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selection procedure

LANGUAGE COMPETENCE

Mother tongue: ................... Language of instruction at home institution (if different):
..............................................................................................................................................................

Other languages

I am currently studying this language

I have sufficient knowledge to follow lectures

I would have sufficient knowledge to follow lectures if I had some extra preparation




yes

no

yes

no

yes

No

......................
......................
......................



























WORK EXPERIENCE RELATED TO CURRENT STUDY (if relevant)

Type of work experience
....................................
....................................

Firm/organisation
...................................
...................................

Dates
......................
......................

Country
...............................
...............................



PREVIOUS AND CURRENT STUDY

Diploma/degree for which you are currently studying: ………………………………………
Number of higher education study years prior to departure abroad: ……………………………….
………………………………………………………………………………………………………
Have you already been studying abroad ? Yes  No 
Продолжение Приложения Д



If Yes, when ? at which institution ? ..................................................................................................
………………………………………………………………………………………………………
The attached Transcript of records includes full details of previous and current higher education study. Details not known at the time of application will provided be at a later stage.




Do you wish to apply for a mobility grant to assist towards the additional costs of your study period abroad? Yes  No 
………………………………………………………………………………………………………




RECEIVING INSTITUTION

We hereby acknowledge receipt of the application, the proposed learning agreement and the candidate’s Transcript of records.

The above-mentioned student is 

Departmental coordinator’s signature
......................................................................
Date: .............................................................

provisionally accepted at our institution
not accepted at our institution
Institutional coordinator’s signature
..............................................................................
Date .......................................................................








Приложение Е
(обязательное)
Форма соглашения на обучение
Ф.7.11-05


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