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Doamna Decan,

Subsemnatul (a)…………………………………………………………………...

student (ă) la Facultatea de Medicină, anul ….., seria…. .., grupa….…, vă rog să-mi aprobați
înscrierea și susținerea examenelor pentru modificare calificativ, la următoarele discipline:

1………………………………………………………………………………………………….

2………………………………………………………………………………………………….

3………………………………………………………………………………………………….

4………………………………………………………………………………………………….

Data Semnătura

Studentul (a) este integralist(ă)

Secretar facultate,
Elena Doina Munteanu

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