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STUDENT APPLICATION FORM

SURNAME, full name:
Gender: Male
Female
Date of birth / place of birth:
Nationality:
Passport number:
Permanent address - street:
Permanent address - city:
Permanent address - ZIP code:
Current address - street:
Current address - city:
Current address - ZIP code:
Telephone number:
E-mail:
Date of graduation:
Name and address of the school:

In case you have not graduated yet, please write the estimated date of your graduation. You have to inform us immediately after you successfully pass your graduation on this e-mail: recepce@artdesigninstitut.cz -  subject: APPLICATION

Tick 2 of 6 creative subjects in which you are interested in.

Art & Design Institut declares the possibility to change the order of chosen subjects according to various circumstances.

After submitting this application form you will be informed via e-mail about the date and organization of entering exams.

Sending of this application you agree with processing of your personal data according GDPR.

Calculate example: 15 - 10 =
(to prove that you are not a robot)