Registration number: 	
Prihláška na vysokoškolské štúdium  Application for doctoral study	Pečiatka VŠ, fakulty:
Stamp of the faculty: 	
doktorandské1) – tretí stupeň  doctoral1) – third  level 		
Akademický rok:    20      / 20  Academic year:    20      / 20		
Štátne občianstvo: Citizenship:		
Meno:                                               Priezvisko:
Name:                                              Surname:	Dátum doručenia:
Date of delivery:	
Rodné priezvisko:  Maiden name:	Akademický titul:
Academic degree: 	
Dátum narodenia:  deň 
Date of birth: day			Mesiac month			Rok year						Pohlavie2):            muž
Sex                      Male                    		Žena
Female	
	
Miesto narodenia: 
Place of birth:	Štát:
 State:	
Rodné číslo3):
Personal ID number:							/						
Tel. č.4):  Phone number:	E-mailová adresa4):  Email address: 	

Adresa trvalého bydliska: Home Address :	
Ulica a číslo: Street and number: 	
Mesto (obec): City:	PSČ:  Postcode	
Okres: District:	Štát: State:	

Korešpondenčná adresa (ak je iná ako adresa trvalého bydliska): Correspondence address (if it differs from the home address): 	
Ulica a číslo: Street and number: 	
Mesto (obec): City:	PSČ:  Postcode	
Okres: District:	Štát: State:	

Miesto pobytu u cudzinca3): The place of residence of a foreign student 	
Ulica a číslo:  Street and number: 	
Mesto(obec): City:	PSČ:  Postcode:	
Okres: District:	Štát:  State:	

Vysoká škola University: University of Prešov in Prešov 	
Fakulta Faculty: Faculty of Management	
Detašované pracovisko: Branch of the faculty: 	
Študijný program: Study programme:  Management 	
Študijný odbor: Field of study: 	
Forma štúdia5): Form of study:	Metóda štúdia6): Method of study: 	
Externá vzdelávacia inštitúcia: External educational institution: 	
Téma dizertačnej práce: Topic of a dissertation thesis: 	
Školiteľ:  Supervisor: 	

Vyplňte čitateľne veľkým tlačeným písmom./ FILL IN LEGIBLY WITH CAPITAL LETTERS. 
Vysvetlivky sú na 4. strane. Explanations are to be found on page 4. 

Ministerstvo školstva, vedy, výskumu a športu SR, 02/2019	
1. strana	

Absolvované magisterské, inžinierske, doktorské štúdium na vysokej škole: Previous study: Master’s, engineer, doctoral study: 	
Vysoká škola: Higher education institution: 	
Fakulta: Faculty: 	
Detašované pracovisko: Branch of the faculty: 	
Študijný program: Study programme: 	
Študijný odbor: Field of study:	
Dátum začiatku štúdia:
Started (when): 	Dátum skončenia štúdia:
Completed  (when): 	Akademický titul:
Academic degree: 	

Podľa požiadaviek vysokej školy uchádzač uvedie prospech v jednotlivých ročníkoch absolvovaného štúdia magisterského alebo inžinierskeho, alebo doktorského štúdia na vysokej škole a priloží overené fotokópie dokladov o absolvovaní štúdia (vysokoškolský diplom, vysvedčenie o štátnej skúške a dodatok k diplomu). 
Účasť a úspešnosť na konferenciách, súťažiach, študentskej vedeckej odbornej činnosti, autorstvo objavov alebo priemyselných vzorov a výsledky záujmovej činnosti uvedie uchádzač osobitne na zvláštnej prílohe.

Výpis výsledkov magisterského, inžinierskeho, doktorského štúdia v jednotlivých semestroch 
(alebo doložiť výpis výsledkov magisterského, inžinierskeho alebo doktorského štúdia, ktorý vydáva študijné oddelenie VŠ)	
Semester	
Predmet	I.	II.	III.	IV.	V.	VI.	VII.	VIII.	IX.	X.	XI.	XII.	

													

													

													

													

													
Vážený študijný priemer 
(podľa vyhlášky MŠ SR č. 614/2002 Z. z. o kreditovom systéme štúdia)													

Potvrdenie o správnosti údajov (ak nie je absolventom tej istej vysokej školy):

Dátum:	Podpis:	Pečiatka študijného oddelenia školy/fakulty:	

Ministerstvo školstva, vedy, výskumu a športu SR, 02/2019	2. strana	

Prehľad o ďalšom i neskončenom štúdiu na vysokej škole7): Previous higher education study including unfinished one	
Vysoká škola: Higher education institution: 	
Fakulta: Faculty:	
Detašované pracovisko: Branch of the institution: 	
Študijný program: Study programme: 	
Študijný odbor: Field of study:	
Stupeň dosiahnutého vzdelania8):
Level of achieved education: 	
Dátum začiatku štúdia:
Beginning of the study: 	Dátum skončenia štúdia:
End of the study: 	

Zamestnanie (profesia, názov zamestnávateľa): Employment (profession, employer): 	
Predchádzajúce: Previous: 	
Súčasné: Current: 	

Vyhlásenie a súhlas so spracúvaním osobných údajov uchádzača

Vyhlasujem, že všetky mnou uvedené údaje sú pravdivé, a že som nezamlčal/a nijaké závažné skutočnosti.
Vyhlasujem, že som si pozorne prečítal/a poučenie o ochrane osobných údajov a jeho obsahu rozumiem.
Súhlasím/Nesúhlasím1)  so spracúvaním osobných údajov, ktoré sú uvedené v prílohách k prihláške, vysokou školou, v súlade so zákonom č. 18/2018 Z. z. o ochrane osobných údajov a o zmene a doplnení niektorých zákonov na účely prijímacieho konania.

