Erasmus+ Incoming Students EU Countries - Venice International University

Erasmus+ Incoming Students EU Countries - Summer Session Form 2025

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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 (*)

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Italian Fiscal Code (enter 0 if do not have one)(*)

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Finished High School in(*)

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Number of years in higher education(*)

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Data from Learning Agreement

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Study Cycle(*)

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Field of education(*)

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Major(*)

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Minor (if applicable)

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The Sending Institution

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University(*)

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Erasmus Code (*)

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Faculty/Department(*)

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Faculty/Department Contact Person(*)

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Faculty/Department Contact person's email/phone: (*)

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Expected Mobility start date(*)

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Expected Mobility end date (*)

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Date of Arrival (*)

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Learning Agreement(*)

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Certificate of Arrival

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Transcript of Records from your Home University(*)

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European Health Insurance Card(*)

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Privacy

I agree to allow Venice International University to use my personal data for administrative purposes or services provided by the University, 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 informations about Venice International University Policy on Data Protection, click here.

For more informations about the Data Protection Notice for Erasmus Mobility Applicants, click here.

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Venice
International
University

Isola di San Servolo
30133 Venice,
Italy

-
phone: +39 041 2719511
fax:+39 041 2719510
email: viu@univiu.org

VAT: 02928970272