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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 *
ECTS (European Credit Transfer System)
 *
Semester *
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
Kommen Sie mit einem Freemover-Status?
 *
In case you come as a "freemover", please select "unknown" for country and institution.
Country of the sending institution *
Sending institution *
Certificate of baccalaureate *
Certificate acquired on *
Number of semesters studied so far *
Level of study
 *
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
Level of language





Foreign language 2
Level of language





Other information
Reasons why you wish to study abroad *
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