Name of student :
Exchange programme:
2015/16 Erasmus+ programme
or
under a bilateral agreement
Applies to extend the period of study at:
(University)
from ___________________ to ____________________
Motivations:
I promise that I will proceed with the extension of the UB enrollment, if is not
done yet
Student signature’s:
Date:
/
/
That the application has been accepted by the institutions:
Host university:
Signature
(Person in charge of international student mobility)
Stamp:
Date:
/
/
Home university:
Signature
(Responsible for International Relations at your Faculty)
Stamp:
Date:
/
/
Remember to add to this application:
- document of academic recognition, DEA (bilateral agreement)
- Learning Agreement (Erasmus+)
Leave the document to the responsible for International Relations at your Faculty and a copy to the
OMPI