Online application form for outgoing Erasmus students – mobility for studies According to data protection and security, the Centre for International Relations will treat the data of the student as being confidential. The data will be available for the Tempus Public Foundation only for the interim and final reporting required by the Public Foundation. Personal information Family name: * First name: * Mother’s family name: * Mother’s first name: * Neptun code: * Student identification number (OM code) * consists of 11 characters Birth information Date of birth: * Year Year197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Place of birth: city, country: * Nationality: * Gender: * Female Male Permanent address Postal code: * City: * Street, number: * Contact Mobile phone: * E-mail address: * Please give us an e-mail address that you will use during your mobility period! We cannot accept freemail, citromail, vipmail and indamail Bank information Name of the bank: * Name of the bank account holder: * Number of bank account * Type of bank account: * euro forint IBAN * Acceptable form: HUxx xxxxxxxx-xxxxxxxx-xxxxxxxx SWIFT code: * With capital letters Studies Faculty: * - Select -Faculty of LawMedical SchoolFaculty of HumanitiesFaculty of Health SciencesFaculty of PharmacyFaculty of Cultural Sciences, Education and Regional Development in PécsFaculty of Cultural Sciences, Education and Regional Development in SzekszárdFaculty of Business and EconomicsFaculty of Music and Visual ArtFaculty of Engineering and Information TechnologyFaculty of Sciences Specialization: * Please give the official name not the abbreviation Class: * - Select -123456 Which year are you going to be in at the time of your mobility (year not semester) Are you a fee paying student? * Yes No Level of studies: * BA/BSc MA/MSc PhD/DLA Short-cycle One-cycle Subject / ISCED code: * - Select - 0011 Basic programmes and qualifications 0021 Literacy and numeracy 0031 Personal skills and development 0111 Education science 0112 Training for pre-school teachers 0113 Teacher training without subject specialization 0114 Teacher training with subject specialization 0211 Audio-visual techniques and media production 0212 Fashion, interior and industrial design 0213 Fine arts 0214 Handicrafts 0215 Music and performing arts 0221 Religion and theology 0222 History and archaeology 0223 Philosophy and ethics 0231 Language acquisition 0232 Literature and linguistics 0311 Economics 0312 Political sciences and civics 0313 Psychology 0314 Sociology and cultural studies 0321 Journalism and reporting 0322 Library, information and archival studies 0411 Accounting and taxation 0412 Finance, banking and insurance 0413 Management and administration 0414 Marketing and advertising 0415 Secretarial and office work 0416 Wholesale and retail sales 0417 Work skills 0421 Law 0511 Biology 0512 Biochemistry 0521 Environmental sciences 0522 Natural environments and wildlife 0531 Chemistry 0532 Earth sciences 0533 Physics 0541 Mathematics 0542 Statistics 0611 Computer use 0612 Database and network design and administration 0613 Software and applications development and analysis 0711 Chemical engineering and processes 0712 Environmental protection technology 0713 Electricity and energy 0714 Electronics and automation 0715 Mechanics and metal trades 0716 Motor vehicles, ships and aircraft 0721 Food processing 0722 Materials (glass, paper, plastic and wood) 0723 Textiles (clothes, footwear and leather) 0724 Mining and extraction 0731 Architecture and town planning 0732 Building and civil engineering 0811 Crop and livestock production 0812 Horticulture 0821 Forestry 0831 Fisheries 0841 Veterinary 0911 Dental studies 0912 