Online application form for outgoing Erasmus students – mobility for traineeships 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 Year197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022202320242025 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Place of birth: city, country: * Nationality: * Gender: * Female Male Permanent address Country: * - Select -AfghanistanAland IslandsAlbaniaAlgeriaUnited States Minor Outlying IslandsAmerican SamoaU.S. Virgin IslandsAndorraAngolaBritish Virgin IslandsAnguillaAntarcticaAntigua and BarbudaVaticanArgentinaArubaAustriaAustraliaAzerbaijanBahamasBahrainBangladeshBarbadosBelgiumBelizeBeninBermudaBhutanGuinea-BissauBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiChileCyprusComorosCook IslandsCosta RicaCzech RepublicChadCuracaoDominicaDominican RepublicDjiboutiDenmarkSouth AfricaSouth Georgia and the South Sandwich IslandsEcuadorEquatorial GuineaUnited Arab EmiratesUnited KingdomUnited StatesEgyptIvory CoastEritreaEthiopiaFalkland IslandsBelarusFaroe IslandsFijiFinlandFrench Southern TerritoriesFrench GuianaFranceFrench PolynesiaPhilippinesGabonGambiaGhanaGibraltarGrenadaGreenlandGeorgiaGuadeloupeGuamGuatemalaGuernseyGuineaGuyanaGreeceHaitiHeard Island and McDonald IslandsNetherlands AntillesNetherlandsHondurasHong KongCroatiaIndiaIndonesiaIraqIranIcelandIsraelJamaicaJapanYemenJerseyJordanCayman IslandsCambodiaCameroonCanadaChristmas IslandQatarKazakhstanEast TimorKenyaKiribatiColombiaDemocratic Republic of the CongoRepublic of the CongoSouth KoreaNorth KoreaCubaKuwaitChinaKyrgyzstanCocos IslandsCentral African RepublicLaosPolandLesothoLatviaLebanonLiberiaLiechtensteinLithuaniaLuxembourgLibyaMacedoniaMadagascarHungaryMacaoMalaysiaMalawiMaldivesMaliIsle of ManMoroccoMarshall IslandsMartiniqueMauritiusMauritaniaMayotteMexicoMyanmarMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMozambiqueMaltaNamibiaNauruNepalNicaraguaNigerNigeriaNiueNorfolk IslandNorwayWestern SaharaGermanyItalyOmanRussiaPakistanPalauPalestinePanamaParaguayPeruPitcairnPortugalPuerto RicoPapua New GuineaRomaniaRwandaReunionSaint BarthelemySaint MartinSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSolomon IslandsEl SalvadorSan MarinoSao Tome and PrincipeSeychellesSierra LeoneSpainSri LankaSurinameSvalbard and Jan MayenSwitzerlandSwedenSamoaSaudi ArabiaSenegalSaint HelenaSerbiaSingaporeSlovakiaSloveniaSomaliaSudanSwazilandSyriaTajikistanTaiwanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurks and Caicos IslandsTuvaluTurkeyTurkmenistanUgandaUkraineUruguayVanuatuVenezuelaVietnamWallis and FutunaZambiaZimbabweCape VerdeNorthern Mariana IslandsEstoniaIrelandArmeniaNew CaledoniaNew ZealandUzbekistan 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 Information of the receiving institution Name of the receiving institution/company: * Country: * - Select -AfghanistanAland IslandsAlbaniaAlgeriaUnited States Minor Outlying IslandsAmerican SamoaU.S. Virgin IslandsAndorraAngolaBritish Virgin IslandsAnguillaAntarcticaAntigua and BarbudaVaticanArgentinaArubaAustriaAustraliaAzerbaijanBahamasBahrainBangladeshBarbadosBelgiumBelizeBeninBermudaBhutanGuinea-BissauBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiChileCyprusComorosCook IslandsCosta RicaCzech RepublicChadCuracaoDominicaDominican