Fillable ANEXO IV DECLARACION JURADA/ PROMESA

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ANEXO IV DECLARACION JURADA/ PROMESA

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ANEXO IV
DECLARACION JURADA/ PROMESA
Don/ Doña ..............................................................................................................................................................................
con domicilio en ....................................................................................................................................................................
municipio ........................................................................................provincia de .................................................................
nacionalidad ................................................................................... .....................con documento nacional de identidad
(pasaporte o documento acreditativo de la nacionalidad), número...............................................................................
declara bajo juramento o promete, a efectos de ser nombrado...................................................................................... ,
(Para ciudadanos españoles) que no ha sido separado, mediante expediente disciplinario,
de ninguna Administración Pública y que no se halla inhabilitado para el ejercicio de las funciones
públicas
(Para ciudadanos extranjeros) que no ha sido sometido a sanción disciplinaria o condena
penal que impida en su Estado el acceso a la Función Pública.
………....……, …...…de.............................. de...........
Localidad (día) (mes) (año)
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ANEXO IV DECLARACION JURADA PROMESA

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Completed 5 December 2021

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