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7/25/2019 Diploma Statement
1/2
Diploma StatementApplicants Personal Information
First nameLast nameDate of birthCountry of birthEUR student number (e.g.
12345!
Secondary School Information
"his is to #ertify that the a$$%i#ant is #urrent%y a student at
and &i%% ta'e hisher e)ams in the fo%%o&ing sub*e#ts 1+
,eshe is e)$e#ted to graduate on
&ith the fo%%o&ing di$%oma (name ocial diploma in the original language)
"he grading s#heme used for grading is+
0/1 to 100 1-- is the highest grade 0/1 to 15 15 is the highest grade0/1 to 0 - is the highest grade to 1 1 is the highest grade
1 Applicants !ith an I"# $%ease in#%ude the sub*e#t %ee% (/L,L!. 0redi#ted grades &i%% be #onsideredbut an admission de#ision &i%% not be based so%e%y on $redi#ted grades. Applicants !ith a $rench"accalaureate and %I"+ $%ease indi#ate your %anguage se#tion.Applicants !ith a Dutch &'%+ $%ease indi#ate your $ro%e.
0age 1of (
7/25/2019 Diploma Statement
2/2
0/1 to (0 2- is the highest grade ( to 1( 12 is the highest grade0/1 to 10 1- is the highest grade $ to A is the highest grade0/1 to is the highest grade $ to A* is the highest grade
0/1 to is the highest grade + to A, is the highest grade6ther7 $%ease s$e#ify+ 888888888888888888888888888888888888888888888888888888888888888888
/igned by2+
Date9ame s#hoo% #ounse%%or#onta#t
$ersonEmai% address s#hoo%
#ounse%%or#onta#t $erson/ignature s#hoo% #ounse%%or#onta#t
$erson
dditiona% information+
2 0%ease add the s#hoo% stam$.
0age (of (