information on the university - PWSZ im. Witelona w Legnicy
information on the university - PWSZ im. Witelona w Legnicy
information on the university - PWSZ im. Witelona w Legnicy
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The Witel<strong>on</strong> University of Applied Sciences in Legnica – Informati<strong>on</strong> <strong>on</strong> <strong>the</strong> University<br />
The Witel<strong>on</strong> University of Applied Sciences in Legnica<br />
ECTS – EUROPEAN CREDIT TRANSFER SYSTEM<br />
STUDENT APPLICATION FORM<br />
ACADEMIC YEAR: 20… /20….<br />
FIELD OF STUDY: .........................................................<br />
(Photograph)<br />
This applicati<strong>on</strong> should be completed in BLACK in order to be easily copied and/or telefaxed.<br />
SENDING INSTITUTION<br />
Name and full address:........................................................................................................................................................<br />
.............................................................................................................................................................................................<br />
.............................................................................................................................................................................................<br />
Department coordinator - name, teleph<strong>on</strong>e and fax numbers, e-mail ...............................................................................<br />
.............................................................................................................................................................................................<br />
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Instituti<strong>on</strong>al coordinator - name, teleph<strong>on</strong>e and fax numbers, e-mail ...............................................................................<br />
.............................................................................................................................................................................................<br />
.............................................................................................................................................................................................<br />
STUDENT’S PERSONAL DATA<br />
(to be completed in capitals by <strong>the</strong> student applying)<br />
Family name: .....................................................<br />
Date of birth: .....................................................<br />
Sex: ......................................................................<br />
Nati<strong>on</strong>ality:.........................................................<br />
Place of Birth: ....................................................<br />
Current address: .................................................<br />
...........................................................................<br />
...........................................................................<br />
...........................................................................<br />
Current address is valid until: .............................<br />
Tel.: ...................................................................<br />
E-mail:<br />
First name (s): .........................................................................<br />
Permanent address (if different): ............................................<br />
.................................................................................................<br />
.................................................................................................<br />
.................................................................................................<br />
.................................................................................................<br />
Tel.: ........................................................................................<br />
LIST OF INSTITUTIONS WHICH WILL RECEIVE THIS APPLICATION FORM ( in order of preference):<br />
Instituti<strong>on</strong> Country Period of study Durati<strong>on</strong> of stay N° of expected ECTS<br />
from to (m<strong>on</strong>ths)<br />
credits<br />
..........................................<br />
.........................................<br />
.................... ............. ........... .................. ...................................<br />
Course Catalogue / ECTS Informati<strong>on</strong> Package 2011/2012 20