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: