Application Form

Name and Surname – as in the passport’s information: *

Email address: *

Studies: *

First cycle

Second cycle

Registration number (no.) in the IRK/ SIR Online Registration System: *

Course name/title (selected course): *

Place of origin (country and place of birth): *

In what kind of additional activities were you engaged while attending to school in your community? *

Accomplishments / Achievements: *

Showcase your achievements (upload a confirmation in the form of a diploma/certificate) (scan no. 1):

Select a file

Showcase your achievements (upload a confirmation in the form of a diploma/certificate) (scan no. 2):

Select a file

Showcase your achievements (upload a confirmation in the form of diploma/certificate) (scan no. 3):

Select a file

What kind of your character traits you regard as the most important:

How do you assess your Polish language proficiency (e.g. intermediate /B1; upper intermediate /B2; advanced /C1; proficiency level /C2)? *

Are you fluent in any other languages? (add information on your proficiency level) *

How do you think you could contribute in development of our University or development of the city of Lublin? *

I hereby give my consent for the Maria Curie-Skłodowska University in Lublin with a legal seat in Lublin, pl. M. Curie-Skłodowskiej 5, postcode: 20-031, to process my personal data included in the form for the purpose of my participation in the Application Form.*

I acknowledge that my consent is valid presently and in the future provided there is no change to the purpose of it being processed.*

I acknowledge that by taking part in the Application Form I agree to its regulations and to the processing of my personal data required for my participation. I am also aware that providing false information may cause my immediate disqualification from the competition.*

I acknowledge that providing data via the form and submitting it is voluntary, yet necessary to fulfill the purpose of it being processed. Not providing the data results in the inability to sending the Application Form. I am aware of my rights stemming from the provisions of law, including the right to withdraw my consent, and I am also aware that such withdrawal shall not affect the legality of actions which will have been taken before the consent is withdrawn. I have also been informed about the rules and means of processing data and other issues connected with processing my data under the notification duty.*

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