Declaration and the consent of the applicant with personal data processing
I declare that all the information I have provided is true and I have not withheld any important facts. 
I declare I have carefully read the instructions on the personal data processing and I understand them. 
I agree/disagree1)   with the processing of personal data given in the application form attachments for the purpose of admission procedure by the higher education institution in compliance with the Act No. 18/2018 Coll. on Personal Data Protection and on  Changing and Amending of other Acts. 	

Prílohy k prihláške: 9) 
Attachments: 

1.	životopis CV
2.	kópia dokladu o zaplatení poplatku za prijímacie konanie (poštová poukážka, výpis z účtu)
 	Proof of an administrative  fee payment 
3.	overené fotokópie dokladov o absolvovaní štúdia (vysokoškolský diplom, vysvedčenie o štátnej skúške, dodatok k diplomu)
	Verified copies of the documents on previous study (higher education diploma, certificate of the state exam, diploma supplement)
4.	zoznam doteraz publikovaných odborných a vedeckých (umeleckých) prác
	List of published papers
5.	rámcový projekt k téme dizertačnej práce
 	Research project related to the dissertation thesis
6.	
7.	
8.

Dátum:
Date:	Podpis uchádzača:
Signature of the applicant: 	

Ministerstvo školstva, vedy, výskumu a športu SR, 02/2019	

3. strana	
Guidelines for filling in the application form: 

1)  The application form is for the graduates of Master’s or engineer study or doctoral study, that is second-level higher education study, who want to continue by studying for a PhD degree  that is third-level higher education study. 
2) In entry Sex use a cross  
3)  In the entry Personal ID, an ID of a foreigner is entered if it has been assigned to them by the Ministry of Interior of the SR. Indicate the place of residence of a foreigner in the Slovak Republic. 
4) Entries Phone number and E-mail are not compulsory. 
5)  In the entry Form of study, write part-time or full-time according to the information on study options. 
6) In the entry Method of study, write daily, distant or combined according to the information on study options. In case no method of study is indicated in university guidelines, the study is run daily. Distant or combined method of study is indicated in the study programme 
7) In case of lack of space, provide the information in a separate attachment. Give information on completed, current or unfinished education. 
8) In the entry Level of achieved education, write second level of higher education, combined first and second level of higher education. 
9)  The applicant will include other attachment according to higher education institution requirements. 

An applicant with specific needs may ask for a form of entrance exam taking into consideration his or her specific needs. 

Ministerstvo školstva, vedy, výskumu a športu SR, 02/2019	4. strana	

Instructions on personal data protection 

Personal data of the applicant  (hereinafter referred to as a  „ Data subject“) provided to the higher education institution (hereinafter referred to as „Controller“)  in the application  form for  higher education study are processed in compliance Act No. 18/2018 Coll. on Protection of Personal Data and on Changing and Amending of other Acts. (hereinafter referred to as  „Act No. 18/2018 Coll.“) and Act No. 131/2002 on Higher Education and on Changes and Supplements to Some Laws (hereinafter referred to as  Act. No. 131/2002 Coll.“).

The purpose of personal data processing:

Admission procedure and enrolment:
For the purpose of admission procedure in accordance with § 58 article 3 section a)  of Act No. 131/2002 the Controller processes the following personal data:  
•	name,		•	date of birth,		
•	surname,		•	place of birth,		
•	maiden surname ,		Permanent address,		
•	titles,		•	sex,		
•	ID number 		•	Student’s photo,		
		•	citizenship;		
		•	phone number  (if provided),	
		•	email address (if provided),	
•	as for foreigners, a place of residence in the Slovak Republic and an ID number if assigned by the Ministry of Interior of the Slovak Republic. 	

For the purpose of an admission procedure in accordance with § 58 article 3 section b)  of Act No. 131/2002, the Controller processes data on previous or current employment of the applicant. 

For the purpose of an admission procedure in accordance with § 58 article 3 section c)  of  Act No. 131/2002, the Controller processes data on achieved education including study results and on results of the activities related to the study  programme that the applicant is applying for. 

In case of admitted applicants, the given data can be used by the Controller for the purpose of enrolment in study 

Statistical purposes:
In compliance with § 58 article 4  of Act No. 131/2002 Coll. the Controller can provide the data processed for the purpose of admission procedure to other legal or natural persons for statistical purposes. 

Processing of personal data that is not necessary according to a special regulation:
In case a Controller requires documents containing personal data whose processing is not inevitable according to a separate regulation (e.g. § 58 and § 73 article 3 of Act No. 131/2002 Coll.), it is necessary for the Controller to state  the purpose of personal data processing  in accordance with Act No. 18/2018 Coll. and to process these data on the basis of the consent of the Data subject with the  processing of personal data.

Granting the consent to the processing of personal data contained in the annexes provided with the application for study may be indicated in the application form. In accordance with § 14 par. 3 of Act no. 18/2018 Coll.  the Data subject has right to revoke his or her consent to the processing of personal data at any time. Revocation of consent does not affect the lawfulness of the processing of personal data based on consent prior to its recall. The Data subject may revoke the consent in the same way as he or she granted the consent and he or she notifies the Controller about it. 

Ministerstvo školstva, vedy, výskumu a športu SR, 02/2019	

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