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Einschreibeformular / Modulo di iscrizione

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Language / Sprache / Lingua *
Name *

Vorname / Nome

Surname *

Nachname / Cognome

Date of birth
 *

Geburtsdatum / Data di nascita:   

MM
/
DD
/
YYYY
Gender
Geschlecht / Genere
Email
 *
Address / indirizzo
 *

e.g. "Via A.Rosmini 9, 39100 Bolzano "

Are you student at unibz? *
Bist du Student? / Sei studente?
Only for students
Course of study/ Studiengang / Percorso di studi 
Student Card Nr.
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