Plné znění - 32016R1191

NAROZENÍ

VÍCEJAZYČNÝ XXXXXXXXXX XXXXXXXX – XXXXXXX XXX XXXXXXX

Xxxxxx 7 xxxxxxxx Evropského xxxxxxxxxx x Xxxx (XX) 2016/1191 xx dne 6. července 2016 x xxxxxxx xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxxxx xxxxxxxxx xxxxxxxxx listin x Evropské xxxx x x xxxxx xxxxxxxx (XX) č. 1024/2012 (1)

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Xxxxxxxx (EE) Xxxxx (XX)

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Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Kypr (XX)

Xxxxxxxx (LV) Xxxxx (XX)

Xxxxxxxxxxx (LU)

Maďarsko (HU) Xxxxx (XX)

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Xxxxxx (PL) Xxxxxxxxxxx (XX)

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Švédsko (SE) Xxxxxxx xxxxxxxxxx (UK)

DŮLEŽITÉ XXXXXXXXXX

Xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxx xxxxxxxx xxxxxxx listiny, x xxx xx přiložen. Xxxxx xxxxxxxx xx xxxx xxxxxxxxx xxxxx xxxxx xxxxxxxxx jako xxxxxxxxxx xxxxxxxx.

Xxxxx formulář xxxxxx xxxxx xxxxxxx xxxxxxx, x xxx xx xxxxxxxx. Orgán, xxxxx xx xxxxxxx xxxxxxx xxxxxxxxxxx, však xxxx x xxxxxxxxx, xxx xx to xxxxxxxx pro účely xxxxxxxxxx xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx xxxxxxxxx, xxxxx xxxx xx formuláři xxxxxxx.

XXXXXXXXXX XXX VYDÁVAJÍCÍ XXXXX

Xxxxxx xxxxx xxxxxxxxx, xxxxx xxxx xxxxxxx xx xxxxxxx xxxxxxx, x xxx xx xxxxxxxx xxxxx xxxxxxxx. (2)

Xxxxx xxxxxxx xxxxxxx, x xxx xx xxxxxxxx xxxxx formulář, xxxxxxxxxx xxxxxx xxxxx xxxx xxxxxxxxx, xxxxxx „–“.

1. ORGÁN XXXXXXXXXX XXXXX FORMULÁŘ

1.1 Název (3)

2. XXXXX VYDÁVAJÍCÍ XXXXXXXX XXXXXXX, K XXX JE XXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (4)

(1) Úř. věst. X 200, 26.7.2016, x. 1.

(2) Xxx xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

(3) Xxxxx „xxxxx“ je třeba xxxxxxxx xxxx xxxxxx xxxxx xxxxxx xxxxxxxxxxxx xxxxxxxx.

(4) Xxxxx „xxxxx“ xx třeba xxxxxxxx xxxx xxxxxx xxxxx xxxxxx xxxxxxxxxxxx xxxxxxxx xxxxxxx, x xxx xx xxxxxxxx tento xxxxxxxx.

3. XXXXXXXXX XXXXXXXX XX XXXXXXX XXXXXXX, X NÍŽ JE XXXXXXXX XXXXX XXXXXXXX

3.1 Xxxxxxx vydaná xxxxxxx xxxx úředníkem x xxxxxx xx xxxxx xxxxxx xxxxxxxxx xxxxx

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx xxxxxx státním xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx xxxxxx xxxxxxx úředníkem

3.1.4 Listina xxxxxx xxxxxxx vykonavatelem („xxxxxxxx xx xxxxxxx“)

3.1.5 Xxxx (xxxxxxxxx)

3.2 Listina xxxxxx správním úřadem

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx z xxxxxxx

3.2.3 Xxxxx x xxxxxxxx obyvatel

3.2.4 Xxxx xxxxxxxxxx záznamů

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx listina

3.4 Xxxxxx osvědčení, xxxxxx xxxx opatřena xxxxxxx xxxxxxxxx xxxxxxxxx osobou

3.5 Xxxxxxx xxxxxxxxxx diplomatickým xxxxxxxxx xxxx konzulárním xxxxxxxxx xxxxxxxxx xxxxx x rámci výkonu xxxx služebních xxxxxxxxxx

3.6 Xxxxx (dd/mm/rrrr) xxxxxx

3.7 Xxxxxxxxxx xxxxx veřejné xxxxxxx

4. XXXXXXXXX O XXXXXXXXX

4.1 Xxxxxxxx

4.2 Xxxxx (xxxxx)

4.3 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.4 Xxxxx (1) x xxxx (2) xxxxxxxx

4.5 Xxxxxxx:

4.5.1 Xxxx

4.5.2 Xxx

4.5.3 Xxxxxxxx

5. XXXX XXX PODPIS

5.1 Příjmení x xxxxx (jména) xxxxxxxx, xxxxx xxxxx xxxxx xxxxxxxx

5.2 Xxxxxx xxxxxxxx, xxxxx xxxxx xxxxx xxxxxxxx

5.3 Xxxxx (xx/xx/xxxx) vydání

5.4 Xxxxxx

5.5 Xxxxx xxxx xxxxxxx

(1) Xxxxx „xxxxx xxxxxxxx“ xx rozumí název xxxx nebo města, xxxxxx a kraje, xxx se xxxx xxxxx narodila.

(2) Název xxxx a – xxxxx xxxxxxxx – xxx XXX xxxx xxxx xxxx xxxxxxx „Xxxx (xxxxxxxxx)“ je xxxxx xxxxxx x xxxxxxxxxxx nabídky xx xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxxxxxx, který xx x xxxxxxxxx xx xxxxxxx xxxxxxxx e-justice.

VÍCEJAZYČNÝ XXXXXX XXXXX STANDARDNÍCH XXXXXXX

(XXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX EXPIDE XXXX IMPRESO/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, DIE XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX VORMI XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX FORM/ (XX) XXXXXXXX DE XXXXXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) AN tÚDARÁS X XXXXXXXX AN XXXXXX SEO/ (XX) XXXXXX XXXX XXXXXX XXXX XXXXXXX/ (IT) XXXXXXXÀ CHE XXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXX IZDEVĒJIESTĀDE/ (XX) XXĄ FORMĄ XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX TA' XXX IL-FORMOLA/ (NL) XXXXXXXXXX XXX XXXXXXX XXX DIT XXXXXXXXX/ (XX) ORGAN XXXXXĄXX XXXXXXXXX FORMULARZ/ (PT) XXXXXXXXXX XXX XXXXX X PRESENTE FORMULÁRIO/ (XX) AUTORITATEA EMITENTĂ X XXXXXXXXXXX FORMULAR/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (SL) XXXXX, XX XXXX XX XXXXXXX/ (FI) XÄXÄX XXXXXXXXX ANTAVA XXXXXXXXXXXX/ (XX) XXXXXXXXX XXX XXXÄXXXX FORMULÄRET

1.1

(BG) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (XX) BEZEICHNUNG/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) NAZIV/ (IT) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (MT) XXXXX/ (XX) BENAMING/ (XX) XXXXX/ (PT) XXXXXXXÇÃX/ (XX) XXXXXXXX/ (SK) XXXXX/ (SL) XXX/ (XX) XXXX/ (SV) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XX DOCUMENTO XXXXXXX XX XXX XX XXXXXXX ESTE XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX LISTINU, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXX XXXXXXXXX, XXX XXX UDSTEDT DET XXXXXXXXXX XXXXXXXX, SOM XXXXX XXXXXXXX ER XXXXÆXXXX/ (XX) BEHÖRDE, XXX XXX ÖXXXXXXXXXX XXXXXXX, XXX DIESES XXXXXXXX BEIGEFÜGT XXX, XXXXXXXXX/ (XX) XXXXXX, XXX ANDIS XÄXXX XXXXXXX XXXXXXXXX, MILLELE XXX XXXX ON XXXXXXX/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXX ISSUING XXX XXXXXX DOCUMENT TO XXXXX XXXX FORM XX XXXXXXXX/ (XX) XXXXXXXX DE XXXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX JOINT XX XXXXXXX XXXXXXXXXX/ (XX) AN xXXXXXX X EISEOIDH XX XXXXXXXXX POIBLÍ LENA XXXXXX XX FHOIRM XXX XXXXXXXXXX/ (XX) XXXXXX KOJE IZDAJE XXXXX ISPRAVU XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) AUTORITÀ XXX XXXXXXXX IL XXXXXXXXX PUBBLICO XXX XX PRESENTE XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, KURAM XĪ XXXXXXXX XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX ŠI XXXXX, XXXXXXXXXX VALDŽIOS XXXXXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (MT) XXXXXXXÀ EMITTENTI XXX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX MEHMUŻA DIN XX-XXXXXXX/ (XX) XXXXXXXXXX XXX AFGIFTE VAN XXX XXXXXXXX DOCUMENT XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (PL) XXXXX XXXXXĄXX DOKUMENT XXXĘXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXXXX XXX EMITE X XXXXXXXXX XXXXXXX A XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXXX EMITENTĂ X XXXXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX FORMULAR/ (XX) XXXXX XXXXXXXXXX XXXXXXX LISTINU, KU XXXXXX XX XXXXX XXXXXXXX PRIPOJENÝ/ (SL) XXXXX, KI XXXX XXXXX LISTINO, KI XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXXXX, JOKA ON XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (SV) MYNDIGHET XXX XXXÄXXXX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX FORMULÄR ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) INFORMACIÓN XXXXXXXX XX DOCUMENTO XXXXXXX XX XXX XX XXXXXXX XXXX IMPRESO/ (XX) XXXXXXXXX XXXXXXXX XX VEŘEJNÉ XXXXXXX, X XXX JE XXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX VEDRØRENDE XXX OFFENTLIGE XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXX XXX ÖFFENTLICHEN XXXXXXX, XXX DIESES XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX XXXXXXX XXXXXXXXX XXXXX, XXXXXXX XXX VORM ON XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX RELATING XX XXX PUBLIC XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX XX DOCUMENT XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XXXXXXXX X BHAINEANN XXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX AN XXXXXX SEO CEANGAILTE/ (XX) XXXXXXXXXXX XXXX XX ODNOSE XX XXXXX ISPRAVU XXXXX XX OVAJ XXXXXXX XXXXXXXX/ (IT) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXXX CUI IL XXXXXXXX XXXXXX È XXXXXXXX/ (LV) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX ŠĪ VEIDLAPA XX PIEVIENOTA/ (XX) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX DOKUMENTU, XXXX XXXXX XXXXXXXXX XX XXXXX/ (HU) A XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXXX INFORMÁCIÓK/ (MT) XXXXXXXXXXXXX XXXX ID-DOKUMENT XXXXXXXX XX MIEGĦU XXXX MEHMUŻA DIN XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX WAARAAN DIT XXXXXXXXX IS XXXXXXX/ (XX) INFORMACJE XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX RELATIVAS AO XXXXXXXXX XXXXXXX X XXX O XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX PREZENTUL XXXXXXXX/ (XX) XXXXXXXXXX O XXXXXXXX XXXXXXX, KU XXXXXX XX TENTO XXXXXXXX XXXXXXXXX/ (SL) XXXXXXXXXXX V ZVEZI X XXXXX XXXXXXX, XX JI XX XXXXXXXX TA XXXXXXX/ (XX) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (SV) XXXXXXXXXXX XX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX BIFOGAT

3.1

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX XXXXXXXX XXX UNA XXXXXXXXX X UN FUNCIONARIO XXXXXXXXX A XXX XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX MIEMBRO/ (XX) LISTINA XXXXXX XXXXXXX NEBO XXXXXXXXX X XXXXXX XX XXXXX XXXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXXX, XXX XX XXXXXXX XX EN XXXXXXXXX XXXXX XX XXXXXXXXXX, XXX XX TILKNYTTET XXXXXXXX X EN XXXXXXXXXXX/ (XX) XXXXXXX XXXXX BEHÖRDE XXXX XXXXX AMTSPERSON ALS XXXXX XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, MILLE XX XÄXXX ANDNUD XXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXXXX XÕX AMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX XXXX XX AUTHORITY XX XX OFFICIAL XXXXXXXXX WITH XXX XXXXXX XX XXXXXXXXX XX X MEMBER XXXXX/ (XX) DOCUMENT XXXXXXX X'XXX XXXXXXXX XX X'XX XXXXXXXXXXXXX XXXXXXXX X'XXX XXXXXXXXXXX X'XX XXXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXX XX X XXXXXXXXX X BHFUIL BAINT XXXX NÓ XXXX XX CÚIRTEANNA XX XX XXXXX DE XXXXX XXXXXXXXX/ (HR) XXXXXXX XXXX XX XXXXXX XXXXXX XXX XXXXXXXXX XXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ X XX XX XXXXXXXXXXX APPARTENENTE XX XXX XXXXX GIURISDIZIONI XX UNO STATO XXXXXX/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX XX XXXĪXXXXXXX XXXXĀX XXXXXĪXX XXXXĀXX VAI XXXXXXXXXXX/ (XX) DOKUMENTAS, XXXXXXXX XXXXXXXX XXXXXXXXXXXX AR XXXXXXŪXX, SUSIJUSIŲ XX XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX XXXX XXXXXXX VAGY XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX XXXXXXXÀ XXX XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX XXX IT-TRIBUNALI XX' XXXX XXXXXX/ (NL) XXXXXXXX XXXXXXXXX DOOR XXX AUTORITEIT OF XXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXXXXXX XXXXXXXXX XXX EEN XXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX ORGANU SĄDOWEGO XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX DE XXX XXXXXXXXXX OU XX XX FUNCIONÁRIO XXXXXXXXXX DE XXXXXXXX XXXXXXXÇÃX DE UM XXXXXX-XXXXXX/ (RO) XXXXXXXX XXXX DE X XXXXXXXXXX XXX XX XX FUNCȚIONAR DE XX XÂXXĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (XX) LISTINA VYDANÁ XXXXXXX ALEBO ÚRADNÍKOM X VÄZBOU NA XXXX ČLENSKÉHO XXXXX/ (XX) XXXXXXX, XXXXXX X XXXXXX XXXXXX XXX XXXXXXXX SODNE XXXXXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX, JONKA XX ANTANUT XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX VIRANOMAINEN XXX XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX XX XXXXXXXXX XXXXX XX TJÄNSTEMAN XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (DA) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (EL) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (EN) XXXXX XXXXXXXX/ (XX) XXXXXXXX XX JUSTICE/ (GA) XXXXXXXX XX gCÚIRT/ (XX) XXXXXX ODLUKA/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (XX) TEISMO XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXX/ (XX) DEĊIŻJONI XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (XX) XXXXXÃX XXXXXXXX/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX ROZHODNUTIE/ (XX) XXXXX ODLOČBA/ (XX) TUOMIOISTUIMEN PÄÄTÖS/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) DOCUMENTO XXXXXXXX XXX XX MINISTERIO XXXXXX/ (CZ) XXXXXXX XXXXXX STÁTNÍM XXXXXXXXX/ (XX) XXXXXXXX UDSTEDT XX XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX EINER XXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX ON XÄXXX XXXXXX RIIKLIK XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX X PUBLIC XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX MINISTÈRE PUBLIC/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (XX) ISPRAVA XXXX JE XXXXXX XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXXXX MINISTERO/ (LV) XXXXXXXXX, KURU IZSNIEDZIS XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (HU) ÜXXXXX XXXXX KIÁLLÍTOTT XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXXXXX DOOR XXX XXXXXXXX MINISTERIE/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXX, XX XX XXXX XXXXXXX XXXXXXXXX/ (XX) VIRALLISEN XXXXXÄXÄX XXXXXX ASIAKIRJA/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX UN XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXX XXXXXXX ÚŘEDNÍKEM/ (DA) XXXXXXXX XXXXXXX AF XX JUSTITSSEKRETÆR/ (XX) XXXXXXX XXXXX URKUNDSBEAMTEN XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXX XX X COURT/ (XX) XXXXXXXX ÉMANANT X'XX XXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX Ó XXXXXXXXXX XX XXXXX XXXXXX/ (HR) ISPRAVA XXXX XX IZDAO XXXXXXXXXX XXXXXX PISARNICE/ (XX) DOCUMENTO EMANATO XX UN XXXXXXXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (XX) TEISMO XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ MINN XXĠXXXXXXXX XX' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN GRIFFIER/ (XX) XXXXXXXX POCHODZĄCY XX XXXXXXXXXX XĄXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXX XX JUSTIÇA/ (RO) XXXXXXXX XXXX XX XX GREFIER XX XXXXXXȚXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXX/ (XX) LISTINA, XX XX XXXX XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX ANTAMA ASIAKIRJA/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXX («HUISSIER DE XXXXXXX»)/ (CZ) XXXXXXX XXXXXX XXXXXXX VYKONAVATELEM („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX XX XX XXÆXXXXXXXXXX (»XXXXXXXX DE JUSTICE«)/ (XX) URKUNDE EINES XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX KOHTUTÄITUR/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚ ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX JUSTICE»)/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXXXX XXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) DOCUMENT XXXXXXX X'XX XXXXXXXX XX XXXXXXX/ (GA) DOICIMÉAD X THAGANN X XXXXXXXXX XXXXXXXXXXXX (“HUISSIER XX JUSTICE”)/ (HR) XXXXXXX XXXX XX XXXXX XXXXXX OVRŠITELJ (XXXXXXXX XX XXXXXXX)/ (XX) DOCUMENTO XXXXXXX XX XX UFFICIALE XXXXXXXXXXX ("HUISSIER XX XXXXXXX")/ (XX) XXXXXXXXX, XXXX IZSNIEDZIS XXXXXX XXXXXXĪXĀXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX (XXXXXXXX DE JUSTICE) XXXXXXXX DOKUMENTAS/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX OD XXXĘXXXXX XĄXXXXXX (HUISSIER XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXÃX XX XXXXXXX («XXXXXXXX DE XXXXXXX»)/ (RO) XXXXXXXX XXXX XX UN XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (SK) XXXXXXX VYDANÁ SÚDNYM XXXXXXXXXXĽXX („XXXXXXXX XX XXXXXXX“)/ (SL) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX („HUISSIER XX XXXXXXX“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX XX XXXXXXX”) XXXXXX ASIAKIRJA/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX EN XXÄXXXXXXXXX (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) XXXX (XXXXXXXXX)/ (DA) XXXXX (ANGIVES)/ (XX) XXXXXXXXX (XXXXX ANGEBEN)/ (XX) MUU (TÄPSUSTAGE)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) OTHER (XX XX SPECIFIED)/ (XX) XXXXX (À XXXXXXXX)/ (XX) XXXX (LE XXXXX)/ (HR) OSTALO (XXXXXXX)/ (XX) XXXXX (XXXXXXXXX)/ (XX) XXXX (XXXXXXĒX)/ (XX) KITA (XXXXXXXX)/ (XX) XXXXX (XXXXÜX PONTOSÍTANI)/ (XX) XĦXXXX (IPPREĊIŻA)/ (NL) XXXXXXX (SPECIFICEREN)/ (PL) XXXX (XXXXXĘ OKREŚLIĆ)/ (XX) XXXXXX (X XXXXXXXXXXX)/ (XX) XXXXX (X XX XXXXXXX)/ (XX) INÉ (XXXXXXXX)/ (XX) XXXXX (NAVESTI)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (SV) ANNAN XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (ES) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) LISTINA XXXXXX SPRÁVNÍM ÚŘADEM/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) ADMINISTRATIVE XXXXXXXX/ (XX) DOCUMENT ADMINISTRATIF/ (XX) XXXXXXXXX XXXXXXXXXX/ (XX) UPRAVNA XXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) ADMINISTRACINIS XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) HALLINNOLLINEN XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) CERTIFICADO/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) BESCHEINIGUNG/ (XX) TÕEND/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (HR) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (LT) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊERTIFIKAT/ (XX) XXXXXXXXXXX/ (XX) ZAŚWIADCZENIE/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (FI) XXXXXXXX/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX XXXXXXXX XXXXX/ (CZ) XXXXX X MATRIKY/ (XX) XXXXXX XXX CIVILSTANDSREGISTRET/ (XX) AUSZUG XXX XXX PERSONENSTANDSREGISTER/ (ET) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX XXXXX STATUS XXXXXXXX/ (XX) XXXXXXX XX REGISTRE DE X'XXXX CIVIL/ (XX) XXXXXXX XX XX xXXXX STÁDAIS SHIBHIALTA/ (XX) IZVADAK IZ XXXXXXXX XXXXXXX STANJA/ (XX) XXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) IZRAKSTS XX XXXXXXXĀXXXĻX XXXX XXĢXXXXX/ (LT) XXXXXXX XX CIVILINĖS BŪKLĖS XXXŲ XXXXXXXX/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) XXXXXXX MIR-REĠISTRU TAL-ISTAT ĊXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXX XXX XX BURGERLIJKE XXXXX/ (PL) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXX XX XXXX XX XXXXXXX XXXXX/ (XX) XXXXXX DIN XXXXXXXXX XX STARE CIVILĂ/ (XX) XXXXX X XXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXX XX XXXXXXXX X OSEBNEM XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) UTDRAG XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) EXTRACTO XXX XXXXX/ (CZ) XXXXX X REGISTRU XXXXXXXX/ (DA) UDDRAG XXX XXXXXXXXXXXXXX/ (XX) XXXXXX AUS DEM XXXXXXXXXXXXX/ (XX) RAHVASTIKUREGISTRI XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (EN) XXXXXXX XXXX THE XXXXXXXXXX XXXXXXXX/ (XX) EXTRAIT XX REGISTRE XX XX XXXXXXXXXX/ (XX) XXXXXXX XX XX xXXXX DAONRA/ (XX) XXXXXXX XX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XX XXXXĪXXXĀXX XXĢXXXXX/ (XX) IŠRAŠAS XX XXXXXXXXŲ XXXXXXXX/ (XX) XXXXXXX A XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX TAL-POPOLAZZJONI/ (XX) UITTREKSEL XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX X XXXXXXXX XXXXXŚXX/ (XX) XXXXXXX XX XXXXXXX XX XXXXXXÇÃX/ (RO) XXXXXX XXX XXXXXXXXX DE XXXXXXȚĂ X POPULAȚIEI/ (XX) XXXXX X XXXXXXXX XXXXXXXĽXX/ (SL) XXXXXXX XX XXXXXXXX XXXXXXXXXXXX/ (XX) VÄESTÖREKISTERIOTE/ (XX) UTDRAG XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX DE XXXXX XXX XXXXXXXX XXXXX/ (CZ) XXXX XXXXXXXXXX ZÁZNAMŮ/ (DA) XXXXXX XXXX XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) PEREKONNASEISUAKTI KOOPIA/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) VERBATIM XXXX XX XXXXX XXXXXX XXXXXXX/ (XX) XXXXX XXXXXXXXX D'ACTES XX X'XXXX CIVIL/ (XX) XXXX XXXXX AR XXXXXX DE XXXXXXX XX XXXXXX XXXXXXXXX/ (XX) DOSLOVNI PRIJEPIS XX EVIDENCIJA O XXXXXXX STANJU/ (IT) XXXXX XXXXXXXXX XX XXXX XX STATO XXXXXX/ (XX) CIVILSTĀVOKĻA XXXX REĢISTRA IERAKSTU XXXXXXXXXX XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX AKTŲ ĮXXXŲ XXXXXXXĖ KOPIJA/ (XX) XXXXXÖXXXX BEJEGYZÉS XXX SZERINTI XXXXXXXX/ (XX) KOPJA XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (XX) EENSLUIDEND XXXXXXXXX XXX XXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (XX) CERTIDÃO XX XXXXX XXXXXXXX XX XX NARRATIVA XX XXXX DE XXXXXXX XXXXX/ (XX) XXXXX XXXXXĂ X XXXX XXX XX STARE XXXXXĂ/ (XX) XXXXXXXX XXXXX XX ZÁPISOV X XXXXXXX XXXXX/ (XX) DOBESEDNI XXXXXX XXXXXXX O OSEBNEM XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX JÄLJENNÖS/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXÆXXXX DOKUMENT/ (XX) XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX ACT/ (XX) XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX XXXXXXXX/ (LV) XXXXXXĀXX XXXX/ (LT) XXXXXXXXX AKTAS/ (XX) XÖXXXXXXŐX OKIRAT/ (MT) XXX XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (XX) XXX NOTARIALNY/ (XX) XXX XXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX ANTAMA ASIAKIRJA/ (XX) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX XXXXXX XXXXX XX DOCUMENTO XXXXXXX/ (XX) ÚŘEDNÍ XXXXXXXXX, XXXXXX XXXX XXXXXXXX LISTINA XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXX XÅXXXXXXX XÅ XX DOKUMENT XXXXXXXXXXX XX XX XXXXXX X XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX XXXXX PRIVATURKUNDE/ (XX) XXXXX XXXXX XXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX XXXXXXX XÕXXX/ (EL) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX XXXXXX XX X XXXXXXXX XXXXXX XX X XXXXXX XX XXX XX XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX APPOSÉE XXX UN XXXX XXXX SEING XXXXX/ (XX) DEIMHNIÚ XXXXXXXXX X XXXXXXXXX XX XXXXXXXXXX XXXX SHÍNIÚ XX XXXXX XXX XXXXX XX XXX XXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX POTVRDA XXXXXXXXX XX XXXXXXX KOJU XX XXXXX POTPISALA X PRIVATNOM XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX XXX XXXXXXXXX PRIVATA/ (LV) XXXXXĀXX APLIECINĀJUMS XX XXXXXXXXX, KO XXXĀ XĀXXĀ PARAKSTĪJUSI XĀXX XXXXXXX/ (XX) XXXXXXXŲ XXXXXŲ PASIRAŠYTŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ĊERTIFIKAT XXXXĊXXXX XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX MINN XXXXXXX XXX-XXXXĊXXÀ PRIVATA XXXĦXX/ (NL) OFFICIEEL XXXXXXXXXXX XX XXX XXXXXXXX XXXXXXXXXXX XXXX XXX PERSOON IN XXXX PARTICULIERE XXXXXXXXXXXX/ (XX) URZĘDOWE ZAŚWIADCZENIE XXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXXX PRZEZ XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX XXXXXXXXX/ (XX) DECLARAÇÃO XXXXXXX XXXXXXX XXX XXX XX NATUREZA XXXXXXX/ (XX) XXXXXXXXXX XXXXXXX XXXXXXX PE XX XXXXXXXX SUB XXXXĂXXXĂ XXXXXXĂ/ (SK) XXXXXX OSVEDČENIE UVEDENÉ XX XXXXXXX PODPÍSANEJ XXXXXX KONAJÚCOU XXX XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXX NA XXXXXXX LISTINI/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, XXXXX XXXXXXÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX XXXXX ANBRINGAT XÅ XX HANDLING XXX XXXXXXXXXXXXX XX XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) DOCUMENTO XXXXXXXX XXX XX XXXXXX XXXXXXXXXXX O CONSULAR XX UN XXXXXX XXXXXXX CON CARÁCTER XXXXXXX/ (CZ) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX ZÁSTUPCEM XXXX KONZULÁRNÍM XXXXXXXXX XXXXXXXXX STÁTU V XXXXX XXXXXX JEHO XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX UDFÆRDIGET XX EN XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (XX) XXX XXXXX XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXX EINES XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX VÕI KONSULAARAMETNIKU XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX DRAWN UP XX A DIPLOMATIC XX XXXXXXXX AGENT XX A MEMBER XXXXX IN XXX XX XXX XXXXXXXX XXXXXXXX/ (FR) XXXXXXXX XXXXXX EN XX XXXXXXX XXXXXXXXXX XXX XX XXXXX XXXXXXXXXXXX XX XXXXXXXXXX X'XX XXXX MEMBRE/ (GA) XXXXXXXXX XXXX XXXXXXXXXX XXXX XX GNÍOMHAIRE XXXXXXXXXXXXXXXX XX CONSALACH XX XXXXX XXXXXXXXX XXX XXXXX XX XXX XXXX OIFIGIÚIL/ (XX) ISPRAVA XXXX XX X SLUŽBENOM XXXXXXXX SASTAVIO XXXXXXXXXXX XXX XXXXXXXXXX PREDSTAVNIK XXXXXX XXXXXXX/ (XX) XXXXXXXXX REDATTO XX XXXXXX XXXXXXXXXXX X XXXXXXXXX XX UNO XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (XX) XXXXXXXXX, KURU, XXXXXX XXXXX XXXXĀXXXXX, XXXXXXXXXXX DALĪBVALSTS XXXXXXĀXXXXXXX XXX KONSULĀRAIS XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX XX XXXXXXXXXX PAREIGŪNO, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX VAGY XXXXXXX KÉPVISELŐJE ÁLTAL XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXXX MINN XĠXXX XXXXXXXXXXX JEW XXXXXXXXX XX' XXXX XXXXXX XXX-XXXXĊXXÀ UFFIĊJALI TIEGĦU/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX XXX XXX LIDSTAAT XX XXXX OFFICIËLE XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX XXXĘXXXXX/ (PT) XXXXXXXXX XXXXXXX XXX UM XXXXXX DIPLOMÁTICO XX XXXXXXXX XX XX XXXXXX-XXXXXX NO XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX XX XĂXXX XX XXXXX DIPLOMATIC XXX XXXXXXXX AL XXXX STAT MEMBRU, ÎX XXXXXXXX OFICIALĂ/ (XX) XXXXXXX VYHOTOVENÁ XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX ČLENSKÉHO XXXXX V XXXXX XXXXXX JEHO XXXXXXX/ (XX) XXXXXXX, KI XX XXX XXXXXX XXXXX XXXX DIPLOMATSKI XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (FI) XXXXXXXXX, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX EDUSTAJA XXX XXXXXXXXXXXXXXX ON XXXXXXXX XXXXXXXXXXXXXXXXXX/ (SV) XXXXXXXX XXXXÄXXXX I XXÄXXXXX XX XX XXXXXXXXXXX XXXXX XXXXXXÄX XXÄXXXXXXX X XX MEDLEMSSTAT

3.6

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) UDSTEDELSESDATO (XX/XX/ÅÅÅÅ)/ (DE) AUSSTELLUNGSDATUM (XX/XX/XXXX)/ (XX) VÄLJAANDMISE XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (FR) XXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (HR) XXXXX (DD/MM/GGGG) XXXXXXXXX/ (XX) XXXX DI XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (XX) IŠDAVIMO XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) VAN XXXXXXX/ (XX) DATA (DD/MM/RRRR) XXXXXXX/ (XX) XXXX XX XXXXXÃX (DD/MM/AAAA)/ (XX) DATA (ZZ/LL/AAAA) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/LLLL) IZDAJE/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (DD/MM/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX XXXXXXXXXX DEL XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX ČÍSLO XXXXXXX XXXXXXX/ (DA) XXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) KENNNUMMER DER ÖXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) REFERENCE XXXXXX XX XXX PUBLIC XXXXXXXX/ (FR) NUMÉRO XX RÉFÉRENCE XX XXXXXXXX XXXXXX/ (XX) XXXXXX XXXXXXXXX AN XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX BROJ JAVNE XXXXXXX/ (XX) NUMERO XX XXXXXXXXXXX DEL XXXXXXXXX XXXXXXXX/ (LV) XXXXXXXĀ DOKUMENTA XXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXX/ (XX) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (MT) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (NL) REFERENTIENUMMER XXX XXX XXXXXXXX XXXXXXXX/ (PL) XXXXX XXXXXXXXXXXX XXXXXXXXX URZĘDOWEGO/ (XX) NÚMERO XX XXXXXÊXXXX XX DOCUMENTO XXXXXXX/ (XX) XXXĂXXX XX REFERINȚĂ XX XXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (XX) REFERENČNA XXXXXXXX JAVNE LISTINE/ (XX) XXXXXXX ASIAKIRJAN XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА РОДЕНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX LA XXXXXXX XXXXXX/ (CZ) XXXXXXXXX X XXXXXXXXX/ (XX) XXXXXXXXXXX XX XXX XXXXXX, DER XX XØXX/ (XX) ANGABEN XXX PERSON, XXXXX XXXXXX XXXXXXXXX XXXX/ (XX) XÜXXXXXX ISIKUT XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΠΟΥ ΓΕΝΝΗΘΗΚΕ/ (EN) XXXXXXXXXXX ON THE XXXXXX BORN/ (XX) XXXXXXXXXXXX XXX XX XXXXXXXX XXX/ (XX) XXXXXXXX XXXXXX LEIS XX XXXXX X XXXXXX/ (XX) XXXXXXXXXXX X XXĐXXXX OSOBI/ (XX) INFORMAZIONI XXXXX XXXXXXX XXXX/ (XX) XXXXXXĀXXXX XXX DZIMUŠO XXXXXXX/ (XX) XXXXXXXXXXX XXXX XXXXXĮ XXXXXĮ/ (XX) X XXXXXÜXXXXXX XXXXXXXXX VONATKOZÓ ADATOK/ (XX) INFORMAZZJONI DWAR XX-XXXXXXX XXXXXXX/ (NL) XXXXXXXXXX XXXX XX XXXXXXXX/ (XX) XXXX XXXXXXĄXX XXXXX XXXXXXXXX/ (XX) XXXXXXXÇÕXX SOBRE X XXXXXX QUE XXXXXX/ (RO) XXXXXXXȚXX XXXXXXX PERSOANA XĂXXXXĂ/ (XX) INFORMÁCIE X XXXXXXXXX OSOBE/ (XX) XXXXXXXXXXX X XXXXXX XXXXX/ (FI) XXXXXXXXX XXXXXXÖX TIEDOT/ (XX) XÖXXXXXXXXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X)/ (XX) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (XX) FAMILIENNAME(N)/ (XX) XXXXXXXXXXXXX (-XXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α)/ (XX) SURNAME(S)/ (XX) XXX(X)/ (XX) XXXXXXX (SLOINNTE)/ (XX) XXXXXXX(XX)/ (XX) COGNOME(I)/ (XX) UZVĀRDS(-I)/ (XX) XXXXXXĖ (-ĖX)/ (XX) XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (XX) XXXXXXXX(X)X(XX)/ (XX) NAZWISKO(-A)/ (XX) XXXXXXX(X)/ (RO) XXXX/ (XX) XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX/ (XX) SUKUNIMI (-XXXXX)/ (SV) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) XXXXX (XXXXX)/ (DA) FORNAVN(E)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (EN) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (HR) XXX(XX)/ (IT) NOME(I)/ (XX) VĀRDS(-I)/ (LT) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (MT) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (IMIONA)/ (XX) XXXX(X) PRÓPRIO(S)/ (RO) XXXXXXX/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (XX) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) NAROZENÍ/ (XX) XØXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (FR) XXXX (JJ/MM/AAAA) DE XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (HR) XXXXX (DD/MM/GGGG) XXĐXXXX/ (XX) XXXX XX XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (HU) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXX (JJ/XX/SSSS) XXX-XXXXXX/ (XX) GEBOORTEDATUM (DD/MM/JJJJ)/ (XX) XXXX (DD/MM/RRRR) XXXXXXXXX/ (XX) DATA XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXȘXXXXX/ (SK) DÁTUM (XX/XX/XXXX) XXXXXXXXX/ (SL) XXXXX (XX/XX/XXXX) ROJSTVA/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.4

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX Y XXXX XX XXXXXXXXXX/ (XX) XXXXX X XXXX XXXXXXXX/ (XX) XØXXXXXX XX -LAND/ (XX) XXX UND LAND XXX XXXXXX/ (XX) XÜXXXXXXX XX -RIIK/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (EN) XXXXX AND XXXXXXX XX XXXXX/ (XX) XXXX XX XXXX XX XXXXXXXXX/ (XX) XXX XXXX XXX XXXXXXXX/ (HR) XXXXXX X XXXXXX ROĐENJA/ (XX) XXXXX X XXXXX DI NASCITA/ (XX) XXXXXXXXX XXXXX XX VALSTS/ (XX) XXXXXX XXXXX XX XXXXX/ (HU) SZÜLETÉSI XXXXX ÉS XXXXXXX/ (XX) POST X XXXXXŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX XX -XXXX/ (XX) XXXXXXX X XXŃXXXX URODZENIA/ (XX) XXXXX X PAÍS XX XXXXXXXXXX/ (XX) XXXXX ȘX ȚARA XXȘXXXXX/ (XX) MIESTO X XXXX XXXXXXXXX/ (XX) KRAJ XX XXXXXX XXXXXXX/ (FI) XXXXXXÄXXXXXX XX -MAA/ (XX) XÖXXXXXXXX XXX -XXXX

4.5

(XX) ПОЛ/ (ES) XXXX/ (CZ) XXXXXXX/ (XX) XØX/ (DE) XXXXXXXXXX/ (XX) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (XX) INSCNE/ (HR) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (LT) XXXXX/ (HU) XXXX/ (XX) XXXX/ (NL) XXXXXXXX/ (PL) PŁEĆ/ (XX) SEXO/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXX/ (XX) XXXXXXXXX/ (XX) XÖX

4.5.1

(XX) ЖЕНСКИ/ (XX) MUJER/ (XX) XXXX/ (XX) XXXXXX/ (DE) XXXXXXXX/ (XX) NAISSOOST/ (XX) ΘΗΛΥ/ (XX) FEMALE/ (XX) XXXXXXX/ (GA) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (LV) XXXXXXXX/ (LT) XXXXXXX/ (XX) XŐ/ (XX) XXXX/ (XX) VROUW/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (RO) FEMEIESC/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX

4.5.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (DA) XXXX/ (XX) XÄXXXXXX/ (XX) XXXXXXXXX/ (EL) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (GA) XXXXXXX/ (XX) MUŠKI/ (XX) XXXXXXXX/ (LV) VĪRIETIS/ (XX) XXXXX/ (XX) XXXXX/ (XX) XXĠXX/ (XX) XXX/ (PL) XĘŻXXXXXX/ (PT) MASCULINO/ (XX) BĂRBĂTESC/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) XXX

4.5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) NEURČENO/ (XX) XXXXXXXX/ (DE) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XŁXĆ NIEOKREŚLONA/ (XX) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) NEDOLOČEN/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

5.

(XX) ПОЛЕ ЗА ПОДПИС/ (ES) XXXXXXXX XXXX XX XXXXX/ (XX) XXXX XXX XXXXXX/ (DA) XXXXXXXXXXXXXXXX/ (XX) UNTERSCHRIFTENFELD/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (EN) XXXXXXXXX BOX/ (XX) XXXXX XXXX XX XXXXXXXXX/ (XX) BOSCA XXX SÍNIÚ/ (HR) XXXXX XX XXXXXX/ (XX) XXXXXXXX PER XX XXXXX/ (LV) XXXXXXXX LAUKS/ (XX) XXXXXX XXXXXXXX/ (HU) XX XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX XX XXXXXXXXXXXX/ (PL) XXXX XXXXXXX/ (PT) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXXX NA XXXXXX/ (XX) POLJE XX XXXXXX/ (FI) XXXXXXXXXXXXXXXXXXÄ/ (SV) XXXX XÖX XXXXXXXXXXXXXX

5.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) APELLIDO(S) X XXXXXX(X) XXX XXXXXXXXXXX XXX XXXXXXX XXXX IMPRESO/ (XX) XXXXXXXX X XXXXX (XXXXX) ÚŘEDNÍKA, XXXXX XXXXX TENTO XXXXXXXX/ (XX) XXXXXXXXX(X) XX XXXXXXX(X) PÅ XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) FAMILIENNAME(N) UND XXXXXXX(X) XXX XXXXXXX, XXX XXXXXX FORMULAR XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXX (-XXXXX) XX XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXX(X) XXX FORENAME(S) XX THE XXXXXXXX XXX XXXXXX THIS XXXX/ (XX) NOM(S) XX PRÉNOM(S) XX XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXXX CÉADAINM (XXXXXXXXXXXXXX) XX XXXXXXXX X D’EISIGH AN XXXXXX SEO/ (HR) XXXXXXX(XX) X IME(NA) XXXXXXXXXX KOJI XX XXXXX XXXX XXXXXXX/ (XX) COGNOME/I E XXXX/X DEL XXXXXXXXXXX XXX HA XXXXXXXXXX XX PRESENTE MODULO/ (XX) AMATPERSONAS, KURA XXXXXXXX XX XXXXXXXX, XXXĀXXX(-X) XX XĀXXX(-X)/ (XX) XXĄ FORMĄ XXXXXXXXX XXXXXXŪXX PAVARDĖ (-ĖX) XX VARDAS (-XX)/ (HU) A XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXX NEVE(I) XX XXXXXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦAREĠ DIN XX-XXXXXXX/ (NL) XX(X)X(XX) XX XXXXXX(X)X(XX) VAN XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) X XXXĘ (XXXXXX) XXXĘXXXXX, KTÓRY WYDAŁ XXXXXXXXX XXXXXXXXX/ (PT) XXXXXXX(X) X XXXX(X) XXXXXXX(X) XX XXXXXXXXXXX XXX XXXXXX O XXXXXXXX XXXXXXXXXX/ (XX) XXXXXX ȘI XXXXXXXXX XXXXȚXXXXXXXXX XXXX A XXXX PREZENTUL XXXXXXXX/ (XX) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX XXX/XXXXX XXXXXXXX, KI XX IZDAL TA XXXXXXX/ (FI) TÄMÄN XXXXXXXXX XXXXXXXX VIRKAMIEHEN XXXXXXXX (-XXXXX) XX XXXXXXX (-NIMET)/ (SV) XXXXXXXXX XXX FÖRNAMN XÅ XXX XXÄXXXXXXX XXX HAR XXXÄXXXX XXXXX FORMULÄR

5.2

(BG) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX XXXXXXXXXXX XXX EXPIDIÓ XXXX XXXXXXX/ (XX) XXXXXX ÚŘEDNÍKA, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX — XXX XXXXXXXXXX, XXX XXX UDSTEDT XXXXX XXXXXXXX/ (XX) STELLUNG XXX BEAMTEN, DER XXXXXX FORMULAR AUSGESTELLT XXX/ (XX) XÄXXXXXXX XXXXX VÄLJASTANUD AMETNIKU XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXX XX THE XXXXXXXX XXX ISSUED XXXX XXXX/ (XX) XXXXX XX XXXXXXXXXXXXX XXX X DÉLIVRÉ XX XXXXXXX FORMULAIRE/ (XX) XXXX XX XXXXXXXX X D’EISIGH AN XXXXXX XXX/ (HR) XXXXXXXX SLUŽBENIKA XXXX XX IZDAO XXXX XXXXXXX/ (XX) XXXXXXXXX XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (LV) XXXXXXXXXXXX, KURA IZDEVUSI XX XXXXXXXX, XXXXX/ (XX) ŠIĄ FORMĄ XXXXXXXXX PAREIGŪNO XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX TISZTVISELŐ BEOSZTÁSA/ (XX) KARIGA TAL-UFFIĊJAL XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX XXX DE XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX URZĘDNIKA, KTÓRY XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX FUNCȚIONARULUI XXXX X XXXX XXXXXXXXX FORMULAR/ (XX) XXXXXXX XXXXXXXX, XXXXX XXXXX TENTO FORMULÁR/ (XX) XXXXXXX XXXXXXXX, XX XX IZDAL XX XXXXXXX/ (XX) XÄXÄX LOMAKKEEN XXXXXXXX XXXXXXXXXXX ASEMA/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX XXX HAR XXXÄXXXX XXXXX XXXXXXÄX

5.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) FECHA (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (XX) UDSTEDELSESDATO (XX/XX/ÅÅÅÅ)/ (XX) AUSSTELLUNGSDATUM (XX/XX/XXXX)/ (XX) VÄLJAANDMISE XXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX ISSUE/ (XX) XXXX (JJ/MM/AAAA) XX XXXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/GGGG) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) IŠDAVIMO DATA (XX/XX/XXXX)/ (XX) A XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) VAN AFGIFTE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATA XX XXXXXÃX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) VYDANIA/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (XX) DATUM (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

5.4

(XX) ПОДПИС/ (XX) XXXXX/ (CZ) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) UNTERSCHRIFT/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (GA) XXXXX/ (XX) POTPIS/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) PARAŠAS/ (HU) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXX/ (SL) XXXXXX/ (XX) ALLEKIRJOITUS/ (SV) XXXXXXXXXXXX

5.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (XX) XXXXX XXXX RAZÍTKO/ (XX) SEGL XXXXX XXXXXXX/ (DE) SIEGEL XXXX STEMPEL/ (XX) XXXXXX VÕI XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX XXXXX/ (XX) XXXXX XX XXXXXX/ (GA) XXXXX XX XXXXXX/ (XX) XXX XXX PEČAT/ (XX) XXXXX X XXXXXX/ (XX) XĪXXXX XXX XXXXXXXX/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (XX) PECSÉT XXXX XXXXXXXŐXXXXXXXX/ (MT) XXĠXXX XXX XXXXXX/ (XX) XXXXX OF STEMPEL/ (XX) XXXXXĘĆ XXX XXXXXXX/ (XX) XXXX XX CARIMBO/ (XX) XXXXXXXX XXX ȘTAMPILA/ (XX) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXX XXX/ (XX) XXXXXXX XXX XXXXX/ (XX) SIGILL XXXXX XXÄXXXX

POTVRZENÍ X XXXX

XXXXXXXXXXX STANDARDNÍ FORMULÁŘ – XXXXXXX PRO XXXXXXX

Xxxxxx 7 xxxxxxxx Xxxxxxxxxx xxxxxxxxxx x Xxxx (EU) 2016/1191 xx xxx 6. xxxxxxxx 2016 o xxxxxxx xxxxxxx xxxxxx xxxxxx zjednodušením xxxxxxxxx xx xxxxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx x Xxxxxxxx unii x x změně xxxxxxxx (XX) x. 1024/2012 (1)

Xxxxxx (BE) Xxxxxxxxx (XX)

Xxxxx republika (XX)

Xxxxxx (XX) Xxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (HR)

Itálie (XX) Xxxx (CY)

Lotyšsko (XX) Litva (LT)

Lucembursko (XX)

Xxxxxxxx (XX) Malta (XX)

Xxxxxxxxxx (XX) Rakousko (XX)

Xxxxxx (XX) Portugalsko (XX)

Xxxxxxxx (RO) Xxxxxxxxx (XX)

Xxxxxxxxx (SK) Finsko (XX)

Xxxxxxx (SE) Spojené xxxxxxxxxx (UK)

DŮLEŽITÉ XXXXXXXXXX

Xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxx xxxxxxxx xxxxxxx xxxxxxx, x xxx xx xxxxxxxx. Xxxxx xxxxxxxx xx xxxx xxxxxxxxx státy xxxxx xxxxxxxxx jako samostatný xxxxxxxx.

Xxxxx xxxxxxxx odráží xxxxx xxxxxxx listiny, x xxx xx xxxxxxxx. Xxxxx, xxxxx xx xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx může x případech, xxx xx xx xxxxxxxx xxx xxxxx xxxxxxxxxx xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx xx přepis xxxxxxxxx, které xxxx xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX ORGÁN

Uveďte xxxxx xxxxxxxxx, xxxxx xxxx uvedeny xx xxxxxxx xxxxxxx, x xxx xx xxxxxxxx xxxxx formulář. (2)

Pokud xxxxxxx xxxxxxx, k xxx xx xxxxxxxx xxxxx formulář, xxxxxxxxxx xxxxxx údaje xxxx xxxxxxxxx, xxxxxx „–“.

1. XXXXX VYDÁVAJÍCÍ XXXXX XXXXXXXX

1.1 Xxxxx (3)

2. XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (4)

3. XXXXXXXXX XXXXXXXX XX XXXXXXX XXXXXXX, X XXX XX PŘILOŽEN XXXXX XXXXXXXX

3.1 Xxxxxxx xxxxxx orgánem nebo xxxxxxxxx x xxxxxx xx xxxxx xxxxxx xxxxxxxxx státu

3.1.1 Rozhodnutí xxxxx

3.1.2 Xxxxxxx vydaná xxxxxxx xxxxxxxxx

3.1.3 Listina xxxxxx xxxxxx xxxxxxx xxxxxxxxx

3.1.4 Listina xxxxxx xxxxxxx vykonavatelem („xxxxxxxx xx justice“)

3.1.5 Jiné (xxxxxxxxx)

(1) Xx. xxxx. X 200, 26.7.2016, x. 1.

(2) Při xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx písmo.

(3) Slovo „xxxxx“ xx xxxxx xxxxxxxx xxxx úřední xxxxx orgánu xxxxxxxxxxxx xxxxxxxx.

(4) Xxxxx „xxxxx“ xx xxxxx xxxxxxxx xxxx úřední xxxxx xxxxxx xxxxxxxxxxxx xxxxxxxx xxxxxxx, x xxx xx xxxxxxxx tento xxxxxxxx.

3.2 Listina vydaná xxxxxxxx xxxxxx

3.2.1 Osvědčení

3.2.2 Xxxxx x xxxxxxx

3.2.3 Xxxxx x registru xxxxxxxx

3.2.4 Xxxx xxxxxxxxxx xxxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, xxxxxx xxxx xxxxxxxx xxxxxxx podepsaná xxxxxxxxx osobou

3.5 Listina xxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxx xxxx xxxxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxx x xxxxx výkonu xxxx xxxxxxxxxx povinností

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx xxxxx xxxxxxx listiny

4. XXXXXXXXX X XXXXXXX XXXXX

4.1 Xxxxxxxx

4.2 Jméno (xxxxx)

4.3 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.4 Místo (1) x země (2) xxxxxxxx

4.5 Pohlaví:

4.5.1 Xxxx

4.5.2 Xxx

4.5.3 Neurčeno

4.6 Adresa:

4.6.1 Xxxxx a xxxxx xxxx / poštovní xxxxxxxxx

4.6.2 Xxxxx x xxxxxxxx xxxxxxxxx xxxxx

4.6.3 Xxxx (3)

5. XX XXXXXXX XXXXXXX XXXXXXX, X XXX JE XXXXXXXX XXXXX FORMULÁŘ, XXXX DOTYČNÁ OSOBA XX DNI VYDÁNÍ XXXXXXX XXXXXXX XXXXXX.

6. XXXX XXX PODPIS

6.1 Xxxxxxxx a jméno (xxxxx) xxxxxxxx, který xxxxx xxxxx formulář

6.2 Xxxxxx xxxxxxxx, xxxxx xxxxx tento xxxxxxxx

6.3 Xxxxx (dd/mm/rrrr) xxxxxx

6.4 Xxxxxx

6.5 Xxxxx xxxx xxxxxxx

(1) Xxxxx „xxxxx xxxxxxxx“ se xxxxxx xxxxx obce nebo xxxxx, xxxxxx x xxxxx, xxx xx xxxx osoba narodila.

(2) Xxxxx xxxx x – xxxxx xxxxxxxx – xxx XXX xxxx xxxx nebo xxxxxxx „Xxxx (xxxxxxxxx)“ xx třeba vybrat x rozbalovací nabídky xx xxxxxxxx vícejazyčném xxxxxxxxxxx formuláři, xxxxx xx k dispozici xx portálu xxxxxxxx x-xxxxxxx.

(3) Název xxxx x – pokud xxxxxxxx – kód XXX xxxx xxxx xxxx xxxxxxx „Xxxx (xxxxxxxxx)“ je xxxxx xxxxxx z rozbalovací xxxxxxx xx xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxxxxxx, xxxxx je x xxxxxxxxx xx xxxxxxx xxxxxxxx x-xxxxxxx.

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX EXPIDE XXXX XXXXXXX/ (CZ) ORGÁN XXXXXXXXXX XXXXX FORMULÁŘ/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, XXX XXXXXX XXXXXXXX AUSSTELLT/ (ET) XÄXXXXXXX XXXXX XÄXXX XXXXXX ASUTUS/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (EN) XXXXXXXXX XXXXXXX XXXX XXXX/ (FR) XXXXXXXX XX DÉLIVRANCE DU XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX XX XXXXXX XXX/ (XX) TIJELO XXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXX XXXXXX/ (LV) XXXXXXXXX IZDEVĒJIESTĀDE/ (XX) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX TA' DIN XX-XXXXXXX/ (XX) AUTORITEIT XXX XXXXXXX XXX XXX FORMULIER/ (XX) XXXXX WYDAJĄCY XXXXXXXXX XXXXXXXXX/ (PT) XXXXXXXXXX XXX XXXXX X XXXXXXXX FORMULÁRIO/ (RO) XXXXXXXXXXX EMITENTĂ X XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX TENTO XXXXXXXX/ (SL) XXXXX, XX XXXX XX XXXXXXX/ (FI) XÄXÄX XXXXXXXXX ANTAVA XXXXXXXXXXXX/ (XX) MYNDIGHET XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (FR) XXXXXXXXXXXX/ (GA)AINMNIÚ/ (HR) XXXXX/ (IT) XXXXXXXXXXXXX/ (XX) NOSAUKUMS/ (XX) XXXXXXXXXXX/ (HU) XXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) NAZWA/ (XX) DESIGNAÇÃO/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) XXX/ (FI) XXXX/ (XX) NAMN

2.

(BG) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XX XXXXXXXXX XXXXXXX AL XXX XX ADJUNTA XXXX XXXXXXX/ (CZ) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, X XXX XX PŘILOŽEN XXXXX XXXXXXXX/ (DA) XXX XXXXXXXXX, DER HAR XXXXXXX XXX OFFENTLIGE XXXXXXXX, SOM DENNE XXXXXXXX ER XXXXÆXXXX/ (XX) BEHÖRDE, XXX XXX ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX IST, AUSSTELLT/ (XX) ASUTUS, KES XXXXX XÄXXX XXXXXXX XXXXXXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XXXXXXX THE XXXXXX XXXXXXXX XX WHICH XXXX FORM XX XXXXXXXX/ (XX) XXXXXXXX XX DÉLIVRANCE XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX FORMULAIRE/ (XX) XX xXXXXXX A XXXXXXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX FHOIRM XXX XXXXXXXXXX/ (XX) XXXXXX XXXX IZDAJE XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) AUTORITÀ XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX IL XXXXXXXX XXXXXX È XXXXXXXX/ (LV) PUBLISKĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX XX PIEVIENOTA, XXXXXĒXXXXXĀXX/ (XX) VIEŠĄJĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) AWTORITÀ XXXXXXXXX TAD-DOKUMENT XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX XXXXXXXX XXXXXXXX WAARAAN XXX XXXXXXXXX XX XXXXXXX/ (XX) ORGAN XXXXXĄXX XXXXXXXX XXXĘXXXX, XX KTÓREGO XXXXXXXXX XXXXXXXXX JEST XXŁĄXXXXX/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXXX XXXXXXX X XXX X XXXXXXXX FORMULÁRIO XXXX XXXXXX/ (XX) XXXXXXXXXXX EMITENTĂ X XXXXXXXXXXXX XXXXXXX XX XXXX ESTE XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, XX KTOREJ XX TENTO FORMULÁR XXXXXXXXX/ (XX) XXXXX, XX IZDA XXXXX XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) VIRANOMAINEN, XXXX ON XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX SOM XXXÄXXXX DEN XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX FORMULÄR ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX RELATIVA AL XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXØXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX URKUNDE, XXX XXXXXX FORMULAR XXXXXXÜXX IST/ (XX) XXXXX AVALIKU DOKUMENDI XXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXX XXXXXX XXXXXXXX XX WHICH THIS XXXX XX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX EST JOINT XX PRÉSENT XXXXXXXXXX/ (XX) FAISNÉIS X XXXXXXXXX LEIS AN XXXXXXXXX POIBLÍ XXXX XXXXXX AN XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXX SE XXXXXX XX XXXXX XXXXXXX XXXXX XX XXXX OBRAZAC XXXXXXXX/ (XX) XXXXXXXXXXXX RELATIVE XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (LT) XXXXXXXXXXX, XXXXXXXX SU XXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX ŠI FORMA/ (XX) A XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX VONATKOZÓ XXXXXXXXXXX/ (MT) XXXXXXXXXXXXX XXXX XX-XXXXXXXX PUBBLIKU XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX OPENBAAR DOCUMENT XXXXXXX DIT XXXXXXXXX XX GEHECHT/ (XX) XXXXXXXXXX DOTYCZĄCE XXXXXXXXX XXXĘXXXXXX, DO XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) INFORMAÇÕES XXXXXXXXX AO XXXXXXXXX XXXXXXX A XXX X XXXXXXXX FORMULÁRIO XXXX APENSO/ (XX) XXXXXXXȚXX REFERITOARE XX XXXXXXXXXX OFICIAL XX XXXX ESTE XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXX XXXXXXX, XX XXXXXX XX TENTO XXXXXXXX XXXXXXXXX/ (XX) INFORMACIJE X ZVEZI X XXXXX LISTINO, KI XX XX PRILOŽEN XX XXXXXXX/ (XX) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ LOMAKE XXXXXXÄÄX/ (XX) XXXXXXXXXXX XX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄR XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX EXPEDIDO XXX XXX AUTORIDAD O XX XXXXXXXXXXX XXXXXXXXX X LOS XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXX XXXX XXXXXXXXX X XXXXXX XX XXXXX XXXXXX ČLENSKÉHO XXXXX/ (XX) XXXXXXXX, XXX XX UDSTEDT XX XX XXXXXXXXX XXXXX XX XXXXXXXXXX, XXX XX TILKNYTTET DOMSTOLE X XX MEDLEMSSTAT/ (XX) URKUNDE EINER XXXÖXXX XXXX XXXXX XXXXXXXXXX XXX XXXXX XXX XXXXXXXXXXXX EINES XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX VÄLJA XXXXXX XXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXXXX XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXX OR XX XXXXXXXX XXXXXXXXX XXXX THE XXXXXX XX TRIBUNALS OF X MEMBER XXXXX/ (XX) DOCUMENT XXXXXXX X'XXX XXXXXXXX XX X'XX XXXXXXXXXXXXX RELEVANT X'XXX XXXXXXXXXXX D'UN XXXX MEMBRE/ (XX) XXXXXXXXX A XXXXXXX X XXXXXX XX X XXXXXXXXX X XXXXXX XXXXX XXXX XX XXXX XX XXXXXXXXXX XX XX XXXXX XX XXXXX XXXXXXXXX/ (XX) ISPRAVA XXXX JE IZDALO XXXXXX ILI SLUŽBENIK XXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ X XX XX XXXXXXXXXXX XXXXXXXXXXXX XX XXX XXXXX GIURISDIZIONI DI XXX XXXXX XXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX XX XXXĪXXXXXXX XXXXĀX XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (LT) XXXXXXXXXX, XXXXXXXX VALDŽIOS XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX TEISMAIS AR XXXXXXXXXXX/ (HU) XXXXXXXXX XXXXXXXXXX KAPCSOLATBAN ÁLLÓ XXXXXXX XXXX TISZTVISELŐ XXXXX KIÁLLÍTOTT OKIRAT/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ XXX XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX XXX XX-XXXXXXXXX XX' XXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX TOT XXX XXXXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX/ (PL) XXXXXXXX POCHODZĄCY XX XXXXXX XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX UMA XXXXXXXXXX OU XX XX XXXXXXXXXXX XXXXXXXXXX XX XXXXXXXX JURISDIÇÃO XX XX XXX XXXXXXX-XXXXXXX/ (RO) DOCUMENT XXXX XX X XXXXXXXXXX SAU DE XX FUNCȚIONAR XX XX XÂXXĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX ALEBO XXXXXXXXX X XÄXXXX NA XXXX XXXXXXXXX ŠTÁTU/ (XX) XXXXXXX, XXXXXX X STRANI XXXXXX XXX XXXXXXXX XXXXX XXXXXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX, XXXXX XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX VIRANOMAINEN XXX XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX XX XXXXXXXXX XXXXX XX TJÄNSTEMAN XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X XX MEDLEMSSTAT

3.1.1

(BG) СЪДЕБНО РЕШЕНИЕ/ (ES) RESOLUCIÓN XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (EN) XXXXX XXXXXXXX/ (FR) DÉCISION XX XXXXXXX/ (XX) XXXXXXXX ÓN gCÚIRT/ (XX) XXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) TIESAS LĒMUMS/ (XX) XXXXXX XXXXXXXXXX/ (XX) BÍRÓSÁGI HATÁROZAT/ (XX) DEĊIŻJONI XXX-XXXXX/ (XX) XXXXXXXXXXXX BESLISSING/ (XX) XXXXXXXXXX SĄDOWE/ (XX) XXXXXÃX XXXXXXXX/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) SODNA XXXXXXX/ (XX) XXXXXXXXXXXXXX PÄÄTÖS/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX EXPEDIDO XXX XX XXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX ZÁSTUPCEM/ (XX) DOKUMENT UDSTEDT XX XX XXXXXXXXXXXXXXXX/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX RIIKLIK XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (EN) XXXXXXXX XXXXXXXXX XXXX X PUBLIC XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XXXXXXÈXX XXXXXX/ (XX) DOICIMÉAD X XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (XX) ISPRAVA XXXX JE IZDALO XXXXXXX XXXXXXXXXXXX/ (IT) XXXXXXXXX EMANATO XXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX DOKUMENTAS/ (XX) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXXXXX DOOR XXX XXXXXXXX MINISTERIE/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX DO XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX/ (SK) LISTINA XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXX, XX JO XXXX DRŽAVNO TOŽILSTVO/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (ES) XXXXXXXXX XXXXXXXX XXX UN XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX JUSTITSSEKRETÆR/ (DE) XXXXXXX XXXXX URKUNDSBEAMTEN XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (ET) DOKUMENT, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (EN) XXXXXXXX EMANATING XXXX X XXXXX XX X COURT/ (XX) XXXXXXXX ÉMANANT X'XX XXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXX XX XXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXX XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) DOCUMENTO XXXXXXX XX XX XXXXXXXXXXX/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XXXXXX SEKRETĀRS/ (XX) TEISMO XXXXXXXXXX XXXXXXXX DOKUMENTAS/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ MINN XXĠXXXXXXXX XX' XXXXX/ (XX) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX XXXXXXXXXX XĄXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX XX XX OFICIAL XX XXXXXÇX/ (XX) XXXXXXXX XXXX DE XX XXXXXXX AL XXXXXXȚXX/ (SK) XXXXXXX XXXXXX SÚDNYM XXXXXXXXX/ (XX) LISTINA, XX XX XXXX SODNI XXXXXXXXXX/ (XX) TUOMIOISTUIMEN XXXXXXXXX ANTAMA ASIAKIRJA/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXX EXPEDIDO XXX XX AGENTE XXXXXXXX («XXXXXXXX DE XXXXXXX»)/ (XX) LISTINA XXXXXX SOUDNÍM VYKONAVATELEM („XXXXXXXX XX JUSTICE“)/ (XX) DOKUMENT XXXXXXX XX XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (XX) XXXXXXX EINES XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXÄXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX JUSTICE»)/ (EN) XXXXXXXX XXXXXXXXX FROM X JUDICIAL OFFICER ('XXXXXXXX XX JUSTICE')/ (XX) XXXXXXXX ÉMANANT X'XX XXXXXXXX DE XXXXXXX/ (XX) DOICIMÉAD X THAGANN X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX KOJU XX XXXXX XXXXXX XXXXXXXXX (XXXXXXXX DE JUSTICE)/ (XX) DOCUMENTO XXXXXXX XX XX UFFICIALE XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX TIESAS XXXXXXĪXĀXX (XXXXXXXX DE XXXXXXX)/ (XX) XXXXXXXXX (XXXXXXXX XX XXXXXXX) XXXXXXXX DOKUMENTAS/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX”) ÁLTAL XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ MINN XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX XX XXXXXXX')/ (NL) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY OD XXXĘXXXXX XĄXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX PROVENIENTE XX XX OFICIAL XX XXXXXXÃX DE XXXXXXX («XXXXXXXX DE XXXXXXX»)/ (XX) DOCUMENT EMIS XX XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXXXX SÚDNYM XXXXXXXXXXĽXX („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXX, XX XX IZDA XXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) HAASTEMIEHEN (”XXXXXXXX DE XXXXXXX”) XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX STÄMNINGSMAN (XXXXXXXX DE JUSTICE)

3.1.5

(BG) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (ES) OTRO (XXXXXXXXXXXXX)/ (XX) XXXX (XXXXXXXXX)/ (DA) ANDRE (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (ET) XXX (TÄPSUSTAGE)/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX BE XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (XX) XXXX (LE XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (XX) XXXXX (XXXXXXXXX)/ (XX) CITS (PRECIZĒT)/ (XX) KITA (XXXXXXXX)/ (XX) EGYÉB (XXXXÜX XXXXXXXXXXX)/ (MT) OĦRAJN (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (PL) XXXX (XXXXXĘ XXXXŚXXĆ)/ (XX) XXXXXX (X ESPECIFICAR)/ (XX) ALTUL (X XX PRECIZA)/ (XX) XXX (SPRESNIŤ)/ (XX) XXXXX (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) XXXXX HANDLING (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (EN) XXXXXXXXXXXXXX DOCUMENT/ (XX) XXXXXXXX ADMINISTRATIF/ (XX) XXXXXXXXX RIARACHÁIN/ (XX) XXXXXXX XXXXXXX/ (IT) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (HU) XÖXXXXXXXXXXX XXXXXX/ (MT) XXXXXXXX AMMINISTRATTIV/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXXXXX/ (RO) XXXXXXXX XXXXXXXXXXXXX/ (SK) XXXXXXX XXXXXXX/ (XX) XXXXXXX LISTINA/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXXX HANDLING

3.2.1

(BG) УДОСТОВЕРЕНИЕ/ (XX) CERTIFICADO/ (CZ) XXXXXXXXX/ (XX) PÅTEGNING/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) CERTIFICATE/ (FR) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (XX) PAŽYMA, LIUDIJIMAS/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (NL) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX OU CERTIFICADO/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) TODISTUS/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (ES) XXXXXXXX XXX XXXXXXXX CIVIL/ (XX) XXXXX Z XXXXXXX/ (DA) UDDRAG XXX CIVILSTANDSREGISTRET/ (XX) XXXXXX XXX DEM XXXXXXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX XXXXX XXXXXX XXXXXXXX/ (XX) EXTRAIT XX XXXXXXXX XX L'ÉTAT XXXXX/ (XX) SLIOCHT XX XX xXXXX XXXXXXX XXXXXXXXXX/ (HR) XXXXXXX XX REGISTRA XXXXXXX STANJA/ (IT) XXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXX XX XXXXXXXĀXXXĻX AKTU XXĢXXXXX/ (XX) IŠRAŠAS XX XXXXXXXĖX XŪXXĖX XXXŲ XXXXXXXX/ (XX) ANYAKÖNYVI XXXXXXX/ (MT) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXX XXX XX XXXXXXXXXXX STAND/ (XX) ODPIS SKRÓCONY XXXX XXXXX CYWILNEGO/ (XX) XXXXXXX XX XXXX DO REGISTO XXXXX/ (XX) XXXXXX XXX XXXXXXXXX XX XXXXX CIVILĂ/ (XX) XXXXX X XXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXX XX REGISTRA X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (SIVIILISÄÄTY)/ (XX) XXXXXX UR XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX DEL XXXXX/ (XX) VÝPIS X XXXXXXXX XXXXXXXX/ (XX) XXXXXX FRA XXXXXXXXXXXXXX/ (DE) XXXXXX XXX DEM XXXXXXXXXXXXX/ (XX) RAHVASTIKUREGISTRI VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) EXTRACT FROM XXX XXXXXXXXXX REGISTER/ (XX) XXXXXXX DU XXXXXXXX XX XX XXXXXXXXXX/ (XX) SLIOCHT XX AN xXXXX XXXXXX/ (XX) IZVADAK XX XXXXXX STANOVNIŠTVA/ (XX) ESTRATTO ANAGRAFICO/ (XX) IZRAKSTS XX XXXXĪXXXĀXX REĢISTRA/ (XX) XXXXXXX XX XXXXXXXXŲ XXXXXXXX/ (XX) XXXXXXX X XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (MT) XXXXXXX XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (PL) XXXXĄX X XXXXXXXX XXXXXŚXX/ (XX) XXXXXXX DO XXXXXXX DA POPULAÇÃO/ (XX) XXXXXX XXX XXXXXXXXX XX XXXXXXȚĂ X XXXXXXȚXXX/ (SK) XXXXX X XXXXXXXX XXXXXXXĽXX/ (SL) XXXXXXX XX REGISTRA XXXXXXXXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX UR XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТАКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX XX XXXXX XXX XXXXXXXX CIVIL/ (XX) XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXX KOPI XX XXXXXXXXXXXXXXXXXXX/ (DE) XÖXXXXXXX KOPIE VON XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) PEREKONNASEISUAKTI XXXXXX/ (EL) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX XX XXXXX XXXXXX RECORDS/ (XX) XXXXX LITTÉRALE D'ACTES XX L'ÉTAT XXXXX/ (XX) CÓIP XXXXX XX XXXXXX XX XXXXXXX AR STÁDAS XXXXXXXXX/ (HR) XXXXXXXX XXXXXXXX XX XXXXXXXXXX X OSOBNOM STANJU/ (XX) XXXXX XXXXXXXXX XX ATTO DI XXXXX XXXXXX/ (LV) XXXXXXXĀXXXĻX XXXX XXĢXXXXX XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) CIVILINĖS BŪKLĖS XXXŲ ĮXXXŲ PAŽODINĖ XXXXXX/ (XX) ANYAKÖNYVI XXXXXXXXX XXX SZERINTI XXXXXXXX/ (XX) XXXXX XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (XX) EENSLUIDEND XXXXXXXXX VAN XXXXX XXX XX XXXXXXXXXXX XXXXX/ (PL) XXXXX XXXXŁXX AKTU XXXXX XXXXXXXXX/ (XX) CERTIDÃO XX XXXXX INTEGRAL XX XX XXXXXXXXX XX XXXX XX XXXXXXX XXXXX/ (RO) XXXXX EXACTĂ X XXXX ACT XX XXXXX XXXXXĂ/ (XX) XXXXXXXX XXXXX XX XXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXX XXXXXX XXXXXX X XXXXXXX STANJU/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) ACTA XXXXXXXX/ (CZ) XXXXXXXX XXXXXXX/ (DA) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) NOTARIELLE XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) XXXX NOTARIÉ/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) ATTO NOTARILE/ (XX) XXXXXXĀXX XXXX/ (XX) XXXXXXXXX XXXXX/ (XX) KÖZJEGYZŐI OKIRAT/ (XX) ATT XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (XX) XXX NOTARIALNY/ (XX) ATO NOTARIAL/ (XX) XXX XXXXXXXX/ (XX) NOTÁRSKA LISTINA/ (XX) XXXXXXXX LISTINA/ (XX) NOTAARIN XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX OFICIAL XXXXXX XXXXX UN XXXXXXXXX PRIVADO/ (CZ) XXXXXX OSVĚDČENÍ, XXXXXX XXXX XXXXXXXX XXXXXXX XXXXXXXXX SOUKROMOU XXXXXX/ (XX) XXXXXXXX PÅTEGNING XÅ XX DOKUMENT XXXXXXXXXXX XX XX XXXXXX X XXXXXX XXXXXXXX AF XXXXXXXXXXXX/ (XX) AMTLICHE XXXXXXXXXXXXX XXX XXXXX XXXXXXXXXXXXX/ (XX) ISIKU XXXXX XXXXXXXXXX XXXXXXXXXXXXXX DOKUMENDILE XXXXXXXXXX AMETLIK TÕEND/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΊ ΩΣ ΙΔΙΩΤΗΣ/ (XX) OFFICIAL XXXXXXXXXXX XXXXXX XX X DOCUMENT XXXXXX XX X XXXXXX XX XXX XX XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX XX XXXX XXXX SEING XXXXX/ (XX) XXXXXXXX XXXXXXXXX X XXXXXXXXX XX XXXXXXXXXX ARNA XXXXXX AG DUINE XXX CHÁIL NÓ XXX XXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX POTVRDA XXXXXXXXX XX XXXXXXX XXXX JE XXXXX XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (XX) DICHIARAZIONE XXXXXXXXX APPOSTA XX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXĀXX XXXXXXXXĀXXXX XX DOKUMENTA, KO XXXĀ XĀXXĀ PARAKSTĪJUSI XĀXX PERSONA/ (XX) XXXXXXXŲ XXXXXŲ PASIRAŠYTŲ XXXXXXXXŲ XXXXXXXŪX PATVIRTINIMAI/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX TANÚSÍTVÁNY/ (MT) ĊXXXXXXXXX UFFIĊJALI XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (NL) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXX XXXXXXXXXXX XXXX EEN XXXXXXX XX ZIJN XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ DZIAŁAJĄCĄ X XXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÃX XXXXXXX INSERTA XXX ATO DE XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX OFICIAL APLICAT XX UN DOCUMENT XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX XX LISTINE XXXXXXXXXX XXXXXX XXXXXXXXX XXX SÚKROMNÁ XXXXX/ (XX) URADNA XXXXXX XX XXXXXXX LISTINI/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, JONKA XXXXXXÖ XX ALLEKIRJOITTANUT XXXXXXXXXXXXXXÖXÄ/ (XX) OFFICIELLT INTYG XXXXXXXXX XÅ XX XXXXXXXX SOM XXXXXXXXXXXXX XX XX PRIVATPERSON

3.5

(BG) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXXXXX X XXXXXXXX DE XX XXXXXX XXXXXXX XXX XXXXXXXX OFICIAL/ (CZ) XXXXXXX VYHOTOVENÁ DIPLOMATICKÝM XXXXXXXXX XXXX KONZULÁRNÍM XXXXXXXXX XXXXXXXXX XXXXX X RÁMCI VÝKONU XXXX SLUŽEBNÍCH XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX AF EN XXXXXXXXXXXX XXXXXXXXXXXX ELLER XXXXXXÆXX REPRÆSENTANT/ (XX) XXX EINEM XXXXXXXXXXXXXX XXXX KONSULARISCHEN VERTRETER XXXXX XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX VÕI XXXXXXXXXXXXXXXXX POOLT XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX XXXXX XX XX X XXXXXXXXXX XX CONSULAR XXXXX XX X XXXXXX XXXXX XX XXX XX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXX XX XX XXXXXXX XXXXXXXXXX XXX XX XXXXX XXXXXXXXXXXX XX CONSULAIRE X'XX ÉTAT XXXXXX/ (XX) XXXXXXXXX ARNA XXXXXXXXXX XXXX XX XXXXXXXXXX TAIDHLEOIREACHTA XX XXXXXXXXX XX XXXXX XXXXXXXXX XXX XXXXX XX INA XXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX U XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXX ILI XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX XXXXXXXXXXX X XXXXXXXXX DI XXX XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX AMATA XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (LT) XXXXXXXXXX, XXXXXXXXX VALSTYBĖS XXXĖX XXXXXXXXX XX XXXXXXXXXX XXXXXXŪXX, VEIKIANČIO PAGAL XXXXXXXXXX ĮGALIOJIMUS/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX KÉPVISELŐJE XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXXX MINN XĠXXX DIPLOMATIKU JEW XXXXXXXXX XX' STAT XXXXXX XXX-XXXXĊXXÀ UFFIĊJALI XXXXĦX/ (XX) DOCUMENT XXXXXXXXX XXXX XX XXXXXXXXXXXX OF XXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX XX XXXX XXXXXXËXX HOEDANIGHEID/ (XX) XXXXXXXX XXXXXĄXXXXX PRZEZ XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX LUB XXXĘXXXXX KONSULARNEGO XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX XXXĘXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XX XXXXXX XXXXXXXXXXX XX XXXXXXXX DE XX XXXXXX-XXXXXX XX XXXXXXXXX DAS XXXX XXXÇÕXX OFICIAIS/ (XX) XXXXXXXX ÎNTOCMIT XX XĂXXX XX XXXXX XXXXXXXXXX XXX XXXXXXXX XX XXXX XXXX XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXX/ (XX) LISTINA, XX JO XXX XXXXXX XXXXX XXXX XXXXXXXXXXX XXX KONZULARNI XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX KONSULIEDUSTAJA ON XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX UPPRÄTTAD X XXÄXXXXX AV EN XXXXXXXXXXX XXXXX XXXXXXÄX XXÄXXXXXXX I EN XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX KUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX ISSUE/ (XX) DATE (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (LL/MM/BBBB) EISIÚNA/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXX/ (IT) DATA XX RILASCIO (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (PL) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX DE EMISSÃO (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) VYDANIA/ (XX) XXXXX (DD/MM/LLLL) XXXXXX/ (FI) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) REFERENČNÍ ČÍSLO XXXXXXX XXXXXXX/ (DA) XXX OFFENTLIGE XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) KENNNUMMER XXX ÖFFENTLICHEN URKUNDE/ (XX) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (EL) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (EN) REFERENCE XXXXXX XX XXX XXXXXX DOCUMENT/ (FR) XXXXXX DE XXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) UIMHIR XXXXXXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX BROJ XXXXX XXXXXXX/ (XX) XXXXXX XX RIFERIMENTO XXX XXXXXXXXX PUBBLICO/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX XXXXXX/ (LT) XXXXXXX DOKUMENTO XXXXXXX/ (XX) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (MT) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (NL) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX REFERENCYJNY XXXXXXXXX XXXĘXXXXXX/ (PT) NÚMERO XX REFERÊNCIA XX XXXXXXXXX PÚBLICO/ (XX) XXXĂXXX XX XXXXXXXȚĂ XX DOCUMENTULUI OFICIAL/ (XX) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) YLEISEN XXXXXXXXXX VIITENUMERO/ (SV) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX SOBRE EL XXXXXXXXXX/ (CZ) XXXXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXXXX XX XXX XÅXÆXXXXXX PERSON/ (XX) XXXXXXX ZUR XXXXXXXXXXXX PERSON/ (ET) XXXXXXXXX ISIKUT XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) INFORMATION XX XXX PERSON XXXXXXXXX/ (XX) XXXXXXXXXXXX XXX LA XXXXXXXX XXXXXXXXX/ (XX) FAISNÉIS XXXXXX XXXX AN XXXXX XXXX xXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXXXXX OSOBI/ (XX) XXXXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXĪXX XXXXXXX/ (XX) XXXXXXXXXXX APIE XXXXXXXXXĄ ASMENĮ/ (HU) XX XXXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (MT) XXXXXXXXXXXXX XXXX XX-XXXXXXX XXXXĊXXXXXX/ (XX) INFORMATIE XXXX XX XXXXXXXXXX/ (XX) XXXX OSOBY, XXXXXX DOTYCZY XXXXXXXX/ (XX) XXXXXXXÇÕXX XXXXX X XXXXXX XX XXXXX/ (RO) INFORMAȚII XXXXXXX XXXXXXXX XXXXXĂ/ (XX) XXXXXXXXXX X XXXXXXXXX XXXXX/ (XX) XXXXXXXXXXX X XXXXXXX XXXXX/ (FI) XXXXXXXXXXXX XXXXXXÖX XXXXXX/ (SV) XXXXXXXXX OM DEN XXXÖXXX XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X)/ (XX) PŘÍJMENÍ/ (XX) XXXXXXXXX(X)/ (XX) XXXXXXXXXXXX(X)/ (XX) XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX(X)/ (XX) XXX(X)/ (XX) XXXXXXX (XXXXXXXX)/ (XX) PREZIME(NA)/ (IT) XXXXXXX(X)/ (XX) UZVĀRDS(-I)/ (XX) XXXXXXĖ (-ĖX)/ (XX) XXXXXXX XXXX(X)/ (XX) KUNJOM(/KUNJOMIJIET)/ (XX) XXXXXXXX(X)X(XX)/ (PL) XXXXXXXX(-X)/ (XX) XXXXXXX(X)/ (XX) XXXX/ (SK) XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX/ (FI) XXXXXXXX (-XXXXX)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) XXXXX (XXXXX)/ (XX) XXXXXXX(X)/ (XX) VORNAME(N)/ (XX) XXXXXXX (-NIMED)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) PRÉNOM(S)/ (XX) CÉADAINM (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (IT) XXXX(X)/ (LV) XĀXXX(-X)/ (XX) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (XX) VOORNA(A)M(EN)/ (XX) IMIĘ (XXXXXX)/ (XX) XXXX(X) PRÓPRIO(S)/ (XX) XXXXXXX/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) ETUNIMI (-XXXXX)/ (XX) FÖRNAMN

4.3

(BG) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) FECHA (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) NAROZENÍ/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX NAISSANCE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (DD/MM/GGGG) XXĐXXXX/ (XX) XXXX XX NASCITA (GG/MM/AAAA)/ (XX) DZIMŠANAS XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) URODZENIA/ (PT) XXXX DE XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXȘXXXXX/ (SK) XXXXX (XX/XX/XXXX) NARODENIA/ (XX) XXXXX (DD/MM/LLLL) XXXXXXX/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (SV) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.4

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX X XXXX XX NACIMIENTO/ (XX) XXXXX X XXXX NAROZENÍ/ (XX) XØXXXXXX XX -XXXX/ (XX) XXX UND XXXX XXX XXXXXX/ (XX) XÜXXXXXXX JA -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX AND XXXXXXX XX XXXXX/ (XX) LIEU ET XXXX DE XXXXXXXXX/ (XX) XXX AGUS XXX XXXXXXXX/ (HR) XXXXXX X ZEMLJA XXĐXXXX/ (XX) XXXXX X XXXXX DI XXXXXXX/ (LV) DZIMŠANAS XXXXX UN XXXXXX/ (XX) GIMIMO XXXXX XX ŠALIS/ (XX) XXÜXXXXXX HELYE XX XXXXXXX/ (XX) POST X PAJJIŻ XXX-XXXXXX/ (XX) GEBOORTEPLAATS XX -XXXX/ (XX) XXXXXXX X PAŃSTWO URODZENIA/ (XX) XXXXX E XXXX DE NASCIMENTO/ (XX) XXXXX ȘX ȚXXX XXȘXXXXX/ (XX) XXXXXX A XXXX XXXXXXXXX/ (SL) KRAJ XX DRŽAVA XXXXXXX/ (XX) XXXXXXÄXXXXXX XX -XXX/ (SV) FÖDELSEORT XXX -LAND

4.5

(BG) ПОЛ/ (XX) SEXO/ (XX) XXXXXXX/ (XX) KØN/ (XX) XXXXXXXXXX/ (ET) XXXX/ (XX) ΦΥΛΟ/ (XX) SEX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXX/ (IT) XXXXX/ (XX) XXXXXXX/ (XX) LYTIS/ (XX) XXXX/ (MT) SESS/ (XX) GESLACHT/ (PL) XŁXĆ/ (PT) SEXO/ (XX) XXXXX/ (SK) XXXXXXXX/ (SL) XXXX/ (XX) SUKUPUOLI/ (SV) XÖX

4.5.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) ŽENA/ (XX) XXXXXX/ (DE) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) FEMMINILE/ (XX) XXXXXXXX/ (LT) XXXXXXX/ (XX) NŐ/ (XX) MARA/ (NL) XXXXX/ (XX) XXXXXXX/ (XX) FEMININO/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) ŽENSKI/ (XX) XXXXXX/ (XX) XXXXXX

4.5.2

(XX) МЪЖКИ/ (XX) VARÓN/ (XX) MUŽ/ (XX) XXXX/ (DE) MÄNNLICH/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (EN) XXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (HR) XXXXX/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (LT) XXXXX/ (XX) XXXXX/ (XX) XXĠXX/ (XX) MAN/ (XX) MĘŻCZYZNA/ (XX) XXXXXXXXX/ (RO) XĂXXĂXXXX/ (XX) MUŽSKÉ/ (SL) XXXXX/ (FI) XXXX/ (XX) XXX

4.5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) INDETERMINADO/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (EL) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (EN) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) NENUSTATYTA/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX STABBILIT/ (NL) XXXXXXXXX/ (PL) XŁXĆ XXXXXXXŚXXXX/ (PT) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (FI) XÄÄXXXXXXXXÄXÖX/ (XX) XX FASTSTÄLLT

4.6

(BG) АДРЕС/ (ES) XXXXXXXXX/ (XX) ADRESA/ (XX) XXXXXXX/ (XX) ANSCHRIFT/ (XX) XXXXXXX/ (EL) ΔΙΕΥΘΥΝΣΗ/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXX/ (XX) INDIRIZZO/ (LV) XXXXXX/ (XX) XXXXXXX/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) ADRES/ (XX) XXXXXXÇX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (FI) XXXXXX/ (XX) XXXXXX

4.6.1

(XX) УЛИЦА И НОМЕР/ПОЩЕНСКА КУТИЯ/ (XX) CALLE X XXXXXX / XXXXXXXX XX XXXXXXX/ (XX) XXXXX A XXXXX XXXX / XXXXXXXX XXXXXXXXX/ (XX) XXX XX XXXXXXXXX/XXXXXXXX/ (XX) XXXXXXX UND HAUSNUMMER/POSTFACH/ (XX) TÄNAV XX XXXX XXXXXX/XXXXXXXX/ (XX) ΟΔΟΣ ΚΑΙ ΑΡΙΘΜΟΣ / Τ.Θ./ (XX) XXXXXX XXX XXXXXX/XX XXX/ (XX) XXX XX XXXXXX/XXÎXX POSTALE/ (XX) XXXXX AGUS XXXXXX/XXXXX POIST/ (XX) XXXXX X BROJ / XXXXXXXXX XXXXXXXX/ (XX) XXX E XXXXXX/XXXXXXX XXXXXXX/ (LV) XXXX UN XĀXXX XXXXXX / PASTKASTE/ (XX) XXXXĖ IR XXXX XXXXXXX / XXXXX XĖXXXĖ/ (HU) XXXX ÉS XXXXXXX/XXXXXXXXX/ (XX) XXXX U XXXXX/XXXXX POSTALI/ (NL) XXXXXX XX XXXXXX/XXXXXXX/ (XX) XXXXX X XXXXX / SKRYTKA XXXXXXXX/ (XX) XXX X XXXXXX/XXXXX POSTAL/ (XX) STRADA ȘX XXXĂXXX/XĂXXȚX XXȘXXXĂ/ (SK) XXXXX X ČÍSLO/POŠTOVÝ XXXXXXXXX/ (XX) XXXXX XX XXXXXXXX/XXXXXX XXXXXX/ (XX) XÄXXXXXXXX/XXXXXXXXXXX/ (XX) XXXXXXXXXX/XXXXXXX

4.6.2

(XX) НАСЕЛЕНО МЯСТО И ПОЩЕНСКИ КОД/ (XX) XXXXXXXXX X XXXXXX XXXXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXXX XXXXX/ (XX) XX XX XXXXXXXXXX/ (XX) XXX XXX XXX/ (XX) LINN XÕX ASULA JA XXXXXXXXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΤΑΧΥΔΡΟΜΙΚΟΣ ΚΩΔΙΚΟΣ/ (XX) PLACE AND XXXXXX CODE/ (XX) XXXXXXXX XX XXXX XXXXXX/ (XX) XXX XXXX XXX POIST/ (XX) XXXXXX X XXXXXXXXX XXXX/ (XX) XXXXXXXÀ X XXX/ (XX) VIETA XX XXXXX XXXXXXX/ (LT) XXXXX XX PAŠTO XXXXX/ (XX) XXXXXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXÀ U XXXXĊX XXXXXXX/ (XX) XXXXXX XX POSTCODE/ (XX) XXXXXXXXXŚĆ I XXX XXXXXXXX/ (XX) LOCALIDADE X XXXXXX XXXXXX/ (XX) XXXXXXXXXXX ȘI XXXXX POȘTAL/ (SK) XXXXXX X XXXXXXX XXXXXXXXXX XXXXX/ (SL) XXXX XX XXXXXX XXXXXXXX/ (XX) POSTINUMERO XX XXXXXXXXXXXXXXXX/ (XX) XXX XXX XXXXXXXXXX

4.6.3

(XX) ДЪРЖАВА/ (XX) XXXX/ (XX) XXXX/ (DA) XXXX/ (XX) XXXX/ (XX) RIIK/ (EL) ΧΩΡΑ/ (XX) XXXXXXX/ (XX) XXXX/ (XX) XXX/ (HR) XXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXXŻ/ (XX) LAND/ (XX) XXŃXXXX/ (XX) XXXX/ (RO) ȚXXX/ (XX) ŠTÁT/ (XX) XXXXXX/ (FI) MAA/ (XX) XXXX

5.

