Receiving institution: We confirm that the above-listed changes to the initially agreed programme of study/learning agreement are approved
Departmental coordinator’s signature Institutional coordinator’s signature
…………………………………….. …………………………………………….
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Date: ……………………………… Date: ……………………………………..
Changes to original proposed study programme/learning agreement (to be filled in only if appropriate)
Name of student: …………………………………………………………………………………..
Sending institution:………………………………………………………………………………
Country: …………………………………………………………………………………………..