This document is an application for admission to a master's program. It requests the applicant to briefly state the reasons they wish to study the master's program and to propose a topic for their research work. The applicant is also asked to declare that the information provided is entirely truthful and to sign the document.

1. Universidad nacional cositel MAESTRIA EN…………………………………………………………………………………. DECLARACION DE PROPOCITOS Escriba brevemente las razones por las cuales desea estudiar la maestría________________________ y un tema sobre el cual desea hacer su trabajo de investigación _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ YO ………………………………………………………………………………………………… CON DNI/C.E Nº………………………………declaro que la información brindada es total mente verdadera ………………………………………………….. Firma