Specializarea:

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UNIVERSITATEA DIN BUCURETIForma de finanarebuget

Facultatea de ISTORIE

taxa

Forma de nvmntzi

i.d.

DOMNULE RECTOR,

Subsemnatul (a) ............................................................................................... nscut () n anul .........., luna .............................., ziua ............., n localitatea ................................................. judeul/sectorul ................................................................................., avnd Codul Numeric Personal ..../..../..../..../..../..../..../..../..../..../..../..../..../ , liceniat()/absolvent() de ............................................. al (a) Facultii de ..............................................................................., specializarea .......................... .................................................... sesiunea ............................ anul .............., v rog s binevoii a-mi aproba eliberarea diplomei de studii.

Domiciliez n localitatea ................................................................................................... sector/jude .................................................... str. ................................................................................ nr. ..........., bl. ................, sc. ........, et. ........, ap. ......., telefon ............................................................

Precizez urmtoarele:

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Sunt/nu sunt angajat la Societatea (firma, coala etc.) ......................................................................... din localitatea ................................................. adresa .......................................................................... ........................................................................... tel./fax ...................................................................... e-mail ............................................................ n funcia de .............................................................. n specialitatea absolvit DANU,cu carte de munc DANU

Doresc/ nu doresc s primesc informaii/invitaii de la Universitatea din Bucureti la tel/fax............................................, e-mail ........................................................................................... i s fiu inclus() n baza de date a absolvenilor Universitii din Bucureti (ALUMNI).

Data

Semntura

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ARE / NU ARE DATORII (se vizeaz la biblioteca facultii)Biblioteca ...........................................................................................................................................Serviciul contabiltiate (taxe) ..............................................................................................................

Serviciul social ...................................................................................................................................