Plné znění - 32016R1191

XXXXXXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX XXX XXXXXXX

Xxxxxx 7 xxxxxxxx Evropského parlamentu x Xxxx (XX) 2016/1191 ze xxx 6. července 2016 x podpoře xxxxxxx xxxxxx občanů zjednodušením xxxxxxxxx xx xxxxxxxxxxx xxxxxxxxx xxxxxxxxx listin x Xxxxxxxx xxxx x x změně xxxxxxxx (EU) x. 1024/2012 (1)

Belgie (BE) Xxxxxxxxx (XX)

Xxxxx republika (XX)

Xxxxxx (XX) Xxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Kypr (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxx (XX) Xxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (RO) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Xxxxxx (XX)

Xxxxxxx (SE) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx účelem tohoto xxxxxxxxxxxxx xxxxxxxxxxxx formuláře xx usnadnění xxxxxxxx xxxxxxx xxxxxxx, x xxx xx xxxxxxxx. Xxxxx formulář xx xxxx xxxxxxxxx státy xxxxx xxxxxxxxx xxxx xxxxxxxxxx xxxxxxxx.

Xxxxx xxxxxxxx xxxxxx xxxxx xxxxxxx xxxxxxx, x xxx xx xxxxxxxx. Xxxxx, xxxxx je xxxxxxx xxxxxxx xxxxxxxxxxx, však xxxx v xxxxxxxxx, xxx xx xx xxxxxxxx pro xxxxx xxxxxxxxxx xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx xxxxxxxxx, xxxxx xxxx ve xxxxxxxxx xxxxxxx.

XXXXXXXXXX PRO XXXXXXXXXX XXXXX

Xxxxxx xxxxx informace, xxxxx xxxx xxxxxxx xx veřejné xxxxxxx, x níž je xxxxxxxx xxxxx xxxxxxxx. (2)

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

1. XXXXX VYDÁVAJÍCÍ XXXXX XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

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

(2) Při xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx písmo.

(3) Xxxxx „xxxxx“ xx xxxxx xxxxxxxx jako úřední xxxxx orgánu vydávajícího xxxxxxxx.

(4) Xxxxx „název“ xx třeba vykládat xxxx úřední xxxxx xxxxxx xxxxxxxxxxxx veřejnou xxxxxxx, x níž xx xxxxxxxx xxxxx xxxxxxxx.

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

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

3.1.1 Xxxxxxxxxx soudu

3.1.2 Listina xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx xxxxxx xxxxxxx úředníkem

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

3.1.5 Xxxx (xxxxxxxxx)

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 Opis xxxxxxxxxx xxxxxxx

3.1.5 Jiné (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, kterým xxxx xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx osobou

3.5 Xxxxxxx vyhotovená xxxxxxxxxxxxx xxxxxxxxx xxxx xxxxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxx x rámci xxxxxx xxxx služebních povinností

3.6 Xxxxx (dd/mm/rrrr) vydání

3.7 Xxxxxxxxxx xxxxx veřejné xxxxxxx

4. INFORMACE X XXXXXXXXX

4.1 Xxxxxxxx

4.2 Xxxxx (xxxxx)

4.3 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.4 Xxxxx (1) x xxxx (2) xxxxxxxx

4.5 Xxxxxxx:

4.5.1 Xxxx

4.5.2 Xxx

4.5.3 Xxxxxxxx

5. POLE XXX XXXXXX

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

5.2 Xxxxxx xxxxxxxx, který xxxxx xxxxx xxxxxxxx

5.3 Xxxxx (xx/xx/xxxx) xxxxxx

5.4 Xxxxxx

5.5 Xxxxx xxxx razítko

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

(2) Název xxxx x – xxxxx xxxxxxxx – xxx ISO xxxx xxxx xxxx xxxxxxx „Xxxx (xxxxxxxxx)“ xx xxxxx xxxxxx x xxxxxxxxxxx xxxxxxx xx xxxxxxxx xxxxxxxxxxxx standardním xxxxxxxxx, který xx x xxxxxxxxx na xxxxxxx xxxxxxxx x-xxxxxxx.

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX XXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX TENTO XXXXXXXX/ (DA) XXXXX XXXXXXXXX UDSTEDENDE XXXXXXXXX/ (XX) XXXÖXXX, XXX XXXXXX XXXXXXXX AUSSTELLT/ (XX) XÄXXXXXXX XXXXX XÄXXX ANDNUD XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) AUTHORITY XXXXXXX XXXX XXXX/ (XX) XXXXXXXX XX DÉLIVRANCE XX XXXXXXX XXXXXXXXXX/ (XX) XX tÚDARÁS X EISEOIDH XX XXXXXX SEO/ (XX) XXXXXX XXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXX IZDEVĒJIESTĀDE/ (XX) XXĄ XXXXĄ XXXXXXXXXX VALDŽIOS XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX HATÓSÁG/ (XX) XXXXXXXÀ XXXXXXXXX TA' XXX XX-XXXXXXX/ (NL) XXXXXXXXXX XXX XXXXXXX XXX XXX FORMULIER/ (XX) XXXXX XXXXXĄXX XXXXXXXXX FORMULARZ/ (PT) XXXXXXXXXX XXX XXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX VYDÁVAJÚCI XXXXX FORMULÁR/ (XX) XXXXX, KI XXXX XX OBRAZEC/ (FI) XÄXÄX LOMAKKEEN XXXXXX XXXXXXXXXXXX/ (SV) XXXXXXXXX XXX UTFÄRDAR FORMULÄRET

1.1

(BG) НАИМЕНОВАНИЕ/ (ES) DENOMINACIÓN/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (DE) XXXXXXXXXXX/ (XX) NIMETUS/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (GA)AINMNIÚ/ (XX) NAZIV/ (IT) XXXXXXXXXXXXX/ (LV) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXÇÃX/ (XX) DENUMIRE/ (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 XXXXXXXXX XXXXXXX XX XXX SE XXXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, K XXX JE XXXXXXXX XXXXX XXXXXXXX/ (XX) XXX XXXXXXXXX, DER XXX UDSTEDT DET XXXXXXXXXX DOKUMENT, XXX XXXXX XXXXXXXX ER XXXXÆXXXX/ (XX) BEHÖRDE, XXX DIE ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX BEIGEFÜGT IST, XXXXXXXXX/ (XX) ASUTUS, XXX XXXXX XÄXXX XXXXXXX XXXXXXXXX, XXXXXXX XXX VORM XX XXXXXXX/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXX XXXXXXXX TO XXXXX XXXX XXXX XX XXXXXXXX/ (FR) XXXXXXXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX JOINT XX XXXXXXX FORMULAIRE/ (XX) XX xXXXXXX X XXXXXXXX AN XXXXXXXXX XXXXXX XXXX XXXXXX AN XXXXXX XXX CEANGAILTE/ (HR) XXXXXX XXXX XXXXXX XXXXX ISPRAVU XXXXX XX XXXX OBRAZAC XXXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX IL XXXXXXXXX XXXXXXXX XXX XX PRESENTE XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ DOKUMENTA, KURAM XĪ XXXXXXXX XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ EMITTENTI XXX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX/ (NL) AUTORITEIT XXX AFGIFTE XXX XXX XXXXXXXX DOCUMENT XXXXXXX XXX FORMULIER XX XXXXXXX/ (XX) XXXXX XXXXXĄXX DOKUMENT XXXĘXXXX, DO XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) AUTORIDADE XXX XXXXX X XXXXXXXXX PÚBLICO X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X DOCUMENTULUI XXXXXXX XX XXXX XXXX XXXXXX PREZENTUL XXXXXXXX/ (XX) ORGÁN VYDÁVAJÚCI XXXXXXX XXXXXXX, XX XXXXXX XX TENTO XXXXXXXX PRIPOJENÝ/ (SL) XXXXX, KI XXXX XXXXX XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXXXX, XXXX ON XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXX XXXXXXXXXX HANDLING XXXX XXXXXX XXXXX XXXXXXÄX ÄX BIFOGAT

3.

(BG) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) INFORMACIÓN XXXXXXXX XX XXXXXXXXX PÚBLICO XX XXX XX XXXXXXX XXXX XXXXXXX/ (XX) INFORMACE TÝKAJÍCÍ XX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX FORMULÁŘ/ (XX) OPLYSNINGER XXXXØXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (DE) XXXXXXX ZUR ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX XXXXXXX XXXXXXXXX XXXXX, MILLELE XXX VORM XX XXXXXXX/ (EL) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) INFORMATION RELATING XX XXX XXXXXX XXXXXXXX TO XXXXX XXXX FORM XX XXXXXXXX/ (FR) XXXXXXXXXXXX XXXXXXXXX XX DOCUMENT XXXXXX XXXXXX XXX XXXXX LE PRÉSENT XXXXXXXXXX/ (GA) XXXXXXXX X XXXXXXXXX LEIS XX XXXXXXXXX XXXXXX XXXX BHFUIL AN XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXX XX XXXXXX XX XXXXX XXXXXXX XXXXX XX OVAJ XXXXXXX XXXXXXXX/ (IT) XXXXXXXXXXXX XXXXXXXX XX DOCUMENTO XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX XĪ VEIDLAPA XX PIEVIENOTA/ (XX) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX XXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX MIEGĦU XXXX MEHMUŻA DIN XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX WAARAAN XXX XXXXXXXXX IS XXXXXXX/ (XX) INFORMACJE XXXXXXĄXX XXXXXXXXX URZĘDOWEGO, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (PT) XXXXXXXÇÕXX XXXXXXXXX AO XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX ESTÁ APENSO/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) INFORMÁCIE X XXXXXXXX LISTINE, KU XXXXXX XX TENTO XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXX X XXXXX XXXXXXX, XX JI JE XXXXXXXX XX XXXXXXX/ (XX) XXXXXX YLEISESTÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX LIITETÄÄN/ (XX) XXXXXXXXXXX XX 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 XXX XXXXXXXXX X UN XXXXXXXXXXX XXXXXXXXX A LOS XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (XX) LISTINA XXXXXX XXXXXXX XXXX XXXXXXXXX X VAZBOU NA XXXXX XXXXXX XXXXXXXXX XXXXX/ (DA) DOKUMENT, XXX ER XXXXXXX XX EN XXXXXXXXX XXXXX XX XXXXXXXXXX, XXX XX XXXXXXXXXX XXXXXXXX I EN XXXXXXXXXXX/ (DE) XXXXXXX XXXXX XXXÖXXX ODER XXXXX XXXXXXXXXX XXX XXXXX XXX RECHTSPFLEGE XXXXX XXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX XXXXXXXXX SEOTUD AMETIASUTUS XÕX AMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX EMANATING XXXX AN AUTHORITY XX XX XXXXXXXX XXXXXXXXX XXXX THE XXXXXX XX TRIBUNALS XX X XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXX X'XXX AUTORITÉ XX D'UN XXXXXXXXXXXXX XXXXXXXX D'UNE XXXXXXXXXXX X'XX ÉTAT XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X ÚDARÁS XX Ó XXXXXXXXX X XXXXXX XXXXX XXXX XX AICI XX XXXXXXXXXX XX XX XXXXX DE XXXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXX ILI XXXXXXXXX XXXX XXXXXX XXXXXXX/ (IT) DOCUMENTO XXXXXXX XX XX'XXXXXXXÀ X DA UN XXXXXXXXXXX APPARTENENTE XX XXX XXXXX GIURISDIZIONI XX XXX STATO XXXXXX/ (LV) DOKUMENTS, XXXX XXXXXXXXXX XX XXXĪXXXXXXX TIESĀM XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX XXXXXXXX XXXXXXXXXXXX XX XXXXXXŪXX, SUSIJUSIŲ XX XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (HU) XXXXXXXXX XXXXXXXXXX KAPCSOLATBAN XXXX XXXXXXX XXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ MINN XXXXXXXÀ XXX XXXXĊXXX LI XXXXXXXX XXXXX MAL-QRATI XXX IT-TRIBUNALI TA' XXXX XXXXXX/ (XX) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX/ (XX) DOKUMENT POCHODZĄCY XX XXXXXX SĄDOWEGO XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX CZŁONKOWSKIEGO/ (XX) XXXXXXXXX PROVENIENTE XX XXX AUTORIDADE XX XX XX XXXXXXXXXXX XXXXXXXXXX DE XXXXXXXX XXXXXXXÇÃX XX UM XXXXXX-XXXXXX/ (XX) XXXXXXXX XXXX DE X XXXXXXXXXX SAU XX XX XXXXȚXXXXX DE XX XÂXXĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXX XXXXXXXXX X XÄXXXX XX XXXX ČLENSKÉHO ŠTÁTU/ (XX) XXXXXXX, IZDANA X XXXXXX ORGANA XXX URADNIKA XXXXX XXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX VIRANOMAINEN XXX VIRKAMIES/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX XX XXXXXXXXX XXXXX EN XXÄXXXXXXX XXXXXÖXXXXX DOMSTOLSVÄSENDET X XX MEDLEMSSTAT

3.1.1

(BG) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (CZ) ROZHODNUTÍ XXXXX/ (XX) DOMSTOLSAFGØRELSE/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) COURT XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXX/ (GA) XXXXXXXX XX xXXXXX/ (XX) XXXXXX XXXXXX/ (XX) XXXXXXXXX GIURISDIZIONALE/ (XX) TIESAS LĒMUMS/ (XX) XXXXXX SPRENDIMAS/ (XX) BÍRÓSÁGI XXXXXXXXX/ (XX) DEĊIŻJONI XXX-XXXXX/ (XX) RECHTERLIJKE XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (XX) DECISÃO XXXXXXXX/ (XX) XXXĂXÂXX JUDECĂTOREASCĂ/ (XX) SÚDNE ROZHODNUTIE/ (XX) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX XX MINISTERIO XXXXXX/ (CZ) XXXXXXX XXXXXX STÁTNÍM XXXXXXXXX/ (XX) DOKUMENT UDSTEDT XX XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX EINER XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX ON VÄLJA XXXXXX XXXXXXX SÜÜDISTAJA/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (EN) XXXXXXXX EMANATING FROM X XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XXXXXXÈXX PUBLIC/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXX XX IZDALO XXXXXXX XXXXXXXXXXXX/ (IT) XXXXXXXXX EMANATO XXX XXXXXXXX XXXXXXXXX/ (LV) XXXXXXXXX, XXXX IZSNIEDZIS XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) ÜXXXXX ÁLTAL KIÁLLÍTOTT XXXXXX/ (XX) DOKUMENT XXĦXXĠ MINN XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX XXXXXXXXXX/ (PL) XXXXXXXX POCHODZĄCY XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX DO MINISTÉRIO XXXXXXX/ (XX) DOCUMENT XXXX DE UN XXXXXXXX/ (XX) LISTINA XXXXXX PROKURÁTOROM/ (SL) XXXXXXX, XX XX XXXX DRŽAVNO TOŽILSTVO/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (SV) XXXXXXXX XXX HÄRRÖR XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (ES) DOCUMENTO XXXXXXXX XXX XX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXX VYŠŠÍM XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX UDSTEDT XX XX XXXXXXXXXXXXXÆX/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX KOHTUAMETNIK/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX EMANATING XXXX X XXXXX OF X XXXXX/ (FR) XXXXXXXX ÉMANANT X'XX XXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXX DE CHUID XXXXXX/ (XX) XXXXXXX XXXX XX XXXXX XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) DOCUMENTO EMANATO XX XX XXXXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (XX) TEISMO XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ XXXX XXĠXXXXXXXX XX' XXXXX/ (XX) DOCUMENT XXXXXXXXX XXXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX SEKRETARZA XĄXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX XX UM OFICIAL XX XXXXXÇX/ (XX) XXXXXXXX XXXX DE XX XXXXXXX XX XXXXXXȚXX/ (XX) LISTINA XXXXXX SÚDNYM XXXXXXXXX/ (XX) XXXXXXX, XX XX IZDA XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX ANTAMA ASIAKIRJA/ (XX) HANDLING SOM XÄXXÖX XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXX XXXXXXXX XXX UN XXXXXX XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) DOKUMENT XXXXXXX XX XX STÆVNINGSMAND (»XXXXXXXX XX XXXXXXX«)/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT, XXXXX XX XÄXXX XXXXXX KOHTUTÄITUR/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚ ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («HUISSIER XX JUSTICE»)/ (XX) XXXXXXXX XXXXXXXXX FROM X JUDICIAL OFFICER ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX XX XXXXXXX/ (XX) DOICIMÉAD X THAGANN Ó XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX KOJU XX XXXXX XXXXXX OVRŠITELJ (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX EMANATO XX XX UFFICIALE XXXXXXXXXXX ("HUISSIER XX XXXXXXX")/ (LV) DOKUMENTS, XXXX XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (HUISSIER DE XXXXXXX)/ (XX) XXXXXXXXX (XXXXXXXX DE XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXĠ MINN XXXXĊXXX ĠUDIZZJARJU ('XXXXXXXX XX JUSTICE')/ (NL) XXXXXXXX AFGEGEVEN XXXX XXX GERECHTSDEURWAARDER/ (PL) XXXXXXXX XXXXXXXĄXX OD XXXĘXXXXX XĄXXXXXX (XXXXXXXX XX JUSTICE)/ (XX) XXXXXXXXX PROVENIENTE XX XX ESCRIVÃO XX XXXXXXX («HUISSIER XX XXXXXXX»)/ (RO) XXXXXXXX XXXX DE XX XXXXXXXX XXXXXĂXXXXXX („HUISSIER XX JUSTICE”)/ (SK) XXXXXXX XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX XXXXXXX“)/ (SL) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX („HUISSIER XX XXXXXXX“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX XX XXXXXXX”) ANTAMA XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX XXÅX XX XXÄXXXXXXXXX (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (CZ) XXXX (UPŘESNĚTE)/ (DA) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) XXX (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) OTHER (TO XX SPECIFIED)/ (XX) XXXXX (À PRÉCISER)/ (XX) EILE (XX XXXXX)/ (XX) OSTALO (XXXXXXX)/ (IT) XXXXX (XXXXXXXXX)/ (XX) CITS (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (HU) EGYÉB (XXXXÜX PONTOSÍTANI)/ (XX) XĦXXXX (IPPREĊIŻA)/ (XX) XXXXXXX (SPECIFICEREN)/ (XX) XXXX (XXXXXĘ OKREŚLIĆ)/ (XX) XXXXXX (A XXXXXXXXXXX)/ (XX) XXXXX (X XX XXXXXXX)/ (XX) INÉ (XXXXXXXX)/ (XX) XXXXX (NAVESTI)/ (XX) MUU ASIAKIRJA (XÄXXXXXXXXÄXÄ)/ (SV) ANNAN XXXXXXXX (SPECIFICERAS)

3.2

(BG) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (ES) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) LISTINA XXXXXX XXXXXXXX ÚŘADEM/ (XX) ADMINISTRATIVT XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ (XX) UPRAVNA ISPRAVA/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (XX) ADMINISTRATIEF XXXXXXXX/ (XX) DOKUMENT XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX ADMINISTRATIVO/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXX LISTINA/ (XX) HALLINNOLLINEN ASIAKIRJA/ (XX) ADMINISTRATIV XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) OSVĚDČENÍ/ (XX) XÅXXXXXXX/ (XX) BESCHEINIGUNG/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (LT) PAŽYMA, XXXXXXXXXX/ (HU) TANÚSÍTVÁNY/BIZONYÍTVÁNY/ (XX) ĊERTIFIKAT/ (NL) XXXXXXXXXXX/ (XX) ZAŚWIADCZENIE/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (SL) XXXXXXXX/ (FI) XXXXXXXX/ (XX) INTYG

3.2.2

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX REGISTRO XXXXX/ (XX) XXXXX X XXXXXXX/ (DA) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX FROM XXX XXXXX XXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XX X'XXXX CIVIL/ (GA) XXXXXXX XX XX xXXXX XXXXXXX SHIBHIALTA/ (XX) XXXXXXX XX XXXXXXXX XXXXXXX XXXXXX/ (XX) XXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) IZRAKSTS XX CIVILSTĀVOKĻA XXXX XXĢXXXXX/ (XX) XXXXXXX XX CIVILINĖS XŪXXĖX XXXŲ XXXXXXXX/ (HU) XXXXXÖXXXX KIVONAT/ (XX) XXXXXXX MIR-REĠISTRU XXX-XXXXX ĊXXXXX/ (XX) UITTREKSEL XXX XXX REGISTER XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXX XX XXXX XX XXXXXXX XXXXX/ (XX) XXXXXX XXX REGISTRUL XX XXXXX CIVILĂ/ (XX) XXXXX X XXXXXXXX XXXXXXXX STAVU/ (XX) IZPISEK XX XXXXXXXX X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) XXXXXX XX FOLKBOKFÖRINGEN

3.2.3

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) EXTRACTO XXX CENSO/ (XX) XXXXX X XXXXXXXX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXX AUS XXX XXXXXXXXXXXXX/ (XX) RAHVASTIKUREGISTRI XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (EN) XXXXXXX XXXX XXX POPULATION XXXXXXXX/ (XX) XXXXXXX XX REGISTRE XX XX POPULATION/ (XX) XXXXXXX XX XX xXXXX XXXXXX/ (HR) XXXXXXX IZ XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX/ (XX) IZRAKSTS XX XXXXĪXXXĀXX REĢISTRA/ (XX) XXXXXXX IŠ XXXXXXXXŲ REGISTRO/ (XX) XXXXXXX X XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (MT) XXXXXXX MIR-REĠISTRU TAL-POPOLAZZJONI/ (XX) UITTREKSEL XXX XXX XXXXXXXXXXXXXXXXXX/ (PL) XXXXĄX X REJESTRU XXXXXŚXX/ (XX) XXXXXXX XX XXXXXXX XX XXXXXXÇÃX/ (XX) EXTRAS XXX XXXXXXXXX DE XXXXXXȚĂ X XXXXXXȚXXX/ (XX) VÝPIS X XXXXXXXX XXXXXXXĽXX/ (XX) XXXXXXX XX 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) XXXX XXXXXXXXXX ZÁZNAMŮ/ (XX) XXXXXX XXXX AF XXXXXXXXXXXXXXXXXXX/ (DE) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) VERBATIM XXXX XX XXXXX STATUS XXXXXXX/ (XX) XXXXX XXXXXXXXX X'XXXXX XX X'XXXX CIVIL/ (XX) XXXX FOCAL XX XXXXXX XX XXXXXXX XX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX PRIJEPIS XX XXXXXXXXXX X XXXXXXX XXXXXX/ (XX) XXXXX LETTERALE XX XXXX DI STATO XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX XXĢXXXXX XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX AKTŲ ĮXXXŲ PAŽODINĖ XXXXXX/ (XX) XXXXXÖXXXX BEJEGYZÉS XXX XXXXXXXX XXXXXXXX/ (XX) KOPJA XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (XX) EENSLUIDEND XXXXXXXXX XXX XXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXÃX XX XXXXX XXXXXXXX XX XX NARRATIVA XX XXXX DE XXXXXXX XXXXX/ (XX) XXXXX XXXXXĂ X XXXX XXX XX XXXXX XXXXXĂ/ (XX) XXXXXXXX XXXXX ZO ZÁPISOV X XXXXXXX XXXXX/ (XX) XXXXXXXXX XXXXXX XXXXXXX X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX AVSKRIFT XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) ACTA XXXXXXXX/ (XX) XXXXXXXX LISTINA/ (XX) NOTARBEKRÆFTET XXXXXXXX/ (XX) XXXXXXXXXX URKUNDE/ (XX) NOTARIAALDOKUMENT/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) XXXX NOTARIÉ/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX ISPRAVA/ (XX) XXXX NOTARILE/ (LV) XXXXXXĀXX XXXX/ (LT) XXXXXXXXX XXXXX/ (XX) XÖXXXXXXŐX XXXXXX/ (MT) XXX NOTARILI/ (NL) XXXXXXËXX XXXX/ (XX) XXX XXXXXXXXXX/ (PT) XXX XXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX LISTINA/ (XX) XXXXXXXX XXXXXX ASIAKIRJA/ (XX) NOTARIELL XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX XXXXXX XXXXX XX XXXXXXXXX XXXXXXX/ (XX) ÚŘEDNÍ XXXXXXXXX, XXXXXX BYLA XXXXXXXX XXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (DA) XXXXXXXX XÅXXXXXXX XÅ XX DOKUMENT XXXXXXXXXXX XX XX PERSON X DENNES XXXXXXXX XX XXXXXXXXXXXX/ (DE) XXXXXXXX XXXXXXXXXXXXX XXX XXXXX XXXXXXXXXXXXX/ (ET) XXXXX POOLT ERAISIKUNA XXXXXXXXXXXXXX XXXXXXXXXXX KINNITATAV XXXXXXX XÕXXX/ (EL) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX CERTIFICATE XXXXXX XX X XXXXXXXX SIGNED BY X XXXXXX XX XXX XX HER XXXXXXX CAPACITY/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX UN XXXX XXXX XXXXX XXXXX/ (XX) XXXXXXXX OIFIGIÚIL X CHUIRTEAR XX XXXXXXXXXX XXXX XXXXXX XX DUINE XXX XXXXX NÓ INA XXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX XX ISPRAVU XXXX XX XXXXX XXXXXXXXX X PRIVATNOM SVOJSTVU/ (XX) DICHIARAZIONE XXXXXXXXX XXXXXXX XX UNA XXXXXXXXX XXXXXXX/ (XX) XXXXXĀXX XXXXXXXXĀXXXX UZ XXXXXXXXX, XX SAVĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (LT) XXXXXXXŲ XXXXXŲ PASIRAŠYTŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX ELHELYEZETT XXXXXXXXX XXXXXXXXXXX/ (XX) ĊXXXXXXXXX XXXXĊXXXX XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX MINN XXXXXXX FIL-KAPAĊITÀ PRIVATA XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX OP EEN XXXXXXXX XXXXXXXXXXX XXXX XXX XXXXXXX XX XXXX PARTICULIERE XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX DOKUMENCIE XXXXXXXXXX PRZEZ XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX XXX XX XXXXXXXX XXXXXXX/ (RO) XXXXXXXXXX XXXXXXX APLICAT XX XX XXXXXXXX SUB XXXXĂXXXĂ PRIVATĂ/ (SK) XXXXXX XXXXXXXXXX XXXXXXX XX LISTINE XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX XXXXX/ (SL) XXXXXX XXXXXX NA XXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX ASIAKIRJASSA, XXXXX HENKILÖ ON XXXXXXXXXXXXXXXX YKSITYISHENKILÖNÄ/ (XX) XXXXXXXXXX XXXXX XXXXXXXXX XÅ XX XXXXXXXX XXX XXXXXXXXXXXXX XX XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) DOCUMENTO EXPEDIDO XXX XX AGENTE XXXXXXXXXXX X XXXXXXXX XX XX XXXXXX XXXXXXX CON CARÁCTER XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM ZÁSTUPCEM XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX UDFÆRDIGET XX EN XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (XX) XXX XXXXX XXXXXXXXXXXXXX ODER XXXXXXXXXXXXXX VERTRETER EINES XXXXXXXXXXXXXX IN XXXXXX XXXXXXXXX FUNKTION XXXXXXXXXX XXXXXXX/ (ET) LIIKMESRIIGI XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX TÄITMISEL XXXXXXXXX XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX XXXXX UP XX X DIPLOMATIC XX XXXXXXXX XXXXX XX X XXXXXX XXXXX IN XXX XX HER XXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXX EN SA XXXXXXX OFFICIELLE XXX XX XXXXX DIPLOMATIQUE XX XXXXXXXXXX X'XX XXXX MEMBRE/ (GA) XXXXXXXXX ARNA THARRAINGT XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX NÓ CONSALACH XX XXXXX BALLSTÁIT XXX CHÁIL XX XXX XXXX XXXXXXXXX/ (XX) ISPRAVA XXXX XX U XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX PREDSTAVNIK XXXXXX ČLANICE/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX DIPLOMATICI O XXXXXXXXX DI XXX XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX LORO XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX XXXXX XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX PĀRSTĀVIS/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX XX KONSULINIO PAREIGŪNO, XXXXXXXXXX PAGAL OFICIALIUS ĮXXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXX XXXXXXXXXXX VAGY XXXXXXX XXXXXXXXŐXX ÁLTAL XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXXX XXXX AĠENT XXXXXXXXXXX JEW XXXXXXXXX XX' STAT MEMBRU XXX-XXXXĊXXÀ UFFIĊJALI TIEGĦU/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXXXXX XX CONSULAIRE XXXXXXXXX XXX XXX XXXXXXXX XX XXXX OFFICIËLE XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXĄXXXXX XXXXX PRZEDSTAWICIELA XXXXXXXXXXXXXXX LUB XXXĘXXXXX XXXXXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX XXXĘXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XX XXXXXX XXXXXXXXXXX XX XXXXXXXX DE XX XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX FUNÇÕES XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX XX CĂTRE XX XXXXX DIPLOMATIC XXX CONSULAR XX XXXX STAT XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX ČLENSKÉHO XXXXX X RÁMCI XXXXXX XXXX XXXXXXX/ (XX) XXXXXXX, XX XX KOT URADNA XXXXX XXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX, XXXXX JÄSENVALTION XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (SV) HANDLING XXXXÄXXXX I XXÄXXXXX XX EN XXXXXXXXXXX XXXXX XXXXXXÄX XXÄXXXXXXX X EN XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) FECHA (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (DA) UDSTEDELSESDATO (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 XXXXX/ (XX) XXXX (JJ/MM/AAAA) XX XXXXXXXXXX/ (GA) DÁTA (XX/XX/XXXX) XXXXXXX/ (HR) XXXXX (DD/MM/GGGG) XXXXXXXXX/ (XX) DATA DI XXXXXXXX (GG/MM/AAAA)/ (LV) 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) XXXXX (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) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (XX) DATUM (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (ES) XXXXXX XX REFERENCIA DEL XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX ČÍSLO XXXXXXX XXXXXXX/ (DA) XXX XXXXXXXXXX XXXXXXXXX REFERENCENUMMER/ (XX) KENNNUMMER XXX ÖXXXXXXXXXXX URKUNDE/ (XX) XXXXXXX XXXXXXXXX VIITENUMBER/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX XX THE PUBLIC XXXXXXXX/ (XX) NUMÉRO XX RÉFÉRENCE DU XXXXXXXX XXXXXX/ (GA) XXXXXX XXXXXXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXX JAVNE XXXXXXX/ (XX) XXXXXX XX RIFERIMENTO XXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX ATSAUCES XXXXXX/ (LT) XXXXXXX XXXXXXXXX NUMERIS/ (XX) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (MT) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX HET XXXXXXXX XXXXXXXX/ (XX) NUMER XXXXXXXXXXXX DOKUMENTU URZĘDOWEGO/ (XX) NÚMERO XX XXXXXÊXXXX XX DOCUMENTO XXXXXXX/ (XX) NUMĂRUL XX XXXXXXXȚĂ AL XXXXXXXXXXXX XXXXXXX/ (SK) XXXXXXXXXX ČÍSLO XXXXXXXX XXXXXXX/ (SL) XXXXXXXXXX XXXXXXXX JAVNE XXXXXXX/ (XX) YLEISEN ASIAKIRJAN XXXXXXXXXXX/ (XX) DEN XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА РОДЕНОТО ЛИЦЕ/ (ES) XXXXXXXXXXX XXXXX LA XXXXXXX XXXXXX/ (CZ) INFORMACE X XXXXXXXXX/ (DA) XXXXXXXXXXX OM DEN XXXXXX, XXX XX XØXX/ (DE) XXXXXXX XXX PERSON, XXXXX XXXXXX ANGEZEIGT XXXX/ (XX) XÜXXXXXX ISIKUT XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΠΟΥ ΓΕΝΝΗΘΗΚΕ/ (XX) XXXXXXXXXXX ON THE XXXXXX XXXX/ (XX) XXXXXXXXXXXX XXX XX XXXXXXXX XXX/ (XX) XXXXXXXX XXXXXX XXXX XX DUINE X XXXXXX/ (HR) XXXXXXXXXXX X ROĐENOJ XXXXX/ (XX) XXXXXXXXXXXX XXXXX XXXXXXX XXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXX XXXXXXX/ (LT) INFORMACIJA XXXX XXXXXĮ XXXXXĮ/ (XX) X MEGSZÜLETETT XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXX MWIELDA/ (NL) XXXXXXXXXX XXXX XX XXXXXXXX/ (PL) DANE XXXXXXĄXX OSOBY URODZONEJ/ (XX) INFORMAÇÕES SOBRE X XXXXXX XXX XXXXXX/ (RO) INFORMAȚII XXXXXXX XXXXXXXX NĂSCUTĂ/ (XX) XXXXXXXXXX X XXXXXXXXX OSOBE/ (XX) XXXXXXXXXXX X XXXXXX XXXXX/ (XX) XXXXXXXXX XXXXXXÖX XXXXXX/ (XX) XÖXXXXXXXXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) APELLIDO(S)/ (CZ) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (XX) FAMILIENNAME(N)/ (XX) XXXXXXXXXXXXX (-NIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (EN) XXXXXXX(X)/ (XX) NOM(S)/ (XX) XXXXXXX (XXXXXXXX)/ (HR) XXXXXXX(XX)/ (XX) XXXXXXX(X)/ (XX) XXXĀXXX(-X)/ (XX) XXXXXXĖ (-ĖX)/ (XX) XXXXXXX NEVE(I)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (NL) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (XX) XXXXXXX(X)/ (RO) XXXX/ (XX) XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX/ (XX) SUKUNIMI (-XXXXX)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) XXXXX (XXXXX)/ (XX) FORNAVN(E)/ (XX) XXXXXXX(X)/ (ET) XXXXXXX (-NIMED)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (EN) XXXXXXXX(X)/ (XX) PRÉNOM(S)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (IT) NOME(I)/ (XX) VĀRDS(-I)/ (XX) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (MT) ISEM(/ISMIJIET)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (IMIONA)/ (XX) XXXX(X) XXXXXXX(X)/ (XX) XXXXXXX/ (XX) MENO(-Á)/ (XX) IME/IMENA/ (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/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) DATE (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) DE XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) BREITHE/ (HR) XXXXX (XX/XX/XXXX) XXĐXXXX/ (XX) XXXX XX XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXX (JJ/XX/SSSS) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (DD/MM/JJJJ)/ (XX) DATA (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX NASCIMENTO (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXȘXXXXX/ (XX) DÁTUM (XX/XX/XXXX) NARODENIA/ (SL) XXXXX (DD/MM/LLLL) XXXXXXX/ (XX) SYNTYMÄAIKA (XX/XX/XXXX)/ (XX) FÖDELSEDATUM (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 -LAND/ (DE) XXX XXX LAND XXX XXXXXX/ (ET) XÜXXXXXXX XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX AND XXXXXXX XX BIRTH/ (FR) XXXX XX XXXX XX XXXXXXXXX/ (XX) XXX XXXX TÍR XXXXXXXX/ (HR) XXXXXX X XXXXXX XXĐXXXX/ (XX) LUOGO X XXXXX XX XXXXXXX/ (XX) DZIMŠANAS VIETA XX XXXXXX/ (XX) XXXXXX XXXXX XX XXXXX/ (HU) SZÜLETÉSI XXXXX XX ORSZÁGA/ (XX) XXXX X XXXXXŻ TAT-TWELID/ (XX) XXXXXXXXXXXXXX XX -LAND/ (XX) XXXXXXX X XXŃXXXX URODZENIA/ (XX) XXXXX X XXXX XX NASCIMENTO/ (RO) XXXXX ȘX ȚARA XXȘXXXXX/ (XX) MIESTO X ŠTÁT XXXXXXXXX/ (XX) XXXX XX XXXXXX ROJSTVA/ (FI) XXXXXXÄXXXXXX XX -MAA/ (XX) XÖXXXXXXXX XXX -XXXX

4.5

(XX) ПОЛ/ (XX) XXXX/ (CZ) XXXXXXX/ (XX) XØX/ (XX) XXXXXXXXXX/ (XX) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (FR) XXXX/ (XX) INSCNE/ (HR) XXXX/ (XX) XXXXX/ (XX) DZIMUMS/ (LT) XXXXX/ (XX) XXXX/ (XX) XXXX/ (XX) XXXXXXXX/ (PL) XŁXĆ/ (XX) XXXX/ (RO) XXXXX/ (SK) XXXXXXXX/ (XX) XXXX/ (FI) XXXXXXXXX/ (XX) KÖN

4.5.1

(BG) ЖЕНСКИ/ (ES) MUJER/ (XX) ŽENA/ (XX) XXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) ŽENSKI/ (XX) FEMMINILE/ (XX) XXXXXXXX/ (XX) MOTERIS/ (XX) XŐ/ (XX) XXXX/ (XX) XXXXX/ (XX) KOBIETA/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX

4.5.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (XX) XXXX/ (XX) XÄXXXXXX/ (XX) XXXXXXXXX/ (EL) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) MUŠKI/ (XX) XXXXXXXX/ (LV) XĪXXXXXX/ (XX) VYRAS/ (XX) XXXXX/ (MT) XXĠXX/ (XX) MAN/ (PL) XĘŻXXXXXX/ (PT) MASCULINO/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) MOŠKI/ (XX) XXXX/ (XX) XXX

4.5.3

(XX) НЕОПРЕДЕЛЕН/ (ES) XXXXXXXXXXXXX/ (CZ) NEURČENO/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) NEAMHCHINNTITHE/ (XX) NEODREĐEN/ (XX) XXXXXXXXXXXXX/ (XX) NENOTEIKTS/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) MHUX XXXXXXXXX/ (XX) ONBEPAALD/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) XÃX DEFINIDO/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX FASTSTÄLLT

5.

(BG) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX PARA XX XXXXX/ (XX) XXXX XXX PODPIS/ (DA) XXXXXXXXXXXXXXXX/ (XX) UNTERSCHRIFTENFELD/ (XX) ALLKIRJALAHTER/ (EL) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) XXXXX XXXX LA XXXXXXXXX/ (XX) BOSCA XXX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXXXXX XXX XX XXXXX/ (XX) XXXXXXXX LAUKS/ (LT) XXXXXX LAUKELIS/ (XX) XX ALÁÍRÁS XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX XX HANDTEKENING/ (XX) XXXX PODPISU/ (XX) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX XXXXXX/ (XX) XXXXX XX PODPIS/ (XX) 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/ (XX) XXXXXXXX A XXXXX (XXXXX) ÚŘEDNÍKA, XXXXX XXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXXX(X) XX XXXXXXX(X) XÅ XXX XXXXXXXXXX, XXX HAR XXXXXXX XXXXX FORMULAR/ (XX) XXXXXXXXXXXX(X) XXX XXXXXXX(X) XXX BEAMTEN, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (ET) XÄXXXXXXX XXXXX VÄLJASTANUD XXXXXXXX EESNIMI (-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 THE XXXXXXXX XXX ISSUED THIS XXXX/ (FR) XXX(X) XX XXXXXX(X) XX XXXXXXXXXXXXX QUI A XXXXXXX LE XXXXXXX XXXXXXXXXX/ (XX) SLOINNE (XXXXXXXX) AGUS XXXXXXXX (XXXXXXXXXXXXXX) AN XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXX(XX) I XXX(XX) XXXXXXXXXX XXXX XX XXXXX OVAJ OBRAZAC/ (XX) XXXXXXX/X E XXXX/X XXX FUNZIONARIO XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, XXXĀXXX(-X) UN XĀXXX(-X)/ (XX) ŠIĄ XXXXĄ XXXXXXXXX PAREIGŪNO PAVARDĖ (-ĖX) XX VARDAS (-XX)/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX TISZTVISELŐ XXXXXXX XXXX(X) ÉS XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X ISEM(/ISMIJIET) XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (NL) NA(A)M(EN) XX XXXXXX(X)X(XX) VAN XX AMBTENAAR XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (PL) XXXXXXXX(-X) X XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (PT) XXXXXXX(X) E NOME(S) XXXXXXX(X) XX FUNCIONÁRIO XXX EMITIU O XXXXXXXX XXXXXXXXXX/ (XX) XXXXXX ȘX PRENUMELE XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, XXXXX XXXXX TENTO XXXXXXXX/ (XX) PRIIMEK/PRIIMKI IN XXX/XXXXX XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (FI) XÄXÄX XXXXXXXXX ANTANEEN XXXXXXXXXXX XXXXXXXX (-XXXXX) JA XXXXXXX (-NIMET)/ (XX) XXXXXXXXX XXX XÖXXXXX XÅ XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

5.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX DEL XXXXXXXXXXX QUE EXPIDIÓ XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, XXXXX XXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXX — XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX XXX XXXXXXX, XXX XXXXXX FORMULAR XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX VÄLJASTANUD AMETNIKU XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXX XX XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) XXXXX XX XXXXXXXXXXXXX XXX X DÉLIVRÉ XX XXXXXXX XXXXXXXXXX/ (XX) XXXX XX OIFIGIGH X X’XXXXXX AN XXXXXX XXX/ (XX) XXXXXXXX SLUŽBENIKA XXXX XX XXXXX OVAJ XXXXXXX/ (IT) XXXXXXXXX XXX XXXXXXXXXXX XXX XX XXXXXXXXXX IL XXXXXXXX XXXXXX/ (LV) XXXXXXXXXXXX, XXXX IZDEVUSI XX XXXXXXXX, AMATS/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX TISZTVISELŐ XXXXXXXXX/ (XX) XXXXXX TAL-UFFIĊJAL XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) FUNCTIE XXX XX AMBTENAAR XXX XXX XXXXXXXXX XXXXX AFGEGEVEN/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX FORMULARZ/ (XX) CARGO XX XXXXXXXXXXX XXX XXXXXX X PRESENTE XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX XXXX A XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XXXXX XXXXX TENTO FORMULÁR/ (XX) POLOŽAJ URADNIKA, XX JE XXXXX XX OBRAZEC/ (FI) XÄXÄX LOMAKKEEN XXXXXXXX XXXXXXXXXXX ASEMA/ (XX) XXXXXXXXXX FÖR DEN XXÄXXXXXXX SOM HAR XXXÄXXXX DETTA FORMULÄR

5.3

(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) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (FR) XXXX (JJ/MM/AAAA) XX XXXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) EISIÚNA/ (XX) XXXXX (XX/XX/XXXX) IZDAVANJA/ (XX) XXXX XX XXXXXXXX (GG/MM/AAAA)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) IŠDAVIMO XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) VAN XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATA XX XXXXXÃX (DD/MM/AAAA)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (XX) DÁTUM (XX/XX/XXXX) VYDANIA/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX UTFÄRDANDE

5.4

(BG) ПОДПИС/ (XX) FIRMA/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) UNTERSCHRIFT/ (ET) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (GA) XXXXX/ (XX) XXXXXX/ (IT) XXXXX/ (LV) XXXXXXXX/ (XX) PARAŠAS/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) ASSINATURA/ (XX) SEMNĂTURA/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) ALLEKIRJOITUS/ (XX) XXXXXXXXXXXX

5.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (XX) XXXXX XXXX XXXXXXX/ (XX) XXXX XXXXX XXXXXXX/ (DE) SIEGEL XXXX XXXXXXX/ (XX) XXXXXX XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX XXXXX/ (XX) SCEAU OU XXXXXX/ (GA) XXXXX XX XXXXXX/ (HR) XXX XXX XXXXX/ (XX) BOLLO X XXXXXX/ (XX) ZĪMOGS XXX SPIEDOGS/ (XX) XXXXXXX XXXX ANTSPAUDAS/ (XX) XXXXXX VAGY XXXXXXXŐXXXXXXXX/ (MT) SIĠILL XXX XXXXXX/ (XX) XXXXX XX XXXXXXX/ (XX) XXXXXĘĆ LUB XXXXXXX/ (XX) XXXX XX XXXXXXX/ (XX) XXXXXXXX XXX ȘXXXXXXX/ (XX) PEČAŤ XXXXX XXXXXXXX XXXXXXXX/ (XX) XXXXX ALI XXX/ (XX) SINETTI XXX XXXXX/ (XX) XXXXXX XXXXX XXÄXXXX

XXXXXXXXX X XXXX

XXXXXXXXXXX XXXXXXXXXX FORMULÁŘ – XXXXXXX PRO XXXXXXX

Xxxxxx 7 xxxxxxxx Xxxxxxxxxx xxxxxxxxxx a Xxxx (EU) 2016/1191 xx xxx 6. xxxxxxxx 2016 x xxxxxxx xxxxxxx pohybu xxxxxx xxxxxxxxxxxxx požadavků xx předkládání xxxxxxxxx xxxxxxxxx xxxxxx x Xxxxxxxx xxxx a x xxxxx xxxxxxxx (XX) x. 1024/2012 (1)

Xxxxxx (BE) Bulharsko (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (XX) Německo (XX)

Xxxxxxxx (XX) Xxxxx (IE)

Řecko (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Chorvatsko (XX)

Xxxxxx (XX) Kypr (XX)

Xxxxxxxx (XX) Litva (LT)

Lucembursko (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxx (NL) Xxxxxxxx (XX)

Xxxxxx (PL) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Slovinsko (XX)

Xxxxxxxxx (XX) Xxxxxx (XX)

Xxxxxxx (SE) Spojené xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxx překladu veřejné xxxxxxx, k xxx xx xxxxxxxx. Xxxxx xxxxxxxx xx xxxx xxxxxxxxx xxxxx xxxxx xxxxxxxxx jako samostatný xxxxxxxx.

Xxxxx xxxxxxxx xxxxxx xxxxx veřejné xxxxxxx, x xxx je xxxxxxxx. Xxxxx, xxxxx xx veřejná xxxxxxx xxxxxxxxxxx, však může x případech, xxx xx xx xxxxxxxx xxx xxxxx zpracování xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx xx přepis xxxxxxxxx, xxxxx jsou xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX VYDÁVAJÍCÍ ORGÁN

Uveďte xxxxx xxxxxxxxx, které xxxx xxxxxxx xx xxxxxxx listině, x xxx je xxxxxxxx xxxxx xxxxxxxx. (2)

Xxxxx xxxxxxx listina, k xxx je xxxxxxxx xxxxx xxxxxxxx, xxxxxxxxxx xxxxxx xxxxx xxxx xxxxxxxxx, uveďte „–“.

1. XXXXX VYDÁVAJÍCÍ XXXXX XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Název (4)

3. XXXXXXXXX TÝKAJÍCÍ SE XXXXXXX LISTINY, X XXX XX XXXXXXXX XXXXX FORMULÁŘ

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

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx xxxxxx xxxxxxx zástupcem

3.1.3 Xxxxxxx xxxxxx vyšším xxxxxxx xxxxxxxxx

3.1.4 Listina vydaná xxxxxxx xxxxxxxxxxxxx („xxxxxxxx xx xxxxxxx“)

3.1.5 Xxxx (xxxxxxxxx)

(1) Úř. věst. X 200, 26.7.2016, x. 1.

(2) Při xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

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

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

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Osvědčení

3.2.2 Xxxxx z xxxxxxx

3.2.3 Xxxxx x xxxxxxxx xxxxxxxx

3.2.4 Opis xxxxxxxxxx xxxxxxx

3.1.5 Jiné (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, kterým xxxx xxxxxxxx xxxxxxx podepsaná xxxxxxxxx osobou

3.5 Listina xxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxx xxxx xxxxxxxxxxx úředníkem xxxxxxxxx xxxxx v xxxxx výkonu xxxx xxxxxxxxxx povinností

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Referenční xxxxx veřejné xxxxxxx

4. XXXXXXXXX X XXXXXXX XXXXX

4.1 Příjmení

4.2 Xxxxx (xxxxx)

4.3 Datum (xx/xx/xxxx) 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 číslo xxxx / xxxxxxxx xxxxxxxxx

4.6.2 Xxxxx a xxxxxxxx xxxxxxxxx xxxxx

4.6.3 Xxxx (3)

5. XX XXXXXXX XXXXXXX XXXXXXX, X NÍŽ JE XXXXXXXX XXXXX XXXXXXXX, XXXX XXXXXXX XXXXX XX XXX XXXXXX XXXXXXX XXXXXXX XXXXXX.

6. XXXX PRO XXXXXX

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

6.2 Xxxxxx úředníka, xxxxx xxxxx xxxxx xxxxxxxx

6.3 Xxxxx (dd/mm/rrrr) xxxxxx

6.4 Xxxxxx

6.5 Pečeť xxxx xxxxxxx

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

(2) Xxxxx xxxx x – pokud xxxxxxxx – kód XXX xxxx xxxx nebo xxxxxxx „Jiné (upřesněte)“ xx xxxxx xxxxxx x xxxxxxxxxxx nabídky xx xxxxxxxx vícejazyčném xxxxxxxxxxx formuláři, xxxxx xx x xxxxxxxxx xx xxxxxxx evropské x-xxxxxxx.

(3) Xxxxx země x – pokud xxxxxxxx – xxx XXX dané xxxx xxxx xxxxxxx „Jiné (xxxxxxxxx)“ je třeba xxxxxx x xxxxxxxxxxx xxxxxxx ve xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxxxxxx, xxxxx xx k xxxxxxxxx xx portálu xxxxxxxx e-justice.

VÍCEJAZYČNÝ XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX XXXXXX XXXX XXXXXXX/ (CZ) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX FORMULARS XXXXXXXXXX XXXXXXXXX/ (DE) XXXÖXXX, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX VORMI XÄXXX XXXXXX XXXXXX/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (EN) XXXXXXXXX XXXXXXX THIS XXXX/ (XX) AUTORITÉ XX XXXXXXXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XX xXXXXXX X XXXXXXXX AN FHOIRM XXX/ (XX) XXXXXX XXXX XXXXXX XXXX XXXXXXX/ (IT) XXXXXXXÀ XXX RILASCIA XX XXXXXXXX XXXXXX/ (LV) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ FORMĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX TA' DIN XX-XXXXXXX/ (XX) AUTORITEIT XXX XXXXXXX XXX XXX XXXXXXXXX/ (XX) XXXXX WYDAJĄCY NINIEJSZY XXXXXXXXX/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ A XXXXXXXXXXX XXXXXXXX/ (SK) XXXXX XXXXXXXXXX TENTO XXXXXXXX/ (SL) ORGAN, XX XXXX TA XXXXXXX/ (FI) XÄXÄX XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) DENOMINACIÓN/ (XX) XXXXX/ (XX) BETEGNELSE/ (XX) XXXXXXXXXXX/ (XX) XXXXXXX/ (EL) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (HR) XXXXX/ (IT) XXXXXXXXXXXXX/ (XX) NOSAUKUMS/ (LT) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXÇÃX/ (RO) XXXXXXXX/ (SK) XXXXX/ (XX) XXX/ (FI) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX XXXXXX EL XXXXXXXXX XXXXXXX XX XXX XX ADJUNTA XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, K XXX XX XXXXXXXX XXXXX XXXXXXXX/ (DA) XXX XXXXXXXXX, XXX XXX XXXXXXX DET XXXXXXXXXX XXXXXXXX, XXX DENNE XXXXXXXX ER XXXXÆXXXX/ (XX) BEHÖRDE, XXX XXX ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX, XXXXXXXXX/ (XX) 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 THE PUBLIC XXXXXXXX XX WHICH XXXX FORM XX XXXXXXXX/ (XX) AUTORITÉ XX DÉLIVRANCE XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XX xXXXXXX X XXXXXXXX XX XXXXXXXXX XXXXXX LENA XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXX XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX PRILOŽEN/ (XX) XXXXXXXÀ XXX XXXXXXXX XX DOCUMENTO XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, KURAM ŠĪ XXXXXXXX IR XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX FORMA, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATOT XXXXXXXX XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX TAD-DOKUMENT XXXXXXXX XX XXXXĦX HIJA XXXXXŻX XXX IL-FORMOLA/ (XX) AUTORITEIT XXX XXXXXXX VAN XXX XXXXXXXX XXXXXXXX WAARAAN XXX FORMULIER IS XXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXX URZĘDOWY, XX KTÓREGO NINIEJSZY XXXXXXXXX JEST ZAŁĄCZONY/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXXX XXXXXXX A XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (RO) XXXXXXXXXXX XXXXXXXĂ A XXXXXXXXXXXX XXXXXXX XX XXXX ESTE ANEXAT XXXXXXXXX FORMULAR/ (SK) XXXXX XXXXXXXXXX VEREJNÚ XXXXXXX, XX XXXXXX XX TENTO XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX XXXX JAVNO XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX/ (FI) XXXXXXXXXXXX, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ LOMAKE XXXXXXÄÄX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXX OFFICIELLA XXXXXXXX TILL XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXX AL XXX XX XXXXXXX XXXX IMPRESO/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXX XXXXXXX, K XXX XX XXXXXXXX XXXXX XXXXXXXX/ (DA) XXXXXXXXXXX XXXXØXXXXX XXX XXXXXXXXXX DOKUMENT, XXX XXXXX FORMULAR XX XXXXÆXXXX/ (DE) XXXXXXX XXX ÖXXXXXXXXXXX URKUNDE, XXX DIESES XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX AVALIKU XXXXXXXXX XXXXX, MILLELE SEE XXXX XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX RELATING XX XXX PUBLIC XXXXXXXX XX XXXXX XXXX XXXX IS XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX XX DOCUMENT XXXXXX XXXXXX XXX XXXXX XX XXXXXXX FORMULAIRE/ (XX) XXXXXXXX A XXXXXXXXX XXXX AN XXXXXXXXX POIBLÍ LENA XXXXXX AN XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXX SE XXXXXX XX XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX PRILOŽEN/ (XX) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXXX DOKUMENTU, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX XX VIEŠUOJU XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX FORMA/ (XX) A FORMANYOMTATVÁNNYAL XXXXXX KÖZOKIRATRA XXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) INFORMATIE XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (PL) XXXXXXXXXX XXXXXXĄXX DOKUMENTU XXXĘXXXXXX, DO XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX DOCUMENTO XXXXXXX X XXX X PRESENTE XXXXXXXXXX XXXX APENSO/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX ESTE XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXX XXXXXXX, XX KTOREJ XX TENTO FORMULÁR XXXXXXXXX/ (SL) XXXXXXXXXXX X XXXXX X XXXXX XXXXXXX, XX XX XX PRILOŽEN XX XXXXXXX/ (FI) XXXXXX YLEISESTÄ XXXXXXXXXXXX, XXXXX TÄMÄ LOMAKE XXXXXXÄÄX/ (XX) XXXXXXXXXXX XX DEN XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (ES) XXXXXXXXX XXXXXXXX XXX XXX AUTORIDAD O XX XXXXXXXXXXX XXXXXXXXX X XXX XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXX XXXX XXXXXXXXX S XXXXXX XX SOUDY XXXXXX ČLENSKÉHO XXXXX/ (XX) XXXXXXXX, XXX XX XXXXXXX AF XX XXXXXXXXX XXXXX XX XXXXXXXXXX, DER XX TILKNYTTET XXXXXXXX X XX XXXXXXXXXXX/ (XX) URKUNDE XXXXX XXXÖXXX ODER XXXXX XXXXXXXXXX ALS XXXXX XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) DOKUMENT, XXXXX XX VÄLJA XXXXXX XXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXXXX XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX FROM XX AUTHORITY OR XX OFFICIAL CONNECTED XXXX THE XXXXXX XX XXXXXXXXX XX X XXXXXX STATE/ (XX) DOCUMENT XXXXXXX X'XXX XXXXXXXX OU X'XX XXXXXXXXXXXXX XXXXXXXX X'XXX JURIDICTION X'XX XXXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X ÚDARÁS XX X XXXXXXXXX X XXXXXX BAINT XXXX XX XXXX XX XXXXXXXXXX XX LE XXXXX DE XXXXX XXXXXXXXX/ (XX) ISPRAVA XXXX XX XXXXXX XXXXXX XXX SLUŽBENIK XXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ X XX UN XXXXXXXXXXX XXXXXXXXXXXX XX XXX XXXXX XXXXXXXXXXXXX XX XXX XXXXX XXXXXX/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XX DALĪBVALSTS XXXXĀX XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX XXXXXXXX XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ SU XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX ÁLLÓ XXXXXXX VAGY TISZTVISELŐ XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX AWTORITÀ JEW XXXXĊXXX LI XXXXXXXX XXXXX MAL-QRATI XXX XX-XXXXXXXXX XX' XXXX XXXXXX/ (XX) DOCUMENT XXXXXXXXX DOOR XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX TOT XXX XXXXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXX SĄDOWEGO XXX XXXĘXXXXX SĄDOWEGO XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXXXX XX XX XX FUNCIONÁRIO XXXXXXXXXX XX XXXXXXXX JURISDIÇÃO XX XX DOS XXXXXXX-XXXXXXX/ (RO) DOCUMENT XXXX DE O XXXXXXXXXX XXX DE XX XXXXȚXXXXX XX XX XÂXXĂ INSTANȚELE XXXX XXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXX XXXXXXXXX X XÄXXXX XX XXXX XXXXXXXXX ŠTÁTU/ (XX) XXXXXXX, XXXXXX X XXXXXX XXXXXX XXX XXXXXXXX SODNE XXXXXXX DRŽAVE XXXXXXX/ (XX) ASIAKIRJA, XXXXX XX XXXXXXX JÄSENVALTION XXXXXXXXXXXXXXXX XXXXXXX VIRANOMAINEN XXX VIRKAMIES/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX EN MYNDIGHET XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX DOMSTOLSVÄSENDET I XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) RESOLUCIÓN XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (DA) DOMSTOLSAFGØRELSE/ (XX) GERICHTSENTSCHEIDUNG/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (EN) XXXXX XXXXXXXX/ (XX) DÉCISION XX XXXXXXX/ (XX) XXXXXXXX ÓN gCÚIRT/ (XX) SUDSKA XXXXXX/ (XX) XXXXXXXXX GIURISDIZIONALE/ (XX) TIESAS XĒXXXX/ (XX) XXXXXX SPRENDIMAS/ (XX) XXXXXXXX XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) ORZECZENIE SĄDOWE/ (XX) XXXXXÃX XXXXXXXX/ (XX) HOTĂRÂRE JUDECĂTOREASCĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) XXXXX ODLOČBA/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) DOMSTOLSBESLUT

3.1.2

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXX/ (CZ) XXXXXXX XXXXXX STÁTNÍM XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT, XXXXX ON VÄLJA XXXXXX XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX EMANATING XXXX X XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX ÉMANANT XX XXXXXXÈXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX Ó XXXXXXXXXXXXXXX XXXXXX/ (HR) XXXXXXX XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX EMANATO DAL XXXXXXXX XXXXXXXXX/ (LV) XXXXXXXXX, KURU IZSNIEDZIS XXXXXXXXX/ (XX) PROKURORO XXXXXXXX XXXXXXXXXX/ (XX) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (NL) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX MINISTERIE/ (XX) XXXXXXXX POCHODZĄCY OD XXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX XX MINISTÉRIO XXXXXXX/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX/ (SK) XXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXX, XX XX XXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX 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) XXXXXXX XXXXXX VYŠŠÍM XXXXXXX ÚŘEDNÍKEM/ (DA) XXXXXXXX UDSTEDT XX XX XXXXXXXXXXXXXÆX/ (XX) XXXXXXX XXXXX URKUNDSBEAMTEN XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX XXXX X CLERK XX X XXXXX/ (FR) XXXXXXXX XXXXXXX D'UN XXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXX DE CHUID XXXXXX/ (XX) ISPRAVA XXXX XX XXXXX XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX TIESAS XXXXXXĀXX/ (XX) XXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX XXĠXXXXXXXX TA' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX SĄDOWEGO/ (XX) XXXXXXXXX XXXXXXXXXXX XX UM XXXXXXX XX JUSTIÇA/ (XX) XXXXXXXX XXXX XX XX GREFIER XX XXXXXXȚXX/ (XX) XXXXXXX XXXXXX SÚDNYM XXXXXXXXX/ (XX) XXXXXXX, XX XX IZDA SODNI XXXXXXXXXX/ (XX) TUOMIOISTUIMEN XXXXXXXXX ANTAMA XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX XXÅX EN XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (XX) DOCUMENTO XXXXXXXX XXX UN XXXXXX XXXXXXXX («HUISSIER XX XXXXXXX»)/ (CZ) XXXXXXX XXXXXX SOUDNÍM XXXXXXXXXXXXX („XXXXXXXX XX JUSTICE“)/ (XX) DOKUMENT XXXXXXX XX XX XXÆXXXXXXXXXX (»XXXXXXXX DE XXXXXXX«)/ (XX) XXXXXXX EINES XXXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («HUISSIER XX JUSTICE»)/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXXXX XXXXXXX ('XXXXXXXX XX JUSTICE')/ (XX) XXXXXXXX XXXXXXX X'XX HUISSIER XX XXXXXXX/ (XX) DOICIMÉAD X XXXXXXX X XXXXXXXXX BREITHIÚNACH (“XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXX XX XXXXX XXXXXX XXXXXXXXX (XXXXXXXX DE XXXXXXX)/ (XX) XXXXXXXXX EMANATO XX UN XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX DE XXXXXXX")/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX TIESAS XXXXXXĪXĀXX (XXXXXXXX XX XXXXXXX)/ (XX) ANTSTOLIO (XXXXXXXX XX XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX JUSTICE”) ÁLTAL XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX MAĦRUĠ MINN XXXXĊXXX ĠUDIZZJARJU ('HUISSIER XX JUSTICE')/ (NL) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXXXXXXXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX XĄXXXXXX (XXXXXXXX XX XXXXXXX)/ (PT) XXXXXXXXX XXXXXXXXXXX DE XX OFICIAL DE XXXXXXÃX DE DIREITO («XXXXXXXX XX JUSTICE»)/ (XX) XXXXXXXX XXXX XX UN XXXXXXXX XXXXXĂXXXXXX („HUISSIER XX XXXXXXX”)/ (SK) XXXXXXX XXXXXX SÚDNYM XXXXXXXXXXĽXX („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (FI) XXXXXXXXXXXX (”XXXXXXXX XX JUSTICE”) XXXXXX XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX XX XXÄXXXXXXXXX (XXXXXXXX DE XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (CZ) XXXX (XXXXXXXXX)/ (XX) ANDRE (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (ET) XXX (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (EN) XXXXX (TO BE XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (XX) XXXX (XX XXXXX)/ (XX) OSTALO (XXXXXXX)/ (XX) XXXXX (PRECISARE)/ (XX) XXXX (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (XX) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) OĦRAJN (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (PL) INNY (XXXXXĘ XXXXŚXXĆ)/ (XX) XXXXXX (A XXXXXXXXXXX)/ (XX) XXXXX (A XX XXXXXXX)/ (XX) XXX (XXXXXXXX)/ (SL) XXXXX (XXXXXXX)/ (XX) XXX ASIAKIRJA (XÄXXXXXXXXÄXÄ)/ (XX) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX ADMINISTRATIVO/ (XX) LISTINA XXXXXX XXXXXXXX ÚŘADEM/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (DE) XXXXXXX XXXXX VERWALTUNGSBEHÖRDE/ (XX) HALDUSDOKUMENT/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX DOCUMENT/ (XX) XXXXXXXX ADMINISTRATIF/ (XX) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX ISPRAVA/ (IT) XXXXXXXXX AMMINISTRATIVO/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (HU) XÖXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXX AMMINISTRATTIV/ (XX) XXXXXXXXXXXXXX DOCUMENT/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX ADMINISTRATIV/ (XX) XXXXXXX XXXXXXX/ (SL) XXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) CERTIFICADO/ (CZ) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) BESCHEINIGUNG/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) CERTIFICATE/ (FR) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) POTVRDA/ (IT) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, LIUDIJIMAS/ (XX) TANÚSÍTVÁNY/BIZONYÍTVÁNY/ (XX) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (SK) XXXXXXXXXX/ (SL) POTRDILO/ (XX) TODISTUS/ (SV) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX REGISTRO XXXXX/ (XX) XXXXX Z XXXXXXX/ (XX) UDDRAG XXX XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX AUS DEM XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (EN) XXXXXXX XXXX THE XXXXX XXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX DE L'ÉTAT XXXXX/ (XX) XXXXXXX XX XX gCLÁR XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX IZ REGISTRA XXXXXXX XXXXXX/ (XX) XXXXXXXX XX ATTO XX STATO CIVILE/ (XX) XXXXXXXX XX XXXXXXXĀXXXĻX AKTU REĢISTRA/ (XX) XXXXXXX XX XXXXXXXĖX XŪXXĖX AKTŲ XXXXXXXX/ (XX) ANYAKÖNYVI XXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXX UIT XXX XXXXXXXX XXX XX XXXXXXXXXXX STAND/ (XX) ODPIS XXXXXXXX XXXX STANU XXXXXXXXX/ (XX) XXXXXXX XX XXXX XX XXXXXXX XXXXX/ (RO) XXXXXX XXX XXXXXXXXX DE XXXXX CIVILĂ/ (XX) XXXXX X XXXXXXXX XXXXXXXX STAVU/ (SL) XXXXXXX XX REGISTRA X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX DEL XXXXX/ (CZ) XXXXX X REGISTRU XXXXXXXX/ (XX) XXXXXX FRA XXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX MELDEREGISTER/ (XX) RAHVASTIKUREGISTRI XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) EXTRACT XXXX XXX XXXXXXXXXX XXXXXXXX/ (XX) EXTRAIT XX XXXXXXXX XX LA XXXXXXXXXX/ (XX) XXXXXXX XX XX xXXXX XXXXXX/ (XX) XXXXXXX XX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX ANAGRAFICO/ (XX) XXXXXXXX NO XXXXĪXXXĀXX REĢISTRA/ (LT) XXXXXXX XX GYVENTOJŲ XXXXXXXX/ (XX) XXXXXXX X XXXXXXXXXXXX- ÉS XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX TAL-POPOLAZZJONI/ (XX) XXXXXXXXXX XXX HET XXXXXXXXXXXXXXXXXX/ (PL) XXXXĄX X XXXXXXXX XXXXXŚXX/ (XX) EXTRATO XX XXXXXXX XX XXXXXXÇÃX/ (XX) EXTRAS XXX XXXXXXXXX XX EVIDENȚĂ X XXXXXXȚXXX/ (XX) XXXXX Z XXXXXXXX XXXXXXXĽXX/ (SL) XXXXXXX XX XXXXXXXX XXXXXXXXXXXX/ (XX) VÄESTÖREKISTERIOTE/ (XX) XXXXXX UR XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТАКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) COPIA XXXXXXX XX XXXXX XXX XXXXXXXX CIVIL/ (CZ) XXXX MATRIČNÍCH XXXXXXX/ (XX) ORDRET XXXX XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (EN) XXXXXXXX XXXX XX XXXXX XXXXXX XXXXXXX/ (XX) XXXXX LITTÉRALE X'XXXXX XX L'ÉTAT XXXXX/ (XX) XXXX XXXXX XX XXXXXX DE XXXXXXX XX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX IZ XXXXXXXXXX X XXXXXXX XXXXXX/ (XX) XXXXX XXXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX XXĢXXXXX XXXXXXXX XXXXXXXXXX KOPIJA/ (XX) CIVILINĖS XŪXXĖX XXXŲ ĮRAŠŲ XXXXXXXĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX SZÓ XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXX XXX-XXXX 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) XXXXX EXACTĂ X XXXX XXX XX XXXXX XXXXXĂ/ (XX) XXXXXXXX VÝPIS XX XXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXX XXXXXX LISTIN X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX SANATARKKA XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (CZ) XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) NOTARIELLE XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) ACTE NOTARIÉ/ (XX) GNÍOMH XXXXXXXXXXXX/ (XX) JAVNOBILJEŽNIČKA ISPRAVA/ (XX) XXXX XXXXXXXX/ (XX) NOTARIĀLS AKTS/ (XX) NOTARINIS XXXXX/ (XX) XÖXXXXXXŐX OKIRAT/ (XX) XXX XXXXXXXX/ (XX) XXXXXXËXX AKTE/ (XX) XXX XXXXXXXXXX/ (XX) XXX NOTARIAL/ (XX) ACT XXXXXXXX/ (XX) NOTÁRSKA XXXXXXX/ (XX) XXXXXXXX LISTINA/ (XX) XXXXXXXX ANTAMA XXXXXXXXX/ (XX) NOTARIELL XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX OFICIAL XXXXXX XXXXX UN XXXXXXXXX PRIVADO/ (XX) XXXXXX XXXXXXXXX, XXXXXX XXXX XXXXXXXX XXXXXXX XXXXXXXXX SOUKROMOU OSOBOU/ (XX) XXXXXXXX PÅTEGNING XÅ XX XXXXXXXX XXXXXXXXXXX XX XX XXXXXX X DENNES XXXXXXXX XX 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/ (EN) XXXXXXXX XXXXXXXXXXX XXXXXX ON X XXXXXXXX XXXXXX XX X XXXXXX XX XXX OR XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX XX XXXX XXXX XXXXX XXXXX/ (GA) DEIMHNIÚ XXXXXXXXX X CHUIRTEAR XX XXXXXXXXXX ARNA XXXXXX XX DUINE XXX CHÁIL XX XXX XXXX PHRÍOBHÁIDEACH/ (XX) SLUŽBENA XXXXXXX XXXXXXXXX NA XXXXXXX XXXX XX OSOBA XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (IT) XXXXXXXXXXXXX XXXXXXXXX APPOSTA XX XXX XXXXXXXXX PRIVATA/ (XX) XXXXXĀXX APLIECINĀJUMS XX DOKUMENTA, KO XXXĀ VĀRDĀ XXXXXXXĪXXXX XĀXX PERSONA/ (XX) XXXXXXXŲ ASMENŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX PATVIRTINIMAI/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX TANÚSÍTVÁNY/ (MT) ĊXXXXXXXXX XXXXĊXXXX LI XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX CERTIFICAAT XX XXX XXXXXXXX XXXXXXXXXXX XXXX XXX XXXXXXX XX XXXX PARTICULIERE XXXXXXXXXXXX/ (PL) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX XXXXXXXXX/ (PT) XXXXXXXÇÃX XXXXXXX INSERTA XXX XXX DE XXXXXXXX PRIVADA/ (RO) XXXXXXXXXX XXXXXXX XXXXXXX XX XX XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) ÚRADNÉ XXXXXXXXXX XXXXXXX XX LISTINE XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX OSOBA/ (XX) XXXXXX XXXXXX XX XXXXXXX LISTINI/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, JONKA XXXXXXÖ XX ALLEKIRJOITTANUT XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX XXXXX XXXXXXXXX PÅ XX XXXXXXXX XXX XXXXXXXXXXXXX XX XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (ES) DOCUMENTO XXXXXXXX XXX XX XXXXXX XXXXXXXXXXX O XXXXXXXX XX XX XXXXXX MIEMBRO XXX XXXXXXXX OFICIAL/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX ČLENSKÉHO STÁTU X XXXXX XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX XX XX XXXXXXXXXXXX XXXXXXXXXXXX ELLER XXXXXXÆXX REPRÆSENTANT/ (DE) XXX XXXXX XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX VERTRETER XXXXX MITGLIEDSTAATS XX XXXXXX AMTLICHEN XXXXXXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX VÕI XXXXXXXXXXXXXXXXX POOLT XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX XXXXX XX XX X XXXXXXXXXX OR CONSULAR XXXXX XX X XXXXXX XXXXX IN XXX XX XXX XXXXXXXX XXXXXXXX/ (FR) XXXXXXXX ÉTABLI XX XX QUALITÉ XXXXXXXXXX XXX XX AGENT XXXXXXXXXXXX OU XXXXXXXXXX X'XX XXXX MEMBRE/ (XX) XXXXXXXXX XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX XX XXXXX XXXXXXXXX INA XXXXX XX XXX XXXX XXXXXXXXX/ (HR) ISPRAVA XXXX XX X XXXXXXXXX SVOJSTVU XXXXXXXX XXXXXXXXXXX ILI XXXXXXXXXX XXXXXXXXXXX XXXXXX ČLANICE/ (XX) DOCUMENTO XXXXXXX XX AGENTI XXXXXXXXXXX X CONSOLARI XX XXX XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX LORO XXXXXXXX/ (LV) XXXXXXXXX, XXXX, PILDOT AMATA XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX VAI XXXXXXĀXXXX XĀXXXĀXXX/ (LT) DOKUMENTAS, XXXXXXXXX XXXXXXXĖX NARĖS XXXXXXXXX AR XXXXXXXXXX XXXXXXŪXX, VEIKIANČIO XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX XXXXX XXXXXXXXX MINŐSÉGÉBEN XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX IMĦEJJI XXXX XĠXXX XXXXXXXXXXX XXX XXXXXXXXX XX' XXXX XXXXXX FIL-KAPAĊITÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXXXXX OF CONSULAIRE XXXXXXXXX XXX XXX XXXXXXXX XX XXXX XXXXXXËXX HOEDANIGHEID/ (XX) XXXXXXXX SPORZĄDZONY XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX LUB XXXĘXXXXX XXXXXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX XXXĘXXXXX/ (PT) XXXXXXXXX LAVRADO XXX XX XXXXXX XXXXXXXXXXX XX CONSULAR XX XX XXXXXX-XXXXXX NO XXXXXXXXX DAS XXXX XXXÇÕXX OFICIAIS/ (XX) XXXXXXXX ÎXXXXXXX DE XĂXXX XX XXXXX XXXXXXXXXX XXX XXXXXXXX XX UNUI XXXX XXXXXX, ÎX CALITATE XXXXXXXĂ/ (SK) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX ŠTÁTU X XXXXX XXXXXX XXXX XXXXXXX/ (SL) XXXXXXX, XX XX XXX XXXXXX XXXXX XXXX XXXXXXXXXXX XXX KONZULARNI XXXXXXXXXXX DRŽAVE XXXXXXX/ (XX) ASIAKIRJA, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX ON XXXXXXXX XXXXXXXXXXXXXXXXXX/ (SV) XXXXXXXX UPPRÄTTAD X XXÄXXXXX AV EN XXXXXXXXXXX ELLER XXXXXXÄX XXÄXXXXXXX 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 (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (JJ/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (GG/MM/AAAA)/ (XX) IZDOŠANAS XXXXXX (XX/XX/XXXX)/ (LT) XXXXXXXX XXXX (DD/MM/MMMM)/ (HU) X KIÁLLÍTÁS DÁTUMA (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) DATA (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) XXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) VYDANIA/ (XX) 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/ (ES) XXXXXX DE REFERENCIA XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (XX) XXX XXXXXXXXXX DOKUMENTS XXXXXXXXXXXXXXX/ (DE) XXXXXXXXXX XXX ÖFFENTLICHEN XXXXXXX/ (XX) AVALIKU DOKUMENDI XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (EN) REFERENCE XXXXXX OF XXX XXXXXX DOCUMENT/ (XX) XXXXXX XX RÉFÉRENCE XX XXXXXXXX PUBLIC/ (XX) XXXXXX THAGARTHA XX DOICIMÉID XXXXXXX/ (XX) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (IT) XXXXXX DI XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXĀ DOKUMENTA XXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXX/ (XX) A XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (NL) XXXXXXXXXXXXXXXX XXX HET XXXXXXXX XXXXXXXX/ (PL) XXXXX REFERENCYJNY DOKUMENTU XXXĘXXXXXX/ (XX) XXXXXX XX XXXXXÊXXXX DO XXXXXXXXX PÚBLICO/ (XX) XXXĂXXX XX XXXXXXXȚĂ XX XXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) YLEISEN XXXXXXXXXX VIITENUMERO/ (SV) XXX OFFICIELLA HANDLINGENS XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (ES) XXXXXXXXXXX XXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXX X DOTYČNÉ OSOBĚ/ (XX) XXXXXXXXXXX XX XXX XÅXÆXXXXXX PERSON/ (XX) XXXXXXX ZUR XXXXXXXXXXXX PERSON/ (ET) XXXXXXXXX XXXXXX XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (EN) INFORMATION XX THE PERSON XXXXXXXXX/ (XX) INFORMATIONS XXX XX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXX LEIS XX XXXXX XXXX xXXXXXXXX/ (XX) XXXXXXXXXXX O XXXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXX PERSONA XXXXXXXXXXX/ (LV) INFORMĀCIJA XXX ATTIECĪGO PERSONU/ (XX) XXXXXXXXXXX XXXX XXXXXXXXXĄ XXXXXĮ/ (XX) XX ÉRINTETT XXXXXXXXX XXXXXXXXX ADATOK/ (XX) XXXXXXXXXXXXX DWAR XX-XXXXXXX XXXXĊXXXXXX/ (XX) INFORMATIE XXXX XX BETROKKENE/ (XX) XXXX XXXXX, XXXXXX XXXXXXX XXXXXXXX/ (XX) INFORMAÇÕES SOBRE X PESSOA XX XXXXX/ (RO) XXXXXXXȚXX XXXXXXX PERSOANA XXXXXĂ/ (XX) XXXXXXXXXX X XXXXXXXXX OSOBE/ (XX) XXXXXXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXX/ (XX) XXXXXXXXX OM DEN XXXÖXXX XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (ES) XXXXXXXX(X)/ (XX) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (XX) XXXXXXXXXXXX(X)/ (XX) XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX(X)/ (XX) NOM(S)/ (XX) XXXXXXX (XXXXXXXX)/ (XX) PREZIME(NA)/ (XX) XXXXXXX(X)/ (LV) XXXĀXXX(-X)/ (XX) XXXXXXĖ (-ĖS)/ (XX) XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (NL) XXXXXXXX(X)X(XX)/ (XX) NAZWISKO(-A)/ (XX) XXXXXXX(X)/ (XX) XXXX/ (XX) PRIEZVISKO(-Á)/ (XX) XXXXXXX/XXXXXXX/ (XX) XXXXXXXX (-NIMET)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) XXXXX (JMÉNA)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (CÉADAINMNEACHA)/ (XX) XXX(XX)/ (IT) XXXX(X)/ (XX) VĀRDS(-I)/ (XX) XXXXXX (-XX)/ (XX) UTÓNEVE(I)/ (XX) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (XXXXXX)/ (XX) NOME(S) PRÓPRIO(S)/ (XX) XXXXXXX/ (SK) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) ETUNIMI (-XXXXX)/ (XX) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXXX/ (XX) FØDSELSDATO (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) DATE (XX/XX/XXXX) OF XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXX/ (XX) XXXX (LL/MM/BBBB) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXĐXXXX/ (XX) XXXX XX XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) GIMIMO XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXX-XXXXXX/ (XX) GEBOORTEDATUM (XX/XX/XXXX)/ (PL) DATA (XX/XX/XXXX) URODZENIA/ (XX) XXXX XX NASCIMENTO (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXXX/ (FI) XXXXXXÄXXXX (XX/XX/XXXX)/ (SV) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.4

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) LUGAR Y XXXX XX XXXXXXXXXX/ (XX) MÍSTO X XXXX NAROZENÍ/ (DA) XØXXXXXX XX -LAND/ (XX) XXX XXX XXXX XXX XXXXXX/ (XX) XÜXXXXXXX XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX AND XXXXXXX XX BIRTH/ (XX) XXXX XX XXXX XX XXXXXXXXX/ (XX) XXX AGUS XXX XXXXXXXX/ (XX) XXXXXX X XXXXXX XXĐXXXX/ (XX) LUOGO X XXXXX XX XXXXXXX/ (XX) XXXXXXXXX XXXXX XX VALSTS/ (XX) GIMIMO XXXXX XX ŠALIS/ (HU) XXÜXXXXXX XXXXX ÉS XXXXXXX/ (XX) POST X XXXXXŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX EN -XXXX/ (XX) MIEJSCE X XXŃXXXX XXXXXXXXX/ (XX) XXXXX X XXXX XX NASCIMENTO/ (XX) LOCUL ȘI ȚXXX XXȘXXXXX/ (XX) XXXXXX X XXXX XXXXXXXXX/ (SL) XXXX XX XXXXXX XXXXXXX/ (XX) XXXXXXÄXXXXXX JA -XXX/ (XX) XÖXXXXXXXX XXX -XXXX

4.5

(XX) ПОЛ/ (XX) SEXO/ (XX) XXXXXXX/ (XX) KØN/ (XX) XXXXXXXXXX/ (XX) XXXX/ (EL) ΦΥΛΟ/ (XX) XXX/ (FR) XXXX/ (XX) XXXXXX/ (XX) XXXX/ (IT) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (HU) XXXX/ (MT) XXXX/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (XX) SEXO/ (XX) SEXUL/ (SK) XXXXXXXX/ (XX) XXXX/ (XX) SUKUPUOLI/ (XX) XÖX

4.5.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) XXXX/ (XX) XXXXXX/ (DE) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (EN) XXXXXX/ (XX) FÉMININ/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (XX) SIEVIETE/ (XX) XXXXXXX/ (XX) XŐ/ (XX) XXXX/ (NL) XXXXX/ (PL) XXXXXXX/ (XX) FEMININO/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) ŽENSKI/ (XX) XXXXXX/ (SV) XXXXXX

4.5.2

(XX) МЪЖКИ/ (ES) VARÓN/ (XX) XXX/ (DA) XXXX/ (XX) XÄXXXXXX/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) MALE/ (XX) MASCULIN/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (LV) XĪXXXXXX/ (LT) VYRAS/ (XX) XXXXX/ (XX) XXĠXX/ (XX) XXX/ (XX) MĘŻCZYZNA/ (PT) XXXXXXXXX/ (XX) BĂRBĂTESC/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) XXX

4.5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (DA) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (EL) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (EN) UNDETERMINED/ (XX) INDÉTERMINÉ/ (XX) XXXXXXXXXXXXXXX/ (XX) NEODREĐEN/ (XX) XXXXXXXXXXXXX/ (LV) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (NL) XXXXXXXXX/ (PL) XŁXĆ XXXXXXXŚXXXX/ (XX) NÃO XXXXXXXX/ (RO) XXXXXXXXXXXX/ (XX) NEURČENÉ/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

4.6

(XX) АДРЕС/ (ES) DIRECCIÓN/ (XX) XXXXXX/ (XX) XXXXXXX/ (DE) XXXXXXXXX/ (XX) XXXXXXX/ (XX) ΔΙΕΥΘΥΝΣΗ/ (XX) XXXXXXX/ (XX) XXXXXXX/ (GA) XXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXX/ (LT) XXXXXXX/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) ADRES/ (XX) ADRES/ (PT) XXXXXXÇX/ (XX) XXXXXX/ (XX) ADRESA/ (XX) XXXXXX/ (FI) XXXXXX/ (XX) ADRESS

4.6.1

(BG) УЛИЦА И НОМЕР/ПОЩЕНСКА КУТИЯ/ (XX) XXXXX X XXXXXX / XXXXXXXX XX XXXXXXX/ (CZ) XXXXX X XXXXX XXXX / POŠTOVNÍ XXXXXXXXX/ (DA) XXX XX XXXXXXXXX/XXXXXXXX/ (XX) XXXXXXX UND XXXXXXXXXX/XXXXXXXX/ (XX) TÄNAV XX XXXX XXXXXX/XXXXXXXX/ (XX) ΟΔΟΣ ΚΑΙ ΑΡΙΘΜΟΣ / Τ.Θ./ (EN) XXXXXX XXX XXXXXX/XX XXX/ (FR) RUE XX XXXXXX/XXÎXX XXXXXXX/ (XX) XXXXX AGUS XXXXXX/XXXXX XXXXX/ (XX) XXXXX X XXXX / XXXXXXXXX XXXXXXXX/ (XX) VIA X XXXXXX/XXXXXXX XXXXXXX/ (XX) XXXX XX MĀJAS XXXXXX / PASTKASTE/ (XX) XXXXĖ IR XXXX NUMERIS / XXXXX XĖXXXĖ/ (XX) XXXX XX HÁZSZÁM/POSTAFIÓK/ (XX) XXXX X XXXXX/XXXXX XXXXXXX/ (NL) XXXXXX EN NUMMER/POSTBUS/ (XX) ULICA X XXXXX / XXXXXXX XXXXXXXX/ (XX) XXX X XXXXXX/XXXXX XXXXXX/ (XX) XXXXXX ȘI XXXĂXXX/XĂXXȚX XXȘXXXĂ/ (XX) XXXXX A XXXXX/XXXXXXX XXXXXXXXX/ (XX) ULICA XX XXXXXXXX/XXXXXX PREDAL/ (XX) XÄXXXXXXXX/XXXXXXXXXXX/ (XX) XXXXXXXXXX/XXXXXXX

4.6.2

(XX) НАСЕЛЕНО МЯСТО И ПОЩЕНСКИ КОД/ (XX) LOCALIDAD X XXXXXX XXXXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXXX XXXXX/ (XX) XX XX XXXXXXXXXX/ (XX) XXX XXX XXX/ (XX) XXXX XÕX XXXXX XX XXXXXXXXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΤΑΧΥΔΡΟΜΙΚΟΣ ΚΩΔΙΚΟΣ/ (XX) PLACE XXX XXXXXX XXXX/ (XX) XXXXXXXX XX XXXX XXXXXX/ (GA) XXX XXXX XXX XXXXX/ (XX) XXXXXX X XXXXXXXXX BROJ/ (XX) XXXXXXXÀ X XXX/ (XX) XXXXX UN XXXXX XXXXXXX/ (XX) XXXXX IR XXXXX XXXXX/ (XX) XXXXXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXÀ X KODIĊI XXXXXXX/ (XX) XXXXXX XX POSTCODE/ (XX) XXXXXXXXXŚĆ I XXX XXXXXXXX/ (PT) XXXXXXXXXX X CÓDIGO XXXXXX/ (XX) XXXXXXXXXXX ȘX XXXXX POȘTAL/ (XX) XXXXXX A XXXXXXX XXXXXXXXXX XXXXX/ (XX) XXXX XX XXXXXX XXXXXXXX/ (XX) POSTINUMERO XX POSTITOIMIPAIKKA/ (XX) XXX OCH XXXXXXXXXX

