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[:en]Full time studies application form for EU citizens[:]

[:en]

    [:en]Application form for entry as an full time student:[:]

    Personal details:
    First name *: [text* first_name maxlength:50 size:65 placeholder [:en]"First name"[:]]
    Surname *: [text* surname class:input maxlength:80 size:65 placeholder [:en]"Surname"[:]]
    Date of birth *:
    Place of birth *: [text* place_of_birth class:input maxlength:80 size:65 placeholder [:en]"Place of birth"[:]]
    Gender *:
    Citizenship *:
    Tel. No. (with country code)*: [text personal_tel_no class:input size:65 maxlength:15 placeholder [:en]"Tel. no. (with country code)"[:]]
    E-mail address *: [email* personal_email class:input maxlength:100 size:65 placeholder [:en]"E-mail"[:]]
    Profile photo (max size 2 MB):
    Preferences to the study program:
    Accounting - Select language: English Russian
    International Business - Language: English
    Business Management - Select language: English Russian
    General Practice Nursing - Language: English
    Dental Hygiene - Language: English
    Beauty Therapy - Language: English
    Physiotherapy - Language: English
    Emergency Medical Care - Language: English
    Social Work - Language: Russian
    Construction - Language: Russian
    Electromechanics - Language: English
    Development and Maintenance of Information Systems - Language: English
    Computer Network Administration - Language: English
    Permanent address:
    Address *: [text* permanent_address class:input maxlength:100 size:65 placeholder [:en]"Address"[:]]
    Postal code *: [text* permanent_address_postal_code class:input maxlength:10 size:65 placeholder [:en]"Postal code"[:]]
    City *: [text* permanent_address_city class:input maxlength:100 size:65 placeholder [:en]"City"[:]]
    Country *:
    Address valid till *:
    Temporary address (if different from the permanent address):
    Address: [text temporary_address class:input maxlength:100 size:65 placeholder [:en]"Address"[:]]
    Postal code: [text temporary_address_postal_code class:input maxlength:10 size:65 placeholder [:en]"Postal code"[:]]
    City: [text temporary_address_city class:input maxlength:100 size:65 placeholder [:en]"City"[:]]
    Country:
    Address valid till:
    Person to be contacted in case of emergency:
    Name *: [text* emergency_person_name class:input maxlength:100 size:65 placeholder [:en]"Name"[:]]
    Surname *: [text* emergency_person_surname class:input maxlength:100 size:65 placeholder [:en]"Surname"[:]]
    Address *: [text* emergency_person_address class:input maxlength:100 size:65 placeholder [:en]"Address"[:]]
    Postal code *: [text* emergency_person_postal_code class:input maxlength:10 size:65 placeholder [:en]"Postal code"[:]]
    City *: [text* emergency_person_city class:input maxlength:100 size:65 placeholder [:en]"City"[:]]
    Country *:
    Tel. No. (with country code) *: [text* emergency_person_tel_no class:input maxlength:15 size:65 placeholder [:en]"Tel. No. (with country code)"[:]]
    E-mail *: [email* emergency_person_email class:input maxlength:100 size:65 placeholder [:en]"E-mail"[:]]
    Educational background:
    Educational degree (higher, high school/secondary)
    Educational degree acquired *: [text* educational_degree_acquired class:input maxlength:100 size:65 placeholder [:en]"Educational degree acquired"[:]]
    Beginning of the studies *:
    End of the studies *:
    Type of school *: [text* type_of_school class:input maxlength:100 size:65 placeholder [:en]"Type of school"[:]]
    Passport information:
    Passport number (or ID card number for EU citizens) *: [text* passport_or_id_number class:input maxlength:80 size:65 placeholder [:en]"Passport or ID number"[:]]
    Date of issue *:
    Valid until *:
    Place of issue *: [text* place_of_issue class:input maxlength:80 size:65 placeholder [:en]"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):
    Notarized copies of the educational document (s) (certificate, diploma) and its annex (es) indicating at least secondary education. If the documents are issued in a language other than English / Russian, a notarized translation (s) of the educational document (s) (certificate, diploma) and its appendix (es) into Lithuanian / English / Russian must be submitted. *
    Recognition document of foreign qualifications issued by the Lithuanian Centre for Quality Assessment in Higher Education (Lietuvos studijų kokybės vertinimo centras – SKVC) http://www.skvc.lt/default/en/60/apply/documentation_requirements. *
    Notarised copy of the passport (for non EU citizens) or ID card (only for EU and EEA citizens). *
    The recent passport size photo (3x4 cm). *
    Copy of the proof of payment of the application fee (non-refundable – 60 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 Panevėžys University of Applied Sciences and I agree with the procedure of documentation handling defined in the admission procedure. *
    * [:en]Marked fields must be filled.
    [:]

    Galimi darbdaviai: