Inter-institutional Agreement form for the academic year(s) 20… - 20...

Programme ERASMUS (higher education)

between
(name, ERASMUS ID code of
the institution and EUC
number)

contact person (name,

address, phone, fax, E-mail)

and University of Lodz

(name, ERASMUS ID code of PL LODZ01
the institution and EUC
number) 49245-IC-1-2007-1-PL-ERASMUS-EUCX-1

contact person (name,

Faculty Erasmus Coordinator
address, phone, fax, E-mail)

Prof. Eleonora Bielawska- Batorowicz,

Institutional Erasmus Coordinator,
ebator@uni.lodz.pl

University of Lodz, International Relations Office

65 Narutowicza Str., 90-131 Lodz, Poland
bwz@uni.lodz.pl phone: + 48 42 635 40 37; fax: + 48 635 42 39
full legal name of the institutions in their national languages and ERASMUS ID codes
The above parties confirm that structure and content of study programmes (curricula) have been checked against feasibility to
give the student full academic recognition. Both parties agree to co-operate in the Erasmus activities specified below.
Both parties agree to work according to the principles of the Erasmus University Charter and to facilitate information on any
issue that can facilitate the mobility of students and teaching staff.

Student mobility
ERASMUS subject area Level Country Total number
Code Name UG Post- Doctoral From To Students Student
graduate months
(= sum)

Teaching staff mobility

Subject Area Topic(s) taught (optional) Number of Home Host Duration in Number of
Code staff Country Country number of teaching
weeks hours per
(optional) week
(optional)

Staff training mobility

Subject Home Host Number of
area country country other staff
code mobility
per year

Signatures of the heads responsible for teaching process and/or legal representatives
of both institutions:
Name of institution: Name of institution:
University of Lodz

Name and status of the official representative: Name and status of the official representative:
Prof. dr hab. Zofia Wysokińska
Pro-Rector in Charge of International Relations
Signature: Signature:

Date: Date: