According to the Qualification Directory of positions of managers, specialists and other employees, they are referred to as specialists.

For the correct preparation of the job description of an economist at a medical institution, it is necessary to determine the work area according to this handbook, approved by the Decree of the Ministry of Labor No. 37.

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1. As a norm direct action- duplicate the duties of a specialist in internal acts and refer to him in the document.
2. Use as a basis for writing job descriptions to distribute responsibilities among department employees. The delegation of authority is carried out by the head, who has the right to add to the list of works that correspond to the specifics of the medical institution.

What functions to assign to an economist of a medical institution

Paragraph 5 of the handbook approved three mandatory parts for each qualification:

1. Job Responsibilities- this is a list of the main functions, in part or in full, in compliance with technological compliance and coordination of work, which will help to make the spread in specialties optimal.
2. Must know - this is a list of requirements for employee knowledge, including knowledge of legislative framework, standards, regulations, instructions, tools and methodologies that will be useful for performing functions in positions.
3. Qualification requirements relate to professional training, the availability of relevant documents confirming education, as well as length of service to perform job functions.

Important! The Qualification Handbook provides for the position of "economist" in three categories. You can not call the position "senior economist". Assign the functions of managing subordinates to a specialist of category I.

Analysis of practical situations

Situation No. 1: is it possible to hire a specialist with an education that does not correspond to the profile for the position of an economist in financial work?

Economists of medical organizations in different fields may have different qualification requirements. For example, there are positions with fixed qualification categories- 1, 2 and 3. At the same time, categories are not assigned if the organization uses job titles: economist, senior economist, leading and chief. If categories are indicated in the directory, then the position "senior" is not used. leader economic department a specialist of the 1st category is appointed. Instead of leading economists, duties are performed by other employees who are selected according to job descriptions. They are also appointed by the leaders and responsible for a certain area of ​​work of the organization or only the department. When hiring leading economists, the requirements are increased by 2-3 years compared to the figures indicated for category 1. Job functions, requirements for qualification, education of deputy heads of department are determined based on the characteristics of a higher position.

Situation No. 2: can an economist of a medical institution of the 1st category get a higher education and ten years of experience without working as an economist of the 2nd category?

By order of the Ministry of Health and Social Development No. 247n, the position of an economist belongs to the PKG "General industry positions of employees of the third level." Qualification guide there are 3 categories of qualification, which, according to paragraph 6, are established by the head of the organization. When selecting specialists for the position, take into account:

1. independence in the performance of official functions;
2. degree of responsibility;
3. the quality of work;
4. attitude to work;
5. experience and seniority;
6. educational level and skills.

Based on paragraph 8 of the General Provisions section, in order to compare the scope of duties performed in fact and the requirements of job descriptions, an attestation commission is created. The main criterion is the quality and efficiency of work.

The attestation commission may recommend the assignment of category 1, bypassing category 2, to an economist with a higher specialized education and more than ten years of experience, as indicated in paragraph 10 of the General Provisions. Practical knowledge and experience are taken into account, as well as the demonstrated high efficiency of work, which is measured by the completeness of the tasks performed in the department.

Every member attestation commission subjectively evaluates:

• volumes of practical knowledge;
• the quality of the specialist's work.

Estimates serve as the basis for making a decision to increase the official category. According to paragraph 10, the decision of the collegiate body is reasonable and not subject to verification.

Important! Persons without special training or work experience, but with sufficient practical experience who perform their official duties qualitatively and in full can be appointed to the position of an economist

Situation No. 3: if, when the chief accountant goes on maternity leave, an economist of a medical institution is appointed to perform duties, what is the name of the position: acting economist. or chief accountant?

The position of the specialist appointed as acting will be named depending on the design of new duties:

1. The economist is not released from the main functions in the department and works as part of the combination of positions as the chief accountant in his work time, which is provided for in Article 60.2 of the Labor Code, then his position is called "economist" without the addition of "temporary acting".
2. The economist of a medical institution was temporarily transferred to the position of chief accountant under Article 72.2 of the Labor Code, then when acquiring documents, he indicates the position of "chief accountant". Transfer means the release of a specialist from a previously held position and the full implementation of new job duties By new position. In this case, the postscript "temporarily acting" is not used, since this is not provided for by law.

Therefore, it is especially careful when selecting and transferring workers to economic position you need to look at the educational requirements. Often they can be specified in other legal documents.

I approve ................................................

…………………………………………….
(name of company)

…………………………………………….
(job title)

………...….……………………………...
(Full name.)

“…..” …………………. 20…..

Job description
economist

……………………………………………………………………………..
(name, enterprises, organizations)

1. General provisions

1.1.Economist belongs to the professional category.

1.2. An economist is appointed to a position and dismissed from it by order of the director upon presentation

(head financial department, structural unit / other official)

1.3.Economist reports directly to:

……………………………………………….……………………………………………………..
(to the head of the financial department, structural unit / other official)

1.4. The following is appointed to the post of economist:
-economist of the 1st category: a person with a higher professional (economic) education and at least 3 years of work experience as an economist of category II;
-Economist Category II: a person with a higher professional (economic) education and work experience in the position of an economist or other engineering and technical positions filled by specialists with a higher vocational education, not less than 3 years;
-economist: a person who has a higher professional (economic) education without presenting requirements for work experience or a secondary professional (economic) education and at least 3 years of work experience in the position of a technician of category I for at least 3 years or other positions filled by specialists with secondary vocational education for at least 5 years .

1.5. In his work, the Economist is guided by:
- legislative acts of the Russian Federation;
- orders and directives of the management;
- guiding regulations and instructions of the enterprise;
- the charter of the organization;
- rules work schedule;
- this job description.

1.6. During the absence of the economist, his duties are performed by a person appointed in in due course. This person acquires the appropriate rights and is responsible for the proper performance of the duties assigned to him.

1.7. The economist must know:
- resolutions, legislative and regulatory legal acts, orders, orders, on planning, accounting and analysis of the work of enterprise divisions;
- rules for compiling and maintaining planning accounting documentation;
- rules and procedures for developing business plans;
- development rules annual plans economic, industrial, financial activities organizations;
- rules for the development of standards for the cost of labor, material, financial resources;
- methods of economic analysis and accounting of performance indicators of the enterprise and its divisions;
- ways to determine economic efficiency implementation new technology and technology, labor organization, rationalization proposals and inventions;
- rules for the preparation of materials for the conclusion of contracts;
- organization, procedure, rules and terms of statistical and operational accounting, preparation of established reporting;
- economics, organization of production, labor and management;
- market methods of managing;
- the possibility of using computer technology for the implementation of technical and economic calculations, analysis and accounting of performance indicators of the enterprise's divisions;
- methods of carrying out computational work;
- labor legislation;
- Rules and norms of labor protection.

2. Job responsibilities

Economist:
- performs work on the implementation of the current economic activity enterprises, increasing the efficiency and profitability of production, the quality of products and the development of new types of products;
- prepares initial data for drawing up projects of economic, financial, production and commercial activities enterprises in order to ensure the growth of sales volumes, increase profitability;
- performs calculations for material, labor and financial costs necessary for the production and sale of products, the development of new types of products, the introduction of advanced technologies;
- produces economic analysis economic activity enterprises and determines the economic efficiency of the organization of labor and production;
- identifies production reserves and develops measures to introduce a savings regime, increase the profitability of production, increase the competitiveness of products and labor productivity, reduce losses and unproductive costs for production and sales of products, and also identify opportunities to increase the volume of products;
- determines the economic performance of the introduction of new technology, rationalization proposals, inventions;
- takes part in the consideration of plans for production and economic work and resource saving, in market research, forecasting and development of production;
- prepares data for the conclusion of contracts;
- monitors the implementation of planned targets for the enterprise and its divisions;
- keeps records economic indicators results production activities enterprise and its divisions;
- prepares the established reporting in a certain time frame;
- performs work on the formation and maintenance of an up-to-date database of economic information;
- controls the fulfillment of the tasks assigned to the divisions of the enterprise under the concluded contracts;
- Performs separate official assignments of the direct superior.

3. Rights

The economist has the right:
- get acquainted with the draft decisions of the management of the enterprise relating to its production activities;
- submit proposals for the management to improve the work related to the responsibilities provided for in this instruction;
- report to the immediate supervisor about all deficiencies in production activities identified in the course of the performance of their duties and make proposals for their elimination;
- request and receive from the structural divisions of the enterprise the necessary materials and documents related to the activities of an economist;
- represent the interests of the enterprise and enter into relationships with departments of third-party organizations on issues related to the performance of his official duties;
- independently make decisions within their competence;
- require the management of the enterprise to ensure organizational and technical conditions in the execution of its official rights and responsibilities;
- demand security normal conditions labor.

