UNIVERSITATEA DE MEDICIN I FARMACIE GR. T. POPA IAIFACULTATEA DE_____________________________________________________________________TITLUL MASTERATULUI______________________________________________________________CERERE Subsemnatul (a) __________________________________________________________Masterand() la programul de Master _________________________________________________ _______________________________________________________________________________

promoia_________, v rog s-mi aprobai cererea pentru nscrierea la examenul de disertaie cu titlul _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

sub coordonarea________________________________________________________desfurat n sesiunea_______________________________.

Iai________________________

(data)

Masterand()_________________________________________ (Nume/Prenume) _________________________

(semntura )

SEMNTURA COORDONATORULUI TIINIFIC

________________________________________________________ (Titlul academic/Nume/Prenume) ________________________

(semntura )