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METODOLOGIE Nr. 1 din 13 octombrie 1997 pentru aplicarea ...

METODOLOGIE Nr. 1 din 13 octombrie 1997 pentru aplicarea ...

METODOLOGIE Nr. 1 din 13 octombrie 1997 pentru aplicarea ...

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| ..................................................................... || L.S. Semnătura || Signature/Signature || ................... || || Eliberat de .................. Data |_|_|_|_|_|_|_|_| || Delivree par/Issued by Date/date A A A A L L Z Z ||__________________________________________________________________________ANEXA 3Format A4Numele de familie .................. Prenumele ...........Actul de identitate: seria ....... nr. ................... Seria .....Actul de deces: nr. ......... <strong>din</strong> .................... <strong>Nr</strong>. .......Data eliberării ............. Semnătura de primire .......---------------------------------------------------------------------------| || || ROUMANIE ROMÂNIA ROMÂNIA || || CERTIFICAT DE DECES || CERTIFICAT DE DECES / DEATH CERTIFICATE || Seria ........ <strong>Nr</strong>. ......... || Serie/series No /Nmb. || || DATE PRIVIND DECEDATUL || Dates concernant le decede/ Cod Numeric || Data concerning the deceased Personal |_|_|_|_|_|_|_|_|_|_|_|_|_| || Code S A A L L Z Z N N N N N C || personnel/ || Personal || number || || ---------------------------------------------------------------------- || | Numele de familie | | || | Nom/Surname | | || |___________________|_________________________________________________| || | Prenumele | | || | Prenom/First nom | | || |___________________|_________________________________________________| || | Sexul | | Data naşterii | Anul/ | Luna/ | Ziua/ | || |Sexe/Sex| |Date de naissance/| Annee/ | Mois/ | Jour/ | |

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