Domnule Preedinte al comisiei de atestare,

Subsemnat (ul) (a) _________________________________________ solicit s fiu evaluat () n

anul __________ pentru conferirea/confirmarea gradului managerial _______________________.
Temei pentru conferirea/confirmarea gradului managerial:
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Modaliti de dezvoltare profesional i numrul total de credite obinut:
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Date generale:
Studii
(denumirea
instituiei
absolvite,
specializarea
i
calificarea
obinut)
_______________________________________________________________________________
_______________________________________________________________________________
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Stagiul de activitate managerial ______ ani, stagiu general ______ ani, n instituia
dat ______ ani.
___ ___________ 20_________

Semntura____________
Preedintelui comisiei de atestare

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