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MOD. 4/30 ING. APPLICATION FORM Academic Master Programs ACADEMIC YEAR 2016/17 Print-out each page of this form. Please write clearly or type your answers to all questions in capital letters, and return this form to the International Admissions Office. ALL ITEMS ARE COMPULSORY. Mail completed application form to: Domus Academy C.A. International Admissions Office Via C. Darwin, 20-20143 Milano / Italy Or email to: admissions@domusacademy.it THE UNDERSIGNED First name... Surname... Date of birth... Place of birth... Country... Nationality... Gender F ( ) M ( )... Permanent address... Town... Zip code... Country... Home phone number (including country and area code)... Mobile phone number (including country and any other code)... Skype account (if available)... Email address 1... Email address 2... Address for correspondance... Town... Zip code... Country... 1/6

COLLEGES, UNIVERSITIES ATTENDED School name... Location... Date entered... Date departed... Graduation date... Graduation grade... Thesis or dissertation title on your previous degree..................................................................................................................... Degree/qualification (BA, BS, BC, BFA, BE, )... SECONDARY SCHOOL DIPLOMA High school name... Location... Date entered... Date departed... Educational System to which secondary school diploma belongs to (ex. IGCSE, IB, ABITUR, ) In case the diploma does not have a specific name, please specify the country where the diploma was issued................................................................................................................... LANGUAGES Native language... Other languages spoken fluently... English language test (name)... Score / grade (if known)... Date of test... Please enclose copy of the certificate showing your English language ability Entry language requirements: IELTS 5.0 Academic or recognized equivalent certificate (see i of the General information) to be submitted by the beginning of the program. OTHER INFORMATION How did you hear about Domus Academy?... Brochure Web site*... Press*... Alumni*... Exhibition / Fair*... A Domus Academy representative*... School*... Other (please state)... *Please give the name Have you already applied to Domus Academy? YES NO If yes, please state year... Where else are you applying to study?... 2/6

REQUIRES To be admitted for the 2016/2017 academic year to the following one-year Academic Master program : MASTER IN FASHION DESIGN........................................................ MFD MASTER IN FASHION MANAGEMENT................................................... MFM MASTER IN FASHION STYLING AND VISUAL MERCHANDISING................................ MFSVM MASTER IN PRODUCT DESIGN....................................................... MPD MASTER IN INTERACTION DESIGN..................................................... MID MASTER IN INTERIOR AND LIVING DESIGN............................................... MILD MASTER IN VISUAL BRAND DESIGN................................................... MVBD MASTER IN LUXURY BRAND MANAGEMENT............................................. MLBM MASTER IN BUSINESS DESIGN....................................................... MBD MASTER IN URBAN VISION & ARCHITECTURAL DESIGN..................................... MUVAD APPLIES FOR THE PROGRAM BEGINNING ON SEPTEMBER 1ST, 2016*....................................................... OCTOBER 27TH, 2016......................................................... JANUARY 12TH, 2017*........................................................ MARCH 16TH, 2017.......................................................... *Indicates a primary intake. NB: The Academic Master in Urban Vision & Architectural Design MUVAD only starts in September. ATTACHES To the present application form the following documents: Curriculum vitae/resume.......................................................... Artistic and professional portfolio of projects*............................................. Motivation letter............................................................... Academic transcript/marksheet of previous studies, translated into English, listing subjects and exams, with corresponding number of hours/credits.............................................. Copy of Bachelor Degree/Academic diploma translated into English................................ Documentation regarding further courses or seminars attended (if available)........................... English language certificate (see specific section in this application form)............................. Copy of passport............................................................... Payment receipt of 100 application fee................................................. *not mandatory for MFM, MLBM, MBD DECLARES To have fully read, understood and accepted the admission regulation and conditions specified in the attached "General information" and General conditions sheets. I certify that this application form is accurate and complete to the best of my knowledge. SIGNATURE DATE INFORMATION IN ACCORDANCE WITH THE ITALIAN PERSONAL DATA PROTECTION ACT: LEGISLATIVE DECREE 196/03 Under the Legislative Decree 196/03, we hereby inform you that the processing of personal data will be based on the principles of correctness, lawfulness and transparency. The personal data provided will also be registered and electronically stored by NABA. NABA adopts appropriate security, logical and physical procedures to ensure adequate data protection. Furthermore, the data may be communicated by means and procedures strictly necessary to fulfil the obligations related to the Academy s activity and in particular to: Fulfil the contractual and legal obligations towards the person concerned. Carry out the necessary formalities to undertake and to continue a relationship with the Academy. Handle the collection and payments arising from the contracts. Allow third parties to carry out technical and organizational tasks. You have the right to know the origin and the use of your personal data in our possession. You also have the right to update, integrate, or cancel your data or you can have your data blocked or deny their processing; in this respect, you may contact the person in charge of processing your personal data: NABA - Via Darwin, 20-20143 Milan; email - privacy@naba.it 3/6

GENERAL INFORMATION A. AUDIENCE General entry requirements include: At least 15 years of previous education Holding a first level academic degree (Bachelor degree or academic diploma) in fields related to the selected study program Certificate of English language (IELTS 5.0 Academic on entry) The evaluation of an application is based on the positive assessment of both the Course Leader and Admission Committee who will evaluate whether the degree and the technical skills corresponds to requirements, and will identify possible educational credits or debts. Master programs are open also to students with not related degrees or diplomas, if the applicant is motivated by a research interest towards the programs topics. Participants not holding a first level Bachelor degree/academic diploma will not earn the educational credits, but will receive a Domus Academy diploma (not recognized by MIUR, Italian Ministry of Education University Research) on successfully completing the program. B. ADMISSION PROCESS Within 7 days from the application submission, Domus Academy Admissions Office will inform the candidates about the acceptance and, in case of positive feedback, will send the Admission Package to the students. The admission will stay conditional until the declaration of value and the required language certificate are submitted to the school. C. DEADLINES Applications can be sent by post or e-mail within July 28 th, 2016 for September 2016 intake, or within December 3rd, 2016 for January 2017 intake. Please notice that each course has a limited number of available places and enrolments will be closed when reaching the limit. When admission is confirmed, students are required to secure their place by returning the Enrolment Form and the receipt of payment of the pre-enrolment fee within 30 days from the Admission Letter s date. D. APPLICATION FOR A STUDY VISA TO ITALY (FOR NON EUROPEAN STUDENTS ONLY) Upon receiving the enrolment form filled in and signed and the pre-enrolment fee payment, Domus Academy will provide students with all necessary assistance in order to apply for the student visa. E. ACADEMIC MASTER DIPLOMA In order to receive an Academic Master Diploma recognized by the Italian Ministry of Education (MIUR), students of the relevant Master Program have to be enrolled in NABA (Nuova Accademia di Belle Arti). Upon receipt of the required documents, the Admissions Office will proceed according to the necessary administrative steps. Students not in possession of the proper entry requirements will still be enrolled in NABA and should refer to the section "Audience". F. NABA NUOVA ACCADEMIA DI BELLE ARTI NABA is a non-state institution belonging to the Italian Ministry of Education, University and Research (MIUR). The three-year Bachelor of Arts Degree Programs, the two-year Master of Arts Degree Programs and the Academic Master Programs lead to the attainment of legally recognised degrees and to the achievement of educational credits that will allow students to continue their studies in Academies and Universities in Italy and abroad. 4/6

