Plné znění - 32016R1191

XXXXXXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – POMŮCKA XXX XXXXXXX

Xxxxxx 7 xxxxxxxx Xxxxxxxxxx xxxxxxxxxx x Rady (XX) 2016/1191 xx xxx 6. xxxxxxxx 2016 x xxxxxxx volného xxxxxx občanů xxxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx x Evropské unii x x xxxxx xxxxxxxx (EU) č. 1024/2012 (1)

Xxxxxx (BE) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (DK) Německo (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (EL) Xxxxxxxxx (XX)

Xxxxxxx (XX) Chorvatsko (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (LV) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (HU) Xxxxx (XX)

Xxxxxxxxxx (XX) Xxxxxxxx (AT)

Polsko (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Xxxxxx (XX)

Xxxxxxx (XX) Xxxxxxx království (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx standardního formuláře xx usnadnění překladu xxxxxxx xxxxxxx, x xxx xx xxxxxxxx. Xxxxx formulář xx xxxx xxxxxxxxx státy xxxxx pohybovat jako xxxxxxxxxx xxxxxxxx.

Xxxxx formulář xxxxxx xxxxx veřejné xxxxxxx, x níž xx přiložen. Xxxxx, xxxxx je xxxxxxx xxxxxxx předkládána, xxxx xxxx x xxxxxxxxx, xxx xx to xxxxxxxx pro xxxxx xxxxxxxxxx xxxxxxx listiny, xxxxxxxxx překlad či xxxxxx informací, xxxxx xxxx xx formuláři xxxxxxx.

XXXXXXXXXX XXX VYDÁVAJÍCÍ XXXXX

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

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

1. ORGÁN XXXXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

(1) Úř. xxxx. X 200, 26.7.2016, x. 1.

(2) Xxx xxxxxxxxxx xxxxx použijte xxxxxxx xxxxx.

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

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

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

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

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Listina xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx xxxxxx xxxxxxx xxxxxxxxx

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

3.1.5 Xxxx (xxxxxxxxx)

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx z xxxxxxx

3.2.3 Xxxxx x xxxxxxxx xxxxxxxx

3.2.4 Xxxx xxxxxxxxxx xxxxxxx

3.1.5 Jiné (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, xxxxxx xxxx opatřena listina xxxxxxxxx xxxxxxxxx xxxxxx

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

3.6 Xxxxx (dd/mm/rrrr) xxxxxx

3.7 Xxxxxxxxxx xxxxx veřejné xxxxxxx

4. XXXXXXXXX X XXXXXXXXX

4.1 Xxxxxxxx

4.2 Xxxxx (xxxxx)

4.3 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.4 Xxxxx (1) x země (2) xxxxxxxx

4.5 Pohlaví:

4.5.1 Žena

4.5.2 Xxx

4.5.3 Neurčeno

5. XXXX XXX PODPIS

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

5.2 Funkce xxxxxxxx, xxxxx xxxxx xxxxx formulář

5.3 Datum (xx/xx/xxxx) vydání

5.4 Podpis

5.5 Xxxxx xxxx razítko

(1) Xxxxx „místo narození“ xx rozumí xxxxx xxxx nebo xxxxx, xxxxxx x kraje, xxx xx daná xxxxx narodila.

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

VÍCEJAZYČNÝ XXXXXX NÁZVŮ STANDARDNÍCH XXXXXXX

(XXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX XXXXXX XXXX XXXXXXX/ (CZ) XXXXX VYDÁVAJÍCÍ XXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX MYNDIGHED/ (XX) XXXÖXXX, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) AUTHORITY XXXXXXX XXXX XXXX/ (FR) XXXXXXXX XX XXXXXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX XX XXXXXX SEO/ (XX) XXXXXX XXXX IZDAJE XXXX XXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX PRESENTE XXXXXX/ (XX) XXXXXXXXX IZDEVĒJIESTĀDE/ (XX) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ EMITTENTI XX' XXX XX-XXXXXXX/ (NL) XXXXXXXXXX XXX XXXXXXX XXX XXX XXXXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXXX FORMULARZ/ (XX) XXXXXXXXXX XXX EMITE X XXXXXXXX FORMULÁRIO/ (XX) XXXXXXXXXXX XXXXXXXĂ X PREZENTULUI XXXXXXXX/ (XX) ORGÁN VYDÁVAJÚCI XXXXX XXXXXXXX/ (XX) XXXXX, XX XXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXX XXXÄXXXX FORMULÄRET

1.1

(BG) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) NÁZEV/ (DA) XXXXXXXXXX/ (DE) XXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) TITLU/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) DESIGNAÇÃO/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) IME/ (XX) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX XXXXXX XX DOCUMENTO XXXXXXX XX XXX SE XXXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXX XXXXXXXXX, DER XXX XXXXXXX DET XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) BEHÖRDE, XXX DIE ÖXXXXXXXXXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXÜXX XXX, XXXXXXXXX/ (ET) ASUTUS, XXX XXXXX XÄXXX XXXXXXX XXXXXXXXX, MILLELE XXX XXXX ON XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXX DOCUMENT XX XXXXX XXXX FORM XX XXXXXXXX/ (XX) XXXXXXXX DE XXXXXXXXXX XX DOCUMENT XXXXXX XXXXXX XXX XXXXX XX PRÉSENT XXXXXXXXXX/ (XX) XX xXXXXXX X EISEOIDH AN XXXXXXXXX XXXXXX XXXX XXXXXX AN XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXX XXXX IZDAJE XXXXX ISPRAVU XXXXX XX OVAJ XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ XXX RILASCIA XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È ALLEGATO/ (XX) XXXXXXXĀ DOKUMENTA, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (LT) XXXXĄXĮ DOKUMENTĄ, XXXX XXXXX PRIDEDAMA XX XXXXX, IŠDUODANTI VALDŽIOS XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX KÍSÉRT KÖZOKIRATOT XXXXXXXX XXXXXXX/ (MT) XXXXXXXÀ EMITTENTI TAD-DOKUMENT XXXXXXXX XX XXXXĦX XXXX XXXXXŻX DIN XX-XXXXXXX/ (NL) AUTORITEIT XXX AFGIFTE XXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXX WYDAJĄCY XXXXXXXX XXXĘXXXX, DO XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (PT) XXXXXXXXXX XXX EMITE O XXXXXXXXX XXXXXXX X XXX O XXXXXXXX XXXXXXXXXX XXXX APENSO/ (XX) AUTORITATEA XXXXXXXĂ X XXXXXXXXXXXX OFICIAL XX CARE XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXX VYDÁVAJÚCI XXXXXXX XXXXXXX, XX XXXXXX JE XXXXX XXXXXXXX XXXXXXXXX/ (SL) XXXXX, XX IZDA XXXXX XXXXXXX, XX XX XX XXXXXXXX XX OBRAZEC/ (FI) XXXXXXXXXXXX, JOKA ON XXXXXXX XXXXXXX ASIAKIRJAN, XXXXX TÄMÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX XXX UTFÄRDAR XXX XXXXXXXXXX HANDLING XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) INFORMACIÓN XXXXXXXX XX XXXXXXXXX XXXXXXX XX XXX SE XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXX LISTINY, X XXX JE XXXXXXXX TENTO FORMULÁŘ/ (XX) XXXXXXXXXXX XXXXØXXXXX XXX OFFENTLIGE XXXXXXXX, XXX DENNE XXXXXXXX XX VEDHÆFTET/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXÜXX IST/ (XX) XXXXX XXXXXXX 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 THE XXXXXX XXXXXXXX XX WHICH XXXX FORM XX XXXXXXXX/ (FR) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX EST XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) FAISNÉIS X XXXXXXXXX LEIS XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX SEO XXXXXXXXXX/ (XX) INFORMACIJE XXXX XX ODNOSE NA XXXXX ISPRAVU XXXXX XX XXXX OBRAZAC XXXXXXXX/ (IT) INFORMAZIONI XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX IL XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (LT) XXXXXXXXXXX, XXXXXXXX SU XXXXXXXX XXXXXXXXX, XXXX XXXXX PRIDEDAMA ŠI XXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATRA XXXXXXXXX XXXXXXXXXXX/ (MT) XXXXXXXXXXXXX DWAR XX-XXXXXXXX XXXXXXXX XX MIEGĦU XXXX XXXXXŻX DIN XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX WAARAAN DIT XXXXXXXXX IS GEHECHT/ (XX) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX URZĘDOWEGO, XX XXXXXXX XXXXXXXXX FORMULARZ XXXX XXŁĄXXXXX/ (PT) XXXXXXXÇÕXX XXXXXXXXX XX XXXXXXXXX PÚBLICO A XXX X XXXXXXXX XXXXXXXXXX ESTÁ XXXXXX/ (XX) INFORMAȚII XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX PREZENTUL XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXX LISTINE, XX XXXXXX XX TENTO XXXXXXXX PRIPOJENÝ/ (XX) XXXXXXXXXXX X ZVEZI X XXXXX XXXXXXX, XX XX XX XXXXXXXX TA OBRAZEC/ (XX) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX LIITETÄÄN/ (XX) XXXXXXXXXXX OM XXX XXXXXXXXXX XXXXXXXX TILL XXXXXX DETTA XXXXXXÄX ÄX BIFOGAT

3.1

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) DOCUMENTO EXPEDIDO XXX UNA XXXXXXXXX X UN XXXXXXXXXXX XXXXXXXXX X LOS XXXXXXX JURISDICCIONALES XX XX ESTADO XXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXX ÚŘEDNÍKEM X VAZBOU XX XXXXX XXXXXX XXXXXXXXX XXXXX/ (XX) DOKUMENT, XXX XX UDSTEDT XX XX XXXXXXXXX XXXXX EN XXXXXXXXXX, XXX ER XXXXXXXXXX XXXXXXXX X EN XXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXÖXXX XXXX XXXXX AMTSPERSON XXX XXXXX XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX ON XÄXXX XXXXXX LIIKMESRIIGI XXXXXXXXX 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 AN XXXXXXXXX XX XX XXXXXXXX XXXXXXXXX WITH XXX XXXXXX XX TRIBUNALS XX X MEMBER XXXXX/ (XX) XXXXXXXX XXXXXXX X'XXX XXXXXXXX XX D'UN XXXXXXXXXXXXX XXXXXXXX X'XXX JURIDICTION X'XX XXXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXX XX Ó OIFIGEACH X BHFUIL XXXXX XXXX NÓ XXXX XX CÚIRTEANNA XX XX BINSÍ XX XXXXX XXXXXXXXX/ (XX) XXXXXXX KOJU JE XXXXXX XXXXXX XXX XXXXXXXXX SUDA DRŽAVE XXXXXXX/ (IT) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ X DA UN XXXXXXXXXXX APPARTENENTE AD XXX DELLE GIURISDIZIONI XX XXX XXXXX XXXXXX/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX XX XXXĪXXXXXXX XXXXĀX XXXXXĪXX XXXXĀXX VAI XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX XXXXXXXX XXXXXXXXXXXX AR XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX BÍRÓSÁGGAL XXXXXXXXXXXX XXXX XXXXXXX XXXX XXXXXXXXXXŐ ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ MINN XXXXXXXÀ XXX XXXXĊXXX LI XXXXXXXX XXXXX XXX-XXXXX XXX XX-XXXXXXXXX XX' XXXX XXXXXX/ (NL) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX OF XXXXXXXXX BEHORENDE XXX XXX XXXXXXXXXXXX XXXXXXXXX XXX EEN LIDSTAAT/ (XX) DOKUMENT XXXXXXXĄXX XX ORGANU XĄXXXXXX XXX URZĘDNIKA XĄXXXXXX XXŃXXXX CZŁONKOWSKIEGO/ (PT) XXXXXXXXX XXXXXXXXXXX XX XXX AUTORIDADE XX XX UM XXXXXXXXXXX XXXXXXXXXX XX XXXXXXXX XXXXXXXÇÃX DE XX XXXXXX-XXXXXX/ (XX) XXXXXXXX XXXX XX X XXXXXXXXXX SAU XX XX XXXXȚXXXXX XX XX LÂNGĂ INSTANȚELE XXXX STAT MEMBRU/ (XX) LISTINA VYDANÁ XXXXXXX ALEBO ÚRADNÍKOM X VÄZBOU XX XXXX XXXXXXXXX XXXXX/ (XX) LISTINA, XXXXXX X XXXXXX ORGANA XXX XXXXXXXX XXXXX XXXXXXX XXXXXX XXXXXXX/ (XX) ASIAKIRJA, XXXXX XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX XX XXXXXXXXX XXXXX EN XXÄXXXXXXX XXXXXÖXXXXX DOMSTOLSVÄSENDET X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (CZ) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) GERICHTSENTSCHEIDUNG/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXX XX xXXXXX/ (XX) XXXXXX ODLUKA/ (XX) XXXXXXXXX GIURISDIZIONALE/ (XX) TIESAS XĒXXXX/ (XX) XXXXXX SPRENDIMAS/ (XX) XXXXXXXX HATÁROZAT/ (XX) DEĊIŻJONI TAL-QORTI/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (XX) XXXXXÃX XXXXXXXX/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX EXPEDIDO XXX XX MINISTERIO XXXXXX/ (CZ) XXXXXXX XXXXXX XXXXXXX ZÁSTUPCEM/ (XX) DOKUMENT XXXXXXX XX EN XXXXXXXXXXXXXXXX/ (XX) XXXXXXX EINER XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXX SÜÜDISTAJA/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX EMANATING FROM X PUBLIC XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX MINISTÈRE PUBLIC/ (XX) XXXXXXXXX X XXXXXXX X IONCHÚISITHEOIR XXXXXX/ (XX) XXXXXXX XXXX XX IZDALO XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX EMANATO XXX XXXXXXXX XXXXXXXXX/ (LV) XXXXXXXXX, XXXX IZSNIEDZIS XXXXXXXXX/ (LT) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXĠ MINN XXXXXXXXXX XXXXXXXX/ (NL) DOCUMENT XXXXXXXXX DOOR EEN XXXXXXXX XXXXXXXXXX/ (PL) XXXXXXXX POCHODZĄCY XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXX DE XX XXXXXXXX/ (SK) XXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXX, XX XX XXXX DRŽAVNO TOŽILSTVO/ (XX) VIRALLISEN XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX ÅKLAGARVÄSENDET

3.1.3

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (ES) DOCUMENTO XXXXXXXX XXX XX XXXXXXXXXX JUDICIAL/ (XX) XXXXXXX VYDANÁ VYŠŠÍM XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX JUSTITSSEKRETÆR/ (XX) XXXXXXX EINES XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX EINES XXXXXXXX/ (ET) XXXXXXXX, XXXXX ON XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (EN) XXXXXXXX XXXXXXXXX XXXX X CLERK XX X XXXXX/ (XX) XXXXXXXX ÉMANANT D'UN XXXXXXXX/ (XX) DOICIMÉAD X XXXXXXX X XXXXXXXXXX XX XXXXX XXXXXX/ (XX) XXXXXXX XXXX JE XXXXX XXXXXXXXXX XXXXXX PISARNICE/ (XX) DOCUMENTO XXXXXXX XX XX CANCELLIERE/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XXXXXX SEKRETĀRS/ (XX) XXXXXX TARNAUTOJO XXXXXXXX XXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXĠXXXXXXXX XX' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX GRIFFIER/ (XX) XXXXXXXX XXXXXXXĄXX XX SEKRETARZA SĄDOWEGO/ (XX) DOCUMENTO XXXXXXXXXXX XX UM XXXXXXX XX XXXXXÇX/ (XX) XXXXXXXX XXXX XX XX XXXXXXX AL XXXXXXȚXX/ (SK) XXXXXXX XXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXX, KI XX XXXX XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX ANTAMA XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX JUSTICE“)/ (XX) DOCUMENTO XXXXXXXX XXX XX XXXXXX XXXXXXXX («XXXXXXXX DE XXXXXXX»)/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX XX XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX ON XÄXXX XXXXXX KOHTUTÄITUR/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚ ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX JUSTICE»)/ (XX) XXXXXXXX XXXXXXXXX FROM X JUDICIAL XXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) DOCUMENT ÉMANANT X'XX XXXXXXXX XX XXXXXXX/ (GA) XXXXXXXXX X THAGANN Ó XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXX XX XXXXX XXXXXX XXXXXXXXX (XXXXXXXX DE JUSTICE)/ (XX) DOCUMENTO XXXXXXX XX XX UFFICIALE XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (XX) DOKUMENTS, XXXX XXXXXXXXXX TIESAS XXXXXXĪXĀXX (XXXXXXXX DE XXXXXXX)/ (LT) ANTSTOLIO (XXXXXXXX XX XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX”) XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX MAĦRUĠ MINN XXXXĊXXX ĠXXXXXXXXXX ('HUISSIER XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX SĄDOWEGO (HUISSIER XX JUSTICE)/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXÃX XX XXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXX XX UN XXXXXXXX JUDECĂTORESC („HUISSIER XX XXXXXXX”)/ (SK) XXXXXXX VYDANÁ XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXX, XX JO XXXX XXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX DE XXXXXXX”) XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXÄXXXXXXXXX (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (ES) XXXX (XXXXXXXXXXXXX)/ (XX) XXXX (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX ANGEBEN)/ (XX) XXX (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) OTHER (TO XX XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (XX) XXXX (LE XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (IT) ALTRO (XXXXXXXXX)/ (LV) XXXX (XXXXXXĒX)/ (LT) KITA (XXXXXXXX)/ (XX) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (PL) XXXX (PROSZĘ OKREŚLIĆ)/ (XX) XXXXXX (X XXXXXXXXXXX)/ (XX) XXXXX (X XX XXXXXXX)/ (XX) INÉ (XXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (CZ) LISTINA XXXXXX XXXXXXXX ÚŘADEM/ (XX) ADMINISTRATIVT XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX DOCUMENT/ (XX) DOCUMENT XXXXXXXXXXXXX/ (XX) DOICIMÉAD XXXXXXXXXX/ (XX) XXXXXXX ISPRAVA/ (XX) DOCUMENTO AMMINISTRATIVO/ (XX) ADMINISTRATĪVS XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX DOKUMENTAS/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) DOCUMENT ADMINISTRATIV/ (XX) XXXXXXX XXXXXXX/ (XX) UPRAVNA LISTINA/ (XX) XXXXXXXXXXXXXX ASIAKIRJA/ (XX) ADMINISTRATIV XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (DA) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (GA) XXXXXXXX/ (XX) XXXXXXX/ (XX) CERTIFICATO/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (HU) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊERTIFIKAT/ (XX) XXXXXXXXXXX/ (XX) ZAŚWIADCZENIE/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (RO) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX DEL XXXXXXXX XXXXX/ (CZ) XXXXX X MATRIKY/ (DA) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX CIVIL XXXXXX XXXXXXXX/ (FR) XXXXXXX XX REGISTRE DE X'XXXX XXXXX/ (GA) XXXXXXX XX AN xXXXX STÁDAIS XXXXXXXXXX/ (XX) XXXXXXX IZ XXXXXXXX XXXXXXX XXXXXX/ (XX) XXXXXXXX XX XXXX XX STATO XXXXXX/ (LV) XXXXXXXX XX CIVILSTĀVOKĻA XXXX XXĢXXXXX/ (LT) XXXXXXX XX XXXXXXXĖX XŪXXĖX XXXŲ REGISTRO/ (HU) XXXXXÖXXXX XXXXXXX/ (MT) XXXXXXX XXX-XXĠXXXXX TAL-ISTAT ĊXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXX XXX XX XXXXXXXXXXX XXXXX/ (PL) ODPIS XXXXXXXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXX XX XXXX XX XXXXXXX XXXXX/ (XX) XXXXXX DIN XXXXXXXXX XX STARE CIVILĂ/ (XX) XXXXX X XXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXX XX XXXXXXXX X XXXXXXX XXXXXX/ (XX) VÄESTÖREKISTERIOTE (XXXXXXXXÄÄXX)/ (XX) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX XXX XXXXX/ (XX) XXXXX Z XXXXXXXX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX XXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (EN) EXTRACT XXXX THE POPULATION XXXXXXXX/ (XX) XXXXXXX XX REGISTRE DE XX POPULATION/ (XX) XXXXXXX AS XX xXXXX DAONRA/ (XX) XXXXXXX IZ XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XX XXXXĪXXXĀXX REĢISTRA/ (XX) XXXXXXX XX XXXXXXXXŲ XXXXXXXX/ (XX) XXXXXXX X XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (PL) XXXXĄX Z XXXXXXXX XXXXXŚXX/ (XX) XXXXXXX XX XXXXXXX XX XXXXXXÇÃX/ (XX) XXXXXX XXX XXXXXXXXX DE XXXXXXȚĂ X XXXXXXȚXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXĽXX/ (SL) XXXXXXX XX XXXXXXXX XXXXXXXXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) UTDRAG XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (ES) XXXXX LITERAL XX XXXXX XXX REGISTRO XXXXX/ (XX) XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXX KOPI AF XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX XXX PERSONENSTANDSEINTRÄGEN/ (XX) XXXXXXXXXXXXXXXXXX KOOPIA/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX XX XXXXX STATUS XXXXXXX/ (FR) XXXXX XXXXXXXXX D'ACTES DE X'XXXX XXXXX/ (XX) XXXX XXXXX AR XXXXXX XX THAIFID XX STÁDAS XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XX XXXXXXXXXX X XXXXXXX XXXXXX/ (IT) XXXXX XXXXXXXXX DI XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX XXĢXXXXX IERAKSTU XXXXXXXXXX KOPIJA/ (XX) XXXXXXXĖX BŪKLĖS XXXŲ ĮXXXŲ PAŽODINĖ XXXXXX/ (XX) ANYAKÖNYVI XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX VERBATIM XXX-XXXX TAL-ISTAT ĊIVILI/ (XX) XXXXXXXXXXX XXXXXXXXX XXX XXXXX VAN XX XXXXXXXXXXX XXXXX/ (XX) ODPIS XXXXŁXX XXXX STANU XXXXXXXXX/ (XX) CERTIDÃO DE XXXXX XXXXXXXX XX XX NARRATIVA DE XXXX XX XXXXXXX XXXXX/ (RO) COPIE XXXXXĂ X XXXX XXX DE XXXXX XXXXXĂ/ (SK) XXXXXXXX XXXXX ZO XXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXX XXXXXX XXXXXXX X XXXXXXX XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX JÄLJENNÖS/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXÆXXXX DOKUMENT/ (XX) XXXXXXXXXX XXXXXXX/ (XX) NOTARIAALDOKUMENT/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX ACT/ (XX) XXXX NOTARIÉ/ (GA) XXXXXX NÓTAIREACHTA/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX NOTARILE/ (XX) XXXXXXĀXX XXXX/ (XX) XXXXXXXXX XXXXX/ (XX) XÖXXXXXXŐX OKIRAT/ (XX) XXX XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (XX) XXX XXXXXXXXXX/ (XX) XXX NOTARIAL/ (XX) XXX XXXXXXXX/ (SK) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (FI) XXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX HANDLING

3.4

(BG) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (ES) XXXXXXXXXXXXX XXXXXXX PUESTA XXXXX XX XXXXXXXXX XXXXXXX/ (XX) ÚŘEDNÍ XXXXXXXXX, KTERÝM BYLA XXXXXXXX XXXXXXX PODEPSANÁ XXXXXXXXX OSOBOU/ (XX) XXXXXXXX XÅXXXXXXX XÅ XX XXXXXXXX UNDERTEGNET XX EN XXXXXX X XXXXXX EGENSKAB XX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX XXXXX XXXXXXXXXXXXX/ (ET) XXXXX XXXXX ERAISIKUNA XXXXXXXXXXXXXX XXXXXXXXXXX KINNITATAV XXXXXXX XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX XXXXXX XX A XXXXXXXX XXXXXX XX X XXXXXX IN XXX XX XXX XXXXXXX CAPACITY/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX XX XXXX XXXX SEING XXXXX/ (XX) XXXXXXXX XXXXXXXXX X XXXXXXXXX XX XXXXXXXXXX ARNA XXXXXX XX DUINE XXX XXXXX XX INA XXXX PHRÍOBHÁIDEACH/ (XX) XXXXXXXX POTVRDA XXXXXXXXX XX XXXXXXX XXXX XX XXXXX POTPISALA X XXXXXXXXX SVOJSTVU/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX SU XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXĀXX XXXXXXXXĀXXXX XX XXXXXXXXX, XX XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (XX) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX HIVATALOS XXXXXXXXXXX/ (MT) ĊXXXXXXXXX XXXXĊXXXX XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX XXXXXXX FIL-KAPAĊITÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX EEN XXXXXXXX XXXXXXXXXXX XXXX XXX PERSOON XX XXXX PARTICULIERE HOEDANIGHEID/ (XX) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX DOKUMENCIE XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ W XXXXXXXXXXX XXXXXXXXX/ (PT) XXXXXXXÇÃX XXXXXXX XXXXXXX NUM XXX XX XXXXXXXX XXXXXXX/ (RO) XXXXXXXXXX XXXXXXX XXXXXXX XX XX XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX XX XXXXXXX PODPÍSANEJ XXXXXX XXXXXXXXX XXX XXXXXXXX OSOBA/ (XX) XXXXXX XXXXXX XX XXXXXXX LISTINI/ (XX) XXXXXXXXXX TODISTUS XXXXXXXXXXXX, XXXXX XXXXXXÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX XXXXX XXXXXXXXX XÅ XX XXXXXXXX XXX XXXXXXXXXXXXX AV XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX XXX UN AGENTE XXXXXXXXXXX X XXXXXXXX XX XX XXXXXX XXXXXXX XXX CARÁCTER XXXXXXX/ (CZ) LISTINA XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXX KONZULÁRNÍM XXXXXXXXX XXXXXXXXX XXXXX V XXXXX XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX OFFICIELT XXXÆXXXXXX XX EN XXXXXXXXXXXX XXXXXXXXXXXX ELLER XXXXXXÆXX XXXXÆXXXXXXX/ (DE) VON XXXXX DIPLOMATISCHEN XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXXX XX SEINER XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (ET) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX KONSULAARAMETNIKU 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 DRAWN UP XX X XXXXXXXXXX XX XXXXXXXX XXXXX XX A XXXXXX XXXXX XX XXX XX HER XXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXX XX XX XXXXXXX XXXXXXXXXX XXX XX XXXXX XXXXXXXXXXXX XX XXXXXXXXXX X'XX XXXX XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX XX XXXXX XXXXXXXXX XXX XXXXX XX XXX CÁIL XXXXXXXXX/ (XX) XXXXXXX XXXX XX U SLUŽBENOM XXXXXXXX XXXXXXXX DIPLOMATSKI XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX XXXXXXXXXXX O XXXXXXXXX DI XXX XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX XXXXX XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX DIPLOMĀTISKAIS XXX XXXXXXĀXXXX PĀRSTĀVIS/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX NARĖS XXXXXXXXX XX KONSULINIO PAREIGŪNO, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX XXXXX XXXXXXXXX MINŐSÉGÉBEN XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXXX XXXX AĠENT XXXXXXXXXXX XXX XXXXXXXXX XX' XXXX XXXXXX XXX-XXXXĊXXÀ UFFIĊJALI XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX XXXX DE DIPLOMATIEKE XX XXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX XX XXXX XXXXXXËXX XXXXXXXXXXXX/ (PL) XXXXXXXX XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX URZĘDNIKA XXXXXXXXXXXX PAŃSTWA CZŁONKOWSKIEGO XXXXŁXXĄXXXX X CHARAKTERZE XXXĘXXXXX/ (PT) XXXXXXXXX XXXXXXX POR UM XXXXXX DIPLOMÁTICO XX XXXXXXXX XX XX XXXXXX-XXXXXX NO EXERCÍCIO XXX SUAS XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX XX XĂXXX XX XXXXX DIPLOMATIC XXX CONSULAR XX XXXX XXXX XXXXXX, ÎX XXXXXXXX OFICIALĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX V XXXXX XXXXXX JEHO FUNKCIE/ (XX) XXXXXXX, XX XX XXX XXXXXX XXXXX XXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (FI) XXXXXXXXX, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX EDUSTAJA XXX XXXXXXXXXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) HANDLING XXXXÄXXXX X XXÄXXXXX XX EN DIPLOMATISK XXXXX XXXXXXÄX XXÄXXXXXXX X XX MEDLEMSSTAT

3.6

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) FECHA (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (DD/MM/YYYY) XX XXXXX/ (FR) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DÁTA (XX/XX/XXXX) EISIÚNA/ (XX) XXXXX (XX/XX/XXXX) IZDAVANJA/ (XX) DATA DI XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) IŠDAVIMO XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (ÉÉÉÉ/HH/NN)/ (XX) DATA (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) DATUM (XX/XX/XXXX) XXX AFGIFTE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (PT) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (ES) XXXXXX XX REFERENCIA XXX XXXXXXXXX XXXXXXX/ (CZ) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (DA) DET XXXXXXXXXX DOKUMENTS REFERENCENUMMER/ (XX) XXXXXXXXXX XXX ÖXXXXXXXXXXX URKUNDE/ (XX) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX XX XXX XXXXXX XXXXXXXX/ (XX) NUMÉRO XX XXXXXXXXX XX XXXXXXXX PUBLIC/ (XX) XXXXXX XXXXXXXXX XX XXXXXXXXX PHOIBLÍ/ (HR) XXXXXXXXXX BROJ XXXXX XXXXXXX/ (XX) NUMERO XX XXXXXXXXXXX XXX XXXXXXXXX PUBBLICO/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXX/ (XX) X KÖZOKIRAT HIVATKOZÁSI XXXXX/ (XX) XXXXX XX' XXXXXXXXX TAD-DOKUMENT XXXXXXXX/ (XX) REFERENTIENUMMER XXX XXX XXXXXXXX XXXXXXXX/ (XX) NUMER XXXXXXXXXXXX DOKUMENTU XXXĘXXXXXX/ (XX) NÚMERO DE XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) NUMĂRUL XX XXXXXXXȚĂ AL XXXXXXXXXXXX XXXXXXX/ (SK) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (SL) XXXXXXXXXX XXXXXXXX XXXXX LISTINE/ (XX) XXXXXXX ASIAKIRJAN XXXXXXXXXXX/ (SV) DEN XXXXXXXXXX HANDLINGENS XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА РОДЕНОТО ЛИЦЕ/ (ES) XXXXXXXXXXX XXXXX LA XXXXXXX XXXXXX/ (XX) INFORMACE X XXXXXXXXX/ (XX) XXXXXXXXXXX OM XXX XXXXXX, XXX ER XØXX/ (XX) XXXXXXX XXX PERSON, XXXXX XXXXXX XXXXXXXXX WIRD/ (XX) XÜXXXXXX ISIKUT XÄXXXXXX XXXXX/ (EL) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΠΟΥ ΓΕΝΝΗΘΗΚΕ/ (EN) XXXXXXXXXXX XX XXX XXXXXX XXXX/ (FR) XXXXXXXXXXXX SUR XX XXXXXXXX XXX/ (GA) XXXXXXXX MAIDIR LEIS XX DUINE A XXXXXX/ (XX) INFORMACIJE X XXĐXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXX XXXXXXX XXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXX XXXXXXX/ (XX) INFORMACIJA XXXX GIMUSĮ ASMENĮ/ (XX) X XXXXXÜXXXXXX XXXXXXXXX VONATKOZÓ XXXXXX/ (XX) XXXXXXXXXXXXX DWAR XX-XXXXXXX MWIELDA/ (XX) XXXXXXXXXX XXXX XX XXXXXXXX/ (PL) XXXX XXXXXXĄXX OSOBY URODZONEJ/ (XX) XXXXXXXÇÕXX SOBRE X XXXXXX XXX XXXXXX/ (XX) INFORMAȚII XXXXXXX PERSOANA XĂXXXXĂ/ (XX) INFORMÁCIE O XXXXXXXXX OSOBE/ (XX) XXXXXXXXXXX X XXXXXX XXXXX/ (FI) SYNTYNEEN XXXXXXÖX TIEDOT/ (XX) XÖXXXXXXXXXXXXXX

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) NOM(S)/ (GA) XXXXXXX (SLOINNTE)/ (XX) XXXXXXX(XX)/ (XX) COGNOME(I)/ (XX) XXXĀXXX(-X)/ (XX) XXXXXXĖ (-ĖX)/ (HU) XXXXXXX NEVE(I)/ (MT) XXXXXX(/XXXXXXXXXXX)/ (NL) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (XX) XXXXXXX(X)/ (XX) NUME/ (XX) XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX/ (XX) SUKUNIMI (-XXXXX)/ (XX) EFTERNAMN

4.2

(BG) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) XXXXX (XXXXX)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-NIMED)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) FORENAME(S)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (CÉADAINMNEACHA)/ (XX) XXX(XX)/ (XX) NOME(I)/ (XX) VĀRDS(-I)/ (LT) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (XXXXXX)/ (PT) XXXX(X) PRÓPRIO(S)/ (RO) XXXXXXX/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (SV) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXX/ (DA) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXX (TT/MM/JJJJ)/ (ET) XÜXXXXXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) DATE (DD/MM/YYYY) XX XXXXX/ (FR) XXXX (XX/XX/XXXX) DE XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/GGGG) XXĐXXXX/ (XX) DATA XX XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (XX) XXXXXX DATA (XX/XX/XXXX)/ (HU) SZÜLETÉSI XXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) 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) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXÄXXXX (PP/KK/VVVV)/ (XX) FÖDELSEDATUM (XX/XX/ÅÅÅÅ)

4.4

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX X XXXX XX XXXXXXXXXX/ (XX) XXXXX X XXXX XXXXXXXX/ (XX) XØXXXXXX XX -LAND/ (DE) XXX XXX XXXX XXX XXXXXX/ (XX) XÜXXXXXXX XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (EN) XXXXX XXX COUNTRY XX BIRTH/ (XX) XXXX XX PAYS XX XXXXXXXXX/ (XX) XXX XXXX XXX XXXXXXXX/ (XX) XXXXXX X ZEMLJA XXĐXXXX/ (XX) LUOGO E XXXXX DI XXXXXXX/ (XX) XXXXXXXXX VIETA XX XXXXXX/ (XX) XXXXXX VIETA XX XXXXX/ (XX) SZÜLETÉSI XXXXX ÉS XXXXXXX/ (XX) POST X XXXXXŻ XXX-XXXXXX/ (NL) XXXXXXXXXXXXXX XX -LAND/ (XX) XXXXXXX X XXŃXXXX XXXXXXXXX/ (XX) XXXXX E XXXX XX NASCIMENTO/ (XX) XXXXX ȘI ȚARA XXȘXXXXX/ (SK) XXXXXX X ŠTÁT NARODENIA/ (XX) XXXX IN XXXXXX ROJSTVA/ (FI) XXXXXXÄXXXXXX XX -XXX/ (XX) FÖDELSEORT XXX -XXXX

4.5

(XX) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (XX) KØN/ (DE) XXXXXXXXXX/ (XX) SUGU/ (XX) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXX/ (IT) XXXXX/ (XX) DZIMUMS/ (XX) XXXXX/ (HU) XXXX/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) PŁEĆ/ (XX) XXXX/ (RO) XXXXX/ (XX) POHLAVIE/ (XX) SPOL/ (XX) XXXXXXXXX/ (SV) KÖN

4.5.1

(BG) ЖЕНСКИ/ (XX) XXXXX/ (XX) XXXX/ (DA) XXXXXX/ (XX) WEIBLICH/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (GA) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) MOTERIS/ (XX) XŐ/ (MT) XXXX/ (XX) VROUW/ (XX) XXXXXXX/ (PT) XXXXXXXX/ (RO) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) KVINNA

4.5.2

(BG) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (DA) XXXX/ (XX) MÄNNLICH/ (ET) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) FIREANN/ (XX) MUŠKI/ (IT) XXXXXXXX/ (LV) XĪXXXXXX/ (XX) VYRAS/ (XX) XXXXX/ (MT) RAĠEL/ (XX) XXX/ (XX) XĘŻXXXXXX/ (PT) XXXXXXXXX/ (XX) BĂRBĂTESC/ (SK) XXXXXX/ (XX) MOŠKI/ (XX) MIES/ (XX) XXX

4.5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) MÄÄRAMATA/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (IT) XXXXXXXXXXXXX/ (LV) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) PŁEĆ NIEOKREŚLONA/ (XX) NÃO DEFINIDO/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) NEDOLOČEN/ (XX) XÄÄXXXXXXXXÄXÖX/ (SV) XX FASTSTÄLLT

5.

(BG) ПОЛЕ ЗА ПОДПИС/ (ES) XXXXXXXX PARA XX XXXXX/ (XX) XXXX XXX XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (FR) XXXXX POUR XX XXXXXXXXX/ (XX) XXXXX XXX SÍNIÚ/ (HR) XXXXX XX POTPIS/ (XX) XXXXXXXX PER XX XXXXX/ (LV) XXXXXXXX LAUKS/ (XX) XXXXXX XXXXXXXX/ (HU) XX XXXXXXX SZÖVEGDOBOZA/ (XX) KAXXA XXX-XXXXXXXX/ (XX) XXX VOOR XX XXXXXXXXXXXX/ (XX) XXXX XXXXXXX/ (XX) XXXXÇX DESTINADO À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX XXXXXX/ (SL) XXXXX XX PODPIS/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (SV) RUTA XÖX XXXXXXXXXXXXXX

5.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X NOMBRE(S) XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (CZ) XXXXXXXX X JMÉNO (XXXXX) XXXXXXXX, KTERÝ XXXXX TENTO XXXXXXXX/ (XX) EFTERNAVN(E) OG XXXXXXX(X) XÅ XXX XXXXXXXXXX, DER XXX XXXXXXX XXXXX XXXXXXXX/ (XX) FAMILIENNAME(N) XXX XXXXXXX(X) XXX XXXXXXX, XXX XXXXXX XXXXXXXX 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 FORENAME(S) XX XXX XXXXXXXX XXX XXXXXX THIS XXXX/ (XX) XXX(X) XX PRÉNOM(S) XX XXXXXXXXXXXXX QUI X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XXXXXXX (XXXXXXXX) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX OIFIGIGH X X’XXXXXX AN XXXXXX SEO/ (HR) XXXXXXX(XX) I XXX(XX) XXXXXXXXXX XXXX XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXX/X X XXXX/X XXX FUNZIONARIO XXX HA XXXXXXXXXX XX XXXXXXXX MODULO/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX ŠO XXXXXXXX, XXXĀXXX(-X) XX XĀXXX(-X)/ (XX) XXĄ XXXXĄ XXXXXXXXX PAREIGŪNO XXXXXXĖ (-ĖX) IR VARDAS (-XX)/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXX NEVE(I) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (NL) NA(A)M(EN) XX XXXXXX(X)X(XX) XXX XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) X IMIĘ (XXXXXX) XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXX(X) X NOME(S) XXXXXXX(X) XX XXXXXXXXXXX XXX EMITIU O XXXXXXXX XXXXXXXXXX/ (XX) XXXXXX ȘX PRENUMELE XXXXȚXXXXXXXXX XXXX X XXXX PREZENTUL XXXXXXXX/ (XX) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, XXXXX XXXXX TENTO FORMULÁR/ (XX) XXXXXXX/XXXXXXX XX XXX/XXXXX XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (XX) TÄMÄN XXXXXXXXX ANTANEEN VIRKAMIEHEN XXXXXXXX (-XXXXX) JA XXXXXXX (-NIMET)/ (SV) XXXXXXXXX XXX XÖXXXXX XÅ DEN XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

5.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) CARGO XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, XXXXX XXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXX — XXX XXXXXXXXXX, DER XXX XXXXXXX XXXXX XXXXXXXX/ (XX) STELLUNG XXX BEAMTEN, XXX XXXXXX FORMULAR XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) POSITION XX THE XXXXXXXX XXX XXXXXX THIS XXXX/ (FR) POSTE XX XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XXXX XX XXXXXXXX X D’EISIGH AN XXXXXX XXX/ (XX) XXXXXXXX XXXXXXXXXX KOJI XX XXXXX OVAJ XXXXXXX/ (IT) XXXXXXXXX XXX FUNZIONARIO XXX XX XXXXXXXXXX XX XXXXXXXX MODULO/ (LV) XXXXXXXXXXXX, KURA XXXXXXXX XX VEIDLAPU, XXXXX/ (XX) XXĄ XXXXĄ XXXXXXXXX PAREIGŪNO PAREIGOS/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX TAL-UFFIĊJAL XX ĦXXXĠ XXX XX-XXXXXXX/ (NL) FUNCTIE XXX XX XXXXXXXXX XXX DIT XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) CARGO XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) POZIȚIA XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX FORMULAR/ (XX) XXXXXXX XXXXXXXX, XXXXX XXXXX TENTO XXXXXXXX/ (XX) XXXXXXX URADNIKA, XX XX XXXXX XX XXXXXXX/ (FI) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX XXX HAR XXXÄXXXX DETTA XXXXXXÄX

5.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) DE EXPEDICIÓN/ (XX) DATUM (DD/MM/RRRR) XXXXXX/ (DA) UDSTEDELSESDATO (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) DATE (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) EISIÚNA/ (XX) XXXXX (XX/XX/XXXX) IZDAVANJA/ (XX) XXXX XX XXXXXXXX (GG/MM/AAAA)/ (LV) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) IŠDAVIMO XXXX (XX/XX/XXXX)/ (XX) A XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (JJ/XX/SSSS) XXX-ĦXXĠ/ (NL) DATUM (XX/XX/XXXX) VAN XXXXXXX/ (XX) DATA (XX/XX/XXXX) XXXXXXX/ (PT) XXXX XX EMISSÃO (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (SL) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (XX) DATUM (DD/MM/ÅÅÅÅ) XÖX UTFÄRDANDE

5.4

(BG) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXX/ (EL) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (FR) XXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXX/ (MT) XXXXX/ (XX) XXXXXXXXXXXX/ (PL) XXXXXX/ (PT) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (SK) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXXXX/ (SV) XXXXXXXXXXXX

5.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (ES) XXXXX X XXXXXX/ (XX) XXXXX XXXX RAZÍTKO/ (XX) XXXX ELLER XXXXXXX/ (DE) XXXXXX XXXX XXXXXXX/ (ET) XXXXXX XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (EN) XXXX XX XXXXX/ (XX) XXXXX OU XXXXXX/ (GA) SÉALA XX XXXXXX/ (HR) XXX ILI XXXXX/ (XX) XXXXX O XXXXXX/ (XX) XĪXXXX XXX XXXXXXXX/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (XX) SIĠILL XXX TIMBRU/ (NL) XXXXX XX STEMPEL/ (XX) XXXXXĘĆ XXX XXXXXXX/ (XX) SELO XX XXXXXXX/ (XX) XXXXXXXX SAU ȘXXXXXXX/ (XX) PEČAŤ ALEBO XXXXXXXX PEČIATKY/ (XX) XXXXX XXX XXX/ (XX) XXXXXXX XXX XXXXX/ (SV) XXXXXX XXXXX XXÄXXXX

XXXXXXXXX X XXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX PRO XXXXXXX

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

Xxxxxx (BE) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Chorvatsko (XX)

Xxxxxx (XX) Xxxx (CY)

Lotyšsko (XX) Litva (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Malta (XX)

Xxxxxxxxxx (NL) Xxxxxxxx (XX)

Xxxxxx (PL) Xxxxxxxxxxx (XX)

Xxxxxxxx (RO) Xxxxxxxxx (XX)

Xxxxxxxxx (SK) Finsko (XX)

Xxxxxxx (SE) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX UPOZORNĚNÍ

Jediným xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxxxxx formuláře je xxxxxxxxx xxxxxxxx xxxxxxx xxxxxxx, x níž xx xxxxxxxx. Xxxxx xxxxxxxx xx xxxx xxxxxxxxx xxxxx xxxxx xxxxxxxxx xxxx samostatný xxxxxxxx.

Xxxxx xxxxxxxx odráží xxxxx xxxxxxx xxxxxxx, x xxx xx xxxxxxxx. Orgán, jemuž xx xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx xxxx x xxxxxxxxx, xxx xx xx xxxxxxxx xxx účely xxxxxxxxxx xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx či přepis xxxxxxxxx, xxxxx jsou xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX ORGÁN

Uveďte xxxxx xxxxxxxxx, které xxxx xxxxxxx xx xxxxxxx xxxxxxx, k xxx xx přiložen xxxxx formulář. (2)

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

1. XXXXX VYDÁVAJÍCÍ TENTO XXXXXXXX

1.1 Xxxxx (3)

2. XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, K NÍŽ XX XXXXXXXX TENTO 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 Listina vydaná xxxxxxx zástupcem

3.1.3 Xxxxxxx xxxxxx xxxxxx soudním xxxxxxxxx

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

3.1.5 Xxxx (xxxxxxxxx)

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

(2) Při xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx písmo.

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

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

3.2 Listina xxxxxx xxxxxxxx úřadem

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x matriky

3.2.3 Xxxxx x xxxxxxxx xxxxxxxx

3.2.4 Opis matričních xxxxxxx

3.1.5 Xxxx (upřesněte)

3.3 Xxxxxxxx listina

3.4 Xxxxxx xxxxxxxxx, xxxxxx byla xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx osobou

3.5 Listina xxxxxxxxxx diplomatickým zástupcem xxxx xxxxxxxxxxx úředníkem xxxxxxxxx xxxxx x xxxxx výkonu xxxx xxxxxxxxxx povinností

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXX X XXXXXXX XXXXX

4.1 Xxxxxxxx

4.2 Jméno (xxxxx)

4.3 Xxxxx (dd/mm/rrrr) xxxxxxxx

4.4 Xxxxx (1) x xxxx (2) xxxxxxxx

4.5 Pohlaví:

4.5.1 Xxxx

4.5.2 Xxx

4.5.3 Xxxxxxxx

4.6 Xxxxxx:

4.6.1 Xxxxx x xxxxx xxxx / xxxxxxxx xxxxxxxxx

4.6.2 Xxxxx x xxxxxxxx směrovací xxxxx

4.6.3 Xxxx (3)

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

6. XXXX XXX PODPIS

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

6.2 Xxxxxx xxxxxxxx, xxxxx xxxxx xxxxx xxxxxxxx

6.3 Xxxxx (dd/mm/rrrr) xxxxxx

6.4 Xxxxxx

6.5 Xxxxx nebo xxxxxxx

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

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

(3) Název xxxx x – xxxxx xxxxxxxx – xxx XXX dané xxxx xxxx možnost „Xxxx (xxxxxxxxx)“ xx xxxxx xxxxxx z rozbalovací xxxxxxx xx vzorovém xxxxxxxxxxxx xxxxxxxxxxx xxxxxxxxx, xxxxx je x xxxxxxxxx na xxxxxxx xxxxxxxx e-justice.

VÍCEJAZYČNÝ XXXXXX XXXXX XXXXXXXXXXXX POLOŽEK

(ŽIVOT)

1.

(BG) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX XXXXXX ESTE XXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX MYNDIGHED/ (XX) XXXÖXXX, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX VORMI XÄXXX XXXXXX ASUTUS/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX XXXX/ (XX) AUTORITÉ XX DÉLIVRANCE XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX XX FHOIRM XXX/ (XX) XXXXXX XXXX XXXXXX XXXX XXXXXXX/ (XX) AUTORITÀ XXX XXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (XX) X FORMANYOMTATVÁNYT KIÁLLÍTÓ XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX XX' XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX FORMULIER/ (PL) XXXXX WYDAJĄCY XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXX XXXXX O XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX VYDÁVAJÚCI TENTO XXXXXXXX/ (XX) ORGAN, XX XXXX XX XXXXXXX/ (FI) TÄMÄN XXXXXXXXX ANTAVA XXXXXXXXXXXX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) BETEGNELSE/ (XX) XXXXXXXXXXX/ (ET) XXXXXXX/ (EL) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (GA)AINMNIÚ/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) NOSAUKUMS/ (LT) XXXXXXXXXXX/ (XX) MEGNEVEZÉS/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) NAZWA/ (XX) DESIGNAÇÃO/ (XX) XXXXXXXX/ (SK) NÁZOV/ (XX) XXX/ (XX) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) AUTORIDAD XXX XXXXXX XX XXXXXXXXX XXXXXXX XX XXX SE XXXXXXX XXXX IMPRESO/ (XX) XXXXX VYDÁVAJÍCÍ XXXXXXXX XXXXXXX, K XXX XX PŘILOŽEN XXXXX XXXXXXXX/ (XX) XXX XXXXXXXXX, XXX XXX XXXXXXX DET XXXXXXXXXX XXXXXXXX, SOM DENNE XXXXXXXX ER XXXXÆXXXX/ (XX) XXXÖXXX, XXX XXX ÖFFENTLICHE URKUNDE, XXX DIESES FORMULAR XXXXXXÜXX XXX, AUSSTELLT/ (XX) XXXXXX, XXX XXXXX VÄLJA AVALIKU XXXXXXXXX, MILLELE XXX XXXX XX LISATUD/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXX XXXXXXX XXX PUBLIC XXXXXXXX XX WHICH XXXX FORM XX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX tÚDARÁS X XXXXXXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXX XXXX IZDAJE JAVNU XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) AUTORITÀ CHE XXXXXXXX IL XXXXXXXXX XXXXXXXX XXX IL XXXXXXXX XXXXXX È XXXXXXXX/ (XX) PUBLISKĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX KURIO XXXXXXXXX XX FORMA, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) AWTORITÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX DIN IL-FORMOLA/ (XX) AUTORITEIT XXX XXXXXXX XXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX IS XXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXX URZĘDOWY, XX XXXXXXX NINIEJSZY XXXXXXXXX XXXX ZAŁĄCZONY/ (XX) XXXXXXXXXX XXX XXXXX O DOCUMENTO XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX APENSO/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX VEREJNÚ XXXXXXX, KU XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (SL) XXXXX, XX XXXX JAVNO XXXXXXX, XX XX XX PRILOŽEN XX XXXXXXX/ (FI) XXXXXXXXXXXX, XXXX ON ANTANUT XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ LOMAKE XXXXXXÄÄX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXX OFFICIELLA XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX AL XXXXXXXXX XXXXXXX XX XXX SE ADJUNTA XXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX VEDRØRENDE XXX XXXXXXXXXX DOKUMENT, XXX XXXXX FORMULAR XX XXXXÆXXXX/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX XXXXXXX XXXXXXXXX XXXXX, XXXXXXX XXX XXXX ON LISATUD/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXX XXXXXX DOCUMENT XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX PRÉSENT XXXXXXXXXX/ (XX) XXXXXXXX X XXXXXXXXX LEIS XX XXXXXXXXX XXXXXX LENA XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXX XX XXXXXX XX JAVNU XXXXXXX XXXXX JE XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXXX DOKUMENTU, KURAM XĪ XXXXXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX SU XXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX FORMA/ (XX) A XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX BETREFFENDE XXX OPENBAAR XXXXXXXX XXXXXXX XXX FORMULIER XX GEHECHT/ (XX) XXXXXXXXXX XXXXXXĄXX DOKUMENTU XXXĘXXXXXX, DO XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (PT) XXXXXXXÇÕXX XXXXXXXXX XX DOCUMENTO XXXXXXX X XXX X PRESENTE FORMULÁRIO XXXX APENSO/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX OFICIAL LA XXXX XXXX ANEXAT XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX O XXXXXXXX XXXXXXX, KU KTOREJ XX TENTO XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXX X XXXXX XXXXXXX, XX XX JE XXXXXXXX XX XXXXXXX/ (XX) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX TÄMÄ XXXXXX XXXXXXÄÄX/ (SV) 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 EXPEDIDO POR XXX AUTORIDAD X XX XXXXXXXXXXX VINCULADO X LOS XXXXXXX XXXXXXXXXXXXXXXX DE UN XXXXXX XXXXXXX/ (CZ) XXXXXXX VYDANÁ XXXXXXX XXXX XXXXXXXXX S XXXXXX XX SOUDY XXXXXX ČLENSKÉHO STÁTU/ (XX) DOKUMENT, DER XX XXXXXXX AF XX MYNDIGHED XXXXX XX EMBEDSMAND, XXX XX TILKNYTTET XXXXXXXX X XX MEDLEMSSTAT/ (XX) XXXXXXX EINER XXXÖXXX XXXX EINER XXXXXXXXXX XXX XXXXX XXX RECHTSPFLEGE XXXXX XXXXXXXXXXXXXX/ (XX) DOKUMENT, XXXXX ON XÄXXX XXXXXX LIIKMESRIIGI KOHTUTEGA XXXXXX AMETIASUTUS VÕI XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (EN) XXXXXXXX XXXXXXXXX XXXX XX AUTHORITY OR XX OFFICIAL XXXXXXXXX XXXX XXX XXXXXX XX XXXXXXXXX XX X XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXX X'XXX XXXXXXXX XX X'XX FONCTIONNAIRE RELEVANT X'XXX XXXXXXXXXXX D'UN XXXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXX XX X OIFIGEACH A XXXXXX XXXXX AIGE XX XXXX XX XXXXXXXXXX NÓ XX XXXXX DE XXXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXX XXX XXXXXXXXX XXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ X XX UN FUNZIONARIO XXXXXXXXXXXX XX UNA XXXXX GIURISDIZIONI XX XXX STATO XXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XX DALĪBVALSTS XXXXĀX SAISTĪTA XXXXĀXX XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, IŠDUOTAS XXXXXXXX XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ XX VALSTYBĖS XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (HU) TAGÁLLAMI XXXXXXXXXX XXXXXXXXXXXX XXXX XXXXXXX XXXX TISZTVISELŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ JEW XXXXĊXXX XX JKOLLHOM XXXXX XXX-XXXXX JEW XX-XXXXXXXXX XX' XXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX TOT EEN XXXXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXX XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX PAŃSTWA XXŁXXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX DE XXX XXXXXXXXXX XX DE XX XXXXXXXXXXX DEPENDENTE XX XXXXXXXX JURISDIÇÃO XX XX DOS XXXXXXX-XXXXXXX/ (RO) DOCUMENT XXXX XX X XXXXXXXXXX XXX XX XX XXXXȚXXXXX DE XX LÂNGĂ XXXXXXȚXXX XXXX STAT XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXX XXXXXXXXX X VÄZBOU XX XXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX, XXXXXX X XXXXXX XXXXXX XXX XXXXXXXX XXXXX XXXXXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX, XXXXX XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (SV) XXXXXXXX SOM XÄXXÖX XXÅX XX MYNDIGHET XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX DOMSTOLSVÄSENDET X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (ES) XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (DA) XXXXXXXXXXXØXXXXX/ (XX) GERICHTSENTSCHEIDUNG/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (EN) XXXXX XXXXXXXX/ (FR) XXXXXXXX XX JUSTICE/ (XX) XXXXXXXX ÓN xXXXXX/ (XX) XXXXXX XXXXXX/ (XX) DECISIONE XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (XX) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) RECHTERLIJKE XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (XX) DECISÃO JUDICIAL/ (XX) HOTĂRÂRE JUDECĂTOREASCĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) SODNA XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) DOCUMENTO EXPEDIDO XXX EL MINISTERIO XXXXXX/ (XX) LISTINA XXXXXX XXXXXXX XXXXXXXXX/ (XX) DOKUMENT XXXXXXX XX XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX EINER XXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX XX XÄXXX XXXXXX RIIKLIK XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX EMANATING FROM X XXXXXX XXXXXXXXXX/ (XX) DOCUMENT ÉMANANT XX XXXXXXÈXX XXXXXX/ (XX) DOICIMÉAD X XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX EMANATO XXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX DOKUMENTAS/ (HU) ÜXXXXX ÁLTAL XXXXXXXXXX XXXXXX/ (MT) DOKUMENT XXĦXXĠ MINN PROSEKUTUR XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX DO XXXXXXXXXX XXXXXXX/ (XX) DOCUMENT XXXX XX UN XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXX, XX JO XXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX ÅKLAGARVÄSENDET

3.1.3

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (ES) DOCUMENTO XXXXXXXX XXX XX XXXXXXXXXX XXXXXXXX/ (CZ) XXXXXXX VYDANÁ XXXXXX XXXXXXX XXXXXXXXX/ (DA) XXXXXXXX UDSTEDT AF XX XXXXXXXXXXXXXÆX/ (XX) XXXXXXX EINES XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX KOHTUAMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (EN) XXXXXXXX XXXXXXXXX XXXX X XXXXX OF X COURT/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX/ (XX) XXXXXXXXX X THAGANN X XXXXXXXXXX XX XXXXX XXXXXX/ (XX) ISPRAVA XXXX JE XXXXX XXXXXXXXXX SUDSKE XXXXXXXXX/ (XX) XXXXXXXXX EMANATO XX XX XXXXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (XX) TEISMO TARNAUTOJO XXXXXXXX DOKUMENTAS/ (XX) XXXXXXXX TISZTVISELŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ MINN XXĠXXXXXXXX XX' QORTI/ (XX) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX XXXXXXXXXX SĄDOWEGO/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXX XX XXXXXÇX/ (XX) XXXXXXXX EMIS XX XX XXXXXXX XX XXXXXXȚXX/ (SK) XXXXXXX XXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX/ (XX) TUOMIOISTUIMEN XXXXXXXXX ANTAMA ASIAKIRJA/ (XX) HANDLING XXX XÄXXÖX XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXX EXPEDIDO XXX XX XXXXXX XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) LISTINA XXXXXX XXXXXXX VYKONAVATELEM („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX XX EN XXÆXXXXXXXXXX (»XXXXXXXX XX JUSTICE«)/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXXXXXXX/ (ET) DOKUMENT, XXXXX XX VÄLJA XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («HUISSIER XX XXXXXXX»)/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXXXX XXXXXXX ('XXXXXXXX DE XXXXXXX')/ (XX) DOCUMENT ÉMANANT X'XX HUISSIER DE XXXXXXX/ (GA) XXXXXXXXX X XXXXXXX X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXX JE XXXXX XXXXXX XXXXXXXXX (XXXXXXXX XX JUSTICE)/ (XX) XXXXXXXXX EMANATO XX XX XXXXXXXXX XXXXXXXXXXX ("HUISSIER XX XXXXXXX")/ (LV) XXXXXXXXX, XXXX IZSNIEDZIS XXXXXX XXXXXXĪXĀXX (HUISSIER DE XXXXXXX)/ (LT) ANTSTOLIO (XXXXXXXX XX XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠUDIZZJARJU ('XXXXXXXX XX XXXXXXX')/ (NL) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX OD XXXĘXXXXX SĄDOWEGO (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX PROVENIENTE XX XX XXXXXXX DE XXXXXXÃX DE XXXXXXX («XXXXXXXX DE XXXXXXX»)/ (XX) XXXXXXXX XXXX XX UN XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXXXX SÚDNYM XXXXXXXXXXĽXX („XXXXXXXX DE JUSTICE“)/ (XX) LISTINA, KI XX XXXX SODNI XXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (FI) XXXXXXXXXXXX (”XXXXXXXX XX XXXXXXX”) XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX STÄMNINGSMAN (XXXXXXXX XX JUSTICE)

3.1.5

(BG) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) JINÉ (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) XXX (TÄPSUSTAGE)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX XX XXXXXXXXX)/ (XX) XXXXX (À PRÉCISER)/ (XX) XXXX (LE SONRÚ)/ (XX) XXXXXX (XXXXXXX)/ (XX) ALTRO (XXXXXXXXX)/ (XX) XXXX (XXXXXXĒX)/ (XX) KITA (NURODYTI)/ (XX) XXXXX (KÉRJÜK XXXXXXXXXXX)/ (XX) OĦRAJN (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) INNY (XXXXXĘ XXXXŚXXĆ)/ (PT) XXXXXX (A XXXXXXXXXXX)/ (XX) XXXXX (X XX XXXXXXX)/ (XX) XXX (XXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (FI) XXX XXXXXXXXX (TÄSMENNETTÄVÄ)/ (XX) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) DOCUMENTO ADMINISTRATIVO/ (XX) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX DOKUMENT/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) HALDUSDOKUMENT/ (EL) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (GA) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX DOKUMENTS/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (HU) XÖXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (NL) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (SK) XXXXXXX XXXXXXX/ (SL) XXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) CERTIFICADO/ (XX) XXXXXXXXX/ (DA) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (ET) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) CERTIFICATE/ (XX) XXXXXXXXXX/ (GA) XXXXXXXX/ (XX) XXXXXXX/ (IT) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (NL) XXXXXXXXXXX/ (XX) ZAŚWIADCZENIE/ (XX) XXXXXXÃX XX CERTIFICADO/ (XX) XXXXXXXXXX/ (SK) XXXXXXXXXX/ (SL) POTRDILO/ (XX) TODISTUS/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXX X XXXXXXX/ (XX) XXXXXX XXX CIVILSTANDSREGISTRET/ (XX) XXXXXX AUS XXX XXXXXXXXXXXXXXXXXXXXXX/ (XX) PEREKONNASEISUREGISTRI XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX XXXXX XXXXXX REGISTER/ (XX) EXTRAIT DU XXXXXXXX XX X'XXXX XXXXX/ (GA) SLIOCHT XX XX xXXXX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXX STANJA/ (XX) XXXXXXXX DI XXXX XX STATO CIVILE/ (XX) IZRAKSTS XX XXXXXXXĀXXXĻX XXXX XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXĖX XŪXXĖX XXXŲ XXXXXXXX/ (XX) ANYAKÖNYVI XXXXXXX/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXX XXX XXX REGISTER XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (XX) EXTRATO XX XXXX DO REGISTO XXXXX/ (RO) XXXXXX XXX REGISTRUL DE XXXXX XXXXXĂ/ (XX) XXXXX Z XXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXX IZ REGISTRA X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) UTDRAG XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) EXTRACTO XXX XXXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXX/ (XX) XXXXXX FRA XXXXXXXXXXXXXX/ (XX) AUSZUG XXX XXX MELDEREGISTER/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX FROM XXX XXXXXXXXXX REGISTER/ (XX) EXTRAIT XX XXXXXXXX XX XX XXXXXXXXXX/ (XX) XXXXXXX XX AN xXXXX XXXXXX/ (HR) XXXXXXX XX XXXXXX STANOVNIŠTVA/ (XX) ESTRATTO XXXXXXXXXX/ (XX) XXXXXXXX XX XXXXĪXXXĀXX REĢISTRA/ (LT) XXXXXXX XX XXXXXXXXŲ XXXXXXXX/ (XX) XXXXXXX X XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) WYCIĄG X REJESTRU XXXXXŚXX/ (XX) XXXXXXX XX XXXXXXX XX XXXXXXÇÃX/ (XX) EXTRAS XXX XXXXXXXXX XX XXXXXXȚĂ X XXXXXXȚXXX/ (SK) XXXXX Z REGISTRA XXXXXXXĽXX/ (SL) XXXXXXX XX XXXXXXXX PREBIVALSTVA/ (XX) VÄESTÖREKISTERIOTE/ (SV) XXXXXX UR XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТАКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) COPIA LITERAL XX XXXXX DEL XXXXXXXX XXXXX/ (CZ) XXXX XXXXXXXXXX ZÁZNAMŮ/ (XX) XXXXXX KOPI XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX VON XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) VERBATIM XXXX OF XXXXX XXXXXX XXXXXXX/ (FR) XXXXX LITTÉRALE D'ACTES XX X'XXXX XXXXX/ (XX) XXXX XXXXX XX XXXXXX XX XXXXXXX AR STÁDAS XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XX XXXXXXXXXX X OSOBNOM XXXXXX/ (XX) XXXXX XXXXXXXXX XX XXXX XX XXXXX CIVILE/ (XX) XXXXXXXĀXXXĻX AKTU REĢISTRA XXXXXXXX AUTENTISKA KOPIJA/ (XX) CIVILINĖS XŪXXĖX XXXŲ ĮRAŠŲ PAŽODINĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (XX) EENSLUIDEND XXXXXXXXX VAN XXXXX XXX DE XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (XX) CERTIDÃO XX CÓPIA INTEGRAL XX XX XXXXXXXXX XX XXXX XX XXXXXXX XXXXX/ (RO) XXXXX EXACTĂ X XXXX ACT XX XXXXX XXXXXĂ/ (SK) XXXXXXXX XXXXX XX XXXXXXX X XXXXXXX XXXXX/ (SL) XXXXXXXXX XXXXXX XXXXXX X XXXXXXX XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (XX) NOTÁŘSKÁ XXXXXXX/ (DA) NOTARBEKRÆFTET XXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX/ (XX) NOTARIAALDOKUMENT/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) NOTARIAL XXX/ (XX) XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) JAVNOBILJEŽNIČKA XXXXXXX/ (XX) ATTO XXXXXXXX/ (XX) NOTARIĀLS AKTS/ (XX) XXXXXXXXX XXXXX/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) ATT NOTARILI/ (XX) XXXXXXËXX AKTE/ (XX) AKT XXXXXXXXXX/ (XX) XXX NOTARIAL/ (XX) XXX XXXXXXXX/ (XX) NOTÁRSKA XXXXXXX/ (XX) XXXXXXXX LISTINA/ (XX) XXXXXXXX ANTAMA XXXXXXXXX/ (SV) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) CERTIFICACIÓN XXXXXXX XXXXXX XXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXX, KTERÝM XXXX XXXXXXXX LISTINA XXXXXXXXX XXXXXXXXX OSOBOU/ (XX) XXXXXXXX XÅXXXXXXX XÅ XX XXXXXXXX XXXXXXXXXXX XX XX XXXXXX X DENNES XXXXXXXX XX PRIVATPERSON/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX EINER XXXXXXXXXXXXX/ (XX) ISIKU POOLT XXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX AMETLIK XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΊ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX PLACED XX X XXXXXXXX XXXXXX XX A XXXXXX XX XXX XX XXX XXXXXXX XXXXXXXX/ (XX) DÉCLARATION XXXXXXXXXX XXXXXXX XXX XX XXXX XXXX XXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX X XXXXXXXXX XX XXXXXXXXXX XXXX XXXXXX AG DUINE XXX XXXXX XX XXX CÁIL PHRÍOBHÁIDEACH/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX NA XXXXXXX XXXX XX OSOBA XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX SU XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXĀXX XXXXXXXXĀXXXX XX XXXXXXXXX, KO XXXĀ VĀRDĀ PARAKSTĪJUSI XĀXX XXXXXXX/ (XX) XXXXXXXŲ ASMENŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) MAGÁNOKIRATON ELHELYEZETT XXXXXXXXX TANÚSÍTVÁNY/ (MT) ĊXXXXXXXXX UFFIĊJALI LI XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX PERSUNA FIL-KAPAĊITÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX CERTIFICAAT XX XXX XXXXXXXX XXXXXXXXXXX XXXX XXX XXXXXXX XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX NA XXXXXXXXXX XXXXXXXXXX PRZEZ XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÃX OFICIAL INSERTA XXX ATO XX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXX XXXXXXX XX XX XXXXXXXX XXX SEMNĂTURĂ PRIVATĂ/ (XX) ÚRADNÉ OSVEDČENIE XXXXXXX XX XXXXXXX XXXXXXXXXX OSOBOU KONAJÚCOU XXX XXXXXXXX OSOBA/ (XX) XXXXXX IZJAVA XX XXXXXXX XXXXXXX/ (XX) XXXXXXXXXX TODISTUS XXXXXXXXXXXX, XXXXX XXXXXXÖ XX XXXXXXXXXXXXXXXX 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/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXXXXX X XXXXXXXX DE UN XXXXXX XXXXXXX CON XXXXXXXX OFICIAL/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXXXXX POVINNOSTÍ/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX XX EN XXXXXXXXXXXX DIPLOMATISKE ELLER XXXXXXÆXX XXXXÆXXXXXXX/ (XX) XXX EINEM DIPLOMATISCHEN XXXX KONSULARISCHEN XXXXXXXXX XXXXX MITGLIEDSTAATS IN XXXXXX AMTLICHEN XXXXXXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX 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 DRAWN XX BY X XXXXXXXXXX OR XXXXXXXX XXXXX OF X XXXXXX XXXXX XX XXX OR XXX XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXX XX XX XXXXXXX XXXXXXXXXX XXX XX AGENT XXXXXXXXXXXX XX XXXXXXXXXX X'XX XXXX XXXXXX/ (XX) DOICIMÉAD XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX TAIDHLEOIREACHTA NÓ XXXXXXXXX XX CHUID XXXXXXXXX INA CHÁIL XX XXX XXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX U XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXX ILI KONZULARNI XXXXXXXXXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX REDATTO XX XXXXXX DIPLOMATICI X XXXXXXXXX DI XXX STATO MEMBRO XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX XXXXX XXXXĀXXXXX, SAGATAVOJIS XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX XX KONSULINIO XXXXXXŪXX, XXXXXXXXXX XXXXX XXXXXXXXXX ĮGALIOJIMUS/ (XX) XXXXXXXX XXXXXXXX DIPLOMÁCIAI XXXX KONZULI XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXXX XXXX XĠXXX XXXXXXXXXXX JEW XXXXXXXXX XX' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX XX XXXX XXXXXXËXX XXXXXXXXXXXX/ (XX) XXXXXXXX SPORZĄDZONY PRZEZ XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX KONSULARNEGO PAŃSTWA XXŁXXXXXXXXXXX DZIAŁAJĄCYCH W XXXXXXXXXXX URZĘDOWYM/ (XX) XXXXXXXXX XXXXXXX XXX XX AGENTE XXXXXXXXXXX XX XXXXXXXX XX XX XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX XX XĂXXX UN XXXXX XXXXXXXXXX SAU XXXXXXXX XX XXXX STAT XXXXXX, ÎX CALITATE XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXX, XX JO KOT XXXXXX XXXXX IZDA XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) ASIAKIRJA, XXXXX XÄXXXXXXXXXX DIPLOMAATTINEN XXXXXXXX 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) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX KUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) DATE (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (IT) XXXX XX RILASCIO (XX/XX/XXXX)/ (XX) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (LT) XXXXXXXX XXXX (XX/XX/XXXX)/ (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) XXXXXXX/ (PT) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXX/ (FI) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX UTFÄRDANDE

3.7

(BG) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (ES) XXXXXX XX REFERENCIA XXX DOCUMENTO PÚBLICO/ (XX) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (XX) XXX OFFENTLIGE XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX/ (XX) AVALIKU XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (EN) XXXXXXXXX XXXXXX XX XXX XXXXXX XXXXXXXX/ (XX) XXXXXX DE XXXXXXXXX XX DOCUMENT PUBLIC/ (XX) UIMHIR XXXXXXXXX XX XXXXXXXXX XXXXXXX/ (XX) REFERENTNI XXXX XXXXX XXXXXXX/ (XX) XXXXXX XX RIFERIMENTO XXX DOCUMENTO PUBBLICO/ (XX) XXXXXXXĀ DOKUMENTA XXXXXXXX NUMURS/ (XX) XXXXXXX XXXXXXXXX XXXXXXX/ (XX) A XÖXXXXXXX XXXXXXXXXXX XXXXX/ (MT) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX PUBBLIKU/ (NL) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX DOCUMENT/ (XX) XXXXX XXXXXXXXXXXX DOKUMENTU XXXĘXXXXXX/ (XX) XXXXXX XX XXXXXÊXXXX DO XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX XX XXXXXXXȚĂ XX XXXXXXXXXXXX OFICIAL/ (XX) XXXXXXXXXX XXXXX XXXXXXXX LISTINY/ (XX) XXXXXXXXXX XXXXXXXX JAVNE XXXXXXX/ (FI) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (SV) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX SOBRE XX XXXXXXXXXX/ (CZ) XXXXXXXXX X XXXXXXX OSOBĚ/ (XX) XXXXXXXXXXX OM XXX XÅXÆXXXXXX PERSON/ (XX) XXXXXXX ZUR XXXXXXXXXXXX XXXXXX/ (ET) XXXXXXXXX XXXXXX XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (EN) XXXXXXXXXXX XX XXX PERSON XXXXXXXXX/ (XX) XXXXXXXXXXXX XXX XX XXXXXXXX XXXXXXXXX/ (GA) XXXXXXXX XXXXXX LEIS XX XXXXX LENA xXXXXXXXX/ (XX) XXXXXXXXXXX O XXXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXĪXX XXXXXXX/ (XX) XXXXXXXXXXX APIE XXXXXXXXXĄ ASMENĮ/ (XX) XX XXXXXXXX SZEMÉLYRE XXXXXXXXX ADATOK/ (XX) XXXXXXXXXXXXX DWAR XX-XXXXXXX XXXXĊXXXXXX/ (XX) XXXXXXXXXX XXXX XX BETROKKENE/ (XX) XXXX XXXXX, XXXXXX DOTYCZY DOKUMENT/ (XX) XXXXXXXÇÕXX XXXXX X PESSOA XX XXXXX/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXX XXXXXĂ/ (XX) INFORMÁCIE X XXXXXXXXX XXXXX/ (XX) XXXXXXXXXXX X ZADEVNI XXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXX/ (SV) XXXXXXXXX XX DEN XXXÖXXX XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (ES) XXXXXXXX(X)/ (XX) XXXXXXXX/ (DA) XXXXXXXXX(X)/ (XX) XXXXXXXXXXXX(X)/ (XX) PEREKONNANIMI (-NIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX(X)/ (XX) XXX(X)/ (XX) XXXXXXX (SLOINNTE)/ (XX) XXXXXXX(XX)/ (XX) XXXXXXX(X)/ (XX) XXXĀXXX(-X)/ (XX) PAVARDĖ (-ĖX)/ (XX) XXXXXXX XXXX(X)/ (XX) KUNJOM(/KUNJOMIJIET)/ (XX) XXXXXXXX(X)X(XX)/ (PL) NAZWISKO(-A)/ (XX) XXXXXXX(X)/ (RO) XXXX/ (XX) XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX/ (XX) XXXXXXXX (-XXXXX)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (CZ) XXXXX (XXXXX)/ (XX) XXXXXXX(X)/ (DE) VORNAME(N)/ (XX) XXXXXXX (-NIMED)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (FR) PRÉNOM(S)/ (XX) XXXXXXXX (CÉADAINMNEACHA)/ (XX) IME(NA)/ (XX) XXXX(X)/ (XX) XĀXXX(-X)/ (XX) VARDAS (-AI)/ (XX) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (NL) XXXXXX(X)X(XX)/ (XX) XXXĘ (XXXXXX)/ (XX) XXXX(X) XXXXXXX(X)/ (XX) PRENUME/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-NIMET)/ (XX) FÖRNAMN

4.3

(BG) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) FECHA (XX/XX/XXXX) XX NACIMIENTO/ (CZ) 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) DATE (XX/XX/XXXX) XX BIRTH/ (XX) DATE (XX/XX/XXXX) XX XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) BREITHE/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (IT) XXXX XX NASCITA (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX XXXX (DD/MM/MMMM)/ (HU) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (NL) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (PT) XXXX XX NASCIMENTO (XX/XX/XXXX)/ (RO) DATA (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (DD/MM/RRRR) NARODENIA/ (XX) DATUM (XX/XX/XXXX) 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 A XXXX XXXXXXXX/ (DA) XØXXXXXX XX -XXXX/ (XX) XXX XXX XXXX XXX GEBURT/ (XX) SÜNNIKOHT XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) PLACE XXX XXXXXXX OF BIRTH/ (XX) XXXX XX XXXX DE XXXXXXXXX/ (XX) ÁIT AGUS XXX XXXXXXXX/ (XX) XXXXXX I XXXXXX XXĐXXXX/ (IT) XXXXX X XXXXX DI XXXXXXX/ (LV) XXXXXXXXX XXXXX UN VALSTS/ (XX) GIMIMO VIETA XX XXXXX/ (HU) XXÜXXXXXX XXXXX ÉS XXXXXXX/ (XX) XXXX X XXXXXŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX XX -XXXX/ (XX) MIEJSCE X XXŃXXXX XXXXXXXXX/ (XX) XXXXX X XXXX XX NASCIMENTO/ (XX) LOCUL ȘI ȚXXX XXȘXXXXX/ (SK) XXXXXX X XXXX XXXXXXXXX/ (XX) XXXX XX XXXXXX ROJSTVA/ (XX) SYNTYMÄPAIKKA XX -XXX/ (SV) FÖDELSEORT XXX -XXXX

4.5

(XX) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (XX) KØN/ (XX) GESCHLECHT/ (XX) XXXX/ (EL) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (GA) XXXXXX/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) LYTIS/ (XX) XXXX/ (XX) XXXX/ (XX) GESLACHT/ (PL) XŁXĆ/ (XX) XXXX/ (XX) SEXUL/ (XX) XXXXXXXX/ (XX) SPOL/ (XX) XXXXXXXXX/ (XX) XÖX

4.5.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (CZ) XXXX/ (XX) XXXXXX/ (DE) XXXXXXXX/ (XX) NAISSOOST/ (XX) ΘΗΛΥ/ (EN) XXXXXX/ (XX) FÉMININ/ (XX) XXXXXXXX/ (XX) XXXXXX/ (IT) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (HU) NŐ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (RO) XXXXXXXX/ (XX) XXXXXX/ (XX) ŽENSKI/ (XX) XXXXXX/ (XX) XXXXXX

4.5.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (DA) XXXX/ (XX) XÄXXXXXX/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) MALE/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (HR) XXXXX/ (XX) MASCHILE/ (LV) XĪXXXXXX/ (LT) VYRAS/ (XX) FÉRFI/ (MT) XXĠXX/ (XX) XXX/ (XX) XĘŻXXXXXX/ (XX) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) MUŽSKÉ/ (XX) XXXXX/ (XX) XXXX/ (XX) MAN

4.5.3

(BG) НЕОПРЕДЕЛЕН/ (XX) INDETERMINADO/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (ET) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) INDÉTERMINÉ/ (XX) XXXXXXXXXXXXXXX/ (XX) NEODREĐEN/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) MEGHATÁROZATLAN/ (XX) XXXX STABBILIT/ (XX) XXXXXXXXX/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) XÃX XXXXXXXX/ (XX) NEDETERMINAT/ (XX) XXXXXXXX/ (SL) XXXXXXXXX/ (FI) MÄÄRITTELEMÄTÖN/ (XX) XX XXXXXXÄXXX

4.6

(XX) АДРЕС/ (ES) XXXXXXXXX/ (XX) ADRESA/ (XX) XXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXX/ (XX) ΔΙΕΥΘΥΝΣΗ/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) ADRESA/ (XX) XXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) CÍME/ (XX) XXXXXXXX/ (XX) ADRES/ (XX) ADRES/ (PT) XXXXXXÇX/ (RO) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (FI) XXXXXX/ (XX) XXXXXX

4.6.1

(XX) УЛИЦА И НОМЕР/ПОЩЕНСКА КУТИЯ/ (XX) XXXXX Y XXXXXX / XXXXXXXX XX XXXXXXX/ (XX) XXXXX X XXXXX XXXX / XXXXXXXX XXXXXXXXX/ (DA) XXX XX HUSNUMMER/POSTBOKS/ (XX) XXXXXXX UND XXXXXXXXXX/XXXXXXXX/ (XX) XÄXXX JA XXXX XXXXXX/XXXXXXXX/ (EL) ΟΔΟΣ ΚΑΙ ΑΡΙΘΜΟΣ / Τ.Θ./ (XX) XXXXXX AND XXXXXX/XX XXX/ (XX) RUE XX XXXXXX/XXÎXX XXXXXXX/ (XX) SRÁID AGUS XXXXXX/XXXXX XXXXX/ (HR) XXXXX X XXXX / XXXXXXXXX PRETINAC/ (XX) XXX E XXXXXX/XXXXXXX POSTALE/ (XX) XXXX XX XĀXXX XXXXXX / XXXXXXXXX/ (XX) XXXXĖ IR XXXX NUMERIS / XXXXX XĖXXXĖ/ (XX) XXXX XX HÁZSZÁM/POSTAFIÓK/ (XX) XXXX X XXXXX/XXXXX POSTALI/ (XX) XXXXXX XX XXXXXX/XXXXXXX/ (XX) XXXXX X XXXXX / XXXXXXX XXXXXXXX/ (XX) RUA X NÚMERO/CAIXA XXXXXX/ (XX) XXXXXX ȘX XXXĂXXX/XĂXXȚX POȘTALĂ/ (XX) XXXXX X XXXXX/XXXXXXX XXXXXXXXX/ (SL) ULICA XX XXXXXXXX/XXXXXX XXXXXX/ (XX) XÄXXXXXXXX/XXXXXXXXXXX/ (SV) XXXXXXXXXX/XXXXXXX

4.6.2

(XX) НАСЕЛЕНО МЯСТО И ПОЩЕНСКИ КОД/ (XX) LOCALIDAD X XXXXXX XXXXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXXX XXXXX/ (XX) XX OG POSTNUMMER/ (XX) XXX XXX XXX/ (ET) XXXX XÕX ASULA XX XXXXXXXXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΤΑΧΥΔΡΟΜΙΚΟΣ ΚΩΔΙΚΟΣ/ (XX) XXXXX XXX XXXXXX XXXX/ (FR) XXXXXXXX XX XXXX XXXXXX/ (XX) XXX XXXX XXX XXXXX/ (XX) XXXXXX X XXXXXXXXX XXXX/ (XX) XXXXXXXÀ E XXX/ (XX) VIETA UN XXXXX XXXXXXX/ (LT) XXXXX XX XXXXX XXXXX/ (XX) XXXXXXX XX IRÁNYÍTÓSZÁM/ (XX) XXXXXXXÀ U XXXXĊX XXXXXXX/ (XX) PLAATS XX XXXXXXXX/ (XX) XXXXXXXXXŚĆ X KOD XXXXXXXX/ (PT) XXXXXXXXXX X XXXXXX XXXXXX/ (XX) XXXXXXXXXXX ȘX XXXXX XXȘXXX/ (SK) XXXXXX X XXXXXXX XXXXXXXXXX ČÍSLO/ (XX) XXXX XX POŠTNA XXXXXXXX/ (FI) XXXXXXXXXXX XX XXXXXXXXXXXXXXXX/ (SV) XXX OCH XXXXXXXXXX

4.6.3

(XX) ДЪРЖАВА/ (XX) XXXX/ (XX) XXXX/ (DA) XXXX/ (XX) LAND/ (XX) XXXX/ (XX) ΧΩΡΑ/ (XX) XXXXXXX/ (XX) XXXX/ (XX) XXX/ (XX) ZEMLJA/ (XX) XXXXX/ (LV) XXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXXŻ/ (XX) XXXX/ (XX) XXŃXXXX/ (PT) XXXX/ (XX) ȚARA/ (XX) ŠTÁT/ (XX) XXXXXX/ (XX) XXX/ (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 DOCUMENTO XXXXXXX AL XXX XX XXXXXXX XXXX XXXXXXX, EL XXXXXXXXXX XXXXXX XX VIDA XX XX XXXXX XX XXXXXXXXXX XXX XXXXXXXXX PÚBLICO/ (CZ) XX XXXXXXX XXXXXXX XXXXXXX, K XXX XX XXXXXXXX XXXXX XXXXXXXX, XXXX XXXXXXX XXXXX XX XXX XXXXXX XXXXXXX XXXXXXX XXXXXX/ (XX) X XXXXXXX XXX XXX XXXXXXXXXX DOKUMENT, XXX XXXXX XXXXXXXX XX XXXXÆXXXX, XXX XXX XÅXÆXXXXXX PERSON I XXXX XÅ XXXXXX XXX UDSTEDELSEN AF XXX XXXXXXXXXX XXXXXXXX/ (XX) XXXÄXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX FORMULAR XXXXXXÜXX XXX, WAR XXX XXXXXXXXXXX XXXXXX XX XXX XXX XXXXXXXXXXX XXX ÖFFENTLICHEN XXXXXXX XX LEBEN/ (ET) XXXXXXXXX AVALIKULE DOKUMENDILE, XXXXXXX XXX XXXX XX XXXXXXX, XXX XXXXXXXXX XXXX XXXXXXXXX XXXXXXX XXXXXXXXX XÄXXXXXXXXXX XXXXÄXXXX XXXX/ (EL) ΣΥΜΦΩΝΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ, ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΒΡΙΣΚΟΤΑΝ ΣΤΗ ΖΩΗ ΚΑΤΑ ΤΗΝ ΗΜΕΡΟΜΗΝΙΑ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XX THE XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX, XXX XXXXXX XXXXXXXXX XXX XXXXX ON THE XXXX XX XXXXX XX XXX XXXXXX XXXXXXXX/ (FR) X'XXXÈX XX XXXXXXXX XXXXXX XXXXXX XX XXXXXXX XXXXXXXXXX XXX JOINT, XX XXXXXXXX XXXXXXXXX XXXXX XX XXX À LA DATE XX DÉLIVRANCE XX XX DOCUMENT XXXXXX/ (XX) XX XXXX XX XXXXXXXXX PHOIBLÍ XXXX xxXXXX XX XXXXXX XXX XXXXXXXXXX, XXX AN XXXXX XXXX mBAINEANN BEO XX XXXXX XXXXXXX XX DOICIMÉID XXXXXXX/ (XX) PREMA XXXXXX XXXXXXX XXXXX JE XXXX OBRAZAC XXXXXXXX XXXXXXX XXXXX XXXX XX XXXX NA XXX XXXXXXXXX XXXXX XXXXXXX/ (XX) SECONDO XX DOCUMENTO XXXXXXXX XXX IL PRESENTE XXXXXX È XXXXXXXX, X'XXXXXXXXX XX XXXX XXXXX XXXXXXX XXXXXXXXXXX È XXXXX XXXXXXXXX XXXX DATA XX XXXXXXXX XX XXXX XXXXXXXXX/ (XX) XXXXXŅĀ XX PUBLISKO XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, XXXXXXĪXĀ XXXXXXX XXXXXXXĀ XXXXXXXXX XXXXXXXXX XXXXĀ XXXX XXĪXX/ (LT) PAGAL XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX PRIDEDAMA ŠI XXXXX, VIEŠOJO XXXXXXXXX XXXXXXXX XXXXĄ XXXXXXXXXXX XXXXX XXXX XXXXX/ (XX) X FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXX SZERINT XX ÉRINTETT XXXXXXX X XÖXXXXXXX XXXXXXXXXXXXX XXŐXXXXXXXXX ÉLETBEN XXXX/ (XX) XXXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX, XX-XXXXXXX XXXXĊXXXXXX XXXXXX ĦAJJA XXX-XXXX XXX-ĦXXĠ TAD-DOKUMENT XXXXXXXX/ (XX) XXXXXXX HET XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX IS XXXXXXX, XXX DE XXXXXXXXXX IN XXXXX XX DE XXXXX XXX XXXXXXX XXX XXX OPENBAAR XXXXXXXX/ (XX) X XXXXXXXXX XXXĘXXXXXX, DO XXXXXXX XXŁĄXXXXX JEST XXXXXXXXX XXXXXXXXX, WYNIKA, ŻX XXXXX, KTÓREJ DOTYCZY XXXXXXXX, POZOSTAWAŁA PRZY ŻXXXX X XXXX XXXXXXX XXXX XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXXX X DOCUMENTO PÚBLICO X QUE X XXXXXXXX FORMULÁRIO XXXX XXXXXX, A PESSOA XX CAUSA XXXXXX XXXX À XXXX XX EMISSÃO XX XXXXXXXXX PÚBLICO/ (RO) ÎX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX, XXXXXXXX XXXXXĂ XXX ÎX XXXȚĂ XX DATA XXXXXXXX XXXXXXXXXXXX OFICIAL/ (XX) XXXĽX XXXXXXXX XXXXXXX, XX XXXXXX XX TENTO XXXXXXXX XXXXXXXXX, BOLA XXXXXXXX XXXXX X XXX XXXXXXX XXXXXXXX XXXXXXX XXXXXX/ (SL) X XXXXXX X XXXXX XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX, JE XXXX XXXXXXX XXXXX NA XXX XXXXXX XXXXX XXXXXXX XXXX/ (XX) XXX XXXXXXX XXXXXXXXXX XXXXXX, JOHON XÄXÄ XXXXXX LIITETÄÄN, ASIANOMAINEN XXXXXXÖ XXX XXXXXX XXXXXXX XXXXXXXXXX XXXXXXXXÄXXÄXÄ/ (XX) ENLIGT XXX XXXXXXXXXX XXXXXXXX TILL XXXXXX DETTA FORMULÄR ÄX XXXXXXX XXX XXX XXXÖXXX XXXXXXXX X LIVET VID XXXXXXXXXX FÖR XXX XXXXXXXXXX XXXXXXXXXXX XXXÄXXXXXX

6.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX PARA XX XXXXX/ (XX) XXXX XXX PODPIS/ (XX) UNDERSKRIFTSFELT/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) SIGNATURE XXX/ (XX) XXXXX XXXX XX XXXXXXXXX/ (GA) XXXXX XXX XXXXX/ (XX) XXXXX ZA XXXXXX/ (IT) XXXXXXXX XXX LA XXXXX/ (XX) PARAKSTA XXXXX/ (XX) PARAŠO XXXXXXXX/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (NL) VAK XXXX XX HANDTEKENING/ (XX) XXXX XXXXXXX/ (XX) XXXXÇX DESTINADO À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX XXXXXX/ (XX) 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/ (XX) XXXXXXXX(X) X NOMBRE(S) XXX FUNCIONARIO XXX XXXXXXX XXXX IMPRESO/ (XX) PŘÍJMENÍ X XXXXX (JMÉNA) ÚŘEDNÍKA, XXXXX XXXXX TENTO XXXXXXXX/ (DA) EFTERNAVN(E) XX XXXXXXX(X) PÅ XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXXXXXX(X) XXX XXXXXXX, DER DIESES 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) OF THE XXXXXXXX WHO XXXXXX XXXX XXXX/ (XX) XXX(X) ET XXXXXX(X) XX XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX (SLOINNTE) AGUS XXXXXXXX (XXXXXXXXXXXXXX) XX XXXXXXXX X D’EISIGH XX XXXXXX SEO/ (XX) XXXXXXX(XX) I XXX(XX) XXXXXXXXXX XXXX XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXX/X X NOME/I DEL XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (LV) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, UZVĀRDS(-I) XX XĀXXX(-X)/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖX) IR XXXXXX (-AI)/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXX XXXX(X) XX UTÓNEVE(I)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XX(X)X(XX) EN VOORNA(A)M(EN) XXX XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) X IMIĘ (XXXXXX) XXXĘXXXXX, XXXXX XXXXŁ NINIEJSZY XXXXXXXXX/ (XX) XXXXXXX(X) X XXXX(X) XXXXXXX(X) DO XXXXXXXXXXX QUE XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXX ȘX XXXXXXXXX FUNCȚIONARULUI CARE X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) X XXXX(-X) ÚRADNÍKA, XXXXX XXXXX TENTO XXXXXXXX/ (SL) XXXXXXX/XXXXXXX XX XXX/XXXXX URADNIKA, XX XX IZDAL XX XXXXXXX/ (FI) XÄXÄX LOMAKKEEN XXXXXXXX XXXXXXXXXXX XXXXXXXX (-NIMET) XX ETUNIMI (-NIMET)/ (XX) XXXXXXXXX XXX XÖXXXXX XÅ XXX XXÄXXXXXXX XXX HAR XXXÄXXXX DETTA FORMULÄR

6.2

(BG) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXX XXX XXXXXXXXXXX XXX XXXXXXX XXXX IMPRESO/ (XX) XXXXXX XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX — XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX FORMULAR/ (DE) XXXXXXXX DES XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (ET) XÄXXXXXXX XXXXX VÄLJASTANUD XXXXXXXX AMETIKOHT/ (EL) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX OF XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (FR) XXXXX DU XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX FORMULAIRE/ (XX) XXXX AN XXXXXXXX A X’XXXXXX XX FHOIRM XXX/ (XX) XXXXXXXX XXXXXXXXXX XXXX XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX DEL FUNZIONARIO XXX HA RILASCIATO XX XXXXXXXX MODULO/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX VEIDLAPU, XXXXX/ (XX) ŠIĄ XXXXĄ IŠDAVUSIO XXXXXXŪXX XXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (MT) XXXXXX XXX-XXXXĊXXX LI ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX XXX XX XXXXXXXXX DIE DIT XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (PT) CARGO XX FUNCIONÁRIO XXX XXXXXX X PRESENTE XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX XXXX A XXXX XXXXXXXXX FORMULAR/ (XX) FUNKCIA ÚRADNÍKA, XXXXX XXXXX TENTO XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (XX) TÄMÄN XXXXXXXXX XXXXXXXX VIRKAMIEHEN XXXXX/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX XXX 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/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) DATE (XX/XX/XXXX) XX ISSUE/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (LT) IŠDAVIMO XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) XXXXX (XX/XX/XXXX) VAN XXXXXXX/ (XX) XXXX (XX/XX/XXXX) WYDANIA/ (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) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) PODPIS/ (DA) XXXXXXXXXXX/ (XX) UNTERSCHRIFT/ (XX) ALLKIRI/ (XX) ΥΠΟΓΡΑΦΗ/ (EN) SIGNATURE/ (XX) SIGNATURE/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (LT) PARAŠAS/ (XX) ALÁÍRÁS/ (XX) XXXXX/ (XX) HANDTEKENING/ (XX) PODPIS/ (PT) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) PODPIS/ (XX) XXXXXX/ (XX) ALLEKIRJOITUS/ (XX) NAMNTECKNING

6.5

(BG) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (XX) XXXXX XXXX XXXXXXX/ (DA) XXXX XXXXX XXXXXXX/ (XX) XXXXXX XXXX XXXXXXX/ (XX) PITSER VÕI XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX XXXXX/ (XX) SCEAU XX TIMBRE/ (XX) XXXXX XX XXXXXX/ (XX) ŽIG ILI XXXXX/ (XX) XXXXX X XXXXXX/ (LV) XĪXXXX VAI XXXXXXXX/ (XX) SPAUDAS XXXX XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX JEW XXXXXX/ (XX) XXXXX XX XXXXXXX/ (PL) XXXXXĘĆ XXX STEMPEL/ (PT) XXXX XX XXXXXXX/ (XX) XXXXXXXX XXX ȘXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXX PEČIATKY/ (XX) XXXXX XXX XXX/ (FI) SINETTI XXX XXXXX/ (SV) XXXXXX XXXXX XXÄXXXX

XXXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – POMŮCKA XXX XXXXXXX

Xxxxxx 7 xxxxxxxx Evropského xxxxxxxxxx x Xxxx (EU) 2016/1191 ze xxx 6. xxxxxxxx 2016 x xxxxxxx xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxx na xxxxxxxxxxx xxxxxxxxx xxxxxxxxx listin x Xxxxxxxx xxxx x o změně xxxxxxxx (XX) č. 1024/2012 (1)

Xxxxxx (XX) Xxxxxxxxx (BG)

Česká xxxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxx (XX)

Xxxxxxxx (EE) Xxxxx (XX)

Xxxxx (XX) Španělsko (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Kypr (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxx (NL) Xxxxxxxx (AT)

Polsko (PL) Xxxxxxxxxxx (PT)

Rumunsko (XX) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Xxxxxx (FI)

Švédsko (XX) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx účelem xxxxxx xxxxxxxxxxxxx xxxxxxxxxxxx formuláře xx xxxxxxxxx xxxxxxxx xxxxxxx listiny, k xxx xx xxxxxxxx. Xxxxx xxxxxxxx xx xxxx členskými státy xxxxx xxxxxxxxx xxxx xxxxxxxxxx xxxxxxxx.

Xxxxx xxxxxxxx xxxxxx xxxxx veřejné xxxxxxx, x xxx xx xxxxxxxx. Orgán, xxxxx xx veřejná xxxxxxx předkládána, však xxxx v xxxxxxxxx, xxx xx xx xxxxxxxx xxx xxxxx xxxxxxxxxx xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx informací, xxxxx xxxx xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX VYDÁVAJÍCÍ XXXXX

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

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

1. XXXXX XXXXXXXXXX XXXXX XXXXXXXX

1.1 Název (3)

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

1.1 Xxxxx (4)

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

(2) Xxx xxxxxxxxxx rukou xxxxxxxx xxxxxxx písmo.

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

(4) Slovo „xxxxx“ xx třeba vykládat xxxx úřední název xxxxxx vydávajícího veřejnou xxxxxxx, k xxx xx přiložen xxxxx xxxxxxxx.

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

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

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx vyšším xxxxxxx úředníkem

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

3.1.5 Xxxx (xxxxxxxxx)

3.2 Listina xxxxxx xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x xxxxxxx

3.2.3 Xxxxx x xxxxxxxx xxxxxxxx

3.2.4 Opis xxxxxxxxxx xxxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, xxxxxx xxxx xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

3.5 Xxxxxxx vyhotovená diplomatickým xxxxxxxxx xxxx xxxxxxxxxxx xxxxxxxxx členského státu x rámci xxxxxx xxxx služebních xxxxxxxxxx

3.6 Xxxxx (dd/mm/rrrr) vydání

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXX O XXXXXXXX

4.1 Xxxxxxxx

4.2 Xxxxx (xxxxx)

4.3 Xxxxx (dd/mm/rrrr) xxxxx

4.4 Xxxxx (1) x xxxx (2) xxxxx

4.5 Datum (xx/xx/xxxx) xxxxxxxx

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

4.6.1 Xxxx

4.6.2 Xxx

4.6.3 Neurčeno

5. XXXX XXX PODPIS

5.1 Xxxxxxxx a xxxxx (xxxxx) xxxxxxxx, xxxxx xxxxx xxxxx xxxxxxxx

5.2 Xxxxxx úředníka, který xxxxx xxxxx xxxxxxxx

5.3 Xxxxx (xx/xx/xxxx) xxxxxx

5.4 Xxxxxx

5.5 Xxxxx xxxx xxxxxxx

(1) Slovy „xxxxx xxxxx“ xx xxxxxx xxxxx obce xxxx xxxxx, okresu a xxxxx, kde xxxx xxxxx zemřela.

(2) Název xxxx a – xxxxx existuje – xxx XXX xxxx xxxx xxxx xxxxxxx „Xxxx (xxxxxxxxx)“ xx xxxxx xxxxxx z xxxxxxxxxxx nabídky ve xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxxxxxx, xxxxx xx x xxxxxxxxx xx xxxxxxx xxxxxxxx x-xxxxxxx.

XXXXXXXXXXX XXXXXX XXXXX STANDARDNÍCH XXXXXXX

(XXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX EXPIDE XXXX IMPRESO/ (CZ) XXXXX XXXXXXXXXX TENTO XXXXXXXX/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX MYNDIGHED/ (XX) XXXÖXXX, XXX XXXXXX XXXXXXXX AUSSTELLT/ (XX) XÄXXXXXXX XXXXX XÄXXX ANDNUD XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX XXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) AN xXXXXXX X XXXXXXXX XX XXXXXX XXX/ (XX) XXXXXX XXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXX MODULO/ (XX) XXXXXXXXX IZDEVĒJIESTĀDE/ (XX) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ EMITTENTI TA' XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX FORMULIER/ (XX) XXXXX XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (PT) XXXXXXXXXX QUE XXXXX X XXXXXXXX XXXXXXXXXX/ (XX) AUTORITATEA XXXXXXXĂ X XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX FORMULÁR/ (XX) XXXXX, XX IZDA XX XXXXXXX/ (FI) XÄXÄX XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (ES) XXXXXXXXXXXX/ (XX) NÁZEV/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (EN) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (GA)AINMNIÚ/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (HU) XXXXXXXXXX/ (XX) TITLU/ (XX) BENAMING/ (PL) XXXXX/ (PT) DESIGNAÇÃO/ (XX) DENUMIRE/ (SK) XXXXX/ (SL) XXX/ (XX) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX IMPRESO/ (XX) XXXXX VYDÁVAJÍCÍ XXXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (DA) XXX XXXXXXXXX, XXX XXX UDSTEDT XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (DE) BEHÖRDE, XXX DIE ÖFFENTLICHE XXXXXXX, DER DIESES XXXXXXXX XXXXXXÜXX XXX, XXXXXXXXX/ (ET) XXXXXX, XXX XXXXX XÄXXX XXXXXXX XXXXXXXXX, MILLELE XXX VORM XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXX XXXXXXX THE XXXXXX XXXXXXXX TO XXXXX XXXX XXXX XX ATTACHED/ (XX) XXXXXXXX XX XXXXXXXXXX XX DOCUMENT PUBLIC XXXXXX EST JOINT XX PRÉSENT XXXXXXXXXX/ (XX) AN tÚDARÁS X XXXXXXXX XX XXXXXXXXX POIBLÍ XXXX XXXXXX XX FHOIRM XXX XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXX XXXXX XXXXXXX XXXXX XX OVAJ OBRAZAC XXXXXXXX/ (XX) AUTORITÀ XXX RILASCIA IL XXXXXXXXX PUBBLICO XXX XX XXXXXXXX MODULO È XXXXXXXX/ (LV) XXXXXXXĀ DOKUMENTA, XXXXX XĪ XXXXXXXX IR XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ DOKUMENTĄ, XXXX XXXXX XXXXXXXXX ŠI XXXXX, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXXXX KÍSÉRT KÖZOKIRATOT XXXXXXXX HATÓSÁG/ (XX) XXXXXXXÀ XXXXXXXXX TAD-DOKUMENT XXXXXXXX XX MIEGĦU XXXX MEHMUŻA DIN XX-XXXXXXX/ (NL) AUTORITEIT XXX AFGIFTE VAN XXX OPENBAAR XXXXXXXX XXXXXXX DIT XXXXXXXXX XX XXXXXXX/ (XX) XXXXX WYDAJĄCY DOKUMENT XXXĘXXXX, DO KTÓREGO XXXXXXXXX FORMULARZ XXXX XXŁĄXXXXX/ (XX) XXXXXXXXXX XXX EMITE X XXXXXXXXX PÚBLICO A XXX O XXXXXXXX XXXXXXXXXX ESTÁ XXXXXX/ (XX) AUTORITATEA XXXXXXXĂ X XXXXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX XXXX XXXXX XXXXXXX, XX XX JE PRILOŽEN XX OBRAZEC/ (XX) XXXXXXXXXXXX, XXXX ON XXXXXXX XXXXXXX ASIAKIRJAN, XXXXX XÄXÄ LOMAKE XXXXXXÄÄX/ (SV) MYNDIGHET XXX XXXÄXXXX XXX XXXXXXXXXX XXXXXXXX TILL XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX RELATIVA XX DOCUMENTO XXXXXXX XX QUE SE XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX TÝKAJÍCÍ XX XXXXXXX XXXXXXX, X NÍŽ XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXØXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX VEDHÆFTET/ (XX) XXXXXXX ZUR ÖFFENTLICHEN XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX XXXXXXX XXXXXXXXX XXXXX, XXXXXXX XXX VORM XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) INFORMATION RELATING XX XXX PUBLIC XXXXXXXX XX XXXXX XXXX FORM XX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX EST XXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XXXXXXXX X XXXXXXXXX LEIS XX DOICIMÉAD POIBLÍ XXXX XXXXXX AN XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXXXXX KOJE XX ODNOSE XX XXXXX ISPRAVU XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXX AL XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) INFORMĀCIJA XXX XXXXXXXX DOKUMENTU, XXXXX XĪ XXXXXXXX XX PIEVIENOTA/ (XX) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX XXXXXXXXX, XXXX XXXXX PRIDEDAMA XX XXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (MT) XXXXXXXXXXXXX DWAR XX-XXXXXXXX XXXXXXXX LI XXXXĦX XXXX MEHMUŻA DIN XX-XXXXXXX/ (NL) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX WAARAAN DIT XXXXXXXXX XX XXXXXXX/ (XX) INFORMACJE XXXXXXĄXX XXXXXXXXX URZĘDOWEGO, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX ZAŁĄCZONY/ (XX) XXXXXXXÇÕXX XXXXXXXXX AO XXXXXXXXX PÚBLICO A XXX O PRESENTE XXXXXXXXXX ESTÁ XXXXXX/ (XX) XXXXXXXȚXX REFERITOARE XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXX LISTINE, XX XXXXXX JE XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX V XXXXX X XXXXX LISTINO, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXX YLEISESTÄ XXXXXXXXXXXX, JOHON XÄXÄ XXXXXX XXXXXXÄÄX/ (SV) XXXXXXXXXXX OM 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/ (XX) XXXXXXXXX XXXXXXXX XXX XXX XXXXXXXXX X XX FUNCIONARIO XXXXXXXXX X LOS XXXXXXX JURISDICCIONALES XX XX XXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXX XXXXXXXXX X XXXXXX XX XXXXX XXXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXXX, XXX XX XXXXXXX XX XX XXXXXXXXX XXXXX XX EMBEDSMAND, XXX XX TILKNYTTET XXXXXXXX X XX XXXXXXXXXXX/ (XX) URKUNDE XXXXX BEHÖRDE ODER XXXXX XXXXXXXXXX XXX XXXXX XXX RECHTSPFLEGE XXXXX MITGLIEDSTAATS/ (ET) XXXXXXXX, MILLE XX XÄXXX XXXXXX XXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXXXX XÕX AMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX EMANATING XXXX XX AUTHORITY XX XX OFFICIAL XXXXXXXXX XXXX XXX XXXXXX OR TRIBUNALS XX A MEMBER XXXXX/ (XX) XXXXXXXX XXXXXXX D'UNE AUTORITÉ XX D'UN FONCTIONNAIRE XXXXXXXX X'XXX XXXXXXXXXXX X'XX XXXX MEMBRE/ (XX) DOICIMÉAD X XXXXXXX X XXXXXX XX Ó XXXXXXXXX X XXXXXX XXXXX XXXX XX XXXX XX XXXXXXXXXX XX XX BINSÍ XX XXXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX TIJELO XXX XXXXXXXXX SUDA XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX DA XX'XXXXXXXÀ X XX XX XXXXXXXXXXX APPARTENENTE XX XXX XXXXX GIURISDIZIONI XX UNO STATO XXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XX XXXĪXXXXXXX TIESĀM XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX XXXXXXXX XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX XXXXXXXX XX TRIBUNOLAIS/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX XXXX XXXXXXX XXXX XXXXXXXXXXŐ XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX AWTORITÀ XXX XXXXĊXXX XX XXXXXXXX RABTA XXX-XXXXX XXX IT-TRIBUNALI XX' XXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXXXX XX XXXXXXXXX BEHORENDE XXX XXX RECHTERLIJKE INSTANTIE XXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXX SĄDOWEGO XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX CZŁONKOWSKIEGO/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX AUTORIDADE OU XX XX FUNCIONÁRIO XXXXXXXXXX DE XXXXXXXX XXXXXXXÇÃX XX XX XXXXXX-XXXXXX/ (RO) XXXXXXXX XXXX XX O XXXXXXXXXX XXX XX XX FUNCȚIONAR DE XX LÂNGĂ XXXXXXȚXXX XXXX STAT XXXXXX/ (XX) LISTINA VYDANÁ XXXXXXX ALEBO XXXXXXXXX X VÄZBOU XX XXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX, IZDANA X XXXXXX XXXXXX XXX XXXXXXXX XXXXX XXXXXXX XXXXXX XXXXXXX/ (XX) ASIAKIRJA, XXXXX XX ANTANUT XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX VIRANOMAINEN XXX XXXXXXXXX/ (SV) XXXXXXXX XXX XÄXXÖX XXÅX XX MYNDIGHET XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX I XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (ES) XXXXXXXXXX XXXXXXXX/ (CZ) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXX/ (GA) XXXXXXXX XX xXXXXX/ (XX) XXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (XX) XXXXXX SPRENDIMAS/ (XX) BÍRÓSÁGI XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) RECHTERLIJKE XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (XX) DECISÃO XXXXXXXX/ (XX) HOTĂRÂRE JUDECĂTOREASCĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX EL XXXXXXXXXX XXXXXX/ (CZ) XXXXXXX XXXXXX STÁTNÍM XXXXXXXXX/ (XX) DOKUMENT XXXXXXX XX EN XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT, XXXXX XX XÄXXX XXXXXX RIIKLIK XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX X PUBLIC PROSECUTOR/ (XX) XXXXXXXX ÉMANANT XX XXXXXXÈXX XXXXXX/ (XX) XXXXXXXXX A XXXXXXX X IONCHÚISITHEOIR XXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXXX ODVJETNIŠTVO/ (IT) XXXXXXXXX EMANATO XXX XXXXXXXX MINISTERO/ (LV) XXXXXXXXX, XXXX IZSNIEDZIS XXXXXXXXX/ (XX) PROKURORO XXXXXXXX XXXXXXXXXX/ (HU) ÜXXXXX ÁLTAL XXXXXXXXXX XXXXXX/ (MT) DOKUMENT XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXXXXX XXXX XXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX DO XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXX DE XX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXXXXXX/ (SL) XXXXXXX, XX XX XXXX XXXXXXX TOŽILSTVO/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX SOM HÄRRÖR XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) DOCUMENTO XXXXXXXX XXX UN XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX ÚŘEDNÍKEM/ (DA) XXXXXXXX XXXXXXX XX XX JUSTITSSEKRETÆR/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX EINES XXXXXXXX/ (ET) DOKUMENT, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX FROM X XXXXX XX X XXXXX/ (XX) XXXXXXXX ÉMANANT D'UN XXXXXXXX/ (XX) DOICIMÉAD X XXXXXXX X XXXXXXXXXX XX XXXXX XXXXXX/ (HR) XXXXXXX XXXX JE IZDAO XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX SEKRETĀRS/ (XX) XXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX TISZTVISELŐ ÁLTAL XXXXXXXXXX OKIRAT/ (MT) XXXXXXXX XXĦXXĠ XXXX XXĠXXXXXXXX TA' QORTI/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX/ (XX) DOKUMENT POCHODZĄCY XX SEKRETARZA XĄXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXX XX XXXXXÇX/ (RO) XXXXXXXX XXXX DE XX XXXXXXX XX XXXXXXȚXX/ (SK) LISTINA XXXXXX XXXXXX ÚRADNÍKOM/ (XX) XXXXXXX, XX XX IZDA XXXXX XXXXXXXXXX/ (XX) TUOMIOISTUIMEN XXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX EN XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (XX) DOCUMENTO XXXXXXXX XXX XX AGENTE XXXXXXXX («HUISSIER XX XXXXXXX»)/ (XX) XXXXXXX XXXXXX XXXXXXX VYKONAVATELEM („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX XX EN XXÆXXXXXXXXXX (»XXXXXXXX DE JUSTICE«)/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX ON VÄLJA XXXXXX XXXXXXÄXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (EN) XXXXXXXX XXXXXXXXX XXXX X XXXXXXXX XXXXXXX ('XXXXXXXX DE XXXXXXX')/ (XX) XXXXXXXX ÉMANANT X'XX XXXXXXXX DE XXXXXXX/ (GA) DOICIMÉAD X XXXXXXX X XXXXXXXXX BREITHIÚNACH (“HUISSIER XX JUSTICE”)/ (XX) XXXXXXX XXXX XX XXXXX SUDSKI OVRŠITELJ (XXXXXXXX DE XXXXXXX)/ (XX) DOCUMENTO EMANATO XX UN XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (XX) DOKUMENTS, XXXX XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (XXXXXXXX XX XXXXXXX)/ (XX) ANTSTOLIO (XXXXXXXX XX JUSTICE) XXXXXXXX XXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXXXX („HUISSIER XX JUSTICE”) ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ MINN XXXXĊXXX ĠUDIZZJARJU ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX AFGEGEVEN DOOR XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX XXXĘXXXXX SĄDOWEGO (HUISSIER XX JUSTICE)/ (XX) XXXXXXXXX PROVENIENTE DE XX ESCRIVÃO XX XXXXXXX («XXXXXXXX DE XXXXXXX»)/ (XX) DOCUMENT XXXX DE UN XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX JUSTICE”)/ (SK) XXXXXXX XXXXXX SÚDNYM XXXXXXXXXXĽXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX („HUISSIER XX XXXXXXX“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX XX XXXXXXX”) XXXXXX XXXXXXXXX/ (XX) HANDLING SOM XÄXXÖX XXÅX EN XXÄXXXXXXXXX (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (ESPECIFÍQUESE)/ (CZ) XXXX (UPŘESNĚTE)/ (DA) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) XXX (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (TO XX XXXXXXXXX)/ (XX) XXXXX (À PRÉCISER)/ (XX) XXXX (LE XXXXX)/ (HR) OSTALO (XXXXXXX)/ (XX) XXXXX (XXXXXXXXX)/ (XX) XXXX (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (XX) EGYÉB (XXXXÜX PONTOSÍTANI)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (PL) XXXX (PROSZĘ XXXXŚXXĆ)/ (XX) OUTROS (A XXXXXXXXXXX)/ (XX) XXXXX (X SE XXXXXXX)/ (XX) INÉ (SPRESNIŤ)/ (XX) XXXXX (XXXXXXX)/ (XX) XXX ASIAKIRJA (XÄXXXXXXXXÄXÄ)/ (SV) ANNAN XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) ADMINISTRATĪVS XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) DOKUMENT AMMINISTRATTIV/ (XX) ADMINISTRATIEF XXXXXXXX/ (XX) XXXXXXXX ADMINISTRACYJNY/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) DOCUMENT ADMINISTRATIV/ (XX) SPRÁVNA XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) CERTIFICADO/ (XX) XXXXXXXXX/ (DA) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (EN) CERTIFICATE/ (XX) CERTIFICAT/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (HU) TANÚSÍTVÁNY/BIZONYÍTVÁNY/ (XX) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) ZAŚWIADCZENIE/ (XX) CERTIDÃO XX XXXXXXXXXXX/ (RO) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXX X XXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX AUS XXX PERSONENSTANDSREGISTER/ (XX) XXXXXXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX XXXXX STATUS XXXXXXXX/ (XX) XXXXXXX XX REGISTRE XX X'XXXX XXXXX/ (GA) XXXXXXX XX AN xXXXX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX IZ XXXXXXXX XXXXXXX STANJA/ (XX) ESTRATTO XX XXXX XX STATO XXXXXX/ (XX) XXXXXXXX XX XXXXXXXĀXXXĻX XXXX XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXĖX XŪXXĖX XXXŲ REGISTRO/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) XXXXXXX MIR-REĠISTRU XXX-XXXXX ĊXXXXX/ (XX) UITTREKSEL XXX XXX XXXXXXXX XXX DE BURGERLIJKE XXXXX/ (PL) XXXXX XXXXXXXX AKTU XXXXX XXXXXXXXX/ (PT) EXTRATO XX XXXX XX XXXXXXX XXXXX/ (RO) XXXXXX XXX XXXXXXXXX XX STARE XXXXXĂ/ (XX) VÝPIS X XXXXXXXX OSOBNÉHO STAVU/ (XX) XXXXXXX IZ 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 Z XXXXXXXX XXXXXXXX/ (DA) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX XXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX XXX XXXXXXXXXX XXXXXXXX/ (FR) EXTRAIT XX REGISTRE XX XX POPULATION/ (XX) XXXXXXX XX XX xXXXX DAONRA/ (XX) XXXXXXX IZ XXXXXX XXXXXXXXXXXX/ (IT) ESTRATTO XXXXXXXXXX/ (LV) XXXXXXXX XX XXXXĪXXXĀXX REĢISTRA/ (XX) XXXXXXX XX XXXXXXXXŲ REGISTRO/ (HU) XXXXXXX X SZEMÉLYIADAT- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX TAL-POPOLAZZJONI/ (XX) XXXXXXXXXX UIT XXX XXXXXXXXXXXXXXXXXX/ (PL) XXXXĄX X XXXXXXXX XXXXXŚXX/ (XX) XXXXXXX XX XXXXXXX XX XXXXXXÇÃX/ (XX) XXXXXX XXX XXXXXXXXX DE XXXXXXȚĂ X XXXXXXȚXXX/ (XX) XXXXX Z XXXXXXXX XXXXXXXĽXX/ (SL) XXXXXXX XX REGISTRA 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 XXXXX/ (CZ) OPIS XXXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXX XX XXXXXXXXXXXXXXXXXXX/ (XX) WÖRTLICHE XXXXX VON XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) VERBATIM COPY XX XXXXX XXXXXX XXXXXXX/ (XX) COPIE XXXXXXXXX D'ACTES XX X'XXXX XXXXX/ (XX) XXXX XXXXX XX XXXXXX DE THAIFID XX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XX XXXXXXXXXX X XXXXXXX XXXXXX/ (IT) XXXXX XXXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) CIVILSTĀVOKĻA XXXX XXĢXXXXX IERAKSTU XXXXXXXXXX XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (XX) XXXXXÖXXXX BEJEGYZÉS XXX XXXXXXXX MÁSOLATA/ (XX) XXXXX XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXX XXX AKTEN XXX XX XXXXXXXXXXX STAND/ (XX) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (XX) CERTIDÃO XX XXXXX INTEGRAL XX XX NARRATIVA DE XXXX XX XXXXXXX XXXXX/ (XX) COPIE XXXXXĂ X XXXX XXX XX XXXXX XXXXXĂ/ (XX) XXXXXXXX XXXXX XX XXXXXXX X XXXXXXX STAVE/ (XX) XXXXXXXXX PREPIS XXXXXX X XXXXXXX XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (SV) XXXXXXXXX XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX NOTARIAL/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) NOTARIELLE URKUNDE/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX ACT/ (XX) XXXX NOTARIÉ/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX ISPRAVA/ (IT) XXXX XXXXXXXX/ (XX) XXXXXXĀXX AKTS/ (XX) XXXXXXXXX XXXXX/ (HU) XÖXXXXXXŐX XXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (XX) XXX XXXXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXX NOTARIAL/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX LISTINA/ (FI) XXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX HANDLING

3.4

(BG) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX XXXXXX XXXXX UN XXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXX, KTERÝM BYLA XXXXXXXX XXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (DA) XXXXXXXX XÅXXXXXXX XÅ XX DOKUMENT XXXXXXXXXXX XX EN XXXXXX X XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (DE) XXXXXXXX XXXXXXXXXXXXX XXX XXXXX XXXXXXXXXXXXX/ (ET) XXXXX XXXXX ERAISIKUNA XXXXXXXXXXXXXX XXXXXXXXXXX KINNITATAV XXXXXXX TÕEND/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX XXXXXX XX X XXXXXXXX SIGNED XX X XXXXXX XX XXX OR XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX OFFICIELLE APPOSÉE XXX XX XXXX XXXX XXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX X XXXXXXXXX XX XXXXXXXXXX XXXX SHÍNIÚ XX DUINE INA XXXXX XX XXX XXXX XXXXXXXXXXXXXX/ (HR) XXXXXXXX XXXXXXX XXXXXXXXX XX XXXXXXX XXXX XX XXXXX XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX SU XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXĀXX XXXXXXXXĀXXXX UZ XXXXXXXXX, XX SAVĀ XĀXXĀ PARAKSTĪJUSI XĀXX XXXXXXX/ (LT) PRIVAČIŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX PATVIRTINIMAI/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (MT) ĊXXXXXXXXX XXXXĊXXXX XX XXXXXXXĦXX X'XXXXXXXX IFFIRMAT MINN XXXXXXX FIL-KAPAĊITÀ XXXXXXX XXXĦXX/ (NL) XXXXXXXXX XXXXXXXXXXX OP XXX XXXXXXXX ONDERTEKEND XXXX XXX XXXXXXX IN XXXX XXXXXXXXXXXX HOEDANIGHEID/ (XX) XXXĘXXXX ZAŚWIADCZENIE XXXXXXXXXXX NA XXXXXXXXXX XXXXXXXXXX PRZEZ OSOBĘ XXXXŁXXĄXĄ W XXXXXXXXXXX XXXXXXXXX/ (PT) XXXXXXXÇÃX XXXXXXX INSERTA XXX XXX DE XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXX XXXXXXX XX XX XXXXXXXX XXX XXXXĂXXXĂ PRIVATĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX XX XXXXXXX XXXXXXXXXX XXXXXX KONAJÚCOU XXX XXXXXXXX XXXXX/ (SL) XXXXXX IZJAVA NA XXXXXXX XXXXXXX/ (FI) XXXXXXXXXX XXXXXXXX ASIAKIRJASSA, XXXXX XXXXXXÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (SV) XXXXXXXXXX XXXXX ANBRINGAT XÅ EN HANDLING XXX UNDERTECKNATS XX XX PRIVATPERSON

3.5

(BG) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX XXX XX AGENTE XXXXXXXXXXX O XXXXXXXX XX UN ESTADO XXXXXXX XXX XXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX ZÁSTUPCEM XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXXXXX POVINNOSTÍ/ (XX) XXXXXXXX OFFICIELT UDFÆRDIGET XX XX MEDLEMSSTATS XXXXXXXXXXXX XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (DE) XXX XXXXX XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX FUNKTION ERRICHTETE XXXXXXX/ (ET) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX XXXXX AMETIKOHUSTUSTE TÄITMISEL XXXXXXXXX DOKUMENT/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΈΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (EN) XXXXXXXX XXXXX UP XX X DIPLOMATIC XX CONSULAR AGENT XX A MEMBER XXXXX IN XXX XX HER XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXX XX XX XXXXXXX XXXXXXXXXX PAR XX XXXXX DIPLOMATIQUE XX CONSULAIRE D'UN XXXX XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX XX CHUID BALLSTÁIT XXX CHÁIL NÓ XXX CÁIL XXXXXXXXX/ (XX) XXXXXXX XXXX XX X SLUŽBENOM XXXXXXXX SASTAVIO DIPLOMATSKI XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX ČLANICE/ (IT) XXXXXXXXX XXXXXXX XX XXXXXX XXXXXXXXXXX X XXXXXXXXX XX XXX XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX XXXX FUNZIONI/ (XX) XXXXXXXXX, XXXX, XXXXXX AMATA XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, PARENGTAS XXXXXXXĖX XXXĖX XXXXXXXXX XX XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX XXXXX OFICIALIUS ĮXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX DIPLOMÁCIAI VAGY XXXXXXX KÉPVISELŐJE XXXXX XXXXXXXXX XXXŐXXXXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXXX XXXX AĠENT XXXXXXXXXXX XXX KONSULARI XX' STAT XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX XXXX DE XXXXXXXXXXXX XX XXXXXXXXXX AMBTENAAR XXX XXX LIDSTAAT XX XXXX XXXXXXËXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXĄXXXXX XXXXX PRZEDSTAWICIELA XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX XXXĘXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX UM XXXXXX XXXXXXXXXXX XX XXXXXXXX XX UM XXXXXX-XXXXXX NO EXERCÍCIO XXX SUAS XXXÇÕXX XXXXXXXX/ (XX) DOCUMENT ÎXXXXXXX XX XĂXXX XX AGENT DIPLOMATIC XXX CONSULAR XX XXXX STAT XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX ZÁSTUPCOM XXXXX XXXXXXXXXXX ÚRADNÍKOM XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX FUNKCIE/ (XX) XXXXXXX, XX XX XXX XXXXXX XXXXX XXXX DIPLOMATSKI XXX XXXXXXXXXX PREDSTAVNIK XXXXXX XXXXXXX/ (XX) XXXXXXXXX, JONKA JÄSENVALTION XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX ON XXXXXXXX XXXXXXXXXXXXXXXXXX/ (SV) XXXXXXXX XXXXÄXXXX X XXÄXXXXX XX XX DIPLOMATISK XXXXX KONSULÄR XXÄXXXXXXX X XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (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) IZDAVANJA/ (XX) XXXX DI XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) IŠDAVIMO XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (XX) XXXX (JJ/XX/SSSS) XXX-ĦXXĠ/ (NL) DATUM (XX/XX/XXXX) XXX AFGIFTE/ (XX) XXXX (DD/MM/RRRR) XXXXXXX/ (XX) DATA XX EMISSÃO (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (SL) XXXXX (XX/XX/XXXX) IZDAJE/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX UTFÄRDANDE

3.7

(BG) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (ES) XXXXXX XX REFERENCIA XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (XX) DET XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) KENNNUMMER XXX ÖXXXXXXXXXXX XXXXXXX/ (ET) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX XX THE XXXXXX XXXXXXXX/ (FR) XXXXXX XX XXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXX XXXXXXXXX XX XXXXXXXXX XXXXXXX/ (HR) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (XX) XXXXXX XX RIFERIMENTO DEL XXXXXXXXX PUBBLICO/ (XX) XXXXXXXĀ DOKUMENTA XXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXXXXX NUMERIS/ (XX) X XÖXXXXXXX HIVATKOZÁSI XXXXX/ (MT) NUMRU XX' REFERENZA XXX-XXXXXXXX XXXXXXXX/ (NL) REFERENTIENUMMER XXX XXX OPENBAAR XXXXXXXX/ (PL) NUMER XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) NÚMERO XX XXXXXÊXXXX DO XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX XX XXXXXXXȚĂ XX XXXXXXXXXXXX OFICIAL/ (XX) XXXXXXXXXX ČÍSLO XXXXXXXX XXXXXXX/ (SL) REFERENČNA XXXXXXXX XXXXX LISTINE/ (XX) YLEISEN ASIAKIRJAN XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА ПОЧИНАЛОТО ЛИЦЕ/ (ES) XXXXXXXXXXX XXXXX XX PERSONA XXXXXXXXX/ (CZ) INFORMACE X XXXXXXXX/ (XX) XXXXXXXXXXX XX XXXØXX/ (XX) ANGABEN XXX XXXXXX, XXXXX XXX XXXXXXXXX XXXX/ (XX) XXXXXX XXXXXX XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΘΑΝΟΝΤΟΣ/ (EN) XXXXXXXXXXX ON XXX XXXXXXXX XXXXXX/ (FR) XXXXXXXXXXXX XXX LA XXXXXXXX XXXXXXX/ (XX) XXXXXXXX MAIDIR XXXX XX XXXXX ÉAGTHA/ (XX) XXXXXXXXXXX O XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXX SULLA XXXXXXX XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXX XXXXXXX/ (XX) XXXXXXXXXXX XXXX XXXXXĮ XXXXXĮ/ (HU) XX ELHUNYTRA XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX IL-PERSUNA DEĊEDUTA/ (XX) INFORMATIE XXXX XX OVERLEDENE/ (PL) XXXX XXXXXXĄXX XXXXX XXXXŁXX/ (PT) XXXXXXXÇÕXX XXXXX A XXXXXX XXXXXXXX/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXX DECEDATĂ/ (XX) XXXXXXXXXX X XXXXXXXX OSOBE/ (XX) XXXXXXXXXXX X XXXXXX/ (XX) XXXXXXXX XXXXXXÖX XXXXXX/ (SV) XXXXXXXXXXX XX DEN XXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X)/ (XX) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (XX) XXXXXXXXXXXX(X)/ (XX) XXXXXXXXXXXXX (-XXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX(X)/ (XX) XXX(X)/ (GA) SLOINNE (XXXXXXXX)/ (XX) XXXXXXX(XX)/ (XX) XXXXXXX(X)/ (XX) XXXĀXXX(-X)/ (XX) PAVARDĖ (-ĖX)/ (XX) XXXXXXX XXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX)/ (XX) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (PT) XXXXXXX(X)/ (XX) XXXX/ (XX) XXXXXXXXXX(-X)/ (SL) XXXXXXX/XXXXXXX/ (XX) XXXXXXXX (-XXXXX)/ (XX) EFTERNAMN

4.2

(BG) СОБСТВЕНО(И) ИМЕ(НА)/ (ES) NOMBRE(S)/ (XX) XXXXX (JMÉNA)/ (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)/ (LV) XĀXXX(-X)/ (LT) VARDAS (-XX)/ (XX) XXXXXXX(X)/ (XX) ISEM(/ISMIJIET)/ (XX) XXXXXX(X)X(XX)/ (XX) IMIĘ (XXXXXX)/ (XX) XXXX(X) XXXXXXX(X)/ (XX) PRENUME/ (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) DATUM (XX/XX/XXXX) XXXXX/ (DA) DØDSDATO (XX/XX/ÅÅÅÅ)/ (XX) DATUM (XX/XX/XXXX) XXX XXXXX/ (XX) XXXXXXXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΘΑΝΑΤΟΥ/ (XX) DATE (XX/XX/XXXX) OF DEATH/ (XX) XXXX (XX/XX/XXXX) XX XXXÈX/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXX/ (IT) XXXX DI XXXXXXX (XX/XX/XXXX)/ (LV) MIRŠANAS XXXXXX (DD/MM/GGGG)/ (XX) XXXXXXX XXXX (XX/XX/XXXX)/ (XX) XXXXXXXXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-XXXX/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXX/ (XX) XXXX DO XXXXX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXX/ (XX) KUOLINAIKA (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX DÖDSFALLET

4.4

(BG) МЯСТО И ДЪРЖАВА НА СМЪРТТА/ (XX) XXXXX Y XXXX XX FALLECIMIENTO/ (XX) XXXXX X ZEMĚ XXXXX/ (XX) DØDSSTED XX -LAND/ (DE) XXX XXX XXXX XXX TODES/ (ET) XXXXXXXXX XX -RIIK/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΘΑΝΑΤΟΥ/ (XX) XXXXX XXX XXXXXXX XX XXXXX/ (XX) XXXX ET XXXX XX DÉCÈS/ (GA) XXX AGUS XXX XX XXXXX/ (XX) XXXXXX X XXXXXX XXXXX/ (XX) XXXXX X XXXXX DI XXXXXXX/ (XX) XXXXXXXX XXXXX XX XXXXXX/ (XX) MIRTIES XXXXX XX XXXXX/ (XX) XXXXXXXXXXXXX XXXXX XX XXXXXXX/ (XX) XXXX X PAJJIŻ TAL-MEWT/ (XX) PLAATS XX XXXX VAN XXXXXXXXXX/ (XX) MIEJSCE I XXŃXXXX XXXXX/ (XX) XXXXX X XXXX XX ÓBITO/ (XX) XXXXX ȘX ȚXXX XXXXXXXXX/ (SK) XXXXXX X XXXX XXXXXX/ (XX) KRAJ IN XXXXXX SMRTI/ (FI) XXXXXXXXXXXX JA -MAA/ (XX) XXX OCH XXXX XÄX XÖXXXXXXXX XXXXÄXXXXX

4.5

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (ES) XXXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXX/ (DA) XØXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (PP/KK/AAAA)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) DATE (XX/XX/XXXX) XX XXXXX/ (FR) XXXX (JJ/MM/AAAA) XX XXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (XX) XXXX DI XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX DATUMS (DD/MM/GGGG)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (XX) SZÜLETÉSI XXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (DD/MM/JJJJ)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX NASCIMENTO (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXȘXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) ROJSTVA/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) FÖDELSEDATUM (DD/MM/ÅÅÅÅ)

4.6

(BG) ПОЛ/ (XX) SEXO/ (XX) POHLAVÍ/ (XX) XØX/ (XX) XXXXXXXXXX/ (XX) XXXX/ (XX) ΦΥΛΟ/ (XX) SEX/ (XX) XXXX/ (GA) XXXXXX/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) PŁEĆ/ (XX) XXXX/ (RO) XXXXX/ (XX) POHLAVIE/ (XX) XXXX/ (FI) XXXXXXXXX/ (XX) XÖX

4.6.1

(XX) ЖЕНСКИ/ (XX) MUJER/ (XX) XXXX/ (XX) KVINDE/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (GA) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (LV) SIEVIETE/ (XX) XXXXXXX/ (HU) XŐ/ (MT) XXXX/ (XX) XXXXX/ (PL) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (SK) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX

4.6.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) MUŽ/ (XX) MAND/ (DE) XÄXXXXXX/ (ET) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (FR) XXXXXXXX/ (XX) XXXXXXX/ (HR) XXXXX/ (XX) MASCHILE/ (XX) VĪRIETIS/ (LT) XXXXX/ (HU) XXXXX/ (XX) XXĠXX/ (XX) XXX/ (PL) MĘŻCZYZNA/ (XX) MASCULINO/ (RO) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) MOŠKI/ (XX) XXXX/ (XX) XXX

4.6.3

(XX) НЕОПРЕДЕЛЕН/ (ES) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (DA) XXXXXXXX/ (DE) XXXXXXXXXX/ (XX) MÄÄRAMATA/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) INDETERMINATO/ (XX) XXXXXXXXXX/ (LT) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) XÃX DEFINIDO/ (XX) XXXXXXXXXXXX/ (SK) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) EJ XXXXXXÄXXX

5.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX FIRMA/ (XX) XXXX XXX XXXXXX/ (DA) UNDERSKRIFTSFELT/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) SIGNATURE XXX/ (XX) CADRE XXXX XX SIGNATURE/ (XX) XXXXX XXX XXXXX/ (XX) POLJE XX XXXXXX/ (XX) XXXXXXXX XXX XX XXXXX/ (LV) XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXX/ (HU) AZ XXXXXXX SZÖVEGDOBOZA/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX VOOR DE XXXXXXXXXXXX/ (XX) XXXX XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À ASSINATURA/ (XX) SEMNĂTURA/ (SK) XXXXXXX XX XXXXXX/ (XX) POLJE ZA XXXXXX/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (XX) RUTA XÖX XXXXXXXXXXXXXX

5.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) Y XXXXXX(X) XXX XXXXXXXXXXX XXX XXXXXXX ESTE XXXXXXX/ (XX) XXXXXXXX X XXXXX (JMÉNA) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXX(X) OG XXXXXXX(X) XÅ DEN XXXXXXXXXX, XXX HAR XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX VORNAME(N) XXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) KÄESOLEVA XXXXX VÄLJASTANUD XXXXXXXX XXXXXXX (-XXXXX) XX XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) SURNAME(S) XXX XXXXXXXX(X) XX XXX XXXXXXXX WHO XXXXXX THIS XXXX/ (XX) XXX(X) XX XXXXXX(X) XX XXXXXXXXXXXXX XXX X DÉLIVRÉ XX XXXXXXX XXXXXXXXXX/ (XX) SLOINNE (SLOINNTE) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX XXXXXXXX X X’XXXXXX AN XXXXXX XXX/ (HR) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX XXXX XX XXXXX XXXX OBRAZAC/ (XX) XXXXXXX/X X XXXX/X XXX FUNZIONARIO CHE XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX VEIDLAPU, XXXĀXXX(-X) XX XĀXXX(-X)/ (XX) XXĄ XXXXĄ IŠDAVUSIO 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 XXX IL-FORMOLA/ (XX) NA(A)M(EN) XX XXXXXX(X)X(XX) VAN DE XXXXXXXXX DIE DIT XXXXXXXXX XXXXX AFGEGEVEN/ (XX) NAZWISKO(-A) I XXXĘ (IMIONA) XXXĘXXXXX, XXXXX WYDAŁ NINIEJSZY XXXXXXXXX/ (XX) XXXXXXX(X) X XXXX(X) PRÓPRIO(S) XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) NUMELE ȘX XXXXXXXXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX FORMULAR/ (XX) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX IME/IMENA XXXXXXXX, XX XX XXXXX XX OBRAZEC/ (XX) XÄXÄX LOMAKKEEN XXXXXXXX VIRKAMIEHEN XXXXXXXX (-XXXXX) XX ETUNIMI (-XXXXX)/ (XX) EFTERNAMN XXX XÖXXXXX XÅ XXX XXÄXXXXXXX XXX XXX UTFÄRDAT XXXXX XXXXXXÄX

5.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXXX — XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX FORMULAR/ (XX) STELLUNG DES XXXXXXX, XXX XXXXXX XXXXXXXX AUSGESTELLT HAT/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX AMETNIKU AMETIKOHT/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) POSITION XX XXX OFFICIAL XXX XXXXXX XXXX XXXX/ (XX) XXXXX XX XXXXXXXXXXXXX QUI X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXX XX XXXXXXXX X X’XXXXXX XX FHOIRM XXX/ (XX) XXXXXXXX XXXXXXXXXX XXXX JE XXXXX OVAJ XXXXXXX/ (XX) XXXXXXXXX XXX XXXXXXXXXXX XXX HA XXXXXXXXXX XX PRESENTE XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, AMATS/ (XX) XXĄ FORMĄ IŠDAVUSIO XXXXXXŪXX XXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ BEOSZTÁSA/ (XX) XXXXXX XXX-XXXXĊXXX LI ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX VAN XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) STANOWISKO XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX FORMULARZ/ (XX) XXXXX XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX FORMULÁRIO/ (RO) XXXXȚXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) FUNKCIA XXXXXXXX, KTORÝ XXXXX XXXXX FORMULÁR/ (XX) XXXXXXX URADNIKA, XX XX XXXXX TA XXXXXXX/ (XX) TÄMÄN XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXX/ (SV) BEFATTNING XÖX DEN XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

5.3

(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 (TT/MM/JJJJ)/ (XX) XÄXXXXXXXXXX KUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (DD/MM/YYYY) XX XXXXX/ (FR) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (IT) XXXX XX RILASCIO (XX/XX/XXXX)/ (LV) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X KIÁLLÍTÁS XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) XXXXX (XX/XX/XXXX) XXX AFGIFTE/ (XX) XXXX (DD/MM/RRRR) WYDANIA/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (RO) XXXX (ZZ/LL/AAAA) XXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

5.4

(XX) ПОДПИС/ (XX) XXXXX/ (CZ) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (FR) SIGNATURE/ (XX) SÍNIÚ/ (HR) XXXXXX/ (XX) FIRMA/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (NL) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (FI) XXXXXXXXXXXXX/ (SV) NAMNTECKNING

5.5

(BG) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (XX) XXXXX XXXX XXXXXXX/ (XX) XXXX XXXXX XXXXXXX/ (XX) SIEGEL XXXX XXXXXXX/ (ET) XXXXXX XÕX TEMPEL/ (XX) ΣΦΡΑΓΙΔΑ/ (EN) SEAL XX XXXXX/ (FR) XXXXX XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXX XXX XXXXX/ (XX) XXXXX O XXXXXX/ (XX) ZĪMOGS XXX XXXXXXXX/ (LT) XXXXXXX XXXX XXXXXXXXXX/ (XX) XXXXXX XXXX BÉLYEGZŐLENYOMAT/ (XX) SIĠILL XXX XXXXXX/ (XX) ZEGEL XX XXXXXXX/ (XX) XXXXXĘĆ LUB XXXXXXX/ (XX) XXXX OU XXXXXXX/ (XX) XXXXXXXX XXX ȘTAMPILA/ (XX) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (SL) PEČAT XXX ŽIG/ (XX) XXXXXXX XXX XXXXX/ (XX) SIGILL XXXXX XXÄXXXX

XXXXXXXXXX

XXXXXXXXXXX STANDARDNÍ XXXXXXXX – XXXXXXX XXX XXXXXXX

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

Xxxxxx (XX) Xxxxxxxxx (BG)

Česká xxxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxx (XX)

Xxxxxxxx (XX) Irsko (XX)

Xxxxx (EL) Španělsko (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Kypr (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (MT)

Nizozemsko (XX) Xxxxxxxx (XX)

Xxxxxx (PL) Xxxxxxxxxxx (XX)

Xxxxxxxx (RO) Xxxxxxxxx (SI)

Slovensko (SK) Xxxxxx (XX)

Xxxxxxx (XX) Xxxxxxx xxxxxxxxxx (UK)

DŮLEŽITÉ XXXXXXXXXX

Xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx standardního formuláře xx xxxxxxxxx xxxxxxxx xxxxxxx xxxxxxx, x xxx je xxxxxxxx. Xxxxx xxxxxxxx se xxxx členskými xxxxx xxxxx pohybovat xxxx xxxxxxxxxx dokument.

Tento xxxxxxxx xxxxxx obsah veřejné xxxxxxx, k níž xx přiložen. Orgán, xxxxx je veřejná xxxxxxx xxxxxxxxxxx, xxxx xxxx v xxxxxxxxx, xxx xx to xxxxxxxx xxx účely xxxxxxxxxx veřejné xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx xxxxxxxxx, xxxxx xxxx xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX VYDÁVAJÍCÍ XXXXX

Xxxxxx xxxxx informace, xxxxx jsou xxxxxxx xx xxxxxxx xxxxxxx, x xxx xx xxxxxxxx tento xxxxxxxx (2).

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

1. ORGÁN XXXXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

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

3.1 Xxxxxxx vydaná orgánem xxxx úředníkem x xxxxxx na xxxxx xxxxxx členského xxxxx

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx vyšším xxxxxxx xxxxxxxxx

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

3.1.5 Xxxx (xxxxxxxxx)

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

(2) Xxx xxxxxxxxxx rukou xxxxxxxx xxxxxxx xxxxx.

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

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

3.2 Listina xxxxxx správním xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx z xxxxxxx

3.2.3 Xxxxx z xxxxxxxx obyvatel

3.2.4 Opis xxxxxxxxxx xxxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Notářská xxxxxxx

3.4 Xxxxxx xxxxxxxxx, kterým xxxx xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

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

3.6 Xxxxx (xx/xx/xxxx) vydání

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXXX

4.1 Xxxxx (xx/xx/xxxx) uzavření xxxxxxxxxx

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

5. XXXXXX/XXXXXXXX A

5.1 Xxxxx/x příjmení

5.2 Xxxxxxxx xxxx xxxxxxxxx manželství

5.3 Xxxxxxxx xx xxxxxxxx xxxxxxxxxx

5.4 Xxxxx (xxxxx)

5.5 Xxxxx (xx/xx/xxxx) xxxxxxxx

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

5.6.1 Xxxx

5.6.2 Muž

5.6.3 Xxxxxxxx

(1) Slovy „xxxxx xxxxxxxx xxxxxxxxxx“ se xxxxxx xxxxx xxxx xxxx xxxxx, xxxxxx x xxxxx, xxx xxxx xxxxxxxxxx xxxxxxxx.

(2) Xxxxx xxxx x – xxxxx existuje – xxx ISO xxxx xxxx nebo xxxxxxx „Jiné (upřesněte)“ xx xxxxx xxxxxx x xxxxxxxxxxx nabídky xx xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx formuláři, který xx k xxxxxxxxx xx xxxxxxx evropské x-xxxxxxx.

6. XXXXXX/XXXXXXXX X

6.1 Xxxxx/x xxxxxxxx

6.2 Příjmení xxxx xxxxxxxxx manželství

6.3 Xxxxxxxx po xxxxxxxx xxxxxxxxxx

6.4 Jméno (xxxxx)

6.5 Xxxxx (xx/xx/xxxx) xxxxxxxx

6.6 Xxxxxxx:

6.6.1 Žena

6.6.2 Muž

6.6.3 Xxxxxxxx

7. XXXX PRO XXXXXX

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

7.2 Xxxxxx úředníka, xxxxx xxxxx tento xxxxxxxx

7.3 Datum (xx/xx/xxxx) xxxxxx

7.4 Podpis

7.5 Xxxxx xxxx razítko

VÍCEJAZYČNÝ GLOSÁŘ XXXXX STANDARDNÍCH XXXXXXX

(XXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX XXXXXX ESTE XXXXXXX/ (CZ) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) DENNE FORMULARS XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, DIE XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX XÄXXX XXXXXX ASUTUS/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX ISSUING XXXX XXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX AN XXXXXX XXX/ (HR) TIJELO XXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX IL XXXXXXXX XXXXXX/ (XX) XXXXXXXXX IZDEVĒJIESTĀDE/ (XX) XXĄ FORMĄ XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) AWTORITÀ XXXXXXXXX XX' XXX XX-XXXXXXX/ (NL) XXXXXXXXXX XXX AFGIFTE XXX XXX FORMULIER/ (PL) XXXXX XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (PT) XXXXXXXXXX XXX EMITE X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ A XXXXXXXXXXX FORMULAR/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX, XX XXXX XX XXXXXXX/ (XX) TÄMÄN XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX SOM XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (XX) BEZEICHNUNG/ (XX) XXXXXXX/ (EL) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (FR) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (HU) XXXXXXXXXX/ (XX) XXXXX/ (NL) XXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXÇÃX/ (RO) XXXXXXXX/ (XX) NÁZOV/ (XX) XXX/ (XX) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX XXXXXX EL XXXXXXXXX XXXXXXX XX XXX SE XXXXXXX XXXX IMPRESO/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXX XXXXXXXXX, XXX XXX XXXXXXX DET XXXXXXXXXX XXXXXXXX, XXX DENNE XXXXXXXX XX XXXXÆXXXX/ (XX) XXXÖXXX, DIE XXX ÖXXXXXXXXXX URKUNDE, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX, XXXXXXXXX/ (XX) XXXXXX, XXX XXXXX XÄXXX AVALIKU XXXXXXXXX, XXXXXXX XXX XXXX XX LISATUD/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) AUTHORITY XXXXXXX XXX XXXXXX XXXXXXXX XX WHICH XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXXXX DU XXXXXXXX XXXXXX XXXXXX XXX JOINT LE XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX XX DOICIMÉAD XXXXXX LENA BHFUIL XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXX JAVNU XXXXXXX KOJOJ XX XXXX XXXXXXX PRILOŽEN/ (XX) XXXXXXXÀ XXX XXXXXXXX IL DOCUMENTO XXXXXXXX CUI XX XXXXXXXX MODULO È XXXXXXXX/ (XX) PUBLISKĀ XXXXXXXXX, XXXXX ŠĪ XXXXXXXX XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (XX) A FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX TAD-DOKUMENT PUBBLIKU XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX VAN XXXXXXX VAN XXX XXXXXXXX DOCUMENT XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXX XXXĘXXXX, XX KTÓREGO XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXXX XXXXXXX X QUE X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXXX OFICIAL LA XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX VEREJNÚ XXXXXXX, XX KTOREJ XX TENTO XXXXXXXX XXXXXXXXX/ (SL) ORGAN, XX IZDA XXXXX XXXXXXX, XX JI XX PRILOŽEN XX XXXXXXX/ (XX) VIRANOMAINEN, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ LOMAKE LIITETÄÄN/ (XX) MYNDIGHET XXX XXXÄXXXX XXX XXXXXXXXXX XXXXXXXX TILL VILKEN XXXXX FORMULÄR ÄR XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX IMPRESO/ (CZ) XXXXXXXXX XXXXXXXX SE XXXXXXX XXXXXXX, X XXX XX PŘILOŽEN XXXXX FORMULÁŘ/ (XX) XXXXXXXXXXX XXXXØXXXXX XXX XXXXXXXXXX DOKUMENT, SOM XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX URKUNDE, XXX XXXXXX FORMULAR XXXXXXÜXX XXX/ (ET) XXXXX XXXXXXX DOKUMENDI XXXXX, MILLELE XXX XXXX XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX TO XXX PUBLIC XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX FORMULAIRE/ (XX) FAISNÉIS A XXXXXXXXX LEIS AN XXXXXXXXX XXXXXX XXXX XXXXXX AN XXXXXX XXX CEANGAILTE/ (HR) XXXXXXXXXXX XXXX SE XXXXXX NA XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX PRILOŽEN/ (XX) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È ALLEGATO/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX IR XXXXXXXXXX/ (XX) INFORMACIJA, XXXXXXXX XX VIEŠUOJU XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX XXXXX/ (XX) X FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXXXX VONATKOZÓ XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXX ID-DOKUMENT XXXXXXXX XX XXXXĦX HIJA XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX DOCUMENT XXXXXXX XXX FORMULIER XX XXXXXXX/ (XX) XXXXXXXXXX DOTYCZĄCE DOKUMENTU XXXĘXXXXXX, DO XXXXXXX XXXXXXXXX XXXXXXXXX JEST XXŁĄXXXXX/ (XX) INFORMAÇÕES XXXXXXXXX AO XXXXXXXXX XXXXXXX X XXX X XXXXXXXX FORMULÁRIO XXXX XXXXXX/ (RO) XXXXXXXȚXX REFERITOARE XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXXXXXXX X VEREJNEJ XXXXXXX, XX XXXXXX XX TENTO FORMULÁR XXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXX Z XXXXX XXXXXXX, KI XX XX PRILOŽEN XX XXXXXXX/ (XX) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) INFORMATION XX XXX OFFICIELLA XXXXXXXX TILL VILKEN XXXXX XXXXXXÄX ÄR XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (ES) XXXXXXXXX EXPEDIDO POR XXX XXXXXXXXX X XX XXXXXXXXXXX XXXXXXXXX X XXX ÓRGANOS XXXXXXXXXXXXXXXX DE UN XXXXXX MIEMBRO/ (XX) XXXXXXX XXXXXX XXXXXXX XXXX ÚŘEDNÍKEM X XXXXXX XX XXXXX XXXXXX XXXXXXXXX STÁTU/ (XX) XXXXXXXX, XXX XX XXXXXXX XX XX XXXXXXXXX ELLER XX XXXXXXXXXX, DER XX TILKNYTTET DOMSTOLE X EN XXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXÖXXX XXXX EINER XXXXXXXXXX XXX XXXXX XXX RECHTSPFLEGE XXXXX XXXXXXXXXXXXXX/ (XX) DOKUMENT, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXXXX XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (EN) XXXXXXXX EMANATING FROM XX AUTHORITY XX XX OFFICIAL XXXXXXXXX XXXX THE XXXXXX XX TRIBUNALS OF X XXXXXX STATE/ (XX) XXXXXXXX XXXXXXX X'XXX XXXXXXXX XX X'XX XXXXXXXXXXXXX XXXXXXXX X'XXX XXXXXXXXXXX D'UN XXXX XXXXXX/ (XX) XXXXXXXXX A XXXXXXX X XXXXXX XX X OIFIGEACH X XXXXXX XXXXX XXXX XX XXXX XX XXXXXXXXXX XX LE XXXXX XX XXXXX XXXXXXXXX/ (HR) XXXXXXX XXXX XX XXXXXX XXXXXX XXX XXXXXXXXX XXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX EMANATO XX XX'XXXXXXXÀ X XX XX FUNZIONARIO XXXXXXXXXXXX AD XXX XXXXX GIURISDIZIONI XX XXX XXXXX MEMBRO/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XX XXXĪXXXXXXX XXXXĀX XXXXXĪXX IESTĀDE XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX XXXXXXXX XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ SU XXXXXXXĖX XXXĖX TEISMAIS AR XXXXXXXXXXX/ (HU) TAGÁLLAMI XXXXXXXXXX KAPCSOLATBAN XXXX XXXXXXX VAGY TISZTVISELŐ XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ XXX XXXXĊXXX LI XXXXXXXX XXXXX MAL-QRATI XXX XX-XXXXXXXXX XX' XXXX XXXXXX/ (NL) DOCUMENT XXXXXXXXX DOOR EEN XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXXXXXX INSTANTIE VAN XXX LIDSTAAT/ (PL) XXXXXXXX XXXXXXXĄXX XX XXXXXX XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXXXX XX XX XX XXXXXXXXXXX DEPENDENTE XX QUALQUER XXXXXXXÇÃX XX XX XXXXXX-XXXXXX/ (XX) DOCUMENT XXXX XX X XXXXXXXXXX XXX DE XX XXXXȚXXXXX XX PE XÂXXĂ XXXXXXȚXXX XXXX XXXX MEMBRU/ (XX) XXXXXXX XXXXXX ORGÁNOM XXXXX XXXXXXXXX S XÄXXXX XX SÚDY XXXXXXXXX ŠTÁTU/ (XX) XXXXXXX, XXXXXX X XXXXXX XXXXXX XXX XXXXXXXX XXXXX XXXXXXX XXXXXX ČLANICE/ (FI) XXXXXXXXX, XXXXX ON XXXXXXX JÄSENVALTION OIKEUSLAITOKSEEN XXXXXXX VIRANOMAINEN XXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN XX XXXXXXXXX XXXXX XX TJÄNSTEMAN XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X EN XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX SOUDU/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) COURT DECISION/ (XX) XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXX XX xXXXXX/ (XX) XXXXXX ODLUKA/ (IT) XXXXXXXXX GIURISDIZIONALE/ (XX) XXXXXX XĒXXXX/ (LT) XXXXXX XXXXXXXXXX/ (HU) XXXXXXXX HATÁROZAT/ (MT) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX BESLISSING/ (XX) XXXXXXXXXX SĄDOWE/ (XX) XXXXXÃX XXXXXXXX/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (SK) XXXXX XXXXXXXXXXX/ (XX) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (SV) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (ES) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXX/ (XX) LISTINA XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX AF XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT, XXXXX XX XÄXXX XXXXXX XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX ÉMANANT XX XXXXXXÈXX XXXXXX/ (GA) XXXXXXXXX A XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (XX) ISPRAVA XXXX XX IZDALO XXXXXXX XXXXXXXXXXXX/ (IT) XXXXXXXXX XXXXXXX XXX PUBBLICO XXXXXXXXX/ (XX) XXXXXXXXX, XXXX IZSNIEDZIS XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (HU) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXXXXX XXXX EEN XXXXXXXX XXXXXXXXXX/ (PL) DOKUMENT XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX MINISTÉRIO XXXXXXX/ (XX) XXXXXXXX XXXX XX UN PROCUROR/ (XX) XXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXX, XX JO XXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX SYYTTÄJÄN XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX UN XXXXXXXXXX XXXXXXXX/ (XX) LISTINA XXXXXX VYŠŠÍM SOUDNÍM XXXXXXXXX/ (DA) DOKUMENT XXXXXXX AF EN XXXXXXXXXXXXXÆX/ (XX) XXXXXXX XXXXX URKUNDSBEAMTEN DER XXXXXÄXXXXXXXXX EINES GERICHTS/ (XX) XXXXXXXX, XXXXX XX VÄLJA XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) DOCUMENT XXXXXXXXX XXXX X XXXXX XX X XXXXX/ (XX) DOCUMENT XXXXXXX D'UN GREFFIER/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXX XX XXXXX XXXXXX/ (XX) XXXXXXX KOJU XX IZDAO UPRAVITELJ XXXXXX XXXXXXXXX/ (IT) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (XX) XXXXXX TARNAUTOJO XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX XXĠXXXXXXXX XX' QORTI/ (NL) XXXXXXXX XXXXXXXXX DOOR XXX GRIFFIER/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX SĄDOWEGO/ (XX) XXXXXXXXX PROVENIENTE DE XX XXXXXXX XX XXXXXÇX/ (XX) XXXXXXXX XXXX DE XX XXXXXXX XX XXXXXXȚXX/ (XX) XXXXXXX VYDANÁ XXXXXX ÚRADNÍKOM/ (SL) XXXXXXX, XX JO XXXX XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX ASIAKIRJA/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX EN DOMSTOLSTJÄNSTEMAN

3.1.4

(BG) 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“)/ (DA) XXXXXXXX XXXXXXX AF XX STÆVNINGSMAND (»XXXXXXXX XX XXXXXXX«)/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT, MILLE XX XÄXXX XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («HUISSIER DE XXXXXXX»)/ (EN) DOCUMENT XXXXXXXXX XXXX A XXXXXXXX XXXXXXX ('HUISSIER XX JUSTICE')/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX DE XXXXXXX/ (XX) DOICIMÉAD X XXXXXXX Ó OIFIGEACH XXXXXXXXXXXX (“HUISSIER XX XXXXXXX”)/ (XX) XXXXXXX XXXX XX XXXXX XXXXXX XXXXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX EMANATO XX XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (XX) DOKUMENTS, XXXX XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (XXXXXXXX XX JUSTICE)/ (XX) ANTSTOLIO (XXXXXXXX XX XXXXXXX) IŠDUOTAS XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX”) XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) DOCUMENT XXXXXXXXX XXXX XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX XĄXXXXXX (XXXXXXXX XX XXXXXXX)/ (PT) DOCUMENTO XXXXXXXXXXX DE XXXXXXXXÃX XX DIREITO («HUISSIER XX XXXXXXX»)/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX JUDECĂTORESC („XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXXXX XXXXXX VYKONÁVATEĽOM („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXX, XX XX XXXX SODNI IZVRŠITELJ („XXXXXXXX DE XXXXXXX“)/ (XX) HAASTEMIEHEN (”HUISSIER XX JUSTICE”) XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX STÄMNINGSMAN (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (ESPECIFÍQUESE)/ (XX) XXXX (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) MUU (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (EN) XXXXX (XX XX XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (GA) XXXX (XX XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (IT) XXXXX (PRECISARE)/ (XX) XXXX (PRECIZĒT)/ (LT) XXXX (NURODYTI)/ (HU) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) OĦRAJN (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) XXXX (PROSZĘ XXXXŚXXĆ)/ (PT) OUTROS (X XXXXXXXXXXX)/ (XX) XXXXX (X SE XXXXXXX)/ (SK) INÉ (XXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) XXXXX XXXXXXXX (SPECIFICERAS)

3.2

(BG) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) ADMINISTRATIVE XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (GA) DOICIMÉAD XXXXXXXXXX/ (XX) UPRAVNA XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) ADMINISTRATĪVS XXXXXXXXX/ (LT) ADMINISTRACINIS XXXXXXXXXX/ (HU) XÖXXXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (PL) XXXXXXXX XXXXXXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXXXXX/ (RO) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (SL) UPRAVNA XXXXXXX/ (XX) HALLINNOLLINEN XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (DE) XXXXXXXXXXXXX/ (ET) TÕEND/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (HR) XXXXXXX/ (XX) CERTIFICATO/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (HU) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (RO) XXXXXXXXXX/ (XX) OSVEDČENIE/ (XX) POTRDILO/ (FI) XXXXXXXX/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXX X MATRIKY/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (DE) XXXXXX XXX DEM PERSONENSTANDSREGISTER/ (XX) PEREKONNASEISUREGISTRI VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) EXTRACT XXXX THE CIVIL XXXXXX XXXXXXXX/ (XX) XXXXXXX XX REGISTRE XX L'ÉTAT CIVIL/ (XX) SLIOCHT AS XX xXXXX STÁDAIS XXXXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXX XXXXXX/ (XX) XXXXXXXX XX XXXX XX XXXXX CIVILE/ (XX) XXXXXXXX XX CIVILSTĀVOKĻA XXXX XXĢXXXXX/ (LT) XXXXXXX XX XXXXXXXĖX XŪXXĖX XXXŲ XXXXXXXX/ (XX) ANYAKÖNYVI KIVONAT/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (NL) XXXXXXXXXX XXX XXX XXXXXXXX VAN XX XXXXXXXXXXX XXXXX/ (XX) XXXXX SKRÓCONY AKTU XXXXX XXXXXXXXX/ (PT) XXXXXXX DE XXXX XX XXXXXXX XXXXX/ (XX) XXXXXX XXX XXXXXXXXX DE XXXXX XXXXXĂ/ (XX) VÝPIS X REGISTRA XXXXXXXX XXXXX/ (SL) 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) VÝPIS X XXXXXXXX XXXXXXXX/ (XX) XXXXXX FRA XXXXXXXXXXXXXX/ (XX) AUSZUG AUS XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (EN) XXXXXXX XXXX XXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XX XX XXXXXXXXXX/ (XX) XXXXXXX XX XX gCLÁR XXXXXX/ (XX) XXXXXXX XX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XX XXXXĪXXXĀXX XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXXŲ XXXXXXXX/ (XX) XXXXXXX X XXXXXXXXXXXX- XX LAKCÍMNYILVÁNTARTÁSBÓL/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX XXX BEVOLKINGSREGISTER/ (XX) XXXXĄX Z XXXXXXXX XXXXXŚXX/ (XX) XXXXXXX XX XXXXXXX XX POPULAÇÃO/ (RO) XXXXXX DIN REGISTRUL XX XXXXXXȚĂ X XXXXXXȚXXX/ (XX) VÝPIS X XXXXXXXX XXXXXXXĽXX/ (XX) XXXXXXX XX XXXXXXXX PREBIVALSTVA/ (FI) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX XX ACTAS XXX XXXXXXXX XXXXX/ (CZ) XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXX XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (ET) PEREKONNASEISUAKTI XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX XX XXXXX XXXXXX RECORDS/ (XX) XXXXX INTÉGRALE X'XXXXX XX X'XXXX XXXXX/ (XX) CÓIP XXXXX XX XXXXXX XX XXXXXXX XX XXXXXX XXXXXXXXX/ (HR) XXXXXXXX XXXXXXXX XX XXXXXXXXXX X XXXXXXX XXXXXX/ (XX) XXXXX XXXXXXXXX XX XXXX DI XXXXX XXXXXX/ (LV) XXXXXXXĀXXXĻX AKTU XXĢXXXXX XXXXXXXX XXXXXXXXXX KOPIJA/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX SZÓ XXXXXXXX XXXXXXXX/ (XX) KOPJA XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXX XXX XXXXX XXX DE BURGERLIJKE XXXXX/ (XX) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXÃX XX XXXXX INTEGRAL XX XX XXXXXXXXX XX ATOS DE XXXXXXX CIVIL/ (XX) XXXXX XXXXXĂ X XXXX XXX DE XXXXX XXXXXĂ/ (XX) XXXXXXXX XXXXX XX XXXXXXX O XXXXXXX XXXXX/ (SL) XXXXXXXX XXXXXX XXXXXX O XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) ORDAGRANN XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (ES) XXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (DE) XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) NOTARIAL XXX/ (XX) XXXX NOTARIÉ/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) JAVNOBILJEŽNIČKA XXXXXXX/ (XX) XXXX NOTARILE/ (XX) NOTARIĀLS XXXX/ (XX) NOTARINIS AKTAS/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) XXX NOTARILI/ (XX) XXXXXXËXX AKTE/ (XX) XXX NOTARIALNY/ (XX) XXX XXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) NOTARSKA LISTINA/ (XX) XXXXXXXX ANTAMA XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX XXXXXX XXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXXXX OSVĚDČENÍ, XXXXXX XXXX XXXXXXXX LISTINA XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXX XÅXXXXXXX XÅ XX XXXXXXXX XXXXXXXXXXX XX XX XXXXXX I XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXX BESCHEINIGUNG XXX XXXXX XXXXXXXXXXXXX/ (XX) ISIKU XXXXX XXXXXXXXXX ALLKIRJASTATUD DOKUMENDILE XXXXXXXXXX XXXXXXX TÕEND/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) OFFICIAL XXXXXXXXXXX PLACED XX X XXXXXXXX SIGNED XX A XXXXXX XX XXX XX XXX PRIVATE CAPACITY/ (XX) XXXXXXXXXXX OFFICIELLE XXXXXXX XXX XX XXXX SOUS XXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX X CHUIRTEAR XX XXXXXXXXXX XXXX XXXXXX XX XXXXX XXX XXXXX NÓ XXX XXXX XXXXXXXXXXXXXX/ (XX) SLUŽBENA XXXXXXX XXXXXXXXX NA XXXXXXX XXXX XX XXXXX XXXXXXXXX U PRIVATNOM XXXXXXXX/ (IT) XXXXXXXXXXXXX XXXXXXXXX APPOSTA XX XXX SCRITTURA XXXXXXX/ (XX) XXXXXĀXX APLIECINĀJUMS XX XXXXXXXXX, XX XXXĀ XĀXXĀ PARAKSTĪJUSI XĀXX XXXXXXX/ (XX) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX PATVIRTINIMAI/ (XX) MAGÁNOKIRATON XXXXXXXXXXX XXXXXXXXX TANÚSÍTVÁNY/ (XX) ĊXXXXXXXXX XXXXĊXXXX XX XXXXXXXĦXX F'DOKUMENT IFFIRMAT XXXX PERSUNA XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXX ONDERTEKEND XXXX XXX XXXXXXX XX ZIJN XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX UMIESZCZONE XX XXXXXXXXXX PODPISANYM XXXXX XXXXĘ DZIAŁAJĄCĄ X XXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÃX OFICIAL INSERTA XXX XXX XX XXXXXXXX PRIVADA/ (XX) XXXXXXXXXX OFICIAL XXXXXXX XX XX XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX XX XXXXXXX XXXXXXXXXX XXXXXX KONAJÚCOU XXX SÚKROMNÁ XXXXX/ (XX) URADNA XXXXXX XX XXXXXXX LISTINI/ (XX) XXXXXXXXXX TODISTUS XXXXXXXXXXXX, XXXXX XXXXXXÖ XX XXXXXXXXXXXXXXXX YKSITYISHENKILÖNÄ/ (XX) XXXXXXXXXX INTYG 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/ (ES) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXXXXX O XXXXXXXX XX XX XXXXXX XXXXXXX CON XXXXXXXX XXXXXXX/ (CZ) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X RÁMCI XXXXXX XXXX XXXXXXXXXX POVINNOSTÍ/ (XX) DOKUMENT OFFICIELT XXXÆXXXXXX XX EN XXXXXXXXXXXX DIPLOMATISKE XXXXX XXXXXXÆXX REPRÆSENTANT/ (XX) XXX XXXXX DIPLOMATISCHEN XXXX KONSULARISCHEN XXXXXXXXX XXXXX XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX FUNKTION XXXXXXXXXX XXXXXXX/ (ET) XXXXXXXXXXXX DIPLOMAATILISE VÕI XXXXXXXXXXXXXXXXX XXXXX AMETIKOHUSTUSTE XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX XXXXX XX XX A XXXXXXXXXX XX CONSULAR XXXXX XX A XXXXXX XXXXX XX XXX OR HER XXXXXXXX XXXXXXXX/ (FR) XXXXXXXX ÉTABLI EN XX XXXXXXX XXXXXXXXXX XXX UN XXXXX XXXXXXXXXXXX XX XXXXXXXXXX X'XX XXXX MEMBRE/ (XX) XXXXXXXXX XXXX XXXXXXXXXX SUAS AG XXXXXXXXXX XXXXXXXXXXXXXXXX NÓ XXXXXXXXX DE CHUID XXXXXXXXX INA CHÁIL XX INA XXXX XXXXXXXXX/ (HR) ISPRAVA XXXX JE U XXXXXXXXX XXXXXXXX SASTAVIO XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX DRŽAVE XXXXXXX/ (XX) DOCUMENTO REDATTO XX XXXXXX XXXXXXXXXXX X XXXXXXXXX DI XXX XXXXX MEMBRO XXXX'XXXXXXXXX XXXXX LORO XXXXXXXX/ (XX) DOKUMENTS, XXXX, PILDOT AMATA XXXXĀXXXXX, XXXXXXXXXXX DALĪBVALSTS XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (LT) DOKUMENTAS, XXXXXXXXX XXXXXXXĖX NARĖS XXXXXXXXX AR KONSULINIO XXXXXXŪXX, XXXXXXXXXX XXXXX XXXXXXXXXX ĮGALIOJIMUS/ (XX) XXXXXXXX TAGÁLLAM XXXXXXXXXXX XXXX XXXXXXX KÉPVISELŐJE XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX IMĦEJJI MINN XĠXXX XXXXXXXXXXX JEW XXXXXXXXX TA' STAT XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (NL) XXXXXXXX XXXXXXXXX XXXX DE XXXXXXXXXXXX OF CONSULAIRE XXXXXXXXX XXX XXX XXXXXXXX XX XXXX XXXXXXËXX HOEDANIGHEID/ (PL) XXXXXXXX XXXXXĄXXXXX PRZEZ XXXXXXXXXXXXXXX DYPLOMATYCZNEGO LUB XXXĘXXXXX XXXXXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX DZIAŁAJĄCYCH W XXXXXXXXXXX XXXĘXXXXX/ (PT) XXXXXXXXX XXXXXXX XXX XX XXXXXX XXXXXXXXXXX XX XXXXXXXX XX XX XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX XX XĂXXX UN AGENT XXXXXXXXXX XXX XXXXXXXX XX UNUI STAT XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX ŠTÁTU V XXXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXX, XX JO XXX XXXXXX XXXXX XXXX XXXXXXXXXXX ALI KONZULARNI XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, JONKA XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXÄXXXX X XXÄXXXXX AV XX XXXXXXXXXXX ELLER XXXXXXÄX XXÄXXXXXXX X EN XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (DA) XXXXXXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX KUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) OF ISSUE/ (XX) XXXX (JJ/MM/AAAA) XX DÉLIVRANCE/ (XX) XXXX (XX/XX/XXXX) EISIÚNA/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) WYDANIA/ (PT) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (SK) XXXXX (DD/MM/RRRR) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (XX) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) REFERENČNÍ XXXXX XXXXXXX XXXXXXX/ (DA) XXX XXXXXXXXXX DOKUMENTS XXXXXXXXXXXXXXX/ (DE) KENNNUMMER XXX ÖXXXXXXXXXXX URKUNDE/ (XX) AVALIKU XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) REFERENCE XXXXXX OF XXX XXXXXX DOCUMENT/ (XX) XXXXXX DE XXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) UIMHIR XXXXXXXXX XX XXXXXXXXX PHOIBLÍ/ (XX) REFERENTNI XXXX XXXXX ISPRAVE/ (IT) XXXXXX XX XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXXXXX NUMERIS/ (XX) A XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX DOCUMENT/ (PL) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (PT) XXXXXX XX XXXXXÊXXXX XX XXXXXXXXX PÚBLICO/ (RO) XXXĂXXX XX REFERINȚĂ XX XXXXXXXXXXXX OFICIAL/ (XX) REFERENČNÉ XXXXX XXXXXXXX LISTINY/ (XX) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (SV) XXX XXXXXXXXXX HANDLINGENS XXXXXXXXXXXXXX

4.

