Erasmus Assistance Form 2019/20
Fill this form before 10/08/2019 at 23.59.
Name and Surname *
Your answer
E-mail *
Your answer
Mobile phone *
Please remember to add the international prefix (e.g. Spain +34; UK +44; Germany +49; etc.)
Your answer
Nationality *
Your answer
Do you need a VISA and the residence permit? *
Only for extra-EU/Schengen citizens
Home University *
Please indicate the name of your home university and the country (e.g. Harvard University, USA)
Your answer
In which Department will you study at University "G. d'Annunzio" of Chieti Pescara? *
It should be indicated on your learning agreement
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