prośba studenta
Transkrypt
prośba studenta
Łódź, dnia ..................................... .............................................................. / imię i nazwisko/ rok studiów ................dzienne/zaoczne (x) kierunek ................................................... ................................................................... Specjalność ............................................... Nr. albumu ................................................ Administrator Wydziału ............................................ ........................................................... Proszę o ...................................................................................................................................................... ....................................................................................................................................................... ....................................................................................................................................................... ....................................................................................................................................................... ....................................................................................................................................................... ....................................................................................................................................................... ....................................................................................................................................................... ....................................................................................................................................................... ................................................... / podpis studenta / Do podania załączam: 1. ................................................................... 2. ................................................................... 3. ................................................................... 4. ................................................................... 5. ................................................................... (x) – niepotrzebne skreślić