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ANEXA 1 la metodologie_____________________________________________________________________________| INSPECTORATUL COLAR AL JUDEULUI GORJ|La data susinerii exaenu!ui de de"initi#are $n$n#%%&nt'(andidatu!)a* ++++++++++++++++++++++++++++++++++++++++are , #e(-ie e"e(ti#%$n a(ti#itatea de .redare de ++++ ani +++'!uni++++'/i!e0*+|Ins.e(t,ru! 1(,!ar 2enera! ad3un(t|Nue!e 1i .renue!e POPESCU DORINA

|Sen%tura +++++++++++++++++++++++++++++++++++++++++++++++++++++++

|Ins.e(t,r 1(,!ar .entru de/#,!tarea resursei uane|Nue!e 1i .renue!e Pr,"+ POPESCU ADRIAN C4TIN

|Sen%tura+++++++++++++++++++++++++++++++++++++++++++++++++++++++++|C,nsi!ier 3uridi(|Nue!e 1i .renue!e LA56U SI5ONA CAR5EN

|Sen%tura ++++++++++++++++++++++++++++++++++++++++++++++++++++++++

_____________________________________________________________________________

FI DE NSCRIERE

la examenul naional de definitivare n nvmnt

a candidatului___________________________________________________________________________ (numele iniiala tat!lui "#enumele $ cu ma%u&cule'

n anul 2016 la di&ci"lina de examen_________________________________________________________ (&e&iunea'

In&tituia)In&tituiile de n*!!m+nt a,&ol*it!)a,&ol*ite- _________________________________________________

cu du#ata de ____ ani.

S"eciali/a#ea)S"eciali/!#ile o,inut!)o,inute "#in &tudii_________________________________________________

0ecimea e2ecti*! n acti*itatea didactic! de "#eda#e la data n&c#ie#ii- ____ ani ____ luni ____/ile3'.

4#e/entat la examenul de de2initi*a#e n n*!!m+nt n u#m!toa#ele &e&iuni-

&e&iunea I .__________ &e&iunea a II$a__________. &e&iunea a III$a ___________.

Date de contact- tele2on_____________________ e$mail__________________________________

Data _________________ Semn!tu#a _______________

_______________________________________________________________________________________3' Se calculea/! *ecimea de "#eda#e n &"ecialitate de la data nce"e#ii &tagiului la cated#! "+n! la data de51 augu&t 6718(a anului n ca#e &e &u&ine "#o,a &c#i&!'.

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Se ce#ti2ic! datele din "#e/enta 2i9! de n&c#ie#e 9i &e ade*e#e9te c! "ot#i*it n&c#i&u#ilo# din ca#netul de

munc!)documentelo# "#e/entate dl (dna' .....................................................................................................

a 2uncionat n n*!!m+nt de la data o,ine#ii examenului de a,&ol*i#e)licen! du"! cum u#mea/!-

N#.c#t.

:nitatea de n*!!m+nt Funcia didactic! 4e#ioada- ;otal *ecime nacti*itateadidactic!3'

ani luni /ilede la