Request for Academia Access Family name * First name * Matriculation number * Date of birth * Gender * MaleFemale Postal address Street and number * Postal code and city * Email address of your home university * Home University * University of BernUniversity of NeuchâtelUniversity of Fribourg Agreement * I agree that personal data and grades can be exchanged between the universities of Bern, Neuchâtel and Fribourg and I confirm the correctness of the completed data.