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REQUEST FOR AN ONLINE EXAMINATION/COURSE FINAL EXAMINATION/DIPLOMA EXAMINATION**

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REQUEST FOR AN ONLINE EXAMINATION/COURSE FINAL EXAMINATION/DIPLOMA EXAMINATION**

(PODANIE W SPRAWIE: możliwości przeprowadzenia w sposób zdalny zaliczenia/egzaminu/egzaminu dyplomowego**)

Wrocław, on ...

Student’s name and surname: ...

Student’s identification number: ...

Place of residence: ...

Contact (e-mail address, phone number): ...

Field of study: ...

Year of study: ...

Studies: first-cycle/second-cycle full-time/part-time*

Mr/Ms

...

...

vice-dean of the Faculty of Letters of the University of Wrocław

I hereby request for an online examination in the course (name of the course: ...

... )/

course final examination (name of course: ... )/

diploma examination*.

I do confirm that I know how to operate the software to be used in the online examination/course final examination/diploma examination*.

I declare that during the online examination/course final examination/diploma examination I will have access to a computer equipped with a camera and a microphone with an Internet connection that enables holding a videoconference (minimum connection speed 4 mb/s, recommended upload/download speed 10 mb/s) and recording the course final examination /diploma examination.

I declare that I have read Announcement No. 6/2020 of the Dean of the Faculty of Letters setting out the rules of online examinations.

Course instructor’s/examiner’s/thesis supervisor’s opinion ...

...

Signature The opinion of the institute’s/chair’s head/vice-head for teaching ...

...

Signature Vice-dean’s opinion ...

...

Signature

* Underline the appropriate option.

**The request should be submitted when an examination/course final examination/diploma examination has been scheduled in a classroom.

Cytaty

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