Annex to Learning Agreement

Name of student: .........................................................................................................................................

Sending institution:.Technische Universität Chemnitz D CHEMNIT01. Country: ..Germany....

Receiving Institution:…………………………………………………………………………… Country: ……………………….

The educational components mentioned in the table below will, if successfully completed, be included in the Diploma supplement by the sending institution but not be (fully) counted/recog-nized as ECTS credits/study results towards the student’s degree for one the following reasons:

1) Additional subject field, not part of the student’s curriculum/study regulations2) Study results already accomplished at sending institution (ECTS-Credits already gained)3) Less ECTS-Credits required at sending institution (according to study regulations) 4) Other, short explanation (in accordance with responsible person and International Office):

Component code (if any)

Component title Semester (au-tumn/spring)

(or term)

Reason for exception (1,

2, 3, 4)

The studentStudent’s signature Date:

The sending institutionDepartmental coordinator’s signature(Erasmus-Fachkoordinator) Date:

The sending institutionResponsible person’s signature(Prüfungsausschussvorsitzender) Date:

The receiving institutionResponsible person’s signature Date: