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Centre for International Academic Programmes

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Academic Exchange
Application Form
A. SENDING UNIVERSITY INFORMATION
Country
Name
Field of Study at Sending University
Field of Study at TPU
Period of Study at TPU
Winter Semester Spring Semester

If you want to arrive for the whole Academic Year, please, choose the semester when your exchange program begins.

B. PERSONAL DATA
First Name
Surname (Family Name)
Photo of the Applicant
Date of birth
Gender
Male Female
Place of birth
(according to your passport)
Nationality
Permanent address
Postcode
City
Country
E-mail
Phone number
Passport №
Passport issued on
Passport valid until
Passport (scanned copy of good quality)
Embassy/Consulate (city and official name of the Embassy/Consulate) you are planning to apply for visa in
Motivation (why did you choose TPU for your studies?)
C. EDUCATION
Diploma/degree you are currently studying for
Bachelor
Master
Other
Number of semesters passed
Transcript of records(scanned copy)
(NB! Must be in English/Russian and certified by Sending University)
D. LANGUAGE SKILLS
Mother tongue
Languages 0 A1 A2 B1 B2 C1
English
Russian
Language of instruction at TPU
Russian English

Please note that if you ticked Russian you will attend courses and take exams with Russian students on equal terms. No individual supervision is provided.

Language Certificate (scanned copy of official Certificate)
(NB! A letter from your English/Russian language teacher stating your level will also suffice. Not required for students from CIS studying in TPU in Russian)
E. STUDY PLAN AT TPU
Please, choose module and then tick courses from pop-down menu. When you switch between modules, courses you have already chosen remain ticked.
Modules
Courses
Do you wish to participate in pre-semester intensive Russian language course? Information about the course is presented here
Yes No
F. ACCOMODATION
Which dormitory you want to be placed in?
Arcadia Ivanova Usova
What room are you interested in?
for 1 person
for 2 persons
no preference
for 2 persons
for 3 persons
no preference
To be shared with
G. Additional information
Additional comments