<p> REGION EUROPE The Construction of the European Region and Its Role in the World 2016 Edition</p><p>Application form</p><p>Personal data </p><p>First Name: </p><p>Middle Name: </p><p>Surname:</p><p>Gender:</p><p>Date of birth: </p><p>Place of birth:</p><p>Country: </p><p>Citizenship:</p><p>Passport details: Passport Number:</p><p>Issuing Authority:</p><p>Date of Issue:</p><p>Expiring Date:</p><p>Permanent Address:</p><p>Zip:</p><p>Phone:</p><p>Email: University education</p><p>I have completed my university education: YES NO</p><p>I am currently a postgraduate student: YES NO </p><p>I am currently an undergraduate student: YES NO</p><p>I am a UniTo Student: YES NO</p><p>Undergraduate or postgraduate course: </p><p>I am an Erasmus Student: YES NO</p><p>Partner University: </p><p>I am enrolled in a Bi-national degree course: YES NO</p><p>Partner University: </p><p>I am in Turin thank to other Student exchange programs: </p><p>Partner University: </p><p>Languages</p><p>Mother tongue:</p><p>Other (please specify fluent/good/fair/basic): </p><p>Visit to the European Parliament and NATO (3 days)</p><p>I am interested in the visit to the European Parliament and NATO in Brussels*: </p><p>YES NO</p><p>(*) Approximate costs: flight 70-120 Euros; shuttle Turin-Airport-Turin: 30-44 Euros; Br. Airport- Brussels-Br. Airport 12-28 Euros; accomodation in hostel 40-50 Euros. </p>