– Teaching Office, Palazzo Vendramin, Dorsoduro 3462, 30123 Venice, Italy –

International Exchange Outgoing Student
LEARNING AGREEMENT	

	

Please fill in the form and send it to the Teaching Office of the Department of Asian and North African Studies by e-mail (mobility.japan@unive.it). 

DETAILS OF THE PROPOSED STUDY PROGRAMME ABROAD/LEARNING AGREEMENT

Academic year	______________________	Semester	______	Matriculation number	__________	
Student’s name	______________________	Student’s surname	_____________________________	
Department	______________________________________________________________________	
Sending institution	_Università Ca’ Foscari Venezia______________	Country	_Italy_________________	

Hosting Institution		Country		

Course unit code	Course unit title	Number of university credits recognized at Ca’ Foscari University	
OC	OC		
EC	EC		
OC	OC		
EC	EC		
OC	OC		
EC	EC		
OC	OC		
EC	EC		
OC	OC		
EC	EC		
OC	OC		
EC	EC		
OC	OC		
EC	EC		
OC = Original Course at the hosting university; EC = Equivalent Course at Ca’ Foscari University.
If necessary, reprint the form and continue the list.

Student’s signature	____________________________	Date (dd/mm/yyyy)	________________________	

SENDING INSTITUTION:
We confirm that the proposed learning agreement is approved.

_______________________________          ___________
Academic contact person’s signature                  Date
                                                                        (dd/mm/yyyy)
	
HOSTING INSTITUTION:
We confirm that the proposed learning agreement is approved.

_______________________________          ___________
Academic contact person’s signature                  Date
                                                                        (dd/mm/yyyy)