Common use of Table C Clause in Contracts

Table C. The Receiving Organisation/Enterprise The Receiving Organisation/Enterprise will provide financial support to the trainee for the traineeship: Yes  No  If yes, amount in EUR/month: …. The Receiving Organisation/Enterprise will provide a contribution in kind to the trainee for the traineeship: Yes  No  If yes, please specify: …. The Receiving Organisation/Enterprise will provide an accident insurance to the trainee? Yes  No  The accident insurance covers: - accidents during travels made for work purposes: Yes  No  - accidents on the way to work and back from work: Yes  No  The Receiving Organisation/Enterprise will provide a liability insurance to the trainee? Yes  No  The Receiving Organisation/Enterprise will provide appropriate support and equipment to the trainee. Upon completion of the traineeship, the Organisation/Enterprise undertakes to issue a Traineeship Certificate within 5 weeks after the end of the traineeship. RESPONSIBLE PERSONS Responsible person15 at the Sending Institution: Name: Position: Phone number: Email: Supervisor16 at the Receiving Organisation/Enterprise: Name: Function: Phone number: Email: COMMITMENT OF THE THREE PARTIES By signing this document, the trainee, the Sending Institution and the Receiving Organisation/Enterprise confirm that they approve the Learning Agreement and that they will comply with all the arrangements agreed by all parties. The trainee and Receiving Organisation/Enterprise will communicate to the Sending Institution any problem or changes regarding the traineeship period. The Sending Institution and the trainee should also commit to what is set out in the Erasmus+ grant agreement. The institution undertakes to respect all the principles of the Erasmus Charter for Higher Education relating to traineeships. The trainee Trainee’s signature Date: The Sending Institution Responsible person’s signature Date: The Receiving Organisation/Enterprise Responsible person’s signature Date: and stamp17 of the organisation Section to be completed DURING THE MOBILITY Table A2 - Exceptional Changes to the Traineeship Programme at the Receiving Organisation/Enterprise (to be approved by e-mail or signature by the student, the responsible person in the Sending Institution and the responsible person in the Receiving Organisation/Enterprise) Planned period of the mobility: from [day/month/year] ….……..…. till [day/month/year] …………… If applicable, planned period(s) of the virtual mobility: from [day/month/year] ……………. to [day/month/year] ……………. Number of working hours per week: Traineeship title: Detailed programme of the traineeship period: Knowledge, skills and competences to be acquired by the trainee at the end of the traineeship (expected Learning Outcomes): Monitoring plan: Evaluation plan: The trainee, the Sending Institution and the Receiving Organisation/Enterprise confirm that the proposed amendments to the mobility programme are approved. CHANGES IN THE RESPONSIBLE PERSON(S), if any: New responsible person in the Sending Institution: Name: Position: Phone number: Email: New responsible person in the Receiving Organisation/Enterprise: Name: Position: Phone number: Email: The trainee Trainee’s signature Date: The Sending Institution Responsible person’s signature Date: The Receiving Organisation/Enterprise Responsible person’s signature Date: and stamp of the organisation Section to be completed AFTER THE MOBILITY Table D TRAINEESHIP CERTIFICATE by the Receiving Organisation/Enterprise Name of the trainee: Name of the Receiving Organisation/Enterprise: Sector of the Receiving Organisation/Enterprise: Address of the Receiving Organisation/Enterprise [street, city, country, phone, e-mail address], website: Start date and end date of the complete traineeship (incl. virtual component, if applicable): from [day/month/year] …………………. to [day/month/year] ………………. Start date and end date of physical mobility: from [day/month/year] …………………. to [day/month/year] ………………. Traineeship title: Detailed programme of the traineeship period including tasks carried out by the trainee: Knowledge, skills (intellectual and practical) and competences acquired (achieved Learning Outcomes): Evaluation of the trainee (to be filled out by the receiving organisation): Date: Name and signature of the Supervisor at the Receiving Organisation/Enterprise and stamp of the organisation: End notes 1 Nationality: Country to which the person belongs administratively and that issues the ID card and/or passport.

Table C. The Receiving Organisation/Enterprise  The Receiving Organisation/Enterprise will provide financial support to the trainee for the traineeship: Yes  ☐ No  ☐ If yes, amount in EUR/month: …. ………………  The Receiving Organisation/Enterprise will provide a contribution in kind to of the trainee for the traineeship: Yes  ☐ No  If yes☐ Ifyes, please specify: ….  The Receiving Organisation/Enterprise will provide an accident insurance insurence to the trainee? trainee (if not provided by the Sending Institution): Yes  ☐ No  ☐ The accident insurance covers: - accidents during travels made for work purposes: Yes  ☐ No  ☐ - accidents on the way to work and back from work: Yes  ☐ No  ☐  The Receiving Organisation/Enterprise will provide a liability insurance to the trainee? trainee (if not provided by the Sending Institution): Yes  ☐ No  ☐ The Receiving Organisation/Enterprise will provide appropriate support and equipment to the trainee. Upon completion of the traineeship, the Organisation/Enterprise undertakes to issue a Traineeship Certificate within 5 weeks after the end of the traineeship. RESPONSIBLE PERSONS Responsible person15 at the Sending Institution: Name: Position: Phone number: Email: Supervisor16 at the Receiving Organisation/Enterprise: Name: Function: Phone number: Email: COMMITMENT OF THE THREE PARTIES By signing this document, the trainee, the Sending Institution and the Receiving Organisation/Enterprise confirm that they approve the Learning Agreement and that they will comply with all the arrangements agreed by all parties. The trainee and Receiving Organisation/Enterprise will communicate to the Sending Institution any problem or changes regarding the traineeship period. The Sending Institution and the trainee should also commit to what is set out in the Erasmus+ grant agreement. The institution undertakes to respect all the principles of the Erasmus Charter for Higher Education relating to traineeships. The trainee Trainee’s signature Date: The Commitment Name Email Position Date Signature Trainee Trainee Responsible person12 at the Sending Institution Responsible person’s signature Date: The Receiving Organisation/Enterprise Responsible person’s signature Date: and stamp17 of the organisation Section to be completed DURING THE MOBILITY Table A2 - Exceptional Changes to the Traineeship Programme Supervisor13 at the Receiving Organisation/Enterprise (to be approved by e-mail or signature by the studentOrganisation , the responsible person in the Sending Institution and the responsible person in the Receiving Organisation/Enterprise) Planned period of the mobility: from [day/month/year] ….……..…. till [day/month/year] …………… If applicable, planned period(s) of the virtual mobility: from [day/month/year] ……………. to [day/month/year] ……………. Number of working hours per week: Traineeship title: Detailed programme of the traineeship period: Knowledge, skills and competences to be acquired by the trainee at the end of the traineeship (expected Learning Outcomes): Monitoring plan: Evaluation plan: The trainee, the Sending Institution and the Receiving Organisation/Enterprise confirm that the proposed amendments to the mobility programme are approved. CHANGES IN THE RESPONSIBLE PERSON(S), if any: New responsible person in the Sending Institution: Name: Position: Phone number: Email: New responsible person in the Receiving Organisation/Enterprise: Name: Position: Phone number: Email: The trainee Trainee’s signature Date: The Sending Institution Responsible person’s signature Date: The Receiving Organisation/Enterprise Responsible person’s signature Date: and stamp of the organisation Section to be completed AFTER THE MOBILITY Table D TRAINEESHIP CERTIFICATE by the Receiving Organisation/Enterprise Name of the trainee: Name of the Receiving Organisation/Enterprise: Sector of the Receiving Organisation/Enterprise: Address of the Receiving Organisation/Enterprise [street, city, country, phone, e-mail address], website: Start date and end date of the complete traineeship (incl. virtual component, if applicable): from [day/month/year] …………………. to [day/month/year] ………………. Start date and end date of physical mobility: from [day/month/year] …………………. to [day/month/year] ………………. Traineeship title: Detailed programme of the traineeship period including tasks carried out by the trainee: Knowledge, skills (intellectual and practical) and competences acquired (achieved Learning Outcomes): Evaluation of the trainee (to be filled out by the receiving organisation): Date: Name and signature of the Supervisor at the Receiving Organisation/Enterprise and stamp of the organisation: End notes Academic Year 2021/2022 1 Nationality: Country to which the person belongs administratively and that issues the ID card and/or passport.

