Q U E S T I O N N A I R E
Of the applicant for studying in Donetsk State Technical University
(Ukraine, Donetsk)
Surname _______________________________________________________
Name _________________________________________________________
Date of birth ____________________________________________________
Place of residence ________________________________________________
Nationality ______________________________________________________
National passport: ______# ________________________________________
The year of school-leaving __________________________________________
Desired speciality _________________________________________________
_______________________________________________________________
Language of study _________________________________________________
Marks in the school-leaving certificate:
Subject Maximum Minimum Mark received
Mathematics
Physics
Chemistry
Informatics
I take personal responsibility for the rightness of the facts I provide
Signature of applicant________________________
Date _______________________________