ࡱ> q` 0&bjbjqPqP 4::k666JQQQQd2R\JwTTTTTUUUvvvvvvv$xh{`vu6*WU"U*W*WvTT?ewbbb*Wr 8T6Tvb*Wvbb6bTT #~|Qabd{w0wbo{Bbo{bo{6bU>9V,beV$VUUUvvbUUUw*W*W*W*WJJJMQJJJQJJJ  ANEXA 2 FI^ DE NSCRIERE - ciclu universitar de master - la concursul de admitere sesiunea SEPTEMBRIE 2013 UNIVERSITATEA DIN CRAIOVA(Toate informaciile se completeaz cu majuscule)FACULTATEA DE I. Datele personale ale candidatuluiI.1.Numele de familie din certificatul de na_tere: I.2. Numele de familie actual (dac difer de I.1):I.3. Prenumele:I.4. Inicialele tatlui/mamei I.5. CNP: I.5. Data na_terii:Ziua:Luna:Anul:I.6. Locul na_terii: Sexul F/MI.7. Starea civil: necstorit() I.8. Starea social special:orfan de un printecstorit()orfan de ambii princidivorcat()provenit din case de copiivaduv()provenit din familie monoparentalI.9. Cetcenia: Etnia: Religia:I.10. Adresa: I.11. Act de identitate: Seria:Numrul: Eliberat de:  Data eliberrii:--Perioada de valabilitate:I.12. Alte date ale candidatului: Telefon:Adres e-mail:I.13. Candidaci care se ncadreaza n categoria persoanelor cu dizabilitci (se bifeaz numai de persoanele aflate n aceast situacie pe baz de documente)II. Date privind pregtirea anterioar a candidatului (absolvent de ciclu de nvcmnt universitar)II.1. Studiile universitare absolviteDenumirea instituciei de nvcmnt superiorbaraLocalitatea:Judecul:FacultateaDomeniul/ProfilulSpecializareaTitlul obcinutForma de nvcmnt:ZiSeralFRID Forma de financare :BugetTaxDurata studiilor (nr. ani sau nr.semestre, dup caz)An absolvireII.2. Date de identificare ale actului de studiu  Tipul:Seria:Nr:(denumirea  diplom de licenc/echivalent/diplom de master)Emitentul:An emitere:Supliment/foaie matricola nrMedie licenc:Medie ani de studii:II.3. Alte observacii (pentru cazurile n care c&HJ(   ` b n r t     4 6 8 ȾҭͣҭҭҭҭyyuyyyyhLhG05hG055hE hG05hG05hXhmHsHhXh5mHsHhG05h5CJ hG05hhG05h5CJhG05h6>* hwQ5 hO5hG05h5 hihihihOJQJhG05hOJQJh<:OJQJ.