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Nomination/Application Form 2024/2025
Nomination form for Partner Universities to fill with the information of Erasmus+
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Università Telematica E- Campus-Milano International Campus
Name
*
Your answer
Surname
*
Your answer
Gender
*
Male
Female
Nationality
*
Your answer
Email
*
Your answer
Study Cicle
*
Bachelor Degree (1° Cycle)
Master Degree (2° Cycle)
PhD (3° Cycle)
Date of Birth
*
MM
/
DD
/
YYYY
Place of Birth (Country)
*
Your answer
Passport Number
*
Your answer
Home University
*
Your answer
Faculty (Home University)
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Your answer
Department (Home University)
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Your answer
Semester Applied
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Fall Semester
Spring Semester
Faculty Applied at Università Telematica E-Campus (UTEC)
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Economics
Law - (Available in Italian Only)
Engineering
Humanities - (Available in Italian Only)
Psychology - (Available in Italian Only)
Home Coordinator's Name Surname
*
Your answer
Home Coordinator's e-mail
*
Your answer
Home Coordinator's Phone
*
Your answer
Address of Home University
*
Your answer
I filled all information in completely and I'm aware that this information is going to be used only for the nomination and registration process at Università Telematica E-Campus and will not be shared.
*
I Agree
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