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\par ECTS \endash  EXCHANGE STUDENTS
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\par }{\b\lang2057\langfe1044\langnp2057 ACADEMIC YEAR 2006/2007
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\par }{\fs22\lang2057\langfe1044\langnp2057 This application should be completed in }{\b\fs22\lang2057\langfe1044\langnp2057 BLACK}{\fs22\lang2057\langfe1044\langnp2057  in order to be easily copied and/or faxed. 
\par }{\b\fs22\lang2057\langfe1044\langnp2057 Use CAPITAL LETTERS only!
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\par University of Troms\'f8, 9037 Troms\'f8, Norway }{\b\fs22\lang2057\langfe1044\langnp2057 
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\fs22\lang2057\langfe1044\langnp2057 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 \trowd \trgaph107\trrh375\trleft-107\trftsWidth1\trpaddl107\trpaddr107\trpaddfl3\trpaddfr3 
\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth9746 \cellx9639\row }\trowd \trgaph107\trrh375\trleft-107\trftsWidth1\trpaddl107\trpaddr107\trpaddfl3\trpaddfr3 
\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdb\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth9746 \cellx9639\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\fs22\lang2057\langfe1044\langnp2057 E-mail : }{\field{\*\fldinst {\fs22\lang2057\langfe1044\langnp2057  FORMTEXT }{\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 00001400000000000754656b7374313000000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffmaxlen20{\*\ffname Tekst10}}}}}{\fldrslt {\fs22\lang1024\langfe1024\noproof\langnp2057 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\fs22\lang2057\langfe1044\langnp2057 \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 \trowd \trgaph107\trrh375\trleft-107\trftsWidth1\trpaddl107\trpaddr107\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl
\brdrs\brdrw15 \clbrdrb\brdrdb\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth9746 \cellx9639\row }\trowd \trgaph107\trrh376\trleft-107\trftsWidth1\trpaddl107\trpaddr107\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrdb\brdrw10 \clbrdrl
\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth9746 \cellx9639\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\fs22\lang2057\langfe1044\langnp2057 
Student Mobility Coordinator}{\fs22\lang2057\langfe1044\langnp2057  \endash  name : Magdalena Brekke\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 \trowd 
\trgaph107\trrh376\trleft-107\trftsWidth1\trpaddl107\trpaddr107\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrdb\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth9746 \cellx9639\row }\trowd 
\trgaph107\trrh375\trleft-107\trftsWidth1\trpaddl107\trpaddr107\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth9746 \cellx9639\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 Address  : Department of Research and Academic Affairs ,  9037   Troms\'f8\cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 \trowd \trgaph107\trrh375\trleft-107\trftsWidth1\trpaddl107\trpaddr107\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl
\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth9746 \cellx9639\row }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 Tel :   +47 77644961}{
\b\fs22\lang2057\langfe1044\langnp2057 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 \trowd \trgaph107\trrh375\trleft-107\trftsWidth1\trpaddl107\trpaddr107\trpaddfl3\trpaddfr3 
\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth9746 \cellx9639\row }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\fs22\lang2057\langfe1044\langnp2057 Fax :  +47 77644900}{\b\fs22\lang2057\langfe1044\langnp2057 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 \trowd 
\trgaph107\trrh375\trleft-107\trftsWidth1\trpaddl107\trpaddr107\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth9746 \cellx9639\row }\trowd 
\trgaph107\trrh376\trleft-107\trftsWidth1\trpaddl107\trpaddr107\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth9746 \cellx9639\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang1031\langfe1044\langnp1031 E-mail : }{\field\flddirty{\*\fldinst {\fs22\lang1031\langfe1044\langnp1031  HYPERLINK "mailto:magdalena.brekke@adm.uit.no" }{
\fs22\lang1031\langfe1044\langnp1031 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90b460000006d00610069006c0074006f003a006d0061006700640061006c0065006e0061002e006200720065006b006b0065004000610064006d002e007500690074002e006e006f000000}}}{\fldrslt {
\cs29\fs22\ul\cf2\lang1031\langfe1044\langnp1031 magdalena.brekke@adm.uit.no}}}{\fs22\lang1031\langfe1044\langnp1031 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang1031\langfe1044\langnp1031 \trowd 
\trgaph107\trrh376\trleft-107\trftsWidth1\trpaddl107\trpaddr107\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth9746 \cellx9639\row }\pard 
\ql \li0\ri0\sb120\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b\fs22\lang1031\langfe1044\langnp1031 
\par }{\b\fs22\lang2057\langfe1044\langnp2057 STUDENT\rquote S PERSONAL DATA}{\i\fs22\lang2057\langfe1044\langnp2057  (to be completed by the student applying)}{\fs22\lang2057\langfe1044\langnp2057 
\par }\trowd \trgaph108\trrh335\trleft-108\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrdot\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4536 \cellx4428\clvertalt
\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrdot\brdrw10 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth5211 \cellx9639\pard \ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\fs22\lang2057\langfe1044\langnp2057 Family name: }{\field{\*\fldinst {\fs22\lang2057\langfe1044\langnp2057  FORMTEXT }{\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 00002800000000000000000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffmaxlen40}}}}{\fldrslt {\fs22\lang1024\langfe1024\noproof\langnp2057 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\fs22\lang2057\langfe1044\langnp2057 \cell First name (s): }{\field{\*\fldinst {
\fs22\lang2057\langfe1044\langnp2057  FORMTEXT }{\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 00002800000000000000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen40}}}}{\fldrslt {\fs22\lang1024\langfe1024\noproof\langnp2057 \u8194
\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\fs22\lang2057\langfe1044\langnp2057 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 \trowd 
\trgaph108\trrh335\trleft-108\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrdot\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4536 \cellx4428\clvertalt\clbrdrt
\brdrs\brdrw15 \clbrdrl\brdrdot\brdrw10 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth5211 \cellx9639\row }\trowd \trgaph108\trrh477\trleft-108\trkeep\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt
\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrdot\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4536 \cellx4428\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrdot\brdrw10 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 
\cltxlrtb\clftsWidth3\clwWidth5211 \cellx9639\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 
\par Date of birth: {\*\bkmkstart Tekst11}}{\field{\*\fldinst {\fs22\lang2057\langfe1044\langnp2057  FORMTEXT }{\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 00100a00000000000754656b737431310000000864642f4d4d2f7979000000000000000000}
{\*\formfield{\fftype0\fftypetxt2\ffmaxlen10{\*\ffname Tekst11}{\*\ffformat dd/MM/yy}}}}}{\fldrslt {\fs22\lang1024\langfe1024\noproof\langnp2057 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\fs22\lang2057\langfe1044\langnp2057 {\*\bkmkend Tekst11
}\cell 
\par Permanent address (if different): \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 \trowd 
\trgaph108\trrh477\trleft-108\trkeep\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrdot\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4536 \cellx4428\clvertalt
\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrdot\brdrw10 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth5211 \cellx9639\row }\trowd \trgaph108\trrh280\trleft-108\trkeep\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrdot\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4536 \cellx4428\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrdot\brdrw10 \clbrdrb\brdrdot\brdrw10 \clbrdrr
\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth5211 \cellx9639\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 
\par Sex:  {\*\bkmkstart Liste1}}{\field\fldpriv{\*\fldinst {\fs22\lang2057\langfe1044\langnp2057  FORMDROPDOWN }{\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 
6680000000000000064c6973746531000000000000000000000000000c000300030000000a00060008000a00012e014d0146}{\*\formfield{\fftype2\ffres25\fftypetxt0\ffhaslistbox{\*\ffname Liste1}\ffdefres0{\*\ffl .}{\*\ffl M}{\*\ffl F}}}}}{\fldrslt }}{
\fs22\lang2057\langfe1044\langnp2057 {\*\bkmkend Liste1}                     Nationality: }{\field{\*\fldinst {\fs22\lang2057\langfe1044\langnp2057  FORMTEXT }{\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 00002800000000000000000000000000000000000000
}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen40}}}}{\fldrslt {\fs22\lang1024\langfe1024\noproof\langnp2057 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\fs22\lang2057\langfe1044\langnp2057 \cell }{\field{\*\fldinst {
\fs22\lang2057\langfe1044\langnp2057  FORMTEXT }{\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 00002800000000000000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen40}}}}{\fldrslt {\fs22\lang1024\langfe1024\noproof\langnp2057 \u8194
\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\fs22\lang2057\langfe1044\langnp2057 
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 \trowd \trgaph108\trrh280\trleft-108\trkeep\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt
\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrdot\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4536 \cellx4428\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrdot\brdrw10 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 
\cltxlrtb\clftsWidth3\clwWidth5211 \cellx9639\row }\trowd \trgaph108\trrh497\trleft-108\trkeep\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr
\brdrdot\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4536 \cellx4428\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrdot\brdrw10 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth5211 \cellx9639\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 
\par Place of Birth: }{\field{\*\fldinst {\fs22\lang2057\langfe1044\langnp2057  FORMTEXT }{\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 00002800000000000000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen40}}}}{\fldrslt {
\fs22\lang1024\langfe1024\noproof\langnp2057 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\fs22\lang2057\langfe1044\langnp2057 \cell }{\field{\*\fldinst {\fs22\lang2057\langfe1044\langnp2057  FORMTEXT }{\fs22\lang2057\langfe1044\langnp2057 
{\*\datafield 00002800000000000000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen40}}}}{\fldrslt {\fs22\lang1024\langfe1024\noproof\langnp2057 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\fs22\lang2057\langfe1044\langnp2057 

\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 \trowd \trgaph108\trrh497\trleft-108\trkeep\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt
\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrdot\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4536 \cellx4428\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrdot\brdrw10 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 
\cltxlrtb\clftsWidth3\clwWidth5211 \cellx9639\row }\trowd \trgaph108\trrh517\trleft-108\trkeep\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr
\brdrdot\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4536 \cellx4428\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrdot\brdrw10 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth5211 \cellx9639\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 
\par Current address: }{\field{\*\fldinst {\fs22\lang2057\langfe1044\langnp2057  FORMTEXT }{\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 00002800000000000000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen40}}}}{\fldrslt {
\fs22\lang1024\langfe1024\noproof\langnp2057 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\fs22\lang2057\langfe1044\langnp2057 \cell }{\field{\*\fldinst {\fs22\lang2057\langfe1044\langnp2057  FORMTEXT }{\fs22\lang2057\langfe1044\langnp2057 
{\*\datafield 00002800000000000000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen40}}}}{\fldrslt {\fs22\lang1024\langfe1024\noproof\langnp2057 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\fs22\lang2057\langfe1044\langnp2057 
\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 \trowd \trgaph108\trrh517\trleft-108\trkeep\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt
\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrdot\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4536 \cellx4428\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrdot\brdrw10 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 
\cltxlrtb\clftsWidth3\clwWidth5211 \cellx9639\row }\trowd \trgaph108\trrh118\trleft-108\trkeep\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr
\brdrdot\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4536 \cellx4428\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrdot\brdrw10 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth5211 \cellx9639\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field{\*\fldinst {\fs22\lang2057\langfe1044\langnp2057  FORMTEXT }{\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 00002800000000000000000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffmaxlen40}}}}{\fldrslt {\fs22\lang1024\langfe1024\noproof\langnp2057 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\fs22\lang2057\langfe1044\langnp2057 \cell }{\fs22\lang1031\langfe1044\langnp1031 
\par Tel.: }{\field{\*\fldinst {\fs22\lang2057\langfe1044\langnp2057  FORMTEXT }{\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 00001400000000000000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen20}}}}{\fldrslt {
\fs22\lang1024\langfe1024\noproof\langnp2057 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\fs22\lang1031\langfe1044\langnp1031 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\fs22\lang1031\langfe1044\langnp1031 \trowd \trgaph108\trrh118\trleft-108\trkeep\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrdot\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth4536 \cellx4428\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrdot\brdrw10 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth5211 \cellx9639\row }\trowd 
\trgaph108\trrh296\trleft-108\trkeep\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrdot\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4536 \cellx4428\clvertalt
\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrdot\brdrw10 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth5211 \cellx9639\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field{\*\fldinst {
\fs22\lang2057\langfe1044\langnp2057  FORMTEXT }{\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 00002800000000000000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen40}}}}{\fldrslt {\fs22\lang1024\langfe1024\noproof\langnp2057 \u8194
\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\fs22\lang1031\langfe1044\langnp1031 \cell 
\par }{\fs22\lang2057\langfe1044\langnp2057 E-mail.: }{\field{\*\fldinst {\fs22\lang2057\langfe1044\langnp2057  FORMTEXT }{\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 00002800000000000000000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffmaxlen40}}}}{\fldrslt {\fs22\lang1024\langfe1024\noproof\langnp2057 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\fs22\lang2057\langfe1044\langnp2057 \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 \trowd \trgaph108\trrh296\trleft-108\trkeep\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl
\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrdot\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4536 \cellx4428\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrdot\brdrw10 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth5211 
\cellx9639\row }\trowd \trgaph108\trrh601\trleft-108\trkeep\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrdot\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4536 
\cellx4428\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrdot\brdrw10 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth5211 \cellx9639\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\fs22\lang2057\langfe1044\langnp2057 
\par Current address is valid until: }{\field{\*\fldinst {\fs22\lang2057\langfe1044\langnp2057  FORMTEXT }{\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 00100a00000000000754656b737431310000000864642f4d4d2f7979000000000000000000}
{\*\formfield{\fftype0\fftypetxt2\ffmaxlen10{\*\ffname Tekst11}{\*\ffformat dd/MM/yy}}}}}{\fldrslt {\fs22\lang1024\langfe1024\noproof\langnp2057 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\fs22\lang2057\langfe1044\langnp2057 
\par 
\par \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 \trowd \trgaph108\trrh601\trleft-108\trkeep\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt
\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrdot\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4536 \cellx4428\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrdot\brdrw10 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 
\cltxlrtb\clftsWidth3\clwWidth5211 \cellx9639\row }\pard \ql \li0\ri0\sb120\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b\fs22\lang2057\langfe1044\langnp2057 
\par 
\par 
\par HOST INSTITUTION THAT RECEIVES THIS APPLICATION FORM (in order of preference):}{\fs22\lang2057\langfe1044\langnp2057 
\par }\trowd \trgaph108\trleft-108\trbrdrt\brdrs\brdrw15 \trbrdrl\brdrs\brdrw15 \trbrdrb\brdrs\brdrw15 \trbrdrr\brdrs\brdrw15 \trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 
\clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2660 \cellx2552\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1417 \cellx3969\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl
\brdrnone \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1843 \cellx5812\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1276 \cellx7088\clvertalt
\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2551 \cellx9639\pard \qc \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\fs22\lang2057\langfe1044\langnp2057 Institution}{\b\fs22\lang2057\langfe1044\langnp2057 
\par }\pard \ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\fs22\lang2057\langfe1044\langnp2057 \cell }\pard \qc \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\fs22\lang2057\langfe1044\langnp2057 Country}{\b\fs22\lang2057\langfe1044\langnp2057 \cell }{\fs22\lang2057\langfe1044\langnp2057 Period of study
\par from          to}{\b\fs22\lang2057\langfe1044\langnp2057 \cell }{\fs22\lang2057\langfe1044\langnp2057 Duration of stay (months)}{\b\fs22\lang2057\langfe1044\langnp2057 \cell }{\fs22\lang2057\langfe1044\langnp2057 N\'b0 of expected ECTS credits}{
\b\fs22\lang2057\langfe1044\langnp2057 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\fs22\lang2057\langfe1044\langnp2057 \trowd \trgaph108\trleft-108\trbrdrt\brdrs\brdrw15 \trbrdrl\brdrs\brdrw15 \trbrdrb
\brdrs\brdrw15 \trbrdrr\brdrs\brdrw15 \trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2660 \cellx2552\clvertalt
\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1417 \cellx3969\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 
\cltxlrtb\clftsWidth3\clwWidth1843 \cellx5812\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1276 \cellx7088\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrnone \clbrdrb
\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2551 \cellx9639\row }\trowd \trgaph108\trleft-108\trbrdrt\brdrs\brdrw15 \trbrdrl\brdrs\brdrw15 \trbrdrb\brdrs\brdrw15 \trbrdrr\brdrs\brdrw15 
\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2660 \cellx2552\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrnone 
\clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1417 \cellx3969\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrdot\brdrw10 \cltxlrtb\clftsWidth3\clwWidth933 \cellx4902\clvertalt\clbrdrt
\brdrs\brdrw15 \clbrdrl\brdrdot\brdrw10 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth910 \cellx5812\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 
\cltxlrtb\clftsWidth3\clwWidth1276 \cellx7088\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2551 \cellx9639\pard 
\ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\*\bkmkstart Tekst1}{\field{\*\fldinst {\fs22\lang2057\langfe1044\langnp2057  FORMTEXT }{\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 
00004100000000000654656b73743100000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen65{\*\ffname Tekst1}}}}}{\fldrslt {\fs22\lang1024\langfe1024\noproof\langnp2057 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{
\fs22\lang2057\langfe1044\langnp2057 {\*\bkmkend Tekst1}\cell {\*\bkmkstart Tekst2}}{\field{\*\fldinst {\fs22\lang2057\langfe1044\langnp2057  FORMTEXT }{\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 
00003200000000000654656b73743200000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen50{\*\ffname Tekst2}}}}}{\fldrslt {\fs22\lang1024\langfe1024\noproof\langnp2057 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{
\fs22\lang2057\langfe1044\langnp2057 {\*\bkmkend Tekst2}\cell {\*\bkmkstart Liste2}}{\field\fldpriv{\*\fldinst {\fs22\lang2057\langfe1044\langnp2057  FORMDROPDOWN }{\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 
6680000000000000064c69737465320000000000000000000000000074000d000d0000000a001a001e0026002f0035003b003f004400490050005a0062006b00032e2e2e074a616e75617279084665627275617279054d6172636805417072696c034d6179044a756e65044a756c79064175677573740953657074656d6265
72074f63746f626572084e6f76656d62657208446563656d626572}{\*\formfield{\fftype2\ffres25\fftypetxt0\ffhaslistbox{\*\ffname Liste2}\ffdefres0{\*\ffl ...}{\*\ffl January}{\*\ffl February}{\*\ffl March}{\*\ffl April}{\*\ffl May}{\*\ffl June}{\*\ffl July}
{\*\ffl August}{\*\ffl September}{\*\ffl October}{\*\ffl November}{\*\ffl December}}}}}{\fldrslt }}{\fs22\lang2057\langfe1044\langnp2057 {\*\bkmkend Liste2}\cell }\pard \ql \li24\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin24 
{\field\fldpriv{\*\fldinst {\fs22\lang2057\langfe1044\langnp2057  FORMDROPDOWN }{\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 
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72074f63746f626572084e6f76656d62657208446563656d626572}{\*\formfield{\fftype2\ffres25\fftypetxt0\ffhaslistbox{\*\ffname Liste2}\ffdefres0{\*\ffl ...}{\*\ffl January}{\*\ffl February}{\*\ffl March}{\*\ffl April}{\*\ffl May}{\*\ffl June}{\*\ffl July}
{\*\ffl August}{\*\ffl September}{\*\ffl October}{\*\ffl November}{\*\ffl December}}}}}{\fldrslt }}{\fs22\lang2057\langfe1044\langnp2057 \cell }\pard \ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\*\bkmkstart Liste3}
{\field\fldpriv{\*\fldinst {\fs22\lang2057\langfe1044\langnp2057  FORMDROPDOWN }{\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 
6680000000000000064c69737465330000000000000000000000000027000900090000000a001200160018001a001c001e00200022002400032e2e2e0133013401350136013701380139023130}{\*\formfield{\fftype2\ffres25\fftypetxt0\ffhaslistbox{\*\ffname Liste3}\ffdefres0{\*\ffl ...}
{\*\ffl 3}{\*\ffl 4}{\*\ffl 5}{\*\ffl 6}{\*\ffl 7}{\*\ffl 8}{\*\ffl 9}{\*\ffl 10}}}}}{\fldrslt }}{\fs22\lang2057\langfe1044\langnp2057 {\*\bkmkend Liste3}\cell {\*\bkmkstart Tekst6}}{\field{\*\fldinst {\fs22\lang2057\langfe1044\langnp2057  FORMTEXT }{
\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 00080a00000000000654656b7374360000000130000000000000000000}{\*\formfield{\fftype0\fftypetxt1\ffmaxlen10{\*\ffname Tekst6}{\*\ffformat 0}}}}}{\fldrslt {\fs22\lang1024\langfe1024\noproof\langnp2057 \u8194
\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\fs22\lang2057\langfe1044\langnp2057 {\*\bkmkend Tekst6}\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\fs22\lang2057\langfe1044\langnp2057 \trowd 
\trgaph108\trleft-108\trbrdrt\brdrs\brdrw15 \trbrdrl\brdrs\brdrw15 \trbrdrb\brdrs\brdrw15 \trbrdrr\brdrs\brdrw15 \trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr
\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2660 \cellx2552\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1417 \cellx3969\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrnone 
\clbrdrb\brdrs\brdrw15 \clbrdrr\brdrdot\brdrw10 \cltxlrtb\clftsWidth3\clwWidth933 \cellx4902\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrdot\brdrw10 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth910 \cellx5812\clvertalt
\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1276 \cellx7088\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 
\cltxlrtb\clftsWidth3\clwWidth2551 \cellx9639\row }\trowd \trgaph108\trleft-108\trbrdrt\brdrs\brdrw15 \trbrdrl\brdrs\brdrw15 \trbrdrb\brdrs\brdrw15 \trbrdrr\brdrs\brdrw15 \trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt
\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2660 \cellx2552\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 
\cltxlrtb\clftsWidth3\clwWidth1417 \cellx3969\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrdot\brdrw10 \cltxlrtb\clftsWidth3\clwWidth933 \cellx4902\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrdot\brdrw10 \clbrdrb
\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth910 \cellx5812\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1276 \cellx7088\clvertalt\clbrdrt
\brdrs\brdrw15 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2551 \cellx9639\pard \ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field{\*\fldinst {
\fs22\lang2057\langfe1044\langnp2057  FORMTEXT }{\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 00004100000000000654656b73743100000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen65{\*\ffname Tekst1}}}}}{\fldrslt {
\fs22\lang1024\langfe1024\noproof\langnp2057 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\fs22\lang2057\langfe1044\langnp2057 \cell }{\field{\*\fldinst {\fs22\lang2057\langfe1044\langnp2057  FORMTEXT }{\fs22\lang2057\langfe1044\langnp2057 
{\*\datafield 00004100000000000654656b73743100000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen65{\*\ffname Tekst1}}}}}{\fldrslt {\fs22\lang1024\langfe1024\noproof\langnp2057 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{
\fs22\lang2057\langfe1044\langnp2057 \cell }{\field\fldpriv{\*\fldinst {\fs22\lang2057\langfe1044\langnp2057  FORMDROPDOWN }{\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 
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{\*\ffl August}{\*\ffl September}{\*\ffl October}{\*\ffl November}{\*\ffl December}}}}}{\fldrslt }}{\fs22\lang2057\langfe1044\langnp2057 \cell }{\field\fldpriv{\*\fldinst {\fs22\lang2057\langfe1044\langnp2057  FORMDROPDOWN }{
\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 
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{\*\ffl August}{\*\ffl September}{\*\ffl October}{\*\ffl November}{\*\ffl December}}}}}{\fldrslt }}{\fs22\lang2057\langfe1044\langnp2057 \cell }{\field\fldpriv{\*\fldinst {\fs22\lang2057\langfe1044\langnp2057  FORMDROPDOWN }{
\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 6680000000000000064c69737465330000000000000000000000000027000900090000000a001200160018001a001c001e00200022002400032e2e2e0133013401350136013701380139023130}
{\*\formfield{\fftype2\ffres25\fftypetxt0\ffhaslistbox{\*\ffname Liste3}\ffdefres0{\*\ffl ...}{\*\ffl 3}{\*\ffl 4}{\*\ffl 5}{\*\ffl 6}{\*\ffl 7}{\*\ffl 8}{\*\ffl 9}{\*\ffl 10}}}}}{\fldrslt }}{\fs22\lang2057\langfe1044\langnp2057 \cell }{\field{\*\fldinst 
{\fs22\lang2057\langfe1044\langnp2057  FORMTEXT }{\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 00080a0000000000000000000130000000000000000000}{\*\formfield{\fftype0\fftypetxt1\ffmaxlen10{\*\ffformat 0}}}}}{\fldrslt {
\fs22\lang1024\langfe1024\noproof\langnp2057 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\fs22\lang2057\langfe1044\langnp2057 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\b\fs22\lang2057\langfe1044\langnp2057 \trowd \trgaph108\trleft-108\trbrdrt\brdrs\brdrw15 \trbrdrl\brdrs\brdrw15 \trbrdrb\brdrs\brdrw15 \trbrdrr\brdrs\brdrw15 \trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl
\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2660 \cellx2552\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1417 \cellx3969
\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrdot\brdrw10 \cltxlrtb\clftsWidth3\clwWidth933 \cellx4902\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrdot\brdrw10 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 
\cltxlrtb\clftsWidth3\clwWidth910 \cellx5812\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1276 \cellx7088\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrnone \clbrdrb
\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2551 \cellx9639\row }\pard \ql \li0\ri0\sb120\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\fs22\lang2057\langfe1044\langnp2057 
\par }{\b\fs22\lang2057\langfe1044\langnp2057 LANGUAGE COMPETENCE}{\fs22\lang2057\langfe1044\langnp2057 
\par }\trowd \trgaph107\trleft-108\trbrdrt\brdrs\brdrw15 \trbrdrl\brdrs\brdrw15 \trbrdrb\brdrs\brdrw15 \trbrdrr\brdrs\brdrw15 \trbrdrh\brdrs\brdrw15 \trbrdrv\brdrs\brdrw15 \trftsWidth1\trpaddl107\trpaddr107\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15 
\clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth9749 \cellx9641\pard \ql \li0\ri0\sb120\sa120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 
Mother tongue: {\*\bkmkstart Tekst12}}{\field{\*\fldinst {\fs22\lang2057\langfe1044\langnp2057  FORMTEXT }{\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 00001900000000000754656b7374313200000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffmaxlen25{\*\ffname Tekst12}}}}}{\fldrslt {\fs22\lang1024\langfe1024\noproof\langnp2057 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\fs22\lang2057\langfe1044\langnp2057 {\*\bkmkend Tekst12}
       Language of instruction at home institution (if different):{\*\bkmkstart Tekst13}}{\field{\*\fldinst {\fs22\lang2057\langfe1044\langnp2057  FORMTEXT }{\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 
00001900000000000754656b737431330000000f53746f7220666f72626f6b73746176000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen25{\*\ffname Tekst13}{\*\ffformat Stor forbokstav}}}}}{\fldrslt {\fs22\lang1024\langfe1024\noproof\langnp2057 \u8194\'20
\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\fs22\lang2057\langfe1044\langnp2057 {\*\bkmkend Tekst13}  \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 \trowd 
\trgaph107\trleft-108\trbrdrt\brdrs\brdrw15 \trbrdrl\brdrs\brdrw15 \trbrdrb\brdrs\brdrw15 \trbrdrr\brdrs\brdrw15 \trbrdrh\brdrs\brdrw15 \trbrdrv\brdrs\brdrw15 \trftsWidth1\trpaddl107\trpaddr107\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl
\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth9749 \cellx9641\row }\trowd \trgaph107\trleft-108\trbrdrt\brdrs\brdrw15 \trbrdrl\brdrs\brdrw15 \trbrdrb\brdrs\brdrw15 \trbrdrr\brdrs\brdrw15 \trbrdrh\brdrs\brdrw15 
\trbrdrv\brdrs\brdrw15 \trftsWidth1\trpaddl107\trpaddr107\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1809 \cellx1701\clvertalt\clbrdrt
\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2268 \cellx3969\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 
\cltxlrtb\clftsWidth3\clwWidth2410 \cellx6379\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth3262 \cellx9641\pard 
\qc \li0\ri0\sb120\sa120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\lang2057\langfe1044\langnp2057 Other languages}{\fs22\lang2057\langfe1044\langnp2057 \cell }{\lang2057\langfe1044\langnp2057 I am currently studying this language}{
\fs22\lang2057\langfe1044\langnp2057 \cell }{\lang2057\langfe1044\langnp2057 I have sufficient knowledge to follow lectures}{\fs22\lang2057\langfe1044\langnp2057 \cell }{\lang2057\langfe1044\langnp2057 
I would have sufficient knowledge to follow lectures if I had some extra preparation}{\fs22\lang2057\langfe1044\langnp2057 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 \trowd 
\trgaph107\trleft-108\trbrdrt\brdrs\brdrw15 \trbrdrl\brdrs\brdrw15 \trbrdrb\brdrs\brdrw15 \trbrdrr\brdrs\brdrw15 \trbrdrh\brdrs\brdrw15 \trbrdrv\brdrs\brdrw15 \trftsWidth1\trpaddl107\trpaddr107\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl
\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1809 \cellx1701\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2268 \cellx3969
\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth2410 \cellx6379\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 
\cltxlrtb\clftsWidth3\clwWidth3262 \cellx9641\row }\trowd \trgaph108\trleft-108\trbrdrt\brdrs\brdrw15 \trbrdrl\brdrs\brdrw15 \trbrdrb\brdrs\brdrw15 \trbrdrr\brdrs\brdrw15 \trbrdrh\brdrs\brdrw15 \trbrdrv\brdrs\brdrw15 
\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1809 \cellx1701\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl
\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1015 \cellx2716\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1253 
\cellx3969\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1239 \cellx5208\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr
\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1171 \cellx6379\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1265 \cellx7644\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl
\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1997 \cellx9641\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 \cell }\pard 
\qc \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\lang2057\langfe1044\langnp2057 yes\cell no\cell yes\cell no\cell yes}{\fs22\lang2057\langfe1044\langnp2057 \cell }{\lang2057\langfe1044\langnp2057 no}{
\fs22\lang2057\langfe1044\langnp2057 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 \trowd \trgaph108\trleft-108\trbrdrt\brdrs\brdrw15 \trbrdrl\brdrs\brdrw15 \trbrdrb
\brdrs\brdrw15 \trbrdrr\brdrs\brdrw15 \trbrdrh\brdrs\brdrw15 \trbrdrv\brdrs\brdrw15 \trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 
\cltxlrtb\clftsWidth3\clwWidth1809 \cellx1701\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1015 \cellx2716\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 
\clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1253 \cellx3969\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1239 \cellx5208\clvertalt
\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1171 \cellx6379\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 
\cltxlrtb\clftsWidth3\clwWidth1265 \cellx7644\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1997 \cellx9641\row }\trowd \trgaph108\trrh294\trleft-108\trbrdrt
\brdrs\brdrw15 \trbrdrl\brdrs\brdrw15 \trbrdrb\brdrs\brdrw15 \trbrdrr\brdrs\brdrw15 \trbrdrh\brdrs\brdrw15 \trbrdrv\brdrs\brdrw15 \trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1809 \cellx1701\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1015 \cellx2716\clvertalt\clbrdrt
\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1253 \cellx3969\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 
\cltxlrtb\clftsWidth3\clwWidth1239 \cellx5208\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1171 \cellx6379\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 
\clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1265 \cellx7644\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1997 \cellx9641\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 English\cell }\pard \qc \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\*\bkmkstart Avmerking1}
{\field\flddirty\fldpriv{\*\fldinst {\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{\fs16\lang2057\langfe1044\langnp2057 {\*\datafield 65000000140000000a41766d65726b696e673100000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20
{\*\ffname Avmerking1}\ffdefres0}}}}{\fldrslt }}{\fs16\lang2057\langfe1044\langnp2057 {\*\bkmkend Avmerking1}\cell {\*\bkmkstart Avmerking2}}{\field\fldpriv{\*\fldinst {\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{
\fs16\lang2057\langfe1044\langnp2057 {\*\datafield 65000000140000000a41766d65726b696e673200000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Avmerking2}\ffdefres0}}}}{\fldrslt }}{\fs16\lang2057\langfe1044\langnp2057 
{\*\bkmkend Avmerking2}\cell {\*\bkmkstart Avmerking3}}{\field\fldpriv{\*\fldinst {\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{\fs16\lang2057\langfe1044\langnp2057 {\*\datafield 65000000140000000a41766d65726b696e673300000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Avmerking3}\ffdefres0}}}}{\fldrslt }}{\fs16\lang2057\langfe1044\langnp2057 {\*\bkmkend Avmerking3}\cell {\*\bkmkstart Avmerking4}}{\field\flddirty\fldpriv{\*\fldinst {
\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{\fs16\lang2057\langfe1044\langnp2057 {\*\datafield 65000000140000000a41766d65726b696e673400000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Avmerking4}\ffdefres0}}}
}{\fldrslt }}{\fs16\lang2057\langfe1044\langnp2057 {\*\bkmkend Avmerking4}\cell {\*\bkmkstart Avmerking5}}{\field\flddirty\fldpriv{\*\fldinst {\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{\fs16\lang2057\langfe1044\langnp2057 {\*\datafield 
65000000140000000a41766d65726b696e673500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Avmerking5}\ffdefres0}}}}{\fldrslt }}{\fs16\lang2057\langfe1044\langnp2057 {\*\bkmkend Avmerking5}\cell {\*\bkmkstart Avmerking6}}
{\field\flddirty\fldpriv{\*\fldinst {\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{\fs16\lang2057\langfe1044\langnp2057 {\*\datafield 65000000140000000a41766d65726b696e673600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20
{\*\ffname Avmerking6}\ffdefres0}}}}{\fldrslt }}{\fs16\lang2057\langfe1044\langnp2057 {\*\bkmkend Avmerking6}\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 \trowd 
\trgaph108\trrh294\trleft-108\trbrdrt\brdrs\brdrw15 \trbrdrl\brdrs\brdrw15 \trbrdrb\brdrs\brdrw15 \trbrdrr\brdrs\brdrw15 \trbrdrh\brdrs\brdrw15 \trbrdrv\brdrs\brdrw15 \trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt
\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1809 \cellx1701\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 
\cltxlrtb\clftsWidth3\clwWidth1015 \cellx2716\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1253 \cellx3969\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 
\clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1239 \cellx5208\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1171 \cellx6379\clvertalt
\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1265 \cellx7644\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 
\cltxlrtb\clftsWidth3\clwWidth1997 \cellx9641\row }\trowd \trgaph108\trrh162\trleft-108\trbrdrt\brdrs\brdrw15 \trbrdrl\brdrs\brdrw15 \trbrdrb\brdrs\brdrw15 \trbrdrr\brdrs\brdrw15 \trbrdrh\brdrs\brdrw15 \trbrdrv\brdrs\brdrw15 
\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1809 \cellx1701\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl
\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1015 \cellx2716\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1253 
\cellx3969\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1239 \cellx5208\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr
\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1171 \cellx6379\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1265 \cellx7644\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl
\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1997 \cellx9641\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field{\*\fldinst {\fs22\lang2057\langfe1044\langnp2057  FORMTEXT 
}{\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 00001400000000000754656b7374313900000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen20{\*\ffname Tekst19}}}}}{\fldrslt {\fs22\lang1024\langfe1024\noproof\langnp2057 \u8194\'20\u8194\'20
\u8194\'20\u8194\'20\u8194\'20}}}{\fs22\lang2057\langfe1044\langnp2057 \cell }\pard \qc \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\*\bkmkstart Avmerking7}{\field\flddirty\fldpriv{\*\fldinst {
\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{\fs16\lang2057\langfe1044\langnp2057 {\*\datafield 65000000140000000a41766d65726b696e673700000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Avmerking7}\ffdefres0}}}
}{\fldrslt }}{\fs16\lang2057\langfe1044\langnp2057 {\*\bkmkend Avmerking7}\cell }{\field\flddirty\fldpriv{\*\fldinst {\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{\fs16\lang2057\langfe1044\langnp2057 {\*\datafield 
65000000140000000a41766d65726b696e673700000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Avmerking7}\ffdefres0}}}}{\fldrslt }}{\fs16\lang2057\langfe1044\langnp2057 \cell }{\field\flddirty\fldpriv{\*\fldinst {
\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{\fs16\lang2057\langfe1044\langnp2057 {\*\datafield 65000000140000000a41766d65726b696e673700000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Avmerking7}\ffdefres0}}}
}{\fldrslt }}{\fs22\lang2057\langfe1044\langnp2057 \cell }{\field\flddirty\fldpriv{\*\fldinst {\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{\fs16\lang2057\langfe1044\langnp2057 {\*\datafield 
65000000140000000a41766d65726b696e673700000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Avmerking7}\ffdefres0}}}}{\fldrslt }}{\fs22\lang2057\langfe1044\langnp2057 \cell }{\field\flddirty\fldpriv{\*\fldinst {
\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{\fs16\lang2057\langfe1044\langnp2057 {\*\datafield 65000000140000000a41766d65726b696e673700000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Avmerking7}\ffdefres0}}}
}{\fldrslt }}{\fs22\lang2057\langfe1044\langnp2057 \cell }{\field\flddirty\fldpriv{\*\fldinst {\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{\fs16\lang2057\langfe1044\langnp2057 {\*\datafield 
65000000140000000a41766d65726b696e673700000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Avmerking7}\ffdefres0}}}}{\fldrslt }}{\fs22\lang2057\langfe1044\langnp2057 \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 \trowd \trgaph108\trrh162\trleft-108\trbrdrt\brdrs\brdrw15 \trbrdrl\brdrs\brdrw15 \trbrdrb\brdrs\brdrw15 \trbrdrr\brdrs\brdrw15 \trbrdrh
\brdrs\brdrw15 \trbrdrv\brdrs\brdrw15 \trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1809 \cellx1701\clvertalt
\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1015 \cellx2716\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 
\cltxlrtb\clftsWidth3\clwWidth1253 \cellx3969\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1239 \cellx5208\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 
\clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1171 \cellx6379\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1265 \cellx7644\clvertalt
\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1997 \cellx9641\row }\trowd \trgaph108\trrh250\trleft-108\trbrdrt\brdrs\brdrw15 \trbrdrl\brdrs\brdrw15 \trbrdrb\brdrs\brdrw15 
\trbrdrr\brdrs\brdrw15 \trbrdrh\brdrs\brdrw15 \trbrdrv\brdrs\brdrw15 \trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 
\cltxlrtb\clftsWidth3\clwWidth1809 \cellx1701\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1015 \cellx2716\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 
\clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1253 \cellx3969\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1239 \cellx5208\clvertalt
\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1171 \cellx6379\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 
\cltxlrtb\clftsWidth3\clwWidth1265 \cellx7644\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1997 \cellx9641\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\*\bkmkstart Tekst19}{\field{\*\fldinst {\fs22\lang2057\langfe1044\langnp2057  FORMTEXT }{\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 
00001400000000000754656b7374313900000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen20{\*\ffname Tekst19}}}}}{\fldrslt {\fs22\lang1024\langfe1024\noproof\langnp2057 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{
\fs22\lang2057\langfe1044\langnp2057 {\*\bkmkend Tekst19}\cell }\pard \qc \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\flddirty\fldpriv{\*\fldinst {\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{
\fs16\lang2057\langfe1044\langnp2057 {\*\datafield 65000000140000000a41766d65726b696e673700000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Avmerking7}\ffdefres0}}}}{\fldrslt }}{\fs22\lang2057\langfe1044\langnp2057 
\cell }{\field\flddirty\fldpriv{\*\fldinst {\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{\fs16\lang2057\langfe1044\langnp2057 {\*\datafield 65000000140000000a41766d65726b696e673700000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Avmerking7}\ffdefres0}}}}{\fldrslt }}{\fs22\lang2057\langfe1044\langnp2057 \cell }{\field\flddirty\fldpriv{\*\fldinst {\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{
\fs16\lang2057\langfe1044\langnp2057 {\*\datafield 65000000140000000a41766d65726b696e673700000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Avmerking7}\ffdefres0}}}}{\fldrslt }}{\fs22\lang2057\langfe1044\langnp2057 
\cell }{\field\flddirty\fldpriv{\*\fldinst {\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{\fs16\lang2057\langfe1044\langnp2057 {\*\datafield 65000000140000000a41766d65726b696e673700000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Avmerking7}\ffdefres0}}}}{\fldrslt }}{\fs22\lang2057\langfe1044\langnp2057 \cell }{\field\flddirty\fldpriv{\*\fldinst {\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{
\fs16\lang2057\langfe1044\langnp2057 {\*\datafield 65000000140000000a41766d65726b696e673700000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Avmerking7}\ffdefres0}}}}{\fldrslt }}{\fs22\lang2057\langfe1044\langnp2057 
\cell }{\field\flddirty\fldpriv{\*\fldinst {\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{\fs16\lang2057\langfe1044\langnp2057 {\*\datafield 65000000140000000a41766d65726b696e673700000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Avmerking7}\ffdefres0}}}}{\fldrslt }}{\fs22\lang2057\langfe1044\langnp2057 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\fs22\lang2057\langfe1044\langnp2057 \trowd \trgaph108\trrh250\trleft-108\trbrdrt\brdrs\brdrw15 \trbrdrl\brdrs\brdrw15 \trbrdrb\brdrs\brdrw15 \trbrdrr\brdrs\brdrw15 \trbrdrh\brdrs\brdrw15 \trbrdrv\brdrs\brdrw15 
\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1809 \cellx1701\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl
\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1015 \cellx2716\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1253 
\cellx3969\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1239 \cellx5208\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr
\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1171 \cellx6379\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1265 \cellx7644\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl
\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1997 \cellx9641\row }\trowd \trgaph108\trrh345\trleft-108\trbrdrt\brdrs\brdrw15 \trbrdrl\brdrs\brdrw15 \trbrdrb\brdrs\brdrw15 \trbrdrr\brdrs\brdrw15 \trbrdrh
\brdrs\brdrw15 \trbrdrv\brdrs\brdrw15 \trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1809 \cellx1701\clvertalt
\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1015 \cellx2716\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 
\cltxlrtb\clftsWidth3\clwWidth1253 \cellx3969\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1239 \cellx5208\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 
\clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1171 \cellx6379\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1265 \cellx7644\clvertalt
\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1997 \cellx9641\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\*\bkmkstart Tekst20}
{\field{\*\fldinst {\fs22\lang2057\langfe1044\langnp2057  FORMTEXT }{\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 00001400000000000754656b7374323000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen20{\*\ffname Tekst20}}}}
}{\fldrslt {\fs22\lang1024\langfe1024\noproof\langnp2057 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\fs22\lang2057\langfe1044\langnp2057 {\*\bkmkend Tekst20}\cell }\pard \qc \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
{\field\flddirty\fldpriv{\*\fldinst {\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{\fs16\lang2057\langfe1044\langnp2057 {\*\datafield 65000000140000000a41766d65726b696e673700000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20
{\*\ffname Avmerking7}\ffdefres0}}}}{\fldrslt }}{\fs16\lang2057\langfe1044\langnp2057 \cell }{\field\flddirty\fldpriv{\*\fldinst {\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{\fs16\lang2057\langfe1044\langnp2057 {\*\datafield 
65000000140000000a41766d65726b696e673700000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Avmerking7}\ffdefres0}}}}{\fldrslt }}{\fs16\lang2057\langfe1044\langnp2057 \cell }{\field\flddirty\fldpriv{\*\fldinst {
\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{\fs16\lang2057\langfe1044\langnp2057 {\*\datafield 65000000140000000a41766d65726b696e673700000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Avmerking7}\ffdefres0}}}
}{\fldrslt }}{\fs16\lang2057\langfe1044\langnp2057 \cell }{\field\flddirty\fldpriv{\*\fldinst {\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{\fs16\lang2057\langfe1044\langnp2057 {\*\datafield 
65000000140000000a41766d65726b696e673700000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Avmerking7}\ffdefres0}}}}{\fldrslt }}{\fs16\lang2057\langfe1044\langnp2057 \cell }{\field\flddirty\fldpriv{\*\fldinst {
\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{\fs16\lang2057\langfe1044\langnp2057 {\*\datafield 65000000140000000a41766d65726b696e673700000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Avmerking7}\ffdefres0}}}
}{\fldrslt }}{\fs16\lang2057\langfe1044\langnp2057 \cell }{\field\flddirty\fldpriv{\*\fldinst {\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{\fs16\lang2057\langfe1044\langnp2057 {\*\datafield 
65000000140000000a41766d65726b696e673700000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Avmerking7}\ffdefres0}}}}{\fldrslt }}{\fs16\lang2057\langfe1044\langnp2057 \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 \trowd \trgaph108\trrh345\trleft-108\trbrdrt\brdrs\brdrw15 \trbrdrl\brdrs\brdrw15 \trbrdrb\brdrs\brdrw15 \trbrdrr\brdrs\brdrw15 \trbrdrh
\brdrs\brdrw15 \trbrdrv\brdrs\brdrw15 \trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1809 \cellx1701\clvertalt
\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1015 \cellx2716\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 
\cltxlrtb\clftsWidth3\clwWidth1253 \cellx3969\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1239 \cellx5208\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 
\clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1171 \cellx6379\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1265 \cellx7644\clvertalt
\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth1997 \cellx9641\row }\pard \ql \li0\ri0\sb120\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {
\b\fs22\lang2057\langfe1044\langnp2057 
\par PREVIOUS AND CURRENT STUDY}{\fs22\lang2057\langfe1044\langnp2057 
\par }\trowd \trgaph108\trrh385\trleft-108\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth9747 \cellx9639\pard 
\ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 Diploma/degree for which you are currently studying:{\*\bkmkstart Tekst14}}{\field{\*\fldinst {\fs22\lang2057\langfe1044\langnp2057  
FORMTEXT }{\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 00002300000000000754656b7374313400000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen35{\*\ffname Tekst14}}}}}{\fldrslt {\fs22\lang1024\langfe1024\noproof\langnp2057 \u8194\'20
\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\fs22\lang2057\langfe1044\langnp2057 {\*\bkmkend Tekst14}\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 \trowd 
\trgaph108\trrh385\trleft-108\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth9747 \cellx9639\row }\trowd 
\trgaph108\trrh162\trleft-108\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth9747 \cellx9639\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 Number of higher education study years prior to departure abroad: }{\field{\*\fldinst {\fs22\lang2057\langfe1044\langnp2057  FORMTEXT }{
\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 00000f00000000000000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen15}}}}{\fldrslt {\fs22\lang1024\langfe1024\noproof\langnp2057 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{
\fs22\lang2057\langfe1044\langnp2057 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 \trowd \trgaph108\trrh162\trleft-108\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth9747 \cellx9639\row }\trowd \trgaph108\trrh436\trleft-108\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth9747 \cellx9639\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\fs22\lang2057\langfe1044\langnp2057 Have you already been studying abroad?                Yes }{\field\flddirty\fldpriv{\*\fldinst {\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{\fs16\lang2057\langfe1044\langnp2057 {\*\datafield 
65000000140000000a41766d65726b696e673700000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Avmerking7}\ffdefres0}}}}{\fldrslt }}{\fs22\lang2057\langfe1044\langnp2057            No }{\field\flddirty\fldpriv{\*\fldinst {
\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{\fs16\lang2057\langfe1044\langnp2057 {\*\datafield 65000000140000000a41766d65726b696e673700000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Avmerking7}\ffdefres0}}}
}{\fldrslt }}{\fs22\lang2057\langfe1044\langnp2057 
\par If Yes, when? At which institution? {\*\bkmkstart Tekst15}}{\field{\*\fldinst {\fs22\lang2057\langfe1044\langnp2057  FORMTEXT }{\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 00002300000000000754656b7374313500000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffmaxlen35{\*\ffname Tekst15}}}}}{\fldrslt {\fs22\lang1024\langfe1024\noproof\langnp2057 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\fs22\lang2057\langfe1044\langnp2057 {\*\bkmkend Tekst15}\cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 \trowd \trgaph108\trrh436\trleft-108\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl
\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth9747 \cellx9639\row }\trowd \trgaph108\trrh811\trleft-108\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl
\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth9747 \cellx9639\pard \ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\fs22\lang2057\langfe1044\langnp2057 The enclosed}{
\b\fs22\ul\lang2057\langfe1044\langnp2057  Transcript of records}{\b\fs22\lang2057\langfe1044\langnp2057  includes full details of previous and current higher education studies.}{\fs22\lang2057\langfe1044\langnp2057 \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 \trowd \trgaph108\trrh811\trleft-108\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl
\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth9747 \cellx9639\row }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\fs22\lang2057\langfe1044\langnp2057 
\par 
\par }{\b\fs22\lang2057\langfe1044\langnp2057 MOBILITY GRANT
\par }\trowd \trgaph108\trleft-108\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth9747 \cellx9639\pard 
\ql \li0\ri0\sb120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 Do you wish to apply for a mobility grant to assist towards the additional costs of your study period abroad?     Yes }
{\field\flddirty\fldpriv{\*\fldinst {\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{\fs16\lang2057\langfe1044\langnp2057 {\*\datafield 65000000140000000a41766d65726b696e673700000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20
{\*\ffname Avmerking7}\ffdefres0}}}}{\fldrslt }}{\fs22\lang2057\langfe1044\langnp2057      No }{\field\flddirty\fldpriv{\*\fldinst {\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{\fs16\lang2057\langfe1044\langnp2057 {\*\datafield 
65000000140000000a41766d65726b696e673700000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Avmerking7}\ffdefres0}}}}{\fldrslt }}{\fs22\lang2057\langfe1044\langnp2057 
\par  If Yes, which grant?          ERASMUS   }{\field\flddirty\fldpriv{\*\fldinst {\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{\fs16\lang1031\langfe1044\langnp1031 {\*\datafield 65000000140000000a41766d65726b696e673700000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Avmerking7}\ffdefres0}}}}{\fldrslt }}{\fs22\lang2057\langfe1044\langnp2057       NORDLYS  }{\field\flddirty\fldpriv{\*\fldinst {\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{
\fs16\lang1031\langfe1044\langnp1031 {\*\datafield 65000000140000000a41766d65726b696e673700000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Avmerking7}\ffdefres0}}}}{\fldrslt }}{\fs22\lang2057\langfe1044\langnp2057 
     NORDPLUS  }{\field\flddirty\fldpriv{\*\fldinst {\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{\fs16\lang1031\langfe1044\langnp1031 {\*\datafield 65000000140000000a41766d65726b696e673700000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Avmerking7}\ffdefres0}}}}{\fldrslt }}{\fs22\lang2057\langfe1044\langnp2057                                                                  
\par                                        ARKHANGELSK }{\field\flddirty\fldpriv{\*\fldinst {\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{\fs16\lang1031\langfe1044\langnp1031 {\*\datafield 
65000000140000000a41766d65726b696e673700000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Avmerking7}\ffdefres0}}}}{\fldrslt }}{\fs16\lang2057\langfe1044\langnp2057                  }{
\fs22\lang2057\langfe1044\langnp2057 N2N  }{\field\flddirty\fldpriv{\*\fldinst {\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{\fs16\lang1031\langfe1044\langnp1031 {\*\datafield 65000000140000000a41766d65726b696e673700000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Avmerking7}\ffdefres0}}}}{\fldrslt }}{\fs22\lang2057\langfe1044\langnp2057          BARENTSPLUS   }{\field\flddirty\fldpriv{\*\fldinst {\fs16\lang2057\langfe1044\langnp2057  FORMCHECKBOX }{
\fs16\lang1031\langfe1044\langnp1031 {\*\datafield 65000000140000000a41766d65726b696e673700000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Avmerking7}\ffdefres0}}}}{\fldrslt }}{\fs22\lang2057\langfe1044\langnp2057 

\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 \trowd \trgaph108\trleft-108\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl
\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth9747 \cellx9639\row }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\fs22\lang2057\langfe1044\langnp2057 
\par 
\par }\trowd \trgaph107\trleft-107\trftsWidth1\trpaddl107\trpaddr107\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrnone \clbrdrr\brdrdot\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4502 \cellx4395\clvertalt\clbrdrt
\brdrs\brdrw15 \clbrdrl\brdrdot\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth5244 \cellx9639\pard \ql \li0\ri0\sb120\sa120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\b\fs22\lang2057\langfe1044\langnp2057 SENDING INSTITUTION }{\fs22\lang2057\langfe1044\langnp2057 \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 \trowd 
\trgaph107\trleft-107\trftsWidth1\trpaddl107\trpaddr107\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrnone \clbrdrr\brdrdot\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4502 \cellx4395\clvertalt\clbrdrt\brdrs\brdrw15 
\clbrdrl\brdrdot\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth5244 \cellx9639\row }\trowd \trgaph107\trrh252\trleft-107\trftsWidth1\trpaddl107\trpaddr107\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl
\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrdot\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4502 \cellx4395\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrdot\brdrw10 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth5244 
\cellx9639\pard \ql \li0\ri0\sa120\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 Name : University of Troms\'f8 \cell Name : University of Troms\'f8 \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 \trowd \trgaph107\trrh252\trleft-107\trftsWidth1\trpaddl107\trpaddr107\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw15 
\clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrdot\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4502 \cellx4395\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrdot\brdrw10 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth5244 \cellx9639\row }\trowd 
\trgaph107\trrh866\trleft-107\trftsWidth1\trpaddl107\trpaddr107\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrdot\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4502 \cellx4395\clvertalt\clbrdrt
\brdrdot\brdrw10 \clbrdrl\brdrdot\brdrw10 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth5244 \cellx9639\pard \qr \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 

\par }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 Departmental coordinator\rquote s signature
\par 
\par 
\par }{\fs20\lang1024\langfe1024\noproof {\shp{\*\shpinst\shpleft2186\shptop23\shpright3446\shpbottom563\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz1\shplid1027
{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn lTxid}{\sv 131072}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \pard\plain 
\s23\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs20\lang1044\langfe1044\cgrid\langnp1044\langfenp1044 {stamp
\par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8193\dptxbx\dptxlrtb{\dptxbxtext\pard\plain \s23\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs20\lang1044\langfe1044\cgrid\langnp1044\langfenp1044 {stamp
\par }}\dpx2186\dpy23\dpxsize1260\dpysize540\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\fs22\lang2057\langfe1044\langnp2057          }{\field{\*\fldinst {
\fs22\lang2057\langfe1044\langnp2057  FORMTEXT }{\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 00002300000000000754656b7374333400000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen35{\*\ffname Tekst34}}}}}{\fldrslt {
\fs22\lang1024\langfe1024\noproof\langnp2057 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\fs22\lang2057\langfe1044\langnp2057                               \cell 
\par Student Mobility Coordinator\rquote s signature
\par }{\fs22 Magdalena Brekke
\par 
\par 
\par }{\fs20\lang1024\langfe1024\noproof {\shp{\*\shpinst\shpleft2903\shptop23\shpright4163\shpbottom563\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz2\shplid1028
{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn lTxid}{\sv 196608}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \pard\plain 
\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1044\langfe1044\cgrid\langnp1044\langfenp1044 {\fs20 stamp
\par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8194\dptxbx\dptxlrtb{\dptxbxtext\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1044\langfe1044\cgrid\langnp1044\langfenp1044 {\fs20 stamp
\par }}\dpx2903\dpy23\dpxsize1260\dpysize540\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\fs22           }{\field{\*\fldinst {\fs22  FORMTEXT }{
\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 00002300000000000754656b7374333500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen35{\*\ffname Tekst35}}}}}{\fldrslt {\fs22\lang1024\langfe1024\noproof\langnp2057 \u8194\'20\u8194\'20
\u8194\'20\u8194\'20\u8194\'20}}}{\fs22 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22 \trowd \trgaph107\trrh866\trleft-107\trftsWidth1\trpaddl107\trpaddr107\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt
\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrdot\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4502 \cellx4395\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrdot\brdrw10 \clbrdrb\brdrdot\brdrw10 \clbrdrr\brdrs\brdrw15 
\cltxlrtb\clftsWidth3\clwWidth5244 \cellx9639\row }\trowd \trgaph107\trrh395\trleft-107\trftsWidth1\trpaddl107\trpaddr107\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrdot\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth4502 \cellx4395\clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrdot\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth5244 \cellx9639\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22 Date:{\*\bkmkstart Tekst33}}{\field{\*\fldinst {\fs22  FORMTEXT }{\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 
00100f00000000000754656b737433330000000864642f4d4d2f7979000000000000000000}{\*\formfield{\fftype0\fftypetxt2\ffmaxlen15{\*\ffname Tekst33}{\*\ffformat dd/MM/yy}}}}}{\fldrslt {\fs22\lang1024\langfe1024\noproof\langnp2057 \u8194\'20\u8194\'20\u8194\'20
\u8194\'20\u8194\'20}}}{\fs22 {\*\bkmkend Tekst33}\cell }{\fs22\lang2057\langfe1044\langnp2057 Date :{\*\bkmkstart Tekst32}}{\field{\*\fldinst {\fs22\lang2057\langfe1044\langnp2057  FORMTEXT }{\fs22\lang2057\langfe1044\langnp2057 {\*\datafield 
00100f00000000000754656b737433320000000864642f4d4d2f7979000000000000000000}{\*\formfield{\fftype0\fftypetxt2\ffmaxlen15{\*\ffname Tekst32}{\*\ffformat dd/MM/yy}}}}}{\fldrslt {\fs22\lang1024\langfe1024\noproof\langnp2057 \u8194\'20\u8194\'20\u8194\'20
\u8194\'20\u8194\'20}}}{\fs22\lang2057\langfe1044\langnp2057 {\*\bkmkend Tekst32}\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs22\lang2057\langfe1044\langnp2057 \trowd 
\trgaph107\trrh395\trleft-107\trftsWidth1\trpaddl107\trpaddr107\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrdot\brdrw10 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrdot\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4502 \cellx4395\clvertalt\clbrdrt
\brdrdot\brdrw10 \clbrdrl\brdrdot\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth5244 \cellx9639\row }\pard\plain \s9\ql \li0\ri0\keepn\widctlpar\aspalpha\aspnum\faauto\outlinelevel8\adjustright\rin0\lin0\itap0 
\fs28\lang1044\langfe1044\cgrid\langnp1044\langfenp1044 {\lang2057\langfe1044\langnp2057 
\par }}