Anexa nr.

2
Art. 35Legea nr. 1163-XIII
din 24.04.1997
C E RT I F I C AT
prezentul certificat este eliberat de ____________________________________________________________________________
(denumirea Instituiei)
____________________________________________________________________________________________________________________________________________
(adresa)

Prin prezentul se confirm, c _______________________________________________________________________________

(numele, prenumele persoanei, creia i se elibereaz certificatul)
codul fiscal ______________________________________________________________________________________________
domiciliat () permanent pe adresa ____________________________________________________________________________
este student () n anul _____________________________________________________________________________________
la facultatea
______________________________________________________________________________________________
i termenul de studii n anul 2016/2017 fiind mai mult de 5 luni, iar bursa preconizat pe acelai an nu va
depi valoarea de 9516 lei.
Certificatul e nregistrat sub nr._______________________________________________________________________________
i e eliberat la data ________________________________________________________________________________________
(data)

L..
___________________________
(semntura)