A PROGRAMME OF AN EXCHANGE STAY AT A PARTNER UNIVERSITY




1. Name and surname:




2. Academic degree:



3. Home institution:


a)    University name:

Masaryk University

b)    Faculty:


c)     Department:


d)    E-mail:


e)    Tel. / fax:



4. Profession:




5. Knowledge of foreign     languages:









6. Number of days of the visit:



7. Proposed period of the visit:



8. University, department/institute and name/names of partners to be visited







9. Topics to be discussed, possible lectures to be delivered:










Date:







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