Application form exemptions WE
Application form exemptions WE
Application form exemptions WE
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Faculty of Scienceand Bio-engineering SciencesPleinlaan 2 – 1050 BrusselTel: +32 2 629.33.57Fax: +32 2 629.33.89e-mail: studentenadministratie@we.vub.ac.beTo hand in at the secretariat of the faculty 4F107bSubmitted on:…………………<strong>Application</strong> <strong>form</strong> for <strong>exemptions</strong>Academic year 2010-2011DEADLINE: 1 st term 15 October 20102 nd term 15 February 2011Enrolment number: ……………………………Name: ……………………………………………………………………………………………………Programme: …………………………………………………………………………………………………………Title course + course code: (see official programme on the website)…………………………………………………………………………………………………………………………….………Professor:…………………………………………………………………………………………………………………Enclose:−Transcript of academic records−A copy of your diploma
Only for the titular of the course:Advice titular:0 Favorable 0 Unfavorable 0 Additional in<strong>form</strong>ation requiredJustification for unfavorable advice:……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….….date: …………………………………… signature: …………………………………..Please return the complete application <strong>form</strong> after advice to thesecretariat <strong>WE</strong>Agreement of the faculty:0 exemption accepted0 exemption refusedSignature faculty of science and bio-engineering sciences:
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