S.C. ________________________S.R.L. (S.A.

)
Str. ________________ nr. ____
Localitate ____________, judet/sector __________
J ____/______/____________
CUI: _________________
Tel.: ____________, Fax: ____________

ACT ADITIONAL NR. ________

LA CONTRACTUL INDIVIDUAL DE MUNCA NR.
___________/___/___/________

Incheiat intre S.C. ________________________S.R.L. (S.A.), cu sediul localitate ____________, judet/sector

__________, str. __________________nr. ________________, reprezentata prin __________________–
__________________, in calitate de ANGAJATOR,
si
Dl./Dna. __________________________, localitate ____________, judet/sector __________, str.
__________________nr. _____, bl. _____ sc. _______ et.____ ap. _____, posesor(posesoare) al/a act de
identitate seria _______nr. _______, CNP ____________________, functia _____________, in cadrul
departamentului ___________________, in calitate de ANGAJAT.

Partile convin de comun acord modificarea capitolului “________________” din contractului individual
de munca inregistrat la I.T.M. al mun./jud. ________________ astfel:
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_______________________________________________

Restul clauzelor din contractul individual de munca raman nemodificate.

Prezentul act aditional isi produce efectele de la data ___/___/_______. Actul aditional s-a incheiat azi
___/___/_______ in 3 (trei) exemplare, cate unul pentru fiecare parte, si un exemplar pentru I.T.M. al mun./jud.
_______ .
Angajator, Angajat,

S.C. ________________________S.R.L. (S.A)

_________________________ _________________________
(nume si prenume) (nume si prenume)
_________________________ _________________________
(functie) (functie)

_________________________ _________________________
(semnatura) (semnatura)