Nr.

___________ / _________________________

DOMNULE DECAN,
Subsemnatul (a) ____________________________________________________________________,
domiciliat () n localitatea_________________________ strada _____________________________
nr. _____________ judeul (sectorul) ____________________________ telefon ________________,
e-mail _______________________, CNP __________________________ student () n cadrul
Facultii de Contabilitate i Informatic de Gestiune, curs ZI MASTERAT DE APROFUNDARE
anul II, seria _________ , grupa _________ v rog s binevoii a-mi aproba tema pentru lucrarea de
disertaie.

Catedra _________________________________________________________________________ .
Nr. crt. din tematica catedrei _______________________________________________ .
Titlul temei _______________________________________________________________
____________________________________________________________________
____________________________________________________________________.
SAU
Tem propus de student

x)

(dac este cazul) ___________________________________

____________________________________________________________________
____________________________________________________________________ .
NU AM / AM mai susinut examenul de disertaie n sesiunea ________________anul ____________.

Data: ____________________

Semntur student:
__________________________________

DOMNULUI DECAN AL FACULTII DE CONTABILITATE I INFORMATIC DE

GESTIUNE
Semntura secretarei care a primit cererea
____________________________
x)

STUDENTUL POATE PROPUNE TEM PROPRIE.