Form registration master examen (examination meeting)

Registration form MASTER Exam

Programme: Electrical Engineering/Mechatronics/Embedded Systems

Student number:

First name(s):

Last name:

Date of Birth:

Place of Birth: _______________________________Country: ___________________________

Correspondence address:

Post code: ______________ Place of residence:______________________________________

Phone number:

E-mail address: _______________________________________________________________

The following courses or assignments have not yet been finished or taken:

Course code Course name

________ _____________________________________________________________

________ _____________________________________________________________

________ _____________________________________________________________

My final presentation will be or took place on the:______________________________________

After graduating the undersigned will:

O Stay in the Netherlands for work or a PhD at ____________________________________

O Leave the Netherlands, and return to his/her home country (please notify BOZ about the departure date, in order to get your diploma in time!!)

O Other, namely: ___________________________________________________________

Enschede, (date)______________________Signature student___________________________

In te vullen door S&O/BOZ-EL:

Examenkandidaat voor de maand: _______________________Behandeld door: ____________

Opmerkingen:

_____________________________________________________________________________