To {field:hidden_rector_1747893609067}{field:hidden_chancellor_1747893625879} of LEPL Ilia State Universirty,

Ms./Mrs. {field:hidden_doborjginidze_1747893656691}{field:hidden_darakhvelidze_1747893666188}

Structural Unit / Faculty: {field:field_department}

Postition: {field:field_job_position}

Employee: {field:field_name_surname}

Statement

{field:field_text}

Date: {other:date}

Phone Number: {field:field_phone}

E-mail: {field:field_mail}

P/N (Personal Identity Number): {field:field_id}

Statement for Employees

STATEMENT FOR EMPLOYEES