UNIVERSITETI POLITEKNIK

Fakulteti i Teknologjis s Informacionit

Sheshi Nn Tereza, Nr 1, Tiran
Sheshi Nene Tereza, 4 - Tirana ALBANIA Tel /Fax: +355 4 2278159 www.fti.edu.al

FORMULAR KERKESE PER PERMIRESIM NOTE

Viti akademik 2016-2017
Ne provimete e vjeshtes e studentit:

Emri Mbiemri:________________________
Cikli: Bachelor/Master:_____________________
Profili:___________________
Viti:_________________

Emertimi i lendes qe kerkon te permiresoje noten:

1- ______________________________________________

2- _______________________________________________

Kerkesa u dorezua me dt. ______Korrik 2017.

Firma e studentit:
_________________

Firma e sekretares qe e mori ne dorezim:

__________________________________