DECLARATIE DOMICILIU

Privind deplasarea de la domiciliu la locul de munca

Subsemnatul(a) _________________________________ care ma legitimez cu____

seria ______nr.________________________ angajat la _______________________
declar pe proprie raspundere ca domiciliul actual din care ma deplasez la locul de
munca este urmatorul:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
folosind urmatoarele mijloace de transport :_________________________________
____________________________________________________________________

data: semnatura

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