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Date personale

elev
1. Numele i prenumele: ___________________________________________________________________
2. Data naterii: _________________________________________________________________________
3. Domiciliul stabil:
Localitatea
____________________________

, judeul

strada________________________________________
Nr._______________
Distana fa de coal, mijloc de transport, durata, cel mai apropiat coleg:
______________________________________________________________________
4. Telefon (personal)/ Adresa de e-mail:
________________________________________________________
5. Starea sntii elevului (boli, etc.):
_________________________________________________________
____________________________________________

6. C.N.P:

__________________________________

7. Situaii deosebite (probleme de acomodare, atenionri, preocupri, aptitudini, etc):


__________________
___________________________________________________________________________________________
9. Naionalitate/etnie: _______________________________________________________________________

Date personale
prini
Tata: Numele i prenumele: ________________________________________________________________
Locul de munc /Profesia:
______________________________________________________________
Telefon /e-mail: __________________________________________________
C.N.P.: __________________________________________________________
Studii absolvite: __________________________________________ _________
Mama: Numele i prenumele: ______________________________________________
Locul de munc / Profesia: _____________________________________ ____
Telefon / e-mail: __________________________________________________
C.N.P.:

______________________________________________________

Studii absolvite:
______________________________________________________________________
Reprezentani legali :
_______________________________________________________________________

Frai i surori: _____________________________________________________________________________


din care n aceeai coal(i clasele)_________________________________________________________
-Meniuni speciale(date familiale relevante, divor, program vizite, aparintori, serviciu n
strintate, etc.) :
____________________________________________________________________________________________
Semntura printelui,