Technische Universität Berlin Servicebereich Master – IA 1 Hauptgebäude, Raum H 48-50 Straße des 17. Juni 135 10623 Berlin Bearbeitungsvermerk IA 1 Immatrikulation am: Kurzzeichen: Additional Form for Enrollment for a Continuing Education in a Master’s Program for a Special Program for a Doctoral Exchange for Summer Semester________/ Winter Semester__________________ Surname (last/family name) - (according to your passport) Date of birth First (given) name(s) - (according to your passport) Enrollment No. of TU Berlin (if already enrolled at TU Berlin) Application No. of your online registration Please fill in your current address only if different from the address provided in the online registration form. Address Postcode Phone (only German phone number) City, Country E-mail Course of study (Please specify a degree course offered by TU Berlin.) Student Status O = Regular student M = Student at several institutions of higher learning in Berlin or Brandenburg with the membership rights not being exercised at the Technische Universität Berlin (Please enclose a current enrollment certificate of your first institution to this form. The certificate must contain information on your current study program, the total number of all academic semesters you have/had been enrolled in as well as the total number of semesters in your current course of study) F = Participant in a dual-degree program (TU Berlin is your home university) E = Participant in a dual-degree program (with temporary enrollment at TU Berlin, home university is located in a foreign country, cf. Regulations Governing General Study and Examination Procedures - AllgStuPO) S = Student with a scholarship or grant (only for international students holding a scholarship or grant funded by the German Federal Government or one of its Federal State Governments; e.g. DAAD scholarship or similar – please enclose the respective statement of award to this form) TUB/IA1/Stand: 14.11.2016 Seite 1 von 6 Commitee Elections You have the right to vote for representative bodies at the university like the student parliament. To be registered as a voter, the following information is required (not valid for students with student status M). It is possible to change your choice at every re-registration for a new semester. In which faculty would you like to exercise your voting rights? (see page 4 for the respective faculty ) In which department/institute of this faculty would you like to exercise your voting rights? (see page 5 for the the respective institute) Statement regarding the Disclosure of Private Address Data I hereby declare my consent that my personal data (private address and e-mail address) which is stored in the university’s databank of students may be forwarded to organizational units within the Technische Universität Berlin in order to stay informed about events which are conducted by the Technische Universität Berlin or in cooperation with external institutions. Yes No Former Studies in the Federal Republic of Germany (Please submit documentation) Only to be filled in if you are currently not enrolled at TU Berlin. Have you been enrolled at a university in the Federal Republic of Germany before? Yes (please fill in the following fields) No (please go to page 3). 1st Enrollment from (e.g. WS 09/10) until (e.g. SS 13) Type of Degree (see page 6) University (offical title) Study Program (Major/Minor) License Plate of Study Location Number of Regular Semesters 2nd Enrollment from (e.g. WS 09/10) until (e.g. SS 13) Type of Degree (see page 6) University (offical title) Study Program (Major/Minor) License Plate of Study Location Number of Regular Semesters 3rd Enrollment from (e.g. WS 09/10) until (e.g. SS 13) Type of Degree (see page 6) TUB/IA1/Stand: 14.11.2016 University (offical title) Study Program (Major/Minor) License Plate of Study Location Number of Regular Semesters Seite 2 von 6 Course Work and Examinations Regarding the above mentioned study programs, I have course work or examination results that received the grade „not passed“ (with no option to repeat). Yes No If answered with „Yes“, please fill in and submit the following credit transfer application form (Antrag auf Anerkennung; see link below) which has to be confirmed by the respective examination board (of your prospective TU Faculty) that your past course work/examination results pose no hindrance for enrollment. Otherwise, please be aware that you would be excluded from enrollment! www.tu-berlin.de/?id=144776 Closing Statement I hereby declare and confirm with my signature the following statements: 1. I have neither been excluded from studies at a German university due to criminal proceedings nor are there currently any criminal proceedings pending against me. 2. I am currently not enrolled within the jurisdiction of the Higher Education Framework Act at any other German university in the same study program which I now apply for at Techniche Universität Berlin. 