(XX) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ, СЪОТВЕТНОТО ЛИЦЕ Е БИЛО ЖИВО КЪМ ДАТАТА НА ИЗДАВАНЕ НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (ES) XXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX ESTE XXXXXXX, XX XXXXXXXXXX XXXXXX XX XXXX XX LA XXXXX XX XXXXXXXXXX XXX XXXXXXXXX PÚBLICO/ (CZ) XX XXXXXXX XXXXXXX XXXXXXX, X XXX XX PŘIPOJEN TENTO XXXXXXXX, XXXX XXXXXXX XXXXX XX XXX XXXXXX XXXXXXX XXXXXXX XXXXXX/ (XX) I XXXXXXX XXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX ER XXXXÆXXXX, XXX XXX XÅXÆXXXXXX PERSON I XXXX XÅ XXXXXX XXX XXXXXXXXXXX XX XXX XXXXXXXXXX XXXXXXXX/ (XX) XXXÄXX DER ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX, XXX XXX XXXXXXXXXXX PERSON AM XXX DER AUSSTELLUNG XXX ÖXXXXXXXXXXX URKUNDE XX XXXXX/ (XX) XXXXXXXXX XXXXXXXXX DOKUMENDILE, XXXXXXX XXX XXXX XX XXXXXXX, XXX XXXXXXXXX ISIK NIMETATUD XXXXXXX XXXXXXXXX XÄXXXXXXXXXX XXXXÄXXXX ELUS/ (EL) ΣΥΜΦΩΝΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ, ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΒΡΙΣΚΟΤΑΝ ΣΤΗ ΖΩΗ ΚΑΤΑ ΤΗΝ ΗΜΕΡΟΜΗΝΙΑ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XX THE XXXXXX DOCUMENT XX XXXXX XXXX FORM XX XXXXXXXX, THE XXXXXX XXXXXXXXX WAS XXXXX XX XXX XXXX XX XXXXX XX THE PUBLIC XXXXXXXX/ (XX) X'XXXÈX XX XXXXXXXX PUBLIC XXXXXX XX XXXXXXX XXXXXXXXXX EST XXXXX, XX XXXXXXXX XXXXXXXXX XXXXX XX VIE À XX DATE XX DÉLIVRANCE XX XX DOCUMENT XXXXXX/ (XX) DE XXXX XX XXXXXXXXX PHOIBLÍ XXXX xxXXXX XX XXXXXX SEO XXXXXXXXXX, XXX AN XXXXX XXXX xXXXXXXXX XXX XX XXXXX XXXXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXXX JAVNOJ XXXXXXX XXXXX JE XXXX XXXXXXX XXXXXXXX XXXXXXX OSOBA BILA XX ŽIVA XX XXX IZDAVANJA JAVNE XXXXXXX/ (IT) XXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È ALLEGATO, X'XXXXXXXXX IN XXXX XXXXX XXXXXXX XXXXXXXXXXX È XXXXX ACCERTATA XXXX DATA XX XXXXXXXX DI XXXX XXXXXXXXX/ (XX) XXXXXŅĀ XX XXXXXXXX XXXXXXXXX, XXXXX ŠĪ XXXXXXXX XX XXXXXXXXXX, ATTIECĪGĀ XXXXXXX XXXXXXXĀ XXXXXXXXX XXXXXXXXX XXXXĀ XXXX XXĪXX/ (XX) XXXXX XXXXĄXĮ XXXXXXXXĄ, PRIE XXXXX XXXXXXXXX XX XXXXX, XXXXXXX XXXXXXXXX XXXXXXXX XXXXĄ ATITINKAMAS XXXXX XXXX GYVAS/ (XX) X FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXX XXXXXXX XX XXXXXXXX SZEMÉLY X KÖZOKIRAT KIÁLLÍTÁSÁNAK XXŐXXXXXXXXX XXXXXXX XXXX/ (XX) XXXXX XX-XXXXXXXX XXXXXXXX LI MIEGĦU XXXX XXXXXŻX XXX XX-XXXXXXX, IL-PERSUNA XXXXĊXXXXXX XXXXXX ĦXXXX FID-DATA XXX-ĦXXĠ XXX-XXXXXXXX PUBBLIKU/ (XX) XXXXXXX XXX XXXXXXXX DOCUMENT WAARAAN XXX XXXXXXXXX XX XXXXXXX, XXX DE XXXXXXXXXX XX XXXXX XX XX DATUM XXX XXXXXXX XXX XXX XXXXXXXX XXXXXXXX/ (XX) X XXXXXXXXX XXXĘXXXXXX, DO KTÓREGO XXŁĄXXXXX XXXX XXXXXXXXX XXXXXXXXX, XXXXXX, ŻE XXXXX, XXXXXX XXXXXXX XXXXXXXX, POZOSTAWAŁA PRZY ŻXXXX X DNIU XXXXXXX XXXX XXXXXXXXX XXXĘXXXXXX/ (XX) SEGUNDO X DOCUMENTO XXXXXXX X QUE X XXXXXXXX FORMULÁRIO XXXX XXXXXX, X PESSOA XX XXXXX XXXXXX XXXX À DATA XX XXXXXÃX XX XXXXXXXXX XXXXXXX/ (RO) ÎX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX ESTE XXXXXX XXXXXXXXX XXXXXXXX, XXXXXXXX XXXXXĂ XXX ÎX XXXȚĂ LA DATA XXXXXXXX XXXXXXXXXXXX XXXXXXX/ (XX) PODĽA XXXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX, XXXX DOTKNUTÁ XXXXX X XXX XXXXXXX VEREJNEJ XXXXXXX XXXXXX/ (SL) X XXXXXX X XXXXX XXXXXXX, XX JI XX PRILOŽEN XX XXXXXXX, JE XXXX XXXXXXX OSEBA NA XXX XXXXXX XXXXX XXXXXXX XXXX/ (FI) XXX XXXXXXX XXXXXXXXXX XXXXXX, XXXXX TÄMÄ XXXXXX LIITETÄÄN, ASIANOMAINEN XXXXXXÖ OLI XXXXXX XXXXXXX XXXXXXXXXX XXXXXXXXÄXXÄXÄ/ (XX) XXXXXX XXX XXXXXXXXXX HANDLING XXXX XXXXXX XXXXX FORMULÄR ÄX BIFOGAT XXX XXX XXXÖXXX XXXXXXXX X XXXXX XXX XXXXXXXXXX XÖX DEN XXXXXXXXXX HANDLINGENS XXXÄXXXXXX

6.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) RECUADRO XXXX XX FIRMA/ (CZ) XXXX XXX XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (DE) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX BOX/ (XX) XXXXX XXXX XX XXXXXXXXX/ (XX) XXXXX DON XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXXXXX XXX XX XXXXX/ (XX) XXXXXXXX XXXXX/ (XX) PARAŠO XXXXXXXX/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (XX) KAXXA XXX-XXXXXXXX/ (XX) XXX XXXX XX HANDTEKENING/ (XX) XXXX XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À ASSINATURA/ (XX) XXXXĂXXXX/ (XX) KOLÓNKA XX XXXXXX/ (SL) XXXXX ZA XXXXXX/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (XX) XXXX XÖX UNDERTECKNANDE

6.1

(BG) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X NOMBRE(S) XXX FUNCIONARIO XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXX X XXXXX (JMÉNA) XXXXXXXX, XXXXX XXXXX TENTO XXXXXXXX/ (XX) XXXXXXXXX(X) XX XXXXXXX(X) PÅ XXX EMBEDSMAND, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) FAMILIENNAME(N) XXX XXXXXXX(X) XXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXXXXXX HAT/ (XX) KÄESOLEVA VORMI XÄXXXXXXXXX XXXXXXXX EESNIMI (-XXXXX) JA XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) AND XXXXXXXX(X) OF XXX XXXXXXXX WHO XXXXXX XXXX FORM/ (XX) XXX(X) XX XXXXXX(X) XX XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) AGUS XXXXXXXX (XXXXXXXXXXXXXX) AN XXXXXXXX X D’EISIGH XX FHOIRM SEO/ (XX) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX XXXX XX IZDAO XXXX XXXXXXX/ (IT) XXXXXXX/X X XXXX/X DEL XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX IZDEVUSI ŠO XXXXXXXX, XXXĀXXX(-X) XX XĀXXX(-X)/ (XX) ŠIĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖX) XX XXXXXX (-XX)/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXX XXXX(X) XX UTÓNEVE(I)/ (XX) XXXXXX(/XXXXXXXXXXX) U XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XX(X)X(XX) EN XXXXXX(X)X(XX) XXX DE AMBTENAAR XXX DIT FORMULIER XXXXX AFGEGEVEN/ (XX) XXXXXXXX(-X) X IMIĘ (XXXXXX) XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXX(X) E XXXX(X) PRÓPRIO(S) XX XXXXXXXXXXX XXX XXXXXX X PRESENTE XXXXXXXXXX/ (XX) XXXXXX ȘX XXXXXXXXX XXXXȚXXXXXXXXX XXXX X XXXX PREZENTUL XXXXXXXX/ (SK) PRIEZVISKO(-Á) X MENO(-Á) XXXXXXXX, XXXXX XXXXX TENTO XXXXXXXX/ (XX) PRIIMEK/PRIIMKI XX XXX/XXXXX URADNIKA, XX JE XXXXX XX XXXXXXX/ (XX) XÄXÄX LOMAKKEEN XXXXXXXX XXXXXXXXXXX SUKUNIMI (-XXXXX) XX XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX XXX XÖXXXXX XÅ XXX XXÄXXXXXXX XXX HAR XXXÄXXXX XXXXX FORMULÄR

6.2

(BG) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXX XXX FUNCIONARIO XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, XXXXX VYDAL TENTO XXXXXXXX/ (XX) XXXXXXXX — XXX XXXXXXXXXX, XXX HAR UDSTEDT XXXXX FORMULAR/ (DE) XXXXXXXX XXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX AMETIKOHT/ (EL) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX OF XXX XXXXXXXX WHO ISSUED XXXX XXXX/ (XX) XXXXX DU XXXXXXXXXXXXX XXX X XXXXXXX XX PRÉSENT XXXXXXXXXX/ (XX) XXXX XX XXXXXXXX A D’EISIGH XX XXXXXX XXX/ (XX) FUNKCIJA XXXXXXXXXX XXXX XX IZDAO XXXX XXXXXXX/ (IT) XXXXXXXXX XXX XXXXXXXXXXX XXX HA RILASCIATO XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, KURA XXXXXXXX ŠO XXXXXXXX, XXXXX/ (XX) ŠIĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (MT) XXXXXX XXX-XXXXĊXXX XX ĦAREĠ XXX IL-FORMOLA/ (NL) XXXXXXX VAN XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX URZĘDNIKA, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (PT) XXXXX XX XXXXXXXXXXX QUE XXXXXX X PRESENTE XXXXXXXXXX/ (RO) XXXXȚXX XXXXȚXXXXXXXXX CARE A XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX ÚRADNÍKA, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (XX) TÄMÄN XXXXXXXXX XXXXXXXX XXXXXXXXXXX ASEMA/ (XX) BEFATTNING FÖR XXX XXÄXXXXXXX SOM XXX XXXÄXXXX DETTA XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (DA) XXXXXXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) DATE (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/GGGG) XXXXXXXXX/ (IT) XXXX XX RILASCIO (GG/MM/AAAA)/ (XX) IZDOŠANAS XXXXXX (XX/XX/XXXX)/ (XX) IŠDAVIMO XXXX (DD/MM/MMMM)/ (HU) X KIÁLLÍTÁS XXXXXX (XXXX/XX/XX)/ (MT) DATA (XX/XX/XXXX) XXX-ĦXXĠ/ (NL) XXXXX (XX/XX/XXXX) VAN XXXXXXX/ (PL) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX EMISSÃO (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) VYDANIA/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) FÖR XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) ALLKIRI/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (XX) FIRMA/ (XX) XXXXXXXX/ (LT) PARAŠAS/ (XX) ALÁÍRÁS/ (MT) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) PODPIS/ (PT) XXXXXXXXXX/ (RO) XXXXĂXXXX/ (XX) XXXXXX/ (SL) XXXXXX/ (FI) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (XX) PEČEŤ XXXX XXXXXXX/ (DA) SEGL XXXXX STEMPEL/ (XX) XXXXXX XXXX XXXXXXX/ (XX) PITSER XÕX XXXXXX/ (EL) ΣΦΡΑΓΙΔΑ/ (XX) SEAL OR XXXXX/ (FR) XXXXX XX TIMBRE/ (GA) XXXXX NÓ XXXXXX/ (XX) XXX ILI XXXXX/ (IT) XXXXX X XXXXXX/ (XX) XĪXXXX XXX SPIEDOGS/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (HU) XXXXXX XXXX BÉLYEGZŐLENYOMAT/ (XX) XXĠXXX XXX XXXXXX/ (XX) ZEGEL OF XXXXXXX/ (PL) PIECZĘĆ XXX XXXXXXX/ (XX) XXXX XX XXXXXXX/ (XX) XXXXXXXX XXX ȘXXXXXXX/ (XX) PEČAŤ XXXXX ODTLAČOK XXXXXXXX/ (XX) XXXXX XXX XXX/ (FI) XXXXXXX XXX XXXXX/ (SV) XXXXXX XXXXX XXÄXXXX

XXXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – POMŮCKA XXX XXXXXXX

Xxxxxx 7 xxxxxxxx Evropského xxxxxxxxxx x Xxxx (EU) 2016/1191 xx xxx 6. xxxxxxxx 2016 x xxxxxxx xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxx xx předkládání xxxxxxxxx xxxxxxxxx xxxxxx x Xxxxxxxx unii x x xxxxx xxxxxxxx (XX) x. 1024/2012 (1)

Xxxxxx (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (DK) Německo (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (XX) Španělsko (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxx (NL) Xxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxxxxxx (PT)

Rumunsko (XX) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Xxxxxx (FI)

Švédsko (XX) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx xxxxxx tohoto xxxxxxxxxxxxx xxxxxxxxxxxx formuláře xx usnadnění xxxxxxxx xxxxxxx listiny, x xxx xx xxxxxxxx. Xxxxx xxxxxxxx xx xxxx xxxxxxxxx státy xxxxx xxxxxxxxx xxxx xxxxxxxxxx dokument.

Tento xxxxxxxx xxxxxx obsah xxxxxxx xxxxxxx, k xxx xx xxxxxxxx. Xxxxx, xxxxx xx xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx xxxx v případech, xxx xx xx xxxxxxxx xxx xxxxx xxxxxxxxxx veřejné xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx xxxxxxxxx, xxxxx xxxx xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX XXXXX

Xxxxxx xxxxx informace, xxxxx xxxx xxxxxxx xx xxxxxxx xxxxxxx, x níž xx xxxxxxxx tento formulář. (2)

Xxxxx veřejná xxxxxxx, x xxx je xxxxxxxx tento xxxxxxxx, xxxxxxxxxx xxxxxx údaje xxxx xxxxxxxxx, xxxxxx „–“.

1. XXXXX VYDÁVAJÍCÍ XXXXX FORMULÁŘ

1.1 Xxxxx (3)

2. ORGÁN XXXXXXXXXX XXXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (4)

(1) Xx. xxxx. X 200, 26.7.2016, x. 1.

(2) Xxx xxxxxxxxxx rukou použijte xxxxxxx xxxxx.

(3) Xxxxx „xxxxx“ je xxxxx xxxxxxxx xxxx úřední xxxxx xxxxxx xxxxxxxxxxxx xxxxxxxx.

(4) Xxxxx „xxxxx“ xx třeba xxxxxxxx xxxx xxxxxx xxxxx xxxxxx xxxxxxxxxxxx xxxxxxxx xxxxxxx, x xxx xx xxxxxxxx tento xxxxxxxx.

3. INFORMACE XXXXXXXX XX VEŘEJNÉ XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX

3.1 Xxxxxxx vydaná orgánem xxxx xxxxxxxxx x xxxxxx xx soudy xxxxxx xxxxxxxxx státu

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx xxxxxx xxxxxxx úředníkem

3.1.4 Xxxxxxx xxxxxx xxxxxxx vykonavatelem („xxxxxxxx de xxxxxxx“)

3.1.5 Xxxx (xxxxxxxxx)

3.2 Xxxxxxx xxxxxx správním úřadem

3.2.1 Xxxxxxxxx

3.2.2 Výpis z xxxxxxx

3.2.3 Xxxxx x xxxxxxxx obyvatel

3.2.4 Xxxx xxxxxxxxxx xxxxxxx

3.1.5 Jiné (xxxxxxxxx)

3.3 Notářská xxxxxxx

3.4 Xxxxxx xxxxxxxxx, xxxxxx xxxx opatřena listina xxxxxxxxx soukromou xxxxxx

3.5 Xxxxxxx xxxxxxxxxx diplomatickým xxxxxxxxx nebo xxxxxxxxxxx xxxxxxxxx členského xxxxx x xxxxx xxxxxx xxxx xxxxxxxxxx xxxxxxxxxx

3.6 Xxxxx (dd/mm/rrrr) xxxxxx

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXX O XXXXXXXX

4.1 Xxxxxxxx

4.2 Xxxxx (xxxxx)

4.3 Xxxxx (xx/xx/xxxx) xxxxx

4.4 Xxxxx (1) x země (2) xxxxx

4.5 Xxxxx (dd/mm/rrrr) xxxxxxxx

4.6 Pohlaví: .……………….............................................................................................................

4.6.1 Xxxx

4.6.2 Xxx

4.6.3 Xxxxxxxx

5. XXXX PRO XXXXXX

5.1 Xxxxxxxx x xxxxx (xxxxx) xxxxxxxx, který xxxxx xxxxx xxxxxxxx

5.2 Xxxxxx úředníka, xxxxx xxxxx xxxxx formulář

5.3 Xxxxx (dd/mm/rrrr) xxxxxx

5.4 Xxxxxx

5.5 Pečeť nebo xxxxxxx

(1) Xxxxx „xxxxx xxxxx“ se rozumí xxxxx xxxx xxxx xxxxx, xxxxxx a xxxxx, kde xxxx xxxxx xxxxxxx.

(2) Název xxxx x – xxxxx xxxxxxxx – xxx XXX dané xxxx nebo xxxxxxx „Xxxx (xxxxxxxxx)“ je xxxxx xxxxxx x xxxxxxxxxxx nabídky ve xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxxxxxx, který xx x xxxxxxxxx na xxxxxxx xxxxxxxx e-justice.

VÍCEJAZYČNÝ XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX QUE EXPIDE XXXX XXXXXXX/ (XX) XXXXX VYDÁVAJÍCÍ XXXXX XXXXXXXX/ (XX) DENNE XXXXXXXXX XXXXXXXXXX MYNDIGHED/ (XX) XXXÖXXX, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX VORMI XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX ISSUING XXXX XXXX/ (XX) XXXXXXXX DE XXXXXXXXXX XX PRÉSENT XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX XX XXXXXX XXX/ (XX) XXXXXX XXXX IZDAJE XXXX XXXXXXX/ (IT) XXXXXXXÀ CHE RILASCIA XX PRESENTE MODULO/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ XXXXXXXXXX VALDŽIOS XXXXXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ EMITTENTI XX' XXX XX-XXXXXXX/ (NL) XXXXXXXXXX XXX XXXXXXX XXX XXX FORMULIER/ (XX) XXXXX WYDAJĄCY XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXX EMITE X PRESENTE XXXXXXXXXX/ (XX) AUTORITATEA XXXXXXXĂ X PREZENTULUI XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX, KI XXXX XX XXXXXXX/ (FI) XÄXÄX XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXX UTFÄRDAR XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) DENOMINACIÓN/ (XX) XXXXX/ (DA) XXXXXXXXXX/ (XX) BEZEICHNUNG/ (XX) NIMETUS/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (HU) XXXXXXXXXX/ (XX) TITLU/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXÇÃX/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) XXX/ (XX) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX QUE EXPIDE XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX ESTE IMPRESO/ (XX) XXXXX VYDÁVAJÍCÍ XXXXXXXX LISTINU, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXX XXXXXXXXX, XXX XXX XXXXXXX DET XXXXXXXXXX DOKUMENT, SOM XXXXX XXXXXXXX XX XXXXÆXXXX/ (DE) BEHÖRDE, XXX XXX ÖXXXXXXXXXX XXXXXXX, XXX DIESES XXXXXXXX BEIGEFÜGT XXX, XXXXXXXXX/ (ET) XXXXXX, XXX XXXXX XÄXXX XXXXXXX XXXXXXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX ISSUING XXX XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXX DE DÉLIVRANCE XX DOCUMENT PUBLIC XXXXXX XXX JOINT XX PRÉSENT XXXXXXXXXX/ (XX) AN xXXXXXX X EISEOIDH XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXX XXXX IZDAJE XXXXX ISPRAVU KOJOJ XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX IL XXXXXXXXX PUBBLICO CUI XX XXXXXXXX XXXXXX È XXXXXXXX/ (LV) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ VEIDLAPA IR XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ DOKUMENTĄ, PRIE XXXXX XXXXXXXXX XX XXXXX, IŠDUODANTI VALDŽIOS XXXXXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATOT XXXXXXXX HATÓSÁG/ (XX) XXXXXXXÀ XXXXXXXXX TAD-DOKUMENT XXXXXXXX XX MIEGĦU XXXX XXXXXŻX DIN XX-XXXXXXX/ (XX) XXXXXXXXXX XXX AFGIFTE VAN XXX OPENBAAR DOCUMENT XXXXXXX XXX FORMULIER XX XXXXXXX/ (XX) XXXXX XXXXXĄXX DOKUMENT XXXĘXXXX, DO XXXXXXX XXXXXXXXX XXXXXXXXX JEST XXŁĄXXXXX/ (PT) XXXXXXXXXX XXX XXXXX O XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX ESTÁ APENSO/ (XX) XXXXXXXXXXX XXXXXXXĂ X DOCUMENTULUI XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, XX XXXXXX JE XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX IZDA XXXXX XXXXXXX, KI XX XX XXXXXXXX XX OBRAZEC/ (XX) XXXXXXXXXXXX, XXXX ON XXXXXXX XXXXXXX ASIAKIRJAN, XXXXX TÄMÄ LOMAKE XXXXXXÄÄX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX FORMULÄR ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX RELATIVA XX XXXXXXXXX PÚBLICO XX XXX XX XXXXXXX ESTE XXXXXXX/ (XX) XXXXXXXXX TÝKAJÍCÍ XX XXXXXXX XXXXXXX, X XXX JE XXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXØXXXXX XXX XXXXXXXXXX DOKUMENT, XXX XXXXX XXXXXXXX XX VEDHÆFTET/ (XX) XXXXXXX XXX ÖFFENTLICHEN XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX IST/ (XX) XXXXX XXXXXXX XXXXXXXXX KOHTA, MILLELE XXX XXXX ON XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX XX THE XXXXXX XXXXXXXX XX XXXXX XXXX FORM XX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX XX DOCUMENT XXXXXX XXXXXX EST XXXXX XX XXXXXXX XXXXXXXXXX/ (GA) FAISNÉIS X XXXXXXXXX LEIS XX XXXXXXXXX POIBLÍ XXXX BHFUIL XX XXXXXX XXX CEANGAILTE/ (XX) XXXXXXXXXXX XXXX XX XXXXXX XX XXXXX XXXXXXX XXXXX XX OVAJ OBRAZAC XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXX XX DOCUMENTO XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX PUBLISKO DOKUMENTU, XXXXX ŠĪ XXXXXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXXXX, SUSIJUSI XX XXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX ŠI XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATRA XXXXXXXXX INFORMÁCIÓK/ (MT) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX IS GEHECHT/ (XX) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX ZAŁĄCZONY/ (XX) XXXXXXXÇÕXX XXXXXXXXX AO XXXXXXXXX XXXXXXX A XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXȚXX REFERITOARE XX XXXXXXXXXX XXXXXXX XX XXXX ESTE XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX V XXXXX X XXXXX LISTINO, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) TIEDOT YLEISESTÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXXXX OM XXX XXXXXXXXXX XXXXXXXX TILL XXXXXX XXXXX FORMULÄR ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) DOCUMENTO XXXXXXXX XXX XXX XXXXXXXXX X UN XXXXXXXXXXX XXXXXXXXX X XXX XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXX ÚŘEDNÍKEM X XXXXXX XX XXXXX DANÉHO ČLENSKÉHO XXXXX/ (DA) DOKUMENT, XXX XX UDSTEDT XX XX MYNDIGHED XXXXX XX EMBEDSMAND, XXX XX XXXXXXXXXX XXXXXXXX I XX XXXXXXXXXXX/ (DE) XXXXXXX XXXXX XXXÖXXX XXXX XXXXX XXXXXXXXXX XXX XXXXX XXX XXXXXXXXXXXX XXXXX MITGLIEDSTAATS/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX LIIKMESRIIGI XXXXXXXXX XXXXXX AMETIASUTUS XÕX AMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXX XX AN XXXXXXXX XXXXXXXXX WITH THE XXXXXX XX TRIBUNALS XX X MEMBER XXXXX/ (FR) XXXXXXXX XXXXXXX X'XXX XXXXXXXX XX X'XX XXXXXXXXXXXXX XXXXXXXX D'UNE JURIDICTION X'XX XXXX MEMBRE/ (XX) DOICIMÉAD X XXXXXXX Ó XXXXXX XX Ó XXXXXXXXX X XXXXXX XXXXX XXXX NÓ XXXX XX XXXXXXXXXX XX XX XXXXX DE XXXXX BALLSTÁIT/ (XX) XXXXXXX XXXX XX XXXXXX TIJELO XXX XXXXXXXXX SUDA DRŽAVE XXXXXXX/ (XX) DOCUMENTO XXXXXXX XX XX'XXXXXXXÀ X XX UN XXXXXXXXXXX XXXXXXXXXXXX XX XXX DELLE XXXXXXXXXXXXX XX UNO XXXXX XXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XX XXXĪXXXXXXX XXXXĀX XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, IŠDUOTAS XXXXXXXX INSTITUCIJOS XX XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX XXXXXXXX XX TRIBUNOLAIS/ (HU) XXXXXXXXX XXXXXXXXXX KAPCSOLATBAN XXXX XXXXXXX XXXX XXXXXXXXXXŐ ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ MINN XXXXXXXÀ XXX XXXXĊXXX LI XXXXXXXX XXXXX XXX-XXXXX XXX IT-TRIBUNALI XX' XXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXXXX XX XXXXXXXXX BEHORENDE XXX XXX RECHTERLIJKE XXXXXXXXX XXX EEN XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXX XĄXXXXXX XXX XXXĘXXXXX SĄDOWEGO XXŃXXXX XXŁXXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX DE XXX XXXXXXXXXX XX XX UM XXXXXXXXXXX XXXXXXXXXX XX XXXXXXXX XXXXXXXÇÃX DE UM XXXXXX-XXXXXX/ (XX) DOCUMENT XXXX DE X XXXXXXXXXX XXX DE XX XXXXȚXXXXX XX XX XÂXXĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXX ALEBO ÚRADNÍKOM X VÄZBOU XX XXXX ČLENSKÉHO XXXXX/ (XX) LISTINA, IZDANA X STRANI XXXXXX XXX URADNIKA SODNE XXXXXXX XXXXXX XXXXXXX/ (XX) ASIAKIRJA, XXXXX XX XXXXXXX JÄSENVALTION XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXXXXXXXX XXXXX EN XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX I XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (CZ) XXXXXXXXXX XXXXX/ (DA) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (EN) XXXXX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXX ÓN xXXXXX/ (XX) SUDSKA XXXXXX/ (XX) XXXXXXXXX GIURISDIZIONALE/ (XX) XXXXXX XĒXXXX/ (XX) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX HATÁROZAT/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX BESLISSING/ (XX) ORZECZENIE XĄXXXX/ (XX) XXXXXÃX JUDICIAL/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) XXXXX ODLOČBA/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX EXPEDIDO XXX XX XXXXXXXXXX XXXXXX/ (XX) LISTINA XXXXXX STÁTNÍM ZÁSTUPCEM/ (XX) XXXXXXXX XXXXXXX XX EN ANKLAGEMYNDIGHED/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX EMANATING XXXX X PUBLIC PROSECUTOR/ (XX) XXXXXXXX XXXXXXX XX MINISTÈRE XXXXXX/ (XX) DOICIMÉAD A XXXXXXX X IONCHÚISITHEOIR XXXXXX/ (HR) XXXXXXX XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX EMANATO XXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) ÜXXXXX ÁLTAL KIÁLLÍTOTT XXXXXX/ (MT) XXXXXXXX XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX/ (SK) XXXXXXX XXXXXX PROKURÁTOROM/ (XX) XXXXXXX, XX XX XXXX DRŽAVNO XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX ASIAKIRJA/ (XX) XXXXXXXX SOM HÄRRÖR XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX ÚŘEDNÍKEM/ (XX) XXXXXXXX UDSTEDT XX XX JUSTITSSEKRETÆR/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX GESCHÄFTSSTELLE XXXXX XXXXXXXX/ (XX) DOKUMENT, XXXXX XX VÄLJA XXXXXX KOHTUAMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX EMANATING XXXX X XXXXX XX X COURT/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX/ (XX) XXXXXXXXX X THAGANN X XXXXXXXXXX DE CHUID XXXXXX/ (XX) ISPRAVA XXXX XX XXXXX XXXXXXXXXX XXXXXX PISARNICE/ (XX) DOCUMENTO XXXXXXX XX XX CANCELLIERE/ (XX) DOKUMENTS, KURU XXXXXXXXXX XXXXXX XXXXXXĀXX/ (XX) TEISMO TARNAUTOJO XXXXXXXX DOKUMENTAS/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX XXĠXXXXXXXX TA' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX GRIFFIER/ (XX) XXXXXXXX POCHODZĄCY XX SEKRETARZA XĄXXXXXX/ (XX) XXXXXXXXX PROVENIENTE XX XX OFICIAL XX XXXXXÇX/ (XX) XXXXXXXX XXXX XX XX XXXXXXX XX XXXXXXȚXX/ (SK) XXXXXXX XXXXXX SÚDNYM XXXXXXXXX/ (XX) XXXXXXX, KI XX XXXX XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX FRÅN EN XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (XX) DOCUMENTO EXPEDIDO XXX UN AGENTE XXXXXXXX («HUISSIER DE XXXXXXX»)/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXX XXXXXXX XX XX STÆVNINGSMAND (»XXXXXXXX XX XXXXXXX«)/ (XX) XXXXXXX EINES XXXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX ON XÄXXX XXXXXX KOHTUTÄITUR/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXXXXXXX FROM X XXXXXXXX XXXXXXX ('XXXXXXXX XX JUSTICE')/ (XX) XXXXXXXX ÉMANANT X'XX XXXXXXXX DE XXXXXXX/ (XX) XXXXXXXXX X THAGANN X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (HR) XXXXXXX XXXX JE XXXXX SUDSKI XXXXXXXXX (XXXXXXXX XX JUSTICE)/ (XX) XXXXXXXXX EMANATO XX XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (XX) DOKUMENTS, XXXX XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (XXXXXXXX XX XXXXXXX)/ (LT) ANTSTOLIO (XXXXXXXX XX XXXXXXX) XXXXXXXX DOKUMENTAS/ (XX) XXXXXXXX XXXXXXXXXX („HUISSIER XX XXXXXXX”) ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠUDIZZJARJU ('XXXXXXXX XX JUSTICE')/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX GERECHTSDEURWAARDER/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX SĄDOWEGO (XXXXXXXX XX JUSTICE)/ (PT) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXÃX XX XXXXXXX («XXXXXXXX DE XXXXXXX»)/ (RO) XXXXXXXX XXXX XX XX XXXXXXXX JUDECĂTORESC („XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXXXXX (”HUISSIER XX XXXXXXX”) XXXXXX ASIAKIRJA/ (XX) HANDLING XXX XÄXXÖX XXÅX EN XXÄXXXXXXXXX (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (ESPECIFÍQUESE)/ (XX) XXXX (XXXXXXXXX)/ (DA) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (BITTE XXXXXXX)/ (XX) XXX (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) OTHER (XX XX XXXXXXXXX)/ (FR) XXXXX (À XXXXXXXX)/ (XX) XXXX (XX XXXXX)/ (XX) OSTALO (XXXXXXX)/ (XX) XXXXX (XXXXXXXXX)/ (XX) XXXX (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (XX) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) XXXX (PROSZĘ XXXXŚXXĆ)/ (XX) XXXXXX (X XXXXXXXXXXX)/ (RO) XXXXX (X SE PRECIZA)/ (XX) INÉ (XXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) MUU ASIAKIRJA (XÄXXXXXXXXÄXÄ)/ (SV) ANNAN XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (CZ) XXXXXXX XXXXXX XXXXXXXX ÚŘADEM/ (XX) ADMINISTRATIVT DOKUMENT/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (ET) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXXXX RIARACHÁIN/ (XX) XXXXXXX XXXXXXX/ (XX) DOCUMENTO AMMINISTRATIVO/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) ADMINISTRACINIS XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) DOCUMENTO ADMINISTRATIVO/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) UPRAVNA XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) ADMINISTRATIV XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) BESCHEINIGUNG/ (XX) TÕEND/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (HR) XXXXXXX/ (XX) XXXXXXXXXXX/ (LV) XXXXXXXXĀXXXX/ (LT) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX OU XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) OSVEDČENIE/ (SL) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (ES) XXXXXXXX DEL XXXXXXXX XXXXX/ (CZ) VÝPIS X MATRIKY/ (XX) XXXXXX XXX CIVILSTANDSREGISTRET/ (XX) XXXXXX XXX XXX PERSONENSTANDSREGISTER/ (XX) XXXXXXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX XXXXX XXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX DE X'XXXX XXXXX/ (GA) XXXXXXX XX XX xXXXX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXX XXXXXX/ (XX) XXXXXXXX DI XXXX DI STATO XXXXXX/ (XX) XXXXXXXX XX XXXXXXXĀXXXĻX AKTU XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXĖX BŪKLĖS XXXŲ XXXXXXXX/ (XX) XXXXXÖXXXX KIVONAT/ (XX) XXXXXXX XXX-XXĠXXXXX TAL-ISTAT ĊXXXXX/ (XX) UITTREKSEL XXX XXX REGISTER XXX DE BURGERLIJKE XXXXX/ (XX) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (PT) XXXXXXX XX XXXX DO XXXXXXX XXXXX/ (XX) XXXXXX XXX REGISTRUL XX XXXXX XXXXXĂ/ (XX) VÝPIS X XXXXXXXX XXXXXXXX STAVU/ (XX) XXXXXXX XX XXXXXXXX X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (SV) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (ES) XXXXXXXX XXX CENSO/ (XX) XXXXX X XXXXXXXX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXX XXX DEM XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX XXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XX REGISTRE XX XX XXXXXXXXXX/ (GA) XXXXXXX AS XX xXXXX XXXXXX/ (XX) XXXXXXX XX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX/ (XX) IZRAKSTS XX XXXXĪXXXĀXX XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXXŲ XXXXXXXX/ (XX) XXXXXXX X XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (MT) XXXXXXX XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX UIT XXX BEVOLKINGSREGISTER/ (XX) XXXXĄX X XXXXXXXX XXXXXŚXX/ (XX) XXXXXXX XX XXXXXXX DA XXXXXXÇÃX/ (XX) XXXXXX XXX XXXXXXXXX DE XXXXXXȚĂ X POPULAȚIEI/ (XX) XXXXX X XXXXXXXX XXXXXXXĽXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXXXXXXX/ (XX) VÄESTÖREKISTERIOTE/ (XX) UTDRAG UR XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (ES) XXXXX LITERAL XX XXXXX XXX XXXXXXXX XXXXX/ (XX) XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXX XX XXXXXXXXXXXXXXXXXXX/ (XX) WÖRTLICHE XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) PEREKONNASEISUAKTI XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) VERBATIM XXXX XX XXXXX STATUS XXXXXXX/ (FR) COPIE XXXXXXXXX X'XXXXX XX X'XXXX XXXXX/ (XX) XXXX XXXXX XX XXXXXX XX XXXXXXX XX XXXXXX XXXXXXXXX/ (XX) DOSLOVNI XXXXXXXX XX XXXXXXXXXX X XXXXXXX XXXXXX/ (XX) XXXXX XXXXXXXXX DI XXXX XX STATO XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX XXĢXXXXX XXXXXXXX XXXXXXXXXX KOPIJA/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮXXXŲ PAŽODINĖ KOPIJA/ (XX) ANYAKÖNYVI XXXXXXXXX XXX SZERINTI MÁSOLATA/ (XX) XXXXX VERBATIM XXX-XXXX XXX-XXXXX ĊXXXXX/ (XX) EENSLUIDEND XXXXXXXXX XXX XXXXX XXX XX XXXXXXXXXXX STAND/ (XX) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXÃX XX XXXXX XXXXXXXX XX XX NARRATIVA XX XXXX DE REGISTO XXXXX/ (XX) XXXXX XXXXXĂ X UNUI XXX DE STARE XXXXXĂ/ (SK) XXXXXXXX XXXXX XX XXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXX XXXXXX XXXXXX X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX JÄLJENNÖS/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX NOTARIAL/ (XX) NOTÁŘSKÁ XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX ACT/ (XX) XXXX NOTARIÉ/ (GA) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXĀXX XXXX/ (LT) XXXXXXXXX XXXXX/ (XX) XÖXXXXXXŐX OKIRAT/ (XX) XXX XXXXXXXX/ (XX) XXXXXXËXX AKTE/ (XX) XXX NOTARIALNY/ (PT) XXX NOTARIAL/ (RO) XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (SL) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXX XXXXXXXXX/ (XX) NOTARIELL XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX XXXXXX XXXXX XX XXXXXXXXX XXXXXXX/ (CZ) ÚŘEDNÍ XXXXXXXXX, KTERÝM XXXX XXXXXXXX XXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXX XÅXXXXXXX XÅ XX XXXXXXXX UNDERTEGNET XX XX XXXXXX X XXXXXX XXXXXXXX XX PRIVATPERSON/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX XXXXX PRIVATURKUNDE/ (ET) XXXXX POOLT ERAISIKUNA XXXXXXXXXXXXXX DOKUMENDILE KINNITATAV XXXXXXX XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX XXXXXX ON X XXXXXXXX XXXXXX BY X XXXXXX IN XXX XX HER XXXXXXX XXXXXXXX/ (FR) XXXXXXXXXXX XXXXXXXXXX APPOSÉE XXX XX XXXX XXXX SEING PRIVÉ/ (XX) XXXXXXXX OIFIGIÚIL X CHUIRTEAR XX XXXXXXXXXX XXXX SHÍNIÚ XX DUINE XXX XXXXX XX INA XXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX XX XXXXXXX XXXX XX OSOBA POTPISALA X XXXXXXXXX XXXXXXXX/ (XX) DICHIARAZIONE XXXXXXXXX XXXXXXX XX UNA XXXXXXXXX PRIVATA/ (XX) XXXXXĀXX XXXXXXXXĀXXXX XX XXXXXXXXX, XX SAVĀ XĀXXĀ PARAKSTĪJUSI XĀXX XXXXXXX/ (LT) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ DOKUMENTŲ XXXXXXXŪX XXXXXXXXXXXXX/ (HU) XXXXXXXXXXXXX ELHELYEZETT HIVATALOS XXXXXXXXXXX/ (MT) ĊERTIFIKAT XXXXĊXXXX LI XXXXXXXĦXX X'XXXXXXXX XXXXXXXX MINN XXXXXXX XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX OP XXX XXXXXXXX XXXXXXXXXXX XXXX XXX PERSOON XX XXXX XXXXXXXXXXXX HOEDANIGHEID/ (XX) XXXĘXXXX ZAŚWIADCZENIE XXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXXX PRZEZ XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX XXX DE XXXXXXXX XXXXXXX/ (RO) XXXXXXXXXX XXXXXXX XXXXXXX XX XX DOCUMENT XXX XXXXĂXXXĂ XXXXXXĂ/ (SK) XXXXXX XXXXXXXXXX XXXXXXX XX XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXX XX XXXXXXX LISTINI/ (XX) XXXXXXXXXX TODISTUS XXXXXXXXXXXX, XXXXX HENKILÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX XXXXX XXXXXXXXX XÅ XX XXXXXXXX XXX XXXXXXXXXXXXX XX XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX XXX UN XXXXXX XXXXXXXXXXX X XXXXXXXX XX XX XXXXXX XXXXXXX CON XXXXXXXX XXXXXXX/ (CZ) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX V XXXXX XXXXXX JEHO XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX OFFICIELT XXXÆXXXXXX XX XX MEDLEMSSTATS XXXXXXXXXXXX XXXXX KONSULÆRE XXXXÆXXXXXXX/ (DE) XXX XXXXX XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX VÕI KONSULAARAMETNIKU XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΈΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX DRAWN UP XX A XXXXXXXXXX XX XXXXXXXX XXXXX XX X MEMBER XXXXX IN XXX XX HER XXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXX EN XX XXXXXXX OFFICIELLE XXX XX XXXXX DIPLOMATIQUE XX XXXXXXXXXX D'UN XXXX XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX XX CHUID XXXXXXXXX XXX CHÁIL NÓ XXX XXXX OIFIGIÚIL/ (XX) XXXXXXX XXXX XX X XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX REDATTO XX XXXXXX XXXXXXXXXXX X XXXXXXXXX DI UNO XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX XXXX FUNZIONI/ (XX) XXXXXXXXX, XXXX, XXXXXX XXXXX PIENĀKUMUS, XXXXXXXXXXX DALĪBVALSTS XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX NARĖS XXXXXXXXX XX XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX PAGAL XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXXX XXXX AĠENT XXXXXXXXXXX XXX XXXXXXXXX XX' XXXX XXXXXX XXX-XXXXĊXXÀ UFFIĊJALI TIEGĦU/ (XX) XXXXXXXX XXXXXXXXX XXXX DE DIPLOMATIEKE XX XXXXXXXXXX AMBTENAAR XXX XXX XXXXXXXX XX XXXX XXXXXXËXX XXXXXXXXXXXX/ (XX) DOKUMENT XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX XXXXŁXXĄXXXX W XXXXXXXXXXX XXXĘXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XX XXXXXX XXXXXXXXXXX OU XXXXXXXX XX UM XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (RO) XXXXXXXX ÎXXXXXXX XX CĂTRE XX XXXXX XXXXXXXXXX XXX XXXXXXXX XX XXXX STAT XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX VYHOTOVENÁ XXXXXXXXXXXXX XXXXXXXXX ALEBO XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXX/ (XX) LISTINA, KI XX XXX XXXXXX XXXXX IZDA DIPLOMATSKI XXX KONZULARNI XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX ON XXXXXXXX XXXXXXXXXXXXXXXXXX/ (SV) XXXXXXXX XXXXÄXXXX I XXÄXXXXX XX XX XXXXXXXXXXX XXXXX KONSULÄR TJÄNSTEMAN X XX MEDLEMSSTAT

3.6

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) FECHA (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (DA) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) VÄLJAANDMISE XXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX ISSUE/ (FR) XXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (HR) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) A XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (JJ/XX/SSSS) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX AFGIFTE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX EMISSÃO (XX/XX/XXXX)/ (XX) XXXX (ZZ/LL/AAAA) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) VYDANIA/ (XX) XXXXX (XX/XX/XXXX) IZDAJE/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX UTFÄRDANDE

3.7

(BG) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (CZ) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (XX) DET XXXXXXXXXX DOKUMENTS XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX DER ÖXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) REFERENCE NUMBER XX XXX XXXXXX XXXXXXXX/ (FR) XXXXXX XX RÉFÉRENCE DU XXXXXXXX PUBLIC/ (XX) XXXXXX XXXXXXXXX AN XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXX JAVNE XXXXXXX/ (IT) XXXXXX XX XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX ATSAUCES XXXXXX/ (LT) XXXXXXX XXXXXXXXX NUMERIS/ (XX) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXX XX' XXXXXXXXX TAD-DOKUMENT XXXXXXXX/ (NL) XXXXXXXXXXXXXXXX XXX HET XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX DOKUMENTU URZĘDOWEGO/ (XX) XXXXXX XX XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (RO) XXXĂXXX XX XXXXXXXȚĂ XX XXXXXXXXXXXX XXXXXXX/ (SK) XXXXXXXXXX ČÍSLO XXXXXXXX XXXXXXX/ (SL) REFERENČNA XXXXXXXX XXXXX LISTINE/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (XX) DEN XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА ПОЧИНАЛОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX XX XXXXXXX XXXXXXXXX/ (CZ) INFORMACE X XXXXXXXX/ (DA) XXXXXXXXXXX OM XXXØXX/ (XX) ANGABEN ZUR XXXXXX, DEREN XXX XXXXXXXXX XXXX/ (XX) XXXXXX XXXXXX KÄSITLEV XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΘΑΝΟΝΤΟΣ/ (XX) XXXXXXXXXXX XX XXX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX SUR XX XXXXXXXX DÉCÉDÉE/ (XX) XXXXXXXX XXXXXX XXXX XX XXXXX ÉAGTHA/ (XX) XXXXXXXXXXX X XXXXXXXXXX OSOBI/ (IT) XXXXXXXXXXXX XXXXX XXXXXXX XXXXXXXX/ (LV) XXXXXXĀXXXX XXX XXXXXX XXXXXXX/ (XX) XXXXXXXXXXX APIE XXXXXĮ XXXXXĮ/ (XX) XX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) INFORMAZZJONI XXXX XX-XXXXXXX XXĊXXXXX/ (XX) INFORMATIE XXXX XX XXXXXXXXXX/ (XX) XXXX XXXXXXĄXX XXXXX XXXXŁXX/ (PT) XXXXXXXÇÕXX XXXXX A XXXXXX XXXXXXXX/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXXXXX X XXXXXXXX XXXXX/ (SL) XXXXXXXXXXX X XXXXXX/ (XX) KUOLLEEN XXXXXXÖX XXXXXX/ (XX) XXXXXXXXXXX XX XXX XXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (ES) XXXXXXXX(X)/ (XX) PŘÍJMENÍ/ (XX) XXXXXXXXX(X)/ (XX) XXXXXXXXXXXX(X)/ (ET) PEREKONNANIMI (-XXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX(X)/ (XX) XXX(X)/ (XX) SLOINNE (XXXXXXXX)/ (XX) PREZIME(NA)/ (XX) XXXXXXX(X)/ (XX) XXXĀXXX(-X)/ (LT) PAVARDĖ (-ĖX)/ (XX) XXXXXXX XXXX(X)/ (MT) KUNJOM(/KUNJOMIJIET)/ (XX) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (XX) APELIDO(S)/ (XX) NUME/ (XX) XXXXXXXXXX(-X)/ (XX) PRIIMEK/PRIIMKI/ (XX) XXXXXXXX (-XXXXX)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (ES) NOMBRE(S)/ (XX) XXXXX (JMÉNA)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (ET) XXXXXXX (-XXXXX)/ (EL) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (GA) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (LV) XĀXXX(-X)/ (LT) VARDAS (-XX)/ (XX) UTÓNEVE(I)/ (XX) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (PL) IMIĘ (XXXXXX)/ (PT) XXXX(X) XXXXXXX(X)/ (XX) XXXXXXX/ (XX) XXXX(-X)/ (SL) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (XX) FÖRNAMN

4.3

(BG) ДАТА (ДД/ММ/ГГГГ) НА СМЪРТТА/ (ES) XXXXX (XX/XX/XXXX) XX XXXXXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXX/ (XX) DØDSDATO (XX/XX/ÅÅÅÅ)/ (XX) DATUM (XX/XX/XXXX) XXX TODES/ (XX) XXXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΘΑΝΑΤΟΥ/ (EN) DATE (XX/XX/XXXX) XX XXXXX/ (XX) DATE (XX/XX/XXXX) XX XXXÈX/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXX/ (IT) XXXX DI XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXX XXXX (XX/XX/XXXX)/ (XX) HALÁLESETÉNEK XXXXX (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) TAL-MEWT/ (XX) XXXXX (XX/XX/XXXX) VAN XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) ZGONU/ (XX) XXXX XX XXXXX (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) XXXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXX/ (XX) KUOLINAIKA (XX/XX/XXXX)/ (XX) DATUM (XX/XX/ÅÅÅÅ) XÖX XÖXXXXXXXX

4.4

(XX) МЯСТО И ДЪРЖАВА НА СМЪРТТА/ (ES) XXXXX Y XXXX XX FALLECIMIENTO/ (CZ) XXXXX X XXXX XXXXX/ (XX) XØXXXXXX XX -XXXX/ (DE) XXX UND XXXX XXX XXXXX/ (ET) XXXXXXXXX XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΘΑΝΑΤΟΥ/ (XX) XXXXX XXX XXXXXXX XX XXXXX/ (FR) XXXX XX XXXX XX DÉCÈS/ (XX) XXX AGUS XXX XX XXXXX/ (XX) XXXXXX X XXXXXX XXXXX/ (IT) LUOGO X XXXXX XX XXXXXXX/ (LV) XXXXXXXX XXXXX XX XXXXXX/ (XX) XXXXXXX VIETA XX XXXXX/ (XX) XXXXXXXXXXXXX XXXXX ÉS XXXXXXX/ (XX) XXXX X XXXXXŻ TAL-MEWT/ (XX) XXXXXX XX XXXX XXX OVERLIJDEN/ (XX) XXXXXXX X XXŃXXXX ZGONU/ (PT) XXXXX X XXXX XX XXXXX/ (XX) XXXXX ȘI ȚXXX XXXXXXXXX/ (XX) MIESTO X XXXX XXXXXX/ (XX) XXXX XX XXXXXX XXXXX/ (XX) XXXXXXXXXXXX JA -XXX/ (XX) ORT XXX XXXX XÄX XÖXXXXXXXX XXXXÄXXXXX

4.5

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (ES) XXXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) NAROZENÍ/ (DA) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (FR) XXXX (JJ/MM/AAAA) XX XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (XX) XXXX XX XXXXXXX (GG/MM/AAAA)/ (LV) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXX (XX/XX/XXXX) TAT-TWELID/ (XX) GEBOORTEDATUM (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (XX/XX/XXXX) NARODENIA/ (SL) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXÄXXXX (PP/KK/VVVV)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.6

(XX) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (XX) XØX/ (XX) XXXXXXXXXX/ (XX) XXXX/ (XX) ΦΥΛΟ/ (XX) SEX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXX/ (XX) SESSO/ (XX) XXXXXXX/ (XX) LYTIS/ (XX) NEME/ (MT) XXXX/ (XX) GESLACHT/ (XX) XŁXĆ/ (XX) XXXX/ (XX) SEXUL/ (XX) XXXXXXXX/ (XX) XXXX/ (XX) SUKUPUOLI/ (XX) KÖN

4.6.1

(BG) ЖЕНСКИ/ (XX) MUJER/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) FEMALE/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (IT) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XŐ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) FEMININO/ (XX) FEMEIESC/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (SV) XXXXXX

4.6.2

(XX) МЪЖКИ/ (XX) XXXXX/ (CZ) XXX/ (XX) XXXX/ (XX) XÄXXXXXX/ (XX) MEESSOOST/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) FIREANN/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) XXXXX/ (XX) FÉRFI/ (XX) XXĠXX/ (XX) XXX/ (XX) XĘŻXXXXXX/ (XX) XXXXXXXXX/ (RO) XĂXXĂXXXX/ (XX) MUŽSKÉ/ (XX) MOŠKI/ (XX) XXXX/ (SV) XXX

4.6.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) NEURČENO/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) INDETERMINATO/ (XX) NENOTEIKTS/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX STABBILIT/ (XX) XXXXXXXXX/ (PL) XŁXĆ XXXXXXXŚXXXX/ (XX) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (FI) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

5.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX XXXXX/ (XX) XXXX PRO XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (FR) CADRE XXXX LA XXXXXXXXX/ (XX) XXXXX DON XXXXX/ (HR) POLJE XX POTPIS/ (IT) XXXXXXXX XXX XX XXXXX/ (XX) XXXXXXXX XXXXX/ (LT) PARAŠO XXXXXXXX/ (XX) AZ XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX TAL-IFFIRMAR/ (XX) XXX VOOR DE XXXXXXXXXXXX/ (XX) XXXX XXXXXXX/ (PT) ESPAÇO XXXXXXXXX À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (SK) XXXXXXX XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (XX) XXXX FÖR XXXXXXXXXXXXXX

5.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X XXXXXX(X) XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (CZ) PŘÍJMENÍ X XXXXX (XXXXX) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (DA) XXXXXXXXX(X) OG XXXXXXX(X) XÅ DEN EMBEDSMAND, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (DE) XXXXXXXXXXXX(X) UND VORNAME(N) XXX XXXXXXX, XXX XXXXXX XXXXXXXX AUSGESTELLT XXX/ (XX) KÄESOLEVA XXXXX VÄLJASTANUD XXXXXXXX XXXXXXX (-XXXXX) XX XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) XXX XXXXXXXX(X) XX XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) NOM(S) XX XXXXXX(X) XX XXXXXXXXXXXXX XXX X XXXXXXX XX PRÉSENT FORMULAIRE/ (XX) XXXXXXX (SLOINNTE) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX XXXXXXXX X X’XXXXXX AN FHOIRM XXX/ (HR) XXXXXXX(XX) X XXX(XX) SLUŽBENIKA XXXX XX XXXXX XXXX OBRAZAC/ (XX) XXXXXXX/X X XXXX/X XXX XXXXXXXXXXX CHE XX RILASCIATO XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX IZDEVUSI XX VEIDLAPU, XXXĀXXX(-X) XX VĀRDS(-I)/ (XX) XXĄ XXXXĄ IŠDAVUSIO XXXXXXŪXX XXXXXXĖ (-ĖS) XX XXXXXX (-XX)/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX TISZTVISELŐ XXXXXXX XXXX(X) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) U XXXX(/XXXXXXXX) TAL-UFFIĊJAL LI ĦXXXĠ XXX IL-FORMOLA/ (XX) NA(A)M(EN) EN XXXXXX(X)X(XX) XXX XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) X XXXĘ (IMIONA) XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXX(X) X XXXX(X) XXXXXXX(X) XX FUNCIONÁRIO XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (RO) XXXXXX ȘX XXXXXXXXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX FORMULAR/ (XX) XXXXXXXXXX(-X) X MENO(-Á) XXXXXXXX, KTORÝ XXXXX XXXXX XXXXXXXX/ (SL) XXXXXXX/XXXXXXX XX IME/IMENA XXXXXXXX, XX JE XXXXX TA XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX VIRKAMIEHEN XXXXXXXX (-XXXXX) JA XXXXXXX (-XXXXX)/ (XX) EFTERNAMN XXX FÖRNAMN XÅ XXX TJÄNSTEMAN SOM XXX XXXÄXXXX XXXXX XXXXXXÄX

5.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, XXXXX XXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXX — XXX XXXXXXXXXX, DER XXX XXXXXXX DENNE XXXXXXXX/ (XX) STELLUNG XXX XXXXXXX, DER XXXXXX XXXXXXXX AUSGESTELLT HAT/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX AMETIKOHT/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX OF XXX XXXXXXXX WHO XXXXXX THIS XXXX/ (XX) XXXXX XX XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (GA) POST XX XXXXXXXX X X’XXXXXX AN FHOIRM XXX/ (HR) XXXXXXXX XXXXXXXXXX XXXX JE XXXXX OVAJ OBRAZAC/ (XX) XXXXXXXXX XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (LV) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, XXXXX/ (LT) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX PAREIGOS/ (XX) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ BEOSZTÁSA/ (MT) XXXXXX TAL-UFFIĊJAL XX ĦXXXĠ XXX IL-FORMOLA/ (XX) XXXXXXX VAN XX XXXXXXXXX DIE XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX DO XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (RO) XXXXȚXX XXXXȚXXXXXXXXX XXXX X XXXX PREZENTUL XXXXXXXX/ (SK) FUNKCIA XXXXXXXX, KTORÝ VYDAL XXXXX XXXXXXXX/ (SL) XXXXXXX XXXXXXXX, KI XX IZDAL TA XXXXXXX/ (XX) TÄMÄN XXXXXXXXX XXXXXXXX VIRKAMIEHEN XXXXX/ (SV) XXXXXXXXXX XÖX XXX TJÄNSTEMAN XXX XXX XXXÄXXXX XXXXX FORMULÄR

5.3

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) FECHA (DD/MM/AAAA) XX XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) VYDÁNÍ/ (XX) XXXXXXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (DD/MM/YYYY) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X KIÁLLÍTÁS XXXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) DATUM (XX/XX/XXXX) XXX AFGIFTE/ (XX) XXXX (XX/XX/XXXX) WYDANIA/ (XX) XXXX XX XXXXXÃX (DD/MM/AAAA)/ (RO) XXXX (XX/XX/XXXX) EMITERII/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (FI) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) FÖR XXXÄXXXXXX

5.4

(XX) ПОДПИС/ (ES) XXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (FR) XXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (IT) FIRMA/ (XX) XXXXXXXX/ (LT) XXXXXXX/ (XX) XXXXXXX/ (XX) FIRMA/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) ASSINATURA/ (XX) XXXXĂXXXX/ (XX) PODPIS/ (XX) PODPIS/ (XX) XXXXXXXXXXXXX/ (SV) XXXXXXXXXXXX

5.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (CZ) PEČEŤ XXXX XXXXXXX/ (XX) XXXX XXXXX STEMPEL/ (XX) XXXXXX XXXX XXXXXXX/ (ET) XXXXXX XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) SEAL XX XXXXX/ (FR) XXXXX OU TIMBRE/ (XX) SÉALA XX XXXXXX/ (XX) XXX XXX XXXXX/ (XX) XXXXX O XXXXXX/ (XX) XĪXXXX XXX XXXXXXXX/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (HU) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX XXX XXXXXX/ (NL) XXXXX XX XXXXXXX/ (PL) XXXXXĘĆ XXX XXXXXXX/ (XX) XXXX XX XXXXXXX/ (XX) SIGILIUL XXX ȘTAMPILA/ (XX) XXXXX ALEBO XXXXXXXX XXXXXXXX/ (SL) XXXXX XXX XXX/ (XX) XXXXXXX XXX LEIMA/ (XX) XXXXXX XXXXX XXÄXXXX

MANŽELSTVÍ

VÍCEJAZYČNÝ XXXXXXXXXX XXXXXXXX – XXXXXXX XXX XXXXXXX

Xxxxxx 7 xxxxxxxx Evropského xxxxxxxxxx x Rady (EU) 2016/1191 ze dne 6. července 2016 x podpoře volného xxxxxx xxxxxx zjednodušením xxxxxxxxx na xxxxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx x Xxxxxxxx xxxx x x xxxxx xxxxxxxx (XX) č. 1024/2012 (1)

Xxxxxx (BE) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (DK) Xxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Kypr (XX)

Xxxxxxxx (LV) Litva (XX)

Xxxxxxxxxxx (LU)

Maďarsko (XX) Xxxxx (XX)

Xxxxxxxxxx (XX) Xxxxxxxx (XX)

Xxxxxx (PL) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Xxxxxx (XX)

Xxxxxxx (SE) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx účelem xxxxxx xxxxxxxxxxxxx xxxxxxxxxxxx formuláře xx usnadnění překladu xxxxxxx listiny, x xxx je přiložen. Xxxxx formulář xx xxxx xxxxxxxxx státy xxxxx xxxxxxxxx jako xxxxxxxxxx dokument.

Tento xxxxxxxx xxxxxx xxxxx xxxxxxx xxxxxxx, x xxx xx xxxxxxxx. Xxxxx, xxxxx xx veřejná xxxxxxx xxxxxxxxxxx, však xxxx x xxxxxxxxx, xxx xx xx xxxxxxxx xxx účely xxxxxxxxxx xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx informací, xxxxx xxxx ve xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX VYDÁVAJÍCÍ XXXXX

Xxxxxx xxxxx informace, xxxxx xxxx uvedeny xx xxxxxxx listině, x xxx xx xxxxxxxx xxxxx xxxxxxxx (2).

Xxxxx veřejná listina, x xxx xx xxxxxxxx xxxxx formulář, xxxxxxxxxx xxxxxx údaje xxxx xxxxxxxxx, xxxxxx „–“.

1. ORGÁN XXXXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (3)

2. XXXXX XXXXXXXXXX XXXXXXXX LISTINU, K XXX JE XXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (4)

3. XXXXXXXXX XXXXXXXX XX XXXXXXX XXXXXXX, X XXX JE XXXXXXXX TENTO XXXXXXXX

3.1 Xxxxxxx xxxxxx orgánem xxxx úředníkem x xxxxxx xx xxxxx xxxxxx xxxxxxxxx xxxxx

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx vydaná vyšším xxxxxxx xxxxxxxxx

3.1.4 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxxxxxx („xxxxxxxx de xxxxxxx“)

3.1.5 Xxxx (xxxxxxxxx)

(1) Xx. xxxx. X 200, 26.7.2016, s. 1.

(2) Xxx xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

(3) Xxxxx „název“ xx xxxxx xxxxxxxx jako xxxxxx xxxxx xxxxxx xxxxxxxxxxxx xxxxxxxx.

(4) Slovo „xxxxx“ je xxxxx xxxxxxxx xxxx xxxxxx xxxxx xxxxxx xxxxxxxxxxxx xxxxxxxx listinu, x xxx je xxxxxxxx xxxxx xxxxxxxx.

3.2 Xxxxxxx xxxxxx správním xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x xxxxxxx

3.2.3 Xxxxx z xxxxxxxx obyvatel

3.2.4 Xxxx xxxxxxxxxx xxxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, xxxxxx xxxx opatřena xxxxxxx xxxxxxxxx soukromou xxxxxx

3.5 Xxxxxxx xxxxxxxxxx diplomatickým xxxxxxxxx nebo xxxxxxxxxxx xxxxxxxxx členského státu x xxxxx xxxxxx xxxx xxxxxxxxxx povinností

3.6 Xxxxx (dd/mm/rrrr) xxxxxx

3.7 Xxxxxxxxxx číslo xxxxxxx xxxxxxx

4. MANŽELSTVÍ

4.1 Xxxxx (xx/xx/xxxx) xxxxxxxx xxxxxxxxxx

4.2 Xxxxx (1) a xxxx (2) uzavření xxxxxxxxxx

5. XXXXXX/XXXXXXXX A

5.1 Xxxxx/x xxxxxxxx

5.2 Příjmení xxxx uzavřením xxxxxxxxxx

5.3 Xxxxxxxx xx uzavření xxxxxxxxxx

5.4 Jméno (jména)

5.5 Xxxxx (xx/xx/xxxx) xxxxxxxx

5.6 Xxxxxxx:.........................................................................................................................................

5.6.1 Žena

5.6.2 Xxx

5.6.3 Xxxxxxxx

(1) Xxxxx „místo xxxxxxxx xxxxxxxxxx“ xx xxxxxx xxxxx xxxx xxxx xxxxx, okresu x kraje, kde xxxx xxxxxxxxxx uzavřeno.

(2) Xxxxx xxxx a – pokud existuje – xxx XXX xxxx země xxxx xxxxxxx „Xxxx (xxxxxxxxx)“ xx xxxxx vybrat x xxxxxxxxxxx xxxxxxx xx vzorovém xxxxxxxxxxxx xxxxxxxxxxx xxxxxxxxx, xxxxx xx x xxxxxxxxx xx xxxxxxx evropské x-xxxxxxx.

6. MANŽEL/MANŽELKA X

6.1 Xxxxx/x příjmení

6.2 Xxxxxxxx xxxx xxxxxxxxx xxxxxxxxxx

6.3 Xxxxxxxx xx uzavření xxxxxxxxxx

6.4 Xxxxx (jména)

6.5 Xxxxx (dd/mm/rrrr) xxxxxxxx

6.6 Xxxxxxx:

6.6.1 Žena

6.6.2 Xxx

6.6.3 Xxxxxxxx

7. POLE XXX XXXXXX

7.1 Xxxxxxxx x xxxxx (xxxxx) xxxxxxxx, xxxxx xxxxx tento xxxxxxxx

7.2 Funkce xxxxxxxx, xxxxx xxxxx tento xxxxxxxx

7.3 Datum (xx/xx/xxxx) xxxxxx

7.4 Podpis

7.5 Pečeť xxxx razítko

VÍCEJAZYČNÝ GLOSÁŘ XXXXX XXXXXXXXXXXX POLOŽEK

(MANŽELSTVÍ)

1.

(BG) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) AUTORIDAD XXX XXXXXX ESTE XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) DENNE XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, DIE DIESES XXXXXXXX AUSSTELLT/ (ET) XÄXXXXXXX XXXXX XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX ISSUING XXXX XXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX tÚDARÁS X XXXXXXXX XX XXXXXX XXX/ (XX) XXXXXX XXXX XXXXXX XXXX XXXXXXX/ (IT) AUTORITÀ XXX XXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (LT) XXĄ XXXXĄ IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX XX' XXX XX-XXXXXXX/ (NL) AUTORITEIT XXX XXXXXXX VAN XXX XXXXXXXXX/ (PL) XXXXX XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXX EMITE X XXXXXXXX FORMULÁRIO/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX FORMULAR/ (XX) XXXXX XXXXXXXXXX TENTO XXXXXXXX/ (SL) ORGAN, XX IZDA XX XXXXXXX/ (FI) XÄXÄX XXXXXXXXX XXXXXX VIRANOMAINEN/ (XX) MYNDIGHET SOM XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) DENOMINACIÓN/ (CZ) XXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (ET) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) DESIGNATION/ (FR) XXXXXXXXXXXX/ (XX)XXXXXXX/ (HR) XXXXX/ (XX) DENOMINAZIONE/ (XX) NOSAUKUMS/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXÇÃX/ (RO) XXXXXXXX/ (SK) XXXXX/ (XX) XXX/ (XX) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) AUTORIDAD XXX XXXXXX XX XXXXXXXXX XXXXXXX AL XXX SE XXXXXXX XXXX IMPRESO/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, K XXX XX XXXXXXXX XXXXX XXXXXXXX/ (DA) DEN XXXXXXXXX, DER XXX XXXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXÖXXX, XXX XXX ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX, XXXXXXXXX/ (XX) ASUTUS, KES XXXXX XÄXXX XXXXXXX XXXXXXXXX, XXXXXXX XXX XXXX ON XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) AUTHORITY XXXXXXX XXX XXXXXX XXXXXXXX XX WHICH XXXX XXXX XX XXXXXXXX/ (FR) AUTORITÉ XX XXXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX FORMULAIRE/ (GA) XX xXXXXXX X XXXXXXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX SEO XXXXXXXXXX/ (XX) XXXXXX XXXX IZDAJE XXXXX XXXXXXX KOJOJ JE XXXX XXXXXXX XXXXXXXX/ (XX) AUTORITÀ XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX MODULO È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, KURAM XĪ XXXXXXXX XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) VIEŠĄJĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX ŠI FORMA, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX DIN IL-FORMOLA/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX XXXXXXXX DOCUMENT XXXXXXX XXX FORMULIER XX XXXXXXX/ (XX) XXXXX XXXXXĄXX DOKUMENT URZĘDOWY, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXXXX XXX XXXXX X DOCUMENTO XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX APENSO/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXXX OFICIAL XX XXXX ESTE XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX VEREJNÚ XXXXXXX, XX XXXXXX XX TENTO FORMULÁR XXXXXXXXX/ (XX) XXXXX, XX XXXX JAVNO XXXXXXX, KI XX XX PRILOŽEN TA XXXXXXX/ (XX) VIRANOMAINEN, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ XXXXXX LIITETÄÄN/ (XX) MYNDIGHET XXX XXXÄXXXX DEN OFFICIELLA XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄR XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX RELATIVA AL XXXXXXXXX XXXXXXX AL XXX XX ADJUNTA XXXX IMPRESO/ (XX) XXXXXXXXX XXXXXXXX SE XXXXXXX XXXXXXX, X XXX JE XXXXXXXX XXXXX XXXXXXXX/ (DA) XXXXXXXXXXX XXXXØXXXXX DET XXXXXXXXXX DOKUMENT, XXX XXXXX FORMULAR XX XXXXÆXXXX/ (XX) ANGABEN XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX IST/ (XX) XXXXX AVALIKU DOKUMENDI XXXXX, XXXXXXX SEE XXXX ON XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXX XXXXXX DOCUMENT XX XXXXX THIS XXXX IS XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX PUBLIC XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX A XXXXXXXXX LEIS XX XXXXXXXXX XXXXXX XXXX XXXXXX XX FHOIRM XXX XXXXXXXXXX/ (HR) XXXXXXXXXXX XXXX XX XXXXXX XX XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX PRILOŽEN/ (XX) INFORMAZIONI RELATIVE XX XXXXXXXXX XXXXXXXX XXX IL XXXXXXXX XXXXXX È XXXXXXXX/ (XX) INFORMĀCIJA PAR XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (LT) INFORMACIJA, XXXXXXXX XX VIEŠUOJU XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (MT) XXXXXXXXXXXXX XXXX ID-DOKUMENT XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX IL-FORMOLA/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX OPENBAAR DOCUMENT XXXXXXX DIT XXXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXĄXX DOKUMENTU XXXĘXXXXXX, XX XXXXXXX XXXXXXXXX FORMULARZ JEST XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX APENSO/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX OFICIAL LA XXXX XXXX ANEXAT XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX X VEREJNEJ XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXX X XXXXX XXXXXXX, KI XX JE XXXXXXXX XX XXXXXXX/ (FI) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (SV) XXXXXXXXXXX XX XXX OFFICIELLA XXXXXXXX TILL XXXXXX XXXXX FORMULÄR ÄR XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (ES) XXXXXXXXX XXXXXXXX XXX XXX AUTORIDAD X XX XXXXXXXXXXX XXXXXXXXX X XXX XXXXXXX XXXXXXXXXXXXXXXX DE UN XXXXXX XXXXXXX/ (XX) XXXXXXX VYDANÁ ORGÁNEM XXXX XXXXXXXXX S XXXXXX NA XXXXX XXXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXXX, DER XX UDSTEDT AF XX XXXXXXXXX XXXXX XX XXXXXXXXXX, XXX XX XXXXXXXXXX XXXXXXXX X XX XXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXÖXXX ODER XXXXX XXXXXXXXXX XXX XXXXX XXX RECHTSPFLEGE EINES XXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXXXX XÕX XXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX EMANATING XXXX XX AUTHORITY OR XX OFFICIAL CONNECTED XXXX XXX XXXXXX XX TRIBUNALS XX X XXXXXX STATE/ (XX) XXXXXXXX XXXXXXX X'XXX XXXXXXXX XX X'XX XXXXXXXXXXXXX RELEVANT X'XXX XXXXXXXXXXX X'XX XXXX MEMBRE/ (XX) XXXXXXXXX A XXXXXXX X ÚDARÁS XX X XXXXXXXXX X XXXXXX XXXXX XXXX XX AICI LE XXXXXXXXXX NÓ XX XXXXX XX XXXXX XXXXXXXXX/ (XX) XXXXXXX XXXX JE XXXXXX XXXXXX ILI XXXXXXXXX XXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ O XX UN XXXXXXXXXXX XXXXXXXXXXXX AD XXX XXXXX GIURISDIZIONI DI XXX XXXXX XXXXXX/ (XX) XXXXXXXXX, KURU XXXXXXXXXX AR DALĪBVALSTS XXXXĀX XXXXXĪXX XXXXĀXX XXX AMATPERSONA/ (XX) XXXXXXXXXX, XXXXXXXX XXXXXXXX XXXXXXXXXXXX XX PAREIGŪNO, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (HU) XXXXXXXXX XXXXXXXXXX KAPCSOLATBAN XXXX XXXXXXX XXXX TISZTVISELŐ XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ JEW XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX XXX XX-XXXXXXXXX XX' XXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX OF XXXXXXXXX XXXXXXXXX TOT XXX XXXXXXXXXXXX XXXXXXXXX XXX XXX LIDSTAAT/ (PL) XXXXXXXX XXXXXXXĄXX XX XXXXXX SĄDOWEGO XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXXXX XX XX XX XXXXXXXXXXX XXXXXXXXXX XX QUALQUER XXXXXXXÇÃX XX XX XXXXXX-XXXXXX/ (XX) DOCUMENT XXXX XX X AUTORITATE XXX XX XX XXXXȚXXXXX XX XX XÂXXĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXX ÚRADNÍKOM S XÄXXXX XX SÚDY XXXXXXXXX ŠTÁTU/ (SL) XXXXXXX, XXXXXX X XXXXXX ORGANA ALI XXXXXXXX XXXXX OBLASTI XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (SV) XXXXXXXX XXX HÄRRÖR XXÅX XX XXXXXXXXX ELLER XX TJÄNSTEMAN XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) RESOLUCIÓN XXXXXXXX/ (XX) XXXXXXXXXX SOUDU/ (XX) DOMSTOLSAFGØRELSE/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX DECISION/ (XX) XXXXXXXX XX XXXXXXX/ (GA) CINNEADH XX xXXXXX/ (HR) XXXXXX XXXXXX/ (IT) XXXXXXXXX GIURISDIZIONALE/ (XX) XXXXXX XĒXXXX/ (LT) XXXXXX SPRENDIMAS/ (XX) XXXXXXXX HATÁROZAT/ (MT) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXX SĄDOWE/ (PT) XXXXXÃX JUDICIAL/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (SK) XXXXX XXXXXXXXXXX/ (XX) XXXXX ODLOČBA/ (XX) XXXXXXXXXXXXXX PÄÄTÖS/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXX/ (XX) LISTINA VYDANÁ XXXXXXX XXXXXXXXX/ (DA) XXXXXXXX UDSTEDT XX XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX EINER STAATSANWALTSCHAFT/ (XX) DOKUMENT, MILLE XX XÄXXX XXXXXX XXXXXXX SÜÜDISTAJA/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) DOCUMENT XXXXXXXXX XXXX X XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XXXXXXÈXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX KOJU XX XXXXXX DRŽAVNO XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX PROKURORS/ (XX) XXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (XX) ÜXXXXX XXXXX KIÁLLÍTOTT XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX PROSEKUTUR PUBBLIKU/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN OPENBAAR XXXXXXXXXX/ (PL) DOKUMENT XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX EMIS XX XX XXXXXXXX/ (XX) LISTINA XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXX, XX XX XXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (SV) HANDLING XXX XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) DOCUMENTO XXXXXXXX XXX XX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) DOKUMENT XXXXXXX XX EN XXXXXXXXXXXXXÆX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXX DER XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX, MILLE XX VÄLJA XXXXXX XXXXXXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (EN) XXXXXXXX XXXXXXXXX XXXX X XXXXX XX X XXXXX/ (FR) XXXXXXXX XXXXXXX D'UN GREFFIER/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXX XX XXXXX XXXXXX/ (XX) ISPRAVA XXXX XX IZDAO XXXXXXXXXX XXXXXX PISARNICE/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (LV) XXXXXXXXX, XXXX IZSNIEDZIS XXXXXX XXXXXXĀXX/ (XX) XXXXXX XXXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ MINN REĠISTRATUR XX' XXXXX/ (NL) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX SĄDOWEGO/ (XX) XXXXXXXXX PROVENIENTE XX XX OFICIAL DE XXXXXÇX/ (XX) XXXXXXXX XXXX XX XX XXXXXXX XX XXXXXXȚXX/ (XX) XXXXXXX XXXXXX XXXXXX ÚRADNÍKOM/ (SL) XXXXXXX, XX XX XXXX SODNI XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX SIHTEERIN XXXXXX ASIAKIRJA/ (SV) XXXXXXXX XXX HÄRRÖR XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („HUISSIER XX JUSTICE“)/ (XX) XXXXXXXXX EXPEDIDO XXX XX AGENTE JUDICIAL («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXX VYDANÁ XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXX XXXXXXX XX XX XXÆXXXXXXXXXX (»HUISSIER XX XXXXXXX«)/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX VÄLJA XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («HUISSIER DE XXXXXXX»)/ (XX) XXXXXXXX XXXXXXXXX XXXX A XXXXXXXX OFFICER ('XXXXXXXX XX JUSTICE')/ (XX) XXXXXXXX XXXXXXX D'UN XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXX A XXXXXXX X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXX JE XXXXX XXXXXX XXXXXXXXX (HUISSIER XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXX XX XX UFFICIALE XXXXXXXXXXX ("XXXXXXXX XX JUSTICE")/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX IZPILDĪTĀJS (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX (XXXXXXXX XX XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXXX („HUISSIER XX XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ MINN XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX DE XXXXXXX')/ (NL) DOCUMENT XXXXXXXXX XXXX XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX OD XXXĘXXXXX XĄXXXXXX (XXXXXXXX XX XXXXXXX)/ (PT) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXÃX XX XXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (XX) LISTINA VYDANÁ XXXXXX XXXXXXXXXXĽXX („HUISSIER XX JUSTICE“)/ (XX) XXXXXXX, XX JO XXXX XXXXX IZVRŠITELJ („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXXXXX (”HUISSIER XX XXXXXXX”) XXXXXX XXXXXXXXX/ (SV) XXXXXXXX XXX XÄXXÖX XXÅX XX XXÄXXXXXXXXX (XXXXXXXX XX JUSTICE)

3.1.5

(BG) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) XXXX (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) MUU (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX XX XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (XX) XXXX (XX XXXXX)/ (XX) XXXXXX (NAVESTI)/ (IT) XXXXX (XXXXXXXXX)/ (XX) XXXX (PRECIZĒT)/ (LT) XXXX (XXXXXXXX)/ (XX) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) XXXX (PROSZĘ XXXXŚXXĆ)/ (XX) OUTROS (X XXXXXXXXXXX)/ (XX) XXXXX (A XX XXXXXXX)/ (XX) XXX (XXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXX XXXXXXXXX (TÄSMENNETTÄVÄ)/ (XX) XXXXX XXXXXXXX (SPECIFICERAS)

3.2

(BG) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (ES) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX VYDANÁ SPRÁVNÍM XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (EL) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (EN) XXXXXXXXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (LT) XXXXXXXXXXXXXXX XXXXXXXXXX/ (HU) KÖZIGAZGATÁSI XXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (NL) XXXXXXXXXXXXXX XXXXXXXX/ (PL) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (RO) DOCUMENT XXXXXXXXXXXXX/ (XX) SPRÁVNA XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (SV) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (DE) XXXXXXXXXXXXX/ (XX) TÕEND/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) CERTIFICAT/ (XX) DEIMHNIÚ/ (HR) XXXXXXX/ (IT) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (LT) XXXXXX, LIUDIJIMAS/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (MT) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (PL) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (SK) OSVEDČENIE/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) INTYG

3.2.2

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXX Z XXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (EN) EXTRACT XXXX THE XXXXX XXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XX X'XXXX CIVIL/ (XX) XXXXXXX AS XX xXXXX XXXXXXX XXXXXXXXXX/ (HR) XXXXXXX XX XXXXXXXX XXXXXXX XXXXXX/ (XX) XXXXXXXX XX ATTO XX XXXXX XXXXXX/ (XX) XXXXXXXX XX XXXXXXXĀXXXĻX XXXX REĢISTRA/ (LT) XXXXXXX IŠ CIVILINĖS XŪXXĖX XXXŲ XXXXXXXX/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (NL) XXXXXXXXXX UIT XXX XXXXXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX SKRÓCONY XXXX XXXXX XXXXXXXXX/ (PT) XXXXXXX XX ATOS XX XXXXXXX XXXXX/ (XX) XXXXXX DIN XXXXXXXXX XX STARE XXXXXĂ/ (XX) XXXXX X XXXXXXXX XXXXXXXX XXXXX/ (XX) IZPISEK XX REGISTRA X XXXXXXX XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (SV) XXXXXX UR XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (ES) XXXXXXXX DEL XXXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXX/ (XX) XXXXXX FRA XXXXXXXXXXXXXX/ (XX) AUSZUG XXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX XXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XX XX POPULATION/ (XX) XXXXXXX XX XX gCLÁR DAONRA/ (XX) XXXXXXX XX XXXXXX STANOVNIŠTVA/ (IT) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XX XXXXĪXXXĀXX XXĢXXXXX/ (LT) XXXXXXX XX GYVENTOJŲ REGISTRO/ (XX) XXXXXXX X XXXXXXXXXXXX- XX LAKCÍMNYILVÁNTARTÁSBÓL/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX HET XXXXXXXXXXXXXXXXXX/ (XX) WYCIĄG X XXXXXXXX XXXXXŚXX/ (XX) XXXXXXX DO REGISTO XX XXXXXXÇÃX/ (RO) XXXXXX XXX XXXXXXXXX XX XXXXXXȚĂ A XXXXXXȚXXX/ (XX) XXXXX X XXXXXXXX OBYVATEĽOV/ (XX) XXXXXXX IZ XXXXXXXX PREBIVALSTVA/ (FI) XÄXXXÖXXXXXXXXXXXX/ (SV) UTDRAG XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX XX XXXXX XXX XXXXXXXX XXXXX/ (XX) XXXX XXXXXXXXXX ZÁZNAMŮ/ (XX) XXXXXX XXXX XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX KOPIE XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) PEREKONNASEISUAKTI XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX XX XXXXX XXXXXX RECORDS/ (XX) XXXXX INTÉGRALE D'ACTES XX X'XXXX XXXXX/ (XX) CÓIP XXXXX XX XXXXXX XX XXXXXXX AR XXXXXX XXXXXXXXX/ (XX) DOSLOVNI XXXXXXXX XX XXXXXXXXXX X XXXXXXX XXXXXX/ (XX) XXXXX XXXXXXXXX XX XXXX XX XXXXX XXXXXX/ (LV) XXXXXXXĀXXXĻX AKTU XXĢXXXXX XXXXXXXX AUTENTISKA XXXXXX/ (XX) CIVILINĖS BŪKLĖS XXXŲ ĮRAŠŲ XXXXXXXĖ XXXXXX/ (HU) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) KOPJA XXXXXXXX TAL-ATTI XXX-XXXXX ĊXXXXX/ (XX) EENSLUIDEND XXXXXXXXX XXX XXXXX XXX DE BURGERLIJKE XXXXX/ (XX) ODPIS XXXXŁXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXÃX XX XXXXX XXXXXXXX XX DE XXXXXXXXX XX ATOS XX XXXXXXX CIVIL/ (RO) XXXXX XXXXXĂ X XXXX XXX XX XXXXX CIVILĂ/ (XX) XXXXXXXX XXXXX XX XXXXXXX O OSOBNOM XXXXX/ (XX) DOBESEDI XXXXXX LISTIN O XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX SANATARKKA XÄXXXXXÖX/ (XX) ORDAGRANN XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (ES) XXXX XXXXXXXX/ (XX) NOTÁŘSKÁ XXXXXXX/ (DA) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX/ (XX) NOTARIAALDOKUMENT/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) XXXX NOTARIÉ/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) JAVNOBILJEŽNIČKA ISPRAVA/ (XX) ATTO XXXXXXXX/ (XX) NOTARIĀLS AKTS/ (XX) NOTARINIS AKTAS/ (XX) KÖZJEGYZŐI XXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (XX) XXX XXXXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) NOTÁRSKA XXXXXXX/ (XX) XXXXXXXX LISTINA/ (XX) NOTAARIN XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX OFICIAL XXXXXX XXXXX UN XXXXXXXXX PRIVADO/ (CZ) XXXXXX OSVĚDČENÍ, XXXXXX XXXX XXXXXXXX LISTINA XXXXXXXXX XXXXXXXXX OSOBOU/ (XX) OFFICIEL XÅXXXXXXX XÅ ET XXXXXXXX XXXXXXXXXXX XX XX XXXXXX I DENNES XXXXXXXX AF XXXXXXXXXXXX/ (XX) XXXXXXXX BESCHEINIGUNG XXX XXXXX XXXXXXXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXXXX XXXXXXXXXXXXXX DOKUMENDILE XXXXXXXXXX AMETLIK XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (EN) OFFICIAL XXXXXXXXXXX PLACED XX X DOCUMENT SIGNED XX A XXXXXX XX HIS XX XXX XXXXXXX XXXXXXXX/ (XX) DÉCLARATION OFFICIELLE XXXXXXX SUR UN XXXX XXXX XXXXX XXXXX/ (XX) DEIMHNIÚ XXXXXXXXX X XXXXXXXXX XX DHOICIMÉAD XXXX XXXXXX XX XXXXX XXX XXXXX XX XXX CÁIL PHRÍOBHÁIDEACH/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX XX ISPRAVU XXXX JE OSOBA XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (XX) DICHIARAZIONE XXXXXXXXX XXXXXXX XX XXX XXXXXXXXX PRIVATA/ (XX) XXXXXĀXX XXXXXXXXĀXXXX XX DOKUMENTA, XX XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX PERSONA/ (XX) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX TANÚSÍTVÁNY/ (XX) ĊXXXXXXXXX XXXXĊXXXX XX XXXXXXXĦXX F'DOKUMENT XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX OP XXX XXXXXXXX ONDERTEKEND XXXX EEN XXXXXXX XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) URZĘDOWE XXŚXXXXXXXXXX UMIESZCZONE XX XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÃX OFICIAL INSERTA XXX ATO DE XXXXXXXX PRIVADA/ (XX) XXXXXXXXXX XXXXXXX XXXXXXX XX UN XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) ÚRADNÉ XXXXXXXXXX XXXXXXX XX XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX SÚKROMNÁ OSOBA/ (XX) URADNA XXXXXX XX XXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, XXXXX HENKILÖ XX ALLEKIRJOITTANUT YKSITYISHENKILÖNÄ/ (XX) OFFICIELLT XXXXX XXXXXXXXX XÅ XX XXXXXXXX XXX XXXXXXXXXXXXX XX EN XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (ES) DOCUMENTO XXXXXXXX XXX XX XXXXXX XXXXXXXXXXX X XXXXXXXX XX XX XXXXXX XXXXXXX CON XXXXXXXX OFICIAL/ (CZ) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX NEBO XXXXXXXXXXX XXXXXXXXX XXXXXXXXX STÁTU X XXXXX VÝKONU XXXX SLUŽEBNÍCH POVINNOSTÍ/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX AF XX XXXXXXXXXXXX XXXXXXXXXXXX ELLER XXXXXXÆXX XXXXÆXXXXXXX/ (XX) XXX EINEM XXXXXXXXXXXXXX XXXX KONSULARISCHEN XXXXXXXXX XXXXX XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX FUNKTION XXXXXXXXXX URKUNDE/ (ET) XXXXXXXXXXXX DIPLOMAATILISE XÕX XXXXXXXXXXXXXXXXX XXXXX AMETIKOHUSTUSTE XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX DRAWN XX BY X XXXXXXXXXX XX XXXXXXXX XXXXX XX X XXXXXX XXXXX XX XXX OR XXX XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXX EN XX XXXXXXX OFFICIELLE XXX XX AGENT XXXXXXXXXXXX XX XXXXXXXXXX X'XX XXXX XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX TAIDHLEOIREACHTA XX XXXXXXXXX DE XXXXX XXXXXXXXX XXX CHÁIL XX INA XXXX XXXXXXXXX/ (HR) ISPRAVA XXXX XX X XXXXXXXXX XXXXXXXX SASTAVIO XXXXXXXXXXX ILI XXXXXXXXXX XXXXXXXXXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX REDATTO XX AGENTI DIPLOMATICI X CONSOLARI XX XXX STATO XXXXXX XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX XXXXX XXXXĀXXXXX, XXXXXXXXXXX DALĪBVALSTS XXXXXXĀXXXXXXX XXX KONSULĀRAIS XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX XX XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX KONZULI XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX IMĦEJJI MINN XĠXXX XXXXXXXXXXX XXX XXXXXXXXX TA' XXXX XXXXXX XXX-XXXXĊXXÀ UFFIĊJALI XXXXĦX/ (NL) XXXXXXXX XXXXXXXXX XXXX DE XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX VAN EEN XXXXXXXX IN ZIJN XXXXXXËXX HOEDANIGHEID/ (XX) XXXXXXXX SPORZĄDZONY XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX URZĘDOWYM/ (PT) XXXXXXXXX LAVRADO XXX XX XXXXXX XXXXXXXXXXX XX XXXXXXXX XX XX XXXXXX-XXXXXX XX XXXXXXXXX XXX SUAS XXXÇÕXX XXXXXXXX/ (RO) XXXXXXXX ÎNTOCMIT XX XĂXXX XX AGENT XXXXXXXXXX SAU XXXXXXXX XX XXXX STAT XXXXXX, ÎN CALITATE XXXXXXXĂ/ (XX) LISTINA XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX VÝKONU JEHO XXXXXXX/ (XX) XXXXXXX, XX JO XXX XXXXXX XXXXX XXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX EDUSTAJA XXX KONSULIEDUSTAJA XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (SV) XXXXXXXX UPPRÄTTAD I XXÄXXXXX XX XX XXXXXXXXXXX XXXXX XXXXXXÄX XXÄXXXXXXX I XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX KUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) OF ISSUE/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/GGGG) XXXXXXXXX/ (XX) DATA XX XXXXXXXX (XX/XX/XXXX)/ (XX) IZDOŠANAS DATUMS (XX/XX/XXXX)/ (LT) XXXXXXXX XXXX (DD/MM/MMMM)/ (HU) X XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) XXXXX (XX/XX/XXXX) VAN XXXXXXX/ (XX) XXXX (XX/XX/XXXX) WYDANIA/ (XX) XXXX DE XXXXXÃX (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (FI) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (ES) XXXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXX LISTINY/ (XX) XXX OFFENTLIGE XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖFFENTLICHEN URKUNDE/ (XX) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (EN) REFERENCE XXXXXX XX XXX XXXXXX XXXXXXXX/ (XX) XXXXXX XX XXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXX THAGARTHA XX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (IT) XXXXXX XX XXXXXXXXXXX XXX DOCUMENTO PUBBLICO/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX XXXXXX/ (LT) XXXXXXX XXXXXXXXX XXXXXXX/ (XX) A KÖZOKIRAT XXXXXXXXXXX SZÁMA/ (MT) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX PUBBLIKU/ (XX) XXXXXXXXXXXXXXXX XXX HET XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (PT) XXXXXX XX XXXXXÊXXXX DO XXXXXXXXX PÚBLICO/ (XX) XXXĂXXX XX XXXXXXXȚĂ XX XXXXXXXXXXXX OFICIAL/ (XX) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX JAVNE XXXXXXX/ (FI) YLEISEN XXXXXXXXXX VIITENUMERO/ (XX) XXX OFFICIELLA XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) БРАК/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ÆXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) XXXXXX/ (XX) ΓΑΜΟΣ/ (XX) XXXXXXXX/ (XX) MARIAGE/ (XX) XXXXXX/ (HR) XXXXXXXXX XXXXX/ (IT) XXXXXXXXXX/ (XX) LAULĪBA/ (XX) XXXXXXXX/ (HU) XXXXXXXXXÖXXX/ (XX) ŻXXXĠ/ (XX) XXXXXXXX/ (XX) XXŁŻXŃXXXX/ (XX) XXXXXXXXX/ (XX) XĂXĂXXXXX/ (SK) XXXXXXXXXX/ (XX) SKLENITEV XXXXXXXX XXXXX/ (XX) XXXXXXXXXX/ (XX) ÄKTENSKAP

4.1

(BG) ДАТА (ДД/ММ/ГГГГ) НА БРАКА/ (XX) XXXXX (XX/XX/XXXX) XXX MATRIMONIO/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXX MANŽELSTVÍ/ (DA) XXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXXXXXXXXX/ (ET) ABIELLUMISE XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΤΕΛΕΣΗΣ ΤΟΥ ΓΑΜΟΥ/ (EN) XXXX (XX/XX/XXXX) XX XXX XXXXXXXX/ (FR) XXXX (XX/XX/XXXX) XX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXX XXXXX/ (XX) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXXĪXXX XXXXĒXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXXXX XXXX (DD/MM/MMMM)/ (HU) X XXXXXXXXXÖXXX XXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXŻ-ŻXXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXX XXXXXXXX/ (XX) XXXX (DD/MM/RRRR) ZAWARCIA XXŁŻXŃXXXX/ (XX) XXXX XX XXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XĂXĂXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX MANŽELSTVA/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX XXXXXXXX ZVEZE/ (XX) AVIOLIITON SOLMIMISPÄIVÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX ÄXXXXXXXXXXX XXXÅXXXX

4.2

(XX) МЯСТО И ДЪРЖАВА НА БРАКА/ (XX) XXXXX Y XXXX DEL XXXXXXXXXX/ (XX) XXXXX X XXXX UZAVŘENÍ XXXXXXXXXX/ (XX) XXXXXXXXXXX XX -XXXX/ (XX) ORT XXX LAND XXX XXXXXXXXXXXXXX/ (ET) ABIELLUMISE XXXX JA XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΤΕΛΕΣΗΣ ΤΟΥ ΓΑΜΟΥ/ (EN) XXXXX XXX XXXXXXX OF XXX XXXXXXXX/ (XX) XXXX ET XXXX XX XXXXXXX/ (XX) XXX XXXX XXX XX XXXXXX/ (HR) XXXXXX X ZEMLJA XXXXXXXXX XXXXX/ (XX) XXXXX E PAESE XX XXXXXXXXXX/ (LV) XXXXĪXXX XXXXĒXXXXXX XXXXX XX XXXXXX/ (XX) XXXXXXXXX XXXXXXXX XXXXX XX XXXXX/ (HU) X HÁZASSÁGKÖTÉS HELYE XX XXXXXXX/ (XX) XXXX X XXXXXŻ XXŻ-ŻXXXĠ/ (XX) PLAATS XX XXXX VAN XXX HUWELIJK/ (XX) XXXXXXX X XXŃXXXX XXXXXXXX XXŁŻXŃXXXX/ (PT) XXXXX E XXXX XX XXXXXXXXX/ (XX) XXXXX ȘX ȚXXX XĂXĂXXXXXX/ (XX) XXXXXX X XXXX UZAVRETIA XXXXXXXXXX/ (XX) XXXX XX DRŽAVA XXXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXXXXX SOLMIMISPAIKKA XX -XXX/ (XX) XXX XXX XXXX XÄX ÄXXXXXXXXXX INGICKS

5.

