– International Relations Office, Ca’ Foscari University of Venice,
Dorsoduro 3246, 30123 Venice, Italy –

Erasmus+ Outgoing Student
CONFIRMATION OF DEPARTURE	

Please fill in the form and return it to the student, who has to send it to the International Relations Office of Ca’ Foscari University of Venice (erasmusout@unive.it) 

Academic year	2024/2025________	Semester	______	Matriculation number
(Ca’ Foscari)	__________	
Student’s name	______________________	Student’s surname	_____________________________	
Sending institution	Università Ca’ Foscari Venezia (I VENEZIA01)	Country	_Italy_________________	

HOST  INSTITUTION:
Name and full address	
_______________________________________________________________________________________	
_______________________________________________________________________________________	
International Relations Officer – name and surname, email	
_______________________________________________________________________________________	
_______________________________________________________________________________________
	
LAST DAY OF ACTIVITIES
at the host institution (dd/mm/yyyy):	___________________________________________	

Student’s signature

__________________________________________
	
International Relations Officer
of the host institution’s signature

_________________________________________
	
Date (dd/mm/yyyy) ___________________________	 Date (dd/mm/yyyy) __________________________