Last Name Name

Date of Birth

Sex: MF

Address Country

City Country Code

Native Language Phone

Email

Home Institution: Major

SELECT THE PROGRAM:

Summer Term Program 1
Summer Term Program 2
Semester Program Fall
Semester Program Spring
Year Program
Faculty Led Program
Content Course COD.
Internship
Civic Engagement
Online Courses

Starting date to

Number of weeks (1-48)
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ACCOMMODATION:

In shared apartment in singleroom
In shared apartment in doubleroom *
In Executive shared apartment in singleroom
In Executive shared apartment in doubleroom *
In Host Family with breakfast – singleroom
In Host Family with breakfast – doubleroom
In Host Family with half board– singleroom
In Host Family with half board– doubleroom
Hotel

With: * For 2 people travelling together

Arrival Departure

TRANSFER

From Naples Airport to Salerno
From Naples Station to Salerno

DATE SIGNATURE

Pursuant to Art. 13 of the EU Regulation 2016/679 - Information released pursuant to Articles 13-14 of the GDPR 2016/679​ ​(General Data Protection Regulation), in relation to the information that we will acquire, in order to protect private parties and other subjects in the processing of personal data, I, the undersigned, in the light of the received information:

GDPR (*)
Give my consentDO NOT give my consent to the processing of my personal data. The non-acceptance involve the impossibility of enrolling