I.C.C.

DECLARATIE

Subsemnatul(a)_Cocis Georgiana_ domiciliat (a) in Bucuresti__str._Nicolae

Grigorescu___nr.___19______, bl.____v18_____sc._6___et.__4__, ap.__119____,
sector_3____, CNP___2890407430061_________,
Beneficiar (a) de indemnizatie pentru cresterea copilului/stimulent
conf.OUG.nr.111/2010, cunoscand prevederile art.292 din codul penal cu privire la falsul
in declaratii, declar pe propria raspundere urmatoarele:

_Am revenit din concediul de crestere copil inainte de termen, la noul loc de munca, pe
data de 01.10.2023
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Mobil:0748965835
Fix:

In conditiile prevederilor Legii nr.677/2001, prin prezenta imi exprim in

mod expres si neechivoc consimtamantul ca D.G.A.S.P.C.sector 3 sa prelucreze datele cu
caracter personal furnizate numai in scopul solicitarii formulate.

DATA 06.10.2023
SEMNATURA gCocis

Nota
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