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International Business Department

Please return till Wednesday, June 23, 2010 to Email: Fax-No.:

Ulrike.Schaefer@ohm-hochschule.de +49-(0)911- 5880-2884

Registration Form for the IB-Aptitude Test I hereby register for the IB-aptitude test, taking place on July 2, 2010 in the OHM-Business Building (Bahnhofstr. 87, 90402 Nuremberg); Beginning at 1:00 p.m. ending at about 15:30 p.m. I cannot take part in the IB-aptitude test, due to the following important reason: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ (Please add relevant documentation, if not yet provided!)

Please use CAPITAL LETTERS ___________________________________

___________________________________

Last/Family Name ______ /

First Name

_____ / 19_____

___________________________________

Date of Birth

Place of Birth:

City / State / Country

Address: ____________________________________________________________________________ ____________________________________________________________________________ E-mail: _______________________________@ _______________________________________ Phone :

_________ / __________ / ______________________

Fax:

_________ / __________ / ______________________

Mobile Phone:

_________ / __________ / ______________________ Country Code

Area Code

Phone Number

PLEASE BE AWARE THAT that your signature legally commits you to participate in the IBaptitude test. Subsequent withdrawal is only possible under exceptional circumstances. ________________________ Signature

__________________________ Place

______

/ _____ / 2010

Date T:\IB-Ordner\Eignungstest\WS 10-11\Registration Aptitude Test.doc

1/1 Georg-Simon-Ohm-Hochschule für angewandte Wissenschaften – Fachhochschule Nürnberg  Keßlerplatz 12  90489 Nürnberg Telefon: + 49 911/5880-0  Telefax: + 49 911/5880-8309  Internet: www.ohm-hochschule.de  E-Mail: info@ohm-hochschule.de Konto: Staatsoberkasse Bayern  Hochschule Nürnberg  Konto 130 1190 315  BLZ 700 500 00  Bayerische Landesbank

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