3. I am aware of the fact that I will be excluded from enrollment in the above requested study program of Technische Universität Berlin if I have been enrolled in the same study program at the Technische Universität Berlin or any other German university before and if I have not passed the intermediate or final examination (i.e. with no option to repeat), or if I have not been able to present the required certification of performance according to the examination regulations. 4. I authorize the Technische Universität Berlin to use and publish my exercises, seminar work and examination results for teaching and research purposes. 5. I am aware that I am obligated to hold a valid residence permit for enrollment at TU Berlin (to be applied for at the Foreigners’ Registration Office). For more detailed information, please contact TU’s department for international students (Akademisches Auslandsamt), rooms H 51-55. – www.tuberlin.de/?id=6986 The TU Berlin is not obliged to officially establish the facts of individual cases in which documents are missing, incomplete, or not certified/legalized. Therefore, please take utmost care that your application data and documents are complete. Any missing or incorrect document will not be subject to additional demand! Date Signature Print - only page 1-3 Save TUB/IA1/Stand: 14.11.2016 Seite 3 von 6 Index of Keys for Committee Elections Note: If you should not find the required information in the table listed below, please contact our staff at the Office of Graduate Admissions or write your own note (in legible block letters) next to the appropriate space. Faculties: Please find below an index of all faculties that can be chosen for the individual study programs or major/minor subjects at TU Berlin. Indicating this information will allow you to be registered in a students' electoral register in order to exercise active and passive voting rights at the respective departmens/institutions (scientific departments) and different faculties of the TU Berlin. If your study program belongs to different faculties and you do not specify any option, you will officially be assigned to the Faculty written in bold (see page 5). Master’s programs Master’s program Architektur Audiokommunikation und -technologie Automotive Systems Bauingenieurwesen Bildungsmanagement Bildungswissenschaft – Organisation und Beratung Biomedizinische Technik Biotechnologie Brauerei- und Getränketechnologie Chemie Chemieingenieurwese Computational Neuroscience Computer Engineering Computer Science Deutsch als Fremd- und Fachsprache Elektrotechnik Energie- und Verfahrenstechnik Environmental Planning (Umweltplanung) Environmental Policy and Planning Fahrzeugtechnik Gebäudeenergiesysteme Geodesy and Geoinformation Science Geotechnologie Geschichte und Kultur der Wissenschaft und Technik Historische Urbanistik / Historical Urban Studies Human Factors ICT Innovation Industrial and Network Economics Informationstechnik im Maschinenwesen Innovation Management and Entrepreneurship Interdisziplinäre Antisemitismusforschung Kunstwissenschaft Landschaftsarchitektur Lebensmitteltechnologie Luft- und Raumfahrttechnik Maschinenbau Mathematik Medienwissenschaft Patentingenieurwesen Philosophie des Wissens und der Wissenschaften Physik Physikalische Ingenieurwissenschaft Planung und Betrieb im Verkehrswesen Polymer Science Process, Energy and Environmental Systems Engineering – PEESE Produktionstechnik TUB/IA1/Stand: 14.11.2016 Faculty VI I IV VI I I V III III II II IV IV IV I IV III III VI V III VI VI I V IV IV I V VII I I VI III V V II I V I II V V III III Master’s program Regenerative Energiesysteme Schiffs- und Meerestechnik Scientific Computing Soziologie technikwissenschaftlicher Richtung Sprache und Kommunikation Stadtökologie Faculty III V IV VI I VI Stadt- und Regionalplanung Statistik Technischer Umweltschutz Technomathematik Urban