Details of the proposed changes to Learning Agreement

Incoming Student

MOBILITY DIRECT PROGRAM - LEARNING AGREEMENT

Academic Year:

Period of Study: From: To:

Field of Study:

Name and Surname: Sending University: Country:

DETAILS OF THE PROPOSED STUDY PROGRAM/ LEARNING AGREEMENT

Receiving Institution: UNIVERSITY OF ŁÓDŹ Country: POLAND
Course Unit Code	Course Unit Title and the language it is taught in	Number of ECTS Credits
Student’s Signature: Date:
Individual study program agreed on with the personal tutor. Name of the tutor:
SENDING INSTITUTION: We confirm that this proposed program of study/ Learning Agreement is approved. Departmental Coordinator’s Signature: Institutional Coordinator’s Signature: Date: Date:
RECEIVING INSTITUTION: We confirm that this proposed program of study/ Learning Agreement is approved. Departmental Coordinator’s Signature: Institutional Coordinator’s Signature: Date: Date:

CHANGES TO MOBILITY DIRECT PROGRAM LEARNING AGREEMENT

Name and Surname: Sending University: Country:

Period of Study: From: To:

Academic Year:

Field of Study:

DETAILS OF THE PROPOSED CHANGES TO LEARNING AGREEMENT

Receiving Institution: UNIVERSITY OF ŁÓDŹ Country: POLAND
Course Unit Code	Course Unit Title	Deleted X	Added X	Number of ECTS Credits
Student’s Signature: Date:
Individual study program agreed on with the personal tutor. Name of the tutor:

SENDING INSTITUTION: We confirm that this proposed program of study/ Learning Agreement is approved. Departmental Coordinator’s Signature: Institutional Coordinator’s Signature: Date: Date:  

RECEIVING INSTITUTION: We confirm that this proposed program of study/ Learning Agreement is approved. Departmental Coordinator’s Signature: Institutional Coordinator’s Signature: Date: Date:  

Дата добавления: 2015-11-14