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ROMNIA

MINISTERUL EDUCAIEI, CERCETRII I INOVARII

CENTRUL JUDEEAN DE RESURSE


I ASISTEN EDUCAIONAL ALBA
Alba Iulia, str.Tudor Vladimirescu, nr.39
Tel. 0258/811942
e-mail cjraeab@yahoo.com

FI

PERSONAL

NUMELE I PRENUMELE: _________________________________________________________


DATA NATERII/CNP: _____________________________________________________________
ADRESA: _________________________________________________________________________
STUDII:
- UNIVERSITATEA: _____________________________________________________________
- FACULTATEA/ANUL ABSOLVIRII: _____________________________________________
- MASTER/ANUL ABSOLVIRII: ___________________________________________________
- DOCTORAT/ ANUL ABSOLVIRII: _______________________________________________
SPECIALITATEA (principal/secundar): _____________________________________________
UNITATEA DE NVMNT: _____________________________________________________
FUNCIA: ________________________________________________________________________
STATUT(titular; suplinitor): _________________________________________________________
GRADUL DIDACTIC/ANUL OBINERII: ____________________________________________
VECHIME N MUNC: __________________________
VECHIME N NVMNT: ___________________
VECHIME PE POST: ____________________________
ORAR CABINET:
LUNI

MARI

MIERCURI

JOI

VINERI

ORE DE PREDARE/CUMUL/PLATA CU ORA/ DIRIGINTE:


__________________________________________________________________________________
DISCIPLINA ORELOR DE PREDARE: _______________________________________________
CURSURI DE FORMARE/PERFECIONARE:
__________________________________________________________________________________
__________________________________________________________________________________
CERTIFICARE NTR-O TEHNIC PSIHOTERAPEUTIC/PRECIZAI:
__________________________________________________________________________________
STAREA CIVIL/NR.COPII N NTREINERE_______________________________________
NR. TELEFON: serviciu ___________________________, acas ___________________________,
Mobil ______________________, E-MAIL _____________________________________________.
DATA
_______________________

SEMNTURA
_____________________

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