Plné znění - 32016R1191

NAROZENÍ

VÍCEJAZYČNÝ 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 (EU) x. 1024/2012 (1)

Xxxxxx (BE) Xxxxxxxxx (BG)

Česká republika (XX)

Xxxxxx (XX) Xxxxxxx (XX)

Xxxxxxxx (EE) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Kypr (XX)

Xxxxxxxx (LV) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (HU) Xxxxx (MT)

Nizozemsko (XX) Xxxxxxxx (AT)

Polsko (PL) Xxxxxxxxxxx (PT)

Rumunsko (RO) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Xxxxxx (XX)

Xxxxxxx (XX) Xxxxxxx xxxxxxxxxx (UK)

DŮLEŽITÉ XXXXXXXXXX

Xxxxxxx xxxxxx tohoto xxxxxxxxxxxxx standardního xxxxxxxxx xx usnadnění překladu xxxxxxx xxxxxxx, x xxx je přiložen. Xxxxx formulář se xxxx členskými xxxxx xxxxx xxxxxxxxx jako xxxxxxxxxx xxxxxxxx.

Xxxxx xxxxxxxx xxxxxx obsah xxxxxxx xxxxxxx, x xxx xx přiložen. Xxxxx, xxxxx xx veřejná xxxxxxx xxxxxxxxxxx, xxxx xxxx v xxxxxxxxx, xxx je xx xxxxxxxx pro xxxxx xxxxxxxxxx xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx xxxxxxxxx, které xxxx xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX XXXXX

Xxxxxx pouze xxxxxxxxx, xxxxx xxxx xxxxxxx xx xxxxxxx xxxxxxx, x níž je xxxxxxxx xxxxx formulář. (2)

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

1. XXXXX XXXXXXXXXX XXXXX XXXXXXXX

1.1 Název (3)

2. ORGÁN XXXXXXXXXX XXXXXXXX LISTINU, X XXX JE XXXXXXXX XXXXX FORMULÁŘ

1.1 Název (4)

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

(2) Xxx xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx písmo.

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

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

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

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

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Listina xxxxxx státním xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx xxxxxx xxxxxxx úředníkem

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

3.1.5 Xxxx (xxxxxxxxx)

3.2 Xxxxxxx xxxxxx xxxxxxxx úřadem

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x xxxxxxx

3.2.3 Xxxxx x xxxxxxxx xxxxxxxx

3.2.4 Opis xxxxxxxxxx záznamů

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, xxxxxx xxxx opatřena xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

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

3.6 Xxxxx (dd/mm/rrrr) vydání

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXX X XXXXXXXXX

4.1 Xxxxxxxx

4.2 Jméno (xxxxx)

4.3 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.4 Xxxxx (1) x země (2) xxxxxxxx

4.5 Pohlaví:

4.5.1 Žena

4.5.2 Xxx

4.5.3 Neurčeno

5. POLE XXX XXXXXX

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

5.2 Funkce xxxxxxxx, který xxxxx xxxxx formulář

5.3 Xxxxx (xx/xx/xxxx) xxxxxx

5.4 Podpis

5.5 Xxxxx xxxx xxxxxxx

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

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

XXXXXXXXXXX XXXXXX XXXXX STANDARDNÍCH XXXXXXX

(XXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX QUE XXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXX UDSTEDENDE XXXXXXXXX/ (XX) XXXÖXXX, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) KÄESOLEVA XXXXX XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX FORM/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXX FORMULAIRE/ (XX) XX xXXXXXX X XXXXXXXX XX XXXXXX XXX/ (XX) XXXXXX XXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXXÀ CHE RILASCIA XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX HATÓSÁG/ (MT) XXXXXXXÀ XXXXXXXXX TA' XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX DIT XXXXXXXXX/ (XX) ORGAN WYDAJĄCY XXXXXXXXX XXXXXXXXX/ (PT) XXXXXXXXXX XXX XXXXX X XXXXXXXX XXXXXXXXXX/ (XX) AUTORITATEA XXXXXXXĂ X PREZENTULUI XXXXXXXX/ (XX) XXXXX VYDÁVAJÚCI XXXXX FORMULÁR/ (XX) XXXXX, XX XXXX XX XXXXXXX/ (XX) XÄXÄX LOMAKKEEN XXXXXX XXXXXXXXXXXX/ (XX) MYNDIGHET XXX XXXÄXXXX FORMULÄRET

1.1

(BG) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) XXXXX/ (IT) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (MT) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) DESIGNAÇÃO/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) XXX/ (XX) XXXX/ (SV) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX XXXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX IMPRESO/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX FORMULÁŘ/ (DA) XXX MYNDIGHED, XXX XXX XXXXXXX DET XXXXXXXXXX DOKUMENT, XXX XXXXX XXXXXXXX ER XXXXÆXXXX/ (DE) XXXÖXXX, XXX XXX ÖXXXXXXXXXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXÜXX XXX, XXXXXXXXX/ (ET) XXXXXX, XXX XXXXX XÄXXX XXXXXXX XXXXXXXXX, MILLELE XXX VORM XX XXXXXXX/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXX XXXXXXX XXX XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX ATTACHED/ (FR) XXXXXXXX DE XXXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX EST XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) AN tÚDARÁS X XXXXXXXX XX XXXXXXXXX XXXXXX LENA XXXXXX AN XXXXXX XXX CEANGAILTE/ (HR) XXXXXX KOJE XXXXXX XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX IL XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX MODULO È ALLEGATO/ (LV) XXXXXXXĀ XXXXXXXXX, KURAM XĪ XXXXXXXX XX XXXXXXXXXX, IZDEVĒJIESTĀDE/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX PRIDEDAMA ŠI XXXXX, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (HU) A XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX HATÓSÁG/ (XX) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX XX MIEGĦU XXXX MEHMUŻA XXX XX-XXXXXXX/ (NL) AUTORITEIT XXX XXXXXXX VAN XXX XXXXXXXX DOCUMENT XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (PL) XXXXX XXXXXĄXX XXXXXXXX XXXĘXXXX, DO KTÓREGO XXXXXXXXX FORMULARZ XXXX XXŁĄXXXXX/ (XX) XXXXXXXXXX XXX EMITE X XXXXXXXXX XXXXXXX X XXX O XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X DOCUMENTULUI OFICIAL XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX XXXX XXXXX XXXXXXX, XX XX XX PRILOŽEN XX XXXXXXX/ (FI) XXXXXXXXXXXX, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX TÄMÄ XXXXXX XXXXXXÄÄX/ (XX) MYNDIGHET XXX UTFÄRDAR DEN XXXXXXXXXX HANDLING XXXX XXXXXX DETTA 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 TÝKAJÍCÍ XX VEŘEJNÉ LISTINY, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) OPLYSNINGER XXXXØXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXX XXX ÖFFENTLICHEN XXXXXXX, XXX XXXXXX XXXXXXXX BEIGEFÜGT XXX/ (XX) TEAVE XXXXXXX XXXXXXXXX XXXXX, MILLELE XXX VORM ON 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 IS XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX AU DOCUMENT XXXXXX AUQUEL XXX XXXXX LE XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX X XXXXXXXXX XXXX XX XXXXXXXXX XXXXXX XXXX BHFUIL XX XXXXXX SEO XXXXXXXXXX/ (XX) XXXXXXXXXXX KOJE XX ODNOSE XX XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) INFORMAZIONI XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (LV) XXXXXXĀXXXX XXX PUBLISKO XXXXXXXXX, XXXXX XĪ XXXXXXXX XX PIEVIENOTA/ (XX) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX XXXXXXXXX, PRIE XXXXX PRIDEDAMA XX XXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXXX INFORMÁCIÓK/ (XX) XXXXXXXXXXXXX DWAR XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX OPENBAAR XXXXXXXX WAARAAN XXX XXXXXXXXX IS XXXXXXX/ (XX) INFORMACJE DOTYCZĄCE XXXXXXXXX URZĘDOWEGO, XX XXXXXXX XXXXXXXXX FORMULARZ XXXX XXŁĄXXXXX/ (PT) XXXXXXXÇÕXX XXXXXXXXX AO XXXXXXXXX PÚBLICO X XXX X XXXXXXXX XXXXXXXXXX ESTÁ XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) INFORMÁCIE X XXXXXXXX XXXXXXX, XX XXXXXX XX TENTO XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXX X XXXXX LISTINO, XX XX XX XXXXXXXX TA XXXXXXX/ (XX) TIEDOT XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXXXX XX DEN XXXXXXXXXX XXXXXXXX XXXX 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 XX FUNCIONARIO XXXXXXXXX A XXX XXXXXXX JURISDICCIONALES XX XX ESTADO XXXXXXX/ (XX) LISTINA XXXXXX XXXXXXX XXXX XXXXXXXXX X VAZBOU NA XXXXX XXXXXX XXXXXXXXX XXXXX/ (DA) DOKUMENT, XXX XX XXXXXXX XX EN MYNDIGHED XXXXX XX EMBEDSMAND, XXX XX XXXXXXXXXX XXXXXXXX X XX XXXXXXXXXXX/ (XX) URKUNDE XXXXX XXXÖXXX XXXX XXXXX XXXXXXXXXX ALS XXXXX DER XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, MILLE XX XÄXXX XXXXXX XXXXXXXXXXXX XXXXXXXXX SEOTUD 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 XX AN OFFICIAL XXXXXXXXX XXXX XXX XXXXXX XX XXXXXXXXX XX X MEMBER XXXXX/ (XX) XXXXXXXX XXXXXXX D'UNE XXXXXXXX XX X'XX XXXXXXXXXXXXX XXXXXXXX D'UNE XXXXXXXXXXX X'XX ÉTAT XXXXXX/ (XX) DOICIMÉAD X XXXXXXX Ó XXXXXX XX Ó XXXXXXXXX X XXXXXX XXXXX XXXX XX XXXX XX CÚIRTEANNA XX XX XXXXX DE XXXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX TIJELO XXX XXXXXXXXX SUDA XXXXXX XXXXXXX/ (IT) DOCUMENTO XXXXXXX XX UN'AUTORITÀ X XX XX XXXXXXXXXXX APPARTENENTE XX XXX XXXXX XXXXXXXXXXXXX XX XXX XXXXX XXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XX XXXĪXXXXXXX XXXXĀX XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, IŠDUOTAS XXXXXXXX INSTITUCIJOS XX XXXXXXŪXX, SUSIJUSIŲ SU XXXXXXXĖX XXXĖX TEISMAIS XX TRIBUNOLAIS/ (HU) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX XXXX XXXXXXX XXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ XXX XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX XXX IT-TRIBUNALI TA' XXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXX DOOR XXX AUTORITEIT XX XXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXXXXXX INSTANTIE XXX XXX LIDSTAAT/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXX XĄXXXXXX XXX XXXĘXXXXX SĄDOWEGO XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXXXX XX XX UM XXXXXXXXXXX XXXXXXXXXX DE XXXXXXXX XXXXXXXÇÃX XX UM XXXXXX-XXXXXX/ (RO) DOCUMENT XXXX XX X XXXXXXXXXX XXX XX XX XXXXȚXXXXX XX XX XÂXXĂ XXXXXXȚXXX XXXX XXXX MEMBRU/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXX ÚRADNÍKOM X XÄXXXX NA XXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX, XXXXXX X STRANI XXXXXX XXX XXXXXXXX SODNE XXXXXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX, XXXXX XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX VIRKAMIES/ (SV) XXXXXXXX SOM XÄXXÖX XXÅX XX MYNDIGHET XXXXX EN XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX I XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (CZ) XXXXXXXXXX XXXXX/ (XX) DOMSTOLSAFGØRELSE/ (XX) GERICHTSENTSCHEIDUNG/ (ET) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) DÉCISION XX XXXXXXX/ (XX) XXXXXXXX ÓN gCÚIRT/ (XX) SUDSKA XXXXXX/ (XX) XXXXXXXXX GIURISDIZIONALE/ (XX) XXXXXX LĒMUMS/ (XX) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX HATÁROZAT/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX BESLISSING/ (XX) XXXXXXXXXX XĄXXXX/ (XX) XXXXXÃX XXXXXXXX/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) SÚDNE XXXXXXXXXXX/ (XX) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX PÄÄTÖS/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXX/ (CZ) LISTINA XXXXXX XXXXXXX XXXXXXXXX/ (XX) DOKUMENT XXXXXXX XX XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX ON VÄLJA XXXXXX XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX X PUBLIC XXXXXXXXXX/ (XX) DOCUMENT XXXXXXX XX XXXXXXÈXX PUBLIC/ (XX) XXXXXXXXX X XXXXXXX Ó XXXXXXXXXXXXXXX XXXXXX/ (HR) XXXXXXX XXXX XX IZDALO XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (LT) PROKURORO XXXXXXXX DOKUMENTAS/ (XX) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXXXXX XXXX EEN XXXXXXXX MINISTERIE/ (XX) XXXXXXXX POCHODZĄCY OD XXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX DO XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX/ (XX) LISTINA XXXXXX PROKURÁTOROM/ (XX) XXXXXXX, KI XX XXXX XXXXXXX XXXXXXXXX/ (XX) VIRALLISEN XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) DOCUMENTO XXXXXXXX POR XX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXÆX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX EINES XXXXXXXX/ (ET) XXXXXXXX, XXXXX ON XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX EMANATING XXXX X XXXXX OF X XXXXX/ (FR) XXXXXXXX XXXXXXX X'XX XXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXX XX CHUID XXXXXX/ (XX) XXXXXXX XXXX JE IZDAO XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX EMANATO XX XX XXXXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (XX) XXXXXX TARNAUTOJO XXXXXXXX XXXXXXXXXX/ (HU) XXXXXXXX TISZTVISELŐ XXXXX XXXXXXXXXX OKIRAT/ (MT) XXXXXXXX MAĦRUĠ XXXX XXĠXXXXXXXX XX' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (XX) XXXXXXXXX PROVENIENTE XX XX XXXXXXX XX XXXXXÇX/ (XX) XXXXXXXX EMIS DE XX XXXXXXX AL XXXXXXȚXX/ (XX) LISTINA XXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXX, KI XX XXXX SODNI XXXXXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXXXX ANTAMA XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX FRÅN XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX DE JUSTICE“)/ (XX) XXXXXXXXX XXXXXXXX XXX UN XXXXXX XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) LISTINA XXXXXX XXXXXXX VYKONAVATELEM („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXX XXXXXXX XX XX STÆVNINGSMAND (»XXXXXXXX XX JUSTICE«)/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX KOHTUTÄITUR/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚ ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («HUISSIER XX XXXXXXX»)/ (EN) XXXXXXXX EMANATING XXXX X JUDICIAL XXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) DOCUMENT XXXXXXX X'XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (HR) XXXXXXX KOJU XX XXXXX XXXXXX XXXXXXXXX (XXXXXXXX DE XXXXXXX)/ (XX) XXXXXXXXX XXXXXXX XX UN XXXXXXXXX XXXXXXXXXXX ("HUISSIER DE XXXXXXX")/ (LV) XXXXXXXXX, XXXX IZSNIEDZIS TIESAS XXXXXXĪXĀXX (XXXXXXXX XX XXXXXXX)/ (XX) ANTSTOLIO (XXXXXXXX XX JUSTICE) XXXXXXXX XXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXXXX („HUISSIER XX XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ MINN XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXXXXXXXXXXX/ (PL) XXXXXXXX POCHODZĄCY OD XXXĘXXXXX SĄDOWEGO (HUISSIER XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXÃX XX XXXXXXX («HUISSIER XX XXXXXXX»)/ (XX) DOCUMENT XXXX XX UN XXXXXXXX JUDECĂTORESC („XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX XXXXXXX“)/ (XX) LISTINA, XX XX XXXX XXXXX XXXXXXXXXX („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX XX XXXXXXX”) XXXXXX ASIAKIRJA/ (XX) HANDLING XXX XÄXXÖX XXÅX EN XXÄXXXXXXXXX (HUISSIER XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (ESPECIFÍQUESE)/ (XX) XXXX (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (BITTE XXXXXXX)/ (XX) MUU (TÄPSUSTAGE)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) OTHER (XX XX XXXXXXXXX)/ (FR) XXXXX (À XXXXXXXX)/ (XX) XXXX (XX XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (IT) XXXXX (XXXXXXXXX)/ (LV) XXXX (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (HU) EGYÉB (XXXXÜX XXXXXXXXXXX)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) XXXX (XXXXXĘ OKREŚLIĆ)/ (XX) OUTROS (X XXXXXXXXXXX)/ (XX) ALTUL (X SE PRECIZA)/ (XX) XXX (SPRESNIŤ)/ (XX) DRUGO (NAVESTI)/ (XX) MUU XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) ANNAN XXXXXXXX (SPECIFICERAS)

3.2

(BG) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX DOKUMENT/ (XX) URKUNDE EINER XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) ADMINISTRATIVE DOCUMENT/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX DOKUMENTS/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXXXXXXXXXXXXX/ (XX) ADMINISTRATIEF XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX ADMINISTRATIVO/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXX LISTINA/ (XX) XXXXXXXXXXXXXX ASIAKIRJA/ (XX) ADMINISTRATIV XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) CERTIFICADO/ (XX) OSVĚDČENÍ/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (GA) XXXXXXXX/ (XX) XXXXXXX/ (XX) CERTIFICATO/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (PL) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) OSVEDČENIE/ (XX) XXXXXXXX/ (FI) XXXXXXXX/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXX X XXXXXXX/ (DA) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX PERSONENSTANDSREGISTER/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) EXTRACT XXXX XXX CIVIL STATUS XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX DE X'XXXX XXXXX/ (XX) XXXXXXX AS XX xXXXX STÁDAIS SHIBHIALTA/ (XX) XXXXXXX IZ XXXXXXXX OSOBNOG XXXXXX/ (XX) XXXXXXXX XX XXXX DI XXXXX XXXXXX/ (XX) XXXXXXXX XX CIVILSTĀVOKĻA XXXX XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXĖX BŪKLĖS XXXŲ XXXXXXXX/ (HU) XXXXXÖXXXX XXXXXXX/ (MT) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (NL) XXXXXXXXXX XXX HET XXXXXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXX XX XXXX XX XXXXXXX CIVIL/ (RO) XXXXXX XXX XXXXXXXXX XX XXXXX XXXXXĂ/ (XX) VÝPIS X XXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXX XX XXXXXXXX O XXXXXXX XXXXXX/ (XX) VÄESTÖREKISTERIOTE (XXXXXXXXÄÄXX)/ (XX) XXXXXX XX FOLKBOKFÖRINGEN

3.2.3

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) EXTRACTO XXX XXXXX/ (XX) XXXXX X REGISTRU XXXXXXXX/ (DA) XXXXXX XXX FOLKEREGISTRET/ (DE) XXXXXX XXX DEM XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (EN) XXXXXXX XXXX THE XXXXXXXXXX XXXXXXXX/ (XX) EXTRAIT XX REGISTRE XX XX POPULATION/ (XX) XXXXXXX XX AN xXXXX XXXXXX/ (HR) XXXXXXX XX POPISA XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX/ (LV) IZRAKSTS XX XXXXĪXXXĀXX XXĢXXXXX/ (XX) IŠRAŠAS XX XXXXXXXXŲ XXXXXXXX/ (HU) XXXXXXX X XXXXXXXXXXXX- XX LAKCÍMNYILVÁNTARTÁSBÓL/ (XX) XXXXXXX XXX-XXĠXXXXX TAL-POPOLAZZJONI/ (XX) UITTREKSEL XXX XXX BEVOLKINGSREGISTER/ (PL) XXXXĄX Z XXXXXXXX XXXXXŚXX/ (XX) EXTRATO XX XXXXXXX XX XXXXXXÇÃX/ (XX) XXXXXX XXX XXXXXXXXX DE XXXXXXȚĂ A POPULAȚIEI/ (XX) XXXXX Z XXXXXXXX XXXXXXXĽXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXXXXXXX/ (FI) VÄESTÖREKISTERIOTE/ (XX) XXXXXX UR XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX XX XXXXX XXX XXXXXXXX XXXXX/ (CZ) OPIS XXXXXXXXXX XXXXXXX/ (XX) XXXXXX KOPI XX XXXXXXXXXXXXXXXXXXX/ (DE) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX KOOPIA/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) VERBATIM COPY XX CIVIL XXXXXX XXXXXXX/ (FR) XXXXX XXXXXXXXX X'XXXXX DE X'XXXX XXXXX/ (GA) XXXX FOCAL XX XXXXXX DE XXXXXXX XX XXXXXX XXXXXXXXX/ (XX) DOSLOVNI XXXXXXXX XX XXXXXXXXXX O XXXXXXX XXXXXX/ (IT) XXXXX XXXXXXXXX DI XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX REĢISTRA IERAKSTU XXXXXXXXXX XXXXXX/ (XX) XXXXXXXĖX BŪKLĖS XXXŲ ĮXXXŲ XXXXXXXĖ KOPIJA/ (XX) XXXXXÖXXXX BEJEGYZÉS XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (XX) EENSLUIDEND XXXXXXXXX XXX AKTEN XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXŁXX XXXX STANU XXXXXXXXX/ (XX) XXXXXXÃX DE XXXXX XXXXXXXX XX XX XXXXXXXXX XX XXXX XX XXXXXXX XXXXX/ (RO) COPIE XXXXXĂ X XXXX XXX XX XXXXX XXXXXĂ/ (XX) XXXXXXXX XXXXX ZO XXXXXXX X OSOBNOM XXXXX/ (XX) XXXXXXXXX PREPIS XXXXXXX O XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (XX) NOTÁŘSKÁ XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) NOTARIELLE URKUNDE/ (XX) NOTARIAALDOKUMENT/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) XXXX NOTARIÉ/ (GA) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX ISPRAVA/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXĀXX XXXX/ (XX) XXXXXXXXX XXXXX/ (XX) XÖXXXXXXŐX OKIRAT/ (XX) XXX NOTARILI/ (XX) XXXXXXËXX XXXX/ (XX) XXX XXXXXXXXXX/ (PT) XXX NOTARIAL/ (RO) XXX XXXXXXXX/ (SK) XXXXXXXX XXXXXXX/ (SL) 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 OFICIAL XXXXXX XXXXX XX XXXXXXXXX XXXXXXX/ (XX) ÚŘEDNÍ XXXXXXXXX, KTERÝM XXXX XXXXXXXX LISTINA PODEPSANÁ XXXXXXXXX XXXXXX/ (XX) XXXXXXXX PÅTEGNING XÅ XX XXXXXXXX XXXXXXXXXXX XX XX PERSON X XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX XXXXX PRIVATURKUNDE/ (ET) XXXXX POOLT XXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX XXXXXXX XÕXXX/ (EL) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX XXXXXX ON A XXXXXXXX XXXXXX BY X XXXXXX IN XXX OR XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX OFFICIELLE APPOSÉE XXX UN XXXX XXXX XXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX X XXXXXXXXX XX XXXXXXXXXX XXXX XXXXXX XX XXXXX XXX XXXXX XX XXX XXXX PHRÍOBHÁIDEACH/ (HR) XXXXXXXX POTVRDA XXXXXXXXX XX XXXXXXX XXXX XX OSOBA POTPISALA X XXXXXXXXX SVOJSTVU/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX SU XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXĀXX XXXXXXXXĀXXXX XX XXXXXXXXX, KO XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (XX) PRIVAČIŲ XXXXXŲ PASIRAŠYTŲ XXXXXXXXŲ XXXXXXXŪX PATVIRTINIMAI/ (XX) XXXXXXXXXXXXX ELHELYEZETT XXXXXXXXX XXXXXXXXXXX/ (XX) ĊXXXXXXXXX XXXXĊXXXX LI XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXX XXXXXXXXXXX DOOR XXX XXXXXXX XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX DOKUMENCIE XXXXXXXXXX XXXXX OSOBĘ XXXXŁXXĄXĄ W CHARAKTERZE XXXXXXXXX/ (PT) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX XXX XX NATUREZA XXXXXXX/ (XX) XXXXXXXXXX XXXXXXX APLICAT XX XX XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX XX XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXXX IZJAVA XX XXXXXXX XXXXXXX/ (FI) XXXXXXXXXX TODISTUS XXXXXXXXXXXX, XXXXX XXXXXXÖ ON XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX INTYG ANBRINGAT 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 UN ESTADO XXXXXXX XXX XXXXXXXX XXXXXXX/ (XX) LISTINA XXXXXXXXXX DIPLOMATICKÝM XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX XX XX MEDLEMSSTATS XXXXXXXXXXXX ELLER XXXXXXÆXX XXXXÆXXXXXXX/ (XX) XXX XXXXX XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXX EINES XXXXXXXXXXXXXX IN XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (ET) LIIKMESRIIGI XXXXXXXXXXXXXX VÕI XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX XXXXX XX XX X DIPLOMATIC XX CONSULAR AGENT 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 XXXX XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX CONSALACH XX CHUID XXXXXXXXX XXX XXXXX XX XXX XXXX OIFIGIÚIL/ (XX) ISPRAVA XXXX XX U XXXXXXXXX XXXXXXXX XXXXXXXX DIPLOMATSKI XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX XXXXXXX DA XXXXXX XXXXXXXXXXX O XXXXXXXXX XX XXX XXXXX XXXXXX NELL'ESERCIZIO XXXXX LORO XXXXXXXX/ (XX) DOKUMENTS, XXXX, XXXXXX XXXXX PIENĀKUMUS, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX KONSULĀRAIS XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX XX XXXXXXXXXX PAREIGŪNO, XXXXXXXXXX PAGAL XXXXXXXXXX ĮXXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX XXXXX XXXXXXXXX MINŐSÉGÉBEN XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXXX XXXX AĠENT XXXXXXXXXXX XXX XXXXXXXXX XX' XXXX XXXXXX XXX-XXXXĊXXÀ UFFIĊJALI TIEGĦU/ (XX) XXXXXXXX XXXXXXXXX XXXX DE XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX XX ZIJN XXXXXXËXX XXXXXXXXXXXX/ (PL) XXXXXXXX XXXXXĄXXXXX PRZEZ XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX LUB XXXĘXXXXX XXXXXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX XXXĘXXXXX/ (XX) XXXXXXXXX XXXXXXX POR XX XXXXXX DIPLOMÁTICO OU XXXXXXXX XX UM XXXXXX-XXXXXX NO EXERCÍCIO XXX XXXX XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX XX XĂXXX XX XXXXX XXXXXXXXXX XXX CONSULAR AL XXXX XXXX MEMBRU, ÎX XXXXXXXX OFICIALĂ/ (XX) XXXXXXX VYHOTOVENÁ XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX ČLENSKÉHO XXXXX X XXXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXX, KI XX XXX XXXXXX XXXXX IZDA DIPLOMATSKI XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX EDUSTAJA XXX XXXXXXXXXXXXXXX XX LAATINUT XXXXXXXXXXXXXXXXXX/ (SV) XXXXXXXX XXXXÄXXXX I TJÄNSTEN XX EN XXXXXXXXXXX XXXXX XXXXXXÄX TJÄNSTEMAN X EN MEDLEMSSTAT

3.6

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX EXPEDICIÓN/ (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) DATE (XX/XX/XXXX) XX ISSUE/ (XX) XXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) DATA XX XXXXXXXX (GG/MM/AAAA)/ (LV) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX DATA (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (JJ/XX/SSSS) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) VAN AFGIFTE/ (XX) DATA (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX XXXXXÃX (DD/MM/AAAA)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) DÁTUM (XX/XX/XXXX) VYDANIA/ (SL) XXXXX (DD/MM/LLLL) XXXXXX/ (XX) ANTAMISPÄIVÄ (PP/KK/VVVV)/ (XX) DATUM (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (CZ) XXXXXXXXXX XXXXX VEŘEJNÉ XXXXXXX/ (XX) DET XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖXXXXXXXXXXX URKUNDE/ (XX) XXXXXXX DOKUMENDI XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) REFERENCE XXXXXX XX XXX XXXXXX XXXXXXXX/ (FR) XXXXXX XX XXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXX THAGARTHA XX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (XX) XXXXXX XX RIFERIMENTO DEL XXXXXXXXX PUBBLICO/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX XXXXXX/ (LT) XXXXXXX XXXXXXXXX NUMERIS/ (XX) X KÖZOKIRAT XXXXXXXXXXX XXXXX/ (XX) NUMRU XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX XXXXXXXX/ (PL) NUMER XXXXXXXXXXXX XXXXXXXXX URZĘDOWEGO/ (XX) XXXXXX XX XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX XX XXXXXXXȚĂ AL XXXXXXXXXXXX XXXXXXX/ (SK) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXX LISTINE/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (SV) XXX XXXXXXXXXX HANDLINGENS XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА РОДЕНОТО ЛИЦЕ/ (XX) INFORMACIÓN XXXXX LA XXXXXXX XXXXXX/ (XX) INFORMACE X XXXXXXXXX/ (DA) XXXXXXXXXXX XX DEN XXXXXX, XXX XX XØXX/ (XX) ANGABEN XXX XXXXXX, XXXXX XXXXXX ANGEZEIGT XXXX/ (XX) SÜNDINUD ISIKUT XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΠΟΥ ΓΕΝΝΗΘΗΚΕ/ (XX) XXXXXXXXXXX XX THE XXXXXX XXXX/ (FR) XXXXXXXXXXXX XXX XX XXXXXXXX XXX/ (XX) XXXXXXXX XXXXXX XXXX XX XXXXX X XXXXXX/ (XX) XXXXXXXXXXX X XXĐXXXX XXXXX/ (XX) INFORMAZIONI SULLA XXXXXXX XXXX/ (LV) XXXXXXĀXXXX XXX DZIMUŠO XXXXXXX/ (LT) XXXXXXXXXXX XXXX GIMUSĮ ASMENĮ/ (XX) X XXXXXÜXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXX DE XXXXXXXX/ (XX) XXXX XXXXXXĄXX XXXXX XXXXXXXXX/ (XX) XXXXXXXÇÕXX XXXXX X XXXXXX QUE XXXXXX/ (RO) XXXXXXXȚXX XXXXXXX XXXXXXXX NĂSCUTĂ/ (XX) INFORMÁCIE X XXXXXXXXX OSOBE/ (SL) XXXXXXXXXXX O XXXXXX XXXXX/ (XX) SYNTYNEEN XXXXXXÖX XXXXXX/ (XX) XÖXXXXXXXXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X)/ (XX) XXXXXXXX/ (XX) EFTERNAVN(E)/ (XX) XXXXXXXXXXXX(X)/ (ET) XXXXXXXXXXXXX (-NIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (XX) SURNAME(S)/ (XX) XXX(X)/ (XX) XXXXXXX (XXXXXXXX)/ (XX) XXXXXXX(XX)/ (IT) XXXXXXX(X)/ (XX) UZVĀRDS(-I)/ (LT) XXXXXXĖ (-ĖX)/ (XX) XXXXXXX NEVE(I)/ (MT) XXXXXX(/XXXXXXXXXXX)/ (XX) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (PT) XXXXXXX(X)/ (XX) XXXX/ (XX) XXXXXXXXXX(-X)/ (SL) XXXXXXX/XXXXXXX/ (FI) XXXXXXXX (-XXXXX)/ (SV) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) XXXXX (XXXXX)/ (XX) FORNAVN(E)/ (XX) VORNAME(N)/ (XX) XXXXXXX (-XXXXX)/ (EL) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (GA) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) NOME(I)/ (XX) XĀXXX(-X)/ (LT) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (PL) XXXĘ (XXXXXX)/ (PT) XXXX(X) XXXXXXX(X)/ (XX) XXXXXXX/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (FI) XXXXXXX (-XXXXX)/ (XX) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (ES) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) NAROZENÍ/ (DA) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) DATE (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) DE XXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/GGGG) XXĐXXXX/ (XX) XXXX XX XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX DATA (XX/XX/XXXX)/ (HU) SZÜLETÉSI XXXXX (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXXX/ (XX) DATA XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (XX/XX/XXXX) NARODENIA/ (SL) XXXXX (XX/XX/XXXX) ROJSTVA/ (XX) XXXXXXÄXXXX (PP/KK/VVVV)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.4

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX X XXXX XX XXXXXXXXXX/ (XX) XXXXX X ZEMĚ XXXXXXXX/ (DA) XØXXXXXX XX -XXXX/ (XX) XXX XXX XXXX XXX XXXXXX/ (XX) XÜXXXXXXX XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (EN) XXXXX XXX COUNTRY XX BIRTH/ (XX) XXXX ET XXXX XX XXXXXXXXX/ (GA) XXX XXXX TÍR XXXXXXXX/ (XX) XXXXXX X XXXXXX XXĐXXXX/ (XX) XXXXX X XXXXX XX NASCITA/ (XX) XXXXXXXXX XXXXX XX XXXXXX/ (XX) XXXXXX VIETA IR XXXXX/ (XX) XXÜXXXXXX XXXXX ÉS XXXXXXX/ (XX) POST X XXXXXŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX XX -XXXX/ (XX) MIEJSCE X XXŃXXXX XXXXXXXXX/ (XX) XXXXX X XXXX XX XXXXXXXXXX/ (RO) XXXXX ȘX ȚXXX XXȘXXXXX/ (XX) MIESTO X XXXX NARODENIA/ (XX) XXXX XX XXXXXX XXXXXXX/ (FI) XXXXXXÄXXXXXX XX -XXX/ (XX) XÖXXXXXXXX XXX -XXXX

4.5

(XX) ПОЛ/ (ES) XXXX/ (XX) XXXXXXX/ (XX) KØN/ (XX) XXXXXXXXXX/ (ET) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (XX) INSCNE/ (XX) XXXX/ (IT) XXXXX/ (XX) DZIMUMS/ (LT) XXXXX/ (XX) XXXX/ (XX) XXXX/ (NL) XXXXXXXX/ (XX) PŁEĆ/ (XX) SEXO/ (RO) XXXXX/ (XX) XXXXXXXX/ (XX) SPOL/ (FI) XXXXXXXXX/ (XX) XÖX

4.5.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) XXXX/ (DA) XXXXXX/ (XX) WEIBLICH/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (GA) XXXXXXXX/ (HR) XXXXXX/ (XX) XXXXXXXXX/ (LV) XXXXXXXX/ (XX) XXXXXXX/ (XX) XŐ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (PT) XXXXXXXX/ (XX) XXXXXXXX/ (XX) ŽENSKÉ/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) KVINNA

4.5.2

(BG) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (XX) XXXX/ (XX) MÄNNLICH/ (XX) XXXXXXXXX/ (EL) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) XXXXX/ (XX) XXXXX/ (XX) XXĠXX/ (XX) MAN/ (XX) XĘŻXXXXXX/ (XX) MASCULINO/ (XX) BĂRBĂTESC/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) XXX

4.5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (CZ) NEURČENO/ (XX) UBESTEMT/ (DE) XXXXXXXXXX/ (XX) MÄÄRAMATA/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) NEAMHCHINNTITHE/ (XX) NEODREĐEN/ (IT) XXXXXXXXXXXXX/ (XX) NENOTEIKTS/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (MT) XXXX XXXXXXXXX/ (NL) ONBEPAALD/ (XX) XŁXĆ NIEOKREŚLONA/ (XX) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

5.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX XXXXX/ (XX) XXXX XXX XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (DE) XXXXXXXXXXXXXXXXXX/ (XX) ALLKIRJALAHTER/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (EN) XXXXXXXXX XXX/ (XX) XXXXX XXXX LA XXXXXXXXX/ (XX) BOSCA XXX XXXXX/ (HR) XXXXX XX XXXXXX/ (XX) RIQUADRO XXX XX XXXXX/ (LV) XXXXXXXX XXXXX/ (LT) XXXXXX LAUKELIS/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) VAK XXXX XX XXXXXXXXXXXX/ (XX) XXXX PODPISU/ (PT) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (FI) XXXXXXXXXXXXXXXXXXÄ/ (XX) XXXX XÖX XXXXXXXXXXXXXX

5.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXX(X) X NOMBRE(S) XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (CZ) XXXXXXXX A JMÉNO (XXXXX) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) EFTERNAVN(E) OG XXXXXXX(X) PÅ XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) FAMILIENNAME(N) XXX XXXXXXX(X) DES XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (ET) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXX (-NIMED) XX XXXXXXXXXXXXX (-NIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXX(X) XXX FORENAME(S) XX THE OFFICIAL XXX XXXXXX XXXX XXXX/ (XX) XXX(X) XX XXXXXX(X) XX XXXXXXXXXXXXX XXX A XXXXXXX LE XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXXX XXXXXXXX (XXXXXXXXXXXXXX) AN OIFIGIGH X X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX KOJI XX XXXXX OVAJ XXXXXXX/ (XX) XXXXXXX/X X XXXX/X DEL XXXXXXXXXXX XXX XX RILASCIATO XX PRESENTE XXXXXX/ (XX) AMATPERSONAS, XXXX XXXXXXXX XX VEIDLAPU, XXXĀXXX(-X) XX XĀXXX(-X)/ (XX) ŠIĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖX) XX VARDAS (-XX)/ (XX) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXX NEVE(I) XX XXXXXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX) X ISEM(/ISMIJIET) TAL-UFFIĊJAL XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) NA(A)M(EN) XX VOORNA(A)M(EN) XXX XX XXXXXXXXX XXX XXX XXXXXXXXX HEEFT XXXXXXXXX/ (PL) XXXXXXXX(-X) X XXXĘ (XXXXXX) XXXĘXXXXX, KTÓRY XXXXŁ XXXXXXXXX FORMULARZ/ (PT) XXXXXXX(X) X NOME(S) XXXXXXX(X) XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (RO) XXXXXX ȘX XXXXXXXXX XXXXȚXXXXXXXXX XXXX A XXXX XXXXXXXXX FORMULAR/ (XX) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) PRIIMEK/PRIIMKI IN XXX/XXXXX URADNIKA, XX XX XXXXX TA XXXXXXX/ (FI) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXXXXX (-XXXXX) XX XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX XXX FÖRNAMN XÅ XXX XXÄXXXXXXX XXX XXX UTFÄRDAT XXXXX XXXXXXÄX

5.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) CARGO DEL XXXXXXXXXXX XXX XXXXXXX XXXX IMPRESO/ (XX) XXXXXX XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX — XXX EMBEDSMAND, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (DE) XXXXXXXX XXX XXXXXXX, DER XXXXXX FORMULAR AUSGESTELLT XXX/ (XX) KÄESOLEVA XXXXX VÄLJASTANUD XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXX XX XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) POSTE XX XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XXXX XX XXXXXXXX X X’XXXXXX XX XXXXXX SEO/ (XX) XXXXXXXX XXXXXXXXXX XXXX XX IZDAO XXXX XXXXXXX/ (XX) XXXXXXXXX XXX FUNZIONARIO XXX XX XXXXXXXXXX XX XXXXXXXX MODULO/ (LV) XXXXXXXXXXXX, XXXX XXXXXXXX XX VEIDLAPU, XXXXX/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX PAREIGOS/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX TISZTVISELŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦAREĠ DIN XX-XXXXXXX/ (XX) XXXXXXX XXX XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX XXXXŁ NINIEJSZY XXXXXXXXX/ (XX) CARGO XX XXXXXXXXXXX QUE EMITIU X XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX FORMULAR/ (XX) XXXXXXX XXXXXXXX, KTORÝ XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (FI) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX ASEMA/ (XX) XXXXXXXXXX XÖX DEN XXÄXXXXXXX SOM XXX XXXÄXXXX DETTA XXXXXXÄX

5.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) FECHA (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXX/ (DA) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) EISIÚNA/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX DATA (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) DATA (JJ/XX/SSSS) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) DATA (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX EMISSÃO (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXX/ (XX) ANTAMISPÄIVÄ (PP/KK/VVVV)/ (XX) DATUM (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

5.4

(XX) ПОДПИС/ (XX) FIRMA/ (XX) XXXXXX/ (XX) UNDERSKRIFT/ (XX) XXXXXXXXXXXX/ (ET) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) SIGNATURE/ (FR) XXXXXXXXX/ (XX) XXXXX/ (XX) POTPIS/ (XX) XXXXX/ (LV) XXXXXXXX/ (XX) XXXXXXX/ (HU) XXXXXXX/ (MT) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (XX) SEMNĂTURA/ (SK) XXXXXX/ (XX) PODPIS/ (XX) XXXXXXXXXXXXX/ (SV) XXXXXXXXXXXX

5.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (ES) SELLO X TIMBRE/ (XX) XXXXX XXXX RAZÍTKO/ (XX) XXXX XXXXX XXXXXXX/ (XX) SIEGEL XXXX STEMPEL/ (XX) XXXXXX XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX STAMP/ (XX) XXXXX OU XXXXXX/ (GA) XXXXX XX XXXXXX/ (XX) XXX XXX XXXXX/ (XX) XXXXX X XXXXXX/ (LV) XĪXXXX XXX XXXXXXXX/ (XX) XXXXXXX ARBA XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX XXX XXXXXX/ (NL) XXXXX XX XXXXXXX/ (XX) XXXXXĘĆ XXX XXXXXXX/ (PT) XXXX XX CARIMBO/ (XX) XXXXXXXX XXX ȘTAMPILA/ (XX) PEČAŤ ALEBO XXXXXXXX PEČIATKY/ (SL) XXXXX XXX XXX/ (XX) XXXXXXX XXX XXXXX/ (XX) XXXXXX XXXXX STÄMPEL

XXXXXXXXX O XXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX PRO XXXXXXX

Xxxxxx 7 xxxxxxxx Xxxxxxxxxx xxxxxxxxxx x Xxxx (XX) 2016/1191 xx dne 6. xxxxxxxx 2016 x xxxxxxx xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxxxx některých xxxxxxxxx listin x Xxxxxxxx xxxx x x změně xxxxxxxx (XX) x. 1024/2012 (1)

Xxxxxx (XX) Bulharsko (XX)

Xxxxx xxxxxxxxx (CZ)

Dánsko (XX) Xxxxxxx (XX)

Xxxxxxxx (XX) Irsko (IE)

Řecko (XX) Španělsko (XX)

Xxxxxxx (XX) Chorvatsko (HR)

Itálie (XX) Xxxx (CY)

Lotyšsko (XX) Xxxxx (LT)

Lucembursko (XX)

Xxxxxxxx (XX) Malta (XX)

Xxxxxxxxxx (XX) Rakousko (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Slovinsko (XX)

Xxxxxxxxx (XX) Finsko (XX)

Xxxxxxx (SE) Spojené xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxxxxx xxxxxxxxx je xxxxxxxxx překladu xxxxxxx xxxxxxx, x níž xx přiložen. Xxxxx xxxxxxxx se xxxx xxxxxxxxx xxxxx xxxxx xxxxxxxxx jako samostatný xxxxxxxx.

Xxxxx xxxxxxxx odráží xxxxx xxxxxxx xxxxxxx, x xxx je xxxxxxxx. Xxxxx, xxxxx xx xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx xxxx x xxxxxxxxx, xxx xx to xxxxxxxx xxx účely xxxxxxxxxx xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx či xxxxxx xxxxxxxxx, které jsou xx xxxxxxxxx uvedeny.

UPOZORNĚNÍ XXX XXXXXXXXXX XXXXX

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

Xxxxx xxxxxxx listina, x xxx xx přiložen xxxxx formulář, neobsahuje xxxxxx xxxxx xxxx xxxxxxxxx, uveďte „–“.

1. XXXXX XXXXXXXXXX XXXXX XXXXXXXX

1.1 Název (3)

2. XXXXX XXXXXXXXXX VEŘEJNOU XXXXXXX, K XXX XX XXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (4)

3. XXXXXXXXX XXXXXXXX XX XXXXXXX LISTINY, X XXX JE PŘILOŽEN XXXXX FORMULÁŘ

3.1 Xxxxxxx xxxxxx xxxxxxx nebo xxxxxxxxx s vazbou xx soudy xxxxxx xxxxxxxxx xxxxx

3.1.1 Rozhodnutí xxxxx

3.1.2 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx xxxxxx xxxxxxx xxxxxxxxx

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

3.1.5 Jiné (xxxxxxxxx)

(1) Úř. xxxx. X 200, 26.7.2016, x. 1.

(2) Při xxxxxxxxxx rukou použijte xxxxxxx xxxxx.

(3) Slovo „xxxxx“ je xxxxx xxxxxxxx jako úřední xxxxx orgánu xxxxxxxxxxxx xxxxxxxx.

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

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx z xxxxxxx

3.2.3 Xxxxx x xxxxxxxx xxxxxxxx

3.2.4 Xxxx xxxxxxxxxx xxxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Úřední xxxxxxxxx, xxxxxx xxxx xxxxxxxx listina xxxxxxxxx xxxxxxxxx xxxxxx

3.5 Xxxxxxx xxxxxxxxxx diplomatickým zástupcem xxxx xxxxxxxxxxx xxxxxxxxx xxxxxxxxx státu v xxxxx xxxxxx xxxx xxxxxxxxxx xxxxxxxxxx

3.6 Datum (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx xxxxx xxxxxxx listiny

4. XXXXXXXXX X XXXXXXX XXXXX

4.1 Xxxxxxxx

4.2 Jméno (xxxxx)

4.3 Datum (dd/mm/rrrr) xxxxxxxx

4.4 Xxxxx (1) x země (2) xxxxxxxx

4.5 Xxxxxxx:

4.5.1 Xxxx

4.5.2 Xxx

4.5.3 Xxxxxxxx

4.6 Xxxxxx:

4.6.1 Xxxxx x xxxxx xxxx / xxxxxxxx xxxxxxxxx

4.6.2 Xxxxx x xxxxxxxx xxxxxxxxx xxxxx

4.6.3 Xxxx (3)

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

6. XXXX XXX XXXXXX

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

6.2 Xxxxxx xxxxxxxx, xxxxx xxxxx tento formulář

6.3 Xxxxx (xx/xx/xxxx) xxxxxx

6.4 Xxxxxx

6.5 Pečeť xxxx xxxxxxx

(1) Xxxxx „xxxxx xxxxxxxx“ se rozumí xxxxx xxxx xxxx xxxxx, xxxxxx x xxxxx, xxx se xxxx xxxxx narodila.

(2) Xxxxx xxxx x – xxxxx xxxxxxxx – kód XXX xxxx xxxx xxxx xxxxxxx „Xxxx (xxxxxxxxx)“ xx xxxxx xxxxxx x xxxxxxxxxxx xxxxxxx xx vzorovém xxxxxxxxxxxx xxxxxxxxxxx xxxxxxxxx, xxxxx xx x xxxxxxxxx xx xxxxxxx evropské x-xxxxxxx.

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

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX POLOŽEK

(ŽIVOT)

1.

(BG) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) AUTORIDAD XXX XXXXXX XXXX XXXXXXX/ (CZ) ORGÁN XXXXXXXXXX TENTO XXXXXXXX/ (XX) XXXXX FORMULARS XXXXXXXXXX MYNDIGHED/ (XX) XXXÖXXX, DIE XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX XÄXXX XXXXXX ASUTUS/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX XXXX/ (XX) XXXXXXXX XX DÉLIVRANCE DU XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX AN XXXXXX XXX/ (HR) TIJELO XXXX XXXXXX XXXX XXXXXXX/ (IT) AUTORITÀ XXX XXXXXXXX XX XXXXXXXX MODULO/ (LV) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X FORMANYOMTATVÁNYT KIÁLLÍTÓ XXXXXXX/ (XX) AWTORITÀ XXXXXXXXX XX' DIN XX-XXXXXXX/ (NL) XXXXXXXXXX XXX XXXXXXX XXX XXX FORMULIER/ (XX) XXXXX WYDAJĄCY XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ A XXXXXXXXXXX FORMULAR/ (XX) XXXXX XXXXXXXXXX TENTO XXXXXXXX/ (XX) XXXXX, XX IZDA TA XXXXXXX/ (XX) XÄXÄX XXXXXXXXX ANTAVA XXXXXXXXXXXX/ (XX) MYNDIGHET SOM XXXÄXXXX FORMULÄRET

1.1

(BG) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (DA) BETEGNELSE/ (XX) XXXXXXXXXXX/ (ET) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) DESIGNATION/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (HR) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) NOSAUKUMS/ (XX) XXXXXXXXXXX/ (HU) MEGNEVEZÉS/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) DESIGNAÇÃO/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) XXX/ (XX) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) AUTORIDAD XXX XXXXXX XX XXXXXXXXX PÚBLICO AL XXX XX ADJUNTA XXXX XXXXXXX/ (XX) XXXXX VYDÁVAJÍCÍ XXXXXXXX XXXXXXX, X XXX XX XXXXXXXX TENTO XXXXXXXX/ (XX) DEN XXXXXXXXX, XXX HAR XXXXXXX XXX XXXXXXXXXX XXXXXXXX, SOM XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXÖXXX, XXX XXX ÖXXXXXXXXXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXÜXX XXX, AUSSTELLT/ (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/ (XX) XXXXXXXXX XXXXXXX THE PUBLIC XXXXXXXX XX WHICH XXXX XXXX XX XXXXXXXX/ (XX) AUTORITÉ XX DÉLIVRANCE XX XXXXXXXX XXXXXX XXXXXX XXX JOINT LE XXXXXXX XXXXXXXXXX/ (GA) XX tÚDARÁS A XXXXXXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX FHOIRM XXX XXXXXXXXXX/ (XX) XXXXXX XXXX IZDAJE XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ CHE XXXXXXXX IL XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, KURAM ŠĪ XXXXXXXX IR XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (LT) VIEŠĄJĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX ŠI FORMA, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX PUBBLIKU XX MIEGĦU HIJA XXXXXŻX XXX XX-XXXXXXX/ (XX) AUTORITEIT XXX XXXXXXX VAN HET XXXXXXXX DOCUMENT XXXXXXX XXX XXXXXXXXX IS XXXXXXX/ (XX) ORGAN XXXXXĄXX XXXXXXXX XXXĘXXXX, XX KTÓREGO XXXXXXXXX XXXXXXXXX JEST ZAŁĄCZONY/ (XX) AUTORIDADE XXX XXXXX O DOCUMENTO XXXXXXX A QUE X XXXXXXXX XXXXXXXXXX XXXX APENSO/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXXX XXXXXXX XX XXXX ESTE XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX VEREJNÚ XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX XXXX XXXXX XXXXXXX, KI XX XX PRILOŽEN TA XXXXXXX/ (XX) XXXXXXXXXXXX, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ LOMAKE XXXXXXÄÄX/ (XX) XXXXXXXXX SOM XXXÄXXXX DEN OFFICIELLA XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄR XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXX XX XXX XX ADJUNTA XXXX XXXXXXX/ (CZ) XXXXXXXXX XXXXXXXX SE XXXXXXX LISTINY, K XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXØXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXX XXX ÖFFENTLICHEN XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX XXXXXXX XXXXXXXXX XXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXXXX RELATING XX XXX XXXXXX XXXXXXXX XX XXXXX THIS XXXX XX XXXXXXXX/ (XX) XXXXXXXXXXXX RELATIVES XX XXXXXXXX XXXXXX XXXXXX EST JOINT XX PRÉSENT XXXXXXXXXX/ (XX) XXXXXXXX X XXXXXXXXX LEIS XX XXXXXXXXX POIBLÍ XXXX XXXXXX XX FHOIRM XXX XXXXXXXXXX/ (HR) XXXXXXXXXXX XXXX SE XXXXXX XX XXXXX XXXXXXX KOJOJ XX XXXX OBRAZAC XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXX XX DOCUMENTO XXXXXXXX XXX IL XXXXXXXX XXXXXX È XXXXXXXX/ (XX) INFORMĀCIJA XXX XXXXXXXX XXXXXXXXX, KURAM XĪ XXXXXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX SU XXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX XXXXX/ (XX) A XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATRA XXXXXXXXX XXXXXXXXXXX/ (XX) INFORMAZZJONI XXXX ID-DOKUMENT XXXXXXXX XX XXXXĦX HIJA XXXXXŻX DIN IL-FORMOLA/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX OPENBAAR XXXXXXXX XXXXXXX DIT XXXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXX DOTYCZĄCE XXXXXXXXX XXXĘXXXXXX, XX KTÓREGO XXXXXXXXX XXXXXXXXX JEST XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX XXXXXXXXX XXXXXXX A QUE X PRESENTE FORMULÁRIO XXXX APENSO/ (RO) XXXXXXXȚXX XXXXXXXXXXX LA XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX O XXXXXXXX XXXXXXX, KU XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (SL) XXXXXXXXXXX X XXXXX X XXXXX LISTINO, XX XX XX PRILOŽEN XX XXXXXXX/ (XX) XXXXXX YLEISESTÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXXXX XX XXX OFFICIELLA 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/ (ES) XXXXXXXXX XXXXXXXX XXX XXX XXXXXXXXX X XX XXXXXXXXXXX XXXXXXXXX X XXX XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXX ORGÁNEM XXXX XXXXXXXXX X XXXXXX XX XXXXX XXXXXX XXXXXXXXX STÁTU/ (XX) XXXXXXXX, XXX XX XXXXXXX XX XX XXXXXXXXX ELLER XX XXXXXXXXXX, XXX XX XXXXXXXXXX XXXXXXXX X XX XXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXÖXXX XXXX EINER XXXXXXXXXX ALS XXXXX XXX RECHTSPFLEGE EINES XXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX ON XÄXXX XXXXXX XXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXXXX VÕI XXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX FROM XX XXXXXXXXX OR XX XXXXXXXX XXXXXXXXX XXXX XXX COURTS XX XXXXXXXXX OF X XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXX X'XXX XXXXXXXX OU X'XX XXXXXXXXXXXXX RELEVANT X'XXX XXXXXXXXXXX D'UN XXXX XXXXXX/ (XX) XXXXXXXXX A XXXXXXX X XXXXXX NÓ X OIFIGEACH A XXXXXX XXXXX XXXX XX AICI XX XXXXXXXXXX XX LE XXXXX XX XXXXX XXXXXXXXX/ (HR) XXXXXXX XXXX XX IZDALO XXXXXX XXX XXXXXXXXX XXXX XXXXXX XXXXXXX/ (XX) DOCUMENTO XXXXXXX XX XX'XXXXXXXÀ O XX UN XXXXXXXXXXX XXXXXXXXXXXX XX UNA XXXXX GIURISDIZIONI DI XXX STATO XXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX XX XXXĪXXXXXXX XXXXĀX XXXXXĪXX IESTĀDE XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX XXXXXXXX XXXXXXXXXXXX AR XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX XXXXXXXX AR XXXXXXXXXXX/ (XX) TAGÁLLAMI XXXXXXXXXX XXXXXXXXXXXX XXXX XXXXXXX VAGY XXXXXXXXXXŐ XXXXX KIÁLLÍTOTT XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX XXXXXXXÀ XXX XXXXĊXXX LI XXXXXXXX XXXXX MAL-QRATI JEW XX-XXXXXXXXX XX' XXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX XX AMBTENAAR XXXXXXXXX XXX XXX XXXXXXXXXXXX INSTANTIE XXX XXX LIDSTAAT/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXX XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX DE XXX XXXXXXXXXX XX XX XX XXXXXXXXXXX XXXXXXXXXX XX XXXXXXXX JURISDIÇÃO XX XX DOS XXXXXXX-XXXXXXX/ (XX) XXXXXXXX XXXX XX O XXXXXXXXXX XXX DE XX XXXXȚXXXXX DE XX XÂXXĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXX XXXXX ÚRADNÍKOM X XÄXXXX XX XXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX, IZDANA X XXXXXX XXXXXX XXX XXXXXXXX XXXXX XXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX XX ANTANUT JÄSENVALTION XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) XXXXXXXX SOM HÄRRÖR XXÅX XX XXXXXXXXX XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X XX MEDLEMSSTAT

3.1.1

(BG) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (DA) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (EL) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) XXXXXXXX XX JUSTICE/ (XX) XXXXXXXX XX xXXXXX/ (XX) XXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX LĒMUMS/ (XX) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (XX) DEĊIŻJONI TAL-QORTI/ (XX) RECHTERLIJKE XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (XX) XXXXXÃX XXXXXXXX/ (XX) HOTĂRÂRE XXXXXĂXXXXXXXĂ/ (XX) SÚDNE XXXXXXXXXXX/ (XX) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXX/ (CZ) XXXXXXX XXXXXX XXXXXXX ZÁSTUPCEM/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX ON VÄLJA XXXXXX XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (EN) XXXXXXXX EMANATING FROM X PUBLIC XXXXXXXXXX/ (XX) XXXXXXXX ÉMANANT XX XXXXXXÈXX XXXXXX/ (XX) DOICIMÉAD A XXXXXXX Ó XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX DAL XXXXXXXX XXXXXXXXX/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) ÜXXXXX ÁLTAL KIÁLLÍTOTT XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX XXXXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX MINISTÉRIO XXXXXXX/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXX, XX JO XXXX DRŽAVNO TOŽILSTVO/ (XX) VIRALLISEN XXXXXÄXÄX XXXXXX XXXXXXXXX/ (SV) XXXXXXXX XXX XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX JUDICIAL/ (CZ) XXXXXXX VYDANÁ XXXXXX XXXXXXX XXXXXXXXX/ (DA) XXXXXXXX UDSTEDT AF XX XXXXXXXXXXXXXÆX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX EINES XXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX EMANATING XXXX X CLERK XX X COURT/ (FR) XXXXXXXX ÉMANANT D'UN XXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXX XX XXXXX XXXXXX/ (XX) XXXXXXX XXXX XX IZDAO XXXXXXXXXX XXXXXX PISARNICE/ (XX) XXXXXXXXX XXXXXXX XX UN XXXXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX TIESAS SEKRETĀRS/ (XX) TEISMO XXXXXXXXXX XXXXXXXX DOKUMENTAS/ (HU) XXXXXXXX XXXXXXXXXXŐ ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXĠXXXXXXXX TA' QORTI/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX SEKRETARZA XĄXXXXXX/ (XX) DOCUMENTO PROVENIENTE XX UM OFICIAL XX JUSTIÇA/ (XX) XXXXXXXX EMIS XX XX GREFIER XX XXXXXXȚXX/ (SK) LISTINA XXXXXX SÚDNYM XXXXXXXXX/ (XX) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX ASIAKIRJA/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX DE JUSTICE“)/ (XX) DOCUMENTO EXPEDIDO XXX XX XXXXXX XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX DE XXXXXXX“)/ (XX) DOKUMENT UDSTEDT XX XX XXÆXXXXXXXXXX (»XXXXXXXX DE JUSTICE«)/ (XX) URKUNDE EINES XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX VÄLJA XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (EN) XXXXXXXX XXXXXXXXX FROM X XXXXXXXX XXXXXXX ('XXXXXXXX XX JUSTICE')/ (XX) DOCUMENT ÉMANANT X'XX XXXXXXXX DE XXXXXXX/ (XX) XXXXXXXXX X THAGANN Ó XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (HR) XXXXXXX KOJU XX XXXXX XXXXXX XXXXXXXXX (XXXXXXXX DE JUSTICE)/ (XX) XXXXXXXXX XXXXXXX XX UN UFFICIALE XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (LV) DOKUMENTS, XXXX XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (XXXXXXXX DE XXXXXXX)/ (XX) XXXXXXXXX (XXXXXXXX XX XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX”) ÁLTAL XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXĠ MINN XXXXĊXXX ĠXXXXXXXXXX ('HUISSIER XX JUSTICE')/ (XX) XXXXXXXX AFGEGEVEN DOOR XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX XĄXXXXXX (XXXXXXXX XX XXXXXXX)/ (PT) XXXXXXXXX PROVENIENTE XX XX XXXXXXX XX XXXXXXÃX XX XXXXXXX («XXXXXXXX DE XXXXXXX»)/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX DE XXXXXXX”)/ (SK) LISTINA XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX DE JUSTICE“)/ (XX) LISTINA, KI XX XXXX XXXXX XXXXXXXXXX („HUISSIER XX XXXXXXX“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX XX XXXXXXX”) XXXXXX ASIAKIRJA/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXÄXXXXXXXXX (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) JINÉ (XXXXXXXXX)/ (XX) ANDRE (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX ANGEBEN)/ (XX) XXX (TÄPSUSTAGE)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX BE XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (XX) XXXX (XX XXXXX)/ (XX) OSTALO (XXXXXXX)/ (XX) XXXXX (XXXXXXXXX)/ (XX) CITS (XXXXXXĒX)/ (XX) KITA (XXXXXXXX)/ (XX) XXXXX (KÉRJÜK XXXXXXXXXXX)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) INNY (XXXXXĘ OKREŚLIĆ)/ (PT) XXXXXX (X XXXXXXXXXXX)/ (XX) ALTUL (X XX XXXXXXX)/ (XX) XXX (SPRESNIŤ)/ (XX) XXXXX (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) XXXXX HANDLING (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX ADMINISTRATIVO/ (XX) LISTINA XXXXXX XXXXXXXX XXXXXX/ (DA) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX VERWALTUNGSBEHÖRDE/ (XX) HALDUSDOKUMENT/ (EL) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXXXX RIARACHÁIN/ (XX) XXXXXXX ISPRAVA/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (LV) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (MT) XXXXXXXX AMMINISTRATTIV/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX ADMINISTRATIV/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (CZ) XXXXXXXXX/ (XX) PÅTEGNING/ (XX) BESCHEINIGUNG/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) DEIMHNIÚ/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) APLIECINĀJUMS/ (XX) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (NL) CERTIFICAAT/ (XX) ZAŚWIADCZENIE/ (PT) XXXXXXÃX XX CERTIFICADO/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (SL) XXXXXXXX/ (XX) TODISTUS/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXX X XXXXXXX/ (DA) UDDRAG XXX XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX AUS XXX XXXXXXXXXXXXXXXXXXXXXX/ (XX) PEREKONNASEISUREGISTRI XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX XXXXX XXXXXX REGISTER/ (XX) EXTRAIT XX XXXXXXXX DE X'XXXX XXXXX/ (GA) XXXXXXX XX XX xXXXX XXXXXXX XXXXXXXXXX/ (HR) XXXXXXX XX XXXXXXXX XXXXXXX XXXXXX/ (XX) XXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXX XX XXXXXXXĀXXXĻX AKTU XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXĖX XŪXXĖX XXXŲ XXXXXXXX/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊIVILI/ (XX) XXXXXXXXXX UIT XXX XXXXXXXX XXX XX BURGERLIJKE XXXXX/ (XX) XXXXX SKRÓCONY XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXX XX XXXX DO XXXXXXX XXXXX/ (XX) XXXXXX XXX REGISTRUL DE XXXXX XXXXXĂ/ (XX) XXXXX X XXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXX XX REGISTRA X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) XXXXXX UR XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX XXX XXXXX/ (CZ) XXXXX X XXXXXXXX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX XXXXXXXXXXXXX/ (XX) RAHVASTIKUREGISTRI XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) EXTRACT XXXX XXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XX XX XXXXXXXXXX/ (XX) XXXXXXX XX AN gCLÁR XXXXXX/ (XX) IZVADAK XX XXXXXX XXXXXXXXXXXX/ (XX) ESTRATTO XXXXXXXXXX/ (XX) IZRAKSTS XX XXXXĪXXXĀXX REĢISTRA/ (XX) XXXXXXX XX GYVENTOJŲ XXXXXXXX/ (XX) XXXXXXX X SZEMÉLYIADAT- ÉS XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX TAL-POPOLAZZJONI/ (XX) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX X XXXXXXXX XXXXXŚXX/ (XX) EXTRATO XX XXXXXXX DA POPULAÇÃO/ (XX) XXXXXX XXX XXXXXXXXX DE XXXXXXȚĂ X XXXXXXȚXXX/ (SK) XXXXX X XXXXXXXX XXXXXXXĽXX/ (XX) IZPISEK XX XXXXXXXX XXXXXXXXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТАКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) COPIA XXXXXXX XX XXXXX XXX XXXXXXXX CIVIL/ (XX) XXXX XXXXXXXXXX XXXXXXX/ (XX) ORDRET XXXX XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX KOPIE XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (ET) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX XX CIVIL XXXXXX XXXXXXX/ (XX) XXXXX XXXXXXXXX X'XXXXX XX X'XXXX XXXXX/ (XX) CÓIP FOCAL XX XXXXXX XX XXXXXXX AR XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XX EVIDENCIJA X XXXXXXX XXXXXX/ (XX) XXXXX XXXXXXXXX XX XXXX XX XXXXX XXXXXX/ (LV) XXXXXXXĀXXXĻX AKTU XXĢXXXXX XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) CIVILINĖS XŪXXĖX XXXŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (HU) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (MT) XXXXX XXXXXXXX TAL-ATTI TAL-ISTAT ĊXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXX XXX XXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXŁXX XXXX STANU XXXXXXXXX/ (PT) XXXXXXÃX XX CÓPIA XXXXXXXX XX XX NARRATIVA XX XXXX XX XXXXXXX CIVIL/ (XX) XXXXX XXXXXĂ A XXXX XXX XX XXXXX XXXXXĂ/ (SK) XXXXXXXX XXXXX XX XXXXXXX O XXXXXXX XXXXX/ (SL) XXXXXXXXX XXXXXX LISTIN X XXXXXXX STANJU/ (FI) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) ORDAGRANN XXXXXXXX XX FOLKBOKFÖRINGSHANDLING

3.3

(BG) НОТАРИАЛЕН АКТ/ (ES) XXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) NOTARBEKRÆFTET XXXXXXXX/ (DE) NOTARIELLE XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) NOTARIAL XXX/ (XX) ACTE NOTARIÉ/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXĀXX XXXX/ (XX) XXXXXXXXX XXXXX/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) ATT XXXXXXXX/ (XX) NOTARIËLE XXXX/ (XX) XXX NOTARIALNY/ (XX) XXX NOTARIAL/ (XX) ACT XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX ANTAMA 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 XXXXXXX/ (XX) XXXXXX XXXXXXXXX, KTERÝM XXXX XXXXXXXX LISTINA XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) OFFICIEL XÅXXXXXXX XÅ XX XXXXXXXX XXXXXXXXXXX XX XX XXXXXX X DENNES XXXXXXXX AF PRIVATPERSON/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX XXXXX XXXXXXXXXXXXX/ (XX) XXXXX POOLT XXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX XXXXXXX XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΊ ΩΣ ΙΔΙΩΤΗΣ/ (XX) OFFICIAL XXXXXXXXXXX PLACED XX X XXXXXXXX XXXXXX XX X PERSON XX XXX OR XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX OFFICIELLE XXXXXXX SUR UN XXXX XXXX XXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX X CHUIRTEAR XX XXXXXXXXXX ARNA XXXXXX AG DUINE XXX XXXXX XX XXX XXXX XXXXXXXXXXXXXX/ (XX) SLUŽBENA XXXXXXX XXXXXXXXX NA XXXXXXX XXXX XX OSOBA XXXXXXXXX U XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX APPOSTA SU XXX XXXXXXXXX XXXXXXX/ (XX) OFICIĀLS XXXXXXXXĀXXXX XX DOKUMENTA, KO XXXĀ XĀXXĀ PARAKSTĪJUSI XĀXX XXXXXXX/ (LT) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ OFICIALŪS XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX ELHELYEZETT XXXXXXXXX XXXXXXXXXXX/ (XX) ĊXXXXXXXXX XXXXĊXXXX LI XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX XXXXXXX FIL-KAPAĊITÀ XXXXXXX TAGĦHA/ (XX) XXXXXXXXX XXXXXXXXXXX OP XXX XXXXXXXX ONDERTEKEND XXXX EEN XXXXXXX XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (PL) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXXX PRZEZ XXXXĘ DZIAŁAJĄCĄ W XXXXXXXXXXX PRYWATNYM/ (XX) XXXXXXXÇÃX OFICIAL XXXXXXX XXX ATO DE XXXXXXXX PRIVADA/ (XX) XXXXXXXXXX XXXXXXX XXXXXXX XX UN XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) ÚRADNÉ OSVEDČENIE XXXXXXX XX XXXXXXX XXXXXXXXXX XXXXXX KONAJÚCOU XXX SÚKROMNÁ XXXXX/ (XX) XXXXXX XXXXXX XX XXXXXXX XXXXXXX/ (XX) VIRALLINEN XXXXXXXX XXXXXXXXXXXX, XXXXX HENKILÖ XX XXXXXXXXXXXXXXXX YKSITYISHENKILÖNÄ/ (XX) XXXXXXXXXX XXXXX XXXXXXXXX XÅ XX XXXXXXXX XXX XXXXXXXXXXXXX XX XX PRIVATPERSON

3.5

(BG) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX POR UN XXXXXX XXXXXXXXXXX X XXXXXXXX XX XX XXXXXX MIEMBRO XXX XXXXXXXX OFICIAL/ (XX) XXXXXXX VYHOTOVENÁ XXXXXXXXXXXXX XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X RÁMCI VÝKONU XXXX XXXXXXXXXX POVINNOSTÍ/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX XX EN XXXXXXXXXXXX DIPLOMATISKE ELLER XXXXXXÆXX XXXXÆXXXXXXX/ (DE) XXX EINEM DIPLOMATISCHEN XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX MITGLIEDSTAATS XX XXXXXX AMTLICHEN FUNKTION XXXXXXXXXX URKUNDE/ (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/ (XX) DOCUMENT DRAWN XX BY X XXXXXXXXXX XX XXXXXXXX XXXXX OF A XXXXXX XXXXX IN XXX XX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX ÉTABLI XX XX XXXXXXX XXXXXXXXXX XXX XX AGENT XXXXXXXXXXXX XX XXXXXXXXXX X'XX XXXX XXXXXX/ (XX) XXXXXXXXX ARNA XXXXXXXXXX XXXX AG XXXXXXXXXX TAIDHLEOIREACHTA NÓ XXXXXXXXX XX CHUID XXXXXXXXX INA XXXXX XX INA XXXX XXXXXXXXX/ (HR) XXXXXXX XXXX JE X XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXX XXX KONZULARNI XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX REDATTO XX XXXXXX DIPLOMATICI X XXXXXXXXX XX XXX STATO XXXXXX XXXX'XXXXXXXXX XXXXX LORO XXXXXXXX/ (XX) DOKUMENTS, XXXX, PILDOT XXXXX XXXXĀXXXXX, SAGATAVOJIS DALĪBVALSTS XXXXXXĀXXXXXXX VAI XXXXXXĀXXXX XĀXXXĀXXX/ (LT) XXXXXXXXXX, XXXXXXXXX VALSTYBĖS NARĖS XXXXXXXXX AR XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX XXXXX XXXXXXXXXX ĮGALIOJIMUS/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX KÉPVISELŐJE XXXXX HIVATALOS MINŐSÉGÉBEN XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXXX XXXX XĠXXX XXXXXXXXXXX XXX XXXXXXXXX TA' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (NL) DOCUMENT XXXXXXXXX XXXX XX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX XXX EEN XXXXXXXX XX XXXX XXXXXXËXX XXXXXXXXXXXX/ (PL) XXXXXXXX XXXXXĄXXXXX PRZEZ XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX KONSULARNEGO XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX W XXXXXXXXXXX URZĘDOWYM/ (XX) XXXXXXXXX XXXXXXX XXX XX AGENTE XXXXXXXXXXX XX CONSULAR DE XX ESTADO-MEMBRO XX XXXXXXXXX DAS SUAS XXXÇÕXX OFICIAIS/ (XX) XXXXXXXX ÎXXXXXXX XX XĂXXX XX AGENT XXXXXXXXXX SAU XXXXXXXX XX UNUI STAT XXXXXX, ÎX CALITATE XXXXXXXĂ/ (SK) LISTINA XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX VÝKONU XXXX XXXXXXX/ (SL) XXXXXXX, XX JO KOT XXXXXX OSEBA IZDA XXXXXXXXXXX ALI KONZULARNI XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, JONKA XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX KONSULIEDUSTAJA XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (SV) XXXXXXXX XXXXÄXXXX I XXÄXXXXX XX XX XXXXXXXXXXX XXXXX XXXXXXÄX XXÄXXXXXXX X XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (DD/MM/AAAA) DE XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) DATE (XX/XX/XXXX) OF ISSUE/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (DD/MM/GGGG) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (GG/MM/AAAA)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) IŠDAVIMO XXXX (DD/MM/MMMM)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (NL) XXXXX (DD/MM/JJJJ) VAN XXXXXXX/ (PL) DATA (XX/XX/XXXX) XXXXXXX/ (PT) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (SK) XXXXX (DD/MM/RRRR) VYDANIA/ (XX) DATUM (DD/MM/LLLL) XXXXXX/ (FI) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) FÖR XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX REFERENCIA XXX DOCUMENTO XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (DE) XXXXXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXX DOKUMENDI XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX XX XXX XXXXXX XXXXXXXX/ (XX) XXXXXX DE RÉFÉRENCE XX XXXXXXXX XXXXXX/ (XX) XXXXXX THAGARTHA XX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (IT) XXXXXX XX XXXXXXXXXXX XXX DOCUMENTO XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX NUMURS/ (XX) XXXXXXX XXXXXXXXX XXXXXXX/ (XX) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXX TA' XXXXXXXXX XXX-XXXXXXXX PUBBLIKU/ (XX) XXXXXXXXXXXXXXXX XXX HET XXXXXXXX XXXXXXXX/ (XX) XXXXX REFERENCYJNY DOKUMENTU XXXĘXXXXXX/ (XX) XXXXXX XX XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX XX XXXXXXXȚĂ XX DOCUMENTULUI OFICIAL/ (XX) XXXXXXXXXX ČÍSLO XXXXXXXX XXXXXXX/ (SL) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (XX) XXX OFFICIELLA XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX XX XXXXXXXXXX/ (CZ) XXXXXXXXX X XXXXXXX OSOBĚ/ (XX) OPLYSNINGER XX XXX PÅGÆLDENDE XXXXXX/ (XX) XXXXXXX ZUR XXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXX XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX THE XXXXXX XXXXXXXXX/ (FR) XXXXXXXXXXXX XXX XX XXXXXXXX XXXXXXXXX/ (GA) FAISNÉIS XXXXXX XXXX XX XXXXX LENA xXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXXXXX XXXXX/ (XX) XXXXXXXXXXXX SULLA PERSONA XXXXXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXĪXX PERSONU/ (XX) XXXXXXXXXXX APIE XXXXXXXXXĄ ASMENĮ/ (HU) XX XXXXXXXX SZEMÉLYRE XXXXXXXXX XXXXXX/ (MT) XXXXXXXXXXXXX DWAR IL-PERSUNA XXXXĊXXXXXX/ (NL) INFORMATIE XXXX XX XXXXXXXXXX/ (XX) XXXX OSOBY, XXXXXX XXXXXXX XXXXXXXX/ (XX) INFORMAÇÕES SOBRE X PESSOA EM XXXXX/ (XX) INFORMAȚII XXXXXXX PERSOANA VIZATĂ/ (XX) INFORMÁCIE X XXXXXXXXX XXXXX/ (XX) XXXXXXXXXXX O ZADEVNI XXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX TIEDOT/ (XX) XXXXXXXXX OM XXX XXXÖXXX XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X)/ (XX) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (DE) XXXXXXXXXXXX(X)/ (XX) XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX(X)/ (FR) XXX(X)/ (XX) XXXXXXX (XXXXXXXX)/ (XX) XXXXXXX(XX)/ (XX) XXXXXXX(X)/ (LV) UZVĀRDS(-I)/ (XX) XXXXXXĖ (-ĖX)/ (XX) CSALÁDI XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (XX) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (XX) XXXXXXX(X)/ (XX) XXXX/ (XX) XXXXXXXXXX(-X)/ (XX) PRIIMEK/PRIIMKI/ (XX) XXXXXXXX (-XXXXX)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) XXXXX (XXXXX)/ (XX) XXXXXXX(X)/ (DE) XXXXXXX(X)/ (XX) EESNIMI (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (FR) PRÉNOM(S)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (IT) XXXX(X)/ (LV) VĀRDS(-I)/ (XX) XXXXXX (-XX)/ (XX) UTÓNEVE(I)/ (XX) XXXX(/XXXXXXXX)/ (XX) VOORNA(A)M(EN)/ (XX) XXXĘ (IMIONA)/ (XX) NOME(S) XXXXXXX(X)/ (XX) PRENUME/ (SK) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) ETUNIMI (-XXXXX)/ (XX) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) FECHA (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXXX/ (XX) FØDSELSDATO (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) DATE (XX/XX/XXXX) OF XXXXX/ (XX) DATE (XX/XX/XXXX) XX NAISSANCE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (IT) XXXX XX XXXXXXX (GG/MM/AAAA)/ (XX) DZIMŠANAS DATUMS (XX/XX/XXXX)/ (XX) XXXXXX XXXX (DD/MM/MMMM)/ (XX) XXÜXXXXXX IDEJE (ÉÉÉÉ/HH/NN)/ (XX) DATA (JJ/XX/SSSS) XXX-XXXXXX/ (NL) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXXX/ (PT) XXXX DE XXXXXXXXXX (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXXX/ (FI) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.4

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX Y XXXX XX NACIMIENTO/ (XX) XXXXX X XXXX NAROZENÍ/ (XX) XØXXXXXX XX -XXXX/ (XX) XXX UND XXXX DER GEBURT/ (XX) SÜNNIKOHT XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX XXX XXXXXXX XX XXXXX/ (XX) LIEU ET XXXX XX NAISSANCE/ (XX) ÁIT AGUS XXX BHREITHE/ (XX) XXXXXX X XXXXXX XXĐXXXX/ (XX) LUOGO X PAESE DI XXXXXXX/ (XX) XXXXXXXXX XXXXX XX VALSTS/ (XX) XXXXXX XXXXX XX ŠALIS/ (XX) XXÜXXXXXX XXXXX XX XXXXXXX/ (MT) XXXX X PAJJIŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX XX -XXXX/ (PL) XXXXXXX X PAŃSTWO XXXXXXXXX/ (XX) LOCAL X XXXX XX NASCIMENTO/ (XX) LOCUL ȘI ȚXXX NAȘTERII/ (SK) XXXXXX X XXXX XXXXXXXXX/ (SL) XXXX XX XXXXXX ROJSTVA/ (XX) SYNTYMÄPAIKKA XX -XXX/ (XX) XÖXXXXXXXX XXX -LAND

4.5

(BG) ПОЛ/ (XX) XXXX/ (CZ) XXXXXXX/ (DA) XØX/ (XX) XXXXXXXXXX/ (XX) XXXX/ (EL) ΦΥΛΟ/ (XX) SEX/ (XX) XXXX/ (XX) XXXXXX/ (XX) SPOL/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (HU) XXXX/ (MT) XXXX/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (XX) XXXX/ (XX) SEXUL/ (XX) XXXXXXXX/ (XX) XXXX/ (XX) XXXXXXXXX/ (SV) XÖX

4.5.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (CZ) ŽENA/ (XX) KVINDE/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) BAINEANN/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (HU) XŐ/ (XX) XXXX/ (XX) XXXXX/ (PL) XXXXXXX/ (XX) FEMININO/ (RO) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (SV) XXXXXX

4.5.2

(XX) МЪЖКИ/ (ES) XXXXX/ (XX) XXX/ (XX) XXXX/ (DE) MÄNNLICH/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) MALE/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) MASCHILE/ (XX) XĪXXXXXX/ (XX) XXXXX/ (XX) FÉRFI/ (XX) XXĠXX/ (XX) XXX/ (XX) XĘŻXXXXXX/ (XX) XXXXXXXXX/ (XX) BĂRBĂTESC/ (XX) XXXXXX/ (XX) XXXXX/ (XX) MIES/ (XX) XXX

4.5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (ET) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) INDETERMINATO/ (XX) XXXXXXXXXX/ (LT) XXXXXXXXXXX/ (XX) MEGHATÁROZATLAN/ (XX) XXXX XXXXXXXXX/ (NL) XXXXXXXXX/ (XX) PŁEĆ XXXXXXXŚXXXX/ (XX) NÃO XXXXXXXX/ (XX) NEDETERMINAT/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) EJ FASTSTÄLLT

4.6

(BG) АДРЕС/ (XX) XXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXX/ (DE) XXXXXXXXX/ (XX) XXXXXXX/ (XX) ΔΙΕΥΘΥΝΣΗ/ (XX) ADDRESS/ (XX) ADRESSE/ (XX) XXXXXXX/ (HR) XXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) ADRES/ (XX) XXXXX/ (XX) XXXXXXÇX/ (XX) XXXXXX/ (XX) ADRESA/ (XX) XXXXXX/ (XX) OSOITE/ (XX) XXXXXX

4.6.1

(XX) УЛИЦА И НОМЕР/ПОЩЕНСКА КУТИЯ/ (XX) XXXXX Y XXXXXX / XXXXXXXX XX CORREOS/ (XX) XXXXX X XXXXX XXXX / POŠTOVNÍ XXXXXXXXX/ (XX) VEJ XX HUSNUMMER/POSTBOKS/ (XX) XXXXXXX XXX HAUSNUMMER/POSTFACH/ (XX) XÄXXX XX XXXX XXXXXX/XXXXXXXX/ (XX) ΟΔΟΣ ΚΑΙ ΑΡΙΘΜΟΣ / Τ.Θ./ (XX) XXXXXX XXX NUMBER/PO XXX/ (FR) RUE XX XXXXXX/XXÎXX POSTALE/ (XX) SRÁID AGUS XXXXXX/XXXXX POIST/ (HR) XXXXX X BROJ / XXXXXXXXX PRETINAC/ (XX) XXX X XXXXXX/XXXXXXX XXXXXXX/ (LV) XXXX UN XĀXXX XXXXXX / XXXXXXXXX/ (XX) GATVĖ XX XXXX XXXXXXX / XXXXX XĖXXXĖ/ (XX) XXXX ÉS XXXXXXX/XXXXXXXXX/ (XX) XXXX X XXXXX/XXXXX XXXXXXX/ (XX) XXXXXX EN NUMMER/POSTBUS/ (XX) ULICA I XXXXX / XXXXXXX XXXXXXXX/ (PT) RUA X NÚMERO/CAIXA POSTAL/ (XX) STRADA ȘX XXXĂXXX/XĂXXȚX XXȘXXXĂ/ (XX) XXXXX X XXXXX/XXXXXXX XXXXXXXXX/ (XX) XXXXX XX ŠTEVILKA/POŠTNI XXXXXX/ (XX) XÄXXXXXXXX/XXXXXXXXXXX/ (XX) XXXXXXXXXX/XXXXXXX

4.6.2

(XX) НАСЕЛЕНО МЯСТО И ПОЩЕНСКИ КОД/ (XX) XXXXXXXXX Y XXXXXX XXXXXX/ (CZ) XXXXX A XXXXXXXX XXXXXXXXX ČÍSLO/ (XX) XX XX XXXXXXXXXX/ (XX) PLZ UND XXX/ (ET) LINN XÕX XXXXX JA XXXXXXXXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΤΑΧΥΔΡΟΜΙΚΟΣ ΚΩΔΙΚΟΣ/ (XX) XXXXX AND XXXXXX CODE/ (XX) XXXXXXXX XX CODE XXXXXX/ (GA) ÁIT XXXX XXX XXXXX/ (XX) XXXXXX I XXXXXXXXX XXXX/ (IT) XXXXXXXÀ X CAP/ (XX) XXXXX UN XXXXX XXXXXXX/ (LT) XXXXX XX XXXXX XXXXX/ (XX) XXXXXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXÀ X XXXXĊX XXXXXXX/ (NL) XXXXXX XX XXXXXXXX/ (PL) XXXXXXXXXŚĆ X XXX XXXXXXXX/ (XX) XXXXXXXXXX X CÓDIGO XXXXXX/ (XX) LOCALITATEA ȘX XXXXX XXȘXXX/ (SK) XXXXXX A XXXXXXX XXXXXXXXXX XXXXX/ (XX) XXXX XX XXXXXX XXXXXXXX/ (FI) XXXXXXXXXXX XX POSTITOIMIPAIKKA/ (SV) XXX XXX XXXXXXXXXX

4.6.3

(XX) ДЪРЖАВА/ (XX) PAÍS/ (XX) XXXX/ (XX) XXXX/ (DE) XXXX/ (XX) RIIK/ (EL) ΧΩΡΑ/ (EN) XXXXXXX/ (XX) XXXX/ (XX) XXX/ (XX) XXXXXX/ (XX) XXXXX/ (LV) XXXXXX/ (LT) ŠALIS/ (XX) XXXXXX/ (MT) XXXXXŻ/ (NL) XXXX/ (XX) PAŃSTWO/ (XX) XXXX/ (RO) ȚXXX/ (XX) XXXX/ (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/ (XX) XXXXX XX DOCUMENTO XXXXXXX XX QUE XX ADJUNTA XXXX XXXXXXX, XX XXXXXXXXXX XXXXXX XX VIDA XX XX XXXXX XX XXXXXXXXXX DEL XXXXXXXXX PÚBLICO/ (XX) XX ZÁKLADĚ XXXXXXX XXXXXXX, K XXX XX XXXXXXXX XXXXX XXXXXXXX, XXXX XXXXXXX XXXXX KE XXX XXXXXX XXXXXXX XXXXXXX XXXXXX/ (XX) I XXXXXXX XXX XXX XXXXXXXXXX DOKUMENT, XXX XXXXX FORMULAR ER XXXXÆXXXX, XXX DEN XÅXÆXXXXXX PERSON X XXXX PÅ XXXXXX XXX XXXXXXXXXXX XX XXX XXXXXXXXXX DOKUMENT/ (XX) GEMÄSS XXX ÖXXXXXXXXXXX XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXÜXX XXX, XXX DIE XXXXXXXXXXX XXXXXX AM XXX DER AUSSTELLUNG XXX ÖXXXXXXXXXXX XXXXXXX XX XXXXX/ (XX) XXXXXXXXX AVALIKULE XXXXXXXXXXX, XXXXXXX SEE VORM XX XXXXXXX, XXX XXXXXXXXX XXXX XXXXXXXXX XXXXXXX XXXXXXXXX XÄXXXXXXXXXX XXXXÄXXXX XXXX/ (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/ (EN) XXXXXXXXX XX XXX XXXXXX XXXXXXXX TO XXXXX THIS XXXX XX XXXXXXXX, XXX XXXXXX XXXXXXXXX WAS XXXXX XX XXX XXXX XX XXXXX XX XXX XXXXXX XXXXXXXX/ (XX) X'XXXÈX XX XXXXXXXX XXXXXX XXXXXX XX PRÉSENT XXXXXXXXXX EST XXXXX, XX XXXXXXXX CONCERNÉE XXXXX XX XXX À LA DATE XX DÉLIVRANCE DE XX DOCUMENT XXXXXX/ (XX) DE XXXX XX XXXXXXXXX PHOIBLÍ XXXX xxXXXX AN XXXXXX SEO XXXXXXXXXX, XXX XX XXXXX XXXX xXXXXXXXX XXX XX DHÁTA EISIÚNA XX DOICIMÉID XXXXXXX/ (XX) PREMA XXXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX XXXXXXX XXXXX XXXX XX XXXX NA XXX XXXXXXXXX JAVNE XXXXXXX/ (XX) XXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX PRESENTE XXXXXX È ALLEGATO, X'XXXXXXXXX IN XXXX XXXXX XXXXXXX INTERESSATA È XXXXX XXXXXXXXX XXXX DATA XX XXXXXXXX XX XXXX XXXXXXXXX/ (XX) SASKAŅĀ XX XXXXXXXX DOKUMENTU, XXXXX XĪ XXXXXXXX XX PIEVIENOTA, ATTIECĪGĀ XXXXXXX XXXXXXXĀ DOKUMENTA XXXXXXXXX XXXXĀ BIJA XXĪXX/ (LT) XXXXX XXXXĄXĮ DOKUMENTĄ, PRIE XXXXX XXXXXXXXX ŠI XXXXX, VIEŠOJO XXXXXXXXX XXXXXXXX XXXXĄ XXXXXXXXXXX XXXXX XXXX GYVAS/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXX SZERINT XX XXXXXXXX XXXXXXX X KÖZOKIRAT XXXXXXXXXXXXX XXŐXXXXXXXXX ÉLETBEN XXXX/ (XX) SKONT XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX, XX-XXXXXXX XXXXĊXXXXXX XXXXXX ĦXXXX FID-DATA XXX-ĦXXĠ TAD-DOKUMENT XXXXXXXX/ (XX) XXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX, WAS DE XXXXXXXXXX XX XXXXX XX DE XXXXX XXX AFGIFTE XXX XXX XXXXXXXX XXXXXXXX/ (XX) X XXXXXXXXX XXXĘXXXXXX, DO KTÓREGO XXŁĄXXXXX JEST XXXXXXXXX XXXXXXXXX, XXXXXX, ŻE XXXXX, KTÓREJ XXXXXXX XXXXXXXX, POZOSTAWAŁA XXXX ŻXXXX W XXXX XXXXXXX XXXX XXXXXXXXX XXXĘXXXXXX/ (PT) XXXXXXX X XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX, X XXXXXX XX XXXXX XXXXXX XXXX À XXXX XX EMISSÃO XX XXXXXXXXX XXXXXXX/ (XX) ÎX CONFORMITATE XX XXXXXXXXXX OFICIAL XX XXXX ESTE XXXXXX XXXXXXXXX XXXXXXXX, XXXXXXXX XXXXXĂ ERA ÎN XXXȚĂ XX DATA XXXXXXXX XXXXXXXXXXXX XXXXXXX/ (XX) XXXĽX XXXXXXXX XXXXXXX, XX XXXXXX XX TENTO XXXXXXXX XXXXXXXXX, XXXX XXXXXXXX XXXXX X XXX XXXXXXX XXXXXXXX XXXXXXX XXXXXX/ (XX) X XXXXXX X XXXXX XXXXXXX, XX JI XX PRILOŽEN XX XXXXXXX, XX BILA XXXXXXX OSEBA XX XXX XXXXXX XXXXX XXXXXXX XXXX/ (XX) XXX XXXXXXX XXXXXXXXXX XXXXXX, JOHON TÄMÄ XXXXXX XXXXXXÄÄX, XXXXXXXXXXXX XXXXXXÖ OLI XXXXXX XXXXXXX XXXXXXXXXX ANTAMISPÄIVÄNÄ/ (XX) XXXXXX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX FORMULÄR ÄX XXXXXXX VAR XXX XXXÖXXX XXXXXXXX X XXXXX XXX XXXXXXXXXX FÖR XXX XXXXXXXXXX XXXXXXXXXXX UTFÄRDANDE

6.

(BG) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX FIRMA/ (CZ) XXXX PRO XXXXXX/ (XX) UNDERSKRIFTSFELT/ (XX) XXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) SIGNATURE BOX/ (XX) XXXXX XXXX XX XXXXXXXXX/ (GA) XXXXX XXX XXXXX/ (XX) POLJE XX XXXXXX/ (IT) XXXXXXXX XXX XX XXXXX/ (XX) XXXXXXXX LAUKS/ (XX) PARAŠO LAUKELIS/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX DE XXXXXXXXXXXX/ (XX) POLE PODPISU/ (XX) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (XX) ALLEKIRJOITUSKENTTÄ/ (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 XXXXXX(X) XXX FUNCIONARIO QUE XXXXXXX XXXX IMPRESO/ (XX) XXXXXXXX A XXXXX (JMÉNA) ÚŘEDNÍKA, XXXXX XXXXX TENTO XXXXXXXX/ (XX) XXXXXXXXX(X) XX XXXXXXX(X) XÅ XXX EMBEDSMAND, DER XXX UDSTEDT XXXXX XXXXXXXX/ (XX) FAMILIENNAME(N) XXX XXXXXXX(X) DES XXXXXXX, XXX XXXXXX XXXXXXXX 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/ (XX) XXXXXXX(X) XXX XXXXXXXX(X) XX XXX XXXXXXXX XXX XXXXXX XXXX FORM/ (XX) XXX(X) XX XXXXXX(X) XX XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XXXXXXX (SLOINNTE) AGUS XXXXXXXX (CÉADAINMNEACHA) AN XXXXXXXX A X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX XXXX XX XXXXX OVAJ XXXXXXX/ (XX) XXXXXXX/X X XXXX/X DEL XXXXXXXXXXX XXX HA XXXXXXXXXX XX PRESENTE XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, XXXĀXXX(-X) XX XĀXXX(-X)/ (LT) XXĄ XXXXĄ XXXXXXXXX PAREIGŪNO XXXXXXĖ (-ĖX) XX XXXXXX (-XX)/ (XX) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXX XXXX(X) XX XXXXXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX) X ISEM(/ISMIJIET) XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (NL) XX(X)X(XX) XX VOORNA(A)M(EN) XXX XX XXXXXXXXX XXX XXX FORMULIER XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) X XXXĘ (XXXXXX) URZĘDNIKA, XXXXX XXXXŁ XXXXXXXXX FORMULARZ/ (XX) XXXXXXX(X) X XXXX(X) PRÓPRIO(S) XX XXXXXXXXXXX XXX EMITIU X XXXXXXXX FORMULÁRIO/ (XX) XXXXXX ȘX XXXXXXXXX FUNCȚIONARULUI XXXX X XXXX PREZENTUL XXXXXXXX/ (SK) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX IME/IMENA XXXXXXXX, XX JE XXXXX XX OBRAZEC/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXXXXX (-XXXXX) XX XXXXXXX (-NIMET)/ (XX) XXXXXXXXX OCH XÖXXXXX PÅ XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX FORMULÄR

6.2

(BG) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX FUNCIONARIO QUE XXXXXXX ESTE XXXXXXX/ (XX) XXXXXX XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (DA) STILLING — XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX XXX XXXXXXX, XXX XXXXXX XXXXXXXX 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 XXXX/ (FR) XXXXX XX XXXXXXXXXXXXX XXX A XXXXXXX XX PRÉSENT XXXXXXXXXX/ (XX) POST AN XXXXXXXX X X’XXXXXX XX XXXXXX SEO/ (XX) XXXXXXXX SLUŽBENIKA XXXX XX XXXXX XXXX OBRAZAC/ (IT) XXXXXXXXX XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, KURA XXXXXXXX ŠO VEIDLAPU, XXXXX/ (LT) ŠIĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (NL) XXXXXXX VAN DE XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX URZĘDNIKA, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (PT) XXXXX XX XXXXXXXXXXX XXX XXXXXX O XXXXXXXX XXXXXXXXXX/ (XX) POZIȚIA XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) FUNKCIA XXXXXXXX, XXXXX VYDAL TENTO XXXXXXXX/ (SL) XXXXXXX XXXXXXXX, XX XX XXXXX TA OBRAZEC/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX VIRKAMIEHEN XXXXX/ (XX) BEFATTNING XÖX XXX XXÄXXXXXXX XXX XXX XXXÄXXXX DETTA XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (TT/MM/JJJJ)/ (ET) XÄXXXXXXXXXX KUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) DATE (XX/XX/XXXX) OF XXXXX/ (XX) XXXX (JJ/MM/AAAA) XX XXXXXXXXXX/ (GA) XXXX (LL/MM/BBBB) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (GG/MM/AAAA)/ (XX) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (DD/MM/MMMM)/ (HU) X XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (PL) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) VYDANIA/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) FÖR UTFÄRDANDE

6.4

(BG) ПОДПИС/ (XX) FIRMA/ (XX) PODPIS/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXX/ (EL) ΥΠΟΓΡΑΦΗ/ (XX) SIGNATURE/ (XX) XXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) HANDTEKENING/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) PODPIS/ (XX) XXXXXX/ (XX) ALLEKIRJOITUS/ (XX) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X TIMBRE/ (XX) XXXXX XXXX XXXXXXX/ (XX) XXXX XXXXX STEMPEL/ (DE) XXXXXX ODER XXXXXXX/ (XX) PITSER XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) SEAL XX XXXXX/ (FR) SCEAU XX XXXXXX/ (XX) XXXXX XX STAMPA/ (XX) ŽIG ILI XXXXX/ (XX) BOLLO X TIMBRO/ (LV) XĪXXXX XXX XXXXXXXX/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (HU) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (MT) XXĠXXX JEW XXXXXX/ (XX) XXXXX OF XXXXXXX/ (XX) XXXXXĘĆ XXX STEMPEL/ (XX) XXXX OU XXXXXXX/ (XX) XXXXXXXX XXX ȘXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXX PEČIATKY/ (XX) XXXXX ALI XXX/ (XX) XXXXXXX XXX XXXXX/ (SV) XXXXXX XXXXX XXÄXXXX

XXXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX XXX XXXXXXX

Xxxxxx 7 xxxxxxxx Evropského xxxxxxxxxx x Xxxx (EU) 2016/1191 xx dne 6. xxxxxxxx 2016 x podpoře xxxxxxx xxxxxx občanů xxxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx x Xxxxxxxx xxxx x o xxxxx xxxxxxxx (XX) č. 1024/2012 (1)

Belgie (XX) Xxxxxxxxx (BG)

Česká republika (XX)

Xxxxxx (XX) Xxxxxxx (XX)

Xxxxxxxx (XX) Irsko (XX)

Xxxxx (EL) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (XX) Litva (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (MT)

Nizozemsko (NL) Xxxxxxxx (AT)

Polsko (PL) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Xxxxxx (XX)

Xxxxxxx (XX) Xxxxxxx království (XX)

XXXXXXXX XXXXXXXXXX

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

Xxxxx formulář xxxxxx obsah veřejné xxxxxxx, k xxx xx xxxxxxxx. Xxxxx, xxxxx je xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx xxxx x xxxxxxxxx, xxx xx xx xxxxxxxx xxx xxxxx xxxxxxxxxx xxxxxxx listiny, xxxxxxxxx xxxxxxx či xxxxxx xxxxxxxxx, které xxxx xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX PRO XXXXXXXXXX XXXXX

Xxxxxx pouze xxxxxxxxx, xxxxx jsou uvedeny xx xxxxxxx xxxxxxx, x xxx je xxxxxxxx tento xxxxxxxx. (2)

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

1. ORGÁN VYDÁVAJÍCÍ XXXXX FORMULÁŘ

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

(1) Xx. věst. X 200, 26.7.2016, x. 1.

(2) Xxx xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

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

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

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

3.1 Xxxxxxx xxxxxx xxxxxxx xxxx úředníkem x xxxxxx xx soudy xxxxxx xxxxxxxxx státu

3.1.1 Xxxxxxxxxx soudu

3.1.2 Xxxxxxx xxxxxx státním xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx xxxxxx xxxxxxx xxxxxxxxx

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

3.1.5 Xxxx (upřesněte)

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x xxxxxxx

3.2.3 Xxxxx z xxxxxxxx xxxxxxxx

3.2.4 Xxxx xxxxxxxxxx xxxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx listina

3.4 Xxxxxx xxxxxxxxx, xxxxxx xxxx xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx osobou

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

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx číslo veřejné xxxxxxx

4. INFORMACE X XXXXXXXX

4.1 Xxxxxxxx

4.2 Xxxxx (xxxxx)

4.3 Xxxxx (xx/xx/xxxx) xxxxx

4.4 Xxxxx (1) x xxxx (2) xxxxx

4.5 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.6 Xxxxxxx: .……………….............................................................................................................

4.6.1 Xxxx

4.6.2 Xxx

4.6.3 Xxxxxxxx

5. XXXX XXX XXXXXX

5.1 Xxxxxxxx x jméno (xxxxx) xxxxxxxx, xxxxx xxxxx tento formulář

5.2 Xxxxxx úředníka, který xxxxx tento formulář

5.3 Xxxxx (xx/xx/xxxx) xxxxxx

5.4 Xxxxxx

5.5 Xxxxx xxxx xxxxxxx

(1) Xxxxx „místo xxxxx“ xx rozumí xxxxx obce xxxx xxxxx, xxxxxx x xxxxx, xxx xxxx xxxxx xxxxxxx.

(2) Název xxxx a – xxxxx existuje – xxx ISO xxxx xxxx nebo xxxxxxx „Xxxx (upřesněte)“ xx xxxxx vybrat x xxxxxxxxxxx xxxxxxx xx xxxxxxxx xxxxxxxxxxxx standardním xxxxxxxxx, který xx x xxxxxxxxx xx xxxxxxx xxxxxxxx x-xxxxxxx.

XXXXXXXXXXX XXXXXX NÁZVŮ XXXXXXXXXXXX XXXXXXX

(XXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX QUE EXPIDE XXXX IMPRESO/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) DENNE XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) BEHÖRDE, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX XÄXXX XXXXXX ASUTUS/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX XXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXX FORMULAIRE/ (XX) XX xXXXXXX X XXXXXXXX AN XXXXXX XXX/ (XX) XXXXXX KOJE XXXXXX XXXX XXXXXXX/ (XX) XXXXXXXÀ CHE XXXXXXXX XX PRESENTE XXXXXX/ (XX) XXXXXXXXX IZDEVĒJIESTĀDE/ (XX) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (XX) A FORMANYOMTATVÁNYT XXXXXXXX HATÓSÁG/ (XX) XXXXXXXÀ XXXXXXXXX XX' XXX IL-FORMOLA/ (XX) XXXXXXXXXX XXX AFGIFTE XXX DIT XXXXXXXXX/ (XX) ORGAN XXXXXĄXX XXXXXXXXX FORMULARZ/ (XX) XXXXXXXXXX QUE EMITE X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX FORMULAR/ (XX) XXXXX VYDÁVAJÚCI XXXXX FORMULÁR/ (SL) XXXXX, XX XXXX XX OBRAZEC/ (XX) XÄXÄX LOMAKKEEN ANTAVA XXXXXXXXXXXX/ (XX) MYNDIGHET XXX UTFÄRDAR XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (ES) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (DE) XXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) DÉNOMINATION/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) NOSAUKUMS/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (MT) XXXXX/ (XX) XXXXXXXX/ (PL) XXXXX/ (XX) DESIGNAÇÃO/ (XX) XXXXXXXX/ (SK) XXXXX/ (XX) XXX/ (XX) NIMI/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XX DOCUMENTO PÚBLICO XX QUE SE XXXXXXX ESTE XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, K XXX JE XXXXXXXX XXXXX FORMULÁŘ/ (XX) XXX MYNDIGHED, XXX XXX UDSTEDT XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX FORMULAR ER XXXXÆXXXX/ (DE) BEHÖRDE, XXX DIE ÖFFENTLICHE XXXXXXX, DER XXXXXX XXXXXXXX BEIGEFÜGT IST, XXXXXXXXX/ (XX) XXXXXX, XXX XXXXX XÄXXX XXXXXXX XXXXXXXXX, XXXXXXX XXX XXXX ON XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXX DOCUMENT TO XXXXX THIS FORM XX XXXXXXXX/ (XX) XXXXXXXX DE XXXXXXXXXX XX XXXXXXXX PUBLIC XXXXXX XXX XXXXX XX XXXXXXX FORMULAIRE/ (XX) AN xXXXXXX X XXXXXXXX AN XXXXXXXXX POIBLÍ XXXX XXXXXX AN XXXXXX XXX XXXXXXXXXX/ (HR) XXXXXX XXXX XXXXXX XXXXX XXXXXXX KOJOJ XX XXXX XXXXXXX XXXXXXXX/ (IT) AUTORITÀ XXX RILASCIA XX XXXXXXXXX PUBBLICO XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (LV) XXXXXXXĀ XXXXXXXXX, KURAM XĪ XXXXXXXX XX XXXXXXXXXX, IZDEVĒJIESTĀDE/ (LT) XXXXĄXĮ DOKUMENTĄ, XXXX XXXXX XXXXXXXXX ŠI XXXXX, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX LI XXXXĦX XXXX XXXXXŻX DIN XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX XXXXXXXX DOCUMENT XXXXXXX DIT XXXXXXXXX XX XXXXXXX/ (XX) XXXXX WYDAJĄCY XXXXXXXX XXXĘXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXXX XXXXXXX A XXX O PRESENTE XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXXX XXXXXXX XX CARE XXXX XXXXXX XXXXXXXXX FORMULAR/ (XX) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, KU XXXXXX JE XXXXX XXXXXXXX XXXXXXXXX/ (SL) XXXXX, XX XXXX XXXXX LISTINO, XX XX XX XXXXXXXX XX XXXXXXX/ (FI) XXXXXXXXXXXX, JOKA ON XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX TÄMÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX XXX UTFÄRDAR XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX BIFOGAT

3.

(BG) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXXXXXXXX PÚBLICO XX QUE XX XXXXXXX XXXX IMPRESO/ (XX) INFORMACE XXXXXXXX XX XXXXXXX LISTINY, X NÍŽ XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX VEDRØRENDE XXX OFFENTLIGE XXXXXXXX, XXX XXXXX FORMULAR XX VEDHÆFTET/ (DE) XXXXXXX ZUR ÖFFENTLICHEN XXXXXXX, XXX DIESES XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX XXXXXXX XXXXXXXXX XXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (EL) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX XX THE XXXXXX XXXXXXXX XX XXXXX XXXX FORM IS XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX XX DOCUMENT XXXXXX AUQUEL XXX XXXXX LE XXXXXXX XXXXXXXXXX/ (GA) XXXXXXXX X BHAINEANN XXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) INFORMACIJE XXXX XX XXXXXX XX XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXX AL XXXXXXXXX XXXXXXXX XXX IL XXXXXXXX XXXXXX È XXXXXXXX/ (LV) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX ŠĪ VEIDLAPA XX XXXXXXXXXX/ (LT) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (MT) XXXXXXXXXXXXX DWAR ID-DOKUMENT XXXXXXXX XX MIEGĦU XXXX XXXXXŻX DIN XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX WAARAAN DIT XXXXXXXXX IS XXXXXXX/ (XX) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX URZĘDOWEGO, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX XXXXXXXXX XXXXXXX A XXX X XXXXXXXX XXXXXXXXXX ESTÁ XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX OFICIAL XX CARE XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXX LISTINE, KU XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX X ZVEZI X JAVNO XXXXXXX, XX XX JE XXXXXXXX XX XXXXXXX/ (XX) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXXXX XX XXX XXXXXXXXXX XXXXXXXX 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) DOCUMENTO XXXXXXXX XXX XXX AUTORIDAD X XX FUNCIONARIO XXXXXXXXX X LOS XXXXXXX JURISDICCIONALES XX XX XXXXXX XXXXXXX/ (XX) LISTINA XXXXXX XXXXXXX NEBO XXXXXXXXX X XXXXXX NA XXXXX DANÉHO XXXXXXXXX XXXXX/ (XX) XXXXXXXX, XXX ER XXXXXXX XX XX MYNDIGHED XXXXX XX XXXXXXXXXX, XXX ER XXXXXXXXXX XXXXXXXX X XX XXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXÖXXX XXXX XXXXX XXXXXXXXXX XXX XXXXX DER XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, MILLE XX XÄXXX XXXXXX XXXXXXXXXXXX XXXXXXXXX XXXXXX AMETIASUTUS XÕX XXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXX XX XX XXXXXXXX XXXXXXXXX XXXX XXX XXXXXX XX XXXXXXXXX XX A MEMBER XXXXX/ (XX) DOCUMENT XXXXXXX D'UNE XXXXXXXX XX X'XX XXXXXXXXXXXXX XXXXXXXX D'UNE XXXXXXXXXXX X'XX XXXX XXXXXX/ (XX) DOICIMÉAD X XXXXXXX X ÚDARÁS XX Ó OIFIGEACH X BHFUIL XXXXX XXXX NÓ XXXX XX XXXXXXXXXX NÓ XX BINSÍ XX XXXXX BALLSTÁIT/ (HR) XXXXXXX KOJU XX XXXXXX XXXXXX ILI XXXXXXXXX SUDA XXXXXX XXXXXXX/ (XX) DOCUMENTO XXXXXXX XX XX'XXXXXXXÀ X XX XX XXXXXXXXXXX XXXXXXXXXXXX XX XXX XXXXX XXXXXXXXXXXXX XX XXX XXXXX XXXXXX/ (XX) XXXXXXXXX, XXXX IZSNIEGUSI XX XXXĪXXXXXXX XXXXĀX XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (XX) DOKUMENTAS, IŠDUOTAS XXXXXXXX XXXXXXXXXXXX AR XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (HU) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX XXXX XXXXXXX VAGY XXXXXXXXXXŐ ÁLTAL KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ XXX XXXXĊXXX XX XXXXXXXX RABTA MAL-QRATI XXX XX-XXXXXXXXX XX' XXXX MEMBRU/ (NL) XXXXXXXX XXXXXXXXX DOOR XXX AUTORITEIT XX XXXXXXXXX BEHORENDE XXX XXX XXXXXXXXXXXX XXXXXXXXX XXX EEN LIDSTAAT/ (XX) DOKUMENT POCHODZĄCY XX ORGANU XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (PT) XXXXXXXXX PROVENIENTE DE XXX XXXXXXXXXX OU XX XX XXXXXXXXXXX XXXXXXXXXX XX XXXXXXXX XXXXXXXÇÃX XX UM XXXXXX-XXXXXX/ (XX) DOCUMENT XXXX XX X XXXXXXXXXX XXX XX XX XXXXȚXXXXX DE XX LÂNGĂ INSTANȚELE XXXX XXXX MEMBRU/ (XX) LISTINA VYDANÁ XXXXXXX XXXXX ÚRADNÍKOM X VÄZBOU XX XXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX, IZDANA X XXXXXX XXXXXX XXX XXXXXXXX SODNE XXXXXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX, XXXXX XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX KUULUVA XXXXXXXXXXXX XXX XXXXXXXXX/ (SV) XXXXXXXX XXX XÄXXÖX XXÅX EN XXXXXXXXX XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X XX MEDLEMSSTAT

3.1.1

(BG) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (XX) ROZHODNUTÍ XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) GERICHTSENTSCHEIDUNG/ (ET) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXX XX gCÚIRT/ (XX) XXXXXX ODLUKA/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (XX) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX HATÁROZAT/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) RECHTERLIJKE BESLISSING/ (XX) ORZECZENIE XĄXXXX/ (XX) DECISÃO XXXXXXXX/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) XXXXX ODLOČBA/ (XX) TUOMIOISTUIMEN PÄÄTÖS/ (XX) DOMSTOLSBESLUT

3.1.2

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX EL MINISTERIO XXXXXX/ (XX) XXXXXXX XXXXXX STÁTNÍM XXXXXXXXX/ (XX) DOKUMENT XXXXXXX XX XX XXXXXXXXXXXXXXXX/ (XX) URKUNDE EINER XXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT, XXXXX ON XÄXXX XXXXXX RIIKLIK SÜÜDISTAJA/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX X PUBLIC XXXXXXXXXX/ (XX) DOCUMENT ÉMANANT XX MINISTÈRE XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X IONCHÚISITHEOIR XXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX EMANATO XXX XXXXXXXX MINISTERO/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XXXXXXXXX/ (LT) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (HU) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXĠ XXXX PROSEKUTUR XXXXXXXX/ (NL) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX DO XXXXXXXXXX XXXXXXX/ (RO) XXXXXXXX XXXX DE XX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXX, KI XX 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 UN XXXXXXXXXX JUDICIAL/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (DA) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXÆX/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (ET) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (EN) XXXXXXXX XXXXXXXXX XXXX X XXXXX XX X XXXXX/ (FR) XXXXXXXX XXXXXXX X'XX XXXXXXXX/ (GA) DOICIMÉAD X XXXXXXX Ó XXXXXXXXXX XX XXXXX XXXXXX/ (XX) ISPRAVA XXXX JE IZDAO XXXXXXXXXX SUDSKE PISARNICE/ (XX) XXXXXXXXX XXXXXXX XX UN XXXXXXXXXXX/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XXXXXX XXXXXXĀXX/ (XX) TEISMO XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ ÁLTAL XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ MINN XXĠXXXXXXXX TA' QORTI/ (XX) DOCUMENT XXXXXXXXX XXXX XXX GRIFFIER/ (XX) DOKUMENT XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX UM XXXXXXX XX XXXXXÇX/ (XX) XXXXXXXX EMIS DE XX GREFIER XX XXXXXXȚXX/ (XX) XXXXXXX XXXXXX SÚDNYM XXXXXXXXX/ (XX) XXXXXXX, XX XX XXXX SODNI XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX EN XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXXX EXPEDIDO XXX XX XXXXXX XXXXXXXX («HUISSIER XX XXXXXXX»)/ (CZ) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX XX XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (XX) XXXXXXX EINES XXXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT, XXXXX ON VÄLJA XXXXXX XXXXXXÄXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX JUSTICE»)/ (EN) XXXXXXXX XXXXXXXXX XXXX X XXXXXXXX XXXXXXX ('XXXXXXXX DE JUSTICE')/ (XX) XXXXXXXX XXXXXXX X'XX HUISSIER XX XXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXX JE XXXXX XXXXXX XXXXXXXXX (XXXXXXXX XX JUSTICE)/ (XX) XXXXXXXXX XXXXXXX XX XX UFFICIALE XXXXXXXXXXX ("HUISSIER DE XXXXXXX")/ (XX) DOKUMENTS, XXXX XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX (XXXXXXXX XX JUSTICE) XXXXXXXX DOKUMENTAS/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX JUSTICE”) XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠUDIZZJARJU ('XXXXXXXX XX JUSTICE')/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX GERECHTSDEURWAARDER/ (XX) XXXXXXXX POCHODZĄCY OD XXXĘXXXXX XĄXXXXXX (HUISSIER XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXÃX XX XXXXXXX («HUISSIER XX XXXXXXX»)/ (XX) XXXXXXXX XXXX XX UN XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (SK) XXXXXXX XXXXXX SÚDNYM XXXXXXXXXXĽXX („HUISSIER XX XXXXXXX“)/ (XX) XXXXXXX, XX JO XXXX XXXXX XXXXXXXXXX („XXXXXXXX XX JUSTICE“)/ (FI) XXXXXXXXXXXX (”HUISSIER XX XXXXXXX”) ANTAMA ASIAKIRJA/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX EN XXÄXXXXXXXXX (XXXXXXXX DE XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (ESPECIFÍQUESE)/ (CZ) XXXX (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) XXX (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (TO XX SPECIFIED)/ (XX) XXXXX (À XXXXXXXX)/ (XX) XXXX (XX XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (IT) XXXXX (XXXXXXXXX)/ (XX) CITS (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (XX) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) XĦXXXX (IPPREĊIŻA)/ (NL) XXXXXXX (SPECIFICEREN)/ (XX) XXXX (PROSZĘ XXXXŚXXĆ)/ (XX) XXXXXX (X XXXXXXXXXXX)/ (XX) ALTUL (X XX PRECIZA)/ (XX) XXX (XXXXXXXX)/ (XX) XXXXX (NAVESTI)/ (XX) XXX ASIAKIRJA (XÄXXXXXXXXÄXÄ)/ (SV) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX DOKUMENT/ (XX) XXXXXXX EINER XXXXXXXXXXXXXXÖXXX/ (ET) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX DOCUMENT/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXXXX RIARACHÁIN/ (XX) UPRAVNA XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX DOKUMENTS/ (XX) XXXXXXXXXXXXXXX DOKUMENTAS/ (XX) KÖZIGAZGATÁSI XXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) DOKUMENT XXXXXXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) SPRÁVNA XXXXXXX/ (XX) UPRAVNA LISTINA/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (DE) BESCHEINIGUNG/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (EN) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (GA) XXXXXXXX/ (XX) POTVRDA/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) ZAŚWIADCZENIE/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (RO) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) TODISTUS/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX REGISTRO XXXXX/ (XX) VÝPIS X MATRIKY/ (XX) XXXXXX FRA XXXXXXXXXXXXXXXXXXXX/ (XX) AUSZUG XXX XXX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX XXXXX XXXXXX XXXXXXXX/ (XX) EXTRAIT XX XXXXXXXX DE X'XXXX XXXXX/ (GA) XXXXXXX XX AN xXXXX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX IZ XXXXXXXX XXXXXXX STANJA/ (XX) XXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) IZRAKSTS XX XXXXXXXĀXXXĻX AKTU XXĢXXXXX/ (LT) IŠRAŠAS XX XXXXXXXĖX XŪXXĖX XXXŲ XXXXXXXX/ (HU) XXXXXÖXXXX XXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX TAL-ISTAT ĊXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) ODPIS XXXXXXXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXX XX XXXX XX XXXXXXX XXXXX/ (XX) XXXXXX XXX XXXXXXXXX XX XXXXX CIVILĂ/ (XX) XXXXX X XXXXXXXX OSOBNÉHO STAVU/ (XX) XXXXXXX XX XXXXXXXX O XXXXXXX XXXXXX/ (FI) VÄESTÖREKISTERIOTE (XXXXXXXXÄÄXX)/ (SV) XXXXXX XX FOLKBOKFÖRINGEN

3.2.3

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX XXX XXXXX/ (CZ) XXXXX X XXXXXXXX XXXXXXXX/ (DA) UDDRAG XXX XXXXXXXXXXXXXX/ (XX) XXXXXX AUS XXX XXXXXXXXXXXXX/ (XX) RAHVASTIKUREGISTRI XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX XXX XXXXXXXXXX XXXXXXXX/ (FR) XXXXXXX XX REGISTRE DE XX POPULATION/ (XX) XXXXXXX XX AN xXXXX DAONRA/ (XX) XXXXXXX IZ XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XX IEDZĪVOTĀJU XXĢXXXXX/ (XX) IŠRAŠAS XX XXXXXXXXŲ XXXXXXXX/ (XX) XXXXXXX X XXXXXXXXXXXX- XX LAKCÍMNYILVÁNTARTÁSBÓL/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) UITTREKSEL XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX X XXXXXXXX XXXXXŚXX/ (XX) XXXXXXX XX XXXXXXX DA XXXXXXÇÃX/ (XX) XXXXXX XXX REGISTRUL DE XXXXXXȚĂ X XXXXXXȚXXX/ (XX) XXXXX X XXXXXXXX OBYVATEĽOV/ (XX) XXXXXXX IZ XXXXXXXX XXXXXXXXXXXX/ (XX) VÄESTÖREKISTERIOTE/ (XX) XXXXXX XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX XX XXXXX DEL XXXXXXXX XXXXX/ (XX) OPIS XXXXXXXXXX ZÁZNAMŮ/ (DA) XXXXXX KOPI XX XXXXXXXXXXXXXXXXXXX/ (DE) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) PEREKONNASEISUAKTI KOOPIA/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) VERBATIM XXXX XX CIVIL XXXXXX XXXXXXX/ (XX) XXXXX XXXXXXXXX D'ACTES XX X'XXXX CIVIL/ (GA) XXXX XXXXX AR XXXXXX XX THAIFID XX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XX XXXXXXXXXX X XXXXXXX STANJU/ (XX) XXXXX XXXXXXXXX XX XXXX XX XXXXX XXXXXX/ (LV) CIVILSTĀVOKĻA XXXX XXĢXXXXX IERAKSTU XXXXXXXXXX XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX XXX SZERINTI XXXXXXXX/ (XX) XXXXX XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXX XXX XXXXX XXX XX XXXXXXXXXXX STAND/ (XX) XXXXX ZUPEŁNY XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXÃX XX XXXXX INTEGRAL XX XX XXXXXXXXX DE XXXX DE REGISTO XXXXX/ (XX) XXXXX XXXXXĂ X UNUI XXX XX XXXXX XXXXXĂ/ (XX) XXXXXXXX XXXXX ZO XXXXXXX X OSOBNOM XXXXX/ (XX) XXXXXXXXX PREPIS XXXXXX X XXXXXXX XXXXXX/ (XX) VÄESTÖREKISTERITIETOJEN XXXXXXXXXX JÄLJENNÖS/ (SV) XXXXXXXXX XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) ACTA NOTARIAL/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) XXXXXXXXXX URKUNDE/ (XX) NOTARIAALDOKUMENT/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX ACT/ (XX) XXXX XXXXXXX/ (XX) XXXXXX NÓTAIREACHTA/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (IT) XXXX NOTARILE/ (LV) XXXXXXĀXX AKTS/ (XX) XXXXXXXXX XXXXX/ (XX) XÖXXXXXXŐX OKIRAT/ (MT) XXX XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (XX) XXX NOTARIALNY/ (XX) XXX XXXXXXXX/ (XX) XXX NOTARIAL/ (XX) XXXXXXXX XXXXXXX/ (SL) XXXXXXXX LISTINA/ (XX) XXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX HANDLING

3.4

(BG) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (ES) XXXXXXXXXXXXX OFICIAL XXXXXX XXXXX XX DOCUMENTO XXXXXXX/ (XX) XXXXXX XXXXXXXXX, XXXXXX BYLA XXXXXXXX XXXXXXX PODEPSANÁ XXXXXXXXX OSOBOU/ (XX) XXXXXXXX XÅXXXXXXX XÅ XX XXXXXXXX XXXXXXXXXXX XX XX XXXXXX X XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (DE) XXXXXXXX XXXXXXXXXXXXX AUF XXXXX XXXXXXXXXXXXX/ (XX) XXXXX XXXXX ERAISIKUNA XXXXXXXXXXXXXX DOKUMENDILE XXXXXXXXXX XXXXXXX TÕEND/ (EL) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX XXXXXX XX X XXXXXXXX XXXXXX XX X XXXXXX IN XXX XX XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX XX XXXX XXXX XXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX X XXXXXXXXX XX XXXXXXXXXX ARNA SHÍNIÚ XX XXXXX XXX XXXXX NÓ XXX XXXX PHRÍOBHÁIDEACH/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX XX ISPRAVU KOJU XX XXXXX POTPISALA X PRIVATNOM SVOJSTVU/ (XX) DICHIARAZIONE UFFICIALE XXXXXXX SU XXX XXXXXXXXX PRIVATA/ (XX) XXXXXĀXX XXXXXXXXĀXXXX XX XXXXXXXXX, XX XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (XX) PRIVAČIŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX PATVIRTINIMAI/ (XX) XXXXXXXXXXXXX ELHELYEZETT XXXXXXXXX XXXXXXXXXXX/ (XX) ĊERTIFIKAT XXXXĊXXXX XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ PRIVATA XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXX XXXXXXXXXXX DOOR XXX PERSOON XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXXX PRZEZ OSOBĘ XXXXŁXXĄXĄ X XXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX XXX XX XXXXXXXX XXXXXXX/ (XX) CERTIFICAT XXXXXXX APLICAT PE XX DOCUMENT SUB XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX OSVEDČENIE XXXXXXX XX LISTINE XXXXXXXXXX XXXXXX KONAJÚCOU XXX XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXX NA XXXXXXX XXXXXXX/ (FI) XXXXXXXXXX XXXXXXXX ASIAKIRJASSA, XXXXX XXXXXXÖ XX XXXXXXXXXXXXXXXX YKSITYISHENKILÖNÄ/ (XX) XXXXXXXXXX XXXXX ANBRINGAT 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 XXXXXXXXXXX O XXXXXXXX XX UN XXXXXX XXXXXXX CON XXXXXXXX XXXXXXX/ (CZ) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX ZÁSTUPCEM XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX V XXXXX VÝKONU JEHO XXXXXXXXXX XXXXXXXXXX/ (DA) XXXXXXXX XXXXXXXXX UDFÆRDIGET XX EN XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (XX) XXX XXXXX XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX FUNKTION XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX DOKUMENT/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΈΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX DRAWN XX XX A XXXXXXXXXX XX CONSULAR AGENT XX A XXXXXX XXXXX XX HIS XX XXX XXXXXXXX XXXXXXXX/ (FR) XXXXXXXX XXXXXX XX SA XXXXXXX XXXXXXXXXX PAR XX XXXXX XXXXXXXXXXXX XX XXXXXXXXXX X'XX XXXX MEMBRE/ (XX) XXXXXXXXX XXXX XXXXXXXXXX XXXX XX GNÍOMHAIRE XXXXXXXXXXXXXXXX XX XXXXXXXXX XX XXXXX XXXXXXXXX XXX XXXXX XX XXX CÁIL XXXXXXXXX/ (XX) XXXXXXX XXXX XX X XXXXXXXXX XXXXXXXX XXXXXXXX DIPLOMATSKI XXX XXXXXXXXXX PREDSTAVNIK XXXXXX ČLANICE/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX DIPLOMATICI O XXXXXXXXX XX XXX XXXXX MEMBRO NELL'ESERCIZIO XXXXX LORO XXXXXXXX/ (XX) XXXXXXXXX, KURU, XXXXXX XXXXX PIENĀKUMUS, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX KONSULĀRAIS PĀRSTĀVIS/ (XX) DOKUMENTAS, PARENGTAS XXXXXXXĖX XXXĖX XXXXXXXXX XX XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX KIÁLLÍTOTT XXXXXX/ (XX) DOKUMENT XXĦXXXX MINN AĠENT XXXXXXXXXXX XXX XXXXXXXXX XX' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX XXXX XX DIPLOMATIEKE XX XXXXXXXXXX XXXXXXXXX XXX EEN LIDSTAAT XX ZIJN XXXXXXËXX XXXXXXXXXXXX/ (PL) XXXXXXXX XXXXXĄXXXXX XXXXX PRZEDSTAWICIELA XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX XXXĘXXXXX/ (PT) XXXXXXXXX XXXXXXX POR UM XXXXXX DIPLOMÁTICO XX XXXXXXXX XX UM XXXXXX-XXXXXX NO XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX XX CĂTRE XX XXXXX XXXXXXXXXX XXX CONSULAR AL XXXX XXXX MEMBRU, ÎX XXXXXXXX XXXXXXXĂ/ (XX) LISTINA XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX V RÁMCI XXXXXX XXXX XXXXXXX/ (XX) XXXXXXX, XX XX XXX XXXXXX XXXXX XXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (FI) XXXXXXXXX, XXXXX JÄSENVALTION XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (SV) HANDLING XXXXÄXXXX X XXÄXXXXX XX EN XXXXXXXXXXX XXXXX KONSULÄR TJÄNSTEMAN X EN XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) FECHA (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) VÄLJAANDMISE XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) EISIÚNA/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (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) DATUM (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (PT) DATA XX EMISSÃO (XX/XX/XXXX)/ (XX) XXXX (ZZ/LL/AAAA) XXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXX/ (SL) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) NÚMERO XX REFERENCIA DEL XXXXXXXXX PÚBLICO/ (XX) XXXXXXXXXX ČÍSLO XXXXXXX XXXXXXX/ (XX) XXX XXXXXXXXXX DOKUMENTS REFERENCENUMMER/ (XX) KENNNUMMER DER ÖXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXX DOKUMENDI VIITENUMBER/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) REFERENCE NUMBER XX THE PUBLIC XXXXXXXX/ (FR) NUMÉRO XX XXXXXXXXX DU XXXXXXXX XXXXXX/ (GA) XXXXXX XXXXXXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (IT) XXXXXX XX RIFERIMENTO XXX XXXXXXXXX PUBBLICO/ (XX) XXXXXXXĀ DOKUMENTA XXXXXXXX XXXXXX/ (XX) VIEŠOJO XXXXXXXXX XXXXXXX/ (XX) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXX XX' XXXXXXXXX TAD-DOKUMENT XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX HET XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX URZĘDOWEGO/ (XX) NÚMERO DE XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) NUMĂRUL XX XXXXXXXȚĂ XX XXXXXXXXXXXX OFICIAL/ (SK) XXXXXXXXXX ČÍSLO VEREJNEJ XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXX LISTINE/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (SV) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА ПОЧИНАЛОТО ЛИЦЕ/ (XX) INFORMACIÓN XXXXX LA PERSONA XXXXXXXXX/ (XX) INFORMACE X ZEMŘELÉM/ (XX) XXXXXXXXXXX XX AFDØDE/ (XX) XXXXXXX XXX XXXXXX, XXXXX TOD XXXXXXXXX XXXX/ (XX) XXXXXX XXXXXX KÄSITLEV XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΘΑΝΟΝΤΟΣ/ (EN) XXXXXXXXXXX ON XXX XXXXXXXX PERSON/ (XX) XXXXXXXXXXXX XXX XX XXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXX LEIS XX DUINE ÉAGTHA/ (XX) XXXXXXXXXXX O XXXXXXXXXX OSOBI/ (XX) XXXXXXXXXXXX XXXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXX PERSONU/ (XX) XXXXXXXXXXX XXXX XXXXXĮ XXXXXĮ/ (XX) XX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX IL-PERSUNA XXĊXXXXX/ (XX) INFORMATIE OVER XX XXXXXXXXXX/ (XX) XXXX DOTYCZĄCE XXXXX XXXXŁXX/ (PT) XXXXXXXÇÕXX XXXXX X XXXXXX XXXXXXXX/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXX XXXXXXXĂ/ (XX) INFORMÁCIE O XXXXXXXX OSOBE/ (XX) XXXXXXXXXXX X UMRLEM/ (XX) KUOLLEEN HENKILÖN XXXXXX/ (XX) XXXXXXXXXXX XX DEN 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) XXXXXXX(X)/ (FR) XXX(X)/ (XX) XXXXXXX (XXXXXXXX)/ (XX) XXXXXXX(XX)/ (XX) XXXXXXX(X)/ (XX) XXXĀXXX(-X)/ (XX) XXXXXXĖ (-ĖX)/ (HU) XXXXXXX XXXX(X)/ (MT) KUNJOM(/KUNJOMIJIET)/ (XX) ACHTERNA(A)M(EN)/ (XX) XXXXXXXX(-X)/ (PT) XXXXXXX(X)/ (XX) XXXX/ (XX) XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX/ (XX) SUKUNIMI (-XXXXX)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) NOMBRE(S)/ (XX) JMÉNO (XXXXX)/ (XX) XXXXXXX(X)/ (DE) XXXXXXX(X)/ (XX) EESNIMI (-XXXXX)/ (EL) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) IME(NA)/ (XX) NOME(I)/ (XX) XĀXXX(-X)/ (XX) VARDAS (-XX)/ (XX) XXXXXXX(X)/ (XX) ISEM(/ISMIJIET)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (XXXXXX)/ (XX) XXXX(X) XXXXXXX(X)/ (XX) PRENUME/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (FI) XXXXXXX (-XXXXX)/ (SV) FÖRNAMN

4.3

(BG) ДАТА (ДД/ММ/ГГГГ) НА СМЪРТТА/ (ES) XXXXX (XX/XX/XXXX) XX FALLECIMIENTO/ (XX) DATUM (DD/MM/RRRR) XXXXX/ (XX) DØDSDATO (XX/XX/ÅÅÅÅ)/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXX/ (XX) XXXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΘΑΝΑΤΟΥ/ (EN) XXXX (XX/XX/XXXX) OF DEATH/ (XX) XXXX (XX/XX/XXXX) XX XXXÈX/ (GA) XXXX (XX/XX/XXXX) AN XXXXX/ (HR) XXXXX (XX/XX/XXXX) SMRTI/ (XX) XXXX XX XXXXXXX (XX/XX/XXXX)/ (XX) MIRŠANAS XXXXXX (DD/MM/GGGG)/ (LT) XXXXXXX XXXX (DD/MM/MMMM)/ (XX) XXXXXXXXXXXXX XXXXX (XXXX/XX/XX)/ (MT) DATA (XX/XX/XXXX) TAL-MEWT/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXXXXX/ (PL) XXXX (XX/XX/XXXX) ZGONU/ (XX) XXXX XX XXXXX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) DECESULUI/ (SK) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXX/ (XX) XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XÖXXXXXXXX

4.4

(XX) МЯСТО И ДЪРЖАВА НА СМЪРТТА/ (XX) XXXXX X XXXX XX XXXXXXXXXXXXX/ (XX) XXXXX X ZEMĚ XXXXX/ (XX) XØXXXXXX XX -XXXX/ (XX) XXX XXX XXXX XXX XXXXX/ (XX) XXXXXXXXX JA -RIIK/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΘΑΝΑΤΟΥ/ (XX) XXXXX AND COUNTRY XX XXXXX/ (FR) XXXX XX XXXX XX XXXÈX/ (XX) XXX XXXX TÍR XX XXXXX/ (XX) XXXXXX X XXXXXX XXXXX/ (XX) XXXXX X PAESE XX XXXXXXX/ (XX) MIRŠANAS XXXXX XX VALSTS/ (XX) XXXXXXX XXXXX XX ŠALIS/ (XX) XXXXXXXXXXXXX HELYE XX XXXXXXX/ (XX) XXXX X PAJJIŻ XXX-XXXX/ (XX) PLAATS XX XXXX XXX OVERLIJDEN/ (XX) XXXXXXX X XXŃXXXX XXXXX/ (XX) XXXXX X XXXX XX XXXXX/ (RO) XXXXX ȘX ȚXXX XXXXXXXXX/ (XX) XXXXXX X XXXX XXXXXX/ (XX) KRAJ XX XXXXXX SMRTI/ (XX) XXXXXXXXXXXX XX -XXX/ (XX) XXX OCH XXXX XÄX DÖDSFALLET XXXXÄXXXXX

4.5

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (PP/KK/AAAA)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (JJ/MM/AAAA) DE XXXXXXXXX/ (GA) DÁTA (XX/XX/XXXX) XXXXXXX/ (HR) XXXXX (XX/XX/XXXX) XXĐXXXX/ (XX) XXXX DI XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (XX) SZÜLETÉSI XXXXX (XXXX/XX/XX)/ (XX) XXXX (JJ/XX/SSSS) XXX-XXXXXX/ (XX) GEBOORTEDATUM (DD/MM/JJJJ)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXXXX (DD/MM/AAAA)/ (XX) XXXX (ZZ/LL/AAAA) XXȘXXXXX/ (XX) DÁTUM (XX/XX/XXXX) NARODENIA/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) SYNTYMÄAIKA (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.6

(XX) ПОЛ/ (ES) XXXX/ (XX) XXXXXXX/ (DA) XØX/ (XX) XXXXXXXXXX/ (XX) XXXX/ (XX) ΦΥΛΟ/ (EN) XXX/ (XX) SEXE/ (XX) XXXXXX/ (XX) XXXX/ (XX) SESSO/ (LV) XXXXXXX/ (XX) LYTIS/ (XX) NEME/ (XX) XXXX/ (NL) XXXXXXXX/ (XX) PŁEĆ/ (XX) XXXX/ (XX) XXXXX/ (XX) POHLAVIE/ (XX) XXXX/ (XX) SUKUPUOLI/ (XX) XÖX

4.6.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) XXXX/ (DA) KVINDE/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (EL) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) BAINEANN/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (LV) SIEVIETE/ (XX) XXXXXXX/ (HU) XŐ/ (XX) MARA/ (XX) XXXXX/ (XX) XXXXXXX/ (PT) XXXXXXXX/ (XX) FEMEIESC/ (SK) XXXXXX/ (SL) XXXXXX/ (XX) NAINEN/ (XX) XXXXXX

4.6.2

(XX) МЪЖКИ/ (ES) XXXXX/ (CZ) XXX/ (XX) XXXX/ (DE) XÄXXXXXX/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (EN) XXXX/ (XX) XXXXXXXX/ (XX) FIREANN/ (HR) XXXXX/ (XX) MASCHILE/ (XX) XĪXXXXXX/ (XX) XXXXX/ (HU) XXXXX/ (XX) RAĠEL/ (NL) XXX/ (XX) MĘŻCZYZNA/ (XX) XXXXXXXXX/ (RO) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) MOŠKI/ (FI) XXXX/ (XX) MAN

4.6.3

(BG) НЕОПРЕДЕЛЕН/ (XX) INDETERMINADO/ (XX) NEURČENO/ (XX) XXXXXXXX/ (DE) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (EL) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (EN) XXXXXXXXXXXX/ (FR) INDÉTERMINÉ/ (XX) XXXXXXXXXXXXXXX/ (HR) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (HU) XXXXXXXXXXXXXXX/ (XX) MHUX XXXXXXXXX/ (XX) XXXXXXXXX/ (PL) XŁXĆ XXXXXXXŚXXXX/ (PT) XÃX DEFINIDO/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) EJ XXXXXXÄXXX

5.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX LA XXXXX/ (XX) XXXX XXX XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (EL) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) CADRE XXXX XX XXXXXXXXX/ (XX) XXXXX XXX XXXXX/ (XX) XXXXX XX XXXXXX/ (IT) XXXXXXXX PER XX XXXXX/ (LV) XXXXXXXX XXXXX/ (LT) PARAŠO XXXXXXXX/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (MT) XXXXX TAL-IFFIRMAR/ (XX) XXX XXXX XX XXXXXXXXXXXX/ (XX) XXXX XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À ASSINATURA/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (XX) ALLEKIRJOITUSKENTTÄ/ (XX) RUTA XÖX 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 FUNCIONARIO XXX EXPIDIÓ XXXX XXXXXXX/ (XX) XXXXXXXX X JMÉNO (JMÉNA) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (DA) XXXXXXXXX(X) OG FORNAVN(E) XÅ XXX XXXXXXXXXX, XXX HAR UDSTEDT XXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXXXXXX(X) XXX XXXXXXX, XXX XXXXXX FORMULAR XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX AMETNIKU XXXXXXX (-NIMED) JA XXXXXXXXXXXXX (-XXXXX)/ (EL) 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) XXX(X) ET XXXXXX(X) DU FONCTIONNAIRE XXX X DÉLIVRÉ XX PRÉSENT XXXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX OIFIGIGH X X’XXXXXX XX XXXXXX XXX/ (XX) PREZIME(NA) X IME(NA) SLUŽBENIKA XXXX XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXX/X X XXXX/X XXX XXXXXXXXXXX XXX XX XXXXXXXXXX IL XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, XXXĀXXX(-X) XX XĀXXX(-X)/ (XX) XXĄ XXXXĄ IŠDAVUSIO XXXXXXŪXX XXXXXXĖ (-ĖX) XX XXXXXX (-XX)/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX TISZTVISELŐ XXXXXXX XXXX(X) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) NA(A)M(EN) XX XXXXXX(X)X(XX) VAN XX XXXXXXXXX DIE XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) X XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXX(X) X XXXX(X) XXXXXXX(X) XX FUNCIONÁRIO XXX XXXXXX O XXXXXXXX XXXXXXXXXX/ (RO) XXXXXX ȘX PRENUMELE XXXXȚXXXXXXXXX XXXX A XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) X MENO(-Á) XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX IME/IMENA XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX VIRKAMIEHEN XXXXXXXX (-XXXXX) JA ETUNIMI (-XXXXX)/ (XX) EFTERNAMN XXX XÖXXXXX XÅ XXX XXÄXXXXXXX XXX XXX XXXÄXXXX DETTA XXXXXXÄX

5.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX DEL XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, KTERÝ XXXXX XXXXX FORMULÁŘ/ (DA) XXXXXXXX — XXX XXXXXXXXXX, DER XXX XXXXXXX XXXXX XXXXXXXX/ (XX) STELLUNG DES XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) KÄESOLEVA VORMI XÄXXXXXXXXX AMETNIKU XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) POSITION XX XXX XXXXXXXX XXX XXXXXX XXXX FORM/ (XX) XXXXX DU XXXXXXXXXXXXX XXX A XXXXXXX XX PRÉSENT XXXXXXXXXX/ (GA) XXXX XX XXXXXXXX A X’XXXXXX XX XXXXXX XXX/ (HR) XXXXXXXX XXXXXXXXXX KOJI XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXX XXXXXXXXXXX XXX HA XXXXXXXXXX XX XXXXXXXX XXXXXX/ (LV) XXXXXXXXXXXX, XXXX XXXXXXXX ŠO XXXXXXXX, AMATS/ (LT) XXĄ FORMĄ IŠDAVUSIO XXXXXXŪXX PAREIGOS/ (HU) X FORMANYOMTATVÁNYT KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ DIN IL-FORMOLA/ (XX) XXXXXXX XXX XX XXXXXXXXX XXX XXX FORMULIER HEEFT XXXXXXXXX/ (PL) XXXXXXXXXX XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (RO) XXXXȚXX XXXXȚXXXXXXXXX CARE X XXXX PREZENTUL XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (SL) XXXXXXX XXXXXXXX, KI XX IZDAL XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX ANTANEEN XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX 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 (XX/XX/ÅÅÅÅ)/ (XX) AUSSTELLUNGSDATUM (TT/MM/JJJJ)/ (XX) VÄLJAANDMISE KUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) DE DÉLIVRANCE/ (XX) DÁTA (XX/XX/XXXX) XXXXXXX/ (HR) XXXXX (XX/XX/XXXX) IZDAVANJA/ (IT) XXXX XX RILASCIO (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (LT) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) XXXXX (DD/MM/JJJJ) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXX/ (SL) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) FÖR XXXÄXXXXXX

5.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (XX) UNDERSKRIFT/ (DE) XXXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (FR) XXXXXXXXX/ (XX) SÍNIÚ/ (HR) XXXXXX/ (XX) XXXXX/ (XX) PARAKSTS/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (NL) XXXXXXXXXXXX/ (XX) PODPIS/ (XX) XXXXXXXXXX/ (RO) XXXXĂXXXX/ (SK) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

5.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (CZ) XXXXX XXXX RAZÍTKO/ (DA) XXXX ELLER XXXXXXX/ (XX) SIEGEL XXXX XXXXXXX/ (XX) PITSER XÕX TEMPEL/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) SEAL XX XXXXX/ (XX) XXXXX OU XXXXXX/ (XX) SÉALA NÓ XXXXXX/ (XX) ŽIG XXX PEČAT/ (IT) XXXXX O XXXXXX/ (XX) ZĪMOGS XXX XXXXXXXX/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (XX) XXXXXX VAGY BÉLYEGZŐLENYOMAT/ (XX) SIĠILL JEW XXXXXX/ (XX) XXXXX XX STEMPEL/ (XX) XXXXXĘĆ XXX XXXXXXX/ (XX) XXXX OU XXXXXXX/ (XX) SIGILIUL XXX ȘXXXXXXX/ (XX) XXXXX XXXXX ODTLAČOK XXXXXXXX/ (SL) XXXXX XXX XXX/ (XX) XXXXXXX TAI XXXXX/ (XX) SIGILL ELLER XXÄXXXX

XXXXXXXXXX

XXXXXXXXXXX STANDARDNÍ XXXXXXXX – POMŮCKA XXX XXXXXXX

Xxxxxx 7 xxxxxxxx Evropského xxxxxxxxxx x Rady (EU) 2016/1191 xx dne 6. xxxxxxxx 2016 x podpoře xxxxxxx xxxxxx občanů zjednodušením xxxxxxxxx xx xxxxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx x Evropské xxxx x x xxxxx xxxxxxxx (XX) x. 1024/2012 (1)

Belgie (XX) Xxxxxxxxx (BG)

Česká xxxxxxxxx (XX)

Xxxxxx (XX) Německo (XX)

Xxxxxxxx (EE) Xxxxx (XX)

Xxxxx (EL) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (LU)

Maďarsko (HU) Xxxxx (XX)

Xxxxxxxxxx (XX) Xxxxxxxx (AT)

Polsko (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxxxxxx (SI)

Slovensko (SK) Xxxxxx (XX)

Xxxxxxx (SE) Xxxxxxx království (XX)

XXXXXXXX XXXXXXXXXX

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

Tento xxxxxxxx xxxxxx xxxxx veřejné xxxxxxx, x xxx xx přiložen. Orgán, xxxxx je veřejná xxxxxxx xxxxxxxxxxx, však xxxx x xxxxxxxxx, xxx xx to xxxxxxxx pro xxxxx xxxxxxxxxx xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx xxxxxxxxx, které xxxx xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX VYDÁVAJÍCÍ XXXXX

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

Xxxxx xxxxxxx xxxxxxx, x níž je xxxxxxxx tento xxxxxxxx, xxxxxxxxxx xxxxxx xxxxx xxxx informace, xxxxxx „–“.

1. XXXXX VYDÁVAJÍCÍ XXXXX FORMULÁŘ

1.1 Xxxxx (3)

2. ORGÁN VYDÁVAJÍCÍ XXXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX FORMULÁŘ

1.1 Xxxxx (4)

3. XXXXXXXXX XXXXXXXX XX VEŘEJNÉ LISTINY, X XXX XX XXXXXXXX XXXXX XXXXXXXX

3.1 Xxxxxxx vydaná orgánem xxxx xxxxxxxxx s xxxxxx xx soudy xxxxxx členského státu

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx xxxxxx státním zástupcem

3.1.3 Xxxxxxx xxxxxx xxxxxx xxxxxxx xxxxxxxxx

3.1.4 Xxxxxxx xxxxxx soudním xxxxxxxxxxxxx („xxxxxxxx xx justice“)

3.1.5 Xxxx (upřesněte)

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

(2) Xxx vyplňování xxxxx xxxxxxxx hůlkové písmo.

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

(4) Xxxxx „xxxxx“ je třeba xxxxxxxx xxxx úřední 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 z xxxxxxx

3.2.3 Xxxxx x xxxxxxxx xxxxxxxx

3.2.4 Xxxx xxxxxxxxxx záznamů

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx listina

3.4 Xxxxxx xxxxxxxxx, xxxxxx xxxx xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

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

3.6 Xxxxx (dd/mm/rrrr) xxxxxx

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXXX

4.1 Datum (xx/xx/xxxx) xxxxxxxx xxxxxxxxxx

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

5. XXXXXX/XXXXXXXX X

5.1 Xxxxx/x příjmení

5.2 Příjmení xxxx xxxxxxxxx manželství

5.3 Xxxxxxxx po uzavření xxxxxxxxxx

5.4 Xxxxx (jména)

5.5 Xxxxx (xx/xx/xxxx) narození

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

5.6.1 Xxxx

5.6.2 Xxx

5.6.3 Xxxxxxxx

(1) Xxxxx „xxxxx xxxxxxxx manželství“ se xxxxxx název obce xxxx města, xxxxxx x xxxxx, kde xxxx xxxxxxxxxx uzavřeno.

(2) Xxxxx xxxx a – xxxxx xxxxxxxx – xxx ISO xxxx země xxxx xxxxxxx „Xxxx (xxxxxxxxx)“ xx xxxxx xxxxxx x xxxxxxxxxxx xxxxxxx xx xxxxxxxx vícejazyčném xxxxxxxxxxx xxxxxxxxx, xxxxx xx k xxxxxxxxx xx xxxxxxx xxxxxxxx x-xxxxxxx.

6. XXXXXX/XXXXXXXX X

6.1 Xxxxx/x příjmení

6.2 Xxxxxxxx xxxx xxxxxxxxx xxxxxxxxxx

6.3 Xxxxxxxx xx xxxxxxxx xxxxxxxxxx

6.4 Jméno (xxxxx)

6.5 Xxxxx (xx/xx/xxxx) narození

6.6 Xxxxxxx:

6.6.1 Xxxx

6.6.2 Xxx

6.6.3 Xxxxxxxx

7. XXXX PRO XXXXXX

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

7.2 Xxxxxx xxxxxxxx, xxxxx xxxxx tento xxxxxxxx

7.3 Xxxxx (xx/xx/xxxx) xxxxxx

7.4 Xxxxxx

7.5 Xxxxx xxxx xxxxxxx

XXXXXXXXXXX XXXXXX XXXXX STANDARDNÍCH POLOŽEK

(MANŽELSTVÍ)

1.

(BG) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) AUTORIDAD XXX XXXXXX XXXX XXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXX XXXXXXXX/ (XX) DENNE XXXXXXXXX XXXXXXXXXX MYNDIGHED/ (XX) XXXÖXXX, XXX DIESES XXXXXXXX AUSSTELLT/ (ET) XÄXXXXXXX XXXXX XÄXXX XXXXXX ASUTUS/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (EN) XXXXXXXXX XXXXXXX XXXX XXXX/ (FR) XXXXXXXX XX XXXXXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX A XXXXXXXX XX XXXXXX XXX/ (HR) TIJELO XXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXXÀ XXX RILASCIA IL XXXXXXXX XXXXXX/ (LV) XXXXXXXXX IZDEVĒJIESTĀDE/ (LT) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX TA' XXX XX-XXXXXXX/ (NL) XXXXXXXXXX XXX XXXXXXX VAN XXX XXXXXXXXX/ (PL) XXXXX WYDAJĄCY XXXXXXXXX XXXXXXXXX/ (PT) AUTORIDADE XXX XXXXX O XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX FORMULAR/ (XX) XXXXX XXXXXXXXXX TENTO XXXXXXXX/ (XX) ORGAN, XX XXXX TA XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) MYNDIGHET XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) BETEGNELSE/ (XX) BEZEICHNUNG/ (XX) XXXXXXX/ (EL) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) NOSAUKUMS/ (LT) XXXXXXXXXXX/ (XX) MEGNEVEZÉS/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXÇÃX/ (RO) XXXXXXXX/ (XX) NÁZOV/ (XX) XXX/ (XX) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) AUTORIDAD XXX EXPIDE XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX/ (CZ) XXXXX XXXXXXXXXX VEŘEJNOU XXXXXXX, K XXX XX XXXXXXXX XXXXX XXXXXXXX/ (DA) XXX XXXXXXXXX, XXX XXX XXXXXXX DET OFFENTLIGE XXXXXXXX, XXX DENNE XXXXXXXX ER XXXXÆXXXX/ (XX) BEHÖRDE, XXX XXX ÖXXXXXXXXXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXÜXX IST, XXXXXXXXX/ (XX) XXXXXX, XXX XXXXX XÄXXX XXXXXXX XXXXXXXXX, XXXXXXX XXX XXXX ON LISATUD/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXX XXXXXXX THE XXXXXX XXXXXXXX XX XXXXX XXXX XXXX IS XXXXXXXX/ (XX) AUTORITÉ XX DÉLIVRANCE XX XXXXXXXX PUBLIC AUQUEL XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX A XXXXXXXX XX DOICIMÉAD XXXXXX XXXX XXXXXX XX FHOIRM SEO XXXXXXXXXX/ (XX) XXXXXX XXXX IZDAJE XXXXX XXXXXXX KOJOJ XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX IL XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX ŠI XXXXX, XXXXXXXXXX VALDŽIOS XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATOT XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX XX XXXXĦX HIJA XXXXXŻX DIN XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX VAN XXX XXXXXXXX XXXXXXXX XXXXXXX XXX FORMULIER IS XXXXXXX/ (XX) XXXXX XXXXXĄXX DOKUMENT URZĘDOWY, XX XXXXXXX NINIEJSZY XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXXX XXXXXXX A QUE X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (RO) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXXX OFICIAL XX XXXX ESTE XXXXXX XXXXXXXXX FORMULAR/ (XX) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, KU XXXXXX XX XXXXX FORMULÁR XXXXXXXXX/ (XX) ORGAN, XX XXXX XXXXX XXXXXXX, KI JI XX PRILOŽEN XX XXXXXXX/ (FI) VIRANOMAINEN, XXXX ON ANTANUT XXXXXXX ASIAKIRJAN, JOHON XÄXÄ XXXXXX LIITETÄÄN/ (XX) XXXXXXXXX XXX XXXÄXXXX XXX OFFICIELLA XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX AL XXXXXXXXX XXXXXXX XX XXX SE XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXX SE XXXXXXX XXXXXXX, X XXX JE PŘILOŽEN XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX VEDRØRENDE XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) ANGABEN XXX ÖXXXXXXXXXXX URKUNDE, XXX XXXXXX FORMULAR XXXXXXÜXX XXX/ (XX) XXXXX AVALIKU DOKUMENDI XXXXX, MILLELE SEE XXXX ON LISATUD/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXXXX XXXXXXXX XX XXX PUBLIC XXXXXXXX XX XXXXX XXXX XXXX XX ATTACHED/ (XX) XXXXXXXXXXXX RELATIVES XX DOCUMENT XXXXXX XXXXXX EST XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX X XXXXXXXXX XXXX AN XXXXXXXXX POIBLÍ XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXX XX XXXXXX NA XXXXX XXXXXXX XXXXX JE XXXX XXXXXXX PRILOŽEN/ (XX) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX PUBBLICO XXX IL XXXXXXXX XXXXXX È ALLEGATO/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, KURAM XĪ VEIDLAPA XX XXXXXXXXXX/ (XX) INFORMACIJA, XXXXXXXX XX XXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX XXXXX/ (XX) A XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATRA XXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXX ID-DOKUMENT XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX DIT XXXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXĄXX DOKUMENTU XXXĘXXXXXX, XX KTÓREGO XXXXXXXXX XXXXXXXXX JEST XXŁĄXXXXX/ (PT) INFORMAÇÕES XXXXXXXXX AO XXXXXXXXX XXXXXXX X QUE X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX LA XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX X VEREJNEJ XXXXXXX, KU XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX X ZVEZI Z XXXXX XXXXXXX, XX XX JE XXXXXXXX XX XXXXXXX/ (XX) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXXXX XX XXX XXXXXXXXXX XXXXXXXX TILL 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/ (ES) XXXXXXXXX XXXXXXXX XXX XXX XXXXXXXXX X XX XXXXXXXXXXX XXXXXXXXX X XXX ÓRGANOS XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (CZ) XXXXXXX XXXXXX XXXXXXX XXXX XXXXXXXXX X XXXXXX NA SOUDY XXXXXX ČLENSKÉHO STÁTU/ (XX) XXXXXXXX, XXX XX XXXXXXX XX XX XXXXXXXXX ELLER XX XXXXXXXXXX, XXX XX XXXXXXXXXX DOMSTOLE X EN XXXXXXXXXXX/ (XX) XXXXXXX EINER XXXÖXXX XXXX XXXXX XXXXXXXXXX ALS XXXXX XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX XXXXXXXXX XXXXXX AMETIASUTUS VÕI XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (EN) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXX OR XX XXXXXXXX XXXXXXXXX XXXX XXX XXXXXX XX XXXXXXXXX XX X XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXX X'XXX AUTORITÉ OU X'XX FONCTIONNAIRE XXXXXXXX X'XXX XXXXXXXXXXX X'XX XXXX XXXXXX/ (GA) XXXXXXXXX X XXXXXXX X XXXXXX XX X XXXXXXXXX A XXXXXX BAINT XXXX XX XXXX XX XXXXXXXXXX XX XX XXXXX XX XXXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXX XXX XXXXXXXXX XXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX EMANATO XX XX'XXXXXXXÀ X XX UN XXXXXXXXXXX XXXXXXXXXXXX XX XXX XXXXX GIURISDIZIONI XX XXX XXXXX MEMBRO/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XX XXXĪXXXXXXX XXXXĀX XXXXXĪXX IESTĀDE XXX AMATPERSONA/ (XX) XXXXXXXXXX, IŠDUOTAS XXXXXXXX XXXXXXXXXXXX XX PAREIGŪNO, XXXXXXXXŲ SU VALSTYBĖS XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (HU) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX XXXX XXXXXXX XXXX XXXXXXXXXXŐ XXXXX KIÁLLÍTOTT XXXXXX/ (XX) DOKUMENT MAĦRUĠ XXXX XXXXXXXÀ XXX XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX JEW XX-XXXXXXXXX XX' STAT XXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX TOT EEN XXXXXXXXXXXX INSTANTIE VAN XXX XXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY OD XXXXXX XĄXXXXXX XXX XXXĘXXXXX SĄDOWEGO PAŃSTWA XXŁXXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX DE XXX XXXXXXXXXX XX DE XX FUNCIONÁRIO XXXXXXXXXX XX XXXXXXXX JURISDIÇÃO XX XX ESTADO-MEMBRO/ (XX) XXXXXXXX XXXX XX X XXXXXXXXXX XXX DE XX XXXXȚXXXXX DE XX XÂXXĂ INSTANȚELE XXXX XXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXX XXXXXXXXX X XÄXXXX XX XXXX XXXXXXXXX ŠTÁTU/ (SL) XXXXXXX, XXXXXX S XXXXXX XXXXXX XXX XXXXXXXX SODNE XXXXXXX XXXXXX XXXXXXX/ (FI) XXXXXXXXX, XXXXX XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXXXXXXXX XXXXX XX TJÄNSTEMAN TILLHÖRANDE XXXXXXXXXÄXXXXXX I EN XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) RESOLUCIÓN XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (DE) XXXXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXX XX xXXXXX/ (XX) XXXXXX ODLUKA/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (LV) XXXXXX LĒMUMS/ (XX) XXXXXX XXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXXX/ (MT) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (PL) XXXXXXXXXX SĄDOWE/ (XX) XXXXXÃX XXXXXXXX/ (RO) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (SK) XXXXX XXXXXXXXXXX/ (XX) XXXXX XXXXXXX/ (FI) XXXXXXXXXXXXXX XÄÄXÖX/ (SV) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX FISCAL/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXXXX/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXX SÜÜDISTAJA/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX FROM X XXXXXX PROSECUTOR/ (FR) XXXXXXXX ÉMANANT DU XXXXXXÈXX PUBLIC/ (XX) XXXXXXXXX X XXXXXXX X IONCHÚISITHEOIR XXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (HU) ÜGYÉSZ XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX PROSEKUTUR PUBBLIKU/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX OD XXXXXXXXXXX/ (XX) XXXXXXXXX PROVENIENTE XX MINISTÉRIO PÚBLICO/ (XX) XXXXXXXX EMIS XX XX XXXXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXXXXXXX/ (SL) LISTINA, XX XX XXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX ANTAMA XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (DA) XXXXXXXX XXXXXXX AF EN XXXXXXXXXXXXXÆX/ (DE) XXXXXXX XXXXX URKUNDSBEAMTEN XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) DOKUMENT, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (EN) XXXXXXXX XXXXXXXXX XXXX X XXXXX OF A XXXXX/ (FR) DOCUMENT XXXXXXX X'XX XXXXXXXX/ (XX) XXXXXXXXX A XXXXXXX X CHLÉIREACH XX XXXXX CÚIRTE/ (XX) XXXXXXX XXXX XX XXXXX XXXXXXXXXX XXXXXX XXXXXXXXX/ (IT) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (LT) XXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXXXŐ ÁLTAL XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXĠ MINN XXĠXXXXXXXX XX' QORTI/ (NL) XXXXXXXX AFGEGEVEN XXXX XXX GRIFFIER/ (XX) XXXXXXXX POCHODZĄCY XX XXXXXXXXXX XĄXXXXXX/ (XX) XXXXXXXXX PROVENIENTE XX XX XXXXXXX XX XXXXXÇX/ (RO) XXXXXXXX XXXX XX XX XXXXXXX XX INSTANȚEI/ (XX) LISTINA VYDANÁ XXXXXX XXXXXXXXX/ (XX) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX ASIAKIRJA/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („HUISSIER XX XXXXXXX“)/ (ES) XXXXXXXXX XXXXXXXX POR XX AGENTE JUDICIAL («XXXXXXXX DE XXXXXXX»)/ (XX) LISTINA VYDANÁ XXXXXXX XXXXXXXXXXXXX („HUISSIER XX XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX XX XX XXÆXXXXXXXXXX (»XXXXXXXX XX JUSTICE«)/ (XX) XXXXXXX XXXXX GERICHTSVOLLZIEHERS/ (XX) DOKUMENT, XXXXX XX XÄXXX XXXXXX XXXXXXÄXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («HUISSIER DE XXXXXXX»)/ (EN) DOCUMENT XXXXXXXXX XXXX X XXXXXXXX OFFICER ('HUISSIER XX JUSTICE')/ (FR) XXXXXXXX XXXXXXX X'XX XXXXXXXX DE XXXXXXX/ (XX) DOICIMÉAD X XXXXXXX X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXX XX XXXXX XXXXXX XXXXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXX XX XX UFFICIALE XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX (XXXXXXXX XX XXXXXXX) XXXXXXXX XXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXXXX („HUISSIER XX XXXXXXX”) ÁLTAL KIÁLLÍTOTT XXXXXX/ (MT) XXXXXXXX XXĦXXĠ MINN XXXXĊXXX ĠXXXXXXXXXX ('HUISSIER XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX XĄXXXXXX (XXXXXXXX DE XXXXXXX)/ (PT) DOCUMENTO XXXXXXXXXXX DE UMESCRIVÃO XX DIREITO («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX EMIS DE XX EXECUTOR XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (XX) LISTINA VYDANÁ XXXXXX VYKONÁVATEĽOM („XXXXXXXX XX JUSTICE“)/ (SL) XXXXXXX, KI XX XXXX XXXXX XXXXXXXXXX („XXXXXXXX XX JUSTICE“)/ (XX) HAASTEMIEHEN (”XXXXXXXX XX JUSTICE”) XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX STÄMNINGSMAN (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) OTRO (XXXXXXXXXXXXX)/ (XX) JINÉ (XXXXXXXXX)/ (XX) ANDRE (ANGIVES)/ (XX) XXXXXXXXX (BITTE XXXXXXX)/ (XX) MUU (XÄXXXXXXXX)/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX BE XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (XX) XXXX (XX SONRÚ)/ (HR) XXXXXX (NAVESTI)/ (IT) XXXXX (XXXXXXXXX)/ (XX) XXXX (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (HU) XXXXX (KÉRJÜK PONTOSÍTANI)/ (XX) OĦRAJN (IPPREĊIŻA)/ (XX) OVERIGE (XXXXXXXXXXXX)/ (XX) XXXX (XXXXXĘ XXXXŚXXĆ)/ (XX) OUTROS (X ESPECIFICAR)/ (XX) XXXXX (X XX XXXXXXX)/ (XX) XXX (XXXXXXXX)/ (XX) DRUGO (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (SV) XXXXX XXXXXXXX (SPECIFICERAS)

3.2

(BG) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (ES) XXXXXXXXX XXXXXXXXXXXXXX/ (CZ) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (DE) XXXXXXX XXXXX VERWALTUNGSBEHÖRDE/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ (XX) UPRAVNA XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) ADMINISTRACINIS XXXXXXXXXX/ (XX) KÖZIGAZGATÁSI XXXXXX/ (MT) DOKUMENT XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) DOKUMENT XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) SPRÁVNA XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) PÅTEGNING/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) CERTIFICAT/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) APLIECINĀJUMS/ (LT) XXXXXX, XXXXXXXXXX/ (HU) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊERTIFIKAT/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (PT) XXXXXXÃX XX XXXXXXXXXXX/ (RO) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) INTYG

3.2.2

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX XXXXXXXX CIVIL/ (XX) XXXXX Z MATRIKY/ (XX) UDDRAG XXX XXXXXXXXXXXXXXXXXXXX/ (XX) AUSZUG XXX XXX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) EXTRACT XXXX XXX XXXXX XXXXXX REGISTER/ (XX) XXXXXXX XX XXXXXXXX XX X'XXXX XXXXX/ (XX) XXXXXXX XX XX xXXXX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXX XXXXXX/ (XX) XXXXXXXX XX ATTO DI XXXXX CIVILE/ (XX) XXXXXXXX XX CIVILSTĀVOKĻA XXXX XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXĖX XŪXXĖX XXXŲ REGISTRO/ (XX) ANYAKÖNYVI XXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊIVILI/ (XX) XXXXXXXXXX XXX XXX XXXXXXXX XXX XX XXXXXXXXXXX STAND/ (PL) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXX XX XXXX XX REGISTO CIVIL/ (XX) EXTRAS XXX XXXXXXXXX DE XXXXX XXXXXĂ/ (XX) XXXXX X XXXXXXXX XXXXXXXX XXXXX/ (XX) IZPISEK XX XXXXXXXX X XXXXXXX XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (ES) XXXXXXXX XXX CENSO/ (XX) VÝPIS X XXXXXXXX XXXXXXXX/ (DA) XXXXXX FRA XXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX MELDEREGISTER/ (XX) XXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX FROM XXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX DU XXXXXXXX XX XX POPULATION/ (XX) SLIOCHT XX XX xXXXX XXXXXX/ (XX) XXXXXXX XX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX ANAGRAFICO/ (LV) XXXXXXXX XX XXXXĪXXXĀXX XXĢXXXXX/ (XX) XXXXXXX XX GYVENTOJŲ XXXXXXXX/ (XX) KIVONAT A XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX MIR-REĠISTRU XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX HET BEVOLKINGSREGISTER/ (XX) WYCIĄG X XXXXXXXX LUDNOŚCI/ (PT) XXXXXXX XX XXXXXXX XX POPULAÇÃO/ (RO) XXXXXX XXX REGISTRUL XX XXXXXXȚĂ A XXXXXXȚXXX/ (XX) VÝPIS X REGISTRA XXXXXXXĽXX/ (XX) XXXXXXX IZ XXXXXXXX XXXXXXXXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) COPIA XXXXXXX XX ACTAS XXX XXXXXXXX CIVIL/ (XX) XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXX XX XXXXXXXXXXXXXXXXXXX/ (DE) XÖXXXXXXX XXXXX VON XXXXXXXXXXXXXXXXXXXÄXXX/ (ET) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (EN) VERBATIM XXXX XX CIVIL XXXXXX XXXXXXX/ (FR) XXXXX XXXXXXXXX D'ACTES XX X'XXXX CIVIL/ (XX) CÓIP XXXXX XX XXXXXX XX XXXXXXX XX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XX XXXXXXXXXX X XXXXXXX XXXXXX/ (XX) XXXXX LETTERALE XX ATTO DI XXXXX CIVILE/ (XX) XXXXXXXĀXXXĻX XXXX REĢISTRA XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXĖX BŪKLĖS XXXŲ ĮRAŠŲ PAŽODINĖ XXXXXX/ (HU) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (MT) KOPJA XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (NL) EENSLUIDEND XXXXXXXXX XXX AKTEN XXX DE XXXXXXXXXXX XXXXX/ (PL) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXÃX XX CÓPIA XXXXXXXX XX XX XXXXXXXXX XX XXXX XX XXXXXXX XXXXX/ (XX) XXXXX XXXXXĂ A XXXX ACT XX XXXXX XXXXXĂ/ (SK) XXXXXXXX VÝPIS ZO XXXXXXX X OSOBNOM XXXXX/ (XX) XXXXXXXX XXXXXX XXXXXX X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX XX FOLKBOKFÖRINGSHANDLING

3.3

(BG) НОТАРИАЛЕН АКТ/ (ES) ACTA XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (DE) NOTARIELLE XXXXXXX/ (ET) NOTARIAALDOKUMENT/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) NOTARIAL ACT/ (XX) XXXX XXXXXXX/ (XX) GNÍOMH XXXXXXXXXXXX/ (XX) JAVNOBILJEŽNIČKA XXXXXXX/ (XX) ATTO NOTARILE/ (XX) NOTARIĀLS XXXX/ (XX) NOTARINIS XXXXX/ (XX) XÖXXXXXXŐX OKIRAT/ (XX) XXX NOTARILI/ (XX) NOTARIËLE AKTE/ (XX) AKT NOTARIALNY/ (XX) XXX NOTARIAL/ (XX) XXX NOTARIAL/ (XX) XXXXXXXX LISTINA/ (XX) NOTARSKA XXXXXXX/ (XX) 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 XXXXXXX/ (XX) XXXXXX OSVĚDČENÍ, XXXXXX XXXX XXXXXXXX LISTINA XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) OFFICIEL XÅXXXXXXX XÅ XX XXXXXXXX XXXXXXXXXXX XX XX XXXXXX I XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (XX) AMTLICHE BESCHEINIGUNG XXX EINER PRIVATURKUNDE/ (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 XXXXXX ON X XXXXXXXX XXXXXX XX X XXXXXX XX XXX XX XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX SUR XX XXXX SOUS SEING XXXXX/ (GA) DEIMHNIÚ XXXXXXXXX X XXXXXXXXX XX DHOICIMÉAD XXXX XXXXXX XX DUINE XXX XXXXX XX XXX CÁIL XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX XX XXXXXXX XXXX XX XXXXX XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXĀXX XXXXXXXXĀXXXX XX XXXXXXXXX, XX XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (LT) XXXXXXXŲ ASMENŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX PATVIRTINIMAI/ (XX) MAGÁNOKIRATON ELHELYEZETT XXXXXXXXX TANÚSÍTVÁNY/ (XX) ĊXXXXXXXXX UFFIĊJALI XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX TAGĦHA/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXX XXXXXXXXXXX XXXX XXX PERSOON XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) URZĘDOWE XXŚXXXXXXXXXX UMIESZCZONE NA XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ W XXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÃX XXXXXXX INSERTA XXX ATO XX XXXXXXXX PRIVADA/ (XX) XXXXXXXXXX OFICIAL APLICAT XX XX XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) ÚRADNÉ XXXXXXXXXX XXXXXXX XX XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX OSOBA/ (XX) URADNA XXXXXX XX ZASEBNI XXXXXXX/ (XX) VIRALLINEN XXXXXXXX XXXXXXXXXXXX, JONKA HENKILÖ XX ALLEKIRJOITTANUT YKSITYISHENKILÖNÄ/ (XX) XXXXXXXXXX INTYG XXXXXXXXX XÅ EN XXXXXXXX XXX XXXXXXXXXXXXX XX XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (ES) DOCUMENTO XXXXXXXX POR UN XXXXXX DIPLOMÁTICO O XXXXXXXX XX XX XXXXXX XXXXXXX XXX XXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXX KONZULÁRNÍM XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) DOKUMENT OFFICIELT XXXÆXXXXXX XX EN XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (XX) XXX XXXXX XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXXX IN XXXXXX AMTLICHEN FUNKTION XXXXXXXXXX URKUNDE/ (ET) XXXXXXXXXXXX XXXXXXXXXXXXXX VÕI 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 XXXXX XX BY X XXXXXXXXXX OR XXXXXXXX XXXXX XX X XXXXXX STATE XX XXX OR XXX XXXXXXXX CAPACITY/ (FR) XXXXXXXX XXXXXX XX XX XXXXXXX OFFICIELLE XXX XX XXXXX XXXXXXXXXXXX XX XXXXXXXXXX X'XX XXXX XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX SUAS XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX DE CHUID XXXXXXXXX INA XXXXX XX XXX CÁIL XXXXXXXXX/ (XX) ISPRAVA XXXX XX X XXXXXXXXX XXXXXXXX SASTAVIO XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX DRŽAVE ČLANICE/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX DIPLOMATICI X CONSOLARI DI XXX XXXXX MEMBRO XXXX'XXXXXXXXX DELLE LORO XXXXXXXX/ (LV) DOKUMENTS, XXXX, PILDOT XXXXX XXXXĀXXXXX, SAGATAVOJIS DALĪBVALSTS XXXXXXĀXXXXXXX VAI XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX AR KONSULINIO XXXXXXŪXX, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXX DIPLOMÁCIAI XXXX KONZULI KÉPVISELŐJE XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXXX XXXX XĠXXX XXXXXXXXXXX XXX XXXXXXXXX TA' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX XX XXXX XXXXXXËXX HOEDANIGHEID/ (PL) XXXXXXXX XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX W XXXXXXXXXXX URZĘDOWYM/ (PT) XXXXXXXXX LAVRADO XXX XX XXXXXX DIPLOMÁTICO XX CONSULAR XX XX XXXXXX-XXXXXX NO XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (RO) XXXXXXXX ÎXXXXXXX XX XĂXXX UN XXXXX XXXXXXXXXX XXX XXXXXXXX XX UNUI XXXX XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (SK) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM XXXXXXXXX XXXXX KONZULÁRNYM XXXXXXXXX XXXXXXXXX XXXXX V XXXXX VÝKONU JEHO XXXXXXX/ (XX) XXXXXXX, XX XX XXX XXXXXX XXXXX IZDA XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX, JONKA XÄXXXXXXXXXX DIPLOMAATTINEN XXXXXXXX XXX KONSULIEDUSTAJA XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (SV) XXXXXXXX XXXXÄXXXX I XXÄXXXXX XX XX XXXXXXXXXXX ELLER XXXXXXÄX XXÄXXXXXXX X XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) VYDÁNÍ/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) XÄXXXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (XX/XX/XXXX) OF ISSUE/ (XX) XXXX (JJ/MM/AAAA) XX XXXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (LT) XXXXXXXX XXXX (XX/XX/XXXX)/ (HU) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) VAN XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX EMISSÃO (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) EMITERII/ (XX) XXXXX (DD/MM/RRRR) XXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) DATUM (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX DE XXXXXXXXXX XXX DOCUMENTO PÚBLICO/ (XX) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (XX) XXX XXXXXXXXXX DOKUMENTS XXXXXXXXXXXXXXX/ (DE) KENNNUMMER XXX ÖXXXXXXXXXXX XXXXXXX/ (XX) AVALIKU XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX OF XXX XXXXXX DOCUMENT/ (FR) XXXXXX XX XXXXXXXXX XX XXXXXXXX PUBLIC/ (XX) XXXXXX THAGARTHA XX DOICIMÉID XXXXXXX/ (XX) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXXXXX NUMERIS/ (XX) X KÖZOKIRAT XXXXXXXXXXX XXXXX/ (XX) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX REFERENCYJNY XXXXXXXXX XXXĘXXXXXX/ (PT) NÚMERO XX REFERÊNCIA XX XXXXXXXXX PÚBLICO/ (XX) XXXĂXXX XX XXXXXXXȚĂ XX DOCUMENTULUI XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXXX LISTINY/ (XX) XXXXXXXXXX ŠTEVILKA XXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) БРАК/ (XX) XXXXXXXXXX/ (XX) MANŽELSTVÍ/ (XX) ÆXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) XXXXXX/ (XX) ΓΑΜΟΣ/ (EN) XXXXXXXX/ (FR) XXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX BRAKA/ (XX) XXXXXXXXXX/ (LV) LAULĪBA/ (XX) XXXXXXXX/ (HU) XXXXXXXXXÖXXX/ (XX) ŻXXXĠ/ (XX) HUWELIJK/ (PL) XXŁŻXŃXXXX/ (PT) XXXXXXXXX/ (XX) XĂXĂXXXXX/ (SK) XXXXXXXXXX/ (SL) XXXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXXXXX/ (XX) ÄXXXXXXXX

4.1

(XX) ДАТА (ДД/ММ/ГГГГ) НА БРАКА/ (ES) FECHA (XX/XX/XXXX) DEL XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXXXXXXXXX/ (ET) XXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΤΕΛΕΣΗΣ ΤΟΥ ΓΑΜΟΥ/ (XX) XXXX (DD/MM/YYYY) XX XXX MARRIAGE/ (XX) XXXX (JJ/MM/AAAA) XX XXXXXXX/ (XX) DÁTA (XX/XX/XXXX) XX XXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX BRAKA/ (XX) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) LAULĪBAS XXXXĒXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) SANTUOKOS XXXXXXXX XXXX (DD/MM/MMMM)/ (XX) X XXXXXXXXXÖXXX XXXXX (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) XXŻ-ŻXXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXX XXXXXXXX/ (PL) XXXX (XX/XX/XXXX) XXXXXXXX XXŁŻXŃXXXX/ (XX) DATA XX XXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XĂXĂXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX XXXXXXXX ZVEZE/ (XX) AVIOLIITON XXXXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) XÖX ÄKTENSKAPETS XXXÅXXXX

4.2

(XX) МЯСТО И ДЪРЖАВА НА БРАКА/ (XX) LUGAR X XXXX DEL MATRIMONIO/ (XX) XXXXX X XXXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX OG -XXXX/ (XX) ORT XXX XXXX XXX XXXXXXXXXXXXXX/ (ET) XXXXXXXXXXX XXXX JA RIIK/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΤΕΛΕΣΗΣ ΤΟΥ ΓΑΜΟΥ/ (XX) XXXXX XXX XXXXXXX XX XXX XXXXXXXX/ (XX) XXXX XX XXXX XX XXXXXXX/ (XX) XXX XXXX XXX XX XXXXXX/ (XX) XXXXXX I XXXXXX XXXXXXXXX BRAKA/ (XX) XXXXX X XXXXX XX XXXXXXXXXX/ (XX) XXXXĪXXX XXXXĒXXXXXX XXXXX XX XXXXXX/ (LT) XXXXXXXXX XXXXXXXX VIETA XX ŠALIS/ (XX) X HÁZASSÁGKÖTÉS XXXXX XX XXXXXXX/ (XX) XXXX X XXXXXŻ XXŻ-ŻXXXĠ/ (XX) XXXXXX XX XXXX VAN XXX XXXXXXXX/ (XX) XXXXXXX X XXŃXXXX XXXXXXXX MAŁŻEŃSTWA/ (XX) XXXXX X XXXX XX XXXXXXXXX/ (RO) XXXXX ȘX ȚXXX XĂXĂXXXXXX/ (XX) XXXXXX X XXXX XXXXXXXXX XXXXXXXXXX/ (XX) XXXX XX DRŽAVA XXXXXXXXX XXXXXXXX ZVEZE/ (XX) XXXXXXXXXX XXXXXXXXXXXXXX JA -XXX/ (XX) ORT XXX LAND DÄR ÄXXXXXXXXXX INGICKS

5.

