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cerere de inscriere in campionatul national editia 2012 - 2013 - Frh

cerere de inscriere in campionatul national editia 2012 - 2013 - Frh

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CERERE DE INSCRIERE IN CAMPIONATUL NATIONAL EDITIA <strong>2012</strong> - <strong>2013</strong><br />

Numar C. I. S.______________<br />

Clubul/Asociatia_________________________________Localitatea_____________________________<br />

Strada________________________________ Cod______________ Telefon______________________ Fax<br />

_______________ e-mail __________________________<br />

Data <strong>in</strong>fi<strong>in</strong>tarii ____________ Denumiri purtate anterior ___________________________<br />

Culori______________________________________________________________________<br />

Palmares <strong>national</strong>_____________________________________________________________<br />

Inter<strong>national</strong> __________________________________________________________<br />

Categoria competitionala <strong>in</strong> care se <strong>in</strong>scrie_________________________________________<br />

Locul <strong>de</strong> <strong>de</strong>sfasurare a competitiei organizate pe teren propriu<br />

Localitatea__________________________ Sala/Teren___________________________<br />

Adresa_________________________________________________________________<br />

Telefon__________________ Fax__________________mobil_____________________<br />

Presed<strong>in</strong>te Club / Asociatie: Nume Prenume_________________________________________<br />

Telefon_______________ Fax_______________mobil______________ e-mail _______<br />

Presed<strong>in</strong>te Sectie: Nume Prenume _____________________________________________<br />

Telefon__________________ Fax__________________mobil___________________<br />

Persoana <strong>de</strong> contact: Nume Prenume _____________________________________________<br />

Telefon__________________Fax___________________mobil__________________<br />

1. Antrenor: Nume Prenume ______________________________________________<br />

Telefon__________________<br />

Numar carnet_______________________<br />

Fax_________________mobil____________________<br />

Numar conctract si perioada____________________________________________<br />

2. Antrenor: Nume Prenume ______________________________________________<br />

Telefon__________________<br />

Numar carnet_______________________<br />

Fax_________________mobil____________________<br />

Numar conctract si perioada____________________________________________<br />

- Cunosc statutul si regulamentele F. R. <strong>de</strong> Handbal si ma oblig sa le respect impreuna cu sectia <strong>de</strong><br />

handbal pe care o conduc si voi asigura conditii optime <strong>de</strong> pregatire si participare <strong>in</strong> competitiile oficiale<br />

organizate <strong>de</strong> F. R. <strong>de</strong> Handbal <strong>in</strong> sezonul competitional.<br />

majuscule.<br />

- Se completeaza pentru fiecare echipa <strong>in</strong>scrisa <strong>in</strong> campionatele organizate <strong>de</strong> F.R.H. la mas<strong>in</strong>a <strong>de</strong> scris cu<br />

PRESEDINTE,


Anexa 1<br />

Nr. Numele Prenumele Data nasterii Nr. carnet CNP<br />

Crt. (zi, luna, an) legitimare


Anexa 2<br />

Nr. Numele Prenumele Data nasterii Nr. carnet Contract<br />

De la Pana la<br />

Crt. (zi, luna, an) legitimare<br />

(zi/luna/an) (zi/luna/an)

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