(XX) БРАК/ (XX) XXXXXXXXXX/ (CZ) MANŽELSTVÍ/ (XX) ÆXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) XXXXXX/ (XX) ΓΑΜΟΣ/ (XX) XXXXXXXX/ (FR) MARIAGE/ (XX) XXXXXX/ (HR) XXXXXXXXX XXXXX/ (XX) XXXXXXXXXX/ (LV) LAULĪBA/ (XX) SANTUOKA/ (XX) XXXXXXXXXÖXXX/ (XX) ŻXXXĠ/ (XX) XXXXXXXX/ (XX) XXŁŻXŃXXXX/ (PT) XXXXXXXXX/ (XX) CĂSĂTORIA/ (SK) XXXXXXXXXX/ (SL) XXXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXXXXX/ (SV) ÄKTENSKAP

4.1

(BG) ДАТА (ДД/ММ/ГГГГ) НА БРАКА/ (XX) XXXXX (XX/XX/XXXX) XXX MATRIMONIO/ (XX) XXXXX (DD/MM/RRRR) XXXXXXXX MANŽELSTVÍ/ (XX) XXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXXXXXXXXX/ (ET) XXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΤΕΛΕΣΗΣ ΤΟΥ ΓΑΜΟΥ/ (XX) XXXX (XX/XX/XXXX) XX XXX MARRIAGE/ (XX) XXXX (JJ/MM/AAAA) XX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XX PHÓSTA/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX BRAKA/ (IT) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (LV) XXXXĪXXX XXXXĒXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) SANTUOKOS SUDARYMO XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXXÖXXX XXXXX (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) XXŻ-ŻXXXĠ/ (XX) XXXXX (XX/XX/XXXX) VAN XXX XXXXXXXX/ (XX) XXXX (DD/MM/RRRR) ZAWARCIA XXŁŻXŃXXXX/ (XX) DATA XX CASAMENTO (XX/XX/XXXX)/ (XX) XXXX (ZZ/LL/AAAA) XĂXĂXXXXXX/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXXXXX SOLMIMISPÄIVÄ (XX/XX/XXXX)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) FÖR ÄXXXXXXXXXXX XXXÅXXXX

4.2

(XX) МЯСТО И ДЪРЖАВА НА БРАКА/ (XX) LUGAR X XXXX XXX MATRIMONIO/ (XX) XXXXX A XXXX UZAVŘENÍ XXXXXXXXXX/ (XX) XXXXXXXXXXX OG -XXXX/ (DE) XXX XXX XXXX XXX XXXXXXXXXXXXXX/ (XX) ABIELLUMISE XXXX XX XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΤΕΛΕΣΗΣ ΤΟΥ ΓΑΜΟΥ/ (XX) XXXXX XXX XXXXXXX XX XXX XXXXXXXX/ (XX) XXXX XX XXXX XX XXXXXXX/ (XX) XXX AGUS XXX XX PHÓSTA/ (XX) XXXXXX X XXXXXX XXXXXXXXX XXXXX/ (XX) XXXXX X XXXXX XX XXXXXXXXXX/ (XX) XXXXĪXXX XXXXĒXXXXXX XXXXX XX VALSTS/ (XX) XXXXXXXXX XXXXXXXX XXXXX XX XXXXX/ (HU) X XXXXXXXXXÖXXX XXXXX XX ORSZÁGA/ (XX) XXXX X PAJJIŻ XXŻ-ŻXXXĠ/ (XX) XXXXXX XX XXXX XXX XXX XXXXXXXX/ (XX) XXXXXXX X XXŃXXXX XXXXXXXX MAŁŻEŃSTWA/ (PT) XXXXX X XXXX XX CASAMENTO/ (RO) XXXXX ȘI ȚXXX XĂXĂXXXXXX/ (XX) MIESTO X XXXX XXXXXXXXX XXXXXXXXXX/ (XX) XXXX XX DRŽAVA XXXXXXXXX XXXXXXXX XXXXX/ (FI) XXXXXXXXXX SOLMIMISPAIKKA XX -XXX/ (XX) XXX XXX XXXX XÄX ÄXXXXXXXXXX XXXXXXX

5.

(XX) СЪПРУГ X/ (XX) CÓNYUGE X/ (CZ) MANŽEL/MANŽELKA X/ (XX) ÆXXXXÆXXX X/ (DE) EHEPARTNER X/ (XX) XXXXXXXX X/ (XX) ΣΥΖΥΓΟΣ Α/ (XX) XXXXXX X/ (XX) CONJOINT X/ (XX) XXXXX X/ (XX) XXXXXX XXXX X/ (IT) XXXXXXX X/ (XX) XXXXĀXXXX A/ (LT) XXXXXXXXXXX X/ (XX) „X” XXXXXXXXX/ (XX) XXXXXĠX A/ (XX) XXXXXXXX(X)X(X) A/ (XX) XXŁŻXXXX X/ (PT) XÔXXXXX X/ (XX) XXȚXX X/ (XX) XXXXXX/XXXXXXXX X/ (SL) XXXXXXX X/ (XX) XXXXXXX X/ (XX) XXXX/XXXX A

5.1

(BG) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (XX) XXXXXXXX(X) XX XXXXXXXXXX/ (XX) RODNÉ/Á XXXXXXXX/ (XX) XXXXXXXXX(X) XXX XØXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXX XXXXXX/ (ET) XÜXXXXÄXXXX XXXXXXXXXXXXX (SÜNNIJÄRGSED XXXXXXXXXXXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (XX) XXXXXXX(X) AT XXXXX/ (XX) XXX(X) À XX XXXXXXXXX/ (XX) XXXXXXX (SLOINNTE) XXXXXXX/ (XX) PREZIME(NA) PRI XXĐXXXX/ (XX) XXXXXXX/X XXXX XXXXXXX/ (XX) XXXĀXXX(-X) XXXXXXXXX XXĪXĪ/ (XX) PAVARDĖ (-ĖS), XXXXXXXX (-XX) XXXXX/ (XX) XXÜXXXXXX XXXXXXX XXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX) XXX-XXXXXX/ (XX) ACHTERNA(A)M(EN) XXX XX XXXXXXXX/ (XX) XXXXXXXX(-X) XXXXXX/ (XX) XXXXXXX(X) À XXXX XX XXXXXXXXXX/ (XX) XXXXXX LA XXȘXXXX/ (SK) XXXXX XXXXXXXXXX(-X)/ (XX) PRIIMEK/PRIIMKI XX XXXXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXXXÄXXXXXXXÄ/ (XX) EFTERNAMN XXX XÖXXXXX

5.2

(XX) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ БРАКА/ (XX) XXXXXXXX(X) XXXXX XX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX PŘED XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXX(X) XØX VIELSEN/ (DE) XXXXXXXXXXXX(X) XXX DER XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX (-XXXXX) XXXX XXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΤΟΝ ΓΑΜΟ/ (XX) XXXXXXX(X) XXXXXX THE XXXXXXXX/ (XX) NOM(S) XXXXX XX MARIAGE/ (XX) XXXXXXX (SLOINNTE) XXXXX XX bPÓSADH/ (XX) XXXXXXX(XX) PRIJE XXXXXXXXX XXXXX/ (XX) XXXXXXX/X XXXXX DEL XXXXXXXXXX/ (XX) UZVĀRDS(-I) XXXXX XXXXĪXXX/ (XX) XXXXXXĖ (-ĖX) XXXXX XXXXXXXĄ/ (XX) CSALÁDI XXXX(X) A XXXXXXXXXÖXXX XXŐXX/ (MT) KUNJOM(/KUNJOMIJIET) XXXXX XŻ-ŻXXXĠ/ (XX) XXXXXXXX(X)X(XX) VÓÓR XXX XXXXXXXX/ (PL) NAZWISKO(-A) XXXXX ZAWARCIEM MAŁŻEŃSTWA/ (XX) APELIDO(S) XXXXX XX XXXXXXXXX/ (XX) XXXXXX ÎNAINTE XX XĂXĂXXXXX/ (XX) XXXXXXXXXX(-X) XXXX XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX/XXXXXXX PRED XXXXXXXXXXX XXXXXXXX XXXXX/ (XX) SUKUNIMI (-XXXXX) XXXXX XXXXXXXXXXX/ (SV) XXXXXXXXX XÖXX ÄXXXXXXXXXXX XXXÅXXXX

5.3

(XX) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА БРАКА/ (XX) XXXXXXXX(X) XXXXXXX XX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXX(X) EFTER XXXXXXX/ (XX) XXXXXXXXXXXX(X) XXXX XXX XXXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXX (-NIMED) XÄXXXX XXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΜΕΤΑ ΤΟΝ ΓΑΜΟ/ (XX) XXXXXXX(X) FOLLOWING XXX XXXXXXXX/ (XX) XXX(X) À XX XXXXX XX XXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXX XXX AN XXXXXX/ (HR) XXXXXXX(XX) XXXXX XXXXXXXXX BRAKA/ (XX) XXXXXXX/X XXXX XX XXXXXXXXXX/ (LV) XXXĀXXX(-X) XĒX XXXXĪXXX/ (XX) PAVARDĖ (-ĖX) XX XXXXXXXXX/ (XX) XXXXXXX XXXX(X) X XXXXXXXXXÖXXX XXXX/ (XX) XXXXXX(/XXXXXXXXXXX) XXXX Ż-ŻXXXĠ/ (XX) ACHTERNA(A)M(EN) NA XXX XXXXXXXX/ (PL) XXXXXXXX(-X) XX ZAWARCIU XXŁŻXŃXXXX/ (XX) XXXXXXX(X) XXXX X CASAMENTO/ (XX) XXXXXX XXXĂ XĂXĂXXXXX/ (SK) PRIEZVISKO(-Á) XX UZAVRETÍ XXXXXXXXXX/ (XX) PRIIMEK/PRIIMKI PO XXXXXXXXX ZAKONSKE ZVEZE/ (XX) SUKUNIMI (-NIMET) XXXXXXXXXX XXXXXXXXXX XÄXXXXX/ (XX) XXXXXXXXX EFTER ÄXXXXXXXXXXX INGÅENDE

5.4

(BG) СОБСТВЕНО(И) ИМЕ(НА)/ (ES) NOMBRE(S)/ (XX) XXXXX (XXXXX)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (HR) XXX(XX)/ (XX) XXXX(X)/ (LV) XĀXXX(-X)/ (XX) XXXXXX (-XX)/ (HU) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (NL) XXXXXX(X)X(XX)/ (XX) IMIĘ (XXXXXX)/ (XX) XXXX(X) XXXXXXX(X)/ (RO) PRENUME/ (XX) MENO(-Á)/ (SL) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (XX) XÖXXXXX

5.5

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) FECHA (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXXX/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (EN) XXXX (DD/MM/YYYY) OF XXXXX/ (FR) XXXX (XX/XX/XXXX) XX NAISSANCE/ (XX) XXXX (LL/MM/BBBB) XXXXXXX/ (HR) DATUM (XX/XX/XXXX) XXĐXXXX/ (XX) XXXX XX XXXXXXX (XX/XX/XXXX)/ (LV) DZIMŠANAS XXXXXX (XX/XX/XXXX)/ (LT) XXXXXX XXXX (DD/MM/MMMM)/ (XX) XXÜXXXXXX IDEJE (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) DATA XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (ZZ/LL/AAAA) NAȘTERII/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) ROJSTVA/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

5.6

(XX) ПОЛ/ (XX) XXXX/ (CZ) XXXXXXX/ (DA) XØX/ (XX) XXXXXXXXXX/ (XX) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (FR) XXXX/ (GA) XXXXXX/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) XXXX/ (XX) XXXXXXXX/ (PL) XŁXĆ/ (PT) XXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (SL) XXXX/ (XX) XXXXXXXXX/ (XX) XÖX

5.6.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) XXXX/ (XX) XXXXXX/ (DE) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (XX) FÉMININ/ (XX) BAINEANN/ (HR) XXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XŐ/ (XX) MARA/ (XX) XXXXX/ (PL) KOBIETA/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX

5.6.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (XX) XXXX/ (XX) MÄNNLICH/ (XX) MEESSOOST/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (GA) XXXXXXX/ (XX) MUŠKI/ (XX) MASCHILE/ (XX) XĪXXXXXX/ (LT) VYRAS/ (XX) XXXXX/ (MT) XXĠXX/ (XX) XXX/ (XX) XĘŻXXXXXX/ (PT) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) MUŽSKÉ/ (XX) XXXXX/ (XX) MIES/ (XX) XXX

5.6.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) UNBESTIMMT/ (ET) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) INDÉTERMINÉ/ (GA) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (LT) NENUSTATYTA/ (XX) MEGHATÁROZATLAN/ (XX) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) PŁEĆ XXXXXXXŚXXXX/ (PT) NÃO XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (SL) XXXXXXXXX/ (FI) MÄÄRITTELEMÄTÖN/ (XX) EJ XXXXXXÄXXX

6.

(XX) СЪПРУГ X/ (XX) XXXXXXX B/ (XX) XXXXXX/XXXXXXXX X/ (XX) ÆXXXXÆXXX X/ (XX) XXXXXXXXXX X/ (XX) XXXXXXXX B/ (XX) ΣΥΖΥΓΟΣ Β/ (EN) XXXXXX B/ (FR) XXXXXXXX X/ (GA) XXXXX X/ (HR) XXXXXX XXXX B/ (XX) CONIUGE B/ (XX) LAULĀTAIS X/ (XX) SUTUOKTINIS B/ (XX) „X” XXXXXXXXX/ (XX) XXXXXĠX X/ (XX) XXXXXXXX(X)X(X) X/ (XX) XXŁŻXXXX X/ (XX) CÔNJUGE B/ (XX) XXȚXX X/ (XX) XXXXXX/XXXXXXXX B/ (XX) XXXXXXX X/ (XX) XXXXXXX X/ (XX) XXXX/XXXX X

7.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX PARA XX XXXXX/ (XX) XXXX XXX PODPIS/ (XX) UNDERSKRIFTSFELT/ (DE) XXXXXXXXXXXXXXXXXX/ (XX) ALLKIRJALAHTER/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) SIGNATURE BOX/ (XX) CADRE XXXX XX XXXXXXXXX/ (GA) XXXXX XXX SÍNIÚ/ (XX) POLJE XX XXXXXX/ (XX) RIQUADRO XXX LA FIRMA/ (XX) PARAKSTA XXXXX/ (XX) PARAŠO LAUKELIS/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX XX XXXXXXXXXXXX/ (XX) XXXX XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX PODPIS/ (SL) XXXXX ZA PODPIS/ (XX) ALLEKIRJOITUSKENTTÄ/ (SV) XXXX XÖX UNDERTECKNANDE

7.1

(BG) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X NOMBRE(S) XXX FUNCIONARIO XXX XXXXXXX XXXX IMPRESO/ (XX) XXXXXXXX A XXXXX (XXXXX) ÚŘEDNÍKA, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) EFTERNAVN(E) XX XXXXXXX(X) XÅ XXX XXXXXXXXXX, XXX XXX XXXXXXX DENNE XXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXXXXXX(X) XXX XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXXXXXX 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) SURNAME(S) XXX XXXXXXXX(X) XX XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) XXX(X) ET XXXXXX(X) XX XXXXXXXXXXXXX XXX X DÉLIVRÉ XX XXXXXXX FORMULAIRE/ (GA) XXXXXXX (XXXXXXXX) AGUS XXXXXXXX (XXXXXXXXXXXXXX) AN XXXXXXXX X X’XXXXXX XX FHOIRM XXX/ (XX) PREZIME(NA) I XXX(XX) XXXXXXXXXX XXXX XX IZDAO OVAJ XXXXXXX/ (XX) COGNOME/I X XXXX/X DEL XXXXXXXXXXX CHE XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) AMATPERSONAS, XXXX IZDEVUSI XX XXXXXXXX, XXXĀXXX(-X) UN XĀXXX(-X)/ (XX) ŠIĄ XXXXĄ XXXXXXXXX PAREIGŪNO XXXXXXĖ (-ĖX) IR XXXXXX (-XX)/ (HU) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXXXXXŐ XXXXXXX NEVE(I) XX UTÓNEVE(I)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XX(X)X(XX) XX VOORNA(A)M(EN) XXX DE AMBTENAAR XXX XXX FORMULIER XXXXX AFGEGEVEN/ (XX) XXXXXXXX(-X) X IMIĘ (XXXXXX) XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXX(X) X XXXX(X) PRÓPRIO(S) XX XXXXXXXXXXX QUE EMITIU X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXX ȘX XXXXXXXXX FUNCȚIONARULUI XXXX X EMIS XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) X MENO(-Á) XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (SL) PRIIMEK/PRIIMKI XX XXX/XXXXX URADNIKA, XX JE XXXXX XX OBRAZEC/ (FI) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX SUKUNIMI (-XXXXX) XX XXXXXXX (-NIMET)/ (XX) XXXXXXXXX XXX XÖXXXXX XÅ XXX XXÄXXXXXXX XXX HAR XXXÄXXXX DETTA FORMULÄR

7.2

(BG) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX FUNCIONARIO XXX XXXXXXX ESTE XXXXXXX/ (XX) XXXXXX ÚŘEDNÍKA, XXXXX VYDAL TENTO XXXXXXXX/ (DA) XXXXXXXX — XXX EMBEDSMAND, XXX XXX UDSTEDT XXXXX FORMULAR/ (DE) XXXXXXXX XXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX VORMI XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX OF THE XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) XXXXX XX XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXX AN XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXXX XXXXXXXXXX XXXX XX IZDAO XXXX XXXXXXX/ (XX) XXXXXXXXX XXX FUNZIONARIO XXX XX XXXXXXXXXX XX PRESENTE MODULO/ (XX) AMATPERSONAS, XXXX XXXXXXXX XX XXXXXXXX, XXXXX/ (XX) XXĄ XXXXĄ XXXXXXXXX PAREIGŪNO XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ TISZTVISELŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX LI ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX XXX XX XXXXXXXXX DIE XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX XXXXŁ NINIEJSZY XXXXXXXXX/ (XX) XXXXX XX FUNCIONÁRIO XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (RO) XXXXȚXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX FORMULAR/ (XX) XXXXXXX XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, KI XX XXXXX XX XXXXXXX/ (XX) TÄMÄN XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXX/ (XX) BEFATTNING XÖX XXX TJÄNSTEMAN SOM XXX XXXÄXXXX XXXXX XXXXXXÄX

7.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) VYDÁNÍ/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (TT/MM/JJJJ)/ (ET) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX ISSUE/ (XX) DATE (JJ/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXX (LL/MM/BBBB) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXX/ (IT) DATA XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X KIÁLLÍTÁS XXXXXX (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXX-ĦXXĠ/ (NL) XXXXX (DD/MM/JJJJ) VAN XXXXXXX/ (XX) DATA (XX/XX/XXXX) WYDANIA/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) DATUM (XX/XX/ÅÅÅÅ) XÖX UTFÄRDANDE

7.4

(BG) ПОДПИС/ (ES) XXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (DE) XXXXXXXXXXXX/ (XX) ALLKIRI/ (EL) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) SIGNATURE/ (GA) XXXXX/ (HR) XXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (XX) SEMNĂTURA/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) ALLEKIRJOITUS/ (XX) XXXXXXXXXXXX

7.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX O TIMBRE/ (XX) PEČEŤ XXXX XXXXXXX/ (DA) XXXX XXXXX XXXXXXX/ (DE) XXXXXX ODER XXXXXXX/ (XX) XXXXXX XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX OR XXXXX/ (XX) XXXXX XX XXXXXX/ (GA) XXXXX XX XXXXXX/ (XX) ŽIG XXX XXXXX/ (XX) XXXXX X XXXXXX/ (XX) XĪXXXX XXX XXXXXXXX/ (XX) SPAUDAS XXXX XXXXXXXXXX/ (XX) PECSÉT XXXX XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX XXX XXXXXX/ (XX) XXXXX OF XXXXXXX/ (XX) XXXXXĘĆ XXX XXXXXXX/ (XX) XXXX XX XXXXXXX/ (XX) SIGILIUL XXX ȘXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXX XXX/ (FI) XXXXXXX XXX XXXXX/ (SV) XXXXXX ELLER XXÄXXXX

ZPŮSOBILOST X XXXXXXXX MANŽELSTVÍ

VÍCEJAZYČNÝ STANDARDNÍ XXXXXXXX – XXXXXXX XXX PŘEKLAD

Článek 7 xxxxxxxx Xxxxxxxxxx xxxxxxxxxx x Xxxx (EU) 2016/1191 xx xxx 6. xxxxxxxx 2016 x xxxxxxx xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxx xx předkládání xxxxxxxxx veřejných listin x Evropské unii x x změně xxxxxxxx (EU) č. 1024/2012 (1)

Xxxxxx (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (LV) Litva (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxx (NL) Xxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (RO) Xxxxxxxxx (SI)

Slovensko (XX) Xxxxxx (FI)

Švédsko (XX) Xxxxxxx království (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx xxxxxx tohoto xxxxxxxxxxxxx xxxxxxxxxxxx formuláře xx xxxxxxxxx xxxxxxxx xxxxxxx xxxxxxx, x xxx xx přiložen. Xxxxx formulář xx xxxx xxxxxxxxx xxxxx xxxxx xxxxxxxxx xxxx xxxxxxxxxx dokument.

Tento formulář xxxxxx xxxxx veřejné xxxxxxx, x níž xx xxxxxxxx. Xxxxx, xxxxx xx veřejná xxxxxxx xxxxxxxxxxx, však xxxx x xxxxxxxxx, xxx xx xx xxxxxxxx xxx účely xxxxxxxxxx veřejné xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx xxxxxxxxx, xxxxx xxxx ve formuláři xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX XXXXX

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

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

1. XXXXX XXXXXXXXXX XXXXX FORMULÁŘ

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

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

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

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx xxxxxx státním xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx xxxxxx xxxxxxx úředníkem

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

3.1.5 Xxxx (xxxxxxxxx)

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

(2) Xxx xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

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

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

3.2 Xxxxxxx xxxxxx správním xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx z xxxxxxx

3.2.3 Výpis z xxxxxxxx obyvatel

3.2.4 Opis xxxxxxxxxx záznamů

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx osvědčení, xxxxxx xxxx xxxxxxxx listina xxxxxxxxx xxxxxxxxx xxxxxx

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

3.6 Xxxxx (dd/mm/rrrr) vydání

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. INFORMACE O XXXXXXX XXXXX

4.1 Xxxxxxxx

4.2 Xxxxx (xxxxx)

4.3 Xxxxx (xx/xx/xxxx) narození

4.4 Xxxxx (1) a země (2) xxxxxxxx

4.5 Xxxxxxx:

4.5.1 Xxxx

4.5.2 Muž

4.5.3 Xxxxxxxx

4.6 Xxxxxx příslušnost:

5. NA XXXXXXX VEŘEJNÉ LISTINY, X NÍŽ XX XXXXXXXX XXXXX FORMULÁŘ, (3)

5.1 Xx dotyčná xxxxx xxxxxxxxx xxxxxxx xxxxxxxxxx podle vnitrostátního xxxxx xxxxxxxxx státu, x němž xx xxxxxxx xxxxxxx xxxxxx.

5.2 Xxxxxxx osoba patrně xxxxxxxxxx xxxxxxxxxx pod xxxx jménem xxxxx xxxxxxxxxxxxxx xxxxx členského xxxxx, v němž xx xxxxxxx xxxxxxx xxxxxx.

5.3 Xxxxxxxxxx xxxxx xxxxx xxxxxxxx, aby xxxxxxx xxxxx uzavřela xxxxxxxxxx podle xxxxxxxxxxxxxx xxxxx xxxxxxxxx xxxxx, x xxxx xx xxxxxxx xxxxxxx xxxxxx.

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

5.5 Neexistuje xxxxx xxxxx xxxxxxx xxxxx xxxxxxxx xxxxxxxxxx xxxx xxxxxxxx xxxxxx x xxxxx xxxxxxxxxx / xxxx xxxxxxxxxx xxxxx xxxxxxxxxxxxxx práva xxxxxxxxx xxxxx, x xxxx xx veřejná xxxxxxx xxxxxx.

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

(2) Xxxxx země x – xxxxx xxxxxxxx – xxx ISO xxxx xxxx nebo xxxxxxx „Jiné (xxxxxxxxx)“ xx třeba xxxxxx x xxxxxxxxxxx xxxxxxx xx xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx formuláři, xxxxx xx k dispozici xx portálu xxxxxxxx x-xxxxxxx.

(3) Xxx zvolit xxxx xxxxxxxx.

6. XXXXXXXXX X XXXXXXXXX / XXXXXXXXX XXXXXXX XXXXX

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 Žena

4.5.2 Muž

4.5.3 Xxxxxxxx

4.6 Xxxxxx příslušnost

7. XXXX PRO XXXXXX

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

7.2 Xxxxxx xxxxxxxx, xxxxx xxxxx tento formulář

7.3 Xxxxx (xx/xx/xxxx) xxxxxx

7.4 Xxxxxx

7.5 Xxxxx xxxx xxxxxxx

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

(2) Xxxxx xxxx a – xxxxx xxxxxxxx – xxx ISO xxxx xxxx xxxx xxxxxxx „Jiné (xxxxxxxxx)“ xx xxxxx xxxxxx x xxxxxxxxxxx xxxxxxx xx xxxxxxxx vícejazyčném xxxxxxxxxxx formuláři, který xx x dispozici xx xxxxxxx xxxxxxxx x-xxxxxxx.

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX POLOŽEK

(ZPŮSOBILOST X XXXXXXXX XXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) AUTORIDAD XXX XXXXXX ESTE XXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) BEHÖRDE, XXX DIESES XXXXXXXX XXXXXXXXX/ (XX) KÄESOLEVA XXXXX XÄXXX XXXXXX XXXXXX/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (EN) XXXXXXXXX XXXXXXX XXXX XXXX/ (XX) AUTORITÉ XX XXXXXXXXXX XX PRÉSENT XXXXXXXXXX/ (GA) XX xXXXXXX A XXXXXXXX XX FHOIRM XXX/ (XX) XXXXXX XXXX XXXXXX OVAJ XXXXXXX/ (XX) XXXXXXXÀ CHE XXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (LT) XXĄ XXXXĄ IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX HATÓSÁG/ (XX) XXXXXXXÀ EMITTENTI XX' DIN XX-XXXXXXX/ (XX) XXXXXXXXXX VAN XXXXXXX XXX XXX XXXXXXXXX/ (PL) XXXXX XXXXXĄXX XXXXXXXXX FORMULARZ/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXX XXXXXXXXXX/ (RO) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX FORMULÁR/ (XX) ORGAN, XX XXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXX VIRANOMAINEN/ (XX) XXXXXXXXX SOM UTFÄRDAR XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (CZ) XXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) NIMETUS/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (FR) XXXXXXXXXXXX/ (XX)XXXXXXX/ (HR) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) MEGNEVEZÉS/ (XX) XXXXX/ (XX) BENAMING/ (XX) NAZWA/ (PT) XXXXXXXÇÃX/ (XX) XXXXXXXX/ (XX) XXXXX/ (SL) XXX/ (XX) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) AUTORIDAD QUE XXXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX/ (CZ) XXXXX XXXXXXXXXX XXXXXXXX LISTINU, X XXX XX XXXXXXXX TENTO XXXXXXXX/ (XX) XXX XXXXXXXXX, XXX XXX UDSTEDT XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX FORMULAR XX VEDHÆFTET/ (XX) XXXÖXXX, XXX XXX ÖXXXXXXXXXX URKUNDE, XXX XXXXXX FORMULAR XXXXXXÜXX XXX, XXXXXXXXX/ (ET) XXXXXX, KES XXXXX XÄXXX XXXXXXX DOKUMENDI, XXXXXXX XXX XXXX XX XXXXXXX/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) AUTHORITY XXXXXXX XXX XXXXXX XXXXXXXX XX XXXXX THIS XXXX XX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXXXX DU XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX PRÉSENT XXXXXXXXXX/ (XX) AN xXXXXXX A XXXXXXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX SEO CEANGAILTE/ (XX) TIJELO XXXX XXXXXX XXXXX XXXXXXX XXXXX JE XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ CHE XXXXXXXX XX XXXXXXXXX PUBBLICO XXX XX XXXXXXXX XXXXXX È ALLEGATO/ (XX) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ VEIDLAPA XX PIEVIENOTA, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX KURIO XXXXXXXXX XX XXXXX, XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (XX) X XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXXXX KIÁLLÍTÓ HATÓSÁG/ (XX) XXXXXXXÀ EMITTENTI XXX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX HET XXXXXXXX XXXXXXXX WAARAAN DIT XXXXXXXXX XX GEHECHT/ (XX) XXXXX XXXXXĄXX XXXXXXXX URZĘDOWY, DO XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXXXX QUE EMITE X XXXXXXXXX XXXXXXX X QUE X XXXXXXXX FORMULÁRIO XXXX XXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXXX XXXXXXX LA XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXX LISTINU, XX KTOREJ JE XXXXX XXXXXXXX PRIPOJENÝ/ (XX) XXXXX, KI XXXX XXXXX XXXXXXX, XX JI XX XXXXXXXX TA XXXXXXX/ (XX) XXXXXXXXXXXX, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ XXXXXX LIITETÄÄN/ (SV) XXXXXXXXX XXX UTFÄRDAR XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) INFORMACIÓN XXXXXXXX XX XXXXXXXXX XXXXXXX AL XXX XX XXXXXXX ESTE XXXXXXX/ (XX) INFORMACE XXXXXXXX SE XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXØXXXXX DET XXXXXXXXXX XXXXXXXX, SOM XXXXX XXXXXXXX ER VEDHÆFTET/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (ET) XXXXX XXXXXXX XXXXXXXXX KOHTA, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXXXX XXXXXXXX XX XXX XXXXXX XXXXXXXX XX XXXXX THIS XXXX XX ATTACHED/ (XX) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX XXXXXX AUQUEL XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX A BHAINEANN XXXX AN XXXXXXXXX XXXXXX XXXX BHFUIL XX XXXXXX XXX XXXXXXXXXX/ (XX) INFORMACIJE XXXX SE XXXXXX XX XXXXX ISPRAVU XXXXX XX OVAJ XXXXXXX XXXXXXXX/ (IT) XXXXXXXXXXXX RELATIVE XX XXXXXXXXX PUBBLICO XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (LV) XXXXXXĀXXXX PAR XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (XX) INFORMACIJA, XXXXXXXX XX XXXXXXXX XXXXXXXXX, XXXX KURIO XXXXXXXXX XX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX VONATKOZÓ XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX DWAR XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX/ (XX) XXXXXXXXXX BETREFFENDE HET XXXXXXXX DOCUMENT XXXXXXX XXX FORMULIER XX XXXXXXX/ (PL) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX URZĘDOWEGO, XX KTÓREGO NINIEJSZY XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX DOCUMENTO PÚBLICO X QUE X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) INFORMAȚII XXXXXXXXXXX XX DOCUMENTUL XXXXXXX LA XXXX XXXX ANEXAT XXXXXXXXX XXXXXXXX/ (SK) XXXXXXXXXX X XXXXXXXX LISTINE, XX XXXXXX XX XXXXX FORMULÁR XXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXX Z XXXXX XXXXXXX, XX XX XX PRILOŽEN TA XXXXXXX/ (FI) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ LOMAKE LIITETÄÄN/ (XX) INFORMATION 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 XXXXXXXXX X XXX XXXXXXX XXXXXXXXXXXXXXXX XX UN ESTADO XXXXXXX/ (XX) XXXXXXX XXXXXX ORGÁNEM XXXX XXXXXXXXX X XXXXXX XX XXXXX XXXXXX XXXXXXXXX XXXXX/ (DA) XXXXXXXX, DER ER XXXXXXX AF XX XXXXXXXXX ELLER XX XXXXXXXXXX, XXX XX XXXXXXXXXX XXXXXXXX X XX XXXXXXXXXXX/ (DE) XXXXXXX XXXXX XXXÖXXX XXXX EINER AMTSPERSON XXX ORGAN XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, MILLE XX XÄXXX XXXXXX XXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXXXX VÕI XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΈΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX XXXX AN XXXXXXXXX XX XX XXXXXXXX XXXXXXXXX WITH XXX XXXXXX XX XXXXXXXXX XX A XXXXXX XXXXX/ (FR) XXXXXXXX XXXXXXX D'UNE XXXXXXXX XX X'XX XXXXXXXXXXXXX XXXXXXXX D'UNE XXXXXXXXXXX D'UN XXXX XXXXXX/ (GA) DOICIMÉAD X XXXXXXX X XXXXXX NÓ Ó XXXXXXXXX X BHFUIL XXXXX XXXX XX XXXX LE XXXXXXXXXX XX LE XXXXX XX XXXXX BALLSTÁIT/ (XX) XXXXXXX XXXX XX IZDALO TIJELO XXX XXXXXXXXX SUDA XXXXXX ČLANICE/ (IT) XXXXXXXXX XXXXXXX DA XX'XXXXXXXÀ O XX XX XXXXXXXXXXX XXXXXXXXXXXX XX XXX XXXXX XXXXXXXXXXXXX XX XXX XXXXX MEMBRO/ (LV) XXXXXXXXX, KURU XXXXXXXXXX XX DALĪBVALSTS XXXXĀX XXXXXĪXX XXXXĀXX VAI XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX XXXXXXXX INSTITUCIJOS XX XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX NARĖS XXXXXXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX ÁLLÓ XXXXXXX XXXX TISZTVISELŐ ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ MINN XXXXXXXÀ XXX XXXXĊXXX XX JKOLLHOM XXXXX XXX-XXXXX JEW XX-XXXXXXXXX XX' STAT XXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX XX AMBTENAAR BEHORENDE XXX XXX RECHTERLIJKE XXXXXXXXX XXX EEN XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXX XĄXXXXXX XXX URZĘDNIKA XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX XX XXX XXXXXXXXXX XX DE XX XXXXXXXXXXX DEPENDENTE XX XXXXXXXX XXXXXXXÇÃX DE XX XXXXXX-XXXXXX/ (XX) XXXXXXXX XXXX XX X AUTORITATE XXX XX XX XXXXȚXXXXX XX PE XÂXXĂ XXXXXXȚXXX UNUI XXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXX XXXXXXXXX X XÄXXXX XX SÚDY XXXXXXXXX XXXXX/ (XX) LISTINA, XXXXXX S XXXXXX XXXXXX ALI URADNIKA XXXXX OBLASTI XXXXXX XXXXXXX/ (FI) XXXXXXXXX, XXXXX XX ANTANUT XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX VIRKAMIES/ (XX) HANDLING SOM XÄXXÖX FRÅN EN XXXXXXXXX ELLER XX XXÄXXXXXXX TILLHÖRANDE DOMSTOLSVÄSENDET X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (EL) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) XXXXXXXX DE XXXXXXX/ (XX) XXXXXXXX XX xXXXXX/ (HR) SUDSKA XXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (LV) TIESAS XĒXXXX/ (LT) TEISMO XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (NL) XXXXXXXXXXXX XXXXXXXXXX/ (XX) ORZECZENIE XĄXXXX/ (PT) XXXXXÃX XXXXXXXX/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) XXXXX XXXXXXX/ (FI) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXX XXXXXXXXX/ (DA) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX STAATSANWALTSCHAFT/ (XX) XXXXXXXX, XXXXX XX XÄXXX ANDNUD RIIKLIK XÜÜXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) DOCUMENT XXXXXXXXX XXXX X PUBLIC XXXXXXXXXX/ (FR) DOCUMENT XXXXXXX XX XXXXXXÈXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX DRŽAVNO XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX PUBBLICO MINISTERO/ (XX) DOKUMENTS, KURU XXXXXXXXXX XXXXXXXXX/ (LT) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) ÜXXXXX XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (RO) XXXXXXXX XXXX XX XX XXXXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXXXXXXX/ (XX) LISTINA, KI XX XXXX XXXXXXX XXXXXXXXX/ (FI) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX XXÅX ÅKLAGARVÄSENDET

3.1.3

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX EXPEDIDO XXX XX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) DOKUMENT XXXXXXX XX XX XXXXXXXXXXXXXÆX/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX ANDNUD KOHTUAMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXX XX A XXXXX/ (XX) DOCUMENT ÉMANANT X'XX XXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X CHLÉIREACH XX XXXXX XXXXXX/ (HR) XXXXXXX XXXX JE XXXXX XXXXXXXXXX SUDSKE XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (LT) XXXXXX XXXXXXXXXX XXXXXXXX DOKUMENTAS/ (XX) BÍRÓSÁGI XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX REĠISTRATUR XX' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX OD XXXXXXXXXX XĄXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX UM XXXXXXX DE XXXXXÇX/ (XX) XXXXXXXX XXXX XX UN XXXXXXX XX INSTANȚEI/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXX/ (SL) XXXXXXX, XX JO XXXX XXXXX USLUŽBENEC/ (XX) XXXXXXXXXXXXXX SIHTEERIN XXXXXX XXXXXXXXX/ (XX) HANDLING XXX HÄRRÖR XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („HUISSIER XX XXXXXXX“)/ (ES) XXXXXXXXX XXXXXXXX XXX XX XXXXXX JUDICIAL («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXX XXXXXX SOUDNÍM XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX XX XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (DE) XXXXXXX XXXXX GERICHTSVOLLZIEHERS/ (XX) XXXXXXXX, MILLE XX XÄXXX XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXXXXXXX XXXX X JUDICIAL XXXXXXX ('HUISSIER DE XXXXXXX')/ (XX) DOCUMENT XXXXXXX D'UN HUISSIER XX XXXXXXX/ (GA) XXXXXXXXX A XXXXXXX X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX KOJU XX XXXXX XXXXXX XXXXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXX DA UN XXXXXXXXX XXXXXXXXXXX ("HUISSIER XX XXXXXXX")/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (HUISSIER XX XXXXXXX)/ (LT) XXXXXXXXX (XXXXXXXX XX XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX VÉGREHAJTÓ („XXXXXXXX XX XXXXXXX”) XXXXX KIÁLLÍTOTT OKIRAT/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX DE JUSTICE')/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX XXXĘXXXXX XĄXXXXXX (XXXXXXXX XX JUSTICE)/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX ESCRIVÃO XX XXXXXXX («HUISSIER XX JUSTICE»)/ (XX) XXXXXXXX EMIS XX XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX JUSTICE”)/ (XX) LISTINA XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXX, XX JO XXXX XXXXX XXXXXXXXXX („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX XX JUSTICE”) XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXÄXXXXXXXXX (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) JINÉ (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (BITTE XXXXXXX)/ (XX) XXX (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX BE SPECIFIED)/ (XX) AUTRE (À XXXXXXXX)/ (GA) XXXX (XX XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (XX) XXXXX (XXXXXXXXX)/ (LV) XXXX (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (XX) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) XXXX (PROSZĘ XXXXŚXXĆ)/ (XX) OUTROS (X XXXXXXXXXXX)/ (XX) XXXXX (X XX XXXXXXX)/ (SK) XXX (XXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (FI) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (SV) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (ES) XXXXXXXXX ADMINISTRATIVO/ (XX) XXXXXXX VYDANÁ SPRÁVNÍM XXXXXX/ (DA) ADMINISTRATIVT XXXXXXXX/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (IT) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) ADMINISTRATĪVS XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXXXXXXXXXXXXX/ (XX) ADMINISTRATIEF XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (SK) XXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (CZ) OSVĚDČENÍ/ (XX) PÅTEGNING/ (XX) XXXXXXXXXXXXX/ (ET) TÕEND/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) CERTIFICAT/ (XX) XXXXXXXX/ (HR) XXXXXXX/ (IT) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (SK) OSVEDČENIE/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) INTYG

3.2.2

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) EXTRACTO XXX XXXXXXXX XXXXX/ (XX) XXXXX Z MATRIKY/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (DE) AUSZUG XXX XXX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) EXTRACT XXXX THE CIVIL XXXXXX XXXXXXXX/ (FR) XXXXXXX XX XXXXXXXX XX L'ÉTAT XXXXX/ (XX) SLIOCHT AS XX xXXXX XXXXXXX XXXXXXXXXX/ (HR) XXXXXXX XX XXXXXXXX XXXXXXX XXXXXX/ (IT) XXXXXXXX XX XXXX XX XXXXX CIVILE/ (XX) XXXXXXXX XX CIVILSTĀVOKĻA XXXX REĢISTRA/ (LT) XXXXXXX XX XXXXXXXĖX XŪXXĖX AKTŲ XXXXXXXX/ (XX) ANYAKÖNYVI XXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXX XX XXXX XX REGISTO XXXXX/ (XX) XXXXXX DIN XXXXXXXXX XX XXXXX XXXXXĂ/ (SK) VÝPIS X XXXXXXXX XXXXXXXX XXXXX/ (XX) IZPISEK XX XXXXXXXX X XXXXXXX XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX DEL XXXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXX/ (XX) XXXXXX XXX FOLKEREGISTRET/ (XX) XXXXXX XXX XXX MELDEREGISTER/ (XX) XXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (EL) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (EN) XXXXXXX FROM XXX XXXXXXXXXX XXXXXXXX/ (FR) XXXXXXX XX REGISTRE XX LA XXXXXXXXXX/ (XX) SLIOCHT XX XX xXXXX DAONRA/ (XX) XXXXXXX XX XXXXXX STANOVNIŠTVA/ (XX) XXXXXXXX XXXXXXXXXX/ (LV) XXXXXXXX XX IEDZĪVOTĀJU XXĢXXXXX/ (XX) XXXXXXX XX GYVENTOJŲ XXXXXXXX/ (XX) XXXXXXX X XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX XXX BEVOLKINGSREGISTER/ (XX) XXXXĄX Z XXXXXXXX LUDNOŚCI/ (XX) XXXXXXX XX XXXXXXX XX XXXXXXÇÃX/ (RO) XXXXXX XXX XXXXXXXXX XX XXXXXXȚĂ X XXXXXXȚXXX/ (SK) VÝPIS X XXXXXXXX OBYVATEĽOV/ (XX) XXXXXXX XX XXXXXXXX XXXXXXXXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX LITERAL XX XXXXX XXX XXXXXXXX XXXXX/ (XX) XXXX XXXXXXXXXX XXXXXXX/ (XX) ORDRET XXXX XX XXXXXXXXXXXXXXXXXXX/ (DE) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (ET) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (EN) XXXXXXXX XXXX XX CIVIL XXXXXX XXXXXXX/ (XX) XXXXX INTÉGRALE X'XXXXX XX L'ÉTAT XXXXX/ (XX) CÓIP XXXXX XX FHOCAL DE XXXXXXX XX STÁDAS XXXXXXXXX/ (XX) DOSLOVNI XXXXXXXX IZ EVIDENCIJA X XXXXXXX XXXXXX/ (XX) COPIA LETTERALE XX XXXX XX XXXXX CIVILE/ (LV) XXXXXXXĀXXXĻX AKTU XXĢXXXXX XXXXXXXX AUTENTISKA XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮXXXŲ PAŽODINĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX XXX SZERINTI XXXXXXXX/ (XX) XXXXX XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXX VAN XXXXX XXX XX BURGERLIJKE XXXXX/ (PL) XXXXX XXXXŁXX AKTU XXXXX XXXXXXXXX/ (XX) XXXXXXÃX XX XXXXX XXXXXXXX XX XX XXXXXXXXX XX ATOS DE XXXXXXX XXXXX/ (RO) XXXXX XXXXXĂ X XXXX ACT XX XXXXX XXXXXĂ/ (XX) XXXXXXXX VÝPIS XX XXXXXXX O OSOBNOM XXXXX/ (XX) XXXXXXXXX XXXXXX XXXXXX X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX JÄLJENNÖS/ (XX) XXXXXXXXX XXXXXXXX XX FOLKBOKFÖRINGSHANDLING

3.3

(BG) НОТАРИАЛЕН АКТ/ (XX) ACTA XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) NOTARIELLE XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) NOTARIAL XXX/ (XX) XXXX NOTARIÉ/ (XX) GNÍOMH XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX XXXXXXXX/ (XX) NOTARIĀLS XXXX/ (XX) XXXXXXXXX XXXXX/ (XX) XÖXXXXXXŐX OKIRAT/ (XX) XXX XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (XX) XXX XXXXXXXXXX/ (XX) ATO XXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) NOTARSKA LISTINA/ (XX) XXXXXXXX XXXXXX XXXXXXXXX/ (SV) NOTARIELL XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX OFICIAL XXXXXX XXXXX XX XXXXXXXXX PRIVADO/ (XX) XXXXXX OSVĚDČENÍ, XXXXXX XXXX OPATŘENA XXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) OFFICIEL PÅTEGNING XÅ XX XXXXXXXX XXXXXXXXXXX AF XX XXXXXX X DENNES XXXXXXXX AF XXXXXXXXXXXX/ (XX) AMTLICHE BESCHEINIGUNG XXX XXXXX XXXXXXXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX AMETLIK XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX XXXXXX XX X XXXXXXXX SIGNED XX A XXXXXX XX XXX OR XXX XXXXXXX CAPACITY/ (XX) DÉCLARATION XXXXXXXXXX XXXXXXX SUR XX XXXX SOUS XXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX A XXXXXXXXX XX DHOICIMÉAD XXXX XXXXXX AG DUINE XXX XXXXX NÓ XXX XXXX XXXXXXXXXXXXXX/ (XX) SLUŽBENA POTVRDA XXXXXXXXX NA ISPRAVU XXXX JE OSOBA XXXXXXXXX U XXXXXXXXX XXXXXXXX/ (XX) DICHIARAZIONE XXXXXXXXX XXXXXXX SU XXX XXXXXXXXX PRIVATA/ (XX) OFICIĀLS XXXXXXXXĀXXXX XX XXXXXXXXX, KO XXXĀ VĀRDĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (XX) XXXXXXXŲ XXXXXŲ PASIRAŠYTŲ XXXXXXXXŲ XXXXXXXŪX PATVIRTINIMAI/ (XX) XXXXXXXXXXXXX ELHELYEZETT XXXXXXXXX XXXXXXXXXXX/ (MT) ĊXXXXXXXXX XXXXĊXXXX LI XXXXXXXĦXX F'DOKUMENT XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX TAGĦHA/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXX XXXXXXXXXXX XXXX XXX PERSOON XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX PODPISANYM XXXXX XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÃX OFICIAL XXXXXXX XXX ATO DE XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXX XXXXXXX XX XX XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX OSVEDČENIE XXXXXXX XX XXXXXXX XXXXXXXXXX OSOBOU XXXXXXXXX XXX XXXXXXXX OSOBA/ (XX) XXXXXX IZJAVA XX XXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, JONKA XXXXXXÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) OFFICIELLT XXXXX XXXXXXXXX XÅ XX XXXXXXXX SOM XXXXXXXXXXXXX XX XX PRIVATPERSON

3.5

(BG) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX POR XX XXXXXX XXXXXXXXXXX X XXXXXXXX XX XX XXXXXX MIEMBRO XXX XXXXXXXX XXXXXXX/ (CZ) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX NEBO XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX SLUŽEBNÍCH XXXXXXXXXX/ (XX) XXXXXXXX OFFICIELT XXXÆXXXXXX XX EN XXXXXXXXXXXX DIPLOMATISKE ELLER XXXXXXÆXX REPRÆSENTANT/ (DE) XXX XXXXX DIPLOMATISCHEN XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX MITGLIEDSTAATS IN XXXXXX AMTLICHEN XXXXXXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX VÕI XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX KOOSTATUD DOKUMENT/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) DOCUMENT XXXXX XX XX X XXXXXXXXXX OR XXXXXXXX XXXXX XX X XXXXXX STATE XX XXX OR HER XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX ÉTABLI EN XX XXXXXXX XXXXXXXXXX XXX XX XXXXX XXXXXXXXXXXX XX XXXXXXXXXX X'XX XXXX MEMBRE/ (XX) DOICIMÉAD ARNA XXXXXXXXXX SUAS XX XXXXXXXXXX XXXXXXXXXXXXXXXX NÓ XXXXXXXXX DE XXXXX XXXXXXXXX XXX CHÁIL XX XXX XXXX XXXXXXXXX/ (HR) XXXXXXX XXXX XX X XXXXXXXXX XXXXXXXX SASTAVIO XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX DRŽAVE ČLANICE/ (XX) XXXXXXXXX REDATTO XX XXXXXX XXXXXXXXXXX X CONSOLARI DI XXX STATO XXXXXX XXXX'XXXXXXXXX DELLE XXXX XXXXXXXX/ (LV) DOKUMENTS, XXXX, PILDOT XXXXX XXXXĀXXXXX, SAGATAVOJIS XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX KONSULĀRAIS XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX AR KONSULINIO XXXXXXŪXX, XXXXXXXXXX XXXXX XXXXXXXXXX ĮGALIOJIMUS/ (XX) XXXXXXXX TAGÁLLAM XXXXXXXXXXX XXXX XXXXXXX KÉPVISELŐJE XXXXX HIVATALOS MINŐSÉGÉBEN XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXXX MINN XĠXXX XXXXXXXXXXX XXX XXXXXXXXX TA' XXXX XXXXXX XXX-XXXXĊXXÀ UFFIĊJALI XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXXXXX OF XXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX XX XXXX XXXXXXËXX HOEDANIGHEID/ (XX) XXXXXXXX SPORZĄDZONY XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX DZIAŁAJĄCYCH W XXXXXXXXXXX XXXĘXXXXX/ (XX) XXXXXXXXX XXXXXXX POR XX XXXXXX DIPLOMÁTICO XX CONSULAR XX XX XXXXXX-XXXXXX NO XXXXXXXXX DAS XXXX XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX XX XĂXXX XX XXXXX XXXXXXXXXX XXX CONSULAR XX XXXX XXXX XXXXXX, ÎN XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX VÝKONU XXXX XXXXXXX/ (XX) XXXXXXX, XX JO XXX XXXXXX OSEBA IZDA XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX DRŽAVE ČLANICE/ (XX) ASIAKIRJA, XXXXX XÄXXXXXXXXXX DIPLOMAATTINEN EDUSTAJA XXX XXXXXXXXXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (SV) XXXXXXXX XXXXÄXXXX I XXÄXXXXX AV XX XXXXXXXXXXX ELLER XXXXXXÄX XXÄXXXXXXX I EN XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (TT/MM/JJJJ)/ (ET) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) OF ISSUE/ (XX) DATE (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (LL/MM/BBBB) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (IT) XXXX XX RILASCIO (XX/XX/XXXX)/ (XX) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (LT) XXXXXXXX XXXX (XX/XX/XXXX)/ (HU) X XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (NL) XXXXX (XX/XX/XXXX) VAN XXXXXXX/ (PL) XXXX (XX/XX/XXXX) WYDANIA/ (PT) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (FI) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXX LISTINY/ (XX) XXX OFFENTLIGE DOKUMENTS XXXXXXXXXXXXXXX/ (XX) KENNNUMMER XXX ÖFFENTLICHEN URKUNDE/ (XX) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX XX THE XXXXXX DOCUMENT/ (XX) XXXXXX XX RÉFÉRENCE XX XXXXXXXX PUBLIC/ (XX) XXXXXX XXXXXXXXX XX XXXXXXXXX XXXXXXX/ (XX) REFERENTNI XXXX XXXXX ISPRAVE/ (IT) XXXXXX XX XXXXXXXXXXX XXX DOCUMENTO PUBBLICO/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXX/ (XX) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (MT) XXXXX TA' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (NL) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX XXXXXXXX/ (PL) XXXXX REFERENCYJNY DOKUMENTU XXXĘXXXXXX/ (XX) NÚMERO XX REFERÊNCIA XX XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX DE REFERINȚĂ XX XXXXXXXXXXXX XXXXXXX/ (XX) REFERENČNÉ XXXXX XXXXXXXX LISTINY/ (XX) XXXXXXXXXX XXXXXXXX JAVNE XXXXXXX/ (XX) YLEISEN XXXXXXXXXX XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX HANDLINGENS XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX EL XXXXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX OSOBĚ/ (XX) XXXXXXXXXXX OM XXX XÅXÆXXXXXX XXXXXX/ (XX) ANGABEN ZUR XXXXXXXXXXXX XXXXXX/ (ET) XXXXXXXXX XXXXXX KÄSITLEV XXXXX/ (EL) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXX XXX XX PERSONNE XXXXXXXXX/ (GA) XXXXXXXX XXXXXX XXXX AN XXXXX XXXX mBAINEANN/ (XX) XXXXXXXXXXX O XXXXXXXX OSOBI/ (XX) XXXXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (XX) XXXXXXĀXXXX XXX ATTIECĪGO XXXXXXX/ (XX) XXXXXXXXXXX APIE XXXXXXXXXĄ XXXXXĮ/ (HU) XX XXXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (MT) XXXXXXXXXXXXX DWAR IL-PERSUNA XXXXĊXXXXXX/ (XX) INFORMATIE XXXX XX BETROKKENE/ (XX) DANE XXXXX, XXXXXX XXXXXXX XXXXXXXX/ (XX) INFORMAÇÕES XXXXX X XXXXXX XX XXXXX/ (XX) INFORMAȚII XXXXXXX XXXXXXXX XXXXXĂ/ (XX) XXXXXXXXXX X XXXXXXXXX XXXXX/ (XX) XXXXXXXXXXX O ZADEVNI XXXXX/ (XX) ASIANOMAISEN XXXXXXÖX XXXXXX/ (XX) XXXXXXXXX XX XXX XXXÖXXX PERSONEN

4.1

(BG) ФАМИЛНО(И) ИМЕ(НА)/ (ES) APELLIDO(S)/ (XX) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (DE) FAMILIENNAME(N)/ (XX) PEREKONNANIMI (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX(X)/ (XX) XXX(X)/ (XX) SLOINNE (SLOINNTE)/ (XX) XXXXXXX(XX)/ (IT) XXXXXXX(X)/ (XX) XXXĀXXX(-X)/ (XX) XXXXXXĖ (-ĖX)/ (XX) CSALÁDI XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (XX) XXXXXXXX(X)X(XX)/ (PL) XXXXXXXX(-X)/ (XX) APELIDO(S)/ (XX) XXXX/ (XX) XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX/ (FI) XXXXXXXX (-NIMET)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) XXXXX (JMÉNA)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) EESNIMI (-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)/ (NL) VOORNA(A)M(EN)/ (XX) XXXĘ (XXXXXX)/ (XX) XXXX(X) XXXXXXX(X)/ (XX) XXXXXXX/ (SK) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-NIMET)/ (XX) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) FECHA (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) 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/ (EN) XXXX (XX/XX/XXXX) OF XXXXX/ (XX) XXXX (XX/XX/XXXX) XX NAISSANCE/ (XX) XXXX (LL/MM/BBBB) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (XX) DATA XX XXXXXXX (XX/XX/XXXX)/ (XX) DZIMŠANAS DATUMS (XX/XX/XXXX)/ (XX) GIMIMO XXXX (DD/MM/MMMM)/ (XX) XXÜXXXXXX IDEJE (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (PL) DATA (XX/XX/XXXX) URODZENIA/ (PT) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXXX/ (XX) SYNTYMÄAIKA (XX/XX/XXXX)/ (XX) FÖDELSEDATUM (XX/XX/ÅÅÅÅ)

4.4

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) LUGAR X XXXX DE NACIMIENTO/ (XX) MÍSTO X XXXX XXXXXXXX/ (XX) XØXXXXXX XX -XXXX/ (XX) ORT XXX XXXX XXX GEBURT/ (XX) SÜNNIKOHT XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX XXX XXXXXXX OF XXXXX/ (XX) LIEU XX XXXX XX XXXXXXXXX/ (XX) ÁIT AGUS XXX BHREITHE/ (XX) XXXXXX X XXXXXX XXĐXXXX/ (IT) LUOGO X PAESE XX XXXXXXX/ (XX) XXXXXXXXX XXXXX UN XXXXXX/ (XX) XXXXXX XXXXX XX XXXXX/ (XX) XXÜXXXXXX HELYE XX XXXXXXX/ (XX) XXXX X XXXXXŻ XXX-XXXXXX/ (XX) GEBOORTEPLAATS XX -XXXX/ (XX) XXXXXXX X XXŃXXXX XXXXXXXXX/ (XX) LOCAL X XXXX DE XXXXXXXXXX/ (XX) XXXXX ȘI ȚXXX XXȘXXXXX/ (XX) XXXXXX A XXXX XXXXXXXXX/ (XX) XXXX XX DRŽAVA XXXXXXX/ (XX) SYNTYMÄPAIKKA XX -XXX/ (SV) XÖXXXXXXXX XXX -LAND

4.5

(BG) ПОЛ/ (XX) SEXO/ (XX) XXXXXXX/ (DA) XØX/ (XX) GESCHLECHT/ (XX) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (FR) XXXX/ (XX) XXXXXX/ (XX) SPOL/ (IT) XXXXX/ (LV) XXXXXXX/ (XX) LYTIS/ (XX) XXXX/ (XX) XXXX/ (XX) GESLACHT/ (XX) XŁXĆ/ (XX) XXXX/ (XX) SEXUL/ (SK) XXXXXXXX/ (XX) XXXX/ (XX) XXXXXXXXX/ (XX) XÖX

4.5.1

(XX) ЖЕНСКИ/ (ES) XXXXX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (XX) SIEVIETE/ (XX) XXXXXXX/ (XX) XŐ/ (XX) XXXX/ (XX) XXXXX/ (PL) KOBIETA/ (XX) FEMININO/ (XX) XXXXXXXX/ (SK) XXXXXX/ (XX) XXXXXX/ (FI) XXXXXX/ (SV) XXXXXX

4.5.2

(XX) МЪЖКИ/ (XX) VARÓN/ (XX) XXX/ (DA) XXXX/ (DE) MÄNNLICH/ (XX) MEESSOOST/ (EL) ΑΡΡΕΝ/ (EN) XXXX/ (XX) MASCULIN/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) MASCHILE/ (LV) XĪXXXXXX/ (XX) VYRAS/ (XX) XXXXX/ (XX) XXĠXX/ (XX) MAN/ (XX) MĘŻCZYZNA/ (XX) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (SL) XXXXX/ (XX) MIES/ (XX) XXX

4.5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (ET) XÄÄXXXXXX/ (EL) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) UNDETERMINED/ (XX) XXXXXXXXXXX/ (GA) XXXXXXXXXXXXXXX/ (HR) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (LV) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (MT) XXXX STABBILIT/ (XX) XXXXXXXXX/ (PL) XŁXĆ XXXXXXXŚXXXX/ (PT) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (SL) XXXXXXXXX/ (FI) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

4.6

(XX) ГРАЖДАНСТВО/ (ES) NACIONALIDAD/ (XX) XXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (DE) XXXXXX-XXXXXÖXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) ΙΘΑΓΕΝΕΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (IT) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXĪXX/ (XX) XXXXXXXXĖ/ (XX) XXXXXXXXXXXXXXX/ (XX) ĊITTADINANZA/ (NL) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXĂȚXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (XX) DRŽAVLJANSTVO/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX

5.

(XX) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX ESTE XXXXXXX,/ (XX) NA ZÁKLADĚ XXXXXXX XXXXXXX, K XXX XX PŘILOŽEN XXXXX XXXXXXXX,/ (XX) X XXXXXXX XXX XXX XXXXXXXXXX XXXXXXXX, XXX DENNE XXXXXXXX XX VEDHÆFTET/ (XX) XXXÄXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX DIESES XXXXXXXX BEIGEFÜGT IST/ (XX) VASTAVALT XXXXXXXXX XXXXXXXXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΣΥΜΦΩΝΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XX THE PUBLIC XXXXXXXX TO WHICH XXXX XXXX XX XXXXXXXX/ (FR) D'APRÈS XX XXXXXXXX PUBLIC XXXXXX XX XXXXXXX XXXXXXXXXX XXX JOINT/ (XX) XX XXXX XX DOICIMÉID PHOIBLÍ XXXX BHFUIL XX XXXXXX SEO XXXXXXXXXX/ (XX) XXXXX XXXXXX XXXXXXX XXXXX JE XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX PRESENTE XXXXXX È XXXXXXXX/ (LV) XXXXXŅĀ XX PUBLISKO XXXXXXXXX, KURAM ŠĪ XXXXXXXX XX XXXXXXXXXX/ (XX) XXXXX XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX ŠI XXXXX/ (XX) A XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRAT SZERINT/ (XX) XXXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (PL) X DOKUMENTU URZĘDOWEGO, XX XXXXXXX XXŁĄXXXXX XXXX NINIEJSZY XXXXXXXXX, XXXXXX, ŻX/ (PT) XXXXXXX O DOCUMENTO XXXXXXX X XXX X PRESENTE XXXXXXXXXX XXXX XXXXXX/ (XX) ÎX CONFORMITATE CU XXXXXXXXXX XXXXXXX LA XXXX ESTE ANEXAT XXXXXXXXX XXXXXXXX/ (SK) XXXĽX VEREJNEJ LISTINY, XX XXXXXX JE XXXXX FORMULÁR XXXXXXXXX/ (XX) X SKLADU X JAVNO LISTINO, XX XX XX XXXXXXXX XX OBRAZEC/ (XX) XXX XXXXXXX XXXXXXXXXX MUKAAN, XXXXX XÄXÄ LOMAKE LIITETÄÄN/ (XX) XXXXXX XXX XXXXXXXXXX HANDLING TILL XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

5.1

(XX) СЪОТВЕТНОТО ЛИЦЕ ПРИТЕЖАВА БРАЧНА ДЕЕСПОСОБНОСТ СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) EL XXXXXXXXXX TIENE XXXXXXXXX XXXX XXXXXXXX XXXXXXXXXX XXX XXXXXXX AL XXXXXXX XXXXXXXX XXX XXXXXX XXXXXXX DE XXXXXXXXXX DEL XXXXXXXXX XXXXXXX/ (XX) XX XXXXXXX XXXXX ZPŮSOBILÁ XXXXXXX XXXXXXXXXX XXXXX XXXXXXXXXXXXXX PRÁVA XXXXXXXXX XXXXX, X XXXX XX XXXXXXX XXXXXXX XXXXXX/ (XX) XXX XÅXÆXXXXXX PERSON XXX XXXXXX XXX AT XXXXX XXXXÅ ÆXXXXXXX X XXXXXXX TIL XXXXXXXX RET I XXX XXXXXXXXXXX, XXXX XXX OFFENTLIGE XXXXXXXX XX XXXXXXX/ (XX) XXX XXX XXXXXXXXXXX XXXXXX XXXX XXX XXXXXXXXXX XXXXX XXX XXXXXXXXXXXXXX, XX XXX XXX ÖFFENTLICHE URKUNDE XXXXXXXXXXX WURDE, XXXXÄXXX/ (XX) ON XXXXXXXXX XXXX AVALIKU XXXXXXXXX XÄXXX XXXXXX XXXXXXXXXXXX ÕXXXXX XXXXXXXX ABIELUVÕIMELINE/ (XX) ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΕΧΕΙ ΤΗΝ ΙΚΑΝΟΤΗΤΑ ΣΥΝΑΨΗΣ ΓΑΜΟΥ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ/ (XX) XXX XXXXXX XXXXXXXXX HAS XXX CAPACITY TO XXXXX XXXXX XXX XXXXXXXX LAW OF XXX XXXXXX STATE XXXXX XXX PUBLIC XXXXXXXX XX XXXXXX/ (XX) XX PERSONNE XXXXXXXXX XXXX XX XXXXXX XX XXXXX XX XXXXX XXXXXXXX XX X'XXXX XXXXXX XÙ LE DOCUMENT XXXXXX XXX DÉLIVRÉ/ (XX) TÁ XX XXXXX XXXX xXXXXXXXX XXX XXXXXX CHUN XXXXXX XXXX XXXX XXXXXXXXX AN XXXXXXXXXX XXX xXXXXXXX XX XXXXXXXXX POIBLÍ X XXXXXXXX/ (XX) XXXXXXX XXXXX IMA XXXXXXXXXX XX XXXXXXXXX XXXXX XXXXX XXXXXXXXXXX XXXXX XXXXXX ČLANICE U XXXXX XX XXXXX XXXXXXX IZDANA/ (IT) XX XXXXXXX INTERESSATA XXXXXXXX XX CAPACITÀ XX XXXXXXXXX XXXXXXXXXX X XXXXX DEL XXXXXXX XXXXXXXXX DELLO XXXXX XXXXXX XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXĪXĀ XXXXXXX XXĒX XXXXXX XXXXĪXĀ XXXXXŅĀ XX XĀX XXXĪXXXXXXX XXXXĪXX XXXXXX, XXXĀ XXXXXXXXXX XXXXXXXXX XX IZDOTS/ (XX) XXXXXXXXXXX XXXXX XXX XXXXXXXX SUDARYTI XXXXXXXĄ XXXXX XXXXXXXĖX XXXĖX, XXXXXXX VIEŠASIS XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (XX) XX XXXXXXXX XXXXXXX X XÖXXXXXXX

XXXXXXXXXXXXX XXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXX XXXXXXX XXXXXXXXXX KÖTHET/ (XX) XX-XXXXXXX XXXXĊXXXXXX XĦXXXXX X-XXXXĊXXÀ LI XXŻŻXXXXĠ TAĦT XX-XXĠX XXXXXXXXXX TAL-ISTAT MEMBRU XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (NL) HEEFT XX XXXXXXXXXX XX XXXXXXXXXXX XX TE XXXXX XX GROND XXX XXX XXXXXXXXX XXXXX XXX XX XXXXXXXX WAAR HET XXXXXXXX XXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXX, XXXXXX XXXXXXX XXXXXXXX, XXXXXXX ZDOLNOŚĆ DO XXXXXXXX XXŁŻXŃXXXX NA XXXX PRAWA XXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX, W XXXXXX TEN XXXXXXXX XXXĘXXXX XXXXXŁ XXXXXX/ (XX) X PESSOA XX CAUSA XXXXXX XXXXXXXXXX XXXXXXXXXXX XXX XXXXXX DO XXXXXXX XXXXXXXX DO XXXXXX-XXXXXX XX QUE O XXXXXXXXX PÚBLICO XXX XXXXXXX/ (XX) XXXXXXXX XXXXXĂ XXX XXXXXXXXXXX XX A SE XĂXĂXXXX ÎX XXXXXXXXXXXX XX XXXXXXX XXXXXX XX XXXXXXXX XXXXXX ÎX XXXX XXXX XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX OSOBA XX SPÔSOBILÁ XXXXXXXX XXXXXXXXXX PODĽA VNÚTROŠTÁTNEHO XXXXX XXXXXXXXX ŠTÁTU, X KTOROM JE XXXXXXX XXXXXXX XXXXXX/ (XX) XX XXXXXXX XXXXX SPOSOBNA ZA XXXXXXXXX ZAKONSKE XXXXX X XXXXXX X XXXXXXXXXXX XXXXXX XXXXXX XXXXXXX, V KATERI XX XXXXXX XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXÖXXÄ ON XXXXXXXXXX XXXXXX XXXXXXXXXX XXX XÄXXXXXXXXXX KANSALLISEN LAINSÄÄDÄNNÖN XXXXXX, XXXXX YLEINEN XXXXXXXXX ON XXXXXXX/ (XX) HAR DEN XXXÖXXX XXXXXXXX XXXÖXXXXXX XXX XXXÅ ÄXXXXXXXX XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX X DEN XXXXXXXXXXX XÄX DEN XXXXXXXXXX HANDLINGEN XXXÄXXXXXX

5.2

(XX) НЯМА ДАННИ СЪОТВЕТНОТО ЛИЦЕ ДА Е ВСТЪПИЛО В БРАК СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) NO XXXXXX XXXXXX XXXXXXXXXX X XXXXXX XXX XXXXXXXXXX XXX XXXXXXX XX XXXXXXX NACIONAL XXX XXXXXX XXXXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXX XXXXXX NEUZAVŘELA XXXXXXXXXX POD XXXX XXXXXX PODLE XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXX JE XXXXXXX XXXXXXX VYDÁNA/ (XX) XXX PÅGÆLDENDE XXXXXX XXX XXXX XX XXXX XXXXX ÆXXXXXXX OPFØRT XXXXX XXX XXXX X XXXXXXX XXX XXXXXXXX XXX X DEN XXXXXXXXXXX, XXXX DET XXXXXXXXXX XXXXXXXX XX XXXXXXX/ (XX) XXX XXX XXXXXXXXXXX XXXXXX XXXXX IHREM NAMEN XXXXXXXX KEINE XXX XXXX XXX XXXXXXXXXX XXXXX DES MITGLIEDSTAATS, XX XXX DIE ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, GESCHLOSSEN/ (XX) XX XXX XXXXXXXXX XXXXX XXXXX ÜXXXXX XXXXXXX XXXXXXXXX VÄLJA XXXXXX XXXXXXXXXXXX ÕIGUSE 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 CONCERNED XXXXXXX XX HAVE XX XXXXXXXX XX XXX XX HER XXXX UNDER THE XXXXXXXX LAW XX XXX MEMBER XXXXX XXXXX THE XXXXXX XXXXXXXX IS XXXXXX/ (XX) XX XXXXXXXX XXXXXXXXX XX XXXXXX XXX XXXXX CONTRACTÉ XX XXXXXXX EN XXX XXX XX XXXXX XX XXXXX XXXXXXXX XX L'ÉTAT XXXXXX OÙ XX XXXXXXXX XXXXXX XXX XXXXXXX/ (XX) XXX XXX FHIANAISE XXX XX XXXXXX AN XXXXX XXXX xXXXXXXXX XXXXX XXXXXX XXXX XX FAOINA hAINM XXXXX XXX XXXXXXXXX XX BHALLSTÁT XXX xXXXXXXX AN DOICIMÉAD XXXXXX X XXXXXXXX/ (XX) XXXX POZNATO XX XX XXXXXXX XXXXX POD XXXXXX XXXXXX SKLOPILA XXXX XXXXX XXXXXXXXXXX XXXXX XXXXXX XXXXXXX X XXXXX XX JAVNA XXXXXXX IZDANA/ (IT) X XXXX DELLA XXXXXXX XXXXXXXXXXX XXX XXXXXXX REGISTRATO ALCUN XXXX XX XXXXXXXXXX X NORMA XXX XXXXXXX NAZIONALE DELLO XXXXX MEMBRO XXX XXXXXXXX XX DOCUMENTO XXXXXXXX/ (XX) UZ XXXXXXĪXĀX PERSONAS VĀRDA XXX XXXXĒXXX XXXXXXX XXXXĪXX XXXXXŅĀ XX XĀX XXXĪXXXXXXX XXXXĪXX XXXXXX, XXXĀ PUBLISKAIS XXXXXXXXX XX IZDOTS/ (XX) XXXXXXXXXXX XXXXX XXXX XXXXX XĖXX XXXXXĘX XXXXXXXXX XXXXX XXXXXXXĖX NARĖS, XXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ TEISĘ/ (HU) XX XXXXXXXX XXXXXXXXXX X XÖXXXXXXX XXXXXXXXXXXXX XXXXX SZERINTI TAGÁLLAM XXXXXXX JOGA XXXXXXX XXXXXXXXX XXXXXXXXXXXXXXXX XXXXX/ (XX) IL-PERSUNA XXXXĊXXXXXX XXXXXX XX XX XĦXXXXX L-EBDA ŻXXXĠ XXXXĠXXXXXX X'XXXXXX TAĦT XX-XXĠX XXXXXXXXXX TAL-ISTAT XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX PUBBLIKU/ (XX) XXXXX DE XXXXXXXXXX XXXX HUWELIJK XX XXXX XX XXXX XXXX OP XXXXX XXX XXX NATIONALE XXXXX XXX XX XXXXXXXX WAAR XXX XXXXXXXX XXXXXXXX WORDT XXXXXXXXX/ (XX) OSOBA, XXXXXX DOTYCZY XXXXXXXX, XXX XXXXXXXXX X XXXĄXXX XXŁŻXŃXXXX NA XXXX PRAWA XXXXXXXXX XXŃXXXX, W XXXXXX XXX DOKUMENT XXXĘXXXX XXXXXŁ XXXXXX/ (PT) XÃX XX XXXXXXX XXXXXXX XXXXXXXXX XX XXXX XX XXXXXX XX XXXXX XXX XXXXXX XX DIREITO XXXXXXXX XX ESTADO-MEMBRO XX QUE O XXXXXXXXX PÚBLICO XXX XXXXXXX/ (XX) XX XX XXXXXȘXX XXXXX XĂXĂXXXXX ÎXXXXXXXĂ XX XXXXXX XXXXXXXXX XXXXXX ÎX XXXXXXXXXXXX XX XXXXXXX XXXXXX AL XXXXXXXX XXXXXX ÎN XXXX ESTE XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX OSOBA XXXXXX XXXXXXXXXX XXXXXXXXXX XX XXXXXX XXXX XXXĽX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXXXX XX XXXXXXX LISTINA XXXXXX/ (XX) XX XXXXXXXXXXXXXX PODATKIH XXXXXXX XXXXX XX X XXXXXXXX ZVEZI, XX XX JO XXXXXXXX X XXXXXX XXXXX XX X SKLADU X NACIONALNIM XXXXXX XXXXXX XXXXXXX, V XXXXXX XX IZDANA XXXXX LISTINA/ (FI) XXXXXXXXXXXX XXXXXXÖX NIMELLE XX XXX XXXXXXXX XXXXXXXXXXX XXX XÄXXXXXXXXXX XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, XXXXX YLEINEN XXXXXXXXX XX XXXXXXX/ (SV) XÖXXXXXXXX XXX XXXÖXXX XXXXXXXX INTE HA XXXÅXX ÄXXXXXXXX XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX X XXX XXXXXXXXXXX XÄX DEN OFFICIELLA XXXXXXXXXX XXXÄXXXXXX

5.3

(XX) НЕ СА ИЗВЕСТНИ ПРЕЧКИ СЪОТВЕТНОТО ЛИЦЕ ДА ВСТЪПИ В БРАК СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) XX XXX XXXXXXXXXX XX XXXXXX XXXXXXXXXXX PARA XXX XX INTERESADO XXXXXXXXX XXXXXXXXXX XXX XXXXXXX XX DERECHO XXXXXXXX XXX ESTADO XXXXXXX XX XXXXXXXXXX XXX XXXXXXXXX PÚBLICO/ (CZ) XXXXXXXXXX XXXXX ZNÁMÁ XXXXXXXX, ABY DOTYČNÁ XXXXX XXXXXXXX MANŽELSTVÍ XXXXX VNITROSTÁTNÍHO XXXXX XXXXXXXXX STÁTU, X XXXX XX VEŘEJNÁ XXXXXXX VYDÁNA/ (XX) XXX XXXXXXXXXX XXXXX XXXXXX HINDRINGER XXX XXX XÅXÆXXXXXX PERSONS XXXXÅXXXX AF ÆXXXXXXX X HENHOLD TIL XXXXXXXX XXX X XXX MEDLEMSSTAT, HVOR XXX XXXXXXXXXX DOKUMENT XX XXXXXXX/ (XX) XXX KEIN HINDERNIS XXXXXXX, XXX XXX XXXXXXXXXXXXXX DER XXXXXXXXXXXX XXXXXX NACH XXX XXXXXXXXXX RECHT XXX XXXXXXXXXXXXXX, XX XXX XXX ÖFFENTLICHE

URKUNDE XXXXXXXXXXX XXXXX, ENTGEGENSTEHT/ (ET) XX OLE XXXXX XXXXXXXXX XÄXXX XXXXXX XXXXXXXXXXXX ÕIGUSE XXXXXXXX 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) XXXXX XX XX XXXXX XXXXXXXXXX XXX XXX XXXXXX CONCERNED XX XXXXX XXXXX XXX XXXXXXXX XXX OF XXX MEMBER STATE XXXXX XXX PUBLIC XXXXXXXX XX ISSUED/ (XX) XX X'XXXXXX XXX X'XXXÊXXXXXXX CONNU XX MARIAGE DE XX XXXXXXXX XXXXXXXXX XX XXXXX DU XXXXX XXXXXXXX XX X'XXXX XXXXXX XÙ XX XXXXXXXX XXXXXX XXX XXXXXXX/ (XX) XXX AON XXXX XXXXXXXXX ANN XX XX XXXXX LENA xXXXXXXXX CHUN XXXXXX XXXXX DLÍ XXXXXXXXX XX XXXXXXXXX XXX xXXXXXXX AN XXXXXXXXX XXXXXX X EISIÚINT/ (XX) XXXX XXXXXXX XXXXXXX ZBOG KOJE XXXXXXX XXXXX NE XX MOGLA XXXXXXXX XXXX PREMA XXXXXXXXXXX XXXXX DRŽAVE ČLANICE X XXXXX JE XXXXX XXXXXXX IZDANA/ (XX) NON SONO XXXX XXXXXXXXXXX AL XXXXXXXXXX DELLA XXXXXXX XXXXXXXXXXX X XXXXX XXX XXXXXXX XXXXXXXXX XXXXX STATO XXXXXX XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX/ (XX) XXX XXXĀXX XXXĀXX XĶĒXXĻX XXXXXXĪXXXXX PERSONAI XXĀXXXX XXXXĪXĀ XXXXXŅĀ XX TĀS XXXĪXXXXXXX XXXXĪXX XXXXXX, KURĀ XXXXXXXXXX XXXXXXXXX XX XXXXXX/ (LT) NĖRA XXXXXŲ XXXŪXXŲ XXXXXXXXXXX XXXXXXXX SUDARYTI XXXXXXXĄ XXXXX XXXXXXXĖX XXXĖX, XXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (XX) XXXXX X XÖXXXXXXX XXXXXXXXXXXXX HELYE XXXXXXXX XXXXXXXX XXXXXXX XXXX XXXXXXXX XXXXXX XXXXXXXX XXXXX, HOGY XX ÉRINTETT XXXXXXX XXXXXXXXXX KÖSSÖN/ (XX) XX XXXX X-XXXX XXXXXXXXXX XXXĦXXX XĦXXX-XXXXXXX XXXXĊXXXXXX XXXX XXŻŻXXXXĠ XXĦX XX-XXĠX XXXXXXXXXX XXX-XXXXX XXXXXX XXXX XXĦXXXĠ ID-DOKUMENT PUBBLIKU/ (XX) XX XX XXXX XXXXXXXXXXX XXXX XX XXXXXXXXXX XX XX HUWEN OP XXXXX VAN HET XXXXXXXXX XXXXX XXX XX LIDSTAAT XXXX XXX OPENBAAR XXXXXXXX XXXXX XXXXXXXXX/ (XX) XXX XXXXXXXĄ ZNANE XXXXXXXXXX XXX ZAWARCIA XXXXX OSOBĘ, XXXXXX XXXXXXX XXXXXXXX, XXŁŻXŃXXXX XX XXXX XXXXX XXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX, X XXXXXX XXX XXXXXXXX XXXĘXXXX XXXXXŁ XXXXXX/ (PT) XÃX XXXXXX XXXXXXXXXXX XXXXXXXXX X XXX A XXXXXX XX CAUSA XXXXXXXX XXXXXXXXXX NOS XXXXXX XX XXXXXXX XXXXXXXX DO XXXXXX-XXXXXX XX-XXX O DOCUMENTO XXXXXXX XXX XXXXXXX/ (XX) XX SE XXXXXX IMPEDIMENTE XX XĂXĂXXXXX PERSOANEI VIZATE ÎX XXXXXXXXXXXX XX XXXXXXX XXXXXX XX XXXXXXXX XXXXXX ÎX XXXX XXXX EMIS XXXXXXXXXX XXXXXXX/ (SK) XXX XX ZNÁMA XXXXXXXX XXX DOTKNUTÚ XXXXX XXXXXXXX XXXXXXXXXX XXXĽX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, V XXXXXX XX XXXXXXX XXXXXXX XXXXXX/ (SL) XX XXXXXXXXXXXX ZADRŽKOV, XX XXXXXXX XXXXX XX XX XXXXX XXXXXXXX XXXXXXXX XXXXX X XXXXXX X XXXXXXXXXXX PRAVOM DRŽAVE XXXXXXX, X XXXXXX XX IZDANA XXXXX XXXXXXX/ (XX) ASIANOMAISEN XXXXXXÖX AVIOLIITOLLE XX XXXXXXÄ OLEVAN ESTEITÄ XXX XÄXXXXXXXXXX XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX ASIAKIRJA ON XXXXXXX/ (XX) XXXXX XXX XXXX KÄNDA XXXXXX FÖR XXX XXXÖXXX XXXXXXXX ATT 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 XXXXXXXXXXX XXXX QUE XX XXXXXXXXXX XXXXXXXXX XXXXXXXXXX XXX SU XXXXXX XXXXXXX XXX XXXXXXX XX XXXXXXX XXXXXXXX XXX XXXXXX XXXXXXX XX XXXXXXXXXX DEL XXXXXXXXX PÚBLICO/ (CZ) XXXXXXXXXX XXXXX ZNÁMÁ XXXXXXXX XXXXXXXXXX XXXX XXXXXXXX XXXXXX X XXXXX SNOUBENCEM / XXXX XXXXXXXXXX XXXXX XXXXXXXXXXXXXX PRÁVA XXXXXXXXX XXXXX, X NĚMŽ XX XXXXXXX XXXXXXX XXXXXX/ (XX) DER XXXXXXXXXX INGEN XXXXXX XXXXXXXXXX XXX XXXXÅXXXX XX ÆGTESKAB XXXXXX XXX PÅGÆLDENDE XXXXXX XX DENNES XXXXXXXX ÆXXXXÆXXX X XXXXXXX XXX XXXXXXXX XXX X XXX XXXXXXXXXXX, XXXX DET OFFENTLIGE XXXXXXXX XX UDSTEDT/ (XX) XXX KEIN XXXXXXXXX XXXXXXX, DAS XXXXX EHESCHLIESSUNG DER XXXXXXXXXXXX XXXXXX XXX XXXXX KÜNFTIGEN XXXXXXXXX XXXX DEM NATIONALEN XXXXX XXX MITGLIEDSTAATS, XX DEM XXX ÖXXXXXXXXXX XXXXXXX AUSGESTELLT XXXXX, XXXXXXXXXXXXX/ (XX) XX XXX TEADA XXXXXXX DOKUMENDI XÄXXX XXXXXX XXXXXXXXXXXX ÕXXXXX XXXXXXXX ASJAOLUSID, XXX XXXXXXXXXXX ABIELU SÕLMIMIST XXXXXXXXX ISIKU JA XXXX XXXXXXXX ABIKAASA 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) XXXXX XX XX IMPEDIMENT XXXXX XX A MARRIAGE XXXXXXX XXX XXXXXX XXXXXXXXX XXX XXX XX XXX INTENDED XXXXXX XXXXX XXX XXXXXXXX XXX XX XXX XXXXXX STATE XXXXX THE XXXXXX XXXXXXXX XX ISSUED/ (XX) XX X'XXXXXX XXX X'XXXÊXXXXXXX XXXXX XX XXXXXXX DE XX PERSONNE XXXXXXXXX XXXX SON FUTUR XXXXXXXX EN XXXXX XX DROIT XXXXXXXX XX X'XXXX MEMBRE XÙ XX DOCUMENT XXXXXX XXX XXXXXXX/ (XX) NÍL XXX XXXX XXXXXXXXX ANN XX PHÓSADH XXXX XX DUINE XXXX xXXXXXXXX XXXX X X(X)XXXX XXXXXXXXXX FAOI XXXX XXXXXXXXX XX XXXXXXXXXX XXX xXXXXXXX XX XXXXXXXXX XXXXXX X EISIÚINT/ (HR) XXXX XXXXXXX ZAPREKE XXXX XXXX XXXXXXX XXXXX I XXXXXX XXXXĆX XXXXXX XXXX XX BI XXXXX XXXXXXXX XXXX PREMA XXXXXXXXXXX XXXXX XXXXXX XXXXXXX X XXXXX XX JAVNA XXXXXXX XXXXXX/ (XX) XXX XXXX NOTI XXXXXXXXXXX XX MATRIMONIO XXX XX XXXXXXX XXXXXXXXXXX X XX XXXXXX XXXXXXX A XXXXX XXX XXXXXXX NAZIONALE XXXXX XXXXX XXXXXX XXX RILASCIA XX XXXXXXXXX XXXXXXXX/ (XX) XXX ZINĀMI XXXĀXX XĶĒXXĻX XXXXĪXXX XXXXĒXXXXXX XXXXX XXXXXXĪXX PERSONU XX XĀX XXXXXX XXXXĀXX XXXXXŅĀ XX XĀX DALĪBVALSTS TIESĪBU XXXXXX, XXXĀ XXXXXXXXXX XXXXXXXXX XX XXXXXX/ (XX) XĖXX XXXXXŲ XXXŪXXŲ ATITINKAMO XXXXXX XX JO XŪXXXX (-XX) XXXXXXXXXXX (-ĖX) XXXXXXXXX XXXXX XXXXXXXĖX XXXĖX, XXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (XX) XXXXX X XÖXXXXXXX XXXXXXXXXXXXX XXXXX XXXXXXXX XXXXXXXX XXXXXXX JOGA XXXXXXXX, XXXXXX XXXXXXXX XXXXX, XXXX AZ XXXXXXXX XXXXXXX XX XXXXXŐ XXXXXXXXXX EGYMÁSSAL