(BG) СЪПРУГ X/ (XX) XXXXXXX X/ (XX) MANŽEL/MANŽELKA X/ (DA) ÆXXXXÆXXX X/ (XX) XXXXXXXXXX X/ (XX) XXXXXXXX X/ (XX) ΣΥΖΥΓΟΣ Α/ (EN) SPOUSE X/ (XX) XXXXXXXX X/ (GA) CÉILE X/ (XX) BRAČNI XXXX A/ (XX) XXXXXXX X/ (LV) XXXXĀXXXX X/ (XX) XXXXXXXXXXX X/ (HU) „X” XXXXXXXXX/ (XX) XXXXXĠX A/ (XX) XXXXXXXX(X)X(X) A/ (PL) XXŁŻXXXX A/ (XX) XÔXXXXX X/ (RO) XXȚXX X/ (XX) XXXXXX/XXXXXXXX X/ (XX) XXXXXXX X/ (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 XØXXXXX/ (DE) XXXXXXXXXXXX(X) BEI DER XXXXXX/ (XX) SÜNNIJÄRGNE XXXXXXXXXXXXX (XÜXXXXÄXXXXX XXXXXXXXXXXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (XX) XXXXXXX(X) XX XXXXX/ (XX) XXX(X) À XX XXXXXXXXX/ (XX) XXXXXXX (SLOINNTE) XXXXXXX/ (XX) PREZIME(NA) XXX XXĐXXXX/ (IT) XXXXXXX/X XXXX XXXXXXX/ (LV) XXXĀXXX(-X) DZIMŠANAS XXĪXĪ/ (XX) PAVARDĖ (-ĖS), XXXXXXXX (-XX) XXXXX/ (XX) SZÜLETÉSI XXXXXXX XXXX(X)/ (MT) KUNJOM(/KUNJOMIJIET) XXX-XXXXXX/ (XX) ACHTERNA(A)M(EN) XXX DE GEBOORTE/ (XX) XXXXXXXX(-X) RODOWE/ (XX) APELIDO(S) À XXXX XX XXXXXXXXXX/ (XX) NUMELE XX XXȘXXXX/ (XX) XXXXX XXXXXXXXXX(-X)/ (SL) XXXXXXX/XXXXXXX XX XXXXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXXXÄXXXXXXXÄ/ (XX) XXXXXXXXX XXX XÖXXXXX

5.2

(XX) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ БРАКА/ (ES) XXXXXXXX(X) XXXXX DE XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX PŘED XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXX(X) XØX XXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX DER XXXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXX (-XXXXX) XXXX ABIELLUMIST/ (XX) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΤΟΝ ΓΑΜΟ/ (EN) XXXXXXX(X) BEFORE XXX XXXXXXXX/ (XX) XXX(X) XXXXX LE XXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXXXX XX xXXXXXX/ (XX) PREZIME(NA) XXXXX XXXXXXXXX BRAKA/ (IT) XXXXXXX/X XXXXX XXX XXXXXXXXXX/ (XX) UZVĀRDS(-I) XXXXX LAULĪBAS/ (XX) XXXXXXĖ (-ĖX) XXXXX XXXXXXXĄ/ (HU) CSALÁDI XXXX(X) A XXXXXXXXXÖXXX XXŐXX/ (MT) KUNJOM(/KUNJOMIJIET) XXXXX XŻ-ŻXXXĠ/ (XX) XXXXXXXX(X)X(XX) XXXX HET XXXXXXXX/ (XX) XXXXXXXX(-X) XXXXX XXXXXXXXX MAŁŻEŃSTWA/ (XX) XXXXXXX(X) XXXXX XX XXXXXXXXX/ (XX) XXXXXX ÎNAINTE XX XĂXĂXXXXX/ (SK) XXXXXXXXXX(-X) XXXX XXXXXXXXX MANŽELSTVA/ (XX) XXXXXXX/XXXXXXX PRED XXXXXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXX AVIOLIITTOA/ (XX) XXXXXXXXX FÖRE ÄKTENSKAPETS XXXÅXXXX

5.3

(XX) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА БРАКА/ (XX) XXXXXXXX(X) DESPUÉS XX CONTRAER MATRIMONIO/ (XX) XXXXXXXX XX XXXXXXXX XXXXXXXXXX/ (DA) XXXXXXXXX(X) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXX(X) NACH XXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX (-NIMED) XÄXXXX XXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΜΕΤΑ ΤΟΝ ΓΑΜΟ/ (XX) XXXXXXX(X) FOLLOWING XXX XXXXXXXX/ (FR) XXX(X) À XX XXXXX XX MARIAGE/ (XX) SLOINNE (XXXXXXXX) XXX ÉIS AN XXXXXX/ (XX) XXXXXXX(XX) XXXXX SKLAPANJA XXXXX/ (XX) XXXXXXX/X XXXX XX XXXXXXXXXX/ (XX) XXXĀXXX(-X) PĒC LAULĪBAS/ (XX) XXXXXXĖ (-ĖX) XX XXXXXXXXX/ (XX) XXXXXXX XXXX(X) A XXXXXXXXXÖXXX XXXX/ (XX) XXXXXX(/XXXXXXXXXXX) XXXX Ż-ŻXXXĠ/ (XX) ACHTERNA(A)M(EN) XX XXX XXXXXXXX/ (XX) XXXXXXXX(-X) PO XXXXXXXX XXŁŻXŃXXXX/ (XX) XXXXXXX(X) XXXX X XXXXXXXXX/ (XX) NUMELE XXXĂ XĂXĂXXXXX/ (SK) PRIEZVISKO(-Á) XX UZAVRETÍ MANŽELSTVA/ (XX) PRIIMEK/PRIIMKI XX XXXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXXXXXXX XXXXXXXXXX XÄXXXXX/ (XX) XXXXXXXXX XXXXX ÄXXXXXXXXXXX XXXÅXXXX

5.4

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) NOMBRE(S)/ (XX) XXXXX (XXXXX)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (HR) XXX(XX)/ (XX) XXXX(X)/ (LV) XĀXXX(-X)/ (XX) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (XX) ISEM(/ISMIJIET)/ (NL) XXXXXX(X)X(XX)/ (XX) XXXĘ (XXXXXX)/ (XX) NOME(S) XXXXXXX(X)/ (XX) XXXXXXX/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (FI) ETUNIMI (-XXXXX)/ (XX) XÖXXXXX

5.5

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXX/ (DA) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) GEBURTSDATUM (XX/XX/XXXX)/ (ET) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (DD/MM/YYYY) XX XXXXX/ (FR) DATE (XX/XX/XXXX) DE NAISSANCE/ (XX) DÁTA (LL/MM/BBBB) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXĐXXXX/ (XX) XXXX DI XXXXXXX (XX/XX/XXXX)/ (LV) DZIMŠANAS XXXXXX (DD/MM/GGGG)/ (XX) XXXXXX DATA (DD/MM/MMMM)/ (XX) SZÜLETÉSI IDEJE (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) TAT-TWELID/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) DATA XX XXXXXXXXXX (DD/MM/AAAA)/ (XX) XXXX (XX/XX/XXXX) XXȘXXXXX/ (XX) DÁTUM (DD/MM/RRRR) XXXXXXXXX/ (SL) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXÄXXXX (PP/KK/VVVV)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

5.6

(XX) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (DA) XØX/ (XX) XXXXXXXXXX/ (XX) XXXX/ (EL) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXX/ (IT) XXXXX/ (LV) XXXXXXX/ (XX) LYTIS/ (HU) XXXX/ (XX) XXXX/ (XX) XXXXXXXX/ (PL) XŁXĆ/ (XX) XXXX/ (XX) XXXXX/ (SK) XXXXXXXX/ (XX) XXXX/ (XX) XXXXXXXXX/ (XX) XÖX

5.6.1

(XX) ЖЕНСКИ/ (ES) XXXXX/ (XX) XXXX/ (XX) KVINDE/ (DE) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (EN) XXXXXX/ (XX) XXXXXXX/ (XX) BAINEANN/ (XX) XXXXXX/ (IT) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XŐ/ (XX) XXXX/ (NL) XXXXX/ (PL) KOBIETA/ (XX) XXXXXXXX/ (RO) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX

5.6.2

(XX) МЪЖКИ/ (XX) VARÓN/ (XX) MUŽ/ (DA) XXXX/ (XX) MÄNNLICH/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) MALE/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (HR) XXXXX/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (LT) XXXXX/ (XX) XXXXX/ (XX) XXĠXX/ (NL) MAN/ (XX) XĘŻXXXXXX/ (XX) XXXXXXXXX/ (RO) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) MIES/ (XX) XXX

5.6.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (CZ) XXXXXXXX/ (DA) XXXXXXXX/ (XX) UNBESTIMMT/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (EN) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) NENUSTATYTA/ (XX) XXXXXXXXXXXXXXX/ (MT) XXXX STABBILIT/ (XX) XXXXXXXXX/ (PL) XŁXĆ XXXXXXXŚXXXX/ (XX) XÃX XXXXXXXX/ (RO) NEDETERMINAT/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) MÄÄRITTELEMÄTÖN/ (XX) XX XXXXXXÄXXX

6.

(XX) СЪПРУГ X/ (XX) XXXXXXX B/ (XX) XXXXXX/XXXXXXXX X/ (XX) ÆXXXXÆXXX X/ (XX) XXXXXXXXXX X/ (XX) XXXXXXXX X/ (XX) ΣΥΖΥΓΟΣ Β/ (XX) XXXXXX B/ (XX) XXXXXXXX X/ (XX) XXXXX B/ (XX) XXXXXX DRUG X/ (XX) XXXXXXX B/ (XX) LAULĀTAIS X/ (XX) SUTUOKTINIS X/ (XX) „X” XXXXXXXXX/ (XX) KONJUĠI B/ (XX) XXXXXXXX(X)X(X) B/ (XX) XXŁŻXXXX B/ (XX) XÔXXXXX B/ (XX) XXȚXX B/ (XX) MANŽEL/MANŽELKA B/ (XX) XXXXXXX X/ (XX) XXXXXXX B/ (XX) XXXX/XXXX B

7.

(BG) ПОЛЕ ЗА ПОДПИС/ (XX) RECUADRO XXXX XX XXXXX/ (XX) XXXX PRO PODPIS/ (XX) UNDERSKRIFTSFELT/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) XXXXX XXXX XX XXXXXXXXX/ (GA) XXXXX DON SÍNIÚ/ (XX) POLJE XX XXXXXX/ (IT) RIQUADRO XXX XX XXXXX/ (XX) XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXX/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (XX) KAXXA XXX-XXXXXXXX/ (XX) XXX XXXX XX XXXXXXXXXXXX/ (XX) POLE XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À ASSINATURA/ (RO) XXXXĂXXXX/ (SK) XXXXXXX XX XXXXXX/ (SL) XXXXX XX 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/ (ES) XXXXXXXX(X) Y XXXXXX(X) XXX XXXXXXXXXXX XXX XXXXXXX XXXX IMPRESO/ (XX) XXXXXXXX X XXXXX (XXXXX) ÚŘEDNÍKA, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) EFTERNAVN(E) XX XXXXXXX(X) XÅ XXX XXXXXXXXXX, XXX XXX UDSTEDT XXXXX XXXXXXXX/ (DE) XXXXXXXXXXXX(X) XXX XXXXXXX(X) XXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXXXXXX HAT/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX EESNIMI (-XXXXX) XX XXXXXXXXXXXXX (-XXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) SURNAME(S) AND XXXXXXXX(X) XX XXX XXXXXXXX XXX XXXXXX XXXX FORM/ (XX) XXX(X) XX XXXXXX(X) XX FONCTIONNAIRE QUI X DÉLIVRÉ XX XXXXXXX XXXXXXXXXX/ (GA) XXXXXXX (XXXXXXXX) XXXX XXXXXXXX (XXXXXXXXXXXXXX) AN XXXXXXXX X X’XXXXXX XX FHOIRM XXX/ (XX) PREZIME(NA) X XXX(XX) SLUŽBENIKA XXXX XX XXXXX OVAJ XXXXXXX/ (XX) XXXXXXX/X X XXXX/X XXX XXXXXXXXXXX XXX XX XXXXXXXXXX IL XXXXXXXX XXXXXX/ (LV) AMATPERSONAS, XXXX XXXXXXXX XX XXXXXXXX, XXXĀXXX(-X) XX XĀXXX(-X)/ (XX) XXĄ XXXXĄ IŠDAVUSIO PAREIGŪNO XXXXXXĖ (-ĖX) XX XXXXXX (-XX)/ (HU) X 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 VOORNA(A)M(EN) XXX XX AMBTENAAR XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) I IMIĘ (XXXXXX) XXXĘXXXXX, XXXXX XXXXŁ NINIEJSZY XXXXXXXXX/ (XX) XXXXXXX(X) X XXXX(X) XXXXXXX(X) DO XXXXXXXXXXX XXX XXXXXX X PRESENTE XXXXXXXXXX/ (XX) XXXXXX ȘI XXXXXXXXX FUNCȚIONARULUI CARE X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (SL) XXXXXXX/XXXXXXX XX IME/IMENA XXXXXXXX, XX XX IZDAL XX XXXXXXX/ (FI) XÄXÄX LOMAKKEEN XXXXXXXX XXXXXXXXXXX XXXXXXXX (-NIMET) XX XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX OCH XÖXXXXX XÅ XXX XXÄXXXXXXX XXX HAR XXXÄXXXX XXXXX XXXXXXÄX

7.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXX XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) STILLING — XXX XXXXXXXXXX, XXX XXX UDSTEDT XXXXX XXXXXXXX/ (XX) XXXXXXXX DES BEAMTEN, XXX DIESES FORMULAR XXXXXXXXXXX HAT/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXX XX XXX XXXXXXXX XXX ISSUED XXXX XXXX/ (FR) XXXXX DU FONCTIONNAIRE XXX X XXXXXXX XX PRÉSENT FORMULAIRE/ (XX) XXXX XX XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (XX) FUNKCIJA XXXXXXXXXX XXXX XX IZDAO XXXX XXXXXXX/ (XX) XXXXXXXXX XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX MODULO/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX ŠO XXXXXXXX, XXXXX/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXXXX/ (MT) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ XXX IL-FORMOLA/ (XX) XXXXXXX XXX XX XXXXXXXXX XXX DIT XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX URZĘDNIKA, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX XX XXXXXXXXXXX XXX XXXXXX O XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX CARE X XXXX PREZENTUL XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (SL) XXXXXXX XXXXXXXX, KI XX XXXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX FÖR XXX XXÄXXXXXXX SOM XXX UTFÄRDAT XXXXX XXXXXXÄX

7.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) VYDÁNÍ/ (DA) XXXXXXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) DATE (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (DD/MM/MMMM)/ (HU) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (NL) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (PL) DATA (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) FÖR XXXÄXXXXXX

7.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) PODPIS/ (XX) XXXXXXXXXXX/ (DE) XXXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (EN) XXXXXXXXX/ (XX) SIGNATURE/ (XX) XXXXX/ (HR) XXXXXX/ (XX) XXXXX/ (LV) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXX/ (MT) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (PT) XXXXXXXXXX/ (XX) SEMNĂTURA/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

7.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (ES) XXXXX O TIMBRE/ (XX) XXXXX NEBO XXXXXXX/ (DA) XXXX XXXXX XXXXXXX/ (DE) XXXXXX ODER XXXXXXX/ (XX) XXXXXX VÕI XXXXXX/ (EL) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX XXXXX/ (XX) SCEAU XX XXXXXX/ (GA) XXXXX XX STAMPA/ (XX) XXX XXX XXXXX/ (IT) XXXXX X XXXXXX/ (LV) XĪXXXX XXX XXXXXXXX/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (HU) PECSÉT XXXX BÉLYEGZŐLENYOMAT/ (XX) XXĠXXX JEW XXXXXX/ (XX) ZEGEL XX XXXXXXX/ (PL) XXXXXĘĆ XXX XXXXXXX/ (XX) XXXX XX XXXXXXX/ (XX) XXXXXXXX XXX ȘXXXXXXX/ (XX) XXXXX XXXXX ODTLAČOK PEČIATKY/ (XX) PEČAT XXX XXX/ (FI) XXXXXXX XXX XXXXX/ (XX) XXXXXX XXXXX XXÄXXXX

ZPŮSOBILOST X XXXXXXXX MANŽELSTVÍ

VÍCEJAZYČNÝ XXXXXXXXXX XXXXXXXX – XXXXXXX XXX XXXXXXX

Xxxxxx 7 xxxxxxxx Xxxxxxxxxx xxxxxxxxxx x Xxxx (XX) 2016/1191 ze xxx 6. xxxxxxxx 2016 x podpoře xxxxxxx xxxxxx xxxxxx zjednodušením xxxxxxxxx na xxxxxxxxxxx xxxxxxxxx veřejných xxxxxx x Xxxxxxxx unii x x xxxxx xxxxxxxx (XX) č. 1024/2012 (1)

Xxxxxx (BE) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (DK) Německo (XX)

Xxxxxxxx (XX) Irsko (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Chorvatsko (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (LV) Litva (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxx (NL) Xxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (RO) Xxxxxxxxx (SI)

Slovensko (XX) Xxxxxx (FI)

Švédsko (XX) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

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

Xxxxx xxxxxxxx xxxxxx xxxxx xxxxxxx xxxxxxx, x xxx xx přiložen. Xxxxx, xxxxx je veřejná xxxxxxx předkládána, xxxx xxxx v případech, xxx je xx xxxxxxxx xxx xxxxx xxxxxxxxxx xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx xxxxxxxxx, xxxxx xxxx ve xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX XXXXX

Xxxxxx xxxxx xxxxxxxxx, xxxxx jsou uvedeny xx xxxxxxx listině, x xxx je xxxxxxxx xxxxx formulář. (2)

Xxxxx xxxxxxx listina, x xxx xx xxxxxxxx xxxxx xxxxxxxx, xxxxxxxxxx určité xxxxx xxxx informace, xxxxxx „–“.

1. XXXXX XXXXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

3. INFORMACE TÝKAJÍCÍ XX XXXXXXX XXXXXXX, X XXX JE XXXXXXXX TENTO FORMULÁŘ

3.1 Xxxxxxx xxxxxx orgánem xxxx xxxxxxxxx x xxxxxx na xxxxx xxxxxx členského xxxxx

3.1.1 Xxxxxxxxxx soudu

3.1.2 Listina xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx vyšším xxxxxxx úředníkem

3.1.4 Xxxxxxx xxxxxx soudním vykonavatelem („xxxxxxxx xx justice“)

3.1.5 Xxxx (xxxxxxxxx)

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

(2) Xxx xxxxxxxxxx xxxxx xxxxxxxx hůlkové písmo.

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

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

3.2 Xxxxxxx xxxxxx xxxxxxxx úřadem

3.2.1 Xxxxxxxxx

3.2.2 Výpis x xxxxxxx

3.2.3 Xxxxx z xxxxxxxx xxxxxxxx

3.2.4 Opis xxxxxxxxxx záznamů

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, kterým xxxx xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

3.5 Xxxxxxx vyhotovená xxxxxxxxxxxxx xxxxxxxxx xxxx konzulárním xxxxxxxxx xxxxxxxxx státu x rámci výkonu xxxx služebních xxxxxxxxxx

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXX O XXXXXXX XXXXX

4.1 Xxxxxxxx

4.2 Xxxxx (xxxxx)

4.3 Datum (xx/xx/xxxx) narození

4.4 Xxxxx (1) x země (2) xxxxxxxx

4.5 Xxxxxxx:

4.5.1 Xxxx

4.5.2 Xxx

4.5.3 Xxxxxxxx

4.6 Xxxxxx příslušnost:

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

5.1 Xx xxxxxxx xxxxx způsobilá xxxxxxx xxxxxxxxxx podle xxxxxxxxxxxxxx xxxxx xxxxxxxxx xxxxx, x němž xx xxxxxxx xxxxxxx vydána.

5.2 Xxxxxxx xxxxx xxxxxx xxxxxxxxxx xxxxxxxxxx xxx xxxx xxxxxx xxxxx xxxxxxxxxxxxxx práva xxxxxxxxx xxxxx, x xxxx xx xxxxxxx xxxxxxx xxxxxx.

5.3 Xxxxxxxxxx žádná xxxxx překážka, xxx xxxxxxx osoba xxxxxxxx xxxxxxxxxx xxxxx xxxxxxxxxxxxxx xxxxx členského xxxxx, x xxxx xx xxxxxxx xxxxxxx xxxxxx.

5.4 Xxxxxxxxxx xxxxx xxxxx xxxxxxxx xxxxxxxxxx mezi xxxxxxxx osobou x xxxxx snoubencem / xxxx xxxxxxxxxx podle xxxxxxxxxxxxxx xxxxx členského xxxxx, x xxxx xx xxxxxxx xxxxxxx xxxxxx.

5.5 Xxxxxxxxxx xxxxx xxxxx xxxxxxx proti xxxxxxxx xxxxxxxxxx xxxx xxxxxxxx osobou x xxxxx xxxxxxxxxx / xxxx xxxxxxxxxx xxxxx xxxxxxxxxxxxxx xxxxx xxxxxxxxx xxxxx, x němž xx xxxxxxx listina xxxxxx.

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

(2) Xxxxx xxxx x – pokud xxxxxxxx – kód XXX xxxx xxxx xxxx xxxxxxx „Xxxx (xxxxxxxxx)“ xx xxxxx xxxxxx x xxxxxxxxxxx nabídky xx vzorovém vícejazyčném xxxxxxxxxxx xxxxxxxxx, xxxxx xx x xxxxxxxxx xx portálu evropské x-xxxxxxx.

(3) Xxx xxxxxx xxxx xxxxxxxx.

6. XXXXXXXXX X XXXXXXXXX / XXXXXXXXX XXXXXXX XXXXX

4.1 Xxxxxxxx

4.2 Jméno (xxxxx)

4.3 Xxxxx (dd/mm/rrrr) narození

4.4 Xxxxx (1) x xxxx (2) xxxxxxxx

4.5 Xxxxxxx:

4.5.1 Xxxx

4.5.2 Xxx

4.5.3 Xxxxxxxx

4.6 Xxxxxx xxxxxxxxxxx

7. XXXX XXX XXXXXX

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

7.2 Xxxxxx úředníka, xxxxx xxxxx xxxxx xxxxxxxx

7.3 Xxxxx (xx/xx/xxxx) vydání

7.4 Xxxxxx

7.5 Xxxxx xxxx xxxxxxx

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

(2) Xxxxx xxxx a – xxxxx existuje – kód ISO xxxx země xxxx xxxxxxx „Xxxx (xxxxxxxxx)“ xx třeba xxxxxx x xxxxxxxxxxx nabídky xx xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxxxxxx, xxxxx xx k xxxxxxxxx xx xxxxxxx xxxxxxxx x-xxxxxxx.

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXXXXXXX K XXXXXXXX XXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX ESTE IMPRESO/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (DA) XXXXX XXXXXXXXX UDSTEDENDE XXXXXXXXX/ (XX) BEHÖRDE, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) AUTHORITY XXXXXXX XXXX XXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX PRÉSENT XXXXXXXXXX/ (XX) XX xXXXXXX X EISEOIDH XX XXXXXX XXX/ (XX) TIJELO XXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXX XXXXXX/ (LV) XXXXXXXXX XXXXXĒXXXXXĀXX/ (LT) XXĄ XXXXĄ XXXXXXXXXX VALDŽIOS XXXXXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) AWTORITÀ EMITTENTI XX' DIN IL-FORMOLA/ (XX) XXXXXXXXXX VAN XXXXXXX XXX XXX XXXXXXXXX/ (XX) ORGAN XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (XX) AUTORIDADE XXX XXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX XXXXXXXX/ (SK) XXXXX XXXXXXXXXX XXXXX FORMULÁR/ (XX) ORGAN, XX XXXX TA OBRAZEC/ (XX) XÄXÄX XXXXXXXXX XXXXXX VIRANOMAINEN/ (SV) XXXXXXXXX XXX UTFÄRDAR XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (CZ) XXXXX/ (XX) BETEGNELSE/ (XX) XXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) DÉNOMINATION/ (XX)XXXXXXX/ (XX) NAZIV/ (XX) XXXXXXXXXXXXX/ (LV) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (MT) XXXXX/ (XX) XXXXXXXX/ (XX) NAZWA/ (XX) XXXXXXXÇÃX/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) XXX/ (FI) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XX DOCUMENTO XXXXXXX XX QUE XX ADJUNTA XXXX XXXXXXX/ (XX) ORGÁN XXXXXXXXXX VEŘEJNOU LISTINU, X XXX JE XXXXXXXX XXXXX XXXXXXXX/ (XX) XXX XXXXXXXXX, XXX HAR XXXXXXX XXX XXXXXXXXXX DOKUMENT, XXX XXXXX XXXXXXXX XX VEDHÆFTET/ (XX) XXXÖXXX, XXX XXX ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX, AUSSTELLT/ (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/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXX XXXXXXXX XX XXXXX XXXX XXXX IS XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X EISEOIDH XX XXXXXXXXX XXXXXX XXXX XXXXXX AN XXXXXX SEO XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXX JAVNU XXXXXXX XXXXX JE OVAJ XXXXXXX XXXXXXXX/ (IT) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXXX PUBBLICO XXX IL XXXXXXXX XXXXXX È ALLEGATO/ (XX) XXXXXXXĀ XXXXXXXXX, XXXXX ŠĪ XXXXXXXX XX XXXXXXXXXX, IZDEVĒJIESTĀDE/ (XX) XXXXĄXĮ DOKUMENTĄ, XXXX KURIO XXXXXXXXX XX XXXXX, IŠDUODANTI XXXXXXXX INSTITUCIJA/ (XX) X XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) AWTORITÀ XXXXXXXXX XXX-XXXXXXXX PUBBLIKU LI XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (NL) XXXXXXXXXX VAN XXXXXXX XXX XXX OPENBAAR XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXX WYDAJĄCY XXXXXXXX URZĘDOWY, DO XXXXXXX NINIEJSZY FORMULARZ XXXX ZAŁĄCZONY/ (PT) XXXXXXXXXX QUE XXXXX X XXXXXXXXX XXXXXXX X QUE O XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (RO) XXXXXXXXXXX XXXXXXXĂ X DOCUMENTULUI XXXXXXX LA XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXX XXXXXXXXXX XXXXXXX LISTINU, XX KTOREJ JE XXXXX FORMULÁR PRIPOJENÝ/ (XX) ORGAN, KI XXXX JAVNO XXXXXXX, XX JI XX XXXXXXXX TA OBRAZEC/ (XX) XXXXXXXXXXXX, XXXX XX ANTANUT XXXXXXX XXXXXXXXXX, XXXXX TÄMÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX SOM XXXÄXXXX XXX XXXXXXXXXX HANDLING XXXX XXXXXX DETTA XXXXXXÄX ÄR XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) INFORMACIÓN XXXXXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX/ (CZ) INFORMACE XXXXXXXX XX VEŘEJNÉ XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) OPLYSNINGER XXXXØXXXXX DET XXXXXXXXXX XXXXXXXX, XXX DENNE XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXX ZUR ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX FORMULAR XXXXXXÜXX XXX/ (ET) XXXXX XXXXXXX XXXXXXXXX XXXXX, XXXXXXX XXX VORM XX LISATUD/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX XX THE XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX LE XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX X XXXXXXXXX XXXX AN DOICIMÉAD XXXXXX XXXX BHFUIL XX XXXXXX XXX XXXXXXXXXX/ (HR) INFORMACIJE XXXX SE ODNOSE XX XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (IT) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXXX CUI XX XXXXXXXX MODULO È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX XX VIEŠUOJU DOKUMENTU, XXXX XXXXX PRIDEDAMA XX XXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX PUBBLIKU LI XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX HET XXXXXXXX DOCUMENT XXXXXXX XXX FORMULIER XX XXXXXXX/ (PL) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX NINIEJSZY XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX XXXXXXXXX XXXXXXX X XXX O XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX DOCUMENTUL XXXXXXX XX CARE XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) INFORMÁCIE X VEREJNEJ XXXXXXX, XX KTOREJ XX XXXXX FORMULÁR XXXXXXXXX/ (XX) INFORMACIJE V XXXXX X XXXXX XXXXXXX, XX XX XX XXXXXXXX TA XXXXXXX/ (XX) XXXXXX XXXXXXXXÄ ASIAKIRJASTA, XXXXX XÄXÄ LOMAKE LIITETÄÄN/ (XX) INFORMATION OM XXX XXXXXXXXXX HANDLING 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) DOCUMENTO XXXXXXXX XXX UNA XXXXXXXXX O XX XXXXXXXXXXX XXXXXXXXX X XXX ÓRGANOS JURISDICCIONALES XX XX XXXXXX XXXXXXX/ (XX) LISTINA XXXXXX XXXXXXX XXXX XXXXXXXXX S VAZBOU XX SOUDY XXXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXXX, DER ER XXXXXXX XX XX XXXXXXXXX XXXXX XX XXXXXXXXXX, DER XX XXXXXXXXXX XXXXXXXX X XX XXXXXXXXXXX/ (XX) XXXXXXX EINER XXXÖXXX XXXX EINER XXXXXXXXXX XXX XXXXX DER XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXXXX XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΈΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXX XX XX XXXXXXXX CONNECTED WITH XXX XXXXXX XX XXXXXXXXX XX X XXXXXX STATE/ (XX) XXXXXXXX XXXXXXX D'UNE XXXXXXXX XX X'XX XXXXXXXXXXXXX XXXXXXXX X'XXX XXXXXXXXXXX X'XX ÉTAT XXXXXX/ (XX) XXXXXXXXX X THAGANN Ó XXXXXX NÓ X XXXXXXXXX X XXXXXX XXXXX XXXX XX XXXX XX XXXXXXXXXX XX XX XXXXX XX CHUID BALLSTÁIT/ (XX) XXXXXXX XXXX XX IZDALO TIJELO XXX XXXXXXXXX SUDA XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ X DA XX XXXXXXXXXXX XXXXXXXXXXXX XX UNA XXXXX XXXXXXXXXXXXX XX XXX XXXXX XXXXXX/ (XX) XXXXXXXXX, KURU IZSNIEGUSI XX XXXĪXXXXXXX TIESĀM XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (XX) DOKUMENTAS, XXXXXXXX XXXXXXXX INSTITUCIJOS XX PAREIGŪNO, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX BÍRÓSÁGGAL XXXXXXXXXXXX XXXX XXXXXXX XXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ XXX XXXXĊXXX XX JKOLLHOM RABTA XXX-XXXXX XXX IT-TRIBUNALI XX' STAT XXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX XX XXXXXXXXX BEHORENDE XXX XXX XXXXXXXXXXXX XXXXXXXXX VAN XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXX XĄXXXXXX XXX URZĘDNIKA XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX AUTORIDADE XX XX UM XXXXXXXXXXX XXXXXXXXXX XX XXXXXXXX XXXXXXXÇÃX DE XX XXXXXX-XXXXXX/ (XX) XXXXXXXX XXXX XX X AUTORITATE SAU XX XX XXXXȚXXXXX XX XX XÂXXĂ XXXXXXȚXXX XXXX STAT XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX ALEBO XXXXXXXXX X XÄXXXX XX XXXX XXXXXXXXX XXXXX/ (XX) LISTINA, XXXXXX X XXXXXX XXXXXX ALI XXXXXXXX XXXXX OBLASTI XXXXXX XXXXXXX/ (FI) XXXXXXXXX, XXXXX XX ANTANUT XÄXXXXXXXXXX OIKEUSLAITOKSEEN XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN EN XXXXXXXXX ELLER XX XXÄXXXXXXX XXXXXÖXXXXX DOMSTOLSVÄSENDET X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (DE) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (EL) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) XXXXXXXX DE XXXXXXX/ (XX) CINNEADH ÓN xXXXXX/ (XX) XXXXXX XXXXXX/ (XX) DECISIONE XXXXXXXXXXXXXXX/ (LV) TIESAS XĒXXXX/ (XX) TEISMO XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXX/ (XX) DEĊIŻJONI XXX-XXXXX/ (XX) RECHTERLIJKE XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (PT) DECISÃO XXXXXXXX/ (XX) HOTĂRÂRE XXXXXĂXXXXXXXĂ/ (SK) SÚDNE XXXXXXXXXXX/ (XX) XXXXX XXXXXXX/ (FI) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX EL XXXXXXXXXX XXXXXX/ (CZ) XXXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX RIIKLIK XÜÜXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX EMANATING XXXX X XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX DU MINISTÈRE XXXXXX/ (XX) DOICIMÉAD X XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (HR) XXXXXXX XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX EMANATO XXX PUBBLICO XXXXXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX PROKURORS/ (XX) XXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (XX) ÜGYÉSZ XXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXĠ MINN XXXXXXXXXX PUBBLIKU/ (XX) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXX MINISTERIE/ (XX) XXXXXXXX POCHODZĄCY XX PROKURATORA/ (PT) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX EMIS XX XX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) LISTINA, KI XX XXXX DRŽAVNO XXXXXXXXX/ (XX) VIRALLISEN XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXXXX/ (XX) LISTINA VYDANÁ XXXXXX SOUDNÍM XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXÆX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXX DER XXXXXÄXXXXXXXXX XXXXX GERICHTS/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX KOHTUAMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX EMANATING XXXX X CLERK XX X XXXXX/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X CHLÉIREACH XX XXXXX CÚIRTE/ (XX) XXXXXXX XXXX JE XXXXX XXXXXXXXXX XXXXXX XXXXXXXXX/ (IT) DOCUMENTO XXXXXXX DA XX XXXXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (LT) XXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXXXŐ XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ XXXX XXĠXXXXXXXX XX' XXXXX/ (NL) XXXXXXXX XXXXXXXXX DOOR EEN XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX SEKRETARZA XĄXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX DE XX XXXXXXX XX JUSTIÇA/ (XX) XXXXXXXX XXXX XX UN XXXXXXX XX XXXXXXȚXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXX/ (SL) XXXXXXX, XX XX IZDA XXXXX USLUŽBENEC/ (XX) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXX/ (SV) HANDLING XXX XÄXXÖX XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXX XXXXXXXX XXX UN XXXXXX JUDICIAL («HUISSIER XX XXXXXXX»)/ (XX) XXXXXXX XXXXXX SOUDNÍM XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX XX XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX ANDNUD XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXXXX XXXXXXX ('XXXXXXXX DE XXXXXXX')/ (XX) XXXXXXXX XXXXXXX D'UN XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXX A THAGANN X OIFIGEACH XXXXXXXXXXXX (“XXXXXXXX DE XXXXXXX”)/ (XX) XXXXXXX XXXX XX XXXXX XXXXXX XXXXXXXXX (HUISSIER XX XXXXXXX)/ (XX) DOCUMENTO XXXXXXX DA UN XXXXXXXXX GIUDIZIARIO ("XXXXXXXX XX JUSTICE")/ (LV) XXXXXXXXX, XXXX IZSNIEDZIS XXXXXX XXXXXXĪXĀXX (HUISSIER XX JUSTICE)/ (XX) XXXXXXXXX (XXXXXXXX DE XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX JUSTICE”) XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX UFFIĊJAL ĠUDIZZJARJU ('XXXXXXXX DE XXXXXXX')/ (XX) DOCUMENT XXXXXXXXX XXXX EEN XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX XXXĘXXXXX XĄXXXXXX (XXXXXXXX DE XXXXXXX)/ (XX) XXXXXXXXX PROVENIENTE XX XX XXXXXXÃX XX XXXXXXX («XXXXXXXX XX JUSTICE»)/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (XX) LISTINA XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXX, KI JO XXXX XXXXX XXXXXXXXXX („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX XX XXXXXXX”) ANTAMA XXXXXXXXX/ (SV) XXXXXXXX XXX HÄRRÖR FRÅN XX XXÄXXXXXXXXX (HUISSIER XX JUSTICE)

3.1.5

(BG) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) JINÉ (XXXXXXXXX)/ (XX) XXXXX (ANGIVES)/ (XX) SONSTIGES (BITTE XXXXXXX)/ (ET) XXX (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX XX XXXXXXXXX)/ (XX) AUTRE (À XXXXXXXX)/ (XX) XXXX (XX SONRÚ)/ (XX) XXXXXX (XXXXXXX)/ (IT) XXXXX (XXXXXXXXX)/ (XX) XXXX (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (XX) XXXXX (KÉRJÜK XXXXXXXXXXX)/ (XX) OĦRAJN (IPPREĊIŻA)/ (XX) OVERIGE (XXXXXXXXXXXX)/ (XX) XXXX (XXXXXĘ XXXXŚXXĆ)/ (PT) XXXXXX (X XXXXXXXXXXX)/ (RO) XXXXX (A XX XXXXXXX)/ (XX) INÉ (XXXXXXXX)/ (XX) DRUGO (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (SV) XXXXX HANDLING (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX ADMINISTRATIVO/ (CZ) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (DA) XXXXXXXXXXXXXX XXXXXXXX/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (ET) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ (XX) UPRAVNA XXXXXXX/ (IT) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (LT) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) DOKUMENT XXXXXXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (SK) XXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (ET) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) CERTIFICAT/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (IT) CERTIFICATO/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (PT) XXXXXXÃX XX CERTIFICADO/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (SV) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) EXTRACTO XXX XXXXXXXX XXXXX/ (XX) XXXXX Z MATRIKY/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX XXX DEM PERSONENSTANDSREGISTER/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) EXTRACT XXXX THE XXXXX XXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XX L'ÉTAT XXXXX/ (XX) XXXXXXX XX XX gCLÁR XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXX XXXXXX/ (IT) XXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXX NO CIVILSTĀVOKĻA XXXX REĢISTRA/ (XX) XXXXXXX XX XXXXXXXĖX XŪXXĖX AKTŲ REGISTRO/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊIVILI/ (XX) XXXXXXXXXX XXX HET XXXXXXXX VAN XX XXXXXXXXXXX STAND/ (XX) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (PT) XXXXXXX XX XXXX XX XXXXXXX XXXXX/ (XX) XXXXXX XXX XXXXXXXXX XX STARE XXXXXĂ/ (XX) XXXXX X XXXXXXXX OSOBNÉHO XXXXX/ (XX) XXXXXXX XX XXXXXXXX X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) XXXXXX XX FOLKBOKFÖRINGEN

3.2.3

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (ES) XXXXXXXX XXX XXXXX/ (XX) VÝPIS Z XXXXXXXX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) AUSZUG AUS XXX MELDEREGISTER/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX FROM XXX XXXXXXXXXX REGISTER/ (FR) XXXXXXX XX XXXXXXXX XX XX XXXXXXXXXX/ (XX) SLIOCHT XX XX xXXXX DAONRA/ (XX) XXXXXXX IZ XXXXXX STANOVNIŠTVA/ (IT) XXXXXXXX XXXXXXXXXX/ (LV) XXXXXXXX XX XXXXĪXXXĀXX XXĢXXXXX/ (LT) XXXXXXX XX XXXXXXXXŲ XXXXXXXX/ (XX) XXXXXXX X XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX X XXXXXXXX LUDNOŚCI/ (XX) XXXXXXX XX REGISTO XX XXXXXXÇÃX/ (RO) XXXXXX DIN REGISTRUL XX XXXXXXȚĂ X XXXXXXȚXXX/ (XX) VÝPIS X XXXXXXXX XXXXXXXĽXX/ (XX) IZPISEK XX XXXXXXXX XXXXXXXXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) COPIA LITERAL XX XXXXX DEL XXXXXXXX CIVIL/ (XX) XXXX MATRIČNÍCH XXXXXXX/ (XX) ORDRET XXXX XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) PEREKONNASEISUAKTI XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) VERBATIM XXXX XX CIVIL XXXXXX XXXXXXX/ (XX) XXXXX XXXXXXXXX X'XXXXX XX L'ÉTAT XXXXX/ (XX) XXXX XXXXX XX XXXXXX XX XXXXXXX XX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX IZ XXXXXXXXXX X XXXXXXX XXXXXX/ (XX) COPIA LETTERALE XX XXXX XX XXXXX XXXXXX/ (LV) XXXXXXXĀXXXĻX AKTU REĢISTRA XXXXXXXX AUTENTISKA XXXXXX/ (XX) CIVILINĖS XŪXXĖX XXXŲ ĮXXXŲ PAŽODINĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX SZÓ SZERINTI XXXXXXXX/ (XX) XXXXX XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXX XXX XXXXX XXX XX XXXXXXXXXXX XXXXX/ (PL) XXXXX XXXXŁXX AKTU STANU XXXXXXXXX/ (XX) XXXXXXÃX XX CÓPIA XXXXXXXX XX XX XXXXXXXXX XX XXXX XX XXXXXXX XXXXX/ (XX) XXXXX XXXXXĂ A XXXX XXX XX XXXXX XXXXXĂ/ (XX) XXXXXXXX XXXXX XX XXXXXXX X OSOBNOM XXXXX/ (XX) XXXXXXXXX XXXXXX LISTIN X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX XX FOLKBOKFÖRINGSHANDLING

3.3

(BG) НОТАРИАЛЕН АКТ/ (XX) ACTA XXXXXXXX/ (XX) NOTÁŘSKÁ XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (DE) XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) ACTE XXXXXXX/ (XX) XXXXXX NÓTAIREACHTA/ (XX) XXXXXXXXXXXXXXXX ISPRAVA/ (XX) ATTO XXXXXXXX/ (XX) XXXXXXĀXX AKTS/ (XX) NOTARINIS AKTAS/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (XX) XXX XXXXXXXXXX/ (XX) XXX NOTARIAL/ (XX) XXX NOTARIAL/ (XX) XXXXXXXX XXXXXXX/ (XX) NOTARSKA XXXXXXX/ (XX) XXXXXXXX ANTAMA XXXXXXXXX/ (SV) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX XXXXXX SOBRE XX XXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXX, XXXXXX XXXX OPATŘENA XXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) OFFICIEL XÅXXXXXXX XÅ ET XXXXXXXX XXXXXXXXXXX AF EN XXXXXX X XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX EINER PRIVATURKUNDE/ (XX) XXXXX XXXXX XXXXXXXXXX ALLKIRJASTATUD XXXXXXXXXXX XXXXXXXXXX XXXXXXX XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) OFFICIAL XXXXXXXXXXX PLACED XX X XXXXXXXX XXXXXX XX X XXXXXX XX HIS XX XXX XXXXXXX CAPACITY/ (XX) DÉCLARATION XXXXXXXXXX XXXXXXX SUR UN XXXX SOUS XXXXX XXXXX/ (XX) DEIMHNIÚ XXXXXXXXX A CHUIRTEAR XX XXXXXXXXXX ARNA XXXXXX AG DUINE XXX XXXXX XX XXX CÁIL XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX NA XXXXXXX XXXX XX XXXXX XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXĀXX XXXXXXXXĀXXXX XX DOKUMENTA, XX XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX PERSONA/ (XX) XXXXXXXŲ XXXXXŲ PASIRAŠYTŲ XXXXXXXXŲ XXXXXXXŪX PATVIRTINIMAI/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX TANÚSÍTVÁNY/ (XX) ĊXXXXXXXXX XXXXĊXXXX LI XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX PERSUNA XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX OP XXX XXXXXXXX XXXXXXXXXXX XXXX XXX PERSOON XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (PL) URZĘDOWE XXŚXXXXXXXXXX XXXXXXXXXXX NA XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÃX XXXXXXX INSERTA XXX XXX XX XXXXXXXX PRIVADA/ (XX) XXXXXXXXXX XXXXXXX XXXXXXX XX UN DOCUMENT XXX XXXXĂXXXĂ PRIVATĂ/ (XX) ÚRADNÉ XXXXXXXXXX XXXXXXX NA XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXX XX XXXXXXX LISTINI/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, XXXXX HENKILÖ XX ALLEKIRJOITTANUT YKSITYISHENKILÖNÄ/ (XX) XXXXXXXXXX XXXXX XXXXXXXXX PÅ EN XXXXXXXX SOM XXXXXXXXXXXXX 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 X XXXXXXXX XX XX XXXXXX XXXXXXX XXX XXXXXXXX OFICIAL/ (CZ) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX NEBO XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX VÝKONU XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX OFFICIELT XXXÆXXXXXX AF XX XXXXXXXXXXXX DIPLOMATISKE ELLER XXXXXXÆXX REPRÆSENTANT/ (DE) XXX XXXXX XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX VERTRETER XXXXX XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX 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/ (XX) DOCUMENT XXXXX XX BY X XXXXXXXXXX OR XXXXXXXX XXXXX XX X XXXXXX XXXXX IN XXX OR HER XXXXXXXX CAPACITY/ (FR) XXXXXXXX XXXXXX XX XX QUALITÉ OFFICIELLE XXX XX AGENT XXXXXXXXXXXX OU XXXXXXXXXX X'XX XXXX XXXXXX/ (XX) DOICIMÉAD XXXX XXXXXXXXXX XXXX AG XXXXXXXXXX TAIDHLEOIREACHTA XX XXXXXXXXX XX XXXXX XXXXXXXXX XXX CHÁIL XX INA XXXX XXXXXXXXX/ (HR) XXXXXXX XXXX JE X XXXXXXXXX SVOJSTVU XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX ČLANICE/ (XX) DOCUMENTO XXXXXXX XX XXXXXX XXXXXXXXXXX X XXXXXXXXX XX XXX STATO XXXXXX XXXX'XXXXXXXXX DELLE LORO XXXXXXXX/ (XX) DOKUMENTS, XXXX, PILDOT AMATA XXXXĀXXXXX, XXXXXXXXXXX DALĪBVALSTS XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (XX) DOKUMENTAS, XXXXXXXXX XXXXXXXĖX NARĖS XXXXXXXXX AR XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX PAGAL XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX KONZULI KÉPVISELŐJE XXXXX XXXXXXXXX MINŐSÉGÉBEN XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX IMĦEJJI XXXX XĠXXX XXXXXXXXXXX XXX XXXXXXXXX TA' STAT XXXXXX FIL-KAPAĊITÀ XXXXĊXXXX XXXXĦX/ (NL) DOCUMENT XXXXXXXXX XXXX XX XXXXXXXXXXXX OF XXXXXXXXXX XXXXXXXXX XXX EEN XXXXXXXX IN ZIJN XXXXXXËXX XXXXXXXXXXXX/ (XX) XXXXXXXX SPORZĄDZONY XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX LUB XXXĘXXXXX XXXXXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX DZIAŁAJĄCYCH X XXXXXXXXXXX XXXĘXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XX XXXXXX XXXXXXXXXXX XX XXXXXXXX XX XX XXXXXX-XXXXXX XX XXXXXXXXX XXX SUAS XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX XX XĂXXX UN XXXXX XXXXXXXXXX XXX XXXXXXXX XX UNUI XXXX XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM XXXXXXXXX XXXXX KONZULÁRNYM XXXXXXXXX XXXXXXXXX ŠTÁTU V XXXXX VÝKONU JEHO XXXXXXX/ (XX) XXXXXXX, XX JO KOT XXXXXX OSEBA IZDA XXXXXXXXXXX ALI XXXXXXXXXX XXXXXXXXXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (SV) XXXXXXXX XXXXÄXXXX I XXÄXXXXX XX XX XXXXXXXXXXX ELLER XXXXXXÄX XXÄXXXXXXX X XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (DA) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX DÉLIVRANCE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/GGGG) XXXXXXXXX/ (XX) DATA XX RILASCIO (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X KIÁLLÍTÁS XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) XXXXX (DD/MM/JJJJ) XXX XXXXXXX/ (PL) DATA (XX/XX/XXXX) WYDANIA/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) EMITERII/ (XX) XXXXX (XX/XX/XXXX) VYDANIA/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) ANTAMISPÄIVÄ (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) XXXXXXXXXX ČÍSLO XXXXXXX XXXXXXX/ (XX) XXX XXXXXXXXXX DOKUMENTS XXXXXXXXXXXXXXX/ (DE) XXXXXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX XX THE XXXXXX DOCUMENT/ (XX) XXXXXX XX RÉFÉRENCE XX XXXXXXXX XXXXXX/ (XX) XXXXXX THAGARTHA XX DOICIMÉID XXXXXXX/ (XX) XXXXXXXXXX XXXX XXXXX ISPRAVE/ (IT) XXXXXX XX XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX/ (XX) PUBLISKĀ DOKUMENTA XXXXXXXX XXXXXX/ (LT) XXXXXXX DOKUMENTO XXXXXXX/ (XX) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (MT) XXXXX TA' REFERENZA XXX-XXXXXXXX XXXXXXXX/ (NL) XXXXXXXXXXXXXXXX VAN HET XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXX XX XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX XX REFERINȚĂ XX XXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX ČÍSLO XXXXXXXX LISTINY/ (XX) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) YLEISEN XXXXXXXXXX VIITENUMERO/ (SV) XXX OFFICIELLA HANDLINGENS XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX XX XXXXXXXXXX/ (XX) INFORMACE X XXXXXXX XXXXX/ (XX) XXXXXXXXXXX XX XXX XÅXÆXXXXXX PERSON/ (XX) XXXXXXX ZUR XXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXX XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX THE XXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXX XXX XX XXXXXXXX XXXXXXXXX/ (GA) XXXXXXXX XXXXXX LEIS XX XXXXX XXXX xXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXXXXX XXXXX/ (IT) XXXXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXĪXX XXXXXXX/ (XX) XXXXXXXXXXX APIE XXXXXXXXXĄ ASMENĮ/ (XX) XX XXXXXXXX SZEMÉLYRE XXXXXXXXX XXXXXX/ (MT) XXXXXXXXXXXXX DWAR IL-PERSUNA XXXXĊXXXXXX/ (XX) INFORMATIE XXXX XX XXXXXXXXXX/ (XX) XXXX OSOBY, XXXXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÇÕXX SOBRE X XXXXXX XX XXXXX/ (RO) XXXXXXXȚXX XXXXXXX XXXXXXXX XXXXXĂ/ (XX) XXXXXXXXXX X XXXXXXXXX OSOBE/ (XX) XXXXXXXXXXX X ZADEVNI XXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX TIEDOT/ (XX) XXXXXXXXX XX DEN XXXÖXXX XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X)/ (XX) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (DE) FAMILIENNAME(N)/ (XX) XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (EN) XXXXXXX(X)/ (FR) XXX(X)/ (XX) XXXXXXX (XXXXXXXX)/ (XX) PREZIME(NA)/ (IT) XXXXXXX(X)/ (XX) UZVĀRDS(-I)/ (XX) PAVARDĖ (-ĖX)/ (XX) XXXXXXX NEVE(I)/ (XX) KUNJOM(/KUNJOMIJIET)/ (XX) XXXXXXXX(X)X(XX)/ (XX) NAZWISKO(-A)/ (XX) XXXXXXX(X)/ (XX) XXXX/ (XX) XXXXXXXXXX(-X)/ (XX) PRIIMEK/PRIIMKI/ (XX) XXXXXXXX (-XXXXX)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) XXXXX (XXXXX)/ (XX) XXXXXXX(X)/ (DE) VORNAME(N)/ (XX) XXXXXXX (-NIMED)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) CÉADAINM (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (LV) VĀRDS(-I)/ (XX) XXXXXX (-AI)/ (XX) UTÓNEVE(I)/ (XX) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (IMIONA)/ (XX) XXXX(X) XXXXXXX(X)/ (XX) XXXXXXX/ (XX) XXXX(-X)/ (XX) IME/IMENA/ (XX) XXXXXXX (-NIMET)/ (XX) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) FECHA (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) NAROZENÍ/ (XX) FØDSELSDATO (XX/XX/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/ (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)/ (LT) XXXXXX XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) DATA (JJ/XX/SSSS) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (PL) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX DE NASCIMENTO (XX/XX/XXXX)/ (RO) DATA (XX/XX/XXXX) NAȘTERII/ (XX) XXXXX (XX/XX/XXXX) NARODENIA/ (XX) DATUM (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 XXXXXXXXXX/ (XX) XXXXX X XXXX XXXXXXXX/ (XX) XØXXXXXX XX -LAND/ (XX) ORT XXX XXXX XXX GEBURT/ (XX) XÜXXXXXXX XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX XXX XXXXXXX OF BIRTH/ (XX) XXXX ET XXXX XX XXXXXXXXX/ (XX) XXX AGUS XXX XXXXXXXX/ (XX) XXXXXX X ZEMLJA XXĐXXXX/ (IT) XXXXX X XXXXX DI XXXXXXX/ (XX) DZIMŠANAS XXXXX UN XXXXXX/ (XX) XXXXXX VIETA XX XXXXX/ (XX) XXÜXXXXXX XXXXX XX XXXXXXX/ (MT) XXXX X PAJJIŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX XX -XXXX/ (PL) XXXXXXX X XXŃXXXX URODZENIA/ (XX) XXXXX X XXXX DE XXXXXXXXXX/ (XX) LOCUL ȘX ȚXXX XXȘXXXXX/ (XX) XXXXXX X ŠTÁT XXXXXXXXX/ (XX) XXXX XX XXXXXX XXXXXXX/ (XX) XXXXXXÄXXXXXX JA -XXX/ (SV) XÖXXXXXXXX XXX -XXXX

4.5

(XX) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (XX) KØN/ (XX) XXXXXXXXXX/ (XX) XXXX/ (EL) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (XX) INSCNE/ (XX) XXXX/ (IT) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (HU) XXXX/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXX/ (XX) SUKUPUOLI/ (XX) XÖX

4.5.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) ŽENA/ (XX) KVINDE/ (XX) XXXXXXXX/ (ET) XXXXXXXXX/ (XX) ΘΗΛΥ/ (EN) XXXXXX/ (XX) FÉMININ/ (XX) XXXXXXXX/ (XX) XXXXXX/ (IT) XXXXXXXXX/ (XX) SIEVIETE/ (XX) XXXXXXX/ (XX) XŐ/ (XX) XXXX/ (XX) XXXXX/ (PL) KOBIETA/ (XX) FEMININO/ (XX) XXXXXXXX/ (SK) XXXXXX/ (XX) ŽENSKI/ (XX) XXXXXX/ (SV) XXXXXX

4.5.2

(XX) МЪЖКИ/ (XX) VARÓN/ (XX) XXX/ (DA) XXXX/ (XX) MÄNNLICH/ (XX) XXXXXXXXX/ (EL) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (HR) XXXXX/ (XX) MASCHILE/ (XX) XĪXXXXXX/ (LT) VYRAS/ (XX) FÉRFI/ (MT) XXĠXX/ (XX) XXX/ (XX) XĘŻXXXXXX/ (XX) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (SL) XXXXX/ (XX) XXXX/ (XX) XXX

4.5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (DA) XXXXXXXX/ (XX) UNBESTIMMT/ (ET) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (EN) XXXXXXXXXXXX/ (XX) INDÉTERMINÉ/ (XX) XXXXXXXXXXXXXXX/ (HR) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX STABBILIT/ (XX) XXXXXXXXX/ (XX) XŁXĆ XXXXXXXŚXXXX/ (PT) XÃX XXXXXXXX/ (XX) NEDETERMINAT/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (FI) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

4.6

(XX) ГРАЖДАНСТВО/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX PŘÍSLUŠNOST/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX-XXXXXÖXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) ΙΘΑΓΕΝΕΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXĪXX/ (XX) XXXXXXXXĖ/ (XX) ÁLLAMPOLGÁRSÁGA/ (XX) ĊXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (RO) XXXĂȚXXXX/ (XX) ŠTÁTNA XXXXXXXXXXX/ (SL) DRŽAVLJANSTVO/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX

5.

(XX) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) SEGÚN XX DOCUMENTO XXXXXXX XX QUE SE XXXXXXX XXXX IMPRESO,/ (XX) NA XXXXXXX XXXXXXX XXXXXXX, X XXX XX PŘILOŽEN XXXXX XXXXXXXX,/ (XX) X HENHOLD XXX XXX XXXXXXXXXX XXXXXXXX, XXX DENNE XXXXXXXX XX XXXXÆXXXX/ (XX) XXXÄXX DER ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX IST/ (XX) VASTAVALT AVALIKULE XXXXXXXXXXX, XXXXXXX XXX XXXX ON XXXXXXX/ (XX) ΣΥΜΦΩΝΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) ACCORDING XX THE XXXXXX XXXXXXXX XX WHICH XXXX FORM XX XXXXXXXX/ (FR) X'XXXÈX XX DOCUMENT XXXXXX XXXXXX XX XXXXXXX XXXXXXXXXX XXX JOINT/ (XX) XX RÉIR XX XXXXXXXXX PHOIBLÍ XXXX XXXXXX XX XXXXXX SEO CEANGAILTE/ (XX) XXXXX JAVNOJ XXXXXXX KOJOJ JE XXXX OBRAZAC PRILOŽEN/ (XX) XXXXXXX XX XXXXXXXXX PUBBLICO XXX XX XXXXXXXX XXXXXX È ALLEGATO/ (XX) XXXXXŅĀ AR PUBLISKO XXXXXXXXX, KURAM XĪ XXXXXXXX XX XXXXXXXXXX/ (XX) PAGAL XXXXĄXĮ XXXXXXXXĄ, PRIE XXXXX XXXXXXXXX XX XXXXX/ (XX) A XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXX SZERINT/ (XX) XXXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) X XXXXXXXXX XXXĘXXXXXX, XX KTÓREGO XXŁĄXXXXX XXXX NINIEJSZY XXXXXXXXX, XXXXXX, ŻE/ (XX) XXXXXXX X XXXXXXXXX XXXXXXX X QUE X PRESENTE XXXXXXXXXX XXXX XXXXXX/ (RO) ÎX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (SK) XXXĽX XXXXXXXX XXXXXXX, XX XXXXXX XX XXXXX FORMULÁR XXXXXXXXX/ (XX) X SKLADU X XXXXX LISTINO, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) XXX XXXXXXX XXXXXXXXXX XXXXXX, XXXXX XÄXÄ XXXXXX LIITETÄÄN/ (XX) ENLIGT XXX XXXXXXXXXX HANDLING XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

5.1

(XX) СЪОТВЕТНОТО ЛИЦЕ ПРИТЕЖАВА БРАЧНА ДЕЕСПОСОБНОСТ СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) XX XXXXXXXXXX TIENE XXXXXXXXX XXXX XXXXXXXX XXXXXXXXXX XXX XXXXXXX AL XXXXXXX XXXXXXXX DEL XXXXXX XXXXXXX XX XXXXXXXXXX XXX DOCUMENTO XXXXXXX/ (XX) JE XXXXXXX XXXXX XXXXXXXXX XXXXXXX XXXXXXXXXX PODLE XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXX XX XXXXXXX XXXXXXX XXXXXX/ (DA) DEN XÅXÆXXXXXX XXXXXX XXX XXXXXX XXX XX XXXXX XXXXÅ ÆXXXXXXX X HENHOLD XXX XXXXXXXX XXX I XXX XXXXXXXXXXX, HVOR XXX OFFENTLIGE XXXXXXXX XX XXXXXXX/ (DE) XXX DIE XXXXXXXXXXX XXXXXX XXXX XXX XXXXXXXXXX XXXXX DES XXXXXXXXXXXXXX, XX XXX XXX ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, XXXXÄXXX/ (XX) XX XXXXXXXXX XXXX AVALIKU XXXXXXXXX XÄXXX XXXXXX XXXXXXXXXXXX ÕXXXXX XXXXXXXX XXXXXXXÕXXXXXXX/ (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/ (XX) THE XXXXXX XXXXXXXXX XXX XXX CAPACITY XX XXXXX XXXXX XXX XXXXXXXX LAW OF XXX XXXXXX XXXXX XXXXX XXX XXXXXX XXXXXXXX XX XXXXXX/ (XX) XX XXXXXXXX XXXXXXXXX XXXX XX XXXXXX XX XXXXX XX DROIT NATIONAL XX L'ÉTAT MEMBRE XÙ XX XXXXXXXX XXXXXX XXX XXXXXXX/ (XX) XX XX XXXXX XXXX mBAINEANN XXX XXXXXX CHUN XXXXXX XXXX XXXX XXXXXXXXX AN BHALLSTÁIT XXX nDÉANTAR XX XXXXXXXXX XXXXXX X XXXXXXXX/ (XX) DOTIČNA XXXXX XXX XXXXXXXXXX XX XXXXXXXXX BRAKA XXXXX XXXXXXXXXXX PRAVU XXXXXX XXXXXXX X XXXXX XX XXXXX XXXXXXX XXXXXX/ (XX) XX PERSONA XXXXXXXXXXX XXXXXXXX XX XXXXXXXÀ XX CONTRARRE XXXXXXXXXX X NORMA XXX XXXXXXX NAZIONALE DELLO XXXXX XXXXXX XXX XXXXXXXX IL DOCUMENTO XXXXXXXX/ (XX) XXXXXXĪXĀ XXXXXXX XXĒX DOTIES XXXXĪXĀ XXXXXŅĀ AR XĀX DALĪBVALSTS XXXXĪXX XXXXXX, XXXĀ XXXXXXXXXX XXXXXXXXX XX XXXXXX/ (XX) XXXXXXXXXXX ASMUO XXX XXXXXXXX SUDARYTI XXXXXXXĄ XXXXX XXXXXXXĖX XXXĖX, KURIOJE XXXXXXXX XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (HU) XX XXXXXXXX XXXXXXX A XÖXXXXXXX

XXXXXXXXXXXXX XXXXX XXXXXXXX XXXXXXXX NEMZETI XXXX XXXXXXX XXXXXXXXXX XÖXXXX/ (XX) IL-PERSUNA XXXXĊXXXXXX XĦXXXXX L-KAPAĊITÀ XX XXŻŻXXXXĠ XXĦX XX-XXĠX XXXXXXXXXX XXX-XXXXX XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (XX) HEEFT XX XXXXXXXXXX XX XXXXXXXXXXX OM XX XXXXX XX XXXXX XXX HET NATIONALE XXXXX XXX XX XXXXXXXX WAAR XXX XXXXXXXX XXXXXXXX WORDT XXXXXXXXX/ (PL) XXXXX, XXXXXX XXXXXXX XXXXXXXX, XXXXXXX XXXXXXŚĆ DO XXXXXXXX XXŁŻXŃXXXX XX XXXX PRAWA XXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX, X XXXXXX TEN DOKUMENT XXXĘXXXX XXXXXŁ XXXXXX/ (XX) X XXXXXX XX XXXXX POSSUI XXXXXXXXXX XXXXXXXXXXX XXX XXXXXX XX DIREITO XXXXXXXX DO XXXXXX-XXXXXX XX XXX O XXXXXXXXX PÚBLICO XXX XXXXXXX/ (RO) PERSOANA XXXXXĂ XXX CAPACITATEA XX X SE XĂXĂXXXX ÎN XXXXXXXXXXXX XX DREPTUL XXXXXX XX STATULUI XXXXXX ÎX CARE ESTE XXXX XXXXXXXXXX OFICIAL/ (XX) XXXXXXXX XXXXX XX SPÔSOBILÁ XXXXXXXX XXXXXXXXXX XXXĽX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXXXX XX XXXXXXX XXXXXXX XXXXXX/ (XX) JE ZADEVNA XXXXX XXXXXXXX ZA XXXXXXXXX ZAKONSKE XXXXX X XXXXXX X XXXXXXXXXXX XXXXXX XXXXXX XXXXXXX, V KATERI XX XXXXXX XXXXX XXXXXXX/ (XX) ASIANOMAISELLA XXXXXXÖXXÄ XX XXXXXXXXXX XXXXXX XXXXXXXXXX XXX XÄXXXXXXXXXX XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, JOSSA XXXXXXX XXXXXXXXX ON XXXXXXX/ (XX) XXX DEN XXXÖXXX XXXXXXXX XXXÖXXXXXX XXX XXXÅ ÄKTENSKAP XXXXXX DEN XXXXXXXXXX XXXXXXXXXXXXXX X DEN XXXXXXXXXXX XÄX XXX 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) NO XXXXXX XXXXXX MATRIMONIO A XXXXXX DEL XXXXXXXXXX XXX XXXXXXX AL XXXXXXX NACIONAL XXX XXXXXX XXXXXXX XX XXXXXXXXXX DEL XXXXXXXXX XXXXXXX/ (CZ) XXXXXXX XXXXX XXXXXX NEUZAVŘELA XXXXXXXXXX XXX XXXX XXXXXX PODLE XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X NĚMŽ JE XXXXXXX LISTINA XXXXXX/ (XX) DEN XÅXÆXXXXXX XXXXXX SES IKKE XX XXXX XXXXX ÆXXXXXXX XXXØXX XXXXX XXX XXXX X XXXXXXX XXX XXXXXXXX XXX X XXX XXXXXXXXXXX, XXXX DET XXXXXXXXXX XXXXXXXX XX XXXXXXX/ (XX) XXX XXX XXXXXXXXXXX XXXXXX XXXXX IHREM XXXXX XXXXXXXX XXXXX XXX XXXX DEM XXXXXXXXXX XXXXX XXX XXXXXXXXXXXXXX, XX DEM XXX ÖXXXXXXXXXX URKUNDE AUSGESTELLT XXXXX, XXXXXXXXXXX/ (XX) XX XXX ASJAOMASE XXXXX XXXXX ÜXXXXX XXXXXXX XXXXXXXXX XÄXXX XXXXXX XXXXXXXXXXXX ÕXXXXX XXXXXX XXXXXXXXXXXX/ (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 XX HAVE XX MARRIAGE IN XXX XX XXX XXXX XXXXX XXX XXXXXXXX XXX XX XXX MEMBER STATE XXXXX XXX XXXXXX XXXXXXXX XX XXXXXX/ (XX) XX XXXXXXXX XXXXXXXXX NE SEMBLE XXX AVOIR XXXXXXXXX XX MARIAGE EN XXX NOM XX XXXXX DU DROIT XXXXXXXX DE X'XXXX XXXXXX XÙ XX XXXXXXXX XXXXXX XXX XXXXXXX/ (XX) XXX XXX FHIANAISE ANN XX BHFUIL XX XXXXX XXXX xXXXXXXXX XXXXX XXXXXX XXXX XX XXXXXX hAINM XXXXX XXX XXXXXXXXX XX XXXXXXXXX XXX xXXXXXXX XX XXXXXXXXX XXXXXX X XXXXXXXX/ (XX) NIJE XXXXXXX XX XX XXXXXXX XXXXX XXX SVOJIM XXXXXX SKLOPILA BRAK XXXXX XXXXXXXXXXX XXXXX XXXXXX ČLANICE X XXXXX XX JAVNA XXXXXXX XXXXXX/ (IT) X NOME XXXXX XXXXXXX INTERESSATA XXX XXXXXXX XXXXXXXXXX XXXXX XXXX DI XXXXXXXXXX X NORMA XXX XXXXXXX XXXXXXXXX XXXXX XXXXX XXXXXX XXX XXXXXXXX IL XXXXXXXXX XXXXXXXX/ (LV) XX XXXXXXĪXĀX XXXXXXXX XĀXXX XXX XXXXĒXXX XXXXXXX XXXXĪXX XXXXXŅĀ XX XĀX DALĪBVALSTS XXXXĪXX XXXXXX, KURĀ XXXXXXXXXX XXXXXXXXX IR IZDOTS/ (XX) XXXXXXXXXXX XXXXX XXXX XXXXX XĖXX XXXXXĘX SANTUOKOS PAGAL XXXXXXXĖX NARĖS, XXXXXXX XXXXXXXX DOKUMENTAS IŠDUODAMAS, XXXXXXXXXXĘ XXXXĘ/ (XX) XX XXXXXXXX XXXXXXXXXX X KÖZOKIRAT XXXXXXXXXXXXX XXXXX XXXXXXXX TAGÁLLAM XXXXXXX JOGA SZERINT XXXXXXXXX XXXXXXXXXXXXXXXX XXXXX/ (XX) XX-XXXXXXX XXXXĊXXXXXX XXXXXX XX XX XĦXXXXX L-EBDA ŻXXXĠ XXXXĠXXXXXX X'XXXXXX TAĦT XX-XXĠX XXXXXXXXXX XXX-XXXXX XXXXXX XXXX INĦAREĠ XX-XXXXXXXX XXXXXXXX/ (XX) XXXXX XX XXXXXXXXXX XXXX XXXXXXXX XX XXXX XX XXXX XXXX XX GROND XXX HET XXXXXXXXX XXXXX XXX DE XXXXXXXX WAAR XXX XXXXXXXX XXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXX, XXXXXX XXXXXXX XXXXXXXX, XXX XXXXXXXXX X XXXĄXXX MAŁŻEŃSKIM NA XXXX XXXXX KRAJOWEGO XXŃXXXX, W XXXXXX XXX XXXXXXXX XXXĘXXXX XXXXXŁ XXXXXX/ (XX) XÃX XX XXXXXXX XXXXXXX XXXXXXXXX XX XXXX XX XXXXXX XX XXXXX XXX XXXXXX DO XXXXXXX XXXXXXXX XX XXXXXX-XXXXXX XX XXX O XXXXXXXXX XXXXXXX FOI XXXXXXX/ (RO) NU XX XXXXXȘXX XXXXX XĂXĂXXXXX ÎXXXXXXXĂ XX XXXXXX XXXXXXXXX XXXXXX ÎX XXXXXXXXXXXX CU XXXXXXX XXXXXX XX XXXXXXXX MEMBRU ÎN XXXX XXXX XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXX XXXXXX XXXXXXXXXX XXXXXXXXXX XX XXXXXX XXXX PODĽA XXXXXXXXXXXXXX PRÁVA ČLENSKÉHO XXXXX, V XXXXXX XX XXXXXXX LISTINA XXXXXX/ (SL) XX XXXXXXXXXXXXXX XXXXXXXX XXXXXXX XXXXX NI X XXXXXXXX ZVEZI, KI XX JO XXXXXXXX X XXXXXX IMENU XX V SKLADU X XXXXXXXXXXX PRAVOM XXXXXX XXXXXXX, V XXXXXX JE IZDANA XXXXX LISTINA/ (FI) XXXXXXXXXXXX HENKILÖN NIMELLE XX XXX MERKITTY XXXXXXXXXXX XXX JÄSENVALTION XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, XXXXX YLEINEN XXXXXXXXX XX XXXXXXX/ (SV) XÖXXXXXXXX DEN XXXÖXXX XXXXXXXX INTE XX XXXÅXX ÄXXXXXXXX ENLIGT XXX NATIONELLA LAGSTIFTNINGEN X XXX XXXXXXXXXXX XÄX DEN OFFICIELLA XXXXXXXXXX UTFÄRDADES

5.3

(BG) НЕ СА ИЗВЕСТНИ ПРЕЧКИ СЪОТВЕТНОТО ЛИЦЕ ДА ВСТЪПИ В БРАК СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) NO XXX XXXXXXXXXX XX XXXXXX XXXXXXXXXXX XXXX XXX XX XXXXXXXXXX CONTRAIGA XXXXXXXXXX CON ARREGLO XX XXXXXXX XXXXXXXX XXX XXXXXX MIEMBRO XX XXXXXXXXXX DEL XXXXXXXXX PÚBLICO/ (XX) XXXXXXXXXX ŽÁDNÁ ZNÁMÁ XXXXXXXX, XXX XXXXXXX XXXXX XXXXXXXX MANŽELSTVÍ XXXXX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXX XX XXXXXXX XXXXXXX VYDÁNA/ (XX) XXX XXXXXXXXXX XXXXX XXXXXX XXXXXXXXXX XXX XXX PÅGÆLDENDE XXXXXXX XXXXÅXXXX XX ÆGTESKAB X XXXXXXX XXX XXXXXXXX XXX X XXX XXXXXXXXXXX, HVOR XXX XXXXXXXXXX XXXXXXXX XX XXXXXXX/ (DE) XXX XXXX HINDERNIS XXXXXXX, XXX XXX XXXXXXXXXXXXXX DER XXXXXXXXXXXX XXXXXX XXXX XXX XXXXXXXXXX XXXXX DES XXXXXXXXXXXXXX, XX XXX XXX ÖXXXXXXXXXX

XXXXXXX XXXXXXXXXXX XXXXX, XXXXXXXXXXXXX/ (XX) XX XXX TEADA XXXXXXXXX XÄXXX XXXXXX XXXXXXXXXXXX ÕIGUSE XXXXXXXX XXXXXXXXXX, XXX 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/ (EN) XXXXX XX XX KNOWN XXXXXXXXXX XXX XXX XXXXXX XXXXXXXXX XX XXXXX XXXXX XXX XXXXXXXX XXX XX XXX XXXXXX XXXXX XXXXX THE XXXXXX XXXXXXXX XX XXXXXX/ (XX) XX N'EXISTE XXX X'XXXÊXXXXXXX XXXXX XX MARIAGE XX XX XXXXXXXX XXXXXXXXX XX XXXXX DU XXXXX XXXXXXXX XX X'XXXX MEMBRE XÙ XX XXXXXXXX PUBLIC XXX XXXXXXX/ (XX) XXX AON BHAC XXXXXXXXX ANN XX XX XXXXX XXXX xXXXXXXXX XXXX XXXXXX XXXXX XXX XXXXXXXXX XX BHALLSTÁT INA xXXXXXXX XX XXXXXXXXX XXXXXX X XXXXXXXX/ (XX) XXXX XXXXXXX XXXXXXX XXXX KOJE XXXXXXX OSOBA XX XX MOGLA XXXXXXXX XXXX XXXXX XXXXXXXXXXX XXXXX XXXXXX XXXXXXX X XXXXX XX XXXXX XXXXXXX XXXXXX/ (XX) XXX XXXX XXXX XXXXXXXXXXX AL XXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX X XXXXX XXX DIRITTO XXXXXXXXX XXXXX XXXXX XXXXXX XXX RILASCIA XX XXXXXXXXX XXXXXXXX/ (LV) XXX XXXĀXX XXXĀXX XĶĒXXĻX XXXXXXĪXXXXX XXXXXXXX XXĀXXXX XXXXĪXĀ XXXXXŅĀ XX TĀS XXXĪXXXXXXX XXXXĪXX XXXXXX, KURĀ XXXXXXXXXX XXXXXXXXX IR XXXXXX/ (XX) NĖRA XXXXXŲ KLIŪČIŲ ATITINKAMAM XXXXXXXX SUDARYTI SANTUOKĄ XXXXX XXXXXXXĖX XXXĖX, XXXXXXX XXXXXXXX DOKUMENTAS XXXXXXXXXX, XXXXXXXXXXĘ TEISĘ/ (XX) XXXXX X XÖXXXXXXX XXXXXXXXXXXXX XXXXX XXXXXXXX TAGÁLLAM XXXXXXX XXXX XXXXXXXX XXXXXX XXXXXXXX XXXXX, HOGY XX ÉRINTETT XXXXXXX XXXXXXXXXX XÖXXÖX/ (XX) XX XXXX X-XXXX XXXXXXXXXX MAGĦRUF GĦALL-PERSUNA XXXXĊXXXXXX XXXX XXŻŻXXXXĠ XXĦX XX-XXĠX NAZZJONALI XXX-XXXXX XXXXXX XXXX XXĦXXXĠ ID-DOKUMENT XXXXXXXX/ (XX) XX ER XXXX XXXXXXXXXXX VOOR XX XXXXXXXXXX OM XX XXXXX OP XXXXX VAN XXX XXXXXXXXX RECHT VAN XX XXXXXXXX WAAR XXX XXXXXXXX XXXXXXXX XXXXX AFGEGEVEN/ (XX) XXX XXXXXXXĄ XXXXX XXXXXXXXXX DLA XXXXXXXX XXXXX XXXXĘ, XXXXXX XXXXXXX XXXXXXXX, MAŁŻEŃSTWA XX XXXX XXXXX XXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX, X XXXXXX TEN XXXXXXXX XXXĘXXXX XXXXXŁ XXXXXX/ (PT) XÃX XXXXXX XXXXXXXXXXX XXXXXXXXX X QUE A XXXXXX XX XXXXX XXXXXXXX XXXXXXXXXX NOS XXXXXX DO XXXXXXX XXXXXXXX XX XXXXXX-XXXXXX XX-XXX X XXXXXXXXX XXXXXXX FOI XXXXXXX/ (XX) NU XX XXXXXX XXXXXXXXXXX LA XĂXĂXXXXX XXXXXXXXX VIZATE ÎX CONFORMITATE XX XXXXXXX XXXXXX XX XXXXXXXX XXXXXX ÎX XXXX XXXX XXXX XXXXXXXXXX XXXXXXX/ (XX) XXX XX XXXXX XXXXXXXX XXX XXXXXXXX XXXXX XXXXXXXX XXXXXXXXXX XXXĽX VNÚTROŠTÁTNEHO XXXXX XXXXXXXXX XXXXX, V XXXXXX JE VEREJNÁ XXXXXXX XXXXXX/ (XX) XX XXXXXXXXXXXX XXXXXXXX, XX XXXXXXX XXXXX XX XX MOGLA XXXXXXXX XXXXXXXX XXXXX X XXXXXX X XXXXXXXXXXX PRAVOM XXXXXX XXXXXXX, V XXXXXX XX IZDANA JAVNA XXXXXXX/ (FI) XXXXXXXXXXXX XXXXXXÖX XXXXXXXXXXXX EI XXXXXXÄ OLEVAN ESTEITÄ XXX JÄSENVALTION KANSALLISEN XXXXXÄÄXÄXXÖX XXXXXX, JOSSA XXXXXXX ASIAKIRJA XX XXXXXXX/ (XX) XXXXX XXX INGA KÄNDA XXXXXX XÖX DEN XXXÖXXX PERSONEN XXX XXXÅ ÄXXXXXXXX XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX X XXX XXXXXXXXXXX XÄX XXX XXXXXXXXXX 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 HAY CONSTANCIA XX XXXXXX IMPEDIMENTO XXXX XXX EL XXXXXXXXXX CONTRAIGA XXXXXXXXXX XXX XX XXXXXX XXXXXXX CON XXXXXXX XX DERECHO XXXXXXXX XXX XXXXXX XXXXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (CZ) XXXXXXXXXX XXXXX XXXXX XXXXXXXX MANŽELSTVÍ XXXX XXXXXXXX OSOBOU X XXXXX XXXXXXXXXX / XXXX XXXXXXXXXX XXXXX XXXXXXXXXXXXXX PRÁVA XXXXXXXXX XXXXX, X XXXX XX XXXXXXX LISTINA XXXXXX/ (DA) XXX XXXXXXXXXX XXXXX KENDTE XXXXXXXXXX XXX XXXXÅXXXX XX ÆGTESKAB MELLEM XXX XÅXÆXXXXXX PERSON XX DENNES XXXXXXXX ÆXXXXÆXXX I XXXXXXX XXX NATIONAL XXX X XXX XXXXXXXXXXX, XXXX XXX XXXXXXXXXX XXXXXXXX XX XXXXXXX/ (XX) IST XXXX XXXXXXXXX XXXXXXX, DAS XXXXX EHESCHLIESSUNG XXX XXXXXXXXXXXX PERSON XXX XXXXX KÜNFTIGEN EHEGATTEN XXXX XXX XXXXXXXXXX XXXXX XXX XXXXXXXXXXXXXX, XX XXX DIE ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, ENTGEGENSTEHT/ (ET) XX OLE TEADA XXXXXXX XXXXXXXXX VÄLJA XXXXXX XXXXXXXXXXXX ÕXXXXX XXXXXXXX ASJAOLUSID, XXX XXXXXXXXXXX XXXXXX XÕXXXXXXX XXXXXXXXX XXXXX JA 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 IS XX IMPEDIMENT XXXXX XX A XXXXXXXX XXXXXXX THE XXXXXX XXXXXXXXX AND XXX XX XXX XXXXXXXX XXXXXX XXXXX THE XXXXXXXX XXX XX XXX XXXXXX STATE XXXXX XXX PUBLIC XXXXXXXX IS XXXXXX/ (XX) XX X'XXXXXX XXX X'XXXÊXXXXXXX XXXXX XX XXXXXXX DE XX XXXXXXXX CONCERNÉE XXXX XXX XXXXX XXXXXXXX EN XXXXX XX DROIT XXXXXXXX XX X'XXXX XXXXXX XÙ XX XXXXXXXX XXXXXX EST XXXXXXX/ (XX) XXX AON XXXX XXXXXXXXX XXX XX PHÓSADH XXXX XX DUINE LENA xXXXXXXXX AGUS X X(X)XXXX BEARTAITHE XXXX XXXX XXXXXXXXX AN XXXXXXXXXX INA nDÉANTAR XX XXXXXXXXX XXXXXX X EISIÚINT/ (XX) XXXX XXXXXXX ZAPREKE XXXX KOJE XXXXXXX XXXXX X XXXXXX XXXXĆX BRAČNI XXXX XX XX MOGLI XXXXXXXX XXXX XXXXX XXXXXXXXXXX XXXXX XXXXXX XXXXXXX X XXXXX XX JAVNA XXXXXXX XXXXXX/ (XX) XXX XXXX XXXX XXXXXXXXXXX XX MATRIMONIO XXX XX XXXXXXX XXXXXXXXXXX X XX XXXXXX XXXXXXX X XXXXX XXX XXXXXXX NAZIONALE XXXXX XXXXX XXXXXX XXX XXXXXXXX IL XXXXXXXXX XXXXXXXX/ (XX) XXX XXXĀXX XXXĀXX XĶĒXXĻX XXXXĪXXX XXXXĒXXXXXX XXXXX XXXXXXĪXX XXXXXXX XX XĀX XXXXXX XXXXĀXX SASKAŅĀ AR XĀX DALĪBVALSTS XXXXĪXX XXXXXX, XXXĀ XXXXXXXXXX XXXXXXXXX IR IZDOTS/ (XX) XĖXX XXXXXŲ XXXŪXXŲ XXXXXXXXXX XXXXXX XX JO XŪXXXX (-XX) XXXXXXXXXXX (-ĖS) XXXXXXXXX PAGAL XXXXXXXĖX XXXĖX, XXXXXXX XXXXXXXX XXXXXXXXXX IŠDUODAMAS, XXXXXXXXXXĘ XXXXĘ/ (XX) XXXXX X XÖXXXXXXX XXXXXXXXXXXXX XXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXX XXXXXXXX, XXXXXX AKADÁLYA ANNAK, XXXX AZ XXXXXXXX XXXXXXX XX XXXXXŐ XXXXXXXXXX XXXXXXXXX

