Erasmus Mundus External Cooperation Window

Erasmus Mundus Action 2
One More Step - Mobility Lot 13
Scholarship holders Academic Year 2012-2013
Learning Agreement
and Academic Recognition Agreement
FACULTY………………………
The Beneficiary
Student’s name:
Surname
ADDRESS
Country:
BIRTH DATE
PHONE
E-MAIL
Home University:
_______________________________________________________________
Host University.
_______________________________________________________________
Academic Year: _____/_____
Study field: ________________________
DETAILS OF THE PROPOSED STUDY PROGRAMME ABROAD/LEARNING AGREEMENT
Study Programme in the host Institution
Subject Code
Subject /Course unit title
Credits/ ECTS
Total
Equivalent study Programe in the home Institution (these courses/requirements will be replaced by the courses taken
at the host institution)
Subject Code
Subject
Credits/ ECTS
Total
if necessary, continue the list on a separate sheet
Privacy Disclaimer. Your personal data will be handled for organisational and follow up matters, as requested by the EM Programme and pursuant
to European and the Italian and national laws on privacy (for Italy article 7 and 13 of DLgs n. 196/2003 "Codice in materia di protezione dei dati
personali"). The responsible of data handling are the University of Trento, and hosting and sending Universities.
……………………………………………………………………
Student’s signature:____________________________________ Date:____/____/____
HOME INSTITUTION
We confirm that the above proposed programme of study / learning agreement is approved.
Signature of the responsible person for Mobility at the Home University:
______________________________________________________
Data Date:____/____/____
HOST INSTITUTION
We confirm that the above proposed programme of study / learning agreement is approved.
Signature of the responsible person for Mobility at the Host University:
______________________________________________________
<HOME INSTITUTION>
Data Date:____/____/____
ACADEMIC RECOGNITION AGREEMENT
<HOST INSTITUTION>
We confirm that the proposed programme of
study/learning agreement is approved and all credits can
be transferred back in the student’s course of study at the
home university.
Signed by the responsible for the Academic Recognition at the
Home University)/
Signature of
 the Project Coordinator
 the Chairman of the Examination Committee:
 other Bodies (specify)………………………..
Date:
Signature of the responsible person for the Mobility
at the Host University)
Date:
_______/_____/____
_______/_____/____
Position:
Position:
Name:
Name:
_________________________________________
__________________________________________
Privacy Disclaimer. Your personal data will be handled for organisational and follow up matters, as requested by the EM Programme and pursuant
to European and the Italian and national laws on privacy (for Italy article 7 and 13 of DLgs n. 196/2003 "Codice in materia di protezione dei dati
personali"). The responsible of data handling are the University of Trento, and hosting and sending Universities.
……………………………………………………………………
CHANGES TO ORIGINAL PROPOSED STUDY PROGRAMME/LEARNING AGREEMENT
(to be filled in ONLY if appropriate)
Study Programme in the host Institution
Subject Code
Subject /Course unit title
(as indicated in the information package)
Deleted
course unit
Added
course unit
Credits/
ECTS
Total
if necessary, continue this list on a separate sheet
Student’s signature:____________________________________ Date:____/____/____
HOME INSTITUTION
We confirm that the above-listed changes to the initially agreed programme of study / learning
agreement are approved Signature of the responsible person for Mobility at the Home University:
______________________________________________________
Data Date:____/____/____
HOST INSTITUTION
We confirm that the above-listed changes to the initially agreed programme of study / learning
agreement are approved.
Signature of the responsible person for Mobility at the Host University:
______________________________________________________
Data Date:____/____/____
Privacy Disclaimer. Your personal data will be handled for organisational and follow up matters, as requested by the EM Programme and pursuant
to European and the Italian and national laws on privacy (for Italy article 7 and 13 of DLgs n. 196/2003 "Codice in materia di protezione dei dati
personali"). The responsible of data handling are the University of Trento, and hosting and sending Universities.
……………………………………………………………………

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