Design Werkstoffwissenschaften Wirtschaftsinformatik Wirtschaftsingenieurwesen Wirtschaftsmathematik VI VII III II VI III IV VII II Master of Education study programs Arbeitslehre Bautechnik Elektrotechnik Elektrotechnik/Informationstechnik zum Quereinstieg (Lehramt) Ernährung / Lebensmittelwissenschaft Land- und Gartenbauwissenschaften/ Landschaftsgestaltung Faculty I I I I I I I Metalltechnik I Continuing education master’s programs Bühnenbild – Szenischer Raum Denkmalpflege Building Sustainability – Management Methods for Energy Efficiency Energieeffiziente urbane Verkehrssysteme Energy Engineering (El Gouna) Energy Management (EM) Europawissenschaften European and International Energy Law Global Production Engineering (GPE) Real Estate Management Space Engineering Urban Development (El Gouna) Urbane Versorgungsinfrastrukturen Faculty VI VI VI V Zi El Gouna VII I VII V VI V Zi El Gouna III Urban Management Water Engineering (El Gouna) Wissenschaftsmarketing VI Zi El Gouna VII V Seite 4 von 6 Index of Keys for Committee Elections Departments/Institutions in Individual Faculties This information is also relevant for your active and passive voting rights at the respective Institutes/Departments(scientific Departments) and the different Faculties of the Technische Universität Berlin. Fakultät I - Geisteswissenschaften Fakultät V - Verkehrs- und Maschinensysteme 3131 Institut für Philosophie, Wissenschaftstheorie, Wissenschafts- und Technikgeschichte, Literaturwissenschaft 3531 3132 3133 Institut für Geschichte und Kunstgeschichte Institut für Gesellschaftswissenschaften und historisch-politische Bildung Institut für Erziehungswissenschaft Institut für Sprache und Kommunikation Institut für Berufliche Bildung und Arbeitslehre 3134 3135 3136 3532 3533 3534 3535 3536 3537 Institut für Strömungsmechanik und Technische Akustik Institut für Psychologie und Arbeitswissenschaft Institut für Land- und Seeverkehr Institut für Luft- und Raumfahrttechnik Institut für Konstruktion, Mikro- und Medizintechnik Institut für Werkzeugmaschinen und Fabrikbetrieb Institut für Mechanik Fakultät II - Mathematik und Naturwissenschaften 3231 3233 3235 3236 3237 Institut für Festkörperphysik Institut für Theoretische Physik Institut für Chemie Institut für Mathematik Institut für Optik und Atomare Physik Fakultät III - Prozesswissenschaften 3331 3332 3333 3334 3335 3337 Institut für Biotechnologie Institut für Lebensmitteltechnologie und Lebensmittelchemie Institut für Technischen Umweltschutz Institut für Werkstoffwissenschaften und -technologie Institut für Prozess- und Verfahrenstechnik Institut für Energietechnik Fakultät VI - Planen Bauen Umwelt 3631 3632 3633 3634 3635 3636 3637 3638 Institut für Bauingenieurwesen Institut für Angewandte Geowissenschaften Institut für Geodäsie und Geoinformationtechnik Institut für Ökologie Institut für Landschaftsarchitektur- und Umweltplanung Institut für Stadt- und Regionalplanung Institut für Soziologie Institut für Architektur Fakultät VII - Wirtschaft und Management 3831 3832 3833 Institut für Volkswirtschaftslehre und Wirtschaftsrecht Institut für Betriebswirtschaftslehre Institut für Technologie und Management Fakultät IV - Elektrotechnik und Informatik 3431 3432 3433 3434 3435 3436 Institut für Energie- und Automatisierungstechnik Institut für Hochfrequenz- und HalbleiterSystemtechnologien Institut für Telekommunikationssysteme Institut für Technische Informatik und Mikroelektronik Institut für Softwaretechnik und Theoretische Informatik Institut für Wirtschaftsinformatik und Quantitative Methoden TUB/IA1/Stand: 14.11.2016 Zentralinstitut (Zi) El Gouna 3931 Zentralinstitut El Gouna Seite 5 von 6 Index of Keys for General University Entrance Qualification University: Diplom Diplom (Übersetzer) Diplom (Dolmetscher) Magister Master Bachelor Diplom Kurzstudium Promotion mit Abschlussprüfung Bachelor mit Lehramtsoption Master of Education 11 13 12 02 88 82 14 06 31 30 University of Applied Sciences: Diplom Diplom (Übersetzer) Diplom (Dolmetscher) Magister Bachelor Master 51 54 52 02 84 90 Art college: Künstlerische Abschlussprüfung Bachelor Master 80 83 89 State examination: Staatsexamen / 1. Staatsprüfung Staatsexamen einphasig 26 29 Foreign university: Abschluss außerhalb von Deutschland (University degree from outside of Germany) TUB/IA1/Stand: 14.11.2016 96 Seite 6 von 6
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