APPLICATION FORM
Centro Qualifica do Agrupamento de Escolas Coimbra Centro
Name (full name): *
Date of birth (day, month, year): *
Gender: *
Identification document: *
Identification document number: *
Passport Visa number/date (in case you don't have a residence card or certificate)
Identification document expiring date (day, month, year): *
MM
/
DD
/
YYYY
Fiscal number (NIF):
Social Security number (NISS):
Nationality: *
Address in Portugal (full address): *
Phone number (in case you have a portuguese number):
Email:
Work status: *
If you have a job/occupation, please identify your line of work.
Education level: *
Have you got a certificate issued by a Portuguese Authority/School attesting to the equivalence of your educational qualifications?
Clear selection
Portuguese for Foreigners course (please tick the level you are interested in):
Clear selection
If you have already attended a Portuguese for Foreigners course, please identify the establishment (school/university) and the level you achieved.
DATA USE CONSENT
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