ࡱ > f h e v bjbj 4"
' ' ' ; ; ; 8 s , ; =q f p p p p p p p $ r Eu d p 9 ' p ' ' p z ' ' p p @ p T/q7 ; R ` p
q 0 =q h u d < u p p u ' R p p B =q u : Anexa 5
ANTET
DENUMIRE SOLICITANT ................................................
Adresa sediu social ..........................................................................
CUI .........................
Banca (se inscrie bancara contului de cofinantare)..................................................
Cont bancar ...........................................
A d r e s a b a n c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
A N G A J A M E N T P R I V I N D U T I L I Z A R E A C O F I N A N T A R I I P R I V A T E
H Y P E R L I N K " " \ l " # "
S u b s e m n a t u l / S u b s e m n a t a _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ l e g i t i m a t e ( ) c u C I / P A S S s e r i a _ _ _ _ _ _ _ _ _ _ _ N r . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ e l i b e r a t d e _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ l a d a t a d e _ _ _ _ _ _ _ _ _ _ _ _ _ , C N P _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ , d o m i c i l i a t n l o c a l i t a t e a _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ , s t r . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ , n r . _ _ _ _ _ , b l . _ _ _ _ _ _ , s c . _ _ _ _ _ , a p . _ _ _ _ _ , e t a j _ _ _ _ _ _ _ j u d e u l _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ , n c a l i t a t e d e r e p r e z e n t a n t l e g a l a l _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ( d e n u m i r e s o l i c i t a n t ) , c u d a t e l e d e i d e n t i f i c a r e d i n a n t e t , c u n o s c n d p r e v e d e r i l e C o d u l u i P e n a l p r i v i n d f a l s u l n d e c l a r a i i , m a n g a j e z c 5 0 % d i n c o f i n a n a r e a p r i v a t a s i g u r a t p r i n e x t r a s d e c o n t n % U V 8 C o
ƶƦyiZOA haQB h=f 5CJ OJ QJ h=f 5CJ OJ QJ hH h CJ OJ QJ aJ hH h 5CJ OJ QJ aJ hH h3} 5CJ OJ QJ aJ hH hy 5CJ OJ QJ aJ hA| 5CJ OJ QJ aJ hH h[l 5CJ OJ QJ aJ hH h< 5CJ OJ QJ aJ hH h[Q 5CJ OJ QJ aJ hH h[Q CJ OJ QJ aJ hO CJ OJ QJ aJ hH hXK' CJ OJ QJ aJ
V 8 p
N P R : $dh x 7$ 8$ H$ `a$gd g gd4 $a$gd4 $a$gd4 $a$gd $a$gd3} $a$gd[Q gdv#
H L N P R h ~ , . > ɻyiyiy\I9Ihy* CJ OJ PJ QJ mH sH $haQB hR CJ OJ PJ QJ mH sH haQB h< CJ OJ QJ h CJ OJ PJ QJ mH sH $haQB h< CJ OJ PJ QJ mH sH haQB hZE CJ OJ QJ haQB hSV CJ OJ QJ mHsH !j haQB hSV CJ OJ QJ UhaQB h[Q 5CJ OJ QJ "j hC0 0J 5CJ OJ QJ U h3} 5CJ OJ QJ haQB haQB 5CJ OJ QJ hy* 5CJ OJ QJ > p L b j " V X ~qg][]g]gQgG h8b CJ OJ QJ hA| CJ OJ QJ Uh CJ OJ QJ h g CJ OJ QJ hG h g CJ OJ QJ hG hG CJ OJ QJ ht1 CJ OJ QJ hy* CJ OJ QJ hG CJ OJ QJ haQB hZE CJ OJ QJ haQB CJ OJ QJ haQB hR CJ OJ QJ hy* CJ OJ PJ QJ mH sH h CJ OJ PJ QJ mH sH $haQB h< CJ OJ PJ QJ mH sH v e d e r e a s e m n r i i c o n t r a c t u l u i d e f i n a n a r e , v a f i u t i l i z a t e x c l u s i v n s c o p u l i m p l e m e n t r i i p r o i e c t u l u i & & & & & & & & . . a v n d n r . d e n r e g i s t r a r e F . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i c o n s i m t l a v e r i f i c a r e a d e c t r e A u t o r i t a t e a C o n t r a c t a n t a e x t r a s u l u i d e c o n t l a p r i m a t r a n d e p l a t .
R e p r e z e n t a n t L e g a l
( N u m e / p r e n u m e )
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
S e m n a t u r a & & & & & & & . .
D a t a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
X Z d t d " $ 8 < > b d ù}pfWK hv CJ OJ QJ aJ hv hv CJ OJ QJ aJ hZE CJ OJ QJ haQB hZE CJ OJ QJ h}MI CJ OJ QJ hG CJ OJ QJ h CJ OJ QJ h[l CJ OJ QJ h CJ OJ QJ h CJ OJ QJ h8b CJ OJ QJ h8b CJ OJ QJ mH sH h g CJ OJ QJ mH sH hG hG CJ OJ QJ h g CJ OJ QJ hQw CJ OJ QJ : < > d T V X Z ^ ` d f j l p r t v gdC0 $a$gdC0 dh x gdd gd gdv gd4 $7$ 8$ H$ `a$gd< T V X Z \ ` b f h l n t v Ž j hL UhL hC0 hC0 6haQB h}MI CJ OJ QJ h}MI CJ OJ QJ haQB hZE CJ OJ QJ h CJ OJ QJ haQB h CJ OJ QJ 2 1h:p}MI / =!n"#$% j 6 6 6 6 6 6 6 6 6 v v v v v v v v v 6 6 6 6 6 > 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 h H 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 2 0 @ P ` p 2 ( 0 @ P ` p 0 @ P ` p 0 @ P ` p 0 @ P ` p 0 @ P ` p 0 @ P ` p 8 X V ~ OJ PJ QJ _HmH nH sH tH L ` L [Q N o r m a l $ CJ OJ PJ QJ _HaJ mHsHtH D A D D e f a u l t P a r a g r a p h F o n t R i R 0 T a b l e N o r m a l 4
l 4 a ( k (
0 N o L i s t SV t p a 1 B ' B F C o m m e n t R e f e r e n c e CJ aJ @ @ F C o m m e n t T e x t CJ aJ tH N /!N F C o m m e n t T e x t C h a r OJ PJ QJ mHsHH 2H
F 0 B a l l o o n T e x t CJ OJ QJ aJ tH Z /AZ F 0 B a l l o o n T e x t C h a r CJ OJ PJ QJ ^J aJ mHsH /Q ZE t l i 1 F ` bF
C0 0
F o o t n o t e T e x t CJ aJ mH sH L /qL C0 0 F o o t n o t e T e x t C h a r OJ PJ QJ tH @ &`@
C0 0 F o o t n o t e R e f e r e n c e H* @ j @
}MI 0 C o m m e n t S u b j e c t 5\^ /^ }MI 0 C o m m e n t S u b j e c t C h a r 5OJ PJ QJ \mHsHtH PK ! [Content_Types].xmlj0Eжr(Iw},-j4 wP-t#bΙ{UTU^hd}㨫)*1P' ^W0)T9<l#$yi};~@(Hu*Dנz/0ǰ$X3aZ,D0j~3߶b~i>3\`?/[G\!-Rk.sԻ..a濭? PK ! ֧ 6 _rels/.relsj0}Q%v/C/} (h"O
= C?hv=Ʌ%[xp{۵_Pѣ<1H0ORBdJE4b$q_6LR7`0̞O,En7Lib/Seе PK ! ky theme/theme/themeManager.xmlM
@}w7c(Ebˮ CAǠҟ7՛K
Y,
e.|,H,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+&
8 PK ! P theme/theme/theme1.xmlYOo6w toc'vuر-MniP@I}úama[إ4:lЯGRX^6؊>$!)O^rC$y@/yH*)UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzA V2Fi@qv֬5\|ʜ̭NleXdsjcs7f
W+Ն7`gȘJj|h(KD-
dXiJ؇(x$(:;˹!I_TS1?E??ZBΪmU/?~xY'y5g&/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ
x}rxwr:\TZaG*y8IjbRc|XŻǿI
u3KGnD1NIBs
RuK>V.EL+M2#'fi~Vvl{u8zH
*:(W☕
~JTe\O*tHGHY }KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4=3ڗP
1Pm\\9Mؓ2aD];Yt\[x]}Wr|]g-
eW
)6-rCSj
id DЇAΜIqbJ#x꺃6k#ASh&ʌt(Q%p%m&]caSl=X\P1Mh9MVdDAaVB[݈fJíP|8քAV^f
Hn-"d>znNJ ة>b&2vKyϼD:,AGm\nziÙ.uχYC6OMf3or$5NHT[XF64T,ќM0E)`#5XY`פ ;%1U٥m;R>QDDcpU'&LE/pm%]8firS4d7y\`JnίIR3U~7+#mqBiDi*L69mY&iHE=(K&N!V.KeLDĕ{D vEꦚdeNƟe(MN9ߜR6&3(a/DUz<{ˊYȳV)9Z[4^n5!J?Q3eBoCMm<.vpIYfZY_p[=al-Y}Nc͙ŋ4vfavl'SA8|*u{-ߟ0%M07%<ҍ PK !
