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Name:

Surname:


E-mail:

Confirm e-mail:

Telephone number:


Birthdate: (dd-mm-yyyy)

Birthplace:


Nationality:

Sex:


Document type:


Document number:

Document expire date: (dd-mm-yyyy)


Permanent address (your country one):



Home University:

Hosting University:


Which degree are you pursuing at Politecnico di Milano?

(e.g., MSc in Mechanical Engineering)

Polimi Matricola number (6 digits, only if you have it):

(e.g., 274629)


Polimi Personal code (8 digits, only if you have it):

(e.g., 10767854)

How long are you staying in Milan?


Upload a picture of yours (not mandatory):

ESN Italy Newsletter:


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