Anexa nr. 2 (ANEXA nr. 2
La normele metodologice)
Denumire angajator/institusie
Sediu angajator/institutie
Nr. O.RC.
oa CUL
Telefon /tax
ADEVERINTA*
Se adevereste prin prezenta ci
On Om.
‘Numey_y yy it
Numelefnainte de eisitorie
|| Prenume _y yy po
peiii
CNP Cetijenie Romink(_) —— UEL_} Non ug[_}
cu domiciliul in:
en a
Nr. BI Se ‘Apart, Setor Ly
Localitatea |) 4) Vd Uru r rrr iiriiiriiii iii iii)
F sudet |
* caemmaece anna ATE a
alitatea de**:
| aviind in institutia noast
| dela data de |
~a beneficiat de indemnizatie de maternitate in perioada: -
~ cele 42 de zile din concediul de Hiuzie se implinese in data de:
~ a beneficiat de indemnizatie pentru cresterea copilului in
perioada: Lititis-ririiis
fev veo wae den
Se aproba concediul pentru cresterea copilului incepand eu data de:
(*) Seva completa de etre fecare angajtor! instituie care atest una dn situafile fn cave persoana 8-0 aflat la un moment dat in interior elor 12
Ti
(#)Se va tece calitaea persoanci, De er, salarat cu contract individual de munci pe periosdé nedeterminal/determinat, gomer, pensionar de
invalditateee IL. Referitor la yeniturile realizate in ultimele 24 luni anterior datei nastei
copilului:
Nraile
crate
Nrzile
ceoneeain
‘medical
Ne-alle
concedin de
‘edihn
1Ni- ile concedla fart
platilabsente
‘nemativate
‘Venit net
realizat (le)
Tuna waster
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