LEARNING AGREEMENT FOR STUDIES The Student Last name (s) First name (s) Date of birth Nationality Sex [M/F] Academic year 20../20.. Subject area, Study cycle Code E-mail Phone The Sending Institution Name Faculty Erasmus code Department (if applicable) Address Country, Country code Contact person Contact person name e-mail / phone The Receiving Institution Name Faculty MEDICINE Università Cattolica del Sacro Cuore Erasmus code I MILANO 03 Department Medicine (if applicable) Largo Francesco Vito, 1 Country, Address IT 00168 ROME Country code Contact person Prof. Federica WOLF Contact person name Dr. Aldo Balzarotti e-mail / phone +39 06 3015 5819 For guidelines, please look at Annex 1, for end notes please look at Annex 2.
LEARNING AGREEMENT FOR STUDIES The Student Last name (s) First name (s) Date of birth Nationality Sex [M/F] Academic year 20../20.. Study cycle Subject area, Code Phone E-mail The Sending Institution Name Faculty Erasmus code (if applicable) Department Address Country, Country code Contact person name Contact person e-mail / phone The Receiving Institution Name Università Cattolica del Sacro Cuore Faculty MEDICINE Erasmus code (if applicable) I MILANO 03 Department Medicine Address Largo Francesco Vito, 1 00168 ROME Country, Country code IT Contact person name Prof. Federica WOLF Dr. Aldo Balzarotti Contact person e-mail / phone +39 06 3015 5819 For guidelines, please look at Annex 1, for end notes please look at Annex 2.