REQUEST FOR RE-ADMITTING TO STUDIES
(PODANIE W SPRAWIE: Reaktywacji na studia)
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 re-admitting my to studies for ...
semester in the following field of study: ...
I was removed from the student list on ... (state the date) in the following field of study: ...
because ...
My request is justified by the following fact(s):
...
...
I inform that this is my first/second/third* re-admission to the following field of study: ...
...
I declare that I was cleared for graduation in the academic year: ...
I enclose the list of curricular differences which I need to pursue and which was specified by the vice-head for teaching. The said differences result from the comparison of the learning outcomes.
Course name Couse form (lecture, discussion classes,
seminar)
Number of hours Payment (PLN 11/1 hour)**
Total
* In the case of the first re-admission, the student of full-time studies does not pay for taking the courses to cover the curricular differences.
** For studies in English, it is PLN 17/1 hour
Signature of the institute’s/chair’s head/vice-head for teaching ...
Yours sincerely,
...
(handwritten signature)
