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SERVICIULPUBLICCOMUNITARREGIMPERMISEDECONDUCERE
bINMATRICULAREAVEHICULELOR
_______________________________________________________________________________
Subsemnatul(Subscrisa)___________________________________________________________,
C.N.P.(C.U.I.)__________________________________________________cudomiciliul(sediul)
n________________________________________,strada_______________________________,
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bu .C
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___________,
nr._______,bloc_______,scara_______,ap.______,jude/sector________________________,
(auto)vehiculului
solicit___________________________________________________________(auto)vehiculului
_______________________________________
____________________________
___________
marca_________________________________________________________________________
cunumruldeidentificare(serieasiu)________________________________________________.
________________________________________________.
Data:________________________
Semn
Semn
tura:_______________________
Semntura:__________________________________
((itampila,ncazulpersoanelorjuridice)
i
tampila,
tampila, n cazul persoanelor
________________________________________________________________________________
__________________________________________________
____________________________________
______________
Datnfaamea,
Data:_______________________
Numele,prenumele,semnaturalucrtorSPCRPCIV
_________________________________________
__________________________
DECLARAfIE
Subsemnatul____________________________________________________________________,
_________________
S
e
C.N.P.________________________________________________________________cudomiciliul
______________
n________________________________________,strada_______________________________,
____________________________
nr._______,bloc_______,scara_______,ap.______,jude/sector________________________,
_______, bloc
cunoscndprevederileart.292codpenalprivindfalsulndeclaraii,declarpepropriarspundere
pierderea/furtul/deteriorarea:
plcii/plcilorcunumruldenmatriculare_______________________
certificatuldenmatricularecunr.________________________
Data:________________________
Semntura:__________________________________