PROCES-VERBAL

de audiere a victimei

_______________________________ „_____”____________20___
(localitatea) (data întocmirii)

început la ora ____ şi min._____

încheiat la ora____ şi min._____

Agent constatator: _________________________________________________________________

(funcţia, numele şi prenumele persoanei care îl întocmeşte)
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în localul _________________________________________________________________________

în conformitate cu prevederile 260, 261 CPP, 425 alin.(7), 387 Cod contravenţional, a întocmit
prezentul proces-verbal de audiere a victimei:
Numele, prenumele ________________________________________________________________
Ziua, luna, anul naşterii______________________________________________________________
Domiciliu_________________________________________________________________________
Ocupaţia_________________________________________________________________________
Posesor al buletinului de identitate __________________eliberat ____________________________
Antecedente penale _________________________________________________________________
Nu sunt (sunt) soţ sau rudă apropiată cu vreuna din părţi ______________, în relaţii de
( nu sunt (sunt))
duşmănie cu acesta _________________,
(da, nu)
Înainte de a fi audiat ca victimă, mi-au fost explicate drepturile şi obligaţiile prevăzute de art.
387 Cod contravenţional, inclusiv şi preîntîmpinat pentru răspunderea ce o port pentru refuzul sau
eschivarea de a face declaraţii conform art. 313 CP şi pentru declaraţiile mincinoase cu bună ştiinţă,
conform art.312 CP.
_________________________
(semnătura victimei)
În conformitate cu art.387 Cod Contravenţional, victimei i-a fost explicat faptul că va fi
audiată asupra tuturor faptelor şi îmrejurărilor care fac obiectul cauzei contravenţionale

_________________________
(semnătura victimeii)

Declaraţiile doresc să le fac în limba ________________, pe care o posed bine.

______________________
(semnătura)
Traducătorul_____________________________________________________
A fost avertizat asupra răspunderii ce o poartă conform art. 312 C.P. al Republicii Moldova
pentru traducere intenţionat incorectă.
______________________________
( semnătura traducătorului)

Au fost utilizate mijloace tehnice _____________________________________________

Am luat cunoştinţă că urmează să fiu audiat în calitate de victimă pentru dovedirea

următoarelor fapte sau împrejurări: ____________________________________________________
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Agent constatator: ____________ Victima __________________

 În legătura cu cele întrebate declar următoarele:
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Agent constatator:________________ Victima __________________