Université Lille 1
ECTS LEARNING AGREEMENT

ACADEMIC YEAR 200.. / 200.. - Field of study : ...........................

Name of student : ...........................................................................................................
Sending institution : ......................................................................................................
Socrates identification code (ex : UK MANCHES07) : ..........................................................
Country : .....................................................
Period of studies :  from :        /         /
                             to :           /         /

DETAILS OF THE PROPOSED STUDY PROGRAMME ABROAD/LEARNING AGREEMENT

Receiving institution: Université des Sciences et Technologies de Lille (F LILLE01)
Country : France

Departmental coordinator : ..............................................................................................



Course unit code (if any) and page no. of the information package

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Course unit title (as indicated in the information package)


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Number of ECTS credits



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       if necessary, continue the list on a separate sheet


Student’s signature : .............................................................. Date : ..............................

 

SENDING INSTITUTION
We confirm that the proposed programme of study/learning agreement is approved.

Departmental coordinator’s signature :



Date:          /                /
Institutional coordinator’s signature :



Date:          /                /

 

RECEIVING INSTITUTION
We confirm that this proposed programme of study/learning agreement is approved.

Departmental coordinator’s signature :



Date:          /                /
Institutional coordinator’s signature :


   Dr. Béatrice DELPOUVE
Date:          /                /

 

Name of student : ...........................................................................................................
Sending institution : ......................................................................................................
Socrates identification code (ex : UK MANCHES07) : ..........................................................
Country : .....................................................
Period of studies :  from :        /         /
                             to :           /         /

 

CHANGES TO ORIGINAL PROPOSED STUDY PROGRAMME/LEARNING AGREEMENT
(to be filled in ONLY if appropriate)

Course unit code (if any) and page no. of the information package

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Course unit title (as indicated in the information package)


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Deleted
course
unit












Added
course
unit











Number of ECTS credits



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       if necessary, continue the list on a separate sheet



Student’s signature : .............................................................. Date : ..............................

 

SENDING INSTITUTION
We confirm that the proposed programme of study/learning agreement is approved.

Departmental coordinator’s signature :



Date:          /                /
Institutional coordinator’s signature :



Date:          /                /

 

RECEIVING INSTITUTION
We confirm that this proposed programme of study/learning agreement is approved.

Departmental coordinator’s signature :



Date:          /                /
Institutional coordinator’s signature :


   Dr. Béatrice DELPOUVE
Date:          /                /