Certificate of Departure/Stay

ERASMUS+ Programme
Students Mobility
Certificado de saída-Departure/Stay Certificate
ACADEMIC YEAR 20___/ 20___
It is hereby certified that __________________________________________ (name of the
student), a student from the University of the Azores, has been an Erasmus Student at
_________________________________________________ (name of the host Institution),
between _____/_____/_____ and _____/_____/_____ (day / month / year), in the
Department / Faculty of ____________________________________________.
Name of the signatory: ________________________________________________________
Function: ____________________________________________________________________
______________________
______________________________________
(Date)
(Stamp and Signature)
GRE – Gabinete de Relações Externas
Edifício da Reitoria; Rua da Mãe de Deus; 9500-321 Ponta Delgada
Tel.: +351 296 650 406/800/ Fax: +351 296 650 005; E-mail: [email protected]