XXXXXXXXXX XÖXXÖX/ (XX) MA XXXX X-XXXX XXXXXXXXXX MAGĦRUF XĦXŻ-ŻXXXĠ XXXX XX-XXXXXXX XXXXĊXXXXXX U X-XXXXXĠX XXXXX TAGĦHA TAĦT XX-XXĠX XXXXXXXXXX XXX-XXXXX XXXXXX XXXX INĦAREĠ XX-XXXXXXXX XXXXXXXX/ (XX) XX XX XXXX XXXXXXXXXXX XXXX XXX XXXXXXXX XXXXXX XX XXXXXXXXXX EN XXXX XX XXXX BEOOGDE XXXXXXXX(X)X(X) XX GROND XXX XXX XXXXXXXXX XXXXX XXX XX XXXXXXXX XXXX HET XXXXXXXX XXXXXXXX XXXXX XXXXXXXXX/ (XX) XXX XXXXXXXĄ XXXXX PRZESZKODY XXX ZAWARCIA XXŁŻXŃXXXX XXXXX XXXXĘ, XXXXXX XXXXXXX XXXXXXXX, X XXXXĄ, X XXXXĄ XXXXXXXX XXX ZAWRZEĆ XXŁŻXŃXXXX, XX MOCY XXXXX XXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX, W XXXXXX XXX DOKUMENT XXXĘXXXX XXXXXŁ XXXXXX/ (XX) XÃX XXXXXX IMPEDIMENTO XXXXXXXXX X XXX XX NUBENTES XXXXXXXXX XXXXXXXXXX NOS XXXXXX XX XXXXXXX NACIONAL XX XXXXXX-XXXXXX XX XXX X DOCUMENTO XXX XXXXXXX/ (RO) XX SE XXXXXX XXXXXXXXXXX LA CĂSĂTORIA XXXXXX XXXXXXXX XXXXXĂ ȘX VIITORUL SOȚ (XXXXXXXXX XXȚXX) ÎX XXXXXXXXXXXX XX XXXXXXX XXXXXX XX XXXXXXXX XXXXXX ÎX XXXX XXXX XXXX XXXXXXXXXX XXXXXXX/ (XX) XXX XX ZNÁMA XXXXXXXX XXXXXXXX MANŽELSTVO MEDZI XXXXXXXXX OSOBOU X XXX XXXXXXXXXXXX XXXXXXXXX XXXXX NASTÁVAJÚCIM XXXXXXXX XXXĽX VNÚTROŠTÁTNEHO XXXXX XXXXXXXXX XXXXX, X XXXXXX XX VEREJNÁ XXXXXXX VYDANÁ/ (XX) XX XXXXXXXXXXXX ZADRŽKOV, XX XXXXXXX OSEBA XX XXXX PREDVIDENI XXXXXXX XX XX XXXXX XXXXXXXX XXXXXXXX XXXXX X SKLADU X XXXXXXXXXXX XXXXXX XXXXXX XXXXXXX, V XXXXXX XX XXXXXX XXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XX XÄXXX TULEVAN XXXXXXXXXX XÄXXXXXXX XXXXXXXXXXXX XX XXXXXXÄ OLEVAN XXXXXXÄ XXX JÄSENVALTION KANSALLISEN XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX ASIAKIRJA XX XXXXXXX/ (SV) FINNS XXX XXXX XÄXXX XXXXXX XÖX INGÅENDE XX ÄXXXXXXXX XXXXXX XXX BERÖRDA XXXXXXXX XXX HANS XXXXX XXXXXX BLIVANDE XXXX XXXXX XXXX XXXXXX XXX XXXXXXXXXX LAGSTIFTNINGEN X XXX MEDLEMSSTAT XÄX XXX OFFICIELLA XXXXXXXXXX UTFÄRDADES

5.5

(BG) 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 AL XXXXXXXXXX XXXXX EL XXXXXXXXXX X XX XXXXXX XXXXXXX CON XXXXXXX XX DERECHO NACIONAL XXX XXXXXX MIEMBRO XX XXXXXXXXXX DEL XXXXXXXXX XXXXXXX/ (CZ) XXXXXXXXXX XXXXX ZNÁMÁ XXXXXXX XXXXX UZAVŘENÍ XXXXXXXXXX MEZI DOTYČNOU XXXXXX A XXXXX XXXXXXXXXX / JEJÍ XXXXXXXXXX XXXXX VNITROSTÁTNÍHO XXXXX XXXXXXXXX XXXXX, X XXXX XX XXXXXXX LISTINA VYDÁNA/ (XX) XXX XXXXXXXXXX XXXXX XXXXXX INDSIGELSER XXX XXXXÅXXXX AF XX ÆGTESKAB MELLEM XXX PÅGÆLDENDE PERSON XX XXXXXX XXXXXXXX ÆXXXXÆXXX X HENHOLD XXX XXXXXXXX XXX X XXX XXXXXXXXXXX, XXXX DET XXXXXXXXXX XXXXXXXX XX XXXXXXX/ (XX) XXX KEIN XXXXXXX XXXXXXX, XXX XXXXX EHESCHLIESSUNG DER XXXXXXXXXXXX XXXXXX MIT XXX XÜXXXXXXX EHEGATTEN XXXX DEM XXXXXXXXXX XXXXX XXX XXXXXXXXXXXXXX, XX DEM XXX ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, XXXXXXXXXXXXX/ (XX) XX XXX XXXXX XXXXXXX XXXXXXXXX XÄXXX XXXXXX LIIKMESRIIGI ÕXXXXX XXXXXX XXXXXXXXXX, XXX XXXXXXXXX XXXXXX XÕXXXXXXX XXXXXXXXX XXXXX XX XXXX TULEVASE 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) XXXXX XX XX XXXXXXXXXX KNOWN XX X XXXXXXXX XXXXXXX THE XXXXXX XXXXXXXXX XXX HIS XX XXX XXXXXXXX XXXXXX UNDER THE XXXXXXXX LAW XX XXX MEMBER STATE XXXXX THE XXXXXX XXXXXXXX IS XXXXXX/ (XX) XX X'XXXXXX XXX X'XXXXXXXXXX XXXXXX XX XXXXXXX XX XX XXXXXXXX XXXXXXXXX XXXX XXX FUTUR XXXXXXXX EN XXXXX XX XXXXX XXXXXXXX XX X'XXXX XXXXXX XÙ LE XXXXXXXX XXXXXX XXX DÉLIVRÉ/ (XX) XXX XXX XXXX XX XXXXXXX XXXXXXXXX XXX XX XXXXXXX XXXX XX XXXXX LENA xXXXXXXXX XXXX X C(H)ÉILE XXXXXXXXXX XXXX XXXX XXXXXXXXX XX BHALLSTÁIT XXX xXXXXXXX XX XXXXXXXXX POIBLÍ X XXXXXXXX/ (XX) NEMA XXXXXXXX PRIGOVORA XXXX XXXXX XXXXXXX XXXXX X XXXXXX XXXXĆX XXXXXX XXXX NE XX XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXXXX XXXXX DRŽAVE ČLANICE X XXXXX XX XXXXX XXXXXXX IZDANA/ (XX) XXX SONO XXXX OPPOSIZIONI XX XXXXXXXXXX XXX XX XXXXXXX XXXXXXXXXXX E XX XXXXXX CONIUGE X XXXXX XXX XXXXXXX XXXXXXXXX DELLO XXXXX XXXXXX XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX/ (XX) NAV XXXĀXX XXXĀXX IEBILDUMI XXXXĪXXX NOSLĒGŠANAI STARP XXXXXXĪXX XXXXXXX XX XĀX XXXXXX XXXXĀXX XXXXXŅĀ XX XĀX XXXĪXXXXXXX XXXXĪXX XXXXXX, XXXĀ XXXXXXXXXX XXXXXXXXX XX XXXXXX/ (XX) XĖXX ŽINOMŲ PRIEŠTARAVIMŲ XXXXXXXXXX ASMENS XX XX XŪXXXX (-XX) XXXXXXXXXXX (-ĖX) XXXXXXXXX XXXXX XXXXXXXĖX XXXĖX, XXXXXXX XXXXXXXX DOKUMENTAS XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (XX) NEM ISMERT XXXXX, X XÖXXXXXXX XXXXXXXXXXXXX HELYE XXXXXXXX XXXXXXXX XXXXXXX XXXX XXXXXXXX XXXXXXXXXX, XXXXXXX XX XXXXXXXX SZEMÉLY XX XXXXXŐ XXXXXXXXXX XXXXX XÖXXXXŐ HÁZASSÁGGAL XXXXXXX XXXXXXXXXX BE/ (XX) MA XXXX X-XXXX XXXXŻXXXXXXX MAGĦRUFA XĦXŻ-ŻXXXĠ BEJN XX-XXXXXXX XXXXĊXXXXXX U X-XXXXXĠX XXXXX XXXĦXX XXĦX XX-XXĠX XXXXXXXXXX TAL-ISTAT XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (NL) XX XX XXXX XXXXXX XXXXX XXX XXXXXXXX XXXXXX XX XXXXXXXXXX XX ZIJN XX XXXX BEOOGDE XXXXXXXX(X)X(X) OP GROND XXX XXX NATIONALE XXXXX XXX XX XXXXXXXX WAAR XXX XXXXXXXX DOCUMENT WORDT XXXXXXXXX/ (XX) XXX XXŁXXXXXX SPRZECIWU WOBEC XXXXXXXX XXŁŻXŃXXXX XXXXX XXXXĘ, XXXXXX XXXXXXX XXXXXXXX, X OSOBĄ, X XXXXĄ ZAMIERZA XXX XXXXXXĆ XXŁŻXŃXXXX, XX XXXX PRAWA XXXXXXXXX PAŃSTWA CZŁONKOWSKIEGO, X KTÓRYM XXX XXXXXXXX XXXĘXXXX XXXXXŁ XXXXXX/ (XX) XÃX XXXXXX XXXXXÇÃX CONHECIDA X QUE XX XXXXXXXX XXXXXXXXX XXXXXXXXXX XXX XXXXXX DO XXXXXXX XXXXXXXX XX XXXXXX-XXXXXX XX QUE X XXXXXXXXX XXX XXXXXXX/ (XX) XX XX XXXXXȘXX XXXXX XXXXXȚXX XX XĂXĂXXXXX XXXXXX XXXXXXXX VIZATĂ ȘX XXXXXXXX XXȚ (XXXXXXXXX SOȚIE) ÎN XXXXXXXXXXXX XX DREPTUL XXXXXX AL XXXXXXXX XXXXXX ÎX XXXX XXXX EMIS XXXXXXXXXX XXXXXXX/ (SK) XXX XX XXXXX XXXXXXXX XXXX XXXXXXXXX XXXXXXXXXX XXXXX XXXXXXXXX XXXXXX X JEJ NASTÁVAJÚCOU XXXXXXXXX ALEBO NASTÁVAJÚCIM XXXXXXXX XXXĽX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXXXX XX XXXXXXX XXXXXXX VYDANÁ/ (XX) XX UGOTOVLJENEGA XXXXXXXXXXXXX XXXXXXXXX XXXXXXXX XXXXX XXX ZADEVNO XXXXX IN XXXXXX XXXXXXXXXXX XXXXXXXX X XXXXXX X NACIONALNIM XXXXXX DRŽAVE XXXXXXX, X XXXXXX JE XXXXXX JAVNA LISTINA/ (XX) XXXXXXXXXXXX XXXXXXÖX XX XÄXXX XXXXXXX XXXXXXXXXX VÄLISTÄ XXXXXXXXXXX XX XXX XXXXXXXXXXX XXX XÄXXXXXXXXXX XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXX XXX INGA KÄNDA XXXÄXXXXXXXX MOT INGÅENDE XX ÄKTENSKAP XXXXXX XXX XXXÖXXX PERSONEN XXX XXXX XXXXX XXXXXX XXXXXXXX XXXX XXXXX XXXX ENLIGT XXX XXXXXXXXXX LAGSTIFTNINGEN X XXX XXXXXXXXXXX XÄX DEN XXXXXXXXXX XXXXXXXXXX XXXÄXXXXXX

6.

(XX) ИНФОРМАЦИЯ ЗА БЪДЕЩИЯ(АТА) СЪПРУГ(А) НА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX XX XXXXXX XXXXXXX XXX XXXXXXXXXX/ (CZ) XXXXXXXXX O XXXXXXXXX / XXXXXXXXX DOTYČNÉ XXXXX/ (XX) XXXXXXXXXXX XX XXX XÅXÆXXXXXX XXXXXXX KOMMENDE ÆXXXXÆXXX/ (XX) XXXXXXX XX XXX XÜXXXXXXX XXXXXXXXX XXX XXXXXXXXXXXX XXXXXX/ (XX) TEAVE ISIKU XXXXX, XXXXXXX XXXXXXXXX XXXX SOOVIB ABIELU XÕXXXXX/ (EL) ΣΤΟΙΧΕΙΑ ΤΟΥ ΜΕΛΛΟΝΤΟΣ Ή ΤΗΣ ΜΕΛΛΟΥΣΑΣ ΣΥΖΥΓΟΥ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX XXXXXXXX XXXXXX XX XXX XXXXXX XXXXXXXXX/ (FR) XXXXXXXXXXXX XXX XX XXXXX XXXXXXXX XX XX PERSONNE XXXXXXXXX/ (XX) FAISNÉIS MAIDIR XX CÉILE XXXXXXXXXX XX DUINE XXXX xXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXĆXX BRAČNOM XXXXX XXXXXXX XXXXX/ (XX) XXXXXXXXXXXX SUL XXXXXX XXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (XX) XXXXXXĀXXXX XXX ATTIECĪGĀS XXXXXXXX XXXXXX XXXXĀXX/ (XX) INFORMACIJA XXXX XXXXXXXXXX XXXXXX XŪXXXĄ XXXXXXXXXĮ (-Ę)/ (XX) XX XXXXXXXX SZEMÉLY XXXXXŐ HÁZASTÁRSÁRA XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXĠX FUTUR XXX-XXXXXXX XXXXĊXXXXXX/ (XX) XXXXXXXXXX XXXX DE XXXXXXX ECHTGENO(O)T(E) XXX XX XXXXXXXXXX/ (XX) XXXX OSOBY, X XXXXĄ OSOBA, XXXXXX XXXXXXX XXXXXXXX, XXXXXXXX XXXXXXĆ XXŁŻXŃXXXX/ (XX) XXXXXXXÇÕXX XXXXX X XXXXXX XÔXXXXX DA XXXXXX XX CAUSA/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXX XXȚ (VIITOAREA XXȚXX) AL (X) XXXXXXXXX XXXXXX/ (SK) XXXXXXXXXX O NASTÁVAJÚCOM XXXXXXXXX/ XXXXXXXXXXXX MANŽELKE XXXXXXXXX XXXXX/ (XX) XXXXXXXXXXX X XXXXXXXXXXX XXXXXXX XXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXXXXXX XXXXXXÖX TULEVASTA XXXXXXXXXX/ (XX) XXXXXXXXX XX XXX XXXÖXXX PERSONENS XXXXXXXX MAKE XXXXX XXXX

7.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) RECUADRO XXXX LA XXXXX/ (XX) POLE XXX XXXXXX/ (XX) UNDERSKRIFTSFELT/ (XX) XXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXX/ (EL) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (EN) XXXXXXXXX XXX/ (XX) XXXXX XXXX LA XXXXXXXXX/ (XX) XXXXX XXX XXXXX/ (HR) XXXXX XX POTPIS/ (XX) XXXXXXXX XXX XX XXXXX/ (XX) XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXX/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (MT) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX XX XXXXXXXXXXXX/ (XX) POLE XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (SK) XXXXXXX XX XXXXXX/ (XX) XXXXX ZA XXXXXX/ (XX) ALLEKIRJOITUSKENTTÄ/ (XX) 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 XXXXXXX/ (CZ) PŘÍJMENÍ X JMÉNO (XXXXX) XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXXXX(X) OG XXXXXXX(X) XÅ XXX XXXXXXXXXX, XXX HAR XXXXXXX XXXXX XXXXXXXX/ (DE) XXXXXXXXXXXX(X) UND XXXXXXX(X) XXX BEAMTEN, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX VÄLJASTANUD XXXXXXXX XXXXXXX (-XXXXX) JA XXXXXXXXXXXXX (-XXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) SURNAME(S) XXX XXXXXXXX(X) OF XXX XXXXXXXX XXX XXXXXX THIS FORM/ (XX) NOM(S) XX XXXXXX(X) XX XXXXXXXXXXXXX XXX A XXXXXXX XX PRÉSENT FORMULAIRE/ (XX) XXXXXXX (SLOINNTE) XXXX CÉADAINM (CÉADAINMNEACHA) XX XXXXXXXX X X’XXXXXX AN XXXXXX XXX/ (XX) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX XXXX JE IZDAO XXXX XXXXXXX/ (XX) XXXXXXX/X X XXXX/X XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX MODULO/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, XXXĀXXX(-X) XX XĀXXX(-X)/ (XX) XXĄ XXXXĄ IŠDAVUSIO XXXXXXŪXX XXXXXXĖ (-ĖX) XX VARDAS (-XX)/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX TISZTVISELŐ XXXXXXX XXXX(X) XX UTÓNEVE(I)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX LI ĦXXXĠ DIN XX-XXXXXXX/ (XX) XX(X)X(XX) EN XXXXXX(X)X(XX) XXX XX XXXXXXXXX XXX DIT XXXXXXXXX XXXXX AFGEGEVEN/ (XX) XXXXXXXX(-X) X XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX XXXXŁ NINIEJSZY XXXXXXXXX/ (XX) XXXXXXX(X) X XXXX(X) XXXXXXX(X) XX XXXXXXXXXXX XXX XXXXXX O XXXXXXXX XXXXXXXXXX/ (RO) XXXXXX ȘX PRENUMELE FUNCȚIONARULUI XXXX X EMIS XXXXXXXXX FORMULAR/ (XX) XXXXXXXXXX(-X) A XXXX(-X) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX IME/IMENA XXXXXXXX, XX JE XXXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX VIRKAMIEHEN XXXXXXXX (-XXXXX) XX XXXXXXX (-XXXXX)/ (XX) EFTERNAMN XXX FÖRNAMN PÅ XXX XXÄXXXXXXX XXX XXX UTFÄRDAT XXXXX XXXXXXÄX

7.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (DA) XXXXXXXX — XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX FORMULAR/ (XX) XXXXXXXX XXX XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) KÄESOLEVA VORMI XÄXXXXXXXXX AMETNIKU AMETIKOHT/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX XX XXX XXXXXXXX WHO XXXXXX XXXX FORM/ (XX) XXXXX DU XXXXXXXXXXXXX QUI A XXXXXXX XX PRÉSENT XXXXXXXXXX/ (GA) POST XX OIFIGIGH A X’XXXXXX XX XXXXXX XXX/ (HR) FUNKCIJA XXXXXXXXXX XXXX XX XXXXX XXXX XXXXXXX/ (XX) POSIZIONE DEL XXXXXXXXXXX XXX HA XXXXXXXXXX XX PRESENTE XXXXXX/ (XX) AMATPERSONAS, XXXX XXXXXXXX XX XXXXXXXX, XXXXX/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (MT) XXXXXX XXX-XXXXĊXXX LI ĦXXXĠ XXX XX-XXXXXXX/ (XX) FUNCTIE XXX XX XXXXXXXXX XXX XXX XXXXXXXXX HEEFT XXXXXXXXX/ (PL) XXXXXXXXXX XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX DO FUNCIONÁRIO XXX EMITIU X XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX FUNCȚIONARULUI CARE X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XXXXX XXXXX XXXXX FORMULÁR/ (XX) XXXXXXX XXXXXXXX, KI XX IZDAL XX XXXXXXX/ (FI) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX XXX XXX UTFÄRDAT 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) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (DD/MM/YYYY) OF XXXXX/ (FR) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (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 (DD/MM/MMMM)/ (XX) A KIÁLLÍTÁS XXXXXX (XXXX/XX/XX)/ (XX) XXXX (JJ/XX/SSSS) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX AFGIFTE/ (PL) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX DE XXXXXÃX (DD/MM/AAAA)/ (RO) XXXX (XX/XX/XXXX) EMITERII/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) FÖR XXXÄXXXXXX

7.4

(XX) ПОДПИС/ (ES) XXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (ET) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (EN) XXXXXXXXX/ (FR) SIGNATURE/ (XX) SÍNIÚ/ (HR) XXXXXX/ (XX) XXXXX/ (XX) PARAKSTS/ (XX) XXXXXXX/ (HU) ALÁÍRÁS/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (PL) XXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (SK) XXXXXX/ (XX) PODPIS/ (XX) XXXXXXXXXXXXX/ (XX) NAMNTECKNING

7.5

(BG) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) SELLO X XXXXXX/ (CZ) PEČEŤ XXXX XXXXXXX/ (DA) XXXX XXXXX XXXXXXX/ (XX) XXXXXX XXXX XXXXXXX/ (ET) PITSER XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX STAMP/ (XX) XXXXX XX XXXXXX/ (XX) SÉALA XX XXXXXX/ (XX) ŽIG XXX XXXXX/ (XX) XXXXX X XXXXXX/ (XX) XĪXXXX XXX XXXXXXXX/ (LT) XXXXXXX XXXX XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX XXX XXXXXX/ (XX) ZEGEL XX STEMPEL/ (XX) XXXXXĘĆ LUB STEMPEL/ (XX) SELO XX XXXXXXX/ (RO) XXXXXXXX XXX ȘTAMPILA/ (XX) XXXXX XXXXX ODTLAČOK XXXXXXXX/ (XX) XXXXX XXX ŽIG/ (XX) XXXXXXX TAI LEIMA/ (XX) XXXXXX XXXXX XXÄXXXX

XXXXXXX XXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX XXX XXXXXXX

Xxxxxx 7 nařízení Evropského xxxxxxxxxx x Xxxx (XX) 2016/1191 xx xxx 6. xxxxxxxx 2016 x podpoře xxxxxxx xxxxxx občanů xxxxxxxxxxxxx požadavků na xxxxxxxxxxx xxxxxxxxx veřejných xxxxxx x Xxxxxxxx xxxx x x xxxxx xxxxxxxx (EU) x. 1024/2012 (1)

Xxxxxx (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (DK) Xxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (LU)

Maďarsko (XX) Xxxxx (XX)

Xxxxxxxxxx (XX) Rakousko (XX)

Xxxxxx (XX) Xxxxxxxxxxx (PT)

Rumunsko (XX) Xxxxxxxxx (SI)

Slovensko (XX) Finsko (FI)

Švédsko (XX) Xxxxxxx království (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx standardního xxxxxxxxx xx xxxxxxxxx xxxxxxxx xxxxxxx xxxxxxx, x xxx xx xxxxxxxx. Xxxxx formulář xx xxxx xxxxxxxxx xxxxx xxxxx xxxxxxxxx xxxx xxxxxxxxxx xxxxxxxx.

Xxxxx xxxxxxxx odráží obsah xxxxxxx xxxxxxx, x xxx xx xxxxxxxx. Xxxxx, xxxxx je xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx může v xxxxxxxxx, xxx xx xx nezbytné pro xxxxx zpracování xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx informací, xxxxx xxxx ve xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX XXXXX

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

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

1. XXXXX XXXXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (3)

2. XXXXX XXXXXXXXXX XXXXXXXX LISTINU, X XXX JE XXXXXXXX TENTO XXXXXXXX

1.1 Xxxxx (4)

3. INFORMACE XXXXXXXX XX VEŘEJNÉ XXXXXXX, K NÍŽ XX XXXXXXXX TENTO XXXXXXXX

3.1 Xxxxxxx xxxxxx xxxxxxx nebo xxxxxxxxx x vazbou xx xxxxx xxxxxx xxxxxxxxx xxxxx

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx xxxxxx státním xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx xxxxxx xxxxxxx xxxxxxxxx

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

3.1.5 Jiné (xxxxxxxxx)

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

(2) Při vyplňování xxxxx xxxxxxxx hůlkové xxxxx.

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

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

3.2 Xxxxxxx vydaná xxxxxxxx xxxxxx

3.2.1 Osvědčení

3.2.2 Výpis x matriky

3.2.3 Výpis x xxxxxxxx xxxxxxxx

3.2.4 Xxxx xxxxxxxxxx xxxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx osvědčení, xxxxxx xxxx xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

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

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. INFORMACE X DOTYČNÉ XXXXX

4.1 Xxxxx/x xxxxxxxx

4.2 Xxxxxxxx/x xxxxxxxx

4.3 Xxxxxxxx před xxxxxxxxx xxxxxxxxxx

4.4 Xxxxxxxx xx uzavření manželství

4.5 Xxxxx (jména)

4.6 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.7 Xxxxx (1) a xxxx (2) xxxxxxxx

4.8 Pohlaví:

4.8.1 Xxxx

4.8.2 Muž

4.8.3 Xxxxxxxx

4.9 Xxxxxx příslušnost

5. NA XXXXXXX XXXXXXX XXXXXXX, X XXX JE XXXXXXXX XXXXX FORMULÁŘ, XX XXXXXXX OSOBA XXXXX RODINNÝ XXXX:

5.1 Xxxxx – xxxxxx/Xxxxx (xx/xx/xxxx) uzavření xxxxxxxxxx

5.2 Xxxxxxxxx – xxxxxxxxx

5.2.1 Xxxxxxxx – Xxxxxxxx

5.2.2 Xxxxxxxxx – rozvedený/Datum (xx/xx/xxxx) rozvodu

5.2.3 Xxxxx – xxxxxx/Xxxxx (xx/xx/xxxx) xxxxx manžela/manželky

5.3 Xxxxxxxx

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

(2) Název xxxx x – xxxxx xxxxxxxx – xxx ISO xxxx xxxx xxxx xxxxxxx „Xxxx (xxxxxxxxx)“ xx xxxxx xxxxxx x xxxxxxxxxxx nabídky xx xxxxxxxx vícejazyčném xxxxxxxxxxx xxxxxxxxx, který je x xxxxxxxxx xx xxxxxxx evropské x-xxxxxxx.

6. XXXX PRO PODPIS

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

6.2 Xxxxxx úředníka, který xxxxx xxxxx xxxxxxxx

6.3 Xxxxx (dd/mm/rrrr) xxxxxx

6.4 Xxxxxx

6.5 Xxxxx xxxx xxxxxxx

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXXX XXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX EXPIDE XXXX XXXXXXX/ (XX) ORGÁN XXXXXXXXXX TENTO XXXXXXXX/ (XX) DENNE XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (DE) XXXÖXXX, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX VORMI XÄXXX XXXXXX ASUTUS/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX THIS XXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXX FORMULAIRE/ (XX) XX xXXXXXX A XXXXXXXX XX XXXXXX XXX/ (XX) XXXXXX XXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXX XXXXXX/ (LV) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX TA' DIN XX-XXXXXXX/ (XX) AUTORITEIT XXX XXXXXXX XXX XXX XXXXXXXXX/ (PL) XXXXX WYDAJĄCY XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ A XXXXXXXXXXX FORMULAR/ (XX) XXXXX VYDÁVAJÚCI TENTO XXXXXXXX/ (XX) XXXXX, XX XXXX XX XXXXXXX/ (XX) TÄMÄN XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX SOM XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) DENOMINACIÓN/ (CZ) XXXXX/ (DA) BETEGNELSE/ (XX) BEZEICHNUNG/ (ET) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) DENOMINAZIONE/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) DESIGNAÇÃO/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) XXX/ (FI) XXXX/ (SV) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) AUTORIDAD XXX XXXXXX EL XXXXXXXXX PÚBLICO XX XXX XX XXXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX VEŘEJNOU XXXXXXX, X XXX XX PŘILOŽEN TENTO XXXXXXXX/ (XX) XXX XXXXXXXXX, XXX XXX XXXXXXX XXX XXXXXXXXXX XXXXXXXX, SOM DENNE XXXXXXXX ER VEDHÆFTET/ (XX) XXXÖXXX, DIE XXX ÖXXXXXXXXXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXÜXX XXX, AUSSTELLT/ (XX) XXXXXX, XXX XXXXX XÄXXX XXXXXXX XXXXXXXXX, XXXXXXX XXX XXXX XX LISATUD/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) AUTHORITY XXXXXXX XXX PUBLIC XXXXXXXX TO XXXXX XXXX FORM XX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX JOINT XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX XX DOICIMÉAD XXXXXX XXXX XXXXXX XX FHOIRM SEO XXXXXXXXXX/ (HR) TIJELO XXXX XXXXXX XXXXX XXXXXXX KOJOJ XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX IL XXXXXXXX XXXXXX È XXXXXXXX/ (LV) XXXXXXXĀ XXXXXXXXX, XXXXX ŠĪ XXXXXXXX IR XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (LT) VIEŠĄJĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX ŠI FORMA, XXXXXXXXXX VALDŽIOS XXXXXXXXXXX/ (XX) X FORMANYOMTATVÁNNYAL XXXXXX KÖZOKIRATOT XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX DIN XX-XXXXXXX/ (XX) AUTORITEIT XXX XXXXXXX XXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX FORMULIER IS XXXXXXX/ (XX) XXXXX XXXXXĄXX DOKUMENT XXXĘXXXX, XX XXXXXXX NINIEJSZY XXXXXXXXX XXXX ZAŁĄCZONY/ (XX) AUTORIDADE QUE XXXXX O DOCUMENTO XXXXXXX X QUE X PRESENTE FORMULÁRIO XXXX APENSO/ (RO) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXXX XXXXXXX XX XXXX ESTE XXXXXX XXXXXXXXX FORMULAR/ (XX) XXXXX VYDÁVAJÚCI XXXXXXX XXXXXXX, KU XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (SL) XXXXX, XX XXXX XXXXX XXXXXXX, XX XX XX XXXXXXXX TA XXXXXXX/ (FI) XXXXXXXXXXXX, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, JOHON XÄXÄ XXXXXX LIITETÄÄN/ (XX) MYNDIGHET XXX XXXÄXXXX XXX XXXXXXXXXX XXXXXXXX TILL XXXXXX XXXXX FORMULÄR ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX/ (CZ) XXXXXXXXX XXXXXXXX XX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXØXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX FORMULAR XX XXXXÆXXXX/ (DE) ANGABEN XXX ÖFFENTLICHEN XXXXXXX, XXX XXXXXX FORMULAR XXXXXXÜXX IST/ (ET) XXXXX AVALIKU XXXXXXXXX XXXXX, XXXXXXX XXX XXXX ON 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 ATTACHED/ (XX) XXXXXXXXXXXX RELATIVES XX XXXXXXXX XXXXXX XXXXXX EST XXXXX XX XXXXXXX FORMULAIRE/ (XX) FAISNÉIS A XXXXXXXXX LEIS XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (HR) XXXXXXXXXXX XXXX XX XXXXXX XX XXXXX XXXXXXX XXXXX JE XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX XXXXX/ (XX) A FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXXXX VONATKOZÓ XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) INFORMATIE BETREFFENDE XXX OPENBAAR DOCUMENT XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX JEST XXŁĄXXXXX/ (PT) XXXXXXXÇÕXX XXXXXXXXX AO XXXXXXXXX XXXXXXX X XXX X PRESENTE XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXȚXX REFERITOARE LA XXXXXXXXXX XXXXXXX XX XXXX XXXX ANEXAT XXXXXXXXX FORMULAR/ (SK) XXXXXXXXXX X XXXXXXXX XXXXXXX, KU KTOREJ XX XXXXX XXXXXXXX XXXXXXXXX/ (SL) INFORMACIJE X ZVEZI X XXXXX XXXXXXX, XX XX XX XXXXXXXX XX OBRAZEC/ (XX) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) INFORMATION XX DEN XXXXXXXXXX XXXXXXXX XXXX VILKEN 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) XXXXXXXXX XXXXXXXX POR XXX XXXXXXXXX O XX XXXXXXXXXXX VINCULADO X XXX XXXXXXX XXXXXXXXXXXXXXXX DE XX XXXXXX MIEMBRO/ (XX) XXXXXXX VYDANÁ ORGÁNEM XXXX ÚŘEDNÍKEM S XXXXXX XX SOUDY XXXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXXX, XXX XX UDSTEDT AF XX XXXXXXXXX XXXXX XX EMBEDSMAND, DER XX XXXXXXXXXX DOMSTOLE X EN XXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXÖXXX XXXX XXXXX XXXXXXXXXX ALS XXXXX XXX RECHTSPFLEGE XXXXX XXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX KOHTUTEGA XXXXXX XXXXXXXXXXX XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX EMANATING XXXX XX XXXXXXXXX XX XX OFFICIAL XXXXXXXXX XXXX XXX COURTS XX XXXXXXXXX OF X XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXX X'XXX AUTORITÉ XX X'XX FONCTIONNAIRE RELEVANT X'XXX XXXXXXXXXXX D'UN XXXX XXXXXX/ (GA) XXXXXXXXX X XXXXXXX X XXXXXX XX X OIFIGEACH A XXXXXX XXXXX XXXX XX AICI XX XXXXXXXXXX XX XX XXXXX XX XXXXX XXXXXXXXX/ (XX) XXXXXXX XXXX JE XXXXXX XXXXXX XXX SLUŽBENIK XXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX EMANATO XX UN'AUTORITÀ O XX XX FUNZIONARIO XXXXXXXXXXXX AD UNA XXXXX XXXXXXXXXXXXX XX XXX XXXXX XXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX AR XXXĪXXXXXXX XXXXĀX SAISTĪTA IESTĀDE XXX AMATPERSONA/ (XX) XXXXXXXXXX, IŠDUOTAS XXXXXXXX XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ SU XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX KAPCSOLATBAN XXXX XXXXXXX VAGY XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX AWTORITÀ XXX XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX XXX XX-XXXXXXXXX XX' XXXX XXXXXX/ (XX) DOCUMENT XXXXXXXXX XXXX XXX XXXXXXXXXX XX AMBTENAAR XXXXXXXXX XXX EEN XXXXXXXXXXXX INSTANTIE XXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXX SĄDOWEGO XXX XXXĘXXXXX SĄDOWEGO XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX DE XXX XXXXXXXXXX OU DE XX FUNCIONÁRIO XXXXXXXXXX XX XXXXXXXX XXXXXXXÇÃX XX XX XXXXXX-XXXXXX/ (XX) XXXXXXXX EMIS XX X AUTORITATE XXX XX XX XXXXȚXXXXX XX XX XÂXXĂ INSTANȚELE XXXX XXXX XXXXXX/ (SK) XXXXXXX XXXXXX ORGÁNOM XXXXX XXXXXXXXX X XÄXXXX XX XXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX, XXXXXX S XXXXXX XXXXXX XXX XXXXXXXX XXXXX XXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (SV) HANDLING XXX XÄXXÖX FRÅN XX XXXXXXXXX XXXXX XX TJÄNSTEMAN XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X EN XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (XX) DOMSTOLSAFGØRELSE/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) COURT DECISION/ (XX) XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXX XX xXXXXX/ (XX) XXXXXX ODLUKA/ (IT) XXXXXXXXX XXXXXXXXXXXXXXX/ (LV) XXXXXX XĒXXXX/ (XX) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (XX) XXĊXŻXXXX TAL-QORTI/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (XX) XXXXXÃX JUDICIAL/ (RO) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX PÄÄTÖS/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (ES) XXXXXXXXX XXXXXXXX POR XX XXXXXXXXXX FISCAL/ (XX) LISTINA XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX UDSTEDT AF XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX EINER XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, MILLE XX XÄXXX ANDNUD XXXXXXX XÜÜXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX FROM X XXXXXX XXXXXXXXXX/ (FR) XXXXXXXX XXXXXXX XX XXXXXXÈXX XXXXXX/ (GA) XXXXXXXXX X THAGANN X XXXXXXXXXXXXXXX XXXXXX/ (XX) ISPRAVA XXXX XX XXXXXX DRŽAVNO XXXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXX DAL XXXXXXXX XXXXXXXXX/ (XX) DOKUMENTS, XXXX IZSNIEDZIS XXXXXXXXX/ (XX) XXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (HU) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX PROSEKUTUR XXXXXXXX/ (XX) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) DOCUMENTO PROVENIENTE XX MINISTÉRIO XXXXXXX/ (XX) DOCUMENT EMIS XX UN XXXXXXXX/ (XX) LISTINA XXXXXX XXXXXXXXXXXX/ (SL) LISTINA, XX XX XXXX XXXXXXX TOŽILSTVO/ (XX) XXXXXXXXXX XXXXXÄXÄX ANTAMA XXXXXXXXX/ (SV) HANDLING XXX XÄXXÖX FRÅN ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) DOCUMENTO XXXXXXXX XXX UN XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXÆX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) DOCUMENT XXXXXXXXX XXXX A XXXXX XX X XXXXX/ (FR) XXXXXXXX XXXXXXX X'XX XXXXXXXX/ (XX) DOICIMÉAD A XXXXXXX Ó CHLÉIREACH XX XXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXX UPRAVITELJ XXXXXX PISARNICE/ (XX) XXXXXXXXX XXXXXXX XX XX CANCELLIERE/ (LV) XXXXXXXXX, KURU XXXXXXXXXX XXXXXX XXXXXXĀXX/ (XX) XXXXXX XXXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXĠ MINN XXĠXXXXXXXX XX' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (XX) XXXXXXXXX PROVENIENTE DE XX XXXXXXX XX XXXXXÇX/ (XX) DOCUMENT XXXX DE UN XXXXXXX XX XXXXXXȚXX/ (XX) LISTINA XXXXXX XXXXXX XXXXXXXXX/ (SL) XXXXXXX, KI JO XXXX XXXXX USLUŽBENEC/ (XX) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX ASIAKIRJA/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (ES) XXXXXXXXX XXXXXXXX POR XX AGENTE JUDICIAL («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXX XXXXXX XXXXXXX VYKONAVATELEM („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXX UDSTEDT AF XX XXÆXXXXXXXXXX (»XXXXXXXX XX JUSTICE«)/ (DE) XXXXXXX EINES XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX VÄLJA XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («HUISSIER DE XXXXXXX»)/ (XX) DOCUMENT XXXXXXXXX XXXX X XXXXXXXX XXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX ÉMANANT X'XX XXXXXXXX XX JUSTICE/ (XX) XXXXXXXXX A XXXXXXX Ó XXXXXXXXX XXXXXXXXXXXX (“HUISSIER XX XXXXXXX”)/ (XX) XXXXXXX XXXX JE IZDAO XXXXXX OVRŠITELJ (XXXXXXXX XX XXXXXXX)/ (IT) XXXXXXXXX EMANATO XX XX UFFICIALE XXXXXXXXXXX ("XXXXXXXX DE JUSTICE")/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX TIESAS XXXXXXĪXĀXX (XXXXXXXX XX JUSTICE)/ (XX) XXXXXXXXX (XXXXXXXX XX XXXXXXX) IŠDUOTAS XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX („HUISSIER XX XXXXXXX”) XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX XXXĘXXXXX XĄXXXXXX (HUISSIER XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX DE UM XXXXXXÃX DE XXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX XXXXXĂXXXXXX („HUISSIER XX XXXXXXX”)/ (SK) XXXXXXX XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXX, XX XX IZDA XXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (FI) XXXXXXXXXXXX (”XXXXXXXX XX XXXXXXX”) XXXXXX ASIAKIRJA/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX EN STÄMNINGSMAN (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) OTRO (XXXXXXXXXXXXX)/ (XX) XXXX (XXXXXXXXX)/ (DA) XXXXX (XXXXXXX)/ (DE) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) XXX (TÄPSUSTAGE)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (EN) XXXXX (TO BE XXXXXXXXX)/ (XX) AUTRE (À PRÉCISER)/ (XX) XXXX (XX XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (XX) XXXXX (PRECISARE)/ (XX) CITS (PRECIZĒT)/ (XX) KITA (XXXXXXXX)/ (XX) XXXXX (XXXXÜX XXXXXXXXXXX)/ (MT) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (PL) XXXX (XXXXXĘ OKREŚLIĆ)/ (XX) XXXXXX (A ESPECIFICAR)/ (XX) ALTUL (X XX XXXXXXX)/ (XX) XXX (XXXXXXXX)/ (XX) XXXXX (NAVESTI)/ (XX) XXX ASIAKIRJA (XÄXXXXXXXXÄXÄ)/ (XX) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX DOCUMENT/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ (HR) XXXXXXX XXXXXXX/ (XX) XXXXXXXXX AMMINISTRATIVO/ (LV) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXXXXXXXXXXXXX/ (NL) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXXX HANDLING

3.2.1

(BG) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (DA) PÅTEGNING/ (XX) BESCHEINIGUNG/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) CERTIFICATE/ (XX) XXXXXXXXXX/ (GA) DEIMHNIÚ/ (XX) XXXXXXX/ (IT) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (NL) CERTIFICAAT/ (XX) XXŚXXXXXXXXXX/ (PT) XXXXXXÃX XX XXXXXXXXXXX/ (XX) CERTIFICAT/ (SK) XXXXXXXXXX/ (XX) POTRDILO/ (XX) TODISTUS/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) EXTRACTO XXX REGISTRO XXXXX/ (XX) VÝPIS X XXXXXXX/ (DA) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (DE) XXXXXX AUS DEM XXXXXXXX-XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX FROM XXX XXXXX XXXXXX XXXXXXXX/ (XX) XXXXXXX DU XXXXXXXX XX L'ÉTAT XXXXX/ (GA) SLIOCHT XX XX gCLÁR XXXXXXX XXXXXXXXXX/ (HR) XXXXXXX XX XXXXXXXX XXXXXXX STANJA/ (XX) XXXXXXXX DI XXXX XX XXXXX XXXXXX/ (XX) IZRAKSTS XX XXXXXXXĀXXXĻX XXXX XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXĖX BŪKLĖS XXXŲ XXXXXXXX/ (XX) ANYAKÖNYVI XXXXXXX/ (MT) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXX UIT XXX REGISTER VAN XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXXXXX XXXX STANU XXXXXXXXX/ (XX) EXTRATO XX XXXX XX REGISTO XXXXX/ (XX) XXXXXX XXX REGISTRUL XX XXXXX CIVILĂ/ (XX) XXXXX Z REGISTRA XXXXXXXX STAVU/ (SL) XXXXXXX XX XXXXXXXX X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) UTDRAG UR XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX DEL XXXXX/ (CZ) XXXXX X XXXXXXXX XXXXXXXX/ (XX) UDDRAG XXX XXXXXXXXXXXXXX/ (DE) XXXXXX XXX XXX XXXXXXXXXXXXX/ (XX) RAHVASTIKUREGISTRI XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX XXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX DU XXXXXXXX DE XX XXXXXXXXXX/ (XX) SLIOCHT XX XX xXXXX XXXXXX/ (HR) XXXXXXX XX XXXXXX STANOVNIŠTVA/ (XX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XX XXXXĪXXXĀXX XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXXŲ XXXXXXXX/ (XX) KIVONAT X SZEMÉLYIADAT- XX XXXXXXXXXXXXXXXXXXXXXX/ (MT) ESTRATT XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX X XXXXXXXX LUDNOŚCI/ (XX) XXXXXXX XX XXXXXXX DA XXXXXXÇÃX/ (XX) XXXXXX XXX XXXXXXXXX XX XXXXXXȚĂ X XXXXXXȚXXX/ (XX) XXXXX X REGISTRA XXXXXXXĽXX/ (XX) IZPISEK XX XXXXXXXX XXXXXXXXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX/ (SV) XXXXXX UR XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX XX ACTAS XXX XXXXXXXX XXXXX/ (XX) XXXX XXXXXXXXXX XXXXXXX/ (DA) XXXXXX XXXX XX CIVILSTANDSREGISTRE/ (XX) WÖRTLICHE XXXXX XXX PERSONENSTANDSEINTRÄGEN/ (ET) XXXXXXXXXXXXXXXXXX KOOPIA/ (EL) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (EN) XXXXXXXX XXXX XX XXXXX STATUS XXXXXXX/ (XX) XXXXX XXXXXXXXX X'XXXXX DE X'XXXX XXXXX/ (XX) XXXX XXXXX XX XXXXXX XX XXXXXXX XX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX PRIJEPIS XX XXXXXXXXXX O OSOBNOM XXXXXX/ (XX) XXXXX XXXXXXXXX XX ATTO XX STATO XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX XXĢXXXXX XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) CIVILINĖS XŪXXĖX AKTŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (XX) XXXXXÖXXXX BEJEGYZÉS XXX XXXXXXXX MÁSOLATA/ (MT) XXXXX XXXXXXXX TAL-ATTI XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXX XXX XXXXX XXX DE XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXÃX XX XXXXX XXXXXXXX XX XX XXXXXXXXX XX XXXX XX XXXXXXX XXXXX/ (XX) COPIE XXXXXĂ X XXXX XXX XX STARE XXXXXĂ/ (XX) XXXXXXXX XXXXX XX ZÁPISOV O XXXXXXX STAVE/ (XX) XXXXXXXXX PREPIS LISTIN X XXXXXXX STANJU/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (SV) ORDAGRANN XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (ES) XXXX NOTARIAL/ (CZ) XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX/ (ET) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (EN) NOTARIAL XXX/ (FR) XXXX XXXXXXX/ (XX) GNÍOMH XXXXXXXXXXXX/ (HR) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXĀXX XXXX/ (XX) XXXXXXXXX XXXXX/ (XX) KÖZJEGYZŐI XXXXXX/ (MT) XXX XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (XX) XXX XXXXXXXXXX/ (XX) ATO XXXXXXXX/ (XX) ACT XXXXXXXX/ (XX) NOTÁRSKA XXXXXXX/ (XX) NOTARSKA XXXXXXX/ (XX) XXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX XXXXXX SOBRE XX XXXXXXXXX PRIVADO/ (XX) ÚŘEDNÍ XXXXXXXXX, XXXXXX XXXX OPATŘENA XXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (DA) OFFICIEL XÅXXXXXXX PÅ ET XXXXXXXX XXXXXXXXXXX XX XX PERSON X XXXXXX EGENSKAB XX XXXXXXXXXXXX/ (XX) AMTLICHE XXXXXXXXXXXXX AUF XXXXX 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 DOCUMENT XXXXXX XX X XXXXXX XX XXX XX XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX SUR XX ACTE SOUS XXXXX XXXXX/ (XX) XXXXXXXX OIFIGIÚIL X XXXXXXXXX XX DHOICIMÉAD XXXX XXXXXX XX XXXXX XXX XXXXX XX INA XXXX XXXXXXXXXXXXXX/ (HR) XXXXXXXX XXXXXXX XXXXXXXXX XX XXXXXXX XXXX JE XXXXX XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (IT) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX XXX XXXXXXXXX XXXXXXX/ (LV) XXXXXĀXX XXXXXXXXĀXXXX XX DOKUMENTA, XX XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (XX) PRIVAČIŲ XXXXXŲ XXXXXXXXXŲ DOKUMENTŲ OFICIALŪS XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ĊXXXXXXXXX XXXXĊXXXX XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX MINN XXXXXXX XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX CERTIFICAAT XX XXX XXXXXXXX XXXXXXXXXXX DOOR XXX XXXXXXX IN ZIJN XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX ZAŚWIADCZENIE XXXXXXXXXXX XX DOKUMENCIE PODPISANYM XXXXX OSOBĘ DZIAŁAJĄCĄ X CHARAKTERZE XXXXXXXXX/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX ATO XX NATUREZA PRIVADA/ (XX) CERTIFICAT OFICIAL XXXXXXX XX XX XXXXXXXX SUB SEMNĂTURĂ XXXXXXĂ/ (SK) XXXXXX XXXXXXXXXX UVEDENÉ XX XXXXXXX PODPÍSANEJ XXXXXX XXXXXXXXX AKO XXXXXXXX XXXXX/ (SL) XXXXXX XXXXXX XX XXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX ASIAKIRJASSA, XXXXX XXXXXXÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX XXXXX XXXXXXXXX XÅ XX HANDLING XXX XXXXXXXXXXXXX AV XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX EXPEDIDO XXX XX XXXXXX XXXXXXXXXXX X XXXXXXXX XX XX XXXXXX XXXXXXX XXX XXXXXXXX OFICIAL/ (XX) XXXXXXX VYHOTOVENÁ XXXXXXXXXXXXX ZÁSTUPCEM XXXX XXXXXXXXXXX ÚŘEDNÍKEM XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX SLUŽEBNÍCH XXXXXXXXXX/ (XX) DOKUMENT XXXXXXXXX UDFÆRDIGET AF XX XXXXXXXXXXXX XXXXXXXXXXXX XXXXX KONSULÆRE XXXXÆXXXXXXX/ (XX) VON EINEM XXXXXXXXXXXXXX ODER XXXXXXXXXXXXXX XXXXXXXXX EINES XXXXXXXXXXXXXX XX SEINER AMTLICHEN XXXXXXXX ERRICHTETE XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (EL) 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 XX X XXXXXX XXXXX XX XXX OR XXX XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXX XX XX XXXXXXX XXXXXXXXXX XXX UN XXXXX XXXXXXXXXXXX XX XXXXXXXXXX D'UN XXXX XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX SUAS XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX XX XXXXX BALLSTÁIT XXX XXXXX XX INA XXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX X XXXXXXXXX SVOJSTVU XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX DRŽAVE XXXXXXX/ (XX) DOCUMENTO XXXXXXX XX XXXXXX XXXXXXXXXXX X CONSOLARI XX UNO XXXXX XXXXXX XXXX'XXXXXXXXX DELLE XXXX FUNZIONI/ (XX) XXXXXXXXX, XXXX, XXXXXX XXXXX XXXXĀXXXXX, SAGATAVOJIS XXXĪXXXXXXX DIPLOMĀTISKAIS XXX XXXXXXĀXXXX PĀRSTĀVIS/ (XX) XXXXXXXXXX, PARENGTAS XXXXXXXĖX XXXĖX DIPLOMATO XX XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX TAGÁLLAM XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX ÁLTAL XXXXXXXXX XXXŐXXXXXXX KIÁLLÍTOTT OKIRAT/ (XX) DOKUMENT XXĦXXXX XXXX XĠXXX XXXXXXXXXXX XXX XXXXXXXXX XX' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX VAN XXX XXXXXXXX IN XXXX OFFICIËLE HOEDANIGHEID/ (XX) XXXXXXXX XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX DYPLOMATYCZNEGO XXX URZĘDNIKA KONSULARNEGO XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X CHARAKTERZE URZĘDOWYM/ (XX) XXXXXXXXX LAVRADO XXX UM XXXXXX XXXXXXXXXXX XX XXXXXXXX XX UM XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎNTOCMIT XX XĂXXX XX XXXXX XXXXXXXXXX XXX XXXXXXXX AL UNUI XXXX XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX VYHOTOVENÁ XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X RÁMCI XXXXXX XXXX FUNKCIE/ (XX) XXXXXXX, KI XX XXX XXXXXX XXXXX XXXX XXXXXXXXXXX ALI XXXXXXXXXX PREDSTAVNIK XXXXXX XXXXXXX/ (XX) ASIAKIRJA, XXXXX JÄSENVALTION XXXXXXXXXXXXXX XXXXXXXX TAI KONSULIEDUSTAJA XX LAATINUT XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXÄXXXX X TJÄNSTEN XX XX XXXXXXXXXXX XXXXX XXXXXXÄX TJÄNSTEMAN X 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)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) DATE (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) IZDOŠANAS XXXXXX (XX/XX/XXXX)/ (LT) XXXXXXXX DATA (DD/MM/MMMM)/ (XX) A XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX AFGIFTE/ (XX) XXXX (DD/MM/RRRR) XXXXXXX/ (XX) XXXX DE XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (ZZ/LL/AAAA) EMITERII/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (SL) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) NÚMERO XX XXXXXXXXXX XXX DOCUMENTO XXXXXXX/ (CZ) REFERENČNÍ XXXXX XXXXXXX XXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXX REFERENCENUMMER/ (XX) XXXXXXXXXX XXX ÖFFENTLICHEN XXXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX NUMBER OF XXX XXXXXX DOCUMENT/ (XX) XXXXXX DE XXXXXXXXX XX DOCUMENT XXXXXX/ (XX) UIMHIR XXXXXXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXX XXXXX ISPRAVE/ (XX) XXXXXX DI XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX ATSAUCES NUMURS/ (XX) XXXXXXX XXXXXXXXX XXXXXXX/ (XX) X XÖXXXXXXX HIVATKOZÁSI SZÁMA/ (XX) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX PUBBLIKU/ (XX) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX DOCUMENT/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXX DE XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX XX XXXXXXXȚĂ XX XXXXXXXXXXXX XXXXXXX/ (SK) REFERENČNÉ XXXXX XXXXXXXX LISTINY/ (XX) REFERENČNA XXXXXXXX XXXXX LISTINE/ (XX) XXXXXXX ASIAKIRJAN VIITENUMERO/ (XX) XXX OFFICIELLA XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX SOBRE XX XXXXXXXXXX/ (CZ) XXXXXXXXX X XXXXXXX XXXXX/ (DA) OPLYSNINGER XX XXX PÅGÆLDENDE XXXXXX/ (XX) ANGABEN XXX XXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXXX ISIKUT XÄXXXXXX TEAVE/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (EN) XXXXXXXXXXX ON XXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXX XXX LA XXXXXXXX XXXXXXXXX/ (GA) XXXXXXXX MAIDIR XXXX XX DUINE XXXX xXXXXXXXX/ (HR) XXXXXXXXXXX X XXXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXĪXX XXXXXXX/ (XX) XXXXXXXXXXX XXXX XXXXXXXXXĄ ASMENĮ/ (XX) XX XXXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXX KKONĊERNATA/ (XX) XXXXXXXXXX OVER XX XXXXXXXXXX/ (PL) DANE XXXXX, XXXXXX XXXXXXX XXXXXXXX/ (XX) INFORMAÇÕES XXXXX A XXXXXX XX XXXXX/ (RO) XXXXXXXȚXX PRIVIND XXXXXXXX XXXXXĂ/ (XX) XXXXXXXXXX X XXXXXXXXX OSOBE/ (XX) XXXXXXXXXXX O XXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXX/ (XX) UPPGIFTER OM XXX BERÖRDA XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (XX) XXXXXXXX(X) XX NACIMIENTO/ (XX) XXXXX/X XXXXXXXX/ (XX) XXXXXXXXX(X) XXX FØDSLEN/ (XX) XXXXXXXXXXXX(X) XXX XXX XXXXXX/ (ET) XÜXXXXÄXXXX XXXXXXXXXXXXX (SÜNNIJÄRGSED XXXXXXXXXXXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (XX) XXXXXXX(X) XX XXXXX/ (XX) NOM(S) À XX XXXXXXXXX/ (XX) XXXXXXX (SLOINNTE) XXXXXXX/ (HR) XXXXXXX(XX) XXX XXĐXXXX/ (IT) XXXXXXX/X ALLA XXXXXXX/ (XX) UZVĀRDS(-I) DZIMŠANAS XXĪXĪ/ (XX) PAVARDĖ (-ĖX), SUTEIKTA (-OS) XXXXX/ (XX) XXÜXXXXXX XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) XXX-XXXXXX/ (XX) XXXXXXXX(X)X(XX) BIJ DE XXXXXXXX/ (XX) NAZWISKO(-A) XXXXXX/ (PT) XXXXXXX(X) À DATA DO XXXXXXXXXX/ (RO) XXXXXX XX XXȘXXXX/ (SK) XXXXX PRIEZVISKO(-Á)/ (XX) XXXXXXX/XXXXXXX XX XXXXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXXXÄXXXXXXXÄ/ (SV) XXXXXXXXX XXX FÖDSELN

4.2

(BG) НАСТОЯЩО(И) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X) XXXXXX(XX)/ (XX) XXXXXXXX/X XXXXXXXX/ (XX) XXXÆXXXXX XXXXXXXXX(X)/ (DE) XXXXXXXXXX(X) FAMILIENNAME(N)/ (XX) XXXXXXXX XXXXXXXXXXXXX (XXXXXXXXX XXXXXXXXXXXXXX)/ (XX) ΤΡΕΧΟΝ(-ΤΑ) ΕΠΩΝΥΜΟ(-Α)/ (XX) CURRENT XXXXXXX(X)/ (XX) NOM(S) XXXXXX(X)/ (XX) SLOINNE (XXXXXXXX) REATHA/ (XX) XXXXXXXX(-X) PREZIME(NA)/ (IT) XXXXXXX/X XXXXXXX/X/ (LV) XXXXXXX(-XX) UZVĀRDS(-I)/ (LT) XXXXXXXXĖ (-ĖX) XXXXXXĖ (-ĖX)/ (XX) XXXXXXXXX XXXXXXX NEVE(I)/ (XX) XXXXXX(/XXXXXXXXXXX) ATTWALI/ (NL) XXXXXXX XXXXXXXX(X)X(XX)/ (PL) XXXXXX XXXXXXXX(-X)/ (XX) XXXXXXX OU XXXXXXXX XXXXXX/ (XX) XXXXXX XXXXXX(X)/ (SK) XXXXXXX XXXXXXXXXX(-X)/ (SL) XXXXXXX XXXXXXX/XXXXXXX/ (FI) XXXXXXXX XXXXXXXX (NYKYISET SUKUNIMET)/ (XX) XXXXXXXXX EFTERNAMN

4.3

(BG) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ БРАКА/ (ES) APELLIDO(S) XXXXX XX XXXXXXXX XXXXXXXXXX/ (CZ) XXXXXXXX XXXX XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXX(X) XØX XXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXX EHESCHLIESSUNG/ (XX) XXXXXXXXXXXXX (-NIMED) XXXX XXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΤΟΝ ΓΑΜΟ/ (XX) XXXXXXX(X) XXXXXX THE XXXXXXXX/ (XX) XXX(X) XXXXX XX XXXXXXX/ (XX) XXXXXXX (XXXXXXXX) ROIMH XX xXXXXXX/ (XX) XXXXXXX(XX) XXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX/X XXXXX XXX XXXXXXXXXX/ (XX) XXXĀXXX(-X) PIRMS XXXXĪXXX/ (XX) PAVARDĖ (-ĖX) XXXXX XXXXXXXĄ/ (XX) XXXXXXX NEVE(I) X XXXXXXXXXÖXXX ELŐTT/ (XX) XXXXXX(/XXXXXXXXXXX) XXXXX XŻ-ŻXXXĠ/ (NL) XXXXXXXX(X)X(XX) XXXX XXX XXXXXXXX/ (XX) NAZWISKO(-A) XXXXX XXXXXXXXX XXŁŻXŃXXXX/ (PT) XXXXXXX(X) XXXXX XX XXXXXXXXX/ (RO) NUMELE ÎXXXXXX XX XĂXĂXXXXX/ (XX) PRIEZVISKO(-Á) XXXX XXXXXXXXX MANŽELSTVA/ (SL) XXXXXXX/XXXXXXX XXXX XXXXXXXXXXX XXXXXXXX ZVEZE/ (FI) XXXXXXXX (-XXXXX) XXXXX XXXXXXXXXXX/ (SV) XXXXXXXXX XÖXX ÄXXXXXXXXXXX XXXÅXXXX

4.4

(XX) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА БРАКА/ (XX) XXXXXXXX(X) XXXXXXX XX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX PO XXXXXXXX XXXXXXXXXX/ (XX) EFTERNAVN(E) XXXXX VIELSEN/ (XX) XXXXXXXXXXXX(X) XXXX DER XXXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXX (-XXXXX) PÄRAST XXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΜΕΤΑ ΤΟΝ ΓΑΜΟ/ (EN) XXXXXXX(X) XXXXXXXXX XXX XXXXXXXX/ (FR) XXX(X) À LA XXXXX XX XXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXX XXX AN XXXXXX/ (XX) PREZIME(NA) XXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX/X XXXX XX XXXXXXXXXX/ (LV) UZVĀRDS(-I) XĒX XXXXĪXXX/ (XX) XXXXXXĖ (-ĖX) XX XXXXXXXXX/ (XX) XXXXXXX XXXX(X) X XXXXXXXX-XÖXXX XXXX/ (XX) XXXXXX(/XXXXXXXXXXX) XXXX Ż-ŻXXXĠ/ (XX) XXXXXXXX(X)X(XX) XX HET XXXXXXXX/ (XX) NAZWISKO(-A) XX XXXXXXXX XXŁŻXŃXXXX/ (XX) XXXXXXX(X) XXXX X CASAMENTO/ (XX) XXXXXX DUPĂ CĂSĂTORIE/ (XX) XXXXXXXXXX(-X) XX XXXXXXXX MANŽELSTVA/ (XX) XXXXXXX/XXXXXXX XX XXXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXXX (-XXXXX) AVIOLIITON XXXXXXXXXX XÄXXXXX/ (XX) XXXXXXXXX XXXXX ÄXXXXXXXXXXX XXXÅXXXX

4.5

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) XXXXX (JMÉNA)/ (DA) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-NIMED)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) PRÉNOM(S)/ (XX) XXXXXXXX (CÉADAINMNEACHA)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (XX) XĀXXX(-X)/ (XX) VARDAS (-XX)/ (XX) UTÓNEVE(I)/ (XX) XXXX(/XXXXXXXX)/ (XX) VOORNA(A)M(EN)/ (XX) XXXĘ (IMIONA)/ (XX) XXXX(X) XXXXXXX(X)/ (XX) XXXXXXX/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (XX) XÖXXXXX

4.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) FECHA (XX/XX/XXXX) XX XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) NAROZENÍ/ (XX) FØDSELSDATO (XX/XX/ÅÅÅÅ)/ (XX) GEBURTSDATUM (XX/XX/XXXX)/ (XX) SÜNNIKUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (EN) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) DATE (JJ/MM/AAAA) XX XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (IT) XXXX XX XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (XX) GIMIMO XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (RO) DATA (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXXXX/ (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 XXXXXXXXXX/ (XX) MÍSTO X XXXX NAROZENÍ/ (XX) XØXXXXXX OG -XXXX/ (XX) ORT UND XXXX XXX XXXXXX/ (XX) XÜXXXXXXX XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX XXX XXXXXXX XX XXXXX/ (XX) XXXX XX XXXX DE XXXXXXXXX/ (XX) ÁIT AGUS XXX XXXXXXXX/ (XX) XXXXXX I ZEMLJA XXĐXXXX/ (XX) XXXXX X XXXXX XX XXXXXXX/ (XX) DZIMŠANAS XXXXX UN VALSTS/ (XX) GIMIMO XXXXX XX XXXXX/ (HU) XXÜXXXXXX XXXXX XX XXXXXXX/ (MT) XXXX X XXXXXŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX XX -XXXX/ (XX) XXXXXXX X XXŃXXXX URODZENIA/ (XX) XXXXX X XXXX DE XXXXXXXXXX/ (XX) XXXXX ȘX ȚXXX XXȘXXXXX/ (SK) XXXXXX X XXXX XXXXXXXXX/ (XX) KRAJ XX XXXXXX ROJSTVA/ (XX) XXXXXXÄXXXXXX XX -XXX/ (SV) FÖDELSEORT XXX -XXXX

4.8

(XX) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (XX) XØX/ (XX) GESCHLECHT/ (XX) XXXX/ (XX) ΦΥΛΟ/ (XX) SEX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXX/ (XX) XXXXX/ (LV) XXXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) XXXX/ (XX) XXXXXXXX/ (PL) XŁXĆ/ (PT) SEXO/ (XX) XXXXX/ (SK) XXXXXXXX/ (XX) SPOL/ (XX) XXXXXXXXX/ (SV) XÖX

4.8.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (CZ) ŽENA/ (XX) XXXXXX/ (DE) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (HR) XXXXXX/ (IT) XXXXXXXXX/ (XX) SIEVIETE/ (XX) XXXXXXX/ (HU) XŐ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) FEMININO/ (XX) XXXXXXXX/ (SK) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (SV) KVINNA

4.8.2

(BG) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (XX) XXXX/ (DE) XÄXXXXXX/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (GA) XXXXXXX/ (HR) XXXXX/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) VYRAS/ (XX) XXXXX/ (XX) XXĠXX/ (NL) XXX/ (XX) XĘŻXXXXXX/ (PT) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (SL) XXXXX/ (XX) XXXX/ (XX) XXX

4.8.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (DA) UBESTEMT/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) NEODREĐEN/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (MT) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) PŁEĆ XXXXXXXŚXXXX/ (XX) XÃX XXXXXXXX/ (XX) NEDETERMINAT/ (XX) NEURČENÉ/ (XX) XXXXXXXXX/ (FI) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

4.9

(XX) ГРАЖДАНСТВО/ (XX) NACIONALIDAD/ (XX) XXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX-XXXXXÖXXXXXXX/ (ET) KODAKONDSUS/ (XX) ΙΘΑΓΕΝΕΙΑ/ (XX) XXXXXXXXXXX/ (FR) XXXXXXXXXXX/ (XX) NÁISIÚNTACHT/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) VALSTSPIEDERĪBA/ (LT) XXXXXXXXĖ/ (HU) XXXXXXXXXXXXXXX/ (XX) ĊXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) OBYWATELSTWO/ (XX) XXXXXXXXXXXXX/ (RO) XXXĂȚXXXX/ (XX) ŠTÁTNA XXXXXXXXXXX/ (SL) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (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 XX XXX XX XXXXXXX XXXX XXXXXXX, XX XXXXXX XXXXX XXX XXXXXXXXXX XX EL XXXXXXXXX:/ (CZ) XX XXXXXXX VEŘEJNÉ XXXXXXX, X NÍŽ JE XXXXXXXX XXXXX XXXXXXXX, XX DOTYČNÁ XXXXX XXXXX XXXXXXX XXXX/ (XX) I HENHOLD XXX XXX XXXXXXXXXX XXXXXXXX, SOM XXXXX XXXXXXXX XX VEDHÆFTET, XXX DEN PÅGÆLDENDE XXXXXX XØXXXXXX ÆXXXXXXXXXXXX XXXXXX/ (DE) XXXXXXXXXXXXX XXX XXXXXXXXXXXX XXXXXX XXXÄXX XXX ÖFFENTLICHEN XXXXXXX, XXX DIESES XXXXXXXX BEIGEFÜGT IST/ (XX) XXXXXXXXX AVALIKULE XXXXXXXXXXX, MILLELE SEE XXXX ON XXXXXXX, XX XXXXXXXXXX XXXXXX XÄXXXXXX PEREKONNASEIS/ (EL) 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) ACCORDING TO XXX PUBLIC XXXXXXXX XX XXXXX XXXX XXXX XX ATTACHED, XXX XXXXXX CONCERNED XXX XXX XXXXXXXXX XXXXXXX XXXXXX/ (XX) X'XXXÈX LE XXXXXXXX XXXXXX XXXXXX LE XXXXXXX XXXXXXXXXX XXX XXXXX, XX XXXXXXXXX XXXXXXXXXXXX DE XX XXXXXXXX XXXXXXXXX XXX XX XXXXXXXX/ (GA) XX XXXX XX XXXXXXXXX PHOIBLÍ XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX, XX XX XXXXXX XXXXX X XXXXXX AG XX DUINE LENA xXXXXXXXX/ (XX) XXXXX XXXXXX ISPRAVI XXXXX XX XXXX XXXXXXX XXXXXXXX XXXXXX XXXXXX XXXXXXX OSOBE XX XXXXXXĆX/ (IT) XXXXXXX XX XXXXXXXXX XXXXXXXX XXX IL XXXXXXXX XXXXXX È XXXXXXXX, XX STATO XXXXXX XXXXX PERSONA XXXXXXXXXXX È XX XXXXXXXX/ (XX) XXXXXŅĀ XX XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, XXXXXXĪXXXXX XXXXXXXX XX XĀXX ĢXXXXXX XXĀXXXXXX/ (LT) XXXXX XXXXĄXĮ DOKUMENTĄ, XXXX XXXXX PRIDEDAMA ŠI XXXXX, XXXXXXXXXX ASMENS XXXXXXXXXĖ XXXĖXXX XXX XXXXX/ (HU) AZ XXXXXXXX XXXXXXX CSALÁDI XXXXXXXX X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXX XXXXXXX/ (XX) XXXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX, XX-XXXXXXX XXXXĊXXXXXX XĦXXXXX X-XXXXX ĊXXXXX XXX ĠXX/ (XX) XXXXXXX XXX OPENBAAR XXXXXXXX WAARAAN XXX XXXXXXXXX XX XXXXXXX, XX DE XXXXXXXXXXX XXXXX VAN XX XXXXXXXXXX DE XXXXXXXX/ (XX) X XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXŁĄXXXXX JEST NINIEJSZY XXXXXXXXX, WYNIKA, ŻE XXXXX, XXXXXX XXXXXXX XXXXXXXX, XXXXXXX XXXXĘXXXĄXX XXXX CYWILNY/ (XX) XXXXXXX O XXXXXXXXX XXXXXXX X XXX X XXXXXXXX FORMULÁRIO XXXX APENSO, À XXXX DA SUA XXXXXÃX, X XXXXXX XXXXX DA XXXXXX XX XXXXX X/ (XX) ÎX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX CARE XXXX XXXXXX XXXXXXXXX XXXXXXXX, XXXXXXXX XXXXXĂ XXX XXXĂXXXXXX XXXXX XXXXXĂ/ (XX) XXXĽX XXXXXXXX XXXXXXX, XX XXXXXX XX XXXXX FORMULÁR XXXXXXXXX, SA XXXXXXXX XXXXX NACHÁDZA X XXXXX OSOBNOM XXXXX/ (XX) X XXXXXX X JAVNO XXXXXXX, XX XX XX XXXXXXXX XX OBRAZEC, XXX XXXXXXX XXXXX XXXXXXXXX XXXXXXXX STAN/ (XX) SEN XXXXXXX XXXXXXXXXX XXXXXX, JOHON XÄXÄ XXXXXX LIITETÄÄN, XXXXXXXXXXXX XXXXXXÖX XXXXXXXXÄÄXX XX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXX XXXXXXXX XXXX VILKEN XXXXX XXXXXXÄX ÄX XXXXXXX ÄX XXX XXXÖXXX XXXXXXXXX CIVILSTÅND XÖXXXXXX

5.1

(XX) СЪС СКЛЮЧЕН БРАК/ДАТА (ДД/ММ/ГГГГ) НА СКЛЮЧВАНЕ НА БРАКА/ (XX) CASADO / XXXXX (XX/XX/XXXX) DEL XXXXXXXXXX/ (XX) XXXXX – XXXXXX/XXXXX (DD/MM/RRRR) XXXXXXXX XXXXXXXXXX/ (XX) XXXX/XXXX (XX/XX/ÅÅÅÅ) FOR XXXXÅXXXX XX ÆXXXXXXX/ (XX) VERHEIRATET/TAG XXX XXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXX / ABIELLUMISE XXXXÄXX (PP/KK/AAAA)/ (EL) ΕΓΓΑΜΟΣ/-Η / ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΑΜΟΥ/ (XX) XXXXXXX/XXXX (XX/XX/XXXX) XX XXXXXXXX/ (FR) XXXXX(X)/XXXX (XX/XX/XXXX) XX MARIAGE/ (XX) XXXXX/XXXX (XX/XX/XXXX) XXXXX/ (XX) X XXXXX / XXXXX (XX/XX/XXXX) XXXXXXXXX XXXXX/ (XX) XXXXXXXXX/X - XXXX DI XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXXĒXXXX / LAULĪBAS NOSLĒGŠANAS XXXXXX (XX/XX/XXXX)/ (LT) XXXXXXXXĘX (-XXX) / XXXXXXXXX SUDARYMO DATA (XX/XX/XXXX)/ (XX) XXXXX/XXXXXXXXXÖXXX XXXXX (XXXX/XX/XX)/ (XX) XXŻŻXXXXĠ/XXŻŻXXĠX X DATA (XX/XX/XXXX) XXŻ-ŻXXXĠ/ (XX) XXXXXX/XXXXX (XX/XX/XXXX) XXX XXX XXXXXXXX/ (XX) XXXXXXXXX W ZWIĄZKU XXŁŻXŃXXXX/ XXXX (XX/XX/XXXX) XXXXXXXX ZWIĄZKU XXŁŻXŃXXXXXX/ (XX) XXXXXX(X)/XXXX XX XXXXXXXXX (XX/XX/XXXX)/ (XX) XĂXĂXXXXX(Ă)/XXXX (XX/XX/XXXX) XĂXĂXXXXXX/ (XX) XXXXXX/XXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXXX MANŽELSTVA/ (SL) XXXXXXX/XXXXX (DD/MM/LLLL) XXXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXXXXX/XXXXXXXXXX SOLMIMISPÄIVÄ (XX/XX/XXXX)/ (XX) XXXX/XXXXX (DD/MM/ÅÅÅÅ) XÖX ÄKTENSKAPETS INGÅENDE

5.2

(BG) БЕЗ СКЛЮЧЕН БРАК/ (XX) NO XXXXXX/ (XX) XXXXXXXXX – XXXXXXXXX/ (DA) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XX XXX XXXXXXX/ (XX) ΑΓΑΜΟΣ/-Η/ (XX) XXX MARRIED/ (XX) XXX XXXXX(X)/ (XX) XXX X XXXXXX XXXXX/ (XX) NIJE X BRAKU/ (XX) XXX XXXXXXXXX/X/ (XX) XXXXXXĒXXXX/ (XX) XXXXXXXXXXĘX (-XXX)/ (HU) XXXXXÜXXXXX/ (XX) MHUX XXŻŻXXXXĠ/XXXX XXŻŻXXĠX/ (NL) ONGEHUWD/ (XX) NIE XXXXXXXXX X ZWIĄZKU XXŁŻXŃXXXX/ (XX) XÃX XXXXXX(X)/ (XX) NECĂSĂTORIT(Ă)/ (XX) XXXXXXXX/XXXXXXXX/ (XX) XXXXXXXXX/ (XX) XX NAIMISISSA/ (XX) XXXXX

5.2.1

(XX) НИКОГА НЕ Е СКЛЮЧВАЛО БРАК/ (XX) SOLTERO/ (XX) XXXXXXXX – XXXXXXXX/ (DA) XXXXXX XXXX/ (XX) XXX XXXXXXXXXXX/ (XX) EI XXX KUNAGI XXXXXXX XXXXX/ (XX) ΔΕΝ ΕΧΕΙ ΣΥΝΑΨΕΙ ΠΟΤΕ ΓΑΜΟ/ (EN) XXXXX XXXXXXX/ (XX) N'AYANT XXXXXX XXX XXXXX(X)/ (XX) XXX X XXXXXX XXXXX XXXXX/ (XX) XXXXXX XXXX XXX(-XX) U BRAKU/ (XX) CELIBE/NUBILE/ (LV) XXXXX XXX XXXXX XXXXĒXXXX/ (XX) NIEKADA XXXXXX SUSITUOKĘS (-USI)/ (XX) XŐXXXX / XXXXXXX/ (MT) ĠUVNI/XEBBA/ (XX) XXXXX XXXXXX/ (XX) XXXXX XXX XXXXXŁ(-X) XXXĄXXX MAŁŻEŃSKIEGO/ (XX) XXXXXXXX/ (RO) XX X FOST XĂXĂXXXXX(Ă) XXXXXXXXĂ/ (SK) XXXXX XX XXXXXXXX/XXXXXXXX/ (XX) XXXXXX XXXXXXX/ (XX) XX XXX XXXXXXX OLLUT XXXXXXXXXX/ (XX) HAR XXXXXX XXXXX XXXX

5.2.2

(XX) С РАЗТРОГНАТ БРАК/ДАТА (ДД/ММ/ГГГГ) НА РАЗВОДА/ (XX) XXXXXXXXXX / FECHA (XX/XX/XXXX) XXX DIVORCIO/ (XX) XXXXXXXXX – XXXXXXXXX/XXXXX (DD/MM/RRRR) XXXXXXX/ (XX) XXXXXXXX/XXXX (XX/XX/ÅÅÅÅ) XXX SKILSMISSE/ (DE) XXXXXXXXXX / DATUM (XX/XX/XXXX) XXX SCHEIDUNG/ (XX) XXXXXXXXX / XXXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΔΙΑΖΕΥΓΜΕΝΟΣ/-Η / ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΔΙΑΖΥΓΙΟΥ/ (XX) XXXXXXXX/XXXX (XX/XX/XXXX) XX XXXXXXX/ (FR) XXXXXXX(X)/XXXX (XX/XX/XXXX) XX XXXXXXX/ (XX) XXXXXXXXXX/XXXX (XX/XX/XXXX) COLSCARTHA/ (XX) XXXXXXXX(X)/XXXXX (DD/MM/GGGG) XXXXXXX/ (XX) XXXXXXXXXX/X - XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XĶĪXXXX / ŠĶIRŠANĀS XXXXXX (XX/XX/XXXX)/ (XX) IŠSITUOKĘS (-XXX) / XXXXXXXXX XXXXXXXXXX XXXX (XX/XX/XXXX)/ (XX) XXXXXX/X HÁZASSÁG XXXXXXXXXXXXX IDEJE (XXXX/XX/XX)/ (XX) XXXXXXXXX(X) X XXXX (XX/XX/XXXX) TAD-DIVORZJU/ (XX) XXXXXXXXXX/XXXXX (DD/MM/JJJJ) XXX XX ECHTSCHEIDING/ (XX) ROZWIEDZIONY(-A) / XXXX (XX/XX/XXXX) ROZWODU/ (XX) XXXXXXXXXX(X)/XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXȚXX(Ă)/XXXX (ZZ/LL/AAAA) XXXXXȚXXXX/ (XX) XXXXXXXXX/X/XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXX XXXXXXXX XXXXX/ (FI) XXXXXXX/XXXXXXXX XÄXXÄXÄÄXÄ (XX/XX/XXXX)/ (XX) XXXXX/XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXXXXÄXXX

5.2.3

(XX) С ПОЧИНАЛ(А) СЪПРУГ(А)/ДАТА (ДД/ММ/ГГГГ) НА СМЪРТТА НА СЪПРУГА(АТА)/ (XX) XXXXX / XXXXX (DD/MM/AAAA) DE XXXXXXXXXXXXX DEL XXXXXXX/ (XX) XXXXX – XXXXXX/XXXXX (XX/XX/XXXX) XXXXX XXXXXXX/XXXXXXXX/ (XX) XXXXXXXXX/XXXX (XX/XX/ÅÅÅÅ) XXX ÆXXXXÆXXXX XØX/ (XX) XXXXXXXXX / STERBEDATUM (XX/XX/XXXX) 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) XXXX(XX)/XXXX (JJ/MM/AAAA) XX XXXÈX XX XXXXXXXX/ (XX) BAINTREACH/ XXXX (LL/MM/BBBB) BÁIS XX CHÉILE/ (XX) XXXXXX(-XXX) / XXXXX (XX/XX/XXXX) XXXXX XXXXXXXX XXXXX/ (IT) XXXXXX/X - XXXX XX XXXXXXX XXX CONIUGE (XX/XX/XXXX)/ (XX) ATRAITNIS / XXXXĀXĀ XXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX (-Ė) / XXXXXXXXXXX (-ĖX) XXXXXXX XXXX (XX/XX/XXXX)/ (XX) ÖXXXXX/X XXXXXXXXX XXXXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXXX/XXXXX X DATA (XX/XX/XXXX) XXX-XXXX TAL-KONJUĠI/ (XX) XXXXXX/XXXXXXXXX/XXXXX (XX/XX/XXXX) XXX OVERLIJDEN XXX XX XXXXXXXX(X)X(X)/ (XX) XXXXXXX, XXXXX / XXXX (XX/XX/XXXX) ZGONU XXŁŻXXXX/ (XX) XXXXX(X)/XXXX XX ÓBITO XX XÔXXXXX (DD/MM/AAAA)/ (RO) XĂXXX(Ă)/XXXX (ZZ/LL/AAAA) DECESULUI XXȚXXXX (XXȚXXX)/ (SK) XXXXXX/XXXXX/XXXXX (XX/XX/XXXX) XXXXXX XXXXXXX/XXXXXXXX/ (XX) XXXXXXX/XXXXX (XX/XX/XXXX) XXXXX XXXXXXX/ (XX) XXXXX/XXXXXXXX XXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) ÄXXXXXX XXXXX ÄXXX/XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXXXX XXXXX XXXXXX DÖD

5.3

(BG) НЕОПРЕДЕЛЕН/ (XX) INDETERMINADO/ (CZ) XXXXXXXX/ (XX) UBESTEMT/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (HR) XXXXXXĐXXX/ (XX) XXXXXXXXXXXXX/ (LV) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) STAN XXXXXXXXXXX/ (PT) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (SL) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

6.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX PARA XX FIRMA/ (CZ) XXXX XXX XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) SIGNATURE XXX/ (XX) XXXXX XXXX XX SIGNATURE/ (GA) XXXXX XXX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXXXXX XXX XX XXXXX/ (XX) XXXXXXXX LAUKS/ (XX) PARAŠO XXXXXXXX/ (XX) AZ ALÁÍRÁS XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (NL) VAK XXXX DE XXXXXXXXXXXX/ (XX) XXXX XXXXXXX/ (XX) ESPAÇO XXXXXXXXX À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) KOLÓNKA XX PODPIS/ (XX) XXXXX XX XXXXXX/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (XX) XXXX XÖX XXXXXXXXXXXXXX

6.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X NOMBRE(S) XXX XXXXXXXXXXX QUE XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXX A XXXXX (XXXXX) XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXXXX(X) XX XXXXXXX(X) PÅ XXX XXXXXXXXXX, XXX XXX UDSTEDT DENNE XXXXXXXX/ (DE) XXXXXXXXXXXX(X) XXX XXXXXXX(X) XXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX AMETNIKU XXXXXXX (-XXXXX) XX XXXXXXXXXXXXX (-XXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) AND XXXXXXXX(X) XX XXX XXXXXXXX XXX ISSUED XXXX XXXX/ (XX) XXX(X) XX XXXXXX(X) XX FONCTIONNAIRE XXX X DÉLIVRÉ XX XXXXXXX FORMULAIRE/ (XX) XXXXXXX (SLOINNTE) AGUS XXXXXXXX (CÉADAINMNEACHA) XX XXXXXXXX X X’XXXXXX XX FHOIRM XXX/ (XX) XXXXXXX(XX) I XXX(XX) SLUŽBENIKA XXXX XX XXXXX XXXX XXXXXXX/ (IT) XXXXXXX/X X XXXX/X XXX XXXXXXXXXXX CHE HA XXXXXXXXXX IL PRESENTE XXXXXX/ (XX) AMATPERSONAS, XXXX XXXXXXXX ŠO XXXXXXXX, UZVĀRDS(-I) UN XĀXXX(-X)/ (LT) XXĄ XXXXĄ XXXXXXXXX PAREIGŪNO XXXXXXĖ (-ĖX) XX XXXXXX (-XX)/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ CSALÁDI XXXX(X) XX UTÓNEVE(I)/ (MT) XXXXXX(/XXXXXXXXXXX) U XXXX(/XXXXXXXX) XXX-XXXXĊXXX LI ĦXXXĠ XXX XX-XXXXXXX/ (XX) XX(X)X(XX) XX VOORNA(A)M(EN) XXX DE XXXXXXXXX XXX DIT FORMULIER XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) I XXXĘ (XXXXXX) URZĘDNIKA, KTÓRY XXXXŁ NINIEJSZY FORMULARZ/ (XX) XXXXXXX(X) X XXXX(X) PRÓPRIO(S) XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX FORMULÁRIO/ (XX) XXXXXX ȘI XXXXXXXXX XXXXȚXXXXXXXXX XXXX X EMIS PREZENTUL XXXXXXXX/ (XX) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) PRIIMEK/PRIIMKI XX XXX/XXXXX XXXXXXXX, XX XX IZDAL XX OBRAZEC/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX SUKUNIMI (-NIMET) XX XXXXXXX (-NIMET)/ (XX) EFTERNAMN XXX XÖXXXXX XÅ XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX FORMULÄR

6.2

(BG) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX XXXXXXXXXXX QUE XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX ÚŘEDNÍKA, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXXX — DEN EMBEDSMAND, XXX HAR UDSTEDT XXXXX XXXXXXXX/ (XX) XXXXXXXX XXX BEAMTEN, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (ET) XÄXXXXXXX XXXXX VÄLJASTANUD XXXXXXXX XXXXXXXXX/ (EL) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX XX XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) XXXXX DU XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXX AN XXXXXXXX A X’XXXXXX XX FHOIRM SEO/ (XX) XXXXXXXX XXXXXXXXXX XXXX XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXX FUNZIONARIO XXX HA XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, KURA XXXXXXXX XX VEIDLAPU, XXXXX/ (LT) XXĄ XXXXĄ IŠDAVUSIO XXXXXXŪXX XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX TISZTVISELŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX XXX DE XXXXXXXXX XXX XXX XXXXXXXXX XXXXX AFGEGEVEN/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX XX FUNCIONÁRIO QUE XXXXXX O XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX XXXX A XXXX PREZENTUL XXXXXXXX/ (XX) FUNKCIA XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (SL) POLOŽAJ XXXXXXXX, XX XX XXXXX XX OBRAZEC/ (XX) XÄXÄX LOMAKKEEN XXXXXXXX VIRKAMIEHEN XXXXX/ (XX) XXXXXXXXXX XÖX XXX TJÄNSTEMAN XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) 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) DATE (XX/XX/XXXX) XX ISSUE/ (XX) XXXX (JJ/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (DD/MM/GGGG) XXXXXXXXX/ (IT) DATA XX RILASCIO (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) IŠDAVIMO XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (NL) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX DE EMISSÃO (XX/XX/XXXX)/ (RO) DATA (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) VYDANIA/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (FI) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (ES) FIRMA/ (XX) XXXXXX/ (DA) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) SIGNATURE/ (XX) XXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (LT) XXXXXXX/ (XX) XXXXXXX/ (MT) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (PT) XXXXXXXXXX/ (RO) XXXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) ALLEKIRJOITUS/ (XX) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (ES) XXXXX X XXXXXX/ (XX) XXXXX NEBO XXXXXXX/ (XX) XXXX XXXXX STEMPEL/ (XX) XXXXXX XXXX XXXXXXX/ (XX) XXXXXX XÕX XXXXXX/ (EL) ΣΦΡΑΓΙΔΑ/ (XX) SEAL XX XXXXX/ (XX) XXXXX XX TIMBRE/ (XX) XXXXX NÓ XXXXXX/ (XX) XXX XXX XXXXX/ (IT) BOLLO X XXXXXX/ (LV) XĪXXXX XXX SPIEDOGS/ (XX) SPAUDAS ARBA XXXXXXXXXX/ (XX) PECSÉT XXXX BÉLYEGZŐLENYOMAT/ (XX) XXĠXXX XXX XXXXXX/ (XX) XXXXX XX XXXXXXX/ (XX) PIECZĘĆ XXX STEMPEL/ (PT) XXXX XX CARIMBO/ (XX) SIGILIUL XXX ȘXXXXXXX/ (XX) XXXXX XXXXX ODTLAČOK XXXXXXXX/ (XX) XXXXX XXX XXX/ (XX) SINETTI XXX XXXXX/ (XX) XXXXXX XXXXX XXÄXXXX

REGISTROVANÉ XXXXXXXXXXX

XXXXXXXXXXX XXXXXXXXXX FORMULÁŘ – XXXXXXX XXX XXXXXXX

Xxxxxx 7 xxxxxxxx Evropského xxxxxxxxxx a Xxxx (XX) 2016/1191 ze xxx 6. xxxxxxxx 2016 o xxxxxxx xxxxxxx pohybu xxxxxx xxxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx x Evropské xxxx x x xxxxx xxxxxxxx (EU) x. 1024/2012 (1)

Xxxxxx (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (CZ)

Dánsko (XX) Xxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (IT) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Malta (XX)

Xxxxxxxxxx (XX) Rakousko (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Slovinsko (XX)

Xxxxxxxxx (XX) Finsko (FI)

Švédsko (XX) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx standardního xxxxxxxxx xx xxxxxxxxx xxxxxxxx veřejné xxxxxxx, x níž xx xxxxxxxx. Tento xxxxxxxx xx xxxx xxxxxxxxx xxxxx xxxxx xxxxxxxxx xxxx xxxxxxxxxx xxxxxxxx.

Xxxxx xxxxxxxx xxxxxx xxxxx xxxxxxx xxxxxxx, k xxx xx xxxxxxxx. Xxxxx, xxxxx xx xxxxxxx xxxxxxx předkládána, xxxx může v xxxxxxxxx, kdy je xx xxxxxxxx xxx xxxxx zpracování xxxxxxx xxxxxxx, požadovat překlad xx xxxxxx informací, xxxxx xxxx xx xxxxxxxxx uvedeny.

UPOZORNĚNÍ XXX XXXXXXXXXX XXXXX

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

Pokud veřejná xxxxxxx, k níž xx přiložen tento xxxxxxxx, neobsahuje xxxxxx xxxxx xxxx xxxxxxxxx, xxxxxx „–“.

1. XXXXX XXXXXXXXXX TENTO XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

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

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

3.1.1 Rozhodnutí xxxxx

3.1.2 Xxxxxxx xxxxxx státním xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx xxxxxx xxxxxxx úředníkem

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

3.1.5 Xxxx (upřesněte)

(1) Xx. věst. X 200, 26.7.2016, s. 1.

(2) Xxx xxxxxxxxxx xxxxx použijte xxxxxxx xxxxx.

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

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

3.2 Xxxxxxx vydaná xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x matriky

3.2.3 Xxxxx x registru xxxxxxxx

3.2.4 Xxxx xxxxxxxxxx záznamů

3.1.5 Xxxx (upřesněte)

3.3 Xxxxxxxx xxxxxxx

3.4 Úřední osvědčení, xxxxxx xxxx xxxxxxxx xxxxxxx podepsaná xxxxxxxxx xxxxxx

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

3.6 Xxxxx (dd/mm/rrrr) xxxxxx

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXXXXX XXXXXXXXXXX

4.1 Xxxxx (xx/xx/xxxx) xxxxxxxxxx xxxxxxxxxxx

4.2 Xxxxx (1) x xxxx (2) xxxxxxxxxx xxxxxxxxxxx

5. XXXXXXX/XXXXXXXXX X

5.1 Xxxxx/x xxxxxxxx

5.2 Příjmení xxxx xxxxxxxxx registrovaného partnerství

5.3 Xxxxxxxx xx xxxxxxxx xxxxxxxxxxxxxx xxxxxxxxxxx

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 xxxxxxxxxx partnerství“ xx xxxxxx xxxxx xxxx xxxx města, xxxxxx x xxxxx, xxx xxxx xxxx xxxxxxxxxx xxxxxxxxx.

(2) Xxxxx xxxx x – xxxxx xxxxxxxx – xxx XXX xxxx xxxx xxxx xxxxxxx „Xxxx (xxxxxxxxx)“ je xxxxx xxxxxx x xxxxxxxxxxx nabídky ve xxxxxxxx vícejazyčném xxxxxxxxxxx xxxxxxxxx, který xx x dispozici na xxxxxxx evropské x-xxxxxxx.

6. XXXXXXX/XXXXXXXXX B

5.1 Xxxxx/x xxxxxxxx

5.2 Xxxxxxxx před xxxxxxxxx xxxxxxxxxxxxxx xxxxxxxxxxx

5.3 Xxxxxxxx po xxxxxxxx xxxxxxxxxxxxxx partnerství

5.4 Xxxxx (xxxxx)

5.5 Xxxxx (xx/xx/xxxx) xxxxxxxx

5.6 Xxxxxxx:

5.6.1 Žena

5.6.2 Xxx

5.6.3 Xxxxxxxx

7. POLE XXX XXXXXX

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

7.2 Xxxxxx xxxxxxxx, který xxxxx xxxxx xxxxxxxx

7.3 Xxxxx (xx/xx/xxxx) xxxxxx

7.4 Xxxxxx

7.5 Xxxxx xxxx xxxxxxx

XXXXXXXXXXX XXXXXX XXXXX STANDARDNÍCH XXXXXXX

(XXXXXXXXXXXX XXXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) AUTORIDAD XXX XXXXXX XXXX XXXXXXX/ (XX) XXXXX VYDÁVAJÍCÍ XXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXX UDSTEDENDE XXXXXXXXX/ (DE) XXXÖXXX, XXX DIESES XXXXXXXX XXXXXXXXX/ (ET) KÄESOLEVA XXXXX XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) AUTHORITY XXXXXXX XXXX XXXX/ (XX) XXXXXXXX DE XXXXXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X EISEOIDH XX XXXXXX SEO/ (XX) TIJELO KOJE XXXXXX XXXX OBRAZAC/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXX XXXXXX/ (XX) VEIDLAPAS XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) AWTORITÀ XXXXXXXXX XX' XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX DIT XXXXXXXXX/ (PL) XXXXX XXXXXĄXX NINIEJSZY XXXXXXXXX/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXX XXXXXXXXXX/ (RO) XXXXXXXXXXX XXXXXXXĂ X PREZENTULUI XXXXXXXX/ (SK) XXXXX XXXXXXXXXX XXXXX FORMULÁR/ (XX) XXXXX, XX XXXX TA OBRAZEC/ (XX) XÄXÄX XXXXXXXXX XXXXXX VIRANOMAINEN/ (XX) XXXXXXXXX SOM UTFÄRDAR XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (CZ) XXXXX/ (XX) XXXXXXXXXX/ (DE) XXXXXXXXXXX/ (ET) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (FR) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) DENOMINAZIONE/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXX/ (PT) 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 XXX XX XXXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX VEŘEJNOU LISTINU, X NÍŽ XX XXXXXXXX XXXXX FORMULÁŘ/ (XX) XXX MYNDIGHED, XXX XXX XXXXXXX XXX OFFENTLIGE XXXXXXXX, XXX XXXXX FORMULAR XX VEDHÆFTET/ (DE) XXXÖXXX, DIE XXX ÖXXXXXXXXXX URKUNDE, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX, AUSSTELLT/ (ET) XXXXXX, XXX XXXXX XÄXXX AVALIKU XXXXXXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) AUTHORITY ISSUING XXX XXXXXX DOCUMENT XX WHICH XXXX XXXX XX ATTACHED/ (XX) XXXXXXXX XX XXXXXXXXXX XX DOCUMENT XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) AN xXXXXXX A XXXXXXXX XX DOICIMÉAD XXXXXX XXXX XXXXXX AN XXXXXX XXX CEANGAILTE/ (XX) TIJELO KOJE XXXXXX XXXXX ISPRAVU XXXXX JE XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ CHE XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, XXXXX ŠĪ XXXXXXXX XX XXXXXXXXXX, IZDEVĒJIESTĀDE/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX KIÁLLÍTÓ XXXXXXX/ (XX) AWTORITÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX LI XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (NL) XXXXXXXXXX XXX AFGIFTE XXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXX WYDAJĄCY XXXXXXXX XXXĘXXXX, XX XXXXXXX NINIEJSZY XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXXX PÚBLICO X XXX X XXXXXXXX FORMULÁRIO XXXX XXXXXX/ (XX) AUTORITATEA XXXXXXXĂ X XXXXXXXXXXXX XXXXXXX LA CARE XXXX ANEXAT XXXXXXXXX XXXXXXXX/ (SK) ORGÁN XXXXXXXXXX XXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX XXXX XXXXX XXXXXXX, XX JI JE XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXXXX, XXXX XX ANTANUT XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (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 XXXXXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX/ (CZ) INFORMACE XXXXXXXX SE XXXXXXX XXXXXXX, X XXX XX PŘILOŽEN TENTO XXXXXXXX/ (XX) OPLYSNINGER XXXXØXXXXX DET OFFENTLIGE XXXXXXXX, XXX DENNE XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (ET) XXXXX XXXXXXX XXXXXXXXX XXXXX, XXXXXXX SEE XXXX XX LISATUD/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) INFORMATION XXXXXXXX XX XXX XXXXXX DOCUMENT XX XXXXX THIS FORM XX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX LE XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX A BHAINEANN XXXX XX DOICIMÉAD XXXXXX LENA BHFUIL XX FHOIRM SEO XXXXXXXXXX/ (XX) INFORMACIJE XXXX XX XXXXXX XX JAVNU ISPRAVU XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, KURAM XĪ XXXXXXXX IR PIEVIENOTA/ (XX) XXXXXXXXXXX, XXXXXXXX XX VIEŠUOJU XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXXXX VONATKOZÓ XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX LI XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (PL) INFORMACJE XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX KTÓREGO XXXXXXXXX XXXXXXXXX JEST XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX DOCUMENTO PÚBLICO X XXX O XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX LA XXXXXXXXXX XXXXXXX LA CARE XXXX ANEXAT PREZENTUL XXXXXXXX/ (SK) XXXXXXXXXX X XXXXXXXX XXXXXXX, XX KTOREJ JE XXXXX XXXXXXXX XXXXXXXXX/ (XX) INFORMACIJE X XXXXX X XXXXX XXXXXXX, XX XX XX PRILOŽEN XX XXXXXXX/ (FI) XXXXXX XXXXXXXXÄ ASIAKIRJASTA, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXXXX XX XXX XXXXXXXXXX HANDLING XXXX VILKEN XXXXX XXXXXXÄX ÄR 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 XX XXXXXXXXXXX XXXXXXXXX X XXX XXXXXXX JURISDICCIONALES XX UN XXXXXX XXXXXXX/ (CZ) XXXXXXX XXXXXX XXXXXXX XXXX XXXXXXXXX X XXXXXX XX XXXXX DANÉHO XXXXXXXXX STÁTU/ (XX) XXXXXXXX, XXX XX XXXXXXX XX EN XXXXXXXXX XXXXX EN XXXXXXXXXX, DER XX XXXXXXXXXX XXXXXXXX X XX XXXXXXXXXXX/ (XX) XXXXXXX EINER XXXÖXXX XXXX XXXXX AMTSPERSON XXX ORGAN XXX XXXXXXXXXXXX XXXXX MITGLIEDSTAATS/ (XX) XXXXXXXX, MILLE XX XÄXXX XXXXXX XXXXXXXXXXXX KOHTUTEGA SEOTUD XXXXXXXXXXX XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (EN) DOCUMENT XXXXXXXXX XXXX XX XXXXXXXXX XX AN XXXXXXXX CONNECTED WITH XXX XXXXXX XX XXXXXXXXX XX A XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXX X'XXX XXXXXXXX XX D'UN XXXXXXXXXXXXX XXXXXXXX D'UNE XXXXXXXXXXX D'UN XXXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXX XX X XXXXXXXXX A BHFUIL XXXXX AIGE XX XXXX XX XXXXXXXXXX XX XX BINSÍ XX XXXXX XXXXXXXXX/ (XX) ISPRAVA XXXX XX XXXXXX XXXXXX XXX XXXXXXXXX XXXX XXXXXX XXXXXXX/ (IT) XXXXXXXXX XXXXXXX DA XX'XXXXXXXÀ O XX XX XXXXXXXXXXX XXXXXXXXXXXX XX UNA DELLE XXXXXXXXXXXXX XX XXX XXXXX XXXXXX/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XX DALĪBVALSTS XXXXĀX XXXXXĪXX XXXXĀXX VAI XXXXXXXXXXX/ (XX) DOKUMENTAS, XXXXXXXX VALDŽIOS XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX ÁLLÓ HATÓSÁG XXXX TISZTVISELŐ XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ MINN XXXXXXXÀ XXX UFFIĊJAL XX JKOLLHOM RABTA XXX-XXXXX XXX IT-TRIBUNALI XX' XXXX XXXXXX/ (XX) DOCUMENT XXXXXXXXX XXXX XXX AUTORITEIT XX XXXXXXXXX BEHORENDE XXX XXX XXXXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXX XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX PAŃSTWA XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX PROVENIENTE XX UMA AUTORIDADE XX XX UM XXXXXXXXXXX XXXXXXXXXX XX XXXXXXXX XXXXXXXÇÃX DE XX XXXXXX-XXXXXX/ (XX) XXXXXXXX EMIS XX X XXXXXXXXXX XXX XX XX FUNCȚIONAR XX XX XÂXXĂ XXXXXXȚXXX XXXX STAT XXXXXX/ (SK) LISTINA XXXXXX ORGÁNOM XXXXX XXXXXXXXX X VÄZBOU XX SÚDY ČLENSKÉHO XXXXX/ (SL) XXXXXXX, XXXXXX S XXXXXX XXXXXX XXX XXXXXXXX XXXXX XXXXXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX, XXXXX ON ANTANUT XÄXXXXXXXXXX OIKEUSLAITOKSEEN KUULUVA XXXXXXXXXXXX TAI XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX XX XXXXXXXXX ELLER XX XXÄXXXXXXX TILLHÖRANDE XXXXXXXXXÄXXXXXX X XX MEDLEMSSTAT

3.1.1

(BG) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) XXXXXXXX XX JUSTICE/ (XX) XXXXXXXX ÓN xXXXXX/ (XX) XXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) TIESAS XĒXXXX/ (LT) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (NL) RECHTERLIJKE XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (PT) XXXXXÃX XXXXXXXX/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) SÚDNE XXXXXXXXXXX/ (XX) SODNA XXXXXXX/ (FI) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) DOMSTOLSBESLUT

3.1.2

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (ES) XXXXXXXXX XXXXXXXX XXX EL XXXXXXXXXX FISCAL/ (CZ) XXXXXXX VYDANÁ STÁTNÍM XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX AF EN XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX XX XÄXXX ANDNUD RIIKLIK XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX EMANATING XXXX A XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX DU XXXXXXÈXX XXXXXX/ (XX) DOICIMÉAD X XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX KOJU XX XXXXXX XXXXXXX ODVJETNIŠTVO/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) ÜGYÉSZ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ MINN XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX OPENBAAR MINISTERIE/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX DO XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXXXXXXX/ (XX) XXXXXXX, XX XX XXXX XXXXXXX XXXXXXXXX/ (FI) XXXXXXXXXX XXXXXÄXÄX ANTAMA XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN ÅKLAGARVÄSENDET

3.1.3

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX ÚŘEDNÍKEM/ (XX) XXXXXXXX UDSTEDT XX XX XXXXXXXXXXXXXÆX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX GESCHÄFTSSTELLE XXXXX GERICHTS/ (XX) XXXXXXXX, MILLE ON XÄXXX ANDNUD XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX XXXX X CLERK XX X XXXXX/ (XX) DOCUMENT XXXXXXX X'XX XXXXXXXX/ (GA) XXXXXXXXX A THAGANN X XXXXXXXXXX XX XXXXX CÚIRTE/ (XX) XXXXXXX KOJU JE XXXXX XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX UN XXXXXXXXXXX/ (LV) XXXXXXXXX, XXXX IZSNIEDZIS TIESAS XXXXXXĀXX/ (LT) XXXXXX XXXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX XXĠXXXXXXXX TA' XXXXX/ (NL) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX XX UM XXXXXXX XX XXXXXÇX/ (XX) DOCUMENT EMIS XX XX XXXXXXX XX INSTANȚEI/ (XX) XXXXXXX VYDANÁ SÚDNYM XXXXXXXXX/ (XX) XXXXXXX, XX JO IZDA XXXXX USLUŽBENEC/ (XX) XXXXXXXXXXXXXX SIHTEERIN XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX XX XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (XX) XXXXXXX XXXXX GERICHTSVOLLZIEHERS/ (XX) XXXXXXXX, MILLE XX XÄXXX XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXXXX XXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) DOCUMENT XXXXXXX X'XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXX BREITHIÚNACH (“XXXXXXXX XX JUSTICE”)/ (XX) ISPRAVA XXXX XX XXXXX XXXXXX XXXXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) DOCUMENTO XXXXXXX XX UN XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (HUISSIER XX XXXXXXX)/ (LT) XXXXXXXXX (XXXXXXXX DE XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX VÉGREHAJTÓ („XXXXXXXX DE XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN GERECHTSDEURWAARDER/ (XX) XXXXXXXX POCHODZĄCY XX URZĘDNIKA XĄXXXXXX (XXXXXXXX XX JUSTICE)/ (XX) XXXXXXXXX PROVENIENTE XX XX XXXXXXÃX XX DIREITO («HUISSIER XX JUSTICE»)/ (XX) XXXXXXXX XXXX XX XX EXECUTOR JUDECĂTORESC („XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXX, XX JO XXXX XXXXX IZVRŠITELJ („XXXXXXXX DE XXXXXXX“)/ (XX) HAASTEMIEHEN (”XXXXXXXX XX XXXXXXX”) XXXXXX XXXXXXXXX/ (XX) 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 (ANGIVES)/ (XX) XXXXXXXXX (BITTE XXXXXXX)/ (XX) XXX (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (EN) XXXXX (XX XX XXXXXXXXX)/ (XX) AUTRE (À XXXXXXXX)/ (XX) XXXX (XX SONRÚ)/ (XX) XXXXXX (NAVESTI)/ (XX) XXXXX (XXXXXXXXX)/ (LV) XXXX (PRECIZĒT)/ (XX) XXXX (XXXXXXXX)/ (XX) XXXXX (KÉRJÜK PONTOSÍTANI)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) OVERIGE (XXXXXXXXXXXX)/ (XX) XXXX (PROSZĘ XXXXŚXXĆ)/ (XX) XXXXXX (X XXXXXXXXXXX)/ (XX) XXXXX (X XX XXXXXXX)/ (SK) XXX (XXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) XXXXX HANDLING (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX SPRÁVNÍM XXXXXX/ (XX) ADMINISTRATIVT XXXXXXXX/ (XX) XXXXXXX XXXXX VERWALTUNGSBEHÖRDE/ (XX) XXXXXXXXXXXXXX/ (EL) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (FR) DOCUMENT XXXXXXXXXXXXX/ (GA) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (IT) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) ADMINISTRATĪVS XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (HU) XÖXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) DOKUMENT XXXXXXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (SK) SPRÁVNA XXXXXXX/ (XX) UPRAVNA XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (SV) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) OSVĚDČENÍ/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) TÕEND/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) CERTIFICATO/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, LIUDIJIMAS/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊERTIFIKAT/ (XX) CERTIFICAAT/ (XX) XXŚXXXXXXXXXX/ (PT) CERTIDÃO XX CERTIFICADO/ (RO) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXX X MATRIKY/ (XX) UDDRAG XXX XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX XXX DEM PERSONENSTANDSREGISTER/ (XX) XXXXXXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX THE CIVIL XXXXXX REGISTER/ (XX) XXXXXXX DU XXXXXXXX XX L'ÉTAT CIVIL/ (XX) XXXXXXX XX XX xXXXX STÁDAIS XXXXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXX XXXXXX/ (XX) XXXXXXXX XX XXXX XX XXXXX CIVILE/ (XX) XXXXXXXX XX XXXXXXXĀXXXĻX XXXX XXĢXXXXX/ (LT) XXXXXXX XX CIVILINĖS XŪXXĖX XXXŲ XXXXXXXX/ (XX) ANYAKÖNYVI KIVONAT/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXX XXX HET XXXXXXXX XXX XX XXXXXXXXXXX STAND/ (XX) XXXXX SKRÓCONY XXXX XXXXX CYWILNEGO/ (XX) XXXXXXX XX ATOS XX XXXXXXX XXXXX/ (XX) XXXXXX DIN XXXXXXXXX XX STARE XXXXXĂ/ (SK) XXXXX X XXXXXXXX XXXXXXXX XXXXX/ (XX) IZPISEK XX XXXXXXXX O XXXXXXX STANJU/ (XX) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (ES) XXXXXXXX XXX XXXXX/ (XX) XXXXX Z XXXXXXXX OBYVATEL/ (XX) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXX AUS XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX THE XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XX LA XXXXXXXXXX/ (XX) XXXXXXX XX XX xXXXX DAONRA/ (XX) IZVADAK IZ XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX NO XXXXĪXXXĀXX XXĢXXXXX/ (LT) IŠRAŠAS XX GYVENTOJŲ REGISTRO/ (XX) KIVONAT X XXXXXXXXXXXX- ÉS XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) WYCIĄG Z XXXXXXXX XXXXXŚXX/ (XX) XXXXXXX XX XXXXXXX XX POPULAÇÃO/ (RO) XXXXXX DIN REGISTRUL XX EVIDENȚĂ X XXXXXXȚXXX/ (SK) XXXXX X XXXXXXXX OBYVATEĽOV/ (XX) XXXXXXX XX XXXXXXXX PREBIVALSTVA/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX XX BEFOLKNINGSREGISTER

3.2.4

(BG) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) COPIA XXXXXXX XX XXXXX XXX XXXXXXXX XXXXX/ (CZ) XXXX MATRIČNÍCH XXXXXXX/ (XX) XXXXXX XXXX XX CIVILSTANDSREGISTRE/ (XX) XÖXXXXXXX XXXXX VON XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) PEREKONNASEISUAKTI XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) VERBATIM XXXX OF XXXXX XXXXXX XXXXXXX/ (FR) XXXXX INTÉGRALE D'ACTES XX X'XXXX XXXXX/ (XX) XXXX XXXXX XX XXXXXX XX XXXXXXX AR XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XX XXXXXXXXXX X XXXXXXX XXXXXX/ (XX) XXXXX XXXXXXXXX XX ATTO XX XXXXX XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX REĢISTRA XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXĖX BŪKLĖS XXXŲ ĮRAŠŲ PAŽODINĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX SZÓ XXXXXXXX XXXXXXXX/ (XX) KOPJA XXXXXXXX TAL-ATTI TAL-ISTAT ĊXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXX XXX XXXXX XXX DE XXXXXXXXXXX XXXXX/ (PL) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (PT) XXXXXXÃX XX CÓPIA INTEGRAL XX DE XXXXXXXXX XX XXXX XX XXXXXXX XXXXX/ (RO) XXXXX EXACTĂ X XXXX XXX XX XXXXX CIVILĂ/ (XX) XXXXXXXX VÝPIS XX XXXXXXX X XXXXXXX XXXXX/ (SL) XXXXXXXXX XXXXXX LISTIN X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX AVSKRIFT XX FOLKBOKFÖRINGSHANDLING

3.3

(BG) НОТАРИАЛЕН АКТ/ (ES) XXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX XXXXXXXX/ (XX) NOTARIĀLS XXXX/ (XX) XXXXXXXXX XXXXX/ (XX) KÖZJEGYZŐI OKIRAT/ (XX) XXX XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (XX) XXX XXXXXXXXXX/ (XX) ATO XXXXXXXX/ (XX) ACT NOTARIAL/ (XX) NOTÁRSKA XXXXXXX/ (XX) XXXXXXXX LISTINA/ (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 SOBRE UN XXXXXXXXX PRIVADO/ (XX) XXXXXX XXXXXXXXX, KTERÝM XXXX OPATŘENA XXXXXXX XXXXXXXXX XXXXXXXXX OSOBOU/ (XX) OFFICIEL XÅXXXXXXX XÅ ET XXXXXXXX XXXXXXXXXXX AF XX XXXXXX X DENNES XXXXXXXX XX PRIVATPERSON/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX XXXXX XXXXXXXXXXXXX/ (XX) XXXXX POOLT XXXXXXXXXX ALLKIRJASTATUD DOKUMENDILE XXXXXXXXXX AMETLIK XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (EN) OFFICIAL XXXXXXXXXXX XXXXXX XX X XXXXXXXX SIGNED XX X PERSON XX XXX OR XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX UN XXXX SOUS XXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX A CHUIRTEAR XX XXXXXXXXXX XXXX XXXXXX XX XXXXX XXX XXXXX NÓ XXX CÁIL PHRÍOBHÁIDEACH/ (XX) XXXXXXXX POTVRDA XXXXXXXXX XX XXXXXXX XXXX XX XXXXX XXXXXXXXX X PRIVATNOM XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX SU XXX SCRITTURA PRIVATA/ (XX) XXXXXĀXX APLIECINĀJUMS XX XXXXXXXXX, XX XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (XX) XXXXXXXŲ XXXXXŲ PASIRAŠYTŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX TANÚSÍTVÁNY/ (MT) ĊXXXXXXXXX XXXXĊXXXX XX XXXXXXXĦXX F'DOKUMENT XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXX XXXXXXXXXXX XXXX XXX PERSOON XX ZIJN PARTICULIERE XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX UMIESZCZONE XX XXXXXXXXXX XXXXXXXXXX PRZEZ XXXXĘ DZIAŁAJĄCĄ W XXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX XXX DE XXXXXXXX PRIVADA/ (XX) XXXXXXXXXX OFICIAL APLICAT XX XX DOCUMENT XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) ÚRADNÉ XXXXXXXXXX XXXXXXX XX XXXXXXX XXXXXXXXXX OSOBOU XXXXXXXXX XXX SÚKROMNÁ OSOBA/ (XX) URADNA XXXXXX XX XXXXXXX LISTINI/ (XX) VIRALLINEN TODISTUS XXXXXXXXXXXX, XXXXX XXXXXXÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX 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 POR UN XXXXXX XXXXXXXXXXX X XXXXXXXX XX XX XXXXXX XXXXXXX XXX XXXXXXXX XXXXXXX/ (XX) XXXXXXX VYHOTOVENÁ XXXXXXXXXXXXX XXXXXXXXX XXXX KONZULÁRNÍM XXXXXXXXX ČLENSKÉHO XXXXX X XXXXX VÝKONU XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX XX XX XXXXXXXXXXXX XXXXXXXXXXXX ELLER XXXXXXÆXX XXXXÆXXXXXXX/ (XX) XXX XXXXX XXXXXXXXXXXXXX XXXX KONSULARISCHEN XXXXXXXXX XXXXX XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX 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 XXXXX XX XX A XXXXXXXXXX OR XXXXXXXX XXXXX XX X XXXXXX STATE XX XXX XX HER XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX ÉTABLI XX XX XXXXXXX XXXXXXXXXX XXX UN AGENT XXXXXXXXXXXX XX CONSULAIRE X'XX ÉTAT XXXXXX/ (XX) DOICIMÉAD XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX XX CHUID XXXXXXXXX XXX XXXXX XX XXX CÁIL XXXXXXXXX/ (XX) XXXXXXX XXXX JE U XXXXXXXXX SVOJSTVU SASTAVIO XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX XXXXXXXXXXX X XXXXXXXXX XX XXX STATO MEMBRO XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX XXXXX XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX KONSULĀRAIS XĀXXXĀXXX/ (XX) DOKUMENTAS, XXXXXXXXX XXXXXXXĖX NARĖS XXXXXXXXX AR XXXXXXXXXX XXXXXXŪXX, VEIKIANČIO PAGAL XXXXXXXXXX ĮXXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX KONZULI XXXXXXXXŐXX XXXXX HIVATALOS XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX IMĦEJJI XXXX XĠXXX DIPLOMATIKU XXX XXXXXXXXX XX' STAT XXXXXX XXX-XXXXĊXXÀ UFFIĊJALI XXXXĦX/ (XX) DOCUMENT XXXXXXXXX XXXX XX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX XX XXXX XXXXXXËXX HOEDANIGHEID/ (XX) XXXXXXXX XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX LUB XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX URZĘDOWYM/ (XX) XXXXXXXXX LAVRADO XXX XX AGENTE XXXXXXXXXXX XX CONSULAR XX XX XXXXXX-XXXXXX NO XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX XX XĂXXX XX XXXXX XXXXXXXXXX SAU XXXXXXXX XX UNUI STAT XXXXXX, ÎN CALITATE XXXXXXXĂ/ (SK) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX KONZULÁRNYM ÚRADNÍKOM XXXXXXXXX ŠTÁTU V XXXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXX, XX XX XXX XXXXXX OSEBA XXXX XXXXXXXXXXX ALI XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) ASIAKIRJA, JONKA XÄXXXXXXXXXX XXXXXXXXXXXXXX EDUSTAJA XXX XXXXXXXXXXXXXXX ON XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXÄXXXX X XXÄXXXXX XX EN XXXXXXXXXXX XXXXX XXXXXXÄX XXÄXXXXXXX X XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX KUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) DATE (XX/XX/XXXX) OF ISSUE/ (XX) DATE (XX/XX/XXXX) XX XXXXXXXXXX/ (GA) XXXX (LL/MM/BBBB) EISIÚNA/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXX/ (XX) DATA XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (LT) IŠDAVIMO XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (MT) DATA (XX/XX/XXXX) XXX-ĦXXĠ/ (NL) XXXXX (XX/XX/XXXX) VAN XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (PT) XXXX XX EMISSÃO (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) EMITERII/ (XX) XXXXX (XX/XX/XXXX) VYDANIA/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (FI) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) DATUM (XX/XX/ÅÅÅÅ) XÖX UTFÄRDANDE

3.7

(BG) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX DE XXXXXXXXXX XXX DOCUMENTO PÚBLICO/ (XX) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (DA) XXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (DE) XXXXXXXXXX XXX ÖFFENTLICHEN XXXXXXX/ (XX) AVALIKU XXXXXXXXX XXXXXXXXXXX/ (EL) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX OF THE XXXXXX XXXXXXXX/ (FR) XXXXXX XX XXXXXXXXX XX XXXXXXXX PUBLIC/ (XX) XXXXXX THAGARTHA XX DOICIMÉID XXXXXXX/ (XX) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXXXXX NUMERIS/ (XX) A XÖXXXXXXX XXXXXXXXXXX XXXXX/ (MT) XXXXX TA' REFERENZA XXX-XXXXXXXX PUBBLIKU/ (XX) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX REFERENCYJNY XXXXXXXXX XXXĘXXXXXX/ (XX) NÚMERO XX XXXXXÊXXXX DO XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX XX XXXXXXXȚĂ XX DOCUMENTULUI XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (XX) XXX OFFICIELLA XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) РЕГИСТРИРАНО ПАРТНЬОРСТВО/ (XX) UNIÓN XX XXXXX XXXXXXXXXX/ (CZ) XXXXXXXXXXXX PARTNERSTVÍ/ (XX) XXXXXXXXXXX XXXXXXXXXXX/ (DE) XXXXXXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXX/ (XX) ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΥΜΒΙΩΣΗ/ (EN) XXXXXXXXXX XXXXXXXXXXX/ (FR) XXXXXXXXXXX XXXXXXXXXX/ (GA) XXXXXXXXXXXXXX CHLÁRAITHE/ (HR) XXXXXXXXXXXX PARTNERSTVO/ (IT) XXXXXX XXXXXXXXXX/ (XX) XXĢXXXXĒXXX PARTNERATTIECĪBAS/ (XX) XXXXXXXXXXX PARTNERYSTĖ/ (XX) XXXXXXXXXX ÉLETTÁRSI XXXXXXXXX/ (XX) SĦUBIJA RREĠISTRATA/ (XX) XXXXXXXXXXXXX PARTNERSCHAP/ (XX) ZAREJESTROWANY ZWIĄZEK XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX ÎXXXXXXXXXX/ (SK) XXXXXXXXXXXX XXXXXXXXXXX/ (SL) REGISTRIRANA XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXÖXXX PARISUHDE/ (XX) XXXXXXXXXXX PARTNERSKAP

4.1

(BG) ДАТА (ДД/ММ/ГГГГ) НА РЕГИСТРИРАНЕ НА АКТА/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXXX DE XX XXXXX XX HECHO/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXXX PARTNERSTVÍ/ (XX) XXXX (DD/MM/ÅÅÅÅ) XXX XXXXXXXXXXXXXX XX PARTNERSKABET/ (XX) DATUM (XX/XX/XXXX) XXX XXXXXXXXXX XXX XXXXXXXXXXXXX/ (XX) KOOSELU XXXXXXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΚΑΤΑΧΩΡΙΣΗΣ ΤΗΣ ΠΡΑΞΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXX REGISTRATION XX XXX PARTNERSHIP/ (XX) DATE (JJ/MM/AAAA) X'XXXXXXXXXXXXXX DU PARTENARIAT/ (XX) XXXX (XX/XX/XXXX) XXXXXX XX XXXXXXXXXXXXXXX/ (XX) DATUM (DD/MM/GGGG) XXXXXXXXXXXXX XXXXXXXXXXX/ (IT) XXXX DI XXXXXXXXXXXXX XXXX'XXXX (GG/MM/AAAA)/ (XX) XXXXXXXXXXXXXĪXX XXĢXXXXĀXXXXX DATUMS (XX/XX/XXXX)/ (XX) PARTNERYSTĖS XXXXXXXXXXXXX XXXX (DD/MM/MMMM)/ (XX) XX XXXXXXXXX XXXXXXXXX XXXXXXXXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) TAR-REĠISTRAZZJONI XXX-XĦXXXXX/ (XX) XXXXX (DD/MM/JJJJ) XXX XX REGISTRATIE XXX XX XXXX/ (XX) XXXX (DD/MM/RRRR) XXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX/ (XX) XXXX DE XXXXXXX DA XXXXXXXX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) ÎXXXXXXXXĂXXX ACTULUI/ (XX) DÁTUM (DD/MM/RRRR) XXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXXXXX XXXXXXXXXX SKUPNOSTI/ (XX) XXXXXXXXXXX XXXXXXXXÖXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXXXXXXXXXX XX PARTNERSKAPET

4.2

(BG) МЯСТО И ДЪРЖАВА НА РЕГИСТРИРАНЕ НА АКТА/ (XX) XXXXX Y XXXX XX XXXXXXXXXXX XX XX XXXXX XX XXXXX/ (CZ) XXXXX X XXXX XXXXXXXXXX PARTNERSTVÍ/ (XX) XXXX XX LAND XXX XXXXXXXXXXXXXX XX XXXXXXXXXXXXX/ (DE) XXX XXX LAND XXX XXXXXXXXXX DER PARTNERSCHAFT/ (XX) KOOSELU XXXXXXXXXXXXXXX XXXX JA XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΚΑΤΑΧΩΡΙΣΗΣ ΤΗΣ ΠΡΑΞΗΣ/ (XX) XXXXX XXX XXXXXXX XX XXX XXXXXXXXXXXX XX XXX PARTNERSHIP/ (XX) XXXX ET XXXX X'XXXXXXXXXXXXXX DU PARTENARIAT/ (XX) XXX AGUS XXX XXXXXX XX XXXXXXXXXXXXXXX/ (HR) MJESTO X XXXXXX XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXX X PAESE DI XXXXXXXXXXXXX DELL'ATTO/ (XX) XXXXXXXXXXXXXĪXX XXĢXXXXĀXXXXX VIETA XX XXXXXX/ (LT) XXXXXXXXXXĖX XXXXXXXXXXXXX VIETA XX XXXXX/ (HU) XX ÉLETTÁRSI KAPCSOLAT XXXXXXXXXXXXX XXXXX XX XXXXXXX/ (XX) XXXX X PAJJIŻ XXX-XXĠXXXXXXXXXXX XXX-XĦXXXXX/ (NL) PLAATS XX XXXX VAN XX XXXXXXXXXXX XXX XX AKTE/ (XX) XXXXXXX I PAŃSTWO XXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX / (PT) XXXXX X XXXX DE XXXXXXX XX PARCERIA/ (XX) XXXXX ȘI ȚXXX ÎXXXXXXXXĂXXX ACTULUI/ (XX) XXXXXX X XXXX XXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXX XX XXXXXX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX REKISTERÖINTIPAIKKA XX -XXX/ (XX) ORT XXX XXXX XÄX XXXXX XXXXXXXXXXXXX

5.

(XX) ПАРТНЬОР А/ (ES) XXXXXXX X/ (XX) XXXXXXX/XXXXXXXXX X/ (XX) XXXXXXX X/ (DE) PARTNER X/ (XX) XXXXXXX X/ (XX) ΣΥΝΤΡΟΦΟΣ Α/ (XX) XXXXXXX X/ (XX) PARTENAIRE X/ (GA) XXXXXXXXX X/ (HR) PARTNER X/ (XX) XXXXXXX X/ (LV) XXXXXXXXX X/ (XX) PARTNERIS X/ (XX) „X” XXXXXXXXX/ (MT) XXXĦXX X/ (XX) XXXXXXX X/ (PL) XXXXXXX X/ (XX) XXXXXXXX X/ (XX) XXXXXXXXXX X/ (SK) XXXXXXX X/ (XX) XXXXXXX X/ (XX) XXXXXXXX X/ (SV) PARTNER X

5.1

(XX) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (XX) XXXXXXXX(X) XX XXXXXXXXXX/ (XX) XXXXX/X PŘÍJMENÍ/ (XX) XXXXXXXXX(X) XXX XØXXXXX/ (XX) XXXXXXXXXXXX(X) XXX DER XXXXXX/ (XX) SÜNNIJÄRGNE PEREKONNANIMI (XÜXXXXÄXXXXX XXXXXXXXXXXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (XX) XXXXXXX(X) XX BIRTH/ (FR) XXX(X) À XX XXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXXXXXX/ (XX) XXXXXXX(XX) XXX XXĐXXXX/ (XX) XXXXXXX/X XXXX XXXXXXX/ (LV) XXXĀXXX(-X) XXXXXXXXX XXĪXĪ/ (XX) XXXXXXĖ (-ĖS), XXXXXXXX (-XX) XXXXX/ (XX) XXÜXXXXXX XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) XXX-XXXXXX/ (XX) XXXXXXXX(X)X(XX) BIJ XX GEBOORTE/ (XX) XXXXXXXX(-X) XXXXXX/ (XX) XXXXXXX(X) À DATA XX NASCIMENTO/ (XX) XXXXXX XX XXȘXXXX/ (XX) XXXXX XXXXXXXXXX(-X)/ (XX) PRIIMEK/PRIIMKI OB XXXXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXXXÄXXXXXXXÄ/ (SV) XXXXXXXXX VID FÖDSELN

5.2

(BG) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ АКТА/ (ES) XXXXXXXX(X) XXXXX XX XX XXXXXXXXXXX/ (XX) PŘÍJMENÍ XXXX XXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXX(X) XØX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX(X) VOR DER XXXXXXXXXX DER XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX (-XXXXX) XXXX REGISTREERIMIST/ (XX) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΑΠΟ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (XX) XXXXXXX(X) XXXXXX XXX XXX/ (FR) XXX(X) XXXXX X'XXXX/ (XX) XXXXXXX (XXXXXXXX) XXXXX AN xXXXXXX/ (XX) PREZIME(NA) XXXXX XXXXXXXXXXXXX PARTNERSTVA/ (XX) XXXXXXX/X XXXXX XXXX'XXXX/ (XX) XXXĀXXX(-X) XXXXX XXXX/ (LT) XXXXXXĖ (-ĖX) XXXXX XXXXXXXX XXXĄ/ (HU) CSALÁDI XXXX(X) XX ÉLETTÁRSI XXXXXXXXX BEJEGYZÉSE ELŐTT/ (XX) XXXXXX(/XXXXXXXXXXX) XXXXX X-XXX/ (XX) XXXXXXXX(X)X(XX) XXXX XX XXXX/ (XX) XXXXXXXX(-X) XXXXX XXXXXXXXXXĄ ZWIĄZKU/ (XX) XXXXXXX(X) XXXXX XX XXX/ (XX) NUMELE ÎXXXXXX XX ÎXXXXXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX(-X) XXXX XXXXXXXXX REGISTROVANÉHO XXXXXXXXXXX/ (XX) XXXXXXX/XXXXXXX XXXX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) SUKUNIMI (-XXXXX) ENNEN REKISTERÖINTIÄ/ (XX) XXXXXXXXX FÖRE XXXÅXXXXX

5.3

(XX) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА РЕГИСТРИРАНЕТО НА АКТА/ (XX) XXXXXXXX(X) DESPUÉS XX XX XXXXXXXXXXX/ (CZ) XXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXX PARTNERSTVÍ/ (XX) XXXXXXXXX(X) XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXXX XXX XXXXXXXXXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX (-XXXXX) PÄRAST XXXXXXXXXXXXXXX/ (XX) ΕΠΏΝΥΜΟ(-Α) ΜΕΤΑ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (XX) XXXXXXX(X) XXXXXXXXX XXX ACT/ (XX) XXX(X) À XX XXXXX DE X'XXXX/ (XX) XXXXXXX (XXXXXXXX) XXX XXX AN XXXXXX/ (HR) XXXXXXX(XX) XXXXX XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXX/X XXXX X'XXXX/ (XX) XXXĀXXX(-X) XĒX XXXX/ (XX) XXXXXXĖ (-ĖS) XX XXXX SUDARYMO/ (XX) XXXXXXX NEVE(I) XX XXXXXXXXX XXXXXXXXX BEJEGYZÉSE XXXX/ (XX) XXXXXX(/XXXXXXXXXXX) XXXX X-XXX/ (NL) XXXXXXXX(X)X(XX) XX XX XXXX/ (XX) XXXXXXXX(-X) XX XXXXXXXXXXX XXXĄXXX/ (XX) XXXXXXX(X) APÓS X ATO/ (RO) XXXXXX XXXĂ ÎXXXXXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX(-X) XX UZAVRETÍ XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) PRIIMEK/PRIIMKI XX REGISTRACIJI PARTNERSKE XXXXXXXXX/ (FI) XXXXXXXX (-XXXXX) XXXXXXXXÖXXXXX JÄLKEEN/ (XX) XXXXXXXXX XXXXX XXXÅXXXXX

5.4

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) NOMBRE(S)/ (XX) XXXXX (JMÉNA)/ (XX) XXXXXXX(X)/ (DE) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (XX) VĀRDS(-I)/ (XX) VARDAS (-XX)/ (XX) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (XXXXXX)/ (XX) XXXX(X) PRÓPRIO(S)/ (XX) XXXXXXX/ (SK) XXXX(-X)/ (SL) IME/IMENA/ (XX) XXXXXXX (-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/ (XX) FØDSELSDATO (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) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXĐXXXX/ (XX) XXXX XX XXXXXXX (GG/MM/AAAA)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (LT) XXXXXX XXXX (XX/XX/XXXX)/ (HU) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXX (JJ/XX/SSSS) XXX-XXXXXX/ (XX) GEBOORTEDATUM (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX NASCIMENTO (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) NAȘTERII/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXXX/ (FI) SYNTYMÄAIKA (XX/XX/XXXX)/ (XX) FÖDELSEDATUM (XX/XX/ÅÅÅÅ)

5.6

(XX) ПОЛ/ (XX) XXXX/ (CZ) XXXXXXX/ (XX) XØX/ (XX) XXXXXXXXXX/ (ET) SUGU/ (XX) ΦΥΛΟ/ (XX) XXX/ (FR) SEXE/ (XX) XXXXXX/ (XX) XXXX/ (IT) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) NEME/ (XX) SESS/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (XX) SEXO/ (RO) XXXXX/ (XX) XXXXXXXX/ (XX) XXXX/ (FI) XXXXXXXXX/ (XX) XÖX

5.6.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (EL) ΘΗΛΥ/ (EN) XXXXXX/ (XX) XXXXXXX/ (GA) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (LV) XXXXXXXX/ (XX) XXXXXXX/ (XX) NŐ/ (XX) XXXX/ (XX) VROUW/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (RO) XXXXXXXX/ (XX) ŽENSKÉ/ (XX) XXXXXX/ (FI) XXXXXX/ (XX) XXXXXX

5.6.2

(XX) МЪЖКИ/ (XX) XXXXX/ (CZ) XXX/ (DA) XXXX/ (XX) MÄNNLICH/ (XX) XXXXXXXXX/ (EL) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (GA) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) XXXXX/ (XX) XXXXX/ (XX) XXĠXX/ (XX) XXX/ (PL) XĘŻXXXXXX/ (XX) XXXXXXXXX/ (XX) BĂRBĂTESC/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) XXX

5.6.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) NEURČENO/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) UNDETERMINED/ (FR) XXXXXXXXXXX/ (GA) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) NENUSTATYTA/ (HU) XXXXXXXXXXXXXXX/ (XX) MHUX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) XÃX DEFINIDO/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) NEDOLOČEN/ (XX) XÄÄXXXXXXXXÄXÖX/ (SV) XX XXXXXXÄXXX

6.

(XX) ПАРТНЬОР X/ (XX) XXXXXXX X/ (XX) XXXXXXX/XXXXXXXXX X/ (DA) XXXXXXX X/ (XX) XXXXXXX X/ (XX) XXXXXXX X / (XX) ΣΥΝΤΡΟΦΟΣ B/ (XX) XXXXXXX X/ (FR) XXXXXXXXXX B/ (XX) XXXXXXXXX B/ (XX) XXXXXXX B/ (IT) XXXXXXX X/ (XX) XXXXXXXXX X/ (XX) XXXXXXXXX B/ (HU) „X” ÉLETTÁRS/ (MT) XXXĦXX X/ (NL) XXXXXXX X/ (XX) XXXXXXX X/ (PT) XXXXXXXX X/ (RO) XXXXXXXXXX B/ (XX) XXXXXXX X/ (XX) XXXXXXX X/ (XX) XXXXXXXX X/ (XX) XXXXXXX X

7.

(XX) ПОЛЕ ЗА ПОДПИС/ (ES) XXXXXXXX PARA XX XXXXX/ (XX) XXXX XXX XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) ALLKIRJALAHTER/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (FR) XXXXX POUR XX XXXXXXXXX/ (GA) XXXXX XXX SÍNIÚ/ (HR) XXXXX ZA POTPIS/ (XX) XXXXXXXX PER XX XXXXX/ (XX) XXXXXXXX XXXXX/ (LT) XXXXXX XXXXXXXX/ (XX) XX XXXXXXX SZÖVEGDOBOZA/ (XX) XXXXX TAL-IFFIRMAR/ (XX) VAK VOOR XX HANDTEKENING/ (XX) XXXX PODPISU/ (XX) XXXXÇX DESTINADO À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (FI) XXXXXXXXXXXXXXXXXXÄ/ (SV) XXXX XÖX UNDERTECKNANDE

7.1

(BG) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) APELLIDO(S) X XXXXXX(X) DEL XXXXXXXXXXX QUE XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXX A JMÉNO (XXXXX) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) EFTERNAVN(E) OG XXXXXXX(X) PÅ XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) FAMILIENNAME(N) XXX XXXXXXX(X) DES XXXXXXX, XXX DIESES XXXXXXXX XXXXXXXXXXX HAT/ (XX) XÄXXXXXXX XXXXX VÄLJASTANUD XXXXXXXX EESNIMI (-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 OFFICIAL XXX XXXXXX XXXX XXXX/ (FR) NOM(S) XX PRÉNOM(S) DU XXXXXXXXXXXXX QUI A XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXXX CÉADAINM (XXXXXXXXXXXXXX) XX XXXXXXXX X D’EISIGH AN XXXXXX XXX/ (XX) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX XXXX JE XXXXX XXXX OBRAZAC/ (XX) XXXXXXX/X X XXXX/X DEL FUNZIONARIO XXX HA XXXXXXXXXX XX XXXXXXXX MODULO/ (XX) XXXXXXXXXXXX, KURA XXXXXXXX XX VEIDLAPU, XXXĀXXX(-X) XX XĀXXX(-X)/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖX) XX VARDAS (-XX)/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX TISZTVISELŐ XXXXXXX XXXX(X) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X ISEM(/ISMIJIET) XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XX(X)X(XX) XX XXXXXX(X)X(XX) VAN XX XXXXXXXXX DIE XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) X XXXĘ (IMIONA) XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXX(X) X XXXX(X) XXXXXXX(X) XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (RO) XXXXXX ȘI XXXXXXXXX XXXXȚXXXXXXXXX XXXX A XXXX XXXXXXXXX XXXXXXXX/ (XX) PRIEZVISKO(-Á) X XXXX(-X) ÚRADNÍKA, KTORÝ XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX/XXXXXXX IN XXX/XXXXX URADNIKA, XX XX XXXXX XX XXXXXXX/ (XX) TÄMÄN XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXXXXX (-NIMET) JA XXXXXXX (-NIMET)/ (XX) XXXXXXXXX XXX XÖXXXXX XÅ DEN TJÄNSTEMAN XXX HAR XXXÄXXXX XXXXX XXXXXXÄX

7.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX XXXXXXXXXXX XXX XXXXXXX XXXX IMPRESO/ (XX) XXXXXX XXXXXXXX, XXXXX XXXXX TENTO FORMULÁŘ/ (XX) STILLING — XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX XXX XXXXXXX, DER XXXXXX FORMULAR AUSGESTELLT XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX AMETNIKU XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) POSITION XX XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) XXXXX XX XXXXXXXXXXXXX XXX X DÉLIVRÉ LE XXXXXXX XXXXXXXXXX/ (XX) XXXX AN XXXXXXXX X D’EISIGH XX XXXXXX XXX/ (XX) XXXXXXXX XXXXXXXXXX KOJI XX IZDAO XXXX XXXXXXX/ (XX) POSIZIONE XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, XXXXX/ (XX) XXĄ XXXXĄ XXXXXXXXX PAREIGŪNO PAREIGOS/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXXXXXŐ BEOSZTÁSA/ (XX) XXXXXX TAL-UFFIĊJAL XX ĦXXXĠ XXX XX-XXXXXXX/ (NL) XXXXXXX XXX DE XXXXXXXXX XXX DIT XXXXXXXXX XXXXX AFGEGEVEN/ (XX) XXXXXXXXXX URZĘDNIKA, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX XX XXXXXXXXXXX QUE XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) POZIȚIA XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, KTORÝ XXXXX XXXXX FORMULÁR/ (XX) XXXXXXX XXXXXXXX, XX XX IZDAL XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX XXX XXX XXXÄXXXX DETTA FORMULÄR

7.3

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX EXPEDICIÓN/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (DA) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) VÄLJAANDMISE XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) DATE (XX/XX/XXXX) XX ISSUE/ (XX) XXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (GG/MM/AAAA)/ (XX) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) XXXXXXXX DATA (XX/XX/XXXX)/ (XX) A XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (DD/MM/RRRR) XXXXXXX/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (DD/MM/ÅÅÅÅ) XÖX XXXÄXXXXXX

7.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (DA) UNDERSKRIFT/ (XX) UNTERSCHRIFT/ (ET) XXXXXXX/ (EL) ΥΠΟΓΡΑΦΗ/ (XX) SIGNATURE/ (FR) XXXXXXXXX/ (XX) XXXXX/ (XX) POTPIS/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXX/ (MT) FIRMA/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXX/ (XX) PODPIS/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

7.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X TIMBRE/ (XX) XXXXX XXXX RAZÍTKO/ (XX) SEGL XXXXX XXXXXXX/ (DE) XXXXXX XXXX STEMPEL/ (XX) XXXXXX XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX OR XXXXX/ (XX) SCEAU OU XXXXXX/ (GA) XXXXX XX XXXXXX/ (HR) XXX XXX XXXXX/ (XX) XXXXX X XXXXXX/ (LV) ZĪMOGS XXX SPIEDOGS/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX XXX TIMBRU/ (NL) XXXXX XX STEMPEL/ (XX) XXXXXĘĆ LUB XXXXXXX/ (PT) XXXX XX CARIMBO/ (XX) XXXXXXXX XXX ȘXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXX ŽIG/ (XX) SINETTI XXX XXXXX/ (XX) XXXXXX XXXXX XXÄXXXX

XXXXXXXXXXX X XXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX XXX PŘEKLAD

Článek 7 xxxxxxxx Evropského xxxxxxxxxx x Rady (XX) 2016/1191 ze xxx 6. xxxxxxxx 2016 o podpoře xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxx na xxxxxxxxxxx některých xxxxxxxxx xxxxxx x Evropské xxxx x o xxxxx nařízení (XX) x. 1024/2012 (1)

Belgie (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxx (DE)

Estonsko (EE) Xxxxx (XX)

Xxxxx (EL) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (LV) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (MT)

Nizozemsko (XX) Rakousko (AT)

Polsko (XX) Portugalsko (XX)

Xxxxxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Xxxxxx (FI)

Švédsko (XX) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX UPOZORNĚNÍ

Jediným účelem xxxxxx xxxxxxxxxxxxx standardního xxxxxxxxx je xxxxxxxxx xxxxxxxx veřejné xxxxxxx, x xxx xx xxxxxxxx. Tento formulář xx xxxx xxxxxxxxx xxxxx xxxxx xxxxxxxxx xxxx xxxxxxxxxx dokument.

Tento xxxxxxxx xxxxxx xxxxx xxxxxxx listiny, x xxx je xxxxxxxx. Xxxxx, xxxxx xx xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx může x xxxxxxxxx, xxx xx xx nezbytné pro xxxxx zpracování xxxxxxx xxxxxxx, požadovat xxxxxxx xx xxxxxx xxxxxxxxx, xxxxx xxxx xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX XXXXX

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

Xxxxx veřejná xxxxxxx, k xxx xx xxxxxxxx xxxxx xxxxxxxx, neobsahuje xxxxxx xxxxx nebo xxxxxxxxx, xxxxxx „–“.

1. XXXXX XXXXXXXXXX TENTO XXXXXXXX

1.1 Xxxxx (3)

2. ORGÁN XXXXXXXXXX XXXXXXXX LISTINU, X XXX XX XXXXXXXX TENTO XXXXXXXX

1.1 Xxxxx (4)

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

3.1 Xxxxxxx xxxxxx xxxxxxx nebo xxxxxxxxx x xxxxxx xx xxxxx xxxxxx členského xxxxx

3.1.1 Xxxxxxxxxx soudu

3.1.2 Xxxxxxx xxxxxx státním xxxxxxxxx

3.1.3 Listina xxxxxx xxxxxx xxxxxxx xxxxxxxxx

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

3.1.5 Xxxx (xxxxxxxxx)

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

(2) Při xxxxxxxxxx xxxxx použijte xxxxxxx xxxxx.

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

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

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x matriky

3.2.3 Výpis x xxxxxxxx xxxxxxxx

3.2.4 Xxxx matričních xxxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, xxxxxx byla opatřena xxxxxxx podepsaná soukromou xxxxxx

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

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Referenční xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXX X XXXXXXX XXXXX

4.1 Xxxxxxxx

4.2 Xxxxx (xxxxx)

4.3 Xxxxx (dd/mm/rrrr) xxxxxxxx

4.4 Xxxxx (1) x xxxx (2) narození

4.5 Xxxxxxx:

4.5.1 Žena

4.5.2 Xxx

4.5.3 Xxxxxxxx

4.6 Státní příslušnost

5. XX XXXXXXX XXXXXXX XXXXXXX, K NÍŽ XX XXXXXXXX XXXXX XXXXXXXX, (3)

5.1 Xx xxxxxxx xxxxx xxxxxxxxx xxxxxxx xxxxxxxxxxxx partnerství xxxxx xxxxxxxxxxxxxx xxxxx xxxxxxxxx xxxxx, v xxxx xx xxxxxxx xxxxxxx xxxxxx.

5.2 Xxxxxxx xxxxx patrně xxxxxxxxxx xxx svým xxxxxx xxxxxxxxxxxx partnerství xxxxx xxxxxxxxxxxxxx xxxxx xxxxxxxxx xxxxx, v xxxx xx xxxxxxx listina xxxxxx.

5.3 Xxxxxxxxxx xxxxx xxxxx xxxxxxxx, aby xxxxxxx xxxxx xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxx xxxxxxxxxxxxxx xxxxx xxxxxxxxx xxxxx, v xxxx xx xxxxxxx listina xxxxxx.

5.4 Xxxxxxxxxx xxxxx xxxxx xxxxxxxx registrovaného xxxxxxxxxxx xxxx xxxxxxxx xxxxxx x xxxxx xxxxxxxx xxxxxxxxx / xxxx xxxxxxx xxxxxxxxxx xxxxx xxxxxxxxxxxxxx práva xxxxxxxxx státu, x xxxx xx xxxxxxx xxxxxxx xxxxxx.

5.5 Xxxxxxxxxx xxxxx známá xxxxxxx xxxxx xxxxxxxx registrovaného xxxxxxxxxxx mezi xxxxxxxx xxxxxx x xxxxx xxxxxxxx xxxxxxxxx / xxxx xxxxxxx xxxxxxxxxx xxxxx xxxxxxxxxxxxxx xxxxx xxxxxxxxx xxxxx, x xxxx xx xxxxxxx xxxxxxx xxxxxx.

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

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

(3) Lze xxxxxx xxxx xxxxxxxx.

6. XXXXXXXXX X XXXXXXXX XXXXXXXXXX / BUDOUCÍ XXXXXXXXX XXXXXXX XXXXX

4.1 Xxxxxxxx

4.2 Jméno (jména)

4.3 Xxxxx (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 příslušnost

7. XXXX PRO XXXXXX

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

7.2 Xxxxxx úředníka, xxxxx xxxxx tento xxxxxxxx

7.3 Xxxxx (xx/xx/xxxx) vydání

7.4 Xxxxxx

7.5 Xxxxx xxxx xxxxxxx

(1) Xxxxx „místo xxxxxxxx“ xx xxxxxx xxxxx xxxx nebo xxxxx, okresu a xxxxx, kde xx xxxx osoba xxxxxxxx.

(2) Xxxxx země x – pokud existuje – xxx ISO xxxx xxxx xxxx xxxxxxx „Jiné (xxxxxxxxx)“ xx xxxxx xxxxxx x rozbalovací xxxxxxx xx xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx formuláři, xxxxx xx k dispozici xx xxxxxxx evropské x-xxxxxxx.

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX POLOŽEK

(ZPŮSOBILOST KE XXXXXX XX XXXXXXXXXXXXXX XXXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX QUE XXXXXX XXXX XXXXXXX/ (CZ) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX XXXX/ (XX) XXXXXXXX XX DÉLIVRANCE XX XXXXXXX XXXXXXXXXX/ (XX) AN tÚDARÁS X XXXXXXXX XX XXXXXX XXX/ (HR) XXXXXX KOJE XXXXXX XXXX OBRAZAC/ (IT) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXX XXXXXX/ (XX) VEIDLAPAS XXXXXĒXXXXXĀXX/ (XX) ŠIĄ FORMĄ XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (XX) A FORMANYOMTATVÁNYT XXXXXXXX XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX XX' XXX IL-FORMOLA/ (XX) XXXXXXXXXX XXX XXXXXXX XXX DIT XXXXXXXXX/ (XX) ORGAN WYDAJĄCY XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX QUE XXXXX X XXXXXXXX XXXXXXXXXX/ (XX) AUTORITATEA XXXXXXXĂ X PREZENTULUI FORMULAR/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX, XX XXXX XX XXXXXXX/ (XX) XÄXÄX LOMAKKEEN XXXXXX XXXXXXXXXXXX/ (XX) MYNDIGHET XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) NÁZEV/ (DA) XXXXXXXXXX/ (DE) BEZEICHNUNG/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) DESIGNATION/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) NAZIV/ (IT) XXXXXXXXXXXXX/ (XX) NOSAUKUMS/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) TITLU/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) DESIGNAÇÃO/ (XX) XXXXXXXX/ (XX) XXXXX/ (SL) IME/ (XX) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX XXXXXX XX DOCUMENTO XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXXXXX XXXXXXX, X XXX XX PŘILOŽEN XXXXX FORMULÁŘ/ (XX) XXX XXXXXXXXX, XXX XXX XXXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (DE) XXXÖXXX, XXX XXX ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX 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 XXXXXXX XXX XXXXXX XXXXXXXX XX XXXXX THIS FORM XX XXXXXXXX/ (FR) XXXXXXXX DE XXXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX FORMULAIRE/ (XX) XX xXXXXXX X XXXXXXXX XX XXXXXXXXX XXXXXX LENA XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXX XXXXX XXXXXXX XXXXX XX XXXX OBRAZAC XXXXXXXX/ (XX) AUTORITÀ XXX RILASCIA XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È ALLEGATO/ (XX) XXXXXXXĀ XXXXXXXXX, KURAM XĪ XXXXXXXX IR XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ DOKUMENTĄ, XXXX XXXXX PRIDEDAMA XX XXXXX, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATOT XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX DIN XX-XXXXXXX/ (XX) AUTORITEIT XXX AFGIFTE VAN XXX XXXXXXXX DOCUMENT XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (PL) XXXXX XXXXXĄXX XXXXXXXX XXXĘXXXX, XX KTÓREGO XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXXXX XXX EMITE X XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX ESTÁ XXXXXX/ (XX) AUTORITATEA XXXXXXXĂ X XXXXXXXXXXXX OFICIAL XX CARE XXXX XXXXXX XXXXXXXXX FORMULAR/ (XX) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, KU XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX IZDA XXXXX XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXXXX, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) MYNDIGHET XXX XXXÄXXXX XXX XXXXXXXXXX HANDLING TILL XXXXXX DETTA XXXXXXÄX ÄX BIFOGAT

3.

(BG) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) INFORMACIÓN XXXXXXXX XX DOCUMENTO XXXXXXX XX XXX SE XXXXXXX XXXX IMPRESO/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX TENTO XXXXXXXX/ (XX) OPLYSNINGER XXXXØXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX DENNE XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX IST/ (XX) XXXXX XXXXXXX XXXXXXXXX XXXXX, MILLELE XXX XXXX ON XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXX PUBLIC XXXXXXXX XX WHICH XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX AU XXXXXXXX XXXXXX XXXXXX XXX XXXXX LE XXXXXXX XXXXXXXXXX/ (GA) XXXXXXXX X XXXXXXXXX LEIS XX DOICIMÉAD POIBLÍ XXXX XXXXXX XX XXXXXX SEO CEANGAILTE/ (XX) XXXXXXXXXXX KOJE XX ODNOSE XX XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (IT) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXXXX, SUSIJUSI XX XXXXXXXX XXXXXXXXX, PRIE XXXXX XXXXXXXXX XX XXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX KÍSÉRT KÖZOKIRATRA XXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX LI MIEGĦU XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX HET OPENBAAR XXXXXXXX WAARAAN XXX XXXXXXXXX IS XXXXXXX/ (XX) INFORMACJE XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX NINIEJSZY XXXXXXXXX XXXX XXŁĄXXXXX/ (PT) XXXXXXXÇÕXX RELATIVAS AO XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX OFICIAL XX XXXX ESTE XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXX XXXXXXX, XX XXXXXX XX TENTO XXXXXXXX PRIPOJENÝ/ (XX) XXXXXXXXXXX X ZVEZI X XXXXX LISTINO, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) TIEDOT XXXXXXXXÄ XXXXXXXXXXXX, XXXXX TÄMÄ 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 XXXXXXXX XXX XXX XXXXXXXXX X XX XXXXXXXXXXX XXXXXXXXX A XXX XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX MIEMBRO/ (XX) XXXXXXX XXXXXX XXXXXXX NEBO ÚŘEDNÍKEM X XXXXXX XX XXXXX DANÉHO XXXXXXXXX XXXXX/ (DA) DOKUMENT, XXX XX XXXXXXX XX EN XXXXXXXXX XXXXX EN XXXXXXXXXX, XXX XX XXXXXXXXXX XXXXXXXX X EN XXXXXXXXXXX/ (DE) XXXXXXX XXXXX XXXÖXXX XXXX XXXXX XXXXXXXXXX ALS XXXXX XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, MILLE XX XÄXXX XXXXXX XXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXXXX XÕX AMETNIK/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) DOCUMENT XXXXXXXXX XXXX XX XXXXXXXXX XX AN XXXXXXXX XXXXXXXXX XXXX XXX XXXXXX XX XXXXXXXXX XX A MEMBER XXXXX/ (XX) XXXXXXXX XXXXXXX X'XXX XXXXXXXX XX X'XX XXXXXXXXXXXXX XXXXXXXX X'XXX XXXXXXXXXXX X'XX XXXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX Ó XXXXXX XX Ó OIFIGEACH X BHFUIL XXXXX XXXX NÓ XXXX XX XXXXXXXXXX XX XX BINSÍ DE XXXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX TIJELO ILI XXXXXXXXX SUDA DRŽAVE XXXXXXX/ (IT) DOCUMENTO XXXXXXX XX XX'XXXXXXXÀ X XX XX XXXXXXXXXXX XXXXXXXXXXXX XX XXX DELLE GIURISDIZIONI XX XXX XXXXX XXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX AR XXXĪXXXXXXX TIESĀM XXXXXĪXX XXXXĀXX VAI XXXXXXXXXXX/ (XX) DOKUMENTAS, XXXXXXXX XXXXXXXX XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ SU XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX XXXX HATÓSÁG VAGY XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX AWTORITÀ XXX XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX XXX IT-TRIBUNALI XX' XXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX OF XXXXXXXXX BEHORENDE XXX XXX RECHTERLIJKE INSTANTIE XXX XXX XXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX XXXXXX XĄXXXXXX XXX XXXĘXXXXX SĄDOWEGO XXŃXXXX XXŁXXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXXXX OU XX XX XXXXXXXXXXX XXXXXXXXXX DE XXXXXXXX XXXXXXXÇÃX DE UM XXXXXX-XXXXXX/ (RO) XXXXXXXX XXXX DE O XXXXXXXXXX XXX DE XX FUNCȚIONAR XX XX XÂXXĂ INSTANȚELE XXXX STAT XXXXXX/ (XX) LISTINA VYDANÁ XXXXXXX XXXXX XXXXXXXXX X VÄZBOU XX XXXX XXXXXXXXX ŠTÁTU/ (XX) XXXXXXX, XXXXXX X STRANI XXXXXX XXX XXXXXXXX SODNE XXXXXXX DRŽAVE XXXXXXX/ (XX) ASIAKIRJA, JONKA XX XXXXXXX JÄSENVALTION XXXXXXXXXXXXXXXX KUULUVA XXXXXXXXXXXX XXX VIRKAMIES/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX MYNDIGHET XXXXX XX TJÄNSTEMAN XXXXXÖXXXXX DOMSTOLSVÄSENDET X XX MEDLEMSSTAT

3.1.1

(BG) СЪДЕБНО РЕШЕНИЕ/ (XX) RESOLUCIÓN XXXXXXXX/ (XX) ROZHODNUTÍ XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) GERICHTSENTSCHEIDUNG/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) XXXXXXXX XX JUSTICE/ (GA) XXXXXXXX XX xXXXXX/ (XX) XXXXXX XXXXXX/ (XX) DECISIONE XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (XX) XXXXXX XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) RECHTERLIJKE XXXXXXXXXX/ (XX) XXXXXXXXXX SĄDOWE/ (XX) DECISÃO JUDICIAL/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) SODNA XXXXXXX/ (XX) TUOMIOISTUIMEN XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) DOCUMENTO EXPEDIDO XXX EL MINISTERIO XXXXXX/ (XX) XXXXXXX XXXXXX STÁTNÍM XXXXXXXXX/ (XX) DOKUMENT XXXXXXX XX XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX VÄLJA XXXXXX XXXXXXX SÜÜDISTAJA/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXX XXXXXXXXXX/ (XX) DOCUMENT XXXXXXX XX MINISTÈRE XXXXXX/ (XX) DOICIMÉAD X XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (HR) XXXXXXX XXXX JE IZDALO XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXXXX XXXXXXXXX/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (HU) ÜXXXXX ÁLTAL XXXXXXXXXX XXXXXX/ (MT) DOKUMENT XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXX MINISTERIE/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (XX) DOCUMENT XXXX DE XX XXXXXXXX/ (XX) XXXXXXX XXXXXX PROKURÁTOROM/ (XX) XXXXXXX, XX JO XXXX DRŽAVNO XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX ÅKLAGARVÄSENDET

3.1.3

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX POR XX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX AF XX XXXXXXXXXXXXXÆX/ (XX) XXXXXXX XXXXX URKUNDSBEAMTEN XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX FROM X XXXXX XX X COURT/ (XX) XXXXXXXX ÉMANANT X'XX XXXXXXXX/ (GA) XXXXXXXXX X XXXXXXX X XXXXXXXXXX XX XXXXX XXXXXX/ (HR) XXXXXXX XXXX XX IZDAO XXXXXXXXXX XXXXXX PISARNICE/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (XX) DOKUMENTS, KURU XXXXXXXXXX TIESAS SEKRETĀRS/ (XX) TEISMO XXXXXXXXXX XXXXXXXX DOKUMENTAS/ (XX) XXXXXXXX TISZTVISELŐ XXXXX XXXXXXXXXX OKIRAT/ (MT) XXXXXXXX XXĦXXĠ XXXX XXĠXXXXXXXX XX' XXXXX/ (XX) DOCUMENT XXXXXXXXX XXXX XXX GRIFFIER/ (XX) XXXXXXXX POCHODZĄCY XX SEKRETARZA XĄXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX XX XX XXXXXXX XX XXXXXÇX/ (RO) XXXXXXXX XXXX DE XX GREFIER XX XXXXXXȚXX/ (SK) XXXXXXX XXXXXX SÚDNYM XXXXXXXXX/ (XX) LISTINA, XX XX IZDA XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX FRÅN XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX DE JUSTICE“)/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXX («HUISSIER XX XXXXXXX»)/ (XX) XXXXXXX XXXXXX SOUDNÍM XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) DOKUMENT UDSTEDT XX EN STÆVNINGSMAND (»XXXXXXXX DE XXXXXXX«)/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX ON VÄLJA XXXXXX XXXXXXÄXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXXXXXXX FROM X JUDICIAL XXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX DE XXXXXXX/ (XX) DOICIMÉAD X XXXXXXX X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX JUSTICE”)/ (XX) XXXXXXX XXXX XX XXXXX SUDSKI OVRŠITELJ (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX TIESAS XXXXXXĪXĀXX (XXXXXXXX DE XXXXXXX)/ (XX) ANTSTOLIO (XXXXXXXX XX XXXXXXX) XXXXXXXX DOKUMENTAS/ (HU) XXXXXXXX VÉGREHAJTÓ („XXXXXXXX XX XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY OD XXXĘXXXXX SĄDOWEGO (HUISSIER XX JUSTICE)/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXÃX XX XXXXXXX («XXXXXXXX XX XXXXXXX»)/ (RO) DOCUMENT XXXX XX XX XXXXXXXX JUDECĂTORESC („HUISSIER XX XXXXXXX”)/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX XXXXXXX“)/ (XX) LISTINA, XX JO IZDA XXXXX IZVRŠITELJ („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXXXXX (”HUISSIER XX XXXXXXX”) ANTAMA XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN EN XXÄXXXXXXXXX (HUISSIER XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (ES) XXXX (XXXXXXXXXXXXX)/ (XX) XXXX (UPŘESNĚTE)/ (XX) XXXXX (ANGIVES)/ (DE) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) MUU (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) OTHER (XX XX XXXXXXXXX)/ (XX) XXXXX (À PRÉCISER)/ (XX) XXXX (LE XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (IT) XXXXX (XXXXXXXXX)/ (XX) XXXX (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (HU) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) XĦXXXX (IPPREĊIŻA)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) XXXX (XXXXXĘ XXXXŚXXĆ)/ (XX) XXXXXX (X XXXXXXXXXXX)/ (RO) XXXXX (X XX XXXXXXX)/ (XX) INÉ (XXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (SV) XXXXX XXXXXXXX (SPECIFICERAS)

3.2

(BG) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (ES) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX DOKUMENT/ (XX) URKUNDE EINER XXXXXXXXXXXXXXÖXXX/ (ET) HALDUSDOKUMENT/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) ADMINISTRATIVE DOCUMENT/ (XX) DOCUMENT ADMINISTRATIF/ (XX) XXXXXXXXX XXXXXXXXXX/ (XX) UPRAVNA XXXXXXX/ (XX) DOCUMENTO AMMINISTRATIVO/ (XX) ADMINISTRATĪVS DOKUMENTS/ (XX) ADMINISTRACINIS XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (XX) ADMINISTRATIEF XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) DOCUMENT XXXXXXXXXXXXX/ (XX) XXXXXXX LISTINA/ (XX) XXXXXXX LISTINA/ (XX) HALLINNOLLINEN ASIAKIRJA/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) CERTIFICAT/ (GA) XXXXXXXX/ (HR) POTVRDA/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (NL) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (RO) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) INTYG

3.2.2

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXX X XXXXXXX/ (XX) XXXXXX FRA CIVILSTANDSREGISTRET/ (XX) XXXXXX XXX XXX PERSONENSTANDSREGISTER/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) EXTRACT FROM XXX XXXXX XXXXXX XXXXXXXX/ (FR) XXXXXXX XX REGISTRE DE X'XXXX XXXXX/ (GA) XXXXXXX XX AN xXXXX STÁDAIS XXXXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXX XXXXXX/ (XX) ESTRATTO XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXX XX XXXXXXXĀXXXĻX XXXX XXĢXXXXX/ (XX) XXXXXXX XX CIVILINĖS XŪXXĖX XXXŲ XXXXXXXX/ (HU) XXXXXÖXXXX XXXXXXX/ (MT) XXXXXXX XXX-XXĠXXXXX TAL-ISTAT ĊXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXX XX XXXX DO XXXXXXX XXXXX/ (XX) XXXXXX XXX XXXXXXXXX XX XXXXX XXXXXĂ/ (XX) VÝPIS Z XXXXXXXX OSOBNÉHO XXXXX/ (XX) XXXXXXX IZ XXXXXXXX X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (ES) XXXXXXXX XXX CENSO/ (XX) XXXXX Z XXXXXXXX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXX XXX DEM XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX THE XXXXXXXXXX XXXXXXXX/ (XX) EXTRAIT XX XXXXXXXX DE XX XXXXXXXXXX/ (GA) XXXXXXX AS XX xXXXX DAONRA/ (XX) XXXXXXX XX POPISA XXXXXXXXXXXX/ (XX) ESTRATTO XXXXXXXXXX/ (XX) XXXXXXXX XX XXXXĪXXXĀXX REĢISTRA/ (XX) IŠRAŠAS XX XXXXXXXXŲ REGISTRO/ (HU) XXXXXXX X SZEMÉLYIADAT- XX LAKCÍMNYILVÁNTARTÁSBÓL/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX Z XXXXXXXX XXXXXŚXX/ (XX) XXXXXXX XX XXXXXXX XX XXXXXXÇÃX/ (XX) XXXXXX XXX REGISTRUL XX XXXXXXȚĂ X XXXXXXȚXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXĽXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXXXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (ES) XXXXX XXXXXXX XX XXXXX DEL REGISTRO XXXXX/ (CZ) XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXX AF XXXXXXXXXXXXXXXXXXX/ (XX) WÖRTLICHE XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX COPY XX XXXXX STATUS XXXXXXX/ (XX) XXXXX XXXXXXXXX D'ACTES DE X'XXXX XXXXX/ (GA) XXXX XXXXX XX XXXXXX DE XXXXXXX XX XXXXXX XXXXXXXXX/ (XX) DOSLOVNI PRIJEPIS XX XXXXXXXXXX X XXXXXXX STANJU/ (IT) XXXXX LETTERALE XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX REĢISTRA XXXXXXXX XXXXXXXXXX KOPIJA/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮXXXŲ XXXXXXXĖ KOPIJA/ (XX) XXXXXÖXXXX BEJEGYZÉS XXX SZERINTI XXXXXXXX/ (XX) XXXXX XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXXX AFSCHRIFT XXX XXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX ZUPEŁNY XXXX XXXXX XXXXXXXXX/ (XX) CERTIDÃO DE XXXXX XXXXXXXX XX XX XXXXXXXXX DE XXXX DE XXXXXXX XXXXX/ (XX) COPIE XXXXXĂ A XXXX XXX XX STARE XXXXXĂ/ (SK) XXXXXXXX XXXXX XX ZÁPISOV X OSOBNOM STAVE/ (XX) XXXXXXXXX PREPIS XXXXXX O XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX AVSKRIFT AV XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX NOTARIAL/ (XX) XXXXXXXX LISTINA/ (XX) NOTARBEKRÆFTET XXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (FR) XXXX NOTARIÉ/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXĀXX XXXX/ (XX) XXXXXXXXX XXXXX/ (XX) XÖXXXXXXŐX OKIRAT/ (MT) XXX XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (XX) XXX NOTARIALNY/ (XX) XXX XXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXXX LISTINA/ (SL) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (ES) XXXXXXXXXXXXX OFICIAL PUESTA XXXXX UN XXXXXXXXX XXXXXXX/ (CZ) ÚŘEDNÍ XXXXXXXXX, XXXXXX XXXX XXXXXXXX XXXXXXX XXXXXXXXX XXXXXXXXX OSOBOU/ (XX) XXXXXXXX PÅTEGNING XÅ XX DOKUMENT UNDERTEGNET XX EN XXXXXX X XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX AUF XXXXX XXXXXXXXXXXXX/ (ET) XXXXX XXXXX XXXXXXXXXX XXXXXXXXXXXXXX DOKUMENDILE KINNITATAV XXXXXXX TÕEND/ (EL) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) OFFICIAL XXXXXXXXXXX XXXXXX ON X XXXXXXXX SIGNED BY X PERSON XX XXX XX XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX XX XXXX XXXX SEING XXXXX/ (XX) XXXXXXXX XXXXXXXXX X CHUIRTEAR XX XXXXXXXXXX ARNA XXXXXX XX DUINE XXX XXXXX XX XXX XXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX POTVRDA XXXXXXXXX XX XXXXXXX XXXX XX XXXXX XXXXXXXXX X PRIVATNOM SVOJSTVU/ (XX) XXXXXXXXXXXXX UFFICIALE XXXXXXX XX UNA XXXXXXXXX PRIVATA/ (XX) XXXXXĀXX XXXXXXXXĀXXXX XX XXXXXXXXX, KO XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (LT) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX ELHELYEZETT XXXXXXXXX XXXXXXXXXXX/ (MT) ĊERTIFIKAT XXXXĊXXXX XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ PRIVATA XXXĦXX/ (NL) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXX XXXXXXXXXXX DOOR XXX XXXXXXX IN XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) URZĘDOWE XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX XXX XX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXX XXXXXXX PE XX XXXXXXXX SUB XXXXĂXXXĂ PRIVATĂ/ (SK) XXXXXX XXXXXXXXXX XXXXXXX XX LISTINE PODPÍSANEJ XXXXXX XXXXXXXXX XXX XXXXXXXX OSOBA/ (XX) XXXXXX IZJAVA XX XXXXXXX XXXXXXX/ (FI) XXXXXXXXXX XXXXXXXX ASIAKIRJASSA, XXXXX XXXXXXÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (SV) XXXXXXXXXX INTYG 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 XXXXXXXX XXX UN XXXXXX XXXXXXXXXXX X XXXXXXXX XX XX ESTADO XXXXXXX CON CARÁCTER XXXXXXX/ (CZ) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXX KONZULÁRNÍM ÚŘEDNÍKEM XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX OFFICIELT XXXÆXXXXXX XX EN XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (DE) XXX XXXXX XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (XX) LIIKMESRIIGI XXXXXXXXXXXXXX VÕI XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX DRAWN XX XX X DIPLOMATIC XX XXXXXXXX AGENT XX X XXXXXX XXXXX XX HIS XX XXX OFFICIAL XXXXXXXX/ (FR) XXXXXXXX XXXXXX XX XX XXXXXXX XXXXXXXXXX PAR XX XXXXX XXXXXXXXXXXX XX XXXXXXXXXX X'XX XXXX XXXXXX/ (GA) XXXXXXXXX ARNA THARRAINGT XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX XX XXXXX BALLSTÁIT XXX XXXXX XX XXX CÁIL XXXXXXXXX/ (XX) ISPRAVA XXXX XX U XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX XXXXXXXXXXX X XXXXXXXXX DI XXX XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX XXXXX XXXXĀXXXXX, XXXXXXXXXXX DALĪBVALSTS XXXXXXĀXXXXXXX XXX KONSULĀRAIS XĀXXXĀXXX/ (XX) DOKUMENTAS, XXXXXXXXX XXXXXXXĖX XXXĖX DIPLOMATO XX XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX PAGAL OFICIALIUS ĮXXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXX XXXXXXXXXXX VAGY XXXXXXX XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXXX XXXX XĠXXX XXXXXXXXXXX JEW KONSULARI XX' STAT XXXXXX XXX-XXXXĊXXÀ UFFIĊJALI TIEGĦU/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX XX ZIJN OFFICIËLE XXXXXXXXXXXX/ (PL) XXXXXXXX XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX LUB XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX XXXĘXXXXX/ (PT) XXXXXXXXX XXXXXXX XXX UM XXXXXX DIPLOMÁTICO XX XXXXXXXX XX XX XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX FUNÇÕES XXXXXXXX/ (XX) DOCUMENT ÎXXXXXXX DE CĂTRE XX XXXXX XXXXXXXXXX XXX CONSULAR AL XXXX STAT XXXXXX, ÎX XXXXXXXX OFICIALĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX ZÁSTUPCOM ALEBO XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX FUNKCIE/ (XX) XXXXXXX, KI XX XXX XXXXXX XXXXX XXXX DIPLOMATSKI XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX JÄSENVALTION XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX XX LAATINUT XXXXXXXXXXXXXXXXXX/ (XX) HANDLING XXXXÄXXXX I XXÄXXXXX XX XX XXXXXXXXXXX XXXXX KONSULÄR TJÄNSTEMAN X EN XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) DATE (XX/XX/XXXX) XX ISSUE/ (XX) XXXX (JJ/MM/AAAA) XX XXXXXXXXXX/ (GA) DÁTA (XX/XX/XXXX) EISIÚNA/ (HR) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX DI XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) A XXXXXXXXX XXXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (PT) DATA XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (ZZ/LL/AAAA) XXXXXXXX/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/LLLL) IZDAJE/ (XX) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (XX) DATUM (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (ES) XXXXXX XX XXXXXXXXXX DEL XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX ČÍSLO VEŘEJNÉ XXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX DER ÖXXXXXXXXXXX URKUNDE/ (ET) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) REFERENCE NUMBER XX THE XXXXXX XXXXXXXX/ (XX) NUMÉRO XX XXXXXXXXX XX XXXXXXXX XXXXXX/ (GA) XXXXXX XXXXXXXXX XX XXXXXXXXX PHOIBLÍ/ (XX) XXXXXXXXXX BROJ XXXXX XXXXXXX/ (IT) XXXXXX XX XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX/ (LV) XXXXXXXĀ DOKUMENTA XXXXXXXX XXXXXX/ (XX) VIEŠOJO XXXXXXXXX XXXXXXX/ (HU) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXX XX' REFERENZA XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX XXX OPENBAAR XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) NÚMERO DE XXXXXÊXXXX DO XXXXXXXXX XXXXXXX/ (XX) NUMĂRUL XX XXXXXXXȚĂ AL XXXXXXXXXXXX OFICIAL/ (XX) XXXXXXXXXX XXXXX VEREJNEJ XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) XXXXXXX ASIAKIRJAN XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (ES) XXXXXXXXXXX XXXXX EL INTERESADO/ (XX) XXXXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXXXX XX XXX XÅXÆXXXXXX XXXXXX/ (XX) XXXXXXX XXX BETREFFENDEN XXXXXX/ (XX) XXXXXXXXX XXXXXX KÄSITLEV XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX ON XXX XXXXXX CONCERNED/ (XX) INFORMATIONS XXX XX XXXXXXXX CONCERNÉE/ (XX) XXXXXXXX XXXXXX XXXX XX DUINE XXXX xXXXXXXXX/ (HR) XXXXXXXXXXX X XXXXXXXX XXXXX/ (XX) INFORMAZIONI XXXXX XXXXXXX XXXXXXXXXXX/ (XX) XXXXXXĀXXXX PAR XXXXXXĪXX PERSONU/ (XX) XXXXXXXXXXX APIE ATITINKAMĄ XXXXXĮ/ (HU) XX XXXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (MT) XXXXXXXXXXXXX XXXX XX-XXXXXXX XXXXĊXXXXXX/ (XX) XXXXXXXXXX OVER XX BETROKKENE/ (XX) XXXX XXXXX, KTÓREJ XXXXXXX XXXXXXXX/ (XX) XXXXXXXÇÕXX SOBRE X XXXXXX XX CAUSA/ (XX) INFORMAȚII PRIVIND XXXXXXXX XXXXXĂ/ (XX) XXXXXXXXXX X XXXXXXXXX XXXXX/ (SL) XXXXXXXXXXX X XXXXXXX OSEBI/ (XX) ASIANOMAISEN XXXXXXÖX XXXXXX/ (XX) UPPGIFTER XX DEN XXXÖXXX 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)/ (XX) XXXXXXX(X)/ (XX) XXX(X)/ (XX) XXXXXXX (SLOINNTE)/ (XX) XXXXXXX(XX)/ (XX) XXXXXXX(X)/ (XX) UZVĀRDS(-I)/ (LT) XXXXXXĖ (-ĖS)/ (HU) XXXXXXX NEVE(I)/ (MT) XXXXXX(/XXXXXXXXXXX)/ (NL) XXXXXXXX(X)X(XX)/ (XX) NAZWISKO(-A)/ (PT) XXXXXXX(X)/ (RO) NUME/ (XX) PRIEZVISKO(-Á)/ (XX) XXXXXXX/XXXXXXX/ (XX) XXXXXXXX (-XXXXX)/ (SV) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (CZ) XXXXX (XXXXX)/ (DA) XXXXXXX(X)/ (XX) VORNAME(N)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) FORENAME(S)/ (XX) XXXXXX(X)/ (GA) XXXXXXXX (CÉADAINMNEACHA)/ (XX) XXX(XX)/ (IT) XXXX(X)/ (XX) XĀXXX(-X)/ (LT) XXXXXX (-AI)/ (XX) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (IMIONA)/ (PT) XXXX(X) XXXXXXX(X)/ (RO) XXXXXXX/ (XX) XXXX(-X)/ (XX) IME/IMENA/ (FI) XXXXXXX (-XXXXX)/ (XX) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (CZ) DATUM (XX/XX/XXXX) XXXXXXXX/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) DE XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/GGGG) XXĐXXXX/ (XX) XXXX XX XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (XX) XXXXXX DATA (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (MT) XXXX (JJ/XX/SSSS) XXX-XXXXXX/ (XX) GEBOORTEDATUM (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXXX/ (XX) DATA XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (ZZ/LL/AAAA) XXȘXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (SL) 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 X XXXX XX XXXXXXXXXX/ (CZ) XXXXX A XXXX XXXXXXXX/ (DA) XØXXXXXX XX -XXXX/ (XX) XXX XXX LAND XXX XXXXXX/ (XX) XÜXXXXXXX JA -RIIK/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX XXX COUNTRY XX XXXXX/ (FR) XXXX XX PAYS XX NAISSANCE/ (XX) XXX XXXX TÍR XXXXXXXX/ (XX) XXXXXX X XXXXXX ROĐENJA/ (XX) XXXXX E XXXXX XX NASCITA/ (XX) XXXXXXXXX XXXXX XX VALSTS/ (XX) XXXXXX XXXXX XX XXXXX/ (XX) XXÜXXXXXX XXXXX XX XXXXXXX/ (XX) XXXX U XXXXXŻ TAT-TWELID/ (XX) XXXXXXXXXXXXXX EN -XXXX/ (XX) MIEJSCE I XXŃXXXX URODZENIA/ (XX) XXXXX X PAÍS XX NASCIMENTO/ (XX) XXXXX ȘI ȚARA XXȘXXXXX/ (XX) XXXXXX X ŠTÁT NARODENIA/ (XX) KRAJ XX XXXXXX ROJSTVA/ (FI) XXXXXXÄXXXXXX XX -MAA/ (XX) FÖDELSEORT XXX -XXXX

4.5

(XX) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (XX) XØX/ (XX) XXXXXXXXXX/ (XX) SUGU/ (XX) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (XX) XXXXXX/ (HR) XXXX/ (IT) XXXXX/ (XX) DZIMUMS/ (LT) XXXXX/ (XX) XXXX/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (XX) SEXO/ (RO) XXXXX/ (SK) XXXXXXXX/ (XX) SPOL/ (XX) XXXXXXXXX/ (XX) KÖN

4.5.1

(BG) ЖЕНСКИ/ (XX) MUJER/ (XX) XXXX/ (XX) XXXXXX/ (DE) XXXXXXXX/ (XX) NAISSOOST/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) ŽENSKI/ (XX) XXXXXXXXX/ (LV) XXXXXXXX/ (XX) MOTERIS/ (XX) XŐ/ (MT) XXXX/ (NL) XXXXX/ (XX) XXXXXXX/ (PT) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX

4.5.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (DA) XXXX/ (XX) MÄNNLICH/ (ET) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) MALE/ (FR) XXXXXXXX/ (GA) XXXXXXX/ (XX) XXXXX/ (IT) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) XXXXX/ (XX) XXXXX/ (XX) XXĠXX/ (XX) XXX/ (XX) XĘŻXXXXXX/ (XX) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) MOŠKI/ (XX) MIES/ (XX) XXX

4.5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) MÄÄRAMATA/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (IT) XXXXXXXXXXXXX/ (LV) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (HU) XXXXXXXXXXXXXXX/ (MT) MHUX XXXXXXXXX/ (XX) ONBEPAALD/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) NÃO DEFINIDO/ (XX) XXXXXXXXXXXX/ (SK) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) MÄÄRITTELEMÄTÖN/ (SV) XX XXXXXXÄXXX

4.6

(XX) ГРАЖДАНСТВО/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (DA) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXÖXXXXXXX/ (XX) XXXXXXXXXXX/ (EL) ΙΘΑΓΕΝΕΙΑ/ (XX) XXXXXXXXXXX/ (XX) NATIONALITÉ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) CITTADINANZA/ (XX) XXXXXXXXXXXXĪXX/ (LT) XXXXXXXXĖ/ (XX) ÁLLAMPOLGÁRSÁGA/ (MT) ĊXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (RO) XXXĂȚXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (XX) DRŽAVLJANSTVO/ (XX) XXXXXXXXXXXX/ (XX) MEDBORGARSKAP

5.

(BG) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) SEGÚN EL XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX,/ (XX) XX XXXXXXX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX TENTO XXXXXXXX,/ (XX) X XXXXXXX TIL XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX FORMULAR XX XXXXÆXXXX/ (XX) GEMÄSS XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX IST/ (ET) XXXXXXXXX XXXXXXXXX XXXXXXXXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΣΥΜΦΩΝΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX TO XXX XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX ATTACHED/ (XX) X'XXXÈX XX XXXXXXXX XXXXXX XXXXXX XX XXXXXXX XXXXXXXXXX XXX JOINT/ (GA) XX XXXX XX XXXXXXXXX XXXXXXX XXXX XXXXXX XX XXXXXX XXX CEANGAILTE/ (XX) XXXXX XXXXXX XXXXXXX XXXXX XX XXXX XXXXXXX PRILOŽEN/ (XX) XXXXXXX XX DOCUMENTO XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (LV) SASKAŅĀ XX XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (XX) XXXXX XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX PRIDEDAMA XX XXXXX/ (HU) X FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXX XXXXXXX/ (XX) XXXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) VOLGENS HET XXXXXXXX DOCUMENT XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) Z XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXŁĄXXXXX XXXX XXXXXXXXX XXXXXXXXX, XXXXXX, ŻX/ (XX) XXXXXXX X DOCUMENTO XXXXXXX X XXX O XXXXXXXX FORMULÁRIO XXXX XXXXXX/ (XX) ÎX XXXXXXXXXXXX XX DOCUMENTUL XXXXXXX LA XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) PODĽA XXXXXXXX LISTINY, XX XXXXXX XX XXXXX XXXXXXXX PRIPOJENÝ/ (XX) X XXXXXX X XXXXX XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX/ (FI) XXX XXXXXXX ASIAKIRJAN XXXXXX, JOHON XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXX XXX XXXXXXXXXX XXXXXXXX TILL XXXXXX XXXXX XXXXXXÄX 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/ (ES) XX XXXXXXXXXX XXXXX XXXXXXXXX XXXX INSCRIBIRSE XXXX XXXXXXX XX XXX XXXXX XX XXXXX XXX ARREGLO XX XXXXXXX NACIONAL DEL XXXXXX MIEMBRO DE XXXXXXXXXX DEL DOCUMENTO XXXXXXX/ (XX) JE XXXXXXX XXXXX ZPŮSOBILÁ XXXXXXX XXXXXXXXXXXX PARTNERSTVÍ XXXXX XXXXXXXXXXXXXX PRÁVA XXXXXXXXX XXXXX, V XXXX XX XXXXXXX XXXXXXX XXXXXX/ (XX) XXX XÅXÆXXXXXX PERSON XXX XXXXXX TIL XX XXXXX INDGÅ XXXXXXXXXXX PARTNERSKAB X XXXXXXX XXX XXXXXXXX XXX I XXX XXXXXXXXXXX, HVOR XXX XXXXXXXXXX DOKUMENT XX XXXXXXX/ (XX) XXX XXX BETREFFENDE PERSON XXXX XXX XXXXXXXXXX XXXXX DES MITGLIEDSTAATS, XX XXX XXX ÖXXXXXXXXXX XXXXXXX AUSGESTELLT XXXXX, XXX FÄHIGKEIT, XXXX XXXXXXXXXXXX PARTNERSCHAFT XXXXXXXXXX/ (XX) XX XXXXXXXXXX ISIKUL XXXXXXX XXXXXXXXX XÄXXX XXXXXX XXXXXXXXXXXX ÕXXXXX XXXXXXXX XXXXXXXXXXXXXX KOOSELLU ASTUMISE 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 INTO X XXXXXXXXXX PARTNERSHIP UNDER XXX NATIONAL XXX XX XXX XXXXXX XXXXX WHERE THE XXXXXX XXXXXXXX IS XXXXXX/ (XX) XX XXXXXXXX CONCERNÉE XXXX XXXXXXXX UN XXXXXXXXXXX XXXXXXXXXX XX XXXXX XX XXXXX XXXXXXXX XX X'XXXX MEMBRE XÙ XX XXXXXXXX XXXXXX XXX XXXXXXX/ (XX) XX AN XXXXX XXXX mBAINEANN XXX XXXXXX XXX X xXXX XXXXXXXXXXXXXX XXXXXXXXXX FAOI DHLÍ XXXXXXXXX XX XXXXXXXXXX XXX xXXXXXXX AN XXXXXXXXX XXXXXX X XXXXXXXX/ (HR) DOTIČNA XXXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXXXXXX XXXXXXXXXXX PREMA NACIONALNOM XXXXX XXXXXX ČLANICE X XXXXX XX XXXXX ISPRAVA XXXXXX/ (XX) XX XXXXXXX XXXXXXXXXXX XXXXXXXX LA XXXXXXXÀ XX XXXXXXXXXXXXX XX'XXXXXX XXXXXXXXXX X XXXXX XXX XXXXXXX XXXXXXXXX XXXXX XXXXX XXXXXX XXX XXXXXXXX XX XXXXXXXXX PUBBLICO/ (XX) XXXXXXĪXĀ XXXXXXX XXĒX XXĀXXXX REĢISTRĒTĀS XXXXXXXXXXXXXĪXĀX XXXXXŅĀ XX XĀX DALĪBVALSTS TIESĪBU XXXXXX, KURĀ XXXXXXXXXX XXXXXXXXX XX XXXXXX/ (XX) XXXXXXXXXXX ASMUO XXX VEIKSNUS XXXXXXXX XXXXXXXXXXĄ XXXXXXXXXXĘ XXXXX XXXXXXXĖX XXXĖX, KURIOJE XXXXXXXX XXXXXXXXXX IŠDUODAMAS, XXXXXXXXXXĘ TEISĘ/ (XX) XX XXXXXXXX XXXXXXX X KÖZOKIRAT XXXXXXXXXXXXX XXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXX SZERINT XXXXXXXXXX XXXXXXXXX XXXXXXXXXXX XXXXXXXXXX/ (MT) XX-XXXXXXX XXXXĊXXXXXX XĦXXXXX X-XXXXĊXXÀ XX TIDĦOL XX XĦXXXXX XXĠXXXXXXX TAĦT XX-XXĠX NAZZJONALI XXX-XXXXX XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX PUBBLIKU/ (XX) XXXXX DE XXXXXXXXXX XX BEKWAAMHEID XX XXX XXXXXXXXXXXXX PARTNERSCHAP XXX XX XXXX XX XXXXX VAN XXX NATIONALE XXXXX XXX XX XXXXXXXX XXXX XXX XXXXXXXX XXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXX, KTÓREJ XXXXXXX DOKUMENT, XXXXXXX XXXXXXŚĆ DO XXXXXXXX XXXXXXXXXXXXXXXX ZWIĄZKU XXXXXXXXXXXXX XX MOCY XXXXX XXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX, X XXXXXX XXX XXXXXXXX XXXĘXXXX XXXXXŁ XXXXXX/ (PT) A XXXXXX XX XXXXX XXXXXX X CAPACIDADE XX ESTABELECER UMA XXXXXXXX XXXXXXXXX NOS XXXXXX DO XXXXXXX XXXXXXXX XX XXXXXX-XXXXXX XX XXX X XXXXXXXXX XXXXXXX XXX XXXXXXX/ (RO) XXXXXXXX XXXXXĂ XXX XXXXXXXXXXX XX A ÎNCHEIA XX PARTENERIAT ÎNREGISTRAT ÎX CONFORMITATE CU XXXXXXX XXXXXX XX XXXXXXXX XXXXXX ÎN XXXX XXXX XXXX XXXXXXXXXX XXXXXXX/ (SK) XXXXXXXX XXXXX XX XXÔXXXXXX XXXXXXXX XXXXXXXXXXXX XXXXXXXXXXX PODĽA XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X KTOROM XX XXXXXXX XXXXXXX XXXXXX/ (XX) XX XXXXXXX XXXXX XXXXXXXX XX XXXXXXXXXXXX XXXXXXXXXX SKUPNOSTI X SKLADU X XXXXXXXXXXX PRAVOM XXXXXX XXXXXXX, X XXXXXX XX IZDANA JAVNA XXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXÖXXÄ XX KELPOISUUS XXXXXXXXÖXXÄ XXXXXXXXX SEN XÄXXXXXXXXXX KANSALLISEN XXXXXÄÄXÄXXÖX XXXXXX, JOSSA YLEINEN XXXXXXXXX XX ANNETTU/ (XX) HAR XXX XXXÖXXX XXXXXXXX XXXÖXXXXXX XXX INGÅ XXXXXXXXXXX XXXXXXXXXXX XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX X XXX MEDLEMSSTAT XÄX XXX OFFICIELLA 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 XXXXXXX XXXXXXXX XXX XXXXXX MIEMBRO XX EXPEDICIÓN XXX XXXXXXXXX PÚBLICO/ (XX) XXXXXXX OSOBA XXXXXX XXXXXXXXXX POD XXXX XXXXXX XXXXXXXXXXXX XXXXXXXXXXX XXXXX XXXXXXXXXXXXXX PRÁVA XXXXXXXXX STÁTU, X XXXX JE XXXXXXX XXXXXXX XXXXXX/ (XX) XXX XÅXÆXXXXXX XXXXXX XXX IKKE XX XXXX NOGET XXXXXXXXXXX XXXXXXXXXXX OPFØRT UNDER XXX NAVN I XXXXXXX XXX XXXXXXXX XXX X XXX XXXXXXXXXXX, XXXX XXX XXXXXXXXXX DOKUMENT ER XXXXXXX/ (DE) XXXXXXX XXXX XXXXXXX, XXXX XXX BETREFFENDE PERSON XXXXX XXXXX XXXXX XXXX EINGETRAGENE XXXXXXXXXXXXX XXXX XXX XXXXXXXXXX XXXXX XXX XXXXXXXXXXXXXX, XX XXX XXX ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, XXXXXXXXXXX IST/ (XX) EI XXX XXXXXXXXX XXXXX NIMEL ÜXXXXX AVALIKU XXXXXXXXX XÄXXX ANDNUD XXXXXXXXXXXX ÕXXXXX KOHAST XXXXXXXXXXXXXX XXXXXXX LEPINGUT/ (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) XXX XXXXXX CONCERNED APPEARS XX XXXX XX XXXXXXXXXX XXXXXXXXXXX IN XXX OR XXX XXXX XXXXX THE XXXXXXXX LAW XX XXX XXXXXX XXXXX XXXXX THE PUBLIC XXXXXXXX IS XXXXXX/ (XX) LA PERSONNE XXXXXXXXX NE SEMBLE XXX XXXXX CONCLU XX PARTENARIAT XXXXXXXXXX XX XXX NOM XX XXXXX XX XXXXX XXXXXXXX XX X'XXXX XXXXXX XÙ XX XXXXXXXX XXXXXX XXX XXXXXXX/ (XX) XX XXXXXXXXXXX SÉ XX XXXXXX XX XXXXX LENA xXXXXXXXX XXXXXXXXX X bPÁIRTNÉIREACHT XXXXXXXXXX FAOI XXXX XXXXXXXXX XX BHALLSTÁIT XXX nDÉANTAR XX XXXXXXXXX POIBLÍ X XXXXXXXX/ (HR) XXXX XXXXXXX XX JE XXXXXXX OSOBA XXX XXXXXX IMENOM XXXXXXXX XXXXXXXXXXXX PARTNERSTVO PREMA XXXXXXXXXXX XXXXX XXXXXX XXXXXXX X XXXXX XX XXXXX ISPRAVA XXXXXX/ (XX) X XXXX XXXXX XXXXXXX XXXXXXXXXXX XXX RISULTA XXXXXXXXX XXXXXX XXXXXX XXXXXXXXXX X XXXXX XXX DIRITTO XXXXXXXXX XXXXX XXXXX XXXXXX XXX XXXXXXXX IL XXXXXXXXX PUBBLICO/ (XX) XX ATTIECĪGĀS XXXXXXXX XĀXXX XXX NOSLĒGTAS XXĢXXXXĒXXX PARTNERATTIECĪBAS XXXXXŅĀ XX XĀX DALĪBVALSTS XXXXĪXX XXXXXX, KURĀ XXXXXXXXXX XXXXXXXXX IR XXXXXX/ (LT) ATITINKAMAS XXXXX XXXX XXXXX XĖXX XXXXXĘX XXXXXXXXXXXX XXXXXXXXXXĖX XXXXX XXXXXXXĖX XXXĖX, KURIOJE XXXXXXXX XXXXXXXXXX XXXXXXXXXX, NACIONALINĘ XXXXĘ/ (XX) XX XXXXXXXX SZEMÉLYNEK X XÖXXXXXXX KIÁLLÍTÁSÁNAK HELYE XXXXXXXX TAGÁLLAM XXXXXXX XXXX SZERINT XXXXXXXXXXXXXXXX XXXXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXX/ (XX) XX-XXXXXXX XXXXĊXXXXXX XXXXXX XX XX GĦANDHIEX XĦXXXXX XXĠXXXXXXX X'XXXXXX TAĦT XX-XXĠX XXXXXXXXXX XXX-XXXXX XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (XX) XXXXX XX BETROKKENE XXXX XXXXXXXXXXXXX PARTNERSCHAP XX XXXX XX XXXX NAAM XX XXXXX VAN HET XXXXXXXXX RECHT XXX XX XXXXXXXX XXXX XXX XXXXXXXX XXXXXXXX XXXXX AFGEGEVEN/ (XX) XXXXX, KTÓREJ XXXXXXX XXXXXXXX, XXX POZOSTAJE X XXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXX XX XXXX XXXXX KRAJOWEGO XXŃXXXX XXŁXXXXXXXXXXX, X KTÓRYM XXX DOKUMENT XXXĘXXXX XXXXXŁ XXXXXX/ (PT) XÃX SE AFIGURA XXXXXXX PARCERIA XXXXXXXXX XX NOME XX XXXXXX XX XXXXX XXX XXXXXX XX XXXXXXX XXXXXXXX DO XXXXXX-XXXXXX XX XXX X XXXXXXXXX XXXXXXX XXX XXXXXXX/ (RO) XX XX XXXXXȘXX XXXXXX XXXXXXXXXXX ÎXXXXXXXXXX ÎXXXXXXX PE NUMELE XXXXXXXXX XXXXXX ÎN XXXXXXXXXXXX CU XXXXXXX XXXXXX XX XXXXXXXX XXXXXX ÎX XXXX XXXX XXXX DOCUMENTUL XXXXXXX/ (XX) DOTKNUTÁ XXXXX XXXXXX XXXXXXXXXX XXXXXXXXXXXX XXXXXXXXXXX XX XXXXXX XXXX XXXĽX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, V XXXXXX XX VEREJNÁ XXXXXXX XXXXXX/ (XX) PO XXXXXXXXXXXXXX XXXXXXXX XXXXXXX XXXXX XX X XXXXXXXXXX XXXXXXXXX, KI XX JO XXXXXXXXXXXX X XXXXXX XXXXX XX V XXXXXX X XXXXXXXXXXX XXXXXX XXXXXX XXXXXXX, X XXXXXX JE XXXXXX XXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXXX XX OLE XXXXXXXX XXXXXXXXÖXXXÄ XXXXXXXXXXXX XXX XÄXXXXXXXXXX XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX XXXXXXXXX XX XXXXXXX/ (XX) XÖXXXXXXXX DEN XXXÖXXX PERSONEN INTE XX INGÅTT REGISTRERAT XXXXXXXXXXX XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX I 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 XXX XXXXXXXXXX XX XXXXXX XXXXXXXXXXX XXXX QUE XX INTERESADO XXXXXXXX XXX XXXXX DE XXXXX CON XXXXXXX XX XXXXXXX NACIONAL XXX XXXXXX MIEMBRO XX XXXXXXXXXX DEL XXXXXXXXX PÚBLICO/ (CZ) XXXXXXXXXX XXXXX ZNÁMÁ XXXXXXXX, ABY XXXXXXX XXXXX XXXXXXXX XXXXXXXXXXXX XXXXXXXXXXX XXXXX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXX XX XXXXXXX LISTINA XXXXXX/ (XX) XXX XXXXXXXXXX XXXXX XXXXXX HINDRINGER XXX, XX XXX XÅXÆXXXXXX PERSON KAN XXXXÅ REGISTRERET XXXXXXXXXXX X XXXXXXX TIL XXXXXXXX RET X XXX XXXXXXXXXXX, XXXX XXX XXXXXXXXXX XXXXXXXX XX XXXXXXX/ (DE) XXX XXXX XXXXXXXXX XXXXXXX, XXX XXX XXXXXXXX XXXXX EINGETRAGENEN XXXXXXXXXXXXX DURCH XXX XXXXXXXXXXX XXXXXX XXXX XXX NATIONALEN RECHT XXX XXXXXXXXXXXXXX, IN XXX DIE ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX WURDE, XXXXXXXXXXXXX/ (ET) XX XXX TEADA AVALIKU XXXXXXXXX VÄLJA XXXXXX XXXXXXXXXXXX ÕIGUSE KOHASEID XXXXXXXXXX, XXX TAKISTAKSID XXXXXXXXXX XXXXXX REGISTREERITUD 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 XXXXX XXXXXXXXXX XXX XXX XXXXXX XXXXXXXXX XX XXXXX XXXX X XXXXXXXXXX XXXXXXXXXXX XXXXX XXX NATIONAL XXX XX XXX XXXXXX XXXXX XXXXX XXX XXXXXX XXXXXXXX XX XXXXXX/ (FR) XX X'XXXXXX PAS X'XXXÊXXXXXXX XXXXX À LA XXXXXXXXXX XXX LA XXXXXXXX CONCERNÉE X'XX XXXXXXXXXXX ENREGISTRÉ EN XXXXX XX DROIT XXXXXXXX XX X'XXXX XXXXXX XÙ XX XXXXXXXX XXXXXX EST XXXXXXX/ (XX) NÍL XXX BHAC XXXXXXXXX XXX XX AN XXXXX LENA mBAINEANN XX DUL X xXXX XXXXXXXXXXXXXX XXXXXXXXXX XXXX DHLÍ NÁISIÚNTA XX XXXXXXXXXX XXX xXXXXXXX XX DOICIMÉAD XXXXXX A XXXXXXXX/ (XX) XXXX POZNATE XXXXXXX XXXX KOJE XXXXXXX XXXXX XX XX XXXXX XXXXXXXX XXXXXXXXXXXX XXXXXXXXXXX XXXXX XXXXX XXXXXX XXXXXXX X XXXXX XX XXXXX XXXXXXX XXXXXX/ (XX) NON XXXX XXXX XXXXXXXXXXX XXXX XXXXXXXXXXXXXX XX XX'XXXXXX XXXXXXXXXX DELLA XXXXXXX XXXXXXXXXXX A NORMA XXX DIRITTO XXXXXXXXX XXXXX XXXXX XXXXXX XXX XXXXXXXX IL XXXXXXXXX XXXXXXXX/ (XX) XXX ZINĀMI XXXĀXX XĶĒXXĻX ATTIECĪGAJAI PERSONAI

STĀTIES XXĢXXXXĒXĀX XXXXXXXXXXXXXĪXĀX XXXXXŅĀ XX XĀX XXXĪXXXXXXX XXXXĪXX XXXXXX, KURĀ XXXXXXXXXX XXXXXXXXX IR XXXXXX/ (LT) XĖXX XXXXXŲ XXXŪXXŲ ATITINKAMAM XXXXXXXX SUDARYTI XXXXXXXXXXĄ XXXXXXXXXXĘ XXXXX XXXXXXXĖX XXXĖX, KURIOJE XXXXXXXX XXXXXXXXXX XXXXXXXXXX, NACIONALINĘ XXXXĘ/ (XX) XXXXX X XÖXXXXXXX KIÁLLÍTÁSÁNAK XXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXX XXXXXXXX, XXXXXX XXXXXXXX XXXXX, XXXX XX ÉRINTETT XXXXXXX BEJEGYZETT XXXXXXXXX XXXXXXXXXXX XXXXXXXXXX/ (XX) XX XXXX L-EBDA XXXXXXXXXX XXXĦXXX GĦALL-PERSUNA XXXXĊXXXXXX BIEX TIDĦOL XX XĦXXXXX XXĠXXXXXXX XXĦX IL-LIĠI NAZZJONALI XXX-XXXXX XXXXXX XXXX XXĦXXXĠ ID-DOKUMENT XXXXXXXX/ (XX) XX ER XXXX BELEMMERING XXXX XX BETROKKEN PERSOON XX EEN XXXXXXXXXXXXX XXXXXXXXXXXX XXX XX XXXX OP XXXXX XXX XXX XXXXXXXXX XXXXX XXX XX XXXXXXXX XXXX HET XXXXXXXX XXXXXXXX WORDT XXXXXXXXX/ (XX) XXX XXXXXXXĄ XXXXX XXXXXXXXXX XXX ZAWARCIA XXXXX XXXXĘ, XXXXXX XXXXXXX XXXXXXXX, XXXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX NA XXXX XXXXX KRAJOWEGO XXŃXXXX XXŁXXXXXXXXXXX, X XXXXXX XXX XXXXXXXX XXXĘXXXX XXXXXŁ XXXXXX/ (XX) XÃX XXXXXX XXXXXXXXXXX XXXXXXXXX A XXX X XXXXXX XX XXXXX ESTABELEÇA XXX XXXXXXXX XXXXXXXXX XXX XXXXXX DO XXXXXXX XXXXXXXX XX XXXXXX-XXXXXX XX QUE X XXXXXXXXX PÚBLICO XXX XXXXXXX/ (RO) XX XX CUNOSC IMPEDIMENTE XX ÎXXXXXXXXX XXXXXXXXXXXXXXX ÎXXXXXXXXXX ÎN CONFORMITATE XX XXXXXXX INTERN XX XXXXXXXX XXXXXX ÎX XXXX XXXX XXXX DOCUMENTUL XXXXXXX/ (XX) XXX JE XXXXX XXXXXXXX PRE XXXXXXXX XXXXX UZAVRIEŤ XXXXXXXXXXXX XXXXXXXXXXX PODĽA XXXXXXXXXXXXXX XXXXX ČLENSKÉHO XXXXX, X XXXXXX XX VEREJNÁ LISTINA XXXXXX/ (XX) NI XXXXXXXXXXXX ZADRŽKOV, XX XXXXXXX XXXXX XX XX XXXXX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX X XXXXXX X NACIONALNIM XXXXXX XXXXXX XXXXXXX, X XXXXXX XX XXXXXX XXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXXXXÖXXXXXX PARISUHTEELLE XX XXXXXXÄ XXXXXX XXXXXXÄ XXX JÄSENVALTION KANSALLISEN XXXXXÄÄXÄXXÖX MUKAAN, XXXXX XXXXXXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXX XXX XXXX KÄNDA XXXXXX XÖX XXX XXXÖXXX PERSONEN XXX XXXÅ XXXXXXXXXXX PARTNERSKAP XXXXXX DEN XXXXXXXXXX XXXXXXXXXXXXXX X DEN XXXXXXXXXXX DÄR DEN XXXXXXXXXX XXXXXXXXXX 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) NO XXX XXXXXXXXXX DE XXXXXX XXXXXXXXXXX XXXX XX XXXXXXXX XX XXX XXXXX DE HECHO XXXXX XX INTERESADO X SU FUTURA XXXXXX XX XXXXX XXXXXXXXXX CON XXXXXXX XX XXXXXXX NACIONAL XXX XXXXXX MIEMBRO XX XXXXXXXXXX DEL XXXXXXXXX PÚBLICO/ (CZ) XXXXXXXXXX XXXXX ZNÁMÁ XXXXXXXX REGISTROVANÉHO PARTNERSTVÍ XXXX XXXXXXXX OSOBOU X XXXXX BUDOUCÍM XXXXXXXXX / XXXX XXXXXXX XXXXXXXXXX PODLE XXXXXXXXXXXXXX PRÁVA XXXXXXXXX XXXXX, X XXXX XX XXXXXXX XXXXXXX XXXXXX/ (XX) XXX XXXXXXXXXX XXXXX XXXXXX XXXXXXXXXX FOR XX XXXXXXXXXXX XXXXXXXXXXX XXXXXX XXX XÅXÆXXXXXX XXXXXX XX XXXXXX KOMMENDE XXXXXXX X XXXXXXX XXX NATIONAL RET X XXX XXXXXXXXXXX, XXXX DET XXXXXXXXXX XXXXXXXX XX UDSTEDT/ (XX) XXX KEIN XXXXXXXXX BEKANNT, DAS XXXXX EINGETRAGENEN PARTNERSCHAFT XXXXXXXX DER BETREFFENDEN XXXXXX XXX XXXXX XÜXXXXXXX XXXXXXX XXXX XXX XXXXXXXXXX RECHT XXX XXXXXXXXXXXXXX, XX XXX XXX ÖXXXXXXXXXX XXXXXXX AUSGESTELLT XXXXX, XXXXXXXXXXXXX/ (XX) EI XXX TEADA XXXXXXX XXXXXXXXX VÄLJA XXXXXX XXXXXXXXXXXX ÕXXXXX XXXXXXXX XXXXXXXXXX, XXX TAKISTAKSID XXXXXXXXX XXXXX XX XXXX TULEVASE XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXX 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/ (EN) THERE XX XX KNOWN XXXXXXXXXX XX A XXXXXXXXXX PARTNERSHIP BETWEEN XXX PERSON XXXXXXXXX XXX XXX OR XXX XXXXXXXX XXXXXXX XXXXX XXX XXXXXXXX XXX XX THE XXXXXX XXXXX XXXXX XXX XXXXXX XXXXXXXX XX ISSUED/ (FR) XX N'EXISTE XXX X'XXXÊXXXXXXX CONNU À XX XXXXXXXXXX X'XX XXXXXXXXXXX XXXXXXXXXX XXXXX XX XXXXXXXX CONCERNÉE XX XXX XXXXX XXXXXXXXXX EN XXXXX XX DROIT NATIONAL XX X'XXXX XXXXXX XÙ XX XXXXXXXX XXXXXX EST XXXXXXX/ (XX) NÍL AON XXXX XXXXXXXXX XXX XX XXXXXXXXXXXXXXX CHLÁRAITHE XXXX AN DUINE XXXX xXXXXXXXX XXXX X P(H)ÁIRTNÉIR BEARTAITHE XXXX XXXX NÁISIÚNTA XX XXXXXXXXXX XXX xXXXXXXX XX DOICIMÉAD XXXXXX X EISIÚINT/ (XX) NEMA XXXXXXX XXXXXXX XXXX KOJE XXXXXXX XXXXX X XXXXXX XXXXĆX XXXXXXX XX BI XXXXX XXXXXXXX REGISTRIRANO XXXXXXXXXXX XXXXX XXXXXXXXXXX XXXXX XXXXXX ČLANICE X XXXXX XX XXXXX XXXXXXX XXXXXX/ (IT) XXX XXXX XXXX XXXXXXXXXXX ALLA XXXXXXXXXXXXXX XX XX'XXXXXX REGISTRATA XXX XX PERSONA XXXXXXXXXXX X XX XXXXXX XXXXXXX X XXXXX XXX XXXXXXX XXXXXXXXX XXXXX XXXXX XXXXXX CHE XXXXXXXX XX XXXXXXXXX XXXXXXXX/ (XX) XXX XXXĀXX XXXĀXX XĶĒXXĻX XXĢXXXXĒXX XXXXXXXXXXXXXĪXX NOSLĒGŠANAI XXXXX XXXXXXĪXX XXXXXXX XX XĀX TOPOŠO PARTNERI XXXXXŅĀ XX XĀX XXXĪXXXXXXX TIESĪBU XXXXXX, XXXĀ PUBLISKAIS XXXXXXXXX XX XXXXXX/ (LT) XĖXX XXXXXŲ XXXŪXXŲ XXXXXXXXXX ASMENS IR XX XŪXXXX (-XX) XXXXXXXXX (-ĖX) XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXXĖX XXXĖX, XXXXXXX VIEŠASIS XXXXXXXXXX XXXXXXXXXX, NACIONALINĘ XXXXĘ/ (XX) NINCS X XÖXXXXXXX KIÁLLÍTÁSÁNAK XXXXX XXXXXXXX TAGÁLLAM XXXXXXX XXXX SZERINTI, XXXXXX XXXXXXXX ANNAK, XXXX XX XXXXXXXX XXXXXXX ÉS XXXXXŐ XXXXXXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXX XXXXXXXXXX/ (XX) XX XXXX X-XXXX XXXXXXXXXX XXXĦXXX XĦXX XĦXXXXX XXĠXXXXXXX XXXX IL-PERSUNA KKONĊERNATA X X-XXXĦXX JEW XXXĦXX XXXXX TAGĦHA XXĦX XX-XXĠX XXXXXXXXXX XXX-XXXXX MEMBRU FEJN XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (XX) XX XX XXXX XXXXXXXXXXX VOOR XXX GEREGISTREERD XXXXXXXXXXXX XXXXXX XX XXXXXXXXXX XX XXXX XX XXXX BEOOGDE PARTNER XX XXXXX XXX XXX XXXXXXXXX XXXXX XXX DE LIDSTAAT XXXX HET XXXXXXXX XXXXXXXX XXXXX XXXXXXXXX/ (XX) NIE ISTNIEJĄ XXXXX XXXXXXXXXX DLA XXXXXXXX XXXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX PRZEZ OSOBĘ, XXXXXX XXXXXXX XXXX-XXXX, X XXXXĄ, Z XXXXĄ XXXXXXXX XXX XXXXXXĆ XXXX XXXĄXXX, XX XXXX PRAWA XXXXXXXXX XXŃXXXX

XXŁXXXXXXXXXXX, X XXXXXX XXX DOKUMENT XXXĘXXXX XXXXXŁ WYDANY/ (XX) NÃO XXXXXX XXXXXÇÃX CONHECIDA X XXX A XXXXXX XX XXXXX XXXXXXXXÇX XXX X(X) XXXXXX(X) XXXXXXXX(X) XXX PARCERIA XXXXXXXXX XXX TERMOS XX XXXXXXX XXXXXXXX XX XXXXXX-XXXXXX EM XXX O XXXXXXXXX XXXXXXX XXX XXXXXXX/ (XX) XX XX XXXXXȘXX NICIO XXXXXȚXX XX ÎXXXXXXXXX XXXX XXXXXXXXXXX ÎNREGISTRAT ÎXXXX XXXXXXXX XXXXXĂ ȘX XXXXXXXX PARTENER (XXXXXXXXX XXXXXXXXĂ) ÎX XXXXXXXXXXXX XX XXXXXXX XXXXXX XX STATULUI XXXXXX ÎX XXXX XXXX XXXX XXXXXXXXXX OFICIAL/ (XX) XXX XX XXXXX XXXXXXXX XXXX XXXXXXXXXXXXXX PARTNERSTVU MEDZI XXXXXXXXX XXXXXX X XXX NASTÁVAJÚCIM XXXXXXXXX XXXĽX XXXXXXXXXXXXXX PRÁVA XXXXXXXXX XXXXX, X XXXXXX XX VEREJNÁ XXXXXXX XXXXXX/ (XX) XX XXXXXXXXXXXXX XXXXXXXXXXXXX, XX ZADEVNA OSEBA XX XXXX XXXXXXXXXX XXXXXXX XX XX XXXXX REGISTRIRATI XXXXXXXXXX XXXXXXXXX X XXXXXX X NACIONALNIM PRAVOM XXXXXX XXXXXXX, X XXXXXX XX XXXXXX XXXXX XXXXXXX/ (FI) XXXXXXXXXXXX HENKILÖN JA XÄXXX XXXXXXX KUMPPANINSA XÄXXXXÄ XXXXXXXXÖXXXÄ XXXXXXXXXXXX XX XXX VASTUSTETTU XXX JÄSENVALTION XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX XXXXXXXXX ON XXXXXXX/ (SV) XXXXX XXX XXXX KÄNDA XXXÄXXXXXXXX XXX XXXÅXXXX XX XXXXXXXXXXX PARTNERSKAP XXXXXX DEN XXXÖXXX XXXXXXXX XXX HANS XXXXX HENNES XXXXXXXX XXXXXXX ENLIGT XXX XXXXXXXXXX XXXXXXXXXXXXXX X XXX XXXXXXXXXXX DÄR XXX OFFICIELLA XXXXXXXXXX XXXÄXXXXXX

6.

(XX) ИНФОРМАЦИЯ ЗА БЪДЕЩИЯ ПАРТНЬОР НА СЪОТВЕТНОТО ЛИЦЕ/ (ES) XXXXXXXXXXX XXXXX LA XXXXXX PAREJA DE XXXXX XXXXXXXXXX DEL XXXXXXXXXX/ (CZ) XXXXXXXXX X XXXXXXXX XXXXXXXXXX / XXXXXXX PARTNERCE XXXXXXX OSOBY/ (DA) XXXXXXXXXXX XX DEN XÅXÆXXXXXX XXXXXXX KOMMENDE XXXXXXX/ (DE) XXXXXXX XX XXX KÜNFTIGEN XXXXXXX XXX BETREFFENDEN XXXXXX/ (XX) XXXXX 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 XXXXXXXX PARTNER XX XXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXX XXX LE FUTUR XXXXXXXXXX XX XX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXX MAIDIR XX XXXXXXXXX BEARTAITHE XX XXXXX XXXX xXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXĆXX XXXXXXXX DOTIČNE XXXXX/ (XX) XXXXXXXXXXXX XXX XXXXXX XXXXXXX XXXXX PERSONA INTERESSATA/ (XX) INFORMĀCIJA XXX XXXXXXĪXĀX XXXXXXXX TOPOŠO XXXXXXXX/ (LT) XXXXXXXXXXX XXXX ATITINKAMO XXXXXX XŪXXXĄ XXXXXXXĮ (-Ę)/ (XX) XX XXXXXXXX XXXXXXX XXXXXŐ ÉLETTÁRSÁRA XXXXXXXXX XXXXXX/ (MT) XXXXXXXXXXXXX XXXX XX-XXXĦXX XXX SIEĦBA XXXXX XXX-XXXXXXX XXXXĊXXXXXX/ (XX) XXXXXXXXXX XXXX XX XXXXXXX XXXXXXX XXX XX BETROKKENE/ (XX) XXXX XXXXX, X XXXXĄ XXXXX, KTÓREJ XXXXXXX XXXXXXXX, XXXXXXXX XXXXXXĆ XXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXX/ (XX) INFORMAÇÕES XXXXX O(A) XXXXXX(X) XXXXXXXX(X)XX XXXXXX XX XXXXX/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXX XXXXXXXX (XXXXXXXXX XXXXXXXXĂ) XX (X) XXXXXXXXX XXXXXX/ (XX) INFORMÁCIE X XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX XXXXX/ (SL) XXXXXXXXXXX X XXXXXXXXXXX PARTNERJU XXXXXXX XXXXX/ (XX) XXXXXX ASIANOMAISEN XXXXXXÖX XXXXXXXXX XXXXXXXXXXX/ (SV) XXXXXXXXX XX XXX XXXÖXXX XXXXXXXXX BLIVANDE XXXXXXX

7.

(XX) ПОЛЕ ЗА ПОДПИС/ (ES) RECUADRO XXXX LA XXXXX/ (XX) XXXX XXX XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) UNTERSCHRIFTENFELD/ (XX) XXXXXXXXXXXXXX/ (EL) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) XXXXX XXXX LA XXXXXXXXX/ (XX) BOSCA DON XXXXX/ (XX) POLJE XX POTPIS/ (IT) XXXXXXXX PER XX XXXXX/ (XX) XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXX/ (HU) AZ XXXXXXX SZÖVEGDOBOZA/ (XX) XXXXX TAL-IFFIRMAR/ (XX) XXX XXXX XX XXXXXXXXXXXX/ (PL) POLE XXXXXXX/ (PT) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (SK) XXXXXXX NA XXXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (XX) 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) DEL FUNCIONARIO XXX XXXXXXX XXXX XXXXXXX/ (XX) PŘÍJMENÍ X XXXXX (XXXXX) XXXXXXXX, KTERÝ VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXXXX(X) XX XXXXXXX(X) XÅ XXX XXXXXXXXXX, XXX HAR UDSTEDT XXXXX FORMULAR/ (XX) XXXXXXXXXXXX(X) XXX XXXXXXX(X) XXX XXXXXXX, XXX XXXXXX FORMULAR AUSGESTELLT XXX/ (XX) KÄESOLEVA XXXXX XÄXXXXXXXXX AMETNIKU XXXXXXX (-NIMED) XX XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) SURNAME(S) XXX FORENAME(S) XX XXX XXXXXXXX XXX XXXXXX XXXX FORM/ (XX) NOM(S) ET XXXXXX(X) DU FONCTIONNAIRE XXX X XXXXXXX XX PRÉSENT XXXXXXXXXX/ (XX) SLOINNE (SLOINNTE) XXXX CÉADAINM (CÉADAINMNEACHA) XX XXXXXXXX A X’XXXXXX XX FHOIRM XXX/ (HR) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX XXXX XX XXXXX XXXX OBRAZAC/ (IT) XXXXXXX/X X NOME/I XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX IZDEVUSI XX XXXXXXXX, UZVĀRDS(-I) XX XĀXXX(-X)/ (LT) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖS) XX VARDAS (-XX)/ (XX) A FORMANYOMTATVÁNYT XXXXXXXX XXXXXXXXXXŐ CSALÁDI XXXX(X) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) U XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦXXXĠ XXX IL-FORMOLA/ (XX) NA(A)M(EN) XX XXXXXX(X)X(XX) XXX DE XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) X XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXX(X) X XXXX(X) PRÓPRIO(S) XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (RO) NUMELE ȘX XXXXXXXXX XXXXȚXXXXXXXXX XXXX A EMIS XXXXXXXXX FORMULAR/ (XX) XXXXXXXXXX(-X) X MENO(-Á) XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (SL) XXXXXXX/XXXXXXX IN XXX/XXXXX XXXXXXXX, KI XX XXXXX XX XXXXXXX/ (XX) XÄXÄX LOMAKKEEN XXXXXXXX XXXXXXXXXXX XXXXXXXX (-XXXXX) XX XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX XXX XÖXXXXX XÅ XXX TJÄNSTEMAN SOM XXX XXXÄXXXX XXXXX XXXXXXÄX

7.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXX XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (CZ) FUNKCE XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (DA) XXXXXXXX — DEN XXXXXXXXXX, XXX XXX XXXXXXX DENNE XXXXXXXX/ (XX) XXXXXXXX XXX XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXXXXXX HAT/ (XX) KÄESOLEVA VORMI XÄXXXXXXXXX XXXXXXXX AMETIKOHT/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX OF XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) XXXXX DU XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) POST XX XXXXXXXX X X’XXXXXX AN FHOIRM XXX/ (XX) FUNKCIJA XXXXXXXXXX KOJI XX XXXXX OVAJ XXXXXXX/ (XX) XXXXXXXXX XXX XXXXXXXXXXX CHE HA XXXXXXXXXX XX PRESENTE XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX ŠO XXXXXXXX, XXXXX/ (XX) XXĄ FORMĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX LI ĦXXXĠ DIN XX-XXXXXXX/ (XX) XXXXXXX VAN XX XXXXXXXXX XXX XXX XXXXXXXXX HEEFT XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (PT) XXXXX XX XXXXXXXXXXX XXX XXXXXX O XXXXXXXX XXXXXXXXXX/ (RO) XXXXȚXX XXXXȚXXXXXXXXX XXXX X XXXX PREZENTUL XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XXXXX XXXXX XXXXX FORMULÁR/ (SL) XXXXXXX URADNIKA, XX XX IZDAL XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX ANTANEEN VIRKAMIEHEN XXXXX/ (XX) BEFATTNING XÖX XXX XXÄXXXXXXX XXX HAR XXXÄXXXX XXXXX FORMULÄR

7.3

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) VYDÁNÍ/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) AUSSTELLUNGSDATUM (XX/XX/XXXX)/ (XX) VÄLJAANDMISE KUUPÄEV (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (XX/XX/XXXX) XX XXXXX/ (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) IZDOŠANAS XXXXXX (XX/XX/XXXX)/ (LT) XXXXXXXX DATA (XX/XX/XXXX)/ (XX) A XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (JJ/XX/SSSS) XXX-ĦXXĠ/ (XX) DATUM (DD/MM/JJJJ) XXX AFGIFTE/ (PL) XXXX (DD/MM/RRRR) XXXXXXX/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) XXXXX (DD/MM/ÅÅÅÅ) FÖR XXXÄXXXXXX

7.4

(XX) ПОДПИС/ (ES) XXXXX/ (CZ) PODPIS/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (ET) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (EN) XXXXXXXXX/ (FR) SIGNATURE/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) PARAKSTS/ (LT) XXXXXXX/ (XX) ALÁÍRÁS/ (XX) FIRMA/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXXXX/ (SV) XXXXXXXXXXXX

7.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX O XXXXXX/ (XX) XXXXX XXXX XXXXXXX/ (DA) XXXX ELLER XXXXXXX/ (XX) XXXXXX XXXX XXXXXXX/ (ET) PITSER XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX XXXXX/ (XX) XXXXX OU XXXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXX XXX PEČAT/ (XX) XXXXX X XXXXXX/ (XX) ZĪMOGS VAI XXXXXXXX/ (XX) SPAUDAS XXXX ANTSPAUDAS/ (XX) XXXXXX XXXX BÉLYEGZŐLENYOMAT/ (XX) XXĠXXX XXX XXXXXX/ (XX) ZEGEL XX STEMPEL/ (XX) XXXXXĘĆ XXX STEMPEL/ (XX) XXXX XX XXXXXXX/ (RO) SIGILIUL XXX ȘXXXXXXX/ (XX) XXXXX ALEBO ODTLAČOK XXXXXXXX/ (XX) PEČAT XXX XXX/ (FI) XXXXXXX TAI XXXXX/ (XX) XXXXXX ELLER XXÄXXXX

STATUS XXXXXXXXXXXXXX XXXXXXXXXXX

XXXXXXXXXXX STANDARDNÍ XXXXXXXX – XXXXXXX PRO XXXXXXX

Xxxxxx 7 nařízení Xxxxxxxxxx xxxxxxxxxx x Xxxx (XX) 2016/1191 xx dne 6. xxxxxxxx 2016 x xxxxxxx xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx požadavků xx xxxxxxxxxxx některých xxxxxxxxx xxxxxx x Xxxxxxxx xxxx a x xxxxx nařízení (XX) x. 1024/2012 (1)

Xxxxxx (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (XX) Německo (XX)

Xxxxxxxx (XX) Irsko (XX)

Xxxxx (XX) Xxxxxxxxx (ES)

Francie (XX) Chorvatsko (XX)

Xxxxxx (XX) Kypr (XX)

Xxxxxxxx (XX) Xxxxx (LT)

Lucembursko (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxx (XX) Xxxxxxxx (XX)

Xxxxxx (PL) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Xxxxxx (XX)

Xxxxxxx (XX) Xxxxxxx xxxxxxxxxx (UK)

DŮLEŽITÉ XXXXXXXXXX

Xxxxxxx xxxxxx xxxxxx vícejazyčného xxxxxxxxxxxx xxxxxxxxx je xxxxxxxxx xxxxxxxx xxxxxxx xxxxxxx, k xxx xx přiložen. Tento xxxxxxxx xx mezi xxxxxxxxx xxxxx nesmí xxxxxxxxx jako xxxxxxxxxx xxxxxxxx.

Xxxxx xxxxxxxx xxxxxx xxxxx veřejné xxxxxxx, x xxx je xxxxxxxx. Xxxxx, jemuž xx veřejná listina xxxxxxxxxxx, však může x xxxxxxxxx, kdy xx xx xxxxxxxx xxx účely xxxxxxxxxx xxxxxxx listiny, xxxxxxxxx xxxxxxx xx xxxxxx xxxxxxxxx, xxxxx xxxx xx formuláři xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX ORGÁN

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

Xxxxx xxxxxxx xxxxxxx, x xxx xx xxxxxxxx xxxxx xxxxxxxx, xxxxxxxxxx xxxxxx xxxxx nebo xxxxxxxxx, uveďte „–“.

1. XXXXX XXXXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (3)

2. XXXXX VYDÁVAJÍCÍ XXXXXXXX XXXXXXX, X NÍŽ XX XXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (4)

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

3.1 Xxxxxxx xxxxxx xxxxxxx nebo xxxxxxxxx s xxxxxx xx soudy xxxxxx xxxxxxxxx xxxxx

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx vydaná xxxxxxx zástupcem

3.1.3 Listina xxxxxx vyšším soudním xxxxxxxxx

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

3.1.5 Xxxx (xxxxxxxxx)

(1) Úř. xxxx. X 200, 26.7.2016, x. 1.

(2) Při xxxxxxxxxx xxxxx použijte xxxxxxx xxxxx.

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

(4) Slovo „xxxxx“ xx xxxxx xxxxxxxx xxxx xxxxxx xxxxx xxxxxx vydávajícího xxxxxxxx xxxxxxx, k xxx xx přiložen tento xxxxxxxx.

3.2 Xxxxxxx vydaná xxxxxxxx úřadem

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx z xxxxxxx

3.2.3 Xxxxx x xxxxxxxx xxxxxxxx

3.2.4 Opis xxxxxxxxxx xxxxxxx

3.1.5 Xxxx (upřesněte)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, kterým byla xxxxxxxx xxxxxxx podepsaná xxxxxxxxx xxxxxx

3.5 Listina xxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxx xxxx konzulárním úředníkem xxxxxxxxx xxxxx x xxxxx výkonu jeho xxxxxxxxxx povinností

3.6 Datum (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx xxxxx xxxxxxx listiny

4. XXXXXXXXX X DOTYČNÉ XXXXX

4.1 Xxxxx/x xxxxxxxx

4.2 Xxxxxxxx/x xxxxxxxx

4.3 Xxxxxxxx xxxx xxxxxxxxx registrovaného xxxxxxxxxxx

4.4 Xxxxxxxx po xxxxxxxx xxxxxxxxxxxxxx partnerství

4.5 Xxxxx (xxxxx)

4.6 Xxxxx (xx/xx/xxxx) narození

4.7 Xxxxx (1) a země (2) narození

4.8 Xxxxxxx:

4.8.1 Xxxx

4.8.2 Muž

4.8.3 Xxxxxxxx

4.9 Xxxxxx příslušnost

5. XX XXXXXXX VEŘEJNÉ LISTINY, X XXX XX XXXXXXXX XXXXX XXXXXXXX, XX DOTYČNÁ OSOBA XXXXX STATUS XXXXXXXXXXXXXX XXXXXXXXXXX:

5.1 Je v xxxxxxxxxxxxx partnerství / Xxxxx (dd/mm/yyyy) xxxxxxxxxx xxxxxxxxxxx

5.2 Xxxx x xxxxxxxxxxxxx xxxxxxxxxxx

5.2.1 Xxxxx xxxxxx x xxxxxxxxxxxxx xxxxxxxxxxx

5.2.2 Xxxxxxxxxxxx xxxxxxxxxxx xxxx xxxxxxx / Xxxxx (xx/xx/xxxx) xxxxxxx xxxxxxxxxxx

5.2.3 Xxxxxxxx xxxxxxx – partnerka / Xxxxx (dd/mm/yyyy) xxxxx xxxxxxxx – xxxxxxxxx

5.3 Xxxxxxxx

6. POLE PRO XXXXXX

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

6.2 Xxxxxx úředníka, xxxxx vydal xxxxx xxxxxxxx

6.3 Xxxxx (xx/xx/xxxx) xxxxxx

6.4 Xxxxxx

6.5 Xxxxx xxxx razítko

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

(2) Název země x – pokud xxxxxxxx – xxx XXX xxxx xxxx xxxx možnost „Xxxx (xxxxxxxxx)“ xx xxxxx xxxxxx x xxxxxxxxxxx xxxxxxx xx xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxxxxxx, xxxxx xx x xxxxxxxxx na xxxxxxx xxxxxxxx x-xxxxxxx.

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) AUTORIDAD XXX XXXXXX XXXX IMPRESO/ (XX) XXXXX VYDÁVAJÍCÍ XXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (DE) XXXÖXXX, XXX DIESES XXXXXXXX XXXXXXXXX/ (ET) XÄXXXXXXX XXXXX VÄLJA XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX FORM/ (XX) XXXXXXXX XX XXXXXXXXXX DU PRÉSENT XXXXXXXXXX/ (XX) XX xXXXXXX A XXXXXXXX XX XXXXXX XXX/ (XX) XXXXXX KOJE XXXXXX OVAJ XXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXX XXXXXX/ (LV) VEIDLAPAS XXXXXĒXXXXXĀXX/ (LT) ŠIĄ XXXXĄ XXXXXXXXXX VALDŽIOS XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXX/ (XX) AWTORITÀ XXXXXXXXX XX' XXX XX-XXXXXXX/ (XX) AUTORITEIT VAN XXXXXXX VAN XXX XXXXXXXXX/ (XX) ORGAN XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXX XXXXX O XXXXXXXX XXXXXXXXXX/ (XX) AUTORITATEA XXXXXXXĂ X PREZENTULUI XXXXXXXX/ (SK) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX, XX XXXX XX XXXXXXX/ (XX) TÄMÄN XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXX UTFÄRDAR XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (ET) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) PAVADINIMAS/ (XX) MEGNEVEZÉS/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) NAZWA/ (PT) XXXXXXXÇÃX/ (XX) XXXXXXXX/ (XX) XXXXX/ (SL) XXX/ (FI) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) AUTORIDAD QUE XXXXXX XX XXXXXXXXX XXXXXXX AL XXX XX XXXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, X NÍŽ JE XXXXXXXX TENTO XXXXXXXX/ (XX) XXX MYNDIGHED, XXX HAR UDSTEDT XXX XXXXXXXXXX DOKUMENT, XXX XXXXX XXXXXXXX XX VEDHÆFTET/ (DE) XXXÖXXX, DIE XXX ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX BEIGEFÜGT XXX, AUSSTELLT/ (ET) XXXXXX, XXX XXXXX XÄXXX XXXXXXX XXXXXXXXX, XXXXXXX SEE XXXX XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXX DOCUMENT XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXXXX DU XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX PRÉSENT XXXXXXXXXX/ (GA) XX xXXXXXX A EISEOIDH XX DOICIMÉAD XXXXXX XXXX BHFUIL AN XXXXXX SEO XXXXXXXXXX/ (XX) TIJELO XXXX XXXXXX JAVNU ISPRAVU XXXXX JE XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX IL PRESENTE XXXXXX È ALLEGATO/ (XX) PUBLISKĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX XX PIEVIENOTA, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ DOKUMENTĄ, XXXX KURIO PRIDEDAMA XX FORMA, XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX KIÁLLÍTÓ XXXXXXX/ (XX) XXXXXXXÀ EMITTENTI XXX-XXXXXXXX PUBBLIKU LI XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX VAN XXXXXXX XXX HET OPENBAAR XXXXXXXX WAARAAN DIT XXXXXXXXX XX XXXXXXX/ (XX) ORGAN XXXXXĄXX XXXXXXXX XXXĘXXXX, DO XXXXXXX XXXXXXXXX FORMULARZ XXXX XXŁĄXXXXX/ (XX) XXXXXXXXXX XXX EMITE X XXXXXXXXX XXXXXXX X XXX O XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ A XXXXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX PREZENTUL XXXXXXXX/ (SK) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX PRIPOJENÝ/ (XX) ORGAN, XX XXXX XXXXX XXXXXXX, XX JI JE XXXXXXXX XX OBRAZEC/ (XX) VIRANOMAINEN, JOKA XX XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX TÄMÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXX OFFICIELLA XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄR BIFOGAT

3.

(BG) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) INFORMACIÓN XXXXXXXX XX DOCUMENTO XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXX SE VEŘEJNÉ XXXXXXX, K NÍŽ XX PŘILOŽEN TENTO XXXXXXXX/ (XX) XXXXXXXXXXX XXXXØXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX ER XXXXÆXXXX/ (XX) XXXXXXX ZUR ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX FORMULAR BEIGEFÜGT XXX/ (XX) XXXXX XXXXXXX XXXXXXXXX XXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX TO XXX XXXXXX XXXXXXXX XX XXXXX XXXX FORM XX XXXXXXXX/ (XX) XXXXXXXXXXXX RELATIVES AU XXXXXXXX XXXXXX AUQUEL XXX JOINT XX XXXXXXX XXXXXXXXXX/ (GA) XXXXXXXX X XXXXXXXXX XXXX XX XXXXXXXXX XXXXXX LENA XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (HR) INFORMACIJE XXXX XX XXXXXX XX JAVNU XXXXXXX XXXXX JE OVAJ XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX PUBBLICO XXX XX XXXXXXXX XXXXXX È ALLEGATO/ (LV) XXXXXXĀXXXX XXX PUBLISKO XXXXXXXXX, KURAM ŠĪ XXXXXXXX IR XXXXXXXXXX/ (XX) INFORMACIJA, XXXXXXXX XX VIEŠUOJU DOKUMENTU, XXXX KURIO XXXXXXXXX XX XXXXX/ (XX) X FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXXXX XXXXXXXXX INFORMÁCIÓK/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX IL-FORMOLA/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX WAARAAN XXX FORMULIER XX XXXXXXX/ (PL) INFORMACJE XXXXXXĄXX XXXXXXXXX URZĘDOWEGO, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX ESTÁ XXXXXX/ (RO) XXXXXXXȚXX XXXXXXXXXXX LA XXXXXXXXXX XXXXXXX LA XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (SK) INFORMÁCIE X VEREJNEJ LISTINE, XX KTOREJ XX XXXXX XXXXXXXX PRIPOJENÝ/ (XX) INFORMACIJE X XXXXX Z XXXXX XXXXXXX, XX XX XX PRILOŽEN TA XXXXXXX/ (XX) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, JOHON XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) INFORMATION XX XXX OFFICIELLA 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 XXX UNA XXXXXXXXX O XX XXXXXXXXXXX XXXXXXXXX X XXX XXXXXXX XXXXXXXXXXXXXXXX XX XX ESTADO XXXXXXX/ (CZ) XXXXXXX XXXXXX XXXXXXX XXXX XXXXXXXXX X VAZBOU XX XXXXX XXXXXX XXXXXXXXX STÁTU/ (XX) XXXXXXXX, XXX ER XXXXXXX AF XX XXXXXXXXX XXXXX EN XXXXXXXXXX, XXX XX XXXXXXXXXX DOMSTOLE I XX XXXXXXXXXXX/ (DE) XXXXXXX XXXXX XXXÖXXX XXXX XXXXX AMTSPERSON XXX XXXXX XXX XXXXXXXXXXXX XXXXX MITGLIEDSTAATS/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX 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 XXXX XX XXXXXXXXX XX XX XXXXXXXX CONNECTED WITH XXX XXXXXX XX XXXXXXXXX OF X XXXXXX XXXXX/ (FR) XXXXXXXX XXXXXXX X'XXX XXXXXXXX OU X'XX XXXXXXXXXXXXX RELEVANT X'XXX XXXXXXXXXXX X'XX ÉTAT XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXX XX X XXXXXXXXX A XXXXXX XXXXX XXXX NÓ XXXX XX XXXXXXXXXX XX XX XXXXX XX CHUID XXXXXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX TIJELO XXX XXXXXXXXX SUDA XXXXXX ČLANICE/ (IT) XXXXXXXXX EMANATO XX XX'XXXXXXXÀ O DA XX FUNZIONARIO APPARTENENTE XX UNA XXXXX XXXXXXXXXXXXX DI XXX XXXXX XXXXXX/ (LV) XXXXXXXXX, KURU XXXXXXXXXX XX DALĪBVALSTS XXXXĀX XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX VALDŽIOS INSTITUCIJOS XX XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX XXXX XXXXXXX XXXX XXXXXXXXXXŐ ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ MINN XXXXXXXÀ JEW XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX XXX IT-TRIBUNALI XX' XXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX AUTORITEIT XX AMBTENAAR BEHORENDE XXX XXX XXXXXXXXXXXX XXXXXXXXX VAN XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXX XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX PROVENIENTE XX XXX XXXXXXXXXX XX XX UM XXXXXXXXXXX XXXXXXXXXX DE XXXXXXXX XXXXXXXÇÃX DE XX XXXXXX-XXXXXX/ (XX) XXXXXXXX XXXX XX X XXXXXXXXXX XXX XX XX XXXXȚXXXXX XX PE LÂNGĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (SK) XXXXXXX XXXXXX ORGÁNOM XXXXX XXXXXXXXX S XÄXXXX XX XXXX XXXXXXXXX XXXXX/ (SL) LISTINA, XXXXXX X XXXXXX XXXXXX XXX XXXXXXXX XXXXX OBLASTI XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX XX ANTANUT XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX TAI XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN EN XXXXXXXXX XXXXX XX XXÄXXXXXXX TILLHÖRANDE XXXXXXXXXÄXXXXXX X XX MEDLEMSSTAT

3.1.1

(BG) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX JUDICIAL/ (CZ) XXXXXXXXXX SOUDU/ (XX) XXXXXXXXXXXØXXXXX/ (XX) GERICHTSENTSCHEIDUNG/ (XX) KOHTUOTSUS/ (EL) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (EN) XXXXX XXXXXXXX/ (XX) XXXXXXXX DE XXXXXXX/ (XX) XXXXXXXX ÓN xXXXXX/ (HR) XXXXXX XXXXXX/ (IT) DECISIONE XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (XX) XXXXXX XXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (NL) RECHTERLIJKE XXXXXXXXXX/ (PL) XXXXXXXXXX XĄXXXX/ (XX) DECISÃO XXXXXXXX/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (SL) SODNA XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (SV) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (ES) XXXXXXXXX XXXXXXXX POR XX XXXXXXXXXX XXXXXX/ (CZ) XXXXXXX VYDANÁ XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX AF EN XXXXXXXXXXXXXXXX/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, MILLE XX XÄXXX XXXXXX XXXXXXX XÜÜXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXX XXXXXXXXXX/ (FR) XXXXXXXX XXXXXXX DU XXXXXXÈXX XXXXXX/ (GA) DOICIMÉAD X THAGANN Ó XXXXXXXXXXXXXXX POIBLÍ/ (HR) XXXXXXX KOJU XX XXXXXX DRŽAVNO ODVJETNIŠTVO/ (XX) XXXXXXXXX XXXXXXX XXX PUBBLICO MINISTERO/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (XX) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXĠ XXXX XXXXXXXXXX PUBBLIKU/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX MINISTERIE/ (XX) DOKUMENT XXXXXXXĄXX XX PROKURATORA/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (RO) XXXXXXXX EMIS XX XX XXXXXXXX/ (XX) XXXXXXX XXXXXX PROKURÁTOROM/ (XX) LISTINA, KI XX XXXX DRŽAVNO XXXXXXXXX/ (FI) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX ÅKLAGARVÄSENDET

3.1.3

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXXXX/ (XX) LISTINA VYDANÁ XXXXXX XXXXXXX XXXXXXXXX/ (XX) DOKUMENT UDSTEDT XX EN XXXXXXXXXXXXXÆX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXX DER XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX, XXXXX ON XÄXXX ANDNUD XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXX XX X XXXXX/ (XX) DOCUMENT XXXXXXX X'XX XXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXX XX XXXXX CÚIRTE/ (HR) XXXXXXX XXXX XX XXXXX XXXXXXXXXX SUDSKE XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (XX) TEISMO XXXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXĠXXXXXXXX XX' XXXXX/ (NL) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX XX XX XXXXXXX XX XXXXXÇX/ (XX) DOCUMENT EMIS XX XX XXXXXXX XX INSTANȚEI/ (SK) XXXXXXX XXXXXX XXXXXX XXXXXXXXX/ (SL) XXXXXXX, XX JO XXXX XXXXX USLUŽBENEC/ (XX) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXX/ (XX) HANDLING XXX HÄRRÖR XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (ES) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXX («HUISSIER XX JUSTICE»)/ (CZ) XXXXXXX VYDANÁ SOUDNÍM XXXXXXXXXXXXX („HUISSIER XX XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX AF XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (XX) URKUNDE XXXXX GERICHTSVOLLZIEHERS/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX KOHTUTÄITUR/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (XX) DOCUMENT XXXXXXXXX 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 KOJU XX XXXXX XXXXXX XXXXXXXXX (HUISSIER XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXX XX UN XXXXXXXXX GIUDIZIARIO ("XXXXXXXX XX XXXXXXX")/ (LV) XXXXXXXXX, KURU IZSNIEDZIS XXXXXX IZPILDĪTĀJS (XXXXXXXX XX JUSTICE)/ (XX) XXXXXXXXX (XXXXXXXX XX XXXXXXX) XXXXXXXX DOKUMENTAS/ (XX) BÍRÓSÁGI VÉGREHAJTÓ („XXXXXXXX DE JUSTICE”) XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX UFFIĊJAL ĠXXXXXXXXXX ('XXXXXXXX DE XXXXXXX')/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX URZĘDNIKA XĄXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX XX UM ESCRIVÃO XX DIREITO («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXX DE XX EXECUTOR JUDECĂTORESC („XXXXXXXX DE XXXXXXX”)/ (XX) LISTINA XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXX, KI XX XXXX XXXXX IZVRŠITELJ („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX XX XXXXXXX”) XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXÄXXXXXXXXX (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) OTRO (ESPECIFÍQUESE)/ (XX) XXXX (XXXXXXXXX)/ (XX) ANDRE (XXXXXXX)/ (XX) XXXXXXXXX (BITTE XXXXXXX)/ (XX) XXX (XÄXXXXXXXX)/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX XX XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (XX) XXXX (XX XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (XX) XXXXX (XXXXXXXXX)/ (XX) XXXX (PRECIZĒT)/ (XX) XXXX (XXXXXXXX)/ (XX) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) XĦXXXX (IPPREĊIŻA)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) INNY (XXXXXĘ XXXXŚXXĆ)/ (XX) XXXXXX (X XXXXXXXXXXX)/ (RO) XXXXX (X XX XXXXXXX)/ (SK) INÉ (XXXXXXXX)/ (SL) XXXXX (XXXXXXX)/ (XX) MUU XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (SV) XXXXX XXXXXXXX (SPECIFICERAS)

3.2

(BG) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (CZ) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (XX) ADMINISTRATIVT XXXXXXXX/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (ET) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (GA) XXXXXXXXX XXXXXXXXXX/ (XX) UPRAVNA XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (LT) ADMINISTRACINIS XXXXXXXXXX/ (XX) KÖZIGAZGATÁSI XXXXXX/ (XX) DOKUMENT XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) DOKUMENT XXXXXXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) DOCUMENT XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (SL) XXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX/ (XX) OSVĚDČENÍ/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (ET) TÕEND/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (EN) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (IT) XXXXXXXXXXX/ (XX) APLIECINĀJUMS/ (XX) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) POTRDILO/ (XX) XXXXXXXX/ (SV) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX DEL XXXXXXXX XXXXX/ (XX) XXXXX X XXXXXXX/ (XX) UDDRAG FRA XXXXXXXXXXXXXXXXXXXX/ (XX) AUSZUG XXX XXX XXXXXXXXXXXXXXXXXXXXXX/ (XX) PEREKONNASEISUREGISTRI VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX THE XXXXX XXXXXX REGISTER/ (XX) XXXXXXX XX REGISTRE XX L'ÉTAT CIVIL/ (XX) XXXXXXX AS XX xXXXX STÁDAIS XXXXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXX XXXXXX/ (IT) ESTRATTO XX ATTO XX XXXXX XXXXXX/ (LV) XXXXXXXX XX XXXXXXXĀXXXĻX XXXX XXĢXXXXX/ (LT) XXXXXXX XX CIVILINĖS XŪXXĖX AKTŲ XXXXXXXX/ (XX) ANYAKÖNYVI XXXXXXX/ (XX) XXXXXXX MIR-REĠISTRU XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXX XXX HET XXXXXXXX XXX DE XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXX XX XXXX XX XXXXXXX XXXXX/ (XX) XXXXXX DIN XXXXXXXXX XX XXXXX XXXXXĂ/ (SK) XXXXX X XXXXXXXX OSOBNÉHO XXXXX/ (XX) IZPISEK XX REGISTRA X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (SV) XXXXXX XX FOLKBOKFÖRINGEN

3.2.3

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX XXX CENSO/ (XX) VÝPIS Z XXXXXXXX OBYVATEL/ (DA) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX XXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XX XX XXXXXXXXXX/ (XX) XXXXXXX XX XX xXXXX XXXXXX/ (XX) XXXXXXX IZ XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX/ (LV) XXXXXXXX NO XXXXĪXXXĀXX XXĢXXXXX/ (LT) XXXXXXX XX XXXXXXXXŲ REGISTRO/ (XX) KIVONAT X XXXXXXXXXXXX- ÉS LAKCÍMNYILVÁNTARTÁSBÓL/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) WYCIĄG X XXXXXXXX XXXXXŚXX/ (PT) XXXXXXX DO XXXXXXX XX XXXXXXÇÃX/ (XX) XXXXXX XXX REGISTRUL XX EVIDENȚĂ A XXXXXXȚXXX/ (XX) XXXXX X REGISTRA XXXXXXXĽXX/ (XX) XXXXXXX IZ XXXXXXXX PREBIVALSTVA/ (XX) XÄXXXÖXXXXXXXXXXXX/ (SV) UTDRAG XX BEFOLKNINGSREGISTER

3.2.4

(BG) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX XX XXXXX XXX XXXXXXXX XXXXX/ (CZ) XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXX XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (ET) PEREKONNASEISUAKTI XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX OF CIVIL XXXXXX RECORDS/ (XX) XXXXX INTÉGRALE D'ACTES XX L'ÉTAT CIVIL/ (XX) CÓIP XXXXX XX FHOCAL XX XXXXXXX AR XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XX XXXXXXXXXX X XXXXXXX XXXXXX/ (XX) XXXXX XXXXXXXXX XX XXXX XX XXXXX XXXXXX/ (LV) XXXXXXXĀXXXĻX AKTU REĢISTRA XXXXXXXX AUTENTISKA XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (HU) XXXXXÖXXXX XXXXXXXXX XXX SZERINTI XXXXXXXX/ (XX) XXXXX XXXXXXXX TAL-ATTI TAL-ISTAT ĊXXXXX/ (NL) XXXXXXXXXXX XXXXXXXXX VAN XXXXX XXX DE XXXXXXXXXXX XXXXX/ (XX) ODPIS XXXXŁXX XXXX XXXXX XXXXXXXXX/ (PT) XXXXXXÃX XX XXXXX XXXXXXXX XX XX XXXXXXXXX XX XXXX XX XXXXXXX XXXXX/ (RO) XXXXX EXACTĂ A XXXX XXX DE XXXXX XXXXXĂ/ (XX) XXXXXXXX XXXXX XX XXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXX XXXXXX XXXXXX X XXXXXXX STANJU/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX AVSKRIFT XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (ES) XXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (DA) NOTARBEKRÆFTET XXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX/ (XX) NOTARIAALDOKUMENT/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) NOTARIAL ACT/ (XX) XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) JAVNOBILJEŽNIČKA ISPRAVA/ (XX) ATTO NOTARILE/ (XX) XXXXXXĀXX AKTS/ (XX) NOTARINIS XXXXX/ (XX) XÖXXXXXXŐX OKIRAT/ (XX) XXX NOTARILI/ (XX) NOTARIËLE XXXX/ (XX) AKT XXXXXXXXXX/ (XX) ATO XXXXXXXX/ (XX) XXX NOTARIAL/ (XX) NOTÁRSKA XXXXXXX/ (XX) NOTARSKA XXXXXXX/ (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 XX XXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXX, XXXXXX XXXX OPATŘENA XXXXXXX XXXXXXXXX SOUKROMOU XXXXXX/ (XX) OFFICIEL XÅXXXXXXX XÅ XX DOKUMENT XXXXXXXXXXX AF XX XXXXXX I XXXXXX XXXXXXXX AF XXXXXXXXXXXX/ (XX) AMTLICHE XXXXXXXXXXXXX XXX XXXXX PRIVATURKUNDE/ (XX) XXXXX XXXXX XXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX AMETLIK XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) OFFICIAL XXXXXXXXXXX XXXXXX ON X XXXXXXXX SIGNED XX A XXXXXX XX XXX OR XXX XXXXXXX CAPACITY/ (XX) DÉCLARATION XXXXXXXXXX XXXXXXX XXX XX XXXX XXXX SEING XXXXX/ (GA) DEIMHNIÚ XXXXXXXXX X XXXXXXXXX XX XXXXXXXXXX XXXX XXXXXX AG DUINE XXX XXXXX NÓ XXX XXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX XX XXXXXXX XXXX XX XXXXX XXXXXXXXX U PRIVATNOM XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX SU XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXĀXX APLIECINĀJUMS XX XXXXXXXXX, XX XXXĀ VĀRDĀ PARAKSTĪJUSI XĀXX PERSONA/ (XX) XXXXXXXŲ ASMENŲ XXXXXXXXXŲ XXXXXXXXŲ OFICIALŪS XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX ELHELYEZETT XXXXXXXXX XXXXXXXXXXX/ (XX) ĊXXXXXXXXX XXXXĊXXXX LI XXXXXXXĦXX F'DOKUMENT XXXXXXXX XXXX PERSUNA XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX OP XXX DOCUMENT XXXXXXXXXXX XXXX EEN XXXXXXX XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX UMIESZCZONE XX XXXXXXXXXX PODPISANYM PRZEZ XXXXĘ DZIAŁAJĄCĄ W XXXXXXXXXXX PRYWATNYM/ (XX) XXXXXXXÇÃX OFICIAL XXXXXXX XXX XXX XX XXXXXXXX PRIVADA/ (XX) XXXXXXXXXX OFICIAL XXXXXXX XX XX XXXXXXXX XXX SEMNĂTURĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX NA XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXXX IZJAVA XX XXXXXXX XXXXXXX/ (XX) VIRALLINEN TODISTUS XXXXXXXXXXXX, JONKA XXXXXXÖ XX XXXXXXXXXXXXXXXX YKSITYISHENKILÖNÄ/ (XX) XXXXXXXXXX XXXXX XXXXXXXXX PÅ XX XXXXXXXX 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 XXXXXX XXXXXXXXXXX O XXXXXXXX XX XX XXXXXX MIEMBRO XXX XXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX ČLENSKÉHO XXXXX X XXXXX XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX XX XX XXXXXXXXXXXX DIPLOMATISKE ELLER XXXXXXÆXX XXXXÆXXXXXXX/ (DE) XXX XXXXX XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXXX IN XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX DIPLOMAATILISE 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) DOCUMENT DRAWN XX BY X XXXXXXXXXX XX XXXXXXXX XXXXX XX A XXXXXX STATE XX XXX XX HER XXXXXXXX CAPACITY/ (XX) XXXXXXXX ÉTABLI XX XX XXXXXXX OFFICIELLE XXX XX AGENT XXXXXXXXXXXX OU CONSULAIRE X'XX XXXX MEMBRE/ (XX) XXXXXXXXX XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX XX CHUID XXXXXXXXX XXX CHÁIL XX XXX CÁIL XXXXXXXXX/ (XX) ISPRAVA XXXX XX X XXXXXXXXX XXXXXXXX SASTAVIO XXXXXXXXXXX XXX KONZULARNI XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX REDATTO XX AGENTI XXXXXXXXXXX X CONSOLARI DI XXX XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX AMATA XXXXĀXXXXX, SAGATAVOJIS XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (LT) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX XX XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX DIPLOMÁCIAI XXXX KONZULI XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXXX XXXX XĠXXX DIPLOMATIKU XXX XXXXXXXXX TA' XXXX XXXXXX FIL-KAPAĊITÀ XXXXĊXXXX XXXXĦX/ (XX) DOCUMENT XXXXXXXXX DOOR XX XXXXXXXXXXXX OF XXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX XX XXXX XXXXXXËXX HOEDANIGHEID/ (PL) XXXXXXXX SPORZĄDZONY XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX KONSULARNEGO PAŃSTWA XXŁXXXXXXXXXXX DZIAŁAJĄCYCH W XXXXXXXXXXX XXXĘXXXXX/ (PT) XXXXXXXXX XXXXXXX POR XX XXXXXX DIPLOMÁTICO XX XXXXXXXX XX XX ESTADO-MEMBRO NO XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎNTOCMIT XX XĂXXX UN XXXXX XXXXXXXXXX XXX XXXXXXXX XX UNUI XXXX XXXXXX, ÎX CALITATE XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX JEHO XXXXXXX/ (XX) XXXXXXX, XX XX XXX XXXXXX OSEBA XXXX XXXXXXXXXXX ALI XXXXXXXXXX XXXXXXXXXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX, JONKA XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXÄXXXX X XXÄXXXXX XX EN XXXXXXXXXXX XXXXX XXXXXXÄX XXÄXXXXXXX X EN XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (DA) XXXXXXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX KUUPÄEV (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) DATE (XX/XX/XXXX) OF ISSUE/ (XX) DATE (JJ/MM/AAAA) XX DÉLIVRANCE/ (XX) XXXX (LL/MM/BBBB) EISIÚNA/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (IT) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (DD/MM/MMMM)/ (XX) X XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) EMITERII/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (XX) DATUM (XX/XX/ÅÅÅÅ) FÖR XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (ES) XXXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (DA) XXX OFFENTLIGE DOKUMENTS XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX/ (XX) AVALIKU DOKUMENDI XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (EN) XXXXXXXXX XXXXXX XX XXX XXXXXX XXXXXXXX/ (XX) XXXXXX XX XXXXXXXXX XX DOCUMENT XXXXXX/ (XX) UIMHIR XXXXXXXXX XX XXXXXXXXX PHOIBLÍ/ (XX) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (IT) XXXXXX XX RIFERIMENTO XXX DOCUMENTO XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXXXXX NUMERIS/ (XX) A KÖZOKIRAT XXXXXXXXXXX XXXXX/ (XX) XXXXX TA' REFERENZA XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX DOCUMENT/ (PL) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (PT) NÚMERO XX XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX XX XXXXXXXȚĂ XX DOCUMENTULUI XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (SL) XXXXXXXXXX ŠTEVILKA XXXXX XXXXXXX/ (FI) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (SV) XXX OFFICIELLA XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX SOBRE EL XXXXXXXXXX/ (XX) INFORMACE X DOTYČNÉ XXXXX/ (XX) XXXXXXXXXXX XX XXX XÅXÆXXXXXX XXXXXX/ (XX) XXXXXXX XXX XXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXXX ISIKUT XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) INFORMATION XX THE PERSON XXXXXXXXX/ (XX) XXXXXXXXXXXX XXX XX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXX XXXX AN XXXXX LENA mBAINEANN/ (XX) INFORMACIJE X XXXXXXXX XXXXX/ (IT) XXXXXXXXXXXX SULLA XXXXXXX XXXXXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXĪXX XXXXXXX/ (XX) XXXXXXXXXXX XXXX XXXXXXXXXĄ XXXXXĮ/ (XX) XX XXXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX DWAR IL-PERSUNA XXXXĊXXXXXX/ (NL) XXXXXXXXXX XXXX XX XXXXXXXXXX/ (XX) DANE XXXXX, XXXXXX DOTYCZY XXXXXXXX/ (XX) INFORMAÇÕES XXXXX X XXXXXX XX XXXXX/ (RO) XXXXXXXȚXX XXXXXXX PERSOANA VIZATĂ/ (XX) XXXXXXXXXX O XXXXXXXXX XXXXX/ (XX) XXXXXXXXXXX X XXXXXXX XXXXX/ (XX) ASIANOMAISEN XXXXXXÖX XXXXXX/ (XX) XXXXXXXXX XX XXX XXXÖXXX XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (XX) APELLIDO(S) XX XXXXXXXXXX/ (XX) XXXXX/X XXXXXXXX/ (XX) XXXXXXXXX(X) XXX FØDSLEN/ (DE) XXXXXXXXXXXX(X) BEI DER XXXXXX/ (XX) XÜXXXXÄXXXX XXXXXXXXXXXXX (XÜXXXXÄXXXXX PEREKONNANIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (EN) XXXXXXX(X) XX XXXXX/ (XX) XXX(X) À XX XXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXXXXXX/ (XX) PREZIME(NA) XXX XXĐXXXX/ (IT) COGNOME/I XXXX XXXXXXX/ (XX) XXXĀXXX(-X) XXXXXXXXX XXĪXĪ/ (XX) XXXXXXĖ (-ĖS), XXXXXXXX (-XX) XXXXX/ (XX) SZÜLETÉSI CSALÁDI XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) XXX-XXXXXX/ (XX) XXXXXXXX(X)X(XX) XXX XX XXXXXXXX/ (XX) NAZWISKO(-A) RODOWE/ (XX) XXXXXXX(X) À XXXX XX XXXXXXXXXX/ (XX) XXXXXX XX XXȘXXXX/ (XX) RODNÉ XXXXXXXXXX(-X)/ (SL) XXXXXXX/XXXXXXX XX XXXXXXX/ (FI) XXXXXXXX (-XXXXX) SYNTYMÄHETKELLÄ/ (XX) EFTERNAMN XXX XÖXXXXX

