Academic year of planned exchange*
|
|
Name of exchange programme*
|
|
Family name*
|
|
First name (s)*
|
|
Date of birth* (dd.mm.yyyy)
|
|
Gender*
|
|
Type of personal document*
|
passport
ID card
|
Personal document (ID or passport) number*
|
|
Nationality*
|
|
Permanent address*
|
|
Postcode and city*
|
|
Country*
|
|
Telephone*
|
|
E-mail*
|
|