at _________________________________________________

advertisement
Name: _________________________________
(Person in charge of international student mobility)
at _________________________________________________
(host university)
ERASMUS code: ______________
Country: ______________
HEREBY CERTIFIES:
That Mr./Ms. _________________________________________
(outgoing student, University of Barcelona)
either
participating in the 20../20... Erasmus programme
or
studying here under a bilateral agreement
has applied to extend his/her period of study at
__________________________________________________
(host centre: Faculty, Department, Institute, etc.)
from __________________ to __________________
(start date: dd/mm/yy)
(end date: dd/mm/yy)
And that the application has been accepted by this institution.
Signature:
Stamp:
______________
(name and title)
_________________
(place and date)
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