CHESTIONAR

(asistena juridic de urgen garantat de stat)

1.Numrul solicitrii_____________________________________________________________
2. Data solicitrii _______________________________________________________________
3. Ora solicitrii________________________________________________________________
4. Numele solicitantului__________________________________________________________
5. Funcia solicitantului___________________________________________________________
6. Date de contact ale solicitantului_________________________________________________
7. Numele beneficiarului__________________________________________________________
8. Data naterii a beneficiarului____________________________________________________
9. Date de contact ale benificiarului_________________________________________________
10. Motivul reinerii___________________________________________________________
11.Data i lora reinerii____________________________________________________________
12. locul reinerii ________________________________________________
13 Timpul, locul i aciunea procesual preconizat____________________________________

Executor_______________________________