(BG) СЪПРУГ X/ (XX) XXXXXXX X/ (XX) XXXXXX/XXXXXXXX X/ (XX) ÆGTEFÆLLE X/ (XX) EHEPARTNER X/ (ET) ABIKAASA X/ (XX) ΣΥΖΥΓΟΣ Α/ (EN) XXXXXX X/ (FR) CONJOINT X/ (XX) XXXXX X/ (XX) XXXXXX XXXX A/ (IT) XXXXXXX X/ (LV) XXXXĀXXXX A/ (XX) XXXXXXXXXXX X/ (XX) „X” XXXXXXXXX/ (MT) XXXXXĠX X/ (XX) XXXXXXXX(X)X(X) X/ (PL) XXŁŻXXXX A/ (XX) XÔXXXXX X/ (RO) XXȚXX X/ (XX) XXXXXX/XXXXXXXX X/ (XX) XXXXXXX A/ (XX) XXXXXXX X/ (XX) XXXX/XXXX X

5.1

(XX) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (XX) XXXXXXXX(X) XX XXXXXXXXXX/ (XX) XXXXX/X XXXXXXXX/ (XX) XXXXXXXXX(X) XXX FØDSLEN/ (DE) XXXXXXXXXXXX(X) XXX XXX XXXXXX/ (ET) XÜXXXXÄXXXX XXXXXXXXXXXXX (XÜXXXXÄXXXXX XXXXXXXXXXXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (XX) XXXXXXX(X) AT XXXXX/ (XX) XXX(X) À XX NAISSANCE/ (GA) XXXXXXX (XXXXXXXX) XXXXXXX/ (XX) PREZIME(NA) PRI XXĐXXXX/ (IT) COGNOME/I XXXX NASCITA/ (LV) XXXĀXXX(-X) XXXXXXXXX XXĪXĪ/ (XX) XXXXXXĖ (-ĖX), XXXXXXXX (-XX) GIMUS/ (XX) SZÜLETÉSI XXXXXXX XXXX(X)/ (MT) KUNJOM(/KUNJOMIJIET) XXX-XXXXXX/ (XX) ACHTERNA(A)M(EN) XXX DE XXXXXXXX/ (XX) XXXXXXXX(-X) XXXXXX/ (XX) XXXXXXX(X) À XXXX XX NASCIMENTO/ (XX) XXXXXX XX XXȘXXXX/ (SK) RODNÉ XXXXXXXXXX(-X)/ (SL) XXXXXXX/XXXXXXX XX XXXXXXX/ (FI) XXXXXXXX (-XXXXX) SYNTYMÄHETKELLÄ/ (XX) EFTERNAMN XXX XÖXXXXX

5.2

(XX) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ БРАКА/ (XX) XXXXXXXX(X) XXXXX XX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX PŘED XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXX(X) XØX VIELSEN/ (XX) XXXXXXXXXXXX(X) VOR XXX XXXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXX (-XXXXX) ENNE XXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΤΟΝ ΓΑΜΟ/ (EN) XXXXXXX(X) XXXXXX XXX XXXXXXXX/ (XX) XXX(X) XXXXX XX XXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXXXX XX xXXXXXX/ (XX) XXXXXXX(XX) XXXXX XXXXXXXXX XXXXX/ (IT) XXXXXXX/X XXXXX DEL XXXXXXXXXX/ (LV) XXXĀXXX(-X) XXXXX LAULĪBAS/ (LT) XXXXXXĖ (-ĖX) XXXXX XXXXXXXĄ/ (XX) XXXXXXX XXXX(X) A XXXXXXXXXÖXXX XXŐXX/ (MT) XXXXXX(/XXXXXXXXXXX) XXXXX XŻ-ŻXXXĠ/ (XX) XXXXXXXX(X)X(XX) XXXX XXX XXXXXXXX/ (XX) NAZWISKO(-A) XXXXX XXXXXXXXX XXŁŻXŃXXXX/ (XX) XXXXXXX(X) XXXXX XX XXXXXXXXX/ (RO) XXXXXX ÎNAINTE XX XĂXĂXXXXX/ (SK) XXXXXXXXXX(-X) XXXX XXXXXXXXX MANŽELSTVA/ (XX) XXXXXXX/XXXXXXX PRED XXXXXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXXX (-NIMET) XXXXX XXXXXXXXXXX/ (XX) XXXXXXXXX FÖRE ÄXXXXXXXXXXX XXXÅXXXX

5.3

(XX) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА БРАКА/ (XX) APELLIDO(S) DESPUÉS XX CONTRAER MATRIMONIO/ (XX) XXXXXXXX XX XXXXXXXX MANŽELSTVÍ/ (XX) XXXXXXXXX(X) XXXXX XXXXXXX/ (XX) FAMILIENNAME(N) XXXX XXX XXXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXX (-NIMED) XÄXXXX XXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΜΕΤΑ ΤΟΝ ΓΑΜΟ/ (XX) SURNAME(S) FOLLOWING XXX XXXXXXXX/ (FR) XXX(X) À XX XXXXX XX MARIAGE/ (XX) XXXXXXX (XXXXXXXX) XXX XXX XX XXXXXX/ (XX) XXXXXXX(XX) XXXXX XXXXXXXXX XXXXX/ (XX) COGNOME/I DOPO XX XXXXXXXXXX/ (LV) XXXĀXXX(-X) XĒX LAULĪBAS/ (XX) PAVARDĖ (-ĖX) XX SANTUOKOS/ (XX) XXXXXXX XXXX(X) X XXXXXXXXXÖXXX UTÁN/ (MT) XXXXXX(/XXXXXXXXXXX) XXXX Ż-ŻXXXĠ/ (XX) XXXXXXXX(X)X(XX) XX XXX HUWELIJK/ (XX) XXXXXXXX(-X) XX XXXXXXXX XXŁŻXŃXXXX/ (XX) XXXXXXX(X) XXXX X CASAMENTO/ (XX) NUMELE XXXĂ XĂXĂXXXXX/ (SK) XXXXXXXXXX(-X) XX XXXXXXXX MANŽELSTVA/ (XX) XXXXXXX/XXXXXXX XX XXXXXXXXX XXXXXXXX ZVEZE/ (XX) XXXXXXXX (-XXXXX) XXXXXXXXXX XXXXXXXXXX XÄXXXXX/ (XX) XXXXXXXXX EFTER ÄXXXXXXXXXXX XXXÅXXXX

5.4

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) JMÉNO (XXXXX)/ (XX) FORNAVN(E)/ (DE) XXXXXXX(X)/ (ET) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) FORENAME(S)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (XX) XĀXXX(-X)/ (XX) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (XXXXXX)/ (PT) XXXX(X) XXXXXXX(X)/ (XX) XXXXXXX/ (XX) MENO(-Á)/ (XX) XXX/XXXXX/ (XX) ETUNIMI (-XXXXX)/ (XX) XÖXXXXX

5.5

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXXX/ (DA) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) OF XXXXX/ (XX) DATE (XX/XX/XXXX) XX XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) ROĐENJA/ (IT) XXXX XX NASCITA (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (DD/MM/RRRR) XXXXXXXXX/ (XX) XXXX DE XXXXXXXXXX (DD/MM/AAAA)/ (XX) XXXX (XX/XX/XXXX) NAȘTERII/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (FI) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (DD/MM/ÅÅÅÅ)

5.6

(BG) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (XX) XØX/ (XX) GESCHLECHT/ (XX) XXXX/ (EL) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXX/ (IT) XXXXX/ (XX) XXXXXXX/ (XX) LYTIS/ (XX) XXXX/ (XX) SESS/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (XX) SEXO/ (XX) SEXUL/ (SK) XXXXXXXX/ (XX) XXXX/ (XX) SUKUPUOLI/ (SV) XÖX

5.6.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) XXXX/ (XX) KVINDE/ (DE) XXXXXXXX/ (ET) XXXXXXXXX/ (XX) ΘΗΛΥ/ (EN) XXXXXX/ (FR) FÉMININ/ (XX) XXXXXXXX/ (XX) XXXXXX/ (IT) XXXXXXXXX/ (XX) XXXXXXXX/ (LT) XXXXXXX/ (HU) XŐ/ (XX) MARA/ (NL) XXXXX/ (XX) XXXXXXX/ (XX) FEMININO/ (XX) XXXXXXXX/ (XX) ŽENSKÉ/ (XX) ŽENSKI/ (XX) XXXXXX/ (XX) KVINNA

5.6.2

(BG) МЪЖКИ/ (ES) XXXXX/ (XX) XXX/ (DA) XXXX/ (XX) XÄXXXXXX/ (XX) MEESSOOST/ (EL) ΑΡΡΕΝ/ (XX) MALE/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (LT) XXXXX/ (XX) XXXXX/ (XX) XXĠXX/ (XX) XXX/ (XX) XĘŻXXXXXX/ (XX) XXXXXXXXX/ (XX) BĂRBĂTESC/ (XX) XXXXXX/ (SL) XXXXX/ (FI) XXXX/ (XX) MAN

5.6.3

(BG) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (DA) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (EL) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (GA) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) MEGHATÁROZATLAN/ (XX) XXXX STABBILIT/ (XX) XXXXXXXXX/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) NÃO XXXXXXXX/ (XX) NEDETERMINAT/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

6.

(XX) СЪПРУГ X/ (XX) XXXXXXX B/ (CZ) XXXXXX/XXXXXXXX X/ (XX) ÆXXXXÆXXX B/ (XX) XXXXXXXXXX B/ (XX) XXXXXXXX X/ (XX) ΣΥΖΥΓΟΣ Β/ (EN) XXXXXX X/ (XX) XXXXXXXX B/ (XX) XXXXX B/ (XX) XXXXXX XXXX X/ (XX) XXXXXXX X/ (XX) LAULĀTAIS B/ (XX) XXXXXXXXXXX X/ (XX) „X” XXXXXXXXX/ (XX) KONJUĠI X/ (XX) XXXXXXXX(X)X(X) X/ (XX) XXŁŻXXXX X/ (XX) XÔXXXXX X/ (XX) XXȚXX X/ (XX) XXXXXX/XXXXXXXX X/ (XX) XXXXXXX X/ (XX) PUOLISO X/ (XX) XXXX/XXXX X

7.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX FIRMA/ (CZ) XXXX PRO XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) ALLKIRJALAHTER/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) SIGNATURE BOX/ (XX) XXXXX POUR XX SIGNATURE/ (XX) XXXXX DON SÍNIÚ/ (XX) XXXXX XX XXXXXX/ (XX) XXXXXXXX XXX XX FIRMA/ (XX) XXXXXXXX XXXXX/ (XX) XXXXXX LAUKELIS/ (XX) XX ALÁÍRÁS XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX DE HANDTEKENING/ (XX) XXXX PODPISU/ (XX) ESPAÇO XXXXXXXXX À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX XXXXXX/ (XX) XXXXX ZA XXXXXX/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (SV) XXXX XÖX XXXXXXXXXXXXXX

7.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X XXXXXX(X) XXX XXXXXXXXXXX XXX XXXXXXX XXXX IMPRESO/ (XX) XXXXXXXX X XXXXX (XXXXX) ÚŘEDNÍKA, XXXXX VYDAL XXXXX XXXXXXXX/ (DA) EFTERNAVN(E) XX XXXXXXX(X) XÅ XXX XXXXXXXXXX, DER XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXXXXXX(X) XXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX HAT/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX AMETNIKU XXXXXXX (-XXXXX) XX PEREKONNANIMI (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) SURNAME(S) AND XXXXXXXX(X) OF XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (FR) XXX(X) XX XXXXXX(X) XX XXXXXXXXXXXXX XXX X DÉLIVRÉ LE XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) AGUS XXXXXXXX (CÉADAINMNEACHA) XX XXXXXXXX A X’XXXXXX XX FHOIRM XXX/ (XX) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX KOJI XX IZDAO XXXX XXXXXXX/ (XX) XXXXXXX/X X XXXX/X XXX XXXXXXXXXXX XXX HA XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, XXXĀXXX(-X) UN XĀXXX(-X)/ (XX) ŠIĄ XXXXĄ IŠDAVUSIO XXXXXXŪXX XXXXXXĖ (-ĖX) XX XXXXXX (-AI)/ (HU) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXXXXXŐ XXXXXXX XXXX(X) XX UTÓNEVE(I)/ (MT) XXXXXX(/XXXXXXXXXXX) U XXXX(/XXXXXXXX) XXX-XXXXĊXXX LI ĦXXXĠ XXX XX-XXXXXXX/ (NL) XX(X)X(XX) XX XXXXXX(X)X(XX) XXX XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) I XXXĘ (XXXXXX) URZĘDNIKA, KTÓRY XXXXŁ NINIEJSZY XXXXXXXXX/ (XX) APELIDO(S) X XXXX(X) XXXXXXX(X) XX XXXXXXXXXXX QUE EMITIU X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXX ȘX XXXXXXXXX FUNCȚIONARULUI CARE X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) X XXXX(-X) ÚRADNÍKA, XXXXX XXXXX TENTO XXXXXXXX/ (SL) XXXXXXX/XXXXXXX XX IME/IMENA XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (XX) XÄXÄX LOMAKKEEN XXXXXXXX XXXXXXXXXXX XXXXXXXX (-XXXXX) XX XXXXXXX (-XXXXX)/ (XX) EFTERNAMN XXX XÖXXXXX XÅ XXX XXÄXXXXXXX SOM XXX XXXÄXXXX XXXXX XXXXXXÄX

7.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX FUNCIONARIO QUE XXXXXXX ESTE XXXXXXX/ (XX) FUNKCE XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX — XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX FORMULAR/ (XX) XXXXXXXX XXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX HAT/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX AMETIKOHT/ (EL) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX XX THE XXXXXXXX XXX ISSUED XXXX FORM/ (XX) XXXXX XX XXXXXXXXXXXXX XXX A XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) POST AN XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXXX XXXXXXXXXX XXXX XX XXXXX XXXX XXXXXXX/ (IT) XXXXXXXXX DEL XXXXXXXXXXX XXX XX RILASCIATO XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX VEIDLAPU, XXXXX/ (XX) ŠIĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (HU) A XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (NL) XXXXXXX XXX DE XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX XXXXŁ NINIEJSZY XXXXXXXXX/ (XX) CARGO XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XXXXX XXXXX TENTO XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (XX) XÄXÄX LOMAKKEEN XXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX XXX XXX UTFÄRDAT XXXXX XXXXXXÄX

7.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) VYDÁNÍ/ (XX) XXXXXXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (TT/MM/JJJJ)/ (ET) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) DATE (XX/XX/XXXX) OF ISSUE/ (XX) XXXX (JJ/MM/AAAA) XX DÉLIVRANCE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (IT) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (HU) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (MT) DATA (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) WYDANIA/ (XX) XXXX DE XXXXXÃX (XX/XX/XXXX)/ (RO) DATA (XX/XX/XXXX) EMITERII/ (XX) XXXXX (DD/MM/RRRR) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (FI) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) DATUM (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

7.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) UNTERSCHRIFT/ (XX) ALLKIRI/ (EL) ΥΠΟΓΡΑΦΗ/ (EN) XXXXXXXXX/ (XX) SIGNATURE/ (XX) XXXXX/ (XX) XXXXXX/ (XX) FIRMA/ (XX) XXXXXXXX/ (LT) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (NL) XXXXXXXXXXXX/ (XX) PODPIS/ (PT) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (FI) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

7.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (XX) XXXXX NEBO XXXXXXX/ (DA) XXXX XXXXX STEMPEL/ (DE) XXXXXX XXXX STEMPEL/ (XX) XXXXXX VÕI XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX OR XXXXX/ (XX) XXXXX XX TIMBRE/ (XX) XXXXX XX XXXXXX/ (XX) XXX XXX XXXXX/ (IT) XXXXX X XXXXXX/ (XX) XĪXXXX XXX SPIEDOGS/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX XXX XXXXXX/ (XX) XXXXX OF XXXXXXX/ (XX) XXXXXĘĆ XXX XXXXXXX/ (XX) XXXX OU CARIMBO/ (XX) XXXXXXXX XXX ȘXXXXXXX/ (SK) PEČAŤ XXXXX XXXXXXXX PEČIATKY/ (XX) XXXXX XXX XXX/ (XX) SINETTI XXX XXXXX/ (SV) XXXXXX ELLER XXÄXXXX

XXXXXXXXXXX K XXXXXXXX XXXXXXXXXX

XXXXXXXXXXX STANDARDNÍ XXXXXXXX – XXXXXXX XXX XXXXXXX

Xxxxxx 7 xxxxxxxx Xxxxxxxxxx parlamentu x Xxxx (EU) 2016/1191 xx xxx 6. xxxxxxxx 2016 x xxxxxxx volného xxxxxx občanů zjednodušením xxxxxxxxx na předkládání xxxxxxxxx veřejných listin x Evropské xxxx x o změně xxxxxxxx (XX) č. 1024/2012 (1)

Xxxxxx (BE) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (DK) Německo (XX)

Xxxxxxxx (EE) Xxxxx (XX)

Xxxxx (EL) Španělsko (XX)

Xxxxxxx (XX) Chorvatsko (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (LU)

Maďarsko (XX) Xxxxx (XX)

Xxxxxxxxxx (XX) Xxxxxxxx (AT)

Polsko (PL) Xxxxxxxxxxx (PT)

Rumunsko (XX) Xxxxxxxxx (XX)

Xxxxxxxxx (SK) Xxxxxx (XX)

Xxxxxxx (SE) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx xxxxxx tohoto xxxxxxxxxxxxx xxxxxxxxxxxx xxxxxxxxx xx usnadnění xxxxxxxx xxxxxxx xxxxxxx, x xxx xx přiložen. Xxxxx xxxxxxxx xx xxxx členskými xxxxx xxxxx xxxxxxxxx jako xxxxxxxxxx xxxxxxxx.

Xxxxx xxxxxxxx xxxxxx xxxxx xxxxxxx xxxxxxx, k xxx xx xxxxxxxx. Xxxxx, xxxxx je xxxxxxx xxxxxxx xxxxxxxxxxx, však xxxx x xxxxxxxxx, xxx xx xx xxxxxxxx xxx xxxxx xxxxxxxxxx xxxxxxx listiny, xxxxxxxxx překlad xx xxxxxx informací, xxxxx xxxx xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX XXXXX

Xxxxxx xxxxx xxxxxxxxx, xxxxx xxxx uvedeny xx xxxxxxx xxxxxxx, x níž xx xxxxxxxx tento formulář. (2)

Xxxxx xxxxxxx xxxxxxx, x níž xx xxxxxxxx tento xxxxxxxx, xxxxxxxxxx určité xxxxx xxxx xxxxxxxxx, xxxxxx „–“.

1. XXXXX VYDÁVAJÍCÍ XXXXX XXXXXXXX

1.1 Název (3)

2. XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, K XXX XX PŘILOŽEN XXXXX FORMULÁŘ

1.1 Xxxxx (4)

3. XXXXXXXXX XXXXXXXX XX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX

3.1 Xxxxxxx vydaná xxxxxxx xxxx xxxxxxxxx x xxxxxx na xxxxx xxxxxx xxxxxxxxx xxxxx

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Listina xxxxxx xxxxxxx zástupcem

3.1.3 Xxxxxxx vydaná xxxxxx xxxxxxx xxxxxxxxx

3.1.4 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxxxxxx („xxxxxxxx de xxxxxxx“)

3.1.5 Xxxx (upřesněte)

(1) Xx. xxxx. X 200, 26.7.2016, x. 1.

(2) Xxx vyplňování xxxxx xxxxxxxx xxxxxxx xxxxx.

(3) Xxxxx „xxxxx“ xx xxxxx xxxxxxxx xxxx xxxxxx xxxxx xxxxxx xxxxxxxxxxxx xxxxxxxx.

(4) Xxxxx „xxxxx“ je xxxxx xxxxxxxx xxxx xxxxxx xxxxx xxxxxx xxxxxxxxxxxx xxxxxxxx xxxxxxx, k xxx xx xxxxxxxx xxxxx xxxxxxxx.

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Výpis x xxxxxxx

3.2.3 Xxxxx x xxxxxxxx xxxxxxxx

3.2.4 Xxxx xxxxxxxxxx xxxxxxx

3.1.5 Jiné (xxxxxxxxx)

3.3 Xxxxxxxx listina

3.4 Xxxxxx xxxxxxxxx, xxxxxx xxxx xxxxxxxx listina xxxxxxxxx xxxxxxxxx osobou

3.5 Xxxxxxx xxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxx nebo xxxxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxx x rámci výkonu xxxx xxxxxxxxxx xxxxxxxxxx

3.6 Xxxxx (xx/xx/xxxx) vydání

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. INFORMACE X XXXXXXX XXXXX

4.1 Příjmení

4.2 Xxxxx (xxxxx)

4.3 Datum (xx/xx/xxxx) xxxxxxxx

4.4 Xxxxx (1) a xxxx (2) narození

4.5 Xxxxxxx:

4.5.1 Xxxx

4.5.2 Xxx

4.5.3 Xxxxxxxx

4.6 Xxxxxx xxxxxxxxxxx:

5. NA XXXXXXX VEŘEJNÉ XXXXXXX, X XXX JE XXXXXXXX TENTO XXXXXXXX, (3)

5.1 Je dotyčná xxxxx xxxxxxxxx xxxxxxx xxxxxxxxxx podle xxxxxxxxxxxxxx xxxxx členského xxxxx, x xxxx xx xxxxxxx xxxxxxx xxxxxx.

5.2 Xxxxxxx xxxxx patrně xxxxxxxxxx xxxxxxxxxx xxx xxxx xxxxxx podle xxxxxxxxxxxxxx práva členského xxxxx, v xxxx xx xxxxxxx xxxxxxx xxxxxx.

5.3 Neexistuje xxxxx xxxxx překážka, aby xxxxxxx osoba xxxxxxxx xxxxxxxxxx xxxxx xxxxxxxxxxxxxx xxxxx členského státu, x němž xx xxxxxxx listina xxxxxx.

5.4 Xxxxxxxxxx xxxxx xxxxx xxxxxxxx xxxxxxxxxx xxxx xxxxxxxx xxxxxx a xxxxx xxxxxxxxxx / xxxx xxxxxxxxxx xxxxx xxxxxxxxxxxxxx xxxxx xxxxxxxxx xxxxx, x němž xx xxxxxxx xxxxxxx xxxxxx.

5.5 Neexistuje xxxxx xxxxx xxxxxxx xxxxx xxxxxxxx xxxxxxxxxx xxxx xxxxxxxx osobou a xxxxx xxxxxxxxxx / xxxx xxxxxxxxxx podle xxxxxxxxxxxxxx práva členského xxxxx, v xxxx xx xxxxxxx xxxxxxx xxxxxx.

(1) Xxxxx „místo xxxxxxxx“ se xxxxxx xxxxx xxxx xxxx xxxxx, xxxxxx x xxxxx, kde xx xxxx osoba xxxxxxxx.

(2) Xxxxx země x – xxxxx existuje – xxx XXX xxxx země nebo xxxxxxx „Xxxx (xxxxxxxxx)“ xx třeba xxxxxx x xxxxxxxxxxx xxxxxxx xx vzorovém vícejazyčném xxxxxxxxxxx formuláři, xxxxx xx k xxxxxxxxx xx xxxxxxx xxxxxxxx x-xxxxxxx.

(3) Lze xxxxxx xxxx xxxxxxxx.

6. XXXXXXXXX X SNOUBENCI / XXXXXXXXX XXXXXXX XXXXX

4.1 Xxxxxxxx

4.2 Jméno (xxxxx)

4.3 Xxxxx (dd/mm/rrrr) xxxxxxxx

4.4 Xxxxx (1) x xxxx (2) xxxxxxxx

4.5 Xxxxxxx:

4.5.1 Žena

4.5.2 Muž

4.5.3 Xxxxxxxx

4.6 Státní xxxxxxxxxxx

7. XXXX PRO XXXXXX

7.1 Xxxxxxxx x jméno (xxxxx) xxxxxxxx, který xxxxx xxxxx xxxxxxxx

7.2 Xxxxxx xxxxxxxx, xxxxx xxxxx xxxxx formulář

7.3 Xxxxx (dd/mm/rrrr) vydání

7.4 Xxxxxx

7.5 Pečeť xxxx xxxxxxx

(1) Xxxxx „xxxxx xxxxxxxx“ se xxxxxx xxxxx xxxx xxxx xxxxx, xxxxxx a xxxxx, xxx xx xxxx osoba narodila.

(2) Xxxxx xxxx x – xxxxx xxxxxxxx – xxx XXX xxxx xxxx xxxx xxxxxxx „Xxxx (xxxxxxxxx)“ xx třeba xxxxxx x rozbalovací xxxxxxx xx xxxxxxxx vícejazyčném xxxxxxxxxxx xxxxxxxxx, xxxxx xx k xxxxxxxxx xx xxxxxxx xxxxxxxx x-xxxxxxx.

XXXXXXXXXXX GLOSÁŘ NÁZVŮ XXXXXXXXXXXX POLOŽEK

(ZPŮSOBILOST X XXXXXXXX XXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX QUE XXXXXX ESTE IMPRESO/ (XX) XXXXX VYDÁVAJÍCÍ XXXXX FORMULÁŘ/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (DE) XXXÖXXX, XXX DIESES XXXXXXXX XXXXXXXXX/ (ET) XÄXXXXXXX XXXXX VÄLJA XXXXXX XXXXXX/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX FORM/ (XX) XXXXXXXX DE XXXXXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X EISEOIDH XX XXXXXX SEO/ (XX) TIJELO XXXX XXXXXX XXXX XXXXXXX/ (XX) AUTORITÀ XXX XXXXXXXX XX XXXXXXXX XXXXXX/ (LV) VEIDLAPAS XXXXXĒXXXXXĀXX/ (LT) ŠIĄ XXXXĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ HATÓSÁG/ (XX) XXXXXXXÀ EMITTENTI XX' XXX IL-FORMOLA/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX XXXXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXX XXXXXXXXXX/ (RO) XXXXXXXXXXX XXXXXXXĂ A XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX FORMULÁR/ (XX) XXXXX, XX XXXX XX XXXXXXX/ (XX) TÄMÄN LOMAKKEEN XXXXXX VIRANOMAINEN/ (XX) XXXXXXXXX XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (ES) XXXXXXXXXXXX/ (CZ) NÁZEV/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) NIMETUS/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) DÉNOMINATION/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (LT) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXÇÃX/ (RO) DENUMIRE/ (XX) XXXXX/ (XX) XXX/ (FI) XXXX/ (XX) NAMN

2.

(BG) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XX XXXXXXXXX XXXXXXX XX QUE XX XXXXXXX ESTE XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX LISTINU, X XXX XX XXXXXXXX TENTO XXXXXXXX/ (XX) XXX MYNDIGHED, XXX HAR UDSTEDT XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXÖXXX, XXX DIE ÖXXXXXXXXXX URKUNDE, XXX XXXXXX XXXXXXXX BEIGEFÜGT XXX, XXXXXXXXX/ (ET) XXXXXX, KES ANDIS XÄXXX XXXXXXX XXXXXXXXX, XXXXXXX SEE VORM XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) AUTHORITY XXXXXXX XXX PUBLIC DOCUMENT XX XXXXX XXXX XXXX IS XXXXXXXX/ (XX) AUTORITÉ DE XXXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX XX DOICIMÉAD XXXXXX XXXX XXXXXX XX XXXXXX XXX CEANGAILTE/ (XX) TIJELO XXXX XXXXXX XXXXX XXXXXXX XXXXX JE OVAJ XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ XXX RILASCIA XX XXXXXXXXX PUBBLICO XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) PUBLISKĀ DOKUMENTA, XXXXX XĪ VEIDLAPA XX XXXXXXXXXX, IZDEVĒJIESTĀDE/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX FORMA, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX PUBBLIKU LI XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXX WYDAJĄCY XXXXXXXX URZĘDOWY, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX ZAŁĄCZONY/ (XX) XXXXXXXXXX QUE EMITE X XXXXXXXXX PÚBLICO X XXX O XXXXXXXX FORMULÁRIO XXXX XXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ A DOCUMENTULUI XXXXXXX XX XXXX XXXX ANEXAT XXXXXXXXX XXXXXXXX/ (SK) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, XX XXXXXX XX XXXXX FORMULÁR XXXXXXXXX/ (XX) XXXXX, KI XXXX JAVNO XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXXXX, XXXX XX ANTANUT XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ XXXXXX LIITETÄÄN/ (SV) XXXXXXXXX XXX UTFÄRDAR XXX XXXXXXXXXX HANDLING XXXX VILKEN XXXXX XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXX AL QUE XX XXXXXXX XXXX XXXXXXX/ (XX) INFORMACE XXXXXXXX XX VEŘEJNÉ XXXXXXX, X NÍŽ XX PŘILOŽEN XXXXX XXXXXXXX/ (DA) XXXXXXXXXXX XXXXØXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX ER XXXXÆXXXX/ (XX) ANGABEN XXX ÖXXXXXXXXXXX URKUNDE, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) TEAVE XXXXXXX XXXXXXXXX XXXXX, XXXXXXX XXX XXXX XX LISATUD/ (EL) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) INFORMATION XXXXXXXX XX XXX XXXXXX XXXXXXXX TO XXXXX THIS XXXX XX XXXXXXXX/ (FR) XXXXXXXXXXXX RELATIVES XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX X XXXXXXXXX XXXX XX XXXXXXXXX XXXXXX XXXX BHFUIL XX FHOIRM XXX XXXXXXXXXX/ (XX) INFORMACIJE XXXX SE XXXXXX XX XXXXX ISPRAVU XXXXX JE XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX RELATIVE XX XXXXXXXXX XXXXXXXX CUI XX XXXXXXXX MODULO È ALLEGATO/ (LV) XXXXXXĀXXXX PAR XXXXXXXX XXXXXXXXX, XXXXX ŠĪ XXXXXXXX IR XXXXXXXXXX/ (XX) INFORMACIJA, SUSIJUSI XX XXXXXXXX XXXXXXXXX, XXXX XXXXX PRIDEDAMA XX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) INFORMAZZJONI XXXX XX-XXXXXXXX XXXXXXXX LI XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX BETREFFENDE XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (PL) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) INFORMAÇÕES XXXXXXXXX XX XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX LA XXXX XXXX XXXXXX PREZENTUL XXXXXXXX/ (XX) INFORMÁCIE X VEREJNEJ XXXXXXX, XX XXXXXX XX XXXXX FORMULÁR XXXXXXXXX/ (XX) XXXXXXXXXXX V XXXXX X XXXXX XXXXXXX, XX JI XX XXXXXXXX XX XXXXXXX/ (FI) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, JOHON XÄXÄ XXXXXX LIITETÄÄN/ (XX) INFORMATION XX XXX XXXXXXXXXX HANDLING XXXX VILKEN DETTA XXXXXXÄX ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX XXXXXXXX XXX XXX XXXXXXXXX X XX XXXXXXXXXXX XXXXXXXXX X XXX XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (CZ) XXXXXXX XXXXXX ORGÁNEM NEBO XXXXXXXXX X XXXXXX XX SOUDY DANÉHO XXXXXXXXX XXXXX/ (XX) XXXXXXXX, XXX ER XXXXXXX XX EN XXXXXXXXX XXXXX XX XXXXXXXXXX, DER XX XXXXXXXXXX DOMSTOLE X XX XXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXÖXXX XXXX EINER XXXXXXXXXX XXX XXXXX XXX XXXXXXXXXXXX EINES MITGLIEDSTAATS/ (XX) XXXXXXXX, XXXXX XX VÄLJA ANDNUD XXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXXXX VÕI XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΈΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXX OR XX XXXXXXXX CONNECTED WITH XXX XXXXXX XX XXXXXXXXX XX A XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXX X'XXX XXXXXXXX XX X'XX XXXXXXXXXXXXX RELEVANT X'XXX XXXXXXXXXXX D'UN XXXX XXXXXX/ (GA) DOICIMÉAD X XXXXXXX X XXXXXX XX X XXXXXXXXX X XXXXXX XXXXX AIGE XX XXXX LE XXXXXXXXXX XX XX XXXXX XX CHUID XXXXXXXXX/ (XX) ISPRAVA XXXX XX IZDALO XXXXXX XXX XXXXXXXXX XXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ X XX XX XXXXXXXXXXX APPARTENENTE XX XXX XXXXX XXXXXXXXXXXXX XX XXX XXXXX MEMBRO/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XX XXXĪXXXXXXX XXXXĀX XXXXXĪXX IESTĀDE XXX XXXXXXXXXXX/ (LT) DOKUMENTAS, XXXXXXXX XXXXXXXX INSTITUCIJOS XX XXXXXXŪXX, SUSIJUSIŲ XX XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX XXXX XXXXXXX XXXX TISZTVISELŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX XXXXXXXÀ XXX UFFIĊJAL XX JKOLLHOM RABTA XXX-XXXXX XXX XX-XXXXXXXXX XX' XXXX MEMBRU/ (XX) DOCUMENT XXXXXXXXX XXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX OD XXXXXX XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX PAŃSTWA CZŁONKOWSKIEGO/ (XX) XXXXXXXXX XXXXXXXXXXX XX UMA XXXXXXXXXX XX DE XX XXXXXXXXXXX XXXXXXXXXX XX XXXXXXXX JURISDIÇÃO DE XX ESTADO-MEMBRO/ (XX) XXXXXXXX EMIS XX X XXXXXXXXXX XXX XX XX XXXXȚXXXXX XX XX XÂXXĂ XXXXXXȚXXX XXXX STAT XXXXXX/ (XX) LISTINA XXXXXX XXXXXXX XXXXX XXXXXXXXX X XÄXXXX XX XXXX XXXXXXXXX XXXXX/ (SL) LISTINA, XXXXXX X STRANI XXXXXX ALI XXXXXXXX XXXXX XXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX ON XXXXXXX XÄXXXXXXXXXX OIKEUSLAITOKSEEN KUULUVA XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX EN XXXXXXXXX ELLER EN XXÄXXXXXXX TILLHÖRANDE DOMSTOLSVÄSENDET X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (ES) XXXXXXXXXX XXXXXXXX/ (CZ) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) KOHTUOTSUS/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (FR) XXXXXXXX DE XXXXXXX/ (XX) XXXXXXXX XX xXXXXX/ (XX) XXXXXX XXXXXX/ (XX) DECISIONE XXXXXXXXXXXXXXX/ (LV) XXXXXX XĒXXXX/ (LT) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (XX) DEĊIŻJONI XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) ORZECZENIE XĄXXXX/ (XX) DECISÃO XXXXXXXX/ (XX) HOTĂRÂRE XXXXXĂXXXXXXXĂ/ (SK) SÚDNE XXXXXXXXXXX/ (XX) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) DOMSTOLSBESLUT

3.1.2

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX POR EL XXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (DA) DOKUMENT XXXXXXX AF XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX ON XÄXXX ANDNUD RIIKLIK XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) DOCUMENT XXXXXXXXX XXXX X XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX MINISTÈRE XXXXXX/ (XX) DOICIMÉAD X XXXXXXX X XXXXXXXXXXXXXXX POIBLÍ/ (HR) XXXXXXX XXXX JE XXXXXX XXXXXXX ODVJETNIŠTVO/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXXXX MINISTERO/ (XX) DOKUMENTS, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX IŠDUOTAS DOKUMENTAS/ (XX) ÜGYÉSZ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXXXX PUBBLIKU/ (XX) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXX MINISTERIE/ (XX) DOKUMENT XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX EMIS XX XX XXXXXXXX/ (XX) XXXXXXX XXXXXX PROKURÁTOROM/ (XX) LISTINA, KI XX XXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX ÅKLAGARVÄSENDET

3.1.3

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (ES) XXXXXXXXX EXPEDIDO XXX XX XXXXXXXXXX XXXXXXXX/ (XX) LISTINA VYDANÁ XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX UDSTEDT XX XX XXXXXXXXXXXXXÆX/ (XX) XXXXXXX EINES XXXXXXXXXXXXXX XXX GESCHÄFTSSTELLE XXXXX XXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX EMANATING XXXX X XXXXX XX X XXXXX/ (XX) XXXXXXXX ÉMANANT X'XX XXXXXXXX/ (XX) XXXXXXXXX A THAGANN X XXXXXXXXXX XX XXXXX XXXXXX/ (XX) XXXXXXX XXXX JE XXXXX UPRAVITELJ SUDSKE XXXXXXXXX/ (IT) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (LV) DOKUMENTS, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (LT) XXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ XXXX REĠISTRATUR XX' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX SEKRETARZA XĄXXXXXX/ (PT) DOCUMENTO XXXXXXXXXXX XX XX XXXXXXX XX JUSTIÇA/ (XX) XXXXXXXX EMIS XX XX XXXXXXX XX XXXXXXȚXX/ (SK) XXXXXXX VYDANÁ SÚDNYM XXXXXXXXX/ (XX) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXX/ (SV) HANDLING XXX XÄXXÖX XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (ES) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXX («HUISSIER XX XXXXXXX»)/ (CZ) XXXXXXX VYDANÁ XXXXXXX XXXXXXXXXXXXX („XXXXXXXX DE XXXXXXX“)/ (DA) XXXXXXXX XXXXXXX XX EN XXÆXXXXXXXXXX (»HUISSIER XX XXXXXXX«)/ (XX) URKUNDE XXXXX GERICHTSVOLLZIEHERS/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX KOHTUTÄITUR/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX DE JUSTICE»)/ (XX) XXXXXXXX XXXXXXXXX XXXX X JUDICIAL XXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) DOCUMENT XXXXXXX D'UN XXXXXXXX XX XXXXXXX/ (GA) XXXXXXXXX X XXXXXXX X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (XX) ISPRAVA XXXX XX XXXXX XXXXXX XXXXXXXXX (HUISSIER XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXX XX UN XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX JUSTICE")/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX IZPILDĪTĀJS (XXXXXXXX XX JUSTICE)/ (XX) XXXXXXXXX (XXXXXXXX DE XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) BÍRÓSÁGI VÉGREHAJTÓ („XXXXXXXX XX XXXXXXX”) XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX UFFIĊJAL ĠUDIZZJARJU ('XXXXXXXX XX XXXXXXX')/ (XX) DOCUMENT AFGEGEVEN XXXX XXX GERECHTSDEURWAARDER/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX XĄXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX ESCRIVÃO XX XXXXXXX («XXXXXXXX XX XXXXXXX»)/ (RO) XXXXXXXX EMIS XX XX XXXXXXXX JUDECĂTORESC („XXXXXXXX XX JUSTICE”)/ (XX) LISTINA XXXXXX XXXXXX XXXXXXXXXXĽXX („HUISSIER XX XXXXXXX“)/ (XX) XXXXXXX, XX XX XXXX SODNI XXXXXXXXXX („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX XX XXXXXXX”) XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN XX STÄMNINGSMAN (HUISSIER XX JUSTICE)

3.1.5

(BG) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) OTRO (XXXXXXXXXXXXX)/ (XX) JINÉ (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (BITTE XXXXXXX)/ (XX) XXX (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (EN) OTHER (XX XX SPECIFIED)/ (XX) AUTRE (À XXXXXXXX)/ (XX) EILE (XX XXXXX)/ (XX) XXXXXX (NAVESTI)/ (XX) XXXXX (PRECISARE)/ (LV) XXXX (PRECIZĒT)/ (XX) XXXX (XXXXXXXX)/ (XX) XXXXX (KÉRJÜK XXXXXXXXXXX)/ (XX) OĦRAJN (XXXXXĊXŻX)/ (XX) XXXXXXX (SPECIFICEREN)/ (XX) XXXX (PROSZĘ XXXXŚXXĆ)/ (XX) OUTROS (X XXXXXXXXXXX)/ (RO) XXXXX (A SE XXXXXXX)/ (XX) INÉ (XXXXXXXX)/ (XX) DRUGO (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (SV) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (XX) ADMINISTRATIVT XXXXXXXX/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (ET) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) ADMINISTRATIVE XXXXXXXX/ (XX) DOCUMENT XXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (HU) XÖXXXXXXXXXXX XXXXXX/ (MT) DOKUMENT XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (PT) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) HALLINNOLLINEN XXXXXXXXX/ (SV) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) OSVĚDČENÍ/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) TÕEND/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (FR) CERTIFICAT/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊERTIFIKAT/ (XX) CERTIFICAAT/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (SK) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (SV) INTYG

3.2.2

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) EXTRACTO DEL XXXXXXXX CIVIL/ (XX) XXXXX Z MATRIKY/ (XX) UDDRAG XXX XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX CIVIL XXXXXX XXXXXXXX/ (FR) XXXXXXX DU REGISTRE XX X'XXXX XXXXX/ (XX) XXXXXXX XX XX gCLÁR XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX OSOBNOG XXXXXX/ (XX) ESTRATTO XX ATTO DI XXXXX CIVILE/ (XX) XXXXXXXX XX CIVILSTĀVOKĻA XXXX XXĢXXXXX/ (LT) XXXXXXX XX XXXXXXXĖX XŪXXĖX XXXŲ XXXXXXXX/ (XX) ANYAKÖNYVI XXXXXXX/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX SKRÓCONY XXXX XXXXX CYWILNEGO/ (XX) XXXXXXX DE XXXX XX XXXXXXX CIVIL/ (XX) EXTRAS DIN XXXXXXXXX XX STARE XXXXXĂ/ (XX) VÝPIS X REGISTRA XXXXXXXX XXXXX/ (SL) IZPISEK XX REGISTRA X XXXXXXX STANJU/ (XX) XÄXXXÖXXXXXXXXXXXX (SIVIILISÄÄTY)/ (XX) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (ES) XXXXXXXX XXX CENSO/ (XX) VÝPIS X XXXXXXXX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) AUSZUG XXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (EL) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX XXX XXXXXXXXXX XXXXXXXX/ (FR) XXXXXXX DU XXXXXXXX XX LA XXXXXXXXXX/ (XX) SLIOCHT AS XX xXXXX XXXXXX/ (XX) XXXXXXX XX XXXXXX XXXXXXXXXXXX/ (IT) XXXXXXXX ANAGRAFICO/ (XX) XXXXXXXX XX XXXXĪXXXĀXX XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXXŲ XXXXXXXX/ (XX) KIVONAT X XXXXXXXXXXXX- XX LAKCÍMNYILVÁNTARTÁSBÓL/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) UITTREKSEL XXX HET BEVOLKINGSREGISTER/ (XX) XXXXĄX X XXXXXXXX XXXXXŚXX/ (PT) XXXXXXX DO XXXXXXX XX POPULAÇÃO/ (XX) XXXXXX DIN REGISTRUL XX XXXXXXȚĂ A XXXXXXȚXXX/ (XX) XXXXX X REGISTRA XXXXXXXĽXX/ (XX) XXXXXXX IZ XXXXXXXX PREBIVALSTVA/ (FI) XÄXXXÖXXXXXXXXXXXX/ (XX) UTDRAG XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) COPIA LITERAL XX XXXXX XXX XXXXXXXX XXXXX/ (CZ) XXXX MATRIČNÍCH ZÁZNAMŮ/ (XX) ORDRET KOPI XX CIVILSTANDSREGISTRE/ (DE) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (EL) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX XX XXXXX XXXXXX XXXXXXX/ (FR) XXXXX XXXXXXXXX X'XXXXX XX L'ÉTAT XXXXX/ (XX) CÓIP XXXXX XX XXXXXX XX XXXXXXX AR XXXXXX XXXXXXXXX/ (HR) DOSLOVNI XXXXXXXX XX XXXXXXXXXX X XXXXXXX XXXXXX/ (XX) COPIA XXXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX XXĢXXXXX XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (HU) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) KOPJA XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (XX) EENSLUIDEND XXXXXXXXX VAN XXXXX XXX DE XXXXXXXXXXX XXXXX/ (XX) ODPIS XXXXŁXX AKTU XXXXX XXXXXXXXX/ (XX) XXXXXXÃX XX CÓPIA XXXXXXXX XX XX NARRATIVA XX XXXX XX XXXXXXX XXXXX/ (RO) XXXXX EXACTĂ A XXXX ACT XX XXXXX XXXXXĂ/ (XX) XXXXXXXX VÝPIS XX XXXXXXX X OSOBNOM XXXXX/ (XX) XXXXXXXXX XXXXXX XXXXXX X XXXXXXX STANJU/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) ACTA XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (DA) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX/ (ET) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) XXXX NOTARIÉ/ (XX) GNÍOMH XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXĀXX AKTS/ (XX) XXXXXXXXX XXXXX/ (XX) XÖXXXXXXŐX OKIRAT/ (XX) ATT NOTARILI/ (XX) XXXXXXËXX XXXX/ (XX) XXX XXXXXXXXXX/ (XX) ATO NOTARIAL/ (XX) XXX NOTARIAL/ (XX) XXXXXXXX LISTINA/ (XX) NOTARSKA XXXXXXX/ (XX) XXXXXXXX XXXXXX XXXXXXXXX/ (SV) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX XXXXXX SOBRE UN XXXXXXXXX XXXXXXX/ (CZ) XXXXXX XXXXXXXXX, KTERÝM XXXX XXXXXXXX XXXXXXX XXXXXXXXX SOUKROMOU XXXXXX/ (XX) XXXXXXXX PÅTEGNING XÅ XX XXXXXXXX XXXXXXXXXXX XX XX XXXXXX X XXXXXX XXXXXXXX XX PRIVATPERSON/ (XX) AMTLICHE XXXXXXXXXXXXX XXX EINER XXXXXXXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXXXX XXXXXXXXXXXXXX DOKUMENDILE XXXXXXXXXX XXXXXXX XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX XXXXXX XX X DOCUMENT XXXXXX XX X PERSON XX XXX XX XXX XXXXXXX XXXXXXXX/ (XX) DÉCLARATION OFFICIELLE XXXXXXX XXX UN XXXX XXXX SEING XXXXX/ (XX) DEIMHNIÚ XXXXXXXXX X XXXXXXXXX XX XXXXXXXXXX XXXX XXXXXX AG XXXXX XXX XXXXX XX XXX XXXX PHRÍOBHÁIDEACH/ (XX) SLUŽBENA XXXXXXX XXXXXXXXX NA ISPRAVU XXXX JE XXXXX XXXXXXXXX U PRIVATNOM XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXĀXX XXXXXXXXĀXXXX XX XXXXXXXXX, KO XXXĀ VĀRDĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (LT) XXXXXXXŲ XXXXXŲ PASIRAŠYTŲ XXXXXXXXŲ OFICIALŪS PATVIRTINIMAI/ (XX) XXXXXXXXXXXXX ELHELYEZETT XXXXXXXXX XXXXXXXXXXX/ (XX) ĊXXXXXXXXX XXXXĊXXXX XX XXXXXXXĦXX F'DOKUMENT XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (NL) XXXXXXXXX XXXXXXXXXXX OP XXX XXXXXXXX XXXXXXXXXXX XXXX XXX XXXXXXX XX XXXX PARTICULIERE XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX PODPISANYM XXXXX XXXXĘ DZIAŁAJĄCĄ X XXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÃX OFICIAL XXXXXXX XXX ATO DE XXXXXXXX PRIVADA/ (XX) XXXXXXXXXX OFICIAL XXXXXXX XX UN XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX OSVEDČENIE XXXXXXX XX XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX XXXXX/ (XX) URADNA IZJAVA XX XXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, JONKA XXXXXXÖ XX XXXXXXXXXXXXXXXX YKSITYISHENKILÖNÄ/ (XX) XXXXXXXXXX XXXXX XXXXXXXXX PÅ XX XXXXXXXX SOM UNDERTECKNATS XX XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXXXXX O XXXXXXXX XX UN XXXXXX MIEMBRO CON XXXXXXXX XXXXXXX/ (XX) XXXXXXX VYHOTOVENÁ DIPLOMATICKÝM XXXXXXXXX XXXX KONZULÁRNÍM XXXXXXXXX XXXXXXXXX STÁTU X XXXXX VÝKONU XXXX XXXXXXXXXX POVINNOSTÍ/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX AF XX XXXXXXXXXXXX DIPLOMATISKE XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (XX) XXX EINEM XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX VERTRETER XXXXX XXXXXXXXXXXXXX XX XXXXXX AMTLICHEN FUNKTION XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX VÕI XXXXXXXXXXXXXXXXX POOLT AMETIKOHUSTUSTE XÄXXXXXXX KOOSTATUD DOKUMENT/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX DRAWN XX XX X XXXXXXXXXX XX XXXXXXXX XXXXX XX X XXXXXX XXXXX IN XXX XX HER XXXXXXXX CAPACITY/ (XX) XXXXXXXX XXXXXX XX XX QUALITÉ XXXXXXXXXX XXX XX AGENT XXXXXXXXXXXX XX XXXXXXXXXX X'XX ÉTAT MEMBRE/ (XX) DOICIMÉAD XXXX XXXXXXXXXX SUAS AG XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX XX XXXXX XXXXXXXXX XXX XXXXX XX INA CÁIL XXXXXXXXX/ (XX) XXXXXXX XXXX XX X XXXXXXXXX SVOJSTVU XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX XXXXXXXXXXX X XXXXXXXXX XX XXX XXXXX MEMBRO XXXX'XXXXXXXXX XXXXX LORO XXXXXXXX/ (LV) DOKUMENTS, XXXX, PILDOT XXXXX XXXXĀXXXXX, SAGATAVOJIS XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX AR KONSULINIO XXXXXXŪXX, VEIKIANČIO XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX DIPLOMÁCIAI XXXX XXXXXXX KÉPVISELŐJE XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX IMĦEJJI MINN XĠXXX XXXXXXXXXXX XXX XXXXXXXXX XX' STAT XXXXXX XXX-XXXXĊXXÀ UFFIĊJALI XXXXĦX/ (XX) DOCUMENT XXXXXXXXX XXXX XX XXXXXXXXXXXX XX CONSULAIRE XXXXXXXXX VAN EEN XXXXXXXX XX XXXX XXXXXXËXX XXXXXXXXXXXX/ (PL) XXXXXXXX XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX LUB XXXĘXXXXX KONSULARNEGO PAŃSTWA XXŁXXXXXXXXXXX XXXXŁXXĄXXXX W XXXXXXXXXXX XXXĘXXXXX/ (XX) XXXXXXXXX XXXXXXX POR XX XXXXXX XXXXXXXXXXX XX XXXXXXXX XX XX XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎNTOCMIT DE XĂXXX UN AGENT XXXXXXXXXX SAU XXXXXXXX XX XXXX STAT XXXXXX, ÎX CALITATE XXXXXXXĂ/ (SK) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM XXXXXXXXX XXXXX KONZULÁRNYM XXXXXXXXX XXXXXXXXX ŠTÁTU V XXXXX XXXXXX JEHO XXXXXXX/ (XX) LISTINA, XX XX KOT XXXXXX OSEBA XXXX XXXXXXXXXXX XXX KONZULARNI XXXXXXXXXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX, XXXXX XÄXXXXXXXXXX DIPLOMAATTINEN EDUSTAJA XXX KONSULIEDUSTAJA ON XXXXXXXX VIRANTOIMITUKSESSA/ (XX) XXXXXXXX UPPRÄTTAD X XXÄXXXXX AV XX XXXXXXXXXXX XXXXX KONSULÄR XXÄXXXXXXX I XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX ISSUE/ (XX) DATE (JJ/MM/AAAA) XX DÉLIVRANCE/ (XX) XXXX (XX/XX/XXXX) EISIÚNA/ (XX) XXXXX (DD/MM/GGGG) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) IZDOŠANAS XXXXXX (XX/XX/XXXX)/ (LT) IŠDAVIMO XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (MT) DATA (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (DD/MM/JJJJ) VAN XXXXXXX/ (XX) DATA (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXX/ (FI) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) FÖR UTFÄRDANDE

3.7

(BG) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX XXXXXXXXXX XXX XXXXXXXXX PÚBLICO/ (XX) XXXXXXXXXX XXXXX XXXXXXX LISTINY/ (XX) XXX XXXXXXXXXX DOKUMENTS XXXXXXXXXXXXXXX/ (DE) KENNNUMMER XXX ÖXXXXXXXXXXX URKUNDE/ (XX) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (EL) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX OF XXX XXXXXX XXXXXXXX/ (XX) XXXXXX XX RÉFÉRENCE XX XXXXXXXX XXXXXX/ (XX) XXXXXX XXXXXXXXX XX DOICIMÉID PHOIBLÍ/ (XX) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (XX) XXXXXX XX RIFERIMENTO XXX DOCUMENTO PUBBLICO/ (XX) PUBLISKĀ DOKUMENTA XXXXXXXX NUMURS/ (XX) XXXXXXX XXXXXXXXX NUMERIS/ (XX) X KÖZOKIRAT XXXXXXXXXXX XXXXX/ (MT) XXXXX TA' REFERENZA XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX VAN XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXX XX XXXXXÊXXXX XX XXXXXXXXX PÚBLICO/ (XX) XXXĂXXX DE XXXXXXXȚĂ XX DOCUMENTULUI OFICIAL/ (XX) XXXXXXXXXX ČÍSLO XXXXXXXX XXXXXXX/ (SL) XXXXXXXXXX ŠTEVILKA JAVNE XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (SV) XXX XXXXXXXXXX HANDLINGENS XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX EL XXXXXXXXXX/ (XX) INFORMACE X XXXXXXX XXXXX/ (XX) XXXXXXXXXXX XX XXX PÅGÆLDENDE XXXXXX/ (XX) ANGABEN XXX XXXXXXXXXXXX XXXXXX/ (ET) XXXXXXXXX XXXXXX XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX XXXXXX XXXXXXXXX/ (FR) INFORMATIONS XXX LA PERSONNE XXXXXXXXX/ (XX) XXXXXXXX XXXXXX XXXX AN XXXXX LENA xXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXXXXX XXXXX/ (IT) XXXXXXXXXXXX SULLA PERSONA XXXXXXXXXXX/ (LV) INFORMĀCIJA XXX ATTIECĪGO XXXXXXX/ (XX) XXXXXXXXXXX APIE XXXXXXXXXĄ ASMENĮ/ (XX) XX XXXXXXXX XXXXXXXXX XXXXXXXXX ADATOK/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXX XXXXĊXXXXXX/ (NL) INFORMATIE XXXX XX XXXXXXXXXX/ (XX) XXXX XXXXX, XXXXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÇÕXX SOBRE X PESSOA XX XXXXX/ (XX) XXXXXXXȚXX XXXXXXX PERSOANA XXXXXĂ/ (XX) XXXXXXXXXX X XXXXXXXXX XXXXX/ (XX) XXXXXXXXXXX O XXXXXXX XXXXX/ (FI) XXXXXXXXXXXX XXXXXXÖX TIEDOT/ (XX) XXXXXXXXX XX DEN XXXÖXXX PERSONEN

4.1

(BG) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X)/ (XX) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (XX) XXXXXXXXXXXX(X)/ (XX) XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX(X)/ (XX) NOM(S)/ (XX) XXXXXXX (SLOINNTE)/ (XX) PREZIME(NA)/ (XX) XXXXXXX(X)/ (XX) XXXĀXXX(-X)/ (XX) XXXXXXĖ (-ĖX)/ (XX) XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (NL) XXXXXXXX(X)X(XX)/ (XX) NAZWISKO(-A)/ (XX) XXXXXXX(X)/ (XX) XXXX/ (XX) XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX/ (FI) XXXXXXXX (-XXXXX)/ (SV) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) XXXXX (XXXXX)/ (DA) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) EESNIMI (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) PRÉNOM(S)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (IT) XXXX(X)/ (XX) XĀXXX(-X)/ (XX) XXXXXX (-AI)/ (XX) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (XXXXXX)/ (XX) NOME(S) XXXXXXX(X)/ (XX) XXXXXXX/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (XX) FÖRNAMN

4.3

(BG) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) FECHA (XX/XX/XXXX) XX NACIMIENTO/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) GEBURTSDATUM (TT/MM/JJJJ)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) OF XXXXX/ (XX) DATE (XX/XX/XXXX) XX XXXXXXXXX/ (XX) XXXX (LL/MM/BBBB) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (IT) XXXX XX NASCITA (XX/XX/XXXX)/ (XX) DZIMŠANAS XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (HU) XXÜXXXXXX XXXXX (ÉÉÉÉ/HH/NN)/ (XX) DATA (JJ/XX/SSSS) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX DE XXXXXXXXXX (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) XXȘXXXXX/ (SK) XXXXX (XX/XX/XXXX) NARODENIA/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (FI) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) FÖDELSEDATUM (XX/XX/ÅÅÅÅ)

4.4

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) LUGAR X XXXX DE XXXXXXXXXX/ (XX) XXXXX X XXXX XXXXXXXX/ (XX) XØXXXXXX XX -LAND/ (XX) ORT XXX XXXX DER XXXXXX/ (XX) XÜXXXXXXX JA -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX XXX XXXXXXX OF XXXXX/ (XX) XXXX ET XXXX DE XXXXXXXXX/ (XX) XXX XXXX XXX BHREITHE/ (XX) XXXXXX I XXXXXX XXĐXXXX/ (IT) XXXXX X PAESE DI XXXXXXX/ (LV) DZIMŠANAS XXXXX XX XXXXXX/ (XX) XXXXXX XXXXX XX XXXXX/ (XX) XXÜXXXXXX HELYE XX XXXXXXX/ (MT) XXXX X XXXXXŻ XXX-XXXXXX/ (XX) GEBOORTEPLAATS EN -XXXX/ (XX) XXXXXXX X XXŃXXXX XXXXXXXXX/ (XX) XXXXX X XXXX XX XXXXXXXXXX/ (XX) XXXXX ȘX ȚXXX XXȘXXXXX/ (XX) XXXXXX X XXXX XXXXXXXXX/ (XX) XXXX XX DRŽAVA XXXXXXX/ (XX) XXXXXXÄXXXXXX XX -XXX/ (XX) XÖXXXXXXXX XXX -LAND

4.5

(BG) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (DA) XØX/ (XX) GESCHLECHT/ (XX) XXXX/ (XX) ΦΥΛΟ/ (XX) SEX/ (FR) XXXX/ (GA) XXXXXX/ (XX) XXXX/ (XX) XXXXX/ (LV) XXXXXXX/ (XX) XXXXX/ (HU) XXXX/ (MT) SESS/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (XX) SEXO/ (XX) SEXUL/ (XX) XXXXXXXX/ (SL) XXXX/ (XX) SUKUPUOLI/ (XX) XÖX

4.5.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) ŽENA/ (XX) XXXXXX/ (DE) XXXXXXXX/ (XX) NAISSOOST/ (XX) ΘΗΛΥ/ (EN) XXXXXX/ (XX) FÉMININ/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (LT) XXXXXXX/ (XX) NŐ/ (XX) XXXX/ (NL) XXXXX/ (XX) KOBIETA/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (SK) XXXXXX/ (XX) XXXXXX/ (FI) XXXXXX/ (XX) XXXXXX

4.5.2

(XX) МЪЖКИ/ (ES) XXXXX/ (XX) XXX/ (DA) XXXX/ (DE) XÄXXXXXX/ (XX) MEESSOOST/ (EL) ΑΡΡΕΝ/ (XX) MALE/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (LT) XXXXX/ (XX) XXXXX/ (XX) XXĠXX/ (XX) MAN/ (XX) MĘŻCZYZNA/ (XX) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) MAN

4.5.3

(BG) НЕОПРЕДЕЛЕН/ (XX) INDETERMINADO/ (XX) XXXXXXXX/ (DA) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (EL) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) INDÉTERMINÉ/ (XX) XXXXXXXXXXXXXXX/ (HR) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) NENUSTATYTA/ (XX) XXXXXXXXXXXXXXX/ (MT) XXXX STABBILIT/ (XX) XXXXXXXXX/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) NÃO XXXXXXXX/ (XX) NEDETERMINAT/ (XX) NEURČENÉ/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) EJ FASTSTÄLLT

4.6

(BG) ГРАЖДАНСТВО/ (ES) NACIONALIDAD/ (XX) XXXXXX XXXXXXXXXXX/ (XX) NATIONALITET/ (DE) XXXXXX-XXXXXÖXXXXXXX/ (ET) XXXXXXXXXXX/ (XX) ΙΘΑΓΕΝΕΙΑ/ (XX) XXXXXXXXXXX/ (FR) XXXXXXXXXXX/ (XX) NÁISIÚNTACHT/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXĪXX/ (LT) XXXXXXXXĖ/ (XX) XXXXXXXXXXXXXXX/ (XX) ĊXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXĂȚXXXX/ (XX) ŠTÁTNA XXXXXXXXXXX/ (SL) DRŽAVLJANSTVO/ (XX) XXXXXXXXXXXX/ (SV) XXXXXXXXXXXXX

5.

(XX) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XX DOCUMENTO XXXXXXX XX XXX SE XXXXXXX XXXX IMPRESO,/ (XX) XX XXXXXXX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX FORMULÁŘ,/ (DA) X HENHOLD XXX XXX OFFENTLIGE DOKUMENT, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (DE) XXXÄXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX BEIGEFÜGT XXX/ (XX) XXXXXXXXX XXXXXXXXX XXXXXXXXXXX, XXXXXXX XXX XXXX ON LISATUD/ (XX) ΣΥΜΦΩΝΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) ACCORDING XX XXX XXXXXX XXXXXXXX TO XXXXX XXXX FORM XX XXXXXXXX/ (XX) X'XXXÈX XX XXXXXXXX XXXXXX XXXXXX LE XXXXXXX XXXXXXXXXX XXX JOINT/ (XX) DE XXXX XX XXXXXXXXX XXXXXXX XXXX BHFUIL AN XXXXXX XXX XXXXXXXXXX/ (XX) XXXXX JAVNOJ XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXXX XXXXXXXX CUI XX PRESENTE XXXXXX È XXXXXXXX/ (LV) XXXXXŅĀ XX XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX IR XXXXXXXXXX/ (XX) PAGAL XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX ŠI XXXXX/ (XX) A XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXX XXXXXXX/ (XX) SKONT XX-XXXXXXXX XXXXXXXX LI XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX/ (XX) XXXXXXX XXX OPENBAAR XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) X XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXŁĄXXXXX XXXX XXXXXXXXX FORMULARZ, XXXXXX, ŻX/ (XX) XXXXXXX X XXXXXXXXX XXXXXXX A QUE X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) ÎX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXX LA XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXĽX XXXXXXXX LISTINY, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) X XXXXXX X XXXXX XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) XXX XXXXXXX XXXXXXXXXX XXXXXX, XXXXX XÄXÄ XXXXXX LIITETÄÄN/ (XX) ENLIGT XXX XXXXXXXXXX XXXXXXXX TILL XXXXXX DETTA XXXXXXÄX ÄX XXXXXXX

5.1

(XX) СЪОТВЕТНОТО ЛИЦЕ ПРИТЕЖАВА БРАЧНА ДЕЕСПОСОБНОСТ СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (ES) EL XXXXXXXXXX TIENE XXXXXXXXX XXXX CONTRAER XXXXXXXXXX XXX ARREGLO XX XXXXXXX XXXXXXXX DEL XXXXXX XXXXXXX DE XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) XX XXXXXXX OSOBA XXXXXXXXX XXXXXXX XXXXXXXXXX PODLE XXXXXXXXXXXXXX XXXXX ČLENSKÉHO XXXXX, V NĚMŽ XX XXXXXXX XXXXXXX XXXXXX/ (XX) XXX XÅXÆXXXXXX PERSON XXX XXXXXX XXX XX XXXXX INDGÅ ÆXXXXXXX X XXXXXXX XXX XXXXXXXX RET X XXX XXXXXXXXXXX, XXXX XXX OFFENTLIGE XXXXXXXX XX XXXXXXX/ (XX) XXX DIE XXXXXXXXXXX XXXXXX XXXX DEM XXXXXXXXXX RECHT DES XXXXXXXXXXXXXX, XX XXX XXX ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, EHEFÄHIG/ (XX) XX ASJAOMANE XXXX AVALIKU DOKUMENDI XÄXXX XXXXXX XXXXXXXXXXXX ÕXXXXX XXXXXXXX ABIELUVÕIMELINE/ (XX) ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΕΧΕΙ ΤΗΝ ΙΚΑΝΟΤΗΤΑ ΣΥΝΑΨΗΣ ΓΑΜΟΥ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ/ (EN) XXX XXXXXX XXXXXXXXX XXX XXX CAPACITY XX XXXXX XXXXX XXX XXXXXXXX XXX OF XXX XXXXXX XXXXX XXXXX XXX XXXXXX XXXXXXXX XX ISSUED/ (XX) XX XXXXXXXX XXXXXXXXX PEUT XX XXXXXX XX XXXXX XX XXXXX XXXXXXXX XX L'ÉTAT MEMBRE XÙ XX DOCUMENT XXXXXX EST XXXXXXX/ (XX) XX XX XXXXX XXXX xXXXXXXXX XXX XXXXXX CHUN XXXXXX XXXX DHLÍ XXXXXXXXX XX XXXXXXXXXX XXX xXXXXXXX AN XXXXXXXXX XXXXXX A XXXXXXXX/ (HR) DOTIČNA XXXXX IMA XXXXXXXXXX XX XXXXXXXXX XXXXX XXXXX XXXXXXXXXXX XXXXX XXXXXX XXXXXXX U XXXXX XX JAVNA XXXXXXX XXXXXX/ (XX) XX XXXXXXX INTERESSATA XXXXXXXX XX XXXXXXXÀ XX XXXXXXXXX XXXXXXXXXX X XXXXX XXX XXXXXXX NAZIONALE DELLO XXXXX XXXXXX XXX XXXXXXXX IL XXXXXXXXX XXXXXXXX/ (LV) XXXXXXĪXĀ XXXXXXX XXĒX XXXXXX XXXXĪXĀ XXXXXŅĀ XX XĀX XXXĪXXXXXXX XXXXĪXX XXXXXX, XXXĀ XXXXXXXXXX XXXXXXXXX IR XXXXXX/ (XX) XXXXXXXXXXX XXXXX XXX XXXXXXXX XXXXXXXX XXXXXXXĄ XXXXX XXXXXXXĖX XXXĖX, XXXXXXX XXXXXXXX XXXXXXXXXX IŠDUODAMAS, XXXXXXXXXXĘ XXXXĘ/ (XX) XX XXXXXXXX XXXXXXX A XÖXXXXXXX

XXXXXXXXXXXXX HELYE XXXXXXXX XXXXXXXX XXXXXXX JOGA XXXXXXX XXXXXXXXXX XÖXXXX/ (XX) IL-PERSUNA XXXXĊXXXXXX XĦXXXXX X-XXXXĊXXÀ XX XXŻŻXXXXĠ XXĦX IL-LIĠI XXXXXXXXXX XXX-XXXXX XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (XX) XXXXX XX XXXXXXXXXX DE XXXXXXXXXXX OM TE XXXXX XX XXXXX XXX XXX XXXXXXXXX XXXXX XXX XX XXXXXXXX XXXX XXX XXXXXXXX DOCUMENT XXXXX XXXXXXXXX/ (XX) XXXXX, XXXXXX DOTYCZY XXXXXXXX, XXXXXXX XXXXXXŚĆ XX XXXXXXXX XXŁŻXŃXXXX NA XXXX PRAWA KRAJOWEGO XXŃXXXX CZŁONKOWSKIEGO, X XXXXXX XXX XXXXXXXX XXXĘXXXX XXXXXŁ WYDANY/ (XX) A XXXXXX XX XXXXX XXXXXX XXXXXXXXXX MATRIMONIAL XXX XXXXXX XX XXXXXXX XXXXXXXX DO XXXXXX-XXXXXX XX XXX X XXXXXXXXX PÚBLICO XXX XXXXXXX/ (XX) XXXXXXXX XXXXXĂ XXX CAPACITATEA XX X XX XĂXĂXXXX ÎX XXXXXXXXXXXX XX XXXXXXX XXXXXX XX XXXXXXXX XXXXXX ÎX CARE ESTE XXXX DOCUMENTUL XXXXXXX/ (XX) XXXXXXXX OSOBA XX XXÔXXXXXX UZAVRIEŤ XXXXXXXXXX PODĽA VNÚTROŠTÁTNEHO XXXXX XXXXXXXXX XXXXX, X XXXXXX XX XXXXXXX LISTINA XXXXXX/ (XX) XX XXXXXXX XXXXX XXXXXXXX ZA XXXXXXXXX XXXXXXXX ZVEZE X SKLADU X XXXXXXXXXXX XXXXXX XXXXXX XXXXXXX, X XXXXXX XX IZDANA JAVNA XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXÖXXÄ ON KELPOISUUS XXXXXX XXXXXXXXXX SEN XÄXXXXXXXXXX XXXXXXXXXXX LAINSÄÄDÄNNÖN XXXXXX, XXXXX XXXXXXX XXXXXXXXX ON ANNETTU/ (XX) HAR XXX XXXÖXXX XXXXXXXX BEHÖRIGHET XXX INGÅ ÄXXXXXXXX XXXXXX DEN XXXXXXXXXX XXXXXXXXXXXXXX I DEN XXXXXXXXXXX XÄX DEN XXXXXXXXXX XXXXXXXXXX XXXÄXXXXXX

5.2

(XX) НЯМА ДАННИ СЪОТВЕТНОТО ЛИЦЕ ДА Е ВСТЪПИЛО В БРАК СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) XX XXXXXX XXXXXX MATRIMONIO X XXXXXX XXX INTERESADO XXX XXXXXXX AL XXXXXXX NACIONAL XXX XXXXXX MIEMBRO XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (CZ) XXXXXXX XXXXX PATRNĚ XXXXXXXXXX XXXXXXXXXX XXX SVÝM XXXXXX XXXXX XXXXXXXXXXXXXX XXXXX XXXXXXXXX STÁTU, X XXXX JE XXXXXXX LISTINA VYDÁNA/ (XX) DEN XÅXÆXXXXXX XXXXXX SES XXXX XX XXXX NOGET ÆXXXXXXX XXXØXX UNDER XXX XXXX X XXXXXXX XXX XXXXXXXX XXX I XXX XXXXXXXXXXX, XXXX XXX XXXXXXXXXX DOKUMENT XX XXXXXXX/ (DE) XXX XXX XXXXXXXXXXX XXXXXX XXXXX XXXXX XXXXX XXXXXXXX XXXXX EHE XXXX DEM XXXXXXXXXX XXXXX DES MITGLIEDSTAATS, XX XXX XXX ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, GESCHLOSSEN/ (ET) XX OLE XXXXXXXXX XXXXX NIMEL ÜXXXXX XXXXXXX XXXXXXXXX VÄLJA XXXXXX LIIKMESRIIGI ÕIGUSE XXXXXX ABIELUKANNET/ (XX) ΔΕΝ ΦΑΙΝΕΤΑΙ ΝΑ ΥΠΑΡΧΕΙ ΓΑΜΟΣ ΣΤΟ ΟΝΟΜΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ/ (XX) XXX XXXXXX XXXXXXXXX XXXXXXX TO HAVE XX XXXXXXXX IN XXX XX HER XXXX UNDER XXX XXXXXXXX LAW XX XXX MEMBER XXXXX XXXXX XXX PUBLIC XXXXXXXX XX XXXXXX/ (XX) LA XXXXXXXX XXXXXXXXX XX SEMBLE XXX XXXXX XXXXXXXXX XX XXXXXXX XX XXX XXX XX XXXXX DU XXXXX XXXXXXXX XX X'XXXX XXXXXX XÙ LE XXXXXXXX XXXXXX XXX XXXXXXX/ (XX) XXX XXX XXXXXXXXX XXX XX XXXXXX XX XXXXX XXXX xXXXXXXXX XXXXX XXXXXX AINM XX XXXXXX xXXXX XXXXX XXX XXXXXXXXX XX XXXXXXXXX XXX xXXXXXXX XX DOICIMÉAD XXXXXX A XXXXXXXX/ (XX) XXXX XXXXXXX XX XX XXXXXXX XXXXX XXX XXXXXX XXXXXX SKLOPILA XXXX XXXXX XXXXXXXXXXX XXXXX XXXXXX XXXXXXX X XXXXX XX XXXXX XXXXXXX XXXXXX/ (XX) X NOME XXXXX XXXXXXX INTERESSATA XXX XXXXXXX XXXXXXXXXX ALCUN XXXX XX XXXXXXXXXX X XXXXX DEL XXXXXXX NAZIONALE XXXXX XXXXX XXXXXX CHE XXXXXXXX XX DOCUMENTO XXXXXXXX/ (XX) XX XXXXXXĪXĀX XXXXXXXX XĀXXX XXX XXXXĒXXX XXXXXXX XXXXĪXX XXXXXŅĀ XX XĀX DALĪBVALSTS XXXXĪXX XXXXXX, XXXĀ PUBLISKAIS XXXXXXXXX IR XXXXXX/ (XX) XXXXXXXXXXX XXXXX XXXX VARDU XĖXX XXXXXĘX XXXXXXXXX XXXXX XXXXXXXĖX XXXĖX, XXXXXXX XXXXXXXX XXXXXXXXXX IŠDUODAMAS, XXXXXXXXXXĘ TEISĘ/ (HU) XX XXXXXXXX XXXXXXXXXX X XÖXXXXXXX KIÁLLÍTÁSÁNAK XXXXX XXXXXXXX XXXXXXXX XXXXXXX JOGA XXXXXXX XXXXXXXXX XXXXXXXXXXXXXXXX XXXXX/ (XX) IL-PERSUNA XXXXĊXXXXXX XXXXXX XX XX XĦXXXXX L-EBDA ŻXXXĠ XXXXĠXXXXXX X'XXXXXX TAĦT XX-XXĠX NAZZJONALI XXX-XXXXX XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (XX) XXXXX DE XXXXXXXXXX XXXX XXXXXXXX XX XXXX XX XXXX XXXX OP GROND XXX HET XXXXXXXXX XXXXX VAN DE XXXXXXXX XXXX XXX XXXXXXXX DOCUMENT WORDT XXXXXXXXX/ (XX) XXXXX, XXXXXX DOTYCZY XXXXXXXX, XXX XXXXXXXXX X XXXĄXXX XXŁŻXŃXXXX NA XXXX XXXXX KRAJOWEGO XXŃXXXX, W KTÓRYM XXX DOKUMENT XXXĘXXXX XXXXXŁ XXXXXX/ (XX) XÃX XX AFIGURA XXXXXXX XXXXXXXXX XX XXXX XX XXXXXX XX CAUSA XXX XXXXXX XX DIREITO XXXXXXXX XX ESTADO-MEMBRO XX QUE X XXXXXXXXX XXXXXXX XXX XXXXXXX/ (RO) NU XX XXXXXȘXX XXXXX XĂXĂXXXXX ÎXXXXXXXĂ XX XXXXXX PERSOANEI VIZATE ÎX CONFORMITATE XX XXXXXXX INTERN XX XXXXXXXX XXXXXX ÎX XXXX ESTE XXXX XXXXXXXXXX OFICIAL/ (SK) XXXXXXXX XXXXX XXXXXX XXXXXXXXXX XXXXXXXXXX XX XXXXXX XXXX PODĽA XXXXXXXXXXXXXX XXXXX ČLENSKÉHO XXXXX, X KTOROM XX XXXXXXX XXXXXXX XXXXXX/ (XX) XX XXXXXXXXXXXXXX PODATKIH ZADEVNA XXXXX XX V XXXXXXXX XXXXX, XX XX XX XXXXXXXX X SVOJEM XXXXX XX X XXXXXX X XXXXXXXXXXX PRAVOM XXXXXX XXXXXXX, X XXXXXX XX XXXXXX XXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXXX XX XXX MERKITTY XXXXXXXXXXX SEN XÄXXXXXXXXXX XXXXXXXXXXX LAINSÄÄDÄNNÖN XXXXXX, XXXXX XXXXXXX XXXXXXXXX XX ANNETTU/ (XX) XÖXXXXXXXX XXX BERÖRDA XXXXXXXX INTE XX XXXÅXX ÄKTENSKAP XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX X DEN MEDLEMSSTAT XÄX DEN XXXXXXXXXX XXXXXXXXXX XXXÄXXXXXX

5.3

(XX) НЕ СА ИЗВЕСТНИ ПРЕЧКИ СЪОТВЕТНОТО ЛИЦЕ ДА ВСТЪПИ В БРАК СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) XX XXX XXXXXXXXXX DE NINGÚN XXXXXXXXXXX XXXX XXX XX XXXXXXXXXX XXXXXXXXX XXXXXXXXXX XXX ARREGLO XX DERECHO XXXXXXXX XXX XXXXXX MIEMBRO XX XXXXXXXXXX DEL XXXXXXXXX PÚBLICO/ (XX) XXXXXXXXXX XXXXX XXXXX XXXXXXXX, ABY DOTYČNÁ XXXXX XXXXXXXX XXXXXXXXXX XXXXX XXXXXXXXXXXXXX PRÁVA XXXXXXXXX STÁTU, X XXXX XX VEŘEJNÁ XXXXXXX XXXXXX/ (DA) XXX XXXXXXXXXX XXXXX XXXXXX XXXXXXXXXX XXX XXX XÅXÆXXXXXX XXXXXXX XXXXÅXXXX AF ÆXXXXXXX X XXXXXXX XXX XXXXXXXX XXX X XXX MEDLEMSSTAT, XXXX XXX XXXXXXXXXX XXXXXXXX XX XXXXXXX/ (XX) XXX KEIN XXXXXXXXX XXXXXXX, XXX DER XXXXXXXXXXXXXX XXX XXXXXXXXXXXX XXXXXX XXXX DEM XXXXXXXXXX RECHT XXX XXXXXXXXXXXXXX, IN DEM XXX ÖXXXXXXXXXX

XXXXXXX XXXXXXXXXXX XXXXX, ENTGEGENSTEHT/ (ET) XX OLE XXXXX XXXXXXXXX XÄXXX XXXXXX XXXXXXXXXXXX ÕIGUSE XXXXXXXX XXXXXXXXXX, MIS XXXXXXXXXXX XXXXXXXXXX XXXXXX XXXXXX XÕXXXXX/ (XX) ΔΕΝ ΕΙΝΑΙ ΓΝΩΣΤΟ ΚΑΝΕΝΑ ΚΩΛΥΜΑ ΓΙΑ ΤΗ ΣΥΝΑΨΗ ΓΑΜΟΥ ΑΠΟ ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ/ (XX) THERE XX XX XXXXX XXXXXXXXXX XXX XXX XXXXXX CONCERNED XX XXXXX XXXXX XXX XXXXXXXX XXX OF XXX MEMBER XXXXX XXXXX THE XXXXXX XXXXXXXX XX ISSUED/ (XX) XX N'EXISTE XXX X'XXXÊXXXXXXX XXXXX XX XXXXXXX XX XX PERSONNE CONCERNÉE XX XXXXX XX XXXXX NATIONAL XX X'XXXX XXXXXX XÙ XX XXXXXXXX XXXXXX XXX XXXXXXX/ (XX) XXX AON XXXX XXXXXXXXX XXX XX XX XXXXX XXXX xXXXXXXXX CHUN XXXXXX XXXXX DLÍ XXXXXXXXX XX XXXXXXXXX XXX xXXXXXXX XX XXXXXXXXX XXXXXX A EISIÚINT/ (XX) NEMA POZNATE XXXXXXX XXXX XXXX XXXXXXX OSOBA NE XX MOGLA XXXXXXXX XXXX XXXXX XXXXXXXXXXX XXXXX XXXXXX XXXXXXX X XXXXX JE XXXXX XXXXXXX XXXXXX/ (XX) XXX XXXX XXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX A XXXXX XXX XXXXXXX XXXXXXXXX XXXXX XXXXX XXXXXX XXX XXXXXXXX XX XXXXXXXXX PUBBLICO/ (LV) XXX XXXĀXX XXXĀXX XĶĒXXĻX XXXXXXĪXXXXX PERSONAI XXĀXXXX XXXXĪXĀ XXXXXŅĀ XX XĀX DALĪBVALSTS XXXXĪXX XXXXXX, XXXĀ XXXXXXXXXX XXXXXXXXX XX XXXXXX/ (XX) XĖXX XXXXXŲ XXXŪXXŲ XXXXXXXXXXX XXXXXXXX XXXXXXXX SANTUOKĄ XXXXX XXXXXXXĖX XXXĖX, XXXXXXX VIEŠASIS XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ TEISĘ/ (XX) XXXXX X XÖXXXXXXX XXXXXXXXXXXXX HELYE XXXXXXXX TAGÁLLAM XXXXXXX XXXX XXXXXXXX XXXXXX XXXXXXXX ANNAK, XXXX XX XXXXXXXX XXXXXXX XXXXXXXXXX XÖXXÖX/ (MT) XX HEMM X-XXXX XXXXXXXXXX XXXĦXXX XĦXXX-XXXXXXX XXXXĊXXXXXX BIEX XXŻŻXXXXĠ XXĦX XX-XXĠX NAZZJONALI XXX-XXXXX MEMBRU XXXX XXĦXXXĠ XX-XXXXXXXX PUBBLIKU/ (XX) XX XX XXXX BELEMMERING VOOR XX BETROKKENE XX XX HUWEN XX XXXXX XXX XXX XXXXXXXXX RECHT XXX XX XXXXXXXX XXXX XXX OPENBAAR XXXXXXXX XXXXX AFGEGEVEN/ (XX) XXX ISTNIEJĄ ZNANE XXXXXXXXXX DLA XXXXXXXX XXXXX XXXXĘ, XXXXXX XXXXXXX DOKUMENT, MAŁŻEŃSTWA XX XXXX XXXXX XXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX, X KTÓRYM TEN XXXXXXXX XXXĘXXXX XXXXXŁ XXXXXX/ (PT) XÃX XXXXXX IMPEDIMENTO XXXXXXXXX X XXX A XXXXXX EM CAUSA XXXXXXXX XXXXXXXXXX XXX XXXXXX XX DIREITO XXXXXXXX XX XXXXXX-XXXXXX XX-XXX X XXXXXXXXX XXXXXXX XXX XXXXXXX/ (XX) XX XX XXXXXX IMPEDIMENTE XX XĂXĂXXXXX XXXXXXXXX XXXXXX ÎX CONFORMITATE XX XXXXXXX XXXXXX XX XXXXXXXX XXXXXX ÎX XXXX XXXX XXXX XXXXXXXXXX XXXXXXX/ (XX) XXX XX ZNÁMA XXXXXXXX XXX XXXXXXXX XXXXX XXXXXXXX XXXXXXXXXX XXXĽX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXXXX JE XXXXXXX XXXXXXX VYDANÁ/ (SL) XX UGOTOVLJENIH XXXXXXXX, XX ZADEVNA OSEBA XX BI XXXXX XXXXXXXX XXXXXXXX ZVEZE X SKLADU Z XXXXXXXXXXX XXXXXX XXXXXX XXXXXXX, V XXXXXX XX IZDANA JAVNA XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXXXXXXXX XX XXXXXXÄ OLEVAN XXXXXXÄ XXX JÄSENVALTION XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX ASIAKIRJA XX XXXXXXX/ (XX) FINNS XXX XXXX XÄXXX XXXXXX XÖX XXX XXXÖXXX XXXXXXXX XXX XXXÅ ÄKTENSKAP XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX X XXX MEDLEMSSTAT XÄX XXX OFFICIELLA XXXXXXXXXX XXXÄXXXXXX

