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INSTITUIA PUBLIC

UNIVERSITATEA DE STAT DE MEDICIN I FARMACIE


NICOLAE TESTEMIANU DIN REPUBLICA MOLDOVA

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APROB
Rector
_______________ Ion Ababii
____ ___________________

Stimate Domnule Rector,


Subsemnatul(a) ___________________________________________________________,
rezident/secundar clinic n anul____, gr. ____, specializarea___________________________
______________________________, Catedra de ___________________________________
____________________________________________ solicit acordul Dumneavoastr privind
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Anex: __________________________________________________________________
(dup caz)

________________

__________________

data

semntura

Dlui Ion Ababii,


rector IP USMF Nicolae Testemianu,
profesor universitar, dr. hab. t. med.,
academician al AM

COORDONAT
ef catedr
Decan

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