Ime i prezime:.......................................................................

Adresa:
...........................................................................
Telefon/mobitel: ...................................................................
Broj index-a: .........................................................................
Odsjek/Smjer: ...................................................................

Dekan Fakulteta
Prodekan za nastavna pitanja
Prodekan za finansije
Prodekan za studentska pitanja imob. studenata
Sluba za rad sa studentima i planiranje nastave

MOLBA
Molim naslov da mi odobri (zaokruiti potrebno):
1.
2.
3.
4.
5.

Mirovanje studentskih prava

Revers
Ispis
Nastavak studija
Promjena statusa studenta

6.
7.
8.
9.
10.

Promjena odsjeka/smjera
Priznavanje poloenih ispita
Prelaz s drugog fakulteta
Prijevremenu obranu diplomskog rada
Ostalo

Obrazloenje (itko popuniti):

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Prilog

(oznaiti priloeno):
Indeks
Potvrda o razduenju iz Biblioteke
Potvrda ljekara
Nastavni plan i program
Uvjerenje o poloenim ispitima
Ostalo:
....................................................................................................... ....................................................................................................................................

Sarajevo, ____________________

Potpis studenta
_____________________________

RJEENJE:
a)

Odobrava se molba

b)

Ne odobrava se molba
Predlae se:
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Sarajevo, ____________________
Potpis
________________________

Svojerunim potpisom student potrvuje da je upoznat sa rjeenjem svoje molbe.

Datum:

P o t p i s:

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