polita 2015

16
La Contractul de asigurare Formular 2-04/l ligatorie de asistenta medic nr. APROBAT prin Ordinul Directorului general al Companiei Nationale de Asigurari in Medicina L I T A nr. din 200_ de e!identa nominala a "ersoanelor asigurate din contul bugetului de stat studen#i $n!%#%m$nt de &i ' (denumirea categoriei de persoane asigurate) (codul categoriei) MEDICI NA VETERINAR , UASM (denumirea autoritatii publice centrale sau locale, institutiei, organizatiei)  Nr. d/o Data nasteri i Sex (M/F) Domicil iul ( 2 ' 4 ) * + , 1 Crudu gor urie 20!!00"00!"0" !2#2$#!""%Masculin &lodeni 'stia 2 arbro*ie +ana ergiu 20!20!2000$-% ##!""- /eminin Drocia Drocia 21 august, 2$, ap. %- 3 strati on ergei _200%020-201- 1#21#!""%Masculin Anenii Noi Mereni 4 Cibotari egei 3asile 200%0000!- -#2!#!"" Masculin 4 elene*ti 3ere5eni 5 &rinciuc ergiu 3ictor 2001000!2$$ "#2%#!"" Masculin Ci*inu Ci*inu Onisi6or &ibu !, ap. 22 6 Coroban Cristian Anatolie 200"0!%002$-0 $#!-#!"" Masculin 7dine8i 7dine8 A. Cristea " 7 p9nu il:ia Ale;ei 200%02!0""$2 $#!#!""- /eminin Criuleni Drsliceni Oancea 3asile 3aleriu 200-0200"2"1 !2#2#!""% Masculin <eo:a 4 ocile=>ducani ! 3rabie 3asile Miail _200%02%001 !#!#!""- Masculin Nisporeni Marinici 1" Odainic Natalia Ale;andru 20010%200-$$ 2#! !#!"" /eminin Ci*inu Ci*inu d. Mosco:a 2-, bl. 2, ap. ! 11 +oacbine Anatolie Andrei _200%0$0!$%$$ 1#2#!"" Masculin /lore*ti ?9rtop 12 erzoi Nicu on _20!00200%- 2#20#!"" Masculin Anenii Noi ?9bo:8 acira 2- 13 >eni8 Alina 3asile _200100202$! $##!"" /eminin Ci*inu Ciorescu ndependen8ii !$ 14 @epotailo: Nicolai &enadie 200%00!2 %#%#!""- Masculin tr*eni tr*eni Miai 3iteazu nr . !- 15 Malearsci Nade5da on _20! !02000%2 "##!""- /eminin oroca oroca Dimitrie Cantemir nr . %, ap. $ 16 Cre u 7lena 3alentin ț  _20!20200%0! #2$#!""- /eminin Anenii Noi Mereni 17 &ulpari lia Ale;ei 20002!0-100 $##!""0 Masculin Dubsari Co*ni88a 1 <azr Miail on 200020!%!0-! 1#!$#!""-Masculin ?nce*ti 3oinescu 1! Col8eniuc on &rigore 200-02000$%1 $#$#!"" Masculin ?nce*ti One*ti 2" nglis Miail Betru _2000%0$$2" !!#!"#!"" Masculin Cantemir 3i*inio:ca 21 Colesnicenco Adrian Andrei 200%00201"!% !0#%#!""- Masculin Ci*inu Ci*inu d. Mosco:a nr . !#2, ap. 1 22 Moldo:an Alina gor 200-0!0%1"02 2#2#!""% /eminin Caul Caul 3alea Brutului nr . !0  Numele# $renumele $ ersoanei asi%urate  Numarul d e identi&icare de stat al  $ersoanei & i'ice (DN) Date des$re  $ersoana (1* nou inclusa# 2* trecuta la alta cate%orie # 3 * decedat) Data includerii in lista # trecerii ei la alta cate%orie# decesului Seria si nr. $oli asi%urare eli+e  $ersoanei asi%u sau returnate

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8/18/2019 polita 2015

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23 Co5uari urie Miail _20!00!!000 %#!1#!"" Masculin Dondu*eni udarca

24 >obu Cristina &eorge _200-02%0%01$ !2##!"" /eminin Nisporeni 3rzre*ti

25 Burcel Olga 3ictor _20!0%$00!1" #$#!""- /eminin Ci*inu Coloni8a Mircea cel tr9n nr. 2-

26 >aileanu <udmila &rigore _20!20%00!021 "#2$#!""- /eminin asarabeasca Abaclia 3. Alecsandrii nr. !

