KA171 Participation Form

I. PERSONAL INFORMATION

HOST UNIVERSITY
TÜRKİYE - Sivas Cumhuriyet University

THE NAME OF YOUR UNIVERSITY (HOME UNIVERSITY)

CALL NAME
September 23, 2024 - Erasmus+ Incoming Student Mobility Call

NAME OF THE APPLICANT (As it is written on your passport)

PASSPORT NUMBER

PARTICIPATION STATUS*
---I will participateI will NOT participate

PHONE NUMBER* (Including the country code)

THE E-MAIL OF THE APPLICANT

MOBILITY DATES

II. DECLARATION*

If I state that I will participate in the mobility, I declare that I will comply with the relevant legislation and rules.

I declare that if I select I will not participate, I will withdraw my rights to realise the Erasmus+ Staff Mobility for which I am entitled.

I accept and declare that the result of the placement announced in accordance with the specified issues is not binding on the SCU Erasmus+ Institution Coordinatorship, and my ability to benefit from the mobility depends on the budget of the SCU Erasmus+ Coordinatorship.

I approve the processing of my data within the scope of the Personal Data Protection Law No. 6698 as specified in the Explicit Consent Text.

SIGNATURE

Security Verification