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Pre-application form – Independent study abroad students
This form is only required for students who would like to study abroad on an independent basis without being nominated by a partner university.
Independent non-degree students can only apply / study at the following faculties:
Faculty of Economics and Business
Faculty of Law
This form is not meant for Erasmus plus and Global exchange.
Refer to the
admission and application website
for details of the application procedures for all programmes and students.
Personal details
*First names
*Preferred first name
Prefix
'a
'd
'i
'l
's
't
A
Al
BEI DER
Ben
Bin
D'
Da
E
El
Gulenc
In der
L'
Leigh
Lo
O
Ribeiro
Van Den
a
a'
aan
aan 't
aan de
aan den
aan der
aan het
aan't
af
ait
al
am
am de
au
auf
auf dem
auf den
auf der
auf ter
aus
aus 'm
aus dem
aus den
aus der
aus m
aus m'
aus'm
ben
bij
bij 't
bij de
bij den
bij der
bij het
bij t
bij t'
bij't
bijgenaamd
bin
boven d
boven d'
by
by 't
by de
by den
by der
by het
by t
by t'
by't
d
d'
da
dal
dal'
dalla
das
de
de 'l
de faria
de l
de l'
de la
de las
de le
de los
de'l
deca
degli
dei
del
del'
della
den
der
des
di
die le
do
don
dos
du
el
el'
genaamd
het
i
i'
im
in
in 't
in de
in den
in der
in het
in t
in t'
in't
l
l'
la
las
le
les
lo
los
mac
mc
of
onder
onder 't
onder de
onder den
onder het
onder t
onder t'
onder't
op
op 't
op de
op den
op der
op gen
op het
op t
op t'
op ten
op't
oude
over
over 't
over de
over den
over het
over t
over t'
over't
s
s'
t
t'
te
ten
ter
thi
tho
thoe
thor
to
toe
tot
uijt
uijt 't
uijt de
uijt den
uijt der
uijt ten
uit
uit 't
uit de
uit den
uit der
uit het
uit t
uit t'
uit ten
uit't
unter
uyt
uyt de
uyt den
uyt der
uyt ten
van
van 't
van de
van de 'l
van de l'
van den
van der
van gen
van het
van t'
van ter
van't
ver
vom
von
von 't
von dem
von den
von der
von t'
von't
voor
voor 't
voor de
voor den
voor het
voor in 't
voor in t'
voor in't
vor
vor der
zu
zum
zur
Select the prefix of the surname (optional)
*Surname
*Gender
Female
Male
Unknown
Select gender
*Date of birth
*Nationality
Afghan
Albanian
Algerian
American
American citizen
Andorran
Angolan
Antiguan
Argentine
Armenian
Australian
Austrian
Azerbaijanian
Bahamian
Bahrainian
Bangladeshian
Barbadian
Basotho
Batswana
Belarusian
Belgian
Belizian
Beninese
Bhutanese
Bolivian
Bosnian
Brazilian
British
British Overseas Citizen
British citizen
British independent area
British oversees citizen
Bruneian
Bulgarian
Burkinabe
Burmese
Burundian
Cambodian
Cameroonian
Canadian
Cape Verdean
Central African
Chadian
Chilean
Chinese
Citizen of Kosovo
Citizen of Montenegro
Citizen of Serbia
Citizen of Timor Leste
Citizen of Trinidad and Tobago
Colombian
Comoran
Congolese (DRC)
Congolese (Republic of Congo)
Costa Rican
Croatian
Cuban
Cypriot
Czech
Czechoslovakian
Danish
Djiboutian
Dominican (Dominica)
Dominican (Dominican Republic)
Dutch
East German
Ecuadorian
Egyptian
Emiri
Equatorial Guinean
Eritrean
Estonian
Eswatinische
Ethiopean
Fijian
Filipino
Finnish
French
Gabonese
Gambian
Georgian
German
Ghanaian
Greek
Grenadian
Guatemalan
Guinea-Bissauan
Guinean
Guyanese
Haitian
Honduran
Hungarian
I -Kiribati
Icelandic
Indian
Indonesian
Iranian
Iraqi
Irish
Israeli
Italian
Ivorian
Jamaican
Japanese
Jordan
Kazakstani
Kenyan
Kittsian, Nevisian
Korean (North)
Korean (South)
Kuwaiti
Kyrgyz
Laotian
Latvian
Lebanese
Liberian
Libyan
Liechtensteiner
Lithuanian
Luxembourger
Malagasy
Malawian
Malaysian
Maldivian
Malian
Maltese
Marshallese
