FIA DE EVIDEN A DOCTORANDULUI

Data nregistrrii_____________________________________________________________
1. Numele, prenumele_________________________________________________________
2. Anul, locul naterii_________________________________________________________
3. Adresa de la domiciliu______________________________________________________
4. Telefon de contact__________________________________________________________
5. Studii superioare__________________________________________________________
(denumirea instituiei de nvmnt superior universitar)
5.1. Seria i nr. diplomei_______________________________________________________
5.2. Anul absolvirii __________________________________________________________
6. Anul nscrierii la doctorat____________________________________________________
7. Vechimea n munc (dac pn la nscriere la doctorat doctorandul a activat n cmpul
muncii)
_______________________________________________________________________
8. Instituia unde doctorandul i face studiile, adresa _______________________________
__________________________________________________________________________
(denumirea instituiei i ministerului)
9. Codul i denumirea specialitii_______________________________________________
__________________________________________________________________________
10.Lucrri tiinifice publicate n reviste: internaionale ____ naionale_____ brevete de
invenie ____ , participri la reuniuni tiinifice :
n institut______naionale_______internaionale__________________
La copia lucrrilor, brevetelor, programelor reuniunilor, confirmate de secretarul tiinific,
se anexeaz:
11. Media notelor obinute la examenele de doctorat ________________________________
12. Data completrii __________________________________________________________
13. Semntura doctorandului ___________________________________________________
14. Semntura secretarului tiinific
___________________________________________