Erasmus+ Incoming Non-EU Countries | Short-term student mobility

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Student data

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First Name(s)(*)

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Last Name(*)

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Gender(*)

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Date of birth (dd/mm/YYYY)(*)

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Place of Birth(*)

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Nationality(*)

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Email(*)

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Phone number (*)

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Permanent address, city, postal code(*)

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Please upload an image of your personal information as it appears in your passport.(*)

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Data for Erasmus+ Learning Agreement

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Study Cycle(*)

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Year of study cycle (example: 1st, 2nd, 3rd)(*)

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Field of education (ISCED)(*)

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Please choose the most appropriate ISCED code.

Subject Area(*)

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Title of Degree(*)

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Major(*)

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Minor (if applicable)

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Sending University(*)

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Faculty/Department(*)

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Physical Mobility Start(*)

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Physical Mobility End(*)

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Please upload your Transcript of Records/Proof of Registration from your Home University(*)

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Intensive Graduate Activity Title at VIU(*)

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Data for Erasmus+ Grant Agreement

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Bank account where the financial support should be paid(*)

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Bank Name(*)

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Bank Branch Postal Address(*)

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SWIFT / BIC or other sorting code(*)

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Bank account holder's name if different from student name above

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Italian Fiscal Code

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Upload your Insurance Policy (travel/accident/health)(*)

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Insurance Provider(*)

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Insurance Policy Number(*)

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Upload your receipt of payment for flights(*)

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Data Protection

I agree to allow Venice International University to use my personal data for administrative purposes or services provided by the University related to Erasmus+ mobility as per the "General Data Protection Regulation - GDPR" (EU) 679/2016 and Italian law (D.lgs 196/03 and D.lgs 101/08). For more information about Venice International University Policy on Data Protection, click here.

Read the specific Data Protection Notice for Erasmus Mobility participants, click here.

I agree(*)

Yes

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Erasmus+ Incoming Non-EU Countries | Short-term doctoral student mobility | Graduate Activities