Table C. The Receiving Organisation/Enterprise Institution The Receiving Organisation/Enterprise will provide financial support to the trainee for the traineeship: Yes  ☐ No  ☐ If yes, amount in (EUR/month: …. ): _ _ The Receiving Organisation/Enterprise will provide a contribution in kind to the trainee for the traineeship: Yes  ☐ No  ☐ If yes, please specify: …. The Receiving Organisation/Enterprise will provide an accident insurance to the trainee? trainee (if not provided by the Sending Institution): Yes  ☐ No  ☐ The accident insurance covers: - • accidents during travels made for work purposes: Yes  ☐ No  - ☐ • accidents on the way to work and back from work: Yes  ☐ No  ☐ The Receiving Organisation/Enterprise will provide a liability insurance to the trainee? trainee (if not provided by the Sending Institution): Yes  ☐ No  ☐ The Receiving Organisation/Enterprise will provide appropriate support and equipment to the trainee. Upon completion of the traineeship, the Organisation/Organisation / Enterprise undertakes to issue a Traineeship Certificate to the trainee within 5 weeks 1 month after the end of the traineeship. RESPONSIBLE PERSONS Responsible person15 at the Sending Institution: Name: Position: Phone number: Email: Supervisor16 at the Receiving Organisation/Enterprise: Name: Function: Phone number: Email: COMMITMENT OF THE THREE PARTIES By signing signing13 this document, the trainee, the Sending Institution and the Receiving Organisation/Enterprise confirm that they approve the Learning Agreement and that they will comply with all the arrangements agreed by all parties. The trainee and Receiving Organisation/Enterprise will communicate to the Sending Institution any problem or changes regarding the traineeship period. The Sending Institution and the trainee should also commit to what is set out in the Erasmus+ grant agreement. The institution undertakes to respect all the principles of the Erasmus Charter for Higher Education relating to traineeships. The trainee Trainee’s signature Name: E-mail: Position: Trainee Date: The Sending Institution Signature: Responsible person’s signature Date: The Receiving Organisation/Enterprise Responsible person’s signature Date: and stamp17 of the organisation Section to be completed DURING THE MOBILITY Table A2 - Exceptional Changes to the Traineeship Programme at the Receiving Organisation/Enterprise (to be approved by e-mail or signature by the student, the responsible person in the Sending Institution and the responsible person in the Receiving Organisation/Enterprise) Planned period of the mobility: from [day/month/year] ….……..…. till [day/month/year] …………… If applicable, planned period(s) of the virtual mobility: from [day/month/year] ……………. to [day/month/year] ……………. Number of working hours per week: Traineeship title: Detailed programme of the traineeship period: Knowledge, skills and competences to be acquired by the trainee at the end of the traineeship (expected Learning Outcomes): Monitoring plan: Evaluation plan: The trainee, the Sending Institution and the Receiving Organisation/Enterprise confirm that the proposed amendments to the mobility programme are approved. CHANGES IN THE RESPONSIBLE PERSON(S), if any: New responsible person person14 in the Sending Institution: By signing this document the trainee is also nominated for the participation in the Erasmus+ student mobility for placements program. Name: E-mail: Position: Phone numberDepartmental Erasmus+ SMP Coordinator15 Date: EmailSignature: New responsible person Supervisor16 in the Receiving Organisation/Enterprise: Name: E-mail: Position: Phone number: Email: The trainee Trainee’s signature Date: The Sending Institution Responsible person’s signature DateSignature: The Receiving Organisation/Enterprise Responsible person’s signature Date: and stamp of the organisation Section to be completed AFTER THE MOBILITY Table D TRAINEESHIP CERTIFICATE by the Receiving Organisation/Enterprise Name of the trainee: Name of the Receiving Organisation/Enterprise: Sector of the Receiving Organisation/Enterprise: Address of the Receiving Organisation/Enterprise [street, city, country, phone, e-mail address], website: Start date and end date of the complete traineeship (incl. virtual component, if applicable): from [day/month/year] …………………. to [day/month/year] ………………. Start date and end date of physical mobility: from [day/month/year] …………………. to [day/month/year] ………………. Traineeship title: Detailed programme of the traineeship period including tasks carried out by the trainee: Knowledge, skills (intellectual and practical) and competences acquired (achieved Learning Outcomes): Evaluation of the trainee (to be filled out by the receiving organisation): Date: Name and signature of the Supervisor at the Receiving Organisation/Enterprise and stamp of the organisation: End notes 1 Nationality: Country country to which the person belongs administratively and that issues the ID card and/or passport.

Table C. Receiving Organisation (dear Student, please tick the appropriate box) The Receiving Organisation/Enterprise The Receiving Organisation/Enterprise Organisation will provide financial support to the trainee for the traineeship: Yes  ☒
No  ☐
If yes, amount in (EUR/month): 4th year student: …. 217 EUR/month ☐
5th year student: 267 EUR/month ☐
6th year student: 326 EUR/month ☐
The Receiving Organisation/Enterprise will provide a contribution in kind to the trainee for the traineeship: Yes  No  If yes, please specify: …. The Receiving Organisation/Enterprise will provide an accident insurance to the trainee? Yes  No  The accident insurance covers: - accidents during travels made for work purposes: Yes  No  - accidents on the way to work and back from work: Yes  No  The Receiving Organisation/Enterprise will provide a liability insurance to the trainee? Yes  No  The Receiving Organisation/Enterprise Organisation will provide appropriate support and equipment to the trainee. Upon completion of the traineeship, the Organisation/Enterprise Organisation undertakes to issue a Traineeship Certificate within 5 weeks after the end of the traineeship. RESPONSIBLE PERSONS Responsible person15 at the Sending Institution: Name: Position: Phone number: Email: Supervisor16 at the Receiving Organisation/Enterprise: Name: Function: Phone number: Email: COMMITMENT OF THE THREE PARTIES By signing this document, the trainee, the Sending Institution and the Receiving Organisation/Enterprise Organisation confirm that they approve the Learning Agreement and that they will comply with all the arrangements agreed by all parties. The trainee and Receiving Organisation/Enterprise Organisation will communicate to the Sending Institution any problem or changes regarding the traineeship period. The Commitment Name Email Position Date Signature Trainee Trainee Responsible person5 at the Sending Institution and the trainee should also commit to what is set out in the Erasmus+ grant agreement. The institution undertakes to respect all the principles of the Erasmus Charter for Higher Education relating to traineeships. The trainee Trainee’s signature Date: The Sending Institution Responsible person’s signature Date: The Receiving Organisation/Enterprise Responsible person’s signature Date: and stamp17 of the organisation Section to be completed DURING THE MOBILITY Table A2 - Exceptional Changes to the Traineeship Programme Supervisor6 at the Receiving OrganisationOrganisation Xxxxxxxxx Xx Xxxxx, on behalf of Pr Xxxxx Xxxx xxxxxxxx-xxxxxxxxxxxxx@xxxxxxxx-xxxxxxxxxx.xx Xxxx, Faculty of Health Sciences Xxxxxxxxx Xx Xxxxx, on behalf of Pr Xxxxx Xxxx Electronic signatures are accepted on this document and you are encouraged to use these; an electronic signature can be a scanned signature or a locked PDF signature/Enterprise (to be approved by e-mail or signature by other form of secure signature. After the student, the responsible person in the Sending Institution and the responsible person in the Receiving Organisation/Enterprise) Planned period of the mobility: from [day/month/year] ….