Professional Documents
Culture Documents
, :rvir(l fuleli3
(le
1Nt__ ,
(Nf -
-=:-_i-:- , ,rionriciliul '
__-r.t_4
riurr(,scdnrl prcrcderilt urt. 292 dio Codul peral privind lhllrl|[ in rirctalatii, dcekr p( proprio rispundcr{
c{ inrpreur{ cu falrilirr" dclin xrnttrloltt.€lcl
' l) Prir firnrilic sr: iniclegc rolul/soliir ii coliii ailili itr iItr.:lrncre:r accslorn.
I Crtegrtriilc itldicat(- sunlr ( l) lgricol: 12) ibrestier: (,i) inrravihn: {4) htcir (lc apil: (5) altc catcgorii de tcr*ruli
rxlrflvilan., daci se allir in cife ilul civil.
*2) l-a "'l'itrrlar" sc lrgnlioneazi. r'n cazul bunurilor proprii. nunrele pnrplictarului (titullrul. solul*o1ia. copilull,
iar in cazul bunuli&:r in cofri:prielnte. cotl.plrtc gi rtutncle cr4rroprietari[rr.
Z. (ilituliri
N(),f A:
Sc vor rjcclara inclusiv r:e|l.'allltc in ulte liri.
2. Ilrtu||ri suh fornr{ de mctalc prclfua$c, bijulcrii, obic.:te dc arti $i dc cult, coleclii dc rrti ti
nunli$ttr|lici, ohicclc crrc fac parlc dir patfinroniul c|lltuml nllional rau univcrsll. r clror laloare
insu[rsti depisclts 5.001] dc our.o
N ()',t-t :
5c vor nrenlionn tuatq hunurilc allllc irr proprietate, indif'ererrt dac2t ch sc aflii snu nu pc ie.itofiul Ronlilli.i
la nrtrrxentul dcclaririi.
Ill. llulrtri rnohile, n ciror yrloare deplScglc 3.000 de errro liecare, $i buntrr'i imobilc instriinalc in
uttimclc 12 loni
lV. r\ctive finalciarc
NOl'A:
Sc vor clcclara iD0luiiv cclc aflatr irr lrtnci snu i|lsfirulii firrancinre
rlir) stfarnilits.
-.--*-<
'('tttegoriiieinlignt'sunt.'ii)L.l)'|!..t!t.|,|]|.\.|u.\'l'i|..'i|:|e|i,lduri|'en1|}.
...'1i\1|l||1tt.,.i3).|anlut.it[in*,'rti7iis4||t€hi\\1i.'$tt,ilclu.tit'./onthti
aue t dt? Ltt vrtr dcclttnt ci:ie oJerente awlui fi:saul anleitt i.
2. Ililil|ln{nlt'. ittvtslilii dirc(a( 1i r"nrprunrultlr'i rcofiltrlr, d',rri yalorrea dc pi{lt iflsu[raltl l| tutrr.,r
$crslorr deDtrioiite 5,000 tlc crrro
N(.)t ,{.
Se vor dcclara irchrs'v invcsliliilc li parlicip?t.ile i!r r,triinllatc.
*(..tttegatiiitll,htk|cI(.\unl'.||ih|il.t|itkvoot.t,de{in!i|iu|'||f.\to!'(:t,|1i/it.|ti,.
o.:{iwi s$u p1t lt sociqk, i toriLmI nnrcn:iul,:: (J) iupnnuturi ocoulat( h nxn( lrer.to L .
