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FIA DE DESCHIDERE A CAZULUI

Informaii privind beneficiarul

Nume i
prenume

CNP _____________________________________________________

Domiciliul

Telefon
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Cum a ajuns la AVI_________________________________________

Informaii generale despre caz


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Solicitare_________________________________________________________________

Propunere AVI____________________________________________________________
Data deschiderii cazului: ____/_____/_____

Asistentul social care a preluat/gestionat cazul:

Nume i prenume--------------------------------------------------------------------------------
Instituia--------------------------------------------------------------------------------------------

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