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ECTS - EUROPEAN CREDIT TRANSFER SYSTEM

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Дата	07.09.2023
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selection procedure

SENDING INSTITUTION
STUDENT’S PERSONAL DATA
Приложения Д

ECTS - EUROPEAN CREDIT TRANSFER SYSTEM

STUDENT APPLICATION FORM Photo

ACADEMIC YEAR 20…./20….
FIELD OF STUDY: ........................................................................................................................

This application should be completed in BLACK in order to be easily copied and/or telefaxed.

SENDING INSTITUTION
Name and full address: ……………..................................................................................................
……………………………………………………………………………………………………………………………………………………………………………………………………………...
Department coordinator - name, telephone and telefax numbers, e-mail box .................................
..........................................................................................................................................................
..........................................................................................................................................................
Institutional coordinator - name, telephone and telefax numbers, e-mail box ................................
……………………………………………………………………………………………………..
…………………………………………………………………………………………………….
……………………………………………………………………………………………………..

STUDENT’S PERSONAL DATA

Family name: ..............................................
……………………………………………
Date of birth: .............................................
Sex: ............................................................
Nationality:.................................................
Place of Birth: ............................................
Current address: .........................................
……………………………………………
Current address is valid until: ...................
Tel.: ...........................................................

First name (s): .......................................................

Permanent address (if different): ...........................

……………………………………………………
……………………………………………………...
Tel.: .......................................................................

Продолжение Приложения Д

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