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SENDING INSTITUTION
Name:......................................................................................................................................................
City/Country: ...........................................................................................................................................
Period of study:
from.................................................to ...................................................................
First name(s):.....................................................
.............................................................................
...........................................................................
.............................................................................
...........................................................................
Phone:..................................................................
Phone.................................................................
E-mail:..................................................................
E-Mail:................................................................
I am currently studying
this language
Yes
No
Yes
No
o
o
o
o
o
o
o
o
o
o
o
o
...German..........
...........................
...........................
Yes
o
o
o
No
o
o
o
Yes
No
RECEIVING INSTITUTION
We hereby acknowledge receipt of the application and the proposed learning agreement.
The above-mentioned student is
Coordinators signature
o
o
..........................................................
Date:..................................................
Number of
ECTS credits
Course title
Students signature
..........................................................
Date: ......................................................
SENDING INSTITUTION
We confirm that this proposed programme of study/learning agreement is approved.
Coordinators signature
Stamp/Seal
..........................................................
Date:..................................................
RECEIVING INSTITUTION
We confirm that this proposed programme of study/learning agreement is approved.
Coordinators signature
Stamp/Seal
..........................................................
Date:..................................................
Course title
Deleted
course
Added
course
o
o
o
o
o
o
o
o
o
o
o
o
o
o
Number of
ECTS credits
(if applicable)
Students signature
..........................................................
Date: ......................................................
SENDING INSTITUTION
We confirm that the above-listed changes to the initially agreed programme of study/learning
agreement are approved.
Coordinators signature
Stamp/Seal
..........................................................
Date:..................................................
RECEIVING INSTITUTION
We confirm that the above-listed changes to the initially agreed programme of study/learning
agreement are approved.
Coordinators signature
Stamp/Seal
..........................................................
Date:..................................................