INSTITUTUL NAIONAL AL JUSTIIEI

CERERE DE NSCRIERE

LA CONCURSUL DE ADMITERE

2015pentru funcia de judector/procuror Nr.___

I. Date personale

1.1. Numele

____________________________________

Prenumele ____________________________________

Loc Patronimicul ____________________________________ pentru1.2. Data, luna i anul naterii ___.___._______

fotografie1.3. Sexul: Masculin ___ Feminin ____ (bifai)

1.4. Cetenia __________________________________________

1.5. Locul naterii _______________________________________

1.6. Viza de domiciliu:

Raionul ____________________________________________________________Localitatea _______________________________________________________________

Str._____________________________________, nr.____, bl.____, ap.____

1.7. Telefon: la domiciliu __________________________, GSM ________________________

1.8. E-mail: ___________________________________________________________________

1.9. Buletin de identitate:

Seria ____, nr.____________________

Eliberat de of.____ la data ___.___._______

Codul personal de identificare ___________________________

1.10. Starea civil:

Cstorit() ____ Celibatar() ____ Divorat() ____ (bifai)

Indicai numele, prenumele i anul naterii pentru fiecare membru al familiei (so/soie, copii)

1. ____________________________________________________________________

2. ____________________________________________________________________

3. ____________________________________________________________________

4. ____________________________________________________________________

5. ____________________________________________________________________

II. Instituia de nvmnt absolvit

____________________________________________________________________________________________________________________________________________________________2.1. Profilul ________________________________________

2.2. Specialitatea ____________________________________

2.3. Specializarea ___________________________________

2.4. Diploma de licen: Seria ____ nr.___________________

2.5. Anul absolvirii: ____________

2.6. Limba de instruire n instituia absolvit ______________

2.7. Alte studii realizate (studii postuniversitare specializate prin masterat, studii de doctorat, alte) ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________2.8. Cunoaterea altor limbi:

bine __________________________________________________________________

slab __________________________________________________________________III. Activitatea de munc

Perioada

(de la pn la)Organizaia, instituia, ntreprinderea (denumirea, adresa)Funcia

____ _______________ 2014

________________________

semntura