Anexa 3

Aprobat,
Loc de practic.
ConsultantDepartament.
Semntur conductor proiect de diplom / lucrarea de licen / disertaie ..
Data
Tema a fost avizat n edina Departamentului__________________________________________
din data de
Director de departament,

Domnule/Doamn Director,

Subsemnatul(a) ___________________________________________ student() n anul ____,

Facultatea _______________________________________________________________________,
specializarea_____________________________________________________________________,
cursuri de (ZI / FR / ID) ______, v rog s-mi aprobai tema proiectului de diplom / lucrrii de
licen / disertaie _________________________________________________________________
________________________________________________________________________________
_______________________________________________________________________________
care va fi care va fi susinut() n sesiunea ________________ anul ________, avnd drept
conductor tiinific pe _________________________________________________________ de la
Departamentul ___________________________________________________________________.
Data
.

Student()
(semntura)
..

Domnului/Doamnei Director al Departamentului ________________________________________

_______________________________________________________________________________,
Facultatea _______________________________________________________________________,
Universitatea PetrolGaze din Ploieti
F 269.13/Ed.1

Fiier SMQ/Formulare