Immatrikulationsbescheinigung ergänzendes Auslandssemester neu

Certificate of enrolment
to be supplied by the foreign University
Förderungsnummer – bitte immer angeben
506Name of University:
Address:
This is to certify that
Mr. / Ms.:
, born:
as a
□ accepted / admitted
□ full-time student
or
in
□ year 1
□ year 3
is
□ year 2
or
□ enrolled / registered
□ part-time student
□ year ___ □ Exchange/Erasmus
Course of studies:
Enrolment from:
to:
start (exact date, dd/mm/yy)
end (exact date, dd/mm/yy)
Total tuition fees (less tuition fee waiver):
Do the tuition fees include any other costs than for tuition?
□ no
□ yes, in the amount of:
The above named student applied for a tuition fee waiver:
□ no
Date
□ yes, and got a tuition fee waiver:
Signature
□ no
□ yes
Seal