Name of student : Exchange programme: 2014/15 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: That the application has been accepted by the institutions: Host university: Signature Stamp: (Person in charge of international student mobility) Home university: Signature (Responsible for International Relations at your Faculty) Stamp: 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