Application details

Type of application *

Incoming

Outgoing

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Type of person *

Student

Teachers

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Exchange programme *

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Academic year *

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Semester *

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Personal data

Fiscal Code *

The length should be between 1 and 16 characters.

Identity document number

Matriculation number *

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Last name *

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First name *

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Gender *

Male

Female

Other

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Date of birth *

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Please enter a date in the format DD.MM.YYYY

Place of birth *

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Nationality *

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University e-mail address *

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Please choose a valid e-mail address.

Same e-mail address for verification

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Personal e-mail address

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Cell number *

The length should be between 1 and 100 characters.

Emergency contact data

Relationship of contact person

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First name of your contact person

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Last name of your contact person

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Phone number of your contact person

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E-mail address of contact person

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Study details

Home institution

Country of the home institution

Department

Study field

Study year

Study level

Stay details

Country of host institution *

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Host institution *

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Placement included

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No

Other

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Application for a student exchange

Application details

Personal data

Emergency contact data

Study details

Stay details

Other

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