4.6.3

(XX) ДЪРЖАВА/ (ES) PAÍS/ (XX) XXXX/ (XX) XXXX/ (DE) XXXX/ (XX) XXXX/ (XX) ΧΩΡΑ/ (XX) XXXXXXX/ (XX) PAYS/ (GA) XXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (LT) XXXXX/ (XX) XXXXXX/ (XX) XXXXXŻ/ (XX) XXXX/ (XX) XXŃXXXX/ (XX) XXXX/ (XX) ȚXXX/ (XX) XXXX/ (XX) XXXXXX/ (XX) 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 EL XXXXXXXXX XXXXXXX XX QUE XX XXXXXXX XXXX XXXXXXX, EL XXXXXXXXXX XXXXXX EN XXXX XX LA XXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (CZ) XX XXXXXXX XXXXXXX XXXXXXX, K XXX XX XXXXXXXX TENTO XXXXXXXX, XXXX XXXXXXX XXXXX KE XXX XXXXXX VEŘEJNÉ XXXXXXX XXXXXX/ (DA) X XXXXXXX TIL XXX XXXXXXXXXX DOKUMENT, XXX XXXXX FORMULAR XX XXXXÆXXXX, XXX XXX XÅXÆXXXXXX XXXXXX X XXXX XÅ DATOEN XXX XXXXXXXXXXX AF XXX XXXXXXXXXX XXXXXXXX/ (XX) XXXÄXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX, XXX DIE XXXXXXXXXXX XXXXXX XX XXX XXX XXXXXXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX XX LEBEN/ (ET) XXXXXXXXX XXXXXXXXX XXXXXXXXXXX, XXXXXXX XXX XXXX XX XXXXXXX, XXX XXXXXXXXX ISIK NIMETATUD XXXXXXX XXXXXXXXX XÄXXXXXXXXXX XXXXÄXXXX XXXX/ (XX) 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 TO THE XXXXXX DOCUMENT XX XXXXX XXXX XXXX XX ATTACHED, XXX XXXXXX XXXXXXXXX XXX XXXXX ON XXX XXXX XX XXXXX XX XXX PUBLIC XXXXXXXX/ (XX) X'XXXÈX XX XXXXXXXX XXXXXX XXXXXX LE XXXXXXX XXXXXXXXXX XXX XXXXX, XX XXXXXXXX XXXXXXXXX XXXXX EN XXX À LA XXXX XX XXXXXXXXXX DE XX DOCUMENT XXXXXX/ (XX) XX RÉIR XX XXXXXXXXX XXXXXXX XXXX bhFUIL AN XXXXXX XXX XXXXXXXXXX, XXX AN DUINE XXXX xXXXXXXXX XXX XX XXXXX XXXXXXX XX XXXXXXXXX XXXXXXX/ (XX) PREMA JAVNOJ XXXXXXX XXXXX XX XXXX XXXXXXX PRILOŽEN XXXXXXX XXXXX XXXX XX XXXX NA XXX XXXXXXXXX XXXXX XXXXXXX/ (XX) XXXXXXX XX DOCUMENTO XXXXXXXX XXX XX XXXXXXXX XXXXXX È ALLEGATO, X'XXXXXXXXX XX XXXX XXXXX XXXXXXX XXXXXXXXXXX È XXXXX XXXXXXXXX XXXX XXXX DI XXXXXXXX DI XXXX XXXXXXXXX/ (XX) SASKAŅĀ XX XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, ATTIECĪGĀ XXXXXXX PUBLISKĀ DOKUMENTA XXXXXXXXX XXXXĀ XXXX XXĪXX/ (XX) XXXXX XXXXĄXĮ DOKUMENTĄ, XXXX XXXXX XXXXXXXXX ŠI XXXXX, VIEŠOJO DOKUMENTO XXXXXXXX XXXXĄ XXXXXXXXXXX XXXXX BUVO XXXXX/ (XX) X FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXX XXXXXXX XX ÉRINTETT SZEMÉLY X XÖXXXXXXX KIÁLLÍTÁSÁNAK XXŐXXXXXXXXX XXXXXXX VOLT/ (XX) SKONT ID-DOKUMENT XXXXXXXX XX XXXXĦX XXXX XXXXXŻX DIN XX-XXXXXXX, IL-PERSUNA KKONĊERNATA XXXXXX ĦXXXX FID-DATA XXX-ĦXXĠ XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXX XXXXXXXX DOCUMENT XXXXXXX XXX XXXXXXXXX IS XXXXXXX, WAS DE XXXXXXXXXX XX LEVEN XX XX DATUM XXX AFGIFTE XXX XXX XXXXXXXX XXXXXXXX/ (XX) Z XXXXXXXXX XXXĘXXXXXX, XX KTÓREGO XXŁĄXXXXX XXXX XXXXXXXXX XXXXXXXXX, XXXXXX, ŻX XXXXX, XXXXXX XXXXXXX XXXXXXXX, XXXXXXXXXŁX XXXX ŻXXXX W XXXX XXXXXXX XXXX XXXXXXXXX XXXĘXXXXXX/ (PT) XXXXXXX X XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX, X XXXXXX XX XXXXX ESTAVA XXXX À XXXX XX XXXXXÃX XX XXXXXXXXX PÚBLICO/ (XX) ÎX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX, PERSOANA XXXXXĂ XXX ÎX XXXȚĂ XX DATA XXXXXXXX DOCUMENTULUI OFICIAL/ (XX) XXXĽX XXXXXXXX XXXXXXX, XX XXXXXX XX XXXXX FORMULÁR XXXXXXXXX, XXXX XXXXXXXX XXXXX X XXX XXXXXXX XXXXXXXX XXXXXXX XXXXXX/ (SL) X XXXXXX X XXXXX XXXXXXX, XX JI XX XXXXXXXX TA XXXXXXX, XX XXXX XXXXXXX XXXXX XX XXX XXXXXX XXXXX XXXXXXX XXXX/ (XX) XXX XXXXXXX XXXXXXXXXX XXXXXX, XXXXX TÄMÄ XXXXXX XXXXXXÄÄX, XXXXXXXXXXXX XXXXXXÖ XXX ELOSSA XXXXXXX XXXXXXXXXX XXXXXXXXÄXXÄXÄ/ (XX) ENLIGT XXX XXXXXXXXXX HANDLING TILL XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX XXX XXX BERÖRDA XXXXXXXX X XXXXX XXX XXXXXXXXXX XÖX XXX XXXXXXXXXX HANDLINGENS XXXÄXXXXXX

6.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX XXXXX/ (CZ) XXXX XXX PODPIS/ (XX) UNDERSKRIFTSFELT/ (DE) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) XXXXX XXXX XX SIGNATURE/ (XX) XXXXX DON XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXXXXX XXX LA XXXXX/ (XX) PARAKSTA XXXXX/ (XX) XXXXXX XXXXXXXX/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (MT) XXXXX XXX-XXXXXXXX/ (XX) VAK XXXX DE HANDTEKENING/ (XX) POLE XXXXXXX/ (XX) XXXXÇX DESTINADO À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) KOLÓNKA XX XXXXXX/ (SL) XXXXX ZA 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/ (ES) XXXXXXXX(X) X XXXXXX(X) XXX FUNCIONARIO QUE XXXXXXX XXXX IMPRESO/ (XX) XXXXXXXX A XXXXX (XXXXX) ÚŘEDNÍKA, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXX(X) XX FORNAVN(E) XÅ XXX XXXXXXXXXX, XXX XXX UDSTEDT XXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXXXXXX(X) XXX XXXXXXX, XXX XXXXXX XXXXXXXX AUSGESTELLT XXX/ (XX) KÄESOLEVA XXXXX XÄXXXXXXXXX AMETNIKU EESNIMI (-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 WHO XXXXXX XXXX FORM/ (XX) XXX(X) XX XXXXXX(X) XX XXXXXXXXXXXXX XXX X DÉLIVRÉ XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX (SLOINNTE) AGUS XXXXXXXX (CÉADAINMNEACHA) XX XXXXXXXX X D’EISIGH XX XXXXXX XXX/ (XX) XXXXXXX(XX) I XXX(XX) XXXXXXXXXX KOJI XX XXXXX OVAJ XXXXXXX/ (XX) XXXXXXX/X X XXXX/X DEL XXXXXXXXXXX XXX HA XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX ŠO XXXXXXXX, UZVĀRDS(-I) XX XĀXXX(-X)/ (LT) XXĄ XXXXĄ IŠDAVUSIO PAREIGŪNO XXXXXXĖ (-ĖX) XX XXXXXX (-XX)/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXXXXXŐ XXXXXXX NEVE(I) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) U XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦAREĠ XXX XX-XXXXXXX/ (XX) XX(X)X(XX) XX XXXXXX(X)X(XX) XXX XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) X XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX FORMULARZ/ (XX) APELIDO(S) X XXXX(X) PRÓPRIO(S) DO XXXXXXXXXXX XXX EMITIU X PRESENTE FORMULÁRIO/ (XX) XXXXXX ȘX XXXXXXXXX FUNCȚIONARULUI XXXX X XXXX PREZENTUL XXXXXXXX/ (SK) XXXXXXXXXX(-X) X XXXX(-X) ÚRADNÍKA, XXXXX XXXXX TENTO XXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX IME/IMENA XXXXXXXX, XX XX IZDAL XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX ANTANEEN XXXXXXXXXXX SUKUNIMI (-NIMET) XX XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX XXX XÖXXXXX XÅ XXX XXÄXXXXXXX XXX XXX XXXÄXXXX DETTA FORMULÄR

6.2

(BG) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXX XXX XXXXXXXXXXX QUE XXXXXXX ESTE XXXXXXX/ (XX) XXXXXX ÚŘEDNÍKA, XXXXX XXXXX TENTO XXXXXXXX/ (XX) STILLING — XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX FORMULAR/ (XX) XXXXXXXX DES XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX HAT/ (ET) XÄXXXXXXX VORMI XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (EL) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXX OF XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) XXXXX DU FONCTIONNAIRE XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXX XX XXXXXXXX X D’EISIGH XX FHOIRM XXX/ (XX) XXXXXXXX XXXXXXXXXX XXXX JE XXXXX XXXX XXXXXXX/ (IT) XXXXXXXXX XXX FUNZIONARIO XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) AMATPERSONAS, XXXX XXXXXXXX XX VEIDLAPU, XXXXX/ (LT) ŠIĄ XXXXĄ IŠDAVUSIO PAREIGŪNO XXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX XXX XX XXXXXXXXX XXX XXX XXXXXXXXX HEEFT XXXXXXXXX/ (XX) STANOWISKO XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) CARGO XX FUNCIONÁRIO QUE XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX XXXX A XXXX XXXXXXXXX XXXXXXXX/ (XX) FUNKCIA XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) POLOŽAJ XXXXXXXX, XX XX XXXXX XX OBRAZEC/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXX/ (XX) BEFATTNING XÖX XXX TJÄNSTEMAN XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (DD/MM/AAAA) DE XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) VYDÁNÍ/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX ISSUE/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/GGGG) XXXXXXXXX/ (IT) XXXX XX RILASCIO (XX/XX/XXXX)/ (XX) XXXXXXXXX DATUMS (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) XXX XXXXXXX/ (PL) DATA (XX/XX/XXXX) XXXXXXX/ (PT) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) EMITERII/ (SK) XXXXX (DD/MM/RRRR) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) FÖR XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) UNTERSCHRIFT/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) SIGNATURE/ (XX) XXXXX/ (HR) XXXXXX/ (XX) XXXXX/ (LV) XXXXXXXX/ (XX) XXXXXXX/ (XX) ALÁÍRÁS/ (XX) XXXXX/ (NL) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (ES) XXXXX X XXXXXX/ (XX) XXXXX XXXX XXXXXXX/ (DA) SEGL XXXXX XXXXXXX/ (DE) XXXXXX XXXX STEMPEL/ (XX) XXXXXX VÕI XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX XXXXX/ (XX) SCEAU XX XXXXXX/ (GA) XXXXX NÓ XXXXXX/ (XX) XXX XXX XXXXX/ (XX) XXXXX X XXXXXX/ (XX) XĪXXXX VAI XXXXXXXX/ (XX) XXXXXXX ARBA XXXXXXXXXX/ (HU) XXXXXX XXXX BÉLYEGZŐLENYOMAT/ (XX) XXĠXXX JEW XXXXXX/ (XX) XXXXX XX XXXXXXX/ (XX) XXXXXĘĆ XXX XXXXXXX/ (PT) XXXX XX XXXXXXX/ (XX) XXXXXXXX XXX ȘXXXXXXX/ (SK) XXXXX XXXXX XXXXXXXX PEČIATKY/ (XX) PEČAT XXX XXX/ (FI) XXXXXXX XXX XXXXX/ (SV) XXXXXX XXXXX XXÄXXXX

ÚMRTÍ

VÍCEJAZYČNÝ STANDARDNÍ XXXXXXXX – POMŮCKA XXX XXXXXXX

Xxxxxx 7 xxxxxxxx Evropského parlamentu x Rady (EU) 2016/1191 xx xxx 6. xxxxxxxx 2016 x podpoře volného xxxxxx občanů zjednodušením xxxxxxxxx xx předkládání xxxxxxxxx veřejných listin x Xxxxxxxx unii x x xxxxx xxxxxxxx (EU) x. 1024/2012 (1)

Xxxxxx (BE) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (DK) Xxxxxxx (XX)

Xxxxxxxx (EE) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (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 xxxxxx tohoto xxxxxxxxxxxxx standardního formuláře xx xxxxxxxxx xxxxxxxx xxxxxxx listiny, x xxx xx přiložen. Xxxxx formulář xx xxxx xxxxxxxxx státy xxxxx pohybovat xxxx xxxxxxxxxx xxxxxxxx.

Xxxxx xxxxxxxx xxxxxx xxxxx xxxxxxx xxxxxxx, x xxx xx přiložen. Orgán, xxxxx je veřejná xxxxxxx předkládána, však xxxx x xxxxxxxxx, xxx je xx xxxxxxxx pro xxxxx xxxxxxxxxx veřejné xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx informací, které xxxx xx formuláři xxxxxxx.

XXXXXXXXXX PRO VYDÁVAJÍCÍ XXXXX

Xxxxxx pouze xxxxxxxxx, xxxxx xxxx xxxxxxx xx veřejné listině, x xxx xx xxxxxxxx tento xxxxxxxx. (2)

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

1. XXXXX XXXXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Název (4)

(1) Úř. věst. X 200, 26.7.2016, x. 1.

(2) Při xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

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

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

3. INFORMACE TÝKAJÍCÍ XX XXXXXXX XXXXXXX, X NÍŽ XX XXXXXXXX TENTO FORMULÁŘ

3.1 Xxxxxxx xxxxxx orgánem xxxx úředníkem s xxxxxx xx soudy xxxxxx xxxxxxxxx xxxxx

3.1.1 Xxxxxxxxxx soudu

3.1.2 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx vydaná xxxxxx xxxxxxx xxxxxxxxx

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

3.1.5 Xxxx (xxxxxxxxx)

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 záznamů

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 konzulárním xxxxxxxxx xxxxxxxxx státu x xxxxx xxxxxx xxxx služebních povinností

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx xxxxx veřejné xxxxxxx

4. XXXXXXXXX X XXXXXXXX

4.1 Xxxxxxxx

4.2 Xxxxx (xxxxx)

4.3 Datum (xx/xx/xxxx) xxxxx

4.4 Místo (1) x xxxx (2) xxxxx

4.5 Xxxxx (dd/mm/rrrr) xxxxxxxx

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

4.6.1 Xxxx

4.6.2 Muž

4.6.3 Xxxxxxxx

5. XXXX PRO XXXXXX

5.1 Xxxxxxxx x jméno (xxxxx) úředníka, xxxxx xxxxx xxxxx xxxxxxxx

5.2 Xxxxxx xxxxxxxx, který xxxxx xxxxx xxxxxxxx

5.3 Xxxxx (dd/mm/rrrr) vydání

5.4 Xxxxxx

5.5 Xxxxx xxxx xxxxxxx

(1) Slovy „místo xxxxx“ xx rozumí xxxxx obce xxxx xxxxx, okresu a xxxxx, xxx daná xxxxx zemřela.

(2) Xxxxx xxxx x – xxxxx xxxxxxxx – xxx ISO xxxx xxxx xxxx xxxxxxx „Xxxx (upřesněte)“ xx xxxxx vybrat z xxxxxxxxxxx xxxxxxx xx xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxxxxxx, xxxxx je x dispozici na xxxxxxx xxxxxxxx e-justice.

VÍCEJAZYČNÝ XXXXXX XXXXX STANDARDNÍCH XXXXXXX

(XXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX EXPIDE XXXX XXXXXXX/ (CZ) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (DA) XXXXX XXXXXXXXX UDSTEDENDE MYNDIGHED/ (XX) XXXÖXXX, DIE XXXXXX XXXXXXXX XXXXXXXXX/ (XX) KÄESOLEVA XXXXX XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX XXXX/ (XX) XXXXXXXX DE XXXXXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX XX XXXXXX XXX/ (XX) XXXXXX KOJE XXXXXX XXXX XXXXXXX/ (IT) XXXXXXXÀ CHE XXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) ŠIĄ XXXXĄ XXXXXXXXXX VALDŽIOS INSTITUCIJA/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX TA' XXX IL-FORMOLA/ (XX) XXXXXXXXXX XXX AFGIFTE XXX DIT FORMULIER/ (XX) XXXXX WYDAJĄCY XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXX XXXXX X PRESENTE XXXXXXXXXX/ (XX) XXXXXXXXXXX EMITENTĂ X XXXXXXXXXXX XXXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX, XX IZDA XX XXXXXXX/ (XX) XÄXÄX LOMAKKEEN XXXXXX XXXXXXXXXXXX/ (SV) XXXXXXXXX XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (DA) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (MT) TITLU/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) DESIGNAÇÃO/ (XX) DENUMIRE/ (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 XXX SE XXXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, K XXX XX PŘILOŽEN XXXXX XXXXXXXX/ (XX) XXX XXXXXXXXX, XXX XXX UDSTEDT DET XXXXXXXXXX DOKUMENT, XXX XXXXX XXXXXXXX ER XXXXÆXXXX/ (DE) XXXÖXXX, XXX DIE ÖXXXXXXXXXX XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXÜXX IST, XXXXXXXXX/ (ET) XXXXXX, XXX ANDIS XÄXXX XXXXXXX XXXXXXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX ISSUING XXX XXXXXX XXXXXXXX TO XXXXX XXXX FORM XX XXXXXXXX/ (XX) XXXXXXXX DE DÉLIVRANCE XX XXXXXXXX XXXXXX XXXXXX EST XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX tÚDARÁS X EISEOIDH XX XXXXXXXXX XXXXXX XXXX XXXXXX AN XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXX XXXXX ISPRAVU XXXXX XX XXXX OBRAZAC XXXXXXXX/ (IT) XXXXXXXÀ XXX RILASCIA IL XXXXXXXXX XXXXXXXX XXX XX PRESENTE XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, KURAM XĪ XXXXXXXX XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (LT) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX PRIDEDAMA ŠI XXXXX, IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX TAD-DOKUMENT XXXXXXXX XX XXXXĦX XXXX MEHMUŻA DIN XX-XXXXXXX/ (XX) AUTORITEIT XXX XXXXXXX XXX XXX XXXXXXXX DOCUMENT XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXX WYDAJĄCY XXXXXXXX XXXĘXXXX, DO KTÓREGO XXXXXXXXX FORMULARZ XXXX XXŁĄXXXXX/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXXX XXXXXXX A XXX X PRESENTE XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXXX EMITENTĂ X XXXXXXXXXXXX XXXXXXX XX CARE XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXX VYDÁVAJÚCI XXXXXXX LISTINU, XX XXXXXX XX TENTO XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX XXXX XXXXX LISTINO, XX XX XX XXXXXXXX XX OBRAZEC/ (FI) XXXXXXXXXXXX, XXXX ON XXXXXXX YLEISEN XXXXXXXXXX, XXXXX XÄXÄ LOMAKE XXXXXXÄÄX/ (SV) MYNDIGHET XXX UTFÄRDAR XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX DETTA FORMULÄR ÄX BIFOGAT

3.

(BG) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) INFORMACIÓN RELATIVA XX DOCUMENTO XXXXXXX XX XXX SE XXXXXXX XXXX IMPRESO/ (XX) XXXXXXXXX XXXXXXXX XX VEŘEJNÉ XXXXXXX, X XXX JE XXXXXXXX XXXXX XXXXXXXX/ (XX) OPLYSNINGER XXXXØXXXXX XXX OFFENTLIGE DOKUMENT, XXX DENNE XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXX XXX ÖFFENTLICHEN XXXXXXX, XXX XXXXXX XXXXXXXX BEIGEFÜGT IST/ (XX) 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 PUBLIC XXXXXXXX XX XXXXX XXXX FORM XX XXXXXXXX/ (XX) INFORMATIONS XXXXXXXXX AU XXXXXXXX XXXXXX AUQUEL EST XXXXX LE XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX X XXXXXXXXX XXXX XX DOICIMÉAD XXXXXX XXXX XXXXXX XX XXXXXX XXX CEANGAILTE/ (XX) XXXXXXXXXXX XXXX XX XXXXXX NA XXXXX XXXXXXX XXXXX XX OVAJ XXXXXXX XXXXXXXX/ (XX) INFORMAZIONI XXXXXXXX AL XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX DOKUMENTU, XXXX XXXXX PRIDEDAMA XX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX MIEGĦU XXXX XXXXXŻX DIN XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX HET OPENBAAR XXXXXXXX WAARAAN DIT XXXXXXXXX IS GEHECHT/ (XX) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (PT) XXXXXXXÇÕXX RELATIVAS XX XXXXXXXXX XXXXXXX X XXX O PRESENTE XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX FORMULAR/ (XX) INFORMÁCIE X XXXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (SL) XXXXXXXXXXX X XXXXX X XXXXX XXXXXXX, XX XX JE XXXXXXXX XX XXXXXXX/ (XX) XXXXXX YLEISESTÄ XXXXXXXXXXXX, JOHON XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXXXX OM XXX XXXXXXXXXX HANDLING 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 EXPEDIDO XXX UNA AUTORIDAD X UN XXXXXXXXXXX XXXXXXXXX X XXX XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX NEBO XXXXXXXXX X XXXXXX XX XXXXX XXXXXX XXXXXXXXX XXXXX/ (XX) DOKUMENT, XXX XX UDSTEDT XX XX XXXXXXXXX XXXXX EN XXXXXXXXXX, XXX XX XXXXXXXXXX XXXXXXXX X XX XXXXXXXXXXX/ (DE) URKUNDE XXXXX XXXÖXXX XXXX XXXXX AMTSPERSON XXX XXXXX XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX XX XÄXXX ANDNUD LIIKMESRIIGI XXXXXXXXX SEOTUD AMETIASUTUS XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX XXXX XX AUTHORITY XX XX XXXXXXXX XXXXXXXXX WITH XXX XXXXXX XX TRIBUNALS XX X XXXXXX XXXXX/ (FR) XXXXXXXX XXXXXXX X'XXX AUTORITÉ XX X'XX XXXXXXXXXXXXX XXXXXXXX X'XXX JURIDICTION X'XX ÉTAT XXXXXX/ (XX) DOICIMÉAD A XXXXXXX X XXXXXX XX X XXXXXXXXX X BHFUIL BAINT XXXX NÓ AICI XX XXXXXXXXXX XX XX XXXXX DE XXXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXX XXX XXXXXXXXX SUDA XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX UN'AUTORITÀ X DA XX XXXXXXXXXXX XXXXXXXXXXXX XX XXX DELLE XXXXXXXXXXXXX XX UNO STATO XXXXXX/ (LV) DOKUMENTS, XXXX XXXXXXXXXX XX XXXĪXXXXXXX TIESĀM SAISTĪTA XXXXĀXX XXX AMATPERSONA/ (XX) XXXXXXXXXX, XXXXXXXX XXXXXXXX INSTITUCIJOS XX XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX XXXXXXXX XX TRIBUNOLAIS/ (XX) XXXXXXXXX XXXXXXXXXX KAPCSOLATBAN XXXX XXXXXXX VAGY XXXXXXXXXXŐ XXXXX KIÁLLÍTOTT XXXXXX/ (MT) DOKUMENT XXĦXXĠ MINN AWTORITÀ XXX XXXXĊXXX XX XXXXXXXX RABTA MAL-QRATI XXX XX-XXXXXXXXX XX' XXXX XXXXXX/ (NL) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXXXX OF XXXXXXXXX BEHORENDE XXX XXX XXXXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX ORGANU XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX CZŁONKOWSKIEGO/ (XX) XXXXXXXXX PROVENIENTE XX XXX XXXXXXXXXX XX XX XX XXXXXXXXXXX XXXXXXXXXX XX XXXXXXXX XXXXXXXÇÃX XX UM XXXXXX-XXXXXX/ (XX) XXXXXXXX XXXX DE X XXXXXXXXXX SAU XX XX FUNCȚIONAR XX XX XÂXXĂ XXXXXXȚXXX XXXX STAT XXXXXX/ (XX) LISTINA XXXXXX XXXXXXX ALEBO XXXXXXXXX X XÄXXXX NA XXXX XXXXXXXXX ŠTÁTU/ (XX) XXXXXXX, XXXXXX X STRANI XXXXXX XXX URADNIKA SODNE XXXXXXX XXXXXX XXXXXXX/ (XX) ASIAKIRJA, JONKA XX ANTANUT JÄSENVALTION XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX XX XXXXXXXXX XXXXX EN XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X XX MEDLEMSSTAT

3.1.1

(BG) СЪДЕБНО РЕШЕНИЕ/ (ES) XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (DA) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (FR) DÉCISION XX JUSTICE/ (GA) XXXXXXXX XX xXXXXX/ (XX) XXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (XX) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) RECHTERLIJKE BESLISSING/ (XX) XXXXXXXXXX SĄDOWE/ (XX) DECISÃO JUDICIAL/ (XX) HOTĂRÂRE XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) XXXXX ODLOČBA/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) DOMSTOLSBESLUT

3.1.2

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) DOCUMENTO XXXXXXXX XXX EL MINISTERIO XXXXXX/ (XX) LISTINA XXXXXX XXXXXXX ZÁSTUPCEM/ (XX) XXXXXXXX UDSTEDT XX XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (ET) DOKUMENT, XXXXX XX XÄXXX XXXXXX XXXXXXX SÜÜDISTAJA/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX EMANATING FROM X XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XXXXXXÈXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX Ó XXXXXXXXXXXXXXX XXXXXX/ (HR) XXXXXXX XXXX JE XXXXXX XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) PROKURORO XXXXXXXX XXXXXXXXXX/ (XX) ÜXXXXX XXXXX KIÁLLÍTOTT XXXXXX/ (MT) DOKUMENT XXĦXXĠ XXXX PROSEKUTUR XXXXXXXX/ (NL) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXX XXXXXXXXXX/ (PL) XXXXXXXX POCHODZĄCY XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX DO XXXXXXXXXX XXXXXXX/ (RO) XXXXXXXX XXXX XX UN XXXXXXXX/ (SK) XXXXXXX XXXXXX XXXXXXXXXXXX/ (SL) XXXXXXX, XX XX XXXX XXXXXXX XXXXXXXXX/ (XX) VIRALLISEN XXXXXÄXÄX XXXXXX ASIAKIRJA/ (SV) XXXXXXXX XXX XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) DOCUMENTO XXXXXXXX POR XX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX ÚŘEDNÍKEM/ (DA) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXÆX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX GESCHÄFTSSTELLE XXXXX XXXXXXXX/ (XX) XXXXXXXX, XXXXX ON VÄLJA XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX FROM X XXXXX XX X COURT/ (FR) XXXXXXXX ÉMANANT X'XX XXXXXXXX/ (GA) DOICIMÉAD X XXXXXXX X XXXXXXXXXX XX CHUID XXXXXX/ (HR) XXXXXXX XXXX XX IZDAO XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) DOCUMENTO XXXXXXX XX XX CANCELLIERE/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (XX) TEISMO XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (HU) XXXXXXXX TISZTVISELŐ XXXXX XXXXXXXXXX OKIRAT/ (MT) XXXXXXXX XXĦXXĠ XXXX XXĠXXXXXXXX TA' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX SEKRETARZA XĄXXXXXX/ (XX) XXXXXXXXX PROVENIENTE XX XX XXXXXXX XX JUSTIÇA/ (XX) XXXXXXXX XXXX DE XX GREFIER XX XXXXXXȚXX/ (XX) XXXXXXX XXXXXX SÚDNYM XXXXXXXXX/ (XX) XXXXXXX, XX XX IZDA SODNI XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX ANTAMA ASIAKIRJA/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXXX EXPEDIDO XXX XX AGENTE XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXX XXXXXXX XX EN XXÆXXXXXXXXXX (»XXXXXXXX XX JUSTICE«)/ (XX) URKUNDE EINES XXXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (EN) XXXXXXXX EMANATING FROM X JUDICIAL XXXXXXX ('XXXXXXXX XX JUSTICE')/ (XX) DOCUMENT ÉMANANT X'XX XXXXXXXX XX XXXXXXX/ (GA) DOICIMÉAD X THAGANN Ó XXXXXXXXX XXXXXXXXXXXX (“HUISSIER XX XXXXXXX”)/ (HR) XXXXXXX XXXX XX XXXXX XXXXXX XXXXXXXXX (XXXXXXXX XX JUSTICE)/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXX XXXXXXXXXXX ("HUISSIER XX XXXXXXX")/ (LV) XXXXXXXXX, XXXX IZSNIEDZIS XXXXXX XXXXXXĪXĀXX (XXXXXXXX XX XXXXXXX)/ (XX) ANTSTOLIO (XXXXXXXX XX JUSTICE) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX („HUISSIER XX JUSTICE”) XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('HUISSIER XX XXXXXXX')/ (NL) XXXXXXXX AFGEGEVEN XXXX XXX GERECHTSDEURWAARDER/ (PL) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX XĄXXXXXX (XXXXXXXX XX JUSTICE)/ (PT) XXXXXXXXX PROVENIENTE DE XX XXXXXXÃX XX XXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXX XX UN XXXXXXXX JUDECĂTORESC („XXXXXXXX XX JUSTICE”)/ (XX) XXXXXXX VYDANÁ XXXXXX XXXXXXXXXXĽXX („HUISSIER DE XXXXXXX“)/ (XX) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (FI) XXXXXXXXXXXX (”XXXXXXXX XX XXXXXXX”) XXXXXX XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX XXÅX XX XXÄXXXXXXXXX (XXXXXXXX DE XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (ES) XXXX (XXXXXXXXXXXXX)/ (CZ) XXXX (XXXXXXXXX)/ (DA) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX ANGEBEN)/ (XX) XXX (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) OTHER (XX XX SPECIFIED)/ (XX) XXXXX (À PRÉCISER)/ (XX) XXXX (XX XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (IT) ALTRO (XXXXXXXXX)/ (XX) XXXX (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (XX) EGYÉB (XXXXÜX XXXXXXXXXXX)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (SPECIFICEREN)/ (PL) XXXX (XXXXXĘ OKREŚLIĆ)/ (XX) OUTROS (X XXXXXXXXXXX)/ (XX) XXXXX (X XX XXXXXXX)/ (XX) XXX (XXXXXXXX)/ (XX) DRUGO (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) ANNAN XXXXXXXX (SPECIFICERAS)

3.2

(BG) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (ES) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (XX) ADMINISTRATIVT XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXXXXXXXXX/ (XX) DOICIMÉAD XXXXXXXXXX/ (XX) UPRAVNA XXXXXXX/ (XX) XXXXXXXXX AMMINISTRATIVO/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX OKIRAT/ (XX) DOKUMENT AMMINISTRATTIV/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) DOCUMENT XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX ASIAKIRJA/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (ES) CERTIFICADO/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (EL) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (EN) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (GA) XXXXXXXX/ (HR) POTVRDA/ (XX) CERTIFICATO/ (LV) XXXXXXXXĀXXXX/ (LT) XXXXXX, XXXXXXXXXX/ (HU) TANÚSÍTVÁNY/BIZONYÍTVÁNY/ (XX) ĊERTIFIKAT/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) CERTIFICAT/ (XX) XXXXXXXXXX/ (SL) XXXXXXXX/ (FI) TODISTUS/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX XXXXXXXX XXXXX/ (CZ) XXXXX X XXXXXXX/ (XX) XXXXXX XXX CIVILSTANDSREGISTRET/ (XX) XXXXXX AUS XXX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX FROM XXX CIVIL XXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XX X'XXXX XXXXX/ (XX) XXXXXXX AS XX xXXXX XXXXXXX SHIBHIALTA/ (XX) IZVADAK XX XXXXXXXX XXXXXXX STANJA/ (XX) XXXXXXXX XX XXXX XX XXXXX XXXXXX/ (LV) IZRAKSTS XX XXXXXXXĀXXXĻX XXXX XXĢXXXXX/ (XX) XXXXXXX XX CIVILINĖS XŪXXĖX XXXŲ XXXXXXXX/ (HU) XXXXXÖXXXX XXXXXXX/ (XX) XXXXXXX MIR-REĠISTRU TAL-ISTAT ĊXXXXX/ (NL) UITTREKSEL XXX XXX XXXXXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (XX) EXTRATO XX XXXX XX XXXXXXX CIVIL/ (XX) XXXXXX XXX XXXXXXXXX XX XXXXX XXXXXĂ/ (XX) VÝPIS X XXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXX XX XXXXXXXX O OSEBNEM XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) UTDRAG XX FOLKBOKFÖRINGEN

3.2.3

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (ES) XXXXXXXX XXX XXXXX/ (XX) XXXXX Z XXXXXXXX XXXXXXXX/ (DA) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXX AUS XXX XXXXXXXXXXXXX/ (XX) RAHVASTIKUREGISTRI XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (EN) XXXXXXX XXXX XXX POPULATION XXXXXXXX/ (XX) EXTRAIT XX XXXXXXXX XX XX XXXXXXXXXX/ (GA) XXXXXXX AS AN xXXXX XXXXXX/ (HR) XXXXXXX IZ POPISA XXXXXXXXXXXX/ (IT) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XX XXXXĪXXXĀXX XXĢXXXXX/ (XX) IŠRAŠAS XX XXXXXXXXŲ XXXXXXXX/ (XX) XXXXXXX A XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX TAL-POPOLAZZJONI/ (XX) XXXXXXXXXX XXX XXX BEVOLKINGSREGISTER/ (XX) XXXXĄX Z XXXXXXXX XXXXXŚXX/ (PT) XXXXXXX XX XXXXXXX XX XXXXXXÇÃX/ (XX) XXXXXX XXX XXXXXXXXX DE XXXXXXȚĂ X XXXXXXȚXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXĽXX/ (XX) XXXXXXX IZ XXXXXXXX XXXXXXXXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX UR XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX XX XXXXX DEL REGISTRO XXXXX/ (XX) XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXX KOPI XX XXXXXXXXXXXXXXXXXXX/ (DE) WÖRTLICHE XXXXX VON PERSONENSTANDSEINTRÄGEN/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX COPY XX XXXXX STATUS XXXXXXX/ (XX) COPIE XXXXXXXXX X'XXXXX XX X'XXXX CIVIL/ (XX) XXXX XXXXX XX XXXXXX XX THAIFID XX XXXXXX SIBHIALTA/ (XX) XXXXXXXX XXXXXXXX XX XXXXXXXXXX O XXXXXXX STANJU/ (XX) XXXXX XXXXXXXXX XX XXXX XX STATO XXXXXX/ (LV) XXXXXXXĀXXXĻX XXXX XXĢXXXXX IERAKSTU XXXXXXXXXX XXXXXX/ (LT) XXXXXXXĖX BŪKLĖS XXXŲ ĮXXXŲ PAŽODINĖ KOPIJA/ (XX) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXX XXX-XXXX TAL-ISTAT ĊXXXXX/ (XX) EENSLUIDEND AFSCHRIFT XXX AKTEN VAN XX XXXXXXXXXXX XXXXX/ (XX) ODPIS XXXXŁXX XXXX STANU XXXXXXXXX/ (XX) XXXXXXÃX XX XXXXX XXXXXXXX XX XX XXXXXXXXX DE XXXX DE XXXXXXX XXXXX/ (RO) XXXXX XXXXXĂ X XXXX XXX DE STARE XXXXXĂ/ (XX) DOSLOVNÝ XXXXX ZO ZÁPISOV X XXXXXXX STAVE/ (XX) DOBESEDNI XXXXXX XXXXXX X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX JÄLJENNÖS/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) NOTARBEKRÆFTET DOKUMENT/ (XX) XXXXXXXXXX XXXXXXX/ (XX) NOTARIAALDOKUMENT/ (EL) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) XXXX NOTARIÉ/ (XX) XXXXXX NÓTAIREACHTA/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXĀXX AKTS/ (LT) XXXXXXXXX AKTAS/ (HU) XÖXXXXXXŐX XXXXXX/ (MT) XXX NOTARILI/ (NL) XXXXXXËXX AKTE/ (XX) XXX XXXXXXXXXX/ (PT) XXX NOTARIAL/ (XX) XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX HANDLING

3.4

(BG) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX PUESTA XXXXX XX XXXXXXXXX XXXXXXX/ (CZ) XXXXXX XXXXXXXXX, XXXXXX BYLA XXXXXXXX XXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXX PÅTEGNING XÅ XX XXXXXXXX UNDERTEGNET XX XX XXXXXX X DENNES XXXXXXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXX BESCHEINIGUNG AUF XXXXX XXXXXXXXXXXXX/ (ET) XXXXX XXXXX XXXXXXXXXX XXXXXXXXXXXXXX DOKUMENDILE XXXXXXXXXX XXXXXXX XÕXXX/ (EL) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX XXXXXX XX X XXXXXXXX SIGNED BY X XXXXXX IN XXX XX XXX XXXXXXX CAPACITY/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX XX XXXX XXXX SEING XXXXX/ (XX) XXXXXXXX OIFIGIÚIL X XXXXXXXXX XX XXXXXXXXXX XXXX XXXXXX XX XXXXX INA XXXXX NÓ XXX XXXX PHRÍOBHÁIDEACH/ (HR) XXXXXXXX POTVRDA STAVLJENA XX XXXXXXX KOJU XX OSOBA XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (XX) DICHIARAZIONE XXXXXXXXX XXXXXXX XX UNA XXXXXXXXX XXXXXXX/ (LV) XXXXXĀXX APLIECINĀJUMS XX XXXXXXXXX, XX XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (LT) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX PATVIRTINIMAI/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ĊERTIFIKAT XXXXĊXXXX LI XXXXXXXĦXX X'XXXXXXXX XXXXXXXX MINN XXXXXXX XXX-XXXXĊXXÀ PRIVATA XXXĦXX/ (NL) OFFICIEEL XXXXXXXXXXX OP EEN XXXXXXXX XXXXXXXXXXX XXXX XXX XXXXXXX IN XXXX XXXXXXXXXXXX HOEDANIGHEID/ (XX) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ W XXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÃX XXXXXXX INSERTA NUM XXX XX NATUREZA XXXXXXX/ (XX) XXXXXXXXXX XXXXXXX APLICAT XX XX XXXXXXXX XXX XXXXĂXXXĂ PRIVATĂ/ (XX) XXXXXX OSVEDČENIE XXXXXXX XX XXXXXXX PODPÍSANEJ XXXXXX XXXXXXXXX AKO XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXX XX XXXXXXX XXXXXXX/ (FI) XXXXXXXXXX TODISTUS ASIAKIRJASSA, XXXXX XXXXXXÖ ON XXXXXXXXXXXXXXXX YKSITYISHENKILÖNÄ/ (XX) XXXXXXXXXX XXXXX XXXXXXXXX XÅ XX HANDLING XXX XXXXXXXXXXXXX XX XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX EXPEDIDO XXX UN AGENTE XXXXXXXXXXX O CONSULAR XX UN XXXXXX XXXXXXX XXX XXXXXXXX XXXXXXX/ (XX) LISTINA XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXX XXXXXXXXXXX ÚŘEDNÍKEM XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (DA) XXXXXXXX OFFICIELT UDFÆRDIGET XX EN XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (XX) XXX XXXXX DIPLOMATISCHEN XXXX XXXXXXXXXXXXXX XXXXXXXXX EINES XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX XXXXXXXX ERRICHTETE XXXXXXX/ (ET) XXXXXXXXXXXX XXXXXXXXXXXXXX VÕI KONSULAARAMETNIKU XXXXX XXXXXXXXXXXXXXX TÄITMISEL 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 X XXXXXXXXXX XX CONSULAR XXXXX XX X XXXXXX XXXXX IN XXX XX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXX EN SA XXXXXXX XXXXXXXXXX XXX XX XXXXX XXXXXXXXXXXX XX XXXXXXXXXX X'XX XXXX MEMBRE/ (GA) XXXXXXXXX XXXX THARRAINGT XXXX XX GNÍOMHAIRE XXXXXXXXXXXXXXXX XX CONSALACH XX XXXXX XXXXXXXXX XXX CHÁIL XX XXX CÁIL XXXXXXXXX/ (XX) XXXXXXX XXXX XX X XXXXXXXXX XXXXXXXX XXXXXXXX DIPLOMATSKI XXX KONZULARNI XXXXXXXXXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX XXXXXXXXXXX O XXXXXXXXX XX XXX XXXXX XXXXXX NELL'ESERCIZIO XXXXX XXXX FUNZIONI/ (XX) DOKUMENTS, XXXX, XXXXXX XXXXX PIENĀKUMUS, XXXXXXXXXXX XXXĪXXXXXXX DIPLOMĀTISKAIS XXX XXXXXXĀXXXX PĀRSTĀVIS/ (XX) XXXXXXXXXX, PARENGTAS XXXXXXXĖX XXXĖX XXXXXXXXX XX XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX PAGAL XXXXXXXXXX ĮXXXXXXXXXX/ (XX) VALAMELY XXXXXXXX XXXXXXXXXXX VAGY XXXXXXX XXXXXXXXŐXX ÁLTAL XXXXXXXXX MINŐSÉGÉBEN XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXXX XXXX XĠXXX XXXXXXXXXXX XXX XXXXXXXXX XX' XXXX XXXXXX XXX-XXXXĊXXÀ UFFIĊJALI XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX XXXX XX DIPLOMATIEKE XX XXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX XX ZIJN OFFICIËLE XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX CZŁONKOWSKIEGO XXXXŁXXĄXXXX X XXXXXXXXXXX XXXĘXXXXX/ (PT) XXXXXXXXX XXXXXXX XXX XX XXXXXX DIPLOMÁTICO XX XXXXXXXX XX XX XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX XX CĂTRE XX XXXXX XXXXXXXXXX XXX XXXXXXXX AL XXXX STAT MEMBRU, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX ÚRADNÍKOM XXXXXXXXX XXXXX X RÁMCI XXXXXX XXXX XXXXXXX/ (XX) XXXXXXX, XX XX KOT URADNA XXXXX IZDA XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX EDUSTAJA XXX XXXXXXXXXXXXXXX XX LAATINUT XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXÄXXXX I TJÄNSTEN XX XX XXXXXXXXXXX XXXXX XXXXXXÄX TJÄNSTEMAN X XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) FECHA (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXX/ (DA) 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/ (FR) XXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (GA) DÁTA (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/GGGG) IZDAVANJA/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) IŠDAVIMO XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX DÁTUMA (ÉÉÉÉ/HH/NN)/ (XX) DATA (XX/XX/XXXX) 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/ (SK) XXXXX (XX/XX/XXXX) XXXXXXX/ (SL) XXXXX (DD/MM/LLLL) IZDAJE/ (XX) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (XX) DATUM (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX REFERENCIA DEL XXXXXXXXX PÚBLICO/ (XX) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (XX) DET XXXXXXXXXX XXXXXXXXX REFERENCENUMMER/ (XX) KENNNUMMER XXX ÖXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXX DOKUMENDI XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) REFERENCE XXXXXX XX XXX PUBLIC XXXXXXXX/ (FR) XXXXXX XX RÉFÉRENCE XX XXXXXXXX PUBLIC/ (GA) XXXXXX XXXXXXXXX XX XXXXXXXXX XXXXXXX/ (HR) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (IT) XXXXXX XX RIFERIMENTO XXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX XXXXXX/ (LT) XXXXXXX XXXXXXXXX NUMERIS/ (XX) X KÖZOKIRAT HIVATKOZÁSI XXXXX/ (XX) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX HET XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) NÚMERO XX XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX XX XXXXXXXȚĂ AL XXXXXXXXXXXX OFICIAL/ (XX) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (SL) XXXXXXXXXX XXXXXXXX JAVNE XXXXXXX/ (XX) YLEISEN XXXXXXXXXX XXXXXXXXXXX/ (SV) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА ПОЧИНАЛОТО ЛИЦЕ/ (ES) XXXXXXXXXXX XXXXX XX XXXXXXX XXXXXXXXX/ (CZ) INFORMACE X XXXXXXXX/ (XX) XXXXXXXXXXX OM XXXØXX/ (XX) XXXXXXX XXX XXXXXX, DEREN XXX XXXXXXXXX XXXX/ (XX) XXXXXX XXXXXX XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΘΑΝΟΝΤΟΣ/ (XX) XXXXXXXXXXX ON THE XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX XXX LA XXXXXXXX DÉCÉDÉE/ (GA) XXXXXXXX MAIDIR XXXX XX DUINE XXXXXX/ (XX) XXXXXXXXXXX O XXXXXXXXXX XXXXX/ (IT) XXXXXXXXXXXX SULLA XXXXXXX XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXX XXXXXXX/ (XX) INFORMACIJA XXXX XXXXXĮ ASMENĮ/ (HU) XX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXX XXĊXXXXX/ (XX) INFORMATIE XXXX XX XXXXXXXXXX/ (PL) XXXX XXXXXXĄXX OSOBY XXXXŁXX/ (PT) XXXXXXXÇÕXX XXXXX A PESSOA XXXXXXXX/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXX XXXXXXXĂ/ (XX) INFORMÁCIE O XXXXXXXX OSOBE/ (XX) XXXXXXXXXXX O UMRLEM/ (XX) XXXXXXXX XXXXXXÖX XXXXXX/ (XX) XXXXXXXXXXX XX DEN AVLIDNE

4.1

(BG) ФАМИЛНО(И) ИМЕ(НА)/ (ES) XXXXXXXX(X)/ (CZ) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (DE) XXXXXXXXXXXX(X)/ (XX) XXXXXXXXXXXXX (-XXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX(X)/ (XX) XXX(X)/ (GA) XXXXXXX (XXXXXXXX)/ (XX) XXXXXXX(XX)/ (XX) COGNOME(I)/ (XX) XXXĀXXX(-X)/ (LT) PAVARDĖ (-ĖX)/ (XX) CSALÁDI XXXX(X)/ (XX) KUNJOM(/KUNJOMIJIET)/ (XX) ACHTERNA(A)M(EN)/ (XX) XXXXXXXX(-X)/ (XX) XXXXXXX(X)/ (XX) XXXX/ (SK) XXXXXXXXXX(-X)/ (SL) XXXXXXX/XXXXXXX/ (XX) SUKUNIMI (-NIMET)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) JMÉNO (JMÉNA)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) FORENAME(S)/ (FR) XXXXXX(X)/ (GA) CÉADAINM (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (XX) XĀXXX(-X)/ (XX) VARDAS (-XX)/ (XX) XXXXXXX(X)/ (XX) ISEM(/ISMIJIET)/ (NL) XXXXXX(X)X(XX)/ (XX) IMIĘ (XXXXXX)/ (XX) XXXX(X) XXXXXXX(X)/ (XX) XXXXXXX/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (XX) FÖRNAMN

4.3

(BG) ДАТА (ДД/ММ/ГГГГ) НА СМЪРТТА/ (XX) XXXXX (XX/XX/XXXX) DE XXXXXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXX/ (DA) XØXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXX (XX/XX/XXXX) DES XXXXX/ (XX) XXXXXXXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΘΑΝΑΤΟΥ/ (XX) XXXX (XX/XX/XXXX) OF XXXXX/ (XX) XXXX (XX/XX/XXXX) XX DÉCÈS/ (GA) XXXX (LL/MM/BBBB) XX XXXXX/ (XX) DATUM (XX/XX/XXXX) SMRTI/ (XX) XXXX DI XXXXXXX (XX/XX/XXXX)/ (XX) MIRŠANAS XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXX DATA (DD/MM/MMMM)/ (XX) XXXXXXXXXXXXX IDEJE (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) TAL-MEWT/ (XX) XXXXX (DD/MM/JJJJ) XXX XXXXXXXXXX/ (PL) DATA (XX/XX/XXXX) XXXXX/ (XX) XXXX XX XXXXX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) ÚMRTIA/ (XX) DATUM (XX/XX/XXXX) XXXXX/ (FI) XXXXXXXXXX (XX/XX/XXXX)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) XÖX XÖXXXXXXXX

4.4

(XX) МЯСТО И ДЪРЖАВА НА СМЪРТТА/ (XX) XXXXX X XXXX XX XXXXXXXXXXXXX/ (XX) XXXXX X XXXX XXXXX/ (XX) DØDSSTED XX -XXXX/ (XX) XXX XXX XXXX XXX XXXXX/ (ET) XXXXXXXXX XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΘΑΝΑΤΟΥ/ (XX) XXXXX AND XXXXXXX XX XXXXX/ (FR) XXXX XX XXXX XX XXXÈX/ (XX) XXX XXXX XXX XX XXXXX/ (HR) XXXXXX I XXXXXX XXXXX/ (XX) LUOGO X XXXXX XX XXXXXXX/ (XX) MIRŠANAS XXXXX XX VALSTS/ (XX) MIRTIES VIETA XX ŠALIS/ (XX) XXXXXXXXXXXXX HELYE XX XXXXXXX/ (XX) XXXX X PAJJIŻ XXX-XXXX/ (XX) XXXXXX XX XXXX XXX OVERLIJDEN/ (XX) XXXXXXX X XXŃXXXX XXXXX/ (XX) XXXXX X XXXX XX ÓBITO/ (RO) XXXXX ȘX ȚXXX XXXXXXXXX/ (SK) XXXXXX X XXXX ÚMRTIA/ (XX) XXXX IN XXXXXX SMRTI/ (XX) XXXXXXXXXXXX XX -MAA/ (XX) XXX XXX XXXX XÄX XÖXXXXXXXX XXXXÄXXXXX

4.5

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXX/ (DA) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) DATE (XX/XX/XXXX) XX XXXXX/ (FR) XXXX (JJ/MM/AAAA) DE XXXXXXXXX/ (XX) DÁTA (XX/XX/XXXX) BREITHE/ (XX) XXXXX (DD/MM/GGGG) XXĐXXXX/ (XX) DATA XX XXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (XX) GIMIMO XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (ÉÉÉÉ/HH/NN)/ (MT) XXXX (XX/XX/XXXX) TAT-TWELID/ (XX) XXXXXXXXXXXXX (DD/MM/JJJJ)/ (XX) DATA (DD/MM/RRRR) XXXXXXXXX/ (XX) DATA XX NASCIMENTO (DD/MM/AAAA)/ (XX) DATA (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (SL) XXXXX (DD/MM/LLLL) XXXXXXX/ (XX) SYNTYMÄAIKA (XX/XX/XXXX)/ (XX) FÖDELSEDATUM (DD/MM/ÅÅÅÅ)

4.6

(BG) ПОЛ/ (XX) XXXX/ (XX) POHLAVÍ/ (XX) XØX/ (DE) XXXXXXXXXX/ (XX) XXXX/ (XX) ΦΥΛΟ/ (XX) SEX/ (XX) XXXX/ (GA) XXXXXX/ (XX) XXXX/ (XX) SESSO/ (LV) XXXXXXX/ (XX) LYTIS/ (XX) XXXX/ (MT) XXXX/ (XX) GESLACHT/ (XX) XŁXĆ/ (XX) XXXX/ (RO) XXXXX/ (XX) POHLAVIE/ (SL) XXXX/ (FI) SUKUPUOLI/ (XX) KÖN

4.6.1

(BG) ЖЕНСКИ/ (XX) XXXXX/ (CZ) XXXX/ (XX) KVINDE/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) FEMALE/ (FR) XXXXXXX/ (GA) XXXXXXXX/ (XX) ŽENSKI/ (XX) XXXXXXXXX/ (LV) XXXXXXXX/ (XX) XXXXXXX/ (HU) XŐ/ (MT) XXXX/ (XX) XXXXX/ (PL) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (SL) XXXXXX/ (XX) NAINEN/ (XX) XXXXXX

4.6.2

(XX) МЪЖКИ/ (XX) XXXXX/ (CZ) MUŽ/ (XX) XXXX/ (DE) XÄXXXXXX/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (EN) XXXX/ (FR) XXXXXXXX/ (XX) FIREANN/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (LT) XXXXX/ (XX) FÉRFI/ (XX) XXĠXX/ (XX) XXX/ (PL) XĘŻXXXXXX/ (XX) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) MOŠKI/ (XX) XXXX/ (SV) XXX

4.6.3

(XX) НЕОПРЕДЕЛЕН/ (ES) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (DA) XXXXXXXX/ (DE) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (EN) XXXXXXXXXXXX/ (XX) INDÉTERMINÉ/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) INDETERMINATO/ (XX) NENOTEIKTS/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) XÃX XXXXXXXX/ (RO) XXXXXXXXXXXX/ (SK) XXXXXXXX/ (XX) NEDOLOČEN/ (XX) XÄÄXXXXXXXXÄXÖX/ (SV) EJ XXXXXXÄXXX

5.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX XXXXX/ (XX) POLE PRO XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) XXXXX XXXX XX SIGNATURE/ (XX) XXXXX XXX XXXXX/ (XX) POLJE XX POTPIS/ (XX) XXXXXXXX PER LA XXXXX/ (XX) XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXX/ (XX) AZ XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX DE XXXXXXXXXXXX/ (PL) XXXX XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX XXXXXX/ (XX) POLJE XX XXXXXX/ (XX) ALLEKIRJOITUSKENTTÄ/ (XX) XXXX 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) DEL XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXX X JMÉNO (XXXXX) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (DA) XXXXXXXXX(X) XX XXXXXXX(X) XÅ DEN XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXXXXXX(X) XXX BEAMTEN, XXX XXXXXX FORMULAR XXXXXXXXXXX XXX/ (XX) KÄESOLEVA XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXX (-XXXXX) JA XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) XXX FORENAME(S) OF XXX OFFICIAL WHO XXXXXX XXXX FORM/ (XX) XXX(X) XX XXXXXX(X) DU XXXXXXXXXXXXX XXX X XXXXXXX XX PRÉSENT XXXXXXXXXX/ (XX) SLOINNE (XXXXXXXX) XXXX CÉADAINM (XXXXXXXXXXXXXX) XX XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX XXXX JE XXXXX XXXX OBRAZAC/ (XX) XXXXXXX/X E XXXX/X XXX FUNZIONARIO XXX XX RILASCIATO XX XXXXXXXX XXXXXX/ (LV) XXXXXXXXXXXX, KURA XXXXXXXX XX XXXXXXXX, XXXĀXXX(-X) XX XĀXXX(-X)/ (XX) XXĄ XXXXĄ IŠDAVUSIO XXXXXXŪXX XXXXXXĖ (-ĖX) XX VARDAS (-XX)/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXX XXXX(X) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XX(X)X(XX) XX XXXXXX(X)X(XX) XXX DE XXXXXXXXX DIE XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) I XXXĘ (IMIONA) XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (XX) APELIDO(S) X XXXX(X) XXXXXXX(X) XX FUNCIONÁRIO XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (RO) NUMELE ȘX XXXXXXXXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) X MENO(-Á) XXXXXXXX, KTORÝ VYDAL XXXXX XXXXXXXX/ (SL) XXXXXXX/XXXXXXX IN XXX/XXXXX XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (XX) TÄMÄN XXXXXXXXX XXXXXXXX VIRKAMIEHEN XXXXXXXX (-XXXXX) XX XXXXXXX (-XXXXX)/ (SV) XXXXXXXXX XXX XÖXXXXX XÅ XXX TJÄNSTEMAN XXX XXX UTFÄRDAT XXXXX XXXXXXÄX

5.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXX DEL XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, KTERÝ XXXXX XXXXX XXXXXXXX/ (DA) XXXXXXXX — XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX DES XXXXXXX, XXX DIESES XXXXXXXX AUSGESTELLT XXX/ (XX) KÄESOLEVA VORMI XÄXXXXXXXXX XXXXXXXX AMETIKOHT/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX OF XXX XXXXXXXX WHO XXXXXX THIS FORM/ (XX) XXXXX XX XXXXXXXXXXXXX QUI X XXXXXXX LE PRÉSENT XXXXXXXXXX/ (XX) POST XX XXXXXXXX X X’XXXXXX XX FHOIRM XXX/ (HR) XXXXXXXX XXXXXXXXXX XXXX XX XXXXX OVAJ XXXXXXX/ (XX) XXXXXXXXX DEL XXXXXXXXXXX CHE XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (LV) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, XXXXX/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX PAREIGOS/ (HU) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXXXXXŐ BEOSZTÁSA/ (XX) XXXXXX XXX-XXXXĊXXX LI ĦXXXĠ XXX XX-XXXXXXX/ (XX) FUNCTIE XXX XX AMBTENAAR XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, KTÓRY XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX DO FUNCIONÁRIO XXX EMITIU O XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, KTORÝ VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXX URADNIKA, XX XX XXXXX XX XXXXXXX/ (XX) TÄMÄN XXXXXXXXX XXXXXXXX VIRKAMIEHEN XXXXX/ (XX) XXXXXXXXXX XÖX DEN XXÄXXXXXXX XXX HAR XXXÄXXXX XXXXX XXXXXXÄX

5.3

(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/ (EN) XXXX (DD/MM/YYYY) XX XXXXX/ (XX) DATE (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX DATA (DD/MM/MMMM)/ (XX) X KIÁLLÍTÁS XXXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXX (JJ/XX/SSSS) XXX-ĦXXĠ/ (XX) DATUM (DD/MM/JJJJ) XXX XXXXXXX/ (XX) XXXX (DD/MM/RRRR) WYDANIA/ (XX) DATA XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (ZZ/LL/AAAA) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

5.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (XX) UNDERSKRIFT/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) SÍNIÚ/ (XX) XXXXXX/ (IT) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (HU) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) ASSINATURA/ (XX) XXXXĂXXXX/ (XX) PODPIS/ (XX) PODPIS/ (FI) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

5.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (XX) XXXXX XXXX RAZÍTKO/ (XX) XXXX ELLER XXXXXXX/ (XX) XXXXXX ODER XXXXXXX/ (ET) XXXXXX XÕX XXXXXX/ (EL) ΣΦΡΑΓΙΔΑ/ (XX) SEAL XX XXXXX/ (XX) XXXXX OU TIMBRE/ (XX) XXXXX NÓ XXXXXX/ (HR) XXX XXX XXXXX/ (XX) XXXXX O TIMBRO/ (XX) XĪXXXX XXX XXXXXXXX/ (XX) SPAUDAS XXXX XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (XX) SIĠILL XXX XXXXXX/ (XX) ZEGEL XX XXXXXXX/ (XX) XXXXXĘĆ LUB XXXXXXX/ (XX) XXXX XX XXXXXXX/ (XX) XXXXXXXX XXX ȘXXXXXXX/ (XX) XXXXX ALEBO XXXXXXXX XXXXXXXX/ (XX) XXXXX XXX ŽIG/ (XX) XXXXXXX TAI XXXXX/ (XX) XXXXXX XXXXX XXÄXXXX

MANŽELSTVÍ

VÍCEJAZYČNÝ STANDARDNÍ XXXXXXXX – XXXXXXX XXX XXXXXXX

Xxxxxx 7 xxxxxxxx Xxxxxxxxxx xxxxxxxxxx x Rady (XX) 2016/1191 xx xxx 6. července 2016 x xxxxxxx xxxxxxx xxxxxx xxxxxx zjednodušením xxxxxxxxx xx xxxxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx x Xxxxxxxx xxxx x x xxxxx xxxxxxxx (EU) x. 1024/2012 (1)

Belgie (XX) Xxxxxxxxx (XX)

Xxxxx republika (XX)

Xxxxxx (XX) Německo (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Kypr (XX)

Xxxxxxxx (LV) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxx (XX) Xxxxxxxx (XX)

Xxxxxx (PL) Xxxxxxxxxxx (XX)

Xxxxxxxx (RO) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Xxxxxx (XX)

Xxxxxxx (XX) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx účelem tohoto xxxxxxxxxxxxx standardního xxxxxxxxx xx xxxxxxxxx xxxxxxxx xxxxxxx xxxxxxx, k xxx xx xxxxxxxx. Xxxxx xxxxxxxx se xxxx členskými xxxxx xxxxx pohybovat xxxx xxxxxxxxxx dokument.

Tento formulář xxxxxx xxxxx veřejné xxxxxxx, x níž xx přiložen. Orgán, xxxxx xx xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx xxxx x případech, xxx xx xx xxxxxxxx pro xxxxx xxxxxxxxxx veřejné xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx xxxxxxxxx, které xxxx ve formuláři xxxxxxx.

XXXXXXXXXX PRO VYDÁVAJÍCÍ XXXXX

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

Xxxxx xxxxxxx listina, x níž xx xxxxxxxx tento formulář, xxxxxxxxxx určité údaje xxxx xxxxxxxxx, uveďte „–“.

1. XXXXX XXXXXXXXXX XXXXX XXXXXXXX

1.1 Název (3)

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

1.1 Název (4)

3. XXXXXXXXX XXXXXXXX XX VEŘEJNÉ XXXXXXX, X NÍŽ XX XXXXXXXX TENTO FORMULÁŘ

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

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 de xxxxxxx“)

3.1.5 Xxxx (xxxxxxxxx)

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

(2) Xxx xxxxxxxxxx xxxxx xxxxxxxx hůlkové xxxxx.

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

(4) Slovo „xxxxx“ xx xxxxx xxxxxxxx jako úřední xxxxx orgánu xxxxxxxxxxxx xxxxxxxx xxxxxxx, k xxx xx xxxxxxxx xxxxx formulář.

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x xxxxxxx

3.2.3 Výpis x xxxxxxxx obyvatel

3.2.4 Xxxx xxxxxxxxxx xxxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx listina

3.4 Xxxxxx xxxxxxxxx, kterým xxxx opatřena xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

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

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx číslo xxxxxxx xxxxxxx

4. MANŽELSTVÍ

4.1 Xxxxx (xx/xx/xxxx) xxxxxxxx xxxxxxxxxx

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

5. XXXXXX/XXXXXXXX X

5.1 Xxxxx/x xxxxxxxx

5.2 Xxxxxxxx xxxx xxxxxxxxx xxxxxxxxxx

5.3 Xxxxxxxx xx xxxxxxxx xxxxxxxxxx

5.4 Jméno (xxxxx)

5.5 Xxxxx (dd/mm/rrrr) xxxxxxxx

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

5.6.1 Xxxx

5.6.2 Xxx

5.6.3 Xxxxxxxx

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

(2) Xxxxx země a – xxxxx xxxxxxxx – xxx XXX xxxx xxxx xxxx xxxxxxx „Xxxx (xxxxxxxxx)“ xx třeba vybrat x xxxxxxxxxxx xxxxxxx xx xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx formuláři, který xx x xxxxxxxxx xx xxxxxxx evropské x-xxxxxxx.

6. MANŽEL/MANŽELKA X

6.1 Xxxxx/x xxxxxxxx

6.2 Xxxxxxxx xxxx xxxxxxxxx manželství

6.3 Xxxxxxxx xx uzavření 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. POLE PRO XXXXXX

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

7.2 Xxxxxx xxxxxxxx, xxxxx vydal tento xxxxxxxx

7.3 Xxxxx (xx/xx/xxxx) xxxxxx

7.4 Xxxxxx

7.5 Xxxxx xxxx xxxxxxx

XXXXXXXXXXX GLOSÁŘ XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX EXPIDE XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX FORMULARS XXXXXXXXXX MYNDIGHED/ (XX) XXXÖXXX, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX VÄLJA XXXXXX ASUTUS/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX ISSUING XXXX XXXX/ (XX) XXXXXXXX XX DÉLIVRANCE XX XXXXXXX XXXXXXXXXX/ (XX) XX tÚDARÁS X XXXXXXXX AN XXXXXX XXX/ (XX) TIJELO XXXX XXXXXX OVAJ XXXXXXX/ (IT) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXX MODULO/ (XX) XXXXXXXXX IZDEVĒJIESTĀDE/ (XX) XXĄ FORMĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XX' DIN XX-XXXXXXX/ (XX) AUTORITEIT XXX AFGIFTE XXX XXX FORMULIER/ (XX) XXXXX XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (PT) AUTORIDADE XXX XXXXX X XXXXXXXX FORMULÁRIO/ (RO) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX TENTO XXXXXXXX/ (XX) XXXXX, XX XXXX TA XXXXXXX/ (XX) XÄXÄX XXXXXXXXX ANTAVA XXXXXXXXXXXX/ (XX) XXXXXXXXX SOM XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) DENOMINACIÓN/ (XX) XXXXX/ (DA) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXX/ (EL) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (GA)AINMNIÚ/ (XX) XXXXX/ (IT) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) MEGNEVEZÉS/ (XX) XXXXX/ (XX) XXXXXXXX/ (PL) XXXXX/ (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 EL XXXXXXXXX PÚBLICO AL XXX XX ADJUNTA XXXX IMPRESO/ (XX) XXXXX VYDÁVAJÍCÍ XXXXXXXX XXXXXXX, X NÍŽ XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXX XXXXXXXXX, DER XXX XXXXXXX DET XXXXXXXXXX XXXXXXXX, SOM DENNE XXXXXXXX XX VEDHÆFTET/ (XX) XXXÖXXX, XXX XXX ÖFFENTLICHE XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX, XXXXXXXXX/ (XX) ASUTUS, XXX XXXXX XÄXXX AVALIKU XXXXXXXXX, MILLELE 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 AUQUEL XXX XXXXX LE XXXXXXX FORMULAIRE/ (XX) XX xXXXXXX X XXXXXXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) TIJELO XXXX XXXXXX XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ CHE XXXXXXXX XX DOCUMENTO XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) PUBLISKĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) VIEŠĄJĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) AWTORITÀ XXXXXXXXX XXX-XXXXXXXX PUBBLIKU XX XXXXĦX XXXX XXXXXŻX DIN IL-FORMOLA/ (XX) AUTORITEIT XXX XXXXXXX XXX XXX XXXXXXXX XXXXXXXX WAARAAN XXX XXXXXXXXX IS XXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXX URZĘDOWY, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) AUTORIDADE XXX XXXXX X XXXXXXXXX XXXXXXX X XXX X PRESENTE FORMULÁRIO XXXX APENSO/ (XX) XXXXXXXXXXX XXXXXXXĂ A XXXXXXXXXXXX XXXXXXX XX XXXX XXXX ANEXAT XXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX VEREJNÚ XXXXXXX, KU XXXXXX XX TENTO FORMULÁR XXXXXXXXX/ (SL) XXXXX, XX IZDA XXXXX XXXXXXX, XX JI XX XXXXXXXX XX XXXXXXX/ (XX) VIRANOMAINEN, XXXX XX ANTANUT XXXXXXX XXXXXXXXXX, JOHON XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX SOM 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 PÚBLICO XX XXX SE ADJUNTA XXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXX SE XXXXXXX XXXXXXX, K XXX JE XXXXXXXX XXXXX XXXXXXXX/ (DA) XXXXXXXXXXX VEDRØRENDE DET XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) ANGABEN XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX IST/ (XX) XXXXX AVALIKU XXXXXXXXX XXXXX, XXXXXXX SEE XXXX XX LISATUD/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXXXX XXXXXXXX TO XXX XXXXXX DOCUMENT XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) INFORMATIONS XXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX A XXXXXXXXX XXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX FHOIRM XXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXX XX XXXXXX XX XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX RELATIVE XX XXXXXXXXX PUBBLICO XXX IL XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXXX DOKUMENTU, XXXXX XĪ XXXXXXXX IR XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX SU VIEŠUOJU XXXXXXXXX, PRIE KURIO XXXXXXXXX XX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATRA XXXXXXXXX XXXXXXXXXXX/ (MT) XXXXXXXXXXXXX XXXX ID-DOKUMENT XXXXXXXX XX MIEGĦU XXXX XXXXXŻX DIN XX-XXXXXXX/ (XX) XXXXXXXXXX BETREFFENDE XXX XXXXXXXX DOCUMENT XXXXXXX DIT FORMULIER XX XXXXXXX/ (PL) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX JEST XXŁĄXXXXX/ (XX) INFORMAÇÕES XXXXXXXXX XX DOCUMENTO XXXXXXX X XXX X PRESENTE FORMULÁRIO XXXX APENSO/ (RO) XXXXXXXȚXX XXXXXXXXXXX LA XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXXXXXXX X XXXXXXXX XXXXXXX, XX XXXXXX XX XXXXX FORMULÁR XXXXXXXXX/ (SL) XXXXXXXXXXX X ZVEZI Z XXXXX LISTINO, KI XX XX XXXXXXXX XX XXXXXXX/ (FI) XXXXXX YLEISESTÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXXXX XX XXX XXXXXXXXXX XXXXXXXX XXXX VILKEN XXXXX FORMULÄR ÄR XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (ES) XXXXXXXXX XXXXXXXX XXX XXX XXXXXXXXX X XX FUNCIONARIO XXXXXXXXX X XXX XXXXXXX XXXXXXXXXXXXXXXX DE XX XXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXX XXXXXXXXX S XXXXXX NA XXXXX XXXXXX XXXXXXXXX XXXXX/ (XX) DOKUMENT, XXX XX XXXXXXX XX XX XXXXXXXXX ELLER XX XXXXXXXXXX, XXX XX XXXXXXXXXX DOMSTOLE X XX MEDLEMSSTAT/ (XX) URKUNDE XXXXX XXXÖXXX ODER XXXXX XXXXXXXXXX ALS XXXXX XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (ET) DOKUMENT, XXXXX ON XÄXXX XXXXXX XXXXXXXXXXXX KOHTUTEGA XXXXXX XXXXXXXXXXX XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (EN) XXXXXXXX XXXXXXXXX FROM XX XXXXXXXXX OR XX XXXXXXXX XXXXXXXXX XXXX XXX COURTS XX TRIBUNALS XX X XXXXXX STATE/ (XX) XXXXXXXX XXXXXXX X'XXX AUTORITÉ XX X'XX XXXXXXXXXXXXX RELEVANT X'XXX XXXXXXXXXXX X'XX XXXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXX XX X XXXXXXXXX X XXXXXX XXXXX XXXX XX XXXX XX XXXXXXXXXX NÓ XX XXXXX XX XXXXX XXXXXXXXX/ (HR) XXXXXXX XXXX JE XXXXXX XXXXXX XXX XXXXXXXXX XXXX XXXXXX ČLANICE/ (XX) DOCUMENTO XXXXXXX XX UN'AUTORITÀ X XX XX FUNZIONARIO XXXXXXXXXXXX AD XXX XXXXX XXXXXXXXXXXXX XX XXX XXXXX MEMBRO/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XX XXXĪXXXXXXX XXXXĀX XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX XXXXXXXX XXXXXXXXXXXX AR XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX ÁLLÓ XXXXXXX XXXX TISZTVISELŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ JEW XXXXĊXXX LI JKOLLHOM XXXXX XXX-XXXXX XXX XX-XXXXXXXXX TA' STAT XXXXXX/ (XX) DOCUMENT XXXXXXXXX DOOR XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXXXXXX XXXXXXXXX VAN XXX XXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY OD XXXXXX XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX XX XXX XXXXXXXXXX XX DE XX XXXXXXXXXXX XXXXXXXXXX XX QUALQUER JURISDIÇÃO XX XX XXXXXX-XXXXXX/ (XX) XXXXXXXX EMIS XX X XXXXXXXXXX XXX XX UN XXXXȚXXXXX DE XX XÂXXĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (SK) XXXXXXX XXXXXX ORGÁNOM XXXXX XXXXXXXXX S XÄXXXX XX SÚDY XXXXXXXXX XXXXX/ (XX) XXXXXXX, XXXXXX X XXXXXX XXXXXX XXX XXXXXXXX XXXXX OBLASTI XXXXXX XXXXXXX/ (XX) XXXXXXXXX, JONKA XX XXXXXXX XÄXXXXXXXXXX OIKEUSLAITOKSEEN XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) HANDLING XXX HÄRRÖR FRÅN XX XXXXXXXXX XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX I XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX SOUDU/ (XX) DOMSTOLSAFGØRELSE/ (XX) XXXXXXXXXXXXXXXXXXXX/ (ET) KOHTUOTSUS/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) XXXXXXXX DE XXXXXXX/ (XX) CINNEADH XX gCÚIRT/ (HR) XXXXXX XXXXXX/ (IT) XXXXXXXXX GIURISDIZIONALE/ (XX) XXXXXX XĒXXXX/ (LT) XXXXXX XXXXXXXXXX/ (HU) XXXXXXXX HATÁROZAT/ (MT) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXX SĄDOWE/ (XX) XXXXXÃX XXXXXXXX/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (SK) XXXXX XXXXXXXXXXX/ (SL) XXXXX XXXXXXX/ (FI) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (ES) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX FISCAL/ (XX) XXXXXXX VYDANÁ XXXXXXX XXXXXXXXX/ (DA) XXXXXXXX XXXXXXX XX XX ANKLAGEMYNDIGHED/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, MILLE XX XÄXXX XXXXXX XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (EN) XXXXXXXX XXXXXXXXX XXXX A XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX DU XXXXXXÈXX XXXXXX/ (GA) XXXXXXXXX X XXXXXXX X IONCHÚISITHEOIR POIBLÍ/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXXXX XXXXXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) PROKURORO IŠDUOTAS XXXXXXXXXX/ (HU) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX PROSEKUTUR PUBBLIKU/ (XX) DOCUMENT XXXXXXXXX XXXX XXX OPENBAAR XXXXXXXXXX/ (PL) DOKUMENT XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX PROVENIENTE XX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXX XX XX PROCUROR/ (XX) XXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) LISTINA, XX XX IZDA XXXXXXX TOŽILSTVO/ (XX) XXXXXXXXXX XXXXXÄXÄX ANTAMA XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) DOCUMENTO XXXXXXXX XXX UN XXXXXXXXXX XXXXXXXX/ (CZ) XXXXXXX XXXXXX VYŠŠÍM XXXXXXX XXXXXXXXX/ (DA) DOKUMENT XXXXXXX XX XX XXXXXXXXXXXXXÆX/ (XX) XXXXXXX XXXXX URKUNDSBEAMTEN XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) DOKUMENT, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (EN) XXXXXXXX XXXXXXXXX XXXX X XXXXX XX A XXXXX/ (XX) DOCUMENT XXXXXXX X'XX XXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX Ó CHLÉIREACH XX XXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXX XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (LV) XXXXXXXXX, KURU XXXXXXXXXX XXXXXX SEKRETĀRS/ (LT) XXXXXX TARNAUTOJO XXXXXXXX XXXXXXXXXX/ (HU) BÍRÓSÁGI XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ MINN XXĠXXXXXXXX XX' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX GRIFFIER/ (XX) XXXXXXXX POCHODZĄCY OD XXXXXXXXXX SĄDOWEGO/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX OFICIAL XX XXXXXÇX/ (RO) DOCUMENT XXXX XX UN XXXXXXX AL XXXXXXȚXX/ (XX) LISTINA VYDANÁ XXXXXX XXXXXXXXX/ (XX) XXXXXXX, XX JO XXXX XXXXX USLUŽBENEC/ (XX) TUOMIOISTUIMEN SIHTEERIN XXXXXX XXXXXXXXX/ (XX) XXXXXXXX SOM HÄRRÖR XXÅX XX DOMSTOLSTJÄNSTEMAN

3.1.4

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („HUISSIER XX XXXXXXX“)/ (ES) XXXXXXXXX EXPEDIDO XXX XX XXXXXX JUDICIAL («XXXXXXXX XX XXXXXXX»)/ (XX) LISTINA XXXXXX XXXXXXX VYKONAVATELEM („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXX XXXXXXX AF XX XXÆXXXXXXXXXX (»XXXXXXXX XX JUSTICE«)/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXXXX OFFICER ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXX D'UN XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXX X XXXXXXX Ó XXXXXXXXX XXXXXXXXXXXX (“HUISSIER DE XXXXXXX”)/ (XX) XXXXXXX XXXX JE XXXXX XXXXXX XXXXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXX DA XX XXXXXXXXX GIUDIZIARIO ("XXXXXXXX XX XXXXXXX")/ (XX) XXXXXXXXX, KURU XXXXXXXXXX TIESAS IZPILDĪTĀJS (XXXXXXXX XX XXXXXXX)/ (XX) ANTSTOLIO (XXXXXXXX XX XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX DE XXXXXXX”) ÁLTAL XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXĠ XXXX UFFIĊJAL ĠXXXXXXXXXX ('XXXXXXXX XX XXXXXXX')/ (NL) DOCUMENT XXXXXXXXX XXXX XXX XXXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX URZĘDNIKA XĄXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) DOCUMENTO XXXXXXXXXXX XX XXXXXXXXÃX XX DIREITO («XXXXXXXX XX JUSTICE»)/ (XX) XXXXXXXX EMIS XX XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXXXX XXXXXX VYKONÁVATEĽOM („XXXXXXXX XX XXXXXXX“)/ (SL) XXXXXXX, XX XX XXXX XXXXX IZVRŠITELJ („XXXXXXXX XX XXXXXXX“)/ (XX) HAASTEMIEHEN (”XXXXXXXX XX XXXXXXX”) XXXXXX XXXXXXXXX/ (SV) HANDLING XXX XÄXXÖX FRÅN XX XXÄXXXXXXXXX (XXXXXXXX XX JUSTICE)

3.1.5

(BG) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) JINÉ (XXXXXXXXX)/ (XX) ANDRE (ANGIVES)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) MUU (XÄXXXXXXXX)/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (EN) XXXXX (XX BE XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (GA) XXXX (XX XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (IT) XXXXX (PRECISARE)/ (LV) XXXX (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (HU) XXXXX (XXXXÜX PONTOSÍTANI)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) XXXX (XXXXXĘ XXXXŚXXĆ)/ (PT) XXXXXX (X ESPECIFICAR)/ (RO) XXXXX (X XX XXXXXXX)/ (XX) XXX (XXXXXXXX)/ (SL) XXXXX (XXXXXXX)/ (XX) MUU XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) XXXXX HANDLING (SPECIFICERAS)

3.2

(BG) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) ADMINISTRATIVE XXXXXXXX/ (FR) XXXXXXXX XXXXXXXXXXXXX/ (GA) XXXXXXXXX XXXXXXXXXX/ (HR) XXXXXXX XXXXXXX/ (IT) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (LT) XXXXXXXXXXXXXXX XXXXXXXXXX/ (HU) XÖXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (NL) ADMINISTRATIEF XXXXXXXX/ (PL) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) DOCUMENT XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (SL) XXXXXXX XXXXXXX/ (XX) HALLINNOLLINEN XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (CZ) XXXXXXXXX/ (XX) PÅTEGNING/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (EN) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) DEIMHNIÚ/ (HR) XXXXXXX/ (XX) CERTIFICATO/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, LIUDIJIMAS/ (HU) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (XX) CERTIFICAAT/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (FI) XXXXXXXX/ (XX) INTYG

3.2.2

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX XXXXXXXX CIVIL/ (XX) XXXXX Z XXXXXXX/ (XX) UDDRAG FRA XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX PERSONENSTANDSREGISTER/ (XX) PEREKONNASEISUREGISTRI XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (EN) EXTRACT XXXX XXX XXXXX XXXXXX REGISTER/ (XX) XXXXXXX XX XXXXXXXX XX X'XXXX XXXXX/ (XX) SLIOCHT XX XX xXXXX XXXXXXX XXXXXXXXXX/ (HR) IZVADAK XX REGISTRA XXXXXXX XXXXXX/ (XX) ESTRATTO XX ATTO XX XXXXX XXXXXX/ (LV) XXXXXXXX XX XXXXXXXĀXXXĻX XXXX XXĢXXXXX/ (LT) XXXXXXX XX XXXXXXXĖX XŪXXĖX AKTŲ XXXXXXXX/ (XX) ANYAKÖNYVI XXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊIVILI/ (NL) XXXXXXXXXX UIT XXX XXXXXXXX XXX DE XXXXXXXXXXX STAND/ (XX) XXXXX SKRÓCONY XXXX XXXXX XXXXXXXXX/ (PT) XXXXXXX XX XXXX XX XXXXXXX CIVIL/ (XX) XXXXXX DIN XXXXXXXXX DE XXXXX XXXXXĂ/ (XX) XXXXX X XXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXX XX REGISTRA X XXXXXXX STANJU/ (FI) XÄXXXÖXXXXXXXXXXXX (SIVIILISÄÄTY)/ (XX) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX XXX XXXXX/ (XX) VÝPIS Z XXXXXXXX XXXXXXXX/ (XX) XXXXXX XXX FOLKEREGISTRET/ (XX) AUSZUG XXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (EN) XXXXXXX XXXX XXX XXXXXXXXXX REGISTER/ (XX) XXXXXXX DU XXXXXXXX XX XX XXXXXXXXXX/ (XX) XXXXXXX XX XX xXXXX DAONRA/ (XX) XXXXXXX IZ XXXXXX STANOVNIŠTVA/ (XX) XXXXXXXX ANAGRAFICO/ (LV) XXXXXXXX NO IEDZĪVOTĀJU XXĢXXXXX/ (XX) XXXXXXX XX GYVENTOJŲ REGISTRO/ (XX) XXXXXXX A XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX MIR-REĠISTRU XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX X XXXXXXXX XXXXXŚXX/ (XX) XXXXXXX XX REGISTO XX XXXXXXÇÃX/ (XX) XXXXXX DIN XXXXXXXXX XX XXXXXXȚĂ X XXXXXXȚXXX/ (XX) XXXXX X XXXXXXXX OBYVATEĽOV/ (XX) XXXXXXX IZ XXXXXXXX XXXXXXXXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX/ (SV) XXXXXX XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX XX XXXXX XXX XXXXXXXX CIVIL/ (XX) XXXX MATRIČNÍCH ZÁZNAMŮ/ (XX) XXXXXX KOPI XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (ET) PEREKONNASEISUAKTI XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX XX XXXXX XXXXXX XXXXXXX/ (XX) XXXXX INTÉGRALE X'XXXXX XX X'XXXX XXXXX/ (XX) CÓIP XXXXX XX XXXXXX XX XXXXXXX XX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XX XXXXXXXXXX X XXXXXXX XXXXXX/ (XX) COPIA XXXXXXXXX XX XXXX DI XXXXX XXXXXX/ (LV) XXXXXXXĀXXXĻX XXXX XXĢXXXXX XXXXXXXX XXXXXXXXXX KOPIJA/ (XX) CIVILINĖS XŪXXĖX XXXŲ ĮRAŠŲ XXXXXXXĖ XXXXXX/ (XX) ANYAKÖNYVI XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (NL) EENSLUIDEND XXXXXXXXX VAN AKTEN XXX XX BURGERLIJKE XXXXX/ (PL) XXXXX XXXXŁXX XXXX STANU XXXXXXXXX/ (PT) CERTIDÃO XX CÓPIA XXXXXXXX XX XX NARRATIVA XX XXXX XX XXXXXXX XXXXX/ (RO) XXXXX XXXXXĂ X XXXX XXX XX XXXXX CIVILĂ/ (XX) XXXXXXXX XXXXX XX XXXXXXX X OSOBNOM XXXXX/ (XX) DOBESEDI XXXXXX XXXXXX X XXXXXXX STANJU/ (FI) XÄXXXÖXXXXXXXXXXXXXXXXX SANATARKKA JÄLJENNÖS/ (XX) XXXXXXXXX XXXXXXXX XX FOLKBOKFÖRINGSHANDLING

3.3

(BG) НОТАРИАЛЕН АКТ/ (XX) ACTA XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) NOTARBEKRÆFTET XXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX ISPRAVA/ (XX) ATTO NOTARILE/ (XX) XXXXXXĀXX AKTS/ (XX) NOTARINIS AKTAS/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) ATT XXXXXXXX/ (XX) XXXXXXËXX AKTE/ (XX) XXX XXXXXXXXXX/ (XX) XXX NOTARIAL/ (XX) XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) NOTARSKA XXXXXXX/ (XX) NOTAARIN ANTAMA XXXXXXXXX/ (SV) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX OFICIAL XXXXXX XXXXX UN XXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXX, XXXXXX XXXX XXXXXXXX XXXXXXX XXXXXXXXX SOUKROMOU OSOBOU/ (XX) XXXXXXXX XÅXXXXXXX XÅ XX XXXXXXXX XXXXXXXXXXX XX XX XXXXXX X XXXXXX XXXXXXXX XX PRIVATPERSON/ (XX) AMTLICHE 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/ (XX) OFFICIAL XXXXXXXXXXX XXXXXX XX X XXXXXXXX SIGNED XX X XXXXXX XX HIS XX XXX XXXXXXX XXXXXXXX/ (XX) DÉCLARATION XXXXXXXXXX XXXXXXX XXX XX XXXX SOUS XXXXX XXXXX/ (GA) XXXXXXXX XXXXXXXXX A XXXXXXXXX XX DHOICIMÉAD XXXX XXXXXX AG DUINE XXX XXXXX XX XXX XXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX POTVRDA XXXXXXXXX XX ISPRAVU XXXX JE OSOBA XXXXXXXXX X PRIVATNOM XXXXXXXX/ (IT) XXXXXXXXXXXXX XXXXXXXXX APPOSTA XX XXX XXXXXXXXX PRIVATA/ (XX) XXXXXĀXX APLIECINĀJUMS XX DOKUMENTA, KO XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX PERSONA/ (LT) XXXXXXXŲ ASMENŲ PASIRAŠYTŲ XXXXXXXXŲ OFICIALŪS PATVIRTINIMAI/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX TANÚSÍTVÁNY/ (XX) ĊXXXXXXXXX UFFIĊJALI LI XXXXXXXĦXX F'DOKUMENT XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (NL) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXX XXXXXXXXXXX XXXX XXX XXXXXXX XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (PL) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX PODPISANYM XXXXX XXXXĘ DZIAŁAJĄCĄ X XXXXXXXXXXX PRYWATNYM/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX ATO XX XXXXXXXX PRIVADA/ (RO) XXXXXXXXXX OFICIAL XXXXXXX XX XX XXXXXXXX XXX XXXXĂXXXĂ PRIVATĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX XX LISTINE XXXXXXXXXX OSOBOU KONAJÚCOU XXX XXXXXXXX XXXXX/ (XX) XXXXXX IZJAVA XX ZASEBNI LISTINI/ (XX) VIRALLINEN TODISTUS XXXXXXXXXXXX, JONKA XXXXXXÖ XX ALLEKIRJOITTANUT YKSITYISHENKILÖNÄ/ (XX) OFFICIELLT XXXXX XXXXXXXXX XÅ XX XXXXXXXX XXX XXXXXXXXXXXXX XX EN XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (ES) DOCUMENTO XXXXXXXX XXX XX XXXXXX XXXXXXXXXXX X XXXXXXXX XX XX XXXXXX XXXXXXX XXX XXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM XXXXXXXXX XXXX KONZULÁRNÍM XXXXXXXXX XXXXXXXXX XXXXX X RÁMCI VÝKONU XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX XX EN XXXXXXXXXXXX XXXXXXXXXXXX ELLER XXXXXXÆXX XXXXÆXXXXXXX/ (XX) XXX EINEM DIPLOMATISCHEN XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX VÕI XXXXXXXXXXXXXXXXX POOLT XXXXXXXXXXXXXXX XÄXXXXXXX KOOSTATUD XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX XXXXX XX BY A XXXXXXXXXX XX XXXXXXXX XXXXX XX X XXXXXX XXXXX XX XXX XX HER XXXXXXXX CAPACITY/ (XX) XXXXXXXX ÉTABLI XX XX XXXXXXX XXXXXXXXXX XXX XX XXXXX XXXXXXXXXXXX XX XXXXXXXXXX X'XX XXXX XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX XXXX AG XXXXXXXXXX TAIDHLEOIREACHTA NÓ XXXXXXXXX DE XXXXX XXXXXXXXX XXX XXXXX XX INA XXXX XXXXXXXXX/ (HR) ISPRAVA XXXX JE X XXXXXXXXX XXXXXXXX SASTAVIO XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX AGENTI XXXXXXXXXXX X CONSOLARI XX XXX XXXXX MEMBRO XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX XXXXX XXXXĀXXXXX, SAGATAVOJIS XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX KONSULĀRAIS XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX VALSTYBĖS NARĖS XXXXXXXXX AR KONSULINIO XXXXXXŪXX, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXX DIPLOMÁCIAI XXXX KONZULI KÉPVISELŐJE XXXXX HIVATALOS XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXXX XXXX XĠXXX DIPLOMATIKU XXX XXXXXXXXX TA' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (NL) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXXXXX OF CONSULAIRE XXXXXXXXX XXX EEN XXXXXXXX XX ZIJN XXXXXXËXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX DYPLOMATYCZNEGO XXX XXXĘXXXXX KONSULARNEGO XXŃXXXX XXŁXXXXXXXXXXX DZIAŁAJĄCYCH X XXXXXXXXXXX XXXĘXXXXX/ (PT) XXXXXXXXX XXXXXXX XXX XX XXXXXX XXXXXXXXXXX XX XXXXXXXX XX XX XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (RO) XXXXXXXX ÎNTOCMIT DE XĂXXX UN XXXXX XXXXXXXXXX XXX XXXXXXXX XX UNUI XXXX XXXXXX, ÎN CALITATE XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX JEHO XXXXXXX/ (XX) XXXXXXX, XX XX XXX XXXXXX XXXXX XXXX XXXXXXXXXXX XXX KONZULARNI XXXXXXXXXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX, XXXXX XÄXXXXXXXXXX DIPLOMAATTINEN EDUSTAJA XXX XXXXXXXXXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXÄXXXX I XXÄXXXXX XX EN XXXXXXXXXXX XXXXX XXXXXXÄX XXÄXXXXXXX X EN XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DATUM (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/ (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) DATA XX RILASCIO (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) IŠDAVIMO XXXX (XX/XX/XXXX)/ (HU) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (MT) DATA (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) VAN XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (PT) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) EMITERII/ (XX) XXXXX (DD/MM/RRRR) XXXXXXX/ (XX) 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/ (ES) XXXXXX XX REFERENCIA XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXX LISTINY/ (DA) XXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) KENNNUMMER XXX ÖXXXXXXXXXXX URKUNDE/ (XX) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (EL) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX XX THE XXXXXX DOCUMENT/ (XX) XXXXXX XX RÉFÉRENCE XX XXXXXXXX XXXXXX/ (XX) UIMHIR XXXXXXXXX XX XXXXXXXXX PHOIBLÍ/ (XX) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (IT) XXXXXX DI XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX NUMURS/ (XX) XXXXXXX XXXXXXXXX NUMERIS/ (XX) A XÖXXXXXXX XXXXXXXXXXX SZÁMA/ (MT) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX HET XXXXXXXX XXXXXXXX/ (PL) XXXXX REFERENCYJNY DOKUMENTU XXXĘXXXXXX/ (XX) XXXXXX XX XXXXXÊXXXX DO XXXXXXXXX PÚBLICO/ (RO) XXXĂXXX XX XXXXXXXȚĂ XX XXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX ČÍSLO XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) YLEISEN XXXXXXXXXX VIITENUMERO/ (SV) XXX XXXXXXXXXX HANDLINGENS XXXXXXXXXXXXXX

4.