4. Responsibility

The Economist is responsible for:
- for the consequences of decisions taken by him that go beyond his powers established by current legislation of the Russian Federation, the charter of the enterprise, other regulatory legal acts;
- for failure to perform (improper performance) of their official duties provided for by this instruction, within the limits determined by the current labor law RF;
- for committing an offense in the course of carrying out their activities - within the limits determined by the current administrative, criminal and civil legislation of the Russian Federation;
- for causing material damage and damage business reputation enterprises - within the limits determined by the current labor, criminal and civil legislation of the Russian Federation.

5. Working conditions

5.1. The Economist's work schedule is determined in accordance with the Internal Labor Regulations established at the enterprise.

5.2. Due to production needs, the Economist may be sent on business trips.

6. Right to sign

To ensure his activities, the economist is given the right to sign organizational and administrative documents on issues that are part of his functional duties.

7. Other

real job description developed and approved in accordance with the provisions Labor Code Russian Federation and other regulatory acts regulating labor relations in RF.

Agreed:

Boss legal department

……………….…………… / ……….… "…..." ………………………20 …. d./>    (full name / signature)

familiar with job description

……………….…………… / ……….… "…..." ………………………20 …. d./>    (full name / signature)

Perform calculations for material, labor and financial costs necessary for the production and sale of products, the development of new types of products, advanced technology and technology. 3.4. To carry out an economic analysis of the economic activity of the enterprise and its divisions, to identify production reserves, to develop measures to ensure a savings regime, increase the profitability of production, the competitiveness of products, labor productivity, reduce the costs of production and sales of products, eliminate losses and unproductive costs, as well as identify opportunities additional output. 3.5. Determine the economic efficiency of the organization of labor and production, the introduction of new equipment and technology, rationalization proposals and inventions. 3.6.

Job description of an economist of a healthcare institution

A prominent representative is the RANEPA under the President of the Russian Federation. In the educational program of such educational institutions there are subjects explaining the intricacies of work in budgetary organizations. But in fact, to get to such workplace, it is absolutely not necessary to graduate from a special institute. It is enough to get an education in economics. IN government organizations there is a practice of assigning categories to specialists.
The duties of an economist depend on it. budget institution. It is assigned depending on the level of education and work experience.

• Specialist without categories - a graduate of a university without work experience or a specialist with a secondary vocational education and work experience in this field for at least three years.

Health care economist

Economist is a profession with a very wide range of functional duties, varieties and branches of activity. Economists are in demand everywhere in one form or another, with different job titles and a list of tasks under control. Today, this direction is very popular among young people who choose their future professional environment, specialty and future workplace.

Job Descriptions

A specialist with a secondary specialized education in other engineering and technical fields can get the position of an economist without a category in a budgetary institution if his experience is more than five years.

• The second category is given to a specialist with higher education and work experience in the field of economics or in other engineering and technical fields in a position held by a specialist with higher education, from three years.
• The first category is a specialist with a higher education and work experience as an economist of the second category for at least three years.

Knowledge required in the work Job responsibilities of an economist in a budgetary institution require a specialist in this position to have a certain set of knowledge and skills.

Illuminations

I approve [position, signature, full name of the head or other official authorized to approve the job description] [day, month, year] with the provisions of the Labor Code Russian Federation and other normative acts regulating labor relations in the Russian Federation. 1. General provisions 1.1. The Healthcare Economist is classified as a professional and reports directly to [title of manager].
1.2. A person with a higher professional education in the specialty and work experience [fill in as needed] is accepted for the position of an economist in a healthcare institution. 1.3.

Typical job description of an economist in a budgetary institution

Professionally important qualities: [list qualities]. 2. Responsibilities The following job responsibilities are assigned to the economist of a healthcare institution: 2.1. Work on the economic support of the health care institution. 2.2.

Attention

Preparation of data for the preparation of projects for the economic and financial activities of a healthcare institution. 2.3. Preparing the required reporting deadlines. 2.4. Performs cost estimates for medical services. 2.5.

