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Application

Yes, I am applying for:

Program:

Destination:

starting date: Year:

duration: .

(if already known:)
"classic"

"exclusive" choose a place
"exclusive" choose a school

 

Surname: ,

First Name: .

born on . . in .

Nationality: .

if under 18: Mother:

if udner 18: Father:

 

Address: Street: (incl. House Number!)

Post Code , City: , Country: .

 

Telephone (if applicable):

my Mobile Phone:

Landline:

Mobile Phone Parents:

 

E-Mail: .

(if applicable) Instagram: .

(if applicable) TikTok: .

 

Current School / University / Employer:

Foreign Language:

2nd Foreign Language: .

Hobbies, Interests: .

Diets:

Allergic to: Dog - Cat - Nuts, other:

(if applicable):

Important: .

Remarks:

 

I agree to the data protection.

 

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Thank you!