VYTAUTO DIDŽIOJO UNIVERSITETO



VYTAUTAS MAGNUS UNIVERSITY

[Faculty]

[Year of Study, Study Cycle, funding type] student

[Name Surname]

REQUEST

FOR ENROLLMENT IN STUDIES UNDER ERASMUS+ PROGRAMME

[Date]

Kaunas

To the attention of the dean of the [Faculty]

I, [Name, Surname], 2nd year bachelor/master degree student of the [Study Programme] at the [Faculty] apply for the Erasmus+ studies at [Name of Host Organization in English], in [Foreign Country] with visiting student status, possibility to recognize study programme and to keep student status of Vytautas Magnus University during Erasmus+ study period with Erasmus+ scholarship.

|Confirmed by: |

|Head of the Department | |

| |(Name Surname, Signature) |

|Vice-Dean of The Faculty/ | |

|Head of International Programmes | |

| |(Name Surname, Signature) |

| | |

|Erasmus+ Coordinator | |

| |(Name Surname, Signature) |

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Filled in by Erasmus +coordinator:

For a duration of .... months .... days (from.................................. to........................................)

I agree with the mobility duration……………………………………………………………….

Student name, surname, signature

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