COD I.T.M.

_________________
NR.ITM_________/__________

ACT ADIIONAL nr. _____

din _____/____/_______

la contractul individual de munc ncheiat i nregistrat sub nr______/________ n

registrul general de eviden a salariailor
PRILE:
1.___________________________________,
in
calitate
de
reprezentant
legal
al
___________________ _______________________________________________, in temeiul
drepturilor conferite de _____________________________________________________________
i
2.____________________________________, in calitate de salariat al ___________________
________________________________________________________________________________
n temeiul art.____________________________din Codul Muncii - Legea 53/2003 am convenit
la modificarea / suspendarea Contractului Individual de Munc ncheiat i nregistrat sub

nr______/________ n registrul general de eviden a salariailor

Art.1. Incepand cu data de..........................., se modifica/se suspend Contractul Individual
de
Munc
al
D-nei/D-nului_______________________________________
avnd
CNP______________________________dup cum urmeaz :______________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

Salariat,
Numele i Prenumele________________________
Semntura____________________

Reprezentant legal angajator,

Numele si prenumele________________________ Functia________________________
Semnatura______________________ Stampila

* Pn la data de 31 decembrie 2003 orice act adiional la contractul individual de munc se va emite n 3 exemplare i
va fi nregistrat la Inspectoratul Teritorial de Munc Bihor cu menionarea pe actul adiional a acestui numr.