Learning Agreement
Autumn Semester 2020
Personal Data
Family name ______________________________________________________________________
First name(s) ______________________________________________________________________
Sending institution ______________________________________________________________________
Country ______________________________________________________________________
Department of study at INSA ASI CFI EP GM GC
MECA MRI
Study Plan
List the courses you are applying for
AUTUMN SEMESTER
(code, title, ECTS credits). ECTS Catalogue: click here.
Code
Title
ECTS Credits
_____________________ ___________________________________________________ _______
_____________________ ___________________________________________________ _______
_____________________ ___________________________________________________ _______
_____________________ ___________________________________________________ _______
_____________________ ___________________________________________________ _______
_____________________ ___________________________________________________ _______
_____________________ ___________________________________________________ _______
_____________________ ___________________________________________________ _______
_____________________ ___________________________________________________ _______
_____________________ ___________________________________________________ _______
_____________________ ___________________________________________________ _______
_____________________ ___________________________________________________ _______
_____________________ ___________________________________________________ _______
_____________________ ___________________________________________________ _______
TOTAL ______________
Signature of the student
___________________________________________ ____________________________________________
Date, Place Signature
Sending Institution Receiving Institution
We confirm that this proposed programme of study/learning agreement is approved.
___________________________________________ ____________________________________________
Date, Place Date, Place
___________________________________________ ____________________________________________
Departmental coordinator’s signature and stamp Departmental coordinator’s signature and stamp
Learning Agreement
Spring Semester 2021
Personal Data
Family name ______________________________________________________________________
First name(s) ______________________________________________________________________
Sending institution ______________________________________________________________________
Country ______________________________________________________________________
Department of study at INSA ASI CFI EP GM GC
MECA MRI
Study Plan
List the courses you are applying for
SPRING SEMESTER
(code, title, ECTS credits). ECTS Catalogue: click here.
Code
Title
ECTS Credits
_____________________ ___________________________________________________ _______
_____________________ ___________________________________________________ _______
_____________________ ___________________________________________________ _______
_____________________ ___________________________________________________ _______
_____________________ ___________________________________________________ _______
_____________________ ___________________________________________________ _______
_____________________ ___________________________________________________ _______
_____________________ ___________________________________________________ _______
_____________________ ___________________________________________________ _______
_____________________ ___________________________________________________ _______
_____________________ ___________________________________________________ _______
_____________________ ___________________________________________________ _______
_____________________ ___________________________________________________ _______
_____________________ ___________________________________________________ _______
TOTAL ______________
Signature of the student
___________________________________________ ____________________________________________
Date, Place Signature
Sending Institution Receiving Institution
We confirm that this proposed programme of study/learning agreement is approved.
___________________________________________ ____________________________________________
Date, Place Date, Place
___________________________________________ ____________________________________________
Departmental coordinator’s signature and stamp Departmental coordinator’s signature and stamp
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