5.4

(XX) НЕ СА ИЗВЕСТНИ ПРЕЧКИ ЗА СКЛЮЧВАНЕТО НА БРАК МЕЖДУ СЪОТВЕТНОТО ЛИЦЕ И НЕЙНИЯ(НЕГОВАТА) БЪДЕЩ(А) СЪПРУГ(А) СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) XX XXX XXXXXXXXXX XX XXXXXX XXXXXXXXXXX XXXX XXX XX XXXXXXXXXX XXXXXXXXX XXXXXXXXXX XXX SU XXXXXX XXXXXXX CON XXXXXXX XX XXXXXXX XXXXXXXX XXX XXXXXX MIEMBRO XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (CZ) XXXXXXXXXX XXXXX XXXXX XXXXXXXX XXXXXXXXXX XXXX XXXXXXXX XXXXXX X XXXXX XXXXXXXXXX / XXXX XXXXXXXXXX PODLE XXXXXXXXXXXXXX XXXXX ČLENSKÉHO XXXXX, V XXXX XX VEŘEJNÁ XXXXXXX XXXXXX/ (XX) XXX XXXXXXXXXX XXXXX XXXXXX XXXXXXXXXX XXX XXXXÅXXXX XX ÆXXXXXXX XXXXXX XXX XÅXÆXXXXXX XXXXXX XX XXXXXX KOMMENDE ÆXXXXÆXXX X XXXXXXX XXX XXXXXXXX XXX X DEN XXXXXXXXXXX, XXXX XXX XXXXXXXXXX XXXXXXXX ER UDSTEDT/ (XX) IST XXXX XXXXXXXXX XXXXXXX, DAS XXXXX XXXXXXXXXXXXXX XXX XXXXXXXXXXXX XXXXXX XXX XXXXX XÜXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX XXXXX XXX XXXXXXXXXXXXXX, XX DEM XXX ÖXXXXXXXXXX XXXXXXX AUSGESTELLT XXXXX, ENTGEGENSTEHT/ (ET) XX XXX XXXXX XXXXXXX XXXXXXXXX VÄLJA XXXXXX LIIKMESRIIGI ÕXXXXX XXXXXXXX ASJAOLUSID, MIS XXXXXXXXXXX XXXXXX XÕXXXXXXX XXXXXXXXX ISIKU XX XXXX XXXXXXXX XXXXXXXX XXXXX/ (XX) ΔΕΝ ΕΊΝΑΙ ΓΝΩΣΤΟ ΚΑΝΕΝΑ ΚΩΛΥΜΑ ΓΙΑ ΤΗ ΣΥΝΑΨΗ ΓΑΜΟΥ ΜΕΤΑΞΥ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΚΑΙ ΤΟΥ ΜΕΛΛΟΝΤΟΣ Ή ΤΗΣ ΜΕΛΛΟΥΣΑΣ ΣΥΖΥΓΟΥ ΤΟΥ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΌΣΙΟ ΕΓΓΡΑΦΟ/ (XX) XXXXX XX XX XXXXXXXXXX XXXXX XX X XXXXXXXX XXXXXXX XXX PERSON XXXXXXXXX XXX XXX XX HER INTENDED XXXXXX XXXXX THE XXXXXXXX XXX XX XXX XXXXXX STATE XXXXX XXX XXXXXX XXXXXXXX XX XXXXXX/ (XX) IL X'XXXXXX XXX D'EMPÊCHEMENT XXXXX XX XXXXXXX DE XX PERSONNE XXXXXXXXX XXXX XXX FUTUR XXXXXXXX XX XXXXX XX XXXXX XXXXXXXX XX L'ÉTAT XXXXXX XÙ XX DOCUMENT XXXXXX XXX XXXXXXX/ (XX) XXX AON XXXX XXXXXXXXX XXX XX XXXXXXX XXXX XX XXXXX XXXX xXXXXXXXX XXXX A X(X)XXXX XXXXXXXXXX XXXX XXXX XXXXXXXXX AN XXXXXXXXXX XXX xXXXXXXX XX XXXXXXXXX POIBLÍ X XXXXXXXX/ (XX) XXXX POZNATE XXXXXXX XXXX KOJE DOTIČNA XXXXX X XXXXXX XXXXĆX XXXXXX DRUG XX XX XXXXX XXXXXXXX BRAK XXXXX XXXXXXXXXXX PRAVU DRŽAVE XXXXXXX U XXXXX XX JAVNA XXXXXXX XXXXXX/ (XX) NON XXXX XXXX XXXXXXXXXXX XX XXXXXXXXXX XXX XX XXXXXXX XXXXXXXXXXX X IL FUTURO XXXXXXX X XXXXX XXX XXXXXXX XXXXXXXXX XXXXX STATO MEMBRO XXX XXXXXXXX IL XXXXXXXXX XXXXXXXX/ (LV) XXX XXXĀXX XXXĀXX XĶĒXXĻX XXXXĪXXX XXXXĒXXXXXX XXXXX ATTIECĪGO XXXXXXX XX XĀX XXXXXX XXXXĀXX SASKAŅĀ XX XĀX XXXĪXXXXXXX TIESĪBU XXXXXX, KURĀ XXXXXXXXXX XXXXXXXXX XX XXXXXX/ (XX) XĖXX XXXXXŲ XXXŪXXŲ ATITINKAMO XXXXXX XX JO BŪSIMO (-XX) XXXXXXXXXXX (-ĖX) XXXXXXXXX XXXXX XXXXXXXĖX XXXĖX, KURIOJE XXXXXXXX XXXXXXXXXX IŠDUODAMAS, XXXXXXXXXXĘ XXXXĘ/ (HU) XXXXX X KÖZOKIRAT XXXXXXXXXXXXX XXXXX XXXXXXXX XXXXXXXX XXXXXXX JOGA XXXXXXXX, XXXXXX AKADÁLYA XXXXX, XXXX AZ ÉRINTETT XXXXXXX XX XXXXXŐ XXXXXXXXXX XXXXXXXXX

XXXXXXXXXX XÖXXÖX/ (XX) XX XXXX X-XXXX IMPEDIMENT XXXĦXXX XĦXŻ-ŻXXXĠ XXXX XX-XXXXXXX XXXXĊXXXXXX X X-XXXXXĠX XXXXX XXXĦXX XXĦX XX-XXĠX XXXXXXXXXX XXX-XXXXX XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (NL) XX XX XXXX XXXXXXXXXXX XXXX XXX XXXXXXXX TUSSEN XX XXXXXXXXXX EN XXXX XX HAAR BEOOGDE XXXXXXXX(X)X(X) XX XXXXX XXX XXX XXXXXXXXX XXXXX VAN XX XXXXXXXX XXXX XXX XXXXXXXX DOCUMENT XXXXX XXXXXXXXX/ (XX) NIE XXXXXXXĄ ZNANE XXXXXXXXXX XXX ZAWARCIA MAŁŻEŃSTWA XXXXX XXXXĘ, KTÓREJ XXXXXXX DOKUMENT, Z XXXXĄ, X XXXXĄ XXXXXXXX XXX XXXXXXĆ XXŁŻXŃXXXX, XX XXXX XXXXX KRAJOWEGO XXŃXXXX XXŁXXXXXXXXXXX, X XXXXXX XXX XXXXXXXX URZĘDOWY XXXXXŁ XXXXXX/ (PT) XÃX XXXXXX IMPEDIMENTO XXXXXXXXX A QUE XX XXXXXXXX CONTRAIAM XXXXXXXXXX NOS XXXXXX XX XXXXXXX NACIONAL XX XXXXXX-XXXXXX XX XXX X DOCUMENTO XXX EMITIDO/ (XX) XX XX CUNOSC XXXXXXXXXXX XX CĂSĂTORIA XXXXXX PERSOANA XXXXXĂ ȘX XXXXXXXX SOȚ (XXXXXXXXX SOȚIE) ÎX XXXXXXXXXXXX CU XXXXXXX XXXXXX XX XXXXXXXX XXXXXX ÎN XXXX XXXX XXXX DOCUMENTUL XXXXXXX/ (XX) NIE XX ZNÁMA XXXXXXXX XXXXXXXX MANŽELSTVO XXXXX XXXXXXXXX OSOBOU X XXX XXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXX XXXXXXXX XXXĽX XXXXXXXXXXXXXX PRÁVA XXXXXXXXX ŠTÁTU, X XXXXXX XX XXXXXXX XXXXXXX XXXXXX/ (XX) XX UGOTOVLJENIH ZADRŽKOV, XX ZADEVNA XXXXX XX XXXX XXXXXXXXXX XXXXXXX NE XX XXXXX XXXXXXXX XXXXXXXX XXXXX X XXXXXX X NACIONALNIM XXXXXX XXXXXX XXXXXXX, X XXXXXX JE IZDANA XXXXX XXXXXXX/ (FI) XXXXXXXXXXXX XXXXXXÖX XX XÄXXX TULEVAN XXXXXXXXXX XÄXXXXXXX XXXXXXXXXXXX XX XXXXXXÄ XXXXXX XXXXXXÄ XXX JÄSENVALTION KANSALLISEN XXXXXÄÄXÄXXÖX XXXXXX, JOSSA XXXXXXX ASIAKIRJA ON XXXXXXX/ (XX) XXXXX XXX XXXX KÄNDA XXXXXX XÖX XXXÅXXXX XX ÄXXXXXXXX XXXXXX XXX BERÖRDA XXXXXXXX XXX XXXX ELLER XXXXXX BLIVANDE XXXX XXXXX XXXX XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX X XXX XXXXXXXXXXX XÄX XXX XXXXXXXXXX XXXXXXXXXX XXXÄXXXXXX

5.5

(XX) НЕ СА ИЗВЕСТНИ ВЪЗРАЖЕНИЯ СРЕЩУ СКЛЮЧВАНЕТО НА БРАК МЕЖДУ СЪОТВЕТНОТО ЛИЦЕ И НЕЙНИЯ(НЕГОВАТА) БЪДЕЩ(А) СЪПРУГ(А) СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) XX XXX XXXXXXXXX XXXXXXXX XX XXXXXXXXXX XXXXX XX XXXXXXXXXX X XX XXXXXX XXXXXXX XXX XXXXXXX XX DERECHO XXXXXXXX XXX XXXXXX MIEMBRO XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXX XXXXXXX PROTI XXXXXXXX XXXXXXXXXX MEZI XXXXXXXX XXXXXX X JEJÍM XXXXXXXXXX / XXXX XXXXXXXXXX XXXXX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X NĚMŽ JE XXXXXXX XXXXXXX XXXXXX/ (XX) XXX XXXXXXXXXX XXXXX XXXXXX INDSIGELSER XXX XXXXÅXXXX AF XX ÆXXXXXXX XXXXXX XXX XÅXÆXXXXXX PERSON XX XXXXXX KOMMENDE ÆXXXXÆXXX X XXXXXXX XXX NATIONAL XXX X DEN XXXXXXXXXXX, XXXX XXX OFFENTLIGE XXXXXXXX ER XXXXXXX/ (XX) XXX XXXX XXXXXXX XXXXXXX, XXX XXXXX XXXXXXXXXXXXXX XXX XXXXXXXXXXXX PERSON XXX XXX KÜNFTIGEN XXXXXXXXX XXXX DEM XXXXXXXXXX XXXXX DES XXXXXXXXXXXXXX, XX DEM XXX ÖXXXXXXXXXX URKUNDE XXXXXXXXXXX XXXXX, XXXXXXXXXXXXX/ (XX) XX XXX TEADA XXXXXXX DOKUMENDI VÄLJA XXXXXX XXXXXXXXXXXX ÕXXXXX XXXXXX VASTUSEISU, MIS XXXXXXXXX ABIELU SÕLMIMIST XXXXXXXXX ISIKU JA XXXX XXXXXXXX XXXXXXXX XXXXX/ (EL) ΔΕΝ ΕΙΝΑΙ ΓΝΩΣΤΗ ΚΑΜΙΑ ΑΝΤΙΡΡΗΣΗ ΓΙΑ ΤΗ ΣΥΝΑΨΗ ΓΑΜΟΥ ΜΕΤΑΞΥ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΚΑΙ ΤΟΥ ΜΕΛΛΟΝΤΟΣ Ή ΤΗΣ ΜΕΛΛΟΥΣΑΣ ΣΥΖΥΓΟΥ ΤΟΥ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΌΣΙΟ ΕΓΓΡΑΦΟ/ (XX) THERE IS XX XXXXXXXXXX KNOWN XX X XXXXXXXX XXXXXXX XXX PERSON XXXXXXXXX XXX XXX XX HER XXXXXXXX XXXXXX XXXXX XXX XXXXXXXX LAW OF XXX MEMBER STATE XXXXX XXX XXXXXX XXXXXXXX XX ISSUED/ (XX) XX X'XXXXXX XXX X'XXXXXXXXXX XXXXXX XX XXXXXXX XX XX XXXXXXXX XXXXXXXXX XXXX XXX XXXXX XXXXXXXX XX XXXXX XX XXXXX XXXXXXXX XX X'XXXX MEMBRE XÙ XX XXXXXXXX XXXXXX XXX XXXXXXX/ (XX) XXX AON XXXX IN XXXXXXX XXXXXXXXX XXX XX XXXXXXX IDIR AN XXXXX XXXX xXXXXXXXX XXXX X C(H)ÉILE XXXXXXXXXX FAOI DHLÍ XXXXXXXXX XX XXXXXXXXXX XXX xXXXXXXX AN XXXXXXXXX XXXXXX A XXXXXXXX/ (XX) XXXX XXXXXXXX XXXXXXXXX XXXX XXXXX XXXXXXX XXXXX X XXXXXX XXXXĆX XXXXXX XXXX NE XX XXXXX XXXXXXXX XXXX PREMA XXXXXXXXXXX XXXXX DRŽAVE XXXXXXX X XXXXX JE XXXXX XXXXXXX XXXXXX/ (XX) XXX SONO XXXX XXXXXXXXXXX XX XXXXXXXXXX XXX XX XXXXXXX XXXXXXXXXXX X XX FUTURO CONIUGE X XXXXX DEL XXXXXXX XXXXXXXXX DELLO XXXXX XXXXXX CHE XXXXXXXX IL XXXXXXXXX XXXXXXXX/ (XX) NAV XXXĀXX NEKĀDI XXXXXXXXX XXXXĪXXX XXXXĒXXXXXX STARP XXXXXXĪXX XXXXXXX UN XĀX XXXXXX XXXXĀXX XXXXXŅĀ AR XĀX XXXĪXXXXXXX TIESĪBU XXXXXX, XXXĀ XXXXXXXXXX XXXXXXXXX XX XXXXXX/ (LT) XĖXX XXXXXŲ PRIEŠTARAVIMŲ XXXXXXXXXX ASMENS XX XX XŪXXXX (-XX) XXXXXXXXXXX (-ĖX) XXXXXXXXX XXXXX VALSTYBĖS NARĖS, XXXXXXX VIEŠASIS XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ TEISĘ/ (XX) NEM ISMERT XXXXX, X XÖXXXXXXX XXXXXXXXXXXXX XXXXX XXXXXXXX XXXXXXXX XXXXXXX JOGA XXXXXXXX ELLENVETÉS, AMELYET XX ÉRINTETT XXXXXXX XX XXXXXŐ XXXXXXXXXX XXXXX KÖTENDŐ XXXXXXXXXXX XXXXXXX XXXXXXXXXX XX/ (XX) MA HEMM X-XXXX OPPOŻIZZJONI MAGĦRUFA XĦXŻ-ŻXXXĠ XXXX XX-XXXXXXX XXXXĊXXXXXX X X-XXXXXĠX XXXXX XXXĦXX XXĦX XX-XXĠX XXXXXXXXXX TAL-ISTAT XXXXXX XXXX INĦAREĠ XX-XXXXXXXX PUBBLIKU/ (XX) XX ER XXXX XXXXXX TEGEN XXX XXXXXXXX TUSSEN XX XXXXXXXXXX XX XXXX XX XXXX BEOOGDE XXXXXXXX(X)X(X) OP XXXXX XXX XXX XXXXXXXXX XXXXX XXX DE XXXXXXXX XXXX HET XXXXXXXX XXXXXXXX XXXXX XXXXXXXXX/ (XX) XXX XXŁXXXXXX XXXXXXXXX XXXXX XXXXXXXX XXŁŻXŃXXXX PRZEZ XXXXĘ, XXXXXX XXXXXXX XXXXXXXX, X OSOBĄ, X KTÓRĄ XXXXXXXX XXX XXXXXXĆ XXŁŻXŃXXXX, XX MOCY XXXXX XXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX, X XXXXXX XXX XXXXXXXX URZĘDOWY XXXXXŁ XXXXXX/ (XX) XÃX XXXXXX XXXXXÇÃX XXXXXXXXX X XXX XX XXXXXXXX XXXXXXXXX XXXXXXXXXX XXX XXXXXX XX XXXXXXX XXXXXXXX XX XXXXXX-XXXXXX XX QUE X DOCUMENTO XXX XXXXXXX/ (XX) NU XX XXXXXȘXX XXXXX XXXXXȚXX XX XĂXĂXXXXX XXXXXX XXXXXXXX VIZATĂ ȘX XXXXXXXX XXȚ (XXXXXXXXX XXȚXX) ÎX XXXXXXXXXXXX CU DREPTUL XXXXXX XX XXXXXXXX XXXXXX ÎX CARE XXXX EMIS XXXXXXXXXX XXXXXXX/ (XX) XXX XX ZNÁMA XXXXXXXX XXXX XXXXXXXXX XXXXXXXXXX XXXXX DOTKNUTOU XXXXXX X JEJ NASTÁVAJÚCOU XXXXXXXXX XXXXX XXXXXXXXXXXX XXXXXXXX XXXĽX XXXXXXXXXXXXXX XXXXX ČLENSKÉHO XXXXX, X XXXXXX XX XXXXXXX XXXXXXX VYDANÁ/ (XX) XX XXXXXXXXXXXXX XXXXXXXXXXXXX SKLENITVI XXXXXXXX XXXXX XXX XXXXXXX XXXXX XX XXXXXX XXXXXXXXXXX ZAKONCEM V XXXXXX X XXXXXXXXXXX XXXXXX XXXXXX XXXXXXX, X KATERI XX XXXXXX XXXXX XXXXXXX/ (XX) ASIANOMAISEN HENKILÖN XX HÄNEN TULEVAN XXXXXXXXXX VÄLISTÄ XXXXXXXXXXX XX XXX XXXXXXXXXXX XXX JÄSENVALTION XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX XXXXXXXXX XX XXXXXXX/ (XX) FINNS XXX INGA XÄXXX XXXÄXXXXXXXX XXX XXXÅXXXX XX ÄXXXXXXXX MELLAN XXX BERÖRDA PERSONEN XXX XXXX ELLER XXXXXX XXXXXXXX MAKE XXXXX XXXX ENLIGT XXX XXXXXXXXXX XXXXXXXXXXXXXX X XXX MEDLEMSSTAT XÄX XXX XXXXXXXXXX XXXXXXXXXX UTFÄRDADES

6.

(BG) ИНФОРМАЦИЯ ЗА БЪДЕЩИЯ(АТА) СЪПРУГ(А) НА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX XX FUTURO XXXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXXX O XXXXXXXXX / SNOUBENCE DOTYČNÉ XXXXX/ (XX) XXXXXXXXXXX XX XXX PÅGÆLDENDE XXXXXXX XXXXXXXX ÆXXXXÆXXX/ (XX) ANGABEN ZU XXX KÜNFTIGEN XXXXXXXXX XXX BETREFFENDEN XXXXXX/ (XX) TEAVE XXXXX XXXXX, XXXXXXX XXXXXXXXX XXXX SOOVIB ABIELU XÕXXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΜΕΛΛΟΝΤΟΣ Ή ΤΗΣ ΜΕΛΛΟΥΣΑΣ ΣΥΖΥΓΟΥ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX THE XXXXXXXX XXXXXX OF XXX XXXXXX CONCERNED/ (XX) XXXXXXXXXXXX XXX XX XXXXX XXXXXXXX DE XX PERSONNE XXXXXXXXX/ (XX) FAISNÉIS XXXXXX XX CÉILE XXXXXXXXXX XX XXXXX XXXX xXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXĆXX BRAČNOM XXXXX DOTIČNE XXXXX/ (XX) XXXXXXXXXXXX XXX XXXXXX XXXXXXX DELLA XXXXXXX INTERESSATA/ (XX) XXXXXXĀXXXX PAR ATTIECĪGĀS XXXXXXXX XXXXXX LAULĀTO/ (XX) XXXXXXXXXXX XXXX XXXXXXXXXX ASMENS XŪXXXĄ XXXXXXXXXĮ (-Ę)/ (HU) XX ÉRINTETT XXXXXXX XXXXXŐ XXXXXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX IL-KONJUĠI FUTUR XXX-XXXXXXX KKONĊERNATA/ (NL) XXXXXXXXXX XXXX DE XXXXXXX XXXXXXXX(X)X(X) VAN XX XXXXXXXXXX/ (XX) XXXX XXXXX, X XXXXĄ XXXXX, KTÓREJ XXXXXXX XXXXXXXX, ZAMIERZA XXXXXXĆ XXŁŻXŃXXXX/ (XX) XXXXXXXÇÕXX XXXXX X XXXXXX CÔNJUGE XX XXXXXX XX XXXXX/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXX SOȚ (XXXXXXXXX XXȚXX) AL (X) XXXXXXXXX XXXXXX/ (SK) XXXXXXXXXX X NASTÁVAJÚCOM XXXXXXXXX/ XXXXXXXXXXXX XXXXXXXX XXXXXXXXX XXXXX/ (SL) XXXXXXXXXXX X XXXXXXXXXXX XXXXXXX ZADEVNE OSEBE/ (XX) XXXXXX ASIANOMAISEN XXXXXXÖX XXXXXXXXX XXXXXXXXXX/ (XX) UPPGIFTER XX XXX XXXÖXXX PERSONENS XXXXXXXX XXXX XXXXX XXXX

7.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX XXXXX/ (XX) XXXX PRO XXXXXX/ (DA) UNDERSKRIFTSFELT/ (XX) UNTERSCHRIFTENFELD/ (ET) XXXXXXXXXXXXXX/ (EL) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) SIGNATURE XXX/ (XX) XXXXX XXXX XX SIGNATURE/ (XX) XXXXX XXX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXXXXX XXX LA XXXXX/ (XX) PARAKSTA XXXXX/ (LT) PARAŠO XXXXXXXX/ (XX) XX XXXXXXX SZÖVEGDOBOZA/ (MT) XXXXX XXX-XXXXXXXX/ (NL) XXX VOOR XX XXXXXXXXXXXX/ (XX) XXXX XXXXXXX/ (XX) ESPAÇO XXXXXXXXX À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (FI) XXXXXXXXXXXXXXXXXXÄ/ (XX) RUTA FÖR XXXXXXXXXXXXXX

7.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X XXXXXX(X) DEL FUNCIONARIO XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXX X XXXXX (JMÉNA) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXX(X) OG FORNAVN(E) XÅ XXX XXXXXXXXXX, XXX HAR XXXXXXX XXXXX FORMULAR/ (XX) XXXXXXXXXXXX(X) XXX XXXXXXX(X) XXX BEAMTEN, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXX (-XXXXX) JA XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) XXX XXXXXXXX(X) XX XXX XXXXXXXX WHO XXXXXX XXXX XXXX/ (XX) XXX(X) XX XXXXXX(X) XX XXXXXXXXXXXXX XXX X DÉLIVRÉ XX XXXXXXX FORMULAIRE/ (XX) XXXXXXX (XXXXXXXX) XXXX CÉADAINM (CÉADAINMNEACHA) XX XXXXXXXX X X’XXXXXX XX FHOIRM XXX/ (HR) XXXXXXX(XX) X XXX(XX) SLUŽBENIKA XXXX XX IZDAO XXXX OBRAZAC/ (XX) XXXXXXX/X E XXXX/X XXX XXXXXXXXXXX CHE XX XXXXXXXXXX IL XXXXXXXX XXXXXX/ (LV) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, UZVĀRDS(-I) XX XĀXXX(-X)/ (LT) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX PAVARDĖ (-ĖS) XX VARDAS (-XX)/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX TISZTVISELŐ XXXXXXX XXXX(X) ÉS XXXXXXX(X)/ (XX) KUNJOM(/KUNJOMIJIET) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦXXXĠ XXX IL-FORMOLA/ (XX) XX(X)X(XX) XX XXXXXX(X)X(XX) VAN XX XXXXXXXXX DIE XXX XXXXXXXXX HEEFT XXXXXXXXX/ (XX) XXXXXXXX(-X) X XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX WYDAŁ NINIEJSZY XXXXXXXXX/ (XX) APELIDO(S) X XXXX(X) PRÓPRIO(S) XX XXXXXXXXXXX XXX XXXXXX X PRESENTE XXXXXXXXXX/ (XX) NUMELE ȘX XXXXXXXXX XXXXȚXXXXXXXXX XXXX A XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX XXX/XXXXX XXXXXXXX, KI JE XXXXX XX XXXXXXX/ (XX) TÄMÄN XXXXXXXXX XXXXXXXX VIRKAMIEHEN SUKUNIMI (-XXXXX) JA XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX XXX XÖXXXXX XÅ XXX XXÄXXXXXXX SOM XXX UTFÄRDAT XXXXX XXXXXXÄX

7.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX DEL XXXXXXXXXXX XXX XXXXXXX ESTE XXXXXXX/ (CZ) XXXXXX XXXXXXXX, XXXXX XXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXX — XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX FORMULAR/ (XX) STELLUNG XXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXXXXXX HAT/ (XX) XÄXXXXXXX VORMI XÄXXXXXXXXX AMETNIKU AMETIKOHT/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) POSITION XX XXX XXXXXXXX XXX XXXXXX THIS FORM/ (XX) XXXXX XX XXXXXXXXXXXXX QUI X XXXXXXX LE PRÉSENT XXXXXXXXXX/ (GA) POST XX XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXXX XXXXXXXXXX XXXX XX XXXXX OVAJ XXXXXXX/ (XX) XXXXXXXXX XXX XXXXXXXXXXX XXX HA XXXXXXXXXX XX XXXXXXXX XXXXXX/ (LV) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, AMATS/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ BEOSZTÁSA/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX VAN XX XXXXXXXXX DIE XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (PT) XXXXX DO XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX CARE X EMIS XXXXXXXXX XXXXXXXX/ (XX) FUNKCIA XXXXXXXX, XXXXX XXXXX XXXXX FORMULÁR/ (XX) XXXXXXX XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (XX) TÄMÄN XXXXXXXXX ANTANEEN XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX XÖX DEN XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

7.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) VÄLJAANDMISE XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (FR) DATE (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (LT) XXXXXXXX DATA (XX/XX/XXXX)/ (XX) A KIÁLLÍTÁS XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) DATUM (DD/MM/JJJJ) XXX AFGIFTE/ (XX) XXXX (DD/MM/RRRR) XXXXXXX/ (XX) XXXX DE XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXX/ (SL) DATUM (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

7.4

(XX) ПОДПИС/ (ES) XXXXX/ (CZ) PODPIS/ (XX) UNDERSKRIFT/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (EN) XXXXXXXXX/ (FR) XXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (IT) FIRMA/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (HU) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (PL) XXXXXX/ (XX) XXXXXXXXXX/ (RO) XXXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

7.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (CZ) XXXXX XXXX RAZÍTKO/ (XX) XXXX XXXXX XXXXXXX/ (XX) XXXXXX XXXX XXXXXXX/ (XX) XXXXXX XÕX TEMPEL/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXX NÓ XXXXXX/ (XX) ŽIG XXX PEČAT/ (IT) XXXXX X XXXXXX/ (XX) XĪXXXX VAI XXXXXXXX/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (XX) XXXXXX XXXX BÉLYEGZŐLENYOMAT/ (XX) XXĠXXX JEW XXXXXX/ (NL) XXXXX XX XXXXXXX/ (XX) XXXXXĘĆ XXX XXXXXXX/ (XX) XXXX OU XXXXXXX/ (XX) XXXXXXXX XXX ȘXXXXXXX/ (XX) XXXXX XXXXX ODTLAČOK XXXXXXXX/ (SL) PEČAT XXX XXX/ (XX) XXXXXXX XXX LEIMA/ (XX) SIGILL ELLER XXÄXXXX

XXXXXXX STAV

VÍCEJAZYČNÝ XXXXXXXXXX XXXXXXXX – XXXXXXX XXX PŘEKLAD

Článek 7 nařízení Xxxxxxxxxx xxxxxxxxxx x Rady (XX) 2016/1191 xx xxx 6. xxxxxxxx 2016 x xxxxxxx xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx požadavků na xxxxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx x Xxxxxxxx xxxx x o xxxxx nařízení (EU) x. 1024/2012 (1)

Belgie (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (DK) Xxxxxxx (DE)

Estonsko (XX) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (LV) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (MT)

Nizozemsko (XX) Xxxxxxxx (XX)

Xxxxxx (XX) Portugalsko (XX)

Xxxxxxxx (XX) Xxxxxxxxx (SI)

Slovensko (XX) Xxxxxx (FI)

Švédsko (XX) Xxxxxxx království (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx standardního xxxxxxxxx xx xxxxxxxxx xxxxxxxx veřejné xxxxxxx, x xxx je xxxxxxxx. Tento formulář xx mezi členskými xxxxx xxxxx pohybovat xxxx xxxxxxxxxx xxxxxxxx.

Xxxxx xxxxxxxx xxxxxx xxxxx xxxxxxx xxxxxxx, x xxx xx xxxxxxxx. Xxxxx, xxxxx xx xxxxxxx xxxxxxx předkládána, xxxx xxxx v xxxxxxxxx, xxx je xx nezbytné pro xxxxx xxxxxxxxxx veřejné xxxxxxx, xxxxxxxxx xxxxxxx xx přepis xxxxxxxxx, xxxxx xxxx ve xxxxxxxxx uvedeny.

UPOZORNĚNÍ XXX XXXXXXXXXX XXXXX

Xxxxxx xxxxx xxxxxxxxx, xxxxx xxxx xxxxxxx xx xxxxxxx xxxxxxx, k xxx xx přiložen xxxxx xxxxxxxx. (2)

Xxxxx xxxxxxx xxxxxxx, x níž xx xxxxxxxx tento xxxxxxxx, neobsahuje xxxxxx xxxxx xxxx xxxxxxxxx, xxxxxx „–“.

1. XXXXX XXXXXXXXXX XXXXX FORMULÁŘ

1.1 Xxxxx (3)

2. XXXXX XXXXXXXXXX XXXXXXXX LISTINU, X NÍŽ XX XXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (4)

3. XXXXXXXXX XXXXXXXX XX XXXXXXX XXXXXXX, X XXX XX PŘILOŽEN XXXXX XXXXXXXX

3.1 Xxxxxxx vydaná xxxxxxx xxxx xxxxxxxxx x vazbou xx xxxxx xxxxxx xxxxxxxxx xxxxx

3.1.1 Xxxxxxxxxx soudu

3.1.2 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Listina xxxxxx xxxxxx soudním úředníkem

3.1.4 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxxxxxx („xxxxxxxx de xxxxxxx“)

3.1.5 Xxxx (upřesněte)

(1) Xx. xxxx. X 200, 26.7.2016, x. 1.

(2) Xxx xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

(3) Xxxxx „xxxxx“ xx xxxxx vykládat xxxx úřední xxxxx xxxxxx vydávajícího xxxxxxxx.

(4) Xxxxx „xxxxx“ xx xxxxx xxxxxxxx xxxx xxxxxx xxxxx orgánu xxxxxxxxxxxx xxxxxxxx xxxxxxx, x xxx xx xxxxxxxx xxxxx formulář.

3.2 Xxxxxxx vydaná xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x matriky

3.2.3 Xxxxx x xxxxxxxx xxxxxxxx

3.2.4 Xxxx xxxxxxxxxx záznamů

3.1.5 Xxxx (upřesněte)

3.3 Notářská xxxxxxx

3.4 Xxxxxx xxxxxxxxx, xxxxxx xxxx xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

3.5 Xxxxxxx xxxxxxxxxx xxxxxxxxxxxxx zástupcem xxxx xxxxxxxxxxx úředníkem členského xxxxx x xxxxx xxxxxx xxxx služebních xxxxxxxxxx

3.6 Datum (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx xxxxx xxxxxxx listiny

4. XXXXXXXXX X DOTYČNÉ OSOBĚ

4.1 Xxxxx/x xxxxxxxx

4.2 Současné/á xxxxxxxx

4.3 Příjmení před xxxxxxxxx manželství

4.4 Příjmení xx xxxxxxxx xxxxxxxxxx

4.5 Xxxxx (xxxxx)

4.6 Datum (xx/xx/xxxx) xxxxxxxx

4.7 Xxxxx (1) a země (2) xxxxxxxx

4.8 Xxxxxxx:

4.8.1 Xxxx

4.8.2 Muž

4.8.3 Xxxxxxxx

4.9 Xxxxxx příslušnost

5. XX XXXXXXX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX FORMULÁŘ, XX XXXXXXX XXXXX XXXXX XXXXXXX XXXX:

5.1 Xxxxx – ženatý/Datum (xx/xx/xxxx) xxxxxxxx manželství

5.2 Xxxxxxxxx – xxxxxxxxx

5.2.1 Xxxxxxxx – Xxxxxxxx

5.2.2 Xxxxxxxxx – xxxxxxxxx/Xxxxx (xx/xx/xxxx) xxxxxxx

5.2.3 Xxxxx – xxxxxx/Xxxxx (xx/xx/xxxx) xxxxx xxxxxxx/xxxxxxxx

5.3 Neurčeno

(1) Xxxxx „xxxxx xxxxxxxx“ xx xxxxxx xxxxx xxxx xxxx xxxxx, xxxxxx x kraje, xxx xx xxxx xxxxx xxxxxxxx.

(2) Xxxxx xxxx x – xxxxx xxxxxxxx – xxx XXX xxxx xxxx nebo možnost „Xxxx (xxxxxxxxx)“ je xxxxx vybrat x xxxxxxxxxxx nabídky xx xxxxxxxx xxxxxxxxxxxx standardním xxxxxxxxx, xxxxx xx x dispozici xx xxxxxxx evropské e-justice.

6. XXXX XXX XXXXXX

6.1 Xxxxxxxx a jméno (xxxxx) úředníka, xxxxx xxxxx xxxxx xxxxxxxx

6.2 Xxxxxx úředníka, který xxxxx tento xxxxxxxx

6.3 Xxxxx (dd/mm/rrrr) xxxxxx

6.4 Xxxxxx

6.5 Xxxxx xxxx xxxxxxx

XXXXXXXXXXX GLOSÁŘ NÁZVŮ XXXXXXXXXXXX XXXXXXX

(XXXXXXX STAV)

1.

(BG) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) AUTORIDAD XXX XXXXXX ESTE XXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXX FORMULÁŘ/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX VORMI XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX THIS XXXX/ (FR) XXXXXXXX XX DÉLIVRANCE XX XXXXXXX XXXXXXXXXX/ (GA) XX xXXXXXX X XXXXXXXX XX XXXXXX XXX/ (HR) XXXXXX XXXX XXXXXX XXXX XXXXXXX/ (IT) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ FORMĄ XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (XX) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XX' DIN XX-XXXXXXX/ (XX) XXXXXXXXXX XXX AFGIFTE VAN XXX XXXXXXXXX/ (PL) XXXXX XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (PT) XXXXXXXXXX XXX EMITE X XXXXXXXX XXXXXXXXXX/ (RO) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX FORMULAR/ (XX) XXXXX VYDÁVAJÚCI XXXXX XXXXXXXX/ (SL) ORGAN, XX XXXX TA XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXX XXXÄXXXX FORMULÄRET

1.1

(BG) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) BETEGNELSE/ (XX) XXXXXXXXXXX/ (XX) XXXXXXX/ (EL) ΟΝΟΜΑΣΙΑ/ (XX) DESIGNATION/ (XX) XXXXXXXXXXXX/ (GA)AINMNIÚ/ (HR) XXXXX/ (IT) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (LT) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) NAZWA/ (XX) DESIGNAÇÃO/ (XX) XXXXXXXX/ (SK) XXXXX/ (XX) IME/ (FI) XXXX/ (XX) NAMN

2.

(BG) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX EXPIDE EL XXXXXXXXX PÚBLICO XX XXX XX XXXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX VEŘEJNOU XXXXXXX, K NÍŽ XX PŘILOŽEN XXXXX XXXXXXXX/ (XX) XXX XXXXXXXXX, XXX XXX XXXXXXX XXX OFFENTLIGE XXXXXXXX, SOM DENNE XXXXXXXX ER XXXXÆXXXX/ (XX) XXXÖXXX, XXX XXX ÖXXXXXXXXXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXÜXX XXX, XXXXXXXXX/ (XX) XXXXXX, XXX XXXXX VÄLJA XXXXXXX XXXXXXXXX, MILLELE XXX XXXX XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXX XXXXXXX XXX XXXXXX XXXXXXXX TO WHICH XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXX XX DÉLIVRANCE DU XXXXXXXX PUBLIC XXXXXX XXX JOINT XX XXXXXXX XXXXXXXXXX/ (GA) XX tÚDARÁS A XXXXXXXX XX DOICIMÉAD XXXXXX LENA BHFUIL XX XXXXXX XXX XXXXXXXXXX/ (HR) XXXXXX XXXX IZDAJE XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ CHE XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX IL XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX KURIO XXXXXXXXX XX XXXXX, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X FORMANYOMTATVÁNNYAL XXXXXX KÖZOKIRATOT XXXXXXXX XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX TAD-DOKUMENT PUBBLIKU XX XXXXĦX XXXX XXXXXŻX DIN XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX XXXXXXXX XXXXXXXX WAARAAN XXX FORMULIER XX XXXXXXX/ (PL) ORGAN XXXXXĄXX DOKUMENT XXXĘXXXX, XX KTÓREGO XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXXXX XXX XXXXX O XXXXXXXXX XXXXXXX A QUE X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXXX EMITENTĂ X XXXXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, XX XXXXXX XX TENTO XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX XXXX XXXXX XXXXXXX, KI JI XX PRILOŽEN XX XXXXXXX/ (XX) VIRANOMAINEN, XXXX ON XXXXXXX XXXXXXX XXXXXXXXXX, JOHON XÄXÄ XXXXXX LIITETÄÄN/ (XX) XXXXXXXXX XXX XXXÄXXXX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX RELATIVA AL XXXXXXXXX XXXXXXX XX XXX XX ADJUNTA XXXX XXXXXXX/ (XX) XXXXXXXXX TÝKAJÍCÍ XX XXXXXXX XXXXXXX, K XXX XX XXXXXXXX XXXXX XXXXXXXX/ (DA) XXXXXXXXXXX VEDRØRENDE XXX XXXXXXXXXX XXXXXXXX, SOM XXXXX XXXXXXXX ER XXXXÆXXXX/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX DIESES FORMULAR XXXXXXÜXX XXX/ (XX) XXXXX AVALIKU DOKUMENDI XXXXX, XXXXXXX XXX XXXX XX LISATUD/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXX XXXXXX XXXXXXXX XX XXXXX THIS XXXX XX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX EST XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX A XXXXXXXXX XXXX AN XXXXXXXXX XXXXXX XXXX XXXXXX XX FHOIRM XXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXX XX XXXXXX XX JAVNU XXXXXXX XXXXX XX XXXX XXXXXXX PRILOŽEN/ (XX) XXXXXXXXXXXX RELATIVE XX XXXXXXXXX XXXXXXXX XXX IL XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX PAR XXXXXXXX XXXXXXXXX, KURAM XĪ VEIDLAPA XX XXXXXXXXXX/ (LT) INFORMACIJA, XXXXXXXX SU XXXXXXXX XXXXXXXXX, XXXX KURIO XXXXXXXXX XX FORMA/ (XX) A XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATRA XXXXXXXXX XXXXXXXXXXX/ (XX) INFORMAZZJONI XXXX ID-DOKUMENT XXXXXXXX XX XXXXĦX XXXX XXXXXŻX DIN XX-XXXXXXX/ (XX) INFORMATIE XXXXXXXXXXX XXX OPENBAAR DOCUMENT XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (PL) XXXXXXXXXX DOTYCZĄCE DOKUMENTU XXXĘXXXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX JEST XXŁĄXXXXX/ (XX) INFORMAÇÕES XXXXXXXXX XX XXXXXXXXX XXXXXXX X QUE X XXXXXXXX FORMULÁRIO XXXX APENSO/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX ESTE XXXXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXXXXXXX O XXXXXXXX XXXXXXX, KU XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) INFORMACIJE X ZVEZI X XXXXX XXXXXXX, KI XX XX XXXXXXXX XX XXXXXXX/ (FI) XXXXXX XXXXXXXXÄ ASIAKIRJASTA, XXXXX TÄMÄ XXXXXX XXXXXXÄÄX/ (XX) INFORMATION XX XXX OFFICIELLA XXXXXXXX TILL XXXXXX XXXXX FORMULÄR ÄR XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX EXPEDIDO XXX XXX XXXXXXXXX X XX FUNCIONARIO XXXXXXXXX X XXX ÓRGANOS XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (CZ) XXXXXXX XXXXXX XXXXXXX XXXX XXXXXXXXX S XXXXXX NA SOUDY XXXXXX XXXXXXXXX STÁTU/ (XX) XXXXXXXX, XXX XX XXXXXXX AF XX MYNDIGHED ELLER XX EMBEDSMAND, DER XX XXXXXXXXXX DOMSTOLE X EN XXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXÖXXX XXXX XXXXX XXXXXXXXXX XXX XXXXX XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX VÄLJA XXXXXX LIIKMESRIIGI KOHTUTEGA XXXXXX XXXXXXXXXXX XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXX OR XX XXXXXXXX XXXXXXXXX XXXX XXX XXXXXX XX XXXXXXXXX XX X MEMBER XXXXX/ (XX) XXXXXXXX ÉMANANT X'XXX AUTORITÉ XX X'XX FONCTIONNAIRE XXXXXXXX X'XXX XXXXXXXXXXX X'XX XXXX XXXXXX/ (GA) XXXXXXXXX X XXXXXXX X XXXXXX XX X XXXXXXXXX X XXXXXX XXXXX XXXX XX XXXX XX XXXXXXXXXX XX LE XXXXX DE XXXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX IZDALO XXXXXX XXX XXXXXXXXX XXXX DRŽAVE ČLANICE/ (XX) DOCUMENTO XXXXXXX XX XX'XXXXXXXÀ X XX XX FUNZIONARIO XXXXXXXXXXXX XX XXX XXXXX XXXXXXXXXXXXX XX XXX XXXXX XXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XX XXXĪXXXXXXX XXXXĀX SAISTĪTA XXXXĀXX XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX VALDŽIOS XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX KAPCSOLATBAN ÁLLÓ XXXXXXX XXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX OKIRAT/ (XX) DOKUMENT MAĦRUĠ XXXX XXXXXXXÀ XXX XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX XXX XX-XXXXXXXXX XX' XXXX XXXXXX/ (NL) XXXXXXXX XXXXXXXXX DOOR EEN XXXXXXXXXX XX AMBTENAAR XXXXXXXXX XXX XXX XXXXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXX XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXXXX XX DE XX XXXXXXXXXXX XXXXXXXXXX XX XXXXXXXX XXXXXXXÇÃX XX XX ESTADO-MEMBRO/ (XX) XXXXXXXX EMIS XX X XXXXXXXXXX XXX XX XX XXXXȚXXXXX XX XX XÂXXĂ XXXXXXȚXXX UNUI XXXX XXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXX XXXXX XXXXXXXXX S XÄXXXX XX XXXX XXXXXXXXX ŠTÁTU/ (XX) XXXXXXX, XXXXXX X XXXXXX ORGANA XXX XXXXXXXX SODNE OBLASTI XXXXXX ČLANICE/ (XX) XXXXXXXXX, XXXXX XX XXXXXXX JÄSENVALTION XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) HANDLING XXX HÄRRÖR XXÅX XX XXXXXXXXX XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX I XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX JUDICIAL/ (XX) ROZHODNUTÍ XXXXX/ (XX) DOMSTOLSAFGØRELSE/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) KOHTUOTSUS/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) COURT DECISION/ (XX) XXXXXXXX DE XXXXXXX/ (XX) CINNEADH XX xXXXXX/ (HR) XXXXXX XXXXXX/ (IT) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (XX) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX HATÁROZAT/ (MT) XXĊXŻXXXX TAL-QORTI/ (NL) XXXXXXXXXXXX BESLISSING/ (PL) XXXXXXXXXX SĄDOWE/ (XX) XXXXXÃX XXXXXXXX/ (XX) XXXĂXÂXX JUDECĂTOREASCĂ/ (SK) XXXXX ROZHODNUTIE/ (SL) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (ES) XXXXXXXXX EXPEDIDO POR XX XXXXXXXXXX XXXXXX/ (XX) LISTINA XXXXXX XXXXXXX ZÁSTUPCEM/ (DA) XXXXXXXX UDSTEDT XX XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX EINER XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX VÄLJA XXXXXX XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) DOCUMENT XXXXXXXXX XXXX X XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX DU XXXXXXÈXX XXXXXX/ (XX) XXXXXXXXX A XXXXXXX X XXXXXXXXXXXXXXX POIBLÍ/ (XX) ISPRAVA XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXXXX XXXXXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) PROKURORO XXXXXXXX XXXXXXXXXX/ (HU) ÜGYÉSZ XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXXXXX XXXX XXX OPENBAAR XXXXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX OD XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (XX) DOCUMENT EMIS XX XX XXXXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXXXXXXX/ (SL) XXXXXXX, XX JO XXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX ANTAMA XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX FRÅN ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX EXPEDIDO XXX XX XXXXXXXXXX XXXXXXXX/ (XX) LISTINA XXXXXX VYŠŠÍM SOUDNÍM XXXXXXXXX/ (DA) DOKUMENT XXXXXXX AF XX XXXXXXXXXXXXXÆX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX, XXXXX XX VÄLJA XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (EN) XXXXXXXX XXXXXXXXX FROM A XXXXX XX A XXXXX/ (XX) XXXXXXXX XXXXXXX X'XX GREFFIER/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXX XX CHUID XXXXXX/ (XX) XXXXXXX XXXX XX XXXXX XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX EMANATO XX XX XXXXXXXXXXX/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XXXXXX XXXXXXĀXX/ (LT) XXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ MINN REĠISTRATUR XX' QORTI/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX XX XX OFICIAL XX XXXXXÇX/ (XX) XXXXXXXX XXXX XX UN XXXXXXX XX XXXXXXȚXX/ (XX) XXXXXXX XXXXXX XXXXXX ÚRADNÍKOM/ (XX) XXXXXXX, XX JO XXXX SODNI USLUŽBENEC/ (XX) TUOMIOISTUIMEN XXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX EN XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (ES) XXXXXXXXX XXXXXXXX POR XX AGENTE XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) LISTINA VYDANÁ XXXXXXX VYKONAVATELEM („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXX UDSTEDT XX XX XXÆXXXXXXXXXX (»HUISSIER XX JUSTICE«)/ (XX) XXXXXXX EINES GERICHTSVOLLZIEHERS/ (XX) XXXXXXXX, XXXXX XX VÄLJA XXXXXX XXXXXXÄXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX DE XXXXXXX»)/ (EN) XXXXXXXX XXXXXXXXX XXXX X XXXXXXXX XXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX XX JUSTICE/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXX XXXXXXXXXXXX (“HUISSIER XX XXXXXXX”)/ (XX) ISPRAVA XXXX XX IZDAO XXXXXX OVRŠITELJ (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX EMANATO XX XX XXXXXXXXX GIUDIZIARIO ("XXXXXXXX XX XXXXXXX")/ (XX) DOKUMENTS, XXXX XXXXXXXXXX TIESAS IZPILDĪTĀJS (XXXXXXXX DE JUSTICE)/ (XX) ANTSTOLIO (HUISSIER XX XXXXXXX) XXXXXXXX XXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX UFFIĊJAL ĠXXXXXXXXXX ('XXXXXXXX XX XXXXXXX')/ (NL) XXXXXXXX XXXXXXXXX DOOR EEN XXXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX OD XXXĘXXXXX XĄXXXXXX (XXXXXXXX DE XXXXXXX)/ (PT) XXXXXXXXX XXXXXXXXXXX DE XX XXXXXXÃX XX DIREITO («XXXXXXXX DE JUSTICE»)/ (XX) DOCUMENT XXXX XX UN EXECUTOR XXXXXĂXXXXXX („HUISSIER DE XXXXXXX”)/ (XX) XXXXXXX XXXXXX SÚDNYM XXXXXXXXXXĽXX („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXX, XX XX IZDA XXXXX XXXXXXXXXX („HUISSIER DE XXXXXXX“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX XX XXXXXXX”) XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX EN XXÄXXXXXXXXX (XXXXXXXX DE XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) OTRO (XXXXXXXXXXXXX)/ (XX) XXXX (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (DE) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) XXX (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (TO XX XXXXXXXXX)/ (XX) AUTRE (À PRÉCISER)/ (XX) XXXX (LE XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (XX) XXXXX (XXXXXXXXX)/ (XX) XXXX (PRECIZĒT)/ (XX) KITA (NURODYTI)/ (XX) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (PL) XXXX (XXXXXĘ XXXXŚXXĆ)/ (XX) XXXXXX (A XXXXXXXXXXX)/ (XX) XXXXX (A XX XXXXXXX)/ (XX) XXX (XXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXX XXXXXXXXX (TÄSMENNETTÄVÄ)/ (XX) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) LISTINA XXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (EN) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX ADMINISTRATIF/ (XX) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (IT) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX OKIRAT/ (MT) XXXXXXXX XXXXXXXXXXXXXX/ (NL) XXXXXXXXXXXXXX XXXXXXXX/ (PL) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (RO) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXXXX/ (SV) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (ET) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (FR) XXXXXXXXXX/ (GA) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (MT) ĊXXXXXXXXX/ (NL) XXXXXXXXXXX/ (XX) ZAŚWIADCZENIE/ (XX) XXXXXXÃX OU XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) POTRDILO/ (XX) XXXXXXXX/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX XXXXXXXX XXXXX/ (XX) VÝPIS X XXXXXXX/ (XX) UDDRAG XXX XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX AUS XXX XXXXXXXX-XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (EN) XXXXXXX XXXX XXX XXXXX XXXXXX XXXXXXXX/ (XX) EXTRAIT DU XXXXXXXX XX X'XXXX XXXXX/ (GA) SLIOCHT XX XX xXXXX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXX XXXXXX/ (IT) XXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXX XX XXXXXXXĀXXXĻX XXXX REĢISTRA/ (XX) XXXXXXX XX XXXXXXXĖX XŪXXĖX XXXŲ XXXXXXXX/ (HU) ANYAKÖNYVI XXXXXXX/ (MT) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXX UIT XXX XXXXXXXX XXX XX XXXXXXXXXXX STAND/ (XX) XXXXX XXXXXXXX XXXX XXXXX CYWILNEGO/ (XX) XXXXXXX XX XXXX XX XXXXXXX XXXXX/ (XX) EXTRAS XXX XXXXXXXXX DE XXXXX CIVILĂ/ (XX) XXXXX X XXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXX IZ REGISTRA X XXXXXXX STANJU/ (XX) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) XXXXXX UR XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) EXTRACTO DEL XXXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) EXTRACT XXXX XXX POPULATION REGISTER/ (XX) XXXXXXX DU XXXXXXXX XX XX XXXXXXXXXX/ (GA) SLIOCHT XX XX xXXXX XXXXXX/ (XX) IZVADAK XX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XX XXXXĪXXXĀXX XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXXŲ XXXXXXXX/ (XX) XXXXXXX X XXXXXXXXXXXX- ÉS XXXXXXXXXXXXXXXXXXXXXX/ (XX) ESTRATT XXX-XXĠXXXXX TAL-POPOLAZZJONI/ (XX) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) WYCIĄG X XXXXXXXX LUDNOŚCI/ (XX) XXXXXXX XX XXXXXXX XX POPULAÇÃO/ (XX) XXXXXX XXX XXXXXXXXX XX XXXXXXȚĂ X XXXXXXȚXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXĽXX/ (XX) XXXXXXX XX XXXXXXXX PREBIVALSTVA/ (XX) VÄESTÖREKISTERIOTE/ (XX) XXXXXX UR XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (ES) COPIA XXXXXXX XX ACTAS XXX XXXXXXXX CIVIL/ (XX) XXXX XXXXXXXXXX XXXXXXX/ (DA) XXXXXX XXXX AF XXXXXXXXXXXXXXXXXXX/ (XX) WÖRTLICHE KOPIE XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (ET) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX XX XXXXX XXXXXX XXXXXXX/ (XX) COPIE XXXXXXXXX X'XXXXX DE X'XXXX XXXXX/ (XX) XXXX XXXXX XX FHOCAL XX XXXXXXX AR XXXXXX XXXXXXXXX/ (XX) XXXXXXXX PRIJEPIS XX XXXXXXXXXX O XXXXXXX XXXXXX/ (XX) COPIA XXXXXXXXX XX XXXX XX STATO XXXXXX/ (XX) CIVILSTĀVOKĻA XXXX XXĢXXXXX IERAKSTU AUTENTISKA XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮXXXŲ XXXXXXXĖ KOPIJA/ (XX) XXXXXÖXXXX BEJEGYZÉS XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXX TAL-ATTI XXX-XXXXX ĊIVILI/ (XX) XXXXXXXXXXX XXXXXXXXX XXX XXXXX VAN DE XXXXXXXXXXX STAND/ (PL) XXXXX ZUPEŁNY AKTU XXXXX XXXXXXXXX/ (XX) XXXXXXÃX DE CÓPIA XXXXXXXX XX DE XXXXXXXXX XX XXXX XX XXXXXXX XXXXX/ (XX) COPIE XXXXXĂ X XXXX XXX XX XXXXX XXXXXĂ/ (XX) XXXXXXXX XXXXX XX XXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXX PREPIS XXXXXX X XXXXXXX STANJU/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX AV FOLKBOKFÖRINGSHANDLING

3.3

(BG) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXXX LISTINA/ (DA) XXXXXXXXXÆXXXX DOKUMENT/ (XX) XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (HR) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXĀXX XXXX/ (XX) XXXXXXXXX XXXXX/ (XX) KÖZJEGYZŐI XXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (XX) XXX XXXXXXXXXX/ (PT) XXX XXXXXXXX/ (RO) XXX XXXXXXXX/ (SK) XXXXXXXX XXXXXXX/ (SL) NOTARSKA XXXXXXX/ (XX) XXXXXXXX XXXXXX ASIAKIRJA/ (SV) XXXXXXXXX HANDLING

3.4

(BG) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX XXXXXX XXXXX XX DOCUMENTO XXXXXXX/ (XX) ÚŘEDNÍ OSVĚDČENÍ, XXXXXX BYLA XXXXXXXX XXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXX XÅXXXXXXX PÅ XX XXXXXXXX UNDERTEGNET XX XX XXXXXX X XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX XXXXX XXXXXXXXXXXXX/ (ET) XXXXX XXXXX XXXXXXXXXX ALLKIRJASTATUD XXXXXXXXXXX KINNITATAV AMETLIK XÕXXX/ (EL) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX CERTIFICATE PLACED XX X XXXXXXXX XXXXXX BY X XXXXXX XX XXX XX XXX XXXXXXX XXXXXXXX/ (FR) DÉCLARATION XXXXXXXXXX APPOSÉE XXX XX XXXX SOUS XXXXX PRIVÉ/ (XX) XXXXXXXX OIFIGIÚIL X XXXXXXXXX AR XXXXXXXXXX XXXX XXXXXX XX XXXXX XXX XXXXX XX INA CÁIL XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX NA XXXXXXX KOJU JE XXXXX XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (IT) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX XXX XXXXXXXXX XXXXXXX/ (LV) OFICIĀLS XXXXXXXXĀXXXX XX XXXXXXXXX, XX XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX PERSONA/ (XX) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ĊXXXXXXXXX UFFIĊJALI XX JITQIEGĦED X'XXXXXXXX XXXXXXXX MINN XXXXXXX XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX DOCUMENT XXXXXXXXXXX DOOR XXX XXXXXXX IN ZIJN XXXXXXXXXXXX HOEDANIGHEID/ (PL) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX DOKUMENCIE XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÃX OFICIAL XXXXXXX NUM XXX XX XXXXXXXX PRIVADA/ (XX) CERTIFICAT XXXXXXX XXXXXXX XX XX XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX XX XXXXXXX XXXXXXXXXX OSOBOU XXXXXXXXX XXX XXXXXXXX XXXXX/ (XX) URADNA XXXXXX XX XXXXXXX XXXXXXX/ (XX) VIRALLINEN XXXXXXXX XXXXXXXXXXXX, XXXXX XXXXXXÖ XX ALLEKIRJOITTANUT XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX XXXXX ANBRINGAT XÅ XX XXXXXXXX XXX XXXXXXXXXXXXX XX EN XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX POR XX XXXXXX DIPLOMÁTICO X XXXXXXXX DE XX XXXXXX MIEMBRO XXX CARÁCTER XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX ZÁSTUPCEM XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X RÁMCI XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX AF XX MEDLEMSSTATS XXXXXXXXXXXX XXXXX XXXXXXÆXX REPRÆSENTANT/ (XX) XXX EINEM XXXXXXXXXXXXXX XXXX KONSULARISCHEN XXXXXXXXX EINES MITGLIEDSTAATS XX XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX URKUNDE/ (XX) XXXXXXXXXXXX DIPLOMAATILISE XÕX XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX KOOSTATUD XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX XXXXX UP BY X XXXXXXXXXX OR XXXXXXXX XXXXX XX X XXXXXX XXXXX XX XXX OR XXX XXXXXXXX CAPACITY/ (XX) XXXXXXXX XXXXXX XX XX QUALITÉ XXXXXXXXXX PAR XX XXXXX XXXXXXXXXXXX OU XXXXXXXXXX X'XX ÉTAT XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX CONSALACH XX XXXXX XXXXXXXXX INA XXXXX NÓ XXX XXXX XXXXXXXXX/ (XX) XXXXXXX KOJU XX X XXXXXXXXX SVOJSTVU XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX PREDSTAVNIK XXXXXX XXXXXXX/ (XX) DOCUMENTO XXXXXXX XX XXXXXX XXXXXXXXXXX X CONSOLARI XX XXX XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX XXXXX XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX DIPLOMATO AR XXXXXXXXXX PAREIGŪNO, XXXXXXXXXX XXXXX OFICIALIUS ĮXXXXXXXXXX/ (XX) VALAMELY XXXXXXXX XXXXXXXXXXX VAGY XXXXXXX XXXXXXXXŐXX ÁLTAL HIVATALOS XXXŐXXXXXXX XXXXXXXXXX OKIRAT/ (XX) DOKUMENT XXĦXXXX XXXX XĠXXX XXXXXXXXXXX XXX KONSULARI XX' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXXXXX OF XXXXXXXXXX XXXXXXXXX VAN XXX LIDSTAAT IN XXXX OFFICIËLE XXXXXXXXXXXX/ (XX) DOKUMENT SPORZĄDZONY XXXXX XXXXXXXXXXXXXXX DYPLOMATYCZNEGO XXX URZĘDNIKA XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX DZIAŁAJĄCYCH X XXXXXXXXXXX XXXĘXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XX AGENTE XXXXXXXXXXX XX XXXXXXXX XX XX XXXXXX-XXXXXX XX EXERCÍCIO XXX XXXX XXXÇÕXX XXXXXXXX/ (XX) DOCUMENT ÎNTOCMIT XX CĂTRE XX XXXXX XXXXXXXXXX XXX XXXXXXXX XX XXXX XXXX MEMBRU, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX ALEBO XXXXXXXXXXX XXXXXXXXX ČLENSKÉHO XXXXX X XXXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXX, XX XX XXX XXXXXX XXXXX XXXX DIPLOMATSKI ALI XXXXXXXXXX XXXXXXXXXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX, XXXXX XÄXXXXXXXXXX DIPLOMAATTINEN XXXXXXXX XXX XXXXXXXXXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) HANDLING XXXXÄXXXX X TJÄNSTEN XX XX XXXXXXXXXXX XXXXX XXXXXXÄX TJÄNSTEMAN X XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) AUSSTELLUNGSDATUM (XX/XX/XXXX)/ (XX) VÄLJAANDMISE XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) DATE (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (DD/MM/MMMM)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (DD/MM/JJJJ) XXX XXXXXXX/ (PL) XXXX (DD/MM/RRRR) WYDANIA/ (XX) DATA XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (ZZ/LL/AAAA) XXXXXXXX/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) IZDAJE/ (FI) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) NÚMERO DE XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) REFERENČNÍ XXXXX VEŘEJNÉ LISTINY/ (XX) XXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX DER ÖXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXX VIITENUMBER/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX XX XXX XXXXXX XXXXXXXX/ (XX) XXXXXX XX XXXXXXXXX DU XXXXXXXX XXXXXX/ (XX) XXXXXX XXXXXXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (XX) NUMERO DI XXXXXXXXXXX XXX DOCUMENTO XXXXXXXX/ (XX) PUBLISKĀ XXXXXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXX DOKUMENTO XXXXXXX/ (XX) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX PUBBLIKU/ (XX) XXXXXXXXXXXXXXXX VAN XXX OPENBAAR XXXXXXXX/ (XX) XXXXX REFERENCYJNY XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXX XX XXXXXÊXXXX XX DOCUMENTO PÚBLICO/ (XX) XXXĂXXX DE XXXXXXXȚĂ XX XXXXXXXXXXXX XXXXXXX/ (XX) REFERENČNÉ XXXXX VEREJNEJ XXXXXXX/ (XX) REFERENČNA XXXXXXXX XXXXX LISTINE/ (XX) XXXXXXX ASIAKIRJAN XXXXXXXXXXX/ (XX) DEN XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) INFORMACIÓN XXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXXXX XX DEN XÅXÆXXXXXX XXXXXX/ (XX) XXXXXXX XXX BETREFFENDEN XXXXXX/ (XX) XXXXXXXXX ISIKUT XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (EN) XXXXXXXXXXX XX XXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXX SUR LA XXXXXXXX XXXXXXXXX/ (GA) XXXXXXXX XXXXXX LEIS XX XXXXX XXXX xXXXXXXXX/ (XX) INFORMACIJE X DOTIČNOJ XXXXX/ (XX) INFORMAZIONI XXXXX XXXXXXX INTERESSATA/ (XX) XXXXXXĀXXXX XXX ATTIECĪGO XXXXXXX/ (XX) XXXXXXXXXXX XXXX ATITINKAMĄ ASMENĮ/ (XX) XX XXXXXXXX XXXXXXXXX XXXXXXXXX ADATOK/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXX XXXXĊXXXXXX/ (XX) XXXXXXXXXX XXXX XX XXXXXXXXXX/ (XX) DANE XXXXX, XXXXXX DOTYCZY XXXXXXXX/ (PT) XXXXXXXÇÕXX XXXXX X XXXXXX XX CAUSA/ (RO) XXXXXXXȚXX XXXXXXX XXXXXXXX XXXXXĂ/ (XX) INFORMÁCIE X DOTKNUTEJ XXXXX/ (XX) XXXXXXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXXXXX HENKILÖN XXXXXX/ (XX) UPPGIFTER OM XXX XXXÖXXX PERSONEN

4.1

(BG) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (XX) APELLIDO(S) XX XXXXXXXXXX/ (XX) XXXXX/X XXXXXXXX/ (DA) XXXXXXXXX(X) VED XØXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXX GEBURT/ (XX) XÜXXXXÄXXXX XXXXXXXXXXXXX (SÜNNIJÄRGSED XXXXXXXXXXXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (XX) XXXXXXX(X) XX XXXXX/ (XX) XXX(X) À XX NAISSANCE/ (XX) XXXXXXX (SLOINNTE) XXXXXXX/ (XX) XXXXXXX(XX) XXX ROĐENJU/ (XX) XXXXXXX/X XXXX XXXXXXX/ (XX) XXXĀXXX(-X) XXXXXXXXX XXĪXĪ/ (XX) PAVARDĖ (-ĖX), XXXXXXXX (-OS) XXXXX/ (XX) XXÜXXXXXX XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) XXX-XXXXXX/ (NL) XXXXXXXX(X)X(XX) BIJ DE XXXXXXXX/ (PL) XXXXXXXX(-X) XXXXXX/ (XX) XXXXXXX(X) À XXXX XX XXXXXXXXXX/ (XX) XXXXXX XX XXȘXXXX/ (SK) XXXXX XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX XX XXXXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXXXÄXXXXXXXÄ/ (XX) EFTERNAMN XXX XÖXXXXX

4.2

(XX) НАСТОЯЩО(И) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X) XXXXXX(XX)/ (CZ) XXXXXXXX/X XXXXXXXX/ (XX) XXXÆXXXXX XXXXXXXXX(X)/ (XX) XXXXXXXXXX(X) XXXXXXXXXXXX(X)/ (ET) XXXXXXXX XXXXXXXXXXXXX (XXXXXXXXX XXXXXXXXXXXXXX)/ (EL) ΤΡΕΧΟΝ(-ΤΑ) ΕΠΩΝΥΜΟ(-Α)/ (EN) XXXXXXX XXXXXXX(X)/ (XX) XXX(X) XXXXXX(X)/ (GA) SLOINNE (XXXXXXXX) XXXXXX/ (HR) XXXXXXXX(-X) PREZIME(NA)/ (IT) XXXXXXX/X XXXXXXX/X/ (XX) XXXXXXX(-XX) UZVĀRDS(-I)/ (LT) XXXXXXXXĖ (-ĖS) XXXXXXĖ (-ĖX)/ (HU) XXXXXXXXX XXXXXXX NEVE(I)/ (XX) XXXXXX(/XXXXXXXXXXX) XXXXXXX/ (XX) XXXXXXX XXXXXXXX(X)X(XX)/ (PL) XXXXXX NAZWISKO(-A)/ (PT) XXXXXXX OU XXXXXXXX XXXXXX/ (XX) XXXXXX XXXXXX(X)/ (XX) XXXXXXX XXXXXXXXXX(-X)/ (XX) XXXXXXX XXXXXXX/XXXXXXX/ (FI) XXXXXXXX XXXXXXXX (NYKYISET XXXXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXX

4.3

(XX) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ БРАКА/ (XX) XXXXXXXX(X) XXXXX DE XXXXXXXX XXXXXXXXXX/ (CZ) PŘÍJMENÍ XXXX UZAVŘENÍM XXXXXXXXXX/ (XX) EFTERNAVN(E) XØX XXXXXXX/ (DE) XXXXXXXXXXXX(X) XXX DER EHESCHLIESSUNG/ (XX) XXXXXXXXXXXXX (-NIMED) XXXX ABIELLUMIST/ (XX) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΤΟΝ ΓΑΜΟ/ (XX) SURNAME(S) XXXXXX XXX XXXXXXXX/ (XX) XXX(X) XXXXX XX XXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXXXX XX bPÓSADH/ (XX) XXXXXXX(XX) XXXXX SKLAPANJA XXXXX/ (IT) XXXXXXX/X XXXXX DEL XXXXXXXXXX/ (XX) UZVĀRDS(-I) PIRMS XXXXĪXXX/ (XX) XXXXXXĖ (-ĖX) XXXXX SANTUOKĄ/ (XX) XXXXXXX XXXX(X) X HÁZASSÁGKÖTÉS XXŐXX/ (XX) XXXXXX(/XXXXXXXXXXX) XXXXX XŻ-ŻXXXĠ/ (XX) XXXXXXXX(X)X(XX) XXXX XXX HUWELIJK/ (XX) NAZWISKO(-A) XXXXX XXXXXXXXX XXŁŻXŃXXXX/ (XX) XXXXXXX(X) XXXXX DO XXXXXXXXX/ (RO) XXXXXX ÎXXXXXX XX XĂXĂXXXXX/ (XX) XXXXXXXXXX(-X) PRED XXXXXXXXX MANŽELSTVA/ (XX) XXXXXXX/XXXXXXX PRED SKLENITVIJO XXXXXXXX XXXXX/ (XX) XXXXXXXX (-NIMET) XXXXX XXXXXXXXXXX/ (SV) EFTERNAMN XÖXX ÄKTENSKAPETS XXXÅXXXX

4.4

(XX) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА БРАКА/ (XX) XXXXXXXX(X) DESPUÉS XX XXXXXXXX XXXXXXXXXX/ (CZ) XXXXXXXX XX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXX(X) XXXXX VIELSEN/ (XX) XXXXXXXXXXXX(X) XXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX (-XXXXX) XÄXXXX ABIELLUMIST/ (XX) ΕΠΩΝΥΜΟ(-Α) ΜΕΤΑ ΤΟΝ ΓΑΜΟ/ (EN) XXXXXXX(X) XXXXXXXXX XXX XXXXXXXX/ (FR) NOM(S) À XX SUITE XX XXXXXXX/ (XX) XXXXXXX (SLOINNTE) TAR XXX AN XXXXXX/ (XX) PREZIME(NA) XXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX/X DOPO IL XXXXXXXXXX/ (XX) UZVĀRDS(-I) XĒX LAULĪBAS/ (LT) XXXXXXĖ (-ĖX) PO XXXXXXXXX/ (HU) XXXXXXX XXXX(X) X HÁZASSÁG-KÖTÉS XXXX/ (XX) XXXXXX(/XXXXXXXXXXX) XXXX Ż-ŻXXXĠ/ (XX) XXXXXXXX(X)X(XX) XX XXX XXXXXXXX/ (XX) XXXXXXXX(-X) XX XXXXXXXX XXŁŻXŃXXXX/ (XX) XXXXXXX(X) APÓS X CASAMENTO/ (RO) XXXXXX XXXĂ XĂXĂXXXXX/ (XX) PRIEZVISKO(-Á) PO XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX SKLENITVI XXXXXXXX XXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXXXXXXX XXXXXXXXXX XÄXXXXX/ (XX) XXXXXXXXX XXXXX ÄKTENSKAPETS XXXÅXXXX

4.5

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) NOMBRE(S)/ (CZ) XXXXX (JMÉNA)/ (XX) XXXXXXX(X)/ (DE) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (EN) XXXXXXXX(X)/ (XX) PRÉNOM(S)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (XX) XĀXXX(-X)/ (XX) VARDAS (-AI)/ (XX) XXXXXXX(X)/ (MT) XXXX(/XXXXXXXX)/ (XX) VOORNA(A)M(EN)/ (XX) XXXĘ (IMIONA)/ (XX) XXXX(X) XXXXXXX(X)/ (XX) XXXXXXX/ (XX) XXXX(-X)/ (XX) IME/IMENA/ (XX) XXXXXXX (-XXXXX)/ (XX) XÖXXXXX

4.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) FECHA (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXXX/ (XX) FØDSELSDATO (DD/MM/ÅÅÅÅ)/ (XX) GEBURTSDATUM (XX/XX/XXXX)/ (XX) SÜNNIKUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX BIRTH/ (XX) DATE (JJ/MM/AAAA) XX XXXXXXXXX/ (XX) XXXX (LL/MM/BBBB) XXXXXXX/ (XX) XXXXX (DD/MM/GGGG) XXĐXXXX/ (XX) DATA XX NASCITA (GG/MM/AAAA)/ (XX) DZIMŠANAS XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (HU) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) DATA (JJ/XX/SSSS) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (PL) DATA (XX/XX/XXXX) XXXXXXXXX/ (PT) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) NAȘTERII/ (SK) XXXXX (DD/MM/RRRR) NARODENIA/ (XX) DATUM (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.7

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX X XXXX DE NACIMIENTO/ (XX) MÍSTO X XXXX XXXXXXXX/ (DA) XØXXXXXX XX -LAND/ (XX) ORT XXX XXXX XXX XXXXXX/ (XX) SÜNNIKOHT XX -XXXX/ (EL) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX AND XXXXXXX OF BIRTH/ (XX) XXXX XX XXXX XX NAISSANCE/ (XX) XXX AGUS XXX BHREITHE/ (HR) XXXXXX I XXXXXX XXĐXXXX/ (XX) LUOGO X PAESE DI XXXXXXX/ (LV) XXXXXXXXX XXXXX UN VALSTS/ (XX) XXXXXX XXXXX XX XXXXX/ (XX) XXÜXXXXXX XXXXX ÉS XXXXXXX/ (MT) POST X XXXXXŻ TAT-TWELID/ (XX) XXXXXXXXXXXXXX EN -XXXX/ (XX) XXXXXXX X XXŃXXXX URODZENIA/ (XX) XXXXX E XXXX XX XXXXXXXXXX/ (XX) LOCUL ȘX ȚXXX XXȘXXXXX/ (XX) XXXXXX A XXXX XXXXXXXXX/ (XX) XXXX XX XXXXXX XXXXXXX/ (XX) XXXXXXÄXXXXXX XX -XXX/ (XX) XÖXXXXXXXX XXX -XXXX

4.8

(XX) ПОЛ/ (XX) SEXO/ (XX) XXXXXXX/ (XX) XØX/ (XX) XXXXXXXXXX/ (XX) XXXX/ (EL) ΦΥΛΟ/ (XX) SEX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXX/ (IT) XXXXX/ (XX) DZIMUMS/ (XX) LYTIS/ (XX) XXXX/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (XX) SEXO/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) SPOL/ (XX) XXXXXXXXX/ (SV) XÖX

4.8.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) ŽENA/ (XX) XXXXXX/ (DE) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (EN) XXXXXX/ (FR) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) NŐ/ (XX) MARA/ (NL) XXXXX/ (XX) XXXXXXX/ (XX) FEMININO/ (XX) XXXXXXXX/ (SK) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (SV) KVINNA

4.8.2

(BG) МЪЖКИ/ (XX) VARÓN/ (XX) XXX/ (XX) XXXX/ (DE) XÄXXXXXX/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (GA) XXXXXXX/ (XX) XXXXX/ (XX) MASCHILE/ (XX) XĪXXXXXX/ (XX) XXXXX/ (XX) XXXXX/ (XX) XXĠXX/ (NL) MAN/ (XX) MĘŻCZYZNA/ (XX) XXXXXXXXX/ (RO) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) XXX

4.8.3

(XX) НЕОПРЕДЕЛЕН/ (XX) INDETERMINADO/ (CZ) XXXXXXXX/ (DA) UBESTEMT/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (HR) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (LT) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (FI) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

4.9

(XX) ГРАЖДАНСТВО/ (ES) XXXXXXXXXXXX/ (XX) XXXXXX PŘÍSLUŠNOST/ (XX) NATIONALITET/ (XX) XXXXXX-XXXXXÖXXXXXXX/ (XX) KODAKONDSUS/ (XX) ΙΘΑΓΕΝΕΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) NÁISIÚNTACHT/ (HR) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXĪXX/ (LT) XXXXXXXXĖ/ (HU) XXXXXXXXXXXXXXX/ (XX) ĊXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (PL) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXĂȚXXXX/ (SK) XXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) KANSALAISUUS/ (SV) XXXXXXXXXXXXX

5.

(XX) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ, СЕМЕЙНОТО ПОЛОЖЕНИЕ НА СЪОТВЕТНОТО ЛИЦЕ Е, КАКТО СЛЕДВА/ (XX) XXXXX EL XXXXXXXXX XXXXXXX AL XXX SE ADJUNTA XXXX XXXXXXX, EL XXXXXX XXXXX XXX XXXXXXXXXX XX EL XXXXXXXXX:/ (CZ) XX XXXXXXX VEŘEJNÉ XXXXXXX, X XXX XX XXXXXXXX TENTO XXXXXXXX, XX XXXXXXX XXXXX XXXXX XXXXXXX XXXX/ (XX) I HENHOLD XXX DET XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX ER XXXXÆXXXX, XXX XXX XÅXÆXXXXXX XXXXXX FØLGENDE ÆGTESKABELIGE XXXXXX/ (DE) XXXXXXXXXXXXX XXX BETREFFENDEN PERSON XXXÄXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXÜXX XXX/ (XX) VASTAVALT XXXXXXXXX XXXXXXXXXXX, MILLELE XXX XXXX XX XXXXXXX, XX XXXXXXXXXX XXXXXX XÄXXXXXX XXXXXXXXXXXXX/ (XX) ΣΥΜΦΩΝΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ, ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΕΧΕΙ ΤΗΝ ΑΚΟΛΟΥΘΗ ΟΙΚΟΓΕΝΕΙΑΚΗ ΚΑΤΑΣΤΑΣΗ/ (XX) XXXXXXXXX TO XXX XXXXXX DOCUMENT XX WHICH XXXX XXXX IS XXXXXXXX, XXX XXXXXX XXXXXXXXX XXX THE XXXXXXXXX XXXXXXX STATUS/ (FR) X'XXXÈX XX XXXXXXXX XXXXXX AUQUEL XX XXXXXXX XXXXXXXXXX XXX XXXXX, LA SITUATION XXXXXXXXXXXX XX LA XXXXXXXX XXXXXXXXX EST XX XXXXXXXX/ (XX) XX RÉIR XX XXXXXXXXX PHOIBLÍ LENA XXXXXX AN FHOIRM XXX CEANGAILTE, XX XX XXXXXX XXXXX X XXXXXX XX XX XXXXX XXXX xXXXXXXXX/ (XX) XXXXX XXXXXX XXXXXXX KOJOJ XX OVAJ XXXXXXX XXXXXXXX XXXXXX STANJE XXXXXXX XXXXX JE XXXXXXĆX/ (IT) XXXXXXX XX XXXXXXXXX XXXXXXXX XXX IL XXXXXXXX XXXXXX È XXXXXXXX, XX XXXXX XXXXXX XXXXX PERSONA INTERESSATA È XX SEGUENTE/ (XX) XXXXXŅĀ AR XXXXXXXX XXXXXXXXX, KURAM XĪ XXXXXXXX XX XXXXXXXXXX, XXXXXXĪXXXXX PERSONAI XX ŠĀDS ĢIMENES XXĀXXXXXX/ (XX) PAGAL XXXXĄXĮ DOKUMENTĄ, XXXX XXXXX PRIDEDAMA ŠI XXXXX, ATITINKAMO XXXXXX XXXXXXXXXĖ XXXĖXXX YRA XXXXX/ (XX) AZ XXXXXXXX XXXXXXX XXXXXXX XXXXXXXX A XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRAT XXXXXXX/ (XX) XXXXX ID-DOKUMENT XXXXXXXX XX XXXXĦX XXXX MEHMUŻA DIN XX-XXXXXXX, XX-XXXXXXX KKONĊERNATA XĦXXXXX X-XXXXX ĊIVILI XXX ĠEJ/ (XX) XXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX DIT XXXXXXXXX IS GEHECHT, XX DE XXXXXXXXXXX XXXXX XXX XX XXXXXXXXXX XX XXXXXXXX/ (XX) X XXXXXXXXX XXXĘXXXXXX, XX KTÓREGO XXŁĄXXXXX XXXX NINIEJSZY XXXXXXXXX, WYNIKA, ŻX XXXXX, KTÓREJ DOTYCZY XXXXXXXX, XXXXXXX NASTĘPUJĄCY XXXX CYWILNY/ (PT) XXXXXXX O XXXXXXXXX XXXXXXX X XXX X XXXXXXXX FORMULÁRIO XXXX XXXXXX, À XXXX XX SUA XXXXXÃX, X XXXXXX XXXXX DA PESSOA XX XXXXX X/ (XX) ÎN CONFORMITATE XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX, XXXXXXXX VIZATĂ XXX XXXĂXXXXXX XXXXX CIVILĂ/ (XX) XXXĽX XXXXXXXX XXXXXXX, XX XXXXXX XX TENTO XXXXXXXX XXXXXXXXX, SA XXXXXXXX XXXXX XXXXXXXX V XXXXX XXXXXXX XXXXX/ (XX) X SKLADU X XXXXX XXXXXXX, XX JI XX XXXXXXXX TA OBRAZEC, XXX ZADEVNA XXXXX XXXXXXXXX XXXXXXXX XXXX/ (XX) XXX XXXXXXX XXXXXXXXXX MUKAAN, XXXXX XÄXÄ LOMAKE XXXXXXÄÄX, XXXXXXXXXXXX HENKILÖN SIVIILISÄÄTY XX XXXXXXXX/ (XX) XXXXXX XXX OFFICIELLA XXXXXXXX XXXX XXXXXX XXXXX FORMULÄR ÄX XXXXXXX ÄR XXX XXXÖXXX XXXXXXXXX CIVILSTÅND XÖXXXXXX

5.1

(XX) СЪС СКЛЮЧЕН БРАК/ДАТА (ДД/ММ/ГГГГ) НА СКЛЮЧВАНЕ НА БРАКА/ (XX) XXXXXX / XXXXX (XX/XX/XXXX) XXX XXXXXXXXXX/ (XX) XXXXX – ŽENATÝ/DATUM (XX/XX/XXXX) XXXXXXXX XXXXXXXXXX/ (XX) XXXX/XXXX (XX/XX/ÅÅÅÅ) FOR XXXXÅXXXX XX ÆXXXXXXX/ (XX) XXXXXXXXXXX/XXX XXX XXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXX / XXXXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (EL) ΕΓΓΑΜΟΣ/-Η / ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΑΜΟΥ/ (XX) XXXXXXX/XXXX (XX/XX/XXXX) XX XXXXXXXX/ (FR) MARIÉ(E)/DATE (XX/XX/XXXX) DU MARIAGE/ (XX) XXXXX/XXXX (XX/XX/XXXX) XXXXX/ (XX) X XXXXX / XXXXX (XX/XX/XXXX) SKLAPANJA XXXXX/ (XX) XXXXXXXXX/X - XXXX XX MATRIMONIO (XX/XX/XXXX)/ (XX) XXXXĒXXXX / LAULĪBAS NOSLĒGŠANAS XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXĘX (-XXX) / XXXXXXXXX XXXXXXXX XXXX (XX/XX/XXXX)/ (HU) XXXXX/XXXXXXXXXÖXXX XXXXX (XXXX/XX/XX)/ (XX) XXŻŻXXXXĠ/XXŻŻXXĠX U XXXX (XX/XX/XXXX) XXŻ-ŻXXXĠ/ (XX) XXXXXX/XXXXX (XX/XX/XXXX) VAN XXX HUWELIJK/ (XX) XXXXXXXXX X XXXĄXXX XXŁŻXŃXXXX/ DATA (XX/XX/XXXX) XXXXXXXX XXXĄXXX MAŁŻEŃSKIEGO/ (XX) CASADO(A)/DATA DO XXXXXXXXX (DD/MM/AAAA)/ (RO) XĂXĂXXXXX(Ă)/XXXX (XX/XX/XXXX) XĂXĂXXXXXX/ (XX) XXXXXX/XXXXXX/XXXXX (DD/MM/RRRR) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX/XXXXX (XX/XX/XXXX) SKLENITVE XXXXXXXX XXXXX/ (XX) XXXXXXXXXX/XXXXXXXXXX SOLMIMISPÄIVÄ (XX/XX/XXXX)/ (XX) XXXX/XXXXX (DD/MM/ÅÅÅÅ) XÖX ÄKTENSKAPETS XXXÅXXXX

5.2

(XX) БЕЗ СКЛЮЧЕН БРАК/ (XX) NO CASADO/ (XX) NESEZDANÁ – XXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (ET) XX OLE XXXXXXX/ (XX) ΑΓΑΜΟΣ/-Η/ (EN) XXX XXXXXXX/ (XX) XXX XXXXX(X)/ (GA) XXX X BHEITH XXXXX/ (XX) NIJE X BRAKU/ (IT) XXX XXXXXXXXX/X/ (LV) XXXXXXĒXXXX/ (XX) XXXXXXXXXXĘX (-XXX)/ (XX) EGYEDÜLÁLLÓ/ (XX) XXXX MIŻŻEWWEĠ/MHUX XXŻŻXXĠX/ (NL) ONGEHUWD/ (XX) NIE XXXXXXXXX X ZWIĄZKU XXŁŻXŃXXXX/ (XX) NÃO XXXXXX(X)/ (XX) NECĂSĂTORIT(Ă)/ (XX) XXXXXXXX/XXXXXXXX/ (SL) XXXXXXXXX/ (XX) XX NAIMISISSA/ (XX) XXXXX

5.2.1

(XX) НИКОГА НЕ Е СКЛЮЧВАЛО БРАК/ (XX) XXXXXXX/ (XX) XXXXXXXX – XXXXXXXX/ (DA) XXXXXX XXXX/ (XX) XXX XXXXXXXXXXX/ (XX) XX XXX XXXXXX XXXXXXX XXXXX/ (EL) ΔΕΝ ΕΧΕΙ ΣΥΝΑΨΕΙ ΠΟΤΕ ΓΑΜΟ/ (EN) XXXXX XXXXXXX/ (FR) X'XXXXX XXXXXX ÉTÉ XXXXX(X)/ (XX) XXX A XXXXXX XXXXX XXXXX/ (XX) XXXXXX XXXX XXX(-XX) U XXXXX/ (XX) XXXXXX/XXXXXX/ (XX) XXXXX XXX XXXXX XXXXĒXXXX/ (XX) NIEKADA XXXXXX SUSITUOKĘS (-XXX)/ (XX) NŐTLEN / XXXXXXX/ (XX) ĠXXXX/XXXXX/ (XX) XXXXX GEHUWD/ (XX) NIGDY NIE XXXXXŁ(-X) XXXĄXXX XXŁŻXŃXXXXXX/ (XX) XXXXXXXX/ (XX) XX X XXXX XĂXĂXXXXX(Ă) XXXXXXXXĂ/ (XX) XXXXX XX NEOŽENIL/NEVYDALA/ (XX) NIKOLI XXXXXXX/ (XX) XX XXX XXXXXXX XXXXX NAIMISISSA/ (XX) XXX XXXXXX XXXXX XXXX

5.2.2

(XX) С РАЗТРОГНАТ БРАК/ДАТА (ДД/ММ/ГГГГ) НА РАЗВОДА/ (XX) XXXXXXXXXX / FECHA (XX/XX/XXXX) XXX XXXXXXXX/ (XX) XXXXXXXXX – XXXXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) FRASKILT/DATO (XX/XX/ÅÅÅÅ) XXX XXXXXXXXXX/ (XX) XXXXXXXXXX / DATUM (XX/XX/XXXX) XXX SCHEIDUNG/ (XX) LAHUTATUD / XXXXXXXXXX KUUPÄEV (XX/XX/XXXX)/ (XX) ΔΙΑΖΕΥΓΜΕΝΟΣ/-Η / ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΔΙΑΖΥΓΙΟΥ/ (XX) XXXXXXXX/XXXX (DD/MM/YYYY) XX DIVORCE/ (XX) XXXXXXX(X)/XXXX (XX/XX/XXXX) XX XXXXXXX/ (XX) COLSCARTHA/DÁTA (XX/XX/XXXX) COLSCARTHA/ (XX) XXXXXXXX(X)/XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXXXXX/X - XXXX DI XXXXXXXX (XX/XX/XXXX)/ (XX) ŠĶĪRIES / XĶXXXXXĀX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXĘX (-XXX) / XXXXXXXXX XXXXXXXXXX XXXX (DD/MM/MMMM)/ (XX) XXXXXX/X HÁZASSÁG XXXXXXXXXXXXX XXXXX (ÉÉÉÉ/HH/NN)/ (XX) DIVORZJAT(A) X XXXX (XX/XX/XXXX) XXX-XXXXXXXX/ (XX) XXXXXXXXXX/XXXXX (XX/XX/XXXX) XXX DE XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX(-X) / XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXXXXX(X)/XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXȚXX(Ă)/XXXX (XX/XX/XXXX) XXXXXȚXXXX/ (XX) ROZVEDENÝ/Á/DÁTUM (XX/XX/XXXX) XXXXXXX/ (SL) XXXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXX/XXXXXXXX XÄXXÄXÄÄXÄ (XX/XX/XXXX)/ (SV) XXXXX/XXXXX (DD/MM/ÅÅÅÅ) XÖX XXXXXXÄXXX

5.2.3

(XX) С ПОЧИНАЛ(А) СЪПРУГ(А)/ДАТА (ДД/ММ/ГГГГ) НА СМЪРТТА НА СЪПРУГА(АТА)/ (XX) XXXXX / XXXXX (XX/XX/XXXX) XX XXXXXXXXXXXXX DEL CÓNYUGE/ (XX) XXXXX – XXXXXX/XXXXX (DD/MM/RRRR) XXXXX XXXXXXX/XXXXXXXX/ (DA) XXXXXXXXX/XXXX (XX/XX/ÅÅÅÅ) XXX ÆXXXXÆXXXX XØX/ (XX) XXXXXXXXX / XXXXXXXXXXX (TT/MM/JJJJ) XXX XXXXXXXXX/ (XX) XXXX / XXXXXXXX XXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΣΕ ΧΗΡΕΙΑ / ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΘΑΝΑΤΟΥ ΣΥΖΥΓΟΥ/ (XX) XXXXXXX/ DATE (XX/XX/XXXX) XX SPOUSE'S XXXXX/ (XX) VEUF(VE)/DATE (XX/XX/XXXX) XX XXXÈX DU XXXXXXXX/ (XX) XXXXXXXXXX/ XXXX (LL/MM/BBBB) BÁIS XX XXXXXX/ (XX) XXXXXX(-XXX) / DATUM (XX/XX/XXXX) XXXXX XXXXXXXX XXXXX/ (XX) XXXXXX/X - XXXX XX XXXXXXX XXX XXXXXXX (XX/XX/XXXX)/ (XX) ATRAITNIS / XXXXĀXĀ XXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX (-Ė) / XXXXXXXXXXX (-ĖS) XXXXXXX XXXX (XX/XX/XXXX)/ (HU) ÖXXXXX/X XXXXXXXXX HALÁLÁNAK XXXXX (XXXX/XX/XX)/ (XX) XXXXX/XXXXX X XXXX (XX/XX/XXXX) XXX-XXXX TAL-KONJUĠI/ (XX) XXXXXX/XXXXXXXXX/XXXXX (XX/XX/XXXX) XXX OVERLIJDEN XXX XX ECHTGENO(O)T(E)/ (PL) XXXXXXX, XXXXX / XXXX (XX/XX/XXXX) ZGONU XXŁŻXXXX/ (PT) XXXXX(X)/XXXX XX ÓBITO XX XÔXXXXX (DD/MM/AAAA)/ (XX) XĂXXX(Ă)/XXXX (XX/XX/XXXX) DECESULUI XXȚXXXX (XXȚXXX)/ (SK) XXXXXX/XXXXX/XXXXX (XX/XX/XXXX) XXXXXX XXXXXXX/XXXXXXXX/ (XX) XXXXXXX/XXXXX (XX/XX/XXXX) XXXXX ZAKONCA/ (XX) XXXXX/XXXXXXXX XXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) ÄXXXXXX XXXXX ÄXXX/XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXXXX ELLER XXXXXX DÖD

5.3

(BG) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (CZ) XXXXXXXX/ (DA) UBESTEMT/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (EL) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (EN) UNDETERMINED/ (XX) XXXXXXXXXXX/ (GA) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (MT) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (PL) STAN XXXXXXXXXXX/ (XX) XÃX XXXXXXXX/ (RO) XXXXXXXXXXXX/ (XX) NEURČENÉ/ (SL) XXXXXXXXX/ (FI) XÄÄXXXXXXXXÄXÖX/ (XX) EJ XXXXXXÄXXX

6.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) RECUADRO XXXX XX XXXXX/ (XX) XXXX XXX XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (DE) XXXXXXXXXXXXXXXXXX/ (XX) ALLKIRJALAHTER/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) XXXXX XXXX XX XXXXXXXXX/ (XX) XXXXX XXX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) RIQUADRO XXX XX XXXXX/ (XX) XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXX/ (XX) XX ALÁÍRÁS XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX XX HANDTEKENING/ (XX) XXXX XXXXXXX/ (XX) ESPAÇO DESTINADO À ASSINATURA/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX PODPIS/ (SL) XXXXX XX PODPIS/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (XX) XXXX FÖR UNDERTECKNANDE

6.1

(BG) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X XXXXXX(X) XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXX X XXXXX (XXXXX) ÚŘEDNÍKA, XXXXX XXXXX TENTO XXXXXXXX/ (XX) XXXXXXXXX(X) XX FORNAVN(E) PÅ XXX XXXXXXXXXX, XXX XXX XXXXXXX DENNE XXXXXXXX/ (DE) XXXXXXXXXXXX(X) XXX VORNAME(N) DES XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX VORMI XÄXXXXXXXXX AMETNIKU EESNIMI (-XXXXX) XX XXXXXXXXXXXXX (-XXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) SURNAME(S) XXX XXXXXXXX(X) OF THE XXXXXXXX XXX XXXXXX XXXX XXXX/ (FR) XXX(X) XX XXXXXX(X) XX FONCTIONNAIRE QUI X XXXXXXX XX XXXXXXX FORMULAIRE/ (XX) XXXXXXX (SLOINNTE) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX XXXXXXXX A X’XXXXXX XX XXXXXX XXX/ (XX) PREZIME(NA) X XXX(XX) SLUŽBENIKA KOJI XX IZDAO XXXX XXXXXXX/ (XX) XXXXXXX/X X XXXX/X XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX IZDEVUSI ŠO XXXXXXXX, XXXĀXXX(-X) UN XĀXXX(-X)/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖX) XX XXXXXX (-XX)/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXX XXXX(X) XX XXXXXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX) X ISEM(/ISMIJIET) XXX-XXXXĊXXX XX ĦAREĠ XXX XX-XXXXXXX/ (XX) XX(X)X(XX) XX XXXXXX(X)X(XX) XXX XX AMBTENAAR XXX DIT XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) I XXXĘ (XXXXXX) URZĘDNIKA, XXXXX XXXXŁ NINIEJSZY XXXXXXXXX/ (XX) APELIDO(S) E XXXX(X) XXXXXXX(X) DO XXXXXXXXXXX XXX XXXXXX X XXXXXXXX FORMULÁRIO/ (XX) XXXXXX ȘX XXXXXXXXX FUNCȚIONARULUI XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, XXXXX VYDAL TENTO XXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX XXX/XXXXX XXXXXXXX, XX JE IZDAL XX XXXXXXX/ (FI) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXXXXX (-XXXXX) XX XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX XXX XÖXXXXX XÅ XXX XXÄXXXXXXX SOM XXX XXXÄXXXX XXXXX XXXXXXÄX

6.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXX XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX ÚŘEDNÍKA, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXXX — DEN XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (DE) XXXXXXXX DES XXXXXXX, XXX XXXXXX FORMULAR XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (EL) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXX XX XXX XXXXXXXX XXX XXXXXX XXXX FORM/ (XX) XXXXX XX XXXXXXXXXXXXX XXX X DÉLIVRÉ XX XXXXXXX XXXXXXXXXX/ (XX) XXXX XX XXXXXXXX A X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXXX XXXXXXXXXX XXXX XX XXXXX XXXX OBRAZAC/ (XX) XXXXXXXXX XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, XXXXX/ (XX) XXĄ XXXXĄ XXXXXXXXX PAREIGŪNO XXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX XXX XX XXXXXXXXX DIE XXX XXXXXXXXX XXXXX AFGEGEVEN/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX XX FUNCIONÁRIO XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX ÚRADNÍKA, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XX XX XXXXX XX OBRAZEC/ (XX) XÄXÄX LOMAKKEEN XXXXXXXX VIRKAMIEHEN XXXXX/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX SOM XXX XXXÄXXXX XXXXX XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) VYDÁNÍ/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX KUUPÄEV (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (LL/MM/BBBB) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX RILASCIO (GG/MM/AAAA)/ (XX) IZDOŠANAS DATUMS (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (NL) XXXXX (XX/XX/XXXX) VAN XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (PT) XXXX DE EMISSÃO (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (SV) DATUM (XX/XX/ÅÅÅÅ) FÖR XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (XX) FIRMA/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) UNTERSCHRIFT/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (LV) XXXXXXXX/ (LT) PARAŠAS/ (XX) XXXXXXX/ (MT) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (RO) SEMNĂTURA/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X TIMBRE/ (XX) XXXXX XXXX XXXXXXX/ (XX) SEGL XXXXX STEMPEL/ (XX) XXXXXX XXXX XXXXXXX/ (XX) XXXXXX XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXX XX STAMPA/ (XX) XXX XXX XXXXX/ (IT) XXXXX X XXXXXX/ (XX) XĪXXXX VAI SPIEDOGS/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (XX) PECSÉT XXXX XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX XXX XXXXXX/ (XX) XXXXX XX XXXXXXX/ (XX) PIECZĘĆ XXX STEMPEL/ (XX) XXXX XX XXXXXXX/ (XX) SIGILIUL SAU ȘXXXXXXX/ (XX) PEČAŤ XXXXX XXXXXXXX PEČIATKY/ (XX) PEČAT XXX XXX/ (XX) SINETTI XXX LEIMA/ (XX) XXXXXX ELLER XXÄXXXX

XXXXXXXXXXXX XXXXXXXXXXX

XXXXXXXXXXX XXXXXXXXXX FORMULÁŘ – XXXXXXX XXX PŘEKLAD

Článek 7 nařízení Evropského xxxxxxxxxx x Xxxx (XX) 2016/1191 xx xxx 6. xxxxxxxx 2016 x xxxxxxx xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxxxx některých veřejných xxxxxx x Xxxxxxxx xxxx x o xxxxx nařízení (EU) x. 1024/2012 (1)

Xxxxxx (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (CZ)

Dánsko (DK) Xxxxxxx (DE)

Estonsko (XX) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (LU)

Maďarsko (XX) Xxxxx (MT)

Nizozemsko (XX) Rakousko (XX)

Xxxxxx (XX) Portugalsko (PT)

Rumunsko (XX) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Xxxxxx (XX)

Xxxxxxx (XX) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx xxxxxx xxxxxx vícejazyčného xxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxx xxxxxxxx veřejné xxxxxxx, x xxx je xxxxxxxx. Tento formulář xx xxxx členskými xxxxx nesmí pohybovat xxxx xxxxxxxxxx xxxxxxxx.

Xxxxx xxxxxxxx odráží xxxxx xxxxxxx listiny, k xxx xx přiložen. Xxxxx, xxxxx je xxxxxxx xxxxxxx předkládána, xxxx xxxx x xxxxxxxxx, kdy xx xx xxxxxxxx xxx xxxxx zpracování xxxxxxx xxxxxxx, požadovat xxxxxxx xx přepis xxxxxxxxx, xxxxx jsou xx xxxxxxxxx uvedeny.

UPOZORNĚNÍ XXX XXXXXXXXXX XXXXX

Xxxxxx xxxxx xxxxxxxxx, xxxxx xxxx xxxxxxx ve xxxxxxx xxxxxxx, x níž xx xxxxxxxx xxxxx xxxxxxxx. (2)

Xxxxx xxxxxxx xxxxxxx, x níž xx xxxxxxxx tento xxxxxxxx, neobsahuje xxxxxx xxxxx nebo xxxxxxxxx, xxxxxx „–“.

1. XXXXX XXXXXXXXXX TENTO XXXXXXXX

1.1 Xxxxx (3)

2. XXXXX XXXXXXXXXX VEŘEJNOU XXXXXXX, X XXX JE XXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (4)

3. XXXXXXXXX XXXXXXXX XX XXXXXXX XXXXXXX, K XXX XX XXXXXXXX XXXXX XXXXXXXX

3.1 Xxxxxxx vydaná xxxxxxx xxxx úředníkem x vazbou xx xxxxx xxxxxx členského xxxxx

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx vydaná xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx xxxxxx xxxxxxx xxxxxxxxx

3.1.4 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxxxxxx („xxxxxxxx de xxxxxxx“)

3.1.5 Xxxx (upřesněte)

(1) Xx. věst. X 200, 26.7.2016, x. 1.

(2) Xxx xxxxxxxxxx xxxxx použijte xxxxxxx xxxxx.

(3) Xxxxx „název“ xx třeba xxxxxxxx xxxx xxxxxx xxxxx xxxxxx vydávajícího xxxxxxxx.

(4) Xxxxx „xxxxx“ je xxxxx xxxxxxxx jako xxxxxx název orgánu xxxxxxxxxxxx xxxxxxxx xxxxxxx, x xxx xx xxxxxxxx tento xxxxxxxx.

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x xxxxxxx

3.2.3 Xxxxx x xxxxxxxx xxxxxxxx

3.2.4 Xxxx xxxxxxxxxx záznamů

3.1.5 Xxxx (upřesněte)

3.3 Notářská xxxxxxx

3.4 Úřední xxxxxxxxx, xxxxxx xxxx xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

3.5 Xxxxxxx xxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxx xxxx xxxxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxx x xxxxx xxxxxx xxxx xxxxxxxxxx xxxxxxxxxx

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Referenční číslo xxxxxxx listiny

4. REGISTROVANÉ XXXXXXXXXXX

4.1 Xxxxx (xx/xx/xxxx) xxxxxxxxxx xxxxxxxxxxx

4.2 Xxxxx (1) a xxxx (2) xxxxxxxxxx partnerství

5. XXXXXXX/XXXXXXXXX X

5.1 Rodné/á xxxxxxxx

5.2 Xxxxxxxx xxxx xxxxxxxxx registrovaného xxxxxxxxxxx

5.3 Xxxxxxxx xx xxxxxxxx xxxxxxxxxxxxxx partnerství

5.4 Xxxxx (xxxxx)

5.5 Datum (dd/mm/rrrr) xxxxxxxx

5.6 Xxxxxxx:

5.6.1 Xxxx

5.6.2 Xxx

5.6.3 Xxxxxxxx

(1) Xxxxx „xxxxx registrace xxxxxxxxxxx“ xx xxxxxx xxxxx xxxx nebo města, xxxxxx x xxxxx, xxx xxxx tato xxxxxxxxxx xxxxxxxxx.

(2) Název xxxx a – xxxxx xxxxxxxx – xxx XXX xxxx xxxx nebo možnost „Xxxx (xxxxxxxxx)“ xx xxxxx vybrat x xxxxxxxxxxx nabídky xx xxxxxxxx vícejazyčném xxxxxxxxxxx xxxxxxxxx, který je x dispozici na xxxxxxx xxxxxxxx x-xxxxxxx.

6. XXXXXXX/XXXXXXXXX X

5.1 Rodné/á xxxxxxxx

5.2 Xxxxxxxx xxxx xxxxxxxxx registrovaného xxxxxxxxxxx

5.3 Xxxxxxxx po uzavření xxxxxxxxxxxxxx xxxxxxxxxxx

5.4 Jméno (xxxxx)

5.5 Xxxxx (dd/mm/rrrr) xxxxxxxx

5.6 Xxxxxxx:

5.6.1 Žena

5.6.2 Xxx

5.6.3 Neurčeno

7. XXXX XXX PODPIS

7.1 Xxxxxxxx x xxxxx (xxxxx) xxxxxxxx, xxxxx vydal xxxxx xxxxxxxx

7.2 Xxxxxx xxxxxxxx, xxxxx xxxxx xxxxx formulář

7.3 Datum (xx/xx/xxxx) xxxxxx

7.4 Podpis

7.5 Xxxxx xxxx xxxxxxx

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXXXXXXXX PARTNERSTVÍ)

1.

(BG) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XXXX XXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX FORMULARS XXXXXXXXXX XXXXXXXXX/ (DE) XXXÖXXX, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) AUTHORITY XXXXXXX THIS XXXX/ (XX) AUTORITÉ XX XXXXXXXXXX XX PRÉSENT XXXXXXXXXX/ (XX) XX xXXXXXX A XXXXXXXX XX XXXXXX XXX/ (XX) XXXXXX KOJE XXXXXX XXXX XXXXXXX/ (XX) XXXXXXXÀ CHE XXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) ŠIĄ XXXXĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXX/ (XX) AWTORITÀ XXXXXXXXX XX' DIN IL-FORMOLA/ (XX) XXXXXXXXXX XXX XXXXXXX XXX DIT XXXXXXXXX/ (PL) XXXXX XXXXXĄXX NINIEJSZY XXXXXXXXX/ (XX) AUTORIDADE XXX XXXXX O XXXXXXXX XXXXXXXXXX/ (XX) AUTORITATEA XXXXXXXĂ A XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX, XX XXXX XX OBRAZEC/ (XX) XÄXÄX LOMAKKEEN XXXXXX XXXXXXXXXXXX/ (SV) XXXXXXXXX XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) NIMETUS/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (FR) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) DENOMINAZIONE/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (MT) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXX/ (PT) XXXXXXXÇÃX/ (RO) XXXXXXXX/ (XX) NÁZOV/ (XX) XXX/ (FI) NIMI/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX EL XXXXXXXXX XXXXXXX XX QUE XX XXXXXXX ESTE XXXXXXX/ (XX) XXXXX XXXXXXXXXX VEŘEJNOU XXXXXXX, X NÍŽ XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXX MYNDIGHED, XXX XXX XXXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXÖXXX, XXX XXX ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX, AUSSTELLT/ (XX) XXXXXX, XXX ANDIS XÄXXX AVALIKU XXXXXXXXX, XXXXXXX XXX XXXX XX LISATUD/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) AUTHORITY XXXXXXX XXX PUBLIC XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXX DE XXXXXXXXXX DU XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX PRÉSENT XXXXXXXXXX/ (XX) XX xXXXXXX X EISEOIDH XX DOICIMÉAD POIBLÍ XXXX XXXXXX AN XXXXXX SEO XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXX XXXXX XXXXXXX XXXXX XX OVAJ XXXXXXX PRILOŽEN/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX PRESENTE XXXXXX È XXXXXXXX/ (XX) PUBLISKĀ XXXXXXXXX, XXXXX ŠĪ VEIDLAPA XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) VIEŠĄJĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX FORMA, IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (XX) X FORMANYOMTATVÁNNYAL KÍSÉRT XÖXXXXXXXXX KIÁLLÍTÓ XXXXXXX/ (XX) AWTORITÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (NL) XXXXXXXXXX XXX XXXXXXX XXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXX XXXĘXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (PT) XXXXXXXXXX XXX EMITE X XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX ESTÁ XXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXXX XXXXXXX XX CARE XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, XX XXXXXX JE XXXXX XXXXXXXX PRIPOJENÝ/ (XX) XXXXX, XX XXXX JAVNO XXXXXXX, XX XX JE XXXXXXXX XX OBRAZEC/ (XX) VIRANOMAINEN, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX TÄMÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX SOM UTFÄRDAR XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXX SE VEŘEJNÉ XXXXXXX, K XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) OPLYSNINGER XXXXØXXXXX DET OFFENTLIGE XXXXXXXX, SOM XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, DER XXXXXX XXXXXXXX BEIGEFÜGT XXX/ (XX) TEAVE XXXXXXX XXXXXXXXX KOHTA, XXXXXXX XXX XXXX XX LISATUD/ (EL) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXX XXXXXX DOCUMENT TO XXXXX XXXX XXXX XX XXXXXXXX/ (FR) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX PUBLIC AUQUEL XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX A XXXXXXXXX XXXX XX XXXXXXXXX XXXXXX LENA XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) INFORMACIJE XXXX XX XXXXXX XX XXXXX ISPRAVU XXXXX XX XXXX XXXXXXX PRILOŽEN/ (XX) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX PUBBLICO XXX XX XXXXXXXX MODULO È ALLEGATO/ (LV) XXXXXXĀXXXX XXX PUBLISKO XXXXXXXXX, XXXXX XĪ XXXXXXXX IR PIEVIENOTA/ (XX) INFORMACIJA, XXXXXXXX XX VIEŠUOJU DOKUMENTU, XXXX XXXXX XXXXXXXXX XX XXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX PUBBLIKU XX XXXXĦX HIJA XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX WAARAAN XXX FORMULIER XX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX DOCUMENTO XXXXXXX X XXX O XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) INFORMAȚII XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX CARE XXXX XXXXXX PREZENTUL XXXXXXXX/ (SK) XXXXXXXXXX X VEREJNEJ XXXXXXX, XX KTOREJ JE XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXX X JAVNO XXXXXXX, XX JI XX PRILOŽEN XX XXXXXXX/ (XX) TIEDOT XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ LOMAKE XXXXXXÄÄX/ (XX) XXXXXXXXXXX OM XXX XXXXXXXXXX HANDLING XXXX XXXXXX DETTA XXXXXXÄX ÄX BIFOGAT

3.1

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX XXXXXXXX POR UNA XXXXXXXXX X XX XXXXXXXXXXX VINCULADO X XXX XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (XX) LISTINA XXXXXX XXXXXXX NEBO XXXXXXXXX X XXXXXX XX XXXXX XXXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXXX, XXX ER XXXXXXX AF EN XXXXXXXXX ELLER EN XXXXXXXXXX, DER XX XXXXXXXXXX DOMSTOLE I XX MEDLEMSSTAT/ (XX) XXXXXXX EINER BEHÖRDE XXXX EINER XXXXXXXXXX XXX XXXXX XXX XXXXXXXXXXXX XXXXX MITGLIEDSTAATS/ (XX) XXXXXXXX, XXXXX XX VÄLJA XXXXXX XXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXXXX XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (EN) DOCUMENT XXXXXXXXX FROM XX XXXXXXXXX OR XX XXXXXXXX XXXXXXXXX XXXX XXX COURTS XX XXXXXXXXX OF X XXXXXX STATE/ (FR) XXXXXXXX XXXXXXX D'UNE XXXXXXXX XX X'XX XXXXXXXXXXXXX RELEVANT X'XXX XXXXXXXXXXX D'UN XXXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX Ó XXXXXX XX X XXXXXXXXX A XXXXXX XXXXX XXXX XX XXXX XX XXXXXXXXXX XX XX XXXXX XX XXXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXX XXX XXXXXXXXX XXXX XXXXXX XXXXXXX/ (IT) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ X DA XX XXXXXXXXXXX XXXXXXXXXXXX XX UNA XXXXX XXXXXXXXXXXXX DI UNO XXXXX MEMBRO/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XX XXXĪXXXXXXX XXXXĀX XXXXXĪXX XXXXĀXX VAI XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX XXXXXXXX XXXXXXXXXXXX XX PAREIGŪNO, XXXXXXXXŲ XX VALSTYBĖS NARĖS XXXXXXXX XX TRIBUNOLAIS/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX ÁLLÓ XXXXXXX XXXX XXXXXXXXXXŐ ÁLTAL XXXXXXXXXX OKIRAT/ (MT) XXXXXXXX XXĦXXĠ MINN XXXXXXXÀ XXX XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX JEW XX-XXXXXXXXX XX' XXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN AUTORITEIT XX AMBTENAAR XXXXXXXXX XXX EEN RECHTERLIJKE XXXXXXXXX XXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX OD XXXXXX XĄXXXXXX LUB XXXĘXXXXX XĄXXXXXX PAŃSTWA XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX AUTORIDADE XX XX XX XXXXXXXXXXX DEPENDENTE XX XXXXXXXX XXXXXXXÇÃX XX XX XXXXXX-XXXXXX/ (XX) XXXXXXXX XXXX XX X AUTORITATE XXX XX XX XXXXȚXXXXX XX PE XÂXXĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXX XXXXXXXXX X XÄXXXX XX SÚDY ČLENSKÉHO XXXXX/ (XX) XXXXXXX, XXXXXX S STRANI XXXXXX XXX XXXXXXXX XXXXX XXXXXXX DRŽAVE XXXXXXX/ (FI) XXXXXXXXX, XXXXX XX ANTANUT XÄXXXXXXXXXX OIKEUSLAITOKSEEN XXXXXXX XXXXXXXXXXXX TAI XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX XX XXXXXXXXX ELLER EN XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X XX MEDLEMSSTAT

3.1.1

(BG) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (CZ) XXXXXXXXXX SOUDU/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX DECISION/ (FR) XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXX ÓN xXXXXX/ (XX) XXXXXX XXXXXX/ (XX) DECISIONE XXXXXXXXXXXXXXX/ (LV) XXXXXX XĒXXXX/ (XX) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (MT) DEĊIŻJONI XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (PT) XXXXXÃX XXXXXXXX/ (XX) HOTĂRÂRE XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (SL) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) DOMSTOLSBESLUT

3.1.2

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (ES) DOCUMENTO XXXXXXXX XXX EL XXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXX STÁTNÍM XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX AF XX XXXXXXXXXXXXXXXX/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, MILLE ON XÄXXX XXXXXX XXXXXXX XÜÜXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX A PUBLIC XXXXXXXXXX/ (FR) DOCUMENT XXXXXXX XX MINISTÈRE XXXXXX/ (XX) XXXXXXXXX X THAGANN X XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX DRŽAVNO XXXXXXXXXXXX/ (XX) XXXXXXXXX EMANATO XXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX PROKURORS/ (LT) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) ÜGYÉSZ XXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (NL) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX MINISTERIE/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX EMIS XX XX XXXXXXXX/ (SK) XXXXXXX XXXXXX PROKURÁTOROM/ (XX) LISTINA, KI XX IZDA XXXXXXX XXXXXXXXX/ (FI) VIRALLISEN XXXXXÄXÄX ANTAMA XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX EXPEDIDO XXX XX XXXXXXXXXX XXXXXXXX/ (XX) LISTINA VYDANÁ XXXXXX SOUDNÍM XXXXXXXXX/ (XX) DOKUMENT XXXXXXX XX XX XXXXXXXXXXXXXÆX/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXX DER XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX, MILLE XX XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) DOCUMENT EMANATING XXXX X XXXXX XX A COURT/ (XX) DOCUMENT XXXXXXX X'XX GREFFIER/ (XX) XXXXXXXXX A XXXXXXX X XXXXXXXXXX XX XXXXX XXXXXX/ (XX) XXXXXXX XXXX JE XXXXX UPRAVITELJ XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX UN XXXXXXXXXXX/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (XX) XXXXXX XXXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ XXXX XXĠXXXXXXXX XX' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX SEKRETARZA XĄXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX DE XX XXXXXXX DE XXXXXÇX/ (XX) DOCUMENT XXXX XX UN GREFIER XX XXXXXXȚXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXX/ (SL) XXXXXXX, XX XX XXXX XXXXX USLUŽBENEC/ (XX) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXXXX XXXXXXXX XXX UN XXXXXX XXXXXXXX («HUISSIER XX XXXXXXX»)/ (CZ) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (DA) XXXXXXXX XXXXXXX XX XX XXÆXXXXXXXXXX (»HUISSIER XX XXXXXXX«)/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX ON XÄXXX XXXXXX KOHTUTÄITUR/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (XX) DOCUMENT EMANATING XXXX X XXXXXXXX XXXXXXX ('XXXXXXXX DE XXXXXXX')/ (XX) XXXXXXXX XXXXXXX D'UN XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXX A XXXXXXX X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX DE XXXXXXX”)/ (XX) XXXXXXX XXXX XX IZDAO XXXXXX XXXXXXXXX (HUISSIER XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXX GIUDIZIARIO ("XXXXXXXX XX XXXXXXX")/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX IZPILDĪTĀJS (HUISSIER XX JUSTICE)/ (XX) XXXXXXXXX (XXXXXXXX XX XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXXX („XXXXXXXX XX JUSTICE”) XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX UFFIĊJAL ĠXXXXXXXXXX ('XXXXXXXX XX JUSTICE')/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT POCHODZĄCY XX URZĘDNIKA SĄDOWEGO (XXXXXXXX DE XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXÃX XX XXXXXXX («XXXXXXXX XX XXXXXXX»)/ (RO) XXXXXXXX XXXX XX XX XXXXXXXX JUDECĂTORESC („XXXXXXXX XX JUSTICE”)/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXX, XX JO XXXX XXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX XX XXXXXXX”) XXXXXX XXXXXXXXX/ (SV) XXXXXXXX XXX XÄXXÖX FRÅN XX STÄMNINGSMAN (XXXXXXXX XX JUSTICE)

3.1.5

(BG) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (ESPECIFÍQUESE)/ (XX) XXXX (XXXXXXXXX)/ (XX) ANDRE (XXXXXXX)/ (XX) SONSTIGES (BITTE XXXXXXX)/ (XX) XXX (XÄXXXXXXXX)/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) OTHER (XX XX SPECIFIED)/ (XX) XXXXX (À XXXXXXXX)/ (XX) EILE (XX XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (IT) XXXXX (XXXXXXXXX)/ (XX) XXXX (PRECIZĒT)/ (XX) XXXX (XXXXXXXX)/ (XX) XXXXX (KÉRJÜK XXXXXXXXXXX)/ (XX) OĦRAJN (IPPREĊIŻA)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) XXXX (XXXXXĘ XXXXŚXXĆ)/ (PT) XXXXXX (X XXXXXXXXXXX)/ (RO) XXXXX (X SE XXXXXXX)/ (SK) XXX (XXXXXXXX)/ (SL) XXXXX (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) XXXXX HANDLING (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX ADMINISTRATIVO/ (CZ) XXXXXXX XXXXXX SPRÁVNÍM XXXXXX/ (DA) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX VERWALTUNGSBEHÖRDE/ (XX) XXXXXXXXXXXXXX/ (EL) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) ADMINISTRATIVE XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (GA) XXXXXXXXX XXXXXXXXXX/ (HR) XXXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (LV) ADMINISTRATĪVS XXXXXXXXX/ (LT) ADMINISTRACINIS XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (PL) DOKUMENT XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (RO) DOCUMENT XXXXXXXXXXXXX/ (XX) SPRÁVNA XXXXXXX/ (SL) UPRAVNA XXXXXXX/ (FI) HALLINNOLLINEN XXXXXXXXX/ (SV) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (HR) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, LIUDIJIMAS/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊERTIFIKAT/ (XX) XXXXXXXXXXX/ (PL) XXŚXXXXXXXXXX/ (XX) CERTIDÃO XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) POTRDILO/ (XX) XXXXXXXX/ (SV) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) EXTRACTO XXX XXXXXXXX CIVIL/ (XX) XXXXX X XXXXXXX/ (XX) UDDRAG XXX XXXXXXXXXXXXXXXXXXXX/ (XX) AUSZUG XXX XXX PERSONENSTANDSREGISTER/ (XX) XXXXXXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) EXTRACT XXXX THE XXXXX XXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XX L'ÉTAT CIVIL/ (XX) XXXXXXX XX XX xXXXX STÁDAIS XXXXXXXXXX/ (HR) IZVADAK XX XXXXXXXX XXXXXXX XXXXXX/ (IT) XXXXXXXX XX ATTO XX XXXXX XXXXXX/ (LV) XXXXXXXX XX CIVILSTĀVOKĻA XXXX XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXĖX XŪXXĖX XXXŲ REGISTRO/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊIVILI/ (NL) XXXXXXXXXX XXX HET XXXXXXXX VAN XX XXXXXXXXXXX STAND/ (XX) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (PT) XXXXXXX DE ATOS XX REGISTO XXXXX/ (XX) XXXXXX XXX XXXXXXXXX XX STARE XXXXXĂ/ (SK) XXXXX X REGISTRA XXXXXXXX XXXXX/ (XX) XXXXXXX XX XXXXXXXX O XXXXXXX STANJU/ (XX) XÄXXXÖXXXXXXXXXXXX (SIVIILISÄÄTY)/ (XX) XXXXXX XX FOLKBOKFÖRINGEN

3.2.3

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX XXX CENSO/ (XX) XXXXX X XXXXXXXX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXX AUS XXX MELDEREGISTER/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (EN) XXXXXXX XXXX XXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XX REGISTRE XX XX XXXXXXXXXX/ (XX) XXXXXXX XX XX gCLÁR XXXXXX/ (XX) XXXXXXX IZ XXXXXX XXXXXXXXXXXX/ (IT) XXXXXXXX XXXXXXXXXX/ (LV) XXXXXXXX NO XXXXĪXXXĀXX XXĢXXXXX/ (XX) XXXXXXX XX GYVENTOJŲ XXXXXXXX/ (XX) KIVONAT A XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) ESTRATT MIR-REĠISTRU XXX-XXXXXXXXXXXX/ (XX) UITTREKSEL XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) WYCIĄG X XXXXXXXX XXXXXŚXX/ (XX) XXXXXXX DO XXXXXXX XX XXXXXXÇÃX/ (RO) XXXXXX XXX XXXXXXXXX XX EVIDENȚĂ X XXXXXXȚXXX/ (XX) VÝPIS X REGISTRA OBYVATEĽOV/ (XX) XXXXXXX XX XXXXXXXX XXXXXXXXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX XX ACTAS XXX XXXXXXXX XXXXX/ (XX) XXXX MATRIČNÍCH XXXXXXX/ (XX) XXXXXX KOPI XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX VON XXXXXXXXXXXXXXXXXXXÄXXX/ (ET) PEREKONNASEISUAKTI XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX XX CIVIL XXXXXX RECORDS/ (XX) XXXXX INTÉGRALE D'ACTES XX L'ÉTAT CIVIL/ (XX) XXXX XXXXX XX FHOCAL DE XXXXXXX AR STÁDAS XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XX XXXXXXXXXX X XXXXXXX XXXXXX/ (XX) COPIA LETTERALE XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX XXĢXXXXX XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXX TAL-ATTI XXX-XXXXX ĊXXXXX/ (NL) XXXXXXXXXXX XXXXXXXXX XXX AKTEN XXX XX XXXXXXXXXXX XXXXX/ (PL) XXXXX XXXXŁXX XXXX STANU XXXXXXXXX/ (PT) XXXXXXÃX XX XXXXX XXXXXXXX XX XX NARRATIVA XX XXXX XX XXXXXXX CIVIL/ (RO) XXXXX XXXXXĂ A XXXX ACT DE XXXXX CIVILĂ/ (SK) XXXXXXXX XXXXX ZO XXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXX XXXXXX XXXXXX O XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX JÄLJENNÖS/ (XX) XXXXXXXXX AVSKRIFT XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) ACTA XXXXXXXX/ (XX) NOTÁŘSKÁ XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) NOTARIAL XXX/ (XX) ACTE XXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXĀXX XXXX/ (XX) XXXXXXXXX AKTAS/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXËXX AKTE/ (XX) XXX XXXXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXXX LISTINA/ (XX) NOTARSKA XXXXXXX/ (XX) XXXXXXXX XXXXXX XXXXXXXXX/ (SV) NOTARIELL XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX OFICIAL XXXXXX SOBRE UN XXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXX, XXXXXX XXXX XXXXXXXX XXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXX XÅXXXXXXX XÅ XX XXXXXXXX XXXXXXXXXXX XX EN XXXXXX X XXXXXX XXXXXXXX XX PRIVATPERSON/ (XX) XXXXXXXX BESCHEINIGUNG XXX XXXXX XXXXXXXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXXXX ALLKIRJASTATUD DOKUMENDILE XXXXXXXXXX AMETLIK XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX XXXXXX XX X XXXXXXXX SIGNED XX A XXXXXX XX XXX XX XXX XXXXXXX XXXXXXXX/ (XX) DÉCLARATION OFFICIELLE XXXXXXX SUR UN XXXX XXXX SEING XXXXX/ (XX) XXXXXXXX XXXXXXXXX X CHUIRTEAR XX XXXXXXXXXX XXXX XXXXXX XX XXXXX XXX XXXXX XX XXX CÁIL XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX NA ISPRAVU XXXX JE XXXXX XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (XX) DICHIARAZIONE XXXXXXXXX APPOSTA XX XXX XXXXXXXXX XXXXXXX/ (XX) OFICIĀLS APLIECINĀJUMS XX XXXXXXXXX, XX XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (XX) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX PATVIRTINIMAI/ (XX) XXXXXXXXXXXXX ELHELYEZETT XXXXXXXXX XXXXXXXXXXX/ (XX) ĊXXXXXXXXX XXXXĊXXXX XX XXXXXXXĦXX F'DOKUMENT XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX TAGĦHA/ (NL) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXX ONDERTEKEND XXXX EEN PERSOON XX XXXX PARTICULIERE XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX UMIESZCZONE XX XXXXXXXXXX XXXXXXXXXX PRZEZ XXXXĘ DZIAŁAJĄCĄ W XXXXXXXXXXX PRYWATNYM/ (XX) XXXXXXXÇÃX XXXXXXX INSERTA XXX XXX XX XXXXXXXX PRIVADA/ (XX) XXXXXXXXXX XXXXXXX XXXXXXX XX UN XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX XX LISTINE XXXXXXXXXX XXXXXX KONAJÚCOU XXX XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXX XX XXXXXXX LISTINI/ (XX) VIRALLINEN XXXXXXXX XXXXXXXXXXXX, XXXXX HENKILÖ XX ALLEKIRJOITTANUT XXXXXXXXXXXXXXÖXÄ/ (XX) OFFICIELLT XXXXX XXXXXXXXX PÅ XX XXXXXXXX XXX XXXXXXXXXXXXX XX XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX XXX UN XXXXXX XXXXXXXXXXX X XXXXXXXX DE XX XXXXXX XXXXXXX CON XXXXXXXX OFICIAL/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX ČLENSKÉHO XXXXX X RÁMCI XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX XX EN XXXXXXXXXXXX XXXXXXXXXXXX ELLER XXXXXXÆXX XXXXÆXXXXXXX/ (DE) XXX EINEM DIPLOMATISCHEN XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXXX IN XXXXXX AMTLICHEN FUNKTION XXXXXXXXXX XXXXXXX/ (ET) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX DRAWN XX BY A XXXXXXXXXX OR XXXXXXXX XXXXX XX A XXXXXX XXXXX XX XXX OR XXX XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX ÉTABLI XX XX XXXXXXX OFFICIELLE XXX UN XXXXX XXXXXXXXXXXX OU CONSULAIRE X'XX XXXX MEMBRE/ (XX) XXXXXXXXX XXXX XXXXXXXXXX SUAS AG XXXXXXXXXX XXXXXXXXXXXXXXXX NÓ XXXXXXXXX DE CHUID XXXXXXXXX INA XXXXX XX INA XXXX XXXXXXXXX/ (HR) XXXXXXX XXXX XX X XXXXXXXXX SVOJSTVU SASTAVIO XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX DIPLOMATICI X XXXXXXXXX DI XXX XXXXX XXXXXX XXXX'XXXXXXXXX DELLE XXXX XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX AMATA XXXXĀXXXXX, SAGATAVOJIS XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX KONSULĀRAIS XĀXXXĀXXX/ (LT) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX AR XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX PAGAL XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX TAGÁLLAM DIPLOMÁCIAI XXXX XXXXXXX XXXXXXXXŐXX XXXXX XXXXXXXXX MINŐSÉGÉBEN XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXXX MINN XĠXXX XXXXXXXXXXX JEW XXXXXXXXX TA' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX XXXX DE XXXXXXXXXXXX XX CONSULAIRE XXXXXXXXX XXX XXX XXXXXXXX IN XXXX XXXXXXËXX HOEDANIGHEID/ (PL) XXXXXXXX SPORZĄDZONY PRZEZ XXXXXXXXXXXXXXX DYPLOMATYCZNEGO XXX XXXĘXXXXX KONSULARNEGO PAŃSTWA XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX XXXĘXXXXX/ (XX) XXXXXXXXX LAVRADO XXX XX AGENTE DIPLOMÁTICO XX XXXXXXXX DE XX ESTADO-MEMBRO NO XXXXXXXXX DAS XXXX XXXÇÕXX OFICIAIS/ (XX) XXXXXXXX ÎXXXXXXX XX XĂXXX UN AGENT XXXXXXXXXX XXX XXXXXXXX XX XXXX XXXX XXXXXX, ÎN XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX ZÁSTUPCOM XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXX/ (SL) LISTINA, XX XX XXX XXXXXX OSEBA XXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX KONSULIEDUSTAJA XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (SV) XXXXXXXX XXXXÄXXXX X XXÄXXXXX XX EN XXXXXXXXXXX XXXXX XXXXXXÄX XXÄXXXXXXX I EN XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (DA) XXXXXXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) XÄXXXXXXXXXX KUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX ISSUE/ (XX) DATE (JJ/MM/AAAA) XX XXXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX RILASCIO (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) IŠDAVIMO XXXX (XX/XX/XXXX)/ (HU) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (PL) DATA (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) EMITERII/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX UTFÄRDANDE

3.7

(BG) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX DE REFERENCIA XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖFFENTLICHEN XXXXXXX/ (XX) AVALIKU DOKUMENDI XXXXXXXXXXX/ (EL) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX OF XXX XXXXXX XXXXXXXX/ (XX) XXXXXX XX XXXXXXXXX XX XXXXXXXX PUBLIC/ (XX) UIMHIR XXXXXXXXX XX DOICIMÉID XXXXXXX/ (XX) XXXXXXXXXX BROJ XXXXX XXXXXXX/ (IT) XXXXXX XX RIFERIMENTO XXX DOCUMENTO XXXXXXXX/ (XX) PUBLISKĀ XXXXXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXX/ (XX) X XÖXXXXXXX XXXXXXXXXXX SZÁMA/ (XX) XXXXX TA' XXXXXXXXX XXX-XXXXXXXX PUBBLIKU/ (XX) XXXXXXXXXXXXXXXX VAN XXX XXXXXXXX DOCUMENT/ (XX) XXXXX XXXXXXXXXXXX DOKUMENTU XXXĘXXXXXX/ (XX) NÚMERO XX XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX XX XXXXXXXȚĂ XX DOCUMENTULUI XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (SL) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (SV) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) РЕГИСТРИРАНО ПАРТНЬОРСТВО/ (XX) XXXXX XX XXXXX REGISTRADA/ (CZ) XXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXXX/ (DE) XXXXXXXXXXXX XXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXX XXXXXXX/ (XX) ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΥΜΒΙΩΣΗ/ (XX) XXXXXXXXXX XXXXXXXXXXX/ (FR) XXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXXX/ (HR) XXXXXXXXXXXX PARTNERSTVO/ (XX) XXXXXX XXXXXXXXXX/ (LV) XXĢXXXXĒXXX XXXXXXXXXXXXXĪXXX/ (XX) XXXXXXXXXXX PARTNERYSTĖ/ (HU) XXXXXXXXXX XXXXXXXXX XXXXXXXXX/ (XX) XĦXXXXX RREĠISTRATA/ (XX) GEREGISTREERD XXXXXXXXXXXX/ (XX) ZAREJESTROWANY ZWIĄZEK XXXXXXXXXX/ (PT) XXXXXXXX XXXXXXXXX/ (RO) XXXXXXXXXXX ÎXXXXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXX/ (SL) REGISTRIRANA XXXXXXXXXX XXXXXXXX/ (FI) XXXXXXXXÖXXX XXXXXXXXX/ (XX) XXXXXXXXXXX PARTNERSKAP

4.1

(BG) ДАТА (ДД/ММ/ГГГГ) НА РЕГИСТРИРАНЕ НА АКТА/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXXX XX LA XXXXX XX HECHO/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXXX XXXXXXXXXXX/ (DA) XXXX (DD/MM/ÅÅÅÅ) FOR XXXXXXXXXXXXXX AF XXXXXXXXXXXXX/ (XX) XXXXX (TT/MM/JJJJ) XXX XXXXXXXXXX XXX XXXXXXXXXXXXX/ (XX) KOOSELU XXXXXXXXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΚΑΤΑΧΩΡΙΣΗΣ ΤΗΣ ΠΡΑΞΗΣ/ (XX) XXXX (DD/MM/YYYY) XX XXX REGISTRATION XX THE PARTNERSHIP/ (XX) XXXX (XX/XX/XXXX) X'XXXXXXXXXXXXXX XX PARTENARIAT/ (XX) XXXX (XX/XX/XXXX) XXXXXX NA XXXXXXXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXX XX REGISTRAZIONE XXXX'XXXX (XX/XX/XXXX)/ (LV) XXXXXXXXXXXXXĪXX XXĢXXXXĀXXXXX XXXXXX (XX/XX/XXXX)/ (LT) XXXXXXXXXXĖX XXXXXXXXXXXXX XXXX (XX/XX/XXXX)/ (XX) XX XXXXXXXXX XXXXXXXXX XXXXXXXXXXXXX IDEJE (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-XXĠXXXXXXXXXXX TAS-SĦUBIJA/ (XX) DATUM (XX/XX/XXXX) XXX XX REGISTRATIE XXX DE XXXX/ (XX) DATA (XX/XX/XXXX) XXXXXXXXXXX ZWIĄZKU PARTNERSKIEGO/ (XX) XXXX XX XXXXXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) ÎXXXXXXXXĂXXX XXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXXXX REGISTROVANÉHO XXXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXXXXX XXXXXXXXXX SKUPNOSTI/ (XX) PARISUHTEEN XXXXXXXXÖXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXXXXXXXXXX XX XXXXXXXXXXXXX

4.2

(XX) МЯСТО И ДЪРЖАВА НА РЕГИСТРИРАНЕ НА АКТА/ (XX) XXXXX Y XXXX XX INSCRIPCIÓN XX XX UNIÓN XX XXXXX/ (XX) XXXXX X ZEMĚ XXXXXXXXXX PARTNERSTVÍ/ (XX) XXXX OG LAND XXX REGISTRERINGEN XX XXXXXXXXXXXXX/ (XX) XXX XXX XXXX XXX XXXXXXXXXX XXX PARTNERSCHAFT/ (XX) XXXXXXX XXXXXXXXXXXXXXX XXXX XX XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΚΑΤΑΧΩΡΙΣΗΣ ΤΗΣ ΠΡΑΞΗΣ/ (XX) PLACE XXX XXXXXXX XX XXX XXXXXXXXXXXX XX XXX PARTNERSHIP/ (XX) XXXX XX PAYS X'XXXXXXXXXXXXXX XX XXXXXXXXXXX/ (XX) XXX AGUS XXX XXXXXX XX XXXXXXXXXXXXXXX/ (XX) MJESTO X ZEMLJA REGISTRIRANJA XXXXXXXXXXX/ (IT) XXXXX X XXXXX XX XXXXXXXXXXXXX XXXX'XXXX/ (XX) XXXXXXXXXXXXXĪXX REĢISTRĀCIJAS XXXXX XX VALSTS/ (LT) XXXXXXXXXXĖX REGISTRACIJOS XXXXX XX ŠALIS/ (HU) XX ÉLETTÁRSI XXXXXXXXX XXXXXXXXXXXXX XXXXX XX XXXXXXX/ (XX) XXXX X XXXXXŻ XXX-XXĠXXXXXXXXXXX XXX-XĦXXXXX/ (XX) XXXXXX XX XXXX XXX XX REGISTRATIE XXX XX XXXX/ (XX) XXXXXXX X PAŃSTWO XXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX / (XX) XXXXX X XXXX DE XXXXXXX XX PARCERIA/ (XX) LOCUL ȘX ȚXXX ÎXXXXXXXXĂXXX ACTULUI/ (XX) XXXXXX X XXXX XXXXXXXXX REGISTROVANÉHO XXXXXXXXXXX/ (SL) XXXX XX XXXXXX REGISTRACIJE XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX REKISTERÖINTIPAIKKA XX -XXX/ (SV) ORT XXX XXXX XÄX XXXXX XXXXXXXXXXXXX

5.

(XX) ПАРТНЬОР А/ (XX) XXXXXXX X/ (CZ) PARTNER/PARTNERKA X/ (XX) XXXXXXX X/ (XX) XXXXXXX X/ (XX) XXXXXXX X/ (XX) ΣΥΝΤΡΟΦΟΣ Α/ (XX) XXXXXXX X/ (XX) XXXXXXXXXX X/ (XX) PÁIRTNÉIR X/ (HR) XXXXXXX X/ (XX) PARTNER X/ (XX) XXXXXXXXX X/ (XX) XXXXXXXXX X/ (XX) „X” XXXXXXXXX/ (MT) XXXĦXX X/ (NL) XXXXXXX X/ (XX) XXXXXXX X/ (XX) XXXXXXXX X/ (XX) XXXXXXXXXX X/ (XX) XXXXXXX X/ (XX) PARTNER X/ (FI) XXXXXXXX X/ (SV) PARTNER X

5.1

(XX) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (XX) XXXXXXXX(X) XX NACIMIENTO/ (XX) XXXXX/X PŘÍJMENÍ/ (XX) EFTERNAVN(E) XXX XØXXXXX/ (DE) XXXXXXXXXXXX(X) XXX XXX GEBURT/ (XX) SÜNNIJÄRGNE XXXXXXXXXXXXX (XÜXXXXÄXXXXX XXXXXXXXXXXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (XX) XXXXXXX(X) XX XXXXX/ (XX) XXX(X) À XX XXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) BREITHE/ (XX) XXXXXXX(XX) XXX ROĐENJU/ (XX) COGNOME/I XXXX XXXXXXX/ (LV) XXXĀXXX(-X) XXXXXXXXX XXĪXĪ/ (XX) XXXXXXĖ (-ĖX), XXXXXXXX (-XX) XXXXX/ (HU) XXÜXXXXXX XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) MAT-TWELID/ (XX) XXXXXXXX(X)X(XX) XXX XX GEBOORTE/ (PL) XXXXXXXX(-X) XXXXXX/ (XX) XXXXXXX(X) À XXXX XX XXXXXXXXXX/ (RO) XXXXXX LA XXȘXXXX/ (XX) XXXXX XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX XX XXXXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXXXÄXXXXXXXÄ/ (XX) XXXXXXXXX VID XÖXXXXX

5.2

(XX) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ АКТА/ (XX) XXXXXXXX(X) XXXXX XX LA XXXXXXXXXXX/ (XX) XXXXXXXX XXXX UZAVŘENÍM XXXXXXXXXXXXXX XXXXXXXXXXX/ (DA) XXXXXXXXX(X) XØX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX(X) VOR DER XXXXXXXXXX DER XXXXXXXXXXXXX/ (XX) PEREKONNANIMI (-XXXXX) XXXX XXXXXXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΑΠΟ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (XX) XXXXXXX(X) BEFORE XXX ACT/ (FR) XXX(X) XXXXX L'ACTE/ (XX) XXXXXXX (XXXXXXXX) XXXXX XX xXXXXXX/ (XX) XXXXXXX(XX) XXXXX XXXXXXXXXXXXX XXXXXXXXXXX/ (IT) XXXXXXX/X XXXXX XXXX'XXXX/ (XX) XXXĀXXX(-X) XXXXX XXXX/ (LT) PAVARDĖ (-ĖX) XXXXX XXXXXXXX XXXĄ/ (XX) XXXXXXX XXXX(X) XX ÉLETTÁRSI XXXXXXXXX BEJEGYZÉSE XXŐXX/ (XX) XXXXXX(/XXXXXXXXXXX) XXXXX X-XXX/ (XX) XXXXXXXX(X)X(XX) XXXX XX AKTE/ (XX) NAZWISKO(-A) XXXXX XXXXXXXXXXĄ ZWIĄZKU/ (PT) XXXXXXX(X) XXXXX XX XXX/ (XX) NUMELE ÎXXXXXX DE ÎXXXXXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX(-X) XXXX XXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) PRIIMEK/PRIIMKI XXXX REGISTRACIJO XXXXXXXXXX XXXXXXXXX/ (XX) SUKUNIMI (-XXXXX) XXXXX XXXXXXXXÖXXXXÄ/ (XX) EFTERNAMN XÖXX XXXÅXXXXX

5.3

(XX) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА РЕГИСТРИРАНЕТО НА АКТА/ (XX) XXXXXXXX(X) DESPUÉS DE XX XXXXXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXX(X) XXXXX REGISTRERINGEN/ (XX) XXXXXXXXXXXX(X) XXXX XXX EINTRAGUNG DER XXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXX (-XXXXX) XÄXXXX XXXXXXXXXXXXXXX/ (XX) ΕΠΏΝΥΜΟ(-Α) ΜΕΤΑ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (XX) XXXXXXX(X) XXXXXXXXX XXX XXX/ (FR) XXX(X) À XX XXXXX XX L'ACTE/ (XX) SLOINNE (XXXXXXXX) XXX XXX XX XXXXXX/ (HR) XXXXXXX(XX) XXXXX XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) COGNOME/I XXXX X'XXXX/ (XX) UZVĀRDS(-I) XĒX XXXX/ (XX) XXXXXXĖ (-ĖX) XX XXXX SUDARYMO/ (XX) XXXXXXX NEVE(I) XX XXXXXXXXX XXXXXXXXX BEJEGYZÉSE XXXX/ (XX) XXXXXX(/XXXXXXXXXXX) XXXX L-ATT/ (NL) XXXXXXXX(X)X(XX) NA XX XXXX/ (XX) XXXXXXXX(-X) XX XXXXXXXXXXX XXXĄXXX/ (XX) XXXXXXX(X) XXXX X XXX/ (XX) XXXXXX XXXĂ ÎXXXXXXXXXXXX XXXXXXXXXXXXXXX/ (SK) XXXXXXXXXX(-X) XX XXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (SL) XXXXXXX/XXXXXXX XX REGISTRACIJI XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXX (-XXXXX) REKISTERÖINNIN XÄXXXXX/ (XX) XXXXXXXXX XXXXX XXXÅXXXXX

5.4

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) NOMBRE(S)/ (CZ) XXXXX (XXXXX)/ (DA) XXXXXXX(X)/ (XX) VORNAME(N)/ (XX) EESNIMI (-NIMED)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (EN) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (CÉADAINMNEACHA)/ (XX) XXX(XX)/ (IT) XXXX(X)/ (XX) XĀXXX(-X)/ (XX) VARDAS (-AI)/ (XX) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (NL) XXXXXX(X)X(XX)/ (XX) XXXĘ (IMIONA)/ (XX) XXXX(X) XXXXXXX(X)/ (XX) PRENUME/ (XX) XXXX(-X)/ (XX) IME/IMENA/ (XX) XXXXXXX (-XXXXX)/ (XX) FÖRNAMN

5.5

(BG) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXXX/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (EN) DATE (XX/XX/XXXX) XX BIRTH/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXĐXXXX/ (XX) XXXX XX XXXXXXX (GG/MM/AAAA)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) GIMIMO XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX IDEJE (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXX-XXXXXX/ (XX) GEBOORTEDATUM (XX/XX/XXXX)/ (PL) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX DE XXXXXXXXXX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (DD/MM/RRRR) NARODENIA/ (XX) DATUM (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

5.6

(XX) ПОЛ/ (XX) XXXX/ (CZ) XXXXXXX/ (XX) XØX/ (XX) XXXXXXXXXX/ (ET) XXXX/ (XX) ΦΥΛΟ/ (EN) XXX/ (FR) XXXX/ (XX) XXXXXX/ (XX) XXXX/ (XX) SESSO/ (XX) XXXXXXX/ (XX) XXXXX/ (HU) XXXX/ (XX) SESS/ (XX) XXXXXXXX/ (PL) XŁXĆ/ (XX) SEXO/ (RO) XXXXX/ (XX) POHLAVIE/ (XX) XXXX/ (XX) XXXXXXXXX/ (SV) XÖX

5.6.1

(XX) ЖЕНСКИ/ (XX) MUJER/ (XX) XXXX/ (DA) XXXXXX/ (DE) XXXXXXXX/ (XX) NAISSOOST/ (EL) ΘΗΛΥ/ (EN) FEMALE/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (LV) XXXXXXXX/ (XX) XXXXXXX/ (XX) XŐ/ (MT) XXXX/ (XX) XXXXX/ (XX) KOBIETA/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (SL) XXXXXX/ (XX) NAINEN/ (XX) XXXXXX

5.6.2

(XX) МЪЖКИ/ (XX) VARÓN/ (XX) XXX/ (DA) XXXX/ (XX) MÄNNLICH/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) FIREANN/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) VYRAS/ (XX) XXXXX/ (XX) RAĠEL/ (XX) XXX/ (XX) XĘŻXXXXXX/ (XX) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXX/ (SV) XXX

5.6.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (DE) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (FR) XXXXXXXXXXX/ (GA) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) NENOTEIKTS/ (XX) XXXXXXXXXXX/ (HU) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (NL) XXXXXXXXX/ (XX) PŁEĆ XXXXXXXŚXXXX/ (XX) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (SK) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) MÄÄRITTELEMÄTÖN/ (SV) XX XXXXXXÄXXX

6.

(XX) ПАРТНЬОР X/ (XX) XXXXXXX X/ (XX) PARTNER/PARTNERKA X/ (DA) XXXXXXX X/ (XX) PARTNER X/ (ET) PARTNER X / (XX) ΣΥΝΤΡΟΦΟΣ X/ (XX) XXXXXXX X/ (FR) XXXXXXXXXX B/ (XX) XXXXXXXXX B/ (HR) XXXXXXX B/ (XX) XXXXXXX X/ (XX) XXXXXXXXX X/ (XX) XXXXXXXXX X/ (HU) „X” ÉLETTÁRS/ (MT) XXXĦXX X/ (XX) XXXXXXX X/ (XX) XXXXXXX B/ (XX) XXXXXXXX X/ (XX) XXXXXXXXXX X/ (SK) XXXXXXX X/ (SL) XXXXXXX X/ (FI) XXXXXXXX X/ (XX) XXXXXXX X

7.

(XX) ПОЛЕ ЗА ПОДПИС/ (ES) XXXXXXXX XXXX LA XXXXX/ (XX) XXXX XXX PODPIS/ (DA) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) ALLKIRJALAHTER/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (FR) XXXXX POUR LA XXXXXXXXX/ (XX) XXXXX XXX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) RIQUADRO XXX XX XXXXX/ (XX) XXXXXXXX LAUKS/ (XX) XXXXXX LAUKELIS/ (XX) XX ALÁÍRÁS XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) VAK XXXX XX HANDTEKENING/ (XX) XXXX XXXXXXX/ (PT) XXXXÇX DESTINADO À XXXXXXXXXX/ (XX) SEMNĂTURA/ (XX) KOLÓNKA XX XXXXXX/ (XX) XXXXX XX PODPIS/ (FI) XXXXXXXXXXXXXXXXXXÄ/ (SV) RUTA XÖX XXXXXXXXXXXXXX

7.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) APELLIDO(S) X XXXXXX(X) XXX XXXXXXXXXXX QUE EXPIDIÓ XXXX XXXXXXX/ (XX) XXXXXXXX A XXXXX (XXXXX) ÚŘEDNÍKA, KTERÝ XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXX(X) XX XXXXXXX(X) XÅ DEN XXXXXXXXXX, XXX XXX XXXXXXX DENNE XXXXXXXX/ (XX) XXXXXXXXXXXX(X) UND XXXXXXX(X) DES XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX HAT/ (XX) XÄXXXXXXX VORMI XÄXXXXXXXXX XXXXXXXX XXXXXXX (-XXXXX) XX XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) XXX XXXXXXXX(X) XX XXX OFFICIAL XXX ISSUED XXXX XXXX/ (XX) XXX(X) XX PRÉNOM(S) DU XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXXX CÉADAINM (XXXXXXXXXXXXXX) XX XXXXXXXX X X’XXXXXX AN XXXXXX XXX/ (XX) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX XXXX XX XXXXX OVAJ XXXXXXX/ (XX) COGNOME/I E XXXX/X XXX FUNZIONARIO XXX HA XXXXXXXXXX XX PRESENTE XXXXXX/ (XX) XXXXXXXXXXXX, KURA XXXXXXXX XX XXXXXXXX, XXXĀXXX(-X) XX VĀRDS(-I)/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX PAVARDĖ (-ĖX) XX VARDAS (-XX)/ (XX) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ TISZTVISELŐ XXXXXXX XXXX(X) XX XXXXXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦXXXĠ DIN XX-XXXXXXX/ (XX) XX(X)X(XX) XX XXXXXX(X)X(XX) VAN XX AMBTENAAR XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) X XXXĘ (IMIONA) XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (PT) XXXXXXX(X) X NOME(S) XXXXXXX(X) XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXX ȘX XXXXXXXXX XXXXȚXXXXXXXXX XXXX A XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) A XXXX(-X) XXXXXXXX, KTORÝ XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX/XXXXXXX IN XXX/XXXXX XXXXXXXX, KI XX IZDAL XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXXXXX (-NIMET) JA XXXXXXX (-NIMET)/ (XX) XXXXXXXXX XXX XÖXXXXX XÅ XXX TJÄNSTEMAN XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

7.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX XXXXXXXXXXX QUE XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX ÚŘEDNÍKA, XXXXX XXXXX TENTO XXXXXXXX/ (XX) XXXXXXXX — XXX XXXXXXXXXX, DER XXX XXXXXXX DENNE XXXXXXXX/ (XX) XXXXXXXX XXX BEAMTEN, DER XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (ET) XÄXXXXXXX XXXXX VÄLJASTANUD AMETNIKU XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX XX XXX OFFICIAL XXX ISSUED XXXX XXXX/ (XX) XXXXX XX XXXXXXXXXXXXX XXX X DÉLIVRÉ XX XXXXXXX XXXXXXXXXX/ (XX) XXXX XX XXXXXXXX X D’EISIGH XX XXXXXX XXX/ (HR) XXXXXXXX SLUŽBENIKA XXXX XX XXXXX OVAJ XXXXXXX/ (XX) XXXXXXXXX XXX FUNZIONARIO CHE XX XXXXXXXXXX IL XXXXXXXX MODULO/ (LV) XXXXXXXXXXXX, XXXX IZDEVUSI XX VEIDLAPU, XXXXX/ (XX) ŠIĄ FORMĄ XXXXXXXXX PAREIGŪNO XXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX TISZTVISELŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX XXX DE XXXXXXXXX XXX DIT XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, KTÓRY XXXXŁ XXXXXXXXX FORMULARZ/ (XX) XXXXX DO XXXXXXXXXXX QUE XXXXXX X XXXXXXXX FORMULÁRIO/ (XX) XXXXȚXX FUNCȚIONARULUI XXXX X EMIS XXXXXXXXX XXXXXXXX/ (SK) XXXXXXX ÚRADNÍKA, XXXXX XXXXX XXXXX FORMULÁR/ (XX) XXXXXXX XXXXXXXX, XX JE IZDAL XX OBRAZEC/ (FI) XÄXÄX LOMAKKEEN ANTANEEN XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX FÖR XXX XXÄXXXXXXX SOM HAR XXXÄXXXX DETTA FORMULÄR

7.3

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DATUM (DD/MM/RRRR) XXXXXX/ (XX) UDSTEDELSESDATO (XX/XX/ÅÅÅÅ)/ (XX) AUSSTELLUNGSDATUM (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) DATE (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (JJ/MM/AAAA) XX XXXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) DATA XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (HU) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXX-ĦXXĠ/ (NL) XXXXX (XX/XX/XXXX) VAN XXXXXXX/ (XX) DATA (DD/MM/RRRR) XXXXXXX/ (PT) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXX/ (SL) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX UTFÄRDANDE

7.4

(BG) ПОДПИС/ (XX) XXXXX/ (CZ) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) UNTERSCHRIFT/ (XX) XXXXXXX/ (EL) ΥΠΟΓΡΑΦΗ/ (XX) SIGNATURE/ (XX) XXXXXXXXX/ (GA) XXXXX/ (XX) XXXXXX/ (IT) XXXXX/ (LV) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXX/ (MT) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXX/ (SL) PODPIS/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

7.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (XX) XXXXX XXXX XXXXXXX/ (XX) SEGL XXXXX XXXXXXX/ (XX) SIEGEL XXXX XXXXXXX/ (XX) XXXXXX VÕI XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX STAMP/ (XX) XXXXX XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXX XXX XXXXX/ (XX) BOLLO O XXXXXX/ (LV) XĪXXXX XXX XXXXXXXX/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (XX) PECSÉT XXXX XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX XXX XXXXXX/ (XX) XXXXX OF XXXXXXX/ (XX) PIECZĘĆ XXX XXXXXXX/ (XX) SELO XX XXXXXXX/ (XX) XXXXXXXX SAU ȘXXXXXXX/ (XX) XXXXX ALEBO XXXXXXXX XXXXXXXX/ (SL) XXXXX XXX XXX/ (XX) XXXXXXX TAI XXXXX/ (XX) SIGILL XXXXX XXÄXXXX

ZPŮSOBILOST K XXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX XXX XXXXXXX

Xxxxxx 7 xxxxxxxx Xxxxxxxxxx xxxxxxxxxx x Xxxx (XX) 2016/1191 ze xxx 6. xxxxxxxx 2016 o xxxxxxx xxxxxxx pohybu občanů xxxxxxxxxxxxx xxxxxxxxx na xxxxxxxxxxx některých xxxxxxxxx xxxxxx x Evropské xxxx x o xxxxx xxxxxxxx (XX) x. 1024/2012 (1)

Belgie (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxx (XX)

Xxxxxxxx (EE) Xxxxx (IE)

Řecko (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (HR)

Itálie (IT) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (LU)

Maďarsko (XX) Xxxxx (MT)

Nizozemsko (XX) Rakousko (XX)

Xxxxxx (XX) Xxxxxxxxxxx (PT)

Rumunsko (XX) Xxxxxxxxx (SI)

Slovensko (XX) Finsko (XX)

Xxxxxxx (XX) Spojené xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx xxxxxx xxxxxx vícejazyčného standardního xxxxxxxxx xx xxxxxxxxx xxxxxxxx veřejné xxxxxxx, x xxx xx xxxxxxxx. Xxxxx xxxxxxxx xx xxxx xxxxxxxxx xxxxx nesmí pohybovat xxxx xxxxxxxxxx dokument.

Tento xxxxxxxx xxxxxx xxxxx xxxxxxx listiny, k xxx xx přiložen. Xxxxx, jemuž xx xxxxxxx listina xxxxxxxxxxx, xxxx může x xxxxxxxxx, xxx je xx xxxxxxxx xxx xxxxx xxxxxxxxxx xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx xxxxxxxxx, xxxxx jsou ve xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX ORGÁN

Uveďte xxxxx xxxxxxxxx, které xxxx xxxxxxx ve veřejné xxxxxxx, x xxx xx xxxxxxxx xxxxx xxxxxxxx. (2)

Pokud xxxxxxx xxxxxxx, x xxx xx přiložen xxxxx xxxxxxxx, xxxxxxxxxx xxxxxx xxxxx xxxx xxxxxxxxx, xxxxxx „–“.

1. XXXXX XXXXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (3)

2. XXXXX XXXXXXXXXX VEŘEJNOU XXXXXXX, X XXX JE XXXXXXXX XXXXX FORMULÁŘ

1.1 Xxxxx (4)

3. XXXXXXXXX XXXXXXXX XX XXXXXXX XXXXXXX, K XXX XX XXXXXXXX XXXXX XXXXXXXX

3.1 Xxxxxxx xxxxxx xxxxxxx xxxx úředníkem x xxxxxx xx xxxxx xxxxxx xxxxxxxxx xxxxx

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx xxxxxx soudním xxxxxxxxx

3.1.4 Xxxxxxx vydaná xxxxxxx xxxxxxxxxxxxx („huissier xx xxxxxxx“)

3.1.5 Xxxx (xxxxxxxxx)

(1) Xx. xxxx. L 200, 26.7.2016, s. 1.

(2) Xxx xxxxxxxxxx xxxxx použijte xxxxxxx xxxxx.

(3) Xxxxx „xxxxx“ xx xxxxx vykládat xxxx úřední název xxxxxx vydávajícího formulář.

(4) Xxxxx „xxxxx“ xx xxxxx xxxxxxxx jako xxxxxx xxxxx xxxxxx xxxxxxxxxxxx xxxxxxxx xxxxxxx, x xxx xx xxxxxxxx xxxxx xxxxxxxx.

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Výpis x xxxxxxx

3.2.3 Výpis x xxxxxxxx obyvatel

3.2.4 Xxxx matričních xxxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Úřední osvědčení, xxxxxx xxxx opatřena xxxxxxx podepsaná soukromou xxxxxx

3.5 Xxxxxxx xxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxx nebo xxxxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxx v rámci xxxxxx xxxx služebních xxxxxxxxxx

3.6 Xxxxx (dd/mm/rrrr) xxxxxx

3.7 Referenční číslo xxxxxxx xxxxxxx

4. INFORMACE X XXXXXXX OSOBĚ

4.1 Xxxxxxxx

4.2 Xxxxx (xxxxx)

4.3 Xxxxx (xx/xx/xxxx) narození

4.4 Xxxxx (1) a xxxx (2) xxxxxxxx

4.5 Xxxxxxx:

4.5.1 Xxxx

4.5.2 Xxx

4.5.3 Xxxxxxxx

4.6 Státní xxxxxxxxxxx

5. XX XXXXXXX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX, (3)

5.1 Je xxxxxxx osoba xxxxxxxxx xxxxxxx registrované xxxxxxxxxxx xxxxx xxxxxxxxxxxxxx práva xxxxxxxxx státu, v xxxx je xxxxxxx xxxxxxx vydána.

5.2 Xxxxxxx xxxxx patrně xxxxxxxxxx xxx xxxx jménem xxxxxxxxxxxx xxxxxxxxxxx xxxxx xxxxxxxxxxxxxx práva xxxxxxxxx xxxxx, v xxxx xx xxxxxxx xxxxxxx xxxxxx.

5.3 Neexistuje žádná xxxxx xxxxxxxx, xxx xxxxxxx xxxxx xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxx xxxxxxxxxxxxxx xxxxx xxxxxxxxx xxxxx, x xxxx xx xxxxxxx xxxxxxx xxxxxx.

5.4 Xxxxxxxxxx žádná xxxxx xxxxxxxx registrovaného xxxxxxxxxxx xxxx xxxxxxxx xxxxxx x xxxxx xxxxxxxx partnerem / xxxx xxxxxxx partnerkou xxxxx xxxxxxxxxxxxxx xxxxx xxxxxxxxx státu, x xxxx je veřejná xxxxxxx vydána.

5.5 Xxxxxxxxxx xxxxx xxxxx námitka xxxxx xxxxxxxx xxxxxxxxxxxxxx xxxxxxxxxxx xxxx xxxxxxxx xxxxxx x xxxxx xxxxxxxx xxxxxxxxx / xxxx xxxxxxx xxxxxxxxxx xxxxx vnitrostátního práva xxxxxxxxx xxxxx, v xxxx xx veřejná xxxxxxx xxxxxx.

(1) Xxxxx „xxxxx narození“ xx xxxxxx xxxxx xxxx xxxx města, xxxxxx x xxxxx, kde xx daná xxxxx xxxxxxxx.

(2) Název země x – xxxxx xxxxxxxx – xxx XXX dané země xxxx xxxxxxx „Jiné (xxxxxxxxx)“ je třeba xxxxxx x xxxxxxxxxxx xxxxxxx xx xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxxxxxx, xxxxx je x xxxxxxxxx na xxxxxxx xxxxxxxx x-xxxxxxx.

(3) Lze xxxxxx xxxx možností.

6. XXXXXXXXX O XXXXXXXX XXXXXXXXXX / XXXXXXX XXXXXXXXX XXXXXXX XXXXX

4.1 Xxxxxxxx

4.2 Xxxxx (xxxxx)

4.3 Xxxxx (xx/xx/xxxx) narození

4.4 Xxxxx (1) x xxxx (2) xxxxxxxx

4.5 Xxxxxxx:

4.5.1 Xxxx

4.5.2 Muž

4.5.3 Xxxxxxxx

4.6 Xxxxxx xxxxxxxxxxx

7. XXXX XXX PODPIS

7.1 Xxxxxxxx a xxxxx (xxxxx) xxxxxxxx, xxxxx xxxxx xxxxx xxxxxxxx

7.2 Xxxxxx xxxxxxxx, který xxxxx xxxxx xxxxxxxx

7.3 Xxxxx (dd/mm/rrrr) xxxxxx

7.4 Xxxxxx

7.5 Pečeť nebo xxxxxxx

(1) Xxxxx „xxxxx xxxxxxxx“ xx xxxxxx xxxxx obce xxxx xxxxx, xxxxxx a xxxxx, xxx se xxxx xxxxx xxxxxxxx.

(2) Xxxxx xxxx x – xxxxx xxxxxxxx – xxx XXX xxxx xxxx xxxx xxxxxxx „Jiné (upřesněte)“ xx xxxxx vybrat x xxxxxxxxxxx xxxxxxx xx vzorovém xxxxxxxxxxxx xxxxxxxxxxx xxxxxxxxx, xxxxx xx x dispozici xx xxxxxxx xxxxxxxx x-xxxxxxx.

XXXXXXXXXXX XXXXXX NÁZVŮ XXXXXXXXXXXX POLOŽEK

(ZPŮSOBILOST XX XXXXXX XX XXXXXXXXXXXXXX XXXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) DENNE XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, XXX XXXXXX FORMULAR XXXXXXXXX/ (XX) KÄESOLEVA XXXXX XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX XXXX/ (FR) XXXXXXXX DE DÉLIVRANCE XX XXXXXXX XXXXXXXXXX/ (XX) AN xXXXXXX X XXXXXXXX XX XXXXXX XXX/ (XX) XXXXXX KOJE XXXXXX XXXX XXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXX MODULO/ (XX) XXXXXXXXX IZDEVĒJIESTĀDE/ (XX) XXĄ XXXXĄ XXXXXXXXXX VALDŽIOS INSTITUCIJA/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ EMITTENTI XX' XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX AFGIFTE XXX XXX FORMULIER/ (XX) ORGAN XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (PT) XXXXXXXXXX XXX EMITE X XXXXXXXX FORMULÁRIO/ (XX) XXXXXXXXXXX XXXXXXXĂ X PREZENTULUI FORMULAR/ (XX) XXXXX VYDÁVAJÚCI XXXXX FORMULÁR/ (XX) XXXXX, XX IZDA XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXX XXXÄXXXX FORMULÄRET

1.1

(BG) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) NÁZEV/ (DA) XXXXXXXXXX/ (XX) BEZEICHNUNG/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) DÉNOMINATION/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) PAVADINIMAS/ (HU) XXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (PL) XXXXX/ (XX) DESIGNAÇÃO/ (XX) XXXXXXXX/ (SK) XXXXX/ (SL) XXX/ (XX) NIMI/ (SV) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX EXPIDE XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX ESTE XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX FORMULÁŘ/ (XX) XXX XXXXXXXXX, DER XXX XXXXXXX XXX XXXXXXXXXX XXXXXXXX, SOM XXXXX XXXXXXXX ER XXXXÆXXXX/ (XX) BEHÖRDE, XXX XXX ÖFFENTLICHE XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX IST, XXXXXXXXX/ (ET) XXXXXX, XXX XXXXX VÄLJA XXXXXXX XXXXXXXXX, XXXXXXX XXX VORM XX XXXXXXX/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXX XXXXXXXX XX XXXXX THIS FORM XX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX DOCUMENT PUBLIC XXXXXX EST XXXXX XX PRÉSENT XXXXXXXXXX/ (XX) AN xXXXXXX X EISEOIDH AN XXXXXXXXX XXXXXX LENA XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXX KOJE XXXXXX XXXXX ISPRAVU XXXXX XX XXXX XXXXXXX XXXXXXXX/ (IT) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXXX PUBBLICO XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ VEIDLAPA XX XXXXXXXXXX, IZDEVĒJIESTĀDE/ (LT) XXXXĄXĮ XXXXXXXXĄ, PRIE XXXXX PRIDEDAMA XX XXXXX, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (HU) A XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXXXX XXXXXXXX HATÓSÁG/ (XX) XXXXXXXÀ XXXXXXXXX TAD-DOKUMENT XXXXXXXX XX XXXXĦX XXXX MEHMUŻA DIN XX-XXXXXXX/ (NL) AUTORITEIT XXX XXXXXXX VAN XXX XXXXXXXX DOCUMENT XXXXXXX XXX FORMULIER XX XXXXXXX/ (PL) XXXXX WYDAJĄCY XXXXXXXX XXXĘXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (PT) XXXXXXXXXX XXX XXXXX X XXXXXXXXX XXXXXXX A XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXXX EMITENTĂ X DOCUMENTULUI XXXXXXX XX XXXX ESTE XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, KU XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX IZDA XXXXX LISTINO, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXXXX, XXXX ON XXXXXXX YLEISEN XXXXXXXXXX, XXXXX TÄMÄ XXXXXX XXXXXXÄÄX/ (XX) MYNDIGHET XXX XXXÄXXXX XXX XXXXXXXXXX HANDLING XXXX XXXXXX XXXXX FORMULÄR ÄX BIFOGAT

3.

(BG) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) INFORMACIÓN XXXXXXXX XX XXXXXXXXX XXXXXXX XX QUE XX XXXXXXX ESTE IMPRESO/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXX LISTINY, X NÍŽ XX XXXXXXXX XXXXX XXXXXXXX/ (XX) OPLYSNINGER XXXXØXXXXX XXX OFFENTLIGE DOKUMENT, XXX XXXXX FORMULAR XX XXXXÆXXXX/ (DE) XXXXXXX XXX ÖFFENTLICHEN XXXXXXX, DER XXXXXX XXXXXXXX BEIGEFÜGT IST/ (XX) XXXXX AVALIKU XXXXXXXXX XXXXX, MILLELE XXX XXXX XX XXXXXXX/ (EL) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX RELATING XX XXX XXXXXX XXXXXXXX TO WHICH XXXX FORM XX XXXXXXXX/ (FR) XXXXXXXXXXXX XXXXXXXXX AU XXXXXXXX XXXXXX AUQUEL XXX XXXXX LE XXXXXXX XXXXXXXXXX/ (XX) FAISNÉIS X XXXXXXXXX XXXX XX DOICIMÉAD XXXXXX XXXX BHFUIL XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXX XX XXXXXX NA XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (IT) XXXXXXXXXXXX XXXXXXXX XX DOCUMENTO XXXXXXXX XXX IL XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXXX DOKUMENTU, XXXXX ŠĪ XXXXXXXX XX XXXXXXXXXX/ (LT) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX DOKUMENTU, XXXX XXXXX XXXXXXXXX XX XXXXX/ (XX) A XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (MT) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX MIEGĦU XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) INFORMATIE XXXXXXXXXXX HET XXXXXXXX XXXXXXXX WAARAAN XXX XXXXXXXXX XX GEHECHT/ (XX) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX NINIEJSZY XXXXXXXXX XXXX ZAŁĄCZONY/ (XX) XXXXXXXÇÕXX XXXXXXXXX AO XXXXXXXXX XXXXXXX A XXX O XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX OFICIAL XX CARE ESTE XXXXXX PREZENTUL XXXXXXXX/ (XX) XXXXXXXXXX O XXXXXXXX XXXXXXX, XX XXXXXX JE TENTO XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX V XXXXX X XXXXX XXXXXXX, XX XX XX XXXXXXXX TA XXXXXXX/ (XX) XXXXXX YLEISESTÄ XXXXXXXXXXXX, XXXXX TÄMÄ XXXXXX XXXXXXÄÄX/ (SV) XXXXXXXXXXX XX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX XXXXXXXX XXX XXX AUTORIDAD X XX FUNCIONARIO XXXXXXXXX X XXX XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX NEBO XXXXXXXXX X XXXXXX NA XXXXX XXXXXX ČLENSKÉHO XXXXX/ (DA) DOKUMENT, XXX XX XXXXXXX XX XX XXXXXXXXX XXXXX XX EMBEDSMAND, XXX XX XXXXXXXXXX XXXXXXXX X XX XXXXXXXXXXX/ (XX) XXXXXXX XXXXX BEHÖRDE XXXX XXXXX XXXXXXXXXX XXX XXXXX XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX LIIKMESRIIGI XXXXXXXXX SEOTUD XXXXXXXXXXX XÕX XXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) DOCUMENT XXXXXXXXX XXXX AN XXXXXXXXX XX AN XXXXXXXX XXXXXXXXX WITH XXX XXXXXX OR TRIBUNALS XX A XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXX X'XXX XXXXXXXX XX D'UN XXXXXXXXXXXXX XXXXXXXX X'XXX XXXXXXXXXXX X'XX XXXX MEMBRE/ (XX) DOICIMÉAD A XXXXXXX X XXXXXX XX X XXXXXXXXX X XXXXXX XXXXX XXXX XX XXXX XX CÚIRTEANNA XX XX XXXXX DE XXXXX BALLSTÁIT/ (XX) XXXXXXX KOJU XX XXXXXX XXXXXX XXX XXXXXXXXX XXXX XXXXXX XXXXXXX/ (IT) XXXXXXXXX XXXXXXX DA XX'XXXXXXXÀ X XX XX XXXXXXXXXXX XXXXXXXXXXXX AD XXX DELLE XXXXXXXXXXXXX XX XXX STATO XXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XX XXXĪXXXXXXX XXXXĀX SAISTĪTA XXXXĀXX XXX XXXXXXXXXXX/ (XX) DOKUMENTAS, XXXXXXXX XXXXXXXX XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (HU) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX XXXX HATÓSÁG VAGY XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ XXX XXXXĊXXX LI XXXXXXXX XXXXX XXX-XXXXX XXX XX-XXXXXXXXX XX' XXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX AUTORITEIT XX XXXXXXXXX BEHORENDE XXX XXX RECHTERLIJKE XXXXXXXXX XXX XXX LIDSTAAT/ (XX) XXXXXXXX POCHODZĄCY XX ORGANU XĄXXXXXX XXX XXXĘXXXXX SĄDOWEGO XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX PROVENIENTE DE XXX XXXXXXXXXX XX XX XX FUNCIONÁRIO XXXXXXXXXX XX QUALQUER XXXXXXXÇÃX XX XX XXXXXX-XXXXXX/ (XX) DOCUMENT XXXX XX O XXXXXXXXXX SAU XX XX FUNCȚIONAR XX XX XÂXXĂ INSTANȚELE XXXX XXXX XXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXX XXXXX XXXXXXXXX X XÄXXXX XX XXXX XXXXXXXXX XXXXX/ (XX) LISTINA, XXXXXX X STRANI XXXXXX XXX URADNIKA SODNE XXXXXXX XXXXXX ČLANICE/ (XX) ASIAKIRJA, JONKA XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX EN XXXXXXXXX XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX I XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (XX) ROZHODNUTÍ XXXXX/ (DA) XXXXXXXXXXXØXXXXX/ (XX) GERICHTSENTSCHEIDUNG/ (ET) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) XXXXXXXX XX JUSTICE/ (XX) XXXXXXXX XX gCÚIRT/ (XX) SUDSKA ODLUKA/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) TIESAS LĒMUMS/ (XX) XXXXXX XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) RECHTERLIJKE XXXXXXXXXX/ (XX) ORZECZENIE XĄXXXX/ (XX) XXXXXÃX XXXXXXXX/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) SÚDNE XXXXXXXXXXX/ (XX) SODNA XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX EXPEDIDO XXX XX XXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXX STÁTNÍM XXXXXXXXX/ (XX) XXXXXXXX UDSTEDT XX XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT, XXXXX ON VÄLJA XXXXXX RIIKLIK XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX FROM X PUBLIC XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX MINISTÈRE XXXXXX/ (XX) XXXXXXXXX A XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXX XX IZDALO XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXXXX MINISTERO/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ MINN PROSEKUTUR XXXXXXXX/ (XX) DOCUMENT XXXXXXXXX XXXX XXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (XX) DOCUMENT XXXX XX XX XXXXXXXX/ (SK) LISTINA XXXXXX XXXXXXXXXXXX/ (SL) XXXXXXX, XX JO XXXX DRŽAVNO TOŽILSTVO/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX SOM HÄRRÖR XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXXXX/ (CZ) XXXXXXX XXXXXX VYŠŠÍM XXXXXXX ÚŘEDNÍKEM/ (DA) XXXXXXXX UDSTEDT AF XX XXXXXXXXXXXXXÆX/ (XX) XXXXXXX EINES XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXX XX X XXXXX/ (XX) XXXXXXXX ÉMANANT D'UN XXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXX DE CHUID XXXXXX/ (XX) XXXXXXX XXXX JE XXXXX XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX EMANATO XX XX XXXXXXXXXXX/ (XX) DOKUMENTS, KURU XXXXXXXXXX TIESAS SEKRETĀRS/ (XX) XXXXXX TARNAUTOJO XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ MINN XXĠXXXXXXXX TA' QORTI/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN GRIFFIER/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX UM XXXXXXX XX XXXXXÇX/ (XX) XXXXXXXX XXXX XX XX XXXXXXX XX XXXXXXȚXX/ (SK) LISTINA XXXXXX XXXXXX ÚRADNÍKOM/ (XX) LISTINA, KI XX XXXX XXXXX XXXXXXXXXX/ (FI) TUOMIOISTUIMEN XXXXXXXXX XXXXXX XXXXXXXXX/ (XX) HANDLING SOM XÄXXÖX XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX DE JUSTICE“)/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXX («HUISSIER XX XXXXXXX»)/ (CZ) XXXXXXX XXXXXX SOUDNÍM VYKONAVATELEM („XXXXXXXX XX XXXXXXX“)/ (XX) DOKUMENT XXXXXXX XX XX STÆVNINGSMAND (»XXXXXXXX DE XXXXXXX«)/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX VÄLJA XXXXXX XXXXXXÄXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXXXXXXX FROM X XXXXXXXX OFFICER ('XXXXXXXX XX JUSTICE')/ (XX) DOCUMENT XXXXXXX X'XX XXXXXXXX XX XXXXXXX/ (XX) DOICIMÉAD X XXXXXXX X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX JUSTICE”)/ (XX) XXXXXXX XXXX XX XXXXX SUDSKI OVRŠITELJ (XXXXXXXX DE XXXXXXX)/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXX XXXXXXXXXXX ("HUISSIER DE XXXXXXX")/ (XX) DOKUMENTS, XXXX IZSNIEDZIS TIESAS XXXXXXĪXĀXX (HUISSIER XX XXXXXXX)/ (XX) XXXXXXXXX (XXXXXXXX DE XXXXXXX) XXXXXXXX XXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX JUSTICE”) XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX GERECHTSDEURWAARDER/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX SĄDOWEGO (HUISSIER XX XXXXXXX)/ (PT) XXXXXXXXX PROVENIENTE XX XX XXXXXXÃX XX XXXXXXX («HUISSIER XX XXXXXXX»)/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX XXXXXĂXXXXXX („HUISSIER XX XXXXXXX”)/ (XX) XXXXXXX VYDANÁ XXXXXX XXXXXXXXXXĽXX („HUISSIER DE XXXXXXX“)/ (XX) XXXXXXX, XX XX IZDA XXXXX IZVRŠITELJ („HUISSIER XX JUSTICE“)/ (FI) XXXXXXXXXXXX (”XXXXXXXX XX XXXXXXX”) XXXXXX XXXXXXXXX/ (XX) HANDLING SOM XÄXXÖX FRÅN XX XXÄXXXXXXXXX (HUISSIER DE XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (ES) XXXX (XXXXXXXXXXXXX)/ (XX) XXXX (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (BITTE XXXXXXX)/ (XX) MUU (TÄPSUSTAGE)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) OTHER (XX XX SPECIFIED)/ (XX) XXXXX (À XXXXXXXX)/ (XX) XXXX (XX XXXXX)/ (XX) OSTALO (XXXXXXX)/ (XX) XXXXX (XXXXXXXXX)/ (LV) CITS (XXXXXXĒX)/ (XX) KITA (XXXXXXXX)/ (XX) EGYÉB (XXXXÜX XXXXXXXXXXX)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (PL) XXXX (XXXXXĘ XXXXŚXXĆ)/ (XX) OUTROS (X XXXXXXXXXXX)/ (XX) XXXXX (X SE PRECIZA)/ (XX) INÉ (SPRESNIŤ)/ (XX) XXXXX (XXXXXXX)/ (XX) MUU XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) ANNAN XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (ES) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX SPRÁVNÍM ÚŘADEM/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX EINER XXXXXXXXXXXXXXÖXXX/ (XX) HALDUSDOKUMENT/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) ADMINISTRATIVE DOCUMENT/ (XX) DOCUMENT XXXXXXXXXXXXX/ (XX) DOICIMÉAD XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX ADMINISTRATIVO/ (XX) DOCUMENT ADMINISTRATIV/ (XX) SPRÁVNA XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX ASIAKIRJA/ (XX) XXXXXXXXXXXXX HANDLING

3.2.1

(BG) УДОСТОВЕРЕНИЕ/ (XX) CERTIFICADO/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (DE) XXXXXXXXXXXXX/ (XX) XÕXXX/ (EL) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) CERTIFICATE/ (XX) CERTIFICAT/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (LV) XXXXXXXXĀXXXX/ (LT) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊERTIFIKAT/ (NL) XXXXXXXXXXX/ (PL) ZAŚWIADCZENIE/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (RO) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (FI) TODISTUS/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (ES) XXXXXXXX DEL REGISTRO XXXXX/ (CZ) VÝPIS X XXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (XX) AUSZUG XXX XXX PERSONENSTANDSREGISTER/ (ET) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX XXXXX STATUS XXXXXXXX/ (XX) EXTRAIT XX REGISTRE XX X'XXXX XXXXX/ (XX) XXXXXXX AS AN xXXXX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXX XXXXXX/ (XX) XXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXX XX CIVILSTĀVOKĻA XXXX XXĢXXXXX/ (XX) IŠRAŠAS XX XXXXXXXĖX XŪXXĖX XXXŲ XXXXXXXX/ (XX) XXXXXÖXXXX XXXXXXX/ (MT) XXXXXXX XXX-XXĠXXXXX TAL-ISTAT ĊXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXX XXX DE XXXXXXXXXXX XXXXX/ (XX) ODPIS XXXXXXXX AKTU STANU XXXXXXXXX/ (XX) XXXXXXX XX XXXX XX XXXXXXX CIVIL/ (XX) XXXXXX XXX REGISTRUL XX STARE XXXXXĂ/ (XX) XXXXX X XXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXX XX XXXXXXXX O XXXXXXX XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (SV) UTDRAG XX FOLKBOKFÖRINGEN

3.2.3

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (ES) EXTRACTO XXX XXXXX/ (XX) XXXXX Z REGISTRU XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX THE XXXXXXXXXX XXXXXXXX/ (XX) EXTRAIT XX XXXXXXXX XX XX XXXXXXXXXX/ (GA) XXXXXXX AS XX xXXXX XXXXXX/ (XX) XXXXXXX XX POPISA XXXXXXXXXXXX/ (XX) ESTRATTO XXXXXXXXXX/ (LV) IZRAKSTS XX XXXXĪXXXĀXX REĢISTRA/ (XX) XXXXXXX IŠ XXXXXXXXŲ REGISTRO/ (HU) XXXXXXX X XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX MIR-REĠISTRU XXX-XXXXXXXXXXXX/ (XX) UITTREKSEL XXX XXX XXXXXXXXXXXXXXXXXX/ (PL) XXXXĄX X XXXXXXXX XXXXXŚXX/ (PT) EXTRATO XX XXXXXXX XX XXXXXXÇÃX/ (RO) XXXXXX XXX REGISTRUL XX XXXXXXȚĂ A XXXXXXȚXXX/ (XX) VÝPIS X XXXXXXXX OBYVATEĽOV/ (XX) XXXXXXX XX XXXXXXXX XXXXXXXXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXX/ (XX) UTDRAG UR XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (ES) XXXXX XXXXXXX XX XXXXX XXX XXXXXXXX XXXXX/ (XX) XXXX XXXXXXXXXX ZÁZNAMŮ/ (DA) XXXXXX KOPI XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX COPY XX XXXXX XXXXXX XXXXXXX/ (FR) COPIE XXXXXXXXX X'XXXXX DE X'XXXX XXXXX/ (XX) XXXX XXXXX AR XXXXXX XX XXXXXXX XX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XX XXXXXXXXXX X XXXXXXX STANJU/ (XX) XXXXX XXXXXXXXX XX XXXX DI XXXXX XXXXXX/ (LV) XXXXXXXĀXXXĻX XXXX XXĢXXXXX XXXXXXXX XXXXXXXXXX KOPIJA/ (LT) XXXXXXXĖX BŪKLĖS XXXŲ ĮXXXŲ XXXXXXXĖ KOPIJA/ (XX) XXXXXÖXXXX BEJEGYZÉS XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXX XXX-XXXX TAL-ISTAT ĊIVILI/ (XX) EENSLUIDEND XXXXXXXXX XXX AKTEN XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXÃX XX XXXXX XXXXXXXX XX XX XXXXXXXXX DE XXXX DE REGISTO XXXXX/ (XX) COPIE XXXXXĂ X XXXX XXX XX XXXXX XXXXXĂ/ (SK) DOSLOVNÝ XXXXX XX XXXXXXX X OSOBNOM XXXXX/ (XX) XXXXXXXXX PREPIS XXXXXX X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (SV) XXXXXXXXX AVSKRIFT XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) NOTARIELLE URKUNDE/ (XX) XXXXXXXXXXXXXXXXX/ (EL) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) XXXX XXXXXXX/ (GA) XXXXXX XXXXXXXXXXXX/ (HR) XXXXXXXXXXXXXXXX ISPRAVA/ (IT) XXXX XXXXXXXX/ (XX) XXXXXXĀXX XXXX/ (XX) XXXXXXXXX AKTAS/ (HU) XÖXXXXXXŐX XXXXXX/ (XX) XXX NOTARILI/ (XX) XXXXXXËXX AKTE/ (XX) XXX XXXXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXX NOTARIAL/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXX ASIAKIRJA/ (XX) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (ES) XXXXXXXXXXXXX XXXXXXX XXXXXX XXXXX XX XXXXXXXXX XXXXXXX/ (XX) ÚŘEDNÍ XXXXXXXXX, XXXXXX XXXX XXXXXXXX XXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (DA) XXXXXXXX XÅXXXXXXX XÅ XX XXXXXXXX UNDERTEGNET XX XX XXXXXX X XXXXXX XXXXXXXX XX PRIVATPERSON/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX XXXXX PRIVATURKUNDE/ (ET) XXXXX XXXXX ERAISIKUNA XXXXXXXXXXXXXX DOKUMENDILE XXXXXXXXXX XXXXXXX XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX XXXXXX XX X XXXXXXXX XXXXXX XX X XXXXXX XX XXX OR XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX XX XXXX XXXX SEING PRIVÉ/ (XX) DEIMHNIÚ XXXXXXXXX X XXXXXXXXX XX XXXXXXXXXX XXXX XXXXXX XX DUINE XXX XXXXX XX XXX XXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX XX XXXXXXX XXXX XX OSOBA XXXXXXXXX X PRIVATNOM XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX SU XXX XXXXXXXXX PRIVATA/ (XX) XXXXXĀXX APLIECINĀJUMS XX XXXXXXXXX, KO XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (XX) XXXXXXXŲ XXXXXŲ PASIRAŠYTŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ĊXXXXXXXXX XXXXĊXXXX XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (NL) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXX XXXXXXXXXXX DOOR XXX PERSOON XX XXXX XXXXXXXXXXXX HOEDANIGHEID/ (XX) URZĘDOWE XXŚXXXXXXXXXX XXXXXXXXXXX NA XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ X CHARAKTERZE XXXXXXXXX/ (PT) XXXXXXXÇÃX XXXXXXX INSERTA NUM XXX XX XXXXXXXX XXXXXXX/ (XX) CERTIFICAT XXXXXXX APLICAT XX XX XXXXXXXX SUB XXXXĂXXXĂ XXXXXXĂ/ (SK) XXXXXX XXXXXXXXXX XXXXXXX XX XXXXXXX PODPÍSANEJ XXXXXX KONAJÚCOU AKO XXXXXXXX OSOBA/ (SL) XXXXXX IZJAVA NA XXXXXXX LISTINI/ (FI) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, XXXXX HENKILÖ ON XXXXXXXXXXXXXXXX YKSITYISHENKILÖNÄ/ (XX) XXXXXXXXXX INTYG ANBRINGAT XÅ EN HANDLING XXX XXXXXXXXXXXXX XX XX PRIVATPERSON

3.5

(BG) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX XXX XX AGENTE XXXXXXXXXXX X XXXXXXXX XX UN XXXXXX XXXXXXX XXX XXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX ZÁSTUPCEM XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXXXXX POVINNOSTÍ/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX XX XX XXXXXXXXXXXX XXXXXXXXXXXX ELLER XXXXXXÆXX XXXXÆXXXXXXX/ (XX) VON XXXXX XXXXXXXXXXXXXX ODER XXXXXXXXXXXXXX VERTRETER XXXXX XXXXXXXXXXXXXX IN SEINER XXXXXXXXX XXXXXXXX ERRICHTETE XXXXXXX/ (ET) LIIKMESRIIGI XXXXXXXXXXXXXX XÕX KONSULAARAMETNIKU XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (EN) XXXXXXXX XXXXX XX XX X XXXXXXXXXX XX XXXXXXXX XXXXX XX X MEMBER XXXXX IN XXX XX XXX XXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXX EN XX XXXXXXX XXXXXXXXXX PAR XX XXXXX XXXXXXXXXXXX XX XXXXXXXXXX D'UN XXXX MEMBRE/ (GA) XXXXXXXXX XXXX THARRAINGT XXXX AG XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX XX CHUID XXXXXXXXX XXX XXXXX XX XXX XXXX XXXXXXXXX/ (XX) ISPRAVA XXXX XX X XXXXXXXXX XXXXXXXX XXXXXXXX DIPLOMATSKI XXX XXXXXXXXXX PREDSTAVNIK XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX DA XXXXXX XXXXXXXXXXX X XXXXXXXXX XX XXX XXXXX MEMBRO XXXX'XXXXXXXXX XXXXX XXXX FUNZIONI/ (XX) DOKUMENTS, XXXX, XXXXXX XXXXX XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX PĀRSTĀVIS/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX XX XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX PAGAL XXXXXXXXXX ĮXXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXX DIPLOMÁCIAI VAGY XXXXXXX KÉPVISELŐJE XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXXX XXXX XĠXXX XXXXXXXXXXX XXX XXXXXXXXX XX' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) DOCUMENT XXXXXXXXX XXXX XX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX XXX XXX LIDSTAAT XX ZIJN XXXXXXËXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX CZŁONKOWSKIEGO XXXXŁXXĄXXXX W XXXXXXXXXXX XXXĘXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX UM XXXXXX XXXXXXXXXXX XX XXXXXXXX XX UM XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX DE XĂXXX XX XXXXX XXXXXXXXXX XXX XXXXXXXX XX XXXX XXXX XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (XX) LISTINA XXXXXXXXXX XXXXXXXXXXXXX ZÁSTUPCOM XXXXX XXXXXXXXXXX XXXXXXXXX ČLENSKÉHO XXXXX X RÁMCI XXXXXX XXXX XXXXXXX/ (XX) XXXXXXX, KI XX KOT XXXXXX XXXXX XXXX XXXXXXXXXXX XXX KONZULARNI PREDSTAVNIK XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX EDUSTAJA XXX XXXXXXXXXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (SV) HANDLING XXXXÄXXXX I TJÄNSTEN XX XX XXXXXXXXXXX XXXXX KONSULÄR XXÄXXXXXXX X XX MEDLEMSSTAT

3.6

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) FECHA (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (JJ/MM/AAAA) DE XXXXXXXXXX/ (XX) DÁTA (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (GG/MM/AAAA)/ (LV) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) IŠDAVIMO XXXX (XX/XX/XXXX)/ (XX) A XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) DATA (JJ/XX/SSSS) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) VAN XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (SK) DÁTUM (XX/XX/XXXX) XXXXXXX/ (SL) XXXXX (XX/XX/XXXX) IZDAJE/ (XX) ANTAMISPÄIVÄ (PP/KK/VVVV)/ (XX) DATUM (XX/XX/ÅÅÅÅ) XÖX UTFÄRDANDE

3.7

(BG) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (ES) XXXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (CZ) XXXXXXXXXX XXXXX VEŘEJNÉ XXXXXXX/ (DA) XXX XXXXXXXXXX DOKUMENTS REFERENCENUMMER/ (XX) KENNNUMMER DER ÖXXXXXXXXXXX URKUNDE/ (ET) XXXXXXX DOKUMENDI XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX NUMBER XX XXX XXXXXX XXXXXXXX/ (XX) NUMÉRO XX XXXXXXXXX DU XXXXXXXX XXXXXX/ (GA) XXXXXX THAGARTHA XX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (XX) NUMERO XX XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXĀ DOKUMENTA ATSAUCES XXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXX/ (XX) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXX XX' XXXXXXXXX TAD-DOKUMENT XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX XXXXXXXX/ (XX) NUMER XXXXXXXXXXXX XXXXXXXXX URZĘDOWEGO/ (XX) XXXXXX XX XXXXXÊXXXX DO DOCUMENTO XXXXXXX/ (XX) XXXĂXXX XX XXXXXXXȚĂ XX XXXXXXXXXXXX OFICIAL/ (SK) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXX LISTINE/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (SV) DEN XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX XXXXX/ (DA) XXXXXXXXXXX OM XXX XÅXÆXXXXXX XXXXXX/ (XX) XXXXXXX XXX XXXXXXXXXXXX XXXXXX/ (XX) ASJAOMAST XXXXXX KÄSITLEV XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX ON XXX PERSON CONCERNED/ (XX) XXXXXXXXXXXX SUR XX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXX XXXX XX XXXXX XXXX xXXXXXXXX/ (XX) XXXXXXXXXXX O XXXXXXXX XXXXX/ (XX) INFORMAZIONI XXXXX XXXXXXX INTERESSATA/ (XX) INFORMĀCIJA PAR XXXXXXĪXX PERSONU/ (LT) XXXXXXXXXXX XXXX XXXXXXXXXĄ XXXXXĮ/ (XX) XX XXXXXXXX XXXXXXXXX VONATKOZÓ XXXXXX/ (MT) XXXXXXXXXXXXX XXXX XX-XXXXXXX XXXXĊXXXXXX/ (XX) INFORMATIE XXXX XX XXXXXXXXXX/ (XX) XXXX XXXXX, KTÓREJ XXXXXXX XXXXXXXX/ (PT) XXXXXXXÇÕXX XXXXX X XXXXXX EM CAUSA/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXX XXXXXĂ/ (XX) XXXXXXXXXX X XXXXXXXXX XXXXX/ (XX) XXXXXXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXX/ (SV) UPPGIFTER XX XXX XXXÖXXX XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) APELLIDO(S)/ (XX) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (XX) FAMILIENNAME(N)/ (ET) XXXXXXXXXXXXX (-XXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX(X)/ (XX) XXX(X)/ (XX) XXXXXXX (XXXXXXXX)/ (XX) XXXXXXX(XX)/ (XX) XXXXXXX(X)/ (XX) XXXĀXXX(-X)/ (XX) XXXXXXĖ (-ĖX)/ (XX) XXXXXXX NEVE(I)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (XX) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (PT) XXXXXXX(X)/ (XX) XXXX/ (XX) XXXXXXXXXX(-X)/ (SL) XXXXXXX/XXXXXXX/ (FI) SUKUNIMI (-XXXXX)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) JMÉNO (XXXXX)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (EN) FORENAME(S)/ (XX) PRÉNOM(S)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (XX) XĀXXX(-X)/ (XX) XXXXXX (-AI)/ (XX) XXXXXXX(X)/ (MT) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (XXXXXX)/ (PT) XXXX(X) PRÓPRIO(S)/ (XX) XXXXXXX/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (XX) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) NAROZENÍ/ (DA) XØXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXX/ (GA) DÁTA (XX/XX/XXXX) BREITHE/ (XX) XXXXX (DD/MM/GGGG) XXĐXXXX/ (XX) XXXX DI XXXXXXX (GG/MM/AAAA)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) GIMIMO XXXX (XX/XX/XXXX)/ (XX) SZÜLETÉSI XXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX NASCIMENTO (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXXX/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) FÖDELSEDATUM (XX/XX/ÅÅÅÅ)

4.4

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX Y XXXX XX XXXXXXXXXX/ (CZ) XXXXX X XXXX XXXXXXXX/ (XX) XØXXXXXX XX -LAND/ (XX) XXX XXX XXXX XXX XXXXXX/ (ET) XÜXXXXXXX XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (EN) XXXXX XXX XXXXXXX XX BIRTH/ (XX) XXXX XX XXXX XX XXXXXXXXX/ (XX) XXX XXXX XXX XXXXXXXX/ (XX) MJESTO X XXXXXX XXĐXXXX/ (XX) XXXXX E XXXXX XX XXXXXXX/ (XX) XXXXXXXXX XXXXX XX XXXXXX/ (LT) XXXXXX XXXXX IR XXXXX/ (XX) XXÜXXXXXX XXXXX XX XXXXXXX/ (XX) POST U XXXXXŻ TAT-TWELID/ (XX) XXXXXXXXXXXXXX XX -XXXX/ (XX) XXXXXXX I XXŃXXXX XXXXXXXXX/ (XX) XXXXX X XXXX XX XXXXXXXXXX/ (XX) XXXXX ȘX ȚARA XXȘXXXXX/ (SK) XXXXXX X ŠTÁT NARODENIA/ (XX) XXXX IN XXXXXX XXXXXXX/ (XX) XXXXXXÄXXXXXX XX -MAA/ (XX) FÖDELSEORT XXX -XXXX

4.5

(XX) ПОЛ/ (XX) XXXX/ (CZ) XXXXXXX/ (XX) KØN/ (DE) XXXXXXXXXX/ (ET) SUGU/ (XX) ΦΥΛΟ/ (EN) XXX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXX/ (IT) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (HU) NEME/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (XX) XXXX/ (XX) XXXXX/ (XX) POHLAVIE/ (XX) XXXX/ (XX) XXXXXXXXX/ (XX) XÖX

4.5.1

(XX) ЖЕНСКИ/ (ES) MUJER/ (XX) ŽENA/ (XX) XXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) FEMALE/ (XX) FÉMININ/ (XX) XXXXXXXX/ (HR) ŽENSKI/ (XX) XXXXXXXXX/ (LV) XXXXXXXX/ (LT) XXXXXXX/ (XX) NŐ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) FEMEIESC/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) NAINEN/ (XX) XXXXXX

4.5.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (DA) MAND/ (XX) XÄXXXXXX/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (FR) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) VĪRIETIS/ (XX) XXXXX/ (XX) XXXXX/ (XX) RAĠEL/ (XX) XXX/ (PL) XĘŻXXXXXX/ (PT) MASCULINO/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (SL) XXXXX/ (XX) XXXX/ (XX) XXX

4.5.3

(XX) НЕОПРЕДЕЛЕН/ (ES) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (ET) MÄÄRAMATA/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) UNDETERMINED/ (XX) XXXXXXXXXXX/ (GA) NEAMHCHINNTITHE/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) NENUSTATYTA/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (XX) ONBEPAALD/ (XX) PŁEĆ XXXXXXXŚXXXX/ (XX) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (SL) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (SV) XX XXXXXXÄXXX

4.6

(XX) ГРАЖДАНСТВО/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX PŘÍSLUŠNOST/ (XX) XXXXXXXXXXXX/ (XX) STAATSANGEHÖRIGKEIT/ (XX) XXXXXXXXXXX/ (EL) ΙΘΑΓΕΝΕΙΑ/ (EN) NATIONALITY/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) DRŽAVLJANSTVO/ (XX) XXXXXXXXXXXX/ (LV) XXXXXXXXXXXXĪXX/ (LT) XXXXXXXXĖ/ (XX) ÁLLAMPOLGÁRSÁGA/ (XX) ĊXXXXXXXXXXX/ (NL) NATIONALITEIT/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXĂȚXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (FI) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX

5.

(XX) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XX XXXXXXXXX PÚBLICO XX XXX XX XXXXXXX XXXX XXXXXXX,/ (XX) XX XXXXXXX VEŘEJNÉ XXXXXXX, X NÍŽ XX XXXXXXXX XXXXX XXXXXXXX,/ (DA) X XXXXXXX TIL XXX XXXXXXXXXX DOKUMENT, SOM XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) GEMÄSS XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (ET) XXXXXXXXX XXXXXXXXX XXXXXXXXXXX, XXXXXXX SEE VORM XX XXXXXXX/ (XX) ΣΥΜΦΩΝΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XX XXX XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) X'XXXÈX XX XXXXXXXX PUBLIC XXXXXX XX PRÉSENT XXXXXXXXXX XXX XXXXX/ (XX) XX XXXX XX XXXXXXXXX XXXXXXX XXXX XXXXXX XX FHOIRM XXX XXXXXXXXXX/ (XX) XXXXX XXXXXX XXXXXXX XXXXX XX OVAJ XXXXXXX XXXXXXXX/ (IT) XXXXXXX IL XXXXXXXXX XXXXXXXX CUI XX XXXXXXXX XXXXXX È XXXXXXXX/ (LV) XXXXXŅĀ XX PUBLISKO DOKUMENTU, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (XX) XXXXX XXXXĄXĮ DOKUMENTĄ, XXXX XXXXX XXXXXXXXX XX FORMA/ (HU) X FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXX SZERINT/ (XX) XXXXX ID-DOKUMENT PUBBLIKU XX XXXXĦX HIJA XXXXXŻX DIN IL-FORMOLA/ (XX) XXXXXXX HET XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) Z XXXXXXXXX URZĘDOWEGO, DO XXXXXXX XXŁĄXXXXX XXXX XXXXXXXXX XXXXXXXXX, XXXXXX, ŻX/ (PT) XXXXXXX X XXXXXXXXX PÚBLICO X QUE X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) ÎX XXXXXXXXXXXX XX DOCUMENTUL XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (SK) XXXĽX XXXXXXXX XXXXXXX, XX XXXXXX XX TENTO XXXXXXXX XXXXXXXXX/ (XX) X XXXXXX X XXXXX LISTINO, KI XX XX PRILOŽEN XX XXXXXXX/ (XX) XXX XXXXXXX XXXXXXXXXX XXXXXX, JOHON TÄMÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX FORMULÄR ÄX XXXXXXX

5.1

(XX) СЪОТВЕТНОТО ЛИЦЕ ПРИТЕЖАВА ДЕЕСПОСОБНОСТ ДА ВСТЪПИ В РЕГИСТРИРАНО ПАРТНЬОРСТВО СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) XX XXXXXXXXXX XXXXX CAPACIDAD XXXX XXXXXXXXXXX COMO XXXXXXX XX UNA XXXXX XX HECHO XXX XXXXXXX AL XXXXXXX XXXXXXXX XXX XXXXXX XXXXXXX XX XXXXXXXXXX DEL DOCUMENTO XXXXXXX/ (XX) XX XXXXXXX XXXXX XXXXXXXXX XXXXXXX XXXXXXXXXXXX XXXXXXXXXXX XXXXX XXXXXXXXXXXXXX XXXXX XXXXXXXXX STÁTU, V XXXX JE XXXXXXX XXXXXXX XXXXXX/ (DA) XXX XÅXÆXXXXXX XXXXXX XXX ADGANG TIL XX XXXXX XXXXÅ XXXXXXXXXXX PARTNERSKAB I XXXXXXX XXX XXXXXXXX XXX X DEN XXXXXXXXXXX, HVOR DET XXXXXXXXXX XXXXXXXX ER XXXXXXX/ (DE) XXX XXX XXXXXXXXXXX PERSON XXXX XXX XXXXXXXXXX XXXXX DES XXXXXXXXXXXXXX, XX DEM XXX ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, XXX XÄXXXXXXX, XXXX XXXXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXXX/ (ET) XX XXXXXXXXXX ISIKUL XXXXXXX XXXXXXXXX XÄXXX XXXXXX XXXXXXXXXXXX ÕIGUSE KOHASELT XXXXXXXXXXXXXX XXXXXXXX XXXXXXXX XÕXXX/ (XX) ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΕΧΕΙ ΤΗΝ ΙΚΑΝΟΤΗΤΑ ΣΥΝΑΨΗΣ ΚΑΤΑΧΩΡΙΣΜΕΝΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ/ (EN) THE XXXXXX XXXXXXXXX XXX XXX XXXXXXXX XX XXXXX XXXX A XXXXXXXXXX PARTNERSHIP XXXXX XXX XXXXXXXX XXX XX XXX XXXXXX XXXXX XXXXX THE XXXXXX XXXXXXXX XX XXXXXX/ (XX) LA XXXXXXXX XXXXXXXXX PEUT XXXXXXXX XX XXXXXXXXXXX XXXXXXXXXX EN XXXXX XX XXXXX XXXXXXXX XX X'XXXX MEMBRE XÙ XX XXXXXXXX XXXXXX XXX XXXXXXX/ (XX) TÁ XX XXXXX XXXX xXXXXXXXX XXX XXXXXX DUL X mBUN XXXXXXXXXXXXXX XXXXXXXXXX FAOI DHLÍ XXXXXXXXX AN XXXXXXXXXX XXX xXXXXXXX AN XXXXXXXXX XXXXXX X XXXXXXXX/ (XX) XXXXXXX XXXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXXXXXX XXXXXXXXXXX XXXXX XXXXXXXXXXX XXXXX XXXXXX XXXXXXX X KOJOJ JE XXXXX XXXXXXX XXXXXX/ (XX) XX XXXXXXX XXXXXXXXXXX XXXXXXXX LA XXXXXXXÀ XX XXXXXXXXXXXXX XX'XXXXXX REGISTRATA X XXXXX DEL XXXXXXX XXXXXXXXX XXXXX STATO XXXXXX XXX RILASCIA XX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXĪXĀ XXXXXXX XXĒX STĀTIES XXĢXXXXĒXĀX XXXXXXXXXXXXXĪXĀX XXXXXŅĀ AR XĀX XXXĪXXXXXXX TIESĪBU XXXXXX, XXXĀ XXXXXXXXXX XXXXXXXXX IR IZDOTS/ (XX) XXXXXXXXXXX XXXXX XXX VEIKSNUS SUDARYTI XXXXXXXXXXĄ XXXXXXXXXXĘ XXXXX XXXXXXXĖX NARĖS, XXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (XX) XX XXXXXXXX XXXXXXX X KÖZOKIRAT KIÁLLÍTÁSÁNAK XXXXX XXXXXXXX TAGÁLLAM XXXXXXX XXXX SZERINT XXXXXXXXXX XXXXXXXXX KAPCSOLATOT XXXXXXXXXX/ (MT) IL-PERSUNA XXXXĊXXXXXX GĦANDHA L-KAPAĊITÀ XX TIDĦOL XX XĦXXXXX XXĠXXXXXXX XXĦX XX-XXĠX XXXXXXXXXX XXX-XXXXX XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX PUBBLIKU/ (NL) XXXXX XX XXXXXXXXXX XX XXXXXXXXXXX XX XXX XXXXXXXXXXXXX XXXXXXXXXXXX XXX XX GAAN XX XXXXX VAN XXX XXXXXXXXX XXXXX XXX XX LIDSTAAT XXXX XXX OPENBAAR XXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXX, XXXXXX XXXXXXX DOKUMENT, XXXXXXX XXXXXXŚĆ XX XXXXXXXX XXXXXXXXXXXXXXXX XXXĄXXX PARTNERSKIEGO XX MOCY PRAWA XXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX, X XXXXXX XXX XXXXXXXX XXXĘXXXX ZOSTAŁ XXXXXX/ (XX) X XXXXXX XX XXXXX XXXXXX X XXXXXXXXXX XX XXXXXXXXXXX XXX XXXXXXXX REGISTADA NOS XXXXXX DO XXXXXXX XXXXXXXX DO XXXXXX-XXXXXX XX QUE X XXXXXXXXX XXXXXXX FOI XXXXXXX/ (RO) PERSOANA XXXXXĂ XXX CAPACITATEA XX X ÎNCHEIA XX XXXXXXXXXXX ÎXXXXXXXXXX ÎX CONFORMITATE CU XXXXXXX XXXXXX XX XXXXXXXX MEMBRU ÎX XXXX ESTE XXXX XXXXXXXXXX OFICIAL/ (XX) XXXXXXXX XXXXX JE XXÔXXXXXX XXXXXXXX XXXXXXXXXXXX XXXXXXXXXXX PODĽA VNÚTROŠTÁTNEHO XXXXX ČLENSKÉHO XXXXX, X XXXXXX XX XXXXXXX XXXXXXX XXXXXX/ (XX) XX ZADEVNA XXXXX XXXXXXXX XX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX X SKLADU X XXXXXXXXXXX XXXXXX XXXXXX XXXXXXX, X XXXXXX XX IZDANA XXXXX XXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXÖXXÄ XX XXXXXXXXXX XXXXXXXXÖXXÄ XXXXXXXXX XXX XÄXXXXXXXXXX KANSALLISEN LAINSÄÄDÄNNÖN XXXXXX, XXXXX XXXXXXX XXXXXXXXX XX XXXXXXX/ (XX) XXX XXX XXXÖXXX XXXXXXXX BEHÖRIGHET XXX XXXÅ REGISTRERAT XXXXXXXXXXX ENLIGT DEN XXXXXXXXXX XXXXXXXXXXXXXX X XXX XXXXXXXXXXX DÄR XXX XXXXXXXXXX XXXXXXXXXX XXXÄXXXXXX

5.2

(XX) НЯМА ДАННИ СЪОТВЕТНОТО ЛИЦЕ ДА Е ВСТЪПИЛО В РЕГИСТРИРАНО ПАРТНЬОРСТВО СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) XX XXXXXX EL XXXXXXXX DE NINGUNA XXXXX XX XXXXX X XXXXXX XXX XXXXXXXXXX XXX XXXXXXX XX DERECHO XXXXXXXX XXX ESTADO XXXXXXX XX EXPEDICIÓN DEL XXXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXX PATRNĚ XXXXXXXXXX XXX XXXX XXXXXX XXXXXXXXXXXX XXXXXXXXXXX XXXXX XXXXXXXXXXXXXX XXXXX XXXXXXXXX STÁTU, X XXXX JE XXXXXXX XXXXXXX XXXXXX/ (DA) XXX XÅXÆXXXXXX PERSON XXX IKKE XX XXXX XXXXX REGISTRERET XXXXXXXXXXX XXXØXX XXXXX XXX XXXX X XXXXXXX XXX XXXXXXXX XXX X XXX XXXXXXXXXXX, XXXX XXX XXXXXXXXXX DOKUMENT ER XXXXXXX/ (DE) XXXXXXX XXXX XXXXXXX, XXXX XXX XXXXXXXXXXX XXXXXX XXXXX IHREM XXXXX XXXX EINGETRAGENE PARTNERSCHAFT XXXX XXX XXXXXXXXXX XXXXX XXX MITGLIEDSTAATS, XX XXX DIE ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, XXXXXXXXXXX IST/ (XX) XX XXX XXXXXXXXX ISIKU XXXXX ÜXXXXX XXXXXXX XXXXXXXXX XÄXXX XXXXXX LIIKMESRIIGI ÕXXXXX XXXXXX XXXXXXXXXXXXXX XXXXXXX XXXXXXXX/ (EL) ΔΕΝ ΦΑΙΝΕΤΑΙ ΝΑ ΥΠΑΡΧΕΙ ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΧΕΣΗ ΣΥΜΒΙΩΣΗΣ ΣΤΟ ΟΝΟΜΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ/ (XX) THE XXXXXX XXXXXXXXX XXXXXXX XX XXXX XX XXXXXXXXXX PARTNERSHIP XX XXX XX XXX XXXX XXXXX XXX XXXXXXXX XXX XX XXX MEMBER STATE XXXXX XXX XXXXXX XXXXXXXX IS XXXXXX/ (XX) XX PERSONNE XXXXXXXXX XX SEMBLE XXX XXXXX XXXXXX XX XXXXXXXXXXX XXXXXXXXXX XX XXX XXX XX XXXXX XX XXXXX XXXXXXXX DE X'XXXX MEMBRE XÙ XX XXXXXXXX PUBLIC XXX XXXXXXX/ (GA) XX XXXXXXXXXXX XX XX BHFUIL AN XXXXX LENA xXXXXXXXX XXXXXXXXX X bPÁIRTNÉIREACHT XXXXXXXXXX XXXX XXXX XXXXXXXXX XX XXXXXXXXXX XXX nDÉANTAR AN XXXXXXXXX POIBLÍ X XXXXXXXX/ (XX) XXXX XXXXXXX XX JE XXXXXXX XXXXX POD XXXXXX IMENOM XXXXXXXX XXXXXXXXXXXX XXXXXXXXXXX XXXXX XXXXXXXXXXX PRAVU DRŽAVE XXXXXXX X KOJOJ XX XXXXX XXXXXXX XXXXXX/ (XX) X XXXX XXXXX PERSONA XXXXXXXXXXX XXX XXXXXXX XXXXXXXXX XXXXXX XXXXXX XXXXXXXXXX A XXXXX XXX XXXXXXX XXXXXXXXX XXXXX XXXXX XXXXXX XXX XXXXXXXX IL XXXXXXXXX XXXXXXXX/ (XX) XX XXXXXXĪXĀX XXXXXXXX XĀXXX NAV XXXXĒXXXX XXĢXXXXĒXXX XXXXXXXXXXXXXĪXXX SASKAŅĀ XX XĀX DALĪBVALSTS XXXXĪXX AKTIEM, XXXĀ XXXXXXXXXX XXXXXXXXX IR XXXXXX/ (XX) XXXXXXXXXXX XXXXX SAVO VARDU XĖXX XXXXXĘX XXXXXXXXXXXX XXXXXXXXXXĖX PAGAL VALSTYBĖS XXXĖX, KURIOJE XXXXXXXX XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (XX) XX XXXXXXXX SZEMÉLYNEK X XÖXXXXXXX XXXXXXXXXXXXX HELYE XXXXXXXX XXXXXXXX XXXXXXX XXXX XXXXXXX MEGÁLLAPÍTHATÓAN XXXXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXX/ (MT) XX-XXXXXXX XXXXĊXXXXXX XXXXXX LI XX GĦANDHIEX SĦUBIJA XXĠXXXXXXX F'ISIMHA TAĦT XX-XXĠX NAZZJONALI XXX-XXXXX XXXXXX FEJN XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (XX) XXXXX XX XXXXXXXXXX XXXX XXXXXXXXXXXXX XXXXXXXXXXXX XX ZIJN XX XXXX XXXX XX XXXXX VAN XXX XXXXXXXXX XXXXX VAN XX LIDSTAAT XXXX XXX OPENBAAR XXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXX, KTÓREJ XXXXXXX XXXXXXXX, NIE XXXXXXXXX X XXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXX NA XXXX XXXXX KRAJOWEGO PAŃSTWA XXŁXXXXXXXXXXX, W KTÓRYM XXX DOKUMENT XXXĘXXXX XXXXXŁ XXXXXX/ (XX) XÃX XX AFIGURA XXXXXXX XXXXXXXX XXXXXXXXX XX NOME XX XXXXXX XX XXXXX XXX TERMOS XX XXXXXXX XXXXXXXX XX XXXXXX-XXXXXX EM XXX X DOCUMENTO PÚBLICO XXX XXXXXXX/ (XX) XX XX CUNOAȘTE XXXXXX XXXXXXXXXXX ÎXXXXXXXXXX ÎXXXXXXX XX XXXXXX XXXXXXXXX VIZATE ÎX XXXXXXXXXXXX XX DREPTUL XXXXXX AL XXXXXXXX XXXXXX ÎN XXXX XXXX XXXX DOCUMENTUL XXXXXXX/ (XX) DOTKNUTÁ XXXXX XXXXXX XXXXXXXXXX XXXXXXXXXXXX XXXXXXXXXXX XX XXXXXX XXXX PODĽA XXXXXXXXXXXXXX PRÁVA ČLENSKÉHO XXXXX, V KTOROM XX XXXXXXX XXXXXXX XXXXXX/ (XX) PO XXXXXXXXXXXXXX XXXXXXXX XXXXXXX XXXXX NI X XXXXXXXXXX XXXXXXXXX, XX XX XX REGISTRIRALA X XXXXXX IMENU XX X XXXXXX X XXXXXXXXXXX XXXXXX XXXXXX XXXXXXX, V XXXXXX XX XXXXXX XXXXX XXXXXXX/ (FI) XXXXXXXXXXXX XXXXXXÖX NIMELLE XX OLE XXXXXXXX XXXXXXXXÖXXXÄ XXXXXXXXXXXX XXX XÄXXXXXXXXXX XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, JOSSA YLEINEN XXXXXXXXX ON ANNETTU/ (XX) XÖXXXXXXXX XXX XXXÖXXX PERSONEN XXXX XX XXXÅXX XXXXXXXXXXX XXXXXXXXXXX ENLIGT XXX XXXXXXXXXX XXXXXXXXXXXXXX X XXX XXXXXXXXXXX DÄR XXX XXXXXXXXXX XXXXXXXXXX XXXÄXXXXXX

5.3

(XX) НЕ СА ИЗВЕСТНИ ПРЕЧКИ СЪОТВЕТНОТО ЛИЦЕ ДА ВСТЪПИ В РЕГИСТРИРАНО ПАРТНЬОРСТВО СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) NO HAY XXXXXXXXXX XX NINGÚN XXXXXXXXXXX PARA XXX XX INTERESADO XXXXXXXX XXX XXXXX XX XXXXX XXX ARREGLO XX DERECHO XXXXXXXX XXX XXXXXX XXXXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXX XXXXXXXX, ABY XXXXXXX XXXXX UZAVŘELA XXXXXXXXXXXX XXXXXXXXXXX XXXXX XXXXXXXXXXXXXX XXXXX XXXXXXXXX STÁTU, X NĚMŽ JE XXXXXXX XXXXXXX XXXXXX/ (XX) DER XXXXXXXXXX XXXXX KENDTE XXXXXXXXXX XXX, XX XXX XÅXÆXXXXXX PERSON XXX XXXXÅ XXXXXXXXXXX XXXXXXXXXXX X XXXXXXX XXX XXXXXXXX XXX X XXX MEDLEMSSTAT, XXXX XXX XXXXXXXXXX XXXXXXXX XX XXXXXXX/ (XX) XXX XXXX XXXXXXXXX XXXXXXX, XXX XXX XXXXXXXX XXXXX XXXXXXXXXXXXX XXXXXXXXXXXXX XXXXX XXX XXXXXXXXXXX XXXXXX NACH XXX NATIONALEN RECHT XXX MITGLIEDSTAATS, XX XXX DIE ÖFFENTLICHE XXXXXXX AUSGESTELLT XXXXX, XXXXXXXXXXXXX/ (ET) EI XXX XXXXX XXXXXXX XXXXXXXXX XÄXXX XXXXXX XXXXXXXXXXXX ÕXXXXX KOHASEID XXXXXXXXXX, XXX TAKISTAKSID XXXXXXXXXX XXXXXX XXXXXXXXXXXXXX XXXXXXXX XXXXXX/ (XX) ΔΕΝ ΕΙΝΑΙ ΓΝΩΣΤΟ ΚΑΝΕΝΑ ΚΩΛΥΜΑ ΓΙΑ ΤΗ ΣΥΝΑΨΗ ΚΑΤΑΧΩΡΙΣΜΕΝΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ ΑΠΟ ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΌΣΙΟ ΕΓΓΡΑΦΟ/ (XX) XXXXX XX XX KNOWN XXXXXXXXXX XXX XXX XXXXXX CONCERNED XX XXXXX XXXX X XXXXXXXXXX PARTNERSHIP UNDER XXX NATIONAL XXX XX XXX XXXXXX XXXXX XXXXX THE XXXXXX XXXXXXXX XX XXXXXX/ (FR) XX X'XXXXXX PAS D'EMPÊCHEMENT XXXXX À XX XXXXXXXXXX PAR LA XXXXXXXX XXXXXXXXX X'XX XXXXXXXXXXX ENREGISTRÉ EN XXXXX XX DROIT XXXXXXXX XX L'ÉTAT XXXXXX OÙ LE XXXXXXXX XXXXXX XXX XXXXXXX/ (XX) NÍL XXX XXXX AITHEANTA XXX XX AN XXXXX XXXX mBAINEANN XX XXX X xXXX PÁIRTNÉIREACHT XXXXXXXXXX XXXX DHLÍ XXXXXXXXX XX XXXXXXXXXX XXX xXXXXXXX XX XXXXXXXXX XXXXXX A EISIÚINT/ (XX) XXXX XXXXXXX XXXXXXX XXXX XXXX XXXXXXX XXXXX NE XX XXXXX XXXXXXXX XXXXXXXXXXXX PARTNERSTVO XXXXX XXXXX DRŽAVE XXXXXXX X KOJOJ XX XXXXX XXXXXXX IZDANA/ (XX) XXX XXXX XXXX XXXXXXXXXXX XXXX XXXXXXXXXXXXXX XX XX'XXXXXX XXXXXXXXXX XXXXX PERSONA XXXXXXXXXXX X XXXXX XXX XXXXXXX XXXXXXXXX XXXXX XXXXX XXXXXX XXX RILASCIA XX XXXXXXXXX XXXXXXXX/ (LV) XXX XXXĀXX XXXĀXX XĶĒXXĻX XXXXXXĪXXXXX XXXXXXXX

XXĀXXXX XXĢXXXXĒXĀX XXXXXXXXXXXXXĪXĀX XXXXXŅĀ XX XĀX XXXĪXXXXXXX XXXXĪXX AKTIEM, XXXĀ XXXXXXXXXX XXXXXXXXX XX XXXXXX/ (LT) XĖXX XXXXXŲ KLIŪČIŲ XXXXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXĄ XXXXXXXXXXĘ XXXXX XXXXXXXĖX XXXĖX, XXXXXXX VIEŠASIS XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (HU) NINCS X XÖXXXXXXX XXXXXXXXXXXXX XXXXX XXXXXXXX TAGÁLLAM XXXXXXX XXXX XXXXXXXX, XXXXXX XXXXXXXX ANNAK, XXXX XX XXXXXXXX XXXXXXX BEJEGYZETT ÉLETTÁRSI XXXXXXXXXXX XXXXXXXXXX/ (MT) XX XXXX X-XXXX XXXXXXXXXX XXXĦXXX GĦALL-PERSUNA XXXXĊXXXXXX XXXX TIDĦOL XX SĦUBIJA XXĠXXXXXXX XXĦX XX-XXĠX NAZZJONALI XXX-XXXXX MEMBRU FEJN XXĦXXXĠ ID-DOKUMENT XXXXXXXX/ (XX) XX ER XXXX XXXXXXXXXXX VOOR XX XXXXXXXXX XXXXXXX XX EEN GEREGISTREERD XXXXXXXXXXXX XXX XX XXXX OP XXXXX XXX XXX XXXXXXXXX XXXXX XXX XX XXXXXXXX XXXX HET XXXXXXXX XXXXXXXX WORDT XXXXXXXXX/ (XX) XXX XXXXXXXĄ ZNANE XXXXXXXXXX XXX ZAWARCIA PRZEZ XXXXĘ, KTÓREJ XXXXXXX XXXXXXXX, ZAREJESTROWANEGO ZWIĄZKU XXXXXXXXXXXXX XX MOCY XXXXX XXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX, X XXXXXX XXX XXXXXXXX URZĘDOWY XXXXXŁ XXXXXX/ (PT) XÃX XXXXXX XXXXXXXXXXX XXXXXXXXX X XXX X XXXXXX XX XXXXX ESTABELEÇA UMA XXXXXXXX XXXXXXXXX NOS XXXXXX DO DIREITO XXXXXXXX XX ESTADO-MEMBRO XX QUE X XXXXXXXXX XXXXXXX XXX XXXXXXX/ (XX) XX XX XXXXXX IMPEDIMENTE XX ÎNCHEIEREA XXXXXXXXXXXXXXX ÎXXXXXXXXXX ÎN XXXXXXXXXXXX XX XXXXXXX XXXXXX XX XXXXXXXX XXXXXX ÎX XXXX XXXX XXXX XXXXXXXXXX OFICIAL/ (XX) XXX XX XXXXX XXXXXXXX XXX XXXXXXXX XXXXX XXXXXXXX XXXXXXXXXXXX XXXXXXXXXXX XXXĽX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXXXX XX VEREJNÁ XXXXXXX XXXXXX/ (XX) NI XXXXXXXXXXXX XXXXXXXX, XX XXXXXXX XXXXX XX XX XXXXX REGISTRIRATI XXXXXXXXXX XXXXXXXXX X XXXXXX X XXXXXXXXXXX XXXXXX XXXXXX XXXXXXX, X KATERI XX XXXXXX XXXXX XXXXXXX/ (XX) ASIANOMAISEN HENKILÖN XXXXXXXXÖXXXXXX XXXXXXXXXXXXX XX XXXXXXÄ XXXXXX XXXXXXÄ XXX XÄXXXXXXXXXX XXXXXXXXXXX XXXXXÄÄXÄXXÖX MUKAAN, XXXXX XXXXXXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXX XXX INGA KÄNDA XXXXXX FÖR DEN XXXÖXXX PERSONEN ATT XXXÅ XXXXXXXXXXX XXXXXXXXXXX XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX I XXX XXXXXXXXXXX DÄR XXX XXXXXXXXXX HANDLINGEN XXXÄXXXXXX

5.4

(XX) НЕ СА ИЗВЕСТНИ ПРЕЧКИ ЗА РЕГИСТРИРАНЕТО НА ПАРТНЬОРСТВО МЕЖДУ СЪОТВЕТНОТО ЛИЦЕ И НЕГОВИЯ БЪДЕЩ ПАРТНЬОР СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) XX HAY XXXXXXXXXX DE NINGÚN XXXXXXXXXXX XXXX XX XXXXXXXX DE XXX XXXXX DE XXXXX XXXXX XX XXXXXXXXXX X XX XXXXXX XXXXXX XX XXXXX XXXXXXXXXX XXX XXXXXXX XX DERECHO XXXXXXXX XXX ESTADO MIEMBRO XX XXXXXXXXXX XXX XXXXXXXXX PÚBLICO/ (XX) XXXXXXXXXX ŽÁDNÁ ZNÁMÁ XXXXXXXX REGISTROVANÉHO PARTNERSTVÍ XXXX XXXXXXXX XXXXXX X JEJÍM XXXXXXXX XXXXXXXXX / JEJÍ XXXXXXX XXXXXXXXXX XXXXX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXX XX VEŘEJNÁ XXXXXXX XXXXXX/ (XX) DER XXXXXXXXXX INGEN KENDTE XXXXXXXXXX FOR ET XXXXXXXXXXX XXXXXXXXXXX XXXXXX XXX PÅGÆLDENDE XXXXXX XX XXXXXX KOMMENDE XXXXXXX X XXXXXXX XXX XXXXXXXX RET X XXX XXXXXXXXXXX, XXXX XXX OFFENTLIGE XXXXXXXX XX XXXXXXX/ (XX) IST XXXX XXXXXXXXX BEKANNT, XXX XXXXX XXXXXXXXXXXXX XXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXX XXXXXX UND IHREM XÜXXXXXXX PARTNER XXXX XXX XXXXXXXXXX RECHT XXX MITGLIEDSTAATS, IN XXX XXX ÖXXXXXXXXXX XXXXXXX AUSGESTELLT XXXXX, XXXXXXXXXXXXX/ (XX) XX XXX TEADA XXXXXXX XXXXXXXXX XÄXXX XXXXXX XXXXXXXXXXXX ÕIGUSE KOHASEID XXXXXXXXXX, XXX TAKISTAKSID XXXXXXXXX XXXXX XX XXXX XXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX KOOSELLU XXXXXXXX/ (XX) ΔΕΝ ΕΙΝΑΙ ΓΝΩΣΤΟ ΚΑΝΕΝΑ ΚΩΛΥΜΑ ΓΙΑ ΤΗ ΣΥΝΑΨΗ ΚΑΤΑΧΩΡΙΣΜΕΝΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ ΜΕΤΑΞΥ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΚΑΙ ΤΟΥ ΜΕΛΛΟΝΤΟΣ Ή ΤΗΣ ΜΕΛΛΟΥΣΑΣ ΣΥΝΤΡΟΦΟΥ ΤΟΥ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΌΣΙΟ ΕΓΓΡΑΦΟ/ (XX) THERE XX NO XXXXX XXXXXXXXXX TO X XXXXXXXXXX XXXXXXXXXXX XXXXXXX XXX XXXXXX CONCERNED XXX XXX OR XXX INTENDED XXXXXXX XXXXX THE XXXXXXXX XXX XX XXX XXXXXX XXXXX WHERE XXX PUBLIC XXXXXXXX XX XXXXXX/ (XX) XX X'XXXXXX PAS X'XXXÊXXXXXXX XXXXX À XX XXXXXXXXXX D'UN XXXXXXXXXXX ENREGISTRÉ ENTRE XX XXXXXXXX CONCERNÉE XX XXX XXXXX XXXXXXXXXX EN VERTU XX DROIT XXXXXXXX XX X'XXXX MEMBRE XÙ XX DOCUMENT XXXXXX EST XXXXXXX/ (XX) XXX XXX XXXX XXXXXXXXX XXX XX XXXXXXXXXXXXXXX XXXXXXXXXX XXXX AN XXXXX XXXX mBAINEANN AGUS X P(H)ÁIRTNÉIR BEARTAITHE XXXX DHLÍ XXXXXXXXX XX XXXXXXXXXX XXX xXXXXXXX XX XXXXXXXXX XXXXXX X XXXXXXXX/ (XX) XXXX XXXXXXX XXXXXXX ZBOG XXXX XXXXXXX OSOBA I XXXXXX BUDUĆI XXXXXXX XX XX XXXXX XXXXXXXX REGISTRIRANO XXXXXXXXXXX XXXXX XXXXXXXXXXX PRAVU XXXXXX XXXXXXX X XXXXX XX JAVNA XXXXXXX XXXXXX/ (XX) XXX XXXX NOTI XXXXXXXXXXX XXXX XXXXXXXXXXXXXX XX UN'UNIONE XXXXXXXXXX XXX XX XXXXXXX XXXXXXXXXXX X XX XXXXXX XXXXXXX X XXXXX XXX XXXXXXX XXXXXXXXX XXXXX XXXXX XXXXXX CHE XXXXXXXX XX XXXXXXXXX PUBBLICO/ (XX) XXX XXXĀXX XXXĀXX ŠĶĒRŠĻI REĢISTRĒTU XXXXXXXXXXXXXĪXX XXXXĒXXXXXX XXXXX XXXXXXĪXX XXXXXXX XX XĀX TOPOŠO XXXXXXXX XXXXXŅĀ XX TĀS XXXĪXXXXXXX XXXXĪXX XXXXXX, XXXĀ XXXXXXXXXX XXXXXXXXX XX IZDOTS/ (XX) XĖXX XXXXXŲ XXXŪXXŲ XXXXXXXXXX ASMENS XX XX BŪSIMO (-XX) XXXXXXXXX (-ĖS) XXXXXXXXXXXX XXXXXXXXXXXX PAGAL XXXXXXXĖX XXXĖX, XXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (XX) NINCS X XÖXXXXXXX XXXXXXXXXXXXX XXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXX XXXXXXXX, XXXXXX AKADÁLYA XXXXX, XXXX XX XXXXXXXX XXXXXXX XX LEENDŐ XXXXXXXXX EGYMÁSSAL BEJEGYZETT XXXXXXXXX XXXXXXXXXXX LÉTESÍTSEN/ (XX) XX HEMM X-XXXX XXXXXXXXXX XXXĦXXX XĦXX XĦXXXXX XXĠXXXXXXX XXXX XX-XXXXXXX XXXXĊXXXXXX X X-XXXĦXX JEW XXXĦXX XXXXX XXXĦXX XXĦX XX-XXĠX XXXXXXXXXX XXX-XXXXX MEMBRU XXXX XXĦXXXĠ ID-DOKUMENT XXXXXXXX/ (XX) XX ER XXXX XXXXXXXXXXX VOOR XXX GEREGISTREERD XXXXXXXXXXXX XXXXXX XX XXXXXXXXXX XX XXXX OF XXXX BEOOGDE XXXXXXX XX XXXXX XXX XXX XXXXXXXXX RECHT XXX XX LIDSTAAT XXXX HET XXXXXXXX XXXXXXXX XXXXX AFGEGEVEN/ (XX) XXX ISTNIEJĄ XXXXX PRZESZKODY DLA XXXXXXXX ZAREJESTROWANEGO XXXĄXXX XXXXXXXXXXXXX PRZEZ OSOBĘ, XXXXXX XXXXXXX DOKU-MENT, X XXXXĄ, X XXXXĄ XXXXXXXX XXX XXXXXXĆ TAKI XXXĄXXX, XX XXXX XXXXX XXXXXXXXX XXŃXXXX

XXŁXXXXXXXXXXX, W XXXXXX XXX DOKUMENT XXXĘXXXX XXXXXŁ XXXXXX/ (XX) XÃX XXXXXX XXXXXÇÃX XXXXXXXXX X XXX X XXXXXX XX XXXXX ESTABELEÇA XXX O(A) XXXXXX(X) XXXXXXXX(X) XXX PARCERIA XXXXXXXXX XXX XXXXXX XX XXXXXXX NACIONAL XX ESTADO-MEMBRO EM XXX X XXXXXXXXX XXXXXXX XXX XXXXXXX/ (XX) XX SE XXXXXȘXX NICIO XXXXXȚXX XX ÎXXXXXXXXX XXXX XXXXXXXXXXX ÎNREGISTRAT ÎXXXX XXXXXXXX XXXXXĂ ȘI XXXXXXXX XXXXXXXX (VIITOAREA XXXXXXXXĂ) ÎX CONFORMITATE XX XXXXXXX INTERN XX XXXXXXXX XXXXXX ÎX XXXX ESTE XXXX XXXXXXXXXX OFICIAL/ (XX) NIE JE XXXXX NÁMIETKA XXXX XXXXXXXXXXXXXX XXXXXXXXXXX MEDZI XXXXXXXXX XXXXXX X XXX XXXXXXXXXXXX PARTNEROM XXXĽX XXXXXXXXXXXXXX XXXXX XXXXXXXXX ŠTÁTU, V XXXXXX XX XXXXXXX XXXXXXX VYDANÁ/ (XX) XX XXXXXXXXXXXXX NASPROTOVANJA, XX XXXXXXX XXXXX XX XXXX XXXXXXXXXX XXXXXXX NE BI XXXXX REGISTRIRATI XXXXXXXXXX XXXXXXXXX X XXXXXX X NACIONALNIM XXXXXX XXXXXX XXXXXXX, V XXXXXX XX IZDANA XXXXX XXXXXXX/ (FI) XXXXXXXXXXXX XXXXXXÖX JA XÄXXX XXXXXXX KUMPPANINSA XÄXXXXÄ XXXXXXXXÖXXXÄ XXXXXXXXXXXX XX OLE XXXXXXXXXXX XXX JÄSENVALTION KANSALLISEN XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX ASIAKIRJA ON XXXXXXX/ (XX) XXXXX XXX XXXX XÄXXX XXXÄXXXXXXXX XXX INGÅENDE XX XXXXXXXXXXX XXXXXXXXXXX XXXXXX DEN XXXÖXXX XXXXXXXX XXX XXXX XXXXX HENNES XXXXXXXX XXXXXXX XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX X XXX XXXXXXXXXXX XÄX XXX XXXXXXXXXX HANDLINGEN XXXÄXXXXXX

6.

(XX) ИНФОРМАЦИЯ ЗА БЪДЕЩИЯ ПАРТНЬОР НА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX XX XXXXXX XXXXXX DE XXXXX REGISTRADA XXX XXXXXXXXXX/ (CZ) XXXXXXXXX X BUDOUCÍM XXXXXXXXXX / BUDOUCÍ XXXXXXXXX XXXXXXX OSOBY/ (XX) XXXXXXXXXXX OM XXX XÅXÆXXXXXX PERSONS KOMMENDE XXXXXXX/ (XX) XXXXXXX XX XXX XÜXXXXXXX XXXXXXX XXX BETREFFENDEN XXXXXX/ (XX) TEAVE XXXXX XXXXX, KELLEGA XXXXXXXXX XXXX XXXXXX XXXXXXXXXXXXXX XXXXXXXX XXXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΜΕΛΛΟΝΤΟΣ Ή ΤΗΣ ΜΕΛΛΟΥΣΑΣ ΣΥΝΤΡΟΦΟΥ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX INTENDED XXXXXXX XX XXX XXXXXX XXXXXXXXX/ (FR) XXXXXXXXXXXX XXX XX XXXXX XXXXXXXXXX XX LA XXXXXXXX CONCERNÉE/ (GA) XXXXXXXX MAIDIR XX XXXXXXXXX XXXXXXXXXX AN XXXXX LENA xXXXXXXXX/ (XX) INFORMACIJE O XXXXĆXX XXXXXXXX XXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXX XXXXXX XXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (XX) INFORMĀCIJA XXX XXXXXXĪXĀX XXXXXXXX XXXXXX XXXXXXXX/ (XX) INFORMACIJA XXXX XXXXXXXXXX XXXXXX XŪXXXĄ PARTNERĮ (-Ę)/ (XX) XX XXXXXXXX XXXXXXX XXXXXŐ XXXXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXĦXX XXX SIEĦBA XXXXX XXX-XXXXXXX XXXXĊXXXXXX/ (XX) XXXXXXXXXX OVER XX XXXXXXX PARTNER XXX XX XXXXXXXXXX/ (XX) XXXX XXXXX, Z XXXXĄ XXXXX, XXXXXX XXXXXXX XXXXXXXX, XXXXXXXX XXXXXXĆ ZAREJESTROWANY ZWIĄZEK XXXXXXXXXX/ (XX) INFORMAÇÕES XXXXX X(X) FUTURO(A) XXXXXXXX(X)XX PESSOA XX XXXXX/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXX XXXXXXXX (XXXXXXXXX PARTENERĂ) XX (X) PERSOANEI XXXXXX/ (XX) XXXXXXXXXX X XXXXXXXXXXXX PARTNEROVI DOTKNUTEJ XXXXX/ (XX) INFORMACIJE X XXXXXXXXXXX XXXXXXXXX XXXXXXX XXXXX/ (FI) XXXXXX XXXXXXXXXXXX HENKILÖN XXXXXXXXX KUMPPANISTA/ (XX) XXXXXXXXX XX XXX XXXÖXXX PERSONENS XXXXXXXX XXXXXXX

7.

(XX) ПОЛЕ ЗА ПОДПИС/ (ES) RECUADRO XXXX XX XXXXX/ (XX) XXXX PRO XXXXXX/ (XX) UNDERSKRIFTSFELT/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (EL) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (EN) XXXXXXXXX XXX/ (FR) CADRE XXXX LA SIGNATURE/ (XX) XXXXX XXX XXXXX/ (HR) XXXXX XX XXXXXX/ (XX) XXXXXXXX XXX XX XXXXX/ (XX) XXXXXXXX XXXXX/ (LT) PARAŠO XXXXXXXX/ (XX) XX XXXXXXX SZÖVEGDOBOZA/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX DE XXXXXXXXXXXX/ (PL) XXXX XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (XX) ALLEKIRJOITUSKENTTÄ/ (XX) XXXX FÖR XXXXXXXXXXXXXX

7.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X XXXXXX(X) XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXX X XXXXX (XXXXX) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXX(X) OG FORNAVN(E) XÅ XXX XXXXXXXXXX, XXX HAR XXXXXXX XXXXX FORMULAR/ (XX) XXXXXXXXXXXX(X) XXX VORNAME(N) XXX BEAMTEN, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (ET) KÄESOLEVA XXXXX VÄLJASTANUD XXXXXXXX XXXXXXX (-NIMED) XX XXXXXXXXXXXXX (-NIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) SURNAME(S) XXX XXXXXXXX(X) XX XXX OFFICIAL XXX XXXXXX THIS FORM/ (XX) NOM(S) ET XXXXXX(X) XX FONCTIONNAIRE XXX X DÉLIVRÉ XX XXXXXXX FORMULAIRE/ (XX) XXXXXXX (XXXXXXXX) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX OIFIGIGH X X’XXXXXX XX FHOIRM XXX/ (HR) PREZIME(NA) X IME(NA) XXXXXXXXXX XXXX XX XXXXX XXXX OBRAZAC/ (IT) XXXXXXX/X X XXXX/X XXX XXXXXXXXXXX CHE XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX VEIDLAPU, XXXĀXXX(-X) XX XĀXXX(-X)/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖX) XX XXXXXX (-XX)/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXX XXXX(X) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX LI ĦXXXĠ XXX XX-XXXXXXX/ (XX) XX(X)X(XX) XX XXXXXX(X)X(XX) XXX XX XXXXXXXXX DIE DIT XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) I XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX WYDAŁ NINIEJSZY XXXXXXXXX/ (XX) XXXXXXX(X) X NOME(S) XXXXXXX(X) XX XXXXXXXXXXX QUE XXXXXX O XXXXXXXX XXXXXXXXXX/ (XX) NUMELE ȘX PRENUMELE XXXXȚXXXXXXXXX XXXX A XXXX XXXXXXXXX FORMULAR/ (XX) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, XXXXX VYDAL XXXXX FORMULÁR/ (XX) XXXXXXX/XXXXXXX XX XXX/XXXXX XXXXXXXX, XX JE XXXXX XX XXXXXXX/ (XX) TÄMÄN LOMAKKEEN XXXXXXXX VIRKAMIEHEN XXXXXXXX (-XXXXX) XX XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX XXX XÖXXXXX PÅ XXX XXÄXXXXXXX SOM XXX UTFÄRDAT XXXXX XXXXXXÄX

7.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) FUNKCE XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (DA) XXXXXXXX — XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX XXX XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX OF XXX XXXXXXXX XXX XXXXXX XXXX FORM/ (XX) POSTE DU XXXXXXXXXXXXX QUI A XXXXXXX LE PRÉSENT XXXXXXXXXX/ (XX) XXXX XX XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (XX) FUNKCIJA XXXXXXXXXX XXXX XX XXXXX OVAJ XXXXXXX/ (XX) POSIZIONE DEL XXXXXXXXXXX XXX HA XXXXXXXXXX IL XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX ŠO XXXXXXXX, XXXXX/ (XX) XXĄ FORMĄ IŠDAVUSIO XXXXXXŪXX PAREIGOS/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX LI ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX XXX XX AMBTENAAR XXX XXX XXXXXXXXX HEEFT XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, KTÓRY XXXXŁ XXXXXXXXX FORMULARZ/ (XX) XXXXX DO FUNCIONÁRIO XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX CARE X XXXX XXXXXXXXX XXXXXXXX/ (SK) FUNKCIA XXXXXXXX, KTORÝ XXXXX XXXXX FORMULÁR/ (XX) XXXXXXX URADNIKA, XX XX XXXXX TA XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX VIRKAMIEHEN XXXXX/ (SV) XXXXXXXXXX XÖX XXX TJÄNSTEMAN XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

7.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) FECHA (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) UDSTEDELSESDATO (XX/XX/ÅÅÅÅ)/ (XX) AUSSTELLUNGSDATUM (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) DE DÉLIVRANCE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) IZDAVANJA/ (XX) XXXX DI RILASCIO (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX DATA (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXX (JJ/XX/SSSS) XXX-ĦXXĠ/ (XX) XXXXX (DD/MM/JJJJ) XXX AFGIFTE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX XXXXXÃX (DD/MM/AAAA)/ (XX) XXXX (XX/XX/XXXX) EMITERII/ (XX) DÁTUM (DD/MM/RRRR) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

7.4

(XX) ПОДПИС/ (XX) XXXXX/ (CZ) XXXXXX/ (XX) XXXXXXXXXXX/ (DE) XXXXXXXXXXXX/ (XX) ALLKIRI/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (IT) FIRMA/ (XX) PARAKSTS/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) FIRMA/ (NL) XXXXXXXXXXXX/ (PL) XXXXXX/ (XX) XXXXXXXXXX/ (RO) XXXXĂXXXX/ (XX) XXXXXX/ (XX) PODPIS/ (FI) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

7.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) SELLO X XXXXXX/ (XX) XXXXX XXXX XXXXXXX/ (DA) XXXX ELLER STEMPEL/ (XX) XXXXXX XXXX XXXXXXX/ (ET) XXXXXX XÕX XXXXXX/ (EL) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX XXXXX/ (FR) XXXXX XX XXXXXX/ (XX) XXXXX NÓ XXXXXX/ (HR) XXX XXX PEČAT/ (IT) XXXXX O XXXXXX/ (XX) XĪXXXX XXX XXXXXXXX/ (XX) SPAUDAS XXXX XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (XX) SIĠILL JEW XXXXXX/ (NL) ZEGEL XX XXXXXXX/ (XX) XXXXXĘĆ XXX XXXXXXX/ (XX) XXXX XX XXXXXXX/ (RO) SIGILIUL XXX ȘXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (XX) PEČAT XXX XXX/ (FI) XXXXXXX TAI XXXXX/ (XX) SIGILL XXXXX XXÄXXXX

STATUS XXXXXXXXXXXXXX XXXXXXXXXXX

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1. XXXXX XXXXXXXXXX TENTO XXXXXXXX

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3. XXXXXXXXX TÝKAJÍCÍ SE XXXXXXX XXXXXXX, X XXX JE XXXXXXXX XXXXX XXXXXXXX

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3.1.2 Listina vydaná xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx vyšším xxxxxxx xxxxxxxxx

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3.1.5 Jiné (xxxxxxxxx)

(1) Xx. xxxx. X 200, 26.7.2016, x. 1.

(2) Při xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx písmo.

(3) Xxxxx „xxxxx“ xx xxxxx xxxxxxxx jako xxxxxx xxxxx xxxxxx xxxxxxxxxxxx xxxxxxxx.

(4) Slovo „xxxxx“ xx xxxxx xxxxxxxx xxxx xxxxxx název xxxxxx xxxxxxxxxxxx xxxxxxxx xxxxxxx, x xxx xx přiložen tento xxxxxxxx.

3.2 Xxxxxxx vydaná xxxxxxxx úřadem

3.2.1 Osvědčení

3.2.2 Xxxxx z matriky

3.2.3 Xxxxx x registru xxxxxxxx

3.2.4 Xxxx xxxxxxxxxx xxxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, kterým byla xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

3.5 Xxxxxxx xxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxx xxxx xxxxxxxxxxx xxxxxxxxx xxxxxxxxx státu v xxxxx xxxxxx xxxx xxxxxxxxxx xxxxxxxxxx

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Referenční xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXX X XXXXXXX XXXXX

4.1 Rodné/á xxxxxxxx

4.2 Xxxxxxxx/x xxxxxxxx

4.3 Xxxxxxxx xxxx xxxxxxxxx registrovaného xxxxxxxxxxx

4.4 Xxxxxxxx xx xxxxxxxx xxxxxxxxxxxxxx xxxxxxxxxxx

4.5 Xxxxx (xxxxx)

4.6 Datum (xx/xx/xxxx) xxxxxxxx

4.7 Xxxxx (1) a xxxx (2) xxxxxxxx

4.8 Xxxxxxx:

4.8.1 Xxxx

4.8.2 Xxx

4.8.3 Neurčeno

4.9 Xxxxxx příslušnost

5. NA XXXXXXX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX, XX XXXXXXX OSOBA XXXXX STATUS XXXXXXXXXXXXXX XXXXXXXXXXX:

5.1 Xx v xxxxxxxxxxxxx partnerství / Xxxxx (xx/xx/xxxx) registrace xxxxxxxxxxx

5.2 Xxxx v xxxxxxxxxxxxx xxxxxxxxxxx

5.2.1 Nikdy xxxxxx v registrovaném xxxxxxxxxxx

5.2.2 Xxxxxxxxxxxx xxxxxxxxxxx xxxx zrušeno / Xxxxx (dd/mm/yyyy) zrušení xxxxxxxxxxx

5.2.3 Xxxxxxxx partner – xxxxxxxxx / Xxxxx (xx/xx/xxxx) úmrtí xxxxxxxx – xxxxxxxxx

5.3 Xxxxxxxx

6. XXXX XXX XXXXXX

6.1 Xxxxxxxx a xxxxx (xxxxx) úředníka, xxxxx xxxxx tento xxxxxxxx

6.2 Xxxxxx úředníka, xxxxx vydal xxxxx xxxxxxxx

6.3 Xxxxx (dd/mm/rrrr) xxxxxx

6.4 Xxxxxx

6.5 Pečeť xxxx xxxxxxx

(1) Slovy „xxxxx xxxxxxxx“ xx xxxxxx xxxxx xxxx xxxx xxxxx, xxxxxx x kraje, xxx xx xxxx xxxxx xxxxxxxx.

(2) Xxxxx země x – pokud xxxxxxxx – xxx XXX dané země xxxx xxxxxxx „Jiné (xxxxxxxxx)“ xx xxxxx xxxxxx x xxxxxxxxxxx xxxxxxx xx vzorovém xxxxxxxxxxxx xxxxxxxxxxx formuláři, xxxxx xx x xxxxxxxxx xx xxxxxxx xxxxxxxx e-justice.

VÍCEJAZYČNÝ XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX ESTE IMPRESO/ (XX) XXXXX XXXXXXXXXX XXXXX FORMULÁŘ/ (DA) XXXXX FORMULARS UDSTEDENDE XXXXXXXXX/ (XX) XXXÖXXX, XXX DIESES XXXXXXXX XXXXXXXXX/ (XX) KÄESOLEVA XXXXX VÄLJA ANDNUD XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX XXXX/ (XX) XXXXXXXX DE XXXXXXXXXX XX PRÉSENT XXXXXXXXXX/ (GA) XX xXXXXXX X XXXXXXXX XX XXXXXX XXX/ (XX) XXXXXX XXXX XXXXXX XXXX OBRAZAC/ (XX) XXXXXXXÀ XXX XXXXXXXX XX PRESENTE XXXXXX/ (LV) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ XXXXXXXXXX VALDŽIOS XXXXXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX HATÓSÁG/ (XX) XXXXXXXÀ XXXXXXXXX XX' XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX VAN XXX XXXXXXXXX/ (XX) ORGAN XXXXXĄXX NINIEJSZY FORMULARZ/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXX XXXXXXXXXX/ (RO) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX XXXXXXXX/ (SK) ORGÁN XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX, XX XXXX TA XXXXXXX/ (XX) XÄXÄX LOMAKKEEN XXXXXX VIRANOMAINEN/ (SV) XXXXXXXXX XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) BETEGNELSE/ (XX) XXXXXXXXXXX/ (ET) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (EN) XXXXXXXXXXX/ (XX) DÉNOMINATION/ (XX)XXXXXXX/ (XX) NAZIV/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) PAVADINIMAS/ (XX) MEGNEVEZÉS/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXX/ (PT) XXXXXXXÇÃX/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) XXX/ (XX) XXXX/ (XX) NAMN

2.

(BG) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XX DOCUMENTO XXXXXXX XX QUE XX XXXXXXX XXXX XXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXXXXX XXXXXXX, X XXX JE XXXXXXXX XXXXX XXXXXXXX/ (XX) DEN XXXXXXXXX, XXX HAR XXXXXXX XXX OFFENTLIGE XXXXXXXX, XXX XXXXX XXXXXXXX XX VEDHÆFTET/ (XX) XXXÖXXX, XXX DIE ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX FORMULAR XXXXXXÜXX XXX, XXXXXXXXX/ (XX) XXXXXX, XXX ANDIS XÄXXX AVALIKU XXXXXXXXX, XXXXXXX SEE XXXX XX LISATUD/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX ISSUING XXX XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX LE PRÉSENT XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX XX XXXXXXXXX POIBLÍ XXXX BHFUIL AN XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXX XXXXX ISPRAVU XXXXX JE XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX DOCUMENTO PUBBLICO XXX XX XXXXXXXX XXXXXX È ALLEGATO/ (XX) XXXXXXXĀ XXXXXXXXX, XXXXX ŠĪ XXXXXXXX XX PIEVIENOTA, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXXXX KIÁLLÍTÓ XXXXXXX/ (XX) AWTORITÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX LI XXXXĦX HIJA XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX AFGIFTE XXX HET XXXXXXXX XXXXXXXX WAARAAN DIT XXXXXXXXX XX XXXXXXX/ (XX) ORGAN WYDAJĄCY XXXXXXXX XXXĘXXXX, XX XXXXXXX NINIEJSZY XXXXXXXXX XXXX XXŁĄXXXXX/ (PT) XXXXXXXXXX QUE XXXXX X XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXXX XXXXXXX LA CARE XXXX ANEXAT XXXXXXXXX XXXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXXXX LISTINU, XX KTOREJ JE XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXX, KI XXXX JAVNO LISTINO, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXXXX, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, JOHON XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXX XXXXXXXXXX XXXXXXXX XXXX VILKEN DETTA XXXXXXÄX ÄX BIFOGAT

3.

(BG) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX AL XXXXXXXXX XXXXXXX AL QUE XX XXXXXXX ESTE XXXXXXX/ (CZ) XXXXXXXXX XXXXXXXX SE XXXXXXX XXXXXXX, K XXX XX XXXXXXXX TENTO XXXXXXXX/ (DA) OPLYSNINGER XXXXØXXXXX XXX XXXXXXXXXX XXXXXXXX, SOM DENNE XXXXXXXX XX VEDHÆFTET/ (XX) ANGABEN XXX ÖXXXXXXXXXXX XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX XXXXXXX XXXXXXXXX XXXXX, XXXXXXX XXX XXXX XX LISATUD/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX TO XXX XXXXXX DOCUMENT TO XXXXX THIS XXXX XX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX AU XXXXXXXX XXXXXX XXXXXX XXX XXXXX LE XXXXXXX FORMULAIRE/ (GA) XXXXXXXX A XXXXXXXXX XXXX XX XXXXXXXXX XXXXXX LENA BHFUIL XX XXXXXX XXX XXXXXXXXXX/ (HR) XXXXXXXXXXX XXXX SE XXXXXX XX XXXXX XXXXXXX XXXXX XX OVAJ XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXXX CUI XX XXXXXXXX XXXXXX È ALLEGATO/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX DOKUMENTU, XXXX KURIO XXXXXXXXX XX XXXXX/ (XX) X FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXXXX XXXXXXXXX INFORMÁCIÓK/ (XX) INFORMAZZJONI XXXX XX-XXXXXXXX XXXXXXXX LI XXXXĦX XXXX MEHMUŻA XXX IL-FORMOLA/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX WAARAAN XXX XXXXXXXXX IS XXXXXXX/ (PL) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX URZĘDOWEGO, XX XXXXXXX XXXXXXXXX XXXXXXXXX JEST ZAŁĄCZONY/ (XX) XXXXXXXÇÕXX RELATIVAS XX XXXXXXXXX XXXXXXX X QUE O XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (RO) INFORMAȚII XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX CARE XXXX ANEXAT PREZENTUL XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXX XXXXXXX, XX KTOREJ XX XXXXX XXXXXXXX PRIPOJENÝ/ (XX) XXXXXXXXXXX X XXXXX Z XXXXX XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX/ (FI) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ LOMAKE XXXXXXÄÄX/ (XX) XXXXXXXXXXX XX XXX XXXXXXXXXX XXXXXXXX XXXX VILKEN XXXXX XXXXXXÄX ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) DOCUMENTO XXXXXXXX POR XXX XXXXXXXXX X UN XXXXXXXXXXX XXXXXXXXX X XXX XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (CZ) LISTINA XXXXXX XXXXXXX XXXX XXXXXXXXX X XXXXXX XX SOUDY DANÉHO XXXXXXXXX XXXXX/ (XX) XXXXXXXX, XXX ER XXXXXXX XX XX XXXXXXXXX ELLER EN XXXXXXXXXX, DER XX XXXXXXXXXX XXXXXXXX X XX MEDLEMSSTAT/ (XX) XXXXXXX XXXXX BEHÖRDE XXXX EINER XXXXXXXXXX XXX ORGAN XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, MILLE XX XÄXXX XXXXXX XXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXXXX XÕX AMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXX OR XX XXXXXXXX CONNECTED XXXX XXX XXXXXX OR XXXXXXXXX XX A XXXXXX XXXXX/ (XX) XXXXXXXX ÉMANANT D'UNE XXXXXXXX XX X'XX XXXXXXXXXXXXX XXXXXXXX X'XXX XXXXXXXXXXX X'XX XXXX XXXXXX/ (XX) DOICIMÉAD X XXXXXXX X XXXXXX NÓ X XXXXXXXXX X XXXXXX XXXXX XXXX XX XXXX XX XXXXXXXXXX XX LE XXXXX XX CHUID BALLSTÁIT/ (XX) ISPRAVA XXXX XX XXXXXX XXXXXX XXX XXXXXXXXX XXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ O DA XX XXXXXXXXXXX XXXXXXXXXXXX XX UNA XXXXX XXXXXXXXXXXXX XX XXX XXXXX MEMBRO/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XX XXXĪXXXXXXX XXXXĀX XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX XXXXXXXX INSTITUCIJOS XX XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX NARĖS XXXXXXXX XX TRIBUNOLAIS/ (XX) TAGÁLLAMI XXXXXXXXXX XXXXXXXXXXXX ÁLLÓ XXXXXXX XXXX XXXXXXXXXXŐ ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX XXXXXXXÀ XXX XXXXĊXXX XX JKOLLHOM XXXXX XXX-XXXXX JEW XX-XXXXXXXXX XX' XXXX XXXXXX/ (XX) XXXXXXXX AFGEGEVEN XXXX EEN AUTORITEIT XX XXXXXXXXX XXXXXXXXX XXX XXX RECHTERLIJKE XXXXXXXXX VAN XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXX XĄXXXXXX LUB XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX PROVENIENTE XX XXX XXXXXXXXXX XX DE XX XXXXXXXXXXX XXXXXXXXXX XX XXXXXXXX JURISDIÇÃO XX XX XXXXXX-XXXXXX/ (RO) XXXXXXXX XXXX XX X XXXXXXXXXX XXX XX XX XXXXȚXXXXX XX XX LÂNGĂ XXXXXXȚXXX UNUI STAT XXXXXX/ (XX) LISTINA XXXXXX XXXXXXX ALEBO XXXXXXXXX S VÄZBOU XX XXXX ČLENSKÉHO XXXXX/ (XX) XXXXXXX, XXXXXX X STRANI XXXXXX XXX URADNIKA XXXXX OBLASTI DRŽAVE XXXXXXX/ (XX) XXXXXXXXX, XXXXX XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX VIRKAMIES/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN XX XXXXXXXXX XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX DOMSTOLSVÄSENDET X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (ES) XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (DA) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX DECISION/ (FR) XXXXXXXX XX XXXXXXX/ (XX) CINNEADH ÓN xXXXXX/ (XX) XXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (LV) XXXXXX XĒXXXX/ (XX) XXXXXX XXXXXXXXXX/ (HU) BÍRÓSÁGI XXXXXXXXX/ (XX) DEĊIŻJONI XXX-XXXXX/ (XX) RECHTERLIJKE XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (XX) DECISÃO XXXXXXXX/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (SK) SÚDNE XXXXXXXXXXX/ (XX) XXXXX XXXXXXX/ (FI) TUOMIOISTUIMEN XÄÄXÖX/ (SV) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXX/ (CZ) XXXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (DA) DOKUMENT XXXXXXX XX EN XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX STAATSANWALTSCHAFT/ (XX) XXXXXXXX, XXXXX ON XÄXXX XXXXXX XXXXXXX XÜÜXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX EMANATING XXXX X XXXXXX XXXXXXXXXX/ (FR) DOCUMENT XXXXXXX XX XXXXXXÈXX XXXXXX/ (GA) XXXXXXXXX X XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX KOJU XX XXXXXX DRŽAVNO XXXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXX XXX XXXXXXXX XXXXXXXXX/ (XX) DOKUMENTS, KURU XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX DOKUMENTAS/ (XX) ÜXXXXX ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX XXXXXXXXXX PUBBLIKU/ (XX) XXXXXXXX XXXXXXXXX DOOR XXX OPENBAAR XXXXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX XXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXX DE XX XXXXXXXX/ (XX) XXXXXXX VYDANÁ PROKURÁTOROM/ (XX) LISTINA, KI XX IZDA DRŽAVNO XXXXXXXXX/ (XX) VIRALLISEN XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (ES) XXXXXXXXX XXXXXXXX XXX XX SECRETARIO JUDICIAL/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX JUSTITSSEKRETÆR/ (XX) URKUNDE EINES XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX, MILLE XX XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX EMANATING XXXX A XXXXX XX A COURT/ (XX) XXXXXXXX ÉMANANT X'XX XXXXXXXX/ (GA) XXXXXXXXX X XXXXXXX X CHLÉIREACH DE XXXXX XXXXXX/ (HR) XXXXXXX KOJU XX XXXXX XXXXXXXXXX SUDSKE XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (LV) DOKUMENTS, XXXX XXXXXXXXXX TIESAS XXXXXXĀXX/ (XX) TEISMO XXXXXXXXXX IŠDUOTAS DOKUMENTAS/ (XX) XXXXXXXX TISZTVISELŐ XXXXX KIÁLLÍTOTT XXXXXX/ (XX) DOKUMENT MAĦRUĠ XXXX XXĠXXXXXXXX XX' XXXXX/ (NL) XXXXXXXX XXXXXXXXX DOOR EEN XXXXXXXX/ (PL) DOKUMENT XXXXXXXĄXX OD XXXXXXXXXX XĄXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXX XX JUSTIÇA/ (XX) XXXXXXXX EMIS XX UN XXXXXXX XX XXXXXXȚXX/ (XX) XXXXXXX XXXXXX SÚDNYM XXXXXXXXX/ (SL) XXXXXXX, XX XX XXXX XXXXX USLUŽBENEC/ (XX) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXX/ (SV) HANDLING XXX XÄXXÖX XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („HUISSIER XX XXXXXXX“)/ (XX) XXXXXXXXX XXXXXXXX POR UN XXXXXX XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) DOKUMENT XXXXXXX XX XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, MILLE XX XÄXXX XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (XX) DOCUMENT XXXXXXXXX XXXX A XXXXXXXX XXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) DOCUMENT XXXXXXX D'UN XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X OIFIGEACH XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXX XX XXXXX XXXXXX XXXXXXXXX (XXXXXXXX XX XXXXXXX)/ (IT) DOCUMENTO XXXXXXX XX XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (HUISSIER XX JUSTICE)/ (XX) XXXXXXXXX (XXXXXXXX XX XXXXXXX) IŠDUOTAS XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX”) XXXXX XXXXXXXXXX OKIRAT/ (XX) DOKUMENT XXĦXXĠ XXXX UFFIĊJAL ĠUDIZZJARJU ('XXXXXXXX XX JUSTICE')/ (XX) DOCUMENT XXXXXXXXX XXXX XXX XXXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX XXXĘXXXXX XĄXXXXXX (XXXXXXXX DE XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXÃX XX XXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXX DE XX EXECUTOR XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXX, KI JO XXXX XXXXX XXXXXXXXXX („XXXXXXXX XX JUSTICE“)/ (XX) HAASTEMIEHEN (”XXXXXXXX XX XXXXXXX”) XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR FRÅN XX XXÄXXXXXXXXX (XXXXXXXX XX JUSTICE)

3.1.5

(BG) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) OTRO (XXXXXXXXXXXXX)/ (XX) XXXX (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) SONSTIGES (XXXXX XXXXXXX)/ (XX) XXX (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX XX XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (GA) XXXX (XX XXXXX)/ (HR) XXXXXX (XXXXXXX)/ (XX) XXXXX (XXXXXXXXX)/ (XX) XXXX (XXXXXXĒX)/ (XX) XXXX (NURODYTI)/ (XX) XXXXX (KÉRJÜK PONTOSÍTANI)/ (XX) OĦRAJN (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) XXXX (PROSZĘ XXXXŚXXĆ)/ (PT) XXXXXX (X XXXXXXXXXXX)/ (XX) XXXXX (X XX XXXXXXX)/ (XX) XXX (XXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (FI) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (CZ) XXXXXXX VYDANÁ SPRÁVNÍM XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (ET) XXXXXXXXXXXXXX/ (EL) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) ADMINISTRATIVE XXXXXXXX/ (FR) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) ADMINISTRATĪVS XXXXXXXXX/ (XX) ADMINISTRACINIS XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) DOKUMENT XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (RO) DOCUMENT XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) UPRAVNA XXXXXXX/ (XX) HALLINNOLLINEN XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) PÅTEGNING/ (XX) XXXXXXXXXXXXX/ (XX) TÕEND/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) DEIMHNIÚ/ (XX) XXXXXXX/ (IT) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (LT) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (MT) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (PL) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (SK) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (SV) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX DEL XXXXXXXX XXXXX/ (CZ) XXXXX X MATRIKY/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX XXX DEM PERSONENSTANDSREGISTER/ (XX) XXXXXXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (EN) XXXXXXX XXXX XXX XXXXX XXXXXX XXXXXXXX/ (FR) XXXXXXX XX REGISTRE XX X'XXXX XXXXX/ (XX) SLIOCHT AS XX gCLÁR XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXX XXXXXX/ (XX) ESTRATTO XX ATTO XX XXXXX XXXXXX/ (LV) XXXXXXXX XX CIVILSTĀVOKĻA XXXX REĢISTRA/ (XX) XXXXXXX XX XXXXXXXĖX XŪXXĖX XXXŲ XXXXXXXX/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊIVILI/ (NL) XXXXXXXXXX UIT XXX XXXXXXXX VAN DE XXXXXXXXXXX STAND/ (PL) XXXXX XXXXXXXX XXXX XXXXX CYWILNEGO/ (XX) XXXXXXX XX ATOS XX XXXXXXX CIVIL/ (XX) EXTRAS XXX XXXXXXXXX XX XXXXX XXXXXĂ/ (XX) XXXXX X REGISTRA OSOBNÉHO XXXXX/ (XX) IZPISEK XX REGISTRA X XXXXXXX STANJU/ (XX) XÄXXXÖXXXXXXXXXXXX (SIVIILISÄÄTY)/ (XX) XXXXXX UR XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (ES) XXXXXXXX DEL XXXXX/ (XX) VÝPIS X XXXXXXXX XXXXXXXX/ (XX) XXXXXX XXX FOLKEREGISTRET/ (XX) AUSZUG AUS XXX XXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX XXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XX XX POPULATION/ (XX) XXXXXXX XX XX xXXXX XXXXXX/ (XX) XXXXXXX XX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XX XXXXĪXXXĀXX XXĢXXXXX/ (XX) XXXXXXX XX GYVENTOJŲ XXXXXXXX/ (XX) KIVONAT X XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (NL) XXXXXXXXXX XXX HET XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX Z XXXXXXXX XXXXXŚXX/ (PT) XXXXXXX XX XXXXXXX XX XXXXXXÇÃX/ (RO) XXXXXX XXX XXXXXXXXX XX EVIDENȚĂ X XXXXXXȚXXX/ (SK) XXXXX X XXXXXXXX XXXXXXXĽXX/ (XX) XXXXXXX XX XXXXXXXX PREBIVALSTVA/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) UTDRAG XX BEFOLKNINGSREGISTER

3.2.4

(BG) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX XX XXXXX XXX XXXXXXXX XXXXX/ (XX) XXXX MATRIČNÍCH ZÁZNAMŮ/ (XX) XXXXXX XXXX XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (ET) PEREKONNASEISUAKTI XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX XX XXXXX XXXXXX RECORDS/ (FR) XXXXX XXXXXXXXX X'XXXXX XX X'XXXX CIVIL/ (XX) XXXX XXXXX XX XXXXXX XX XXXXXXX XX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX IZ XXXXXXXXXX X XXXXXXX XXXXXX/ (XX) COPIA XXXXXXXXX XX ATTO XX XXXXX XXXXXX/ (LV) XXXXXXXĀXXXĻX XXXX REĢISTRA XXXXXXXX AUTENTISKA XXXXXX/ (XX) XXXXXXXĖX BŪKLĖS XXXŲ ĮRAŠŲ XXXXXXXĖ XXXXXX/ (XX) ANYAKÖNYVI XXXXXXXXX SZÓ XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (NL) XXXXXXXXXXX XXXXXXXXX XXX XXXXX XXX DE BURGERLIJKE XXXXX/ (PL) XXXXX XXXXŁXX AKTU XXXXX XXXXXXXXX/ (XX) XXXXXXÃX XX XXXXX INTEGRAL XX XX XXXXXXXXX XX ATOS DE XXXXXXX CIVIL/ (XX) XXXXX XXXXXĂ A XXXX ACT DE XXXXX XXXXXĂ/ (SK) XXXXXXXX VÝPIS XX XXXXXXX O XXXXXXX XXXXX/ (SL) XXXXXXXXX XXXXXX LISTIN X XXXXXXX STANJU/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX AVSKRIFT XX FOLKBOKFÖRINGSHANDLING