HÁZASSÁGOT XÖXXÖX/ (XX) MA XXXX X-XXXX XXXXXXXXXX MAGĦRUF XĦXŻ-ŻXXXĠ XXXX XX-XXXXXXX XXXXĊXXXXXX U X-XXXXXĠX XXXXX XXXĦXX TAĦT XX-XXĠX XXXXXXXXXX TAL-ISTAT XXXXXX FEJN INĦAREĠ XX-XXXXXXXX XXXXXXXX/ (XX) XX ER XXXX XXXXXXXXXXX VOOR XXX XXXXXXXX XXXXXX DE XXXXXXXXXX XX XXXX XX HAAR BEOOGDE XXXXXXXX(X)X(X) OP GROND XXX HET XXXXXXXXX XXXXX XXX DE XXXXXXXX XXXX XXX XXXXXXXX DOCUMENT WORDT XXXXXXXXX/ (XX) NIE XXXXXXXĄ XXXXX XXXXXXXXXX XXX XXXXXXXX XXŁŻXŃXXXX XXXXX XXXXĘ, KTÓREJ XXXXXXX XXXXXXXX, Z XXXXĄ, Z XXXXĄ XXXXXXXX XXX XXXXXXĆ XXŁŻXŃXXXX, XX MOCY XXXXX XXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX, X XXXXXX XXX XXXXXXXX XXXĘXXXX XXXXXŁ WYDANY/ (XX) XÃX XXXXXX XXXXXXXXXXX XXXXXXXXX X QUE XX XXXXXXXX XXXXXXXXX XXXXXXXXXX XXX XXXXXX XX XXXXXXX XXXXXXXX XX XXXXXX-XXXXXX EM XXX X XXXXXXXXX XXX EMITIDO/ (XX) XX XX XXXXXX XXXXXXXXXXX XX CĂSĂTORIA XXXXXX XXXXXXXX XXXXXĂ ȘX XXXXXXXX XXȚ (XXXXXXXXX XXȚXX) ÎX XXXXXXXXXXXX XX DREPTUL XXXXXX AL XXXXXXXX XXXXXX ÎN XXXX XXXX EMIS XXXXXXXXXX XXXXXXX/ (XX) XXX XX XXXXX XXXXXXXX XXXXXXXX XXXXXXXXXX MEDZI XXXXXXXXX OSOBOU A XXX XXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXX XXXXXXXX XXXĽX VNÚTROŠTÁTNEHO XXXXX XXXXXXXXX XXXXX, X XXXXXX XX XXXXXXX XXXXXXX VYDANÁ/ (SL) XX UGOTOVLJENIH ZADRŽKOV, XX XXXXXXX XXXXX XX XXXX XXXXXXXXXX XXXXXXX XX XX XXXXX XXXXXXXX XXXXXXXX XXXXX V XXXXXX X XXXXXXXXXXX XXXXXX XXXXXX XXXXXXX, X XXXXXX JE XXXXXX XXXXX LISTINA/ (XX) XXXXXXXXXXXX XXXXXXÖX JA XÄXXX XXXXXXX PUOLISONSA XÄXXXXXXX AVIOLIITOLLE XX XXXXXXÄ XXXXXX XXXXXXÄ XXX XÄXXXXXXXXXX KANSALLISEN XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX XXXXXXXXX ON XXXXXXX/ (XX) XXXXX XXX INGA KÄNDA XXXXXX FÖR XXXÅXXXX XX ÄXXXXXXXX MELLAN XXX XXXÖXXX XXXXXXXX XXX XXXX XXXXX XXXXXX XXXXXXXX MAKE XXXXX XXXX XXXXXX XXX NATIONELLA XXXXXXXXXXXXXX X DEN XXXXXXXXXXX XÄX DEN XXXXXXXXXX XXXXXXXXXX XXXÄXXXXXX

5.5

(XX) НЕ СА ИЗВЕСТНИ ВЪЗРАЖЕНИЯ СРЕЩУ СКЛЮЧВАНЕТО НА БРАК МЕЖДУ СЪОТВЕТНОТО ЛИЦЕ И НЕЙНИЯ(НЕГОВАТА) БЪДЕЩ(А) СЪПРУГ(А) СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) XX XXX XXXXXXXXX XXXXXXXX XX XXXXXXXXXX XXXXX XX XXXXXXXXXX X SU FUTURO XXXXXXX XXX XXXXXXX XX XXXXXXX XXXXXXXX XXX XXXXXX XXXXXXX XX XXXXXXXXXX DEL XXXXXXXXX PÚBLICO/ (XX) XXXXXXXXXX XXXXX XXXXX XXXXXXX PROTI XXXXXXXX XXXXXXXXXX MEZI XXXXXXXX XXXXXX X XXXXX XXXXXXXXXX / XXXX XXXXXXXXXX XXXXX VNITROSTÁTNÍHO XXXXX XXXXXXXXX XXXXX, X XXXX JE XXXXXXX LISTINA XXXXXX/ (XX) DER FORELIGGER XXXXX XXXXXX INDSIGELSER XXX XXXXÅXXXX AF XX ÆGTESKAB XXXXXX XXX XÅXÆXXXXXX PERSON XX XXXXXX XXXXXXXX ÆXXXXÆXXX X XXXXXXX XXX XXXXXXXX RET X DEN XXXXXXXXXXX, XXXX XXX XXXXXXXXXX XXXXXXXX ER UDSTEDT/ (XX) XXX KEIN XXXXXXX XXXXXXX, DER XXXXX XXXXXXXXXXXXXX DER XXXXXXXXXXXX XXXXXX XXX XXX XÜXXXXXXX XXXXXXXXX XXXX XXX NATIONALEN XXXXX XXX XXXXXXXXXXXXXX, XX DEM DIE ÖXXXXXXXXXX URKUNDE XXXXXXXXXXX XXXXX, XXXXXXXXXXXXX/ (XX) XX OLE TEADA XXXXXXX DOKUMENDI XÄXXX XXXXXX XXXXXXXXXXXX ÕXXXXX XXXXXX XXXXXXXXXX, MIS XXXXXXXXX XXXXXX XÕXXXXXXX XXXXXXXXX XXXXX XX XXXX XXXXXXXX ABIKAASA 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) XXXXX XX XX XXXXXXXXXX KNOWN XX X XXXXXXXX XXXXXXX XXX XXXXXX XXXXXXXXX XXX XXX XX XXX XXXXXXXX XXXXXX XXXXX XXX XXXXXXXX LAW OF XXX XXXXXX STATE XXXXX XXX PUBLIC XXXXXXXX IS XXXXXX/ (XX) IL X'XXXXXX XXX X'XXXXXXXXXX XXXXXX XX XXXXXXX DE XX XXXXXXXX XXXXXXXXX XXXX SON FUTUR XXXXXXXX XX VERTU XX XXXXX XXXXXXXX XX X'XXXX MEMBRE XÙ XX DOCUMENT XXXXXX XXX XXXXXXX/ (XX) XXX XXX XXXX IN AGHAIDH XXXXXXXXX XXX XX XXXXXXX IDIR XX XXXXX XXXX xXXXXXXXX XXXX A X(X)XXXX XXXXXXXXXX XXXX XXXX XXXXXXXXX AN BHALLSTÁIT XXX nDÉANTAR AN XXXXXXXXX POIBLÍ X XXXXXXXX/ (XX) XXXX XXXXXXXX PRIGOVORA XXXX XXXXX DOTIČNA OSOBA X XXXXXX XXXXĆX XXXXXX XXXX XX XX XXXXX SKLOPITI XXXX XXXXX XXXXXXXXXXX XXXXX XXXXXX XXXXXXX X KOJOJ XX XXXXX XXXXXXX XXXXXX/ (XX) XXX XXXX XXXX XXXXXXXXXXX XX XXXXXXXXXX XXX XX XXXXXXX INTERESSATA X XX FUTURO XXXXXXX X XXXXX XXX XXXXXXX XXXXXXXXX XXXXX XXXXX XXXXXX XXX XXXXXXXX IL DOCUMENTO XXXXXXXX/ (LV) XXX XXXĀXX XXXĀXX XXXXXXXXX XXXXĪXXX XXXXĒXXXXXX XXXXX XXXXXXĪXX PERSONU UN XĀX XXXXXX LAULĀTO XXXXXŅĀ XX TĀS XXXĪXXXXXXX XXXXĪXX AKTIEM, XXXĀ XXXXXXXXXX XXXXXXXXX XX XXXXXX/ (XX) XĖXX XXXXXŲ XXXXXXXXXXXXŲ XXXXXXXXXX XXXXXX XX XX BŪSIMO (-XX) XXXXXXXXXXX (-ĖX) XXXXXXXXX XXXXX XXXXXXXĖX XXXĖX, XXXXXXX XXXXXXXX DOKUMENTAS XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (XX) XXX XXXXXX XXXXX, X KÖZOKIRAT XXXXXXXXXXXXX HELYE XXXXXXXX XXXXXXXX XXXXXXX JOGA XXXXXXXX ELLENVETÉS, XXXXXXX XX XXXXXXXX XXXXXXX XX XXXXXŐ XXXXXXXXXX XXXXX XÖXXXXŐ XXXXXXXXXXX XXXXXXX NYÚJTOTTAK BE/ (XX) MA XXXX X-XXXX XXXXŻXXXXXXX XXXĦXXXX XĦXŻ-ŻXXXĠ XXXX IL-PERSUNA XXXXĊXXXXXX U X-XXXXXĠX XXXXX XXXĦXX TAĦT XX-XXĠX NAZZJONALI TAL-ISTAT XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (NL) XX XX XXXX XXXXXX XXXXX EEN XXXXXXXX TUSSEN XX XXXXXXXXXX XX XXXX XX XXXX XXXXXXX XXXXXXXX(X)X(X) XX GROND XXX HET XXXXXXXXX XXXXX XXX DE XXXXXXXX XXXX XXX XXXXXXXX DOCUMENT XXXXX XXXXXXXXX/ (XX) NIE XXŁXXXXXX XXXXXXXXX XXXXX XXXXXXXX XXŁŻXŃXXXX XXXXX XXXXĘ, KTÓREJ DOTYCZY XXXXXXXX, X XXXXĄ, X KTÓRĄ ZAMIERZA XXX ZAWRZEĆ MAŁŻEŃSTWO, XX MOCY XXXXX XXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX, X XXXXXX XXX XXXXXXXX XXXĘXXXX XXXXXŁ XXXXXX/ (XX) NÃO XXXXXX OPOSIÇÃO CONHECIDA X QUE OS XXXXXXXX CONTRAIAM XXXXXXXXXX XXX XXXXXX XX XXXXXXX XXXXXXXX XX XXXXXX-XXXXXX EM XXX X DOCUMENTO FOI XXXXXXX/ (XX) NU XX CUNOAȘTE NICIO XXXXXȚXX LA XĂXĂXXXXX XXXXXX XXXXXXXX XXXXXĂ ȘX XXXXXXXX SOȚ (XXXXXXXXX SOȚIE) ÎN XXXXXXXXXXXX XX DREPTUL XXXXXX XX XXXXXXXX XXXXXX ÎN XXXX XXXX EMIS DOCUMENTUL XXXXXXX/ (XX) XXX XX XXXXX XXXXXXXX XXXX XXXXXXXXX XXXXXXXXXX XXXXX XXXXXXXXX XXXXXX X XXX XXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXX XXXXXXXX XXXĽX XXXXXXXXXXXXXX XXXXX ČLENSKÉHO XXXXX, X XXXXXX XX XXXXXXX XXXXXXX XXXXXX/ (XX) XX XXXXXXXXXXXXX XXXXXXXXXXXXX SKLENITVI ZAKONSKE XXXXX XXX XXXXXXX XXXXX XX NJENIM XXXXXXXXXXX XXXXXXXX X XXXXXX Z XXXXXXXXXXX XXXXXX XXXXXX XXXXXXX, X XXXXXX XX XXXXXX XXXXX XXXXXXX/ (XX) XXXXXXXXXXXX HENKILÖN XX XÄXXX XXXXXXX XXXXXXXXXX XÄXXXXÄ XXXXXXXXXXX XX XXX XXXXXXXXXXX XXX JÄSENVALTION KANSALLISEN XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX ASIAKIRJA ON XXXXXXX/ (SV) XXXXX XXX INGA XÄXXX XXXÄXXXXXXXX XXX INGÅENDE XX ÄKTENSKAP XXXXXX XXX BERÖRDA XXXXXXXX XXX XXXX XXXXX XXXXXX BLIVANDE XXXX XXXXX XXXX XXXXXX XXX NATIONELLA LAGSTIFTNINGEN X XXX XXXXXXXXXXX XÄX DEN XXXXXXXXXX XXXXXXXXXX XXXÄXXXXXX

6.

(XX) ИНФОРМАЦИЯ ЗА БЪДЕЩИЯ(АТА) СЪПРУГ(А) НА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX SOBRE XX XXXXXX XXXXXXX XXX INTERESADO/ (XX) XXXXXXXXX X SNOUBENCI / XXXXXXXXX DOTYČNÉ XXXXX/ (DA) OPLYSNINGER XX XXX PÅGÆLDENDE XXXXXXX KOMMENDE ÆXXXXÆXXX/ (XX) XXXXXXX XX XXX XÜXXXXXXX XXXXXXXXX XXX XXXXXXXXXXXX XXXXXX/ (XX) XXXXX ISIKU XXXXX, XXXXXXX ASJAOMANE XXXX SOOVIB XXXXXX XÕXXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΜΕΛΛΟΝΤΟΣ Ή ΤΗΣ ΜΕΛΛΟΥΣΑΣ ΣΥΖΥΓΟΥ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX THE INTENDED XXXXXX XX XXX XXXXXX CONCERNED/ (XX) XXXXXXXXXXXX SUR LE XXXXX CONJOINT XX XX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXX MAIDIR XX XXXXX XXXXXXXXXX XX XXXXX XXXX xXXXXXXXX/ (XX) INFORMACIJE X BUDUĆEM XXXXXXX XXXXX XXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXX XXXXXX XXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (LV) XXXXXXĀXXXX XXX XXXXXXĪXĀX XXXXXXXX XXXXXX XXXXĀXX/ (XX) INFORMACIJA XXXX XXXXXXXXXX XXXXXX XŪXXXĄ XXXXXXXXXĮ (-Ę)/ (XX) XX XXXXXXXX XXXXXXX XXXXXŐ XXXXXXXXXXXX VONATKOZÓ XXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXĠX XXXXX XXX-XXXXXXX KKONĊERNATA/ (XX) XXXXXXXXXX XXXX XX XXXXXXX ECHTGENO(O)T(E) VAN XX XXXXXXXXXX/ (XX) XXXX OSOBY, Z XXXXĄ OSOBA, KTÓREJ XXXXXXX XXXXXXXX, ZAMIERZA XXXXXXĆ XXŁŻXŃXXXX/ (XX) XXXXXXXÇÕXX XXXXX X XXXXXX XÔXXXXX DA XXXXXX XX CAUSA/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXX XXȚ (XXXXXXXXX XXȚXX) XX (X) XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXX O NASTÁVAJÚCOM XXXXXXXXX/ XXXXXXXXXXXX XXXXXXXX XXXXXXXXX OSOBY/ (XX) XXXXXXXXXXX X XXXXXXXXXXX XXXXXXX ZADEVNE XXXXX/ (XX) TIEDOT XXXXXXXXXXXX XXXXXXÖX TULEVASTA XXXXXXXXXX/ (XX) XXXXXXXXX XX XXX BERÖRDA XXXXXXXXX XXXXXXXX MAKE XXXXX XXXX

7.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) RECUADRO XXXX XX XXXXX/ (XX) POLE XXX XXXXXX/ (DA) UNDERSKRIFTSFELT/ (XX) XXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) XXXXX XXXX LA XXXXXXXXX/ (XX) XXXXX DON XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXXXXX XXX LA XXXXX/ (LV) PARAKSTA XXXXX/ (XX) XXXXXX XXXXXXXX/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX TAL-IFFIRMAR/ (NL) XXX VOOR XX XXXXXXXXXXXX/ (PL) POLE XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (SK) XXXXXXX XX PODPIS/ (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) XXXXXXXX(X) Y XXXXXX(X) XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (CZ) XXXXXXXX X XXXXX (XXXXX) XXXXXXXX, KTERÝ XXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXXX(X) OG XXXXXXX(X) XÅ DEN EMBEDSMAND, XXX XXX UDSTEDT XXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXXXXXX(X) XXX XXXXXXX, XXX XXXXXX XXXXXXXX AUSGESTELLT XXX/ (ET) XÄXXXXXXX XXXXX VÄLJASTANUD XXXXXXXX XXXXXXX (-NIMED) XX XXXXXXXXXXXXX (-NIMED)/ (EL) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXX(X) XXX XXXXXXXX(X) XX XXX XXXXXXXX XXX XXXXXX THIS XXXX/ (XX) NOM(S) XX XXXXXX(X) XX XXXXXXXXXXXXX XXX A XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX OIFIGIGH A X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX XXXX XX IZDAO XXXX XXXXXXX/ (XX) XXXXXXX/X E XXXX/X XXX FUNZIONARIO XXX XX XXXXXXXXXX IL XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, UZVĀRDS(-I) XX XĀXXX(-X)/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖX) XX XXXXXX (-AI)/ (XX) A FORMANYOMTATVÁNYT XXXXXXXX XXXXXXXXXXŐ XXXXXXX XXXX(X) XX UTÓNEVE(I)/ (XX) XXXXXX(/XXXXXXXXXXX) U XXXX(/XXXXXXXX) TAL-UFFIĊJAL XX ĦXXXĠ XXX IL-FORMOLA/ (XX) XX(X)X(XX) XX XXXXXX(X)X(XX) XXX DE XXXXXXXXX XXX XXX XXXXXXXXX HEEFT XXXXXXXXX/ (XX) XXXXXXXX(-X) X XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX XXXXŁ NINIEJSZY XXXXXXXXX/ (XX) XXXXXXX(X) X NOME(S) PRÓPRIO(S) XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (RO) XXXXXX ȘX XXXXXXXXX XXXXȚXXXXXXXXX XXXX X EMIS XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, XXXXX XXXXX XXXXX FORMULÁR/ (SL) XXXXXXX/XXXXXXX XX XXX/XXXXX XXXXXXXX, KI JE XXXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX SUKUNIMI (-XXXXX) JA XXXXXXX (-XXXXX)/ (SV) XXXXXXXXX XXX XÖXXXXX PÅ XXX TJÄNSTEMAN SOM XXX XXXÄXXXX XXXXX XXXXXXÄX

7.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX DEL XXXXXXXXXXX XXX XXXXXXX ESTE XXXXXXX/ (XX) FUNKCE XXXXXXXX, XXXXX XXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXX — XXX XXXXXXXXXX, DER HAR XXXXXXX DENNE XXXXXXXX/ (XX) XXXXXXXX XXX XXXXXXX, DER XXXXXX XXXXXXXX AUSGESTELLT HAT/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX XX XXX XXXXXXXX WHO XXXXXX XXXX FORM/ (XX) POSTE DU XXXXXXXXXXXXX QUI X XXXXXXX LE XXXXXXX XXXXXXXXXX/ (XX) POST XX OIFIGIGH X X’XXXXXX AN XXXXXX XXX/ (XX) XXXXXXXX XXXXXXXXXX XXXX XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX DEL XXXXXXXXXXX CHE XX XXXXXXXXXX IL XXXXXXXX XXXXXX/ (XX) AMATPERSONAS, XXXX XXXXXXXX XX XXXXXXXX, XXXXX/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX PAREIGOS/ (XX) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ DIN XX-XXXXXXX/ (XX) FUNCTIE VAN XX XXXXXXXXX XXX XXX FORMULIER HEEFT XXXXXXXXX/ (PL) STANOWISKO XXXĘXXXXX, KTÓRY XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX DO FUNCIONÁRIO XXX XXXXXX O XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX CARE X EMIS PREZENTUL XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (SL) XXXXXXX URADNIKA, XX XX XXXXX TA XXXXXXX/ (FI) XÄXÄX XXXXXXXXX ANTANEEN XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX XXX HAR XXXÄXXXX XXXXX FORMULÄR

7.3

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) AUSSTELLUNGSDATUM (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX DÉLIVRANCE/ (XX) DÁTA (XX/XX/XXXX) XXXXXXX/ (HR) XXXXX (XX/XX/XXXX) IZDAVANJA/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) WYDANIA/ (XX) XXXX XX XXXXXÃX (DD/MM/AAAA)/ (RO) XXXX (XX/XX/XXXX) EMITERII/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (XX) XXXXX (DD/MM/ÅÅÅÅ) FÖR XXXÄXXXXXX

7.4

(XX) ПОДПИС/ (XX) XXXXX/ (CZ) PODPIS/ (XX) XXXXXXXXXXX/ (DE) XXXXXXXXXXXX/ (ET) ALLKIRI/ (XX) ΥΠΟΓΡΑΦΗ/ (EN) XXXXXXXXX/ (FR) XXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (IT) XXXXX/ (XX) XXXXXXXX/ (LT) XXXXXXX/ (XX) ALÁÍRÁS/ (XX) FIRMA/ (NL) XXXXXXXXXXXX/ (XX) PODPIS/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) PODPIS/ (XX) PODPIS/ (XX) XXXXXXXXXXXXX/ (XX) NAMNTECKNING

7.5

(BG) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (XX) XXXXX XXXX XXXXXXX/ (DA) XXXX ELLER XXXXXXX/ (XX) XXXXXX XXXX XXXXXXX/ (XX) PITSER XÕX XXXXXX/ (EL) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX STAMP/ (XX) XXXXX XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (HR) XXX XXX XXXXX/ (XX) XXXXX X TIMBRO/ (XX) ZĪMOGS XXX XXXXXXXX/ (LT) SPAUDAS XXXX XXXXXXXXXX/ (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/ (XX) XXXXX XXX XXX/ (XX) XXXXXXX XXX XXXXX/ (XX) XXXXXX XXXXX XXÄXXXX

RODINNÝ XXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX XXX XXXXXXX

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

Xxxxxx (XX) Xxxxxxxxx (BG)

Česká xxxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (IE)

Řecko (EL) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (LT)

Lucembursko (LU)

Maďarsko (XX) Malta (XX)

Xxxxxxxxxx (XX) Xxxxxxxx (AT)

Polsko (XX) Portugalsko (PT)

Rumunsko (XX) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Xxxxxx (XX)

Xxxxxxx (XX) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx xxxxxx xxxxxx vícejazyčného xxxxxxxxxxxx xxxxxxxxx xx usnadnění xxxxxxxx veřejné listiny, x xxx xx xxxxxxxx. Tento formulář xx xxxx členskými xxxxx xxxxx xxxxxxxxx xxxx samostatný xxxxxxxx.

Xxxxx xxxxxxxx xxxxxx obsah xxxxxxx listiny, x xxx xx xxxxxxxx. Xxxxx, xxxxx je xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx může x xxxxxxxxx, xxx je xx xxxxxxxx pro xxxxx xxxxxxxxxx xxxxxxx xxxxxxx, xxxxxxxxx překlad xx xxxxxx informací, xxxxx xxxx ve xxxxxxxxx uvedeny.

UPOZORNĚNÍ XXX XXXXXXXXXX XXXXX

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

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

1. ORGÁN XXXXXXXXXX TENTO XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

3. XXXXXXXXX XXXXXXXX SE VEŘEJNÉ XXXXXXX, K XXX XX PŘILOŽEN XXXXX XXXXXXXX

3.1 Listina vydaná xxxxxxx xxxx xxxxxxxxx x vazbou xx xxxxx xxxxxx členského xxxxx

3.1.1 Rozhodnutí xxxxx

3.1.2 Xxxxxxx xxxxxx státním xxxxxxxxx

3.1.3 Listina xxxxxx xxxxxx xxxxxxx xxxxxxxxx

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

3.1.5 Xxxx (xxxxxxxxx)

(1) Xx. věst. X 200, 26.7.2016, x. 1.

(2) Xxx xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

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

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

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x xxxxxxx

3.2.3 Xxxxx x xxxxxxxx obyvatel

3.2.4 Xxxx matričních záznamů

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Úřední xxxxxxxxx, xxxxxx xxxx opatřena xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

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

3.6 Xxxxx (dd/mm/rrrr) xxxxxx

3.7 Referenční xxxxx xxxxxxx listiny

4. XXXXXXXXX X DOTYČNÉ XXXXX

4.1 Xxxxx/x xxxxxxxx

4.2 Xxxxxxxx/x xxxxxxxx

4.3 Příjmení xxxx xxxxxxxxx xxxxxxxxxx

4.4 Příjmení xx xxxxxxxx xxxxxxxxxx

4.5 Xxxxx (jména)

4.6 Datum (xx/xx/xxxx) xxxxxxxx

4.7 Xxxxx (1) a xxxx (2) narození

4.8 Xxxxxxx:

4.8.1 Xxxx

4.8.2 Xxx

4.8.3 Xxxxxxxx

4.9 Xxxxxx xxxxxxxxxxx

5. XX XXXXXXX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX TENTO XXXXXXXX, XX XXXXXXX OSOBA XXXXX RODINNÝ STAV:

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

5.2 Xxxxxxxxx – nesezdaný

5.2.1 Xxxxxxxx – Svobodný

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

5.2.3 Vdova – vdovec/Datum (dd/mm/rrrr) xxxxx xxxxxxx/xxxxxxxx

5.3 Xxxxxxxx

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

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

6. XXXX XXX PODPIS

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

6.2 Xxxxxx úředníka, xxxxx xxxxx xxxxx xxxxxxxx

6.3 Xxxxx (xx/xx/xxxx) xxxxxx

6.4 Xxxxxx

6.5 Xxxxx nebo xxxxxxx

XXXXXXXXXXX GLOSÁŘ XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXXX XXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX EXPIDE XXXX XXXXXXX/ (CZ) ORGÁN XXXXXXXXXX XXXXX FORMULÁŘ/ (XX) DENNE XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, DIE XXXXXX XXXXXXXX AUSSTELLT/ (XX) XÄXXXXXXX XXXXX XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX XXXX/ (XX) XXXXXXXX XX XXXXXXXXXX DU XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX A XXXXXXXX XX FHOIRM XXX/ (XX) XXXXXX XXXX XXXXXX XXXX XXXXXXX/ (XX) AUTORITÀ XXX XXXXXXXX IL XXXXXXXX MODULO/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXX/ (MT) AWTORITÀ XXXXXXXXX TA' XXX XX-XXXXXXX/ (NL) XXXXXXXXXX XXX AFGIFTE VAN XXX XXXXXXXXX/ (XX) XXXXX WYDAJĄCY NINIEJSZY XXXXXXXXX/ (XX) AUTORIDADE XXX XXXXX X XXXXXXXX FORMULÁRIO/ (RO) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX XXXXXXXX/ (SK) XXXXX XXXXXXXXXX TENTO XXXXXXXX/ (XX) XXXXX, XX IZDA XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX SOM XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (CZ) XXXXX/ (XX) BETEGNELSE/ (XX) XXXXXXXXXXX/ (XX) XXXXXXX/ (EL) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (GA)AINMNIÚ/ (XX) XXXXX/ (IT) DENOMINAZIONE/ (XX) XXXXXXXXX/ (LT) XXXXXXXXXXX/ (HU) XXXXXXXXXX/ (XX) TITLU/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) DESIGNAÇÃO/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) XXX/ (XX) XXXX/ (XX) NAMN

2.

(BG) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) AUTORIDAD XXX XXXXXX XX XXXXXXXXX PÚBLICO AL XXX XX ADJUNTA XXXX XXXXXXX/ (XX) XXXXX VYDÁVAJÍCÍ XXXXXXXX XXXXXXX, K XXX XX XXXXXXXX TENTO XXXXXXXX/ (DA) DEN XXXXXXXXX, DER HAR XXXXXXX XXX OFFENTLIGE XXXXXXXX, SOM XXXXX XXXXXXXX XX VEDHÆFTET/ (XX) BEHÖRDE, XXX XXX ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX, AUSSTELLT/ (XX) ASUTUS, XXX XXXXX XÄXXX XXXXXXX XXXXXXXXX, XXXXXXX SEE XXXX XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) AUTHORITY XXXXXXX XXX PUBLIC XXXXXXXX TO XXXXX XXXX XXXX IS XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX FORMULAIRE/ (GA) XX xXXXXXX A XXXXXXXX XX XXXXXXXXX XXXXXX XXXX BHFUIL XX XXXXXX SEO XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXX XXXXX XXXXXXX XXXXX XX XXXX OBRAZAC PRILOŽEN/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX CUI XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, XXXXX ŠĪ XXXXXXXX XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX KURIO XXXXXXXXX ŠI FORMA, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) A FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX TAD-DOKUMENT XXXXXXXX XX XXXXĦX HIJA XXXXXŻX XXX XX-XXXXXXX/ (XX) AUTORITEIT VAN XXXXXXX XXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX IS XXXXXXX/ (XX) XXXXX XXXXXĄXX DOKUMENT URZĘDOWY, XX XXXXXXX NINIEJSZY XXXXXXXXX JEST XXŁĄXXXXX/ (XX) XXXXXXXXXX QUE XXXXX X XXXXXXXXX XXXXXXX X QUE X PRESENTE XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXXX XXXXXXX XX XXXX XXXX ANEXAT XXXXXXXXX XXXXXXXX/ (SK) XXXXX XXXXXXXXXX VEREJNÚ XXXXXXX, XX KTOREJ XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX XXXX XXXXX XXXXXXX, KI XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXXXX, XXXX ON XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ XXXXXX LIITETÄÄN/ (XX) XXXXXXXXX XXX XXXÄXXXX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄR XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX RELATIVA AL XXXXXXXXX PÚBLICO XX XXX SE XXXXXXX XXXX XXXXXXX/ (CZ) XXXXXXXXX XXXXXXXX SE XXXXXXX LISTINY, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX VEDRØRENDE XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (DE) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX IST/ (XX) XXXXX XXXXXXX XXXXXXXXX XXXXX, XXXXXXX XXX XXXX ON LISATUD/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXXXX XXXXXXXX XX XXX PUBLIC XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX XX DOCUMENT PUBLIC XXXXXX XXX JOINT XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX X XXXXXXXXX XXXX XX XXXXXXXXX XXXXXX LENA XXXXXX XX XXXXXX XXX CEANGAILTE/ (HR) XXXXXXXXXXX KOJE XX XXXXXX XX XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXX XX DOCUMENTO XXXXXXXX XXX IL XXXXXXXX XXXXXX È ALLEGATO/ (XX) XXXXXXĀXXXX PAR XXXXXXXX XXXXXXXXX, KURAM XĪ VEIDLAPA XX XXXXXXXXXX/ (LT) INFORMACIJA, XXXXXXXX XX XXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX FORMA/ (XX) X FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX HIJA XXXXXŻX XXX IL-FORMOLA/ (XX) XXXXXXXXXX BETREFFENDE XXX OPENBAAR XXXXXXXX XXXXXXX DIT XXXXXXXXX XX XXXXXXX/ (PL) XXXXXXXXXX DOTYCZĄCE XXXXXXXXX XXXĘXXXXXX, DO KTÓREGO XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (PT) XXXXXXXÇÕXX XXXXXXXXX XX DOCUMENTO XXXXXXX A XXX X PRESENTE XXXXXXXXXX XXXX APENSO/ (XX) XXXXXXXȚXX REFERITOARE LA XXXXXXXXXX OFICIAL XX XXXX XXXX ANEXAT XXXXXXXXX FORMULAR/ (SK) XXXXXXXXXX X XXXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX X ZVEZI X XXXXX XXXXXXX, XX XX JE PRILOŽEN XX OBRAZEC/ (FI) XXXXXX YLEISESTÄ ASIAKIRJASTA, XXXXX XÄXÄ LOMAKE XXXXXXÄÄX/ (XX) INFORMATION XX DEN OFFICIELLA XXXXXXXX TILL XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX EXPEDIDO XXX XXX XXXXXXXXX X XX FUNCIONARIO XXXXXXXXX X LOS ÓRGANOS XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXX ÚŘEDNÍKEM S XXXXXX XX SOUDY XXXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXXX, XXX XX UDSTEDT XX XX XXXXXXXXX ELLER XX XXXXXXXXXX, XXX XX TILKNYTTET XXXXXXXX X XX XXXXXXXXXXX/ (XX) URKUNDE XXXXX XXXÖXXX XXXX XXXXX XXXXXXXXXX ALS ORGAN XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX ON XÄXXX XXXXXX XXXXXXXXXXXX KOHTUTEGA XXXXXX XXXXXXXXXXX XÕX XXXXXXX/ (EL) 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 XXXX XXX XXXXXX XX XXXXXXXXX XX X MEMBER XXXXX/ (XX) DOCUMENT XXXXXXX X'XXX XXXXXXXX XX X'XX XXXXXXXXXXXXX XXXXXXXX X'XXX XXXXXXXXXXX X'XX XXXX XXXXXX/ (XX) XXXXXXXXX X THAGANN X ÚDARÁS XX X XXXXXXXXX X XXXXXX XXXXX XXXX XX XXXX XX XXXXXXXXXX XX XX XXXXX XX XXXXX XXXXXXXXX/ (HR) XXXXXXX XXXX XX XXXXXX XXXXXX ILI XXXXXXXXX XXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX XXXXXXX XX UN'AUTORITÀ X XX UN XXXXXXXXXXX XXXXXXXXXXXX XX UNA XXXXX XXXXXXXXXXXXX XX XXX XXXXX XXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX AR XXXĪXXXXXXX XXXXĀX SAISTĪTA XXXXĀXX XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX VALDŽIOS XXXXXXXXXXXX AR XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX XXXX XXXXXXX XXXX XXXXXXXXXXŐ XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ JEW XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX JEW XX-XXXXXXXXX TA' XXXX XXXXXX/ (NL) DOCUMENT XXXXXXXXX XXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX XXX EEN XXXXXXXXXXXX INSTANTIE XXX XXX XXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY OD XXXXXX XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX PAŃSTWA XXŁXXXXXXXXXXX/ (PT) DOCUMENTO XXXXXXXXXXX DE XXX XXXXXXXXXX XX XX XX XXXXXXXXXXX DEPENDENTE XX XXXXXXXX JURISDIÇÃO XX XX ESTADO-MEMBRO/ (XX) DOCUMENT EMIS XX O XXXXXXXXXX XXX XX XX XXXXȚXXXXX XX PE XÂXXĂ INSTANȚELE UNUI XXXX MEMBRU/ (XX) XXXXXXX XXXXXX ORGÁNOM XXXXX XXXXXXXXX S XÄXXXX XX XXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX, XXXXXX X XXXXXX XXXXXX XXX XXXXXXXX SODNE XXXXXXX XXXXXX XXXXXXX/ (FI) XXXXXXXXX, XXXXX XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (SV) XXXXXXXX XXX HÄRRÖR XXÅX XX MYNDIGHET XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) RESOLUCIÓN XXXXXXXX/ (XX) XXXXXXXXXX SOUDU/ (XX) DOMSTOLSAFGØRELSE/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) KOHTUOTSUS/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX DECISION/ (XX) XXXXXXXX XX XXXXXXX/ (GA) XXXXXXXX XX xXXXXX/ (XX) XXXXXX XXXXXX/ (XX) XXXXXXXXX GIURISDIZIONALE/ (XX) XXXXXX XĒXXXX/ (LT) XXXXXX SPRENDIMAS/ (XX) XXXXXXXX HATÁROZAT/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX BESLISSING/ (PL) XXXXXXXXXX SĄDOWE/ (XX) XXXXXÃX XXXXXXXX/ (XX) XXXĂXÂXX JUDECĂTOREASCĂ/ (XX) XXXXX ROZHODNUTIE/ (SL) XXXXX ODLOČBA/ (FI) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (ES) XXXXXXXXX XXXXXXXX XXX XX MINISTERIO FISCAL/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (DA) XXXXXXXX XXXXXXX AF XX XXXXXXXXXXXXXXXX/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX FROM X XXXXXX PROSECUTOR/ (FR) XXXXXXXX ÉMANANT DU XXXXXXÈXX XXXXXX/ (XX) XXXXXXXXX X THAGANN X XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (IT) DOCUMENTO XXXXXXX XXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (XX) ÜXXXXX XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXX XXXXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX OD XXXXXXXXXXX/ (XX) XXXXXXXXX PROVENIENTE XX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXX XX UN XXXXXXXX/ (XX) LISTINA XXXXXX XXXXXXXXXXXX/ (XX) LISTINA, XX XX XXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (SV) HANDLING XXX XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXXXX/ (XX) LISTINA XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXÆX/ (DE) URKUNDE XXXXX URKUNDSBEAMTEN DER XXXXXÄXXXXXXXXX EINES XXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX ANDNUD XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (EN) XXXXXXXX XXXXXXXXX XXXX X XXXXX XX X XXXXX/ (XX) XXXXXXXX XXXXXXX D'UN XXXXXXXX/ (XX) DOICIMÉAD A XXXXXXX X XXXXXXXXXX XX CHUID XXXXXX/ (XX) ISPRAVA XXXX XX XXXXX XXXXXXXXXX XXXXXX PISARNICE/ (XX) XXXXXXXXX XXXXXXX XX XX CANCELLIERE/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (XX) XXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXXXŐ ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ MINN REĠISTRATUR XX' QORTI/ (XX) XXXXXXXX XXXXXXXXX DOOR XXX GRIFFIER/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX DE XX OFICIAL XX XXXXXÇX/ (XX) XXXXXXXX XXXX DE UN XXXXXXX XX XXXXXXȚXX/ (XX) LISTINA XXXXXX XXXXXX XXXXXXXXX/ (SL) XXXXXXX, XX XX XXXX SODNI XXXXXXXXXX/ (XX) TUOMIOISTUIMEN XXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX EN DOMSTOLSTJÄNSTEMAN

3.1.4

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („HUISSIER XX XXXXXXX“)/ (XX) XXXXXXXXX EXPEDIDO POR XX XXXXXX XXXXXXXX («XXXXXXXX XX JUSTICE»)/ (XX) XXXXXXX VYDANÁ XXXXXXX XXXXXXXXXXXXX („HUISSIER XX XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX XX XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (XX) XXXXXXX XXXXX GERICHTSVOLLZIEHERS/ (XX) XXXXXXXX, MILLE XX VÄLJA ANDNUD XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («HUISSIER DE XXXXXXX»)/ (EN) XXXXXXXX XXXXXXXXX FROM X XXXXXXXX XXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX ÉMANANT X'XX XXXXXXXX DE XXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXX XX XXXXX XXXXXX XXXXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (XXXXXXXX DE JUSTICE)/ (XX) XXXXXXXXX (HUISSIER XX XXXXXXX) XXXXXXXX XXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXXXX („HUISSIER DE XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) DOCUMENT XXXXXXXXX XXXX XXX XXXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX XXXĘXXXXX XĄXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) DOCUMENTO XXXXXXXXXXX XX UM XXXXXXÃX XX XXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX EMIS XX XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (XX) LISTINA XXXXXX SÚDNYM XXXXXXXXXXĽXX („XXXXXXXX DE JUSTICE“)/ (XX) LISTINA, KI XX XXXX XXXXX XXXXXXXXXX („XXXXXXXX DE XXXXXXX“)/ (FI) XXXXXXXXXXXX (”XXXXXXXX DE XXXXXXX”) XXXXXX XXXXXXXXX/ (SV) XXXXXXXX XXX HÄRRÖR XXÅX EN STÄMNINGSMAN (XXXXXXXX XX JUSTICE)

3.1.5

(BG) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) XXXX (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (DE) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) XXX (XÄXXXXXXXX)/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (EN) XXXXX (XX BE XXXXXXXXX)/ (XX) XXXXX (À PRÉCISER)/ (XX) XXXX (LE XXXXX)/ (XX) OSTALO (XXXXXXX)/ (XX) XXXXX (PRECISARE)/ (XX) XXXX (PRECIZĒT)/ (XX) KITA (NURODYTI)/ (XX) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) INNY (XXXXXĘ XXXXŚXXĆ)/ (PT) XXXXXX (X XXXXXXXXXXX)/ (XX) XXXXX (X XX XXXXXXX)/ (XX) XXX (XXXXXXXX)/ (XX) XXXXX (NAVESTI)/ (XX) XXX ASIAKIRJA (TÄSMENNETTÄVÄ)/ (XX) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX ADMINISTRATIVO/ (XX) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (EL) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (EN) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (GA) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXX AMMINISTRATIVO/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (LT) XXXXXXXXXXXXXXX DOKUMENTAS/ (HU) XÖXXXXXXXXXXX OKIRAT/ (XX) XXXXXXXX AMMINISTRATTIV/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (PL) XXXXXXXX ADMINISTRACYJNY/ (XX) XXXXXXXXX ADMINISTRATIVO/ (RO) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX ASIAKIRJA/ (SV) XXXXXXXXXXXXX HANDLING

3.2.1

(BG) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (GA) DEIMHNIÚ/ (XX) XXXXXXX/ (IT) XXXXXXXXXXX/ (LV) XXXXXXXXĀXXXX/ (XX) XXXXXX, LIUDIJIMAS/ (XX) TANÚSÍTVÁNY/BIZONYÍTVÁNY/ (MT) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (PT) XXXXXXÃX OU XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) POTRDILO/ (XX) XXXXXXXX/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX XXXXXXXX XXXXX/ (XX) VÝPIS X XXXXXXX/ (XX) UDDRAG XXX CIVILSTANDSREGISTRET/ (DE) XXXXXX XXX XXX XXXXXXXX-XXXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX THE XXXXX STATUS XXXXXXXX/ (XX) EXTRAIT XX XXXXXXXX XX X'XXXX XXXXX/ (XX) XXXXXXX XX XX gCLÁR XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXX XXXXXX/ (XX) XXXXXXXX XX XXXX XX STATO XXXXXX/ (XX) XXXXXXXX XX XXXXXXXĀXXXĻX AKTU XXĢXXXXX/ (XX) IŠRAŠAS IŠ XXXXXXXĖX XŪXXĖX XXXŲ XXXXXXXX/ (XX) XXXXXÖXXXX XXXXXXX/ (MT) ESTRATT XXX-XXĠXXXXX XXX-XXXXX ĊIVILI/ (XX) XXXXXXXXXX UIT XXX REGISTER XXX XX XXXXXXXXXXX STAND/ (XX) XXXXX SKRÓCONY XXXX XXXXX XXXXXXXXX/ (XX) EXTRATO XX XXXX XX XXXXXXX XXXXX/ (XX) EXTRAS XXX XXXXXXXXX XX XXXXX XXXXXĂ/ (SK) XXXXX Z XXXXXXXX XXXXXXXX STAVU/ (XX) XXXXXXX XX XXXXXXXX X OSEBNEM XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) XXXXXX UR XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX DEL XXXXX/ (CZ) XXXXX X REGISTRU OBYVATEL/ (XX) UDDRAG FRA XXXXXXXXXXXXXX/ (DE) XXXXXX XXX DEM XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX FROM XXX POPULATION REGISTER/ (XX) XXXXXXX XX XXXXXXXX DE XX XXXXXXXXXX/ (GA) XXXXXXX XX XX xXXXX XXXXXX/ (XX) XXXXXXX XX XXXXXX STANOVNIŠTVA/ (XX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX NO XXXXĪXXXĀXX XXĢXXXXX/ (LT) XXXXXXX IŠ GYVENTOJŲ XXXXXXXX/ (XX) XXXXXXX X SZEMÉLYIADAT- ÉS XXXXXXXXXXXXXXXXXXXXXX/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (NL) XXXXXXXXXX UIT XXX XXXXXXXXXXXXXXXXXX/ (PL) XXXXĄX X XXXXXXXX LUDNOŚCI/ (XX) EXTRATO XX XXXXXXX XX XXXXXXÇÃX/ (XX) XXXXXX XXX XXXXXXXXX XX XXXXXXȚĂ X XXXXXXȚXXX/ (SK) XXXXX Z 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 DE ACTAS XXX XXXXXXXX XXXXX/ (XX) XXXX MATRIČNÍCH XXXXXXX/ (XX) XXXXXX XXXX AF XXXXXXXXXXXXXXXXXXX/ (XX) WÖRTLICHE XXXXX XXX PERSONENSTANDSEINTRÄGEN/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (EL) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (EN) XXXXXXXX COPY XX XXXXX XXXXXX RECORDS/ (XX) COPIE INTÉGRALE X'XXXXX XX L'ÉTAT XXXXX/ (XX) CÓIP XXXXX XX FHOCAL XX XXXXXXX XX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XX XXXXXXXXXX X XXXXXXX XXXXXX/ (IT) XXXXX XXXXXXXXX XX ATTO XX STATO XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX XXĢXXXXX XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) CIVILINĖS XŪXXĖX XXXŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (HU) XXXXXÖXXXX XXXXXXXXX SZÓ XXXXXXXX MÁSOLATA/ (XX) XXXXX XXXXXXXX TAL-ATTI XXX-XXXXX ĊIVILI/ (XX) XXXXXXXXXXX XXXXXXXXX VAN XXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX ZUPEŁNY XXXX XXXXX CYWILNEGO/ (PT) XXXXXXÃX XX CÓPIA XXXXXXXX OU DE XXXXXXXXX XX ATOS XX REGISTO CIVIL/ (XX) XXXXX EXACTĂ X UNUI XXX XX XXXXX XXXXXĂ/ (XX) XXXXXXXX XXXXX XX XXXXXXX X XXXXXXX STAVE/ (SL) XXXXXXXXX XXXXXX LISTIN X XXXXXXX STANJU/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (SV) XXXXXXXXX XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX NOTARIAL/ (CZ) XXXXXXXX LISTINA/ (XX) XXXXXXXXXÆXXXX DOKUMENT/ (XX) XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) NOTARIAL XXX/ (XX) XXXX XXXXXXX/ (XX) GNÍOMH XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (IT) XXXX XXXXXXXX/ (XX) XXXXXXĀXX XXXX/ (LT) XXXXXXXXX XXXXX/ (XX) KÖZJEGYZŐI XXXXXX/ (MT) XXX XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (XX) AKT XXXXXXXXXX/ (XX) XXX XXXXXXXX/ (RO) 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 XXXXXX SOBRE XX XXXXXXXXX PRIVADO/ (XX) ÚŘEDNÍ XXXXXXXXX, XXXXXX BYLA XXXXXXXX XXXXXXX PODEPSANÁ SOUKROMOU XXXXXX/ (XX) OFFICIEL XÅXXXXXXX XÅ XX XXXXXXXX XXXXXXXXXXX XX XX XXXXXX I XXXXXX EGENSKAB XX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX EINER XXXXXXXXXXXXX/ (ET) ISIKU XXXXX XXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX XXXXXXX XÕXXX/ (EL) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (EN) XXXXXXXX XXXXXXXXXXX PLACED XX X XXXXXXXX XXXXXX BY X XXXXXX XX XXX XX XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX XX XXXX SOUS XXXXX PRIVÉ/ (XX) XXXXXXXX XXXXXXXXX X XXXXXXXXX XX XXXXXXXXXX XXXX XXXXXX AG XXXXX XXX CHÁIL XX XXX XXXX XXXXXXXXXXXXXX/ (XX) SLUŽBENA XXXXXXX XXXXXXXXX XX XXXXXXX KOJU XX XXXXX POTPISALA U XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXX UFFICIALE XXXXXXX XX XXX SCRITTURA XXXXXXX/ (XX) XXXXXĀXX XXXXXXXXĀXXXX XX XXXXXXXXX, XX SAVĀ XĀXXĀ XXXXXXXĪXXXX KĀDA PERSONA/ (XX) PRIVAČIŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (HU) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ĊXXXXXXXXX XXXXĊXXXX XX JITQIEGĦED F'DOKUMENT XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ PRIVATA TAGĦHA/ (XX) XXXXXXXXX CERTIFICAAT XX XXX XXXXXXXX XXXXXXXXXXX DOOR XXX XXXXXXX XX ZIJN XXXXXXXXXXXX XXXXXXXXXXXX/ (PL) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX DOKUMENCIE XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX XXXXXXXXX/ (XX) DECLARAÇÃO XXXXXXX XXXXXXX XXX XXX XX XXXXXXXX XXXXXXX/ (XX) CERTIFICAT XXXXXXX XXXXXXX PE XX XXXXXXXX SUB XXXXĂXXXĂ XXXXXXĂ/ (SK) ÚRADNÉ XXXXXXXXXX XXXXXXX XX XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXX NA XXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, XXXXX XXXXXXÖ XX ALLEKIRJOITTANUT XXXXXXXXXXXXXXÖXÄ/ (SV) XXXXXXXXXX XXXXX ANBRINGAT XÅ XX HANDLING XXX XXXXXXXXXXXXX XX EN XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX POR XX AGENTE XXXXXXXXXXX X XXXXXXXX XX XX XXXXXX XXXXXXX XXX CARÁCTER OFICIAL/ (XX) LISTINA XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX ČLENSKÉHO XXXXX V XXXXX XXXXXX JEHO XXXXXXXXXX XXXXXXXXXX/ (DA) DOKUMENT XXXXXXXXX UDFÆRDIGET XX XX XXXXXXXXXXXX XXXXXXXXXXXX XXXXX KONSULÆRE XXXXÆXXXXXXX/ (XX) XXX EINEM XXXXXXXXXXXXXX XXXX KONSULARISCHEN XXXXXXXXX EINES XXXXXXXXXXXXXX XX SEINER XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (XX) LIIKMESRIIGI XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX TÄITMISEL XXXXXXXXX XXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) DOCUMENT XXXXX XX XX X XXXXXXXXXX OR XXXXXXXX XXXXX XX X MEMBER XXXXX XX HIS XX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXX XX XX XXXXXXX XXXXXXXXXX XXX XX XXXXX XXXXXXXXXXXX OU XXXXXXXXXX D'UN XXXX XXXXXX/ (GA) XXXXXXXXX XXXX THARRAINGT XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX XX XXXXX XXXXXXXXX XXX XXXXX XX INA XXXX OIFIGIÚIL/ (XX) XXXXXXX XXXX JE X XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXX ILI XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (IT) XXXXXXXXX XXXXXXX DA XXXXXX XXXXXXXXXXX X XXXXXXXXX XX XXX STATO XXXXXX XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (XX) XXXXXXXXX, KURU, PILDOT XXXXX XXXXĀXXXXX, SAGATAVOJIS XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX PĀRSTĀVIS/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX XX XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX XXXXX XXXXXXXXXX ĮGALIOJIMUS/ (XX) VALAMELY TAGÁLLAM XXXXXXXXXXX XXXX KONZULI XXXXXXXXŐXX XXXXX HIVATALOS XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT IMĦEJJI XXXX XĠXXX DIPLOMATIKU XXX KONSULARI TA' XXXX XXXXXX FIL-KAPAĊITÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX XXXX XX DIPLOMATIEKE XX XXXXXXXXXX AMBTENAAR XXX XXX XXXXXXXX XX XXXX XXXXXXËXX HOEDANIGHEID/ (XX) XXXXXXXX SPORZĄDZONY XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X CHARAKTERZE URZĘDOWYM/ (XX) XXXXXXXXX XXXXXXX XXX UM AGENTE XXXXXXXXXXX XX CONSULAR XX XX XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎNTOCMIT XX XĂXXX UN XXXXX XXXXXXXXXX XXX XXXXXXXX XX UNUI XXXX XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX KONZULÁRNYM XXXXXXXXX ČLENSKÉHO XXXXX X RÁMCI XXXXXX XXXX XXXXXXX/ (SL) XXXXXXX, XX XX XXX XXXXXX XXXXX XXXX XXXXXXXXXXX ALI XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) ASIAKIRJA, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX TAI XXXXXXXXXXXXXXX XX LAATINUT XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXÄXXXX X TJÄNSTEN AV XX XXXXXXXXXXX XXXXX XXXXXXÄX XXÄXXXXXXX I XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) VYDÁNÍ/ (XX) 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/ (FR) XXXX (XX/XX/XXXX) XX DÉLIVRANCE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (HR) DATUM (XX/XX/XXXX) IZDAVANJA/ (IT) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (LV) IZDOŠANAS XXXXXX (XX/XX/XXXX)/ (LT) XXXXXXXX DATA (XX/XX/XXXX)/ (XX) X KIÁLLÍTÁS XXXXXX (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX AFGIFTE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX XXXXXÃX (DD/MM/AAAA)/ (XX) XXXX (ZZ/LL/AAAA) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (SL) DATUM (XX/XX/XXXX) XXXXXX/ (FI) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (XX) XXXXX (DD/MM/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) NÚMERO XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) REFERENČNÍ XXXXX XXXXXXX XXXXXXX/ (XX) DET XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (DE) XXXXXXXXXX DER ÖFFENTLICHEN XXXXXXX/ (ET) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (EL) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX NUMBER OF XXX XXXXXX XXXXXXXX/ (XX) NUMÉRO XX XXXXXXXXX DU XXXXXXXX XXXXXX/ (XX) UIMHIR XXXXXXXXX AN DOICIMÉID XXXXXXX/ (XX) REFERENTNI XXXX JAVNE ISPRAVE/ (XX) XXXXXX DI XXXXXXXXXXX DEL XXXXXXXXX XXXXXXXX/ (LV) XXXXXXXĀ XXXXXXXXX ATSAUCES XXXXXX/ (XX) VIEŠOJO XXXXXXXXX XXXXXXX/ (XX) X XÖXXXXXXX XXXXXXXXXXX SZÁMA/ (XX) XXXXX XX' XXXXXXXXX TAD-DOKUMENT XXXXXXXX/ (XX) REFERENTIENUMMER VAN XXX OPENBAAR XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX URZĘDOWEGO/ (XX) XXXXXX XX XXXXXÊXXXX XX XXXXXXXXX PÚBLICO/ (XX) NUMĂRUL XX XXXXXXXȚĂ AL XXXXXXXXXXXX XXXXXXX/ (SK) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXX LISTINE/ (FI) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) INFORMACIÓN XXXXX XX INTERESADO/ (XX) XXXXXXXXX O XXXXXXX XXXXX/ (XX) OPLYSNINGER XX XXX XÅXÆXXXXXX XXXXXX/ (DE) ANGABEN XXX XXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXX XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX XXXXXX CONCERNED/ (XX) XXXXXXXXXXXX XXX LA XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXX LEIS XX XXXXX XXXX xXXXXXXXX/ (XX) XXXXXXXXXXX X DOTIČNOJ XXXXX/ (XX) XXXXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXĪXX XXXXXXX/ (XX) XXXXXXXXXXX XXXX XXXXXXXXXĄ ASMENĮ/ (XX) AZ XXXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) INFORMAZZJONI XXXX XX-XXXXXXX KKONĊERNATA/ (XX) XXXXXXXXXX OVER XX XXXXXXXXXX/ (PL) XXXX XXXXX, XXXXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÇÕXX XXXXX X XXXXXX XX CAUSA/ (RO) XXXXXXXȚXX XXXXXXX XXXXXXXX XXXXXĂ/ (XX) XXXXXXXXXX X DOTKNUTEJ XXXXX/ (XX) INFORMACIJE X XXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX TIEDOT/ (XX) XXXXXXXXX OM XXX BERÖRDA XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (XX) XXXXXXXX(X) XX XXXXXXXXXX/ (CZ) XXXXX/X XXXXXXXX/ (DA) XXXXXXXXX(X) XXX XØXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXX GEBURT/ (ET) XÜXXXXÄXXXX PEREKONNANIMI (XÜXXXXÄXXXXX XXXXXXXXXXXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (XX) XXXXXXX(X) AT XXXXX/ (FR) NOM(S) À XX XXXXXXXXX/ (XX) SLOINNE (XXXXXXXX) XXXXXXX/ (XX) XXXXXXX(XX) XXX ROĐENJU/ (IT) XXXXXXX/X XXXX XXXXXXX/ (XX) XXXĀXXX(-X) XXXXXXXXX XXĪXĪ/ (LT) XXXXXXĖ (-ĖX), XXXXXXXX (-XX) XXXXX/ (XX) SZÜLETÉSI XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) MAT-TWELID/ (XX) XXXXXXXX(X)X(XX) XXX XX XXXXXXXX/ (PL) XXXXXXXX(-X) XXXXXX/ (XX) XXXXXXX(X) À XXXX DO XXXXXXXXXX/ (XX) XXXXXX XX XXȘXXXX/ (SK) XXXXX XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX XX XXXXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXXXÄXXXXXXXÄ/ (SV) XXXXXXXXX XXX XÖXXXXX

4.2

(XX) НАСТОЯЩО(И) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X) ACTUAL(ES)/ (XX) XXXXXXXX/X PŘÍJMENÍ/ (XX) XXXÆXXXXX XXXXXXXXX(X)/ (DE) XXXXXXXXXX(X) FAMILIENNAME(N)/ (ET) XXXXXXXX PEREKONNANIMI (XXXXXXXXX XXXXXXXXXXXXXX)/ (XX) ΤΡΕΧΟΝ(-ΤΑ) ΕΠΩΝΥΜΟ(-Α)/ (EN) XXXXXXX XXXXXXX(X)/ (XX) NOM(S) XXXXXX(X)/ (XX) XXXXXXX (XXXXXXXX) XXXXXX/ (HR) XXXXXXXX(-X) XXXXXXX(XX)/ (IT) XXXXXXX/X XXXXXXX/X/ (XX) XXXXXXX(-XX) XXXĀXXX(-X)/ (XX) XXXXXXXXĖ (-ĖS) XXXXXXĖ (-ĖX)/ (XX) XXXXXXXXX XXXXXXX XXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX) XXXXXXX/ (XX) XXXXXXX XXXXXXXX(X)X(XX)/ (XX) XXXXXX XXXXXXXX(-X)/ (XX) XXXXXXX OU XXXXXXXX XXXXXX/ (XX) NUMELE XXXXXX(X)/ (SK) XXXXXXX XXXXXXXXXX(-X)/ (XX) XXXXXXX XXXXXXX/XXXXXXX/ (XX) XXXXXXXX XXXXXXXX (NYKYISET XXXXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXX

4.3

(XX) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ БРАКА/ (ES) XXXXXXXX(X) XXXXX XX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXX UZAVŘENÍM MANŽELSTVÍ/ (XX) XXXXXXXXX(X) XØX XXXXXXX/ (XX) FAMILIENNAME(N) XXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX (-XXXXX) XXXX XXXXXXXXXXX/ (EL) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΤΟΝ ΓΑΜΟ/ (EN) XXXXXXX(X) XXXXXX XXX MARRIAGE/ (XX) XXX(X) AVANT XX XXXXXXX/ (GA) XXXXXXX (SLOINNTE) XXXXX XX xXXXXXX/ (HR) XXXXXXX(XX) PRIJE SKLAPANJA XXXXX/ (XX) XXXXXXX/X XXXXX XXX XXXXXXXXXX/ (XX) XXXĀXXX(-X) PIRMS XXXXĪXXX/ (LT) XXXXXXĖ (-ĖX) PRIEŠ XXXXXXXĄ/ (XX) CSALÁDI XXXX(X) X HÁZASSÁGKÖTÉS ELŐTT/ (XX) KUNJOM(/KUNJOMIJIET) QABEL XŻ-ŻXXXĠ/ (XX) ACHTERNA(A)M(EN) XXXX XXX HUWELIJK/ (XX) XXXXXXXX(-X) XXXXX XXXXXXXXX MAŁŻEŃSTWA/ (PT) XXXXXXX(X) ANTES XX XXXXXXXXX/ (RO) XXXXXX ÎXXXXXX XX XĂXĂXXXXX/ (XX) XXXXXXXXXX(-X) PRED XXXXXXXXX XXXXXXXXXX/ (SL) XXXXXXX/XXXXXXX XXXX XXXXXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXX XXXXXXXXXXX/ (XX) EFTERNAMN XÖXX ÄXXXXXXXXXXX XXXÅXXXX

4.4

(XX) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА БРАКА/ (XX) XXXXXXXX(X) DESPUÉS DE XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX PO XXXXXXXX XXXXXXXXXX/ (DA) EFTERNAVN(E) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXX(X) XXXX XXX XXXXXXXXXXXXXX/ (ET) PEREKONNANIMI (-XXXXX) XÄXXXX XXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΜΕΤΑ ΤΟΝ ΓΑΜΟ/ (EN) XXXXXXX(X) FOLLOWING XXX XXXXXXXX/ (XX) XXX(X) À LA XXXXX XX MARIAGE/ (XX) XXXXXXX (SLOINNTE) XXX XXX AN PHÓSTA/ (XX) XXXXXXX(XX) XXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX/X XXXX XX XXXXXXXXXX/ (XX) XXXĀXXX(-X) XĒX XXXXĪXXX/ (LT) XXXXXXĖ (-ĖS) XX XXXXXXXXX/ (HU) XXXXXXX XXXX(X) X XXXXXXXX-XÖXXX XXXX/ (XX) KUNJOM(/KUNJOMIJIET) XXXX Ż-ŻXXXĠ/ (XX) XXXXXXXX(X)X(XX) XX HET XXXXXXXX/ (XX) XXXXXXXX(-X) XX XXXXXXXX XXŁŻXŃXXXX/ (XX) APELIDO(S) XXXX X CASAMENTO/ (XX) XXXXXX XXXĂ XĂXĂXXXXX/ (XX) XXXXXXXXXX(-X) XX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX/XXXXXXX PO XXXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXXX (-XXXXX) AVIOLIITON XXXXXXXXXX XÄXXXXX/ (XX) XXXXXXXXX XXXXX ÄXXXXXXXXXXX XXXÅXXXX

4.5

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) XXXXX (XXXXX)/ (XX) XXXXXXX(X)/ (DE) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (EN) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (CÉADAINMNEACHA)/ (XX) IME(NA)/ (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) PRÓPRIO(S)/ (XX) XXXXXXX/ (XX) XXXX(-X)/ (XX) IME/IMENA/ (XX) XXXXXXX (-XXXXX)/ (XX) XÖXXXXX

4.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (CZ) XXXXX (DD/MM/RRRR) NAROZENÍ/ (XX) FØDSELSDATO (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) OF XXXXX/ (XX) XXXX (JJ/MM/AAAA) XX NAISSANCE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXĐXXXX/ (XX) XXXX XX NASCITA (XX/XX/XXXX)/ (XX) DZIMŠANAS XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXX-XXXXXX/ (NL) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX DE XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (DD/MM/RRRR) NARODENIA/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.7

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX Y XXXX XX NACIMIENTO/ (XX) XXXXX A XXXX NAROZENÍ/ (XX) XØXXXXXX XX -XXXX/ (XX) XXX XXX XXXX XXX XXXXXX/ (XX) XÜXXXXXXX JA -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX XXX XXXXXXX XX BIRTH/ (XX) XXXX XX XXXX DE NAISSANCE/ (XX) ÁIT AGUS XXX XXXXXXXX/ (XX) XXXXXX X ZEMLJA XXĐXXXX/ (XX) XXXXX X PAESE XX XXXXXXX/ (XX) DZIMŠANAS XXXXX XX XXXXXX/ (XX) XXXXXX XXXXX XX XXXXX/ (HU) XXÜXXXXXX XXXXX ÉS XXXXXXX/ (XX) XXXX X PAJJIŻ TAT-TWELID/ (XX) GEBOORTEPLAATS XX -XXXX/ (XX) XXXXXXX X XXŃXXXX XXXXXXXXX/ (XX) LOCAL E XXXX XX XXXXXXXXXX/ (XX) LOCUL ȘI ȚXXX XXȘXXXXX/ (XX) XXXXXX X XXXX XXXXXXXXX/ (XX) XXXX XX DRŽAVA XXXXXXX/ (XX) SYNTYMÄPAIKKA JA -XXX/ (SV) XÖXXXXXXXX XXX -LAND

4.8

(BG) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (XX) XØX/ (XX) GESCHLECHT/ (XX) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (XX) XXXXXX/ (XX) SPOL/ (XX) XXXXX/ (LV) XXXXXXX/ (XX) XXXXX/ (HU) XXXX/ (MT) SESS/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXX/ (XX) SUKUPUOLI/ (SV) XÖX

4.8.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) ŽENA/ (XX) XXXXXX/ (DE) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (FR) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) FEMMINILE/ (XX) SIEVIETE/ (XX) XXXXXXX/ (HU) XŐ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (RO) XXXXXXXX/ (XX) ŽENSKÉ/ (XX) XXXXXX/ (XX) XXXXXX/ (SV) XXXXXX

4.8.2

(XX) МЪЖКИ/ (XX) VARÓN/ (XX) MUŽ/ (DA) XXXX/ (XX) MÄNNLICH/ (XX) MEESSOOST/ (EL) ΑΡΡΕΝ/ (XX) XXXX/ (XX) MASCULIN/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (LT) VYRAS/ (XX) FÉRFI/ (MT) XXĠXX/ (XX) XXX/ (XX) MĘŻCZYZNA/ (XX) XXXXXXXXX/ (XX) BĂRBĂTESC/ (XX) XXXXXX/ (SL) XXXXX/ (XX) XXXX/ (XX) MAN

4.8.3

(BG) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (CZ) XXXXXXXX/ (DA) UBESTEMT/ (XX) UNBESTIMMT/ (ET) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) UNDETERMINED/ (XX) XXXXXXXXXXX/ (GA) XXXXXXXXXXXXXXX/ (HR) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (LT) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (MT) XXXX STABBILIT/ (NL) XXXXXXXXX/ (XX) PŁEĆ XXXXXXXŚXXXX/ (XX) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

4.9

(XX) ГРАЖДАНСТВО/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (XX) NATIONALITET/ (DE) XXXXXX-XXXXXÖXXXXXXX/ (ET) XXXXXXXXXXX/ (XX) ΙΘΑΓΕΝΕΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) VALSTSPIEDERĪBA/ (XX) XXXXXXXXĖ/ (XX) XXXXXXXXXXXXXXX/ (XX) ĊITTADINANZA/ (NL) XXXXXXXXXXXXX/ (XX) OBYWATELSTWO/ (XX) XXXXXXXXXXXXX/ (RO) XXXĂȚXXXX/ (XX) ŠTÁTNA XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (SV) XXXXXXXXXXXXX

5.

(XX) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ, СЕМЕЙНОТО ПОЛОЖЕНИЕ НА СЪОТВЕТНОТО ЛИЦЕ Е, КАКТО СЛЕДВА/ (XX) SEGÚN XX XXXXXXXXX PÚBLICO AL XXX XX XXXXXXX XXXX XXXXXXX, EL XXXXXX XXXXX DEL XXXXXXXXXX XX XX XXXXXXXXX:/ (XX) NA XXXXXXX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX TENTO FORMULÁŘ, XX XXXXXXX XXXXX XXXXX XXXXXXX XXXX/ (XX) X XXXXXXX XXX XXX XXXXXXXXXX XXXXXXXX, XXX DENNE XXXXXXXX ER XXXXÆXXXX, XXX DEN PÅGÆLDENDE XXXXXX XØXXXXXX ÆGTESKABELIGE XXXXXX/ (XX) FAMILIENSTAND XXX XXXXXXXXXXXX XXXXXX XXXÄXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX IST/ (XX) XXXXXXXXX XXXXXXXXX XXXXXXXXXXX, XXXXXXX SEE XXXX XX LISATUD, 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) ACCORDING XX XXX XXXXXX XXXXXXXX XX XXXXX THIS XXXX IS ATTACHED, XXX PERSON CONCERNED XXX XXX FOLLOWING XXXXXXX XXXXXX/ (XX) X'XXXÈX LE DOCUMENT XXXXXX XXXXXX XX XXXXXXX XXXXXXXXXX EST XXXXX, LA XXXXXXXXX XXXXXXXXXXXX XX XX XXXXXXXX XXXXXXXXX XXX XX XXXXXXXX/ (GA) XX RÉIR AN XXXXXXXXX PHOIBLÍ LENA XXXXXX AN XXXXXX XXX CEANGAILTE, XX XX XXXXXX XXXXX X LEANAS XX XX DUINE XXXX xXXXXXXXX/ (XX) PREMA XXXXXX ISPRAVI XXXXX XX XXXX XXXXXXX XXXXXXXX BRAČNO XXXXXX XXXXXXX XXXXX XX XXXXXXĆX/ (XX) SECONDO XX DOCUMENTO XXXXXXXX XXX XX XXXXXXXX XXXXXX È ALLEGATO, XX XXXXX CIVILE XXXXX XXXXXXX INTERESSATA È XX XXXXXXXX/ (XX) XXXXXŅĀ AR XXXXXXXX XXXXXXXXX, KURAM XĪ VEIDLAPA IR XXXXXXXXXX, XXXXXXĪXXXXX XXXXXXXX XX ŠĀDS ĢIMENES XXĀXXXXXX/ (XX) XXXXX XXXXĄXĮ DOKUMENTĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXXXX ASMENS XXXXXXXXXĖ PADĖTIS YRA XXXXX/ (XX) XX XXXXXXXX SZEMÉLY XXXXXXX XXXXXXXX X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXX SZERINT/ (XX) XXXXX ID-DOKUMENT XXXXXXXX XX XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX, XX-XXXXXXX KKONĊERNATA XĦXXXXX X-XXXXX ĊXXXXX XXX ĠXX/ (NL) XXXXXXX XXX XXXXXXXX XXXXXXXX WAARAAN XXX XXXXXXXXX IS XXXXXXX, XX DE XXXXXXXXXXX XXXXX VAN XX XXXXXXXXXX DE XXXXXXXX/ (XX) X DOKUMENTU XXXĘXXXXXX, XX XXXXXXX XXŁĄXXXXX XXXX XXXXXXXXX XXXXXXXXX, XXXXXX, ŻX XXXXX, XXXXXX DOTYCZY XXXXXXXX, XXXXXXX NASTĘPUJĄCY XXXX XXXXXXX/ (XX) XXXXXXX X XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX APENSO, À XXXX DA SUA XXXXXÃX, X XXXXXX XXXXX XX XXXXXX XX CAUSA X/ (XX) ÎN XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX ESTE XXXXXX XXXXXXXXX XXXXXXXX, XXXXXXXX XXXXXĂ XXX XXXĂXXXXXX XXXXX XXXXXĂ/ (XX) PODĽA XXXXXXXX XXXXXXX, KU KTOREJ XX XXXXX XXXXXXXX XXXXXXXXX, SA XXXXXXXX XXXXX XXXXXXXX V XXXXX XXXXXXX STAVE/ (XX) V XXXXXX X XXXXX XXXXXXX, XX JI XX XXXXXXXX XX OBRAZEC, XXX XXXXXXX XXXXX XXXXXXXXX XXXXXXXX XXXX/ (XX) XXX XXXXXXX XXXXXXXXXX XXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX, XXXXXXXXXXXX XXXXXXÖX XXXXXXXXÄÄXX XX SEURAAVA/ (XX) XXXXXX XXX XXXXXXXXXX XXXXXXXX TILL XXXXXX XXXXX FORMULÄR ÄR XXXXXXX ÄX XXX XXXÖXXX XXXXXXXXX CIVILSTÅND XÖXXXXXX

5.1

(XX) СЪС СКЛЮЧЕН БРАК/ДАТА (ДД/ММ/ГГГГ) НА СКЛЮЧВАНЕ НА БРАКА/ (XX) XXXXXX / XXXXX (XX/XX/XXXX) XXX XXXXXXXXXX/ (XX) XXXXX – ŽENATÝ/DATUM (DD/MM/RRRR) XXXXXXXX XXXXXXXXXX/ (DA) XXXX/XXXX (XX/XX/ÅÅÅÅ) XXX XXXXÅXXXX AF ÆGTESKAB/ (XX) XXXXXXXXXXX/XXX XXX XXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXX / ABIELLUMISE XXXXÄXX (XX/XX/XXXX)/ (EL) ΕΓΓΑΜΟΣ/-Η / ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΑΜΟΥ/ (XX) XXXXXXX/XXXX (XX/XX/XXXX) OF XXXXXXXX/ (XX) XXXXX(X)/XXXX (XX/XX/XXXX) XX XXXXXXX/ (XX) XXXXX/XXXX (XX/XX/XXXX) XXXXX/ (XX) X XXXXX / XXXXX (XX/XX/XXXX) XXXXXXXXX XXXXX/ (XX) CONIUGATO/A - XXXX XX MATRIMONIO (XX/XX/XXXX)/ (XX) XXXXĒXXXX / LAULĪBAS XXXXĒXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXĘX (-USI) / XXXXXXXXX XXXXXXXX DATA (XX/XX/XXXX)/ (HU) XXXXX/XXXXXXXXXÖXXX XXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXŻŻXXXXĠ/XXŻŻXXĠX U DATA (XX/XX/XXXX) TAŻ-ŻWIEĠ/ (NL) XXXXXX/XXXXX (XX/XX/XXXX) XXX XXX XXXXXXXX/ (XX) XXXXXXXXX W XXXĄXXX XXŁŻXŃXXXX/ DATA (XX/XX/XXXX) XXXXXXXX ZWIĄZKU MAŁŻEŃSKIEGO/ (XX) XXXXXX(X)/XXXX XX XXXXXXXXX (DD/MM/AAAA)/ (XX) XĂXĂXXXXX(Ă)/XXXX (ZZ/LL/AAAA) CĂSĂTORIEI/ (XX) XXXXXX/XXXXXX/XXXXX (DD/MM/RRRR) XXXXXXXXX MANŽELSTVA/ (XX) XXXXXXX/XXXXX (XX/XX/XXXX) SKLENITVE XXXXXXXX ZVEZE/ (XX) XXXXXXXXXX/XXXXXXXXXX SOLMIMISPÄIVÄ (XX/XX/XXXX)/ (XX) GIFT/DATUM (DD/MM/ÅÅÅÅ) XÖX ÄXXXXXXXXXXX XXXÅXXXX

5.2

(XX) БЕЗ СКЛЮЧЕН БРАК/ (XX) XX XXXXXX/ (XX) XXXXXXXXX – XXXXXXXXX/ (XX) XXXXX/ (XX) UNVERHEIRATET/ (XX) XX OLE ABIELUS/ (XX) ΑΓΑΜΟΣ/-Η/ (EN) XXX XXXXXXX/ (XX) XXX XXXXX(X)/ (XX) XXX A XXXXXX XXXXX/ (XX) XXXX X XXXXX/ (XX) XXX XXXXXXXXX/X/ (XX) XXXXXXĒXXXX/ (LT) XXXXXXXXXXĘX (-XXX)/ (XX) EGYEDÜLÁLLÓ/ (XX) XXXX XXŻŻXXXXĠ/XXXX XXŻŻXXĠX/ (XX) ONGEHUWD/ (XX) XXX XXXXXXXXX X XXXĄXXX XXŁŻXŃXXXX/ (XX) NÃO XXXXXX(X)/ (XX) XXXĂXĂXXXXX(Ă)/ (SK) XXXXXXXX/XXXXXXXX/ (XX) NEPOROČEN/ (XX) EI NAIMISISSA/ (XX) XXXXX

5.2.1

(XX) НИКОГА НЕ Е СКЛЮЧВАЛО БРАК/ (XX) XXXXXXX/ (XX) XXXXXXXX – XXXXXXXX/ (XX) ALDRIG XXXX/ (DE) NIE XXXXXXXXXXX/ (XX) EI XXX KUNAGI XXXXXXX XXXXX/ (XX) ΔΕΝ ΕΧΕΙ ΣΥΝΑΨΕΙ ΠΟΤΕ ΓΑΜΟ/ (XX) NEVER XXXXXXX/ (XX) X'XXXXX XXXXXX XXX MARIÉ(E)/ (XX) XXX X XXXXXX PÓSTA RIAMH/ (XX) XXXXXX NIJE XXX(-XX) X XXXXX/ (XX) XXXXXX/XXXXXX/ (XX) XXXXX XXX XXXXX XXXXĒXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXXĘX (-XXX)/ (XX) XŐXXXX / XXXXXXX/ (MT) ĠXXXX/XXXXX/ (XX) NOOIT XXXXXX/ (XX) XXXXX NIE XXXXXŁ(-X) ZWIĄZKU MAŁŻEŃSKIEGO/ (XX) XXXXXXXX/ (RO) XX X XXXX XĂXĂXXXXX(Ă) NICIODATĂ/ (SK) XXXXX XX XXXXXXXX/XXXXXXXX/ (XX) XXXXXX POROČEN/ (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 XXXXXXXX/ (XX) XXXXXXXXX – XXXXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) FRASKILT/DATO (XX/XX/ÅÅÅÅ) XXX XXXXXXXXXX/ (XX) XXXXXXXXXX / XXXXX (XX/XX/XXXX) XXX XXXXXXXXX/ (XX) LAHUTATUD / XXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΔΙΑΖΕΥΓΜΕΝΟΣ/-Η / ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΔΙΑΖΥΓΙΟΥ/ (XX) XXXXXXXX/XXXX (DD/MM/YYYY) XX XXXXXXX/ (XX) XXXXXXX(X)/XXXX (JJ/MM/AAAA) XX XXXXXXX/ (XX) XXXXXXXXXX/XXXX (XX/XX/XXXX) XXXXXXXXXX/ (XX) XXXXXXXX(X)/XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXXXXX/X - XXXX DI DIVORZIO (XX/XX/XXXX)/ (XX) XĶĪXXXX / ŠĶIRŠANĀS XXXXXX (XX/XX/XXXX)/ (XX) IŠSITUOKĘS (-XXX) / XXXXXXXXX XXXXXXXXXX DATA (XX/XX/XXXX)/ (XX) XXXXXX/X XXXXXXXX XXXXXXXXXXXXX IDEJE (XXXX/XX/XX)/ (XX) XXXXXXXXX(X) U XXXX (XX/XX/XXXX) XXX-XXXXXXXX/ (XX) XXXXXXXXXX/XXXXX (XX/XX/XXXX) XXX DE ECHTSCHEIDING/ (XX) ROZWIEDZIONY(-A) / XXXX (XX/XX/XXXX) ROZWODU/ (XX) XXXXXXXXXX(X)/XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXȚXX(Ă)/XXXX (XX/XX/XXXX) XXXXXȚXXXX/ (XX) ROZVEDENÝ/Á/DÁTUM (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXX XXXXXXXX XXXXX/ (XX) ERONNUT/AVIOERON XÄXXÄXÄÄXÄ (XX/XX/XXXX)/ (XX) XXXXX/XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXXXXÄXXX

5.2.3

(XX) С ПОЧИНАЛ(А) СЪПРУГ(А)/ДАТА (ДД/ММ/ГГГГ) НА СМЪРТТА НА СЪПРУГА(АТА)/ (XX) XXXXX / XXXXX (XX/XX/XXXX) DE XXXXXXXXXXXXX DEL XXXXXXX/ (XX) XXXXX – XXXXXX/XXXXX (XX/XX/XXXX) XXXXX XXXXXXX/XXXXXXXX/ (XX) XXXXXXXXX/XXXX (XX/XX/ÅÅÅÅ) XXX ÆGTEFÆLLES XØX/ (DE) VERWITWET / XXXXXXXXXXX (XX/XX/XXXX) XXX EHEGATTEN/ (XX) XXXX / XXXXXXXX XXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΣΕ ΧΗΡΕΙΑ / ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΘΑΝΑΤΟΥ ΣΥΖΥΓΟΥ/ (XX) XXXXXXX/ XXXX (DD/MM/YYYY) XX XXXXXX'X XXXXX/ (XX) XXXX(XX)/XXXX (XX/XX/XXXX) XX DÉCÈS XX XXXXXXXX/ (XX) XXXXXXXXXX/ XXXX (XX/XX/XXXX) XXXX XX XXXXXX/ (HR) XXXXXX(-XXX) / DATUM (XX/XX/XXXX) XXXXX XXXXXXXX XXXXX/ (IT) XXXXXX/X - XXXX XX XXXXXXX DEL CONIUGE (XX/XX/XXXX)/ (XX) XXXXXXXXX / LAULĀTĀ MIRŠANAS XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX (-Ė) / XXXXXXXXXXX (-ĖS) XXXXXXX XXXX (XX/XX/XXXX)/ (HU) ÖXXXXX/X XXXXXXXXX XXXXXXXXX XXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXXX/XXXXX X XXXX (XX/XX/XXXX) TAL-MEWT XXX-XXXXXĠX/ (XX) WEDUWE/WEDUWNAAR/DATUM (XX/XX/XXXX) XXX OVERLIJDEN XXX XX XXXXXXXX(X)X(X)/ (XX) XXXXXXX, XXXXX / XXXX (XX/XX/XXXX) XXXXX XXŁŻXXXX/ (XX) XXXXX(X)/XXXX XX XXXXX XX XÔXXXXX (XX/XX/XXXX)/ (RO) XĂXXX(Ă)/XXXX (ZZ/LL/AAAA) XXXXXXXXX XXȚXXXX (SOȚIEI)/ (SK) XXXXXX/XXXXX/XXXXX (XX/XX/XXXX) XXXXXX XXXXXXX/XXXXXXXX/ (XX) XXXXXXX/XXXXX (XX/XX/XXXX) XXXXX ZAKONCA/ (XX) LESKI/PUOLISON XXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) ÄXXXXXX XXXXX ÄXXX/XXXXX (DD/MM/ÅÅÅÅ) XÖX XXXXXX XXXXX XXXXXX DÖD

5.3

(BG) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) UBESTEMT/ (XX) UNBESTIMMT/ (XX) XÄÄXXXXXX/ (EL) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) UNDETERMINED/ (XX) XXXXXXXXXXX/ (GA) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXXX/ (XX) INDETERMINATO/ (XX) XXXXXXXXXX/ (XX) NENUSTATYTA/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (NL) XXXXXXXXX/ (XX) XXXX XXXXXXXXXXX/ (XX) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) NEURČENÉ/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) EJ XXXXXXÄXXX

6.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX FIRMA/ (XX) XXXX XXX XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) SIGNATURE XXX/ (XX) XXXXX XXXX XX XXXXXXXXX/ (XX) XXXXX XXX XXXXX/ (XX) XXXXX ZA XXXXXX/ (XX) RIQUADRO XXX XX XXXXX/ (XX) XXXXXXXX LAUKS/ (XX) XXXXXX LAUKELIS/ (XX) XX ALÁÍRÁS XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) VAK XXXX XX XXXXXXXXXXXX/ (XX) XXXX PODPISU/ (XX) XXXXÇX XXXXXXXXX À ASSINATURA/ (XX) XXXXĂXXXX/ (SK) KOLÓNKA XX XXXXXX/ (SL) XXXXX XX XXXXXX/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (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) Y XXXXXX(X) XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXX A XXXXX (XXXXX) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) EFTERNAVN(E) XX XXXXXXX(X) XÅ XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX VORNAME(N) XXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX AMETNIKU EESNIMI (-XXXXX) JA XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) AND XXXXXXXX(X) OF XXX XXXXXXXX XXX XXXXXX XXXX FORM/ (FR) XXX(X) ET PRÉNOM(S) XX XXXXXXXXXXXXX QUI X XXXXXXX LE XXXXXXX XXXXXXXXXX/ (GA) XXXXXXX (SLOINNTE) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX XXXXXXXX X X’XXXXXX XX FHOIRM XXX/ (XX) XXXXXXX(XX) I XXX(XX) XXXXXXXXXX XXXX XX XXXXX XXXX XXXXXXX/ (XX) COGNOME/I X NOME/I DEL XXXXXXXXXXX XXX XX XXXXXXXXXX XX PRESENTE XXXXXX/ (LV) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, UZVĀRDS(-I) XX XĀXXX(-X)/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖX) XX XXXXXX (-XX)/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXXXXXŐ CSALÁDI NEVE(I) XX XXXXXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX) X ISEM(/ISMIJIET) XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XX(X)X(XX) EN XXXXXX(X)X(XX) XXX DE XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) X XXXĘ (XXXXXX) URZĘDNIKA, KTÓRY XXXXŁ NINIEJSZY XXXXXXXXX/ (XX) APELIDO(S) X XXXX(X) XXXXXXX(X) DO XXXXXXXXXXX QUE XXXXXX X PRESENTE XXXXXXXXXX/ (XX) NUMELE ȘI XXXXXXXXX XXXXȚXXXXXXXXX XXXX X XXXX PREZENTUL XXXXXXXX/ (XX) XXXXXXXXXX(-X) X XXXX(-X) ÚRADNÍKA, XXXXX XXXXX TENTO XXXXXXXX/ (SL) XXXXXXX/XXXXXXX XX IME/IMENA URADNIKA, XX XX IZDAL XX XXXXXXX/ (FI) XÄXÄX LOMAKKEEN XXXXXXXX XXXXXXXXXXX SUKUNIMI (-XXXXX) XX XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX OCH XÖXXXXX XÅ DEN XXÄXXXXXXX XXX XXX XXXÄXXXX DETTA XXXXXXÄX

6.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX FUNCIONARIO XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXXX — DEN EMBEDSMAND, 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) XXXXXXXX OF THE XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) XXXXX DU XXXXXXXXXXXXX XXX A XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXX XX XXXXXXXX X D’EISIGH XX XXXXXX XXX/ (XX) XXXXXXXX XXXXXXXXXX XXXX JE IZDAO XXXX OBRAZAC/ (IT) XXXXXXXXX DEL XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, XXXXX/ (LT) ŠIĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (HU) A XXXXXXXXXXXXXXXXX XXXXXXXX TISZTVISELŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ XXX IL-FORMOLA/ (NL) XXXXXXX VAN DE XXXXXXXXX XXX XXX XXXXXXXXX HEEFT XXXXXXXXX/ (XX) XXXXXXXXXX URZĘDNIKA, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX XX FUNCIONÁRIO XXX XXXXXX X PRESENTE XXXXXXXXXX/ (RO) XXXXȚXX XXXXȚXXXXXXXXX CARE X XXXX PREZENTUL XXXXXXXX/ (XX) FUNKCIA XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX FÖR XXX XXÄXXXXXXX SOM XXX XXXÄXXXX XXXXX XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (CZ) DATUM (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX KUUPÄEV (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (XX/XX/XXXX) OF XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) EISIÚNA/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) DATA XX RILASCIO (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (LT) IŠDAVIMO XXXX (DD/MM/MMMM)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXX-ĦXXĠ/ (NL) XXXXX (DD/MM/JJJJ) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (PT) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) DATUM (XX/XX/ÅÅÅÅ) XÖX UTFÄRDANDE

6.4

(BG) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (DA) XXXXXXXXXXX/ (XX) UNTERSCHRIFT/ (XX) ALLKIRI/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) SIGNATURE/ (XX) XXXXXXXXX/ (GA) XXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (LT) PARAŠAS/ (XX) ALÁÍRÁS/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) PODPIS/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (ES) XXXXX X XXXXXX/ (XX) XXXXX NEBO XXXXXXX/ (DA) XXXX XXXXX XXXXXXX/ (XX) XXXXXX XXXX XXXXXXX/ (XX) XXXXXX XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX OR XXXXX/ (FR) XXXXX XX XXXXXX/ (GA) XXXXX NÓ XXXXXX/ (XX) ŽIG XXX XXXXX/ (IT) XXXXX X XXXXXX/ (LV) XĪXXXX XXX SPIEDOGS/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX XXX XXXXXX/ (XX) ZEGEL XX XXXXXXX/ (XX) XXXXXĘĆ XXX XXXXXXX/ (XX) XXXX OU CARIMBO/ (XX) XXXXXXXX SAU ȘXXXXXXX/ (SK) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (XX) PEČAT ALI XXX/ (XX) XXXXXXX XXX XXXXX/ (SV) XXXXXX XXXXX STÄMPEL

REGISTROVANÉ PARTNERSTVÍ

VÍCEJAZYČNÝ XXXXXXXXXX FORMULÁŘ – XXXXXXX XXX XXXXXXX

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

Xxxxxx (XX) Bulharsko (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (IT) Xxxx (CY)

Lotyšsko (XX) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (MT)

Nizozemsko (XX) Rakousko (AT)

Polsko (XX) Portugalsko (PT)

Rumunsko (XX) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Finsko (XX)

Xxxxxxx (XX) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX UPOZORNĚNÍ

Jediným xxxxxx xxxxxx vícejazyčného xxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxx xxxxxxxx xxxxxxx xxxxxxx, x xxx je xxxxxxxx. Tento xxxxxxxx xx xxxx xxxxxxxxx xxxxx xxxxx pohybovat xxxx xxxxxxxxxx dokument.

Tento xxxxxxxx xxxxxx xxxxx xxxxxxx xxxxxxx, x xxx xx xxxxxxxx. Xxxxx, xxxxx xx xxxxxxx xxxxxxx předkládána, xxxx xxxx x xxxxxxxxx, kdy xx xx xxxxxxxx xxx xxxxx zpracování xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx xxxxxxxxx, xxxxx xxxx ve xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX XXXXX

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

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

1. ORGÁN XXXXXXXXXX TENTO FORMULÁŘ

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

3. INFORMACE XXXXXXXX SE VEŘEJNÉ XXXXXXX, X NÍŽ XX PŘILOŽEN XXXXX XXXXXXXX

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

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx xxxxxx státním xxxxxxxxx

3.1.3 Xxxxxxx vydaná xxxxxx xxxxxxx xxxxxxxxx

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

3.1.5 Jiné (xxxxxxxxx)

(1) Xx. věst. X 200, 26.7.2016, x. 1.

(2) Xxx xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

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

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

3.2 Xxxxxxx vydaná xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x xxxxxxx

3.2.3 Xxxxx x registru xxxxxxxx

3.2.4 Xxxx xxxxxxxxxx záznamů

3.1.5 Xxxx (xxxxxxxxx)

3.3 Notářská xxxxxxx

3.4 Xxxxxx xxxxxxxxx, xxxxxx xxxx xxxxxxxx xxxxxxx podepsaná xxxxxxxxx xxxxxx

3.5 Listina xxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxx xxxx xxxxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxx x rámci xxxxxx xxxx služebních xxxxxxxxxx

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Referenční xxxxx xxxxxxx listiny

4. XXXXXXXXXXXX XXXXXXXXXXX

4.1 Datum (xx/xx/xxxx) xxxxxxxxxx xxxxxxxxxxx

4.2 Xxxxx (1) x země (2) registrace partnerství

5. XXXXXXX/XXXXXXXXX A

5.1 Xxxxx/x xxxxxxxx

5.2 Xxxxxxxx před xxxxxxxxx registrovaného xxxxxxxxxxx

5.3 Xxxxxxxx xx uzavření xxxxxxxxxxxxxx partnerství

5.4 Jméno (xxxxx)

5.5 Xxxxx (xx/xx/xxxx) xxxxxxxx

5.6 Xxxxxxx:

5.6.1 Xxxx

5.6.2 Xxx

5.6.3 Xxxxxxxx

(1) Slovy „xxxxx xxxxxxxxxx partnerství“ xx xxxxxx název xxxx nebo města, xxxxxx a kraje, xxx xxxx tato xxxxxxxxxx xxxxxxxxx.

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

6. XXXXXXX/XXXXXXXXX X

5.1 Xxxxx/x xxxxxxxx

5.2 Xxxxxxxx před xxxxxxxxx xxxxxxxxxxxxxx partnerství

5.3 Xxxxxxxx xx uzavření xxxxxxxxxxxxxx xxxxxxxxxxx

5.4 Xxxxx (xxxxx)

5.5 Datum (xx/xx/xxxx) xxxxxxxx

5.6 Xxxxxxx:

5.6.1 Žena

5.6.2 Xxx

5.6.3 Xxxxxxxx

7. POLE XXX XXXXXX

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

7.2 Xxxxxx xxxxxxxx, který vydal xxxxx formulář

7.3 Xxxxx (xx/xx/xxxx) xxxxxx

7.4 Xxxxxx

7.5 Xxxxx xxxx xxxxxxx

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXXXXXXXX XXXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XXXX IMPRESO/ (XX) ORGÁN XXXXXXXXXX XXXXX FORMULÁŘ/ (DA) XXXXX XXXXXXXXX UDSTEDENDE XXXXXXXXX/ (DE) XXXÖXXX, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX VÄLJA XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) AUTHORITY XXXXXXX XXXX FORM/ (XX) XXXXXXXX XX XXXXXXXXXX DU PRÉSENT XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX XX FHOIRM XXX/ (XX) XXXXXX XXXX XXXXXX OVAJ OBRAZAC/ (XX) XXXXXXXÀ CHE XXXXXXXX IL XXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (LT) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) AWTORITÀ EMITTENTI XX' XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX XXXXXXXXX/ (XX) XXXXX XXXXXĄXX NINIEJSZY FORMULARZ/ (XX) XXXXXXXXXX XXX XXXXX O PRESENTE XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ A XXXXXXXXXXX XXXXXXXX/ (SK) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX, KI XXXX TA XXXXXXX/ (XX) XÄXÄX LOMAKKEEN XXXXXX VIRANOMAINEN/ (XX) XXXXXXXXX SOM UTFÄRDAR XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (ES) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (DE) XXXXXXXXXXX/ (XX) NIMETUS/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (HR) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (LT) PAVADINIMAS/ (XX) XXXXXXXXXX/ (MT) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXX/ (PT) XXXXXXXÇÃX/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) XXX/ (XX) XXXX/ (XX) NAMN

2.

(BG) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XX DOCUMENTO XXXXXXX AL XXX XX XXXXXXX ESTE XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX FORMULÁŘ/ (XX) DEN XXXXXXXXX, XXX XXX UDSTEDT XXX XXXXXXXXXX XXXXXXXX, XXX DENNE XXXXXXXX XX XXXXÆXXXX/ (DE) XXXÖXXX, XXX XXX ÖXXXXXXXXXX URKUNDE, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX, XXXXXXXXX/ (ET) 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 XXXXXX XXXXXXXX XX XXXXX THIS XXXX XX ATTACHED/ (XX) XXXXXXXX XX XXXXXXXXXX XX DOCUMENT XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X EISEOIDH XX XXXXXXXXX XXXXXX XXXX BHFUIL AN XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXX KOJE XXXXXX JAVNU XXXXXXX XXXXX XX OVAJ XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXXX PUBBLICO XXX IL XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, IZDEVĒJIESTĀDE/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX KURIO XXXXXXXXX XX FORMA, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX PUBBLIKU LI XXXXĦX HIJA XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX OPENBAAR XXXXXXXX XXXXXXX DIT XXXXXXXXX XX XXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXX URZĘDOWY, XX XXXXXXX XXXXXXXXX FORMULARZ XXXX XXŁĄXXXXX/ (PT) XXXXXXXXXX XXX EMITE X DOCUMENTO XXXXXXX X QUE X XXXXXXXX FORMULÁRIO XXXX XXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ A XXXXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) ORGAN, KI XXXX XXXXX LISTINO, XX XX JE XXXXXXXX XX OBRAZEC/ (XX) VIRANOMAINEN, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (SV) XXXXXXXXX XXX UTFÄRDAR XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX DETTA XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) INFORMACIÓN XXXXXXXX XX XXXXXXXXX XXXXXXX AL XXX XX XXXXXXX XXXX XXXXXXX/ (CZ) INFORMACE XXXXXXXX SE XXXXXXX XXXXXXX, X XXX XX PŘILOŽEN TENTO XXXXXXXX/ (XX) XXXXXXXXXXX XXXXØXXXXX XXX OFFENTLIGE XXXXXXXX, XXX XXXXX XXXXXXXX ER XXXXÆXXXX/ (XX) ANGABEN XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX FORMULAR XXXXXXÜXX XXX/ (XX) XXXXX XXXXXXX XXXXXXXXX XXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) INFORMATION XXXXXXXX XX THE XXXXXX XXXXXXXX XX XXXXX THIS XXXX XX XXXXXXXX/ (FR) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX PUBLIC AUQUEL XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX X XXXXXXXXX XXXX AN DOICIMÉAD XXXXXX XXXX XXXXXX XX FHOIRM XXX XXXXXXXXXX/ (HR) XXXXXXXXXXX XXXX XX ODNOSE XX XXXXX ISPRAVU XXXXX XX OVAJ XXXXXXX PRILOŽEN/ (XX) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È ALLEGATO/ (XX) XXXXXXĀXXXX PAR XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX IR PIEVIENOTA/ (XX) XXXXXXXXXXX, SUSIJUSI XX VIEŠUOJU XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX XXXXX/ (HU) X FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXXXX VONATKOZÓ INFORMÁCIÓK/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX HIJA XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX BETREFFENDE XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX URZĘDOWEGO, XX XXXXXXX NINIEJSZY XXXXXXXXX JEST ZAŁĄCZONY/ (XX) INFORMAÇÕES XXXXXXXXX XX XXXXXXXXX XXXXXXX X XXX X XXXXXXXX FORMULÁRIO XXXX XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX DOCUMENTUL XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXX XXXXXXX, XX XXXXXX XX XXXXX FORMULÁR XXXXXXXXX/ (XX) INFORMACIJE V XXXXX Z XXXXX XXXXXXX, KI JI XX XXXXXXXX XX XXXXXXX/ (FI) TIEDOT XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXXXX XX XXX OFFICIELLA 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) DOCUMENTO XXXXXXXX XXX XXX XXXXXXXXX X XX XXXXXXXXXXX VINCULADO A XXX XXXXXXX XXXXXXXXXXXXXXXX XX UN XXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX NEBO XXXXXXXXX X XXXXXX XX SOUDY XXXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXXX, DER ER XXXXXXX AF EN XXXXXXXXX XXXXX EN XXXXXXXXXX, XXX ER XXXXXXXXXX DOMSTOLE I XX MEDLEMSSTAT/ (XX) XXXXXXX EINER XXXÖXXX XXXX XXXXX XXXXXXXXXX XXX XXXXX DER XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX ANDNUD XXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXXXX XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX FROM AN XXXXXXXXX XX XX XXXXXXXX XXXXXXXXX WITH XXX XXXXXX XX XXXXXXXXX XX X XXXXXX XXXXX/ (XX) XXXXXXXX ÉMANANT X'XXX XXXXXXXX XX X'XX XXXXXXXXXXXXX RELEVANT X'XXX XXXXXXXXXXX X'XX ÉTAT XXXXXX/ (GA) DOICIMÉAD X XXXXXXX X XXXXXX XX X XXXXXXXXX X XXXXXX XXXXX AIGE XX XXXX XX CÚIRTEANNA XX XX XXXXX XX XXXXX XXXXXXXXX/ (XX) XXXXXXX KOJU XX XXXXXX XXXXXX XXX SLUŽBENIK SUDA XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ X XX XX FUNZIONARIO XXXXXXXXXXXX XX XXX XXXXX XXXXXXXXXXXXX XX UNO XXXXX XXXXXX/ (LV) XXXXXXXXX, KURU XXXXXXXXXX XX DALĪBVALSTS XXXXĀX XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (XX) DOKUMENTAS, XXXXXXXX VALDŽIOS XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX XXXXXXXX XX TRIBUNOLAIS/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX XXXX XXXXXXX XXXX TISZTVISELŐ XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ XXX UFFIĊJAL XX XXXXXXXX RABTA XXX-XXXXX XXX IT-TRIBUNALI XX' XXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX OD XXXXXX XĄXXXXXX XXX URZĘDNIKA XĄXXXXXX XXŃXXXX CZŁONKOWSKIEGO/ (XX) XXXXXXXXX XXXXXXXXXXX XX UMA XXXXXXXXXX XX XX XX XXXXXXXXXXX XXXXXXXXXX XX XXXXXXXX XXXXXXXÇÃX XX XX XXXXXX-XXXXXX/ (XX) XXXXXXXX XXXX XX X XXXXXXXXXX XXX XX XX XXXXȚXXXXX XX XX XÂXXĂ XXXXXXȚXXX UNUI STAT XXXXXX/ (SK) LISTINA XXXXXX ORGÁNOM XXXXX XXXXXXXXX X VÄZBOU XX SÚDY XXXXXXXXX XXXXX/ (XX) XXXXXXX, XXXXXX X STRANI XXXXXX XXX XXXXXXXX XXXXX OBLASTI DRŽAVE XXXXXXX/ (XX) XXXXXXXXX, XXXXX ON ANTANUT XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXXXXXXXX XXXXX XX XXÄXXXXXXX TILLHÖRANDE XXXXXXXXXÄXXXXXX 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 XXXXXXX/ (XX) CINNEADH XX xXXXXX/ (XX) SUDSKA XXXXXX/ (XX) DECISIONE XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (XX) XXXXXX XXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXXX/ (MT) DEĊIŻJONI XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) ORZECZENIE XĄXXXX/ (XX) DECISÃO XXXXXXXX/ (RO) HOTĂRÂRE XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) SODNA XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) DOMSTOLSBESLUT

3.1.2

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX EL XXXXXXXXXX FISCAL/ (XX) XXXXXXX VYDANÁ XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXX XÜÜXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) DOCUMENT EMANATING XXXX A XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX DU XXXXXXÈXX XXXXXX/ (GA) XXXXXXXXX X XXXXXXX Ó XXXXXXXXXXXXXXX POIBLÍ/ (XX) XXXXXXX KOJU JE XXXXXX XXXXXXX ODVJETNIŠTVO/ (XX) DOCUMENTO EMANATO XXX PUBBLICO MINISTERO/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (XX) ÜXXXXX ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX XXXXXXXXXX XXXXXXXX/ (NL) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX XXXXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX PÚBLICO/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX/ (XX) XXXXXXX XXXXXX PROKURÁTOROM/ (XX) XXXXXXX, XX XX XXXX XXXXXXX XXXXXXXXX/ (XX) VIRALLISEN XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX UDSTEDT XX EN JUSTITSSEKRETÆR/ (XX) XXXXXXX EINES XXXXXXXXXXXXXX XXX GESCHÄFTSSTELLE XXXXX XXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX XXXX X CLERK XX A XXXXX/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX/ (GA) XXXXXXXXX X XXXXXXX X XXXXXXXXXX XX XXXXX XXXXXX/ (HR) XXXXXXX XXXX XX XXXXX XXXXXXXXXX XXXXXX XXXXXXXXX/ (IT) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (XX) DOKUMENTS, XXXX IZSNIEDZIS XXXXXX XXXXXXĀXX/ (LT) XXXXXX XXXXXXXXXX IŠDUOTAS DOKUMENTAS/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ XXXX XXĠXXXXXXXX XX' XXXXX/ (NL) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX SEKRETARZA XĄXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX XX XX XXXXXXX XX JUSTIÇA/ (XX) DOCUMENT EMIS XX UN XXXXXXX XX INSTANȚEI/ (XX) XXXXXXX VYDANÁ SÚDNYM XXXXXXXXX/ (XX) LISTINA, XX XX XXXX XXXXX USLUŽBENEC/ (FI) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXX/ (SV) XXXXXXXX XXX XÄXXÖX FRÅN XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX JUDICIAL («HUISSIER XX JUSTICE»)/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („HUISSIER XX XXXXXXX“)/ (DA) DOKUMENT XXXXXXX AF EN XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (XX) URKUNDE XXXXX GERICHTSVOLLZIEHERS/ (XX) XXXXXXXX, MILLE ON XÄXXX ANDNUD KOHTUTÄITUR/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤ(-ΡΙΑ) («XXXXXXXX XX JUSTICE»)/ (XX) DOCUMENT EMANATING XXXX A XXXXXXXX XXXXXXX ('HUISSIER DE XXXXXXX')/ (XX) XXXXXXXX XXXXXXX D'UN XXXXXXXX XX JUSTICE/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX KOJU XX XXXXX XXXXXX XXXXXXXXX (HUISSIER XX XXXXXXX)/ (XX) DOCUMENTO XXXXXXX XX XX XXXXXXXXX XXXXXXXXXXX ("HUISSIER XX JUSTICE")/ (LV) XXXXXXXXX, KURU XXXXXXXXXX XXXXXX IZPILDĪTĀJS (XXXXXXXX XX XXXXXXX)/ (LT) XXXXXXXXX (XXXXXXXX XX XXXXXXX) IŠDUOTAS XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXXX („XXXXXXXX XX XXXXXXX”) XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ XXXX UFFIĊJAL ĠUDIZZJARJU ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN GERECHTSDEURWAARDER/ (XX) DOKUMENT XXXXXXXĄXX XX XXXĘXXXXX XĄXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXÃX XX DIREITO («XXXXXXXX XX JUSTICE»)/ (XX) XXXXXXXX EMIS DE XX XXXXXXXX JUDECĂTORESC („XXXXXXXX XX JUSTICE”)/ (XX) LISTINA XXXXXX XXXXXX VYKONÁVATEĽOM („HUISSIER XX JUSTICE“)/ (XX) XXXXXXX, XX XX XXXX SODNI XXXXXXXXXX („XXXXXXXX XX JUSTICE“)/ (XX) HAASTEMIEHEN (”HUISSIER XX XXXXXXX”) ANTAMA XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX XX STÄMNINGSMAN (HUISSIER XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) OTRO (ESPECIFÍQUESE)/ (XX) XXXX (XXXXXXXXX)/ (XX) XXXXX (ANGIVES)/ (XX) SONSTIGES (BITTE XXXXXXX)/ (XX) XXX (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX XX XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (GA) XXXX (XX XXXXX)/ (HR) XXXXXX (XXXXXXX)/ (XX) XXXXX (PRECISARE)/ (XX) XXXX (XXXXXXĒX)/ (XX) XXXX (NURODYTI)/ (XX) XXXXX (XXXXÜX PONTOSÍTANI)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (SPECIFICEREN)/ (XX) XXXX (XXXXXĘ XXXXŚXXĆ)/ (PT) OUTROS (X ESPECIFICAR)/ (XX) XXXXX (A SE XXXXXXX)/ (XX) XXX (XXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (FI) MUU XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) XXXXX XXXXXXXX (SPECIFICERAS)

3.2

(BG) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (ES) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (EL) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) ADMINISTRATIVE XXXXXXXX/ (FR) XXXXXXXX XXXXXXXXXXXXX/ (XX) DOICIMÉAD XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (IT) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (LT) ADMINISTRACINIS XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (SL) XXXXXXX XXXXXXX/ (XX) HALLINNOLLINEN XXXXXXXXX/ (XX) ADMINISTRATIV XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX/ (XX) OSVĚDČENÍ/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (HR) XXXXXXX/ (XX) CERTIFICATO/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, LIUDIJIMAS/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (MT) ĊXXXXXXXXX/ (XX) CERTIFICAAT/ (PL) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) OSVEDČENIE/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (SV) INTYG

3.2.2

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXX Z MATRIKY/ (XX) UDDRAG XXX XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX XXX DEM PERSONENSTANDSREGISTER/ (XX) PEREKONNASEISUREGISTRI XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX CIVIL XXXXXX XXXXXXXX/ (FR) XXXXXXX XX XXXXXXXX XX L'ÉTAT XXXXX/ (XX) XXXXXXX XX XX gCLÁR XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXX XXXXXX/ (XX) XXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXX XX XXXXXXXĀXXXĻX XXXX REĢISTRA/ (XX) XXXXXXX XX CIVILINĖS XŪXXĖX XXXŲ REGISTRO/ (XX) XXXXXÖXXXX KIVONAT/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXXXXX AKTU XXXXX XXXXXXXXX/ (PT) XXXXXXX XX XXXX XX XXXXXXX XXXXX/ (XX) XXXXXX XXX XXXXXXXXX DE XXXXX XXXXXĂ/ (XX) VÝPIS X REGISTRA XXXXXXXX XXXXX/ (SL) IZPISEK XX REGISTRA X XXXXXXX STANJU/ (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/ (XX) XXXXXX FRA FOLKEREGISTRET/ (XX) XXXXXX AUS XXX XXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (EN) XXXXXXX XXXX XXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX DU XXXXXXXX XX XX XXXXXXXXXX/ (XX) XXXXXXX XX XX xXXXX XXXXXX/ (XX) XXXXXXX XX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX ANAGRAFICO/ (XX) XXXXXXXX NO XXXXĪXXXĀXX XXĢXXXXX/ (XX) IŠRAŠAS XX XXXXXXXXŲ XXXXXXXX/ (XX) KIVONAT X XXXXXXXXXXXX- ÉS XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) UITTREKSEL XXX HET BEVOLKINGSREGISTER/ (XX) XXXXĄX X XXXXXXXX XXXXXŚXX/ (XX) XXXXXXX DO REGISTO XX XXXXXXÇÃX/ (XX) XXXXXX XXX XXXXXXXXX XX EVIDENȚĂ X XXXXXXȚXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXĽXX/ (XX) XXXXXXX IZ XXXXXXXX XXXXXXXXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXX/ (SV) XXXXXX XX BEFOLKNINGSREGISTER

3.2.4

(BG) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX LITERAL XX ACTAS XXX XXXXXXXX XXXXX/ (XX) XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXX XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX KOPIE XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX XX XXXXX XXXXXX RECORDS/ (XX) XXXXX INTÉGRALE X'XXXXX XX L'ÉTAT CIVIL/ (XX) CÓIP FOCAL XX XXXXXX XX XXXXXXX XX STÁDAS XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX IZ XXXXXXXXXX X XXXXXXX STANJU/ (XX) XXXXX XXXXXXXXX XX XXXX XX XXXXX CIVILE/ (LV) XXXXXXXĀXXXĻX AKTU REĢISTRA XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXĖX BŪKLĖS XXXŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (XX) EENSLUIDEND XXXXXXXXX VAN AKTEN XXX DE XXXXXXXXXXX XXXXX/ (PL) ODPIS XXXXŁXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXÃX XX XXXXX INTEGRAL XX DE XXXXXXXXX XX XXXX DE XXXXXXX XXXXX/ (XX) XXXXX XXXXXĂ X XXXX ACT XX XXXXX XXXXXĂ/ (XX) XXXXXXXX XXXXX ZO XXXXXXX X XXXXXXX XXXXX/ (SL) XXXXXXXXX XXXXXX LISTIN O XXXXXXX STANJU/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX JÄLJENNÖS/ (XX) ORDAGRANN XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (XX) NOTÁŘSKÁ XXXXXXX/ (DA) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) NOTARIELLE XXXXXXX/ (XX) NOTARIAALDOKUMENT/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) NOTARIAL XXX/ (XX) ACTE NOTARIÉ/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX ISPRAVA/ (XX) XXXX NOTARILE/ (XX) XXXXXXĀXX XXXX/ (XX) XXXXXXXXX AKTAS/ (XX) KÖZJEGYZŐI OKIRAT/ (XX) XXX XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (XX) AKT XXXXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXXX LISTINA/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX ANTAMA XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX XXXXXX XXXXX UN XXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXX, XXXXXX XXXX OPATŘENA XXXXXXX XXXXXXXXX XXXXXXXXX OSOBOU/ (XX) OFFICIEL PÅTEGNING XÅ XX XXXXXXXX XXXXXXXXXXX XX XX XXXXXX X DENNES XXXXXXXX AF XXXXXXXXXXXX/ (XX) AMTLICHE BESCHEINIGUNG XXX XXXXX XXXXXXXXXXXXX/ (XX) XXXXX POOLT XXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX AMETLIK XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (EN) XXXXXXXX XXXXXXXXXXX PLACED XX X XXXXXXXX XXXXXX XX X PERSON XX HIS OR XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX UN XXXX SOUS SEING XXXXX/ (XX) DEIMHNIÚ XXXXXXXXX X CHUIRTEAR XX XXXXXXXXXX XXXX XXXXXX AG DUINE XXX XXXXX XX XXX XXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX XX XXXXXXX XXXX XX OSOBA XXXXXXXXX U PRIVATNOM XXXXXXXX/ (IT) DICHIARAZIONE XXXXXXXXX APPOSTA SU XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXĀXX APLIECINĀJUMS XX XXXXXXXXX, XX XXXĀ XĀXXĀ PARAKSTĪJUSI XĀXX PERSONA/ (XX) XXXXXXXŲ ASMENŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX TANÚSÍTVÁNY/ (XX) ĊXXXXXXXXX XXXXĊXXXX LI XXXXXXXĦXX X'XXXXXXXX IFFIRMAT XXXX PERSUNA XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (NL) XXXXXXXXX CERTIFICAAT XX XXX XXXXXXXX ONDERTEKEND XXXX EEN XXXXXXX XX ZIJN XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX PRYWATNYM/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX ATO DE XXXXXXXX XXXXXXX/ (RO) XXXXXXXXXX XXXXXXX APLICAT XX XX XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) ÚRADNÉ XXXXXXXXXX XXXXXXX NA LISTINE XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXX XX XXXXXXX XXXXXXX/ (XX) VIRALLINEN XXXXXXXX XXXXXXXXXXXX, XXXXX XXXXXXÖ XX ALLEKIRJOITTANUT YKSITYISHENKILÖNÄ/ (XX) OFFICIELLT INTYG XXXXXXXXX PÅ EN XXXXXXXX XXX XXXXXXXXXXXXX XX XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX DIPLOMÁTICO O XXXXXXXX XX UN XXXXXX MIEMBRO CON XXXXXXXX XXXXXXX/ (XX) XXXXXXX VYHOTOVENÁ XXXXXXXXXXXXX XXXXXXXXX XXXX KONZULÁRNÍM XXXXXXXXX ČLENSKÉHO XXXXX X XXXXX VÝKONU XXXX SLUŽEBNÍCH XXXXXXXXXX/ (XX) XXXXXXXX OFFICIELT XXXÆXXXXXX XX EN XXXXXXXXXXXX DIPLOMATISKE XXXXX XXXXXXÆXX REPRÆSENTANT/ (XX) XXX EINEM XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX MITGLIEDSTAATS XX XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX URKUNDE/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) DOCUMENT XXXXX XX BY X XXXXXXXXXX XX XXXXXXXX XXXXX XX A XXXXXX XXXXX IN XXX OR XXX XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXX XX XX XXXXXXX XXXXXXXXXX XXX XX AGENT XXXXXXXXXXXX XX CONSULAIRE X'XX ÉTAT MEMBRE/ (XX) DOICIMÉAD XXXX XXXXXXXXXX SUAS XX XXXXXXXXXX TAIDHLEOIREACHTA NÓ XXXXXXXXX XX CHUID XXXXXXXXX INA XXXXX XX INA CÁIL XXXXXXXXX/ (HR) XXXXXXX XXXX XX U XXXXXXXXX XXXXXXXX SASTAVIO XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX AGENTI XXXXXXXXXXX X CONSOLARI XX XXX XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX XXXXX XXXXĀXXXXX, SAGATAVOJIS DALĪBVALSTS XXXXXXĀXXXXXXX VAI XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX XX KONSULINIO XXXXXXŪXX, XXXXXXXXXX XXXXX XXXXXXXXXX ĮGALIOJIMUS/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX XXXXX HIVATALOS XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX IMĦEJJI MINN XĠXXX XXXXXXXXXXX XXX XXXXXXXXX XX' STAT XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (NL) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX VAN XXX XXXXXXXX XX ZIJN XXXXXXËXX HOEDANIGHEID/ (PL) XXXXXXXX XXXXXĄXXXXX PRZEZ XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX DZIAŁAJĄCYCH W XXXXXXXXXXX XXXĘXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XX AGENTE DIPLOMÁTICO XX XXXXXXXX XX XX ESTADO-MEMBRO NO XXXXXXXXX XXX XXXX XXXÇÕXX OFICIAIS/ (RO) XXXXXXXX ÎNTOCMIT XX XĂXXX XX XXXXX XXXXXXXXXX SAU XXXXXXXX XX XXXX XXXX XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX ZÁSTUPCOM XXXXX XXXXXXXXXXX ÚRADNÍKOM XXXXXXXXX XXXXX X XXXXX VÝKONU JEHO XXXXXXX/ (XX) LISTINA, XX JO XXX XXXXXX XXXXX XXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX KONSULIEDUSTAJA ON XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX UPPRÄTTAD X XXÄXXXXX XX EN XXXXXXXXXXX XXXXX KONSULÄR XXÄXXXXXXX X XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) VYDÁNÍ/ (DA) 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) OF XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) EISIÚNA/ (XX) DATUM (DD/MM/GGGG) XXXXXXXXX/ (XX) DATA XX RILASCIO (GG/MM/AAAA)/ (XX) IZDOŠANAS DATUMS (XX/XX/XXXX)/ (LT) XXXXXXXX XXXX (XX/XX/XXXX)/ (HU) 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) XXXXXXX/ (PT) XXXX XX EMISSÃO (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) EMITERII/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (FI) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (ES) XXXXXX DE XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (DA) XXX XXXXXXXXXX DOKUMENTS XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖFFENTLICHEN XXXXXXX/ (XX) XXXXXXX DOKUMENDI XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX XX XXX XXXXXX XXXXXXXX/ (XX) XXXXXX XX RÉFÉRENCE XX DOCUMENT XXXXXX/ (XX) XXXXXX XXXXXXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (IT) XXXXXX DI RIFERIMENTO XXX DOCUMENTO PUBBLICO/ (XX) XXXXXXXĀ DOKUMENTA XXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXX/ (XX) X KÖZOKIRAT XXXXXXXXXXX SZÁMA/ (MT) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX PUBBLIKU/ (NL) XXXXXXXXXXXXXXXX VAN XXX XXXXXXXX DOCUMENT/ (PL) XXXXX XXXXXXXXXXXX DOKUMENTU XXXĘXXXXXX/ (XX) XXXXXX XX XXXXXÊXXXX DO XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX XX XXXXXXXȚĂ XX DOCUMENTULUI XXXXXXX/ (XX) REFERENČNÉ ČÍSLO XXXXXXXX LISTINY/ (SL) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX HANDLINGENS XXXXXXXXXXXXXX

4.

(XX) РЕГИСТРИРАНО ПАРТНЬОРСТВО/ (XX) XXXXX XX XXXXX REGISTRADA/ (CZ) XXXXXXXXXXXX XXXXXXXXXXX/ (DA) XXXXXXXXXXX PARTNERSKAB/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXX/ (XX) ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΥΜΒΙΩΣΗ/ (EN) XXXXXXXXXX PARTNERSHIP/ (XX) XXXXXXXXXXX ENREGISTRÉ/ (GA) XXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXX XXXXXXXXXX/ (XX) XXĢXXXXĒXXX XXXXXXXXXXXXXĪXXX/ (XX) XXXXXXXXXXX PARTNERYSTĖ/ (XX) XXXXXXXXXX XXXXXXXXX XXXXXXXXX/ (XX) XĦXXXXX XXXĠXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXX/ (PT) PARCERIA XXXXXXXXX/ (XX) XXXXXXXXXXX ÎXXXXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXX/ (XX) REGISTRIRANA XXXXXXXXXX XXXXXXXX/ (FI) XXXXXXXXÖXXX PARISUHDE/ (SV) XXXXXXXXXXX PARTNERSKAP

4.1

(BG) ДАТА (ДД/ММ/ГГГГ) НА РЕГИСТРИРАНЕ НА АКТА/ (XX) XXXXX (DD/MM/AAAA) DE XXXXXXXXXXX XX XX XXXXX XX HECHO/ (XX) DATUM (DD/MM/RRRR) XXXXXXXXXX XXXXXXXXXXX/ (XX) XXXX (DD/MM/ÅÅÅÅ) XXX XXXXXXXXXXXXXX XX PARTNERSKABET/ (XX) XXXXX (TT/MM/JJJJ) XXX EINTRAGUNG XXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXXXXXXXXXX KUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΚΑΤΑΧΩΡΙΣΗΣ ΤΗΣ ΠΡΑΞΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXX XXXXXXXXXXXX XX XXX XXXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) X'XXXXXXXXXXXXXX XX PARTENARIAT/ (XX) XXXX (LL/MM/BBBB) XXXXXX XX XXXXXXXXXXXXXXX/ (XX) DATUM (DD/MM/GGGG) XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXX XX XXXXXXXXXXXXX XXXX'XXXX (XX/XX/XXXX)/ (LV) XXXXXXXXXXXXXĪXX REĢISTRĀCIJAS XXXXXX (XX/XX/XXXX)/ (LT) PARTNERYSTĖS XXXXXXXXXXXXX XXXX (XX/XX/XXXX)/ (XX) XX XXXXXXXXX XXXXXXXXX XXXXXXXXXXXXX XXXXX (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) TAR-REĠISTRAZZJONI TAS-SĦUBIJA/ (XX) DATUM (XX/XX/XXXX) XXX DE XXXXXXXXXXX XXX XX AKTE/ (XX) XXXX (DD/MM/RRRR) XXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX/ (XX) DATA XX XXXXXXX XX PARCERIA (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) ÎNREGISTRĂRII XXXXXXX/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXXXXX PARTNERSKE XXXXXXXXX/ (XX) PARISUHTEEN REKISTERÖINTIPÄIVÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) FÖR REGISTRERING XX PARTNERSKAPET

4.2

(BG) МЯСТО И ДЪРЖАВА НА РЕГИСТРИРАНЕ НА АКТА/ (XX) XXXXX Y XXXX XX INSCRIPCIÓN XX XX XXXXX XX XXXXX/ (XX) XXXXX X XXXX XXXXXXXXXX PARTNERSTVÍ/ (DA) XXXX XX LAND XXX XXXXXXXXXXXXXX XX XXXXXXXXXXXXX/ (DE) ORT XXX XXXX XXX XXXXXXXXXX DER XXXXXXXXXXXXX/ (XX) KOOSELU REGISTREERIMISE XXXX XX XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΚΑΤΑΧΩΡΙΣΗΣ ΤΗΣ ΠΡΑΞΗΣ/ (XX) XXXXX XXX XXXXXXX XX XXX XXXXXXXXXXXX XX XXX XXXXXXXXXXX/ (XX) XXXX XX XXXX X'XXXXXXXXXXXXXX XX XXXXXXXXXXX/ (XX) XXX XXXX XXX CHLÁRÚ NA XXXXXXXXXXXXXXX/ (XX) XXXXXX X ZEMLJA XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXX X XXXXX XX XXXXXXXXXXXXX XXXX'XXXX/ (XX) XXXXXXXXXXXXXĪXX REĢISTRĀCIJAS VIETA XX XXXXXX/ (XX) XXXXXXXXXXĖX XXXXXXXXXXXXX VIETA XX XXXXX/ (XX) XX XXXXXXXXX KAPCSOLAT XXXXXXXXXXXXX XXXXX ÉS XXXXXXX/ (XX) POST X XXXXXŻ TAR-REĠISTRAZZJONI XXX-XĦXXXXX/ (NL) XXXXXX XX XXXX XXX XX XXXXXXXXXXX XXX XX XXXX/ (XX) XXXXXXX X XXŃXXXX XXXXXXXXXXX ZWIĄZKU XXXXXXXXXXXXX / (XX) XXXXX X PAÍS DE XXXXXXX XX XXXXXXXX/ (XX) XXXXX ȘX ȚXXX ÎXXXXXXXXĂXXX XXXXXXX/ (XX) MIESTO X XXXX UZAVRETIA REGISTROVANÉHO XXXXXXXXXXX/ (XX) KRAJ XX DRŽAVA XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX REKISTERÖINTIPAIKKA XX -XXX/ (SV) XXX XXX XXXX XÄX XXXXX XXXXXXXXXXXXX

5.

(XX) ПАРТНЬОР А/ (XX) MIEMBRO X/ (CZ) PARTNER/PARTNERKA X/ (XX) XXXXXXX X/ (DE) XXXXXXX X/ (XX) XXXXXXX X/ (XX) ΣΥΝΤΡΟΦΟΣ Α/ (XX) XXXXXXX X/ (XX) XXXXXXXXXX X/ (GA) XXXXXXXXX X/ (HR) XXXXXXX X/ (IT) PARTNER X/ (XX) XXXXXXXXX X/ (LT) PARTNERIS X/ (XX) „A” XXXXXXXXX/ (XX) XXXĦXX X/ (XX) PARTNER X/ (PL) XXXXXXX X/ (PT) PARCEIRO X/ (XX) XXXXXXXXXX X/ (XX) XXXXXXX X/ (XX) PARTNER X/ (XX) KUMPPANI X/ (XX) PARTNER X

5.1

(XX) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (XX) XXXXXXXX(X) DE NACIMIENTO/ (XX) RODNÉ/Á PŘÍJMENÍ/ (XX) XXXXXXXXX(X) VED XØXXXXX/ (DE) XXXXXXXXXXXX(X) XXX XXX XXXXXX/ (XX) SÜNNIJÄRGNE XXXXXXXXXXXXX (XÜXXXXÄXXXXX XXXXXXXXXXXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (XX) XXXXXXX(X) XX BIRTH/ (XX) XXX(X) À LA XXXXXXXXX/ (XX) SLOINNE (XXXXXXXX) XXXXXXX/ (HR) XXXXXXX(XX) PRI ROĐENJU/ (XX) XXXXXXX/X XXXX XXXXXXX/ (XX) UZVĀRDS(-I) XXXXXXXXX XXĪXĪ/ (LT) XXXXXXĖ (-ĖX), SUTEIKTA (-XX) XXXXX/ (XX) XXÜXXXXXX CSALÁDI XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) MAT-TWELID/ (XX) XXXXXXXX(X)X(XX) BIJ XX XXXXXXXX/ (XX) XXXXXXXX(-X) XXXXXX/ (PT) XXXXXXX(X) À XXXX XX XXXXXXXXXX/ (XX) XXXXXX XX NAȘTERE/ (XX) XXXXX XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX XX XXXXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXXXÄXXXXXXXÄ/ (XX) XXXXXXXXX XXX XÖXXXXX

5.2

(XX) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ АКТА/ (ES) XXXXXXXX(X) XXXXX XX XX XXXXXXXXXXX/ (XX) XXXXXXXX XXXX XXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (DA) XXXXXXXXX(X) XØX REGISTRERINGEN/ (XX) XXXXXXXXXXXX(X) XXX XXX XXXXXXXXXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX (-XXXXX) XXXX XXXXXXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΑΠΟ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (XX) XXXXXXX(X) XXXXXX XXX ACT/ (XX) XXX(X) AVANT L'ACTE/ (XX) SLOINNE (SLOINNTE) XXXXX AN nGNÍOMH/ (XX) XXXXXXX(XX) XXXXX XXXXXXXXXXXXX PARTNERSTVA/ (IT) XXXXXXX/X PRIMA XXXX'XXXX/ (XX) UZVĀRDS(-I) XXXXX XXXX/ (XX) PAVARDĖ (-ĖX) PRIEŠ XXXXXXXX XXXĄ/ (XX) XXXXXXX XXXX(X) XX ÉLETTÁRSI XXXXXXXXX XXXXXXXXXX ELŐTT/ (XX) XXXXXX(/XXXXXXXXXXX) XXXXX X-XXX/ (XX) ACHTERNA(A)M(EN) XXXX XX AKTE/ (XX) XXXXXXXX(-X) PRZED XXXXXXXXXXĄ ZWIĄZKU/ (XX) XXXXXXX(X) XXXXX XX XXX/ (XX) XXXXXX ÎXXXXXX XX ÎXXXXXXXXXXXX XXXXXXXXXXXXXXX/ (SK) XXXXXXXXXX(-X) XXXX XXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) PRIIMEK/PRIIMKI XXXX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) SUKUNIMI (-XXXXX) XXXXX REKISTERÖINTIÄ/ (XX) XXXXXXXXX FÖRE XXXÅXXXXX

5.3

(XX) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА РЕГИСТРИРАНЕТО НА АКТА/ (XX) XXXXXXXX(X) DESPUÉS XX XX XXXXXXXXXXX/ (XX) XXXXXXXX PO XXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXX(X) XXXXX REGISTRERINGEN/ (XX) FAMILIENNAME(N) NACH XXX XXXXXXXXXX DER XXXXXXXXXXXXX/ (ET) PEREKONNANIMI (-XXXXX) XÄXXXX REGISTREERIMIST/ (XX) ΕΠΏΝΥΜΟ(-Α) ΜΕΤΑ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (XX) SURNAME(S) XXXXXXXXX XXX ACT/ (XX) XXX(X) À LA XXXXX XX X'XXXX/ (XX) XXXXXXX (SLOINNTE) XXX ÉIS XX XXXXXX/ (XX) PREZIME(NA) XXXXX XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) COGNOME/I XXXX X'XXXX/ (XX) XXXĀXXX(-X) XĒX AKTA/ (XX) XXXXXXĖ (-ĖX) XX XXXX SUDARYMO/ (HU) XXXXXXX XXXX(X) XX XXXXXXXXX XXXXXXXXX BEJEGYZÉSE XXXX/ (XX) KUNJOM(/KUNJOMIJIET) XXXX L-ATT/ (NL) XXXXXXXX(X)X(XX) XX XX XXXX/ (XX) XXXXXXXX(-X) XX XXXXXXXXXXX XXXĄXXX/ (XX) XXXXXXX(X) XXXX X XXX/ (XX) XXXXXX XXXĂ ÎXXXXXXXXXXXX XXXXXXXXXXXXXXX/ (SK) XXXXXXXXXX(-X) XX UZAVRETÍ XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) SUKUNIMI (-XXXXX) XXXXXXXXÖXXXXX XÄXXXXX/ (XX) XXXXXXXXX EFTER XXXÅXXXXX

5.4

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) NOMBRE(S)/ (XX) XXXXX (JMÉNA)/ (DA) XXXXXXX(X)/ (DE) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (FR) XXXXXX(X)/ (XX) CÉADAINM (CÉADAINMNEACHA)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (XX) VĀRDS(-I)/ (XX) XXXXXX (-AI)/ (XX) UTÓNEVE(I)/ (MT) XXXX(/XXXXXXXX)/ (NL) VOORNA(A)M(EN)/ (XX) XXXĘ (XXXXXX)/ (XX) XXXX(X) PRÓPRIO(S)/ (XX) PRENUME/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (XX) XÖXXXXX

5.5

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX NACIMIENTO/ (CZ) 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) DATE (XX/XX/XXXX) XX BIRTH/ (XX) XXXX (XX/XX/XXXX) XX NAISSANCE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/GGGG) XXĐXXXX/ (XX) DATA XX NASCITA (GG/MM/AAAA)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX XXXX (DD/MM/MMMM)/ (HU) XXÜXXXXXX IDEJE (ÉÉÉÉ/HH/NN)/ (XX) XXXX (JJ/XX/SSSS) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX DE XXXXXXXXXX (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) XXȘXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

5.6

(XX) ПОЛ/ (ES) XXXX/ (XX) XXXXXXX/ (XX) XØX/ (DE) XXXXXXXXXX/ (ET) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXX/ (XX) SESSO/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) NEME/ (XX) XXXX/ (XX) XXXXXXXX/ (PL) PŁEĆ/ (XX) SEXO/ (RO) XXXXX/ (XX) XXXXXXXX/ (XX) SPOL/ (XX) XXXXXXXXX/ (XX) KÖN

5.6.1

(BG) ЖЕНСКИ/ (XX) MUJER/ (XX) ŽENA/ (XX) XXXXXX/ (XX) WEIBLICH/ (XX) NAISSOOST/ (EL) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) FEMMINILE/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XŐ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) ŽENSKÉ/ (XX) XXXXXX/ (FI) NAINEN/ (XX) XXXXXX

5.6.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (XX) MAND/ (XX) XÄXXXXXX/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) FIREANN/ (XX) MUŠKI/ (XX) XXXXXXXX/ (LV) XĪXXXXXX/ (XX) VYRAS/ (HU) XXXXX/ (XX) XXĠXX/ (XX) XXX/ (XX) XĘŻXXXXXX/ (XX) MASCULINO/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (SL) XXXXX/ (XX) MIES/ (XX) XXX

5.6.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (CZ) XXXXXXXX/ (XX) UBESTEMT/ (DE) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (LV) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) PŁEĆ XXXXXXXŚXXXX/ (XX) XÃX DEFINIDO/ (XX) XXXXXXXXXXXX/ (SK) XXXXXXXX/ (XX) NEDOLOČEN/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX FASTSTÄLLT

6.

(BG) ПАРТНЬОР X/ (XX) XXXXXXX X/ (XX) PARTNER/PARTNERKA X/ (DA) XXXXXXX X/ (DE) PARTNER X/ (XX) PARTNER X / (EL) ΣΥΝΤΡΟΦΟΣ X/ (XX) XXXXXXX B/ (FR) XXXXXXXXXX B/ (GA) XXXXXXXXX B/ (HR) XXXXXXX X/ (XX) XXXXXXX X/ (XX) XXXXXXXXX B/ (XX) XXXXXXXXX B/ (XX) „X” ÉLETTÁRS/ (XX) XXXĦXX X/ (XX) XXXXXXX X/ (XX) XXXXXXX X/ (XX) XXXXXXXX X/ (XX) XXXXXXXXXX X/ (XX) XXXXXXX X/ (SL) XXXXXXX X/ (XX) XXXXXXXX B/ (XX) XXXXXXX X

7.

(XX) ПОЛЕ ЗА ПОДПИС/ (ES) XXXXXXXX XXXX LA XXXXX/ (CZ) XXXX XXX XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) ALLKIRJALAHTER/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (EN) XXXXXXXXX XXX/ (XX) XXXXX XXXX XX XXXXXXXXX/ (GA) BOSCA XXX SÍNIÚ/ (XX) XXXXX ZA POTPIS/ (XX) XXXXXXXX XXX XX FIRMA/ (LV) XXXXXXXX LAUKS/ (LT) XXXXXX XXXXXXXX/ (HU) XX XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX TAL-IFFIRMAR/ (XX) XXX VOOR XX XXXXXXXXXXXX/ (PL) XXXX PODPISU/ (XX) XXXXÇX DESTINADO À XXXXXXXXXX/ (RO) SEMNĂTURA/ (XX) XXXXXXX XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (SV) RUTA XÖX XXXXXXXXXXXXXX

7.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) APELLIDO(S) X XXXXXX(X) DEL XXXXXXXXXXX QUE XXXXXXX XXXX IMPRESO/ (XX) XXXXXXXX X JMÉNO (XXXXX) XXXXXXXX, KTERÝ XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXX(X) XX XXXXXXX(X) XÅ XXX XXXXXXXXXX, DER HAR XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXXXXXX(X) XXX BEAMTEN, XXX XXXXXX XXXXXXXX XXXXXXXXXXX HAT/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXX (-XXXXX) XX PEREKONNANIMI (-NIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) XXX FORENAME(S) XX XXX OFFICIAL XXX ISSUED XXXX XXXX/ (XX) XXX(X) XX XXXXXX(X) XX XXXXXXXXXXXXX XXX A XXXXXXX LE XXXXXXX XXXXXXXXXX/ (GA) XXXXXXX (XXXXXXXX) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX OIFIGIGH X X’XXXXXX XX XXXXXX SEO/ (XX) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX XXXX XX XXXXX XXXX OBRAZAC/ (XX) XXXXXXX/X X XXXX/X XXX XXXXXXXXXXX XXX HA RILASCIATO XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX VEIDLAPU, XXXĀXXX(-X) XX XĀXXX(-X)/ (XX) XXĄ XXXXĄ XXXXXXXXX PAREIGŪNO XXXXXXĖ (-ĖX) XX VARDAS (-XX)/ (HU) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXX XXXX(X) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) TAL-UFFIĊJAL XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) NA(A)M(EN) XX XXXXXX(X)X(XX) XXX XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) NAZWISKO(-A) X XXXĘ (IMIONA) XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXX(X) X XXXX(X) XXXXXXX(X) XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX FORMULÁRIO/ (XX) XXXXXX ȘI XXXXXXXXX XXXXȚXXXXXXXXX CARE A XXXX XXXXXXXXX FORMULAR/ (XX) XXXXXXXXXX(-X) X XXXX(-X) ÚRADNÍKA, KTORÝ XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX XXX/XXXXX XXXXXXXX, KI XX IZDAL XX XXXXXXX/ (FI) TÄMÄN XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXXXXX (-XXXXX) XX XXXXXXX (-XXXXX)/ (SV) XXXXXXXXX XXX XÖXXXXX XÅ DEN XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX FORMULÄR

7.2

(BG) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, XXXXX XXXXX TENTO FORMULÁŘ/ (XX) STILLING — XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (DE) STELLUNG XXX BEAMTEN, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) KÄESOLEVA XXXXX XÄXXXXXXXXX AMETNIKU XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) POSITION XX THE XXXXXXXX XXX ISSUED THIS XXXX/ (XX) POSTE XX FONCTIONNAIRE QUI X XXXXXXX LE XXXXXXX FORMULAIRE/ (XX) XXXX AN XXXXXXXX X D’EISIGH XX XXXXXX SEO/ (XX) XXXXXXXX SLUŽBENIKA XXXX XX XXXXX XXXX XXXXXXX/ (IT) POSIZIONE XXX XXXXXXXXXXX XXX XX RILASCIATO XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, KURA IZDEVUSI XX VEIDLAPU, AMATS/ (XX) ŠIĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX TISZTVISELŐ BEOSZTÁSA/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ DIN XX-XXXXXXX/ (XX) XXXXXXX XXX DE XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX DO XXXXXXXXXXX QUE XXXXXX X PRESENTE XXXXXXXXXX/ (XX) XXXXȚXX FUNCȚIONARULUI XXXX X EMIS XXXXXXXXX XXXXXXXX/ (SK) XXXXXXX XXXXXXXX, XXXXX XXXXX TENTO XXXXXXXX/ (XX) XXXXXXX URADNIKA, XX XX IZDAL XX OBRAZEC/ (XX) XÄXÄX XXXXXXXXX ANTANEEN XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX SOM HAR XXXÄXXXX XXXXX XXXXXXÄX

7.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (DA) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) EISIÚNA/ (HR) XXXXX (DD/MM/GGGG) IZDAVANJA/ (XX) XXXX DI XXXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (XX) IŠDAVIMO DATA (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (PT) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXX/ (XX) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (XX) DATUM (XX/XX/ÅÅÅÅ) XÖX UTFÄRDANDE

7.4

(BG) ПОДПИС/ (XX) FIRMA/ (CZ) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) UNTERSCHRIFT/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (GA) XXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (LV) PARAKSTS/ (XX) PARAŠAS/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) HANDTEKENING/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXX/ (SL) PODPIS/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

7.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X TIMBRE/ (XX) XXXXX XXXX RAZÍTKO/ (XX) XXXX XXXXX XXXXXXX/ (DE) XXXXXX XXXX STEMPEL/ (XX) XXXXXX XÕX TEMPEL/ (XX) ΣΦΡΑΓΙΔΑ/ (EN) XXXX XX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXX XXX XXXXX/ (XX) XXXXX O XXXXXX/ (XX) ZĪMOGS XXX SPIEDOGS/ (XX) XXXXXXX ARBA XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX XXX XXXXXX/ (XX) XXXXX OF XXXXXXX/ (XX) PIECZĘĆ LUB XXXXXXX/ (XX) XXXX XX XXXXXXX/ (RO) XXXXXXXX SAU ȘXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (SL) XXXXX XXX XXX/ (XX) SINETTI TAI XXXXX/ (XX) SIGILL XXXXX STÄMPEL

XXXXXXXXXXX K XXXXXXXX REGISTROVANÉHO PARTNERSTVÍ

VÍCEJAZYČNÝ XXXXXXXXXX XXXXXXXX – XXXXXXX PRO XXXXXXX

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

Xxxxxx (XX) Bulharsko (BG)

Česká xxxxxxxxx (CZ)

Dánsko (XX) Xxxxxxx (DE)

Estonsko (EE) Xxxxx (IE)

Řecko (EL) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (HR)

Itálie (XX) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (MT)

Nizozemsko (XX) Xxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxxxxxx (PT)

Rumunsko (XX) Xxxxxxxxx (SI)

Slovensko (XX) Finsko (XX)

Xxxxxxx (XX) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

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

Tento xxxxxxxx xxxxxx xxxxx xxxxxxx listiny, x xxx je xxxxxxxx. Xxxxx, xxxxx je xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx xxxx v xxxxxxxxx, xxx xx xx xxxxxxxx xxx xxxxx zpracování xxxxxxx xxxxxxx, požadovat překlad xx xxxxxx xxxxxxxxx, xxxxx xxxx ve xxxxxxxxx uvedeny.

UPOZORNĚNÍ XXX XXXXXXXXXX XXXXX

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

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

1. XXXXX XXXXXXXXXX TENTO XXXXXXXX

1.1 Xxxxx (3)

2. ORGÁN XXXXXXXXXX VEŘEJNOU XXXXXXX, X XXX XX XXXXXXXX TENTO XXXXXXXX

1.1 Xxxxx (4)

3. XXXXXXXXX XXXXXXXX SE VEŘEJNÉ XXXXXXX, K NÍŽ XX PŘILOŽEN XXXXX XXXXXXXX

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

3.1.1 Rozhodnutí xxxxx

3.1.2 Xxxxxxx xxxxxx státním xxxxxxxxx

3.1.3 Xxxxxxx vydaná xxxxxx xxxxxxx xxxxxxxxx

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

3.1.5 Xxxx (xxxxxxxxx)

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

(2) Xxx xxxxxxxxxx xxxxx xxxxxxxx hůlkové xxxxx.

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

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

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Osvědčení

3.2.2 Xxxxx x xxxxxxx

3.2.3 Xxxxx x xxxxxxxx xxxxxxxx

3.2.4 Xxxx xxxxxxxxxx xxxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, xxxxxx byla opatřena xxxxxxx podepsaná xxxxxxxxx xxxxxx

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

3.6 Xxxxx (dd/mm/rrrr) xxxxxx

3.7 Referenční xxxxx xxxxxxx listiny

4. INFORMACE X DOTYČNÉ OSOBĚ

4.1 Xxxxxxxx

4.2 Xxxxx (jména)

4.3 Xxxxx (dd/mm/rrrr) narození

4.4 Xxxxx (1) a xxxx (2) xxxxxxxx

4.5 Xxxxxxx:

4.5.1 Xxxx

4.5.2 Xxx

4.5.3 Xxxxxxxx

4.6 Xxxxxx xxxxxxxxxxx

5. XX XXXXXXX XXXXXXX XXXXXXX, X NÍŽ XX XXXXXXXX TENTO XXXXXXXX, (3)

5.1 Je xxxxxxx osoba xxxxxxxxx xxxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxx xxxxxxxxxxxxxx xxxxx xxxxxxxxx xxxxx, x xxxx xx xxxxxxx xxxxxxx vydána.

5.2 Dotyčná xxxxx patrně xxxxxxxxxx xxx svým jménem xxxxxxxxxxxx partnerství xxxxx xxxxxxxxxxxxxx práva xxxxxxxxx xxxxx, x němž xx veřejná xxxxxxx xxxxxx.

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

5.4 Xxxxxxxxxx žádná xxxxx překážka xxxxxxxxxxxxxx xxxxxxxxxxx mezi xxxxxxxx xxxxxx a xxxxx xxxxxxxx xxxxxxxxx / xxxx xxxxxxx partnerkou xxxxx vnitrostátního práva xxxxxxxxx xxxxx, v xxxx xx xxxxxxx xxxxxxx vydána.

5.5 Neexistuje xxxxx xxxxx námitka xxxxx xxxxxxxx registrovaného xxxxxxxxxxx mezi xxxxxxxx xxxxxx x xxxxx xxxxxxxx xxxxxxxxx / xxxx xxxxxxx xxxxxxxxxx xxxxx xxxxxxxxxxxxxx xxxxx xxxxxxxxx xxxxx, x xxxx xx veřejná xxxxxxx vydána.

(1) Slovy „xxxxx xxxxxxxx“ xx xxxxxx název xxxx xxxx města, xxxxxx x xxxxx, kde xx xxxx xxxxx xxxxxxxx.

(2) Název země x – xxxxx xxxxxxxx – kód XXX xxxx xxxx xxxx xxxxxxx „Jiné (xxxxxxxxx)“ xx xxxxx xxxxxx x rozbalovací xxxxxxx ve xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx formuláři, xxxxx je x xxxxxxxxx xx portálu xxxxxxxx x-xxxxxxx.

(3) Xxx xxxxxx více xxxxxxxx.

6. XXXXXXXXX O BUDOUCÍM XXXXXXXXXX / XXXXXXX XXXXXXXXX DOTYČNÉ OSOBY

4.1 Xxxxxxxx

4.2 Jméno (jména)

4.3 Xxxxx (xx/xx/xxxx) narození

4.4 Xxxxx (1) a xxxx (2) xxxxxxxx

4.5 Xxxxxxx:

4.5.1 Žena

4.5.2 Muž

4.5.3 Xxxxxxxx

4.6 Xxxxxx xxxxxxxxxxx

7. XXXX PRO XXXXXX

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

7.2 Xxxxxx xxxxxxxx, xxxxx xxxxx xxxxx formulář

7.3 Xxxxx (dd/mm/rrrr) vydání

7.4 Xxxxxx

7.5 Xxxxx nebo xxxxxxx

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

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

XXXXXXXXXXX GLOSÁŘ NÁZVŮ XXXXXXXXXXXX XXXXXXX

(XXXXXXXXXXX KE XXXXXX XX XXXXXXXXXXXXXX XXXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX EXPIDE XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX VORMI XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX FORM/ (FR) XXXXXXXX XX DÉLIVRANCE XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX XX XXXXXX SEO/ (XX) XXXXXX XXXX IZDAJE XXXX XXXXXXX/ (IT) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXX MODULO/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) ŠIĄ FORMĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ EMITTENTI XX' XXX IL-FORMOLA/ (NL) XXXXXXXXXX XXX AFGIFTE XXX XXX XXXXXXXXX/ (XX) XXXXX WYDAJĄCY XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX QUE EMITE X PRESENTE XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX, XX IZDA XX OBRAZEC/ (FI) XÄXÄX XXXXXXXXX ANTAVA XXXXXXXXXXXX/ (SV) XXXXXXXXX XXX UTFÄRDAR XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (DE) XXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) DESIGNATION/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (PL) XXXXX/ (PT) XXXXXXXÇÃX/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) XXX/ (XX) NIMI/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX XXXXXX XX DOCUMENTO XXXXXXX XX XXX SE XXXXXXX XXXX IMPRESO/ (XX) XXXXX XXXXXXXXXX XXXXXXXX LISTINU, K XXX XX PŘILOŽEN XXXXX XXXXXXXX/ (XX) XXX MYNDIGHED, DER XXX XXXXXXX XXX XXXXXXXXXX DOKUMENT, XXX XXXXX XXXXXXXX ER XXXXÆXXXX/ (DE) XXXÖXXX, XXX DIE ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX BEIGEFÜGT IST, XXXXXXXXX/ (XX) XXXXXX, XXX ANDIS XÄXXX XXXXXXX XXXXXXXXX, XXXXXXX XXX VORM XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX ISSUING XXX XXXXXX XXXXXXXX TO XXXXX XXXX XXXX XX XXXXXXXX/ (FR) XXXXXXXX DE XXXXXXXXXX XX DOCUMENT XXXXXX XXXXXX EST JOINT XX PRÉSENT FORMULAIRE/ (XX) AN xXXXXXX X EISEOIDH XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX CEANGAILTE/ (XX) XXXXXX KOJE XXXXXX XXXXX ISPRAVU XXXXX XX XXXX OBRAZAC XXXXXXXX/ (XX) AUTORITÀ XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ DOKUMENTA, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, IZDEVĒJIESTĀDE/ (XX) XXXXĄXĮ XXXXXXXXĄ, PRIE XXXXX XXXXXXXXX XX XXXXX, IŠDUODANTI VALDŽIOS XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ EMITTENTI XXX-XXXXXXXX XXXXXXXX LI XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX VAN XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXX WYDAJĄCY XXXXXXXX XXXĘXXXX, XX KTÓREGO XXXXXXXXX FORMULARZ XXXX XXŁĄXXXXX/ (XX) XXXXXXXXXX XXX EMITE O XXXXXXXXX PÚBLICO A XXX O PRESENTE XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXXX EMITENTĂ X DOCUMENTULUI XXXXXXX XX XXXX ESTE XXXXXX XXXXXXXXX XXXXXXXX/ (XX) ORGÁN VYDÁVAJÚCI XXXXXXX XXXXXXX, XX XXXXXX JE TENTO XXXXXXXX PRIPOJENÝ/ (XX) XXXXX, KI XXXX XXXXX LISTINO, XX XX JE XXXXXXXX XX OBRAZEC/ (FI) XXXXXXXXXXXX, XXXX XX XXXXXXX XXXXXXX ASIAKIRJAN, XXXXX TÄMÄ XXXXXX XXXXXXÄÄX/ (XX) MYNDIGHET XXX UTFÄRDAR DEN XXXXXXXXXX XXXXXXXX TILL XXXXXX XXXXX XXXXXXÄX ÄX BIFOGAT

3.

(BG) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX RELATIVA XX XXXXXXXXX PÚBLICO XX XXX SE XXXXXXX XXXX XXXXXXX/ (XX) INFORMACE XXXXXXXX XX VEŘEJNÉ LISTINY, X XXX JE XXXXXXXX TENTO FORMULÁŘ/ (XX) OPLYSNINGER VEDRØRENDE XXX XXXXXXXXXX XXXXXXXX, XXX DENNE XXXXXXXX XX VEDHÆFTET/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, DER DIESES XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX XXXXXXX XXXXXXXXX XXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) INFORMATION XXXXXXXX XX XXX PUBLIC XXXXXXXX XX XXXXX XXXX FORM XX XXXXXXXX/ (XX) INFORMATIONS XXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XXXXXXXX X XXXXXXXXX LEIS XX XXXXXXXXX POIBLÍ XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXX XX XXXXXX XX XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) INFORMAZIONI XXXXXXXX AL XXXXXXXXX XXXXXXXX CUI IL XXXXXXXX XXXXXX È XXXXXXXX/ (LV) XXXXXXĀXXXX XXX PUBLISKO XXXXXXXXX, XXXXX XĪ VEIDLAPA XX XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX XXXXXXXXX, XXXX XXXXX PRIDEDAMA ŠI XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXXXX XXXXXXXXX INFORMÁCIÓK/ (MT) XXXXXXXXXXXXX DWAR XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX DIN XX-XXXXXXX/ (NL) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX DIT XXXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, DO XXXXXXX NINIEJSZY FORMULARZ XXXX ZAŁĄCZONY/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX XXXXXXXXX PÚBLICO X XXX X XXXXXXXX XXXXXXXXXX XXXX APENSO/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX DOCUMENTUL XXXXXXX XX XXXX ESTE XXXXXX PREZENTUL FORMULAR/ (XX) INFORMÁCIE O XXXXXXXX LISTINE, KU XXXXXX XX TENTO XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXX X JAVNO XXXXXXX, XX XX XX XXXXXXXX TA XXXXXXX/ (XX) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, JOHON XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXXXX XX DEN XXXXXXXXXX XXXXXXXX XXXX XXXXXX DETTA 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 EXPEDIDO XXX XXX AUTORIDAD X XX XXXXXXXXXXX XXXXXXXXX X LOS XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX MIEMBRO/ (XX) LISTINA XXXXXX XXXXXXX XXXX XXXXXXXXX X VAZBOU XX XXXXX XXXXXX ČLENSKÉHO XXXXX/ (DA) XXXXXXXX, XXX XX UDSTEDT XX XX MYNDIGHED XXXXX XX XXXXXXXXXX, XXX ER XXXXXXXXXX XXXXXXXX X EN XXXXXXXXXXX/ (DE) XXXXXXX XXXXX BEHÖRDE XXXX XXXXX AMTSPERSON ALS XXXXX XXX RECHTSPFLEGE XXXXX MITGLIEDSTAATS/ (ET) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX XXXXXXXXX SEOTUD XXXXXXXXXXX XÕX XXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) DOCUMENT XXXXXXXXX XXXX XX XXXXXXXXX XX XX OFFICIAL XXXXXXXXX WITH XXX XXXXXX XX TRIBUNALS XX A MEMBER XXXXX/ (FR) XXXXXXXX XXXXXXX D'UNE AUTORITÉ XX X'XX FONCTIONNAIRE XXXXXXXX X'XXX JURIDICTION X'XX ÉTAT MEMBRE/ (XX) XXXXXXXXX A XXXXXXX X ÚDARÁS XX X OIFIGEACH X XXXXXX XXXXX XXXX XX XXXX XX XXXXXXXXXX NÓ XX XXXXX DE XXXXX BALLSTÁIT/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXX XXX XXXXXXXXX SUDA XXXXXX XXXXXXX/ (IT) DOCUMENTO XXXXXXX DA XX'XXXXXXXÀ X XX UN XXXXXXXXXXX XXXXXXXXXXXX XX XXX DELLE XXXXXXXXXXXXX XX XXX STATO XXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX XX XXXĪXXXXXXX XXXXĀX XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, IŠDUOTAS XXXXXXXX INSTITUCIJOS AR XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX XXXX XXXXXXX XXXX XXXXXXXXXXŐ ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ XXX XXXXĊXXX LI XXXXXXXX RABTA XXX-XXXXX XXX XX-XXXXXXXXX TA' XXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX AUTORITEIT OF XXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX XXXXXX SĄDOWEGO XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX CZŁONKOWSKIEGO/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXXXX OU XX UM FUNCIONÁRIO XXXXXXXXXX DE QUALQUER XXXXXXXÇÃX XX XX XXXXXX-XXXXXX/ (RO) DOCUMENT XXXX XX O XXXXXXXXXX XXX DE XX XXXXȚXXXXX XX XX XÂXXĂ INSTANȚELE XXXX STAT XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX ALEBO XXXXXXXXX X XÄXXXX XX XXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX, XXXXXX X STRANI ORGANA XXX XXXXXXXX XXXXX XXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX XX MYNDIGHET XXXXX EN XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX I XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) RESOLUCIÓN XXXXXXXX/ (CZ) XXXXXXXXXX XXXXX/ (DA) XXXXXXXXXXXØXXXXX/ (XX) GERICHTSENTSCHEIDUNG/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) COURT XXXXXXXX/ (FR) DÉCISION XX XXXXXXX/ (XX) XXXXXXXX XX xXXXXX/ (XX) SUDSKA ODLUKA/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (XX) TEISMO XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXX/ (XX) DEĊIŻJONI XXX-XXXXX/ (XX) XXXXXXXXXXXX BESLISSING/ (XX) ORZECZENIE XĄXXXX/ (XX) XXXXXÃX JUDICIAL/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) SÚDNE ROZHODNUTIE/ (XX) SODNA XXXXXXX/ (XX) XXXXXXXXXXXXXX PÄÄTÖS/ (XX) DOMSTOLSBESLUT

3.1.2

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) DOCUMENTO XXXXXXXX XXX XX XXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXX STÁTNÍM ZÁSTUPCEM/ (XX) XXXXXXXX UDSTEDT XX XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (ET) DOKUMENT, XXXXX XX VÄLJA XXXXXX XXXXXXX SÜÜDISTAJA/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (EN) XXXXXXXX XXXXXXXXX FROM X XXXXXX PROSECUTOR/ (XX) XXXXXXXX XXXXXXX XX XXXXXXÈXX XXXXXX/ (XX) DOICIMÉAD A XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (XX) ISPRAVA XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (LT) XXXXXXXXX XXXXXXXX DOKUMENTAS/ (XX) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (NL) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXX XXXXXXXXXX/ (PL) XXXXXXXX POCHODZĄCY OD XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX DO XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX/ (SK) XXXXXXX XXXXXX PROKURÁTOROM/ (XX) XXXXXXX, KI JO XXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) DOCUMENTO XXXXXXXX XXX UN XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX UDSTEDT XX XX XXXXXXXXXXXXXÆX/ (XX) XXXXXXX EINES XXXXXXXXXXXXXX XXX GESCHÄFTSSTELLE EINES XXXXXXXX/ (XX) DOKUMENT, XXXXX ON XÄXXX XXXXXX KOHTUAMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX FROM X CLERK OF X XXXXX/ (XX) XXXXXXXX XXXXXXX D'UN XXXXXXXX/ (GA) XXXXXXXXX X XXXXXXX Ó XXXXXXXXXX DE XXXXX XXXXXX/ (XX) XXXXXXX XXXX XX IZDAO XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) DOCUMENTO EMANATO XX XX XXXXXXXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (XX) TEISMO TARNAUTOJO XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX OKIRAT/ (MT) XXXXXXXX XXĦXXĠ XXXX XXĠXXXXXXXX TA' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (XX) DOCUMENTO PROVENIENTE XX XX XXXXXXX XX XXXXXÇX/ (XX) XXXXXXXX XXXX XX XX XXXXXXX AL XXXXXXȚXX/ (SK) LISTINA XXXXXX SÚDNYM XXXXXXXXX/ (XX) XXXXXXX, XX XX IZDA XXXXX XXXXXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXXXX ANTAMA XXXXXXXXX/ (XX) HANDLING SOM XÄXXÖX XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX JUSTICE“)/ (XX) DOCUMENTO XXXXXXXX XXX XX AGENTE XXXXXXXX («HUISSIER DE XXXXXXX»)/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXXX UDSTEDT XX XX STÆVNINGSMAND (»XXXXXXXX DE XXXXXXX«)/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX VÄLJA XXXXXX KOHTUTÄITUR/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXXXX XXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX DE XXXXXXX/ (GA) XXXXXXXXX X XXXXXXX X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX JUSTICE”)/ (XX) XXXXXXX KOJU XX XXXXX XXXXXX OVRŠITELJ (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX EMANATO XX UN XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX DE XXXXXXX")/ (LV) DOKUMENTS, XXXX XXXXXXXXXX TIESAS XXXXXXĪXĀXX (XXXXXXXX XX XXXXXXX)/ (LT) ANTSTOLIO (XXXXXXXX DE XXXXXXX) XXXXXXXX XXXXXXXXXX/ (HU) XXXXXXXX VÉGREHAJTÓ („XXXXXXXX XX JUSTICE”) ÁLTAL XXXXXXXXXX OKIRAT/ (MT) XXXXXXXX XXĦXXĠ MINN XXXXĊXXX ĠXXXXXXXXXX ('HUISSIER XX JUSTICE')/ (XX) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXXXXXXXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX OD XXXĘXXXXX SĄDOWEGO (HUISSIER XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX ESCRIVÃO XX XXXXXXX («HUISSIER XX XXXXXXX»)/ (RO) DOCUMENT XXXX XX UN XXXXXXXX JUDECĂTORESC („XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXXXX SÚDNYM XXXXXXXXXXĽXX („XXXXXXXX DE XXXXXXX“)/ (SL) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX DE XXXXXXX”) ANTAMA XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX FRÅN EN XXÄXXXXXXXXX (HUISSIER XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (ESPECIFÍQUESE)/ (XX) XXXX (XXXXXXXXX)/ (DA) XXXXX (XXXXXXX)/ (DE) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) MUU (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX XX XXXXXXXXX)/ (FR) XXXXX (À XXXXXXXX)/ (XX) XXXX (XX XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (IT) XXXXX (XXXXXXXXX)/ (LV) CITS (XXXXXXĒX)/ (XX) KITA (XXXXXXXX)/ (XX) EGYÉB (XXXXÜX XXXXXXXXXXX)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (SPECIFICEREN)/ (PL) XXXX (PROSZĘ XXXXŚXXĆ)/ (XX) XXXXXX (X XXXXXXXXXXX)/ (XX) XXXXX (X XX PRECIZA)/ (XX) INÉ (XXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) ANNAN XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) LISTINA XXXXXX SPRÁVNÍM XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX EINER XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) ADMINISTRATIVE XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXXXX RIARACHÁIN/ (XX) XXXXXXX ISPRAVA/ (XX) XXXXXXXXX AMMINISTRATIVO/ (XX) XXXXXXXXXXXĪXX DOKUMENTS/ (XX) XXXXXXXXXXXXXXX DOKUMENTAS/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) DOKUMENT ADMINISTRACYJNY/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) SPRÁVNA XXXXXXX/ (XX) UPRAVNA XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (DA) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (EN) XXXXXXXXXXX/ (XX) CERTIFICAT/ (GA) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (XX) PAŽYMA, XXXXXXXXXX/ (HU) TANÚSÍTVÁNY/BIZONYÍTVÁNY/ (XX) ĊERTIFIKAT/ (XX) XXXXXXXXXXX/ (XX) ZAŚWIADCZENIE/ (XX) CERTIDÃO OU XXXXXXXXXXX/ (XX) CERTIFICAT/ (XX) XXXXXXXXXX/ (SL) XXXXXXXX/ (XX) XXXXXXXX/ (XX) INTYG

3.2.2

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (ES) XXXXXXXX DEL REGISTRO XXXXX/ (XX) XXXXX X XXXXXXX/ (DA) XXXXXX FRA XXXXXXXXXXXXXXXXXXXX/ (XX) AUSZUG XXX XXX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX XXXXX STATUS XXXXXXXX/ (XX) XXXXXXX XX REGISTRE XX X'XXXX XXXXX/ (XX) XXXXXXX XX XX xXXXX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX OSOBNOG XXXXXX/ (XX) ESTRATTO DI XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXX XX XXXXXXXĀXXXĻX XXXX XXĢXXXXX/ (XX) IŠRAŠAS XX XXXXXXXĖX BŪKLĖS XXXŲ XXXXXXXX/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) XXXXXXX MIR-REĠISTRU TAL-ISTAT ĊXXXXX/ (NL) XXXXXXXXXX XXX HET XXXXXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) ODPIS XXXXXXXX XXXX STANU XXXXXXXXX/ (XX) XXXXXXX XX XXXX XX XXXXXXX XXXXX/ (XX) XXXXXX XXX REGISTRUL XX XXXXX CIVILĂ/ (XX) XXXXX Z XXXXXXXX OSOBNÉHO XXXXX/ (XX) XXXXXXX IZ XXXXXXXX O XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) UTDRAG XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) EXTRACTO XXX XXXXX/ (XX) XXXXX Z XXXXXXXX XXXXXXXX/ (XX) XXXXXX XXX FOLKEREGISTRET/ (DE) XXXXXX XXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX XXX XXXXXXXXXX XXXXXXXX/ (XX) EXTRAIT XX REGISTRE DE XX XXXXXXXXXX/ (GA) XXXXXXX XX XX xXXXX DAONRA/ (XX) XXXXXXX XX XXXXXX XXXXXXXXXXXX/ (IT) ESTRATTO XXXXXXXXXX/ (LV) XXXXXXXX XX XXXXĪXXXĀXX XXĢXXXXX/ (XX) XXXXXXX IŠ XXXXXXXXŲ REGISTRO/ (HU) XXXXXXX A XXXXXXXXXXXX- XX LAKCÍMNYILVÁNTARTÁSBÓL/ (MT) XXXXXXX XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX UIT XXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX Z REJESTRU XXXXXŚXX/ (XX) EXTRATO XX XXXXXXX XX XXXXXXÇÃX/ (XX) EXTRAS XXX REGISTRUL XX XXXXXXȚĂ A XXXXXXȚXXX/ (XX) XXXXX Z XXXXXXXX OBYVATEĽOV/ (XX) XXXXXXX XX XXXXXXXX XXXXXXXXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (ES) XXXXX XXXXXXX XX XXXXX DEL XXXXXXXX XXXXX/ (XX) OPIS XXXXXXXXXX XXXXXXX/ (DA) XXXXXX KOPI AF XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) PEREKONNASEISUAKTI XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX COPY XX CIVIL XXXXXX XXXXXXX/ (XX) XXXXX XXXXXXXXX X'XXXXX XX X'XXXX XXXXX/ (XX) XXXX XXXXX XX XXXXXX XX XXXXXXX XX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XX EVIDENCIJA X XXXXXXX STANJU/ (XX) XXXXX LETTERALE XX XXXX XX STATO XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX XXĢXXXXX XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮXXXŲ PAŽODINĖ XXXXXX/ (XX) ANYAKÖNYVI XXXXXXXXX XXX SZERINTI XXXXXXXX/ (XX) KOPJA XXXXXXXX XXX-XXXX XXX-XXXXX ĊIVILI/ (XX) XXXXXXXXXXX AFSCHRIFT XXX AKTEN XXX XX XXXXXXXXXXX XXXXX/ (XX) ODPIS XXXXŁXX XXXX XXXXX CYWILNEGO/ (XX) CERTIDÃO DE XXXXX XXXXXXXX OU XX NARRATIVA XX XXXX DE XXXXXXX XXXXX/ (XX) COPIE XXXXXĂ A XXXX XXX XX STARE XXXXXĂ/ (XX) XXXXXXXX XXXXX ZO ZÁPISOV X OSOBNOM XXXXX/ (XX) DOBESEDNI XXXXXX XXXXXX O XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX AVSKRIFT XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (XX) NOTÁŘSKÁ XXXXXXX/ (XX) XXXXXXXXXÆXXXX DOKUMENT/ (XX) XXXXXXXXXX URKUNDE/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX ISPRAVA/ (IT) XXXX XXXXXXXX/ (XX) XXXXXXĀXX XXXX/ (LT) XXXXXXXXX XXXXX/ (HU) XÖXXXXXXŐX OKIRAT/ (XX) XXX NOTARILI/ (XX) XXXXXXËXX XXXX/ (PL) XXX XXXXXXXXXX/ (PT) XXX NOTARIAL/ (XX) XXX XXXXXXXX/ (XX) XXXXXXXX LISTINA/ (XX) XXXXXXXX LISTINA/ (FI) 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) XXXXXX XXXXXXXXX, XXXXXX XXXX XXXXXXXX XXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXX XÅXXXXXXX XÅ XX XXXXXXXX XXXXXXXXXXX XX XX PERSON X XXXXXX EGENSKAB XX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX XXXXX XXXXXXXXXXXXX/ (XX) XXXXX XXXXX ERAISIKUNA XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX XXXXXXX XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX CERTIFICATE XXXXXX ON A XXXXXXXX XXXXXX XX X XXXXXX IN XXX XX XXX XXXXXXX XXXXXXXX/ (FR) XXXXXXXXXXX OFFICIELLE XXXXXXX XXX UN ACTE XXXX XXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX X XXXXXXXXX AR XXXXXXXXXX XXXX SHÍNIÚ XX DUINE XXX XXXXX XX XXX XXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX POTVRDA XXXXXXXXX XX ISPRAVU XXXX XX XXXXX POTPISALA X PRIVATNOM XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX XXX XXXXXXXXX PRIVATA/ (XX) XXXXXĀXX APLIECINĀJUMS XX XXXXXXXXX, XX XXXĀ XĀXXĀ XXXXXXXĪXXXX KĀDA XXXXXXX/ (XX) XXXXXXXŲ XXXXXŲ PASIRAŠYTŲ XXXXXXXXŲ XXXXXXXŪX PATVIRTINIMAI/ (HU) XXXXXXXXXXXXX ELHELYEZETT XXXXXXXXX XXXXXXXXXXX/ (XX) ĊERTIFIKAT XXXXĊXXXX XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ PRIVATA XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXX XXXXXXXXXXX XXXX XXX XXXXXXX XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX ZAŚWIADCZENIE XXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXXX PRZEZ XXXXĘ XXXXŁXXĄXĄ X CHARAKTERZE XXXXXXXXX/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX XXX XX XXXXXXXX XXXXXXX/ (XX) CERTIFICAT XXXXXXX XXXXXXX PE XX DOCUMENT SUB XXXXĂXXXĂ PRIVATĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX XX XXXXXXX PODPÍSANEJ XXXXXX XXXXXXXXX XXX XXXXXXXX OSOBA/ (SL) XXXXXX XXXXXX XX XXXXXXX XXXXXXX/ (FI) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, XXXXX HENKILÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX INTYG 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 UN XXXXXX XXXXXXXXXXX X XXXXXXXX XX XX XXXXXX XXXXXXX XXX CARÁCTER XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX ZÁSTUPCEM XXXX XXXXXXXXXXX ÚŘEDNÍKEM XXXXXXXXX XXXXX X XXXXX VÝKONU XXXX XXXXXXXXXX POVINNOSTÍ/ (DA) XXXXXXXX XXXXXXXXX XXXÆXXXXXX XX EN XXXXXXXXXXXX XXXXXXXXXXXX XXXXX KONSULÆRE XXXXÆXXXXXXX/ (XX) XXX XXXXX DIPLOMATISCHEN ODER XXXXXXXXXXXXXX XXXXXXXXX EINES XXXXXXXXXXXXXX IN XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX XXXXX XX XX X DIPLOMATIC XX CONSULAR XXXXX XX X XXXXXX XXXXX XX HIS XX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXX XX XX XXXXXXX OFFICIELLE XXX XX XXXXX XXXXXXXXXXXX XX XXXXXXXXXX X'XX XXXX XXXXXX/ (GA) XXXXXXXXX XXXX XXXXXXXXXX XXXX XX GNÍOMHAIRE XXXXXXXXXXXXXXXX XX CONSALACH XX CHUID BALLSTÁIT XXX XXXXX XX XXX CÁIL XXXXXXXXX/ (XX) XXXXXXX XXXX XX X SLUŽBENOM XXXXXXXX XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX PREDSTAVNIK XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX DIPLOMATICI X XXXXXXXXX XX XXX XXXXX XXXXXX NELL'ESERCIZIO XXXXX LORO FUNZIONI/ (XX) XXXXXXXXX, XXXX, XXXXXX AMATA XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX XX XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX XXXXX OFICIALIUS ĮXXXXXXXXXX/ (HU) VALAMELY XXXXXXXX DIPLOMÁCIAI VAGY XXXXXXX XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXXX MINN AĠENT XXXXXXXXXXX JEW XXXXXXXXX XX' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX XX XXXX OFFICIËLE XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXĄXXXXX PRZEZ XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX XXXĘXXXXX/ (PT) XXXXXXXXX XXXXXXX POR UM XXXXXX XXXXXXXXXXX XX XXXXXXXX XX XX XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (XX) DOCUMENT ÎXXXXXXX XX XĂXXX XX AGENT XXXXXXXXXX XXX XXXXXXXX AL XXXX XXXX XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX ČLENSKÉHO XXXXX V XXXXX XXXXXX JEHO FUNKCIE/ (XX) XXXXXXX, XX XX KOT XXXXXX XXXXX IZDA XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (SV) HANDLING XXXXÄXXXX X TJÄNSTEN XX XX DIPLOMATISK XXXXX XXXXXXÄX TJÄNSTEMAN X XX MEDLEMSSTAT

3.6

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) FECHA (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (DD/MM/YYYY) XX ISSUE/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (GA) DÁTA (XX/XX/XXXX) XXXXXXX/ (HR) XXXXX (DD/MM/GGGG) IZDAVANJA/ (XX) DATA XX XXXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) XXXXXXXX DATA (XX/XX/XXXX)/ (HU) X XXXXXXXXX XXXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (NL) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (ZZ/LL/AAAA) 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) NÚMERO XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX ČÍSLO XXXXXXX XXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXX REFERENCENUMMER/ (XX) XXXXXXXXXX DER ÖXXXXXXXXXXX URKUNDE/ (XX) XXXXXXX DOKUMENDI XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) REFERENCE NUMBER XX XXX PUBLIC XXXXXXXX/ (XX) NUMÉRO XX XXXXXXXXX DU XXXXXXXX XXXXXX/ (XX) XXXXXX XXXXXXXXX XX XXXXXXXXX PHOIBLÍ/ (XX) XXXXXXXXXX BROJ XXXXX XXXXXXX/ (XX) XXXXXX XX RIFERIMENTO XXX XXXXXXXXX PUBBLICO/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX XXXXXX/ (LT) VIEŠOJO XXXXXXXXX XXXXXXX/ (XX) X KÖZOKIRAT XXXXXXXXXXX XXXXX/ (XX) NUMRU XX' REFERENZA XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX XXX OPENBAAR XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX DOKUMENTU XXXĘXXXXXX/ (XX) XXXXXX XX XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX XX REFERINȚĂ AL XXXXXXXXXXXX OFICIAL/ (XX) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (XX) REFERENČNA XXXXXXXX XXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX OSOBĚ/ (XX) XXXXXXXXXXX OM XXX XÅXÆXXXXXX XXXXXX/ (XX) XXXXXXX ZUR XXXXXXXXXXXX XXXXXX/ (XX) ASJAOMAST XXXXXX KÄSITLEV XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX XXXXXX CONCERNED/ (XX) INFORMATIONS SUR XX PERSONNE XXXXXXXXX/ (XX) XXXXXXXX XXXXXX XXXX XX DUINE XXXX xXXXXXXXX/ (XX) XXXXXXXXXXX X DOTIČNOJ XXXXX/ (XX) XXXXXXXXXXXX XXXXX PERSONA XXXXXXXXXXX/ (XX) INFORMĀCIJA XXX XXXXXXĪXX XXXXXXX/ (LT) XXXXXXXXXXX APIE XXXXXXXXXĄ XXXXXĮ/ (XX) XX XXXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXX XXXXĊXXXXXX/ (XX) INFORMATIE XXXX XX XXXXXXXXXX/ (XX) XXXX OSOBY, XXXXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÇÕXX XXXXX X XXXXXX XX XXXXX/ (XX) INFORMAȚII XXXXXXX XXXXXXXX XXXXXĂ/ (SK) XXXXXXXXXX X XXXXXXXXX XXXXX/ (XX) XXXXXXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXX/ (XX) XXXXXXXXX XX XXX XXXÖXXX XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) APELLIDO(S)/ (XX) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (XX) XXXXXXXXXXXX(X)/ (ET) XXXXXXXXXXXXX (-NIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (EN) XXXXXXX(X)/ (XX) XXX(X)/ (GA) XXXXXXX (SLOINNTE)/ (HR) XXXXXXX(XX)/ (IT) XXXXXXX(X)/ (XX) XXXĀXXX(-X)/ (XX) XXXXXXĖ (-ĖX)/ (HU) XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (XX) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (XX) XXXXXXX(X)/ (XX) XXXX/ (XX) XXXXXXXXXX(-X)/ (SL) XXXXXXX/XXXXXXX/ (XX) XXXXXXXX (-XXXXX)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (CZ) XXXXX (XXXXX)/ (XX) XXXXXXX(X)/ (XX) VORNAME(N)/ (ET) XXXXXXX (-NIMED)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (EN) XXXXXXXX(X)/ (XX) PRÉNOM(S)/ (GA) XXXXXXXX (CÉADAINMNEACHA)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (XX) XĀXXX(-X)/ (LT) XXXXXX (-XX)/ (HU) XXXXXXX(X)/ (XX) ISEM(/ISMIJIET)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (XXXXXX)/ (XX) XXXX(X) PRÓPRIO(S)/ (XX) XXXXXXX/ (SK) MENO(-Á)/ (XX) IME/IMENA/ (XX) XXXXXXX (-XXXXX)/ (XX) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXX/ (DA) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (FR) XXXX (XX/XX/XXXX) XX XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (HR) XXXXX (XX/XX/XXXX) XXĐXXXX/ (XX) DATA XX XXXXXXX (GG/MM/AAAA)/ (LV) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (XX) SZÜLETÉSI XXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXX (XX/XX/XXXX) TAT-TWELID/ (XX) XXXXXXXXXXXXX (DD/MM/JJJJ)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (PT) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXȘXXXXX/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXXXX/ (SL) 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 XXXXXXXXXX/ (XX) XXXXX X ZEMĚ XXXXXXXX/ (DA) XØXXXXXX XX -XXXX/ (DE) XXX XXX XXXX XXX XXXXXX/ (ET) XÜXXXXXXX XX -RIIK/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX AND XXXXXXX XX XXXXX/ (FR) XXXX XX PAYS XX XXXXXXXXX/ (GA) XXX XXXX XXX XXXXXXXX/ (HR) XXXXXX X ZEMLJA XXĐXXXX/ (XX) XXXXX X XXXXX XX NASCITA/ (XX) XXXXXXXXX XXXXX XX XXXXXX/ (XX) XXXXXX VIETA XX XXXXX/ (XX) XXÜXXXXXX XXXXX XX XXXXXXX/ (XX) XXXX U XXXXXŻ XXX-XXXXXX/ (NL) XXXXXXXXXXXXXX XX -XXXX/ (XX) MIEJSCE I XXŃXXXX URODZENIA/ (XX) XXXXX X XXXX XX XXXXXXXXXX/ (XX) XXXXX ȘI ȚXXX XXȘXXXXX/ (XX) MIESTO X ŠTÁT XXXXXXXXX/ (XX) KRAJ IN XXXXXX ROJSTVA/ (FI) XXXXXXÄXXXXXX XX -XXX/ (XX) XÖXXXXXXXX XXX -XXXX

4.5

(XX) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (XX) XØX/ (XX) XXXXXXXXXX/ (ET) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (XX) INSCNE/ (XX) XXXX/ (IT) SESSO/ (XX) DZIMUMS/ (XX) XXXXX/ (XX) XXXX/ (XX) SESS/ (NL) XXXXXXXX/ (XX) PŁEĆ/ (XX) XXXX/ (XX) XXXXX/ (XX) POHLAVIE/ (XX) XXXX/ (XX) XXXXXXXXX/ (SV) XÖX

4.5.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) XXXX/ (XX) XXXXXX/ (DE) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (XX) FÉMININ/ (GA) XXXXXXXX/ (HR) XXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) MOTERIS/ (XX) NŐ/ (XX) XXXX/ (NL) XXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (FI) XXXXXX/ (XX) KVINNA

4.5.2

(BG) МЪЖКИ/ (XX) VARÓN/ (CZ) XXX/ (DA) XXXX/ (XX) MÄNNLICH/ (ET) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) MALE/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) XXXXX/ (HU) XXXXX/ (MT) XXĠXX/ (XX) XXX/ (XX) XĘŻXXXXXX/ (PT) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) MIES/ (XX) XXX

4.5.3

(XX) НЕОПРЕДЕЛЕН/ (ES) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) UBESTEMT/ (DE) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (HU) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (NL) ONBEPAALD/ (XX) PŁEĆ XXXXXXXŚXXXX/ (XX) NÃO XXXXXXXX/ (XX) XXXXXXXXXXXX/ (SK) XXXXXXXX/ (SL) XXXXXXXXX/ (XX) MÄÄRITTELEMÄTÖN/ (XX) XX XXXXXXÄXXX

4.6

(XX) ГРАЖДАНСТВО/ (XX) XXXXXXXXXXXX/ (CZ) XXXXXX PŘÍSLUŠNOST/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXÖXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) ΙΘΑΓΕΝΕΙΑ/ (EN) XXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (HR) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXĪXX/ (LT) PILIETYBĖ/ (XX) ÁLLAMPOLGÁRSÁGA/ (XX) ĊXXXXXXXXXXX/ (XX) NATIONALITEIT/ (XX) OBYWATELSTWO/ (XX) XXXXXXXXXXXXX/ (RO) XXXĂȚXXXX/ (XX) XXXXXX PRÍSLUŠNOSŤ/ (XX) XXXXXXXXXXXXX/ (FI) XXXXXXXXXXXX/ (XX) MEDBORGARSKAP

5.

(BG) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX EL XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX,/ (CZ) XX ZÁKLADĚ XXXXXXX XXXXXXX, K NÍŽ XX XXXXXXXX XXXXX XXXXXXXX,/ (DA) X XXXXXXX TIL DET XXXXXXXXXX DOKUMENT, XXX XXXXX FORMULAR ER XXXXÆXXXX/ (DE) GEMÄSS XXX ÖXXXXXXXXXXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXÜXX IST/ (ET) XXXXXXXXX XXXXXXXXX DOKUMENDILE, XXXXXXX XXX XXXX XX LISATUD/ (XX) ΣΥΜΦΩΝΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) ACCORDING XX XXX XXXXXX DOCUMENT XX XXXXX THIS XXXX XX XXXXXXXX/ (XX) D'APRÈS LE XXXXXXXX PUBLIC XXXXXX XX PRÉSENT FORMULAIRE XXX XXXXX/ (XX) XX RÉIR XX XXXXXXXXX PHOIBLÍ LENA XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXX XXXXXX XXXXXXX XXXXX XX XXXX XXXXXXX PRILOŽEN/ (XX) XXXXXXX XX DOCUMENTO XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) SASKAŅĀ XX XXXXXXXX DOKUMENTU, XXXXX XĪ VEIDLAPA XX PIEVIENOTA/ (XX) XXXXX XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX PRIDEDAMA XX XXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXX XXXXXXX/ (MT) XXXXX ID-DOKUMENT XXXXXXXX XX MIEGĦU XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXX XXX XXXXXXXX DOCUMENT WAARAAN XXX FORMULIER XX XXXXXXX/ (PL) Z XXXXXXXXX XXXĘXXXXXX, DO XXXXXXX XXŁĄXXXXX XXXX XXXXXXXXX XXXXXXXXX, XXXXXX, ŻX/ (PT) XXXXXXX X XXXXXXXXX XXXXXXX X QUE X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) ÎX XXXXXXXXXXXX XX DOCUMENTUL XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (SK) PODĽA XXXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) X XXXXXX X XXXXX XXXXXXX, XX XX JE PRILOŽEN XX OBRAZEC/ (XX) XXX YLEISEN ASIAKIRJAN XXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (SV) XXXXXX XXX XXXXXXXXXX XXXXXXXX XXXX VILKEN XXXXX XXXXXXÄX ÄR XXXXXXX

5.1

(XX) СЪОТВЕТНОТО ЛИЦЕ ПРИТЕЖАВА ДЕЕСПОСОБНОСТ ДА ВСТЪПИ В РЕГИСТРИРАНО ПАРТНЬОРСТВО СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) XX XXXXXXXXXX TIENE XXXXXXXXX XXXX XXXXXXXXXXX COMO XXXXXXX XX XXX XXXXX XX XXXXX XXX ARREGLO AL XXXXXXX XXXXXXXX DEL XXXXXX MIEMBRO XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) JE XXXXXXX XXXXX XXXXXXXXX XXXXXXX XXXXXXXXXXXX PARTNERSTVÍ XXXXX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXX XX VEŘEJNÁ XXXXXXX VYDÁNA/ (DA) XXX XÅXÆXXXXXX XXXXXX XXX XXXXXX XXX XX XXXXX XXXXÅ XXXXXXXXXXX XXXXXXXXXXX X XXXXXXX XXX NATIONAL XXX X XXX XXXXXXXXXXX, HVOR XXX XXXXXXXXXX XXXXXXXX ER XXXXXXX/ (XX) XXX XXX BETREFFENDE XXXXXX XXXX XXX XXXXXXXXXX XXXXX XXX MITGLIEDSTAATS, XX XXX XXX ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, XXX XÄXXXXXXX, XXXX XXXXXXXXXXXX PARTNERSCHAFT XXXXXXXXXX/ (ET) ON XXXXXXXXXX ISIKUL XXXXXXX XXXXXXXXX XÄXXX ANDNUD XXXXXXXXXXXX ÕXXXXX 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 XXXXXXXXX XXX XXX XXXXXXXX XX XXXXX INTO X XXXXXXXXXX XXXXXXXXXXX UNDER XXX NATIONAL XXX XX XXX XXXXXX XXXXX WHERE XXX XXXXXX XXXXXXXX XX XXXXXX/ (FR) LA XXXXXXXX XXXXXXXXX XXXX XXXXXXXX XX PARTENARIAT XXXXXXXXXX XX XXXXX XX XXXXX XXXXXXXX XX L'ÉTAT XXXXXX XÙ XX DOCUMENT XXXXXX XXX DÉLIVRÉ/ (XX) XX AN XXXXX XXXX mBAINEANN XXX XXXXXX DUL X mBUN XXXXXXXXXXXXXX XXXXXXXXXX XXXX XXXX XXXXXXXXX AN BHALLSTÁIT XXX nDÉANTAR XX XXXXXXXXX POIBLÍ X XXXXXXXX/ (XX) DOTIČNA XXXXX IMA SPOSOBNOST XX XXXXXXXXX XXXXXXXXXXXXX XXXXXXXXXXX PREMA NACIONALNOM XXXXX XXXXXX ČLANICE X KOJOJ JE XXXXX XXXXXXX XXXXXX/ (XX) XX XXXXXXX XXXXXXXXXXX XXXXXXXX LA XXXXXXXÀ XX XXXXXXXXXXXXX XX'XXXXXX XXXXXXXXXX X XXXXX XXX XXXXXXX XXXXXXXXX XXXXX XXXXX XXXXXX XXX XXXXXXXX XX DOCUMENTO XXXXXXXX/ (XX) ATTIECĪGĀ XXXXXXX XXĒX XXĀXXXX XXĢXXXXĒXĀX XXXXXXXXXXXXXĪXĀX SASKAŅĀ AR XĀX XXXĪXXXXXXX XXXXĪXX XXXXXX, XXXĀ XXXXXXXXXX XXXXXXXXX XX XXXXXX/ (XX) ATITINKAMAS ASMUO XXX XXXXXXXX XXXXXXXX XXXXXXXXXXĄ XXXXXXXXXXĘ XXXXX XXXXXXXĖX NARĖS, XXXXXXX XXXXXXXX XXXXXXXXXX IŠDUODAMAS, XXXXXXXXXXĘ XXXXĘ/ (XX) XX XXXXXXXX XXXXXXX X XÖXXXXXXX XXXXXXXXXXXXX XXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXX SZERINT XXXXXXXXXX XXXXXXXXX XXXXXXXXXXX XXXXXXXXXX/ (MT) IL-PERSUNA XXXXĊXXXXXX XĦXXXXX X-XXXXĊXXÀ XX XXXĦXX XX XĦXXXXX XXĠXXXXXXX XXĦX XX-XXĠX XXXXXXXXXX XXX-XXXXX XXXXXX FEJN INĦAREĠ XX-XXXXXXXX XXXXXXXX/ (XX) XXXXX XX BETROKKENE XX BEKWAAMHEID XX XXX XXXXXXXXXXXXX XXXXXXXXXXXX XXX XX GAAN XX XXXXX XXX XXX NATIONALE XXXXX XXX XX LIDSTAAT XXXX XXX XXXXXXXX XXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXX, XXXXXX XXXXXXX XXXXXXXX, XXXXXXX XXXXXXŚĆ DO XXXXXXXX XXXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX XX MOCY XXXXX XXXXXXXXX XXŃXXXX CZŁONKOWSKIEGO, X XXXXXX XXX XXXXXXXX XXXĘXXXX XXXXXŁ XXXXXX/ (PT) X XXXXXX XX CAUSA XXXXXX X CAPACIDADE XX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXXX XXX XXXXXX DO XXXXXXX XXXXXXXX DO XXXXXX-XXXXXX XX XXX O XXXXXXXXX XXXXXXX XXX XXXXXXX/ (RO) XXXXXXXX XXXXXĂ XXX XXXXXXXXXXX XX X ÎXXXXXX XX XXXXXXXXXXX ÎNREGISTRAT ÎX XXXXXXXXXXXX XX XXXXXXX XXXXXX XX XXXXXXXX MEMBRU ÎX XXXX ESTE XXXX XXXXXXXXXX OFICIAL/ (SK) XXXXXXXX OSOBA XX XXÔXXXXXX XXXXXXXX XXXXXXXXXXXX XXXXXXXXXXX XXXĽX XXXXXXXXXXXXXX XXXXX XXXXXXXXX ŠTÁTU, X XXXXXX XX XXXXXXX LISTINA XXXXXX/ (XX) JE XXXXXXX XXXXX SPOSOBNA XX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX X XXXXXX X XXXXXXXXXXX XXXXXX DRŽAVE XXXXXXX, X XXXXXX XX XXXXXX JAVNA XXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXÖXXÄ XX XXXXXXXXXX XXXXXXXXÖXXÄ PARISUHDE XXX XÄXXXXXXXXXX XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX XXXXXXXXX ON XXXXXXX/ (XX) XXX DEN XXXÖXXX XXXXXXXX XXXÖXXXXXX XXX XXXÅ XXXXXXXXXXX XXXXXXXXXXX XXXXXX XXX XXXXXXXXXX LAGSTIFTNINGEN X XXX XXXXXXXXXXX DÄR XXX XXXXXXXXXX XXXXXXXXXX XXXÄXXXXXX

5.2

(XX) НЯМА ДАННИ СЪОТВЕТНОТО ЛИЦЕ ДА Е ВСТЪПИЛО В РЕГИСТРИРАНО ПАРТНЬОРСТВО СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (ES) XX CONSTA XX XXXXXXXX XX XXXXXXX XXXXX XX XXXXX X NOMBRE DEL XXXXXXXXXX XXX XXXXXXX XX DERECHO XXXXXXXX XXX XXXXXX XXXXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXXX OSOBA PATRNĚ XXXXXXXXXX XXX XXXX XXXXXX REGISTROVANÉ PARTNERSTVÍ XXXXX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXX XX VEŘEJNÁ XXXXXXX XXXXXX/ (DA) XXX PÅGÆLDENDE PERSON XXX XXXX XX XXXX XXXXX REGISTRERET XXXXXXXXXXX XXXØXX XXXXX XXX NAVN I XXXXXXX XXX NATIONAL XXX I DEN XXXXXXXXXXX, XXXX XXX XXXXXXXXXX XXXXXXXX XX XXXXXXX/ (DE) XXXXXXX XXXX XXXXXXX, DASS XXX BETREFFENDE XXXXXX XXXXX XXXXX XXXXX XXXX XXXXXXXXXXXX XXXXXXXXXXXXX XXXX DEM XXXXXXXXXX XXXXX DES MITGLIEDSTAATS, XX XXX XXX ÖXXXXXXXXXX URKUNDE XXXXXXXXXXX XXXXX, EINGEGANGEN XXX/ (XX) XX XXX XXXXXXXXX ISIKU XXXXX ÜXXXXX AVALIKU XXXXXXXXX XÄXXX ANDNUD XXXXXXXXXXXX ÕXXXXX KOHAST 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 XXXXXXX XX XXXX NO XXXXXXXXXX XXXXXXXXXXX XX XXX XX XXX XXXX UNDER THE XXXXXXXX LAW OF XXX XXXXXX STATE XXXXX XXX XXXXXX XXXXXXXX IS ISSUED/ (XX) LA XXXXXXXX XXXXXXXXX XX SEMBLE XXX AVOIR XXXXXX XX PARTENARIAT XXXXXXXXXX XX SON NOM XX XXXXX XX XXXXX NATIONAL XX X'XXXX XXXXXX XÙ XX XXXXXXXX PUBLIC XXX DÉLIVRÉ/ (XX) XX XXXXXXXXXXX XX XX BHFUIL XX XXXXX LENA mBAINEANN XXXXXXXXX X xXXXXXXXXXXXXXX XXXXXXXXXX XXXX XXXX XXXXXXXXX XX BHALLSTÁIT XXX nDÉANTAR AN XXXXXXXXX XXXXXX A XXXXXXXX/ (XX) XXXX XXXXXXX XX JE XXXXXXX XXXXX XXX XXXXXX XXXXXX XXXXXXXX XXXXXXXXXXXX PARTNERSTVO PREMA XXXXXXXXXXX PRAVU XXXXXX XXXXXXX X KOJOJ XX XXXXX XXXXXXX XXXXXX/ (XX) X XXXX XXXXX XXXXXXX XXXXXXXXXXX NON RISULTA XXXXXXXXX ALCUNA XXXXXX XXXXXXXXXX A XXXXX XXX XXXXXXX XXXXXXXXX XXXXX STATO XXXXXX XXX XXXXXXXX XX XXXXXXXXX PUBBLICO/ (XX) XX XXXXXXĪXĀX PERSONAS XĀXXX XXX NOSLĒGTAS XXĢXXXXĒXXX XXXXXXXXXXXXXĪXXX XXXXXŅĀ XX XĀX DALĪBVALSTS XXXXĪXX XXXXXX, KURĀ XXXXXXXXXX XXXXXXXXX XX XXXXXX/ (XX) ATITINKAMAS XXXXX XXXX XXXXX XĖXX XXXXXĘX XXXXXXXXXXXX XXXXXXXXXXĖX XXXXX XXXXXXXĖX XXXĖX, XXXXXXX VIEŠASIS XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (XX) XX XXXXXXXX XXXXXXXXXX A XÖXXXXXXX XXXXXXXXXXXXX HELYE XXXXXXXX XXXXXXXX XXXXXXX XXXX XXXXXXX XXXXXXXXXXXXXXXX XXXXX BEJEGYZETT ÉLETTÁRSI XXXXXXXXXX/ (MT) XX-XXXXXXX XXXXĊXXXXXX TIDHER LI XX XĦXXXXXXX XĦXXXXX XXĠXXXXXXX X'XXXXXX TAĦT XX-XXĠX XXXXXXXXXX XXX-XXXXX XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (XX) XXXXX XX XXXXXXXXXX XXXX GEREGISTREERD PARTNERSCHAP XX XXXX OF XXXX XXXX XX XXXXX XXX XXX XXXXXXXXX XXXXX XXX XX XXXXXXXX XXXX XXX OPENBAAR XXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXX, XXXXXX DOTYCZY XXXXXXXX, XXX XXXXXXXXX X XXXXXXXXXXXXXXX ZWIĄZKU XXXXXXXXXXX XX MOCY XXXXX XXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX, W XXXXXX XXX XXXXXXXX XXXĘXXXX XXXXXŁ WYDANY/ (XX) XÃX XX XXXXXXX XXXXXXX XXXXXXXX REGISTADA XX XXXX DA XXXXXX XX XXXXX XXX XXXXXX XX XXXXXXX XXXXXXXX XX XXXXXX-XXXXXX XX QUE X XXXXXXXXX PÚBLICO XXX XXXXXXX/ (XX) XX SE XXXXXȘXX XXXXXX PARTENERIAT ÎXXXXXXXXXX ÎXXXXXXX XX XXXXXX XXXXXXXXX XXXXXX ÎX XXXXXXXXXXXX XX XXXXXXX XXXXXX XX STATULUI XXXXXX ÎX XXXX XXXX EMIS DOCUMENTUL XXXXXXX/ (XX) XXXXXXXX XXXXX XXXXXX XXXXXXXXXX XXXXXXXXXXXX XXXXXXXXXXX XX XXXXXX XXXX XXXĽX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXXXX XX XXXXXXX LISTINA XXXXXX/ (XX) XX XXXXXXXXXXXXXX PODATKIH XXXXXXX XXXXX XX X XXXXXXXXXX SKUPNOSTI, XX XX XX XXXXXXXXXXXX X XXXXXX XXXXX XX X XXXXXX X XXXXXXXXXXX XXXXXX XXXXXX XXXXXXX, X XXXXXX XX IZDANA XXXXX LISTINA/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXXX XX XXX XXXXXXXX XXXXXXXXÖXXXÄ XXXXXXXXXXXX XXX XÄXXXXXXXXXX XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX XXXXXXXXX ON XXXXXXX/ (XX) XÖXXXXXXXX XXX XXXÖXXX XXXXXXXX XXXX XX INGÅTT REGISTRERAT XXXXXXXXXXX ENLIGT XXX XXXXXXXXXX XXXXXXXXXXXXXX I XXX MEDLEMSSTAT XÄX XXX XXXXXXXXXX XXXXXXXXXX XXXÄXXXXXX

5.3

(XX) НЕ СА ИЗВЕСТНИ ПРЕЧКИ СЪОТВЕТНОТО ЛИЦЕ ДА ВСТЪПИ В РЕГИСТРИРАНО ПАРТНЬОРСТВО СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) NO XXX XXXXXXXXXX XX XXXXXX XXXXXXXXXXX XXXX QUE XX XXXXXXXXXX XXXXXXXX XXX UNIÓN XX XXXXX XXX ARREGLO XX XXXXXXX XXXXXXXX XXX ESTADO XXXXXXX XX EXPEDICIÓN XXX XXXXXXXXX PÚBLICO/ (XX) XXXXXXXXXX XXXXX XXXXX XXXXXXXX, XXX XXXXXXX XXXXX XXXXXXXX REGISTROVANÉ XXXXXXXXXXX XXXXX XXXXXXXXXXXXXX XXXXX XXXXXXXXX STÁTU, X XXXX XX XXXXXXX XXXXXXX VYDÁNA/ (XX) XXX FORELIGGER XXXXX XXXXXX HINDRINGER XXX, XX XXX XÅXÆXXXXXX PERSON KAN XXXXÅ XXXXXXXXXXX PARTNERSKAB X XXXXXXX XXX XXXXXXXX XXX I XXX MEDLEMSSTAT, HVOR XXX OFFENTLIGE XXXXXXXX XX XXXXXXX/ (XX) XXX XXXX HINDERNIS XXXXXXX, XXX DEM XXXXXXXX XXXXX EINGETRAGENEN XXXXXXXXXXXXX DURCH DIE XXXXXXXXXXX XXXXXX NACH XXX NATIONALEN XXXXX XXX MITGLIEDSTAATS, IN XXX DIE ÖFFENTLICHE XXXXXXX AUSGESTELLT XXXXX, XXXXXXXXXXXXX/ (XX) EI XXX TEADA XXXXXXX XXXXXXXXX VÄLJA ANDNUD XXXXXXXXXXXX ÕIGUSE KOHASEID XXXXXXXXXX, XXX TAKISTAKSID XXXXXXXXXX XXXXXX XXXXXXXXXXXXXX XXXXXXXX ASTUDA/ (XX) ΔΕΝ ΕΙΝΑΙ ΓΝΩΣΤΟ ΚΑΝΕΝΑ ΚΩΛΥΜΑ ΓΙΑ ΤΗ ΣΥΝΑΨΗ ΚΑΤΑΧΩΡΙΣΜΕΝΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ ΑΠΟ ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΌΣΙΟ ΕΓΓΡΑΦΟ/ (EN) THERE XX XX KNOWN XXXXXXXXXX FOR THE XXXXXX XXXXXXXXX TO XXXXX XXXX A XXXXXXXXXX XXXXXXXXXXX XXXXX XXX XXXXXXXX XXX XX THE XXXXXX XXXXX XXXXX THE XXXXXX DOCUMENT XX XXXXXX/ (FR) XX X'XXXXXX XXX X'XXXÊXXXXXXX XXXXX À XX XXXXXXXXXX XXX LA XXXXXXXX CONCERNÉE X'XX XXXXXXXXXXX XXXXXXXXXX XX XXXXX XX XXXXX XXXXXXXX XX X'XXXX XXXXXX XÙ XX XXXXXXXX XXXXXX XXX XXXXXXX/ (GA) NÍL XXX XXXX AITHEANTA XXX XX XX XXXXX XXXX xXXXXXXXX XX XXX X xXXX XXXXXXXXXXXXXX XXXXXXXXXX XXXX XXXX NÁISIÚNTA XX XXXXXXXXXX XXX xXXXXXXX XX DOICIMÉAD XXXXXX X EISIÚINT/ (XX) XXXX POZNATE XXXXXXX XXXX XXXX XXXXXXX XXXXX XX XX XXXXX SKLOPITI XXXXXXXXXXXX PARTNERSTVO PREMA XXXXX XXXXXX XXXXXXX X XXXXX XX XXXXX XXXXXXX IZDANA/ (XX) XXX SONO XXXX XXXXXXXXXXX XXXX XXXXXXXXXXXXXX DI UN'UNIONE XXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX X NORMA XXX XXXXXXX XXXXXXXXX XXXXX XXXXX MEMBRO XXX RILASCIA XX XXXXXXXXX PUBBLICO/ (XX) XXX XXXĀXX XXXĀXX XĶĒXXĻX XXXXXXĪXXXXX PERSONAI

STĀTIES XXĢXXXXĒXĀX XXXXXXXXXXXXXĪXĀX XXXXXŅĀ XX XĀX XXXĪXXXXXXX XXXXĪXX AKTIEM, XXXĀ XXXXXXXXXX XXXXXXXXX IR XXXXXX/ (LT) XĖXX XXXXXŲ XXXŪXXŲ ATITINKAMAM XXXXXXXX XXXXXXXX XXXXXXXXXXĄ XXXXXXXXXXĘ XXXXX XXXXXXXĖX XXXĖX, KURIOJE XXXXXXXX XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (XX) XXXXX X KÖZOKIRAT KIÁLLÍTÁSÁNAK XXXXX SZERINTI TAGÁLLAM XXXXXXX XXXX XXXXXXXX, XXXXXX XXXXXXXX XXXXX, XXXX XX ÉRINTETT XXXXXXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXX XXXXXXXXXX/ (XX) XX XXXX X-XXXX XXXXXXXXXX MAGĦRUF XĦXXX-XXXXXXX XXXXĊXXXXXX BIEX TIDĦOL XX SĦUBIJA XXĠXXXXXXX XXĦX XX-XXĠX XXXXXXXXXX XXX-XXXXX XXXXXX XXXX XXĦXXXĠ ID-DOKUMENT XXXXXXXX/ (XX) IS ER XXXX XXXXXXXXXXX VOOR XX BETROKKEN XXXXXXX XX XXX XXXXXXXXXXXXX XXXXXXXXXXXX XXX XX XXXX OP GROND XXX HET NATIONALE XXXXX VAN XX XXXXXXXX XXXX XXX XXXXXXXX XXXXXXXX XXXXX XXXXXXXXX/ (XX) XXX XXXXXXXĄ XXXXX PRZESZKODY XXX XXXXXXXX XXXXX XXXXĘ, XXXXXX DOTYCZY XXXXXXXX, XXXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX XX XXXX XXXXX XXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX, X XXXXXX XXX DOKUMENT URZĘDOWY XXXXXŁ XXXXXX/ (XX) XÃX XXXXXX IMPEDIMENTO XXXXXXXXX X XXX X XXXXXX XX XXXXX ESTABELEÇA XXX XXXXXXXX XXXXXXXXX XXX XXXXXX DO XXXXXXX XXXXXXXX XX ESTADO-MEMBRO XX XXX X XXXXXXXXX PÚBLICO XXX XXXXXXX/ (XX) XX XX XXXXXX IMPEDIMENTE XX ÎXXXXXXXXX XXXXXXXXXXXXXXX ÎXXXXXXXXXX ÎX XXXXXXXXXXXX XX XXXXXXX INTERN XX STATULUI XXXXXX ÎX CARE ESTE XXXX DOCUMENTUL XXXXXXX/ (XX) XXX JE XXXXX PREKÁŽKA PRE XXXXXXXX OSOBU UZAVRIEŤ XXXXXXXXXXXX XXXXXXXXXXX XXXĽX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, V XXXXXX XX XXXXXXX XXXXXXX XXXXXX/ (XX) XX XXXXXXXXXXXX XXXXXXXX, XX XXXXXXX XXXXX NE XX XXXXX XXXXXXXXXXXX XXXXXXXXXX SKUPNOSTI X XXXXXX X XXXXXXXXXXX XXXXXX DRŽAVE XXXXXXX, X XXXXXX JE XXXXXX JAVNA XXXXXXX/ (XX) ASIANOMAISEN XXXXXXÖX XXXXXXXXÖXXXXXX XXXXXXXXXXXXX XX XXXXXXÄ XXXXXX XXXXXXÄ XXX XÄXXXXXXXXXX KANSALLISEN XXXXXÄÄXÄXXÖX MUKAAN, XXXXX XXXXXXX ASIAKIRJA XX XXXXXXX/ (XX) XXXXX XXX INGA KÄNDA XXXXXX FÖR XXX XXXÖXXX XXXXXXXX XXX XXXÅ REGISTRERAT PARTNERSKAP XXXXXX DEN XXXXXXXXXX XXXXXXXXXXXXXX X XXX XXXXXXXXXXX XÄX DEN XXXXXXXXXX XXXXXXXXXX UTFÄRDADES

5.4

(BG) НЕ СА ИЗВЕСТНИ ПРЕЧКИ ЗА РЕГИСТРИРАНЕТО НА ПАРТНЬОРСТВО МЕЖДУ СЪОТВЕТНОТО ЛИЦЕ И НЕГОВИЯ БЪДЕЩ ПАРТНЬОР СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) XX XXX XXXXXXXXXX XX NINGÚN XXXXXXXXXXX PARA XX XXXXXXXX XX XXX XXXXX DE XXXXX XXXXX XX XXXXXXXXXX X XX XXXXXX XXXXXX XX HECHO XXXXXXXXXX XXX ARREGLO XX XXXXXXX XXXXXXXX XXX ESTADO MIEMBRO XX EXPEDICIÓN XXX XXXXXXXXX XXXXXXX/ (CZ) XXXXXXXXXX ŽÁDNÁ XXXXX XXXXXXXX XXXXXXXXXXXXXX PARTNERSTVÍ XXXX XXXXXXXX XXXXXX X JEJÍM XXXXXXXX XXXXXXXXX / XXXX XXXXXXX XXXXXXXXXX XXXXX XXXXXXXXXXXXXX XXXXX ČLENSKÉHO XXXXX, V XXXX XX VEŘEJNÁ XXXXXXX XXXXXX/ (XX) XXX XXXXXXXXXX XXXXX XXXXXX XXXXXXXXXX FOR ET XXXXXXXXXXX XXXXXXXXXXX XXXXXX XXX PÅGÆLDENDE PERSON XX XXXXXX XXXXXXXX XXXXXXX I XXXXXXX XXX NATIONAL XXX X XXX XXXXXXXXXXX, XXXX XXX OFFENTLIGE XXXXXXXX ER XXXXXXX/ (XX) XXX XXXX XXXXXXXXX XXXXXXX, XXX XXXXX XXXXXXXXXXXXX XXXXXXXXXXXXX XXXXXXXX DER XXXXXXXXXXXX XXXXXX UND IHREM XÜXXXXXXX XXXXXXX XXXX XXX XXXXXXXXXX XXXXX XXX XXXXXXXXXXXXXX, IN XXX XXX ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, XXXXXXXXXXXXX/ (XX) XX XXX XXXXX XXXXXXX XXXXXXXXX XÄXXX XXXXXX XXXXXXXXXXXX ÕXXXXX XXXXXXXX XXXXXXXXXX, MIS XXXXXXXXXXX XXXXXXXXX XXXXX JA XXXX TULEVASE REGISTREERITUD XXXXXXXXXXX KOOSELLU XXXXXXXX/ (XX) ΔΕΝ ΕΙΝΑΙ ΓΝΩΣΤΟ ΚΑΝΕΝΑ ΚΩΛΥΜΑ ΓΙΑ ΤΗ ΣΥΝΑΨΗ ΚΑΤΑΧΩΡΙΣΜΕΝΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ ΜΕΤΑΞΥ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΚΑΙ ΤΟΥ ΜΕΛΛΟΝΤΟΣ Ή ΤΗΣ ΜΕΛΛΟΥΣΑΣ ΣΥΝΤΡΟΦΟΥ ΤΟΥ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΌΣΙΟ ΕΓΓΡΑΦΟ/ (XX) THERE XX XX XXXXX XXXXXXXXXX XX X XXXXXXXXXX XXXXXXXXXXX BETWEEN XXX XXXXXX XXXXXXXXX XXX XXX OR XXX XXXXXXXX XXXXXXX XXXXX XXX XXXXXXXX XXX XX XXX XXXXXX XXXXX XXXXX XXX XXXXXX XXXXXXXX XX XXXXXX/ (XX) XX N'EXISTE XXX X'XXXÊXXXXXXX XXXXX À XX XXXXXXXXXX D'UN XXXXXXXXXXX XXXXXXXXXX XXXXX XX PERSONNE XXXXXXXXX XX XXX XXXXX XXXXXXXXXX EN XXXXX XX DROIT XXXXXXXX XX X'XXXX MEMBRE XÙ XX XXXXXXXX XXXXXX EST DÉLIVRÉ/ (XX) NÍL XXX XXXX AITHEANTA XXX XX XXXXXXXXXXXXXXX CHLÁRAITHE XXXX XX XXXXX XXXX xXXXXXXXX XXXX X X(X)XXXXXXXX BEARTAITHE XXXX DHLÍ XXXXXXXXX XX XXXXXXXXXX XXX xXXXXXXX XX DOICIMÉAD XXXXXX X EISIÚINT/ (XX) XXXX POZNATE XXXXXXX XXXX XXXX XXXXXXX XXXXX I XXXXXX XXXXĆX PARTNER XX BI XXXXX XXXXXXXX REGISTRIRANO PARTNERSTVO XXXXX NACIONALNOM XXXXX XXXXXX ČLANICE X XXXXX XX XXXXX XXXXXXX IZDANA/ (XX) XXX XXXX XXXX XXXXXXXXXXX ALLA XXXXXXXXXXXXXX XX XX'XXXXXX REGISTRATA XXX XX XXXXXXX XXXXXXXXXXX X IL XXXXXX XXXXXXX X XXXXX DEL XXXXXXX XXXXXXXXX XXXXX XXXXX XXXXXX XXX XXXXXXXX XX DOCUMENTO XXXXXXXX/ (XX) XXX ZINĀMI XXXĀXX XĶĒXXĻX REĢISTRĒTU XXXXXXXXXXXXXĪXX XXXXĒXXXXXX STARP XXXXXXĪXX XXXXXXX XX XĀX XXXXXX XXXXXXXX XXXXXŅĀ XX TĀS XXXĪXXXXXXX XXXXĪXX AKTIEM, XXXĀ XXXXXXXXXX XXXXXXXXX XX XXXXXX/ (XX) XĖXX XXXXXŲ XXXŪXXŲ XXXXXXXXXX ASMENS XX XX BŪSIMO (-XX) XXXXXXXXX (-ĖS) XXXXXXXXXXXX XXXXXXXXXXXX XXXXX VALSTYBĖS XXXĖX, XXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (HU) XXXXX X XÖXXXXXXX KIÁLLÍTÁSÁNAK XXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXX XXXXXXXX, XXXXXX AKADÁLYA XXXXX, XXXX AZ ÉRINTETT XXXXXXX ÉS LEENDŐ XXXXXXXXX XXXXXXXXX BEJEGYZETT XXXXXXXXX XXXXXXXXXXX XXXXXXXXXX/ (XX) XX XXXX X-XXXX XXXXXXXXXX XXXĦXXX XĦXX SĦUBIJA XXĠXXXXXXX XXXX IL-PERSUNA KKONĊERNATA X X-XXXĦXX XXX XXXĦXX XXXXX TAGĦHA XXĦX XX-XXĠX NAZZJONALI XXX-XXXXX XXXXXX FEJN XXĦXXXĠ ID-DOKUMENT XXXXXXXX/ (XX) XX ER XXXX XXXXXXXXXXX XXXX XXX XXXXXXXXXXXXX PARTNERSCHAP XXXXXX XX XXXXXXXXXX XX ZIJN XX XXXX XXXXXXX XXXXXXX XX XXXXX XXX XXX XXXXXXXXX RECHT XXX XX XXXXXXXX XXXX HET OPENBAAR XXXXXXXX XXXXX XXXXXXXXX/ (XX) XXX XXXXXXXĄ XXXXX XXXXXXXXXX XXX XXXXXXXX XXXXXXXXXXXXXXXX ZWIĄZKU XXXXXXXXXXXXX XXXXX XXXXĘ, XXXXXX XXXXXXX DOKU-MENT, X OSOBĄ, X XXXXĄ ZAMIERZA XXX XXXXXXĆ TAKI ZWIĄZEK, XX XXXX PRAWA XXXXXXXXX XXŃXXXX

XXŁXXXXXXXXXXX, W XXXXXX XXX XXXXXXXX XXXĘXXXX ZOSTAŁ XXXXXX/ (XX) NÃO EXISTE XXXXXÇÃX XXXXXXXXX X XXX X XXXXXX XX CAUSA ESTABELEÇA XXX X(X) FUTURO(A) XXXXXXXX(X) XXX PARCERIA XXXXXXXXX XXX XXXXXX XX DIREITO NACIONAL XX XXXXXX-XXXXXX XX XXX X XXXXXXXXX XXXXXXX XXX EMITIDO/ (XX) XX XX XXXXXȘXX XXXXX XXXXXȚXX XX ÎNCHEIEREA XXXX XXXXXXXXXXX ÎXXXXXXXXXX ÎNTRE XXXXXXXX VIZATĂ ȘI XXXXXXXX XXXXXXXX (XXXXXXXXX XXXXXXXXĂ) ÎX XXXXXXXXXXXX XX XXXXXXX XXXXXX XX XXXXXXXX MEMBRU ÎX CARE XXXX XXXX XXXXXXXXXX XXXXXXX/ (XX) NIE XX XXXXX XXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXXXX XXXXX XXXXXXXXX XXXXXX X XXX XXXXXXXXXXXX XXXXXXXXX XXXĽX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, V XXXXXX XX XXXXXXX XXXXXXX VYDANÁ/ (SL) XX UGOTOVLJENEGA NASPROTOVANJA, XX XXXXXXX XXXXX XX NJEN XXXXXXXXXX XXXXXXX XX XX XXXXX REGISTRIRATI XXXXXXXXXX XXXXXXXXX X XXXXXX X XXXXXXXXXXX XXXXXX XXXXXX ČLANICE, V XXXXXX XX XXXXXX XXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX JA XÄXXX XXXXXXX XXXXXXXXXXX XÄXXXXÄ XXXXXXXXÖXXXÄ XXXXXXXXXXXX XX XXX XXXXXXXXXXX XXX XÄXXXXXXXXXX KANSALLISEN XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX XXXXXXXXX XX XXXXXXX/ (SV) XXXXX XXX XXXX XÄXXX XXXÄXXXXXXXX XXX XXXÅXXXX XX REGISTRERAT PARTNERSKAP XXXXXX DEN BERÖRDA XXXXXXXX XXX XXXX XXXXX XXXXXX XXXXXXXX XXXXXXX XXXXXX DEN XXXXXXXXXX XXXXXXXXXXXXXX X XXX MEDLEMSSTAT XÄX XXX XXXXXXXXXX XXXXXXXXXX XXXÄXXXXXX

6.

(XX) ИНФОРМАЦИЯ ЗА БЪДЕЩИЯ ПАРТНЬОР НА СЪОТВЕТНОТО ЛИЦЕ/ (ES) XXXXXXXXXXX SOBRE XX XXXXXX XXXXXX XX XXXXX XXXXXXXXXX DEL XXXXXXXXXX/ (CZ) XXXXXXXXX X XXXXXXXX XXXXXXXXXX / XXXXXXX XXXXXXXXX XXXXXXX XXXXX/ (XX) XXXXXXXXXXX XX XXX XÅXÆXXXXXX PERSONS KOMMENDE XXXXXXX/ (XX) XXXXXXX XX DEM XÜXXXXXXX XXXXXXX XXX XXXXXXXXXXXX XXXXXX/ (XX) XXXXX XXXXX XXXXX, XXXXXXX XXXXXXXXX XXXX XXXXXX XXXXXXXXXXXXXX XXXXXXXX XXXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΜΕΛΛΟΝΤΟΣ Ή ΤΗΣ ΜΕΛΛΟΥΣΑΣ ΣΥΝΤΡΟΦΟΥ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) INFORMATION ON XXX XXXXXXXX PARTNER XX THE PERSON XXXXXXXXX/ (FR) XXXXXXXXXXXX XXX XX XXXXX XXXXXXXXXX XX XX XXXXXXXX CONCERNÉE/ (XX) XXXXXXXX XXXXXX LE XXXXXXXXX XXXXXXXXXX XX XXXXX XXXX mBAINEANN/ (XX) XXXXXXXXXXX X XXXXĆXX XXXXXXXX XXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXX XXXXXX XXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (XX) INFORMĀCIJA XXX XXXXXXĪXĀX XXXXXXXX TOPOŠO XXXXXXXX/ (LT) XXXXXXXXXXX XXXX XXXXXXXXXX XXXXXX XŪXXXĄ XXXXXXXĮ (-Ę)/ (XX) XX ÉRINTETT XXXXXXX XXXXXŐ XXXXXXXXXXX XXXXXXXXX XXXXXX/ (MT) XXXXXXXXXXXXX XXXX XX-XXXĦXX XXX XXXĦXX XXXXX XXX-XXXXXXX XXXXĊXXXXXX/ (XX) XXXXXXXXXX XXXX DE XXXXXXX XXXXXXX XXX XX BETROKKENE/ (PL) XXXX OSOBY, X XXXXĄ XXXXX, XXXXXX XXXXXXX XXXXXXXX, XXXXXXXX XXXXXXĆ XXXXXXXXXXXXXX ZWIĄZEK XXXXXXXXXX/ (PT) INFORMAÇÕES XXXXX X(X) XXXXXX(X) XXXXXXXX(X)XX PESSOA XX XXXXX/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXX XXXXXXXX (XXXXXXXXX XXXXXXXXĂ) XX (X) XXXXXXXXX VIZATE/ (XX) INFORMÁCIE X XXXXXXXXXXXX XXXXXXXXXX DOTKNUTEJ XXXXX/ (XX) XXXXXXXXXXX X XXXXXXXXXXX PARTNERJU XXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXXXXXX XXXXXXÖX XXXXXXXXX XXXXXXXXXXX/ (SV) XXXXXXXXX OM DEN XXXÖXXX XXXXXXXXX BLIVANDE XXXXXXX

7.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX FIRMA/ (XX) XXXX PRO XXXXXX/ (DA) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) XXXXX XXXX XX XXXXXXXXX/ (XX) XXXXX DON XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXXXXX XXX LA XXXXX/ (XX) PARAKSTA XXXXX/ (XX) XXXXXX XXXXXXXX/ (XX) AZ XXXXXXX XXÖXXXXXXXXX/ (MT) XXXXX TAL-IFFIRMAR/ (XX) XXX XXXX XX XXXXXXXXXXXX/ (XX) POLE XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À ASSINATURA/ (XX) XXXXĂXXXX/ (XX) XXXXXXX NA XXXXXX/ (XX) XXXXX XX XXXXXX/ (FI) ALLEKIRJOITUSKENTTÄ/ (XX) XXXX XÖX XXXXXXXXXXXXXX

7.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X XXXXXX(X) XXX FUNCIONARIO XXX XXXXXXX ESTE XXXXXXX/ (XX) XXXXXXXX X JMÉNO (XXXXX) XXXXXXXX, KTERÝ XXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXXX(X) OG XXXXXXX(X) XÅ XXX XXXXXXXXXX, XXX HAR XXXXXXX XXXXX XXXXXXXX/ (DE) XXXXXXXXXXXX(X) UND XXXXXXX(X) XXX XXXXXXX, XXX XXXXXX FORMULAR AUSGESTELLT XXX/ (ET) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXX (-XXXXX) XX XXXXXXXXXXXXX (-NIMED)/ (EL) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) SURNAME(S) XXX XXXXXXXX(X) XX XXX XXXXXXXX WHO XXXXXX XXXX FORM/ (XX) NOM(S) ET XXXXXX(X) XX XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) SLOINNE (SLOINNTE) XXXX XXXXXXXX (CÉADAINMNEACHA) XX XXXXXXXX X X’XXXXXX AN FHOIRM XXX/ (HR) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX XXXX JE XXXXX XXXX XXXXXXX/ (XX) XXXXXXX/X X NOME/I XXX FUNZIONARIO CHE XX XXXXXXXXXX IL XXXXXXXX XXXXXX/ (LV) XXXXXXXXXXXX, KURA XXXXXXXX XX XXXXXXXX, XXXĀXXX(-X) XX XĀXXX(-X)/ (LT) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖX) XX VARDAS (-AI)/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ CSALÁDI XXXX(X) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦXXXĠ XXX IL-FORMOLA/ (XX) XX(X)X(XX) XX XXXXXX(X)X(XX) VAN XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) NAZWISKO(-A) I XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (PT) XXXXXXX(X) X XXXX(X) XXXXXXX(X) XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (RO) XXXXXX ȘX PRENUMELE FUNCȚIONARULUI XXXX X XXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (SL) XXXXXXX/XXXXXXX IN XXX/XXXXX XXXXXXXX, KI JE XXXXX TA XXXXXXX/ (XX) XÄXÄX LOMAKKEEN XXXXXXXX XXXXXXXXXXX SUKUNIMI (-XXXXX) XX XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX XXX XÖXXXXX PÅ XXX XXÄXXXXXXX SOM XXX XXXÄXXXX XXXXX XXXXXXÄX

7.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXX XXX FUNCIONARIO XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, KTERÝ XXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXX — XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) STELLUNG XXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX HAT/ (XX) XÄXXXXXXX VORMI XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX XX XXX XXXXXXXX XXX XXXXXX XXXX FORM/ (XX) POSTE XX XXXXXXXXXXXXX QUI A XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXX XX OIFIGIGH X X’XXXXXX XX FHOIRM XXX/ (XX) XXXXXXXX XXXXXXXXXX XXXX XX XXXXX XXXX OBRAZAC/ (XX) POSIZIONE XXX XXXXXXXXXXX CHE XX XXXXXXXXXX IL PRESENTE XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, AMATS/ (LT) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ BEOSZTÁSA/ (MT) XXXXXX XXX-XXXXĊXXX LI ĦXXXĠ DIN XX-XXXXXXX/ (XX) FUNCTIE XXX XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (PL) XXXXXXXXXX XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (PT) XXXXX XX XXXXXXXXXXX XXX EMITIU X XXXXXXXX FORMULÁRIO/ (RO) XXXXȚXX XXXXȚXXXXXXXXX XXXX X EMIS XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XXXXX VYDAL XXXXX FORMULÁR/ (XX) XXXXXXX URADNIKA, XX XX XXXXX XX XXXXXXX/ (FI) XÄXÄX XXXXXXXXX XXXXXXXX VIRKAMIEHEN XXXXX/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX XXX HAR XXXÄXXXX XXXXX FORMULÄR

7.3

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) FECHA (XX/XX/XXXX) XX EXPEDICIÓN/ (XX) XXXXX (DD/MM/RRRR) VYDÁNÍ/ (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) DÁTA (XX/XX/XXXX) XXXXXXX/ (HR) DATUM (XX/XX/XXXX) IZDAVANJA/ (XX) XXXX XX RILASCIO (XX/XX/XXXX)/ (XX) IZDOŠANAS XXXXXX (DD/MM/GGGG)/ (XX) XXXXXXXX DATA (XX/XX/XXXX)/ (XX) X KIÁLLÍTÁS XXXXXX (XXXX/XX/XX)/ (XX) XXXX (JJ/XX/SSSS) TAL-ĦRUĠ/ (XX) DATUM (DD/MM/JJJJ) XXX AFGIFTE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATA XX XXXXXÃX (DD/MM/AAAA)/ (RO) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) IZDAJE/ (XX) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (XX) XXXXX (DD/MM/ÅÅÅÅ) FÖR XXXÄXXXXXX

7.4

(XX) ПОДПИС/ (ES) XXXXX/ (CZ) PODPIS/ (XX) UNDERSKRIFT/ (DE) XXXXXXXXXXXX/ (XX) ALLKIRI/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (FR) SIGNATURE/ (XX) SÍNIÚ/ (HR) XXXXXX/ (XX) FIRMA/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (HU) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) PODPIS/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

7.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (CZ) XXXXX XXXX XXXXXXX/ (XX) XXXX XXXXX XXXXXXX/ (XX) XXXXXX ODER XXXXXXX/ (ET) XXXXXX XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) SEAL XX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) SÉALA XX XXXXXX/ (XX) ŽIG XXX XXXXX/ (XX) XXXXX X TIMBRO/ (XX) XĪXXXX VAI XXXXXXXX/ (XX) XXXXXXX XXXX ANTSPAUDAS/ (HU) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX XXX XXXXXX/ (XX) ZEGEL XX STEMPEL/ (PL) XXXXXĘĆ XXX STEMPEL/ (XX) XXXX XX XXXXXXX/ (XX) SIGILIUL XXX ȘXXXXXXX/ (SK) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (SL) XXXXX XXX XXX/ (XX) XXXXXXX XXX XXXXX/ (XX) XXXXXX XXXXX XXÄXXXX

XXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX

XXXXXXXXXXX STANDARDNÍ XXXXXXXX – XXXXXXX PRO XXXXXXX

Xxxxxx 7 xxxxxxxx Xxxxxxxxxx xxxxxxxxxx x Xxxx (XX) 2016/1191 xx xxx 6. xxxxxxxx 2016 x xxxxxxx xxxxxxx pohybu xxxxxx xxxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx v Xxxxxxxx unii x x xxxxx xxxxxxxx (XX) x. 1024/2012 (1)

Xxxxxx (XX) Bulharsko (XX)

Xxxxx republika (CZ)

Dánsko (XX) Německo (XX)

Xxxxxxxx (XX) Irsko (XX)

Xxxxx (XX) Xxxxxxxxx (ES)

Francie (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Xxxx (CY)

Lotyšsko (XX) Litva (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxx (XX) Xxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (RO) Xxxxxxxxx (XX)

Xxxxxxxxx (SK) Xxxxxx (XX)

Xxxxxxx (XX) Spojené xxxxxxxxxx (UK)

DŮLEŽITÉ XXXXXXXXXX

Xxxxxxx xxxxxx xxxxxx vícejazyčného xxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxx xxxxxxxx veřejné xxxxxxx, k níž xx xxxxxxxx. Xxxxx xxxxxxxx xx mezi xxxxxxxxx státy nesmí xxxxxxxxx xxxx xxxxxxxxxx xxxxxxxx.

Xxxxx xxxxxxxx xxxxxx xxxxx xxxxxxx xxxxxxx, x níž xx xxxxxxxx. Xxxxx, xxxxx xx xxxxxxx listina xxxxxxxxxxx, xxxx xxxx x xxxxxxxxx, kdy xx xx xxxxxxxx xxx xxxxx zpracování xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx či xxxxxx xxxxxxxxx, xxxxx jsou xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX VYDÁVAJÍCÍ ORGÁN

Uveďte xxxxx xxxxxxxxx, xxxxx xxxx xxxxxxx xx xxxxxxx listině, k xxx xx xxxxxxxx xxxxx xxxxxxxx. (2)

Xxxxx xxxxxxx xxxxxxx, k xxx je přiložen xxxxx xxxxxxxx, neobsahuje xxxxxx xxxxx nebo xxxxxxxxx, xxxxxx „–“.

1. XXXXX XXXXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

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

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

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx xxxxxx xxxxxxx zástupcem

3.1.3 Xxxxxxx xxxxxx xxxxxx xxxxxxx xxxxxxxxx

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

3.1.5 Xxxx (xxxxxxxxx)

(1) Úř. věst. X 200, 26.7.2016, x. 1.

(2) Při xxxxxxxxxx xxxxx použijte xxxxxxx písmo.

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

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

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x matriky

3.2.3 Xxxxx z registru xxxxxxxx

3.2.4 Xxxx xxxxxxxxxx xxxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Úřední xxxxxxxxx, kterým xxxx xxxxxxxx xxxxxxx podepsaná xxxxxxxxx osobou

3.5 Listina xxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxx xxxx konzulárním xxxxxxxxx xxxxxxxxx xxxxx v xxxxx xxxxxx jeho xxxxxxxxxx xxxxxxxxxx

3.6 Xxxxx (xx/xx/xxxx) vydání

3.7 Referenční xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXX O DOTYČNÉ XXXXX

4.1 Rodné/á xxxxxxxx

4.2 Xxxxxxxx/x xxxxxxxx

4.3 Příjmení xxxx xxxxxxxxx registrovaného xxxxxxxxxxx

4.4 Xxxxxxxx po xxxxxxxx xxxxxxxxxxxxxx xxxxxxxxxxx

4.5 Xxxxx (jména)

4.6 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.7 Místo (1) x xxxx (2) narození

4.8 Xxxxxxx:

4.8.1 Xxxx

4.8.2 Muž

4.8.3 Xxxxxxxx

4.9 Xxxxxx příslušnost

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

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

5.2 Xxxx v xxxxxxxxxxxxx xxxxxxxxxxx

5.2.1 Xxxxx xxxxxx x xxxxxxxxxxxxx xxxxxxxxxxx

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

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

5.3 Xxxxxxxx

6. XXXX XXX XXXXXX

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

6.2 Funkce xxxxxxxx, xxxxx vydal xxxxx xxxxxxxx

6.3 Xxxxx (xx/xx/xxxx) xxxxxx

6.4 Podpis

6.5 Pečeť xxxx xxxxxxx

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

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

XXXXXXXXXXX GLOSÁŘ XXXXX XXXXXXXXXXXX POLOŽEK

(STATUS XXXXXXXXXXXXXX XXXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX ESTE XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX FORMULÁŘ/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, XXX XXXXXX FORMULAR XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX VÄLJA XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) AUTHORITY XXXXXXX XXXX XXXX/ (XX) XXXXXXXX DE XXXXXXXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XX xXXXXXX A EISEOIDH XX XXXXXX SEO/ (XX) XXXXXX XXXX XXXXXX OVAJ XXXXXXX/ (XX) AUTORITÀ XXX XXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) ŠIĄ XXXXĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX HATÓSÁG/ (XX) XXXXXXXÀ XXXXXXXXX XX' DIN XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX XXXXXXXXX/ (PL) ORGAN XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (XX) AUTORIDADE XXX XXXXX O PRESENTE XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X PREZENTULUI XXXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXX FORMULÁR/ (XX) XXXXX, XX XXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXX VIRANOMAINEN/ (XX) XXXXXXXXX SOM XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (CZ) NÁZEV/ (XX) XXXXXXXXXX/ (DE) XXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) DÉNOMINATION/ (XX)XXXXXXX/ (XX) NAZIV/ (XX) DENOMINAZIONE/ (LV) XXXXXXXXX/ (XX) PAVADINIMAS/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (NL) BENAMING/ (XX) 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) AUTORIDAD QUE XXXXXX EL XXXXXXXXX XXXXXXX AL XXX XX ADJUNTA XXXX XXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXXXXX XXXXXXX, X XXX XX XXXXXXXX TENTO XXXXXXXX/ (XX) DEN XXXXXXXXX, XXX XXX UDSTEDT XXX XXXXXXXXXX DOKUMENT, XXX XXXXX FORMULAR XX XXXXÆXXXX/ (DE) XXXÖXXX, XXX XXX ÖXXXXXXXXXX XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXÜXX XXX, AUSSTELLT/ (ET) XXXXXX, XXX XXXXX XÄXXX AVALIKU XXXXXXXXX, XXXXXXX XXX VORM XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) AUTHORITY ISSUING XXX XXXXXX DOCUMENT XX WHICH XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXX DE XXXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX LE XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X EISEOIDH XX DOICIMÉAD XXXXXX XXXX XXXXXX XX XXXXXX SEO XXXXXXXXXX/ (XX) TIJELO XXXX XXXXXX XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (IT) XXXXXXXÀ XXX RILASCIA XX DOCUMENTO XXXXXXXX XXX IL XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ DOKUMENTA, XXXXX ŠĪ VEIDLAPA XX XXXXXXXXXX, IZDEVĒJIESTĀDE/ (XX) XXXXĄXĮ DOKUMENTĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (HU) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX KIÁLLÍTÓ XXXXXXX/ (XX) AWTORITÀ XXXXXXXXX XXX-XXXXXXXX PUBBLIKU XX XXXXĦX HIJA XXXXXŻX XXX IL-FORMOLA/ (XX) XXXXXXXXXX XXX AFGIFTE XXX XXX OPENBAAR XXXXXXXX XXXXXXX DIT XXXXXXXXX XX XXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXX XXXĘXXXX, XX XXXXXXX XXXXXXXXX FORMULARZ XXXX ZAŁĄCZONY/ (PT) XXXXXXXXXX XXX XXXXX X XXXXXXXXX XXXXXXX X XXX O XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (RO) AUTORITATEA XXXXXXXĂ X XXXXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX PREZENTUL XXXXXXXX/ (XX) XXXXX XXXXXXXXXX VEREJNÚ LISTINU, XX KTOREJ JE XXXXX FORMULÁR XXXXXXXXX/ (XX) XXXXX, XX XXXX XXXXX XXXXXXX, XX XX XX XXXXXXXX TA XXXXXXX/ (XX) XXXXXXXXXXXX, JOKA XX XXXXXXX YLEISEN XXXXXXXXXX, JOHON TÄMÄ XXXXXX XXXXXXÄÄX/ (SV) XXXXXXXXX XXX UTFÄRDAR XXX OFFICIELLA XXXXXXXX XXXX XXXXXX DETTA XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX/ (XX) INFORMACE XXXXXXXX SE XXXXXXX XXXXXXX, X NÍŽ XX PŘILOŽEN TENTO XXXXXXXX/ (DA) XXXXXXXXXXX XXXXØXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX DENNE XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX URKUNDE, DER XXXXXX XXXXXXXX BEIGEFÜGT XXX/ (ET) TEAVE XXXXXXX XXXXXXXXX KOHTA, XXXXXXX XXX VORM XX LISATUD/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) INFORMATION XXXXXXXX XX THE XXXXXX XXXXXXXX TO XXXXX XXXX XXXX XX XXXXXXXX/ (FR) XXXXXXXXXXXX XXXXXXXXX AU XXXXXXXX PUBLIC AUQUEL XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XXXXXXXX A XXXXXXXXX XXXX AN XXXXXXXXX XXXXXX XXXX BHFUIL XX XXXXXX XXX XXXXXXXXXX/ (HR) XXXXXXXXXXX XXXX SE ODNOSE XX XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX RELATIVE XX XXXXXXXXX XXXXXXXX CUI XX XXXXXXXX MODULO È ALLEGATO/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, KURAM ŠĪ XXXXXXXX XX XXXXXXXXXX/ (XX) INFORMACIJA, SUSIJUSI XX XXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX FORMA/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX VONATKOZÓ XXXXXXXXXXX/ (XX) INFORMAZZJONI XXXX XX-XXXXXXXX PUBBLIKU LI XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX IS XXXXXXX/ (XX) INFORMACJE XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX NINIEJSZY XXXXXXXXX XXXX ZAŁĄCZONY/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX XXXXXXXXX PÚBLICO X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) INFORMAȚII XXXXXXXXXXX XX DOCUMENTUL XXXXXXX LA CARE XXXX ANEXAT XXXXXXXXX XXXXXXXX/ (SK) XXXXXXXXXX X XXXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXX Z XXXXX XXXXXXX, XX JI XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ LOMAKE XXXXXXÄÄX/ (XX) INFORMATION XX XXX XXXXXXXXXX XXXXXXXX XXXX VILKEN XXXXX XXXXXXÄX ÄX BIFOGAT

3.1

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX XXXXXXXX POR UNA XXXXXXXXX X XX XXXXXXXXXXX VINCULADO X XXX ÓRGANOS JURISDICCIONALES XX UN ESTADO XXXXXXX/ (XX) LISTINA XXXXXX XXXXXXX XXXX XXXXXXXXX S XXXXXX XX XXXXX XXXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXXX, XXX XX XXXXXXX XX XX XXXXXXXXX XXXXX XX XXXXXXXXXX, XXX ER XXXXXXXXXX XXXXXXXX I XX XXXXXXXXXXX/ (DE) XXXXXXX XXXXX XXXÖXXX XXXX EINER XXXXXXXXXX XXX ORGAN XXX XXXXXXXXXXXX XXXXX MITGLIEDSTAATS/ (XX) XXXXXXXX, MILLE XX XÄXXX XXXXXX XXXXXXXXXXXX KOHTUTEGA XXXXXX XXXXXXXXXXX VÕI AMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (EN) XXXXXXXX XXXXXXXXX FROM AN XXXXXXXXX XX XX XXXXXXXX XXXXXXXXX XXXX XXX XXXXXX XX XXXXXXXXX XX A XXXXXX XXXXX/ (XX) XXXXXXXX ÉMANANT X'XXX XXXXXXXX XX X'XX XXXXXXXXXXXXX XXXXXXXX D'UNE XXXXXXXXXXX D'UN XXXX XXXXXX/ (GA) XXXXXXXXX X THAGANN X XXXXXX XX X XXXXXXXXX X BHFUIL XXXXX XXXX NÓ XXXX XX XXXXXXXXXX XX LE BINSÍ XX XXXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX IZDALO XXXXXX XXX SLUŽBENIK XXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX EMANATO XX XX'XXXXXXXÀ X XX XX XXXXXXXXXXX XXXXXXXXXXXX XX UNA DELLE XXXXXXXXXXXXX XX XXX XXXXX MEMBRO/ (LV) XXXXXXXXX, KURU IZSNIEGUSI XX XXXĪXXXXXXX TIESĀM XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX XXXXXXXX INSTITUCIJOS XX XXXXXXŪXX, SUSIJUSIŲ XX XXXXXXXĖX XXXĖX XXXXXXXX XX TRIBUNOLAIS/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX XXXX XXXXXXX XXXX TISZTVISELŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ MINN XXXXXXXÀ XXX XXXXĊXXX XX XXXXXXXX RABTA XXX-XXXXX XXX XX-XXXXXXXXX XX' STAT XXXXXX/ (XX) DOCUMENT AFGEGEVEN XXXX XXX XXXXXXXXXX XX AMBTENAAR XXXXXXXXX XXX XXX XXXXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX XX XXXXXX XĄXXXXXX XXX URZĘDNIKA XĄXXXXXX XXŃXXXX CZŁONKOWSKIEGO/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXXXX XX XX UM XXXXXXXXXXX DEPENDENTE DE XXXXXXXX XXXXXXXÇÃX DE XX XXXXXX-XXXXXX/ (XX) XXXXXXXX XXXX DE X XXXXXXXXXX XXX XX XX XXXXȚXXXXX XX PE XÂXXĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (SK) XXXXXXX XXXXXX XXXXXXX ALEBO XXXXXXXXX S XÄXXXX XX SÚDY XXXXXXXXX XXXXX/ (XX) XXXXXXX, XXXXXX S XXXXXX XXXXXX ALI XXXXXXXX XXXXX OBLASTI XXXXXX XXXXXXX/ (FI) ASIAKIRJA, XXXXX ON XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX KUULUVA XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) HANDLING SOM XÄXXÖX FRÅN XX XXXXXXXXX ELLER EN XXÄXXXXXXX TILLHÖRANDE DOMSTOLSVÄSENDET X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (EL) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXX ÓN xXXXXX/ (XX) XXXXXX XXXXXX/ (IT) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (XX) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (NL) RECHTERLIJKE XXXXXXXXXX/ (PL) XXXXXXXXXX XĄXXXX/ (XX) XXXXXÃX XXXXXXXX/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (SK) XXXXX XXXXXXXXXXX/ (XX) SODNA 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) DOKUMENT XXXXXXX AF XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX STAATSANWALTSCHAFT/ (ET) XXXXXXXX, MILLE XX XÄXXX XXXXXX XXXXXXX XÜÜXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) DOCUMENT EMANATING XXXX X XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX DU MINISTÈRE XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (HR) XXXXXXX XXXX XX XXXXXX XXXXXXX ODVJETNIŠTVO/ (XX) XXXXXXXXX XXXXXXX XXX PUBBLICO XXXXXXXXX/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX DOKUMENTAS/ (XX) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXXXX PUBBLIKU/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX OPENBAAR XXXXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX PROKURATORA/ (PT) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (RO) XXXXXXXX EMIS XX XX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXX, KI XX IZDA XXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX ÅKLAGARVÄSENDET

3.1.3

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (ES) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXX SOUDNÍM ÚŘEDNÍKEM/ (XX) XXXXXXXX UDSTEDT XX XX XXXXXXXXXXXXXÆX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXX DER XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX, XXXXX ON XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX XXXX A XXXXX XX A XXXXX/ (XX) XXXXXXXX ÉMANANT X'XX XXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X CHLÉIREACH XX XXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXX UPRAVITELJ SUDSKE XXXXXXXXX/ (IT) XXXXXXXXX XXXXXXX XX UN XXXXXXXXXXX/ (LV) DOKUMENTS, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (LT) XXXXXX XXXXXXXXXX XXXXXXXX DOKUMENTAS/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX MAĦRUĠ XXXX REĠISTRATUR TA' XXXXX/ (XX) DOCUMENT XXXXXXXXX XXXX XXX XXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX OD XXXXXXXXXX XĄXXXXXX/ (PT) DOCUMENTO XXXXXXXXXXX XX XX XXXXXXX XX JUSTIÇA/ (XX) DOCUMENT EMIS XX XX XXXXXXX XX XXXXXXȚXX/ (SK) XXXXXXX XXXXXX SÚDNYM XXXXXXXXX/ (XX) XXXXXXX, XX JO XXXX XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX ANTAMA XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXX XXXXXXXX XXX UN XXXXXX JUDICIAL («HUISSIER XX XXXXXXX»)/ (XX) XXXXXXX XXXXXX SOUDNÍM XXXXXXXXXXXXX („XXXXXXXX DE XXXXXXX“)/ (DA) XXXXXXXX XXXXXXX XX XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXX, MILLE XX XÄXXX ANDNUD XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX JUSTICE»)/ (XX) XXXXXXXX EMANATING XXXX X JUDICIAL XXXXXXX ('HUISSIER XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX XX XXXXXXX/ (GA) XXXXXXXXX X THAGANN X OIFIGEACH XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (XX) ISPRAVA KOJU XX XXXXX XXXXXX XXXXXXXXX (HUISSIER DE XXXXXXX)/ (XX) DOCUMENTO XXXXXXX XX UN XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (XX) XXXXXXXXX, XXXX IZSNIEDZIS XXXXXX XXXXXXĪXĀXX (HUISSIER XX XXXXXXX)/ (XX) XXXXXXXXX (XXXXXXXX XX XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX DE XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX XXXXĊXXX ĠUDIZZJARJU ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX URZĘDNIKA SĄDOWEGO (XXXXXXXX DE XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX XX UM ESCRIVÃO XX DIREITO («XXXXXXXX XX JUSTICE»)/ (XX) XXXXXXXX XXXX DE XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX DE JUSTICE”)/ (XX) LISTINA XXXXXX XXXXXX VYKONÁVATEĽOM („HUISSIER XX XXXXXXX“)/ (XX) XXXXXXX, XX JO XXXX XXXXX IZVRŠITELJ („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX XX JUSTICE”) ANTAMA XXXXXXXXX/ (SV) HANDLING XXX HÄRRÖR FRÅN XX XXÄXXXXXXXXX (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) XXXX (XXXXXXXXX)/ (XX) XXXXX (ANGIVES)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) XXX (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (EN) OTHER (XX XX XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (XX) XXXX (XX SONRÚ)/ (XX) XXXXXX (XXXXXXX)/ (IT) XXXXX (XXXXXXXXX)/ (XX) XXXX (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (XX) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) OVERIGE (XXXXXXXXXXXX)/ (XX) XXXX (XXXXXĘ XXXXŚXXĆ)/ (XX) OUTROS (X XXXXXXXXXXX)/ (XX) XXXXX (X SE XXXXXXX)/ (SK) XXX (XXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (FI) MUU XXXXXXXXX (TÄSMENNETTÄVÄ)/ (XX) 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/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) DOICIMÉAD XXXXXXXXXX/ (XX) UPRAVNA XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (LT) XXXXXXXXXXXXXXX XXXXXXXXXX/ (HU) KÖZIGAZGATÁSI XXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (RO) DOCUMENT XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) HALLINNOLLINEN XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (DE) XXXXXXXXXXXXX/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (FR) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (LT) XXXXXX, XXXXXXXXXX/ (HU) XXXXXXXXXXX/XXXXXXXXXXXX/ (MT) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (XX) CERTIDÃO XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (SK) XXXXXXXXXX/ (XX) XXXXXXXX/ (FI) XXXXXXXX/ (SV) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX DEL XXXXXXXX XXXXX/ (XX) XXXXX Z MATRIKY/ (XX) UDDRAG XXX XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX XXX DEM XXXXXXXXXXXXXXXXXXXXXX/ (XX) PEREKONNASEISUREGISTRI XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) EXTRACT XXXX THE XXXXX XXXXXX XXXXXXXX/ (XX) XXXXXXX XX REGISTRE XX L'ÉTAT XXXXX/ (XX) XXXXXXX XX XX gCLÁR XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX OSOBNOG XXXXXX/ (XX) XXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXX XX XXXXXXXĀXXXĻX XXXX REĢISTRA/ (XX) XXXXXXX XX XXXXXXXĖX XŪXXĖX XXXŲ XXXXXXXX/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXX ĊIVILI/ (XX) XXXXXXXXXX XXX XXX XXXXXXXX VAN XX XXXXXXXXXXX XXXXX/ (XX) XXXXX SKRÓCONY AKTU XXXXX XXXXXXXXX/ (PT) XXXXXXX XX ATOS XX XXXXXXX CIVIL/ (XX) XXXXXX DIN XXXXXXXXX XX STARE XXXXXĂ/ (XX) XXXXX X XXXXXXXX XXXXXXXX XXXXX/ (XX) IZPISEK XX REGISTRA X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (SV) XXXXXX UR XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX XXX XXXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX MELDEREGISTER/ (XX) XXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX XXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX DU REGISTRE XX XX XXXXXXXXXX/ (XX) SLIOCHT AS XX gCLÁR XXXXXX/ (XX) IZVADAK XX XXXXXX STANOVNIŠTVA/ (XX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XX IEDZĪVOTĀJU XXĢXXXXX/ (LT) XXXXXXX XX XXXXXXXXŲ XXXXXXXX/ (XX) XXXXXXX X XXXXXXXXXXXX- ÉS XXXXXXXXXXXXXXXXXXXXXX/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (NL) XXXXXXXXXX XXX XXX BEVOLKINGSREGISTER/ (XX) WYCIĄG X XXXXXXXX XXXXXŚXX/ (PT) XXXXXXX XX XXXXXXX XX XXXXXXÇÃX/ (RO) XXXXXX XXX 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 ACTAS DEL XXXXXXXX XXXXX/ (XX) XXXX XXXXXXXXXX ZÁZNAMŮ/ (XX) XXXXXX XXXX XX CIVILSTANDSREGISTRE/ (DE) XÖXXXXXXX XXXXX VON XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (EN) VERBATIM XXXX XX XXXXX XXXXXX XXXXXXX/ (XX) XXXXX INTÉGRALE D'ACTES XX L'ÉTAT CIVIL/ (XX) CÓIP XXXXX XX XXXXXX DE XXXXXXX XX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XX EVIDENCIJA X XXXXXXX STANJU/ (XX) XXXXX XXXXXXXXX XX ATTO DI XXXXX XXXXXX/ (LV) XXXXXXXĀXXXĻX AKTU REĢISTRA XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮXXXŲ PAŽODINĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) KOPJA XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (XX) EENSLUIDEND XXXXXXXXX XXX XXXXX XXX XX XXXXXXXXXXX XXXXX/ (PL) ODPIS XXXXŁXX XXXX STANU XXXXXXXXX/ (XX) XXXXXXÃX XX XXXXX XXXXXXXX XX DE XXXXXXXXX XX XXXX DE XXXXXXX XXXXX/ (XX) XXXXX XXXXXĂ A XXXX ACT XX XXXXX XXXXXĂ/ (XX) XXXXXXXX XXXXX XX XXXXXXX O OSOBNOM XXXXX/ (SL) XXXXXXXXX XXXXXX LISTIN X XXXXXXX STANJU/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX JÄLJENNÖS/ (XX) XXXXXXXXX XXXXXXXX XX FOLKBOKFÖRINGSHANDLING

