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Apply for the !

To apply, simply fill out the form you find below completely and submit it. After you have sent the form, you will get a confirmation e-mail.

Fields marked with a * are obligatory!

First Name: *
Surname: *
Local: *
When did you join AEGEE: *
Studies: *
End of study (year only): *
Date of birth: *
Gender: * male female
Street: *
Zip / Postalcode: *
City: *
Country: *
Phone number: *
Mobile number:
Fax number:
E-mail address: *
Visum required: * no yes
Passport number:
Nationality:
Place of birth:
Arrival date: *
Arrival time:(hh:mm) *
Departure date:
Departure time:(hh:mm)
Way of travel:

Your experience and motivation

I agree that the above data are electronically stored and processed for internal AEGEE purposes.