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  • 23, 2012

    163

    52 ( . . 35/08, 103/08 26/09) 22. , 9.7.2009 ,

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  • 164

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  • 23, 2012

    165

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  • 166

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  • 23, 2012

    167

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  • 23, 2012

    169

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  • 23, 2012

    171

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  • 172

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  • 23, 2012

    173

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  • 174

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  • 23, 2012

    175

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  • 176

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  • 23, 2012

    177

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  • 178

    1. 1.1 1.2 1.3 , 1.4 2. 2.1 2.2

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  • 23, 2012

    179

    5.1 5.2 ( )6.

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    7. 7.1 7.2 7.3 7.4 8. 8.1 8.2 8.3

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  • 180

    LIFELONG LEARNING PROGRAMME / ERASMUS ECTS

    STUDENT APPLICATION FORM ACADEMIC YEAR: 20 ....................../ 20 ..........................

    FIELD OF STUDY: ......................................................................................................................................................................... This application should be completed in BLACK and BLOCK letters in order to be easily copied and/or telefaxed.

    SENDING INSTITUTION: Name and full address: ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................

    .............................................................................................................................................................................................................................................................................................

    Departmental coordinator name, telephone and fax numbers, e-mail :............................................................................................................. .............................................................................................................................................................................................................................................................................................

    Institutional coordinator name, telephone and fax numbers, e-mail : .............................................................................................................................................................................................................................................................................................................................................................................................................

    STUDENTS PERSONAL DATA (to be completed by the student applying)

    Family name: ..................................................................................................... Firstname (s): ..................................................................................................

    Date of birth: .....................................................................................................

    Sex: M o / F o Nationality: ................................................... Place of birth: ...................................................................................................

    e-mail address: ...............................................................................................

    Current address: ............................................................................................ Permanent address (if dierent): ....................................................

    ...................................................................................................................................... ......................................................................................................................................

    Current address is valid until: ............................................................. ......................................................................................................................................

    Tel. no (incl. country code nr.): .......................................................... Tel: .............................................................................................................................

    LIST OF INSTITUTIONS WHICH WILL RECEIVE THIS APPLICATION FORM (in order of preference):

    Institution CountryPeriod of study Duration of stay

    (months) No. of expected ECTS creditsFrom To

    1.

    2.

    3.

    ( Photograph )

  • 23, 2012

    181

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

    Sending institution : .................................................................................................... Country : .......................................................................................................

    Briey state the reasons why you wish to study abroad: .................................................................................................................................................

    .......................................................................................................................................................................................................................................................................................

    .......................................................................................................................................................................................................................................................................................

    LANGUAGE COMPETENCE Note: A proof of knowledge of the receiving institutions language of instruction should be submitted

    Mother tongue: Language of instruction at home institution (if dierent):

    Other languages I have sucient knowledge to follow lectures I need some extra preparation

    YES NO YES NO

    o o o o

    o o o o

    o o o o

    o o o o

    WORK EXPERIENCE RELATED TO CURRENT STUDY (if relevant)

    Work experience / position Firm /organization Dates Country

    PREVIOUS AND CURRENT STUDY

    Diploma/degree for which you are currently studying: ....................................................................................................................................................

    Number of higher education study years prior to departure abroad: ....................................................................................................................

    Have you already been studying abroad ? Yes o No o

    If Yes, when? at which institution ? .................................................................................................................................................................................................

    The attached Transcript of records includes full details of previous and current higher education study. Details not known at the time of application will be provided at a later stage.

    Students Signature .......................................................................................................................... Date ..............................................................................................

    RECEIVING INSTITUTION

    We hereby acknowledge receipt of the application, the proposed learning agreement and the candidates Transcript of records.

    The above-mentioned student is o provisionally accepted at our institution

    o not accepted at our institution

    Departmental coordinators signature Institutional coordinators signature

    ......................................................................................................................................... ....................................................................................................................................

    Date: ............................................................................................................................ Date: ........................................................................................................................

  • 182

    LEARNING AGREEMENTACADEMIC YEAR: 20 ....................../ 20 .......................... STUDY PERIOD: from ................ to ....................

    FIELD OF STUDY: .....................................................................................................................................................................................................................................................

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

    Students e-mail address: .......................................................................................................................................................................................................................

    Sending Institution: ....................................................................................................................... Country: ....................................................................................

    DETAILS OF THE PROPOSED STUDY PROGRAMME ABROAD/LEARNING AGREEMENT

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

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

    Course unit title (as indicated in the course catalogue)

    Semester (autumn/spring)

    Number of ECTS credits

    Students signature ........................................................................................................................... Date ..............................................................................................

    SENDING INSTITUTION

    We conrm that the learning agreement is accepted.

    Departmental coordinators signature Institutional coordinators signature

    ......................................................................................................................................... ....................................................................................................................................

    Date: ............................................................................................................................ Date: ........................................................................................................................

    RECEIVING INSTITUTION

    We conrm that the learning agreement is accepted.

    Departmental coordinators signature Institutional coordinators signature

    ......................................................................................................................................... ....................................................................................................................................

    Date: ............................................................................................................................ Date: ........................................................................................................................

  • 23, 2012

    183

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

    Sending Institution: ....................................................................................................................... Country: ....................................................................................