(XX) БРАК/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ÆXXXXXXX/ (DE) XXXXXXXXXXXXXX/ (ET) ABIELU/ (XX) ΓΑΜΟΣ/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXX/ (HR) XXXXXXXXX BRAKA/ (IT) XXXXXXXXXX/ (LV) LAULĪBA/ (XX) XXXXXXXX/ (XX) XXXXXXXXXÖXXX/ (XX) ŻXXXĠ/ (XX) HUWELIJK/ (XX) XXŁŻXŃXXXX/ (XX) XXXXXXXXX/ (XX) XĂXĂXXXXX/ (XX) XXXXXXXXXX/ (SL) SKLENITEV XXXXXXXX XXXXX/ (XX) XXXXXXXXXX/ (SV) ÄXXXXXXXX

4.1

(XX) ДАТА (ДД/ММ/ГГГГ) НА БРАКА/ (XX) XXXXX (XX/XX/XXXX) DEL XXXXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXXX XXXXXXXXXX/ (DA) XXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXX (TT/MM/JJJJ) XXX XXXXXXXXXXXXXX/ (XX) ABIELLUMISE XXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΤΕΛΕΣΗΣ ΤΟΥ ΓΑΜΟΥ/ (XX) XXXX (DD/MM/YYYY) XX XXX MARRIAGE/ (FR) XXXX (JJ/MM/AAAA) XX XXXXXXX/ (GA) XXXX (XX/XX/XXXX) AN XXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXX XXXXX/ (XX) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXXĪXXX XXXXĒXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) XXXXXXXXX XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXXÖXXX IDEJE (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXŻ-ŻXXXĠ/ (NL) XXXXX (XX/XX/XXXX) VAN XXX XXXXXXXX/ (PL) XXXX (XX/XX/XXXX) XXXXXXXX XXŁŻXŃXXXX/ (PT) XXXX XX XXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (ZZ/LL/AAAA) XĂXĂXXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXXXX XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXXXXX XXXXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) FÖR ÄXXXXXXXXXXX XXXÅXXXX

4.2

(XX) МЯСТО И ДЪРЖАВА НА БРАКА/ (XX) XXXXX X XXXX DEL XXXXXXXXXX/ (XX) MÍSTO A XXXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XX -XXXX/ (XX) XXX XXX XXXX DER XXXXXXXXXXXXXX/ (ET) XXXXXXXXXXX XXXX XX XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΤΕΛΕΣΗΣ ΤΟΥ ΓΑΜΟΥ/ (XX) XXXXX XXX XXXXXXX XX XXX XXXXXXXX/ (XX) XXXX XX PAYS XX XXXXXXX/ (GA) XXX AGUS XXX XX XXXXXX/ (XX) XXXXXX X XXXXXX XXXXXXXXX BRAKA/ (IT) XXXXX X XXXXX XX MATRIMONIO/ (XX) XXXXĪXXX XXXXĒXXXXXX XXXXX XX XXXXXX/ (XX) XXXXXXXXX XXXXXXXX VIETA XX ŠALIS/ (XX) X XXXXXXXXXÖXXX XXXXX XX XXXXXXX/ (XX) XXXX X XXXXXŻ XXŻ-ŻXXXĠ/ (XX) XXXXXX XX LAND VAN XXX XXXXXXXX/ (XX) XXXXXXX X XXŃXXXX XXXXXXXX XXŁŻXŃXXXX/ (XX) XXXXX X PAÍS XX CASAMENTO/ (RO) XXXXX ȘX ȚXXX XĂXĂXXXXXX/ (XX) XXXXXX X XXXX UZAVRETIA XXXXXXXXXX/ (SL) XXXX XX XXXXXX XXXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXXXXX XX -XXX/ (XX) ORT XXX XXXX XÄX ÄXXXXXXXXXX XXXXXXX

5.

(XX) СЪПРУГ X/ (XX) XXXXXXX X/ (XX) MANŽEL/MANŽELKA X/ (DA) ÆXXXXÆXXX X/ (XX) EHEPARTNER X/ (XX) XXXXXXXX X/ (XX) ΣΥΖΥΓΟΣ Α/ (XX) XXXXXX X/ (FR) XXXXXXXX X/ (GA) CÉILE X/ (XX) BRAČNI XXXX X/ (XX) XXXXXXX X/ (XX) XXXXĀXXXX X/ (XX) XXXXXXXXXXX X/ (HU) „X” XXXXXXXXX/ (XX) XXXXXĠX X/ (NL) XXXXXXXX(X)X(X) X/ (XX) XXŁŻXXXX X/ (XX) XÔXXXXX X/ (RO) XXȚXX X/ (XX) XXXXXX/XXXXXXXX X/ (SL) XXXXXXX X/ (XX) XXXXXXX X/ (XX) XXXX/XXXX X

5.1

(XX) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (XX) XXXXXXXX(X) XX XXXXXXXXXX/ (XX) RODNÉ/Á XXXXXXXX/ (XX) XXXXXXXXX(X) XXX XØXXXXX/ (DE) XXXXXXXXXXXX(X) XXX DER XXXXXX/ (ET) XÜXXXXÄXXXX XXXXXXXXXXXXX (XÜXXXXÄXXXXX XXXXXXXXXXXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (EN) XXXXXXX(X) XX XXXXX/ (XX) NOM(S) À XX NAISSANCE/ (GA) XXXXXXX (XXXXXXXX) XXXXXXX/ (XX) XXXXXXX(XX) XXX XXĐXXXX/ (IT) COGNOME/I XXXX XXXXXXX/ (XX) XXXĀXXX(-X) DZIMŠANAS BRĪDĪ/ (XX) XXXXXXĖ (-ĖX), XXXXXXXX (-XX) XXXXX/ (XX) SZÜLETÉSI CSALÁDI XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) XXX-XXXXXX/ (XX) XXXXXXXX(X)X(XX) XXX XX XXXXXXXX/ (XX) NAZWISKO(-A) XXXXXX/ (XX) APELIDO(S) À XXXX XX XXXXXXXXXX/ (XX) NUMELE XX XXȘXXXX/ (XX) RODNÉ XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX XX XXXXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXXXÄXXXXXXXÄ/ (XX) XXXXXXXXX VID 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 VIELSEN/ (DE) XXXXXXXXXXXX(X) VOR DER XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX (-XXXXX) XXXX XXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΤΟΝ ΓΑΜΟ/ (XX) XXXXXXX(X) BEFORE THE XXXXXXXX/ (XX) NOM(S) XXXXX LE MARIAGE/ (XX) XXXXXXX (XXXXXXXX) XXXXX XX bPÓSADH/ (XX) PREZIME(NA) XXXXX XXXXXXXXX BRAKA/ (XX) XXXXXXX/X XXXXX XXX XXXXXXXXXX/ (XX) XXXĀXXX(-X) XXXXX LAULĪBAS/ (XX) XXXXXXĖ (-ĖX) XXXXX XXXXXXXĄ/ (XX) XXXXXXX XXXX(X) A XXXXXXXXXÖXXX XXŐXX/ (XX) XXXXXX(/XXXXXXXXXXX) XXXXX XŻ-ŻXXXĠ/ (XX) XXXXXXXX(X)X(XX) XXXX XXX XXXXXXXX/ (XX) XXXXXXXX(-X) XXXXX ZAWARCIEM MAŁŻEŃSTWA/ (XX) XXXXXXX(X) XXXXX XX CASAMENTO/ (RO) XXXXXX ÎXXXXXX XX XĂXĂXXXXX/ (XX) XXXXXXXXXX(-X) XXXX XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX/XXXXXXX XXXX XXXXXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXX XXXXXXXXXXX/ (XX) XXXXXXXXX XÖXX ÄKTENSKAPETS XXXÅXXXX

5.3

(XX) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА БРАКА/ (XX) APELLIDO(S) XXXXXXX XX XXXXXXXX MATRIMONIO/ (XX) PŘÍJMENÍ XX XXXXXXXX MANŽELSTVÍ/ (DA) XXXXXXXXX(X) XXXXX XXXXXXX/ (XX) FAMILIENNAME(N) XXXX XXX EHESCHLIESSUNG/ (XX) XXXXXXXXXXXXX (-XXXXX) PÄRAST XXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΜΕΤΑ ΤΟΝ ΓΑΜΟ/ (XX) XXXXXXX(X) XXXXXXXXX XXX XXXXXXXX/ (XX) XXX(X) À XX XXXXX XX XXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXX XXX XX XXXXXX/ (XX) XXXXXXX(XX) XXXXX SKLAPANJA XXXXX/ (XX) COGNOME/I XXXX XX XXXXXXXXXX/ (LV) XXXĀXXX(-X) PĒC LAULĪBAS/ (XX) PAVARDĖ (-ĖX) XX SANTUOKOS/ (XX) XXXXXXX XXXX(X) X XXXXXXXXXÖXXX UTÁN/ (MT) XXXXXX(/XXXXXXXXXXX) WARA Ż-ŻXXXĠ/ (XX) XXXXXXXX(X)X(XX) XX XXX XXXXXXXX/ (XX) XXXXXXXX(-X) XX XXXXXXXX XXŁŻXŃXXXX/ (XX) XXXXXXX(X) XXXX X XXXXXXXXX/ (XX) XXXXXX DUPĂ XĂXĂXXXXX/ (XX) PRIEZVISKO(-Á) XX XXXXXXXX MANŽELSTVA/ (XX) XXXXXXX/XXXXXXX PO XXXXXXXXX XXXXXXXX ZVEZE/ (XX) XXXXXXXX (-NIMET) XXXXXXXXXX SOLMIMISEN XÄXXXXX/ (XX) EFTERNAMN EFTER ÄXXXXXXXXXXX INGÅENDE

5.4

(BG) СОБСТВЕНО(И) ИМЕ(НА)/ (ES) NOMBRE(S)/ (XX) JMÉNO (XXXXX)/ (XX) FORNAVN(E)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) CÉADAINM (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (XX) XĀXXX(-X)/ (LT) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (NL) XXXXXX(X)X(XX)/ (XX) IMIĘ (XXXXXX)/ (PT) XXXX(X) XXXXXXX(X)/ (XX) XXXXXXX/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-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/ (XX) FØDSELSDATO (XX/XX/ÅÅÅÅ)/ (XX) GEBURTSDATUM (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) OF XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (HR) XXXXX (XX/XX/XXXX) XXĐXXXX/ (XX) XXXX XX XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (LT) XXXXXX XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX IDEJE (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) TAT-TWELID/ (NL) XXXXXXXXXXXXX (DD/MM/JJJJ)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (RO) XXXX (ZZ/LL/AAAA) NAȘTERII/ (XX) DÁTUM (DD/MM/RRRR) XXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) ROJSTVA/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (SV) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

5.6

(XX) ПОЛ/ (XX) SEXO/ (CZ) XXXXXXX/ (XX) KØN/ (XX) XXXXXXXXXX/ (XX) XXXX/ (EL) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (XX) INSCNE/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) SESS/ (XX) GESLACHT/ (XX) XŁXĆ/ (XX) SEXO/ (XX) XXXXX/ (XX) XXXXXXXX/ (SL) SPOL/ (XX) XXXXXXXXX/ (XX) XÖX

5.6.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) ŽENA/ (XX) KVINDE/ (XX) XXXXXXXX/ (ET) XXXXXXXXX/ (XX) ΘΗΛΥ/ (EN) XXXXXX/ (XX) FÉMININ/ (XX) BAINEANN/ (HR) XXXXXX/ (XX) XXXXXXXXX/ (XX) SIEVIETE/ (XX) XXXXXXX/ (XX) XŐ/ (XX) XXXX/ (NL) XXXXX/ (PL) KOBIETA/ (XX) FEMININO/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) ŽENSKI/ (XX) XXXXXX/ (XX) KVINNA

5.6.2

(BG) МЪЖКИ/ (XX) VARÓN/ (XX) XXX/ (XX) XXXX/ (XX) MÄNNLICH/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (EN) MALE/ (XX) MASCULIN/ (GA) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (LV) XĪXXXXXX/ (LT) VYRAS/ (XX) XXXXX/ (XX) XXĠXX/ (XX) MAN/ (XX) MĘŻCZYZNA/ (XX) XXXXXXXXX/ (XX) BĂRBĂTESC/ (XX) MUŽSKÉ/ (XX) XXXXX/ (FI) XXXX/ (XX) XXX

5.6.3

(XX) НЕОПРЕДЕЛЕН/ (XX) INDETERMINADO/ (XX) XXXXXXXX/ (DA) UBESTEMT/ (XX) XXXXXXXXXX/ (ET) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) UNDETERMINED/ (XX) INDÉTERMINÉ/ (GA) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) INDETERMINATO/ (XX) XXXXXXXXXX/ (XX) NENUSTATYTA/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) NÃO XXXXXXXX/ (RO) XXXXXXXXXXXX/ (XX) NEURČENÉ/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

6.

(XX) СЪПРУГ X/ (XX) XXXXXXX X/ (XX) XXXXXX/XXXXXXXX X/ (XX) ÆXXXXÆXXX B/ (DE) XXXXXXXXXX X/ (XX) XXXXXXXX X/ (XX) ΣΥΖΥΓΟΣ Β/ (EN) XXXXXX B/ (FR) XXXXXXXX X/ (XX) XXXXX X/ (HR) XXXXXX DRUG X/ (XX) XXXXXXX X/ (XX) LAULĀTAIS B/ (XX) SUTUOKTINIS X/ (XX) „B” HÁZASTÁRS/ (XX) XXXXXĠX X/ (XX) XXXXXXXX(X)X(X) X/ (XX) XXŁŻXXXX B/ (XX) XÔXXXXX X/ (XX) XXȚXX X/ (XX) XXXXXX/XXXXXXXX X/ (XX) XXXXXXX B/ (XX) XXXXXXX B/ (XX) XXXX/XXXX X

7.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) RECUADRO XXXX XX XXXXX/ (XX) XXXX XXX XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX BOX/ (XX) XXXXX XXXX XX SIGNATURE/ (GA) XXXXX XXX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) RIQUADRO XXX XX XXXXX/ (XX) PARAKSTA XXXXX/ (XX) XXXXXX XXXXXXXX/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (XX) KAXXA XXX-XXXXXXXX/ (NL) XXX XXXX XX XXXXXXXXXXXX/ (XX) POLE XXXXXXX/ (XX) ESPAÇO DESTINADO À ASSINATURA/ (RO) XXXXĂXXXX/ (XX) XXXXXXX XX XXXXXX/ (SL) XXXXX ZA XXXXXX/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (XX) XXXX XÖX UNDERTECKNANDE

7.1

(BG) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXX(X) X XXXXXX(X) XXX XXXXXXXXXXX QUE XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXX X XXXXX (XXXXX) XXXXXXXX, XXXXX XXXXX TENTO XXXXXXXX/ (XX) EFTERNAVN(E) XX XXXXXXX(X) PÅ XXX EMBEDSMAND, DER XXX XXXXXXX XXXXX XXXXXXXX/ (DE) FAMILIENNAME(N) XXX XXXXXXX(X) XXX XXXXXXX, XXX XXXXXX XXXXXXXX AUSGESTELLT XXX/ (XX) XÄXXXXXXX VORMI XÄXXXXXXXXX XXXXXXXX XXXXXXX (-XXXXX) JA XXXXXXXXXXXXX (-XXXXX)/ (EL) 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/ (FR) XXX(X) XX XXXXXX(X) XX XXXXXXXXXXXXX QUI X XXXXXXX XX XXXXXXX FORMULAIRE/ (XX) XXXXXXX (XXXXXXXX) XXXX XXXXXXXX (CÉADAINMNEACHA) XX XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXX(XX) X XXX(XX) SLUŽBENIKA XXXX XX XXXXX XXXX XXXXXXX/ (IT) XXXXXXX/X X XXXX/X XXX XXXXXXXXXXX XXX HA XXXXXXXXXX XX PRESENTE XXXXXX/ (XX) AMATPERSONAS, XXXX XXXXXXXX XX XXXXXXXX, XXXĀXXX(-X) XX XĀXXX(-X)/ (XX) XXĄ XXXXĄ XXXXXXXXX PAREIGŪNO XXXXXXĖ (-ĖX) XX XXXXXX (-AI)/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXXXXXŐ CSALÁDI XXXX(X) XX UTÓNEVE(I)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦAREĠ XXX IL-FORMOLA/ (NL) XX(X)X(XX) EN VOORNA(A)M(EN) XXX XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) X XXXĘ (XXXXXX) URZĘDNIKA, KTÓRY XXXXŁ XXXXXXXXX FORMULARZ/ (XX) XXXXXXX(X) X XXXX(X) XXXXXXX(X) XX XXXXXXXXXXX QUE XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXX ȘX XXXXXXXXX FUNCȚIONARULUI CARE X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) PRIIMEK/PRIIMKI XX XXX/XXXXX XXXXXXXX, XX JE IZDAL XX XXXXXXX/ (FI) XÄXÄX LOMAKKEEN XXXXXXXX XXXXXXXXXXX XXXXXXXX (-XXXXX) XX ETUNIMI (-NIMET)/ (XX) EFTERNAMN XXX XÖXXXXX XÅ XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

7.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) CARGO XXX FUNCIONARIO XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, XXXXX XXXXX TENTO XXXXXXXX/ (DA) STILLING — XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX DES XXXXXXX, XXX XXXXXX FORMULAR XXXXXXXXXXX HAT/ (XX) XÄXXXXXXX XXXXX VÄLJASTANUD XXXXXXXX XXXXXXXXX/ (EL) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXX XX XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) XXXXX DU FONCTIONNAIRE XXX X DÉLIVRÉ XX XXXXXXX FORMULAIRE/ (XX) XXXX XX XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXXX XXXXXXXXXX XXXX JE IZDAO XXXX XXXXXXX/ (IT) XXXXXXXXX DEL XXXXXXXXXXX XXX HA XXXXXXXXXX XX PRESENTE MODULO/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX VEIDLAPU, XXXXX/ (XX) XXĄ XXXXĄ XXXXXXXXX PAREIGŪNO XXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (MT) XXXXXX XXX-XXXXĊXXX LI ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX XXX DE XXXXXXXXX XXX XXX XXXXXXXXX HEEFT XXXXXXXXX/ (XX) XXXXXXXXXX URZĘDNIKA, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (PT) CARGO XX XXXXXXXXXXX QUE XXXXXX O PRESENTE XXXXXXXXXX/ (XX) POZIȚIA XXXXȚXXXXXXXXX CARE X XXXX PREZENTUL XXXXXXXX/ (XX) XXXXXXX ÚRADNÍKA, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) POLOŽAJ XXXXXXXX, XX JE XXXXX TA OBRAZEC/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX VIRKAMIEHEN ASEMA/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX SOM XXX XXXÄXXXX XXXXX XXXXXXÄX

7.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) VYDÁNÍ/ (DA) XXXXXXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (TT/MM/JJJJ)/ (ET) XÄXXXXXXXXXX KUUPÄEV (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) DATE (XX/XX/XXXX) OF XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) EISIÚNA/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX RILASCIO (XX/XX/XXXX)/ (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/ (XX) XXXXX (DD/MM/JJJJ) XXX XXXXXXX/ (XX) DATA (XX/XX/XXXX) WYDANIA/ (PT) XXXX XX EMISSÃO (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) EMITERII/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (DD/MM/LLLL) XXXXXX/ (FI) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) FÖR XXXÄXXXXXX

7.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) ALLKIRI/ (EL) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) SIGNATURE/ (GA) XXXXX/ (XX) POTPIS/ (XX) XXXXX/ (XX) XXXXXXXX/ (LT) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (PT) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXX/ (SL) XXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) NAMNTECKNING

7.5

(BG) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X TIMBRE/ (XX) XXXXX NEBO XXXXXXX/ (XX) SEGL XXXXX STEMPEL/ (XX) XXXXXX XXXX XXXXXXX/ (XX) XXXXXX VÕI XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX OR XXXXX/ (FR) SCEAU XX XXXXXX/ (XX) XXXXX XX STAMPA/ (XX) XXX ILI XXXXX/ (XX) BOLLO X XXXXXX/ (LV) XĪXXXX XXX XXXXXXXX/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (MT) XXĠXXX XXX XXXXXX/ (XX) ZEGEL OF XXXXXXX/ (PL) XXXXXĘĆ XXX XXXXXXX/ (XX) XXXX OU XXXXXXX/ (XX) XXXXXXXX XXX ȘXXXXXXX/ (XX) PEČAŤ XXXXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXX XXX/ (XX) SINETTI XXX LEIMA/ (XX) XXXXXX ELLER XXÄXXXX

XXXXXXXXXXX X XXXXXXXX XXXXXXXXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX XXX PŘEKLAD

Článek 7 xxxxxxxx Xxxxxxxxxx parlamentu x Rady (XX) 2016/1191 ze dne 6. xxxxxxxx 2016 x podpoře xxxxxxx xxxxxx občanů xxxxxxxxxxxxx xxxxxxxxx xx předkládání xxxxxxxxx veřejných xxxxxx x Evropské xxxx x o xxxxx xxxxxxxx (XX) x. 1024/2012 (1)

Xxxxxx (XX) Xxxxxxxxx (XX)

Xxxxx republika (XX)

Xxxxxx (XX) Xxxxxxx (XX)

Xxxxxxxx (XX) Irsko (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (FR) Xxxxxxxxxx (XX)

Xxxxxx (IT) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (LU)

Maďarsko (HU) Xxxxx (XX)

Xxxxxxxxxx (XX) Xxxxxxxx (XX)

Xxxxxx (PL) Xxxxxxxxxxx (XX)

Xxxxxxxx (RO) Xxxxxxxxx (SI)

Slovensko (XX) Xxxxxx (XX)

Xxxxxxx (XX) Xxxxxxx království (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx účelem xxxxxx xxxxxxxxxxxxx xxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxx překladu xxxxxxx xxxxxxx, x xxx xx xxxxxxxx. Xxxxx xxxxxxxx xx xxxx členskými xxxxx xxxxx xxxxxxxxx xxxx xxxxxxxxxx dokument.

Tento xxxxxxxx xxxxxx xxxxx xxxxxxx xxxxxxx, x níž xx xxxxxxxx. Xxxxx, xxxxx je xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx xxxx v případech, xxx xx xx xxxxxxxx pro xxxxx xxxxxxxxxx xxxxxxx xxxxxxx, xxxxxxxxx překlad xx xxxxxx xxxxxxxxx, které xxxx ve xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX XXXXX

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

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

1. ORGÁN VYDÁVAJÍCÍ XXXXX XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Název (4)

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

3.1 Xxxxxxx xxxxxx xxxxxxx 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 xxxxxx xxxxxxx xxxxxxxxx

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

3.1.5 Xxxx (xxxxxxxxx)

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

(2) Xxx vyplňování rukou xxxxxxxx xxxxxxx xxxxx.

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

(4) Xxxxx „xxxxx“ xx třeba xxxxxxxx jako xxxxxx xxxxx orgánu xxxxxxxxxxxx xxxxxxxx xxxxxxx, k xxx xx přiložen xxxxx xxxxxxxx.

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx z xxxxxxx

3.2.3 Xxxxx x xxxxxxxx obyvatel

3.2.4 Xxxx xxxxxxxxxx záznamů

3.1.5 Jiné (xxxxxxxxx)

3.3 Xxxxxxxx listina

3.4 Xxxxxx xxxxxxxxx, kterým xxxx xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx osobou

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

3.6 Xxxxx (xx/xx/xxxx) vydání

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXX X XXXXXXX OSOBĚ

4.1 Příjmení

4.2 Xxxxx (xxxxx)

4.3 Xxxxx (xx/xx/xxxx) narození

4.4 Xxxxx (1) x xxxx (2) xxxxxxxx

4.5 Xxxxxxx:

4.5.1 Xxxx

4.5.2 Xxx

4.5.3 Xxxxxxxx

4.6 Xxxxxx xxxxxxxxxxx:

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

5.1 Je dotyčná xxxxx xxxxxxxxx xxxxxxx xxxxxxxxxx xxxxx xxxxxxxxxxxxxx xxxxx xxxxxxxxx xxxxx, x xxxx je xxxxxxx xxxxxxx vydána.

5.2 Xxxxxxx xxxxx xxxxxx xxxxxxxxxx xxxxxxxxxx xxx xxxx jménem podle xxxxxxxxxxxxxx xxxxx xxxxxxxxx xxxxx, v němž xx xxxxxxx xxxxxxx xxxxxx.

5.3 Xxxxxxxxxx žádná xxxxx xxxxxxxx, aby xxxxxxx osoba uzavřela xxxxxxxxxx podle xxxxxxxxxxxxxx xxxxx členského státu, x xxxx je xxxxxxx xxxxxxx vydána.

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

5.5 Neexistuje žádná xxxxx xxxxxxx proti xxxxxxxx xxxxxxxxxx xxxx xxxxxxxx osobou a xxxxx snoubencem / xxxx xxxxxxxxxx podle xxxxxxxxxxxxxx práva xxxxxxxxx xxxxx, x xxxx xx xxxxxxx listina xxxxxx.

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

(2) Xxxxx xxxx a – xxxxx xxxxxxxx – xxx ISO xxxx xxxx xxxx xxxxxxx „Jiné (upřesněte)“ xx třeba xxxxxx x rozbalovací nabídky xx vzorovém vícejazyčném xxxxxxxxxxx formuláři, který xx k xxxxxxxxx xx portálu xxxxxxxx x-xxxxxxx.

(3) Xxx xxxxxx xxxx xxxxxxxx.

6. INFORMACE X XXXXXXXXX / XXXXXXXXX XXXXXXX XXXXX

4.1 Xxxxxxxx

4.2 Xxxxx (xxxxx)

4.3 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.4 Xxxxx (1) a xxxx (2) narození

4.5 Xxxxxxx:

4.5.1 Žena

4.5.2 Xxx

4.5.3 Xxxxxxxx

4.6 Xxxxxx xxxxxxxxxxx

7. XXXX XXX XXXXXX

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

7.2 Xxxxxx xxxxxxxx, který xxxxx xxxxx xxxxxxxx

7.3 Xxxxx (xx/xx/xxxx) vydání

7.4 Xxxxxx

7.5 Xxxxx xxxx xxxxxxx

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

(2) Xxxxx xxxx x – xxxxx existuje – kód ISO xxxx xxxx xxxx xxxxxxx „Xxxx (xxxxxxxxx)“ xx třeba vybrat x rozbalovací xxxxxxx xx xxxxxxxx vícejazyčném xxxxxxxxxxx formuláři, který xx k dispozici xx xxxxxxx evropské x-xxxxxxx.

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX POLOŽEK

(ZPŮSOBILOST X XXXXXXXX XXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX QUE XXXXXX ESTE XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX VÄLJA XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX XXXX/ (XX) AUTORITÉ DE XXXXXXXXXX XX PRÉSENT XXXXXXXXXX/ (GA) XX xXXXXXX A XXXXXXXX XX XXXXXX XXX/ (XX) TIJELO XXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXXÀ CHE XXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ XXXXXXXXXX VALDŽIOS XXXXXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ EMITTENTI XX' XXX XX-XXXXXXX/ (XX) AUTORITEIT XXX XXXXXXX VAN XXX XXXXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXX XXXXX X PRESENTE XXXXXXXXXX/ (RO) AUTORITATEA XXXXXXXĂ X PREZENTULUI XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX FORMULÁR/ (XX) XXXXX, KI XXXX XX XXXXXXX/ (XX) TÄMÄN LOMAKKEEN XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX SOM XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) BETEGNELSE/ (XX) XXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (FR) DÉNOMINATION/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (LV) XXXXXXXXX/ (LT) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (NL) XXXXXXXX/ (XX) NAZWA/ (XX) XXXXXXXÇÃX/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) XXX/ (XX) XXXX/ (XX) NAMN

2.

(BG) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) AUTORIDAD XXX XXXXXX XX XXXXXXXXX XXXXXXX AL XXX XX XXXXXXX XXXX XXXXXXX/ (CZ) XXXXX XXXXXXXXXX XXXXXXXX LISTINU, X NÍŽ XX XXXXXXXX TENTO FORMULÁŘ/ (XX) DEN XXXXXXXXX, XXX XXX XXXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX VEDHÆFTET/ (XX) XXXÖXXX, XXX XXX ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX FORMULAR XXXXXXÜXX XXX, XXXXXXXXX/ (XX) XXXXXX, XXX XXXXX XÄXXX XXXXXXX XXXXXXXXX, XXXXXXX SEE XXXX XX LISATUD/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXX XXXXXXXX XX WHICH THIS XXXX IS XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXXXX DU XXXXXXXX XXXXXX XXXXXX EST XXXXX LE XXXXXXX XXXXXXXXXX/ (GA) XX xXXXXXX A XXXXXXXX XX DOICIMÉAD POIBLÍ XXXX XXXXXX XX XXXXXX SEO CEANGAILTE/ (XX) XXXXXX KOJE XXXXXX JAVNU XXXXXXX XXXXX JE OVAJ XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXXX PUBBLICO XXX XX PRESENTE XXXXXX È XXXXXXXX/ (XX) PUBLISKĀ XXXXXXXXX, XXXXX ŠĪ VEIDLAPA XX XXXXXXXXXX, IZDEVĒJIESTĀDE/ (XX) VIEŠĄJĮ DOKUMENTĄ, XXXX XXXXX PRIDEDAMA XX XXXXX, XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (XX) X XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXXXX XXXXXXXX HATÓSÁG/ (XX) XXXXXXXÀ EMITTENTI XXX-XXXXXXXX XXXXXXXX XX XXXXĦX HIJA XXXXXŻX XXX XX-XXXXXXX/ (NL) XXXXXXXXXX XXX AFGIFTE XXX HET XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX IS XXXXXXX/ (XX) ORGAN XXXXXĄXX XXXXXXXX XXXĘXXXX, DO XXXXXXX NINIEJSZY XXXXXXXXX XXXX ZAŁĄCZONY/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXXX XXXXXXX X XXX X XXXXXXXX FORMULÁRIO XXXX XXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXXX XXXXXXX LA XXXX XXXX ANEXAT PREZENTUL XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, XX XXXXXX JE XXXXX XXXXXXXX PRIPOJENÝ/ (XX) ORGAN, KI XXXX XXXXX LISTINO, XX XX XX XXXXXXXX TA OBRAZEC/ (XX) XXXXXXXXXXXX, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ XXXXXX LIITETÄÄN/ (XX) XXXXXXXXX XXX XXXÄXXXX XXX OFFICIELLA XXXXXXXX XXXX VILKEN XXXXX XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) INFORMACIÓN XXXXXXXX AL XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXX XXXXXXX, X XXX XX PŘILOŽEN TENTO XXXXXXXX/ (XX) OPLYSNINGER XXXXØXXXXX XXX OFFENTLIGE XXXXXXXX, XXX XXXXX XXXXXXXX XX VEDHÆFTET/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX URKUNDE, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (ET) XXXXX XXXXXXX XXXXXXXXX XXXXX, XXXXXXX XXX XXXX XX LISATUD/ (EL) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXX XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX ATTACHED/ (FR) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX PUBLIC XXXXXX XXX XXXXX LE XXXXXXX XXXXXXXXXX/ (GA) XXXXXXXX A BHAINEANN XXXX AN XXXXXXXXX XXXXXX XXXX XXXXXX XX FHOIRM SEO XXXXXXXXXX/ (HR) XXXXXXXXXXX XXXX XX XXXXXX XX XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX PRILOŽEN/ (IT) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX PUBBLICO XXX XX XXXXXXXX XXXXXX È ALLEGATO/ (LV) XXXXXXĀXXXX PAR XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX XX PIEVIENOTA/ (XX) INFORMACIJA, XXXXXXXX XX XXXXXXXX DOKUMENTU, XXXX XXXXX PRIDEDAMA XX FORMA/ (HU) X XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXXXX XXXXXXXXX INFORMÁCIÓK/ (XX) XXXXXXXXXXXXX DWAR XX-XXXXXXXX XXXXXXXX LI XXXXĦX XXXX MEHMUŻA XXX IL-FORMOLA/ (NL) XXXXXXXXXX BETREFFENDE HET XXXXXXXX XXXXXXXX WAARAAN XXX FORMULIER XX XXXXXXX/ (PL) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX KTÓREGO NINIEJSZY XXXXXXXXX XXXX ZAŁĄCZONY/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX XXXXXXXXX PÚBLICO X QUE X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) INFORMAȚII XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX ANEXAT XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXX LISTINE, XX XXXXXX JE XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXX Z XXXXX XXXXXXX, XX XX XX XXXXXXXX TA XXXXXXX/ (FI) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXXXX OM XXX OFFICIELLA 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/ (ES) XXXXXXXXX XXXXXXXX XXX XXX XXXXXXXXX X XX XXXXXXXXXXX XXXXXXXXX A XXX XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXX XXXXXXXXX X XXXXXX XX SOUDY DANÉHO XXXXXXXXX STÁTU/ (XX) XXXXXXXX, XXX XX XXXXXXX AF XX XXXXXXXXX XXXXX EN XXXXXXXXXX, XXX XX XXXXXXXXXX XXXXXXXX X XX XXXXXXXXXXX/ (XX) XXXXXXX XXXXX BEHÖRDE XXXX EINER XXXXXXXXXX XXX ORGAN XXX XXXXXXXXXXXX XXXXX MITGLIEDSTAATS/ (XX) XXXXXXXX, XXXXX XX VÄLJA XXXXXX XXXXXXXXXXXX XXXXXXXXX SEOTUD XXXXXXXXXXX VÕI XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΈΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) DOCUMENT XXXXXXXXX XXXX XX XXXXXXXXX XX XX XXXXXXXX XXXXXXXXX XXXX XXX COURTS XX XXXXXXXXX XX A XXXXXX XXXXX/ (FR) XXXXXXXX XXXXXXX D'UNE XXXXXXXX XX D'UN XXXXXXXXXXXXX RELEVANT X'XXX XXXXXXXXXXX D'UN ÉTAT XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXX NÓ X XXXXXXXXX X XXXXXX XXXXX XXXX XX XXXX LE XXXXXXXXXX XX XX XXXXX XX XXXXX BALLSTÁIT/ (XX) XXXXXXX KOJU XX IZDALO XXXXXX XXX XXXXXXXXX SUDA XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ X DA XX FUNZIONARIO XXXXXXXXXXXX XX UNA XXXXX XXXXXXXXXXXXX XX UNO XXXXX XXXXXX/ (LV) XXXXXXXXX, XXXX IZSNIEGUSI XX XXXĪXXXXXXX TIESĀM XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX VALDŽIOS XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ XX VALSTYBĖS XXXĖX XXXXXXXX AR TRIBUNOLAIS/ (XX) TAGÁLLAMI XXXXXXXXXX XXXXXXXXXXXX XXXX XXXXXXX XXXX XXXXXXXXXXŐ ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX XXXXXXXÀ JEW UFFIĊJAL XX XXXXXXXX XXXXX XXX-XXXXX JEW IT-TRIBUNALI XX' XXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX XXX XXX RECHTERLIJKE XXXXXXXXX VAN XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX OD ORGANU XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX PAŃSTWA XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX AUTORIDADE XX DE XX XXXXXXXXXXX DEPENDENTE XX XXXXXXXX XXXXXXXÇÃX DE XX XXXXXX-XXXXXX/ (RO) XXXXXXXX EMIS XX X AUTORITATE XXX XX UN XXXXȚXXXXX XX XX XÂXXĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXX XXXXXXXXX S VÄZBOU XX SÚDY ČLENSKÉHO XXXXX/ (XX) XXXXXXX, XXXXXX X XXXXXX XXXXXX XXX URADNIKA XXXXX XXXXXXX XXXXXX XXXXXXX/ (XX) ASIAKIRJA, XXXXX XX XXXXXXX XÄXXXXXXXXXX OIKEUSLAITOKSEEN XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX FRÅN EN XXXXXXXXX XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX DOMSTOLSVÄSENDET X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) KOHTUOTSUS/ (EL) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) XXXXXXXX DE JUSTICE/ (XX) CINNEADH XX xXXXXX/ (HR) XXXXXX XXXXXX/ (IT) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (LT) TEISMO XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (XX) DEĊIŻJONI XXX-XXXXX/ (NL) XXXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (XX) XXXXXÃX XXXXXXXX/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (SK) XXXXX XXXXXXXXXXX/ (XX) SODNA XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) DOMSTOLSBESLUT

3.1.2

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) DOCUMENTO XXXXXXXX XXX XX XXXXXXXXXX XXXXXX/ (CZ) XXXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) DOKUMENT XXXXXXX XX XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX STAATSANWALTSCHAFT/ (XX) XXXXXXXX, MILLE XX XÄXXX XXXXXX RIIKLIK XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX X PUBLIC XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XXXXXXÈXX XXXXXX/ (XX) DOICIMÉAD X XXXXXXX X XXXXXXXXXXXXXXX POIBLÍ/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXXX ODVJETNIŠTVO/ (XX) DOCUMENTO XXXXXXX XXX XXXXXXXX XXXXXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX PROKURORS/ (XX) XXXXXXXXX XXXXXXXX DOKUMENTAS/ (XX) ÜGYÉSZ XXXXX XXXXXXXXXX OKIRAT/ (MT) XXXXXXXX XXĦXXĠ MINN XXXXXXXXXX XXXXXXXX/ (NL) XXXXXXXX XXXXXXXXX XXXX XXX OPENBAAR XXXXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX PROKURATORA/ (PT) XXXXXXXXX XXXXXXXXXXX DO XXXXXXXXXX PÚBLICO/ (XX) XXXXXXXX XXXX DE XX PROCUROR/ (SK) XXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) LISTINA, XX XX XXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX ANTAMA XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX FRÅN ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXXXX/ (XX) LISTINA XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX UDSTEDT XX XX XXXXXXXXXXXXXÆX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX GERICHTS/ (XX) XXXXXXXX, XXXXX ON XÄXXX ANDNUD XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXX XX A XXXXX/ (XX) XXXXXXXX ÉMANANT X'XX GREFFIER/ (XX) XXXXXXXXX X THAGANN X CHLÉIREACH XX XXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXX XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX UN XXXXXXXXXXX/ (XX) DOKUMENTS, XXXX IZSNIEDZIS XXXXXX XXXXXXĀXX/ (XX) XXXXXX XXXXXXXXXX IŠDUOTAS DOKUMENTAS/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ XXXX XXĠXXXXXXXX TA' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX SEKRETARZA XĄXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX XX UM XXXXXXX DE XXXXXÇX/ (XX) XXXXXXXX XXXX XX UN XXXXXXX XX XXXXXXȚXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXX/ (XX) LISTINA, XX XX IZDA XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXX/ (SV) XXXXXXXX XXX XÄXXÖX FRÅN XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („HUISSIER XX XXXXXXX“)/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXX XXXXXX SOUDNÍM XXXXXXXXXXXXX („HUISSIER XX XXXXXXX“)/ (XX) DOKUMENT XXXXXXX XX XX XXÆXXXXXXXXXX (»HUISSIER XX XXXXXXX«)/ (XX) URKUNDE XXXXX GERICHTSVOLLZIEHERS/ (ET) XXXXXXXX, XXXXX XX XÄXXX XXXXXX KOHTUTÄITUR/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX JUSTICE»)/ (XX) DOCUMENT EMANATING XXXX X XXXXXXXX XXXXXXX ('XXXXXXXX XX XXXXXXX')/ (FR) DOCUMENT XXXXXXX X'XX HUISSIER XX XXXXXXX/ (GA) XXXXXXXXX X XXXXXXX X OIFIGEACH BREITHIÚNACH (“XXXXXXXX DE XXXXXXX”)/ (XX) XXXXXXX XXXX XX XXXXX XXXXXX XXXXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) DOCUMENTO XXXXXXX DA UN XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX JUSTICE")/ (XX) XXXXXXXXX, KURU IZSNIEDZIS XXXXXX IZPILDĪTĀJS (XXXXXXXX XX JUSTICE)/ (XX) XXXXXXXXX (HUISSIER DE XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) BÍRÓSÁGI VÉGREHAJTÓ („XXXXXXXX DE JUSTICE”) XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX XXXXĊXXX ĠUDIZZJARJU ('XXXXXXXX DE XXXXXXX')/ (XX) DOCUMENT XXXXXXXXX XXXX EEN XXXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT POCHODZĄCY XX XXXĘXXXXX XĄXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX PROVENIENTE XX XX ESCRIVÃO XX XXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX EMIS XX XX XXXXXXXX JUDECĂTORESC („XXXXXXXX XX JUSTICE”)/ (XX) LISTINA VYDANÁ XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXX, KI JO XXXX SODNI IZVRŠITELJ („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX XX JUSTICE”) XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR FRÅN XX XXÄXXXXXXXXX (HUISSIER XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) OTRO (XXXXXXXXXXXXX)/ (XX) XXXX (XXXXXXXXX)/ (XX) ANDRE (ANGIVES)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) MUU (XÄXXXXXXXX)/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX XX XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (XX) XXXX (XX XXXXX)/ (HR) XXXXXX (NAVESTI)/ (XX) XXXXX (XXXXXXXXX)/ (LV) XXXX (PRECIZĒT)/ (XX) XXXX (NURODYTI)/ (XX) XXXXX (KÉRJÜK PONTOSÍTANI)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) OVERIGE (XXXXXXXXXXXX)/ (XX) XXXX (PROSZĘ XXXXŚXXĆ)/ (XX) XXXXXX (X ESPECIFICAR)/ (RO) XXXXX (X SE XXXXXXX)/ (XX) XXX (XXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (FI) MUU XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (SV) XXXXX HANDLING (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX VERWALTUNGSBEHÖRDE/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ (HR) UPRAVNA XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (LT) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) KÖZIGAZGATÁSI XXXXXX/ (MT) XXXXXXXX XXXXXXXXXXXXXX/ (XX) ADMINISTRATIEF XXXXXXXX/ (PL) XXXXXXXX XXXXXXXXXXXXXXX/ (PT) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX/ (CZ) XXXXXXXXX/ (XX) XÅXXXXXXX/ (DE) XXXXXXXXXXXXX/ (ET) TÕEND/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) CERTIFICAT/ (XX) XXXXXXXX/ (HR) XXXXXXX/ (IT) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, LIUDIJIMAS/ (HU) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX CERTIFICADO/ (XX) XXXXXXXXXX/ (SK) XXXXXXXXXX/ (XX) POTRDILO/ (XX) XXXXXXXX/ (SV) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) EXTRACTO XXX XXXXXXXX CIVIL/ (CZ) XXXXX Z XXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX PERSONENSTANDSREGISTER/ (XX) XXXXXXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX XXXXX XXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XX X'XXXX XXXXX/ (XX) XXXXXXX XX XX gCLÁR XXXXXXX XXXXXXXXXX/ (XX) IZVADAK XX XXXXXXXX XXXXXXX XXXXXX/ (XX) XXXXXXXX XX XXXX DI XXXXX CIVILE/ (XX) XXXXXXXX NO XXXXXXXĀXXXĻX XXXX REĢISTRA/ (XX) XXXXXXX XX XXXXXXXĖX XŪXXĖX XXXŲ REGISTRO/ (XX) ANYAKÖNYVI KIVONAT/ (XX) XXXXXXX MIR-REĠISTRU XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXX XXX DE XXXXXXXXXXX XXXXX/ (XX) XXXXX SKRÓCONY XXXX XXXXX CYWILNEGO/ (XX) XXXXXXX DE XXXX XX XXXXXXX XXXXX/ (XX) EXTRAS DIN XXXXXXXXX DE XXXXX XXXXXĂ/ (SK) XXXXX X REGISTRA OSOBNÉHO XXXXX/ (XX) XXXXXXX XX REGISTRA X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (SV) XXXXXX UR FOLKBOKFÖRINGEN

3.2.3

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (ES) XXXXXXXX XXX CENSO/ (XX) VÝPIS X XXXXXXXX OBYVATEL/ (XX) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX XXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX XXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XX REGISTRE XX XX XXXXXXXXXX/ (XX) XXXXXXX XX XX xXXXX XXXXXX/ (XX) IZVADAK XX XXXXXX STANOVNIŠTVA/ (IT) XXXXXXXX ANAGRAFICO/ (XX) XXXXXXXX NO XXXXĪXXXĀXX XXĢXXXXX/ (LT) IŠRAŠAS XX GYVENTOJŲ XXXXXXXX/ (XX) XXXXXXX X XXXXXXXXXXXX- ÉS XXXXXXXXXXXXXXXXXXXXXX/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (NL) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX X XXXXXXXX XXXXXŚXX/ (XX) XXXXXXX XX XXXXXXX XX XXXXXXÇÃX/ (RO) XXXXXX DIN REGISTRUL XX XXXXXXȚĂ X XXXXXXȚXXX/ (XX) VÝPIS 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/ (XX) XXXXX XXXXXXX XX XXXXX DEL XXXXXXXX XXXXX/ (CZ) XXXX MATRIČNÍCH XXXXXXX/ (XX) ORDRET XXXX XX XXXXXXXXXXXXXXXXXXX/ (DE) XÖXXXXXXX KOPIE XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (EL) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) VERBATIM XXXX XX XXXXX XXXXXX XXXXXXX/ (XX) XXXXX INTÉGRALE X'XXXXX XX L'ÉTAT XXXXX/ (XX) XXXX XXXXX XX XXXXXX DE XXXXXXX AR XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XX XXXXXXXXXX X XXXXXXX XXXXXX/ (XX) XXXXX LETTERALE XX XXXX XX XXXXX CIVILE/ (XX) XXXXXXXĀXXXĻX XXXX XXĢXXXXX XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXĖX BŪKLĖS XXXŲ ĮXXXŲ PAŽODINĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) KOPJA XXXXXXXX XXX-XXXX TAL-ISTAT ĊXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXX XXX XXXXX XXX DE BURGERLIJKE XXXXX/ (XX) XXXXX XXXXŁXX AKTU XXXXX XXXXXXXXX/ (XX) XXXXXXÃX XX XXXXX XXXXXXXX XX XX NARRATIVA XX ATOS DE XXXXXXX CIVIL/ (XX) XXXXX XXXXXĂ A XXXX ACT XX XXXXX XXXXXĂ/ (SK) XXXXXXXX XXXXX XX XXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXX XXXXXX LISTIN X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX JÄLJENNÖS/ (XX) XXXXXXXXX XXXXXXXX XX FOLKBOKFÖRINGSHANDLING

3.3

(BG) НОТАРИАЛЕН АКТ/ (XX) ACTA XXXXXXXX/ (CZ) XXXXXXXX XXXXXXX/ (XX) NOTARBEKRÆFTET XXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX/ (XX) NOTARIAALDOKUMENT/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX ACT/ (XX) ACTE XXXXXXX/ (XX) GNÍOMH XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXĀXX XXXX/ (XX) NOTARINIS XXXXX/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (XX) XXX XXXXXXXXXX/ (XX) ATO XXXXXXXX/ (XX) ACT XXXXXXXX/ (XX) NOTÁRSKA XXXXXXX/ (XX) NOTARSKA LISTINA/ (XX) XXXXXXXX XXXXXX XXXXXXXXX/ (XX) NOTARIELL XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) CERTIFICACIÓN OFICIAL XXXXXX XXXXX UN XXXXXXXXX PRIVADO/ (XX) XXXXXX OSVĚDČENÍ, XXXXXX XXXX XXXXXXXX LISTINA XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXX XÅXXXXXXX XÅ XX XXXXXXXX XXXXXXXXXXX XX EN XXXXXX X XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX EINER XXXXXXXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXXXX ALLKIRJASTATUD DOKUMENDILE XXXXXXXXXX XXXXXXX TÕEND/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (EN) XXXXXXXX XXXXXXXXXXX PLACED XX X XXXXXXXX SIGNED XX A XXXXXX XX XXX XX XXX PRIVATE XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX XX XXXX XXXX XXXXX XXXXX/ (GA) XXXXXXXX XXXXXXXXX X XXXXXXXXX XX XXXXXXXXXX XXXX XXXXXX XX DUINE XXX XXXXX XX XXX XXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX XX XXXXXXX XXXX XX OSOBA XXXXXXXXX U PRIVATNOM XXXXXXXX/ (IT) XXXXXXXXXXXXX XXXXXXXXX APPOSTA XX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXĀXX XXXXXXXXĀXXXX XX DOKUMENTA, XX XXXĀ VĀRDĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (XX) XXXXXXXŲ ASMENŲ XXXXXXXXXŲ XXXXXXXXŲ OFICIALŪS XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX TANÚSÍTVÁNY/ (XX) ĊXXXXXXXXX XXXXĊXXXX XX XXXXXXXĦXX X'XXXXXXXX IFFIRMAT XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX CERTIFICAAT OP XXX XXXXXXXX XXXXXXXXXXX XXXX XXX PERSOON XX ZIJN XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX UMIESZCZONE XX XXXXXXXXXX XXXXXXXXXX PRZEZ XXXXĘ XXXXŁXXĄXĄ W XXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÃX XXXXXXX INSERTA XXX XXX XX XXXXXXXX PRIVADA/ (XX) XXXXXXXXXX XXXXXXX APLICAT XX UN XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) ÚRADNÉ XXXXXXXXXX XXXXXXX NA LISTINE XXXXXXXXXX XXXXXX KONAJÚCOU XXX XXXXXXXX XXXXX/ (XX) URADNA XXXXXX XX XXXXXXX LISTINI/ (XX) XXXXXXXXXX TODISTUS XXXXXXXXXXXX, JONKA XXXXXXÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) OFFICIELLT XXXXX XXXXXXXXX XÅ XX XXXXXXXX SOM XXXXXXXXXXXXX XX EN PRIVATPERSON

3.5

(BG) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) DOCUMENTO XXXXXXXX XXX XX XXXXXX XXXXXXXXXXX X XXXXXXXX XX XX XXXXXX XXXXXXX XXX XXXXXXXX OFICIAL/ (XX) XXXXXXX VYHOTOVENÁ DIPLOMATICKÝM XXXXXXXXX XXXX KONZULÁRNÍM XXXXXXXXX ČLENSKÉHO STÁTU X XXXXX XXXXXX XXXX SLUŽEBNÍCH POVINNOSTÍ/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX XX XX XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX REPRÆSENTANT/ (DE) XXX XXXXX XXXXXXXXXXXXXX XXXX KONSULARISCHEN XXXXXXXXX XXXXX MITGLIEDSTAATS XX XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX XXXXX AMETIKOHUSTUSTE XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) DOCUMENT XXXXX XX XX A XXXXXXXXXX OR CONSULAR XXXXX OF X XXXXXX XXXXX XX XXX XX HER XXXXXXXX XXXXXXXX/ (FR) XXXXXXXX XXXXXX EN XX XXXXXXX XXXXXXXXXX XXX UN XXXXX XXXXXXXXXXXX OU XXXXXXXXXX X'XX ÉTAT XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX SUAS XX XXXXXXXXXX TAIDHLEOIREACHTA XX XXXXXXXXX XX XXXXX XXXXXXXXX INA XXXXX XX XXX CÁIL XXXXXXXXX/ (HR) XXXXXXX XXXX XX X XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXX ILI KONZULARNI XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX XXXXXXXXXXX X XXXXXXXXX XX XXX STATO XXXXXX XXXX'XXXXXXXXX XXXXX LORO XXXXXXXX/ (XX) XXXXXXXXX, XXXX, PILDOT XXXXX XXXXĀXXXXX, XXXXXXXXXXX DALĪBVALSTS XXXXXXĀXXXXXXX XXX KONSULĀRAIS XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX AR KONSULINIO XXXXXXŪXX, XXXXXXXXXX XXXXX XXXXXXXXXX ĮGALIOJIMUS/ (XX) XXXXXXXX TAGÁLLAM XXXXXXXXXXX XXXX KONZULI KÉPVISELŐJE XXXXX HIVATALOS XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXXX XXXX XĠXXX XXXXXXXXXXX XXX XXXXXXXXX XX' STAT XXXXXX FIL-KAPAĊITÀ XXXXĊXXXX XXXXĦX/ (NL) DOCUMENT XXXXXXXXX XXXX XX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX XX ZIJN XXXXXXËXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXĄXXXXX PRZEZ XXXXXXXXXXXXXXX DYPLOMATYCZNEGO LUB XXXĘXXXXX KONSULARNEGO PAŃSTWA XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX XXXĘXXXXX/ (XX) XXXXXXXXX LAVRADO XXX XX AGENTE XXXXXXXXXXX XX XXXXXXXX DE XX XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX DE XĂXXX UN XXXXX XXXXXXXXXX XXX XXXXXXXX XX XXXX XXXX XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX KONZULÁRNYM ÚRADNÍKOM XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXX, XX XX XXX XXXXXX XXXXX XXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX KONSULIEDUSTAJA XX XXXXXXXX VIRANTOIMITUKSESSA/ (SV) XXXXXXXX XXXXÄXXXX X XXÄXXXXX AV EN XXXXXXXXXXX XXXXX XXXXXXÄX XXÄXXXXXXX X EN XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) VYDÁNÍ/ (DA) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX KUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX ISSUE/ (XX) DATE (JJ/MM/AAAA) XX DÉLIVRANCE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXX/ (XX) DATA XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (LT) XXXXXXXX XXXX (XX/XX/XXXX)/ (HU) X XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) VAN XXXXXXX/ (PL) DATA (XX/XX/XXXX) WYDANIA/ (PT) XXXX XX EMISSÃO (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (FI) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) FÖR UTFÄRDANDE

3.7

(BG) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX REFERENCIA XXX XXXXXXXXX PÚBLICO/ (XX) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (DE) XXXXXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX/ (XX) AVALIKU XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (EN) REFERENCE XXXXXX XX THE XXXXXX DOCUMENT/ (XX) XXXXXX DE RÉFÉRENCE XX DOCUMENT XXXXXX/ (XX) UIMHIR THAGARTHA XX XXXXXXXXX PHOIBLÍ/ (XX) XXXXXXXXXX BROJ XXXXX ISPRAVE/ (XX) XXXXXX DI RIFERIMENTO XXX DOCUMENTO XXXXXXXX/ (XX) XXXXXXXĀ DOKUMENTA XXXXXXXX XXXXXX/ (LT) XXXXXXX DOKUMENTO XXXXXXX/ (XX) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXX XX' REFERENZA XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX XXXXXXXX/ (PL) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (PT) XXXXXX XX XXXXXÊXXXX DO XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX XX REFERINȚĂ XX XXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX ŠTEVILKA JAVNE XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (SV) XXX OFFICIELLA HANDLINGENS XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX SOBRE XX XXXXXXXXXX/ (XX) INFORMACE X DOTYČNÉ OSOBĚ/ (XX) XXXXXXXXXXX XX XXX XÅXÆXXXXXX PERSON/ (XX) XXXXXXX XXX XXXXXXXXXXXX PERSON/ (XX) XXXXXXXXX XXXXXX XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX PERSON XXXXXXXXX/ (XX) XXXXXXXXXXXX XXX XX PERSONNE XXXXXXXXX/ (GA) FAISNÉIS XXXXXX XXXX AN XXXXX LENA mBAINEANN/ (XX) XXXXXXXXXXX X XXXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (LV) XXXXXXĀXXXX XXX ATTIECĪGO XXXXXXX/ (XX) XXXXXXXXXXX XXXX XXXXXXXXXĄ XXXXXĮ/ (XX) XX XXXXXXXX SZEMÉLYRE XXXXXXXXX ADATOK/ (XX) XXXXXXXXXXXXX DWAR IL-PERSUNA XXXXĊXXXXXX/ (XX) XXXXXXXXXX XXXX DE BETROKKENE/ (XX) XXXX XXXXX, XXXXXX XXXXXXX DOKUMENT/ (XX) XXXXXXXÇÕXX SOBRE X PESSOA XX XXXXX/ (RO) XXXXXXXȚXX XXXXXXX PERSOANA XXXXXĂ/ (XX) XXXXXXXXXX O XXXXXXXXX XXXXX/ (XX) XXXXXXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXX/ (SV) XXXXXXXXX XX XXX XXXÖXXX XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (ES) APELLIDO(S)/ (XX) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (XX) XXXXXXXXXXXX(X)/ (XX) XXXXXXXXXXXXX (-NIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (EN) XXXXXXX(X)/ (XX) XXX(X)/ (XX) SLOINNE (XXXXXXXX)/ (XX) XXXXXXX(XX)/ (IT) XXXXXXX(X)/ (LV) UZVĀRDS(-I)/ (XX) XXXXXXĖ (-ĖX)/ (XX) XXXXXXX NEVE(I)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (XX) XXXXXXXX(X)X(XX)/ (XX) NAZWISKO(-A)/ (XX) XXXXXXX(X)/ (RO) XXXX/ (XX) XXXXXXXXXX(-X)/ (XX) PRIIMEK/PRIIMKI/ (FI) XXXXXXXX (-XXXXX)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (CZ) XXXXX (JMÉNA)/ (XX) XXXXXXX(X)/ (DE) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (EN) XXXXXXXX(X)/ (FR) XXXXXX(X)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (XX) XĀXXX(-X)/ (XX) XXXXXX (-AI)/ (XX) XXXXXXX(X)/ (MT) XXXX(/XXXXXXXX)/ (NL) VOORNA(A)M(EN)/ (XX) XXXĘ (XXXXXX)/ (XX) XXXX(X) PRÓPRIO(S)/ (XX) XXXXXXX/ (XX) XXXX(-X)/ (XX) IME/IMENA/ (XX) XXXXXXX (-XXXXX)/ (XX) FÖRNAMN

4.3

(BG) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) NAROZENÍ/ (XX) FØDSELSDATO (XX/XX/ÅÅÅÅ)/ (XX) GEBURTSDATUM (TT/MM/JJJJ)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (EN) XXXX (XX/XX/XXXX) OF XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) BREITHE/ (XX) DATUM (DD/MM/GGGG) XXĐXXXX/ (XX) XXXX XX NASCITA (XX/XX/XXXX)/ (XX) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (XX) XXXXXX XXXX (DD/MM/MMMM)/ (XX) XXÜXXXXXX XXXXX (ÉÉÉÉ/HH/NN)/ (XX) DATA (XX/XX/XXXX) XXX-XXXXXX/ (NL) XXXXXXXXXXXXX (XX/XX/XXXX)/ (PL) XXXX (XX/XX/XXXX) URODZENIA/ (XX) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) NAȘTERII/ (SK) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXXX/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (SV) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.4

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX Y XXXX XX XXXXXXXXXX/ (XX) XXXXX A XXXX NAROZENÍ/ (XX) XØXXXXXX XX -XXXX/ (XX) XXX UND XXXX DER XXXXXX/ (XX) XÜXXXXXXX JA -XXXX/ (EL) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX XXX XXXXXXX OF XXXXX/ (XX) LIEU ET XXXX XX NAISSANCE/ (XX) XXX AGUS XXX BHREITHE/ (XX) XXXXXX I XXXXXX XXĐXXXX/ (XX) XXXXX X PAESE DI XXXXXXX/ (XX) DZIMŠANAS XXXXX XX XXXXXX/ (XX) GIMIMO VIETA XX XXXXX/ (XX) XXÜXXXXXX HELYE ÉS XXXXXXX/ (XX) XXXX X PAJJIŻ TAT-TWELID/ (XX) XXXXXXXXXXXXXX XX -XXXX/ (PL) MIEJSCE X XXŃXXXX XXXXXXXXX/ (XX) XXXXX X XXXX XX XXXXXXXXXX/ (XX) LOCUL ȘX ȚXXX NAȘTERII/ (XX) XXXXXX X XXXX XXXXXXXXX/ (XX) XXXX XX DRŽAVA XXXXXXX/ (XX) XXXXXXÄXXXXXX JA -XXX/ (SV) FÖDELSEORT XXX -XXXX

4.5

(XX) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (DA) KØN/ (XX) XXXXXXXXXX/ (ET) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (FR) XXXX/ (XX) XXXXXX/ (XX) XXXX/ (XX) XXXXX/ (LV) XXXXXXX/ (XX) XXXXX/ (HU) XXXX/ (MT) XXXX/ (XX) XXXXXXXX/ (PL) XŁXĆ/ (XX) SEXO/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXX/ (XX) XXXXXXXXX/ (SV) XÖX

4.5.1

(XX) ЖЕНСКИ/ (ES) XXXXX/ (CZ) ŽENA/ (XX) XXXXXX/ (DE) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) BAINEANN/ (HR) XXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) NŐ/ (XX) XXXX/ (XX) XXXXX/ (PL) XXXXXXX/ (XX) FEMININO/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (FI) XXXXXX/ (SV) XXXXXX

4.5.2

(XX) МЪЖКИ/ (ES) XXXXX/ (XX) XXX/ (XX) XXXX/ (XX) XÄXXXXXX/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (XX) MASCULIN/ (XX) XXXXXXX/ (XX) MUŠKI/ (XX) MASCHILE/ (LV) XĪXXXXXX/ (LT) XXXXX/ (XX) XXXXX/ (XX) XXĠXX/ (NL) MAN/ (XX) MĘŻCZYZNA/ (XX) XXXXXXXXX/ (XX) BĂRBĂTESC/ (XX) MUŽSKÉ/ (XX) XXXXX/ (XX) XXXX/ (XX) XXX

4.5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) INDETERMINADO/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) INDÉTERMINÉ/ (XX) XXXXXXXXXXXXXXX/ (HR) NEODREĐEN/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (LT) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (PL) XŁXĆ XXXXXXXŚXXXX/ (XX) XÃX XXXXXXXX/ (RO) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (SL) XXXXXXXXX/ (FI) MÄÄRITTELEMÄTÖN/ (XX) XX FASTSTÄLLT

4.6

(BG) ГРАЖДАНСТВО/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX PŘÍSLUŠNOST/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX-XXXXXÖXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) ΙΘΑΓΕΝΕΙΑ/ (XX) XXXXXXXXXXX/ (FR) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) CITTADINANZA/ (XX) XXXXXXXXXXXXĪXX/ (XX) XXXXXXXXĖ/ (XX) ÁLLAMPOLGÁRSÁGA/ (XX) ĊITTADINANZA/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (RO) XXXĂȚXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (XX) DRŽAVLJANSTVO/ (XX) KANSALAISUUS/ (SV) XXXXXXXXXXXXX

5.

(XX) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) SEGÚN XX XXXXXXXXX PÚBLICO XX XXX XX XXXXXXX XXXX XXXXXXX,/ (XX) XX XXXXXXX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX,/ (DA) X HENHOLD XXX XXX OFFENTLIGE XXXXXXXX, XXX DENNE FORMULAR XX XXXXÆXXXX/ (DE) XXXÄXX XXX ÖFFENTLICHEN XXXXXXX, XXX XXXXXX XXXXXXXX BEIGEFÜGT XXX/ (XX) XXXXXXXXX AVALIKULE XXXXXXXXXXX, MILLELE XXX XXXX ON LISATUD/ (XX) ΣΥΜΦΩΝΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XX XXX PUBLIC XXXXXXXX TO XXXXX XXXX XXXX XX XXXXXXXX/ (XX) D'APRÈS XX XXXXXXXX PUBLIC XXXXXX LE PRÉSENT XXXXXXXXXX XXX XXXXX/ (XX) DE XXXX XX XXXXXXXXX XXXXXXX XXXX BHFUIL XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXX XXXXXX XXXXXXX XXXXX JE XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXXX PUBBLICO XXX XX PRESENTE XXXXXX È XXXXXXXX/ (XX) XXXXXŅĀ XX PUBLISKO XXXXXXXXX, XXXXX XĪ XXXXXXXX IR PIEVIENOTA/ (XX) XXXXX XXXXĄXĮ XXXXXXXXĄ, PRIE XXXXX XXXXXXXXX ŠI XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRAT SZERINT/ (XX) XXXXX ID-DOKUMENT XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX FORMULIER XX XXXXXXX/ (PL) X DOKUMENTU XXXĘXXXXXX, XX XXXXXXX ZAŁĄCZONY XXXX XXXXXXXXX XXXXXXXXX, XXXXXX, ŻX/ (PT) XXXXXXX X DOCUMENTO XXXXXXX X QUE X XXXXXXXX XXXXXXXXXX XXXX APENSO/ (RO) ÎX CONFORMITATE XX XXXXXXXXXX OFICIAL XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (SK) XXXĽX VEREJNEJ XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX PRIPOJENÝ/ (XX) X XXXXXX X JAVNO XXXXXXX, XX JI XX XXXXXXXX XX XXXXXXX/ (XX) XXX XXXXXXX XXXXXXXXXX XXXXXX, XXXXX XÄXÄ XXXXXX LIITETÄÄN/ (XX) XXXXXX DEN XXXXXXXXXX XXXXXXXX TILL XXXXXX DETTA FORMULÄR 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 ARREGLO XX XXXXXXX XXXXXXXX DEL XXXXXX XXXXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (CZ) XX XXXXXXX XXXXX XXXXXXXXX XXXXXXX XXXXXXXXXX XXXXX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, V XXXX XX XXXXXXX XXXXXXX XXXXXX/ (DA) XXX XÅXÆXXXXXX XXXXXX HAR XXXXXX TIL XX XXXXX XXXXÅ ÆGTESKAB X XXXXXXX TIL XXXXXXXX XXX X XXX XXXXXXXXXXX, XXXX XXX XXXXXXXXXX XXXXXXXX XX UDSTEDT/ (XX) XXX DIE BETREFFENDE XXXXXX NACH DEM XXXXXXXXXX XXXXX XXX XXXXXXXXXXXXXX, XX DEM XXX ÖFFENTLICHE URKUNDE XXXXXXXXXXX XXXXX, XXXXÄXXX/ (XX) XX XXXXXXXXX XXXX XXXXXXX DOKUMENDI 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 XXXXXXXX TO XXXXX XXXXX XXX XXXXXXXX XXX OF XXX XXXXXX XXXXX XXXXX THE XXXXXX XXXXXXXX XX XXXXXX/ (XX) XX PERSONNE XXXXXXXXX PEUT XX XXXXXX XX XXXXX XX XXXXX NATIONAL XX X'XXXX XXXXXX XÙ XX XXXXXXXX XXXXXX XXX XXXXXXX/ (XX) TÁ XX XXXXX LENA xXXXXXXXX XXX CHUMAS XXXX XXXXXX XXXX DHLÍ XXXXXXXXX XX BHALLSTÁIT XXX nDÉANTAR XX XXXXXXXXX POIBLÍ X XXXXXXXX/ (XX) XXXXXXX XXXXX XXX XXXXXXXXXX XX SKLAPANJE XXXXX XXXXX XXXXXXXXXXX XXXXX XXXXXX XXXXXXX X XXXXX XX XXXXX XXXXXXX IZDANA/ (XX) XX XXXXXXX XXXXXXXXXXX XXXXXXXX XX CAPACITÀ XX CONTRARRE XXXXXXXXXX X NORMA DEL XXXXXXX XXXXXXXXX XXXXX XXXXX MEMBRO XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX/ (XX) ATTIECĪGĀ XXXXXXX XXĒX XXXXXX XXXXĪXĀ XXXXXŅĀ AR XĀX DALĪBVALSTS XXXXĪXX XXXXXX, XXXĀ PUBLISKAIS XXXXXXXXX IR XXXXXX/ (XX) ATITINKAMAS XXXXX XXX XXXXXXXX SUDARYTI XXXXXXXĄ XXXXX XXXXXXXĖX XXXĖX, XXXXXXX VIEŠASIS XXXXXXXXXX XXXXXXXXXX, NACIONALINĘ XXXXĘ/ (XX) XX XXXXXXXX SZEMÉLY X XÖXXXXXXX

XXXXXXXXXXXXX HELYE XXXXXXXX XXXXXXXX XXXXXXX XXXX XXXXXXX HÁZASSÁGOT XÖXXXX/ (XX) XX-XXXXXXX XXXXĊXXXXXX XĦXXXXX X-XXXXĊXXÀ XX XXŻŻXXXXĠ XXĦX XX-XXĠX XXXXXXXXXX XXX-XXXXX MEMBRU XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (NL) XXXXX XX XXXXXXXXXX XX XXXXXXXXXXX XX XX XXXXX XX XXXXX XXX HET XXXXXXXXX XXXXX XXX DE XXXXXXXX WAAR HET XXXXXXXX XXXXXXXX XXXXX XXXXXXXXX/ (XX) OSOBA, XXXXXX XXXXXXX XXXXXXXX, XXXXXXX XXXXXXŚĆ XX XXXXXXXX XXŁŻXŃXXXX XX XXXX PRAWA KRAJOWEGO XXŃXXXX XXŁXXXXXXXXXXX, W XXXXXX XXX DOKUMENT XXXĘXXXX XXXXXŁ WYDANY/ (XX) A PESSOA XX XXXXX XXXXXX XXXXXXXXXX MATRIMONIAL NOS XXXXXX DO XXXXXXX XXXXXXXX XX ESTADO-MEMBRO XX XXX X XXXXXXXXX XXXXXXX XXX XXXXXXX/ (RO) PERSOANA XXXXXĂ XXX CAPACITATEA XX X XX XĂXĂXXXX ÎX XXXXXXXXXXXX XX XXXXXXX INTERN XX XXXXXXXX XXXXXX ÎX XXXX XXXX XXXX DOCUMENTUL XXXXXXX/ (XX) XXXXXXXX XXXXX XX SPÔSOBILÁ UZAVRIEŤ XXXXXXXXXX XXXĽX VNÚTROŠTÁTNEHO XXXXX XXXXXXXXX XXXXX, X XXXXXX XX XXXXXXX XXXXXXX XXXXXX/ (XX) XX XXXXXXX XXXXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXXXX X SKLADU Z XXXXXXXXXXX XXXXXX XXXXXX XXXXXXX, X KATERI XX XXXXXX XXXXX XXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXÖXXÄ XX KELPOISUUS XXXXXX XXXXXXXXXX XXX XÄXXXXXXXXXX XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, XXXXX YLEINEN XXXXXXXXX ON XXXXXXX/ (XX) XXX XXX XXXÖXXX XXXXXXXX XXXÖXXXXXX XXX XXXÅ ÄKTENSKAP XXXXXX DEN XXXXXXXXXX XXXXXXXXXXXXXX X XXX XXXXXXXXXXX XÄX XXX XXXXXXXXXX XXXXXXXXXX UTFÄRDADES

5.2

(BG) НЯМА ДАННИ СЪОТВЕТНОТО ЛИЦЕ ДА Е ВСТЪПИЛО В БРАК СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) XX XXXXXX XXXXXX XXXXXXXXXX A XXXXXX XXX XXXXXXXXXX XXX ARREGLO XX XXXXXXX XXXXXXXX DEL XXXXXX XXXXXXX XX XXXXXXXXXX XXX DOCUMENTO XXXXXXX/ (CZ) XXXXXXX XXXXX PATRNĚ XXXXXXXXXX XXXXXXXXXX XXX XXXX XXXXXX XXXXX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXX XX XXXXXXX XXXXXXX XXXXXX/ (XX) XXX XÅXÆXXXXXX XXXXXX XXX XXXX XX XXXX XXXXX ÆXXXXXXX XXXØXX XXXXX XXX XXXX I XXXXXXX TIL XXXXXXXX XXX X XXX XXXXXXXXXXX, HVOR XXX XXXXXXXXXX DOKUMENT ER XXXXXXX/ (DE) XXX XXX BETREFFENDE XXXXXX XXXXX XXXXX XXXXX XXXXXXXX KEINE EHE XXXX XXX XXXXXXXXXX XXXXX DES MITGLIEDSTAATS, XX XXX DIE ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, GESCHLOSSEN/ (ET) XX XXX XXXXXXXXX XXXXX NIMEL ÜXXXXX XXXXXXX XXXXXXXXX XÄXXX XXXXXX LIIKMESRIIGI 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 XXXX XX MARRIAGE IN XXX OR HER XXXX UNDER XXX XXXXXXXX LAW OF XXX XXXXXX STATE XXXXX XXX PUBLIC XXXXXXXX IS XXXXXX/ (XX) LA PERSONNE XXXXXXXXX NE XXXXXX XXX XXXXX CONTRACTÉ XX MARIAGE XX XXX XXX XX XXXXX XX XXXXX XXXXXXXX DE L'ÉTAT XXXXXX OÙ XX XXXXXXXX PUBLIC XXX XXXXXXX/ (GA) XXX XXX XXXXXXXXX ANN XX BHFUIL AN XXXXX XXXX xXXXXXXXX XXXXX XXXXXX AINM XX XXXXXX xXXXX XXXXX XXX XXXXXXXXX XX XXXXXXXXX XXX xXXXXXXX AN XXXXXXXXX XXXXXX X XXXXXXXX/ (XX) XXXX POZNATO XX JE XXXXXXX XXXXX XXX XXXXXX XXXXXX SKLOPILA XXXX XXXXX XXXXXXXXXXX PRAVU XXXXXX ČLANICE U XXXXX XX XXXXX XXXXXXX XXXXXX/ (IT) X XXXX XXXXX XXXXXXX INTERESSATA XXX XXXXXXX XXXXXXXXXX ALCUN XXXX DI MATRIMONIO X XXXXX XXX XXXXXXX XXXXXXXXX DELLO XXXXX XXXXXX CHE XXXXXXXX IL DOCUMENTO XXXXXXXX/ (XX) UZ XXXXXXĪXĀX PERSONAS XĀXXX XXX NOSLĒGTA XXXXXXX XXXXĪXX SASKAŅĀ XX XĀX DALĪBVALSTS TIESĪBU XXXXXX, KURĀ PUBLISKAIS XXXXXXXXX XX IZDOTS/ (XX) ATITINKAMAS ASMUO XXXX XXXXX NĖRA XXXXXĘX XXXXXXXXX XXXXX XXXXXXXĖX NARĖS, XXXXXXX XXXXXXXX DOKUMENTAS XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (HU) XX ÉRINTETT XXXXXXXXXX X XÖXXXXXXX XXXXXXXXXXXXX XXXXX XXXXXXXX XXXXXXXX XXXXXXX JOGA XXXXXXX XXXXXXXXX XXXXXXXXXXXXXXXX XXXXX/ (XX) XX-XXXXXXX KKONĊERNATA XXXXXX LI MA XĦXXXXX L-EBDA ŻXXXĠ XXXXĠXXXXXX X'XXXXXX XXĦX XX-XXĠX XXXXXXXXXX TAL-ISTAT XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (XX) XXXXX DE XXXXXXXXXX XXXX XXXXXXXX XX XXXX OF XXXX XXXX OP GROND XXX HET NATIONALE XXXXX XXX DE XXXXXXXX WAAR HET XXXXXXXX XXXXXXXX XXXXX XXXXXXXXX/ (PL) XXXXX, XXXXXX DOTYCZY XXXXXXXX, XXX XXXXXXXXX X XXXĄXXX MAŁŻEŃSKIM XX XXXX PRAWA XXXXXXXXX XXŃXXXX, W XXXXXX XXX XXXXXXXX URZĘDOWY XXXXXŁ XXXXXX/ (PT) XÃX XX XXXXXXX XXXXXXX CASAMENTO XX XXXX XX PESSOA XX XXXXX NOS XXXXXX XX DIREITO XXXXXXXX XX ESTADO-MEMBRO XX XXX X XXXXXXXXX PÚBLICO XXX XXXXXXX/ (XX) NU XX XXXXXȘXX XXXXX XĂXĂXXXXX ÎXXXXXXXĂ XX XXXXXX XXXXXXXXX XXXXXX ÎX XXXXXXXXXXXX CU XXXXXXX INTERN XX XXXXXXXX XXXXXX ÎX XXXX XXXX EMIS XXXXXXXXXX OFICIAL/ (XX) XXXXXXXX OSOBA XXXXXX XXXXXXXXXX MANŽELSTVO XX XXXXXX XXXX PODĽA XXXXXXXXXXXXXX XXXXX ČLENSKÉHO XXXXX, X XXXXXX XX XXXXXXX XXXXXXX XXXXXX/ (XX) XX XXXXXXXXXXXXXX XXXXXXXX XXXXXXX XXXXX XX X XXXXXXXX XXXXX, XX XX JO XXXXXXXX X XXXXXX XXXXX XX X XXXXXX X XXXXXXXXXXX XXXXXX XXXXXX XXXXXXX, V XXXXXX JE XXXXXX XXXXX XXXXXXX/ (XX) XXXXXXXXXXXX HENKILÖN NIMELLE XX XXX MERKITTY XXXXXXXXXXX SEN XÄXXXXXXXXXX XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX XXXXXXXXX XX ANNETTU/ (XX) XÖXXXXXXXX XXX XXXÖXXX XXXXXXXX XXXX XX XXXÅXX ÄXXXXXXXX XXXXXX 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 DE XXXXXX XXXXXXXXXXX PARA QUE XX XXXXXXXXXX CONTRAIGA XXXXXXXXXX XXX ARREGLO XX XXXXXXX XXXXXXXX XXX ESTADO XXXXXXX XX EXPEDICIÓN XXX XXXXXXXXX XXXXXXX/ (CZ) XXXXXXXXXX XXXXX XXXXX XXXXXXXX, XXX DOTYČNÁ XXXXX XXXXXXXX MANŽELSTVÍ XXXXX XXXXXXXXXXXXXX PRÁVA XXXXXXXXX XXXXX, X XXXX XX VEŘEJNÁ XXXXXXX XXXXXX/ (DA) XXX FORELIGGER INGEN XXXXXX XXXXXXXXXX FOR XXX PÅGÆLDENDE XXXXXXX XXXXÅXXXX AF ÆXXXXXXX X XXXXXXX XXX XXXXXXXX RET I XXX XXXXXXXXXXX, XXXX XXX XXXXXXXXXX XXXXXXXX XX XXXXXXX/ (XX) XXX XXXX XXXXXXXXX XXXXXXX, DAS DER XXXXXXXXXXXXXX XXX XXXXXXXXXXXX XXXXXX NACH XXX XXXXXXXXXX XXXXX DES XXXXXXXXXXXXXX, XX XXX XXX ÖXXXXXXXXXX

XXXXXXX XXXXXXXXXXX XXXXX, XXXXXXXXXXXXX/ (XX) XX XXX XXXXX XXXXXXXXX XÄXXX XXXXXX XXXXXXXXXXXX ÕIGUSE KOHASEID XXXXXXXXXX, XXX TAKISTAKSID XXXXXXXXXX XXXXXX XXXXXX XÕXXXXX/ (XX) ΔΕΝ ΕΙΝΑΙ ΓΝΩΣΤΟ ΚΑΝΕΝΑ ΚΩΛΥΜΑ ΓΙΑ ΤΗ ΣΥΝΑΨΗ ΓΑΜΟΥ ΑΠΟ ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ/ (XX) THERE XX XX KNOWN XXXXXXXXXX XXX THE XXXXXX XXXXXXXXX TO XXXXX XXXXX XXX XXXXXXXX XXX XX XXX XXXXXX STATE XXXXX XXX PUBLIC XXXXXXXX IS XXXXXX/ (XX) IL N'EXISTE XXX D'EMPÊCHEMENT XXXXX XX MARIAGE XX XX PERSONNE CONCERNÉE XX VERTU XX XXXXX XXXXXXXX XX X'XXXX MEMBRE XÙ XX DOCUMENT XXXXXX XXX XXXXXXX/ (GA) XXX XXX XXXX XXXXXXXXX XXX XX XX XXXXX XXXX xXXXXXXXX CHUN XXXXXX XXXXX XXX NÁISIÚNTA XX XXXXXXXXX XXX xXXXXXXX AN DOICIMÉAD XXXXXX X XXXXXXXX/ (XX) XXXX XXXXXXX XXXXXXX XXXX XXXX XXXXXXX XXXXX NE XX XXXXX SKLOPITI XXXX XXXXX NACIONALNOM XXXXX XXXXXX ČLANICE X XXXXX XX XXXXX ISPRAVA XXXXXX/ (XX) NON XXXX XXXX XXXXXXXXXXX AL XXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX X NORMA XXX XXXXXXX NAZIONALE XXXXX XXXXX MEMBRO XXX RILASCIA IL XXXXXXXXX XXXXXXXX/ (XX) XXX XXXĀXX XXXĀXX XĶĒXXĻX XXXXXXĪXXXXX XXXXXXXX XXĀXXXX XXXXĪXĀ SASKAŅĀ XX XĀX XXXĪXXXXXXX XXXXĪXX XXXXXX, XXXĀ XXXXXXXXXX XXXXXXXXX IR XXXXXX/ (XX) XĖXX XXXXXŲ XXXŪXXŲ ATITINKAMAM XXXXXXXX SUDARYTI SANTUOKĄ XXXXX XXXXXXXĖX XXXĖX, XXXXXXX VIEŠASIS XXXXXXXXXX XXXXXXXXXX, NACIONALINĘ XXXXĘ/ (XX) XXXXX X XÖXXXXXXX XXXXXXXXXXXXX HELYE XXXXXXXX XXXXXXXX XXXXXXX XXXX XXXXXXXX XXXXXX XXXXXXXX ANNAK, XXXX XX XXXXXXXX XXXXXXX XXXXXXXXXX KÖSSÖN/ (XX) XX XXXX X-XXXX XXXXXXXXXX MAGĦRUF XĦXXX-XXXXXXX XXXXĊXXXXXX XXXX XXŻŻXXXXĠ XXĦX IL-LIĠI NAZZJONALI XXX-XXXXX XXXXXX XXXX XXĦXXXĠ ID-DOKUMENT XXXXXXXX/ (XX) IS XX XXXX BELEMMERING XXXX XX BETROKKENE OM XX HUWEN XX XXXXX XXX HET XXXXXXXXX RECHT XXX XX XXXXXXXX WAAR XXX XXXXXXXX XXXXXXXX XXXXX XXXXXXXXX/ (PL) XXX XXXXXXXĄ ZNANE XXXXXXXXXX XXX ZAWARCIA XXXXX OSOBĘ, XXXXXX XXXXXXX DOKUMENT, XXŁŻXŃXXXX XX XXXX XXXXX XXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX, X KTÓRYM XXX XXXXXXXX URZĘDOWY XXXXXŁ XXXXXX/ (XX) NÃO XXXXXX XXXXXXXXXXX XXXXXXXXX X XXX A XXXXXX XX XXXXX XXXXXXXX XXXXXXXXXX XXX XXXXXX XX DIREITO XXXXXXXX XX XXXXXX-XXXXXX XX-XXX X DOCUMENTO XXXXXXX XXX EMITIDO/ (XX) XX SE XXXXXX XXXXXXXXXXX LA XĂXĂXXXXX XXXXXXXXX XXXXXX ÎX CONFORMITATE CU XXXXXXX XXXXXX AL XXXXXXXX XXXXXX ÎX XXXX XXXX XXXX XXXXXXXXXX OFICIAL/ (XX) XXX XX XXXXX XXXXXXXX PRE DOTKNUTÚ XXXXX UZAVRIEŤ XXXXXXXXXX XXXĽX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXXXX XX XXXXXXX XXXXXXX XXXXXX/ (XX) XX UGOTOVLJENIH ZADRŽKOV, XX XXXXXXX XXXXX XX BI MOGLA XXXXXXXX ZAKONSKE XXXXX X SKLADU X XXXXXXXXXXX PRAVOM XXXXXX XXXXXXX, X KATERI XX XXXXXX XXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXXXXXXXX EI XXXXXXÄ OLEVAN ESTEITÄ XXX XÄXXXXXXXXXX XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX XXXXXXXXX XX XXXXXXX/ (SV) FINNS XXX INGA XÄXXX XXXXXX XÖX DEN XXXÖXXX XXXXXXXX XXX XXXÅ ÄXXXXXXXX XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX X XXX XXXXXXXXXXX XÄX XXX XXXXXXXXXX XXXXXXXXXX UTFÄRDADES

5.4

(BG) НЕ СА ИЗВЕСТНИ ПРЕЧКИ ЗА СКЛЮЧВАНЕТО НА БРАК МЕЖДУ СЪОТВЕТНОТО ЛИЦЕ И НЕЙНИЯ(НЕГОВАТА) БЪДЕЩ(А) СЪПРУГ(А) СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) XX XXX XXXXXXXXXX XX XXXXXX IMPEDIMENTO XXXX XXX XX XXXXXXXXXX XXXXXXXXX MATRIMONIO XXX XX XXXXXX XXXXXXX XXX ARREGLO XX XXXXXXX XXXXXXXX XXX XXXXXX MIEMBRO XX XXXXXXXXXX DEL XXXXXXXXX XXXXXXX/ (CZ) XXXXXXXXXX XXXXX XXXXX XXXXXXXX XXXXXXXXXX MEZI XXXXXXXX XXXXXX A XXXXX XXXXXXXXXX / XXXX SNOUBENKOU XXXXX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X NĚMŽ XX XXXXXXX LISTINA XXXXXX/ (XX) DER XXXXXXXXXX XXXXX XXXXXX XXXXXXXXXX XXX INDGÅELSE XX ÆXXXXXXX MELLEM XXX XÅXÆXXXXXX XXXXXX XX XXXXXX XXXXXXXX ÆXXXXÆXXX X HENHOLD XXX XXXXXXXX XXX X DEN XXXXXXXXXXX, XXXX XXX XXXXXXXXXX XXXXXXXX XX XXXXXXX/ (XX) XXX XXXX XXXXXXXXX XXXXXXX, XXX XXXXX XXXXXXXXXXXXXX XXX XXXXXXXXXXXX PERSON XXX XXXXX XÜXXXXXXX XXXXXXXXX XXXX DEM XXXXXXXXXX XXXXX XXX XXXXXXXXXXXXXX, XX DEM XXX ÖXXXXXXXXXX URKUNDE XXXXXXXXXXX XXXXX, ENTGEGENSTEHT/ (XX) XX XXX XXXXX XXXXXXX DOKUMENDI XÄXXX XXXXXX XXXXXXXXXXXX ÕIGUSE XXXXXXXX ASJAOLUSID, MIS XXXXXXXXXXX XXXXXX XÕXXXXXXX XXXXXXXXX XXXXX JA XXXX XXXXXXXX XXXXXXXX XXXXX/ (EL) 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) THERE XX XX XXXXXXXXXX KNOWN XX X XXXXXXXX XXXXXXX XXX XXXXXX XXXXXXXXX XXX HIS XX XXX XXXXXXXX XXXXXX XXXXX XXX XXXXXXXX XXX XX XXX MEMBER XXXXX XXXXX THE PUBLIC XXXXXXXX XX XXXXXX/ (XX) IL X'XXXXXX XXX D'EMPÊCHEMENT CONNU XX MARIAGE XX XX XXXXXXXX CONCERNÉE XXXX XXX XXXXX XXXXXXXX XX XXXXX XX DROIT XXXXXXXX XX X'XXXX XXXXXX XÙ XX XXXXXXXX XXXXXX XXX XXXXXXX/ (XX) XXX XXX XXXX XXXXXXXXX ANN XX XXXXXXX XXXX XX XXXXX LENA xXXXXXXXX XXXX X X(X)XXXX XXXXXXXXXX XXXX XXXX XXXXXXXXX XX XXXXXXXXXX INA xXXXXXXX XX XXXXXXXXX XXXXXX X EISIÚINT/ (XX) XXXX POZNATE ZAPREKE XXXX XXXX XXXXXXX XXXXX I XXXXXX XXXXĆX XXXXXX DRUG XX XX XXXXX XXXXXXXX BRAK PREMA XXXXXXXXXXX PRAVU XXXXXX XXXXXXX X XXXXX XX JAVNA ISPRAVA XXXXXX/ (IT) XXX XXXX XXXX XXXXXXXXXXX XX MATRIMONIO XXX XX PERSONA XXXXXXXXXXX X IL FUTURO XXXXXXX X XXXXX XXX XXXXXXX NAZIONALE XXXXX XXXXX XXXXXX XXX RILASCIA IL XXXXXXXXX XXXXXXXX/ (LV) XXX ZINĀMI XXXĀXX XĶĒXXĻX LAULĪBAS NOSLĒGŠANAI XXXXX XXXXXXĪXX XXXXXXX XX XĀX XXXXXX XXXXĀXX XXXXXŅĀ XX XĀX XXXĪXXXXXXX XXXXĪXX XXXXXX, KURĀ PUBLISKAIS XXXXXXXXX XX IZDOTS/ (XX) XĖXX ŽINOMŲ XXXŪXXŲ ATITINKAMO ASMENS XX XX BŪSIMO (-XX) XXXXXXXXXXX (-ĖS) XXXXXXXXX XXXXX XXXXXXXĖX XXXĖX, XXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (XX) XXXXX X KÖZOKIRAT XXXXXXXXXXXXX XXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXX SZERINTI, XXXXXX AKADÁLYA ANNAK, XXXX XX XXXXXXXX XXXXXXX XX LEENDŐ XXXXXXXXXX XXXXXXXXX

XXXXXXXXXX XÖXXÖX/ (XX) MA XXXX X-XXXX IMPEDIMENT MAGĦRUF XĦXŻ-ŻXXXĠ XXXX XX-XXXXXXX XXXXĊXXXXXX X L-KONJUĠI XXXXX XXXĦXX XXĦX XX-XXĠX NAZZJONALI XXX-XXXXX XXXXXX XXXX INĦAREĠ XX-XXXXXXXX XXXXXXXX/ (NL) XX XX XXXX XXXXXXXXXXX XXXX XXX XXXXXXXX XXXXXX XX XXXXXXXXXX XX XXXX XX HAAR XXXXXXX XXXXXXXX(X)X(X) XX GROND XXX HET XXXXXXXXX XXXXX XXX XX XXXXXXXX XXXX XXX XXXXXXXX DOCUMENT WORDT XXXXXXXXX/ (XX) XXX XXXXXXXĄ XXXXX XXXXXXXXXX XXX XXXXXXXX XXŁŻXŃXXXX XXXXX OSOBĘ, XXXXXX XXXXXXX XXXXXXXX, Z XXXXĄ, X XXXXĄ XXXXXXXX XXX ZAWRZEĆ XXŁŻXŃXXXX, XX XXXX XXXXX KRAJOWEGO XXŃXXXX XXŁXXXXXXXXXXX, X KTÓRYM XXX XXXXXXXX XXXĘXXXX XXXXXŁ XXXXXX/ (XX) XÃX XXXXXX XXXXXXXXXXX XXXXXXXXX X XXX XX NUBENTES XXXXXXXXX XXXXXXXXXX NOS XXXXXX XX XXXXXXX XXXXXXXX XX ESTADO-MEMBRO XX XXX X XXXXXXXXX XXX EMITIDO/ (XX) XX SE XXXXXX XXXXXXXXXXX LA XĂXĂXXXXX XXXXXX XXXXXXXX XXXXXĂ ȘX XXXXXXXX XXȚ (XXXXXXXXX SOȚIE) ÎX XXXXXXXXXXXX CU DREPTUL XXXXXX AL XXXXXXXX XXXXXX ÎN XXXX XXXX EMIS DOCUMENTUL XXXXXXX/ (SK) XXX XX XXXXX XXXXXXXX XXXXXXXX MANŽELSTVO XXXXX XXXXXXXXX XXXXXX A XXX NASTÁVAJÚCOU XXXXXXXXX XXXXX XXXXXXXXXXXX XXXXXXXX XXXĽX XXXXXXXXXXXXXX PRÁVA XXXXXXXXX XXXXX, V XXXXXX XX XXXXXXX XXXXXXX XXXXXX/ (XX) XX XXXXXXXXXXXX XXXXXXXX, XX ZADEVNA XXXXX XX XXXX PREDVIDENI XXXXXXX XX XX XXXXX XXXXXXXX XXXXXXXX XXXXX X SKLADU X XXXXXXXXXXX XXXXXX XXXXXX ČLANICE, X XXXXXX XX XXXXXX XXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX JA XÄXXX TULEVAN PUOLISONSA XÄXXXXXXX AVIOLIITOLLE XX XXXXXXÄ OLEVAN XXXXXXÄ XXX JÄSENVALTION XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX XXXXXXXXX XX XXXXXXX/ (XX) FINNS XXX XXXX XÄXXX XXXXXX FÖR INGÅENDE XX ÄXXXXXXXX XXXXXX XXX XXXÖXXX XXXXXXXX XXX XXXX XXXXX XXXXXX XXXXXXXX XXXX XXXXX XXXX ENLIGT XXX XXXXXXXXXX XXXXXXXXXXXXXX X XXX XXXXXXXXXXX XÄX XXX XXXXXXXXXX XXXXXXXXXX XXXÄXXXXXX

5.5

(XX) НЕ СА ИЗВЕСТНИ ВЪЗРАЖЕНИЯ СРЕЩУ СКЛЮЧВАНЕТО НА БРАК МЕЖДУ СЪОТВЕТНОТО ЛИЦЕ И НЕЙНИЯ(НЕГОВАТА) БЪДЕЩ(А) СЪПРУГ(А) СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (ES) XX XXX OPOSICIÓN XXXXXXXX AL XXXXXXXXXX XXXXX XX XXXXXXXXXX X SU XXXXXX XXXXXXX CON ARREGLO XX DERECHO NACIONAL XXX XXXXXX XXXXXXX XX XXXXXXXXXX DEL XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXX XXXXXXX XXXXX XXXXXXXX XXXXXXXXXX XXXX DOTYČNOU XXXXXX X JEJÍM XXXXXXXXXX / XXXX XXXXXXXXXX XXXXX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X NĚMŽ XX XXXXXXX LISTINA VYDÁNA/ (XX) XXX XXXXXXXXXX XXXXX XXXXXX XXXXXXXXXXX XXX XXXXÅXXXX XX XX ÆXXXXXXX XXXXXX XXX XÅXÆXXXXXX XXXXXX XX DENNES XXXXXXXX ÆXXXXÆXXX X HENHOLD XXX XXXXXXXX XXX X XXX XXXXXXXXXXX, XXXX DET XXXXXXXXXX XXXXXXXX ER XXXXXXX/ (XX) XXX XXXX XXXXXXX XXXXXXX, DER XXXXX EHESCHLIESSUNG XXX XXXXXXXXXXXX XXXXXX XXX XXX XÜXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX XXXXX XXX XXXXXXXXXXXXXX, XX DEM XXX ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, XXXXXXXXXXXXX/ (XX) XX OLE XXXXX XXXXXXX XXXXXXXXX XÄXXX XXXXXX XXXXXXXXXXXX ÕXXXXX XXXXXX XXXXXXXXXX, XXX XXXXXXXXX XXXXXX XÕXXXXXXX XXXXXXXXX XXXXX XX XXXX XXXXXXXX XXXXXXXX XXXXX/ (XX) ΔΕΝ ΕΙΝΑΙ ΓΝΩΣΤΗ ΚΑΜΙΑ ΑΝΤΙΡΡΗΣΗ ΓΙΑ ΤΗ ΣΥΝΑΨΗ ΓΑΜΟΥ ΜΕΤΑΞΥ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΚΑΙ ΤΟΥ ΜΕΛΛΟΝΤΟΣ Ή ΤΗΣ ΜΕΛΛΟΥΣΑΣ ΣΥΖΥΓΟΥ ΤΟΥ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΌΣΙΟ ΕΓΓΡΑΦΟ/ (XX) THERE XX XX OPPOSITION XXXXX XX X XXXXXXXX XXXXXXX XXX XXXXXX XXXXXXXXX XXX HIS XX XXX XXXXXXXX XXXXXX XXXXX XXX XXXXXXXX LAW XX XXX XXXXXX XXXXX XXXXX XXX XXXXXX XXXXXXXX IS XXXXXX/ (XX) XX X'XXXXXX XXX X'XXXXXXXXXX CONNUE XX MARIAGE XX XX XXXXXXXX XXXXXXXXX XXXX XXX XXXXX XXXXXXXX XX VERTU XX DROIT XXXXXXXX XX L'ÉTAT MEMBRE XÙ LE XXXXXXXX XXXXXX EST DÉLIVRÉ/ (XX) NÍL XXX XXXX XX XXXXXXX XXXXXXXXX XXX XX XXXXXXX XXXX XX XXXXX XXXX xXXXXXXXX XXXX A X(X)XXXX XXXXXXXXXX XXXX XXXX XXXXXXXXX AN XXXXXXXXXX XXX nDÉANTAR AN XXXXXXXXX XXXXXX A XXXXXXXX/ (HR) XXXX XXXXXXXX XXXXXXXXX XXXX XXXXX XXXXXXX OSOBA X NJEZIN XXXXĆX XXXXXX XXXX NE XX XXXXX XXXXXXXX XXXX XXXXX NACIONALNOM XXXXX DRŽAVE XXXXXXX X XXXXX XX XXXXX XXXXXXX XXXXXX/ (XX) XXX XXXX XXXX XXXXXXXXXXX AL XXXXXXXXXX XXX XX XXXXXXX INTERESSATA E XX XXXXXX XXXXXXX X XXXXX XXX XXXXXXX XXXXXXXXX DELLO XXXXX MEMBRO CHE XXXXXXXX XX XXXXXXXXX XXXXXXXX/ (XX) XXX XXXĀXX XXXĀXX IEBILDUMI XXXXĪXXX XXXXĒXXXXXX STARP XXXXXXĪXX XXXXXXX XX XĀX XXXXXX XXXXĀXX XXXXXŅĀ XX TĀS XXXĪXXXXXXX XXXXĪXX AKTIEM, XXXĀ PUBLISKAIS XXXXXXXXX XX XXXXXX/ (XX) XĖXX XXXXXŲ PRIEŠTARAVIMŲ XXXXXXXXXX XXXXXX XX XX XŪXXXX (-XX) XXXXXXXXXXX (-ĖS) SANTUOKAI XXXXX VALSTYBĖS XXXĖX, XXXXXXX XXXXXXXX DOKUMENTAS XXXXXXXXXX, XXXXXXXXXXĘ TEISĘ/ (XX) NEM XXXXXX XXXXX, X XÖXXXXXXX XXXXXXXXXXXXX XXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXX XXXXXXXX XXXXXXXXXX, XXXXXXX XX XXXXXXXX XXXXXXX XX XXXXXŐ XXXXXXXXXX XXXXX XÖXXXXŐ HÁZASSÁGGAL XXXXXXX XXXXXXXXXX XX/ (XX) MA XXXX X-XXXX OPPOŻIZZJONI XXXĦXXXX XĦXŻ-ŻXXXĠ BEJN XX-XXXXXXX XXXXĊXXXXXX X X-XXXXXĠX XXXXX XXXĦXX XXĦX XX-XXĠX NAZZJONALI XXX-XXXXX XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (NL) XX XX GEEN XXXXXX XXXXX XXX XXXXXXXX TUSSEN XX XXXXXXXXXX EN XXXX XX XXXX XXXXXXX XXXXXXXX(X)X(X) OP XXXXX XXX XXX NATIONALE XXXXX VAN DE XXXXXXXX XXXX XXX XXXXXXXX DOCUMENT XXXXX XXXXXXXXX/ (PL) NIE XXŁXXXXXX XXXXXXXXX XXXXX XXXXXXXX XXŁŻXŃXXXX XXXXX XXXXĘ, XXXXXX XXXXXXX XXXXXXXX, X XXXXĄ, X KTÓRĄ XXXXXXXX XXX XXXXXXĆ XXŁŻXŃXXXX, XX XXXX XXXXX XXXXXXXXX XXŃXXXX CZŁONKOWSKIEGO, X XXXXXX TEN XXXXXXXX XXXĘXXXX XXXXXŁ XXXXXX/ (XX) NÃO XXXXXX OPOSIÇÃO XXXXXXXXX X XXX XX XXXXXXXX XXXXXXXXX XXXXXXXXXX XXX XXXXXX XX XXXXXXX XXXXXXXX XX XXXXXX-XXXXXX XX XXX X XXXXXXXXX FOI XXXXXXX/ (RO) XX XX XXXXXȘXX NICIO XXXXXȚXX XX XĂXĂXXXXX XXXXXX XXXXXXXX VIZATĂ ȘX XXXXXXXX XXȚ (XXXXXXXXX SOȚIE) ÎN XXXXXXXXXXXX XX XXXXXXX XXXXXX XX XXXXXXXX XXXXXX ÎX CARE XXXX XXXX XXXXXXXXXX XXXXXXX/ (XX) NIE XX XXXXX XXXXXXXX XXXX UZAVRETIU XXXXXXXXXX XXXXX XXXXXXXXX OSOBOU X JEJ NASTÁVAJÚCOU XXXXXXXXX XXXXX NASTÁVAJÚCIM XXXXXXXX PODĽA XXXXXXXXXXXXXX XXXXX ČLENSKÉHO XXXXX, X XXXXXX XX XXXXXXX LISTINA XXXXXX/ (XX) XX UGOTOVLJENEGA XXXXXXXXXXXXX SKLENITVI XXXXXXXX XXXXX XXX ZADEVNO XXXXX XX NJENIM XXXXXXXXXXX XXXXXXXX X XXXXXX X XXXXXXXXXXX XXXXXX DRŽAVE XXXXXXX, X KATERI XX XXXXXX JAVNA XXXXXXX/ (XX) ASIANOMAISEN XXXXXXÖX XX HÄNEN XXXXXXX XXXXXXXXXX XÄXXXXÄ XXXXXXXXXXX XX XXX XXXXXXXXXXX XXX XÄXXXXXXXXXX XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX ASIAKIRJA XX XXXXXXX/ (XX) XXXXX XXX XXXX KÄNDA XXXÄXXXXXXXX XXX INGÅENDE XX ÄXXXXXXXX XXXXXX XXX BERÖRDA XXXXXXXX XXX XXXX XXXXX XXXXXX XXXXXXXX XXXX XXXXX XXXX XXXXXX XXX NATIONELLA XXXXXXXXXXXXXX X DEN XXXXXXXXXXX XÄX DEN XXXXXXXXXX XXXXXXXXXX XXXÄXXXXXX

6.

(XX) ИНФОРМАЦИЯ ЗА БЪДЕЩИЯ(АТА) СЪПРУГ(А) НА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX SOBRE XX XXXXXX XXXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXXX O SNOUBENCI / XXXXXXXXX DOTYČNÉ XXXXX/ (XX) XXXXXXXXXXX XX DEN XÅXÆXXXXXX XXXXXXX XXXXXXXX ÆGTEFÆLLE/ (XX) XXXXXXX XX XXX XÜXXXXXXX EHEGATTEN XXX XXXXXXXXXXXX XXXXXX/ (XX) XXXXX XXXXX XXXXX, XXXXXXX ASJAOMANE XXXX XXXXXX XXXXXX XÕXXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΜΕΛΛΟΝΤΟΣ Ή ΤΗΣ ΜΕΛΛΟΥΣΑΣ ΣΥΖΥΓΟΥ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX INTENDED XXXXXX XX THE XXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXX XXX XX XXXXX CONJOINT XX XX PERSONNE XXXXXXXXX/ (XX) XXXXXXXX XXXXXX XX XXXXX BEARTAITHE XX XXXXX XXXX xXXXXXXXX/ (HR) XXXXXXXXXXX X BUDUĆEM XXXXXXX XXXXX DOTIČNE XXXXX/ (XX) INFORMAZIONI SUL XXXXXX XXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (LV) XXXXXXĀXXXX XXX ATTIECĪGĀS XXXXXXXX XXXXXX LAULĀTO/ (XX) XXXXXXXXXXX APIE XXXXXXXXXX XXXXXX XŪXXXĄ XXXXXXXXXĮ (-Ę)/ (XX) XX XXXXXXXX XXXXXXX XXXXXŐ XXXXXXXXXXXX VONATKOZÓ XXXXXX/ (MT) INFORMAZZJONI XXXX XX-XXXXXĠX XXXXX XXX-XXXXXXX KKONĊERNATA/ (XX) XXXXXXXXXX OVER XX XXXXXXX ECHTGENO(O)T(E) XXX XX XXXXXXXXXX/ (XX) XXXX XXXXX, X XXXXĄ XXXXX, KTÓREJ XXXXXXX DOKUMENT, XXXXXXXX XXXXXXĆ XXŁŻXŃXXXX/ (PT) XXXXXXXÇÕXX XXXXX X XXXXXX CÔNJUGE DA XXXXXX EM CAUSA/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXX XXȚ (XXXXXXXXX XXȚXX) XX (X) XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXX X XXXXXXXXXXXX XXXXXXXXX/ XXXXXXXXXXXX XXXXXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXXXXXX X PREDVIDENEM XXXXXXX ZADEVNE XXXXX/ (XX) XXXXXX XXXXXXXXXXXX XXXXXXÖX XXXXXXXXX PUOLISOSTA/ (XX) XXXXXXXXX OM XXX XXXÖXXX XXXXXXXXX XXXXXXXX MAKE ELLER XXXX

7.

(XX) ПОЛЕ ЗА ПОДПИС/ (ES) XXXXXXXX XXXX XX FIRMA/ (XX) POLE XXX XXXXXX/ (XX) UNDERSKRIFTSFELT/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (EL) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) CADRE XXXX XX SIGNATURE/ (XX) XXXXX DON XXXXX/ (XX) POLJE XX XXXXXX/ (IT) XXXXXXXX XXX LA XXXXX/ (XX) XXXXXXXX XXXXX/ (LT) XXXXXX XXXXXXXX/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (MT) XXXXX TAL-IFFIRMAR/ (XX) XXX VOOR DE XXXXXXXXXXXX/ (XX) XXXX XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À ASSINATURA/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (FI) XXXXXXXXXXXXXXXXXXÄ/ (XX) XXXX FÖR XXXXXXXXXXXXXX

7.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X XXXXXX(X) XXX XXXXXXXXXXX XXX XXXXXXX ESTE XXXXXXX/ (XX) XXXXXXXX X XXXXX (XXXXX) XXXXXXXX, KTERÝ XXXXX XXXXX XXXXXXXX/ (DA) XXXXXXXXX(X) OG FORNAVN(E) XÅ XXX EMBEDSMAND, XXX XXX XXXXXXX XXXXX FORMULAR/ (XX) XXXXXXXXXXXX(X) XXX XXXXXXX(X) XXX XXXXXXX, DER XXXXXX XXXXXXXX AUSGESTELLT XXX/ (ET) XÄXXXXXXX XXXXX XÄXXXXXXXXX AMETNIKU XXXXXXX (-XXXXX) JA XXXXXXXXXXXXX (-XXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) SURNAME(S) XXX FORENAME(S) XX XXX OFFICIAL XXX XXXXXX THIS XXXX/ (XX) XXX(X) XX XXXXXX(X) XX XXXXXXXXXXXXX XXX A XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX (SLOINNTE) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX OIFIGIGH X X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXX(XX) X XXX(XX) SLUŽBENIKA XXXX JE IZDAO XXXX OBRAZAC/ (XX) XXXXXXX/X E XXXX/X XXX XXXXXXXXXXX XXX XX RILASCIATO IL XXXXXXXX MODULO/ (XX) XXXXXXXXXXXX, XXXX IZDEVUSI XX VEIDLAPU, XXXĀXXX(-X) XX XĀXXX(-X)/ (XX) XXĄ FORMĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖS) XX XXXXXX (-XX)/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ CSALÁDI XXXX(X) ÉS XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦXXXĠ DIN XX-XXXXXXX/ (XX) XX(X)X(XX) XX XXXXXX(X)X(XX) XXX DE XXXXXXXXX DIE DIT XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) X XXXĘ (IMIONA) XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (PT) APELIDO(S) X NOME(S) XXXXXXX(X) XX XXXXXXXXXXX XXX XXXXXX O PRESENTE XXXXXXXXXX/ (RO) NUMELE ȘX XXXXXXXXX FUNCȚIONARULUI XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (SL) XXXXXXX/XXXXXXX XX XXX/XXXXX XXXXXXXX, KI XX XXXXX XX OBRAZEC/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX VIRKAMIEHEN XXXXXXXX (-XXXXX) XX XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX XXX XÖXXXXX PÅ XXX XXÄXXXXXXX XXX XXX UTFÄRDAT XXXXX XXXXXXÄX

7.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX DEL XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, KTERÝ VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXXX — XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX XXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX AMETIKOHT/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) POSITION XX XXX XXXXXXXX XXX XXXXXX THIS FORM/ (XX) XXXXX XX XXXXXXXXXXXXX QUI A XXXXXXX LE XXXXXXX XXXXXXXXXX/ (GA) XXXX XX XXXXXXXX X X’XXXXXX XX FHOIRM XXX/ (XX) FUNKCIJA XXXXXXXXXX XXXX JE XXXXX XXXX OBRAZAC/ (XX) POSIZIONE DEL XXXXXXXXXXX XXX XX XXXXXXXXXX IL PRESENTE XXXXXX/ (XX) AMATPERSONAS, XXXX XXXXXXXX XX XXXXXXXX, XXXXX/ (LT) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX XXX XX XXXXXXXXX DIE XXX FORMULIER XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (PT) XXXXX XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX FORMULÁRIO/ (XX) XXXXȚXX FUNCȚIONARULUI XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, KTORÝ VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, KI XX XXXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX ANTANEEN VIRKAMIEHEN XXXXX/ (XX) XXXXXXXXXX XÖX DEN XXÄXXXXXXX XXX HAR XXXÄXXXX XXXXX XXXXXXÄX

7.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX EXPEDICIÓN/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) UDSTEDELSESDATO (XX/XX/ÅÅÅÅ)/ (XX) AUSSTELLUNGSDATUM (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) 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 KIÁLLÍTÁS XXXXXX (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) DATUM (DD/MM/JJJJ) XXX AFGIFTE/ (XX) XXXX (DD/MM/RRRR) 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) IZDAJE/ (FI) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

7.4

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

7.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (CZ) XXXXX XXXX XXXXXXX/ (DA) XXXX XXXXX XXXXXXX/ (XX) SIEGEL XXXX XXXXXXX/ (XX) XXXXXX XÕX XXXXXX/ (EL) ΣΦΡΑΓΙΔΑ/ (XX) SEAL XX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXX NÓ XXXXXX/ (XX) XXX XXX PEČAT/ (IT) XXXXX X XXXXXX/ (XX) XĪXXXX XXX XXXXXXXX/ (LT) XXXXXXX XXXX XXXXXXXXXX/ (XX) XXXXXX XXXX BÉLYEGZŐLENYOMAT/ (XX) XXĠXXX XXX XXXXXX/ (XX) ZEGEL XX STEMPEL/ (XX) XXXXXĘĆ XXX XXXXXXX/ (XX) XXXX XX XXXXXXX/ (RO) XXXXXXXX XXX ȘTAMPILA/ (XX) XXXXX ALEBO XXXXXXXX XXXXXXXX/ (XX) XXXXX XXX XXX/ (XX) XXXXXXX XXX XXXXX/ (XX) XXXXXX XXXXX XXÄXXXX

XXXXXXX STAV

VÍCEJAZYČNÝ XXXXXXXXXX FORMULÁŘ – XXXXXXX XXX PŘEKLAD

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

Xxxxxx (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (CZ)

Dánsko (XX) Xxxxxxx (DE)

Estonsko (EE) Xxxxx (IE)

Řecko (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Xxxx (CY)

Lotyšsko (XX) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (MT)

Nizozemsko (XX) Xxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Xxxxxx (XX)

Xxxxxxx (XX) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

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

Xxxxx xxxxxxxx xxxxxx xxxxx xxxxxxx xxxxxxx, x xxx xx xxxxxxxx. Xxxxx, jemuž xx xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx xxxx v xxxxxxxxx, kdy xx xx xxxxxxxx xxx xxxxx zpracování xxxxxxx xxxxxxx, požadovat xxxxxxx xx xxxxxx xxxxxxxxx, xxxxx jsou xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX PRO XXXXXXXXXX XXXXX

Xxxxxx xxxxx xxxxxxxxx, xxxxx jsou xxxxxxx ve xxxxxxx xxxxxxx, x xxx xx přiložen tento xxxxxxxx. (2)

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

1. XXXXX XXXXXXXXXX XXXXX FORMULÁŘ

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

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

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

3.1.1 Rozhodnutí 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 Jiné (xxxxxxxxx)

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

(2) Xxx xxxxxxxxxx xxxxx použijte xxxxxxx xxxxx.

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

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

3.2 Xxxxxxx vydaná xxxxxxxx xxxxxx

3.2.1 Osvědčení

3.2.2 Xxxxx x matriky

3.2.3 Xxxxx x xxxxxxxx obyvatel

3.2.4 Xxxx xxxxxxxxxx xxxxxxx

3.1.5 Xxxx (upřesněte)

3.3 Notářská xxxxxxx

3.4 Xxxxxx xxxxxxxxx, xxxxxx byla xxxxxxxx xxxxxxx podepsaná xxxxxxxxx xxxxxx

3.5 Xxxxxxx vyhotovená xxxxxxxxxxxxx xxxxxxxxx nebo xxxxxxxxxxx úředníkem xxxxxxxxx xxxxx v xxxxx xxxxxx jeho xxxxxxxxxx xxxxxxxxxx

3.6 Datum (dd/mm/rrrr) xxxxxx

3.7 Xxxxxxxxxx číslo xxxxxxx listiny

4. INFORMACE X DOTYČNÉ XXXXX

4.1 Xxxxx/x xxxxxxxx

4.2 Xxxxxxxx/x xxxxxxxx

4.3 Příjmení xxxx xxxxxxxxx xxxxxxxxxx

4.4 Xxxxxxxx xx uzavření xxxxxxxxxx

4.5 Xxxxx (jména)

4.6 Datum (xx/xx/xxxx) narození

4.7 Místo (1) a země (2) narození

4.8 Xxxxxxx:

4.8.1 Xxxx

4.8.2 Xxx

4.8.3 Neurčeno

4.9 Xxxxxx xxxxxxxxxxx

5. NA XXXXXXX VEŘEJNÉ XXXXXXX, X XXX JE XXXXXXXX TENTO XXXXXXXX, XX XXXXXXX OSOBA XXXXX XXXXXXX XXXX:

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

5.2 Xxxxxxxxx – xxxxxxxxx

5.2.1 Xxxxxxxx – Xxxxxxxx

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

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

5.3 Neurčeno

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

(2) Název xxxx a – xxxxx xxxxxxxx – xxx XXX xxxx xxxx xxxx xxxxxxx „Xxxx (upřesněte)“ xx xxxxx xxxxxx x xxxxxxxxxxx xxxxxxx xx xxxxxxxx vícejazyčném standardním xxxxxxxxx, který xx x xxxxxxxxx na xxxxxxx xxxxxxxx e-justice.

6. XXXX XXX PODPIS

6.1 Xxxxxxxx a xxxxx (xxxxx) úředníka, který xxxxx tento formulář

6.2 Xxxxxx úředníka, který xxxxx tento xxxxxxxx

6.3 Xxxxx (xx/xx/xxxx) xxxxxx

6.4 Xxxxxx

6.5 Xxxxx xxxx xxxxxxx

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXXX XXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX TENTO FORMULÁŘ/ (XX) XXXXX FORMULARS XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, DIE XXXXXX XXXXXXXX XXXXXXXXX/ (ET) XÄXXXXXXX XXXXX XÄXXX XXXXXX XXXXXX/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX XXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX tÚDARÁS X XXXXXXXX XX FHOIRM XXX/ (XX) TIJELO XXXX XXXXXX XXXX XXXXXXX/ (XX) AUTORITÀ XXX XXXXXXXX XX XXXXXXXX MODULO/ (LV) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X FORMANYOMTATVÁNYT KIÁLLÍTÓ XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX XX' XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX FORMULIER/ (XX) XXXXX XXXXXĄXX NINIEJSZY XXXXXXXXX/ (PT) XXXXXXXXXX XXX XXXXX O XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX EMITENTĂ X XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX VYDÁVAJÚCI TENTO XXXXXXXX/ (SL) ORGAN, XX XXXX XX XXXXXXX/ (FI) TÄMÄN XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (CZ) XXXXX/ (XX) BETEGNELSE/ (XX) BEZEICHNUNG/ (ET) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (GA)AINMNIÚ/ (HR) XXXXX/ (IT) DENOMINAZIONE/ (XX) XXXXXXXXX/ (LT) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (PL) XXXXX/ (XX) XXXXXXXÇÃX/ (XX) XXXXXXXX/ (SK) NÁZOV/ (XX) IME/ (XX) XXXX/ (SV) NAMN

2.

(BG) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX XXXXXX EL XXXXXXXXX XXXXXXX XX XXX SE XXXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX VEŘEJNOU XXXXXXX, X NÍŽ XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXX XXXXXXXXX, XXX XXX XXXXXXX DET XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX VEDHÆFTET/ (XX) XXXÖXXX, DIE XXX ÖFFENTLICHE XXXXXXX, XXX DIESES XXXXXXXX XXXXXXÜXX IST, AUSSTELLT/ (XX) ASUTUS, XXX XXXXX XÄXXX XXXXXXX XXXXXXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) AUTHORITY XXXXXXX THE PUBLIC XXXXXXXX XX XXXXX XXXX XXXX IS XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXXXX DU XXXXXXXX PUBLIC XXXXXX XXX XXXXX LE XXXXXXX FORMULAIRE/ (XX) XX xXXXXXX X XXXXXXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXX XXXXX XXXXXXX XXXXX JE XXXX OBRAZAC PRILOŽEN/ (XX) XXXXXXXÀ CHE XXXXXXXX XX DOCUMENTO XXXXXXXX CUI XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX XX PIEVIENOTA, XXXXXĒXXXXXĀXX/ (LT) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX ŠI XXXXX, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX PUBBLIKU XX MIEGĦU XXXX XXXXXŻX DIN XX-XXXXXXX/ (XX) AUTORITEIT XXX XXXXXXX VAN XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX IS XXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXX XXXĘXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) AUTORIDADE QUE XXXXX X DOCUMENTO XXXXXXX X XXX X PRESENTE XXXXXXXXXX XXXX APENSO/ (RO) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX FORMULAR/ (SK) XXXXX XXXXXXXXXX VEREJNÚ XXXXXXX, XX XXXXXX XX TENTO XXXXXXXX XXXXXXXXX/ (SL) ORGAN, XX XXXX JAVNO XXXXXXX, XX JI XX XXXXXXXX TA XXXXXXX/ (FI) XXXXXXXXXXXX, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ LOMAKE LIITETÄÄN/ (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 IMPRESO/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXXXXX VEDRØRENDE XXX XXXXXXXXXX DOKUMENT, SOM XXXXX FORMULAR XX XXXXÆXXXX/ (DE) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (ET) XXXXX XXXXXXX XXXXXXXXX XXXXX, XXXXXXX SEE XXXX XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXX XXXXXX XXXXXXXX XX WHICH THIS XXXX XX XXXXXXXX/ (XX) INFORMATIONS XXXXXXXXX XX DOCUMENT XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX X XXXXXXXXX LEIS XX XXXXXXXXX XXXXXX LENA XXXXXX XX FHOIRM XXX CEANGAILTE/ (HR) XXXXXXXXXXX KOJE XX XXXXXX XX XXXXX XXXXXXX KOJOJ XX XXXX OBRAZAC XXXXXXXX/ (XX) XXXXXXXXXXXX RELATIVE XX XXXXXXXXX XXXXXXXX XXX XX PRESENTE XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX PAR XXXXXXXX XXXXXXXXX, KURAM XĪ XXXXXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX SU XXXXXXXX XXXXXXXXX, PRIE XXXXX XXXXXXXXX ŠI XXXXX/ (XX) X FORMANYOMTATVÁNNYAL XXXXXX KÖZOKIRATRA XXXXXXXXX XXXXXXXXXXX/ (MT) INFORMAZZJONI XXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX DIN IL-FORMOLA/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX OPENBAAR XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (PL) XXXXXXXXXX XXXXXXĄXX DOKUMENTU XXXĘXXXXXX, DO XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (PT) XXXXXXXÇÕXX XXXXXXXXX XX XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX LA XXXXXXXXXX XXXXXXX XX XXXX XXXX ANEXAT XXXXXXXXX FORMULAR/ (XX) XXXXXXXXXX X XXXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXX X XXXXX XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (SV) XXXXXXXXXXX XX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄR XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX XXXXXXXX XXX XXX XXXXXXXXX X XX XXXXXXXXXXX VINCULADO X XXX XXXXXXX XXXXXXXXXXXXXXXX DE UN XXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXX XXXXXXXXX X XXXXXX NA SOUDY XXXXXX XXXXXXXXX STÁTU/ (XX) XXXXXXXX, XXX XX XXXXXXX XX XX XXXXXXXXX XXXXX XX XXXXXXXXXX, XXX XX XXXXXXXXXX XXXXXXXX X XX XXXXXXXXXXX/ (XX) URKUNDE EINER XXXÖXXX XXXX XXXXX XXXXXXXXXX XXX ORGAN XXX RECHTSPFLEGE XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX KOHTUTEGA XXXXXX AMETIASUTUS XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (EN) XXXXXXXX XXXXXXXXX XXXX XX AUTHORITY XX XX XXXXXXXX CONNECTED XXXX XXX COURTS XX TRIBUNALS XX X XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXX X'XXX AUTORITÉ XX X'XX XXXXXXXXXXXXX RELEVANT X'XXX XXXXXXXXXXX D'UN XXXX XXXXXX/ (XX) XXXXXXXXX X THAGANN X XXXXXX XX X XXXXXXXXX A XXXXXX XXXXX AIGE XX XXXX XX XXXXXXXXXX XX XX XXXXX DE XXXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX IZDALO XXXXXX XXX XXXXXXXXX XXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ O XX UN XXXXXXXXXXX XXXXXXXXXXXX XX UNA XXXXX XXXXXXXXXXXXX XX XXX XXXXX XXXXXX/ (XX) XXXXXXXXX, KURU XXXXXXXXXX AR XXXĪXXXXXXX XXXXĀX XXXXXĪXX XXXXĀXX XXX AMATPERSONA/ (XX) XXXXXXXXXX, IŠDUOTAS XXXXXXXX XXXXXXXXXXXX AR XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX TEISMAIS XX XXXXXXXXXXX/ (XX) TAGÁLLAMI XXXXXXXXXX XXXXXXXXXXXX XXXX XXXXXXX XXXX TISZTVISELŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX XXXXXXXÀ XXX XXXXĊXXX XX XXXXXXXX XXXXX MAL-QRATI JEW XX-XXXXXXXXX XX' XXXX XXXXXX/ (NL) DOCUMENT XXXXXXXXX XXXX EEN XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXXXXXX INSTANTIE XXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX OD XXXXXX SĄDOWEGO XXX XXXĘXXXXX XĄXXXXXX PAŃSTWA XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX UMA XXXXXXXXXX OU XX XX XXXXXXXXXXX XXXXXXXXXX XX XXXXXXXX XXXXXXXÇÃX XX UM ESTADO-MEMBRO/ (XX) DOCUMENT XXXX XX O XXXXXXXXXX XXX XX XX XXXXȚXXXXX XX XX XÂXXĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXX XXXXXXXXX X XÄXXXX XX XXXX XXXXXXXXX ŠTÁTU/ (SL) XXXXXXX, IZDANA S XXXXXX XXXXXX XXX XXXXXXXX XXXXX XXXXXXX XXXXXX ČLANICE/ (FI) XXXXXXXXX, JONKA XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX XXÅX XX XXXXXXXXX XXXXX XX TJÄNSTEMAN XXXXXÖXXXXX XXXXXXXXXÄXXXXXX I XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX JUDICIAL/ (XX) XXXXXXXXXX SOUDU/ (XX) DOMSTOLSAFGØRELSE/ (DE) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX DECISION/ (XX) XXXXXXXX XX XXXXXXX/ (XX) CINNEADH XX xXXXXX/ (HR) XXXXXX XXXXXX/ (IT) XXXXXXXXX GIURISDIZIONALE/ (XX) XXXXXX XĒXXXX/ (XX) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (XX) XXXXXÃX XXXXXXXX/ (RO) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (SK) XXXXX XXXXXXXXXXX/ (SL) XXXXX ODLOČBA/ (FI) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXX/ (XX) LISTINA XXXXXX XXXXXXX ZÁSTUPCEM/ (DA) XXXXXXXX UDSTEDT XX XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX EINER STAATSANWALTSCHAFT/ (XX) XXXXXXXX, MILLE XX VÄLJA XXXXXX XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (EN) XXXXXXXX XXXXXXXXX XXXX X XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX DU XXXXXXÈXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (XX) ISPRAVA XXXX XX XXXXXX DRŽAVNO XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX DAL XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX PROKURORS/ (XX) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (XX) DOCUMENT AFGEGEVEN XXXX XXX XXXXXXXX XXXXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) DOCUMENTO PROVENIENTE XX XXXXXXXXXX XXXXXXX/ (XX) DOCUMENT XXXX XX XX PROCUROR/ (XX) XXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) LISTINA, XX JO IZDA XXXXXXX XXXXXXXXX/ (FI) 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/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXÆX/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX, MILLE XX XÄXXX XXXXXX XXXXXXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (EN) XXXXXXXX XXXXXXXXX FROM X XXXXX XX X XXXXX/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X CHLÉIREACH XX CHUID XXXXXX/ (XX) XXXXXXX XXXX XX XXXXX XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX EMANATO DA XX XXXXXXXXXXX/ (XX) XXXXXXXXX, XXXX IZSNIEDZIS XXXXXX XXXXXXĀXX/ (LT) XXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ ÁLTAL XXXXXXXXXX XXXXXX/ (MT) DOKUMENT XXĦXXĠ XXXX XXĠXXXXXXXX XX' XXXXX/ (NL) XXXXXXXX XXXXXXXXX XXXX XXX GRIFFIER/ (PL) XXXXXXXX XXXXXXXĄXX OD XXXXXXXXXX XĄXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX DE XX XXXXXXX DE XXXXXÇX/ (RO) XXXXXXXX XXXX XX XX XXXXXXX AL INSTANȚEI/ (XX) LISTINA XXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX/ (XX) TUOMIOISTUIMEN XXXXXXXXX XXXXXX ASIAKIRJA/ (SV) XXXXXXXX SOM XÄXXÖX XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX JUDICIAL («XXXXXXXX DE XXXXXXX»)/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (DA) XXXXXXXX UDSTEDT XX XX STÆVNINGSMAND (»XXXXXXXX XX JUSTICE«)/ (DE) XXXXXXX EINES GERICHTSVOLLZIEHERS/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXXXXXXX FROM X XXXXXXXX XXXXXXX ('HUISSIER XX XXXXXXX')/ (XX) XXXXXXXX ÉMANANT X'XX XXXXXXXX XX JUSTICE/ (XX) DOICIMÉAD A XXXXXXX Ó XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXX XX XXXXX XXXXXX OVRŠITELJ (XXXXXXXX XX JUSTICE)/ (XX) XXXXXXXXX XXXXXXX DA XX XXXXXXXXX GIUDIZIARIO ("XXXXXXXX DE XXXXXXX")/ (XX) DOKUMENTS, XXXX XXXXXXXXXX XXXXXX IZPILDĪTĀJS (XXXXXXXX XX XXXXXXX)/ (XX) ANTSTOLIO (XXXXXXXX XX XXXXXXX) IŠDUOTAS XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX”) ÁLTAL XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ MINN XXXXĊXXX ĠXXXXXXXXXX ('HUISSIER XX XXXXXXX')/ (NL) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX XĄXXXXXX (HUISSIER DE XXXXXXX)/ (PT) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXÃX DE DIREITO («XXXXXXXX XX JUSTICE»)/ (XX) DOCUMENT EMIS XX XX EXECUTOR XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXX, XX XX XXXX SODNI XXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (FI) HAASTEMIEHEN (”XXXXXXXX XX XXXXXXX”) XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX EN XXÄXXXXXXXXX (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) OTRO (XXXXXXXXXXXXX)/ (XX) JINÉ (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (DE) SONSTIGES (XXXXX XXXXXXX)/ (XX) XXX (XÄXXXXXXXX)/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (EN) XXXXX (TO BE XXXXXXXXX)/ (FR) AUTRE (À XXXXXXXX)/ (XX) XXXX (LE XXXXX)/ (XX) OSTALO (NAVESTI)/ (XX) ALTRO (XXXXXXXXX)/ (XX) XXXX (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (XX) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) OVERIGE (XXXXXXXXXXXX)/ (XX) XXXX (XXXXXĘ OKREŚLIĆ)/ (PT) XXXXXX (X ESPECIFICAR)/ (XX) XXXXX (X XX PRECIZA)/ (XX) XXX (SPRESNIŤ)/ (XX) XXXXX (XXXXXXX)/ (FI) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) ANNAN XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) DOCUMENTO ADMINISTRATIVO/ (XX) LISTINA XXXXXX XXXXXXXX XXXXXX/ (DA) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX DOCUMENT/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXXXX RIARACHÁIN/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (LV) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX DOKUMENTAS/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (NL) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXX LISTINA/ (FI) XXXXXXXXXXXXXX ASIAKIRJA/ (XX) XXXXXXXXXXXXX HANDLING

3.2.1

(BG) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (DA) PÅTEGNING/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (FR) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (IT) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (NL) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (PT) XXXXXXÃX XX XXXXXXXXXXX/ (XX) CERTIFICAT/ (XX) XXXXXXXXXX/ (SL) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) EXTRACTO XXX XXXXXXXX XXXXX/ (XX) XXXXX Z XXXXXXX/ (XX) XXXXXX XXX CIVILSTANDSREGISTRET/ (XX) XXXXXX AUS XXX XXXXXXXX-XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (EN) XXXXXXX FROM THE XXXXX STATUS XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XX L'ÉTAT XXXXX/ (XX) SLIOCHT XX XX gCLÁR XXXXXXX SHIBHIALTA/ (XX) XXXXXXX XX REGISTRA XXXXXXX XXXXXX/ (IT) XXXXXXXX XX ATTO XX XXXXX XXXXXX/ (XX) IZRAKSTS XX XXXXXXXĀXXXĻX XXXX REĢISTRA/ (XX) IŠRAŠAS XX XXXXXXXĖX XŪXXĖX XXXŲ XXXXXXXX/ (HU) ANYAKÖNYVI XXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX TAL-ISTAT ĊXXXXX/ (XX) UITTREKSEL XXX XXX XXXXXXXX VAN XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXXXXX XXXX XXXXX CYWILNEGO/ (XX) XXXXXXX DE XXXX XX REGISTO XXXXX/ (RO) XXXXXX XXX REGISTRUL DE XXXXX XXXXXĂ/ (XX) XXXXX X XXXXXXXX XXXXXXXX XXXXX/ (SL) XXXXXXX XX XXXXXXXX X XXXXXXX XXXXXX/ (XX) VÄESTÖREKISTERIOTE (SIVIILISÄÄTY)/ (XX) XXXXXX UR XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX XXX XXXXX/ (CZ) XXXXX X REGISTRU XXXXXXXX/ (XX) XXXXXX FRA XXXXXXXXXXXXXX/ (DE) XXXXXX XXX DEM XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX XXX POPULATION REGISTER/ (XX) XXXXXXX DU XXXXXXXX XX LA XXXXXXXXXX/ (XX) SLIOCHT XX AN xXXXX XXXXXX/ (XX) XXXXXXX XX POPISA STANOVNIŠTVA/ (XX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX NO XXXXĪXXXĀXX XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXXŲ XXXXXXXX/ (XX) XXXXXXX X XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX UIT XXX XXXXXXXXXXXXXXXXXX/ (PL) XXXXĄX X XXXXXXXX XXXXXŚXX/ (XX) EXTRATO XX XXXXXXX XX XXXXXXÇÃX/ (XX) XXXXXX DIN XXXXXXXXX DE XXXXXXȚĂ X XXXXXXȚXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXĽXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXXXXXXX/ (XX) VÄESTÖREKISTERIOTE/ (XX) XXXXXX XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX XX ACTAS XXX XXXXXXXX XXXXX/ (XX) XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXX XX CIVILSTANDSREGISTRE/ (XX) WÖRTLICHE KOPIE XXX PERSONENSTANDSEINTRÄGEN/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX OF XXXXX STATUS XXXXXXX/ (XX) XXXXX XXXXXXXXX X'XXXXX XX X'XXXX XXXXX/ (XX) CÓIP XXXXX XX FHOCAL XX XXXXXXX AR XXXXXX SIBHIALTA/ (XX) XXXXXXXX PRIJEPIS XX XXXXXXXXXX X OSOBNOM XXXXXX/ (XX) XXXXX XXXXXXXXX DI XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX XXĢXXXXX IERAKSTU XXXXXXXXXX XXXXXX/ (LT) CIVILINĖS XŪXXĖX XXXŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (XX) XXXXXÖXXXX BEJEGYZÉS SZÓ XXXXXXXX MÁSOLATA/ (XX) XXXXX XXXXXXXX TAL-ATTI XXX-XXXXX ĊXXXXX/ (NL) XXXXXXXXXXX XXXXXXXXX XXX XXXXX XXX DE XXXXXXXXXXX XXXXX/ (XX) XXXXX ZUPEŁNY XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXÃX DE XXXXX XXXXXXXX OU XX XXXXXXXXX XX XXXX XX XXXXXXX CIVIL/ (XX) XXXXX XXXXXĂ X UNUI XXX XX XXXXX CIVILĂ/ (XX) DOSLOVNÝ VÝPIS XX XXXXXXX X XXXXXXX XXXXX/ (SL) XXXXXXXXX XXXXXX LISTIN X OSEBNEM XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) ORDAGRANN XXXXXXXX XX FOLKBOKFÖRINGSHANDLING

3.3

(BG) НОТАРИАЛЕН АКТ/ (ES) XXXX XXXXXXXX/ (CZ) XXXXXXXX XXXXXXX/ (DA) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (FR) ACTE XXXXXXX/ (GA) GNÍOMH XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXĀXX XXXX/ (LT) NOTARINIS XXXXX/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (PL) XXX XXXXXXXXXX/ (XX) XXX XXXXXXXX/ (RO) XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) NOTAARIN XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX HANDLING

3.4

(BG) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX XXXXXX SOBRE XX DOCUMENTO XXXXXXX/ (XX) XXXXXX XXXXXXXXX, XXXXXX XXXX OPATŘENA XXXXXXX XXXXXXXXX SOUKROMOU XXXXXX/ (XX) OFFICIEL XÅXXXXXXX XÅ XX XXXXXXXX XXXXXXXXXXX XX XX XXXXXX I XXXXXX XXXXXXXX AF XXXXXXXXXXXX/ (DE) AMTLICHE XXXXXXXXXXXXX XXX EINER XXXXXXXXXXXXX/ (ET) XXXXX XXXXX ERAISIKUNA XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX XXXXXXX XÕXXX/ (EL) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX XXXXXX XX A DOCUMENT XXXXXX BY A XXXXXX XX HIS XX XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX XX ACTE XXXX XXXXX PRIVÉ/ (GA) XXXXXXXX XXXXXXXXX A XXXXXXXXX XX DHOICIMÉAD XXXX SHÍNIÚ AG XXXXX XXX XXXXX XX INA XXXX XXXXXXXXXXXXXX/ (XX) SLUŽBENA XXXXXXX STAVLJENA XX XXXXXXX KOJU XX XXXXX XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX APPOSTA XX UNA XXXXXXXXX XXXXXXX/ (LV) XXXXXĀXX XXXXXXXXĀXXXX UZ XXXXXXXXX, XX SAVĀ XĀXXĀ XXXXXXXĪXXXX XĀXX PERSONA/ (XX) XXXXXXXŲ ASMENŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (HU) XXXXXXXXXXXXX XXXXXXXXXXX HIVATALOS XXXXXXXXXXX/ (XX) ĊXXXXXXXXX UFFIĊJALI XX JITQIEGĦED X'XXXXXXXX XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) OFFICIEEL XXXXXXXXXXX XX EEN XXXXXXXX XXXXXXXXXXX XXXX EEN XXXXXXX XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (PL) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX PODPISANYM XXXXX XXXXĘ DZIAŁAJĄCĄ X CHARAKTERZE PRYWATNYM/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX ATO XX XXXXXXXX PRIVADA/ (XX) XXXXXXXXXX XXXXXXX XXXXXXX XX XX XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX XX XXXXXXX PODPÍSANEJ OSOBOU XXXXXXXXX XXX XXXXXXXX XXXXX/ (SL) URADNA XXXXXX XX XXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX ASIAKIRJASSA, XXXXX XXXXXXÖ ON XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) OFFICIELLT XXXXX XXXXXXXXX PÅ 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 POR XX XXXXXX DIPLOMÁTICO X CONSULAR XX XX XXXXXX MIEMBRO XXX CARÁCTER XXXXXXX/ (XX) LISTINA XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXX XXXXXXXXXXX ÚŘEDNÍKEM ČLENSKÉHO XXXXX X RÁMCI XXXXXX XXXX SLUŽEBNÍCH XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX UDFÆRDIGET XX XX MEDLEMSSTATS DIPLOMATISKE XXXXX KONSULÆRE XXXXÆXXXXXXX/ (XX) XXX XXXXX XXXXXXXXXXXXXX XXXX KONSULARISCHEN XXXXXXXXX XXXXX XXXXXXXXXXXXXX XX XXXXXX AMTLICHEN XXXXXXXX ERRICHTETE XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX 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) DOCUMENT XXXXX UP BY X DIPLOMATIC XX XXXXXXXX XXXXX OF X XXXXXX STATE XX XXX XX XXX XXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXX XX XX QUALITÉ XXXXXXXXXX PAR UN XXXXX XXXXXXXXXXXX XX XXXXXXXXXX X'XX ÉTAT XXXXXX/ (XX) DOICIMÉAD XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX CONSALACH DE XXXXX XXXXXXXXX XXX XXXXX XX INA XXXX XXXXXXXXX/ (XX) XXXXXXX KOJU JE X SLUŽBENOM XXXXXXXX XXXXXXXX XXXXXXXXXXX ILI XXXXXXXXXX PREDSTAVNIK XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX DA XXXXXX XXXXXXXXXXX X XXXXXXXXX XX UNO XXXXX XXXXXX XXXX'XXXXXXXXX DELLE XXXX FUNZIONI/ (XX) XXXXXXXXX, XXXX, PILDOT XXXXX XXXXĀXXXXX, SAGATAVOJIS XXXĪXXXXXXX XXXXXXĀXXXXXXX VAI XXXXXXĀXXXX XĀXXXĀXXX/ (LT) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX AR XXXXXXXXXX PAREIGŪNO, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) VALAMELY XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX KIÁLLÍTOTT OKIRAT/ (XX) DOKUMENT XXĦXXXX XXXX XĠXXX DIPLOMATIKU XXX XXXXXXXXX XX' XXXX MEMBRU XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXXXXX XX XXXXXXXXXX AMBTENAAR VAN XXX XXXXXXXX IN XXXX XXXXXXËXX XXXXXXXXXXXX/ (XX) DOKUMENT XXXXXĄXXXXX XXXXX PRZEDSTAWICIELA DYPLOMATYCZNEGO XXX URZĘDNIKA XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX URZĘDOWYM/ (XX) XXXXXXXXX LAVRADO XXX XX XXXXXX XXXXXXXXXXX XX XXXXXXXX XX XX XXXXXX-XXXXXX XX XXXXXXXXX DAS XXXX XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX XX CĂTRE XX XXXXX XXXXXXXXXX XXX XXXXXXXX AL XXXX XXXX XXXXXX, ÎX XXXXXXXX OFICIALĂ/ (SK) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX KONZULÁRNYM XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXX/ (SL) XXXXXXX, XX JO XXX URADNA XXXXX XXXX DIPLOMATSKI XXX XXXXXXXXXX XXXXXXXXXXX DRŽAVE XXXXXXX/ (XX) ASIAKIRJA, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX XX XXXXXXXX VIRANTOIMITUKSESSA/ (XX) XXXXXXXX UPPRÄTTAD X XXÄXXXXX AV XX DIPLOMATISK XXXXX XXXXXXÄX TJÄNSTEMAN I XX MEDLEMSSTAT

3.6

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) FECHA (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) AUSSTELLUNGSDATUM (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXX (LL/MM/BBBB) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX RILASCIO (XX/XX/XXXX)/ (LV) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (LT) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) A KIÁLLÍTÁS XXXXXX (XXXX/XX/XX)/ (XX) XXXX (JJ/XX/SSSS) TAL-ĦRUĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (PL) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX DE XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) EMITERII/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (SL) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX XXXXXXXXXX DEL DOCUMENTO XXXXXXX/ (CZ) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (XX) DET XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (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 XXXXXX/ (XX) XXXXXX XXXXXXXXX AN DOICIMÉID XXXXXXX/ (XX) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXX XXX DOCUMENTO XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXX DOKUMENTO XXXXXXX/ (XX) A XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX VAN XXX XXXXXXXX XXXXXXXX/ (XX) NUMER XXXXXXXXXXXX XXXXXXXXX URZĘDOWEGO/ (PT) XXXXXX XX XXXXXÊXXXX XX XXXXXXXXX PÚBLICO/ (XX) XXXĂXXX XX XXXXXXXȚĂ AL XXXXXXXXXXXX XXXXXXX/ (SK) XXXXXXXXXX XXXXX XXXXXXXX LISTINY/ (XX) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (XX) DEN OFFICIELLA XXXXXXXXXXX REFERENSNUMMER

4.

(BG) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX XX INTERESADO/ (XX) XXXXXXXXX X DOTYČNÉ XXXXX/ (XX) XXXXXXXXXXX XX XXX XÅXÆXXXXXX XXXXXX/ (DE) ANGABEN XXX XXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXXX ISIKUT XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX XXXXXX XXXXXXXXX/ (FR) XXXXXXXXXXXX XXX XX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXX XXXX XX XXXXX LENA xXXXXXXXX/ (HR) XXXXXXXXXXX X XXXXXXXX OSOBI/ (XX) INFORMAZIONI XXXXX XXXXXXX XXXXXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXĪXX XXXXXXX/ (LT) INFORMACIJA XXXX ATITINKAMĄ XXXXXĮ/ (XX) AZ ÉRINTETT XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXX XXXXĊXXXXXX/ (XX) XXXXXXXXXX XXXX XX XXXXXXXXXX/ (XX) XXXX XXXXX, XXXXXX DOTYCZY XXXXXXXX/ (XX) INFORMAÇÕES XXXXX X PESSOA XX CAUSA/ (XX) XXXXXXXȚXX PRIVIND XXXXXXXX XXXXXĂ/ (SK) INFORMÁCIE X XXXXXXXXX XXXXX/ (XX) XXXXXXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX TIEDOT/ (XX) XXXXXXXXX XX XXX BERÖRDA XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (XX) XXXXXXXX(X) XX NACIMIENTO/ (XX) XXXXX/X XXXXXXXX/ (DA) XXXXXXXXX(X) XXX XØXXXXX/ (XX) XXXXXXXXXXXX(X) BEI XXX XXXXXX/ (ET) XÜXXXXÄXXXX XXXXXXXXXXXXX (XÜXXXXÄXXXXX XXXXXXXXXXXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (XX) XXXXXXX(X) AT XXXXX/ (FR) XXX(X) À XX XXXXXXXXX/ (XX) XXXXXXX (SLOINNTE) XXXXXXX/ (XX) PREZIME(NA) XXX ROĐENJU/ (XX) XXXXXXX/X XXXX XXXXXXX/ (XX) XXXĀXXX(-X) XXXXXXXXX XXĪXĪ/ (LT) PAVARDĖ (-ĖX), XXXXXXXX (-OS) XXXXX/ (HU) XXÜXXXXXX XXXXXXX NEVE(I)/ (XX) XXXXXX(/XXXXXXXXXXX) XXX-XXXXXX/ (XX) XXXXXXXX(X)X(XX) XXX DE XXXXXXXX/ (PL) NAZWISKO(-A) XXXXXX/ (PT) APELIDO(S) À XXXX DO XXXXXXXXXX/ (XX) XXXXXX XX XXȘXXXX/ (SK) XXXXX XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX OB XXXXXXX/ (XX) SUKUNIMI (-XXXXX) XXXXXXÄXXXXXXXÄ/ (XX) EFTERNAMN XXX FÖDSELN

4.2

(BG) НАСТОЯЩО(И) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X) ACTUAL(ES)/ (XX) XXXXXXXX/X XXXXXXXX/ (XX) XXXÆXXXXX XXXXXXXXX(X)/ (XX) XXXXXXXXXX(X) FAMILIENNAME(N)/ (XX) XXXXXXXX XXXXXXXXXXXXX (PRAEGUSED XXXXXXXXXXXXXX)/ (EL) ΤΡΕΧΟΝ(-ΤΑ) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX XXXXXXX(X)/ (XX) NOM(S) XXXXXX(X)/ (XX) XXXXXXX (XXXXXXXX) XXXXXX/ (XX) XXXXXXXX(-X) XXXXXXX(XX)/ (XX) XXXXXXX/X ATTUALE/I/ (XX) XXXXXXX(-XX) UZVĀRDS(-I)/ (LT) XXXXXXXXĖ (-ĖS) PAVARDĖ (-ĖX)/ (HU) XXXXXXXXX XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) XXXXXXX/ (NL) XXXXXXX ACHTERNA(A)M(EN)/ (XX) XXXXXX NAZWISKO(-A)/ (XX) XXXXXXX XX APELIDOS XXXXXX/ (XX) XXXXXX XXXXXX(X)/ (XX) XXXXXXX XXXXXXXXXX(-X)/ (SL) SEDANJI XXXXXXX/XXXXXXX/ (XX) NYKYINEN XXXXXXXX (XXXXXXXX XXXXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXX

4.3

(XX) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ БРАКА/ (ES) XXXXXXXX(X) XXXXX XX CONTRAER XXXXXXXXXX/ (XX) XXXXXXXX XXXX XXXXXXXXX MANŽELSTVÍ/ (XX) XXXXXXXXX(X) FØR XXXXXXX/ (DE) FAMILIENNAME(N) XXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX (-XXXXX) XXXX XXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΤΟΝ ΓΑΜΟ/ (XX) XXXXXXX(X) XXXXXX THE MARRIAGE/ (XX) XXX(X) AVANT XX XXXXXXX/ (XX) XXXXXXX (SLOINNTE) XXXXX XX xXXXXXX/ (XX) XXXXXXX(XX) XXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX/X XXXXX XXX XXXXXXXXXX/ (XX) UZVĀRDS(-I) PIRMS XXXXĪXXX/ (LT) XXXXXXĖ (-ĖX) PRIEŠ XXXXXXXĄ/ (XX) XXXXXXX XXXX(X) X XXXXXXXXXÖXXX ELŐTT/ (XX) XXXXXX(/XXXXXXXXXXX) XXXXX XŻ-ŻXXXĠ/ (NL) XXXXXXXX(X)X(XX) XXXX XXX HUWELIJK/ (XX) NAZWISKO(-A) PRZED XXXXXXXXX XXŁŻXŃXXXX/ (XX) XXXXXXX(X) XXXXX XX XXXXXXXXX/ (XX) XXXXXX ÎXXXXXX XX CĂSĂTORIE/ (XX) XXXXXXXXXX(-X) XXXX XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX/XXXXXXX XXXX XXXXXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXX XXXXXXXXXXX/ (SV) XXXXXXXXX XÖXX ÄKTENSKAPETS INGÅENDE

4.4

(BG) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА БРАКА/ (XX) XXXXXXXX(X) XXXXXXX XX XXXXXXXX XXXXXXXXXX/ (CZ) XXXXXXXX PO XXXXXXXX XXXXXXXXXX/ (XX) EFTERNAVN(E) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXX(X) XXXX DER XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX (-XXXXX) XÄXXXX XXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΜΕΤΑ ΤΟΝ ΓΑΜΟ/ (EN) XXXXXXX(X) FOLLOWING XXX XXXXXXXX/ (XX) NOM(S) À LA XXXXX XX XXXXXXX/ (GA) XXXXXXX (SLOINNTE) TAR XXX XX XXXXXX/ (XX) XXXXXXX(XX) XXXXX XXXXXXXXX BRAKA/ (XX) XXXXXXX/X XXXX XX XXXXXXXXXX/ (XX) UZVĀRDS(-I) XĒX LAULĪBAS/ (LT) XXXXXXĖ (-ĖX) PO XXXXXXXXX/ (XX) CSALÁDI XXXX(X) X XXXXXXXX-XÖXXX XXXX/ (MT) XXXXXX(/XXXXXXXXXXX) XXXX Ż-ŻWIEĠ/ (XX) XXXXXXXX(X)X(XX) XX HET XXXXXXXX/ (XX) NAZWISKO(-A) XX ZAWARCIU XXŁŻXŃXXXX/ (XX) APELIDO(S) XXXX X CASAMENTO/ (XX) XXXXXX XXXĂ XĂXĂXXXXX/ (XX) XXXXXXXXXX(-X) XX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX/XXXXXXX PO XXXXXXXXX XXXXXXXX XXXXX/ (FI) XXXXXXXX (-XXXXX) AVIOLIITON XXXXXXXXXX JÄLKEEN/ (XX) XXXXXXXXX XXXXX ÄKTENSKAPETS XXXÅXXXX

4.5

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) NOMBRE(S)/ (XX) XXXXX (XXXXX)/ (DA) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (LV) 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/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) ETUNIMI (-XXXXX)/ (XX) XÖXXXXX

4.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXX/ (XX) FØDSELSDATO (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) SÜNNIKUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX BIRTH/ (XX) XXXX (JJ/MM/AAAA) XX XXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/GGGG) XXĐXXXX/ (XX) DATA XX XXXXXXX (GG/MM/AAAA)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (LT) GIMIMO XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (ÉÉÉÉ/HH/NN)/ (XX) DATA (JJ/XX/SSSS) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (PL) XXXX (XX/XX/XXXX) XXXXXXXXX/ (PT) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXȘXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXXX/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.7

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) LUGAR X XXXX XX XXXXXXXXXX/ (XX) XXXXX X XXXX XXXXXXXX/ (XX) XØXXXXXX XX -LAND/ (XX) XXX XXX XXXX XXX GEBURT/ (XX) XÜXXXXXXX XX -XXXX/ (EL) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX XXX XXXXXXX XX BIRTH/ (XX) LIEU XX XXXX DE NAISSANCE/ (XX) XXX AGUS XXX BHREITHE/ (XX) XXXXXX X ZEMLJA XXĐXXXX/ (XX) XXXXX X XXXXX DI XXXXXXX/ (XX) XXXXXXXXX XXXXX UN VALSTS/ (XX) GIMIMO XXXXX XX ŠALIS/ (XX) XXÜXXXXXX XXXXX ÉS XXXXXXX/ (XX) XXXX X XXXXXŻ XXX-XXXXXX/ (XX) GEBOORTEPLAATS XX -XXXX/ (XX) XXXXXXX X XXŃXXXX URODZENIA/ (XX) XXXXX E XXXX XX NASCIMENTO/ (XX) LOCUL ȘX ȚXXX XXȘXXXXX/ (XX) XXXXXX A ŠTÁT XXXXXXXXX/ (XX) XXXX XX XXXXXX XXXXXXX/ (XX) XXXXXXÄXXXXXX JA -XXX/ (XX) XÖXXXXXXXX XXX -XXXX

4.8

(XX) ПОЛ/ (XX) SEXO/ (CZ) XXXXXXX/ (XX) XØX/ (XX) XXXXXXXXXX/ (XX) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (XX) INSCNE/ (XX) XXXX/ (IT) XXXXX/ (LV) DZIMUMS/ (XX) LYTIS/ (HU) XXXX/ (XX) SESS/ (XX) XXXXXXXX/ (PL) XŁXĆ/ (XX) XXXX/ (XX) SEXUL/ (XX) XXXXXXXX/ (XX) XXXX/ (XX) XXXXXXXXX/ (SV) XÖX

4.8.1

(XX) ЖЕНСКИ/ (ES) XXXXX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (EN) XXXXXX/ (XX) FÉMININ/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (XX) SIEVIETE/ (XX) XXXXXXX/ (XX) XŐ/ (XX) MARA/ (XX) XXXXX/ (PL) XXXXXXX/ (XX) XXXXXXXX/ (RO) XXXXXXXX/ (SK) XXXXXX/ (XX) XXXXXX/ (FI) XXXXXX/ (SV) XXXXXX

4.8.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (XX) XXXX/ (DE) XÄXXXXXX/ (XX) XXXXXXXXX/ (EL) ΑΡΡΕΝ/ (XX) MALE/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (HR) MUŠKI/ (XX) XXXXXXXX/ (LV) XĪXXXXXX/ (XX) XXXXX/ (XX) XXXXX/ (XX) XXĠXX/ (NL) XXX/ (XX) XĘŻXXXXXX/ (PT) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (FI) XXXX/ (XX) XXX

4.8.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (DA) UBESTEMT/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) INDÉTERMINÉ/ (XX) XXXXXXXXXXXXXXX/ (HR) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (PL) XŁXĆ XXXXXXXŚXXXX/ (PT) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (SL) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) EJ XXXXXXÄXXX

4.9

(XX) ГРАЖДАНСТВО/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (XX) NATIONALITET/ (XX) XXXXXX-XXXXXÖXXXXXXX/ (XX) KODAKONDSUS/ (XX) ΙΘΑΓΕΝΕΙΑ/ (XX) XXXXXXXXXXX/ (FR) XXXXXXXXXXX/ (XX) NÁISIÚNTACHT/ (XX) XXXXXXXXXXXXX/ (IT) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXĪXX/ (XX) XXXXXXXXĖ/ (XX) XXXXXXXXXXXXXXX/ (XX) ĊXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXĂȚXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (SL) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX

5.

(XX) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ, СЕМЕЙНОТО ПОЛОЖЕНИЕ НА СЪОТВЕТНОТО ЛИЦЕ Е, КАКТО СЛЕДВА/ (XX) XXXXX EL XXXXXXXXX PÚBLICO XX XXX XX XXXXXXX XXXX IMPRESO, EL XXXXXX CIVIL XXX XXXXXXXXXX XX XX XXXXXXXXX:/ (XX) NA XXXXXXX VEŘEJNÉ LISTINY, X XXX XX XXXXXXXX XXXXX XXXXXXXX, XX XXXXXXX XXXXX XXXXX XXXXXXX XXXX/ (XX) I XXXXXXX XXX DET XXXXXXXXXX XXXXXXXX, SOM XXXXX XXXXXXXX XX VEDHÆFTET, XXX XXX XÅXÆXXXXXX XXXXXX XØXXXXXX ÆXXXXXXXXXXXX XXXXXX/ (DE) XXXXXXXXXXXXX XXX XXXXXXXXXXXX XXXXXX XXXÄXX DER ÖFFENTLICHEN XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXXXXXX XXXXXXXXX XXXXXXXXXXX, MILLELE SEE XXXX XX XXXXXXX, XX ASJAOMASEL XXXXXX XÄXXXXXX XXXXXXXXXXXXX/ (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) XXXXXXXXX XX XXX PUBLIC XXXXXXXX XX XXXXX XXXX XXXX IS XXXXXXXX, XXX PERSON CONCERNED XXX THE XXXXXXXXX XXXXXXX XXXXXX/ (FR) X'XXXÈX XX DOCUMENT XXXXXX AUQUEL XX XXXXXXX FORMULAIRE EST XXXXX, LA XXXXXXXXX XXXXXXXXXXXX DE XX XXXXXXXX XXXXXXXXX XXX XX XXXXXXXX/ (XX) XX XXXX XX XXXXXXXXX PHOIBLÍ XXXX XXXXXX XX XXXXXX XXX CEANGAILTE, TÁ XX XXXXXX PÓSTA X XXXXXX XX XX XXXXX XXXX xXXXXXXXX/ (XX) XXXXX XXXXXX ISPRAVI XXXXX XX XXXX XXXXXXX XXXXXXXX XXXXXX XXXXXX XXXXXXX OSOBE XX XXXXXXĆX/ (XX) XXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX PRESENTE XXXXXX È XXXXXXXX, XX XXXXX XXXXXX XXXXX XXXXXXX XXXXXXXXXXX È XX XXXXXXXX/ (XX) XXXXXŅĀ XX XXXXXXXX DOKUMENTU, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, XXXXXXĪXXXXX XXXXXXXX XX XĀXX ĢIMENES XXĀXXXXXX/ (XX) XXXXX XXXXĄXĮ XXXXXXXXĄ, PRIE XXXXX PRIDEDAMA ŠI XXXXX, XXXXXXXXXX XXXXXX XXXXXXXXXĖ XXXĖXXX XXX XXXXX/ (XX) XX XXXXXXXX SZEMÉLY XXXXXXX XXXXXXXX A XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRAT XXXXXXX/ (XX) XXXXX ID-DOKUMENT XXXXXXXX LI XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX, IL-PERSUNA XXXXĊXXXXXX XĦXXXXX X-XXXXX ĊXXXXX XXX ĠXX/ (XX) XXXXXXX XXX XXXXXXXX XXXXXXXX WAARAAN XXX XXXXXXXXX IS XXXXXXX, XX XX XXXXXXXXXXX XXXXX XXX DE XXXXXXXXXX DE XXXXXXXX/ (XX) Z XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXŁĄXXXXX XXXX NINIEJSZY XXXXXXXXX, WYNIKA, ŻE XXXXX, XXXXXX XXXXXXX XXXXXXXX, POSIADA NASTĘPUJĄCY XXXX CYWILNY/ (XX) XXXXXXX O DOCUMENTO XXXXXXX A XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX, À XXXX XX XXX XXXXXÃX, X ESTADO XXXXX DA XXXXXX XX XXXXX X/ (XX) ÎN XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX ESTE XXXXXX XXXXXXXXX FORMULAR, XXXXXXXX VIZATĂ ARE XXXĂXXXXXX XXXXX XXXXXĂ/ (XX) XXXĽX VEREJNEJ XXXXXXX, KU XXXXXX XX XXXXX FORMULÁR XXXXXXXXX, XX XXXXXXXX XXXXX XXXXXXXX X XXXXX XXXXXXX XXXXX/ (XX) X XXXXXX X JAVNO LISTINO, XX XX JE XXXXXXXX TA OBRAZEC, XXX XXXXXXX XXXXX XXXXXXXXX XXXXXXXX XXXX/ (XX) XXX XXXXXXX XXXXXXXXXX XXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX, XXXXXXXXXXXX HENKILÖN SIVIILISÄÄTY XX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX ÄR DEN XXXÖXXX PERSONENS XXXXXXXÅXX XÖXXXXXX

5.1

(XX) СЪС СКЛЮЧЕН БРАК/ДАТА (ДД/ММ/ГГГГ) НА СКЛЮЧВАНЕ НА БРАКА/ (XX) XXXXXX / XXXXX (DD/MM/AAAA) DEL XXXXXXXXXX/ (XX) XXXXX – XXXXXX/XXXXX (DD/MM/RRRR) XXXXXXXX MANŽELSTVÍ/ (XX) XXXX/XXXX (XX/XX/ÅÅÅÅ) FOR XXXXÅXXXX AF ÆGTESKAB/ (XX) XXXXXXXXXXX/XXX XXX XXXXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) XXXXXXX / XXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΕΓΓΑΜΟΣ/-Η / ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΑΜΟΥ/ (XX) XXXXXXX/XXXX (XX/XX/XXXX) XX XXXXXXXX/ (XX) XXXXX(X)/XXXX (XX/XX/XXXX) XX XXXXXXX/ (XX) XXXXX/XXXX (XX/XX/XXXX) XXXXX/ (XX) X XXXXX / XXXXX (XX/XX/XXXX) SKLAPANJA XXXXX/ (XX) XXXXXXXXX/X - XXXX XX MATRIMONIO (XX/XX/XXXX)/ (XX) XXXXĒXXXX / LAULĪBAS NOSLĒGŠANAS XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXĘX (-USI) / XXXXXXXXX SUDARYMO DATA (XX/XX/XXXX)/ (XX) HÁZAS/HÁZASSÁGKÖTÉS XXXXX (XXXX/XX/XX)/ (XX) XXŻŻXXXXĠ/XXŻŻXXĠX U DATA (XX/XX/XXXX) XXŻ-ŻXXXĠ/ (XX) XXXXXX/XXXXX (XX/XX/XXXX) XXX XXX HUWELIJK/ (XX) XXXXXXXXX X XXXĄXXX XXŁŻXŃXXXX/ XXXX (XX/XX/XXXX) XXXXXXXX XXXĄXXX XXŁŻXŃXXXXXX/ (XX) XXXXXX(X)/XXXX XX XXXXXXXXX (XX/XX/XXXX)/ (XX) XĂXĂXXXXX(Ă)/XXXX (XX/XX/XXXX) CĂSĂTORIEI/ (XX) ŽENATÝ/VYDATÁ/DÁTUM (DD/MM/RRRR) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX/XXXXX (XX/XX/XXXX) SKLENITVE XXXXXXXX XXXXX/ (FI) XXXXXXXXXX/XXXXXXXXXX XXXXXXXXXÄXXÄ (PP/KK/VVVV)/ (XX) XXXX/XXXXX (XX/XX/ÅÅÅÅ) XÖX ÄXXXXXXXXXXX XXXÅXXXX

5.2

(XX) БЕЗ СКЛЮЧЕН БРАК/ (XX) XX CASADO/ (XX) XXXXXXXXX – XXXXXXXXX/ (DA) UGIFT/ (XX) UNVERHEIRATET/ (XX) XX XXX XXXXXXX/ (XX) ΑΓΑΜΟΣ/-Η/ (XX) XXX XXXXXXX/ (XX) XXX MARIÉ(E)/ (XX) XXX X BHEITH XXXXX/ (XX) NIJE X XXXXX/ (XX) XXX XXXXXXXXX/X/ (XX) XXXXXXĒXXXX/ (LT) XXXXXXXXXXĘX (-XXX)/ (XX) XXXXXÜXXXXX/ (XX) XXXX XXŻŻXXXXĠ/XXXX XXŻŻXXĠX/ (XX) XXXXXXXX/ (XX) NIE XXXXXXXXX X XXXĄXXX XXŁŻXŃXXXX/ (XX) XÃX XXXXXX(X)/ (XX) XXXĂXĂXXXXX(Ă)/ (XX) XXXXXXXX/XXXXXXXX/ (XX) XXXXXXXXX/ (XX) XX XXXXXXXXXX/ (XX) OGIFT

5.2.1

(BG) НИКОГА НЕ Е СКЛЮЧВАЛО БРАК/ (XX) XXXXXXX/ (XX) XXXXXXXX – XXXXXXXX/ (DA) ALDRIG XXXX/ (XX) XXX XXXXXXXXXXX/ (XX) EI XXX KUNAGI XXXXXXX XXXXX/ (EL) ΔΕΝ ΕΧΕΙ ΣΥΝΑΨΕΙ ΠΟΤΕ ΓΑΜΟ/ (EN) XXXXX XXXXXXX/ (FR) N'AYANT XXXXXX XXX XXXXX(X)/ (XX) XXX X XXXXXX XXXXX XXXXX/ (XX) XXXXXX XXXX XXX(-XX) X BRAKU/ (XX) CELIBE/NUBILE/ (XX) XXXXX XXX XXXXX XXXXĒXXXX/ (XX) XXXXXXX XXXXXX SUSITUOKĘS (-XXX)/ (XX) XŐXXXX / XXXXXXX/ (XX) ĠXXXX/XXXXX/ (XX) NOOIT GEHUWD/ (XX) XXXXX NIE XXXXXŁ(-X) XXXĄXXX XXŁŻXŃXXXXXX/ (XX) XXXXXXXX/ (RO) XX X XXXX XĂXĂXXXXX(Ă) XXXXXXXXĂ/ (XX) XXXXX XX XXXXXXXX/XXXXXXXX/ (XX) XXXXXX XXXXXXX/ (XX) EI OLE XXXXXXX XXXXX XXXXXXXXXX/ (XX) XXX XXXXXX XXXXX XXXX

5.2.2

(XX) С РАЗТРОГНАТ БРАК/ДАТА (ДД/ММ/ГГГГ) НА РАЗВОДА/ (ES) XXXXXXXXXX / XXXXX (XX/XX/XXXX) XXX DIVORCIO/ (XX) XXXXXXXXX – XXXXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXXX/XXXX (XX/XX/ÅÅÅÅ) XXX SKILSMISSE/ (XX) XXXXXXXXXX / XXXXX (XX/XX/XXXX) XXX SCHEIDUNG/ (XX) LAHUTATUD / XXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (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/ (GA) XXXXXXXXXX/XXXX (XX/XX/XXXX) COLSCARTHA/ (HR) XXXXXXXX(X)/XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXXXXX/X - XXXX XX XXXXXXXX (XX/XX/XXXX)/ (LV) XĶĪXXXX / ŠĶIRŠANĀS XXXXXX (XX/XX/XXXX)/ (LT) IŠSITUOKĘS (-XXX) / XXXXXXXXX XXXXXXXXXX DATA (XX/XX/XXXX)/ (XX) ELVÁLT/A XXXXXXXX XXXXXXXXXXXXX XXXXX (XXXX/XX/XX)/ (XX) DIVORZJAT(A) X XXXX (JJ/XX/SSSS) XXX-XXXXXXXX/ (XX) XXXXXXXXXX/XXXXX (XX/XX/XXXX) XXX DE ECHTSCHEIDING/ (XX) XXXXXXXXXXXX(-X) / XXXX (DD/MM/RRRR) XXXXXXX/ (XX) XXXXXXXXXX(X)/XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXȚXX(Ă)/XXXX (XX/XX/XXXX) DIVORȚULUI/ (XX) XXXXXXXXX/X/XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXX ZAKONSKE XXXXX/ (FI) XXXXXXX/XXXXXXXX XÄXXÄXÄÄXÄ (PP/KK/VVVV)/ (SV) XXXXX/XXXXX (XX/XX/ÅÅÅÅ) FÖR XXXXXXÄXXX

5.2.3

(XX) С ПОЧИНАЛ(А) СЪПРУГ(А)/ДАТА (ДД/ММ/ГГГГ) НА СМЪРТТА НА СЪПРУГА(АТА)/ (XX) XXXXX / XXXXX (XX/XX/XXXX) XX XXXXXXXXXXXXX XXX XXXXXXX/ (XX) XXXXX – XXXXXX/XXXXX (XX/XX/XXXX) XXXXX XXXXXXX/XXXXXXXX/ (DA) XXXXXXXXX/XXXX (XX/XX/ÅÅÅÅ) XXX ÆXXXXÆXXXX XØX/ (DE) XXXXXXXXX / XXXXXXXXXXX (TT/MM/JJJJ) XXX XXXXXXXXX/ (ET) XXXX / XXXXXXXX XXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΣΕ ΧΗΡΕΙΑ / ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΘΑΝΑΤΟΥ ΣΥΖΥΓΟΥ/ (XX) XXXXXXX/ DATE (DD/MM/YYYY) XX XXXXXX'X XXXXX/ (XX) VEUF(VE)/DATE (JJ/MM/AAAA) XX XXXÈX XX XXXXXXXX/ (XX) XXXXXXXXXX/ XXXX (XX/XX/XXXX) XXXX XX XXXXXX/ (XX) XXXXXX(-XXX) / XXXXX (XX/XX/XXXX) SMRTI XXXXXXXX XXXXX/ (IT) XXXXXX/X - XXXX XX XXXXXXX XXX CONIUGE (XX/XX/XXXX)/ (XX) ATRAITNIS / LAULĀTĀ MIRŠANAS XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX (-Ė) / XXXXXXXXXXX (-ĖS) MIRTIES XXXX (DD/MM/MMMM)/ (XX) ÖXXXXX/X HÁZASTÁRS HALÁLÁNAK XXXXX (XXXX/XX/XX)/ (MT) XXXXX/XXXXX X XXXX (XX/XX/XXXX) TAL-MEWT TAL-KONJUĠI/ (XX) XXXXXX/XXXXXXXXX/XXXXX (XX/XX/XXXX) XXX XXXXXXXXXX VAN XX XXXXXXXX(X)X(X)/ (XX) XXXXXXX, XXXXX / XXXX (XX/XX/XXXX) XXXXX XXŁŻXXXX/ (PT) XXXXX(X)/XXXX XX ÓBITO DO XÔXXXXX (XX/XX/XXXX)/ (XX) XĂXXX(Ă)/XXXX (ZZ/LL/AAAA) DECESULUI XXȚXXXX (XXȚXXX)/ (SK) XXXXXX/XXXXX/XXXXX (XX/XX/XXXX) ÚMRTIA XXXXXXX/XXXXXXXX/ (XX) XXXXXXX/XXXXX (XX/XX/XXXX) XXXXX XXXXXXX/ (XX) XXXXX/XXXXXXXX XXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) ÄNKLING XXXXX ÄXXX/XXXXX (XX/XX/ÅÅÅÅ) XÖX MAKENS XXXXX XXXXXX DÖD

5.3

(BG) НЕОПРЕДЕЛЕН/ (XX) INDETERMINADO/ (CZ) XXXXXXXX/ (DA) XXXXXXXX/ (XX) UNBESTIMMT/ (ET) XÄÄXXXXXX/ (EL) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) UNDETERMINED/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (HR) XXXXXXĐXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) NENUSTATYTA/ (XX) XXXXXXXXXXXXXXX/ (MT) XXXX XXXXXXXXX/ (NL) XXXXXXXXX/ (XX) XXXX XXXXXXXXXXX/ (PT) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) MÄÄRITTELEMÄTÖN/ (XX) EJ FASTSTÄLLT

6.

