Application Form for an Incoming Exchange Semester at the Lucerne School of Business, Academic Year 2018/2019 Semester: Autumn Spring Currently enrolled in: Bachelor Master Major at Home Institution: Proposed Major at the Lucerne School of Business: Sending Institution (details of your home institution) Name of University / Name of Faculty / full postal address: Exchange Programme Coordinator - name, telephone number, e-mail address: Personal data Family name: Tel.: name(s): Mobile: Gender: University Email: Date of birth: Personal Email: Place of birth: Permanent address (if different): Nationalities: Current (i.e. semester-time) address: Passport-sized picture Tel. / Email (if different): − of you: - in a jpg-format - no larger than 1 MB - a minimum of 150px wide and 100px high. Emergency contact Name: Tel. (preferably mobile): Email: Relationship to applicant:
Application Form for an Incoming Exchange Semester at the Lucerne School of Business, Academic Year 2018/2019 Semester: Autumn Spring Currently enrolled in: Bachelor Master Major at Home Institution: Proposed Major at the Lucerne School of Business: Sending Institution (details of your home institution) Name of University / Name of Faculty / full postal address: Exchange Programme Coordinator - name, telephone number, e-mail address: Personal data Passport-sized picture of you: - in a jpg-format - no larger than 1 MB - a minimum of 150px wide and 100px high. Family name: name(s): Gender: Date of birth: Place of birth: Nationalities: Current (i.e. semester-time) address: Tel.: Mobile: University Email: Personal Email: Permanent address (if different): Tel. / Email − (if different): Emergency contact Name: Tel. (preferably mobile): Email: Relationship to applicant: