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Ver/Abrir - Biblioteca Digital do IPG - Instituto Politécnico da Guarda

Ver/Abrir - Biblioteca Digital do IPG - Instituto Politécnico da Guarda

Ver/Abrir - Biblioteca Digital do IPG - Instituto Politécnico da Guarda

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ACORDO DE PLANO DE ESTUDOS ECTSLEARNING AGREEMENTOUTGOING STUDENTSANO ACADÉMICO/ACADEMIC YEAR: ______/______DADOS DO ESTUDANTE/ STUDENT’S DATANome/Name:________________________________________________________________Número de identificação/Identification Number:____________________________________Data de nascimento/ Date of birth: __________________Sexo/Gender:_________________Mora<strong>da</strong>/ Address:____________________________________________________________Telefone/Telephone:__________________________Email:___________________________Curso/Degree: ______________________________Ano /Year: _______________________INSTITUIÇÃO DE ENVIO/ SENDING INSTITUTIONNome/Name: <strong>Instituto</strong> Politécnico <strong>da</strong> Guar<strong>da</strong> (P GUARDA01)Mora<strong>da</strong>/Address: Av. Dr. Francisco Sá Carneiro, 50 6300-559 Guar<strong>da</strong> (Portugal)Coordena<strong>do</strong>r Institutional/Institutional Coordinator: _________________________________Email:______________________________________________________________________Coordena<strong>do</strong>r Departamental/Departmental Coordinator: ______________________________Email:______________________________________________________________________INSTITUIÇÃO DE ACOLHIMENTO/HOST INSTITUTIONNome/Name: ________________________________________________________________Mora<strong>da</strong>/Address: _____________________________________________________________Coordena<strong>do</strong>r Institutional/Institutional Coordinator: _________________________________Email:______________________________________________________________________Coordena<strong>do</strong>r Departamental/Departmental Coordinator: ______________________________Email:______________________________________________________________________Perío<strong>do</strong> de Mobili<strong>da</strong>de/ Duration of stay: __________________________________________COMPETÊNCIAS LINGUÍSTICAS / LANGUAGE COMPETENCES(Excelente, Bom, Suficiente, Insuficiente)Língua/Language Leitura / Reading Escrita / Writing Orali<strong>da</strong>de/ Speaking

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