Forename. Frati Function of the Legal Representative: Xxxxxx Mr/Mrs/Ms [Student name and forename] Date of birth: Nationality: Address: [official address in full] Phone: E-mail: Gender: [Male/Female/Undefined] Academic year: 20../20.. Study cycle: [First cycle/Second cycle/Third cycle/Short cycle/One-cycle study programme] Subject area: [degree in sending institution] Code: [ISCED-F code] Number of completed higher education study years: Student with: ☐ a financial support from Erasmus+ EU funds ☐ a zero-grant ☐ a financial support from Erasmus+ EU funds combined with zero-grant The financial support includes: ☐ special needs support ☐ financial support to student with disadvantaged background Details of the Bank account or card must be uploaded in the Segreteria on-line. Called hereafter “the participant”, of the other part, Have agreed to the Special Conditions and Annexes below which form an integral part of this agreement ("the agreement"): [Key Action 1 – HIGHER EDUCATION] Annex I [Learning Agreement for Erasmus+ mobility for studies/ Learning Agreement for Erasmus+ mobility for traineeships/Learning Agreement for Erasmus+ mobility for studies and for traineeships] Annex II General Conditions Annex III Erasmus Student Charter [It is not compulsory to circulate papers with original signatures for Annex I of this document: scanned copies of signatures and electronic signatures may be accepted, depending on the national legislation or institutional regulations.]
Forename. Title Forename Middle name(s) (Required) Surname Middle name(s) (Required) Surname Maiden name/Previous name (Required) Retirement age Date of birth Maiden name/Previous name (Required) Retirement age Date of birth Nationality How long have you lived in the UK? Current country of residence Are you a UK resident? Permanent right to reside in UK? Yes No Yes No Nationality How long have you lived in the UK? Current country of residence Are you a UK resident? Permanent right to reside in UK? Yes No Yes No Have you ever had a Default or County Court Judgement registered against you? Please provide full details in section 12. Have you ever failed to keep up with payments on a mortgage, loan, credit card etc.? Please provide full details in section 12. Yes No Yes No Have you ever had a Default or County Court Judgement registered against you? Please provide full details in section 12. Have you ever failed to keep up with payments on a mortgage, loan, credit card etc.? Please provide full details in section 12. Yes No Yes No Total no. of adult dependants Total no. of child dependants Ages Ages Total no. of adult dependants Total no. of child dependants Ages Ages For expat borrowers, please detail last UK addresses held. First Applicant Second Applicant Current address Current address Postcode Time at current address Years Months Postcode Time at current address Years Months Occupancy type - i.e. homeowner, renting etc. Occupancy type - i.e. homeowner, renting etc.
Forename. (s)
Forename. Age : .................................. Sex : ................................ Nationality : ................................................................. Home institution : .................................................................................................................................................... Staff position/student year of study at home institution: .......................................................................................... Host institution(s) : ..................................................................................................................................................
Forename. Year/Registration Group: Relationship to Student: □ No □ Yes (if yes, please state below or if possible provide medical documents and details of current medication. This will ensure the school is aware of the requirements for the student) Details:
Forename. Surname ........................................................................... Position ...................................................................................................................................................................................... Department ............................................................................................................................................................................... Fax....................................................................................... Telephone .............................................................................. Email…………………………………………….............................................................................................................................................
Forename. Surname; email address*; Username
Forename. Surname/Family Name Home Address (not Work address) House No./Name Street name Address Line 3 Payroll Number Male Female Nationality DOB (DD/MM/YY) Have you been previously employed by The University of Edinburgh? YES NO Are you a current student at the University of Edinburgh? YES NO
Forename. Surname; email address*; Username, date of last educator update, and date of last relevant profession specific update (where applicable), place of work, educator level/qualifications ( as appropriate) *A PARE system generated email will be sent to the user’s email address inviting them to authentication their account and set an encrypted password.
Forename. Address ……………………………………….………….……..……………...
