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Óòâåðæäåíà Ïîñòàíîâëåíèåì Ãîñêîìñòàòà
Ðîññèè îò
05.01.2004 N 1 ┌───────┐ │ Êîä │ ├───────┤ Ôîðìà ïî ÎÊÓÄ │0301024│ ├───────┤ ________________________________________________ ïî ÎÊÏÎ │ │ íàèìåíîâàíèå îðãàíèçàöèè └───────┘ ┌─────────┬───────────┐ │ Íîìåð
│ Äàòà │
│äîêóìåíòà│ñîñòàâëåíèÿ│ ├─────────┼───────────┤ ÊÎÌÀÍÄÈÐÎÂÎ×ÍÎÅ
ÓÄÎÑÒÎÂÅÐÅÍÈÅ │ │ │
└─────────┴───────────┘
┌───────────────┐ │Òàáåëüíûé
íîìåð│
├───────────────┤ Ðàáîòíèê │ │
────────────────────────────────────────┴───────────────┘ ôàìèëèÿ, èìÿ, îò÷åñòâî __________________________________________________________________ ñòðóêòóðíîãî ïîäðàçäåëåíèÿ __________________________________________________________________ äîëæíîñòü (ñïåöèàëüíîñòü,
ïðîôåññèÿ) êîìàíäèðóåòñÿ
â __________________________________________________ ìåñòî íàçíà÷åíèÿ (ñòðàíà,
ãîðîä, îðãàíèçàöèÿ) __________________________________________________________________ äëÿ
______________________________________________________________ öåëü êîìàíäèðîâêè __________________________________________________________________ íà
________ êàëåíäàðíûõ äíåé (íå ñ÷èòàÿ âðåìåíè íàõîæäåíèÿ â ïóòè) ñ
"__" _____________ 20__ ã. ïî "__" __________ 20__ ã. Äåéñòâèòåëüíî
ïî ïðåäúÿâëåíèè ïàñïîðòà èëè
çàìåíÿþùåãî åãî äîêóìåíòà
________________________________________________________ íàèìåíîâàíèå, íîìåð Ðóêîâîäèòåëü
_________________ _____________ _____________________ äîëæíîñòü ëè÷íàÿ ðàñøèôðîâêà ïîäïèñè ïîäïèñü ---------------------------------------------------------------- Îòìåòêè î âûáûòèè â êîìàíäèðîâêó, ïðèáûòèè â ïóíêòû íàçíà÷åíèÿ, âûáûòèè èç íèõ è ïðèáûòèè â ìåñòî ïîñòîÿííîé ðàáîòû: Âûáûë èç ______________________ Ïðèáûë â ______________________ "__" _________ 20__ ã. "__" _________ 20__ ã. ___________ ___________________ ___________ ___________________ äîëæíîñòü ëè÷íàÿ ïîäïèñü äîëæíîñòü ëè÷íàÿ ïîäïèñü _______________________________ _______________________________ ðàñøèôðîâêà ïîäïèñè ðàñøèôðîâêà ïîäïèñè Ì.Ï. Ì.Ï. Âûáûë èç ______________________ Ïðèáûë â ______________________ "__" _________ 20__ ã. "__" _________ 20__ ã. ___________ ___________________ ___________ ___________________ äîëæíîñòü ëè÷íàÿ ïîäïèñü äîëæíîñòü ëè÷íàÿ ïîäïèñü _______________________________ _______________________________ ðàñøèôðîâêà ïîäïèñè ðàñøèôðîâêà ïîäïèñè Ì.Ï. Ì.Ï. Âûáûë èç ______________________ Ïðèáûë â ______________________ "__" _________ 20__ ã. "__" _________ 20__ ã. ___________ ___________________ ___________ ___________________ äîëæíîñòü ëè÷íàÿ ïîäïèñü äîëæíîñòü ëè÷íàÿ ïîäïèñü _______________________________ _______________________________ ðàñøèôðîâêà ïîäïèñè ðàñøèôðîâêà ïîäïèñè Ì.Ï. Ì.Ï. Âûáûë èç ______________________ Ïðèáûë â ______________________ "__" _________ 20__ ã. "__" _________ 20__ ã. ___________ ___________________ ___________ ___________________ äîëæíîñòü ëè÷íàÿ ïîäïèñü äîëæíîñòü ëè÷íàÿ ïîäïèñü _______________________________ _______________________________ ðàñøèôðîâêà ïîäïèñè ðàñøèôðîâêà ïîäïèñè Ì.Ï. Ì.Ï. |
Ñêà÷àòü áëàíê *.doc