Country
Your surname and name, name
of the corporation (organization)
Contact person of the
corporation (organization)
Your education and school
or the educational institutions
Foreign languages which
you can communicate
Your address:
City
Street
House No
Phone/Fax
Your web-site:
Your e-mail:

Information you would like to receive:

Country in which you wish to study  

Educational institution in
which you would like to study    
Speciality (education), which
you would like to opbtain    

Another information:

Terms of obtaining of
the information		   
Language, in which you prefer
to receive the information		   
Another information: