Aprob:

Şef al Direcţiei municipale pentru

protecţia drepturilor copilului

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Svetlana Chifa

ANCHETĂ SOCIALĂ
de examinare a condiţiilor sociale şi de trai

Comisia în componenţă : ________________________________________

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Am examinat condiţiile sociale şi de trai a familiei

Mama ___________________________________________________
Tata __________________________________________________

Domiciliu legal __________________________________________________

Domiciliu în fapt ___________________________________________________

Datele din buletinul de identitate:

Mama ___________________________________________________________
Tata ___________________________________________________________
Ocupaţia:

Mama - _________________________________________________________
Tata - _________________________________________________________

Datele despre copii:

Numele Prenumele anul naşterii ocupaţia

Condiţiile de trai ( de evidenţiat): _______________________________________

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Conţinutul succint al adresării: ________________________________________
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Concluzii:
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Propuneri:
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Membrii comisiei:

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