DECLARATION SUBSTITUTING CERTIFICATE
(Art. 46 D.P.R. 28.12.2000)
(to be used to replace relevant certificates)
INTERNATIONAL MOBILITY STUDENTS

Name/Surname ………………………………..…………………………………….
Fiscal Code ……………………………………………………………………………
Born in ………………………………………….. on ……………………………………
Residing in…………………………………………………………………………….
Mobile phone number……………………………………………………………….
Email address…………………………………………………………………………
Enrolled in the Bachelor/Master's degree/PhD programme in……………………
……………………………………………………

at Ca’ Foscari University of Venice
REQUESTS
the reimbursement of the following costs incurred (please, specify amount and nature of the expenses):
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

AND

aware of the administrative and penal sanctions set in art. 75 e 76 D.P.R. 28.12.2000, n. 455
DECLARES
Under their responsibility:
that the costs for which the reimbursement is requested were actually incurred by the undersigned during their Erasmus+ mobility for studies in a.y. 2023/2024.

DATE AND PLACE .…..…………………………… 

SIGNATURE…………………………………………