THE MEDICAL UNIVERSITY OF WARSAW AFFIDAVIT OF CITIZENSHIP e-mail: english@akamed.waw.pl

Medical University of Warsaw
 

AFFIDAVIT OF CITIZENSHIP

I do not have Polish citizenship at the moment.

(1) I have never been a Polish citizen.

(2) Originally I have had Polish citizenship, however, since (date) .......................

I held citizenship of (country) .....................................................................................

I hold a ................................................. passport.

                    I realise that the studies at  the IInd  Faculty of Medicine - English Division at the Medical University of Warsaw are exclusively available to NON-POLISH CITIZENS AT THEIR OWN EXPENSE.
                     I hereby declare the responsibility for the cost of study during the six academic years that are required to complete the medical studies.
 
 

                                             ...........................................................................
                                                             signature of candidate
 

The following section must be fully completed and signed if the each annual tuition fee is to be paid on the candidate’s behalf, otherwise the applicant will be held personally responsible for payment.
Fees are paid in advance ( including bank and agent’s charges) and attending a course cannot begin until fees are fully or partly ( in two installments with the Dean’s consent ) paid.

Authorization by parents/ guardians, employer, sponsor or other body that will pay the tuition fees,
Name: ...............................................................................
Position: ...........................................................................
Signature: ........................................................................
Date:  ...............................................................................
             If this section is not completed and if no other notification of sponsorship is received,
the candidate will be personally responsible for payment of fees.

 

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