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Electronic Erasmus Application - study placement

Study plan
(Student’s) Personal Data	First Name(s)	Empty
	Family Name(s)	Empty
	Date of Birth	Empty
	Place of Birth	Empty
	Sex	Empty
	Identification number of travel document	Empty
	Travel document valid until	Empty
	State Citizenship	Empty
Permanent Address	Street	Empty
	Town	Empty
	ZIP code	Empty
	State	Empty
Contact	E-mail	Empty
Contact	Telephone	Empty
Person to notify in case of emergency	Full name	Empty
	E-mail	Empty
	Telephone	Empty
	Address	Empty
Information on studies	Sending institution	Empty
	Studying for degree	Empty
	Years of study to date	Empty
	Previous study abroad	Empty
	Previous Erasmus study	Empty
Coordinator	Full name	Empty
	E-mail	Empty
	Telephone	Empty
	Fax	Empty
Receiving institution	Faculty	Empty
	Department	Empty
	Contact person	Empty
Information about Erasmus	Reasons to study abroad	Empty
	Type of stay	Empty
	Accomodation	Empty
	Specuial needs	No
	Field of study	Empty
Academic year	Empty
Term	Empty
Empty Add course

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