STUDY PROGRAMME-Full Degree

Last Name

First Name

Nationality

Date of birth

Student
Study level

Name of the program:

Name

Host
Universi
ty

Country

Credit system
ECTS other system (describe)
..................................................................................................................................
Field of study at the Host University:
Host University Coordinator
Language of studies during mobility: .

Date of stay in host university / duration in months :

From..To

Study programme
University of
Course code and name

TOTAL CREDITS

*Add more lines if necessary

Credits

Signatures
Student
............................................................................................................................................................................
Signature

Date

Host institution Coordinators signature:

Host institution (person in charge of degree)

I confirm that the present study programme is approved:

I confirm that the present study programme is approved:

.......................................................................................................
.
Name
and position
.......................................................................................................
.......................................................................................................
.
Signature
Date and
Stamp

........................................................................................................
Name and position
........................................................................................................
Signature
Date and Stamp

This Study Programme must be fully defined and signed before the start of the mobility and can be updated later (maximum up
to one month after the start). The original must be kept by the Host University. A scanned copy of the approved agreement and its
updates must be sent to the Project Coordinator.