Early registration Registration First name and surname: * Written in majuscule, e.g. AnnaWritten in majuscule, e.g. Kowalska Sex: * WomanManSelect one Date and country of birth: * —Proszę wybrać opcję—01020304050607080910111213141516171819202122232425262728293031Day—Proszę wybrać opcję—010203040506070809101112Month—Proszę wybrać opcję—19501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014Select from the listWritten in majuscule, e.g. Sweden Contact details: * Must contain the @ characterWrite the country code first, e.g. +48 500 400 300 Address in Poland: * I confirm that I live in Poland Street name written in majuscule; house, apartment numbers after a space separated with "/", e.g. Klonowa 45/78 Type inWritten in majuscule, e.g. Vienna Knowledge of Polish language: * Spoken: * noneweakgoodvery goodSelect one Written: * noneweakgoodvery goodSelect one Language skills: * Where and for how long have you been learning Polish? * Type in, e.g. 6 months What languages do you speak? * Type in * Required fields I confirm that I agree to the conditions of participation in the course mentioned in the Information about Open Polish Language Courses offered by the Polonicum and I agree to the processing of my personal data by the “Polonicum” Centre for the purposes of the recruitment process according to the Polish law of August 29, 1997 on the protection of personal data (Dz. U. Nr 133 poz. 883). If you need an invoice, please send the invoice details on the day of payment by e-mail to the address: aj.pieszko@uw.edu.pl
