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

Sending institution: 

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

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

.......................
.......................
.......................
.......................
.......................
.......................
.......................
.......................
.......................
.......................	
if necessary, continue this list on a separate sheet

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 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: ...............................................................................……