TO WHOM IT MAY CONCERN

I, hereby, confirm acepting the student: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

curently enrolled at the Iuliu Haieganu University of Medicine and Pharmacy Cluj-Napoca, to
complete an Erasmus clinical placement in our hospital, department of . . . . . . . . . . . .
for a period:
from: . . . . . . . . . . . . . . . . . . . . to . . . . . . . . . . . . . . . . . . . . . .

Name of the signing person:. . . . . . . . . . . . . . . . . . . .

Position: . . . . . . . . . . . . . . . . . . . . .
Signature: . . . . . . . . . . . . . . . . . . . . . .

Date: . . . . ./ . . . ./ . . . . .

Stamp: