PROCES-VERBAL

privind actele de constatare

or. Basarabeasca ”_____”_____________ 2020

Reprezentantul organului de constatare al IGP a MAI în persoana:
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Cu participarea:____________________________________________________________________________________
Traducătorul:______________________________________________________________________________________
Am fost avertizat de răspunderea penală pe care o port pentru traducerea falsă, în conformitate cu prevederile
art. 312 CP, precum și pentru sustragerea sau refuzul de a îndeplini obligațiile sale în conformitate cu prevederilea art.
313 CP al RM.
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(semnătura)
În localul: ________________________________________________________________________________________
de la ora ”____” şi ”____” min. până la ora ”_____” şi ”_____” min. respectînd condițiile stabilite Codului de
procedură penală, inclusive dispozițiile articolelor 163, 260, 261 şi 273 alin.(2) CPP al RM, am întocmit prezentul proces
verbal în care am consemnat următoarele acţiuni şi circumstanţe:

(în continuare se descriu detaliat acţiunile procedural realizate, consecutivitatea acestora, circumstanţele şi
faptele constatate).

Am constatat declaraţiile cetăţeanului:

Numele, prenumele, patronimicul:_____________________________________________________________________

Data, luna, anul naşterii:____________________________________________________________________________
Domiciliul:________________________________________________________________________________________
Telefon:__________________________________________________________________________________________
Cetățenia:_________________________________________________________________________________________
Locul de muncă:___________________________________________________________________________________
Antecedente penale:_________________________________________________________________________________
Buletin de identitate:________________________________________________________________________________

Care a comunicat următoarele:

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Reprezentantul organului de constatare:

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