II. Functions The following functions are assigned to the economist: 2.1. Performance of work on the implementation of the economic activity of the enterprise. 2.2. Reporting preparation. 2.3. The procedure for the execution of limits 2.4.

Info

Conclusion of agreements III. Job Responsibilities To perform the functions assigned to him, the economist of the enterprise must: 3.1. Perform work on the implementation of the economic activity of the enterprise, aimed at increasing the efficiency and profitability of production, the quality of manufactured products and the development of new types of products, achieving high final results with the optimal use of material, labor and financial resources. 3.2. Prepare initial data for the preparation of projects of economic, financial, industrial and commercial activities (business plans) of the enterprise in order to ensure the growth of sales volumes and increase profits.

Job responsibilities of an economist in a budgetary institution (for a resume)

Participation in the consideration of the developed production and economic plans, the implementation of work on resource saving, the introduction and improvement of on-farm accounting, the improvement of progressive forms of labor organization and management, as well as planning and accounting documentation. 2.13. Preparation of materials for the conclusion of contracts, tracking the timing of the fulfillment of contractual obligations. 2.14. Implementation of control over the implementation of planned targets for the institution and its divisions, the use of on-farm reserves. 2.15. Participation in the marketing research and forecasting the development of a healthcare institution. 2.16. Keeping records of economic indicators of the results of the production activities of the institution and its divisions, as well as accounting for concluded contracts. 3. Rights of an employee An economist of a healthcare institution has the right to: 3.1.

What is included in the job responsibilities of an economist in a medical organization

The economist belongs to the category of specialists. He is hired and dismissed from her by order of the director of the enterprise on the proposal of the deputy. chief physician of the economic department. 1.2. Appointed to the position: — economist of the 1st category - a person with a higher professional economic education and work experience in the position of an economist of the 2nd category for at least 2 years; 1.3. Economist reports directly to Deputy. Chief Physician for Economics. 1.4. During the absence of an economist (business trip, vacation, illness, etc.), his duties are performed by a duly appointed deputy who is fully responsible for the proper and timely performance of his duties. 1.5.

Functional responsibilities of an economist in health care

• economic theory;
• business economics;
• analysis of the organization's activities;
• management;
• marketing;
• service quality management;
• personnel management;
• accounting, financial and tax accounting;
• business planning;
• finance and credit;
• investment appraisals;
• jurisprudence;
• legal regulation in healthcare;
• commercial law;
• financial law;
• medical care organizations;
• quality management of services in medicine;
• modern medical technologies;
• non-traditional methods of diagnosis and treatment.

In the performance of their duties, the health care economist must engage in business and business planning to ensure the cost-effectiveness and profitability of the services provided.

Job responsibilities of an economist in medicine

• tariffing for employees;
• cost tracking, budget usage report;
• calculation of budgetary payments, appropriations and other amounts provided for in the work of this budgetary organization;
• analysis of activities, its optimization, based on the results of the analysis;
• communication with higher structures;
• control over the fulfillment of contractual obligations of the parties;
• preparation of periodic reporting;
• procurement in a budgetary organization;
• formation, storage and access to archives of documentation and reports.

Rights and responsibilities of an employee Job responsibilities of an economist in a budgetary healthcare institution educational institutions and other government and municipal services imply the seriousness and increased responsibility of the work.

Job Responsibilities of a Lead Healthcare Economist

Request and receive necessary information and documents related to the issues of its activities. 3.2. Make proposals to improve the economic efficiency of the health care institution. 3.3. Take part in conferences and meetings, which discuss the economic issues of the institution.

3.4. Require management to assist in the performance of their professional duties and the exercise of rights. 3.5. Raise your qualifications. 3.6. For all statutory social guarantees. 3.7. Other rights provided for by labor legislation. 4. Responsibility of the employee The economist of the healthcare institution is responsible for: 4.1. For failure to perform or improper performance of their official duties provided for by this job description - within the limits determined by the current labor legislation of the Russian Federation.

The economist belongs to the category of specialists. He is hired and dismissed from her by order of the director of the enterprise on the proposal of the deputy. chief physician of the economic department. 1.2. Appointed to the position: — economist of the 1st category - a person with a higher professional economic education and work experience in the position of an economist of the 2nd category for at least 2 years; 1.3. Economist reports directly to Deputy. Chief Physician for Economics. 1.4. During the absence of an economist (business trip, vacation, illness, etc.), his duties are performed by a duly appointed deputy who is fully responsible for the proper and timely performance of his duties. 1.5.

