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REQUEST FOR GRANTING THE POSSIBILITY TO PAY FOR RETAKING COURSES IN INSTALMENTS

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Academic year: 2021

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REQUEST FOR GRANTING THE POSSIBILITY TO PAY FOR RETAKING COURSES IN INSTALMENTS

(PODANIE W SPRAWIE: Rozłożenia na raty opłat za powtarzanie przedmiotów)

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 allowing me to pay in instalments for the educational services provided by the University of Wrocław in the winter/summer semester of the academic year ...

Type of service Amount

Education within part-time studies Education within studies in English

Education within full-time studies during the courses not covered by study curriculum

Retaking courses within full-time studies due to unsatisfactory results Retaking courses within part-time studies due to unsatisfactory results Total

Payment dates in the winter semester Amount

by 10 November 20____

by 3 December 20___

by 18 December 20___*

Payment dates in the summer semester Amount

by 10 March 20____

by 10 April 20___

by 10 May___*

* The amount of the third instalment results from dividing the full amount into three parts. The third instalment completes the full amount of the payment.

Yours sincerely,

...

(handwritten signature)

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