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CHARLES UNIVERSITY IN PRAGUE FACULTY OF PHYSICAL EDUCATION AND SPORT APPLICATION FOR ADMISSION | |
| DEGREE | MASTER |
| PROGRAMME | PHYSICAL EDUCATION AND SPORT |
| FORM OF STUDY | FULL-TIME |
| ACADEMIC YEAR | |
| PERSONAL DETAILS | |
| APPLICANT'S FULL NAME (first name and family name) | |
| DATE OF BIRTH | |
| PLACE OF BIRTH | |
| NATIONALITY | |
| PERMANENT ADDRESS | |
| PASSPORT NUMBER | |
| EMAIL ADDRESS | |
| TELEPHONE | |
| DOCTOR'S REPORT ON APPLICANT'S HEALTH AND
PHYSICAL CONDITION
Signature and seal | |
| I declare that
all above mentioned personal data are true and I did not conceal any
important facts.
Date: Applicant's signature | |
| The
application form was received on:
Signature and Institution seal | |