Universitatea Ecologic din Bucureti

Nr. __________/_____________________

Universitatea ______________________________
(de unde pleac)
Nr. _____________/______________________

DE ACORD,
RECTOR,
Prof.univ.dr. Alexandru iclea
L.S.

DE ACORD,
RECTOR,
L.S.

Facultatea de _______________________________
DE ACORD
Decan,

Facultatea _________________________________
(de unde pleac)
DE ACORD
Decan,

Domnule Rector,

Subsemnatul(a) ____________________________________________________ absolvent() a/al

Universitii ___________________________________________________, Facultatea de ____________
___________________________________,

specializarea

__________________________________,

promoia __________, forma de nvmnt _________, CNP _________________________________,

data naterii _______________________, locul naterii _____________________________, v rog s
binevoii a-mi aproba susinerea examenului de licen n sesiunea ____________________ la
Universitatea Ecologic din Bucureti, Facultatea _______________________________________,
specializarea ____________________________________.

Data _____________________

Se completeaz n 2 (dou) exemplare

Semntura ______________________