Title: Wrocław, DOLNOŚLĄSKIE, dnia 2023-01-20
Author: bardowski
Last saved by: Ala
Company: Bin

Politechnika Wrocławska

Wroclaw, day ………………..

First name and last name:
Album number:
E-mail:
Address:
Faculty: Faculty of Architecture
Primary direction:
Specialty:
Year of study: semester:
Form: Stationary
Level of study:

Dean of the Faculty
the faculty of Architecture
Wroclaw University of Technology

Re: conditional admission to the next stage of studies with an exceeded deficit of ECTS points
I would like to kindly request a conditional entry for …… stage, in the academic semester: Winter/Summer* (………./………).

Overdue courses:
1.
2.
3.
(sum of deficit of ECTS credits):

Justification:
.........................................
	Student's signature

* if applicable