Application for the JLU Virtual International

Programme (VIP) 21/22

Bewerbungsnummer VIP21406

PERSONAL INFORMATION

Identity

Family name Guevara Urbina

First name Luis Daniel

Gender Male

Date of birth 26.01.1997

Country of birth Peru

Place of birth (as listed in your passport) Perú

Nationality Peru

Nationality 2

ADDRESS

Contact data

Country Peru

C/o

Street Mz. N1 Lote 3,Los Nogales,VMT

Street 2

Postcode 15811

City Lima

Phone number +51939366210

Email luis.guevara9@unmsm.edu.pe

Is the address above your home address? Yes

STUDIES AND COURSES

Current studies

Country Peru

Institution Universidad Nacional Mayor de San Marcos

Home Faculty/Department Faculty of Physical Sciences

Degree/Qualification pursued at home institution (e.g.: MSc Bsc. in Physics

in Biology)

Study level Undergraduate / Bachelor

 Study area 0533 - Physics

Number of higher education study years prior to study

abroad

Have you already participated in the Virtual International No

Programme before?
Courses(1)

course selection Details

Name 0701 General Skills: Science and Scientific
Communication
Code 0701
Language Englisch

Courses(2)

course selection Details

Name 0706 Advanced Quantum Mechanics
Code 0706
Language Englisch

German Beginners Course

German Course Details

Name DAF 01 DaF Schnupperkurs
Code DAF01
Language Deutsch

LANGUAGE SKILLS

Mother tongue Spanish

Mother tongue 2

Language 1

Language 1 English

I am currently studying this language Yes

I have sufficient knowledge to follow lectures Yes

Language level B1 - Independent / Selbstständig

Did you take a language test? No

Language 2

Language 2 German

I am currently studying this language No

I have sufficient knowledge to follow lectures No

Language level X - No knowledge / Keine Kenntnisse

Did you take a language test? No

Did you choose courses in another language? No

FURTHER INFORMATION

Special needs
 Do you have any special needs you would like or need to No
communicate to us prior to your semester abroad?

RELEVANT DOCUMENTS FROM YOUR HOME INSTITUTION TO BE UPLOADED

Academic transcript of records file_6125bdb9c0273-academic_record.pdf

Certificate of matriculation file_6125b2fd8f880-reportealumnomatricula_1.pdf

German language certificate

DECLARATION OF CONSENT

I certify that the information given in this application and Yes

the documents provided are correct and complete to the
best of my knowledge and belief. I understand that any
discrepancies in these details may result in my enrolment
being cancelled.

I agree that my name and email address can be forwarded Yes

to students for the purposes of promoting the exchange
program.

I am aware that by participating in the Virtual International Yes

Programme I am not gaining a degree from the Justus-
Liebig-University in Giessen and I am not authorized to
apply for a visa.

I hereby confirm that I will comply with the laws of my host Yes
country and with the rules and regulations of the hosting
institution.

SUBMIT APPLICATION

I confirm that I have read the instructions above and will act Yes
accordingly.