Università Politecnica Delle Marche

ECTS - EUROPEAN CREDIT TRANSFER SYSTEM Academic year 2011/2012

Faculty attended at UNIVPM: Agriculture □ Economics □ Engineering □ Medicine □ Sciences □

PLEASE TYPE (NO HANDWRITTEN FORM)

Surname: Sending Institution: Period of study: I sem. □ Name: Erasmus code: II sem. □ E.mail: Full A.Y. □

Receiving institution: Università Politecnica delle Marche – Ancona, Italy Erasmus Code: I ANCONA01

REQUEST OF CHANGES TO THE ORIGINAL LEARNING AGREEMENT COURSE UNIT TITLE at UNIVPM DELETED ADDED Number Number of COURSE COURSE of ECTS COURSES AS VALIDATED BY ECTS UNIT UNIT HOME INSTITUTION □ □ □ □ □ □ □ □ □ □ □ □ □ □

RESULTING FINAL LEARNING AGREEMENT

COURSE UNIT TITLE at UNIVPM Number of COURSES AS VALIDATED BY HOME Number of ECTS ECTS INSTITUTION

TOTAL ECTS CREDITS Max 30 (1 sem) e 60 (2 sem) TOTAL ECTS CREDITS

Student’s signature (firma dello studente): ______Date: / /

SENDING INSTITUTION - We confirm that the proposed programme of study/learning agreement is approved. Departmental coordinator’s signature Institutional coordinator’s signature …………………………………………………………………………… …………………………………………………………………………………… …… Date: ………………………… Stamp: Date: …………………………

RECEIVING INSTITUTION - We confirm that this proposed programme of study/learning agreement is approved. Departmental coordinator’s signature Institutional coordinator’s signature …………………………………………………………………………… …………………………………………………………………………………… …… Date: ………………………… Stamp: Date: …………………