Changes to Learning Agreement Field of Study: First Name: Last Name: Student’s E-mail Adress: Sending Institution: Country: Changes to original learning agreement (to be filled in ONLY if appropriate) Course unit code (if any) and page no. of the information package Course unit title (as indicated in the course catalogue) Deleted course unit Added course unit No of week hours No of ECTS credits or national credits If necessary, continue this list on a separate sheet. Sending institution We confirm that the learning agreement is accepted. Date Signature Departmental Coordinator Date Signature International Coordinator Receiving institution We confirm that the learning agreement is accepted. Date Signature Departmental Coordinator Date Signature International Coordinator