Cerere Servicii Consulare - DeclaraÅ Ie Consimå ămà NT ieÅŸire Din Å Aräƒ Un Päƒrinte Cu Un Copil PDF

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Operator de date cu caracter personal

$PEDVDGD5RPkQLHLOD notificat cu nr. 5285 / 5286 / 5287


Londra

1UvQUHJLVWUDUH Data:
10.04.2017

Cod de cerere SIMISC: PE343035

CERERE
de prestare a unui serviciu consular

1. DATELE DE IDENTIFICARE ALE SOLICITANTULUI

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

VASILE
&HWă‫܊‬HQLD 1.4. Codul numeric personal:
1 8 0 0 6 0 2 0 4 6 2 5 4
520Æ1,$
1.5. Sexul:
MASCULIN Localitatea: %$&Ă8 081
'DWDQD‫܈‬WHULL 0 2 0 6 1 9 8 0 /RFXOQD‫܈‬WHULL
-XGH‫܊‬XO6HFWRUXO %$&Ă8
Ziua Luna Anul
‫܉‬DUD 520Æ1,$
3D‫܈‬DSRUWVLPSOX 3D‫܈‬DSRUWVLPSOX 3D‫܈‬DSRUWVLPSOX 7LWOXGHFăOăWRULH
electronic temporar
Carte de identitate x Buletin de Carte de identitate 3D‫܈‬DSRUWGLSORPDWLF
'RFXPHQWXOGH identitate provizorie
identitate 3D‫܈‬DSRUWGHVHUYLFLXHOHFWURQLF Alt document:
$XWRULWDWHDHPLWHQWă 'DWDHOLEHUăULL 'DWDH[SLUăULL
2 0 0 3 2 0 0 7 2 0 0 6 2 0 1 7
SPCLEP BACAU Ziua Luna Anul Ziua Luna Anul
‫܉‬DUD Localitatea: -XGH‫܊‬XO6HFWRUXO5HJLXQHD
1.9.Domiciliul legal:
520Æ1,$ %$&Ă8 081 %$&Ă8
(conform documentelor Strada: Nr.: Bloc: Apartament: &RGSR‫܈‬WDO
GHLGHQWLWDWHURPkQH‫܈‬WL

AEROPORTULUI 4 4 5
5H‫܈‬HGLQ‫܊‬D ‫܉‬DUD Localitatea: -XGH‫܊‬XO6HFWRUXO5HJLXQHD
DFWXDOă
MAREA BRITANIE HONSLOU
GDFăGLIHUăGH Strada: Nr.: Bloc: Apartament: &RGSR‫܈‬WDO
adresa de domiciliu)

KINGSLEY AVENUE 43
1XPăUGH $GUHVăGHHPDLO
telefon: 07853986728 condurachevasi@yahoo.com

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2. SERVICIUL CONSULAR SOLICITAT
2.1. Obiectul
'(&/$5$‫܉‬,,
cererii:
2.2. Tipul '(&/$5$ğ,(&216,0ğĂ0Æ17,(ù,5(',1
1XPăUXOGHGXSOLFDWHGRULW 2
documentului: ğ$5Ă813Ă5,17(&881&23,/

3.3527(&‫܉‬,$'$7(/25&8&$5$&7(53(5621$/

3.,QIRUPDUHSULYLQGUHJLPXOSURWHF‫܊‬LHLGDWHORUFXFDUDFWHUSHUVRQDOFROHFWDWHSULQSUH]HQWDFHUHUH

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5RPkQLHLGLQVWUăLQăWDWHSULQH[HUFLWDUHDSUHURJDWLYHORUGHDXWRULWDWHSXEOLFăvQVWULFWăFRQIRUPLWDWHFXSUHYHGHULOH/HJLLQU9ă
SXWH‫܊‬LH[HUFLWDGUHSWXULOHGHDFFHVGHLQWHUYHQ‫܊‬LH‫܈‬LGHRSR]L‫܊‬LHFXSULYLUHODSUHOXFUDUHDGDWHORUFXFDUDFWHUSHUVRQDOvQFRQGL‫܊‬LLOHSUHYă]XWHGH
/HJHDQUSULQWURFHUHUHVFULVăGDWDWă‫܈‬LVHPQDWăDGUHVDWăPLVLXQLLGLSORPDWLFHVDXRILFLXOXLFRQVXODUFDUHSUHLD‫܈‬LSURFHVHD]ă
SUH]HQWDVROLFLWDUHVDX0LQLVWHUXOXL$IDFHULORU([WHUQHDO5RPkQLHL

3.'HFODUD‫܊‬LDVROLFLWDQWXOXLSULYLQGGDWHOHFXFDUDFWHUSHUVRQDOIXUQL]DWHSULQSUH]HQWDFHUHUH

$POXDWODFXQRúWLQĠăXUPăWRDUHOHWRDWHGDWHOHPHOHSHUVRQDOHvQVFULVHvQSUH]HQWXOIRUPXODUYRUILSXVHODGLVSR]LĠLDDXWRULWăĠLORUURPkQH
FRPSHWHQWHúLSURFHVDWHGHFăWUHDFHVWHDGXSăFD]vQVFRSXOOXăULLXQHLGHFL]LLFXSULYLUHODVROLFLWDUHDGHID‫܊‬ă$FHVWHGDWHSRWILLQWURGXVHúL
VWRFDWHvQED]HOHGHGDWHDFFHVLELOHDXWRULWăĠLORUURPkQHFRPSHWHQWH8UPDUHVROLFLWăULLPHOHH[SUHVHDXWRULWăĠLOHFRQVXODUHFRPSHWHQWHSHQWUX
SURFHVDUHDSUH]HQWHLVROLFLWăULPăYRULQIRUPDFXSULYLUHODPRGDOLWDWHDvQFDUHvPLSRWH[HUFLWDGUHSWXOGHDYHULILFDGDWHOHSHUVRQDOHIXUQL]DWH
GHDGLVSXQHPRGLILFDUHDVDXvQGHSăUWDUHDORUGDFăVHGRYHGHVFLQFRUHFWHvQFRQIRUPLWDWHFXSUHYHGHULOHOHJLVODĠLHLvQYLJRDUHvQ5RPkQLD
'HFODUFăGXSăúWLLQĠDPHDWRDWHGDWHOHIXUQL]DWHVXQWFRUHFWHúLFRPSOHWH'HFODUFăDPFXQRúWLQĠăGHIDSWXOFăRULFHGDWHIDOVHIXUQL]DWH
FRQGXFODUHVSLQJHUHDSUH]HQWHLVROLFLWăULVDXODDQXODUHDGRFXPHQWHORUHPLVHvQED]DDFHVWHLDúLSRWGXFHODGHFODQúDUHDXUPăULULLPHOHSHQDOH
vQFRQIRUPLWDWHFXOHJHDURPkQă

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