(BG) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX XXXXX/ (XX) XXXX PRO XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (DE) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX BOX/ (XX) XXXXX XXXX XX XXXXXXXXX/ (XX) XXXXX DON SÍNIÚ/ (XX) POLJE XX XXXXXX/ (IT) XXXXXXXX XXX LA XXXXX/ (XX) XXXXXXXX XXXXX/ (XX) PARAŠO XXXXXXXX/ (XX) XX ALÁÍRÁS XXÖXXXXXXXXX/ (XX) KAXXA XXX-XXXXXXXX/ (XX) XXX XXXX XX XXXXXXXXXXXX/ (XX) XXXX XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À ASSINATURA/ (XX) XXXXĂXXXX/ (SK) XXXXXXX XX XXXXXX/ (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 XXXXXX(X) XXX XXXXXXXXXXX XXX XXXXXXX XXXX IMPRESO/ (XX) XXXXXXXX A XXXXX (XXXXX) ÚŘEDNÍKA, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) EFTERNAVN(E) XX XXXXXXX(X) XÅ XXX XXXXXXXXXX, DER XXX UDSTEDT DENNE XXXXXXXX/ (XX) FAMILIENNAME(N) XXX XXXXXXX(X) XXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) KÄESOLEVA 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 WHO XXXXXX XXXX XXXX/ (FR) XXX(X) XX XXXXXX(X) XX FONCTIONNAIRE XXX X XXXXXXX LE XXXXXXX FORMULAIRE/ (XX) XXXXXXX (XXXXXXXX) AGUS XXXXXXXX (XXXXXXXXXXXXXX) XX XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (XX) PREZIME(NA) X XXX(XX) XXXXXXXXXX XXXX XX XXXXX XXXX XXXXXXX/ (IT) XXXXXXX/X X XXXX/X XXX XXXXXXXXXXX CHE HA XXXXXXXXXX IL PRESENTE XXXXXX/ (XX) AMATPERSONAS, XXXX XXXXXXXX XX XXXXXXXX, XXXĀXXX(-X) XX XĀXXX(-X)/ (XX) ŠIĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖX) XX XXXXXX (-XX)/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ CSALÁDI XXXX(X) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦXXXĠ XXX IL-FORMOLA/ (NL) XX(X)X(XX) XX VOORNA(A)M(EN) XXX DE XXXXXXXXX XXX DIT XXXXXXXXX XXXXX XXXXXXXXX/ (PL) XXXXXXXX(-X) X XXXĘ (XXXXXX) URZĘDNIKA, XXXXX XXXXŁ XXXXXXXXX FORMULARZ/ (XX) XXXXXXX(X) X XXXX(X) PRÓPRIO(S) XX XXXXXXXXXXX XXX XXXXXX X PRESENTE XXXXXXXXXX/ (XX) XXXXXX ȘX XXXXXXXXX XXXXȚXXXXXXXXX XXXX X EMIS XXXXXXXXX XXXXXXXX/ (XX) PRIEZVISKO(-Á) X XXXX(-X) ÚRADNÍKA, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) PRIIMEK/PRIIMKI XX IME/IMENA URADNIKA, XX JE IZDAL XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX ANTANEEN XXXXXXXXXXX XXXXXXXX (-XXXXX) XX ETUNIMI (-XXXXX)/ (XX) XXXXXXXXX XXX XÖXXXXX PÅ DEN XXÄXXXXXXX XXX XXX XXXÄXXXX DETTA XXXXXXÄX

6.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX XXXXXXXXXXX XXX XXXXXXX ESTE IMPRESO/ (XX) XXXXXX ÚŘEDNÍKA, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXXX — XXX EMBEDSMAND, XXX XXX UDSTEDT XXXXX XXXXXXXX/ (XX) XXXXXXXX XXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (ET) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX AMETIKOHT/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX XX XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) XXXXX XX XXXXXXXXXXXXX XXX A DÉLIVRÉ XX XXXXXXX XXXXXXXXXX/ (XX) POST XX XXXXXXXX A X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXXX XXXXXXXXXX XXXX XX IZDAO XXXX OBRAZAC/ (IT) XXXXXXXXX DEL XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, KURA XXXXXXXX XX XXXXXXXX, XXXXX/ (LT) XXĄ XXXXĄ IŠDAVUSIO XXXXXXŪXX XXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX TISZTVISELŐ XXXXXXXXX/ (XX) KARIGA XXX-XXXXĊXXX XX ĦAREĠ XXX XX-XXXXXXX/ (NL) XXXXXXX VAN DE XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX URZĘDNIKA, XXXXX WYDAŁ NINIEJSZY XXXXXXXXX/ (XX) XXXXX XX FUNCIONÁRIO XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (RO) XXXXȚXX XXXXȚXXXXXXXXX CARE A XXXX PREZENTUL FORMULAR/ (XX) XXXXXXX XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) POLOŽAJ XXXXXXXX, XX JE XXXXX XX OBRAZEC/ (XX) XÄXÄX LOMAKKEEN XXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX SOM XXX UTFÄRDAT XXXXX XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) VYDÁNÍ/ (DA) XXXXXXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) XÄXXXXXXXXXX KUUPÄEV (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) DATE (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX DÉLIVRANCE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (GG/MM/AAAA)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (LT) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) WYDANIA/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (RO) DATA (XX/XX/XXXX) EMITERII/ (XX) XXXXX (DD/MM/RRRR) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (DA) XXXXXXXXXXX/ (DE) XXXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) SIGNATURE/ (XX) SIGNATURE/ (XX) XXXXX/ (HR) POTPIS/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) PARAŠAS/ (XX) ALÁÍRÁS/ (MT) XXXXX/ (XX) HANDTEKENING/ (XX) PODPIS/ (XX) XXXXXXXXXX/ (RO) XXXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (FI) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (XX) XXXXX NEBO XXXXXXX/ (XX) SEGL XXXXX STEMPEL/ (DE) XXXXXX XXXX STEMPEL/ (XX) XXXXXX XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX OR XXXXX/ (FR) XXXXX XX TIMBRE/ (XX) XXXXX NÓ XXXXXX/ (XX) XXX XXX XXXXX/ (XX) XXXXX X XXXXXX/ (XX) XĪXXXX VAI XXXXXXXX/ (XX) SPAUDAS XXXX XXXXXXXXXX/ (XX) PECSÉT XXXX BÉLYEGZŐLENYOMAT/ (XX) XXĠXXX XXX XXXXXX/ (XX) ZEGEL OF XXXXXXX/ (PL) PIECZĘĆ XXX XXXXXXX/ (XX) XXXX OU XXXXXXX/ (XX) SIGILIUL XXX ȘXXXXXXX/ (XX) XXXXX XXXXX ODTLAČOK PEČIATKY/ (XX) XXXXX ALI XXX/ (FI) SINETTI XXX XXXXX/ (XX) XXXXXX ELLER STÄMPEL

XXXXXXXXXXXX PARTNERSTVÍ

VÍCEJAZYČNÝ XXXXXXXXXX XXXXXXXX – XXXXXXX XXX XXXXXXX

Xxxxxx 7 xxxxxxxx Xxxxxxxxxx xxxxxxxxxx x Xxxx (XX) 2016/1191 xx xxx 6. xxxxxxxx 2016 x xxxxxxx xxxxxxx pohybu občanů xxxxxxxxxxxxx požadavků na xxxxxxxxxxx některých veřejných xxxxxx x Xxxxxxxx xxxx x x xxxxx xxxxxxxx (XX) x. 1024/2012 (1)

Xxxxxx (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (CZ)

Dánsko (XX) Xxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (ES)

Francie (XX) Xxxxxxxxxx (XX)

Xxxxxx (IT) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxx (XX) Rakousko (AT)

Polsko (XX) Portugalsko (XX)

Xxxxxxxx (XX) Slovinsko (XX)

Xxxxxxxxx (XX) Xxxxxx (FI)

Švédsko (XX) Spojené xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxxxxx xxxxxxxxx je xxxxxxxxx xxxxxxxx xxxxxxx xxxxxxx, x níž xx xxxxxxxx. Xxxxx formulář xx xxxx členskými xxxxx nesmí xxxxxxxxx xxxx xxxxxxxxxx xxxxxxxx.

Xxxxx xxxxxxxx xxxxxx obsah xxxxxxx listiny, x xxx xx přiložen. Xxxxx, xxxxx xx xxxxxxx xxxxxxx předkládána, xxxx může x xxxxxxxxx, xxx je xx xxxxxxxx xxx xxxxx xxxxxxxxxx veřejné xxxxxxx, xxxxxxxxx xxxxxxx xx přepis xxxxxxxxx, xxxxx xxxx xx xxxxxxxxx uvedeny.

UPOZORNĚNÍ XXX XXXXXXXXXX XXXXX

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

Xxxxx xxxxxxx xxxxxxx, x xxx xx přiložen xxxxx xxxxxxxx, neobsahuje určité xxxxx nebo xxxxxxxxx, xxxxxx „–“.

1. ORGÁN XXXXXXXXXX TENTO XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

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

3.1 Listina xxxxxx xxxxxxx xxxx xxxxxxxxx x xxxxxx xx xxxxx xxxxxx xxxxxxxxx xxxxx

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Listina xxxxxx xxxxxx soudním xxxxxxxxx

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

3.1.5 Xxxx (upřesněte)

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

(2) Při vyplňování xxxxx použijte xxxxxxx xxxxx.

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

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

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Osvědčení

3.2.2 Výpis x xxxxxxx

3.2.3 Xxxxx x registru obyvatel

3.2.4 Xxxx xxxxxxxxxx xxxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx osvědčení, xxxxxx byla opatřena xxxxxxx podepsaná soukromou xxxxxx

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

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Referenční xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXXXXX XXXXXXXXXXX

4.1 Xxxxx (xx/xx/xxxx) xxxxxxxxxx xxxxxxxxxxx

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

5. XXXXXXX/XXXXXXXXX A

5.1 Xxxxx/x xxxxxxxx

5.2 Xxxxxxxx xxxx xxxxxxxxx registrovaného xxxxxxxxxxx

5.3 Xxxxxxxx xx uzavření xxxxxxxxxxxxxx xxxxxxxxxxx

5.4 Xxxxx (xxxxx)

5.5 Xxxxx (dd/mm/rrrr) xxxxxxxx

5.6 Xxxxxxx:

5.6.1 Xxxx

5.6.2 Xxx

5.6.3 Neurčeno

(1) Slovy „xxxxx xxxxxxxxxx xxxxxxxxxxx“ xx rozumí xxxxx xxxx nebo xxxxx, xxxxxx x xxxxx, xxx xxxx xxxx xxxxxxxxxx xxxxxxxxx.

(2) Název xxxx x – xxxxx xxxxxxxx – xxx XXX xxxx xxxx xxxx xxxxxxx „Xxxx (upřesněte)“ je xxxxx vybrat z xxxxxxxxxxx xxxxxxx ve xxxxxxxx vícejazyčném standardním xxxxxxxxx, xxxxx xx x dispozici na xxxxxxx evropské x-xxxxxxx.

6. XXXXXXX/XXXXXXXXX X

5.1 Xxxxx/x xxxxxxxx

5.2 Xxxxxxxx xxxx xxxxxxxxx xxxxxxxxxxxxxx xxxxxxxxxxx

5.3 Xxxxxxxx po xxxxxxxx xxxxxxxxxxxxxx xxxxxxxxxxx

5.4 Jméno (xxxxx)

5.5 Xxxxx (dd/mm/rrrr) xxxxxxxx

5.6 Pohlaví:

5.6.1 Žena

5.6.2 Xxx

5.6.3 Xxxxxxxx

7. XXXX XXX XXXXXX

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

7.2 Xxxxxx xxxxxxxx, xxxxx vydal xxxxx formulář

7.3 Xxxxx (xx/xx/xxxx) xxxxxx

7.4 Xxxxxx

7.5 Xxxxx xxxx xxxxxxx

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXXXXXXXX PARTNERSTVÍ)

1.

(BG) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX FORMULÁŘ/ (XX) XXXXX FORMULARS XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, XXX DIESES FORMULAR XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX VÄLJA ANDNUD XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX XXXX/ (XX) AUTORITÉ XX XXXXXXXXXX XX XXXXXXX XXXXXXXXXX/ (GA) AN xXXXXXX A XXXXXXXX XX FHOIRM XXX/ (XX) XXXXXX KOJE XXXXXX OVAJ XXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX PRESENTE XXXXXX/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX HATÓSÁG/ (XX) XXXXXXXÀ EMITTENTI XX' XXX IL-FORMOLA/ (XX) AUTORITEIT XXX XXXXXXX XXX XXX XXXXXXXXX/ (PL) ORGAN XXXXXĄXX NINIEJSZY XXXXXXXXX/ (XX) XXXXXXXXXX XXX XXXXX O XXXXXXXX XXXXXXXXXX/ (RO) XXXXXXXXXXX XXXXXXXĂ X PREZENTULUI XXXXXXXX/ (SK) ORGÁN XXXXXXXXXX XXXXX FORMULÁR/ (XX) XXXXX, KI XXXX XX OBRAZEC/ (XX) XÄXÄX LOMAKKEEN XXXXXX XXXXXXXXXXXX/ (SV) XXXXXXXXX XXX UTFÄRDAR XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (ES) XXXXXXXXXXXX/ (XX) NÁZEV/ (XX) BETEGNELSE/ (XX) XXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (HR) NAZIV/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (LT) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (MT) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXX/ (PT) XXXXXXXÇÃX/ (XX) DENUMIRE/ (XX) XXXXX/ (XX) XXX/ (XX) NIMI/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XX XXXXXXXXX XXXXXXX AL QUE XX XXXXXXX XXXX XXXXXXX/ (CZ) ORGÁN XXXXXXXXXX VEŘEJNOU XXXXXXX, X XXX JE XXXXXXXX XXXXX XXXXXXXX/ (XX) DEN XXXXXXXXX, XXX HAR UDSTEDT XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (DE) XXXÖXXX, DIE DIE ÖXXXXXXXXXX XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXÜXX XXX, XXXXXXXXX/ (ET) XXXXXX, XXX XXXXX XÄXXX XXXXXXX XXXXXXXXX, XXXXXXX SEE VORM XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXX XXXXXXXX XX XXXXX THIS XXXX XX ATTACHED/ (XX) XXXXXXXX XX XXXXXXXXXX DU XXXXXXXX XXXXXX AUQUEL XXX XXXXX LE XXXXXXX XXXXXXXXXX/ (XX) AN xXXXXXX X XXXXXXXX XX DOICIMÉAD XXXXXX XXXX XXXXXX XX XXXXXX SEO CEANGAILTE/ (XX) XXXXXX XXXX XXXXXX JAVNU ISPRAVU XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ CHE XXXXXXXX XX DOCUMENTO XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ DOKUMENTA, XXXXX XĪ VEIDLAPA XX PIEVIENOTA, IZDEVĒJIESTĀDE/ (XX) XXXXĄXĮ DOKUMENTĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX LI XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (NL) XXXXXXXXXX VAN XXXXXXX XXX XXX OPENBAAR XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXX WYDAJĄCY XXXXXXXX XXXĘXXXX, XX XXXXXXX XXXXXXXXX FORMULARZ XXXX XXŁĄXXXXX/ (PT) XXXXXXXXXX QUE XXXXX X DOCUMENTO XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) AUTORITATEA XXXXXXXĂ X XXXXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX PREZENTUL XXXXXXXX/ (SK) ORGÁN XXXXXXXXXX VEREJNÚ XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX PRIPOJENÝ/ (XX) ORGAN, XX XXXX XXXXX LISTINO, XX JI XX XXXXXXXX XX OBRAZEC/ (XX) VIRANOMAINEN, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ XXXXXX LIITETÄÄN/ (SV) XXXXXXXXX XXX XXXÄXXXX XXX XXXXXXXXXX HANDLING XXXX XXXXXX DETTA XXXXXXÄX ÄX BIFOGAT

3.

(BG) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX AL DOCUMENTO XXXXXXX XX QUE XX XXXXXXX XXXX XXXXXXX/ (CZ) XXXXXXXXX XXXXXXXX XX XXXXXXX XXXXXXX, K NÍŽ XX PŘILOŽEN TENTO XXXXXXXX/ (XX) OPLYSNINGER XXXXØXXXXX DET XXXXXXXXXX XXXXXXXX, XXX DENNE XXXXXXXX ER VEDHÆFTET/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX XXXXXXX XXXXXXXXX XXXXX, XXXXXXX SEE XXXX XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXX XXXXXX XXXXXXXX TO XXXXX XXXX XXXX XX ATTACHED/ (FR) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX PUBLIC XXXXXX XXX JOINT XX XXXXXXX FORMULAIRE/ (XX) XXXXXXXX X XXXXXXXXX XXXX XX XXXXXXXXX XXXXXX XXXX BHFUIL XX XXXXXX SEO XXXXXXXXXX/ (XX) INFORMACIJE XXXX XX ODNOSE XX XXXXX XXXXXXX XXXXX XX OVAJ XXXXXXX XXXXXXXX/ (IT) XXXXXXXXXXXX XXXXXXXX AL XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX PAR XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (XX) INFORMACIJA, SUSIJUSI XX XXXXXXXX XXXXXXXXX, XXXX KURIO XXXXXXXXX XX FORMA/ (XX) X XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXXXX VONATKOZÓ XXXXXXXXXXX/ (XX) INFORMAZZJONI XXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX IL-FORMOLA/ (NL) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX IS XXXXXXX/ (XX) INFORMACJE XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX ZAŁĄCZONY/ (XX) INFORMAÇÕES RELATIVAS XX DOCUMENTO XXXXXXX X XXX X XXXXXXXX FORMULÁRIO ESTÁ XXXXXX/ (RO) XXXXXXXȚXX XXXXXXXXXXX XX DOCUMENTUL XXXXXXX XX XXXX XXXX XXXXXX PREZENTUL XXXXXXXX/ (XX) XXXXXXXXXX X VEREJNEJ LISTINE, XX KTOREJ JE XXXXX FORMULÁR XXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXX Z JAVNO XXXXXXX, KI XX XX PRILOŽEN TA XXXXXXX/ (FI) XXXXXX XXXXXXXXÄ ASIAKIRJASTA, XXXXX XÄXÄ LOMAKE LIITETÄÄN/ (XX) XXXXXXXXXXX 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 XXX XXXXXXXXX X UN XXXXXXXXXXX VINCULADO A XXX XXXXXXX XXXXXXXXXXXXXXXX XX UN XXXXXX XXXXXXX/ (CZ) XXXXXXX XXXXXX XXXXXXX XXXX XXXXXXXXX X XXXXXX XX XXXXX DANÉHO XXXXXXXXX STÁTU/ (DA) XXXXXXXX, XXX ER XXXXXXX XX EN XXXXXXXXX ELLER EN XXXXXXXXXX, XXX ER XXXXXXXXXX XXXXXXXX X XX MEDLEMSSTAT/ (XX) XXXXXXX XXXXX XXXÖXXX XXXX XXXXX XXXXXXXXXX XXX XXXXX DER XXXXXXXXXXXX EINES MITGLIEDSTAATS/ (XX) XXXXXXXX, MILLE XX XÄXXX ANDNUD XXXXXXXXXXXX KOHTUTEGA SEOTUD 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 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 ÉTAT XXXXXX/ (XX) XXXXXXXXX X XXXXXXX Ó XXXXXX NÓ X XXXXXXXXX X XXXXXX XXXXX XXXX XX XXXX LE CÚIRTEANNA XX XX XXXXX XX XXXXX BALLSTÁIT/ (XX) XXXXXXX KOJU XX IZDALO TIJELO XXX XXXXXXXXX XXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX EMANATO XX XX'XXXXXXXÀ X XX XX XXXXXXXXXXX APPARTENENTE XX UNA XXXXX XXXXXXXXXXXXX XX UNO XXXXX XXXXXX/ (XX) XXXXXXXXX, XXXX IZSNIEGUSI XX XXXĪXXXXXXX XXXXĀX XXXXXĪXX XXXXĀXX VAI XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX VALDŽIOS XXXXXXXXXXXX XX PAREIGŪNO, SUSIJUSIŲ XX XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (XX) TAGÁLLAMI XXXXXXXXXX XXXXXXXXXXXX XXXX XXXXXXX XXXX XXXXXXXXXXŐ ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ JEW XXXXĊXXX XX JKOLLHOM XXXXX XXX-XXXXX JEW IT-TRIBUNALI XX' XXXX MEMBRU/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX XXX XXX RECHTERLIJKE XXXXXXXXX XXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXX XĄXXXXXX XXX URZĘDNIKA XĄXXXXXX XXŃXXXX CZŁONKOWSKIEGO/ (XX) DOCUMENTO XXXXXXXXXXX XX XXX XXXXXXXXXX XX XX UM XXXXXXXXXXX XXXXXXXXXX XX XXXXXXXX JURISDIÇÃO DE XX XXXXXX-XXXXXX/ (XX) XXXXXXXX XXXX DE X XXXXXXXXXX XXX XX XX XXXXȚXXXXX XX XX XÂXXĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXX XXXXXXXXX X XÄXXXX XX XXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX, XXXXXX X XXXXXX XXXXXX XXX XXXXXXXX XXXXX XXXXXXX DRŽAVE XXXXXXX/ (FI) XXXXXXXXX, XXXXX XX XXXXXXX XÄXXXXXXXXXX OIKEUSLAITOKSEEN XXXXXXX XXXXXXXXXXXX XXX VIRKAMIES/ (XX) XXXXXXXX SOM XÄXXÖX FRÅN EN XXXXXXXXX XXXXX EN XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X EN MEDLEMSSTAT

3.1.1

(BG) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX SOUDU/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) KOHTUOTSUS/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXX XX xXXXXX/ (XX) XXXXXX XXXXXX/ (IT) DECISIONE XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (LT) TEISMO XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (NL) RECHTERLIJKE XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (XX) XXXXXÃX XXXXXXXX/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) SÚDNE XXXXXXXXXXX/ (SL) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) DOMSTOLSBESLUT

3.1.2

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX AF XX XXXXXXXXXXXXXXXX/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, MILLE XX XÄXXX XXXXXX XXXXXXX XÜÜXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) DOCUMENT XXXXXXXXX XXXX A XXXXXX XXXXXXXXXX/ (XX) DOCUMENT XXXXXXX XX XXXXXXÈXX XXXXXX/ (XX) XXXXXXXXX X THAGANN X XXXXXXXXXXXXXXX XXXXXX/ (HR) XXXXXXX KOJU JE XXXXXX XXXXXXX ODVJETNIŠTVO/ (XX) XXXXXXXXX XXXXXXX XXX PUBBLICO XXXXXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX XXXXXXXXX/ (LT) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) ÜXXXXX ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ MINN XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX AFGEGEVEN DOOR XXX OPENBAAR XXXXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX PROKURATORA/ (PT) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (RO) XXXXXXXX EMIS DE XX PROCUROR/ (XX) XXXXXXX VYDANÁ XXXXXXXXXXXX/ (XX) LISTINA, KI XX IZDA DRŽAVNO XXXXXXXXX/ (XX) VIRALLISEN XXXXXÄXÄX XXXXXX 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 VYDANÁ XXXXXX SOUDNÍM ÚŘEDNÍKEM/ (XX) XXXXXXXX XXXXXXX XX XX JUSTITSSEKRETÆR/ (XX) URKUNDE EINES XXXXXXXXXXXXXX XXX GESCHÄFTSSTELLE XXXXX GERICHTS/ (XX) XXXXXXXX, XXXXX ON XÄXXX ANDNUD XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX EMANATING XXXX X XXXXX XX X XXXXX/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX/ (GA) XXXXXXXXX X THAGANN X CHLÉIREACH XX XXXXX CÚIRTE/ (HR) XXXXXXX XXXX XX XXXXX XXXXXXXXXX SUDSKE XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (XX) XXXXXX XXXXXXXXXX XXXXXXXX DOKUMENTAS/ (XX) BÍRÓSÁGI XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXĠXXXXXXXX XX' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX/ (PL) DOKUMENT XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXX DE XXXXXÇX/ (XX) XXXXXXXX EMIS XX XX XXXXXXX XX XXXXXXȚXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXX, XX XX IZDA XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX ANTAMA XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX XX DOMSTOLSTJÄNSTEMAN

3.1.4

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXX XXXXXXXX POR XX XXXXXX JUDICIAL («XXXXXXXX XX JUSTICE»)/ (CZ) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX DE XXXXXXX“)/ (XX) DOKUMENT XXXXXXX AF EN XXÆXXXXXXXXXX (»XXXXXXXX DE XXXXXXX«)/ (XX) XXXXXXX XXXXX GERICHTSVOLLZIEHERS/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX KOHTUTÄITUR/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (XX) DOCUMENT XXXXXXXXX XXXX X XXXXXXXX XXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) DOCUMENT XXXXXXX D'UN HUISSIER XX JUSTICE/ (XX) XXXXXXXXX A XXXXXXX X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX DE XXXXXXX”)/ (XX) XXXXXXX XXXX XX XXXXX SUDSKI XXXXXXXXX (XXXXXXXX DE XXXXXXX)/ (XX) XXXXXXXXX XXXXXXX XX UN XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX JUSTICE")/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (HUISSIER XX XXXXXXX)/ (LT) XXXXXXXXX (XXXXXXXX XX XXXXXXX) IŠDUOTAS XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX JUSTICE”) XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX XX JUSTICE')/ (XX) DOCUMENT XXXXXXXXX XXXX XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX XXXĘXXXXX SĄDOWEGO (XXXXXXXX DE XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX XX UM ESCRIVÃO XX XXXXXXX («HUISSIER XX JUSTICE»)/ (RO) XXXXXXXX EMIS XX XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXXXX XXXXXX VYKONÁVATEĽOM („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXX, XX XX XXXX SODNI XXXXXXXXXX („XXXXXXXX XX JUSTICE“)/ (XX) HAASTEMIEHEN (”XXXXXXXX XX XXXXXXX”) XXXXXX XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX XXÅX XX XXÄXXXXXXXXX (HUISSIER XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) JINÉ (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (ET) MUU (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (EN) XXXXX (XX XX XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (XX) EILE (XX XXXXX)/ (HR) XXXXXX (NAVESTI)/ (XX) XXXXX (XXXXXXXXX)/ (LV) XXXX (XXXXXXĒX)/ (XX) XXXX (NURODYTI)/ (HU) XXXXX (KÉRJÜK XXXXXXXXXXX)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) OVERIGE (SPECIFICEREN)/ (XX) XXXX (XXXXXĘ XXXXŚXXĆ)/ (PT) XXXXXX (X ESPECIFICAR)/ (RO) XXXXX (X SE XXXXXXX)/ (XX) INÉ (XXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) MUU XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (SV) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX VERWALTUNGSBEHÖRDE/ (XX) XXXXXXXXXXXXXX/ (EL) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (EN) ADMINISTRATIVE XXXXXXXX/ (FR) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ (HR) XXXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) ADMINISTRATĪVS XXXXXXXXX/ (LT) ADMINISTRACINIS XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (NL) ADMINISTRATIEF XXXXXXXX/ (XX) DOKUMENT XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) DOCUMENT XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (SL) UPRAVNA XXXXXXX/ (XX) HALLINNOLLINEN XXXXXXXXX/ (XX) ADMINISTRATIV XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX/ (XX) OSVĚDČENÍ/ (XX) PÅTEGNING/ (DE) XXXXXXXXXXXXX/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (IT) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (LT) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊERTIFIKAT/ (XX) XXXXXXXXXXX/ (PL) XXŚXXXXXXXXXX/ (PT) CERTIDÃO XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) OSVEDČENIE/ (XX) XXXXXXXX/ (FI) XXXXXXXX/ (XX) INTYG

3.2.2

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX XXXXXXXX CIVIL/ (XX) XXXXX X MATRIKY/ (XX) UDDRAG FRA XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX XXX DEM XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) EXTRACT XXXX THE XXXXX XXXXXX XXXXXXXX/ (FR) XXXXXXX XX XXXXXXXX XX X'XXXX XXXXX/ (XX) SLIOCHT AS XX gCLÁR XXXXXXX XXXXXXXXXX/ (HR) IZVADAK XX REGISTRA XXXXXXX XXXXXX/ (XX) ESTRATTO XX XXXX XX XXXXX CIVILE/ (LV) XXXXXXXX XX XXXXXXXĀXXXĻX XXXX REĢISTRA/ (XX) XXXXXXX IŠ XXXXXXXĖX XŪXXĖX AKTŲ XXXXXXXX/ (XX) ANYAKÖNYVI XXXXXXX/ (XX) ESTRATT MIR-REĠISTRU XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXX UIT HET XXXXXXXX VAN XX XXXXXXXXXXX XXXXX/ (XX) XXXXX SKRÓCONY XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXX DE XXXX XX XXXXXXX XXXXX/ (XX) XXXXXX DIN XXXXXXXXX XX STARE XXXXXĂ/ (SK) VÝPIS X XXXXXXXX OSOBNÉHO XXXXX/ (XX) IZPISEK XX REGISTRA X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX DEL XXXXX/ (XX) XXXXX X XXXXXXXX OBYVATEL/ (DA) XXXXXX XXX FOLKEREGISTRET/ (XX) XXXXXX XXX XXX XXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX FROM THE XXXXXXXXXX XXXXXXXX/ (FR) XXXXXXX XX XXXXXXXX XX LA POPULATION/ (XX) XXXXXXX AS XX xXXXX DAONRA/ (XX) XXXXXXX IZ XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XX IEDZĪVOTĀJU XXĢXXXXX/ (XX) IŠRAŠAS XX XXXXXXXXŲ XXXXXXXX/ (XX) XXXXXXX A XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX MIR-REĠISTRU XXX-XXXXXXXXXXXX/ (NL) UITTREKSEL XXX XXX BEVOLKINGSREGISTER/ (XX) WYCIĄG X XXXXXXXX LUDNOŚCI/ (XX) XXXXXXX DO REGISTO XX XXXXXXÇÃX/ (XX) XXXXXX XXX XXXXXXXXX XX XXXXXXȚĂ A XXXXXXȚXXX/ (XX) VÝPIS X REGISTRA XXXXXXXĽXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXXXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX LITERAL XX XXXXX XXX XXXXXXXX CIVIL/ (XX) XXXX XXXXXXXXXX XXXXXXX/ (XX) ORDRET XXXX XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) PEREKONNASEISUAKTI XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (EN) XXXXXXXX XXXX XX XXXXX XXXXXX XXXXXXX/ (FR) XXXXX INTÉGRALE X'XXXXX XX X'XXXX XXXXX/ (XX) XXXX XXXXX XX XXXXXX DE XXXXXXX XX XXXXXX XXXXXXXXX/ (HR) XXXXXXXX XXXXXXXX IZ XXXXXXXXXX X OSOBNOM XXXXXX/ (XX) COPIA LETTERALE XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX XXĢXXXXX XXXXXXXX AUTENTISKA XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮXXXŲ PAŽODINĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXX XXX XXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (PT) CERTIDÃO XX CÓPIA XXXXXXXX XX XX XXXXXXXXX XX ATOS XX XXXXXXX XXXXX/ (XX) XXXXX XXXXXĂ X XXXX ACT XX XXXXX CIVILĂ/ (XX) XXXXXXXX XXXXX XX XXXXXXX O XXXXXXX XXXXX/ (SL) XXXXXXXXX XXXXXX LISTIN X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX SANATARKKA XÄXXXXXÖX/ (XX) ORDAGRANN XXXXXXXX XX FOLKBOKFÖRINGSHANDLING

3.3

(BG) НОТАРИАЛЕН АКТ/ (XX) ACTA XXXXXXXX/ (CZ) NOTÁŘSKÁ XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) NOTARIELLE XXXXXXX/ (ET) NOTARIAALDOKUMENT/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX ACT/ (XX) XXXX NOTARIÉ/ (XX) GNÍOMH XXXXXXXXXXXX/ (XX) JAVNOBILJEŽNIČKA XXXXXXX/ (XX) XXXX NOTARILE/ (XX) NOTARIĀLS AKTS/ (XX) XXXXXXXXX AKTAS/ (XX) XÖXXXXXXŐX OKIRAT/ (XX) XXX NOTARILI/ (XX) NOTARIËLE XXXX/ (XX) XXX XXXXXXXXXX/ (XX) XXX NOTARIAL/ (XX) ACT NOTARIAL/ (XX) NOTÁRSKA LISTINA/ (XX) XXXXXXXX XXXXXXX/ (XX) NOTAARIN 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, XXXXXX XXXX OPATŘENA XXXXXXX XXXXXXXXX XXXXXXXXX OSOBOU/ (XX) OFFICIEL XÅXXXXXXX XÅ XX XXXXXXXX XXXXXXXXXXX XX XX XXXXXX X XXXXXX XXXXXXXX XX PRIVATPERSON/ (XX) AMTLICHE XXXXXXXXXXXXX XXX XXXXX XXXXXXXXXXXXX/ (XX) ISIKU XXXXX XXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX AMETLIK TÕEND/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) OFFICIAL XXXXXXXXXXX XXXXXX XX X DOCUMENT XXXXXX XX A XXXXXX XX XXX XX XXX PRIVATE XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX XX XXXX XXXX SEING XXXXX/ (GA) XXXXXXXX XXXXXXXXX X CHUIRTEAR XX XXXXXXXXXX XXXX XXXXXX XX XXXXX XXX XXXXX XX XXX CÁIL XXXXXXXXXXXXXX/ (XX) XXXXXXXX POTVRDA XXXXXXXXX NA XXXXXXX XXXX JE XXXXX XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXĀXX XXXXXXXXĀXXXX XX XXXXXXXXX, XX XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX PERSONA/ (XX) XXXXXXXŲ ASMENŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX ELHELYEZETT XXXXXXXXX XXXXXXXXXXX/ (XX) ĊXXXXXXXXX XXXXĊXXXX LI XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX TAGĦHA/ (NL) XXXXXXXXX XXXXXXXXXXX OP XXX XXXXXXXX ONDERTEKEND XXXX XXX PERSOON XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (PL) XXXĘXXXX XXŚXXXXXXXXXX UMIESZCZONE XX XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ W XXXXXXXXXXX PRYWATNYM/ (PT) XXXXXXXÇÃX XXXXXXX INSERTA XXX XXX XX XXXXXXXX XXXXXXX/ (RO) XXXXXXXXXX XXXXXXX XXXXXXX XX XX XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX XX XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX XXXXX/ (XX) URADNA XXXXXX XX XXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, JONKA HENKILÖ XX ALLEKIRJOITTANUT XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX INTYG XXXXXXXXX PÅ XX XXXXXXXX XXX UNDERTECKNATS XX XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (ES) XXXXXXXXX XXXXXXXX XXX UN XXXXXX XXXXXXXXXXX O XXXXXXXX DE UN XXXXXX XXXXXXX CON XXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X RÁMCI XXXXXX XXXX SLUŽEBNÍCH XXXXXXXXXX/ (XX) DOKUMENT OFFICIELT XXXÆXXXXXX XX XX XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX REPRÆSENTANT/ (XX) XXX XXXXX XXXXXXXXXXXXXX XXXX KONSULARISCHEN XXXXXXXXX XXXXX XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (ET) XXXXXXXXXXXX DIPLOMAATILISE XÕX XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX DOKUMENT/ (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 XX XXXXXXXX XXXXX XX X XXXXXX XXXXX IN XXX XX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX ÉTABLI XX XX QUALITÉ XXXXXXXXXX XXX XX XXXXX XXXXXXXXXXXX OU XXXXXXXXXX X'XX XXXX XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX XX XXXXX XXXXXXXXX XXX CHÁIL XX INA XXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX X XXXXXXXXX SVOJSTVU XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX AGENTI XXXXXXXXXXX X XXXXXXXXX XX XXX STATO XXXXXX XXXX'XXXXXXXXX DELLE XXXX XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX XXXXX XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX XX XXXXXXXXXX XXXXXXŪXX, VEIKIANČIO XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX KONZULI XXXXXXXXŐXX XXXXX XXXXXXXXX MINŐSÉGÉBEN XXXXXXXXXX OKIRAT/ (MT) XXXXXXXX XXĦXXXX XXXX XĠXXX XXXXXXXXXXX JEW XXXXXXXXX XX' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (NL) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX IN XXXX XXXXXXËXX XXXXXXXXXXXX/ (PL) XXXXXXXX SPORZĄDZONY XXXXX XXXXXXXXXXXXXXX DYPLOMATYCZNEGO XXX XXXĘXXXXX XXXXXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX URZĘDOWYM/ (XX) XXXXXXXXX XXXXXXX XXX XX AGENTE DIPLOMÁTICO XX CONSULAR XX XX XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX XXXÇÕXX OFICIAIS/ (XX) XXXXXXXX ÎXXXXXXX XX XĂXXX XX XXXXX XXXXXXXXXX SAU CONSULAR XX XXXX STAT XXXXXX, ÎN XXXXXXXX XXXXXXXĂ/ (SK) LISTINA XXXXXXXXXX XXXXXXXXXXXXX ZÁSTUPCOM XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXX, XX XX XXX XXXXXX OSEBA IZDA XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX, JONKA XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX KONSULIEDUSTAJA ON XXXXXXXX VIRANTOIMITUKSESSA/ (XX) XXXXXXXX XXXXÄXXXX I XXÄXXXXX XX EN XXXXXXXXXXX XXXXX KONSULÄR XXÄXXXXXXX X EN XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (DD/MM/AAAA) DE XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) XXXXXX/ (DA) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX KUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (XX/XX/XXXX) OF XXXXX/ (XX) DATE (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) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (DD/MM/MMMM)/ (XX) X KIÁLLÍTÁS XXXXXX (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) XXXXX (XX/XX/XXXX) VAN XXXXXXX/ (XX) XXXX (XX/XX/XXXX) WYDANIA/ (XX) XXXX DE XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (SV) DATUM (XX/XX/ÅÅÅÅ) XÖX UTFÄRDANDE

3.7

(BG) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX XXXXXXXXXX XXX DOCUMENTO XXXXXXX/ (XX) XXXXXXXXXX ČÍSLO XXXXXXX XXXXXXX/ (XX) XXX OFFENTLIGE XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) KENNNUMMER XXX ÖXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXX DOKUMENDI XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) REFERENCE XXXXXX OF THE XXXXXX DOCUMENT/ (XX) XXXXXX XX XXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) UIMHIR XXXXXXXXX XX DOICIMÉID XXXXXXX/ (XX) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXX XXX XXXXXXXXX PUBBLICO/ (XX) XXXXXXXĀ DOKUMENTA XXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXXXXX NUMERIS/ (XX) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXX XX' REFERENZA XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX DOKUMENTU XXXĘXXXXXX/ (XX) XXXXXX XX XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (RO) XXXĂXXX XX XXXXXXXȚĂ XX XXXXXXXXXXXX OFICIAL/ (XX) REFERENČNÉ XXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX JAVNE XXXXXXX/ (XX) YLEISEN XXXXXXXXXX XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) РЕГИСТРИРАНО ПАРТНЬОРСТВО/ (XX) XXXXX XX XXXXX REGISTRADA/ (XX) XXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXX PARTNERSKAB/ (DE) XXXXXXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX KOOSELU/ (EL) ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΥΜΒΙΩΣΗ/ (EN) XXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXXX/ (HR) XXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXX XXXXXXXXXX/ (LV) XXĢXXXXĒXXX PARTNERATTIECĪBAS/ (XX) XXXXXXXXXXX XXXXXXXXXXĖ/ (XX) XXXXXXXXXX XXXXXXXXX XXXXXXXXX/ (XX) XĦXXXXX XXXĠXXXXXXX/ (XX) GEREGISTREERD PARTNERSCHAP/ (XX) XXXXXXXXXXXXXX ZWIĄZEK XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX ÎXXXXXXXXXX/ (SK) XXXXXXXXXXXX XXXXXXXXXXX/ (SL) REGISTRIRANA XXXXXXXXXX XXXXXXXX/ (FI) XXXXXXXXÖXXX PARISUHDE/ (SV) XXXXXXXXXXX XXXXXXXXXXX

4.1

(XX) ДАТА (ДД/ММ/ГГГГ) НА РЕГИСТРИРАНЕ НА АКТА/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXXX DE LA XXXXX XX XXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXXX XXXXXXXXXXX/ (XX) XXXX (DD/MM/ÅÅÅÅ) XXX XXXXXXXXXXXXXX AF XXXXXXXXXXXXX/ (XX) XXXXX (TT/MM/JJJJ) XXX EINTRAGUNG XXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΚΑΤΑΧΩΡΙΣΗΣ ΤΗΣ ΠΡΑΞΗΣ/ (XX) DATE (XX/XX/XXXX) XX XXX XXXXXXXXXXXX XX THE XXXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) X'XXXXXXXXXXXXXX XX XXXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXX NA PÁIRTNÉIREACHTA/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXXXXXX PARTNERSTVA/ (IT) XXXX XX XXXXXXXXXXXXX XXXX'XXXX (XX/XX/XXXX)/ (XX) XXXXXXXXXXXXXĪXX REĢISTRĀCIJAS XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXXXĖX XXXXXXXXXXXXX XXXX (DD/MM/MMMM)/ (XX) XX XXXXXXXXX XXXXXXXXX XXXXXXXXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) TAR-REĠISTRAZZJONI XXX-XĦXXXXX/ (XX) DATUM (XX/XX/XXXX) XXX DE XXXXXXXXXXX XXX XX XXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXXXX XXXĄXXX PARTNERSKIEGO/ (XX) DATA DE XXXXXXX XX XXXXXXXX (XX/XX/XXXX)/ (RO) DATA (XX/XX/XXXX) ÎXXXXXXXXĂXXX XXXXXXX/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) PARISUHTEEN REKISTERÖINTIPÄIVÄ (XX/XX/XXXX)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXXXXXXXXXX XX PARTNERSKAPET

4.2

(BG) МЯСТО И ДЪРЖАВА НА РЕГИСТРИРАНЕ НА АКТА/ (XX) LUGAR X XXXX DE XXXXXXXXXXX XX XX XXXXX XX XXXXX/ (XX) XXXXX X XXXX XXXXXXXXXX XXXXXXXXXXX/ (XX) XXXX XX XXXX XXX XXXXXXXXXXXXXX XX XXXXXXXXXXXXX/ (DE) ORT XXX XXXX DER XXXXXXXXXX DER XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXXXXXXXXXX XXXX XX XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΚΑΤΑΧΩΡΙΣΗΣ ΤΗΣ ΠΡΑΞΗΣ/ (XX) XXXXX XXX XXXXXXX OF XXX XXXXXXXXXXXX XX XXX XXXXXXXXXXX/ (FR) XXXX XX XXXX X'XXXXXXXXXXXXXX DU PARTENARIAT/ (XX) XXX XXXX XXX CHLÁRÚ XX XXXXXXXXXXXXXXX/ (XX) XXXXXX X XXXXXX XXXXXXXXXXXXX XXXXXXXXXXX/ (IT) XXXXX X PAESE DI XXXXXXXXXXXXX XXXX'XXXX/ (XX) XXXXXXXXXXXXXĪXX REĢISTRĀCIJAS XXXXX XX XXXXXX/ (XX) XXXXXXXXXXĖX XXXXXXXXXXXXX XXXXX XX ŠALIS/ (XX) XX XXXXXXXXX XXXXXXXXX XXXXXXXXXXXXX XXXXX ÉS XXXXXXX/ (MT) POST X PAJJIŻ TAR-REĠISTRAZZJONI XXX-XĦXXXXX/ (XX) PLAATS XX LAND VAN XX XXXXXXXXXXX VAN XX AKTE/ (XX) XXXXXXX X XXŃXXXX XXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX / (XX) XXXXX X PAÍS XX XXXXXXX XX PARCERIA/ (XX) XXXXX ȘI ȚXXX ÎNREGISTRĂRII XXXXXXX/ (XX) MIESTO A XXXX UZAVRETIA XXXXXXXXXXXXXX XXXXXXXXXXX/ (SL) XXXX XX XXXXXX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXÖXXXXXXXXXX XX -XXX/ (XX) XXX XXX XXXX XÄX XXXXX XXXXXXXXXXXXX

5.

(XX) ПАРТНЬОР А/ (XX) MIEMBRO X/ (CZ) XXXXXXX/XXXXXXXXX X/ (XX) XXXXXXX X/ (DE) XXXXXXX X/ (ET) XXXXXXX X/ (XX) ΣΥΝΤΡΟΦΟΣ Α/ (XX) PARTNER X/ (FR) XXXXXXXXXX X/ (XX) PÁIRTNÉIR X/ (XX) XXXXXXX X/ (XX) PARTNER X/ (LV) PARTNERIS X/ (LT) XXXXXXXXX X/ (XX) „X” XXXXXXXXX/ (XX) SIEĦEB X/ (XX) XXXXXXX X/ (XX) XXXXXXX X/ (PT) XXXXXXXX X/ (XX) XXXXXXXXXX X/ (XX) XXXXXXX X/ (XX) PARTNER X/ (FI) XXXXXXXX X/ (XX) XXXXXXX X

5.1

(XX) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (ES) XXXXXXXX(X) XX XXXXXXXXXX/ (XX) XXXXX/X PŘÍJMENÍ/ (XX) EFTERNAVN(E) XXX XØXXXXX/ (XX) FAMILIENNAME(N) XXX XXX XXXXXX/ (XX) XÜXXXXÄXXXX XXXXXXXXXXXXX (XÜXXXXÄXXXXX PEREKONNANIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (XX) SURNAME(S) XX BIRTH/ (XX) XXX(X) À XX XXXXXXXXX/ (XX) SLOINNE (XXXXXXXX) XXXXXXX/ (XX) XXXXXXX(XX) XXX XXĐXXXX/ (XX) XXXXXXX/X XXXX XXXXXXX/ (XX) XXXĀXXX(-X) XXXXXXXXX XXĪXĪ/ (LT) XXXXXXĖ (-ĖX), XXXXXXXX (-XX) XXXXX/ (XX) XXÜXXXXXX XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) XXX-XXXXXX/ (XX) ACHTERNA(A)M(EN) BIJ XX GEBOORTE/ (XX) XXXXXXXX(-X) XXXXXX/ (XX) XXXXXXX(X) À XXXX XX XXXXXXXXXX/ (XX) XXXXXX LA NAȘTERE/ (XX) RODNÉ XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX OB XXXXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXXXÄXXXXXXXÄ/ (SV) XXXXXXXXX XXX XÖXXXXX

5.2

(XX) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ АКТА/ (XX) XXXXXXXX(X) XXXXX XX LA XXXXXXXXXXX/ (CZ) XXXXXXXX XXXX XXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) EFTERNAVN(E) XØX XXXXXXXXXXXXXX/ (DE) XXXXXXXXXXXX(X) VOR XXX XXXXXXXXXX XXX PARTNERSCHAFT/ (XX) PEREKONNANIMI (-NIMED) XXXX XXXXXXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΑΠΟ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (XX) XXXXXXX(X) XXXXXX XXX XXX/ (FR) XXX(X) AVANT X'XXXX/ (XX) XXXXXXX (XXXXXXXX) XXXXX AN xXXXXXX/ (XX) XXXXXXX(XX) XXXXX XXXXXXXXXXXXX PARTNERSTVA/ (XX) XXXXXXX/X XXXXX XXXX'XXXX/ (XX) XXXĀXXX(-X) XXXXX XXXX/ (LT) XXXXXXĖ (-ĖX) PRIEŠ XXXXXXXX XXXĄ/ (XX) CSALÁDI XXXX(X) AZ ÉLETTÁRSI XXXXXXXXX BEJEGYZÉSE ELŐTT/ (XX) XXXXXX(/XXXXXXXXXXX) QABEL X-XXX/ (XX) ACHTERNA(A)M(EN) XXXX XX AKTE/ (XX) XXXXXXXX(-X) XXXXX XXXXXXXXXXĄ XXXĄXXX/ (XX) XXXXXXX(X) ANTES XX XXX/ (RO) XXXXXX ÎXXXXXX XX ÎXXXXXXXXXXXX XXXXXXXXXXXXXXX/ (SK) XXXXXXXXXX(-X) XXXX XXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXX/XXXXXXX XXXX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) SUKUNIMI (-XXXXX) XXXXX XXXXXXXXÖXXXXÄ/ (XX) XXXXXXXXX FÖRE XXXÅXXXXX

5.3

(XX) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА РЕГИСТРИРАНЕТО НА АКТА/ (XX) XXXXXXXX(X) XXXXXXX DE XX XXXXXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXX PARTNERSTVÍ/ (XX) XXXXXXXXX(X) XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXXX XXX EINTRAGUNG XXX XXXXXXXXXXXXX/ (ET) PEREKONNANIMI (-XXXXX) XÄXXXX REGISTREERIMIST/ (XX) ΕΠΏΝΥΜΟ(-Α) ΜΕΤΑ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (XX) XXXXXXX(X) FOLLOWING XXX ACT/ (XX) XXX(X) À LA XXXXX DE L'ACTE/ (XX) XXXXXXX (XXXXXXXX) XXX XXX XX XXXXXX/ (HR) XXXXXXX(XX) XXXXX XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXX/X DOPO X'XXXX/ (XX) XXXĀXXX(-X) XĒX XXXX/ (XX) XXXXXXĖ (-ĖX) PO XXXX SUDARYMO/ (HU) XXXXXXX XXXX(X) AZ XXXXXXXXX KAPCSOLAT XXXXXXXXXX XXXX/ (MT) XXXXXX(/XXXXXXXXXXX) XXXX L-ATT/ (XX) XXXXXXXX(X)X(XX) NA DE XXXX/ (XX) XXXXXXXX(-X) XX XXXXXXXXXXX XXXĄXXX/ (XX) XXXXXXX(X) XXXX X ATO/ (XX) XXXXXX DUPĂ ÎXXXXXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX(-X) XX XXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (FI) SUKUNIMI (-XXXXX) XXXXXXXXÖXXXXX XÄXXXXX/ (XX) XXXXXXXXX XXXXX XXXÅXXXXX

5.4

(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)/ (FR) XXXXXX(X)/ (XX) CÉADAINM (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (XX) VĀRDS(-I)/ (XX) XXXXXX (-XX)/ (XX) UTÓNEVE(I)/ (XX) XXXX(/XXXXXXXX)/ (XX) VOORNA(A)M(EN)/ (XX) XXXĘ (XXXXXX)/ (XX) NOME(S) XXXXXXX(X)/ (XX) XXXXXXX/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) ETUNIMI (-NIMET)/ (XX) FÖRNAMN

5.5

(BG) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) SÜNNIKUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) DATE (XX/XX/XXXX) XX XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (DD/MM/GGGG) XXĐXXXX/ (IT) DATA XX XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX XXXX (DD/MM/MMMM)/ (XX) XXÜXXXXXX XXXXX (ÉÉÉÉ/HH/NN)/ (XX) DATA (JJ/XX/SSSS) XXX-XXXXXX/ (NL) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX DE XXXXXXXXXX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) NAȘTERII/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXX/ (XX) SYNTYMÄAIKA (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

5.6

(XX) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (XX) XØX/ (DE) XXXXXXXXXX/ (ET) XXXX/ (XX) ΦΥΛΟ/ (EN) XXX/ (XX) SEXE/ (XX) XXXXXX/ (HR) XXXX/ (XX) SESSO/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) NEME/ (XX) SESS/ (XX) XXXXXXXX/ (XX) PŁEĆ/ (XX) XXXX/ (RO) XXXXX/ (XX) POHLAVIE/ (XX) XXXX/ (FI) XXXXXXXXX/ (XX) XÖX

5.6.1

(XX) ЖЕНСКИ/ (ES) MUJER/ (XX) XXXX/ (DA) XXXXXX/ (DE) WEIBLICH/ (XX) NAISSOOST/ (XX) ΘΗΛΥ/ (XX) FEMALE/ (XX) FÉMININ/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (LV) XXXXXXXX/ (LT) XXXXXXX/ (XX) XŐ/ (MT) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (PT) XXXXXXXX/ (XX) FEMEIESC/ (XX) XXXXXX/ (SL) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX

5.6.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (XX) XXXX/ (XX) XÄXXXXXX/ (XX) XXXXXXXXX/ (EL) ΑΡΡΕΝ/ (XX) MALE/ (FR) XXXXXXXX/ (XX) XXXXXXX/ (XX) MUŠKI/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) VYRAS/ (XX) XXXXX/ (XX) RAĠEL/ (XX) XXX/ (XX) XĘŻXXXXXX/ (XX) XXXXXXXXX/ (XX) BĂRBĂTESC/ (SK) XXXXXX/ (XX) XXXXX/ (XX) MIES/ (XX) XXX

5.6.3

(XX) НЕОПРЕДЕЛЕН/ (ES) XXXXXXXXXXXXX/ (XX) NEURČENO/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) UNDETERMINED/ (XX) XXXXXXXXXXX/ (GA) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (IT) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (HU) XXXXXXXXXXXXXXX/ (MT) XXXX XXXXXXXXX/ (NL) XXXXXXXXX/ (XX) PŁEĆ XXXXXXXŚXXXX/ (XX) XÃX DEFINIDO/ (XX) NEDETERMINAT/ (SK) XXXXXXXX/ (XX) NEDOLOČEN/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX FASTSTÄLLT

6.

(BG) ПАРТНЬОР X/ (ES) XXXXXXX X/ (XX) XXXXXXX/XXXXXXXXX X/ (XX) XXXXXXX X/ (XX) PARTNER X/ (ET) PARTNER X / (EL) ΣΥΝΤΡΟΦΟΣ X/ (EN) XXXXXXX X/ (FR) XXXXXXXXXX X/ (XX) XXXXXXXXX X/ (XX) XXXXXXX X/ (XX) XXXXXXX X/ (XX) XXXXXXXXX B/ (LT) XXXXXXXXX X/ (HU) „X” ÉLETTÁRS/ (XX) XXXĦXX X/ (NL) XXXXXXX B/ (XX) XXXXXXX X/ (XX) XXXXXXXX X/ (XX) XXXXXXXXXX B/ (XX) XXXXXXX B/ (XX) XXXXXXX X/ (FI) XXXXXXXX X/ (XX) XXXXXXX B

7.

(BG) ПОЛЕ ЗА ПОДПИС/ (ES) XXXXXXXX XXXX XX XXXXX/ (XX) XXXX XXX XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (DE) UNTERSCHRIFTENFELD/ (XX) ALLKIRJALAHTER/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) XXXXX POUR LA XXXXXXXXX/ (XX) BOSCA XXX XXXXX/ (XX) XXXXX ZA XXXXXX/ (XX) XXXXXXXX XXX XX XXXXX/ (XX) XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXX/ (HU) XX ALÁÍRÁS SZÖVEGDOBOZA/ (XX) XXXXX XXX-XXXXXXXX/ (XX) VAK VOOR XX XXXXXXXXXXXX/ (XX) XXXX PODPISU/ (XX) XXXXÇX DESTINADO À XXXXXXXXXX/ (XX) SEMNĂTURA/ (XX) XXXXXXX XX 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 NOMBRE(S) XXX XXXXXXXXXXX QUE XXXXXXX XXXX XXXXXXX/ (CZ) XXXXXXXX X JMÉNO (XXXXX) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXX(X) XX XXXXXXX(X) XÅ XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) FAMILIENNAME(N) XXX XXXXXXX(X) XXX BEAMTEN, XXX XXXXXX FORMULAR XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX VORMI VÄLJASTANUD XXXXXXXX XXXXXXX (-XXXXX) XX XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXX(X) AND XXXXXXXX(X) XX XXX OFFICIAL XXX XXXXXX XXXX XXXX/ (XX) NOM(S) XX PRÉNOM(S) XX XXXXXXXXXXXXX XXX A XXXXXXX LE XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXXX XXXXXXXX (XXXXXXXXXXXXXX) AN XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXX(XX) I XXX(XX) XXXXXXXXXX KOJI XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXX/X X XXXX/X XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX ŠO XXXXXXXX, XXXĀXXX(-X) XX XĀXXX(-X)/ (XX) XXĄ XXXXĄ XXXXXXXXX PAREIGŪNO XXXXXXĖ (-ĖX) IR VARDAS (-XX)/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX TISZTVISELŐ XXXXXXX XXXX(X) ÉS XXXXXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦAREĠ XXX XX-XXXXXXX/ (XX) XX(X)X(XX) XX XXXXXX(X)X(XX) VAN XX AMBTENAAR XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) X XXXĘ (XXXXXX) XXXĘXXXXX, KTÓRY XXXXŁ XXXXXXXXX XXXXXXXXX/ (PT) XXXXXXX(X) X XXXX(X) XXXXXXX(X) XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX FORMULÁRIO/ (RO) XXXXXX ȘX XXXXXXXXX XXXXȚXXXXXXXXX CARE X XXXX XXXXXXXXX XXXXXXXX/ (XX) PRIEZVISKO(-Á) A XXXX(-X) ÚRADNÍKA, KTORÝ XXXXX XXXXX FORMULÁR/ (XX) XXXXXXX/XXXXXXX XX XXX/XXXXX URADNIKA, KI XX XXXXX TA XXXXXXX/ (FI) TÄMÄN XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXXXXX (-NIMET) XX XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX OCH XÖXXXXX XÅ XXX XXÄXXXXXXX XXX XXX UTFÄRDAT XXXXX FORMULÄR

7.2

(BG) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX XXXXXXXXXXX XXX EXPIDIÓ XXXX IMPRESO/ (XX) XXXXXX ÚŘEDNÍKA, XXXXX XXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXX — XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) STELLUNG XXX XXXXXXX, DER XXXXXX FORMULAR XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX XX XXX OFFICIAL XXX ISSUED XXXX XXXX/ (XX) XXXXX XX XXXXXXXXXXXXX QUI X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXX XX XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (HR) XXXXXXXX XXXXXXXXXX XXXX XX XXXXX XXXX XXXXXXX/ (IT) XXXXXXXXX XXX FUNZIONARIO XXX XX XXXXXXXXXX IL XXXXXXXX MODULO/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX VEIDLAPU, XXXXX/ (XX) XXĄ FORMĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX TAL-UFFIĊJAL XX ĦAREĠ XXX XX-XXXXXXX/ (XX) XXXXXXX XXX XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX DO XXXXXXXXXXX QUE XXXXXX X PRESENTE FORMULÁRIO/ (XX) POZIȚIA XXXXȚXXXXXXXXX XXXX X EMIS XXXXXXXXX FORMULAR/ (XX) XXXXXXX XXXXXXXX, KTORÝ XXXXX XXXXX XXXXXXXX/ (XX) POLOŽAJ URADNIKA, XX JE IZDAL XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX XÖX DEN XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX FORMULÄR

7.3

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) VÄLJAANDMISE XXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (DD/MM/YYYY) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) DÁTA (XX/XX/XXXX) EISIÚNA/ (HR) XXXXX (DD/MM/GGGG) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) A XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) VAN AFGIFTE/ (XX) XXXX (DD/MM/RRRR) XXXXXXX/ (XX) DATA XX XXXXXÃX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) DATUM (XX/XX/ÅÅÅÅ) XÖX UTFÄRDANDE

7.4

(BG) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) UNTERSCHRIFT/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (LV) XXXXXXXX/ (XX) PARAŠAS/ (XX) XXXXXXX/ (MT) FIRMA/ (XX) HANDTEKENING/ (XX) XXXXXX/ (XX) ASSINATURA/ (XX) SEMNĂTURA/ (SK) XXXXXX/ (SL) XXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

7.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (ES) SELLO X TIMBRE/ (XX) XXXXX XXXX XXXXXXX/ (XX) SEGL XXXXX XXXXXXX/ (XX) SIEGEL XXXX STEMPEL/ (XX) XXXXXX VÕI XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX XXXXX/ (XX) XXXXX OU XXXXXX/ (XX) SÉALA XX XXXXXX/ (XX) XXX ILI PEČAT/ (XX) XXXXX O XXXXXX/ (XX) XĪXXXX XXX XXXXXXXX/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (XX) PECSÉT VAGY XXXXXXXŐXXXXXXXX/ (XX) SIĠILL XXX TIMBRU/ (NL) XXXXX OF XXXXXXX/ (XX) PIECZĘĆ LUB XXXXXXX/ (XX) XXXX XX XXXXXXX/ (RO) XXXXXXXX SAU ȘTAMPILA/ (XX) PEČAŤ XXXXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXX XXX/ (XX) XXXXXXX TAI XXXXX/ (XX) SIGILL XXXXX XXÄXXXX

XXXXXXXXXXX X XXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX XXX PŘEKLAD

Článek 7 xxxxxxxx Xxxxxxxxxx xxxxxxxxxx x Rady (XX) 2016/1191 xx xxx 6. července 2016 x podpoře xxxxxxx xxxxxx občanů xxxxxxxxxxxxx požadavků xx xxxxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx v Evropské xxxx a x xxxxx xxxxxxxx (XX) x. 1024/2012 (1)

Xxxxxx (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (CZ)

Dánsko (XX) Xxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (ES)

Francie (XX) Xxxxxxxxxx (XX)

Xxxxxx (IT) Xxxx (XX)

Xxxxxxxx (LV) Xxxxx (LT)

Lucembursko (LU)

Maďarsko (XX) Malta (XX)

Xxxxxxxxxx (XX) Rakousko (XX)

Xxxxxx (XX) Xxxxxxxxxxx (PT)

Rumunsko (XX) Xxxxxxxxx (SI)

Slovensko (XX) Xxxxxx (FI)

Švédsko (XX) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX UPOZORNĚNÍ

Jediným xxxxxx xxxxxx xxxxxxxxxxxxx standardního xxxxxxxxx xx usnadnění xxxxxxxx xxxxxxx listiny, x xxx je xxxxxxxx. Xxxxx xxxxxxxx xx xxxx členskými xxxxx nesmí xxxxxxxxx xxxx xxxxxxxxxx dokument.

Tento xxxxxxxx odráží xxxxx xxxxxxx listiny, k xxx xx xxxxxxxx. Xxxxx, jemuž xx xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx xxxx v xxxxxxxxx, xxx xx xx nezbytné xxx xxxxx zpracování xxxxxxx xxxxxxx, požadovat xxxxxxx xx xxxxxx xxxxxxxxx, xxxxx xxxx xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX PRO XXXXXXXXXX ORGÁN

Uveďte xxxxx xxxxxxxxx, xxxxx jsou xxxxxxx xx xxxxxxx xxxxxxx, x xxx xx xxxxxxxx xxxxx xxxxxxxx. (2)

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

1. ORGÁN XXXXXXXXXX TENTO XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

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

3.1 Listina xxxxxx xxxxxxx xxxx xxxxxxxxx x xxxxxx xx xxxxx xxxxxx xxxxxxxxx xxxxx

3.1.1 Rozhodnutí xxxxx

3.1.2 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Listina xxxxxx xxxxxx xxxxxxx xxxxxxxxx

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

3.1.5 Xxxx (upřesněte)

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

(2) Xxx vyplňování xxxxx xxxxxxxx xxxxxxx xxxxx.

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

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

3.2 Xxxxxxx vydaná xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Výpis x matriky

3.2.3 Výpis x registru obyvatel

3.2.4 Xxxx xxxxxxxxxx xxxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, xxxxxx byla xxxxxxxx xxxxxxx xxxxxxxxx soukromou xxxxxx

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

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Referenční xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXX X XXXXXXX OSOBĚ

4.1 Xxxxxxxx

4.2 Xxxxx (xxxxx)

4.3 Xxxxx (dd/mm/rrrr) xxxxxxxx

4.4 Xxxxx (1) x xxxx (2) xxxxxxxx

4.5 Xxxxxxx:

4.5.1 Xxxx

4.5.2 Muž

4.5.3 Xxxxxxxx

4.6 Státní xxxxxxxxxxx

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

5.1 Xx xxxxxxx xxxxx způsobilá xxxxxxx xxxxxxxxxxxx partnerství xxxxx vnitrostátního xxxxx xxxxxxxxx státu, v xxxx xx veřejná xxxxxxx vydána.

5.2 Dotyčná xxxxx xxxxxx xxxxxxxxxx xxx xxxx xxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxx xxxxxxxxxxxxxx xxxxx xxxxxxxxx xxxxx, x xxxx xx xxxxxxx xxxxxxx xxxxxx.

5.3 Xxxxxxxxxx xxxxx xxxxx xxxxxxxx, xxx xxxxxxx xxxxx xxxxxxxx xxxxxxxxxxxx partnerství podle xxxxxxxxxxxxxx xxxxx xxxxxxxxx xxxxx, x xxxx xx veřejná xxxxxxx xxxxxx.

5.4 Xxxxxxxxxx xxxxx xxxxx xxxxxxxx registrovaného xxxxxxxxxxx mezi xxxxxxxx xxxxxx x xxxxx xxxxxxxx xxxxxxxxx / xxxx xxxxxxx partnerkou xxxxx vnitrostátního xxxxx xxxxxxxxx státu, x xxxx xx xxxxxxx xxxxxxx xxxxxx.

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

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

(2) Xxxxx země x – xxxxx xxxxxxxx – kód XXX xxxx xxxx xxxx xxxxxxx „Jiné (xxxxxxxxx)“ xx xxxxx xxxxxx x xxxxxxxxxxx xxxxxxx ve xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxxxxxx, xxxxx xx k xxxxxxxxx xx xxxxxxx xxxxxxxx x-xxxxxxx.

(3) Xxx xxxxxx více xxxxxxxx.

6. XXXXXXXXX O XXXXXXXX XXXXXXXXXX / BUDOUCÍ XXXXXXXXX XXXXXXX XXXXX

4.1 Xxxxxxxx

4.2 Xxxxx (xxxxx)

4.3 Xxxxx (xx/xx/xxxx) 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 Xxxxxx příslušnost

7. XXXX XXX PODPIS

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

7.2 Xxxxxx xxxxxxxx, který xxxxx xxxxx xxxxxxxx

7.3 Xxxxx (xx/xx/xxxx) xxxxxx

7.4 Xxxxxx

7.5 Pečeť xxxx xxxxxxx

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

(2) Xxxxx země x – xxxxx xxxxxxxx – xxx ISO xxxx xxxx xxxx xxxxxxx „Xxxx (xxxxxxxxx)“ xx xxxxx vybrat x rozbalovací nabídky xx vzorovém xxxxxxxxxxxx xxxxxxxxxxx xxxxxxxxx, xxxxx xx x xxxxxxxxx xx portálu xxxxxxxx x-xxxxxxx.

XXXXXXXXXXX XXXXXX NÁZVŮ XXXXXXXXXXXX XXXXXXX

(XXXXXXXXXXX XX XXXXXX XX XXXXXXXXXXXXXX XXXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX TENTO XXXXXXXX/ (XX) XXXXX XXXXXXXXX UDSTEDENDE MYNDIGHED/ (XX) XXXÖXXX, XXX XXXXXX FORMULAR XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX XÄXXX ANDNUD ASUTUS/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX FORM/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX tÚDARÁS X XXXXXXXX XX XXXXXX SEO/ (HR) XXXXXX XXXX IZDAJE XXXX XXXXXXX/ (XX) XXXXXXXÀ XXX RILASCIA XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXX IZDEVĒJIESTĀDE/ (XX) ŠIĄ XXXXĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX XX' XXX XX-XXXXXXX/ (NL) XXXXXXXXXX XXX XXXXXXX XXX XXX FORMULIER/ (XX) XXXXX XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX QUE XXXXX X PRESENTE FORMULÁRIO/ (XX) AUTORITATEA XXXXXXXĂ X PREZENTULUI XXXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXX XXXXXXXX/ (SL) XXXXX, XX XXXX XX XXXXXXX/ (FI) XÄXÄX LOMAKKEEN XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) DENOMINACIÓN/ (XX) NÁZEV/ (DA) XXXXXXXXXX/ (DE) XXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (EN) XXXXXXXXXXX/ (XX) DÉNOMINATION/ (GA)AINMNIÚ/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) PAVADINIMAS/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXX/ (PT) XXXXXXXÇÃX/ (XX) XXXXXXXX/ (SK) XXXXX/ (SL) XXX/ (XX) XXXX/ (SV) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX EXPIDE XX XXXXXXXXX XXXXXXX XX QUE SE XXXXXXX XXXX XXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXX XXXXXXXXX, DER XXX XXXXXXX DET XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXÖXXX, XXX XXX ÖFFENTLICHE XXXXXXX, XXX DIESES XXXXXXXX XXXXXXÜXX XXX, XXXXXXXXX/ (XX) XXXXXX, XXX XXXXX XÄXXX XXXXXXX XXXXXXXXX, MILLELE XXX XXXX XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXX XXXXXXX XXX XXXXXX DOCUMENT XX XXXXX THIS FORM XX XXXXXXXX/ (FR) XXXXXXXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX PRÉSENT XXXXXXXXXX/ (XX) AN xXXXXXX X XXXXXXXX AN XXXXXXXXX POIBLÍ XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (HR) XXXXXX KOJE XXXXXX XXXXX XXXXXXX XXXXX XX OVAJ OBRAZAC XXXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXXX PUBBLICO XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ DOKUMENTA, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ XXXXXXXXĄ, PRIE XXXXX PRIDEDAMA ŠI XXXXX, IŠDUODANTI VALDŽIOS XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATOT XXXXXXXX HATÓSÁG/ (XX) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX LI XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (NL) AUTORITEIT XXX XXXXXXX XXX XXX OPENBAAR DOCUMENT XXXXXXX DIT FORMULIER XX XXXXXXX/ (PL) XXXXX WYDAJĄCY XXXXXXXX XXXĘXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX ESTÁ XXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X DOCUMENTULUI XXXXXXX XX XXXX XXXX XXXXXX PREZENTUL FORMULAR/ (XX) ORGÁN XXXXXXXXXX XXXXXXX LISTINU, XX XXXXXX JE TENTO XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX IZDA XXXXX XXXXXXX, XX XX XX PRILOŽEN XX XXXXXXX/ (FI) XXXXXXXXXXXX, XXXX XX XXXXXXX YLEISEN XXXXXXXXXX, XXXXX XÄXÄ LOMAKE XXXXXXÄÄX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXX XXXXXXXXXX HANDLING TILL XXXXXX XXXXX FORMULÄR ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX XX DOCUMENTO PÚBLICO XX XXX XX XXXXXXX ESTE XXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXX XXXXXXX, X XXX JE XXXXXXXX TENTO XXXXXXXX/ (XX) XXXXXXXXXXX VEDRØRENDE XXX XXXXXXXXXX XXXXXXXX, XXX DENNE FORMULAR XX XXXXÆXXXX/ (DE) XXXXXXX ZUR ÖFFENTLICHEN XXXXXXX, XXX XXXXXX XXXXXXXX BEIGEFÜGT IST/ (XX) XXXXX XXXXXXX XXXXXXXXX KOHTA, XXXXXXX XXX XXXX XX XXXXXXX/ (EL) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) INFORMATION XXXXXXXX XX THE XXXXXX XXXXXXXX XX WHICH XXXX FORM XX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX AU DOCUMENT XXXXXX AUQUEL XXX XXXXX XX PRÉSENT XXXXXXXXXX/ (XX) XXXXXXXX X XXXXXXXXX LEIS XX DOICIMÉAD XXXXXX XXXX XXXXXX XX XXXXXX SEO XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXX XX ODNOSE NA XXXXX XXXXXXX KOJOJ XX OVAJ OBRAZAC XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX MODULO È XXXXXXXX/ (LV) INFORMĀCIJA XXX XXXXXXXX DOKUMENTU, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX ŠI XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATRA XXXXXXXXX XXXXXXXXXXX/ (MT) XXXXXXXXXXXXX XXXX ID-DOKUMENT XXXXXXXX LI MIEGĦU XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX HET XXXXXXXX XXXXXXXX WAARAAN DIT XXXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXX DOTYCZĄCE XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX RELATIVAS XX XXXXXXXXX XXXXXXX X XXX X PRESENTE XXXXXXXXXX XXXX APENSO/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX OFICIAL XX XXXX XXXX XXXXXX PREZENTUL XXXXXXXX/ (XX) XXXXXXXXXX O XXXXXXXX XXXXXXX, KU XXXXXX XX TENTO XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX X ZVEZI X XXXXX XXXXXXX, XX XX XX XXXXXXXX TA XXXXXXX/ (XX) TIEDOT XXXXXXXXÄ XXXXXXXXXXXX, JOHON TÄMÄ XXXXXX LIITETÄÄN/ (XX) XXXXXXXXXXX XX DEN XXXXXXXXXX HANDLING 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) DOCUMENTO XXXXXXXX XXX XXX XXXXXXXXX X XX XXXXXXXXXXX XXXXXXXXX X LOS XXXXXXX XXXXXXXXXXXXXXXX XX XX ESTADO XXXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXX XXXX XXXXXXXXX X XXXXXX XX XXXXX XXXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXXX, XXX ER XXXXXXX XX XX XXXXXXXXX XXXXX EN XXXXXXXXXX, XXX ER TILKNYTTET XXXXXXXX X XX XXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXÖXXX ODER XXXXX XXXXXXXXXX ALS XXXXX XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, MILLE XX XÄXXX XXXXXX LIIKMESRIIGI XXXXXXXXX XXXXXX AMETIASUTUS XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) DOCUMENT XXXXXXXXX XXXX XX XXXXXXXXX XX AN OFFICIAL XXXXXXXXX WITH XXX XXXXXX OR XXXXXXXXX XX A XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXX D'UNE AUTORITÉ XX X'XX XXXXXXXXXXXXX XXXXXXXX D'UNE XXXXXXXXXXX X'XX XXXX XXXXXX/ (XX) DOICIMÉAD X XXXXXXX Ó XXXXXX XX X OIFIGEACH X XXXXXX BAINT XXXX XX XXXX XX XXXXXXXXXX NÓ XX XXXXX XX XXXXX XXXXXXXXX/ (XX) XXXXXXX XXXX JE XXXXXX XXXXXX XXX XXXXXXXXX XXXX XXXXXX XXXXXXX/ (XX) DOCUMENTO XXXXXXX XX XX'XXXXXXXÀ X DA UN XXXXXXXXXXX XXXXXXXXXXXX XX XXX DELLE XXXXXXXXXXXXX XX XXX XXXXX XXXXXX/ (LV) DOKUMENTS, XXXX IZSNIEGUSI XX XXXĪXXXXXXX XXXXĀX XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (XX) DOKUMENTAS, XXXXXXXX XXXXXXXX XXXXXXXXXXXX AR XXXXXXŪXX, XXXXXXXXŲ SU XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX BÍRÓSÁGGAL XXXXXXXXXXXX XXXX XXXXXXX XXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (MT) DOKUMENT XXĦXXĠ XXXX XXXXXXXÀ XXX XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX XXX IT-TRIBUNALI TA' XXXX XXXXXX/ (NL) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX XXX XXX RECHTERLIJKE INSTANTIE XXX XXX XXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX ORGANU XĄXXXXXX XXX XXXĘXXXXX SĄDOWEGO XXŃXXXX XXŁXXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXXXX OU XX UM FUNCIONÁRIO XXXXXXXXXX DE QUALQUER XXXXXXXÇÃX XX UM XXXXXX-XXXXXX/ (XX) DOCUMENT XXXX XX O XXXXXXXXXX XXX XX XX XXXXȚXXXXX DE XX LÂNGĂ XXXXXXȚXXX XXXX STAT XXXXXX/ (XX) LISTINA XXXXXX XXXXXXX XXXXX ÚRADNÍKOM X VÄZBOU XX XXXX ČLENSKÉHO XXXXX/ (XX) XXXXXXX, XXXXXX X XXXXXX XXXXXX XXX XXXXXXXX SODNE XXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX XX ANTANUT JÄSENVALTION XXXXXXXXXXXXXXXX KUULUVA VIRANOMAINEN XXX XXXXXXXXX/ (SV) XXXXXXXX SOM HÄRRÖR XXÅX XX XXXXXXXXX XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X XX MEDLEMSSTAT

3.1.1

(BG) СЪДЕБНО РЕШЕНИЕ/ (XX) RESOLUCIÓN XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (FR) XXXXXXXX XX XXXXXXX/ (GA) XXXXXXXX XX xXXXXX/ (XX) SUDSKA ODLUKA/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) TIESAS XĒXXXX/ (XX) TEISMO SPRENDIMAS/ (XX) XXXXXXXX HATÁROZAT/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) RECHTERLIJKE XXXXXXXXXX/ (XX) ORZECZENIE XĄXXXX/ (XX) XXXXXÃX JUDICIAL/ (XX) HOTĂRÂRE XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) XXXXX ODLOČBA/ (XX) TUOMIOISTUIMEN PÄÄTÖS/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) DOKUMENT XXXXXXX XX EN XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT, XXXXX ON XÄXXX XXXXXX XXXXXXX SÜÜDISTAJA/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX EMANATING XXXX X XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX MINISTÈRE XXXXXX/ (XX) DOICIMÉAD A XXXXXXX Ó XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXXXX MINISTERO/ (XX) XXXXXXXXX, XXXX IZSNIEDZIS XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ MINN XXXXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXXXXX DOOR XXX XXXXXXXX MINISTERIE/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXX, KI XX XXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX JUDICIAL/ (CZ) XXXXXXX XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXÆX/ (DE) XXXXXXX EINES XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX XXXX X CLERK OF X COURT/ (FR) XXXXXXXX XXXXXXX D'UN XXXXXXXX/ (XX) DOICIMÉAD X XXXXXXX X XXXXXXXXXX XX CHUID XXXXXX/ (XX) XXXXXXX XXXX XX XXXXX XXXXXXXXXX XXXXXX PISARNICE/ (XX) DOCUMENTO XXXXXXX XX UN CANCELLIERE/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX SEKRETĀRS/ (XX) TEISMO XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXĠXXXXXXXX TA' QORTI/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX/ (XX) DOKUMENT POCHODZĄCY XX XXXXXXXXXX SĄDOWEGO/ (XX) DOCUMENTO PROVENIENTE XX UM OFICIAL XX XXXXXÇX/ (XX) XXXXXXXX EMIS DE XX XXXXXXX XX XXXXXXȚXX/ (SK) LISTINA XXXXXX SÚDNYM XXXXXXXXX/ (XX) LISTINA, XX XX IZDA XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXXX EXPEDIDO XXX XX XXXXXX XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (CZ) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX DE JUSTICE“)/ (XX) XXXXXXXX XXXXXXX XX XX STÆVNINGSMAND (»XXXXXXXX DE XXXXXXX«)/ (XX) URKUNDE EINES XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX VÄLJA XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXXXXXXX FROM X XXXXXXXX XXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) DOCUMENT ÉMANANT X'XX HUISSIER XX XXXXXXX/ (GA) XXXXXXXXX X XXXXXXX X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXX XX XXXXX XXXXXX XXXXXXXXX (XXXXXXXX XX JUSTICE)/ (XX) XXXXXXXXX XXXXXXX XX UN UFFICIALE XXXXXXXXXXX ("XXXXXXXX DE XXXXXXX")/ (XX) DOKUMENTS, XXXX XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (HUISSIER XX XXXXXXX)/ (XX) XXXXXXXXX (XXXXXXXX XX XXXXXXX) XXXXXXXX DOKUMENTAS/ (HU) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX JUSTICE”) XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠUDIZZJARJU ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX AFGEGEVEN DOOR XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX SĄDOWEGO (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX PROVENIENTE XX XX XXXXXXÃX XX XXXXXXX («HUISSIER XX XXXXXXX»)/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX JUSTICE”)/ (XX) XXXXXXX VYDANÁ XXXXXX XXXXXXXXXXĽXX („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXX, XX XX IZDA XXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX XX XXXXXXX”) XXXXXX XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX XXÅX XX XXÄXXXXXXXXX (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) XXXX (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX ANGEBEN)/ (XX) XXX (TÄPSUSTAGE)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) OTHER (XX XX XXXXXXXXX)/ (FR) XXXXX (À XXXXXXXX)/ (XX) EILE (LE XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (XX) XXXXX (XXXXXXXXX)/ (LV) XXXX (XXXXXXĒX)/ (XX) KITA (XXXXXXXX)/ (XX) EGYÉB (XXXXÜX XXXXXXXXXXX)/ (MT) XĦXXXX (IPPREĊIŻA)/ (XX) XXXXXXX (SPECIFICEREN)/ (PL) XXXX (PROSZĘ XXXXŚXXĆ)/ (XX) OUTROS (X XXXXXXXXXXX)/ (RO) XXXXX (X SE XXXXXXX)/ (XX) XXX (XXXXXXXX)/ (XX) DRUGO (NAVESTI)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (CZ) XXXXXXX XXXXXX SPRÁVNÍM XXXXXX/ (XX) ADMINISTRATIVT DOKUMENT/ (XX) URKUNDE EINER XXXXXXXXXXXXXXÖXXX/ (ET) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) DOICIMÉAD RIARACHÁIN/ (XX) UPRAVNA XXXXXXX/ (XX) XXXXXXXXX AMMINISTRATIVO/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) ADMINISTRACINIS XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXX AMMINISTRATTIV/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX ADMINISTRATIVO/ (XX) DOCUMENT ADMINISTRATIV/ (XX) XXXXXXX LISTINA/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX ASIAKIRJA/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) CERTIFICADO/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (DE) XXXXXXXXXXXXX/ (XX) TÕEND/ (EL) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (EN) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) POTVRDA/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (LT) XXXXXX, XXXXXXXXXX/ (HU) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) TODISTUS/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (ES) XXXXXXXX XXX REGISTRO XXXXX/ (XX) XXXXX X MATRIKY/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX PERSONENSTANDSREGISTER/ (ET) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX FROM XXX XXXXX XXXXXX XXXXXXXX/ (XX) XXXXXXX XX REGISTRE XX X'XXXX CIVIL/ (XX) XXXXXXX XX XX xXXXX STÁDAIS SHIBHIALTA/ (XX) XXXXXXX XX XXXXXXXX OSOBNOG XXXXXX/ (XX) XXXXXXXX XX XXXX XX STATO XXXXXX/ (XX) IZRAKSTS XX XXXXXXXĀXXXĻX XXXX XXĢXXXXX/ (LT) XXXXXXX XX CIVILINĖS XŪXXĖX XXXŲ XXXXXXXX/ (XX) XXXXXÖXXXX KIVONAT/ (MT) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (XX) UITTREKSEL XXX XXX XXXXXXXX XXX DE XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXX XX XXXX XX XXXXXXX CIVIL/ (RO) XXXXXX DIN XXXXXXXXX XX STARE CIVILĂ/ (XX) XXXXX X XXXXXXXX XXXXXXXX XXXXX/ (XX) IZPISEK XX XXXXXXXX X XXXXXXX XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (SV) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX XXX XXXXX/ (CZ) XXXXX Z XXXXXXXX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (EN) XXXXXXX XXXX XXX XXXXXXXXXX XXXXXXXX/ (XX) EXTRAIT XX XXXXXXXX DE XX XXXXXXXXXX/ (GA) XXXXXXX AS XX xXXXX XXXXXX/ (XX) XXXXXXX XX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XX IEDZĪVOTĀJU XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXXŲ XXXXXXXX/ (HU) XXXXXXX X SZEMÉLYIADAT- XX LAKCÍMNYILVÁNTARTÁSBÓL/ (XX) XXXXXXX MIR-REĠISTRU XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX XXX BEVOLKINGSREGISTER/ (XX) XXXXĄX X REJESTRU XXXXXŚXX/ (XX) XXXXXXX XX REGISTO XX XXXXXXÇÃX/ (RO) XXXXXX XXX XXXXXXXXX XX XXXXXXȚĂ X POPULAȚIEI/ (XX) XXXXX X XXXXXXXX XXXXXXXĽXX/ (XX) XXXXXXX IZ REGISTRA XXXXXXXXXXXX/ (XX) 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) XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXX XX XXXXXXXXXXXXXXXXXXX/ (DE) XÖXXXXXXX XXXXX XXX PERSONENSTANDSEINTRÄGEN/ (XX) PEREKONNASEISUAKTI XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) VERBATIM COPY XX XXXXX XXXXXX XXXXXXX/ (XX) XXXXX XXXXXXXXX D'ACTES DE X'XXXX CIVIL/ (XX) XXXX XXXXX XX XXXXXX DE XXXXXXX XX XXXXXX XXXXXXXXX/ (XX) DOSLOVNI PRIJEPIS XX EVIDENCIJA X XXXXXXX XXXXXX/ (IT) XXXXX XXXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX XXĢXXXXX IERAKSTU XXXXXXXXXX XXXXXX/ (XX) XXXXXXXĖX BŪKLĖS XXXŲ ĮXXXŲ PAŽODINĖ KOPIJA/ (XX) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXX XXX XXXXX VAN XX BURGERLIJKE XXXXX/ (XX) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXÃX XX XXXXX INTEGRAL OU XX XXXXXXXXX DE XXXX XX REGISTO XXXXX/ (RO) XXXXX XXXXXĂ X XXXX XXX XX STARE XXXXXĂ/ (XX) XXXXXXXX XXXXX XX ZÁPISOV X OSOBNOM XXXXX/ (XX) XXXXXXXXX PREPIS XXXXXX X OSEBNEM XXXXXX/ (XX) VÄESTÖREKISTERITIETOJEN XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) ACTA XXXXXXXX/ (XX) XXXXXXXX LISTINA/ (XX) NOTARBEKRÆFTET XXXXXXXX/ (XX) NOTARIELLE URKUNDE/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (EN) XXXXXXXX XXX/ (XX) XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (HR) XXXXXXXXXXXXXXXX ISPRAVA/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXĀXX AKTS/ (XX) XXXXXXXXX AKTAS/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (XX) XXX NOTARIALNY/ (PT) XXX XXXXXXXX/ (XX) XXX XXXXXXXX/ (SK) XXXXXXXX LISTINA/ (SL) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX ANTAMA ASIAKIRJA/ (XX) XXXXXXXXX HANDLING

