FISA

CONSILIERE JURIDIC

Data i durata:_____/______/______ ________/_________

NUME ___________________________________________________
Prenume ___________________________________________________
TELEFON ___________________________________________________
E-mail ___________________________________________________

PROBLEMA (ntrebare):
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ACTE ATAATE:
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-Urmtoarea ntlnire_____/______/______
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-Urmtoarea ntlnire_____/______/______
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-Urmtoarea ntlnire_____/______/______
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-Urmtoarea ntlnire_____/______/______
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- Urmtoarea ntlnire _____/______/______

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- Urmtoarea ntlnire _____/______/______

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- Urmtoarea ntlnire _____/______/______

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- Urmtoarea ntlnire _____/______/______

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REZOLVARE:
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-Rezolvare, data i durata:_____/______/______ ________/_________

- Urmtoarea ntlnire _____/______/______ ________________

(dac e cazul)

Am primit un exemplar: Semntura Data