ѐ ' theme/theme/_rels/themeManager.xml.relsM
0wooӺ&݈Э5
6?$Q
,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{ P8g/]QAsم(#L[ PK- ! [Content_Types].xmlPK- ! ֧ 6 + _rels/.relsPK- ! ky theme/theme/themeManager.xmlPK- ! P theme/theme/theme1.xmlPK- !
ѐ ' theme/theme/_rels/themeManager.xml.relsPK ]
+ + "
> X v
: v + X 8 @ 0 (
B
S ? d o | a x I ^ 2 | p a 3 , , V ^ c 8 C p $ % / Q | ! % 0 3 O Z n q x " % ^ ` m n r v | " # % & ( ) , U V 7 8 o p @ K " # % & ( ) , 3 U V ^ i 8 C $ / @ M n x } ~ , U V ^ i 8 C $ / @ M n x } ~ , @
h^ ` h H @ ? 2? z F 0# V$ % I( + x6 9 A eB H H J Q 6_ M` m m .p r >}
^ % ) r) A %\ ld d $e p v 3y y h f 4 + 0 2 2 F H DM O MT U gc wv @ + " Y# t& + Z- 7 }< 4A E H W W X Y \ f k p r H
6. . 7 @ K L >U ,Y f h bo G{ { D z # a( ( &+ 3 c4 8 : > L )P R Z kd h j p ev v f g 5 5 6 G kQ c d wj *l n &
R 2 % W) c* 7 C @E K uQ RV W ` k gn p w y y %| Z . -0 0 2 3 g3 7 8 c= A C K U \ n Sp hr _y } H f 2 9 y; BA C tE *K L QM P #P S NS W 8` te f j l
x x
2
,
%
-'
7
7
8
:
;
?
^@
pJ
TM
KN
\
c
Jk
Fs
B ) B
$ 4 $ % . / 1 ; @ zB G EO P Y ] c #k n q `r s { e # ) * e1 p: D LV &X 0Z g \z i
_
~
"
/%
&
)
>
@
`B
B
D
H
eI
^\
qq
Zr
Lt
A~
~ j 9 B! q! ( Z.
1 S2 8 < qA tO P P RY Z ] g Rh i k `m n n Iw w w { | 3} 4~ t " ;% - 1 I5 : ; C L hZ [ Sc p Ur 2 & Y 5 6 < F L Y ^ @i o ts w hx ; D O B ) q- 0 6 8 j: H P /R ] ^ ^ a c
q q ,
S " # $ :% % ' - 0 )= Q? 2D H R S wc i jj { C 4
<
% X ? l p! * + . 7 8 E aF K N 'W .Y [ ] k Nv Mz q} @ B #) i) . 1 J= U IW Z [ [ &\ ] Bj w zx _y z A| R U s ( ) 4 > A A S S\ w\ j .p 4& 6 B8 F L L O +R yT V X d d [l y v~ v# e5 7 8 ?
B B J K M N mV Z c\ a "c e }h Nl .s & ` L # ) - 5 {I 6K N ] f j #r x =y } { F
.% N' 4 < J U [ b Bf 8 { \ k , 5 7
: B J O /a d i fm n r x d L" . K1 3 : > M P aZ b g jh s Ft gt Zz C 1 1% / : @A E I /Z \ <] (c d h )l %w ny z z { } m s N' 0 3 O4 U9 {B E )F NQ [ A] ^ d h k n ls s _ y ! $ ) * + 4 ; O fR R g t | " ;) + / /8 UC 'D ND aH I 8M SQ R 2W Z
] _ =f `j `p * 8 ! c/ 0 @ A E G J K P [Q