ࡱ> q` 0ZbjbjqPqP 4::Ak666JRRRRdrRtJxTTTTTSVSVSVwwwwwww$yh |`wi6W1V"SVWWwTT?cxcccW 8T6TwcWwcc6cTT |R~bceyx0xcm|cm|cm|6c0SV>V,cV$VSVSVSVwwcSVSVSVxWWWWJJJMRJJJRJJJ  ANEXA 1 FI^ DE NSCRIERE - ciclul universitar de licenc - la concursul de admitere sesiunea IULIE 2013 UNIVERSITATEA DIN CRAIOVA(Toate informaciile se completeaz cu majuscule)FACULTATEA DE I. Datele personale ale candidatuluiI.1.Numele de familie din certificatul de na_tere: I.2. Numele de familie actual (dac difer de I.1):I.3. Prenumele:I.4. Inicialele tatlui/mamei I.5. CNP: I.5. Data na_terii:Ziua:Luna:Anul:I.6. Locul na_terii: Sexul F/MI.7. Starea civil: necstorit() I.8. Starea social special:orfan de un printecstorit()orfan de ambii princidivorcat()provenit din case de copiivduv()provenit din familie monoparentalI.9. Cetcenia: Etnia: Religia:I.10. Adresa: I.11. Act de identitate: Seria:Numrul: Eliberat de:  Data eliberrii:--Perioada de valabilitate:I.12. Alte date ale candidatului: Telefon:Adres e-mail:I.13. Candidaci care se ncadreaz n categoria persoanelor cu dizabilitci (se bifeaz numai de persoanele aflate n aceast situacie pe baz de documente)II. Date privind pregtirea anterioar a candidatului (absolvent de liceu)II.1. Studiile preuniversitare absolvite, nivel liceuInstitucia unde a absolvitbaraLocalitatea:Judecul:Profilul/Domeniul:Durata studiilor:Anul absolvirii: Forma de nvcmnt:ZiSeralFRIDFilier:II.2. Datele de identificare ale diplomei  Tipul:Seria:Nr:(diplom de bacalaureat sau echivalent pentru candidatul care a absolvit studii anterioare n strintate)Emis de:An emitere:Nr foaie matricol Medie Bacalaureat:Medie ani de studii:II.3. 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Studiile universitare absolvite (sau n curs de absolvire)Denumirea institutiei de invatamant superiorTaraLocalitatea:Judetul:FacultateaDomeniul/ProfilulSpecializareaTitlul obtinutForma de invatamant:ZiSeralFRID Forma de finantare :BugetTaxaDurata studiilor (nr. ani sau nr.semestre, dupa caz)An absolvireIII.2. Date de identificare ale actului de studiu  Tipul:Seria:Nr:(denumirea  diploma de licenta/echivalenta/diploma de master)Emitentul:An emitere:Supliment/foaie matricola nrIII.3. Alte observatii (pentru cazurile in care candidatul care a absolvit studii anterioare in strainatate) - Vizarea/Recunoasterea diplomei prezentate (DPIRP  acorduri bilaterale/CNRED?Directia cetateni straini din MEN) - Nr/Serie act de recunoastere/echivalare eliberat de DPIRP /CNRED IV. Date privind princii/suscintorul legalNumele _i prenumele princilor:Tata:Mama:Nivelul de educacie al princilor:Tata: - Mama:- - primar - primar - gimnazial- gimnazial- profesional- profesional- liceal- liceal- postliceal- postliceal- universitar- universitarV. Opciuni admitereV.1. Domeniile de studiu, n ordinea preferincei1.2.3.4.5.6.7.8.9.10.V.2. LA LATITUDINEA FACULTbII V.3. Alte informacii Solicit cmin:Limba strin de studiu:Semntur verificare fi_: ..........................................................Semntur candidat: ................................................................. NOTA. Se vor completa obligatoriu toate informaciile specificate n formular.  NOT. 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