si|lrm lensing $i alle
Vl. Csdouri. scn'icii s:rr aval|l'tje ll.inritc grstuil $ar sul,yclliolirac fali dc y&l{,arcil ilc l)inlil, dill
pitrlfir unor pttsoorr, orgrnizolii, socieftrti conrrrcialc, rrBii sutonornc, co|n pa n ii/socielili turliortrla sall
inslitulii !ublicc rout6n.lti s^u sariixc, inclusiv bursc, crctlite, garrnlii, drrottili (le ehalt(|idi' {ltelo (lccat
celc rlc !rIg$jNlonrlui, a cr]ror valoare iudivid||,|l{ ddpffefl{l 500 dr eoro'
I 2. Sullsolic
L l. t o|ii
"'|LLxrptett;iidl,lu.|cc|uru.t<.uthluti|e5itt'ttttt1ii|eruu|c1ttittli|cdinpattcrtrrtt|e|tn.tglltll
\/lI. Vcnituli {lc dccLrrartului gi alc lnenrbrilor stri de fanilie, rurlizate in ullirnul an tistal ilchoitll
(Potlivit ,u1, 4l ditt Lcgca nr. 571/200J privind Codul fiscnl, cu nodificlrilc Si cornplcttrrile ultcrioarc)
NGI'A:
5e vor rbclara inclrr rir. veniturilc lavctlite di|t stfilinlllat(:,
l.l. I'itular
}NIEflM|JtIIE
flingl ni1roF* ?eittl*l* ar.i*''|i[ <16r^r, flt'Pr b6. 53F
1.2. S0l/solic
2.1. l itulur
2.?. sol/solic
.1.2- Sot,isolic
4.1.'lirulnr
ry@ld*
___/
4.2. Sollsolic
j,:
;:.;r#-t'-ffi ,:**iiiAlfr iffi #*rl,rliffi-fi *iljjl;.i:#t
-(.l. f ilrrliir
/'
5.1. So1/s.r1ic
,"
6,l. l'itular
6.2. So(solie
7.1. I'itular
7.2. So/solie
7..1. Copii
8. | . l'itLrlar
8.1. \r'1/1()1ig
E.i. tiopii
Itrczqrtu declarr{ir c{rt|sliluir ael public ti rtspulld lollivit lrgii lltnde pctttru incxactitateit sau
crllclclul incornlllct ll d:rtclor rtren(ionrtc,
\t
Drlit c,)tnplotlrii scr$r'iitlnr
.1.9..si,,.1$.1.€..., \ \\
NECLAIIA'| IE DE INTERESE
aviind funclirt
S uhscrn ttaiu l/su bse ttt n' trr. -.U]NE*r&
,
de a ln {)tr*T** -*
C]NP ,do itili l
propria risptndetc:
;,tt.t.ffi;il";il1 il;;ilul pttral privintl tulsul irr rlcclarrlii' declar pc
V lo:rfc4 tolalii it
li0italea pirrlilol socialc
'dc utllircil rr ililresa -
{nEilL4ir
ffitirit trl rr'.r r rtrt'r r I u rrlc.
car{lir'$llf!
.tr{r.x.luhi
k11{)lX
$dd4i iiziil
rutorviuV,{soci;4ii iirnil jabr(rbin&
iaiivii,uhurbirxtcirrdae. sricf{i
civib poli:;icnrlcsLr so:irrfii r ivih
lroi:;ixlr]e cu rdlrrurJi .' limfu rti rde
rlesff pmrn gibi;xle aru:U0rpruta4ji
llg,!.grtluB!1d91!:l!Ir4i! lrpn4irl
'"'.|\'irt nuk de gradt / / sc illelegc pirinli p( linir rscandqn(i ropii pe linic ticscendcntl.
Si
-
Se vrrr tleclara nunrclc, dcrumircr rii adrcsa huneficiartilui dc contrnat urtdc. priu calitatt'a delinule. litrrl!ntl.
solul/solril 9i tudclc dc gl dul I oblin 0r)nlraolc. ala eun] sl t d$firritc la purctLrl 5. Nu riu dcclari r:ontrarlcla
socieliliilor conletcialc pe.rctiurri la carc dccinranlul iruprcona cu soluusolia;i rudele clc gnulul I delin ntai pLrgin cle
59'i din capitrlrrl social ll ri)cirlilii, indil'crent <jr,' rncrilLrl dc dobdndire a acqiurriklr'.
l\'tzenla decl ralir colstituic tr{l publie ;i r{spund potrilit lcgii peralc penlru in€ractilrlqr srul
calirctrrul iltc{rnrplul al tlutelor ntrtlionalc.
D,lfa cl,lltpletirii
.1.9.,.ah.^.*,o 1. 6... ,