Medicine 0913 Nursing and midwifery 0914 Medical diagnostic and treatment technology 0915 Therapy and rehabilitation 0916 Pharmacy 0917 Traditional and complementary medicine and therapy 0921 Care of the elderly and of disabled adults 0922 Child care and youth services 0923 Social work and counselling 1011 Domestic services 1012 Hair and beauty services 1013 Hotel, restaurants and catering 1014 Sports 1015 Travel, tourism and leisure 1021 Community sanitation 1022 Occupational health and safety 1031 Military and defence 1032 Protection of persons and property 1041 Transport services Information of the receiving institution Country: * - Select -AustriaBelgiumBulgariaCyprusCzeh RepublicDanmarkUnited KingdomEstoniaFinlandFranceGreeceThe NetherlandsCroatiaIrelandPolandLatviaLitvaniaMacedoniaGermanyNorvégiaItalyPortugalRomániaSpainSwedenSlovakiaSloveniaTurkey Receiving institution * - Select -PAEDAGOGISCHE HOCHSCHULE NIEDERÖSTERREICHFachhochschulstudiengänge Burgenland GesmbHPädagogische Hochschule VorarlbergKarl-Franzens Universität GrazKunstuniversitaet GrazFH Joanneum Gesellschaft mbHMedical University of InnsbruckUniversity of KlagenfurtFHS KUFSTEIN TIROL BILDUNGS GMBHJohannes Kepler UniversitätUniversity Of Applied Sciences for Health Professions Upper AustriaUniversität des SaarlandesUniversitaet SalzburgFachhochschule KaerntenSteyr School of ManagementUniversität WienVienna University of TechnologyUniversity of Music and Performing Arts ViennaBerufspädagogische Hochschule WienFH Campus Wien, University of Applied SciencesMedizinische Universität WienUniversity of Applied Sciences Wiener NeustadtUniversiteit AntwerpenArtesis Plantijn Hogeschool AntwerpenVrije Universiteit BrusselUniversité Libre de BruxellesGhent UniversityUniversity College ArteveldehogeschoolKatholieke Hogeschool Zuid-West-VlanderenHogeschool West-Vlaanderen, University College of West FlandersKatholieke Universiteit LeuvenUniversité de LiégeUniversité de MonsThomas More Mechelen - AntwerpenUniversity of NamurAmerican University in BulgariaAngel Kanchev University of RousseMedical University SofiaNational Academy of Music "Prof. Mancho Vladigerov" SofiaNational Sports Academy “Vasil Levski”Polytechnic of Medimurje CakovecJosip Juraj Strossmayer University of OsijekJuraj Dobrila University of PulaUniversity of RijekaPolytechnic of SibenikUniversity of SplitUniversity of ZadarUniversity of ZagrebUniversity NorthBrno University of TechnologyMasaryk University BrnoUniversity of Veterinary and Pharmaceutical Sciences BrnoUniversity of South BohemiaPalacky University OlomoucOstravska Univerzita v OstraveUniversity of PardubiceZapodaceska univerzita v PlzniCharles University in Prague, First Faculty of MedicineUniversity of Economics PragueJan Evangelista Purkyne University in Usti nad LabemUniversity of Central LancashireUniversity of CyprusUniversity of NicosiaAalborg UniversityAarhus University School of EngineeringInternational Business AcademyVIA University CollegeTalinn UniversityUniversity of TartuHAMK, University of Applied SciencesUniversity of HelsinkiHAAGA-Helia University of Applied SciencesHelsinki Metropolia UniversityUniversity of JyvaskylaJyväskylä University of Applied SciencesKemi-Tornio University of Applied SciencesLahti University of Applied SciencesMikkelin Ammattikorkeakoulu Mikkeli University of Applied SciencesUniversity of OuluOulu University of Applied SciencesSatakunta University of Applied SciencesUniversity of LaplandLapland University of Applied SciencesUniversity of TampereUniversity of TurkuAbo Akademi UniversityTurku University of Applied SciencesUniversity of VaasaEcole Supérieure d’Art d’Aix-en-ProvenceUniversité de AngersEcole Supérieure des Beaux-Arts