$&J( }t $IfgdJkd$$Ifl0t$\$4 la $$Ifa$gd $Ifgdx:gd$a$gd$a$gd$a$gdigd N$ TJkd$$Ifl0t$\$4 la $$Ifa$gd $IfgdJkde$$Ifl0t$\$4 la    p r TJkd$$Ifl0t$\$4 la $$Ifa$gd $IfgdJkd=$$Ifl0t$\$4 lar t v x z | ~ $$Ifa$gdJkd$$Ifl0t$\$4 la $IfgdFf $$Ifa$gd 4 6 8 : < > @ RFFFF $$Ifa$gdG05Jkd $$Ifl0t$\$4 la $$Ifa$gd $IfgdLkdU $$Ifl0t$\$4 la@ B D F H J L N P R T V X Z \ ^ ` b d f h j l n p r t v x $$Ifa$gdG05x z | ~ $$Ifa$gd $IfgdLkd $$Ifl0t$\$4 la $IfgdG05Ff $$Ifa$gdG05 $$Ifa$gdG05Jkd$$Ifl0t$\$4 la     2 4 H T h   0 4 6 8 : \ ^ d f j l n p r ~ hW\h% WhhG05h% W5 hG05hH*hG05hH*5 hH*h% W hG05h% Wh% W hG05h/ h/h/hG05h/5h/ hG05hBtThG05hBtT5hG05hEhG05hG055 hG05hG057     $IfgdG05Ff $$Ifa$gdG05 J L N P R T j l n p r t v x z | ~ $IfgdG05Lkd$$Ifl0t$\$4 la $$Ifa$gd $Ifgd/9kd !$$Iflt$$$4 la $$Ifa$gdBtTFf $IfgdG05   2 4 $IfgdH* $Ifgd9kd]%$$Iflt$$$4 la $$Ifa$gd/Ff'# $$Ifa$gd 4 6 8 : f H???? $IfgdQa9kdy&$$Iflt$$$4 la $$Ifa$gdH*pkd%$$Ifl\(#t$t<L$4 la  2<BDPRXZ"&468HJLNPRnrtvxz|~ֹϱ hG05hQhQ hG05hhG05h5h hG05hW\hG05hW\5 h00hThG05hT5 h% WhT hG05hThT hG05hH*hG05hH*5 hG05h% WhEhG05h% W5h% W7 @kd&$$Iflֈ (#t$}  L$4 lap< $IfgdQa@BDF^`b@kd($$Iflֈ (#t$}  L$4 lap< $IfgdQab@kd4)$$Iflֈ (#t$}  L$4 lap< $IfgdQa@4 $$Ifa$gdH*kdh*$$Iflֈ (#t$}  L$4 lap< $IfgdQa$&68JL $$Ifa$gdT $IfgdT9kd+$$Iflt$$$4 laLNPRh\"9kd-$$Iflt$$$4 la $$Ifa$gdW\kd+$$Iflֈ xt$Xn $4 laRprtvxz|`T $$Ifa$gdW\Jkd-$$Ifl0t$X$4 laJkdo-$$Ifl0t$X$4 la $Ifgd|~ $IfgdQ $Ifgd9kdq.$$Iflt$$$4 la&(,.46@rtvxz|0DF68:<>߿өөөөөөөөө hG05hv#)hG05hv#)5 hG05h)hG05h)5 h)h)h)hXh)mHsH hG05hhG05h5 hr5 hrhrhEhrhv#) hG05hrhG05hr5 hG05hQhQ hQhQ4UI $$Ifa$gdrkd.$$Ifl֞ ,t$D 8n $4 la(*,0248:<>@tvxz $$Ifa$gdFf1 $$Ifa$gd $Ifgdr9kd/$$Iflt$$$4 laz|6pkd4$$Ifl\ (t$IL $4 la $$Ifa$gd $Ifgd) $Ifgd9kd-4$$Iflt$$$4 la8:<>@VNkd5$$Ifl40"t$X#$4 la $$Ifa$gd $Ifgd9kdW5$$Iflt$$$4 la $$Ifa$gdv#)>@BDFpr`bdfhȜyr hehehG05he5hEhXhe5mHsHhXhEmHsHhXhemHsH hG05he hehehe hG05hVQhG05hVQ5 hG05hiThG05hiT5 hE5 hiT5 hG05hv#)hG05hv#)5 hG05h)hG05h)5,@BDFkb $IfgdiT9kd6$$Iflt$$$4 la $$Ifa$gdv#)Nkd76$$Ifl40"t$X#$4 labdx@7kd7$$Iflt$$$4 la $Ifgde9kdJ7$$Iflt$$$4 la $$Ifa$gdVQ7kd6$$Iflt$$$4 ladfhYJkd?8$$Ifl0t$$4 la $$Ifa$gde $Ifgde9kd7$$Iflt$$$4 la $$Ifa$gdiT $$Ifa$gde $Ifgde9kd8$$Iflt$$$4 la   $FHJLNPjnp  $*,02涫 hG05h);hG05h);5 h);h);h);hXhEmHsHhXh);mHsHhs= h he hG05hiThG05hiT5 hehehe hG05hehG05he5 hehehE9  h\"9kd@:$$Iflt$$$4 la $$Ifa$gdekd9$$Iflֈ>, Zt$r8. $4 la "$HJLNpd $$Ifa$gdiTpkd:$$Ifl\$t$  $4 la $$Ifa$gd $Ifgde $IfgdNPln6pkd;$$Ifl\lt$B $4 la $$Ifa$gd $Ifgde $Ifgd9kdj;$$Iflt$$$4 la"$.02Ff&? $$Ifa$gds= $Ifgde9kd<$$Iflt$$$4 la $$Ifa$gdiT2]Q $$Ifa$gdekdA$$Iflrt$@$ $4 la $$Ifa$gd $Ifgd); $Ifgd48DHNRTp| BDFHJLXfjlzzZzdzlzvzxzzz|z~zzþ÷÷ޗh"CJaJ hVQh"UhG05h,%5 hG05h,% hVQh,% h,%5h\h,%5 h""h"hG05h"5hE hG05h" hX[h"h" hG05hehG05he5968FHPR $Ifgd"9kd}B$$Iflt$$$4 laRTf]#9kdD$$Iflpt$$$4 la $Ifgd"kdB$$IflqֈQmt$$4 la DF $$Ifa$gd" $$Ifa$gd" $Ifgd"9kdTD$$Iflt$$$4 la $$Ifa$gdeFHJLh\"9kdE$$Iflt$$$4 la $$Ifa$gdekdD$$Iflֈ$ t$   $4 laLjlfZ $$Ifa$gd,%kd'F$$Iflrpdt$  $4 la $$Ifa$gd,% $Ifgd,%xzzz|z~zd{x>5 $Ifgd3mf9kdG$$Iflt$$$4 la $$Ifa$gd"7kduG$$Iflt$$$4 la $Ifgd"9kd"G$$Iflt$$$4 laandidatul care a absolvit studii anterioare n strintate) - Vizarea/Recunoa_terea diplomei prezentate (DPIRP  acorduri bilaterale/CNRED/Direccia cetceni strini din MEN) - Nr/Serie act de recunoa_tere/echivalare eliberat de DPIRP /CNRED III. Date privind alte studii masterale ale candidatului III.1. Studiile masterale urmate sau absolviteDenumirea instituciei de nvcmnt superiorbaraLocalitatea:Judecul:FacultateaDomeniul/ProfilulSpecializareaTitlul obcinutForma de nvcmnt:ZiSeralFRID Forma de financare :BugetTaxDurata studiilor (nr. ani sau nr.semestre, dup caz)An absolvireIII.2. Date de identificare ale actului de studiu  Tipul:Seria:Nr:(denumirea  diplom de licenc/echivalent/diplom de master)Emitentul:An emitere:Supliment/foaie matricola nrIV. Date privind princii/suscintorul legalNumele _i prenumele princilor:Tata:Mama:Nivelul de educacie al princilor:Tata: - Mama:- - primar - primar - gimnazial- gimnazial- profesional- profesional- liceal- liceal- postliceal- postliceal- universitar- universitarV. Opciuni admitereV.1. Specializrile