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Full Name
Date of birth
Nationality
Current address
Permanent address
Phone Number
Cellular
E-mail address
Years of study after the Baccalauréat (including the current academic year)
University or school attended (current academic year)
Higher education qualifications already obtained
Estimated year of graduation
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I wish to do an internship in :
Have you been abroad before
(any stay longer than one month)
If yes: Indicate the countries, the purpose of the trip
(academic exchanges, , tourism ….) and the time spent abroad in each case.
Language abilities :
English
Other languages
Intended departure date
Length of the mission
Please indicate why you wish to do a work placement in the type of mission indicated (particularly if it doesn’t correspond to your current studies).
Type of mission you are looking for
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