LEARNING AGREEMENT
ACADEMIC YEAR 20…/20…

Name of student: ……………………………………………………………………………………………………..
Field of study:..... ……………………………………………………………………………………………………..

DETAILS OF THE PROPOSED STUDY PROGRAMME ABROAD/LEARNING AGREEMENT

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

Course unit code (if any) 
……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………	Course unit title
……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………	Number of ECTS credits

…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………	

Student’s signature …………………………………………       Date: ……………………………………………	

SENDING INSTITUTION
We confirm that the proposed programme of study/learning agreement is approved.	
Departmental coordinator’s signature
…………………………………………………..
Date: ……………………………………………	Institutional coordinator’s signature
……………………………………………………….
Date: ………………………………………………...	
	
RECEIVING INSTITUTION
We confirm that this proposed programme of study/learning agreement is approved.	
Departmental coordinator’s signature
…………………………………………………..
Date: ……………………………………………	Institutional coordinator’s signature
………………………………………………………..
Date: …………………………………………………	

Name of student: ………………………………………………………………………………………………….
Sending institution: ………………………………………..  Country: ……………………………………………	

CHANGES TO ORIGINAL PROPOSED STUDY PROGRAMME/LEARNING AGREEMENT
(to be filled in ONLY if appropriate)

Course unit code (if any) and page no. of the information package
………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………	Course unit title (as indicated in the information package)

……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………	Deleted
course
unit

	Added
course
unit

	Number of 
ECTS credits

……………………………………………………………………………………………………………………………………………………	

Student’s signature …………………………………………       Date: ……………………………………………	

SENDING INSTITUTION
We confirm that the above-listed changes to the initially agreed programme of study/learning agreement are approved.	
Departmental coordinator’s signature
……………………………………………….….
Date: ……………………………………………	Institutional coordinator’s signature
……………………………………………………………
Date: ……………………………………………………..	

RECEIVING INSTITUTION
We confirm bye the above-listed changes to the initially agreed programme of study/learning agreement are approved.	
Departmental coordinator’s signature
………………………………………………
Date: ………………………………………..	Institutional coordinator’s signature
……………………………………………………….
Date: …………………………………………………