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

Sending Institution
	Name	Faculty/Department	Erasmus code	Address	Country	Contact person name; email; phone	
	Ivane Javakhishvili Tbilisi State University		N/A	1, Ilia Tchavtchavadze Avenue, 0179	Georgia	Tea Gergedava
tea.gergedava@tsu.ge
+995 32 222 56 79	
Receiving Institution
 	Name	Faculty/ Department	Erasmus code  	Address	Country	Contact person name; email; phone	
	Ca’ Foscari University of Venice, Italy		I  VENEZIA01	Dorsoduro 3246 – 30123 Venice	Italy	International Office international.cooperation@unive.it- 
+39 041 2348054, 7521	

Before the mobility
	
 	Proposed study programme at the Receiving Institution

Planned period of the mobility: from [month/year] ……………. to [month/year] ……………
	
Table A
Before the mobility	Component code
(if any)	Course title at the Receiving Institution
(as indicated in the course catalogue) 	Semester 
[e.g. autumn/spring; term]	Number of ECTS credits (or equivalent) to be awarded by the Receiving Institution upon successful completion	

 	 	 	 	 	

					
 	 	 	 	Total: …	

The level of language competence  in ________     ________                 [indicate here the language/s of instruction] that the student already has or agrees to acquire by the start of the study period is: A1 ☐     A2 ☐     B1  ☐     B2      C1 ☐     C2 ☐     Native speaker ☐	

 	Recognition at the Sending Institution
	
Table B
Before the mobility	Component code 
(if any)	Course title at the Sending Institution
(as indicated in the course catalogue) 	Semester 
[e.g. autumn/spring; term]	Number of ECTS credits (or equivalent) to be recognised by the Sending Institution	

 	 	 	 	 	

					
 	 	 	 	Total: …	

									
Commitment  
By signing this document, the student and the Sending Institution confirm that they approve the Learning Agreement and that they will comply with all the arrangements agreed by all parties. The Sending Institution undertakes to apply all the principles agreed in the Inter-Institutional Agreement. The Sending Institution and the student should also commit to what is set out in the Erasmus+ grant agreement. 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	
Student		
	Student			
Erasmus+ administrative Unit Coordinator at the Sending Institution	Tea Gergedava	tea.gergedava@tsu.ge	Erasmus+ Institutional Coordinator
Head of the Department of Foreign Relations			
Erasmus+ Scientific Coordinator at the Sending Institution	Darejan Gardavadze	darejan.gardavadze@tsu.ge	Head of the Quality Assurance Office of the Faculty of Humanities