Student permit information

Name as shown in passport (including any middle names)

Unique surname/first surname (as shown in passport)

Second surname (if you have one, as shown in passport)

Passport number

NIE number (if you have one)

Gender

Date of birth

Place of birth (as shown in passport)

Country of birth

Nationality

Marital status

Father's name

Mother's name

Address in Spain

Mobile number

E-mail address

Name of the course

Name of the university/academy/centre

Email