CERERE

CERERE

246
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246
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1.Numele de familie ____________________________________

2.Prenumele,numele tatalui_______________________________
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3.Nascut _________________________________an.________
4.Locul nasterii________________________________________
5.Adresa______________________________________________
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6.Motivul verificarii_____________________________________
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1.Numele de familie ____________________________________

2.Prenumele,numele tatalui_______________________________
_____________________________________________________
3.Nascut _________________________________an.________
4.Locul nasterii________________________________________
5.Adresa______________________________________________
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6.Motivul verificarii_____________________________________
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7.Informatia solicitata___________________________________
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7.Informatia solicitata___________________________________
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Sef(anchetator penal)__________________________________
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Sef(anchetator penal)__________________________________
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Executant____________________________________________

Executant____________________________________________

Adresa expeditorului:

Adresa expeditorului:

Localitatea____________________________________________
str.__________________________________________________
Raionul Republicii Moldova______________________________

Localitatea____________________________________________
str.__________________________________________________
Raionul Republicii Moldova______________________________

Organul ______________________________________________

Organul ______________________________________________

(republica,unitatea administrativ-teritoriala de destinatie)

(sanctiunea penala,cererea etc)

(antecedente penale,locul aflarii etc.)

(numele de familie)
(numele de familie)

D.R.(O)A.I.,procuratura,judecatorie,centru de triere

(republica,unitatea administrativ-teritoriala de destinatie)

(sanctiunea penala,cererea etc)

(antecedente penale,locul aflarii etc.)

(numele de familie)
(numele de familie)

D.R.(O)A.I.,procuratura,judecatorie,centru de triere

REZULTATUL VERIFICARII
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REZULTATUL VERIFICARII
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