Declaració jurada model 2. ajuts escolars 2012

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MODEL 2
DECLARACIÓ JURADA DEL/LA SOL·LICITANT
Jo _______________________________________ d’estat civil_______________
de ________anys d’edat, amb DNI/NIF numero ________________ domiciliat/ada al
____________________________ _______________________de Montcada i Reixac.
DECLARO SOTA LA MEVA RESPONSABILITAT, que_________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________.
Tot això ho faig constar sota la meva responsabilitat als efectes oportuns.
Signat _____________________
Montcada i Reixac, a _________ de __________________2012.
MODELO 2
DECLARACIÓN JURADA DEL/LA SOLICITANTE
Yo _______________________________________ con estado civil_______________
de ________años de edad, con DNI/NIF numero ________________ domiciliado/a
en_________________________________________________de Montcada i Reixac.
DECLARO BAJO MI RESPONSABILIDAD, que_________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Todo esto lo hago constar bajo mi responsabilidad a los efectos oportunos.
Firmado _____________________
Montcada i Reixac, a _________ de __________________2012.
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