G. IMPORTANT INFORMATION Application dossiers will be taken into consideration only if complete and received within the established deadline. Programs will start only upon the attainment of a minimum number of enrolled students. In case the selected program will not start, Domus Academy will inform students within one month prior to program beginning. The present application form shall be considered read and approved in all its parts by the signature on page 3. H. ITALIAN MINISTRY OF EDUCATION, UNIVERSITY AND RESEARCH: ENTRY REQUIREMENTS Students holding a non-italian Bachelor Degree shall contact the Italian Embassy or Consulate in the country where the degree was issued in order to ask for the so called perfezionamento documenti, consisting in: a. Legalization and translation into Italian made by a certified translator of the student s Bachelor Degree. b. Legalization and translation into Italian made by a certified translator of the student s Academic Transcripts. c. Dichiarazione di valore in loco (Declaration of Value) of the student s Bachelor Degree. The Dichiarazione di valore in loco is the document attesting that the study qualification obtained by the student is valid for accessing Italian Universities or Academies. For a complete list of Italian representative authorities worldwide please see: http://www.esteri.it/mae/en/ministero/laretediplomatica/ambasciate/default.htm?lang=en The legalized and translated documents, as well as the Dichiarazione di valore in loco will be sent to Domus Academy by the Italian Consulate or Embassy, or they will be directly issued to the student. In the latter case, the student shall submit them to Domus Academy International Admissions Office as soon as available and anyway not later than the course beginning. I. ENGLISH LANGUAGE CERTIFICATE The English language requirement is IELTS 5.0 Academic or recognised equivalent certificate to be submitted within one month before the beginning of the Master program. The certificate should not be older than 2 years. Please find here below the main equivalents: Cambridge FCE (First certificate in English) PET TOEFL paper 494-510 TOEFL computer 173-180 TOEFL internet 59-64 PTE Academic 36-42 TEEP 5.0 BEC C Pass Preliminary BULATS 40-59 TOEIC (provided that student passes all parts) listening and reading score 600 speaking score 140 writing score 140 The following cases are exempted from the language requirement: Mother tongue students English Speaking Countries (prior check with the admission office) English Speaking Degrees (prior check with the admission office) English Speaking Degrees in non-mother tongue countries (prior check with the admission office) IB Diploma and A LEVEL, considered as a proof of full English Education for 2 years (prior check with the admission office) 5/6

TUITION FEE AND PAYMENT CONDITIONS GENERAL CONDITIONS The tuition fee for the one-year Academic Master Programs is: 16.990 (full fee, including enrolment and tuition) for students from the European Community and Switzerland to be paid as follows: Payment Deadline Description 3.000 within one month from the admission date pre-enrolment fee 13.990 by Course beginning balance of the tuition fee 25.990 (full fee, including enrolment and tuition) for international students to be paid as follows: Payment Deadline Description 3.000 within one month from the admission date pre-enrolment fee 22.990 by Course beginning balance of the tuition fee 520 Matriculation fee The matriculation fee is to be paid by the course beginning by Student meeting the relevant entry requirements (see chapter H of the general information) and interested in applying for the Academic Master (60 ECTS ) awarded by NABA. APPLICATION FEE In order to apply and be considered for admission to the Master Programs, candidates shall pay an application fee of 100. The fee can be settled: 1. Online by Credit Card. Please visit the website: http://application.domusacademy.com/ 2. By bank transfer: Account holder: NUOVA ACCADEMIA SRL, Via C. Darwin 20, 20143 Milano, Italy Bank name and agency: Banco Popolare Società Cooperativa - Milano Ag 10 Via Ariosto 1/A, 20145 Milano International bank details: SWIFT code: BAPPIT22 IBAN code: IT36U0503401610000000000251 Reason for payment: Please clearly specify name of student/program chosen 3. Credit cards (VISA, Mastercard) payments directly at Domus Academy accounting office. Please notice that all bank, credit card and third party charges have to be covered by the applicant and that the application fee is not refundable for any reason. 4. By peertransfer Domus Academy has partnered with peertransfer in order to streamline the process of international payments. peertransfer allows you to pay securely from any country and any bank, generally in your home currency. By making your payment with peertransfer you can - Track your payments from start to finish - Save on bank fees and exchange rates - Contact their multilingual customer support team with any questions, day or night To get started, click or go to: domusacademy.peertransfer.com to begin the payment process. 6/6