Cerere Servicii Consulare - Depunerea Juräƒmã¢ntului De Credinè›äƒ Faè›äƒ De Romã¢nia (1).pdf

Operator de date cu caracter personal notificat cu nr. 5285 / 5286 / 5287

$PEDVDGD5RPkQLHLOD &KLúLQăX 1UvQUHJLVWUDUH

Data: 05.03.2018

Cod de cerere SIMISC: PE1423445

CERERE de prestare a unui serviciu consular

1. DATELE DE IDENTITATE ALE SOLICITANTULUI 1.1. Numele de familie:

Numele de familie actual:

Numele de familie la QD‫܈‬WHUH:

Alte nume de familie anterioare:

3UHQXPHOHODQD‫܈‬WHUH:

Alte prenume anterioare:

MORARI 1.2. Prenumele:

Prenumele actual: VASILII

1.4. Codul numeric personal:

&HWă‫܊‬HQLD R. MOLDOVA 1.5. Sexul: 'DWDQD‫܈‬WHULL

MASCULIN 2

1

Ziua

0

2

1

Localitatea: COBUSCA VECHE 9

Luna

9

-XGH‫܊‬XO6HFWRUXO ANENII NOI

/RFXOQD‫܈‬WHULL

‫܉‬DUD R. MOLDOVA

Anul

3D‫܈‬DSRUWVLPSOX Carte de identitate 'RFXPHQWXOGH identitate

6

3D‫܈‬DSRUWVLPSOX electronic Buletin de identitate

Carte de identitate provizorie x Alt document:

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OF. 25

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BULETIN DE IDENTITATE

'DWDHOLEHUăULL 0 9 Ziua

0 4 Luna

2

'DWDH[SLUăULL

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2 1 Ziua

0 2 Luna

2

0 2 1 Anul

‫܉‬DUD

Localitatea:

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R. MOLDOVA

CHISINAU

&+,‫܇‬,1Ă8081

1.9.Domiciliul legal: (conform documentelor de LGHQWLWDWHURPkQH‫܈‬WL

7LWOXGHFăOăWRULH

Strada:

Nr.:

STUDENTILOR

7

Bloc:

Apartament:

&RGSR‫܈‬WDO

‫܉‬DUD

Localitatea:

-XGH‫܊‬XO6HFWRUXO5HJLXQHD

R. MOLDOVA

CHISINAU

&+,‫܇‬,1Ă8081

Strada:

Nr.:

STUDENTILOR

7

1/3

Bloc:

Apartament:

&RGSR‫܈‬WDO

1XPăUGH telefon:

$GUHVăGHHPDLO +37368817741

[email protected]

2. SERVICIUL CONSULAR SOLICITAT 2.1. Obiectul cererii: 2.2. Date despre SăULQ‫܊‬LQXPH SUHQXPHGDWD‫܈‬L ORFXOQD‫܈‬WHULL‫܊‬DUD

&HWă‫܊‬HQLD &HWă‫܊‬HQLLOHDFWXDOH

2.5. Data Ordinului ANC de UHGREkQGLUHD FHWă‫܊‬HQLHLURPkQH

'HSXQHUHDMXUăPkQWXOXLGHFUHGLQĠăIDĠăGH5RPkQLD 7DWăO

Mama:

MORARI VASILII

MORARI MARIA

R. MOLDOVA

15.02.2018

$‫܊‬LPDLVROLFLWDW GHSXQHUHDMXUăPkQWXOXLGH FUHGLQ‫܊‬ăUHSXQHUHDvQ termen:

Da

Motivul respingerii:

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97/P/2018

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Localitatea:

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R. MOLDOVA

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