DECLARATIE DE TRASEU

Privind deplasarea de la domiciliu la locul de munca si invers

Subsemnatul(a) ______________________________________________________
angajat la societatea _____________________________________in functia de
______________________________________declar pe proprie raspundere ca
deplasarea de la domiciliul actual la locul de munca o efectuez pe urmatorul traseu:
___________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_______________________________________________________________
folosind urmatoarele mijloace de transport :_________________________________
___________________________________________________________________
timpul total al deplasarii fiind in medie de ______ore si _______ minute.
Deasemenea la deplasarea de la locul de munca la domiciliu folosesc urmatorul
traseu:______________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_______________________________________________________________
folosind urmatoarele mijloace de transport__________________________________
___________________________________________________________________
timpul total al deplasarii fiind in medie de _____ore si _____minute.

data: semnatura

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