Full time studies application form

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 3 MB):
Preferences to the study program:
International Business - Language: English
Business Management - Language: English
General Practice Nursing - Language: English
Physiotherapy - Language: English
Development and Maintenance of Information Systems - Language: English
Electronics Engineering and Robotics - 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:
Educational degree (higher, high school/secondary)
Educational degree acquired *:
Beginning of the studies *:
End of the studies *:
Type of school *:
Passport information:
Passport number (or ID card number for EU citizens) *:
Date of issue *:
Valid until *:
Place of issue *:
Accommodation:
Do you need accommodation in Panevėžio kolegija/State Higher Education Institution students dormitory?
Yes
No
Enclosed (each document not more than 3 MB size):
Copies of the educational documents (Certificate, diploma and its annex (es) indicating secondary education)*
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.
You can upload doc, docx, gif, jpg, pdf, png, rar, tif, txt, xls, xlsx, zip files!
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.

Full time studies application form

Application form for entry as an full time student:

Potential employers: