..................................... date of receipt Rector of the University of Zielona Góra in Zielona Góra A P P L I C A T I O N FOR EDUCATIONAL COURSE Please, accept me for the educational course: POLISH LANGUAGE FOR FOREIGNERS Faculty HUMANITARIAN [si-contact-form form='4'] Polish Course. Application form Sex female male (day-month-year) Permanent address (permanent residence) (permanent residence) (permanent residence) (permanent residence) Specify the type of identity document Series and number of identity document Registration number Series und number of the residence card Type of course Semester Intensive (day-month-year) – (day-month-year) Confirm that the data is correct The accuracy of the administration to certify signature. I consent to the processing of my personal data and placing their lists of candidates for studies in accordance with the Law on Personal Data Protection. Dz. U. z 1997 r., nr 133, poz. 883 z późn. zmianami. Read the Policy privacy