Nota Informativa (1)

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CENTRUL DE PRIMIRE A COPILULUI ÎN REGIM DE URGENŢĂ „EVRICA” NOTA INFORMATIVĂ Numele şi prenumele beneficiarului: ___________________________________________ Data naşterii: _______________________________________________________ La data de „____” „____________” 2014, asistentul social, educatorul, psihologul, juristul Centrului de primire a copilului în regim de urgnţă „Evrica”, a obţinut informaţie_____________________________________________ _____________ _______________________________________________________ _______________________________________________________ ______________________ _______________________________________________________ _______________________________________________________ ______________________ ________________________________________________________________ ____________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ _____________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________

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Nota Informativa

Transcript of Nota Informativa (1)

CENTRUL DE PRIMIRE A COPILULUI N REGIM DE URGEN EVRICANOTA INFORMATIV

Numele i prenumele beneficiarului: ___________________________________________Data naterii: _______________________________________________________

La data de ____ ____________ 2014, asistentul social, educatorul, psihologul, juristul Centrului de primire a copilului n regim de urgn Evrica, a obinut informaie__________________________________________________________ ____________________________________________________________________________________________________________________________________

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Semnatura _____________________