LEARNING AGREEMENT FOR STUDIES 2018/19 Sections 1 and 2 of this form should be completed before you go on your period abroad. Guidelines on how to complete the form can be found on the International Student Team website: Section 1 Contact details – The Student a) Full Name: b) Date of Birth: c) Nationality: d) Sex (M/F/Other/Prefer not to say): e) Study Level: Undergraduate (EQF 6) f) Field of Study: 0710 Engineering  The Home University g) Name and address: The University of Cambridge, The Old Schools, Trinity Lane, Cambridge, CB2 1TN, UK h) Erasmus ID Code: UKCAMBRID01 i) Department and Faculty: Engineering j) Departmental Coordinator Dr Alexandre Kabla name, email, phone: +1223 766 208 The Host University k) Name and address: Ecole Centrale-Supelec l) Erasmus ID Code: F-GIF-YVE03 m) Department and Faculty: 3 rue Joliot Curie n) Departmental Coordinator 91192 Gif sur Yvette Cedex name, email, phone France Section 2 to be completed BEFORE THE PERIOD ABROAD –
LEARNING AGREEMENT FOR STUDIES 2018/19 Sections 1 and 2 of this form should be completed before you go on your period abroad. Guidelines on how to complete the form can be found on the International Student Team website: Section 1 – Contact details The Student a) Full Name: b) Date of Birth: c) Nationality: d) Sex (M/F/Other/Prefer not to say): e) Study Level: Undergraduate (EQF 6) f) Field of Study:  0710 Engineering The Home University g) Name and address: The University of Cambridge, The Old Schools, Trinity Lane, Cambridge, CB2 1TN, UK h) Erasmus ID Code: UKCAMBRID01 i) Department and Faculty: Engineering j) Departmental Coordinator name, email, phone: Dr Alexandre Kabla +1223 766 208 The Host University k) Name and address: Ecole Centrale-Supelec l) Erasmus ID Code: F-GIF-YVE03 m) Department and Faculty: n) Departmental Coordinator name, email, phone 3 rue Joliot Curie 91192 Gif sur Yvette Cedex France Section 2 – to be completed BEFORE THE PERIOD ABROAD
18-19_learning_agreement_engineering_study.docx