Wrocław University of Science and TechnologyFaculty of Civil Engineering

THE CONFIRMATION OF DOCUMENTS RECEIVING

(Appendix 10b to procedure Pr 08)

..................................................................................................... (student’s/graduate’s name and surname)

.....................................................................................................

.....................................................................................................(current address with postal code)

…………………………………………..………………….……..…..(telephone number)

……………………………………………………………………..…..(e-mail address)

I CONFIRM THE PROCUREMENT OF THE FOLLOWING DOCUMENTS1) :

1. Secondary education certificate

2. Diploma – original copy

3. Diploma – two copies

4. Diploma in English – one copy

5. Diploma in German – one copy

6. Diploma Supplement in Polish

7. Diploma Supplement in English.

Wrocław, date: ............................. …………………………………………

(student’s/graduate’s signature)

1) delete as appropriate