Field of
Study cycle education
Last Date of Sex (applicable for (applicable for
Student/ name(s) First name(s) birth Nationality1 [M/F] students)2 students)3
Lecturer/ Mohamed Ahmed 1998-08- Egyptian M (EQF level 6) 0541:
Researcher 13 Mathematics
(11.1 - 461)
Faculty/
Name Department Address Country Contact person name4; email; phone
Suez Canal Faculty of Science/ 4.5 Km Egypt Mohamed Hosainy, Mr;
Sending University Mathematics the Ring mohamedhosainy.staff@yandex.com;
Institution Road, +20 1221577507
Ismailia
Faculty/
Name Department Address Country Contact person name; email; phone
Vytautas Faculty of K. Lithuania Tomas Mickeviius, Mr;
Magnus Informatics Donelai Tomas.Mickevicius@vdu.lt;
university io str. +370 37 327 978
Receiving 58,
Institution 44248,
Kaunas
Planned period of the mobility: from [August 21-27, 2017] to [January 31, 2018]
Total: 42
1
Conditional Agreement
Commitment
By signing this document, the student/lecturer/researcher, the Sending Institution and the Receiving Institution confirm that they approve
this Agreement and that they will comply with all the arrangements agreed by all parties. The Receiving Institution confirms that the
educational components listed in the programme should be available to the student. The student and the Receiving Institution will
communicate to the Sending Institution any problems or changes regarding the study programme, responsible persons and/or study
period.
Name (s), Last name
Commitment Email Position Date Signature
(s)
Student/
Lecturer/ Ahmed, Mohamed ahmedmohamedon@o Student
Researcher utlook.com
Responsible
person6 at the Prof/ Maha, Soliman maha_soliman@scienc Vice Dean
Sending Institution e.suez.edu.eg
Responsible person
at the Receiving Mr. Tomas, Mickeviius Tomas.Mickevicius@vd Senior Specialist
Institution7 u.lt
2
1 Nationality: country to which the person belongs administratively and that issues
the ID card and/or passport.
2 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).
4 Contact person: person who provides a link for administrative information and
who, depending on the structure of the higher education institution, may be the
departmental coordinator or works at the international relations office or equivalent
body within the institution.
6 Responsible person at the Sending Institution: an academic who has the authority to
approve the Learning Agreement, to exceptionally amend it when it is needed, as well as to
guarantee full recognition of such programme on behalf of the responsible academic body (e.g.
dean, vice-dean or other). The name and email of the Responsible person must be filled in only
in case it differs from that of the Contact person mentioned at the top of the document.
7 Responsible person at the Receiving Institution: the name and email of the Responsible
person must be filled in only in case it differs from that of the Contact person mentioned at the
top of the document.