ÎÁÐÀÙÅÍÈÅ

 Àïïàðàò Ïðàâèòåëüñòâà Ðåñïóáëèêè Èíãóøåòèÿ

(Ô.È.Î. ãðàæäàíèíà; íàèìåíîâàíèå îðãàíèçàöèè, Ô.È.Î. ëèöà, ïðåäñòàâëÿþùåãî îðãàíèçàöèþ)

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(ìåñòî æèòåëüñòâà, òåëåôîí; àäðåñ îðãàíèçàöèè, òåëåôîí)

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ÎÁÐÀÙÅÍÈÅ

ãðàæäàíèíà, ïðåäñòàâèòåëÿ îðãàíèçàöèè ïî ôàêòàì êîððóïöèîííûõ ïðàâîíàðóøåíèé

Ñîîáùàþ, ÷òî:

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(Ô.È.Î. ãðàæäàíñêîãî ñëóæàùåãî èëè ðóêîâîäèòåëÿ ïîäâåäîìñòâåííîé îðãàíèçàöèè)

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(îïèñàíèå îáñòîÿòåëüñòâ, ïðè êîòîðûõ çàÿâèòåëþ ñòàëî èçâåñòíî î ñëó÷àÿõ ñîâåðøåíèÿ êîððóïöèîííûõ ïðàâîíàðóøåíèé ãðàæäàíñêèì ñëóæàùèì èëè ðóêîâîäèòåëåì ïîäâåäîìñòâåííîé îðãàíèçàöèè)

3. ________________________________________________________________

(ïîäðîáíûå ñâåäåíèÿ î êîððóïöèîííûõ ïðàâîíàðóøåíèÿõ, êîòîðûå ñîâåðøèë ãðàæäàíñêèé ñëóæàùèé èëè ðóêîâîäèòåëü ïîäâåäîìñòâåííîé îðãàíèçàöèè)

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(ìàòåðèàëû, ïîäòâåðæäàþùèå Âàøå îáðàùåíèå, ïðè íàëè÷èè)

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(äàòà)                                                                                                                  ( ïîäïèñü, èíèöèàëû è ôàìèëèÿ)

Ñêà÷àòü