LIFELONG LEARNING PROGRAMME ERASMUS LEARNING AGREEMENT ACADEMIC YEAR : 2010-2011 Name of student:. Sending institution: FIELD OF STUDY: . ...................................................................................................................................... ........ ............................................. Country: ................................................... DETAILS OF THE PROPOSED STUDY PROGRAMME ABROAD/LEARNING AGREEMENT Receiving institution: .UNIMES. F NIMES17 .......................... Year & semester (L1, L2… S4..) courses are taught Country: France............................................... Course unit title (as indicated in the information package) Number of ECTS If necessary, continue the list on a separate sheet Student signature ............................................................................. Date: ........................................................................... SENDING INSTITUTION We confirm that the proposed programme of study / learning agreement is approved. Departmental coordinator’s signature Institutional coordinator’s signature ............................................................................. ................................................................................... Date: .................................................................... Date: ........................................................................... RECEIVING INSTITUTION We confirm that the proposed programme of study / learning agreement is approved. Departmental coordinator’s signature Institutional coordinator’s signature ............................................................................. ................................................................................... Date: .................................................................... Date: ........................................................................... Rue du Dr Georges Salan – F-30021 Nîmes cedex 1 – Fax : +33 466 36 45 87 – www.unimes.fr Name of student:. Sending institution: ..................................................................................................................................... ........ ............................................. Country: ................................................... CHANGES TO ORIGINAL PROPOSED STUDY PROGRAMME/LEARNING AGREEMENT (to be filled in ONLY if appropriate) Receiving institution: UNIMES. F NIMES17 ........................... Course unit title (as indicated in the information package) Country: France............................................... Delete Added Number of course unit course unit ECTS If necessary, continue the list on a separate sheet Student signature ............................................................................. Date: ........................................................................... SENDING INSTITUTION We confirm that the proposed programme of study / learning agreement is approved. Departmental coordinator’s signature Institutional coordinator’s signature ............................................................................. ................................................................................... Date: .................................................................... Date: ........................................................................... RECEIVING INSTITUTION We confirm that the proposed programme of study / learning agreement is approved. Departmental coordinator’s signature Institutional coordinator’s signature ............................................................................. ................................................................................... Date: .................................................................... Date: ........................................................................... Rue du Dr Georges Salan – F-30021 Nîmes cedex 1 – Fax : +33 466 36 45 87 – www.unimes.fr