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learning agreement-outgoing - Internationales - Bergische ...

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Akademisches Auslandsamt<br />

International Office<br />

LEARNING AGREEMENT<br />

ACADEMIC YEAR 20....../20...... FIELD OF STUDY: ........................................<br />

Name of student: ...............................................................................................................................................<br />

Sending institution: <strong>Bergische</strong> Universität Wuppertal Country: GERMANY<br />

ERASMUS Code: D WUPPERT01<br />

DETAILS OF THE PROPOSED STUDY PROGRAMME ABROAD/LEARNING AGREEMENT<br />

Receiving institution: .....................................................................................................................................<br />

Country: .........................................................................................................<br />

Course unit code<br />

..............................................<br />

..............................................<br />

..............................................<br />

..............................................<br />

..............................................<br />

..............................................<br />

..............................................<br />

..............................................<br />

..............................................<br />

..............................................<br />

..............................................<br />

..............................................<br />

..............................................<br />

Course unit<br />

.....................................................................<br />

.....................................................................<br />

.....................................................................<br />

.....................................................................<br />

.....................................................................<br />

.....................................................................<br />

.....................................................................<br />

.....................................................................<br />

.....................................................................<br />

.....................................................................<br />

.....................................................................<br />

.....................................................................<br />

.....................................................................<br />

Number of ECTS credits<br />

..................................................<br />

..................................................<br />

..................................................<br />

..................................................<br />

..................................................<br />

..................................................<br />

..................................................<br />

..................................................<br />

..................................................<br />

..................................................<br />

..................................................<br />

..................................................<br />

..................................................<br />

Student’s signature:<br />

.......................................................................................................................Date: ….........................................<br />

SENDING INSTITUTION<br />

We confirm that this proposed programme of study/<strong>learning</strong> <strong>agreement</strong> is approved.<br />

Departmental coordinator<br />

Institutional coordinator<br />

Chairperson of the Examinations<br />

Board<br />

(Vorsitzende/r des zuständigen<br />

Prüfungsausschusses)<br />

.......................................................<br />

Date/Signature/Stamp<br />

.......................................................<br />

Date/Signature/Stamp<br />

.......................................................<br />

Date/Signature/Stamp<br />

RECEIVING INSTITUTION<br />

We confirm that the proposed programme of study/<strong>learning</strong> <strong>agreement</strong> is approved.<br />

Departmental coordinator<br />

Institutional coordinator<br />

.............................................................................<br />

Date/Signature/Stamp<br />

.........................................................................................<br />

Date/Signature/Stamp


Name of student: .........................................................................................................................................<br />

Sending institution: <strong>Bergische</strong> Universität Wuppertal..............................Country:..GERMANY.<br />

CHANGES TO ORIGINAL PROPOSED STUDY PROGRAMME/LEARNING AGREEMENT<br />

(to be filled in ONLY if appropriate)<br />

Course unit code<br />

Course unit title<br />

Deleted<br />

course<br />

unit<br />

Added<br />

course<br />

unit<br />

Number of<br />

ECTS credits<br />

...............................<br />

...............................................<br />

<br />

<br />

........................<br />

...............................<br />

...............................................<br />

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...............................<br />

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...............................................<br />

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<br />

<br />

<br />

<br />

<br />

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<br />

<br />

<br />

<br />

<br />

<br />

........................<br />

........................<br />

........................<br />

........................<br />

........................<br />

…………………<br />

if necessary, continue this list on a separate sheet<br />

Student’s signature:<br />

....................................................................................................................... Date: ..........................................<br />

SENDING INSTITUTION<br />

We confirm that this proposed programme of study/<strong>learning</strong> <strong>agreement</strong> is approved.<br />

Departmental coordinator<br />

Institutional coordinator<br />

Chairperson of the Examination<br />

Board<br />

(Vorsitzende/r des zuständigen<br />

Prüfungsausschusses)<br />

.......................................................<br />

Date/Signature/Stamp<br />

.......................................................<br />

Date/Signature/Stamp<br />

.......................................................<br />

Date/Signature/Stamp<br />

RECEIVING INSTITUTION<br />

We confirm that the proposed programme of study/<strong>learning</strong> <strong>agreement</strong> is approved.<br />

Departmental coordinator<br />

Institutional coordinator<br />

.............................................................................<br />

Date/Signature/Stamp<br />

.........................................................................................<br />

Date/Signature/Stamp

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