Preliminary registration form – part 1/5

A.  Personal data

Please fill in your personal data (obligatory)
First name
Family name
Sex
Date of birth
(in form YYYY-MM-DD; Y – year, M – month, D – day)
Place of birth
Nationality
Citizenship
Pseudo birth code
see http://eprihlaska.zcu.cz/ for explanation
Whole postal address for future communication
IMPORTANT! To this address will be sent an admittance decision
Phone number (incl. country calling code)
Fax number (incl. country calling code)
E-mail address
Mobile phone number (incl. country calling code)