für ein Studium im Ausland - an der Landwirtschaftlich ...

ECTS - EUROPEAN CREDIT TRANSFER SYSTEM
STUDENT APPLICATION FORM
ACADEMIC YEAR: ........../ ..........
FIELD OD STUDY: ...............................................
18
(Photograph)
This application should be completed in BLACK in order to be easily copied and/or telefaxed.
SENDING INSTITUTION
STUDENT`S PERSONAL DATA (to be completed by the student applying)
LIST OF INSTITUTIONS, WHICH WILL RECEIVE THIS APPLICATION FORM
(in order of preference):
Institution Country Period of study
from to
1.
2.
3.
Name and full address:
HUMBOLDT- UNIVERSITÄT ZU BERLIN D BERLIN13
LANDWIRTSCHAFTLICH- GÄRTNERISCHE FAKULTÄT
Prodekanat für Internationale Angelegenheiten (Office for International Relations)
Invalidenstraße 42, 10099 Berlin
Department Coordinator- name, telephone and telefax numbers, e-mail box:
Prof. Dr. Kurt- J. Peters; Email: k.peters@agrar.hu-berlin.de
Brigitte Keitz; Email: brigitte.keitz@agrar.hu-berlin.de
Tel: + 49 30/ 2093 8778 Fax: + 49 30/ 2093 8758
Socrates - Office - name, telephone and telefax numbers, e-mail box:
Dr Dietmar Buchmann; Email: erasmus@uv.hu-berlin.de
Tel: +49-30/20 93 28 71 Fax: +49 30/2093 2780
Family name: ..................................................... First name: ..............................................
Date of birth: ..................................................... Place of birth:
Sex: ............... Nationality: .................................
Current address: .................................................. Permanent address (if different):
Tel.: ...................................................................... Tel.:
E-mail: .................................................................
Duration of stay
(Month)
N° of expected
ECTS
Credits