……..…. till [day/month/year] …………… If applicable, planned period(s) of the virtual mobility: from [day/month/year] ……………. to [day/month/year] ……………. Number of working hours per week: Traineeship title: Detailed programme of the traineeship period: Knowledge, skills and competences to be acquired by the trainee at the end of the traineeship (expected Learning Outcomes): Monitoring plan: Evaluation plan: The trainee, the Sending Institution and the Receiving Organisation/Enterprise confirm that the proposed amendments to the mobility programme are approved. CHANGES IN THE RESPONSIBLE PERSON(S), if any: New responsible person in the Sending Institution: Name: Position: Phone number: Email: New responsible person in the Receiving Organisation/Enterprise: Name: Position: Phone number: Email: The trainee Trainee’s signature Date: The Sending Institution Responsible person’s signature Date: The Receiving Organisation/Enterprise Responsible person’s signature Date: and stamp of the organisation Section to be completed AFTER THE MOBILITY Mobility Table D TRAINEESHIP CERTIFICATE - Traineeship Certificate by the Receiving Organisation/Enterprise Name of the trainee: Name of the Receiving Organisation/Enterprise: Sector Sorbonne Université – Faculty of the Receiving Organisation/Enterprise: Health Sciences Address of the Receiving Organisation/Enterprise [street: 91 Bd de l’Hôpital, city, country, phone, e-mail address], website: 75013 Paris Start date and end date of the complete traineeship (incl. virtual component, if applicable): traineeship: from [day/month/year] …………………. to [day/month/year] ………………. Start date and end date of physical mobility: from [day/month/year] …………………. to [day/month/year] ………………. .. Traineeship title: Detailed programme of the traineeship period including tasks carried out by the trainee: Knowledge, skills (intellectual and practical) and competences acquired (achieved Learning Outcomes): Evaluation of the trainee (to be filled out by the receiving organisation): trainee: Date: Name and signature of the Supervisor at the Receiving Organisation/Enterprise and stamp of the organisation: End notes 1 Nationality: Country to which the person belongs administratively and that issues the ID card and/or passport.Enterprise:

Table C. Receiving Organisation (dear Student, please tick the appropriate box) The Receiving Organisation/Enterprise The Receiving Organisation/Enterprise Organisation will provide financial support to the trainee for the traineeship: Yes  ☒
No  ☐
If yes, amount in (EUR/month): 4th year student:208.96 EUR/month ☐
5th year student: …. 257.18 EUR/month ☐
6th year student: 313.43 EUR/month ☐
The Receiving Organisation/Enterprise will provide a contribution in kind to the trainee for the traineeship: Yes  No  If yes, please specify: …. The Receiving Organisation/Enterprise will provide an accident insurance to the trainee? Yes  No  The accident insurance covers: - accidents during travels made for work purposes: Yes  No  - accidents on the way to work and back from work: Yes  No  The Receiving Organisation/Enterprise will provide a liability insurance to the trainee? Yes  No  The Receiving Organisation/Enterprise Organisation will provide appropriate support and equipment to the trainee. Upon completion of the traineeship, the Organisation/Enterprise Organisation undertakes to issue a Traineeship Certificate within 5 weeks after the end of the traineeship. RESPONSIBLE PERSONS Responsible person15 at the Sending Institution: Name: Position: Phone number: Email: Supervisor16 at the Receiving Organisation/Enterprise: Name: Function: Phone number: Email: COMMITMENT OF THE THREE PARTIES By signing this document, the trainee, the Sending Institution and the Receiving Organisation/Enterprise confirm that they approve the Learning Agreement and that they will comply with all the arrangements agreed by all parties. The trainee and Receiving Organisation/Enterprise will communicate to the Sending Institution any problem or changes regarding the traineeship period. The Sending Institution and the trainee should also commit to what is set out in the Erasmus+ grant agreement. The institution undertakes to respect all the principles of the Erasmus Charter for Higher Education relating to traineeshipstraineeships (or the principles agreed in the partnership agreement for institutions located in Partner Countries). The trainee Trainee’s signature Date: The Commitment Name Email Position Date Signature Trainee Trainee Responsible person10 at the Sending Institution Responsible person’s signature Date: The Supervisor11 at the Receiving Organisation/Enterprise Responsible person’s signature Date: and stamp17 Organisation Xxxxxxxxx XX XXXXX, on behalf of Pr Xxxxx XXXX xxxxxxxx-xxxxxxxxxxxxx@xxxxxxxx-xxxxxxxxxx.xx Xxxx, Faculty of Medicine Xxxxxxxxx XX XXXXX on behalf of Pr Xxxxx XXXX During the organisation Section to be completed DURING THE MOBILITY Mobility Table A2 - Exceptional Changes to the Traineeship Programme at the Receiving Organisation/Enterprise (to be approved by e-mail or signature by the student, the responsible person in the Sending Institution and the responsible person in the Receiving Organisation/Enterprise) Planned period of the mobility: from [day/month/year] ….……..…. till [day/month/year] …………… If applicable, planned period(s) of the virtual mobility: from [day/month/year] ……………. to [day/month/year] till ……………. Traineeship title: … Number of working hours per week: Traineeship title: … Detailed programme of the traineeship period: Knowledge, skills and competences to be acquired by the trainee at the end of the traineeship (expected Learning Outcomes): Monitoring plan: Evaluation plan: The trainee, After the Sending Institution and the Receiving Organisation/Enterprise confirm that the proposed amendments to the mobility programme are approved. CHANGES IN THE RESPONSIBLE PERSON(S), if any: New responsible person in the Sending Institution: Name: Position: Phone number: Email: New responsible person in the Receiving Organisation/Enterprise: Name: Position: Phone number: Email: The trainee Trainee’s signature Date: The Sending Institution Responsible person’s signature Date: The Receiving Organisation/Enterprise Responsible person’s signature Date: and stamp of the organisation Section to be completed AFTER THE MOBILITY Mobility Table D TRAINEESHIP CERTIFICATE - Traineeship Certificate by the Receiving Organisation/Enterprise Organisation Name of the trainee: Name of the Receiving Organisation/Enterprise: Sector of the Receiving Organisation/Enterprise: Address of the Receiving Organisation/Enterprise [street, city, country, phone, e-mail address], website: Start date and end date of the complete traineeship (incl. virtual component, if applicable): from [day/month/year] …………………. to [day/month/year] ………………. Start date and end date of physical mobilitytraineeship: from [day/month/year] …………………. to [day/month/year] ………………. .. Traineeship title: Detailed programme of the traineeship period including tasks carried out by the trainee: Knowledge, skills (intellectual and practical) and competences acquired (achieved Learning Outcomes): Evaluation of the trainee (to be filled out by the receiving organisation): trainee: Date: Name and signature of the Supervisor at the Receiving Organisation/Enterprise and stamp of the organisation: End notes 1 Nationality: Country to which the person belongs administratively and that issues the ID card and/or passport.