RepublicDjiboutiDenmarkSouth AfricaSouth Georgia and the South Sandwich IslandsEcuadorEquatorial GuineaUnited Arab EmiratesUnited KingdomUnited StatesEgyptIvory CoastEritreaEthiopiaFalkland IslandsBelarusFaroe IslandsFijiFinlandFrench Southern TerritoriesFrench GuianaFranceFrench PolynesiaPhilippinesGabonGambiaGhanaGibraltarGrenadaGreenlandGeorgiaGuadeloupeGuamGuatemalaGuernseyGuineaGuyanaGreeceHaitiHeard Island and McDonald IslandsNetherlands AntillesNetherlandsHondurasHong KongCroatiaIndiaIndonesiaIraqIranIcelandIsraelJamaicaJapanYemenJerseyJordanCayman IslandsCambodiaCameroonCanadaChristmas IslandQatarKazakhstanEast TimorKenyaKiribatiColombiaDemocratic Republic of the CongoRepublic of the CongoSouth KoreaNorth KoreaCubaKuwaitChinaKyrgyzstanCocos IslandsCentral African RepublicLaosPolandLesothoLatviaLebanonLiberiaLiechtensteinLithuaniaLuxembourgLibyaMacedoniaMadagascarHungaryMacaoMalaysiaMalawiMaldivesMaliIsle of ManMoroccoMarshall IslandsMartiniqueMauritiusMauritaniaMayotteMexicoMyanmarMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMozambiqueMaltaNamibiaNauruNepalNicaraguaNigerNigeriaNiueNorfolk IslandNorwayWestern SaharaGermanyItalyOmanRussiaPakistanPalauPalestinePanamaParaguayPeruPitcairnPortugalPuerto RicoPapua New GuineaRomaniaRwandaReunionSaint BarthelemySaint MartinSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSolomon IslandsEl SalvadorSan MarinoSao Tome and PrincipeSeychellesSierra LeoneSpainSri LankaSurinameSvalbard and Jan MayenSwitzerlandSwedenSamoaSaudi ArabiaSenegalSaint HelenaSerbiaSingaporeSlovakiaSloveniaSomaliaSudanSwazilandSyriaTajikistanTaiwanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurks and Caicos IslandsTuvaluTurkeyTurkmenistanUgandaUkraineUruguayVanuatuVenezuelaVietnamWallis and FutunaZambiaZimbabweCape VerdeNorthern Mariana IslandsEstoniaIrelandArmeniaNew CaledoniaNew ZealandUzbekistan Postal code * City * Street, number * Contact person’s name: * Contact person’s e-mail address: * Webpage * Telephone * Number of employees: * - Select -S = Small (1 - 50 persons)M = Medium (50-500 persons)L = Larga (more than 500 persons) Scope of work: * - Select -ARTICULTURE, FORESTRY AND FISHINGMINING AND QUARRYINGMANUFACTURINGELECTRICITY, GAS, STEAM AND AIR CONDITIONING SUPPLYWATER SUPPLY, SEWERAGE, WASTE MANAGEMENT AND REMEDIATIONA ACTIVITIESCONSTRUCTIONWHOLESALE AND RETRAIL TRADE; REPAIR OF MOTOR VEHICLES AND MOTORCYCLESTRANSPORTATION AND STORAGEACCOMODATION AND FOOD SERVICE ACTIVITIESINFORMATION AND COMMUNICATIONFINANCIAL AND INSURANCE ACTIVITIESREAL ESTATE ACTIVITIESPROFESSIONAL, SCIENTIFIC AND TECHNICAL ACTIVITIESADMINISTRATIVE AND SUPPORT SERVICE ACTIVITIESPUBLIC ADMINISTRATION AND DEFENCE;COMPULSORY SOCIAL SECURITYEDUCATIONHUMAN HEALTH AND SOCIAL WORK ACTIVITIESARTS, ENTERTAINMENT AND RECREATIONOTHER SERVICE ACTIVITIESACTIVITES OF HOUSEHOLDES AS EMPLOYERS; UNDIFFERENTIATED -GOODS AND SERVICES-PRODUCING ACTIVITES OF HOUSEHOLDES FOR OWN USE Language of the traineeship: * - Select -englishgermanfrenchitalianspanishother Other, please specify: Beginning of the mobility: * - Select -17/0717/0817/0917/1017/1117/1218/0118/0218/0318/0418/0518/0618/0718/08 Duration of the mobility: * - Select -33,544,555,568910 Date of departure: * Year Year20252026 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Have