____________________________
arrival date IAC
TO:
 
 
FROM:
 
 


application for ERASMUS/SOCRATES studies

application deadlines
Autum term/whole year: 1 April
Spring term: 15 October

please, use block letters, and fill in all parts of the questions!

a     INFORMATION OF YOUR HOME UNIVERSITY/INSTITUTION

    WE WOULD KINDLY ASK THE CONTACT PERSON TO FILL IN THIS PART OF THE FORM
  the name of the
university
Socrates institutional code
 


  the address of the
university
city
 
postal code
 
country
 
  telephone number (INCLUDE AREA AND CITY
CODE)
fax number
  the name of the contact person in your own
institution
  telephone number (INCLUDE AREA AND CITY
CODE)
fax number e-mail address
  WE HAVE ACCEPTED STUDENT FOR AN EXCHANGE TO UIAH
 
the name of the applicant
  date
 
signature of contact
person
e-mail address
 


            WE WOULD KINDLY ASK APPLICANT TO FILL IN THESE FOLLOWING PARTS OF THE FORM
b     PERSONAL INFORMATION OF APPLICANT

  family
name
first name
 
middle names
 
  date of birth
(day, month, year)
nationality
 
sex     male     female
  permanent address
(home/parents)
city
 
postal code
 
country
 
  your telephone number (INCLUDE AREA AND CITY
CODE)