Application form

Please note that except for the sections referring to exemption, premed studies and to the time/location of the entrance exam, ALL THE FIELDS ARE MANDATORY to fill in. In case you fail to provide these data your application cannot be finalized.

Personal data

(please fill as in your passport)

First name (given name)

Surname (family name)

Sex      

Marital status      

Date of birth

Place of birth (country)

Place of birth (city)

Citizenship

Mother tongue

Other languages  
English            
Hungarian            
Other

           
Planned entrance exam

Entrance exams abroad         Entrance exam in Pécs

(Please note that exemption may only be granted if you fulfil scientific and language requirements together and attach the relevant documents.)

 
or

Please specify field and number of years (Attach original transcript)

and having a B2 level English language examination, namely:

result

result

Result

Data of passport
Country code and passport number

Expiry date

Contact details
Email address

Permanent/mailing address
Number and street

City or Town

Postal code

Country



Number and street

City or Town

Postal code

Country

ICE - person to notify in case of emergency (name & phone number)

Data of parents
Mother's maiden first name

Mother's maiden family name

Mother's occupation

Father's full name

Father's occupation

Family relations living in Hungary, degree of relation
Academic record
Secondary/High school
Name of school

Attended from   to  

Number of years attended

Registration number of degree/certificate If you are still a student, write the number of your student ID card here.

Type of degree/certificate

Last year's grade in * Biology: Physics:

  Chemistry: English:

* If you don't have a grade in a given subject, put an "X" into the box.
College/University **
Name of school

Attended from   to  

Number of years attended

Registration number of degree/certificate/transcript If you are still a student, write the number of your student ID card here.

Type of (prospective) degree/certificate (BSc, MSc, MD, etc.)

** information on credit transfer and the recognition of previous studies on the website of the Registrar’s Office
Premedical Course
Name of school

Attended from   to  

Number of years attended

Registration number of degree/certificate If you are still a student, write the number of your student ID card here.

Type of degree/certificate

Stipendium Hungaricum applicant

My registration number

Notes, remarks to the admissions team/English Program Committee

Feedback
Where and how did you first learn about this program? Please specify:

Where else did you get information from

I hereby certify that the information I have provided is complete and accurate, and any other supporting materials, documents are factually true and honestly presented. I acknowledge that these documents are verified true copies of the original documents and they will become the property of the institution I am applying to, and they will not be returned to me. I will notify the University of Pécs should there be any changes to the information provided in this application. I declare that I am aware of the English Program requirements and conditions of admission valid and published at the official admissions website of the University of Pécs Medical School (admissions.medschool.pte.hu) at the time of submitting my online application and fully accept the given conditions. Hereby I allow the University of Pécs to process the data and documents I supply during my admission procedure, and I accept that my data and documents will only be used for the admission decision and in connection with my studies, according to the data protection regulations of the European Union and of the University of Pécs.

 

After completing your application an automatic reply will be sent to your e-mail address to confirm your online registration.

After submitting your online application, please print the next pages!