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1. Registration (this form): AGEP Online Course Programme
AGEP-online learning course name
first lecture day
last lecture day
2. Registration (additional bureaucracy): Inscription at host university requiered ? (yes/no)
Yes/No
deadline for inscription at host university
Applicant
First Name
Last Name
Email Address
Gender (F/M)
Nationality
current semester
country of current residence/whereabout (Germany/other)
Home University of applicant
University
Name your programme
Name Programme Coordinator
Email Programme Coordinator
Email notification to your programme coordinator has been send ? (yes/no)
Home University of applicant
University
Name your programme
Name Programme Coordinator
Email Programme Coordinator
Email notification to your programme coordinator has been send ? (yes/no)
Your motivation for this course :
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