Student
 	Last name(s)	First name(s)	Date of birth	Nationality	Sex [M/F]	Study cycle	Field of education 	
	----	----	----	----	----	----	----	
Sending Institution
	Name	Faculty/Department	Erasmus code  (if applicable)	Address	Country	Contact person name; email; phone	
	Astrakhan State University	----		Ul. Tatischeva 20a, 414056	Russia	International relations office
Olga Sergeeva
id@asu.edu.ru 
+7-8512-610890  	
Receiving Institution
 	Name	Faculty/ Department	Erasmus code (if applicable)	Address	Country	Contact person name; email; phone	
	Politecnico di Bari		I BARI 05 	Via Amendola n. 126/B – 70125 – Bari, Italy	Italy	International Office –
Rosilda Sammarco
rosilda.sammarco@poliba.it 
+39 041 2348054, 7521	

Before the mobility
	
 	Proposed study programme at the Receiving Institution

Planned period of the mobility: from [month/year] ……March…2017……. to [month/year] ……July…2017……
	
Table A
Before the mobility	Component code
(if any)	Component title at the Receiving Institution
(as indicated in the course catalogue) 	Semester 
[e.g. autumn/spring; term]	Number of ECTS credits (or equivalent) to be awarded by the Receiving Institution upon successful completion	
 	----	----	----	----	
 		----			
		----			

 	 	 	 	Total: ----	

							
The level of language competence  in Russian – Native speaker, Italian – A1, English – B2, [indicate here the language/s of instruction] that the student already has or agrees to acquire by the start of the study period is: A1 ☐     A2 ☐     B1  ☐     B2 ☐     C1 ☐     C2 ☐     Native speaker ☐	

 	Recognition at the Sending Institution
	
Table B
Before the mobility	Component code 
(if any)	Component title at the Sending Institution
(as indicated in the course catalogue) 	Semester 
[e.g. autumn/spring; term]	Number of ECTS credits (or equivalent) to be recognised by the Sending Institution	
 	 	----	----	----	
 	 	----			
 	 	----	 		
					
 	 	 	 	Total: ----	

									
Commitment  
By signing this document, the student, the Sending Institution and the Receiving Institution confirm that they approve the Learning Agreement and that they will comply with all the arrangements agreed by all parties. Sending and Receiving Institutions undertake to apply all the principles of the Erasmus Charter for Higher Education relating to mobility for studies (or the principles agreed in the Inter-Institutional Agreement for institutions located in Partner Countries). The Sending Institution and the student should also commit to what is set out in the Erasmus+ grant agreement. The Receiving Institution confirms that the educational components listed in Table A are in line with its course catalogue and should be available to the student. The Sending Institution commits to recognise all the credits gained at the Receiving Institution for the successfully completed educational components and to count them towards the student's degree as described in Table B. Any exceptions to this rule are documented in an annex of this Learning Agreement and agreed by all parties. The student and the Receiving Institution will communicate to the Sending Institution any problems or changes regarding the study programme, responsible persons and/or study period.	
Commitment	Name	Email	Position	Date	Signature	
Student	----	----	----	----	----	
Responsible person at the Sending Institution	Prof. Nikolay  Khurchak	Nikolay.khurchak@gmail.com 	Study programme Coordinator 	----	----	
Responsible person at the Sending Institution	International relations office	id@asu.edu.ru 	Erasmus+ Scientific Coordinator	----	----	
Responsible person at the Receiving Institution	International Office 	international.cooperation@unive.it-