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STUDENT'S NAME

INDEX BOOK NUMBER

NOVI SAD

FACULTY OF MEDICINE
STUDY PROGRAM
GENDER
MEDICINE / DENTISTRY male
female

year of birth

place and state of birth

X
permanent address

city and state

NOVI SAD

street address
CITIZENSHIP
YEAR OF YOUR FIRST ENROLLMENT
INTO THE 1ST STUDY YEAR
NATIONALITY

optional
marital status
single
married
divorced
X widowed
address in Novi Sad
occupation of your parent

education level of your parents


housing during studies
with parents father
rented app primary school
dormitory highschool
own appartment higher education - university
Master
relatives PhD
other unknown
source of financing during studies
primary school
highschool
financed by parents, family higher education
master
personal income PhD
unknown
grant from the gov.organization

credit
grant from company
other

main source (number from previous section)

are you employed

yes
no
do you support other persons

no
yes, child/children
spouse
yes, parents
yes, other persons
is your parent employed

yes
no

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