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Cerere Reziliere Contract

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Cerere Reziliere Contract

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CERERE,

Subsemnata(ul),....,domiciliatin
,cuCI/B.Iserianr....
asiguratconformLegiinr.19/2000cucontractdeasigurarenr/
,solicitreziliereaacestuiacudatade(invedereapensionarii).
Precizezcaamachitatintegralcontributiadeasigurarisocialecatre
B.A.S.S,panaladatade

Data,Semnatura,

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