Rozhodnutie o bezplatnom súbežnom štúdiu/Decision on free of charge parallel studies
v akademickom roku/in the academic year of ……………./…………….

Titul, meno a priezvisko/Title, name, surname: ..........................................................................................................
ID/Student ID No.: ................................................................................................
Dátum narodenia/Date of birth (dd/mm/yyyy): ..................................................
Miesto narodenia/Place of birth: .........................................................................
Trvalé bydlisko a PSČ/Permanent residence with Postal code: .................................................................................... .......................................................................................................................................................................................

V zmysle § 70 ods. 1 písm. k) Zákona č. 131/2002 Z.z. o vysokých školách a o zmene a doplnení niektorých zákonov v znení neskorších predpisov deklarujem svoje rozhodnutie, že v  uvedenom akademickom roku budem študovať bezplatne na študijnom programe/Pursuant to Article 70, Section 1, letter k) of Act No. 131/2002 Coll. on Universities and on amendments and supplements to certain laws, as amended, I declare that in the stated academic year I will study free-of-charge in the following study programme:

Študijný program/Study programme: .........................................................................................................................

Fakulta(ústav) STU/Faculty (Institute) of STU: ............................................................................................................

Stupeň štúdia/Degree level:	□ 1. stupeň/1st (bachelors)
				□ 2. stupeň/2nd (engineers, masters)
□ 3. stupeň/3rd (PhD.)

Rok štúdia („ročník“ - prvý, druhý, ...)/Year of study (1st, 2nd, ...): .............................................................................

Jazyk štúdia/Language of instruction:	□ slovenský/Slovak
                                                                     	□ cudzí/foreign

Forma/Form of study:		□ denná/full-time	□ prezenčná/presence
							□ dištančná/distance
							□ kombinovaná/combined

Školné za spoplatnené súbežné štúdium platím na verejnej vysokej škole/I pay the tuition fee for parallel studies at the following public higher-education institution in the Slovak Republic: 
Názov vysokej školy a fakulty/Name of higher-education institution and its faculty:

.......................................................................................................................................................................................

.......................................................................................................................................................................................

Bratislava/Trnava dňa/on: ....................................                                          ..................................................
podpis študenta/students signature