APPLICATION FORM FOR ERASMUS STUDENTS

FILL IN WITH CAPITAL LETTERS

1APPLICANT'S PERSONAL INFO

2ΣΤΟΙΧΕΙΑ ΓΟΝΕΩΝ

3ΣΥΜΠΛΗΡΩΜΑΤΙΚΑ ΣΤΟΙΧΕΙΑ

4ΣΥΝΗΜΜΕΝΑ ΕΓΓΡΑΦΑ

APPLICANT'S INFO

SURNAME (LAST NAME) *

If you have two last names, or your last name is composed by more than one word, you separate them by inserting a dash ("-") in between e.g. LIAN-VERGO, without any blank spaces

FIRST NAME *

If you have two first names, or your first name is composed by more than one word, you separate them by inserting a dash ("-") in between e.g. GEORGE-JIM, without any blank spaces

GENDER *

MALE
FEMALE
OTHER/NOT DEFINED

FATHER'S OR PARENT'S 1 First and Last Name *

First

Last

MOTHER'S OR PARENT'S 2 First and Last Name *

First

Last

EMAIL *

PHONE Number 1 (mobile)

PHONE Number 2 (mobile or landline)

PERSONAL DATA

DATE OF BIRTH *

ID OR PASSPORT NUMBER *

WITHOUT BLANKS

ISSUED BY *

The Department/service/etc who has issued the ID or Passport above

PERSONAL TAX REGISTRATION NUMBER

If you don't own such a number insert 9 zeroes instead

PERSONAL SOCIAL REGISTRATION NUMBER

If you don't own such a number insert 9 zeroes instead

LEVEL *

(ΔΙΔΑΚΤΟΡΙΚΟ μόνο για αλλοδαπούς υποψήφιους.)

SCHOOL *

DEPARTMENT *

APPLICANT'S INFO

PERSONAL DATA

RESIDENCY DATA

ADDITIONAL DATA

SUPPORTING DOCUMENTS

ΥΠΕΥΘΥΝΗ ΔΗΛΩΣΗ