Details of the proposed study program

Details of the proposed study program

Receiving institution: ………………………………………………………………………………… Country: ……………………………………………………………………………………………...

Course Code if any	Course title	Semester	Receiving institution credits	ECTS credits

Student’s signature:.................................................... Date:....................................

Sending institution: We confirm that the proposed program of study/learning agreement is approved Departmental coordinator’s signature Institutional coordinator’s signature ------------------------------------------ -------------------------------------- Date: ----------------------------------- Date: ------------------------------

Receiving institution:

We confirm that the above-listed changes to the initially agreed program of study/learning agreement are approved

Departmental coordinator’s signature Institutional coordinator’s signature

------------------------------------------ -----------------------------------------

Date: ----------------------------------- Date: ---------------------------------

Changes to original proposed study program/learning agreement

(to be filled in only if appropriate)

Name of student: ……………………………………………………………………………………...

Sending institution: …………………………………………………………………………………... Country: ………………………………………………………………………………………………

Course code if any	Course title (as indicated in the information package)	Semester	Deleted Added course course unit unit	ECTS Credits

Student’s signature:....................................... Date:....................................

Sending institution: We confirm that the above-listed changes to the initially agreed program of study/learning agreement are approved Departmental coordinator’s signature Institutional coordinator’s signature ------------------------------------------ -------------------------------------- Date: ----------------------------------- Date: ------------------------------

Receiving institution: We confirm that the above-listed changes to the initially agreed program of study/learning agreement are approved Departmental coordinator’s signature Institutional coordinator’s signature ------------------------------------------ --------------------------------------- Date: ----------------------------------- Date: ------------------------------

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