Name of activity:


Date of activity:
Year: From month: From day: To month: To day:
(Note: Only numbers, for example use 2 for February and not 02)

Location of activity(School, City, Country):

Applicant (First Name, School, City, Country):

Summary and evaluation of mobility (max 200 words)


Sincerely yours
Olle Persson
Research school leader