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

Erasmus+ Outgoing Student
CONFIRMATION OF ARRIVAL	

Annex 3, p.1 	

Please fill in the form and send it to the International Relations Office of Ca’ Foscari University of Venice by email (erasmusout@unive.it)or by fax (+39 041 234 7567). The student has also to hand in  the paper copy to the International Relations Office of Ca’ Foscari University upon his/her return.

Academic year	______________________	Semester	______	Matriculation number (Ca’ Foscari)	__________	
Student’s name	______________________	Student’s surname	_____________________________	
Sending institution	_Università Ca’ Foscari Venezia______________	Country	_Italy_________________	
Number of months of the Erasmus scholarship	_______________________________________________	

HOST INSTITUTION:
Name and full address	
_______________________________________________________________________________________	
_______________________________________________________________________________________	
International Relations Officer – name and surname, tel., fax, email	
_______________________________________________________________________________________	
_______________________________________________________________________________________
	
DATE OF ARRIVAL
at the hosting institution (dd/mm/yyyy):	___________________________________________	

Student’s signature

__________________________________________
	
International Relations Officer
of the host institution: signature and stamp

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