Prin prezenta se adevereste ca dl./d-na ________________________________,
domiciliat in _____________________________, Str. _____________________, nr. __________________________ ,sc. _____ ,apart ___________ , legitimat cu ______________ seria _____, nr. __________, eliberat de _________________ la data de ____________________ , este angajat al _______________________ ____________________________________, cu sediul in ___________________, str. ____________________ , nr._______ ,sc. _________,apart. ________ Sector _______________, inregistrata _______________________ la cu nr. _________ ________________, cod fiscal ______________________,avand o retributie lunara bruta in cuantum de _____________________________ lei. S-a eliberat prezenta pentru __________________________________________ . DATA