APPLICATION FORM




                                                HELLENIC REPUBLIC

Ministry of National Education and Religious Affairs

DIRECTORATE GENERAL OF INTERNATIONAL RELATIONS IN EDUCATION

             Directorate of International Relations in Education,  Section B

Mitropoleos 12-14,  105 63  Athens, Greece

Tel.:+30 210-3723802,  +30 210-3723805

Fax:+30 210-3221521

E-mail: des-b@ypepth.gr

Information: A.Rouvalis/St.Moriatis

 

 

 

APPLICATION FORM

 

 

 

 

ΧΩΡΑ: ………………………………………………………………………………..

COUNTRY:  ………………………………………………......................................  

PAYS: ................................................................................................................             

PAÍS:  ………………………………………………………………………………….            

PAESE:  …………………………………………………………………….. ............        

LAND: …………………………………………………………………………………

 

 

ΠΟΛΗ:………………………………………………………………………………….

CITY:...................................................................................................................

VILLE: ..............................................................................................................

CIUDAD:.............................................................................................................

CITTÀ: ..............................................................................................................

STADT:  .............................................................................................................

 

 

ΝΟΜΟΣ-ΕΠΑΡΧΙΑ: ………………………………………………………………….

PREFECTURE: ................................................................................. ................

DÉPARTEMENT/COMMUNE:............................................................................

PROVINCIA:  

PREFETTURA – PROVINCIA............................................................................

LAND:  ...............................................................................................................

 

 

ΕΠΩΝΥΜΙΑ ΣΧΟΛΕΙΟΥ: ……………………………………………………………

SCHOOL NAME:   ........................................................……………...................

DÉNOMINATION DE L´ÉCOLE: .......................................................................

DENOMINACIÓN:                  ............................................................................

NOME DELLA SCUOLA:  .................................................................................

NAME VON SCHULE:        ................................................................................                     

 

 

ΔΙΕΥΘΥΝΣΗ-ΕΔΡΑ ΣΧΟΛΕΙΟΥ: …………………………………………………..

ADDRESS: ........................................................................................................   

ADRESSE:  ........................................................................................................   

DOMICILIO: .......................................................................................................   

INDIRIZZO: ........................................................................................................  

ADRESSE: .........................................................................................................

 

ΤΗΛΕΦΩΝΑ: ………………………………………………………………………….

TEL:               .......................................................................................................

FAX:               .......................................................................................................

E-mail:           ………………………………………………………………………….         

 

 

 

ΑΡΙΘΜΟΣ ΜΑΘΗΤΩΝ: ……………………………………………………………...

No. OF PUPILS:        ………………………………………………………………...

No. D´ ÉLÉVES :          ......................................................................................

No. DE ALUMNOS:      ......................................................................................

No. DI SCOLARI:     ..........................................................................................    

No. VON SCHÜLERN:  .....................................................................................

 

 

ΟΝΟΜΑΤΕΠΩΝΥΜΟ ΔΙΕΥΘΥΝΤΗ/ΤΡΙΑΣ: ………………………………………

DIRECTOR’S NAME ………………………………………………………………...

NOM DU/DE LA/ DIRECTEUR/DIRECTRICE ……………………………………

NOMBRES Y APELLIDOS DEL/DE LA DIRECTOR/A ....................................

NOME DEL DIRETTORE/DELLA DIRETTRICE ..............................................

NAME VON DIRECTOR/IN ...............................................................................

 

 

ΟΝΟΜΑΤΕΠΩΝΥΜΟ ΚΑΘΗΓΗΤΗ/ΤΡΙΑΣ: ……………………………………….

TEACHER’S NAME: .........................................................................................

NOM DU PROFESSEUR :…………………………………………………………..

NOMBRES Y APELLIDOS DEL/DE LA/ PROFESOR/A: ............................................................................................................................

NOME DEL/DELLA/ PROFESSORE/PROFESSORESSA: ............................................................................................................................
NAME VON PROFESSOR:
...............................................................................


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