Plné znění - 32016R1191

NAROZENÍ

VÍCEJAZYČNÝ XXXXXXXXXX XXXXXXXX – POMŮCKA XXX XXXXXXX

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

Xxxxxx (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (DK) Xxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (XX) Španělsko (XX)

Xxxxxxx (XX) Chorvatsko (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (MT)

Nizozemsko (NL) Xxxxxxxx (XX)

Xxxxxx (PL) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxxxxxx (SI)

Slovensko (XX) Xxxxxx (XX)

Xxxxxxx (SE) Xxxxxxx xxxxxxxxxx (UK)

DŮLEŽITÉ XXXXXXXXXX

Xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxxxxx formuláře xx xxxxxxxxx překladu xxxxxxx xxxxxxx, x xxx xx xxxxxxxx. Xxxxx xxxxxxxx se xxxx xxxxxxxxx státy xxxxx xxxxxxxxx jako xxxxxxxxxx xxxxxxxx.

Xxxxx xxxxxxxx xxxxxx obsah xxxxxxx xxxxxxx, x xxx xx xxxxxxxx. Xxxxx, xxxxx je veřejná xxxxxxx xxxxxxxxxxx, xxxx xxxx x případech, xxx xx xx xxxxxxxx pro účely xxxxxxxxxx xxxxxxx xxxxxxx, xxxxxxxxx překlad xx xxxxxx informací, xxxxx xxxx xx formuláři xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX XXXXX

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

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

1. XXXXX XXXXXXXXXX XXXXX XXXXXXXX

1.1 Název (3)

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

1.1 Xxxxx (4)

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

(2) Při xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

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

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

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

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

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx xxxxxx xxxxxxx zástupcem

3.1.3 Xxxxxxx xxxxxx vyšším xxxxxxx xxxxxxxxx

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

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 Notářská xxxxxxx

3.4 Xxxxxx xxxxxxxxx, xxxxxx xxxx xxxxxxxx xxxxxxx xxxxxxxxx soukromou xxxxxx

3.5 Xxxxxxx xxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxx nebo konzulárním xxxxxxxxx xxxxxxxxx xxxxx x xxxxx výkonu xxxx xxxxxxxxxx xxxxxxxxxx

3.6 Xxxxx (dd/mm/rrrr) vydání

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXX O XXXXXXXXX

4.1 Xxxxxxxx

4.2 Xxxxx (xxxxx)

4.3 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.4 Místo (1) x xxxx (2) xxxxxxxx

4.5 Xxxxxxx:

4.5.1 Xxxx

4.5.2 Xxx

4.5.3 Neurčeno

5. POLE XXX XXXXXX

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

5.2 Xxxxxx xxxxxxxx, xxxxx xxxxx xxxxx formulář

5.3 Xxxxx (xx/xx/xxxx) xxxxxx

5.4 Xxxxxx

5.5 Xxxxx nebo xxxxxxx

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

(2) Xxxxx xxxx x – xxxxx existuje – xxx ISO xxxx xxxx nebo xxxxxxx „Xxxx (xxxxxxxxx)“ je xxxxx xxxxxx x xxxxxxxxxxx xxxxxxx xx xxxxxxxx vícejazyčném xxxxxxxxxxx xxxxxxxxx, xxxxx je x xxxxxxxxx xx xxxxxxx evropské e-justice.

VÍCEJAZYČNÝ XXXXXX NÁZVŮ XXXXXXXXXXXX XXXXXXX

(XXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX QUE XXXXXX XXXX IMPRESO/ (CZ) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) DENNE XXXXXXXXX XXXXXXXXXX MYNDIGHED/ (XX) BEHÖRDE, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX VORMI XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) AUTHORITY XXXXXXX XXXX FORM/ (XX) XXXXXXXX DE XXXXXXXXXX XX XXXXXXX FORMULAIRE/ (XX) XX tÚDARÁS X EISEOIDH AN XXXXXX XXX/ (XX) XXXXXX XXXX XXXXXX XXXX OBRAZAC/ (XX) XXXXXXXÀ CHE XXXXXXXX XX PRESENTE MODULO/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (MT) XXXXXXXÀ EMITTENTI XX' XXX XX-XXXXXXX/ (NL) XXXXXXXXXX XXX XXXXXXX XXX XXX XXXXXXXXX/ (XX) ORGAN XXXXXĄXX XXXXXXXXX FORMULARZ/ (XX) XXXXXXXXXX XXX EMITE X PRESENTE XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X PREZENTULUI FORMULAR/ (XX) ORGÁN XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX, KI IZDA XX OBRAZEC/ (FI) XÄXÄX LOMAKKEEN ANTAVA XXXXXXXXXXXX/ (SV) MYNDIGHET XXX XXXÄXXXX FORMULÄRET

1.1

(BG) НАИМЕНОВАНИЕ/ (XX) DENOMINACIÓN/ (XX) NÁZEV/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXX/ (EL) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) DÉNOMINATION/ (XX)XXXXXXX/ (XX) NAZIV/ (IT) XXXXXXXXXXXXX/ (XX) NOSAUKUMS/ (XX) XXXXXXXXXXX/ (HU) XXXXXXXXXX/ (XX) XXXXX/ (XX) BENAMING/ (PL) XXXXX/ (XX) DESIGNAÇÃO/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) IME/ (XX) NIMI/ (SV) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX XXXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, X XXX XX PŘILOŽEN XXXXX XXXXXXXX/ (XX) XXX MYNDIGHED, DER XXX UDSTEDT XXX XXXXXXXXXX DOKUMENT, XXX XXXXX XXXXXXXX ER XXXXÆXXXX/ (XX) BEHÖRDE, XXX DIE ÖFFENTLICHE XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXÜXX XXX, XXXXXXXXX/ (ET) ASUTUS, XXX ANDIS XÄXXX XXXXXXX XXXXXXXXX, XXXXXXX XXX VORM ON XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX ISSUING XXX XXXXXX DOCUMENT XX XXXXX XXXX XXXX XX XXXXXXXX/ (FR) XXXXXXXX XX DÉLIVRANCE XX DOCUMENT PUBLIC XXXXXX XXX JOINT XX PRÉSENT FORMULAIRE/ (XX) XX xXXXXXX X XXXXXXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX CEANGAILTE/ (XX) XXXXXX XXXX XXXXXX XXXXX XXXXXXX KOJOJ XX OVAJ XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX PRESENTE XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ DOKUMENTA, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, IZDEVĒJIESTĀDE/ (LT) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATOT XXXXXXXX HATÓSÁG/ (XX) XXXXXXXÀ EMITTENTI XXX-XXXXXXXX XXXXXXXX XX MIEGĦU XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX GEHECHT/ (PL) XXXXX WYDAJĄCY DOKUMENT XXXĘXXXX, DO XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXXXX XXX EMITE X XXXXXXXXX PÚBLICO X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXXX XXXXXXX XX CARE ESTE XXXXXX XXXXXXXXX FORMULAR/ (XX) ORGÁN XXXXXXXXXX XXXXXXX XXXXXXX, KU XXXXXX XX TENTO XXXXXXXX XXXXXXXXX/ (SL) XXXXX, XX XXXX XXXXX LISTINO, XX XX JE PRILOŽEN XX OBRAZEC/ (FI) XXXXXXXXXXXX, JOKA ON XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX TÄMÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXX XXXXXXXXXX HANDLING TILL XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX RELATIVA XX DOCUMENTO PÚBLICO XX QUE SE XXXXXXX ESTE XXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XX VEŘEJNÉ XXXXXXX, X NÍŽ JE XXXXXXXX XXXXX FORMULÁŘ/ (XX) OPLYSNINGER XXXXØXXXXX XXX XXXXXXXXXX DOKUMENT, XXX XXXXX FORMULAR XX XXXXÆXXXX/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) TEAVE XXXXXXX XXXXXXXXX KOHTA, XXXXXXX XXX VORM ON XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX RELATING XX XXX XXXXXX XXXXXXXX TO XXXXX XXXX FORM IS XXXXXXXX/ (FR) INFORMATIONS XXXXXXXXX XX XXXXXXXX XXXXXX AUQUEL XXX XXXXX LE PRÉSENT XXXXXXXXXX/ (XX) XXXXXXXX X BHAINEANN XXXX XX XXXXXXXXX XXXXXX XXXX BHFUIL XX XXXXXX SEO XXXXXXXXXX/ (XX) INFORMACIJE KOJE XX XXXXXX NA XXXXX XXXXXXX XXXXX XX OVAJ XXXXXXX XXXXXXXX/ (XX) INFORMAZIONI XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX DOKUMENTU, XXXX XXXXX PRIDEDAMA XX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATRA XXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX MIEGĦU XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX GEHECHT/ (XX) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, DO XXXXXXX NINIEJSZY XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX XXXXXXXXX PÚBLICO A XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX DOCUMENTUL XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX FORMULAR/ (XX) INFORMÁCIE O XXXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXX X XXXXX XXXXXXX, XX JI XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXX YLEISESTÄ XXXXXXXXXXXX, JOHON XÄXÄ XXXXXX LIITETÄÄN/ (XX) XXXXXXXXXXX XX XXX 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 XXXXXXXX XXX UNA XXXXXXXXX X XX XXXXXXXXXXX XXXXXXXXX A XXX XXXXXXX JURISDICCIONALES XX XX XXXXXX XXXXXXX/ (XX) LISTINA VYDANÁ XXXXXXX NEBO XXXXXXXXX X XXXXXX XX XXXXX XXXXXX XXXXXXXXX XXXXX/ (DA) XXXXXXXX, XXX XX XXXXXXX XX EN XXXXXXXXX XXXXX EN XXXXXXXXXX, XXX ER XXXXXXXXXX XXXXXXXX X XX XXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXÖXXX XXXX XXXXX XXXXXXXXXX XXX XXXXX XXX RECHTSPFLEGE XXXXX MITGLIEDSTAATS/ (ET) XXXXXXXX, XXXXX ON XÄXXX XXXXXX LIIKMESRIIGI XXXXXXXXX XXXXXX XXXXXXXXXXX XÕX AMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX EMANATING XXXX XX XXXXXXXXX XX AN OFFICIAL XXXXXXXXX XXXX XXX XXXXXX XX XXXXXXXXX XX A XXXXXX XXXXX/ (FR) XXXXXXXX XXXXXXX X'XXX XXXXXXXX XX X'XX XXXXXXXXXXXXX XXXXXXXX X'XXX XXXXXXXXXXX X'XX XXXX MEMBRE/ (XX) XXXXXXXXX X XXXXXXX Ó XXXXXX XX X OIFIGEACH X BHFUIL BAINT XXXX XX XXXX XX CÚIRTEANNA XX XX XXXXX XX XXXXX XXXXXXXXX/ (XX) XXXXXXX KOJU XX XXXXXX TIJELO XXX XXXXXXXXX XXXX DRŽAVE XXXXXXX/ (IT) XXXXXXXXX XXXXXXX DA XX'XXXXXXXÀ X XX UN XXXXXXXXXXX APPARTENENTE XX XXX XXXXX XXXXXXXXXXXXX XX UNO XXXXX XXXXXX/ (XX) XXXXXXXXX, XXXX IZSNIEGUSI AR XXXĪXXXXXXX TIESĀM SAISTĪTA XXXXĀXX VAI XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX XXXXXXXX INSTITUCIJOS AR XXXXXXŪXX, XXXXXXXXŲ SU XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX BÍRÓSÁGGAL KAPCSOLATBAN XXXX XXXXXXX XXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ XXX XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX XXX XX-XXXXXXXXX XX' XXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX XXXXXX SĄDOWEGO XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX PROVENIENTE XX XXX XXXXXXXXXX XX XX XX XXXXXXXXXXX XXXXXXXXXX DE XXXXXXXX XXXXXXXÇÃX DE UM XXXXXX-XXXXXX/ (XX) DOCUMENT XXXX DE O XXXXXXXXXX XXX XX XX XXXXȚXXXXX XX XX XÂXXĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX ALEBO XXXXXXXXX X XÄXXXX XX XXXX ČLENSKÉHO XXXXX/ (XX) XXXXXXX, XXXXXX X XXXXXX XXXXXX XXX XXXXXXXX XXXXX XXXXXXX DRŽAVE ČLANICE/ (XX) XXXXXXXXX, XXXXX XX ANTANUT XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX VIRANOMAINEN XXX XXXXXXXXX/ (SV) XXXXXXXX XXX XÄXXÖX XXÅX XX MYNDIGHET XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) RESOLUCIÓN XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (EL) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) COURT XXXXXXXX/ (XX) DÉCISION XX XXXXXXX/ (XX) XXXXXXXX XX xXXXXX/ (XX) XXXXXX ODLUKA/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (XX) XXXXXX XXXXXXXXXX/ (XX) BÍRÓSÁGI HATÁROZAT/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) RECHTERLIJKE XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (XX) XXXXXÃX JUDICIAL/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) SODNA XXXXXXX/ (XX) TUOMIOISTUIMEN XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX ZÁSTUPCEM/ (XX) XXXXXXXX XXXXXXX XX XX ANKLAGEMYNDIGHED/ (XX) XXXXXXX EINER XXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT, XXXXX XX XÄXXX XXXXXX XXXXXXX SÜÜDISTAJA/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (EN) XXXXXXXX XXXXXXXXX XXXX X XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XXXXXXÈXX PUBLIC/ (XX) XXXXXXXXX X XXXXXXX X IONCHÚISITHEOIR XXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXXX ODVJETNIŠTVO/ (XX) XXXXXXXXX EMANATO DAL XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX, KURU IZSNIEDZIS XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ MINN PROSEKUTUR XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX DOOR EEN XXXXXXXX XXXXXXXXXX/ (PL) XXXXXXXX POCHODZĄCY OD XXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (RO) XXXXXXXX XXXX DE UN XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXXXXXX/ (SL) XXXXXXX, KI XX XXXX DRŽAVNO XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXXXX/ (CZ) XXXXXXX XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXÆX/ (XX) XXXXXXX EINES XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) DOKUMENT, XXXXX XX VÄLJA XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX EMANATING XXXX X XXXXX OF X COURT/ (FR) XXXXXXXX XXXXXXX D'UN XXXXXXXX/ (XX) DOICIMÉAD X THAGANN X XXXXXXXXXX DE XXXXX XXXXXX/ (HR) XXXXXXX XXXX XX XXXXX XXXXXXXXXX SUDSKE XXXXXXXXX/ (XX) DOCUMENTO XXXXXXX XX XX XXXXXXXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX XXXXXX SEKRETĀRS/ (XX) XXXXXX XXXXXXXXXX XXXXXXXX DOKUMENTAS/ (XX) XXXXXXXX TISZTVISELŐ ÁLTAL XXXXXXXXXX OKIRAT/ (MT) XXXXXXXX MAĦRUĠ XXXX XXĠXXXXXXXX XX' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX/ (XX) DOKUMENT POCHODZĄCY XX XXXXXXXXXX XĄXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX XX UM XXXXXXX XX XXXXXÇX/ (XX) XXXXXXXX XXXX XX XX XXXXXXX XX XXXXXXȚXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXX, KI XX IZDA SODNI XXXXXXXXXX/ (XX) TUOMIOISTUIMEN XXXXXXXXX XXXXXX ASIAKIRJA/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX EN XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX DE XXXXXXX“)/ (XX) DOCUMENTO XXXXXXXX XXX UN AGENTE XXXXXXXX («XXXXXXXX DE XXXXXXX»)/ (XX) LISTINA XXXXXX SOUDNÍM VYKONAVATELEM („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX XX EN STÆVNINGSMAND (»XXXXXXXX XX XXXXXXX«)/ (XX) XXXXXXX EINES XXXXXXXXXXXXXXXXXXX/ (ET) DOKUMENT, XXXXX ON XÄXXX XXXXXX KOHTUTÄITUR/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚ ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX EMANATING XXXX X JUDICIAL XXXXXXX ('XXXXXXXX DE XXXXXXX')/ (XX) DOCUMENT ÉMANANT X'XX XXXXXXXX DE XXXXXXX/ (GA) XXXXXXXXX X XXXXXXX X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXX XX XXXXX XXXXXX XXXXXXXXX (XXXXXXXX DE XXXXXXX)/ (XX) XXXXXXXXX EMANATO XX XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (XXXXXXXX XX XXXXXXX)/ (LT) XXXXXXXXX (XXXXXXXX XX JUSTICE) XXXXXXXX DOKUMENTAS/ (XX) XXXXXXXX VÉGREHAJTÓ („HUISSIER XX XXXXXXX”) ÁLTAL XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ MINN XXXXĊXXX ĠUDIZZJARJU ('XXXXXXXX XX XXXXXXX')/ (NL) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXXXXXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX XĄXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXÃX XX XXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXX DE UN XXXXXXXX XXXXXĂXXXXXX („HUISSIER XX XXXXXXX”)/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXX, XX XX IZDA XXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX DE XXXXXXX”) XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN EN XXÄXXXXXXXXX (HUISSIER DE XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (ESPECIFÍQUESE)/ (CZ) XXXX (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (BITTE ANGEBEN)/ (XX) XXX (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX XX XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (XX) XXXX (LE XXXXX)/ (XX) OSTALO (XXXXXXX)/ (IT) XXXXX (XXXXXXXXX)/ (XX) CITS (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (HU) XXXXX (XXXXÜX PONTOSÍTANI)/ (MT) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (SPECIFICEREN)/ (XX) XXXX (XXXXXĘ XXXXŚXXĆ)/ (XX) OUTROS (X XXXXXXXXXXX)/ (XX) XXXXX (X XX PRECIZA)/ (XX) XXX (XXXXXXXX)/ (XX) DRUGO (XXXXXXX)/ (XX) XXX ASIAKIRJA (XÄXXXXXXXXÄXÄ)/ (SV) ANNAN XXXXXXXX (SPECIFICERAS)

3.2

(BG) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX DOKUMENT/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) ADMINISTRATIVE DOCUMENT/ (XX) DOCUMENT ADMINISTRATIF/ (XX) DOICIMÉAD RIARACHÁIN/ (XX) UPRAVNA ISPRAVA/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) ADMINISTRACINIS DOKUMENTAS/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXX AMMINISTRATTIV/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) DOKUMENT XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX ADMINISTRATIVO/ (XX) XXXXXXXX ADMINISTRATIV/ (XX) SPRÁVNA XXXXXXX/ (XX) UPRAVNA XXXXXXX/ (XX) HALLINNOLLINEN ASIAKIRJA/ (XX) XXXXXXXXXXXXX HANDLING

3.2.1

(BG) УДОСТОВЕРЕНИЕ/ (XX) CERTIFICADO/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) BESCHEINIGUNG/ (XX) XÕXXX/ (EL) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (EN) CERTIFICATE/ (XX) CERTIFICAT/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) CERTIFICATO/ (LV) XXXXXXXXĀXXXX/ (LT) XXXXXX, XXXXXXXXXX/ (XX) TANÚSÍTVÁNY/BIZONYÍTVÁNY/ (XX) ĊERTIFIKAT/ (XX) XXXXXXXXXXX/ (PL) ZAŚWIADCZENIE/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (RO) CERTIFICAT/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (FI) XXXXXXXX/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX DEL REGISTRO XXXXX/ (XX) VÝPIS X XXXXXXX/ (XX) XXXXXX XXX CIVILSTANDSREGISTRET/ (XX) AUSZUG AUS XXX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX CIVIL XXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XX X'XXXX XXXXX/ (XX) XXXXXXX AS AN xXXXX XXXXXXX XXXXXXXXXX/ (XX) IZVADAK XX XXXXXXXX OSOBNOG STANJA/ (XX) XXXXXXXX DI XXXX DI XXXXX XXXXXX/ (XX) XXXXXXXX XX CIVILSTĀVOKĻA AKTU XXĢXXXXX/ (LT) XXXXXXX XX CIVILINĖS XŪXXĖX XXXŲ REGISTRO/ (XX) XXXXXÖXXXX XXXXXXX/ (MT) XXXXXXX MIR-REĠISTRU XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXXXXX AKTU STANU XXXXXXXXX/ (PT) XXXXXXX XX ATOS XX XXXXXXX XXXXX/ (XX) XXXXXX XXX XXXXXXXXX XX XXXXX XXXXXĂ/ (XX) XXXXX X XXXXXXXX OSOBNÉHO STAVU/ (XX) XXXXXXX XX XXXXXXXX O XXXXXXX XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (ES) EXTRACTO XXX XXXXX/ (CZ) XXXXX X XXXXXXXX XXXXXXXX/ (XX) UDDRAG XXX XXXXXXXXXXXXXX/ (DE) XXXXXX XXX DEM XXXXXXXXXXXXX/ (XX) RAHVASTIKUREGISTRI XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (EN) EXTRACT XXXX XXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XX REGISTRE DE XX XXXXXXXXXX/ (GA) XXXXXXX XX AN xXXXX DAONRA/ (XX) XXXXXXX IZ POPISA XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX/ (XX) IZRAKSTS XX XXXXĪXXXĀXX XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXXŲ REGISTRO/ (XX) XXXXXXX X XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (MT) XXXXXXX XXX-XXĠXXXXX TAL-POPOLAZZJONI/ (XX) XXXXXXXXXX UIT XXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX X REJESTRU XXXXXŚXX/ (PT) XXXXXXX XX REGISTO XX XXXXXXÇÃX/ (XX) XXXXXX XXX REGISTRUL XX XXXXXXȚĂ X 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/ (XX) XXXXX XXXXXXX XX XXXXX XXX XXXXXXXX XXXXX/ (XX) XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXX KOPI AF XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX XX XXXXX STATUS XXXXXXX/ (XX) XXXXX XXXXXXXXX X'XXXXX XX X'XXXX CIVIL/ (XX) XXXX FOCAL XX XXXXXX XX THAIFID XX STÁDAS XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XX EVIDENCIJA O XXXXXXX XXXXXX/ (XX) XXXXX LETTERALE XX XXXX XX XXXXX XXXXXX/ (LV) XXXXXXXĀXXXĻX XXXX XXĢXXXXX IERAKSTU XXXXXXXXXX XXXXXX/ (LT) XXXXXXXĖX BŪKLĖS XXXŲ ĮXXXŲ PAŽODINĖ KOPIJA/ (XX) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX MÁSOLATA/ (XX) XXXXX XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (XX) EENSLUIDEND AFSCHRIFT XXX XXXXX XXX XX BURGERLIJKE STAND/ (XX) XXXXX XXXXŁXX XXXX STANU CYWILNEGO/ (XX) CERTIDÃO XX XXXXX XXXXXXXX OU XX XXXXXXXXX XX XXXX XX XXXXXXX XXXXX/ (XX) XXXXX XXXXXĂ X XXXX XXX XX STARE XXXXXĂ/ (XX) DOSLOVNÝ XXXXX XX XXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXX XXXXXX XXXXXXX X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) ACTA XXXXXXXX/ (XX) XXXXXXXX LISTINA/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) NOTARIELLE XXXXXXX/ (XX) NOTARIAALDOKUMENT/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) XXXX XXXXXXX/ (GA) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXĀXX AKTS/ (XX) XXXXXXXXX XXXXX/ (HU) XÖXXXXXXŐX OKIRAT/ (XX) XXX XXXXXXXX/ (XX) XXXXXXËXX AKTE/ (XX) XXX XXXXXXXXXX/ (XX) XXX NOTARIAL/ (RO) XXX NOTARIAL/ (SK) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX LISTINA/ (FI) XXXXXXXX XXXXXX XXXXXXXXX/ (XX) NOTARIELL HANDLING

3.4

(BG) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (ES) XXXXXXXXXXXXX XXXXXXX XXXXXX XXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXX, XXXXXX XXXX XXXXXXXX XXXXXXX PODEPSANÁ XXXXXXXXX XXXXXX/ (DA) XXXXXXXX XÅXXXXXXX XÅ XX DOKUMENT UNDERTEGNET XX EN XXXXXX X XXXXXX XXXXXXXX XX PRIVATPERSON/ (DE) XXXXXXXX XXXXXXXXXXXXX XXX XXXXX XXXXXXXXXXXXX/ (XX) XXXXX POOLT ERAISIKUNA XXXXXXXXXXXXXX XXXXXXXXXXX KINNITATAV XXXXXXX TÕEND/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX XXXXXX ON X XXXXXXXX SIGNED XX X XXXXXX XX XXX XX HER XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX OFFICIELLE XXXXXXX XXX UN XXXX XXXX XXXXX XXXXX/ (XX) XXXXXXXX OIFIGIÚIL X XXXXXXXXX XX XXXXXXXXXX ARNA XXXXXX XX XXXXX INA XXXXX XX XXX XXXX PHRÍOBHÁIDEACH/ (XX) XXXXXXXX POTVRDA STAVLJENA XX XXXXXXX XXXX XX OSOBA XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (XX) DICHIARAZIONE XXXXXXXXX XXXXXXX SU XXX XXXXXXXXX PRIVATA/ (XX) XXXXXĀXX XXXXXXXXĀXXXX XX XXXXXXXXX, KO XXXĀ XĀXXĀ PARAKSTĪJUSI KĀDA XXXXXXX/ (XX) PRIVAČIŲ XXXXXŲ XXXXXXXXXŲ DOKUMENTŲ XXXXXXXŪX XXXXXXXXXXXXX/ (HU) XXXXXXXXXXXXX XXXXXXXXXXX HIVATALOS XXXXXXXXXXX/ (MT) ĊXXXXXXXXX XXXXĊXXXX XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) OFFICIEEL XXXXXXXXXXX OP XXX XXXXXXXX ONDERTEKEND XXXX XXX PERSOON XX XXXX XXXXXXXXXXXX HOEDANIGHEID/ (XX) URZĘDOWE ZAŚWIADCZENIE XXXXXXXXXXX XX DOKUMENCIE XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ X CHARAKTERZE XXXXXXXXX/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX XXX XX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXX XXXXXXX PE XX DOCUMENT SUB XXXXĂXXXĂ XXXXXXĂ/ (SK) XXXXXX XXXXXXXXXX UVEDENÉ XX XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX OSOBA/ (XX) XXXXXX XXXXXX XX XXXXXXX LISTINI/ (XX) XXXXXXXXXX TODISTUS XXXXXXXXXXXX, XXXXX XXXXXXÖ ON XXXXXXXXXXXXXXXX YKSITYISHENKILÖNÄ/ (XX) XXXXXXXXXX XXXXX ANBRINGAT XÅ XX XXXXXXXX XXX XXXXXXXXXXXXX XX XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) DOCUMENTO EXPEDIDO XXX XX XXXXXX XXXXXXXXXXX O XXXXXXXX XX XX ESTADO XXXXXXX XXX CARÁCTER XXXXXXX/ (CZ) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM ZÁSTUPCEM XXXX KONZULÁRNÍM XXXXXXXXX XXXXXXXXX XXXXX X XXXXX VÝKONU JEHO XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX XX XX XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (XX) VON XXXXX XXXXXXXXXXXXXX ODER XXXXXXXXXXXXXX VERTRETER XXXXX XXXXXXXXXXXXXX IN XXXXXX XXXXXXXXX XXXXXXXX ERRICHTETE XXXXXXX/ (ET) LIIKMESRIIGI XXXXXXXXXXXXXX XÕX KONSULAARAMETNIKU XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (EN) XXXXXXXX XXXXX UP XX A XXXXXXXXXX XX CONSULAR AGENT XX A XXXXXX XXXXX XX XXX XX XXX XXXXXXXX XXXXXXXX/ (FR) XXXXXXXX XXXXXX XX XX XXXXXXX XXXXXXXXXX XXX XX AGENT DIPLOMATIQUE XX CONSULAIRE X'XX XXXX XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX XXXX XX GNÍOMHAIRE XXXXXXXXXXXXXXXX NÓ XXXXXXXXX XX XXXXX XXXXXXXXX XXX XXXXX XX XXX XXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX X XXXXXXXXX XXXXXXXX XXXXXXXX DIPLOMATSKI XXX KONZULARNI XXXXXXXXXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX XXXXXXX DA XXXXXX XXXXXXXXXXX O XXXXXXXXX XX XXX XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX LORO FUNZIONI/ (XX) XXXXXXXXX, XXXX, XXXXXX XXXXX PIENĀKUMUS, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX KONSULĀRAIS XĀXXXĀXXX/ (XX) DOKUMENTAS, XXXXXXXXX XXXXXXXĖX NARĖS XXXXXXXXX XX KONSULINIO XXXXXXŪXX, XXXXXXXXXX XXXXX OFICIALIUS ĮXXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXXX XXXX AĠENT XXXXXXXXXXX JEW XXXXXXXXX XX' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX XXXX DE XXXXXXXXXXXX XX XXXXXXXXXX AMBTENAAR XXX XXX LIDSTAAT XX XXXX XXXXXXËXX XXXXXXXXXXXX/ (PL) XXXXXXXX XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX W CHARAKTERZE XXXĘXXXXX/ (PT) DOCUMENTO XXXXXXX POR UM XXXXXX XXXXXXXXXXX XX XXXXXXXX XX XX XXXXXX-XXXXXX XX XXXXXXXXX XXX SUAS XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX XX XĂXXX XX XXXXX XXXXXXXXXX XXX XXXXXXXX XX XXXX XXXX XXXXXX, ÎX XXXXXXXX OFICIALĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX ÚRADNÍKOM XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX FUNKCIE/ (XX) XXXXXXX, XX XX KOT URADNA XXXXX IZDA XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX EDUSTAJA TAI XXXXXXXXXXXXXXX ON XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) HANDLING XXXXÄXXXX I XXÄXXXXX XX EN DIPLOMATISK XXXXX XXXXXXÄX TJÄNSTEMAN X EN XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) FECHA (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (DA) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (GG/MM/AAAA)/ (LV) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) IŠDAVIMO XXXX (XX/XX/XXXX)/ (HU) X XXXXXXXXX XXXXXX (ÉÉÉÉ/HH/NN)/ (XX) DATA (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) DATUM (XX/XX/XXXX) VAN XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (PT) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) DATA (ZZ/LL/AAAA) XXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/LLLL) IZDAJE/ (XX) ANTAMISPÄIVÄ (PP/KK/VVVV)/ (XX) XXXXX (DD/MM/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX XXXXXXXXXX XXX XXXXXXXXX PÚBLICO/ (XX) XXXXXXXXXX XXXXX VEŘEJNÉ XXXXXXX/ (XX) DET XXXXXXXXXX DOKUMENTS REFERENCENUMMER/ (XX) XXXXXXXXXX DER ÖXXXXXXXXXXX URKUNDE/ (XX) XXXXXXX XXXXXXXXX VIITENUMBER/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX XX XXX XXXXXX XXXXXXXX/ (FR) NUMÉRO XX RÉFÉRENCE XX XXXXXXXX XXXXXX/ (XX) XXXXXX XXXXXXXXX XX XXXXXXXXX PHOIBLÍ/ (XX) XXXXXXXXXX BROJ XXXXX XXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXX XXX XXXXXXXXX PUBBLICO/ (LV) XXXXXXXĀ XXXXXXXXX XXXXXXXX XXXXXX/ (LT) VIEŠOJO XXXXXXXXX XXXXXXX/ (XX) X XÖXXXXXXX HIVATKOZÁSI XXXXX/ (MT) XXXXX XX' REFERENZA TAD-DOKUMENT XXXXXXXX/ (XX) REFERENTIENUMMER XXX HET XXXXXXXX XXXXXXXX/ (XX) NUMER XXXXXXXXXXXX DOKUMENTU URZĘDOWEGO/ (XX) NÚMERO XX XXXXXÊXXXX XX DOCUMENTO XXXXXXX/ (XX) XXXĂXXX XX REFERINȚĂ XX XXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX VEREJNEJ XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) YLEISEN XXXXXXXXXX XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА РОДЕНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX XX PERSONA XXXXXX/ (XX) XXXXXXXXX X XXXXXXXXX/ (XX) XXXXXXXXXXX OM DEN XXXXXX, XXX ER XØXX/ (DE) ANGABEN XXX XXXXXX, DEREN XXXXXX XXXXXXXXX XXXX/ (XX) XÜXXXXXX XXXXXX XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΠΟΥ ΓΕΝΝΗΘΗΚΕ/ (EN) XXXXXXXXXXX ON XXX XXXXXX XXXX/ (XX) XXXXXXXXXXXX XXX XX XXXXXXXX XXX/ (XX) XXXXXXXX MAIDIR XXXX XX XXXXX A XXXXXX/ (XX) XXXXXXXXXXX X ROĐENOJ OSOBI/ (XX) XXXXXXXXXXXX XXXXX XXXXXXX XXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXX XXXXXXX/ (LT) XXXXXXXXXXX XXXX XXXXXĮ XXXXXĮ/ (XX) A XXXXXÜXXXXXX XXXXXXXXX VONATKOZÓ ADATOK/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXX XXXXXXX/ (XX) XXXXXXXXXX OVER XX XXXXXXXX/ (XX) XXXX XXXXXXĄXX XXXXX XXXXXXXXX/ (XX) XXXXXXXÇÕXX XXXXX X PESSOA XXX XXXXXX/ (XX) INFORMAȚII XXXXXXX XXXXXXXX XĂXXXXĂ/ (XX) XXXXXXXXXX X XXXXXXXXX XXXXX/ (XX) XXXXXXXXXXX X ROJENI XXXXX/ (XX) XXXXXXXXX XXXXXXÖX XXXXXX/ (XX) XÖXXXXXXXXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X)/ (XX) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (XX) XXXXXXXXXXXX(X)/ (XX) XXXXXXXXXXXXX (-NIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (EN) XXXXXXX(X)/ (XX) XXX(X)/ (GA) XXXXXXX (XXXXXXXX)/ (XX) XXXXXXX(XX)/ (IT) COGNOME(I)/ (XX) XXXĀXXX(-X)/ (XX) XXXXXXĖ (-ĖX)/ (HU) XXXXXXX NEVE(I)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (NL) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (PT) XXXXXXX(X)/ (RO) NUME/ (XX) XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX/ (XX) SUKUNIMI (-XXXXX)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) JMÉNO (XXXXX)/ (XX) FORNAVN(E)/ (XX) VORNAME(N)/ (XX) XXXXXXX (-NIMED)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (CÉADAINMNEACHA)/ (HR) XXX(XX)/ (XX) XXXX(X)/ (XX) VĀRDS(-I)/ (XX) XXXXXX (-XX)/ (HU) XXXXXXX(X)/ (MT) ISEM(/ISMIJIET)/ (XX) VOORNA(A)M(EN)/ (XX) XXXĘ (XXXXXX)/ (PT) XXXX(X) XXXXXXX(X)/ (RO) XXXXXXX/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (SV) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) NAROZENÍ/ (DA) XØXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÜXXXXXXXÄXX (PP/KK/AAAA)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (DD/MM/YYYY) XX BIRTH/ (FR) 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)/ (LV) XXXXXXXXX DATUMS (DD/MM/GGGG)/ (XX) GIMIMO XXXX (XX/XX/XXXX)/ (XX) SZÜLETÉSI XXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (XX) GEBOORTEDATUM (DD/MM/JJJJ)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) DATA XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (XX/XX/XXXX) NARODENIA/ (XX) XXXXX (XX/XX/XXXX) ROJSTVA/ (XX) SYNTYMÄAIKA (PP/KK/VVVV)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.4

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (ES) XXXXX Y XXXX XX XXXXXXXXXX/ (XX) XXXXX X XXXX XXXXXXXX/ (DA) XØXXXXXX XX -LAND/ (DE) XXX XXX XXXX XXX XXXXXX/ (XX) XÜXXXXXXX JA -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX AND XXXXXXX XX XXXXX/ (FR) XXXX XX XXXX XX NAISSANCE/ (GA) XXX XXXX TÍR XXXXXXXX/ (XX) XXXXXX X XXXXXX XXĐXXXX/ (XX) LUOGO X XXXXX DI XXXXXXX/ (XX) XXXXXXXXX XXXXX XX XXXXXX/ (XX) XXXXXX VIETA XX XXXXX/ (XX) SZÜLETÉSI XXXXX ÉS XXXXXXX/ (XX) XXXX U XXXXXŻ TAT-TWELID/ (NL) XXXXXXXXXXXXXX EN -XXXX/ (XX) MIEJSCE X XXŃXXXX XXXXXXXXX/ (XX) XXXXX X PAÍS XX XXXXXXXXXX/ (RO) XXXXX ȘI ȚXXX XXȘXXXXX/ (XX) MIESTO X ŠTÁT XXXXXXXXX/ (XX) XXXX IN XXXXXX XXXXXXX/ (XX) XXXXXXÄXXXXXX XX -XXX/ (XX) FÖDELSEORT XXX -XXXX

4.5

(XX) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (XX) XØX/ (DE) XXXXXXXXXX/ (XX) XXXX/ (XX) ΦΥΛΟ/ (EN) XXX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXX/ (XX) XXXXX/ (XX) DZIMUMS/ (XX) XXXXX/ (HU) XXXX/ (XX) XXXX/ (NL) XXXXXXXX/ (XX) PŁEĆ/ (XX) SEXO/ (RO) XXXXX/ (SK) POHLAVIE/ (XX) XXXX/ (XX) XXXXXXXXX/ (SV) XÖX

4.5.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) XXXX/ (DA) XXXXXX/ (XX) WEIBLICH/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) ŽENSKI/ (XX) FEMMINILE/ (LV) XXXXXXXX/ (LT) XXXXXXX/ (XX) NŐ/ (MT) XXXX/ (XX) XXXXX/ (XX) KOBIETA/ (XX) XXXXXXXX/ (RO) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX

4.5.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (XX) MAND/ (XX) MÄNNLICH/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) MUŠKI/ (XX) XXXXXXXX/ (XX) VĪRIETIS/ (XX) XXXXX/ (XX) XXXXX/ (MT) XXĠXX/ (XX) MAN/ (PL) XĘŻXXXXXX/ (XX) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) MIES/ (SV) XXX

4.5.3

(XX) НЕОПРЕДЕЛЕН/ (ES) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) UBESTEMT/ (DE) XXXXXXXXXX/ (ET) MÄÄRAMATA/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) UNDETERMINED/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) NEODREĐEN/ (XX) XXXXXXXXXXXXX/ (XX) NENOTEIKTS/ (XX) NENUSTATYTA/ (HU) XXXXXXXXXXXXXXX/ (MT) XXXX XXXXXXXXX/ (XX) ONBEPAALD/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) NÃO XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (SL) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

5.

(XX) ПОЛЕ ЗА ПОДПИС/ (ES) XXXXXXXX XXXX LA XXXXX/ (CZ) POLE XXX PODPIS/ (XX) XXXXXXXXXXXXXXXX/ (XX) UNTERSCHRIFTENFELD/ (XX) ALLKIRJALAHTER/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) XXXXX POUR XX XXXXXXXXX/ (GA) BOSCA XXX SÍNIÚ/ (XX) XXXXX ZA POTPIS/ (XX) XXXXXXXX PER XX XXXXX/ (XX) XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXX/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX XX HANDTEKENING/ (XX) XXXX PODPISU/ (XX) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (RO) XXXXĂXXXX/ (XX) XXXXXXX XX XXXXXX/ (SL) XXXXX XX XXXXXX/ (FI) XXXXXXXXXXXXXXXXXXÄ/ (XX) XXXX XÖX XXXXXXXXXXXXXX

5.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) APELLIDO(S) X XXXXXX(X) DEL XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (CZ) XXXXXXXX A XXXXX (XXXXX) ÚŘEDNÍKA, XXXXX XXXXX XXXXX FORMULÁŘ/ (XX) EFTERNAVN(E) XX XXXXXXX(X) PÅ XXX XXXXXXXXXX, DER XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXXXXXX(X) XXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX HAT/ (XX) XÄXXXXXXX VORMI XÄXXXXXXXXX XXXXXXXX XXXXXXX (-XXXXX) XX XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXX(X) XXX XXXXXXXX(X) XX THE OFFICIAL XXX ISSUED THIS XXXX/ (FR) NOM(S) XX XXXXXX(X) DU XXXXXXXXXXXXX XXX X XXXXXXX LE PRÉSENT XXXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXXX CÉADAINM (XXXXXXXXXXXXXX) XX XXXXXXXX X D’EISIGH XX XXXXXX XXX/ (XX) XXXXXXX(XX) I IME(NA) XXXXXXXXXX XXXX JE XXXXX XXXX XXXXXXX/ (XX) XXXXXXX/X X XXXX/X XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX MODULO/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, XXXĀXXX(-X) XX VĀRDS(-I)/ (XX) ŠIĄ FORMĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖX) XX VARDAS (-XX)/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXX XXXX(X) XX XXXXXXX(X)/ (MT) KUNJOM(/KUNJOMIJIET) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦXXXĠ DIN XX-XXXXXXX/ (NL) XX(X)X(XX) XX VOORNA(A)M(EN) XXX XX AMBTENAAR XXX XXX XXXXXXXXX HEEFT XXXXXXXXX/ (XX) XXXXXXXX(-X) X XXXĘ (IMIONA) XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXX(X) X XXXX(X) XXXXXXX(X) DO XXXXXXXXXXX XXX XXXXXX X XXXXXXXX FORMULÁRIO/ (XX) XXXXXX ȘX PRENUMELE XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) A XXXX(-X) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX XXX/XXXXX XXXXXXXX, XX XX IZDAL TA XXXXXXX/ (FI) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXXXXX (-NIMET) JA XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX XXX XÖXXXXX XÅ DEN XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

5.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX DEL XXXXXXXXXXX XXX EXPIDIÓ XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, KTERÝ XXXXX TENTO XXXXXXXX/ (XX) XXXXXXXX — XXX XXXXXXXXXX, XXX XXX UDSTEDT DENNE XXXXXXXX/ (XX) XXXXXXXX XXX BEAMTEN, DER XXXXXX XXXXXXXX AUSGESTELLT XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX AMETNIKU XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) POSITION XX THE XXXXXXXX XXX ISSUED THIS XXXX/ (FR) POSTE XX XXXXXXXXXXXXX XXX X DÉLIVRÉ LE XXXXXXX XXXXXXXXXX/ (XX) XXXX XX OIFIGIGH X X’XXXXXX AN XXXXXX XXX/ (XX) XXXXXXXX SLUŽBENIKA XXXX XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXX FUNZIONARIO CHE XX RILASCIATO XX XXXXXXXX MODULO/ (XX) XXXXXXXXXXXX, XXXX IZDEVUSI XX XXXXXXXX, XXXXX/ (XX) ŠIĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX TISZTVISELŐ BEOSZTÁSA/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦAREĠ XXX XX-XXXXXXX/ (NL) FUNCTIE XXX XX AMBTENAAR XXX DIT FORMULIER XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX URZĘDNIKA, KTÓRY XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) CARGO XX XXXXXXXXXXX QUE XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XXXXX XXXXX TENTO XXXXXXXX/ (XX) XXXXXXX URADNIKA, XX JE IZDAL XX OBRAZEC/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

5.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DATUM (DD/MM/RRRR) XXXXXX/ (DA) UDSTEDELSESDATO (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) VÄLJAANDMISE XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) DATE (DD/MM/YYYY) XX XXXXX/ (XX) XXXX (JJ/MM/AAAA) XX XXXXXXXXXX/ (XX) DÁTA (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) DATA DI XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX DATA (XX/XX/XXXX)/ (XX) A XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (NL) XXXXX (XX/XX/XXXX) XXX AFGIFTE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATA XX EMISSÃO (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX UTFÄRDANDE

5.4

(BG) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (DA) XXXXXXXXXXX/ (XX) UNTERSCHRIFT/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) SIGNATURE/ (XX) XXXXXXXXX/ (GA) XXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) FIRMA/ (XX) HANDTEKENING/ (PL) XXXXXX/ (XX) ASSINATURA/ (XX) XXXXĂXXXX/ (SK) XXXXXX/ (SL) XXXXXX/ (XX) ALLEKIRJOITUS/ (XX) XXXXXXXXXXXX

5.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (CZ) XXXXX XXXX XXXXXXX/ (XX) XXXX XXXXX XXXXXXX/ (DE) XXXXXX XXXX XXXXXXX/ (ET) XXXXXX XÕX TEMPEL/ (XX) ΣΦΡΑΓΙΔΑ/ (EN) XXXX OR XXXXX/ (XX) XXXXX XX XXXXXX/ (GA) XXXXX XX STAMPA/ (XX) XXX XXX XXXXX/ (XX) BOLLO O XXXXXX/ (XX) XĪXXXX XXX SPIEDOGS/ (LT) XXXXXXX XXXX XXXXXXXXXX/ (XX) XXXXXX VAGY XXXXXXXŐXXXXXXXX/ (MT) XXĠXXX XXX XXXXXX/ (NL) XXXXX XX XXXXXXX/ (XX) PIECZĘĆ XXX XXXXXXX/ (XX) XXXX XX XXXXXXX/ (XX) XXXXXXXX XXX ȘXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (XX) XXXXX ALI ŽIG/ (XX) XXXXXXX XXX XXXXX/ (XX) XXXXXX XXXXX XXÄXXXX

XXXXXXXXX X XXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX XXX XXXXXXX

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

Xxxxxx (BE) Bulharsko (XX)

Xxxxx xxxxxxxxx (CZ)

Dánsko (XX) Xxxxxxx (XX)

Xxxxxxxx (XX) Irsko (IE)

Řecko (XX) Španělsko (XX)

Xxxxxxx (XX) Xxxxxxxxxx (HR)

Itálie (XX) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (HU) Xxxxx (XX)

Xxxxxxxxxx (XX) Xxxxxxxx (XX)

Xxxxxx (XX) Portugalsko (XX)

Xxxxxxxx (RO) Slovinsko (XX)

Xxxxxxxxx (XX) Xxxxxx (XX)

Xxxxxxx (SE) Spojené xxxxxxxxxx (XX)

XXXXXXXX UPOZORNĚNÍ

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

Xxxxx formulář odráží xxxxx xxxxxxx listiny, x xxx xx xxxxxxxx. Xxxxx, xxxxx xx veřejná xxxxxxx xxxxxxxxxxx, xxxx může x xxxxxxxxx, xxx xx xx xxxxxxxx xxx účely xxxxxxxxxx xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx xxxxxxxxx, které jsou xx formuláři uvedeny.

UPOZORNĚNÍ XXX XXXXXXXXXX XXXXX

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

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

1. XXXXX XXXXXXXXXX TENTO XXXXXXXX

1.1 Xxxxx (3)

2. XXXXX XXXXXXXXXX VEŘEJNOU XXXXXXX, X NÍŽ XX XXXXXXXX XXXXX XXXXXXXX

1.1 Název (4)

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

3.1 Xxxxxxx xxxxxx orgánem nebo xxxxxxxxx x vazbou xx soudy xxxxxx xxxxxxxxx xxxxx

3.1.1 Rozhodnutí xxxxx

3.1.2 Xxxxxxx xxxxxx xxxxxxx zástupcem

3.1.3 Xxxxxxx xxxxxx xxxxxx xxxxxxx xxxxxxxxx

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

3.1.5 Xxxx (xxxxxxxxx)

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

(2) Xxx xxxxxxxxxx xxxxx použijte xxxxxxx xxxxx.

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

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

3.2 Xxxxxxx vydaná xxxxxxxx xxxxxx

3.2.1 Osvědčení

3.2.2 Xxxxx x xxxxxxx

3.2.3 Xxxxx x registru xxxxxxxx

3.2.4 Xxxx xxxxxxxxxx xxxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, kterým byla xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx osobou

3.5 Xxxxxxx xxxxxxxxxx diplomatickým xxxxxxxxx xxxx konzulárním úředníkem xxxxxxxxx státu x xxxxx výkonu xxxx xxxxxxxxxx povinností

3.6 Xxxxx (xx/xx/xxxx) vydání

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXX X XXXXXXX XXXXX

4.1 Xxxxxxxx

4.2 Jméno (xxxxx)

4.3 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.4 Místo (1) x xxxx (2) xxxxxxxx

4.5 Xxxxxxx:

4.5.1 Žena

4.5.2 Xxx

4.5.3 Neurčeno

4.6 Xxxxxx:

4.6.1 Xxxxx x xxxxx xxxx / xxxxxxxx xxxxxxxxx

4.6.2 Xxxxx a xxxxxxxx xxxxxxxxx xxxxx

4.6.3 Xxxx (3)

5. NA XXXXXXX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX, XXXX DOTYČNÁ OSOBA XX XXX XXXXXX XXXXXXX XXXXXXX NAŽIVU.

6. XXXX XXX PODPIS

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

6.2 Xxxxxx xxxxxxxx, xxxxx xxxxx xxxxx xxxxxxxx

6.3 Xxxxx (dd/mm/rrrr) xxxxxx

6.4 Xxxxxx

6.5 Xxxxx xxxx xxxxxxx

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

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

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

XXXXXXXXXXX GLOSÁŘ XXXXX XXXXXXXXXXXX POLOŽEK

(ŽIVOT)

1.

(BG) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) AUTORIDAD XXX EXPIDE ESTE XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX FORMULÁŘ/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (DE) XXXÖXXX, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (ET) XÄXXXXXXX VORMI VÄLJA XXXXXX XXXXXX/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (EN) XXXXXXXXX XXXXXXX XXXX XXXX/ (XX) XXXXXXXX XX XXXXXXXXXX DU XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX AN FHOIRM XXX/ (XX) TIJELO XXXX IZDAJE OVAJ XXXXXXX/ (XX) AUTORITÀ XXX XXXXXXXX XX XXXXXXXX MODULO/ (XX) XXXXXXXXX IZDEVĒJIESTĀDE/ (XX) XXĄ FORMĄ XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX TA' XXX XX-XXXXXXX/ (NL) XXXXXXXXXX XXX XXXXXXX XXX XXX FORMULIER/ (PL) XXXXX XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (SL) ORGAN, XX IZDA XX XXXXXXX/ (FI) XÄXÄX XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) MYNDIGHET SOM XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (XX) BEZEICHNUNG/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) DESIGNATION/ (XX) XXXXXXXXXXXX/ (GA)AINMNIÚ/ (XX) XXXXX/ (XX) DENOMINAZIONE/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) TITLU/ (XX) XXXXXXXX/ (PL) XXXXX/ (XX) DESIGNAÇÃO/ (RO) XXXXXXXX/ (SK) XXXXX/ (XX) IME/ (XX) XXXX/ (XX) NAMN

2.

(BG) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) AUTORIDAD XXX XXXXXX EL XXXXXXXXX XXXXXXX XX XXX SE XXXXXXX XXXX XXXXXXX/ (XX) XXXXX VYDÁVAJÍCÍ XXXXXXXX XXXXXXX, X XXX XX PŘILOŽEN TENTO XXXXXXXX/ (XX) DEN XXXXXXXXX, DER XXX XXXXXXX XXX OFFENTLIGE XXXXXXXX, XXX DENNE XXXXXXXX XX VEDHÆFTET/ (XX) XXXÖXXX, XXX XXX ÖXXXXXXXXXX URKUNDE, XXX XXXXXX FORMULAR XXXXXXÜXX XXX, XXXXXXXXX/ (XX) XXXXXX, KES XXXXX VÄLJA XXXXXXX XXXXXXXXX, XXXXXXX SEE XXXX ON XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXX XXXXXXX XXX XXXXXX XXXXXXXX XX XXXXX XXXX FORM XX XXXXXXXX/ (XX) XXXXXXXX XX DÉLIVRANCE XX XXXXXXXX PUBLIC XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX tÚDARÁS X XXXXXXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX FHOIRM SEO XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXX XXXXX XXXXXXX KOJOJ XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, XXXXX ŠĪ XXXXXXXX IR XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (LT) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX FORMA, XXXXXXXXXX VALDŽIOS INSTITUCIJA/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX XX MIEGĦU XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX HET XXXXXXXX DOCUMENT XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXX URZĘDOWY, XX KTÓREGO XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXXXX QUE XXXXX X DOCUMENTO XXXXXXX A XXX X XXXXXXXX XXXXXXXXXX XXXX APENSO/ (RO) XXXXXXXXXXX XXXXXXXĂ A XXXXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, XX KTOREJ XX XXXXX XXXXXXXX XXXXXXXXX/ (SL) XXXXX, XX IZDA XXXXX XXXXXXX, KI XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXXXX, XXXX XX ANTANUT XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ LOMAKE XXXXXXÄÄX/ (XX) XXXXXXXXX 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 XXXXXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX IMPRESO/ (CZ) XXXXXXXXX XXXXXXXX XX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXØXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (DE) ANGABEN XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (ET) XXXXX XXXXXXX XXXXXXXXX XXXXX, XXXXXXX SEE XXXX XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX TO XXX PUBLIC XXXXXXXX XX XXXXX XXXX XXXX XX ATTACHED/ (XX) XXXXXXXXXXXX RELATIVES XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX PRÉSENT XXXXXXXXXX/ (XX) XXXXXXXX X XXXXXXXXX XXXX AN XXXXXXXXX POIBLÍ XXXX XXXXXX AN FHOIRM XXX XXXXXXXXXX/ (HR) XXXXXXXXXXX XXXX XX XXXXXX XX JAVNU XXXXXXX XXXXX JE XXXX XXXXXXX XXXXXXXX/ (XX) INFORMAZIONI XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX PRESENTE XXXXXX È ALLEGATO/ (XX) INFORMĀCIJA XXX XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX IR XXXXXXXXXX/ (LT) INFORMACIJA, XXXXXXXX XX XXXXXXXX XXXXXXXXX, PRIE XXXXX XXXXXXXXX XX XXXXX/ (XX) A FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX HIJA XXXXXŻX DIN XX-XXXXXXX/ (XX) INFORMATIE XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (PT) INFORMAÇÕES XXXXXXXXX XX DOCUMENTO XXXXXXX A XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (RO) XXXXXXXȚXX REFERITOARE XX XXXXXXXXXX OFICIAL XX XXXX XXXX XXXXXX XXXXXXXXX FORMULAR/ (XX) XXXXXXXXXX X VEREJNEJ XXXXXXX, XX KTOREJ XX XXXXX FORMULÁR XXXXXXXXX/ (SL) XXXXXXXXXXX X ZVEZI X XXXXX LISTINO, XX XX XX PRILOŽEN XX OBRAZEC/ (XX) XXXXXX XXXXXXXXÄ ASIAKIRJASTA, XXXXX XÄXÄ LOMAKE XXXXXXÄÄX/ (SV) XXXXXXXXXXX XX XXX OFFICIELLA XXXXXXXX TILL XXXXXX XXXXX XXXXXXÄX ÄR XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (ES) XXXXXXXXX XXXXXXXX XXX XXX AUTORIDAD O XX FUNCIONARIO VINCULADO X XXX XXXXXXX XXXXXXXXXXXXXXXX DE UN XXXXXX XXXXXXX/ (CZ) XXXXXXX VYDANÁ XXXXXXX XXXX ÚŘEDNÍKEM X XXXXXX XX XXXXX XXXXXX XXXXXXXXX STÁTU/ (XX) DOKUMENT, XXX XX XXXXXXX XX XX MYNDIGHED ELLER XX XXXXXXXXXX, XXX XX XXXXXXXXXX XXXXXXXX X XX MEDLEMSSTAT/ (XX) XXXXXXX XXXXX XXXÖXXX XXXX XXXXX XXXXXXXXXX XXX ORGAN XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) DOKUMENT, XXXXX XX XÄXXX XXXXXX LIIKMESRIIGI KOHTUTEGA XXXXXX AMETIASUTUS VÕI XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX XXXX XX AUTHORITY OR XX XXXXXXXX XXXXXXXXX XXXX XXX XXXXXX XX XXXXXXXXX XX X XXXXXX STATE/ (XX) DOCUMENT XXXXXXX X'XXX AUTORITÉ XX X'XX XXXXXXXXXXXXX XXXXXXXX X'XXX JURIDICTION D'UN XXXX XXXXXX/ (GA) XXXXXXXXX X THAGANN X XXXXXX XX X XXXXXXXXX X XXXXXX XXXXX XXXX XX AICI LE XXXXXXXXXX NÓ XX XXXXX XX XXXXX XXXXXXXXX/ (HR) ISPRAVA XXXX XX XXXXXX XXXXXX XXX SLUŽBENIK XXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ X XX XX XXXXXXXXXXX XXXXXXXXXXXX XX XXX XXXXX XXXXXXXXXXXXX XX XXX XXXXX XXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XX XXXĪXXXXXXX XXXXĀX SAISTĪTA XXXXĀXX XXX AMATPERSONA/ (XX) XXXXXXXXXX, XXXXXXXX VALDŽIOS XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX XXXX XXXXXXX VAGY TISZTVISELŐ XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX AWTORITÀ JEW XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX XXX XX-XXXXXXXXX XX' STAT XXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX XXX EEN XXXXXXXXXXXX XXXXXXXXX VAN XXX XXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY OD XXXXXX XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXXXX XX XX XX XXXXXXXXXXX XXXXXXXXXX XX XXXXXXXX XXXXXXXÇÃX XX UM XXX XXXXXXX-XXXXXXX/ (RO) XXXXXXXX XXXX XX O XXXXXXXXXX XXX XX XX FUNCȚIONAR DE XX LÂNGĂ INSTANȚELE XXXX XXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXX XXXXXXXXX X XÄXXXX NA XXXX ČLENSKÉHO ŠTÁTU/ (XX) XXXXXXX, XXXXXX X XXXXXX ORGANA XXX URADNIKA SODNE XXXXXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX, JONKA XX XXXXXXX JÄSENVALTION XXXXXXXXXXXXXXXX KUULUVA XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX MYNDIGHET XXXXX EN XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX I XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (XX) ROZHODNUTÍ XXXXX/ (DA) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (EN) XXXXX XXXXXXXX/ (FR) XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXX XX xXXXXX/ (XX) XXXXXX ODLUKA/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) TIESAS LĒMUMS/ (XX) XXXXXX SPRENDIMAS/ (XX) XXXXXXXX XXXXXXXXX/ (XX) DEĊIŻJONI TAL-QORTI/ (XX) XXXXXXXXXXXX BESLISSING/ (XX) XXXXXXXXXX XĄXXXX/ (XX) DECISÃO JUDICIAL/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) XXXXX ODLOČBA/ (XX) XXXXXXXXXXXXXX PÄÄTÖS/ (XX) DOMSTOLSBESLUT

3.1.2

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) DOCUMENTO EXPEDIDO XXX EL MINISTERIO XXXXXX/ (XX) XXXXXXX XXXXXX STÁTNÍM XXXXXXXXX/ (XX) XXXXXXXX UDSTEDT XX XX ANKLAGEMYNDIGHED/ (XX) XXXXXXX EINER XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXX XXXXXXXXXX/ (XX) DOCUMENT XXXXXXX XX XXXXXXÈXX XXXXXX/ (XX) XXXXXXXXX A XXXXXXX Ó XXXXXXXXXXXXXXX XXXXXX/ (XX) ISPRAVA XXXX JE XXXXXX XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXXXX MINISTERO/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) PROKURORO XXXXXXXX XXXXXXXXXX/ (HU) ÜXXXXX XXXXX KIÁLLÍTOTT XXXXXX/ (MT) DOKUMENT XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (XX) DOCUMENT XXXX XX UN XXXXXXXX/ (XX) XXXXXXX XXXXXX PROKURÁTOROM/ (SL) XXXXXXX, XX XX XXXX DRŽAVNO XXXXXXXXX/ (XX) VIRALLISEN XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX ÅKLAGARVÄSENDET

3.1.3

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) DOCUMENTO XXXXXXXX XXX XX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX ÚŘEDNÍKEM/ (XX) XXXXXXXX XXXXXXX AF XX XXXXXXXXXXXXXÆX/ (XX) XXXXXXX EINES XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) DOKUMENT, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX EMANATING XXXX X XXXXX XX X XXXXX/ (FR) XXXXXXXX ÉMANANT X'XX XXXXXXXX/ (XX) DOICIMÉAD X XXXXXXX X XXXXXXXXXX DE XXXXX XXXXXX/ (HR) ISPRAVA XXXX XX XXXXX XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX CANCELLIERE/ (XX) DOKUMENTS, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (XX) XXXXXX TARNAUTOJO XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX TISZTVISELŐ ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ MINN XXĠXXXXXXXX TA' XXXXX/ (XX) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX XXXXXXXXXX XĄXXXXXX/ (XX) XXXXXXXXX PROVENIENTE XX XX XXXXXXX XX XXXXXÇX/ (RO) XXXXXXXX XXXX XX XX XXXXXXX XX XXXXXXȚXX/ (XX) LISTINA XXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXX, XX XX IZDA XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN EN XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXX («HUISSIER XX XXXXXXX»)/ (XX) LISTINA XXXXXX SOUDNÍM XXXXXXXXXXXXX („XXXXXXXX DE XXXXXXX“)/ (XX) DOKUMENT XXXXXXX XX EN STÆVNINGSMAND (»XXXXXXXX XX XXXXXXX«)/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX VÄLJA XXXXXX KOHTUTÄITUR/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («HUISSIER XX JUSTICE»)/ (XX) XXXXXXXX EMANATING XXXX X XXXXXXXX XXXXXXX ('XXXXXXXX DE XXXXXXX')/ (XX) XXXXXXXX XXXXXXX X'XX HUISSIER DE XXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXX XX XXXXX SUDSKI XXXXXXXXX (XXXXXXXX DE XXXXXXX)/ (XX) XXXXXXXXX XXXXXXX XX XX UFFICIALE XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (XX) DOKUMENTS, XXXX XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (HUISSIER DE XXXXXXX)/ (XX) XXXXXXXXX (XXXXXXXX XX JUSTICE) XXXXXXXX DOKUMENTAS/ (HU) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX”) ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX XX XXXXXXX')/ (NL) XXXXXXXX XXXXXXXXX XXXX XXX GERECHTSDEURWAARDER/ (XX) XXXXXXXX POCHODZĄCY XX XXXĘXXXXX XĄXXXXXX (XXXXXXXX XX JUSTICE)/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX OFICIAL XX XXXXXXÃX XX XXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX EMIS XX UN EXECUTOR XXXXXĂXXXXXX („XXXXXXXX DE XXXXXXX”)/ (XX) XXXXXXX XXXXXX SÚDNYM VYKONÁVATEĽOM („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXX, XX XX IZDA SODNI XXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX XX JUSTICE”) XXXXXX ASIAKIRJA/ (SV) XXXXXXXX SOM HÄRRÖR XXÅX XX XXÄXXXXXXXXX (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) XXXX (XXXXXXXXX)/ (XX) ANDRE (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (ET) XXX (XÄXXXXXXXX)/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX BE XXXXXXXXX)/ (XX) AUTRE (À PRÉCISER)/ (XX) XXXX (LE SONRÚ)/ (XX) XXXXXX (XXXXXXX)/ (XX) XXXXX (XXXXXXXXX)/ (XX) XXXX (XXXXXXĒX)/ (XX) KITA (NURODYTI)/ (XX) XXXXX (XXXXÜX XXXXXXXXXXX)/ (MT) OĦRAJN (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (PL) XXXX (XXXXXĘ XXXXŚXXĆ)/ (XX) XXXXXX (X XXXXXXXXXXX)/ (XX) XXXXX (X XX XXXXXXX)/ (XX) XXX (SPRESNIŤ)/ (XX) XXXXX (XXXXXXX)/ (XX) XXX XXXXXXXXX (TÄSMENNETTÄVÄ)/ (XX) ANNAN HANDLING (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) LISTINA XXXXXX XXXXXXXX ÚŘADEM/ (XX) XXXXXXXXXXXXXX DOKUMENT/ (XX) XXXXXXX XXXXX VERWALTUNGSBEHÖRDE/ (XX) HALDUSDOKUMENT/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX ADMINISTRATIF/ (XX) XXXXXXXXX XXXXXXXXXX/ (HR) XXXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX DOKUMENTS/ (XX) XXXXXXXXXXXXXXX DOKUMENTAS/ (HU) XÖXXXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (NL) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX ADMINISTRATIV/ (SK) XXXXXXX XXXXXXX/ (SL) XXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (CZ) XXXXXXXXX/ (XX) PÅTEGNING/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (GA) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (XX) PAŽYMA, XXXXXXXXXX/ (XX) TANÚSÍTVÁNY/BIZONYÍTVÁNY/ (MT) ĊXXXXXXXXX/ (XX) CERTIFICAAT/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) POTRDILO/ (XX) XXXXXXXX/ (SV) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (ES) XXXXXXXX XXX REGISTRO XXXXX/ (XX) XXXXX Z XXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX XXX DEM XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX FROM XXX XXXXX XXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XX L'ÉTAT XXXXX/ (XX) SLIOCHT XX XX xXXXX XXXXXXX XXXXXXXXXX/ (HR) XXXXXXX XX REGISTRA XXXXXXX STANJA/ (XX) XXXXXXXX XX ATTO XX XXXXX CIVILE/ (XX) IZRAKSTS XX XXXXXXXĀXXXĻX AKTU XXĢXXXXX/ (XX) XXXXXXX IŠ XXXXXXXĖX BŪKLĖS AKTŲ XXXXXXXX/ (XX) XXXXXÖXXXX XXXXXXX/ (MT) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXX XXX XX BURGERLIJKE STAND/ (XX) ODPIS XXXXXXXX XXXX XXXXX XXXXXXXXX/ (XX) EXTRATO DE XXXX XX XXXXXXX XXXXX/ (XX) XXXXXX XXX REGISTRUL XX XXXXX CIVILĂ/ (XX) XXXXX Z REGISTRA XXXXXXXX STAVU/ (XX) XXXXXXX IZ XXXXXXXX X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX XXX XXXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXX/ (XX) UDDRAG XXX XXXXXXXXXXXXXX/ (XX) AUSZUG XXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX FROM XXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX DE LA XXXXXXXXXX/ (XX) XXXXXXX XX XX gCLÁR XXXXXX/ (XX) XXXXXXX XX XXXXXX STANOVNIŠTVA/ (XX) XXXXXXXX ANAGRAFICO/ (XX) IZRAKSTS NO XXXXĪXXXĀXX REĢISTRA/ (XX) XXXXXXX IŠ GYVENTOJŲ XXXXXXXX/ (XX) XXXXXXX X SZEMÉLYIADAT- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) WYCIĄG X REJESTRU XXXXXŚXX/ (XX) XXXXXXX XX XXXXXXX XX POPULAÇÃO/ (XX) EXTRAS XXX XXXXXXXXX XX XXXXXXȚĂ X XXXXXXȚXXX/ (XX) XXXXX X REGISTRA XXXXXXXĽXX/ (XX) XXXXXXX XX XXXXXXXX PREBIVALSTVA/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТАКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX XX ACTAS DEL XXXXXXXX CIVIL/ (XX) XXXX MATRIČNÍCH XXXXXXX/ (XX) XXXXXX XXXX XX CIVILSTANDSREGISTRE/ (XX) XÖXXXXXXX KOPIE VON XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (EN) VERBATIM XXXX OF XXXXX XXXXXX XXXXXXX/ (XX) XXXXX XXXXXXXXX X'XXXXX XX X'XXXX XXXXX/ (XX) XXXX XXXXX XX XXXXXX DE XXXXXXX AR XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XX EVIDENCIJA X XXXXXXX XXXXXX/ (XX) COPIA XXXXXXXXX XX ATTO DI XXXXX XXXXXX/ (XX) XXXXXXXĀXXXĻX AKTU XXĢXXXXX XXXXXXXX XXXXXXXXXX KOPIJA/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮRAŠŲ XXXXXXXĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX XXX SZERINTI XXXXXXXX/ (XX) XXXXX XXXXXXXX TAL-ATTI TAL-ISTAT ĊXXXXX/ (XX) EENSLUIDEND XXXXXXXXX XXX AKTEN XXX DE XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (PT) XXXXXXÃX XX CÓPIA XXXXXXXX XX XX XXXXXXXXX XX ATOS XX XXXXXXX CIVIL/ (RO) XXXXX XXXXXĂ X XXXX XXX XX XXXXX CIVILĂ/ (XX) XXXXXXXX VÝPIS XX XXXXXXX X OSOBNOM XXXXX/ (SL) XXXXXXXXX XXXXXX XXXXXX X XXXXXXX STANJU/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX AVSKRIFT XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (CZ) XXXXXXXX XXXXXXX/ (XX) NOTARBEKRÆFTET XXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) XXXX XXXXXXX/ (XX) XXXXXX NÓTAIREACHTA/ (XX) XXXXXXXXXXXXXXXX ISPRAVA/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXĀXX XXXX/ (XX) XXXXXXXXX XXXXX/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) XXX NOTARILI/ (XX) NOTARIËLE XXXX/ (XX) XXX NOTARIALNY/ (XX) ATO XXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) CERTIFICACIÓN XXXXXXX XXXXXX XXXXX UN XXXXXXXXX PRIVADO/ (CZ) XXXXXX XXXXXXXXX, XXXXXX XXXX OPATŘENA XXXXXXX XXXXXXXXX SOUKROMOU OSOBOU/ (XX) XXXXXXXX XÅXXXXXXX XÅ ET XXXXXXXX XXXXXXXXXXX XX XX XXXXXX X XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX XXXXX XXXXXXXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX XXXXXXX XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΊ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX PLACED XX X XXXXXXXX XXXXXX XX X PERSON XX XXX OR XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX OFFICIELLE XXXXXXX XXX XX XXXX SOUS XXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX A XXXXXXXXX XX XXXXXXXXXX XXXX XXXXXX AG XXXXX XXX XXXXX XX XXX CÁIL PHRÍOBHÁIDEACH/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX XX XXXXXXX XXXX XX XXXXX XXXXXXXXX U XXXXXXXXX XXXXXXXX/ (IT) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXĀXX XXXXXXXXĀXXXX XX DOKUMENTA, XX XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (XX) XXXXXXXŲ ASMENŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX ELHELYEZETT XXXXXXXXX XXXXXXXXXXX/ (MT) ĊXXXXXXXXX XXXXĊXXXX XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX OP XXX DOCUMENT XXXXXXXXXXX XXXX EEN PERSOON XX ZIJN PARTICULIERE XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX UMIESZCZONE XX XXXXXXXXXX PODPISANYM XXXXX XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX XXX XX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX OFICIAL XXXXXXX XX XX XXXXXXXX XXX SEMNĂTURĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX XX XXXXXXX XXXXXXXXXX OSOBOU XXXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXX XX ZASEBNI XXXXXXX/ (XX) XXXXXXXXXX TODISTUS XXXXXXXXXXXX, XXXXX XXXXXXÖ XX ALLEKIRJOITTANUT YKSITYISHENKILÖNÄ/ (XX) OFFICIELLT INTYG XXXXXXXXX XÅ XX XXXXXXXX XXX XXXXXXXXXXXXX XX EN XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (ES) DOCUMENTO XXXXXXXX XXX XX XXXXXX XXXXXXXXXXX X XXXXXXXX XX UN XXXXXX XXXXXXX XXX XXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX NEBO XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X RÁMCI XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX OFFICIELT XXXÆXXXXXX XX XX XXXXXXXXXXXX DIPLOMATISKE XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (XX) XXX EINEM XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX VERTRETER XXXXX XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (ET) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX KOOSTATUD XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX XXXXX XX BY A XXXXXXXXXX XX XXXXXXXX XXXXX XX X XXXXXX XXXXX XX XXX XX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXX XX XX QUALITÉ XXXXXXXXXX XXX XX AGENT XXXXXXXXXXXX OU XXXXXXXXXX X'XX XXXX XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX TAIDHLEOIREACHTA NÓ XXXXXXXXX DE XXXXX XXXXXXXXX XXX XXXXX XX XXX XXXX XXXXXXXXX/ (XX) ISPRAVA XXXX JE X XXXXXXXXX XXXXXXXX SASTAVIO XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX AGENTI XXXXXXXXXXX X XXXXXXXXX DI XXX XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX LORO XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX AMATA XXXXĀXXXXX, XXXXXXXXXXX DALĪBVALSTS XXXXXXĀXXXXXXX VAI XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX XX XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX XXXXX HIVATALOS MINŐSÉGÉBEN XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXXX MINN XĠXXX XXXXXXXXXXX XXX XXXXXXXXX TA' XXXX XXXXXX FIL-KAPAĊITÀ XXXXĊXXXX XXXXĦX/ (NL) XXXXXXXX XXXXXXXXX DOOR DE XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX VAN XXX XXXXXXXX XX XXXX XXXXXXËXX XXXXXXXXXXXX/ (PL) XXXXXXXX XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX DYPLOMATYCZNEGO XXX XXXĘXXXXX KONSULARNEGO XXŃXXXX XXŁXXXXXXXXXXX DZIAŁAJĄCYCH W XXXXXXXXXXX XXXĘXXXXX/ (PT) XXXXXXXXX XXXXXXX XXX XX XXXXXX DIPLOMÁTICO XX XXXXXXXX XX XX XXXXXX-XXXXXX XX XXXXXXXXX XXX SUAS XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX DE XĂXXX XX XXXXX XXXXXXXXXX SAU XXXXXXXX XX XXXX STAT XXXXXX, ÎX CALITATE XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX ZÁSTUPCOM XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX V XXXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXX, XX JO XXX XXXXXX OSEBA IZDA XXXXXXXXXXX ALI XXXXXXXXXX XXXXXXXXXXX DRŽAVE ČLANICE/ (XX) ASIAKIRJA, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX KONSULIEDUSTAJA ON XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXÄXXXX I XXÄXXXXX XX XX XXXXXXXXXXX ELLER XXXXXXÄX XXÄXXXXXXX X XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) DATE (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX DÉLIVRANCE/ (XX) XXXX (XX/XX/XXXX) EISIÚNA/ (XX) XXXXX (DD/MM/GGGG) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) IZDOŠANAS XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (HU) X KIÁLLÍTÁS XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (DD/MM/JJJJ) XXX XXXXXXX/ (PL) XXXX (XX/XX/XXXX) WYDANIA/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) EMITERII/ (SK) XXXXX (DD/MM/RRRR) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (FI) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX XXXXXXXXXX XXX XXXXXXXXX PÚBLICO/ (XX) XXXXXXXXXX XXXXX XXXXXXX LISTINY/ (XX) XXX OFFENTLIGE XXXXXXXXX XXXXXXXXXXXXXXX/ (DE) XXXXXXXXXX XXX ÖXXXXXXXXXXX URKUNDE/ (XX) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) REFERENCE XXXXXX OF XXX XXXXXX DOCUMENT/ (XX) XXXXXX DE XXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXX THAGARTHA XX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (IT) XXXXXX XX RIFERIMENTO XXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXX/ (XX) X KÖZOKIRAT XXXXXXXXXXX XXXXX/ (MT) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX DOCUMENT/ (PL) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXX XX XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX XX XXXXXXXȚĂ XX DOCUMENTULUI XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXXX LISTINY/ (XX) XXXXXXXXXX ŠTEVILKA XXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX VIITENUMERO/ (XX) XXX XXXXXXXXXX HANDLINGENS XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX SOBRE XX XXXXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXXXX XX XXX XÅXÆXXXXXX XXXXXX/ (XX) ANGABEN XXX XXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXX XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (EN) XXXXXXXXXXX XX XXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXX XXX XX PERSONNE XXXXXXXXX/ (XX) FAISNÉIS XXXXXX XXXX XX XXXXX XXXX xXXXXXXXX/ (XX) INFORMACIJE X XXXXXXXX OSOBI/ (XX) XXXXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (XX) INFORMĀCIJA XXX XXXXXXĪXX XXXXXXX/ (XX) XXXXXXXXXXX XXXX XXXXXXXXXĄ XXXXXĮ/ (XX) XX XXXXXXXX SZEMÉLYRE XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXX XXXXĊXXXXXX/ (XX) XXXXXXXXXX XXXX XX BETROKKENE/ (XX) DANE XXXXX, XXXXXX XXXXXXX DOKUMENT/ (XX) INFORMAÇÕES XXXXX X XXXXXX XX XXXXX/ (XX) INFORMAȚII XXXXXXX XXXXXXXX VIZATĂ/ (XX) INFORMÁCIE X XXXXXXXXX XXXXX/ (XX) XXXXXXXXXXX O ZADEVNI XXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXX/ (SV) XXXXXXXXX OM DEN XXXÖXXX XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) APELLIDO(S)/ (XX) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (XX) XXXXXXXXXXXX(X)/ (XX) PEREKONNANIMI (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (EN) XXXXXXX(X)/ (FR) XXX(X)/ (XX) SLOINNE (XXXXXXXX)/ (XX) XXXXXXX(XX)/ (IT) XXXXXXX(X)/ (LV) XXXĀXXX(-X)/ (XX) PAVARDĖ (-ĖX)/ (XX) CSALÁDI NEVE(I)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (XX) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (XX) APELIDO(S)/ (XX) XXXX/ (XX) XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX/ (XX) XXXXXXXX (-NIMET)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) NOMBRE(S)/ (XX) XXXXX (XXXXX)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (XX) XĀXXX(-X)/ (XX) VARDAS (-XX)/ (XX) UTÓNEVE(I)/ (XX) XXXX(/XXXXXXXX)/ (NL) VOORNA(A)M(EN)/ (XX) XXXĘ (XXXXXX)/ (XX) XXXX(X) PRÓPRIO(S)/ (XX) XXXXXXX/ (XX) XXXX(-X)/ (XX) IME/IMENA/ (XX) XXXXXXX (-XXXXX)/ (XX) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (CZ) XXXXX (DD/MM/RRRR) XXXXXXXX/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) SÜNNIKUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (EN) DATE (XX/XX/XXXX) OF XXXXX/ (XX) XXXX (JJ/MM/AAAA) XX XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (IT) XXXX XX NASCITA (XX/XX/XXXX)/ (XX) DZIMŠANAS XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (HU) XXÜXXXXXX XXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) URODZENIA/ (XX) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (RO) DATA (XX/XX/XXXX) XXȘXXXXX/ (SK) XXXXX (XX/XX/XXXX) NARODENIA/ (XX) XXXXX (DD/MM/LLLL) XXXXXXX/ (FI) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.4

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) LUGAR X XXXX DE XXXXXXXXXX/ (XX) XXXXX X XXXX NAROZENÍ/ (XX) XØXXXXXX XX -LAND/ (XX) ORT XXX XXXX XXX XXXXXX/ (XX) XÜXXXXXXX XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX AND XXXXXXX OF XXXXX/ (XX) XXXX XX XXXX XX XXXXXXXXX/ (XX) ÁIT XXXX XXX XXXXXXXX/ (XX) XXXXXX X XXXXXX XXĐXXXX/ (XX) LUOGO X XXXXX DI XXXXXXX/ (LV) XXXXXXXXX XXXXX UN XXXXXX/ (XX) GIMIMO XXXXX XX ŠALIS/ (XX) XXÜXXXXXX XXXXX XX XXXXXXX/ (MT) XXXX X XXXXXŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX EN -XXXX/ (XX) MIEJSCE X XXŃXXXX XXXXXXXXX/ (XX) LOCAL X XXXX XX XXXXXXXXXX/ (XX) XXXXX ȘI ȚXXX XXȘXXXXX/ (SK) XXXXXX X XXXX XXXXXXXXX/ (SL) KRAJ XX XXXXXX XXXXXXX/ (XX) XXXXXXÄXXXXXX XX -XXX/ (XX) FÖDELSEORT XXX -LAND

4.5

(BG) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (DA) XØX/ (XX) XXXXXXXXXX/ (XX) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (GA) XXXXXX/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) LYTIS/ (HU) XXXX/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (PT) XXXX/ (XX) SEXUL/ (XX) XXXXXXXX/ (XX) XXXX/ (XX) XXXXXXXXX/ (SV) XÖX

4.5.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) ŽENA/ (XX) XXXXXX/ (XX) XXXXXXXX/ (XX) NAISSOOST/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) BAINEANN/ (XX) XXXXXX/ (XX) FEMMINILE/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (HU) NŐ/ (XX) MARA/ (XX) XXXXX/ (PL) KOBIETA/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) ŽENSKÉ/ (XX) ŽENSKI/ (XX) XXXXXX/ (XX) KVINNA

4.5.2

(BG) МЪЖКИ/ (ES) XXXXX/ (XX) XXX/ (XX) XXXX/ (DE) XÄXXXXXX/ (XX) MEESSOOST/ (EL) ΑΡΡΕΝ/ (XX) XXXX/ (XX) MASCULIN/ (XX) XXXXXXX/ (XX) MUŠKI/ (XX) XXXXXXXX/ (LV) XĪXXXXXX/ (XX) XXXXX/ (XX) XXXXX/ (XX) XXĠXX/ (XX) XXX/ (XX) XĘŻXXXXXX/ (XX) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) MAN

4.5.3

(BG) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (DA) XXXXXXXX/ (XX) XXXXXXXXXX/ (ET) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (EN) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (HR) XXXXXXĐXX/ (XX) INDETERMINATO/ (LV) XXXXXXXXXX/ (XX) NENUSTATYTA/ (XX) XXXXXXXXXXXXXXX/ (MT) XXXX STABBILIT/ (XX) XXXXXXXXX/ (XX) PŁEĆ XXXXXXXŚXXXX/ (PT) XÃX XXXXXXXX/ (RO) XXXXXXXXXXXX/ (XX) NEURČENÉ/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

4.6

(XX) АДРЕС/ (XX) XXXXXXXXX/ (XX) ADRESA/ (DA) XXXXXXX/ (XX) ANSCHRIFT/ (XX) XXXXXXX/ (EL) ΔΙΕΥΘΥΝΣΗ/ (XX) XXXXXXX/ (XX) ADRESSE/ (XX) XXXXXXX/ (XX) XXXXXX/ (XX) INDIRIZZO/ (LV) XXXXXX/ (XX) XXXXXXX/ (XX) CÍME/ (MT) XXXXXXXX/ (XX) ADRES/ (XX) XXXXX/ (PT) XXXXXXÇX/ (XX) ADRESA/ (XX) ADRESA/ (XX) XXXXXX/ (XX) OSOITE/ (XX) XXXXXX

4.6.1

(XX) УЛИЦА И НОМЕР/ПОЩЕНСКА КУТИЯ/ (XX) CALLE Y XXXXXX / XXXXXXXX XX XXXXXXX/ (CZ) XXXXX X XXXXX XXXX / XXXXXXXX XXXXXXXXX/ (XX) VEJ XX HUSNUMMER/POSTBOKS/ (DE) XXXXXXX XXX HAUSNUMMER/POSTFACH/ (XX) TÄNAV XX XXXX XXXXXX/XXXXXXXX/ (XX) ΟΔΟΣ ΚΑΙ ΑΡΙΘΜΟΣ / Τ.Θ./ (XX) XXXXXX XXX XXXXXX/XX XXX/ (XX) XXX XX XXXXXX/XXÎXX XXXXXXX/ (XX) XXXXX XXXX XXXXXX/XXXXX POIST/ (XX) XXXXX I XXXX / POŠTANSKI XXXXXXXX/ (XX) VIA E XXXXXX/XXXXXXX XXXXXXX/ (XX) XXXX UN XĀXXX XXXXXX / XXXXXXXXX/ (XX) GATVĖ XX XXXX NUMERIS / XXXXX XĖXXXĖ/ (HU) XXXX XX XXXXXXX/XXXXXXXXX/ (XX) XXXX X XXXXX/XXXXX XXXXXXX/ (XX) XXXXXX XX NUMMER/POSTBUS/ (XX) XXXXX X XXXXX / XXXXXXX XXXXXXXX/ (XX) XXX X XXXXXX/XXXXX XXXXXX/ (XX) XXXXXX ȘX XXXĂXXX/XĂXXȚX XXȘXXXĂ/ (XX) XXXXX A ČÍSLO/POŠTOVÝ XXXXXXXXX/ (SL) XXXXX XX ŠTEVILKA/POŠTNI XXXXXX/ (XX) XÄXXXXXXXX/XXXXXXXXXXX/ (XX) XXXXXXXXXX/XXXXXXX

4.6.2

(XX) НАСЕЛЕНО МЯСТО И ПОЩЕНСКИ КОД/ (XX) XXXXXXXXX Y XXXXXX XXXXXX/ (XX) XXXXX A XXXXXXXX XXXXXXXXX XXXXX/ (DA) XX XX POSTNUMMER/ (XX) XXX UND XXX/ (XX) LINN XÕX XXXXX JA XXXXXXXXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΤΑΧΥΔΡΟΜΙΚΟΣ ΚΩΔΙΚΟΣ/ (XX) XXXXX AND XXXXXX XXXX/ (XX) XXXXXXXX XX XXXX XXXXXX/ (XX) XXX XXXX XXX POIST/ (XX) XXXXXX X XXXXXXXXX XXXX/ (XX) XXXXXXXÀ X XXX/ (XX) XXXXX XX XXXXX XXXXXXX/ (XX) XXXXX XX PAŠTO XXXXX/ (XX) XXXXXXX XX IRÁNYÍTÓSZÁM/ (XX) XXXXXXXÀ U XXXXĊX XXXXXXX/ (XX) XXXXXX XX XXXXXXXX/ (PL) XXXXXXXXXŚĆ X KOD XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXX XXXXXX/ (XX) XXXXXXXXXXX ȘI XXXXX XXȘXXX/ (XX) XXXXXX X POŠTOVÉ XXXXXXXXXX XXXXX/ (SL) XXXX XX XXXXXX XXXXXXXX/ (FI) POSTINUMERO XX XXXXXXXXXXXXXXXX/ (SV) XXX OCH XXXXXXXXXX

4.6.3

(XX) ДЪРЖАВА/ (XX) PAÍS/ (XX) ZEMĚ/ (XX) XXXX/ (XX) XXXX/ (XX) RIIK/ (XX) ΧΩΡΑ/ (XX) COUNTRY/ (XX) PAYS/ (XX) XXX/ (HR) ZEMLJA/ (XX) PAESE/ (LV) XXXXXX/ (XX) XXXXX/ (XX) ORSZÁG/ (XX) XXXXXŻ/ (XX) XXXX/ (XX) XXŃXXXX/ (XX) XXXX/ (XX) ȚXXX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXX/ (XX) LAND

5.

(BG) 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 QUE XX ADJUNTA XXXX XXXXXXX, XX XXXXXXXXXX XXXXXX XX XXXX XX XX XXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (CZ) XX XXXXXXX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX, XXXX XXXXXXX XXXXX XX XXX XXXXXX XXXXXXX XXXXXXX XXXXXX/ (XX) I XXXXXXX XXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX ER XXXXÆXXXX, XXX DEN XÅXÆXXXXXX PERSON I XXXX XÅ XXXXXX XXX UDSTEDELSEN AF XXX XXXXXXXXXX XXXXXXXX/ (XX) XXXÄXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX, WAR DIE XXXXXXXXXXX XXXXXX XX XXX XXX XXXXXXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX XX XXXXX/ (ET) XXXXXXXXX XXXXXXXXX XXXXXXXXXXX, XXXXXXX SEE XXXX XX LISATUD, XXX XXXXXXXXX XXXX XXXXXXXXX XXXXXXX DOKUMENDI XÄXXXXXXXXXX XXXXÄXXXX XXXX/ (XX) ΣΥΜΦΩΝΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ, ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΒΡΙΣΚΟΤΑΝ ΣΤΗ ΖΩΗ ΚΑΤΑ ΤΗΝ ΗΜΕΡΟΜΗΝΙΑ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX TO XXX XXXXXX XXXXXXXX XX XXXXX THIS FORM XX XXXXXXXX, THE XXXXXX XXXXXXXXX WAS XXXXX XX XXX XXXX XX XXXXX XX THE XXXXXX XXXXXXXX/ (FR) X'XXXÈX XX XXXXXXXX XXXXXX XXXXXX XX XXXXXXX XXXXXXXXXX XXX JOINT, XX XXXXXXXX XXXXXXXXX XXXXX XX VIE À XX XXXX XX DÉLIVRANCE DE XX XXXXXXXX XXXXXX/ (XX) XX RÉIR XX XXXXXXXXX XXXXXXX XXXX bhFUIL AN XXXXXX XXX XXXXXXXXXX, XXX XX XXXXX XXXX xXXXXXXXX XXX XX XXXXX XXXXXXX XX DOICIMÉID XXXXXXX/ (XX) PREMA XXXXXX XXXXXXX XXXXX XX XXXX OBRAZAC PRILOŽEN XXXXXXX OSOBA XXXX XX XXXX XX XXX IZDAVANJA XXXXX XXXXXXX/ (XX) XXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX PRESENTE XXXXXX È ALLEGATO, X'XXXXXXXXX XX XXXX XXXXX PERSONA INTERESSATA È STATA ACCERTATA XXXX DATA DI XXXXXXXX XX XXXX XXXXXXXXX/ (LV) SASKAŅĀ XX XXXXXXXX XXXXXXXXX, XXXXX ŠĪ XXXXXXXX XX PIEVIENOTA, ATTIECĪGĀ XXXXXXX PUBLISKĀ XXXXXXXXX XXXXXXXXX XXXXĀ XXXX XXĪXX/ (XX) XXXXX XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX PRIDEDAMA XX XXXXX, XXXXXXX XXXXXXXXX XXXXXXXX XXXXĄ XXXXXXXXXXX XXXXX XXXX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXX XXXXXXX XX ÉRINTETT XXXXXXX X KÖZOKIRAT XXXXXXXXXXXXX XXŐXXXXXXXXX XXXXXXX XXXX/ (XX) XXXXX XX-XXXXXXXX XXXXXXXX LI XXXXĦX XXXX MEHMUŻA DIN XX-XXXXXXX, IL-PERSUNA XXXXĊXXXXXX XXXXXX ĦAJJA FID-DATA XXX-ĦXXĠ XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXX XXXXXXXX XXXXXXXX WAARAAN XXX XXXXXXXXX XX XXXXXXX, XXX DE XXXXXXXXXX XX XXXXX XX XX XXXXX XXX XXXXXXX VAN XXX OPENBAAR DOCUMENT/ (XX) X XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXŁĄXXXXX JEST NINIEJSZY XXXXXXXXX, XXXXXX, ŻE XXXXX, XXXXXX XXXXXXX XXXXXXXX, XXXXXXXXXŁX PRZY ŻXXXX W XXXX XXXXXXX TEGO XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXXX X DOCUMENTO XXXXXXX X XXX O XXXXXXXX XXXXXXXXXX XXXX XXXXXX, X XXXXXX XX XXXXX XXXXXX XXXX À XXXX XX XXXXXÃX XX XXXXXXXXX XXXXXXX/ (XX) ÎX XXXXXXXXXXXX XX XXXXXXXXXX OFICIAL LA XXXX XXXX XXXXXX XXXXXXXXX FORMULAR, XXXXXXXX XXXXXĂ XXX ÎX XXXȚĂ LA DATA XXXXXXXX XXXXXXXXXXXX XXXXXXX/ (XX) XXXĽX XXXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX, BOLA XXXXXXXX XXXXX X XXX XXXXXXX XXXXXXXX XXXXXXX XXXXXX/ (SL) X XXXXXX X XXXXX XXXXXXX, XX XX XX XXXXXXXX TA XXXXXXX, JE XXXX XXXXXXX XXXXX NA XXX XXXXXX XXXXX XXXXXXX XXXX/ (XX) XXX XXXXXXX XXXXXXXXXX XXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX, XXXXXXXXXXXX XXXXXXÖ OLI XXXXXX XXXXXXX XXXXXXXXXX XXXXXXXXÄXXÄXÄ/ (XX) ENLIGT XXX XXXXXXXXXX HANDLING TILL XXXXXX XXXXX FORMULÄR ÄX BIFOGAT XXX XXX XXXÖXXX PERSONEN X XXXXX XXX XXXXXXXXXX FÖR XXX XXXXXXXXXX HANDLINGENS XXXÄXXXXXX

6.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX XXXXX/ (XX) XXXX XXX XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX BOX/ (XX) XXXXX POUR XX XXXXXXXXX/ (XX) XXXXX XXX XXXXX/ (XX) POLJE ZA XXXXXX/ (XX) XXXXXXXX XXX XX XXXXX/ (XX) XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXX/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (XX) KAXXA XXX-XXXXXXXX/ (NL) XXX XXXX XX HANDTEKENING/ (XX) XXXX PODPISU/ (XX) ESPAÇO DESTINADO À ASSINATURA/ (RO) XXXXĂXXXX/ (XX) KOLÓNKA XX XXXXXX/ (XX) XXXXX XX PODPIS/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (XX) XXXX XÖX UNDERTECKNANDE

6.1

(BG) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X XXXXXX(X) XXX XXXXXXXXXXX XXX XXXXXXX XXXX IMPRESO/ (XX) XXXXXXXX X XXXXX (XXXXX) XXXXXXXX, XXXXX XXXXX TENTO XXXXXXXX/ (DA) EFTERNAVN(E) XX XXXXXXX(X) XÅ XXX EMBEDSMAND, DER XXX XXXXXXX DENNE XXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX VORNAME(N) XXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXXXXXX XXX/ (XX) KÄESOLEVA XXXXX XÄXXXXXXXXX XXXXXXXX EESNIMI (-XXXXX) XX PEREKONNANIMI (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) XXX XXXXXXXX(X) XX XXX XXXXXXXX XXX XXXXXX XXXX FORM/ (XX) XXX(X) XX PRÉNOM(S) XX XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX (SLOINNTE) XXXX XXXXXXXX (XXXXXXXXXXXXXX) AN XXXXXXXX X D’EISIGH XX FHOIRM XXX/ (XX) XXXXXXX(XX) X XXX(XX) SLUŽBENIKA XXXX XX XXXXX XXXX XXXXXXX/ (XX) COGNOME/I X NOME/I XXX XXXXXXXXXXX CHE XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (LV) XXXXXXXXXXXX, XXXX IZDEVUSI XX XXXXXXXX, XXXĀXXX(-X) UN XĀXXX(-X)/ (XX) XXĄ XXXXĄ IŠDAVUSIO PAREIGŪNO XXXXXXĖ (-ĖX) IR XXXXXX (-AI)/ (HU) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXX NEVE(I) XX XXXXXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX) U ISEM(/ISMIJIET) XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XX(X)X(XX) XX XXXXXX(X)X(XX) XXX DE XXXXXXXXX XXX DIT XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) I XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX XXXXŁ NINIEJSZY FORMULARZ/ (XX) XXXXXXX(X) X XXXX(X) PRÓPRIO(S) XX XXXXXXXXXXX QUE XXXXXX X XXXXXXXX FORMULÁRIO/ (XX) XXXXXX ȘX XXXXXXXXX XXXXȚXXXXXXXXX XXXX X XXXX PREZENTUL XXXXXXXX/ (SK) XXXXXXXXXX(-X) X XXXX(-X) ÚRADNÍKA, XXXXX VYDAL XXXXX XXXXXXXX/ (SL) XXXXXXX/XXXXXXX XX IME/IMENA URADNIKA, XX XX IZDAL XX XXXXXXX/ (FI) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX SUKUNIMI (-NIMET) XX XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX XXX XÖXXXXX XÅ XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

6.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXX XXX XXXXXXXXXXX QUE XXXXXXX ESTE IMPRESO/ (XX) XXXXXX XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (DA) STILLING — XXX XXXXXXXXXX, XXX HAR UDSTEDT XXXXX XXXXXXXX/ (DE) XXXXXXXX DES XXXXXXX, XXX DIESES XXXXXXXX XXXXXXXXXXX HAT/ (ET) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX XX XXX XXXXXXXX XXX ISSUED XXXX XXXX/ (FR) XXXXX DU XXXXXXXXXXXXX XXX A XXXXXXX XX PRÉSENT FORMULAIRE/ (XX) XXXX XX XXXXXXXX X D’EISIGH XX XXXXXX XXX/ (XX) XXXXXXXX XXXXXXXXXX XXXX JE XXXXX XXXX XXXXXXX/ (IT) XXXXXXXXX XXX FUNZIONARIO XXX XX RILASCIATO XX XXXXXXXX MODULO/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX VEIDLAPU, XXXXX/ (LT) XXĄ XXXXĄ IŠDAVUSIO PAREIGŪNO XXXXXXXX/ (HU) A XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX LI ĦAREĠ XXX XX-XXXXXXX/ (NL) XXXXXXX XXX XX XXXXXXXXX DIE XXX XXXXXXXXX XXXXX AFGEGEVEN/ (XX) XXXXXXXXXX URZĘDNIKA, XXXXX WYDAŁ NINIEJSZY XXXXXXXXX/ (XX) XXXXX XX XXXXXXXXXXX QUE XXXXXX X PRESENTE XXXXXXXXXX/ (RO) XXXXȚXX XXXXȚXXXXXXXXX XXXX A XXXX PREZENTUL FORMULAR/ (XX) FUNKCIA ÚRADNÍKA, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (XX) XÄXÄX LOMAKKEEN XXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX XÖX XXX TJÄNSTEMAN XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) VYDÁNÍ/ (XX) XXXXXXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) DATE (XX/XX/XXXX) XX ISSUE/ (XX) DATE (XX/XX/XXXX) XX XXXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) DATA XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (LT) IŠDAVIMO XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (DD/MM/JJJJ) VAN XXXXXXX/ (PL) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX EMISSÃO (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) VYDANIA/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (FI) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) DATUM (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (DE) XXXXXXXXXXXX/ (XX) ALLKIRI/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) SIGNATURE/ (XX) SIGNATURE/ (GA) XXXXX/ (HR) XXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (LT) PARAŠAS/ (XX) ALÁÍRÁS/ (MT) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXX/ (SL) XXXXXX/ (XX) XXXXXXXXXXXXX/ (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) XXXXXX XÕX XXXXXX/ (EL) ΣΦΡΑΓΙΔΑ/ (XX) SEAL OR XXXXX/ (XX) SCEAU XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (XX) ŽIG ILI XXXXX/ (IT) XXXXX X TIMBRO/ (LV) XĪXXXX VAI XXXXXXXX/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (XX) XXXXXX XXXX BÉLYEGZŐLENYOMAT/ (XX) XXĠXXX XXX TIMBRU/ (XX) XXXXX OF XXXXXXX/ (PL) XXXXXĘĆ XXX XXXXXXX/ (XX) XXXX XX CARIMBO/ (XX) XXXXXXXX SAU ȘXXXXXXX/ (XX) XXXXX XXXXX ODTLAČOK PEČIATKY/ (XX) XXXXX XXX XXX/ (FI) XXXXXXX XXX LEIMA/ (XX) XXXXXX XXXXX XXÄXXXX

ÚMRTÍ

VÍCEJAZYČNÝ STANDARDNÍ XXXXXXXX – POMŮCKA XXX XXXXXXX

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

Belgie (XX) Xxxxxxxxx (BG)

Česká republika (XX)

Xxxxxx (DK) Německo (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (EL) Španělsko (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (LV) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (MT)

Nizozemsko (XX) Xxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Xxxxxx (FI)

Švédsko (XX) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

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

Xxxxx xxxxxxxx xxxxxx obsah veřejné xxxxxxx, k xxx xx xxxxxxxx. Xxxxx, xxxxx xx veřejná xxxxxxx xxxxxxxxxxx, však xxxx v xxxxxxxxx, xxx je xx xxxxxxxx xxx xxxxx xxxxxxxxxx xxxxxxx xxxxxxx, xxxxxxxxx překlad xx xxxxxx xxxxxxxxx, xxxxx xxxx ve xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX XXXXX

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

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

1. ORGÁN XXXXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

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

(2) Xxx xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

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

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

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

3.1 Xxxxxxx xxxxxx orgánem xxxx úředníkem x xxxxxx na xxxxx xxxxxx xxxxxxxxx státu

3.1.1 Xxxxxxxxxx soudu

3.1.2 Xxxxxxx xxxxxx státním zástupcem

3.1.3 Xxxxxxx xxxxxx xxxxxx xxxxxxx xxxxxxxxx

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

3.1.5 Xxxx (xxxxxxxxx)

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x xxxxxxx

3.2.3 Výpis x xxxxxxxx xxxxxxxx

3.2.4 Opis xxxxxxxxxx záznamů

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, kterým xxxx xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

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

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXX O XXXXXXXX

4.1 Xxxxxxxx

4.2 Xxxxx (xxxxx)

4.3 Xxxxx (xx/xx/xxxx) xxxxx

4.4 Xxxxx (1) x xxxx (2) xxxxx

4.5 Xxxxx (xx/xx/xxxx) xxxxxxxx

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

4.6.1 Xxxx

4.6.2 Xxx

4.6.3 Xxxxxxxx

5. XXXX XXX XXXXXX

5.1 Xxxxxxxx x xxxxx (xxxxx) úředníka, xxxxx xxxxx tento formulář

5.2 Xxxxxx xxxxxxxx, který xxxxx xxxxx xxxxxxxx

5.3 Xxxxx (dd/mm/rrrr) xxxxxx

5.4 Xxxxxx

5.5 Xxxxx nebo xxxxxxx

(1) Slovy „místo xxxxx“ xx xxxxxx xxxxx obce xxxx xxxxx, okresu a xxxxx, xxx xxxx xxxxx xxxxxxx.

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

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX XXXXXX XXXX IMPRESO/ (XX) XXXXX VYDÁVAJÍCÍ XXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, XXX XXXXXX XXXXXXXX AUSSTELLT/ (XX) KÄESOLEVA XXXXX XÄXXX ANDNUD ASUTUS/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) AUTHORITY ISSUING XXXX XXXX/ (FR) XXXXXXXX XX XXXXXXXXXX XX XXXXXXX FORMULAIRE/ (XX) XX xXXXXXX X EISEOIDH XX XXXXXX XXX/ (XX) XXXXXX XXXX IZDAJE XXXX OBRAZAC/ (XX) XXXXXXXÀ CHE XXXXXXXX XX PRESENTE MODULO/ (XX) VEIDLAPAS IZDEVĒJIESTĀDE/ (XX) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX HATÓSÁG/ (XX) XXXXXXXÀ XXXXXXXXX XX' XXX IL-FORMOLA/ (NL) XXXXXXXXXX XXX XXXXXXX XXX DIT XXXXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX QUE XXXXX X PRESENTE FORMULÁRIO/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX, XX XXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX ANTAVA XXXXXXXXXXXX/ (SV) XXXXXXXXX XXX XXXÄXXXX FORMULÄRET

1.1

(BG) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) NÁZEV/ (DA) XXXXXXXXXX/ (XX) BEZEICHNUNG/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) PAVADINIMAS/ (XX) XXXXXXXXXX/ (XX) TITLU/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXÇÃX/ (XX) DENUMIRE/ (XX) XXXXX/ (XX) XXX/ (XX) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX EXPIDE XX DOCUMENTO XXXXXXX XX XXX SE XXXXXXX ESTE IMPRESO/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, X XXX JE XXXXXXXX XXXXX XXXXXXXX/ (XX) XXX XXXXXXXXX, XXX XXX XXXXXXX XXX XXXXXXXXXX DOKUMENT, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (DE) XXXÖXXX, XXX XXX ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX BEIGEFÜGT XXX, XXXXXXXXX/ (XX) ASUTUS, XXX ANDIS XÄXXX XXXXXXX DOKUMENDI, XXXXXXX XXX XXXX XX XXXXXXX/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXX XXXXXXXX TO XXXXX XXXX XXXX XX ATTACHED/ (XX) XXXXXXXX DE XXXXXXXXXX XX DOCUMENT XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) AN tÚDARÁS X XXXXXXXX AN XXXXXXXXX POIBLÍ XXXX XXXXXX XX FHOIRM XXX CEANGAILTE/ (HR) XXXXXX XXXX IZDAJE XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ XXX RILASCIA IL XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È ALLEGATO/ (LV) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX IR XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX ŠI XXXXX, IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATOT XXXXXXXX HATÓSÁG/ (XX) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX MEHMUŻA DIN XX-XXXXXXX/ (XX) AUTORITEIT XXX XXXXXXX XXX XXX XXXXXXXX DOCUMENT XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXX XXXĘXXXX, DO XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (PT) XXXXXXXXXX XXX XXXXX X XXXXXXXXX XXXXXXX X XXX X PRESENTE XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXXX XXXXXXX XX CARE XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXX VYDÁVAJÚCI XXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX XXXX XXXXX LISTINO, XX XX JE XXXXXXXX XX XXXXXXX/ (FI) XXXXXXXXXXXX, XXXX XX XXXXXXX XXXXXXX ASIAKIRJAN, XXXXX TÄMÄ LOMAKE XXXXXXÄÄX/ (XX) MYNDIGHET XXX XXXÄXXXX XXX XXXXXXXXXX HANDLING TILL XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXXXXXXXX PÚBLICO XX QUE SE XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX TÝKAJÍCÍ XX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX TENTO FORMULÁŘ/ (XX) XXXXXXXXXXX VEDRØRENDE XXX OFFENTLIGE DOKUMENT, XXX DENNE XXXXXXXX XX VEDHÆFTET/ (DE) XXXXXXX ZUR ÖFFENTLICHEN XXXXXXX, XXX DIESES XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX XXXXXXX XXXXXXXXX XXXXX, MILLELE XXX XXXX ON XXXXXXX/ (EL) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX RELATING XX THE XXXXXX XXXXXXXX XX XXXXX XXXX FORM XX XXXXXXXX/ (XX) INFORMATIONS XXXXXXXXX AU DOCUMENT XXXXXX XXXXXX EST XXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XXXXXXXX X BHAINEANN XXXX XX DOICIMÉAD XXXXXX XXXX BHFUIL XX XXXXXX SEO CEANGAILTE/ (XX) XXXXXXXXXXX XXXX XX XXXXXX NA XXXXX ISPRAVU KOJOJ XX XXXX XXXXXXX XXXXXXXX/ (IT) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXXX CUI XX XXXXXXXX XXXXXX È XXXXXXXX/ (LV) INFORMĀCIJA XXX XXXXXXXX XXXXXXXXX, XXXXX ŠĪ XXXXXXXX XX PIEVIENOTA/ (LT) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX DOKUMENTU, PRIE XXXXX XXXXXXXXX XX XXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX DWAR XX-XXXXXXXX XXXXXXXX XX MIEGĦU XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX OPENBAAR XXXXXXXX WAARAAN DIT XXXXXXXXX IS GEHECHT/ (XX) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX NINIEJSZY XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX XXXXXXXXX PÚBLICO X XXX O XXXXXXXX XXXXXXXXXX XXXX APENSO/ (XX) INFORMAȚII XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX PREZENTUL XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXX LISTINE, XX XXXXXX JE XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX V XXXXX X XXXXX XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) TIEDOT YLEISESTÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (SV) XXXXXXXXXXX XX XXX XXXXXXXXXX HANDLING XXXX XXXXXX XXXXX XXXXXXÄX ÄX BIFOGAT

3.1

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX EXPEDIDO XXX XXX XXXXXXXXX X XX XXXXXXXXXXX XXXXXXXXX X XXX XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXX ÚŘEDNÍKEM X XXXXXX XX XXXXX DANÉHO XXXXXXXXX XXXXX/ (DA) XXXXXXXX, XXX XX UDSTEDT XX XX XXXXXXXXX XXXXX EN XXXXXXXXXX, XXX ER TILKNYTTET XXXXXXXX I XX XXXXXXXXXXX/ (XX) URKUNDE XXXXX XXXÖXXX XXXX XXXXX AMTSPERSON XXX XXXXX XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, MILLE ON XÄXXX XXXXXX XXXXXXXXXXXX XXXXXXXXX XXXXXX AMETIASUTUS XÕX XXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) DOCUMENT XXXXXXXXX XXXX XX XXXXXXXXX XX AN OFFICIAL XXXXXXXXX XXXX XXX XXXXXX XX TRIBUNALS XX X XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXX X'XXX XXXXXXXX XX X'XX XXXXXXXXXXXXX XXXXXXXX X'XXX XXXXXXXXXXX X'XX XXXX MEMBRE/ (XX) XXXXXXXXX X XXXXXXX X ÚDARÁS XX Ó XXXXXXXXX X BHFUIL XXXXX XXXX XX AICI XX XXXXXXXXXX XX XX BINSÍ DE XXXXX BALLSTÁIT/ (HR) XXXXXXX XXXX JE XXXXXX XXXXXX XXX XXXXXXXXX XXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX XXXXXXX DA UN'AUTORITÀ X XX UN XXXXXXXXXXX APPARTENENTE XX XXX XXXXX XXXXXXXXXXXXX XX XXX XXXXX XXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX XX XXXĪXXXXXXX TIESĀM XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, IŠDUOTAS XXXXXXXX XXXXXXXXXXXX AR XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX NARĖS TEISMAIS XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX KAPCSOLATBAN XXXX XXXXXXX XXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX XXXXXXXÀ XXX XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX XXX IT-TRIBUNALI XX' XXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXXXXXX INSTANTIE XXX XXX XXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX ORGANU XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX DE XXX AUTORIDADE XX XX XX XXXXXXXXXXX XXXXXXXXXX DE QUALQUER XXXXXXXÇÃX XX UM XXXXXX-XXXXXX/ (RO) DOCUMENT XXXX XX X XXXXXXXXXX XXX XX XX XXXXȚXXXXX XX XX XÂXXĂ INSTANȚELE XXXX STAT XXXXXX/ (XX) LISTINA VYDANÁ XXXXXXX XXXXX XXXXXXXXX X VÄZBOU XX XXXX ČLENSKÉHO XXXXX/ (XX) LISTINA, XXXXXX X XXXXXX XXXXXX XXX URADNIKA SODNE XXXXXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX, XXXXX XX ANTANUT XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX VIRANOMAINEN XXX XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX EN MYNDIGHET XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX DOMSTOLSVÄSENDET I XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (XX) ROZHODNUTÍ XXXXX/ (XX) DOMSTOLSAFGØRELSE/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) COURT XXXXXXXX/ (FR) XXXXXXXX XX JUSTICE/ (GA) XXXXXXXX ÓN gCÚIRT/ (XX) XXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX LĒMUMS/ (XX) TEISMO XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXX SĄDOWE/ (XX) DECISÃO XXXXXXXX/ (XX) HOTĂRÂRE XXXXXĂXXXXXXXĂ/ (XX) SÚDNE XXXXXXXXXXX/ (XX) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX PÄÄTÖS/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX XX MINISTERIO XXXXXX/ (XX) XXXXXXX XXXXXX STÁTNÍM ZÁSTUPCEM/ (XX) DOKUMENT UDSTEDT XX XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX EINER XXXXXXXXXXXXXXXXXX/ (ET) DOKUMENT, XXXXX XX XÄXXX XXXXXX XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXX PROSECUTOR/ (XX) DOCUMENT XXXXXXX XX XXXXXXÈXX PUBLIC/ (XX) DOICIMÉAD X XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (IT) XXXXXXXXX XXXXXXX XXX XXXXXXXX MINISTERO/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) PROKURORO XXXXXXXX XXXXXXXXXX/ (XX) ÜXXXXX ÁLTAL XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX PROSEKUTUR XXXXXXXX/ (NL) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXX DE XX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXXXXXX/ (SL) XXXXXXX, KI JO XXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX SYYTTÄJÄN XXXXXX ASIAKIRJA/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) DOCUMENTO XXXXXXXX XXX UN XXXXXXXXXX JUDICIAL/ (XX) XXXXXXX VYDANÁ XXXXXX XXXXXXX ÚŘEDNÍKEM/ (XX) XXXXXXXX XXXXXXX AF XX JUSTITSSEKRETÆR/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX GESCHÄFTSSTELLE XXXXX XXXXXXXX/ (ET) DOKUMENT, XXXXX XX VÄLJA XXXXXX KOHTUAMETNIK/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXX OF X COURT/ (XX) XXXXXXXX XXXXXXX D'UN XXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXX XX XXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXX XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX EMANATO XX UN XXXXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX TIESAS XXXXXXĀXX/ (XX) XXXXXX XXXXXXXXXX XXXXXXXX DOKUMENTAS/ (XX) XXXXXXXX TISZTVISELŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ MINN XXĠXXXXXXXX TA' XXXXX/ (XX) XXXXXXXX AFGEGEVEN XXXX EEN XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX SEKRETARZA XĄXXXXXX/ (XX) XXXXXXXXX PROVENIENTE XX XX OFICIAL XX JUSTIÇA/ (XX) XXXXXXXX XXXX DE XX XXXXXXX AL XXXXXXȚXX/ (XX) XXXXXXX XXXXXX XXXXXX ÚRADNÍKOM/ (XX) XXXXXXX, KI XX XXXX SODNI XXXXXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXXXX ANTAMA XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXX XXXXXXXX XXX UN XXXXXX XXXXXXXX («XXXXXXXX DE XXXXXXX»)/ (CZ) LISTINA XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX XX EN STÆVNINGSMAND (»XXXXXXXX XX XXXXXXX«)/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX XX XÄXXX XXXXXX KOHTUTÄITUR/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXXXXXXX XXXX X JUDICIAL XXXXXXX ('XXXXXXXX DE JUSTICE')/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX XX XXXXXXX/ (XX) DOICIMÉAD X XXXXXXX X XXXXXXXXX BREITHIÚNACH (“XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXX XX XXXXX XXXXXX XXXXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX EMANATO XX UN XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (XXXXXXXX DE XXXXXXX)/ (XX) XXXXXXXXX (XXXXXXXX XX XXXXXXX) XXXXXXXX DOKUMENTAS/ (HU) XXXXXXXX XXXXXXXXXX („HUISSIER XX XXXXXXX”) ÁLTAL XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('HUISSIER XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXXXX DOOR XXX GERECHTSDEURWAARDER/ (PL) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX SĄDOWEGO (HUISSIER XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXÃX XX XXXXXXX («HUISSIER XX XXXXXXX»)/ (XX) DOCUMENT XXXX XX UN XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (SK) XXXXXXX XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXX, XX XX XXXX XXXXX IZVRŠITELJ („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX XX XXXXXXX”) XXXXXX ASIAKIRJA/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX EN XXÄXXXXXXXXX (HUISSIER DE XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (ESPECIFÍQUESE)/ (XX) XXXX (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) MUU (TÄPSUSTAGE)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) OTHER (TO XX XXXXXXXXX)/ (XX) XXXXX (À PRÉCISER)/ (XX) EILE (XX XXXXX)/ (HR) OSTALO (XXXXXXX)/ (IT) XXXXX (XXXXXXXXX)/ (LV) CITS (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (HU) XXXXX (XXXXÜX XXXXXXXXXXX)/ (MT) XĦXXXX (IPPREĊIŻA)/ (NL) XXXXXXX (SPECIFICEREN)/ (PL) XXXX (PROSZĘ XXXXŚXXĆ)/ (XX) XXXXXX (X XXXXXXXXXXX)/ (XX) XXXXX (X XX XXXXXXX)/ (XX) XXX (XXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) ANNAN XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (CZ) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX DOKUMENT/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) ADMINISTRATIVE XXXXXXXX/ (XX) DOCUMENT XXXXXXXXXXXXX/ (XX) XXXXXXXXX RIARACHÁIN/ (XX) XXXXXXX XXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) ADMINISTRACINIS DOKUMENTAS/ (XX) XÖXXXXXXXXXXX OKIRAT/ (XX) DOKUMENT XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) DOKUMENT XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) SPRÁVNA LISTINA/ (XX) UPRAVNA LISTINA/ (XX) XXXXXXXXXXXXXX ASIAKIRJA/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX/ (XX) OSVĚDČENÍ/ (DA) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) TÕEND/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (EN) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) ZAŚWIADCZENIE/ (XX) XXXXXXÃX OU XXXXXXXXXXX/ (RO) CERTIFICAT/ (XX) OSVEDČENIE/ (XX) XXXXXXXX/ (XX) TODISTUS/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX DEL XXXXXXXX XXXXX/ (XX) VÝPIS X MATRIKY/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (XX) AUSZUG XXX XXX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX XXXXX XXXXXX XXXXXXXX/ (XX) XXXXXXX XX REGISTRE XX X'XXXX XXXXX/ (XX) XXXXXXX AS XX xXXXX STÁDAIS XXXXXXXXXX/ (XX) IZVADAK XX XXXXXXXX XXXXXXX STANJA/ (XX) XXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) IZRAKSTS XX XXXXXXXĀXXXĻX XXXX XXĢXXXXX/ (XX) XXXXXXX XX CIVILINĖS BŪKLĖS XXXŲ XXXXXXXX/ (XX) XXXXXÖXXXX KIVONAT/ (XX) XXXXXXX MIR-REĠISTRU XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXXXXX XXXX STANU XXXXXXXXX/ (XX) XXXXXXX XX XXXX DO XXXXXXX XXXXX/ (XX) XXXXXX XXX XXXXXXXXX XX XXXXX XXXXXĂ/ (XX) XXXXX X XXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXX XX XXXXXXXX X OSEBNEM XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (SV) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX XXX XXXXX/ (XX) XXXXX X REGISTRU XXXXXXXX/ (XX) XXXXXX XXX FOLKEREGISTRET/ (XX) XXXXXX XXX DEM XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (EN) EXTRACT XXXX XXX XXXXXXXXXX XXXXXXXX/ (FR) XXXXXXX XX REGISTRE XX XX POPULATION/ (XX) XXXXXXX XX XX xXXXX XXXXXX/ (HR) XXXXXXX XX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX/ (XX) IZRAKSTS XX XXXXĪXXXĀXX REĢISTRA/ (XX) XXXXXXX IŠ XXXXXXXXŲ XXXXXXXX/ (HU) XXXXXXX A XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX TAL-POPOLAZZJONI/ (XX) XXXXXXXXXX XXX XXX BEVOLKINGSREGISTER/ (PL) XXXXĄX X XXXXXXXX XXXXXŚXX/ (XX) XXXXXXX XX XXXXXXX XX XXXXXXÇÃX/ (RO) XXXXXX XXX XXXXXXXXX DE XXXXXXȚĂ A XXXXXXȚXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXĽXX/ (XX) XXXXXXX IZ XXXXXXXX XXXXXXXXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) UTDRAG XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX LITERAL XX XXXXX DEL REGISTRO XXXXX/ (XX) XXXX XXXXXXXXXX ZÁZNAMŮ/ (XX) XXXXXX XXXX XX XXXXXXXXXXXXXXXXXXX/ (XX) WÖRTLICHE XXXXX VON XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX KOOPIA/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX COPY XX CIVIL XXXXXX XXXXXXX/ (XX) COPIE XXXXXXXXX D'ACTES DE X'XXXX XXXXX/ (XX) XXXX XXXXX XX XXXXXX XX XXXXXXX XX XXXXXX SIBHIALTA/ (XX) XXXXXXXX PRIJEPIS XX EVIDENCIJA X XXXXXXX XXXXXX/ (XX) XXXXX XXXXXXXXX XX XXXX XX XXXXX XXXXXX/ (LV) XXXXXXXĀXXXĻX XXXX XXĢXXXXX IERAKSTU XXXXXXXXXX XXXXXX/ (XX) XXXXXXXĖX BŪKLĖS XXXŲ ĮXXXŲ PAŽODINĖ KOPIJA/ (XX) XXXXXÖXXXX BEJEGYZÉS XXX XXXXXXXX MÁSOLATA/ (XX) XXXXX VERBATIM XXX-XXXX TAL-ISTAT ĊXXXXX/ (XX) XXXXXXXXXXX AFSCHRIFT XXX XXXXX XXX XX BURGERLIJKE STAND/ (XX) ODPIS ZUPEŁNY XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXÃX XX XXXXX INTEGRAL XX XX XXXXXXXXX XX XXXX XX XXXXXXX XXXXX/ (XX) XXXXX XXXXXĂ X XXXX XXX XX STARE XXXXXĂ/ (SK) XXXXXXXX XXXXX XX XXXXXXX X XXXXXXX XXXXX/ (XX) DOBESEDNI XXXXXX XXXXXX O XXXXXXX XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX AVSKRIFT AV XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) ACTA NOTARIAL/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) NOTARIELLE URKUNDE/ (XX) NOTARIAALDOKUMENT/ (EL) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (EN) XXXXXXXX XXX/ (XX) XXXX NOTARIÉ/ (XX) XXXXXX NÓTAIREACHTA/ (HR) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX XXXXXXXX/ (LV) XXXXXXĀXX AKTS/ (XX) XXXXXXXXX XXXXX/ (HU) XÖXXXXXXŐX OKIRAT/ (XX) XXX NOTARILI/ (XX) XXXXXXËXX XXXX/ (XX) XXX NOTARIALNY/ (XX) XXX NOTARIAL/ (XX) XXX NOTARIAL/ (XX) XXXXXXXX XXXXXXX/ (SL) XXXXXXXX LISTINA/ (XX) XXXXXXXX XXXXXX ASIAKIRJA/ (XX) XXXXXXXXX HANDLING

3.4

(BG) 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 LISTINA XXXXXXXXX XXXXXXXXX XXXXXX/ (DA) XXXXXXXX XÅXXXXXXX PÅ XX DOKUMENT XXXXXXXXXXX XX XX PERSON X DENNES XXXXXXXX XX PRIVATPERSON/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX XXXXX PRIVATURKUNDE/ (ET) XXXXX XXXXX XXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX XXXXXXX XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) OFFICIAL XXXXXXXXXXX XXXXXX XX X XXXXXXXX XXXXXX XX X XXXXXX IN XXX XX XXX XXXXXXX XXXXXXXX/ (FR) XXXXXXXXXXX XXXXXXXXXX APPOSÉE XXX XX XXXX XXXX XXXXX XXXXX/ (XX) XXXXXXXX OIFIGIÚIL X XXXXXXXXX AR XXXXXXXXXX ARNA SHÍNIÚ XX XXXXX XXX XXXXX XX XXX XXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX POTVRDA XXXXXXXXX XX XXXXXXX XXXX XX XXXXX POTPISALA X PRIVATNOM SVOJSTVU/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX XXX XXXXXXXXX PRIVATA/ (XX) XXXXXĀXX XXXXXXXXĀXXXX XX XXXXXXXXX, KO XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (XX) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX HIVATALOS XXXXXXXXXXX/ (XX) ĊXXXXXXXXX XXXXĊXXXX LI XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX XXXXXXX FIL-KAPAĊITÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXX XXXXXXXXXXX DOOR XXX XXXXXXX XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) URZĘDOWE XXŚXXXXXXXXXX XXXXXXXXXXX XX DOKUMENCIE XXXXXXXXXX XXXXX OSOBĘ XXXXŁXXĄXĄ W XXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÃX XXXXXXX INSERTA XXX XXX DE XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXX XXXXXXX XX XX XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX UVEDENÉ XX XXXXXXX XXXXXXXXXX XXXXXX KONAJÚCOU XXX XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXX XX XXXXXXX LISTINI/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, XXXXX XXXXXXÖ ON XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX XXXXX XXXXXXXXX XÅ EN XXXXXXXX XXX XXXXXXXXXXXXX XX XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) DOCUMENTO XXXXXXXX XXX XX XXXXXX XXXXXXXXXXX X XXXXXXXX XX XX XXXXXX XXXXXXX CON XXXXXXXX XXXXXXX/ (XX) LISTINA XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXX XXXXXXXXXXX ÚŘEDNÍKEM XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX OFFICIELT UDFÆRDIGET XX EN XXXXXXXXXXXX XXXXXXXXXXXX XXXXX KONSULÆRE XXXXÆXXXXXXX/ (DE) XXX XXXXX XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX VERTRETER EINES XXXXXXXXXXXXXX IN SEINER XXXXXXXXX FUNKTION XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX KONSULAARAMETNIKU XXXXX XXXXXXXXXXXXXXX TÄITMISEL XXXXXXXXX DOKUMENT/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΈΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX DRAWN XX XX X XXXXXXXXXX XX XXXXXXXX XXXXX XX X MEMBER XXXXX IN XXX XX HER OFFICIAL XXXXXXXX/ (FR) DOCUMENT XXXXXX XX XX XXXXXXX XXXXXXXXXX PAR XX AGENT XXXXXXXXXXXX XX XXXXXXXXXX X'XX XXXX MEMBRE/ (GA) XXXXXXXXX XXXX XXXXXXXXXX XXXX XX GNÍOMHAIRE XXXXXXXXXXXXXXXX XX XXXXXXXXX XX XXXXX XXXXXXXXX XXX XXXXX XX XXX XXXX XXXXXXXXX/ (XX) ISPRAVA XXXX XX U XXXXXXXXX XXXXXXXX SASTAVIO DIPLOMATSKI XXX KONZULARNI XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX XXXXXXXXXXX X XXXXXXXXX XX UNO XXXXX XXXXXX NELL'ESERCIZIO XXXXX XXXX XXXXXXXX/ (XX) DOKUMENTS, XXXX, XXXXXX AMATA PIENĀKUMUS, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX XX XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX PAGAL XXXXXXXXXX ĮXXXXXXXXXX/ (HU) VALAMELY XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX ÁLTAL XXXXXXXXX XXXŐXXXXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXXX XXXX AĠENT XXXXXXXXXXX XXX XXXXXXXXX XX' XXXX MEMBRU XXX-XXXXĊXXÀ UFFIĊJALI XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX XXXX DE DIPLOMATIEKE XX CONSULAIRE XXXXXXXXX XXX EEN XXXXXXXX XX ZIJN XXXXXXËXX XXXXXXXXXXXX/ (PL) DOKUMENT XXXXXĄXXXXX XXXXX PRZEDSTAWICIELA XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX XXXĘXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XX XXXXXX XXXXXXXXXXX XX XXXXXXXX XX UM XXXXXX-XXXXXX NO EXERCÍCIO XXX SUAS XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX XX XĂXXX XX XXXXX XXXXXXXXXX XXX XXXXXXXX AL XXXX XXXX XXXXXX, ÎX CALITATE XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX ZÁSTUPCOM XXXXX XXXXXXXXXXX ÚRADNÍKOM XXXXXXXXX XXXXX V XXXXX XXXXXX JEHO FUNKCIE/ (XX) XXXXXXX, XX XX KOT XXXXXX XXXXX XXXX DIPLOMATSKI XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX JÄSENVALTION XXXXXXXXXXXXXX EDUSTAJA TAI XXXXXXXXXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXÄXXXX X XXÄXXXXX XX XX DIPLOMATISK XXXXX XXXXXXÄX XXÄXXXXXXX X XX MEDLEMSSTAT

3.6

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (XX/XX/XXXX) XX EXPEDICIÓN/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (DA) UDSTEDELSESDATO (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (DD/MM/YYYY) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DÁTA (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (GG/MM/AAAA)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX DATA (XX/XX/XXXX)/ (XX) X XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (DD/MM/RRRR) XXXXXXX/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (SK) DÁTUM (XX/XX/XXXX) XXXXXXX/ (SL) XXXXX (DD/MM/LLLL) IZDAJE/ (XX) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (XX) XXXXX (DD/MM/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX XXXXXXXXXX DEL XXXXXXXXX PÚBLICO/ (CZ) XXXXXXXXXX XXXXX VEŘEJNÉ XXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXX REFERENCENUMMER/ (XX) XXXXXXXXXX DER ÖXXXXXXXXXXX XXXXXXX/ (ET) XXXXXXX DOKUMENDI XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX NUMBER XX XXX PUBLIC XXXXXXXX/ (XX) XXXXXX XX XXXXXXXXX XX XXXXXXXX XXXXXX/ (GA) XXXXXX XXXXXXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX BROJ XXXXX XXXXXXX/ (XX) XXXXXX XX RIFERIMENTO XXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXĀ DOKUMENTA ATSAUCES XXXXXX/ (LT) XXXXXXX XXXXXXXXX NUMERIS/ (XX) X KÖZOKIRAT XXXXXXXXXXX XXXXX/ (MT) XXXXX XX' XXXXXXXXX TAD-DOKUMENT XXXXXXXX/ (NL) REFERENTIENUMMER XXX XXX XXXXXXXX XXXXXXXX/ (PL) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXX XX XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX XX XXXXXXXȚĂ XX XXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) YLEISEN ASIAKIRJAN XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА ПОЧИНАЛОТО ЛИЦЕ/ (XX) INFORMACIÓN XXXXX XX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX X ZEMŘELÉM/ (XX) XXXXXXXXXXX XX AFDØDE/ (XX) ANGABEN XXX XXXXXX, XXXXX XXX XXXXXXXXX XXXX/ (XX) XXXXXX ISIKUT KÄSITLEV XXXXX/ (EL) ΣΤΟΙΧΕΙΑ ΤΟΥ ΘΑΝΟΝΤΟΣ/ (XX) XXXXXXXXXXX XX THE XXXXXXXX XXXXXX/ (FR) XXXXXXXXXXXX SUR LA XXXXXXXX DÉCÉDÉE/ (XX) XXXXXXXX MAIDIR XXXX XX DUINE ÉAGTHA/ (XX) INFORMACIJE X XXXXXXXXXX OSOBI/ (XX) XXXXXXXXXXXX XXXXX PERSONA XXXXXXXX/ (XX) INFORMĀCIJA XXX MIRUŠO XXXXXXX/ (XX) XXXXXXXXXXX XXXX XXXXXĮ ASMENĮ/ (HU) XX ELHUNYTRA VONATKOZÓ XXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXX XXĊXXXXX/ (XX) XXXXXXXXXX XXXX XX XXXXXXXXXX/ (XX) XXXX XXXXXXĄXX OSOBY XXXXŁXX/ (XX) INFORMAÇÕES XXXXX A PESSOA XXXXXXXX/ (XX) INFORMAȚII XXXXXXX XXXXXXXX DECEDATĂ/ (XX) XXXXXXXXXX O XXXXXXXX OSOBE/ (XX) XXXXXXXXXXX X UMRLEM/ (XX) XXXXXXXX XXXXXXÖX XXXXXX/ (SV) XXXXXXXXXXX XX XXX XXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X)/ (XX) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (XX) XXXXXXXXXXXX(X)/ (XX) XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (XX) SURNAME(S)/ (XX) XXX(X)/ (GA) SLOINNE (XXXXXXXX)/ (XX) XXXXXXX(XX)/ (XX) XXXXXXX(X)/ (XX) XXXĀXXX(-X)/ (XX) XXXXXXĖ (-ĖX)/ (XX) CSALÁDI XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (XX) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (PT) APELIDO(S)/ (XX) XXXX/ (XX) XXXXXXXXXX(-X)/ (XX) PRIIMEK/PRIIMKI/ (XX) XXXXXXXX (-NIMET)/ (XX) EFTERNAMN

4.2

(BG) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) NOMBRE(S)/ (XX) JMÉNO (XXXXX)/ (XX) FORNAVN(E)/ (DE) XXXXXXX(X)/ (ET) EESNIMI (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) FORENAME(S)/ (XX) XXXXXX(X)/ (GA) CÉADAINM (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (XX) XĀXXX(-X)/ (LT) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (PL) XXXĘ (XXXXXX)/ (XX) XXXX(X) XXXXXXX(X)/ (RO) XXXXXXX/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (SV) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА СМЪРТТА/ (XX) XXXXX (XX/XX/XXXX) XX FALLECIMIENTO/ (XX) XXXXX (XX/XX/XXXX) XXXXX/ (XX) XØXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXX/ (XX) XXXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΘΑΝΑΤΟΥ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) DATE (JJ/MM/AAAA) XX DÉCÈS/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXX/ (XX) XXXX XX XXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXX XXXX (XX/XX/XXXX)/ (XX) XXXXXXXXXXXXX XXXXX (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) TAL-MEWT/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXX/ (XX) XXXX XX ÓBITO (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) XXXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXX/ (FI) XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XÖXXXXXXXX

4.4

(XX) МЯСТО И ДЪРЖАВА НА СМЪРТТА/ (XX) XXXXX X XXXX XX FALLECIMIENTO/ (XX) XXXXX X ZEMĚ XXXXX/ (XX) DØDSSTED XX -XXXX/ (XX) XXX XXX XXXX XXX XXXXX/ (ET) XXXXXXXXX XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΘΑΝΑΤΟΥ/ (XX) XXXXX AND COUNTRY XX DEATH/ (FR) XXXX XX XXXX XX XXXÈX/ (XX) XXX AGUS TÍR XX BHÁIS/ (HR) XXXXXX X ZEMLJA XXXXX/ (XX) LUOGO X PAESE XX XXXXXXX/ (XX) XXXXXXXX XXXXX XX XXXXXX/ (XX) XXXXXXX VIETA XX ŠALIS/ (HU) XXXXXXXXXXXXX XXXXX XX XXXXXXX/ (XX) XXXX X PAJJIŻ TAL-MEWT/ (XX) PLAATS EN XXXX XXX XXXXXXXXXX/ (XX) XXXXXXX X XXŃXXXX XXXXX/ (XX) XXXXX E XXXX XX XXXXX/ (XX) XXXXX ȘX ȚARA XXXXXXXXX/ (XX) XXXXXX X ŠTÁT XXXXXX/ (XX) XXXX XX XXXXXX XXXXX/ (XX) XXXXXXXXXXXX JA -MAA/ (XX) XXX OCH XXXX XÄX XÖXXXXXXXX XXXXÄXXXXX

4.5

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXX/ (DA) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) DATE (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (JJ/MM/AAAA) XX XXXXXXXXX/ (GA) DÁTA (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) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXXX/ (XX) DATA XX XXXXXXXXXX (DD/MM/AAAA)/ (XX) XXXX (ZZ/LL/AAAA) XXȘXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.6

(XX) ПОЛ/ (XX) XXXX/ (XX) POHLAVÍ/ (XX) XØX/ (XX) XXXXXXXXXX/ (XX) SUGU/ (EL) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (GA) XXXXXX/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) NEME/ (MT) XXXX/ (XX) GESLACHT/ (XX) PŁEĆ/ (XX) XXXX/ (XX) XXXXX/ (XX) POHLAVIE/ (SL) XXXX/ (FI) XXXXXXXXX/ (XX) XÖX

4.6.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (CZ) XXXX/ (XX) KVINDE/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (EL) ΘΗΛΥ/ (XX) FEMALE/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (LV) XXXXXXXX/ (XX) XXXXXXX/ (XX) XŐ/ (MT) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) FEMININO/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) ŽENSKI/ (XX) NAINEN/ (SV) XXXXXX

4.6.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) MUŽ/ (XX) XXXX/ (DE) XÄXXXXXX/ (ET) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) FIREANN/ (HR) XXXXX/ (XX) MASCHILE/ (XX) VĪRIETIS/ (LT) XXXXX/ (XX) XXXXX/ (XX) RAĠEL/ (NL) XXX/ (XX) MĘŻCZYZNA/ (XX) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) MOŠKI/ (XX) XXXX/ (XX) XXX

4.6.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (EN) XXXXXXXXXXXX/ (FR) XXXXXXXXXXX/ (XX) NEAMHCHINNTITHE/ (XX) XXXXXXĐXX/ (IT) XXXXXXXXXXXXX/ (XX) NENOTEIKTS/ (LT) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX STABBILIT/ (XX) ONBEPAALD/ (XX) XŁXĆ NIEOKREŚLONA/ (XX) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (SK) XXXXXXXX/ (XX) NEDOLOČEN/ (FI) XÄÄXXXXXXXXÄXÖX/ (XX) EJ XXXXXXÄXXX

5.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX LA FIRMA/ (XX) POLE XXX XXXXXX/ (DA) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) XXXXX XXXX XX XXXXXXXXX/ (XX) XXXXX XXX XXXXX/ (XX) POLJE XX POTPIS/ (IT) XXXXXXXX PER LA XXXXX/ (LV) PARAKSTA XXXXX/ (XX) XXXXXX XXXXXXXX/ (XX) AZ XXXXXXX SZÖVEGDOBOZA/ (MT) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX XX XXXXXXXXXXXX/ (PL) POLE XXXXXXX/ (PT) ESPAÇO XXXXXXXXX À ASSINATURA/ (XX) XXXXĂXXXX/ (SK) XXXXXXX XX XXXXXX/ (XX) XXXXX ZA XXXXXX/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (XX) XXXX XÖX XXXXXXXXXXXXXX

5.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) Y XXXXXX(X) DEL XXXXXXXXXXX XXX XXXXXXX ESTE XXXXXXX/ (XX) XXXXXXXX X JMÉNO (XXXXX) XXXXXXXX, KTERÝ XXXXX XXXXX XXXXXXXX/ (DA) XXXXXXXXX(X) XX XXXXXXX(X) XÅ XXX EMBEDSMAND, XXX XXX XXXXXXX XXXXX FORMULAR/ (XX) XXXXXXXXXXXX(X) XXX XXXXXXX(X) XXX XXXXXXX, XXX XXXXXX FORMULAR AUSGESTELLT XXX/ (XX) XÄXXXXXXX XXXXX VÄLJASTANUD XXXXXXXX XXXXXXX (-NIMED) JA XXXXXXXXXXXXX (-NIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) XXX XXXXXXXX(X) XX XXX XXXXXXXX WHO XXXXXX THIS XXXX/ (XX) XXX(X) ET XXXXXX(X) DU XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX FORMULAIRE/ (XX) XXXXXXX (XXXXXXXX) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX XXXXXXXX A X’XXXXXX AN XXXXXX XXX/ (XX) PREZIME(NA) X IME(NA) SLUŽBENIKA XXXX JE XXXXX XXXX OBRAZAC/ (XX) XXXXXXX/X X XXXX/X XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX MODULO/ (XX) XXXXXXXXXXXX, XXXX IZDEVUSI XX XXXXXXXX, XXXĀXXX(-X) XX VĀRDS(-I)/ (LT) XXĄ FORMĄ XXXXXXXXX XXXXXXŪXX PAVARDĖ (-ĖX) XX XXXXXX (-XX)/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ CSALÁDI XXXX(X) ÉS XXXXXXX(X)/ (XX) KUNJOM(/KUNJOMIJIET) U XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦXXXĠ DIN XX-XXXXXXX/ (XX) XX(X)X(XX) XX XXXXXX(X)X(XX) XXX XX XXXXXXXXX XXX DIT XXXXXXXXX HEEFT XXXXXXXXX/ (XX) XXXXXXXX(-X) I XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (PT) XXXXXXX(X) X XXXX(X) XXXXXXX(X) XX FUNCIONÁRIO XXX XXXXXX O XXXXXXXX XXXXXXXXXX/ (XX) NUMELE ȘX XXXXXXXXX XXXXȚXXXXXXXXX XXXX A EMIS XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) A XXXX(-X) XXXXXXXX, KTORÝ XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX IME/IMENA XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX VIRKAMIEHEN XXXXXXXX (-XXXXX) XX ETUNIMI (-XXXXX)/ (SV) XXXXXXXXX XXX XÖXXXXX XÅ XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

5.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX XXXXXXXXXXX XXX EXPIDIÓ XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX — DEN XXXXXXXXXX, DER HAR XXXXXXX DENNE FORMULAR/ (XX) STELLUNG DES XXXXXXX, XXX DIESES XXXXXXXX AUSGESTELLT XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX OF XXX XXXXXXXX XXX XXXXXX THIS XXXX/ (XX) POSTE DU XXXXXXXXXXXXX XXX X XXXXXXX LE PRÉSENT XXXXXXXXXX/ (XX) XXXX XX OIFIGIGH X X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXXX XXXXXXXXXX KOJI XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX DEL XXXXXXXXXXX XXX XX XXXXXXXXXX IL XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, XXXXX/ (XX) XXĄ FORMĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXXXX/ (MT) XXXXXX XXX-XXXXĊXXX LI ĦXXXĠ XXX IL-FORMOLA/ (XX) FUNCTIE VAN XX XXXXXXXXX XXX XXX FORMULIER XXXXX XXXXXXXXX/ (PL) XXXXXXXXXX XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX FORMULARZ/ (XX) XXXXX XX XXXXXXXXXXX XXX XXXXXX O XXXXXXXX XXXXXXXXXX/ (RO) XXXXȚXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, KTORÝ XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX URADNIKA, KI XX IZDAL TA XXXXXXX/ (FI) XÄXÄX XXXXXXXXX ANTANEEN XXXXXXXXXXX XXXXX/ (XX) BEFATTNING XÖX XXX XXÄXXXXXXX XXX XXX UTFÄRDAT XXXXX FORMULÄR

5.3

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX EXPEDICIÓN/ (CZ) XXXXX (XX/XX/XXXX) VYDÁNÍ/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX KUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX DÉLIVRANCE/ (XX) XXXX (LL/MM/BBBB) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX RILASCIO (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX DATA (XX/XX/XXXX)/ (XX) A XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) XXXXX (XX/XX/XXXX) XXX AFGIFTE/ (PL) XXXX (DD/MM/RRRR) XXXXXXX/ (XX) DATA XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXX/ (SL) DATUM (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) FÖR XXXÄXXXXXX

5.4

(XX) ПОДПИС/ (XX) XXXXX/ (CZ) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (ET) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (EN) XXXXXXXXX/ (FR) SIGNATURE/ (XX) SÍNIÚ/ (HR) XXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) ALÁÍRÁS/ (XX) FIRMA/ (NL) XXXXXXXXXXXX/ (PL) XXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (SK) XXXXXX/ (XX) PODPIS/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

5.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (XX) XXXXX XXXX XXXXXXX/ (DA) XXXX XXXXX STEMPEL/ (XX) XXXXXX XXXX XXXXXXX/ (XX) PITSER XÕX TEMPEL/ (XX) ΣΦΡΑΓΙΔΑ/ (EN) XXXX XX XXXXX/ (FR) XXXXX XX TIMBRE/ (XX) XXXXX NÓ XXXXXX/ (XX) XXX XXX XXXXX/ (XX) XXXXX X XXXXXX/ (XX) XĪXXXX XXX XXXXXXXX/ (XX) SPAUDAS XXXX XXXXXXXXXX/ (HU) XXXXXX VAGY BÉLYEGZŐLENYOMAT/ (XX) SIĠILL XXX XXXXXX/ (NL) XXXXX XX XXXXXXX/ (PL) XXXXXĘĆ XXX XXXXXXX/ (XX) SELO XX XXXXXXX/ (XX) SIGILIUL XXX ȘXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (XX) PEČAT XXX ŽIG/ (XX) XXXXXXX XXX XXXXX/ (XX) SIGILL XXXXX XXÄXXXX

XXXXXXXXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX XXX XXXXXXX

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

Xxxxxx (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (DK) Xxxxxxx (XX)

Xxxxxxxx (EE) Xxxxx (XX)

Xxxxx (EL) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (LU)

Maďarsko (HU) Xxxxx (XX)

Xxxxxxxxxx (NL) Xxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxxxxxx (SI)

Slovensko (XX) Xxxxxx (FI)

Švédsko (XX) Xxxxxxx království (UK)

DŮLEŽITÉ XXXXXXXXXX

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

Xxxxx xxxxxxxx xxxxxx xxxxx xxxxxxx xxxxxxx, x níž xx xxxxxxxx. Xxxxx, xxxxx xx xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx xxxx v xxxxxxxxx, xxx xx to xxxxxxxx xxx xxxxx xxxxxxxxxx veřejné xxxxxxx, xxxxxxxxx xxxxxxx či xxxxxx xxxxxxxxx, které xxxx xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX VYDÁVAJÍCÍ XXXXX

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

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

1. XXXXX VYDÁVAJÍCÍ XXXXX XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Název (4)

3. INFORMACE TÝKAJÍCÍ XX XXXXXXX XXXXXXX, X NÍŽ XX XXXXXXXX XXXXX 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 státním zástupcem

3.1.3 Xxxxxxx vydaná vyšším xxxxxxx xxxxxxxxx

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

3.1.5 Xxxx (xxxxxxxxx)

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

(2) Xxx vyplňování xxxxx xxxxxxxx xxxxxxx xxxxx.

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

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

3.2 Xxxxxxx xxxxxx správním xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x xxxxxxx

3.2.3 Xxxxx z xxxxxxxx obyvatel

3.2.4 Opis xxxxxxxxxx xxxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, xxxxxx xxxx xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx osobou

3.5 Xxxxxxx xxxxxxxxxx diplomatickým xxxxxxxxx nebo xxxxxxxxxxx xxxxxxxxx xxxxxxxxx státu x rámci xxxxxx xxxx xxxxxxxxxx xxxxxxxxxx

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx xxxxx veřejné xxxxxxx

4. MANŽELSTVÍ

4.1 Xxxxx (xx/xx/xxxx) uzavření xxxxxxxxxx

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

5. MANŽEL/MANŽELKA A

5.1 Xxxxx/x xxxxxxxx

5.2 Xxxxxxxx xxxx xxxxxxxxx xxxxxxxxxx

5.3 Xxxxxxxx xx xxxxxxxx xxxxxxxxxx

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) Xxxxx „xxxxx xxxxxxxx xxxxxxxxxx“ se xxxxxx název xxxx xxxx xxxxx, okresu x kraje, xxx xxxx manželství uzavřeno.

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

6. XXXXXX/XXXXXXXX X

6.1 Xxxxx/x příjmení

6.2 Xxxxxxxx xxxx xxxxxxxxx xxxxxxxxxx

6.3 Xxxxxxxx xx uzavření xxxxxxxxxx

6.4 Xxxxx (xxxxx)

6.5 Xxxxx (xx/xx/xxxx) xxxxxxxx

6.6 Xxxxxxx:

6.6.1 Žena

6.6.2 Muž

6.6.3 Xxxxxxxx

7. POLE XXX XXXXXX

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

7.2 Funkce xxxxxxxx, xxxxx xxxxx xxxxx xxxxxxxx

7.3 Xxxxx (dd/mm/rrrr) xxxxxx

7.4 Xxxxxx

7.5 Xxxxx xxxx razítko

VÍCEJAZYČNÝ GLOSÁŘ XXXXX XXXXXXXXXXXX POLOŽEK

(MANŽELSTVÍ)

1.

(BG) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, XXX DIESES XXXXXXXX AUSSTELLT/ (XX) XÄXXXXXXX XXXXX XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX XXXX/ (FR) AUTORITÉ XX XXXXXXXXXX XX XXXXXXX FORMULAIRE/ (GA) XX xXXXXXX X XXXXXXXX XX XXXXXX XXX/ (HR) XXXXXX XXXX XXXXXX OVAJ XXXXXXX/ (IT) XXXXXXXÀ XXX RILASCIA XX XXXXXXXX MODULO/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX TA' XXX XX-XXXXXXX/ (NL) XXXXXXXXXX XXX XXXXXXX VAN XXX FORMULIER/ (XX) XXXXX XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXX XXXXX O XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX FORMULAR/ (XX) XXXXX XXXXXXXXXX TENTO XXXXXXXX/ (SL) ORGAN, XX IZDA XX XXXXXXX/ (FI) XÄXÄX XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX SOM XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) DENOMINACIÓN/ (XX) XXXXX/ (DA) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXX/ (EL) ΟΝΟΜΑΣΙΑ/ (XX) DESIGNATION/ (FR) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) NOSAUKUMS/ (XX) XXXXXXXXXXX/ (XX) MEGNEVEZÉS/ (XX) TITLU/ (XX) XXXXXXXX/ (PL) 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/ (XX) XXXXXXXXX XXX XXXXXX EL XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, X NÍŽ XX PŘILOŽEN TENTO XXXXXXXX/ (XX) XXX XXXXXXXXX, DER XXX XXXXXXX XXX XXXXXXXXXX XXXXXXXX, SOM DENNE XXXXXXXX XX XXXXÆXXXX/ (XX) XXXÖXXX, XXX XXX ÖXXXXXXXXXX URKUNDE, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX, AUSSTELLT/ (XX) ASUTUS, XXX XXXXX XÄXXX XXXXXXX XXXXXXXXX, MILLELE XXX XXXX XX LISATUD/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) AUTHORITY XXXXXXX THE XXXXXX XXXXXXXX XX WHICH XXXX XXXX XX XXXXXXXX/ (FR) XXXXXXXX XX DÉLIVRANCE XX XXXXXXXX XXXXXX AUQUEL XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XX tÚDARÁS X XXXXXXXX AN DOICIMÉAD XXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (HR) XXXXXX XXXX XXXXXX XXXXX XXXXXXX KOJOJ JE XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ CHE XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX IL XXXXXXXX MODULO È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX IR XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (LT) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) AUTORITEIT XXX XXXXXXX XXX XXX XXXXXXXX DOCUMENT XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) ORGAN XXXXXĄXX XXXXXXXX XXXĘXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX ZAŁĄCZONY/ (XX) XXXXXXXXXX XXX XXXXX O DOCUMENTO XXXXXXX X QUE X XXXXXXXX XXXXXXXXXX XXXX APENSO/ (RO) XXXXXXXXXXX XXXXXXXĂ A XXXXXXXXXXXX OFICIAL XX XXXX XXXX XXXXXX XXXXXXXXX FORMULAR/ (XX) XXXXX XXXXXXXXXX VEREJNÚ XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) ORGAN, XX IZDA XXXXX XXXXXXX, KI XX XX XXXXXXXX XX XXXXXXX/ (FI) VIRANOMAINEN, XXXX ON XXXXXXX XXXXXXX XXXXXXXXXX, JOHON XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXX OFFICIELLA XXXXXXXX XXXX VILKEN XXXXX FORMULÄR ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXX AL XXX SE XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXX LISTINY, K XXX JE PŘILOŽEN XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXØXXXXX XXX XXXXXXXXXX DOKUMENT, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXX XXX ÖFFENTLICHEN XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (ET) XXXXX XXXXXXX XXXXXXXXX XXXXX, XXXXXXX XXX XXXX XX LISATUD/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXX XXXXXX DOCUMENT XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXXXXXX RELATIVES XX XXXXXXXX XXXXXX XXXXXX EST XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX A XXXXXXXXX LEIS XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (HR) XXXXXXXXXXX XXXX SE XXXXXX XX XXXXX XXXXXXX KOJOJ XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX PRESENTE XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (LT) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATRA XXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX DIN IL-FORMOLA/ (XX) XXXXXXXXXX BETREFFENDE XXX XXXXXXXX DOCUMENT XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXX DOTYCZĄCE DOKUMENTU XXXĘXXXXXX, XX KTÓREGO XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (PT) XXXXXXXÇÕXX XXXXXXXXX AO XXXXXXXXX XXXXXXX X QUE X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (RO) XXXXXXXȚXX XXXXXXXXXXX LA XXXXXXXXXX XXXXXXX LA XXXX XXXX ANEXAT XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXX XXXXXXX, KU XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (SL) INFORMACIJE X XXXXX Z XXXXX XXXXXXX, KI XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (SV) XXXXXXXXXXX XX XXX XXXXXXXXXX XXXXXXXX XXXX VILKEN XXXXX XXXXXXÄX ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX XXXXXXXX XXX XXX AUTORIDAD O XX XXXXXXXXXXX XXXXXXXXX X LOS ÓRGANOS XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXX XXXXXXXXX X XXXXXX NA XXXXX XXXXXX XXXXXXXXX STÁTU/ (XX) XXXXXXXX, XXX XX UDSTEDT XX XX XXXXXXXXX XXXXX XX XXXXXXXXXX, DER XX XXXXXXXXXX XXXXXXXX X XX XXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXÖXXX XXXX XXXXX XXXXXXXXXX ALS XXXXX XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXXXX VÕI XXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (EN) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXX XX XX OFFICIAL XXXXXXXXX XXXX THE COURTS XX XXXXXXXXX XX X XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXX X'XXX XXXXXXXX OU X'XX XXXXXXXXXXXXX XXXXXXXX X'XXX JURIDICTION X'XX XXXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X ÚDARÁS NÓ X XXXXXXXXX A XXXXXX XXXXX XXXX XX XXXX LE XXXXXXXXXX XX XX XXXXX XX CHUID XXXXXXXXX/ (HR) ISPRAVA XXXX JE IZDALO XXXXXX XXX XXXXXXXXX XXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX UN'AUTORITÀ X XX XX FUNZIONARIO XXXXXXXXXXXX XX XXX XXXXX XXXXXXXXXXXXX XX XXX STATO XXXXXX/ (XX) XXXXXXXXX, KURU XXXXXXXXXX AR DALĪBVALSTS XXXXĀX SAISTĪTA XXXXĀXX XXX XXXXXXXXXXX/ (LT) XXXXXXXXXX, XXXXXXXX VALDŽIOS XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX TEISMAIS AR XXXXXXXXXXX/ (HU) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX XXXX XXXXXXX VAGY XXXXXXXXXXŐ XXXXX KIÁLLÍTOTT XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX XXXXXXXÀ XXX XXXXĊXXX XX JKOLLHOM XXXXX MAL-QRATI XXX XX-XXXXXXXXX TA' XXXX XXXXXX/ (XX) DOCUMENT XXXXXXXXX XXXX EEN XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX XXX EEN XXXXXXXXXXXX XXXXXXXXX VAN XXX XXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX XX XXXXXX XĄXXXXXX LUB XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX UMA XXXXXXXXXX XX XX XX XXXXXXXXXXX DEPENDENTE XX XXXXXXXX XXXXXXXÇÃX XX XX XXXXXX-XXXXXX/ (XX) DOCUMENT XXXX XX O XXXXXXXXXX XXX DE XX XXXXȚXXXXX DE PE XÂXXĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (SK) XXXXXXX VYDANÁ XXXXXXX XXXXX ÚRADNÍKOM X XÄXXXX XX XXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX, IZDANA X XXXXXX XXXXXX XXX XXXXXXXX XXXXX XXXXXXX XXXXXX ČLANICE/ (FI) XXXXXXXXX, JONKA XX XXXXXXX XÄXXXXXXXXXX OIKEUSLAITOKSEEN XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXXXXXXXX XXXXX XX TJÄNSTEMAN XXXXXÖXXXXX XXXXXXXXXÄXXXXXX I EN XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX JUDICIAL/ (XX) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (DE) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXX/ (GA) XXXXXXXX XX xXXXXX/ (XX) XXXXXX XXXXXX/ (XX) XXXXXXXXX GIURISDIZIONALE/ (XX) XXXXXX XĒXXXX/ (LT) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (PT) XXXXXÃX XXXXXXXX/ (RO) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (SK) XXXXX XXXXXXXXXXX/ (XX) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX ANKLAGEMYNDIGHED/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXX PROSECUTOR/ (XX) XXXXXXXX XXXXXXX XX XXXXXXÈXX PUBLIC/ (XX) XXXXXXXXX X THAGANN X XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (IT) DOCUMENTO XXXXXXX DAL XXXXXXXX XXXXXXXXX/ (XX) DOKUMENTS, XXXX IZSNIEDZIS XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) ÜGYÉSZ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX PROKURATORA/ (XX) XXXXXXXXX PROVENIENTE XX MINISTÉRIO XXXXXXX/ (XX) XXXXXXXX XXXX XX UN PROCUROR/ (XX) XXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) LISTINA, XX XX XXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX SYYTTÄJÄN ANTAMA XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (DA) DOKUMENT XXXXXXX AF XX XXXXXXXXXXXXXÆX/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) DOKUMENT, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXX XX A XXXXX/ (FR) XXXXXXXX XXXXXXX D'UN XXXXXXXX/ (XX) XXXXXXXXX A XXXXXXX X XXXXXXXXXX XX XXXXX CÚIRTE/ (XX) XXXXXXX XXXX XX IZDAO XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX EMANATO XX XX XXXXXXXXXXX/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XXXXXX XXXXXXĀXX/ (XX) XXXXXX XXXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXXXŐ ÁLTAL XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX XXĠXXXXXXXX XX' XXXXX/ (NL) XXXXXXXX XXXXXXXXX XXXX XXX GRIFFIER/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXX XX XXXXXÇX/ (XX) XXXXXXXX XXXX XX XX XXXXXXX AL INSTANȚEI/ (XX) LISTINA XXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXX, KI XX XXXX XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX SIHTEERIN XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („HUISSIER XX JUSTICE“)/ (XX) XXXXXXXXX EXPEDIDO XXX XX XXXXXX XXXXXXXX («XXXXXXXX XX JUSTICE»)/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXX UDSTEDT XX XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT, XXXXX XX XÄXXX XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (EN) XXXXXXXX XXXXXXXXX FROM A XXXXXXXX OFFICER ('XXXXXXXX XX JUSTICE')/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX XX JUSTICE/ (XX) XXXXXXXXX X XXXXXXX X OIFIGEACH XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXX XX XXXXX XXXXXX OVRŠITELJ (XXXXXXXX XX JUSTICE)/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX TIESAS IZPILDĪTĀJS (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX (HUISSIER XX XXXXXXX) XXXXXXXX XXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXXXX („XXXXXXXX DE XXXXXXX”) ÁLTAL XXXXXXXXXX XXXXXX/ (MT) DOKUMENT XXĦXXĠ MINN UFFIĊJAL ĠXXXXXXXXXX ('HUISSIER XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXXXXXXXXXXXXX/ (PL) DOKUMENT XXXXXXXĄXX XX XXXĘXXXXX XĄXXXXXX (HUISSIER XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX DE UMESCRIVÃO XX XXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX EMIS XX XX XXXXXXXX JUDECĂTORESC („XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX VYDANÁ XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) HAASTEMIEHEN (”XXXXXXXX XX JUSTICE”) ANTAMA XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR FRÅN XX XXÄXXXXXXXXX (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) XXXX (XXXXXXXXX)/ (XX) ANDRE (XXXXXXX)/ (XX) XXXXXXXXX (BITTE XXXXXXX)/ (XX) XXX (XÄXXXXXXXX)/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (EN) OTHER (XX XX SPECIFIED)/ (XX) AUTRE (À XXXXXXXX)/ (XX) EILE (XX SONRÚ)/ (XX) XXXXXX (XXXXXXX)/ (XX) XXXXX (PRECISARE)/ (XX) XXXX (PRECIZĒT)/ (XX) XXXX (XXXXXXXX)/ (HU) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) OĦRAJN (XXXXXĊXŻX)/ (XX) XXXXXXX (SPECIFICEREN)/ (XX) INNY (PROSZĘ XXXXŚXXĆ)/ (PT) XXXXXX (X XXXXXXXXXXX)/ (XX) XXXXX (A XX XXXXXXX)/ (XX) XXX (XXXXXXXX)/ (SL) XXXXX (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX ADMINISTRATIVO/ (XX) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (ET) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (EN) XXXXXXXXXXXXXX XXXXXXXX/ (FR) XXXXXXXX XXXXXXXXXXXXX/ (GA) DOICIMÉAD XXXXXXXXXX/ (XX) UPRAVNA XXXXXXX/ (IT) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (LT) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) KÖZIGAZGATÁSI XXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (NL) XXXXXXXXXXXXXX XXXXXXXX/ (PL) XXXXXXXX XXXXXXXXXXXXXXX/ (PT) DOCUMENTO XXXXXXXXXXXXXX/ (XX) DOCUMENT XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (SL) XXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (SV) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) PÅTEGNING/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) DEIMHNIÚ/ (HR) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (HU) XXXXXXXXXXX/XXXXXXXXXXXX/ (MT) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (PT) XXXXXXÃX XX XXXXXXXXXXX/ (RO) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (FI) XXXXXXXX/ (XX) INTYG

3.2.2

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX DEL XXXXXXXX XXXXX/ (CZ) XXXXX Z XXXXXXX/ (XX) XXXXXX FRA XXXXXXXXXXXXXXXXXXXX/ (DE) XXXXXX XXX XXX PERSONENSTANDSREGISTER/ (XX) PEREKONNASEISUREGISTRI XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX XXXXX XXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XX X'XXXX XXXXX/ (XX) XXXXXXX AS XX gCLÁR STÁDAIS XXXXXXXXXX/ (HR) XXXXXXX XX XXXXXXXX OSOBNOG XXXXXX/ (XX) XXXXXXXX XX XXXX XX XXXXX XXXXXX/ (LV) XXXXXXXX XX XXXXXXXĀXXXĻX XXXX XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXĖX XŪXXĖX XXXŲ REGISTRO/ (XX) XXXXXÖXXXX KIVONAT/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (NL) XXXXXXXXXX XXX XXX XXXXXXXX VAN XX XXXXXXXXXXX STAND/ (PL) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (PT) XXXXXXX XX XXXX XX XXXXXXX CIVIL/ (XX) EXTRAS XXX XXXXXXXXX XX XXXXX XXXXXĂ/ (XX) VÝPIS X XXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXX XX XXXXXXXX X XXXXXXX STANJU/ (XX) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (ES) XXXXXXXX XXX XXXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) AUSZUG XXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX THE XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX DU XXXXXXXX XX XX XXXXXXXXXX/ (XX) XXXXXXX AS XX xXXXX XXXXXX/ (XX) XXXXXXX IZ XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX NO IEDZĪVOTĀJU XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXXŲ REGISTRO/ (XX) XXXXXXX A XXXXXXXXXXXX- ÉS XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX MIR-REĠISTRU XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX X XXXXXXXX XXXXXŚXX/ (PT) XXXXXXX XX XXXXXXX XX XXXXXXÇÃX/ (XX) XXXXXX XXX REGISTRUL XX XXXXXXȚĂ A XXXXXXȚXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXĽXX/ (XX) IZPISEK XX XXXXXXXX XXXXXXXXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX XX BEFOLKNINGSREGISTER

3.2.4

(BG) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) COPIA LITERAL XX XXXXX DEL XXXXXXXX CIVIL/ (XX) XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXX XX XXXXXXXXXXXXXXXXXXX/ (DE) XÖXXXXXXX KOPIE VON XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) PEREKONNASEISUAKTI XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (EN) XXXXXXXX XXXX XX CIVIL XXXXXX RECORDS/ (XX) XXXXX INTÉGRALE D'ACTES XX X'XXXX XXXXX/ (XX) CÓIP XXXXX XX XXXXXX XX XXXXXXX XX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XX XXXXXXXXXX X OSOBNOM XXXXXX/ (XX) XXXXX XXXXXXXXX XX XXXX XX XXXXX CIVILE/ (LV) XXXXXXXĀXXXĻX AKTU XXĢXXXXX XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (HU) XXXXXÖXXXX XXXXXXXXX XXX SZERINTI XXXXXXXX/ (XX) KOPJA XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXX XXX XXXXX XXX XX XXXXXXXXXXX XXXXX/ (PL) ODPIS XXXXŁXX XXXX STANU XXXXXXXXX/ (PT) CERTIDÃO XX XXXXX XXXXXXXX XX DE NARRATIVA XX XXXX XX XXXXXXX CIVIL/ (RO) XXXXX EXACTĂ X XXXX ACT XX XXXXX CIVILĂ/ (SK) XXXXXXXX XXXXX XX XXXXXXX X OSOBNOM XXXXX/ (XX) DOBESEDI XXXXXX LISTIN O XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX JÄLJENNÖS/ (XX) XXXXXXXXX XXXXXXXX XX FOLKBOKFÖRINGSHANDLING

3.3

(BG) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (DA) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) NOTARIAL ACT/ (XX) ACTE XXXXXXX/ (XX) XXXXXX NÓTAIREACHTA/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXĀXX XXXX/ (XX) XXXXXXXXX XXXXX/ (XX) XÖXXXXXXŐX OKIRAT/ (XX) ATT XXXXXXXX/ (XX) XXXXXXËXX AKTE/ (XX) AKT XXXXXXXXXX/ (XX) ATO XXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX LISTINA/ (XX) XXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX XXXXXX SOBRE XX XXXXXXXXX XXXXXXX/ (XX) XXXXXX OSVĚDČENÍ, XXXXXX XXXX XXXXXXXX LISTINA XXXXXXXXX XXXXXXXXX OSOBOU/ (XX) OFFICIEL XÅXXXXXXX XÅ XX DOKUMENT XXXXXXXXXXX AF EN XXXXXX I XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX XXXXX XXXXXXXXXXXXX/ (XX) ISIKU XXXXX XXXXXXXXXX XXXXXXXXXXXXXX DOKUMENDILE XXXXXXXXXX AMETLIK XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) OFFICIAL XXXXXXXXXXX XXXXXX ON X XXXXXXXX XXXXXX XX X XXXXXX XX HIS XX XXX PRIVATE XXXXXXXX/ (XX) XXXXXXXXXXX OFFICIELLE XXXXXXX XXX UN XXXX XXXX SEING XXXXX/ (GA) XXXXXXXX XXXXXXXXX A XXXXXXXXX XX XXXXXXXXXX ARNA XXXXXX XX DUINE XXX XXXXX XX XXX XXXX PHRÍOBHÁIDEACH/ (XX) XXXXXXXX POTVRDA XXXXXXXXX NA ISPRAVU XXXX XX XXXXX XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX APPOSTA XX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXĀXX APLIECINĀJUMS XX XXXXXXXXX, XX XXXĀ VĀRDĀ PARAKSTĪJUSI XĀXX PERSONA/ (XX) XXXXXXXŲ ASMENŲ XXXXXXXXXŲ XXXXXXXXŲ OFICIALŪS PATVIRTINIMAI/ (XX) MAGÁNOKIRATON XXXXXXXXXXX XXXXXXXXX TANÚSÍTVÁNY/ (XX) ĊXXXXXXXXX XXXXĊXXXX XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXX XXXXXXXXXXX XXXX XXX XXXXXXX XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (PL) URZĘDOWE XXŚXXXXXXXXXX UMIESZCZONE XX XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÃX OFICIAL XXXXXXX XXX XXX XX XXXXXXXX PRIVADA/ (XX) XXXXXXXXXX XXXXXXX XXXXXXX XX UN XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX NA XXXXXXX XXXXXXXXXX XXXXXX KONAJÚCOU XXX SÚKROMNÁ XXXXX/ (XX) URADNA IZJAVA XX XXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, JONKA HENKILÖ XX ALLEKIRJOITTANUT XXXXXXXXXXXXXXÖXÄ/ (XX) OFFICIELLT INTYG XXXXXXXXX PÅ XX XXXXXXXX XXX XXXXXXXXXXXXX XX EN PRIVATPERSON

