Family Name*:
First Name (s)*:
Sex*:
Date of Birth*:
Place of Birth*:
Nationality*:
Number of ID/passport*:
Street and No.*:
Postal Code and City*:
Country*:
Street and No.:
Postal Code and City:
Country:
Telepfone No./ Fax No.*:
Candidate's e-mail*:
Parent's names and address to contact in case of emergency*:
Field of study you would like to apply*:
Main achievements*:
Motivation*:
Level of English*:
English certificates if any:
(pdf, zip, rar, tar or 7z) max size 10MB*:
www.wsb.edu.pl
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The University of Dąbrowa Górnicza
ul. Cieplaka 1C, 41-300 Dąbrowa Górnicza
+48 32 295 93 16; +48 32 262-28-05
E-mail: dczerniak@wsb.edu.pl; kdiuryk@wsb.edu.pl; purgacz@wsb.edu.pl
Skype: WSBInternational
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