FIA PERSONAL

de eviden a cadrelor
1. Numele _______________prenumele __________________________
patronimicul ______________________________________________
2. Sex _________3. Anul, ziua i luna naterii ____________________

Loc pentru
fotografie

4. Locul naterii _____________________________________________

(satul, comuna, plasa, judeul, municipiul)

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5. Naionalitatea_______ 6. Originea social __________________________________
7. Cetenia __________ 8. Studiile _________________________________________
Denumirea
instituiei de
nvmnt
absolvite i
adresa

Facultatea
(secia)

Anul
admiterii

Anul
absolvirii sau
abandonrii

La ce an de
studiu a fost
abandonat
instrituia de
nvmnt

Specializarea acordat dup

absolvirea
instituiei
de
nvmnt
Diploma nr.___________
Adeverina nr._________

9. Posedai limba de stat ___________________________________________________

10. Limbile strine cunoscute ________________________________________________
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(citesc i traduc cu dicionarul, citesc i m pot exprima, vorbesc curent)

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11. Gradul tiinific, titlul tiinific ____________________________________________
12. Lucrri tiinifice i brevete publicate _______________________________________
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13. Serviciile prestate de la nceputul activitii de munc (inclusiv studiile la instituiile de

nvmnt superior i mediu de specialitate, serviciul militar, cumulul de funcii)
La completarea tabelului se indic denumirea instituiei, organizaiei/ntreprinderii,
pentru momentul angajrii
Luna i anul
Angajrii

Demisiei

Funcia suplinit (se indic instituia,

organizaia, ntreprinderea, ministerul
(departamentul))

Adresa organizaiei,
ntreprinderii

14. Funciile suplinite n organele elective de stat

Adresa organului
electiv

Denumirea
organului electiv

Funcia electiv

Anul
Declinrii
Alegerii
mputernicirilor

15. Decoraii guvernamentale acordate _________________________________________

(cnd s-au acordat decoraiile)

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16. Aptitudinea pentru serviciul militar i gradul militar acordat _____________________
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Unitatea ________________________ Specialitatea militar _______________________
(de comand, administrativ, tehnic, etc.)

17. Situaia familiar la data completrii fiei ____________________________________

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(se indic lista membilor familiei i vrsta)

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BIOGRAFIA N BREF
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CERERE
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Adresa la domiciliu ________________________________________________________
________________________________________________________Tel. ____________
___ _____________ _____
(data completrii fiei)

Semntura____________________