Universitatea Tehnic "Gheorghe Asachi" din Iai

Aprobat,
Decan

DOMNULE DECAN
Subsemnatul, _____________________________________________________ ,
absolvent al Facultii de _________________________________________________ ,
domeniul______________________________________________________________ ,
specializarea ___________________________________________________________ ,
promoia ______________ , v rog s-mi aprobai nscrierea la examenul de licen
sesiunea _________________________________ .
Am mai susinut examenul de licen n anul _______________________ .
Am ntocmit lucrarea / proiectul de licen cu titlul ______________________
_______________________________________________________________________
_______________________________________________________________________
sub ndrumarea _________________________________________________________ .

Data: ________________

Semntura
____________________________

Viza ndrumtorului lucrrii /proiectului________________________

Media de colaritate (ECTS): ___________

Viz secretariat,

Domnului Decan al Facultii de ____________________________________________

Formular UTI.POB.16-F1-rev0