ࡱ> )` ObjbjUU 8f?? h h h h h h h | ...8.L/| r/////0&0 0(r*r*r*r*r*r*r$th3wRNrEh 10011Nrh h //r:::1hh /h /(r:1(r::Feh h ri// Z .i6.g&dor0rTgwU9wLririnwh i11:11111NrNrO:d111r1111| | | @D| | | @| | | h h h h h h   Rectorat De acord,  Nr. de nregistrare de la Serviciul Cooperare Internacional ................................................................ Cerere pentru deplasarea n strintate Solicitant [ Personal din direcii, servicii, birouri ] Nume _i prenumeFunccieDireccia, Serviciul, Biroul ; Tel. _i E-mail   Perioada, locul _i scopul Perioadabar; Localitate; InstitucieScop   Pe perioada deplasrii n strintate, voi (vom) beneficia de: ................ [dintre S, PS, CFP, unde: S reprezint salariu corespunztor normei de baz, PS - procent din salariu, CFP - concediu fr plat (v. si art. 4, 5, 7 din Regulament)]. Baza institucional Invitacii, programe _tiincifice etc. (primite prin po_t, e-mail etc.) de la instituciile primitoare, care suscin deplasarea solicitat Contracte/ programe/ proiecte/ acorduri care suscin deplasarea solicitat Denumire _i numr; capitol sau/_i art.Calitate (Participant, Director etc.)  Cheltuieli _i resurse financiare C h e l t u i e l iR e s u r s e f i n a n c i a r e (dup caz: institucii organizatoare - cf. invitacii, contracte/ programe/ proiecte prezentate anterior, venituri ale direcciei /universitcii, resurse personale, alte)Tax de participareTransport internacionalTransport intern( aeroport/ gar  hotel)CazareDiurn/subzistencAsigurare medicalAlte(dup caz) Desf_urarea activitcilor didactice Plata cu oraTotal ore C/ S/ L / PSeria/ gr./ sgr.Data(ele) - cf. orar(Re)programareDa$&(*,. 2 4 F P øxfxTB4hh@5OJQJ^J#hh5CJOJQJ^JaJ#hh+5CJOJQJ^JaJ#hhn5CJOJQJ^JaJ#hh@5CJOJQJ^JaJ hh+#hhc#5CJOJQJ^JaJhhc#@CJaJhc#CJaJhhc#CJaJhkZhc#5CJaJhc#CJaJhkZhc#CJaJhc#5CJaJhkZhc#5>*CJaJ hh4(*,.0 2 4 6 ume$a$gd@$a$gd@lkd$$IfTlF (XO t6    44 laT $Ifgd6V7 $$Ifa$gd6V7$a$gd4 OO6  * $W<$If]^W` P ` b ࣖ|reWG:hh@@ CJaJhh@5@ OJQJ^Jhh@5OJQJ^Jhh@@CJaJhum@@CJaJhhn@CJaJhhn@CJaJhh@@CJaJhh@5@OJQJ^Jhum@CJOJQJ^JaJ h:1h5CJOJQJ^JaJh CJOJQJ^JaJ h:1hMCJOJQJ^JaJhhM5OJQJ^J mdddddddX $$Ifa$gdtF $IfgdtFkd$$IfTlFk '!U t06    44 la{T * mhhXL<$r$If^ra$gdtF $$Ifa$gdtF$*$If^*a$gdtFgd@kd<$$IfTlFk '!U t06    44 la{T  , < > B l       yupf^W^WOWOpOhh . 0 X hme]eU=$ & F ^`a$gd@$a$gd@$a$gdHJZ\VVX  .0BD`ĸttgZgMghhEL@CJaJhhe3@CJaJhh@@CJaJhh@56CJaJhh@56@CJaJhh@@CJaJhh@56CJaJhh6hCJaJhh@5CJaJhh@5OJQJ^JhhnCJaJhh@@CJaJhh@CJaJhh@CJaJ{sgS$f$If]^fa$gdtF $$Ifa$gdtF$a$gd@gd@~kd$$$IfTl0H' t0644 la^T~uu $IfgdtFkd$$IfTl0& t0644 laT uh_ $IfgdtF $If]gdtFkd$$IfTl0& t0644 lapT  `buh_ $IfgdtF $If]gdtFkd}$$IfTl0& t0644 lapT`bdprtv:VXnptvz|~򵨛vhh)\mHsHhh@@CJaJhh6h@CJaJhh@@CJaJhh@@CJaJ#hh@5CJOJQJ^JaJhh@56@CJaJhh@@CJaJhh@56CJaJhh@56CJaJ.bdrtull $IfgdtFkd$$IfTl0& t0644 lapTtvull $IfgdtFkd{$$IfTl0& t0644 lapTull $IfgdtFkd$$IfTl0& t0644 lapTull $IfgdtFkdy$$IfTl0& t0644 lapT:PXuphL@ $$Ifa$gdtF$ }$If]^}`a$gdtF$a$gd@gd@kd$$IfTl0& t0644 lapTX $$Ifa$gdtF$X$If]X`a$gdtF$X $If]X^` a$gdtFD;;;; $IfgdtFkdw$$IfTl4nr7~ _f(  t0644 laTta(ele); orele; salaCadrul didactic  Menciuni " Confirm(m) cunoa_terea reglementrilor legale, n vigoare, privind deplasrile n strintate, inclusiv a Regulamentului privind deplasrile n strintate, aprobat de Senatul UPB din data de 19.12.2013 _i prin Hotrrea nr. 89/ 19.12.2013 a Pre_edintelui Senatului UPB " Prezenta cerere este nsocit de: invitacii, programe _tiincifice etc.; copie(i) dup cererea(ile), aprobat(e), privind programarea concediului de odihn sau ntreruperea _i reprogramarea concediului de odihn (dac este cazul) " Alte (dup caz) ............................................................................................................................................................................................................... Data ..................... Semntur solicitant ...................................................... 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