3.3

(BG) НОТАРИАЛЕН АКТ/ (XX) ACTA XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX/ (ET) NOTARIAALDOKUMENT/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) ATTO NOTARILE/ (XX) XXXXXXĀXX XXXX/ (XX) NOTARINIS XXXXX/ (XX) KÖZJEGYZŐI XXXXXX/ (XX) XXX NOTARILI/ (XX) XXXXXXËXX XXXX/ (XX) XXX XXXXXXXXXX/ (XX) ATO XXXXXXXX/ (XX) XXX NOTARIAL/ (XX) XXXXXXXX LISTINA/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX ANTAMA XXXXXXXXX/ (XX) NOTARIELL XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX XXXXXX SOBRE XX XXXXXXXXX PRIVADO/ (XX) XXXXXX XXXXXXXXX, XXXXXX XXXX XXXXXXXX XXXXXXX XXXXXXXXX XXXXXXXXX OSOBOU/ (XX) OFFICIEL XÅXXXXXXX XÅ XX XXXXXXXX XXXXXXXXXXX XX XX XXXXXX I DENNES XXXXXXXX AF XXXXXXXXXXXX/ (XX) AMTLICHE XXXXXXXXXXXXX XXX EINER PRIVATURKUNDE/ (XX) XXXXX XXXXX XXXXXXXXXX ALLKIRJASTATUD DOKUMENDILE XXXXXXXXXX AMETLIK TÕEND/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (EN) OFFICIAL XXXXXXXXXXX XXXXXX XX X DOCUMENT XXXXXX XX X PERSON XX HIS XX XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX OFFICIELLE XXXXXXX XXX UN XXXX XXXX XXXXX XXXXX/ (XX) DEIMHNIÚ XXXXXXXXX X CHUIRTEAR XX DHOICIMÉAD XXXX XXXXXX XX DUINE XXX CHÁIL XX XXX XXXX PHRÍOBHÁIDEACH/ (XX) SLUŽBENA XXXXXXX XXXXXXXXX NA ISPRAVU XXXX XX XXXXX XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (XX) DICHIARAZIONE XXXXXXXXX XXXXXXX XX XXX XXXXXXXXX XXXXXXX/ (XX) OFICIĀLS APLIECINĀJUMS XX DOKUMENTA, XX XXXĀ VĀRDĀ PARAKSTĪJUSI XĀXX XXXXXXX/ (XX) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) MAGÁNOKIRATON ELHELYEZETT XXXXXXXXX TANÚSÍTVÁNY/ (XX) ĊXXXXXXXXX UFFIĊJALI XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX PERSUNA FIL-KAPAĊITÀ XXXXXXX TAGĦHA/ (NL) XXXXXXXXX XXXXXXXXXXX OP XXX XXXXXXXX ONDERTEKEND XXXX XXX XXXXXXX XX ZIJN XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX UMIESZCZONE XX XXXXXXXXXX PODPISANYM PRZEZ XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX PRYWATNYM/ (PT) XXXXXXXÇÃX XXXXXXX INSERTA XXX XXX XX XXXXXXXX PRIVADA/ (XX) XXXXXXXXXX OFICIAL XXXXXXX XX XX XXXXXXXX XXX SEMNĂTURĂ XXXXXXĂ/ (XX) XXXXXX OSVEDČENIE XXXXXXX XX XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX SÚKROMNÁ XXXXX/ (XX) XXXXXX IZJAVA XX XXXXXXX LISTINI/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, XXXXX XXXXXXÖ XX ALLEKIRJOITTANUT YKSITYISHENKILÖNÄ/ (XX) XXXXXXXXXX XXXXX XXXXXXXXX XÅ XX XXXXXXXX XXX UNDERTECKNATS XX XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX XXX UN XXXXXX DIPLOMÁTICO X XXXXXXXX XX UN XXXXXX XXXXXXX XXX XXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX STÁTU X RÁMCI XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX OFFICIELT XXXÆXXXXXX XX EN XXXXXXXXXXXX DIPLOMATISKE ELLER XXXXXXÆXX XXXXÆXXXXXXX/ (XX) XXX XXXXX XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX MITGLIEDSTAATS IN XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX VÕI XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX KOOSTATUD DOKUMENT/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) DOCUMENT DRAWN XX XX X XXXXXXXXXX XX XXXXXXXX XXXXX XX X XXXXXX XXXXX XX XXX OR XXX XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXX XX XX XXXXXXX OFFICIELLE XXX XX XXXXX XXXXXXXXXXXX OU XXXXXXXXXX X'XX XXXX XXXXXX/ (XX) DOICIMÉAD XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX TAIDHLEOIREACHTA XX XXXXXXXXX XX XXXXX XXXXXXXXX XXX XXXXX XX XXX CÁIL XXXXXXXXX/ (HR) ISPRAVA XXXX XX X XXXXXXXXX SVOJSTVU XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX XXXXXXXXXXX X XXXXXXXXX XX XXX STATO MEMBRO XXXX'XXXXXXXXX DELLE LORO XXXXXXXX/ (XX) XXXXXXXXX, XXXX, PILDOT XXXXX XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX AR XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX XXXXX HIVATALOS XXXŐXXXXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXXX XXXX XĠXXX DIPLOMATIKU XXX XXXXXXXXX XX' XXXX XXXXXX FIL-KAPAĊITÀ XXXXĊXXXX XXXXĦX/ (NL) XXXXXXXX XXXXXXXXX DOOR XX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX VAN EEN XXXXXXXX XX XXXX XXXXXXËXX HOEDANIGHEID/ (XX) XXXXXXXX XXXXXĄXXXXX PRZEZ XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX W XXXXXXXXXXX URZĘDOWYM/ (PT) XXXXXXXXX XXXXXXX POR XX AGENTE XXXXXXXXXXX XX XXXXXXXX XX XX XXXXXX-XXXXXX XX XXXXXXXXX XXX SUAS XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎNTOCMIT XX XĂXXX XX AGENT XXXXXXXXXX XXX XXXXXXXX XX XXXX XXXX XXXXXX, ÎX CALITATE XXXXXXXĂ/ (SK) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXX, XX JO XXX XXXXXX XXXXX IZDA XXXXXXXXXXX ALI XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) ASIAKIRJA, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX EDUSTAJA XXX XXXXXXXXXXXXXXX ON XXXXXXXX VIRANTOIMITUKSESSA/ (XX) XXXXXXXX XXXXÄXXXX X XXÄXXXXX XX XX XXXXXXXXXXX XXXXX XXXXXXÄX XXÄXXXXXXX I XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) VYDÁNÍ/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX KUUPÄEV (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX ISSUE/ (XX) DATE (XX/XX/XXXX) XX DÉLIVRANCE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) DATA XX XXXXXXXX (XX/XX/XXXX)/ (XX) IZDOŠANAS XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) TAL-ĦRUĠ/ (NL) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (PT) XXXX DE EMISSÃO (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (DD/MM/LLLL) XXXXXX/ (FI) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) FÖR XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (ES) XXXXXX XX XXXXXXXXXX XXX XXXXXXXXX PÚBLICO/ (XX) XXXXXXXXXX XXXXX XXXXXXX LISTINY/ (XX) XXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖXXXXXXXXXXX URKUNDE/ (XX) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (EN) REFERENCE XXXXXX XX XXX XXXXXX XXXXXXXX/ (XX) XXXXXX DE XXXXXXXXX XX XXXXXXXX PUBLIC/ (XX) XXXXXX XXXXXXXXX XX DOICIMÉID XXXXXXX/ (XX) REFERENTNI XXXX XXXXX XXXXXXX/ (IT) XXXXXX DI XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX/ (XX) PUBLISKĀ XXXXXXXXX XXXXXXXX NUMURS/ (XX) XXXXXXX DOKUMENTO XXXXXXX/ (XX) X KÖZOKIRAT XXXXXXXXXXX XXXXX/ (MT) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (PT) NÚMERO XX XXXXXÊXXXX DO XXXXXXXXX PÚBLICO/ (XX) XXXĂXXX XX XXXXXXXȚĂ XX DOCUMENTULUI XXXXXXX/ (XX) REFERENČNÉ ČÍSLO XXXXXXXX LISTINY/ (XX) XXXXXXXXXX XXXXXXXX JAVNE XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (SV) XXX OFFICIELLA XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (ES) XXXXXXXXXXX XXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX OSOBĚ/ (XX) OPLYSNINGER XX XXX PÅGÆLDENDE PERSON/ (XX) XXXXXXX XXX XXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXXX ISIKUT XÄXXXXXX XXXXX/ (EL) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX PERSON XXXXXXXXX/ (FR) INFORMATIONS XXX LA PERSONNE XXXXXXXXX/ (XX) XXXXXXXX XXXXXX LEIS XX XXXXX XXXX xXXXXXXXX/ (XX) XXXXXXXXXXX O XXXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXĪXX XXXXXXX/ (XX) XXXXXXXXXXX XXXX XXXXXXXXXĄ XXXXXĮ/ (XX) XX XXXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXX XXXXĊXXXXXX/ (XX) XXXXXXXXXX XXXX DE BETROKKENE/ (XX) XXXX OSOBY, XXXXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÇÕXX SOBRE X XXXXXX XX XXXXX/ (XX) XXXXXXXȚXX XXXXXXX PERSOANA VIZATĂ/ (XX) XXXXXXXXXX O XXXXXXXXX OSOBE/ (XX) XXXXXXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX TIEDOT/ (XX) XXXXXXXXX XX DEN XXXÖXXX PERSONEN

4.1

(BG) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (XX) XXXXXXXX(X) DE XXXXXXXXXX/ (XX) RODNÉ/Á XXXXXXXX/ (XX) EFTERNAVN(E) XXX XØXXXXX/ (DE) XXXXXXXXXXXX(X) XXX XXX XXXXXX/ (ET) XÜXXXXÄXXXX XXXXXXXXXXXXX (XÜXXXXÄXXXXX XXXXXXXXXXXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (XX) XXXXXXX(X) XX BIRTH/ (XX) XXX(X) À XX NAISSANCE/ (XX) XXXXXXX (XXXXXXXX) XXXXXXX/ (XX) XXXXXXX(XX) XXX XXĐXXXX/ (XX) XXXXXXX/X XXXX XXXXXXX/ (XX) XXXĀXXX(-X) XXXXXXXXX XXĪXĪ/ (XX) XXXXXXĖ (-ĖS), XXXXXXXX (-OS) GIMUS/ (XX) XXÜXXXXXX XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) XXX-XXXXXX/ (XX) XXXXXXXX(X)X(XX) XXX XX XXXXXXXX/ (XX) NAZWISKO(-A) XXXXXX/ (XX) XXXXXXX(X) À XXXX DO XXXXXXXXXX/ (XX) XXXXXX XX XXȘXXXX/ (XX) XXXXX XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX XX ROJSTVU/ (FI) XXXXXXXX (-XXXXX) XXXXXXÄXXXXXXXÄ/ (XX) EFTERNAMN XXX XÖXXXXX

4.2

(XX) НАСТОЯЩО(И) ФАМИЛНО(И) ИМЕ(НА)/ (ES) XXXXXXXX(X) XXXXXX(XX)/ (XX) XXXXXXXX/X XXXXXXXX/ (XX) XXXÆXXXXX XXXXXXXXX(X)/ (XX) DERZEITIGE(R) XXXXXXXXXXXX(X)/ (XX) XXXXXXXX XXXXXXXXXXXXX (XXXXXXXXX PEREKONNANIMED)/ (XX) ΤΡΕΧΟΝ(-ΤΑ) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX SURNAME(S)/ (XX) NOM(S) XXXXXX(X)/ (XX) XXXXXXX (XXXXXXXX) XXXXXX/ (XX) XXXXXXXX(-X) XXXXXXX(XX)/ (XX) XXXXXXX/X XXXXXXX/X/ (XX) ESOŠAIS(-IE) XXXĀXXX(-X)/ (XX) XXXXXXXXĖ (-ĖX) XXXXXXĖ (-ĖS)/ (XX) JELENLEGI XXXXXXX XXXX(X)/ (XX) KUNJOM(/KUNJOMIJIET) XXXXXXX/ (XX) XXXXXXX XXXXXXXX(X)X(XX)/ (PL) XXXXXX XXXXXXXX(-X)/ (XX) APELIDO XX XXXXXXXX ATUAIS/ (XX) NUMELE ACTUAL(E)/ (XX) XXXXXXX PRIEZVISKO(-Á)/ (XX) SEDANJI XXXXXXX/XXXXXXX/ (XX) XXXXXXXX XXXXXXXX (XXXXXXXX SUKUNIMET)/ (XX) XXXXXXXXX XXXXXXXXX

4.3

(XX) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ АКТА/ (XX) XXXXXXXX(X) XXXXX XX XX XXXXXXXXXXX/ (XX) PŘÍJMENÍ XXXX XXXXXXXXX XXXXXXXXXXXXXX PARTNERSTVÍ/ (XX) EFTERNAVN(E) XØX XXXXXXXXXXXXXX/ (XX) FAMILIENNAME(N) XXX DER XXXXXXXXXX XXX PARTNERSCHAFT/ (ET) XXXXXXXXXXXXX (-NIMED) ENNE XXXXXXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΑΠΟ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (EN) XXXXXXX(X) BEFORE THE XXX/ (FR) XXX(X) XXXXX X'XXXX/ (XX) XXXXXXX (XXXXXXXX) ROIMH XX nGNÍOMH/ (XX) XXXXXXX(XX) XXXXX XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) COGNOME/I XXXXX DELL'ATTO/ (XX) XXXĀXXX(-X) XXXXX XXXX/ (XX) XXXXXXĖ (-ĖX) XXXXX XXXXXXXX XXXĄ/ (XX) XXXXXXX XXXX(X) XX ÉLETTÁRSI XXXXXXXXX XXXXXXXXXX XXŐXX/ (XX) XXXXXX(/XXXXXXXXXXX) XXXXX X-XXX/ (XX) ACHTERNA(A)M(EN) XXXX XX XXXX/ (XX) XXXXXXXX(-X) XXXXX XXXXXXXXXXĄ XXXĄXXX/ (XX) APELIDO(S) XXXXX XX ATO/ (XX) XXXXXX ÎXXXXXX XX ÎNREGISTRAREA XXXXXXXXXXXXXXX/ (XX) PRIEZVISKO(-Á) XXXX XXXXXXXXX REGISTROVANÉHO XXXXXXXXXXX/ (XX) PRIIMEK/PRIIMKI PRED XXXXXXXXXXXX XXXXXXXXXX SKUPNOSTI/ (XX) SUKUNIMI (-XXXXX) XXXXX XXXXXXXXÖXXXXÄ/ (XX) XXXXXXXXX XÖXX INGÅENDET

4.4

(BG) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА РЕГИСТРИРАНЕТО НА АКТА/ (XX) APELLIDO(S) XXXXXXX XX XX XXXXXXXXXXX/ (XX) XXXXXXXX XX UZAVŘENÍ XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXX(X) XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXXX XXX XXXXXXXXXX XXX PARTNERSCHAFT/ (XX) XXXXXXXXXXXXX (-XXXXX) XÄXXXX XXXXXXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΜΕΤΑ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (XX) XXXXXXX(X) XXXXXXXXX THE XXX/ (XX) XXX(X) À LA XXXXX XX X'XXXX/ (XX) XXXXXXX (SLOINNTE) XXX XXX XX XXXXXX/ (XX) PREZIME(NA) NAKON XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXX/X DOPO X'XXXX/ (XX) XXXĀXXX(-X) XĒX XXXX/ (XX) XXXXXXĖ (-ĖX) PO XXXX XXXXXXXX/ (XX) CSALÁDI XXXX(X) AZ XXXXXXXXX XXXXXXXXX BEJEGYZÉSE UTÁN/ (XX) XXXXXX(/XXXXXXXXXXX) XXXX X-XXX/ (XX) XXXXXXXX(X)X(XX) XX DE AKTE/ (XX) XXXXXXXX(-X) XX XXXXXXXXXXX ZWIĄZKU/ (XX) XXXXXXX(X) XXXX X XXX/ (XX) XXXXXX XXXĂ ÎXXXXXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX(-X) XX XXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX XXXXXXXXXXXX XXXXXXXXXX SKUPNOSTI/ (XX) XXXXXXXX (-XXXXX) XXXXXXXXÖXXXXX XÄXXXXX/ (SV) XXXXXXXXX XXXXX INGÅENDET

4.5

(BG) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (CZ) XXXXX (XXXXX)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (EL) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (HR) XXX(XX)/ (XX) XXXX(X)/ (XX) XĀXXX(-X)/ (XX) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (MT) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (IMIONA)/ (XX) XXXX(X) XXXXXXX(X)/ (XX) XXXXXXX/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (FI) XXXXXXX (-NIMET)/ (XX) XÖXXXXX

4.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) NAROZENÍ/ (DA) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) XÜXXXXXXXÄXX (PP/KK/AAAA)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) DATE (DD/MM/YYYY) XX BIRTH/ (FR) XXXX (JJ/MM/AAAA) DE XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) ROĐENJA/ (XX) DATA DI XXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) GIMIMO XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) TAT-TWELID/ (XX) GEBOORTEDATUM (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) DATA XX NASCIMENTO (DD/MM/AAAA)/ (XX) XXXX (ZZ/LL/AAAA) XXȘXXXXX/ (SK) DÁTUM (XX/XX/XXXX) XXXXXXXXX/ (SL) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.7

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX X XXXX XX XXXXXXXXXX/ (XX) XXXXX X XXXX XXXXXXXX/ (DA) XØXXXXXX XX -XXXX/ (XX) XXX XXX XXXX XXX XXXXXX/ (XX) XÜXXXXXXX XX -RIIK/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX AND COUNTRY XX XXXXX/ (XX) XXXX ET XXXX XX XXXXXXXXX/ (XX) XXX XXXX XXX XXXXXXXX/ (XX) XXXXXX X ZEMLJA XXĐXXXX/ (XX) XXXXX X XXXXX XX XXXXXXX/ (XX) DZIMŠANAS XXXXX XX XXXXXX/ (XX) XXXXXX XXXXX IR XXXXX/ (XX) XXÜXXXXXX XXXXX XX XXXXXXX/ (XX) XXXX U XXXXXŻ XXX-XXXXXX/ (NL) XXXXXXXXXXXXXX XX -XXXX/ (XX) XXXXXXX I XXŃXXXX XXXXXXXXX/ (XX) XXXXX X XXXX XX NASCIMENTO/ (XX) XXXXX ȘX ȚARA XXȘXXXXX/ (XX) XXXXXX X XXXX XXXXXXXXX/ (XX) XXXX IN XXXXXX ROJSTVA/ (FI) XXXXXXÄXXXXXX JA -XXX/ (XX) FÖDELSEORT XXX -XXXX

4.8

(XX) ПОЛ/ (ES) XXXX/ (XX) XXXXXXX/ (XX) XØX/ (XX) XXXXXXXXXX/ (ET) XXXX/ (XX) ΦΥΛΟ/ (EN) XXX/ (FR) XXXX/ (XX) XXXXXX/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (LT) XXXXX/ (HU) NEME/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) PŁEĆ/ (XX) SEXO/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXX/ (XX) XXXXXXXXX/ (SV) XÖX

4.8.1

(XX) ЖЕНСКИ/ (XX) MUJER/ (XX) XXXX/ (XX) XXXXXX/ (DE) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) FEMALE/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) ŽENSKI/ (XX) FEMMINILE/ (XX) XXXXXXXX/ (LT) XXXXXXX/ (XX) XŐ/ (XX) XXXX/ (NL) VROUW/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (RO) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) NAINEN/ (XX) XXXXXX

4.8.2

(XX) МЪЖКИ/ (XX) VARÓN/ (XX) XXX/ (DA) MAND/ (XX) XÄXXXXXX/ (ET) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) MALE/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (IT) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) XXXXX/ (XX) XXXXX/ (XX) XXĠXX/ (XX) XXX/ (XX) XĘŻXXXXXX/ (PT) XXXXXXXXX/ (XX) BĂRBĂTESC/ (XX) XXXXXX/ (XX) MOŠKI/ (XX) MIES/ (XX) XXX

4.8.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) NEURČENO/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (ET) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (GA) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) NENOTEIKTS/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (MT) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

4.9

(XX) ГРАЖДАНСТВО/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) STAATSANGEHÖRIGKEIT/ (XX) KODAKONDSUS/ (XX) ΙΘΑΓΕΝΕΙΑ/ (XX) NATIONALITY/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) DRŽAVLJANSTVO/ (XX) CITTADINANZA/ (XX) XXXXXXXXXXXXĪXX/ (XX) XXXXXXXXĖ/ (XX) ÁLLAMPOLGÁRSÁGA/ (XX) ĊXXXXXXXXXXX/ (NL) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (PT) XXXXXXXXXXXXX/ (XX) CETĂȚENIA/ (XX) XXXXXX PRÍSLUŠNOSŤ/ (XX) DRŽAVLJANSTVO/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX

5.

(XX) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ, ПОЛОЖЕНИЕТО НА РЕГИСТРИРАНО ПАРТНЬОРСТВО НА СЪОТВЕТНОТО ЛИЦЕ Е, КАКТО СЛЕДВА/ (ES) XXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX IMPRESO, XX XXXXXX DEL XXXXXXXXXX XX XX XXX XXXXXXXX X XX CALIDAD XX XXXXXXX XX UNA XXXXX DE XXXXX XXXXXXXXXX ES XX XXXXXXXXX/ (CZ) NA XXXXXXX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX FORMULÁŘ, XX XXXXXXX OSOBA XXXXX XXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (DA) X XXXXXXX TIL XXX XXXXXXXXXX DOKUMENT, XXX XXXXX FORMULAR XX XXXXÆXXXX, XXX XXX XÅXÆXXXXXX PERSON FØLGENDE XXXXXXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXX DER XXXXXXXXXXXXX XXXXXXXXXXXXX XXX BETREFFENDEN XXXXXX XXXÄXX DER ÖXXXXXXXXXXX XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (ET) XXXXXXXXX XXXXXXXXX XXXXXXXXXXX, XXXXXXX XXX XXXX XX XXXXXXX, ON XXXXXXXXXX XXXXXX XÄXXXXXX REGISTREERITUD XXXXXXXXX XXXXXX XXXXXXX/ (XX) ΣΥΜΦΩΝΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ, ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΕΧΕΙ ΤΗΝ ΑΚΟΛΟΥΘΗ ΚΑΤΑΣΤΑΣΗ ΑΠΟ ΑΠΟΨΗ ΚΑΤΑΧΩΡΙΣΜΕΝΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ/ (EN) XXXXXXXXX TO XXX XXXXXX DOCUMENT XX XXXXX XXXX XXXX XX XXXXXXXX, XXX XXXXXX CONCERNED XXX XXX FOLLOWING XXXXXXXXXX XXXXXXXXXXX XXXXXX/ (XX) X'XXXÈX LE XXXXXXXX XXXXXX XXXXXX XX XXXXXXX XXXXXXXXXX EST XXXXX, XX XXXXXX XX XXXXXXXXXXX XXXXXXXXXX XX LA XXXXXXXX XXXXXXXXX EST LE XXXXXXX/ (XX) XX XXXX AN XXXXXXXXX XXXXXXX XXXX BHFUIL XX XXXXXX XXX XXXXXXXXXX, XX XX XXXXXX XXXXXXXXXXXXXXX XXXXXXXXX X LEANAS XX XX DUINE LENA xXXXXXXXX/ (HR) PREMA XXXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX XXXXXX XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXX XXXXX XX XXXXXXĆX/ (XX) XXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX MODULO È XXXXXXXX, XX STATO XX XXXXXX REGISTRATA XXXXX PERSONA XXXXXXXXXXX È IL SEGUENTE/ (XX) XXXXXŅĀ AR XXXXXXXX DOKUMENTU, XXXXX XĪ XXXXXXXX IR XXXXXXXXXX, ATTIECĪGAJAI PERSONAI XX XĀXX XXĢXXXXĒXX XXXXXXXXXXXXXĪXX XXXXXXX/ (XX) XXXXX XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX FORMA, ATITINKAMO XXXXXX XXXXXXXXXXXX PARTNERYSTĖS XXXĖXXX YRA TOKIA/ (XX) XX ÉRINTETT XXXXXXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXX ÖXXXXXÜXXŐ XXXXXXXXX X FORMANYOMTATVÁNNYAL KÍSÉRT XÖXXXXXXX XXXXXXX/ (MT) XXXXX XX-XXXXXXXX PUBBLIKU XX XXXXĦX XXXX XXXXXŻX XXX IL-FORMOLA, XX-XXXXXXX XXXXĊXXXXXX XĦXXXXX X-XXXXXXX XX' SĦUBIJA XXĠXXXXXXX XXX ĠXX/ (XX) XXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX, IS DE XXXXXX VAN XXX XXXXXXXXXXXXX XXXXXXXXXXXX XXX XX BETROKKENE DE XXXXXXXX/ (XX) X XXXXXXXXX XXXĘXXXXXX, DO XXXXXXX XXŁĄXXXXX JEST XXXXXXXXX XXXXXXXXX, XXXXXX, ŻX OSOBA, KTÓREJ XXXXXXX XXXXXXXX, XXXXXXX XXXXĘXXXĄXX XXXXXX XXXĄXXXX X XXXXXXXXXXXXXXX ZWIĄZKIEM XXXXXXXXXXX/ (XX) XXXXXXX X XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX ESTÁ XXXXXX, À XXXX XX SUA EMISSÃO, X XXXXXXXX XX XXXXXXXX XXXXXXXXX XX XXXXXX XX XXXXX X/ (RO) ÎN XXXXXXXXXXXX CU XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX, XXXXXXXX VIZATĂ XXX URMĂTORUL XXXXXX XXXXXXX PARTENERIATUL ÎXXXXXXXXXX/ (XX) XXXĽX XXXXXXXX XXXXXXX, XX XXXXXX XX TENTO XXXXXXXX XXXXXXXXX, XX DOTKNUTÁ XXXXX XXXXX ŠTATÚT XXXXXXXXXXXXXX PARTNERSTVA/ (SL) X XXXXXX X XXXXX XXXXXXX, KI XX JE XXXXXXXX XX XXXXXXX, XX XXXXXX XXXXXXXXXXXX PARTNERSKE XXXXXXXXX XXXXXXX XXXXX XXXXXXXXX/ (XX) SEN XXXXXXX XXXXXXXXXX MUKAAN, XXXXX TÄMÄ XXXXXX XXXXXXÄÄX, XXXXXXXXXXXX XXXXXXÖX XXXXXXXXÖXXXXX XXXXXXXXXXXXXX XXXXXXXÄ XXXXXXXXÄÄXX ON XXXXXXXX/ (XX) ENLIGT XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX FORMULÄR ÄX XXXXXXX ÄX XXX XXXÖXXX PERSONENS XXXXXX XXXXXXXX XXXXXXXXXXX XXXXXXXXXXX XÖXXXXXX

5.1

(XX) С РЕГИСТРИРАНО ПАРТНЬОРСТВО/ДАТА (ДД/ММ/ГГГГ) НА РЕГИСТРИРАНЕ НА ПАРТНЬОРСТВОТО/ (XX) XXXXX XXXXXX XX XXXXX XXXXXXXXXX / FECHA (XX/XX/XXXX) XX XXXXXXXX XX XX XXXXX XX HECHO/ (CZ) XX X XXXXXXXXXXXXX XXXXXXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXXXX XXXXXXXXXXX/ (XX) REGISTRERET XXXXXXX/XXXX (XX/XX/ÅÅÅÅ) XXX XXXXXXXXXXXXXX XX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXX/XXXXX (XX/XX/XXXX) DER EINTRAGUNG XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXXXX / XXXXXXX XXXXXXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (EL) ΚΑΤΑΧΩΡΙΣΜΈΝΟΣ(-Η) ΣΥΝΤΡΟΦΟΣ / ΗΜΕΡΟΜΗΝΊΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΚΑΤΑΧΩΡΙΣΗΣ ΤΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ/ (XX) XXXXXXXXXX XXXXXXX/XXXX (DD/MM/YYYY) XX XXXXXXXXXXXX XX XXX XXXXXXXXXXX/ (FR) XXXXX XXXXXX XX XXXXXXXXXXX XXXXXXXXXX/XXXX (JJ/MM/AAAA) X'XXXXXXXXXXXXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX CLÁRAITHE/DÁTA (XX/XX/XXXX) XXXXXX XX XXXXXXXXXXXXXXX/ (HR) XXXXXXXXXXXX XXXXXXX / DATUM (XX/XX/XXXX) XXXXXXXXXXXXX PARTNERSTVA/ (XX) XXXXXXX XXXXXXXXXX/XXXX XX REGISTRAZIONE XXXX'XXXXXX (XX/XX/XXXX)/ (XX) REĢISTRĒTAIS XXXXXXXXX / PARTNERATTIECĪBU XXĢXXXXĒXXXXX XXXXXX (DD/MM/GGGG)/ (XX) REGISTRUOTAS (-X) XXXXXXXXX (-Ė) / XXXXXXXXXXĖX XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) XXXXXXXXXX XXXXXXXX/X XXXXXXXXXX ÉLETTÁRSI XXXXXXXXX LÉTESÍTÉSÉNEK XXXXX (XXXX/XX/XX)/ (XX) SIEĦEB(/SIEĦBA) XXĠXXXXXX(X) X XXXX (XX/XX/XXXX) XXX-XXĠXXXXXXXXXXX XXX-XĦXXXXX/ (XX) XXXXXXXXXXXXXX PARTNER/DATUM (XX/XX/XXXX) XXX XXXXXXXXXXX XXX HET XXXXXXXXXXXX/ (XX) POZOSTAJE X XXXXXXXXXXXXXXX XXXĄXXX PARTNERSKIM / XXXX (XX/XX/XXXX) XXXXXXXX ZAREJESTROWANEGO XXXĄXXX XXXXXXXXXXXXX/ (XX) XXXXXXXX(X) XXXXXXXXX(X)/XXXX DO REGISTO XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX ÎNREGISTRAT/DATA (XX/XX/XXXX) ÎXXXXXXXXĂXXX PARTENERIATULUI/ (XX) XXXXXXXXXXXX PARTNER/DÁTUM (XX/XX/XXXX) XXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) REGISTRIRAN XXXXXXX/XXXXX (DD/MM/LLLL) XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXÖXXX KUMPPANI/PARISUHTEEN XXXXXXXXÖXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXXXXXXXX XXXXXXX/XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXXXXXXXXXX XX PARTNERSKAPET

5.2

(BG) БЕЗ РЕГИСТРИРАНО ПАРТНЬОРСТВО/ (XX) NO XXXXX XXXXXX DE XXXXX XXXXXXXXXX/ (CZ) NENÍ X XXXXXXXXXXXXX PARTNERSTVÍ/ (XX) XXXX X XX XXXXXXXXXXX PARTNERSKAB/ (XX) XXXXX XX XXXXX XXXXXXXXXXXXX XXXXXXXXXXXXX/ (XX) XX XXX XXXXXX XXXXXXXXXXXXXX XXXXXXXX/ (XX) ΔΕΝ ΒΡΙΣΚΕΤΑΙ ΣΕ ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΧΕΣΗ ΣΥΜΒΙΩΣΗΣ/ (XX) XXX XX A REGISTERED XXXXXXXXXXX/ (XX) X'XXXXX XXX XXXXXX DE XXXXXXXXXXX XXXXXXXXXX/ (XX) XXX XX XXXXX XXXXXXXXX I bPÁIRTNÉIREACHT XXXXXXXXXX/ (XX) NIJE X REGISTRIRANOM PARTNERSTVU/ (XX) NON XX XXXXXX XXXXXXXXXX/ (XX) XXX XXĢXXXXĒXXX XXXXXXXXXXXXXĪXXX/ (XX) XXXXXXXĘX (-XXXX) XXXXXXXXXXXX PARTNERYSTĖS/ (HU) XXXXX BEJEGYZETT XXXXXXXXX XXXXXXXXXX/ (XX) XXXX XX XĦXXXXX XXĠXXXXXXX/ (XX) NIET XX XXX XXXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXX POZOSTAJE X ZAREJESTROWANYM XXXĄXXX XXXXXXXXXXX/ (XX) XÃX XXX XXX PARCERIA XXXXXXXXX/ (RO) XX XX AFLĂ ÎXXX-XX XXXXXXXXXXX ÎXXXXXXXXXX/ (XX) XXXXXX V XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XX X XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) EI XXXXXXXXÖXXXXXÄ XXXXXXXXXXXXX/ (XX) XX X XXXXXXXXXXX XXXXXXXXXXX

5.2.1

(XX) НИКОГА НЕ Е РЕГИСТРИРАЛО ПАРТНЬОРСТВО/ (XX) XX HA XXXXXX XXXXX XXXXXX XX HECHO XXXXXXXXXX/ (XX) XXXXX NEBYLA X XXXXXXXXXXXXX PARTNERSTVÍ/ (XX) XXXXXX X XX XXXXXXXXXXX XXXXXXXXXXX/ (XX) NIE XX XXXXX EINGETRAGENEN PARTNERSCHAFT/ (XX) EI OLE XXXXXXXXXXXXXX XXXXXXXX OLNUD/ (XX) ΔΕΝ ΕΧΕΙ ΣΥΝΑΨΕΙ ΠΟΤΕ ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΧΕΣΗ ΣΥΜΒΙΩΣΗΣ/ (XX) XXXXX XX A XXXXXXXXXX XXXXXXXXXXX/ (XX) X'XXXXX JAMAIS XXXXXX XX PARTENARIAT XXXXXXXXXX/ (XX) XX RAIBH XX XXXXX XXXXXXXXX X xXXXXXXXXXXXXXX CHLÁRAITHE XXXXX/ (HR) XXXXXX XXXX XXX(-XX) X XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXX XXXXXXXXX XX'XXXXXX XXXXXXXXXX/ (XX) XXXXX XXX STĀJIES XXĢXXXXĒXĀX XXXXXXXXXXXXXĪXĀX/ (XX) XXXXXXX XXXXXX XXXXXĘX (-XXXX) XXXXXXXXXXXX XXXXXXXXXXĖX/ (XX) XXXXX XXXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXX/ (XX) XXXX MA KONT XX XĦXXXXX XXĠXXXXXXX/ (XX) XXXXX IN XXX XXXXXXXXXXXXX PARTNERSCHAP/ (XX) NIGDY XXX XXXXXŁ(-X) XXXXXXXXXXXXXXXX ZWIĄZKU XXXXXXXXXXXXX/ (XX) XXXXX XXXX UMA PARCERIA XXXXXXXXX/ (XX) NU X-X XXXXX XXXXXXXXĂ ÎXXX-XX XXXXXXXXXXX ÎXXXXXXXXXX/ (XX) XXXXX XXXXXX X XXXXXXXXXXXXX PARTNERSTVE/ (XX) XXXXXX XX XXX V XXXXXXXXXXXX XXXXXXXXXX SKUPNOSTI/ (XX) XX OLE KOSKAAN XXXXX REKISTERÖIDYSSÄ XXXXXXXXXXXXX/ (XX) XXX ALDRIG XXXXX I XXX XXXXXXXXXXX XXXXXXXXXXX

5.2.2

(XX) С РАЗТРОГНАТО РЕГИСТРИРАНО ПАРТНЬОРСТВО/ДАТА (ДД/ММ/ГГГГ) НА РАЗТРОГВАНЕ НА ПАРТНЬОРСТВОТО/ (XX) XX XXXXXXXXX XX XXXXXXXX XX UNA XXXXX DE XXXXX / FECHA (XX/XX/XXXX) XX XX XXXXXXXXXXX/ (XX) XXXXXXXXXXXX PARTNERSTVÍ XXXX ZRUŠENO/DATUM (XX/XX/XXXX) XXXXXXX XXXXXXXXXXX/ (XX) XXXØXX XXXXXXXXXXX XXXXXXXXXXX/XXXX (XX/XX/ÅÅÅÅ) XXX OPLØSNING XX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXXXX XXXXXXXXXXXXX/XXXXX (XX/XX/XXXX) XXX AUFHEBUNG XXX XXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXX XXXXXXX XX XÕXXXXXXX / KOOSELU XÕXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΛΥΘΕΙΣΑ ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΧΕΣΗ ΣΥΜΒΙΩΣΗΣ / ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΛΥΣΗΣ ΤΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ/ (XX) DISSOLVED REGISTERED XXXXXXXXXXX/XXXX (XX/XX/XXXX) XX XXXXXXXXXXX XX XXX XXXXXXXXXXX/ (XX) XXXXX XXXXXX XX XXXXXXXXXXX XXXXXXXXXX DISSOUS/DATE (JJ/MM/AAAA) XX DISSOLUTION XX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXXX DHÍSCAOILTE/DÁTA (XX/XX/XXXX) XXXXXXXXXXXXX XX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX REGISTRIRANO XXXXXXXXXXX / XXXXX (XX/XX/XXXX) XXXXXXXXĆX XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXX XXXXXXXXXX XXXXXXX/XXXX XX XXXXXXXXXXXX XXXX'XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXĀX XXĢXXXXĒXXX XXXXXXXXXXXXXĪXXX / REĢISTRĒTU XXXXXXXXXXXXXĪXX XXXXXXXXXĀX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXXXX XXXXXXXXXXĖ NUTRAUKTA / XXXXXXXXXXĖX NUTRAUKIMO XXXX (XX/XX/XXXX)/ (HU) MEGSZŰNT XXXXXXXXXX XXXXXXXXX XXXXXXXXX/X XXXXXXXXXX ÉLETTÁRSI KAPCSOLAT XXXXXŰXXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XĦXXXXX XXĠXXXXXXX XXXXX X XXXX (XX/XX/XXXX) TAX-XOLJIMENT XXX-XĦXXXXX XXĠXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXX XXXXXXXXXXXX/XXXXX (DD/MM/JJJJ) XXX XXXXXXXXXX VAN XXX XXXXXXXXXXXX/ (PL) XXXXXĄXXXXX XXXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX / XXXX (XX/XX/XXXX) XXXXXĄXXXXX XXXXXXXXXXXXXXXX XXXĄXXX PARTNERSKIEGO/ (PT) XXXXXXXX REGISTADA DISSOLVIDA/DATA XX XXXXXXXÇÃX XX XXXXXXXX (DD/MM/AAAA)/ (RO) XXXXXXXXXXX ÎNREGISTRAT XXXXXXXX/XXXX (XX/XX/XXXX) DIZOLVĂRII PARTENERIATULUI/ (XX) XXXXXXXXXXXX XXXXXXXXXXX XXXX XXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXX XXXXXXXXXXXXXX PARTNERSTVA/ (XX) REGISTRIRANA XXXXXXXXXX XXXXXXXX JE XXXXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXXXX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (FI) XXXXXXXXÖXXX XXXXXXXXX XXXXXXX/XXXXXXXXXXX XXXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXÖXX REGISTRERAT XXXXXXXXXXX/XXXXX (XX/XX/ÅÅÅÅ) FÖR UPPLÖSNING XX XXXXXXXXXXXXX

5.2.3

(XX) С ПОЧИНАЛ ПАРТНЬОР/ДАТА (ДД/ММ/ГГГГ) НА СМЪРТТА НА ПАРТНЬОРА/ (XX) XXXXXXX XXXXXXXXXX XX UNA XXXXX XX XXXXX XXXXXXXXXX / XXXXX (XX/XX/XXXX) DE FALLECIMIENTO XX XX XXXXXX XX XXXXX XXXXXXXXXX/ (XX) PŘEŽIVŠÍ XXXXXXX – PARTNERKA/DATUM (DD/MM/YYYY) XXXXX XXXXXXXX – XXXXXXXXX/ (DA) XÆXXXXXXXXXXX XXXXXXX/XXXX (XX/XX/ÅÅÅÅ) FOR XXXXXXXX DØD/ (XX) ÜXXXXXXXXXXX XXXXXXX/XXXXXXXXXXX (TT/MM/JJJJ) XXX PARTNERS/ (XX) ÜXXXXXXXX REGISTREERITUD ELUKAASLANE / XXXXXXXXXXXXXX XXXXXXXXXXX XXXXX KUUPÄEV (PP/KK/AAAA)/ (XX) ΕΠΙΖΩΝ(-ΣΑ) ΣΥΝΤΡΟΦΟΣ / ΗΜΕΡΟΜΗΝΊΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΘΑΝΑΤΟΥ ΣΥΝΤΡΟΦΟΥ/ (XX) XXXXXXXXX XXXXXXX/ XXXX (XX/XX/XXXX) XX XXXXXXX'X XXXXX/ (FR) XXXXXXXXXX XXXXXXXXX/XXXX (JJ/MM/AAAA) XX XXXÈX DU XXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ XXXX (XX/XX/XXXX) XXXX XX XXXXXXXXXXX/ (HR) XXXXXXXXXX XXXXXXX / XXXXX (XX/XX/XXXX) XXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXXXX/XXXX XX XXXXXXX XXX XXXXXXX (XX/XX/XXXX)/ (XX) XĀXXXĪXXXXXXXX XXXXXXXXX / XXXXXXXX MIRŠANAS XXXXXX (DD/MM/GGGG)/ (XX) XXXXXXXXĘX (-XXX) XXXXXXXXX (-Ė) / XXXXXXXXX (-ĖX) XXXXXXX XXXX (XX/XX/XXXX)/ (HU) XXXXXŐ XXXXXXXX/XX XXXXXXXX HALÁLÁNAK XXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXĦXX(/XXXĦXX) XXXXXXXXXX X XXXX (JJ/XX/SSSS) XXX-XXXX XXX-XXXĦXX(/XXXĦXX)/ (XX) XXXXXXXXXXX XXXXXXX/XXXXX (DD/MM/JJJJ) XXX XXXXXXXXXX VAN DE XXXXXXX/ (PL) XXXXXXX XXXXXXXXĄXX PRZY ŻXXXX / DATA (XX/XX/XXXX) XXXXX DRUGIEGO XXXXXXXX/ (XX) PARCEIRO(A) SOBREVIVO(A)/ XXXX DO XXXXX XX(X) XXXXXXXX(X) (XX/XX/XXXX)/ (XX) XXXXXXXX XXXXXXXXȚXXXXX/XXXX (XX/XX/XXXX) XXXXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX/XXXXX (XX/XX/XXXX) ÚMRTIA PARTNERA/ (XX) XXXXXXXXX PARTNER/DATUM (XX/XX/XXXX) PARTNERJEVE SMRTI/ (XX) XXXXXXÄÄXXX XXXXXXXX/XXXXXXXXX XXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXXXXXXXXX PARTNER/DATUM (DD/MM/ÅÅÅÅ) XÖX XXXXXXXXX XÖX

5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) NEURČENO/ (DA) XXXXXXXX/ (XX) UNBESTIMMT/ (XX) XÄÄXXXXXX/ (EL) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) INDÉTERMINÉ/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) NENOTEIKTS/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) MHUX STABBILIT/ (XX) ONBEPAALD/ (XX) XXXXXXXXXXX/ (XX) NÃO XXXXXXXX/ (RO) NEDETERMINAT/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) EJ FASTSTÄLLT

6.

(BG) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX FIRMA/ (CZ) XXXX XXX XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) ALLKIRJALAHTER/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX BOX/ (XX) XXXXX XXXX XX XXXXXXXXX/ (GA) XXXXX XXX XXXXX/ (XX) POLJE XX XXXXXX/ (XX) XXXXXXXX XXX XX XXXXX/ (XX) XXXXXXXX LAUKS/ (XX) XXXXXX LAUKELIS/ (XX) XX ALÁÍRÁS XXÖXXXXXXXXX/ (MT) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX XX XXXXXXXXXXXX/ (XX) XXXX PODPISU/ (XX) XXXXÇX XXXXXXXXX À ASSINATURA/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (SV) XXXX XÖX UNDERTECKNANDE

6.1

(BG) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) Y XXXXXX(X) XXX XXXXXXXXXXX QUE XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXX X XXXXX (XXXXX) XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXXXX(X) XX FORNAVN(E) XÅ XXX XXXXXXXXXX, DER XXX XXXXXXX XXXXX XXXXXXXX/ (XX) FAMILIENNAME(N) XXX XXXXXXX(X) XXX XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXXXXXX HAT/ (XX) KÄESOLEVA XXXXX XÄXXXXXXXXX XXXXXXXX EESNIMI (-XXXXX) XX XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) SURNAME(S) XXX XXXXXXXX(X) XX XXX XXXXXXXX XXX ISSUED XXXX XXXX/ (XX) XXX(X) ET PRÉNOM(S) XX XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX FORMULAIRE/ (XX) XXXXXXX (XXXXXXXX) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX XXXXXXXX A D’EISIGH XX XXXXXX XXX/ (XX) XXXXXXX(XX) I XXX(XX) XXXXXXXXXX XXXX XX IZDAO XXXX XXXXXXX/ (XX) XXXXXXX/X X NOME/I XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (LV) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, UZVĀRDS(-I) UN XĀXXX(-X)/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖX) XX XXXXXX (-XX)/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXX XXXX(X) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) U ISEM(/ISMIJIET) XXX-XXXXĊXXX XX ĦAREĠ XXX XX-XXXXXXX/ (NL) XX(X)X(XX) XX XXXXXX(X)X(XX) XXX XX AMBTENAAR XXX XXX FORMULIER XXXXX AFGEGEVEN/ (XX) XXXXXXXX(-X) I XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX FORMULARZ/ (XX) XXXXXXX(X) X XXXX(X) XXXXXXX(X) DO XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXX ȘX XXXXXXXXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX IME/IMENA URADNIKA, XX XX XXXXX XX OBRAZEC/ (XX) XÄXÄX XXXXXXXXX ANTANEEN XXXXXXXXXXX SUKUNIMI (-XXXXX) XX ETUNIMI (-XXXXX)/ (XX) XXXXXXXXX XXX XÖXXXXX PÅ XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

6.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX XXXXXXXXXXX QUE XXXXXXX XXXX IMPRESO/ (XX) XXXXXX ÚŘEDNÍKA, XXXXX XXXXX XXXXX XXXXXXXX/ (DA) STILLING — XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (DE) XXXXXXXX XXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (ET) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX AMETIKOHT/ (EL) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXX OF XXX XXXXXXXX XXX XXXXXX XXXX FORM/ (XX) XXXXX XX XXXXXXXXXXXXX XXX A DÉLIVRÉ XX XXXXXXX XXXXXXXXXX/ (XX) POST AN XXXXXXXX X X’XXXXXX XX XXXXXX SEO/ (XX) XXXXXXXX XXXXXXXXXX XXXX XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXX XXXXXXXXXXX XXX XX RILASCIATO XX XXXXXXXX MODULO/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, XXXXX/ (XX) XXĄ XXXXĄ IŠDAVUSIO XXXXXXŪXX XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ XXX IL-FORMOLA/ (XX) XXXXXXX XXX DE XXXXXXXXX DIE XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) STANOWISKO URZĘDNIKA, XXXXX WYDAŁ NINIEJSZY XXXXXXXXX/ (XX) XXXXX XX FUNCIONÁRIO XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (RO) POZIȚIA XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XX XX XXXXX XX OBRAZEC/ (XX) TÄMÄN LOMAKKEEN XXXXXXXX XXXXXXXXXXX XXXXX/ (XX) BEFATTNING XÖX XXX XXÄXXXXXXX SOM XXX XXXÄXXXX DETTA XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (GG/MM/AAAA)/ (XX) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (NL) XXXXX (DD/MM/JJJJ) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) WYDANIA/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (FI) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) DATUM (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) PODPIS/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) ALLKIRI/ (EL) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (LV) XXXXXXXX/ (XX) PARAŠAS/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) PODPIS/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) PODPIS/ (XX) XXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) NAMNTECKNING

6.5

(BG) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (XX) PEČEŤ XXXX XXXXXXX/ (XX) XXXX XXXXX XXXXXXX/ (XX) XXXXXX XXXX STEMPEL/ (XX) XXXXXX XÕX XXXXXX/ (EL) ΣΦΡΑΓΙΔΑ/ (XX) SEAL OR XXXXX/ (FR) SCEAU XX TIMBRE/ (GA) XXXXX XX XXXXXX/ (XX) XXX ILI XXXXX/ (XX) XXXXX X XXXXXX/ (XX) XĪXXXX XXX SPIEDOGS/ (XX) SPAUDAS XXXX XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (MT) XXĠXXX XXX TIMBRU/ (XX) XXXXX XX XXXXXXX/ (PL) XXXXXĘĆ XXX STEMPEL/ (XX) XXXX XX CARIMBO/ (XX) SIGILIUL SAU ȘXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXX XXX/ (XX) SINETTI XXX LEIMA/ (SV) XXXXXX XXXXX XXÄXXXX

XXXXXXXX nebo XXXXX XXXXXX

XXXXXXXXXXX STANDARDNÍ XXXXXXXX – XXXXXXX XXX PŘEKLAD

Článek 7 xxxxxxxx Xxxxxxxxxx parlamentu x Rady (EU) 2016/1191 xx xxx 6. xxxxxxxx 2016 x xxxxxxx xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx x Xxxxxxxx xxxx x x xxxxx xxxxxxxx (EU) č. 1024/2012 (1) (2)

Belgie (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (DK) Xxxxxxx (DE)

Estonsko (XX) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (ES)

Francie (FR) Xxxxxxxxxx (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (LV) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxx (XX) Rakousko (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxxxxxx (SI)

Slovensko (XX) Finsko (XX)

Xxxxxxx (XX) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX UPOZORNĚNÍ

Jediným xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxxxxx xxxxxxxxx xx usnadnění xxxxxxxx veřejné xxxxxxx, x níž je xxxxxxxx. Tento xxxxxxxx xx xxxx členskými xxxxx xxxxx xxxxxxxxx xxxx xxxxxxxxxx dokument.

Tento xxxxxxxx odráží xxxxx xxxxxxx xxxxxxx, x xxx je přiložen. Xxxxx, jemuž xx xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx xxxx x xxxxxxxxx, xxx je xx xxxxxxxx xxx xxxxx xxxxxxxxxx xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx xxxxxxxxx, xxxxx jsou xx xxxxxxxxx uvedeny.

UPOZORNĚNÍ XXX XXXXXXXXXX XXXXX

Xxxxxx pouze xxxxxxxxx, xxxxx xxxx xxxxxxx ve veřejné xxxxxxx, x xxx xx xxxxxxxx tento xxxxxxxx. (3)

Xxxxx veřejná xxxxxxx, k xxx xx přiložen xxxxx xxxxxxxx, neobsahuje určité xxxxx xxxx informace, xxxxxx „–“.

1. XXXXX XXXXXXXXXX TENTO XXXXXXXX

1.1 Xxxxx (4)

2. XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, X NÍŽ JE XXXXXXXX TENTO FORMULÁŘ

1.1 Xxxxx (5)

3. INFORMACE XXXXXXXX XX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX TENTO XXXXXXXX

3.1 Xxxxxxx vydaná xxxxxxx xxxx xxxxxxxxx x xxxxxx xx xxxxx xxxxxx xxxxxxxxx xxxxx

3.1.1 Xxxxxxxxxx soudu

3.1.2 Xxxxxxx xxxxxx státním xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx xxxxxx xxxxxxx úředníkem

3.1.4 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxxxxxx („xxxxxxxx xx xxxxxxx“)

3.1.5 Xxxx (upřesněte)

(1) Xx. xxxx. X 200, 26.7.2016, s. 1.

(2) Pro xxxxx xxxxxx xxxxxxxx xx xxxxx „xxxxxxxx“ a „xxxxx xxxxxx“ xxxx xxx xxxxxxxxx v xxxxxxx x xxxxxxxxxxxxx xxxxxx.

(3) Xxx xxxxxxxxxx xxxxx xxxxxxxx hůlkové xxxxx.

(4) Xxxxx „xxxxx“ xx xxxxx xxxxxxxx xxxx xxxxxx xxxxx xxxxxx vydávajícího xxxxxxxx.

(5) Xxxxx „xxxxx“ xx xxxxx xxxxxxxx xxxx xxxxxx xxxxx orgánu xxxxxxxxxxxx xxxxxxxx xxxxxxx, x xxx xx xxxxxxxx tento xxxxxxxx.

3.2 Xxxxxxx xxxxxx správním xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x matriky

3.2.3 Xxxxx x xxxxxxxx xxxxxxxx

3.2.4 Xxxx matričních xxxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, xxxxxx byla xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

3.5 Xxxxxxx xxxxxxxxxx xxxxxxxxxxxxx zástupcem xxxx xxxxxxxxxxx xxxxxxxxx členského xxxxx x rámci xxxxxx xxxx xxxxxxxxxx xxxxxxxxxx

3.6 Datum (dd/mm/rrrr) xxxxxx

3.7 Xxxxxxxxxx xxxxx xxxxxxx listiny

4. XXXXXXXXX X XXXXXXX XXXXX

4.1 Xxxxxxxx

4.2 Jméno (xxxxx)

4.3 Xxxxx (dd/mm/rrrr) narození

4.4 Xxxxx (1) a xxxx (2) xxxxxxxx

4.5 Xxxxxxx:

4.5.1 Žena

4.5.2 Xxx

4.5.3 Xxxxxxxx

5. XXXXXXXX XXXXXXXX XXXX XXXXX XXXXXX XXXXX XXXXXXX VE XXXXXXX XXXXXXX, K XXX XX PŘIPOJEN XXXXX XXXXXXXX

5.1 Bydliště

5.1.1 Xxxxxx:

5.1.1.1 Xxxxx a xxxxx xxxx / xxxxxxxx xxxxxxxxx

5.1.1.2 Xxxxx x xxxxxxxx směrovací xxxxx

5.1.1.3 Země (1)

5.2 Xxxxx xxxxxx

5.1.1 Xxxxxx:

5.1.1.1 Xxxxx x xxxxx xxxx / poštovní xxxxxxxxx

5.1.1.2 Xxxxx x xxxxxxxx xxxxxxxxx číslo

5.1.1.3 Xxxx (2)

6. POLE XXX PODPIS

6.1 Xxxxxxxx x xxxxx (xxxxx) xxxxxxxx, který xxxxx xxxxx formulář

6.2 Xxxxxx xxxxxxxx, xxxxx xxxxx xxxxx xxxxxxxx

6.3 Xxxxx (xx/xx/xxxx) vydání

6.4 Xxxxxx

6.5 Xxxxx xxxx xxxxxxx

(1) Xxxxx „xxxxx narození“ xx rozumí xxxxx xxxx nebo města, xxxxxx x xxxxx, xxx xx xxxx xxxxx xxxxxxxx.

(2) Xxxxx xxxx a – xxxxx existuje – xxx XXX xxxx xxxx nebo možnost „Xxxx (xxxxxxxxx)“ xx xxxxx xxxxxx x xxxxxxxxxxx xxxxxxx xx xxxxxxxx vícejazyčném standardním xxxxxxxxx, xxxxx xx x xxxxxxxxx xx xxxxxxx xxxxxxxx x-xxxxxxx.

XXXXXXXXXXX XXXXXX NÁZVŮ XXXXXXXXXXXX XXXXXXX

(XXXXXXXX xxxx XXXXX XXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX XXXXXX XXXX XXXXXXX/ (CZ) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX MYNDIGHED/ (XX) BEHÖRDE, XXX XXXXXX XXXXXXXX AUSSTELLT/ (XX) XÄXXXXXXX XXXXX XÄXXX XXXXXX ASUTUS/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) AUTHORITY XXXXXXX XXXX XXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX tÚDARÁS X XXXXXXXX XX XXXXXX SEO/ (HR) XXXXXX KOJE XXXXXX XXXX XXXXXXX/ (IT) XXXXXXXÀ CHE XXXXXXXX XX PRESENTE XXXXXX/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) A FORMANYOMTATVÁNYT XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XX' XXX IL-FORMOLA/ (XX) XXXXXXXXXX XXX AFGIFTE XXX DIT XXXXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXXX FORMULARZ/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXX FORMULÁRIO/ (XX) AUTORITATEA EMITENTĂ X XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX VYDÁVAJÚCI XXXXX XXXXXXXX/ (XX) XXXXX, XX IZDA XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (SV) MYNDIGHET XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (DA) XXXXXXXXXX/ (DE) XXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) DESIGNATION/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) NAZIV/ (XX) XXXXXXXXXXXXX/ (XX) NOSAUKUMS/ (XX) XXXXXXXXXXX/ (HU) XXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (PL) XXXXX/ (XX) XXXXXXXÇÃX/ (XX) XXXXXXXX/ (XX) XXXXX/ (SL) XXX/ (XX) NIMI/ (SV) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX QUE XXXXXX XX DOCUMENTO XXXXXXX XX QUE XX XXXXXXX ESTE XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, X XXX XX PŘILOŽEN XXXXX XXXXXXXX/ (XX) XXX XXXXXXXXX, DER XXX UDSTEDT DET XXXXXXXXXX DOKUMENT, SOM XXXXX FORMULAR ER XXXXÆXXXX/ (DE) BEHÖRDE, XXX DIE ÖXXXXXXXXXX XXXXXXX, DER DIESES XXXXXXXX XXXXXXÜXX XXX, XXXXXXXXX/ (XX) XXXXXX, XXX ANDIS XÄXXX XXXXXXX XXXXXXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XXXXXXX THE XXXXXX DOCUMENT XX XXXXX XXXX FORM XX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX EST XXXXX XX PRÉSENT XXXXXXXXXX/ (XX) AN xXXXXXX X XXXXXXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX CEANGAILTE/ (XX) XXXXXX XXXX IZDAJE XXXXX ISPRAVU KOJOJ XX OVAJ XXXXXXX XXXXXXXX/ (XX) AUTORITÀ XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX PRESENTE XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ VEIDLAPA XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX ŠI XXXXX, IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ EMITTENTI TAD-DOKUMENT XXXXXXXX LI XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX/ (NL) AUTORITEIT XXX XXXXXXX XXX XXX OPENBAAR XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (PL) XXXXX XXXXXĄXX DOKUMENT XXXĘXXXX, XX XXXXXXX XXXXXXXXX FORMULARZ XXXX XXŁĄXXXXX/ (PT) AUTORIDADE XXX EMITE O XXXXXXXXX PÚBLICO X XXX X PRESENTE XXXXXXXXXX ESTÁ XXXXXX/ (XX) XXXXXXXXXXX EMITENTĂ X DOCUMENTULUI XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, KU XXXXXX XX TENTO XXXXXXXX XXXXXXXXX/ (SL) XXXXX, KI XXXX XXXXX XXXXXXX, XX XX XX XXXXXXXX XX OBRAZEC/ (XX) XXXXXXXXXXXX, JOKA ON XXXXXXX YLEISEN XXXXXXXXXX, XXXXX TÄMÄ XXXXXX XXXXXXÄÄX/ (SV) XXXXXXXXX XXX UTFÄRDAR DEN XXXXXXXXXX XXXXXXXX TILL XXXXXX XXXXX FORMULÄR ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) INFORMACIÓN XXXXXXXX XX XXXXXXXXX PÚBLICO XX XXX XX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX TÝKAJÍCÍ XX VEŘEJNÉ XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) OPLYSNINGER XXXXØXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX DENNE XXXXXXXX XX XXXXÆXXXX/ (DE) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) TEAVE XXXXXXX XXXXXXXXX XXXXX, MILLELE XXX XXXX XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXX XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX XXXXXX AUQUEL XXX XXXXX LE PRÉSENT XXXXXXXXXX/ (XX) FAISNÉIS X XXXXXXXXX XXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) INFORMACIJE KOJE XX ODNOSE NA XXXXX XXXXXXX KOJOJ XX OVAJ OBRAZAC XXXXXXXX/ (XX) INFORMAZIONI XXXXXXXX XX DOCUMENTO XXXXXXXX XXX IL XXXXXXXX MODULO È XXXXXXXX/ (LV) INFORMĀCIJA XXX XXXXXXXX XXXXXXXXX, XXXXX ŠĪ VEIDLAPA XX PIEVIENOTA/ (LT) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX XXXXXXXXX, PRIE XXXXX XXXXXXXXX XX XXXXX/ (XX) A XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX DWAR XX-XXXXXXXX XXXXXXXX XX MIEGĦU XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX OPENBAAR XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX RELATIVAS AO XXXXXXXXX XXXXXXX A XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX FORMULAR/ (XX) XXXXXXXXXX X XXXXXXXX XXXXXXX, KU XXXXXX XX XXXXX XXXXXXXX PRIPOJENÝ/ (SL) XXXXXXXXXXX V XXXXX X XXXXX XXXXXXX, XX XX XX XXXXXXXX TA XXXXXXX/ (XX) TIEDOT YLEISESTÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (SV) XXXXXXXXXXX XX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX DETTA XXXXXXÄX ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX XXXXXXXX XXX UNA XXXXXXXXX X UN XXXXXXXXXXX XXXXXXXXX X LOS XXXXXXX XXXXXXXXXXXXXXXX XX XX ESTADO XXXXXXX/ (XX) LISTINA XXXXXX XXXXXXX NEBO XXXXXXXXX X XXXXXX XX XXXXX XXXXXX ČLENSKÉHO XXXXX/ (XX) DOKUMENT, XXX ER UDSTEDT XX EN XXXXXXXXX XXXXX XX EMBEDSMAND, XXX XX TILKNYTTET XXXXXXXX X XX XXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXÖXXX XXXX XXXXX AMTSPERSON ALS XXXXX XXX RECHTSPFLEGE XXXXX MITGLIEDSTAATS/ (XX) XXXXXXXX, MILLE XX XÄXXX ANDNUD XXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXXXX XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX FROM XX XXXXXXXXX OR XX XXXXXXXX XXXXXXXXX XXXX XXX COURTS OR XXXXXXXXX OF X XXXXXX STATE/ (FR) XXXXXXXX XXXXXXX D'UNE XXXXXXXX XX X'XX XXXXXXXXXXXXX RELEVANT X'XXX XXXXXXXXXXX X'XX ÉTAT XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXX NÓ Ó XXXXXXXXX X XXXXXX XXXXX AIGE XX XXXX LE XXXXXXXXXX XX XX XXXXX XX XXXXX BALLSTÁIT/ (XX) XXXXXXX KOJU XX XXXXXX TIJELO XXX SLUŽBENIK XXXX XXXXXX ČLANICE/ (IT) XXXXXXXXX EMANATO DA XX'XXXXXXXÀ X XX XX FUNZIONARIO XXXXXXXXXXXX XX XXX XXXXX XXXXXXXXXXXXX DI XXX XXXXX XXXXXX/ (LV) XXXXXXXXX, KURU XXXXXXXXXX XX DALĪBVALSTS XXXXĀX XXXXXĪXX IESTĀDE XXX XXXXXXXXXXX/ (XX) DOKUMENTAS, XXXXXXXX XXXXXXXX XXXXXXXXXXXX XX PAREIGŪNO, SUSIJUSIŲ XX VALSTYBĖS XXXĖX XXXXXXXX XX TRIBUNOLAIS/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX ÁLLÓ XXXXXXX XXXX TISZTVISELŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX XXXXXXXÀ JEW XXXXĊXXX XX JKOLLHOM RABTA XXX-XXXXX XXX IT-TRIBUNALI XX' XXXX MEMBRU/ (XX) DOCUMENT XXXXXXXXX XXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX XXX XXX RECHTERLIJKE XXXXXXXXX VAN XXX XXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX ORGANU XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX UMA XXXXXXXXXX XX XX UM XXXXXXXXXXX DEPENDENTE XX XXXXXXXX XXXXXXXÇÃX XX XX XXXXXX-XXXXXX/ (XX) XXXXXXXX XXXX XX X XXXXXXXXXX XXX XX XX XXXXȚXXXXX XX PE XÂXXĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXX XXXXXXXXX S XÄXXXX XX XXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX, XXXXXX S XXXXXX XXXXXX XXX XXXXXXXX XXXXX OBLASTI XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX ON ANTANUT XÄXXXXXXXXXX OIKEUSLAITOKSEEN XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN XX XXXXXXXXX XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X EN XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX SOUDU/ (XX) XXXXXXXXXXXØXXXXX/ (DE) GERICHTSENTSCHEIDUNG/ (XX) KOHTUOTSUS/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXX ÓN xXXXXX/ (HR) SUDSKA XXXXXX/ (IT) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (LT) XXXXXX XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXX/ (MT) XXĊXŻXXXX XXX-XXXXX/ (NL) XXXXXXXXXXXX XXXXXXXXXX/ (XX) ORZECZENIE XĄXXXX/ (XX) DECISÃO XXXXXXXX/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (SL) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (SV) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) DOKUMENT XXXXXXX AF XX XXXXXXXXXXXXXXXX/ (XX) URKUNDE XXXXX STAATSANWALTSCHAFT/ (XX) XXXXXXXX, MILLE XX XÄXXX XXXXXX RIIKLIK XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX EMANATING XXXX X XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XXXXXXÈXX XXXXXX/ (GA) XXXXXXXXX X XXXXXXX X XXXXXXXXXXXXXXX POIBLÍ/ (HR) XXXXXXX XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (XX) DOCUMENTO EMANATO XXX XXXXXXXX XXXXXXXXX/ (XX) DOKUMENTS, KURU XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX DOKUMENTAS/ (XX) ÜXXXXX ÁLTAL XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX MAĦRUĠ MINN XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXX XXXXXXXXXX/ (XX) DOKUMENT POCHODZĄCY XX PROKURATORA/ (PT) XXXXXXXXX XXXXXXXXXXX DO XXXXXXXXXX PÚBLICO/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXX, XX XX XXXX DRŽAVNO XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX ANTAMA XXXXXXXXX/ (XX) HANDLING SOM XÄXXÖX FRÅN ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXX XXXXXXX ÚŘEDNÍKEM/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXÆX/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXX DER GESCHÄFTSSTELLE XXXXX XXXXXXXX/ (ET) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) DOCUMENT XXXXXXXXX XXXX A XXXXX XX A COURT/ (XX) DOCUMENT XXXXXXX X'XX GREFFIER/ (XX) XXXXXXXXX X THAGANN X XXXXXXXXXX XX XXXXX CÚIRTE/ (HR) XXXXXXX KOJU XX XXXXX UPRAVITELJ XXXXXX XXXXXXXXX/ (IT) DOCUMENTO XXXXXXX DA UN XXXXXXXXXXX/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (XX) XXXXXX XXXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (XX) BÍRÓSÁGI TISZTVISELŐ XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ XXXX REĠISTRATUR XX' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (PT) DOCUMENTO XXXXXXXXXXX XX XX XXXXXXX XX XXXXXÇX/ (XX) DOCUMENT XXXX XX XX GREFIER XX XXXXXXȚXX/ (SK) XXXXXXX VYDANÁ XXXXXX XXXXXXXXX/ (XX) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXX/ (SV) XXXXXXXX XXX HÄRRÖR XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXX XXXXXXXX POR XX XXXXXX XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (DA) XXXXXXXX XXXXXXX XX XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX ON XÄXXX XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX DE XXXXXXX»)/ (XX) XXXXXXXX XXXXXXXXX XXXX A XXXXXXXX XXXXXXX ('XXXXXXXX DE XXXXXXX')/ (XX) XXXXXXXX XXXXXXX D'UN XXXXXXXX XX JUSTICE/ (GA) XXXXXXXXX X XXXXXXX X XXXXXXXXX BREITHIÚNACH (“XXXXXXXX DE XXXXXXX”)/ (XX) XXXXXXX XXXX XX XXXXX XXXXXX XXXXXXXXX (HUISSIER XX XXXXXXX)/ (XX) DOCUMENTO XXXXXXX XX XX XXXXXXXXX XXXXXXXXXXX ("HUISSIER XX XXXXXXX")/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX IZPILDĪTĀJS (XXXXXXXX XX XXXXXXX)/ (LT) XXXXXXXXX (XXXXXXXX XX XXXXXXX) XXXXXXXX DOKUMENTAS/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX”) XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX UFFIĊJAL ĠXXXXXXXXXX ('XXXXXXXX DE JUSTICE')/ (XX) DOCUMENT XXXXXXXXX XXXX EEN GERECHTSDEURWAARDER/ (XX) DOKUMENT POCHODZĄCY XX XXXĘXXXXX XĄXXXXXX (XXXXXXXX DE XXXXXXX)/ (XX) DOCUMENTO XXXXXXXXXXX XX XX XXXXXXÃX XX XXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX EMIS XX XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXXXX XXXXXX VYKONÁVATEĽOM („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXX, XX XX XXXX XXXXX IZVRŠITELJ („XXXXXXXX XX XXXXXXX“)/ (XX) HAASTEMIEHEN (”XXXXXXXX XX XXXXXXX”) XXXXXX XXXXXXXXX/ (SV) XXXXXXXX XXX HÄRRÖR XXÅX XX STÄMNINGSMAN (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) XXXX (XXXXXXXXX)/ (XX) ANDRE (ANGIVES)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (ET) MUU (XÄXXXXXXXX)/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) OTHER (XX XX XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (GA) XXXX (XX XXXXX)/ (HR) XXXXXX (XXXXXXX)/ (IT) XXXXX (XXXXXXXXX)/ (LV) XXXX (XXXXXXĒX)/ (LT) XXXX (XXXXXXXX)/ (HU) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) OĦRAJN (IPPREĊIŻA)/ (XX) OVERIGE (XXXXXXXXXXXX)/ (XX) INNY (XXXXXĘ XXXXŚXXĆ)/ (XX) XXXXXX (X ESPECIFICAR)/ (XX) XXXXX (X XX XXXXXXX)/ (XX) INÉ (XXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX ADMINISTRATIVO/ (XX) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (DA) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (ET) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (FR) XXXXXXXX XXXXXXXXXXXXX/ (GA) XXXXXXXXX XXXXXXXXXX/ (XX) UPRAVNA XXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (LV) ADMINISTRATĪVS XXXXXXXXX/ (XX) ADMINISTRACINIS XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXXXXXXXXXXXXX/ (NL) XXXXXXXXXXXXXX XXXXXXXX/ (PL) XXXXXXXX XXXXXXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (SK) SPRÁVNA XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX/ (CZ) XXXXXXXXX/ (XX) XÅXXXXXXX/ (DE) XXXXXXXXXXXXX/ (XX) TÕEND/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (FR) XXXXXXXXXX/ (XX) DEIMHNIÚ/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) APLIECINĀJUMS/ (XX) XXXXXX, XXXXXXXXXX/ (HU) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊERTIFIKAT/ (XX) CERTIFICAAT/ (PL) XXŚXXXXXXXXXX/ (PT) XXXXXXÃX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) OSVEDČENIE/ (XX) POTRDILO/ (XX) XXXXXXXX/ (SV) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX DEL XXXXXXXX XXXXX/ (XX) XXXXX X MATRIKY/ (XX) UDDRAG FRA XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) EXTRACT XXXX THE CIVIL XXXXXX REGISTER/ (XX) XXXXXXX XX REGISTRE XX L'ÉTAT XXXXX/ (XX) XXXXXXX AS XX xXXXX XXXXXXX XXXXXXXXXX/ (XX) IZVADAK XX REGISTRA XXXXXXX XXXXXX/ (XX) XXXXXXXX XX ATTO XX XXXXX CIVILE/ (XX) XXXXXXXX XX CIVILSTĀVOKĻA XXXX REĢISTRA/ (XX) XXXXXXX XX XXXXXXXĖX XŪXXĖX AKTŲ XXXXXXXX/ (XX) ANYAKÖNYVI XXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊIVILI/ (NL) XXXXXXXXXX UIT XXX XXXXXXXX VAN XX XXXXXXXXXXX STAND/ (XX) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (PT) XXXXXXX XX XXXX XX XXXXXXX XXXXX/ (XX) EXTRAS DIN XXXXXXXXX DE XXXXX XXXXXĂ/ (XX) XXXXX X XXXXXXXX OSOBNÉHO XXXXX/ (XX) IZPISEK XX REGISTRA X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (SIVIILISÄÄTY)/ (SV) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX XXX XXXXX/ (XX) VÝPIS Z XXXXXXXX XXXXXXXX/ (DA) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX MELDEREGISTER/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (EN) XXXXXXX XXXX THE XXXXXXXXXX REGISTER/ (XX) XXXXXXX XX XXXXXXXX XX XX XXXXXXXXXX/ (XX) XXXXXXX AS XX gCLÁR XXXXXX/ (XX) XXXXXXX IZ XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX/ (LV) XXXXXXXX NO XXXXĪXXXĀXX XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXXŲ XXXXXXXX/ (XX) XXXXXXX A XXXXXXXXXXXX- ÉS XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX Z XXXXXXXX XXXXXŚXX/ (XX) XXXXXXX DO REGISTO XX XXXXXXÇÃX/ (XX) XXXXXX XXX XXXXXXXXX XX EVIDENȚĂ A XXXXXXȚXXX/ (XX) VÝPIS X REGISTRA OBYVATEĽOV/ (XX) XXXXXXX IZ XXXXXXXX PREBIVALSTVA/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) COPIA XXXXXXX XX ACTAS XXX XXXXXXXX XXXXX/ (CZ) XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXX XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (EL) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX OF XXXXX XXXXXX RECORDS/ (XX) XXXXX INTÉGRALE D'ACTES XX X'XXXX XXXXX/ (XX) XXXX XXXXX XX XXXXXX XX XXXXXXX AR XXXXXX XXXXXXXXX/ (HR) XXXXXXXX XXXXXXXX XX XXXXXXXXXX X XXXXXXX XXXXXX/ (XX) XXXXX LETTERALE XX ATTO DI XXXXX XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX XXĢXXXXX XXXXXXXX AUTENTISKA XXXXXX/ (XX) CIVILINĖS XŪXXĖX XXXŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (XX) ANYAKÖNYVI XXXXXXXXX SZÓ XXXXXXXX XXXXXXXX/ (MT) XXXXX XXXXXXXX XXX-XXXX TAL-ISTAT ĊXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXX XXX AKTEN XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXŁXX XXXX STANU XXXXXXXXX/ (XX) CERTIDÃO XX XXXXX XXXXXXXX XX XX XXXXXXXXX XX XXXX XX XXXXXXX XXXXX/ (XX) XXXXX XXXXXĂ X XXXX XXX XX XXXXX CIVILĂ/ (XX) XXXXXXXX VÝPIS XX XXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXX XXXXXX XXXXXX O XXXXXXX STANJU/ (FI) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX AVSKRIFT XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (ES) ACTA XXXXXXXX/ (CZ) NOTÁŘSKÁ XXXXXXX/ (XX) NOTARBEKRÆFTET XXXXXXXX/ (DE) NOTARIELLE XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX ACT/ (XX) XXXX NOTARIÉ/ (XX) GNÍOMH NÓTAIREACHTA/ (XX) JAVNOBILJEŽNIČKA XXXXXXX/ (XX) XXXX XXXXXXXX/ (XX) NOTARIĀLS XXXX/ (XX) NOTARINIS XXXXX/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) ATT XXXXXXXX/ (XX) NOTARIËLE XXXX/ (XX) AKT XXXXXXXXXX/ (XX) ATO XXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) NOTÁRSKA XXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) CERTIFICACIÓN OFICIAL XXXXXX XXXXX UN XXXXXXXXX XXXXXXX/ (CZ) XXXXXX XXXXXXXXX, KTERÝM XXXX XXXXXXXX XXXXXXX XXXXXXXXX SOUKROMOU XXXXXX/ (XX) OFFICIEL PÅTEGNING XÅ XX DOKUMENT XXXXXXXXXXX XX EN XXXXXX I XXXXXX XXXXXXXX AF XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX EINER XXXXXXXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXXXX ALLKIRJASTATUD DOKUMENDILE XXXXXXXXXX XXXXXXX TÕEND/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX XXXXXX XX X XXXXXXXX XXXXXX XX A XXXXXX XX XXX XX XXX PRIVATE XXXXXXXX/ (XX) XXXXXXXXXXX OFFICIELLE XXXXXXX XXX XX XXXX SOUS XXXXX XXXXX/ (GA) DEIMHNIÚ XXXXXXXXX A XXXXXXXXX XX DHOICIMÉAD ARNA XXXXXX XX XXXXX XXX XXXXX XX XXX XXXX PHRÍOBHÁIDEACH/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX XX ISPRAVU XXXX JE XXXXX XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX APPOSTA SU XXX XXXXXXXXX PRIVATA/ (XX) XXXXXĀXX XXXXXXXXĀXXXX XX XXXXXXXXX, KO XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (XX) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ĊXXXXXXXXX UFFIĊJALI LI XXXXXXXĦXX F'DOKUMENT XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX TAGĦHA/ (XX) XXXXXXXXX CERTIFICAAT OP XXX XXXXXXXX XXXXXXXXXXX XXXX XXX XXXXXXX XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) URZĘDOWE XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXXX PRZEZ XXXXĘ DZIAŁAJĄCĄ X XXXXXXXXXXX PRYWATNYM/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX XXX DE XXXXXXXX XXXXXXX/ (RO) XXXXXXXXXX XXXXXXX XXXXXXX XX UN XXXXXXXX XXX SEMNĂTURĂ XXXXXXĂ/ (XX) XXXXXX OSVEDČENIE XXXXXXX NA XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX OSOBA/ (XX) XXXXXX XXXXXX XX XXXXXXX XXXXXXX/ (XX) VIRALLINEN TODISTUS XXXXXXXXXXXX, XXXXX XXXXXXÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX XXXXX XXXXXXXXX PÅ XX XXXXXXXX SOM XXXXXXXXXXXXX XX EN XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX POR XX XXXXXX XXXXXXXXXXX X XXXXXXXX XX UN XXXXXX XXXXXXX XXX XXXXXXXX XXXXXXX/ (XX) XXXXXXX VYHOTOVENÁ DIPLOMATICKÝM XXXXXXXXX XXXX KONZULÁRNÍM XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX AF EN XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX REPRÆSENTANT/ (XX) XXX XXXXX XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX MITGLIEDSTAATS XX XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX DIPLOMAATILISE VÕI XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ / (EN) DOCUMENT XXXXX UP XX X XXXXXXXXXX XX XXXXXXXX XXXXX XX X XXXXXX XXXXX XX XXX OR XXX XXXXXXXX CAPACITY/ (XX) DOCUMENT XXXXXX XX SA XXXXXXX XXXXXXXXXX XXX XX XXXXX DIPLOMATIQUE XX XXXXXXXXXX D'UN ÉTAT XXXXXX/ (XX) DOICIMÉAD XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX DE XXXXX XXXXXXXXX XXX XXXXX XX XXX XXXX XXXXXXXXX/ (HR) XXXXXXX XXXX XX X SLUŽBENOM XXXXXXXX XXXXXXXX XXXXXXXXXXX ILI XXXXXXXXXX XXXXXXXXXXX DRŽAVE XXXXXXX/ (IT) XXXXXXXXX XXXXXXX XX XXXXXX XXXXXXXXXXX O CONSOLARI XX XXX STATO XXXXXX XXXX'XXXXXXXXX XXXXX XXXX FUNZIONI/ (XX) XXXXXXXXX, KURU, PILDOT XXXXX PIENĀKUMUS, SAGATAVOJIS XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX DIPLOMATO XX XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) VALAMELY XXXXXXXX XXXXXXXXXXX VAGY KONZULI XXXXXXXXŐXX ÁLTAL HIVATALOS XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX IMĦEJJI XXXX XĠXXX XXXXXXXXXXX XXX KONSULARI TA' XXXX XXXXXX FIL-KAPAĊITÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXXXXX XX XXXXXXXXXX AMBTENAAR XXX XXX XXXXXXXX XX XXXX XXXXXXËXX XXXXXXXXXXXX/ (XX) DOKUMENT SPORZĄDZONY XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX KONSULARNEGO XXŃXXXX CZŁONKOWSKIEGO XXXXŁXXĄXXXX X XXXXXXXXXXX XXXĘXXXXX / (XX) DOCUMENTO XXXXXXX XXX XX XXXXXX DIPLOMÁTICO XX XXXXXXXX DE XX XXXXXX-XXXXXX XX EXERCÍCIO XXX XXXX XXXÇÕXX XXXXXXXX/ (XX) DOCUMENT ÎXXXXXXX DE CĂTRE XX XXXXX DIPLOMATIC XXX XXXXXXXX XX XXXX STAT XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (XX) LISTINA XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX ÚRADNÍKOM XXXXXXXXX XXXXX V RÁMCI XXXXXX XXXX XXXXXXX/ (XX) XXXXXXX, XX XX KOT XXXXXX XXXXX XXXX XXXXXXXXXXX XXX KONZULARNI XXXXXXXXXXX XXXXXX XXXXXXX/ (FI) XXXXXXXXX, JONKA XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX TAI XXXXXXXXXXXXXXX ON XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXÄXXXX X XXÄXXXXX XX EN XXXXXXXXXXX XXXXX XXXXXXÄX XXÄXXXXXXX X XX MEDLEMSSTAT

3.6

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DATUM (DD/MM/RRRR) XXXXXX/ (DA) UDSTEDELSESDATO (XX/XX/ÅÅÅÅ)/ (DE) AUSSTELLUNGSDATUM (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (DD/MM/YYYY) XX XXXXX/ (XX) XXXX (JJ/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (HR) XXXXX (DD/MM/GGGG) IZDAVANJA/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) DATUM (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (DD/MM/RRRR) XXXXXXX/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (ES) XXXXXX XX XXXXXXXXXX DEL XXXXXXXXX PÚBLICO/ (CZ) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (XX) DET XXXXXXXXXX DOKUMENTS XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXX VIITENUMBER/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX XX XXX XXXXXX XXXXXXXX/ (XX) XXXXXX XX XXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXX XXXXXXXXX XX XXXXXXXXX XXXXXXX/ (HR) XXXXXXXXXX BROJ JAVNE XXXXXXX/ (IT) NUMERO XX XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX/ (LV) XXXXXXXĀ DOKUMENTA XXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXX/ (XX) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (MT) XXXXX XX' REFERENZA TAD-DOKUMENT XXXXXXXX/ (XX) REFERENTIENUMMER XXX HET XXXXXXXX XXXXXXXX/ (XX) NUMER XXXXXXXXXXXX XXXXXXXXX URZĘDOWEGO/ (XX) XXXXXX DE XXXXXÊXXXX DO XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX XX XXXXXXXȚĂ AL XXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (XX) REFERENČNA XXXXXXXX XXXXX LISTINE/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (XX) DEN XXXXXXXXXX XXXXXXXXXXX REFERENSNUMMER

4.

(BG) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX XX XXXXXXXXXX/ (XX) INFORMACE X XXXXXXX XXXXX/ (DA) XXXXXXXXXXX XX XXX XÅXÆXXXXXX PERSON/ (XX) XXXXXXX XXX XXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXX XÄXXXXXX TEAVE/ (XX) ΣΤΟΙΧΕΊΑ ΤΟΥ ΠΡΟΣΏΠΟΥ ΤΟ ΟΠΟΊΟ ΑΦΟΡΆ ΤΟ ΈΝΤΥΠΟ/ (XX) INFORMATION XX XXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXX XXX XX XXXXXXXX XXXXXXXXX/ (XX) FAISNÉIS XXXXXX XXXX XX XXXXX XXXX xXXXXXXXX/ (HR) XXXXXXXXXXX X XXXXXXXX XXXXX/ (IT) XXXXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (XX) XXXXXXĀXXXX PAR XXXXXXĪXX PERSONU/ (XX) XXXXXXXXXXX XXXX XXXXXXXXXĄ XXXXXĮ/ (XX) AZ XXXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXX XXXXĊXXXXXX/ (XX) XXXXXXXXXX OVER XX XXXXXXXXXX/ (PL) XXXX XXXXX, XXXXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÇÕXX SOBRE X XXXXXX EM CAUSA/ (XX) INFORMAȚII XXXXXXX XXXXXXXX VIZATĂ/ (XX) XXXXXXXXXX X DOTKNUTEJ XXXXX/ (SL) XXXXXXXXXXX X XXXXXXX OSEBI/ (XX) ASIANOMAISEN XXXXXXÖX XXXXXX/ (XX) XXXXXXXXX XX XXX BERÖRDA XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X)/ (XX) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (XX) XXXXXXXXXXXX(X)/ (XX) XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (EN) XXXXXXX(X)/ (XX) NOM(S)/ (XX) XXXXXXX (SLOINNTE)/ (XX) XXXXXXX(XX)/ (XX) XXXXXXX(X)/ (XX) XXXĀXXX(-X)/ (LT) XXXXXXĖ (-ĖS)/ (HU) XXXXXXX XXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX)/ (NL) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (XX) XXXXXXX(X)/ (XX) XXXX/ (XX) XXXXXXXXXX(-X)/ (XX) XXXXXXX(XXXXXXX)/ (XX) XXXXXXXX (-XXXXX)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) XXXXX (XXXXX)/ (DA) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-NIMED)/ (EL) ΟΝΟΜΑ (-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) PRÉNOM(S)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (XX) VĀRDS(-I)/ (XX) XXXXXX (-AI)/ (XX) UTÓNEVE(I)/ (XX) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (XX) IMIĘ (IMIONA)/ (XX) XXXX(X) XXXXXXXX(X)/ (XX) XXXXXXX/ (SK) XXXX(-X)/ (SL) XXX/XXXXX/ (XX) ETUNIMI (-NIMET)/ (XX) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX NACIMIENTO/ (XX) XXXXX (DD/MM/RRRR) XXXXXXXX/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) SÜNNIKUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΊΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) DATE (XX/XX/XXXX) XX XXXXX/ (XX) DATE (XX/XX/XXXX) XX XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) BREITHE/ (XX) XXXXX (DD/MM/GGGG) XXĐXXXX/ (XX) XXXX XX XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX XXXX (DD/MM/MMMM)/ (HU) XXÜXXXXXX IDEJE (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXX-XXXXXX/ (NL) XXXXXXXXXXXXX (XX/XX/XXXX)/ (PL) XXXX (XX/XX/XXXX) URODZENIA/ (PT) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (DD/MM/RRRR) NARODENIA/ (XX) XXXXX (DD/MM/LLLL) XXXXXXX/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.4

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX Y XXXX DE XXXXXXXXXX/ (XX) XXXXX X XXXX XXXXXXXX/ (XX) XØXXXXXX XX -LAND/ (XX) ORT UND XXXX DER XXXXXX/ (XX) XÜXXXXXXX XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX XXX XXXXXXX XX BIRTH/ (XX) XXXX XX XXXX DE NAISSANCE/ (XX) XXX XXXX XXX XXXXXXXX/ (XX) XXXXXX I ZEMLJA XXĐXXXX/ (XX) LUOGO X XXXXX XX XXXXXXX/ (XX) XXXXXXXXX XXXXX XX XXXXXX/ (XX) XXXXXX VIETA XX XXXXX/ (XX) XXÜXXXXXX XXXXX ÉS XXXXXXX/ (XX) POST X PAJJIŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX XX -XXXX/ (PL) XXXXXXX X PAŃSTWO XXXXXXXXX/ (XX) XXXXX X XXXX XX NASCIMENTO/ (XX) XXXXX ȘI ȚXXX XXȘXXXXX/ (SK) XXXXXX A XXXX XXXXXXXXX/ (XX) KRAJ XX DRŽAVA ROJSTVA/ (XX) XXXXXXÄXXXXXX XX -XXX/ (XX) FÖDELSEORT XXX -XXXX

4.5

(XX) ПОЛ/ (XX) SEXO/ (CZ) XXXXXXX/ (XX) XØX/ (XX) XXXXXXXXXX/ (XX) XXXX/ (EL) ΦΥΛΟ/ (XX) SEX/ (XX) XXXX/ (GA) XXXXXX/ (XX) SPOL/ (IT) XXXXX/ (LV) DZIMUMS/ (XX) XXXXX/ (XX) XXXX/ (MT) XXXX/ (XX) GESLACHT/ (XX) XŁXĆ/ (XX) XXXX/ (XX) SEXUL/ (XX) XXXXXXXX/ (XX) SPOL/ (XX) XXXXXXXXX/ (SV) XÖX

4.5.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXXXXXX/ (ET) XXXXXXXXX/ (XX) ΘΗΛΥ/ (EN) XXXXXX/ (FR) FÉMININ/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (XX) SIEVIETE/ (XX) XXXXXXX/ (XX) NŐ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) FEMININO/ (RO) XXXXXXXX/ (XX) ŽENSKÉ/ (XX) XXXXXX/ (FI) XXXXXX/ (XX) XXXXXX

4.5.2

(XX) МЪЖКИ/ (XX) VARÓN/ (XX) XXX/ (XX) XXXX/ (XX) MÄNNLICH/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (EN) XXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (HR) XXXXX/ (XX) MASCHILE/ (XX) XĪXXXXXX/ (XX) VYRAS/ (XX) XXXXX/ (XX) XXĠXX/ (NL) MAN/ (XX) XĘŻXXXXXX/ (PT) XXXXXXXXX/ (RO) BĂRBĂTESC/ (XX) MUŽSKÉ/ (XX) XXXXX/ (FI) MIES/ (XX) MAN

4.5.3

(BG) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (CZ) XXXXXXXX/ (DA) UBESTEMT/ (XX) UNBESTIMMT/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) INDÉTERMINÉ/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) NENUSTATYTA/ (XX) MEGHATÁROZATLAN/ (MT) XXXX STABBILIT/ (XX) XXXXXXXXX/ (XX) PŁEĆ XXXXXXXŚXXXX/ (PT) XÃX XXXXXXXX/ (RO) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (SL) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

5.

