Registration number: 	

Application for doctoral study - third level1)
(Prihláška na vysokoškolské štúdium – tretí stupeň) 	Stamp of the faculty:
Pečiatka VŠ, fakulty:	
		
Academic year:  20      / 20        (Akademický rok: 20      / 20     )		
Citizenship (Štátne občianstvo): 		
Name:                                              Surname:
Meno:                                               Priezvisko:	Date of delivery:
Dátum doručenia:	
Maiden name: 
Rodné priezvisko:   	Academic degree: 
Akademický titul:	
Date of birth: day/month/year: 
Dátum narodenia:        	Sex2): male            female  
Pohlavie:	
Place of birth:
Miesto narodenia: 	State:
Štát:	
Personal ID number3):
Rodné číslo:							/					E-mailová adresa: Email address: 	
Tel. č:  Phone number4):		

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 cudzinca: The place of residence of a foreign student3):	
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 Sports	
Študijný program: Study programme:  Sports educology 	
Študijný odbor: Field of study: Sport sciences	
Forma štúdia: Form of study: part time	Metóda štúdia: Method of study: combined	
Téma dizertačnej práce: Topic of a dissertation thesis: 	
Školiteľ:  Supervisor: 	

FILL IN LEGIBLY WITH CAPITAL LETTERS. Vyplňte čitateľne veľkým tlačeným písmom. 
Explanations are to be found on page 2 and 3. Vysvetlivky sú na 2. a 3. strane.

Absolvované magisterské, inžinierske, doktorské štúdium na vysokej škole: Previous study: Master’s, engineer, doctoral study (second level of higher education, combined first and second level of higher education).	
Vysoká škola: Higher education institution: 	
Fakulta: Faculty: 	
Študijný program: Study programme: 	
Študijný odbor: Field of study:	
Dátum začiatku štúdia:
Beginning of the study:	Dátum skončenia štúdia:
End of the study:	Akademický titul:
Academic degree: 	

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. 	

Povinné prílohy k prihláške:  
Required attachments to the application form:  
•	documentary proof of payment of the material support fee for the admission procedure 
(doklad o zaplatení poplatku za materiálne zabezpečenie prijímacieho konania, 
•	Curriculum vitae signed by the applicant (Europass),
(životopis podpísaný uchádzačom), 
•	certified photocopies of evidence of second-level education (to be sent immediately after obtaining them),
(úradne overené fotokópie dokladov o dosiahnutom vzdelaní druhého stupňa (doručiť bezodkladne po ich získaní), 
•	dissertation thesis project (in two printed copies; bound in binder or comb binding, respectively), 
(projekt dizertačnej práce v dvoch tlačených exemplároch; zviazané v rýchloviazači, respektíve v hrebeňovej väzbe).

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

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 are not compulsory. 
In case of lack of space, provide the information in a separate attachment. Give information on completed, current or unfinished education. 
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. 

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.