3.4

(BG) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX PUESTA XXXXX XX DOCUMENTO XXXXXXX/ (XX) ÚŘEDNÍ XXXXXXXXX, XXXXXX XXXX XXXXXXXX LISTINA XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXX XÅXXXXXXX XÅ XX XXXXXXXX XXXXXXXXXXX XX EN PERSON X XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (DE) XXXXXXXX XXXXXXXXXXXXX XXX XXXXX PRIVATURKUNDE/ (ET) XXXXX POOLT XXXXXXXXXX XXXXXXXXXXXXXX DOKUMENDILE KINNITATAV XXXXXXX TÕEND/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) OFFICIAL XXXXXXXXXXX XXXXXX XX X XXXXXXXX SIGNED XX X XXXXXX XX XXX XX XXX XXXXXXX XXXXXXXX/ (FR) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX XX ACTE XXXX XXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX X XXXXXXXXX XX XXXXXXXXXX ARNA XXXXXX XX DUINE XXX XXXXX XX XXX XXXX XXXXXXXXXXXXXX/ (HR) XXXXXXXX XXXXXXX XXXXXXXXX XX XXXXXXX XXXX XX XXXXX XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (XX) DICHIARAZIONE UFFICIALE XXXXXXX SU XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXĀXX XXXXXXXXĀXXXX XX XXXXXXXXX, XX SAVĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (LT) PRIVAČIŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (MT) ĊERTIFIKAT XXXXĊXXXX XX JITQIEGĦED X'XXXXXXXX XXXXXXXX MINN XXXXXXX FIL-KAPAĊITÀ PRIVATA XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX OP XXX XXXXXXXX XXXXXXXXXXX DOOR XXX XXXXXXX XX XXXX PARTICULIERE XXXXXXXXXXXX/ (XX) XXXĘXXXX ZAŚWIADCZENIE XXXXXXXXXXX NA XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ X CHARAKTERZE XXXXXXXXX/ (PT) XXXXXXXÇÃX XXXXXXX XXXXXXX NUM XXX XX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXX APLICAT XX XX XXXXXXXX SUB XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX XX XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX AKO XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXX XX XXXXXXX XXXXXXX/ (FI) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, XXXXX HENKILÖ ON XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX XXXXX XXXXXXXXX XÅ XX HANDLING XXX XXXXXXXXXXXXX XX XX PRIVATPERSON

3.5

(BG) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXXXXX O XXXXXXXX XX XX ESTADO XXXXXXX XXX XXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXX KONZULÁRNÍM XXXXXXXXX XXXXXXXXX XXXXX V XXXXX XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX OFFICIELT UDFÆRDIGET XX EN MEDLEMSSTATS XXXXXXXXXXXX XXXXX KONSULÆRE XXXXÆXXXXXXX/ (XX) XXX XXXXX XXXXXXXXXXXXXX ODER XXXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXXX XX SEINER XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (ET) LIIKMESRIIGI XXXXXXXXXXXXXX VÕI KONSULAARAMETNIKU XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX DRAWN UP XX A XXXXXXXXXX XX XXXXXXXX XXXXX XX A XXXXXX XXXXX IN HIS XX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXX EN SA XXXXXXX XXXXXXXXXX XXX XX AGENT DIPLOMATIQUE XX XXXXXXXXXX D'UN XXXX XXXXXX/ (XX) XXXXXXXXX ARNA THARRAINGT XXXX XX GNÍOMHAIRE XXXXXXXXXXXXXXXX XX XXXXXXXXX XX XXXXX BALLSTÁIT XXX CHÁIL XX XXX XXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX U XXXXXXXXX XXXXXXXX SASTAVIO XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX DIPLOMATICI X XXXXXXXXX XX UNO XXXXX MEMBRO NELL'ESERCIZIO XXXXX XXXX FUNZIONI/ (XX) XXXXXXXXX, XXXX, XXXXXX AMATA XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, PARENGTAS XXXXXXXĖX XXXĖX XXXXXXXXX XX XXXXXXXXXX PAREIGŪNO, XXXXXXXXXX XXXXX OFICIALIUS ĮXXXXXXXXXX/ (XX) VALAMELY XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX KÉPVISELŐJE XXXXX XXXXXXXXX MINŐSÉGÉBEN XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXXX MINN XĠXXX XXXXXXXXXXX JEW XXXXXXXXX XX' STAT MEMBRU XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) DOCUMENT XXXXXXXXX XXXX XX DIPLOMATIEKE XX CONSULAIRE XXXXXXXXX XXX EEN XXXXXXXX XX XXXX XXXXXXËXX XXXXXXXXXXXX/ (PL) XXXXXXXX XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX LUB URZĘDNIKA XXXXXXXXXXXX XXŃXXXX CZŁONKOWSKIEGO XXXXŁXXĄXXXX W CHARAKTERZE XXXĘXXXXX/ (XX) DOCUMENTO XXXXXXX XXX XX XXXXXX XXXXXXXXXXX XX XXXXXXXX XX UM XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (RO) XXXXXXXX ÎXXXXXXX DE XĂXXX XX XXXXX XXXXXXXXXX XXX CONSULAR XX XXXX XXXX MEMBRU, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX ZÁSTUPCOM XXXXX XXXXXXXXXXX ÚRADNÍKOM XXXXXXXXX XXXXX V RÁMCI XXXXXX XXXX XXXXXXX/ (XX) XXXXXXX, XX XX XXX URADNA XXXXX XXXX DIPLOMATSKI XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX, JONKA XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (SV) XXXXXXXX XXXXÄXXXX I XXÄXXXXX XX EN XXXXXXXXXXX XXXXX KONSULÄR XXÄXXXXXXX X XX MEDLEMSSTAT

3.6

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) FECHA (XX/XX/XXXX) XX EXPEDICIÓN/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (DA) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) VÄLJAANDMISE XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (JJ/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) EISIÚNA/ (XX) XXXXX (XX/XX/XXXX) IZDAVANJA/ (XX) DATA XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) XXXXXXXX DATA (XX/XX/XXXX)/ (HU) A XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) VAN XXXXXXX/ (XX) DATA (DD/MM/RRRR) XXXXXXX/ (PT) XXXX XX XXXXXÃX (DD/MM/AAAA)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/LLLL) IZDAJE/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) DATUM (XX/XX/ÅÅÅÅ) XÖX UTFÄRDANDE

3.7

(BG) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX REFERENCIA XXX XXXXXXXXX PÚBLICO/ (XX) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (DA) DET XXXXXXXXXX XXXXXXXXX REFERENCENUMMER/ (XX) KENNNUMMER XXX ÖXXXXXXXXXXX URKUNDE/ (ET) XXXXXXX XXXXXXXXX VIITENUMBER/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) REFERENCE NUMBER XX XXX XXXXXX XXXXXXXX/ (XX) XXXXXX XX XXXXXXXXX XX XXXXXXXX PUBLIC/ (XX) XXXXXX THAGARTHA XX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXX XXX XXXXXXXXX PUBBLICO/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXX/ (XX) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXX XX' REFERENZA TAD-DOKUMENT XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX XXX OPENBAAR XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX URZĘDOWEGO/ (XX) XXXXXX XX XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX XX XXXXXXXȚĂ XX XXXXXXXXXXXX OFICIAL/ (XX) XXXXXXXXXX ČÍSLO VEREJNEJ XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) XXXXXXX ASIAKIRJAN XXXXXXXXXXX/ (SV) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX EL XXXXXXXXXX/ (XX) INFORMACE X XXXXXXX XXXXX/ (XX) XXXXXXXXXXX XX XXX XÅXÆXXXXXX PERSON/ (DE) XXXXXXX XXX XXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXX KÄSITLEV XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX XXXXXX XXXXXXXXX/ (XX) INFORMATIONS XXX XX PERSONNE CONCERNÉE/ (XX) FAISNÉIS XXXXXX XXXX XX XXXXX XXXX xXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (XX) INFORMĀCIJA XXX XXXXXXĪXX PERSONU/ (LT) XXXXXXXXXXX XXXX ATITINKAMĄ XXXXXĮ/ (HU) XX XXXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXX KKONĊERNATA/ (XX) XXXXXXXXXX XXXX XX XXXXXXXXXX/ (XX) XXXX XXXXX, KTÓREJ XXXXXXX XXXXXXXX/ (PT) XXXXXXXÇÕXX SOBRE A XXXXXX EM CAUSA/ (XX) INFORMAȚII XXXXXXX XXXXXXXX VIZATĂ/ (XX) XXXXXXXXXX X XXXXXXXXX XXXXX/ (SL) XXXXXXXXXXX X XXXXXXX OSEBI/ (XX) XXXXXXXXXXXX HENKILÖN XXXXXX/ (XX) UPPGIFTER XX DEN XXXÖXXX XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X)/ (XX) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (XX) FAMILIENNAME(N)/ (XX) XXXXXXXXXXXXX (-NIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX(X)/ (XX) XXX(X)/ (XX) XXXXXXX (SLOINNTE)/ (XX) XXXXXXX(XX)/ (IT) XXXXXXX(X)/ (XX) UZVĀRDS(-I)/ (XX) XXXXXXĖ (-ĖS)/ (HU) XXXXXXX XXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX)/ (XX) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (XX) XXXXXXX(X)/ (XX) XXXX/ (XX) XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX/ (FI) XXXXXXXX (-XXXXX)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) XXXXX (XXXXX)/ (XX) XXXXXXX(X)/ (XX) VORNAME(N)/ (XX) XXXXXXX (-XXXXX)/ (EL) ΟΝΟΜΑ(-ΤΑ)/ (EN) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (GA) XXXXXXXX (CÉADAINMNEACHA)/ (HR) XXX(XX)/ (XX) XXXX(X)/ (XX) XĀXXX(-X)/ (LT) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (MT) XXXX(/XXXXXXXX)/ (XX) VOORNA(A)M(EN)/ (PL) XXXĘ (XXXXXX)/ (XX) XXXX(X) XXXXXXX(X)/ (RO) XXXXXXX/ (SK) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (XX) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) XXXXXXXX/ (DA) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (DD/MM/YYYY) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) DE XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/GGGG) ROĐENJA/ (XX) XXXX XX XXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) TAT-TWELID/ (XX) XXXXXXXXXXXXX (DD/MM/JJJJ)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) DATA XX NASCIMENTO (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXȘXXXXX/ (SK) DÁTUM (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXXX/ (XX) XXXXXXÄXXXX (PP/KK/VVVV)/ (XX) FÖDELSEDATUM (XX/XX/ÅÅÅÅ)

4.4

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX X XXXX XX NACIMIENTO/ (XX) XXXXX X XXXX XXXXXXXX/ (XX) XØXXXXXX XX -XXXX/ (XX) XXX XXX XXXX XXX XXXXXX/ (ET) XÜXXXXXXX XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (EN) XXXXX XXX XXXXXXX XX BIRTH/ (XX) XXXX XX XXXX XX NAISSANCE/ (XX) XXX XXXX TÍR XXXXXXXX/ (XX) XXXXXX X ZEMLJA ROĐENJA/ (XX) XXXXX E XXXXX DI XXXXXXX/ (XX) XXXXXXXXX XXXXX XX XXXXXX/ (LT) XXXXXX XXXXX XX XXXXX/ (HU) SZÜLETÉSI XXXXX ÉS XXXXXXX/ (XX) XXXX X XXXXXŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX XX -LAND/ (XX) XXXXXXX X XXŃXXXX XXXXXXXXX/ (XX) XXXXX X XXXX XX XXXXXXXXXX/ (RO) XXXXX ȘI ȚARA XXȘXXXXX/ (XX) XXXXXX X ŠTÁT XXXXXXXXX/ (XX) XXXX IN XXXXXX XXXXXXX/ (FI) XXXXXXÄXXXXXX XX -XXX/ (XX) XÖXXXXXXXX XXX -XXXX

4.5

(XX) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (XX) XØX/ (XX) XXXXXXXXXX/ (ET) SUGU/ (XX) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (XX) INSCNE/ (XX) XXXX/ (IT) XXXXX/ (XX) XXXXXXX/ (LT) XXXXX/ (XX) XXXX/ (XX) XXXX/ (NL) XXXXXXXX/ (XX) XŁXĆ/ (XX) XXXX/ (XX) XXXXX/ (SK) POHLAVIE/ (XX) XXXX/ (XX) XXXXXXXXX/ (XX) XÖX

4.5.1

(XX) ЖЕНСКИ/ (XX) MUJER/ (XX) XXXX/ (XX) XXXXXX/ (DE) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (GA) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) MOTERIS/ (XX) XŐ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (SL) XXXXXX/ (XX) XXXXXX/ (XX) KVINNA

4.5.2

(BG) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (XX) MAND/ (XX) MÄNNLICH/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) MUŠKI/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) XXXXX/ (HU) XXXXX/ (XX) XXĠXX/ (XX) XXX/ (XX) XĘŻXXXXXX/ (PT) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) XXX

4.5.3

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

4.6

(XX) ГРАЖДАНСТВО/ (XX) NACIONALIDAD/ (XX) XXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXÖXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) ΙΘΑΓΕΝΕΙΑ/ (XX) XXXXXXXXXXX/ (XX) NATIONALITÉ/ (XX) XXXXXXXXXXXX/ (XX) DRŽAVLJANSTVO/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXĪXX/ (XX) XXXXXXXXĖ/ (XX) XXXXXXXXXXXXXXX/ (MT) ĊXXXXXXXXXXX/ (NL) XXXXXXXXXXXXX/ (XX) OBYWATELSTWO/ (PT) XXXXXXXXXXXXX/ (RO) XXXĂȚXXXX/ (XX) ŠTÁTNA XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (FI) XXXXXXXXXXXX/ (XX) MEDBORGARSKAP

5.

(BG) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) SEGÚN XX XXXXXXXXX XXXXXXX XX XXX SE XXXXXXX XXXX IMPRESO,/ (CZ) XX XXXXXXX XXXXXXX XXXXXXX, K XXX XX PŘILOŽEN XXXXX XXXXXXXX,/ (XX) I XXXXXXX XXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXÄXX XXX ÖFFENTLICHEN XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX IST/ (XX) XXXXXXXXX XXXXXXXXX XXXXXXXXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΣΥΜΦΩΝΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) ACCORDING TO XXX XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX ATTACHED/ (XX) X'XXXÈX XX XXXXXXXX XXXXXX XXXXXX XX PRÉSENT XXXXXXXXXX XXX JOINT/ (GA) XX XXXX XX XXXXXXXXX XXXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXX JAVNOJ XXXXXXX XXXXX XX XXXX XXXXXXX PRILOŽEN/ (XX) XXXXXXX IL XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXŅĀ XX PUBLISKO XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (LT) XXXXX XXXXĄXĮ DOKUMENTĄ, XXXX XXXXX XXXXXXXXX XX XXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXX XXXXXXX/ (XX) XXXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX HIJA XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX IS XXXXXXX/ (XX) X XXXXXXXXX XXXĘXXXXXX, DO XXXXXXX ZAŁĄCZONY XXXX XXXXXXXXX XXXXXXXXX, XXXXXX, ŻX/ (PT) SEGUNDO X XXXXXXXXX XXXXXXX X XXX X XXXXXXXX FORMULÁRIO ESTÁ XXXXXX/ (RO) ÎN XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (SK) PODĽA XXXXXXXX XXXXXXX, KU XXXXXX XX TENTO XXXXXXXX XXXXXXXXX/ (XX) X XXXXXX X XXXXX LISTINO, XX XX JE XXXXXXXX XX XXXXXXX/ (XX) XXX XXXXXXX XXXXXXXXXX XXXXXX, JOHON XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXX XXX XXXXXXXXXX XXXXXXXX TILL VILKEN 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/ (XX) EL XXXXXXXXXX TIENE XXXXXXXXX XXXX XXXXXXXXXXX XXXX XXXXXXX DE UNA XXXXX DE HECHO XXX XXXXXXX AL XXXXXXX XXXXXXXX XXX XXXXXX XXXXXXX XX XXXXXXXXXX XXX DOCUMENTO XXXXXXX/ (CZ) JE XXXXXXX XXXXX XXXXXXXXX XXXXXXX XXXXXXXXXXXX XXXXXXXXXXX XXXXX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXX JE VEŘEJNÁ XXXXXXX VYDÁNA/ (XX) XXX PÅGÆLDENDE PERSON XXX ADGANG XXX XX XXXXX XXXXÅ XXXXXXXXXXX PARTNERSKAB X XXXXXXX TIL XXXXXXXX XXX X XXX XXXXXXXXXXX, XXXX XXX XXXXXXXXXX XXXXXXXX XX XXXXXXX/ (XX) XXX XXX XXXXXXXXXXX XXXXXX XXXX XXX XXXXXXXXXX XXXXX DES MITGLIEDSTAATS, XX XXX XXX ÖXXXXXXXXXX URKUNDE AUSGESTELLT XXXXX, DIE XÄXXXXXXX, XXXX XXXXXXXXXXXX PARTNERSCHAFT XXXXXXXXXX/ (XX) XX XXXXXXXXXX ISIKUL AVALIKU XXXXXXXXX VÄLJA XXXXXX XXXXXXXXXXXX ÕIGUSE XXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXXXXXXX XÕXXX/ (EL) 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/ (XX) XXX XXXXXX CONCERNED HAS XXX XXXXXXXX XX XXXXX XXXX X XXXXXXXXXX XXXXXXXXXXX XXXXX XXX XXXXXXXX LAW XX XXX MEMBER XXXXX XXXXX XXX XXXXXX XXXXXXXX XX XXXXXX/ (XX) LA XXXXXXXX XXXXXXXXX XXXX XXXXXXXX XX XXXXXXXXXXX XXXXXXXXXX XX XXXXX XX DROIT NATIONAL XX X'XXXX XXXXXX XÙ LE DOCUMENT XXXXXX EST DÉLIVRÉ/ (XX) XX XX XXXXX XXXX mBAINEANN XXX XXXXXX XXX X mBUN XXXXXXXXXXXXXX XXXXXXXXXX XXXX XXXX XXXXXXXXX XX XXXXXXXXXX XXX xXXXXXXX AN XXXXXXXXX XXXXXX X XXXXXXXX/ (HR) XXXXXXX XXXXX IMA SPOSOBNOST XX SKLAPANJE XXXXXXXXXXXXX XXXXXXXXXXX XXXXX XXXXXXXXXXX XXXXX XXXXXX ČLANICE X KOJOJ XX XXXXX XXXXXXX IZDANA/ (XX) XX XXXXXXX XXXXXXXXXXX XXXXXXXX LA XXXXXXXÀ XX XXXXXXXXXXXXX XX'XXXXXX XXXXXXXXXX A XXXXX XXX XXXXXXX XXXXXXXXX XXXXX XXXXX XXXXXX XXX XXXXXXXX XX DOCUMENTO XXXXXXXX/ (XX) ATTIECĪGĀ PERSONA XXĒX XXĀXXXX XXĢXXXXĒXĀX XXXXXXXXXXXXXĪXĀX SASKAŅĀ AR XĀX DALĪBVALSTS XXXXĪXX XXXXXX, KURĀ XXXXXXXXXX XXXXXXXXX XX XXXXXX/ (XX) ATITINKAMAS XXXXX XXX XXXXXXXX XXXXXXXX XXXXXXXXXXĄ PARTNERYSTĘ PAGAL XXXXXXXĖX XXXĖX, KURIOJE XXXXXXXX XXXXXXXXXX IŠDUODAMAS, XXXXXXXXXXĘ XXXXĘ/ (XX) XX XXXXXXXX SZEMÉLY X XÖXXXXXXX KIÁLLÍTÁSÁNAK XXXXX XXXXXXXX TAGÁLLAM XXXXXXX XXXX XXXXXXX XXXXXXXXXX XXXXXXXXX KAPCSOLATOT XXXXXXXXXX/ (XX) IL-PERSUNA XXXXĊXXXXXX GĦANDHA L-KAPAĊITÀ XX TIDĦOL XX XĦXXXXX REĠISTRATA XXĦX XX-XXĠX XXXXXXXXXX TAL-ISTAT XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (XX) XXXXX DE XXXXXXXXXX XX XXXXXXXXXXX XX XXX XXXXXXXXXXXXX PARTNERSCHAP XXX TE XXXX XX GROND VAN XXX XXXXXXXXX XXXXX XXX DE XXXXXXXX XXXX XXX OPENBAAR XXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXX, XXXXXX XXXXXXX XXXXXXXX, XXXXXXX XXXXXXŚĆ XX ZAWARCIA XXXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX XX XXXX PRAWA XXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX, X XXXXXX XXX XXXXXXXX XXXĘXXXX XXXXXŁ XXXXXX/ (XX) X XXXXXX XX CAUSA XXXXXX X CAPACIDADE XX ESTABELECER XXX XXXXXXXX XXXXXXXXX XXX XXXXXX DO XXXXXXX XXXXXXXX XX XXXXXX-XXXXXX XX XXX X XXXXXXXXX XXXXXXX XXX XXXXXXX/ (RO) PERSOANA XXXXXĂ XXX CAPACITATEA XX X ÎXXXXXX XX PARTENERIAT ÎXXXXXXXXXX ÎX XXXXXXXXXXXX XX XXXXXXX INTERN AL XXXXXXXX XXXXXX ÎX XXXX XXXX XXXX XXXXXXXXXX XXXXXXX/ (SK) XXXXXXXX OSOBA XX XXÔXXXXXX XXXXXXXX XXXXXXXXXXXX XXXXXXXXXXX PODĽA VNÚTROŠTÁTNEHO XXXXX ČLENSKÉHO XXXXX, X XXXXXX JE XXXXXXX LISTINA XXXXXX/ (XX) XX XXXXXXX XXXXX XXXXXXXX XX XXXXXXXXXXXX PARTNERSKE XXXXXXXXX X XXXXXX X XXXXXXXXXXX XXXXXX XXXXXX XXXXXXX, V XXXXXX XX IZDANA XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXÖXXÄ XX XXXXXXXXXX XXXXXXXXÖXXÄ PARISUHDE XXX XÄXXXXXXXXXX KANSALLISEN XXXXXÄÄXÄXXÖX XXXXXX, JOSSA XXXXXXX XXXXXXXXX XX XXXXXXX/ (XX) XXX DEN XXXÖXXX PERSONEN BEHÖRIGHET XXX XXXÅ REGISTRERAT XXXXXXXXXXX XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX I XXX MEDLEMSSTAT XÄX XXX XXXXXXXXXX XXXXXXXXXX XXXÄXXXXXX

5.2

(XX) НЯМА ДАННИ СЪОТВЕТНОТО ЛИЦЕ ДА Е ВСТЪПИЛО В РЕГИСТРИРАНО ПАРТНЬОРСТВО СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) XX XXXXXX XX XXXXXXXX XX XXXXXXX XXXXX XX XXXXX X NOMBRE XXX XXXXXXXXXX XXX XXXXXXX XX XXXXXXX XXXXXXXX XXX XXXXXX XXXXXXX XX XXXXXXXXXX DEL XXXXXXXXX PÚBLICO/ (CZ) XXXXXXX OSOBA XXXXXX XXXXXXXXXX XXX XXXX XXXXXX REGISTROVANÉ PARTNERSTVÍ XXXXX XXXXXXXXXXXXXX XXXXX XXXXXXXXX STÁTU, X XXXX XX XXXXXXX XXXXXXX VYDÁNA/ (XX) XXX XÅXÆXXXXXX XXXXXX XXX IKKE XX XXXX XXXXX XXXXXXXXXXX XXXXXXXXXXX OPFØRT XXXXX XXX XXXX X XXXXXXX XXX XXXXXXXX XXX X DEN XXXXXXXXXXX, XXXX XXX XXXXXXXXXX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXX XXXX HINWEIS, DASS XXX BETREFFENDE XXXXXX XXXXX XXXXX NAMEN XXXX XXXXXXXXXXXX PARTNERSCHAFT XXXX XXX XXXXXXXXXX XXXXX XXX XXXXXXXXXXXXXX, XX XXX DIE ÖXXXXXXXXXX URKUNDE XXXXXXXXXXX XXXXX, XXXXXXXXXXX XXX/ (XX) EI XXX XXXXXXXXX XXXXX XXXXX ÜXXXXX XXXXXXX DOKUMENDI XÄXXX XXXXXX XXXXXXXXXXXX ÕXXXXX XXXXXX XXXXXXXXXXXXXX XXXXXXX XXXXXXXX/ (XX) 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 XXXXXXXXX APPEARS XX XXXX NO XXXXXXXXXX XXXXXXXXXXX IN XXX XX HER XXXX UNDER THE XXXXXXXX XXX XX XXX XXXXXX XXXXX XXXXX XXX XXXXXX XXXXXXXX IS XXXXXX/ (XX) LA XXXXXXXX XXXXXXXXX XX SEMBLE XXX XXXXX XXXXXX XX XXXXXXXXXXX XXXXXXXXXX XX XXX NOM XX VERTU DU XXXXX NATIONAL DE X'XXXX MEMBRE XÙ XX XXXXXXXX XXXXXX XXX XXXXXXX/ (XX) XX XXXXXXXXXXX XX XX BHFUIL XX XXXXX LENA mBAINEANN XXXXXXXXX X bPÁIRTNÉIREACHT XXXXXXXXXX FAOI XXXX XXXXXXXXX XX BHALLSTÁIT XXX xXXXXXXX XX XXXXXXXXX POIBLÍ X XXXXXXXX/ (XX) NIJE XXXXXXX XX XX XXXXXXX XXXXX XXX XXXXXX XXXXXX SKLOPILA XXXXXXXXXXXX PARTNERSTVO XXXXX XXXXXXXXXXX XXXXX DRŽAVE XXXXXXX X KOJOJ XX XXXXX XXXXXXX XXXXXX/ (XX) X XXXX XXXXX XXXXXXX XXXXXXXXXXX XXX RISULTA XXXXXXXXX XXXXXX XXXXXX XXXXXXXXXX X XXXXX XXX XXXXXXX NAZIONALE XXXXX XXXXX XXXXXX XXX RILASCIA IL XXXXXXXXX PUBBLICO/ (XX) XX XXXXXXĪXĀX XXXXXXXX XĀXXX XXX XXXXĒXXXX XXĢXXXXĒXXX XXXXXXXXXXXXXĪXXX XXXXXŅĀ XX TĀS XXXĪXXXXXXX XXXXĪXX AKTIEM, KURĀ XXXXXXXXXX XXXXXXXXX XX XXXXXX/ (XX) XXXXXXXXXXX XXXXX XXXX VARDU XĖXX SUDARĘS XXXXXXXXXXXX XXXXXXXXXXĖX PAGAL XXXXXXXĖX XXXĖX, KURIOJE XXXXXXXX XXXXXXXXXX IŠDUODAMAS, XXXXXXXXXXĘ XXXXĘ/ (XX) XX XXXXXXXX SZEMÉLYNEK X XÖXXXXXXX XXXXXXXXXXXXX HELYE XXXXXXXX XXXXXXXX XXXXXXX XXXX XXXXXXX XXXXXXXXXXXXXXXX XXXXX XXXXXXXXXX ÉLETTÁRSI XXXXXXXXXX/ (XX) XX-XXXXXXX XXXXĊXXXXXX TIDHER XX XX XĦXXXXXXX XĦXXXXX XXĠXXXXXXX F'ISIMHA TAĦT XX-XXĠX XXXXXXXXXX TAL-ISTAT XXXXXX XXXX INĦAREĠ XX-XXXXXXXX XXXXXXXX/ (NL) XXXXX XX XXXXXXXXXX XXXX XXXXXXXXXXXXX XXXXXXXXXXXX XX ZIJN XX XXXX XXXX XX XXXXX XXX HET XXXXXXXXX XXXXX VAN XX XXXXXXXX WAAR XXX XXXXXXXX XXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXX, XXXXXX XXXXXXX XXXXXXXX, NIE XXXXXXXXX X XXXXXXXXXXXXXXX ZWIĄZKU XXXXXXXXXXX NA MOCY XXXXX XXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX, X KTÓRYM XXX DOKUMENT XXXĘXXXX XXXXXŁ XXXXXX/ (XX) XÃX XX AFIGURA XXXXXXX PARCERIA REGISTADA XX NOME DA XXXXXX EM CAUSA XXX XXXXXX DO XXXXXXX XXXXXXXX XX XXXXXX-XXXXXX XX QUE X XXXXXXXXX XXXXXXX XXX XXXXXXX/ (RO) XX SE XXXXXȘXX XXXXXX XXXXXXXXXXX ÎNREGISTRAT ÎXXXXXXX XX NUMELE XXXXXXXXX VIZATE ÎN XXXXXXXXXXXX CU DREPTUL XXXXXX XX XXXXXXXX XXXXXX ÎX XXXX XXXX XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXX XXXXXX NEUZAVRELA XXXXXXXXXXXX PARTNERSTVO XX XXXXXX XXXX XXXĽX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X KTOROM XX VEREJNÁ LISTINA XXXXXX/ (XX) XX XXXXXXXXXXXXXX XXXXXXXX XXXXXXX XXXXX XX X XXXXXXXXXX XXXXXXXXX, XX XX XX XXXXXXXXXXXX X SVOJEM IMENU XX X XXXXXX X XXXXXXXXXXX PRAVOM XXXXXX XXXXXXX, X XXXXXX XX XXXXXX XXXXX XXXXXXX/ (XX) XXXXXXXXXXXX HENKILÖN XXXXXXX XX OLE XXXXXXXX XXXXXXXXÖXXXÄ XXXXXXXXXXXX XXX XÄXXXXXXXXXX KANSALLISEN XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX XXXXXXXXX XX XXXXXXX/ (XX) FÖREFALLER XXX XXXÖXXX PERSONEN XXXX XX XXXÅXX REGISTRERAT XXXXXXXXXXX XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX X XXX XXXXXXXXXXX DÄR XXX OFFICIELLA 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) XX XXX XXXXXXXXXX DE XXXXXX XXXXXXXXXXX XXXX XXX XX INTERESADO XXXXXXXX XXX UNIÓN XX XXXXX XXX XXXXXXX XX DERECHO XXXXXXXX XXX ESTADO XXXXXXX XX EXPEDICIÓN XXX XXXXXXXXX PÚBLICO/ (XX) XXXXXXXXXX XXXXX XXXXX XXXXXXXX, XXX XXXXXXX XXXXX XXXXXXXX XXXXXXXXXXXX XXXXXXXXXXX XXXXX VNITROSTÁTNÍHO XXXXX XXXXXXXXX STÁTU, X NĚMŽ XX XXXXXXX XXXXXXX VYDÁNA/ (XX) DER XXXXXXXXXX XXXXX KENDTE XXXXXXXXXX XXX, XX XXX XÅXÆXXXXXX XXXXXX XXX XXXXÅ REGISTRERET XXXXXXXXXXX X XXXXXXX TIL XXXXXXXX XXX X XXX MEDLEMSSTAT, XXXX XXX OFFENTLIGE XXXXXXXX XX XXXXXXX/ (XX) XXX XXXX XXXXXXXXX XXXXXXX, XXX XXX XXXXXXXX EINER XXXXXXXXXXXXX XXXXXXXXXXXXX XXXXX DIE XXXXXXXXXXX XXXXXX XXXX XXX XXXXXXXXXX XXXXX XXX XXXXXXXXXXXXXX, XX XXX XXX ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, XXXXXXXXXXXXX/ (ET) EI XXX XXXXX XXXXXXX XXXXXXXXX XÄXXX XXXXXX XXXXXXXXXXXX ÕIGUSE XXXXXXXX XXXXXXXXXX, XXX XXXXXXXXXXX XXXXXXXXXX ISIKUL REGISTREERITUD XXXXXXXX XXXXXX/ (EL) 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) THERE XX NO XXXXX XXXXXXXXXX XXX XXX XXXXXX CONCERNED TO XXXXX XXXX X XXXXXXXXXX XXXXXXXXXXX XXXXX XXX NATIONAL XXX XX XXX XXXXXX XXXXX WHERE XXX XXXXXX DOCUMENT IS XXXXXX/ (XX) XX X'XXXXXX XXX X'XXXÊXXXXXXX XXXXX À XX XXXXXXXXXX PAR LA XXXXXXXX XXXXXXXXX X'XX XXXXXXXXXXX XXXXXXXXXX XX XXXXX XX XXXXX XXXXXXXX DE X'XXXX XXXXXX XÙ XX XXXXXXXX XXXXXX XXX XXXXXXX/ (XX) XXX XXX XXXX AITHEANTA XXX XX XX XXXXX LENA xXXXXXXXX XX XXX X xXXX XXXXXXXXXXXXXX CHLÁRAITHE XXXX XXXX XXXXXXXXX XX XXXXXXXXXX XXX xXXXXXXX XX DOICIMÉAD XXXXXX A XXXXXXXX/ (XX) XXXX XXXXXXX XXXXXXX XXXX KOJE XXXXXXX XXXXX XX XX MOGLA XXXXXXXX XXXXXXXXXXXX XXXXXXXXXXX XXXXX XXXXX XXXXXX ČLANICE X XXXXX XX XXXXX ISPRAVA XXXXXX/ (XX) NON SONO XXXX XXXXXXXXXXX ALLA XXXXXXXXXXXXXX DI UN'UNIONE XXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX A XXXXX XXX XXXXXXX XXXXXXXXX XXXXX XXXXX XXXXXX XXX XXXXXXXX IL XXXXXXXXX PUBBLICO/ (LV) XXX ZINĀMI NEKĀDI XĶĒXXĻX XXXXXXĪXXXXX XXXXXXXX

XXĀXXXX XXĢXXXXĒXĀX XXXXXXXXXXXXXĪXĀX SASKAŅĀ XX XĀX DALĪBVALSTS XXXXĪXX XXXXXX, KURĀ XXXXXXXXXX XXXXXXXXX IR XXXXXX/ (LT) NĖRA XXXXXŲ XXXŪXXŲ XXXXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXĄ XXXXXXXXXXĘ XXXXX XXXXXXXĖX XXXĖX, XXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (XX) NINCS X KÖZOKIRAT XXXXXXXXXXXXX XXXXX SZERINTI XXXXXXXX XXXXXXX XXXX SZERINTI, XXXXXX AKADÁLYA XXXXX, XXXX XX XXXXXXXX XXXXXXX BEJEGYZETT XXXXXXXXX XXXXXXXXXXX XXXXXXXXXX/ (MT) XX XXXX X-XXXX XXXXXXXXXX MAGĦRUF XĦXXX-XXXXXXX XXXXĊXXXXXX BIEX XXXĦXX XX SĦUBIJA REĠISTRATA XXĦX IL-LIĠI NAZZJONALI XXX-XXXXX XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (XX) XX ER XXXX XXXXXXXXXXX VOOR XX BETROKKEN PERSOON XX XXX GEREGISTREERD XXXXXXXXXXXX XXX TE XXXX XX XXXXX XXX XXX XXXXXXXXX XXXXX XXX XX XXXXXXXX XXXX XXX XXXXXXXX XXXXXXXX WORDT XXXXXXXXX/ (PL) NIE XXXXXXXĄ XXXXX XXXXXXXXXX XXX ZAWARCIA XXXXX XXXXĘ, XXXXXX XXXXXXX XXXXXXXX, XXXXXXXXXXXXXXXX ZWIĄZKU XXXXXXXXXXXXX XX XXXX XXXXX XXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX, X XXXXXX XXX DOKUMENT XXXĘXXXX XXXXXŁ WYDANY/ (XX) XÃX XXXXXX XXXXXXXXXXX XXXXXXXXX A XXX X XXXXXX EM XXXXX XXXXXXXXÇX XXX XXXXXXXX REGISTADA XXX XXXXXX XX XXXXXXX XXXXXXXX DO XXXXXX-XXXXXX XX XXX O XXXXXXXXX PÚBLICO XXX XXXXXXX/ (RO) XX XX XXXXXX XXXXXXXXXXX XX ÎXXXXXXXXX PARTENERIATULUI ÎXXXXXXXXXX ÎX XXXXXXXXXXXX XX XXXXXXX INTERN XX STATULUI MEMBRU ÎX XXXX ESTE XXXX XXXXXXXXXX XXXXXXX/ (XX) XXX XX XXXXX XXXXXXXX XXX XXXXXXXX XXXXX XXXXXXXX XXXXXXXXXXXX PARTNERSTVO PODĽA XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXXXX XX XXXXXXX XXXXXXX XXXXXX/ (SL) XX XXXXXXXXXXXX ZADRŽKOV, XX XXXXXXX OSEBA NE XX XXXXX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX X XXXXXX Z XXXXXXXXXXX XXXXXX XXXXXX XXXXXXX, X KATERI XX XXXXXX XXXXX LISTINA/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXXXXÖXXXXXX PARISUHTEELLE XX XXXXXXÄ OLEVAN XXXXXXÄ XXX XÄXXXXXXXXXX KANSALLISEN XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXX XXX INGA XÄXXX XXXXXX XÖX XXX XXXÖXXX PERSONEN XXX XXXÅ XXXXXXXXXXX XXXXXXXXXXX XXXXXX XXX NATIONELLA XXXXXXXXXXXXXX X XXX XXXXXXXXXXX XÄX 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 XX XXXXXX XXXXXXXXXXX XXXX XX XXXXXXXX DE UNA XXXXX XX XXXXX XXXXX XX INTERESADO X XX XXXXXX XXXXXX XX XXXXX XXXXXXXXXX XXX XXXXXXX XX XXXXXXX XXXXXXXX XXX XXXXXX XXXXXXX XX EXPEDICIÓN XXX XXXXXXXXX PÚBLICO/ (XX) XXXXXXXXXX XXXXX XXXXX XXXXXXXX REGISTROVANÉHO XXXXXXXXXXX XXXX DOTYČNOU XXXXXX X XXXXX BUDOUCÍM XXXXXXXXX / XXXX XXXXXXX XXXXXXXXXX XXXXX XXXXXXXXXXXXXX PRÁVA XXXXXXXXX XXXXX, X XXXX XX VEŘEJNÁ XXXXXXX XXXXXX/ (XX) XXX XXXXXXXXXX XXXXX KENDTE XXXXXXXXXX XXX XX XXXXXXXXXXX XXXXXXXXXXX XXXXXX XXX XÅXÆXXXXXX PERSON XX DENNES XXXXXXXX XXXXXXX I XXXXXXX XXX XXXXXXXX XXX X XXX XXXXXXXXXXX, XXXX DET XXXXXXXXXX XXXXXXXX XX UDSTEDT/ (XX) XXX XXXX XXXXXXXXX BEKANNT, DAS XXXXX XXXXXXXXXXXXX XXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXX XXXXXX XXX XXXXX XÜXXXXXXX XXXXXXX XXXX XXX XXXXXXXXXX RECHT XXX MITGLIEDSTAATS, IN XXX XXX ÖFFENTLICHE XXXXXXX XXXXXXXXXXX WURDE, XXXXXXXXXXXXX/ (XX) XX XXX XXXXX XXXXXXX XXXXXXXXX XÄXXX XXXXXX XXXXXXXXXXXX ÕXXXXX XXXXXXXX XXXXXXXXXX, MIS XXXXXXXXXXX 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/ (XX) XXXXX XX NO XXXXX XXXXXXXXXX TO X XXXXXXXXXX XXXXXXXXXXX XXXXXXX XXX PERSON XXXXXXXXX XXX HIS OR XXX XXXXXXXX XXXXXXX XXXXX XXX XXXXXXXX XXX OF XXX XXXXXX XXXXX WHERE XXX XXXXXX XXXXXXXX XX XXXXXX/ (FR) XX N'EXISTE PAS X'XXXÊXXXXXXX XXXXX À XX CONCLUSION D'UN XXXXXXXXXXX XXXXXXXXXX ENTRE XX XXXXXXXX CONCERNÉE XX XXX XXXXX XXXXXXXXXX XX XXXXX XX XXXXX XXXXXXXX XX L'ÉTAT MEMBRE XÙ XX XXXXXXXX XXXXXX EST XXXXXXX/ (XX) XXX XXX XXXX XXXXXXXXX XXX XX XXXXXXXXXXXXXXX XXXXXXXXXX XXXX XX XXXXX XXXX mBAINEANN AGUS X P(H)ÁIRTNÉIR BEARTAITHE XXXX DHLÍ XXXXXXXXX XX BHALLSTÁIT XXX xXXXXXXX XX XXXXXXXXX XXXXXX X EISIÚINT/ (XX) XXXX XXXXXXX XXXXXXX XXXX KOJE XXXXXXX XXXXX X XXXXXX BUDUĆI PARTNER XX XX XXXXX XXXXXXXX XXXXXXXXXXXX XXXXXXXXXXX XXXXX XXXXXXXXXXX PRAVU XXXXXX ČLANICE U XXXXX XX JAVNA XXXXXXX XXXXXX/ (XX) XXX XXXX XXXX XXXXXXXXXXX XXXX XXXXXXXXXXXXXX XX XX'XXXXXX XXXXXXXXXX XXX LA XXXXXXX XXXXXXXXXXX E XX XXXXXX XXXXXXX X XXXXX XXX DIRITTO XXXXXXXXX DELLO XXXXX XXXXXX CHE RILASCIA XX DOCUMENTO XXXXXXXX/ (XX) NAV ZINĀMI XXXĀXX ŠĶĒRŠĻI REĢISTRĒTU XXXXXXXXXXXXXĪXX NOSLĒGŠANAI STARP XXXXXXĪXX PERSONU XX XĀX TOPOŠO XXXXXXXX XXXXXŅĀ XX XĀX XXXĪXXXXXXX XXXXĪXX XXXXXX, XXXĀ PUBLISKAIS XXXXXXXXX XX IZDOTS/ (XX) XĖXX ŽINOMŲ KLIŪČIŲ XXXXXXXXXX ASMENS IR XX XŪXXXX (-XX) XXXXXXXXX (-ĖX) XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXXĖX XXXĖX, XXXXXXX VIEŠASIS XXXXXXXXXX XXXXXXXXXX, NACIONALINĘ XXXXĘ/ (XX) XXXXX X KÖZOKIRAT XXXXXXXXXXXXX XXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXX SZERINTI, XXXXXX XXXXXXXX ANNAK, XXXX AZ XXXXXXXX XXXXXXX XX LEENDŐ XXXXXXXXX EGYMÁSSAL XXXXXXXXXX XXXXXXXXX KAPCSOLATOT LÉTESÍTSEN/ (XX) XX HEMM X-XXXX XXXXXXXXXX XXXĦXXX XĦXX XĦXXXXX XXĠXXXXXXX XXXX XX-XXXXXXX KKONĊERNATA X S-SIEĦEB JEW XXXĦXX XXXXX XXXĦXX XXĦX XX-XXĠX XXXXXXXXXX XXX-XXXXX XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (XX) IS XX XXXX XXXXXXXXXXX XXXX XXX XXXXXXXXXXXXX XXXXXXXXXXXX XXXXXX XX BETROKKENE XX ZIJN XX XXXX BEOOGDE PARTNER XX GROND XXX XXX XXXXXXXXX XXXXX XXX DE LIDSTAAT XXXX HET XXXXXXXX XXXXXXXX XXXXX XXXXXXXXX/ (XX) XXX XXXXXXXĄ XXXXX XXXXXXXXXX DLA XXXXXXXX ZAREJESTROWANEGO ZWIĄZKU XXXXXXXXXXXXX XXXXX XXXXĘ, XXXXXX DOTYCZY XXXX-XXXX, X OSOBĄ, X XXXXĄ XXXXXXXX ONA XXXXXXĆ TAKI XXXĄXXX, XX MOCY XXXXX XXXXXXXXX XXŃXXXX

XXŁXXXXXXXXXXX, W XXXXXX XXX XXXXXXXX XXXĘXXXX XXXXXŁ XXXXXX/ (XX) NÃO XXXXXX XXXXXÇÃX XXXXXXXXX X XXX X XXXXXX XX XXXXX XXXXXXXXÇX XXX O(A) XXXXXX(X) XXXXXXXX(X) XXX XXXXXXXX XXXXXXXXX NOS XXXXXX XX XXXXXXX XXXXXXXX XX XXXXXX-XXXXXX XX XXX O XXXXXXXXX XXXXXXX XXX XXXXXXX/ (XX) NU XX XXXXXȘXX XXXXX OPOZIȚIE XX ÎXXXXXXXXX XXXX XXXXXXXXXXX ÎNREGISTRAT ÎXXXX XXXXXXXX VIZATĂ ȘX XXXXXXXX XXXXXXXX (XXXXXXXXX XXXXXXXXĂ) ÎN CONFORMITATE XX XXXXXXX XXXXXX XX XXXXXXXX XXXXXX ÎX XXXX XXXX XXXX XXXXXXXXXX XXXXXXX/ (XX) XXX JE XXXXX NÁMIETKA XXXX XXXXXXXXXXXXXX PARTNERSTVU XXXXX XXXXXXXXX XXXXXX X XXX XXXXXXXXXXXX XXXXXXXXX XXXĽX VNÚTROŠTÁTNEHO PRÁVA XXXXXXXXX XXXXX, X XXXXXX XX XXXXXXX XXXXXXX XXXXXX/ (SL) XX XXXXXXXXXXXXX XXXXXXXXXXXXX, XX XXXXXXX XXXXX XX NJEN XXXXXXXXXX XXXXXXX NE BI XXXXX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX V SKLADU X NACIONALNIM PRAVOM XXXXXX ČLANICE, V XXXXXX XX XXXXXX XXXXX LISTINA/ (XX) XXXXXXXXXXXX XXXXXXÖX JA XÄXXX TULEVAN KUMPPANINSA XÄXXXXÄ XXXXXXXXÖXXXÄ XXXXXXXXXXXX XX XXX XXXXXXXXXXX XXX JÄSENVALTION KANSALLISEN XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX ASIAKIRJA XX XXXXXXX/ (XX) XXXXX XXX XXXX XÄXXX XXXÄXXXXXXXX MOT XXXÅXXXX XX XXXXXXXXXXX XXXXXXXXXXX XXXXXX DEN XXXÖXXX XXXXXXXX XXX HANS XXXXX HENNES XXXXXXXX XXXXXXX XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX X XXX XXXXXXXXXXX XÄX XXX OFFICIELLA XXXXXXXXXX XXXÄXXXXXX

6.

(XX) ИНФОРМАЦИЯ ЗА БЪДЕЩИЯ ПАРТНЬОР НА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX SOBRE XX XXXXXX XXXXXX XX XXXXX XXXXXXXXXX XXX XXXXXXXXXX/ (CZ) XXXXXXXXX X XXXXXXXX XXXXXXXXXX / XXXXXXX XXXXXXXXX XXXXXXX XXXXX/ (DA) XXXXXXXXXXX OM XXX XÅXÆXXXXXX PERSONS XXXXXXXX XXXXXXX/ (XX) ANGABEN XX XXX KÜNFTIGEN XXXXXXX XXX XXXXXXXXXXXX XXXXXX/ (XX) XXXXX XXXXX XXXXX, XXXXXXX XXXXXXXXX XXXX XXXXXX XXXXXXXXXXXXXX KOOSELLU ASTUDA/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΜΕΛΛΟΝΤΟΣ Ή ΤΗΣ ΜΕΛΛΟΥΣΑΣ ΣΥΝΤΡΟΦΟΥ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX XXXXXXXX XXXXXXX XX XXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXX XXX XX XXXXX XXXXXXXXXX XX LA XXXXXXXX CONCERNÉE/ (XX) XXXXXXXX XXXXXX LE XXXXXXXXX BEARTAITHE AN XXXXX LENA xXXXXXXXX/ (XX) INFORMACIJE X XXXXĆXX PARTNERU DOTIČNE XXXXX/ (XX) INFORMAZIONI XXX FUTURO XXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXĪXĀX PERSONAS XXXXXX XXXXXXXX/ (XX) INFORMACIJA XXXX XXXXXXXXXX XXXXXX XŪXXXĄ XXXXXXXĮ (-Ę)/ (XX) XX XXXXXXXX XXXXXXX XXXXXŐ ÉLETTÁRSÁRA XXXXXXXXX XXXXXX/ (MT) XXXXXXXXXXXXX XXXX IS-SIEĦEB XXX XXXĦXX FUTUR XXX-XXXXXXX XXXXĊXXXXXX/ (XX) XXXXXXXXXX XXXX XX XXXXXXX XXXXXXX VAN XX BETROKKENE/ (PL) XXXX XXXXX, X XXXXĄ OSOBA, KTÓREJ XXXXXXX DOKUMENT, XXXXXXXX XXXXXXĆ XXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXX/ (PT) INFORMAÇÕES XXXXX X(X) XXXXXX(X) XXXXXXXX(X)XX PESSOA XX XXXXX/ (XX) INFORMAȚII XXXXXXX VIITORUL PARTENER (XXXXXXXXX PARTENERĂ) XX (X) XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXX X XXXXXXXXXXXX XXXXXXXXXX DOTKNUTEJ XXXXX/ (SL) XXXXXXXXXXX X XXXXXXXXXXX XXXXXXXXX XXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXXXXXX XXXXXXÖX XXXXXXXXX XXXXXXXXXXX/ (SV) XXXXXXXXX XX XXX XXXÖXXX XXXXXXXXX XXXXXXXX XXXXXXX

7.

(XX) ПОЛЕ ЗА ПОДПИС/ (ES) XXXXXXXX XXXX LA XXXXX/ (XX) XXXX XXX XXXXXX/ (DA) UNDERSKRIFTSFELT/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (FR) XXXXX XXXX XX SIGNATURE/ (XX) XXXXX XXX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXXXXX XXX XX XXXXX/ (XX) XXXXXXXX XXXXX/ (LT) XXXXXX XXXXXXXX/ (HU) AZ XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX DE XXXXXXXXXXXX/ (PL) POLE XXXXXXX/ (PT) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (XX) SEMNĂTURA/ (XX) XXXXXXX NA XXXXXX/ (XX) POLJE ZA XXXXXX/ (XX) ALLEKIRJOITUSKENTTÄ/ (XX) XXXX FÖR XXXXXXXXXXXXXX

7.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X XXXXXX(X) DEL XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXX X XXXXX (XXXXX) XXXXXXXX, XXXXX XXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXXX(X) XX XXXXXXX(X) XÅ DEN XXXXXXXXXX, XXX XXX XXXXXXX XXXXX FORMULAR/ (XX) XXXXXXXXXXXX(X) UND XXXXXXX(X) XXX BEAMTEN, XXX XXXXXX FORMULAR AUSGESTELLT XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXX (-NIMED) 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 XXXX FORM/ (XX) XXX(X) ET XXXXXX(X) DU FONCTIONNAIRE XXX X XXXXXXX XX XXXXXXX FORMULAIRE/ (XX) XXXXXXX (XXXXXXXX) XXXX CÉADAINM (CÉADAINMNEACHA) XX OIFIGIGH X X’XXXXXX AN FHOIRM XXX/ (XX) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX XXXX XX IZDAO XXXX XXXXXXX/ (XX) XXXXXXX/X X XXXX/X XXX FUNZIONARIO XXX XX XXXXXXXXXX IL XXXXXXXX MODULO/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, XXXĀXXX(-X) XX XĀXXX(-X)/ (LT) XXĄ XXXXĄ IŠDAVUSIO XXXXXXŪXX XXXXXXĖ (-ĖX) XX XXXXXX (-XX)/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXX XXXX(X) ÉS XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) U XXXX(/XXXXXXXX) TAL-UFFIĊJAL XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) NA(A)M(EN) XX XXXXXX(X)X(XX) VAN DE XXXXXXXXX XXX XXX XXXXXXXXX XXXXX AFGEGEVEN/ (XX) XXXXXXXX(-X) I XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXX(X) X XXXX(X) XXXXXXX(X) XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXX ȘX XXXXXXXXX XXXXȚXXXXXXXXX XXXX A XXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXXXXXXX(-X) A MENO(-Á) XXXXXXXX, KTORÝ VYDAL XXXXX FORMULÁR/ (XX) XXXXXXX/XXXXXXX XX XXX/XXXXX XXXXXXXX, XX JE XXXXX TA XXXXXXX/ (XX) XÄXÄX LOMAKKEEN XXXXXXXX XXXXXXXXXXX XXXXXXXX (-XXXXX) JA XXXXXXX (-XXXXX)/ (XX) EFTERNAMN XXX XÖXXXXX PÅ XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

7.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXX DEL FUNCIONARIO XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (DA) XXXXXXXX — XXX XXXXXXXXXX, XXX HAR XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX XXX XXXXXXX, DER DIESES XXXXXXXX XXXXXXXXXXX HAT/ (XX) KÄESOLEVA XXXXX XÄXXXXXXXXX AMETNIKU XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX OF XXX XXXXXXXX XXX XXXXXX XXXX FORM/ (XX) XXXXX DU XXXXXXXXXXXXX XXX A XXXXXXX LE PRÉSENT XXXXXXXXXX/ (GA) XXXX XX OIFIGIGH X X’XXXXXX AN XXXXXX XXX/ (XX) XXXXXXXX XXXXXXXXXX XXXX JE XXXXX XXXX XXXXXXX/ (XX) POSIZIONE XXX XXXXXXXXXXX CHE XX XXXXXXXXXX IL PRESENTE XXXXXX/ (XX) AMATPERSONAS, XXXX XXXXXXXX XX XXXXXXXX, XXXXX/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX PAREIGOS/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX TAL-UFFIĊJAL LI ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX XXX XX XXXXXXXXX DIE XXX FORMULIER XXXXX XXXXXXXXX/ (PL) XXXXXXXXXX XXXĘXXXXX, KTÓRY WYDAŁ XXXXXXXXX XXXXXXXXX/ (PT) XXXXX XX FUNCIONÁRIO XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (RO) XXXXȚXX FUNCȚIONARULUI CARE X XXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXXXX XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (SL) XXXXXXX XXXXXXXX, KI XX XXXXX XX XXXXXXX/ (FI) XÄXÄX XXXXXXXXX ANTANEEN VIRKAMIEHEN XXXXX/ (XX) XXXXXXXXXX XÖX DEN XXÄXXXXXXX XXX XXX UTFÄRDAT XXXXX XXXXXXÄX

7.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) XÄXXXXXXXXXX KUUPÄEV (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (DD/MM/YYYY) XX XXXXX/ (FR) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (LL/MM/BBBB) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX RILASCIO (XX/XX/XXXX)/ (LV) IZDOŠANAS XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX DATA (DD/MM/MMMM)/ (XX) X KIÁLLÍTÁS XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) DATUM (XX/XX/XXXX) XXX AFGIFTE/ (PL) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX XXXXXÃX (DD/MM/AAAA)/ (XX) XXXX (ZZ/LL/AAAA) XXXXXXXX/ (XX) DÁTUM (DD/MM/RRRR) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) IZDAJE/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

7.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (XX) UNDERSKRIFT/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) SIGNATURE/ (XX) XXXXX/ (XX) XXXXXX/ (XX) FIRMA/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (NL) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (RO) XXXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (FI) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

7.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (CZ) PEČEŤ XXXX XXXXXXX/ (XX) XXXX XXXXX XXXXXXX/ (XX) XXXXXX ODER XXXXXXX/ (XX) XXXXXX XÕX TEMPEL/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX XXXXX/ (FR) XXXXX XX XXXXXX/ (XX) XXXXX NÓ XXXXXX/ (HR) XXX XXX PEČAT/ (XX) XXXXX X TIMBRO/ (XX) XĪXXXX VAI XXXXXXXX/ (XX) XXXXXXX XXXX ANTSPAUDAS/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX XXX XXXXXX/ (XX) XXXXX XX XXXXXXX/ (XX) XXXXXĘĆ XXX XXXXXXX/ (XX) SELO XX XXXXXXX/ (RO) XXXXXXXX XXX ȘXXXXXXX/ (XX) XXXXX XXXXX ODTLAČOK XXXXXXXX/ (SL) XXXXX XXX XXX/ (FI) XXXXXXX XXX LEIMA/ (XX) XXXXXX XXXXX XXÄXXXX

XXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX PRO XXXXXXX

Xxxxxx 7 nařízení Xxxxxxxxxx parlamentu x Xxxx (XX) 2016/1191 xx xxx 6. xxxxxxxx 2016 x xxxxxxx xxxxxxx xxxxxx xxxxxx zjednodušením požadavků xx předkládání xxxxxxxxx xxxxxxxxx xxxxxx v Xxxxxxxx xxxx a x změně xxxxxxxx (XX) x. 1024/2012 (1)

Xxxxxx (BE) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxx (XX)

Xxxxxxxx (XX) Irsko (IE)

Řecko (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Chorvatsko (XX)

Xxxxxx (XX) Kypr (XX)

Xxxxxxxx (XX) Litva (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Malta (XX)

Xxxxxxxxxx (XX) Xxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (RO) Xxxxxxxxx (XX)

Xxxxxxxxx (SK) Finsko (XX)

Xxxxxxx (SE) Spojené xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxx xxxxxxxx veřejné xxxxxxx, x xxx xx přiložen. Tento xxxxxxxx xx xxxx xxxxxxxxx státy nesmí xxxxxxxxx jako samostatný xxxxxxxx.

Xxxxx xxxxxxxx odráží xxxxx xxxxxxx listiny, x xxx xx xxxxxxxx. Xxxxx, jemuž xx veřejná listina xxxxxxxxxxx, xxxx xxxx x xxxxxxxxx, xxx xx to xxxxxxxx xxx účely xxxxxxxxxx xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx xxxxxxxxx, xxxxx jsou xx xxxxxxxxx uvedeny.

UPOZORNĚNÍ XXX XXXXXXXXXX XXXXX

Xxxxxx xxxxx xxxxxxxxx, xxxxx xxxx xxxxxxx ve xxxxxxx xxxxxxx, k xxx je xxxxxxxx xxxxx formulář. (2)

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

1. XXXXX VYDÁVAJÍCÍ XXXXX XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Název (4)

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

3.1 Listina xxxxxx orgánem nebo xxxxxxxxx x xxxxxx xx soudy xxxxxx xxxxxxxxx xxxxx

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Listina vydaná xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx vyšším soudním xxxxxxxxx

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

3.1.5 Xxxx (xxxxxxxxx)

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

(2) Při xxxxxxxxxx xxxxx použijte xxxxxxx písmo.

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

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

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x xxxxxxx

3.2.3 Xxxxx x registru xxxxxxxx

3.2.4 Opis matričních xxxxxxx

3.1.5 Jiné (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Úřední xxxxxxxxx, kterým byla xxxxxxxx xxxxxxx podepsaná xxxxxxxxx xxxxxx

3.5 Listina xxxxxxxxxx diplomatickým xxxxxxxxx xxxx konzulárním xxxxxxxxx xxxxxxxxx státu v xxxxx xxxxxx jeho xxxxxxxxxx xxxxxxxxxx

3.6 Xxxxx (xx/xx/xxxx) vydání

3.7 Xxxxxxxxxx xxxxx veřejné xxxxxxx

4. XXXXXXXXX X DOTYČNÉ XXXXX

4.1 Xxxxx/x xxxxxxxx

4.2 Xxxxxxxx/x xxxxxxxx

4.3 Příjmení xxxx xxxxxxxxx xxxxxxxxxxxxxx xxxxxxxxxxx

4.4 Xxxxxxxx xx xxxxxxxx xxxxxxxxxxxxxx xxxxxxxxxxx

4.5 Xxxxx (xxxxx)

4.6 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.7 Xxxxx (1) x země (2) xxxxxxxx

4.8 Pohlaví:

4.8.1 Xxxx

4.8.2 Xxx

4.8.3 Neurčeno

4.9 Xxxxxx xxxxxxxxxxx

5. XX XXXXXXX XXXXXXX LISTINY, X XXX JE XXXXXXXX XXXXX XXXXXXXX, XX DOTYČNÁ XXXXX XXXXX XXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX:

5.1 Xx x xxxxxxxxxxxxx xxxxxxxxxxx / Xxxxx (xx/xx/xxxx) xxxxxxxxxx xxxxxxxxxxx

5.2 Xxxx x xxxxxxxxxxxxx xxxxxxxxxxx

5.2.1 Xxxxx xxxxxx v registrovaném xxxxxxxxxxx

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

5.2.3 Přeživší xxxxxxx – xxxxxxxxx / Xxxxx (xx/xx/xxxx) xxxxx xxxxxxxx – partnerky

5.3 Xxxxxxxx

6. XXXX XXX XXXXXX

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

6.2 Xxxxxx xxxxxxxx, xxxxx xxxxx tento xxxxxxxx

6.3 Xxxxx (dd/mm/rrrr) xxxxxx

6.4 Xxxxxx

6.5 Pečeť xxxx xxxxxxx

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

(2) Xxxxx země x – xxxxx xxxxxxxx – xxx XXX xxxx xxxx xxxx možnost „Jiné (xxxxxxxxx)“ xx xxxxx xxxxxx x xxxxxxxxxxx xxxxxxx xx vzorovém xxxxxxxxxxxx xxxxxxxxxxx formuláři, xxxxx xx k xxxxxxxxx na xxxxxxx xxxxxxxx x-xxxxxxx.

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX POLOŽEK

(STATUS XXXXXXXXXXXXXX XXXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XXXX IMPRESO/ (XX) XXXXX VYDÁVAJÍCÍ XXXXX FORMULÁŘ/ (XX) XXXXX XXXXXXXXX UDSTEDENDE XXXXXXXXX/ (DE) BEHÖRDE, XXX XXXXXX FORMULAR XXXXXXXXX/ (ET) KÄESOLEVA XXXXX XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (EN) AUTHORITY XXXXXXX XXXX XXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XX xXXXXXX A XXXXXXXX XX XXXXXX XXX/ (XX) XXXXXX KOJE XXXXXX XXXX OBRAZAC/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXX XXXXXX/ (LV) XXXXXXXXX XXXXXĒXXXXXĀXX/ (LT) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) AWTORITÀ EMITTENTI XX' DIN XX-XXXXXXX/ (XX) AUTORITEIT VAN XXXXXXX VAN XXX XXXXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX TENTO XXXXXXXX/ (XX) ORGAN, XX XXXX TA OBRAZEC/ (XX) XÄXÄX XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (SV) XXXXXXXXX SOM XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) NÁZEV/ (XX) BETEGNELSE/ (DE) XXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (EN) XXXXXXXXXXX/ (FR) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) DENOMINAZIONE/ (XX) XXXXXXXXX/ (LT) XXXXXXXXXXX/ (XX) MEGNEVEZÉS/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) NAZWA/ (PT) XXXXXXXÇÃX/ (RO) DENUMIRE/ (XX) XXXXX/ (SL) XXX/ (FI) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) AUTORIDAD XXX XXXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXXXXX LISTINU, X NÍŽ XX XXXXXXXX TENTO XXXXXXXX/ (XX) DEN MYNDIGHED, XXX XXX XXXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX FORMULAR XX XXXXÆXXXX/ (XX) XXXÖXXX, XXX DIE ÖXXXXXXXXXX URKUNDE, XXX XXXXXX FORMULAR XXXXXXÜXX XXX, AUSSTELLT/ (XX) XXXXXX, XXX XXXXX XÄXXX XXXXXXX DOKUMENDI, XXXXXXX XXX XXXX XX XXXXXXX/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX ISSUING XXX PUBLIC XXXXXXXX XX XXXXX XXXX XXXX IS XXXXXXXX/ (XX) XXXXXXXX DE XXXXXXXXXX XX XXXXXXXX XXXXXX AUQUEL EST XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) AN xXXXXXX X XXXXXXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX AN XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXX XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXXX PUBBLICO XXX IL XXXXXXXX XXXXXX È ALLEGATO/ (XX) XXXXXXXĀ DOKUMENTA, XXXXX ŠĪ XXXXXXXX XX PIEVIENOTA, IZDEVĒJIESTĀDE/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX KIÁLLÍTÓ XXXXXXX/ (XX) AWTORITÀ EMITTENTI XXX-XXXXXXXX PUBBLIKU LI XXXXĦX HIJA MEHMUŻA XXX IL-FORMOLA/ (NL) XXXXXXXXXX VAN XXXXXXX XXX XXX XXXXXXXX XXXXXXXX WAARAAN DIT XXXXXXXXX XX GEHECHT/ (XX) XXXXX XXXXXĄXX XXXXXXXX XXXĘXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXXXX XXX EMITE X XXXXXXXXX PÚBLICO X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ A XXXXXXXXXXXX XXXXXXX XX CARE XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXX LISTINU, XX KTOREJ JE XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX XXXX XXXXX LISTINO, XX XX JE XXXXXXXX XX OBRAZEC/ (XX) VIRANOMAINEN, JOKA XX ANTANUT YLEISEN XXXXXXXXXX, JOHON XÄXÄ XXXXXX XXXXXXÄÄX/ (SV) XXXXXXXXX SOM UTFÄRDAR XXX XXXXXXXXXX HANDLING XXXX XXXXXX DETTA XXXXXXÄX ÄR XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXX XX QUE XX XXXXXXX XXXX XXXXXXX/ (CZ) INFORMACE XXXXXXXX SE XXXXXXX XXXXXXX, K XXX XX PŘILOŽEN XXXXX XXXXXXXX/ (DA) OPLYSNINGER XXXXØXXXXX XXX XXXXXXXXXX XXXXXXXX, SOM DENNE XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX URKUNDE, DER 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 XX THE XXXXXX XXXXXXXX XX XXXXX THIS XXXX XX ATTACHED/ (FR) XXXXXXXXXXXX RELATIVES AU XXXXXXXX PUBLIC AUQUEL XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX X XXXXXXXXX XXXX XX XXXXXXXXX XXXXXX LENA XXXXXX XX FHOIRM XXX XXXXXXXXXX/ (HR) XXXXXXXXXXX XXXX XX ODNOSE XX JAVNU ISPRAVU XXXXX XX XXXX XXXXXXX XXXXXXXX/ (IT) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX PUBBLICO XXX XX XXXXXXXX MODULO È ALLEGATO/ (LV) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, KURAM XĪ XXXXXXXX IR XXXXXXXXXX/ (XX) INFORMACIJA, XXXXXXXX XX XXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX XXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) INFORMAZZJONI DWAR XX-XXXXXXXX XXXXXXXX LI XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX WAARAAN XXX FORMULIER XX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXĄXX DOKUMENTU XXXĘXXXXXX, XX XXXXXXX NINIEJSZY XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX RELATIVAS XX XXXXXXXXX XXXXXXX X QUE X XXXXXXXX XXXXXXXXXX ESTÁ XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX LA XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) INFORMÁCIE X VEREJNEJ XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX PRIPOJENÝ/ (XX) XXXXXXXXXXX V XXXXX X XXXXX XXXXXXX, KI XX XX XXXXXXXX TA XXXXXXX/ (FI) XXXXXX XXXXXXXXÄ ASIAKIRJASTA, JOHON XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) INFORMATION XX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX DETTA 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 POR XXX XXXXXXXXX X UN XXXXXXXXXXX XXXXXXXXX A XXX XXXXXXX JURISDICCIONALES XX XX XXXXXX XXXXXXX/ (CZ) LISTINA XXXXXX XXXXXXX NEBO XXXXXXXXX S VAZBOU XX SOUDY XXXXXX XXXXXXXXX XXXXX/ (DA) XXXXXXXX, DER ER XXXXXXX XX XX XXXXXXXXX XXXXX XX XXXXXXXXXX, XXX ER XXXXXXXXXX DOMSTOLE X XX XXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXÖXXX XXXX EINER XXXXXXXXXX XXX XXXXX XXX XXXXXXXXXXXX XXXXX MITGLIEDSTAATS/ (XX) XXXXXXXX, XXXXX XX XÄXXX ANDNUD XXXXXXXXXXXX XXXXXXXXX SEOTUD XXXXXXXXXXX XÕX AMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (EN) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXX XX XX XXXXXXXX CONNECTED XXXX XXX XXXXXX OR XXXXXXXXX XX A XXXXXX STATE/ (FR) XXXXXXXX XXXXXXX X'XXX XXXXXXXX XX D'UN XXXXXXXXXXXXX XXXXXXXX X'XXX XXXXXXXXXXX D'UN XXXX XXXXXX/ (GA) DOICIMÉAD X XXXXXXX Ó XXXXXX NÓ X XXXXXXXXX X XXXXXX XXXXX XXXX NÓ XXXX XX XXXXXXXXXX XX LE BINSÍ XX CHUID XXXXXXXXX/ (XX) XXXXXXX KOJU XX IZDALO XXXXXX XXX SLUŽBENIK XXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX EMANATO DA XX'XXXXXXXÀ X XX XX XXXXXXXXXXX XXXXXXXXXXXX XX XXX DELLE XXXXXXXXXXXXX DI UNO XXXXX XXXXXX/ (LV) XXXXXXXXX, XXXX IZSNIEGUSI XX DALĪBVALSTS TIESĀM XXXXXĪXX IESTĀDE XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX XXXXXXXX XXXXXXXXXXXX XX XXXXXXŪXX, SUSIJUSIŲ XX XXXXXXXĖX NARĖS XXXXXXXX XX TRIBUNOLAIS/ (XX) XXXXXXXXX BÍRÓSÁGGAL XXXXXXXXXXXX XXXX HATÓSÁG XXXX XXXXXXXXXXŐ ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX XXXXXXXÀ XXX XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX XXX IT-TRIBUNALI XX' STAT XXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN AUTORITEIT XX AMBTENAAR XXXXXXXXX XXX EEN XXXXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX ORGANU XĄXXXXXX LUB XXXĘXXXXX XĄXXXXXX XXŃXXXX CZŁONKOWSKIEGO/ (XX) XXXXXXXXX XXXXXXXXXXX XX UMA AUTORIDADE XX XX XX XXXXXXXXXXX DEPENDENTE XX XXXXXXXX XXXXXXXÇÃX XX XX XXXXXX-XXXXXX/ (XX) XXXXXXXX EMIS DE X AUTORITATE SAU XX XX FUNCȚIONAR XX XX LÂNGĂ XXXXXXȚXXX XXXX STAT XXXXXX/ (XX) XXXXXXX XXXXXX ORGÁNOM XXXXX XXXXXXXXX X VÄZBOU XX SÚDY XXXXXXXXX XXXXX/ (XX) XXXXXXX, XXXXXX X XXXXXX XXXXXX XXX URADNIKA XXXXX XXXXXXX XXXXXX XXXXXXX/ (FI) XXXXXXXXX, XXXXX ON XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX VIRKAMIES/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXXXXXXXX XXXXX XX XXÄXXXXXXX TILLHÖRANDE XXXXXXXXXÄXXXXXX X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (ES) XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) GERICHTSENTSCHEIDUNG/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (FR) XXXXXXXX XX XXXXXXX/ (XX) CINNEADH XX xXXXXX/ (XX) XXXXXX XXXXXX/ (XX) DECISIONE XXXXXXXXXXXXXXX/ (LV) XXXXXX XĒXXXX/ (LT) TEISMO XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (PL) ORZECZENIE XĄXXXX/ (XX) DECISÃO XXXXXXXX/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (ES) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXX/ (CZ) XXXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (DA) XXXXXXXX XXXXXXX AF XX XXXXXXXXXXXXXXXX/ (DE) URKUNDE XXXXX STAATSANWALTSCHAFT/ (ET) XXXXXXXX, XXXXX XX XÄXXX XXXXXX RIIKLIK XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX A XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XXXXXXÈXX XXXXXX/ (GA) XXXXXXXXX X THAGANN X XXXXXXXXXXXXXXX POIBLÍ/ (HR) XXXXXXX KOJU XX XXXXXX XXXXXXX ODVJETNIŠTVO/ (XX) DOCUMENTO EMANATO XXX PUBBLICO XXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (LT) XXXXXXXXX IŠDUOTAS DOKUMENTAS/ (XX) ÜGYÉSZ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX XXXXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX XXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX EMIS DE XX XXXXXXXX/ (XX) XXXXXXX XXXXXX PROKURÁTOROM/ (XX) XXXXXXX, XX XX XXXX DRŽAVNO XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX ASIAKIRJA/ (XX) HANDLING XXX XÄXXÖX XXÅX ÅKLAGARVÄSENDET

3.1.3

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX EXPEDIDO XXX XX XXXXXXXXXX XXXXXXXX/ (XX) LISTINA XXXXXX XXXXXX SOUDNÍM ÚŘEDNÍKEM/ (XX) XXXXXXXX XXXXXXX XX EN JUSTITSSEKRETÆR/ (XX) XXXXXXX EINES XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX GERICHTS/ (XX) XXXXXXXX, MILLE XX XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) DOCUMENT XXXXXXXXX XXXX A XXXXX XX X XXXXX/ (XX) XXXXXXXX ÉMANANT X'XX GREFFIER/ (GA) XXXXXXXXX X XXXXXXX X CHLÉIREACH XX XXXXX CÚIRTE/ (HR) XXXXXXX XXXX XX XXXXX UPRAVITELJ SUDSKE XXXXXXXXX/ (IT) DOCUMENTO XXXXXXX DA XX XXXXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (LT) XXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ XXXX XXĠXXXXXXXX TA' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX DE XX XXXXXXX XX JUSTIÇA/ (XX) XXXXXXXX EMIS XX UN XXXXXXX XX XXXXXXȚXX/ (XX) XXXXXXX VYDANÁ XXXXXX XXXXXXXXX/ (SL) LISTINA, XX XX XXXX XXXXX XXXXXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXX/ (SV) XXXXXXXX XXX HÄRRÖR XXÅX XX DOMSTOLSTJÄNSTEMAN

3.1.4

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („HUISSIER XX XXXXXXX“)/ (XX) DOCUMENTO XXXXXXXX POR XX XXXXXX XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („HUISSIER XX XXXXXXX“)/ (XX) DOKUMENT 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 XX XXXXXXX')/ (FR) DOCUMENT XXXXXXX D'UN XXXXXXXX XX XXXXXXX/ (GA) XXXXXXXXX A XXXXXXX X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (XX) ISPRAVA KOJU XX XXXXX XXXXXX XXXXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) DOCUMENTO XXXXXXX DA XX XXXXXXXXX GIUDIZIARIO ("XXXXXXXX XX JUSTICE")/ (LV) XXXXXXXXX, XXXX IZSNIEDZIS XXXXXX XXXXXXĪXĀXX (XXXXXXXX XX XXXXXXX)/ (LT) XXXXXXXXX (XXXXXXXX XX XXXXXXX) IŠDUOTAS DOKUMENTAS/ (XX) BÍRÓSÁGI XXXXXXXXXX („XXXXXXXX DE XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX XXXXĊXXX ĠUDIZZJARJU ('XXXXXXXX XX JUSTICE')/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX GERECHTSDEURWAARDER/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX SĄDOWEGO (XXXXXXXX DE XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXÃX XX DIREITO («XXXXXXXX XX JUSTICE»)/ (XX) XXXXXXXX EMIS DE XX EXECUTOR XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX VYDANÁ XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX XX XXXXXXX”) ANTAMA XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX FRÅN XX XXÄXXXXXXXXX (HUISSIER XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) XXXX (UPŘESNĚTE)/ (XX) ANDRE (XXXXXXX)/ (XX) XXXXXXXXX (BITTE XXXXXXX)/ (XX) MUU (XÄXXXXXXXX)/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX XX XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (XX) XXXX (XX XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (IT) XXXXX (XXXXXXXXX)/ (LV) XXXX (PRECIZĒT)/ (XX) XXXX (NURODYTI)/ (XX) XXXXX (KÉRJÜK XXXXXXXXXXX)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) XXXX (PROSZĘ XXXXŚXXĆ)/ (PT) XXXXXX (X XXXXXXXXXXX)/ (XX) XXXXX (X SE XXXXXXX)/ (XX) INÉ (XXXXXXXX)/ (SL) DRUGO (XXXXXXX)/ (FI) XXX XXXXXXXXX (TÄSMENNETTÄVÄ)/ (XX) XXXXX XXXXXXXX (SPECIFICERAS)

3.2

(BG) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (ES) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (ET) XXXXXXXXXXXXXX/ (EL) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (GA) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (IT) XXXXXXXXX XXXXXXXXXXXXXX/ (LV) ADMINISTRATĪVS XXXXXXXXX/ (LT) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (MT) DOKUMENT XXXXXXXXXXXXXX/ (NL) XXXXXXXXXXXXXX XXXXXXXX/ (PL) DOKUMENT XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) SPRÁVNA XXXXXXX/ (SL) XXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (CZ) XXXXXXXXX/ (XX) PÅTEGNING/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (EN) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (HR) XXXXXXX/ (IT) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (HU) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊERTIFIKAT/ (XX) CERTIFICAAT/ (PL) XXŚXXXXXXXXXX/ (PT) XXXXXXÃX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (SK) XXXXXXXXXX/ (XX) XXXXXXXX/ (FI) XXXXXXXX/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX DEL XXXXXXXX CIVIL/ (XX) XXXXX X MATRIKY/ (XX) XXXXXX FRA XXXXXXXXXXXXXXXXXXXX/ (DE) XXXXXX XXX XXX PERSONENSTANDSREGISTER/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) EXTRACT XXXX XXX XXXXX XXXXXX REGISTER/ (XX) XXXXXXX XX XXXXXXXX XX L'ÉTAT XXXXX/ (XX) SLIOCHT AS XX xXXXX XXXXXXX XXXXXXXXXX/ (HR) XXXXXXX XX REGISTRA XXXXXXX XXXXXX/ (IT) XXXXXXXX XX ATTO DI XXXXX CIVILE/ (LV) XXXXXXXX XX CIVILSTĀVOKĻA XXXX XXĢXXXXX/ (XX) XXXXXXX IŠ CIVILINĖS XŪXXĖX XXXŲ REGISTRO/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXX UIT HET XXXXXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX SKRÓCONY AKTU XXXXX XXXXXXXXX/ (XX) XXXXXXX XX XXXX XX XXXXXXX XXXXX/ (XX) EXTRAS DIN XXXXXXXXX XX XXXXX XXXXXĂ/ (SK) VÝPIS X XXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXX XX XXXXXXXX X XXXXXXX STANJU/ (FI) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX DEL CENSO/ (XX) XXXXX Z XXXXXXXX XXXXXXXX/ (DA) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX XXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX DU REGISTRE XX LA XXXXXXXXXX/ (XX) SLIOCHT AS XX xXXXX XXXXXX/ (XX) IZVADAK IZ XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XX IEDZĪVOTĀJU XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXXŲ REGISTRO/ (XX) XXXXXXX A XXXXXXXXXXXX- XX LAKCÍMNYILVÁNTARTÁSBÓL/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (NL) UITTREKSEL XXX HET XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX X XXXXXXXX XXXXXŚXX/ (XX) XXXXXXX XX XXXXXXX XX XXXXXXÇÃX/ (RO) XXXXXX XXX XXXXXXXXX XX XXXXXXȚĂ X XXXXXXȚXXX/ (SK) XXXXX X REGISTRA OBYVATEĽOV/ (XX) IZPISEK XX XXXXXXXX PREBIVALSTVA/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX XX XXXXX DEL XXXXXXXX XXXXX/ (XX) XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXX XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX VON XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (EL) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX XX CIVIL XXXXXX XXXXXXX/ (XX) XXXXX XXXXXXXXX X'XXXXX XX X'XXXX XXXXX/ (XX) XXXX XXXXX XX XXXXXX XX XXXXXXX AR XXXXXX XXXXXXXXX/ (HR) XXXXXXXX XXXXXXXX XX XXXXXXXXXX X XXXXXXX XXXXXX/ (XX) COPIA XXXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXĀXXXĻX AKTU XXĢXXXXX XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) CIVILINĖS XŪXXĖX XXXŲ ĮXXXŲ PAŽODINĖ XXXXXX/ (HU) XXXXXÖXXXX XXXXXXXXX SZÓ SZERINTI XXXXXXXX/ (XX) KOPJA XXXXXXXX TAL-ATTI TAL-ISTAT ĊXXXXX/ (XX) EENSLUIDEND XXXXXXXXX XXX AKTEN XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXŁXX XXXX STANU XXXXXXXXX/ (PT) XXXXXXÃX XX XXXXX XXXXXXXX XX XX XXXXXXXXX XX XXXX DE XXXXXXX CIVIL/ (XX) XXXXX XXXXXĂ A XXXX ACT XX XXXXX CIVILĂ/ (XX) XXXXXXXX VÝPIS ZO XXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXX XXXXXX XXXXXX X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (XX) NOTÁŘSKÁ XXXXXXX/ (XX) NOTARBEKRÆFTET XXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX/ (ET) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX ACT/ (XX) XXXX XXXXXXX/ (XX) XXXXXX NÓTAIREACHTA/ (XX) JAVNOBILJEŽNIČKA XXXXXXX/ (XX) XXXX NOTARILE/ (XX) XXXXXXĀXX AKTS/ (XX) XXXXXXXXX XXXXX/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXËXX AKTE/ (XX) AKT XXXXXXXXXX/ (XX) ATO XXXXXXXX/ (XX) ACT XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) NOTARSKA XXXXXXX/ (XX) XXXXXXXX XXXXXX XXXXXXXXX/ (SV) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX OFICIAL XXXXXX SOBRE UN XXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXX, KTERÝM XXXX OPATŘENA XXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) OFFICIEL XÅXXXXXXX XÅ ET DOKUMENT XXXXXXXXXXX XX XX XXXXXX X DENNES XXXXXXXX AF PRIVATPERSON/ (XX) AMTLICHE XXXXXXXXXXXXX XXX XXXXX XXXXXXXXXXXXX/ (XX) ISIKU XXXXX XXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX XXXXXXX TÕEND/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (EN) XXXXXXXX XXXXXXXXXXX XXXXXX XX X XXXXXXXX XXXXXX XX X XXXXXX XX XXX OR XXX XXXXXXX XXXXXXXX/ (XX) DÉCLARATION OFFICIELLE XXXXXXX XXX XX XXXX XXXX SEING XXXXX/ (XX) XXXXXXXX XXXXXXXXX A XXXXXXXXX XX XXXXXXXXXX ARNA XXXXXX XX XXXXX XXX CHÁIL NÓ XXX XXXX PHRÍOBHÁIDEACH/ (XX) SLUŽBENA XXXXXXX XXXXXXXXX XX XXXXXXX XXXX XX OSOBA XXXXXXXXX X PRIVATNOM XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX XXX XXXXXXXXX PRIVATA/ (XX) OFICIĀLS APLIECINĀJUMS XX XXXXXXXXX, KO XXXĀ XĀXXĀ PARAKSTĪJUSI XĀXX PERSONA/ (XX) XXXXXXXŲ ASMENŲ PASIRAŠYTŲ XXXXXXXXŲ OFICIALŪS PATVIRTINIMAI/ (XX) MAGÁNOKIRATON XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (MT) ĊXXXXXXXXX UFFIĊJALI LI XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX PERSUNA XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX CERTIFICAAT XX XXX XXXXXXXX XXXXXXXXXXX XXXX EEN PERSOON XX XXXX PARTICULIERE XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX UMIESZCZONE XX XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ DZIAŁAJĄCĄ W XXXXXXXXXXX PRYWATNYM/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX ATO DE XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXX APLICAT XX UN DOCUMENT XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) ÚRADNÉ OSVEDČENIE XXXXXXX NA XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX XXXXX/ (XX) URADNA XXXXXX XX ZASEBNI LISTINI/ (XX) VIRALLINEN XXXXXXXX XXXXXXXXXXXX, JONKA XXXXXXÖ XX ALLEKIRJOITTANUT XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX INTYG XXXXXXXXX PÅ XX XXXXXXXX XXX XXXXXXXXXXXXX XX EN XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXXXXX O XXXXXXXX DE XX XXXXXX XXXXXXX CON XXXXXXXX OFICIAL/ (XX) XXXXXXX VYHOTOVENÁ XXXXXXXXXXXXX XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX VÝKONU XXXX SLUŽEBNÍCH XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX XX XX XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (DE) XXX XXXXX XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX MITGLIEDSTAATS XX XXXXXX AMTLICHEN FUNKTION XXXXXXXXXX URKUNDE/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX XXXXX AMETIKOHUSTUSTE XÄXXXXXXX XXXXXXXXX DOKUMENT/ (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 OF X XXXXXX STATE XX XXX XX XXX XXXXXXXX CAPACITY/ (FR) XXXXXXXX XXXXXX XX XX XXXXXXX XXXXXXXXXX XXX XX XXXXX XXXXXXXXXXXX XX XXXXXXXXXX X'XX XXXX MEMBRE/ (XX) XXXXXXXXX XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX XX XXXXX XXXXXXXXX INA XXXXX XX XXX CÁIL XXXXXXXXX/ (XX) ISPRAVA XXXX JE X XXXXXXXXX SVOJSTVU SASTAVIO XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX DIPLOMATICI X XXXXXXXXX XX XXX XXXXX XXXXXX XXXX'XXXXXXXXX DELLE LORO XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX XXXXX XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX VAI XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX AR XXXXXXXXXX XXXXXXŪXX, VEIKIANČIO XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX KONZULI XXXXXXXXŐXX XXXXX HIVATALOS XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXXX MINN XĠXXX DIPLOMATIKU XXX XXXXXXXXX XX' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXXXXX OF XXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX IN XXXX XXXXXXËXX XXXXXXXXXXXX/ (XX) XXXXXXXX SPORZĄDZONY PRZEZ XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX KONSULARNEGO XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX URZĘDOWYM/ (PT) XXXXXXXXX LAVRADO XXX XX XXXXXX DIPLOMÁTICO XX CONSULAR DE XX XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (RO) XXXXXXXX ÎNTOCMIT XX XĂXXX UN AGENT XXXXXXXXXX SAU XXXXXXXX XX UNUI STAT XXXXXX, ÎX CALITATE XXXXXXXĂ/ (SK) LISTINA XXXXXXXXXX DIPLOMATICKÝM ZÁSTUPCOM XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX V XXXXX VÝKONU JEHO XXXXXXX/ (XX) LISTINA, XX XX XXX XXXXXX XXXXX XXXX XXXXXXXXXXX ALI XXXXXXXXXX XXXXXXXXXXX DRŽAVE ČLANICE/ (XX) ASIAKIRJA, JONKA XÄXXXXXXXXXX DIPLOMAATTINEN EDUSTAJA XXX XXXXXXXXXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX UPPRÄTTAD X XXÄXXXXX AV XX XXXXXXXXXXX XXXXX XXXXXXÄX XXÄXXXXXXX X EN XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX ISSUE/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) EISIÚNA/ (XX) DATUM (DD/MM/GGGG) XXXXXXXXX/ (XX) XXXX XX RILASCIO (GG/MM/AAAA)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (NL) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (PT) XXXX DE XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (XX) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) FÖR UTFÄRDANDE

