{"id":3129,"date":"2025-02-21T10:57:24","date_gmt":"2025-02-21T08:57:24","guid":{"rendered":"https:\/\/cngi.ro\/?page_id=3129"},"modified":"2025-02-21T10:57:25","modified_gmt":"2025-02-21T08:57:25","slug":"formular-230","status":"publish","type":"page","link":"https:\/\/cngi.ro\/?page_id=3129","title":{"rendered":"Formular 230"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f3128-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"3128\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F3129#wpcf7-f3128-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"3128\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f3128-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<h3>Date personale\n<\/h3>\n<div class=\"row\">\n\t<div class=\"column\">\n\t\t<p><label for=\"nume\">Nume *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nume\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"nume\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nume\" \/><\/span><br \/>\n<\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"column\">\n\t\t<p><label for=\"prenume\">Prenume *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"prenume\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"prenume\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"prenume\" \/><\/span><br \/>\n<\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"column\">\n\t\t<p><label for=\"initiala_tatalui\">Ini\u021biala tat\u0103lui *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"initiala_tatalui\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"initiala_tatalui\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"initiala_tatalui\" \/><\/span><br \/>\n<\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"row\">\n\t<div class=\"column\">\n\t\t<p><label for=\"cnp\">CNP *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cnp\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"cnp\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"cnp\" \/><\/span><br \/>\n<\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"column\">\n\t\t<p><label for=\"email\">E-mail *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" id=\"email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span><br \/>\n<\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"column\">\n\t\t<p><label for=\"telefon\">Telefon *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"telefon\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" id=\"telefon\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"telefon\" \/><\/span><br \/>\n<\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<h3>Adres\u0103 domiciliu (a\u0219a cum apare \u00een actul de identitate)\n<\/h3>\n<div class=\"row\">\n\t<div class=\"column\">\n\t\t<p><label for=\"strada\">Strada *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"strada\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"strada\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"strada\" \/><\/span><br \/>\n<\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"column\">\n\t\t<p><label for=\"numar\">Nr. *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"numar\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"numar\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"numar\" \/><\/span><br \/>\n<\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"column\">\n\t\t<p><label for=\"bloc\">Bloc<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"bloc\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"bloc\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"bloc\" \/><\/span><br \/>\n<\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"row\">\n\t<div class=\"column\">\n\t\t<p><label for=\"scara\">Scara<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"scara\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"scara\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"scara\" \/><\/span><br \/>\n<\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"column\">\n\t\t<p><label for=\"etaj\">Etaj<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"etaj\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"etaj\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"etaj\" \/><\/span><br \/>\n<\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"column\">\n\t\t<p><label for=\"apartament\">Apart.<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"apartament\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"apartament\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"apartament\" \/><\/span><br \/>\n<\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"row\">\n\t<div class=\"column\">\n\t\t<p><label for=\"judet\">Jude\u021b *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"judet\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"judet\"><option value=\"Alege...\">Alege...