UNIVERSITATEA DE ARHITECTURA SI URBANISM "ION MINCU" - BUCURESTI
LUNIVERSITE DARCHITECTURE. ET URBANISME “ION NINCU’ ION MINCU” UNIVERSITY OF ARCHITECTURE AND URBANISM
Strada Academie 1820, Telefon: +40-21-2077159; o0-21-3077112 Fax: ¥40.21-3123054, O10D14 BUCURESTI, ROMANIA
CERERE PENTRU PRELUNGIREA PERIOADE! ERASMUS - AN ACADEMIC 2019/2020
REQUEST FOR EXTENSION OF THE ERASMUS PERIOD - ACADEMIC YEAR 2019/2020
‘Subsemnatul/a, _ Voinea Bogdan-Nicolae —, adresdemail_ — boghi_ [email protected]
The undersigned email address
selectat/a pentru a efectua o mobilitate Erasmus de 4 luni, incepand cu data de 23.09.2019 ,
selected for an Erasmus mobility of ‘months, starting with
la Universitatea Katholieke Universiteit Leuven,
at the University
solicit
Hrequest
prelungirea perioadei stipulate in contractual financiar, cu 153 zile, pana la datade 4.072020
to extend my period of study abroad with days, until
Noua perioada a mobilitatii de studii va fi de la 23.09.2019 pana la 4.07.2020.
the new period of the study mobility will be from until
Totodata, declar ca am luat la cunostin{a faptul c& acordarea unui grant suplimentar pentru aceasta
perioada depinde atat de disponibilitatea fondurilor cat si de regulamentul Erasmus al UAUIM.
| hereby declare that | am aware of the fact that an additional grant depends on the availabilty of the founds and
the UAUIM regulation regarding the Erasmus + Programme, as well
Prezenta face parte parte integranta din “Contractul Financiar Erasmus”.
This request is an integral part of the individual Erasmus Contract.
Data: 9.12.2019
Student's signature Date
Acord universitate de origine: Acord universitate gazda:
Acceptance of the sending institution Acceptance of the receiving institution
Responsible person's signature and stamp Responsible person’s signature and stamp
Date: Date: