Nr. Ref……………………..
MINISTERUL EDUCATIEI SI CERCETARII
MINISTRY OF EDUCATION AND RESEARCH

DIRECTIA RELATII INTERNATIONALE
INTERNATIONAL RELATIONS DEPARTMENT

28-30 G-ral Berthelot Street/12 Spiru Haret Street,010168 Bucharest
Tel. (+4021) 3157430,3142680 Fax (+4021) 3157736

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CERERE PENTRU ELIBERAREA SCRISORII DE ACCEPTARE LA STUDII
(APPLICATION FOR THE ISSUANCE OF LETTER OF ACCEPTANCE TO STUDIES)
( Se completeaza cu majuscule/ to be filled with capital letters/ A completer en majuscules)

1. NUMELE		PRENUMELE		
	NOMS		PRENOMS	

2. NUMELE PURTATE INTERIOR		
	NOMS PORTE ANTERIEUREMENT	

3. LOCUL SI DATA NASTERII Tara		Localitatea		Data									
DATE ET LIEU DE NAISSANCE	PAYS		LOCALITE	DATE	J	J	M	M	A	A	A	A	

4. PRENUMELE PARINTILOR 	Pere 		Mama		
PRENOMES DES PARENTES		Père		mère	

5. SEXUL (SEXE) :		M		F	

6. STAREA CIVILA :		CASATORIT(A)		NECASATORIT(A)		DIVORTAT (A)		VADUV(A)	
ETAT CIVIL				(CELIBATAIRE)		(DIVORCE)		(VEUV(VEDF))	

7.CETATENIA (LE) ACTUALE		CETATENII ANTERIOARE		
CITOYENETE(S)	ACTUELE(S		NATIONALITES ANTERIEURES	

8. DOCUMENT DE CALATORIE : TIPUL		SERIE		NR		
(DOCUMENT DE VOYAGE)	(TYPE/TYPE)		(SERIE/SERIE		(NO/NO)	

ELIBERAT DE TARA: 		LA DATA									VALABILITATE		
DELIVRE PAR PAYS	DATE OF ISSUE/A)		J	J	M	M	A	A	A	A		EXPIRANT LE	

9. DOMICILIUL PERMANENT ACTUAL : TARA		LOCALITATEA		
DOMICILE PERMANENT ACTUEL	(COUNTRY/PATS)		(PLACE/LOCALITE)	

10. PROFESIA		LOCUL DE MUNCA		
	(PROFESSION/PROFESSION)		(WORK PLACE/ LIEU DE TRAVAIL)	

11. MOTIVATIA DEPLASARII IN ROMANIA ( PURPOSE OF VISIT/BUT DE SEJOUR)

	X	STUDII (STUDIES)	

I.Education Background

Nom et adresse du Lycée  / Université	Date 
d’Admission	Date de
Finalisation
	Type de Certificat reçu	

II. Studies applied in Romania	University	Language d’instruction	
a) pre-university, in the grade			
b) undergraduate, in the branch			
c) postgraduate - master, in the branch			
	- specialization, in the branch			
	- doctorate, in the specialty			

III. Connaissances des langues ( remplissez avec la mention correspondante: excellent, bien, faible )

Langue	Écrit	Parlée	
Roumain			
  Français			
 Anglais			

IV. Statement by the applicant
I oblige myself to observe the laws in force in Romania, the school and university rules, regulations and norms, as well as those for social life.
I have taken note of the fact that school fees may be subject to change during the years of study and must
be payed, in free currency, in advance for a period of al least 10 month for full time courses and at least 3 months
for part time courses.
I am aware that any untrue information will lead to my disqualification.

V. Annex (authenticated translations of the respective documents in a language widely spread internationally)
1. Photocopy or authenticated copy of the certificate of studies;
2. Authenticated copy of the birth certificate;
3. Authenticated copy of the passport;
4. Medical certificate;
5. The list of result of the completed study years (Academic Transcripts) for postgraduate studies applicants and for those wishing to continue begun in other countries.

On my arrival in Romania I should submit the original documents.

   			Signature		
Date     					

	
REZERVATA AUTORITATILOR
OBSERVATII
(OBSERVATION)

AUTHORITY ONLY		RESERVE AUTORITES	

NUMAR SCRISOARE M.Ed.C. / AN DE ACCEPTARE LA STUDII PENTRU (M.E.R. LETTER NUMBER):