Antragsformular

I applied for another statement of comparability

Personal Information

Family Name

First Name

Middle Name

Date of Birth

Country of Birth

Place of Birth

Citizenship

Gender
Male Female

Purpose of application

Bluecard
Employment contract for the Blue Card is attached

Name of Qualification		Country where qualification was awarded
Degree course
Subject Area
Professional Title
Name of Institution
Location of Institution
Study Period from	to
Date of Completion	Date of Award	Identification Number or Code
Mode of Study Full-time Part-time E-learning	Official Length of Programme in years	Thesis/ Dissertation? Yes No

Secondary School Qualification		Country of Origin
		Date

1. Degree (if different from the qualification to be evaluated)		Country of Origin
Name of Institution		Place
Study Period from	to	Mode of Study Full-time Part-time E-learning
Submit another qualification

2. Degree (if different from the qualification to be evaluated)		Country of Origin
Name of Institution		Place
Study Period from	to	Mode of Study Full-time Part-time E-learning

Declaration

	I hereby certify that the information given is correct and the attached documents are authentic. I am informed that any attempt to receive a Statement of Comparability by means of forged documents is punishable under the laws of the Federal Republic of Germany.
	I authorize the ZAB to ask the issuing institutions for verification of the documents presented. I give my consent that the institutions provide the requisite information to the ZAB.
	I do not authorize the ZAB to ask the issuing institutions for verification of the documents presented.
	Bitte Gründe angeben