SC DIANA CONPROF SRL

CUI 27145844; J07 / 214 / 07.07.2010

Botosani, str. Alexandru cel Bun, nr.36, cod postal 710336,
telefon 0744666227, e_mail : diana_conprof@yahoo.com; web : http://dianaconprof.webgarden.ro/
Cod IBAN : RO24BPOS07007079963RON02 Banc Post Botosani

CERERE DE INSCRIERE LA EXAMEN

Subsemnatul(a)____________________________________________________
( nume, prenume, initiala tatalui )

CNP |__|__|__|__|__|__|__|__|__|__|__|__|__| domiciliat(a) in localitatea

___________________________ str. _____________________________________________
nr. ______ bl. _______ sc. _______ap. ________judetul ___________________
telefon ____________________ mail
_____________________@_______________________ BI/CI seria ______ nr
_____________ eliberat de ______________________________ la data de
___________________ nascut(a) in localitatea ________________________________
judetul _________________________., de profesia / ocupatia
______________________________________ la
__________________________________________________

participant la cursul de

specializare MANAGER DE SECURITATE organizat de SC DIANA CONPROF

SRL BOTOSANI in perioada 27.09.2013 17.10.2013, va rog sa aprobati
inscrierea la examenul de absolvire a cursului care se va desfasura in data
de 17.10.2013.

Semnatura _________________________

Data .________________________