ࡱ> IKHO.bjbj36䄐e䄐e*....$Rd. :`bbbbbb$K"%Ef``tXl@L0 &4:&&xZ@+4_/n: & :Studium Kultury i Jzyka Polskiego dla Obcokrajowcw, Uniwersytet MikoBaja Kopernika Centre of Polish Language and Culture for Foreigners, Nicolaus Copernicus University ul. Fosa Staromiejska 3, 87-100 ToruD, Poland, skjpo@umk.pl APPLICATION FORM  POLISH COURSES (please fill in capital letters) FIRST NAME:SURNAME:DATE OF BIRTH:PLACE OF BIRTH:SEX: MALE FEMALE FATHER'S NAME:CITIZENSHIP:MOTHER'S NAME:PASSPORT NUMBER:PASSPORT DATE OF ISSUE:PASSPORT EXPIRY DATE: EDUCATIONSecondary (name of school) 91 degree (name of school, faculty)PERMANENT ADDRESSCOUNTRY: CITY/TOWN: STREET: HOUSE NUMBER: POSTAL CODE: E-MAIL ADRRESS: TELEPHONE/FAX NUMBERSPOKEN LANGUAGES: I WOULD LIKE TO TAKE PART IN:2-week summer course (July 18th July 31st, 2023)RESERVATION OF ACCOMMODATION YES NO SINGLE ROOM DOUBLE ROOM Please, indicate the exact date of your arrival in ToruD:MEALS T T  * B ` b J \ ˹}}iZK@h)5CJ_HaJh)5CJ_HaJmHsHhE5CJ_HaJmHsH&h 5B*CJ_HaJmH phsH &h 5B*CJ_HaJmH phsH #h B*CJ_HaJmHphsH+h B*CJOJQJ_HaJmH phsH #h B*CJ_HaJmH phsH )h 5B*CJ\_HaJmH phsH !h 56B*_HmH phsH h B*_HmHphsHT T l ~ Okd$$If0a&b9'44 la $dh$G$Ifa$$xa$$a$$a$ ( * D b SC$_dh$If]_a$Okd$$If0a&b9'44 la $dh$G$Ifa$OkdY$$If0a&b9'44 lab d 6`kd$$IfF V&c i m9'    44 la $dh$G$Ifa$ $dh$Ifa$Okd'$$If0a&b9'44 la     H PE dh$G$IfMkdb$$If0 &C9'44 la $dh$Ifa$ $dh$G$Ifa$:kd$$If&9'9'44 la $dh$G$Ifa$H I J \ ] f g r s \PP $dh$Ifa$:kdD$$If&9'9'44 la $dh$G$Ifa$Mkd$$If0 &C9'44 la $dh$G$Ifa$s t | } $dh$Ifa$ $dh$G$Ifa$Mkd$$If0&. 9'44 la BOkd{$$If0&. 9'44 la $dh$G$Ifa$`kd$$IfF&.O 9'    44 la ( gV$dh$G$Ifa$gdu-:kd%$$If&9'9'44 la $dh$G$Ifa$?kd$$If&9'9'44 laytE$dh$G$Ifa$gdE       $ & ű{iTB{iB{,+h B*CJOJQJ_HaJmH phsH #hB*CJ_HaJmH phsH )hthtB*CJ_HaJmH phsH #hu-B*CJ_HaJmH phsH #hEB*CJ_HaJmH phsH #hB*CJ_HaJmH phsH #h B*CJ_HaJmH phsH &h 5B*CJ_HaJmH phsH &h 5B*CJ_HaJmH phsH &h)5B*CJ_HaJmH phsH #h)B*CJ_HaJmH phsH z|j_ $$G$Ifa$:kd$$If&9'9'44 la $dh$G$Ifa$Mkdl$$If0& 9'44 la>jx~TVvxz|*********,+6+D+J+L+N+P+R++++ŭŭŭŭqqoqŭŭqqŭŭqٛ]#h B*CJ_HaJmH phsH U)h 5B*CJ\_HaJmH phsH )h 5B*CJ\_HaJmH phsH #h B*CJ_HaJmH phsH .h 5B*CJOJQJ_HaJmH phsH &h 5B*CJ_HaJmH phsH &h 5B*CJ_HaJmH phsH #h B*CJ_HaJmHphsH$**P+R+|@<kd$$If[&9'9'44 la<kdu$$If[&9'9'44 la $$G$Ifa$<kd*$$If[&9'9'44 la YES NO CULTURAL PROGRAMME YES NO I CONSIDER MY LEVEL OF POLISH TO BE BEGINNER  INTERMEDIATE  ADVANCED I understand the rules of participation in the course. 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