Table C. The Receiving Organisation/Enterprise The Receiving Organisation/Enterprise will provide financial support to the trainee applicant for the traineeship: Yes  ☐ No  ☐ If yes, amount in (EUR/month: …. ): The Receiving Organisation/Enterprise will provide a contribution in kind to the trainee applicant for the traineeship: Yes  ☐ No  ☐ If yes, please specify: …. The Receiving Organisation/Enterprise will provide an accident insurance to the trainee? Yes  No  The accident insurance covers: - accidents during travels made for work purposes: Yes  No  - accidents on the way to work and back from work: Yes  No  The Receiving Organisation/Enterprise will provide a liability insurance to the trainee? Yes  No  The Receiving Organisation/Enterprise will provide appropriate support and equipment to the traineeapplicant. Upon completion of the traineeship, the Organisation/Enterprise undertakes to issue a Traineeship Certificate within 5 weeks after the end of the traineeship. RESPONSIBLE PERSONS Responsible person15 at Accident insurance for the trainee The Receiving Organisation/Enterprise will provide an accident insurance to the applicant (if not provided by the Sending Institution): Yes ☐ No ☐ If yes, the accident insurance covers: Nameaccidents during travels made for work purposes: PositionYes ☐ No ☐ accidents on the way to work and back from work: Phone number: Email: Supervisor16 at the Yes ☐ No ☐ The Receiving Organisation/Enterprise: Name: Function: Phone number: Email: COMMITMENT OF THE THREE PARTIES Enterprise will provide a liability insurance to the applicant (if not provided by the Sending Institution): Yes ☐ No ☐ Commitment By signing this document, the traineeapplicant, the Sending Institution and the Receiving Organisation/Enterprise confirm that they approve the Learning Agreement and that they will comply with all the arrangements agreed by all parties. The trainee applicant and Receiving Organisation/Enterprise will communicate to the Sending Institution any problem or changes regarding the traineeship period. The Sending Institution and the trainee applicant should also commit to what is set out in the Erasmus+ grant agreement. The institution undertakes to respect all the principles of agreed in the Erasmus Charter partnership agreement. With his or her signature, the thesis Director/Mobility coordinator confirms that the stay is appropriate for Higher Education relating to traineeshipsthe study/doctoral programme. The trainee Trainee’s Applicant Name signature Date: The Sending Institution Responsible person’s signature Date: The Receiving Organisation/Enterprise Responsible person’s signature Date: and stamp17 of the organisation Section to be completed DURING THE MOBILITY Table A2 - Exceptional Changes to the Traineeship Programme at the Receiving Organisation/Enterprise (to be approved by e-mail or signature by the student, the responsible Position Applicant Date Responsible person in 7 at the Sending Institution Name Xxxx Xxxxx Xxxxx signature e-mail xxxxx.xx.xxxxxx@xxx.xxx Position Sotsdirector de relacions internacionals Date Supervisor 8 at the receiving organisation /enterprise Name Signature e-mail Position Date 1 Study cycle: Short cycle (EQF level 5) / Bachelor or equivalent first cycle (EQF level 6) / Master or equivalent second cycle (EQF level 7) / Doctorate or equivalent third cycle (EQF level 8). 2 Field of education: The ISCED-F 2013 search tool available at xxxx://xx.xxxxxx.xx/education/tools/isced-f_en.htm should be used to find the ISCED 2013 detailed field of education and training that is closest to the responsible person in the Receiving Organisation/Enterprise) Planned period subject of the mobility: from [day/month/year] ….……..…. till [day/month/year] …………… If applicable, planned period(s) of the virtual mobility: from [day/month/year] ……………. to [day/month/year] ……………. Number of working hours per week: Traineeship title: Detailed programme of the traineeship period: Knowledge, skills and competences degree to be acquired by the trainee at the end of the traineeship (expected Learning Outcomes): Monitoring plan: Evaluation plan: The trainee, the Sending Institution and the Receiving Organisation/Enterprise confirm that the proposed amendments awarded to the mobility programme are approved. CHANGES IN THE RESPONSIBLE PERSON(S), if any: New responsible person in student by the Sending Institution: Name: Position: Phone number: Email: New responsible person in the Receiving Organisation/Enterprise: Name: Position: Phone number: Email: The trainee Trainee’s signature Date: The Sending Institution Responsible person’s signature Date: The Receiving Organisation/Enterprise Responsible person’s signature Date: and stamp of the organisation Section to be completed AFTER THE MOBILITY Table D TRAINEESHIP CERTIFICATE by the Receiving Organisation/Enterprise Name of the trainee: Name of the Receiving Organisation/Enterprise: Sector of the Receiving Organisation/Enterprise: Address of the Receiving Organisation/Enterprise [street, city, country, phone, e-mail address], website: Start date and end date of the complete traineeship (incl. virtual component, if applicable): from [day/month/year] …………………. to [day/month/year] ………………. Start date and end date of physical mobility: from [day/month/year] …………………. to [day/month/year] ………………. Traineeship title: Detailed programme of the traineeship period including tasks carried out by the trainee: Knowledge, skills (intellectual and practical) and competences acquired (achieved Learning Outcomes): Evaluation of the trainee (to be filled out by the receiving organisation): Date: Name and signature of the Supervisor at the Receiving Organisation/Enterprise and stamp of the organisation: End notes 1 Nationality: Country to which the person belongs administratively and that issues the ID card and/or passport.

Table C. The Receiving Organisation/Enterprise The Receiving Organisation/Enterprise will provide financial support to the trainee for the traineeship: Yes  ☐ No  ☐ If yes, amount in (EUR/month: …. ): The Receiving Organisation/Enterprise will provide a contribution in kind to the trainee for the traineeship: Yes  ☐ No  ☐ If yes, please specify: …. The Receiving Organisation/Enterprise will provide an accident insurance to the trainee? Yes  No  The accident insurance covers: - accidents during travels made for work purposes: Yes  No  - accidents on the way to work and back from work: Yes  No  The Receiving Organisation/Enterprise will provide a liability insurance to the trainee? Yes  No  The Receiving Organisation/Enterprise will provide appropriate support and equipment to the trainee. Upon completion of the traineeship, the Organisation/Enterprise undertakes to issue a Traineeship Certificate within 5 weeks after the end of the traineeship. RESPONSIBLE PERSONS Responsible person15 at Accident insurance for the trainee The Receiving Organisation/Enterprise will provide an accident insurance to the trainee (if not provided by the Sending Institution): Yes ☐ No ☐ If yes, the accident insurance covers: Nameaccidents during travels made for work purposes: PositionYes ☐ No ☐ accidents on the way to work and back from work: Phone number: Email: Supervisor16 at the Yes ☐ No ☐ The Receiving Organisation/Enterprise: Name: Function: Phone number: Email: COMMITMENT OF THE THREE PARTIES Enterprise will provide a liability insurance to the trainee (if not provided by the Sending Institution): Yes ☐ No ☐ Commitment By signing this document, the trainee, the Sending Institution and the Receiving Organisation/Enterprise confirm that they approve the Learning Agreement and that they will comply with all the arrangements agreed by all parties. The trainee and Receiving Organisation/Enterprise will communicate to the Sending Institution any problem or changes regarding the traineeship period. The Sending Institution and the trainee should also commit to what is set out in the Erasmus+ grant agreement. The institution undertakes to respect all the principles of the Erasmus Charter for Higher Education relating to traineeshipstraineeships (or the principles agreed in the partnership agreement for institutions located in Partner Countries). The trainee Trainee’s With his or her signature, the thesis Director/Mobility coordinator confirms that the stay is appropriate for the study/doctoral programme. Student/Trainee Name signature Date: The Sending Institution Responsible person’s signature Date: The Receiving Organisation/Enterprise Responsible person’s signature Date: and stamp17 of the organisation Section to be completed DURING THE MOBILITY Table A2 - Exceptional Changes to the Traineeship Programme at the Receiving Organisation/Enterprise (to be approved by e-mail or signature by the student, the responsible Position Student/Trainee Date Responsible person in 8 at the Sending Institution and the responsible person (in the Receiving Organisationcase grade/Enterprisemaster level) Planned period of the mobility: from [day/month/year] ….……..…. till [day/month/year] …………… If applicable, planned period(s) of the virtual mobility: from [day/month/year] ……………. to [day/month/year] ……………. Number of working hours per week: Traineeship title: Detailed programme of the traineeship period: Knowledge, skills and competences to be acquired by the trainee Name Xxxxx xxx Xxxxxx signature e-mail xxxxx.xxx.xxxxxx@xxx.xxx Position Sotsdirector d'internacionalització Date Supervisor 9 at the end of the traineeship (expected Learning Outcomes): Monitoring plan: Evaluation plan: The trainee, the Sending Institution and the Receiving Organisation/Enterprise confirm that the proposed amendments to the mobility programme are approved. CHANGES IN THE RESPONSIBLE PERSON(S), if any: New responsible person in the Sending Institution: Name: Position: Phone number: Email: New responsible person in the Receiving Organisation/Enterprise: Name: Position: Phone number: Email: The trainee Trainee’s signature Date: The Sending Institution Responsible person’s signature Date: The Receiving Organisation/Enterprise Responsible person’s signature Date: and stamp of the receiving organisation Section to be completed /enterprise Name Signature e-mail Position Date AFTER THE MOBILITY Table D TRAINEESHIP CERTIFICATE - Traineeship Certificate by the Receiving Organisation/Enterprise Name of the trainee: Name of the Receiving Organisation/Enterprise: Sector of the Receiving Organisation/Enterprise: Address of the Receiving Organisation/Enterprise [street, city, country, phone, e-mail address], website: Start date and end date of the complete traineeship traineeship: From: to: (incl. virtual component, if applicable): from [day/month/year] …………………. to [) (day/month/year] ………………. Start date and end date of physical mobility: from [day/month/year] …………………. to [day/month/year] ………………. Traineeship title: ) Detailed programme of the traineeship period including tasks carried out by the trainee: trainee Knowledge, skills (intellectual and practical) and competences acquired (achieved Learning Outcomes): ) Evaluation of the trainee (to be filled out by the receiving organisation): Date: Name and signature of the Supervisor at the Receiving Organisation/Enterprise Name signature e-mail Date 1 Study cycle: Short cycle (EQF level 5) / Bachelor or equivalent first cycle (EQF level 6) / Master or equivalent second cycle (EQF level 7) / Doctorate or equivalent third cycle (EQF level 8). 2 Field of education: The ISCED-F 2013 search tool available at xxxx://xx.xxxxxx.xx/education/tools/isced-f_en.htm should be used to find the ISCED 2013 detailed field of education and stamp training that is closest to the subject of the organisation: End notes 1 Nationality: Country degree to which be awarded to the person belongs administratively and that issues student by the ID card and/or passportSending Institution.

