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Subsemnatul(a):
(6) Numele si prenumele: Opris Vasile
(7) Functia ocupata in intreprindere: MANAGER TRANSPORT
pentru perioada:
(12) de la (ora/ziua/luna/anul): 13:49/ 27/09/2014
(13) la (ora/ziua/luna/anul): 03:00/ 29/09/2014
(14) s-a aflat in concediu medical**
(15) s-a aflat in concediu de odihna**
(16) se afla in concediu sau in repaus**
(17) conducea un vehicul exclus din domeniul de aplicare al Regulamentului (CE)nr. 561/2006 sau al AETR**
(18) desfasura o alta activitate decat condusul**
(19) era disponibil**
(20) Locul: SATU MARE
Data: 28/09/2014
Semnatura:
(21)Subsemnatul, conducator auto, confirm ca nu am condus un vehicul care intra in domeniul de aplicare al
Regulamentului (CE) nr. 561/2006 sau al AETR, in perioada indicata anterior.
(22) Locul: SATU MARE
Data: 28/09/2014
Annex
ATTESTATION OF ACTIVITIES1
(REGULATION (EC) 561/2006 OR THE AETR2)
To be filled in by typing and signed before a journey. To be kept with the original control device records
wherever they are required to be kept
FALSE ATTESTATIONS CONSTITUTE AN INFRINGEMENT
I, the undersigned:
(6) Name and first name: Opris Vasile
(7) Position in the undertaking: MANAGER TRANSPORT
Date: 28/09/2014
Signature:
(21)I, the driver, confirm that I have not been driving a vehicle falling under the scope of Regulation (EC)
561/2006 or the AETR during the period mentioned above.
(22) Place: SATU MARE
Date: 28/09/2014
1 This form is available in electronic and printable versions at the following address: http://ec.europa.eu
2 European Agreement concerning the Work of Crews of Vehicles engaged in International Road Transport
**
Choose only one box
MELLKLET
TEVKENYSGEK IGAZOLSA1
(AZ 561/2006/EK RENDELET VAGY AZ AETR-MEGLLAPODS2)
Az t megkezdse elott, gppel kell kitlteni s alrssal kell elltni. A menetr kszlkbol szrmaz eredeti
adatrgzto lapokkal egytt kell trolni az elors szerinti helyen.
A HAMIS IGAZOLS SZABLYSRTSNEK MINOSL
Alulrott:
(6) Nv: Opris Vasile
(7) A vllalkozsnl betlttt tisztsg: MANAGER TRANSPORT
az albbi idoszakban:
(12) (v/hnap/nap/ra)-tl/-tol: 13:49/ 27/09/2014
(13) (v/hnap/nap/ra)-ig: 03:00/ 29/09/2014
(14) betegllomnyban volt**
(15) ves szabadsgon volt**
(16) szabadsgon volt vagy pihenoidejt tlttte**
(17) olyan jrmuvet vezetett, amely nem tartozik az 561/2006/EK rendelet vagy az AETR-megllapods
hatlya al**
(18) a jrmuvezetsen kvli egyb tevkenysget vgzett**
(19) rendelkezsre llt (kszenlt)**
(20) Kelt: SATU MARE
Alrs:
(21) Alulrott, a jrmu vezetoje kijelentem, hogy a fenti idoszakban nem vezettem az 561/2006/EK rendelet vagy
az AETR-megllapods hatlya al tartoz jrmuvet.
(22) Kelt: SATU MARE
A jrmuvezeto alrsa:
1 Ez a formanyomtatvny elektronikus s nyomtathat vltozatban a http://ec.europa.eu internetes oldalon rheto el.
2 A nemzetkzi kzti fuvarozst vgzo jrmuvek szemlyzetnek munkjrl szl eurpai megllapods.
**
A 14., 15., 16., 17., 18. s 19. sor kzl csak az egyik vlaszthat.