Zawód: technik logistyk 
Symbol cyfrowy zawodu: 342[04] 
Oznaczenie arkusza: 342[04]-01-102 
Numer zadania: 1 

 

 

 

PESEL

                                 

Data urodzenia zdającego 

wypełnia zdający 

 

KARTA PRACY EGZAMINACYJNEJ 

Potwierdzam 

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czytelny podpis członka Zespołu 

     czytelny 

podpis 

Przewodniczącego  

Nadzorującego 

Etap 

Praktyczny 

    Zespołu Nadzorującego Etap Praktyczny 

 

 
 
 
 

 
 
 
 
 
 
 
 
 
 
 
 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Materiały oddane przez zdającego. 

wypełnia zdający 

Uwagi 

wypełnia członek Zespołu 

Nadzorującego Etap 

Praktyczny 

Praca egzaminacyjna 

liczba stron..........

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KARTA OCENY 

szt.1 

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Element pracy 

egzaminacyjnej 

Liczba 

uzyskan

ych 

punktów 

I 

 

II 

 

III 

 

IV 

 

V 

 

VI 

 

VII 

 

VIII 

 

Suma

 

Arkusz zawiera informacje 

prawnie chronione do 

momentu rozpoczęcia 

egzaminu 

Miejsce na naklejkę  

z nr PESEL 

 

Strona

 z

 

 

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(tytuł pracy egzaminacyjnej) 

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Strona

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Strona

 z

 

 

                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           
                                                                           

 

Strona

 z

 

 

 
 

 

 

Strona

 z

 

 

 

 
List przewozowy 

1. Nadawca: 

 

2.Odbiorca:   
 
 

13. Przewoźnik: 

14. Nr rejestr. samochodu: 

3.Miejsce przeznaczenia: 

15.Imię i nazwisko kierowcy: 

4.Miejsce i data załadunku: 16. 

Zastrzeżenie przewoźnika: 

 
 

Przewoźnik nie odpowiada za jakość, ilość, 
 zawartość i stan towaru wewnątrz opakowań. 
 

5

.Załączone dokumenty

: 

17. Uwagi: 

6.Rodzaj towaru, ilość sztuk, sposób opakowania: 

7.Waga brutto: 

8. Objętość: 

 

 

 

9. Wystawiono w                                                               dnia 

10.Podpis i stempel nadawcy: 

11.Podpis i stempel przewoźnika: 12.Podpis 

i 

stempel 

odbiorcy: 

 

 

Strona

 z

 

 

 
 

 

Strona

 z