Nordplus (Norek and Nordlys) 2015-2016
Agreement between Nordplus student and Linköping university
To be filled out by the Nordplus student!
First name :_____________________
Family name: ________________________
Personal number:_________________
Street:
______________________
Zip code:
______________________
Programme at LiU:____________________
Phone number :__________________
E-mail:____________________
Host university:____________________________
Country: ___________________________________
Bank and SWIFT:_____________________________
IBAN:______________________________________
Normally the transfer is done by postal check, the check is sent to the address of the student. Make
sure that all information is correct! If wrong, a new check will NOT be sent!
Terms:
The agreement have to be handed to Malin Gröndahl Maass (Norek) or to Johanna Persson (Nordlys) no later than
June 15, 2015 for the autumn semester 2015 and November 15, 2015 for the spring semester 2016.
If the student has filled in wrong information, a new transfer will not be made.
The grant is only transferred if LiU receives money for this purpose from Nordplus.
The entire grant or parts of it must be returned by the student if the Nordplus exchange is not carried out as agreed
upon.
I have read and approve the terms
___________________________________
______________________________________________
Date
Signature
For LiU use:
___________________
________________
Ankomstdatum
___________________
________________
_______________
___________________
Kursstart
Kursslut
Antal studiemånader
___________________
+ ______________
_________________
_______________
________________
Datum
Ev. extra utb.
Datum
Andra utbetalningen Datum
Norek: Malin Gröndahl Maas, IEI, A-building
Nordlys: Lisa Dobrosch, FFK, Origo
__________________