Universidad Adolfo Ibáñez | Relaciones Internacionales
Undergraduate Incoming Students
Application Form
APPLICATION FORM
EXCHANGE STUDENTS
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APPLICATION DEADLINE SPRING ’14 (mar-jul): November 1st, 2013
Please complete this form IN DIGITAL FORMAT (WORD)* and send it by email to [email protected]
*(handwritten forms will not be accepted)
STUDENT PERSONAL INFORMATION
(please fill this column)
First name / Last (family) name:
Gender:
Permanent address:
Email:
Mobile:
Passport number:
Pass. exp. date:
Nationality:
Place of birth (city/state/country):
Date of birth (day/month/year):
Social security number:
Parents names (father/mother):
Parents mobiles (father/mother):
Parents emails (father/mother):
Special health conditions to attend:
SENDING INSTITUTION
(please fill this column)
Sending Institution name:
Address:
Contact person from sending Institution:
Contact person position:
Contact person phone (with local codes):
Contact person email:
PREGRADO-SANTIAGO: Av. Diagonal Las Torres 2640, Peñalolén. Teléfono (56-2) 331 1000 - Fax: (2) 278 4413
SANTIAGO: Av. Presidente Errázuriz 3485, Las Condes. Teléfono (56-2) 331 1000 - Fax: (2) 228 9382
VIÑA DEL MAR: Av. Padre Hurtado 750. Teléfono: (56-32) 250 3845 - Fax: (32) 266 4006
http://www.uai.cl/relaciones-internacionales
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Universidad Adolfo Ibáñez | Relaciones Internacionales
Undergraduate Incoming Students
Application Form
ACADEMIC PROFILE
(please fill this column)
Academic Program enrolled (Major/Minor):
Years of duration of the Program:
Current year studying:
Approximate GPA:
Foreign languages (language/level):
UAI APPLICATION
Campus Peñalolén, Santiago
Campus Viña del Mar
Period(s) that you will study at UAI:
SPRING 2014 (mar-jul)
FALL 2014 (aug-dec)
Indicate the UAI Faculty which you are applying to
(Ingeniería Comercial; Ingeniería Civil; Derecho; Psicología; Periodismo):
Courses Enrollment:
You will receive an email from [email protected] before classes in order to obtain details and
instructions about how to enroll courses.
IMPORTANT INSTRUCTIONS
a) Incoming students are responsible for obtaining appropriate Health Insurance that covers
their time in Chile.
b) Student visa is mandatory for all foreign students in Chile. In case you need it, get contact
with UAI in order to obtain support for applying to the visa.
c) Attached to this form, students must send by email:
1. Transcript (unofficial)
2. Passport Copy
PREGRADO-SANTIAGO: Av. Diagonal Las Torres 2640, Peñalolén. Teléfono (56-2) 331 1000 - Fax: (2) 278 4413
SANTIAGO: Av. Presidente Errázuriz 3485, Las Condes. Teléfono (56-2) 331 1000 - Fax: (2) 228 9382
VIÑA DEL MAR: Av. Padre Hurtado 750. Teléfono: (56-32) 250 3845 - Fax: (32) 266 4006
http://www.uai.cl/relaciones-internacionales
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