Q U E S T I O N N A I R E


Of the applicant for studying in Donetsk State Technical University

(Ukraine, Donetsk)

 

Surname _______________________________________________________

Name _________________________________________________________

Date of birth ____________________________________________________

Place of residence ________________________________________________

Nationality ______________________________________________________

National passport: ______# ________________________________________

The year of school-leaving __________________________________________

Desired speciality _________________________________________________

_______________________________________________________________

Language of study _________________________________________________

Marks in the school-leaving certificate:

Subject Maximum Minimum Mark received

Mathematics

Physics

Chemistry

Informatics

 

I take personal responsibility for the rightness of the facts I provide

Signature of applicant________________________

Date _______________________________

 

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