Request edit access
Personal Data Form / Obligation
Name / s
According to your passport data
Your answer
Surname / s
According to your passport data
Your answer
Nationality
Your answer
Gender
Personal ID Number (or Passport Number for Non EU Citizens)
Your answer
Date of birth
MM
/
DD
/
YYYY
Faculty
Department
Your answer
Study Programme
Your answer
Study Cycle
Year of Study (during Erasmus+ studies period)
Field of Education (please indicate code and description)
Your answer
Language of studies at receiving institution
Your answer
Pemanent Home Address
street, house number, flat number, postal code, city, country e.g. S. Daukanto g. 27-308, LT-44248 Kaunas, Lietuva
Your answer
Home Address
Temporary (if applicable)
Your answer
Phone number
Please enter it as follows: 370 xxx xxxxx
Your answer
E-mail address
Your answer
Name of the Bank You Wish to Receive Your Scholarship to
Must be a bank situated in Lithuania
Your answer
Account Number
Please enter it as follows: LTXX XXXX XXXX XXXX XXXX and check it intently
Your answer
Contact Person in Case of Emergency
Relationship
Father, mother etc.
Your answer
Full name
Your answer
Home address
Your answer
Phone number
Please enter it as follows: 370 xxx xxxxx
Your answer
E-mail address
Your answer
Have you already studied under Erasmus+ programme in the study cycle you are studying now?
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms