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