Table C. The Receiving Organisation/Enterprise RECEIVING ORGANISATION / ENTERPRISE The Receiving Organisation/Enterprise will provide financial support to the trainee for the traineeship: Yes  🞏 No  🞏 If yes, amount in EUR/month: …. The Receiving Organisation/Enterprise will provide a contribution in kind to the trainee for the traineeship: Yes  🞏 No  🞏 If yes, please specify: …. The Receiving Organisation/Enterprise will provide an accident insurance to the trainee? trainee (if not provided by the Sending Institution): Yes  🞏 No  🞏 The accident insurance covers: - accidents during travels made for work purposes: Yes  ☐ No  🞏 - accidents on the way to work and back from work: Yes  ☐ No  🞏 The Receiving Organisation/Enterprise Organisation will provide a liability insurance to the trainee? trainee (if not provided by the Sending Institution): Yes  🞏 No  🞏 The Receiving Organisation/Enterprise will provide appropriate equipment and support and equipment to the trainee. Upon completion of the traineeship, the Organisationorganisation/Enterprise enterprise undertakes to issue a Traineeship Certificate within 5 weeks after the end of the traineeship. RESPONSIBLE PERSONS Responsible person15 at the Sending Institution: Name: Position: Phone number: Email: Supervisor16 at the Receiving Organisation/Enterprise: Name: Function: Phone number: Email: COMMITMENT OF THE THREE PARTIES By signing this document, the trainee, the Sending Institution and the Receiving Organisation/Enterprise confirm that they approve the Learning Agreement and that they will comply with all the arrangements agreed by all parties. The trainee and Receiving Organisation/Enterprise will communicate to the Sending Institution any problem or changes regarding the traineeship period. The Sending Institution and the trainee should also commit to what is set out in the Erasmus+ grant agreement. The institution undertakes to respect all the principles of the Erasmus Charter for Higher Education relating to traineeships. The trainee Trainee’s signature Date: The Sending Institution Commitment Name Email Position Date Signature Trainee Trainee Responsible person’s signature Date: The person12 at the sending institution Supervisor13 at the Receiving Organisation/Enterprise Responsible person’s signature Date: and stamp17 of the organisation Section to be completed DURING THE MOBILITY Table A2 - Exceptional Changes to the Traineeship Programme at the Receiving Organisation/Enterprise (to be approved by e-mail or signature by the student, the responsible person in the Sending Institution and the responsible person in the Receiving Organisation/Enterprise) Planned period of the mobility: from [day/month/year] ….……..…. till [day/month/year] …………… If applicable, planned period(s) of the virtual mobility: from [day/month/year] ……………. to [day/month/year] ……………. Number of working hours per week: Traineeship title: Detailed programme of the traineeship period: Knowledge, skills and competences to be acquired by the trainee at the end of the traineeship (expected Learning Outcomes): Monitoring plan: Evaluation plan: The trainee, the Sending Institution and the Receiving Organisation/Enterprise confirm that the proposed amendments to the mobility programme are approved. CHANGES IN THE RESPONSIBLE PERSON(S), if any: New responsible person in the Sending Institution: Name: Position: Phone number: Email: New responsible person in the Receiving Organisation/Enterprise: Name: Position: Phone number: Email: The trainee Trainee’s signature Date: The Sending Institution Responsible person’s signature Date: The Receiving Organisation/Enterprise Responsible person’s signature Date: and stamp of the organisation Section to be completed AFTER THE MOBILITY Table D TRAINEESHIP CERTIFICATE by the Receiving Organisation/Enterprise Name of the trainee: Name of the Receiving Organisation/Enterprise: Sector of the Receiving Organisation/Enterprise: Address of the Receiving Organisation/Enterprise [street, city, country, phone, e-mail address], website: Start date and end date of the complete traineeship (incl. virtual component, if applicable): from [day/month/year] …………………. to [day/month/year] ………………. Start date and end date of physical mobility: from [day/month/year] …………………. to [day/month/year] ………………. Traineeship title: Detailed programme of the traineeship period including tasks carried out by the trainee: Knowledge, skills (intellectual and practical) and competences acquired (achieved Learning Outcomes): Evaluation of the trainee (to be filled out by the receiving organisation): Date: Name and signature of the Supervisor at the Receiving Organisation/Enterprise and stamp of the organisation: End notes 1 Nationality: Country to which the person belongs administratively and that issues the ID card and/or passport.MOBILITY

Table C. Receiving Organisation (dear Student, please tick the appropriate box) The Receiving Organisation/Enterprise The Receiving Organisation/Enterprise Organisation will provide financial support to the trainee for the traineeship: Yes  ☒
No  ☐
If yes, amount in (EUR/month): 4th year student:208.96 EUR/month ☐
5th year student: …. 257.18 EUR/month ☐
6th year student: 313.43 EUR/month ☐
The Receiving Organisation/Enterprise will provide a contribution in kind to the trainee for the traineeship: Yes  No  If yes, please specify: …. The Receiving Organisation/Enterprise will provide an accident insurance to the trainee? Yes  No  The accident insurance covers: - accidents during travels made for work purposes: Yes  No  - accidents on the way to work and back from work: Yes  No  The Receiving Organisation/Enterprise will provide a liability insurance to the trainee? Yes  No  The Receiving Organisation/Enterprise Organisation will provide appropriate support and equipment to the trainee. Upon completion of the traineeship, the Organisation/Enterprise Organisation undertakes to issue a Traineeship Certificate within 5 weeks after the end of the traineeship. RESPONSIBLE PERSONS Responsible person15 at the Sending Institution: Name: Position: Phone number: Email: Supervisor16 at the Receiving Organisation/Enterprise: Name: Function: Phone number: Email: COMMITMENT OF THE THREE PARTIES By signing this document, the trainee, the Sending Institution and the Receiving Organisation/Enterprise Organisation confirm that they approve the Learning Agreement and that they will comply with all the arrangements agreed by all parties. The trainee and Receiving Organisation/Enterprise Organisation will communicate to the Sending Institution any problem or changes regarding the traineeship period. The Commitment Name Email Position Date Signature Trainee Trainee Responsible person5 at the Sending Institution and the trainee should also commit to what is set out in the Erasmus+ grant agreement. The institution undertakes to respect all the principles of the Erasmus Charter for Higher Education relating to traineeships. The trainee Trainee’s signature Date: The Sending Institution Responsible person’s signature Date: The Receiving Organisation/Enterprise Responsible person’s signature Date: and stamp17 of the organisation Section to be completed DURING THE MOBILITY Table A2 - Exceptional Changes to the Traineeship Programme Supervisor6 at the Receiving OrganisationOrganisation Xxxxxxxxx Xx Xxxxx, on behalf of Pr Xxxxx Xxxx xxxxxxxx-xxxxxxxxxxxxx@xxxxxxxx-xxxxxxxxxx.xx Xxxx, Faculty of Medicine Xxxxxxxxx Xx Xxxxx, on behalf of Pr Xxxxx Xxxx Electronic signatures are accepted on this document and you are encouraged to use these; an electronic signature can be a scanned signature or a locked PDF signature/Enterprise (to be approved by e-mail or signature by other form of secure signature. After the student, the responsible person in the Sending Institution and the responsible person in the Receiving Organisation/Enterprise) Planned period of the mobility: from [day/month/year] ….