ATILIM UNIVERSITY OUTGOING EXCHANGE STUDENTS APPLICATION FORM

PERSONAL INFORMATION
NAME*
SURNAME*
DATE OF BIRTH*
DATE OF PLACE*
CITIZENSHIP*
T.C. CITIZENSHIP ID NO*
EDUCATION
ATILIM STUDENT NUMBER*
CURRENT YEAR OF STUDY*
DEPARTMENT*
(Please circle only one)
CGPA*
LANGUAGE ABILITY*
CONTACT INFORMATION
E-MAIL*
ANKARA ADDRESS*
ANKARA TELEPHONE*
MOBILE PHONE*
PERMANENT ADDRESS (if different than above)
PERMANENT TEL
FATHER'S NAME*
MOTHER'S NAME*
FATHER’S MOBILE/WORK PHONE*
MOTHER’S MOBILE/WORK PHONE*
PERSON TO BE CONTACTED IN CASE OF EMERGENCY
Address
Affinity
Tel
E-mail
UNIVERSITY PREFERENCES
List of University Preferences 1-*
List of University Preferences 2-*
Applying for*
DOCUMENTS ATTACHED
TRANSCRIPT (Unofficial Grade Summary from the website of Student Affairs is acceptable)
LANGUAGE PROFICIENCY TEST SCORE