Annex 2 MORE Overseas a.y. 2019/20
(THIS FORM MUST BE FILLED OUT DIGITALLY AND ATTACHED TO THE ON-LINE APPLICATION FORM)
	
I certify that all the information reported on this form is complete and correct.

I, the undersigned: Student ID __________ First name _____________________ Last name _____________________
declare that:
□ I have already received a MORE Overseas grant for a period of study at the University of _______________________
   _______________________________________for a total of ___________ months during the a. y. ________________
□ I have already received a previous grant for Erasmus Study and/or Placement and/or Traineeship offered by:
□ UNIMORE or
□ University of________________________________________________________    for a total of _____________ months during the a.y.  ________________________
□ I do not have received a previous grant for Erasmus Study and/or Placement and/or Traineeship and/or MORE Overseas
□ I have passed the following examinations but they have not yet been registered:

N°	Exam date	Exam/other activity	Mark	      Credits	
1		 	 	 	
2		 	 	 	
3		 	 	 	
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5		 	 	 	

□ I have achieved the First Level Degree in _____________________________________ at the University of ______________________________ obtaining the following final mark_____________ and have passed the following examinations:
N°	Exam date	Exam/other activity	Mark	Semester/Credits	
1		 	 	 	
2		 	 	 	
3		 	 	 	
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□	I have entered n. __________ attachments (including this document) 
□ First level degree obtained at another University; 
□ linguisitic certifications