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Subsemnatul(a):
pentru perioada:
Semnatura:
(21)Subsemnatul, conducator auto, confirm ca nu am condus un vehicul care intra in domeniul de aplicare al
Regulamentului (CE) nr. 561/2006 sau al AETR, in perioada indicata anterior.
(22) Locul: CONSTANTA Data: 30/10/2017
To be filled in by typing and signed before a journey. To be kept with the original control device records
wherever they are required to be kept
FALSE ATTESTATIONS CONSTITUTE AN INFRINGEMENT
I, the undersigned:
Signature:
(21)I, the driver, confirm that I have not been driving a vehicle falling under the scope of Regulation (EC)
561/2006 or the AETR during the period mentioned above.
(22) Place: CONSTANTA Date: 30/10/2017
1 This form is available in electronic and printable versions at the following address: http://ec.europa.eu
2 European Agreement concerning the Work of Crews of Vehicles engaged in International Road Transport
**
Choose only one box
MELLKLET
TEVKENYSGEK IGAZOLSA1
(AZ 561/2006/EK RENDELET VAGY AZ AETR-MEGLLAPODS2)
Az t megkezdse elott, gppel kell kitlteni s alrssal kell elltni. A menetr kszlkbol szrmaz eredeti
adatrgzto lapokkal egytt kell trolni az elors szerinti helyen.
A HAMIS IGAZOLS SZABLYSRTSNEK MINOSL
Alulrott:
az albbi idoszakban:
Alrs:
(21) Alulrott, a jrmu vezetoje kijelentem, hogy a fenti idoszakban nem vezettem az 561/2006/EK rendelet vagy
az AETR-megllapods hatlya al tartoz jrmuvet.
(22) Kelt: CONSTANTA (hely): 30/10/2017 -n/-n.
A jrmuvezeto alrsa: