Last name(s) Date of birth Nationality Sex [M/F] cycle Field of education name(s) Student Faculty/ Name Erasmus code Address Country Contact person name email; phone Department The Programme Country Institution Faculty/ Department Name Address Country Contact person name; email; phone The Partner Country Institution Address; Contact person name; Mentor name; position; Name Department Country Size website position; e-mail; phone e-mail; phone Receiving Organisation < 250 employees > 250 employees Before the mobility Table A- Study Programme at the Receiving Institution Planned period of the mobility: from [month/year] to [month/year] ……………. …………… Number of ECTS credits (or Component code Component title at the Receiving Institution Semester equivalent) to be awarded by the (if any) (as indicated in the course catalogue) Receiving Institution upon successful completion Total: … Web link to the course catalogue at the Receiving Institution describing the learning outcomes: [web link to the relevant information] Table A - Traineeship Programme at the Receiving Organisation Planned period of the mobility: from [month/year] to [month/year] ……………. ……………. Traineeship title: … Number of working per week: Traineeship in digital skills: Yes No ☐ ☐ … Detailed programme of the traineeship:
Student Last name(s) name(s) Date of birth Nationality Sex [M/F] cycle Field of education The Programme Country Institution Name Faculty/ Department Erasmus code Address Country Contact person name email; phone The Partner Country Institution Name Faculty/ Department Address Country Contact person name; email; phone Receiving Organisation Name Department Address; website Country Size Contact person name; position; e-mail; phone Mentor name; position; e-mail; phone < 250 employees > 250 employees Before the mobility Table A- Study Programme at the Receiving Institution Planned period of the mobility: from [month/year] ……………. to [month/year] …………… Component code (if any) Component title at the Receiving Institution (as indicated in the course catalogue) Semester Number of ECTS credits (or equivalent) to be awarded by the Receiving Institution upon successful completion Total: … Web link to the course catalogue at the Receiving Institution describing the learning outcomes: [web link to the relevant information] Table A - Traineeship Programme at the Receiving Organisation Planned period of the mobility: from [month/year] ……………. to [month/year] ……………. Traineeship title: … Number of working per week: … Traineeship in digital skills: Yes ☐ No ☐ Detailed programme of the traineeship:
166148_II.6-Annex-HE_INTL-combined_template-between-programme-and-partner-countrie.docx