Application
All fields with an asterisk are manadory
Personal data
Family name:
 *
First name:
 *  
Personal ID number: * (ex: 7908159227)  
Gender: Male Female *  
Citizenship:
 *     Other:  
   
Address:
 *  
Area code:
 * (ex: 217 47)  
City:
 *  
   

Telephone:

  
Cellphone:  
E-mail: *  
   
Home department:
 *  
Faculty: *  
   
Years of prior studies:
 *  
Degree: * Other:  
Level of study:
 * (First=bachelor, Second=master, Third=doctoral studies)  
Subject area:
 *  
     
Bank account information
Clearingnumber:
 * (only the first 4 digits)  
Account number:
 *  
Bank:
 *  
IBAN:
 (only for account in a foreign bank)  
     
System information
Application number:
  
Coordinator:
 *  
     
Travel information
Academic year:
  
Host university:
 *  
Qualification recieved in host country:  
ECTS credits:
* (ECTS credits to be recognized. ECTS credits implies 30 p per semester)
 
     
Taught in host language: *  
Language taught:  
     
Date study commenced: *  
Date study end: *  
     
Erasmus mundus student:  
Previous participation in Erasmus: