Refugee Form

Name null

Surname null

NIE - Foreigner’s Identification Number null

Contact Email null

Contact Phone

Is your situation regularized?

YES

NO

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Do you have a red or white card?

YES

NO

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Home country

Date of arrival to Euskadi (mm/yyyy)

M

T

W

T

F

S

Municipality (city/town) of residence in Euskadi

What university group do you belong to or do you want to opt for?

Alumnado

Personal docente e investigador

University of origin

In case of students

Specify:

Studies started

Completed courses

In case of teaching and research staff

Specify:

Studies completed

Work experience

Language skills:

Specify:

Spanish

Basic (A)

Intermediate (B)

Advanced (C)

English

Basic (A)

Intermediate (B)

Advanced (C)

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