Student/. Researcher. Last name(s). First name(s). Study cycle. Sending Institution. Department. Country. Contact person name[4]; email; phone. Receiving Institution. Faculty/ Department. Country. Contact person name; email; phone. THE SENDING INSTITUTION

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Student/

Lecturer/

Researcher

Last name(s)

First name(s)

Date of birth

Nationality [1]

Sex [M/F]

Study cycle

(applicable for students) [2]

Field of education (applicable for students)[3]

Sending Institution

Name

Faculty/

Department

Address

Country

Contact person name[4]; email; phone

Receiving Institution

Name

Faculty/ Department

Address

Country

Contact person name; email; phone

Mykolas Romeris University

Ateities str. 20, Vilnius

Lithuania

Inesa Cvetkova, incoming@mruni. eu+37065 973 278

THE SENDING INSTITUTION

· The sending institution clarifies that Mr. /Ms. [NAME (S), LAST NAME (S)] is [STUDENT/LECTURER/RESEARCHER] in [study cycle: BA, MA, Phd] study programme [NAME OF THE STUDY PROGRAMME] at the [full official name of the sending institution].

· The sending institution is aware of the student’s/lecturer’s/researcher’s study programme at the receiving institution.

· The sending institution approves that the student has achieved all the set intended learning outcomes of the last two semesters of studies and has no academic debts (applicable for students).

THE RECEIVING INSTITUTION

· The receiving institution accepts Mr. /Ms. [NAME (S), LAST NAME (S)] as an exchange [STUDENT/LECTURER/RESEARCHER] at MYKOLAS ROMERIS UNIVERSITY to study the agreedprogramme.

Study Programme at the Receiving Institution

[NAME OF THE FACULTY AT MRU] at the MYKOLAS ROMERIS UNIVERSITY

Planned period of the mobility (please, indicate exact date of the mobility period):

from [day/month/year] ……………. to [day/month/year] ……………

Subject title/module and code at the Receiving Institution
(as indicated in the course catalogue[5])

Semester
[e. g. autumn/spring; term]

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