In frames of Bologna process Information about applicant icon

In frames of Bologna process Information about applicant




НазваIn frames of Bologna process Information about applicant
Дата04.08.2012
Розмір7.44 Kb.
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Odessa I.I. Mechnikov National University, Odessa, Ukraine www.onu.edu.ua

application form for educational program of students mobility

in frames of Bologna process


1. Information about applicant

First Name _______________________Middle Name_____________________ Last Name __________________

Applicant mailing address: Street __________________________________________________________________

City___________________________ Country _______________________________ Postal Code _____________

Phone _______________________Fax ___________________________E-mail ____________________________

Sex ____________________________________ Citizenship____________________________________________

2. Information about the applicant’s studies at Home University

Home University Name__________________________________________________________________________

Applicants’ Affiliation (Institution, Faculty, Department), Year of studies__________________________________

_____________________________________________________________________________________________

Home University address: Street ___________________________________________________________________

City______________________________ Country ___________________________ Postal Code ______________

Person responsible for student’s mobility in the Home University

First Name ____________________________ Last Name ____________________________ Title_____________

Affiliation and position__________________________________________________________________________

Phone __________________________Fax ____________________________E-mail ________________________

Mailing address ________________________________________________________________________________

^ 3. Information about planned studies of the applicant at Odessa I.I. Mechnikov National University (ONU)

Preferred arrival date ____________________________Preferred departure date ____________________________

Preferable affiliation at ONU (institute, faculty, department) ____________________________________________

_____________________________________________________________________________________________

List of disciplines and number of credits need to be taken at Odessa I.I. Mechnikov National University (up to 30 credits for one semester) _________________________________________________________________________

_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________________________________________________________

I prefer to live in the University hostel (paid service) YES/NO___________________________________________

Date _______________________________ Signature of the applicant____________________________________

Please, send the application form by e-mail: interstud@onu.edu.ua or fax +38-048-7348015

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