Application
 

UNIVERZITA KARLOVA V PRAZE

(CHARLES UNIVERSITY IN PRAGUE)

Application Form for International Exchange Students

______________________________________________________

For academic year: 20.. / 20..┌┐

1) Period of Study:

Autumn Semester (Oct– Feb)photo

Spring Semester (Feb – Jun )

Whole Academic Year (Oct – Jun)

2) Personal Details:

Surname:

First name:

Date of birth:

(DD/MM/YYYY)

Gender:female male

Nationality:

Passport number:

Permanent address:

Address for correspondence (if different from above):

Telephone:

E-mail:

3) Home University:

Name of university:

Enrolled since:

Major subject:

Degree obtained:

4) Emergency Contact Person:

Name:

Relationship:

E-mail address:

Telephone:

Contact address:

5) List of Courses for which You Wish to Enrol:

Please indicate which subjects you wish to apply for at which faculty

Faculty:

Subjects:

6) Language Proficiency Information:

Please indicate which languages you speak and your level of proficiency.

8) Checklist:

Tick the box when the item has been attached to this application.

CV

Transcript of records

Study plan

Letter of recommendation

Nomination letter from the home university

9) Student Exchange Coordinator at the Home University:

Surname:

First name:

Position:

Email:

Telephone:

Fax:

Address:

Signature:

I confirm that the information which I have given in this application is complete and true.

Date ________________Signature of the student __________________________


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