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PROCES-VERBAL

de audiere a martorului minor


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(localitatea)

(data ntocmirii)

nceput la ora ____ i min. ____


ncheiat la ora____ i min. ____
Organul de urmrire penal n persoana ofierului de urmrire penal __________________

__________________________________________________________________
(funcia, numele i prenumele persoanei care l ntocmete)

n localul _____________________________________________________________________
cu participarea reprezentantului legal ______________________________________________
(numele, prenumele, domiciliul)

i a pedagogului ______________________________________________________________
(numele, prenumele, domiciliul)

ali participani_________________________________________________________________
_____________________________________________________________________________
n conformitate cu prevederile art.57, 105, 109, 260, 261, 481 CPP a audiat n calitate de martor
minorul, care a declarat despre sine:
Numele, prenumele _____________________________________________________________
Ziua, luna, anul naterii__________________________________________________________
Domiciliu_____________________________________________________________________
Ocupaia______________________________________________________________________
Posesor al buletinului de identitate __________________eliberat ________________________
Nu sunt (sunt) so sau rud apropiat cu vreuna din pri ______________, n relaii de
( nu sunt (sunt))

dumnie cu acesta _________________,


(da, nu)

nainte de a fi audiat ca martor mi-au fost explicate drepturile i obligaiile prevzute de


art. 90 CPP, inclusiv i prentmpinat pentru rspunderea ce o port pentru refuzul sau eschivarea
de a face declaraii conform art. 313 CP i pentru declaraiile mincinoase cu bun tiin,
conform art.312 CP.
_________________________
(semntura martorului)

Martorul, vrsta cruia n-a atins 16 ani, i-a fost explicat obligaia de a depune declaraii
veridice.
___________________________
(semntura)

Declaraiile doresc s le fac n limba ________________, pe care o posed bine.

______________________
(semntura)

Traductorul_____________________________________________________________
(numele, prenumele, domiciliu)

_____________________________________________________________________________________________

A fost avertizat asupra rspunderii ce o poart conform art. 312 Cod Penal al Republicii
Moldova pentru traducere intenionat incorect.
______________________________
( semntura traductorului)

Martorul _________
Pedagogul _________

Reprezentantul legal _________


Ofierul de urmrire penal __________

Au fost utilizate mijloace tehnice _____________________________________________


_____________________________________________________________________________
(se indic mijloacele tehnice)

Am luat cunotin c urmeaz s fiu audiat pentru dovedirea urmtoarelor fapte sau
mprejurri:______________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
______________________
(semntura)

n legtura cu cele ntrebate declar urmtoarele:


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Martorul

_____________

Reprezentantul legal

_____________

Pedagogul _____________

Ofierul de urmrire penal _____________