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Akademisches Auslandsamt Daniela Ehrenreich Neidenburger Str. 43, 45897 Gelsenkirchen Tel : 0209 9596-826 Fax : 0209 9596-447 E-Mail: [email protected]
Mr. / Mrs.
home university
from (day, month, year)
to (day month, year)
is enrolled as an ERASMUS student at our institution
Name of signatory
Function
ERASMUS academic year 2015 / 2016
Confirmation of Stay
It is hereby certified that
Date
Name of host organisation
To be completed by the host institution:
Stamp and Signature