Operator de date cu caracter personal

$PEDVDGD5RPkQLHLOD notificat cu nr. 5285 / 5286 / 5287

&KLúLQăX

1UvQUHJLVWUDUH Data:
05.03.2018

Cod de cerere SIMISC: PE1423445

CERERE
de prestare a unui serviciu consular

1. DATELE DE IDENTITATE ALE SOLICITANTULUI

1.1. Numele de Numele de familie actual: Numele de familie la QD‫܈‬WHUH: Alte nume de familie anterioare:
familie:
MORARI
1.2. Prenumele: Prenumele actual: 3UHQXPHOHODQD‫܈‬WHUH: Alte prenume anterioare:

VASILII
&HWă‫܊‬HQLD 1.4. Codul numeric personal:
R. MOLDOVA
1.5. Sexul: MASCULIN Localitatea: COBUSCA VECHE

'DWDQD‫܈‬WHULL /RFXOQD‫܈‬WHULL -XGH‫܊‬XO6HFWRUXO ANENII NOI

2 1 0 2 1 9 9 6
Ziua Luna Anul ‫܉‬DUD R. MOLDOVA

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electronic temporar
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identitate provizorie
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identitate IDENTITATE
$XWRULWDWHDHPLWHQWă 'DWDHOLEHUăULL 'DWDH[SLUăULL
0 9 0 4 2 0 1 2 2 1 0 2 2 0 2 1
OF. 25 Ziua Luna Anul Ziua Luna Anul
‫܉‬DUD Localitatea: -XGH‫܊‬XO6HFWRUXO5HJLXQHD
1.9.Domiciliul legal:
R. MOLDOVA CHISINAU &+,‫܇‬,1Ă8081
(conform Strada: Nr.: Bloc: Apartament: &RGSR‫܈‬WDO
documentelor de
LGHQWLWDWHURPkQH‫܈‬WL STUDENTILOR 7
5H‫܈‬HGLQ‫܊‬D ‫܉‬DUD Localitatea: -XGH‫܊‬XO6HFWRUXO5HJLXQHD
DFWXDOă
R. MOLDOVA CHISINAU &+,‫܇‬,1Ă8081
GDFăGLIHUăGH Strada: Nr.: Bloc: Apartament: &RGSR‫܈‬WDO
adresa de domiciliu)
STUDENTILOR 7

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 1XPăUGH $GUHVăGHHPDLO
telefon: +37368817741 iyragreky@mail.ru

2. SERVICIUL CONSULAR SOLICITAT

2.1. Obiectul
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cererii:

2.2. Date despre

7DWăO Mama:
SăULQ‫܊‬LQXPH
SUHQXPHGDWD‫܈‬L
MORARI VASILII MORARI MARIA
ORFXOQD‫܈‬WHULL‫܊‬DUD

$‫܊‬LPDLVROLFLWDW Da Motivul respingerii:

&HWă‫܊‬HQLD GHSXQHUHDMXUăPkQWXOXLGH
&HWă‫܊‬HQLLOHDFWXDOH R. MOLDOVA FUHGLQ‫܊‬ăUHSXQHUHDvQ
termen: Nu

2.5. Data Ordinului

1XPăUXO2UGLQXOXL$1&
ANC de
GHUHGREkQGLUHDFHWă‫܊‬HQLHL
UHGREkQGLUHD 15.02.2018 97/P/2018
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FHWă‫܊‬HQLHLURPkQH

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sprijinul cererii: &HUWLILFDWHGHQD‫܈‬WHUHFXWUDGXFHUHGDFăHVWHFD]XO
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3.3527(&‫܉‬,$'$7(/25&8&$5$&7(53(5621$/

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5RPkQLHLGLQVWUăLQăWDWHSULQH[HUFLWDUHDSUHURJDWLYHORUGHDXWRULWDWHSXEOLFăvQVWULFWăFRQIRUPLWDWHFXSUHYHGHULOH/HJLLQU9ă
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2/3
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Ziua Luna Anul

4./RFXOFRPSOHWăULLFHUHULL 0LVLXQHDGLSORPDWLFă2ILFLXO Localitatea: ‫܉‬DUD

consular:

$0%$6$'$520Æ1,(,/$ &+,ù,1Ă8 R. MOLDOVA

4.6HPQăWXUDVROLFLWDQWXOXL

3/3