CENTRUL JUDEEAN DE EXCELEN

BISTRIA-NSUD

FI DE NSCRIERE

Subsemnatul __________________________________________, v rog s-mi aprobai

nscrierea la activitile desfurate de Centrul Judeean de Excelen Bistria-Nsud, la disciplina
_______________________________________________________, la grupa/clasa ____________.

Date personale ale solicitantului (elevului):

CNP ........................................, elev la coala/Liceul ..........................................................................,
n clasa ................, profilul (unde e cazul) ..................................................................., domiciliat n
...................................., strada ............................................., nr. ....., bl. ......, ap. ......., jud..................,
telefon ..............................................., e-mail (elev) .............................................................................,
profesor la clas la disciplina solicitat .....................................................................

Rezultate notabile ale solicitantului (n domeniul disciplinei solicitate) premii i meniuni:

................................................................................................................................................................
................................................................................................................................................................
................................................................................................................................................................
................................................................................................................................................................

Data ............................. Semntura ....................................

Avizul printelui/tutorelui legal:

Subsemnatul ________________________________________, domiciliat n _________________,
str. _________________________________, nr. ______, bl. _____, sc. _____, ap. _____, telefon
_______________________, email _____________________________________, posesor al C.I.
seria _____, nr. _________________, mi exprim acordul de participare a fiului/fiicei mele
______________________________________ la activitile organizate de Centrul Judeean de
Excelen Bistria-Nsud, grupa _________, disciplina __________________________________
n anul colar 2017-2018.

Data Semntura printe