Liceul Teoretic “Victor Babeş”

Str. Meseriilor, Nr.20, Cluj-Napoca

Tel: 0264.598.542, Fax: 0372.874.150
E-mail: liceulvictorbabes@yahoo.com
CUI 5360922

CERERE DE ÎNSCRIERE

A. DATE PERSONALE ALE ELEVULUI

Numele si prenumele_______________________________________________________________

Data nasterii zi ____ luna ________ an _______ Locul nasterii ______________________________

CNP

Domiciliul: localitatea _____________________________ judet _____________________________

Strada _________________________________nr. ________ bl. ______ sc. ____ ap. ____________

Telefon elev: mobil ______________________________

Nationalitatea ____________________________
Etnia __________________________________
Religia __________________________________
B. MEDIA DE ADMITERE _______________________________

C. LIMBI STRAINE STUDIATE : Limba moderna I _______________

Limba moderta II _______________
D. DATELE PARINTILOR

TATA Numele si prenumele ___________________________________________________

Locul de munca _______________________________________________________
Functia _____________________________ Telefon __________________________
MAMA Numele si prenumele __________________________________________________
Locul de munca _______________________________________________________
Functia _____________________________Telefon __________________________

Prin prezenta solicit inscrierea la Liceul Teoretic “Victor Babes” Cluj-Napoca, filiera Teoretica,
profil REAL, specializarea Stiinte ale naturii, clasa _______________, in anul scolar 2021-2022.

Data Semnatura

_______________ ______________________