{\rtf1{\fonttbl{\f2 Arial Bold;}{\f3 Arial;}{\f4 Arial Bold Italic;}{\f5 Arial Bold Italic;}{\f6 Arial Bold;}{\f1000000 Times New Roman;}}{\colortbl;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;}\viewkind1\viewscale100\margl0\margr0\margt0\margb0\deftab80\dntblnsbdb\expshrtn\paperw11900\paperh16840\pard\sb0\sl-240{\bkmkstart Pg1}{\bkmkend Pg1}\par\pard\li1418\sb0\sl-276\slmult0\par\pard\li1418\sb0\sl-276\slmult0\par\pard\li1418\sb0\sl-276\slmult0\par\pard\li1418\sb27\sl-276\slmult0\fi4939 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf1\f2\fs24 Nr. \u8230?\u8230?\u8230?\u8230?\u8230? Data \u8230?\u8230?\u8230?\u8230?\u8230?\u8230?\u8230?\u8230?\u8230?\par\pard\li1418\sb276\sl-276\slmult0\fi0 \up0 \expndtw-3\charscalex100 AVIZ\par\pard\ql \li4690\sb0\sl-276\slmult0 \par\pard\ql\li4690\sb273\sl-276\slmult0 \up0 \expndtw-3\charscalex100 DOMNULE PRE\u350?EDINTE \par\pard\ql \li1418\sb0\sl-276\slmult0 \par\pard\ql\li1418\sb268\sl-276\slmult0 \up0 \expndtw-3\charscalex100 Subsemnatul(a) ... \par\pard\ql \li1418\sb144\sl-276\slmult0 \up0 \expndtw-2\charscalex100 Numele anterior \ul0\nosupersub\cf2\f3\fs24 (dac\u259? este cazul) \ul0\nosupersub\cf1\f2\fs24 ... \par\pard\ql \li1418\sb124\sl-276\slmult0 \up0 \expndtw-3\charscalex100 Legitimat(\u259?) cu actul de identitate \ul0\nosupersub\cf2\f3\fs24 (serie \u351?i num\u259?r) \ul0\nosupersub\cf1\f2\fs24 ... \par\pard\qj \li1418\ri3710\sb26\sl-420\slmult0 \up0 \expndtw-3\charscalex100 Eliberat la data \u8230?\u8230?\u8230?\u8230?\u8230?\u8230?\u8230?\u8230?\u8230?\u8230?\u8230?\u8230?\u8230?\u8230? Cet\u259?\u355?enia ... \up0 \expndtw-3\charscalex100 Data \u351?i locul na\u351?terii ... \par\pard\ql \li1418\sb119\sl-276\slmult0 \up0 \expndtw-2\charscalex100 Prenumele p\u259?rin\u355?ilor ... \par\pard\ql \li1418\ri3596\sb6\sl-420\slmult0 \up0 \expndtw-3\charscalex100 Domiciliat(\u259?) n localitatea ... \line \up0 \expndtw-3\charscalex100 Adresa ... \par\pard\ql \li1418\ri4503\sb17\sl-400\slmult0 \up0 \expndtw-2\charscalex100 Nr. telefon ... \line \up0 \expndtw-2\charscalex100 e-mail ... \par\pard\qj \li1418\sb0\sl-410\slmult0 \par\pard\qj\li1418\ri936\sb22\sl-410\slmult0 \up0 \expndtw-1\charscalex100 Conform O.U.G. nr. 24/2008 aprobat\u259? cu modific\u259?ri \u351?i complet\u259?ri prin Legea \up0 \expndtw0\charscalex100 nr. 293/2008, v\u259? solicit prin prezenta cerere accesul la dosarul ntocmit de \up0 \expndtw0\charscalex100 Securitate pe numele meu. \par\pard\ql \li1418\sb121\sl-276\slmult0 \up0 \expndtw-3\charscalex100 Anexez acestei cereri fotocopia actului meu de identitate valabil. \par\pard\ql \li1418\sb0\sl-276\slmult0 \par\pard\ql\li1418\sb268\sl-276\slmult0 \up0 \expndtw-3\charscalex100 OBSERVA\u354?II: \par\pard\ql \li1418\sb0\sl-276\slmult0 \par\pard\ql\li1418\sb0\sl-276\slmult0 \par\pard\ql\li1418\sb0\sl-276\slmult0 \par\pard\ql\li1418\sb0\sl-276\slmult0 \par\pard\ql\li1418\sb0\sl-276\slmult0 \par\pard\ql\li1418\sb0\sl-276\slmult0 \par\pard\ql\li1418\sb0\sl-276\slmult0 \par\pard\ql\li1418\sb0\sl-276\slmult0 \par\pard\ql\li1418\sb0\sl-276\slmult0 \par\pard\ql\li1418\sb0\sl-276\slmult0 \par\pard\ql\li1418\sb0\sl-276\slmult0 \par\pard\ql\li1418\sb8\sl-276\slmult0 \up0 \expndtw-8\charscalex100 DATA \u8230?\u8230?\u8230?\u8230?\u8230?\u8230?\u8230?\u8230?\u8230?\u8230?\u8230?\u8230? SEMN\u258?TURA \u8230?\u8230?\u8230?\u8230?\u8230?\u8230?\u8230?\u8230?\u8230?\u8230?\u8230?\u8230?\u8230?\u8230? \par\pard\qj \li1418\sb0\sl-255\slmult0 \par\pard\qj\li1418\sb0\sl-255\slmult0 \par\pard\qj\li1418\sb0\sl-255\slmult0 \par\pard\qj\li1418\ri824\sb17\sl-255\slmult0\fi0 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf4\f5\fs22 Prin semnarea prezentei cereri, n conformitate cu prevederile Legii nr. 677/2001 privind \up0 \expndtw-3\charscalex100 protec\u355?ia datelor cu caracter personal, declar pe proprie r\u259?spundere c\u259? nu voi folosi \up0 \expndtw-1\charscalex100 informa\u355?iile despre alte persoane, men\u355?ionate n documentele emise de Securitate \u351?i care \up0 \expndtw0\charscalex100 fac obiectul dreptului meu de acces, pentru a aduce atingere imaginii, onoarei \u351?i \up0 \expndtw0\charscalex100 demnit\u259?\u355?ii acestora. {\shp {\*\shpinst\shpleft1388\shptop14257\shpright10802\shpbottom14287\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz474\shplid0{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn geoRight}{\sv 9414}}{\sp{\sn geoBottom}{\sv 30}}{\sp{\sn pVerticies}{\sv 8;4;(0,30);(9414,30);(9414,0);(0,0)}}{\sp{\sn pSegmentInfo}{\sv 2;10;16384;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}}}\par\pard\sect\sectd\fs24}