Call for financial grants for mobility
 at partner universities for the issue of double degrees.

Application Form
 This application is exempt from revenue stamp under Article 11 of Schedule annexed to Presidential Decree 642/72

Year 2026 

University ID number___________________ 

I, the undersigned ______________________________________________________________________
Citizenship _____________________________ born in __________________________ (City - Country)
On ___/___/_____, residing in (Address) ___________________________________________ N°_____  City____________________________ Postcode___________ Country____________________________                        
Tel._____/______________________ Mobile. _______/_________________________ 
E-mail (legibly in block letters): _________________________________________________________
Tax Code (CODICE FISCALE) / / / /  /  /  /  /  /  /  /  /  /  /  /  /  /

Further contact details (if other than residence) 
Address______________________________________________________________________ N°_____ City________________________________ Postcode ______________  Country____________________
Tel. _____/______________

Apply for

the call for financial grants for mobility at partner universities for the issue of double degrees in 2026: (tick the applicable box)
 to attend courses and take exams/study for the final thesis work obtaining the relevant CFU/ECTS as set out in the annexed Learning Agreement (with activity description and relevant CFU/ECTS to be carried out abroad and recognized at UNIPI) at the partner University for the double qualification
________________________________________________________________________________ 
			 please provide the partner University name

 to carry out a traineeship/final thesis work obtaining the relevant CFU/ECTS as set out in the annexed Learning Agreement (with activity description and relevant CFU/ECTS to be carried out abroad and recognized at UNIPI) at the partner University for double qualification
_________________________________________________________________ 
			please provide the partner university name

To this aim 

Declare

•	to have read the call and fulfil the relevant requirements
•	to have no other mobility grants allocated by the University of Pisa for the same purpose

and (tick the applicable box)

□   to have not benefited from similar financial support/Erasmus grant in the two previous academic years  
□    to have benefited from similar financial support/Erasmus grant in the two previous academic years  

to have been registered in a.y. 2025/2026 for a number of years equal to or less than the standard duration of the Degree Programme  
□  Bachelor’s Degree in _________________________________________________________________

□ Master’s  Degree in ___________________________________________________________________

to have enrolled to the aforementioned Degree Programme in the a.y. _______________________

Undertake

•	to forward the relevant form to inform my Department CAI of any change to the “Learning Agreement- Before the mobility” incurred during mobility 
•	to submit to the relevant CAI the fully completed “Learning Agreement-After the mobility” at the end of the mobility period

The undersigned annexes to the present application form
1. the Learning Agreement - table “Before the mobility” edited and completed with all the relevant signatures  
2. A copy of a valid ID 

Pisa, ________________________   Applicant signature ________________________________________