Proposal of Learning Agreement

Proposta di Learning Agreement

(modulo valido solo ai xxxx xxxxx domanda di candidatura)

Proposal of Learning Agreement

(Form to be used only for application to the Erasmus+ Call)

Studente - Student

Cognome - Last name

Nome - First name

Data di nascita

Date of birth

Anno xx xxxxx

Year of study

Corso di laurea

Course of study

Semestre di partenza

Semester of mobility

Università di destinazione - Partner University

Nome

Name of Institution

Codice Erasmus

Erasmus Code

Codice Area

Area Code

Responsabile Accordo Bilateral Agreement Promoter

I. PROGETTO DI STUDI PROPOSTO

Table A: Study programme abroad

Component11 code (if any)	Component title (as indicated in the course catalogue) at the receiving institution	Semester [autumn / spring] [or term]	Number of ECTS credits to be awarded by the receiving institution upon successful completion
			Total: …………

Table B: Group of educational components in the student's degree that would normally be completed at the sending institution and which will be replaced by the study abroad NB no one to one match with Table A is required.

Component code (if any)	Component title (as indicated in the course catalogue) at the sending institution	Semester [autumn / spring] [or term]	Number of ECTS credits
			Total: …………

firma DELLO STUDENTE

firma RAM (Responsabile Accademico della Mobilità)

firma Relatore (solo in caso di mobilità per Tesi)

Data