Application

In which course would you like to carry out your mobility? / In which course would you like to carry out your mobility?*

Select a preferred location / Select a preferred location*
NaplesMilanIndifferent/Both

Personal Information / Personal Information

Last name/Last name*

Name/First name*

Gender/Sex*
Male/MaleFemale/FemaleOther/Other

Date of birth / Date of birth*

Place of birth (Country) / Place of birth (Country)*

Place of birth (City) / Place of birth (City)*

Nationality / Nationality*

Address / Address*

Zip code / Postcode*

Passport and/or Identity Card / Passport and/or Identity Card*

Telephone number / Telephone number*

Email / Email*

Do you have a physical or sensory disability that may affect your studies or for which you may require additional support and assistance?/ Do you have a physical or sensory disability that may affect your studies or for which you may require additional support and assistance?*

Contact person in case of emergency / In case of emergency contact

Last name/Last name*

Name/First name*

Lineage/Relationship*
Mother/MotherFather/FatherOther/Other

Specify*

Phone number / Telephone number*

Email / Email*

Home institution / Home institution

Name of the home institution / Name of the home institution*

Home course of study / Course of study at the home institution*

Home institution's contact person (eg. International Office, Educational Office) / Home institution's contact person (eg. International Office, Educational Office)*

Mobility / Mobility

Academic Year of the mobility / Academic Year of the mobility*.

Semester / Semester*

Level of English / Level of English*

English Certificate*

Level of Italian / Level of Italian*

Historical Certificate with examinations taken / Transcript of Records*.

Portfolio and/or Curriculum / Portfolio and/or Curriculum*

Motivational Letter / Motivational Letter*

I have read the regulations /I have read the regulations*.