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STUDENT INFORMATION FORM
Please write the academic year (20../20..), semester (spring/autumn) and type of your mobility (studies/traineeship)
ACADEMİC YEAR *
SEMESTER (Spring / Autumn) *
TYPE OF MOBILITY(Studies / Traineeship) *
STUDENT'S PERSONEL DATA
First Name(s): *
Surname: *
Sex (Female/Male): *
Date of Birth: *
MM
/
DD
/
YYYY
Nationality: *
Place of Birth: *
Address: *
E-mail: *
Tel: *
LANGUAGE COMPETENCE
Mother tongue : *
Language of instruction at home Institution and proficiency level (if different) *
Other Languages and proficiency levels *
INFORMATION ON EDUCATION AND PLAN
Current Academic Year *
Required
At what year of medical school do you intend to study in Akdeniz University Faculty of Medicine *
Required
Have you studied abroad before ? *
Required
COURSES THAT YOU WANT TO TAKE AT THE RECEIVING INSTITUTION
If you choose "Studies Mobility", which courses are you interested in?
(Please choose your courses from our programme of available courses that you can see on our web site) *
DEPARTMENTS THAT YOU WANT TO BE TRAINED IN AT THE RECEIVING INSTITUTION
If you choose "Traineeship Mobility", which Departments are you interested in? *
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