Universitatea tefan cel Mare din Suceava

Facultatea de Inginerie Electric i tiina Calculatoarelor

Nr. nregistrare Facultate:

___________________________

_____________________________

DECAN,
Prof.univ.dr.ing. efan-Gheorghe PENTIUC

RECTOR,
Prof.univ.dr ing. Valentin POPA

DOMNULE RECTOR,

Subsemnatul(a),

.....................................................................................................................................,

CNP....................., ID PeopleSoft .., student la

Facultatea

de

Inginerie

Electric

tiina

Calculatoarelor,

programul

de

studii

...............................................................................................................................,
anul..., nvmnt cu frecven (de zi), fr tax/ cu tax, an universitar 20.../20...., v rog s
binevoii

a-mi

aproba

RESTITUIREA

sumei

de

..................,

reprezentnd ........................................................................................ ......................................................

................... .
Motivul: ...............................................................................................
. .
Data,

Semntura,

Date confirmate de Secretariatul Facultii

Nume prenume solicitant:
Program studii/forma de nvmnt:
Confirmarea motivului invocat(cu documente ataate):

Secretar ef facultate,

Secretar program studii,

Elena CURELARU

nume prenume