    CHANGES TO ORIGINAL LEARNING AGREEMENT (to be lled in ONLY if appropriate)

    Course unit (as indicated in the course catalogue)

    Course unit title (as indicated in the course catalogue)

    Deleted Course

    Unit

    Added Course

    Unit

    Number of ECTS credits

    o o

    o o

    o o

    o o

    o o

    o o

    o o

    o o

    o o

    o o

    o o

    o o

    o o

    o o

    If necessary, continue this list on a separate sheet

    Students signature ........................................................................................................................... Date ..............................................................................................

    SENDING INSTITUTION

    We conrm that the above-listed changes to the initially accepted learning agreement are approved.

    Departmental coordinators signature Institutional coordinators signature

    ......................................................................................................................................... ....................................................................................................................................

    Date: ............................................................................................................................ Date: ........................................................................................................................

    RECEIVING INSTITUTION

    We conrm that the above-listed changes to the initially accepted learning agreement are approved.

    Departmental coordinators signature Institutional coordinators signature

    ......................................................................................................................................... ....................................................................................................................................

    Date: ............................................................................................................................ Date: ........................................................................................................................

  • 184

    TRANSCRIPT OF RECORDSACADEMIC YEAR: 20 ....................../ 20 ..........................

    FIELD OF STUDY: .....................................................................................................................................................................................................................................................

    NAME OF SENDING INSTITUTION: .......................................................................................................................................................................................................

    Faculty/ Department: ...................................................................................................................................................................................................................................

    ECTS departmental coordinator: .........................................................................................................................................................................................................

    Tel: ............................................................................ Fax: ................................................................E-mail:..................................................................................................

    NAME OF STUDENT: ............................................................................. First Name: .........................................................................................................................

    Date and place of birth: ................................................................... Sex : M o / F o

    Matriculation date: ............................................................................... Matriculation number: ..............................................................................................

    E-MAIL ADDRESS: ..........................................................................................................................................................................................................................................

    NAME OF RECEIVING INSTITUTION: ..................................................................................................................................................................................................

    Faculty/ Department of ..............................................................................................................................................................................................................................

    ECTS departmental coordinator: ........................................................................................................................................................................................................

    Tel: ............................................................................ Fax: ................................................................E-mail:..................................................................................................

    Course Unit Code (1)* Title of the course unit

    Duration of course unit (2)* Local grade (3)* ECTS credits (4)*

    to be continued on a separate sheet Total : ..................

    *(1) (2) (3) (4) see explanation on back page

    Date:..................................................................

    Signature of registrar/dean administration ocer: ......................................................................... Stamp of institution: .......................................

    NB : This document is not valid without the signature of the registrar /dean/administration ocer and the ocial stamp of the institution

  • 23, 2012

    185

    Course unit code : Refer to the ECTS Course catalogue (1)

    Duration of course unit :(2)

    Y = 1 academic year

    1S= 1 semester 2S= 2 Semesters

    1T=1 term/trimester 2T=2 terms/trimesters

    Grading:(3)

    a) Description of the institutional grading system: b) Grading distribution in the department or programme (please specify) (For this section please refer to ECTS Users Guide, Annex 3)

    ECTS credits :(4)

    1 academic year = 60 credits 1 semester = 30 credits 1 term/trimester = 20 credits

  • 186

    DIPLOMA SUPPLEMENT

    1. INFORMATION IDENTIFYING THE HOLDER OF THE QUALIFICATION1.1. First Name1.2. Family Name1.3. Date, Place, Country of birth1.4. Student identifi cation Number or Code2. INFORMATION IDENTIFYING THE QUALIFICATION2.1. Name of Qualifi cation2.2. Main Fields of Stady for the Qualifi cation2.3. Name of Institution Awording Qualifi cation2.4. Name od Institution Administering Studies2.5.Language of Instruction/Examination3. NFORMATION ON THE LEVEL OF THE QUALIFICATION3.1. Level of Qualifi cation3.2. Offi cial Length of Programme3.3. Access Requirements4. NFORMATION ON THE CONTENTS AND RESULTS GAINED4.1. Mode od Stady4.2. Programe Requirements4.3. Programme DetailsModules Number od credits1.2.3.

    credits credits credits

    4.4.Grading Sheme, grade distribution quidance4.5 Overall Classifi cation5. NFORMATION ON THE FUNCTION OF THE QUALIFICATION5.1. Access to Further Study5.2. Professional Status

  • 23, 2012

    187

    6. ADDITIONAL INFORMATION6.1. Additional Information6.2. Additional Information Sources7. CERTIFICATION OF THE SUPPLEMENT7.1. Date7.2. Signature7.3. Capacity od the signing person7.4. Offi cial stamp or seal8. INFORMATION OF THE NATIONAL HIGHER EDUCATION SYSTEM8.1. Types of higher educational institutions8.2. Type of studies8.3. Acreditation of the higher educational institution8.4. Structure of the higher educational (academic) study programs8.5. Structure of the higher educational specialist studies8.6. Terms of enrollement8.7. Evaluation system

  • 188

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  • 23, 2012

    189

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  • 190

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  • 23, 2012

    191

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  • 23, 2012

    193

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  • 194

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