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REQUEST FOR CHANGING THE SUPERVISOR (PODANIE W SPRAWIE: Zmiany promotora) Wrocław, on

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REQUEST FOR CHANGING THE SUPERVISOR

(PODANIE W SPRAWIE: Zmiany promotora)

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 changing the supervisor of my bachelor’s/master’s thesis. So for, ...

... was my supervisor.

I hereby request to appoint ... as my supervisor.

My request is justified by the following facts: ...

...

...

...

...

...

...

Yours sincerely,

...

(handwritten signature)

Previous supervisor’s signature (consent) ...

New supervisor’s signature (consent) ...

Signature of institute’s/chair’s vice-director for teaching ...

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