International Office Student Mobility University of Vienna (A WIEN01) Universitätsring 1, A-1010 Wien Fax: +43/(0)1/4277 18229 E-mail: [email protected] http://international.univie.ac.at Internationale Beziehungen Please return before 31st January 2015 EXTENSION CERTIFICATE academic year 2014/15 Ms/Mr: Family name: …………………………………………………………………………….. First name: …………………………………………………………………………………. e-mail address: ….…………………………………………………………………………………………… is nominated by the University …………………………....................................................... (ERASMUS Code of home institution (if applicable): .................................................) for the as an exchange student at the University of Vienna (A Wien01) during the academic year 2014/15 for the summer semester 2015.  To be completed by the Programme Coordinator or International Office at the HOME INSTITUTION: Signature:.......................................................................................................... Name and position:....................................................................................................... Date: ....................................... Stamp:  To be completed by the ERASMUS Departmental Coordinator at the UNIVERSITY OF VIENNA: Signature: .......................................................................................................... Name and position: ....................................................................................................... Date: ....................................... Stamp:  To be completed by the International Office at the UNIVERSITY OF VIENNA: Signature:.......................................................................................................... Name and position:....................................................................................................... Date: ....................................... Stamp: Please note: This certificate is not valid without the signature and the stamp of all responsible departments.