de studiu, n ordinea preferincei1.2.3.4.5.6.7.8.9.10.V.2. LA LATITUDINEA FACULTbII V.3. Alte informacii Solicit cmin:Limba strin de studiu:Semntur verificare fi_: ..........................................................Semntur candidat: ................................................................. NOTA. Se vor completa obligatoriu toate informaciile specificate n formular.  NOT. Prezenta fi_ a fost completat cunoscnd prevederile legale referitoare la falsul n declaracii. zzzzzz{:{H{J{^{`{d{f{h{j{l{n{{{{{{{{{{r|t|ûwk`TIhXhmHsHhXh5mHsHhXhNCymH sH hXhNCy5mH sH hXh"mH sH hXh"5mH sH hXh3mfCJaJmH sH hXhECJaJmH sH hXh"CJaJmH sH h"CJaJ hG05h"hG05h"5hXCJaJh3mfCJaJhVQh3mfCJaJhECJaJhVQh"CJaJd{f{h{j{l{{{ne $Ifgd"9kdH$$Iflt$$$4 laJkdH$$Ifl0#t$#`$4 la $$Ifa$gd"{{{{r|t|ne-7kdI$$Iflt$$$4 la $Ifgd9kdlI$$Iflt$$$4 la $$Ifa$gdNCyJkdH$$Ifl0t$tl$4 lat|v|x|||||6}x>9kdJ$$Iflt$$$4 la7kdaJ$$Iflt$$$4 la $Ifgd9kdJ$$Iflt$$$4 la $$Ifa$gdt|v||||6}8}:}<}>}F}J}b}d}f}n}p}x}z}|}~}}}}}}}}}}}}}~~~~0~2~6~:~D~H~L~P~T~X~~~~~~~~*,0246ƾͷƾͰƾͰƾͩͩͩͩͩͩͩ͢ƾ h);h h h heh hehhG05h5 hG05hhhXh5mHsHhXhmHsHhXhmHsHhXh5mHsH=6}8}:}<}>}H}J}d}f}x}z}neee $Ifgd9kdK$$Iflt$$$4 laJkdK$$Ifl0t$$4 la $$Ifa$gd z}|}~}}h\"9kdM$$Iflt$$$4 la $$Ifa$gdkdK$$Iflֈ>, Zt$r8. $4 la}}}}}}}}y?9kd.N$$Iflt$$$4 lapkdWM$$Ifl\$t$  $4 la $$Ifa$gd $Ifgd}}}~~~~~y?9kdXO$$Iflt$$$4 lapkdN$$Ifl\lt$B $4 la $$Ifa$gd $Ifgd~2~8~:~F~H~N~P~V~X~~~~~~~,.0 $$Ifa$gdFfQ $$Ifa$gd $Ifgd0246{o5, $Ifgd9kdAU$$Iflt$$$4 la $$Ifa$gdkdFT$$Iflrt$@$ $4 laH]kdU$$IflqֈQmt$$4 la $IfgdHJLNbf|~€Āƀ"`blpz~ʁ́ځ܁*,Z^ŨŗhG05hT=85hBnhT=85 hT=85hXhi5mH sH hXhimH sH hG05hi hBnhihihG05hi5hBnhi5 h5 hi5 h""hhG05h5 hG05hh hX[h5HJLNdf~vvjj $$Ifa$gd $Ifgd9kdW$$Iflt$$$4 la $$Ifa$gd9kdV$$Iflpt$$$4 la €h\"9kdX$$Iflt$$$4 la $$Ifa$gdkdkW$$Iflֈ$ t$   $4 la€ "bnp|~xll $$Ifa$gdi9kd:Y$$Iflt$$$4 la $$Ifa$gdi7kdX$$Iflt$$$4 la $Ifgdi ~ʁ{o5, $Ifgdi9kdzZ$$Iflt$$$4 la $$Ifa$gdikdY$$Iflr R |t$ * t $4 laʁ́܁ $Ifgdi $$Ifa$gdi7kdZ$$Iflt$$$4 la,.I@@@@@@ $Ifgdikd[$$Iflֈ  th&#t$vk N$4 lap<.02JLNfhI@@@@@@ $IfgdikdP\$$Iflֈ  th&#t$vk N$4 lap<hjlI@@@@@@ $Ifgdikd]$$Iflֈ  th&#t$vk N$4 lap<‚Ăւ؂I@@@@@@ $Ifgdikd^$$Iflֈ  th&#t$vk N$4 lap<؂ڂ܂I@@@@@@ $Ifgdikd_$$Iflֈ  th&#t$vk N$4 lap<68:VXI@@@@@@ $Ifgdikd a$$Iflֈ  th&#t$vk N$4 lap<XZ\I= $$Ifa$gdikdTb$$Iflֈ  th&#t$vk N$4 lap<\^x>9kd*d$$Iflt$$$4 la $$Ifa$gdT=87kdc$$Iflt$$$4 la $IfgdT=89kdc$$Iflt$$$4 la eLkdd$$Ifl0ht$ #$4 la $IfgdT=8 $$Ifa$gdT=87kd}d$$Iflt$$$4 la  "(*,246<>ʄՄք܄,28$<>@Hü h7c56 hd56 h_:56 hE56h0hw 56 hG05hhG05hCt5 hCt5hT=8hAhT=85hG05hT=85hBnhT=85 hAhT=8hXhT=85mHsH9  PLkde$$Ifl0ht$ #$4 la $IfgdT=8 $$Ifa$gdT=8LkdCe$$Ifl0ht$ #$4 la "(*,24PLkdf$$Ifl0ht$ #$4 la $IfgdT=8 $$Ifa$gdT=8Lkd1f$$Ifl0ht$ #$4 la46<>@FHPLkdg$$Ifl0ht$ #$4 la $IfgdT=8 $$Ifa$gdT=8Lkdg$$Ifl0ht$ #$4 laHJPRT\^PLkdh$$Ifl0ht$ #$4 la $IfgdT=8 $$Ifa$gdT=8Lkd h$$Ifl0ht$ #$4 la^`bdlc $IfgdT=89kdri$$Iflt$$$4 la $$Ifa$gdT=8Lkdh$$Ifl0ht$ #$4 laք؄ڄx@7kdgj$$Iflt$$$4 la $IfgdT=89kdj$$Iflt$$$4 la $$Ifa$gdT=87kdi$$Iflt$$$4 laڄ܄.02 $IfgdT=89kdj$$Iflt$$$4 la2468n{o5, $Ifgdd9kdl$$Iflt$$$4 la $$Ifa$gdT=8kd k$$IflrTt$XhpT\$4 lanpPLkdl$$Ifl0t$pp$4 la $$Ifa$gddLkdWl$$Ifll0t$pp$4 la $Ifgdd >@BDFHJN "$&gd_:$8^8`a$gd_:gdHJLN\ "$&Ĺh6h_:hXh_:mHsHhH+h_:5CJaJmHsHh_:5CJaJmHsH h7c56 jh_:56UmHnHu hO56 21h:p<:/ =!"#n$n% c$$If!vh55\#v#v\:V l$,55\4c$$If!vh55\#v#v\:V l$,55\4q$$If!vh55\#v#v\:V l$,55\/ 4q$$If!vh55\#v#v\:V l$,55\/ 4c$$If!vh55\#v#v\:V l$,55\4q$$If!vh55\#v#v\:V l$,55\/ 4$$If!v(h555555555 5 5 5 5 5 555555555555555555 5 !5!"5"#5#$5$%5%&5&'5'(#v(:V l$,(5(/ (46kd$$Iflt(lXD0 | h T@,xdP<( !"#t$$֠֠֠֠4 lau$$If!vh55\#v#v\:V l$,55\/ 4q$$If!vh55\#v#v\:V l$,55\/ 4$$If!v(h555555555 5 5 5 5 5 555555555555555555 5 !5!"5"#5#$5$%5%&5&'5'(#v(:V l$,(5(/ (46kd? $$Iflt(lXD0 | h T@,xdP<( !"#t$$֠֠֠֠4 lau$$If!vh55\#v#v\:V l$,55\/ 4q$$If!vh55\#v#v\:V l$,55\/ 4$$If!v(h555555555 5 5 5 5 5 555555555555555555 5 !5!"5"#5#$5$%5%&5&'5'(#v(:V l$,(5(/ (46kd$$Iflt(lXD0 | h T@,xdP<( !"#t$$֠֠֠֠4 lau$$If!vh55\#v#v\:V l$,55\/ 4k$$If!vh5$ 55555555 5 5 5 5 5 5555555#v$ #v#v#v#v:V l$,5$ 5555/ / / / / 4dkd:$$Ifl | h TxdP<(t$$ $TTTT4 laQ$$If!vh5$#v$:V l$,5$4$$If!v h5}55555555 5 5 5 5  #v}#v#v#v#v#v#v#v #v #v #v #v :V l$, 5}5555555 5 5 5 5  / / / / / /  / / / 44kd`!$$Ifl"  h @,t$} $44444 laQ$$If!vh5$#v$:V l$,5$4$$If!vh5t55<5L#vt#v#v<#vL:V l$,5t55<5L/ / / / 4Q$$If!vh5$#v$:V l$,5$42$$If!vh5}555 5 5L#v}#v#v#v #v #vL:V l$,5}555 5 5L/ / / / 4p<2$$If!vh5}555 5 5L#v}#v#v#v #v #vL:V l$,5}555 5 5L/ / / / 4p<2$$If!vh5}555 5 5L#v}#v#v#v #v #vL:V l$,5}555 5 5L/ / / / 4p<2$$If!vh5}555 5 5L#v}#v#v#v #v #vL:V l$,5}555 5 5L/ / / / 4p<Q$$If!vh5$#v$:V l$,5$4+$$If!vh5X55555n #vX#v#v#v#v#vn :V l$,5X55555n / / / / / / / / 4Q$$If!vh5$#v$:V l$,5$4$$If!vh5X5#vX#v:V l$,5X5/ / 4$$If!vh5X5#vX#v:V l$,5X5/ / 4Q$$If!vh5$#v$:V l$,5$4%$$If!vh5D 5558555n #vD #v#v8#v#v#vn :V l$,5D 558555n / / / / / / / 4Q$$If!vh5$#v$:V l$,5$4$$If!v h555555555 5 5 5 m5  #v#v#v#v#v #v #v #v m#v :V l$, 55555 5 5 5 m5  / / / / / /  / / / / / 44kd>0$$Ifl" ($       {t$m $44444 laQ$$If!vh5$#v$:V l$,5$4$$If!vh5I555L #vI#v#v#vL :V l$,5I555L / / / / / 4Q$$If!vh5$#v$:V l$,5$4$$If!vh5X#5#vX##v:V l4$+,5X#5/ / 4o$$If!vh5X#5#vX##v:V l4$+,5X#54Q$$If!vh5$#v$:V l$,5$4M$$If!vh5$#v$:V l$,5$4Q$$If!vh5$#v$:V l$,5$4M$$If!vh5$#v$:V l$,5$4Q$$If!vh5$#v$:V l$,5$4$$If!vh55#v#v:V l$,55/ / 4Q$$If!vh5$#v$:V l$,5$4+$$If!vh5r5855. 55#vr#v8#v#v. #v#v:V l$,5r5855. 55/ / / / / / / / 4Q$$If!vh5$#v$:V l$,5$4$$If!vh55 55 #v#v #v#v :V l$,55 55 / / / / / 4Q$$If!vh5$#v$:V l$,5$4$$If!vh5B5 55#vB#v #v#v:V l$,5B5 55/ / / / / 4Q$$If!vh5$#v$:V l$,5$4=$$If!vh555555555 5 5 L5 5 |5 #v#v#v#v#v#v#v#v#v #v #v L#v #v |#v :V l$,555555555 5 5 L5 5 |5 / / / / / / / / /  / / / / / / 4Zkd<$$Ifl8 8 ' x#t$L|$88884 la$$If!vh5@5$555 #v@#v$#v#v#v :V l$,5@5$555 / / / / / / 4Q$$If!vh5$#v$:V l$,5$4/$$If!vh555555#v#v#v#v#v#v:V lq$,555555/ / / / / / / / 4Q$$If!vh5$#v$:V lp$,5$4Q$$If!vh5$#v$:V l$,5$4+$$If!vh55 55 5 5#v#v #v#v #v #v:V l$,55 55 5 5/ / / / / / / / 4Q$$If!vh5$#v$:V l$,5$4$$If!vh5 55 55#v #v#v #v#v:V l$,5 55 55/ / / / / / 4Q$$If!vh5$#v$:V l$,5$4M$$If!vh5$#v$:V l$,5$4Q$$If!vh5$#v$:V l$,5$4$$If!vh5#5`#v##v`:V l$,5#5`/ / 4Q$$If!vh5$#v$:V l$,5$4$$If!vh5t5l#vt#vl:V l$,5t5l/ / 4Q$$If!vh5$#v$:V l$,5$4M$$If!vh5$#v$:V l$,5$4Q$$If!vh5$#v$:V l$,5$4M$$If!vh5$#v$:V l$,5$4Q$$If!vh5$#v$:V l$,5$4$$If!vh55#v#v:V l$,55/ / 4Q$$If!vh5$#v$:V l$,5$4+$$If!vh5r5855. 55#vr#v8#v#v. #v#v:V l$,5r5855. 55/ / / / / / / / 4Q$$If!vh5$#v$:V l$,5$4$$If!vh55 55 #v#v #v#v :V l$,55 55 / / / / / 4Q$$If!vh5$#v$:V l$,5$4$$If!vh5B5 55#vB#v #v#v:V l$,5B5 55/ / / / / 4Q$$If!vh5$#v$:V l$,5$4=$$If!vh555555555 5 5 L5 5 |5 #v#v#v#v#v#v#v#v#v #v #v L#v #v |#v :V l$,555555555 5 5 L5 5 |5 / / / / / / / / /  / / / / / / 4ZkdO$$Ifl8 8 ' x#t$L|$88884 la$$If!vh5@5$555 #v@#v$#v#v#v :V l$,5@5$555 / / / / / / 4Q$$If!vh5$#v$:V l$,5$4/$$If!vh555555#v#v#v#v#v#v:V lq$,555555/ / / / / / / / 4Q$$If!vh5$#v$:V lp$,5$4Q$$If!vh5$#v$:V l$,5$4+$$If!vh55 55 5 5#v#v #v#v #v #v:V l$,55 55 5 5/ / / / / / / / 4Q$$If!vh5$#v$:V l$,5$4M$$If!vh5$#v$:V l$,5$4Q$$If!vh5$#v$:V l$,5$4$$If!vh5 55* 55t #v #v#v* #v#vt :V l$,5 55* 55t / / / / / 4Q$$If!vh5$#v$:V l$,5$4M$$If!vh5$#v$:V l$,5$42$$If!vh5v55k5 55N#vv#v#vk#v #v#vN:V l$,5v55k5 55N/ / / / 4p<2$$If!vh5v55k5 55N#vv#v#vk#v #v#vN:V l$,5v55k5 55N/ / / / 4p<2$$If!vh5v55k5 55N#vv#v#vk#v #v#vN:V l$,5v55k5 55N/ / / / 4p<2$$If!vh5v55k5 55N#vv#v#vk#v #v#vN:V l$,5v55k5 55N/ / / / 4p<2$$If!vh5v55k5 55N#vv#v#vk#v #v#vN:V l$,5v55k5 55N/ / / / 4p<2$$If!vh5v55k5 55N#vv#v#vk#v #v#vN:V l$,5v55k5 55N/ / / / 4p<2$$If!vh5v55k5 55N#vv#v#vk#v #v#vN:V l$,5v55k5 55N/ / / / 4p<Q$$If!vh5$#v$:V l$,5$4M$$If!vh5$#v$:V l$,5$4Q$$If!vh5$#v$:V l$,5$4M$$If!vh5$#v$:V l$,5$4u$$If!vh55 ##v#v #:V l$,55 #/ 4u$$If!vh55 ##v#v #:V l$,55 #/ 4u$$If!vh55 ##v#v #:V l$,55 #/ 4u$$If!vh55 ##v#v #:V l$,55 #/ 4u$$If!vh55 ##v#v #:V l$,55 #/ 4u$$If!vh55 ##v#v #:V l$,55 #/ 4u$$If!vh55 ##v#v #:V l$,55 #/ 4u$$If!vh55 ##v#v #:V l$,55 #/ 4u$$If!vh55 ##v#v #:V l$,55 #/ 4u$$If!vh55 ##v#v #:V l$,55 #/ 4Q$$If!vh5$#v$:V l$,5$4M$$If!vh5$#v$:V l$,5$4Q$$If!vh5$#v$:V l$,5$4M$$If!vh5$#v$:V l$,5$4Q$$If!vh5$#v$:V l$,5$4$$If!vh5X5h5p5T5\#vX#vh#vp#vT#v\:V l$,5X5h5p5T5\/ / / / / / 4Q$$If!vh5$#v$:V l$,5$4Y$$If!vh5p5p#vp:V ll$,5p4Y$$If!vh5p5p#vp:V l$,5p4666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666668@8 Normal_HmH sH tH J@J  Heading 1$$@&a$5CJOJQJDAD Default Paragraph FontRi@R  Table Normal4 l4a (k(No List jjm%Fxyz89:;<=>?