Mandatory Information for Student Card (X-ica) and Health Care Form

PERSONAL INFORMATION

First name*

Last name*

OIB number * For foreign students OIB number is provided by Croatian Police Administration as a part of temporary stay permit request. If you still haven’t received OIB number, please enter 12345 in this field.

E-mail address *

Date of birth* (DD-MM-YYYY))

Gender*

Male

Female

Citizenship*

Program of Study at RIT Croatia *

RIT Croatia campus *

ADDRESS INFORMATION

Permanent Residence Address – Street and number *

Permanent Residence Postal code *

Permanent Residence City *

Permanent Residence Country *

Temporary Residence Address – Street and number * Students who still do not have a temporary address can fill out this field with:” Address pending”

Temporary Residence Postal code *

Temporary Residence City *

Temporary Residence Country *

PHOTO UPLOAD

Please upload your photo in .JPG format *
(photo should be 3.5 cm x 4.5 cm, portrait style, like the one you use for official ID card or passport)

I hereby confirm that the above mentioned personal data is completely accurate. *

I hereby confirm that I have read the Data Privacy Notice *

By accepting, you give RIT Croatia your consent to use and process your personal data collected for legitimate business purposes only. RIT Croatia will keep your personal information confidential and will not distribute, publish, nor provide this information in any other way to a third party without your prior consent. We maintain physical, electronic and procedural safeguards in accordance with data protection requirements to protect your personal data from unauthorized access or intrusion. You can withdraw this consent at any time by submitting a brief written notice of withdrawal of consent by email to dpo@croatia.rit.edu. Upon submitting this notice, you will no longer receive notifications about RIT Croatia activities.

* - Required fields