UNIVERSITÀ DEGLI STUDI BARI			
					Al Magnifico Rettore
							   Università degli Studi di Bari

Oggetto:  	  Viaggio studio
	Visita tecnica
	Soggiorno studio per laureandi

Docente                     ___________________________________________________

Qualifica    	   ____________________________________________________

Facoltà       	   ____________________________________________________

Corso di Laurea   ____________________________________________________

Dipartimento         ____________________________________________________

Generalità Laureando   _____________________________________________

Struttura/Località  da visitare ______________________________________

Periodo   ____________________________________________________________

N.ro Studenti  Partecipanti __________________________________________

Costi ( Allegare Preventivo Agenzia):		Viaggio       €_________________

                 					 		Soggiorno   €____________________

Quota cofinanziamento studenti  €_________________

Contributo Richiesto              	   €_________________

 Motivazione Didattica 
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Programma
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Allegati 
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2.	__________________________________________________________
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4.	__________________________________________________________

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    (firma e visto del Preside)			             (firma)