1. GRANT PERIOD. If you apply for only one semester, only fill information under “start”. If you apply for different courses/programmes which starts/ends at different times, please give additional information under paragraph 7.. 2. INTENDED STUDIES. Pleas

1. GRANT PERIOD

If you apply for only one semester, only fill information under “start”. If you apply for different courses/programmes which starts/ends at different times, please give additional information under paragraph 7.

Start Year: Autumn Spring Summer

End Year: Autumn Spring Summer

2. INTENDED STUDIES

Please see the attached information concerning available courses. Further information can be found at the institutions’ websites.

If more than one, list your intended courses in order of priority.

Course unit title	Course code	Number of ECTS/credits	Institution/Faculty/Department

3. PERSONAL DATA

Date of birth (yyyy/mm/dd):

Sex:

Family name:

First/given name:

Previous names (If any of your diplomas and transcripts are issued with your previous name, the change to your present name must be documented with a certified copy of marriage certificate or similar):

Citizenship:

PERMANENT ADDRESS

Street address or P. O. box:
Postal/zip code:	City:
State/province:
Country:
E-mail:
Telephone (with country code):	Fax (with country code):

ADDRESS FOR REPLY

Street address or P. O. box:
Postal/zip code:	City:
State/province:
Country:
E-mail:
Until date(yyyy/mm/dd):
Telephone (with country code):	Fax (with country code):

4. EDUCATIONAL BACKGROUND

PRE-UNIVERSITY EDUCATION (SECONDARY/HIGH SCHOOL)

Studies	Institution	From (m/y)	To (m/y)

UNIVERSITY EDUCATION

Degree/studies	Institution	From (m/y)	To (m/y)

5. ENGLISH PROFICIENCY/ENGLISH TEST

Details concerning English proficiency, see attached information and http: //www. nokut. no/Documents/NOKUT/Artikkelbibliotek/Utenlandsk_utdanning/GSUlista/Language_requirements_GSU. pdf

Name of test	Date	Score

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