□ Degree of master (120 credits) Please, state main field of study:

Sid: 1 / 1 Application for Degree Certificate,

second cycle

Ankomstdatum (ifylles av KI)

Please read the information below carefully

- You are welcome to apply for a degree certificate when you have checked that all your courses are completed and reported in to the student record LADOK. Only fully completed courses can be included in the degree certificate. If any result is missing or faulty, please contact your department. It is your

responsibility to make sure that your application is complete.

- In case courses with common contents are to be in the same degree certificate, a certain credit reduction is made.

- The degree certificate is issued both in Swedish and English.

- Courses which are included in a degree certificate at first level with 180 higher education credits can not be included in a degree certificate at second level for one and the same student.

This must be included with the application form:

- A personal record extract from the Swedish Tax Agency (Skatteverket) if you have a Swedish Civic registration number, otherwise a certified copy of your passport with your full name in print.

- A certified copy of bachelor's degree or vocational degree worth at least 180 higher education credits shall be enclosed to the application. Original documents may be asked for.

I apply for the following degree:

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Please TEXT

Family name Given name Civic registration number

Address or C/o address Post code City

Phone number home Phone number mobile Country

E-mail

I have read the information above and marked which degree I wish to apply for. I have also stated main field of study for my degree and enclosed verified copies of the documents necessary.

Signature Date

The application form should be sent to:

Karolinska Institutet, Avdelningen för utbildnings- och forskarutbildningsstöd, Examensgruppen, S-171 77 Stockholm, SWEDEN

Avdelningen för utbildnings- och forskarutbildningsstöd 2015-11-27