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Formular adeziune

 
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airguns
Site Admin
Site Admin


Joined: 28 Dec 2006
Posts: 130
Location: Constanta

PostPosted: Fri Oct 15, 2004 9:26 am    Post subject: Formular adeziune Reply with quote

ASOCIATIA DETINATORILOR DE ARME CU AER COMPRIMAT
“Club AIRGUNS”
Romania . 900123 Constanta,
1 Mai Nr. 3, bl. H10, Sc. B, Ap. 43
Tel/fax 0241/557600
Mobil: 0721614690
e-mail: office@airguns.ro
http://www.airguns.ro

Nr. ...................... din ........................................
DECLARATIE DE ADEZIUNE

Subsemnatul........................................................ doresc sa ader la “AIRGUNS ROMANIA”. cu statutul de:
- membru fondator
- membru activ
- membru sustinator
- membru de onoare
- membru junior

Mentionez ca -nu sunt / - sunt detinator de arma cu aer comprimat.

Declar pe proprie raspundere ca indeplinesc conditiile de a fi membru al asociatiei conform statutului de care am luat
cunostinta si pe care ma angajez sã-l respect.
Data ……………………. Semnatura .........................................


Anexez prezentei adeziuni urmatoarele:
Permis de conducere Seria .....................din data de ..................Eliberat de .............................................
Certificat de cazier judiciar Nr. .................din data de ..................Eliberat de .............................................
Permis de arma Nr. ......................... Eliberat de ................................... la data de ..................................
Certificat medical Nr. ..............din data de .................. Eliberat de .............................................
Certificat de cazier judiciar Nr. .............. din data de ................. Eliberat de .............................................

DATE DE STARE CIVILA
Numele.............................................................................
Prenumele........................................................................
Cetatenie..........................................................................
Fiul lui ...............................................................................
si al... ...............................................................................
Data nasterii .....................................................................
Locul nasterii ....................................................................
B.I./C.I. Seria.......... Nr. ....................eliberat de ..................................................................
Domiciliat in .......................................................
Str. ..........................................................Nr........Bl...... Sc. ...... Ap. ...... Sect/Judet...............................
Tel.................................
E-mail ..........................................................................................
Ocupatia................................................. …………………..
Loc de munca .....................................................................
Tel./Fax ..............................................................................
CNP …………………………………………………………….



CONCLUZIILE CONSILIULUI DIRECTOR

Dl. ........................................... este ADMIS / RESPINS ca membru al AIRGUNS ROMANIA. prin Sedinta Consiliului Director
din data de ............................... I s-a eliberat legitimatia cu Nr. ...............................

Presedinte

Semnatura .....................................
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