PROCES – VERBAL

de audiere a persoanei în privința căreia a fost pornit proces contravențional

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( localitatea) (data întocmirii)

Agent constatator_________________________________________________________________________
(numele, prenumele, funcţia)

în localul________________________________________________________________________________
în prezenţa apărătorului___________________________________________________________________
cu participarea___________________________________________________________________________
(numele, prenumele şi calitatea persoanelor care participă la efectuarea acţiunii)

În legătură cu cercetarea cazului, în conformitate cu prevederile art. 396 Cod Contravenţional a

întocmit prezentul proces-verbal de audiere a contravenientului:
numele, prenumele, patrimonici,____________________________________________________________
data, luna, anul şi locul naşterii_____________________________________________________________
locul naşterii_____________________________________________________________________________
cetăţănia________________________________________________________________________________
studii___________________________________________________________________________________
situaţia militară__________________________________________________________________________
situaţia familiară______________________persoane pe care la are la întreţinere____________________
domiciliu________________________________________________________________________________
ocupaţia_________________________________________________________________________________
posesor al buletinului de identitate_______________________eliberat la___________________________
antecedente penale________________________________________________________________________
incriminîndu-se săvîrşirea contravenţiei prevăzute de art._______________ din Codul Contravenţional
drepturile şi obligaţiile înscris, prevăzute de art. 384 Codul Contravenţional mi-au fost înmînate şi
explicate.
Contravenţia ce mi se impută________________________________________, explicaţia în scris asupra
(recunosc, nu recunosc)

acesteia doresc să le fac (a)_____________________Declaraţia doresc să le fac în limba______________

pe care o posed bine.

Contravenientul______________________________
(semnătura)

Trăducătorul____________________________________________________________________________
(semnătura traducătorului)

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Pe parcursul audierii au fost utilizate mijloace tehnice__________________________________________
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În legătură cu contravenţia incriminată declar următoarele:
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Contravenientul Apărătorul Participanţi Agent constatator
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Contravenientul Apărătorul Participanţi Agent constatator