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 STUDY/RESEARCH/TRAINING/TEACHING PLAN ACADEMIC YEAR 2012/2013 - FIELD OF STUDY/RESEARCH/TRAINING/TEACHING: ...................................... Name of scholar: ............................................................................................................................................ ..................  Type of mobility: ........................................................................................ (Doctorate exchange, Post-doctorate or Staff) Sending institution: …………………...............................…………………. Country: ……….....................................……………………… Receiving institution: .................................................................... Country: ..................................................................... Please note: Make sur e you choose study/research/trai ning/teaching activi ties of relevance to your field of study/research and/or work at your home university! Make also sure you choose study/r esearch/traini ng/t eaching act ivi ties whi ch are indeed offered at your host university. To be filled in o nly by doctorate exchange students (if courses are planned to be completed): Course unit code ............................... ............................... ............................... ............................... ............................... ............................... ......... Course unit title ...................................................................... ...................................................................... ...................................................................... ................................................... .................. ..................................................................... ...................................................................... ................. Number of ECTS credits ............................................ ............................................ ............................................ ............................................ ............................................ ............................................ ........... To be filled in by doctorate exchange students (if research activities are planned), post-doctorates and staff: Description of planned research/training/teaching activities: Scholar’s signature ........................................................................................................ Date: .......................................................... SENDING INSTITUTION We herewith confirm that the proposed study/research/training/teaching plan is approved and in accordance with the applicant’s field of study/research and/or work. For doctorate student only: The credits earned abroad will be recognized at our university once the doctorate student returns from his/her mobility. Academic Coordinator at Faculty/Department level or supervisor or head of office/department at home university  JoinEU-SEE contact person at home institution (only applicable for TG1 applicants) 1

SRTT Plan(1)

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 STUDY/RESEARCH/TRAINING/TEACHING PLAN

ACADEMIC YEAR 2012/2013 - FIELD OFSTUDY/RESEARCH/TRAINING/TEACHING: ......................................

Name of scholar: ............................................................................................................................................

.................. Type of mobility: ........................................................................................ (Doctorate exchange,Post-doctorate or Staff)

Sending institution: …………………...............................…………………. Country:……….....................................………………………

Receiving institution: ....................................................................Country: .....................................................................

Please note: Make sure you choose study/research/training/teaching activities of relevance to your field of study/research and/or work at your home university! Makealso sure you choose study/research/training/teaching activities which are indeedoffered at your host university.

To be filled in o nly by doctorate exchange students (if courses are planned to becompleted):

Course unit code..........................................................................................................................................................................................

.........

Course unit title..................................................................................................................................................................................................................................................................... .............................................................................................................................................................

.................

Number of ECTS credits........................................................................................................................................................................................................................................................................

...........

To be filled in by doctorate exchange students (if research activities are planned),

post-doctorates and staff:Description of planned research/training/teaching activities:

Scholar’s signature........................................................................................................Date: ..........................................................

SENDING INSTITUTIONWe herewith confirm that the proposed study/research/training/teaching plan is approved andin accordance with the applicant’s field of study/research and/or work. For doctorate studentonly: The credits earned abroad will be recognized at our university once the doctoratestudent returns from his/her mobility.

Academic Coordinator at Faculty/Departmentlevel or supervisor or head of office/departmentat home university

 JoinEU-SEE contact person at homeinstitution (only applicable for TG1applicants)

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 .............................................................................................Date: .....................................................................................

.......................................................................

...........Date: ........................................................................

RECEIVING INSTITUTION (signatures to be obtained after the beginning of mobility)

We confirm that the proposed study/research/training/teaching plan is approved and that theapplicant can fulfil the aims laid down in this document at our institution.

Academic Coordinator or supervisor at hostuniversity

..............................................................................

......Date: ...........................................................................

 JoinEU-SEE contact person at hostuniversity

.......................................................................

.................Date: ..............................................................................

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 CHANGES TO THE STUDY/RESEARCH/TRAINING/TEACHING PLAN, which wasoriginally proposed when applying for JoinEU-SEE: (to be filled in only if appropriate)

To be filled in o nly by doctorate exchange students (if courses are planned to becompleted):

Course unitcode

...............................

...............................

...............................

...............................

Course unit title...............................................

...............................................

...............................................

...............................................

Deleted

course unit

Added

courseunit

ECTS credits.......................

.

........................

........................

........................

To be filled in by doctorate exchange students (if research activities are planned),post-doctorates and staff:

Changes to originally agreed research/training/teaching activities:

Scholar’s signature

........................................................................................................Date: ..........................................................

SENDING INSTITUTIONWe herewith confirm that the proposed study/research/training/teaching plan is approved andin accordance with the applicant’s field of study/research and/or work. For doctorate studentonly: The credits earned abroad will be recognized at our university once the doctoratestudent returns from his/her mobility.

Academic Coordinator at Faculty/Departmentlevel or supervisor or head of office/departmentat home university

................................................................................

...................

 JoinEU-SEE contact person at homeinstitution (only applicable for TG1applicants)

.....................................................................

................

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 Date: ..........................................................................................

Date: ............................................................................

RECEIVING INSTITUTION (signatures to be obtained after the beginning of mobility)We confirm that the proposed study/research/training/teaching plan is approved and that theapplicant can fulfil the aims laid down in this document at our institution.

Academic Coordinator or supervisor at host

university

............................................................................

...................Date: .....................................................................................

 JoinEU-SEE contact person at host university

.........................................................................

.................Date: ................................................................................

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