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Directia Afacerilor Internationale

11 Rue des Francs Mriers


80027 Amiens
France
Tl : 03 22 82 58 53
Fax : 03 22 82 78 59

Cerere de inscriere la testele de nivel ale cursurilor


de Franceza Limba Straina
AN UNIVERSITAR 2016/ 2017

semestrul 1 (1st semester)


semestrul 2 (2 semester)
nd

PHOTO

NUMELE : .
(Family name)

PRENUMELE 1 : PRENUMELE 2 : ..
(First name)

Sex : Masculin / Feminin *


Nationalitate : . Data nasterii : ...
(Nationality)

(Date of birth)

Locul nasterii : .
(Place of birth)
Oras/ town:
Tara/ country:
Adresa :

.
.

Adresa e-mail :
(Email adress)

Universitatea de origine :

(Home University)

Cand ati inceput sa studiati franceza :


(When did you start studying French)

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