Formular de inscriere
Formular de inscriere
Formular de inscriere
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ANEXA 3<br />
FORMULAR DE ÎNSCRIERE<br />
Autoritatea sau instituia public: ..........................<br />
______________________________________________________________________________<br />
| Funcia public solicitat: ................................................ |<br />
|______________________________________________________________________________|<br />
| Numele i prenumele: ....................................................... |<br />
| Adresa: .................................................................... |<br />
| Telefon: ................................................................... |<br />
|______________________________________________________________________________|<br />
| Studii generale i <strong>de</strong> specialitate |<br />
| |<br />
| Studii medii liceale sau postliceale |<br />
|______________________________________________________________________________|<br />
| Instituia | Perioada | Diploma obinut |<br />
|______________________________________|______________|________________________|<br />
| | | |<br />
|______________________________________|______________|________________________|<br />
| | | |<br />
|______________________________________|______________|________________________|<br />
| | | |<br />
|______________________________________|______________|________________________|<br />
| Studii superioare <strong>de</strong> scurt durat |<br />
|______________________________________________________________________________|<br />
| Instituia | Perioada | Diploma obinut |<br />
|______________________________________|______________|________________________|<br />
| | | |<br />
|______________________________________|______________|________________________|<br />
| | | |<br />
|______________________________________|______________|________________________|<br />
| | | |<br />
|______________________________________|______________|________________________|<br />
| Studii superioare <strong>de</strong> lung durat |<br />
|______________________________________________________________________________|<br />
| Instituia | Perioada | Diploma obinut |<br />
|______________________________________|______________|________________________|<br />
| | | |<br />
|______________________________________|______________|________________________|<br />
| | | |<br />
|______________________________________|______________|________________________|<br />
| | | |<br />
|______________________________________|______________|________________________|<br />
| Studii postuniversitare, masterat i doctorat |<br />
|______________________________________________________________________________|<br />
| Instituia | Perioada | Diploma obinut |<br />
|______________________________________|______________|________________________|<br />
| | | |<br />
|______________________________________|______________|________________________|<br />
| | | |<br />
|______________________________________|______________|________________________|<br />
| Alte tipuri <strong>de</strong> studii |
|______________________________________________________________________________|<br />
| Instituia | Perioada | Diploma obinut |<br />
|______________________________________|______________|________________________|<br />
| | | |<br />
|______________________________________|______________|________________________|<br />
| | | |<br />
|______________________________________|______________|________________________|<br />
| Limbi strine*1) |<br />
|______________________________________________________________________________|<br />
| Limba | Scris | Citit | Vorbit |<br />
|______________________________________|______________|____________|___________|<br />
| | | | |<br />
|______________________________________|______________|____________|___________|<br />
| | | | |<br />
|______________________________________|______________|____________|___________|<br />
| | | | |<br />
|______________________________________|______________|____________|___________|<br />
| Cunotine operare calculator |<br />
| ............................................................................ |<br />
|______________________________________________________________________________|<br />
| Cariera profesional |<br />
|______________________________________________________________________________|<br />
| Perioada | Instituia/firma | Funcia | Principalele |<br />
| | | | responsabiliti |<br />
|________________|_____________________|______________|________________________|<br />
| | | | |<br />
|________________|_____________________|______________|________________________|<br />
| | | | |<br />
|________________|_____________________|______________|________________________|<br />
| | | | |<br />
|________________|_____________________|______________|________________________|<br />
| Detalii <strong>de</strong>spre ultimul loc <strong>de</strong> munc*2): |<br />
| 1. ......................................................................... |<br />
| 2. ......................................................................... |<br />
|______________________________________________________________________________|<br />
| Persoane <strong>de</strong> contact pentru recomandri*3): |<br />
| 1. ......................................................................... |<br />
| 2. ......................................................................... |<br />
| 3. ......................................................................... |<br />
|______________________________________________________________________________|<br />
Declar pe propria rspun<strong>de</strong>re, cunoscând preve<strong>de</strong>rile art. 292 din Codul penal cu<br />
privire la falsul în <strong>de</strong>claraii, c datele furnizate în acest formular sunt a<strong>de</strong>vrate.<br />
Data ......................<br />
Semntura .................<br />
------------<br />
*1) Se vor trece calificativele "cunotine <strong>de</strong> baz", "bine" sau "foarte bine".<br />
*2) Se vor meniona calificativele acordate la evaluarea performanelor profesionale<br />
în ultimii 2 ani, dac este cazul.<br />
*3) Vor fi menionate numele i prenumele, locul <strong>de</strong> munc, funcia i numrul <strong>de</strong><br />
telefon.
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