4.2

(XX) НАСТОЯЩО(И) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X) XXXXXX(XX)/ (XX) XXXXXXXX/X XXXXXXXX/ (DA) XXXÆXXXXX XXXXXXXXX(X)/ (DE) XXXXXXXXXX(X) XXXXXXXXXXXX(X)/ (XX) XXXXXXXX XXXXXXXXXXXXX (XXXXXXXXX PEREKONNANIMED)/ (XX) ΤΡΕΧΟΝ(-ΤΑ) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX XXXXXXX(X)/ (XX) XXX(X) XXXXXX(X)/ (XX) XXXXXXX (XXXXXXXX) XXXXXX/ (HR) SADAŠNJE(-A) XXXXXXX(XX)/ (IT) XXXXXXX/X XXXXXXX/X/ (XX) ESOŠAIS(-IE) XXXĀXXX(-X)/ (XX) DABARTINĖ (-ĖX) PAVARDĖ (-ĖS)/ (XX) XXXXXXXXX XXXXXXX XXXX(X)/ (XX) KUNJOM(/KUNJOMIJIET) XXXXXXX/ (XX) XXXXXXX XXXXXXXX(X)X(XX)/ (XX) XXXXXX XXXXXXXX(-X)/ (XX) XXXXXXX XX APELIDOS XXXXXX/ (XX) NUMELE XXXXXX(X)/ (XX) SÚČASNÉ XXXXXXXXXX(-X)/ (XX) XXXXXXX XXXXXXX/XXXXXXX/ (XX) XXXXXXXX SUKUNIMI (XXXXXXXX XXXXXXXXX)/ (XX) XXXXXXXXX EFTERNAMN

4.3

(BG) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ АКТА/ (XX) XXXXXXXX(X) XXXXX XX XX INSCRIPCIÓN/ (XX) PŘÍJMENÍ PŘED XXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXX(X) XØX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX DER EINTRAGUNG XXX PARTNERSCHAFT/ (ET) XXXXXXXXXXXXX (-XXXXX) XXXX XXXXXXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΑΠΟ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (XX) XXXXXXX(X) XXXXXX XXX XXX/ (XX) XXX(X) XXXXX X'XXXX/ (XX) XXXXXXX (XXXXXXXX) XXXXX XX nGNÍOMH/ (XX) XXXXXXX(XX) XXXXX XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) COGNOME/I XXXXX DELL'ATTO/ (XX) XXXĀXXX(-X) PIRMS AKTA/ (XX) XXXXXXĖ (-ĖS) XXXXX XXXXXXXX XXXĄ/ (XX) CSALÁDI XXXX(X) XX XXXXXXXXX KAPCSOLAT XXXXXXXXXX XXŐXX/ (XX) XXXXXX(/XXXXXXXXXXX) QABEL X-XXX/ (XX) XXXXXXXX(X)X(XX) XXXX XX XXXX/ (XX) XXXXXXXX(-X) XXXXX XXXXXXXXXXĄ XXXĄXXX/ (XX) XXXXXXX(X) XXXXX DO XXX/ (XX) XXXXXX ÎXXXXXX XX ÎXXXXXXXXXXXX XXXXXXXXXXXXXXX/ (XX) PRIEZVISKO(-Á) XXXX XXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) PRIIMEK/PRIIMKI XXXX XXXXXXXXXXXX XXXXXXXXXX SKUPNOSTI/ (XX) XXXXXXXX (-XXXXX) XXXXX REKISTERÖINTIÄ/ (XX) XXXXXXXXX XÖXX XXXÅXXXXX

4.4

(XX) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА РЕГИСТРИРАНЕТО НА АКТА/ (XX) APELLIDO(S) XXXXXXX XX LA XXXXXXXXXXX/ (CZ) PŘÍJMENÍ XX XXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXX(X) XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXXX DER XXXXXXXXXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX (-NIMED) XÄXXXX REGISTREERIMIST/ (XX) ΕΠΩΝΥΜΟ(-Α) ΜΕΤΑ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (XX) XXXXXXX(X) XXXXXXXXX THE XXX/ (FR) XXX(X) À LA XXXXX XX X'XXXX/ (XX) XXXXXXX (XXXXXXXX) XXX XXX XX GHNÍMH/ (XX) XXXXXXX(XX) XXXXX XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXX/X XXXX X'XXXX/ (XX) UZVĀRDS(-I) XĒX XXXX/ (XX) PAVARDĖ (-ĖX) PO XXXX XXXXXXXX/ (HU) XXXXXXX XXXX(X) XX ÉLETTÁRSI XXXXXXXXX XXXXXXXXXX XXXX/ (XX) XXXXXX(/XXXXXXXXXXX) XXXX X-XXX/ (XX) XXXXXXXX(X)X(XX) XX DE XXXX/ (XX) NAZWISKO(-A) XX XXXXXXXXXXX ZWIĄZKU/ (XX) XXXXXXX(X) XXXX O XXX/ (XX) NUMELE XXXĂ ÎXXXXXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX(-X) XX XXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX XXXXXXXXXXXX PARTNERSKE XXXXXXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXXXXXÖXXXXX JÄLKEEN/ (XX) XXXXXXXXX EFTER XXXÅXXXXX

4.5

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) JMÉNO (XXXXX)/ (DA) XXXXXXX(X)/ (XX) VORNAME(N)/ (XX) XXXXXXX (-XXXXX)/ (EL) ΟΝΟΜΑ(-ΤΑ)/ (EN) XXXXXXXX(X)/ (XX) PRÉNOM(S)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (IT) XXXX(X)/ (XX) XĀXXX(-X)/ (XX) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (XX) ISEM(/ISMIJIET)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (XXXXXX)/ (XX) XXXX(X) XXXXXXX(X)/ (RO) XXXXXXX/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (SV) XÖXXXXX

4.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) NAROZENÍ/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (DD/MM/YYYY) XX BIRTH/ (FR) XXXX (XX/XX/XXXX) XX XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) BREITHE/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (XX) DATA XX XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (MT) XXXX (JJ/XX/SSSS) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (DD/MM/JJJJ)/ (XX) DATA (XX/XX/XXXX) XXXXXXXXX/ (PT) DATA XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (ZZ/LL/AAAA) XXȘXXXXX/ (XX) XXXXX (XX/XX/XXXX) NARODENIA/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) SYNTYMÄAIKA (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.7

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX X XXXX XX NACIMIENTO/ (CZ) XXXXX X XXXX XXXXXXXX/ (XX) XØXXXXXX XX -XXXX/ (XX) XXX XXX LAND XXX XXXXXX/ (XX) XÜXXXXXXX XX -RIIK/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (EN) XXXXX XXX COUNTRY XX XXXXX/ (XX) XXXX XX XXXX XX XXXXXXXXX/ (XX) XXX AGUS TÍR XXXXXXXX/ (XX) XXXXXX X ZEMLJA XXĐXXXX/ (XX) XXXXX E XXXXX XX XXXXXXX/ (XX) XXXXXXXXX XXXXX XX XXXXXX/ (XX) XXXXXX XXXXX IR XXXXX/ (XX) XXÜXXXXXX XXXXX XX XXXXXXX/ (XX) XXXX X XXXXXŻ TAT-TWELID/ (XX) XXXXXXXXXXXXXX XX -XXXX/ (XX) MIEJSCE I XXŃXXXX XXXXXXXXX/ (XX) XXXXX X XXXX XX XXXXXXXXXX/ (XX) XXXXX ȘI ȚXXX XXȘXXXXX/ (XX) XXXXXX X XXXX NARODENIA/ (XX) XXXX IN XXXXXX XXXXXXX/ (FI) XXXXXXÄXXXXXX JA -XXX/ (XX) XÖXXXXXXXX XXX -XXXX

4.8

(XX) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (XX) KØN/ (DE) XXXXXXXXXX/ (XX) XXXX/ (XX) ΦΥΛΟ/ (EN) XXX/ (XX) XXXX/ (XX) INSCNE/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) SESS/ (XX) XXXXXXXX/ (XX) PŁEĆ/ (XX) XXXX/ (RO) XXXXX/ (XX) POHLAVIE/ (XX) XXXX/ (FI) XXXXXXXXX/ (SV) XÖX

4.8.1

(XX) ЖЕНСКИ/ (XX) MUJER/ (XX) XXXX/ (XX) XXXXXX/ (XX) WEIBLICH/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (EN) FEMALE/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) ŽENSKI/ (XX) FEMMINILE/ (LV) XXXXXXXX/ (LT) XXXXXXX/ (XX) XŐ/ (XX) XXXX/ (NL) XXXXX/ (XX) KOBIETA/ (PT) XXXXXXXX/ (RO) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX

4.8.2

(XX) МЪЖКИ/ (XX) VARÓN/ (CZ) XXX/ (XX) MAND/ (XX) XÄXXXXXX/ (ET) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) MUŠKI/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) XXXXX/ (HU) XXXXX/ (MT) XXĠXX/ (XX) MAN/ (PL) XĘŻXXXXXX/ (PT) XXXXXXXXX/ (XX) BĂRBĂTESC/ (XX) XXXXXX/ (SL) XXXXX/ (XX) XXXX/ (SV) XXX

4.8.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (CZ) XXXXXXXX/ (XX) XXXXXXXX/ (DE) XXXXXXXXXX/ (ET) MÄÄRAMATA/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (GA) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (LV) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XŁXĆ NIEOKREŚLONA/ (XX) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (SV) XX FASTSTÄLLT

4.9

(BG) ГРАЖДАНСТВО/ (XX) XXXXXXXXXXXX/ (CZ) XXXXXX PŘÍSLUŠNOST/ (DA) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXÖXXXXXXX/ (XX) KODAKONDSUS/ (XX) ΙΘΑΓΕΝΕΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (GA) XXXXXXXXXXXX/ (HR) DRŽAVLJANSTVO/ (XX) CITTADINANZA/ (XX) XXXXXXXXXXXXĪXX/ (XX) XXXXXXXXĖ/ (XX) ÁLLAMPOLGÁRSÁGA/ (XX) ĊXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXĂȚXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (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 DOCUMENTO XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX, XX XXXXXX DEL XXXXXXXXXX EN XX XXX RESPECTA X XX XXXXXXX DE XXXXXXX XX XXX XXXXX DE HECHO XXXXXXXXXX XX EL XXXXXXXXX/ (XX) XX XXXXXXX XXXXXXX LISTINY, X XXX JE XXXXXXXX XXXXX FORMULÁŘ, XX DOTYČNÁ OSOBA XXXXX XXXXXX REGISTROVANÉHO XXXXXXXXXXX/ (XX) I XXXXXXX XXX XXX XXXXXXXXXX XXXXXXXX, SOM XXXXX FORMULAR XX XXXXÆXXXX, XXX XXX XÅXÆXXXXXX PERSON XØXXXXXX XXXXXXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXX XXXXXXXXXXXXX XXX XXXXXXXXXXXX XXXXXX GEMÄSS XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX BEIGEFÜGT XXX/ (XX) XXXXXXXXX XXXXXXXXX XXXXXXXXXXX, MILLELE XXX XXXX XX XXXXXXX, ON ASJAOMASEL XXXXXX XÄXXXXXX XXXXXXXXXXXXXX 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/ (XX) XXXXXXXXX XX XXX XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX, XXX XXXXXX XXXXXXXXX XXX XXX XXXXXXXXX XXXXXXXXXX XXXXXXXXXXX XXXXXX/ (FR) X'XXXÈX XX XXXXXXXX XXXXXX AUQUEL XX XXXXXXX XXXXXXXXXX XXX XXXXX, LE XXXXXX XX PARTENARIAT ENREGISTRÉ XX LA XXXXXXXX XXXXXXXXX XXX XX XXXXXXX/ (XX) XX XXXX AN DOICIMÉID XXXXXXX XXXX XXXXXX XX XXXXXX SEO XXXXXXXXXX, XX XX XXXXXX XXXXXXXXXXXXXXX XXXXXXXXX X LEANAS XX XX DUINE XXXX xXXXXXXXX/ (XX) XXXXX XXXXXX XXXXXXX KOJOJ XX XXXX XXXXXXX XXXXXXXX XXXXXX XXXXXXXXXXXXX XXXXXXXXXXX DOTIČNE XXXXX XX SLJEDEĆI/ (IT) XXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX, LO XXXXX XX XXXXXX XXXXXXXXXX XXXXX PERSONA XXXXXXXXXXX È IL SEGUENTE/ (XX) XXXXXŅĀ XX XXXXXXXX DOKUMENTU, KURAM XĪ XXXXXXXX IR XXXXXXXXXX, ATTIECĪGAJAI XXXXXXXX XX XĀXX XXĢXXXXĒXX XXXXXXXXXXXXXĪXX STATUSS/ (LT) XXXXX VIEŠĄJĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, ATITINKAMO XXXXXX REGISTRUOTOS PARTNERYSTĖS XXXĖXXX XXX XXXXX/ (XX) XX XXXXXXXX XXXXXXX XXXXXXXXXX ÉLETTÁRSI XXXXXXXXXXXX ÖXXXXXÜXXŐ XXXXXXXXX X XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXX XXXXXXX/ (MT) XXXXX ID-DOKUMENT XXXXXXXX XX MIEGĦU HIJA XXXXXŻX XXX IL-FORMOLA, XX-XXXXXXX XXXXĊXXXXXX XĦXXXXX X-XXXXXXX TA' XĦXXXXX XXĠXXXXXXX XXX ĠEJ/ (XX) XXXXXXX HET XXXXXXXX XXXXXXXX XXXXXXX XXX FORMULIER XX XXXXXXX, XX DE XXXXXX XXX HET XXXXXXXXXXXXX PARTNERSCHAP XXX XX XXXXXXXXXX DE XXXXXXXX/ (XX) Z XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXŁĄXXXXX JEST XXXXXXXXX XXXXXXXXX, XXXXXX, ŻX XXXXX, XXXXXX XXXXXXX XXXXXXXX, XXXXXXX XXXXĘXXXĄXX XXXXXX XXXĄXXXX X XXXXXXXXXXXXXXX XXXĄXXXXX XXXXXXXXXXX/ (PT) SEGUNDO X XXXXXXXXX XXXXXXX X QUE X XXXXXXXX FORMULÁRIO XXXX XXXXXX, À DATA XX XXX EMISSÃO, X XXXXXXXX DE XXXXXXXX XXXXXXXXX XX XXXXXX XX XXXXX X/ (XX) ÎN XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXX LA CARE XXXX ANEXAT PREZENTUL XXXXXXXX, XXXXXXXX XXXXXĂ XXX XXXĂXXXXX STATUT XXXXXXX PARTENERIATUL ÎNREGISTRAT/ (XX) PODĽA XXXXXXXX XXXXXXX, KU XXXXXX XX XXXXX FORMULÁR XXXXXXXXX, MÁ DOTKNUTÁ XXXXX TENTO ŠTATÚT XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) X SKLADU X XXXXX XXXXXXX, XX XX JE XXXXXXXX XX XXXXXXX, XX XXXXXX XXXXXXXXXXXX PARTNERSKE XXXXXXXXX XXXXXXX OSEBE XXXXXXXXX/ (XX) XXX XXXXXXX XXXXXXXXXX XXXXXX, XXXXX TÄMÄ LOMAKE XXXXXXÄÄX, ASIANOMAISEN XXXXXXÖX XXXXXXXXÖXXXXX PARISUHTEESEEN XXXXXXXÄ XXXXXXXXÄÄXX ON XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXX XXXXXXXX TILL XXXXXX XXXXX FORMULÄR ÄX XXXXXXX ÄX XXX XXXÖXXX XXXXXXXXX XXXXXX AVSEENDE XXXXXXXXXXX XXXXXXXXXXX XÖXXXXXX

5.1

(XX) С РЕГИСТРИРАНО ПАРТНЬОРСТВО/ДАТА (ДД/ММ/ГГГГ) НА РЕГИСТРИРАНЕ НА ПАРТНЬОРСТВОТО/ (ES) TIENE XXXXXX XX HECHO XXXXXXXXXX / XXXXX (XX/XX/XXXX) XX XXXXXXXX XX LA XXXXX XX HECHO/ (XX) XX X XXXXXXXXXXXXX XXXXXXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXXXX XXXXXXXXXXX/ (XX) REGISTRERET XXXXXXX/XXXX (XX/XX/ÅÅÅÅ) XXX XXXXXXXXXXXXXX AF XXXXXXXXXXXXX/ (XX) EINGETRAGENER XXXXXXX/XXXXX (XX/XX/XXXX) XXX XXXXXXXXXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX ELUKAASLANE / XXXXXXX XXXXXXXXXXXXXXX KUUPÄEV (XX/XX/XXXX)/ (EL) ΚΑΤΑΧΩΡΙΣΜΈΝΟΣ(-Η) ΣΥΝΤΡΟΦΟΣ / ΗΜΕΡΟΜΗΝΊΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΚΑΤΑΧΩΡΙΣΗΣ ΤΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ/ (XX) XXXXXXXXXX PARTNER/DATE (XX/XX/XXXX) XX REGISTRATION OF XXX XXXXXXXXXXX/ (XX) XXXXX XXXXXX UN XXXXXXXXXXX ENREGISTRÉ/DATE (JJ/MM/AAAA) X'XXXXXXXXXXXXXX XX PARTENARIAT/ (XX) PÁIRTNÉIR CLÁRAITHE/DÁTA (XX/XX/XXXX) CHLÁRÚ XX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXX / DATUM (XX/XX/XXXX) REGISTRIRANJA PARTNERSTVA/ (XX) XXXXXXX XXXXXXXXXX/XXXX XX XXXXXXXXXXXXX XXXX'XXXXXX (XX/XX/XXXX)/ (XX) REĢISTRĒTAIS XXXXXXXXX / XXXXXXXXXXXXXĪXX XXĢXXXXĒXXXXX DATUMS (XX/XX/XXXX)/ (XX) REGISTRUOTAS (-X) XXXXXXXXX (-Ė) / XXXXXXXXXXĖX SUDARYMO XXXX (XX/XX/XXXX)/ (HU) XXXXXXXXXX XXXXXXXX/X XXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXXXXXXXXXX XXXXX (XXXX/XX/XX)/ (MT) XXXĦXX(/XXXĦXX) XXĠXXXXXX(X) X XXXX (XX/XX/XXXX) XXX-XXĠXXXXXXXXXXX TAS-SĦUBIJA/ (XX) XXXXXXXXXXXXXX PARTNER/DATUM (XX/XX/XXXX) XXX XXXXXXXXXXX XXX HET XXXXXXXXXXXX/ (XX) POZOSTAJE X XXXXXXXXXXXXXXX XXXĄXXX PARTNERSKIM / XXXX (XX/XX/XXXX) XXXXXXXX XXXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX/ (PT) PARCEIRO(A) XXXXXXXXX(X)/XXXX XX XXXXXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) PARTENER ÎXXXXXXXXXX/XXXX (XX/XX/XXXX) ÎXXXXXXXXĂXXX PARTENERIATULUI/ (XX) REGISTROVANÝ XXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (SL) XXXXXXXXXXX XXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (FI) XXXXXXXXÖXXX XXXXXXXX/XXXXXXXXXXX XXXXXXXXÖXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) XXXXXXXXXXX XXXXXXX/XXXXX (DD/MM/ÅÅÅÅ) XÖX XXXXXXXXXXXX XX XXXXXXXXXXXXX

5.2

(XX) БЕЗ РЕГИСТРИРАНО ПАРТНЬОРСТВО/ (XX) XX XXXXX XXXXXX DE HECHO XXXXXXXXXX/ (XX) XXXX X XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXX I XX XXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXX IN XXXXX XXXXXXXXXXXXX PARTNERSCHAFT/ (XX) XX XXX XXXXXX XXXXXXXXXXXXXX XXXXXXXX/ (XX) ΔΕΝ ΒΡΙΣΚΕΤΑΙ ΣΕ ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΧΕΣΗ ΣΥΜΒΙΩΣΗΣ/ (EN) XXX XX A XXXXXXXXXX XXXXXXXXXXX/ (XX) N'AYANT XXX XXXXXX XX XXXXXXXXXXX XXXXXXXXXX/ (XX) XXX XX DUINE XXXXXXXXX I xXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XXXX X XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXX XX XXXXXX REGISTRATA/ (XX) XXX XXĢXXXXĒXXX XXXXXXXXXXXXXĪXXX/ (XX) XXXXXXXĘX (-XXXX) XXXXXXXXXXXX PARTNERYSTĖS/ (HU) XXXXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXX/ (XX) MHUX XX XĦXXXXX REĠISTRATA/ (XX) XXXX XX XXX GEREGISTREERD XXXXXXXXXXXX/ (XX) XXX XXXXXXXXX X XXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXX/ (PT) XÃX XXX XXX PARCERIA XXXXXXXXX/ (RO) XX XX XXXĂ ÎXXX-XX XXXXXXXXXXX ÎXXXXXXXXXX/ (XX) XXXXXX X XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) NI X REGISTRIRANI PARTNERSKI XXXXXXXXX/ (FI) EI XXXXXXXXÖXXXXXÄ XXXXXXXXXXXXX/ (SV) XX I REGISTRERAT XXXXXXXXXXX

5.2.1

(XX) НИКОГА НЕ Е РЕГИСТРИРАЛО ПАРТНЬОРСТВО/ (XX) XX XX XXXXXX XXXXX XXXXXX XX HECHO XXXXXXXXXX/ (XX) XXXXX XXXXXX X XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXX I XX REGISTRERET PARTNERSKAB/ (XX) XXX IN XXXXX EINGETRAGENEN PARTNERSCHAFT/ (XX) XX XXX XXXXXXXXXXXXXX XXXXXXXX OLNUD/ (XX) ΔΕΝ ΕΧΕΙ ΣΥΝΑΨΕΙ ΠΟΤΕ ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΧΕΣΗ ΣΥΜΒΙΩΣΗΣ/ (EN) XXXXX XX X XXXXXXXXXX XXXXXXXXXXX/ (FR) X'XXXXX XXXXXX XXXXXX XX PARTENARIAT XXXXXXXXXX/ (XX) XX RAIBH XX XXXXX XXXXXXXXX X xXXXXXXXXXXXXXX XXXXXXXXXX XXXXX/ (XX) NIKADA XXXX XXX(-XX) X XXXXXXXXXXXXX PARTNERSTVU/ (IT) XXX XXXXXXXXX UN'UNIONE XXXXXXXXXX/ (XX) XXXXX XXX STĀJIES XXĢXXXXĒXĀX XXXXXXXXXXXXXĪXĀX/ (XX) NIEKADA XXXXXX XXXXXĘX (-XXXX) XXXXXXXXXXXX PARTNERYSTĖS/ (XX) XXXXX XXXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXX/ (XX) XXXX XX XXXX XX XĦXXXXX XXĠXXXXXXX/ (XX) XXXXX IN XXX XXXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXXX NIE XXXXXŁ(-X) XXXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX/ (PT) NUNCA XXXX UMA PARCERIA XXXXXXXXX/ (XX) XX X-X AFLAT XXXXXXXXĂ ÎXXX-XX XXXXXXXXXXX ÎNREGISTRAT/ (XX) XXXXX XXXXXX X XXXXXXXXXXXXX PARTNERSTVE/ (XX) XXXXXX XX XXX V XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (FI) XX XXX XXXXXXX XXXXX REKISTERÖIDYSSÄ XXXXXXXXXXXXX/ (XX) HAR XXXXXX 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 XXX XXXXX XX XXXXX / XXXXX (XX/XX/XXXX) XX XX XXXXXXXXXXX/ (XX) REGISTROVANÉ XXXXXXXXXXX XXXX XXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXX XXXXXXXXXXX/ (DA) XXXØXX XXXXXXXXXXX XXXXXXXXXXX/XXXX (XX/XX/ÅÅÅÅ) XXX OPLØSNING XX XXXXXXXXXXXXX/ (DE) XXXXXXXXXXX XXXXXXXXXXXX XXXXXXXXXXXXX/XXXXX (XX/XX/XXXX) XXX XXXXXXXXX XXX PARTNERSCHAFT/ (XX) XXXXXXXXXXXXXX KOOSELU XX XÕXXXXXXX / XXXXXXX XÕXXXXXXXX KUUPÄEV (XX/XX/XXXX)/ (XX) ΛΥΘΕΙΣΑ ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΧΕΣΗ ΣΥΜΒΙΩΣΗΣ / ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΛΥΣΗΣ ΤΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ/ (XX) DISSOLVED XXXXXXXXXX XXXXXXXXXXX/XXXX (XX/XX/XXXX) OF XXXXXXXXXXX OF XXX XXXXXXXXXXX/ (FR) XXXXX XXXXXX XX XXXXXXXXXXX XXXXXXXXXX DISSOUS/DATE (JJ/MM/AAAA) XX XXXXXXXXXXX DU XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXXX DHÍSCAOILTE/DÁTA (LL/MM/BBBB) XXXXXXXXXXXXX XX PÁIRTNÉIREACHTA/ (XX) XXXXXXXXXX REGISTRIRANO XXXXXXXXXXX / DATUM (XX/XX/XXXX) RAZVRGNUĆA REGISTRIRANOG XXXXXXXXXXX/ (XX) UNIONE XXXXXXXXXX SCIOLTA/DATA XX XXXXXXXXXXXX XXXX'XXXXXX (GG/MM/AAAA)/ (XX) IZBEIGUŠĀS XXĢXXXXĒXXX XXXXXXXXXXXXXĪXXX / XXĢXXXXĒXX XXXXXXXXXXXXXĪXX XXXXXXXXXĀX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXXXX XXXXXXXXXXĖ XXXXXXXXX / XXXXXXXXXXĖX XXXXXXXXXX XXXX (XX/XX/XXXX)/ (XX) XXXXXŰXX XXXXXXXXXX XXXXXXXXX XXXXXXXXX/X XXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXXŰXXXXXXX XXXXX (XXXX/XX/XX)/ (XX) SĦUBIJA REĠISTRATA XXXXX X DATA (XX/XX/XXXX) TAX-XOLJIMENT XXX-XĦXXXXX XXĠXXXXXXX/ (NL) ONTBONDEN XXXXXXXXXXXXX XXXXXXXXXXXX/XXXXX (XX/XX/XXXX) XXX ONTBINDING XXX XXX XXXXXXXXXXXX/ (XX) XXXXXĄXXXXX XXXXXXXXXXXXXXXX ZWIĄZKU XXXXXXXXXXXXX / DATA (XX/XX/XXXX) XXXXXĄXXXXX XXXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXXXXXXXX/XXXX XX DISSOLUÇÃO XX XXXXXXXX (DD/MM/AAAA)/ (RO) XXXXXXXXXXX ÎXXXXXXXXXX XXXXXXXX/XXXX (XX/XX/XXXX) XXXXXXĂXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXX XXXX XXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) REGISTRIRANA PARTNERSKA XXXXXXXX JE XXXXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXXXX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXÖXXX XXXXXXXXX PURETTU/PARISUHTEEN XXXXXXXXXÄXXÄ (PP/KK/VVVV)/ (XX) XXXXÖXX REGISTRERAT XXXXXXXXXXX/XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXXÖXXXXX XX PARTNERSKAPET

5.2.3

(BG) С ПОЧИНАЛ ПАРТНЬОР/ДАТА (ДД/ММ/ГГГГ) НА СМЪРТТА НА ПАРТНЬОРА/ (XX) XXXXXXX XXXXXXXXXX XX XXX XXXXX DE XXXXX XXXXXXXXXX / XXXXX (XX/XX/XXXX) DE XXXXXXXXXXXXX XX LA XXXXXX XX HECHO XXXXXXXXXX/ (XX) PŘEŽIVŠÍ XXXXXXX – XXXXXXXXX/XXXXX (DD/MM/YYYY) XXXXX XXXXXXXX – XXXXXXXXX/ (DA) LÆNGSTLEVENDE XXXXXXX/XXXX (XX/XX/ÅÅÅÅ) XXX XXXXXXXX DØD/ (XX) ÜXXXXXXXXXXX XXXXXXX/XXXXXXXXXXX (XX/XX/XXXX) XXX PARTNERS/ (XX) ÜXXXXXXXX REGISTREERITUD XXXXXXXXXXX / XXXXXXXXXXXXXX ELUKAASLASE XXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΕΠΙΖΩΝ(-ΣΑ) ΣΥΝΤΡΟΦΟΣ / ΗΜΕΡΟΜΗΝΊΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΘΑΝΑΤΟΥ ΣΥΝΤΡΟΦΟΥ/ (XX) XXXXXXXXX XXXXXXX/ XXXX (XX/XX/XXXX) XX XXXXXXX'X XXXXX/ (XX) PARTENAIRE XXXXXXXXX/XXXX (XX/XX/XXXX) DU XXXÈX XX PARTENAIRE/ (XX) XXXXXXXXX XXXXXXXXXX/ XXXX (XX/XX/XXXX) XXXX XX PHÁIRTNÉARA/ (HR) XXXXXXXXXX XXXXXXX / XXXXX (DD/MM/GGGG) XXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXXXX/XXXX XX XXXXXXX XXX XXXXXXX (XX/XX/XXXX)/ (XX) XĀXXXĪXXXXXXXX XXXXXXXXX / XXXXXXXX XXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXĘX (-USI) XXXXXXXXX (-Ė) / PARTNERIO (-ĖX) MIRTIES XXXX (XX/XX/XXXX)/ (HU) XXXXXŐ XXXXXXXX/XX ÉLETTÁRS HALÁLÁNAK XXXXX (XXXX/XX/XX)/ (XX) XXXĦXX(/XXXĦXX) SUPERSTITI X XXXX (XX/XX/XXXX) XXX-XXXX XXX-XXXĦXX(/XXXĦXX)/ (XX) XXXXXXXXXXX XXXXXXX/XXXXX (XX/XX/XXXX) XXX XXXXXXXXXX VAN XX XXXXXXX/ (XX) XXXXXXX XXXXXXXXĄXX XXXX ŻYCIU / DATA (DD/MM/RRRR) XXXXX DRUGIEGO PARTNERA/ (XX) XXXXXXXX(X) XXXXXXXXX(X)/ XXXX DO XXXXX XX(X) XXXXXXXX(X) (DD/MM/AAAA)/ (XX) PARTENER XXXXXXXXȚXXXXX/XXXX (XX/XX/XXXX) XXXXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX/XXXXX (XX/XX/XXXX) XXXXXX XXXXXXXX/ (XX) XXXXXXXXX XXXXXXX/XXXXX (XX/XX/XXXX) PARTNERJEVE XXXXX/ (XX) XXXXXXÄÄXXX KUMPPANI/KUMPPANIN XXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXXXXXXXXX PARTNER/DATUM (DD/MM/ÅÅÅÅ) XÖX XXXXXXXXX XÖX

5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (DA) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (FR) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (HU) MEGHATÁROZATLAN/ (XX) MHUX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XÃX XXXXXXXX/ (RO) NEDETERMINAT/ (XX) NEURČENÉ/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

6.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX PARA XX FIRMA/ (XX) XXXX XXX XXXXXX/ (XX) UNDERSKRIFTSFELT/ (DE) XXXXXXXXXXXXXXXXXX/ (ET) ALLKIRJALAHTER/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) SIGNATURE XXX/ (XX) XXXXX XXXX XX SIGNATURE/ (XX) XXXXX XXX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXXXXX XXX XX XXXXX/ (XX) XXXXXXXX LAUKS/ (XX) XXXXXX LAUKELIS/ (XX) AZ XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX XX HANDTEKENING/ (XX) POLE XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX PODPIS/ (XX) XXXXX XX XXXXXX/ (XX) ALLEKIRJOITUSKENTTÄ/ (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 XXXXXX(X) XXX XXXXXXXXXXX QUE XXXXXXX XXXX IMPRESO/ (XX) PŘÍJMENÍ A XXXXX (XXXXX) ÚŘEDNÍKA, XXXXX XXXXX XXXXX XXXXXXXX/ (DA) EFTERNAVN(E) XX FORNAVN(E) PÅ XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (DE) XXXXXXXXXXXX(X) XXX XXXXXXX(X) XXX XXXXXXX, XXX XXXXXX XXXXXXXX AUSGESTELLT XXX/ (XX) XÄXXXXXXX VORMI XÄXXXXXXXXX XXXXXXXX XXXXXXX (-XXXXX) JA PEREKONNANIMI (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) XXX XXXXXXXX(X) XX THE XXXXXXXX XXX ISSUED XXXX XXXX/ (XX) XXX(X) XX PRÉNOM(S) XX FONCTIONNAIRE XXX X DÉLIVRÉ XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX (SLOINNTE) XXXX XXXXXXXX (XXXXXXXXXXXXXX) AN XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX XXXX XX IZDAO XXXX XXXXXXX/ (XX) COGNOME/I X XXXX/X DEL XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (LV) AMATPERSONAS, XXXX XXXXXXXX ŠO XXXXXXXX, UZVĀRDS(-I) UN XĀXXX(-X)/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖX) XX XXXXXX (-AI)/ (HU) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ CSALÁDI XXXX(X) XX XXXXXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX) X ISEM(/ISMIJIET) XXX-XXXXĊXXX LI ĦAREĠ XXX XX-XXXXXXX/ (NL) XX(X)X(XX) EN XXXXXX(X)X(XX) XXX XX XXXXXXXXX XXX DIT XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) I IMIĘ (XXXXXX) XXXĘXXXXX, XXXXX XXXXŁ NINIEJSZY XXXXXXXXX/ (XX) XXXXXXX(X) X XXXX(X) XXXXXXX(X) XX XXXXXXXXXXX XXX EMITIU X PRESENTE FORMULÁRIO/ (XX) NUMELE ȘX XXXXXXXXX FUNCȚIONARULUI XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) PRIIMEK/PRIIMKI XX XXX/XXXXX XXXXXXXX, XX JE XXXXX XX OBRAZEC/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX SUKUNIMI (-NIMET) XX XXXXXXX (-NIMET)/ (XX) XXXXXXXXX XXX XÖXXXXX XÅ XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

6.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX — XXX EMBEDSMAND, XXX HAR XXXXXXX XXXXX FORMULAR/ (XX) XXXXXXXX XXX BEAMTEN, XXX DIESES XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX AMETIKOHT/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX XX THE XXXXXXXX WHO ISSUED XXXX FORM/ (XX) XXXXX DU XXXXXXXXXXXXX XXX X DÉLIVRÉ XX XXXXXXX XXXXXXXXXX/ (XX) XXXX XX XXXXXXXX X X’XXXXXX XX FHOIRM SEO/ (XX) XXXXXXXX SLUŽBENIKA XXXX XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX DEL FUNZIONARIO XXX XX RILASCIATO XX XXXXXXXX MODULO/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX VEIDLAPU, XXXXX/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (MT) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (NL) XXXXXXX XXX XX XXXXXXXXX DIE XXX XXXXXXXXX HEEFT XXXXXXXXX/ (XX) STANOWISKO XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) POZIȚIA XXXXȚXXXXXXXXX CARE X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX ÚRADNÍKA, XXXXX XXXXX TENTO XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX SOM XXX UTFÄRDAT XXXXX XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX KUUPÄEV (PP/KK/AAAA)/ (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) XXXXX (DD/MM/GGGG) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) IZDOŠANAS DATUMS (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X KIÁLLÍTÁS XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (NL) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) WYDANIA/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) VYDANIA/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (FI) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) DATUM (XX/XX/ÅÅÅÅ) XÖX UTFÄRDANDE

6.4

(BG) ПОДПИС/ (ES) XXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (DE) XXXXXXXXXXXX/ (XX) ALLKIRI/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (GA) XXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (LT) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (NL) XXXXXXXXXXXX/ (XX) PODPIS/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXX/ (SL) XXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (XX) PEČEŤ XXXX XXXXXXX/ (XX) XXXX XXXXX STEMPEL/ (XX) XXXXXX XXXX STEMPEL/ (XX) XXXXXX XÕX XXXXXX/ (EL) ΣΦΡΑΓΙΔΑ/ (XX) SEAL OR XXXXX/ (FR) SCEAU XX XXXXXX/ (GA) XXXXX NÓ STAMPA/ (XX) ŽIG XXX XXXXX/ (IT) XXXXX X XXXXXX/ (LV) XĪXXXX VAI XXXXXXXX/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (HU) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (MT) XXĠXXX XXX TIMBRU/ (XX) ZEGEL XX XXXXXXX/ (PL) XXXXXĘĆ XXX STEMPEL/ (PT) XXXX XX CARIMBO/ (XX) XXXXXXXX SAU ȘXXXXXXX/ (XX) PEČAŤ XXXXX XXXXXXXX XXXXXXXX/ (XX) PEČAT ALI XXX/ (FI) XXXXXXX XXX LEIMA/ (XX) XXXXXX XXXXX XXÄXXXX

XXXXXXXX xxxx XXXXX XXXXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX XXX XXXXXXX

Xxxxxx 7 xxxxxxxx Xxxxxxxxxx parlamentu x Xxxx (XX) 2016/1191 xx dne 6. xxxxxxxx 2016 x podpoře xxxxxxx xxxxxx xxxxxx zjednodušením xxxxxxxxx xx předkládání xxxxxxxxx veřejných xxxxxx x Xxxxxxxx xxxx x x xxxxx xxxxxxxx (EU) x. 1024/2012 (1) (2)

Xxxxxx (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (CZ)

Dánsko (XX) Xxxxxxx (XX)

Xxxxxxxx (EE) Xxxxx (XX)

Xxxxx (EL) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Xxxx (CY)

Lotyšsko (XX) Xxxxx (LT)

Lucembursko (XX)

Xxxxxxxx (XX) Malta (XX)

Xxxxxxxxxx (XX) Rakousko (AT)

Polsko (XX) Portugalsko (XX)

Xxxxxxxx (XX) Slovinsko (SI)

Slovensko (XX) Finsko (XX)

Xxxxxxx (XX) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX UPOZORNĚNÍ

Jediným účelem xxxxxx xxxxxxxxxxxxx xxxxxxxxxxxx xxxxxxxxx je xxxxxxxxx xxxxxxxx veřejné listiny, x xxx je xxxxxxxx. Tento formulář xx xxxx členskými xxxxx nesmí xxxxxxxxx xxxx xxxxxxxxxx xxxxxxxx.

Xxxxx xxxxxxxx xxxxxx obsah xxxxxxx xxxxxxx, x xxx xx xxxxxxxx. Xxxxx, jemuž xx xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx xxxx x xxxxxxxxx, kdy xx xx xxxxxxxx xxx xxxxx xxxxxxxxxx xxxxxxx xxxxxxx, požadovat překlad xx přepis xxxxxxxxx, xxxxx xxxx ve xxxxxxxxx uvedeny.

UPOZORNĚNÍ XXX XXXXXXXXXX ORGÁN

Uveďte pouze xxxxxxxxx, xxxxx xxxx xxxxxxx xx xxxxxxx xxxxxxx, x xxx xx přiložen tento xxxxxxxx. (3)

Xxxxx xxxxxxx xxxxxxx, x níž xx xxxxxxxx xxxxx xxxxxxxx, xxxxxxxxxx určité xxxxx nebo informace, xxxxxx „–“.

1. ORGÁN XXXXXXXXXX XXXXX FORMULÁŘ

1.1 Xxxxx (4)

2. ORGÁN XXXXXXXXXX XXXXXXXX XXXXXXX, X NÍŽ XX XXXXXXXX TENTO XXXXXXXX

1.1 Xxxxx (5)

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

3.1 Xxxxxxx xxxxxx xxxxxxx nebo xxxxxxxxx x vazbou na xxxxx xxxxxx xxxxxxxxx xxxxx

3.1.1 Rozhodnutí soudu

3.1.2 Xxxxxxx vydaná státním xxxxxxxxx

3.1.3 Listina xxxxxx xxxxxx xxxxxxx úředníkem

3.1.4 Xxxxxxx vydaná soudním xxxxxxxxxxxxx („xxxxxxxx de xxxxxxx“)

3.1.5 Xxxx (xxxxxxxxx)

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

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

(3) Xxx xxxxxxxxxx xxxxx použijte xxxxxxx xxxxx.

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

(5) Xxxxx „xxxxx“ xx xxxxx xxxxxxxx xxxx xxxxxx xxxxx xxxxxx xxxxxxxxxxxx xxxxxxxx listinu, x xxx je xxxxxxxx xxxxx formulář.

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 matričních xxxxxxx

3.1.5 Xxxx (upřesněte)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, xxxxxx xxxx xxxxxxxx xxxxxxx xxxxxxxxx soukromou xxxxxx

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

3.6 Xxxxx (dd/mm/rrrr) xxxxxx

3.7 Xxxxxxxxxx číslo xxxxxxx listiny

4. XXXXXXXXX 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 Muž

4.5.3 Xxxxxxxx

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

5.1 Xxxxxxxx

5.1.1 Xxxxxx:

5.1.1.1 Ulice a xxxxx xxxx / xxxxxxxx přihrádka

5.1.1.2 Xxxxx x poštovní směrovací xxxxx

5.1.1.3 Xxxx (1)

5.2 Xxxxx xxxxxx

5.1.1 Xxxxxx:

5.1.1.1 Xxxxx x číslo xxxx / poštovní xxxxxxxxx

5.1.1.2 Xxxxx x xxxxxxxx xxxxxxxxx xxxxx

5.1.1.3 Xxxx (2)

6. XXXX XXX XXXXXX

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

6.2 Xxxxxx xxxxxxxx, xxxxx xxxxx xxxxx formulář

6.3 Xxxxx (xx/xx/xxxx) xxxxxx

6.4 Podpis

6.5 Xxxxx xxxx razítko

(1) Xxxxx „místo xxxxxxxx“ xx rozumí xxxxx xxxx xxxx xxxxx, xxxxxx a kraje, xxx xx daná xxxxx narodila.

(2) Název xxxx x – xxxxx existuje – xxx XXX dané xxxx xxxx xxxxxxx „Xxxx (xxxxxxxxx)“ xx xxxxx vybrat z xxxxxxxxxxx nabídky xx xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxxxxxx, xxxxx xx x dispozici xx xxxxxxx xxxxxxxx e-justice.

VÍCEJAZYČNÝ XXXXXX XXXXX STANDARDNÍCH XXXXXXX

(XXXXXXXX nebo MÍSTO XXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XXXX IMPRESO/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) BEHÖRDE, DIE XXXXXX FORMULAR XXXXXXXXX/ (XX) XÄXXXXXXX VORMI XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX FORM/ (XX) XXXXXXXX XX XXXXXXXXXX XX PRÉSENT XXXXXXXXXX/ (XX) XX tÚDARÁS X EISEOIDH XX XXXXXX SEO/ (HR) XXXXXX XXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXXÀ CHE RILASCIA XX XXXXXXXX MODULO/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX TA' XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX XXXXXXXXX/ (XX) XXXXX WYDAJĄCY XXXXXXXXX FORMULARZ/ (XX) XXXXXXXXXX QUE XXXXX X XXXXXXXX XXXXXXXXXX/ (XX) AUTORITATEA XXXXXXXĂ X XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX FORMULÁR/ (XX) XXXXX, XX XXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (DA) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) DESIGNATION/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) NAZIV/ (IT) XXXXXXXXXXXXX/ (LV) NOSAUKUMS/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (MT) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) DESIGNAÇÃO/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) IME/ (XX) NIMI/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XX DOCUMENTO XXXXXXX XX QUE XX XXXXXXX ESTE IMPRESO/ (XX) XXXXX VYDÁVAJÍCÍ XXXXXXXX XXXXXXX, K XXX XX XXXXXXXX XXXXX FORMULÁŘ/ (XX) XXX XXXXXXXXX, XXX XXX XXXXXXX DET XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX ER XXXXÆXXXX/ (XX) BEHÖRDE, XXX XXX ÖXXXXXXXXXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXÜXX XXX, XXXXXXXXX/ (XX) 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 FORM XX XXXXXXXX/ (XX) XXXXXXXX XX DÉLIVRANCE XX XXXXXXXX PUBLIC XXXXXX XXX JOINT XX XXXXXXX XXXXXXXXXX/ (XX) AN xXXXXXX X XXXXXXXX XX XXXXXXXXX POIBLÍ LENA XXXXXX AN XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXX KOJE IZDAJE XXXXX ISPRAVU KOJOJ XX XXXX XXXXXXX XXXXXXXX/ (IT) XXXXXXXÀ XXX RILASCIA XX XXXXXXXXX XXXXXXXX CUI XX XXXXXXXX XXXXXX È XXXXXXXX/ (LV) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX IR XXXXXXXXXX, IZDEVĒJIESTĀDE/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX PRIDEDAMA XX XXXXX, IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATOT XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ EMITTENTI XXX-XXXXXXXX XXXXXXXX LI MIEGĦU XXXX XXXXXŻX DIN XX-XXXXXXX/ (XX) AUTORITEIT XXX AFGIFTE VAN XXX XXXXXXXX DOCUMENT XXXXXXX XXX XXXXXXXXX XX GEHECHT/ (XX) XXXXX WYDAJĄCY XXXXXXXX XXXĘXXXX, DO KTÓREGO XXXXXXXXX FORMULARZ XXXX XXŁĄXXXXX/ (XX) XXXXXXXXXX XXX EMITE O XXXXXXXXX PÚBLICO X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXXX EMITENTĂ X XXXXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) ORGÁN VYDÁVAJÚCI XXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (SL) XXXXX, XX XXXX XXXXX LISTINO, XX XX XX PRILOŽEN XX XXXXXXX/ (FI) XXXXXXXXXXXX, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXX XXXXXXXXXX XXXXXXXX TILL XXXXXX DETTA FORMULÄR ÄX BIFOGAT

3.

(BG) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) INFORMACIÓN XXXXXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX ESTE XXXXXXX/ (XX) INFORMACE XXXXXXXX XX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX VEDRØRENDE XXX XXXXXXXXXX DOKUMENT, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXÜXX IST/ (XX) XXXXX XXXXXXX XXXXXXXXX KOHTA, MILLELE XXX VORM XX XXXXXXX/ (EL) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXX PUBLIC XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX XXXXXX AUQUEL EST XXXXX XX PRÉSENT XXXXXXXXXX/ (XX) XXXXXXXX X XXXXXXXXX LEIS XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX SEO XXXXXXXXXX/ (XX) XXXXXXXXXXX KOJE XX XXXXXX NA XXXXX XXXXXXX XXXXX XX OVAJ OBRAZAC XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXX XX DOCUMENTO XXXXXXXX XXX IL XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (LT) XXXXXXXXXXX, XXXXXXXX SU XXXXXXXX DOKUMENTU, PRIE XXXXX PRIDEDAMA XX XXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (MT) XXXXXXXXXXXXX DWAR XX-XXXXXXXX XXXXXXXX LI XXXXĦX XXXX XXXXXŻX DIN XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX WAARAAN XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX NINIEJSZY XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX RELATIVAS XX XXXXXXXXX PÚBLICO A XXX X XXXXXXXX XXXXXXXXXX XXXX APENSO/ (XX) INFORMAȚII XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX ESTE XXXXXX PREZENTUL XXXXXXXX/ (XX) INFORMÁCIE O XXXXXXXX LISTINE, XX XXXXXX XX XXXXX XXXXXXXX PRIPOJENÝ/ (XX) XXXXXXXXXXX X ZVEZI X XXXXX XXXXXXX, XX XX XX XXXXXXXX XX OBRAZEC/ (XX) TIEDOT XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXXXX OM 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 AUTORIDAD X UN XXXXXXXXXXX XXXXXXXXX X LOS XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXX XXXXXXXXX X XXXXXX NA XXXXX XXXXXX ČLENSKÉHO XXXXX/ (XX) DOKUMENT, XXX XX UDSTEDT XX XX XXXXXXXXX XXXXX XX EMBEDSMAND, XXX XX XXXXXXXXXX XXXXXXXX X XX XXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXÖXXX XXXX XXXXX AMTSPERSON ALS XXXXX XXX XXXXXXXXXXXX XXXXX MITGLIEDSTAATS/ (XX) XXXXXXXX, XXXXX ON XÄXXX XXXXXX XXXXXXXXXXXX XXXXXXXXX XXXXXX AMETIASUTUS XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX FROM AN XXXXXXXXX XX XX XXXXXXXX XXXXXXXXX XXXX XXX XXXXXX OR XXXXXXXXX OF A XXXXXX XXXXX/ (XX) XXXXXXXX ÉMANANT X'XXX XXXXXXXX XX X'XX XXXXXXXXXXXXX XXXXXXXX X'XXX XXXXXXXXXXX X'XX XXXX XXXXXX/ (XX) DOICIMÉAD X XXXXXXX X XXXXXX XX X XXXXXXXXX X XXXXXX XXXXX XXXX XX XXXX XX CÚIRTEANNA XX LE BINSÍ XX XXXXX XXXXXXXXX/ (XX) ISPRAVA XXXX XX IZDALO XXXXXX XXX XXXXXXXXX SUDA XXXXXX ČLANICE/ (XX) XXXXXXXXX XXXXXXX DA XX'XXXXXXXÀ X XX XX FUNZIONARIO XXXXXXXXXXXX XX XXX DELLE XXXXXXXXXXXXX XX XXX XXXXX XXXXXX/ (XX) XXXXXXXXX, XXXX IZSNIEGUSI XX DALĪBVALSTS TIESĀM XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (XX) DOKUMENTAS, XXXXXXXX VALDŽIOS XXXXXXXXXXXX XX PAREIGŪNO, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX BÍRÓSÁGGAL XXXXXXXXXXXX XXXX XXXXXXX XXXX XXXXXXXXXXŐ ÁLTAL XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ XXX XXXXĊXXX XX XXXXXXXX RABTA XXX-XXXXX JEW IT-TRIBUNALI XX' STAT XXXXXX/ (XX) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX XXX EEN XXXXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX OD XXXXXX XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX XX XXX XXXXXXXXXX XX XX UM XXXXXXXXXXX XXXXXXXXXX XX XXXXXXXX JURISDIÇÃO DE XX XXXXXX-XXXXXX/ (XX) XXXXXXXX EMIS DE X XXXXXXXXXX SAU XX XX XXXXȚXXXXX XX PE XÂXXĂ XXXXXXȚXXX UNUI XXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX ALEBO XXXXXXXXX X XÄXXXX XX SÚDY XXXXXXXXX XXXXX/ (SL) XXXXXXX, XXXXXX X XXXXXX XXXXXX XXX XXXXXXXX XXXXX XXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX ON XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX VIRKAMIES/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXXXXXXXX XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) GERICHTSENTSCHEIDUNG/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (EN) XXXXX DECISION/ (XX) XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXX XX xXXXXX/ (HR) XXXXXX XXXXXX/ (XX) DECISIONE XXXXXXXXXXXXXXX/ (XX) TIESAS XĒXXXX/ (LT) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (MT) XXĊXŻXXXX XXX-XXXXX/ (NL) RECHTERLIJKE XXXXXXXXXX/ (PL) XXXXXXXXXX XĄXXXX/ (XX) DECISÃO XXXXXXXX/ (RO) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) XXXXX XXXXXXX/ (XX) TUOMIOISTUIMEN XÄÄXÖX/ (SV) DOMSTOLSBESLUT

3.1.2

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX POR EL XXXXXXXXXX FISCAL/ (XX) XXXXXXX XXXXXX STÁTNÍM XXXXXXXXX/ (XX) DOKUMENT XXXXXXX XX EN XXXXXXXXXXXXXXXX/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX A XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XXXXXXÈXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX Ó XXXXXXXXXXXXXXX POIBLÍ/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXXX ODVJETNIŠTVO/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXXXX MINISTERO/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (LT) XXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (XX) ÜGYÉSZ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX XXXXXXXXXX PUBBLIKU/ (XX) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX DO XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX/ (SK) XXXXXXX XXXXXX PROKURÁTOROM/ (XX) XXXXXXX, XX XX XXXX XXXXXXX XXXXXXXXX/ (XX) VIRALLISEN XXXXXÄXÄX ANTAMA XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX ÅKLAGARVÄSENDET

3.1.3

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX JUDICIAL/ (XX) XXXXXXX VYDANÁ XXXXXX XXXXXXX XXXXXXXXX/ (XX) DOKUMENT XXXXXXX XX XX XXXXXXXXXXXXXÆX/ (XX) URKUNDE EINES XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (ET) XXXXXXXX, XXXXX XX XÄXXX ANDNUD KOHTUAMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) DOCUMENT XXXXXXXXX XXXX X XXXXX XX X XXXXX/ (XX) DOCUMENT XXXXXXX X'XX XXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXX XX XXXXX CÚIRTE/ (HR) XXXXXXX XXXX XX XXXXX UPRAVITELJ XXXXXX XXXXXXXXX/ (XX) DOCUMENTO XXXXXXX XX XX XXXXXXXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (XX) XXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX TISZTVISELŐ XXXXX XXXXXXXXXX OKIRAT/ (XX) DOKUMENT XXĦXXĠ XXXX XXĠXXXXXXXX XX' XXXXX/ (NL) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX XX XX XXXXXXX XX JUSTIÇA/ (XX) DOCUMENT XXXX XX UN GREFIER XX XXXXXXȚXX/ (XX) XXXXXXX XXXXXX SÚDNYM XXXXXXXXX/ (XX) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXX/ (SV) HANDLING XXX HÄRRÖR XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX JUDICIAL («XXXXXXXX XX JUSTICE»)/ (XX) XXXXXXX XXXXXX SOUDNÍM XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX AF XX XXÆXXXXXXXXXX (»HUISSIER XX XXXXXXX«)/ (XX) URKUNDE XXXXX GERICHTSVOLLZIEHERS/ (XX) XXXXXXXX, MILLE XX XÄXXX XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (XX) DOCUMENT EMANATING XXXX X JUDICIAL XXXXXXX ('HUISSIER XX XXXXXXX')/ (FR) XXXXXXXX XXXXXXX X'XX HUISSIER XX JUSTICE/ (XX) XXXXXXXXX X THAGANN X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXX XX XXXXX XXXXXX XXXXXXXXX (HUISSIER XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XXXXXX IZPILDĪTĀJS (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX (HUISSIER DE XXXXXXX) XXXXXXXX DOKUMENTAS/ (XX) XXXXXXXX VÉGREHAJTÓ („XXXXXXXX DE XXXXXXX”) XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ XXXX UFFIĊJAL ĠXXXXXXXXXX ('XXXXXXXX DE XXXXXXX')/ (XX) DOCUMENT XXXXXXXXX XXXX XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX XXXĘXXXXX SĄDOWEGO (XXXXXXXX DE JUSTICE)/ (XX) XXXXXXXXX PROVENIENTE XX XX ESCRIVÃO XX XXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX EMIS XX XX XXXXXXXX JUDECĂTORESC („XXXXXXXX XX XXXXXXX”)/ (XX) LISTINA XXXXXX XXXXXX XXXXXXXXXXĽXX („HUISSIER XX XXXXXXX“)/ (XX) XXXXXXX, XX JO XXXX XXXXX IZVRŠITELJ („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX XX XXXXXXX”) ANTAMA XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR FRÅN XX XXÄXXXXXXXXX (HUISSIER XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) XXXX (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) XXX (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) OTHER (XX BE XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (GA) XXXX (XX SONRÚ)/ (XX) XXXXXX (XXXXXXX)/ (XX) XXXXX (XXXXXXXXX)/ (LV) XXXX (PRECIZĒT)/ (XX) XXXX (XXXXXXXX)/ (XX) XXXXX (KÉRJÜK XXXXXXXXXXX)/ (XX) OĦRAJN (IPPREĊIŻA)/ (XX) XXXXXXX (SPECIFICEREN)/ (XX) INNY (XXXXXĘ XXXXŚXXĆ)/ (XX) XXXXXX (X ESPECIFICAR)/ (RO) XXXXX (X XX XXXXXXX)/ (SK) INÉ (XXXXXXXX)/ (XX) DRUGO (XXXXXXX)/ (FI) XXX XXXXXXXXX (TÄSMENNETTÄVÄ)/ (XX) XXXXX HANDLING (SPECIFICERAS)

3.2

(BG) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX ADMINISTRATIVO/ (XX) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (DE) XXXXXXX XXXXX VERWALTUNGSBEHÖRDE/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (FR) XXXXXXXX XXXXXXXXXXXXX/ (GA) DOICIMÉAD XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (PT) DOCUMENTO XXXXXXXXXXXXXX/ (RO) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (SL) XXXXXXX XXXXXXX/ (XX) HALLINNOLLINEN XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) PÅTEGNING/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) CERTIFICAT/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (LT) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊERTIFIKAT/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) POTRDILO/ (FI) XXXXXXXX/ (SV) INTYG

3.2.2

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX XXXXXXXX XXXXX/ (CZ) XXXXX Z XXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (DE) AUSZUG XXX XXX PERSONENSTANDSREGISTER/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX THE XXXXX XXXXXX REGISTER/ (XX) XXXXXXX XX XXXXXXXX XX L'ÉTAT XXXXX/ (XX) SLIOCHT AS XX xXXXX XXXXXXX XXXXXXXXXX/ (HR) IZVADAK XX XXXXXXXX XXXXXXX XXXXXX/ (XX) XXXXXXXX XX ATTO XX XXXXX XXXXXX/ (LV) XXXXXXXX XX CIVILSTĀVOKĻA XXXX XXĢXXXXX/ (XX) XXXXXXX IŠ XXXXXXXĖX XŪXXĖX AKTŲ XXXXXXXX/ (XX) ANYAKÖNYVI XXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊIVILI/ (NL) XXXXXXXXXX UIT XXX XXXXXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXXXXX XXXX XXXXX CYWILNEGO/ (XX) XXXXXXX XX ATOS XX XXXXXXX CIVIL/ (XX) XXXXXX XXX XXXXXXXXX XX XXXXX XXXXXĂ/ (XX) VÝPIS X XXXXXXXX OSOBNÉHO XXXXX/ (XX) XXXXXXX XX XXXXXXXX O XXXXXXX XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (SV) XXXXXX UR XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (ES) XXXXXXXX XXX XXXXX/ (XX) VÝPIS X XXXXXXXX XXXXXXXX/ (XX) XXXXXX FRA XXXXXXXXXXXXXX/ (XX) AUSZUG XXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX XXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XX REGISTRE XX XX XXXXXXXXXX/ (XX) SLIOCHT XX XX gCLÁR DAONRA/ (XX) XXXXXXX IZ XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX/ (LV) XXXXXXXX XX IEDZĪVOTĀJU XXĢXXXXX/ (XX) IŠRAŠAS XX XXXXXXXXŲ REGISTRO/ (XX) XXXXXXX X XXXXXXXXXXXX- ÉS LAKCÍMNYILVÁNTARTÁSBÓL/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX X XXXXXXXX XXXXXŚXX/ (PT) XXXXXXX XX XXXXXXX XX XXXXXXÇÃX/ (XX) XXXXXX DIN XXXXXXXXX XX EVIDENȚĂ X XXXXXXȚXXX/ (XX) XXXXX X XXXXXXXX OBYVATEĽOV/ (XX) IZPISEK XX XXXXXXXX XXXXXXXXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX/ (SV) XXXXXX XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX LITERAL XX ACTAS XXX XXXXXXXX CIVIL/ (CZ) XXXX XXXXXXXXXX XXXXXXX/ (XX) ORDRET XXXX XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (ET) XXXXXXXXXXXXXXXXXX XXXXXX/ (EL) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX XX XXXXX XXXXXX XXXXXXX/ (XX) XXXXX XXXXXXXXX D'ACTES XX X'XXXX XXXXX/ (XX) XXXX FOCAL XX XXXXXX XX XXXXXXX XX STÁDAS XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX IZ XXXXXXXXXX X OSOBNOM STANJU/ (XX) COPIA LETTERALE XX XXXX DI XXXXX XXXXXX/ (LV) XXXXXXXĀXXXĻX AKTU REĢISTRA XXXXXXXX AUTENTISKA XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮRAŠŲ PAŽODINĖ XXXXXX/ (HU) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) KOPJA XXXXXXXX XXX-XXXX TAL-ISTAT ĊXXXXX/ (NL) EENSLUIDEND XXXXXXXXX XXX AKTEN XXX DE BURGERLIJKE XXXXX/ (XX) ODPIS XXXXŁXX XXXX STANU XXXXXXXXX/ (PT) CERTIDÃO XX XXXXX XXXXXXXX XX DE NARRATIVA XX XXXX XX XXXXXXX XXXXX/ (RO) XXXXX XXXXXĂ X XXXX XXX DE XXXXX CIVILĂ/ (SK) XXXXXXXX VÝPIS XX XXXXXXX X XXXXXXX XXXXX/ (SL) XXXXXXXXX XXXXXX XXXXXX X XXXXXXX STANJU/ (FI) XÄXXXÖXXXXXXXXXXXXXXXXX SANATARKKA JÄLJENNÖS/ (XX) XXXXXXXXX XXXXXXXX XX FOLKBOKFÖRINGSHANDLING

3.3

(BG) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) NOTARIELLE XXXXXXX/ (ET) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) XXXX XXXXXXX/ (XX) XXXXXX NÓTAIREACHTA/ (XX) JAVNOBILJEŽNIČKA ISPRAVA/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXĀXX XXXX/ (XX) XXXXXXXXX AKTAS/ (XX) XÖXXXXXXŐX OKIRAT/ (XX) XXX NOTARILI/ (XX) NOTARIËLE XXXX/ (XX) XXX XXXXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXX NOTARIAL/ (XX) XXXXXXXX LISTINA/ (XX) XXXXXXXX LISTINA/ (XX) XXXXXXXX XXXXXX XXXXXXXXX/ (SV) NOTARIELL XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX XXXXXX SOBRE XX XXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXX, XXXXXX XXXX OPATŘENA LISTINA XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) OFFICIEL PÅTEGNING XÅ XX XXXXXXXX XXXXXXXXXXX XX XX XXXXXX X XXXXXX XXXXXXXX AF XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX EINER XXXXXXXXXXXXX/ (XX) XXXXX POOLT XXXXXXXXXX XXXXXXXXXXXXXX DOKUMENDILE XXXXXXXXXX XXXXXXX XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (EN) XXXXXXXX XXXXXXXXXXX XXXXXX XX X XXXXXXXX XXXXXX XX X PERSON XX XXX XX XXX XXXXXXX XXXXXXXX/ (XX) DÉCLARATION OFFICIELLE XXXXXXX XXX UN XXXX XXXX XXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX A XXXXXXXXX XX XXXXXXXXXX ARNA XXXXXX XX XXXXX XXX XXXXX XX XXX XXXX PHRÍOBHÁIDEACH/ (XX) SLUŽBENA XXXXXXX XXXXXXXXX NA XXXXXXX XXXX XX XXXXX XXXXXXXXX X PRIVATNOM XXXXXXXX/ (IT) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXĀXX XXXXXXXXĀXXXX XX DOKUMENTA, KO XXXĀ XĀXXĀ PARAKSTĪJUSI XĀXX XXXXXXX/ (LT) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ OFICIALŪS PATVIRTINIMAI/ (XX) MAGÁNOKIRATON XXXXXXXXXXX XXXXXXXXX TANÚSÍTVÁNY/ (XX) ĊXXXXXXXXX XXXXĊXXXX XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX PERSUNA XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX OP XXX XXXXXXXX ONDERTEKEND XXXX EEN XXXXXXX XX ZIJN XXXXXXXXXXXX XXXXXXXXXXXX/ (PL) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ DZIAŁAJĄCĄ W XXXXXXXXXXX XXXXXXXXX/ (PT) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX XXX DE XXXXXXXX XXXXXXX/ (RO) XXXXXXXXXX XXXXXXX APLICAT XX XX XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX OSVEDČENIE XXXXXXX XX XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX SÚKROMNÁ XXXXX/ (XX) XXXXXX XXXXXX XX ZASEBNI XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, JONKA HENKILÖ XX ALLEKIRJOITTANUT XXXXXXXXXXXXXXÖXÄ/ (XX) OFFICIELLT XXXXX XXXXXXXXX XÅ XX XXXXXXXX SOM UNDERTECKNATS XX EN PRIVATPERSON

3.5

(BG) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (ES) XXXXXXXXX XXXXXXXX XXX UN XXXXXX DIPLOMÁTICO O XXXXXXXX XX XX XXXXXX XXXXXXX XXX XXXXXXXX XXXXXXX/ (CZ) XXXXXXX VYHOTOVENÁ XXXXXXXXXXXXX XXXXXXXXX NEBO XXXXXXXXXXX XXXXXXXXX XXXXXXXXX STÁTU X RÁMCI XXXXXX XXXX XXXXXXXXXX POVINNOSTÍ/ (XX) XXXXXXXX OFFICIELT XXXÆXXXXXX AF EN XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (XX) XXX EINEM XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXXX IN XXXXXX XXXXXXXXX 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 XXXXX XX XX X XXXXXXXXXX OR XXXXXXXX XXXXX XX X XXXXXX XXXXX XX XXX XX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX ÉTABLI XX SA XXXXXXX XXXXXXXXXX XXX XX XXXXX XXXXXXXXXXXX OU XXXXXXXXXX X'XX ÉTAT XXXXXX/ (XX) XXXXXXXXX XXXX THARRAINGT SUAS XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX XX XXXXX XXXXXXXXX INA XXXXX NÓ XXX XXXX XXXXXXXXX/ (HR) XXXXXXX XXXX XX X XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX PREDSTAVNIK DRŽAVE XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX AGENTI XXXXXXXXXXX O CONSOLARI XX XXX XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (XX) XXXXXXXXX, XXXX, PILDOT XXXXX PIENĀKUMUS, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, PARENGTAS XXXXXXXĖX XXXĖX XXXXXXXXX XX XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX XXXXX XXXXXXXXXX ĮGALIOJIMUS/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX KONZULI XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX KIÁLLÍTOTT OKIRAT/ (XX) XXXXXXXX XXĦXXXX XXXX XĠXXX XXXXXXXXXXX XXX XXXXXXXXX XX' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (NL) XXXXXXXX XXXXXXXXX DOOR XX DIPLOMATIEKE XX XXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX IN XXXX XXXXXXËXX HOEDANIGHEID/ (XX) XXXXXXXX SPORZĄDZONY XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX KONSULARNEGO XXŃXXXX CZŁONKOWSKIEGO XXXXŁXXĄXXXX X XXXXXXXXXXX URZĘDOWYM / (XX) DOCUMENTO XXXXXXX POR XX XXXXXX DIPLOMÁTICO OU XXXXXXXX XX XX XXXXXX-XXXXXX XX EXERCÍCIO XXX SUAS XXXÇÕXX XXXXXXXX/ (RO) DOCUMENT ÎXXXXXXX DE CĂTRE XX XXXXX DIPLOMATIC XXX XXXXXXXX XX XXXX XXXX XXXXXX, ÎX CALITATE OFICIALĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX ZÁSTUPCOM XXXXX XXXXXXXXXXX ÚRADNÍKOM XXXXXXXXX XXXXX V XXXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXX, XX XX XXX XXXXXX XXXXX XXXX DIPLOMATSKI XXX KONZULARNI XXXXXXXXXXX XXXXXX XXXXXXX/ (FI) XXXXXXXXX, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX EDUSTAJA XXX XXXXXXXXXXXXXXX XX 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/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) VÄLJAANDMISE XXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (FR) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) IZDAVANJA/ (XX) DATA XX XXXXXXXX (GG/MM/AAAA)/ (XX) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) XXXXXXXX DATA (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (NL) DATUM (XX/XX/XXXX) XXX 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) VYDANIA/ (XX) XXXXX (DD/MM/LLLL) XXXXXX/ (XX) ANTAMISPÄIVÄ (PP/KK/VVVV)/ (XX) XXXXX (DD/MM/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (ES) XXXXXX XX REFERENCIA DEL XXXXXXXXX PÚBLICO/ (XX) XXXXXXXXXX ČÍSLO VEŘEJNÉ XXXXXXX/ (XX) DET XXXXXXXXXX XXXXXXXXX REFERENCENUMMER/ (XX) XXXXXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX NUMBER XX XXX PUBLIC XXXXXXXX/ (XX) XXXXXX XX XXXXXXXXX DU XXXXXXXX PUBLIC/ (XX) XXXXXX XXXXXXXXX XX XXXXXXXXX PHOIBLÍ/ (HR) XXXXXXXXXX BROJ XXXXX XXXXXXX/ (XX) XXXXXX XX RIFERIMENTO XXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX XXXXXX/ (XX) VIEŠOJO XXXXXXXXX XXXXXXX/ (XX) X KÖZOKIRAT XXXXXXXXXXX XXXXX/ (XX) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (NL) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX DOKUMENTU XXXĘXXXXXX/ (XX) XXXXXX XX XXXXXÊXXXX XX DOCUMENTO XXXXXXX/ (RO) NUMĂRUL XX XXXXXXXȚĂ AL XXXXXXXXXXXX OFICIAL/ (XX) XXXXXXXXXX XXXXX VEREJNEJ XXXXXXX/ (XX) REFERENČNA XXXXXXXX XXXXX XXXXXXX/ (XX) YLEISEN XXXXXXXXXX XXXXXXXXXXX/ (XX) DEN XXXXXXXXXX HANDLINGENS XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX XX INTERESADO/ (XX) INFORMACE X XXXXXXX XXXXX/ (XX) XXXXXXXXXXX XX XXX XÅXÆXXXXXX XXXXXX/ (XX) XXXXXXX XXX XXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXX XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΊΑ ΤΟΥ ΠΡΟΣΏΠΟΥ ΤΟ ΟΠΟΊΟ ΑΦΟΡΆ ΤΟ ΈΝΤΥΠΟ/ (XX) XXXXXXXXXXX ON XXX PERSON CONCERNED/ (XX) XXXXXXXXXXXX XXX XX XXXXXXXX CONCERNÉE/ (XX) XXXXXXXX MAIDIR XXXX XX XXXXX XXXX mBAINEANN/ (XX) XXXXXXXXXXX X DOTIČNOJ XXXXX/ (XX) INFORMAZIONI XXXXX XXXXXXX XXXXXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXĪXX XXXXXXX/ (XX) XXXXXXXXXXX XXXX XXXXXXXXXĄ XXXXXĮ/ (HU) XX XXXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXX XXXXĊXXXXXX/ (XX) XXXXXXXXXX XXXX XX BETROKKENE/ (XX) XXXX XXXXX, KTÓREJ XXXXXXX DOKUMENT/ (XX) XXXXXXXÇÕXX SOBRE X XXXXXX XX CAUSA/ (XX) INFORMAȚII XXXXXXX XXXXXXXX XXXXXĂ/ (XX) XXXXXXXXXX O XXXXXXXXX XXXXX/ (XX) INFORMACIJE X XXXXXXX XXXXX/ (XX) ASIANOMAISEN XXXXXXÖX XXXXXX/ (XX) XXXXXXXXX XX XXX BERÖRDA XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X)/ (XX) XXXXXXXX/ (DA) XXXXXXXXX(X)/ (XX) XXXXXXXXXXXX(X)/ (ET) XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (XX) SURNAME(S)/ (XX) XXX(X)/ (GA) XXXXXXX (XXXXXXXX)/ (HR) XXXXXXX(XX)/ (XX) XXXXXXX(X)/ (XX) XXXĀXXX(-X)/ (XX) XXXXXXĖ (-ĖS)/ (XX) XXXXXXX NEVE(I)/ (XX) 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 (-XXXXX)/ (XX) ΟΝΟΜΑ (-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) CÉADAINM (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (IT) XXXX(X)/ (LV) XĀXXX(-X)/ (XX) VARDAS (-XX)/ (XX) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (XX) VOORNA(A)M(EN)/ (XX) IMIĘ (IMIONA)/ (XX) NOME(S) XXXXXXXX(X)/ (XX) PRENUME/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) ETUNIMI (-XXXXX)/ (XX) FÖRNAMN

4.3

(BG) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) GEBURTSDATUM (TT/MM/JJJJ)/ (XX) XÜXXXXXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΊΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (EN) XXXX (XX/XX/XXXX) XX BIRTH/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXĐXXXX/ (XX) XXXX XX XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX XXXX (DD/MM/MMMM)/ (XX) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (PL) DATA (XX/XX/XXXX) URODZENIA/ (XX) XXXX XX NASCIMENTO (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXȘXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.4

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX X XXXX DE NACIMIENTO/ (XX) MÍSTO X XXXX NAROZENÍ/ (DA) XØXXXXXX XX -XXXX/ (XX) XXX XXX XXXX DER XXXXXX/ (XX) XÜXXXXXXX XX -XXXX/ (EL) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX XXX XXXXXXX XX BIRTH/ (XX) LIEU XX XXXX XX XXXXXXXXX/ (XX) XXX AGUS XXX XXXXXXXX/ (HR) XXXXXX X ZEMLJA XXĐXXXX/ (XX) XXXXX X XXXXX XX XXXXXXX/ (XX) XXXXXXXXX XXXXX XX XXXXXX/ (XX) XXXXXX XXXXX XX XXXXX/ (XX) XXÜXXXXXX XXXXX XX XXXXXXX/ (XX) XXXX X XXXXXŻ XXX-XXXXXX/ (XX) GEBOORTEPLAATS EN -XXXX/ (PL) XXXXXXX X PAŃSTWO XXXXXXXXX/ (XX) XXXXX X XXXX XX XXXXXXXXXX/ (XX) XXXXX ȘI ȚXXX NAȘTERII/ (XX) XXXXXX X XXXX XXXXXXXXX/ (XX) XXXX XX XXXXXX XXXXXXX/ (XX) XXXXXXÄXXXXXX XX -XXX/ (XX) XÖXXXXXXXX XXX -XXXX

4.5

(XX) ПОЛ/ (XX) SEXO/ (XX) XXXXXXX/ (XX) KØN/ (XX) XXXXXXXXXX/ (ET) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (XX) XXXXXX/ (XX) SPOL/ (IT) XXXXX/ (LV) DZIMUMS/ (XX) XXXXX/ (XX) XXXX/ (MT) XXXX/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (PT) XXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) SPOL/ (XX) SUKUPUOLI/ (SV) XÖX

4.5.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) XXXX/ (XX) KVINDE/ (DE) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (XX) SIEVIETE/ (XX) XXXXXXX/ (XX) XŐ/ (XX) XXXX/ (XX) XXXXX/ (PL) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) ŽENSKÉ/ (XX) ŽENSKI/ (XX) XXXXXX/ (SV) KVINNA

4.5.2

(BG) МЪЖКИ/ (XX) XXXXX/ (XX) MUŽ/ (XX) XXXX/ (XX) XÄXXXXXX/ (XX) MEESSOOST/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) MUŠKI/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) XXXXX/ (XX) FÉRFI/ (MT) XXĠXX/ (NL) MAN/ (XX) MĘŻCZYZNA/ (XX) XXXXXXXXX/ (RO) XĂXXĂXXXX/ (XX) MUŽSKÉ/ (XX) XXXXX/ (XX) XXXX/ (XX) MAN

4.5.3

(BG) НЕОПРЕДЕЛЕН/ (XX) INDETERMINADO/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (ET) XÄÄXXXXXX/ (EL) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) INDÉTERMINÉ/ (XX) XXXXXXXXXXXXXXX/ (XX) NEODREĐEN/ (XX) INDETERMINATO/ (LV) XXXXXXXXXX/ (XX) NENUSTATYTA/ (XX) MEGHATÁROZATLAN/ (MT) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) NÃO XXXXXXXX/ (RO) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (SL) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX FASTSTÄLLT

5.

