Application form

Your photograph 
Data of your mother 
First name: 
__________________________________________________ 
Last name: 
__________________________________________________ 
Country of residence: __________________________________________________ 
Current occupation: __________________________________________________ 
Monthly income:
 
__________________________________________________
Data of your father 
First name: 
__________________________________________________ 
Last name: 
__________________________________________________ 
Country of residence: __________________________________________________ 
Current occupation: __________________________________________________ 
Monthly income:
 
__________________________________________________
Members of your household 
Number of siblings: 
__________
 
Age of siblings: 
____________________________________________
 
Total number of household members: 
__________
 
Total household income: 
____________________________________________ 

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Page 3 of the SBW Berlin Application Form 
Most recent school or university certificate 
School/University name: 
__________________________________________________
 
City and Country: 
__________________________________________________ 
Date of issue: 
___
/
___ 
/
______ (day/month/year) 
Grade point average: 
____________________
 
Best possible grade would have been:
____________________
Minimum grade required to pass:
____________________
Main subject(s): 
__________________________________________________