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Application for an Erasmus exchangeLogo university
All fields marked with (*) must be completed.
Application details
Type of application
 *
Type of person
 *
Exchange program *
Academic year *
Semester *
Communication language *
Personal details
Last name *
First name *
Gender
 *
Birthdate (dd.mm.yyyy) *
Nationality *
e-mail address *
Same e-mail address for verification *
Emergency Contact
Last name *
First name *
e-mail address *
Telephone *
Relationship
Current education / studies
Country of the home institution *
Home institution *
Study level (at the time of the exchange) *
Number of completed semesters on your study level (at the time of the exchange) *
Major (main subject of study) *
Minor (second subject of study)
Studies at the host institution
Host country
Host institution *
Faculty *
Institute
Study area *
Comments
 There are still 1000 characters available
Language skills
Mother tongue *
Foreign language 1 *
Language level





 *
Foreign language 2
Language level





Foreign language 3
Language level





Other Information
Comments
I would like to get to know Bernese students who will be doing an exchange at my home university after my return.
 *
By selecting "yes" you agree that your e-mail address will be shared with these students.
Confirm that you agree to the privacy consent in the yellow notice box below  *
Privacy Consent: The beneficiary acknowledges and agrees that the University of Bern processes his/her personal data and the data generated during the stay for the purpose of mobility.

The beneficiary agrees that these data may be exchanged between the institutions as necessary and that it remains in our database for a maximum of 10 years after completion of the study abroad period for documentation purposes.

After the end of the academic year of your stay, you can contact us (see Data Protection contact on our website www.int.unibe.ch) if you wish us to additionally anonymise your data.
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