Uniunea Naional a Barourilor din Romnia

Baroul Bihor
CABINET DE AVOCAT/SCPA

BH/000000/IM/2016

MPUTERNICIRE AVOCAIAL
Nr. __________________

Domnul/doamna avocat se mputernicete de ctre clientul

.
n baza contractului de asisten juridic nr. ..................................... din ..............................................,
s exercite urmtoarele activiti:.............................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
i s asiste/ s reprezinte clientul n faa ...........................................................................
..................................................................................................................................................................

Data ....................................
Client/reprezentant,

Atest identitatea prilor, continutul si data contractului de

asisten juridic n baza cruia s-a eliberat mputernicirea
CABINET DE AVOCAT/SOCIET.CIV.PROF.DE AVOCATI
prin avocat,

............................................................................
(semntura i tampila)