Главная страница
Случайная страница
Разделы сайта
АвтомобилиАстрономияБиологияГеографияДом и садДругие языкиДругоеИнформатикаИсторияКультураЛитератураЛогикаМатематикаМедицинаМеталлургияМеханикаОбразованиеОхрана трудаПедагогикаПолитикаПравоПсихологияРелигияРиторикаСоциологияСпортСтроительствоТехнологияТуризмФизикаФилософияФинансыХимияЧерчениеЭкологияЭкономикаЭлектроника
|
Application form for applicants of
UNIVERSITY OF LODZ
ERASMUS+CREDIT MOBILITY 2015/2016
PERSONAL INFORMATION
| First Name
|
| Last Name
|
| Date of Birth
|
| City of Birth
|
| Country of Birth
|
| Gender
| Male
Female
| Passport Number
(expires)
|
| E-mail Address
|
| Telephone
|
| Mobile Phone
|
| Averaged grade
|
| Language competences
|
| PERMANENT ADDRESS
| Street and number
|
| City
|
| Postal Code
|
| State/Province
|
| Country
|
|
|
| PERMANENT ADDRESS FOR CORRESPONDENCE IF DIFFERENT FROM ABOVE
| Street and number
|
| City
|
| Postal Code
|
| State/Province
|
| Country
|
|
|
| LEVEL OF STUDIES
| Name of Home University
|
| Faculty
|
| Bachelor/Master/PhD
|
| State/Province
|
| Country
|
| Semester of study
|
| Last Degree Obtained
|
| I was grantee of Erasmus Mundus Programme*[1]
| No
Yes
If yes for how long………………
| Start Date of Studies
|
| Date of awarding institution
|
| LANGUAGE PROFICIENCY
| Language
| English
| Skills
|
| Official certificates
|
|
|
|
Applicant’s Signature: Date: Year Month Day
| [1] If you have benefited from Erasmus Mundus scholarship for more than or equal to 7 months in total, you are not eligible to apply for Credit Mobility programme. If you have been selected for Erasmus Mundus scholarship for the period of 5 or 6 months you can apply for Credit Mobility. However, preference will be given to the applicant who has never benefited from an Erasmus Mundus scholarship.
|