Mechanical Engineering / Mechatronics (M. Eng.) Agreement of 20 ECTS Mobility Module (Trimester) (accepted and registered students only)
Family name
Given names
Registration number
Birthday and place
Nationality
eMail
Mobile phone
Receiving university
Chosen modules & Credit Points	Name	Local	ECTS
Total
Trimester assignment	max. 1000 letters
Proposal of allocation number	ME	MT	Attention! ME+MT = 20
Start of Trimester	01.03.2012
End of Trimester	31.08.2012
Sending responsible	Name
Phone
eMail
Receiving responsible	Name
Phone
eMail
Date, Signatures	Student
Responsible Receiving Institution
Prof. Dr.-Ing. Albert Meij Module Responsible
to be filled out by the Sending Institution after Return and Trimester Assignement	Mark	Signature
Bitte dieses Formular nach dem vollständigen Ausfüllen und Unterschreiben an das Prüfungsamt weiterleiten.	After complete filling out and signing this form, please forward it to the „Prüfungsamt“ (Examination Office)