ࡱ> JLI ,%bjbj++ 66IIhhlt$0VVVVV%%%#######$%V(R#9%%%%%#VV.$%2VV#%#"#VP)W"k##D$0t$#(y((#(#(%%%%%%%##%%%t$%%%%(%%%%%%%%%h :  UNIVERSITATEA POLITEHNICA DIN BUCURETI FACULTATEA & & .................................................................................................................... NUMELE SI PRENUMELE SOLICITANTULUI_______________________________________ ANUL _______ GRUPA_____________ DECLARATIE DE VENITURI Pentru determinarea veniturilor n vederea obinerii dreptului de burs social, declar toate veniturile obinute n familie: Venituri realizate: Venituri nete total, salariale sau ______________________(lei/luna) asimilate salariilor : 2.Pensii:______________________(lei/luna)3.Alocaii de stat pentru copii:______________________(lei/luna)4.Alte ajutoare primite de la stat:______________________(lei/luna) Venituridinspaiiproprii ______________________(lei/luna) nchiriate: 6.Venituri din asociere la societi cu______________________(lei/luna)capital privat (inclusiv dividende) :7.Venituri din agricultura:______________________(lei/luna)8.Alte venituri realizate:_________________4PRhpV  * , . \ ^ ` \ ^ > @ F V " ( l @B$(b"@ɽýýwwwwwwuwUhw gCJRHchw gCJRHT hw gCJhh5CJ aJ hw g5CJhh5CJaJ hhw gCJOJPJQJaJ hw gCJ hCJhhCJhh1cXCJaJhh5CJaJhhCJaJhw gCJOJPJQJ.RV * , . \ ^ ` \ ^ > @ d & F d]^`d & F d^`d-d]^`d $d]a$d 'dh]'gdd1@ F V ikkd$$IfrFi#@X    4ap Td$If^T d$If^$yd$If]ya$ " ( l vi Td$If^T d$If^$yd$If]ya$kkd$$IfFi#@X    4ap (@BHzqlcVI xd$If^x d$If^ d$Ifdd^ & F +d^`+dkkd$$IfFi#@X    4ap$&(.6Skd$$$Ift0i#|4ap d$Ifkkd$$IfXFi#|    4ap.b yp d$Ifkkd$$IfFi#|    4ap xd$If^x d$If^_____(lei/luna)TOTAL VENITURI______________________(lei/luna) Numrul persoanelor aflate n ntreinere : ____________persoane din care: 1.numrul elevilor:_______________2.numrul studenilor:_______________numrul copiilor precolari: _______________ Venitul mediu pe membru de familie : ____________(lei/luna) Pentru justificarea celor declarate anexez urmtoarele adeverine i/sau copii legalizate: 1._________________________2._________________________3._________________________4._________________________5._________________________6._________________________7._________________________8._________________________ Declar pe propria rspundere ca datele prezentate mai sus sunt reale, cunoscnd c nedeclararea veniturilor sau declararea fals a acestora atrage pierderea calitii de student, restituirea bursei ncasate i suportarea consecinelor legale. Data Semntura "@})Skd$$If0i#|4ap xd$If^x d$Ifkkd$$IfFi#|    4ap@ &lr  d J!L!R!!!8">"""$#&##($J$$$$ %%%%,%ɶhw gOJPJQJhw g56CJ hw gCJhw gCJRHT hw gCJhw gCJRH] hw g5CJhw gCJOJPJQJhw gCJRHc# &JjlSkkd$$IfYFAm] I,      4aAp <d$If^< $d$Ifa$d & F  d] ^`d1d8lr  zfaMHd & F d^`d & F d^`kkd$$IfUFAm] I,      4aAp <d$If^< $d$Ifa$ J!L!R!!!!!Akd*$$Ifg\AqA"xt4aAp( $d$Ifa$$yd$If]ya$$ed$If]ea$dd^!!!"6"8">"r"x""Okd$$Ifr\AqA"xt4aAp( $d$Ifa$$yd$If]ya$$ed$If]ea$ """"""#{k[kO $d$Ifa$$yd$If]ya$$ed$If]ea$kdl$$If\AqA"xt4aAp("#$#&# %%,%{vfaT Xd^d$d]^a$d8kd $$If{\AqA"xt4aAp(41h|. A!"d#$%0 $$$If!vh#v#v@#vX:V r,55@5X4ap$$If!vh#v#v@#vX:V ,55@5X4ap$$If!vh#v#v@#vX:V ,55@5X4ap$$If!vh#v#v#v|:V X,555|4apo$$If!vh#v#v|:V t,55|4ap$$If!vh#v#v#v|:V ,555|4ap$$If!vh#v#v#v|:V ,555|4apo$$If!vh#v#v|:V ,55|4ap$$IfA!vh#v,#v #v :V Y,5,5 5 4aAp$$IfA!vh#v,#v #v :V U,5,5 5 4aAp$$IfA!vh#v#vx#v#vt:V g,55x55t4aAp($$IfA!vh#v#vx#v#vt:V r,55x55t4aAp($$IfA!vh#v#vx#v#vt:V ,55x55t4aAp($$IfA!vh#v#vx#v#vt:V {,55x55t4aAp(n 666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~$OJPJQJ^J_HmH nH sH tH 8`8 Normal_HmH sH tH DA D Default Paragraph Font6i@6 0 Table Normal (k ( 0No List PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭V$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3N)cbJ uV4(Tn 7_?m-ٛ{UBwznʜ"Z xJZp; {/<P;,)''KQk5qpN8KGbe Sd̛\17 pa>SR! 3K4'+rzQ TTIIvt]Kc⫲K#v5+|D~O@%\w_nN[L9KqgVhn R!y+Un;*&/HrT >>\ t=.Tġ S; Z~!P9giCڧ!# B,;X=ۻ,I2UWV9$lk=Aj;{AP79|s*Y;̠[MCۿhf]o{oY=1kyVV5E8Vk+֜\80X4D)!!?*|fv u"xA@T_q64)kڬuV7 t '%;i9s9x,ڎ-45xd8?ǘd/Y|t &LILJ`& -Gt/PK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!0C)theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] 6@,%@ . l !""#,% 8@0(  6 3  %(067CDOPRSZ[denrwx#)FJPXaghm$,19=Feitz| ;?DKLWX^_abm| $(/CGJPQ]^cdmntu %&/09FQRXYabdeop}~33-.-.XUb(#|FX=~PA.A(......1cXw g<r@LLLL4 UnknownG.Cx Times New Roman5Symbol3. *Cx Arial7.@CalibriA$BCambria Math Ahcc!u !u !203HP  $P<r2!xx Cornelia Alecucornel(       Oh+'0\   $ 0<DLTCornelia AlecuNormalcornel3Microsoft Office Word@^в@k@u!u՜.+,0 hp|     Title  !"#%&'()*+,-./012345678:;<=>?@BCDEFGHKRoot Entry Fb<MData 1Table$(WordDocument66SummaryInformation(9DocumentSummaryInformation8ACompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q