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Phone: 0027 (0)21 554 0572
Mobile: 0027 (0)83 542 8511
E-mail: info@4exchange.nl
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Please read the terms and conditions carefully before filling out the application form.
Personal data
Surname:
Name and initials :
Address:
Postal code and town:
Phone number:
E-mail address:
Sex:
gender female
Date of birth :
Nationality:
Contact details for emergencies (parents)
Name and surname:
Country:
Mobile number:
Study data
Name of study and field:
Address university or school:
Year of study:
Contact person university or school:
Phone number contact person:
E-mail address contact person
Internship information
Start date internship
Duration internship
Your preferences regarding work placement:
University's / Education's requirements regarding internship:
Location
Cape Town Port Elizabeth
Either
Background information
Upload CV:
Language knowledge :
Drivers licence:
yes no
Motivation for internship in South Africa:
See this document to write a good motivation letter
Your picture:
Extra information:
Accommodation wishes:
Extra wishes or requests
How did you find 4exchange?
I'm aware of and agree with the 450,- euro's mediaton costs of 4exhange Internships
I agree with the terms and conditions:
Please fill in this form completely and truthfully, we will then handle your request.
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