Fi de nscriere DELF Februarie 2014

V rugm s completai lizibil i corect urmtoarele informaii :

M / D-nul [ ] Mlle/ D-ra [ ] [ ] Prima inscriere la DELF ] Am mai !s" inscris la DELF #$lu% / &is"ri"a / &aia-'are / (a"u-'are / (ibiu) /

Nume : ________________________________________ Prenume : ________________________________________ Da"a na"erii * ++++++++/ ++++++++/+++++++++ L!cul na"erii *+++++++++++++++++++++++++++++ Naionalitate * r!m,n al"a * +++++++++++++++++++++++++++++++

Adres * ("r- * ++++++++++++++++++++++++++++++++++.r- * +++++++++

&l- * ++++++++++(c- * +++++++++++ A/- * ++++++(ec"- * ++++++++++ 0ra * ++++++++++++++++++++++++++++++++++++++++++++++ 1ud- * +++++++++++++++++++++++++++++++ $!d * +++++++++++++++ Domicile / Acas * +++++++++++++++++++++++++++++++++++++++

Portable / '!bil *+++++++++++++++++++++++++++++++++++++++++

@ e-mail *+++++++++++++++++++++++++++++++++++++++++++++++ Ele2#) la * +++++++++++++++++++++++++++++++++++++++++++++++++++++ Pr! es!r de limba rance3 care m-a /re4"i" *+++++++++++++++++++++++++++

Solicit nscrierea la urmatorul examen :

A1

A2

B1

B2

RGLEMENT A!T LE ++++++++++++++5 ____________________ LE!

RGLEMENT A!T LE ++++++++++++++5 ____________________ LE!