Mauritanian
Mauritian
Mexican
Micronesische
Moldovan
Monegasque
Mongolian
Moroccan
Mozambican
Myanmarese
Namibian
Nauruan
Nepalese
New Zealander
Ni-Vanuatu
Nicaraguan
Nigerian
Nigerien
Niuean
Norwegian
Omani
Pakistani
Palause
Panamanian
Paraguayan
Peruvian
Polish
Portuguese
Qatari
Republic of North Macedonia
Romanian
Russian
Rwandan
Salvadoran
Sammarinese
Samoa
Samoan
Sao Tomean
Saudi Arabian
Senegalese
Serbian
Seychellois
Sierra Leonean
Singaporean
Slovak
Slovenian
Solomon Islander
Somalian
South African
South Sudanese
South Yemenite
Soviet
Spanish
Spec derived Dutch citizenship
Sri Lankan
St. Lucian
St. Vincentian
Stateless
Sudanese
Surinamese
Swedish
Swiss
Syrian
Taiwanese
Tajik
Tanzanian
Thai
Togolese
Tongan
Treated as a Dutch
Tunisian
Turkish
Turkmen
Tuvaluan
Ugandan
Ukrainian
Unknown
Unknown nationality
Uruguayan
Uzbek
Vatican
Venezuelan
Vietnamese
Yemeni
Yemenite
Yugoslavian
Zairian
Zambian
Zimbabwean
Select nationality
*Email address
Current education
*Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Ascension Island
Australia
Australian Solomon Islands
Austria
Azerbaijan
Azores
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire
Bosnia and Herzegovina
Botswana
Brazil
British Antarctic Territory
British Antilles
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burma
Burundi
Caicos Islands
Cambodia
Cameroon
Canada
Canary Islands
Cape Verde
Cayman Islands
Central African Republic
Chad
Channel Islands
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo, Republic of the
Congo, The Democratic Republic
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Federal Republic of Yugoslavia
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic Of)
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Johnston Island
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Rep
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Madagascar
Madeira
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States
Midway
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
NOT KNOWN IN ISO
Namibia
Nauru
Nepal
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
North Macedonia
Northern Mariana Islands
Norway
Oman
Pacific Islands
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saba
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Samoa
San Marino
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Eustatius
Slovak Republic
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
South Sudan
Spain
Sri Lanka
St Vincent and the Grenadines
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
São Tomé and Príncipe
Taiwan
Tajikistan
Tanzania
Thailand
The Netherlands
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wake Island
Wallis and Futuna
Western Sahara
Windward Islands
Yemen
Zambia
Zimbabwe
Select the country in which you are currently studying
*Name institution
Institution not in list? Tick this box then type institution name in field above
Yes
No
Select the institution at which you are currently studying
*Current programme level
Bachelor
Master
Select bachelor or master
Field of study
Proposed Mobility period
*Academic program level
Bachelor
Master
Select bachelor or master
*Proposed faculty
Select faculty from list
*Academic year
Academic year 2024 - 2025
Select academic year
*Start semester
Fall (September)
Spring (February)
Select fall or spring
Select 1 or 2 semester(s)
*Activity
Courses
Courses and Project
Project
Select activity
Remarks
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