DECAN,

NDRUMTOR TIINIFIC,

Doamna Decan,

Subsemnatul(a)____________________________________________________,
CNP _________________, absolvent(), promoia ______, programul de studii /
specializarea ____________________________________, studii universitare de licen /
master ( __ ani), doresc s m nscriu la examenul de licen / diplom / disertaie,
sesiunea ________.
Tema lucrrii de licen / diplom / disertaie
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_
ndrumtorul tiinific este __________________________________________________
Telefon mobil absolvent ______________________________
Modificrile ulterioare m oblig s le aduc la cunotin, n timp util, serviciului
secretariat.

Data,

Semntura absolventului,

ndrumtor tiinific: la aceast dat, absolventul menionat mai sus nu are datorii
(material didactic) fa de ndrumtorul tiinific

(semntura ndrumtorului).