Toggle navigation Load unfinished survey Resume later Exit and clear survey default Caution: JavaScript execution is disabled in your browser or for this website. You may not be able to answer all questions in this survey. Please, verify your browser parameters. Application Form for Incoming Students - Erasmus Academic Data (This question is mandatory) Academic Year 2013/2014 (This question is mandatory) Field of Study (Established on the bilateral agreement. For example: 442 Chemistry) (This question is mandatory) Details of your mobility period: Inform us the month of your ARRIVAL (at Portugal): Please choose... JANUARY FEBRUARY MARCH APRIL MAY JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER (This question is mandatory) Inform us the month of your DEPARTURE (from Portugal): Please choose... JANUARY FEBRUARY MARCH APRIL MAY JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER (This question is mandatory) Give us the TOTAL number of months of your study period (3 to 12). Only numbers may be entered in this field. Your answer must be between 3 and 12 Sending Institution (This question is mandatory) Full Name (This question is mandatory) Address Student´s Personal Data To be completed by the student applying (This question is mandatory) Surname (family name) (This question is mandatory) Name(s) (This question is mandatory) Date of Birth ATTENTION: it is very important you give us the correct date Date in the format: dd/mm/yyyy Open the date time chooser Format: dd/mm/yyyy 1900-01-01 2037-12-31 DD/MM/YYYY (This question is mandatory) Gender FEMALE MALE (This question is mandatory) Nationality Please choose... AFGHANISTAN ALBANIA ALGERIA ANDORRA ANGOLA ANTIGUA AND BARBUDA ARGENTINA ARMENIA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BRAZIL BRUNEI BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CENTRAL AFRICAN (REPUBLIC) CHAD CHILE CHINA COLOMBIA COMOROS CONGO CONGO (DEMOCRATIC REPUBLIC OF THE) COSTA RICA CROATIA CUBA CYPRUS CZECH (REPUBLIC) DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FIJI FINLAND FORMER YUGOSLAV REPUBLIC OF MACEDONIA FRANCE GABON GAMBIA GEORGIA GERMANY GHANA GREECE GRENADA GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HONDURAS HONG KONG (CHINA) HUNGARY INDIA INDONESIA IRAN (SLAMIC REPUBLIC OF) IRAQ IRELAND ISLANDIA ISRAEL ITALY IVORY COAST JAMAICA JAPAN JORDAN KAZAKHSTAN KENYA KIRIBATI KOREA (PEOPLES REPUBLIC OF) KOREA (REPUBLIC OF) KUWAIT KYRGYZSTAN LAO PEOPLE'S DEMOCRATIC REPUBLIC LATVIA LEBANON LESOTHO LIBERIA LIBYA (LIBYAN ARAB'S) LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAO (CHINA) MADGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MAURITÂNIA MAURITIUS MEXICO MICRONESIA (FEDERATED STATES OF) MONACO MONGOLIA MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NEW ZEALANDIA NICARAGUA NIGUER NIGERIA NORWAY OMAN PAKISTAN PALAU PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES POLAND PORTUGAL QATAR REPUBLIC OF MOLDOVA ROMANIA RUSSIA (FEDERATION) RWANDA SAINT KITTS AND NEVIS SAINT LUCIA SAMOA SAN MARINO SAO TOME AND PRINCIPE SAUDI ARABIA SENEGAL SERBIA AND MONTENEGRO SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA (REPUBLIC) SPAIN SRI LANKA ST. VINCENT AND THE GRENADINES SUDAN SURINAME SWAZILAND SWEDEN SWITZERLAND SYRIA (ARAB REPUBLIC) TAJIKISTAN THAILAND TIMOR-EAST TOGO TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM UNITED REPUBLIC OF TANZANIA UNITED STATES OF AMERICA URUGUAY UZBEKISTAN VANUATU VENEZUELA VIET NAM YEMEN ZAMBIA ZIMBABWE (This question is mandatory) Place of Birth (This question is mandatory) 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 × Upload file (This question is mandatory) Your Address (ATTENTION: All correspondence will be sent to this address) (This question is mandatory) ZIP Code and City (Please, do not forget the City) (This question is mandatory) Mobile phone number Only numbers may be entered in this field. Including international country code (This question is mandatory) Phone number Only numbers may be entered in this field. Including international country code (This question is mandatory) E-mail Language Competence (This question is mandatory) Mother Language (This question is mandatory) 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 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) French 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) Spanish 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) Portuguese 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) Italian 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) Work experience related to current study (if relevant) Type of work experience Firm/ Organisation/ Company Dates Country 1. Type of work experience Firm/ Organisation/ Company Dates Country 2. Type of work experience Firm/ Organisation/ Company Dates Country 3. Type of work experience Firm/ Organisation/ Company Dates Country Previous and Current Study (This question is mandatory) Degree for wich you are currently studying UNDERGRADUATE MASTER PhD (This question is mandatory) Number of higher education study years prior to departure abroad Only numbers may be entered in this field. (This question is mandatory) Have you already been stuying abroad? Yes No If Yes, when? At wich Institution Submit Load unfinished survey Resume later Please confirm you want to clear your response? Exit and clear survey ×