<\/option><option value=\"Alba\">Alba<\/option><option value=\"Arad\">Arad<\/option><option value=\"Arge\u0219\">Arge\u0219<\/option><option value=\"Bac\u0103u\">Bac\u0103u<\/option><option value=\"Bihor\">Bihor<\/option><option value=\"Bistri\u021ba-N\u0103s\u0103ud\">Bistri\u021ba-N\u0103s\u0103ud<\/option><option value=\"Boto\u0219ani\">Boto\u0219ani<\/option><option value=\"Br\u0103ila\">Br\u0103ila<\/option><option value=\"Bra\u0219ov\">Bra\u0219ov<\/option><option value=\"Bucure\u0219ti\">Bucure\u0219ti<\/option><option value=\"Buz\u0103u\">Buz\u0103u<\/option><option value=\"C\u0103l\u0103ra\u0219i\">C\u0103l\u0103ra\u0219i<\/option><option value=\"Cara\u0219-Severin\">Cara\u0219-Severin<\/option><option value=\"Cluj\">Cluj<\/option><option value=\"Constan\u021ba\">Constan\u021ba<\/option><option value=\"Covasna\">Covasna<\/option><option value=\"D\u00e2mbovi\u021ba\">D\u00e2mbovi\u021ba<\/option><option value=\"Dolj\">Dolj<\/option><option value=\"Gala\u021bi\">Gala\u021bi<\/option><option value=\"Giurgiu\">Giurgiu<\/option><option value=\"Gorj\">Gorj<\/option><option value=\"Harghita\">Harghita<\/option><option value=\"Hunedoara\">Hunedoara<\/option><option value=\"Ialomi\u021ba\">Ialomi\u021ba<\/option><option value=\"Ia\u0219i\">Ia\u0219i<\/option><option value=\"Ilfov\">Ilfov<\/option><option value=\"Maramure\u0219\">Maramure\u0219<\/option><option value=\"Mehedin\u021bi\">Mehedin\u021bi<\/option><option value=\"Mure\u0219\">Mure\u0219<\/option><option value=\"Neam\u021b\">Neam\u021b<\/option><option value=\"Olt\">Olt<\/option><option value=\"Prahova\">Prahova<\/option><option value=\"Satu Mare\">Satu Mare<\/option><option value=\"S\u0103laj\">S\u0103laj<\/option><option value=\"Sibiu\">Sibiu<\/option><option value=\"Suceava\">Suceava<\/option><option value=\"Teleorman\">Teleorman<\/option><option value=\"Timi\u0219\">Timi\u0219<\/option><option value=\"Tulcea\">Tulcea<\/option><option value=\"Vaslui\">Vaslui<\/option><option value=\"V\u00e2lcea\">V\u00e2lcea<\/option><option value=\"Vrancea\">Vrancea<\/option><\/select><\/span><br \/>\n<\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"column\">\n\t\t<p><label for=\"localitate\">Localitate *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"localitate\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"localitate\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"localitate\" \/><\/span><br \/>\n<\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"column\">\n\t\t<p><label for=\"cod_postal\">Cod po\u0219tal *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cod_postal\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"cod_postal\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"cod_postal\" \/><\/span><br \/>\n<\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<h3>Perioada redirec\u021bion\u0103rii\n<\/h3>\n<div class=\"row\">\n\t<p><br \/>\n<input type=\"radio\" name=\"perioada\" value=\"1 an\" id=\"perioada1\" \/><br \/>\n<label for=\"perioada1\">1 an<\/label>\n\t<\/p>\n\t<p><br \/>\n<input type=\"radio\" name=\"perioada\" value=\"2 ani\" id=\"perioada2\" \/><br \/>\n<label for=\"perioada2\">2 ani<\/label>\n\t<\/p>\n<\/div>\n<h3>Semn\u0103tur\u0103 generat\u0103\n<\/h3>\n<p><label for=\"semnatura\"><br \/>\n<div class=\"dscf7_signature\">\n\t\t\t<div class=\"dscf7_signature_inner\">\n\t\t\t\t<canvas id=\"digital_signature-pad_semnatura\" name=\"semnatura\" class=\"digital_signature-pad\" color=\"#000000\" backcolor=\"#dddddd\" width=\"300\" height=\"200\"><\/canvas>\n\t\t\t\t<input class=\"clearButton\" type=\"button\" value=\"+\">\n\t\t\t<\/div>\n\t\t\t<span class=\"wpcf7-form-control-wrap semnatura\" data-name=\"semnatura\">\n\t\t\t\t<input class=\"wpcf7-form-control wpcf7-signature wpcf7-validates-as-required wpcf7-validates-as-signature dscf7-signature\" id=\"semnatura\" value=\"\" type=\"hidden\" name=\"semnatura\"\/>\n\t\t\t\t<input type=\"hidden\" name=\"semnatura-attachment\" class=\"wpcf7_input_semnatura_attachment\"\/>\n\t\t\t\t<input type=\"hidden\" name=\"semnatura-inline\" class=\"wpcf7_input_semnatura_inline\"\/>\n\t\t\t<\/span>\n\t\t<\/div><br \/>\n<\/label>\n<\/p>\n<p><label for=\"declaratie\"><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"declaratie\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"declaratie[]\" value=\"Declar c\u0103 am luat la cuno\u0219tin\u021b\u0103 de Nota de informare \u0219i de Politica de confiden\u021bialitate.\" \/><span class=\"wpcf7-list-item-label\">Declar c\u0103 am luat la cuno\u0219tin\u021b\u0103 de Nota de informare \u0219i de Politica de confiden\u021bialitate.<\/span><\/label><\/span><\/span><\/span><br \/>\n<\/label>\n<\/p>\n<p>Important: Datele din acest formular sunt folosite pentru a crea Declara\u021bia 230. Doar numele, prenumele, jude\u021bul, localitatea \u0219i email-ul\/telefonul sunt salvate \u00een baza noastr\u0103 de date.\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Trimite formularul\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","_uag_custom_page_level_css":"","_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","footnotes":""},"class_list":["post-3129","page","type-page","status-publish","hentry"],"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false},"uagb_author_info":{"display_name":"admin","author_link":"https:\/\/cngi.ro\/?author=1"},"uagb_comment_info":0,"uagb_excerpt":null,"_links":{"self":[{"href":"https:\/\/cngi.ro\/index.php?rest_route=\/wp\/v2\/pages\/3129","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cngi.ro\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cngi.ro\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cngi.ro\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cngi.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3129"}],"version-history":[{"count":1,"href":"https:\/\/cngi.ro\/index.php?rest_route=\/wp\/v2\/pages\/3129\/revisions"}],"predecessor-version":[{"id":3130,"href":"https:\/\/cngi.ro\/index.php?rest_route=\/wp\/v2\/pages\/3129\/revisions\/3130"}],"wp:attachment":[{"href":"https:\/\/cngi.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3129"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}