……..…. till [day/month/year] …………… If applicable, planned period(s) of the virtual mobility: from [day/month/year] ……………. to [day/month/year] ……………. Number of working hours per week: Traineeship title: Detailed programme of the traineeship period: Knowledge, skills and competences to be acquired by the trainee at the end of the traineeship (expected Learning Outcomes): Monitoring plan: Evaluation plan: The trainee, the Sending Institution and the Receiving Organisation/Enterprise confirm that the proposed amendments to the mobility programme are approved. CHANGES IN THE RESPONSIBLE PERSON(S), if any: New responsible person in the Sending Institution: Name: Position: Phone number: Email: New responsible person in the Receiving Organisation/Enterprise: Name: Position: Phone number: Email: The trainee Trainee’s signature Date: The Sending Institution Responsible person’s signature Date: The Receiving Organisation/Enterprise Responsible person’s signature Date: and stamp of the organisation Section to be completed AFTER THE MOBILITY Mobility Table D TRAINEESHIP CERTIFICATE - Traineeship Certificate by the Receiving Organisation/Enterprise Name of the trainee: Name of the Receiving Organisation/Enterprise: Sector of the Receiving Organisation/Enterprise: Address of the Receiving Organisation/Enterprise [street, city, country, phone, e-mail address], website: Start date and end date of the complete traineeship (incl. virtual component, if applicable): traineeship: from [day/month/year] …………………. to [day/month/year] ………………. Start date and end date of physical mobility: from [day/month/year] …………………. to [day/month/year] ………………. .. Traineeship title: Detailed programme of the traineeship period including tasks carried out by the trainee: Knowledge, skills (intellectual and practical) and competences acquired (achieved Learning Outcomes): Evaluation of the trainee (to be filled out by the receiving organisation): trainee: Date: Name and signature of the Supervisor at the Receiving Organisation/Enterprise and stamp of the organisation: End notes 1 Nationality: Country to which the person belongs administratively and that issues the ID card and/or passport.Enterprise:

Table C. The Receiving Organisation/Enterprise ▪ The Receiving Organisation/Enterprise trainee will provide receive a financial support to the trainee for the his/her traineeship: Yes  ☐ No  ☐ If yes, amount in EUR/month: …. ……………… ▪ The Receiving Organisation/Enterprise trainee will provide receive a contribution in kind to the trainee for the his/her traineeship: Yes  ☐ No  ☐ If yes, please specify: …. The Receiving Organisation/Enterprise will provide an ▪ Is the trainee covered by the accident insurance to (if not provided by the trainee? Sending Institution): Yes  ☐ No  ☐ The accident insurance covers: - accidents during travels made for work purposes: Yes  ☐ No  ☐ - accidents on the way to work and back from work: Yes  ☐ No  The Receiving Organisation/Enterprise will provide ☐ ▪ Is the trainee covered by a liability insurance to the traineeinsurance? Yes  ☐ No  ☐ The Receiving Organisation/Enterprise will provide appropriate support and equipment to the trainee. Upon completion of the traineeship, the Organisation/Enterprise undertakes to issue a Traineeship Certificate within 5 weeks after the end of the traineeship. RESPONSIBLE PERSONS Responsible person15 at Commitment of the Sending Institution: Name: Position: Phone number: Email: Supervisor16 at the Receiving Organisation/Enterprise: Name: Function: Phone number: Email: COMMITMENT OF THE THREE PARTIES three parties Commitment By signing this document, the trainee, the Sending Institution and the Receiving Organisation/Enterprise confirm that they approve the Learning Agreement and that they will comply with all the arrangements agreed by all parties. The trainee and Receiving Organisation/Enterprise will communicate to the Sending Institution any problem or changes regarding the traineeship period. The Sending Institution and the trainee should also commit to what is set out in the Erasmus+ grant agreement. The institution undertakes to respect all the principles of the Erasmus Charter for Higher Education relating to traineeshipstraineeships (or the principles agreed in the partnership agreement for institutions located in Partner Countries). The trainee Trainee’s signature Date: The Commitment Name Email Position Date Signature Trainee Trainee Responsible person11 at the Sending Institution Responsible person’s signature DateSupervisor12 at the Receiving Organisation Part II: During the Mobility Exceptional Major Changes To The Receiving Organisation/Enterprise Responsible person’s signature Date: and stamp17 of the organisation Section to be completed DURING THE MOBILITY Proposed Mobility Programme Table A2 - Exceptional Changes to the Traineeship Programme at the Receiving Organisation/Enterprise (to be approved by e-mail or signature by the student, the responsible person in the Sending Institution and the responsible person in the Receiving Organisation/Enterprise) Planned period of the mobility: from [day/month/year] ….……..…. till to [day/month/year] …………… If applicable, planned period(s) of the virtual mobility: from [day/month/year] ……………. to [day/month/year] ……………. Number of working hours per week: Traineeship title: Detailed programme of the traineeship period: Knowledge, skills and competences to be acquired by the trainee at the end of the traineeship (expected Learning Outcomes): Monitoring plan: Evaluation Evaluating plan: The trainee, Commitment Name Email Position Date Signature Trainee Trainee Responsible person13 at the Sending Institution and the Receiving Organisation/Enterprise confirm that the proposed amendments to the mobility programme are approved. CHANGES IN THE RESPONSIBLE PERSON(S), if any: New responsible person in the Sending Institution: Name: Position: Phone number: Email: New responsible person in the Receiving Organisation/Enterprise: Name: Position: Phone number: Email: The trainee Trainee’s signature Date: The Sending Institution Responsible person’s signature Date: The Receiving Organisation/Enterprise Responsible person’s signature Date: and stamp of the organisation Section to be completed AFTER THE MOBILITY Table D TRAINEESHIP CERTIFICATE by the Receiving Organisation/Enterprise Name of the trainee: Name of the Receiving Organisation/Enterprise: Sector of the Receiving Organisation/Enterprise: Address of the Receiving Organisation/Enterprise [street, city, country, phone, e-mail address], website: Start date and end date of the complete traineeship (incl. virtual component, if applicable): from [day/month/year] …………………. to [day/month/year] ………………. Start date and end date of physical mobility: from [day/month/year] …………………. to [day/month/year] ………………. Traineeship title: Detailed programme of the traineeship period including tasks carried out by the trainee: Knowledge, skills (intellectual and practical) and competences acquired (achieved Learning Outcomes): Evaluation of the trainee (to be filled out by the receiving organisation): Date: Name and signature of the Supervisor Supervisor14 at the Receiving Organisation/Enterprise and stamp of Organisation Part III: After the organisation: End notes 1 Nationality: Country to which the person belongs administratively and that issues the ID card and/or passport.Mobility Traineeship Certificate

