Participation on a language course in the host country

Participant/ Berner, Cerstin Maria Magdalena

Last name first name

Nahuatl _________________________________________
Language taught

30 hours ________________________________________
Duration (at least 30 hours)

Private School ___________________________________

Institution
_______________________________________________
Language Teacher

Alfaro Uribe, Rodrigo Teaching Assistant

Last name first name Qualification
,

Language course costs__________________________

Total amount 200 Euro

Mexican peso___________________________________________
Local Currency

(Please document date and official conversion rate/

Add print out of currency converter)
$4644.43__________________________________________________
Local currency (See printed source attached)

I hereby confirm that all information is complete and correct!

May 10th 2018, Guadalajara, Jalisco, México______________________________

Date/Place Signature/Stamp (Teacher/Institute)