Catre conducerea

Spitalului Clinic Municipal de Urgenta Timisoara

CERERE DE NSCRIERE CA VOLUNTAR

Nr. __________ din data ______________

Subsemnatul _______________________________________, absolvent n anul _________

la _________________________________________________, solicit nscrierea ca
voluntar n

Spitalul

Clinic Municipal de Urgenta Timisoara, cu acordul

___________________________________________________________________________
__________________________________________________________________________.
Date de contact:
e-mail:_____________________________________, telefon__________________________
C.I. serie_____, nr____________, CNP___________________________________________
Adresa din C.I._______________________________________________________________
___________________________________________________________________________

Motivaia mea pentru a participa ca voluntar este:

___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
mi asum responsabilitatea de a respecta Statutul i Regulamentul de Ordine Interioar a
Spitalului Clinic Municipal de Urgenta.

Data:_____________Semnatura:____________________