LEARNING AGREEMENT FOR STUDIES The Student Last name (s) First name (s) Date of birth Nationality Sex [M/F] Academic year 20../20.. Study cycle 1-cycle (BSc) Subject area, Electronics and Telecommunications 2-cycle (MSc) Code 0714 (ET) 0610 (ICT) Phone E-mail The Sending Institution Faculty of Electronics Name Faculty Poznan University and Telecommunications of Technology Erasmus code PL POZNAN02 Department (if applicable) Pl. M. Skłodowskiej-Curie 5 Address Country, PL 60-965 Poznań Country code Ms Magdalena Zawirska- Contact person Contact person Wolniewicz +48 61 665 3981 name e-mail / phone (Insitutional Coordinator) Dr Jan Lamperski +48 61 665 3863 (Departamental Coordinator) The Receiving Institution Name Faculty Erasmus code Department (if applicable) Address Country, Country code Contact person Contact person name e-mail / phone For guidelines, please look at Annex 1, for end notes please look at Annex 2.
LEARNING AGREEMENT FOR STUDIES The Student Last name (s) First name (s) Date of birth Nationality Sex [M/F] Academic year 20../20.. Study cycle 1-cycle (BSc) 2-cycle (MSc) Subject area, Code Electronics and Telecommunications 0714 (ET) 0610 (ICT) Phone E-mail The Sending Institution Name Poznan University of Technology Faculty Faculty of Electronics and Telecommunications Erasmus code (if applicable) PL POZNAN02 Department Address Pl. M. Skłodowskiej-Curie 5 60-965 Poznań Country, Country code PL Contact person name Ms Magdalena Zawirska- Wolniewicz (Insitutional Coordinator) Dr Jan Lamperski (Departamental Coordinator) Contact person e-mail / phone +48 61 665 3981 +48 61 665 3863 The Receiving Institution Name Faculty Erasmus code (if applicable) Department Address Country, Country code Contact person name Contact person e-mail / phone For guidelines, please look at Annex 1, for end notes please look at Annex 2.
053_Learning%20Agreement%20for%20studies_ENG.docx