Application details

Type of applicant *

Incomings

Outgoings

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Type of person *

Students

Teachers

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Exchange Programme *

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Academic year *

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Personal details

Last name *

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First name *

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Gender *

Male

Female

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Date of birth (dd.mm.yy) *

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Place of birth *

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Country of birth *

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Nationality *

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E-mail address *

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Please choose a valid e-mail address.

Same e-mail address for verification

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Your inputs do not match.

Contact person in case of emergencies

Last name

First name

E-mail address

The length should be less than 100 characters.

Street

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Country

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Postcode

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City

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Telephone number

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Relationship

Sending institution and current studies

Country of the home institution *

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Home institution

International contact person at the home institution

Last name of the international contact person (if not listed above) *

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First name of the international contact person (if not listed above) *

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Academic title of the international contact person (if not listed above)

Gender of the international contact person (if not listed above) *

Female

Male

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E-mail address of the international contact person (if not listed above) *

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Telephone / fax numbers of the international contact person (if not listed above)

Level of study *

Bachelor

Master

PhD

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Number of academic years completed *

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Please choose a value with a precision equal or less than 2 digits.

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Number of ECTS credits completed until now *

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The planned studies

Host country

Receiving institution

Area of study *

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Degree Programme *

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International contact person at ...

Stay from *

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Stay to *

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Stay starts with an EILC intensive language course *

Yes

No

I don‘t know yet

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Language competence

Other information

Other comment concerning your application

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I declare that the details I have outlined in this application are to the best of my knowledge an accurate statement. *

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Application for a student exchange

Application details

Personal details

Contact person in case of emergencies

Sending institution and current studies

The planned studies

Language competence

Other information

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