Bursa speranei 2016

Formular de participare
Numele___________________________________________ Prenumele ____________________________________
Adresa de domiciliu ________________________________________________________________________________
Telefon de contact __________________________________ E-mail ________________________________________
Instituia de nvmnt _____________________________________________________________________________
Facultatea ________________________________________ Specialitatea ___________________________________
Tipul studiilor (de subliniat): licen / masterat/ doctorat

Grupa ________________________________________

Anul de studii _____________________________________

Nota medie ____________________________________

Motivaia de participare la concurs

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Descrierea succint a proiectului de cercetare/ studii/ stagiu
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Participare la conferine tiinifice/ studeneti
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Declaraie
Prin prezenta doresc s m nscriu n concursul BURSA SPERANEI 2016 organizat de BCR Chiinu S.A. i confirm
faptul c am luat cunotin cu condiiile concursului pe care le-am neles. Declar pe propria rspundere c toate
informaiile incluse n formular i documentele ataate sunt veridice. Prin semnarea i depunerea acestui formular mi
exprim acordul privind prelucrarea datelor cu caracter personal prezentate ctre Banc.

Data ____________________

Semntura ___________________________

Documente anexate la formularul de participare:

1.
2.
3.
4.

Copia carnetului de student

Copia extrasului din matricol
Descrierea proiectului de cercetare/ studii/ stagiu
Scrisoare de recomandare de la facultate

n conformitate cu prevederile Legii nr. 133 din 08.07.2011 privind protecia datelor cu caracter personal, BCR Chiinu S.A. va pstra
confidenialitatea informaiilor cu caracter personal recepionate de la solicitani, cu excepia informaiilor solicitate de autoritile publice
competente. BCR Chiinu S.A. este nregistrat ca operator al datelor cu caracter personal cu numrul de identificare 0000065.