Euroculture Krakow - Registration

Full Name *

First Name Last Name

Gender *

Female Male

Date of Birth *

Day Month Year

Place of Birth (City, Country) *

Cohort *

Status

Self-financing Erasmus Mundus Scholarship

Semester in Krakow *

Home University *

Host University *

Does not apply for Sem1 students

E-mail *

E-mail (2)

Document *

ID Passport

Document Number *

Father's first name *

Citizenship *

Place of birth *

Country and place

Permanent Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Mailing Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Phone Number (mobile)

Area Code Phone Number

Additional Information | Special Requirements

Photo File

* Photo must have a passport/ID format and a good quality scan. It will be used for your student ID.

Period of Stay

Winter Semester (Sept/Oct - February) Spring Semester (February - June/July) Other (specify below)

Estimated Date of Arrival

Day Month Year

Accommodation

Student Dorm Private Accommodation

Accommodation at the Student Residences
* Fill only if you wish to have a reserved place before your arrival.
** Single (private) rooms are NOT available. All student residences have only shared rooms.

You can find more detailed information about accommodation options in the Practical Info section of our website.

From

Day Month Year

To

Day Month Year

INFORMATION ABOUT PERSONAL DATA PROCESSING for the course of studies

In accordance with Article 13 of the Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data (...) (“General Regulation”) the Jagiellonian University hereby informs that:

The Jagiellonian University in Kraków, ul. Gołębia 24, 31- 007 Kraków is the personal data controller.

Data protection officer has been appointed at the Jagiellonian University: ul. Gołębia 24 room 31, e-mail address: iod@uj.edu.pl, phone: (+48) 12 6 63 1 2 25.

Your personal data will be processed in relation with the documentation of your course of study in accordance with the Law on Higher Education Act of 27 July 2005 and its secondary legislation, for the duration of the programme of study, and subsequently for archiving purposes for the period of 50 years.

The following institutions will be the recipients of your personal data: JU Student and Graduate Foundation “Bratniak”—should you live in student housing, partner universities where you may choose to attend courses (other universities in Poland and abroad, e.g. as part of Eramus+ exchange), Social Insurance Institution, National Health Fund, Ministry of Science and Higher Education (POL-on system), Army Recruiting Command.

Access to your data will be granted to employees and associates authorized by the controller, who have to access your data to fulfill their duties.

You are required to provide your personal data on the basis of the regulations of the Law on Higher Education Act.

You have the right to access the content of your data and to its rectification, as well as to the restriction of its processing.

Your right to data portability is only realized in the situation resulting from Article 165 of the Law on Higher Education Act, i.e. if you wish to transfer from the home university to another university, including a university abroad.

You have the right to lodge a complaint to the President of the Office for Personal Data Protection if you consider that the processing of your personal data infringes the provisions of the General Regulation.

Statement 1 *

I confirm that I have read the above information and accept it.

Statement 2 *

By submiting the registration form I am delcaring my will to participate in the MA in Euroculture programme at the Jagiellonian University

Euroculture Krakow - Registration

Personal Info

Accommodation