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CERERE

Subsemnatul (a) ____________________________________________ , student () a facultii _____________________ , anul


de studiu ____ , seria _____ , grupa ______ , n vederea evalurii finale optez pentru urmtoarea tem (titlul complet al temei +
numrul de ordine din list):
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
____________________________________________
Date de contact:
Email: ______________________________________
Tel (fix / mobil): ________________________________
Solicit ca ndrumtor tiinific pentru elaborarea temei pe doamna / domnul (cadru didactic al D.P.P.D.):
__________________________________
Data:

Semntura,