Application
Personal data
Name
Last name
Mother's name
Father's name
Date of birth
Day:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
month:
January
February
March
April
May
June
July
August
September
October
November
December
Year: YYYY
Place of birth including country
Citizenship
Polish ID (PESEL) (Polish citizens only)
Personal ID number or passport number
Polish tax ID (NIP)
High school:
Name
Place
Graduation year (YYYY)
Place of living
Street
Area
Rd
Place
House number:
Flat number:
Postal code:
City:
Email:
Mailing address
- if other than above
Street
Area
Rd
Place
House number:
Flat number:
Postal code:
City:
Telephone
Phone number including country and area code
Mode of studies choice:
days only
weekends only
Above statement is true and best to my knowledge. I agree to processing my data in accordance with Law # 135-833 from Aug 29.97.
Survey:
1. How did you find out about our college:
college internet site
other sites (i.e. Google)
educational fair
press
friends
college visit
billboard/banner
ads
other:
Downolad program info
.