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Preferences to the study program

Preferences to the study program (choose up to 2 programs)*: General Practice Nursing (target groups only) - Language: EnglishPhysiotherapy - Language: EnglishDental hygiene - Language: EnglishDevelopment and Maintenance of Information Systems - Language: EnglishElectronics Engineering and Robotics - Language: English

Personal details:

First name*:

Surname*:

Date of birth*:

Gender*:

Place of birth*:

Citizenship*:

Tel. No. (with country code)*:

E-mail address*:

Profile photo (max size 3 MB):

Passport information:

Passport number (or ID card number for EU citizens)*:

Place of issue*:

Date of issue*:

Valid until*:

Additional information:

Permanent address*:

Postal code*:

City*:

Country*:

Address valid till*:

Educational background:

Educational degree acquired (higher,
high school/secondary)*:

Name of Institution/School*:

Beginning of the studies*:

End of the studies*:

Accommodation:

Do you need accommodation in Panevėžio kolegija/State Higher Education Institution students dormitory?* YesNo

Enclosed documents:

Each document must not exceed 3 MB in size.
You can upload doc, docx, gif, jpg, pdf, png, rar, tif, txt, xls, xlsx, zip files!

Copies of the educational documents (Certificate, diploma and its annex (es) indicating secondary education)*:

More educational documents (if needed):

Copy of the passport (for non EU citizens) or ID card (only for EU and EEA citizens)*: The copy of the certificate that shows the proficiency level B2 in the English: The recent passport size photo (3x4 cm)*: Copy of the proof of payment of the application fee (non-refundable – 100 euros)*: Documents legalizing change of name or surname or copy authorized by the notary in case the documents certifying the obtained education are issued under another name and (or) surname: Agreements*: I guarantee that the given data is legitimate. I am familiar with the admission requirements for international citizens of Panevėžio kolegija/State Higher Education Institution and I agree with the procedure of documentation handling defined in the admission procedure. * Marked fields must be filled.