3.7

(BG) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX DE REFERENCIA XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (XX) XXX OFFENTLIGE XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) KENNNUMMER XXX ÖXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX XX XXX XXXXXX XXXXXXXX/ (FR) XXXXXX XX XXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXX XXXXXXXXX XX DOICIMÉID XXXXXXX/ (XX) REFERENTNI XXXX XXXXX XXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXX XXX DOCUMENTO PUBBLICO/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXX/ (XX) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) NÚMERO XX REFERÊNCIA XX XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX DE REFERINȚĂ XX XXXXXXXXXXXX OFICIAL/ (XX) REFERENČNÉ XXXXX XXXXXXXX LISTINY/ (XX) XXXXXXXXXX ŠTEVILKA XXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX HANDLINGENS XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX SOBRE XX XXXXXXXXXX/ (CZ) INFORMACE X XXXXXXX OSOBĚ/ (XX) XXXXXXXXXXX XX XXX PÅGÆLDENDE XXXXXX/ (XX) XXXXXXX XXX XXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXX XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) INFORMATION XX XXX XXXXXX XXXXXXXXX/ (FR) XXXXXXXXXXXX XXX XX PERSONNE XXXXXXXXX/ (GA) XXXXXXXX XXXXXX XXXX XX XXXXX XXXX xXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (LV) XXXXXXĀXXXX XXX ATTIECĪGO PERSONU/ (XX) XXXXXXXXXXX XXXX XXXXXXXXXĄ XXXXXĮ/ (XX) XX ÉRINTETT SZEMÉLYRE XXXXXXXXX ADATOK/ (XX) XXXXXXXXXXXXX DWAR XX-XXXXXXX XXXXĊXXXXXX/ (NL) XXXXXXXXXX XXXX DE XXXXXXXXXX/ (XX) DANE XXXXX, XXXXXX DOTYCZY XXXXXXXX/ (XX) XXXXXXXÇÕXX XXXXX X PESSOA XX XXXXX/ (XX) INFORMAȚII XXXXXXX PERSOANA XXXXXĂ/ (XX) XXXXXXXXXX X XXXXXXXXX OSOBE/ (XX) XXXXXXXXXXX O ZADEVNI XXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXX/ (XX) XXXXXXXXX XX XXX XXXÖXXX XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (XX) XXXXXXXX(X) XX XXXXXXXXXX/ (XX) RODNÉ/Á XXXXXXXX/ (XX) EFTERNAVN(E) XXX XØXXXXX/ (XX) XXXXXXXXXXXX(X) BEI XXX XXXXXX/ (XX) XÜXXXXÄXXXX XXXXXXXXXXXXX (XÜXXXXÄXXXXX XXXXXXXXXXXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (EN) XXXXXXX(X) XX XXXXX/ (XX) XXX(X) À XX XXXXXXXXX/ (GA) XXXXXXX (SLOINNTE) XXXXXXX/ (XX) PREZIME(NA) XXX XXĐXXXX/ (IT) XXXXXXX/X XXXX NASCITA/ (XX) XXXĀXXX(-X) XXXXXXXXX BRĪDĪ/ (XX) XXXXXXĖ (-ĖS), XXXXXXXX (-XX) XXXXX/ (XX) XXÜXXXXXX CSALÁDI XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) XXX-XXXXXX/ (NL) XXXXXXXX(X)X(XX) XXX XX XXXXXXXX/ (XX) XXXXXXXX(-X) XXXXXX/ (XX) XXXXXXX(X) À XXXX XX NASCIMENTO/ (XX) NUMELE LA XXȘXXXX/ (XX) XXXXX XXXXXXXXXX(-X)/ (SL) XXXXXXX/XXXXXXX XX XXXXXXX/ (FI) XXXXXXXX (-NIMET) SYNTYMÄHETKELLÄ/ (XX) XXXXXXXXX XXX XÖXXXXX

4.2

(XX) НАСТОЯЩО(И) ФАМИЛНО(И) ИМЕ(НА)/ (ES) XXXXXXXX(X) XXXXXX(XX)/ (CZ) SOUČASNÉ/Á XXXXXXXX/ (XX) NUVÆRENDE XXXXXXXXX(X)/ (DE) XXXXXXXXXX(X) XXXXXXXXXXXX(X)/ (XX) XXXXXXXX XXXXXXXXXXXXX (XXXXXXXXX XXXXXXXXXXXXXX)/ (XX) ΤΡΕΧΟΝ(-ΤΑ) ΕΠΩΝΥΜΟ(-Α)/ (XX) CURRENT XXXXXXX(X)/ (XX) NOM(S) XXXXXX(X)/ (XX) XXXXXXX (SLOINNTE) XXXXXX/ (XX) XXXXXXXX(-X) XXXXXXX(XX)/ (XX) XXXXXXX/X XXXXXXX/X/ (LV) XXXXXXX(-XX) XXXĀXXX(-X)/ (XX) XXXXXXXXĖ (-ĖX) XXXXXXĖ (-ĖX)/ (XX) XXXXXXXXX XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) XXXXXXX/ (XX) XXXXXXX XXXXXXXX(X)X(XX)/ (PL) XXXXXX XXXXXXXX(-X)/ (XX) XXXXXXX XX XXXXXXXX ATUAIS/ (XX) NUMELE ACTUAL(E)/ (XX) XXXXXXX XXXXXXXXXX(-X)/ (XX) SEDANJI PRIIMEK/PRIIMKI/ (XX) XXXXXXXX XXXXXXXX (XXXXXXXX XXXXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXX

4.3

(XX) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ АКТА/ (XX) XXXXXXXX(X) XXXXX XX LA XXXXXXXXXXX/ (XX) XXXXXXXX XXXX XXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXX(X) XØX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXX XXXXXXXXXX XXX PARTNERSCHAFT/ (ET) XXXXXXXXXXXXX (-XXXXX) XXXX XXXXXXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΑΠΟ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (EN) XXXXXXX(X) XXXXXX THE XXX/ (XX) XXX(X) XXXXX L'ACTE/ (XX) XXXXXXX (SLOINNTE) XXXXX XX nGNÍOMH/ (XX) XXXXXXX(XX) PRIJE REGISTRIRANJA XXXXXXXXXXX/ (XX) XXXXXXX/X XXXXX XXXX'XXXX/ (LV) XXXĀXXX(-X) PIRMS AKTA/ (XX) PAVARDĖ (-ĖS) XXXXX XXXXXXXX XXXĄ/ (XX) XXXXXXX XXXX(X) XX XXXXXXXXX XXXXXXXXX XXXXXXXXXX ELŐTT/ (XX) XXXXXX(/XXXXXXXXXXX) QABEL X-XXX/ (XX) XXXXXXXX(X)X(XX) XXXX XX XXXX/ (PL) XXXXXXXX(-X) PRZED REJESTRACJĄ XXXĄXXX/ (XX) APELIDO(S) XXXXX XX ATO/ (XX) XXXXXX ÎXXXXXX XX ÎNREGISTRAREA XXXXXXXXXXXXXXX/ (XX) PRIEZVISKO(-Á) XXXX XXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXX/XXXXXXX XXXX XXXXXXXXXXXX PARTNERSKE XXXXXXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXX REKISTERÖINTIÄ/ (SV) XXXXXXXXX XÖXX XXXÅXXXXX

4.4

(XX) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА РЕГИСТРИРАНЕТО НА АКТА/ (XX) XXXXXXXX(X) XXXXXXX XX LA XXXXXXXXXXX/ (CZ) PŘÍJMENÍ XX UZAVŘENÍ XXXXXXXXXXXXXX XXXXXXXXXXX/ (DA) XXXXXXXXX(X) XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX(X) NACH XXX XXXXXXXXXX XXX PARTNERSCHAFT/ (XX) XXXXXXXXXXXXX (-XXXXX) XÄXXXX XXXXXXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΜΕΤΑ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (XX) XXXXXXX(X) FOLLOWING XXX XXX/ (XX) NOM(S) À XX SUITE XX L'ACTE/ (XX) XXXXXXX (SLOINNTE) XXX XXX AN XXXXXX/ (XX) XXXXXXX(XX) XXXXX XXXXXXXXXXXXX PARTNERSTVA/ (XX) XXXXXXX/X DOPO X'XXXX/ (XX) UZVĀRDS(-I) XĒX XXXX/ (XX) PAVARDĖ (-ĖX) XX XXXX XXXXXXXX/ (XX) XXXXXXX XXXX(X) XX XXXXXXXXX XXXXXXXXX XXXXXXXXXX XXXX/ (XX) KUNJOM(/KUNJOMIJIET) XXXX X-XXX/ (XX) XXXXXXXX(X)X(XX) XX DE XXXX/ (XX) XXXXXXXX(-X) PO XXXXXXXXXXX XXXĄXXX/ (XX) XXXXXXX(X) APÓS X XXX/ (XX) NUMELE XXXĂ ÎXXXXXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX(-X) XX XXXXXXXX REGISTROVANÉHO PARTNERSTVA/ (XX) PRIIMEK/PRIIMKI PO XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXXXXXÖXXXXX XÄXXXXX/ (XX) XXXXXXXXX XXXXX XXXÅXXXXX

4.5

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (CZ) XXXXX (XXXXX)/ (DA) XXXXXXX(X)/ (XX) VORNAME(N)/ (ET) XXXXXXX (-XXXXX)/ (EL) ΟΝΟΜΑ(-ΤΑ)/ (EN) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (GA) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (IT) XXXX(X)/ (XX) XĀXXX(-X)/ (XX) XXXXXX (-AI)/ (HU) XXXXXXX(X)/ (MT) ISEM(/ISMIJIET)/ (XX) VOORNA(A)M(EN)/ (XX) XXXĘ (IMIONA)/ (XX) XXXX(X) XXXXXXX(X)/ (XX) XXXXXXX/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (SV) XÖXXXXX

4.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (ES) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XØXXXXXXXXX (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 BIRTH/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXX/ (GA) DÁTA (XX/XX/XXXX) BREITHE/ (XX) XXXXX (XX/XX/XXXX) ROĐENJA/ (XX) DATA XX XXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX DATA (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (MT) XXXX (JJ/XX/SSSS) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (DD/MM/JJJJ)/ (XX) XXXX (DD/MM/RRRR) XXXXXXXXX/ (PT) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) ROJSTVA/ (XX) SYNTYMÄAIKA (PP/KK/VVVV)/ (XX) XÖXXXXXXXXXX (DD/MM/ÅÅÅÅ)

4.7

(BG) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX X PAÍS XX NACIMIENTO/ (XX) XXXXX X XXXX XXXXXXXX/ (XX) XØXXXXXX XX -LAND/ (XX) XXX XXX XXXX XXX XXXXXX/ (XX) XÜXXXXXXX JA -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (EN) XXXXX AND XXXXXXX XX XXXXX/ (XX) XXXX ET XXXX XX NAISSANCE/ (GA) XXX XXXX XXX XXXXXXXX/ (XX) MJESTO X ZEMLJA XXĐXXXX/ (XX) XXXXX X XXXXX DI XXXXXXX/ (XX) DZIMŠANAS XXXXX XX XXXXXX/ (XX) XXXXXX XXXXX XX XXXXX/ (XX) SZÜLETÉSI XXXXX XX ORSZÁGA/ (XX) XXXX X XXXXXŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX XX -LAND/ (XX) MIEJSCE X XXŃXXXX URODZENIA/ (PT) XXXXX X PAÍS XX XXXXXXXXXX/ (RO) XXXXX ȘX ȚARA XXȘXXXXX/ (XX) XXXXXX X ŠTÁT XXXXXXXXX/ (XX) XXXX XX XXXXXX XXXXXXX/ (XX) XXXXXXÄXXXXXX XX -XXX/ (XX) XÖXXXXXXXX XXX -XXXX

4.8

(XX) ПОЛ/ (XX) XXXX/ (CZ) XXXXXXX/ (XX) XØX/ (DE) XXXXXXXXXX/ (ET) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (XX) INSCNE/ (HR) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (HU) NEME/ (XX) SESS/ (NL) XXXXXXXX/ (XX) PŁEĆ/ (XX) SEXO/ (XX) XXXXX/ (XX) POHLAVIE/ (XX) XXXX/ (XX) XXXXXXXXX/ (SV) KÖN

4.8.1

(BG) ЖЕНСКИ/ (ES) MUJER/ (XX) XXXX/ (XX) XXXXXX/ (XX) WEIBLICH/ (XX) XXXXXXXXX/ (EL) ΘΗΛΥ/ (EN) XXXXXX/ (XX) XXXXXXX/ (GA) XXXXXXXX/ (HR) XXXXXX/ (XX) XXXXXXXXX/ (LV) XXXXXXXX/ (XX) MOTERIS/ (XX) XŐ/ (MT) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) KVINNA

4.8.2

(BG) МЪЖКИ/ (XX) VARÓN/ (XX) XXX/ (XX) MAND/ (XX) XÄXXXXXX/ (XX) XXXXXXXXX/ (EL) ΑΡΡΕΝ/ (XX) XXXX/ (FR) XXXXXXXX/ (XX) FIREANN/ (XX) XXXXX/ (XX) XXXXXXXX/ (LV) VĪRIETIS/ (XX) VYRAS/ (XX) XXXXX/ (XX) RAĠEL/ (XX) XXX/ (PL) XĘŻXXXXXX/ (XX) MASCULINO/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (SL) XXXXX/ (XX) XXXX/ (XX) XXX

4.8.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) NEURČENO/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) UNDETERMINED/ (FR) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (LV) XXXXXXXXXX/ (XX) NENUSTATYTA/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (XX) ONBEPAALD/ (XX) XŁXĆ NIEOKREŚLONA/ (XX) XÃX DEFINIDO/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) MÄÄRITTELEMÄTÖN/ (XX) XX XXXXXXÄXXX

4.9

(XX) ГРАЖДАНСТВО/ (XX) NACIONALIDAD/ (CZ) XXXXXX XXXXXXXXXXX/ (DA) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXÖXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) ΙΘΑΓΕΝΕΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (GA) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXĪXX/ (LT) XXXXXXXXĖ/ (XX) XXXXXXXXXXXXXXX/ (MT) ĊXXXXXXXXXXX/ (XX) NATIONALITEIT/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (RO) CETĂȚENIA/ (XX) XXXXXX XXXXXXXXXXX/ (XX) DRŽAVLJANSTVO/ (XX) XXXXXXXXXXXX/ (SV) XXXXXXXXXXXXX

5.

(XX) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ, ПОЛОЖЕНИЕТО НА РЕГИСТРИРАНО ПАРТНЬОРСТВО НА СЪОТВЕТНОТО ЛИЦЕ Е, КАКТО СЛЕДВА/ (XX) SEGÚN XX DOCUMENTO XXXXXXX XX XXX SE XXXXXXX ESTE XXXXXXX, XX ESTADO XXX XXXXXXXXXX EN XX XXX XXXXXXXX A XX XXXXXXX XX XXXXXXX XX UNA XXXXX XX XXXXX XXXXXXXXXX XX EL XXXXXXXXX/ (XX) NA XXXXXXX XXXXXXX LISTINY, X XXX JE XXXXXXXX XXXXX XXXXXXXX, XX XXXXXXX XXXXX XXXXX XXXXXX REGISTROVANÉHO XXXXXXXXXXX/ (DA) X XXXXXXX TIL XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX ER XXXXÆXXXX, XXX DEN XÅXÆXXXXXX XXXXXX XØXXXXXX XXXXXXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXX DER XXXXXXXXXXXXX XXXXXXXXXXXXX XXX BETREFFENDEN XXXXXX GEMÄSS XXX ÖXXXXXXXXXXX URKUNDE, XXX XXXXXX XXXXXXXX BEIGEFÜGT XXX/ (XX) XXXXXXXXX XXXXXXXXX XXXXXXXXXXX, XXXXXXX XXX XXXX ON XXXXXXX, XX XXXXXXXXXX XXXXXX XÄXXXXXX REGISTREERITUD XXXXXXXXX XXXXXX STAATUS/ (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 TO THE XXXXXX DOCUMENT TO XXXXX THIS FORM XX XXXXXXXX, XXX XXXXXX XXXXXXXXX XXX XXX FOLLOWING REGISTERED XXXXXXXXXXX XXXXXX/ (XX) X'XXXÈX XX DOCUMENT XXXXXX XXXXXX LE XXXXXXX XXXXXXXXXX XXX XXXXX, XX XXXXXX XX XXXXXXXXXXX ENREGISTRÉ XX LA PERSONNE XXXXXXXXX XXX XX XXXXXXX/ (XX) XX XXXX AN XXXXXXXXX XXXXXXX XXXX XXXXXX XX FHOIRM XXX XXXXXXXXXX, XX XX XXXXXX XXXXXXXXXXXXXXX XXXXXXXXX X LEANAS XX XX XXXXX LENA xXXXXXXXX/ (XX) PREMA XXXXXX XXXXXXX KOJOJ XX XXXX XXXXXXX XXXXXXXX STATUS XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXX XXXXX XX XXXXXXĆX/ (XX) XXXXXXX XX XXXXXXXXX XXXXXXXX XXX IL XXXXXXXX XXXXXX È XXXXXXXX, XX XXXXX XX XXXXXX XXXXXXXXXX XXXXX XXXXXXX INTERESSATA È IL SEGUENTE/ (XX) XXXXXŅĀ XX XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX IR XXXXXXXXXX, XXXXXXĪXXXXX XXXXXXXX XX ŠĀDS XXĢXXXXĒXX XXXXXXXXXXXXXĪXX STATUSS/ (LT) XXXXX XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX FORMA, XXXXXXXXXX XXXXXX REGISTRUOTOS XXXXXXXXXXĖX XXXĖXXX XXX XXXXX/ (XX) AZ XXXXXXXX XXXXXXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXX ÖXXXXXÜXXŐ XXXXXXXXX X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXX XXXXXXX/ (XX) XXXXX ID-DOKUMENT XXXXXXXX XX MIEGĦU XXXX XXXXXŻX XXX XX-XXXXXXX, XX-XXXXXXX XXXXĊXXXXXX GĦANDHA X-XXXXXXX TA' XĦXXXXX XXĠXXXXXXX XXX ĠXX/ (XX) VOLGENS XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX, XX DE XXXXXX XXX XXX XXXXXXXXXXXXX PARTNERSCHAP XXX XX XXXXXXXXXX XX XXXXXXXX/ (XX) X XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXŁĄXXXXX JEST XXXXXXXXX FORMULARZ, WYNIKA, ŻX OSOBA, KTÓREJ XXXXXXX XXXXXXXX, XXXXXXX XXXXĘXXXĄXX XXXXXX XXXĄXXXX X XXXXXXXXXXXXXXX XXXĄXXXXX XXXXXXXXXXX/ (PT) XXXXXXX X DOCUMENTO XXXXXXX X XXX O XXXXXXXX XXXXXXXXXX XXXX XXXXXX, À DATA XX XXX XXXXXÃX, X ESTATUTO XX XXXXXXXX REGISTADA XX XXXXXX XX CAUSA X/ (XX) ÎX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX ANEXAT XXXXXXXXX XXXXXXXX, XXXXXXXX XXXXXĂ XXX URMĂTORUL XXXXXX XXXXXXX PARTENERIATUL ÎXXXXXXXXXX/ (XX) XXXĽX XXXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX, XX XXXXXXXX XXXXX XXXXX XXXXXX XXXXXXXXXXXXXX PARTNERSTVA/ (SL) X XXXXXX X XXXXX LISTINO, XX XX XX PRILOŽEN XX XXXXXXX, XX XXXXXX REGISTRIRANE XXXXXXXXXX XXXXXXXXX XXXXXXX XXXXX XXXXXXXXX/ (FI) XXX XXXXXXX XXXXXXXXXX XXXXXX, XXXXX TÄMÄ LOMAKE XXXXXXÄÄX, XXXXXXXXXXXX XXXXXXÖX XXXXXXXXÖXXXXX XXXXXXXXXXXXXX XXXXXXXÄ XXXXXXXXÄÄXX XX SEURAAVA/ (XX) ENLIGT DEN XXXXXXXXXX HANDLING XXXX XXXXXX DETTA XXXXXXÄX ÄX BIFOGAT ÄX XXX BERÖRDA XXXXXXXXX XXXXXX AVSEENDE XXXXXXXXXXX XXXXXXXXXXX FÖLJANDE

5.1

(BG) С РЕГИСТРИРАНО ПАРТНЬОРСТВО/ДАТА (ДД/ММ/ГГГГ) НА РЕГИСТРИРАНЕ НА ПАРТНЬОРСТВОТО/ (XX) XXXXX XXXXXX DE XXXXX XXXXXXXXXX / XXXXX (XX/XX/XXXX) XX REGISTRO XX XX UNIÓN XX XXXXX/ (XX) XX V XXXXXXXXXXXXX XXXXXXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXXXX XXXXXXXXXXX/ (DA) REGISTRERET XXXXXXX/XXXX (XX/XX/ÅÅÅÅ) FOR XXXXXXXXXXXXXX AF XXXXXXXXXXXXX/ (XX) EINGETRAGENER XXXXXXX/XXXXX (XX/XX/XXXX) XXX XXXXXXXXXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXXXX / XXXXXXX REGISTREERIMISE XXXXÄXX (XX/XX/XXXX)/ (XX) ΚΑΤΑΧΩΡΙΣΜΈΝΟΣ(-Η) ΣΥΝΤΡΟΦΟΣ / ΗΜΕΡΟΜΗΝΊΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΚΑΤΑΧΩΡΙΣΗΣ ΤΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ/ (EN) XXXXXXXXXX XXXXXXX/XXXX (XX/XX/XXXX) XX XXXXXXXXXXXX XX XXX XXXXXXXXXXX/ (XX) XXXXX XXXXXX XX XXXXXXXXXXX XXXXXXXXXX/XXXX (XX/XX/XXXX) X'XXXXXXXXXXXXXX DU PARTENARIAT/ (XX) XXXXXXXXX XXXXXXXXX/XXXX (XX/XX/XXXX) CHLÁRÚ XX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXX / XXXXX (XX/XX/XXXX) XXXXXXXXXXXXX PARTNERSTVA/ (XX) XXXXXXX REGISTRATO/DATA XX XXXXXXXXXXXXX XXXX'XXXXXX (XX/XX/XXXX)/ (LV) XXĢXXXXĒXXXX XXXXXXXXX / PARTNERATTIECĪBU XXĢXXXXĒXXXXX XXXXXX (DD/MM/GGGG)/ (XX) XXXXXXXXXXXX (-X) XXXXXXXXX (-Ė) / XXXXXXXXXXĖX XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) BEJEGYZETT XXXXXXXX/X XXXXXXXXXX ÉLETTÁRSI XXXXXXXXX LÉTESÍTÉSÉNEK XXXXX (XXXX/XX/XX)/ (MT) XXXĦXX(/XXXĦXX) XXĠXXXXXX(X) X XXXX (XX/XX/XXXX) XXX-XXĠXXXXXXXXXXX XXX-XĦXXXXX/ (XX) GEREGISTREERDE XXXXXXX/XXXXX (XX/XX/XXXX) VAN XXXXXXXXXXX XXX HET PARTNERSCHAP/ (XX) POZOSTAJE X XXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXX / DATA (DD/MM/RRRR) XXXXXXXX XXXXXXXXXXXXXXXX ZWIĄZKU XXXXXXXXXXXXX/ (XX) XXXXXXXX(X) XXXXXXXXX(X)/XXXX XX REGISTO XX XXXXXXXX (DD/MM/AAAA)/ (XX) XXXXXXXX ÎNREGISTRAT/DATA (XX/XX/XXXX) ÎXXXXXXXXĂXXX XXXXXXXXXXXXXXX/ (XX) REGISTROVANÝ XXXXXXX/XXXXX (XX/XX/XXXX) UZAVRETIA XXXXXXXXXXXXXX XXXXXXXXXXX/ (SL) XXXXXXXXXXX XXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXÖXXX XXXXXXXX/XXXXXXXXXXX XXXXXXXXÖXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) XXXXXXXXXXX XXXXXXX/XXXXX (XX/XX/ÅÅÅÅ) FÖR XXXXXXXXXXXX XX XXXXXXXXXXXXX

5.2

(XX) БЕЗ РЕГИСТРИРАНО ПАРТНЬОРСТВО/ (XX) XX TIENE XXXXXX XX XXXXX XXXXXXXXXX/ (CZ) XXXX X XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXX X XX XXXXXXXXXXX PARTNERSKAB/ (XX) XXXXX XX XXXXX EINGETRAGENEN XXXXXXXXXXXXX/ (XX) XX XXX XXXXXX XXXXXXXXXXXXXX XXXXXXXX/ (XX) ΔΕΝ ΒΡΙΣΚΕΤΑΙ ΣΕ ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΧΕΣΗ ΣΥΜΒΙΩΣΗΣ/ (XX) XXX XX A XXXXXXXXXX XXXXXXXXXXX/ (FR) N'AYANT XXX XXXXXX DE XXXXXXXXXXX XXXXXXXXXX/ (XX) XXX XX XXXXX XXXXXXXXX I xXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) NIJE X XXXXXXXXXXXXX PARTNERSTVU/ (XX) XXX XX XXXXXX REGISTRATA/ (LV) XXX REĢISTRĒTAS PARTNERATTIECĪBAS/ (XX) NESUDARĘS (-XXXX) XXXXXXXXXXXX XXXXXXXXXXĖX/ (XX) XXXXX XXXXXXXXXX ÉLETTÁRSI XXXXXXXXXX/ (MT) MHUX XX SĦUBIJA REĠISTRATA/ (XX) XXXX XX XXX XXXXXXXXXXXXX PARTNERSCHAP/ (XX) XXX XXXXXXXXX X XXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXX/ (XX) XÃX XXX XXX PARCERIA XXXXXXXXX/ (XX) NU XX AFLĂ ÎNTR-UN XXXXXXXXXXX ÎNREGISTRAT/ (SK) XXXXXX X REGISTROVANOM XXXXXXXXXXX/ (SL) XX X REGISTRIRANI PARTNERSKI XXXXXXXXX/ (FI) XX XXXXXXXXÖXXXXXÄ XXXXXXXXXXXXX/ (XX) XX X REGISTRERAT XXXXXXXXXXX

5.2.1

(XX) НИКОГА НЕ Е РЕГИСТРИРАЛО ПАРТНЬОРСТВО/ (XX) NO HA XXXXXX NUNCA PAREJA XX XXXXX XXXXXXXXXX/ (XX) XXXXX XXXXXX X REGISTROVANÉM XXXXXXXXXXX/ (XX) ALDRIG I XX REGISTRERET PARTNERSKAB/ (XX) XXX XX XXXXX XXXXXXXXXXXXX PARTNERSCHAFT/ (XX) EI OLE XXXXXXXXXXXXXX KOOSELUS XXXXX/ (XX) ΔΕΝ ΕΧΕΙ ΣΥΝΑΨΕΙ ΠΟΤΕ ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΧΕΣΗ ΣΥΜΒΙΩΣΗΣ/ (XX) XXXXX XX A XXXXXXXXXX XXXXXXXXXXX/ (FR) X'XXXXX JAMAIS CONCLU XX XXXXXXXXXXX XXXXXXXXXX/ (XX) XX XXXXX XX DUINE XXXXXXXXX X xXXXXXXXXXXXXXX XXXXXXXXXX XXXXX/ (XX) XXXXXX XXXX XXX(-XX) U XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXX XXXXXXXXX UN'UNIONE XXXXXXXXXX/ (XX) XXXXX XXX XXĀXXXX XXĢXXXXĒXĀX XXXXXXXXXXXXXĪXĀX/ (XX) XXXXXXX XXXXXX XXXXXĘX (-XXXX) XXXXXXXXXXXX PARTNERYSTĖS/ (HU) XXXXX XXXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXX/ (XX) XXXX XX XXXX XX XĦXXXXX REĠISTRATA/ (XX) XXXXX XX XXX XXXXXXXXXXXXX XXXXXXXXXXXX/ (XX) NIGDY XXX XXXXXŁ(-X) XXXXXXXXXXXXXXXX ZWIĄZKU XXXXXXXXXXXXX/ (PT) XXXXX XXXX XXX XXXXXXXX XXXXXXXXX/ (XX) NU X-X XXXXX NICIODATĂ ÎXXX-XX XXXXXXXXXXX ÎNREGISTRAT/ (XX) NIKDY NEŽILA X XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) NIKOLI XX XXX V REGISTRIRANI XXXXXXXXXX SKUPNOSTI/ (XX) XX XXX XXXXXXX XXXXX REKISTERÖIDYSSÄ XXXXXXXXXXXXX/ (XX) XXX XXXXXX XXXXX I ETT XXXXXXXXXXX XXXXXXXXXXX

5.2.2

(XX) С РАЗТРОГНАТО РЕГИСТРИРАНО ПАРТНЬОРСТВО/ДАТА (ДД/ММ/ГГГГ) НА РАЗТРОГВАНЕ НА ПАРТНЬОРСТВОТО/ (ES) XX XXXXXXXXX EL XXXXXXXX DE XXX XXXXX XX HECHO / XXXXX (DD/MM/AAAA) XX XX XXXXXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXX XXXX ZRUŠENO/DATUM (DD/MM/YYYY) XXXXXXX XXXXXXXXXXX/ (XX) XXXØXX XXXXXXXXXXX XXXXXXXXXXX/XXXX (XX/XX/ÅÅÅÅ) FOR XXXØXXXXX XX PARTNERSKABET/ (DE) XXXXXXXXXXX XXXXXXXXXXXX XXXXXXXXXXXXX/XXXXX (XX/XX/XXXX) XXX XXXXXXXXX XXX PARTNERSCHAFT/ (ET) XXXXXXXXXXXXXX XXXXXXX ON XÕXXXXXXX / KOOSELU XÕXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΛΥΘΕΙΣΑ ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΧΕΣΗ ΣΥΜΒΙΩΣΗΣ / ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΛΥΣΗΣ ΤΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ/ (XX) DISSOLVED XXXXXXXXXX XXXXXXXXXXX/XXXX (DD/MM/YYYY) XX XXXXXXXXXXX OF XXX XXXXXXXXXXX/ (FR) XXXXX XXXXXX UN XXXXXXXXXXX XXXXXXXXXX XXXXXXX/XXXX (JJ/MM/AAAA) XX XXXXXXXXXXX XX XXXXXXXXXXX/ (GA) XXXXXXXXXXXXXX XXXXXXXXXX DHÍSCAOILTE/DÁTA (LL/MM/BBBB) XXXXXXXXXXXXX XX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX REGISTRIRANO XXXXXXXXXXX / XXXXX (XX/XX/XXXX) XXXXXXXXĆX XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXX XXXXXXXXXX SCIOLTA/DATA DI XXXXXXXXXXXX XXXX'XXXXXX (XX/XX/XXXX)/ (XX) IZBEIGUŠĀS REĢISTRĒTAS XXXXXXXXXXXXXĪXXX / REĢISTRĒTU XXXXXXXXXXXXXĪXX XXXXXXXXXĀX XXXXXX (XX/XX/XXXX)/ (XX) REGISTRUOTA XXXXXXXXXXĖ NUTRAUKTA / XXXXXXXXXXĖX XXXXXXXXXX XXXX (XX/XX/XXXX)/ (HU) XXXXXŰXX XXXXXXXXXX ÉLETTÁRSI XXXXXXXXX/X XXXXXXXXXX ÉLETTÁRSI XXXXXXXXX XXXXXŰXXXXXXX XXXXX (ÉÉÉÉ/HH/NN)/ (XX) XĦXXXXX XXĠXXXXXXX XXXXX U XXXX (XX/XX/XXXX) TAX-XOLJIMENT XXX-XĦXXXXX XXĠXXXXXXX/ (NL) XXXXXXXXX XXXXXXXXXXXXX XXXXXXXXXXXX/XXXXX (DD/MM/JJJJ) XXX ONTBINDING XXX XXX PARTNERSCHAP/ (XX) XXXXXĄXXXXX XXXXXXXXXXXXXXXX ZWIĄZKU XXXXXXXXXXXXX / DATA (XX/XX/XXXX) ROZWIĄZANIA XXXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX/ (XX) XXXXXXXX REGISTADA XXXXXXXXXX/XXXX XX XXXXXXXÇÃX XX XXXXXXXX (XX/XX/XXXX)/ (RO) XXXXXXXXXXX ÎNREGISTRAT XXXXXXXX/XXXX (XX/XX/XXXX) DIZOLVĂRII XXXXXXXXXXXXXXX/ (XX) REGISTROVANÉ PARTNERSTVO XXXX XXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXX REGISTROVANÉHO XXXXXXXXXXX/ (XX) REGISTRIRANA XXXXXXXXXX XXXXXXXX XX PRENEHALA/DATUM (XX/XX/XXXX) XXXXXXXXXX REGISTRIRANE XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXÖXXX XXXXXXXXX XXXXXXX/XXXXXXXXXXX XXXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXÖXX XXXXXXXXXXX PARTNERSKAP/DATUM (XX/XX/ÅÅÅÅ) FÖR UPPLÖSNING XX PARTNERSKAPET

5.2.3

(BG) С ПОЧИНАЛ ПАРТНЬОР/ДАТА (ДД/ММ/ГГГГ) НА СМЪРТТА НА ПАРТНЬОРА/ (ES) XXXXXXX XXXXXXXXXX XX XXX XXXXX DE XXXXX XXXXXXXXXX / XXXXX (XX/XX/XXXX) XX FALLECIMIENTO XX LA XXXXXX XX XXXXX XXXXXXXXXX/ (XX) XXXXXXXX PARTNER – XXXXXXXXX/XXXXX (DD/MM/YYYY) XXXXX PARTNERA – XXXXXXXXX/ (XX) XÆXXXXXXXXXXX XXXXXXX/XXXX (XX/XX/ÅÅÅÅ) FOR XXXXXXXX XØX/ (XX) ÜXXXXXXXXXXX XXXXXXX/XXXXXXXXXXX (TT/MM/JJJJ) XXX XXXXXXXX/ (ET) ÜXXXXXXXX REGISTREERITUD ELUKAASLANE / XXXXXXXXXXXXXX ELUKAASLASE XXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΕΠΙΖΩΝ(-ΣΑ) ΣΥΝΤΡΟΦΟΣ / ΗΜΕΡΟΜΗΝΊΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΘΑΝΑΤΟΥ ΣΥΝΤΡΟΦΟΥ/ (XX) XXXXXXXXX PARTNER/ XXXX (XX/XX/XXXX) OF PARTNER'S XXXXX/ (XX) XXXXXXXXXX XXXXXXXXX/XXXX (XX/XX/XXXX) XX XXXÈX DU XXXXXXXXXX/ (XX) PÁIRTNÉIR XXXXXXXXXX/ XXXX (LL/MM/BBBB) XXXX XX PHÁIRTNÉARA/ (XX) XXXXXXXXXX PARTNER / XXXXX (XX/XX/XXXX) XXXXX XXXXXXXX/ (IT) PARTNER XXXXXXXXXX/XXXX XX DECESSO XXX XXXXXXX (XX/XX/XXXX)/ (XX) PĀRDZĪVOJUŠAIS XXXXXXXXX / XXXXXXXX XXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXĘX (-XXX) XXXXXXXXX (-Ė) / XXXXXXXXX (-ĖX) MIRTIES XXXX (XX/XX/XXXX)/ (HU) TÚLÉLŐ XXXXXXXX/XX XXXXXXXX HALÁLÁNAK XXXXX (ÉÉÉÉ/HH/NN)/ (MT) XXXĦXX(/XXXĦXX) XXXXXXXXXX X XXXX (XX/XX/XXXX) XXX-XXXX XXX-XXXĦXX(/XXXĦXX)/ (XX) XXXXXXXXXXX XXXXXXX/XXXXX (DD/MM/JJJJ) VAN XXXXXXXXXX XXX XX XXXXXXX/ (XX) PARTNER XXXXXXXXĄXX XXXX ŻYCIU / DATA (XX/XX/XXXX) XXXXX XXXXXXXX PARTNERA/ (XX) XXXXXXXX(X) SOBREVIVO(A)/ XXXX DO XXXXX XX(X) XXXXXXXX(X) (XX/XX/XXXX)/ (XX) PARTENER XXXXXXXXȚXXXXX/XXXX (XX/XX/XXXX) XXXXXXXXX XXXXXXXXXXXX/ (XX) POZOSTALÝ XXXXXXX/XXXXX (XX/XX/XXXX) XXXXXX XXXXXXXX/ (XX) XXXXXXXXX XXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXXXXX XXXXX/ (XX) XXXXXXÄÄXXX XXXXXXXX/XXXXXXXXX XXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) XXXXXXXXXXXX PARTNER/DATUM (XX/XX/ÅÅÅÅ) XÖX PARTNERNS DÖD

5.3

(BG) НЕОПРЕДЕЛЕН/ (XX) INDETERMINADO/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (EL) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (FR) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (IT) INDETERMINATO/ (XX) XXXXXXXXXX/ (LT) XXXXXXXXXXX/ (HU) MEGHATÁROZATLAN/ (XX) MHUX STABBILIT/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) MÄÄRITTELEMÄTÖN/ (XX) XX XXXXXXÄXXX

6.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX XXXXX/ (XX) XXXX XXX XXXXXX/ (XX) UNDERSKRIFTSFELT/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) ALLKIRJALAHTER/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX BOX/ (XX) CADRE XXXX XX XXXXXXXXX/ (XX) XXXXX XXX XXXXX/ (XX) XXXXX XX XXXXXX/ (IT) XXXXXXXX XXX XX XXXXX/ (XX) PARAKSTA XXXXX/ (XX) XXXXXX XXXXXXXX/ (XX) AZ ALÁÍRÁS XXÖXXXXXXXXX/ (MT) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX XX XXXXXXXXXXXX/ (XX) XXXX XXXXXXX/ (XX) XXXXÇX DESTINADO À ASSINATURA/ (XX) XXXXĂXXXX/ (SK) KOLÓNKA XX XXXXXX/ (XX) XXXXX XX PODPIS/ (XX) ALLEKIRJOITUSKENTTÄ/ (XX) XXXX FÖR XXXXXXXXXXXXXX

6.1

(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 XXXXXXX ESTE IMPRESO/ (XX) XXXXXXXX X XXXXX (XXXXX) XXXXXXXX, XXXXX XXXXX TENTO XXXXXXXX/ (DA) EFTERNAVN(E) XX XXXXXXX(X) XÅ XXX XXXXXXXXXX, XXX XXX UDSTEDT XXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX VORNAME(N) DES XXXXXXX, DER 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) XXX XXXXXXXX(X) OF THE XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) XXX(X) ET XXXXXX(X) XX FONCTIONNAIRE QUI X DÉLIVRÉ XX XXXXXXX XXXXXXXXXX/ (GA) XXXXXXX (XXXXXXXX) XXXX XXXXXXXX (CÉADAINMNEACHA) XX XXXXXXXX A D’EISIGH XX XXXXXX SEO/ (XX) XXXXXXX(XX) I XXX(XX) SLUŽBENIKA XXXX XX IZDAO XXXX XXXXXXX/ (XX) XXXXXXX/X X XXXX/X XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX PRESENTE XXXXXX/ (LV) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, XXXĀXXX(-X) UN XĀXXX(-X)/ (LT) ŠIĄ XXXXĄ XXXXXXXXX PAREIGŪNO XXXXXXĖ (-ĖX) IR XXXXXX (-AI)/ (XX) X FORMANYOMTATVÁNYT KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXX XXXX(X) XX UTÓNEVE(I)/ (MT) XXXXXX(/XXXXXXXXXXX) X ISEM(/ISMIJIET) XXX-XXXXĊXXX XX ĦXXXĠ XXX IL-FORMOLA/ (XX) XX(X)X(XX) XX XXXXXX(X)X(XX) XXX XX AMBTENAAR XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) I XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX XXXXŁ NINIEJSZY XXXXXXXXX/ (XX) XXXXXXX(X) E XXXX(X) XXXXXXX(X) XX XXXXXXXXXXX XXX EMITIU X PRESENTE XXXXXXXXXX/ (XX) NUMELE ȘI XXXXXXXXX FUNCȚIONARULUI XXXX X EMIS XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) PRIIMEK/PRIIMKI XX XXX/XXXXX XXXXXXXX, XX JE XXXXX XX OBRAZEC/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXXXXX (-XXXXX) XX XXXXXXX (-NIMET)/ (XX) EFTERNAMN XXX XÖXXXXX XÅ DEN XXÄXXXXXXX XXX HAR XXXÄXXXX DETTA XXXXXXÄX

6.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXX XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) FUNKCE XXXXXXXX, XXXXX VYDAL TENTO XXXXXXXX/ (XX) STILLING — XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX DES BEAMTEN, XXX DIESES XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (EL) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXX XX THE XXXXXXXX WHO XXXXXX XXXX FORM/ (XX) XXXXX XX FONCTIONNAIRE XXX A XXXXXXX XX PRÉSENT FORMULAIRE/ (XX) XXXX XX XXXXXXXX X D’EISIGH XX XXXXXX XXX/ (XX) FUNKCIJA XXXXXXXXXX XXXX XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXX FUNZIONARIO XXX XX XXXXXXXXXX XX XXXXXXXX MODULO/ (XX) AMATPERSONAS, XXXX XXXXXXXX ŠO VEIDLAPU, XXXXX/ (XX) ŠIĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ TISZTVISELŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ XXX IL-FORMOLA/ (XX) XXXXXXX VAN XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX URZĘDNIKA, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX XX FUNCIONÁRIO XXX XXXXXX X PRESENTE XXXXXXXXXX/ (XX) POZIȚIA XXXXȚXXXXXXXXX CARE A XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XX XX XXXXX XX OBRAZEC/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX ASEMA/ (XX) XXXXXXXXXX FÖR XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) VYDÁNÍ/ (XX) XXXXXXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX ISSUE/ (XX) DATE (XX/XX/XXXX) XX XXXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (IT) XXXX XX XXXXXXXX (GG/MM/AAAA)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X KIÁLLÍTÁS XXXXXX (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (NL) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) DATA (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX EMISSÃO (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) VYDANIA/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (FI) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) FÖR XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (XX) FIRMA/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (DE) XXXXXXXXXXXX/ (XX) XXXXXXX/ (EL) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (GA) XXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXX/ (MT) XXXXX/ (NL) XXXXXXXXXXXX/ (XX) PODPIS/ (PT) XXXXXXXXXX/ (XX) SEMNĂTURA/ (XX) PODPIS/ (SL) XXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) NAMNTECKNING

6.5

(BG) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (XX) XXXXX NEBO XXXXXXX/ (DA) XXXX XXXXX STEMPEL/ (XX) XXXXXX XXXX XXXXXXX/ (XX) XXXXXX XÕX XXXXXX/ (EL) ΣΦΡΑΓΙΔΑ/ (XX) XXXX OR XXXXX/ (FR) XXXXX XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXX XXX XXXXX/ (IT) XXXXX X XXXXXX/ (XX) XĪXXXX XXX SPIEDOGS/ (XX) SPAUDAS XXXX XXXXXXXXXX/ (XX) PECSÉT XXXX XXXXXXXŐXXXXXXXX/ (MT) XXĠXXX XXX XXXXXX/ (XX) ZEGEL XX XXXXXXX/ (PL) PIECZĘĆ XXX XXXXXXX/ (XX) XXXX XX XXXXXXX/ (XX) XXXXXXXX XXX ȘXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXX PEČIATKY/ (XX) XXXXX XXX XXX/ (XX) SINETTI XXX XXXXX/ (XX) XXXXXX XXXXX STÄMPEL

XXXXXXXX nebo XXXXX POBYTU

VÍCEJAZYČNÝ STANDARDNÍ XXXXXXXX – XXXXXXX XXX XXXXXXX

Xxxxxx 7 xxxxxxxx Xxxxxxxxxx xxxxxxxxxx x Rady (XX) 2016/1191 xx dne 6. července 2016 x podpoře xxxxxxx xxxxxx xxxxxx zjednodušením xxxxxxxxx xx předkládání xxxxxxxxx veřejných listin x Evropské xxxx x x xxxxx xxxxxxxx (EU) x. 1024/2012 (1) (2)

Belgie (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (CZ)

Dánsko (DK) Xxxxxxx (XX)

Xxxxxxxx (EE) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (ES)

Francie (FR) Xxxxxxxxxx (HR)

Itálie (XX) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (LU)

Maďarsko (XX) Xxxxx (MT)

Nizozemsko (XX) Rakousko (AT)

Polsko (XX) Portugalsko (XX)

Xxxxxxxx (XX) Slovinsko (SI)

Slovensko (XX) Xxxxxx (FI)

Švédsko (XX) Spojené xxxxxxxxxx (XX)

XXXXXXXX UPOZORNĚNÍ

Jediným xxxxxx xxxxxx vícejazyčného standardního xxxxxxxxx je xxxxxxxxx xxxxxxxx xxxxxxx xxxxxxx, x xxx je xxxxxxxx. Xxxxx formulář xx xxxx členskými xxxxx nesmí xxxxxxxxx xxxx samostatný xxxxxxxx.

Xxxxx xxxxxxxx xxxxxx obsah xxxxxxx xxxxxxx, k xxx je přiložen. Xxxxx, xxxxx xx xxxxxxx xxxxxxx předkládána, xxxx xxxx x xxxxxxxxx, kdy xx xx xxxxxxxx xxx xxxxx xxxxxxxxxx xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx xxxxxxxxx, xxxxx jsou xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX XXXXX

Xxxxxx xxxxx xxxxxxxxx, xxxxx xxxx xxxxxxx xx xxxxxxx xxxxxxx, k xxx xx xxxxxxxx xxxxx xxxxxxxx. (3)

Pokud veřejná xxxxxxx, x xxx xx přiložen xxxxx xxxxxxxx, xxxxxxxxxx xxxxxx xxxxx nebo informace, xxxxxx „–“.

1. XXXXX XXXXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (4)

2. ORGÁN XXXXXXXXXX VEŘEJNOU XXXXXXX, X NÍŽ JE XXXXXXXX XXXXX FORMULÁŘ

1.1 Xxxxx (5)

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

3.1 Xxxxxxx vydaná xxxxxxx nebo úředníkem x xxxxxx xx xxxxx daného xxxxxxxxx xxxxx

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx xxxxxx státním xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx xxxxxx xxxxxxx úředníkem

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

3.1.5 Xxxx (upřesněte)

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

(2) Xxx účely xxxxxx xxxxxxxx xx xxxxx „bydliště“ x „xxxxx xxxxxx“ xxxx xxx xxxxxxxxx v xxxxxxx x xxxxxxxxxxxxx xxxxxx.

(3) Xxx xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

(4) Slovo „xxxxx“ xx třeba vykládat xxxx úřední xxxxx xxxxxx xxxxxxxxxxxx formulář.

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

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x xxxxxxx

3.2.3 Xxxxx x xxxxxxxx xxxxxxxx

3.2.4 Xxxx matričních xxxxxxx

3.1.5 Xxxx (upřesněte)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, xxxxxx byla xxxxxxxx xxxxxxx podepsaná soukromou xxxxxx

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

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXX X XXXXXXX XXXXX

4.1 Xxxxxxxx

4.2 Xxxxx (jména)

4.3 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.4 Xxxxx (1) x xxxx (2) xxxxxxxx

4.5 Xxxxxxx:

4.5.1 Xxxx

4.5.2 Xxx

4.5.3 Xxxxxxxx

5. XXXXXXXX XXXXXXXX XXXX XXXXX POBYTU XXXXX UVEDENÉ XX XXXXXXX XXXXXXX, X XXX JE XXXXXXXX XXXXX XXXXXXXX

5.1 Bydliště

5.1.1 Xxxxxx:

5.1.1.1 Xxxxx x xxxxx domu / xxxxxxxx xxxxxxxxx

5.1.1.2 Místo x poštovní xxxxxxxxx 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 Místo a xxxxxxxx xxxxxxxxx xxxxx

5.1.1.3 Xxxx (2)

6. XXXX XXX PODPIS

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

6.2 Xxxxxx xxxxxxxx, xxxxx vydal xxxxx formulář

6.3 Datum (xx/xx/xxxx) xxxxxx

6.4 Podpis

6.5 Xxxxx xxxx razítko

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

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

VÍCEJAZYČNÝ XXXXXX XXXXX STANDARDNÍCH XXXXXXX

(XXXXXXXX nebo MÍSTO XXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX EXPIDE XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXX UDSTEDENDE XXXXXXXXX/ (XX) BEHÖRDE, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) KÄESOLEVA XXXXX XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) AUTHORITY XXXXXXX XXXX FORM/ (XX) XXXXXXXX XX DÉLIVRANCE XX PRÉSENT XXXXXXXXXX/ (XX) XX xXXXXXX X EISEOIDH AN XXXXXX SEO/ (XX) XXXXXX KOJE IZDAJE XXXX XXXXXXX/ (XX) XXXXXXXÀ CHE XXXXXXXX XX PRESENTE XXXXXX/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX TA' XXX XX-XXXXXXX/ (NL) XXXXXXXXXX VAN XXXXXXX XXX DIT FORMULIER/ (XX) XXXXX WYDAJĄCY XXXXXXXXX FORMULARZ/ (XX) XXXXXXXXXX QUE XXXXX X PRESENTE FORMULÁRIO/ (XX) XXXXXXXXXXX XXXXXXXĂ X PREZENTULUI XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (SL) XXXXX, KI XXXX XX OBRAZEC/ (XX) XÄXÄX XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) NÁZEV/ (XX) XXXXXXXXXX/ (DE) BEZEICHNUNG/ (XX) XXXXXXX/ (EL) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) NAZIV/ (IT) XXXXXXXXXXXXX/ (LV) XXXXXXXXX/ (XX) PAVADINIMAS/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (XX) BENAMING/ (PL) XXXXX/ (XX) DESIGNAÇÃO/ (XX) XXXXXXXX/ (SK) XXXXX/ (SL) IME/ (XX) NIMI/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XX DOCUMENTO PÚBLICO XX XXX SE XXXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (DA) XXX XXXXXXXXX, XXX XXX UDSTEDT DET XXXXXXXXXX DOKUMENT, XXX XXXXX XXXXXXXX ER XXXXÆXXXX/ (DE) BEHÖRDE, XXX DIE ÖXXXXXXXXXX XXXXXXX, DER DIESES XXXXXXXX XXXXXXÜXX XXX, XXXXXXXXX/ (ET) ASUTUS, XXX ANDIS XÄXXX XXXXXXX DOKUMENDI, MILLELE XXX VORM ON XXXXXXX/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXXX PUBLIC XXXXXX XXX XXXXX XX PRÉSENT XXXXXXXXXX/ (XX) XX xXXXXXX X EISEOIDH AN XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX CEANGAILTE/ (XX) XXXXXX XXXX XXXXXX XXXXX XXXXXXX KOJOJ XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ XXX RILASCIA IL XXXXXXXXX XXXXXXXX CUI XX PRESENTE XXXXXX È ALLEGATO/ (LV) XXXXXXXĀ XXXXXXXXX, KURAM XĪ XXXXXXXX IR XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (LT) XXXXĄXĮ DOKUMENTĄ, XXXX XXXXX XXXXXXXXX ŠI XXXXX, IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ EMITTENTI XXX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX MEHMUŻA DIN XX-XXXXXXX/ (NL) XXXXXXXXXX XXX XXXXXXX XXX XXX OPENBAAR XXXXXXXX XXXXXXX DIT XXXXXXXXX XX XXXXXXX/ (PL) XXXXX XXXXXĄXX DOKUMENT XXXĘXXXX, DO XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) AUTORIDADE XXX XXXXX X XXXXXXXXX PÚBLICO X XXX O PRESENTE XXXXXXXXXX ESTÁ XXXXXX/ (XX) AUTORITATEA XXXXXXXĂ X XXXXXXXXXXXX OFICIAL XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXXXX LISTINU, KU XXXXXX XX TENTO XXXXXXXX XXXXXXXXX/ (SL) XXXXX, XX XXXX XXXXX LISTINO, XX XX XX XXXXXXXX XX OBRAZEC/ (XX) XXXXXXXXXXXX, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX TÄMÄ XXXXXX XXXXXXÄÄX/ (XX) MYNDIGHET XXX XXXÄXXXX DEN XXXXXXXXXX XXXXXXXX TILL XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXXXXXXXX PÚBLICO XX XXX XX XXXXXXX ESTE XXXXXXX/ (XX) XXXXXXXXX TÝKAJÍCÍ XX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX TENTO XXXXXXXX/ (XX) XXXXXXXXXXX XXXXØXXXXX XXX OFFENTLIGE XXXXXXXX, XXX DENNE XXXXXXXX XX XXXXÆXXXX/ (DE) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX AVALIKU XXXXXXXXX XXXXX, MILLELE XXX XXXX ON XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX RELATING XX XXX XXXXXX XXXXXXXX XX XXXXX XXXX FORM IS XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX XXXXXX AUQUEL XXX XXXXX XX PRÉSENT XXXXXXXXXX/ (XX) XXXXXXXX X XXXXXXXXX XXXX XX DOICIMÉAD XXXXXX XXXX BHFUIL AN XXXXXX XXX CEANGAILTE/ (XX) XXXXXXXXXXX KOJE XX XXXXXX XX XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (IT) INFORMAZIONI XXXXXXXX XX XXXXXXXXX XXXXXXXX CUI XX XXXXXXXX MODULO È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX ŠĪ XXXXXXXX XX PIEVIENOTA/ (LT) XXXXXXXXXXX, SUSIJUSI XX XXXXXXXX XXXXXXXXX, XXXX XXXXX PRIDEDAMA XX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXXX INFORMÁCIÓK/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) INFORMATIE XXXXXXXXXXX HET XXXXXXXX XXXXXXXX WAARAAN XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXX DOTYCZĄCE XXXXXXXXX URZĘDOWEGO, XX XXXXXXX NINIEJSZY XXXXXXXXX XXXX XXŁĄXXXXX/ (PT) XXXXXXXÇÕXX XXXXXXXXX AO XXXXXXXXX XXXXXXX X XXX X PRESENTE XXXXXXXXXX ESTÁ XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXX LISTINE, XX XXXXXX XX TENTO XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXX X JAVNO XXXXXXX, XX XX JE XXXXXXXX XX XXXXXXX/ (XX) TIEDOT XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (SV) XXXXXXXXXXX XX XXX XXXXXXXXXX HANDLING TILL XXXXXX XXXXX FORMULÄR ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX XXXXXXXX XXX XXX XXXXXXXXX X XX XXXXXXXXXXX XXXXXXXXX A XXX XXXXXXX JURISDICCIONALES XX XX XXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXX XXXXXXXXX X XXXXXX XX XXXXX DANÉHO XXXXXXXXX XXXXX/ (DA) DOKUMENT, XXX XX UDSTEDT XX XX XXXXXXXXX XXXXX XX XXXXXXXXXX, XXX ER TILKNYTTET XXXXXXXX X XX XXXXXXXXXXX/ (XX) XXXXXXX XXXXX BEHÖRDE XXXX XXXXX AMTSPERSON ALS XXXXX DER RECHTSPFLEGE XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX ON XÄXXX ANDNUD LIIKMESRIIGI 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 COURTS XX XXXXXXXXX XX X XXXXXX STATE/ (XX) XXXXXXXX XXXXXXX X'XXX XXXXXXXX XX X'XX XXXXXXXXXXXXX XXXXXXXX X'XXX XXXXXXXXXXX X'XX ÉTAT XXXXXX/ (GA) DOICIMÉAD X XXXXXXX X XXXXXX XX X XXXXXXXXX A XXXXXX XXXXX AIGE NÓ XXXX LE XXXXXXXXXX XX XX XXXXX XX XXXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX TIJELO XXX SLUŽBENIK SUDA XXXXXX XXXXXXX/ (IT) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ X XX XX FUNZIONARIO XXXXXXXXXXXX XX XXX XXXXX XXXXXXXXXXXXX XX XXX XXXXX XXXXXX/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XX DALĪBVALSTS XXXXĀX XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (XX) DOKUMENTAS, XXXXXXXX XXXXXXXX INSTITUCIJOS XX PAREIGŪNO, SUSIJUSIŲ XX VALSTYBĖS NARĖS XXXXXXXX XX XXXXXXXXXXX/ (XX) TAGÁLLAMI XXXXXXXXXX XXXXXXXXXXXX XXXX XXXXXXX XXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ MINN XXXXXXXÀ XXX XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX XXX IT-TRIBUNALI XX' XXXX XXXXXX/ (XX) DOCUMENT XXXXXXXXX XXXX EEN XXXXXXXXXX XX AMBTENAAR XXXXXXXXX XXX XXX XXXXXXXXXXXX XXXXXXXXX VAN XXX XXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX XXXXXX XĄXXXXXX LUB XXXĘXXXXX XĄXXXXXX XXŃXXXX CZŁONKOWSKIEGO/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXXXX XX XX UM XXXXXXXXXXX DEPENDENTE XX XXXXXXXX XXXXXXXÇÃX DE XX XXXXXX-XXXXXX/ (RO) XXXXXXXX EMIS XX X AUTORITATE SAU XX UN XXXXȚXXXXX XX XX XÂXXĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (XX) LISTINA XXXXXX XXXXXXX XXXXX XXXXXXXXX X XÄXXXX XX XXXX XXXXXXXXX XXXXX/ (SL) XXXXXXX, XXXXXX S XXXXXX XXXXXX ALI XXXXXXXX XXXXX OBLASTI DRŽAVE XXXXXXX/ (XX) ASIAKIRJA, XXXXX XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX TAI XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN EN XXXXXXXXX ELLER XX XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX JUDICIAL/ (XX) XXXXXXXXXX SOUDU/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) XXXXXXXX DE JUSTICE/ (XX) CINNEADH XX xXXXXX/ (XX) SUDSKA XXXXXX/ (XX) DECISIONE XXXXXXXXXXXXXXX/ (LV) TIESAS XĒXXXX/ (XX) TEISMO XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (PT) XXXXXÃX XXXXXXXX/ (RO) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) SÚDNE XXXXXXXXXXX/ (SL) XXXXX XXXXXXX/ (FI) XXXXXXXXXXXXXX XÄÄXÖX/ (SV) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) DOCUMENTO XXXXXXXX XXX XX XXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX EN XXXXXXXXXXXXXXXX/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, MILLE XX XÄXXX XXXXXX XXXXXXX XÜÜXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) DOCUMENT XXXXXXXXX XXXX A XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX DU XXXXXXÈXX XXXXXX/ (XX) XXXXXXXXX X THAGANN X XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXX JE XXXXXX XXXXXXX ODVJETNIŠTVO/ (XX) DOCUMENTO XXXXXXX XXX XXXXXXXX MINISTERO/ (XX) DOKUMENTS, KURU XXXXXXXXXX PROKURORS/ (LT) XXXXXXXXX XXXXXXXX DOKUMENTAS/ (XX) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXĠ XXXX XXXXXXXXXX PUBBLIKU/ (NL) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXX MINISTERIE/ (XX) DOKUMENT XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX DO XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX/ (SK) XXXXXXX XXXXXX PROKURÁTOROM/ (XX) XXXXXXX, KI XX XXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX FRÅN ÅKLAGARVÄSENDET

3.1.3

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXXXX/ (XX) LISTINA XXXXXX XXXXXX SOUDNÍM XXXXXXXXX/ (XX) DOKUMENT XXXXXXX XX EN XXXXXXXXXXXXXÆX/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXX XXX GESCHÄFTSSTELLE XXXXX XXXXXXXX/ (ET) XXXXXXXX, MILLE XX XÄXXX XXXXXX KOHTUAMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX XXXX A XXXXX XX A XXXXX/ (XX) XXXXXXXX ÉMANANT X'XX XXXXXXXX/ (XX) XXXXXXXXX A XXXXXXX X XXXXXXXXXX XX XXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXX UPRAVITELJ XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX DA XX XXXXXXXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX TIESAS XXXXXXĀXX/ (LT) TEISMO XXXXXXXXXX XXXXXXXX DOKUMENTAS/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX REĠISTRATUR TA' XXXXX/ (XX) DOCUMENT XXXXXXXXX XXXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX DE XX XXXXXXX DE XXXXXÇX/ (XX) XXXXXXXX XXXX XX UN XXXXXXX XX INSTANȚEI/ (SK) XXXXXXX VYDANÁ XXXXXX XXXXXXXXX/ (XX) LISTINA, XX XX IZDA XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX ANTAMA XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („HUISSIER DE XXXXXXX“)/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („HUISSIER DE XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX AF EN XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX EMANATING XXXX A XXXXXXXX XXXXXXX ('XXXXXXXX DE XXXXXXX')/ (XX) XXXXXXXX XXXXXXX X'XX HUISSIER XX XXXXXXX/ (XX) XXXXXXXXX A THAGANN X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX JUSTICE”)/ (XX) XXXXXXX KOJU XX IZDAO XXXXXX XXXXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXX DA UN XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (XXXXXXXX XX JUSTICE)/ (LT) XXXXXXXXX (XXXXXXXX XX XXXXXXX) IŠDUOTAS XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXXX („XXXXXXXX DE XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX XX JUSTICE')/ (XX) XXXXXXXX AFGEGEVEN XXXX XXX GERECHTSDEURWAARDER/ (XX) DOKUMENT POCHODZĄCY XX URZĘDNIKA XĄXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) DOCUMENTO XXXXXXXXXXX XX XX XXXXXXÃX XX DIREITO («XXXXXXXX XX JUSTICE»)/ (RO) XXXXXXXX XXXX XX XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXXXX XXXXXX VYKONÁVATEĽOM („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXX, XX XX XXXX SODNI XXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) HAASTEMIEHEN (”HUISSIER XX XXXXXXX”) XXXXXX XXXXXXXXX/ (SV) HANDLING XXX HÄRRÖR XXÅX XX STÄMNINGSMAN (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) OTRO (XXXXXXXXXXXXX)/ (XX) JINÉ (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) MUU (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (EN) XXXXX (XX XX XXXXXXXXX)/ (XX) AUTRE (À XXXXXXXX)/ (XX) EILE (XX XXXXX)/ (XX) XXXXXX (NAVESTI)/ (XX) XXXXX (XXXXXXXXX)/ (LV) XXXX (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (XX) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) INNY (XXXXXĘ XXXXŚXXĆ)/ (XX) XXXXXX (X ESPECIFICAR)/ (RO) XXXXX (X SE XXXXXXX)/ (XX) XXX (XXXXXXXX)/ (XX) DRUGO (XXXXXXX)/ (XX) MUU XXXXXXXXX (TÄSMENNETTÄVÄ)/ (XX) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (ES) XXXXXXXXX XXXXXXXXXXXXXX/ (CZ) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (DA) ADMINISTRATIVT XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (EN) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (GA) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (IT) DOCUMENTO XXXXXXXXXXXXXX/ (LV) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) KÖZIGAZGATÁSI XXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) DOKUMENT XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) 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) TÕEND/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (EN) XXXXXXXXXXX/ (FR) CERTIFICAT/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (IT) XXXXXXXXXXX/ (XX) APLIECINĀJUMS/ (XX) XXXXXX, XXXXXXXXXX/ (HU) XXXXXXXXXXX/XXXXXXXXXXXX/ (MT) ĊERTIFIKAT/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (RO) XXXXXXXXXX/ (XX) OSVEDČENIE/ (XX) POTRDILO/ (XX) XXXXXXXX/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX XXXXXXXX CIVIL/ (CZ) XXXXX Z XXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (DE) AUSZUG XXX DEM XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX THE CIVIL XXXXXX XXXXXXXX/ (XX) XXXXXXX DU XXXXXXXX XX X'XXXX CIVIL/ (XX) SLIOCHT XX XX xXXXX XXXXXXX XXXXXXXXXX/ (XX) IZVADAK XX XXXXXXXX XXXXXXX XXXXXX/ (XX) XXXXXXXX XX XXXX DI XXXXX XXXXXX/ (LV) XXXXXXXX NO CIVILSTĀVOKĻA XXXX XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXĖX XŪXXĖX XXXŲ REGISTRO/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXXXXX XXXX XXXXX CYWILNEGO/ (XX) XXXXXXX XX XXXX XX XXXXXXX CIVIL/ (XX) XXXXXX DIN XXXXXXXXX XX STARE XXXXXĂ/ (SK) XXXXX X REGISTRA OSOBNÉHO XXXXX/ (XX) XXXXXXX XX XXXXXXXX X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (ES) XXXXXXXX XXX XXXXX/ (XX) XXXXX X XXXXXXXX OBYVATEL/ (DA) XXXXXX FRA XXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX MELDEREGISTER/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (EN) XXXXXXX XXXX THE XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX DU XXXXXXXX XX XX POPULATION/ (XX) XXXXXXX AS XX gCLÁR DAONRA/ (XX) XXXXXXX IZ XXXXXX XXXXXXXXXXXX/ (IT) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XX XXXXĪXXXĀXX XXĢXXXXX/ (XX) IŠRAŠAS XX GYVENTOJŲ REGISTRO/ (XX) KIVONAT X XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (NL) XXXXXXXXXX XXX HET XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX X XXXXXXXX XXXXXŚXX/ (XX) XXXXXXX DO XXXXXXX XX XXXXXXÇÃX/ (XX) XXXXXX XXX XXXXXXXXX XX XXXXXXȚĂ X XXXXXXȚXXX/ (XX) XXXXX X REGISTRA XXXXXXXĽXX/ (XX) XXXXXXX 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 XXX XXXXXXXX XXXXX/ (CZ) XXXX MATRIČNÍCH ZÁZNAMŮ/ (XX) XXXXXX XXXX XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (EN) XXXXXXXX XXXX OF XXXXX XXXXXX XXXXXXX/ (XX) XXXXX INTÉGRALE X'XXXXX XX X'XXXX CIVIL/ (XX) CÓIP XXXXX XX FHOCAL XX XXXXXXX XX XXXXXX XXXXXXXXX/ (HR) DOSLOVNI XXXXXXXX IZ XXXXXXXXXX X XXXXXXX XXXXXX/ (XX) COPIA XXXXXXXXX XX XXXX XX XXXXX CIVILE/ (LV) XXXXXXXĀXXXĻX AKTU XXĢXXXXX XXXXXXXX AUTENTISKA KOPIJA/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (HU) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (MT) KOPJA XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (XX) EENSLUIDEND XXXXXXXXX XXX XXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (PT) CERTIDÃO XX CÓPIA INTEGRAL XX DE NARRATIVA XX XXXX DE XXXXXXX XXXXX/ (XX) XXXXX XXXXXĂ A XXXX XXX DE XXXXX XXXXXĂ/ (SK) XXXXXXXX XXXXX XX XXXXXXX X XXXXXXX XXXXX/ (SL) XXXXXXXXX XXXXXX LISTIN O XXXXXXX XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) ORDAGRANN XXXXXXXX XX FOLKBOKFÖRINGSHANDLING

3.3

(BG) НОТАРИАЛЕН АКТ/ (ES) XXXX XXXXXXXX/ (XX) NOTÁŘSKÁ XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (DE) XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) XXXX XXXXXXX/ (XX) XXXXXX NÓTAIREACHTA/ (XX) XXXXXXXXXXXXXXXX ISPRAVA/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXĀXX XXXX/ (XX) NOTARINIS AKTAS/ (XX) XÖXXXXXXŐX OKIRAT/ (XX) XXX XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (XX) AKT XXXXXXXXXX/ (XX) ATO XXXXXXXX/ (XX) ACT XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) NOTARSKA LISTINA/ (XX) XXXXXXXX ANTAMA XXXXXXXXX/ (XX) NOTARIELL XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) CERTIFICACIÓN OFICIAL XXXXXX XXXXX UN XXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXX, KTERÝM XXXX OPATŘENA XXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXX XÅXXXXXXX XÅ XX XXXXXXXX XXXXXXXXXXX XX XX XXXXXX X XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXX BESCHEINIGUNG XXX XXXXX XXXXXXXXXXXXX/ (XX) XXXXX POOLT 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 SIGNED XX X PERSON XX XXX XX XXX XXXXXXX CAPACITY/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX SUR XX XXXX XXXX SEING XXXXX/ (XX) XXXXXXXX XXXXXXXXX A XXXXXXXXX XX XXXXXXXXXX XXXX XXXXXX XX DUINE XXX XXXXX NÓ XXX CÁIL XXXXXXXXXXXXXX/ (XX) SLUŽBENA XXXXXXX XXXXXXXXX XX XXXXXXX XXXX XX XXXXX XXXXXXXXX X PRIVATNOM XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX SU XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXĀXX APLIECINĀJUMS XX DOKUMENTA, KO XXXĀ VĀRDĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (XX) XXXXXXXŲ XXXXXŲ PASIRAŠYTŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) MAGÁNOKIRATON XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (MT) ĊXXXXXXXXX UFFIĊJALI XX XXXXXXXĦXX F'DOKUMENT XXXXXXXX XXXX PERSUNA XXX-XXXXĊXXÀ XXXXXXX TAGĦHA/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX DOCUMENT XXXXXXXXXXX XXXX XXX XXXXXXX XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX UMIESZCZONE XX XXXXXXXXXX PODPISANYM XXXXX XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX PRYWATNYM/ (XX) XXXXXXXÇÃX OFICIAL XXXXXXX XXX XXX DE XXXXXXXX PRIVADA/ (XX) XXXXXXXXXX XXXXXXX APLICAT XX XX XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX NA LISTINE XXXXXXXXXX OSOBOU XXXXXXXXX XXX XXXXXXXX XXXXX/ (XX) URADNA XXXXXX XX XXXXXXX LISTINI/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, JONKA XXXXXXÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) OFFICIELLT INTYG XXXXXXXXX PÅ EN 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 XX XXXXXX XXXXXXXXXXX O XXXXXXXX DE XX XXXXXX XXXXXXX CON XXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM XXXXXXXXX NEBO KONZULÁRNÍM XXXXXXXXX XXXXXXXXX XXXXX X XXXXX VÝKONU XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX OFFICIELT XXXÆXXXXXX AF EN XXXXXXXXXXXX XXXXXXXXXXXX ELLER XXXXXXÆXX XXXXÆXXXXXXX/ (XX) XXX XXXXX XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX VERTRETER XXXXX XXXXXXXXXXXXXX IN XXXXXX XXXXXXXXX FUNKTION XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX POOLT XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ / (XX) XXXXXXXX XXXXX XX XX X XXXXXXXXXX XX XXXXXXXX XXXXX XX X MEMBER STATE XX XXX XX XXX XXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXX XX XX XXXXXXX XXXXXXXXXX PAR XX XXXXX DIPLOMATIQUE XX XXXXXXXXXX X'XX XXXX XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX SUAS XX GNÍOMHAIRE TAIDHLEOIREACHTA XX CONSALACH XX XXXXX XXXXXXXXX XXX XXXXX XX XXX XXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX X XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX DRŽAVE XXXXXXX/ (IT) XXXXXXXXX XXXXXXX XX XXXXXX XXXXXXXXXXX O XXXXXXXXX XX XXX XXXXX XXXXXX NELL'ESERCIZIO XXXXX XXXX XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX XXXXX XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX DIPLOMĀTISKAIS VAI XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, PARENGTAS XXXXXXXĖX XXXĖX XXXXXXXXX AR XXXXXXXXXX PAREIGŪNO, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXXX XXXX XĠXXX XXXXXXXXXXX XXX XXXXXXXXX TA' XXXX MEMBRU XXX-XXXXĊXXÀ XXXXĊXXXX TIEGĦU/ (NL) XXXXXXXX OPGESTELD XXXX XX XXXXXXXXXXXX OF XXXXXXXXXX AMBTENAAR XXX XXX LIDSTAAT XX XXXX XXXXXXËXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX DYPLOMATYCZNEGO XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX DZIAŁAJĄCYCH X XXXXXXXXXXX URZĘDOWYM / (PT) DOCUMENTO XXXXXXX POR UM XXXXXX XXXXXXXXXXX OU XXXXXXXX XX XX XXXXXX-XXXXXX NO XXXXXXXXX XXX XXXX FUNÇÕES XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX XX XĂXXX XX AGENT XXXXXXXXXX XXX XXXXXXXX AL XXXX XXXX MEMBRU, ÎX XXXXXXXX XXXXXXXĂ/ (XX) LISTINA VYHOTOVENÁ XXXXXXXXXXXXX XXXXXXXXX ALEBO XXXXXXXXXXX ÚRADNÍKOM ČLENSKÉHO XXXXX V XXXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXX, XX XX XXX XXXXXX XXXXX XXXX DIPLOMATSKI XXX KONZULARNI XXXXXXXXXXX XXXXXX ČLANICE/ (FI) XXXXXXXXX, JONKA XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX TAI XXXXXXXXXXXXXXX ON XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXÄXXXX X XXÄXXXXX XX XX XXXXXXXXXXX XXXXX KONSULÄR XXÄXXXXXXX X XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (XX/XX/XXXX) XX EXPEDICIÓN/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (DA) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (DD/MM/YYYY) XX XXXXX/ (XX) XXXX (JJ/MM/AAAA) DE XXXXXXXXXX/ (XX) DÁTA (XX/XX/XXXX) XXXXXXX/ (HR) XXXXX (XX/XX/XXXX) IZDAVANJA/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) IŠDAVIMO XXXX (XX/XX/XXXX)/ (XX) A XXXXXXXXX XXXXXX (ÉÉÉÉ/HH/NN)/ (XX) DATA (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX AFGIFTE/ (XX) DATA (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX EMISSÃO (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (SK) DÁTUM (XX/XX/XXXX) VYDANIA/ (XX) XXXXX (DD/MM/LLLL) XXXXXX/ (XX) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX REFERENCIA XXX XXXXXXXXX PÚBLICO/ (CZ) XXXXXXXXXX ČÍSLO VEŘEJNÉ XXXXXXX/ (XX) XXX XXXXXXXXXX DOKUMENTS XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) REFERENCE XXXXXX XX XXX XXXXXX XXXXXXXX/ (XX) XXXXXX XX XXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXX XXXXXXXXX AN XXXXXXXXX PHOIBLÍ/ (XX) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXX DEL XXXXXXXXX XXXXXXXX/ (LV) XXXXXXXĀ XXXXXXXXX XXXXXXXX XXXXXX/ (LT) XXXXXXX XXXXXXXXX XXXXXXX/ (HU) X KÖZOKIRAT XXXXXXXXXXX XXXXX/ (XX) XXXXX XX' REFERENZA XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX HET OPENBAAR XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) NÚMERO XX XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) NUMĂRUL XX REFERINȚĂ XX XXXXXXXXXXXX OFICIAL/ (SK) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (SL) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) XXXXXXX ASIAKIRJAN XXXXXXXXXXX/ (SV) XXX XXXXXXXXXX XXXXXXXXXXX REFERENSNUMMER

4.

(BG) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (ES) XXXXXXXXXXX XXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXX O XXXXXXX XXXXX/ (DA) XXXXXXXXXXX XX DEN XÅXÆXXXXXX PERSON/ (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 PERSONNE XXXXXXXXX/ (XX) XXXXXXXX XXXXXX XXXX AN DUINE XXXX mBAINEANN/ (XX) XXXXXXXXXXX X DOTIČNOJ XXXXX/ (IT) XXXXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXĪXX XXXXXXX/ (XX) XXXXXXXXXXX XXXX XXXXXXXXXĄ XXXXXĮ/ (HU) XX XXXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (MT) XXXXXXXXXXXXX XXXX XX-XXXXXXX XXXXĊXXXXXX/ (XX) XXXXXXXXXX XXXX XX BETROKKENE/ (XX) XXXX OSOBY, KTÓREJ XXXXXXX DOKUMENT/ (PT) XXXXXXXÇÕXX XXXXX X XXXXXX XX CAUSA/ (XX) INFORMAȚII PRIVIND XXXXXXXX VIZATĂ/ (SK) XXXXXXXXXX X XXXXXXXXX XXXXX/ (SL) XXXXXXXXXXX X ZADEVNI XXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXX/ (XX) UPPGIFTER XX XXX BERÖRDA XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X)/ (XX) XXXXXXXX/ (DA) XXXXXXXXX(X)/ (XX) FAMILIENNAME(N)/ (XX) XXXXXXXXXXXXX (-NIMED)/ (EL) ΕΠΩΝΥΜΟ(-Α)/ (EN) XXXXXXX(X)/ (XX) NOM(S)/ (XX) XXXXXXX (XXXXXXXX)/ (XX) XXXXXXX(XX)/ (XX) COGNOME(I)/ (XX) XXXĀXXX(-X)/ (XX) XXXXXXĖ (-ĖX)/ (XX) XXXXXXX NEVE(I)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (XX) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (XX) XXXXXXX(X)/ (XX) XXXX/ (XX) PRIEZVISKO(-Á)/ (SL) XXXXXXX(XXXXXXX)/ (XX) XXXXXXXX (-XXXXX)/ (SV) EFTERNAMN

4.2

(BG) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) XXXXX (XXXXX)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ (-ΤΑ)/ (EN) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (IT) XXXX(X)/ (XX) XĀXXX(-X)/ (XX) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (XX) VOORNA(A)M(EN)/ (XX) XXXĘ (IMIONA)/ (XX) XXXX(X) PRÓPRIOS(S)/ (XX) XXXXXXX/ (XX) XXXX(-X)/ (SL) IME/IMENA/ (XX) XXXXXXX (-NIMET)/ (XX) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XØXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΊΑ (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/ (XX) XXXX XX XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXX (JJ/XX/SSSS) XXX-XXXXXX/ (NL) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (PT) XXXX DE XXXXXXXXXX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) NAȘTERII/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) SYNTYMÄAIKA (XX/XX/XXXX)/ (SV) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.4

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) LUGAR X XXXX XX XXXXXXXXXX/ (XX) MÍSTO X XXXX NAROZENÍ/ (XX) XØXXXXXX XX -XXXX/ (XX) ORT UND XXXX XXX GEBURT/ (XX) XÜXXXXXXX JA -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX AND XXXXXXX XX BIRTH/ (XX) XXXX XX XXXX XX XXXXXXXXX/ (XX) XXX AGUS XXX XXXXXXXX/ (XX) XXXXXX I ZEMLJA XXĐXXXX/ (IT) LUOGO X PAESE XX XXXXXXX/ (LV) XXXXXXXXX XXXXX UN XXXXXX/ (XX) XXXXXX VIETA XX XXXXX/ (XX) XXÜXXXXXX XXXXX XX XXXXXXX/ (MT) POST X XXXXXŻ TAT-TWELID/ (XX) GEBOORTEPLAATS EN -XXXX/ (XX) XXXXXXX X XXŃXXXX XXXXXXXXX/ (XX) LOCAL X XXXX XX XXXXXXXXXX/ (XX) XXXXX ȘX ȚXXX XXȘXXXXX/ (XX) XXXXXX A XXXX XXXXXXXXX/ (XX) XXXX XX DRŽAVA XXXXXXX/ (XX) XXXXXXÄXXXXXX XX -XXX/ (XX) FÖDELSEORT XXX -LAND

4.5

(BG) ПОЛ/ (XX) XXXX/ (CZ) XXXXXXX/ (XX) KØN/ (XX) GESCHLECHT/ (XX) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (GA) XXXXXX/ (XX) XXXX/ (XX) XXXXX/ (XX) DZIMUMS/ (XX) LYTIS/ (XX) XXXX/ (MT) SESS/ (XX) XXXXXXXX/ (PL) XŁXĆ/ (XX) XXXX/ (XX) SEXUL/ (XX) XXXXXXXX/ (XX) SPOL/ (XX) XXXXXXXXX/ (XX) XÖX

4.5.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) ŽENA/ (XX) XXXXXX/ (XX) XXXXXXXX/ (XX) NAISSOOST/ (XX) ΘΗΛΥ/ (EN) XXXXXX/ (FR) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (IT) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) NŐ/ (XX) MARA/ (XX) XXXXX/ (PL) XXXXXXX/ (XX) FEMININO/ (RO) XXXXXXXX/ (XX) ŽENSKÉ/ (XX) XXXXXX/ (FI) XXXXXX/ (XX) XXXXXX

4.5.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) MUŽ/ (XX) XXXX/ (XX) XÄXXXXXX/ (XX) MEESSOOST/ (XX) ΑΡΡΕΝ/ (EN) MALE/ (XX) MASCULIN/ (XX) XXXXXXX/ (HR) XXXXX/ (XX) MASCHILE/ (LV) XĪXXXXXX/ (XX) XXXXX/ (XX) XXXXX/ (XX) XXĠXX/ (NL) XXX/ (XX) XĘŻXXXXXX/ (XX) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) MUŽSKÉ/ (XX) XXXXX/ (XX) XXXX/ (XX) MAN

4.5.3

(BG) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (CZ) XXXXXXXX/ (XX) UBESTEMT/ (XX) UNBESTIMMT/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) INDÉTERMINÉ/ (GA) XXXXXXXXXXXXXXX/ (HR) NEODREĐEN/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) NENUSTATYTA/ (XX) XXXXXXXXXXXXXXX/ (MT) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) NEURČENÉ/ (XX) XXXXXXXXX/ (XX) MÄÄRITTELEMÄTÖN/ (XX) XX FASTSTÄLLT

5.

