Pathway Programme 0 (PP 0)

Pathway Programme A2 (PP A2)

Pathway Programme B1 (PP B1)

Pathway Programme plus Studienkolleg A2 (PPS A2)

Pathway Programme plus Studienkolleg B1 (PPS B1)

Please advise me on the most suitable BIC Pathway

Programme for me. I have transferred 148 EUR application fee to:

Start in: 2014 2015

University Programme

Personal details

Degree: Bachelor Master

University: Degree programme:

University: Degree programme:

University: Degree programme:

Family name (surname): Given name: Middle name(s): Email:

Date of birth: Place of birth: Nationality: Alternative email:

Payment OF aPPLICatIOn Fee

1st ChOICe

2nd ChOICe

3rd ChOICe

Account Holder: BIC Berlin International College GmbHAccount Number: 377032800Bank: Deutsche Bank AGSort code: 480 700 24Reference: Application fee for (your name) IBAN: DE 16 480 700 240 3770328 00SWIFT code: DEUT DE DBBIE

1. Fill in the application and attach a copy of your passport and certified copies of your academic transcripts and examination results, including their certified translations into German or English.

2. Transfer the 148 EUR application fee.3. Scan your application in pdf format and send it to info@berlin-international-college.de.

BIC ApplICAtIon Form

aPPLICatIOn FOr BIC Pathway PrOgrammes

BIC Berlin International College Application Form page 1

I already have B2 / C1 level German (certificate enclosed) and

hereby register for the 6-week academic preparation course

Maths+. I will pay the tuition fees of 950 EUR upon receipt of the

invoice from BIC*.

regIstratIOn FOr maths+

I already have B2 / C1 level German (certificate enclosed) and only

need university placement. If my application is successful, I will

pay the BIC university placement fee of 1,275 EUR and thereafter

receive the offer letter.

aPPLICatIOn FOr UnIVersIty PLaCement

* Maths+ is included in any of the BIC Pathway Programmes, but also can be

booked individually.

Language skills

None Basic knowledge (A2) Fluent (B1) Proficient user (C1) Native speaker

TOEFL IELTS Test score Test date engLIsh

german*

education history

Qualification awarded:

(Intended) Qualification awarded:

Name/city of the awarding institution:

(Expected) Date of award: Name/city of the awarding institution:

Country:

Date of award (mm/yyyy):

Country:

Commencement of studies (mm/yyyy):

seCOndary edUCatIOn (hIghsChOOL)

tertIary edUCatIOn (UnIVersIty)

declaration

Google Facebook Friend GLS

Agent Other (Please enter your agent’s name and surname)

Date Place Signature

I declare that the information I have supplied on and with this form is complete and correct. I understand that the giving of false or incomplete information may lead to the refusal of my application or cancellation of my enrolment. I authorise BIC Berlin International College to supply any relevant data to its partner universities I have applied to.

hOw dId yOU hear aBOUt the BerLIn InternatIOnaL COLLege?

* Common European Framework of Reference for Languages (CEFR): Levels range from A1 for beginners to C2 for language skills at the highest level.

Version 2013-10

fi

Country: City:

Street: Postcode/ZIP:

address FOr COrresPOndenCe (if different from your home address, e.g. the agent’s address)

Country: City:

Street: Postcode/ZIP:

hOme address

BIC Berlin International College Application Form page 2

First language (your mother tongue):