27 Muntean Artur on _2001002022!1 1#2#!""- Masculin Ci*inu Ci*inu N. Dimo nr. !., bl. !, ap. 1-

2  A5der <eonid Nicolae _200"00$00!!0 !#0#!""- Masculin Caul Ale;andu oan Cuza

2! &9dilica B etru &enadie _20002!0!$2-1 #!"#!""- Masculin Criuleni Ma*cu8i

3" Banainte Maria &rigore _200%020!022- $#2%#!""! /eminin ?nce*ti <pu*na

31 Cigoreanu Nade5da Damian _200102%0!$-%2 ##!""- /eminin Nisporeni rtuleni

32  Andriiu Cristina Miail _20000011"% #2#!""% /eminin Ci*inu Durle*ti 1A

33 rileanu Miail Ba:el _20!20!1000! !!#!!#!""- Masculin /lore*ti ntuca34 4eleatnic <auren8iu 3ladimir _200-020!0-! "#2#!"" Masculin oroca oroca Ale;ei Matee:ici nr. !! , ap. %

35 4ricolici Andrei &rigore _20!202100"22! $#!1#!"" Masculin Orei Orei 4udose >oman $-

36 Milici Alina Anatolie _2000!01"" -#%#!""- /eminin Caul C9*li8a Brut

37 Dumbr:eanu <iuba 3asile _2001000!1"% 1#$#!""- /eminin Ci*inu Ci*inu elinsi nr. -!, ap. %

3 p9nosu 3asile on _20!!02!00101 1#!1#!"" Masculin Ci*inu Ci*inu /lorilor nr. %#2

3! Cebotar on Nicolae _200"0%000211 2#!"#!"" Masculin Cimi*lia :ano:ca Nou

4" /ranciuc on Ba:el _200%020"!-$ -#$#!"" Masculin oroca 4ri6i8i

41 alaban Miaela Mail _20!20%0002"" #!!#!""- /eminin Cimi*lia Cimi*lia uco:inei 21

42 cutaru andu Miail _20!%00!000"2 1#!#!""1 Masculin Ci*inu Ci*inu . Creang %

43 Diaconu Marin 3ictor _2000-!0%1 $#21#!"" Masculin 'ngeni Cetireni

44 Morari Maria urie _200$0$"001-!" %#!"#!""% /eminin Ci*inu

45 unescu Cristian on _200-020!1! "#!$#!""1 Masculin oroca

46 Miug Ctlin Niculi aț  _20!002000$! #!-#!""! Masculin <eo:a str. Cara5eale %%

47 aran on 3ictor _2000!$0"0 "#-#!""- Masculin Cu*eni urebista 20

4 Miloserdo:a rina Constantin _20!20000%0"1 #2#!""- /eminin Ci*inu Ci*inu D. >*canu, !, bl.%, ap. !4! Cri5ano:sci 3aleria Mircea _200"02-002-0 !0#!-#!"" /eminin 7dine8i rtu*eni

5" 4icubo8 Anna urie _200%00!0$-!! #-#!"$$ /eminin Ci*inu Ci*inu ! august, !0, ap. !

51 Mozole:scaia Marina 3eacesl_200-0$$00!%- $#"#!"" /eminin Ci*inu Ci*inu d. Mosco:a !#!, ap. %0

52 @ompol 3ladisla: Biotr _20!!02000"" -#2%#!""1 Masculin &rigoriopol &rigoriopol Molodio5naia -, ap. 2

53 adanu Maria ulian _200$00200!$0 !!#!!#!""- /eminin Ci*inu Ci*inu Armeneasc !02, ap. 2

54 Banarina 7caterina urie _200"000!0212 !!#0#!"" /eminin Ci*inu Ci*inu Dacia , bl. !, ap. !!2

55 urdu ulia Anatolie _200"0$$00-1%$ !!#1#!""- /eminin Ci*inu Ci*inu Alba ulia !"-, bl. !, ap. !0

56 Dolgopolo: Caren _20020$$0%02! -#!"#!""- Masculin Ci*inu Ci*inu d. Mosco:a nr. 22, ap. -"

57 3itco:a 7caterina :an _20!00%-00!%-- $#%#!""- /eminin 4araclia 4araclia

5 3laso: :an 3ladimir _200002!22$1 !2#2-#!"" Masculin Ci*inu Ci*inu &. Madan nr. %-, bl. , ap. 11

5! uro:a Maria Dmitrii _200000220$% -#2-#!"$" /eminin Ci*inu Ci*inu @te6an cel Mare nr.!2, ap.2-

6" Mudrenco Elata Dumitru _200$$0!!"%"20 %##!""- /eminin Ci*inu Ci*inu 3asile <upu nr.

