UNIVERSITY OF VETERINARY MEDICINE AND PHARMACY IN KOSICEKomenskeho 73, 041 81 Košice, Slovak republic

CONFIRMATION OF ERASMUS+ STAFF MOBILITY FOR TRAINING MOBILITY AGREEMENT

PERSONAL DATA OF STAFF MEMBER

Name:

University address:

Department:

University of Veterinary Medicine and Pharmacy in KošiceKomenského 73, 041 81 Košice, Slovak republic

telephone:

e-mail:

DURATION (including travel days) OF STAFF MOBILITYFrom day month year

Until day month year

RECEIVING INSTITUTION´S DATA

Name of Institution:

Post address:Full name of the responsible person:

Post address:

Tel.: e-mail:

Fax:

Signature of staff:

Date :

-----------------------------------------------------------------------------------------------------------------Signature and stamp of the responsible person in the receiving organisation

__________________________________________________________________________________________Komenskeho 73, 041 81 Košice, Slovak RepublicContact person:MVDr. Libuša Bodnárová +421 915 986 672 libusa.bodnarova@uvlf.sk

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__________________________________________________________________________________________Komenskeho 73, 041 81 Košice, Slovak RepublicContact person:MVDr. Libuša Bodnárová +421 915 986 672 libusa.bodnarova@uvlf.sk