Tours Angers Le MansUniversité D 'Avignon et des Pays de VaucluseUniversité Michel de Montaigne Bordeaux 3Kedge Business SchoolUniversity of BordeauxUniversite de Bretagne OccidentaleUniversité de CaenUniversité de Cergy-PontoiseUniversite D'Auvergne-Clermont 1Universite de BourgogneBurgundy School of BusinessISCID-COInstitut National des TélécommunicationUniversité Pierre MendésEcole nationale supérieured'Architecture de GrenobleUniversité da la RochelleUniversité Catholique de LilleUniversité de LimogesUniversity LumiéreUniversité Jean Moulin Lyon 3Université Catolique de LyonInstitut d'Etudes Politiques de LyonUniversité Paul Cézanne-Aix-Marseille III.Université Aix-MarseilleEuromed ManagementEcole Superieure De Commerce De MontpellierUniversité de NantesUniversité D'OrleansUniversité de Paris III. Sorbonne NouvelleUniversité Paris DescartesUniversité Paris Diderot-Paris 7Universitè Paris-Sud 11Université Paris Ouest- Nanterre- La DéfenseISC Paris - School of ManagementUniversité de Paris-SudInstitut National des Langues et Civilisations OrientalesUniversité de PoitiersUniversité de Rennes I.Université RennesUniversité de RouenUniversité de StrasbourgIntstitut D'Etudes Politiques ToulouseUniversité Francois Rabelais ToursUniversite de Bretagne-SudUniversity of AugsburgOtto-Friedrich-Universität BambergUniversität BayreuthFreie Universität BerlinAlice-Salomon-Fachhochschule (ASFH Berlin)Humboldt-Universität zu BerlinHochschule für Technik und Wirtschaft BerlinTechnische Universität BraunschweigChemnitz University of TechnologyBrandenburg University of Technology CottbusHochschule Deggendorf Deggendorf University of Applied SciencesFachhochschule Dortmund University of Applied SciencesHochschule für Technik und Wirtschaft DresdenKatholische Universität Eichstätt-IngolstadtUniversity of Applied Sciences Emden/LeerFriedrich-Alexander-Universitat Erlangen-NurnbergUniversität Duisburg-EssenHochschule der bildenden Künste (HBK) EssenJohann Wolfgang Goethe-Universität Frankfurt am MainEuropa Universität Viadrina, Frankfurt (Oder)TU Bergakademie FreibergAlbert-Ludwigs-Universität FreiburgJustus-Liebig-Universität GiessenGeorg-August Universität GöttingenErnst-Moritz-Arndt Universität GreifswaldFern Universität in HagenMartin-Luther-Universitaet Halle-WittenbergHamburg University of Applied SciencesRuprecht-Karls Universität HeidelbergHochschule HeilbronnUniversität HildesheimHAWK University of Applied Sciences and ArtsFriedrich Schiller Universitat JenaFachhochschule JenaStaatliche Akademie der Bildenden Künste KarlsruheMuthesius University of Fine Arts and DesignUniversität zu KölnUniversität LeipzigOtto von Guericke Universitat MagdeburgJohannes Gutenberg Universität MainzPhilipps Universität MarburgLudwig-Maximilians Universität MünchenTechnische Universität MünchenWestfalische Wilhelms-Universität MünsterUniversität OsnabrückUniversität PaderbornUniversität PassauUniversität PotsdamFachhochschule PotsdamBSP Business School BerlinUniversität RegensburgUniversität des SaarlandesPädagogische Hochschule Schwäbisch GmündUniversität SiegenUniversität TrierEberhard-Karls Universität TübingenUniversitat UlmUniversität VechtaJulius-Maximilians-Universitat WürzburgFachhochschule Würzburg-Schweinfurt AschaffenburgHochschule Zittau/GörlitzNational and Kapodistrian University of AthensTechnological Educational Institution of AthensTechnological Educational Institute of KalamataAristotle University of ThessalonikiUniversity of MacedoniaUniversity of the PeloponneseUniversitá Degli Studi di BariUniversitá Di BolognaUniversitá Degli Studi di CagliariUniversitá Degli Studi di CamerinoUniversitá Degli Studi Del MoliseUniversitá Degli Studi Di Cassino e del Lazio