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REQUEST FOR GRANTING THE DEAN’S LEAVE (

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REQUEST FOR GRANTING THE DEAN’S LEAVE

(PODANIE W SPRAWIE: Udzielenia urlopu dziekańskiego)

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 the dean’s leave in the ... semester of the following academic year: ...

My request is justified by the following fact(s):

...

...

...

...

...

...

...

At the same time, I declare I passed the previous semester, which is the ...

semester of my studies.

I enclose the following documents:

...

...

...

...

...

Yours sincerely,

...

(handwritten signature)

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