SECONDARY EDUCATION. MYKOLAS ROMERIS UNIVERSITYMYKOLAS ROMERIS UNIVERSITY
DEGREE STUDENT APPLICATION FORM
FOR A STUDY PROGRAMME______________________________________________________________ Please specify for which study programme you are applying
ь This application should be filled out completely in BLACK and TYPED or written in capital letters. ь Return to: International Admissions, Mykolas Romeris University, Ateities st. 20, Vilnius, Lithuania, [email protected] Please, stick here Your photo STUDENT’S PERSONAL DATA Family name:.........................................................................................................................................…………... First name (s):....................................................…………………………………………………….…............….. Date of birth (day, month, year):....................................Sex (F/M):........... Nationality:.................…..................... Marital Status: ……………………………………………………………………………………………………… Place and country of birth:...................................................…………………………………………….…………. Pasport number (if available) or ID card number: ………………………..………………………………………… Issuaed at (place, date): ………………………….…………. Valid till…………………………………………… Current address:………………................................................………………………………………………… ………………………………………...............................................................................……………….………. ……………………………………………………………...................................................................…….......... ............................................................................………………………………………………………….……… Tel.:...................................................Telefax:……………………………… E-mail:…………………………… Person and telephone number in home country to contact in case of emergency:……………………………….. ……………………………………………………………………………………………………………….……. HIGHER EDUCATION (to be filled by postgraduate students) Please list in chronological order the DEGREES of higher education you have obtained or are pursuing. Do not list every YEAR separately. Please start with the MOST RECENT DEGREE.
Name of Institution ………………………………………………………………………………………………... Period of attendance ……………………………………………………………………………………………… Title of the programme …………………………………………………………………………………………… Degree obtained or to be obtained ………………………………………………………………………………… Language of the programme ……………………………………………………………..………………………..
SECONDARY EDUCATION Please list the DEGREE and YEAR in which you obtained your secondary education degree.
Name of Institution …………………………………………………………………………………………………… Degree obtained (if any particular subject area, please mention this also) ………..…………………………………. Year secondary education degree was obtained ……………………………………………………………………….
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