(BG) НАСТОЯЩО МЕСТОЖИВЕЕНЕ И/ИЛИ МЕСТОПРЕБИВАВАНЕ НА СЪОТВЕТНОТО ЛИЦЕ СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) DOMICILIO X/X RESIDENCIA ACTUALES XX LA XXXXXXX X LA XXX XX XXXXXXX EL XXXXXXXXX XXXXXXX AL XXX XX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXX BYDLIŠTĚ XXXX XXXXX POBYTU OSOBY XXXXXXX VE XXXXXXX XXXXXXX, X XXX XX XXXXXXXX TENTO XXXXXXXX/ (XX) XXXÆXXXXX XXXÆX XX/XXXXX XXXXXXXXXXX XXX XXXXXXXX, DER XX XXXØXX AF XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX FORMULAR XX VEDHÆFTET/ (DE) XXXXXXXXX XXXXXXXX XXX/XXXX XXX XXX GEWÖHNLICHEN XXXXXXXXXXX XXX XXXXXXXXXXXX XXXXXX XXXÄXX XXX ÖXXXXXXXXXXX XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXXXXX XXXXXXXXXX, MILLELE XXX XXXX ON XXXXXXX, XXXXXXXXX ISIKU XXXXXXXX XXXXXXX ASUKOHT XX/XÕX XXXXXXX/ (XX) ΤΡΕΧΟΥΣΑ ΔΙΕΥΘΥΝΣΗ ΚΑΤΟΙΚΙΑΣ ΚΑΙ/Ή ΔΙΑΜΟΝΗΣ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) CURRENT XXXXXXXX XXX/XX XXXXXXXXX XX THE XXXXXX XXXXX XX THE XXXXXX XXXXXXXX XX XXXXX THIS XXXX XX ATTACHED/ (XX) XXXXXXXX XX/XX RÉSIDENCE XXXXXXX XX XX XXXXXXXX CONCERNÉE XXX XX XXXXXXXX XXXXXX XXXXXX XX XXXXXXX XXXXXXXXXX XXX XXXXX/ (XX) XXXXXXXXXX XXXXXX XXXX/XX XXXXXXXXXXX XX XXXXX ATÁ AINMNITHE XX XXXXXXXXX XXXXXX XXXX BHFUIL XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXX X/XXX XXXXXXXXX XXXXX XXXXXXXX X XXXXXX XXXXXXX KOJOJ XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXX E/O XXXXXXXXX XXXXXXX XXXXX XXXXXXX INTERESSATA XXX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĪXĀX XXXXXXXX XXXXXXXĒXXXX XXXXXXXX XX/XXX XXXXXĒXXXĀX XXXXX, XXX XXXĒXX XXXXXXXXXĀ XXXXXXXXĀ, XXXXX XĪ XXXXXXXX IR XXXXXXXXXX/ (LT) XXXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX FORMA, XXXXXXXX XXXXXX XXXXXXXXĖ XXXXXXXXĖ XXXXXXXXXX XXXXX XX (ARBA) XXXXXXXXXX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATBAN XXXXXXXXXXX XXXXXXX JELENLEGI XXXXXXXXX ÉS/VAGY XXXXXXXXXXXX XXXXX/ (MT) XXXXĊXXXX X/XXX XXXXXXXXX XXXXXXX XXX-XXXXXXX MSEMMIJA XXX-XXXXXXXX XXXXXXXX XX XXXXĦX XX MEHMUŻA DIN XX-XXXXXXX/ (XX) XXXXXXX XXXX- EN/OF XXXXXXXXXXXXXX XXX DE XXXXXXXXXX XX XXXXX XXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXXX MIEJSCE XXXXXXXXXXXX XXX XXXXXXX XXXXXX XXXXX WSKAZANEJ W XXXXXXXXXX URZĘDOWYM, XX XXXXXXX ZAŁĄCZONY JEST XXXXXXXXX FORMULARZ/ (XX) XXXXXXXXX X/XX RESIDÊNCIA XXXXX DA PESSOA XXXXXXXXX XX XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXX ȘX/XXX XXȘXXXXȚX XXXXXX(Ă) XX (X) XXXXXXXXX XXXXXX DE XXXXXXXXXX OFICIAL LA XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXXXX BYDLISKO X/XXXXX XXXXX XXXXX XXXXXXXX XX XXXXXXXX XXXXXXX, XX XXXXXX JE XXXXXXXXX TENTO XXXXXXXX/ (XX) TRENUTNO STALNO XXXXXXXXXXXX XX/XXX XXXXXXXX XXXXXXXXXXXX XXXXX, NA XXXXXX XX XXXXXX XXXXX XXXXXXX, KI XX XX PRILOŽEN XX OBRAZEC/ (XX) XXXXXXXXÄ XXXXXXXXXXXX, JOHON XÄXÄ XXXXXX XXXXXXÄÄX, XXXXXXXXXXX XXXXXXÖX XXXX- XX/XXX ASUINPAIKKA/ (SV) XXXXXXXXX XXXXXXX XXX/XXXXX XXXXXXXXXX XÖX XXX XXXXXX XXX XXXÖXX XX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄR XXXXXXX

5.1

(XX) МЕСТОЖИВЕЕНЕ/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXÆX/ (XX) XXXXXXXX/ (ET) ALALINE XXXXXXX/ (EL) ΚΑΤΟΙΚΙΑ/ (XX) DOMICILE/ (XX) XXXXXXXX/ (GA) SAINCHÓNAÍ/ (XX) XXXXXXXXXXXX/ (IT) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXĖ GYVENAMOJI XXXXX/ (HU) XXXXXXXX/ (XX) XXXXĊXXXX/ (NL) XXXXXXXXXX/ (XX) XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) DOMICILIUL/ (XX) XXXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) HEMVIST

5.1.1

(BG) АДРЕС/ (XX) XXXXXXXXX/ (CZ) XXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXX/ (EL) ΔΙΕΥΘΥΝΣΗ/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) SEOLADH/ (XX) ADRESA/ (IT) XXXXXXXXX/ (LV) XXXXXX/ (XX) ADRESAS/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) ADRES/ (PL) XXXXX/ (XX) XXXXXXÇX/ (XX) XXXXXX/ (SK) XXXXXX/ (XX) NASLOV/ (XX) XXXXXX/ (XX) XXXXXX

5.1.1.1

(XX) УЛИЦА И НОМЕР/ПОЩЕНСКА КУТИЯ/ (XX) XXXXX X XXXXXX / XXXXXXXX DE XXXXXXX/ (CZ) XXXXX X XXXXX XXXX / XXXXXXXX XXXXXXXXX/ (XX) XXX OG XXXXXXXXX/XXXXXXXX/ (XX) XXXXXXX XXX HAUSNUMMER/POSTFACH/ (XX) XÄXXX JA XXXX XXXXXX / XXXXXXXX/ (XX) ΟΔΟΣ ΚΑΙ ΑΡΙΘΜΟΣ / Τ.Θ./ (XX) XXXXXX XXX XXXXXX/XX XXX/ (XX) XXX ET XXXXXX/XXÎXX XXXXXXX/ (GA) SRÁID XXXX UIMHIR/BOSCA XXXXX/ (XX) XXXXX X XXXX / XXXXXXXXX XXXXXXXX/ (XX) XXX X XXXXXX/XXXXXXX XXXXXXX/ (XX) IELA XX XĀXXX XXXXXX / XXXXXXXXX/ (XX) XXXXĖ XX NAMO XXXXXXX / XXXXX DĖŽUTĖ/ (XX) UTCA XX XXXXXXX/XXXXXXXXX/ (XX) TRIQ X NUMRU/KAXXA XXXXXXX/ (XX) STRAAT XX XXXXXX/XXXXXXX/ (PL) ULICA X XXXXX / XXXXXXX XXXXXXXX/ (PT) XXX X NÚMERO/CAIXA XXXXXX/ (XX) STRADA ȘX XXXĂXXX/XĂXXȚX XXȘXXXĂ/ (XX) XXXXX X XXXXX/ POŠTOVÝ PRIEČINOK/ (XX) ULICA XX XXXXXXXX/XXXXXX XXXXXX/ (XX) XÄXXXXXXXX/XXXXXXXXXXX/ (SV) XXXXXXXXXX/XXXXXXX

5.1.1.2

(XX) НАСЕЛЕНО МЯСТО И ПОЩЕНСКИ КОД/ (XX) XXXXXXXXX X XXXXXX XXXXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXXX XXXXX/ (XX) BY XX POSTNUMMER/ (DE) XXX XXX XXX/ (XX) XXXX XÕX XXXXX JA XXXXXXXXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΤΑΧΥΔΡΟΜΙΚΟΣ ΚΩΔΙΚΟΣ/ (XX) XXXXX XXX XXXXXX XXXX/ (XX) XXXXXXXX XX CODE POSTAL/ (XX) XXX XXXX XXX XXXXX/ (XX) XXXXXX X XXXXXXXXX XXXX/ (IT) XXXXXXXÀ X XXX/ (XX) XXXXX XX XXXXX XXXXXXX/ (XX) XXXXX XX XXXXX XXXXX/ (XX) XXXXXXX XX XXXXXXXXXXXX/ (XX) LOKALITÀ X XXXXĊX XXXXXXX/ (XX) XXXXXX XX XXXXXXXX/ (XX) MIEJSCOWOŚĆ X XXX XXXXXXXX/ (XX) LOCALIDADE E XXXXXX POSTAL/ (XX) XXXXXXXXXXX ȘX CODUL XXȘXXX/ (XX) XXXXXX X XXXXXXX SMEROVACIE XXXXX/ (XX) XXXX XX POŠTNA ŠTEVILKA/ (XX) POSTINUMERO XX XXXXXXXXXXXXXXXX/ (XX) ORT XXX XXXXXXXXXX

5.1.1.3

(XX) ДЪРЖАВА/ (XX) PAÍS/ (XX) XXXX/ (XX) XXXX/ (XX) XXXX/ (XX) XXXX/ (XX) ΧΩΡΑ/ (XX) XXXXXXX/ (XX) XXXX/ (GA) XXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) VALSTS/ (XX) ŠALIS/ (XX) XXXXXX/ (MT) XXXXXŻ/ (XX) LAND/ (XX) XXŃXXXX/ (XX) PAÍS/ (XX) ȚXXX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXX/ (SV) XXXX

5.2

(XX) МЕСТОПРЕБИВАВАНЕ/ (ES) XXXXXXXXXX/ (XX) MÍSTO XXXXXX/ (DA) XXXXXXXXXXX/ (XX) ORT DES XXXÖXXXXXXXX XXXXXXXXXXXX/ (ET) XXXXXXX/ (XX) ΔΙΑΜΟΝΗ/ (XX) XXXXXXXXX/ (FR) XXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) BORAVIŠTE/ (XX) XXXXXXXXX/ (XX) XXXXXĒXXXĀX XXXXX/ (XX) XXXXXXXXXX XXXXX/ (HU) TARTÓZKODÁSI XXXX/ (XX) RESIDENZA/ (XX) VERBLIJFPLAATS/ (XX) XXXXXXX XXXXXX/ (XX) XXXXXÊXXXX/ (XX) XXȘXXXXȚX/ (XX) POBYT/ (SL) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX

6.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX LA XXXXX/ (XX) POLE XXX XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) ALLKIRJALAHTER/ (EL) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (EN) XXXXXXXXX XXX/ (FR) XXXXX XXXX XX XXXXXXXXX/ (XX) XXXXX XXX XXXXX/ (HR) XXXXX XX POTPIS/ (XX) XXXXXXXX XXX XX XXXXX/ (XX) XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXX/ (HU) XX XXXXXXX SZÖVEGDOBOZA/ (XX) XXXXX TAL-IFFIRMAR/ (XX) XXX XXXX XX XXXXXXXXXXXX/ (XX) XXXX XXXXXXX/ (XX) XXXXÇX DESTINADO À XXXXXXXXXX/ (RO) XXXXĂXXXX/ (XX) XXXXXXX NA XXXXXX/ (XX) POLJE XX XXXXXX/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (XX) RUTA XÖX XXXXXXXXXXXXXX

6.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X NOMBRE(S) XXX XXXXXXXXXXX XXX XXXXXXX XXXX IMPRESO/ (XX) XXXXXXXX X XXXXX (XXXXX) ÚŘEDNÍKA, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXX(X) OG XXXXXXX(X) XÅ XXX XXXXXXXXXX, DER HAR XXXXXXX DENNE XXXXXXXX/ (XX) FAMILIENNAME(N) XXX XXXXXXX(X) XXX BEAMTEN, 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/ (XX) XXXXXXX(X) XXX FORENAME(S) XX XXX XXXXXXXX XXX XXXXXX THIS XXXX/ (FR) NOM(S) XX XXXXXX(X) XX XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX OIFIGIGH X D’EISIGH AN XXXXXX XXX/ (XX) XXXXXXX(XX) X IME(NA) XXXXXXXXXX KOJI XX XXXXX XXXX OBRAZAC/ (XX) XXXXXXX/X X XXXX/X XXX XXXXXXXXXXX XXX HA XXXXXXXXXX XX PRESENTE MODULO/ (XX) AMATPERSONAS, KURA XXXXXXXX XX XXXXXXXX, XXXĀXXX(-X) XX XĀXXX(-X)/ (XX) XXĄ FORMĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖX) XX XXXXXX (-XX)/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXX XXXX(X) XX XXXXXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX) X ISEM(/ISMIJIET) TAL-UFFIĊJAL XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) NA(A)M(EN) XX XXXXXX(X)X(XX) VAN XX XXXXXXXXX XXX XXX XXXXXXXXX HEEFT XXXXXXXXX/ (XX) XXXXXXXX(-X) X XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (PT) XXXXXXX(X) E NOME(S) XXXXXXX(X) XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX FORMULÁRIO/ (RO) XXXXXX ȘI PRENUMELE XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, KTORÝ XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX XXX/XXXXX XXXXXXXX, XX XX XXXXX TA XXXXXXX/ (XX) XÄXÄX XXXXXXXXX ANTANEEN XXXXXXXXXXX XXXXXXXX (-NIMET) XX XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX XXX XÖXXXXX XÅ XXX TJÄNSTEMAN XXX HAR XXXÄXXXX XXXXX XXXXXXÄX

6.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) CARGO XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (CZ) XXXXXX XXXXXXXX, XXXXX XXXXX TENTO XXXXXXXX/ (XX) STILLING — XXX XXXXXXXXXX, XXX XXX XXXXXXX DENNE XXXXXXXX/ (XX) XXXXXXXX XXX XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (ET) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (EL) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX XX XXX OFFICIAL XXX XXXXXX XXXX XXXX/ (XX) XXXXX XX XXXXXXXXXXXXX QUI X XXXXXXX XX XXXXXXX FORMULAIRE/ (GA) XXXX AN OIFIGIGH X D’EISIGH XX XXXXXX XXX/ (XX) XXXXXXXX XXXXXXXXXX XXXX XX IZDAO OVAJ XXXXXXX/ (XX) XXXXXXXXX XXX XXXXXXXXXXX CHE XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, KURA XXXXXXXX XX XXXXXXXX, XXXXX/ (XX) XXĄ XXXXĄ XXXXXXXXX PAREIGŪNO PAREIGOS/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXXXXXŐ BEOSZTÁSA/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) FUNCTIE XXX XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (PL) XXXXXXXXXX XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX DO XXXXXXXXXXX XXX XXXXXX X PRESENTE FORMULÁRIO/ (XX) XXXXȚXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, KTORÝ XXXXX XXXXX XXXXXXXX/ (XX) POLOŽAJ URADNIKA, XX XX XXXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX XÖX DEN XXÄXXXXXXX XXX XXX XXXÄXXXX DETTA XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) AUSSTELLUNGSDATUM (XX/XX/XXXX)/ (XX) VÄLJAANDMISE XXXXÄXX (XX/XX/XXXX)/ (EL) 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/ (XX) XXXXX (XX/XX/XXXX) IZDAVANJA/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (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 AFGIFTE/ (XX) DATA (XX/XX/XXXX) XXXXXXX/ (PT) DATA XX XXXXXÃX (DD/MM/AAAA)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (SL) XXXXX (DD/MM/LLLL) IZDAJE/ (XX) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (XX) XXXXX (DD/MM/ÅÅÅÅ) XÖX XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) UNTERSCHRIFT/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (FR) XXXXXXXXX/ (XX) XXXXX/ (XX) POTPIS/ (XX) XXXXX/ (XX) PARAKSTS/ (XX) PARAŠAS/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) HANDTEKENING/ (XX) XXXXXX/ (PT) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (SK) XXXXXX/ (SL) XXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) SELLO X XXXXXX/ (XX) XXXXX XXXX XXXXXXX/ (XX) XXXX XXXXX XXXXXXX/ (XX) XXXXXX XXXX STEMPEL/ (XX) XXXXXX VÕI XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX OR XXXXX/ (XX) SCEAU XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXX XXX XXXXX/ (XX) BOLLO X XXXXXX/ (LV) XĪXXXX XXX XXXXXXXX/ (XX) XXXXXXX XXXX ANTSPAUDAS/ (XX) XXXXXX VAGY XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX XXX XXXXXX/ (XX) XXXXX XX XXXXXXX/ (XX) PIECZĘĆ LUB XXXXXXX/ (XX) XXXX XX XXXXXXX/ (XX) XXXXXXXX SAU ȘTAMPILA/ (XX) PEČAŤ XXXXX XXXXXXXX PEČIATKY/ (XX) XXXXX XXX XXX/ (XX) XXXXXXX TAI XXXXX/ (XX) XXXXXX XXXXX STÄMPEL

NEEXISTENCE ZÁZNAMU X XXXXXXXXX XXXXXX XXXXXXXXX STÁTU, JEHOŽ XX DOTYČNÁ OSOBA XXXXXXX PŘÍSLUŠNÍKEM

VÍCEJAZYČNÝ XXXXXXXXXX XXXXXXXX – XXXXXXX XXX PŘEKLAD

Článek 7 xxxxxxxx Evropského xxxxxxxxxx x Xxxx (XX) 2016/1191 xx dne 6. července 2016 x xxxxxxx xxxxxxx xxxxxx občanů xxxxxxxxxxxxx xxxxxxxxx na předkládání xxxxxxxxx xxxxxxxxx listin x Evropské unii x x xxxxx xxxxxxxx (XX) x. 1024/2012 (1)

Belgie (BE) Xxxxxxxxx (BG)

Česká xxxxxxxxx (XX)

Xxxxxx (DK) Xxxxxxx (XX)

Xxxxxxxx (EE) Irsko (XX)

Xxxxx (EL) Španělsko (XX)

Xxxxxxx (FR) Xxxxxxxxxx (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (LV) Litva (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxx (XX) Xxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (RO) Xxxxxxxxx (XX)

Xxxxxxxxx (SK) Xxxxxx (XX)

Xxxxxxx (XX) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

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

Xxxxx xxxxxxxx xxxxxx xxxxx veřejné xxxxxxx, k níž xx xxxxxxxx. Xxxxx, xxxxx xx xxxxxxx xxxxxxx předkládána, xxxx xxxx x případech, xxx xx to xxxxxxxx pro xxxxx xxxxxxxxxx xxxxxxx xxxxxxx, xxxxxxxxx překlad xx xxxxxx informací, xxxxx xxxx xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX VYDÁVAJÍCÍ XXXXX

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

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

1. XXXXX VYDÁVAJÍCÍ XXXXX XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Název (4)

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

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

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Listina xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx vydaná xxxxxx xxxxxxx úředníkem

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

3.1.5 Xxxx (upřesněte)

(1) Úř. xxxx. X 200, 26.7.2016, x. 1.

(2) Xxx xxxxxxxxxx xxxxx xxxxxxxx hůlkové písmo.

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

(4) Xxxxx „xxxxx“ xx xxxxx xxxxxxxx jako xxxxxx xxxxx orgánu vydávajícího xxxxxxxx listinu, x xxx je xxxxxxxx xxxxx xxxxxxxx.

3.2 Listina xxxxxx xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx z xxxxxxxxx xxxxxx

3.2.3 Xxxx xxxxxxx z xxxxxxxxx xxxxxx

3.1.5 Xxxx (upřesněte)

3.3 Xxxxxxxx listina

3.4 Úřední xxxxxxxxx, xxxxxx xxxx xxxxxxxx listina xxxxxxxxx xxxxxxxxx xxxxxx

3.5 Xxxxxxx xxxxxxxxxx diplomatickým xxxxxxxxx xxxx xxxxxxxxxxx xxxxxxxxx xxxxxxxxx státu x xxxxx výkonu xxxx xxxxxxxxxx xxxxxxxxxx

3.6 Xxxxx (xx/xx/xxxx) vydání

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

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

4.1 Xxxxxxxx

4.2 Xxxxxxxxx xxxxxxxx

4.3 Xxxxx (xxxxx)

4.4 Xxxxxxxxx xxxxx (xxxxx)

4.5 Datum (xx/xx/xxxx) xxxxxxxx

4.6 Místo (1) x země (2) xxxxxxxx

4.7 Xxxxxxx:

4.7.1 Žena

4.7.2 Xxx

4.7.3 Neurčeno

4.8 Xxxxxx 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 / x.

4.10.4 Xxxx (xxxxxxxxx) /x.

5. XXXXXXX LISTINA, X XXX XX PŘIPOJEN XXXXX FORMULÁŘ, XXXXXXXXX XXXXX XXXXXXXXX DOTYČNÉ XXXXX UVEDENÉ X XXXXXXXXX TRESTŮ XXXXXXXXX XXXXX, XXXXX XX XXXX OSOBA XXXXXXX XXXXXXXXXXXX.

6. XXXX XXX XXXXXX

6.1 Příjmení x xxxxx (jména) xxxxxxxx, xxxxx vydal xxxxx xxxxxxxx

6.2 Xxxxxx xxxxxxxx, xxxxx xxxxx xxxxx xxxxxxxx

6.3 Datum (xx/xx/xxxx) xxxxxx

6.4 Xxxxxx

6.5 Xxxxx xxxx xxxxxxx

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

(2) Název xxxx x – xxxxx xxxxxxxx – xxx XXX dané země xxxx možnost „Xxxx (xxxxxxxxx)“ xx xxxxx xxxxxx z rozbalovací xxxxxxx xx xxxxxxxx xxxxxxxxxxxx standardním xxxxxxxxx, xxxxx je x xxxxxxxxx xx portálu xxxxxxxx e-justice.

VÍCEJAZYČNÝ XXXXXX XXXXX STANDARDNÍCH XXXXXXX

(XXXXXXXXXXX XXXXXXX X XXXXXXXXX XXXXXX ČLENSKÉHO STÁTU, XXXXX XX XXXXXXX XXXXX STÁTNÍM XXXXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX EXPIDE XXXX XXXXXXX/ (CZ) ORGÁN XXXXXXXXXX TENTO FORMULÁŘ/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (DE) XXXÖXXX, DIE DIESES XXXXXXXX XXXXXXXXX/ (ET) XÄXXXXXXX VORMI XÄXXX XXXXXX ASUTUS/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (EN) XXXXXXXXX XXXXXXX XXXX XXXX/ (XX) XXXXXXXX XX DÉLIVRANCE DU XXXXXXX XXXXXXXXXX/ (XX) XX tÚDARÁS X XXXXXXXX AN XXXXXX XXX/ (XX) XXXXXX XXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX IL XXXXXXXX XXXXXX/ (XX) XXXXXXXXX IZDEVĒJIESTĀDE/ (LT) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX XX' XXX XX-XXXXXXX/ (NL) XXXXXXXXXX XXX XXXXXXX XXX XXX XXXXXXXXX/ (XX) XXXXX WYDAJĄCY XXXXXXXXX XXXXXXXXX/ (PT) XXXXXXXXXX XXX XXXXX X XXXXXXXX FORMULÁRIO/ (RO) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX XXXXXXXX/ (SK) XXXXX XXXXXXXXXX TENTO XXXXXXXX/ (SL) ORGAN, XX XXXX XX XXXXXXX/ (FI) TÄMÄN XXXXXXXXX ANTAVA XXXXXXXXXXXX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (XX) BEZEICHNUNG/ (XX) XXXXXXX/ (EL) ΟΝΟΜΑΣΙΑ/ (XX) DESIGNATION/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (HR) XXXXX/ (IT) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) MEGNEVEZÉS/ (XX) TITLU/ (XX) XXXXXXXX/ (PL) XXXXX/ (XX) DESIGNAÇÃO/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) XXX/ (XX) XXXX/ (SV) NAMN

2.

(BG) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX XXXXXX EL XXXXXXXXX XXXXXXX AL XXX SE XXXXXXX XXXX IMPRESO/ (XX) XXXXX VYDÁVAJÍCÍ VEŘEJNOU XXXXXXX, X NÍŽ XX XXXXXXXX XXXXX XXXXXXXX/ (DA) XXX XXXXXXXXX, XXX XXX XXXXXXX DET XXXXXXXXXX XXXXXXXX, SOM XXXXX XXXXXXXX XX VEDHÆFTET/ (XX) BEHÖRDE, DIE XXX ÖXXXXXXXXXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXÜXX IST, XXXXXXXXX/ (XX) ASUTUS, KES XXXXX VÄLJA AVALIKU XXXXXXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXX XXXXXXX XXX PUBLIC XXXXXXXX XX WHICH XXXX XXXX IS XXXXXXXX/ (XX) XXXXXXXX XX DÉLIVRANCE XX XXXXXXXX PUBLIC XXXXXX XXX XXXXX XX XXXXXXX FORMULAIRE/ (XX) XX tÚDARÁS X XXXXXXXX AN DOICIMÉAD XXXXXX XXXX XXXXXX XX FHOIRM XXX XXXXXXXXXX/ (XX) TIJELO XXXX XXXXXX JAVNU XXXXXXX KOJOJ JE XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ CHE XXXXXXXX IL XXXXXXXXX XXXXXXXX CUI XX XXXXXXXX XXXXXX È XXXXXXXX/ (LV) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (LT) XXXXĄXĮ XXXXXXXXĄ, PRIE KURIO XXXXXXXXX XX XXXXX, XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (XX) A FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXXXX KIÁLLÍTÓ XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX PUBBLIKU XX MIEGĦU HIJA XXXXXŻX DIN XX-XXXXXXX/ (XX) AUTORITEIT XXX XXXXXXX XXX XXX XXXXXXXX DOCUMENT XXXXXXX XXX FORMULIER IS XXXXXXX/ (XX) ORGAN XXXXXĄXX XXXXXXXX XXXĘXXXX, XX KTÓREGO XXXXXXXXX XXXXXXXXX XXXX ZAŁĄCZONY/ (XX) XXXXXXXXXX QUE XXXXX X DOCUMENTO XXXXXXX X XXX X PRESENTE FORMULÁRIO XXXX XXXXXX/ (RO) XXXXXXXXXXX XXXXXXXĂ A XXXXXXXXXXXX XXXXXXX XX XXXX XXXX ANEXAT XXXXXXXXX FORMULAR/ (XX) XXXXX XXXXXXXXXX VEREJNÚ XXXXXXX, XX KTOREJ XX TENTO XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX XXXX XXXXX XXXXXXX, KI JI XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXXXX, XXXX XX XXXXXXX XXXXXXX ASIAKIRJAN, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX SOM XXXÄXXXX DEN XXXXXXXXXX XXXXXXXX TILL XXXXXX XXXXX XXXXXXÄX ÄR XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXX XX XXX SE XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXX LISTINY, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXØXXXXX XXX XXXXXXXXXX DOKUMENT, SOM XXXXX FORMULAR XX XXXXÆXXXX/ (DE) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX FORMULAR XXXXXXÜXX IST/ (XX) XXXXX AVALIKU XXXXXXXXX XXXXX, MILLELE XXX XXXX XX LISATUD/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX TO XXX PUBLIC XXXXXXXX XX XXXXX XXXX XXXX IS ATTACHED/ (XX) INFORMATIONS XXXXXXXXX XX DOCUMENT XXXXXX XXXXXX XXX JOINT XX PRÉSENT XXXXXXXXXX/ (XX) XXXXXXXX X XXXXXXXXX XXXX AN XXXXXXXXX XXXXXX XXXX XXXXXX AN XXXXXX XXX CEANGAILTE/ (HR) XXXXXXXXXXX KOJE SE XXXXXX XX XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX RELATIVE XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXXX DOKUMENTU, KURAM XĪ XXXXXXXX XX XXXXXXXXXX/ (XX) INFORMACIJA, XXXXXXXX XX XXXXXXXX XXXXXXXXX, XXXX KURIO XXXXXXXXX XX XXXXX/ (XX) A XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXX ID-DOKUMENT XXXXXXXX XX XXXXĦX XXXX XXXXXŻX DIN XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX DOCUMENT XXXXXXX DIT FORMULIER XX XXXXXXX/ (XX) XXXXXXXXXX DOTYCZĄCE XXXXXXXXX XXXĘXXXXXX, XX KTÓREGO XXXXXXXXX FORMULARZ XXXX XXŁĄXXXXX/ (PT) INFORMAÇÕES XXXXXXXXX XX DOCUMENTO XXXXXXX X QUE X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX LA XXXX XXXX ANEXAT XXXXXXXXX FORMULAR/ (XX) XXXXXXXXXX O XXXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) INFORMACIJE X ZVEZI Z XXXXX LISTINO, XX XX JE XXXXXXXX XX XXXXXXX/ (XX) XXXXXX YLEISESTÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXXXX XX DEN 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 XXXXXXXX XXX XXX XXXXXXXXX X XX XXXXXXXXXXX VINCULADO X XXX ÓRGANOS XXXXXXXXXXXXXXXX XX XX XXXXXX MIEMBRO/ (XX) XXXXXXX XXXXXX ORGÁNEM XXXX ÚŘEDNÍKEM X XXXXXX XX SOUDY XXXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXXX, XXX XX XXXXXXX XX XX XXXXXXXXX XXXXX XX EMBEDSMAND, XXX XX TILKNYTTET DOMSTOLE X XX XXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXÖXXX XXXX EINER XXXXXXXXXX ALS XXXXX XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) DOKUMENT, XXXXX ON VÄLJA 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 XXXXXXXXX XX XX XXXXXXXX XXXXXXXXX XXXX THE XXXXXX XX TRIBUNALS OF X XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXX X'XXX AUTORITÉ OU X'XX FONCTIONNAIRE XXXXXXXX X'XXX JURIDICTION X'XX XXXX MEMBRE/ (GA) XXXXXXXXX X XXXXXXX X ÚDARÁS XX X XXXXXXXXX X XXXXXX BAINT XXXX XX AICI LE XXXXXXXXXX NÓ XX XXXXX XX XXXXX XXXXXXXXX/ (HR) ISPRAVA XXXX XX IZDALO XXXXXX XXX SLUŽBENIK XXXX XXXXXX XXXXXXX/ (XX) DOCUMENTO EMANATO XX XX'XXXXXXXÀ X XX XX XXXXXXXXXXX XXXXXXXXXXXX XX XXX XXXXX XXXXXXXXXXXXX XX XXX STATO XXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XX XXXĪXXXXXXX XXXXĀX XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX XXXXXXXX XXXXXXXXXXXX XX PAREIGŪNO, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (XX) TAGÁLLAMI XXXXXXXXXX KAPCSOLATBAN XXXX XXXXXXX XXXX TISZTVISELŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX XXXXXXXÀ JEW XXXXĊXXX XX JKOLLHOM XXXXX MAL-QRATI JEW XX-XXXXXXXXX TA' XXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX OF XXXXXXXXX XXXXXXXXX XXX EEN XXXXXXXXXXXX XXXXXXXXX XXX XXX LIDSTAAT/ (PL) XXXXXXXX XXXXXXXĄXX OD XXXXXX XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXXXX XX DE XX XXXXXXXXXXX DEPENDENTE XX XXXXXXXX XXXXXXXÇÃX XX XX ESTADO-MEMBRO/ (XX) DOCUMENT XXXX XX X AUTORITATE XXX DE XX XXXXȚXXXXX XX XX XÂXXĂ XXXXXXȚXXX XXXX XXXX MEMBRU/ (SK) XXXXXXX XXXXXX XXXXXXX XXXXX XXXXXXXXX S XÄXXXX NA SÚDY XXXXXXXXX XXXXX/ (XX) XXXXXXX, XXXXXX S XXXXXX ORGANA XXX XXXXXXXX XXXXX XXXXXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX, JONKA XX XXXXXXX XÄXXXXXXXXXX OIKEUSLAITOKSEEN XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX XX MYNDIGHET XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X EN XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) RESOLUCIÓN XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (ET) KOHTUOTSUS/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) DÉCISION DE XXXXXXX/ (XX) XXXXXXXX XX xXXXXX/ (XX) XXXXXX XXXXXX/ (XX) XXXXXXXXX GIURISDIZIONALE/ (XX) XXXXXX XĒXXXX/ (XX) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (XX) XXĊXŻXXXX TAL-QORTI/ (XX) XXXXXXXXXXXX BESLISSING/ (XX) XXXXXXXXXX SĄDOWE/ (XX) XXXXXÃX XXXXXXXX/ (RO) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX ROZHODNUTIE/ (SL) XXXXX XXXXXXX/ (FI) XXXXXXXXXXXXXX XÄÄXÖX/ (SV) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (ES) XXXXXXXXX EXPEDIDO XXX XX MINISTERIO XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX AF XX XXXXXXXXXXXXXXXX/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT, MILLE XX XÄXXX XXXXXX XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX FROM X XXXXXX PROSECUTOR/ (XX) XXXXXXXX ÉMANANT XX XXXXXXÈXX XXXXXX/ (GA) XXXXXXXXX A XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX KOJU XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (IT) XXXXXXXXX XXXXXXX DAL XXXXXXXX XXXXXXXXX/ (LV) XXXXXXXXX, XXXX IZSNIEDZIS XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) ÜXXXXX XXXXX KIÁLLÍTOTT XXXXXX/ (XX) DOKUMENT MAĦRUĠ XXXX PROSEKUTUR PUBBLIKU/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXX XXXXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX XX XXXXXXXXXX PÚBLICO/ (XX) DOCUMENT XXXX XX XX PROCUROR/ (XX) XXXXXXX VYDANÁ XXXXXXXXXXXX/ (XX) LISTINA, XX XX IZDA XXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) DOCUMENTO XXXXXXXX XXX UN SECRETARIO XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXX SOUDNÍM XXXXXXXXX/ (XX) DOKUMENT XXXXXXX AF XX XXXXXXXXXXXXXÆX/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXX DER 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 XXXXXXX X'XX XXXXXXXX/ (XX) XXXXXXXXX A XXXXXXX Ó CHLÉIREACH XX XXXXX CÚIRTE/ (XX) ISPRAVA KOJU XX XXXXX UPRAVITELJ XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX CANCELLIERE/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (LT) XXXXXX TARNAUTOJO XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ ÁLTAL KIÁLLÍTOTT XXXXXX/ (MT) XXXXXXXX XXĦXXĠ XXXX REĠISTRATUR XX' QORTI/ (XX) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX OD XXXXXXXXXX XĄXXXXXX/ (XX) XXXXXXXXX PROVENIENTE XX XX OFICIAL XX XXXXXÇX/ (RO) XXXXXXXX XXXX XX XX XXXXXXX XX XXXXXXȚXX/ (XX) XXXXXXX VYDANÁ XXXXXX XXXXXXXXX/ (SL) XXXXXXX, XX JO XXXX XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX SIHTEERIN XXXXXX XXXXXXXXX/ (SV) XXXXXXXX SOM HÄRRÖR XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXX XXXXXXXX XXX XX AGENTE JUDICIAL («XXXXXXXX DE JUSTICE»)/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXX UDSTEDT XX XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX VÄLJA XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX DE XXXXXXX»)/ (XX) DOCUMENT XXXXXXXXX XXXX A XXXXXXXX XXXXXXX ('XXXXXXXX XX XXXXXXX')/ (FR) XXXXXXXX XXXXXXX X'XX XXXXXXXX DE XXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX DE XXXXXXX”)/ (HR) XXXXXXX XXXX JE IZDAO XXXXXX XXXXXXXXX (HUISSIER XX XXXXXXX)/ (IT) XXXXXXXXX EMANATO XX XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (XX) DOKUMENTS, XXXX XXXXXXXXXX XXXXXX IZPILDĪTĀJS (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX (XXXXXXXX XX JUSTICE) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX DE XXXXXXX”) XXXXX KIÁLLÍTOTT XXXXXX/ (MT) DOKUMENT XXĦXXĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX DE XXXXXXX')/ (NL) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX XXXĘXXXXX XĄXXXXXX (XXXXXXXX XX XXXXXXX)/ (PT) DOCUMENTO XXXXXXXXXXX XX XX XXXXXXÃX XX XXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX EMIS XX UN EXECUTOR XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (SK) LISTINA XXXXXX SÚDNYM VYKONÁVATEĽOM („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX („HUISSIER XX XXXXXXX“)/ (FI) XXXXXXXXXXXX (”XXXXXXXX DE XXXXXXX”) XXXXXX ASIAKIRJA/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXÄXXXXXXXXX (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) JINÉ (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (ET) XXX (XÄXXXXXXXX)/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (EN) XXXXX (TO XX XXXXXXXXX)/ (FR) XXXXX (À XXXXXXXX)/ (XX) XXXX (LE SONRÚ)/ (XX) XXXXXX (XXXXXXX)/ (XX) ALTRO (PRECISARE)/ (XX) CITS (XXXXXXĒX)/ (XX) KITA (XXXXXXXX)/ (XX) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) OĦRAJN (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) XXXX (XXXXXĘ XXXXŚXXĆ)/ (XX) XXXXXX (X ESPECIFICAR)/ (XX) XXXXX (A XX XXXXXXX)/ (XX) XXX (XXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) ANNAN XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXX ÚŘADEM/ (DA) XXXXXXXXXXXXXX DOKUMENT/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) HALDUSDOKUMENT/ (EL) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX DOCUMENT/ (XX) XXXXXXXX ADMINISTRATIF/ (XX) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX ISPRAVA/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (LV) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX DOKUMENTAS/ (XX) XÖXXXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX ADMINISTRATIVO/ (RO) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (SL) XXXXXXX LISTINA/ (XX) XXXXXXXXXXXXXX ASIAKIRJA/ (SV) XXXXXXXXXXXXX HANDLING

3.2.1

(BG) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (DA) PÅTEGNING/ (XX) BESCHEINIGUNG/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) CERTIFICATE/ (XX) XXXXXXXXXX/ (GA) DEIMHNIÚ/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (LV) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (XX) TANÚSÍTVÁNY/BIZONYÍTVÁNY/ (XX) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) ZAŚWIADCZENIE/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА СЪДИМОСТ/ (XX) EXTRACTO XXX XXXXXXXX XX XXXXXXXXXXXX XXXXXXX/ (CZ) VÝPIS X XXXXXXXXX XXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXX/ (XX) STRAFREGISTERAUSZUG/ (XX) XXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΠΟΙΝΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) EXTRACT XXXX XXX CRIMINAL XXXXXX/ (FR) EXTRAIT XX XXXXXX JUDICIAIRE/ (XX) XXXXXXX AS XX XXXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXX XXXXXXXXXX/ (IT) XXXXXXXX XXX CASELLARIO XXXXXXXXXX/ (XX) IZRAKSTS XX XXXĀXĪXXX XXĢXXXXX/ (XX) IŠRAŠAS XX XXXXXXXXXXXŲ XXXXXXXX/ (XX) XXXXXXX X XŰXÜXXX XXXXXXXXXXXXXXXX/ (MT) XXXXXXX XXX-XXXXXX KRIMINALI/ (XX) XXXXXXXXXX XXX HET XXXXXXXXXXXXX/ (XX) XXXXĄX X XXXXXXXX KARNEGO/ (XX) XXXXXXXXXXX XX XXXXXXX XXXXXXXX/ (XX) XXXXXX DIN XXXXXXXX XXXXXXXX/ (XX) VÝPIS X REGISTRA XXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXXXXXXXX

3.2.3

(XX) ПЪЛЕН ПРЕПИС ОТ АКТ ОТ РЕГИСТЪРА ЗА СЪДИМОСТ/ (XX) XXXXX XXXXXXX DE XXXXXXXXXXXXX XXX XXXXXXXX XX XXXXXXXXXXXX PENALES/ (XX) XXXX ZÁZNAMU X XXXXXXXXX XXXXXX/ (XX) XXXXXX XXXX XX XXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXXXXXX DES STRAFREGISTERS/ (XX) XXXXXXXXXXXXXXXX VÄLJAVÕTTE XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΟΙΝΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) VERBATIM COPY XX XXX CRIMINAL XXXXXX/ (XX) XXXXX XXXXXXXXX DU CASIER XXXXXXXXXX/ (XX) XXXX XXXXX XX FHOCAL XXX XXXXXXX COIRIÚIL/ (XX) DOSLOVNI XXXXXXXX XX KAZNENE EVIDENCIJE/ (XX) XXXXX XXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXĀXĪXXX XXĢXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXŲ XXXXXXXX ĮXXXŲ XXXXXXXĖ KOPIJA/ (XX) X BŰNÜGYI NYILVÁNTARTÁS XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX VERBATIM XXX-XXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX AFSCHRIFT XXX XXX STRAFREGISTER/ (XX) XXXXX XXXXŁXX X XXXXXXXX KARNEGO/ (XX) XXXXXXÃX XX XXXXX XXXXXXXX XX XX XXXXXXXXX DO XXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXĂ A CAZIERULUI XXXXXXXX/ (XX) XXXXXXXX XXXXX Z XXXXXXXX XXXXXXX/ (SL) XXXXXXXXX XXXXXX XX XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXXXX XX XXXXXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (ES) XXXX NOTARIAL/ (CZ) XXXXXXXX LISTINA/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX/ (ET) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) XXXX XXXXXXX/ (XX) GNÍOMH XXXXXXXXXXXX/ (XX) JAVNOBILJEŽNIČKA XXXXXXX/ (XX) XXXX XXXXXXXX/ (LV) NOTARIĀLS XXXX/ (XX) NOTARINIS XXXXX/ (HU) XÖXXXXXXŐX XXXXXX/ (MT) ATT XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (XX) AKT XXXXXXXXXX/ (PT) XXX XXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (FI) XXXXXXXX XXXXXX ASIAKIRJA/ (XX) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX XXXXXX SOBRE XX XXXXXXXXX PRIVADO/ (XX) ÚŘEDNÍ XXXXXXXXX, XXXXXX XXXX OPATŘENA XXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (DA) XXXXXXXX XÅXXXXXXX PÅ ET XXXXXXXX UNDERTEGNET XX XX XXXXXX X XXXXXX EGENSKAB XX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX XXXXX XXXXXXXXXXXXX/ (XX) XXXXX XXXXX ERAISIKUNA XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX AMETLIK 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 XX XXX XXXXXXX XXXXXXXX/ (XX) DÉCLARATION XXXXXXXXXX XXXXXXX XXX XX ACTE XXXX XXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX X XXXXXXXXX XX XXXXXXXXXX XXXX SHÍNIÚ AG XXXXX XXX XXXXX XX XXX XXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX XX XXXXXXX KOJU JE XXXXX POTPISALA X XXXXXXXXX XXXXXXXX/ (IT) XXXXXXXXXXXXX UFFICIALE XXXXXXX XX UNA XXXXXXXXX XXXXXXX/ (XX) XXXXXĀXX XXXXXXXXĀXXXX UZ DOKUMENTA, XX XXXĀ VĀRDĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (XX) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (HU) XXXXXXXXXXXXX XXXXXXXXXXX HIVATALOS XXXXXXXXXXX/ (XX) ĊERTIFIKAT XXXXĊXXXX XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX MINN PERSUNA XXX-XXXXĊXXÀ XXXXXXX TAGĦHA/ (XX) XXXXXXXXX CERTIFICAAT XX XXX XXXXXXXX XXXXXXXXXXX XXXX EEN XXXXXXX IN XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX ZAŚWIADCZENIE UMIESZCZONE XX XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ X CHARAKTERZE XXXXXXXXX/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX XXX XX NATUREZA XXXXXXX/ (XX) CERTIFICAT OFICIAL XXXXXXX PE XX XXXXXXXX XXX SEMNĂTURĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX NA XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX SÚKROMNÁ XXXXX/ (XX) XXXXXX XXXXXX XX ZASEBNI XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, XXXXX XXXXXXÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) OFFICIELLT XXXXX XXXXXXXXX XÅ XX HANDLING SOM XXXXXXXXXXXXX XX XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (ES) XXXXXXXXX XXXXXXXX POR XX XXXXXX XXXXXXXXXXX X CONSULAR XX XX ESTADO XXXXXXX XXX CARÁCTER XXXXXXX/ (XX) LISTINA XXXXXXXXXX XXXXXXXXXXXXX ZÁSTUPCEM XXXX XXXXXXXXXXX XXXXXXXXX ČLENSKÉHO XXXXX X XXXXX XXXXXX XXXX SLUŽEBNÍCH XXXXXXXXXX/ (XX) DOKUMENT XXXXXXXXX UDFÆRDIGET AF XX XXXXXXXXXXXX DIPLOMATISKE XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (XX) VON XXXXX XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX URKUNDE/ (XX) XXXXXXXXXXXX DIPLOMAATILISE XÕX XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX TÄITMISEL KOOSTATUD XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX XXXXX UP XX X XXXXXXXXXX XX XXXXXXXX XXXXX XX X MEMBER XXXXX XX XXX XX XXX OFFICIAL CAPACITY/ (XX) XXXXXXXX XXXXXX XX XX XXXXXXX XXXXXXXXXX XXX XX XXXXX DIPLOMATIQUE OU XXXXXXXXXX D'UN ÉTAT XXXXXX/ (XX) XXXXXXXXX XXXX THARRAINGT SUAS XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX XX XXXXX XXXXXXXXX XXX XXXXX XX INA XXXX OIFIGIÚIL/ (XX) XXXXXXX KOJU XX X XXXXXXXXX XXXXXXXX XXXXXXXX DIPLOMATSKI XXX XXXXXXXXXX PREDSTAVNIK XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX XXXXXXXXXXX X XXXXXXXXX XX XXX XXXXX XXXXXX NELL'ESERCIZIO DELLE XXXX XXXXXXXX/ (XX) XXXXXXXXX, KURU, XXXXXX XXXXX PIENĀKUMUS, SAGATAVOJIS XXXĪXXXXXXX XXXXXXĀXXXXXXX VAI XXXXXXĀXXXX XĀXXXĀXXX/ (LT) XXXXXXXXXX, PARENGTAS XXXXXXXĖX XXXĖX XXXXXXXXX AR XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX XXXXX XXXXXXXXXX ĮGALIOJIMUS/ (XX) XXXXXXXX TAGÁLLAM XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX KIÁLLÍTOTT OKIRAT/ (XX) XXXXXXXX XXĦXXXX XXXX XĠXXX XXXXXXXXXXX XXX KONSULARI XX' XXXX MEMBRU FIL-KAPAĊITÀ XXXXĊXXXX TIEGĦU/ (XX) XXXXXXXX OPGESTELD XXXX XX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX IN XXXX XXXXXXËXX XXXXXXXXXXXX/ (XX) DOKUMENT SPORZĄDZONY XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX URZĘDNIKA XXXXXXXXXXXX XXŃXXXX CZŁONKOWSKIEGO DZIAŁAJĄCYCH X CHARAKTERZE XXXĘXXXXX/ (XX) DOCUMENTO XXXXXXX XXX XX XXXXXX XXXXXXXXXXX XX XXXXXXXX XX XX XXXXXX-XXXXXX XX EXERCÍCIO DAS XXXX XXXÇÕXX OFICIAIS/ (XX) XXXXXXXX ÎXXXXXXX XX XĂXXX XX XXXXX XXXXXXXXXX XXX XXXXXXXX AL UNUI XXXX MEMBRU, ÎN XXXXXXXX XXXXXXXĂ/ (SK) XXXXXXX VYHOTOVENÁ DIPLOMATICKÝM XXXXXXXXX ALEBO XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X RÁMCI XXXXXX XXXX FUNKCIE/ (SL) XXXXXXX, XX XX XXX XXXXXX XXXXX XXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX DRŽAVE XXXXXXX/ (FI) XXXXXXXXX, XXXXX XÄXXXXXXXXXX DIPLOMAATTINEN XXXXXXXX XXX KONSULIEDUSTAJA XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) HANDLING XXXXÄXXXX X TJÄNSTEN XX XX XXXXXXXXXXX ELLER XXXXXXÄX TJÄNSTEMAN I XX MEDLEMSSTAT

3.6

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX EXPEDICIÓN/ (CZ) XXXXX (XX/XX/XXXX) VYDÁNÍ/ (XX) XXXXXXXXXXXXXXX (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) DATE (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (LL/MM/BBBB) XXXXXXX/ (HR) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (IT) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (DD/MM/MMMM)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (JJ/XX/SSSS) XXX-ĦXXĠ/ (XX) XXXXX (DD/MM/JJJJ) XXX XXXXXXX/ (PL) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX DE XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) EMITERII/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXX/ (SL) XXXXX (XX/XX/XXXX) IZDAJE/ (FI) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (XX) XXXXX (DD/MM/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX DE XXXXXXXXXX DEL XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (XX) DET XXXXXXXXXX XXXXXXXXX REFERENCENUMMER/ (DE) XXXXXXXXXX XXX ÖFFENTLICHEN XXXXXXX/ (XX) XXXXXXX XXXXXXXXX VIITENUMBER/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX OF XXX XXXXXX DOCUMENT/ (XX) XXXXXX XX XXXXXXXXX DU XXXXXXXX XXXXXX/ (XX) XXXXXX XXXXXXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (XX) NUMERO DI XXXXXXXXXXX DEL XXXXXXXXX XXXXXXXX/ (LV) XXXXXXXĀ XXXXXXXXX ATSAUCES NUMURS/ (XX) XXXXXXX DOKUMENTO XXXXXXX/ (XX) A XÖXXXXXXX HIVATKOZÁSI XXXXX/ (XX) NUMRU XX' XXXXXXXXX XXX-XXXXXXXX PUBBLIKU/ (XX) XXXXXXXXXXXXXXXX XXX XXX OPENBAAR XXXXXXXX/ (XX) XXXXX REFERENCYJNY XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXX XX XXXXXÊXXXX XX DOCUMENTO PÚBLICO/ (XX) NUMĂRUL DE XXXXXXXȚĂ AL DOCUMENTULUI XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXXX LISTINY/ (XX) XXXXXXXXXX XXXXXXXX XXXXX LISTINE/ (XX) XXXXXXX ASIAKIRJAN XXXXXXXXXXX/ (XX) DEN XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА САМОЛИЧНОСТТА НА СЪОТВЕТНОТО ЛИЦЕ СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXX LA XXXXXXXXX XX XX XXXXXXX X XX XXX XX XXXXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX ESTE IMPRESO/ (XX) INFORMACE X XXXXXXXXXX XXXXX XXXXXXX XX VEŘEJNÉ LISTINĚ, X NÍŽ JE XXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XX XXXXXXXXXXX XÅ PERSONEN, XXX DET XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX, XX XXXXXXX I/ (XX) XXXXXXX XXX XXXXXXXÄX XXX XXXXXXXXXXXX XXXXXX XXXÄXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX XXXXX XXXXXXXXXXXXX XXXXX, XXX XX NIMETATUD XXXXXXXX XXXXXXXXXX, XXXXXXX XXX VORM ON XXXXXXX/ (EL) ΠΛΗΡΟΦΟΡΙΕΣ ΓΙΑ ΤΗΝ ΤΑΥΤΟΤΗΤΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΚΑΤΟΝΟΜΑΖΕΤΑΙ ΣΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) INFORMATION XX XXX XXXXXXXX XX XXX XXXXXX NAMED XX XXX PUBLIC XXXXXXXX XX XXXXX XXXX XXXX IS XXXXXXXX/ (FR) INFORMATIONS XXX L'IDENTITÉ XX XX XXXXXXXX XXXXXXXXX XXX LE XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX PRÉSENT XXXXXXXXXX/ (XX) XXXXXXXX XXXX XXXXXXXXXX XX XXXXX XXX AINMNITHE XX XXXXXXXXX XXXXXX XXXX XXXXXX AN XXXXXX XXX CEANGAILTE/ (XX) XXXXXXXXXXX O XXXXXXXXXX OSOBE NAVEDENE X XXXXXX ISPRAVI XXXXX JE OVAJ XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXX'XXXXXXXÀ DELLA XXXXXXX XXXXXXXXXXX XXX XXXXXXXXX PUBBLICO CUI XX XXXXXXXX XXXXXX È ALLEGATO/ (XX) XXXXXXĀXXXX XXX PUBLISKAJĀ XXXXXXXXĀ, XXXXX XĪ XXXXXXXX IR XXXXXXXXXX, XXXĒXĀX XXXXXXXX XXXXXXXĀXX/ (XX) XXXXXXXXXXX XXXX XXXXXX, XXXXXXXX VIEŠAJAME XXXXXXXXX, PRIE XXXXX XXXXXXXXX XX XXXXX, XXXXXXXĘ/ (XX) X XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXXXXX XXXXXXXXXXX SZEMÉLY XXXXXXXXXXXXXXXXXXX XXXXXXXXX ADATOK/ (XX) XXXXXXXXXXXXX XXXX X-XXXXXXXÀ XXX-XXXXXXX MSEMMIJA FID-DOKUMENT XXXXXXXX XX MIEGĦU XX MEHMUŻA XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXX XX IDENTITEIT XXX DE BETROKKENE XX XXXXX VAN XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXX NA TEMAT XXŻXXXXŚXX OSOBY XXXXXXXXX X XXXXXXXXXX URZĘDOWYM, XX KTÓREGO ZAŁĄCZONY XXXX XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÕXX XXXXX X XXXXXXXXXX DA XXXXXX DESIGNADA XX XXXXXXXXX PÚBLICO A XXX X XXXXXXXX XXXXXXXXXX ESTÁ APENSO/ (XX) XXXXXXXȚXX PRIVIND XXXXXXXXXXX PERSOANEI XXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX FORMULAR/ (XX) XXXXXXXXXX X XXXXXXXXXX XXXXX XXXXXXXX XX XXXXXXXX LISTINE, XX XXXXXX XX XXXXX FORMULÁR XXXXXXXXX/ (XX) INFORMACIJE X XXXXXXXXXXXX OSEBE, XX XXXXXX XX NANAŠA XXXXX XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXÄ ASIAKIRJASSA, XXXXX XÄXÄ XXXXXX LIITETÄÄN, XXXXXXXXXXX XXXXXXÖX XXXXXXÖXXXXXX/ (XX) XXXXXXXXX XX XXXXXXXXXXX XÅ DEN XXXXXX XXX BERÖRS XX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X)/ (XX) XXXXXXXX/ (XX) EFTERNAVN(E)/ (XX) XXXXXXXXXXXX(X)/ (ET) XXXXXXXXXXXXX (-NIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (EN) SURNAME(S)/ (XX) XXX(X)/ (XX) XXXXXXX (XXXXXXXX)/ (HR) XXXXXXX(XX)/ (XX) COGNOME(I)/ (XX) UZVĀRDS(-I)/ (XX) XXXXXXĖ (-ĖX)/ (XX) XXXXXXX NEVE(I)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (NL) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (PT) XXXXXXX(X)/ (RO) XXXX/ (XX) XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX/ (XX) XXXXXXXX (-XXXXX)/ (XX) XXXXXXXXX

4.2

(XX) ПРЕДИШНО(И) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X) XXXXXXXX(XX)/ (XX) XXXXXXXXX PŘÍJMENÍ/ (XX) TIDLIGERE EFTERNAVN(E)/ (XX) XXÜXXXX(X) FAMILIENNAME(N)/ (XX) VARASEM PEREKONNANIMI (XXXXXXXXX PEREKONNANIMED)/ (XX) ΠΡΟΗΓΟΥΜΕΝΟ(-Α) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXXX SURNAME(S)/ (XX) XXX(X) XXXXXXXXX(X)/ (XX) XXXXXXX (XXXXXXXX) XXXXXX XXX/ (XX) XXXXXXXXX(-X) XXXXXXX(XX)/ (IT) XXXXXXX/X XXXXXXXXXX/X/ (XX) XXXXXXXXĒXXXX(-XX) XXXĀXXX(-X)/ (XX) XXXXXXXXĖ (-ĖX) XXXXXXĖ (-ĖX)/ (XX) XXŐXŐ XXXXXXX XXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX) XXXĊXXXXXX/ (XX) XXXXXXXX XXXXXXXX(X)X(XX)/ (PL) POPRZEDNIE XXXXXXXX(-X)/ (XX) XXXXXXX(X) XXXXXXXX(XX)/ (RO) NUME XXXXXXXX (NUME ANTERIOARE)/ (XX) PREDCHÁDZAJÚCE XXXXXXXXXX(-X)/ (XX) XXXXXXXX XXXXXXX/XXXXXXX / (XX) ENTINEN XXXXXXXX (ENTISET SUKUNIMET)/ (XX) XXXXXXXX EFTERNAMN

4.3

(BG) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) JMÉNO (XXXXX)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-NIMED)/ (EL) ΟΝΟΜΑ(-ΤΑ)/ (EN) XXXXXXXX(X)/ (XX) PRÉNOM(S)/ (GA) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (IT) XXXX(X)/ (XX) VĀRDS(-I)/ (LT) XXXXXX (-XX)/ (HU) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (XX) VOORNA(A)M(EN)/ (XX) XXXĘ (XXXXXX)/ (PT) XXXX(X) XXXXXXX(X)/ (XX) XXXXXXX/ (SK) XXXX(-X)/ (XX) IME/IMENA/ (XX) XXXXXXX (-NIMET)/ (XX) XÖXXXXX

4.4

(XX) ПРЕДИШНО(И) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X) XXXXXXXX(XX)/ (CZ) XXXXXXXXX XXXXX (XXXXX)/ (DA) XXXXXXXXX XXXXXXX(X)/ (XX) XXÜXXXX(X) VORNAME(N)/ (ET) XXXXXXX EESNIMI (XXXXXXXXX XXXXXXXX)/ (XX) ΠΡΟΗΓΟΥΜΕΝΟ(-Α) ΟΝΟΜΑ(-ΤΑ)/ (EN) XXXXXXXX XXXXXXXX(X)/ (FR) PRÉNOM(S) XXXXXXXXX(X)/ (XX) CÉADAINM (XXXXXXXXXXXXXX) ROIMHE XXX/ (XX) XXXXXXXXX(-X) XXX(XX)/ (XX) XXXX/X XXXXXXXXXX/X/ (XX) XXXXXXXXĒXXXX(-XX) VĀRDS(-I)/ (XX) XXXXXXXXXX (-X) XXXXXX (-AI)/ (XX) XXŐXŐ XXXXXXX(X)/ (XX) XXXX/XXXXXXXX PREĊEDENTI/ (NL) XXXXXXXX XXXXXXX(X)X(XX)/ (XX) XXXXXXXXXX IMIĘ (IMIONA)/ (XX) NOME(S) PRÓPRIO(S) XXXXXXXX(XX)/ (XX) PRENUME XXXXXXXX (XXXXXXX XXXXXXXXXX)/ (XX) XXXXXXXXXXXXXX XXXX(-X)/ (XX) XXXXXXXX XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (XX) TIDIGARE XÖXXXXX

4.5

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXX/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) GEBURTSDATUM (XX/XX/XXXX)/ (ET) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (EN) XXXX (XX/XX/XXXX) OF XXXXX/ (FR) XXXX (XX/XX/XXXX) DE NAISSANCE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (IT) XXXX XX XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX IDEJE (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) TAT-TWELID/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (PL) XXXX (DD/MM/RRRR) URODZENIA/ (XX) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) NAȘTERII/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (SL) DATUM (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXÄXXXX (PP/KK/VVVV)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.6

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (ES) LUGAR X XXXX XX XXXXXXXXXX/ (XX) XXXXX X ZEMĚ XXXXXXXX/ (XX) XØXXXXXX XX -XXXX/ (XX) XXX XXX XXXX XXX XXXXXX/ (XX) XÜXXXXXXX XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX XXX XXXXXXX OF XXXXX/ (XX) XXXX XX XXXX XX XXXXXXXXX/ (GA) ÁIT XXXX TÍR XXXXXXXX/ (XX) MJESTO X XXXXXX ROĐENJA/ (IT) XXXXX X XXXXX XX XXXXXXX/ (XX) XXXXXXXXX VIETA UN XXXXXX/ (XX) XXXXXX XXXXX IR XXXXX/ (XX) XXÜXXXXXX HELYE XX XXXXXXX/ (MT) XXXX X PAJJIŻ XXX-XXXXXX/ (NL) XXXXXXXXXXXXXX XX -XXXX/ (XX) XXXXXXX I XXŃXXXX XXXXXXXXX/ (PT) LOCAL X PAÍS XX XXXXXXXXXX/ (XX) XXXXX ȘX ȚXXX XXȘXXXXX/ (XX) XXXXXX X XXXX XXXXXXXXX/ (SL) XXXX IN XXXXXX XXXXXXX/ (XX) SYNTYMÄPAIKKA XX -XXX/ (XX) XÖXXXXXXXX XXX -XXXX

4.7

(XX) ПОЛ/ (XX) XXXX/ (XX) POHLAVÍ/ (DA) XØX/ (XX) GESCHLECHT/ (XX) XXXX/ (XX) ΦΥΛΟ/ (XX) SEX/ (XX) XXXX/ (GA) XXXXXX/ (XX) SPOL/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXX/ (MT) XXXX/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXX/ (XX) SUKUPUOLI/ (XX) XÖX

4.7.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (CZ) XXXX/ (DA) KVINDE/ (XX) XXXXXXXX/ (ET) XXXXXXXXX/ (EL) ΘΗΛΥ/ (XX) XXXXXX/ (FR) XXXXXXX/ (XX) XXXXXXXX/ (XX) ŽENSKI/ (IT) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XŐ/ (XX) MARA/ (XX) VROUW/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) FEMEIESC/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (SV) XXXXXX

4.7.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) MUŽ/ (XX) XXXX/ (XX) XÄXXXXXX/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) FIREANN/ (XX) XXXXX/ (XX) MASCHILE/ (XX) VĪRIETIS/ (XX) XXXXX/ (XX) XXXXX/ (XX) XXĠXX/ (NL) XXX/ (PL) XĘŻXXXXXX/ (XX) MASCULINO/ (RO) XĂXXĂXXXX/ (SK) XXXXXX/ (XX) XXXXX/ (FI) XXXX/ (SV) XXX

4.7.3

(XX) НЕОПРЕДЕЛЕН/ (ES) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (EN) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (HU) XXXXXXXXXXXXXXX/ (XX) MHUX XXXXXXXXX/ (XX) XXXXXXXXX/ (PL) XŁXĆ XXXXXXXŚXXXX/ (PT) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) NEDOLOČEN/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) EJ XXXXXXÄXXX

4.8

(XX) ГРАЖДАНСТВО/ (XX) XXXXXXXXXXXX/ (CZ) STÁTNÍ XXXXXXXXXXX/ (XX) NATIONALITET/ (XX) XXXXXXXXXXXÖXXXXXXX/ (XX) XXXXXXXXXXX/ (EL) ΙΘΑΓΕΝΕΙΑ/ (XX) NATIONALITY/ (XX) XXXXXXXXXXX/ (XX) NÁISIÚNTACHT/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) VALSTSPIEDERĪBA/ (XX) XXXXXXXXĖ/ (XX) XXXXXXXXXXXXXXX/ (XX) ĊXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXĂȚXXXX/ (SK) XXXXXX PRÍSLUŠNOSŤ/ (SL) XXXXXXXXXXXXX/ (XX) KANSALAISUUS/ (XX) MEDBORGARSKAP

4.9

(BG) ГРАЖДАНСКИ НОМЕР/ (ES) XXXXXX XX XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXX/ (DE) XXXXXXXÄXXXXXXXX/ (XX) ISIKUKOOD/ (EL) ΑΡΙΘΜΟΣ ΤΑΥΤΟΤΗΤΑΣ/ (EN) XXXXXXXX XXXXXX/ (XX) XXXXXX X'XXXXXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX BROJ/ (XX) XXXXXX X'XXXXXXXXXXXXXXX/ (XX) XXXXXXXĀXXX XXXXXX/ (XX) XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXXX/ (XX) XXXXX XXX-XXXXXXXÀ/ (XX) XXXXXXXXXXXXXXXXX/ (XX) XXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX XX IDENTIFICAÇÃO/ (XX) XXXĂXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXX/ (SL) XXXXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXÖXXXXXX/ (XX) IDENTITETSNUMMER

4.10

(BG) ВИД И НОМЕР НА ДОКУМЕНТА ЗА САМОЛИЧНОСТ НА ЛИЦЕТО/ (XX) XXXX X XXXXXX XX XXXXXXXXX XX XXXXXXXXXXXXXX XXX XXXXXXXXXX/ (XX) XXXX X XXXXX IDENTIFIKAČNÍHO XXXXXXX XXXXX/ (XX) XXXXX XX NUMMERET XÅ XXXXXXXXX IDENTIFIKATIONSDOKUMENT/ (DE) XXX XXX XXXXXX XXX XXXXXXXÄXXXXXXXXXXX XXX XXXXXX/ (XX) XXXXXX XÕXXXXXX XXXXXXXXX LIIK XX NUMBER/ (XX) ΕΙΔΟΣ ΚΑΙ ΑΡΙΘΜΟΣ ΕΓΓΡΑΦΟΥ ΤΑΥΤΟΤΗΤΑΣ ΤΟΥ ΠΡΟΣΩΠΟΥ/ (XX) XXXX XXX XXXXXX XX XXX PERSON’S XXXXXXXXXXXXXX XXXXXXXX/ (XX) TYPE XX XXXXXX XX XX PIÈCE X'XXXXXXXX XX LA PERSONNE XXXXXXXXX/ (XX) XXXXXX XXXX XXXXXX DHOICIMÉAD XXXXXXXXXXX AN XXXXX/ (XX) XXXXX I XXXX XXXXXXXXXXXXXXXX ISPRAVE XXXXX/ (IT) TIPO X NUMERO XXX XXXXXXXXX XX XXXXXXXÀ XXXXX XXXXXXX/ (XX) XXXXXXXX IDENTIFIKĀCIJAS XXXXXXXXX XXXXX UN XXXXXX/ (XX) XXXXXX XXXXXXXĖX XXXXXXXXX TIPAS IR XXXXXXX/ (XX) X XXXXXXXXXXXXXXXX XXXXXX XXXXXX XX XXXXX/ (XX) XX-XXX U N-NUMRU XXX-XXXXXXXX XX' XXXXXXXÀ XXX-XXXXXXX/ (XX) TYPE XX XXXXXX XXX XXX XXXXXXXXXXXXXXXXXXX XXX XX XXXXXXXXXX/ (PL) XXXXXX X NUMER XXXXXXXXX TOŻSAMOŚCI/ (XX) XXXX X NÚMERO XX XXXXXXXXX DE XXXXXXXXXXÇÃX/ (XX) TIPUL ȘX NUMĂRUL XXXXXXXXXXXX XX IDENTIFICARE AL XXXXXXXXX/ (XX) XXX X XXXXX XXXXXXXX XXXXXXXXXX OSOBY/ (XX) XXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX DOKUMENTA XXXXX/ (XX) XXXXXXÖXXXXXXXXXXX XXXXXX XX XXXXXX/ (XX) XXX OCH NUMMER XÅ XXXXXXXXX IDENTITETSHANDLING

4.10.1

(BG) НАЦИОНАЛНА ЛИЧНА КАРТА/№/ (XX) XXXXXXXXX NACIONAL XX XXXXXXXXX / XXX./ (CZ) XXXXXXXXXXXX XXXXXX XXXXXXXXXX / X./ (XX) XXXXXXXXX XXXXXXXXXXXXXX/-XXXXXX/ (XX) NATIONALER XXXXXXXXXXXXXXX/XX./ (XX) RIIKLIK XXXXXXXXXXXXXX / NR/ (XX) ΕΘΝΙΚΟ ΔΕΛΤΙΟ ΤΑΥΤΟΤΗΤΑΣ / ΑΡΙΘ./ (XX) XXXXXXXX XXXXXXXX XXXX/XX./ (XX) XXXXX XXXXXXXXX X'XXXXXXXX/X°/ (XX) XXXXX XXXXXXXXX XXXXXXXXXXX/XXXX./ (XX) XXXXXXXXXX XXXXXX XXXXXXXXX / BR./ (XX) CARTA D'IDENTITÀ XXXXXXXXX/X./ (XX) XXXXXX XXXXXXXX XXXXXXĪXX / XX./ (XX) XXXXXXXXXXĖ XXXXXX XXXXXXXĖX XXXXXXĖ / XX./ (XX) XXXXXXX XXXXXXXXXXXXXXXX XXXXXXXXXX/XXXXX/ (XX) XXXXX TAL-IDENTITÀ XXXXXXXXXX/XXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXXXX/XX./ (PL) XXXXXXX XXXXX XXŻXXXXŚXX / XX/ (PT) X.x XX DOCUMENTO XX XXXXXXXXXXÇÃX XXXXXXXX/ (RO) XXXXX DE IDENTITATE XXȚXXXXXĂ/XX./ (XX) XXXXXXX XXXXXXX TOTOŽNOSTI/č./ (SL) XXXXXXXXXX XXXXXX IZKAZNICA/ŠT./ (XX) XXXXXXXXXXX HENKILÖKORTTI/NRO/ (XX) XXXXXXXXXX IDENTITETSKORT/NUMMER

4.10.2

(BG) ПАСПОРТ/№/ (XX) XXXXXXXXX / XXX./ (XX) XXX / Č./ (XX) XXX/XX./ (XX) XXXXXXXXX/XX./ (ET) PASS/NR/ (XX) ΔΙΑΒΑΤΗΡΙΟ/ΑΡΙΘ./ (XX) XXXXXXXX/XX./ (FR) XXXXXXXXX/X°/ (XX) XXX/XXXX./ (XX) XXXXXXXXX / XX./ (XX) XXXXXXXXXX/X./ (LV) XXXX/XX./ (XX) XXXXX / XX./ (HU) XXXXXXX/XXXXX/ (MT) PASSAPORT/ XXX/ (XX) XXXXXXXX/XX./ (XX) XXXXXXXX / XX/ (PT) N.o XX XXXXXXXXXX/ (RO) XXȘXXXXX/XX./ (XX) XXXXXXXX XXX/x./ (SL) POTNI XXXX/XX./ (FI) XXXXX/XXX/ (XX) PASS/NUMMER

4.10.3

(BG) СВИДЕТЕЛСТВО ЗА УПРАВЛЕНИЕ НА МПС/№/ (XX) PERMISO XX XXXXXXXXXX / XXX./ (CZ) ŘIDIČSKÝ XXXXXX / X./ (XX) XØXXXXXX/XX./ (DE) XÜXXXXXXXXXX/XX./ (XX) XXXXXXXX/XX/ (XX) ΑΔΕΙΑ ΟΔΗΓΗΣΗΣ / ΑΡΙΘ./ (XX) XXXXXXX LICENCE/NO./ (FR) XXXXXX DE CONDUIRE/N°/ (XX) XXXXXXXX XXXXXXX/XXXX./ (XX) VOZAČKA DOZVOLA / XX./ (IT) XXXXXXX XX GUIDA/N./ (XX) XXXĪXĀXX XXXXXXĪXX / NR./ (LT) XXXXXXXXXX XXXXXĖXXXXX / XX./ (XX) XXXXXŐX XXXXXXXX/XXXXX/ (XX) XXĊXXXXX XXX-XXXXXX/XXX/ (NL) XXXXXXXXX/XX./ (XX) PRAWO XXXXX / NR/ (PT) X.x XX XXXXX XX XXXXXÇÃX/ (RO) XXXXXX DE CONDUCERE/NR./ (XX) XXXXXXXX XXXXXXX/x./ (XX) XXXXXXXX XXXXXXXXXX/XX./ (XX) AJOKORTTI/NRO/ (XX) XÖXXXXX/XXXXXX

4.10.4

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ) … /№ …/ (XX) XXXX (XXXXXXXXXXXXX) … / XXX. …/ (XX) XXXX (XXXXXXXXX) … / X …/ (XX) XXXXX (XXXXXXX) …/ XX. …/ (DE) XXXXXXXXX (XXXXX XXXXXXX) …/XX …/ (ET) XXX (XÄXXXXXXXX) … / XX …/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ) … / Αριθ. …/ (XX) XXXXX (XX XX XXXXXXXXX) …/Xx. …/ (XX) AUTRE (À XXXXXXXX) …/X° …/ (XX) XXXX (XX SONRÚ) … …/Xxxx. …/ (XX) XXXXXX (XXXXXXX) … / xx. …/ (XX) ALTRO (XXXXXXXXX) …/X. …/ (LV) XXXX (XXXXXXĒX) … / XX. …/ (XX) KITA (XXXXXXXX) …/XX. …./ (XX) XXXXX (XXXXÜX XXXXXXXXXXX) …/Xxxxx: …/ (XX) XĦXXXX (XXXXXĊXŻX) …/Xxx …/ (NL) XXXXXXX (XXXXXXXXXXXX) …/NR. …/ (XX) XXXX (XXXXXĘ XXXXŚXXĆ) … / xx …/ (XX) X.x DE XXXXX XXXXXXXXX (ESPECIFICAR) …/ (XX) XXXXX (X XX XXXXXXX) … /XX. …/ (XX) XXX (XXXXXXXX) …/x. …/ (XX) XXXXX (XXXXXXX) …/xx. …/ (XX) XXX ASIAKIRJA (XÄXXXXXXXXÄXÄ) … /Nro …/ (SV) ANNAN XXXXXXXX (SPECIFICERAS) …/Xxxxxx …

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 PÚBLICO AL XXX SE XXXXXXX XXXX XXXXXXX XX XXXXXXXX QUE XXXXXX XXXXXX XXXXXXXXXXX PENAL XXX XXXXXXXXXX EN XX XXXXXXXX DE XXXXXXXXXXXX PENALES DEL XXXXXX XXXXXXX XXX XXX XXXXX XX XXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX, X XXX XX XXXXXXXX TENTO XXXXXXXX, XXXXXXXXX ŽÁDNÉ XXXXXXXXX DOTYČNÉ OSOBY XXXXXXXXXXX X XXXXXXXXX XXXXXX XXXXXXXXX XXXXX, XXXXX JE XXXX XXXXX XXXXXXX PŘÍSLUŠNÍKEM/ (XX) XXX XXXXXXXXXX XXXXXXXX, SOM XXXXX XXXXXXXX XX VEDHÆFTET, XÆXXXX XXXXX XXX XXX XXXXXX XXX XXX XÅXÆXXXXXX XXXXXX X XXXXXXXXXXXXXXXX I XXX XXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXXXXX/ (XX) XXX ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX BEIGEFÜGT IST, XXXXÄXX KEINEN XXXXXXX XXX XXXX XXXXXXXXXXXX XXX BETREFFENDEN PERSON XX XXXXXXXXXXXXX DES XXXXXXXXXXXXXX XXXXX XXXXXXXXXXXÖXXXXXXX/ (XX) XXXXXXXX DOKUMENDIS, XXXXXXX XXX XXXX XX XXXXXXX, XX XXX XÄXXXXXX ÜXXXXX XÜÜXXXÕXXXXXX XXXXXXXXXXX, XXX XXXXX XXXXXX XXXXXXXXX XXXXX XXXXXX JA 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/ (EN) XXX XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX ATTACHED XXXX XXX XXXXXXX XXX XXXXXXXXXX XX XXXXXXX XX XXX XXXXXX XXXXXXXXX XX XXX XXXXXXXX RECORD XX XXX XXXXXX STATE XX XXXXXXXXXXX OF XXXX PERSON/ (XX) XX XXXXXXXX XXXXXX XXXXXX LE XXXXXXX XXXXXXXXXX XXX JOINT XX XXXXXXXXX XXXXXX XXXXXXXXXXXX XXXXXXXX XX XXXXXX XXXXXXXXXX XX XX PERSONNE XXXXXXXXX XXXX L'ÉTAT XXXXXX XXXX XXXXX PERSONNE X LA XXXXXXXXXXX/ (XX) SA XXXXXXXXX XXXXXX LENA XXXXXX XX XXXXXX XXX XXXXXXXXXX, XXX AON XXXXXX XX XXX XXXXXXX X XXXXX XX XXXXX XXXX xXXXXXXXX SA XXXXXXX XXXXXXXX I xXXXXXXXX XXXXXXXXXXXXX XX XXXXX XXXX xXXXXXXXX/ (HR) X JAVNOJ ISPRAVI XXXXX XX XXXX XXXXXXX XXXXXXXX XXXX XXXXXXXX XXXXXXX OSUĐUJUĆA XXXXXXX XXXXXX XXXXXXX XXXXX X XXXXXXXX XXXXXXXXXX XXXXXX ČLANICE XXXXXXXXXXXXX XX XXXXX/ (XX) XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX MODULO È XXXXXXXX NON XXXXXXX XXXXXX XXXXXXXX RELATIVA XXXX PERSONA XXXXXXXXXXX XXX XXXXXX XXXXXXXX XX XXXXXXXXXX XXXXXXXXXX XXXXX XXXXX MEMBRO XX CITTADINANZA XX XXXX XXXXXXX/ (LV) XXXXXXXXXĀ DOKUMENTĀ, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, XXX ATTIECĪGO XXXXXXX XXX XXXĒXX XXXXXXX XXXXXXĀXXXX, KAS XXXĀXĪXX XXXĒXĀX XXXXXXXX XXXXXXXXXXXXĪXXX XXXĪXXXXXXX SODĀMĪBAS XXĢXXXXĀ/ (XX) VIEŠAJAME XXXXXXXXX, PRIE XXXXX XXXXXXXXX XX FORMA, XXXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXX XXXXXĘX XXXXXXXXXXX TO XXXXXX XXXXXXXXĖX VALSTYBĖS XXXĖX XXXXXXXXXXXŲ XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXX XX XXXXXXXX XXXXXXXXXX XXXXXXXXXXXX XXX XXXXX AZ XXXXXXXX XXXXXXX ÁLLAMPOLGÁRSÁGA SZERINTI XXXXXXXX BŰNÜGYI XXXXXXXXXXXXXXXXX XXXXXXXŐ XXXXXXXXX/ (XX) XX-XXXXXXXX XXXXXXXX XXXXXŻ XX' XXX XX-XXXXXXX XX XXXXXX L-EBDA XXXXXXXX FIR-RIGWARD XXX-XXXXXXX XXXXĊXXXXXX FIR-REKORD XXXXXXXXX XXX-XXXXX XXXXXX TAĊ-ĊITTADINANZA XX' DIK IL-PERSUNA/ (XX) XXX OPENBAAR XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX, XXXXXXXX GEEN VEROORDELING XXXX XX BETROKKENE XX XXX XXXXXXXXXXXXX XXX XX LIDSTAAT XXX NATIONALITEIT XXX XX BETROKKENE/ (XX) XXXXXXXX XXXĘXXXX, DO XXXXXXX ZAŁĄCZONY XXXX XXXXXXXXX XXXXXXXXX, XXX XXXXXXX XXXXXXXXXX O XXXXXXXXX WYROKU XXXXXXĄXXXX XXXXXXXX XXXXX OSOBY, XXXXXX XXXXXXX XXXXXXXX, XXXXXXXXX DO XXXXXXXX XXXXXXX PAŃSTWA XXŁXXXXXXXXXXX, XXXXXXX XXXXX TA XXXX XXXXXXXXXX/ (PT) X DOCUMENTO PÚBLICO X XXX X XXXXXXXX FORMULÁRIO XXXX XXXXXX XÃX XXXXXX XXXXXXXX CONDENAÇÃO XX XXXXXX EM XXXXX XX XXXXXXX XXXXXXXX XX XXXXXX-XXXXXX XX XXXXXXXXXXXXX DESSA XXXXXX/ (XX) XXXXXXXXXX XXXXXXX XX XXXX ESTE XXXXXX XXXXXXXXX XXXXXXXX XX MENȚIONEAZĂ XXXXX XXXXXXXXXX XXXXXXXXXXX LA XXXXXXXX XXXXXĂ XX XXXXXXXX JUDICIAR XXX XXXXXX MEMBRU XX XĂXXX XXXĂȚXXX XXXX XXXXXXXX RESPECTIVĂ/ (XX) XX XXXXXXXX LISTINE, XX KTOREJ JE XXXXX FORMULÁR PRIPOJENÝ, XX XXXXXXXX XXXXXX XXXXXXXXX DOTKNUTEJ OSOBY X REGISTRI TRESTOV XXXXXXXXX XXXXX, KTORÉHO XXXXXXX PRÍSLUŠNÍKOM JE XXXX XXXXX/ (XX) X JAVNI XXXXXXX, XX JI XX XXXXXXXX XX XXXXXXX, XX XXXXXXXX XXXXXX XXXXXXX X XXXXX X ZADEVNO XXXXX X XXXXXXXX XXXXXXXX XXXXXX XXXXXXX, XXXXXX XXXXXXXXXXXXX XXX XX XXXXX/ (XX) XXXXXXXXÄ XXXXXXXXXXXX, JOHON XÄXÄ XXXXXX XXXXXXÄÄX, XX XXX MAININTAA XXXXXXXXXXXX XXXXXXÖÄ XXXXXXXXXX XXXXXXXXXX XXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXXÄ, XXXXX KANSALAINEN XXXXXXÖ XX/ (XX) I XXX OFFICIELLA HANDLING XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX XÄXXX XXXXX XXXXXXX XX DOM MOT XXX BERÖRDA XXXXXXXX X XXXXXXXXXXXXXXXXX I XXX MEDLEMSSTAT DÄR XXXXX PERSON ÄX XXXXXXXXXX

6.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX LA XXXXX/ (XX) XXXX PRO XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (FR) XXXXX XXXX XX XXXXXXXXX/ (XX) XXXXX XXX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXXXXX XXX XX XXXXX/ (XX) PARAKSTA XXXXX/ (LT) PARAŠO XXXXXXXX/ (HU) XX XXXXXXX XXÖXXXXXXXXX/ (MT) XXXXX TAL-IFFIRMAR/ (NL) XXX VOOR XX XXXXXXXXXXXX/ (XX) XXXX XXXXXXX/ (PT) XXXXÇX XXXXXXXXX À ASSINATURA/ (XX) SEMNĂTURA/ (SK) XXXXXXX NA XXXXXX/ (XX) XXXXX ZA XXXXXX/ (FI) XXXXXXXXXXXXXXXXXXÄ/ (XX) XXXX FÖR XXXXXXXXXXXXXX

6.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) APELLIDO(S) X XXXXXX(X) XXX FUNCIONARIO XXX XXXXXXX ESTE XXXXXXX/ (XX) PŘÍJMENÍ X XXXXX (JMÉNA) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXX(X) XX FORNAVN(E) XÅ XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX(X) UND VORNAME(N) XXX XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) KÄESOLEVA XXXXX XÄXXXXXXXXX AMETNIKU XXXXXXX (-XXXXX) XX XXXXXXXXXXXXX (-XXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) SURNAME(S) XXX XXXXXXXX(X) OF XXX XXXXXXXX XXX XXXXXX THIS FORM/ (XX) XXX(X) XX XXXXXX(X) DU XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX (SLOINNTE) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (HR) XXXXXXX(XX) X XXX(XX) SLUŽBENIKA XXXX JE XXXXX XXXX XXXXXXX/ (IT) XXXXXXX/X X XXXX/X XXX XXXXXXXXXXX CHE XX RILASCIATO XX XXXXXXXX MODULO/ (LV) XXXXXXXXXXXX, KURA IZDEVUSI XX XXXXXXXX, XXXĀXXX(-X) XX VĀRDS(-I)/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖX) XX VARDAS (-XX)/ (XX) A FORMANYOMTATVÁNYT XXXXXXXX XXXXXXXXXXŐ XXXXXXX XXXX(X) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX LI ĦXXXĠ XXX XX-XXXXXXX/ (XX) NA(A)M(EN) XX XXXXXX(X)X(XX) VAN XX XXXXXXXXX XXX DIT XXXXXXXXX HEEFT XXXXXXXXX/ (XX) NAZWISKO(-A) X XXXĘ (XXXXXX) URZĘDNIKA, XXXXX XXXXŁ NINIEJSZY XXXXXXXXX/ (XX) XXXXXXX(X) X NOME(S) PRÓPRIO(S) XX XXXXXXXXXXX QUE XXXXXX X PRESENTE XXXXXXXXXX/ (XX) XXXXXX ȘX XXXXXXXXX XXXXȚXXXXXXXXX XXXX X EMIS XXXXXXXXX XXXXXXXX/ (SK) XXXXXXXXXX(-X) A XXXX(-X) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (SL) XXXXXXX/XXXXXXX XX XXX/XXXXX XXXXXXXX, KI JE XXXXX XX OBRAZEC/ (XX) XÄXÄX LOMAKKEEN XXXXXXXX XXXXXXXXXXX XXXXXXXX (-XXXXX) XX ETUNIMI (-XXXXX)/ (XX) XXXXXXXXX XXX XÖXXXXX XÅ XXX TJÄNSTEMAN XXX XXX XXXÄXXXX DETTA XXXXXXÄX

6.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXX XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (CZ) XXXXXX XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXXX — DEN XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) STELLUNG DES XXXXXXX, DER XXXXXX XXXXXXXX AUSGESTELLT XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX AMETNIKU XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX XX XXX OFFICIAL XXX XXXXXX XXXX XXXX/ (XX) XXXXX XX XXXXXXXXXXXXX QUI X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) POST XX OIFIGIGH X X’XXXXXX XX XXXXXX XXX/ (HR) XXXXXXXX XXXXXXXXXX KOJI XX XXXXX XXXX XXXXXXX/ (XX) POSIZIONE XXX XXXXXXXXXXX XXX HA XXXXXXXXXX IL PRESENTE XXXXXX/ (LV) XXXXXXXXXXXX, XXXX XXXXXXXX ŠO XXXXXXXX, XXXXX/ (XX) XXĄ FORMĄ IŠDAVUSIO XXXXXXŪXX PAREIGOS/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX XXX XX AMBTENAAR DIE XXX FORMULIER XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX XX FUNCIONÁRIO XXX XXXXXX O XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, KTORÝ XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, KI XX XXXXX XX XXXXXXX/ (XX) TÄMÄN XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX FORMULÄR

6.3

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) AUSSTELLUNGSDATUM (TT/MM/JJJJ)/ (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)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX DATA (DD/MM/MMMM)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) XXXXX (XX/XX/XXXX) XXX AFGIFTE/ (XX) XXXX (DD/MM/RRRR) XXXXXXX/ (XX) DATA DE XXXXXÃX (DD/MM/AAAA)/ (XX) XXXX (ZZ/LL/AAAA) EMITERII/ (XX) XXXXX (DD/MM/RRRR) XXXXXXX/ (SL) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (XX) XXXXX (DD/MM/ÅÅÅÅ) FÖR XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (ES) XXXXX/ (XX) PODPIS/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) SÍNIÚ/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (HU) ALÁÍRÁS/ (XX) XXXXX/ (NL) XXXXXXXXXXXX/ (PL) PODPIS/ (XX) ASSINATURA/ (XX) XXXXĂXXXX/ (SK) XXXXXX/ (XX) XXXXXX/ (FI) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (XX) PEČEŤ XXXX RAZÍTKO/ (DA) XXXX ELLER XXXXXXX/ (XX) XXXXXX ODER XXXXXXX/ (ET) PITSER XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (EN) SEAL XX XXXXX/ (XX) XXXXX OU TIMBRE/ (XX) XXXXX XX XXXXXX/ (HR) ŽIG XXX XXXXX/ (XX) XXXXX X XXXXXX/ (XX) ZĪMOGS XXX XXXXXXXX/ (LT) XXXXXXX XXXX XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (XX) SIĠILL XXX XXXXXX/ (XX) ZEGEL XX XXXXXXX/ (PL) XXXXXĘĆ LUB XXXXXXX/ (XX) XXXX XX XXXXXXX/ (XX) XXXXXXXX XXX ȘXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXX ŽIG/ (FI) XXXXXXX TAI XXXXX/ (XX) XXXXXX XXXXX XXÄXXXX