2

Instructions and explanatory notes for filling out the application:
The application is intended for second-degree university study graduates.
1) Check appropriate box in the Sex item.
2) In the Form of study item enter ”full-time” or ”external” according to information about possibilities of the study.
3) In the Method of study item enter ”non-distance” or ”distance”, or ”combined” according to information about
possibilities of the study.
4) In case printed data is not sufficient, write it on a separate appendix. Specify also the study that you duly
graduated from, current study or incomplete study (for example completed semesters).
Applicants with physical disability can ask for another form of entrance examination and the way how it should be
carried out with regard to their physical disability.
Notes to the “Applicant’s declaration and consent” section:
This consent relates to specific data connected for example with further conditions for admission to study, which
the act cannot specify with regard to heterogeneity of requirements of universities regarding the field of study (for
example data on health qualification) – see Article 58 Section 5 of the Act.
This consent does not relate to for example first name, surname, personal identification number, place of birth,
marital status, etc., and therefore the consent of the person in question is not required for processing of this data
– see Article 58 Section 3 of the Act, where the data is listed. The consent relates to all other data.
Appendices to the application form:
1. curriculum vitae,
2. copy of the pay receipt for admission proceedings,
3. verified copies of documents proving graduation from study (university diploma, state-examination
certificate, diploma supplement),
4. list of published scholarly and scientific (artistic) works,
5. confirmation of practical experience, this relates to candidates applying for full-time form of study,
6. project outline of the dissertation thesis topic.
Ministry of Education of the SR, 11/2006
Page 3