Application for a student exchange
All fields marked with (*) must be completed.
Application details
Type of application
 *
Type of person
 *
Exchange program
Personal details
Last name *
First name *
Maiden name
Place of birth *
Birth nationality *
Date of birth *
Nationality *
Mother tongue *
Kommunikationssprache im Bewerbunsgprozess *
Gender
 *

e-mail address *
To this e -mail address you will get any information about the scholarship program . Please reserve enough space and let us know when you have no longer access to the specified e- mail address.
Same e-mail address for verification *
Person to contact in case of emergency
Last name
First name
e-mail address
Telephone number
Studies at the home university
Country of the home institution *
Name of home institution *
Study field
Aspired study degree *
Teaching language *

Last name of the Institutional Coordinator *
First name of the Institutional Coordinator *
e-mail address (Institutional Coordinator) *

Last name of the Departmental Coordinator *
First name of the Departmental Coordinator *
e-mail address (Departmental Coordinator) *
Planned studies at the Ilmenau University of Technology
Country of host institution *
Consortium
Host institution
Faculty
Study field *
Departmental contact person *
Semester dates
Academic year *
Start semester *
Duration (number of semester)
 *
Language competence
Language competence German
 *
Language competence English
 *
Are you interested in a preparatory language course at the TU Ilmenau?
Declaration of consent
I hereby confirm that I agree with the universal declaration and the privacy policy  *
All information provided by me is complete and true.
I am aware that false information in the application documents or falsifications of the documents may lead to the cancellation of the invitation for the part-time study.
Click HERE, to download the Privacy Statement.
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