This document is an application form for an Erasmus+ exchange student program. It contains contact and personal information for the applicant, Martynas Bublauskis, including his name, gender, address, date of birth, place of birth, citizenship, passport number, EU health insurance number, degree program details, and date of higher education entrance qualification. Additional documents are requested including a CV, ID photo, copies of identity card and visa, and an overview of previously attended lectures. The applicant's signature is required to agree to sharing his personal data and ID photo for administration purposes.
This document is an application form for an Erasmus+ exchange student program. It contains contact and personal information for the applicant, Martynas Bublauskis, including his name, gender, address, date of birth, place of birth, citizenship, passport number, EU health insurance number, degree program details, and date of higher education entrance qualification. Additional documents are requested including a CV, ID photo, copies of identity card and visa, and an overview of previously attended lectures. The applicant's signature is required to agree to sharing his personal data and ID photo for administration purposes.
This document is an application form for an Erasmus+ exchange student program. It contains contact and personal information for the applicant, Martynas Bublauskis, including his name, gender, address, date of birth, place of birth, citizenship, passport number, EU health insurance number, degree program details, and date of higher education entrance qualification. Additional documents are requested including a CV, ID photo, copies of identity card and visa, and an overview of previously attended lectures. The applicant's signature is required to agree to sharing his personal data and ID photo for administration purposes.
CONTACT AND PERSONAL INFORMATION. Please type or write legibly.
o Name Bublauskis Martynas
Last First Middle
o Female Male X
o Address 31 Satrijos 14
Street
Skuodas Klaipeda 98109 Lithuania
City State Zip Code Country
o Current Phone and E-Mail
+370 625 03 809 martynas.bublauskis@gmail.com
o Date of Birth 11 / 17 / 1998 /
month, day, year
o Place of birth Lithuania
o EU Health Insurance No.
o Passport No. (+copy) 24043395
o Country of citizenship Lithuania
o ECTS credit degree program 180 ECTS
o Date of higher education entrance qualification 09 / 01 / 2019
Additional we need CV, ID-picture, a copy of your identity card, a copy of
your visa and an overview of your previously attend lectures via post. With your signature, you agree to FH Wedel using your personal data and ID-picture for administration purposes.
Date 05/21/2020 Signature
FH Wedel, International Office, Feldstr. 143, D-22880 Wedel
International Office: nha@fh-wedel.de - www.fh-wedel.de