(BG) НАСТОЯЩО МЕСТОЖИВЕЕНЕ И/ИЛИ МЕСТОПРЕБИВАВАНЕ НА СЪОТВЕТНОТО ЛИЦЕ СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX X/X XXXXXXXXXX XXXXXXXX XX XX XXXXXXX X XX XXX XX XXXXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX/ (CZ) XXXXXXXX XXXXXXXX XXXX XXXXX XXXXXX XXXXX XXXXXXX XX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (DA) XXXÆXXXXX XXXÆX XX/XXXXX OPHOLDSSTED XXX PERSONEN, XXX XX XXXØXX XX XXX OFFENTLIGE XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (DE) XXXXXXXXX XXXXXXXX XXX/XXXX XXX DES XXXÖXXXXXXXX XXXXXXXXXXX DER BETREFFENDEN XXXXXX GEMÄSS DER ÖXXXXXXXXXXX URKUNDE, DER XXXXXX XXXXXXXX BEIGEFÜGT XXX/ (XX) AVALIKUS XXXXXXXXXX, XXXXXXX SEE XXXX ON XXXXXXX, XXXXXXXXX ISIKU XXXXXXXX XXXXXXX XXXXXXX 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 RESIDENCE XX XXX PERSON XXXXX XX THE XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXX XX/XX XXXXXXXXX XXXXXXX DE XX XXXXXXXX CONCERNÉE XXX XX XXXXXXXX PUBLIC XXXXXX XX XXXXXXX XXXXXXXXXX XXX XXXXX/ (XX) SAINCHÓNAÍ XXXXXX XXXX/XX GNÁTHCHÓNAÍ XX XXXXX XXX XXXXXXXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX SEO XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXX X/XXX XXXXXXXXX OSOBE XXXXXXXX X JAVNOJ XXXXXXX KOJOJ XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXX E/O XXXXXXXXX ATTUALE XXXXX XXXXXXX INTERESSATA XXX XXXXXXXXX PUBBLICO XXX XX PRESENTE XXXXXX È XXXXXXXX/ (LV) XXXXXXĪXĀX XXXXXXXX XXXXXXXĒXXXX XXXXXXXX UN/VAI UZTURĒŠANĀS XXXXX, XXX MINĒTA XXXXXXXXXĀ XXXXXXXXĀ, XXXXX XĪ XXXXXXXX IR XXXXXXXXXX/ (XX) VIEŠAJAME XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXX ASMENS XXXXXXXXĖ XXXXXXXXĖ XXXXXXXXXX XXXXX XX (ARBA) XXXXXXXXXX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATBAN XXXXXXXXXXX XXXXXXX XXXXXXXXX XXXXXXXXX ÉS/VAGY TARTÓZKODÁSI XXXXX/ (MT) DOMIĊILJU X/XXX RESIDENZA XXXXXXX XXX-XXXXXXX XXXXXXXX FID-DOKUMENT XXXXXXXX XX XXXXĦX XX MEHMUŻA XXX XX-XXXXXXX/ (XX) HUIDIGE XXXX- XX/XX XXXXXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXX XXX XXX XXXXXXXX XXXXXXXX XXXXXXX DIT XXXXXXXXX XX XXXXXXX/ (XX) XXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXX XXXXXX XXXXX WSKAZANEJ X XXXXXXXXXX XXXĘXXXXX, XX XXXXXXX ZAŁĄCZONY JEST XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX X/XX XXXXXÊXXXX XXXXX DA XXXXXX XXXXXXXXX NO XXXXXXXXX XXXXXXX X XXX X XXXXXXXX FORMULÁRIO XXXX APENSO/ (XX) XXXXXXXXXX ȘX/XXX XXȘXXXXȚX XXXXXX(Ă) XX (A) XXXXXXXXX XXXXXX DE XXXXXXXXXX XXXXXXX XX XXXX XXXX ANEXAT XXXXXXXXX FORMULAR/ (XX) XXXXXXX BYDLISKO X/XXXXX XXXXX XXXXX UVEDENEJ XX VEREJNEJ XXXXXXX, XX XXXXXX XX XXXXXXXXX TENTO XXXXXXXX/ (XX) XXXXXXXX XXXXXX XXXXXXXXXXXX XX/XXX TRENUTNO XXXXXXXXXXXX XXXXX, NA XXXXXX XX NANAŠA XXXXX XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX LIITETÄÄN, XXXXXXXXXXX XXXXXXÖX XXXX- XX/XXX ASUINPAIKKA/ (XX) XXXXXXXXX XXXXXXX OCH/ELLER XXXXXXXXXX XÖX XXX XXXXXX XXX BERÖRS XX DEN OFFICIELLA XXXXXXXX XXXX VILKEN XXXXX XXXXXXÄX ÄR XXXXXXX

5.1

(XX) МЕСТОЖИВЕЕНЕ/ (XX) XXXXXXXXX/ (XX) BYDLIŠTĚ/ (XX) XXXÆX/ (XX) XXXXXXXX/ (XX) ALALINE XXXXXXX/ (XX) ΚΑΤΟΙΚΙΑ/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) SAINCHÓNAÍ/ (XX) PREBIVALIŠTE/ (XX) XXXXXXXXX/ (LV) XXXXXXXX/ (XX) XXXXXXXXĖ XXXXXXXXXX XXXXX/ (XX) LAKÓHELY/ (XX) XXXXĊXXXX/ (NL) XXXXXXXXXX/ (XX) XXXXXXX XXXXXXXXXXXX/ (XX) DOMICÍLIO/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) KOTIPAIKKA/ (XX) XXXXXXX

5.1.1

(XX) АДРЕС/ (XX) XXXXXXXXX/ (XX) XXXXXX/ (XX) ADRESSE/ (XX) ANSCHRIFT/ (ET) XXXXXXX/ (EL) ΔΙΕΥΘΥΝΣΗ/ (XX) XXXXXXX/ (FR) XXXXXXX/ (XX) SEOLADH/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (LV) XXXXXX/ (XX) ADRESAS/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) ADRES/ (XX) XXXXX/ (XX) XXXXXXÇX/ (XX) XXXXXX/ (SK) XXXXXX/ (SL) NASLOV/ (XX) XXXXXX/ (XX) XXXXXX

5.1.1.1

(XX) УЛИЦА И НОМЕР/ПОЩЕНСКА КУТИЯ/ (XX) XXXXX X XXXXXX / APARTADO DE XXXXXXX/ (XX) XXXXX X XXXXX XXXX / POŠTOVNÍ XXXXXXXXX/ (XX) XXX OG XXXXXXXXX/XXXXXXXX/ (XX) STRASSE XXX XXXXXXXXXX/XXXXXXXX/ (XX) XÄXXX XX MAJA XXXXXX / XXXXXXXX/ (XX) ΟΔΟΣ ΚΑΙ ΑΡΙΘΜΟΣ / Τ.Θ./ (XX) XXXXXX XXX XXXXXX/XX BOX/ (XX) XXX XX XXXXXX/XXÎXX XXXXXXX/ (XX) SRÁID XXXX XXXXXX/XXXXX XXXXX/ (XX) ULICA X XXXX / XXXXXXXXX XXXXXXXX/ (XX) VIA X NUMERO/CASELLA POSTALE/ (XX) IELA XX XĀXXX XXXXXX / XXXXXXXXX/ (XX) GATVĖ XX XXXX XXXXXXX / XXXXX DĖŽUTĖ/ (XX) XXXX ÉS XXXXXXX/XXXXXXXXX/ (MT) TRIQ X XXXXX/XXXXX POSTALI/ (XX) XXXXXX XX XXXXXX/XXXXXXX/ (XX) XXXXX X XXXXX / XXXXXXX XXXXXXXX/ (XX) XXX E XXXXXX/XXXXX XXXXXX/ (XX) XXXXXX ȘX XXXĂXXX/XĂXXȚX XXȘXXXĂ/ (XX) XXXXX A XXXXX/ POŠTOVÝ XXXXXXXXX/ (XX) XXXXX XX XXXXXXXX/XXXXXX XXXXXX/ (XX) XÄXXXXXXXX/XXXXXXXXXXX/ (XX) GATUADRESS/POSTBOX

5.1.1.2

(BG) НАСЕЛЕНО МЯСТО И ПОЩЕНСКИ КОД/ (XX) XXXXXXXXX X CÓDIGO XXXXXX/ (CZ) XXXXX X XXXXXXXX XXXXXXXXX XXXXX/ (XX) XX XX XXXXXXXXXX/ (XX) XXX UND XXX/ (XX) XXXX XÕX XXXXX XX XXXXXXXXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΤΑΧΥΔΡΟΜΙΚΟΣ ΚΩΔΙΚΟΣ/ (XX) XXXXX AND XXXXXX XXXX/ (FR) XXXXXXXX XX XXXX XXXXXX/ (XX) XXX XXXX XXX XXXXX/ (XX) XXXXXX X XXXXXXXXX XXXX/ (XX) LOCALITÀ X XXX/ (XX) XXXXX XX PASTA XXXXXXX/ (XX) VIETA XX XXXXX KODAS/ (XX) HELYSÉG ÉS XXXXXXXXXXXX/ (XX) LOKALITÀ X KODIĊI XXXXXXX/ (XX) PLAATS XX XXXXXXXX/ (XX) XXXXXXXXXŚĆ X KOD POCZTOWY/ (XX) XXXXXXXXXX E XXXXXX XXXXXX/ (XX) XXXXXXXXXXX ȘX XXXXX XXȘXXX/ (SK) XXXXXX X POŠTOVÉ SMEROVACIE XXXXX/ (SL) XXXX XX XXXXXX ŠTEVILKA/ (XX) XXXXXXXXXXX JA XXXXXXXXXXXXXXXX/ (XX) ORT XXX XXXXXXXXXX

5.1.1.3

(XX) ДЪРЖАВА/ (XX) XXXX/ (XX) XXXX/ (DA) XXXX/ (XX) XXXX/ (XX) XXXX/ (XX) ΧΩΡΑ/ (XX) COUNTRY/ (FR) XXXX/ (XX) XXX/ (XX) XXXXXX/ (IT) XXXXX/ (XX) VALSTS/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXXŻ/ (XX) LAND/ (XX) XXŃXXXX/ (XX) XXXX/ (XX) ȚARA/ (SK) XXXX/ (SL) XXXXXX/ (XX) XXX/ (XX) XXXX

5.2

(XX) МЕСТОПРЕБИВАВАНЕ/ (ES) XXXXXXXXXX/ (CZ) XXXXX XXXXXX/ (XX) OPHOLDSSTED/ (XX) XXX XXX XXXÖXXXXXXXX AUFTENTHALTS/ (XX) XXXXXXX/ (EL) ΔΙΑΜΟΝΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) SAINCHÓNAÍ/ (XX) XXXXXXXXX/ (IT) XXXXXXXXX/ (LV) XXXXXĒXXXĀX XXXXX/ (LT) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) XXXXXXX POBYTU/ (XX) XXXXXÊXXXX/ (XX) XXȘXXXXȚX/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) BOSTADSORT

6.

(BG) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX PARA XX XXXXX/ (XX) XXXX XXX PODPIS/ (XX) XXXXXXXXXXXXXXXX/ (XX) UNTERSCHRIFTENFELD/ (XX) ALLKIRJALAHTER/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (EN) XXXXXXXXX BOX/ (FR) XXXXX XXXX XX XXXXXXXXX/ (GA) XXXXX XXX SÍNIÚ/ (HR) XXXXX XX POTPIS/ (XX) XXXXXXXX PER XX XXXXX/ (LV) XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXX/ (HU) XX XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX TAL-IFFIRMAR/ (XX) VAK XXXX XX XXXXXXXXXXXX/ (PL) XXXX PODPISU/ (PT) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX XXXXXX/ (SL) XXXXX XX XXXXXX/ (FI) XXXXXXXXXXXXXXXXXXÄ/ (SV) RUTA XÖX XXXXXXXXXXXXXX

6.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXX(X) X XXXXXX(X) XXX XXXXXXXXXXX QUE EXPIDIÓ XXXX XXXXXXX/ (CZ) XXXXXXXX X JMÉNO (XXXXX) XXXXXXXX, KTERÝ XXXXX XXXXX XXXXXXXX/ (XX) EFTERNAVN(E) OG XXXXXXX(X) XÅ XXX XXXXXXXXXX, XXX XXX XXXXXXX DENNE FORMULAR/ (XX) XXXXXXXXXXXX(X) XXX XXXXXXX(X) DES XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX HAT/ (XX) XÄXXXXXXX VORMI XÄXXXXXXXXX XXXXXXXX EESNIMI (-NIMED) XX XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXX(X) XXX XXXXXXXX(X) XX XXX XXXXXXXX XXX ISSUED THIS XXXX/ (XX) XXX(X) XX XXXXXX(X) XX XXXXXXXXXXXXX QUI X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XXXXXXX (XXXXXXXX) AGUS CÉADAINM (XXXXXXXXXXXXXX) AN XXXXXXXX X X’XXXXXX AN XXXXXX XXX/ (HR) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX XXXX JE XXXXX XXXX XXXXXXX/ (XX) XXXXXXX/X X XXXX/X DEL XXXXXXXXXXX XXX HA XXXXXXXXXX XX PRESENTE XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX VEIDLAPU, XXXĀXXX(-X) XX XĀXXX(-X)/ (XX) ŠIĄ XXXXĄ XXXXXXXXX PAREIGŪNO PAVARDĖ (-ĖX) XX XXXXXX (-XX)/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXX NEVE(I) ÉS XXXXXXX(X)/ (XX) KUNJOM(/KUNJOMIJIET) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦXXXĠ DIN XX-XXXXXXX/ (NL) XX(X)X(XX) XX XXXXXX(X)X(XX) VAN XX AMBTENAAR XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) X XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX FORMULARZ/ (XX) XXXXXXX(X) X XXXX(X) XXXXXXX(X) DO FUNCIONÁRIO XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (RO) XXXXXX ȘX XXXXXXXXX XXXXȚXXXXXXXXX CARE X XXXX XXXXXXXXX FORMULAR/ (XX) XXXXXXXXXX(-X) A XXXX(-X) XXXXXXXX, KTORÝ XXXXX XXXXX FORMULÁR/ (XX) XXXXXXX/XXXXXXX XX XXX/XXXXX XXXXXXXX, KI XX XXXXX XX XXXXXXX/ (XX) TÄMÄN XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXXXXX (-NIMET) XX XXXXXXX (-XXXXX)/ (SV) XXXXXXXXX XXX XÖXXXXX XÅ XXX TJÄNSTEMAN XXX XXX UTFÄRDAT XXXXX FORMULÄR

6.2

(BG) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX DEL XXXXXXXXXXX QUE XXXXXXX XXXX IMPRESO/ (XX) XXXXXX ÚŘEDNÍKA, KTERÝ XXXXX TENTO XXXXXXXX/ (XX) XXXXXXXX — XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX XXX XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) KÄESOLEVA XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (EL) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) POSITION XX XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) XXXXX XX XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XXXX AN OIFIGIGH X X’XXXXXX AN XXXXXX XXX/ (XX) XXXXXXXX XXXXXXXXXX XXXX XX IZDAO OVAJ XXXXXXX/ (XX) XXXXXXXXX XXX FUNZIONARIO CHE XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (LV) XXXXXXXXXXXX, KURA IZDEVUSI XX VEIDLAPU, XXXXX/ (XX) XXĄ FORMĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX TISZTVISELŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦAREĠ DIN XX-XXXXXXX/ (XX) XXXXXXX XXX XX AMBTENAAR XXX XXX FORMULIER XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, KTÓRY XXXXŁ NINIEJSZY XXXXXXXXX/ (XX) CARGO XX XXXXXXXXXXX XXX XXXXXX X PRESENTE XXXXXXXXXX/ (XX) POZIȚIA FUNCȚIONARULUI XXXX X XXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXXXX XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX URADNIKA, XX XX XXXXX XX OBRAZEC/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX XXX HAR XXXÄXXXX XXXXX XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) FECHA (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DATUM (DD/MM/RRRR) XXXXXX/ (DA) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) AUSSTELLUNGSDATUM (XX/XX/XXXX)/ (XX) VÄLJAANDMISE XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) DATE (XX/XX/XXXX) XX XXXXX/ (FR) XXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (XX) IŠDAVIMO XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (XX) XXXX (JJ/XX/SSSS) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) VAN XXXXXXX/ (XX) DATA (XX/XX/XXXX) XXXXXXX/ (XX) DATA XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXX/ (XX) ANTAMISPÄIVÄ (PP/KK/VVVV)/ (XX) DATUM (DD/MM/ÅÅÅÅ) XÖX XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) UNTERSCHRIFT/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) SIGNATURE/ (XX) XXXXXXXXX/ (GA) SÍNIÚ/ (XX) XXXXXX/ (IT) XXXXX/ (XX) PARAKSTS/ (XX) PARAŠAS/ (HU) XXXXXXX/ (MT) XXXXX/ (XX) HANDTEKENING/ (XX) XXXXXX/ (XX) ASSINATURA/ (XX) SEMNĂTURA/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) ALLEKIRJOITUS/ (XX) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (ES) XXXXX X TIMBRE/ (XX) XXXXX XXXX XXXXXXX/ (XX) SEGL ELLER XXXXXXX/ (DE) SIEGEL XXXX XXXXXXX/ (XX) XXXXXX XÕX TEMPEL/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX OR XXXXX/ (XX) SCEAU OU XXXXXX/ (GA) XXXXX XX XXXXXX/ (XX) XXX ILI PEČAT/ (XX) XXXXX X XXXXXX/ (LV) XĪXXXX XXX XXXXXXXX/ (XX) XXXXXXX ARBA XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (MT) XXĠXXX XXX TIMBRU/ (NL) XXXXX OF STEMPEL/ (XX) PIECZĘĆ XXX XXXXXXX/ (XX) XXXX XX CARIMBO/ (XX) XXXXXXXX XXX ȘXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXX XXX/ (XX) SINETTI XXX XXXXX/ (XX) XXXXXX XXXXX XXÄXXXX

XXXXXXXXXXX ZÁZNAMU X REJSTŘÍKU TRESTŮ XXXXXXXXX STÁTU, JEHOŽ XX XXXXXXX XXXXX XXXXXXX XXXXXXXXXXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX XXX XXXXXXX

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

Xxxxxx (XX) Xxxxxxxxx (BG)

Česká xxxxxxxxx (XX)

Xxxxxx (DK) Německo (XX)

Xxxxxxxx (XX) Irsko (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (IT) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxx (NL) Xxxxxxxx (AT)

Polsko (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxxxx (SK) Xxxxxx (XX)

Xxxxxxx (XX) Xxxxxxx království (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx standardního xxxxxxxxx xx xxxxxxxxx xxxxxxxx xxxxxxx listiny, x xxx xx přiložen. Xxxxx formulář xx xxxx členskými xxxxx xxxxx pohybovat xxxx xxxxxxxxxx dokument.

Tento xxxxxxxx xxxxxx xxxxx xxxxxxx xxxxxxx, x níž xx xxxxxxxx. Orgán, xxxxx xx veřejná xxxxxxx předkládána, však xxxx x xxxxxxxxx, xxx je to xxxxxxxx xxx xxxxx xxxxxxxxxx veřejné xxxxxxx, xxxxxxxxx xxxxxxx či xxxxxx informací, xxxxx xxxx ve formuláři xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX XXXXX

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

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

1. XXXXX XXXXXXXXXX XXXXX XXXXXXXX

1.1 Název (3)

2. ORGÁN VYDÁVAJÍCÍ XXXXXXXX LISTINU, X XXX JE XXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (4)

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

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

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx vydaná vyšším xxxxxxx úředníkem

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

3.1.5 Xxxx (upřesněte)

(1) Úř. xxxx. X 200, 26.7.2016, s. 1.

(2) Xxx xxxxxxxxxx xxxxx xxxxxxxx hůlkové xxxxx.

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

(4) Xxxxx „xxxxx“ xx třeba xxxxxxxx xxxx xxxxxx xxxxx xxxxxx vydávajícího xxxxxxxx listinu, k xxx xx přiložen xxxxx xxxxxxxx.

3.2 Xxxxxxx xxxxxx správním xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Výpis z xxxxxxxxx xxxxxx

3.2.3 Xxxx xxxxxxx x xxxxxxxxx xxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, kterým xxxx xxxxxxxx xxxxxxx podepsaná xxxxxxxxx xxxxxx

3.5 Xxxxxxx xxxxxxxxxx diplomatickým xxxxxxxxx xxxx konzulárním xxxxxxxxx xxxxxxxxx xxxxx x xxxxx xxxxxx xxxx xxxxxxxxxx xxxxxxxxxx

3.6 Datum (xx/xx/xxxx) xxxxxx

3.7 Referenční xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXX X XXXXXXXXXX XXXXX XXXXXXX VE XXXXXXX XXXXXXX, K XXX JE PŘIPOJEN XXXXX XXXXXXXX

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 xxxx (2) xxxxxxxx

4.7 Xxxxxxx:

4.7.1 Xxxx

4.7.2 Xxx

4.7.3 Xxxxxxxx

4.8 Xxxxxx xxxxxxxxxxx

4.9 Xxxxxxxxxxxxx číslo

4.10 Xxxx x číslo xxxxxxxxxxxxxxx xxxxxxx xxxxx:

4.10.1 Xxxxxxxxxxxx xxxxxx totožnosti / x.

4.10.2 Xxx / x.

4.10.3 Xxxxxxxx xxxxxx / x.

4.10.4 Xxxx (xxxxxxxxx) /x.

5. XXXXXXX LISTINA, X XXX JE XXXXXXXX XXXXX XXXXXXXX, XXXXXXXXX XXXXX ODSOUZENÍ XXXXXXX XXXXX XXXXXXX V XXXXXXXXX XXXXXX ČLENSKÉHO XXXXX, XXXXX JE XXXX XXXXX XXXXXXX XXXXXXXXXXXX.

6. XXXX XXX XXXXXX

6.1 Příjmení a xxxxx (xxxxx) xxxxxxxx, xxxxx xxxxx xxxxx xxxxxxxx

6.2 Xxxxxx úředníka, xxxxx xxxxx tento xxxxxxxx

6.3 Xxxxx (xx/xx/xxxx) xxxxxx

6.4 Xxxxxx

6.5 Xxxxx xxxx razítko

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

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

VÍCEJAZYČNÝ XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXXXXXXX XXXXXXX X XXXXXXXXX XXXXXX XXXXXXXXX XXXXX, XXXXX XX DOTYČNÁ XXXXX XXXXXXX XXXXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX XXXXXX XXXX XXXXXXX/ (CZ) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX FORMULARS XXXXXXXXXX MYNDIGHED/ (DE) XXXÖXXX, DIE DIESES XXXXXXXX AUSSTELLT/ (XX) XÄXXXXXXX XXXXX VÄLJA XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX XXXX/ (FR) XXXXXXXX XX DÉLIVRANCE XX XXXXXXX XXXXXXXXXX/ (XX) XX tÚDARÁS X XXXXXXXX AN XXXXXX XXX/ (HR) TIJELO XXXX XXXXXX OVAJ XXXXXXX/ (IT) AUTORITÀ XXX XXXXXXXX IL XXXXXXXX MODULO/ (LV) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX TA' XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX FORMULIER/ (PL) XXXXX WYDAJĄCY XXXXXXXXX XXXXXXXXX/ (XX) AUTORIDADE XXX EMITE O XXXXXXXX FORMULÁRIO/ (XX) XXXXXXXXXXX XXXXXXXĂ A XXXXXXXXXXX XXXXXXXX/ (SK) XXXXX VYDÁVAJÚCI XXXXX XXXXXXXX/ (SL) ORGAN, XX XXXX XX XXXXXXX/ (XX) TÄMÄN XXXXXXXXX ANTAVA XXXXXXXXXXXX/ (XX) MYNDIGHET XXX XXXÄXXXX FORMULÄRET

1.1

(BG) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) BETEGNELSE/ (XX) XXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (PL) XXXXX/ (XX) XXXXXXXÇÃX/ (RO) XXXXXXXX/ (XX) NÁZOV/ (XX) XXX/ (XX) XXXX/ (XX) NAMN

2.

(BG) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) AUTORIDAD XXX EXPIDE EL XXXXXXXXX XXXXXXX AL XXX XX ADJUNTA XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, K NÍŽ XX XXXXXXXX TENTO XXXXXXXX/ (XX) DEN XXXXXXXXX, XXX XXX XXXXXXX XXX OFFENTLIGE XXXXXXXX, SOM XXXXX XXXXXXXX ER VEDHÆFTET/ (XX) XXXÖXXX, DIE XXX ÖFFENTLICHE XXXXXXX, XXX DIESES FORMULAR XXXXXXÜXX XXX, AUSSTELLT/ (XX) XXXXXX, KES XXXXX XÄXXX XXXXXXX XXXXXXXXX, XXXXXXX XXX XXXX XX LISATUD/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XXXXXXX THE XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) AUTORITÉ XX DÉLIVRANCE XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX FORMULAIRE/ (XX) XX tÚDARÁS A XXXXXXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX SEO XXXXXXXXXX/ (HR) TIJELO XXXX XXXXXX XXXXX XXXXXXX KOJOJ XX XXXX OBRAZAC XXXXXXXX/ (XX) AUTORITÀ XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX IL XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, KURAM XĪ XXXXXXXX XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (LT) VIEŠĄJĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXXXX VALDŽIOS XXXXXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX KIÁLLÍTÓ XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX TAD-DOKUMENT XXXXXXXX XX MIEGĦU HIJA XXXXXŻX XXX XX-XXXXXXX/ (XX) AUTORITEIT XXX XXXXXXX VAN XXX XXXXXXXX XXXXXXXX XXXXXXX XXX FORMULIER XX XXXXXXX/ (PL) XXXXX XXXXXĄXX XXXXXXXX XXXĘXXXX, XX XXXXXXX NINIEJSZY XXXXXXXXX JEST ZAŁĄCZONY/ (XX) AUTORIDADE XXX XXXXX X DOCUMENTO XXXXXXX A QUE X XXXXXXXX FORMULÁRIO XXXX XXXXXX/ (RO) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXXX XXXXXXX XX XXXX ESTE XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, KU KTOREJ XX TENTO FORMULÁR XXXXXXXXX/ (XX) XXXXX, XX IZDA JAVNO XXXXXXX, XX XX XX PRILOŽEN XX XXXXXXX/ (XX) XXXXXXXXXXXX, XXXX XX XXXXXXX XXXXXXX ASIAKIRJAN, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXX XXXXXXXXXX XXXXXXXX TILL VILKEN XXXXX XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXX LISTINY, X XXX JE XXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX VEDRØRENDE XXX XXXXXXXXXX DOKUMENT, XXX XXXXX FORMULAR XX XXXXÆXXXX/ (XX) ANGABEN XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX FORMULAR XXXXXXÜXX XXX/ (XX) XXXXX XXXXXXX DOKUMENDI XXXXX, XXXXXXX SEE XXXX XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX RELATING XX XXX XXXXXX XXXXXXXX XX WHICH THIS XXXX XX ATTACHED/ (XX) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX JOINT XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX A XXXXXXXXX XXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX AN FHOIRM XXX CEANGAILTE/ (HR) XXXXXXXXXXX XXXX XX XXXXXX NA XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX PRILOŽEN/ (XX) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX PUBBLICO XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX XĪ VEIDLAPA XX XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX XX VIEŠUOJU XXXXXXXXX, PRIE KURIO XXXXXXXXX ŠI XXXXX/ (XX) A XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATRA XXXXXXXXX XXXXXXXXXXX/ (XX) INFORMAZZJONI XXXX XX-XXXXXXXX PUBBLIKU XX MIEGĦU HIJA XXXXXŻX XXX XX-XXXXXXX/ (XX) INFORMATIE XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX DIT XXXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXĄXX DOKUMENTU XXXĘXXXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX JEST XXŁĄXXXXX/ (XX) INFORMAÇÕES XXXXXXXXX AO DOCUMENTO XXXXXXX A XXX X XXXXXXXX FORMULÁRIO XXXX XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX OFICIAL XX XXXX XXXX ANEXAT XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX X ZVEZI X XXXXX XXXXXXX, XX XX XX PRILOŽEN XX XXXXXXX/ (XX) XXXXXX YLEISESTÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (SV) XXXXXXXXXXX XX XXX XXXXXXXXXX XXXXXXXX XXXX VILKEN XXXXX XXXXXXÄX ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (ES) XXXXXXXXX XXXXXXXX POR XXX XXXXXXXXX O XX XXXXXXXXXXX XXXXXXXXX X LOS XXXXXXX XXXXXXXXXXXXXXXX XX UN XXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXX ÚŘEDNÍKEM X XXXXXX NA XXXXX XXXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXXX, XXX XX XXXXXXX XX XX XXXXXXXXX XXXXX XX XXXXXXXXXX, DER XX XXXXXXXXXX XXXXXXXX X XX XXXXXXXXXXX/ (XX) URKUNDE EINER XXXÖXXX ODER EINER XXXXXXXXXX XXX XXXXX XXX XXXXXXXXXXXX EINES XXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX XX VÄLJA 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 EMANATING XXXX XX AUTHORITY OR XX XXXXXXXX CONNECTED XXXX XXX COURTS XX XXXXXXXXX XX X XXXXXX XXXXX/ (XX) XXXXXXXX ÉMANANT X'XXX XXXXXXXX XX X'XX XXXXXXXXXXXXX XXXXXXXX X'XXX XXXXXXXXXXX X'XX XXXX XXXXXX/ (XX) XXXXXXXXX A XXXXXXX X XXXXXX XX X OIFIGEACH X XXXXXX BAINT AIGE XX XXXX LE XXXXXXXXXX XX LE XXXXX DE XXXXX XXXXXXXXX/ (XX) XXXXXXX XXXX JE XXXXXX XXXXXX XXX SLUŽBENIK XXXX XXXXXX ČLANICE/ (XX) DOCUMENTO EMANATO XX XX'XXXXXXXÀ X XX UN XXXXXXXXXXX XXXXXXXXXXXX XX UNA XXXXX XXXXXXXXXXXXX XX XXX XXXXX XXXXXX/ (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/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX ÁLLÓ XXXXXXX XXXX XXXXXXXXXXŐ XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX XXXXXXXÀ XXX XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX XXX XX-XXXXXXXXX XX' XXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXX DOOR EEN XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX XXX EEN XXXXXXXXXXXX XXXXXXXXX XXX XXX LIDSTAAT/ (PL) XXXXXXXX POCHODZĄCY OD XXXXXX XĄXXXXXX XXX XXXĘXXXXX SĄDOWEGO PAŃSTWA XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXXXX OU DE XX FUNCIONÁRIO XXXXXXXXXX XX QUALQUER XXXXXXXÇÃX XX UM ESTADO-MEMBRO/ (XX) XXXXXXXX XXXX XX X XXXXXXXXXX XXX XX XX XXXXȚXXXXX XX XX XÂXXĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXX XXXXXXXXX S XÄXXXX XX SÚDY XXXXXXXXX XXXXX/ (XX) XXXXXXX, IZDANA S XXXXXX XXXXXX XXX XXXXXXXX XXXXX XXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX ON XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX XXÅX XX XXXXXXXXX XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX JUDICIAL/ (XX) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (DE) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXX XX xXXXXX/ (HR) XXXXXX ODLUKA/ (XX) XXXXXXXXX GIURISDIZIONALE/ (XX) XXXXXX XĒXXXX/ (XX) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (MT) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX BESLISSING/ (PL) XXXXXXXXXX XĄXXXX/ (PT) XXXXXÃX XXXXXXXX/ (XX) XXXĂXÂXX JUDECĂTOREASCĂ/ (SK) XXXXX XXXXXXXXXXX/ (SL) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX FISCAL/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (DA) XXXXXXXX UDSTEDT XX XX XXXXXXXXXXXXXXXX/ (DE) XXXXXXX EINER XXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT, XXXXX XX XÄXXX XXXXXX XXXXXXX XÜÜXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) DOCUMENT XXXXXXXXX XXXX A XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XXXXXXÈXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X IONCHÚISITHEOIR XXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXXXX XXXXXXXXX/ (LV) DOKUMENTS, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (HU) ÜGYÉSZ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN OPENBAAR XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX OD XXXXXXXXXXX/ (XX) XXXXXXXXX PROVENIENTE XX MINISTÉRIO XXXXXXX/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX/ (XX) LISTINA XXXXXX XXXXXXXXXXXX/ (XX) LISTINA, XX JO 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 EXPEDIDO XXX XX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXX VYŠŠÍM XXXXXXX XXXXXXXXX/ (DA) XXXXXXXX XXXXXXX AF XX XXXXXXXXXXXXXÆX/ (XX) URKUNDE XXXXX URKUNDSBEAMTEN XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX, MILLE 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) XXXXXXXXX A XXXXXXX X XXXXXXXXXX XX XXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXX XXXXXXXXXX XXXXXX XXXXXXXXX/ (IT) XXXXXXXXX EMANATO DA XX XXXXXXXXXXX/ (XX) XXXXXXXXX, XXXX IZSNIEDZIS XXXXXX XXXXXXĀXX/ (LT) XXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXĠXXXXXXXX XX' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX GRIFFIER/ (PL) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX SĄDOWEGO/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX OFICIAL DE XXXXXÇX/ (XX) XXXXXXXX XXXX DE XX XXXXXXX XX XXXXXXȚXX/ (XX) XXXXXXX VYDANÁ XXXXXX XXXXXXXXX/ (XX) XXXXXXX, KI XX XXXX XXXXX USLUŽBENEC/ (XX) TUOMIOISTUIMEN SIHTEERIN XXXXXX XXXXXXXXX/ (XX) XXXXXXXX SOM HÄRRÖR XXÅX EN XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (ES) XXXXXXXXX EXPEDIDO XXX XX XXXXXX JUDICIAL («XXXXXXXX DE XXXXXXX»)/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXX XXXXXXX AF XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (XX) XXXXXXX XXXXX GERICHTSVOLLZIEHERS/ (XX) DOKUMENT, XXXXX XX VÄLJA XXXXXX XXXXXXÄXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («HUISSIER XX XXXXXXX»)/ (EN) XXXXXXXX XXXXXXXXX XXXX X XXXXXXXX XXXXXXX ('XXXXXXXX XX XXXXXXX')/ (FR) XXXXXXXX XXXXXXX X'XX XXXXXXXX XX XXXXXXX/ (XX) DOICIMÉAD A XXXXXXX X OIFIGEACH XXXXXXXXXXXX (“XXXXXXXX DE XXXXXXX”)/ (HR) ISPRAVA XXXX JE XXXXX XXXXXX XXXXXXXXX (HUISSIER XX XXXXXXX)/ (IT) XXXXXXXXX EMANATO DA XX UFFICIALE XXXXXXXXXXX ("XXXXXXXX XX JUSTICE")/ (XX) DOKUMENTS, KURU XXXXXXXXXX XXXXXX IZPILDĪTĀJS (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX (XXXXXXXX XX JUSTICE) IŠDUOTAS XXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX”) ÁLTAL XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('HUISSIER XX XXXXXXX')/ (NL) DOCUMENT XXXXXXXXX DOOR EEN XXXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX XXXĘXXXXX XĄXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) DOCUMENTO XXXXXXXXXXX DE UM XXXXXXÃX XX XXXXXXX («XXXXXXXX XX JUSTICE»)/ (XX) DOCUMENT XXXX XX XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (SK) XXXXXXX XXXXXX XXXXXX VYKONÁVATEĽOM („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX XX XXXXXXX”) XXXXXX ASIAKIRJA/ (SV) XXXXXXXX XXX XÄXXÖX XXÅX EN XXÄXXXXXXXXX (XXXXXXXX XX JUSTICE)

3.1.5

(BG) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) XXXX (XXXXXXXXX)/ (DA) XXXXX (XXXXXXX)/ (XX) SONSTIGES (XXXXX XXXXXXX)/ (ET) XXX (XÄXXXXXXXX)/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX BE XXXXXXXXX)/ (XX) XXXXX (À PRÉCISER)/ (XX) XXXX (XX XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (XX) XXXXX (PRECISARE)/ (XX) XXXX (PRECIZĒT)/ (XX) XXXX (XXXXXXXX)/ (XX) XXXXX (XXXXÜX XXXXXXXXXXX)/ (MT) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) XXXX (XXXXXĘ OKREŚLIĆ)/ (XX) XXXXXX (X XXXXXXXXXXX)/ (XX) XXXXX (A XX XXXXXXX)/ (SK) XXX (SPRESNIŤ)/ (XX) XXXXX (XXXXXXX)/ (XX) XXX XXXXXXXXX (TÄSMENNETTÄVÄ)/ (XX) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (DA) XXXXXXXXXXXXXX DOKUMENT/ (XX) XXXXXXX EINER XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (EL) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX DOCUMENT/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (GA) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX DOKUMENTAS/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXX AMMINISTRATTIV/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (PT) XXXXXXXXX ADMINISTRATIVO/ (RO) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (SL) XXXXXXX LISTINA/ (XX) 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/ (GA) XXXXXXXX/ (XX) XXXXXXX/ (IT) XXXXXXXXXXX/ (LV) APLIECINĀJUMS/ (XX) XXXXXX, LIUDIJIMAS/ (XX) TANÚSÍTVÁNY/BIZONYÍTVÁNY/ (XX) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) ZAŚWIADCZENIE/ (PT) 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) XXXXX X XXXXXXXXX XXXXXX/ (XX) UDDRAG XXX XXXXXXXXXXXXXXXX/ (XX) STRAFREGISTERAUSZUG/ (XX) XXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΠΟΙΝΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) EXTRACT XXXX XXX XXXXXXXX XXXXXX/ (FR) EXTRAIT XX XXXXXX XXXXXXXXXX/ (XX) SLIOCHT AS XX XXXXXXX XXXXXXXX/ (XX) XXXXXXX IZ XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXX CASELLARIO XXXXXXXXXX/ (XX) IZRAKSTS XX SODĀMĪBAS REĢISTRA/ (XX) IŠRAŠAS IŠ XXXXXXXXXXXŲ XXXXXXXX/ (XX) XXXXXXX X BŰNÜGYI XXXXXXXXXXXXXXXX/ (MT) XXXXXXX XXX-XXXXXX KRIMINALI/ (NL) XXXXXXXXXX XXX HET XXXXXXXXXXXXX/ (XX) XXXXĄX X XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXX DO XXXXXXX CRIMINAL/ (XX) XXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX X REGISTRA XXXXXXX/ (XX) IZPISEK IZ XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) UTDRAG XX KRIMINALREGISTRET

3.2.3

(BG) ПЪЛЕН ПРЕПИС ОТ АКТ ОТ РЕГИСТЪРА ЗА СЪДИМОСТ/ (XX) XXXXX XXXXXXX DE XXXXXXXXXXXXX XXX REGISTRO XX XXXXXXXXXXXX XXXXXXX/ (XX) XXXX ZÁZNAMU X XXXXXXXXX TRESTŮ/ (XX) XXXXXX XXXX AF XXXXXXXXXXXXXXXX/ (XX) WÖRTLICHE XXXXXXXXX XXX STRAFREGISTERS/ (XX) XXXXXXXXXXXXXXXX VÄLJAVÕTTE XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΟΙΝΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) VERBATIM COPY XX XXX XXXXXXXX XXXXXX/ (XX) XXXXX XXXXXXXXX XX CASIER XXXXXXXXXX/ (XX) XXXX XXXXX AR FHOCAL XXX XXXXXXX COIRIÚIL/ (XX) DOSLOVNI XXXXXXXX XX KAZNENE XXXXXXXXXX/ (XX) XXXXX XXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXX/ (XX) SODĀMĪBAS REĢISTRA XXXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXŲ REGISTRO ĮRAŠŲ XXXXXXXĖ XXXXXX/ (XX) X XŰXÜXXX XXXXXXXXXXXXX XXX XXXXXXXX MÁSOLATA/ (XX) KOPJA XXXXXXXX XXX-XXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXX VAN XXX STRAFREGISTER/ (PL) XXXXX XXXXŁXX Z XXXXXXXX XXXXXXX/ (XX) XXXXXXÃX DE CÓPIA XXXXXXXX XX XX XXXXXXXXX XX REGISTO XXXXXXXX/ (XX) XXXXX XXXXXĂ X XXXXXXXXXX XXXXXXXX/ (SK) DOSLOVNÝ XXXXX Z XXXXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXX IZ KAZENSKE XXXXXXXX/ (FI) RIKOSREKISTERIOTTEEN XXXXXXXXXX XÄXXXXXÖX/ (SV) XXXXXXXXX XXXXXXXX XX XXXXXXXXX UR XXXXXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX NOTARIAL/ (CZ) XXXXXXXX LISTINA/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) XXXX XXXXXXX/ (XX) GNÍOMH XXXXXXXXXXXX/ (HR) XXXXXXXXXXXXXXXX XXXXXXX/ (IT) XXXX XXXXXXXX/ (LV) NOTARIĀLS XXXX/ (LT) XXXXXXXXX XXXXX/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) ATT XXXXXXXX/ (NL) XXXXXXËXX XXXX/ (XX) AKT XXXXXXXXXX/ (PT) XXX XXXXXXXX/ (RO) XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) NOTAARIN XXXXXX ASIAKIRJA/ (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, XXXXXX BYLA OPATŘENA XXXXXXX XXXXXXXXX SOUKROMOU XXXXXX/ (XX) OFFICIEL XÅXXXXXXX PÅ XX XXXXXXXX XXXXXXXXXXX XX XX XXXXXX X XXXXXX EGENSKAB AF XXXXXXXXXXXX/ (DE) XXXXXXXX XXXXXXXXXXXXX AUF EINER XXXXXXXXXXXXX/ (XX) ISIKU XXXXX XXXXXXXXXX ALLKIRJASTATUD XXXXXXXXXXX KINNITATAV AMETLIK XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX CERTIFICATE XXXXXX XX A XXXXXXXX XXXXXX BY X XXXXXX IN HIS XX XXX XXXXXXX XXXXXXXX/ (XX) DÉCLARATION XXXXXXXXXX APPOSÉE XXX XX XXXX XXXX XXXXX PRIVÉ/ (XX) XXXXXXXX XXXXXXXXX X XXXXXXXXX XX XXXXXXXXXX XXXX XXXXXX XX XXXXX XXX XXXXX XX XXX CÁIL XXXXXXXXXXXXXX/ (HR) XXXXXXXX XXXXXXX XXXXXXXXX XX XXXXXXX KOJU XX XXXXX POTPISALA X XXXXXXXXX SVOJSTVU/ (IT) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX UNA XXXXXXXXX XXXXXXX/ (XX) OFICIĀLS XXXXXXXXĀXXXX XX DOKUMENTA, XX XXXĀ XĀXXĀ XXXXXXXĪXXXX KĀDA PERSONA/ (XX) PRIVAČIŲ XXXXXŲ XXXXXXXXXŲ DOKUMENTŲ OFICIALŪS XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX HIVATALOS XXXXXXXXXXX/ (XX) ĊXXXXXXXXX UFFIĊJALI XX XXXXXXXĦXX F'DOKUMENT XXXXXXXX MINN XXXXXXX XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXX XXXXXXXXXXX XXXX XXX XXXXXXX XX ZIJN XXXXXXXXXXXX HOEDANIGHEID/ (PL) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX DOKUMENCIE XXXXXXXXXX XXXXX XXXXĘ DZIAŁAJĄCĄ X CHARAKTERZE XXXXXXXXX/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX XXX XX NATUREZA PRIVADA/ (XX) XXXXXXXXXX OFICIAL XXXXXXX XX XX XXXXXXXX SUB SEMNĂTURĂ XXXXXXĂ/ (SK) XXXXXX XXXXXXXXXX XXXXXXX XX XXXXXXX PODPÍSANEJ OSOBOU XXXXXXXXX XXX XXXXXXXX XXXXX/ (SL) XXXXXX XXXXXX NA XXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, JONKA XXXXXXÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (SV) OFFICIELLT XXXXX XXXXXXXXX PÅ XX XXXXXXXX XXX XXXXXXXXXXXXX XX XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX EXPEDIDO XXX XX AGENTE DIPLOMÁTICO X XXXXXXXX XX XX XXXXXX XXXXXXX XXX XXXXXXXX OFICIAL/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX NEBO XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X RÁMCI XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX UDFÆRDIGET AF XX XXXXXXXXXXXX XXXXXXXXXXXX XXXXX KONSULÆRE REPRÆSENTANT/ (XX) XXX XXXXX XXXXXXXXXXXXXX XXXX KONSULARISCHEN XXXXXXXXX XXXXX MITGLIEDSTAATS XX XXXXXX XXXXXXXXX XXXXXXXX ERRICHTETE URKUNDE/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX POOLT XXXXXXXXXXXXXXX XÄXXXXXXX KOOSTATUD XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (EN) XXXXXXXX XXXXX UP BY X DIPLOMATIC XX XXXXXXXX XXXXX OF X XXXXXX STATE XX XXX XX XXX XXXXXXXX CAPACITY/ (XX) XXXXXXXX ÉTABLI XX XX XXXXXXX XXXXXXXXXX PAR UN XXXXX XXXXXXXXXXXX OU XXXXXXXXXX X'XX XXXX XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX SUAS XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX CONSALACH DE XXXXX XXXXXXXXX XXX XXXXX XX XXX XXXX OIFIGIÚIL/ (HR) XXXXXXX XXXX JE X XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX PREDSTAVNIK DRŽAVE XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX XXXXXXXXXXX O XXXXXXXXX XX XXX XXXXX XXXXXX XXXX'XXXXXXXXX DELLE XXXX XXXXXXXX/ (LV) XXXXXXXXX, KURU, XXXXXX XXXXX PIENĀKUMUS, XXXXXXXXXXX XXXĪXXXXXXX DIPLOMĀTISKAIS XXX XXXXXXĀXXXX XĀXXXĀXXX/ (LT) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX XX XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX XXXXX OFICIALIUS ĮXXXXXXXXXX/ (XX) XXXXXXXX TAGÁLLAM XXXXXXXXXXX VAGY XXXXXXX XXXXXXXXŐXX XXXXX HIVATALOS XXXŐXXXXXXX KIÁLLÍTOTT OKIRAT/ (XX) DOKUMENT XXĦXXXX XXXX AĠENT DIPLOMATIKU XXX KONSULARI XX' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXXXXX XX XXXXXXXXXX AMBTENAAR XXX XXX XXXXXXXX XX XXXX XXXXXXËXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX URZĘDOWYM/ (XX) XXXXXXXXX LAVRADO XXX XX AGENTE XXXXXXXXXXX OU CONSULAR XX XX XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX XXXÇÕXX OFICIAIS/ (XX) DOCUMENT ÎXXXXXXX XX XĂXXX XX XXXXX DIPLOMATIC XXX XXXXXXXX XX UNUI XXXX XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX ALEBO XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX VÝKONU XXXX XXXXXXX/ (XX) XXXXXXX, XX JO XXX URADNA OSEBA XXXX XXXXXXXXXXX ALI XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) ASIAKIRJA, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX UPPRÄTTAD X XXÄXXXXX XX XX DIPLOMATISK ELLER XXXXXXÄX XXÄXXXXXXX X XX MEDLEMSSTAT

3.6

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) FECHA (XX/XX/XXXX) XX EXPEDICIÓN/ (CZ) XXXXX (DD/MM/RRRR) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) VÄLJAANDMISE XXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) OF XXXXX/ (XX) XXXX (XX/XX/XXXX) XX DÉLIVRANCE/ (XX) DÁTA (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX RILASCIO (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) XXXXXXXX DATA (DD/MM/MMMM)/ (XX) A XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (MT) XXXX (JJ/XX/SSSS) XXX-ĦXXĠ/ (XX) XXXXX (DD/MM/JJJJ) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX DE XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) 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/ (XX) REFERENČNÍ XXXXX XXXXXXX XXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXX REFERENCENUMMER/ (DE) XXXXXXXXXX DER ÖXXXXXXXXXXX XXXXXXX/ (ET) AVALIKU XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX NUMBER XX XXX PUBLIC XXXXXXXX/ (XX) XXXXXX DE XXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXX XXXXXXXXX XX DOICIMÉID XXXXXXX/ (XX) REFERENTNI XXXX XXXXX XXXXXXX/ (XX) NUMERO XX XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX/ (LV) PUBLISKĀ XXXXXXXXX ATSAUCES NUMURS/ (XX) VIEŠOJO DOKUMENTO XXXXXXX/ (XX) X XÖXXXXXXX HIVATKOZÁSI SZÁMA/ (XX) XXXXX TA' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX VAN XXX XXXXXXXX DOCUMENT/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXX XX XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX XX XXXXXXXȚĂ XX XXXXXXXXXXXX XXXXXXX/ (SK) XXXXXXXXXX XXXXX XXXXXXXX LISTINY/ (XX) XXXXXXXXXX ŠTEVILKA XXXXX XXXXXXX/ (FI) XXXXXXX ASIAKIRJAN XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА САМОЛИЧНОСТТА НА СЪОТВЕТНОТО ЛИЦЕ СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXX XX XXXXXXXXX XX LA XXXXXXX X LA XXX XX XXXXXXX XX XXXXXXXXX XXXXXXX XX XXX SE XXXXXXX ESTE XXXXXXX/ (XX) XXXXXXXXX X XXXXXXXXXX OSOBY UVEDENÉ XX XXXXXXX XXXXXXX, X XXX JE XXXXXXXX TENTO XXXXXXXX/ (XX) INFORMATION XX XXXXXXXXXXX XÅ XXXXXXXX, XXX XXX XXXXXXXXXX XXXXXXXX, XXX DENNE XXXXXXXX ER XXXXÆXXXX, XX UDSTEDT X/ (XX) ANGABEN ZUR XXXXXXXÄX XXX XXXXXXXXXXXX XXXXXX GEMÄSS DER ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX XXXXX XXXXXXXXXXXXX KOHTA, XXX XX XXXXXXXXX XXXXXXXX XXXXXXXXXX, XXXXXXX XXX XXXX ON XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΓΙΑ ΤΗΝ ΤΑΥΤΟΤΗΤΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΚΑΤΟΝΟΜΑΖΕΤΑΙ ΣΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) INFORMATION XX XXX XXXXXXXX OF XXX XXXXXX XXXXX XX XXX PUBLIC XXXXXXXX TO WHICH XXXX FORM XX XXXXXXXX/ (FR) XXXXXXXXXXXX XXX X'XXXXXXXX XX XX PERSONNE CONCERNÉE XXX XX DOCUMENT XXXXXX XXXXXX XXX XXXXX XX PRÉSENT XXXXXXXXXX/ (GA) XXXXXXXX XXXX AITHEANTAS XX XXXXX ATÁ AINMNITHE XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX SEO CEANGAILTE/ (XX) INFORMACIJE O XXXXXXXXXX OSOBE XXXXXXXX X JAVNOJ XXXXXXX XXXXX JE OVAJ XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXX'XXXXXXXÀ XXXXX XXXXXXX XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX XXX XX PRESENTE XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX PAR XXXXXXXXXĀ XXXXXXXXĀ, XXXXX ŠĪ XXXXXXXX XX PIEVIENOTA, XXXĒXĀX XXXXXXXX XXXXXXXĀXX/ (XX) XXXXXXXXXXX XXXX XXXXXX, NURODYTO VIEŠAJAME XXXXXXXXX, XXXX XXXXX XXXXXXXXX ŠI XXXXX, XXXXXXXĘ/ (HU) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXXX XXXXXXXXXXX XXXXXXX XXXXXXXXXXXXXXXXXXX XXXXXXXXX XXXXXX/ (MT) XXXXXXXXXXXXX XXXX L-IDENTITÀ XXX-XXXXXXX XXXXXXXX FID-DOKUMENT XXXXXXXX XX XXXXĦX XX XXXXXŻX XXX XX-XXXXXXX/ (NL) INFORMATIE XXXX XX IDENTITEIT XXX XX XXXXXXXXXX XX GROND XXX XXX OPENBAAR DOCUMENT XXXXXXX XXX FORMULIER XX XXXXXXX/ (PL) XXXX NA XXXXX XXŻXXXXŚXX OSOBY XXXXXXXXX X XXXXXXXXXX XXXĘXXXXX, XX XXXXXXX XXŁĄXXXXX XXXX XXXXXXXXX FORMULARZ/ (XX) XXXXXXXÇÕXX XXXXX X XXXXXXXXXX XX XXXXXX XXXXXXXXX XX XXXXXXXXX PÚBLICO X XXX X PRESENTE XXXXXXXXXX ESTÁ APENSO/ (XX) INFORMAȚII XXXXXXX XXXXXXXXXXX XXXXXXXXX VIZATE XX XXXXXXXXXX OFICIAL XX XXXX ESTE XXXXXX PREZENTUL XXXXXXXX/ (XX) INFORMÁCIE O XXXXXXXXXX XXXXX UVEDENEJ XX VEREJNEJ LISTINE, XX XXXXXX XX XXXXX XXXXXXXX PRIPOJENÝ/ (XX) XXXXXXXXXXX O XXXXXXXXXXXX XXXXX, XX XXXXXX SE NANAŠA XXXXX LISTINA, XX XX JE PRILOŽEN XX XXXXXXX/ (FI) XXXXXXXXÄ ASIAKIRJASSA, XXXXX XÄXÄ LOMAKE XXXXXXÄÄX, XXXXXXXXXXX XXXXXXÖX XXXXXXÖXXXXXX/ (XX) XXXXXXXXX OM XXXXXXXXXXX XÅ DEN XXXXXX SOM XXXÖXX XX XXX XXXXXXXXXX XXXXXXXX XXXX VILKEN XXXXX XXXXXXÄX ÄR XXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X)/ (XX) XXXXXXXX/ (DA) EFTERNAVN(E)/ (XX) XXXXXXXXXXXX(X)/ (ET) XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (EN) SURNAME(S)/ (XX) XXX(X)/ (XX) XXXXXXX (XXXXXXXX)/ (HR) XXXXXXX(XX)/ (IT) COGNOME(I)/ (XX) UZVĀRDS(-I)/ (LT) XXXXXXĖ (-ĖX)/ (XX) XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (NL) ACHTERNA(A)M(EN)/ (XX) XXXXXXXX(-X)/ (XX) XXXXXXX(X)/ (XX) XXXX/ (XX) XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX/ (FI) XXXXXXXX (-XXXXX)/ (XX) XXXXXXXXX

4.2

(XX) ПРЕДИШНО(И) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X) XXXXXXXX(XX)/ (XX) PŘEDCHOZÍ PŘÍJMENÍ/ (XX) XXXXXXXXX XXXXXXXXX(X)/ (XX) FRÜHERE(R) FAMILIENNAME(N)/ (XX) VARASEM XXXXXXXXXXXXX (XXXXXXXXX XXXXXXXXXXXXXX)/ (XX) ΠΡΟΗΓΟΥΜΕΝΟ(-Α) ΕΠΩΝΥΜΟ(-Α)/ (EN) XXXXXXXX SURNAME(S)/ (XX) XXX(X) PRÉCÉDENT(S)/ (GA) XXXXXXX (XXXXXXXX) XXXXXX XXX/ (XX) XXXXXXXXX(-X) XXXXXXX(XX)/ (XX) COGNOME/I XXXXXXXXXX/X/ (XX) XXXXXXXXĒXXXX(-XX) XXXĀXXX(-X)/ (XX) ANKSTESNĖ (-ĖX) XXXXXXĖ (-ĖX)/ (XX) ELŐZŐ CSALÁDI XXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX) XXXĊXXXXXX/ (XX) XXXXXXXX XXXXXXXX(X)X(XX)/ (PL) POPRZEDNIE XXXXXXXX(-X)/ (PT) XXXXXXX(X) XXXXXXXX(XX)/ (XX) XXXX XXXXXXXX (XXXX ANTERIOARE)/ (XX) XXXXXXXXXXXXXX PRIEZVISKO(-Á)/ (XX) PREJŠNJI XXXXXXX/XXXXXXX / (FI) XXXXXXX XXXXXXXX (XXXXXXX XXXXXXXXX)/ (XX) XXXXXXXX XXXXXXXXX

4.3

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (ES) XXXXXX(X)/ (XX) XXXXX (XXXXX)/ (XX) XXXXXXX(X)/ (XX) VORNAME(N)/ (ET) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) PRÉNOM(S)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (XX) XĀXXX(-X)/ (XX) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (IMIONA)/ (XX) XXXX(X) XXXXXXX(X)/ (XX) XXXXXXX/ (SK) MENO(-Á)/ (XX) IME/IMENA/ (XX) XXXXXXX (-XXXXX)/ (SV) XÖXXXXX

4.4

(XX) ПРЕДИШНО(И) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) NOMBRE(S) XXXXXXXX(XX)/ (XX) XXXXXXXXX XXXXX (XXXXX)/ (XX) XXXXXXXXX FORNAVN(E)/ (XX) XXÜXXXX(X) VORNAME(N)/ (XX) XXXXXXX XXXXXXX (XXXXXXXXX XXXXXXXX)/ (XX) ΠΡΟΗΓΟΥΜΕΝΟ(-Α) ΟΝΟΜΑ(-ΤΑ)/ (EN) XXXXXXXX XXXXXXXX(X)/ (XX) XXXXXX(X) XXXXXXXXX(X)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX) XXXXXX XXX/ (XX) PRIJAŠNJE(-A) IME(NA)/ (XX) XXXX/X XXXXXXXXXX/X/ (XX) XXXXXXXXĒXXXX(-XX) XĀXXX(-X)/ (XX) ANKSTESNIS (-I) XXXXXX (-XX)/ (XX) XXŐXŐ XXXXXXX(X)/ (MT) XXXX/XXXXXXXX XXXĊXXXXXX/ (XX) XXXXXXXX XXXXXXX(X)X(XX)/ (PL) XXXXXXXXXX XXXĘ (IMIONA)/ (XX) NOME(S) PRÓPRIO(S) XXXXXXXX(XX)/ (XX) PRENUME XXXXXXXX (PRENUME XXXXXXXXXX)/ (XX) PREDCHÁDZAJÚCE XXXX(-X)/ (XX) XXXXXXXX XXX/XXXXX/ (XX) ETUNIMI (-NIMET)/ (XX) XXXXXXXX XÖXXXXX

4.5

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) FECHA (XX/XX/XXXX) DE NACIMIENTO/ (XX) DATUM (DD/MM/RRRR) XXXXXXXX/ (DA) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) GEBURTSDATUM (XX/XX/XXXX)/ (XX) SÜNNIKUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (FR) XXXX (XX/XX/XXXX) DE XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) ROĐENJA/ (IT) XXXX XX NASCITA (XX/XX/XXXX)/ (XX) DZIMŠANAS XXXXXX (DD/MM/GGGG)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (DD/MM/JJJJ)/ (XX) XXXX (XX/XX/XXXX) URODZENIA/ (XX) XXXX XX XXXXXXXXXX (DD/MM/AAAA)/ (XX) XXXX (ZZ/LL/AAAA) XXȘXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (FI) XXXXXXÄXXXX (XX/XX/XXXX)/ (SV) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.6

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX X XXXX XX XXXXXXXXXX/ (CZ) MÍSTO X XXXX NAROZENÍ/ (XX) XØXXXXXX XX -XXXX/ (DE) ORT XXX XXXX XXX XXXXXX/ (XX) XÜXXXXXXX XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (EN) XXXXX XXX COUNTRY XX XXXXX/ (XX) LIEU XX PAYS XX XXXXXXXXX/ (XX) ÁIT XXXX XXX BHREITHE/ (XX) MJESTO X XXXXXX XXĐXXXX/ (IT) XXXXX X XXXXX XX XXXXXXX/ (LV) XXXXXXXXX XXXXX UN XXXXXX/ (XX) XXXXXX XXXXX IR XXXXX/ (XX) XXÜXXXXXX XXXXX XX XXXXXXX/ (MT) XXXX X XXXXXŻ XXX-XXXXXX/ (XX) GEBOORTEPLAATS XX -XXXX/ (PL) XXXXXXX I PAŃSTWO XXXXXXXXX/ (XX) XXXXX X XXXX XX XXXXXXXXXX/ (XX) XXXXX ȘX ȚARA XXȘXXXXX/ (XX) XXXXXX X XXXX XXXXXXXXX/ (SL) XXXX IN XXXXXX XXXXXXX/ (XX) SYNTYMÄPAIKKA XX -XXX/ (XX) XÖXXXXXXXX OCH -XXXX

4.7

(XX) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (XX) XØX/ (DE) GESCHLECHT/ (XX) SUGU/ (EL) ΦΥΛΟ/ (EN) XXX/ (XX) XXXX/ (XX) XXXXXX/ (XX) SPOL/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) NEME/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (PT) XXXX/ (XX) SEXUL/ (XX) POHLAVIE/ (XX) XXXX/ (FI) XXXXXXXXX/ (XX) KÖN

4.7.1

(BG) ЖЕНСКИ/ (XX) XXXXX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (EL) ΘΗΛΥ/ (XX) XXXXXX/ (FR) XXXXXXX/ (XX) BAINEANN/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (HU) XŐ/ (XX) MARA/ (XX) VROUW/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) FEMEIESC/ (XX) XXXXXX/ (XX) ŽENSKI/ (XX) XXXXXX/ (XX) XXXXXX

4.7.2

(XX) МЪЖКИ/ (XX) XXXXX/ (CZ) XXX/ (XX) MAND/ (DE) XÄXXXXXX/ (ET) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) MASCHILE/ (XX) XĪXXXXXX/ (XX) XXXXX/ (HU) XXXXX/ (XX) XXĠXX/ (XX) XXX/ (XX) MĘŻCZYZNA/ (XX) XXXXXXXXX/ (RO) XĂXXĂXXXX/ (XX) MUŽSKÉ/ (XX) MOŠKI/ (FI) XXXX/ (SV) XXX

4.7.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) NEURČENO/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) MÄÄRAMATA/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (EN) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (HR) XXXXXXĐXX/ (XX) INDETERMINATO/ (XX) XXXXXXXXXX/ (LT) XXXXXXXXXXX/ (HU) XXXXXXXXXXXXXXX/ (XX) MHUX STABBILIT/ (XX) XXXXXXXXX/ (PL) XŁXĆ XXXXXXXŚXXXX/ (XX) XÃX DEFINIDO/ (RO) XXXXXXXXXXXX/ (SK) XXXXXXXX/ (XX) NEDOLOČEN/ (FI) XÄÄXXXXXXXXÄXÖX/ (SV) EJ XXXXXXÄXXX

4.8

(XX) ГРАЖДАНСТВО/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXÖXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) ΙΘΑΓΕΝΕΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (GA) XXXXXXXXXXXX/ (XX) DRŽAVLJANSTVO/ (XX) XXXXXXXXXXXX/ (LV) XXXXXXXXXXXXĪXX/ (XX) XXXXXXXXĖ/ (HU) XXXXXXXXXXXXXXX/ (XX) ĊXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (PL) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXĂȚXXXX/ (SK) XXXXXX PRÍSLUŠNOSŤ/ (SL) XXXXXXXXXXXXX/ (FI) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX

4.9

(XX) ГРАЖДАНСКИ НОМЕР/ (XX) NÚMERO XX XXXXXXXXX/ (CZ) XXXXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXÄXXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΤΑΥΤΟΤΗΤΑΣ/ (XX) XXXXXXXX XXXXXX/ (FR) XXXXXX D'IDENTITÉ/ (XX) XXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXXX/ (XX) XXXXXX X'XXXXXXXXXXXXXXX/ (XX) XXXXXXXĀXXX NUMURS/ (XX) XXXXXX KODAS/ (HU) XXXXXXXX XXXXXXXXX XXXXX/ (XX) XXXXX XXX-XXXXXXXÀ/ (XX) IDENTITEITSNUMMER/ (XX) XXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXÇÃX/ (XX) NUMĂRUL DE XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXX/ (XX) IDENTIFIKACIJSKA XXXXXXXX/ (FI) XXXXXXÖXXXXXX/ (XX) XXXXXXXXXXXXXXXX

4.10

(XX) ВИД И НОМЕР НА ДОКУМЕНТА ЗА САМОЛИЧНОСТ НА ЛИЦЕТО/ (XX) XXXX Y NÚMERO XX DOCUMENTO DE XXXXXXXXXXXXXX XXX INTERESADO/ (XX) XXXX X XXXXX IDENTIFIKAČNÍHO DOKLADU XXXXX/ (DA) TYPEN XX XXXXXXXX XÅ XXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXX/ (XX) XXX XXX XXXXXX XXX IDENTITÄTSDOKUMENTS XXX XXXXXX/ (ET) XXXXXX XÕXXXXXX XXXXXXXXX XXXX XX XXXXXX/ (EL) ΕΙΔΟΣ ΚΑΙ ΑΡΙΘΜΟΣ ΕΓΓΡΑΦΟΥ ΤΑΥΤΟΤΗΤΑΣ ΤΟΥ ΠΡΟΣΩΠΟΥ/ (EN) XXXX XXX XXXXXX XX XXX XXXXXX’X XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXX XX NUMÉRO XX XX PIÈCE X'XXXXXXXX XX LA XXXXXXXX XXXXXXXXX/ (XX) XXXXXX XXXX XXXXXX XXXXXXXXXX XXXXXXXXXXX XX XXXXX/ (XX) XXXXX I XXXX IDENTIFIKACIJSKE XXXXXXX XXXXX/ (XX) TIPO X XXXXXX DEL XXXXXXXXX XX IDENTITÀ XXXXX XXXXXXX/ (LV) XXXXXXXX XXXXXXXXXĀXXXXX XXXXXXXXX XXXXX XX NUMURS/ (XX) XXXXXX TAPATYBĖS XXXXXXXXX XXXXX XX XXXXXXX/ (XX) X XXXXXXXXXXXXXXXX OKMÁNY TÍPUSA XX XXXXX/ (XX) XX-XXX U N-NUMRU XXX-XXXXXXXX XX' XXXXXXXÀ XXX-XXXXXXX/ (NL) XXXX XX XXXXXX XXX XXX IDENTITEITSDOCUMENT VAN XX BETROKKENE/ (XX) XXXXXX X XXXXX XXXXXXXXX XXŻXXXXŚXX/ (XX) XXXX X XXXXXX XX XXXXXXXXX DE XXXXXXXXXXÇÃX/ (XX) XXXXX ȘX XXXĂXXX XXXXXXXXXXXX XX XXXXXXXXXXXX XX XXXXXXXXX/ (XX) XXX X XXXXX PREUKAZU XXXXXXXXXX XXXXX/ (SL) XXXXX IN XXXXXXXX XXXXXXXXXXXXXXXXXX XXXXXXXXX OSEBE/ (XX) XXXXXXÖXXXXXXXXXXX XXXXXX XX NUMERO/ (XX) XXX XXX NUMMER XÅ XXXXXXXXX IDENTITETSHANDLING

4.10.1

(BG) НАЦИОНАЛНА ЛИЧНА КАРТА/№/ (XX) XXXXXXXXX NACIONAL XX IDENTIDAD / XXX./ (CZ) VNITROSTÁTNÍ XXXXXX XXXXXXXXXX / X./ (DA) XXXXXXXXX XXXXXXXXXXXXXX/-XXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXXXXXX/XX./ (ET) XXXXXXX XXXXXXXXXXXXXX / NR/ (XX) ΕΘΝΙΚΟ ΔΕΛΤΙΟ ΤΑΥΤΟΤΗΤΑΣ / ΑΡΙΘ./ (XX) XXXXXXXX XXXXXXXX XXXX/XX./ (XX) CARTE XXXXXXXXX X'XXXXXXXX/X°/ (GA) XXXXX XXXXXXXXX XXXXXXXXXXX/XXXX./ (XX) NACIONALNA OSOBNA XXXXXXXXX / XX./ (XX) CARTA X'XXXXXXXÀ XXXXXXXXX/X./ (XX) VALSTS XXXXXXXX APLIECĪBA / XX./ (LT) XXXXXXXXXXĖ XXXXXX XXXXXXXĖX KORTELĖ / XX./ (XX) XXXXXXX SZEMÉLYAZONOSÍTÓ IGAZOLVÁNY/SZÁMA/ (XX) XXXXX XXX-XXXXXXXÀ XXXXXXXXXX/XXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXXXX/XX./ (PL) KRAJOWY XXXXX XXŻXXXXŚXX / XX/ (PT) X.x XX DOCUMENTO DE XXXXXXXXXXÇÃX NACIONAL/ (XX) XXXXX XX XXXXXXXXXX XXȚXXXXXĂ/XX./ (SK) XXXXXXX XXXXXXX XXXXXXXXXX/x./ (SL) XXXXXXXXXX OSEBNA IZKAZNICA/ŠT./ (XX) XXXXXXXXXXX XXXXXXÖXXXXXX/XXX/ (XX) XXXXXXXXXX XXXXXXXXXXXXXX/XXXXXX

4.10.2

(XX) ПАСПОРТ/№/ (XX) XXXXXXXXX / XXX./ (XX) XXX / X./ (XX) XXX/XX./ (DE) XXXXXXXXX/XX./ (XX) XXXX/XX/ (XX) ΔΙΑΒΑΤΗΡΙΟ/ΑΡΙΘ./ (EN) XXXXXXXX/XX./ (FR) XXXXXXXXX/X°/ (XX) PAS/UIMH./ (XX) XXXXXXXXX / XX./ (XX) XXXXXXXXXX/X./ (XX) XXXX/XX./ (XX) XXXXX / XX./ (HU) XXXXXXX/XXXXX/ (XX) PASSAPORT/ XXX/ (NL) PASPOORT/NR./ (XX) XXXXXXXX / XX/ (XX) N.o XX XXXXXXXXXX/ (XX) XXȘXXXXX/XX./ (XX) XXXXXXXX XXX/x./ (SL) XXXXX XXXX/XX./ (XX) XXXXX/XXX/ (XX) PASS/NUMMER

4.10.3

(BG) СВИДЕТЕЛСТВО ЗА УПРАВЛЕНИЕ НА МПС/№/ (XX) XXXXXXX XX XXXXXXXXXX / XXX./ (CZ) XXXXXXXX XXXXXX / Č./ (XX) KØREKORT/NR./ (XX) XÜXXXXXXXXXX/XX./ (ET) XXXXXXXX/XX/ (XX) ΑΔΕΙΑ ΟΔΗΓΗΣΗΣ / ΑΡΙΘ./ (XX) XXXXXXX LICENCE/NO./ (XX) XXXXXX XX XXXXXXXX/X°/ (XX) CEADÚNAS TIOMÁNA/UIMH./ (XX) VOZAČKA XXXXXXX / BR./ (IT) XXXXXXX XX XXXXX/X./ (XX) VADĪTĀJA XXXXXXĪXX / NR./ (LT) XXXXXXXXXX XXXXXĖXXXXX / XX./ (XX) XXXXXŐX XXXXXXXX/XXXXX/ (XX) XXĊXXXXX XXX-XXXXXX/XXX/ (NL) XXXXXXXXX/XX./ (XX) XXXXX XXXXX / NR/ (XX) X.x DA XXXXX XX XXXXXÇÃX/ (RO) XXXXXX DE XXXXXXXXX/XX./ (XX) XXXXXXXX XXXXXXX/x./ (XX) XXXXXXXX DOVOLJENJE/ŠT./ (XX) XXXXXXXXX/XXX/ (SV) 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) …/NR …/ (XX) MUU (XÄXXXXXXXX) … / XX …/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ) … / Αριθ. …/ (XX) OTHER (XX XX XXXXXXXXX) …/No. …/ (XX) AUTRE (À XXXXXXXX) …/N° …/ (XX) XXXX (XX SONRÚ) … …/Xxxx. …/ (HR) XXXXXX (NAVESTI) … / xx. …/ (XX) XXXXX (XXXXXXXXX) …/X. …/ (XX) XXXX (XXXXXXĒX) … / XX. …/ (XX) KITA (XXXXXXXX) …/XX. …./ (XX) XXXXX (XXXXÜX XXXXXXXXXXX) …/Xxxxx: …/ (XX) XĦXXXX (XXXXXĊXŻX) …/Xxx …/ (XX) XXXXXXX (XXXXXXXXXXXX) …/XX. …/ (XX) XXXX (XXXXXĘ XXXXŚXXĆ) … / xx …/ (XX) X.x XX OUTRO XXXXXXXXX (XXXXXXXXXXX) …/ (XX) XXXXX (X XX XXXXXXX) … /XX. …/ (SK) XXX (XXXXXXXX) …/x. …/ (XX) DRUGO (XXXXXXX) …/xx. …/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ) … /Xxx …/ (XX) ANNAN XXXXXXXX (XXXXXXXXXXXX) …/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/ (ES) XX XXXXXXXXX XXXXXXX XX XXX XX ADJUNTA XXXX XXXXXXX XX XXXXXXXX XXX XXXXXX XXXXXX ANTECEDENTE XXXXX XXX XXXXXXXXXX EN XX XXXXXXXX DE XXXXXXXXXXXX XXXXXXX XXX XXXXXX XXXXXXX DEL XXX TIENE XX XXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX, X XXX XX PŘIPOJEN TENTO XXXXXXXX, NEZMIŇUJE ŽÁDNÉ XXXXXXXXX DOTYČNÉ XXXXX XXXXXXXXXXX X REJSTŘÍKU XXXXXX XXXXXXXXX XXXXX, XXXXX XX XXXX XXXXX XXXXXXX PŘÍSLUŠNÍKEM/ (XX) XXX XXXXXXXXXX XXXXXXXX, SOM XXXXX XXXXXXXX ER XXXXÆXXXX, XÆXXXX INGEN XXX XXX XXXXXX TIL XXX PÅGÆLDENDE PERSON X STRAFFEREGISTRET X XXX XXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXXXXX/ (XX) XXX ÖFFENTLICHE XXXXXXX, XXX DIESES XXXXXXXX XXXXXXÜXX XXX, XXXXÄXX KEINEN XXXXXXX XXX EINE XXXXXXXXXXXX XXX XXXXXXXXXXXX XXXXXX XX XXXXXXXXXXXXX XXX XXXXXXXXXXXXXX XXXXX XXXXXXXXXXXÖXXXXXXX/ (XX) XXXXXXXX DOKUMENDIS, XXXXXXX XXX XXXX XX XXXXXXX, XX XXX XÄXXXXXX ÜXXXXX XÜÜXXXÕXXXXXX XXXXXXXXXXX, XXX XXXXX XXXXXX ASJAOMASE XXXXX SUHTES XX XXXXXX ASJAOMASE XXXXX XXXXXXXXXXXXÄXXXX LIIKMESRIIGI XXXXXXXXXXXXXXXXXXX/ (XX) ΣΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ ΔΕΝ ΑΝΑΦΕΡΕΤΑΙ ΓΙΑ ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΚΑΤΑΔΙΚΗ ΕΓΓΕΓΡΑΜΜΕΝΗ ΣΤΟ ΠΟΙΝΙΚΟ ΜΗΤΡΩΟ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΤΗΝ ΙΘΑΓΕΝΕΙΑ ΤΟΥ ΟΠΟΙΟΥ ΕΧΕΙ ΤΟ ΠΡΟΣΩΠΟ ΑΥΤΟ/ (XX) THE XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX DOES XXX XXXXXXX XXX XXXXXXXXXX XX XXXXXXX XX THE XXXXXX XXXXXXXXX XX THE XXXXXXXX RECORD XX XXX MEMBER STATE XX XXXXXXXXXXX XX XXXX PERSON/ (XX) XX XXXXXXXX XXXXXX XXXXXX LE XXXXXXX XXXXXXXXXX XXX JOINT XX XXXXXXXXX XXXXXX XXXXXXXXXXXX FIGURANT XX XXXXXX JUDICIAIRE XX XX XXXXXXXX XXXXXXXXX XXXX X'XXXX XXXXXX XXXX XXXXX XXXXXXXX X LA XXXXXXXXXXX/ (XX) XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX SEO XXXXXXXXXX, XXX XXX XXXXXX AR XXX XXXXXXX I XXXXX XX DUINE XXXX xXXXXXXXX XX TAIFEAD XXXXXXXX X mBALLSTÁT XXXXXXXXXXXXX XX DUINE XXXX xXXXXXXXX/ (HR) X XXXXXX ISPRAVI XXXXX XX XXXX XXXXXXX XXXXXXXX XXXX XXXXXXXX XXXXXXX OSUĐUJUĆA XXXXXXX PROTIV XXXXXXX XXXXX X XXXXXXXX XXXXXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX XX XXXXX/ (XX) XX XXXXXXXXX XXXXXXXX CUI IL XXXXXXXX XXXXXX È XXXXXXXX NON XXXXXXX XXXXXX CONDANNA XXXXXXXX XXXX XXXXXXX XXXXXXXXXXX XXX QUANTO CONCERNE XX XXXXXXXXXX XXXXXXXXXX XXXXX STATO MEMBRO XX XXXXXXXXXXXX DI XXXX XXXXXXX/ (XX) XXXXXXXXXĀ XXXXXXXXĀ, XXXXX XĪ VEIDLAPA XX XXXXXXXXXX, XXX XXXXXXĪXX XXXXXXX XXX XXXĒXX XXXXXXX NOTIESĀŠANA, KAS XXXĀXĪXX XXXĒXĀX XXXXXXXX XXXXXXXXXXXXĪXXX XXXĪXXXXXXX XXXĀXĪXXX XXĢXXXXĀ/ (XX) VIEŠAJAME XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXX XXXXXĘX XXXXXXXXXXX XX XXXXXX XXXXXXXXĖX VALSTYBĖS NARĖS XXXXXXXXXXXŲ XXXXXXXX/ (HU) X FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXX XX XXXXXXXX XXXXXXXXXX KAPCSOLATBAN NEM XXXXX XX ÉRINTETT XXXXXXX XXXXXXXXXXXXXXX XXXXXXXX XXXXXXXX XŰXÜXXX XXXXXXXXXXXXXXXXX XXXXXXXŐ ELÍTÉLÉST/ (XX) XX-XXXXXXXX XXXXXXXX XXXXXŻ XX' DIN XX-XXXXXXX XX XXXXXX X-XXXX XXXXXXXX XXX-XXXXXXX XXX-XXXXXXX XXXXĊXXXXXX XXX-XXXXXX KRIMINALI XXX-XXXXX XXXXXX TAĊ-ĊITTADINANZA XX' XXX IL-PERSUNA/ (XX) XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX IS XXXXXXX, XXXXXXXX XXXX XXXXXXXXXXXX XXXX DE XXXXXXXXXX XX XXX STRAFREGISTER XXX XX LIDSTAAT XXX XXXXXXXXXXXXX XXX XX BETROKKENE/ (PL) XXXXXXXX URZĘDOWY, XX XXXXXXX ZAŁĄCZONY XXXX XXXXXXXXX XXXXXXXXX, XXX XXXXXXX XXXXXXXXXX O XXXXXXXXX XXXXXX XXXXXXĄXXXX XXXXXXXX WOBEC OSOBY, XXXXXX XXXXXXX DOKUMENT, XXXXXXXXX XX XXXXXXXX XXXXXXX XXŃXXXX XXŁXXXXXXXXXXX, XXXXXXX XXXXX XX XXXX XXXXXXXXXX/ (XX) X XXXXXXXXX XXXXXXX X QUE X XXXXXXXX XXXXXXXXXX ESTÁ XXXXXX XÃX REFERE XXXXXXXX CONDENAÇÃO XX XXXXXX XX XXXXX XX XXXXXXX XXXXXXXX XX XXXXXX-XXXXXX XX XXXXXXXXXXXXX XXXXX XXXXXX/ (XX) XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX PREZENTUL XXXXXXXX XX MENȚIONEAZĂ NICIO XXXXXXXXXX REFERITOARE XX XXXXXXXX XXXXXĂ XX XXXXXXXX XXXXXXXX XXX XXXXXX MEMBRU XX XĂXXX XXXĂȚXXX XXXX XXXXXXXX RESPECTIVĂ/ (XX) XX XXXXXXXX LISTINE, XX XXXXXX JE XXXXX XXXXXXXX PRIPOJENÝ, XX XXXXXXXX XXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXXXXX TRESTOV XXXXXXXXX XXXXX, XXXXXXX XXXXXXX XXXXXXXXXXXX JE XXXX XXXXX/ (XX) X XXXXX XXXXXXX, XX XX JE XXXXXXXX XX XXXXXXX, XX XXXXXXXX XXXXXX XXXXXXX X XXXXX X ZADEVNO XXXXX X KAZENSKI EVIDENCI XXXXXX XXXXXXX, KATERE XXXXXXXXXXXXX IMA TA XXXXX/ (FI) XXXXXXXXÄ XXXXXXXXXXXX, XXXXX TÄMÄ XXXXXX XXXXXXÄÄX, XX XXX XXXXXXXXX XXXXXXXXXXXX XXXXXXÖÄ KOSKEVISTA XXXXXXXXXX XXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXXÄ, XXXXX XXXXXXXXXXX HENKILÖ XX/ (SV) I XXX OFFICIELLA XXXXXXXX XXXX VILKEN DETTA XXXXXXÄX ÄX BIFOGAT XÄXXX XXXXX XXXXXXX XX XXX XXX XXX XXXÖXXX PERSONEN X XXXXXXXXXXXXXXXXX X XXX XXXXXXXXXXX XÄX XXXXX PERSON ÄX XXXXXXXXXX

6.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) RECUADRO XXXX LA FIRMA/ (XX) POLE PRO XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) UNTERSCHRIFTENFELD/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) SIGNATURE XXX/ (FR) XXXXX XXXX XX XXXXXXXXX/ (XX) XXXXX XXX XXXXX/ (HR) XXXXX XX XXXXXX/ (XX) XXXXXXXX XXX XX XXXXX/ (XX) XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXX/ (HU) AZ XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX TAL-IFFIRMAR/ (XX) XXX XXXX XX XXXXXXXXXXXX/ (PL) POLE XXXXXXX/ (XX) ESPAÇO XXXXXXXXX À ASSINATURA/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (XX) ALLEKIRJOITUSKENTTÄ/ (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 XXXXXX(X) DEL FUNCIONARIO XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXX X XXXXX (JMÉNA) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (DA) XXXXXXXXX(X) OG FORNAVN(E) XÅ DEN XXXXXXXXXX, XXX HAR XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX VORNAME(N) XXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXX (-XXXXX) XX XXXXXXXXXXXXX (-NIMED)/ (EL) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) SURNAME(S) XXX XXXXXXXX(X) XX XXX OFFICIAL WHO XXXXXX XXXX XXXX/ (XX) XXX(X) XX XXXXXX(X) DU FONCTIONNAIRE XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) SLOINNE (XXXXXXXX) XXXX XXXXXXXX (CÉADAINMNEACHA) XX OIFIGIGH X X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX XXXX JE XXXXX XXXX XXXXXXX/ (XX) XXXXXXX/X X NOME/I XXX XXXXXXXXXXX CHE XX RILASCIATO XX XXXXXXXX MODULO/ (LV) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, UZVĀRDS(-I) XX XĀXXX(-X)/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖX) XX VARDAS (-AI)/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXX XXXX(X) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX LI ĦXXXĠ DIN IL-FORMOLA/ (XX) XX(X)X(XX) XX XXXXXX(X)X(XX) XXX 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 FUNCIONÁRIO XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) NUMELE ȘX XXXXXXXXX FUNCȚIONARULUI XXXX A XXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXXXXXXX(-X) A MENO(-Á) XXXXXXXX, KTORÝ VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX XXX/XXXXX XXXXXXXX, XX XX XXXXX TA XXXXXXX/ (XX) XÄXÄX LOMAKKEEN XXXXXXXX XXXXXXXXXXX XXXXXXXX (-XXXXX) JA XXXXXXX (-XXXXX)/ (SV) XXXXXXXXX XXX XÖXXXXX XÅ XXX TJÄNSTEMAN SOM XXX XXXÄXXXX XXXXX XXXXXXÄX

6.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXX DEL XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, KTERÝ XXXXX XXXXX XXXXXXXX/ (DA) XXXXXXXX — DEN XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX XXX XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX VORMI XÄXXXXXXXXX AMETNIKU AMETIKOHT/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) POSITION XX XXX XXXXXXXX WHO XXXXXX XXXX XXXX/ (XX) POSTE XX XXXXXXXXXXXXX QUI X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXX XX XXXXXXXX X X’XXXXXX XX FHOIRM XXX/ (XX) FUNKCIJA XXXXXXXXXX XXXX JE XXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXX XXXXXXXXXXX XXX XX XXXXXXXXXX IL XXXXXXXX XXXXXX/ (LV) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, AMATS/ (LT) XXĄ FORMĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) X FORMANYOMTATVÁNYT KIÁLLÍTÓ XXXXXXXXXXŐ BEOSZTÁSA/ (MT) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ DIN XX-XXXXXXX/ (XX) XXXXXXX XXX XX XXXXXXXXX XXX XXX FORMULIER XXXXX XXXXXXXXX/ (PL) XXXXXXXXXX XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX XX XXXXXXXXXXX XXX XXXXXX O XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX XXXX X XXXX PREZENTUL XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XXXXX VYDAL XXXXX FORMULÁR/ (SL) XXXXXXX XXXXXXXX, XX XX IZDAL XX XXXXXXX/ (FI) XÄXÄX XXXXXXXXX ANTANEEN XXXXXXXXXXX XXXXX/ (SV) BEFATTNING XÖX DEN XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) FECHA (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXX/ (XX) XXXXXXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) VÄLJAANDMISE XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) DATE (XX/XX/XXXX) XX DÉLIVRANCE/ (XX) DÁTA (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) IZDAVANJA/ (XX) XXXX DI RILASCIO (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (LT) XXXXXXXX XXXX (DD/MM/MMMM)/ (XX) A XXXXXXXXX XXXXXX (ÉÉÉÉ/HH/NN)/ (MT) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) XXXXX (DD/MM/JJJJ) XXX XXXXXXX/ (PL) XXXX (DD/MM/RRRR) XXXXXXX/ (XX) DATA XX XXXXXÃX (DD/MM/AAAA)/ (RO) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (SV) XXXXX (DD/MM/ÅÅÅÅ) XÖX XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (XX) UNDERSKRIFT/ (XX) XXXXXXXXXXXX/ (ET) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (EN) XXXXXXXXX/ (XX) SIGNATURE/ (XX) XXXXX/ (HR) XXXXXX/ (XX) XXXXX/ (XX) PARAKSTS/ (XX) XXXXXXX/ (XX) ALÁÍRÁS/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (PL) PODPIS/ (XX) XXXXXXXXXX/ (RO) XXXXĂXXXX/ (XX) PODPIS/ (XX) XXXXXX/ (XX) XXXXXXXXXXXXX/ (SV) NAMNTECKNING

6.5

(BG) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (CZ) XXXXX XXXX XXXXXXX/ (XX) XXXX XXXXX STEMPEL/ (XX) XXXXXX ODER XXXXXXX/ (ET) XXXXXX XÕX TEMPEL/ (XX) ΣΦΡΑΓΙΔΑ/ (EN) XXXX XX XXXXX/ (FR) XXXXX OU TIMBRE/ (XX) XXXXX NÓ XXXXXX/ (XX) XXX XXX PEČAT/ (XX) XXXXX X XXXXXX/ (XX) XĪXXXX XXX XXXXXXXX/ (LT) XXXXXXX XXXX XXXXXXXXXX/ (HU) XXXXXX XXXX BÉLYEGZŐLENYOMAT/ (XX) XXĠXXX JEW XXXXXX/ (NL) ZEGEL XX STEMPEL/ (XX) XXXXXĘĆ XXX XXXXXXX/ (XX) XXXX XX XXXXXXX/ (XX) XXXXXXXX XXX ȘTAMPILA/ (XX) XXXXX ALEBO XXXXXXXX XXXXXXXX/ (SL) PEČAT XXX XXX/ (XX) XXXXXXX XXX XXXXX/ (XX) XXXXXX ELLER XXÄXXXX