Свидетельство об освоении дополнительных предпрофессиональных общеобразовательных программ в области искусств

Утверждено Приказом Министерства культуры Российской Федерации от 10 июля 2013 г. N 975
(Форма)

Титул Лицевая сторона
Левая часть                                                        Правая часть
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¦                                                                                                     СВИДЕТЕЛЬСТВО                                ¦
¦                                                                                    об освоении дополнительных предпрофессиональных               ¦
¦                                                                                    общеобразовательных программ в области искусств               ¦
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Титул                                 Оборотная сторона

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¦                               Левая часть                               ¦                              Правая часть                              ¦
¦                              СВИДЕТЕЛЬСТВО                              ¦                                                                        ¦
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¦Выдано ________________________________________________________________  ¦¦            Наименования учебных предметов            ¦Итоговая оценкদ
¦                           (фамилия, имя, отчество)                      ¦+------------------------------------------------------+---------------+¦
¦об  освоении  дополнительной   предпрофессиональной   общеобразовательно馦  Наименование учебных предметов обязательной части   ¦               ¦¦
¦программы в области искусств:                                            ¦+------------------------------------------------------+---------------+¦
¦_______________________________________________________________________  ¦¦                                                      ¦               ¦¦
¦                       (наименование программы)                          ¦+------------------------------------------------------+---------------+¦
¦_______________________________________________________________________  ¦¦                                                      ¦               ¦¦
¦                       (срок освоения программы)                         ¦+------------------------------------------------------+---------------+¦
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¦              (наименование образовательной организации)                 ¦+------------------------------------------------------+---------------+¦
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¦_______________________________________________________________________  ¦+------------------------------------------------------+---------------+¦
¦           (месторасположение образовательной организации)               ¦¦                                                      ¦               ¦¦
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¦Регистрационный N _______________________________                        ¦¦                                                      ¦               ¦¦
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¦Дата выдачи "__" ________________ 20__ года                              ¦¦                                                      ¦               ¦¦
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¦Руководитель образовательной организации __________ ___________________  ¦¦                                                      ¦               ¦¦
¦                                          (подпись)   (фамилия, имя,     ¦+------------------------------------------------------+---------------+¦
¦                                                        отчество)        ¦¦   Наименование учебных предметов вариативной части   ¦               ¦¦
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¦                                           М.П.                          ¦¦                                                      ¦               ¦¦
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¦                                                                         ¦¦           Наименование выпускных экзаменов           ¦               ¦¦
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¦                                                                         ¦¦Председатель комиссии                                                  ¦
¦                                                                         ¦¦по итоговой аттестации        ___________   __________________________ ¦
¦                                                                         ¦¦                               (подпись)     (фамилия, имя, отчество)  ¦
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¦                                                                         ¦¦Секретарь комиссии                                                     ¦
¦                                                                         ¦¦по итоговой аттестации        ___________   __________________________ ¦
¦                                                                         ¦¦                               (подпись)     (фамилия, имя, отчество)  ¦
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¦                                                                         ¦¦М.П.                                                                   ¦
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Источник - Приказ Минкультуры России от 10.07.2013 № 975