Please enable JavaScript in your browser to complete this form.Personal DetailsFirst nameLast nameDNI-NIE(for applicants from Spain) or passport number (for applicants from other countries)Home Address (copia)Street AddressAddress Line 2CityState / Province / RegionPostal / Zip CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsPhoneEmail *Previous ParticipationIf you received a mobility grant under Erasmus+ (Action KA107 or International Credit Mobility), indicate country, university and duration of mobility in months. Previous ParticipationMobility for which you are applying nowType of MobilityTeachingTrainingTeaching and trainingSending InstitutionUniversidad Autónoma de MadridUniversidad Carlos III de MadridUniversitat Autònoma de BarcelonaUniversitat Pompeu FabraUniversity of BotswanaBotswana International University of Science and TechnologyUniversity of NamibiaNamibia University of Science and TechnologyUniversity of PretoriaUniversity of the WitwatersrandStellenbosch UniversityUniversity of Cape TownUniversity of Western CapeUniversity of the Free StateUniversity of NairobiKenyatta UniversityAddis Ababa UniversityWolaita Sodo UniversityÉcole Nationale Supérieure de Statistique et d'Economie Appliquée (ENSEA)University of TehranAllameh Tabataba'i UniversityAmirkabir University of TechnologyIsfahan University of TechnologyJawaharlal Nehru University, DelhiIndian Institute of Science of BangaloreIndian Institute of Technology, MadrasIndian Institute of Technology, BombayIndian Institute of Technology of DelhiSymbiosis International University, PuneUniversitas IndonesiaInstitute of Technology of BandungUniversitas Gadjah MadaUniversitas AirlanggaBINUS UniversityTelkom UniversityUniversitas Muhammadiyah Yogyakarta University of MalayaUniversiti Teknologi MalaysiaUniversiti Putra MalaysiaUniversiti Sains Malaysia Vietnam National University in Ho Chi Minh CityVietnam National University in HanoiHanoi University of Science and TechnologyUniversity of HanoiRMIT VietnamLomonosov Moscow State UniversityHigher School of EconomicsRANEPANorth-West Institute of Management, Branch of RANEPA (St. Petersburg)Russian State University for the HumanitiesSt. Petersburg State Polytechnic UniversityMoscow Power Engineering InstituteSouthern Federal UniversityChulalongkorn UniversityMahidol UniversityThammasat UniversityKhon Kaen UniversityFaculty and/or DepartmentReceiving InstitutionUniversidad Autónoma de MadridUniversidad Carlos III de MadridUniversitat Autònoma de BarcelonaUniversitat Pompeu FabraUniversity of BotswanaBotswana International University of Science and TechnologyUniversity of NamibiaNamibia University of Science and TechnologyUniversity of PretoriaUniversity of the WitwatersrandStellenbosch UniversityUniversity of Cape TownUniversity of Western CapeUniversity of the Free StateUniversity of NairobiKenyatta UniversityAddis Ababa UniversityWolaita Sodo UniversityEcole Nationale Superieure de Statistique et d'Economie AppliquéeJawaharlal Nehru University, DelhiIndian Institute of Science of BangaloreIndian Institute of Technology, MadrasIndian Institute of Technology of DelhiIndian Institute of Technology, BombaySymbiosis International University, PuneUniversitas IndonesiaInstitute of Technology of BandungUniversitas Gadjah MadaUniversitas AirlanggaBINUS UniversityTelkom UniversityUniversitas Muhammadiyah YogyakartaUniversity of MalayaUniversiti Teknologi MalaysiaUniversiti Putra MalaysiaUniversiti Sains MalaysiaVietnam National University in Ho Chi Minh CityVietnam National University in HanoiHanoi University of Science and TechnologyRMIT VietnamUniversity of HanoiChulalongkorn UniversityMahidol UniversityThammasat UniversityKhon Kaen UniversityReceiving Faculty and/or DepartmentMobility Start DateMobility End Date Disadvantaged backgroundA4U welcomes applications from participants with fewer opportunities as per Erasmus+ guide, see p. 7, available on https://alliance4universities.eu/en/mobility-scholarships/. Briefly describe your situation in the field below and your sending institution will be asked for confirmation.Disadvantaged backgroundDocuments to attachMobility Agreement Click or drag a file to this area to upload. Abridged CV Click or drag a file to this area to upload. Privacy statement *I agree for my personal data to be transferred to ASOCIACIÓN ALIANZA 4 UNIVERSIDADES C/Madrid, 126, Getafe, España, CIF G85674653, for the purpose of processing applications for and managing Erasmus+ International Credit mobility grants.Submit
