Podanie o Wykreśleniu Z Listy Studentów

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Podanie o Wykreśleniu Z Listy Studentów

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Mateusz Gębski

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Rzeszów, …………………………. r.

………………………………………………………….…..
(Imię i Nazwisko)

__-___ ………………......................………..
( Adres)

…………………………………………………………………
(Adres)

………………………………………………………………..
(kierunek i rok)

………………………………………………………………………….………
(Telefon)

Dziekan

Kolegium Nauk Przyrodniczych

dr hab. Idalia Kasprzyk, prof. UR

Proszę o wykreślenie mnie z listy studentów z powodów osobistych.

Proszę o pozytywne rozpatrzenie mojej prośby.

……………………………………………………

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