61 Bloscaru Anna 3ictor _20010%20%0-%1 "#2#!""! /eminin Ci*inu Ci*inu d. Dacia nr. %", bl. 2, ap. 1%

62 rtugano: gor 3ictor _20010!0210 !0#22#!""- Masculin Caul Caul Ale;ei Matee:ici nr. 20 , ap. !163 altag Antonina 3alentin _200-0%$02%101 1#!1#!""- /eminin Ci*inu Ci*inu Mircea cel tr9n nr. 2, ap. !%

64 Morus Nicolae urie _200%0%20%-$" #22#!"" Masculin Ci*inu Ci*inu Al. ciuse: "$, ap !"

65 Costa* urie Albert _200"00100-1% -#!$#!""- /eminin riceni riceni /adee: nr. !

66 azlo:i ci 3lad gor ț  _200-0!%002! %#!#!""- Masculin 7dine8i

67 Demianic Miail 3ictor _20!00!00-!! #%#!""- Masculin Ci*inu

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La Contractul de asigurare Formular 2-04/igatorie de asistenta medi

nr. APROB

prin Ordinul Directorului

general al Companiei Nati

de Asigurari in Medicina

L I T A nr. din

de e!identa nominala a "ersoanelor asigurate din contul bugetului

de stat

studen#i $n!%#%m$nt de &i '

(denumirea categoriei de persoane asigurate) (codul categoriei)

MEDICINA VETERINAR , UASM (denumirea autoritatii publice centrale sau locale, institutiei, organizatiei)

 Nr. d/o Data nasterii Sex (M/F) Domiciliul

( 2 ' 4 ) * + ,

2  Dolinscaia Elena 2003048037708 1/15/1987 F Chişinău, str. inta !atină, 13 13 "to# $lina 2003038053790 42.11.198% F Chişinău, str. &irceşti, 21 1

5 'atraşco (icolae 20040390%5434 1/29/1988 & Chişinău, str. &irceşti, 21 1

6 &ilce)a $nastasia 200401502%138 9/%/1987 F Chişinău, str. &irceşti, 21 1

*asilie) *eacesla) 2002034039%92 11/29/1984 & Chişinău, str. &irceşti, 21 1

! Co+leanschi $le-anr 2003013044113 %/%/1987 & Chişinău, str. &irceşti, 21 1

21 $rhilei $le-ei 200502%008984 10/30/198% & Chişinău, str. &irceşti, 21 1

22 arciu (aea 200532001818 8/2%/198% F Chişinău, str. &irceşti, 21 1

23 'alae "er#iu 2003030017813 7/20/1984 & Chişinău, str. &irceşti, 21 1

24 orneac Euar 2001032225%98 10/7/1982 & Chişinău, str. &irceşti, 21 1

25 urcan on 2003004010048 8/%/198% & Chişinău, str. &irceşti, 21 1

26 Ce+an &arina 200403805017% 9/27/198% F Chişinău, str. &irceşti, 21 1

27 &ihu l#a 2003037020%%3 9/3/1985 F Chişinău, str. Ce)cari10 1

2 'orcescu &ihail 2005018027487 7/22/1987 & Chişinău, str. &irceşti, 21 1

 Numele# $renumele $ersoaneiasi%urate

 Numarul de identi&icarede stat al $ersoanei &i'ice

(DN)

Date des$re $ersoana (1* nou

inclusa# 2*trecuta la altacate%orie # 3 *

decedat)

Data inclista # trecalta cate%odecesului

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2! raşo)eanu l#a 2004013037257 3/2/1987 F Chişinău, str. &irceşti, 21 1

