ࡱ> Qbjbj--AOeOe 8 8 8tp>lLB B B =======$x@.C=B ^B B B =B>111B =1B =11R@:a<p9{sV. %<o=X>0><Cb/C<a<a<&C<B B 1B B B B B ==D0B B B >B B B B CB B B B B B B B B 8  L:Univerzita J. E. Purkyn vst nad Labem Studijn oddlen, Rektort (SO REK) Pasteurova 1 400 96 st nad Labem }dost o uznn zahrani nho vysokoakolskho vzdln a kvalifikace/ Request for recognition of foreign university education and qualification podle 89 odst. 1 psm. b) zkona . 111/1998 Sb., o vysokch akolch a o zmn a doplnn dalach zkono (zkon o vysokch akolch)/according to 89 paragraph 1 point b) Act No. 111/1998 Coll., on universities and amending other Acts(Higher Education Act) Jmno a pYjmen dr~itele diplomu/Name and surname of diploma holder: Sttn pYsluanost/Nationality:Datum a msto narozen/Date of birth:Pohlav/Gender:  Adresa trvalho pobytu (nem-li ~adatel trval bydliat v R, uvede adresu v zahrani )/Address of permanent residence (if the recipient has not permanent address in Czech Republic, indicate the address abroad)Ulice/StreetMsto/City PS /Zip codeStt/State e-mail: tel./Phone Absolvovan vysok akola/Graduation UniversityNzev/Name:Webov strnky absolvovan vysok akoly/ Web of the Graduation University: Msto sdla (msto, stt)/Place of Residency (city, country):Msto studia (msto, stt)/Place of study (city, country):Datum zahjen studia/ Beginning of the study:Datum ukon en studia/ End of the study:Nzev studijnho programu (v eskm jazyce)/ Study program (in Czech):}dm o uznn vysokoakolskho vzdln vprogramu (( / I am requesting recognition of university education in study program*):BakalY / BachelorMagister / Master Postgraduln (Ph.D.)/Postgraduate Adresa, na n~ m bt rozhodnut zaslno (nem-li ~adatel trval bydliat v R, uvede adresu v zahrani ) Address to which the decision should be sent (if the recipient has not permanent address in Czech Republic, indicate the address abroad)Jmno a pYjmen **)/ Name and surname**)Ulice /StreetMsto/City PS /Zip codeStt/State e-mail: tel./ Phone: O uznn zahrani nho vysokoakolskho vzdln a kvalifikace ~dm ztchto dovodo:*)/Purposes for submission of the application*):za elem dalaho studia v R/Further studies in the CR za elem vkonu zamstnn v R/Employment in the CR za jinm elem (vypiate)/Other purpose (write down): Svm podpisem stvrzuji, ~e mi zahrani n vysokoakolsk vzdln v R doposud nebylo uznno a ~e jsem nepodal/a ~dost o uznn zahrani nho vysokoakolskho vzdln a kvalifikace na ~dnou jinou vysokou akolu v R. Dle dvm tmto souhlas Univerzit Jana Evangelisty Purkyn vst nad Labem k ovYen informac a dokumento tkajcch se mho zahrani nho vzdln. Tyto informace/ dokumenty zahrnuj zejmna ovYen pravosti pYedlo~ench doklado (diplom, vpis zkouaek apod.), obsah zkouaek, hodnocen a jakkoliv dala informace, kter jsou pova~ovny za nezbytn k provYen ovYen poskytnutch informac/dokumento. / I confirm that my degree was not previously recognized in the Czech Republic and that I have not simultaneously requested recognition of my degree at a different university in the Czech Republic. Moreover I authorize Jan Evangelista Purkyn University in st nad Labem, acting on its behalf to verify authenticity of the submitted documents (diploma, diploma supplement etc.), information and documentation in connection with my application. This information/documentation may contain curriculum, assessment criteria and any other information deemed necessary to conduct the verification of the information/documentation provided.Datum/datePodpis ~adatele/Signature of the applicant  K ~dosti pYilo~te vaechny n~e uveden doklady/The following documents must be enclosed to the application:Yedn ovYenou kopii diplomu (notYem nebo matrikou obecnho Yadu)***)/Notary-certified (by czech notary or or the registry office of the czechmunicipal office) copy of the applicant s diploma with relevant  HYPERLINK "https://www.muni.cz/study/recognition/general?lang=en" \l "Signatures" signatures and stamps authentication***)Yedn ovYenou kopii seznamu vykonanch zkouaek***)/Notary-certified (by czech notary or or the registry office of tTvxz|    " , . & ( j l ¸rid_Phx8hQZCJaJmH sH  hQZ5 h45hKnh4CJhx8hQZCJaJmH sH  hQZCJ h4CJhx8hQZ5mH sH  hKn5aJhQZhQZ5aJ hKnhKn hKnh4hCOh45CJhCOh45hKnh45h>`r5CJaJh>`rhKn5CJaJh>`rh]5CJaJh>`rhCO5CJaJT " ( 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h45>*hb8h45CJaJhb8hb8CJaJmH sH  