Erasmus+ Incoming students application form

Start of Course ^*

First name as in passport ^*

Family name as in passport ^*

Mother's full name (Your mother's family name + given name(s), before her marriage) ^*

Gender ^*

Date of birth ^*

Place of birth (City) ^*

Country of birth ^*

Citizenship ^*

Passport/ID number ^*

Permanent address

City ^*

Postal code ^*

Street name including Building/Floor/Room number if there is any ^*

Other details

Insurance company (in case you don't have it yet, please leave it blank)

Insurance number (in case you don't have it yet, please leave it blank)

Email address ^*

Phone number

Sending instiution

Major in home institution ^*

Subject are (ISCED) ^*

Study cycle ^*

Home Institution Erasmus+ coordinator's name ^*

Home Institution Erasmus+ coordinator's email ^*

I hereby declare that the information given above is true, correct and complete. I shall bear the responsibility for the above information. ^*

I agree with it.

In order to register the internal data management processes of KJU, to protect personal data and to ensure the rights of data subjects, subject to the relevant legislation, in particular to the Regulation (EU) 2016/679 OF The Europena Parliament and of the Council on the protection of individuals with regard to the processing of personal data and the provisions on the free movement of such data (hereinafter: GDPR) - Data Protection and Data Security Regulations). The data stored in the Neptun electronic administration system are managed at KJU conform to CCIV/ 2011 Act on National Higher Education (ANHE)-pursuant to Section 18 to ensure the proper functioning of the University, the exercise of the rights and obligations of applicants and students, the keeping of records specified by law, and the establishment, assessment and certification of entitlement to benefits provided by law and the organizational and operational rules of the higher education institution. The scope of the data to be registered is defined in the CCIV/2011 ANHE Annex 3 to the Act. I acknowledge that I have read and understood the Privacy and Data Protection Policy and agree to the electronic registration and management of my data. ^*

I agree with it.

I hereby declare that for the Erasmus+ mobility period for which I am applying, I will not use any other support provided by the European Union program for the same purpose and at the same cost. ^*

I agree with it.

Fields marked with an asterisk are required.