E-mail this application to sco@du.se
Application for an Erasmus+ stipend
Student’s name
Home address
Date of birth/Civic registration no
e-mail address in Dalarna University
Bank´s name
Clearing no ( including IBAN/SWIFT if not a
Swedish bank)
Bank account number
Receiving university or work place
Period of stay
From (date)
I am interested in an online language
preparation course:
Working language during exchange:
yes □
I have previously been on Erasmus
exchange
yes □
until
no□
no□
Date and student´s signature:
1