Załącznik nr 2 do ZW 32/2023

Appendix No. 2 

Wrocław, date 

……

(name and surname of the applicant)

……

(residence address of the applicant)

……

(phone number and email address)

His Magnificence Rector

through

SCIENTIFIC DISCIPLINE COUNCIL

APPLICATION FOR NOSTRIFICATION OF A FOREIGN DEGREE

of …… (date) 

for recognition of a degree ……..……..……..….…….., 

 (full name of the degree awarded abroad) 

awarded abroad on …….…….…….., 

 (date of awarding the degree abroad) 

by ……..…….……..……..,

 (name of the institution that awarded the degree)

in ……..……..……..……..….….,

(name of the country in whose legal system the institution that awarded the degree operates) 

as a degree ……..……..

 (Polish degree with which the equivalence of the foreign degree is to be recognized) 

I attach the following documents to the application:

In the case of applying for recognition of a degree awarded abroad as equivalent to the Polish doctoral degree:

□ diploma confirming that this degree has been awarded, 



□ documents being the basis for awarding this degree,

□ graduation diploma entitling to awarding the degree which the applicant is applying for recognition.

In the case of applying for recognition of a degree awarded abroad as equivalent to the Polish post-doctoral degree („doktor habilitowany”):

□ diploma confirming that this degree has been awarded, 

□ documents confirming scientific achievements being the basis for awarding this degree,

□ diploma confirming the award of the degree (doctoral degree) entitling to initiate the procedure for awarding the degree for which the applicant is applying for recognition.

I declare that the degree for which I am applying for recognition has not previously been the subject of the nostrification procedure in the Republic of Poland.

I declare that I was born:

1) in ……

 (place, country)

2) on ……

 (date of birth – day, month, year)

GDPR information clause:

Based on Article 13 sec. 1 and 2 of the Regulation 2016/679 of the European Parliament and of the Council (EU) of 27 April 2016 on the protection of individuals with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (general regulation on data protection) (Journal of Laws UE L 119 of 04/05/2016, page 1), hereinafter referred to as "GDPR", Wrocław University of Science and Technology informs that:

The Administrator of your personal data is the Wrocław University of Science and Technology with its registered office at: Wybrzeże Wyspiańskiego 27, 50-370 Wrocław. Contact with the Administrator is possible in writing to the address of the registered office or via the form on the website https://pwr.edu.pl/kontakt. The Administrator has appointed the Personal Data Protection Inspector (IOD) supervising the correctness of data processing. Contact with the Personal Data Protection Inspector at the following e-mail address: iod@pwr.edu.pl.

Your personal data, indicated directly by you in this application and in the attached documents, are processed in order to consider the application for the recognition of the academic degree obtained abroad as part of the nostrification procedure - i.e. pursuant to Art. 6 sec. 1 lit. c) and e) GDPR in connection with Article 328 of the Law on Higher Education and Science and the Regulation of the Minister of Science and Higher Education of September 28, 2018 on the recognition of academic degrees and degrees in art awarded



abroad (Journal of Laws of 2018, item 1877). The university does not obtain your data from entities or third parties.

Personal data provided to the University will be processed for the period necessary within the meaning of the provisions on higher education, on state archives and in accordance with the requirements of the Unified Material Record List in force at the University. Access to the data will be granted to administrative employees and members of the relevant scientific discipline council authorized by the University.

The recipients of your personal data may be:

1) sworn translators - when the University requires documents to be translated by such a translator;

2) foreign translators and consuls of the Republic of Poland - when the University requires a translation prepared by such a translator and certified by a consul;

3) public authorities authorized to process such data on the basis of law (including the electronic Integrated Information System on Higher Education and Science);

4) entities with which the Administrator has concluded processing entrustment agreements (e.g. cooperating in the field of software service and IT support as well as legal, accounting or tax assistance);

5) entities providing electronic communication tools and cloud data storage services, which may involve transfer to countries outside the EEA/EU (in their processing centers - if the University and the relevant EU body (e.g. the European Commission) deems that in these countries an adequate level of data protection is ensured).

You have the right to request:

1) rectification and access to your personal data;

2) deletion of data processed unlawfully or which are no longer necessary for the purposes for which they were collected;

3) processing restrictions;

4) object to processing for reasons related to your particular situation;

5) the right to request the transfer of data that would be processed in an automated manner.

You have the right to lodge a complaint with the President of the Personal Data Protection Office if you believe that the processing of personal data at the University violates the law.

Providing personal data remains voluntary, however, failure to do so will make it impossible to consider your application for the recognition of an academic degree.

The university processes data in an automated manner, but does not perform profiling for marketing or other purposes (apart from those necessary for nostrification). Our automated processing does not result in issuing decisions automatically - without human intervention.

…… …….. 

(place, date) (name, surname and signature of the applicant) 

…… …….. 

(place, date) (name, surname and signature of the employee accepting the application)