CERERE DE ACREDITARE

 

 

 

Redactia      

                 ______________________________

Adresa     

                 ______________________________

Nr. tel                             fax

               ___________        ________________

 

Nr.            din

      _____        _____________

 

Va rugam sa aprobati acreditarea pe langa Curtea de Apel Constanta

 

Numele

              _________________________________________________________________

Prenumele

               ________________________________________________________________

 

B.I. sau C.I.  seria                  nr.                  

                               ________        _______    

CNP ____________________________________________       

 

Date de contact  - Tel. mobil _____________________

 

                                E–mail _______________________

 

Nr. legitimatie de presa

                                          __________________________

Emisa de

                                         ___________________________

Valabilitate

                                         ___________________________

 

* Obligatoriu a fi completate toate campurile

** Obligatoriu a fi insotita de copie de pe legitimatia de jurnalist, purtand stampila redactiei