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INTERNATIONAL MOBILITY WEEK University of Silesia in Katowice (11-15.06.2018) Application Form
Please submit the Application Form by 20 March 2018. Results of the application procedure will be announced by e-mail by 1 April 2018 at the latest.
1. First name
Your answer
2. Surname
Your answer
3. Gender
4. Home institution
Your answer
5. City
Your answer
6. Country
Your answer
7. E-mail address
Your answer
8. Mobile phone number (including country and area code)
Your answer
9. Position in the home institution
Your answer
10. Main duties
Your answer
11. Expected date of arrival
MM
/
DD
/
YYYY
12. Expected date of departure
MM
/
DD
/
YYYY
13. I would like to participate in:
14. Do you have any food allergies or dietary requirements?
If "yes", please specify:
Your answer
15. Please write in a few sentences why you wish to participate in the staff week.
Your answer
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