Mobility Agreement Staff Mobility For Teaching Planned period of the teaching activity: from [day/month/year] till [day/month/year] Duration (days) excluding travel days: * – …………………. The teaching staff member Last name (s)* name (s)* Seniority Nationality Sex [M/F] Academic year 20../20.. E-mail *write staff member name ALSO in the heading of the document The Sending Institution/Enterprise Name UNIVERSIDAD POLITÉCNICA DE MADRID Erasmus code E MADRID05 Faculty/Department (if applicable) Address Country/ SPAIN / ES Country code Contact person Alberto Almendra Contact person +34 913366018 name and position e-mail / phone Adjunto al Vicerrector para 7986 Servicios de Internacionalización y Programas de la Unión Europea Type of enterprise: N/A Size of enterprise <250 employees (if applicable) >250 employees The Receiving Institution Name Faculty/Department Erasmus code (if applicable) Address Country/ Country code Contact person Contact person name and position e-mail / phone For guidelines, please look at the end notes on page 3.
Mobility Agreement Staff Mobility For Teaching Planned period of the teaching activity: from [day/month/year] till [day/month/year] Duration (days) – excluding travel days: …………………. * The teaching staff member Last name (s)* name (s)* Seniority Nationality Sex [M/F] Academic year 20../20.. E-mail *write staff member name ALSO in the heading of the document The Sending Institution/Enterprise Name UNIVERSIDAD POLITÉCNICA DE MADRID Erasmus code (if applicable) E MADRID05 Faculty/Department Address Country/ Country code SPAIN / ES Contact person name and position Alberto Almendra Adjunto al Vicerrector para Servicios de Internacionalización y Programas de la Unión Europea Contact person e-mail / phone +34 913366018 7986 Type of enterprise: N/A Size of enterprise (if applicable) <250 employees >250 employees The Receiving Institution Name Faculty/Department Erasmus code (if applicable) Address Country/ Country code Contact person name and position Contact person e-mail / phone For guidelines, please look at the end notes on page 3.
Staff-Mobility-Agreement-teaching-HE-2017-STA-EN.docx