Job description of an economist of a healthcare institution

Educational Institutions, Healthcare and Culture Job responsibilities of an economist in a budgetary institution of culture, health care, educational structures imply a full report on the work done, clearly defined deadlines for submitting analytical conclusions, calculated prices for services and products, if any, to the kopecks. Most of Money in such organizations comes from the state budget, that is, from the payments of taxpayers. This means that all data provided by the economist must be clean, transparent in understanding and open to all identified users.
The job responsibilities of an economist in a budgetary institution for procurement, for example, include organizing specialized tenders open to any user who can access the site and be interested in this information.

Health care economist

A prominent representative is the RANEPA under the President of the Russian Federation. The educational program of such educational institutions provides subjects that explain the intricacies of working in budgetary organizations. But in fact, in order to get to such a workplace, it is absolutely not necessary to graduate from a special institute. It is enough to get an education in economics. In state organizations, there is a practice of assigning categories to specialists.

The duties of an economist of a budgetary institution depend on it. It is assigned depending on the level of education and work experience.

• Specialist without categories - a graduate of a university without work experience or a specialist with a secondary vocational education and work experience in this field for at least three years.

Job Descriptions

I approve (organizational and legal form, (signature) (full name, position of the head of the name of the organization, or other official enterprise) of the person authorized to approve the job description) "" 20 M.P. Job description of an economist of a healthcare institution (name of a healthcare institution) This job description was developed and approved on the basis of employment contract with an economist, in accordance with the Labor Code of the Russian Federation and other legal acts regulating labor relations. 1. General provisions 1.1. The economist of the health care institution belongs to the category of specialists and reports directly.
(name of the position of the head) 1.2. A person with a higher professional education in the specialty and work experience is accepted for the position of an economist in a healthcare institution. 1.3.

Illuminations

A specialist with a secondary specialized education in other engineering and technical fields can get the position of an economist without a category in a budgetary institution if his experience is more than five years.

• The second category is given to a specialist with a higher education and work experience in the field of economics or in other engineering and technical fields in a position held by a specialist with a higher education for at least three years.
• The first category is a specialist with a higher education and work experience as an economist of the second category for at least three years.

Knowledge required in the work Job responsibilities of an economist in a budgetary institution require a specialist in this position to have a certain set of knowledge and skills.

Job responsibilities of an economist in a budgetary institution (for a resume)

The education of an economist opens the door to many holdings and corporations with highly paid jobs, and these specialists are also indispensable in budget organizations. The work of an economist includes many subtleties and requires deep knowledge. The most in demand are people with higher education, preferably graduating from a master's and postgraduate studies.
The higher the qualification of a specialist and the more experience, the better place of work awaits him. At the workplace, an economist performs several important functions: planning financial activities for a period, analyzing economic indicators, forecasting performance, supporting financial and business operations, reporting, accounting, and much more. Each specific organization sets individual tasks for its employees and ways to achieve them.

Job description of an economist

Take part in the work to improve the organization of production, prepare proposals aimed at increasing labor productivity and production efficiency, strengthening the economic independence and economic responsibility of the enterprise. 3.7. To carry out management of work aimed at raising the level of economic knowledge of workers and employees. 3.8 Manage structural divisions enterprises performing economic work to promote the implementation of the most cost-effective production management solutions. 3.9. To carry out the development of measures for the use of on-farm reserves, the certification and rationalization of jobs.
I approve [position, signature, full name of the head or other official authorized to approve the job description] [date, month, year] with the provisions of the Labor Code of the Russian Federation and other regulations governing labor relations in the Russian Federation. 1. General provisions 1.1. The Healthcare Economist is classified as a professional and reports directly to [title of manager].

1.2. A person with a higher professional education in the specialty and work experience [fill in as needed] is accepted for the position of an economist in a healthcare institution. 1.3.

Job description of an economist in a budgetary healthcare institution

Qualification requirements. Category I economist: higher professional (economic) education and work experience as an economist of category II for at least 3 years. Category II economist: higher professional (economic) education and work experience in the position of an economist or other engineering and technical positions filled by specialists with higher professional education, at least 3 years. Economist: higher vocational (economic) education without requirements for work experience or secondary vocational (economic) education and at least 3 years of work experience as a technician of category I or at least 5 years in other positions filled by specialists with secondary vocational education.
1. General provisions 1. An economist belongs to the category of specialists. 2.