%&'()*56789:;<=>?@ABCDEFZ`abhijpqrstuvwx  !"#/01LMNOXYZ}~ :;<=>kl{|}~ !"#$%&'(67FGHIJ_bcijmnqr#$()*ijklwx<=>?9 : ; < k l m n        # $ ' ( + , E K L Q R S $ % & ' 2 3 ? @ ] ^ _ ` a     % & ' 3 4 5 6 D E F T U V W ` a b k l m n { | }                 # $ % ( ) * . / 0 1 2 R S T U k l m n } ~ JKLMNO00000000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 000 000 0 0 0 0 0000000000ȑ00Pw >zt|H& &+06EIQ`k r @ x 4 bLR|z@d N2RFLd{{t|6}z}}}~0H€~ʁ.h؂X\ 4H^ڄ2n&  !"#$%'()*,-./12345789:;<FGHJKLMNOPRSTUVWXYZ[\]^_abcdefghij$8@(  \  # >#" `? B S  ?$Ot&,'(h")Ld"  8*urn:schemas-microsoft-com:office:smarttagsCity9*urn:schemas-microsoft-com:office:smarttagsplace ]',-8IRV^_g*.5kqu| #PXZ^jn} #+19FKOTZbgno| (,8>jlr  ,34>?ILXglpz{#(57=>ES]_ach !+47>B]lu{  !+,./:BWX`aku}~8 < j n w x     " 9 B E J L P S  ' 0 6 = @ O P Y j q r    $ ) 2 8 C H S Y _ d j p z  Z ^ _ i v { ~ Y\]efqrwx',FH>j8 < j S OT333 >l#@ S a ?>"? 6<:Q@ '#0$v#)/G05xM6T=8x:_:s=pfCwQiTBtT% W^iWX[W\,a]e3mf+?%&'()*56789:;<=>?@ABCDEFZ`abhijpqrstuvwx  !"#/01LMNOXYZ}~ :;<=>kl{|}~ !"#$%&'(67FGHIJ_bcijmnqr#$()*ijklwx<=>?9 : ; < k l m n        # $ ' ( + , E K L Q R S $ % & ' 2 3 ? @ ] ^ _ ` a     % & ' 3 4 5 6 D E F T U V W ` a b k l m n { | }                 # $ % ( ) * . / 0 1 2 R S T U k l m n } ~ JKLMN@H]p zUnknownGz Times New Roman5Symbol3& z ArialE& r_TimesNewRoman"qhJGJGJG/x /x !n24d 2QHX)?pfC2FI^ DE NSCRIEREUCVNellidaOh+'0   @ L X dpxFIŞĂ DE ÎNSCRIEREUCV Normal.dotNellida2Microsoft Office Word@2~@}|@b~|@b~|/x ՜.+,0 hp|  Ucv FIŞĂ DE ÎNSCRIERE Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklnopqrstuvwxyz{|}~Root Entry Fz#~|Data m m1Tableo{WordDocument4SummaryInformation(DocumentSummaryInformation8CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q