Annex 1
Scholarship application
Compensatory support of Erasmus+ mobility
Surname and first name .......................................................................................................
University identification number (UIN)....................................................................................
Field of study…………………………………………Programme (Bachelor’s, Master’s, doctoral)
Destination country .................................................................................................................
Name of the university/institution ............................................................................................
Start date of the study period/internship ..................................................................................
Date of return ..........................................................................................................................
Date................................... Student‘s signature......................................................
Decision of the Vice-Dean: