Application Form for Incoming Students - Erasmus



Academic Data


*

Academic Year


*

Field of Study (Established on the bilateral agreement. For example: 442 Chemistry)


*

Details of your mobility period:

 

Inform us the month of your ARRIVAL (at Portugal):

 


*

Inform us the month of your DEPARTURE (from Portugal):

 


* Give us the TOTAL number of months of your study period (3 to 12).
Only numbers may be entered in this field.
Each answer must be between 3 and 12

Sending Institution


*

Full Name


*

Address


Student┬┤s Personal Data

To be completed by the student applying



*

Surname (family name)


*

Name(s)


*

Date of Birth

ATTENTION: it is very important you give us the correct date


*

Gender


*

Nationality


*

Place of Birth


* Your Identity card or Passport number

Please give us a copy of your Identity (ID) document (ID card or passport).


Please upload one file

Upload files

*

Your Address (ATTENTION: All correspondence will be sent to this address)


*

ZIP Code and City (Please, do not forget the City)


*

Mobile phone number


Only numbers may be entered in this field.

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Including international country code

*

Phone number


Only numbers may be entered in this field.

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Including international country code

*

E-mail


Language Competence


*

Mother Language


*

Language of instruction at home institution (if different)



  I am currently studying this language (Yes or No) I have sufficient knowledge to follow lectures (Yes or No) I would have sufficient knowledge to follow lectures if i had some extra preparation (Yes or No)
English
French
Spanish
Portuguese
Italian
Work experience related to current study (if relevant)



  Type of work experience Firm/ Organisation/ Company Dates Country
1.
2.
3.
Previous and Current Study


*

Degree for wich you are currently studying


*

Number of higher education study years prior to departure abroad


Only numbers may be entered in this field.

*

Have you already been stuying abroad?


If Yes, when? At wich Institution