Ancxa rtr.

(r
la RcgLtIanrcrrtuI pri'n,i ncl ambala.jcIc
si clcscurilc dc anthalu jc
Antct solicitant
Nr. ..........,.../

CItItF)ili
dc acrlrdarc a numi-lrului clc inrcgistrare
privind plasarca pc piat:i a ambala.letor

Solicititrl illrcgistrarca pcrsoanci .iuriclicc irr Lista prcclLrcatorilor

rcslctltcrttitrilor clc l'cslltltlsaLrilitatc crtinsir a produclitolilor
clc proclusc slrpLrsc
si acorclarca nr-rrli.rlri clc i,rcgistrarc
1-rctttrtt ;llasarca pc piata a antbalaiclor. pcrrtru carc lir;lt c6rlur.ricirpr
ur.rrit.arclc datc:
I' I)cttLttrtirca cotlplctii: Socictatca cu l{iisprinclcrc t,imital{
lt^l)A6lNl wlNIis
I)c,ul.ir.cu pr.cscur1.t11: l{AI),\('l Nl \\,lNliS Slil.
2' Iiortlla-itrridicir dc orgallizarc il pcrsoanci.iuriclicc: Societatea
cu llispunclcrc l,imitatr
i' II)No: l0ll(10001(r198 clirt Rcgistrul clc stat al
1'rcrsoanclor.iuriclicc
'1' SccliLrl llcrstlatlci.iLrriclicc: rttLrn. chisirlau. or. c'ricor,'a.
str.. I)ctnr L.lngurcaru i. MI)-20g.1
5. Aclrtrirristratorul : Vasilc Luca
6. (icrrr"rrilc pr.incipalc clc aclir itatc:
a) lrahricarca r irrului
tr) ('onlcrlttl crt an.ttinuntul al baLrturilor alcoolicc si alt6r lrtr,tLrri.
c) .,\ltc ti;rrrri clc conrcrt cLr r.iclicata
7. Iionclator.i: S.C'. "DUC'A t'llS (;llUIr" S.R.l.
fi. M.clLrl irr carc sc- asLrrr.ri rcsponsabilitrtilc: sistcm colccriv
()' irl citzttl sistctllLtlLti colcctir: Asociatia Ob;tcascit ,,llllCICLARI,l,,, IDN0:
1013620(X)1969, ntun. (lhisiniru, str. (irrclina llotanici 9, llcpublica Moltlo'a
[)ctl1t'tt sttstirtcl'ca ccrc|ii urnrdtoa|clc
1-rt'czcntirnr actc spccificc prcviizutc la pct.,lc) clin
[{cgulantcnt:
a) ccrtiflcarca calitilii dc ntcrnbnr al unui sisterl
colcctiv. conlorrn art. l2 alin. (5) lir. g) clirr
Legea nr.20912016 privind degeurile: <ACORI) Df1
ADIIRARF. in calitate de membru la Asociatia
Obsteascl ..ll trc IC I,n R Ir">
h) irrlb|rltrliilc scrlcralc. ctttttplctlttc conlirrrn nroclclului
prczcntat irr arrcxa rrr. 7.

irl conlbrntitatc cu prcveclerilc legtalc. nc asLrn.rrir.r.r rrispunclcrca

copic sLrnt crtnlurntc cu originalLrl.
ci ciocu.rcntclc prczcntatc irr

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,6id

a'u lit'tr 3t
.w,*?s'j
I)crsoarraautorizati. ,fu,0,,,uc
I)cclaratic: Subscrnnatul. Vasilc Luca sunt iri
rt dc acord ca datclc cu curactcr
H:.,"ilfliJ}i:,j.i:,1::i^l f:I::t registraro*rr Agcn{ia a. M.Ji, in scopur asig,rarii
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rw'lru'e! Jr complctc. lnts
gi L,rrrl,,rur'u'
in.acrc
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p,blicc. dcclai pc propria ,arp.,nj"..l';;;;,5. il,.;,;i;
i,for,ra[ia lurnlzata
iar Irllorlllalla lurnizatd nu estc
sstc'lirr,rriia:i
lolositd
#:'Jil:
in scopr.rri incornpatibile sau remisd fbra
'cridice
tcnrci tcrtilor neaut.riza[i. con;tiertlit.cz.ca a,ur:ritc
catcgclriii de date cLl
cLr caracter pcrsonal lrr.izrrr.
Dcrs.nal lirrni
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