STAFF MOBILITY FOR TEACHING MOBILITY AGREEMENT 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 2015/2016 E-mail The Sending Institution/Enterprise Name The Police Academy of the Czech Republic in Prague CZ PRAHA06 Faculty/Department Erasmus code (if applicable) Lhotecká 559/7, Country/ CZ Address P.O.BOX 54 Country code 143 01 Praha 4 Mgr. Eva Hanková, Contact person Contact person hankova@polac.cz, Institutional Erasmus+ name and position e-mail / phone 00420 974 828 022 Coordinator Type of enterprise: <250 employees Size of enterprise NACE code (if applicable) >250 employees (if applicable) The Receiving Institution Name Faculty/Department Erasmus code (if applicable) Address Country/ Country code Contact person Contact person name and position e-mail / For guidelines, please look at the end notes on page 3.
STAFF MOBILITY FOR TEACHING MOBILITY AGREEMENT 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 2015/2016 E-mail The Sending Institution/Enterprise Name The Police Academy of the Czech Republic in Prague Erasmus code (if applicable) CZ PRAHA06 Faculty/Department Address Lhotecká 559/7, P.O.BOX 54 143 01 Praha 4 Country/ Country code CZ Contact person name and position Mgr. Eva Hanková, Institutional Erasmus+ Coordinator Contact person e-mail / phone hankova@polac.cz, 00420 974 828 022 Type of enterprise: NACE code (if applicable) 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 / For guidelines, please look at the end notes on page 3.
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