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Application form of the University of AntwerpLogo university
All fields marked with (*) must be completed.
Application Details
IMPORTANT: after completing this form you will receive an email to create an account in Mobility Online. You will need this account to complete extra questions and finalise your application.
Type of applicant
 *
Type of person
 *
Exchange Programme *
Academic year *
Antwerp Summer and Winter University
Country of Host Instititution *
Host Institution *
Summer school - Winter school *
How did you hear about this programme? *
Do you need a visa to come to Belgium?
 *
This questions is not applicable for the From Mine to Finger winter school.
Personal details
Please don't use all caps when filling in the form, only the first letter of a name/word can be capitalized.
Family name *
All personal data must match the information on your passport or national ID card, otherwise your application cannot be processed.
First name *
Other First Names
Legal Gender
 *
Date of birth (dd.mm.yy) *
Country of birth *
Place of Birth *
Nationality *
Other nationality?
E-mail address *
Same e-mail-address for verification *
Information about contact person in case of emergency
Last name *
First name *
E-mail address *
Telephone number *
The telephone number may not start with a zero. Use '+' and your country code. For instance: +23 334 455
Type of relationship to student *
Educational Background
Are you currently a student?
 *
What is your current job? *
Currently employed at *
Previously obtained degree (relevant to the summer or winter school)
Name of the degree
Institution
Faculty
Date of graduation
Previous Work Experience (relevant to the summer or winter school)
Company / Institute
Dietary requirements
Vegetarian
 *
Vegan
 *
Gluten free
 *
Other
Declaration
The University of Antwerp is collecting this data only for your application, it will not be shared with third parties. More info on our privacy policy: www.uantwerpen.be/disclaimeren
I confirm that the information I have given above is correct to the best of my knowledge.  *
Are you currently enrolled at the University of Antwerp as a student or staff member?
 *
Have you been enrolled as a University of Antwerp student (full degree, exchange programme, summer/winter school) in the past?
 *
IMPORTANT: your application is not complete yet. Please check your email for further guidelines on completing your application (check your spam folder if you haven't received a message).
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