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Application form International students

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Application form
MSc Medical Informatics
Academic Medical Center
University of Amsterdam
Master Medical Informatics
MSc Medical Informatics is a two-year Master's degree programme taught in English. It is open to both direct
entrants from BSc Medical Informatics and lateral entrants with related first degrees. The latter can come from a
variety of backgrounds, including Medicine, Health Sciences, Biomedical Sciences, Computer Science and
relevant vocational degree courses. To join the course, you must comply with the prerequisites listed on the
website of the University of Amsterdam by visiting
www.uva.nl/onderwijs/master/masteropleidingen/item/medical-informatics.html, on the page application and
admission. If you have any questions about studying at the AMC-UvA, please contact one of the student advisors
studieadviseur@amc.uva.nl. Would you like to talk to a student advisor in person or by phone? Please
https://www.amc.nl/web/Onderwijs/International-student/Medical-Information-Sciences/Contact.htm for detailed
information. If you have any questions regarding the study programme, please contact the Conversion
Programme Coordinator pre-master-MI@amc.uva.nl.
Application for International students
Each academic year, there are two starting dates for the Master study MI: 1st of September and 1st of
February. The conversion programme has a maximum length of 26 EC, corresponding with 6 to 8
months of prior study time. Students not currently resident in the Netherlands are advised to apply
one year before the starting date. Although the maximum length of a conversion programme to meet
the prerequisites is 26 EC, there is also time needed for preparing practical matters, as housing and a
possible visa.
All prospective lateral entrants must apply in advance to the Examination Board, enclosing the
following documents for consideration.
a.
A letter of application, including reasons for wishing to take the course.
b.
Certified copy of diploma and transcripts secondary high school diploma
c.
Certified copy of English language proficiency
d.
Authenticated copies of relevant qualifications (Bachelor’s and/or Master’s degree
certificates).
e.
A list of courses or modules taken, graduate points and marks obtained.
f.
A curriculum vitae describing the candidate’s educational and employment history, as
well as any additional courses taken.
g.
Reference letter(s).
To complete the registration process, you should also submit the following items.
A copy of your passport.
A completed registration form.
A passport photograph.
The admission procedure also includes an interview.
Send your application and all the requested documentation in an envelope marked “Application for
MSc Medical Informatics” to the following address:
Universiteit van Amsterdam
Onderwijsinstituut Medische informatiekunde
t.a.v. de Examencommissie
p/a mr. B.S. Wittebrood
AMC, J0-217
Postbus 22660
1100 DD Amsterdam
The Netherlands
1
Application form
MSc Medical Informatics
Academic Medical Center
University of Amsterdam
Personal information
Surname ……………………………………………………………
Given name(s) ……………………………………………………….
Nationality (please mention any dual nationality) ………………………………..
Sex:
male /
female
Date of birth ……………………………………………………………….
Place of birth……………………………………………………………
Country of birth……………………………………………………………
Nationality……………………………………………………………
Marital status……………………………………………………………
Passport number……………………………………………………………
Valid until……………………………………………………………
Permanent mailing address……………………………………………………………
Address……………………………………………………………
City……………………………………………………………
Postal Code……………………………………………………………
Country……………………………………………………………
E-mail address……………………………………………………………
Telephone number ……………………………………………
Education
Main field of study……………………………………………………………………….
University/college ……………………………………………………………….
City and Country……………………………………………………………
Title of
degree(s)/qualification(s)……………………………………………………………………….
Length of programme (years) ………..…………………………………………….
Date obtained (or expected): ……………………………………………….………….
Language of instruction……………………………………………………………
Specialisation: …………………………………….……………………………………….
English language proficiency
2
Application form
MSc Medical Informatics
I am a
native /
Academic Medical Center
University of Amsterdam
non native speaker
If non-native speaker, name of test:
TOEFL
IELTS
Cambridge FCE
Cambridge CPE
Score …………………………………….……………………………………….
Date test …………………………………….……………………………………….
Date …………………………………….……………………………………….
City …………………………………….……………………………………….
Country …………………………………….……………………………………….
Name of applicant …………………………………….……………………………………….
Signature …………………………………….……………………………………….
Please make sure that:
Your application is complete; enclose the requested documents as mentioned on page 1.
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