CEEPUS, CIII-AT-0037

Förderungsende: 31.07.2018 Zl.: ICM-2017-10668

Data Sheet
Name Olivera CIKUSA
Nationality SERBIA
Date of birth 15.10.1992

Private address
Private address
Phone private
Email private

Official address
Official address
Phone official
Email official

Under which address do you want to be contacted?

Private address Official address

Expected profession in your

home country
Expected date of your return
to your home country
I agree that my name, my nationality, my home institution and project-related data (title/contents of the supported
project, name of the host institution and of the academic supervisor, duration and amount of the scholarship) can be
published in publications and on the website of the OeAD to promote the scholarship programme and to disseminate
the supported project results.
Moreover I agree that my name, my nationality, my contact data and my project data (except financial data) will be
forwarded to the Federal Ministry for European and International Affairs including the Austrian representative
authorities and to the Austrian Chamber of Commerce and their foreign trade offices for follow-up purposes (e.g.
invitations to events) and for getting in contact (e.g. for project/cooperation enquiries). (please delete if not applicable)

______________________________________________
(Olivera CIKUSA)
date, signature

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