Application id 2079791

STUDENT APPLICATION
Application Form FORM
ERASMUS+ FOR TRAINEESHIP
FORMS WILL NOT BE ACCEPTED WITHOUT THE OFFICIAL STAMP OF YOUR UNIVERSITY AND YOUR REFERENT'S SIGNATURE

Academic year 2018 / 2019

Name of the sending Institution UNIVERSITATEA DE MEDICINA SI FARMACIE TARGU MURES
Erasmus ID code RO TARGU02
Field of study Medicine

STUDENT'S PERSONAL DATA

Name of the student: ANDRADA GEORGIANA NACU

Date of birth: 15/04/1997
Place of Birth: PIATRA NEAMT(ROMANIA)
Home address: CUZA VODA STREET,1
E-mail: andradanacu@yahoo.com
Degree: 1st cycle (bachelor students / undergraduated)
Date of arrive: 29/07/2019
Duration of stay: 2 months
Italian language level: Base level
( I'm interested in following an Italian Language Course )

DISABILITIES OR SPECIAL REQUIREMENTS

-

SENDING INSTITUTION
The student Mrs ANDRADA GEORGIANA NACU
has been selected as student in the framework of the ERASMUS+ FOR TRAINEESHIP for the academic year 2018 / 2019 to
attend the UNIVERSITY OF PALERMO in Scuola di Medicina e Chirurgia
for a period of 2 months, starting from 29/07/2019.

Stamp and signature of International Relations Office of Date

Sending Institution

RECEIVING INSTITUTION

Created on: 03 feb 2019, 18:45