Avizat

Director Departament

De accord,
Prof. coordonator_____________

Domnule Director,

Subsemnatul (a)____________________________________________________ student n

anul__________de studiu, anul universitar 2015-2016, domeniul____________________________,
v rog s aprobai ntocmirea lucrrii de licen/disertaie cu tema:____________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
sub coordonarea tiinific a _________________________________________________________.

Data,

Semntura student,

Domnului Director al Departamentului de________________________________________