CENTRUL NAIONAL

DE RECUNOATERE I ECHIVALARE A DIPLOMELOR

____________________________________________________________________________________________
CERERE PENTRU RECUNOATEREA STUDIILOR N VEDEREA ADMITERII LA STUDII UNIVERSITARE DE
LICEN
APPLICATION FOR RECOGNITION OF STUDIES FOR ENROLMENT TO UNDERGRADUATE STUDIES
DEMANDE DE RECONNAISSANCE REQUISE POUR L'ADMISSION AUX TUDES UNIVERSITAIRES DE LICENCE
SE COMPLETEAZ CU MAJUSCULE / WRITE CLEARLY IN BLOCK CAPITALS / REMPLIR EN MAJUSCULES
TOATE CMPURILE CERERII TREBUIE COMPLETATE / ALL FIELDS MUST BE FILLED IN / VEUILLEZ REMPLIR TOUTES LES
RUBRIQUES

1. NUMELE ___________________________________ PRENUMELE _____________________________________

FAMILY NAME(S)/NOM(S)
FIRST NAME(S)/PRNOM(S)
2. NUMELE PURTATE ANTERIOR __________________________________________________________________
PREVIOUS NAMES/NOMS PORTS ANTRIEUREMENT

3. LOCUL I DATA NATERII

ARA __________________ ORAUL_________________ DATA ________

DATE&PLACE OF BIRTH/DATE&LIEU DE NAISSANCE COUNTRY/PAYS

PLACE/VILLE

4. CETENIE _________________________________

5. SEXUL

CITIZENSHIP/ CITOYENNET

SEX/SEXE

6. PRENUMELE PRINILOR

_____________________________ / _____________________________

PARENTS GIVEN NAMES/PRNOMS DES PARENTES FATHERS GIVEN NAMES/PRNOMS DU PRE

7. DOMICILIUL PERMANENT

DATE/DATE

MOTHERS GIVEN NAMES/PRNOMS DE LA MRE

________________________________________________________________

PERMANENT ADDRESS/DOMICILE PERMANENT

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8. ADRESA DE CORESPONDEN _________________________________________________________________
ADDRESS FOR CORRESPONDENCE/ADRESSE DE CORRESPONDANCE

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9. EDUCAIE/EDUCATIONAL BACKGROUND/TUDES
NUMELE I LOCAIA LICEULUI ___________________________________________________________________
NAME AND LOCATION OF THE SECONDARY SCHOOL/NOM ET LIEU DU LYCE

DATA ADMITERII _________________________________ DATA ABSOLVIRII ______________________________

DATE OF ADMISSION/DATE DADMISSION

DATE OF COMPLETION/DATE DE FIN DTUDES

NUMELE DIPLOMEI/CERTIFICATULUI ELIBERAT_______________________________________________________

NAME OF THE DIPLOMA/CERTIFICATE ISSUED/TYPE DE BREVET OU CERTIFICAT DE FIN DTUDES DLIVR

________________________________________________________________________
Str Spiru Haret nr. 12, Sector 1,
010176, Bucuresti
Tel: +40 (0)21 405 56 40
Fax: +40 (0)21 313 10 13
www.cnred.edu.ro

ALTE INSTITUII ABSOLVITE I NUMELE DIPLOMELOR/CERTIFICATELOR OBINUTE

OTHER INSTITUTIONS THE APPLICANT GRADUATED FROM AND NAMES OF THE DIPLOMAS/CERTIFICATES RECEIVED / DAUTRES TUDES POURSUIVIES ET LES
DIPLMES/CERTIFICATS DE FIN DTUDES OBTENUS

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_____________________________________________________________________________________________
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10. NSCRIEREA LA STUDII N ROMNIA/ENROLMENT TO STUDIES IN ROMANIA/INSCRIPTION AUX TUDES EN
ROUMANIE
UNIVERSITATEA _______________________________________________________________________________
NAME OF THE UNIVERSITY/NOM DE LUNIVERSIT

FACULTATEA ____________________________________ SPECIALIZAREA________________________________

NAME OF THE FACULTY/NOM DE LA FACULT

SPECIALIZATION/SPCIALIT

ANUL UNIVERSITAR 2013 2014

ANUL DE STUDIU IN CARE SE SOLICITA INSCRIEREA ____

UNIVERSITY YEAR/ANNE UNIVERSITAIRE

ENROLLMENT INTO THE ___YEAR OF STUDY/ LANNE DTUDES POUR LINSCRIPTION ___

11. CERTIFIC INCLUDEREA N DOSAR A URMTOARELOR DOCUMENTE/I SUBMIT THE FOLLOWING DOCUMENTS /
J ATTESTE QUE LE DOSSIER CONTIENT LES DOCUMENTS SUIVANTS:

12. DECLAR C INFORMAIILE PRECIZATE N ACEST FORMULAR SUNT ADEVRATE./I HEREBY DECLARE THAT ALL
INFORMATION GIVEN ABOVE IS TRUE./ JE DCLARE QUE TOUTES LES INFORMATIONS MENTIONNES CI-DESSUS
SONT VRAIES.

DATA ___________________

SEMNTURA ___________________________

DATE/DATE

SIGNITURE/SIGNATURE