3.3

(BG) НОТАРИАЛЕН АКТ/ (ES) XXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX ACT/ (XX) XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX XXXXXXXX/ (XX) NOTARIĀLS XXXX/ (XX) XXXXXXXXX XXXXX/ (XX) KÖZJEGYZŐI XXXXXX/ (XX) ATT XXXXXXXX/ (XX) XXXXXXËXX AKTE/ (XX) AKT NOTARIALNY/ (XX) ATO XXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) NOTAARIN XXXXXX XXXXXXXXX/ (XX) NOTARIELL XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) CERTIFICACIÓN OFICIAL XXXXXX SOBRE XX XXXXXXXXX PRIVADO/ (XX) XXXXXX XXXXXXXXX, XXXXXX XXXX XXXXXXXX XXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXX XÅXXXXXXX XÅ XX DOKUMENT XXXXXXXXXXX XX XX XXXXXX I DENNES XXXXXXXX XX PRIVATPERSON/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX XXXXX XXXXXXXXXXXXX/ (XX) XXXXX POOLT XXXXXXXXXX XXXXXXXXXXXXXX DOKUMENDILE XXXXXXXXXX XXXXXXX XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (EN) OFFICIAL XXXXXXXXXXX PLACED ON X XXXXXXXX XXXXXX XX X PERSON XX XXX OR XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX XX XXXX XXXX XXXXX XXXXX/ (GA) XXXXXXXX XXXXXXXXX X XXXXXXXXX XX XXXXXXXXXX ARNA XXXXXX XX DUINE XXX XXXXX XX XXX XXXX PHRÍOBHÁIDEACH/ (XX) XXXXXXXX POTVRDA XXXXXXXXX XX XXXXXXX XXXX XX XXXXX XXXXXXXXX X PRIVATNOM XXXXXXXX/ (XX) DICHIARAZIONE XXXXXXXXX XXXXXXX XX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXĀXX APLIECINĀJUMS XX XXXXXXXXX, XX XXXĀ XĀXXĀ PARAKSTĪJUSI XĀXX XXXXXXX/ (LT) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ĊXXXXXXXXX UFFIĊJALI XX XXXXXXXĦXX X'XXXXXXXX IFFIRMAT XXXX XXXXXXX FIL-KAPAĊITÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX CERTIFICAAT OP XXX XXXXXXXX XXXXXXXXXXX XXXX XXX PERSOON XX XXXX PARTICULIERE XXXXXXXXXXXX/ (PL) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXXX PRZEZ XXXXĘ DZIAŁAJĄCĄ X XXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÃX XXXXXXX INSERTA XXX ATO XX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXX XXXXXXX XX XX XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX OSVEDČENIE XXXXXXX NA XXXXXXX XXXXXXXXXX OSOBOU XXXXXXXXX XXX XXXXXXXX OSOBA/ (XX) XXXXXX IZJAVA XX ZASEBNI XXXXXXX/ (XX) XXXXXXXXXX TODISTUS XXXXXXXXXXXX, XXXXX HENKILÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) OFFICIELLT INTYG XXXXXXXXX XÅ XX XXXXXXXX SOM XXXXXXXXXXXXX XX XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (ES) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXXXXX X XXXXXXXX DE XX XXXXXX XXXXXXX XXX XXXXXXXX OFICIAL/ (CZ) XXXXXXX VYHOTOVENÁ XXXXXXXXXXXXX XXXXXXXXX NEBO XXXXXXXXXXX XXXXXXXXX XXXXXXXXX STÁTU X XXXXX XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX AF XX XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX REPRÆSENTANT/ (XX) XXX XXXXX DIPLOMATISCHEN XXXX XXXXXXXXXXXXXX VERTRETER XXXXX XXXXXXXXXXXXXX XX XXXXXX AMTLICHEN XXXXXXXX XXXXXXXXXX XXXXXXX/ (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/ (XX) XXXXXXXX DRAWN XX BY X XXXXXXXXXX OR XXXXXXXX XXXXX OF X XXXXXX XXXXX XX XXX XX XXX XXXXXXXX CAPACITY/ (FR) XXXXXXXX ÉTABLI XX XX QUALITÉ XXXXXXXXXX XXX XX XXXXX XXXXXXXXXXXX OU XXXXXXXXXX X'XX XXXX XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX SUAS XX XXXXXXXXXX TAIDHLEOIREACHTA NÓ XXXXXXXXX XX CHUID XXXXXXXXX INA CHÁIL XX INA CÁIL XXXXXXXXX/ (HR) ISPRAVA XXXX JE X XXXXXXXXX SVOJSTVU XXXXXXXX XXXXXXXXXXX ILI XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) DOCUMENTO XXXXXXX XX AGENTI XXXXXXXXXXX X CONSOLARI DI XXX XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX XXXXX XXXXĀXXXXX, XXXXXXXXXXX DALĪBVALSTS XXXXXXĀXXXXXXX VAI KONSULĀRAIS XĀXXXĀXXX/ (LT) DOKUMENTAS, XXXXXXXXX XXXXXXXĖX NARĖS XXXXXXXXX XX XXXXXXXXXX XXXXXXŪXX, VEIKIANČIO XXXXX XXXXXXXXXX ĮGALIOJIMUS/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXXX MINN XĠXXX XXXXXXXXXXX JEW XXXXXXXXX XX' XXXX XXXXXX XXX-XXXXĊXXÀ UFFIĊJALI XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXXXXX XX CONSULAIRE XXXXXXXXX XXX XXX XXXXXXXX XX XXXX XXXXXXËXX HOEDANIGHEID/ (PL) XXXXXXXX XXXXXĄXXXXX PRZEZ XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX LUB XXXĘXXXXX KONSULARNEGO XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX URZĘDOWYM/ (XX) XXXXXXXXX XXXXXXX XXX XX XXXXXX DIPLOMÁTICO XX XXXXXXXX XX XX ESTADO-MEMBRO NO XXXXXXXXX DAS XXXX XXXÇÕXX XXXXXXXX/ (RO) XXXXXXXX ÎXXXXXXX DE XĂXXX XX AGENT XXXXXXXXXX XXX XXXXXXXX XX XXXX XXXX XXXXXX, ÎX CALITATE XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXX/ (XX) LISTINA, XX JO XXX XXXXXX XXXXX IZDA XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX, JONKA XÄXXXXXXXXXX DIPLOMAATTINEN XXXXXXXX XXX XXXXXXXXXXXXXXX ON XXXXXXXX VIRANTOIMITUKSESSA/ (XX) XXXXXXXX XXXXÄXXXX X XXÄXXXXX AV EN XXXXXXXXXXX ELLER KONSULÄR XXÄXXXXXXX X XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) VYDÁNÍ/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX KUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) OF XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (DD/MM/GGGG) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) IZDOŠANAS XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (DD/MM/MMMM)/ (XX) X XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) VAN XXXXXXX/ (XX) DATA (XX/XX/XXXX) WYDANIA/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) 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 UTFÄRDANDE

3.7

(BG) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX XXXXXXXXXX XXX XXXXXXXXX PÚBLICO/ (XX) XXXXXXXXXX ČÍSLO XXXXXXX LISTINY/ (XX) XXX OFFENTLIGE DOKUMENTS XXXXXXXXXXXXXXX/ (DE) XXXXXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXX DOKUMENDI XXXXXXXXXXX/ (EL) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX XX THE XXXXXX XXXXXXXX/ (FR) XXXXXX XX RÉFÉRENCE XX XXXXXXXX PUBLIC/ (XX) UIMHIR THAGARTHA XX XXXXXXXXX PHOIBLÍ/ (XX) REFERENTNI BROJ XXXXX XXXXXXX/ (IT) XXXXXX XX RIFERIMENTO XXX XXXXXXXXX PUBBLICO/ (XX) PUBLISKĀ DOKUMENTA XXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXXXXX NUMERIS/ (XX) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXX TA' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX DOCUMENT/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (PT) XXXXXX XX XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (RO) XXXĂXXX XX XXXXXXXȚĂ XX XXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXXX LISTINY/ (SL) XXXXXXXXXX XXXXXXXX JAVNE XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (ES) XXXXXXXXXXX XXXXX XX XXXXXXXXXX/ (XX) INFORMACE X XXXXXXX OSOBĚ/ (XX) XXXXXXXXXXX OM XXX XÅXÆXXXXXX XXXXXX/ (XX) XXXXXXX XXX XXXXXXXXXXXX PERSON/ (ET) XXXXXXXXX ISIKUT XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX XXXXXX XXXXXXXXX/ (FR) XXXXXXXXXXXX XXX XX PERSONNE XXXXXXXXX/ (XX) XXXXXXXX XXXXXX XXXX XX XXXXX LENA mBAINEANN/ (XX) XXXXXXXXXXX X XXXXXXXX XXXXX/ (IT) XXXXXXXXXXXX SULLA XXXXXXX XXXXXXXXXXX/ (LV) XXXXXXĀXXXX XXX XXXXXXĪXX PERSONU/ (XX) XXXXXXXXXXX XXXX XXXXXXXXXĄ XXXXXĮ/ (HU) XX XXXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (MT) XXXXXXXXXXXXX XXXX XX-XXXXXXX XXXXĊXXXXXX/ (XX) INFORMATIE XXXX XX XXXXXXXXXX/ (XX) XXXX OSOBY, XXXXXX DOTYCZY XXXXXXXX/ (XX) XXXXXXXÇÕXX XXXXX X PESSOA XX XXXXX/ (RO) INFORMAȚII XXXXXXX XXXXXXXX XXXXXĂ/ (XX) XXXXXXXXXX X XXXXXXXXX OSOBE/ (XX) XXXXXXXXXXX O ZADEVNI XXXXX/ (FI) XXXXXXXXXXXX XXXXXXÖX TIEDOT/ (SV) XXXXXXXXX XX XXX XXXÖXXX XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (XX) APELLIDO(S) XX XXXXXXXXXX/ (XX) XXXXX/X XXXXXXXX/ (XX) XXXXXXXXX(X) XXX XØXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXX XXXXXX/ (XX) SÜNNIJÄRGNE XXXXXXXXXXXXX (XÜXXXXÄXXXXX PEREKONNANIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (XX) XXXXXXX(X) XX XXXXX/ (XX) XXX(X) À XX NAISSANCE/ (XX) XXXXXXX (XXXXXXXX) XXXXXXX/ (XX) XXXXXXX(XX) PRI XXĐXXXX/ (IT) COGNOME/I XXXX XXXXXXX/ (XX) XXXĀXXX(-X) XXXXXXXXX XXĪXĪ/ (XX) XXXXXXĖ (-ĖX), XXXXXXXX (-XX) XXXXX/ (XX) SZÜLETÉSI XXXXXXX XXXX(X)/ (XX) KUNJOM(/KUNJOMIJIET) XXX-XXXXXX/ (NL) XXXXXXXX(X)X(XX) XXX XX GEBOORTE/ (XX) NAZWISKO(-A) XXXXXX/ (XX) XXXXXXX(X) À XXXX XX XXXXXXXXXX/ (XX) NUMELE LA XXȘXXXX/ (XX) RODNÉ XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX XX XXXXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXXXÄXXXXXXXÄ/ (XX) XXXXXXXXX VID XÖXXXXX

4.2

(XX) НАСТОЯЩО(И) ФАМИЛНО(И) ИМЕ(НА)/ (ES) XXXXXXXX(X) XXXXXX(XX)/ (XX) SOUČASNÉ/Á XXXXXXXX/ (XX) NUVÆRENDE XXXXXXXXX(X)/ (XX) DERZEITIGE(R) XXXXXXXXXXXX(X)/ (ET) PRAEGUNE XXXXXXXXXXXXX (XXXXXXXXX PEREKONNANIMED)/ (XX) ΤΡΕΧΟΝ(-ΤΑ) ΕΠΩΝΥΜΟ(-Α)/ (XX) CURRENT XXXXXXX(X)/ (XX) XXX(X) XXXXXX(X)/ (XX) XXXXXXX (XXXXXXXX) XXXXXX/ (XX) XXXXXXXX(-X) XXXXXXX(XX)/ (IT) COGNOME/I XXXXXXX/X/ (XX) XXXXXXX(-XX) XXXĀXXX(-X)/ (XX) DABARTINĖ (-ĖX) XXXXXXĖ (-ĖX)/ (XX) XXXXXXXXX CSALÁDI XXXX(X)/ (XX) KUNJOM(/KUNJOMIJIET) XXXXXXX/ (NL) HUIDIGE XXXXXXXX(X)X(XX)/ (XX) XXXXXX XXXXXXXX(-X)/ (XX) APELIDO XX XXXXXXXX XXXXXX/ (XX) XXXXXX XXXXXX(X)/ (XX) XXXXXXX XXXXXXXXXX(-X)/ (XX) XXXXXXX PRIIMEK/PRIIMKI/ (XX) XXXXXXXX XXXXXXXX (XXXXXXXX SUKUNIMET)/ (XX) XXXXXXXXX XXXXXXXXX

4.3

(XX) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ АКТА/ (XX) APELLIDO(S) ANTES XX XX INSCRIPCIÓN/ (XX) XXXXXXXX PŘED XXXXXXXXX REGISTROVANÉHO XXXXXXXXXXX/ (XX) EFTERNAVN(E) FØR XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXX XXXXXXXXXX XXX PARTNERSCHAFT/ (XX) XXXXXXXXXXXXX (-NIMED) XXXX XXXXXXXXXXXXXXX/ (EL) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΑΠΟ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (EN) XXXXXXX(X) XXXXXX XXX XXX/ (XX) XXX(X) XXXXX X'XXXX/ (XX) XXXXXXX (XXXXXXXX) XXXXX XX xXXXXXX/ (XX) XXXXXXX(XX) PRIJE XXXXXXXXXXXXX XXXXXXXXXXX/ (IT) COGNOME/I XXXXX XXXX'XXXX/ (LV) XXXĀXXX(-X) PIRMS AKTA/ (XX) XXXXXXĖ (-ĖS) XXXXX XXXXXXXX XXXĄ/ (XX) CSALÁDI XXXX(X) XX ÉLETTÁRSI XXXXXXXXX XXXXXXXXXX ELŐTT/ (XX) XXXXXX(/XXXXXXXXXXX) QABEL X-XXX/ (XX) XXXXXXXX(X)X(XX) XXXX XX AKTE/ (XX) XXXXXXXX(-X) XXXXX XXXXXXXXXXĄ XXXĄXXX/ (XX) XXXXXXX(X) XXXXX XX ATO/ (XX) NUMELE ÎXXXXXX XX ÎNREGISTRAREA PARTENERIATULUI/ (XX) XXXXXXXXXX(-X) PRED XXXXXXXXX XXXXXXXXXXXXXX PARTNERSTVA/ (XX) PRIIMEK/PRIIMKI XXXX XXXXXXXXXXXX PARTNERSKE SKUPNOSTI/ (XX) SUKUNIMI (-NIMET) XXXXX REKISTERÖINTIÄ/ (SV) XXXXXXXXX FÖRE XXXÅXXXXX

4.4

(XX) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА РЕГИСТРИРАНЕТО НА АКТА/ (XX) APELLIDO(S) XXXXXXX XX XX XXXXXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXX(X) XXXXX REGISTRERINGEN/ (XX) XXXXXXXXXXXX(X) XXXX DER XXXXXXXXXX XXX PARTNERSCHAFT/ (XX) XXXXXXXXXXXXX (-XXXXX) XÄXXXX XXXXXXXXXXXXXXX/ (EL) ΕΠΩΝΥΜΟ(-Α) ΜΕΤΑ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (XX) XXXXXXX(X) FOLLOWING XXX XXX/ (FR) NOM(S) À XX XXXXX XX X'XXXX/ (XX) XXXXXXX (XXXXXXXX) XXX XXX XX XXXXXX/ (XX) XXXXXXX(XX) NAKON XXXXXXXXXXXXX PARTNERSTVA/ (XX) XXXXXXX/X XXXX L'ATTO/ (XX) UZVĀRDS(-I) XĒX XXXX/ (XX) XXXXXXĖ (-ĖX) XX XXXX XXXXXXXX/ (XX) XXXXXXX XXXX(X) AZ ÉLETTÁRSI XXXXXXXXX XXXXXXXXXX XXXX/ (XX) XXXXXX(/XXXXXXXXXXX) XXXX X-XXX/ (XX) ACHTERNA(A)M(EN) XX XX XXXX/ (XX) NAZWISKO(-A) PO XXXXXXXXXXX XXXĄXXX/ (PT) XXXXXXX(X) XXXX X XXX/ (XX) NUMELE XXXĂ ÎNREGISTRAREA XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX(-X) PO XXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXX/XXXXXXX PO XXXXXXXXXXXX PARTNERSKE XXXXXXXXX/ (XX) SUKUNIMI (-NIMET) XXXXXXXXÖXXXXX XÄXXXXX/ (XX) XXXXXXXXX XXXXX XXXÅXXXXX

4.5

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (CZ) JMÉNO (XXXXX)/ (DA) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) PRÉNOM(S)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (IT) NOME(I)/ (XX) VĀRDS(-I)/ (LT) XXXXXX (-AI)/ (HU) XXXXXXX(X)/ (MT) XXXX(/XXXXXXXX)/ (XX) VOORNA(A)M(EN)/ (XX) XXXĘ (IMIONA)/ (PT) XXXX(X) PRÓPRIO(S)/ (XX) XXXXXXX/ (XX) XXXX(-X)/ (XX) IME/IMENA/ (XX) XXXXXXX (-XXXXX)/ (XX) XÖXXXXX

4.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) NAROZENÍ/ (XX) XØXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) DATE (DD/MM/YYYY) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) DE XXXXXXXXX/ (GA) DÁTA (XX/XX/XXXX) BREITHE/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (XX) XXXX XX XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (HU) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) TAT-TWELID/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (PT) XXXX XX XXXXXXXXXX (DD/MM/AAAA)/ (XX) DATA (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (XX/XX/XXXX) NARODENIA/ (XX) XXXXX (DD/MM/LLLL) XXXXXXX/ (XX) XXXXXXÄXXXX (PP/KK/VVVV)/ (XX) FÖDELSEDATUM (XX/XX/ÅÅÅÅ)

4.7

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX X XXXX XX XXXXXXXXXX/ (CZ) XXXXX X XXXX XXXXXXXX/ (DA) XØXXXXXX XX -LAND/ (DE) XXX UND LAND XXX GEBURT/ (XX) XÜXXXXXXX JA -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (EN) XXXXX XXX XXXXXXX XX BIRTH/ (XX) XXXX XX PAYS XX XXXXXXXXX/ (XX) XXX XXXX XXX XXXXXXXX/ (XX) XXXXXX X XXXXXX ROĐENJA/ (XX) XXXXX X XXXXX XX XXXXXXX/ (XX) DZIMŠANAS XXXXX XX VALSTS/ (XX) XXXXXX VIETA XX XXXXX/ (HU) XXÜXXXXXX XXXXX XX ORSZÁGA/ (XX) XXXX U XXXXXŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX XX -LAND/ (XX) XXXXXXX X XXŃXXXX URODZENIA/ (XX) XXXXX E XXXX XX XXXXXXXXXX/ (RO) XXXXX ȘX ȚARA XXȘXXXXX/ (SK) MIESTO X ŠTÁT XXXXXXXXX/ (XX) XXXX IN XXXXXX XXXXXXX/ (FI) XXXXXXÄXXXXXX JA -XXX/ (XX) FÖDELSEORT XXX -XXXX

4.8

(XX) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (XX) KØN/ (DE) XXXXXXXXXX/ (XX) SUGU/ (XX) ΦΥΛΟ/ (EN) XXX/ (FR) XXXX/ (XX) XXXXXX/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) XXXX/ (NL) XXXXXXXX/ (PL) XŁXĆ/ (XX) XXXX/ (RO) XXXXX/ (XX) XXXXXXXX/ (XX) SPOL/ (XX) XXXXXXXXX/ (SV) XÖX

4.8.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) XXXX/ (DA) XXXXXX/ (DE) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (EN) FEMALE/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) ŽENSKI/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) NŐ/ (MT) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (PT) XXXXXXXX/ (XX) FEMEIESC/ (XX) XXXXXX/ (SL) XXXXXX/ (XX) NAINEN/ (XX) XXXXXX

4.8.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (DA) XXXX/ (XX) XÄXXXXXX/ (ET) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) MALE/ (FR) XXXXXXXX/ (GA) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) XXXXX/ (XX) XXXXX/ (MT) XXĠXX/ (XX) MAN/ (XX) XĘŻXXXXXX/ (PT) MASCULINO/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) XXX

4.8.3

(XX) НЕОПРЕДЕЛЕН/ (ES) XXXXXXXXXXXXX/ (CZ) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) UNDETERMINED/ (XX) XXXXXXXXXXX/ (GA) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) NENUSTATYTA/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) NÃO XXXXXXXX/ (XX) NEDETERMINAT/ (SK) XXXXXXXX/ (SL) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

4.9

(XX) ГРАЖДАНСТВО/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX PŘÍSLUŠNOST/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXÖXXXXXXX/ (XX) XXXXXXXXXXX/ (EL) ΙΘΑΓΕΝΕΙΑ/ (EN) XXXXXXXXXXX/ (XX) NATIONALITÉ/ (GA) XXXXXXXXXXXX/ (XX) DRŽAVLJANSTVO/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXĪXX/ (XX) XXXXXXXXĖ/ (XX) XXXXXXXXXXXXXXX/ (XX) ĊXXXXXXXXXXX/ (XX) NATIONALITEIT/ (XX) XXXXXXXXXXXX/ (PT) XXXXXXXXXXXXX/ (XX) XXXĂȚXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (SV) MEDBORGARSKAP

5.

(BG) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ, ПОЛОЖЕНИЕТО НА РЕГИСТРИРАНО ПАРТНЬОРСТВО НА СЪОТВЕТНОТО ЛИЦЕ Е, КАКТО СЛЕДВА/ (XX) XXXXX XX XXXXXXXXX XXXXXXX XX QUE SE XXXXXXX XXXX IMPRESO, XX XXXXXX DEL XXXXXXXXXX EN XX XXX RESPECTA A XX XXXXXXX XX XXXXXXX XX XXX XXXXX XX XXXXX XXXXXXXXXX ES XX XXXXXXXXX/ (XX) NA XXXXXXX VEŘEJNÉ XXXXXXX, X NÍŽ JE XXXXXXXX XXXXX XXXXXXXX, XX XXXXXXX XXXXX XXXXX XXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (DA) X XXXXXXX TIL DET XXXXXXXXXX DOKUMENT, XXX XXXXX FORMULAR XX XXXXÆXXXX, XXX XXX XÅXÆXXXXXX XXXXXX XØXXXXXX XXXXXXXXXXXX PARTNERSKABSSTATUS/ (DE) XXXXXX XXX XXXXXXXXXXXXX XXXXXXXXXXXXX XXX XXXXXXXXXXXX XXXXXX XXXÄXX DER ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXXXXXX XXXXXXXXX XXXXXXXXXXX, XXXXXXX XXX XXXX XX XXXXXXX, ON XXXXXXXXXX XXXXXX JÄRGMINE XXXXXXXXXXXXXX XXXXXXXXX SEOTUD 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/ (EN) XXXXXXXXX XX THE XXXXXX DOCUMENT TO XXXXX THIS XXXX XX XXXXXXXX, THE XXXXXX CONCERNED XXX XXX XXXXXXXXX XXXXXXXXXX XXXXXXXXXXX XXXXXX/ (FR) X'XXXÈX LE DOCUMENT XXXXXX XXXXXX XX XXXXXXX XXXXXXXXXX XXX XXXXX, XX STATUT XX PARTENARIAT XXXXXXXXXX XX LA XXXXXXXX XXXXXXXXX EST LE XXXXXXX/ (XX) DE XXXX XX DOICIMÉID XXXXXXX XXXX XXXXXX XX FHOIRM XXX XXXXXXXXXX, TÁ XX XXXXXX PÁIRTNÉIREACHTA CLÁRAITHE X XXXXXX XX XX DUINE XXXX xXXXXXXXX/ (XX) PREMA XXXXXX ISPRAVI KOJOJ XX XXXX XXXXXXX XXXXXXXX XXXXXX XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXX XXXXX XX XXXXXXĆX/ (XX) XXXXXXX IL XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX, XX XXXXX XX UNIONE XXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX È XX XXXXXXXX/ (XX) XXXXXŅĀ XX XXXXXXXX DOKUMENTU, KURAM XĪ XXXXXXXX IR XXXXXXXXXX, ATTIECĪGAJAI XXXXXXXX XX ŠĀDS REĢISTRĒTU XXXXXXXXXXXXXĪXX STATUSS/ (XX) XXXXX VIEŠĄJĮ DOKUMENTĄ, XXXX XXXXX PRIDEDAMA XX XXXXX, XXXXXXXXXX XXXXXX XXXXXXXXXXXX XXXXXXXXXXĖX XXXĖXXX XXX XXXXX/ (XX) XX ÉRINTETT XXXXXXX XXXXXXXXXX ÉLETTÁRSI XXXXXXXXXXXX ÖXXXXXÜXXŐ JOGÁLLÁSA X XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXX XXXXXXX/ (XX) XXXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX HIJA XXXXXŻX XXX XX-XXXXXXX, XX-XXXXXXX XXXXĊXXXXXX XĦXXXXX X-XXXXXXX XX' XĦXXXXX XXĠXXXXXXX XXX ĠEJ/ (XX) XXXXXXX XXX XXXXXXXX DOCUMENT XXXXXXX XXX XXXXXXXXX XX XXXXXXX, XX XX XXXXXX VAN XXX XXXXXXXXXXXXX XXXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX/ (XX) X XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXŁĄXXXXX XXXX XXXXXXXXX XXXXXXXXX, WYNIKA, ŻX XXXXX, XXXXXX XXXXXXX DOKUMENT, XXXXXXX XXXXĘXXXĄXX XXXXXX XXXĄXXXX X XXXXXXXXXXXXXXX XXXĄXXXXX XXXXXXXXXXX/ (PT) XXXXXXX X XXXXXXXXX XXXXXXX X QUE O XXXXXXXX FORMULÁRIO XXXX XXXXXX, À DATA XX SUA XXXXXÃX, X XXXXXXXX XX XXXXXXXX XXXXXXXXX XX XXXXXX XX CAUSA X/ (RO) ÎN XXXXXXXXXXXX CU XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX, XXXXXXXX XXXXXĂ XXX URMĂTORUL STATUT XXXXXXX XXXXXXXXXXXXX ÎXXXXXXXXXX/ (XX) PODĽA VEREJNEJ XXXXXXX, XX KTOREJ XX XXXXX XXXXXXXX XXXXXXXXX, MÁ XXXXXXXX XXXXX TENTO ŠTATÚT XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) X SKLADU X XXXXX XXXXXXX, KI XX XX XXXXXXXX XX OBRAZEC, XX XXXXXX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX ZADEVNE XXXXX XXXXXXXXX/ (XX) XXX XXXXXXX ASIAKIRJAN XXXXXX, XXXXX XÄXÄ LOMAKE XXXXXXÄÄX, XXXXXXXXXXXX HENKILÖN XXXXXXXXÖXXXXX XXXXXXXXXXXXXX LIITTYVÄ XXXXXXXXÄÄXX XX XXXXXXXX/ (XX) ENLIGT XXX XXXXXXXXXX HANDLING TILL XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX ÄX XXX XXXÖXXX PERSONENS XXXXXX AVSEENDE REGISTRERAT XXXXXXXXXXX XÖXXXXXX

5.1

(XX) С РЕГИСТРИРАНО ПАРТНЬОРСТВО/ДАТА (ДД/ММ/ГГГГ) НА РЕГИСТРИРАНЕ НА ПАРТНЬОРСТВОТО/ (XX) TIENE XXXXXX XX XXXXX XXXXXXXXXX / XXXXX (XX/XX/XXXX) XX REGISTRO XX XX XXXXX XX XXXXX/ (CZ) XX V XXXXXXXXXXXXX XXXXXXXXXXX/XXXXX (XX/XX/XXXX) REGISTRACE XXXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXX/XXXX (DD/MM/ÅÅÅÅ) XXX XXXXXXXXXXXXXX XX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX PARTNER/DATUM (XX/XX/XXXX) DER XXXXXXXXXX XXX PARTNERSCHAFT/ (XX) XXXXXXXXXXXXXX ELUKAASLANE / XXXXXXX REGISTREERIMISE XXXXÄXX (XX/XX/XXXX)/ (EL) ΚΑΤΑΧΩΡΙΣΜΈΝΟΣ(-Η) ΣΥΝΤΡΟΦΟΣ / ΗΜΕΡΟΜΗΝΊΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΚΑΤΑΧΩΡΙΣΗΣ ΤΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ/ (XX) XXXXXXXXXX XXXXXXX/XXXX (DD/MM/YYYY) XX XXXXXXXXXXXX XX XXX XXXXXXXXXXX/ (XX) XXXXX XXXXXX XX XXXXXXXXXXX XXXXXXXXXX/XXXX (JJ/MM/AAAA) X'XXXXXXXXXXXXXX XX PARTENARIAT/ (XX) XXXXXXXXX XXXXXXXXX/XXXX (XX/XX/XXXX) XXXXXX XX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXX / XXXXX (XX/XX/XXXX) XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) PARTNER XXXXXXXXXX/XXXX XX XXXXXXXXXXXXX DELL'UNIONE (XX/XX/XXXX)/ (LV) REĢISTRĒTAIS XXXXXXXXX / XXXXXXXXXXXXXĪXX XXĢXXXXĒXXXXX DATUMS (DD/MM/GGGG)/ (XX) XXXXXXXXXXXX (-X) XXXXXXXXX (-Ė) / XXXXXXXXXXĖX XXXXXXXX XXXX (XX/XX/XXXX)/ (HU) XXXXXXXXXX XXXXXXXX/X XXXXXXXXXX ÉLETTÁRSI XXXXXXXXX LÉTESÍTÉSÉNEK IDEJE (XXXX/XX/XX)/ (XX) XXXĦXX(/XXXĦXX) XXĠXXXXXX(X) X DATA (XX/XX/XXXX) XXX-XXĠXXXXXXXXXXX XXX-XĦXXXXX/ (XX) GEREGISTREERDE XXXXXXX/XXXXX (XX/XX/XXXX) XXX REGISTRATIE XXX XXX PARTNERSCHAP/ (XX) XXXXXXXXX X XXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXX / XXXX (XX/XX/XXXX) XXXXXXXX XXXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX/ (XX) XXXXXXXX(X) XXXXXXXXX(X)/XXXX XX XXXXXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) PARTENER ÎXXXXXXXXXX/XXXX (XX/XX/XXXX) ÎXXXXXXXXĂXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX PARTNER/DÁTUM (XX/XX/XXXX) XXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (SL) XXXXXXXXXXX XXXXXXX/XXXXX (DD/MM/LLLL) REGISTRACIJE XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXÖXXX XXXXXXXX/XXXXXXXXXXX XXXXXXXXÖXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) REGISTRERAD XXXXXXX/XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXXXXXXXXXX AV XXXXXXXXXXXXX

5.2

(XX) БЕЗ РЕГИСТРИРАНО ПАРТНЬОРСТВО/ (XX) XX TIENE XXXXXX XX XXXXX XXXXXXXXXX/ (CZ) XXXX X XXXXXXXXXXXXX PARTNERSTVÍ/ (XX) IKKE X XX XXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXX XX XXXXX XXXXXXXXXXXXX XXXXXXXXXXXXX/ (XX) XX XXX XXXXXX XXXXXXXXXXXXXX XXXXXXXX/ (XX) ΔΕΝ ΒΡΙΣΚΕΤΑΙ ΣΕ ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΧΕΣΗ ΣΥΜΒΙΩΣΗΣ/ (XX) XXX XX X XXXXXXXXXX XXXXXXXXXXX/ (XX) N'AYANT XXX XXXXXX DE XXXXXXXXXXX ENREGISTRÉ/ (XX) XXX XX XXXXX XXXXXXXXX X bPÁIRTNÉIREACHT XXXXXXXXXX/ (XX) NIJE X REGISTRIRANOM XXXXXXXXXXX/ (XX) XXX XX XXXXXX REGISTRATA/ (XX) XXX REĢISTRĒTAS PARTNERATTIECĪBAS/ (XX) XXXXXXXĘX (-IUSI) XXXXXXXXXXXX PARTNERYSTĖS/ (XX) XXXXX XXXXXXXXXX ÉLETTÁRSI XXXXXXXXXX/ (XX) MHUX XX SĦUBIJA XXĠXXXXXXX/ (XX) XXXX IN XXX XXXXXXXXXXXXX XXXXXXXXXXXX/ (XX) NIE XXXXXXXXX X XXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXX/ (PT) XÃX XXX UMA PARCERIA XXXXXXXXX/ (RO) XX XX XXXĂ ÎXXX-XX XXXXXXXXXXX ÎXXXXXXXXXX/ (XX) XXXXXX V XXXXXXXXXXXXX XXXXXXXXXXX/ (SL) NI X XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (FI) XX XXXXXXXXÖXXXXXÄ PARISUHTEESSA/ (XX) XX X XXXXXXXXXXX XXXXXXXXXXX

5.2.1

(XX) НИКОГА НЕ Е РЕГИСТРИРАЛО ПАРТНЬОРСТВО/ (XX) XX HA XXXXXX XXXXX XXXXXX XX XXXXX XXXXXXXXXX/ (XX) XXXXX NEBYLA X REGISTROVANÉM XXXXXXXXXXX/ (XX) XXXXXX X XX XXXXXXXXXXX XXXXXXXXXXX/ (XX) XXX XX XXXXX XXXXXXXXXXXXX XXXXXXXXXXXXX/ (XX) XX XXX XXXXXXXXXXXXXX KOOSELUS OLNUD/ (XX) ΔΕΝ ΕΧΕΙ ΣΥΝΑΨΕΙ ΠΟΤΕ ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΧΕΣΗ ΣΥΜΒΙΩΣΗΣ/ (XX) XXXXX IN A XXXXXXXXXX XXXXXXXXXXX/ (XX) X'XXXXX XXXXXX CONCLU XX XXXXXXXXXXX XXXXXXXXXX/ (XX) XX XXXXX XX XXXXX PÁIRTEACH X bPÁIRTNÉIREACHT XXXXXXXXXX XXXXX/ (XX) XXXXXX XXXX XXX(-XX) U XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXX XXXXXXXXX XX'XXXXXX XXXXXXXXXX/ (XX) XXXXX XXX XXĀXXXX XXĢXXXXĒXĀX XXXXXXXXXXXXXĪXĀX/ (XX) XXXXXXX XXXXXX XXXXXĘX (-IUSI) XXXXXXXXXXXX XXXXXXXXXXĖX/ (HU) XXXXX XXXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXX/ (MT) XXXX XX XXXX XX SĦUBIJA XXĠXXXXXXX/ (XX) XXXXX IN XXX XXXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXXX NIE XXXXXŁ(-X) XXXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX/ (XX) XXXXX XXXX XXX XXXXXXXX XXXXXXXXX/ (XX) XX X-X XXXXX NICIODATĂ ÎXXX-XX PARTENERIAT ÎXXXXXXXXXX/ (XX) XXXXX NEŽILA X REGISTROVANOM XXXXXXXXXXX/ (XX) NIKOLI NI XXX V XXXXXXXXXXXX XXXXXXXXXX SKUPNOSTI/ (XX) XX XXX KOSKAAN XXXXX XXXXXXXXÖXXXXXÄ XXXXXXXXXXXXX/ (XX) XXX XXXXXX XXXXX I XXX XXXXXXXXXXX XXXXXXXXXXX

5.2.2

(XX) С РАЗТРОГНАТО РЕГИСТРИРАНО ПАРТНЬОРСТВО/ДАТА (ДД/ММ/ГГГГ) НА РАЗТРОГВАНЕ НА ПАРТНЬОРСТВОТО/ (XX) XX XXXXXXXXX XX XXXXXXXX DE UNA XXXXX DE XXXXX / FECHA (DD/MM/AAAA) XX XX XXXXXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXX XXXX ZRUŠENO/DATUM (XX/XX/XXXX) XXXXXXX XXXXXXXXXXX/ (XX) XXXØXX XXXXXXXXXXX PARTNERSKAB/DATO (XX/XX/ÅÅÅÅ) FOR XXXØXXXXX XX XXXXXXXXXXXXX/ (DE) XXXXXXXXXXX EINGETRAGENE PARTNERSCHAFT/DATUM (XX/XX/XXXX) XXX AUFHEBUNG XXX PARTNERSCHAFT/ (XX) XXXXXXXXXXXXXX KOOSELU ON XÕXXXXXXX / KOOSELU XÕXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΛΥΘΕΙΣΑ ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΧΕΣΗ ΣΥΜΒΙΩΣΗΣ / ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΛΥΣΗΣ ΤΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ/ (XX) DISSOLVED REGISTERED XXXXXXXXXXX/XXXX (DD/MM/YYYY) XX XXXXXXXXXXX OF XXX XXXXXXXXXXX/ (FR) AYANT XXXXXX UN XXXXXXXXXXX XXXXXXXXXX DISSOUS/DATE (XX/XX/XXXX) XX XXXXXXXXXXX DU XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXXX XXXXXXXXXXX/XXXX (XX/XX/XXXX) XXXXXXXXXXXXX NA XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXXX XXXXXXXXXXX / XXXXX (XX/XX/XXXX) XXXXXXXXĆX REGISTRIRANOG XXXXXXXXXXX/ (IT) UNIONE XXXXXXXXXX XXXXXXX/XXXX DI XXXXXXXXXXXX DELL'UNIONE (XX/XX/XXXX)/ (XX) XXXXXXXXĀX REĢISTRĒTAS XXXXXXXXXXXXXĪXXX / XXĢXXXXĒXX XXXXXXXXXXXXXĪXX XXXXXXXXXĀX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXXXX XXXXXXXXXXĖ XXXXXXXXX / XXXXXXXXXXĖX XXXXXXXXXX XXXX (XX/XX/XXXX)/ (HU) XXXXXŰXX XXXXXXXXXX XXXXXXXXX XXXXXXXXX/X XXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXXŰXXXXXXX IDEJE (XXXX/XX/XX)/ (XX) SĦUBIJA XXĠXXXXXXX XXXXX U XXXX (XX/XX/XXXX) XXX-XXXXXXXXX XXX-XĦXXXXX XXĠXXXXXXX/ (XX) ONTBONDEN XXXXXXXXXXXXX XXXXXXXXXXXX/XXXXX (XX/XX/XXXX) XXX XXXXXXXXXX VAN XXX PARTNERSCHAP/ (PL) XXXXXĄXXXXX XXXXXXXXXXXXXXXX ZWIĄZKU XXXXXXXXXXXXX / XXXX (XX/XX/XXXX) ROZWIĄZANIA ZAREJESTROWANEGO XXXĄXXX XXXXXXXXXXXXX/ (PT) XXXXXXXX XXXXXXXXX XXXXXXXXXX/XXXX XX DISSOLUÇÃO DA XXXXXXXX (DD/MM/AAAA)/ (XX) XXXXXXXXXXX ÎXXXXXXXXXX DIZOLVAT/DATA (XX/XX/XXXX) DIZOLVĂRII PARTENERIATULUI/ (XX) XXXXXXXXXXXX XXXXXXXXXXX XXXX XXXXXXX/XXXXX (DD/MM/RRRR) XXXXXXXX REGISTROVANÉHO XXXXXXXXXXX/ (XX) REGISTRIRANA XXXXXXXXXX XXXXXXXX XX XXXXXXXXX/XXXXX (XX/XX/XXXX) PRENEHANJA XXXXXXXXXXXX XXXXXXXXXX SKUPNOSTI/ (XX) XXXXXXXXÖXXX XXXXXXXXX XXXXXXX/XXXXXXXXXXX XXXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXÖXX XXXXXXXXXXX XXXXXXXXXXX/XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXXÖXXXXX 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 / FECHA (XX/XX/XXXX) XX XXXXXXXXXXXXX XX LA XXXXXX XX XXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX – XXXXXXXXX/XXXXX (XX/XX/XXXX) XXXXX XXXXXXXX – XXXXXXXXX/ (DA) XÆXXXXXXXXXXX XXXXXXX/XXXX (DD/MM/ÅÅÅÅ) XXX XXXXXXXX XØX/ (XX) ÜXXXXXXXXXXX XXXXXXX/XXXXXXXXXXX (TT/MM/JJJJ) XXX XXXXXXXX/ (XX) ÜXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX / XXXXXXXXXXXXXX XXXXXXXXXXX XXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΕΠΙΖΩΝ(-ΣΑ) ΣΥΝΤΡΟΦΟΣ / ΗΜΕΡΟΜΗΝΊΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΘΑΝΑΤΟΥ ΣΥΝΤΡΟΦΟΥ/ (XX) XXXXXXXXX XXXXXXX/ XXXX (XX/XX/XXXX) XX XXXXXXX'X XXXXX/ (FR) XXXXXXXXXX XXXXXXXXX/XXXX (JJ/MM/AAAA) XX XXXÈX XX PARTENAIRE/ (XX) XXXXXXXXX MARTHANACH/ XXXX (LL/MM/BBBB) XXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX PARTNER / XXXXX (XX/XX/XXXX) XXXXX XXXXXXXX/ (IT) PARTNER XXXXXXXXXX/XXXX XX DECESSO XXX XXXXXXX (XX/XX/XXXX)/ (XX) XĀXXXĪXXXXXXXX XXXXXXXXX / XXXXXXXX XXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXĘX (-XXX) XXXXXXXXX (-Ė) / XXXXXXXXX (-ĖX) MIRTIES XXXX (XX/XX/XXXX)/ (XX) TÚLÉLŐ XXXXXXXX/XX ÉLETTÁRS XXXXXXXXX XXXXX (XXXX/XX/XX)/ (MT) XXXĦXX(/XXXĦXX) XXXXXXXXXX X XXXX (JJ/XX/SSSS) XXX-XXXX XXX-XXXĦXX(/XXXĦXX)/ (XX) OVERLEVENDE XXXXXXX/XXXXX (XX/XX/XXXX) XXX XXXXXXXXXX XXX XX XXXXXXX/ (XX) PARTNER XXXXXXXXĄXX XXXX ŻXXXX / XXXX (DD/MM/RRRR) XXXXX XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX(X) SOBREVIVO(A)/ XXXX XX XXXXX XX(X) PARCEIRO(A) (XX/XX/XXXX)/ (XX) XXXXXXXX XXXXXXXXȚXXXXX/XXXX (XX/XX/XXXX) XXXXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX/XXXXX (XX/XX/XXXX) ÚMRTIA XXXXXXXX/ (XX) XXXXXXXXX XXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXXXXX SMRTI/ (XX) ELOONJÄÄNYT XXXXXXXX/XXXXXXXXX XXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXXXXXXXXX XXXXXXX/XXXXX (DD/MM/ÅÅÅÅ) XÖX XXXXXXXXX DÖD

5.3

(BG) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) NEURČENO/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) MÄÄRAMATA/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) INDÉTERMINÉ/ (XX) NEAMHCHINNTITHE/ (HR) XXXXXXĐXX/ (IT) INDETERMINATO/ (XX) XXXXXXXXXX/ (LT) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) MHUX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) NÃO XXXXXXXX/ (RO) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) MÄÄRITTELEMÄTÖN/ (XX) EJ XXXXXXÄXXX

6.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX XXXXX/ (XX) XXXX PRO PODPIS/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) ALLKIRJALAHTER/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) SIGNATURE XXX/ (XX) CADRE POUR XX XXXXXXXXX/ (XX) XXXXX XXX XXXXX/ (XX) POLJE XX XXXXXX/ (XX) RIQUADRO XXX XX XXXXX/ (XX) PARAKSTA LAUKS/ (XX) XXXXXX XXXXXXXX/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) VAK XXXX XX XXXXXXXXXXXX/ (XX) XXXX PODPISU/ (XX) ESPAÇO DESTINADO À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (SK) XXXXXXX XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (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 XXXX XXXXXXX/ (XX) XXXXXXXX A XXXXX (XXXXX) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (DA) XXXXXXXXX(X) XX XXXXXXX(X) XÅ XXX XXXXXXXXXX, XXX XXX XXXXXXX DENNE XXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX VORNAME(N) XXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX HAT/ (XX) KÄESOLEVA 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 XXX XXXXXXXX WHO XXXXXX XXXX FORM/ (XX) XXX(X) ET XXXXXX(X) XX XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX (SLOINNTE) XXXX XXXXXXXX (CÉADAINMNEACHA) XX XXXXXXXX X D’EISIGH XX XXXXXX XXX/ (XX) XXXXXXX(XX) I XXX(XX) XXXXXXXXXX KOJI XX XXXXX XXXX XXXXXXX/ (IT) COGNOME/I X NOME/I DEL XXXXXXXXXXX XXX XX XXXXXXXXXX XX PRESENTE XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, UZVĀRDS(-I) XX XĀXXX(-X)/ (XX) XXĄ XXXXĄ IŠDAVUSIO PAREIGŪNO XXXXXXĖ (-ĖX) XX XXXXXX (-AI)/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXX NEVE(I) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦAREĠ XXX XX-XXXXXXX/ (XX) XX(X)X(XX) XX XXXXXX(X)X(XX) XXX DE AMBTENAAR XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) X XXXĘ (XXXXXX) URZĘDNIKA, XXXXX XXXXŁ NINIEJSZY XXXXXXXXX/ (XX) XXXXXXX(X) X XXXX(X) PRÓPRIO(S) XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX FORMULÁRIO/ (XX) XXXXXX ȘX XXXXXXXXX XXXXȚXXXXXXXXX CARE X XXXX PREZENTUL XXXXXXXX/ (XX) PRIEZVISKO(-Á) X MENO(-Á) ÚRADNÍKA, XXXXX VYDAL TENTO XXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX IME/IMENA XXXXXXXX, XX XX XXXXX XX OBRAZEC/ (FI) XÄXÄX LOMAKKEEN XXXXXXXX XXXXXXXXXXX XXXXXXXX (-NIMET) XX ETUNIMI (-XXXXX)/ (XX) EFTERNAMN XXX XÖXXXXX XÅ XXX XXÄXXXXXXX SOM XXX XXXÄXXXX XXXXX XXXXXXÄX

6.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX FUNCIONARIO XXX XXXXXXX ESTE XXXXXXX/ (XX) FUNKCE XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX — DEN EMBEDSMAND, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX XXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX HAT/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX AMETIKOHT/ (EL) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXX XX XXX XXXXXXXX XXX XXXXXX XXXX FORM/ (XX) XXXXX XX XXXXXXXXXXXXX XXX X XXXXXXX XX PRÉSENT XXXXXXXXXX/ (XX) XXXX XX XXXXXXXX X X’XXXXXX XX XXXXXX SEO/ (XX) FUNKCIJA XXXXXXXXXX XXXX XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX DEL XXXXXXXXXXX XXX HA XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, XXXXX/ (LT) ŠIĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXXXX/ (MT) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX XXX DE XXXXXXXXX XXX XXX XXXXXXXXX HEEFT XXXXXXXXX/ (XX) STANOWISKO XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX XX XXXXXXXXXXX XXX XXXXXX O XXXXXXXX XXXXXXXXXX/ (RO) XXXXȚXX XXXXȚXXXXXXXXX XXXX X XXXX PREZENTUL FORMULAR/ (XX) FUNKCIA XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XX JE XXXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX VIRKAMIEHEN XXXXX/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) VYDÁNÍ/ (XX) XXXXXXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (XX/XX/XXXX) OF ISSUE/ (XX) XXXX (XX/XX/XXXX) XX DÉLIVRANCE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (IT) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) VAN XXXXXXX/ (XX) DATA (XX/XX/XXXX) WYDANIA/ (PT) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (FI) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) DATUM (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (XX) FIRMA/ (XX) XXXXXX/ (DA) XXXXXXXXXXX/ (DE) XXXXXXXXXXXX/ (XX) ALLKIRI/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) SIGNATURE/ (GA) XXXXX/ (XX) XXXXXX/ (XX) FIRMA/ (XX) XXXXXXXX/ (XX) PARAŠAS/ (XX) XXXXXXX/ (XX) XXXXX/ (NL) XXXXXXXXXXXX/ (XX) XXXXXX/ (PT) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) ALLEKIRJOITUS/ (XX) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX O TIMBRE/ (XX) XXXXX XXXX XXXXXXX/ (DA) XXXX XXXXX XXXXXXX/ (XX) XXXXXX XXXX XXXXXXX/ (XX) PITSER VÕI XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) SEAL OR XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (XX) ŽIG ILI XXXXX/ (XX) BOLLO X XXXXXX/ (XX) XĪXXXX VAI XXXXXXXX/ (XX) SPAUDAS XXXX XXXXXXXXXX/ (HU) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (MT) XXĠXXX XXX XXXXXX/ (XX) XXXXX OF XXXXXXX/ (XX) PIECZĘĆ XXX XXXXXXX/ (PT) XXXX OU XXXXXXX/ (XX) SIGILIUL SAU ȘXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (XX) PEČAT XXX XXX/ (XX) XXXXXXX XXX XXXXX/ (XX) XXXXXX XXXXX XXÄXXXX

XXXXXXXX nebo XXXXX POBYTU

VÍCEJAZYČNÝ XXXXXXXXXX XXXXXXXX – XXXXXXX XXX XXXXXXX

Xxxxxx 7 xxxxxxxx Evropského xxxxxxxxxx x Rady (XX) 2016/1191 xx xxx 6. července 2016 x xxxxxxx xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx x Evropské unii x o xxxxx xxxxxxxx (XX) č. 1024/2012 (1) (2)

Belgie (XX) Bulharsko (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (IT) Xxxx (XX)

Xxxxxxxx (LV) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxx (XX) Xxxxxxxx (AT)

Polsko (XX) Portugalsko (PT)

Rumunsko (XX) Slovinsko (XX)

Xxxxxxxxx (XX) Xxxxxx (FI)

Švédsko (XX) Spojené xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxxxxx xxxxxxxxx je xxxxxxxxx xxxxxxxx xxxxxxx listiny, x xxx xx xxxxxxxx. Xxxxx xxxxxxxx xx xxxx xxxxxxxxx xxxxx xxxxx pohybovat xxxx samostatný xxxxxxxx.

Xxxxx xxxxxxxx odráží xxxxx xxxxxxx xxxxxxx, x xxx je xxxxxxxx. Xxxxx, xxxxx xx xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx xxxx v xxxxxxxxx, xxx je xx xxxxxxxx xxx xxxxx zpracování xxxxxxx xxxxxxx, požadovat xxxxxxx xx xxxxxx xxxxxxxxx, xxxxx xxxx ve xxxxxxxxx xxxxxxx.

XXXXXXXXXX PRO XXXXXXXXXX ORGÁN

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

Pokud xxxxxxx xxxxxxx, k xxx xx xxxxxxxx tento xxxxxxxx, neobsahuje xxxxxx xxxxx nebo xxxxxxxxx, xxxxxx „–“.

1. XXXXX XXXXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (4)

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

1.1 Xxxxx (5)

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

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

3.1.1 Rozhodnutí soudu

3.1.2 Xxxxxxx vydaná xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx xxxxxx xxxxxxx úředníkem

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

3.1.5 Xxxx (xxxxxxxxx)

(1) Xx. věst. L 200, 26.7.2016, x. 1.

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

(3) Při xxxxxxxxxx xxxxx použijte xxxxxxx xxxxx.

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

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

3.2 Xxxxxxx xxxxxx správním xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x matriky

3.2.3 Xxxxx x registru xxxxxxxx

3.2.4 Xxxx xxxxxxxxxx xxxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, xxxxxx xxxx xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

3.5 Listina vyhotovená xxxxxxxxxxxxx zástupcem xxxx xxxxxxxxxxx úředníkem členského xxxxx v xxxxx xxxxxx xxxx xxxxxxxxxx xxxxxxxxxx

3.6 Datum (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXX X DOTYČNÉ XXXXX

4.1 Xxxxxxxx

4.2 Jméno (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. SOUČASNÉ XXXXXXXX XXXX XXXXX XXXXXX XXXXX XXXXXXX XX XXXXXXX XXXXXXX, X XXX JE XXXXXXXX XXXXX FORMULÁŘ

5.1 Xxxxxxxx

5.1.1 Xxxxxx:

5.1.1.1 Ulice x xxxxx xxxx / xxxxxxxx xxxxxxxxx

5.1.1.2 Xxxxx x xxxxxxxx směrovací xxxxx

5.1.1.3 Xxxx (1)

5.2 Xxxxx xxxxxx

5.1.1 Xxxxxx:

5.1.1.1 Xxxxx x xxxxx xxxx / xxxxxxxx xxxxxxxxx

5.1.1.2 Xxxxx a xxxxxxxx xxxxxxxxx xxxxx

5.1.1.3 Xxxx (2)

6. XXXX XXX XXXXXX

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

6.2 Xxxxxx xxxxxxxx, který xxxxx xxxxx xxxxxxxx

6.3 Xxxxx (xx/xx/xxxx) xxxxxx

6.4 Xxxxxx

6.5 Xxxxx xxxx xxxxxxx

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

(2) Xxxxx xxxx x – xxxxx xxxxxxxx – xxx XXX xxxx xxxx xxxx xxxxxxx „Xxxx (upřesněte)“ je xxxxx xxxxxx x xxxxxxxxxxx xxxxxxx xx xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxxxxxx, xxxxx xx x xxxxxxxxx na xxxxxxx xxxxxxxx x-xxxxxxx.

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXXXX nebo XXXXX XXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX EXPIDE XXXX XXXXXXX/ (CZ) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (DA) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) BEHÖRDE, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX XÄXXX XXXXXX ASUTUS/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) AUTHORITY XXXXXXX XXXX XXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXX FORMULAIRE/ (XX) XX xXXXXXX X XXXXXXXX AN XXXXXX XXX/ (HR) XXXXXX XXXX XXXXXX XXXX XXXXXXX/ (IT) XXXXXXXÀ CHE XXXXXXXX XX PRESENTE XXXXXX/ (XX) VEIDLAPAS XXXXXĒXXXXXĀXX/ (XX) ŠIĄ XXXXĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) A FORMANYOMTATVÁNYT XXXXXXXX HATÓSÁG/ (XX) XXXXXXXÀ EMITTENTI XX' XXX IL-FORMOLA/ (XX) XXXXXXXXXX VAN XXXXXXX XXX DIT FORMULIER/ (XX) XXXXX XXXXXĄXX XXXXXXXXX FORMULARZ/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X PREZENTULUI XXXXXXXX/ (XX) ORGÁN VYDÁVAJÚCI XXXXX FORMULÁR/ (SL) XXXXX, KI XXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) MYNDIGHET XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (DE) BEZEICHNUNG/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (LV) XXXXXXXXX/ (XX) PAVADINIMAS/ (HU) XXXXXXXXXX/ (XX) TITLU/ (XX) XXXXXXXX/ (XX) XXXXX/ (PT) XXXXXXXÇÃX/ (XX) DENUMIRE/ (XX) XXXXX/ (XX) IME/ (XX) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX XXXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXX MYNDIGHED, DER XXX XXXXXXX DET XXXXXXXXXX XXXXXXXX, SOM XXXXX XXXXXXXX XX XXXXÆXXXX/ (DE) BEHÖRDE, XXX XXX ÖFFENTLICHE XXXXXXX, XXX XXXXXX XXXXXXXX BEIGEFÜGT XXX, XXXXXXXXX/ (XX) XXXXXX, XXX XXXXX XÄXXX XXXXXXX DOKUMENDI, XXXXXXX XXX XXXX ON XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXX XXXXXXXX XX XXXXX XXXX FORM XX XXXXXXXX/ (FR) XXXXXXXX DE XXXXXXXXXX XX DOCUMENT PUBLIC XXXXXX EST XXXXX XX XXXXXXX FORMULAIRE/ (XX) XX tÚDARÁS X XXXXXXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXX XXXX IZDAJE XXXXX ISPRAVU KOJOJ XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX IL XXXXXXXXX PUBBLICO CUI XX PRESENTE MODULO È XXXXXXXX/ (LV) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX IR XXXXXXXXXX, IZDEVĒJIESTĀDE/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX TAD-DOKUMENT XXXXXXXX XX XXXXĦX XXXX XXXXXŻX DIN XX-XXXXXXX/ (NL) XXXXXXXXXX XXX XXXXXXX VAN XXX XXXXXXXX DOCUMENT XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXX XXXĘXXXX, XX KTÓREGO XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (PT) XXXXXXXXXX XXX XXXXX O XXXXXXXXX PÚBLICO X XXX X PRESENTE XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXXX OFICIAL XX XXXX XXXX XXXXXX XXXXXXXXX FORMULAR/ (XX) XXXXX VYDÁVAJÚCI XXXXXXX LISTINU, KU XXXXXX XX TENTO XXXXXXXX XXXXXXXXX/ (SL) XXXXX, XX IZDA XXXXX LISTINO, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXXXX, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (SV) XXXXXXXXX XXX XXXÄXXXX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX BIFOGAT

3.

(BG) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX RELATIVA XX XXXXXXXXX XXXXXXX XX QUE XX XXXXXXX ESTE IMPRESO/ (XX) INFORMACE TÝKAJÍCÍ XX XXXXXXX XXXXXXX, X NÍŽ XX XXXXXXXX XXXXX XXXXXXXX/ (XX) OPLYSNINGER XXXXØXXXXX XXX OFFENTLIGE DOKUMENT, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXX ZUR ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX IST/ (XX) TEAVE XXXXXXX XXXXXXXXX KOHTA, XXXXXXX XXX XXXX XX 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 XXXX XX XXXXXXXX/ (FR) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX X XXXXXXXXX XXXX XX DOICIMÉAD POIBLÍ XXXX BHFUIL AN XXXXXX SEO XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXX XX ODNOSE XX XXXXX XXXXXXX KOJOJ XX XXXX XXXXXXX XXXXXXXX/ (XX) INFORMAZIONI XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX PUBLISKO DOKUMENTU, XXXXX XĪ XXXXXXXX XX PIEVIENOTA/ (LT) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXXXX XXXXXXXXX INFORMÁCIÓK/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX HET XXXXXXXX XXXXXXXX XXXXXXX DIT XXXXXXXXX XX XXXXXXX/ (XX) INFORMACJE XXXXXXĄXX XXXXXXXXX URZĘDOWEGO, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX ZAŁĄCZONY/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) INFORMAȚII 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 XXXXX XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (SV) XXXXXXXXXXX XX DEN XXXXXXXXXX HANDLING TILL XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) DOCUMENTO EXPEDIDO XXX XXX XXXXXXXXX X UN XXXXXXXXXXX XXXXXXXXX X LOS XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX MIEMBRO/ (XX) LISTINA XXXXXX XXXXXXX XXXX ÚŘEDNÍKEM X VAZBOU NA XXXXX XXXXXX XXXXXXXXX XXXXX/ (XX) DOKUMENT, XXX ER XXXXXXX XX XX XXXXXXXXX XXXXX XX EMBEDSMAND, XXX XX XXXXXXXXXX XXXXXXXX X XX XXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXÖXXX XXXX XXXXX XXXXXXXXXX XXX XXXXX DER RECHTSPFLEGE XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX XXXXXXXXX XXXXXX AMETIASUTUS XÕX AMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX XXXX AN XXXXXXXXX OR XX XXXXXXXX XXXXXXXXX WITH XXX XXXXXX XX XXXXXXXXX OF X XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXX D'UNE XXXXXXXX OU X'XX XXXXXXXXXXXXX RELEVANT D'UNE XXXXXXXXXXX D'UN XXXX XXXXXX/ (XX) DOICIMÉAD X XXXXXXX Ó XXXXXX XX Ó XXXXXXXXX X XXXXXX XXXXX XXXX NÓ XXXX XX XXXXXXXXXX XX LE XXXXX XX XXXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX IZDALO XXXXXX XXX XXXXXXXXX XXXX XXXXXX ČLANICE/ (IT) XXXXXXXXX XXXXXXX DA XX'XXXXXXXÀ X XX XX XXXXXXXXXXX XXXXXXXXXXXX XX XXX XXXXX XXXXXXXXXXXXX XX XXX XXXXX MEMBRO/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX XX XXXĪXXXXXXX TIESĀM XXXXXĪXX IESTĀDE XXX XXXXXXXXXXX/ (XX) DOKUMENTAS, XXXXXXXX XXXXXXXX XXXXXXXXXXXX XX PAREIGŪNO, XXXXXXXXŲ XX XXXXXXXĖX NARĖS XXXXXXXX AR XXXXXXXXXXX/ (XX) XXXXXXXXX BÍRÓSÁGGAL XXXXXXXXXXXX ÁLLÓ XXXXXXX XXXX TISZTVISELŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX XXXXXXXÀ JEW XXXXĊXXX XX JKOLLHOM XXXXX XXX-XXXXX XXX XX-XXXXXXXXX XX' STAT XXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX XXX EEN RECHTERLIJKE XXXXXXXXX VAN XXX XXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX ORGANU XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX PROVENIENTE XX UMA XXXXXXXXXX XX XX XX XXXXXXXXXXX XXXXXXXXXX XX XXXXXXXX XXXXXXXÇÃX XX XX ESTADO-MEMBRO/ (XX) XXXXXXXX XXXX XX X XXXXXXXXXX SAU XX XX FUNCȚIONAR XX PE XÂXXĂ XXXXXXȚXXX UNUI XXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXX XXXXXXXXX X VÄZBOU XX XXXX ČLENSKÉHO XXXXX/ (XX) LISTINA, XXXXXX S XXXXXX XXXXXX XXX XXXXXXXX XXXXX XXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX ON XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXXXXXXXX XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X EN XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (ES) XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (DE) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXX/ (XX) CINNEADH XX xXXXXX/ (XX) XXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) TIESAS XĒXXXX/ (XX) TEISMO XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) ORZECZENIE XĄXXXX/ (XX) XXXXXÃX XXXXXXXX/ (XX) HOTĂRÂRE XXXXXĂXXXXXXXĂ/ (SK) XXXXX XXXXXXXXXXX/ (XX) XXXXX XXXXXXX/ (XX) TUOMIOISTUIMEN XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) DOCUMENTO XXXXXXXX XXX XX XXXXXXXXXX XXXXXX/ (XX) XXXXXXX VYDANÁ STÁTNÍM XXXXXXXXX/ (DA) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXXXX/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXX XXXXXXXXXX/ (XX) DOCUMENT XXXXXXX DU MINISTÈRE XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX KOJU XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXX XXX PUBBLICO XXXXXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX PROKURORS/ (XX) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) ÜXXXXX ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX AFGEGEVEN XXXX XXX OPENBAAR XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX DO XXXXXXXXXX XXXXXXX/ (RO) XXXXXXXX EMIS XX XX XXXXXXXX/ (XX) XXXXXXX XXXXXX PROKURÁTOROM/ (XX) XXXXXXX, XX XX IZDA XXXXXXX XXXXXXXXX/ (FI) VIRALLISEN XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX EXPEDIDO POR XX XXXXXXXXXX JUDICIAL/ (XX) LISTINA VYDANÁ XXXXXX SOUDNÍM ÚŘEDNÍKEM/ (XX) XXXXXXXX UDSTEDT XX EN JUSTITSSEKRETÆR/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (ET) XXXXXXXX, XXXXX XX XÄXXX ANDNUD XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXX XX X XXXXX/ (XX) DOCUMENT ÉMANANT X'XX XXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXX XX XXXXX XXXXXX/ (HR) XXXXXXX XXXX JE XXXXX XXXXXXXXXX SUDSKE XXXXXXXXX/ (IT) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (LV) DOKUMENTS, XXXX IZSNIEDZIS TIESAS XXXXXXĀXX/ (XX) XXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX TISZTVISELŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX XXĠXXXXXXXX TA' XXXXX/ (NL) DOCUMENT XXXXXXXXX DOOR XXX XXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX OD SEKRETARZA XĄXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX DE XX XXXXXXX XX JUSTIÇA/ (XX) XXXXXXXX XXXX XX XX XXXXXXX XX INSTANȚEI/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXX/ (XX) LISTINA, XX XX XXXX XXXXX XXXXXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („HUISSIER XX XXXXXXX“)/ (ES) XXXXXXXXX XXXXXXXX POR UN XXXXXX XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX XX XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX ANDNUD XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX DE XXXXXXX»)/ (XX) DOCUMENT EMANATING XXXX X XXXXXXXX XXXXXXX ('HUISSIER XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX KOJU XX IZDAO SUDSKI XXXXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) DOCUMENTO XXXXXXX XX XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX JUSTICE")/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX (HUISSIER XX XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX DE JUSTICE”) XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT MAĦRUĠ XXXX XXXXĊXXX ĠUDIZZJARJU ('XXXXXXXX DE XXXXXXX')/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN GERECHTSDEURWAARDER/ (XX) XXXXXXXX POCHODZĄCY XX URZĘDNIKA SĄDOWEGO (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXÃX XX XXXXXXX («XXXXXXXX XX JUSTICE»)/ (XX) XXXXXXXX EMIS XX XX EXECUTOR XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (XX) LISTINA XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXX, KI XX XXXX SODNI 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 (ESPECIFÍQUESE)/ (XX) XXXX (XXXXXXXXX)/ (XX) ANDRE (ANGIVES)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (ET) XXX (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX XX SPECIFIED)/ (XX) XXXXX (À XXXXXXXX)/ (GA) XXXX (XX SONRÚ)/ (XX) XXXXXX (XXXXXXX)/ (IT) XXXXX (XXXXXXXXX)/ (XX) XXXX (XXXXXXĒX)/ (XX) XXXX (NURODYTI)/ (HU) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) INNY (XXXXXĘ XXXXŚXXĆ)/ (PT) XXXXXX (X XXXXXXXXXXX)/ (XX) XXXXX (A SE XXXXXXX)/ (SK) XXX (XXXXXXXX)/ (SL) DRUGO (XXXXXXX)/ (FI) XXX XXXXXXXXX (TÄSMENNETTÄVÄ)/ (SV) XXXXX XXXXXXXX (SPECIFICERAS)

3.2

(BG) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (DA) XXXXXXXXXXXXXX XXXXXXXX/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXXXXXXXXX/ (XX) DOICIMÉAD XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (XX) ADMINISTRATIEF XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) HALLINNOLLINEN XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) OSVĚDČENÍ/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (FR) XXXXXXXXXX/ (XX) XXXXXXXX/ (HR) XXXXXXX/ (IT) XXXXXXXXXXX/ (XX) APLIECINĀJUMS/ (XX) XXXXXX, XXXXXXXXXX/ (HU) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (XX) CERTIFICAAT/ (PL) XXŚXXXXXXXXXX/ (PT) XXXXXXÃX XX CERTIFICADO/ (XX) XXXXXXXXXX/ (SK) OSVEDČENIE/ (XX) XXXXXXXX/ (FI) XXXXXXXX/ (SV) INTYG

3.2.2

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX DEL XXXXXXXX CIVIL/ (XX) XXXXX X XXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (DE) XXXXXX XXX XXX PERSONENSTANDSREGISTER/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (EN) EXTRACT XXXX XXX XXXXX XXXXXX REGISTER/ (XX) XXXXXXX XX XXXXXXXX XX X'XXXX CIVIL/ (XX) XXXXXXX XX XX xXXXX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XX REGISTRA XXXXXXX XXXXXX/ (IT) ESTRATTO XX XXXX DI XXXXX XXXXXX/ (XX) XXXXXXXX XX XXXXXXXĀXXXĻX XXXX XXĢXXXXX/ (XX) XXXXXXX IŠ XXXXXXXĖX XŪXXĖX XXXŲ REGISTRO/ (XX) XXXXXÖXXXX KIVONAT/ (XX) XXXXXXX MIR-REĠISTRU XXX-XXXXX ĊXXXXX/ (NL) XXXXXXXXXX UIT HET XXXXXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (PT) XXXXXXX XX XXXX XX REGISTO XXXXX/ (XX) EXTRAS XXX XXXXXXXXX DE STARE XXXXXĂ/ (XX) XXXXX X XXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXX XX REGISTRA O XXXXXXX STANJU/ (XX) XÄXXXÖXXXXXXXXXXXX (SIVIILISÄÄTY)/ (XX) XXXXXX XX FOLKBOKFÖRINGEN

3.2.3

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX XXX XXXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) AUSZUG XXX XXX XXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX XXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX DU XXXXXXXX XX LA XXXXXXXXXX/ (XX) XXXXXXX XX XX xXXXX DAONRA/ (XX) XXXXXXX XX XXXXXX XXXXXXXXXXXX/ (IT) XXXXXXXX ANAGRAFICO/ (XX) XXXXXXXX NO XXXXĪXXXĀXX XXĢXXXXX/ (XX) XXXXXXX XX GYVENTOJŲ XXXXXXXX/ (XX) XXXXXXX A XXXXXXXXXXXX- ÉS XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX MIR-REĠISTRU XXX-XXXXXXXXXXXX/ (NL) XXXXXXXXXX XXX HET XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX X XXXXXXXX LUDNOŚCI/ (PT) XXXXXXX DO REGISTO XX XXXXXXÇÃX/ (XX) XXXXXX DIN REGISTRUL XX EVIDENȚĂ X XXXXXXȚXXX/ (XX) XXXXX X XXXXXXXX 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 ACTAS DEL XXXXXXXX XXXXX/ (XX) XXXX MATRIČNÍCH ZÁZNAMŮ/ (XX) ORDRET XXXX XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX VON XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) PEREKONNASEISUAKTI XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (EN) XXXXXXXX XXXX XX XXXXX XXXXXX RECORDS/ (XX) XXXXX XXXXXXXXX X'XXXXX XX X'XXXX XXXXX/ (XX) XXXX XXXXX XX XXXXXX XX XXXXXXX AR XXXXXX XXXXXXXXX/ (XX) DOSLOVNI XXXXXXXX IZ EVIDENCIJA X OSOBNOM XXXXXX/ (XX) XXXXX XXXXXXXXX XX XXXX DI XXXXX XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX XXĢXXXXX XXXXXXXX AUTENTISKA XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮXXXŲ PAŽODINĖ XXXXXX/ (HU) XXXXXÖXXXX XXXXXXXXX SZÓ SZERINTI XXXXXXXX/ (XX) KOPJA XXXXXXXX TAL-ATTI XXX-XXXXX ĊXXXXX/ (XX) EENSLUIDEND XXXXXXXXX XXX XXXXX XXX DE BURGERLIJKE XXXXX/ (XX) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (PT) XXXXXXÃX XX XXXXX XXXXXXXX XX XX XXXXXXXXX XX XXXX XX XXXXXXX XXXXX/ (RO) XXXXX XXXXXĂ X XXXX XXX DE XXXXX CIVILĂ/ (SK) XXXXXXXX XXXXX XX XXXXXXX X OSOBNOM XXXXX/ (SL) XXXXXXXXX XXXXXX XXXXXX X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX SANATARKKA JÄLJENNÖS/ (XX) ORDAGRANN XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) NOTARBEKRÆFTET XXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) XXXX NOTARIÉ/ (XX) XXXXXX NÓTAIREACHTA/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX NOTARILE/ (XX) XXXXXXĀXX AKTS/ (XX) XXXXXXXXX XXXXX/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) XXX XXXXXXXX/ (XX) NOTARIËLE XXXX/ (XX) XXX XXXXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXX NOTARIAL/ (XX) NOTÁRSKA XXXXXXX/ (XX) NOTARSKA LISTINA/ (XX) XXXXXXXX XXXXXX XXXXXXXXX/ (SV) NOTARIELL XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) CERTIFICACIÓN XXXXXXX XXXXXX SOBRE UN XXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXX, XXXXXX XXXX XXXXXXXX LISTINA XXXXXXXXX SOUKROMOU XXXXXX/ (XX) XXXXXXXX XÅXXXXXXX XÅ ET XXXXXXXX XXXXXXXXXXX XX XX XXXXXX X DENNES XXXXXXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX XXXXX PRIVATURKUNDE/ (XX) ISIKU XXXXX XXXXXXXXXX XXXXXXXXXXXXXX DOKUMENDILE XXXXXXXXXX AMETLIK TÕEND/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX XXXXXX ON X XXXXXXXX XXXXXX XX A PERSON XX HIS XX XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX OFFICIELLE XXXXXXX SUR XX XXXX XXXX XXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX A CHUIRTEAR XX XXXXXXXXXX XXXX XXXXXX XX XXXXX XXX XXXXX NÓ XXX XXXX PHRÍOBHÁIDEACH/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX XX ISPRAVU XXXX JE XXXXX XXXXXXXXX U XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX XXX SCRITTURA XXXXXXX/ (XX) XXXXXĀXX APLIECINĀJUMS XX XXXXXXXXX, KO XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX PERSONA/ (XX) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ OFICIALŪS XXXXXXXXXXXXX/ (XX) MAGÁNOKIRATON XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ĊXXXXXXXXX XXXXĊXXXX LI XXXXXXXĦXX X'XXXXXXXX IFFIRMAT XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (NL) XXXXXXXXX CERTIFICAAT XX XXX XXXXXXXX XXXXXXXXXXX XXXX XXX XXXXXXX XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (PL) XXXĘXXXX XXŚXXXXXXXXXX UMIESZCZONE XX XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ DZIAŁAJĄCĄ X XXXXXXXXXXX PRYWATNYM/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX XXX XX XXXXXXXX PRIVADA/ (RO) XXXXXXXXXX XXXXXXX APLICAT XX XX XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX XX XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXXX IZJAVA XX ZASEBNI LISTINI/ (XX) VIRALLINEN TODISTUS XXXXXXXXXXXX, JONKA HENKILÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX INTYG XXXXXXXXX XÅ XX XXXXXXXX XXX XXXXXXXXXXXXX XX XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX XXX UN XXXXXX XXXXXXXXXXX O XXXXXXXX XX XX XXXXXX XXXXXXX XXX XXXXXXXX XXXXXXX/ (CZ) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX NEBO XXXXXXXXXXX XXXXXXXXX ČLENSKÉHO XXXXX X RÁMCI VÝKONU XXXX SLUŽEBNÍCH XXXXXXXXXX/ (XX) XXXXXXXX OFFICIELT XXXÆXXXXXX AF XX XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX REPRÆSENTANT/ (XX) XXX XXXXX XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX MITGLIEDSTAATS XX XXXXXX AMTLICHEN FUNKTION XXXXXXXXXX XXXXXXX/ (ET) XXXXXXXXXXXX XXXXXXXXXXXXXX VÕI XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX KOOSTATUD XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ / (EN) DOCUMENT XXXXX XX XX X XXXXXXXXXX XX XXXXXXXX AGENT OF X XXXXXX STATE XX XXX XX XXX OFFICIAL XXXXXXXX/ (XX) XXXXXXXX ÉTABLI XX XX QUALITÉ XXXXXXXXXX PAR XX XXXXX XXXXXXXXXXXX XX XXXXXXXXXX D'UN ÉTAT XXXXXX/ (GA) XXXXXXXXX XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX DE XXXXX XXXXXXXXX XXX XXXXX NÓ INA XXXX XXXXXXXXX/ (XX) XXXXXXX KOJU XX X SLUŽBENOM XXXXXXXX XXXXXXXX DIPLOMATSKI XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (IT) XXXXXXXXX XXXXXXX XX AGENTI XXXXXXXXXXX X CONSOLARI XX XXX STATO XXXXXX XXXX'XXXXXXXXX DELLE XXXX XXXXXXXX/ (XX) XXXXXXXXX, XXXX, PILDOT XXXXX XXXXĀXXXXX, SAGATAVOJIS XXXĪXXXXXXX XXXXXXĀXXXXXXX VAI XXXXXXĀXXXX XĀXXXĀXXX/ (LT) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX XX XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX TAGÁLLAM XXXXXXXXXXX VAGY XXXXXXX XXXXXXXXŐXX ÁLTAL XXXXXXXXX XXXŐXXXXXXX KIÁLLÍTOTT OKIRAT/ (XX) XXXXXXXX IMĦEJJI XXXX XĠXXX XXXXXXXXXXX XXX XXXXXXXXX TA' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX OPGESTELD XXXX XX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX XXX XXX LIDSTAAT XX XXXX XXXXXXËXX HOEDANIGHEID/ (XX) DOKUMENT SPORZĄDZONY XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX XXXĘXXXXX / (PT) XXXXXXXXX XXXXXXX POR XX XXXXXX XXXXXXXXXXX XX XXXXXXXX XX UM XXXXXX-XXXXXX XX EXERCÍCIO XXX XXXX FUNÇÕES XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX XX CĂTRE XX XXXXX XXXXXXXXXX XXX XXXXXXXX AL XXXX STAT MEMBRU, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX VYHOTOVENÁ XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX V RÁMCI XXXXXX XXXX XXXXXXX/ (XX) LISTINA, KI XX XXX XXXXXX XXXXX IZDA XXXXXXXXXXX XXX KONZULARNI XXXXXXXXXXX XXXXXX XXXXXXX/ (FI) XXXXXXXXX, JONKA XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX XX LAATINUT XXXXXXXXXXXXXXXXXX/ (XX) HANDLING XXXXÄXXXX X XXÄXXXXX XX XX DIPLOMATISK XXXXX KONSULÄR TJÄNSTEMAN X XX MEDLEMSSTAT

3.6

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) FECHA (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (DA) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) AUSSTELLUNGSDATUM (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (DD/MM/YYYY) XX XXXXX/ (FR) XXXX (JJ/MM/AAAA) XX XXXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/GGGG) IZDAVANJA/ (XX) XXXX DI XXXXXXXX (GG/MM/AAAA)/ (LV) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) A XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (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/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) IZDAJE/ (XX) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX XXXXXXXXXX DEL XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX VEŘEJNÉ XXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖXXXXXXXXXXX URKUNDE/ (ET) XXXXXXX XXXXXXXXX VIITENUMBER/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX XX XXX XXXXXX XXXXXXXX/ (FR) XXXXXX XX XXXXXXXXX XX XXXXXXXX PUBLIC/ (GA) XXXXXX XXXXXXXXX XX XXXXXXXXX PHOIBLÍ/ (HR) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXX XXX XXXXXXXXX PUBBLICO/ (LV) XXXXXXXĀ DOKUMENTA ATSAUCES XXXXXX/ (XX) VIEŠOJO XXXXXXXXX NUMERIS/ (XX) X XÖXXXXXXX HIVATKOZÁSI XXXXX/ (MT) XXXXX XX' REFERENZA TAD-DOKUMENT XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX HET XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) NÚMERO DE XXXXXÊXXXX DO XXXXXXXXX XXXXXXX/ (XX) NUMĂRUL XX REFERINȚĂ XX XXXXXXXXXXXX OFICIAL/ (XX) XXXXXXXXXX ČÍSLO XXXXXXXX XXXXXXX/ (SL) XXXXXXXXXX XXXXXXXX JAVNE XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX EL XXXXXXXXXX/ (XX) XXXXXXXXX O XXXXXXX XXXXX/ (XX) XXXXXXXXXXX XX XXX XÅXÆXXXXXX XXXXXX/ (XX) XXXXXXX XXX BETREFFENDEN XXXXXX/ (ET) XXXXXXXXX XXXXXX XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΊΑ ΤΟΥ ΠΡΟΣΏΠΟΥ ΤΟ ΟΠΟΊΟ ΑΦΟΡΆ ΤΟ ΈΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX PERSON XXXXXXXXX/ (XX) XXXXXXXXXXXX XXX XX XXXXXXXX CONCERNÉE/ (XX) FAISNÉIS XXXXXX XXXX AN XXXXX XXXX mBAINEANN/ (XX) XXXXXXXXXXX O DOTIČNOJ XXXXX/ (XX) XXXXXXXXXXXX XXXXX XXXXXXX INTERESSATA/ (XX) XXXXXXĀXXXX XXX XXXXXXĪXX XXXXXXX/ (LT) XXXXXXXXXXX APIE XXXXXXXXXĄ XXXXXĮ/ (HU) AZ XXXXXXXX XXXXXXXXX VONATKOZÓ XXXXXX/ (XX) INFORMAZZJONI XXXX XX-XXXXXXX KKONĊERNATA/ (XX) XXXXXXXXXX XXXX XX BETROKKENE/ (XX) XXXX XXXXX, KTÓREJ XXXXXXX DOKUMENT/ (XX) XXXXXXXÇÕXX SOBRE A XXXXXX XX CAUSA/ (XX) INFORMAȚII PRIVIND XXXXXXXX XXXXXĂ/ (SK) XXXXXXXXXX X DOTKNUTEJ XXXXX/ (SL) XXXXXXXXXXX X XXXXXXX OSEBI/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXX/ (XX) XXXXXXXXX XX DEN BERÖRDA XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) APELLIDO(S)/ (CZ) XXXXXXXX/ (DA) EFTERNAVN(E)/ (XX) XXXXXXXXXXXX(X)/ (XX) XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (EN) XXXXXXX(X)/ (XX) NOM(S)/ (GA) XXXXXXX (XXXXXXXX)/ (XX) XXXXXXX(XX)/ (XX) COGNOME(I)/ (XX) XXXĀXXX(-X)/ (XX) XXXXXXĖ (-ĖX)/ (HU) XXXXXXX NEVE(I)/ (MT) XXXXXX(/XXXXXXXXXXX)/ (NL) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (XX) XXXXXXX(X)/ (XX) XXXX/ (XX) XXXXXXXXXX(-X)/ (XX) XXXXXXX(XXXXXXX)/ (FI) XXXXXXXX (-XXXXX)/ (XX) EFTERNAMN

4.2

(BG) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (CZ) XXXXX (XXXXX)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (EL) ΟΝΟΜΑ (-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (CÉADAINMNEACHA)/ (XX) IME(NA)/ (XX) XXXX(X)/ (XX) VĀRDS(-I)/ (XX) XXXXXX (-AI)/ (XX) XXXXXXX(X)/ (MT) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (XX) IMIĘ (XXXXXX)/ (XX) XXXX(X) PRÓPRIOS(S)/ (XX) PRENUME/ (SK) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) ETUNIMI (-NIMET)/ (XX) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XØXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) XÜXXXXXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΊΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) DATE (XX/XX/XXXX) OF BIRTH/ (XX) DATE (XX/XX/XXXX) XX NAISSANCE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (XX) DATA XX XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXX (JJ/XX/SSSS) XXX-XXXXXX/ (XX) GEBOORTEDATUM (XX/XX/XXXX)/ (PL) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX DE 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)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.4

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX X XXXX XX NACIMIENTO/ (XX) XXXXX A XXXX XXXXXXXX/ (XX) XØXXXXXX XX -XXXX/ (XX) ORT XXX XXXX XXX GEBURT/ (XX) XÜXXXXXXX JA -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX XXX XXXXXXX XX BIRTH/ (XX) XXXX XX XXXX DE XXXXXXXXX/ (XX) XXX AGUS XXX XXXXXXXX/ (XX) XXXXXX I XXXXXX XXĐXXXX/ (XX) LUOGO X XXXXX XX XXXXXXX/ (XX) XXXXXXXXX XXXXX XX XXXXXX/ (XX) XXXXXX XXXXX XX XXXXX/ (XX) XXÜXXXXXX HELYE XX XXXXXXX/ (MT) POST X PAJJIŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX EN -XXXX/ (PL) XXXXXXX X PAŃSTWO XXXXXXXXX/ (XX) LOCAL E XXXX XX XXXXXXXXXX/ (XX) LOCUL ȘI ȚXXX NAȘTERII/ (SK) XXXXXX X ŠTÁT XXXXXXXXX/ (SL) KRAJ XX XXXXXX XXXXXXX/ (XX) XXXXXXÄXXXXXX JA -XXX/ (XX) FÖDELSEORT XXX -LAND

4.5

(BG) ПОЛ/ (XX) SEXO/ (XX) XXXXXXX/ (XX) KØN/ (XX) GESCHLECHT/ (ET) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (FR) XXXX/ (XX) XXXXXX/ (XX) SPOL/ (XX) XXXXX/ (LV) XXXXXXX/ (XX) XXXXX/ (HU) XXXX/ (XX) SESS/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (XX) SEXO/ (XX) XXXXX/ (XX) XXXXXXXX/ (SL) SPOL/ (XX) XXXXXXXXX/ (XX) XÖX

4.5.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) XXXX/ (XX) KVINDE/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (EN) XXXXXX/ (XX) XXXXXXX/ (XX) BAINEANN/ (XX) XXXXXX/ (XX) FEMMINILE/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XŐ/ (XX) MARA/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) FEMININO/ (RO) XXXXXXXX/ (SK) XXXXXX/ (XX) ŽENSKI/ (FI) XXXXXX/ (XX) KVINNA

4.5.2

(BG) МЪЖКИ/ (XX) VARÓN/ (XX) XXX/ (XX) XXXX/ (DE) XÄXXXXXX/ (XX) MEESSOOST/ (EL) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (GA) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) XXXXX/ (XX) FÉRFI/ (XX) XXĠXX/ (XX) MAN/ (XX) XĘŻXXXXXX/ (XX) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) MUŽSKÉ/ (XX) XXXXX/ (XX) XXXX/ (XX) MAN

4.5.3

(BG) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (ET) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) UNDETERMINED/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) NEODREĐEN/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (LT) NENUSTATYTA/ (XX) XXXXXXXXXXXXXXX/ (MT) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (PL) PŁEĆ XXXXXXXŚXXXX/ (XX) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (SL) XXXXXXXXX/ (FI) MÄÄRITTELEMÄTÖN/ (XX) EJ XXXXXXÄXXX

5.

(XX) НАСТОЯЩО МЕСТОЖИВЕЕНЕ И/ИЛИ МЕСТОПРЕБИВАВАНЕ НА СЪОТВЕТНОТО ЛИЦЕ СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) DOMICILIO X/X XXXXXXXXXX XXXXXXXX XX XX XXXXXXX X XX XXX XX REFIERE XX XXXXXXXXX XXXXXXX XX XXX SE XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXX BYDLIŠTĚ NEBO XXXXX POBYTU XXXXX XXXXXXX XX VEŘEJNÉ XXXXXXX, X NÍŽ XX PŘIPOJEN XXXXX XXXXXXXX/ (XX) XXXÆXXXXX XXXÆX XX/XXXXX XXXXXXXXXXX XXX XXXXXXXX, DER XX XXXØXX AF XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXXXX WOHNSITZ XXX/XXXX XXX XXX GEWÖHNLICHEN XXXXXXXXXXX DER XXXXXXXXXXXX XXXXXX GEMÄSS XXX ÖXXXXXXXXXXX XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (ET) AVALIKUS XXXXXXXXXX, MILLELE XXX XXXX XX 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/ (EN) CURRENT XXXXXXXX AND/OR RESIDENCE XX XXX XXXXXX XXXXX IN THE XXXXXX XXXXXXXX TO XXXXX XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXX ET/OU RÉSIDENCE XXXXXXX DE LA XXXXXXXX XXXXXXXXX PAR XX XXXXXXXX PUBLIC XXXXXX XX PRÉSENT XXXXXXXXXX EST JOINT/ (XX) SAINCHÓNAÍ REATHA XXXX/XX XXXXXXXXXXX XX XXXXX ATÁ XXXXXXXXX XX XXXXXXXXX XXXXXX XXXX BHFUIL XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXX PREBIVALIŠTE X/XXX BORAVIŠTE XXXXX XXXXXXXX X XXXXXX XXXXXXX KOJOJ XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXX X/X XXXXXXXXX ATTUALE XXXXX XXXXXXX XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX CUI XX XXXXXXXX XXXXXX È XXXXXXXX/ (LV) XXXXXXĪXĀX XXXXXXXX PAŠREIZĒJAIS XXXXXXXX XX/XXX UZTURĒŠANĀS XXXXX, KAS MINĒTA XXXXXXXXXĀ XXXXXXXXĀ, KURAM XĪ VEIDLAPA XX XXXXXXXXXX/ (XX) VIEŠAJAME XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXX ASMENS DABARTINĖ XXXXXXXXĖ GYVENAMOJI XXXXX XX (ARBA) XXXXXXXXXX XXXXX/ (HU) A XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXXX XXXXXXXXXXX XXXXXXX JELENLEGI XXXXXXXXX ÉS/VAGY XXXXXXXXXXXX XXXXX/ (XX) XXXXĊXXXX X/XXX RESIDENZA ATTWALI XXX-XXXXXXX XXXXXXXX FID-DOKUMENT XXXXXXXX XX MIEGĦU XX MEHMUŻA XXX XX-XXXXXXX/ (XX) XXXXXXX XXXX- XX/XX XXXXXXXXXXXXXX XXX XX BETROKKENE XX GROND XXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX FORMULIER XX XXXXXXX/ (PL) XXXXXX XXXXXXX ZAMIESZKANIA XXX MIEJSCE XXXXXX XXXXX WSKAZANEJ X XXXXXXXXXX XXXĘXXXXX, XX XXXXXXX XXŁĄXXXXX JEST XXXXXXXXX XXXXXXXXX/ (PT) XXXXXXXXX X/XX RESIDÊNCIA XXXXX DA XXXXXX XXXXXXXXX XX DOCUMENTO XXXXXXX X XXX X XXXXXXXX FORMULÁRIO XXXX APENSO/ (XX) XXXXXXXXXX ȘX/XXX XXȘXXXXȚX XXXXXX(Ă) XX (X) XXXXXXXXX XXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX ESTE XXXXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXXXX XXXXXXXX X/XXXXX XXXXX XXXXX UVEDENEJ XX XXXXXXXX XXXXXXX, XX XXXXXX JE XXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXX XXXXXXXXXXXX IN/ALI XXXXXXXX XXXXXXXXXXXX XXXXX, XX XXXXXX XX XXXXXX XXXXX XXXXXXX, XX XX JE PRILOŽEN XX OBRAZEC/ (XX) XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ LOMAKE XXXXXXÄÄX, XXXXXXXXXXX XXXXXXÖX KOTI- XX/XXX ASUINPAIKKA/ (XX) XXXXXXXXX XXXXXXX XXX/XXXXX XXXXXXXXXX FÖR XXX XXXXXX XXX XXXÖXX XX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

5.1

(XX) МЕСТОЖИВЕЕНЕ/ (ES) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXÆX/ (XX) XXXXXXXX/ (ET) ALALINE XXXXXXX/ (XX) ΚΑΤΟΙΚΙΑ/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXX/ (LV) XXXXXXXX/ (XX) XXXXXXXXĖ XXXXXXXXXX XXXXX/ (XX) LAKÓHELY/ (XX) DOMIĊILJU/ (XX) XXXXXXXXXX/ (XX) XXXXXXX XXXXXXXXXXXX/ (PT) XXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (SL) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXX

5.1.1

(XX) АДРЕС/ (XX) DIRECCIÓN/ (XX) XXXXXX/ (XX) ADRESSE/ (XX) XXXXXXXXX/ (XX) XXXXXXX/ (EL) ΔΙΕΥΘΥΝΣΗ/ (XX) ADDRESS/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (LV) XXXXXX/ (XX) XXXXXXX/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) XXXXX/ (XX) ENDEREÇO/ (XX) ADRESA/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (SV) XXXXXX

5.1.1.1

(XX) УЛИЦА И НОМЕР/ПОЩЕНСКА КУТИЯ/ (XX) XXXXX X NÚMERO / XXXXXXXX XX XXXXXXX/ (XX) XXXXX X XXXXX XXXX / XXXXXXXX XXXXXXXXX/ (XX) XXX OG XXXXXXXXX/XXXXXXXX/ (XX) XXXXXXX XXX XXXXXXXXXX/XXXXXXXX/ (XX) XÄXXX XX MAJA XXXXXX / POSTKAST/ (XX) ΟΔΟΣ ΚΑΙ ΑΡΙΘΜΟΣ / Τ.Θ./ (XX) XXXXXX XXX XXXXXX/XX BOX/ (XX) XXX XX XXXXXX/XXÎXX XXXXXXX/ (GA) SRÁID XXXX XXXXXX/XXXXX XXXXX/ (XX) ULICA X XXXX / POŠTANSKI XXXXXXXX/ (XX) XXX X XXXXXX/XXXXXXX XXXXXXX/ (XX) XXXX XX XĀXXX XXXXXX / XXXXXXXXX/ (XX) XXXXĖ XX XXXX XXXXXXX / PAŠTO DĖŽUTĖ/ (XX) UTCA ÉS XXXXXXX/XXXXXXXXX/ (MT) XXXX 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) ULICA X XXXXX/ POŠTOVÝ XXXXXXXXX/ (XX) ULICA XX XXXXXXXX/XXXXXX XXXXXX/ (XX) XÄXXXXXXXX/XXXXXXXXXXX/ (XX) XXXXXXXXXX/XXXXXXX

5.1.1.2

(XX) НАСЕЛЕНО МЯСТО И ПОЩЕНСКИ КОД/ (XX) XXXXXXXXX X CÓDIGO XXXXXX/ (XX) MÍSTO X XXXXXXXX XXXXXXXXX XXXXX/ (XX) XX XX XXXXXXXXXX/ (XX) XXX UND ORT/ (XX) LINN VÕI XXXXX XX XXXXXXXXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΤΑΧΥΔΡΟΜΙΚΟΣ ΚΩΔΙΚΟΣ/ (XX) XXXXX XXX XXXXXX XXXX/ (XX) XXXXXXXX XX CODE XXXXXX/ (XX) XXX XXXX XXX POIST/ (XX) XXXXXX X POŠTANSKI XXXX/ (IT) LOCALITÀ X XXX/ (XX) XXXXX XX PASTA XXXXXXX/ (XX) XXXXX XX PAŠTO XXXXX/ (XX) HELYSÉG ÉS XXXXXXXXXXXX/ (MT) LOKALITÀ X KODIĊI POSTALI/ (XX) XXXXXX XX XXXXXXXX/ (PL) XXXXXXXXXŚĆ X XXX XXXXXXXX/ (XX) LOCALIDADE X XXXXXX XXXXXX/ (RO) XXXXXXXXXXX ȘI XXXXX XXȘXXX/ (XX) XXXXXX X XXXXXXX XXXXXXXXXX XXXXX/ (SL) KRAJ XX XXXXXX ŠTEVILKA/ (XX) XXXXXXXXXXX XX XXXXXXXXXXXXXXXX/ (XX) XXX XXX POSTNUMMER

5.1.1.3

(BG) ДЪРЖАВА/ (XX) PAÍS/ (CZ) XXXX/ (XX) XXXX/ (XX) XXXX/ (XX) XXXX/ (XX) ΧΩΡΑ/ (XX) XXXXXXX/ (FR) XXXX/ (GA) XXX/ (XX) XXXXXX/ (IT) XXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (HU) XXXXXX/ (XX) XXXXXŻ/ (XX) LAND/ (XX) XXŃXXXX/ (XX) XXXX/ (XX) ȚXXX/ (SK) XXXX/ (XX) XXXXXX/ (XX) MAA/ (XX) XXXX

5.2

(XX) МЕСТОПРЕБИВАВАНЕ/ (XX) XXXXXXXXXX/ (XX) XXXXX XXXXXX/ (XX) OPHOLDSSTED/ (XX) ORT XXX XXXÖXXXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXX/ (EL) ΔΙΑΜΟΝΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXĒXXXĀX XXXXX/ (LT) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXX/ (XX) XXXXXXXXX/ (XX) VERBLIJFPLAATS/ (XX) XXXXXXX XXXXXX/ (XX) XXXXXÊXXXX/ (RO) XXȘXXXXȚX/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (FI) XXXXXXXXXXX/ (XX) BOSTADSORT

6.

(BG) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX XXXXX/ (XX) POLE XXX PODPIS/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX BOX/ (FR) XXXXX XXXX XX XXXXXXXXX/ (GA) XXXXX XXX XXXXX/ (XX) XXXXX ZA POTPIS/ (XX) XXXXXXXX XXX XX FIRMA/ (XX) XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXX/ (HU) XX XXXXXXX SZÖVEGDOBOZA/ (XX) XXXXX XXX-XXXXXXXX/ (XX) VAK VOOR XX XXXXXXXXXXXX/ (XX) XXXX XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (RO) XXXXĂXXXX/ (XX) XXXXXXX XX XXXXXX/ (SL) XXXXX XX XXXXXX/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (XX) XXXX XÖX UNDERTECKNANDE

6.1

(BG) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) APELLIDO(S) X XXXXXX(X) DEL XXXXXXXXXXX XXX XXXXXXX XXXX IMPRESO/ (CZ) XXXXXXXX A JMÉNO (XXXXX) ÚŘEDNÍKA, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXX(X) XX XXXXXXX(X) PÅ XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX FORMULAR/ (XX) FAMILIENNAME(N) XXX XXXXXXX(X) DES BEAMTEN, XXX XXXXXX FORMULAR XXXXXXXXXXX HAT/ (ET) 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 THE XXXXXXXX XXX ISSUED THIS XXXX/ (XX) NOM(S) XX PRÉNOM(S) DU XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX XXXXXXXX X X’XXXXXX AN XXXXXX SEO/ (HR) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX KOJI XX XXXXX OVAJ OBRAZAC/ (XX) COGNOME/I X XXXX/X XXX XXXXXXXXXXX XXX XX RILASCIATO XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX ŠO VEIDLAPU, XXXĀXXX(-X) UN VĀRDS(-I)/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX PAVARDĖ (-ĖX) XX VARDAS (-XX)/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX TISZTVISELŐ XXXXXXX XXXX(X) XX XXXXXXX(X)/ (XX) KUNJOM(/KUNJOMIJIET) X XXXX(/XXXXXXXX) TAL-UFFIĊJAL XX ĦXXXĠ XXX XX-XXXXXXX/ (NL) XX(X)X(XX) XX XXXXXX(X)X(XX) XXX XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (PL) XXXXXXXX(-X) X XXXĘ (XXXXXX) XXXĘXXXXX, KTÓRY XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXX(X) E XXXX(X) XXXXXXX(X) DO FUNCIONÁRIO XXX EMITIU X XXXXXXXX XXXXXXXXXX/ (RO) XXXXXX ȘX PRENUMELE XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX FORMULAR/ (XX) XXXXXXXXXX(-X) X XXXX(-X) ÚRADNÍKA, KTORÝ XXXXX XXXXX XXXXXXXX/ (XX) PRIIMEK/PRIIMKI IN XXX/XXXXX URADNIKA, XX XX XXXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX VIRKAMIEHEN XXXXXXXX (-NIMET) XX XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX OCH XÖXXXXX XÅ XXX TJÄNSTEMAN XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

6.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) CARGO XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, KTERÝ XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX — XXX XXXXXXXXXX, XXX XXX XXXXXXX DENNE XXXXXXXX/ (XX) XXXXXXXX XXX XXXXXXX, DER XXXXXX FORMULAR AUSGESTELLT XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX AMETNIKU XXXXXXXXX/ (EL) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX XX XXX XXXXXXXX XXX XXXXXX THIS XXXX/ (XX) XXXXX XX XXXXXXXXXXXXX QUI X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXX XX XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (HR) XXXXXXXX XXXXXXXXXX KOJI XX IZDAO XXXX XXXXXXX/ (XX) POSIZIONE XXX XXXXXXXXXXX CHE XX XXXXXXXXXX XX XXXXXXXX MODULO/ (XX) XXXXXXXXXXXX, KURA XXXXXXXX XX XXXXXXXX, AMATS/ (XX) ŠIĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX TISZTVISELŐ XXXXXXXXX/ (XX) XXXXXX TAL-UFFIĊJAL XX ĦXXXĠ XXX XX-XXXXXXX/ (NL) FUNCTIE XXX XX XXXXXXXXX XXX DIT XXXXXXXXX XXXXX XXXXXXXXX/ (PL) XXXXXXXXXX URZĘDNIKA, XXXXX XXXXŁ NINIEJSZY FORMULARZ/ (XX) CARGO XX XXXXXXXXXXX QUE EMITIU X XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXXXX XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XX XX IZDAL XX XXXXXXX/ (FI) XÄXÄX LOMAKKEEN ANTANEEN XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX SOM HAR XXXÄXXXX XXXXX XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (DA) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) DATE (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (JJ/MM/AAAA) DE XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (HR) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) IŠDAVIMO XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (JJ/XX/SSSS) XXX-ĦXXĠ/ (NL) XXXXX (XX/XX/XXXX) VAN AFGIFTE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (PT) XXXX XX XXXXXÃX (DD/MM/AAAA)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (SK) DÁTUM (XX/XX/XXXX) XXXXXXX/ (SL) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (XX) XXXXX (DD/MM/ÅÅÅÅ) XÖX XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (XX) FIRMA/ (CZ) XXXXXX/ (XX) UNDERSKRIFT/ (XX) UNTERSCHRIFT/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (GA) XXXXX/ (XX) POTPIS/ (IT) XXXXX/ (LV) PARAKSTS/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) FIRMA/ (XX) XXXXXXXXXXXX/ (PL) XXXXXX/ (PT) XXXXXXXXXX/ (XX) SEMNĂTURA/ (XX) XXXXXX/ (SL) XXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (CZ) XXXXX XXXX XXXXXXX/ (XX) XXXX ELLER XXXXXXX/ (DE) XXXXXX XXXX XXXXXXX/ (XX) XXXXXX VÕI XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) SÉALA XX XXXXXX/ (XX) XXX XXX XXXXX/ (XX) BOLLO X XXXXXX/ (XX) XĪXXXX XXX SPIEDOGS/ (LT) XXXXXXX XXXX ANTSPAUDAS/ (XX) PECSÉT XXXX XXXXXXXŐXXXXXXXX/ (XX) SIĠILL XXX TIMBRU/ (NL) XXXXX XX XXXXXXX/ (XX) XXXXXĘĆ XXX XXXXXXX/ (PT) SELO XX XXXXXXX/ (XX) XXXXXXXX XXX ȘXXXXXXX/ (XX) XXXXX ALEBO XXXXXXXX PEČIATKY/ (XX) XXXXX XXX ŽIG/ (XX) XXXXXXX XXX XXXXX/ (XX) XXXXXX XXXXX XXÄXXXX

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

VÍCEJAZYČNÝ XXXXXXXXXX XXXXXXXX – POMŮCKA XXX XXXXXXX

Xxxxxx 7 xxxxxxxx Xxxxxxxxxx xxxxxxxxxx x Rady (XX) 2016/1191 xx dne 6. xxxxxxxx 2016 x podpoře volného xxxxxx občanů xxxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxxxx xxxxxxxxx veřejných listin x Evropské xxxx x x změně xxxxxxxx (XX) x. 1024/2012 (1)

Belgie (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (DK) Xxxxxxx (XX)

Xxxxxxxx (EE) Irsko (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (FR) Chorvatsko (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (LV) Xxxxx (XX)

Xxxxxxxxxxx (LU)

Maďarsko (XX) Xxxxx (MT)

Nizozemsko (XX) Xxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxxxxxx (PT)

Rumunsko (RO) Xxxxxxxxx (XX)

Xxxxxxxxx (SK) Xxxxxx (XX)

Xxxxxxx (SE) Xxxxxxx xxxxxxxxxx (UK)

DŮLEŽITÉ XXXXXXXXXX

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

Xxxxx xxxxxxxx xxxxxx xxxxx xxxxxxx xxxxxxx, k xxx xx xxxxxxxx. Xxxxx, xxxxx xx veřejná xxxxxxx xxxxxxxxxxx, xxxx xxxx x xxxxxxxxx, xxx xx xx xxxxxxxx pro xxxxx xxxxxxxxxx xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx či xxxxxx xxxxxxxxx, xxxxx xxxx xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX XXXXX

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

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

1. ORGÁN VYDÁVAJÍCÍ XXXXX XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

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

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

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx xxxxxx státním xxxxxxxxx

3.1.3 Xxxxxxx vydaná xxxxxx xxxxxxx úředníkem

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

3.1.5 Xxxx (upřesněte)

(1) Úř. xxxx. X 200, 26.7.2016, s. 1.

(2) Xxx vyplňování xxxxx xxxxxxxx xxxxxxx písmo.

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

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

3.2 Listina xxxxxx správním xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x xxxxxxxxx xxxxxx

3.2.3 Xxxx xxxxxxx x xxxxxxxxx xxxxxx

3.1.5 Jiné (xxxxxxxxx)

3.3 Xxxxxxxx listina

3.4 Úřední xxxxxxxxx, xxxxxx byla xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

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

3.6 Datum (xx/xx/xxxx) xxxxxx

3.7 Referenční xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXX O XXXXXXXXXX XXXXX XXXXXXX XX XXXXXXX LISTINĚ, X XXX XX PŘIPOJEN XXXXX XXXXXXXX

4.1 Xxxxxxxx

4.2 Xxxxxxxxx xxxxxxxx

4.3 Jméno (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 Žena

4.7.2 Xxx

4.7.3 Xxxxxxxx

4.8 Státní xxxxxxxxxxx

4.9 Xxxxxxxxxxxxx xxxxx

4.10 Xxxx x xxxxx xxxxxxxxxxxxxxx dokladu xxxxx:

4.10.1 Xxxxxxxxxxxx xxxxxx xxxxxxxxxx / x.

4.10.2 Pas / x.

4.10.3 Xxxxxxxx xxxxxx / x.

4.10.4 Xxxx (xxxxxxxxx) /x.

5. XXXXXXX XXXXXXX, K XXX JE XXXXXXXX XXXXX FORMULÁŘ, NEZMIŇUJE XXXXX XXXXXXXXX XXXXXXX XXXXX XXXXXXX X XXXXXXXXX XXXXXX XXXXXXXXX XXXXX, XXXXX JE XXXX XXXXX STÁTNÍM XXXXXXXXXXXX.

6. XXXX PRO XXXXXX

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

6.2 Xxxxxx xxxxxxxx, xxxxx vydal tento xxxxxxxx

6.3 Xxxxx (xx/xx/xxxx) xxxxxx

6.4 Xxxxxx

6.5 Xxxxx xxxx xxxxxxx

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

(2) Název xxxx x – xxxxx xxxxxxxx – xxx XXX xxxx země xxxx xxxxxxx „Jiné (xxxxxxxxx)“ xx xxxxx xxxxxx x rozbalovací xxxxxxx ve xxxxxxxx xxxxxxxxxxxx standardním xxxxxxxxx, xxxxx xx x xxxxxxxxx na xxxxxxx xxxxxxxx x-xxxxxxx.

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXXXXXXX XXXXXXX X XXXXXXXXX XXXXXX XXXXXXXXX XXXXX, XXXXX JE XXXXXXX XXXXX STÁTNÍM PŘÍSLUŠNÍKEM)

1.

(BG) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) AUTORIDAD XXX XXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (DE) XXXÖXXX, DIE XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX XÄXXX XXXXXX ASUTUS/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX XXXX/ (XX) AUTORITÉ XX XXXXXXXXXX DU XXXXXXX XXXXXXXXXX/ (XX) XX tÚDARÁS X XXXXXXXX XX XXXXXX XXX/ (XX) XXXXXX XXXX XXXXXX XXXX XXXXXXX/ (XX) AUTORITÀ XXX RILASCIA XX XXXXXXXX MODULO/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ FORMĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX TA' DIN XX-XXXXXXX/ (NL) XXXXXXXXXX XXX XXXXXXX XXX XXX XXXXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (XX) AUTORIDADE XXX XXXXX O XXXXXXXX FORMULÁRIO/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX, XX XXXX XX XXXXXXX/ (FI) XÄXÄX XXXXXXXXX ANTAVA XXXXXXXXXXXX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXXXXXÄXXX

1.1

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

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XX XXXXXXXXX PÚBLICO XX XXX XX ADJUNTA XXXX IMPRESO/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, X XXX XX XXXXXXXX TENTO XXXXXXXX/ (DA) DEN XXXXXXXXX, XXX XXX XXXXXXX XXX OFFENTLIGE XXXXXXXX, SOM XXXXX XXXXXXXX ER XXXXÆXXXX/ (XX) XXXÖXXX, XXX XXX ÖXXXXXXXXXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXÜXX XXX, AUSSTELLT/ (XX) ASUTUS, KES XXXXX XÄXXX AVALIKU XXXXXXXXX, MILLELE XXX XXXX XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXX XXXXXXX THE PUBLIC XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) AUTORITÉ XX XXXXXXXXXX XX XXXXXXXX PUBLIC AUQUEL XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX A XXXXXXXX AN XXXXXXXXX XXXXXX LENA XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXX XXXX IZDAJE JAVNU XXXXXXX XXXXX XX XXXX XXXXXXX PRILOŽEN/ (XX) XXXXXXXÀ XXX XXXXXXXX XX DOCUMENTO XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (LV) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX IR PIEVIENOTA, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX KURIO XXXXXXXXX ŠI XXXXX, XXXXXXXXXX VALDŽIOS INSTITUCIJA/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATOT KIÁLLÍTÓ XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX IL-FORMOLA/ (XX) XXXXXXXXXX XXX XXXXXXX XXX HET XXXXXXXX DOCUMENT WAARAAN XXX FORMULIER XX XXXXXXX/ (PL) XXXXX XXXXXĄXX DOKUMENT URZĘDOWY, XX XXXXXXX XXXXXXXXX XXXXXXXXX JEST ZAŁĄCZONY/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXXX XXXXXXX X QUE X PRESENTE FORMULÁRIO XXXX XXXXXX/ (RO) XXXXXXXXXXX EMITENTĂ X XXXXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX FORMULAR/ (SK) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, XX KTOREJ XX XXXXX XXXXXXXX XXXXXXXXX/ (SL) XXXXX, XX XXXX XXXXX XXXXXXX, XX XX XX PRILOŽEN XX XXXXXXX/ (FI) XXXXXXXXXXXX, XXXX XX ANTANUT XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ LOMAKE LIITETÄÄN/ (XX) XXXXXXXXX XXX XXXÄXXXX DEN XXXXXXXXXX XXXXXXXX XXXX VILKEN XXXXX XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXX AL XXX XX ADJUNTA XXXX XXXXXXX/ (CZ) XXXXXXXXX XXXXXXXX SE XXXXXXX LISTINY, K XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXØXXXXX XXX XXXXXXXXXX XXXXXXXX, SOM XXXXX FORMULAR XX XXXXÆXXXX/ (XX) XXXXXXX XXX ÖFFENTLICHEN XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX XXXXXXX XXXXXXXXX XXXXX, MILLELE XXX XXXX XX LISATUD/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX RELATING XX XXX XXXXXX DOCUMENT XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) INFORMATIONS XXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX EST XXXXX XX PRÉSENT XXXXXXXXXX/ (XX) FAISNÉIS A XXXXXXXXX XXXX XX XXXXXXXXX POIBLÍ XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXX SE XXXXXX NA JAVNU XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) INFORMAZIONI RELATIVE XX XXXXXXXXX PUBBLICO XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) INFORMĀCIJA XXX XXXXXXXX DOKUMENTU, KURAM XĪ VEIDLAPA IR XXXXXXXXXX/ (LT) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX FORMA/ (XX) A FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) INFORMAZZJONI XXXX XX-XXXXXXXX XXXXXXXX XX MIEGĦU XXXX XXXXXŻX DIN XX-XXXXXXX/ (XX) XXXXXXXXXX BETREFFENDE XXX OPENBAAR XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (PL) XXXXXXXXXX DOTYCZĄCE DOKUMENTU XXXĘXXXXXX, DO KTÓREGO XXXXXXXXX FORMULARZ XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX ANEXAT XXXXXXXXX FORMULAR/ (SK) XXXXXXXXXX O VEREJNEJ XXXXXXX, XX KTOREJ XX TENTO XXXXXXXX XXXXXXXXX/ (XX) INFORMACIJE X XXXXX X XXXXX XXXXXXX, KI XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXX YLEISESTÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (SV) XXXXXXXXXXX XX DEN OFFICIELLA XXXXXXXX XXXX XXXXXX XXXXX FORMULÄR ÄR XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX XXXXXXXX XXX XXX AUTORIDAD X XX FUNCIONARIO XXXXXXXXX X XXX XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (CZ) XXXXXXX VYDANÁ ORGÁNEM XXXX XXXXXXXXX S XXXXXX XX SOUDY XXXXXX XXXXXXXXX STÁTU/ (XX) XXXXXXXX, XXX XX XXXXXXX XX XX XXXXXXXXX ELLER XX XXXXXXXXXX, XXX XX TILKNYTTET XXXXXXXX X XX MEDLEMSSTAT/ (XX) XXXXXXX XXXXX XXXÖXXX XXXX EINER XXXXXXXXXX ALS XXXXX XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX ON XÄXXX XXXXXX LIIKMESRIIGI KOHTUTEGA XXXXXX XXXXXXXXXXX XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX XXXX XX AUTHORITY XX XX XXXXXXXX CONNECTED XXXX THE XXXXXX XX XXXXXXXXX XX X XXXXXX XXXXX/ (XX) DOCUMENT XXXXXXX X'XXX XXXXXXXX XX X'XX XXXXXXXXXXXXX XXXXXXXX X'XXX JURIDICTION D'UN XXXX MEMBRE/ (XX) XXXXXXXXX A XXXXXXX X ÚDARÁS XX X XXXXXXXXX X XXXXXX XXXXX XXXX XX AICI XX XXXXXXXXXX NÓ XX XXXXX DE XXXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXX XXX SLUŽBENIK XXXX XXXXXX ČLANICE/ (XX) DOCUMENTO XXXXXXX XX XX'XXXXXXXÀ O XX XX FUNZIONARIO XXXXXXXXXXXX XX UNA XXXXX XXXXXXXXXXXXX DI XXX XXXXX XXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX AR XXXĪXXXXXXX XXXXĀX XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, IŠDUOTAS XXXXXXXX XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ SU VALSTYBĖS XXXĖX TEISMAIS AR XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX KAPCSOLATBAN XXXX XXXXXXX VAGY TISZTVISELŐ XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ XXXX AWTORITÀ XXX XXXXĊXXX XX XXXXXXXX XXXXX MAL-QRATI XXX XX-XXXXXXXXX TA' XXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX OF XXXXXXXXX XXXXXXXXX TOT XXX XXXXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX OD XXXXXX XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX PAŃSTWA XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXXXX XX XX XX XXXXXXXXXXX XXXXXXXXXX XX XXXXXXXX XXXXXXXÇÃX XX XX XXXXXX-XXXXXX/ (XX) XXXXXXXX XXXX XX X XXXXXXXXXX XXX XX UN XXXXȚXXXXX XX PE XÂXXĂ XXXXXXȚXXX XXXX XXXX MEMBRU/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXX XXXXXXXXX X XÄXXXX XX SÚDY XXXXXXXXX ŠTÁTU/ (XX) XXXXXXX, XXXXXX X XXXXXX XXXXXX ALI XXXXXXXX XXXXX OBLASTI XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXXXXXXXX XXXXX XX TJÄNSTEMAN XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX SOUDU/ (XX) DOMSTOLSAFGØRELSE/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) COURT XXXXXXXX/ (XX) DÉCISION XX XXXXXXX/ (XX) XXXXXXXX XX xXXXXX/ (XX) XXXXXX XXXXXX/ (IT) XXXXXXXXX GIURISDIZIONALE/ (XX) XXXXXX LĒMUMS/ (LT) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (XX) XXXXXÃX XXXXXXXX/ (RO) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (SV) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX POR XX MINISTERIO XXXXXX/ (XX) LISTINA XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX UDSTEDT XX XX XXXXXXXXXXXXXXXX/ (DE) XXXXXXX XXXXX STAATSANWALTSCHAFT/ (XX) XXXXXXXX, XXXXX XX XÄXXX ANDNUD XXXXXXX SÜÜDISTAJA/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (EN) XXXXXXXX XXXXXXXXX FROM X XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX ÉMANANT XX XXXXXXÈXX XXXXXX/ (XX) XXXXXXXXX A THAGANN X IONCHÚISITHEOIR XXXXXX/ (XX) XXXXXXX KOJU XX IZDALO XXXXXXX XXXXXXXXXXXX/ (IT) XXXXXXXXX XXXXXXX DAL XXXXXXXX XXXXXXXXX/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (HU) ÜXXXXX XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX MAĦRUĠ XXXX PROSEKUTUR XXXXXXXX/ (XX) XXXXXXXX AFGEGEVEN XXXX EEN OPENBAAR XXXXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX PROVENIENTE XX MINISTÉRIO PÚBLICO/ (XX) DOCUMENT EMIS XX UN XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXX, XX JO XXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX XX SECRETARIO XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX EN XXXXXXXXXXXXXÆX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX EINES GERICHTS/ (XX) XXXXXXXX, MILLE XX VÄLJA XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (EN) DOCUMENT XXXXXXXXX XXXX X XXXXX XX A XXXXX/ (XX) XXXXXXXX XXXXXXX D'UN GREFFIER/ (XX) XXXXXXXXX A XXXXXXX X XXXXXXXXXX XX XXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXX XXXXXXXXXX XXXXXX XXXXXXXXX/ (IT) XXXXXXXXX XXXXXXX XX XX CANCELLIERE/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (XX) XXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXXXŐ ÁLTAL XXXXXXXXXX XXXXXX/ (MT) DOKUMENT XXĦXXĠ XXXX REĠISTRATUR XX' XXXXX/ (XX) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (PT) XXXXXXXXX PROVENIENTE DE XX OFICIAL DE XXXXXÇX/ (XX) DOCUMENT XXXX XX UN XXXXXXX XX INSTANȚEI/ (XX) LISTINA XXXXXX XXXXXX ÚRADNÍKOM/ (XX) XXXXXXX, KI XX XXXX XXXXX XXXXXXXXXX/ (XX) TUOMIOISTUIMEN SIHTEERIN XXXXXX ASIAKIRJA/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („HUISSIER XX XXXXXXX“)/ (ES) XXXXXXXXX XXXXXXXX POR XX XXXXXX XXXXXXXX («XXXXXXXX XX JUSTICE»)/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX JUSTICE“)/ (DA) XXXXXXXX XXXXXXX XX XX XXÆXXXXXXXXXX (»XXXXXXXX XX JUSTICE«)/ (DE) XXXXXXX XXXXX GERICHTSVOLLZIEHERS/ (XX) XXXXXXXX, XXXXX XX VÄLJA ANDNUD XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («HUISSIER XX XXXXXXX»)/ (XX) DOCUMENT XXXXXXXXX FROM A XXXXXXXX XXXXXXX ('XXXXXXXX XX XXXXXXX')/ (FR) XXXXXXXX ÉMANANT X'XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXX A XXXXXXX Ó XXXXXXXXX XXXXXXXXXXXX (“HUISSIER XX XXXXXXX”)/ (HR) XXXXXXX XXXX JE XXXXX XXXXXX OVRŠITELJ (HUISSIER XX JUSTICE)/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX JUSTICE")/ (XX) XXXXXXXXX, KURU XXXXXXXXXX TIESAS XXXXXXĪXĀXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX (XXXXXXXX XX XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXXX („XXXXXXXX DE XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ MINN XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX XX XXXXXXX')/ (NL) DOCUMENT XXXXXXXXX DOOR XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX OD XXXĘXXXXX XĄXXXXXX (HUISSIER XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX DE XX XXXXXXÃX XX XXXXXXX («XXXXXXXX DE JUSTICE»)/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX DE XXXXXXX”)/ (XX) LISTINA XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXX, KI XX XXXX SODNI XXXXXXXXXX („HUISSIER DE XXXXXXX“)/ (FI) HAASTEMIEHEN (”XXXXXXXX XX XXXXXXX”) XXXXXX XXXXXXXXX/ (SV) XXXXXXXX SOM XÄXXÖX XXÅX EN STÄMNINGSMAN (XXXXXXXX XX JUSTICE)

3.1.5

(BG) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) OTRO (XXXXXXXXXXXXX)/ (CZ) XXXX (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) SONSTIGES (XXXXX XXXXXXX)/ (XX) XXX (TÄPSUSTAGE)/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX XX XXXXXXXXX)/ (XX) XXXXX (À PRÉCISER)/ (XX) XXXX (LE SONRÚ)/ (XX) XXXXXX (XXXXXXX)/ (XX) ALTRO (XXXXXXXXX)/ (XX) XXXX (PRECIZĒT)/ (XX) XXXX (XXXXXXXX)/ (XX) EGYÉB (KÉRJÜK XXXXXXXXXXX)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) XXXX (XXXXXĘ XXXXŚXXĆ)/ (XX) XXXXXX (X XXXXXXXXXXX)/ (XX) XXXXX (X XX XXXXXXX)/ (XX) XXX (SPRESNIŤ)/ (XX) XXXXX (XXXXXXX)/ (FI) XXX XXXXXXXXX (TÄSMENNETTÄVÄ)/ (XX) XXXXX HANDLING (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (DA) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (EN) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ (HR) XXXXXXX XXXXXXX/ (IT) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX DOKUMENTS/ (LT) XXXXXXXXXXXXXXX XXXXXXXXXX/ (HU) XÖXXXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXXXXXXXXXXXXX/ (NL) XXXXXXXXXXXXXX XXXXXXXX/ (PL) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (SK) XXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXXX HANDLING

3.2.1

(BG) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (CZ) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) CERTIFICATE/ (XX) XXXXXXXXXX/ (GA) XXXXXXXX/ (XX) XXXXXXX/ (IT) XXXXXXXXXXX/ (LV) XXXXXXXXĀXXXX/ (XX) PAŽYMA, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX CERTIFICADO/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) TODISTUS/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА СЪДИМОСТ/ (XX) EXTRACTO XXX XXXXXXXX DE XXXXXXXXXXXX XXXXXXX/ (CZ) VÝPIS X REJSTŘÍKU XXXXXX/ (XX) UDDRAG XXX XXXXXXXXXXXXXXXX/ (XX) STRAFREGISTERAUSZUG/ (XX) KARISTUSREGISTRI XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΠΟΙΝΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX CRIMINAL XXXXXX/ (FR) XXXXXXX XX XXXXXX XXXXXXXXXX/ (XX) XXXXXXX XX XX TAIFEAD XXXXXXXX/ (XX) XXXXXXX XX XXXXXXX EVIDENCIJE/ (IT) XXXXXXXX XXX XXXXXXXXXX XXXXXXXXXX/ (LV) XXXXXXXX XX SODĀMĪBAS XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXXXXXŲ XXXXXXXX/ (XX) XXXXXXX X XŰXÜXXX XXXXXXXXXXXXXXXX/ (XX) ESTRATT XXX-XXXXXX XXXXXXXXX/ (NL) XXXXXXXXXX UIT HET XXXXXXXXXXXXX/ (XX) WYCIĄG X XXXXXXXX XXXXXXX/ (XX) CERTIFICADO XX XXXXXXX XXXXXXXX/ (RO) XXXXXX DIN XXXXXXXX XXXXXXXX/ (XX) VÝPIS X XXXXXXXX XXXXXXX/ (XX) XXXXXXX IZ XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (SV) UTDRAG XX XXXXXXXXXXXXXXXXX

3.2.3

(XX) ПЪЛЕН ПРЕПИС ОТ АКТ ОТ РЕГИСТЪРА ЗА СЪДИМОСТ/ (XX) COPIA XXXXXXX DE INSCRIPCIONES XXX XXXXXXXX XX XXXXXXXXXXXX XXXXXXX/ (XX) XXXX XXXXXXX Z XXXXXXXXX TRESTŮ/ (XX) XXXXXX KOPI XX XXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX VÄLJAVÕTTE XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΟΙΝΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXXX XXXX XX THE CRIMINAL XXXXXX/ (XX) XXXXX XXXXXXXXX XX XXXXXX XXXXXXXXXX/ (GA) XXXX XXXXX XX XXXXXX XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXX XXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXX/ (XX) SODĀMĪBAS XXĢXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXŲ REGISTRO ĮXXXŲ XXXXXXXĖ KOPIJA/ (HU) X BŰNÜGYI XXXXXXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) KOPJA XXXXXXXX XXX-XXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX AFSCHRIFT XXX XXX XXXXXXXXXXXXX/ (PL) XXXXX XXXXŁXX X XXXXXXXX XXXXXXX/ (PT) XXXXXXÃX XX CÓPIA XXXXXXXX OU XX XXXXXXXXX DO XXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXĂ X CAZIERULUI XXXXXXXX/ (SK) XXXXXXXX XXXXX X XXXXXXXX XXXXXXX/ (SL) XXXXXXXXX XXXXXX IZ XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX XXXXXXXXXX JÄLJENNÖS/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXXXX XX XXXXXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (ES) XXXX NOTARIAL/ (XX) XXXXXXXX LISTINA/ (DA) XXXXXXXXXÆXXXX XXXXXXXX/ (DE) XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) NOTARIAL XXX/ (FR) XXXX XXXXXXX/ (GA) XXXXXX XXXXXXXXXXXX/ (XX) JAVNOBILJEŽNIČKA XXXXXXX/ (XX) ATTO XXXXXXXX/ (XX) XXXXXXĀXX XXXX/ (LT) XXXXXXXXX XXXXX/ (HU) XÖXXXXXXŐX XXXXXX/ (XX) ATT XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (XX) XXX XXXXXXXXXX/ (XX) XXX XXXXXXXX/ (RO) XXX XXXXXXXX/ (SK) NOTÁRSKA 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/ (ES) XXXXXXXXXXXXX XXXXXXX XXXXXX XXXXX XX DOCUMENTO XXXXXXX/ (XX) ÚŘEDNÍ OSVĚDČENÍ, XXXXXX BYLA XXXXXXXX XXXXXXX XXXXXXXXX SOUKROMOU XXXXXX/ (XX) XXXXXXXX XÅXXXXXXX XÅ XX XXXXXXXX XXXXXXXXXXX XX XX XXXXXX X XXXXXX EGENSKAB XX XXXXXXXXXXXX/ (XX) AMTLICHE XXXXXXXXXXXXX XXX XXXXX XXXXXXXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX KINNITATAV AMETLIK XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (EN) XXXXXXXX XXXXXXXXXXX XXXXXX XX X XXXXXXXX XXXXXX XX A XXXXXX XX XXX XX HER XXXXXXX XXXXXXXX/ (XX) DÉCLARATION XXXXXXXXXX XXXXXXX XXX XX XXXX SOUS XXXXX XXXXX/ (XX) XXXXXXXX OIFIGIÚIL A XXXXXXXXX XX XXXXXXXXXX XXXX XXXXXX XX XXXXX XXX CHÁIL XX XXX CÁIL XXXXXXXXXXXXXX/ (XX) SLUŽBENA XXXXXXX XXXXXXXXX XX XXXXXXX XXXX XX XXXXX XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX UNA XXXXXXXXX XXXXXXX/ (XX) OFICIĀLS XXXXXXXXĀXXXX UZ DOKUMENTA, XX SAVĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (XX) PRIVAČIŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ĊXXXXXXXXX XXXXĊXXXX XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX PERSUNA XXX-XXXXĊXXÀ PRIVATA XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX EEN DOCUMENT XXXXXXXXXXX XXXX EEN XXXXXXX XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX UMIESZCZONE XX XXXXXXXXXX PODPISANYM XXXXX OSOBĘ XXXXŁXXĄXĄ X XXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX XXX XX XXXXXXXX XXXXXXX/ (XX) CERTIFICAT XXXXXXX XXXXXXX PE UN XXXXXXXX SUB XXXXĂXXXĂ XXXXXXĂ/ (XX) ÚRADNÉ XXXXXXXXXX UVEDENÉ NA XXXXXXX XXXXXXXXXX OSOBOU XXXXXXXXX AKO XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXX XX XXXXXXX XXXXXXX/ (FI) VIRALLINEN XXXXXXXX XXXXXXXXXXXX, JONKA XXXXXXÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX XXXXX ANBRINGAT 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 POR XX XXXXXX DIPLOMÁTICO X XXXXXXXX XX XX XXXXXX MIEMBRO XXX XXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX NEBO XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX AF XX MEDLEMSSTATS DIPLOMATISKE XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (XX) VON XXXXX XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXXX XX SEINER XXXXXXXXX XXXXXXXX XXXXXXXXXX URKUNDE/ (XX) LIIKMESRIIGI XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX TÄITMISEL KOOSTATUD XXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX XXXXX XX XX X DIPLOMATIC XX XXXXXXXX XXXXX XX X XXXXXX XXXXX XX XXX OR XXX XXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXX XX XX XXXXXXX XXXXXXXXXX XXX UN XXXXX XXXXXXXXXXXX OU XXXXXXXXXX X'XX XXXX XXXXXX/ (GA) XXXXXXXXX XXXX XXXXXXXXXX SUAS XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX XX XXXXX XXXXXXXXX XXX XXXXX XX XXX XXXX XXXXXXXXX/ (XX) XXXXXXX KOJU XX X SLUŽBENOM XXXXXXXX XXXXXXXX DIPLOMATSKI XXX XXXXXXXXXX PREDSTAVNIK XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX DA AGENTI XXXXXXXXXXX O XXXXXXXXX XX XXX STATO XXXXXX NELL'ESERCIZIO XXXXX XXXX XXXXXXXX/ (XX) XXXXXXXXX, KURU, XXXXXX XXXXX XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX DIPLOMĀTISKAIS VAI XXXXXXĀXXXX XĀXXXĀXXX/ (LT) XXXXXXXXXX, PARENGTAS VALSTYBĖS XXXĖX XXXXXXXXX XX XXXXXXXXXX PAREIGŪNO, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX TAGÁLLAM XXXXXXXXXXX XXXX KONZULI XXXXXXXXŐXX XXXXX HIVATALOS XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXXX XXXX XĠXXX XXXXXXXXXXX XXX KONSULARI TA' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX VAN XXX XXXXXXXX IN XXXX XXXXXXËXX XXXXXXXXXXXX/ (XX) DOKUMENT XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX KONSULARNEGO XXŃXXXX CZŁONKOWSKIEGO XXXXŁXXĄXXXX X XXXXXXXXXXX XXXĘXXXXX/ (XX) XXXXXXXXX LAVRADO XXX XX AGENTE XXXXXXXXXXX XX CONSULAR XX XX XXXXXX-XXXXXX XX EXERCÍCIO XXX XXXX XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX XX CĂTRE XX XXXXX DIPLOMATIC SAU XXXXXXXX XX XXXX XXXX XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM XXXXXXXXX ALEBO XXXXXXXXXXX XXXXXXXXX XXXXXXXXX ŠTÁTU X XXXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXX, XX JO XXX XXXXXX XXXXX XXXX XXXXXXXXXXX ALI XXXXXXXXXX PREDSTAVNIK DRŽAVE XXXXXXX/ (XX) ASIAKIRJA, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX XX LAATINUT XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXÄXXXX X XXÄXXXXX XX XX XXXXXXXXXXX ELLER XXXXXXÄX XXÄXXXXXXX X XX MEDLEMSSTAT

3.6

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (CZ) XXXXX (DD/MM/RRRR) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) AUSSTELLUNGSDATUM (XX/XX/XXXX)/ (XX) VÄLJAANDMISE XXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (DD/MM/YYYY) XX XXXXX/ (FR) XXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXX (LL/MM/BBBB) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (IT) XXXX XX RILASCIO (XX/XX/XXXX)/ (LV) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) XXXXXXXX DATA (XX/XX/XXXX)/ (XX) A XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (PL) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATA DE XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (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) XXXXXX DE XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (CZ) REFERENČNÍ XXXXX XXXXXXX LISTINY/ (XX) DET OFFENTLIGE XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖFFENTLICHEN XXXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (EL) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX NUMBER XX XXX XXXXXX XXXXXXXX/ (XX) XXXXXX DE XXXXXXXXX XX DOCUMENT XXXXXX/ (GA) XXXXXX XXXXXXXXX XX XXXXXXXXX XXXXXXX/ (XX) REFERENTNI XXXX JAVNE ISPRAVE/ (XX) XXXXXX XX XXXXXXXXXXX DEL DOCUMENTO XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX NUMURS/ (XX) VIEŠOJO XXXXXXXXX XXXXXXX/ (XX) X XÖXXXXXXX XXXXXXXXXXX SZÁMA/ (XX) NUMRU XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (XX) REFERENTIENUMMER XXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (PT) XXXXXX XX XXXXXÊXXXX XX XXXXXXXXX PÚBLICO/ (XX) XXXĂXXX XX XXXXXXXȚĂ AL XXXXXXXXXXXX XXXXXXX/ (SK) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (XX) REFERENČNA XXXXXXXX XXXXX XXXXXXX/ (XX) XXXXXXX ASIAKIRJAN XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX REFERENSNUMMER

4.

(BG) ИНФОРМАЦИЯ ЗА САМОЛИЧНОСТТА НА СЪОТВЕТНОТО ЛИЦЕ СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX XXXXX LA XXXXXXXXX XX XX XXXXXXX A XX XXX XX XXXXXXX XX XXXXXXXXX PÚBLICO XX XXX XX XXXXXXX XXXX IMPRESO/ (XX) XXXXXXXXX O XXXXXXXXXX XXXXX UVEDENÉ XX XXXXXXX LISTINĚ, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XX XXXXXXXXXXX PÅ XXXXXXXX, XXX XXX OFFENTLIGE XXXXXXXX, XXX DENNE XXXXXXXX ER XXXXÆXXXX, XX XXXXXXX X/ (XX) XXXXXXX ZUR XXXXXXXÄX XXX BETREFFENDEN XXXXXX GEMÄSS XXX ÖXXXXXXXXXXX URKUNDE, DER XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (ET) XXXXX XXXXX XXXXXXXXXXXXX XXXXX, XXX XX XXXXXXXXX XXXXXXXX XXXXXXXXXX, XXXXXXX XXX XXXX ON XXXXXXX/ (EL) ΠΛΗΡΟΦΟΡΙΕΣ ΓΙΑ ΤΗΝ ΤΑΥΤΟΤΗΤΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΚΑΤΟΝΟΜΑΖΕΤΑΙ ΣΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX IDENTITY XX XXX XXXXXX XXXXX XX XXX XXXXXX XXXXXXXX XX XXXXX XXXX FORM XX XXXXXXXX/ (XX) INFORMATIONS XXX X'XXXXXXXX XX XX XXXXXXXX XXXXXXXXX XXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXX XXXXXXXXXX XX XXXXX XXX AINMNITHE XX XXXXXXXXX POIBLÍ XXXX BHFUIL XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXXXXX O XXXXXXXXXX XXXXX XXXXXXXX X XXXXXX XXXXXXX XXXXX XX OVAJ XXXXXXX XXXXXXXX/ (IT) XXXXXXXXXXXX XXXX'XXXXXXXÀ XXXXX XXXXXXX XXXXXXXXXXX XXX XXXXXXXXX PUBBLICO CUI XX XXXXXXXX XXXXXX È XXXXXXXX/ (LV) XXXXXXĀXXXX PAR XXXXXXXXXĀ XXXXXXXXĀ, XXXXX ŠĪ XXXXXXXX XX XXXXXXXXXX, XXXĒXĀX XXXXXXXX XXXXXXXĀXX/ (XX) INFORMACIJA XXXX XXXXXX, XXXXXXXX XXXXXXXXX XXXXXXXXX, PRIE KURIO XXXXXXXXX XX XXXXX, XXXXXXXĘ/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATBAN XXXXXXXXXXX XXXXXXX XXXXXXXXXXXXXXXXXXX XXXXXXXXX ADATOK/ (XX) XXXXXXXXXXXXX DWAR X-XXXXXXXÀ XXX-XXXXXXX XXXXXXXX FID-DOKUMENT XXXXXXXX LI XXXXĦX XX XXXXXŻX XXX XX-XXXXXXX/ (NL) INFORMATIE XXXX DE IDENTITEIT XXX XX XXXXXXXXXX XX GROND XXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXX XX TEMAT XXŻXXXXŚXX XXXXX XXXXXXXXX X XXXXXXXXXX XXXĘXXXXX, XX XXXXXXX ZAŁĄCZONY XXXX NINIEJSZY FORMULARZ/ (XX) INFORMAÇÕES XXXXX X XXXXXXXXXX XX XXXXXX XXXXXXXXX XX XXXXXXXXX XXXXXXX X XXX X PRESENTE XXXXXXXXXX XXXX APENSO/ (XX) INFORMAȚII XXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXXXX XXXXX XXXXXXXX XX VEREJNEJ LISTINE, XX XXXXXX XX XXXXX XXXXXXXX PRIPOJENÝ/ (XX) XXXXXXXXXXX O XXXXXXXXXXXX OSEBE, XX XXXXXX SE NANAŠA XXXXX XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXÄ ASIAKIRJASSA, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX, XXXXXXXXXXX XXXXXXÖX HENKILÖTIEDOT/ (XX) XXXXXXXXX OM XXXXXXXXXXX XÅ XXX XXXXXX SOM XXXÖXX XX DEN XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX FORMULÄR ÄX XXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) APELLIDO(S)/ (CZ) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (XX) XXXXXXXXXXXX(X)/ (XX) XXXXXXXXXXXXX (-NIMED)/ (EL) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX(X)/ (XX) NOM(S)/ (GA) XXXXXXX (XXXXXXXX)/ (XX) XXXXXXX(XX)/ (IT) COGNOME(I)/ (XX) UZVĀRDS(-I)/ (LT) XXXXXXĖ (-ĖX)/ (XX) XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (NL) XXXXXXXX(X)X(XX)/ (XX) NAZWISKO(-A)/ (XX) XXXXXXX(X)/ (XX) XXXX/ (XX) XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX/ (XX) XXXXXXXX (-XXXXX)/ (XX) EFTERNAMN

4.2

(BG) ПРЕДИШНО(И) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X) XXXXXXXX(XX)/ (XX) XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXX(X)/ (XX) FRÜHERE(R) XXXXXXXXXXXX(X)/ (XX) VARASEM PEREKONNANIMI (XXXXXXXXX XXXXXXXXXXXXXX)/ (XX) ΠΡΟΗΓΟΥΜΕΝΟ(-Α) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXXX XXXXXXX(X)/ (XX) XXX(X) XXXXXXXXX(X)/ (XX) XXXXXXX (XXXXXXXX) XXXXXX XXX/ (XX) XXXXXXXXX(-X) XXXXXXX(XX)/ (IT) XXXXXXX/X XXXXXXXXXX/X/ (XX) IEPRIEKŠĒJAIS(-IE) XXXĀXXX(-X)/ (LT) XXXXXXXXĖ (-ĖX) XXXXXXĖ (-ĖX)/ (XX) ELŐZŐ XXXXXXX XXXX(X)/ (XX) KUNJOM(/KUNJOMIJIET) XXXĊXXXXXX/ (XX) XXXXXXXX XXXXXXXX(X)X(XX)/ (PL) XXXXXXXXXX XXXXXXXX(-X)/ (PT) APELIDO(S) XXXXXXXX(XX)/ (RO) NUME XXXXXXXX (XXXX ANTERIOARE)/ (XX) XXXXXXXXXXXXXX PRIEZVISKO(-Á)/ (XX) XXXXXXXX PRIIMEK/PRIIMKI / (FI) XXXXXXX XXXXXXXX (ENTISET SUKUNIMET)/ (XX) XXXXXXXX XXXXXXXXX

4.3

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) XXXXX (XXXXX)/ (DA) FORNAVN(E)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (EL) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (XX) XĀXXX(-X)/ (LT) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (XX) ISEM(/ISMIJIET)/ (XX) XXXXXX(X)X(XX)/ (PL) XXXĘ (XXXXXX)/ (XX) XXXX(X) PRÓPRIO(S)/ (XX) XXXXXXX/ (SK) MENO(-Á)/ (XX) IME/IMENA/ (XX) XXXXXXX (-XXXXX)/ (XX) XÖXXXXX

4.4

(XX) ПРЕДИШНО(И) СОБСТВЕНО(И) ИМЕ(НА)/ (ES) NOMBRE(S) XXXXXXXX(XX)/ (XX) XXXXXXXXX XXXXX (XXXXX)/ (DA) XXXXXXXXX XXXXXXX(X)/ (XX) XXÜXXXX(X) XXXXXXX(X)/ (XX) XXXXXXX EESNIMI (XXXXXXXXX XXXXXXXX)/ (XX) ΠΡΟΗΓΟΥΜΕΝΟ(-Α) ΟΝΟΜΑ(-ΤΑ)/ (EN) PREVIOUS XXXXXXXX(X)/ (FR) XXXXXX(X) XXXXXXXXX(X)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX) XXXXXX XXX/ (XX) PRIJAŠNJE(-A) IME(NA)/ (XX) NOME/I XXXXXXXXXX/X/ (XX) IEPRIEKŠĒJAIS(-IE) VĀRDS(-I)/ (XX) ANKSTESNIS (-X) XXXXXX (-AI)/ (XX) XXŐXŐ XXXXXXX(X)/ (XX) XXXX/XXXXXXXX PREĊEDENTI/ (XX) XXXXXXXX XXXXXXX(X)X(XX)/ (XX) XXXXXXXXXX IMIĘ (XXXXXX)/ (XX) NOME(S) XXXXXXX(X) XXXXXXXX(XX)/ (XX) XXXXXXX XXXXXXXX (XXXXXXX XXXXXXXXXX)/ (XX) PREDCHÁDZAJÚCE MENO(-Á)/ (XX) PREJŠNJE IME/IMENA/ (XX) XXXXXXX (-XXXXX)/ (XX) TIDIGARE FÖRNAMN

4.5

(BG) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) FECHA (XX/XX/XXXX) DE NACIMIENTO/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXX/ (XX) FØDSELSDATO (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) DATE (XX/XX/XXXX) XX XXXXXXXXX/ (XX) DÁTA (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (XX) XXXX DI XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX XXXX (DD/MM/MMMM)/ (XX) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (NL) XXXXXXXXXXXXX (XX/XX/XXXX)/ (PL) XXXX (DD/MM/RRRR) XXXXXXXXX/ (XX) DATA DE XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (ZZ/LL/AAAA) XXȘXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXX/ (FI) XXXXXXÄXXXX (PP/KK/VVVV)/ (XX) XÖXXXXXXXXXX (DD/MM/ÅÅÅÅ)

4.6

(BG) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX X XXXX XX XXXXXXXXXX/ (XX) MÍSTO X XXXX NAROZENÍ/ (XX) XØXXXXXX OG -XXXX/ (XX) XXX XXX XXXX XXX XXXXXX/ (ET) XÜXXXXXXX XX -XXXX/ (EL) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) PLACE XXX XXXXXXX XX XXXXX/ (FR) XXXX XX PAYS XX XXXXXXXXX/ (GA) XXX XXXX XXX BHREITHE/ (XX) XXXXXX X XXXXXX XXĐXXXX/ (XX) XXXXX X XXXXX XX NASCITA/ (XX) XXXXXXXXX XXXXX UN XXXXXX/ (XX) XXXXXX XXXXX XX ŠALIS/ (XX) SZÜLETÉSI HELYE XX ORSZÁGA/ (XX) XXXX X XXXXXŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX XX -XXXX/ (XX) XXXXXXX X XXŃXXXX XXXXXXXXX/ (XX) XXXXX X PAÍS XX XXXXXXXXXX/ (XX) LOCUL ȘX ȚARA XXȘXXXXX/ (XX) MIESTO X XXXX XXXXXXXXX/ (XX) XXXX IN XXXXXX XXXXXXX/ (XX) SYNTYMÄPAIKKA XX -MAA/ (XX) XÖXXXXXXXX OCH -LAND

4.7

(BG) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (XX) XØX/ (DE) XXXXXXXXXX/ (XX) XXXX/ (EL) ΦΥΛΟ/ (EN) SEX/ (XX) XXXX/ (GA) XXXXXX/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) XXXX/ (XX) GESLACHT/ (XX) PŁEĆ/ (PT) XXXX/ (RO) XXXXX/ (XX) XXXXXXXX/ (XX) XXXX/ (XX) XXXXXXXXX/ (XX) KÖN

4.7.1

(BG) ЖЕНСКИ/ (XX) XXXXX/ (CZ) XXXX/ (DA) XXXXXX/ (XX) WEIBLICH/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) FEMALE/ (FR) XXXXXXX/ (GA) XXXXXXXX/ (XX) ŽENSKI/ (XX) XXXXXXXXX/ (LV) XXXXXXXX/ (XX) MOTERIS/ (XX) XŐ/ (XX) MARA/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) FEMEIESC/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (SV) XXXXXX

4.7.2

(XX) МЪЖКИ/ (ES) XXXXX/ (XX) XXX/ (XX) MAND/ (XX) XÄXXXXXX/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (XX) MASCULIN/ (XX) XXXXXXX/ (HR) XXXXX/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (LT) XXXXX/ (HU) FÉRFI/ (XX) XXĠXX/ (NL) XXX/ (XX) XĘŻXXXXXX/ (XX) XXXXXXXXX/ (RO) XĂXXĂXXXX/ (SK) XXXXXX/ (XX) XXXXX/ (FI) XXXX/ (XX) XXX

4.7.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) NEURČENO/ (XX) XXXXXXXX/ (DE) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (HR) XXXXXXĐXX/ (IT) INDETERMINATO/ (XX) NENOTEIKTS/ (LT) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XŁXĆ NIEOKREŚLONA/ (XX) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (SK) NEURČENÉ/ (XX) XXXXXXXXX/ (FI) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

4.8

(XX) ГРАЖДАНСТВО/ (ES) XXXXXXXXXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (XX) NATIONALITET/ (XX) XXXXXXXXXXXÖXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) ΙΘΑΓΕΝΕΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (GA) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXĪXX/ (XX) PILIETYBĖ/ (HU) XXXXXXXXXXXXXXX/ (XX) ĊITTADINANZA/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) CETĂȚENIA/ (SK) XXXXXX PRÍSLUŠNOSŤ/ (SL) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX

4.9

(XX) ГРАЖДАНСКИ НОМЕР/ (XX) XXXXXX XX XXXXXXXXX/ (XX) XXXXXXXXXXXXX ČÍSLO/ (XX) XXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXÄXXXXXXXX/ (XX) ISIKUKOOD/ (XX) ΑΡΙΘΜΟΣ ΤΑΥΤΟΤΗΤΑΣ/ (XX) XXXXXXXX XXXXXX/ (FR) XXXXXX X'XXXXXXXX/ (GA) XXXXXX AITHEANTAIS/ (HR) XXXXXXXXXXXXXXXX XXXX/ (XX) XXXXXX X'XXXXXXXXXXXXXXX/ (LV) XXXXXXXĀXXX XXXXXX/ (XX) XXXXXX KODAS/ (XX) XXXXXXXX XXXXXXXXX XXXXX/ (XX) NUMRU XXX-XXXXXXXÀ/ (XX) XXXXXXXXXXXXXXXXX/ (PL) XXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXÇÃX/ (XX) XXXĂXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXXX/ (FI) XXXXXXÖXXXXXX/ (XX) IDENTITETSNUMMER

4.10

(BG) ВИД И НОМЕР НА ДОКУМЕНТА ЗА САМОЛИЧНОСТ НА ЛИЦЕТО/ (ES) XXXX X XXXXXX XX XXXXXXXXX XX XXXXXXXXXXXXXX XXX INTERESADO/ (XX) XXXX X XXXXX XXXXXXXXXXXXXXX XXXXXXX XXXXX/ (XX) XXXXX XX XXXXXXXX XÅ XXXXXXXXX IDENTIFIKATIONSDOKUMENT/ (XX) XXX UND XXXXXX XXX IDENTITÄTSDOKUMENTS XXX XXXXXX/ (ET) XXXXXX XÕXXXXXX XXXXXXXXX XXXX XX XXXXXX/ (EL) ΕΙΔΟΣ ΚΑΙ ΑΡΙΘΜΟΣ ΕΓΓΡΑΦΟΥ ΤΑΥΤΟΤΗΤΑΣ ΤΟΥ ΠΡΟΣΩΠΟΥ/ (XX) XXXX XXX NUMBER XX XXX PERSON’S XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXX XX XXXXXX DE XX PIÈCE D'IDENTITÉ XX XX XXXXXXXX XXXXXXXXX/ (XX) CINEÁL XXXX UIMHIR DHOICIMÉAD XXXXXXXXXXX XX XXXXX/ (XX) VRSTA I XXXX XXXXXXXXXXXXXXXX ISPRAVE XXXXX/ (XX) XXXX X XXXXXX DEL XXXXXXXXX XX IDENTITÀ XXXXX XXXXXXX/ (LV) XXXXXXXX XXXXXXXXXĀXXXXX XXXXXXXXX XXXXX XX XXXXXX/ (XX) XXXXXX XXXXXXXĖX XXXXXXXXX XXXXX XX XXXXXXX/ (XX) X XXXXXXXXXXXXXXXX XXXXXX XXXXXX XX XXXXX/ (XX) XX-XXX X N-NUMRU XXX-XXXXXXXX TA' XXXXXXXÀ XXX-XXXXXXX/ (NL) XXXX XX XXXXXX VAN XXX XXXXXXXXXXXXXXXXXXX VAN XX XXXXXXXXXX/ (XX) XXXXXX X XXXXX XXXXXXXXX XXŻXXXXŚXX/ (XX) XXXX E NÚMERO XX DOCUMENTO DE XXXXXXXXXXÇÃX/ (XX) TIPUL ȘX XXXĂXXX DOCUMENTULUI XX XXXXXXXXXXXX XX XXXXXXXXX/ (XX) XXX X XXXXX XXXXXXXX XXXXXXXXXX XXXXX/ (XX) XXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX XXXXXXXXX OSEBE/ (XX) XXXXXXÖXXXXXXXXXXX TYYPPI XX NUMERO/ (SV) XXX OCH XXXXXX XÅ XXXXXXXXX XXXXXXXXXXXXXXXXXX

4.10.1

(XX) НАЦИОНАЛНА ЛИЧНА КАРТА/№/ (XX) DOCUMENTO XXXXXXXX XX IDENTIDAD / XXX./ (XX) XXXXXXXXXXXX XXXXXX XXXXXXXXXX / X./ (XX) NATIONALT XXXXXXXXXXXXXX/-XXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXXXXXX/XX./ (XX) RIIKLIK XXXXXXXXXXXXXX / NR/ (XX) ΕΘΝΙΚΟ ΔΕΛΤΙΟ ΤΑΥΤΟΤΗΤΑΣ / ΑΡΙΘ./ (XX) XXXXXXXX IDENTITY XXXX/XX./ (FR) XXXXX XXXXXXXXX D'IDENTITÉ/N°/ (GA) XXXXX XXXXXXXXX XXXXXXXXXXX/XXXX./ (XX) XXXXXXXXXX OSOBNA XXXXXXXXX / BR./ (XX) CARTA X'XXXXXXXÀ XXXXXXXXX/X./ (LV) VALSTS XXXXXXXX APLIECĪBA / XX./ (LT) XXXXXXXXXXĖ XXXXXX XXXXXXXĖX XXXXXXĖ / XX./ (XX) XXXXXXX XXXXXXXXXXXXXXXX XXXXXXXXXX/XXXXX/ (XX) XXXXX XXX-XXXXXXXÀ XXXXXXXXXX/XXX/ (XX) NATIONALE XXXXXXXXXXXXXXXX/XX./ (PL) XXXXXXX XXXXX XXŻXXXXŚXX / XX/ (PT) X.x XX DOCUMENTO XX XXXXXXXXXXÇÃX XXXXXXXX/ (RO) XXXXX DE XXXXXXXXXX XXȚXXXXXĂ/XX./ (XX) NÁRODNÝ XXXXXXX TOTOŽNOSTI/č./ (XX) XXXXXXXXXX XXXXXX XXXXXXXXX/XX./ (XX) XXXXXXXXXXX XXXXXXÖXXXXXX/XXX/ (XX) NATIONELLT IDENTITETSKORT/NUMMER

4.10.2

(BG) ПАСПОРТ/№/ (ES) XXXXXXXXX / XXX./ (XX) XXX / X./ (XX) PAS/NR./ (XX) XXXXXXXXX/XX./ (XX) XXXX/XX/ (XX) ΔΙΑΒΑΤΗΡΙΟ/ΑΡΙΘ./ (EN) XXXXXXXX/XX./ (XX) XXXXXXXXX/X°/ (XX) XXX/XXXX./ (XX) XXXXXXXXX / XX./ (XX) PASSAPORTO/N./ (XX) XXXX/XX./ (LT) XXXXX / XX./ (XX) XXXXXXX/XXXXX/ (XX) PASSAPORT/ XXX/ (NL) XXXXXXXX/XX./ (XX) PASZPORT / XX/ (XX) N.o XX XXXXXXXXXX/ (RO) XXȘXXXXX/XX./ (SK) XXXXXXXX XXX/x./ (XX) POTNI XXXX/XX./ (XX) XXXXX/XXX/ (XX) XXXX/XXXXXX

4.10.3

(XX) СВИДЕТЕЛСТВО ЗА УПРАВЛЕНИЕ НА МПС/№/ (XX) PERMISO XX XXXXXXXXXX / XXX./ (XX) XXXXXXXX XXXXXX / X./ (XX) XØXXXXXX/XX./ (DE) XÜXXXXXXXXXX/XX./ (XX) XXXXXXXX/XX/ (XX) ΑΔΕΙΑ ΟΔΗΓΗΣΗΣ / ΑΡΙΘ./ (XX) XXXXXXX XXXXXXX/XX./ (XX) XXXXXX XX XXXXXXXX/X°/ (XX) CEADÚNAS TIOMÁNA/UIMH./ (XX) XXXXXXX DOZVOLA / BR./ (XX) XXXXXXX XX XXXXX/X./ (XX) XXXĪXĀXX XXXXXXĪXX / XX./ (XX) XXXXXXXXXX XXXXXĖXXXXX / XX./ (HU) XXXXXŐX XXXXXXXX/XXXXX/ (MT) LIĊENZJA XXX-XXXXXX/XXX/ (XX) XXXXXXXXX/XX./ (XX) XXXXX XXXXX / XX/ (XX) X.x XX XXXXX XX XXXXXÇÃX/ (RO) XXXXXX XX XXXXXXXXX/XX./ (XX) XXXXXXXX XXXXXXX/x./ (XX) VOZNIŠKO XXXXXXXXXX/XX./ (XX) XXXXXXXXX/XXX/ (SV) XÖXXXXX/XXXXXX

4.10.4

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ) … /№ …/ (ES) XXXX (ESPECIFÍQUESE) … / NÚM. …/ (XX) JINÉ (XXXXXXXXX) … / X …/ (XX) XXXXX (XXXXXXX) …/ XX. …/ (DE) XXXXXXXXX (XXXXX XXXXXXX) …/NR …/ (XX) XXX (XÄXXXXXXXX) … / XX …/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ) … / Αριθ. …/ (XX) XXXXX (TO XX XXXXXXXXX) …/Xx. …/ (FR) AUTRE (À XXXXXXXX) …/N° …/ (XX) XXXX (XX XXXXX) … …/Xxxx. …/ (XX) XXXXXX (XXXXXXX) … / xx. …/ (XX) XXXXX (XXXXXXXXX) …/X. …/ (XX) XXXX (XXXXXXĒX) … / XX. …/ (XX) KITA (XXXXXXXX) …/XX. …./ (HU) XXXXX (KÉRJÜK XXXXXXXXXXX) …/Xxxxx: …/ (XX) XĦXXXX (IPPREĊIŻA) …/Nru …/ (XX) XXXXXXX (XXXXXXXXXXXX) …/XX. …/ (XX) INNY (PROSZĘ XXXXŚXXĆ) … / xx …/ (XX) X.x XX XXXXX XXXXXXXXX (XXXXXXXXXXX) …/ (XX) XXXXX (A XX XXXXXXX) … /XX. …/ (XX) XXX (SPRESNIŤ) …/x. …/ (XX) DRUGO (XXXXXXX) …/št. …/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ) … /Xxx …/ (XX) XXXXX XXXXXXXX (SPECIFICERAS) …/Xxxxxx …

5.

(XX) В ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ, НЕ СЕ ПОСОЧВА СЪОТВЕТНОТО ЛИЦЕ ДА Е БИЛО ОСЪЖДАНО СЪГЛАСНО РЕГИСТРИТЕ ЗА СЪДИМОСТ НА ДЪРЖАВАТА ЧЛЕНКА, ЧИЙТО ГРАЖДАНИН Е ТОВА ЛИЦЕ/ (XX) EL XXXXXXXXX XXXXXXX AL XXX XX ADJUNTA XXXX XXXXXXX XX XXXXXXXX QUE XXXXXX XXXXXX ANTECEDENTE PENAL XXX XXXXXXXXXX XX XX REGISTRO XX XXXXXXXXXXXX XXXXXXX DEL XXXXXX XXXXXXX XXX XXX TIENE XX XXXXXXXXXXXX/ (CZ) XXXXXXX XXXXXXX, X XXX XX PŘIPOJEN TENTO XXXXXXXX, NEZMIŇUJE XXXXX XXXXXXXXX XXXXXXX XXXXX XXXXXXXXXXX X REJSTŘÍKU XXXXXX XXXXXXXXX STÁTU, XXXXX XX XXXX XXXXX STÁTNÍM XXXXXXXXXXXX/ (XX) DET OFFENTLIGE XXXXXXXX, XXX XXXXX XXXXXXXX XX VEDHÆFTET, XÆXXXX INGEN DOM XXX XXXXXX XXX XXX PÅGÆLDENDE XXXXXX X STRAFFEREGISTRET X XXX XXXXXXXXXXX, HVOR XXXXXXXX XX XXXXXXXXXXX/ (XX) DIE ÖXXXXXXXXXX XXXXXXX, DER DIESES XXXXXXXX XXXXXXÜXX XXX, XXXXÄXX XXXXXX HINWEIS XXX XXXX XXXXXXXXXXXX XXX BETREFFENDEN XXXXXX XX STRAFREGISTER XXX XXXXXXXXXXXXXX XXXXX STAATSANGEHÖRIGKEIT/ (XX) AVALIKUS XXXXXXXXXX, XXXXXXX SEE XXXX XX XXXXXXX, XX XXX XÄXXXXXX ÜHTEGI XÜÜXXXÕXXXXXX KOHTUOTSUST, MIS XXXXX TEHTUD XXXXXXXXX XXXXX SUHTES XX XXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXÄXXXX XXXXXXXXXXXX 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/ (EN) XXX XXXXXX XXXXXXXX TO XXXXX XXXX XXXX XX ATTACHED XXXX XXX XXXXXXX ANY XXXXXXXXXX IN XXXXXXX XX XXX PERSON XXXXXXXXX IN THE XXXXXXXX XXXXXX XX XXX XXXXXX STATE XX XXXXXXXXXXX XX XXXX XXXXXX/ (XX) XX DOCUMENT XXXXXX XXXXXX XX XXXXXXX XXXXXXXXXX XXX JOINT XX XXXXXXXXX AUCUNE XXXXXXXXXXXX XXXXXXXX XX XXXXXX JUDICIAIRE XX XX XXXXXXXX XXXXXXXXX XXXX L'ÉTAT XXXXXX XXXX CETTE XXXXXXXX X XX XXXXXXXXXXX/ (XX) XX DOICIMÉAD XXXXXX XXXX XXXXXX XX FHOIRM XXX XXXXXXXXXX, NÍL XXX XXXXXX XX XXX XXXXXXX I XXXXX XX DUINE LENA xXXXXXXXX XX TAIFEAD XXXXXXXX X xXXXXXXXX XXXXXXXXXXXXX AN XXXXX XXXX mBAINEANN/ (XX) X XXXXXX XXXXXXX XXXXX XX OVAJ XXXXXXX XXXXXXXX NIJE XXXXXXXX XXXXXXX OSUĐUJUĆA XXXXXXX XXXXXX DOTIČNE XXXXX X XXXXXXXX XXXXXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX XX OSOBE/ (XX) XX DOCUMENTO XXXXXXXX XXX IL XXXXXXXX XXXXXX È XXXXXXXX XXX XXXXXXX XXXXXX XXXXXXXX XXXXXXXX XXXX XXXXXXX INTERESSATA XXX XXXXXX CONCERNE XX XXXXXXXXXX GIUDIZIALE XXXXX XXXXX XXXXXX XX XXXXXXXXXXXX XX XXXX XXXXXXX/ (XX) XXXXXXXXXĀ DOKUMENTĀ, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, XXX ATTIECĪGO XXXXXXX XXX MINĒTA XXXXXXX NOTIESĀŠANA, KAS XXXĀXĪXX XXXĒXĀX XXXXXXXX XXXXXXXXXXXXĪXXX DALĪBVALSTS XXXĀXĪXXX XXĢXXXXĀ/ (LT) XXXXXXXXX XXXXXXXXX, XXXX KURIO XXXXXXXXX XX XXXXX, XXXXXXXXXXX XXXX SU XXXXXXXXXX XXXXXXX XXXXXĘX XXXXXXXXXXX XX XXXXXX XXXXXXXXĖX VALSTYBĖS XXXĖX XXXXXXXXXXXŲ REGISTRE/ (XX) X XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXX AZ ÉRINTETT XXXXXXXXXX XXXXXXXXXXXX XXX XXXXX XX XXXXXXXX XXXXXXX XXXXXXXXXXXXXXX XXXXXXXX XXXXXXXX XŰXÜXXX NYILVÁNTARTÁSÁBAN XXXXXXXŐ ELÍTÉLÉST/ (XX) XX-XXXXXXXX XXXXXXXX MEHMUŻ XX' XXX IL-FORMOLA XX JSEMMI X-XXXX XXXXXXXX XXX-XXXXXXX TAL-PERSUNA XXXXĊXXXXXX FIR-REKORD KRIMINALI XXX-XXXXX MEMBRU XXĊ-ĊXXXXXXXXXXX XX' XXX IL-PERSUNA/ (XX) HET OPENBAAR XXXXXXXX XXXXXXX XXX XXXXXXXXX XX GEHECHT, XXXXXXXX XXXX XXXXXXXXXXXX XXXX XX BETROKKENE XX XXX XXXXXXXXXXXXX XXX XX LIDSTAAT XXX NATIONALITEIT VAN XX XXXXXXXXXX/ (PL) XXXXXXXX URZĘDOWY, XX XXXXXXX ZAŁĄCZONY XXXX XXXXXXXXX XXXXXXXXX, NIE XXXXXXX XXXXXXXXXX O XXXXXXXXX WYROKU SKAZUJĄCEGO XXXXXXXX WOBEC OSOBY, XXXXXX DOTYCZY XXXXXXXX, XXXXXXXXX XX REJESTRU XXXXXXX XXŃXXXX CZŁONKOWSKIEGO, XXXXXXX XXXXX TA XXXX OBYWATELEM/ (XX) X XXXXXXXXX XXXXXXX X XXX O XXXXXXXX XXXXXXXXXX XXXX XXXXXX XÃX REFERE XXXXXXXX CONDENAÇÃO DA XXXXXX XX XXXXX XX XXXXXXX CRIMINAL XX XXXXXX-XXXXXX XX XXXXXXXXXXXXX XXXXX PESSOA/ (XX) XXXXXXXXXX XXXXXXX XX XXXX ESTE XXXXXX PREZENTUL XXXXXXXX XX XXXȚXXXXXXĂ XXXXX XXXXXXXXXX REFERITOARE LA XXXXXXXX XXXXXĂ XX XXXXXXXX XXXXXXXX XXX XXXXXX XXXXXX AL XĂXXX CETĂȚEAN XXXX XXXXXXXX XXXXXXXXXĂ/ (XX) XX XXXXXXXX LISTINE, XX XXXXXX XX XXXXX FORMULÁR PRIPOJENÝ, XX NEUVÁDZA XXXXXX XXXXXXXXX DOTKNUTEJ XXXXX X REGISTRI XXXXXXX XXXXXXXXX XXXXX, KTORÉHO XXXXXXX XXXXXXXXXXXX JE XXXX OSOBA/ (SL) X JAVNI XXXXXXX, XX JI JE XXXXXXXX XX XXXXXXX, XX XXXXXXXX XXXXXX XXXXXXX V XXXXX X ZADEVNO XXXXX X XXXXXXXX EVIDENCI XXXXXX ČLANICE, XXXXXX XXXXXXXXXXXXX XXX XX XXXXX/ (XX) XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX, EI XXX XXXXXXXXX XXXXXXXXXXXX XXXXXXÖÄ KOSKEVISTA XXXXXXXXXX XXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXXÄ, XXXXX XXXXXXXXXXX XXXXXXÖ XX/ (SV) X XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX XÄXXX INGEN XXXXXXX XX XXX XXX XXX XXXÖXXX XXXXXXXX X XXXXXXXXXXXXXXXXX X XXX XXXXXXXXXXX XÄX XXXXX PERSON ÄR XXXXXXXXXX

6.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX XXXXX/ (XX) XXXX PRO XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXX/ (EL) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) SIGNATURE XXX/ (XX) XXXXX XXXX XX XXXXXXXXX/ (XX) XXXXX XXX XXXXX/ (HR) POLJE XX XXXXXX/ (XX) XXXXXXXX XXX XX XXXXX/ (LV) XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXX/ (HU) XX XXXXXXX XXÖXXXXXXXXX/ (MT) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX XX XXXXXXXXXXXX/ (PL) XXXX XXXXXXX/ (PT) ESPAÇO XXXXXXXXX À XXXXXXXXXX/ (XX) SEMNĂTURA/ (XX) XXXXXXX XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (FI) XXXXXXXXXXXXXXXXXXÄ/ (XX) XXXX XÖX XXXXXXXXXXXXXX

6.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) Y XXXXXX(X) XXX FUNCIONARIO XXX EXPIDIÓ XXXX XXXXXXX/ (XX) XXXXXXXX X JMÉNO (XXXXX) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXX(X) XX XXXXXXX(X) XÅ DEN XXXXXXXXXX, XXX HAR XXXXXXX XXXXX FORMULAR/ (XX) XXXXXXXXXXXX(X) UND XXXXXXX(X) XXX XXXXXXX, XXX XXXXXX FORMULAR XXXXXXXXXXX XXX/ (ET) KÄESOLEVA XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXX (-XXXXX) XX XXXXXXXXXXXXX (-XXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) XXX FORENAME(S) OF XXX XXXXXXXX XXX XXXXXX THIS XXXX/ (XX) XXX(X) XX XXXXXX(X) XX FONCTIONNAIRE XXX A DÉLIVRÉ XX XXXXXXX FORMULAIRE/ (XX) XXXXXXX (SLOINNTE) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX XXXXXXXX A X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX XXXX XX IZDAO XXXX XXXXXXX/ (XX) XXXXXXX/X X XXXX/X XXX XXXXXXXXXXX CHE XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (LV) XXXXXXXXXXXX, XXXX IZDEVUSI XX VEIDLAPU, XXXĀXXX(-X) XX XĀXXX(-X)/ (XX) XXĄ FORMĄ XXXXXXXXX XXXXXXŪXX PAVARDĖ (-ĖX) XX XXXXXX (-XX)/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX TISZTVISELŐ XXXXXXX XXXX(X) XX UTÓNEVE(I)/ (XX) KUNJOM(/KUNJOMIJIET) U XXXX(/XXXXXXXX) TAL-UFFIĊJAL LI ĦXXXĠ XXX IL-FORMOLA/ (XX) NA(A)M(EN) EN XXXXXX(X)X(XX) XXX DE XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) X XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX XXXXŁ NINIEJSZY XXXXXXXXX/ (PT) APELIDO(S) X NOME(S) XXXXXXX(X) XX FUNCIONÁRIO XXX XXXXXX X PRESENTE XXXXXXXXXX/ (XX) XXXXXX ȘX XXXXXXXXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, KTORÝ VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX XXX/XXXXX XXXXXXXX, KI XX XXXXX XX XXXXXXX/ (XX) XÄXÄX LOMAKKEEN XXXXXXXX XXXXXXXXXXX XXXXXXXX (-XXXXX) JA XXXXXXX (-XXXXX)/ (SV) EFTERNAMN XXX XÖXXXXX XÅ XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

6.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (CZ) XXXXXX XXXXXXXX, KTERÝ VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXXX — DEN XXXXXXXXXX, XXX HAR XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX XXX XXXXXXX, DER DIESES XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) POSITION XX XXX OFFICIAL XXX XXXXXX XXXX XXXX/ (XX) POSTE XX XXXXXXXXXXXXX XXX A XXXXXXX LE PRÉSENT XXXXXXXXXX/ (XX) XXXX XX XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXXX XXXXXXXXXX XXXX XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX DEL XXXXXXXXXXX XXX XX XXXXXXXXXX IL PRESENTE XXXXXX/ (XX) AMATPERSONAS, XXXX XXXXXXXX ŠO XXXXXXXX, XXXXX/ (XX) XXĄ FORMĄ IŠDAVUSIO XXXXXXŪXX PAREIGOS/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ DIN IL-FORMOLA/ (XX) FUNCTIE XXX XX AMBTENAAR DIE XXX FORMULIER XXXXX XXXXXXXXX/ (PL) STANOWISKO XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX FORMULARZ/ (XX) XXXXX DO XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (RO) XXXXȚXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXXXX XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (SL) XXXXXXX XXXXXXXX, KI XX IZDAL XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX VIRKAMIEHEN XXXXX/ (XX) BEFATTNING XÖX XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX EXPEDICIÓN/ (XX) XXXXX (DD/MM/RRRR) VYDÁNÍ/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (FR) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) IZDAVANJA/ (XX) XXXX DI RILASCIO (XX/XX/XXXX)/ (LV) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (DD/MM/MMMM)/ (XX) X XXXXXXXXX XXXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (PL) XXXX (XX/XX/XXXX) WYDANIA/ (XX) XXXX DE XXXXXÃX (DD/MM/AAAA)/ (RO) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) XXXXX (DD/MM/ÅÅÅÅ) XÖX XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) PODPIS/ (XX) UNDERSKRIFT/ (XX) XXXXXXXXXXXX/ (XX) ALLKIRI/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) SÍNIÚ/ (HR) XXXXXX/ (IT) FIRMA/ (XX) PARAKSTS/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (SK) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXXXX/ (SV) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX O XXXXXX/ (CZ) PEČEŤ XXXX XXXXXXX/ (DA) XXXX XXXXX XXXXXXX/ (XX) XXXXXX XXXX XXXXXXX/ (XX) XXXXXX XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) SEAL XX XXXXX/ (FR) XXXXX XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXX XXX PEČAT/ (XX) XXXXX X XXXXXX/ (XX) XĪXXXX VAI XXXXXXXX/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (XX) XXXXXX XXXX BÉLYEGZŐLENYOMAT/ (XX) SIĠILL JEW XXXXXX/ (XX) XXXXX XX STEMPEL/ (XX) XXXXXĘĆ XXX XXXXXXX/ (XX) XXXX XX XXXXXXX/ (RO) XXXXXXXX XXX ȘTAMPILA/ (XX) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (XX) PEČAT XXX XXX/ (XX) XXXXXXX XXX XXXXX/ (XX) XXXXXX ELLER XXÄXXXX