Duplicat

Nr. nregistrare: _____________

Data: ______________________

DOMNULE RECTOR,
Subsemnatul/a _____________________________________________________________
(numele de familie, iniiala tatlui i toate prenumele conform certificatului de natere)
absolvent/ al/a Universitii _______________________________________________________
facultatea _______________________________________________________________________
specializarea ____________________________________________________________________
forma de nvmnt (bifai csua corespunztoare formei de invamnt absolvite):
Licen
Master
Postuniversitar de specializare
Perfecionare
Studii Aprofundate
Absolvire Colegiu
Conversie profesional (P.I.R.)
Absolvire curs psihopedagogic i metodic de specializare, nvmnt precolar
coala de nalte Studii Europene Comparative
v rog s aprobai eliberarea unui DUPLICAT dup:
diploma de licen / absolvire /dizertaie, Seria _________ Nr. ___________________________,
eliberat cu nr. _____________ din data de ___________________.
Motivul pentru care solicit eliberarea duplicatului: _________________________________
________________________________________________________________________________

Data: _______________

Semntura,
__________________________