Doküman No
DİOF.FR.0024
Yayın Tarihi
14.10.2019
Revizyon Tarihi
Revizyon No
Hazırlayan
.
Onaylayan
.

 

                   

RECEP TAYYIP ERDOGAN UNIVERSITY ERASMUS OFFICE

ERASMUS APPLICATION FORM

Incoming Erasmus Students Academic Year ..........

                                                                                                                                                                                                                                                                                                                                                                                                                                            Passport Photo

 

 

 

1. FIELD OF STUDY

 

2. STUDENT’S PERSONAL DATA

Family Name:

 

First Name:

 

Date of Birth:

 

Place of Birth:

 

Sex:

Male

       

 

Female

        

 

Nationality:

 
             

 

3. STUDENT’S CURRENT ADDRESS

Street / House Number:

 

Postal Code:

 

City:

 

Country:

 

Tel:

 

 

4. STUDENT’S PERMANENT ADDRESS (if different)

Street / House Number:

 

Postal Code:

 

City:

 

Country:

 

Tel.:

 

E-mail:

 

Cell Phone:

 

 

5. INSTITUTION DATA (SENDING INSTITUTION)

Name of your University:

 

Institutional Erasmus Code:

 

Country:

 

 

6. INSTITUTIONAL ERASMUS COORDINATOR (Sending Institution)

Name:

 

Address:

 

Tel.:

 

Fax:

 

E-mail:

 

 

7. DEPARTMENTAL ERASMUS COORDINATOR (Sending Institution)

Name:

 

Address:

 

Tel.:

 

Fax:

 

E-mail:

 
 

8. RECEIVING INSTITUTION (to be filled by receiving institution)

University

Country

Erasmus Code

Period of Study

Duration

From

To

Recep Tayyip

Erdogan University

 

TURKEY

 

TR RIZE01

 

Select

 

Select

 

Select Months

Briefly state the reasons why you wish to study in Recep Tayyip Erdogan University (in English)

 

 

9. LANGUAGE COMPETENCE

Mother Tongue

 

 

Other Languages

I am currently studying this language

I have sufficient knowledge to follow lectures

I would have sufficient knowledge

to follow lectures if I had some extra preparation

Yes

No

Yes

No

Yes

No

Turkish

 

 

  

 

 

 

 

English

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I hereby declare that the above-mentioned data is correct.

 

Date:                                    Place:

 

 

 

Student’s signature:

 

 

 

10. CONFIRMATION

Departmental Coordinator (name, sign):

Institutional Coordinator (name, sign and stamp):

 

 

Please send signed, stamped and scanned application form to:

erasmus@erdogan.edu.tr

For any queries, please do not hesitate to contact:

Tel: +90 464 223 6126 (Ext.1285)                    Fax: +90 464 223 5376

Web: http://disiliskiler.erdogan.edu.tr/en          E-mail: erasmus@erdogan.edu.tr