Job description of the chief accountant of a budgetary healthcare institution

Important

Participation in the consideration of the developed production and economic plans, the implementation of work on resource saving, the introduction and improvement of on-farm accounting, the improvement of progressive forms of labor organization and management, as well as planning and accounting documentation. 2.13. Preparation of materials for the conclusion of contracts, tracking the timing of the fulfillment of contractual obligations. 2.14. Implementation of control over the implementation of planned targets for the institution and its divisions, the use of on-farm reserves.

2.15. Participation in conducting marketing research and forecasting the development of a healthcare institution. 2.16. Keeping records of economic indicators of the results of the production activities of the institution and its divisions, as well as accounting for concluded contracts. 3. Rights of an employee An economist of a healthcare institution has the right to: 3.1.
Draw up quarterly: "Report on the implementation of the state task and explanatory notes to it." Explanatory notes to accounting reports.3.14. Monthly:» Compile information on the amount of income from paid services." Prepare periodic reports, justifications, references, explanatory notes. To collect, accumulate information and other necessary materials to perform planned work or individual tasks. Systematize and summarize statistical materials and other data on the topic (task) as a whole, its individual sections or stages. Keep records utilities." Perform work on the formation, maintenance and storage of a database of planning and economic information, make changes to reference and regulatory information used in data processing. 3.15. Prepare documents for transfer to the archive. 3.16.
Features of the work of an economist in public sector Public organizations differ from commercial ones in many ways. The chart of accounts of the balance sheet used in postings and some unified forms of documents also differ. In addition, the receipt of funds, their expenditure and reporting for them are also taken into account in a completely different way. But, oddly enough, the job responsibilities of an economist in a budgetary institution are not far from the duties of employees. trading companies. Yes, the economist will use other calculation formulas, postings and reporting documentation in his work, but its essence will not change dramatically. His duties still include analysis, calculation and support of the organization's activities. Education, categories and experience In different cities of the country there are universities and academies that prepare students directly for public service.

I approve

_______________________________ _________ _______________________________

(organizational and legal form, (signature) (full name, position of head

name of the organization or other official

enterprise) of a person authorized to approve

"__" _________________ 20___

Job description

health care economist

_________________________________________________

(name of health care institution)

This job description has been developed and approved for

on the basis of an employment contract with an economist, in accordance with the Labor

Code of the Russian Federation and other regulatory legal acts,

1. General Provisions

1.1. The Healthcare Economist belongs to the category

specialists and reports directly to ____________________________.

(Job title

leader)

1.2. Hired for the position of Healthcare Economist

1.5. Professionally important qualities: ____________________________.

(list qualities)

2. Job responsibilities

The economist of the health care institution is responsible for the following

job responsibilities:

2.1. Work on the economic support of the institution

healthcare.

2.2. Preparation of data for the preparation of projects of economic and

financial activities of the health care institution.

2.3. Preparing required reports in a timely manner.

2.4. Performs cost estimates for medical services.

2.5. Performs calculations for the necessary material, labor and

financial costs.

2.6. Keeps records of economic performance indicators

health care institutions and its structural divisions.

2.7. Performs work on the formation, maintenance and storage of the database

economic information data in a healthcare facility, as well as

makes changes to the reference and regulatory information used in

data processing.

2.8. Conducts comprehensive economic analysis of all types

activities of health care institutions.

2.9. Development of measures for effective use

3.7. Other rights provided for by labor legislation.

4. Responsibility of the employee

The Healthcare Economist is responsible for:

4.1. For failure to perform or improper performance of their duties

responsibilities under this job description

within the limits determined by the current labor legislation of the Russian Federation.

4.2. For causing material damage to the employer - within the limits,

determined by the current labor and civil legislation of the Russian Federation.

4.3. For offenses committed in the course of exercising their

activities, - within the limits determined by the current administrative,

criminal, civil legislation of the Russian Federation.

Head of structural unit

_________________________

(initials, surname)

_________________________

(signature)

"__" _____________ 20__

Agreed:

Head of the legal department

_________________________

(initials, surname)

_________________________

(signature)

"__" _____________ 20__

Familiarized with the instructions:

_________________________

(initials, surname)

_________________________

(signature)