SAPIENZA
Universit 01 Rona
STUDENT APPLICATION FORM
ACADEMIC YEAR 2020-2021
BACHELOR'S DEGREE:
"Global Humanities"
STUDENT'S PERSONAL DATA
Family nama: Andreee-raluce CCurtont Adceoss: STRADA
First name: Ittode: (CONSTRUCTORULUI N5,BL.F3,AP,14, 620139
Sex: F = FOCSANI ROMANIA
ot bth: 1170272001 Telephone: 00400737390573
Piaco of bith: Romania Email: :ftode@yahoo.com
City of bith: FOCSANT Skype ID: Hive4te9924b1c65267a
Natonalty: Romania Contact parson incase of emergency:
00393276162
Permanent Address: VIA TIBURTINA NB,
(00012- GUIDONIA MONTECELIO
‘Telephone: 3270008182
LANGUAGE COMPETENCE
Mother-tongue: Romanian
Knowledge of English: 82 (Upper-intermediate)
Qualification that you submit to the evaluation of the commission
Ful egal name of your course at your home
University: FILOLOGIE-UMAN Final grade: 0.69
County of studies (specty ali more than one): It not graduated, most recont GPA obtained and
ROMANIA ‘expected dato of graduation: +
University name; COLEGIUL NATIONAL How did you hear about the programme:
PEDAGOGIC "SPIRU HARET* INTERNET
University city: FOCSANI Briefly describe your motivations that made you
Degree obtained: « choose the programme: | CHOSE THIS
Oficial name ot tho degree: - PROGRAM BECAUSE | LIKE THIS COURSE
Englsh transtation:+
Graduation date: 25/06/2020
AUTHORIZATIONS
{ give consent to the use of my personal data resticted o the management of the mobility
programme, In compliance with the General Data Protection Regulation (EU) 20161679,