Germany University Application Form
Please complete all sections of this application form clearly in black ink and BLOCK CAPITALS. Please complete
the following sections to the best of your knowledge.
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Personal Details
Title *
Gender *
First Name *
Surname *
Preferred Name *
Date of Birth *
MM
/
DD
/
YYYY
Nationality (as in passport) *
Country of Birth *
Permanent Home Address, Line 1 *
Permanent Home Address, Line 2
City/Town *
Postcode *
Country *
Is your permanent address different from the one listed above? *
Required
Daytime Contact Number *
Evening Contact Number
Mobile Number *
Email Address *
Are you a German visa holder? *
Required
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