Application for the permission to graduate Last name: …………………………………………… First name: …………………………….…………. Born: ……………………….…. in ………………… Matriculation number: ………………………… I confirm that I have read the study and examination regulations (FU-Mitteilungen 41/2014, Amtliches Mitteilungsblatt der Humboldt-Universität zu Berlin 123/2014, Amtliches Mitteilungsblatt der Technischen Universität Berlin 40/2014, Amtliche Bekanntmachungen der Universität Potsdam 1/2015). I confirm that I am not enrolled in another university under purview of the Basic Law in the same study program, in the same subject or in a module comparable or identical with one of the modules pursuant to § 7 (2) of the above mentioned study and examination regulations, I have not failed to provide the required credits or failed examinations and I am not currently in a pending examination procedure. Berlin, …………………… ………………………………………… Signature of applicant The applicant is accepted / not accepted for the final degree Berlin, …………………………………. …………………………………………………… Signature / stamp Examination Committee
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