3" Cio+anu (icolae 200404002455% 9/17/198% & Chişinău, str. &irceşti, 21 1

31 ar+u6a !iia 2004004103842 3/17/198% F or. ăl6i, str. Dece+al, 1%%, a.29 1

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Seria si nr. $olitei de asi%urare

eli+erate $ersoanei asi%uratesau returnate

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La Contractul de asigurareobligatorie de asistenta medicala

nr. din

L I T Ade e!identa nominala a "ersoanelor asig

de stat

  studen#i $n!%#%m$nt

(denumirea categoriei de persoa

de la MEDICINA VETERINAR

(denumirea autoritatii publice centrale sau loc

 Nr. d/o  Numele# $renumele $ersoanei asi%urate Data nasterii Sex (M/F)

( 2 ' 4 )1 )erohle+ $nton 2""2""2"167!5 12/3/1!5 M

2 Ciuin &ariana 2""2"4""11"2 12//1!4 F

3 $nrieş urii 2""4"4"3173 /23/1!6 M

4 Fanari on 2""1""2!7"1 3/16/1!3 M

5 u+cu Daniela 2""""!1"76231 /7/1!2 F

6 &arcu &ariana 2""1"15"375 4/1/1!3 F

7 (iculi6ă rina "!!1"27!5 12/1"/1!" F

$nronic Cristina 2""4"35"3123! /16/1!6 F

! "osna $nrei 2""4""!"37155 6/7/1!6 M

1" Culacli :aisa 2""2""5"25"4 2/1"/1!6 F

11 &ichitiuc *ictor 2""3""4"46"65 1/21/1!7 M

12 !uan "er#iu 2""4"21"7352 /2/1!6 M

13 uco)a rina 2""3""5"6!63" 2/26/1!6 F

14 $sari !u;ila 3151617"4 4/15/1!6 F

15

16

 Numarul de identi&icarede stat al $ersoanei

&i'ice (DN)

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La Contractul de asigurareobligatorie de asistenta medicala

nr. din

L I T Ade e!identa nominala a "ersoanelor asig

de stat

  studen#i $n!%#%m$nt

(denumirea categoriei de persoade la MEDICINA VETERINAR

(denumirea autoritatii publice centrale sau loc

 Nr. d/o  Numele# $renumele $ersoanei asi%urate Data nasterii Sex (M/F)

( 2 ' 4 )

1

2

3

4

5

6

7

 

 Numarul de identi&icarede stat al $ersoanei

&i'ice (DN)

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Formular 2-04/l

APROBAT

prin Ordinul Directorului

general al Companiei Nationale

de Asigurari in Medicina

nr. din 200_ 

  urate din contul bugetului

de &i

e asigurate)

, UASM 

  le, institutiei, organizatiei)

Domiciliul

* + , ,-iinu# str. Florilor# 14/2

,-iinu#+d.0enaterii /3 (cmin) 1

,-iinu#+d.0enaterii /3 (cmin) 1

,-iinu#+d.0enaterii /3 (cmin) 1

,-iinu#+d 0enaterii /3(cmin) 1

,-iinu#+d 0enaterii /3(cmin) 1

,-iinu#+d.0enaterii /3 (cmin) 1

,-iinu# str. Socoleni# #a$.17 1

,-iinu# Mirceti# 21/1 ( cmin ) 1

,-iinu# Mirceti# 21/1 ( cmin ) 1

,-iinu# Mirceti# 21/1 ( cmin ) 1

,-iinu# Mirceti# 21/1 ( cmin ) 1

,-iinu# Mirceti# 21/1 ( cmin ) 1

,-iinu# Mirceti# 21/1 ( cmin ) 1

Date des$re $ersoana (1*nou inclusa#2*trecuta la

altacate%orie # 3 *

decedat)

Data

includerii inlista # treceriiei la altacate%orie#decesului

Seria si nr. $olitei deasi%urareeli+erate $ersoaneiasi%urate saureturnate

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Formular 2-04/l

APROBAT

prin Ordinul Directorului

general al Companiei Nationale

de Asigurari in Medicina

nr. din 200_ 

  urate din contul bugetului

de &i

e asigurate), UASM 

  le, institutiei, organizatiei)

Domiciliul

* + ,

 

Date des$re $ersoana (1*nou inclusa#2*trecuta la

altacate%orie # 3 *

decedat)

Dataincluderii inlista # treceriiei la altacate%orie#decesului

Seria si nr. $olitei deasi%urareeli+erate $ersoaneiasi%urate saureturnate