Information Form

Field of study:
Maximum annually
tuition fee
you can afford:
*

Personal Information
First name
Middle name
Last name
Gender
Citizenship
Place of birth

(city/region/country)

Home address 1
Home address 2
City/Country
Home phone
Cellular phone
Home fax
Home email address
Date of birth
(DD/MM/YYYY)

Alternate Contact
First name
Middle name
Last name
Home email address
Home / Cellular phone

SARL au capital de 200 RON - N TVA: RO27104330 - RCS: J40/6469/2010

IBAN: RO90INGB0000999903098732 - ING Bank N.V. Amsterdam - Sucursala Bucuresti - Code SWIFT: INGBROBU

Educational
background and
professional
experience (if any)

High school education

(Obtained diploma, date of

graduation, name of high
school & obtained
results/grades

University education

(Obtained diploma, date of

graduation, name of high
school, obtained results per
year/semester), obtained
diploma.

**
Work experience

(In medical, humanitarian or

voluntary field)

Spoken language(s)

(other than English if

applicable)

Other trainings or
educational programs
attended

(if applicable)

Only for transfer student:

current university and
country, new desired
university (if any) and
country, years done, etc.
***
NB:

*: will help us to choose/confirm appropriate school

**: well detailed: grade/marks per subject along with all other asked info!
***: all necessary info please!