Student
 	Last name(s)	First name(s)	Date of birth	Nationality	Sex [M/F]	Study cycle	Field of education 	

Sending Institution
	Name	Faculty/Department	Address	Country	Contact person name; email; phone	
						
Receiving Institution
 	Name	Faculty/ Department	Address	Country	Contact person name; email; phone	
	Università degli Studi di Firenze	POLITICAL SCIENCE “CESARE ALFIERI”	VIA DELLE PANDETTE 32
I-50127
	ITALY	Prof. Giorgia Bulli
relint@scpol.unifi.it 
0039 (0)55 275 9071	

During the Mobility

 	Exceptional changes to Table A
(to be approved by e-mail or signature by the student, the responsible person in the Sending Institution and the responsible person in the Receiving Institution)	
Table A2
During the mobility	Component code 
(if any)	Component title at the Receiving Institution
(as indicated in the course catalogue) 	Deleted component
[tick if applicable]	Added component
[tick if applicable]	Reason for change	Number of ECTS  credits (or equivalent)	
 	 	 	☒	☐	Choose an item.	 	
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 	Exceptional changes to Table B (if applicable)
(to be approved by e-mail or signature by the student and the responsible person in the Sending Institution)	
Table B2
During the mobility	Component code 
(if any)	Component title at the Sending Institution
(as indicated in the course catalogue) 	Deleted component
[tick if applicable]	Added component
[tick if applicable]	
Number of ECTS credits (or equivalent)	
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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. 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 and STAMP	
Student		
	Student			
Responsible person at the Sending Institution	Prof. Giorgia Bulli	relint@scpol.unifi.it 	HEAD OF INTERNATIONAL RELATIONS			
Responsible person at the Receiving Institution