Incoming Student INCOMING STUDENT FORM Photo*Accepted file types: jpg, jpeg, png, gif.Name* First Last Sending Institution* PERSONAL INFORMATIONE-Mail* Gender Mother’s Name* First Last Father’s Name* First Last Permanent Address* Home Phone**City and Country Codes and NumberMobile Phone***City and Country Codes and NumberPlace of Birth* Date of Birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Nationality* Passport No* Place of Issue* Date of Issue* DD slash MM slash YYYY Date of Expiry* DD slash MM slash YYYY SENDING INSTITUTION INFORMATIONSending Institution* Full Adress* City and Country* Phone Number* **City and Country Codes and NumberCredit System* **ECTS / Local CreditFaculty / Graduate School* Department* Year of Study / Semester* *1/1, 1/2, 2/3, 2/4 etc.Department Coordinator Department Coordinator Phone Number **City and Country Codes and NumberDepartment Coordinator E-Mail Institutional Coordinator* Institutional Coordinator Phone Number* **City and Country Codes and NumberInstitutional Coordinator E-Mail* YAŞAR UNIVERSITYDiploma Degree which you are applying at Yaşar University* **Bechalor / Master / PhdFaculty / Graduate School which you are applying at Yasar University Department which you are applying at Yasar University* **Erasmus students will be enrolled to the department which is they chosen courses mostly from. Study Period* **Fall / Sping/ Full yearExpected Date of Arrival*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920**Please check the academic calendar to get information about arrival date.LANGUAGE PROFICIENCYMother Tongue* Language of Education at Home University* I am still learning* Yes No I am good enough to follow the courses in this language* Yes No If I have some additional language support, I can follow the courses in this language* Yes No Please briefly state why you would like to wish to study at Yasar University and participate to Erasmus Programme (Maximum up to 10 line)*Attachements* Drop files here or Select files Accepted file types: pdf, jpg, jpeg, Max. file size: 8 MB. Yaşar University Learning Agreement, Transcript of Records, Copy of Passport, Biometric size photo.I Certify That Information Presented in This Application Form is Correct and I Apply to Study at Yasar University as Erasmus StudentStudent's Name and Surname* Date*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Student's Signature: I Certify That The Above Indicate Student Has Been Selected by Our University as Erasmus Exchange Student. The Information In This Application Form is Correct.Coordinator's Name and Surname* Date*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Coor. Signature Stamp of the Institution: Consent* I agree to the privacy policy.As required by the provisions stated herein this agreement, Organization/Person accepts and undertakes that, the personal data stored/processed within/outside University in all electronic/printed etc. spaces, s/he will act in accordance with the provisions of “Right to Privacy” and “Protection of Personal Data” stated in Article 20 of the Constitution and the provisions of the Law No. 6698 on Protection of Personal Data; use this system to search for information about the relevant individuals for the purpose of fulfilling necessary services defined internally within the institution and essentially for his/her own work and procedures; not use this information for any other purposes; prevent illegal processing of the information; take necessary measures to ensure the appropriate level of security for the purpose of preventing illegal access to the information and for its protection; be in charge of taking the above-mentioned measures jointly with the sub-user in cases where the information obtained is processed by a sub-user; and be subject to legal and administrative sanctions in cases where the data is used in breach of the stated rules.