Student admission: tel. +370 607 96 156

Full time studies application form (INDIA)

    Application form for entry as an full time student:

    Personal details:

    First name*:

    Surname*:

    Date of birth*:

    Place of birth*:

    Gender*:

    Citizenship*:

    Tel. No. (with country code)*:

    E-mail address*:

    Profile photo (max size 2 MB):

    Preferences to the study program:

    General Practice Nursing - Language: English

    Permanent address:

    Address*:

    Postal code*:

    City*:

    Country*:

    Address valid till*:

    Temporary address (if different from the permanent address):

    Address:

    Postal code:

    City:

    Country:

    Address valid till:

    Person to be contacted in case of emergency:

    Name*:

    Surname*:

    Address*:

    Postal code*:

    City*:

    Country*:

    Tel. No. (with country code)*:

    E-mail*:

    Educational background*:

    Secondary education*:

    Secondary education acquired*:

    Beginning of the studies*:

    End of the studies*:

    Type of school*:

    Educational degree (Bachelor degree)*

    Bachelor's degree acquired*:

    Beginning of the studies*:

    End of the studies*:

    Type of school*:

    Passport information:

    Passport number*:

    Date of issue*:

    Valid until*:

    Place of issue*:

    Accommodation:

    Do you need accommodation in Panevėžys University of Applied Sciences students dormitory?

    Yes

    No

    Enclosed (each document not more than 2 MB size):

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

    Copies of the educational documents (Certificate, diploma and its annex (es) indicating Bachelor degree)*

    Copy of the passport*

    The recent passport size photo (3x4 cm).*

    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.

    Copy of the proof of payment of the application fee (non-refundable – 100 euros).*

    You can upload doc, docx, gif, jpg, pdf, png, tif, txt, xls, xlsx files!

    Agreements:

    I guarantee that the given data is legitimate. I am familiar with the admission requirements for international citizens of Panevėžys University of Applied Sciences and I agree with the procedure of documentation handling defined in the admission procedure.*

    * Marked fields must be filled.

    Potential employers:

    Accessibility by WAH