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
ADDRESS BIRTH DATE E-MAIL Home University: Host University. Academic Year: _____/_____ Students name: Surname Country: PHONE

_______________________________________________________________ _______________________________________________________________
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.

Students 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:

______________________________________________________

Data

Date:____/____/____

<HOME INSTITUTION>

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 students course of study at the home university.
Signed by the responsible for the Academic Recognition at the Home University)/ Signature of the responsible person for the Mobility at the Host University) Date:

Signature of the Project Coordinator the Chairman of the Examination Committee: other Bodies (specify)..
Date:

_______/_____/____

_______/_____/____
Position: Name:

Position: 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

Students 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.