IACB Villa Aurora - Modulo di iscrizione FAT

Theology Department

Enrollment Form
* required field

N.B. To complete this form, you will need the following documents:
- Identity document
- Academic qualifications
- Motivation letter
- Receipt of payment of the registration fee (€300) or credit card
- Privacy policy and signed release form, downloadable here
Choose course
Academic Year
Name

SurnameName
Address

Street

Indirizzo Riga 2

CityState

Zip codeCountry
Telephone number

Pref. internazionaleNumero di telefono
Mobile

Pref. internazionaleNumero di telefono
Fax

Pref. internazionaleNumero di telefono
E-mail

Confirmation Email
Date of Birth

GiornoMeseAnno
2 digit day, 2 digit month, 4 digit yeardd = day / mm = month / yyyy = 4 digit year
Place of Birth
City / State / Country
Home Country
Nationality
Sex
Mother Language
Other Spoken Languages
Select options using the mouse pointer while pressing the CTRL key on your keyboard.

Choose your MA branch:
- If you are enrolling in a BA this choice is just for statistical purposes;
- If you are enrolling in a MA this indicates your actual choice.
Choose the MA Branch
Housing
Arrival Date

GiornoMeseAnno
2 digit day, 2 digit month, 4 digit year
Note: Students in Italy owning the "tessera sanitaria" must change their doctor and choose one in Firenze. This has to be done at the beginning of the academic year, in September.

Payment Schedule
Specify Payment Schedule
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and I agree to abide by the rules and regulations highlighted in these three documents.

Theology Department