Table C. The Receiving Organisation/Enterprise The Receiving Organisation/Enterprise will provide financial support to the trainee for the traineeship: Yes  ☐ No  ☒ If yes, amount in (EUR/month: …. ): The Receiving Organisation/Enterprise will provide a contribution in kind to the trainee for the traineeship: Yes  ☐ No  ☐ If yes, please specify: …. The Receiving Organisation/Enterprise will provide an accident insurance to the trainee? Yes  No  The accident insurance covers: - accidents during travels made for work purposes: Yes  No  - accidents on the way to work and back from work: Yes  No  The Receiving Organisation/Enterprise will provide a liability insurance to the trainee? Yes  No  The Receiving Organisation/Enterprise will provide appropriate support and equipment to the trainee. Upon completion of the traineeship, the Organisation/Enterprise undertakes to issue a Traineeship Certificate within 5 weeks after the end of the traineeship. RESPONSIBLE PERSONS Responsible person15 at Accident insurance for the trainee The Receiving Organisation/Enterprise will provide an accident insurance to the trainee (if not provided by the Sending Institution): Yes ☐ No ☐ If yes, the accident insurance covers: Nameaccidents during travels made for work purposes: PositionYes ☐ No ☐ accidents on the way to work and back from work: Phone number: Email: Supervisor16 at the Yes ☐ No ☐ The Receiving Organisation/Enterprise: Name: Function: Phone number: Email: COMMITMENT OF THE THREE PARTIES Enterprise will provide a liability insurance to the trainee (if not provided by the Sending Institution): Yes ☐ No ☐ Commitment By signing this document, the trainee, the Sending Institution and the Receiving Organisation/Enterprise confirm that they approve the Learning Agreement and that they will comply with all the arrangements agreed by all parties. The trainee and Receiving Organisation/Enterprise will communicate to the Sending Institution any problem or changes regarding the traineeship period. The Sending Institution and the trainee should also commit to what is set out in the Erasmus+ grant agreement. The institution undertakes to respect all the principles of the Erasmus Charter for Higher Education relating to traineeshipstraineeships (or the principles agreed in the partnership agreement for institutions located in Partner Countries). The trainee Trainee’s With his or her signature, the thesis Director/Mobility coordinator confirms that the stay is appropriate for the study/doctoral programme. Student/Trainee Name signature Date: The Sending Institution Responsible person’s signature Date: The Receiving Organisation/Enterprise Responsible person’s signature Date: and stamp17 of the organisation Section to be completed DURING THE MOBILITY Table A2 - Exceptional Changes to the Traineeship Programme at the Receiving Organisation/Enterprise (to be approved by e-mail or signature by the student, the responsible Position Student/Trainee Date Responsible person in 9 at the Sending Institution and the responsible person Name Xxxxxxx Xxx signature e-mail xxxxxxxx.xxxxxxx@xxx.xxx Position Deputy Director for International Relations Date Thesis Director (in the Receiving Organisation/Enterprisecase PhD level) Planned period of the mobility: from [day/month/year] ….……..…. till [day/month/year] …………… If applicable, planned period(sName signature e-mail Position Date Doctoral program coordinator (in case PhD level) of the virtual mobility: from [day/month/year] ……………. to [day/month/year] ……………. Number of working hours per week: Traineeship title: Detailed programme of the traineeship period: Knowledge, skills and competences to be acquired by the trainee Name Signature e-mail Position Date Supervisor 10 at the end of the traineeship (expected Learning Outcomes): Monitoring plan: Evaluation plan: The trainee, the Sending Institution and the Receiving Organisation/Enterprise confirm that the proposed amendments to the mobility programme are approved. CHANGES IN THE RESPONSIBLE PERSON(S), if any: New responsible person in the Sending Institution: Name: Position: Phone number: Email: New responsible person in the Receiving Organisation/Enterprise: Name: Position: Phone number: Email: The trainee Trainee’s signature Date: The Sending Institution Responsible person’s signature Date: The Receiving Organisation/Enterprise Responsible person’s signature Date: and stamp of the receiving organisation Section to be completed /enterprise Name Signature e-mail Position Date AFTER THE MOBILITY Table D TRAINEESHIP CERTIFICATE - Traineeship Certificate by the Receiving Organisation/Enterprise Name of the trainee: Name of the Receiving Organisation/Enterprise: Sector of the Receiving Organisation/Enterprise: Address of the Receiving Organisation/Enterprise [street, city, country, phone, e-mail address], website: Start date and end date of the complete traineeship traineeship: From: to: (incl. virtual component, if applicable): from [day/month/year] …………………. to [) (day/month/year] ………………. Start date and end date of physical mobility: from [day/month/year] …………………. to [day/month/year] ………………. Traineeship title: ) Detailed programme of the traineeship period including tasks carried out by the trainee: trainee Knowledge, skills (intellectual and practical) and competences acquired (achieved Learning Outcomes): ) Evaluation of the trainee (to be filled out by the receiving organisation): Date: Name and signature of the Supervisor at the Receiving Organisation/Enterprise Name signature e-mail Date 1 Study cycle: Short cycle (EQF level 5) / Bachelor or equivalent first cycle (EQF level 6) / Master or equivalent second cycle (EQF level 7) / Doctorate or equivalent third cycle (EQF level 8). 2 Field of education: The ISCED-F 2013 search tool available at xxxx://xx.xxxxxx.xx/education/tools/isced-f_en.htm should be used to find the ISCED 2013 detailed field of education and stamp training that is closest to the subject of the organisation: End notes 1 Nationality: Country degree to which be awarded to the person belongs administratively and that issues student by the ID card and/or passportSending Institution.

