Application_Outgoing Mobility | Centre for Joint Academic Programmes

PERSONAL INFORMATION

Last Name *

First Name *

Date of Birth *

Month

Day

Year

Permanent Address *

E-mail *

Phone Number *

Contact person in case of emergency *

Phone Number of a contact person *

ACADEMIC INFORMATION

Faculty/Institute at TSU *

Study Field *

Study Level *

Bachelor

Master

PhD

Other

If "Other", please specify

Year of Study *

Tuition fees paid *

Yes

No

GPA *

Language Proficiency *

The next for point to be completed only by PhD students

Number of your publications

Dissertation work Title

Short description of dissertation work

Supervisors at TSU and Partner University

AADEMIC MOBOLITY INFORMATION

Type of Program *

Exchange Program

Joint Program

Double Degree Program

For Joint Program or Double Degree Program please specify

Program Title

Host University Name

Host University Country

Host University City

Host University Website

Language of Instruction

If "Other", please specify

For Exchange Program please specify

First Priority: Host University Name

First Priority: Host University Country

First Priority: Host University City

First Priority: Language of Instruction

If "Other", please specify

Second Priority: Host University Name

Second Priority: Host University Country

Second Priority: Host University City

Second Priority: Language of Instruction

If "Other", please specify

Third Priority: Host University Name

Third Priority: Host University Country

Third Priority: Host University City

Third Priority: Language of Instruction

If "Other", please specify

Mobility Start date (planned) *

Month

Day

Year

Mobility End date (planned) *

Month

Day

Year