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STUDENT INFORMATION FORM
Please write the academic year (20../20..), semester (spring/autumn) and type of your mobility (studies/traineeship)
* Indicates required question
ACADEMİC YEAR
*
Your answer
SEMESTER (Spring / Autumn)
*
Your answer
TYPE OF MOBILITY(Studies / Traineeship)
*
Your answer
STUDENT'S PERSONEL DATA
First Name(s):
*
Your answer
Surname:
*
Your answer
Sex (Female/Male):
*
Female
Male
Date of Birth:
*
MM
/
DD
/
YYYY
Nationality:
*
Your answer
Place of Birth:
*
Your answer
Address:
*
Your answer
E-mail:
*
Your answer
Tel:
*
Your answer
LANGUAGE COMPETENCE
Mother tongue :
*
Your answer
Language of instruction at home Institution and proficiency level (if different)
*
Your answer
Other Languages and proficiency levels
*
Your answer
INFORMATION ON EDUCATION AND PLAN
Current Academic Year
*
1
2
3
4
5
6
PhD
Residency
Required
At what year of medical school do you intend to study in Akdeniz University Faculty of Medicine
*
1
2
3
4
5
6
PhD
Residency
Required
Have you studied abroad before ?
*
Yes
No
If yes, when and at wich instution? (Please fill the below blank)
Other:
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)
*
Your answer
DEPARTMENTS THAT YOU WANT TO BE TRAINED IN AT THE RECEIVING INSTITUTION
If you choose "Traineeship Mobility", which Departments are you interested in?
*
Your answer
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