INTELLECTUAL OUTPUT 2 English version | Page 18

CHAPTER 1 part 3 ………………………………………….. School’s seal ………………………………… ………………………………… School’s full name Student’s Individual Sheet Surname: ……………………………………………………………………………………… Names: …………………………………………………………………………………………. Date and place of birth: ……………………………………………………………………… PESEL ………………………………………, nationality: .………………………………. Address: …………………………………………………………………… Mother’s name and family name: ……………….…………., Father’s name: ……………………….. Parent’s address: ………………………………………………………. The student has been admitted to school in (year)……………………………………………., Class ……………………. Student’s register number……………………. ……………………………………………… School’s Principal seal The information about individual programme or course: ……………………………………… The information about the extension of education time:….………………………………….… The information about fulfilling the education obligation: ………………………………...…. The information about innovation or experiments: …………………………………………….. The information about participating in school’s projects:……………………………………… School’s report/ Certificate of graduation has been delivered: ………………………………… Date and reason of school leaving: …………………………………………………………