LEARNING AGREEMENT FOR STUDIES The Student Last name(s) xxx First name(s) xxx Date of birth xxx Nationality xxx Sex [M/F] xxx Academic year xxx Subject area, Study cycle xxx xxx Code Phone xxx E-mail xxx The Sending Institution Name Faculty xxx xxx Department xxx xxx Erasmus code Address Country, xxx xxx Country code Contact person Contact person xxx xxx e-mail / phone name The Receiving Institution ŠKODA AUTO Faculty --- Name University Erasmus code Department CZ MLADA01 --- (if applicable) Na Karmeli 1457, Address Country, 293 01 Mladá Czech Republic, CZ Country code Boleslav bukovanova@is.savs.cz Barbora Contact person Contact person Bukovanová +420 326 823 003 name e-mail / phone For guidelines, please look at Annex 1, for end notes please look at Annex 2. Section to be completed BEFORE THE MOBILITY I. PROPOSED MOBILITY PROGRAMME Planned period of the mobility: from DD/MM/YYYY till DD/MM/YYYY Table A: Study programme abroad
LEARNING AGREEMENT FOR STUDIES The Student Last name(s) xxx First name(s) xxx Date of birth xxx Nationality xxx Sex [M/F] xxx Academic year xxx Study cycle xxx Subject area, Code xxx Phone xxx E-mail xxx The Sending Institution Name xxx Faculty xxx Erasmus code xxx Department xxx Address xxx Country, Country code xxx Contact person name xxx Contact person e-mail / phone xxx The Receiving Institution Name ŠKODA AUTO University Faculty --- Erasmus code (if applicable) CZ MLADA01 Department --- Address Na Karmeli 1457, 293 01 Mladá Boleslav Country, Country code Czech Republic, CZ Contact person name Barbora Bukovanová Contact person e-mail / phone bukovanova@is.savs.cz +420 326 823 003 For guidelines, please look at Annex 1, for end notes please look at Annex 2. Section to be completed BEFORE THE MOBILITY I. PROPOSED MOBILITY PROGRAMME Planned period of the mobility: from DD/MM/YYYY till DD/MM/YYYY Table A: Study programme abroad