Subsemnatul (a)____________________________________________________ student n
anul__________de studiu, anul universitar 2015-2016, domeniul____________________________, v rog s aprobai ntocmirea lucrrii de licen/disertaie cu tema:____________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ sub coordonarea tiinific a _________________________________________________________.
Data,
Semntura student,
Domnului Director al Departamentului de________________________________________