you ever participated in an Erasmus program before? * - Select -NoYes If yes In which country/institution? - None -AfganisztánAland-szigetekAlbániaAlgériaAmerikai Egyesült Államok Külső SzigeteiAmerikai SzamoaAmerikai Szűz-szigetekAndorraAngolaAngol Szűz-szigetekAnguillaAntarktiszAntigua és BarbudaApostoli Szentszék (Vatikán)ArgentínaArubaAusztriaAusztráliaAzerbajdzsánBahamákBahreinBangladesBarbadosBelgiumBelizeBeninBermudaBhutánBissau-GuineaBolíviaBosznia-HercegovinaBotswanaBouvet-szigetBrazíliaBrit Indiai-óceáni TerületBruneiBulgáriaBurkina FasoBurundiChileCiprusComore-szigetekCook-szigetekCosta RicaCsehországCsádCuraçaoDominikaDominikai KöztársaságDzsibutiDániaDél-AfrikaDél-Georgia és Déli Sandwich-szigetekEcuadorEgyenlítői-GuineaEgyesült Arab EmírségekEgyesült KirályságEgyesült ÁllamokEgyiptomElefántcsontpartEritreaEtiópiaFalkland-szigetekFehéroroszországFeröer-szigetekFidzsiFinnországFrancia Déli TerületekFrancia GuyanaFranciaországFrancia PolinéziaFülöp-szigetekGabonGambiaGhánaGibraltárGrenadaGrönlandGrúziaGuadeloupeGuamGuatemalaGuernseyGuineaGuyanaGörögországHaitiHeard-sziget és McDonald-szigetekHolland AntillákHollandiaHondurasHong Kong SAR (Kínai Népköztársaság)HorvátországIndiaIndonéziaIrakIránIzlandIzraelJamaicaJapánJemenJerseyJordániaKajmán-szigetekKambodzsaKamerunKanadaKarácsony-szigetKatarKazahsztánKelet-TimorKenyaKiribatiKolumbiaKongói Demokratikus KöztársaságKongói KöztársaságKoreai KöztársaságKoreai Népi Demokratikus KöztársaságKubaKuvaitKínaKírgizisztánKókusz (Keeling)-szigetekKözép-Afrikai KöztársaságLaoszLengyelországLesothoLettországLibanonLibériaLiechtensteinLitvániaLuxemburgLíbiaMacedóniaMadagaszkárMagyarországMakaóMalajziaMalawiMaldív-szigetekMaliMan szigetMarokkóMarshall-szigetekMartiniqueMauritiusMauritániaMayotteMexikóMianmarMikronéziaMoldovaMonacoMongóliaMontenegróMontserratMozambikMáltaNamíbiaNauriNepálNicaraguaNigerNigériaNiueNorfolk-szigetNorvégiaNyugat-SzaharaNémetországOlaszországOmánOroszországPakisztánPalauPalesztín területekPanamaParaguayPeruPitcairnPortugáliaPuerto RicoPápua Új-GuineaRomániaRuandaRéunionSaint-BarthélemySaint-Martin (francia terület)Saint Kitt és NevisSaint LuciaSaint Pierre és MiquelonSaint Vincent és Granadin-szigetekSalamon-szigetekSalvadorSan MarinoSao Tomé és PríncipeSeychelle-szigetekSierra LeoneSpanyolországSrí LankaSurinameSvalbard és Jan MayenSvájcSvédországSzamoaSzaud-ArábiaSzenegálSzent IlonaSzerbiaSzingapurSzlovákiaSzlovéniaSzomáliaSzudánSzváziföldSzíriaTadzsikisztánTajvanTanzániaThaiföldTogoTokelauTongaTrinidad és TobagoTunéziaTurks és Caicos-szigetekTuvaluTörökországTürkmenisztánUgandaUkrajnaUruguayVanuatuVenezuelaVietnámWallis és FutunaZambiaZimbabweZöld-foki KöztársaságÉszaki-Mariana-szigetekÉsztországÍrországÖrményországÚj-KaledóniaÚj-ZélandÜzbegisztán How long (months)? 0.511.522.533.544.555.566.577.588.599.51010.51111.512 hónap ................................................ signature Please print the pdf document you get by e-mail. Sign it with a blue pen and send it to the address you can find at the bottom of the page. * With my signiture, I certify that I will participate in the Erasmus mobility program for the first time: ................................................ signature
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