MeridionaleUniversitá Degli Studi di CataniaAcademy of Fine Arts, CatanzaroUniversitá Degli Studi Di FerraraUniversitá Degli Studi di FirenzeConservatorio di Musica "L. Cherubini" di FirenzeUniversity of FoggiaUniversitá Degli Studi di GenovaUniversitá Degli Studi dell'AquilaUniversitá Degli Studi di MessinaUniversita' Degli Studi di MilanoACCADEMIA DI BELLE ARTI DI NAPOLIUniversitá Degli Studi di PadovaUniversitá Degli Studi di PaviaUniversitá Degli Studi di Roma 'La Sapienza'Universitá Degli Studi di SassariUniversitá Degli Studi di SienaUniversity of TrentoAcademia Di Belle Arti Di RomaUniversitá Degli Studi di TriesteUniversitá Degli Studi di UdineUniversitá Ca' Foscaridi VeneziaUniversitá Iuav di VeneziaAccademia di belle Arti VeneziaUniversita degli Studi di VeronaWaterford Institute of TechnologyLatvian Christian AcademyUniversity of LatviaLatvian Academy of Sport EducationBA SCHOOL OF BUSINESS AND FINANCE (SBF)Baltic International AcademyThe Higher School of Psychology RigaVentspils University of CollegeVytautas Magnus UniversityLithuanian Sports UniversityISM University of Management and EconomicsLithuanian University of Health SciencesVilnius UniversityMykolo Romerio UniversitetasISM University of Management and EconomicsUniversity of Information Science and Technology "Saint Paul Aposte"OrhidSS Cyril and Methodius UniversityUniversity of MaltaMalta College for Arts, Science and TechnologyOstfold University CollegeUniversity of AgderUniversity of OsloBI Norwegian School of ManagementUniveristy of StavangerVolda University CollegeUniwersytet w BialymstokuPope John Paul II State School of Higher Education in Biala PodlaskaUniversity of SilesiaThe Jerzy Kukuczka Academy of physical Education in KatowiceUniwersytet JagiellonskiAGH University of science and technology, KrakowAkademia Ekonomiczna w KrakowiePanstowowa Wyzsza Szkola ZawodowaUniversity of LodzMarie Curie-Sklodowska UniversityMedical University of LublinWyzsza Szkola Biznesu - National Louis UniversityState Higher Vocational School in Nowy SaczUniwersitet Warminsko-Mazurski w OlsztynieUniwersytet OpolskiUniwersytet im Adam MickiewiczaPoznan University of TechnologyThe Poznan University of Physical EducationUniwersytet RzeszowskiNicolaus Copernicus University of TorunWyzsza Szkola Bankowa W ToruniuUniversity of WarsawCardinal Stefan Wyszynsky University in WarsawAkademia Wychowania Fizycznego Józefa Pilsudskiego w Warszawie Wyższa Szkoła Pedagogiczna TWP w WarszawieUniwersytet WroclawskiThe E.Geppert Academy of Art and Design in WroclawAkademia Wychowania Fizycznego we WroclawiuUniversity of Lower Silesia WroclawInstituto Politécnico de BejaUniversidade do MinhoInstituto Politecnico de BragancaUniversidade de CoimbraUniversidade Catolica PortuguesaUniversidade Nova De LisboaInstituto Superior de Psicologia AplicadaUniversidade de LisboaInstituto Politécnico de PortalegreUniversidade de PortoInstituto Politécnico do PortoUniversidade Portucalense Infante D. HenriqueUniversidade Fernando PessoaCooperativa de Ensino Superior Politécnico E Universitário (CESPU)Escola Superior de Desporto de Rio Maior - ESDRMUniversidade de Trasos Montes e Alto Douro, Vilareal"1 Decembrie 1918" University of Alba Julia"Transilvania" University of BrasovUniversitatea Babes-Bolyai Cluj-NapocaACADEMIA DE MUZICA GHEORGHE DIMAUniversitatea de Arta si Design din Cluj-NapocaUniversitatea Sapientia Cluj-NapocaUniversity of CraiovaUniversitatea Alexandrou Ioan Cuza din IasiPartium Christian UniversityUniversitatea Lucian Blaga din SibiuUniversity of Theatre of Tirgu MuresUniversity of Medicine and Pharmacy of Targu-MuresUniversitatea de Vest din TimisoaraPolitehnica University of TimisoaraUniversidad de