COMISSO DE GRADUAO DO INSTITUTO DE FSICA

Eu, ________________________________________________________ n USP ______________________

Tel. ______________________ E-mail: _______________________________________________________
Aluno(a) do Curso de ____________________________ em Fsica no perodo _________________ solicito:

( ) Reativao de Matrcula ( ) Artigo 75 ( ) Artigo 76

( ) Cursar menos de doze crditos

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( ) Considerar a(s) disciplina(s) abaixo como optativa(s) do bloco __________________, apesar de no

constar(em) na relao informada no Manual de Graduao para o Curso de ___________________:
NOME DA DISCIPLINA SIGLA
1. _____________________________________________________________ (_______________)
2. _____________________________________________________________ (_______________)
3. _____________________________________________________________ (_______________)
4. _____________________________________________________________ (_______________)
5. ______________________________________________________________(

JUSTIFICATIVA:
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Nestes termos, peo deferimento

So Paulo, ____ de ________________ de ________. Assinatura
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PARECER (Para uso da CG e/ou Seo de Alunos): ___________________________________________________

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