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    Accomodation Form

    Uploaded by

    Nika Jeromel
    This document is a request for accommodation form for exchange students attending the Medical University of Gdańsk. It requests basic information such as name, date of birth, field of study, contact details, and emergency contact. The student can apply for a double room in the dormitory in Gdańsk for either one or both semesters. The completed form should be emailed to Beata Trzebniak, who handles dormitories and housing matters, and the address of the dormitories is included.

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    Accomodation Form

    Uploaded by

    Nika Jeromel
    29 views1 page
    This document is a request for accommodation form for exchange students attending the Medical University of Gdańsk. It requests basic information such as name, date of birth, field of study, contact details, and emergency contact. The student can apply for a double room in the dormitory in Gdańsk for either one or both semesters. The completed form should be emailed to Beata Trzebniak, who handles dormitories and housing matters, and the address of the dormitories is included.

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    This document is a request for accommodation form for exchange students attending the Medical University of Gdańsk. It requests basic information such as name, date of birth, field of study, contact details, and emergency contact. The student can apply for a double room in the dormitory in Gdańsk for either one or both semesters. The completed form should be emailed to Beata Trzebniak, who handles dormitories and housing matters, and the address of the dormitories is included.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    29 views1 page

    Accomodation Form

    Uploaded by

    Nika Jeromel
    This document is a request for accommodation form for exchange students attending the Medical University of Gdańsk. It requests basic information such as name, date of birth, field of study, contact details, and emergency contact. The student can apply for a double room in the dormitory in Gdańsk for either one or both semesters. The completed form should be emailed to Beata Trzebniak, who handles dormitories and housing matters, and the address of the dormitories is included.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    of 1

    MEDICAL UNIVERSITY OF GDAŃSK

    REQUEST FOR ACCOMMODATION


    OF EXCHANGE STUDENTS
    Academic year ............../................
    Surname ……………….…………………………………...................................................................………….
    First name(s) …………………………………………………………….....................................................................
    Sex MALE FEMALE
    Date of birth ........................................................................................................................................................
    Field of study …………………………………………………………….....................................................................
    Permanent address …………………………………………………………….....................................................................
    Country: …………………………………………………………….....................................................................
    Phone …………………………………………………………….....................................................................
    E-mail …………………………………………………………….....................................................................
    Person to be contacted in case of emergency: ............................................................................................................................
    Address: ..................................................................................... Phone: ........................................ E-
    mail: ................................

    I wish to apply for a place in a room (double room) in Dormitory in Gdańsk

    Period: from …………./…………./………..


    until …………/…………./………...

    1st Semester 2nd Semester All Academic year

    Place, date, Signature student,


    ………………..,…..……/……..…../…..…… …………….......……………................

    DORMITORIES AND HOUSING MATTERS: Beata Trzebniak, e-mail: beata.trzebniak@gumed.edu.pl

    PLEASE SEND THIS APPLICATION BY E-MAIL TO: beata.trzebniak@gumed.edu.pl

    ADRESS OF DORMITORIES:

    Dormitory No. 2, Debowa str. 11, 80-204 Gdansk, Poland

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