Application for students coming exchange Bewerbungsnummer Wi7-897 PERSONAL INFORMATION Identity ‘Surname (as stated in your passport) De Zolt First name as stated in your passport Cristiana Gender Female Date of birth 20/05/1997 Country of birth Italy Will you need a visa for your stay in Germany? Yes, Place of birth (as stated in your passport) Nationality Nationality 2 Have you ever been enrolled at LMU Munich before? If yes, please enter your matriculation number: Current address Pieve di Cadore wealy Please note that your Letter of Acceptance and all further correspondance will be sent to this address. Country taly clo Street Via Vitoria Postcode 32045, chy Santo Stefano Di Codore ‘Address valid unt: 20/05/1997 Phone number 3460584005 cristiana.dezolt@gmail.com Is the above address your home address? Yes Identity document Type Identity card Document number AY0079840 Issued by Santo Stefano Di Cadore Issued on 03/08/2017 Expiring on 20/05/2028Photo Wdentity photo EMERGENCY CONTACTS Contact(1) Surname First name Relationship Email Phone number file_5a2496be9876e- 112249678_1009822199055019_9703740989334451967_n_(1)ip9 Sacco Sonador Angela Mother saccosonadorangelaGliber.it 3472992541 EDUCATIONAL BACKGROUND AND REQUESTED STAY Previous and current studies Home Faculty/School)Department Degree/Qualification pursued at home institution {e.g.t MSc in Biology) Major subject at home university Level Number of years In post-secondary education (Li college/university) prior to study abroad In which country were you first enrolled at university? In which semester and year were you first enrolled at university? Home Institution and exchange program Please indicate your home country and institution. Country Institution Framework Stay opportunity se select in which faculty you wish to study Please select which subject area you wish to study Level Usine Languages and Literatures Undergraduate / Bachelor 5 tala First semester 2016/2017 Italy Universita degli studi Usine ERASMUS-Studium Erasmus - Universita degli Studi! Udine - 13/14 Germanistk (Deutsche Phiologie) 13714 Fakultat fr Sprach- und Literatunissenschaften German Philology Undergraduate / BachelorStart semester summer Term 2018 Duration In semesters 3 Planned day of arrival oo3rois o1oaroia LANGUAGE SKILLS "plan to take courses taught In German yes | plan to take courses taught In English no German German is my mother tongue or the language of yes Instruction at my home university Is German "have sufficient language skills to follow lectures Yes Language level 61 Please upload an official language certificate or _ file_$a396fca4dc03-pdt_lenguage_sills.pdf the language skills confirmation form signed by the exchange coordinator at your home university English English is my mother tongue or the language of Instruction at my home university is English | have sufficient language skills to follow lectures Language level Please upload an official language certificate or the language skills confirmation form signed by the exchange coordinator at your home university FURTHER INFORMATION ‘Are you 30 years of age or over when you no ‘commence your studies at LMU? ‘Accommodation LMU does not have on-campus accommodation. The Studentenwerk Minchen provides LMU with a limited numberof places in student residences for exchange students. Your student housing application will, however, only be considered if it arrives before or by the application deadline. Please find more detailed information about accommodation on out website, Do you want to apply for a room ina student NO (nicht suchend) residence of the Munich Studentenwerk? There are fixed renting periods for student housing: Winter semester: from September 1 to the end of February ‘Summer semester: from March 1 to the end of July Only a very limited number of rooms are available starting in October/ April ++ Please note that the rent for the entire month must be payed, regardless when you arrive/ leave the dormitory