2013 concordia formular inscriere
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Dragos COMAN
COALA DE MESERII CONCORDIA
FORMULAR DE NSCRIERE/PRENSCRIERE
I. Date de identificare ale candidatului:
1. Nume i prenume (cu majuscule):_______________________________________________________
2. Sex: feminin ________________ masculin ______________________________________________
3. Naionalitate/Etnie: _________________________________________________________________
4. Religie: ___________________________________________________________________________
5. Data naterii: __________________
6. Serie i nr. buletin (carte de identitate): _________________________________________________
7. Cod numeric personal: _______________________________________________________________
8. Domiciliu stabil: ____________________________________________________________________
9. Domiciliul prinilor: _________________________________________________________________
10. Telefonul unde poate fi contactat de urgen: _____________________________________________
11. Adres e-mail: ______________________________________________________________________
II. Informaii colare relevante despre candidat:
(Completai cmpurile care reprezint cel mai bine situaia n care v aflai)
1. Ultima coal absolvit: ___________________________________________________________
2. Media colii absolvite (n cifre i n litere): _____________________________________________
3. Sunt elev la _____________________________, anul de studiu ____________________________
4. Am fost elev, dar am ntrerupt studiile la coala/ Liceul __________________________________n perioada ______________________ pentru motivul____________________________________
5. Am absolvit specializarea __________________, la ________________________ fiind susinut de ctre____________________________________________________________________________
III. Opiunea candidatului
Buctar
Osptar
Brutar
Tmplar/Dulgher/Parchetar
Agricultor/Horticultor
IV. Activiti extracuriculare/Expriena n munc:
____________________________________________________________________________________
____________________________________________________________________________________
V. Situaie medical. V rugm s precizai starea general de sntate n ultimii doi ani:
Foarte bun
Bun, detaliai dac este cazul: ___________________________________________________
Proast detaliai: ______________________________________________________________
Intervenii spitaliceti- detaliai: ___________________________________________________
VI. Subsemnatul ________________________________, declar pe proprie rspundere, cunoscnd consecinele juridice ale declaraiilor nesincere, prevzute de art. 292 Cod Penal, c informaiile oferite sunt corecte i reale. Am luat la cunotin c, n eventualitatea c voi fi declarat admis, dobndirea calitii efective de elev se face doar dup prezentarea actelor n original la sediul colii, n termenul stabilit.Data,
Semntura,
_________________
____________________________
C E R E R E
Subsemnatul(a) __________________________________________________,
absolvent() al(a) colii _______________________, din Localitatea _____________________, Judeul
________________,
V rog s-mi aprobai nscrierea n cadrul colii de Meserii CONCORDIA, specializarea
________________, pentru anul colar 20___-20___.
V mulumesc anticipat,
Nume, prenume:
Semntura:
DATA:
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