FISA

CONSILIERE JURIDICĂ

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

NUME ___________________________________________________
Prenume ___________________________________________________
TELEFON ___________________________________________________
E-mail ___________________________________________________

PROBLEMA (Întrebare):
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ACTE ATAŞATE:
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-Următoarea întâlnire_____/______/______
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-Următoarea întâlnire_____/______/______
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-Următoarea întâlnire_____/______/______
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-Următoarea întâlnire_____/______/______
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- Următoarea întâlnire _____/______/______

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- Următoarea întâlnire _____/______/______

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- Următoarea întâlnire _____/______/______

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

- Următoarea întâlnire _____/______/______ ________________

(dacă e cazul)

Am primit un exemplar: Semnătura Data