Panko.lt
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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: EnglishRussian

    International Business - Language: English

    Business Management - Select language: EnglishRussian

    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: