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Domnule Decan,

Subsemnatul ........................................................................................................................
student la facultatea de Medicina, specializarea........................., anul ............., curs de zi/F.R., va
rog sa-mi aprobati sustinearea examenului restanta la disciplina .................................................,
profesor .........................................
Mentionez ca am mai sustinut examenul de .... (de mentionat de cate ori a-ti mai
sustinut examenul)

Data: .....................

Semnatura: .....................

Domnului Decan al Facultatii de Medicina

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