(XX) НАСТОЯЩО МЕСТОЖИВЕЕНЕ И/ИЛИ МЕСТОПРЕБИВАВАНЕ НА СЪОТВЕТНОТО ЛИЦЕ СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX X/X XXXXXXXXXX ACTUALES XX XX XXXXXXX X XX XXX XX XXXXXXX XX XXXXXXXXX PÚBLICO AL XXX XX ADJUNTA XXXX XXXXXXX/ (CZ) XXXXXXXX XXXXXXXX XXXX XXXXX XXXXXX XXXXX XXXXXXX XX XXXXXXX XXXXXXX, X NÍŽ XX PŘIPOJEN XXXXX XXXXXXXX/ (XX) XXXÆXXXXX XXXÆX OG/ELLER XXXXXXXXXXX XXX XXXXXXXX, XXX XX XXXØXX AF XXX XXXXXXXXXX XXXXXXXX, XXX DENNE FORMULAR XX XXXXÆXXXX/ (XX) XXXXXXXXX WOHNSITZ UND/ODER XXX DES XXXÖXXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXXXX XXXXXX XXXÄXX XXX ÖXXXXXXXXXXX XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (ET) XXXXXXXX XXXXXXXXXX, XXXXXXX XXX XXXX XX XXXXXXX, XXXXXXXXX XXXXX PRAEGUNE XXXXXXX XXXXXXX JA/VÕI XXXXXXX/ (XX) ΤΡΕΧΟΥΣΑ ΔΙΕΥΘΥΝΣΗ ΚΑΤΟΙΚΙΑΣ ΚΑΙ/Ή ΔΙΑΜΟΝΗΣ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXX XXXXXXXX XXX/XX XXXXXXXXX XX XXX PERSON XXXXX XX XXX XXXXXX XXXXXXXX XX XXXXX XXXX FORM XX XXXXXXXX/ (XX) XXXXXXXX XX/XX XXXXXXXXX XXXXXXX DE LA XXXXXXXX XXXXXXXXX PAR XX XXXXXXXX XXXXXX XXXXXX LE PRÉSENT XXXXXXXXXX EST XXXXX/ (XX) SAINCHÓNAÍ XXXXXX XXXX/XX XXXXXXXXXXX XX XXXXX XXX XXXXXXXXX XX DOICIMÉAD POIBLÍ XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXX X/XXX BORAVIŠTE OSOBE XXXXXXXX X XXXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXX X/X XXXXXXXXX XXXXXXX XXXXX XXXXXXX INTERESSATA DAL XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (LV) XXXXXXĪXĀX PERSONAS XXXXXXXĒXXXX XXXXXXXX XX/XXX UZTURĒŠANĀS XXXXX, XXX XXXĒXX XXXXXXXXXĀ XXXXXXXXĀ, KURAM XĪ VEIDLAPA XX XXXXXXXXXX/ (LT) VIEŠAJAME XXXXXXXXX, PRIE XXXXX XXXXXXXXX ŠI XXXXX, XXXXXXXX XXXXXX XXXXXXXXĖ XXXXXXXXĖ XXXXXXXXXX XXXXX XX (XXXX) XXXXXXXXXX XXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX KÍSÉRT KÖZOKIRATBAN XXXXXXXXXXX XXXXXXX XXXXXXXXX XXXXXXXXX XX/XXXX XXXXXXXXXXXX XXXXX/ (XX) XXXXĊXXXX X/XXX XXXXXXXXX ATTWALI XXX-XXXXXXX XXXXXXXX FID-DOKUMENT XXXXXXXX XX XXXXĦX XX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXX XXXX- XX/XX XXXXXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXX VAN XXX OPENBAAR XXXXXXXX XXXXXXX DIT XXXXXXXXX XX XXXXXXX/ (XX) XXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXX XXXXXX XXXXX XXXXXXXXX X XXXXXXXXXX URZĘDOWYM, DO XXXXXXX XXŁĄXXXXX XXXX XXXXXXXXX FORMULARZ/ (XX) XXXXXXXXX X/XX RESIDÊNCIA XXXXX XX PESSOA XXXXXXXXX XX XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (RO) XXXXXXXXXX ȘI/SAU XXȘXXXXȚX XXXXXX(Ă) AL (X) XXXXXXXXX XXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXXXX XXXXXXXX X/XXXXX XXXXX XXXXX XXXXXXXX XX VEREJNEJ LISTINE, XX XXXXXX XX XXXXXXXXX XXXXX FORMULÁR/ (XX) XXXXXXXX STALNO XXXXXXXXXXXX IN/ALI XXXXXXXX XXXXXXXXXXXX XXXXX, NA XXXXXX SE XXXXXX XXXXX XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX/ (FI) XXXXXXXXÄ XXXXXXXXXXXX, JOHON XÄXÄ XXXXXX LIITETÄÄN, XXXXXXXXXXX HENKILÖN XXXX- XX/XXX XXXXXXXXXXX/ (SV) XXXXXXXXX XXXXXXX OCH/ELLER XXXXXXXXXX XÖX DEN XXXXXX XXX XXXÖXX XX XXX OFFICIELLA XXXXXXXX TILL XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

5.1

(XX) МЕСТОЖИВЕЕНЕ/ (ES) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) BOPÆL/ (XX) XXXXXXXX/ (ET) ALALINE XXXXXXX/ (EL) ΚΑΤΟΙΚΙΑ/ (XX) XXXXXXXX/ (FR) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXĖ XXXXXXXXXX XXXXX/ (HU) LAKÓHELY/ (XX) DOMIĊILJU/ (XX) XXXXXXXXXX/ (PL) XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXX/ (SK) XXXXXXXX/ (SL) XXXXXX XXXXXXXXXXXX/ (FI) KOTIPAIKKA/ (XX) HEMVIST

5.1.1

(BG) АДРЕС/ (XX) XXXXXXXXX/ (XX) XXXXXX/ (XX) ADRESSE/ (XX) ANSCHRIFT/ (XX) XXXXXXX/ (XX) ΔΙΕΥΘΥΝΣΗ/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) ADRESA/ (XX) XXXXXXXXX/ (LV) XXXXXX/ (XX) ADRESAS/ (XX) XXXX/ (XX) INDIRIZZ/ (XX) XXXXX/ (XX) XXXXX/ (XX) XXXXXXÇX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) OSOITE/ (SV) XXXXXX

5.1.1.1

(XX) УЛИЦА И НОМЕР/ПОЩЕНСКА КУТИЯ/ (XX) XXXXX X NÚMERO / APARTADO DE XXXXXXX/ (XX) ULICE X XXXXX DOMU / XXXXXXXX XXXXXXXXX/ (XX) XXX XX XXXXXXXXX/XXXXXXXX/ (XX) STRASSE XXX XXXXXXXXXX/XXXXXXXX/ (XX) XÄXXX XX MAJA XXXXXX / POSTKAST/ (XX) ΟΔΟΣ ΚΑΙ ΑΡΙΘΜΟΣ / Τ.Θ./ (XX) XXXXXX XXX XXXXXX/XX XXX/ (XX) XXX ET NUMÉRO/BOÎTE XXXXXXX/ (GA) XXXXX XXXX UIMHIR/BOSCA XXXXX/ (XX) ULICA X XXXX / XXXXXXXXX XXXXXXXX/ (IT) VIA X XXXXXX/XXXXXXX POSTALE/ (XX) IELA XX XĀXXX XXXXXX / XXXXXXXXX/ (XX) XXXXĖ XX NAMO XXXXXXX / XXXXX XĖXXXĖ/ (XX) XXXX XX XXXXXXX/XXXXXXXXX/ (MT) XXXX X NUMRU/KAXXA POSTALI/ (XX) XXXXXX EN XXXXXX/XXXXXXX/ (XX) XXXXX X XXXXX / XXXXXXX POCZTOWA/ (XX) XXX X XXXXXX/XXXXX XXXXXX/ (XX) STRADA ȘX NUMĂRUL/CĂSUȚA XXȘXXXĂ/ (XX) ULICA A XXXXX/ XXXXXXX XXXXXXXXX/ (XX) XXXXX XX XXXXXXXX/XXXXXX XXXXXX/ (FI) XÄXXXXXXXX/XXXXXXXXXXX/ (SV) GATUADRESS/POSTBOX

5.1.1.2

(BG) НАСЕЛЕНО МЯСТО И ПОЩЕНСКИ КОД/ (XX) XXXXXXXXX Y XXXXXX XXXXXX/ (CZ) XXXXX X XXXXXXXX XXXXXXXXX XXXXX/ (XX) XX XX XXXXXXXXXX/ (XX) XXX XXX ORT/ (XX) XXXX XÕX XXXXX JA XXXXXXXXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΤΑΧΥΔΡΟΜΙΚΟΣ ΚΩΔΙΚΟΣ/ (XX) XXXXX XXX POSTAL XXXX/ (XX) LOCALITÉ XX CODE XXXXXX/ (XX) XXX AGUS XXX POIST/ (XX) XXXXXX X XXXXXXXXX XXXX/ (IT) LOCALITÀ X CAP/ (XX) XXXXX UN PASTA XXXXXXX/ (LT) VIETA XX XXXXX XXXXX/ (XX) HELYSÉG ÉS XXXXXXXXXXXX/ (XX) LOKALITÀ X XXXXĊX POSTALI/ (XX) XXXXXX EN XXXXXXXX/ (XX) XXXXXXXXXŚĆ X XXX POCZTOWY/ (XX) LOCALIDADE E XXXXXX POSTAL/ (XX) XXXXXXXXXXX ȘI XXXXX XXȘXXX/ (XX) XXXXXX X XXXXXXX XXXXXXXXXX XXXXX/ (XX) XXXX XX XXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XX XXXXXXXXXXXXXXXX/ (XX) XXX XXX XXXXXXXXXX

5.1.1.3

(XX) ДЪРЖАВА/ (XX) XXXX/ (XX) XXXX/ (XX) XXXX/ (XX) XXXX/ (ET) XXXX/ (XX) ΧΩΡΑ/ (XX) COUNTRY/ (XX) XXXX/ (XX) XXX/ (XX) XXXXXX/ (XX) XXXXX/ (LV) VALSTS/ (XX) ŠALIS/ (XX) XXXXXX/ (XX) PAJJIŻ/ (XX) XXXX/ (PL) XXŃXXXX/ (XX) PAÍS/ (XX) ȚARA/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXX/ (SV) XXXX

5.2

(XX) МЕСТОПРЕБИВАВАНЕ/ (XX) XXXXXXXXXX/ (XX) XXXXX XXXXXX/ (XX) XXXXXXXXXXX/ (XX) ORT XXX XXXÖXXXXXXXX AUFTENTHALTS/ (XX) XXXXXXX/ (XX) ΔΙΑΜΟΝΗ/ (XX) XXXXXXXXX/ (FR) XXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXĒXXXĀX XXXXX/ (LT) XXXXXXXXXX XXXXX/ (HU) TARTÓZKODÁSI XXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) XXXXXXX POBYTU/ (PT) XXXXXÊXXXX/ (XX) XXȘXXXXȚX/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX

6.

(XX) ПОЛЕ ЗА ПОДПИС/ (ES) XXXXXXXX XXXX LA XXXXX/ (XX) POLE XXX XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) XXXXX POUR XX XXXXXXXXX/ (XX) BOSCA XXX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXXXXX XXX XX XXXXX/ (XX) XXXXXXXX XXXXX/ (LT) XXXXXX LAUKELIS/ (HU) XX ALÁÍRÁS XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) VAK XXXX XX HANDTEKENING/ (XX) XXXX XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (RO) SEMNĂTURA/ (XX) KOLÓNKA XX XXXXXX/ (SL) XXXXX XX XXXXXX/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (SV) XXXX XÖX XXXXXXXXXXXXXX

6.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) APELLIDO(S) X NOMBRE(S) XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (CZ) XXXXXXXX X XXXXX (XXXXX) XXXXXXXX, KTERÝ XXXXX XXXXX XXXXXXXX/ (XX) EFTERNAVN(E) XX XXXXXXX(X) PÅ DEN XXXXXXXXXX, DER XXX XXXXXXX XXXXX XXXXXXXX/ (XX) FAMILIENNAME(N) XXX XXXXXXX(X) DES BEAMTEN, XXX XXXXXX XXXXXXXX XXXXXXXXXXX HAT/ (XX) XÄXXXXXXX VORMI VÄLJASTANUD XXXXXXXX EESNIMI (-XXXXX) XX XXXXXXXXXXXXX (-NIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) XXX XXXXXXXX(X) XX THE OFFICIAL XXX XXXXXX THIS XXXX/ (XX) XXX(X) XX XXXXXX(X) XX XXXXXXXXXXXXX XXX A XXXXXXX XX XXXXXXX XXXXXXXXXX/ (GA) SLOINNE (XXXXXXXX) XXXX CÉADAINM (XXXXXXXXXXXXXX) XX XXXXXXXX X D’EISIGH AN XXXXXX SEO/ (HR) XXXXXXX(XX) X IME(NA) XXXXXXXXXX XXXX XX XXXXX OVAJ OBRAZAC/ (XX) COGNOME/I X XXXX/X XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX PRESENTE XXXXXX/ (XX) XXXXXXXXXXXX, KURA XXXXXXXX ŠO VEIDLAPU, XXXĀXXX(-X) XX XĀXXX(-X)/ (XX) XXĄ FORMĄ XXXXXXXXX XXXXXXŪXX PAVARDĖ (-ĖX) XX VARDAS (-XX)/ (XX) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXX XXXX(X) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦAREĠ XXX XX-XXXXXXX/ (NL) NA(A)M(EN) XX XXXXXX(X)X(XX) VAN XX AMBTENAAR XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (PL) XXXXXXXX(-X) X XXXĘ (XXXXXX) XXXĘXXXXX, KTÓRY XXXXŁ XXXXXXXXX FORMULARZ/ (PT) XXXXXXX(X) X XXXX(X) XXXXXXX(X) DO FUNCIONÁRIO XXX XXXXXX O XXXXXXXX FORMULÁRIO/ (XX) XXXXXX ȘX XXXXXXXXX XXXXȚXXXXXXXXX CARE X XXXX XXXXXXXXX XXXXXXXX/ (XX) PRIEZVISKO(-Á) A XXXX(-X) ÚRADNÍKA, KTORÝ XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX/XXXXXXX IN XXX/XXXXX XXXXXXXX, KI XX XXXXX TA XXXXXXX/ (XX) TÄMÄN XXXXXXXXX ANTANEEN XXXXXXXXXXX XXXXXXXX (-XXXXX) XX XXXXXXX (-NIMET)/ (XX) XXXXXXXXX XXX XÖXXXXX XÅ DEN TJÄNSTEMAN XXX XXX XXXÄXXXX XXXXX FORMULÄR

6.2

(BG) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX DEL XXXXXXXXXXX QUE XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, KTERÝ XXXXX XXXXX XXXXXXXX/ (XX) STILLING — XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) STELLUNG XXX XXXXXXX, XXX XXXXXX FORMULAR XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX VÄLJASTANUD AMETNIKU XXXXXXXXX/ (EL) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXX XX XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) POSTE XX FONCTIONNAIRE QUI X DÉLIVRÉ LE XXXXXXX XXXXXXXXXX/ (GA) XXXX XX XXXXXXXX X D’EISIGH XX XXXXXX XXX/ (HR) XXXXXXXX SLUŽBENIKA KOJI XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXX FUNZIONARIO XXX XX RILASCIATO IL XXXXXXXX XXXXXX/ (LV) XXXXXXXXXXXX, XXXX XXXXXXXX XX VEIDLAPU, AMATS/ (XX) XXĄ FORMĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX TAL-UFFIĊJAL XX ĦXXXĠ XXX XX-XXXXXXX/ (NL) XXXXXXX XXX DE XXXXXXXXX XXX XXX FORMULIER XXXXX AFGEGEVEN/ (PL) XXXXXXXXXX XXXĘXXXXX, KTÓRY XXXXŁ NINIEJSZY XXXXXXXXX/ (XX) XXXXX DO XXXXXXXXXXX QUE XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX XXXX A XXXX XXXXXXXXX FORMULAR/ (XX) XXXXXXX ÚRADNÍKA, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) POLOŽAJ XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXX/ (SV) XXXXXXXXXX XÖX XXX XXÄXXXXXXX XXX XXX XXXÄXXXX DETTA FORMULÄR

6.3

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) UDSTEDELSESDATO (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) DATE (XX/XX/XXXX) XX ISSUE/ (FR) XXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) EISIÚNA/ (XX) XXXXX (DD/MM/GGGG) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (ÉÉÉÉ/HH/NN)/ (XX) DATA (JJ/XX/SSSS) XXX-ĦXXĠ/ (NL) DATUM (XX/XX/XXXX) XXX AFGIFTE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (PT) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) DATA (ZZ/LL/AAAA) XXXXXXXX/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXX/ (XX) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (XX) XXXXX (DD/MM/ÅÅÅÅ) XÖX UTFÄRDANDE

6.4

(BG) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXX/ (EL) ΥΠΟΓΡΑΦΗ/ (XX) SIGNATURE/ (FR) XXXXXXXXX/ (GA) SÍNIÚ/ (XX) XXXXXX/ (IT) XXXXX/ (XX) PARAKSTS/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) HANDTEKENING/ (XX) XXXXXX/ (XX) ASSINATURA/ (XX) XXXXĂXXXX/ (SK) XXXXXX/ (XX) PODPIS/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (CZ) XXXXX NEBO XXXXXXX/ (XX) XXXX XXXXX XXXXXXX/ (XX) XXXXXX XXXX XXXXXXX/ (XX) XXXXXX XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (EN) XXXX OR STAMP/ (XX) SCEAU OU XXXXXX/ (GA) XXXXX XX STAMPA/ (XX) XXX XXX PEČAT/ (XX) BOLLO X XXXXXX/ (XX) ZĪMOGS XXX XXXXXXXX/ (XX) XXXXXXX XXXX ANTSPAUDAS/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (XX) SIĠILL XXX TIMBRU/ (NL) XXXXX XX XXXXXXX/ (XX) PIECZĘĆ XXX XXXXXXX/ (XX) SELO XX CARIMBO/ (XX) XXXXXXXX SAU ȘTAMPILA/ (XX) PEČAŤ ALEBO XXXXXXXX XXXXXXXX/ (XX) XXXXX ALI XXX/ (XX) XXXXXXX TAI XXXXX/ (XX) SIGILL XXXXX XXÄXXXX

XXXXXXXXXXX ZÁZNAMU X REJSTŘÍKU XXXXXX XXXXXXXXX XXXXX, XXXXX XX DOTYČNÁ OSOBA XXXXXXX XXXXXXXXXXXX

XXXXXXXXXXX STANDARDNÍ XXXXXXXX – XXXXXXX XXX PŘEKLAD

Článek 7 xxxxxxxx Xxxxxxxxxx xxxxxxxxxx x Xxxx (XX) 2016/1191 xx xxx 6. xxxxxxxx 2016 x podpoře volného xxxxxx občanů xxxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxxxx xxxxxxxxx veřejných xxxxxx x Evropské xxxx x o změně xxxxxxxx (EU) x. 1024/2012 (1)

Xxxxxx (BE) Xxxxxxxxx (BG)

Česká xxxxxxxxx (XX)

Xxxxxx (DK) Xxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (XX) Španělsko (XX)

Xxxxxxx (XX) Chorvatsko (XX)

Xxxxxx (XX) Kypr (XX)

Xxxxxxxx (LV) Litva (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (HU) Xxxxx (XX)

Xxxxxxxxxx (NL) Xxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Xxxxxx (FI)

Švédsko (SE) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx účelem xxxxxx xxxxxxxxxxxxx xxxxxxxxxxxx xxxxxxxxx xx usnadnění xxxxxxxx xxxxxxx listiny, x xxx xx xxxxxxxx. Xxxxx formulář xx xxxx xxxxxxxxx xxxxx xxxxx pohybovat xxxx xxxxxxxxxx xxxxxxxx.

Xxxxx xxxxxxxx xxxxxx obsah veřejné xxxxxxx, x níž xx xxxxxxxx. Xxxxx, xxxxx xx xxxxxxx xxxxxxx předkládána, xxxx xxxx v xxxxxxxxx, xxx xx to xxxxxxxx xxx xxxxx xxxxxxxxxx xxxxxxx listiny, xxxxxxxxx xxxxxxx xx xxxxxx informací, xxxxx xxxx xx formuláři xxxxxxx.

XXXXXXXXXX PRO VYDÁVAJÍCÍ XXXXX

Xxxxxx xxxxx xxxxxxxxx, xxxxx xxxx xxxxxxx xx xxxxxxx xxxxxxx, x xxx je xxxxxxxx xxxxx xxxxxxxx. (2)

Xxxxx xxxxxxx xxxxxxx, x xxx je xxxxxxxx xxxxx formulář, xxxxxxxxxx xxxxxx xxxxx xxxx xxxxxxxxx, xxxxxx „–“.

1. XXXXX XXXXXXXXXX XXXXX XXXXXXXX

1.1 Název (3)

2. XXXXX VYDÁVAJÍCÍ XXXXXXXX XXXXXXX, K XXX XX XXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (4)

3. XXXXXXXXX TÝKAJÍCÍ XX XXXXXXX XXXXXXX, X NÍŽ XX XXXXXXXX XXXXX XXXXXXXX

3.1 Xxxxxxx xxxxxx xxxxxxx xxxx xxxxxxxxx s xxxxxx xx soudy xxxxxx členského xxxxx

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx xxxxxx státním xxxxxxxxx

3.1.3 Xxxxxxx vydaná xxxxxx xxxxxxx úředníkem

3.1.4 Xxxxxxx xxxxxx xxxxxxx vykonavatelem („xxxxxxxx xx xxxxxxx“)

3.1.5 Xxxx (upřesněte)

(1) Xx. xxxx. X 200, 26.7.2016, x. 1.

(2) Xxx xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

(3) Xxxxx „název“ xx xxxxx xxxxxxxx jako xxxxxx xxxxx xxxxxx xxxxxxxxxxxx xxxxxxxx.

(4) Xxxxx „xxxxx“ je xxxxx xxxxxxxx xxxx xxxxxx xxxxx xxxxxx xxxxxxxxxxxx xxxxxxxx xxxxxxx, x xxx xx xxxxxxxx xxxxx xxxxxxxx.

3.2 Xxxxxxx xxxxxx správním úřadem

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx z xxxxxxxxx trestů

3.2.3 Xxxx xxxxxxx x xxxxxxxxx xxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx listina

3.4 Úřední xxxxxxxxx, xxxxxx xxxx xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

3.5 Listina xxxxxxxxxx xxxxxxxxxxxxx zástupcem xxxx konzulárním úředníkem xxxxxxxxx xxxxx x xxxxx xxxxxx xxxx xxxxxxxxxx povinností

3.6 Datum (xx/xx/xxxx) vydání

3.7 Referenční xxxxx xxxxxxx listiny

4. XXXXXXXXX X TOTOŽNOSTI XXXXX XXXXXXX XX XXXXXXX XXXXXXX, K XXX XX PŘIPOJEN XXXXX FORMULÁŘ

4.1 Příjmení

4.2 Xxxxxxxxx xxxxxxxx

4.3 Jméno (xxxxx)

4.4 Xxxxxxxxx xxxxx (xxxxx)

4.5 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.6 Xxxxx (1) x xxxx (2) xxxxxxxx

4.7 Xxxxxxx:

4.7.1 Xxxx

4.7.2 Xxx

4.7.3 Neurčeno

4.8 Státní xxxxxxxxxxx

4.9 Xxxxxxxxxxxxx xxxxx

4.10 Xxxx x xxxxx xxxxxxxxxxxxxxx xxxxxxx xxxxx:

4.10.1 Xxxxxxxxxxxx xxxxxx xxxxxxxxxx / x.

4.10.2 Xxx / č.

4.10.3 Xxxxxxxx xxxxxx / č.

4.10.4 Xxxx (xxxxxxxxx) /x.

5. XXXXXXX XXXXXXX, K XXX JE PŘIPOJEN XXXXX XXXXXXXX, NEZMIŇUJE XXXXX XXXXXXXXX XXXXXXX XXXXX XXXXXXX V XXXXXXXXX XXXXXX ČLENSKÉHO XXXXX, XXXXX XX XXXX XXXXX STÁTNÍM XXXXXXXXXXXX.

6. XXXX XXX XXXXXX

6.1 Xxxxxxxx x xxxxx (jména) xxxxxxxx, xxxxx xxxxx xxxxx xxxxxxxx

6.2 Xxxxxx xxxxxxxx, xxxxx xxxxx tento xxxxxxxx

6.3 Xxxxx (dd/mm/rrrr) xxxxxx

6.4 Xxxxxx

6.5 Xxxxx xxxx xxxxxxx

(1) Xxxxx „xxxxx xxxxxxxx“ xx xxxxxx název obce xxxx města, okresu x xxxxx, xxx xx xxxx xxxxx xxxxxxxx.

(2) Xxxxx xxxx x – pokud xxxxxxxx – xxx XXX xxxx xxxx xxxx možnost „Jiné (xxxxxxxxx)“ je třeba xxxxxx z rozbalovací xxxxxxx ve vzorovém xxxxxxxxxxxx xxxxxxxxxxx formuláři, xxxxx xx x xxxxxxxxx xx xxxxxxx xxxxxxxx e-justice.

VÍCEJAZYČNÝ GLOSÁŘ XXXXX XXXXXXXXXXXX POLOŽEK

(NEEXISTENCE XXXXXXX X REJSTŘÍKU XXXXXX ČLENSKÉHO XXXXX, XXXXX XX XXXXXXX XXXXX STÁTNÍM XXXXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX EXPIDE XXXX XXXXXXX/ (XX) ORGÁN XXXXXXXXXX TENTO XXXXXXXX/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (DE) XXXÖXXX, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX XÄXXX XXXXXX ASUTUS/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (EN) XXXXXXXXX XXXXXXX THIS XXXX/ (FR) XXXXXXXX XX XXXXXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX tÚDARÁS X XXXXXXXX XX FHOIRM XXX/ (XX) TIJELO XXXX XXXXXX OVAJ XXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX IL XXXXXXXX XXXXXX/ (XX) XXXXXXXXX IZDEVĒJIESTĀDE/ (XX) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX TA' DIN XX-XXXXXXX/ (NL) XXXXXXXXXX XXX AFGIFTE VAN XXX FORMULIER/ (XX) XXXXX XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (PT) XXXXXXXXXX XXX EMITE X XXXXXXXX FORMULÁRIO/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX TENTO XXXXXXXX/ (XX) ORGAN, XX XXXX XX XXXXXXX/ (FI) XÄXÄX XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) DENOMINACIÓN/ (XX) XXXXX/ (DA) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (ET) XXXXXXX/ (EL) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (HR) XXXXX/ (XX) DENOMINAZIONE/ (XX) XXXXXXXXX/ (LT) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXÇÃX/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) XXX/ (XX) XXXX/ (SV) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) AUTORIDAD XXX XXXXXX XX XXXXXXXXX XXXXXXX XX XXX SE ADJUNTA XXXX XXXXXXX/ (CZ) XXXXX VYDÁVAJÍCÍ XXXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXX XXXXXXXXX, DER XXX XXXXXXX DET OFFENTLIGE XXXXXXXX, XXX XXXXX XXXXXXXX ER XXXXÆXXXX/ (XX) XXXÖXXX, XXX XXX ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX IST, XXXXXXXXX/ (XX) XXXXXX, KES XXXXX XÄXXX XXXXXXX XXXXXXXXX, XXXXXXX SEE XXXX XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) AUTHORITY XXXXXXX XXX XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (FR) XXXXXXXX XX DÉLIVRANCE DU XXXXXXXX XXXXXX AUQUEL XXX XXXXX XX XXXXXXX FORMULAIRE/ (XX) XX tÚDARÁS A XXXXXXXX XX DOICIMÉAD XXXXXX LENA XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) TIJELO XXXX IZDAJE XXXXX XXXXXXX KOJOJ XX XXXX XXXXXXX PRILOŽEN/ (XX) XXXXXXXÀ XXX XXXXXXXX IL DOCUMENTO XXXXXXXX CUI IL XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, XXXXX ŠĪ XXXXXXXX XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX ŠI FORMA, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) A FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXXXX KIÁLLÍTÓ XXXXXXX/ (XX) AWTORITÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX XX MIEGĦU XXXX XXXXXŻX DIN XX-XXXXXXX/ (XX) XXXXXXXXXX VAN XXXXXXX XXX HET XXXXXXXX DOCUMENT WAARAAN XXX FORMULIER IS XXXXXXX/ (XX) ORGAN XXXXXĄXX DOKUMENT XXXĘXXXX, XX XXXXXXX NINIEJSZY XXXXXXXXX JEST XXŁĄXXXXX/ (XX) XXXXXXXXXX XXX XXXXX X DOCUMENTO XXXXXXX X XXX X XXXXXXXX FORMULÁRIO XXXX XXXXXX/ (RO) XXXXXXXXXXX EMITENTĂ A XXXXXXXXXXXX XXXXXXX XX XXXX XXXX ANEXAT XXXXXXXXX FORMULAR/ (SK) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, XX KTOREJ XX TENTO XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX IZDA JAVNO XXXXXXX, KI XX XX PRILOŽEN XX XXXXXXX/ (XX) XXXXXXXXXXXX, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, JOHON XÄXÄ LOMAKE XXXXXXÄÄX/ (XX) XXXXXXXXX SOM XXXÄXXXX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX FORMULÄR ÄR XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX AL XXXXXXXXX PÚBLICO XX XXX XX ADJUNTA XXXX XXXXXXX/ (XX) XXXXXXXXX TÝKAJÍCÍ SE XXXXXXX LISTINY, X XXX JE PŘILOŽEN XXXXX XXXXXXXX/ (DA) XXXXXXXXXXX XXXXØXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (DE) ANGABEN XXX ÖFFENTLICHEN XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX XXXXXXX DOKUMENDI XXXXX, MILLELE XXX XXXX XX LISATUD/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXX XXXXXX XXXXXXXX XX XXXXX THIS XXXX IS ATTACHED/ (XX) XXXXXXXXXXXX RELATIVES XX XXXXXXXX XXXXXX XXXXXX EST XXXXX XX PRÉSENT XXXXXXXXXX/ (XX) XXXXXXXX X XXXXXXXXX XXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXXXXX KOJE XX XXXXXX NA JAVNU XXXXXXX KOJOJ XX XXXX OBRAZAC PRILOŽEN/ (XX) INFORMAZIONI XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX IL XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX XĪ VEIDLAPA XX XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX XX VIEŠUOJU XXXXXXXXX, PRIE KURIO XXXXXXXXX XX XXXXX/ (XX) A FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXXXX VONATKOZÓ XXXXXXXXXXX/ (XX) INFORMAZZJONI XXXX XX-XXXXXXXX XXXXXXXX XX MIEGĦU HIJA XXXXXŻX DIN IL-FORMOLA/ (XX) XXXXXXXXXX BETREFFENDE XXX OPENBAAR XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXX DOTYCZĄCE XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX JEST XXŁĄXXXXX/ (PT) XXXXXXXÇÕXX XXXXXXXXX AO DOCUMENTO XXXXXXX A QUE X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXȚXX REFERITOARE XX XXXXXXXXXX OFICIAL XX XXXX XXXX ANEXAT XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX X VEREJNEJ XXXXXXX, XX KTOREJ XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXX X XXXXX LISTINO, XX XX XX XXXXXXXX XX XXXXXXX/ (FI) XXXXXX XXXXXXXXÄ ASIAKIRJASTA, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXXXX XX XXX XXXXXXXXXX XXXXXXXX TILL XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX EXPEDIDO XXX XXX XXXXXXXXX O XX FUNCIONARIO VINCULADO X XXX ÓRGANOS XXXXXXXXXXXXXXXX DE UN XXXXXX MIEMBRO/ (XX) XXXXXXX VYDANÁ XXXXXXX XXXX XXXXXXXXX X XXXXXX XX XXXXX XXXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXXX, XXX XX XXXXXXX XX XX MYNDIGHED XXXXX XX XXXXXXXXXX, DER XX TILKNYTTET XXXXXXXX X XX XXXXXXXXXXX/ (XX) URKUNDE XXXXX XXXÖXXX ODER XXXXX XXXXXXXXXX ALS XXXXX XXX XXXXXXXXXXXX EINES XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX XXXXXXXXX XXXXXX AMETIASUTUS VÕI XXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (EN) XXXXXXXX EMANATING XXXX XX XXXXXXXXX XX XX XXXXXXXX CONNECTED XXXX THE COURTS XX TRIBUNALS XX X XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXX X'XXX XXXXXXXX XX X'XX XXXXXXXXXXXXX XXXXXXXX X'XXX JURIDICTION X'XX XXXX XXXXXX/ (XX) XXXXXXXXX X THAGANN X ÚDARÁS XX X XXXXXXXXX X XXXXXX BAINT XXXX XX XXXX XX XXXXXXXXXX NÓ LE XXXXX DE CHUID XXXXXXXXX/ (XX) ISPRAVA XXXX XX IZDALO XXXXXX XXX XXXXXXXXX XXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX EMANATO XX UN'AUTORITÀ X XX UN XXXXXXXXXXX XXXXXXXXXXXX XX XXX XXXXX XXXXXXXXXXXXX XX XXX XXXXX XXXXXX/ (XX) XXXXXXXXX, KURU XXXXXXXXXX AR DALĪBVALSTS XXXXĀX SAISTĪTA XXXXĀXX XXX AMATPERSONA/ (LT) XXXXXXXXXX, IŠDUOTAS XXXXXXXX XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ XX VALSTYBĖS XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (XX) TAGÁLLAMI XXXXXXXXXX XXXXXXXXXXXX XXXX XXXXXXX XXXX TISZTVISELŐ XXXXX XXXXXXXXXX OKIRAT/ (XX) DOKUMENT XXĦXXĠ XXXX XXXXXXXÀ XXX XXXXĊXXX XX JKOLLHOM XXXXX XXX-XXXXX XXX XX-XXXXXXXXX XX' XXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXXXXXX XXXXXXXXX XXX XXX LIDSTAAT/ (XX) XXXXXXXX POCHODZĄCY OD XXXXXX SĄDOWEGO XXX XXXĘXXXXX SĄDOWEGO XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXXXX XX XX XX XXXXXXXXXXX XXXXXXXXXX XX XXXXXXXX JURISDIÇÃO XX UM ESTADO-MEMBRO/ (XX) XXXXXXXX EMIS XX O AUTORITATE XXX XX XX XXXXȚXXXXX XX XX XÂXXĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (SK) XXXXXXX VYDANÁ ORGÁNOM XXXXX XXXXXXXXX X XÄXXXX XX SÚDY XXXXXXXXX XXXXX/ (SL) XXXXXXX, XXXXXX S XXXXXX XXXXXX XXX XXXXXXXX SODNE XXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, JONKA XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN XX XXXXXXXXX XXXXX XX TJÄNSTEMAN TILLHÖRANDE XXXXXXXXXÄXXXXXX I XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (ET) KOHTUOTSUS/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) COURT DECISION/ (XX) DÉCISION XX XXXXXXX/ (GA) CINNEADH XX xXXXXX/ (HR) XXXXXX ODLUKA/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (LT) XXXXXX SPRENDIMAS/ (XX) XXXXXXXX XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (XX) XXXXXÃX XXXXXXXX/ (RO) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX PÄÄTÖS/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX EXPEDIDO XXX XX XXXXXXXXXX XXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXX ZÁSTUPCEM/ (XX) XXXXXXXX UDSTEDT AF XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX EINER STAATSANWALTSCHAFT/ (XX) XXXXXXXX, XXXXX XX XÄXXX ANDNUD XXXXXXX XÜÜXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XXXXXXÈXX XXXXXX/ (GA) XXXXXXXXX X XXXXXXX X XXXXXXXXXXXXXXX POIBLÍ/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX PUBBLICO XXXXXXXXX/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) PROKURORO IŠDUOTAS XXXXXXXXXX/ (XX) ÜGYÉSZ XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX PROSEKUTUR XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX OD PROKURATORA/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXX XX XX PROCUROR/ (XX) XXXXXXX VYDANÁ XXXXXXXXXXXX/ (XX) LISTINA, XX JO XXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX ANTAMA XXXXXXXXX/ (SV) HANDLING XXX XÄXXÖX FRÅN ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) DOCUMENTO XXXXXXXX XXX XX SECRETARIO XXXXXXXX/ (XX) LISTINA XXXXXX XXXXXX SOUDNÍM XXXXXXXXX/ (DA) DOKUMENT XXXXXXX XX XX XXXXXXXXXXXXXÆX/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX XXXX A XXXXX XX X XXXXX/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX/ (XX) DOICIMÉAD A XXXXXXX Ó CHLÉIREACH XX XXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXX XXXXXXXXXX XXXXXX PISARNICE/ (IT) XXXXXXXXX XXXXXXX XX XX CANCELLIERE/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (XX) XXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX KIÁLLÍTOTT XXXXXX/ (MT) XXXXXXXX XXĦXXĠ XXXX XXĠXXXXXXXX XX' XXXXX/ (XX) XXXXXXXX XXXXXXXXX DOOR XXX GRIFFIER/ (XX) XXXXXXXX XXXXXXXĄXX OD XXXXXXXXXX XĄXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXX DE XXXXXÇX/ (XX) XXXXXXXX XXXX XX UN XXXXXXX XX XXXXXXȚXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXX, XX XX XXXX SODNI XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX SIHTEERIN XXXXXX ASIAKIRJA/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX EN XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXX EXPEDIDO POR XX AGENTE JUDICIAL («XXXXXXXX XX JUSTICE»)/ (XX) XXXXXXX XXXXXX XXXXXXX VYKONAVATELEM („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX XX XX STÆVNINGSMAND (»XXXXXXXX XX XXXXXXX«)/ (XX) XXXXXXX XXXXX GERICHTSVOLLZIEHERS/ (XX) XXXXXXXX, XXXXX XX VÄLJA XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX DE XXXXXXX»)/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXXXX OFFICER ('XXXXXXXX XX JUSTICE')/ (FR) XXXXXXXX XXXXXXX D'UN XXXXXXXX DE XXXXXXX/ (XX) XXXXXXXXX X XXXXXXX Ó XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (HR) XXXXXXX XXXX XX XXXXX XXXXXX XXXXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX EMANATO XX XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (XX) DOKUMENTS, XXXX XXXXXXXXXX TIESAS XXXXXXĪXĀXX (XXXXXXXX XX JUSTICE)/ (XX) XXXXXXXXX (XXXXXXXX XX JUSTICE) IŠDUOTAS XXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXXXX („HUISSIER XX XXXXXXX”) ÁLTAL XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXĠ MINN XXXXĊXXX ĠXXXXXXXXXX ('HUISSIER DE XXXXXXX')/ (XX) DOCUMENT XXXXXXXXX XXXX XXX XXXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX OD XXXĘXXXXX XĄXXXXXX (HUISSIER XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXÃX DE DIREITO («XXXXXXXX DE XXXXXXX»)/ (XX) DOCUMENT XXXX XX XX EXECUTOR XXXXXĂXXXXXX („HUISSIER XX XXXXXXX”)/ (SK) XXXXXXX XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXX, XX XX IZDA SODNI XXXXXXXXXX („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX DE XXXXXXX”) XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX XX STÄMNINGSMAN (XXXXXXXX DE XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) OTRO (XXXXXXXXXXXXX)/ (XX) XXXX (XXXXXXXXX)/ (XX) ANDRE (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (ET) XXX (XÄXXXXXXXX)/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX XX XXXXXXXXX)/ (XX) AUTRE (À PRÉCISER)/ (GA) XXXX (XX XXXXX)/ (XX) OSTALO (XXXXXXX)/ (XX) XXXXX (PRECISARE)/ (XX) XXXX (XXXXXXĒX)/ (XX) XXXX (NURODYTI)/ (XX) EGYÉB (XXXXÜX XXXXXXXXXXX)/ (XX) OĦRAJN (XXXXXĊXŻX)/ (NL) XXXXXXX (XXXXXXXXXXXX)/ (XX) XXXX (XXXXXĘ XXXXŚXXĆ)/ (PT) XXXXXX (X XXXXXXXXXXX)/ (XX) XXXXX (A XX PRECIZA)/ (XX) XXX (SPRESNIŤ)/ (XX) XXXXX (NAVESTI)/ (XX) XXX ASIAKIRJA (XÄXXXXXXXXÄXÄ)/ (XX) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (FR) XXXXXXXX XXXXXXXXXXXXX/ (GA) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXX AMMINISTRATIVO/ (XX) XXXXXXXXXXXĪXX DOKUMENTS/ (XX) XXXXXXXXXXXXXXX DOKUMENTAS/ (XX) XÖXXXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (PL) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (SK) XXXXXXX XXXXXXX/ (SL) XXXXXXX XXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXXXX/ (SV) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (DA) PÅTEGNING/ (XX) XXXXXXXXXXXXX/ (ET) XÕXXX/ (EL) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) CERTIFICATE/ (FR) XXXXXXXXXX/ (GA) XXXXXXXX/ (XX) POTVRDA/ (XX) XXXXXXXXXXX/ (XX) APLIECINĀJUMS/ (XX) XXXXXX, XXXXXXXXXX/ (XX) TANÚSÍTVÁNY/BIZONYÍTVÁNY/ (MT) ĊXXXXXXXXX/ (NL) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) TODISTUS/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА СЪДИМОСТ/ (XX) XXXXXXXX XXX XXXXXXXX XX XXXXXXXXXXXX XXXXXXX/ (CZ) XXXXX X XXXXXXXXX TRESTŮ/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXX/ (DE) STRAFREGISTERAUSZUG/ (XX) XXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΠΟΙΝΙΚΟΥ ΜΗΤΡΩΟΥ/ (EN) XXXXXXX XXXX THE XXXXXXXX XXXXXX/ (FR) XXXXXXX XX CASIER XXXXXXXXXX/ (XX) SLIOCHT AS XX XXXXXXX COIRIÚIL/ (XX) XXXXXXX IZ XXXXXXX XXXXXXXXXX/ (IT) XXXXXXXX DEL XXXXXXXXXX XXXXXXXXXX/ (LV) XXXXXXXX XX XXXĀXĪXXX XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXXXXXŲ XXXXXXXX/ (XX) XXXXXXX A XŰXÜXXX XXXXXXXXXXXXXXXX/ (MT) ESTRATT XXX-XXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX UIT XXX XXXXXXXXXXXXX/ (XX) XXXXĄX X XXXXXXXX KARNEGO/ (XX) XXXXXXXXXXX DO XXXXXXX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX X XXXXXXXX XXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (SV) XXXXXX XX XXXXXXXXXXXXXXXXX

3.2.3

(XX) ПЪЛЕН ПРЕПИС ОТ АКТ ОТ РЕГИСТЪРА ЗА СЪДИМОСТ/ (XX) COPIA XXXXXXX XX INSCRIPCIONES XXX XXXXXXXX XX XXXXXXXXXXXX PENALES/ (XX) XXXX XXXXXXX Z XXXXXXXXX TRESTŮ/ (XX) XXXXXX XXXX XX XXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XÄXXXXÕXXX XXXXXX/ (EL) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΟΙΝΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXXX COPY XX THE CRIMINAL XXXXXX/ (FR) XXXXX XXXXXXXXX XX XXXXXX XXXXXXXXXX/ (GA) XXXX XXXXX XX FHOCAL XXX XXXXXXX XXXXXXXX/ (XX) DOSLOVNI PRIJEPIS XX XXXXXXX EVIDENCIJE/ (XX) XXXXX XXXXXXXXX XXX CASELLARIO GIUDIZIALE/ (XX) XXXĀXĪXXX XXĢXXXXX XXXXXXXXXX KOPIJA/ (XX) XXXXXXXXXXXŲ REGISTRO ĮRAŠŲ XXXXXXXĖ XXXXXX/ (XX) X BŰNÜGYI XXXXXXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) KOPJA XXXXXXXX XXX-XXXXXX KRIMINALI/ (NL) XXXXXXXXXXX XXXXXXXXX XXX XXX STRAFREGISTER/ (PL) XXXXX XXXXŁXX X XXXXXXXX XXXXXXX/ (XX) XXXXXXÃX DE CÓPIA XXXXXXXX XX XX XXXXXXXXX XX REGISTO XXXXXXXX/ (XX) XXXXX XXXXXĂ A CAZIERULUI XXXXXXXX/ (XX) DOSLOVNÝ XXXXX X REGISTRA XXXXXXX/ (SL) XXXXXXXXX XXXXXX XX KAZENSKE XXXXXXXX/ (FI) XXXXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX AV XXXXXXXXX XX XXXXXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (ES) XXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX/ (ET) XXXXXXXXXXXXXXXXX/ (EL) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (FR) XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) JAVNOBILJEŽNIČKA XXXXXXX/ (IT) XXXX XXXXXXXX/ (XX) XXXXXXĀXX XXXX/ (LT) XXXXXXXXX XXXXX/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (PL) AKT XXXXXXXXXX/ (PT) XXX XXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (SL) NOTARSKA XXXXXXX/ (FI) XXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX XXXXXX XXXXX XX XXXXXXXXX PRIVADO/ (XX) XXXXXX XXXXXXXXX, XXXXXX XXXX XXXXXXXX XXXXXXX PODEPSANÁ XXXXXXXXX XXXXXX/ (DA) XXXXXXXX XÅXXXXXXX XÅ ET XXXXXXXX XXXXXXXXXXX XX XX XXXXXX X XXXXXX EGENSKAB XX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX AUF EINER XXXXXXXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXXXX ALLKIRJASTATUD XXXXXXXXXXX KINNITATAV XXXXXXX XÕXXX/ (EL) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX PLACED XX X XXXXXXXX XXXXXX BY X XXXXXX IN HIS XX XXX PRIVATE XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX XX XXXX XXXX XXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX X XXXXXXXXX AR XXXXXXXXXX XXXX SHÍNIÚ XX XXXXX XXX XXXXX XX INA CÁIL XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX STAVLJENA NA XXXXXXX XXXX XX XXXXX POTPISALA X XXXXXXXXX XXXXXXXX/ (IT) XXXXXXXXXXXXX XXXXXXXXX APPOSTA XX XXX SCRITTURA XXXXXXX/ (XX) XXXXXĀXX XXXXXXXXĀXXXX XX XXXXXXXXX, XX XXXĀ VĀRDĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (XX) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (HU) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX TANÚSÍTVÁNY/ (XX) ĊXXXXXXXXX XXXXĊXXXX XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX MINN PERSUNA XXX-XXXXĊXXÀ PRIVATA XXXĦXX/ (XX) XXXXXXXXX CERTIFICAAT XX XXX XXXXXXXX XXXXXXXXXXX XXXX XXX XXXXXXX XX ZIJN XXXXXXXXXXXX XXXXXXXXXXXX/ (PL) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX XXXXXXXXX/ (XX) DECLARAÇÃO OFICIAL XXXXXXX NUM XXX XX XXXXXXXX PRIVADA/ (XX) XXXXXXXXXX XXXXXXX XXXXXXX XX UN XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX XX XXXXXXX PODPÍSANEJ XXXXXX XXXXXXXXX XXX XXXXXXXX XXXXX/ (SL) XXXXXX XXXXXX XX ZASEBNI XXXXXXX/ (FI) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, XXXXX XXXXXXÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (SV) OFFICIELLT XXXXX XXXXXXXXX XÅ XX HANDLING XXX XXXXXXXXXXXXX XX XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX EXPEDIDO POR XX AGENTE XXXXXXXXXXX X XXXXXXXX XX XX XXXXXX XXXXXXX XXX XXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX JEHO XXXXXXXXXX XXXXXXXXXX/ (XX) DOKUMENT XXXXXXXXX XXXÆXXXXXX XX XX XXXXXXXXXXXX DIPLOMATISKE XXXXX XXXXXXÆXX REPRÆSENTANT/ (XX) XXX XXXXX XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX MITGLIEDSTAATS XX XXXXXX AMTLICHEN XXXXXXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX DIPLOMAATILISE XÕX XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX TÄITMISEL XXXXXXXXX XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX XXXXX XX XX X XXXXXXXXXX XX XXXXXXXX AGENT OF X XXXXXX XXXXX XX HIS XX XXX XXXXXXXX CAPACITY/ (XX) XXXXXXXX ÉTABLI XX XX XXXXXXX XXXXXXXXXX XXX UN XXXXX DIPLOMATIQUE XX XXXXXXXXXX X'XX ÉTAT XXXXXX/ (XX) DOICIMÉAD XXXX THARRAINGT XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX XX XXXXX XXXXXXXXX XXX XXXXX XX XXX XXXX XXXXXXXXX/ (HR) XXXXXXX XXXX XX X XXXXXXXXX SVOJSTVU XXXXXXXX XXXXXXXXXXX ILI XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX AGENTI XXXXXXXXXXX O CONSOLARI XX XXX XXXXX XXXXXX NELL'ESERCIZIO DELLE XXXX XXXXXXXX/ (XX) XXXXXXXXX, KURU, PILDOT XXXXX XXXXĀXXXXX, SAGATAVOJIS XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX VALSTYBĖS XXXĖX DIPLOMATO XX XXXXXXXXXX XXXXXXŪXX, VEIKIANČIO XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXXX XXXX XĠXXX XXXXXXXXXXX XXX XXXXXXXXX XX' XXXX XXXXXX FIL-KAPAĊITÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX XXXX XX DIPLOMATIEKE OF XXXXXXXXXX AMBTENAAR XXX XXX XXXXXXXX IN XXXX OFFICIËLE XXXXXXXXXXXX/ (XX) DOKUMENT XXXXXĄXXXXX XXXXX PRZEDSTAWICIELA XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX URZĘDOWYM/ (XX) DOCUMENTO XXXXXXX XXX XX XXXXXX XXXXXXXXXXX XX XXXXXXXX XX UM XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX FUNÇÕES XXXXXXXX/ (XX) XXXXXXXX ÎNTOCMIT XX XĂXXX UN XXXXX XXXXXXXXXX XXX XXXXXXXX XX XXXX XXXX XXXXXX, ÎX XXXXXXXX OFICIALĂ/ (SK) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX KONZULÁRNYM XXXXXXXXX XXXXXXXXX XXXXX X RÁMCI XXXXXX XXXX XXXXXXX/ (XX) XXXXXXX, KI JO XXX URADNA XXXXX XXXX XXXXXXXXXXX XXX XXXXXXXXXX PREDSTAVNIK XXXXXX XXXXXXX/ (FI) XXXXXXXXX, XXXXX JÄSENVALTION XXXXXXXXXXXXXX XXXXXXXX TAI KONSULIEDUSTAJA XX XXXXXXXX VIRANTOIMITUKSESSA/ (XX) XXXXXXXX UPPRÄTTAD X TJÄNSTEN AV XX XXXXXXXXXXX ELLER XXXXXXÄX TJÄNSTEMAN I XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) FECHA (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (XX/XX/XXXX) OF XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X KIÁLLÍTÁS XXXXXX (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) XXXXX (XX/XX/XXXX) XXX AFGIFTE/ (XX) XXXX (XX/XX/XXXX) WYDANIA/ (XX) XXXX DE XXXXXÃX (DD/MM/AAAA)/ (RO) XXXX (XX/XX/XXXX) EMITERII/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (DD/MM/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) NÚMERO XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) REFERENČNÍ XXXXX VEŘEJNÉ LISTINY/ (XX) XXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (DE) XXXXXXXXXX DER ÖXXXXXXXXXXX XXXXXXX/ (XX) AVALIKU XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (EN) XXXXXXXXX NUMBER OF XXX XXXXXX XXXXXXXX/ (XX) XXXXXX DE XXXXXXXXX DU XXXXXXXX XXXXXX/ (XX) XXXXXX XXXXXXXXX XX DOICIMÉID XXXXXXX/ (XX) XXXXXXXXXX XXXX XXXXX ISPRAVE/ (XX) NUMERO XX XXXXXXXXXXX DEL DOCUMENTO XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX NUMURS/ (XX) VIEŠOJO DOKUMENTO XXXXXXX/ (XX) A XÖXXXXXXX XXXXXXXXXXX SZÁMA/ (XX) NUMRU XX' XXXXXXXXX TAD-DOKUMENT XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX URZĘDOWEGO/ (PT) XXXXXX DE XXXXXÊXXXX XX XXXXXXXXX PÚBLICO/ (XX) XXXĂXXX XX XXXXXXXȚĂ XX XXXXXXXXXXXX XXXXXXX/ (XX) REFERENČNÉ XXXXX XXXXXXXX LISTINY/ (XX) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX VIITENUMERO/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА САМОЛИЧНОСТТА НА СЪОТВЕТНОТО ЛИЦЕ СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX SOBRE LA XXXXXXXXX DE LA XXXXXXX A XX XXX XX XXXXXXX XX XXXXXXXXX XXXXXXX XX XXX SE XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX X XXXXXXXXXX OSOBY XXXXXXX XX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX TENTO FORMULÁŘ/ (XX) XXXXXXXXXXX OM XXXXXXXXXXX XÅ PERSONEN, XXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX VEDHÆFTET, XX XXXXXXX X/ (XX) XXXXXXX XXX XXXXXXXÄX XXX XXXXXXXXXXXX XXXXXX XXXÄXX DER ÖXXXXXXXXXXX URKUNDE, DER XXXXXX FORMULAR XXXXXXÜXX XXX/ (XX) TEAVE XXXXX ISIKUSAMASUSE XXXXX, XXX XX NIMETATUD XXXXXXXX XXXXXXXXXX, MILLELE XXX XXXX XX XXXXXXX/ (EL) ΠΛΗΡΟΦΟΡΙΕΣ ΓΙΑ ΤΗΝ ΤΑΥΤΟΤΗΤΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΚΑΤΟΝΟΜΑΖΕΤΑΙ ΣΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) INFORMATION ON XXX IDENTITY OF XXX PERSON XXXXX XX THE XXXXXX XXXXXXXX TO XXXXX XXXX XXXX XX XXXXXXXX/ (XX) INFORMATIONS XXX L'IDENTITÉ XX XX PERSONNE XXXXXXXXX XXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (GA) FAISNÉIS XXXX AITHEANTAS XX XXXXX XXX XXXXXXXXX XX DOICIMÉAD POIBLÍ XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXXXXX O XXXXXXXXXX OSOBE XXXXXXXX X JAVNOJ ISPRAVI XXXXX XX OVAJ XXXXXXX PRILOŽEN/ (IT) XXXXXXXXXXXX SULL'IDENTITÀ DELLA XXXXXXX INTERESSATA DAL XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È ALLEGATO/ (XX) XXXXXXĀXXXX PAR XXXXXXXXXĀ XXXXXXXXĀ, XXXXX ŠĪ XXXXXXXX IR PIEVIENOTA, XXXĒXĀX PERSONAS XXXXXXXĀXX/ (XX) INFORMACIJA XXXX XXXXXX, NURODYTO XXXXXXXXX XXXXXXXXX, PRIE KURIO XXXXXXXXX XX XXXXX, XXXXXXXĘ/ (HU) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXXX XXXXXXXXXXX XXXXXXX XXXXXXXXXXXXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX X-XXXXXXXÀ XXX-XXXXXXX XXXXXXXX XXX-XXXXXXXX XXXXXXXX XX XXXXĦX XX XXXXXŻX DIN XX-XXXXXXX/ (NL) INFORMATIE XXXX XX XXXXXXXXXX XXX XX BETROKKENE XX XXXXX XXX XXX XXXXXXXX DOCUMENT XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXX XX TEMAT XXŻXXXXŚXX OSOBY WSKAZANEJ X XXXXXXXXXX XXXĘXXXXX, XX KTÓREGO XXŁĄXXXXX XXXX XXXXXXXXX FORMULARZ/ (XX) XXXXXXXÇÕXX SOBRE X XXXXXXXXXX DA XXXXXX XXXXXXXXX XX XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) INFORMAȚII XXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) INFORMÁCIE O XXXXXXXXXX OSOBY XXXXXXXX XX XXXXXXXX XXXXXXX, XX XXXXXX JE XXXXX XXXXXXXX XXXXXXXXX/ (XX) INFORMACIJE X XXXXXXXXXXXX XXXXX, NA XXXXXX XX NANAŠA XXXXX XXXXXXX, XX XX JE PRILOŽEN XX XXXXXXX/ (XX) XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX LIITETÄÄN, XXXXXXXXXXX HENKILÖN XXXXXXÖXXXXXX/ (XX) XXXXXXXXX OM XXXXXXXXXXX PÅ DEN XXXXXX SOM BERÖRS XX DEN XXXXXXXXXX XXXXXXXX TILL XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X)/ (XX) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (XX) XXXXXXXXXXXX(X)/ (XX) XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (XX) SURNAME(S)/ (XX) XXX(X)/ (GA) XXXXXXX (SLOINNTE)/ (XX) XXXXXXX(XX)/ (IT) XXXXXXX(X)/ (XX) XXXĀXXX(-X)/ (XX) XXXXXXĖ (-ĖX)/ (HU) XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (XX) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (PT) XXXXXXX(X)/ (XX) XXXX/ (XX) PRIEZVISKO(-Á)/ (XX) XXXXXXX/XXXXXXX/ (FI) SUKUNIMI (-XXXXX)/ (SV) EFTERNAMN

4.2

(BG) ПРЕДИШНО(И) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X) ANTERIOR(ES)/ (XX) PŘEDCHOZÍ PŘÍJMENÍ/ (XX) TIDLIGERE XXXXXXXXX(X)/ (XX) FRÜHERE(R) FAMILIENNAME(N)/ (XX) VARASEM XXXXXXXXXXXXX (XXXXXXXXX XXXXXXXXXXXXXX)/ (XX) ΠΡΟΗΓΟΥΜΕΝΟ(-Α) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXXX SURNAME(S)/ (XX) XXX(X) XXXXXXXXX(X)/ (GA) XXXXXXX (XXXXXXXX) ROIMHE XXX/ (XX) XXXXXXXXX(-X) XXXXXXX(XX)/ (IT) XXXXXXX/X XXXXXXXXXX/X/ (LV) IEPRIEKŠĒJAIS(-IE) XXXĀXXX(-X)/ (XX) ANKSTESNĖ (-ĖX) XXXXXXĖ (-ĖX)/ (XX) ELŐZŐ XXXXXXX XXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX) XXXĊXXXXXX/ (XX) XXXXXXXX XXXXXXXX(X)X(XX)/ (XX) XXXXXXXXXX XXXXXXXX(-X)/ (XX) APELIDO(S) XXXXXXXX(XX)/ (XX) NUME XXXXXXXX (NUME ANTERIOARE)/ (XX) XXXXXXXXXXXXXX XXXXXXXXXX(-X)/ (XX) XXXXXXXX XXXXXXX/XXXXXXX / (XX) ENTINEN XXXXXXXX (XXXXXXX SUKUNIMET)/ (XX) XXXXXXXX EFTERNAMN

4.3

(BG) СОБСТВЕНО(И) ИМЕ(НА)/ (ES) XXXXXX(X)/ (CZ) XXXXX (XXXXX)/ (XX) FORNAVN(E)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (EL) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) PRÉNOM(S)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (XX) VĀRDS(-I)/ (XX) XXXXXX (-AI)/ (HU) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (XX) VOORNA(A)M(EN)/ (PL) XXXĘ (XXXXXX)/ (PT) XXXX(X) XXXXXXX(X)/ (XX) XXXXXXX/ (XX) MENO(-Á)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-NIMET)/ (SV) XÖXXXXX

4.4

(XX) ПРЕДИШНО(И) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X) XXXXXXXX(XX)/ (CZ) PŘEDCHOZÍ XXXXX (XXXXX)/ (XX) XXXXXXXXX XXXXXXX(X)/ (XX) XXÜXXXX(X) XXXXXXX(X)/ (XX) XXXXXXX XXXXXXX (XXXXXXXXX XXXXXXXX)/ (XX) ΠΡΟΗΓΟΥΜΕΝΟ(-Α) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX XXXXXXXX(X)/ (XX) PRÉNOM(S) XXXXXXXXX(X)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX) XXXXXX XXX/ (XX) PRIJAŠNJE(-A) XXX(XX)/ (XX) XXXX/X PRECEDENTE/I/ (XX) XXXXXXXXĒXXXX(-XX) XĀXXX(-X)/ (XX) XXXXXXXXXX (-I) XXXXXX (-AI)/ (XX) XXŐXŐ UTÓNEVE(I)/ (XX) XXXX/XXXXXXXX PREĊEDENTI/ (XX) XXXXXXXX XXXXXXX(X)X(XX)/ (XX) XXXXXXXXXX IMIĘ (XXXXXX)/ (XX) XXXX(X) XXXXXXX(X) XXXXXXXX(XX)/ (XX) XXXXXXX XXXXXXXX (XXXXXXX XXXXXXXXXX)/ (XX) XXXXXXXXXXXXXX XXXX(-X)/ (XX) XXXXXXXX XXX/XXXXX/ (XX) XXXXXXX (-NIMET)/ (XX) XXXXXXXX FÖRNAMN

4.5

(BG) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (XX/XX/XXXX) DE NACIMIENTO/ (XX) DATUM (XX/XX/XXXX) XXXXXXXX/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) GEBURTSDATUM (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (FR) DATE (XX/XX/XXXX) DE XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (HR) XXXXX (XX/XX/XXXX) ROĐENJA/ (XX) XXXX XX XXXXXXX (XX/XX/XXXX)/ (XX) DZIMŠANAS XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) TAT-TWELID/ (NL) XXXXXXXXXXXXX (XX/XX/XXXX)/ (PL) XXXX (XX/XX/XXXX) URODZENIA/ (XX) XXXX DE XXXXXXXXXX (DD/MM/AAAA)/ (XX) XXXX (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (DD/MM/ÅÅÅÅ)

4.6

(BG) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX X PAÍS XX XXXXXXXXXX/ (CZ) XXXXX X XXXX NAROZENÍ/ (XX) XØXXXXXX XX -XXXX/ (XX) ORT XXX XXXX XXX XXXXXX/ (XX) SÜNNIKOHT XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) PLACE XXX XXXXXXX XX XXXXX/ (FR) XXXX XX PAYS XX XXXXXXXXX/ (XX) XXX XXXX XXX XXXXXXXX/ (XX) XXXXXX X XXXXXX XXĐXXXX/ (XX) XXXXX X XXXXX XX XXXXXXX/ (XX) XXXXXXXXX XXXXX UN XXXXXX/ (XX) GIMIMO XXXXX XX XXXXX/ (XX) XXÜXXXXXX XXXXX XX XXXXXXX/ (XX) XXXX U PAJJIŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX XX -XXXX/ (PL) XXXXXXX I XXŃXXXX XXXXXXXXX/ (XX) XXXXX X XXXX XX XXXXXXXXXX/ (RO) LOCUL ȘX ȚARA NAȘTERII/ (XX) XXXXXX X XXXX NARODENIA/ (XX) XXXX XX DRŽAVA XXXXXXX/ (XX) SYNTYMÄPAIKKA XX -XXX/ (XX) XÖXXXXXXXX OCH -XXXX

4.7

(XX) ПОЛ/ (XX) SEXO/ (XX) POHLAVÍ/ (DA) XØX/ (XX) GESCHLECHT/ (XX) XXXX/ (XX) ΦΥΛΟ/ (XX) SEX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) LYTIS/ (XX) XXXX/ (MT) XXXX/ (XX) XXXXXXXX/ (XX) PŁEĆ/ (XX) XXXX/ (XX) SEXUL/ (XX) XXXXXXXX/ (XX) XXXX/ (FI) XXXXXXXXX/ (XX) XÖX

4.7.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (FR) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XŐ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (SL) XXXXXX/ (XX) NAINEN/ (SV) XXXXXX

4.7.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) MUŽ/ (XX) MAND/ (DE) XÄXXXXXX/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (FR) MASCULIN/ (XX) FIREANN/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) XXXXX/ (HU) FÉRFI/ (XX) RAĠEL/ (XX) XXX/ (XX) XĘŻXXXXXX/ (XX) MASCULINO/ (XX) XĂXXĂXXXX/ (SK) MUŽSKÉ/ (XX) MOŠKI/ (FI) XXXX/ (XX) MAN

4.7.3

(BG) НЕОПРЕДЕЛЕН/ (XX) INDETERMINADO/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (DE) XXXXXXXXXX/ (XX) MÄÄRAMATA/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) INDETERMINATO/ (XX) NENOTEIKTS/ (LT) XXXXXXXXXXX/ (XX) MEGHATÁROZATLAN/ (XX) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) NEURČENÉ/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

4.8

(XX) ГРАЖДАНСТВО/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) STAATSANGEHÖRIGKEIT/ (XX) XXXXXXXXXXX/ (EL) ΙΘΑΓΕΝΕΙΑ/ (XX) NATIONALITY/ (XX) XXXXXXXXXXX/ (GA) XXXXXXXXXXXX/ (XX) DRŽAVLJANSTVO/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXĪXX/ (XX) XXXXXXXXĖ/ (HU) XXXXXXXXXXXXXXX/ (XX) ĊXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (PL) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) CETĂȚENIA/ (SK) XXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (FI) XXXXXXXXXXXX/ (XX) MEDBORGARSKAP

4.9

(BG) ГРАЖДАНСКИ НОМЕР/ (ES) XXXXXX XX IDENTIDAD/ (XX) XXXXXXXXXXXXX ČÍSLO/ (XX) XXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXÄXXXXXXXX/ (XX) ISIKUKOOD/ (XX) ΑΡΙΘΜΟΣ ΤΑΥΤΟΤΗΤΑΣ/ (EN) XXXXXXXX XXXXXX/ (FR) XXXXXX D'IDENTITÉ/ (GA) XXXXXX AITHEANTAIS/ (HR) XXXXXXXXXXXXXXXX XXXX/ (IT) XXXXXX X'XXXXXXXXXXXXXXX/ (XX) XXXXXXXĀXXX XXXXXX/ (XX) XXXXXX KODAS/ (XX) XXXXXXXX AZONOSÍTÓ XXXXX/ (XX) NUMRU XXX-XXXXXXXÀ/ (XX) XXXXXXXXXXXXXXXXX/ (XX) XXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX DE XXXXXXXXXXÇÃX/ (XX) XXXĂXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXXX/ (XX) HENKILÖTUNNUS/ (XX) XXXXXXXXXXXXXXXX

4.10

(XX) ВИД И НОМЕР НА ДОКУМЕНТА ЗА САМОЛИЧНОСТ НА ЛИЦЕТО/ (ES) XXXX X NÚMERO XX XXXXXXXXX DE XXXXXXXXXXXXXX DEL XXXXXXXXXX/ (XX) XXXX X XXXXX XXXXXXXXXXXXXXX XXXXXXX XXXXX/ (DA) XXXXX XX NUMMERET XÅ XXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXX/ (XX) XXX UND XXXXXX XXX XXXXXXXÄXXXXXXXXXXX DER XXXXXX/ (ET) XXXXXX XÕXXXXXX XXXXXXXXX XXXX XX XXXXXX/ (EL) ΕΙΔΟΣ ΚΑΙ ΑΡΙΘΜΟΣ ΕΓΓΡΑΦΟΥ ΤΑΥΤΟΤΗΤΑΣ ΤΟΥ ΠΡΟΣΩΠΟΥ/ (EN) TYPE XXX NUMBER OF XXX XXXXXX’X IDENTIFICATION XXXXXXXX/ (XX) XXXX XX XXXXXX XX XX XXÈXX D'IDENTITÉ XX LA PERSONNE XXXXXXXXX/ (XX) XXXXXX XXXX XXXXXX XXXXXXXXXX XXXXXXXXXXX XX XXXXX/ (XX) XXXXX X XXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXX/ (XX) XXXX X NUMERO XXX XXXXXXXXX XX IDENTITÀ XXXXX PERSONA/ (LV) XXXXXXXX XXXXXXXXXĀXXXXX XXXXXXXXX XXXXX XX NUMURS/ (XX) XXXXXX TAPATYBĖS XXXXXXXXX XXXXX XX XXXXXXX/ (XX) X XXXXXXXXXXXXXXXX XXXXXX TÍPUSA XX XXXXX/ (MT) XX-XXX U X-XXXXX XXX-XXXXXXXX XX' IDENTITÀ XXX-XXXXXXX/ (XX) TYPE XX XXXXXX XXX XXX XXXXXXXXXXXXXXXXXXX XXX XX XXXXXXXXXX/ (PL) XXXXXX I XXXXX XXXXXXXXX TOŻSAMOŚCI/ (PT) XXXX E NÚMERO XX XXXXXXXXX DE XXXXXXXXXXÇÃX/ (RO) TIPUL ȘX XXXĂXXX XXXXXXXXXXXX XX XXXXXXXXXXXX XX XXXXXXXXX/ (XX) TYP X XXXXX XXXXXXXX XXXXXXXXXX OSOBY/ (XX) XXXXX IN XXXXXXXX XXXXXXXXXXXXXXXXXX DOKUMENTA OSEBE/ (XX) XXXXXXÖXXXXXXXXXXX TYYPPI XX XXXXXX/ (XX) XXX XXX XXXXXX XÅ XXXXXXXXX XXXXXXXXXXXXXXXXXX

4.10.1

(XX) НАЦИОНАЛНА ЛИЧНА КАРТА/№/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXXXX / XXX./ (XX) XXXXXXXXXXXX XXXXXX XXXXXXXXXX / X./ (DA) XXXXXXXXX XXXXXXXXXXXXXX/-XXXXXX/ (DE) NATIONALER XXXXXXXXXXXXXXX/XX./ (ET) RIIKLIK XXXXXXXXXXXXXX / XX/ (XX) ΕΘΝΙΚΟ ΔΕΛΤΙΟ ΤΑΥΤΟΤΗΤΑΣ / ΑΡΙΘ./ (XX) XXXXXXXX XXXXXXXX XXXX/XX./ (XX) CARTE XXXXXXXXX X'XXXXXXXX/X°/ (XX) XXXXX XXXXXXXXX AITHEANTAIS/UIMH./ (XX) XXXXXXXXXX OSOBNA XXXXXXXXX / BR./ (XX) CARTA D'IDENTITÀ XXXXXXXXX/X./ (XX) XXXXXX XXXXXXXX XXXXXXĪXX / XX./ (XX) XXXXXXXXXXĖ XXXXXX XXXXXXXĖX KORTELĖ / XX./ (XX) XXXXXXX XXXXXXXXXXXXXXXX XXXXXXXXXX/XXXXX/ (XX) KARTA XXX-XXXXXXXÀ XXXXXXXXXX/XXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXXXX/XX./ (XX) KRAJOWY XXXXX XXŻXXXXŚXX / XX/ (XX) N.o XX DOCUMENTO DE XXXXXXXXXXÇÃX NACIONAL/ (XX) XXXXX DE XXXXXXXXXX XXȚXXXXXĂ/XX./ (SK) XXXXXXX XXXXXXX XXXXXXXXXX/x./ (XX) XXXXXXXXXX XXXXXX XXXXXXXXX/XX./ (XX) KANSALLINEN HENKILÖKORTTI/NRO/ (XX) NATIONELLT XXXXXXXXXXXXXX/XXXXXX

4.10.2

(XX) ПАСПОРТ/№/ (XX) PASAPORTE / XXX./ (CZ) XXX / Č./ (XX) XXX/XX./ (XX) XXXXXXXXX/XX./ (XX) XXXX/XX/ (XX) ΔΙΑΒΑΤΗΡΙΟ/ΑΡΙΘ./ (XX) XXXXXXXX/XX./ (FR) PASSEPORT/N°/ (XX) XXX/XXXX./ (XX) XXXXXXXXX / XX./ (XX) PASSAPORTO/N./ (LV) XXXX/XX./ (XX) XXXXX / XX./ (HU) XXXXXXX/XXXXX/ (XX) XXXXXXXXX/ XXX/ (XX) XXXXXXXX/XX./ (XX) XXXXXXXX / XX/ (XX) X.x XX XXXXXXXXXX/ (XX) XXȘXXXXX/XX./ (XX) XXXXXXXX XXX/x./ (XX) POTNI XXXX/XX./ (FI) PASSI/NRO/ (XX) XXXX/XXXXXX

4.10.3

(XX) СВИДЕТЕЛСТВО ЗА УПРАВЛЕНИЕ НА МПС/№/ (XX) PERMISO XX XXXXXXXXXX / XXX./ (XX) XXXXXXXX XXXXXX / X./ (XX) XØXXXXXX/XX./ (XX) XÜXXXXXXXXXX/XX./ (ET) XXXXXXXX/XX/ (XX) ΑΔΕΙΑ ΟΔΗΓΗΣΗΣ / ΑΡΙΘ./ (XX) XXXXXXX LICENCE/NO./ (XX) XXXXXX XX XXXXXXXX/X°/ (XX) XXXXXXXX TIOMÁNA/UIMH./ (XX) VOZAČKA DOZVOLA / XX./ (XX) XXXXXXX DI XXXXX/X./ (XX) VADĪTĀJA APLIECĪBA / XX./ (XX) XXXXXXXXXX XXXXXĖXXXXX / XX./ (XX) XXXXXŐX XXXXXXXX/XXXXX/ (XX) XXĊXXXXX XXX-XXXXXX/XXX/ (XX) RIJBEWIJS/NR./ (XX) XXXXX XXXXX / XX/ (PT) X.x DA XXXXX XX XXXXXÇÃX/ (XX) XXXXXX DE XXXXXXXXX/XX./ (XX) XXXXXXXX XXXXXXX/x./ (XX) XXXXXXXX DOVOLJENJE/ŠT./ (XX) AJOKORTTI/NRO/ (SV) XÖXXXXX/XXXXXX

4.10.4

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ) … /№ …/ (ES) XXXX (XXXXXXXXXXXXX) … / XXX. …/ (XX) JINÉ (XXXXXXXXX) … / Č …/ (DA) XXXXX (XXXXXXX) …/ NR. …/ (XX) XXXXXXXXX (XXXXX XXXXXXX) …/XX …/ (XX) XXX (XÄXXXXXXXX) … / XX …/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ) … / Αριθ. …/ (XX) XXXXX (TO XX XXXXXXXXX) …/No. …/ (XX) XXXXX (À XXXXXXXX) …/X° …/ (XX) XXXX (XX XXXXX) … …/Xxxx. …/ (XX) XXXXXX (XXXXXXX) … / xx. …/ (XX) XXXXX (XXXXXXXXX) …/X. …/ (XX) XXXX (PRECIZĒT) … / XX. …/ (XX) XXXX (NURODYTI) …/XX. …./ (XX) XXXXX (XXXXÜX PONTOSÍTANI) …/Xxxxx: …/ (MT) XĦXXXX (IPPREĊIŻA) …/Nru …/ (NL) XXXXXXX (XXXXXXXXXXXX) …/XX. …/ (XX) INNY (XXXXXĘ XXXXŚXXĆ) … / xx …/ (XX) X.x XX XXXXX XXXXXXXXX (XXXXXXXXXXX) …/ (XX) ALTUL (X XX PRECIZA) … /XX. …/ (XX) XXX (SPRESNIŤ) …/č. …/ (XX) XXXXX (XXXXXXX) …/xx. …/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ) … /Xxx …/ (XX) ANNAN XXXXXXXX (XXXXXXXXXXXX) …/Nummer …

5.

(XX) В ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ, НЕ СЕ ПОСОЧВА СЪОТВЕТНОТО ЛИЦЕ ДА Е БИЛО ОСЪЖДАНО СЪГЛАСНО РЕГИСТРИТЕ ЗА СЪДИМОСТ НА ДЪРЖАВАТА ЧЛЕНКА, ЧИЙТО ГРАЖДАНИН Е ТОВА ЛИЦЕ/ (XX) XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX XX XXXXXXXX QUE XXXXXX XXXXXX ANTECEDENTE XXXXX XXX INTERESADO EN XX REGISTRO DE XXXXXXXXXXXX XXXXXXX XXX XXXXXX XXXXXXX XXX XXX TIENE LA XXXXXXXXXXXX/ (CZ) XXXXXXX XXXXXXX, X NÍŽ XX PŘIPOJEN XXXXX XXXXXXXX, XXXXXXXXX ŽÁDNÉ XXXXXXXXX DOTYČNÉ OSOBY XXXXXXXXXXX V XXXXXXXXX XXXXXX ČLENSKÉHO XXXXX, XXXXX XX XXXX XXXXX XXXXXXX PŘÍSLUŠNÍKEM/ (XX) XXX OFFENTLIGE XXXXXXXX, XXX XXXXX XXXXXXXX ER XXXXÆXXXX, XÆXXXX XXXXX XXX XXX HENSYN XXX XXX XÅXÆXXXXXX XXXXXX X XXXXXXXXXXXXXXXX I XXX XXXXXXXXXXX, HVOR XXXXXXXX XX XXXXXXXXXXX/ (XX) XXX ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX IST, XXXXÄXX XXXXXX XXXXXXX XXX XXXX XXXXXXXXXXXX XXX BETREFFENDEN XXXXXX XX STRAFREGISTER XXX XXXXXXXXXXXXXX XXXXX XXXXXXXXXXXÖXXXXXXX/ (XX) XXXXXXXX DOKUMENDIS, XXXXXXX XXX XXXX XX XXXXXXX, XX XXX MÄRGITUD ÜXXXXX XÜÜXXXÕXXXXXX XXXXXXXXXXX, MIS XXXXX XXXXXX XXXXXXXXX XXXXX SUHTES XX XXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXÄXXXX XXXXXXXXXXXX KARISTUSREGISTRISSE/ (XX) ΣΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ ΔΕΝ ΑΝΑΦΕΡΕΤΑΙ ΓΙΑ ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΚΑΤΑΔΙΚΗ ΕΓΓΕΓΡΑΜΜΕΝΗ ΣΤΟ ΠΟΙΝΙΚΟ ΜΗΤΡΩΟ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΤΗΝ ΙΘΑΓΕΝΕΙΑ ΤΟΥ ΟΠΟΙΟΥ ΕΧΕΙ ΤΟ ΠΡΟΣΩΠΟ ΑΥΤΟ/ (XX) XXX XXXXXX XXXXXXXX XX XXXXX THIS XXXX XX ATTACHED XXXX XXX XXXXXXX ANY XXXXXXXXXX XX XXXXXXX XX THE XXXXXX XXXXXXXXX XX THE XXXXXXXX RECORD XX XXX XXXXXX STATE XX XXXXXXXXXXX OF XXXX XXXXXX/ (XX) XX XXXXXXXX XXXXXX XXXXXX XX XXXXXXX XXXXXXXXXX XXX JOINT XX XXXXXXXXX XXXXXX XXXXXXXXXXXX FIGURANT XX XXXXXX XXXXXXXXXX DE XX XXXXXXXX CONCERNÉE XXXX L'ÉTAT XXXXXX XXXX XXXXX PERSONNE X LA XXXXXXXXXXX/ (XX) XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX, XXX AON XXXXXX XX XXX XXXXXXX X XXXXX XX XXXXX XXXX xXXXXXXXX XX XXXXXXX XXXXXXXX X mBALLSTÁT XXXXXXXXXXXXX AN DUINE XXXX mBAINEANN/ (XX) X JAVNOJ ISPRAVI XXXXX XX XXXX XXXXXXX XXXXXXXX XXXX XXXXXXXX XXXXXXX XXXĐXXXĆX XXXXXXX XXXXXX XXXXXXX XXXXX X KAZNENOJ XXXXXXXXXX XXXXXX ČLANICE XXXXXXXXXXXXX XX XXXXX/ (XX) XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX MODULO È XXXXXXXX XXX XXXXXXX XXXXXX XXXXXXXX XXXXXXXX XXXX XXXXXXX XXXXXXXXXXX XXX QUANTO XXXXXXXX XX CASELLARIO GIUDIZIALE XXXXX XXXXX MEMBRO XX CITTADINANZA DI XXXX XXXXXXX/ (LV) XXXXXXXXXĀ DOKUMENTĀ, XXXXX XĪ XXXXXXXX IR XXXXXXXXXX, XXX XXXXXXĪXX XXXXXXX XXX XXXĒXX XXXXXXX NOTIESĀŠANA, KAS XXXĀXĪXX MINĒTĀS PERSONAS XXXXXXXXXXXXĪXXX XXXĪXXXXXXX XXXĀXĪXXX XXĢXXXXĀ/ (XX) VIEŠAJAME XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX FORMA, XXXXXXXXXXX XXXX SU XXXXXXXXXX ASMENIU XXXXXĘX XXXXXXXXXXX TO XXXXXX XXXXXXXXĖX VALSTYBĖS XXXĖX XXXXXXXXXXXŲ XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXX XX ÉRINTETT XXXXXXXXXX KAPCSOLATBAN XXX XXXXX XX ÉRINTETT XXXXXXX XXXXXXXXXXXXXXX XXXXXXXX XXXXXXXX BŰNÜGYI NYILVÁNTARTÁSÁBAN XXXXXXXŐ XXXXXXXXX/ (XX) XX-XXXXXXXX XXXXXXXX XXXXXŻ XX' XXX XX-XXXXXXX XX JSEMMI L-EBDA XXXXXXXX XXX-XXXXXXX TAL-PERSUNA XXXXĊXXXXXX XXX-XXXXXX XXXXXXXXX XXX-XXXXX MEMBRU XXĊ-ĊXXXXXXXXXXX XX' XXX IL-PERSUNA/ (XX) HET OPENBAAR XXXXXXXX XXXXXXX XXX XXXXXXXXX XX GEHECHT, XXXXXXXX XXXX XXXXXXXXXXXX XXXX XX XXXXXXXXXX XX XXX XXXXXXXXXXXXX XXX DE XXXXXXXX XXX XXXXXXXXXXXXX XXX XX BETROKKENE/ (XX) XXXXXXXX XXXĘXXXX, XX XXXXXXX ZAŁĄCZONY XXXX XXXXXXXXX XXXXXXXXX, NIE XXXXXXX XXXXXXXXXX X XXXXXXXXX XXXXXX XXXXXXĄXXXX XXXXXXXX WOBEC XXXXX, XXXXXX XXXXXXX DOKUMENT, XXXXXXXXX XX REJESTRU XXXXXXX XXŃXXXX XXŁXXXXXXXXXXX, XXXXXXX XXXXX TA XXXX XXXXXXXXXX/ (XX) X XXXXXXXXX PÚBLICO X QUE X XXXXXXXX XXXXXXXXXX XXXX XXXXXX NÃO REFERE XXXXXXXX XXXXXXXÇÃX XX XXXXXX EM CAUSA XX REGISTO XXXXXXXX XX XXXXXX-XXXXXX XX XXXXXXXXXXXXX XXXXX XXXXXX/ (XX) XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX XX XXXȚXXXXXXĂ XXXXX XXXXXXXXXX XXXXXXXXXXX XX XXXXXXXX VIZATĂ XX XXXXXXXX XXXXXXXX XXX XXXXXX MEMBRU XX XĂXXX XXXĂȚXXX ESTE XXXXXXXX RESPECTIVĂ/ (XX) XX XXXXXXXX XXXXXXX, XX KTOREJ XX XXXXX XXXXXXXX XXXXXXXXX, XX NEUVÁDZA XXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXXXXX XXXXXXX XXXXXXXXX XXXXX, XXXXXXX XXXXXXX XXXXXXXXXXXX XX XXXX XXXXX/ (XX) X XXXXX LISTINI, XX JI XX XXXXXXXX XX OBRAZEC, XX NAVEDENA NOBENA XXXXXXX V ZVEZI X XXXXXXX OSEBO X XXXXXXXX XXXXXXXX XXXXXX ČLANICE, KATERE XXXXXXXXXXXXX IMA TA XXXXX/ (XX) XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX LIITETÄÄN, EI XXX MAININTAA XXXXXXXXXXXX XXXXXXÖÄ XXXXXXXXXX TUOMIOISTA XXX XÄXXXXXXXXXX RIKOSREKISTERISSÄ, XXXXX XXXXXXXXXXX XXXXXXÖ XX/ (XX) X XXX OFFICIELLA XXXXXXXX XXXX VILKEN DETTA XXXXXXÄX ÄX BIFOGAT XÄXXX XXXXX XXXXXXX XX XXX XXX XXX XXXÖXXX PERSONEN X XXXXXXXXXXXXXXXXX X XXX XXXXXXXXXXX XÄX XXXXX XXXXXX ÄX XXXXXXXXXX

6.

(XX) ПОЛЕ ЗА ПОДПИС/ (ES) XXXXXXXX XXXX XX XXXXX/ (XX) XXXX XXX XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (EN) SIGNATURE XXX/ (FR) CADRE XXXX XX XXXXXXXXX/ (XX) XXXXX XXX XXXXX/ (XX) XXXXX XX POTPIS/ (IT) XXXXXXXX PER XX XXXXX/ (XX) XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXX/ (XX) AZ XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX DE XXXXXXXXXXXX/ (PL) XXXX XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À ASSINATURA/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX PODPIS/ (XX) XXXXX XX XXXXXX/ (FI) XXXXXXXXXXXXXXXXXXÄ/ (XX) XXXX XÖX XXXXXXXXXXXXXX

6.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) APELLIDO(S) Y XXXXXX(X) XXX XXXXXXXXXXX XXX XXXXXXX ESTE XXXXXXX/ (CZ) PŘÍJMENÍ X XXXXX (XXXXX) XXXXXXXX, KTERÝ XXXXX XXXXX XXXXXXXX/ (DA) XXXXXXXXX(X) XX FORNAVN(E) XÅ DEN XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX(X) UND VORNAME(N) XXX BEAMTEN, XXX XXXXXX FORMULAR AUSGESTELLT XXX/ (XX) XÄXXXXXXX XXXXX VÄLJASTANUD XXXXXXXX XXXXXXX (-NIMED) XX XXXXXXXXXXXXX (-XXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) XXX XXXXXXXX(X) OF XXX OFFICIAL WHO XXXXXX THIS XXXX/ (XX) XXX(X) XX XXXXXX(X) DU XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX FORMULAIRE/ (XX) XXXXXXX (XXXXXXXX) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX XXXXXXXX A X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX XXXX XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXX/X X XXXX/X XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX MODULO/ (XX) XXXXXXXXXXXX, XXXX IZDEVUSI XX XXXXXXXX, UZVĀRDS(-I) XX XĀXXX(-X)/ (XX) XXĄ FORMĄ XXXXXXXXX XXXXXXŪXX PAVARDĖ (-ĖS) XX XXXXXX (-AI)/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX TISZTVISELŐ XXXXXXX XXXX(X) XX XXXXXXX(X)/ (XX) KUNJOM(/KUNJOMIJIET) U XXXX(/XXXXXXXX) TAL-UFFIĊJAL XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) NA(A)M(EN) XX XXXXXX(X)X(XX) XXX XX XXXXXXXXX DIE XXX XXXXXXXXX HEEFT XXXXXXXXX/ (XX) XXXXXXXX(-X) X XXXĘ (IMIONA) XXXĘXXXXX, XXXXX WYDAŁ NINIEJSZY XXXXXXXXX/ (PT) APELIDO(S) X XXXX(X) XXXXXXX(X) XX FUNCIONÁRIO XXX XXXXXX X PRESENTE XXXXXXXXXX/ (RO) XXXXXX ȘX XXXXXXXXX FUNCȚIONARULUI XXXX A XXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXXXXXXX(-X) X MENO(-Á) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX IME/IMENA XXXXXXXX, XX JE XXXXX TA XXXXXXX/ (XX) TÄMÄN XXXXXXXXX XXXXXXXX XXXXXXXXXXX SUKUNIMI (-XXXXX) XX ETUNIMI (-XXXXX)/ (XX) XXXXXXXXX XXX XÖXXXXX XÅ XXX XXÄXXXXXXX XXX XXX UTFÄRDAT XXXXX XXXXXXÄX

6.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXX XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, KTERÝ XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX — DEN XXXXXXXXXX, XXX XXX XXXXXXX DENNE XXXXXXXX/ (XX) XXXXXXXX DES XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) KÄESOLEVA XXXXX XÄXXXXXXXXX XXXXXXXX AMETIKOHT/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX XX XXX XXXXXXXX XXX XXXXXX THIS XXXX/ (XX) XXXXX XX XXXXXXXXXXXXX XXX X XXXXXXX LE XXXXXXX XXXXXXXXXX/ (XX) POST XX XXXXXXXX X X’XXXXXX AN XXXXXX XXX/ (XX) FUNKCIJA XXXXXXXXXX KOJI XX XXXXX XXXX OBRAZAC/ (XX) POSIZIONE XXX XXXXXXXXXXX CHE HA XXXXXXXXXX XX XXXXXXXX XXXXXX/ (LV) XXXXXXXXXXXX, XXXX IZDEVUSI XX XXXXXXXX, AMATS/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX PAREIGOS/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX LI ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX VAN XX XXXXXXXXX DIE XXX XXXXXXXXX XXXXX XXXXXXXXX/ (PL) XXXXXXXXXX XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (PT) XXXXX DO FUNCIONÁRIO XXX EMITIU X XXXXXXXX FORMULÁRIO/ (RO) XXXXȚXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) FUNKCIA XXXXXXXX, KTORÝ XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXX/ (SV) XXXXXXXXXX XÖX DEN XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX FORMULÄR

6.3

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX EXPEDICIÓN/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX RILASCIO (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (LT) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) A XXXXXXXXX XXXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXX (JJ/XX/SSSS) XXX-ĦXXĠ/ (XX) XXXXX (DD/MM/JJJJ) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATA XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (ZZ/LL/AAAA) XXXXXXXX/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) IZDAJE/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) SIGNATURE/ (XX) SÍNIÚ/ (XX) XXXXXX/ (XX) FIRMA/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (HU) XXXXXXX/ (XX) XXXXX/ (NL) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) ASSINATURA/ (XX) XXXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (CZ) PEČEŤ XXXX XXXXXXX/ (DA) XXXX XXXXX XXXXXXX/ (XX) XXXXXX XXXX XXXXXXX/ (XX) XXXXXX XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX XXXXX/ (FR) XXXXX OU XXXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXX XXX XXXXX/ (XX) XXXXX O TIMBRO/ (XX) ZĪMOGS XXX XXXXXXXX/ (LT) XXXXXXX XXXX XXXXXXXXXX/ (XX) XXXXXX VAGY BÉLYEGZŐLENYOMAT/ (XX) SIĠILL XXX XXXXXX/ (NL) XXXXX XX STEMPEL/ (XX) XXXXXĘĆ XXX XXXXXXX/ (XX) SELO XX XXXXXXX/ (XX) XXXXXXXX XXX ȘXXXXXXX/ (SK) XXXXX XXXXX ODTLAČOK XXXXXXXX/ (XX) XXXXX XXX XXX/ (XX) XXXXXXX XXX LEIMA/ (XX) XXXXXX XXXXX XXÄXXXX