AlicanteUniversidad de ExtremaduraUniversidad de BarcelonaUniversitat Pompeu FabraUniversidad de BurgosUniversidad de CádizUniversitat Jaume IUniversidad de Castilla-La ManchaUniversidad de GranadaUniversidad de HuelvaUniversidad de La CorunaUniversidad de LeonUniversidad Complutense de MadridFundació Tecno Campus Mataró – MaresmeConservatorio Superior de Música "Manuel Massotti Littel"Universidad Católica de MurciaUniversidad de OviedoConservatorio Superior de Música "Eduardo Martínez Torner" del Principado de AustriasUniversidad Publica De NavarraUniversidad de SalamancaUniversidad de CantabriaUniversidad de Santiago de CompostelaUniversidad de SevillaUniversidad Pablo De OlavideUniversitat Rovira I VirgiliUniversidad de la LagunaUniversitat de ValènciaUniversidad Politécnica de ValenciaCatholic University of Valencia "San Vicente Mártir"Universidad de ValladolidUniversidad de ZaragozaJönköping UniversityUniversity of GothenburgKarlstad UniversityKristianstad UniversityMid Sweden UniversityUniversity of ÖrebroMälarden UniversityUniversité de FribourgMatej Bel University Banská BystricaComenius University in BratislavaUniversity of Economics in BratislavaAcademy of Fine Arts and Design BratislavaAcademy of Performing Arts in BratislavaUniverzita J. SelyehoUniverzita Pavla Jozefa Safarika V KosiciachTechnical University of KosiceConstantine the Philosopher University in NitraSlovak university of Agriculture NitraUniversity of PresovUniversity of ZilinaUniversity of PrimorskaUniversity of LjubljanaUniversity of MariborAlma Mater Europea-ECMGEA College of EntrepreneurshipAdnan Menderes UniversityAnkara UniversityHacettepe University School of Social WorkBaskent UniversityAkdeniz UniversityAdnan Menderes UniversityMehmet Akif Ersoy UniversityCanakkale Onsekiz Mart UniversityPamukkale UniversityAtatürk ÜniversitesiAnadolu UniversityIstanbul University Istanbul Teknik UniversitiMarmara ÜniversitesiYildiz Teknik ÜniversitesiBahcesehir UniversityIstanbul Bilgi UniversityIsik UniversityIstanbul Kültür UniversityYeditepe UniversityIstanbul Aydin UniversityÖzyegin UniversityIstanbul Kemerburgaz UniversityDokuz Eylul UniveristySelcuk UniversityDumlupinar UniversityUniversity of MuglaRecep Tayyip Erdogan UniversityCumhuriyet UniversityKaradeniz Technical UniversityUsak UniversityVU University AmsterdamArnhem Business SchoolFontys Hogescholen EindhovenRijksuniversiteit GroningenUniversieit LeidenUniversiteit MaastrichtRadboud Universiteit NijmegenINHolland University of Applied SciencesTilburg UniversityUniversiteit UtrechtUniversity of AberystwythUniversity of BirminghamBuckinghamshire New UniversityUniversity of CoventryUniversity of HertfordshireLiverpool John Moores UniversityLondon South Bank UniversityMiddlesex UniversityOxford Brookes UniversitySheffield UniversityUniversity of SunderlandUniversity of Wolverhampton Language of the studies: * - Select -englishgermanfrenchitalianspanishother Other, please specify: Beginning of the mobility: * - Select -17/0817/0917/1017/1117/1218/0118/0218/0318/04 Duration of the mobility: * - Select -33,544,555,568910 Date of departure: * Year Year20242025 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Have you ever participated in an Erasmus program before? * - Select -NoYes In which country/institution? - None -AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong S.A.R., ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe How long (months)? 0.511.522.533.544.555.566.577.588.599.51010.51111.512 hónap * With my signiture, I certify that I will participate in the Erasmus mobility program for the first time: ................................................ signature
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