Intercantonal Agreement on Universities of Applied Sciences (FHV)

## Student Personal Data Form – to determine which canton will pay the FHV contribution (february 2023)

Please consult the explanations on pages 3 and 4 of this form. As soon as an answer refers you to a listed item (A, B, C, D, E1, E2) on the back of this form, no further questions need to be answered.

University of Applied Sciences:	Programme of study:

Commencement Commencement of

Name: First name: Date of birth:

Social security number (AHVN13): 756.

AHVN13 AHVN13 not available

Nationality: Place of origin: Canton of origin:

Place of residence under civil law at commence- ment of studies (Monday calendar week 8/38)	Street: Postal code/Town: Resident in canton since (date):	Canton:

Parents (current/former holders of parental authority)2	Name: o o Same address? yes no: please state full address Address:	Canton:

1. Will you be 18 or over at the time your programme of study commences?	o è yes go to question 2 o è no go to question 6

2. Were you – prior to the commencement of your studies – independent3 financially due to gainful employment for at least 24 months, without being simultaneously enrolled in a basic vocational training? (This period of time does not have to occur immediately before the commencement of your studies.)	o è yes go to question 3 o è no go to question 4

3. During the period in which you were financially independent, were you resident in the same canton (or in the Principality of months4? Liechtenstein) for at least 24 consecutive	o è yes fill in item D overleaf o è no go to question 4

4. Are you a refugee or stateless person?	o è yes go to question 5 o è no go to question 6

5. Do your parents live abroad (excluding the Principality of Liechtenstein) or are they deceased?	o è yes fill in item B overleaf o è no go to question 9

6. Are you a Swiss national or a citizen of the Principality of Liechtenstein?	o è yes go to question 7 o è no go to question 9

7. Are you a Swiss national living abroad (a Swiss national whose parents both live abroad (excluding the Principality of Liechtenstein) or a Swiss national who lives abroad (excluding the Principality of deceased)?5 Liechtenstein) and whose parents are	o è yes fill in item A overleaf o è no go to question 8

8. Are you currently under guardianship or tutelage or were you, until the age of 18, under guardianship or tutelage or concerned by a child protection measure?	o è yes fill in item E2 overleaf o è no fill in item E1 overleaf

9. Do your parents live in Switzerland or the Principality of Liechtenstein?	o è yes fill in item E1 overleaf o è no go to question 10

10. Are you currently under guardianship or tutelage or were you, until the age of 18, under guardianship or tutelage or concerned by a child protection measure in Switzerland or the Principality of Liechtenstein?	o è yes fill in item E2 overleaf o è no go to question 11

11. Have you a place of residence under civil law in Switzerland or the Principality of Liechtenstein on the basis of a residence permit which was not issued for the purposes of your programme of study?	o è yes fill in item C overleaf o è no fill in item F overleaf