UMFTGM-PO-SG-06-F01

DECAN
DE ACORD
DA

NU

Tipul de cerere: Eliberare ADEVERIN

Facultatea:________________________________________
Programul de
studii:__________________________________

Subsemnatul(a)

_________________________________________,

student()

anul
_________ de studii , an universitar ______________ , v rog s-mi eliberai o
adeverin care
s conin ______________________________________________________________________
_______________________________________________________________________________
______________________________________________________________________________,
pentru a-mi folosi la__________________________________________________.
Anexez chitana doveditoare a achitrii taxei.

Data:
Semnatura: