FORMULAR CERERE TEM DE LICEN Anul universitar 2011 - 2012

ACORD - Coordonator tiinific ___________________________ AVIZ - ef de catedr ___________________________ APROBARE Decan ___________________________

Doamn / Domnule Decan,

Subsemnatul(a) ___________________________________, student() a Universitii Romno-Americane, Facultatea de ________________________________________________, domeniul de licen ___________________, specializarea _____________________________, anul ____, forma de nvmnt ____, grupa _____, v rog s aprobai tema lucrrii de licen _____________________________________________________________________________, elaborat sub coordonarea tiinific a _______________________________.

Semntura,

Data ______________

Doamnei / Domnului Decan al Facultii de ________________________________________