Catre Directorul General al ______________________________
Subsemnatul _______________________________ domiciliat in ____________________
________________________________ identificat cu C.I. Seria ____ nr. ____________________, eliberata de ___________________ la data de _____________, CNP _______________________, avand functia de ________________________________________________ la _______________________, va rog respectuos sa imi aprobati demisia, incepand cu data de _______________________ .