Application form

Students need to send us (grzbiela@agh.edu.pl ) the following data:

First names, Name……………………………………………….
Matricula number………………………………….
Sex (M/F)……………………………………………
Date of Birth………………………………………..
Place of Birth……………………………………….
Citizenship………………………………………….
Permanent address:
Number……….., Street………………………………….., City…………………………….., Zip code…………, Country……………………………..
Telephone………………………………
Email……………………………………
Passport number………………………
Blood type……………………………..
School………………………………….
Faculty………………………………….
Semester finished…………………….
Summer Course title………………….
Arrival date…………………………….
Departure date………………………..