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Application for a student exchangeLogo university
All fields marked with (*) must be completed.
Data concerning the application
Type of applicant
 *
Type of person
 *
Exchange Programme *
Academic year *
Semester
ECTS (European Credit Transfer System)
 *
Personal Data
Last name *
First name *
E-Mail-Adress *
Same e-mail address for verification *
Date of birth (dd.mm.yy) *
Sex
 *
Nationality *
2nd nationality
Communication language *
Data concerning the next of kin
Last name
First name
E-Mail-Adress
Relationship
Is there an illness or allergy we should know about? (e.g. gluten allergy, diabetes, epilepsy etc)
What has to be done in case of emergency?
Data concerning the current study
Country of the sending institution *
Sending institution
Alternativ: Name der Heimatinstitution
Alternativ: Strasse der Heimatinstitution
Alternativ: Land der Heimatinstitution
Alternativ: Plz der Heimatinstitution
Alternativ: Ort der Heimatinstitution
Certificate of baccalaureate *
Certificate acquired on *
Number of semesters studied so far *
Have you already been studying abroad
 *
If yes, when and at which institution
Matriculation number (if already studied abroad)
Data concerning the planned study
Host country
Receiving institution
Field of Study *
Duration of Erasmus stay from *
Duration of Erasmus stay to *
Diploma/Degree for which you are currently studying (exact name)
Language competence
Mother tongue *
Language of instruction at the sending institution *
Foreign language 1
Sprachniveau





Foreign language 2
Sprachniveau





 *
Other information
Reasons why you wish to study abroad
 There are still 1000 characters available
Do you wish to apply for a mobility grant to assist towards the additional costs of your study period abroad
 *
Mobility-Online