hb85hb8hb8CJaJ h45 hY5hYhY56h:thY5hY hYhY h5 hF6hF6CJaJhb8hF6CJaJ>@ $"#''.''''' $$Ifa$<kd$$IfF:`%`%`%4 FaFyt/SA $IfgdY$a$ '''j(z $$Ifa$$a$vkd$$IfF0`%b0`%4 FaFyt/SAj(l(++m8\kd^$$IfF`%`%04 FaFyt/SA $ & F$Ifa$\kd$$IfF`%`%04 FaFyt/SA(((()H)J)P)))))*****+++++t+v+|+~++++ݤyha\aQIh^lCJaJhehb8CJaJ h45 heh4 h^lhb8B*CJH*aJph,jOh^lhFB*CJUaJph&jh^lhb8B*CJUaJphh^lhb8B*CJaJphh^l0JCJaJmH sH h^lh^l0JCJaJmH sH h^lh^lCJaJh^lhb8CJaJ hehb8hehD8dH*hehu H*he czechmunicipal office) copy of the applicant's Diploma Supplement (Transcript of Records or another listing of courses completed)***).Yedn pYeklady obou dokumento do eskho jazyka (soudnm pYekladatelem)/A certified translation of the diploma and the Diploma Supplement into Czech language (by czech translator) Yedn ovYen pln moc pro zstupce, vpYpad, ~e dr~itel diplomu zmocnil jinou osobu, aby ho vYzen o uznn zahrani nho vysokoakolskho vzdln zastupovala. /Notarised power of attorney for the representative, if the holder of a diploma authorized another person to act on his behalf in a process of nostrification.Kopii pasu (vy~adovno u cizinco zdovodu pYesnho transkriptu jmna podle pasu), pYp. kopii a pYeklad oddacho listu (u ~en, kter vysokoakolsk vzdln zskaly za svobodna)/Copy of the pasport or copy and translation (into Czech language) of the marriage certificate     Strnka/Page PAGE2/NUMPAGES2 .j.:UJEP/ /Spis.zn.UJEP-S/ /PID:UJEPXDoalo dne: Strnka/Page PAGE2/NUMPAGES2 (( PYsluan varianta se ozna  kY~kem/A relevant variant is marked with the cross **) Pokud se lia od jmna ~adatele je nutno dolo~it plnou moc, do ostatnch kolonek doplHte kontaktn daje zmocnnce/If it is different from applicant s name it must be accompanied by a power of attorney, add the contact details of the proxy to the other boxes ***) OvYen pravosti podpiso a otisko raztek na originlu diplomu/Signatures and stamps authentication Univerzita Jana Evangelisty Purkyn vst nad Labem po~aduje v souladu sustanovenm 90 odst. 3 zkona . 111/1998 Sb., o vysokch akolch, ovYen pravosti podpiso a otisko raztek na originlech diplomo. Zposob ovYen pravosti podpiso a otisko raztek na originlu diplomu zvis na zemi, kde ~adatel absolvoval sv zahrani n vzdln, resp. kde byl vydn pYsluan diplom. Zposob ovYen pravosti podpiso a otisko raztek na originlu diplomu zvis na zemi, kde ~adatel absolvoval sv zahrani n vzdln, resp. kde byl vydn pYsluan diplom. Zposob ovYen lze rozdlit do tY skupin: Bez ovYen,, Apostilla, Vyaa ovYen ciz listiny (superlegalizace) / Jan Evangelista Purkyne University in st nad Labem requires, in accordance with thesection 90, subsection 3 of Act No. 111/1998 Coll., on Higher Education Institutions, authentication of signatures and stamps on the original of diplomas.Means of authenticating the signatures and stamps occurring on the original of the diploma depend on the country that has issued it, i.e. where the applicant earned his/her education.The signatures and stamps authentication can be classified into three categories: No authentication required, Apostille, Superlegalization (Higher Authentication of Documents). Soupis jednotlivch stto s uvedenm po~adovanho ovYen diplomo zskanch v tom kterm stt naleznete na / A list of individual countries and requirements relating to the verification of diplomas gained in them please visit:  HYPERLINK "https://www.ujep.cz/wp-content/uploads/2016/12/seznam_staty2.doc" https://www.ujep.cz/wp-content/uploads/2016/12/seznam_staty2.doc. Zvlatn po~adavky pro podn ~dosti o uznn doktorskho studia (PhD)/ Special requirements for the recognition of a Doctorate degree (PhD): Spolu s vae uvedenmi dokumenty je nutn pYedlo~it i doktorskou nebo diserta n prci (pYeklad nen nutn) a abstrakt tto prce (v angli tin nebo eatin, Yedn pYeklad nen nutn) a seznam citac a publikac ~adatele, pYpadn profesn ~ivotopis se zamYenm na odbornou a vdeckou innost. Tyto dokumenty lze doru it i v elektronick podob (po diomluv)/ Along with the documents mentioned above it is necessary submit the dissertation or doctoral thesis and an abstract thereof in Czech or English (no need for the certified translation). It is also necessary to enclose the list of citations and publications of the applicant, especially in impacted papers (or a professional CV focused on expert and research activities). 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