Table C. The Receiving Organisation/Enterprise ▪ The Receiving Organisation/Enterprise will provide financial support to the trainee for the traineeship: Yes  ☐ No  ☐ If yes, amount in EUR/month: …. ……………… ▪ The Receiving Organisation/Enterprise will provide a contribution in kind to of the trainee for the traineeship: Yes  ☐ No  If yes☐ Ifyes, please specify: …. ▪ The Receiving Organisation/Enterprise will provide an accident insurance insurence to the trainee? trainee (if not provided by the Sending Institution): Yes  ☐ No  ☐ The accident insurance covers: - accidents during travels made for work purposes: Yes  ☐ No  ☐ - accidents on the way to work and back from work: Yes  ☐ No  ☐ ▪ The Receiving Organisation/Enterprise will provide a liability insurance to the trainee? trainee (if not provided by the Sending Institution): Yes  ☐ No  ☐ The Receiving Organisation/Enterprise will provide appropriate support and equipment to the trainee. Upon completion of the traineeship, the Organisation/Enterprise undertakes to issue a Traineeship Certificate within 5 weeks after the end of the traineeship. RESPONSIBLE PERSONS Responsible person15 at the Sending Institution: Name: Position: Phone number: Email: Supervisor16 at the Receiving Organisation/Enterprise: Name: Function: Phone number: Email: COMMITMENT OF THE THREE PARTIES By signing this document, the trainee, the Sending Institution and the Receiving Organisation/Enterprise confirm that they approve the Learning Agreement and that they will comply with all the arrangements agreed by all parties. The trainee and Receiving Organisation/Enterprise will communicate to the Sending Institution any problem or changes regarding the traineeship period. The Sending Institution and the trainee should also commit to what is set out in the Erasmus+ grant agreement. The institution undertakes to respect all the principles of the Erasmus Charter for Higher Education relating to traineeships. The trainee Trainee’s signature Date: The Commitment Name Email Position Date Signature Trainee Trainee Responsible person12 at the Sending Institution Responsible person’s signature Date: The Receiving Organisation/Enterprise Responsible person’s signature Date: and stamp17 of the organisation Section to be completed DURING THE MOBILITY Table A2 - Exceptional Changes to the Traineeship Programme Supervisor13 at the Receiving Organisation/Enterprise (to be approved by e-mail or signature by the studentOrganisation , the responsible person in the Sending Institution and the responsible person in the Receiving Organisation/Enterprise) Planned period of the mobility: from [day/month/year] ….……..…. till [day/month/year] …………… If applicable, planned period(s) of the virtual mobility: from [day/month/year] ……………. to [day/month/year] ……………. Number of working hours per week: Traineeship title: Detailed programme of the traineeship period: Knowledge, skills and competences to be acquired by the trainee at the end of the traineeship (expected Learning Outcomes): Monitoring plan: Evaluation plan: The trainee, the Sending Institution and the Receiving Organisation/Enterprise confirm that the proposed amendments to the mobility programme are approved. CHANGES IN THE RESPONSIBLE PERSON(S), if any: New responsible person in the Sending Institution: Name: Position: Phone number: Email: New responsible person in the Receiving Organisation/Enterprise: Name: Position: Phone number: Email: The trainee Trainee’s signature Date: The Sending Institution Responsible person’s signature Date: The Receiving Organisation/Enterprise Responsible person’s signature Date: and stamp of the organisation Section to be completed AFTER THE MOBILITY Table D TRAINEESHIP CERTIFICATE by the Receiving Organisation/Enterprise Name of the trainee: Name of the Receiving Organisation/Enterprise: Sector of the Receiving Organisation/Enterprise: Address of the Receiving Organisation/Enterprise [street, city, country, phone, e-mail address], website: Start date and end date of the complete traineeship (incl. virtual component, if applicable): from [day/month/year] …………………. to [day/month/year] ………………. Start date and end date of physical mobility: from [day/month/year] …………………. to [day/month/year] ………………. Traineeship title: Detailed programme of the traineeship period including tasks carried out by the trainee: Knowledge, skills (intellectual and practical) and competences acquired (achieved Learning Outcomes): Evaluation of the trainee (to be filled out by the receiving organisation): Date: Name and signature of the Supervisor at the Receiving Organisation/Enterprise and stamp of the organisation: End notes Academic Year 2022/2023 1 Nationality: Country to which the person belongs administratively and that issues the ID card and/or passport.

Table C. The Receiving Organisation/Enterprise The Receiving Organisation/Enterprise will provide financial support to the trainee for the traineeship: Yes  ☐ No  ☐ If yes, amount in (EUR/month: …. ): The Receiving Organisation/Enterprise will provide a contribution in kind to the trainee for the traineeship: Yes  ☐ No  ☐ If yes, please specify: …. The Receiving Organisation/Enterprise will provide an accident insurance to the trainee? Yes  No  The accident insurance covers: - accidents during travels made for work purposes: Yes  No  - accidents on the way to work and back from work: Yes  No  The Receiving Organisation/Enterprise will provide a liability insurance to the trainee? Yes  No  The Receiving Organisation/Enterprise will provide appropriate support and equipment to the trainee. Upon completion of the traineeship, the Organisation/Enterprise undertakes to issue a Traineeship Certificate within 5 weeks after the end of the traineeship. RESPONSIBLE PERSONS Responsible person15 at Accident insurance for the trainee The Receiving Organisation/Enterprise will provide an accident insurance to the trainee (if not provided by the Sending Institution): Yes ☐ No ☐ If yes, the accident insurance covers: Nameaccidents during travels made for work purposes: PositionYes ☐ No ☐ accidents on the way to work and back from work: Phone number: Email: Supervisor16 at the Yes ☐ No ☐ The Receiving Organisation/Enterprise: Name: Function: Phone number: Email: COMMITMENT OF THE THREE PARTIES Enterprise will provide a liability insurance to the trainee (if not provided by the Sending Institution): Yes ☐ No ☐ Commitment By signing this document, the trainee, the Sending Institution and the Receiving Organisation/Enterprise confirm that they approve the Learning Agreement and that they will comply with all the arrangements agreed by all parties. The trainee and Receiving Organisation/Enterprise will communicate to the Sending Institution any problem or changes regarding the traineeship period. The Sending Institution and the trainee should also commit to what is set out in the Erasmus+ grant agreement. The institution undertakes to respect all the principles of the Erasmus Charter for Higher Education relating to traineeshipstraineeships (or the principles agreed in the partnership agreement for institutions located in Partner Countries). The trainee Trainee’s With his or her signature, the Mobility coordinator confirms that the stay is appropriate for the study programme. Student/Trainee Name signature Date: The Sending Institution Responsible person’s signature Date: The Receiving Organisation/Enterprise Responsible person’s signature Date: and stamp17 of the organisation Section to be completed DURING THE MOBILITY Table A2 - Exceptional Changes to the Traineeship Programme at the Receiving Organisation/Enterprise (to be approved by e-mail or signature by the student, the responsible Position Student/Trainee Date Responsible person in 9 at the Sending Institution (CFIS-UPC) (in case grade/master level) Name Xxxxxxx Xxxxxxx Xxxxxx signature e-mail xxxx.xxxxxxxxxxxx.xxxxxxxxx@xxx.xxx Position Assistant director for international mobility Date Supervisor 10 at the receiving organisation /enterprise Name Signature e-mail Position Date 1 Study cycle: Short cycle (EQF level 5) / Bachelor or equivalent first cycle (EQF level 6) / Master or equivalent second cycle (EQF level 7) / Doctorate or equivalent third cycle (EQF level 8). 2 Field of education: The ISCED-F 2013 search tool available at xxxx://xx.xxxxxx.xx/education/tools/isced-f_en.htm should be used to find the ISCED 2013 detailed field of education and training that is closest to the responsible person in the Receiving Organisation/Enterprise) Planned period subject of the mobility: from [day/month/year] ….……..…. till [day/month/year] …………… If applicable, planned period(s) of the virtual mobility: from [day/month/year] ……………. to [day/month/year] ……………. Number of working hours per week: Traineeship title: Detailed programme of the traineeship period: Knowledge, skills and competences degree to be acquired by the trainee at the end of the traineeship (expected Learning Outcomes): Monitoring plan: Evaluation plan: The trainee, the Sending Institution and the Receiving Organisation/Enterprise confirm that the proposed amendments awarded to the mobility programme are approved. CHANGES IN THE RESPONSIBLE PERSON(S), if any: New responsible person in student by the Sending Institution: Name: Position: Phone number: Email: New responsible person in the Receiving Organisation/Enterprise: Name: Position: Phone number: Email: The trainee Trainee’s signature Date: The Sending Institution Responsible person’s signature Date: The Receiving Organisation/Enterprise Responsible person’s signature Date: and stamp of the organisation Section to be completed AFTER THE MOBILITY Table D TRAINEESHIP CERTIFICATE by the Receiving Organisation/Enterprise Name of the trainee: Name of the Receiving Organisation/Enterprise: Sector of the Receiving Organisation/Enterprise: Address of the Receiving Organisation/Enterprise [street, city, country, phone, e-mail address], website: Start date and end date of the complete traineeship (incl. virtual component, if applicable): from [day/month/year] …………………. to [day/month/year] ………………. Start date and end date of physical mobility: from [day/month/year] …………………. to [day/month/year] ………………. Traineeship title: Detailed programme of the traineeship period including tasks carried out by the trainee: Knowledge, skills (intellectual and practical) and competences acquired (achieved Learning Outcomes): Evaluation of the trainee (to be filled out by the receiving organisation): Date: Name and signature of the Supervisor at the Receiving Organisation/Enterprise and stamp of the organisation: End notes 1 Nationality: Country to which the person belongs administratively and that issues the ID card and/or passport.