UNIVERSITATEA DIN BUCUREŞTI

FACULTATEA DE DREPT

CERERE DE ÎNSCRIERE *
LA EXAMENUL DE DISERTAŢIE
SESIUNEA IUNIE 2012

1. NUMELE ŞI PRENUMELE: _______________________________________________________

2. CNP:________________________

3. Prenumele părinţilor: tata__________________________, mama___________________________

4. Domiciliul: Localitatea _________________________________, jud.________________________,

str._______________________________, nr._______, bloc _______, sc._____, et._____, ap._____,

tel.________________/ tel.mobil___________________ e-mail___________________________

5. PROGRAMUL DE MASTER: __________________________________________________

_________________________________________________________________________________

6. ANUL ABSOLVIRII PROGRAMULUI DE MASTER: _______________

7. DISCIPLINA LA CARE SE SUSŢINE DISERTAŢIA: _____________________________________

__________________________________________________________________________________

8. TITLUL DISERTAŢIEI: ______________________________________________________________

__________________________________________________________________________________

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9. CONDUCĂTORUL ŞTIINŢIFIC: ______________________________________________________

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Data ____________________ Semnătura________________________

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