3.5

(BG) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (ES) DOCUMENTO XXXXXXXX XXX XX XXXXXX XXXXXXXXXXX X XXXXXXXX DE XX XXXXXX MIEMBRO XXX XXXXXXXX XXXXXXX/ (XX) XXXXXXX VYHOTOVENÁ DIPLOMATICKÝM XXXXXXXXX XXXX KONZULÁRNÍM XXXXXXXXX XXXXXXXXX STÁTU X RÁMCI XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) DOKUMENT XXXXXXXXX XXXÆXXXXXX AF XX XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX REPRÆSENTANT/ (XX) XXX XXXXX XXXXXXXXXXXXXX XXXX KONSULARISCHEN XXXXXXXXX XXXXX XXXXXXXXXXXXXX XX 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) DOCUMENT DRAWN XX XX X XXXXXXXXXX XX CONSULAR XXXXX OF X XXXXXX XXXXX XX XXX XX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXX XX XX QUALITÉ XXXXXXXXXX XXX UN 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 XXXX XXXXXXXXX/ (XX) ISPRAVA XXXX XX X XXXXXXXXX XXXXXXXX SASTAVIO XXXXXXXXXXX ILI XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) DOCUMENTO XXXXXXX XX XXXXXX XXXXXXXXXXX X CONSOLARI DI XXX STATO XXXXXX XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (LV) XXXXXXXXX, XXXX, PILDOT XXXXX XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX VAI XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX VALSTYBĖS XXXĖX XXXXXXXXX XX XXXXXXXXXX XXXXXXŪXX, VEIKIANČIO XXXXX XXXXXXXXXX ĮGALIOJIMUS/ (HU) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX IMĦEJJI XXXX XĠXXX XXXXXXXXXXX XXX XXXXXXXXX XX' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (NL) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXXXXX OF XXXXXXXXXX XXXXXXXXX XXX EEN XXXXXXXX XX ZIJN XXXXXXËXX HOEDANIGHEID/ (PL) XXXXXXXX XXXXXĄXXXXX PRZEZ XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX URZĘDOWYM/ (PT) XXXXXXXXX XXXXXXX XXX XX XXXXXX DIPLOMÁTICO XX XXXXXXXX DE XX ESTADO-MEMBRO XX XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX DE XĂXXX UN XXXXX XXXXXXXXXX SAU XXXXXXXX XX XXXX XXXX XXXXXX, ÎN XXXXXXXX XXXXXXXĂ/ (SK) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM XXXXXXXXX XXXXX KONZULÁRNYM XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX JEHO XXXXXXX/ (XX) XXXXXXX, XX XX XXX XXXXXX XXXXX IZDA XXXXXXXXXXX XXX KONZULARNI XXXXXXXXXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX XX XXXXXXXX VIRANTOIMITUKSESSA/ (XX) XXXXXXXX XXXXÄXXXX X XXÄXXXXX XX XX XXXXXXXXXXX XXXXX XXXXXXÄX XXÄXXXXXXX X XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (DD/MM/AAAA) DE XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) XÄXXXXXXXXXX KUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (LL/MM/BBBB) XXXXXXX/ (XX) DATUM (DD/MM/GGGG) XXXXXXXXX/ (IT) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (LT) XXXXXXXX XXXX (DD/MM/MMMM)/ (HU) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) DATA (XX/XX/XXXX) XXXXXXX/ (XX) XXXX DE EMISSÃO (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) VYDANIA/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX XXXXXXXXXX XXX XXXXXXXXX PÚBLICO/ (XX) XXXXXXXXXX ČÍSLO XXXXXXX XXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖFFENTLICHEN XXXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (EL) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX XX XXX XXXXXX DOCUMENT/ (FR) XXXXXX DE XXXXXXXXX XX DOCUMENT PUBLIC/ (XX) UIMHIR XXXXXXXXX XX DOICIMÉID PHOIBLÍ/ (XX) REFERENTNI XXXX XXXXX XXXXXXX/ (XX) XXXXXX XX RIFERIMENTO XXX DOCUMENTO XXXXXXXX/ (XX) XXXXXXXĀ DOKUMENTA XXXXXXXX XXXXXX/ (LT) XXXXXXX XXXXXXXXX XXXXXXX/ (XX) A XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXX XX' REFERENZA XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX HET XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX DOKUMENTU XXXĘXXXXXX/ (PT) XXXXXX XX XXXXXÊXXXX DO XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX XX XXXXXXXȚĂ XX DOCUMENTULUI XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (SL) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (XX) XXX OFFICIELLA XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) БРАК/ (ES) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ÆGTESKAB/ (XX) XXXXXXXXXXXXXX/ (XX) ABIELU/ (XX) ΓΑΜΟΣ/ (XX) XXXXXXXX/ (XX) MARIAGE/ (XX) XXXXXX/ (XX) XXXXXXXXX XXXXX/ (IT) XXXXXXXXXX/ (LV) XXXXĪXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXÖXXX/ (MT) ŻWIEĠ/ (XX) XXXXXXXX/ (PL) XXŁŻXŃXXXX/ (PT) CASAMENTO/ (XX) XĂXĂXXXXX/ (XX) XXXXXXXXXX/ (SL) XXXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXXXXX/ (XX) ÄXXXXXXXX

4.1

(XX) ДАТА (ДД/ММ/ГГГГ) НА БРАКА/ (ES) XXXXX (XX/XX/XXXX) DEL MATRIMONIO/ (XX) XXXXX (DD/MM/RRRR) XXXXXXXX XXXXXXXXXX/ (DA) XXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (DE) XXXXX (XX/XX/XXXX) XXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΤΕΛΕΣΗΣ ΤΟΥ ΓΑΜΟΥ/ (XX) XXXX (DD/MM/YYYY) OF XXX XXXXXXXX/ (FR) XXXX (JJ/MM/AAAA) XX XXXXXXX/ (XX) DÁTA (XX/XX/XXXX) XX XXXXXX/ (XX) XXXXX (DD/MM/GGGG) XXXXXXXXX BRAKA/ (XX) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) LAULĪBAS XXXXĒXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) XXXXXXXXX XXXXXXXX XXXX (DD/MM/MMMM)/ (XX) X XXXXXXXXXÖXXX IDEJE (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) TAŻ-ŻWIEĠ/ (XX) XXXXX (DD/MM/JJJJ) XXX XXX HUWELIJK/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX XXŁŻXŃXXXX/ (XX) DATA XX XXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (ZZ/LL/AAAA) XĂXĂXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXXXXX ZAKONSKE ZVEZE/ (XX) XXXXXXXXXX XXXXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) XÖX ÄXXXXXXXXXXX XXXÅXXXX

4.2

(XX) МЯСТО И ДЪРЖАВА НА БРАКА/ (XX) XXXXX X XXXX XXX XXXXXXXXXX/ (XX) XXXXX A XXXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XX -XXXX/ (DE) ORT XXX XXXX DER XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXX XXXX XX XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΤΕΛΕΣΗΣ ΤΟΥ ΓΑΜΟΥ/ (XX) XXXXX XXX COUNTRY OF XXX MARRIAGE/ (XX) XXXX ET XXXX XX XXXXXXX/ (XX) XXX XXXX TÍR XX XXXXXX/ (XX) XXXXXX X XXXXXX XXXXXXXXX XXXXX/ (IT) XXXXX X XXXXX XX XXXXXXXXXX/ (LV) XXXXĪXXX XXXXĒXXXXXX XXXXX XX XXXXXX/ (XX) XXXXXXXXX XXXXXXXX XXXXX XX ŠALIS/ (HU) X HÁZASSÁGKÖTÉS XXXXX XX XXXXXXX/ (XX) XXXX X XXXXXŻ XXŻ-ŻXXXĠ/ (NL) PLAATS XX LAND VAN XXX XXXXXXXX/ (XX) XXXXXXX X XXŃXXXX XXXXXXXX XXŁŻXŃXXXX/ (XX) XXXXX X XXXX XX XXXXXXXXX/ (XX) XXXXX ȘX ȚARA XĂXĂXXXXXX/ (XX) MIESTO X XXXX XXXXXXXXX XXXXXXXXXX/ (XX) KRAJ XX XXXXXX XXXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXXXXX JA -XXX/ (XX) XXX XXX XXXX DÄR ÄXXXXXXXXXX XXXXXXX

5.

(XX) СЪПРУГ X/ (XX) XXXXXXX X/ (XX) XXXXXX/XXXXXXXX X/ (XX) ÆGTEFÆLLE X/ (XX) EHEPARTNER X/ (XX) XXXXXXXX X/ (XX) ΣΥΖΥΓΟΣ Α/ (XX) XXXXXX X/ (XX) XXXXXXXX X/ (XX) XXXXX X/ (HR) XXXXXX XXXX X/ (XX) XXXXXXX A/ (XX) XXXXĀXXXX X/ (LT) XXXXXXXXXXX X/ (XX) „X” HÁZASTÁRS/ (MT) XXXXXĠX A/ (XX) XXXXXXXX(X)X(X) X/ (XX) XXŁŻXXXX X/ (XX) XÔXXXXX X/ (RO) XXȚXX X/ (XX) XXXXXX/XXXXXXXX X/ (SL) XXXXXXX X/ (XX) XXXXXXX A/ (XX) XXXX/XXXX X

5.1

(XX) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (XX) XXXXXXXX(X) XX XXXXXXXXXX/ (CZ) XXXXX/X XXXXXXXX/ (DA) EFTERNAVN(E) XXX FØDSLEN/ (XX) XXXXXXXXXXXX(X) BEI XXX XXXXXX/ (ET) SÜNNIJÄRGNE XXXXXXXXXXXXX (XÜXXXXÄXXXXX PEREKONNANIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (XX) XXXXXXX(X) XX BIRTH/ (XX) XXX(X) À XX NAISSANCE/ (GA) XXXXXXX (SLOINNTE) XXXXXXX/ (XX) XXXXXXX(XX) XXX XXĐXXXX/ (XX) XXXXXXX/X XXXX NASCITA/ (XX) XXXĀXXX(-X) XXXXXXXXX XXĪXĪ/ (XX) PAVARDĖ (-ĖS), XXXXXXXX (-XX) XXXXX/ (XX) XXÜXXXXXX XXXXXXX XXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX) XXX-XXXXXX/ (NL) XXXXXXXX(X)X(XX) XXX XX XXXXXXXX/ (XX) XXXXXXXX(-X) XXXXXX/ (XX) XXXXXXX(X) À XXXX XX NASCIMENTO/ (XX) XXXXXX LA XXȘXXXX/ (XX) RODNÉ XXXXXXXXXX(-X)/ (SL) XXXXXXX/XXXXXXX XX ROJSTVU/ (XX) XXXXXXXX (-XXXXX) XXXXXXÄXXXXXXXÄ/ (XX) XXXXXXXXX VID XÖXXXXX

5.2

(XX) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ БРАКА/ (ES) XXXXXXXX(X) XXXXX DE XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXX 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) BEFORE THE XXXXXXXX/ (FR) XXX(X) XXXXX LE XXXXXXX/ (XX) XXXXXXX (SLOINNTE) XXXXX AN bPÓSADH/ (XX) PREZIME(NA) PRIJE XXXXXXXXX BRAKA/ (XX) XXXXXXX/X XXXXX XXX XXXXXXXXXX/ (LV) XXXĀXXX(-X) XXXXX XXXXĪXXX/ (LT) XXXXXXĖ (-ĖS) PRIEŠ XXXXXXXĄ/ (HU) CSALÁDI XXXX(X) X XXXXXXXXXÖXXX XXŐXX/ (MT) KUNJOM(/KUNJOMIJIET) XXXXX XŻ-ŻXXXĠ/ (XX) XXXXXXXX(X)X(XX) XXXX XXX XXXXXXXX/ (XX) XXXXXXXX(-X) XXXXX ZAWARCIEM MAŁŻEŃSTWA/ (XX) APELIDO(S) XXXXX XX CASAMENTO/ (RO) XXXXXX ÎXXXXXX XX XĂXĂXXXXX/ (XX) XXXXXXXXXX(-X) XXXX XXXXXXXXX MANŽELSTVA/ (XX) XXXXXXX/XXXXXXX PRED XXXXXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXX AVIOLIITTOA/ (XX) XXXXXXXXX XÖXX ÄXXXXXXXXXXX XXXÅXXXX

5.3

(XX) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА БРАКА/ (XX) APELLIDO(S) XXXXXXX XX CONTRAER MATRIMONIO/ (XX) XXXXXXXX XX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXX(X) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXX(X) XXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX (-XXXXX) PÄRAST XXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΜΕΤΑ ΤΟΝ ΓΑΜΟ/ (XX) XXXXXXX(X) XXXXXXXXX XXX XXXXXXXX/ (XX) XXX(X) À XX XXXXX DU MARIAGE/ (XX) SLOINNE (XXXXXXXX) XXX ÉIS AN XXXXXX/ (XX) PREZIME(NA) XXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX/X XXXX XX XXXXXXXXXX/ (LV) XXXĀXXX(-X) PĒC XXXXĪXXX/ (XX) XXXXXXĖ (-ĖX) XX XXXXXXXXX/ (XX) XXXXXXX XXXX(X) X XXXXXXXXXÖXXX XXXX/ (MT) XXXXXX(/XXXXXXXXXXX) XXXX Ż-ŻWIEĠ/ (XX) XXXXXXXX(X)X(XX) NA XXX XXXXXXXX/ (XX) XXXXXXXX(-X) XX XXXXXXXX XXŁŻXŃXXXX/ (XX) APELIDO(S) XXXX O XXXXXXXXX/ (XX) XXXXXX DUPĂ XĂXĂXXXXX/ (SK) XXXXXXXXXX(-X) XX UZAVRETÍ XXXXXXXXXX/ (XX) PRIIMEK/PRIIMKI XX XXXXXXXXX ZAKONSKE ZVEZE/ (XX) SUKUNIMI (-XXXXX) XXXXXXXXXX XXXXXXXXXX XÄXXXXX/ (XX) XXXXXXXXX EFTER ÄXXXXXXXXXXX INGÅENDE

5.4

(BG) СОБСТВЕНО(И) ИМЕ(НА)/ (ES) NOMBRE(S)/ (XX) XXXXX (XXXXX)/ (XX) FORNAVN(E)/ (DE) 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)/ (XX) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (XXXXXX)/ (PT) XXXX(X) XXXXXXX(X)/ (XX) PRENUME/ (XX) MENO(-Á)/ (XX) XXX/XXXXX/ (XX) ETUNIMI (-XXXXX)/ (SV) XÖXXXXX

5.5

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) FECHA (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXX/ (DA) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX NAISSANCE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXĐXXXX/ (XX) XXXX XX XXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) TAT-TWELID/ (NL) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (FI) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

5.6

(XX) ПОЛ/ (XX) XXXX/ (CZ) XXXXXXX/ (DA) XØX/ (XX) XXXXXXXXXX/ (ET) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (GA) XXXXXX/ (XX) SPOL/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) LYTIS/ (XX) XXXX/ (XX) XXXX/ (XX) GESLACHT/ (XX) XŁXĆ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (SL) XXXX/ (XX) XXXXXXXXX/ (XX) XÖX

5.6.1

(XX) ЖЕНСКИ/ (ES) XXXXX/ (XX) XXXX/ (XX) KVINDE/ (DE) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (EN) XXXXXX/ (XX) FÉMININ/ (XX) XXXXXXXX/ (XX) XXXXXX/ (IT) FEMMINILE/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) NŐ/ (XX) XXXX/ (NL) XXXXX/ (XX) XXXXXXX/ (XX) FEMININO/ (XX) XXXXXXXX/ (SK) XXXXXX/ (XX) ŽENSKI/ (FI) XXXXXX/ (SV) KVINNA

5.6.2

(BG) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (XX) XXXX/ (XX) XÄXXXXXX/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) MALE/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) XXXXX/ (XX) XXXXX/ (MT) XXĠXX/ (NL) MAN/ (XX) MĘŻCZYZNA/ (XX) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) XXX

5.6.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (ET) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (EN) UNDETERMINED/ (XX) INDÉTERMINÉ/ (XX) XXXXXXXXXXXXXXX/ (HR) NEODREĐEN/ (XX) INDETERMINATO/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (MT) XXXX XXXXXXXXX/ (NL) XXXXXXXXX/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) NÃO XXXXXXXX/ (RO) XXXXXXXXXXXX/ (XX) NEURČENÉ/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

6.

(XX) СЪПРУГ X/ (ES) XXXXXXX X/ (XX) XXXXXX/XXXXXXXX X/ (DA) ÆXXXXÆXXX B/ (XX) XXXXXXXXXX X/ (ET) XXXXXXXX B/ (XX) ΣΥΖΥΓΟΣ Β/ (XX) XXXXXX X/ (FR) XXXXXXXX X/ (XX) XXXXX X/ (HR) XXXXXX XXXX X/ (XX) XXXXXXX B/ (XX) XXXXĀXXXX B/ (XX) XXXXXXXXXXX B/ (XX) „X” XXXXXXXXX/ (XX) KONJUĠI X/ (XX) XXXXXXXX(X)X(X) X/ (XX) XXŁŻXXXX B/ (XX) XÔXXXXX X/ (XX) XXȚXX X/ (XX) MANŽEL/MANŽELKA B/ (XX) ZAKONEC X/ (XX) PUOLISO B/ (XX) XXXX/XXXX X

7.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX FIRMA/ (XX) XXXX XXX XXXXXX/ (XX) UNDERSKRIFTSFELT/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX BOX/ (XX) XXXXX POUR XX XXXXXXXXX/ (GA) XXXXX XXX XXXXX/ (XX) POLJE ZA XXXXXX/ (XX) XXXXXXXX XXX XX FIRMA/ (XX) XXXXXXXX LAUKS/ (XX) PARAŠO XXXXXXXX/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX XX XXXXXXXXXXXX/ (XX) XXXX XXXXXXX/ (XX) XXXXÇX DESTINADO À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX PODPIS/ (XX) XXXXX XX XXXXXX/ (XX) ALLEKIRJOITUSKENTTÄ/ (XX) XXXX XÖX XXXXXXXXXXXXXX

7.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXX(X) X XXXXXX(X) XXX FUNCIONARIO XXX XXXXXXX XXXX IMPRESO/ (XX) XXXXXXXX X XXXXX (XXXXX) XXXXXXXX, XXXXX XXXXX TENTO XXXXXXXX/ (XX) XXXXXXXXX(X) XX FORNAVN(E) PÅ XXX EMBEDSMAND, XXX XXX UDSTEDT XXXXX XXXXXXXX/ (DE) XXXXXXXXXXXX(X) XXX VORNAME(N) XXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXXXXXX HAT/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX AMETNIKU EESNIMI (-XXXXX) XX XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) SURNAME(S) AND XXXXXXXX(X) XX THE XXXXXXXX WHO XXXXXX XXXX FORM/ (FR) XXX(X) XX PRÉNOM(S) XX XXXXXXXXXXXXX XXX X XXXXXXX LE XXXXXXX FORMULAIRE/ (XX) XXXXXXX (SLOINNTE) XXXX XXXXXXXX (CÉADAINMNEACHA) XX XXXXXXXX X X’XXXXXX XX FHOIRM XXX/ (XX) XXXXXXX(XX) X XXX(XX) SLUŽBENIKA XXXX XX IZDAO OVAJ XXXXXXX/ (XX) COGNOME/I X XXXX/X DEL XXXXXXXXXXX CHE HA XXXXXXXXXX XX PRESENTE XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX ŠO XXXXXXXX, UZVĀRDS(-I) UN XĀXXX(-X)/ (LT) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖX) IR XXXXXX (-XX)/ (XX) X FORMANYOMTATVÁNYT KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXX NEVE(I) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX LI ĦAREĠ XXX XX-XXXXXXX/ (XX) XX(X)X(XX) XX XXXXXX(X)X(XX) XXX DE AMBTENAAR XXX XXX FORMULIER XXXXX AFGEGEVEN/ (XX) XXXXXXXX(-X) X XXXĘ (XXXXXX) XXXĘXXXXX, KTÓRY XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) APELIDO(S) X XXXX(X) XXXXXXX(X) XX XXXXXXXXXXX XXX EMITIU X XXXXXXXX XXXXXXXXXX/ (XX) NUMELE ȘI XXXXXXXXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, XXXXX VYDAL TENTO XXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX XXX/XXXXX XXXXXXXX, XX JE IZDAL XX OBRAZEC/ (XX) XÄXÄX XXXXXXXXX ANTANEEN XXXXXXXXXXX SUKUNIMI (-NIMET) XX XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX XXX XÖXXXXX XÅ XXX XXÄXXXXXXX SOM XXX XXXÄXXXX DETTA XXXXXXÄX

7.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXX XXX XXXXXXXXXXX QUE XXXXXXX XXXX IMPRESO/ (XX) XXXXXX ÚŘEDNÍKA, XXXXX XXXXX XXXXX XXXXXXXX/ (DA) XXXXXXXX — DEN EMBEDSMAND, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (DE) XXXXXXXX XXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXXXXXX HAT/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX AMETIKOHT/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX XX THE XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) XXXXX DU XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXX XX XXXXXXXX A X’XXXXXX XX XXXXXX SEO/ (XX) FUNKCIJA XXXXXXXXXX XXXX XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX PRESENTE XXXXXX/ (XX) XXXXXXXXXXXX, KURA XXXXXXXX XX XXXXXXXX, XXXXX/ (XX) XXĄ XXXXĄ XXXXXXXXX PAREIGŪNO XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (XX) KARIGA XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (NL) XXXXXXX XXX XX XXXXXXXXX DIE DIT XXXXXXXXX XXXXX AFGEGEVEN/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX XX FUNCIONÁRIO QUE XXXXXX O PRESENTE XXXXXXXXXX/ (XX) POZIȚIA XXXXȚXXXXXXXXX XXXX X XXXX PREZENTUL XXXXXXXX/ (XX) XXXXXXX ÚRADNÍKA, XXXXX VYDAL XXXXX XXXXXXXX/ (SL) XXXXXXX XXXXXXXX, XX XX XXXXX TA XXXXXXX/ (XX) TÄMÄN LOMAKKEEN XXXXXXXX XXXXXXXXXXX ASEMA/ (XX) BEFATTNING XÖX XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

7.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (TT/MM/JJJJ)/ (ET) XÄXXXXXXXXXX KUUPÄEV (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (GA) XXXX (LL/MM/BBBB) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) DATA XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X KIÁLLÍTÁS 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 DE EMISSÃO (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (SV) DATUM (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

7.4

(XX) ПОДПИС/ (ES) XXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXX/ (EL) ΥΠΟΓΡΑΦΗ/ (XX) SIGNATURE/ (XX) SIGNATURE/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) ALÁÍRÁS/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) PODPIS/ (PT) XXXXXXXXXX/ (XX) SEMNĂTURA/ (XX) XXXXXX/ (SL) XXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

7.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X TIMBRE/ (XX) XXXXX XXXX XXXXXXX/ (XX) XXXX XXXXX XXXXXXX/ (XX) XXXXXX XXXX XXXXXXX/ (XX) XXXXXX XÕX XXXXXX/ (EL) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX XXXXX/ (FR) XXXXX XX TIMBRE/ (XX) XXXXX NÓ XXXXXX/ (XX) XXX ILI XXXXX/ (XX) XXXXX X XXXXXX/ (XX) XĪXXXX XXX XXXXXXXX/ (XX) SPAUDAS ARBA XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX JEW TIMBRU/ (XX) XXXXX XX XXXXXXX/ (XX) XXXXXĘĆ XXX XXXXXXX/ (PT) XXXX XX XXXXXXX/ (XX) XXXXXXXX XXX ȘXXXXXXX/ (SK) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (XX) PEČAT ALI XXX/ (FI) XXXXXXX XXX XXXXX/ (XX) XXXXXX ELLER STÄMPEL

XXXXXXXXXXX K XXXXXXXX MANŽELSTVÍ

VÍCEJAZYČNÝ XXXXXXXXXX XXXXXXXX – POMŮCKA XXX XXXXXXX

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

Xxxxxx (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (DK) Německo (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Kypr (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxx (NL) Xxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (RO) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Xxxxxx (XX)

Xxxxxxx (SE) Xxxxxxx království (XX)

XXXXXXXX XXXXXXXXXX

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

Xxxxx formulář xxxxxx xxxxx veřejné xxxxxxx, x níž xx xxxxxxxx. Xxxxx, xxxxx je xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx xxxx x xxxxxxxxx, xxx xx to xxxxxxxx pro xxxxx xxxxxxxxxx veřejné xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx xxxxxxxxx, xxxxx xxxx ve xxxxxxxxx xxxxxxx.

XXXXXXXXXX PRO XXXXXXXXXX XXXXX

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

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

1. ORGÁN XXXXXXXXXX XXXXX FORMULÁŘ

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

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

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

3.1.1 Xxxxxxxxxx soudu

3.1.2 Listina xxxxxx státním zástupcem

3.1.3 Xxxxxxx vydaná xxxxxx xxxxxxx xxxxxxxxx

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

3.1.5 Xxxx (upřesněte)

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

(2) Xxx xxxxxxxxxx rukou xxxxxxxx hůlkové písmo.

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

(4) Slovo „xxxxx“ xx třeba xxxxxxxx xxxx úřední xxxxx xxxxxx vydávajícího xxxxxxxx xxxxxxx, x xxx xx přiložen 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 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 xxxxxxxxxxxxx xxxxxxxxx xxxx xxxxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxx x xxxxx výkonu xxxx xxxxxxxxxx xxxxxxxxxx

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx číslo xxxxxxx xxxxxxx

4. INFORMACE X XXXXXXX XXXXX

4.1 Xxxxxxxx

4.2 Xxxxx (xxxxx)

4.3 Datum (xx/xx/xxxx) xxxxxxxx

4.4 Místo (1) x xxxx (2) xxxxxxxx

4.5 Pohlaví:

4.5.1 Xxxx

4.5.2 Xxx

4.5.3 Xxxxxxxx

4.6 Xxxxxx příslušnost:

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

5.1 Xx dotyčná xxxxx xxxxxxxxx xxxxxxx xxxxxxxxxx xxxxx vnitrostátního xxxxx xxxxxxxxx xxxxx, x xxxx je xxxxxxx listina xxxxxx.

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

5.3 Xxxxxxxxxx xxxxx xxxxx překážka, xxx xxxxxxx osoba uzavřela xxxxxxxxxx podle xxxxxxxxxxxxxx xxxxx xxxxxxxxx xxxxx, x xxxx je xxxxxxx xxxxxxx xxxxxx.

5.4 Xxxxxxxxxx xxxxx xxxxx xxxxxxxx manželství xxxx xxxxxxxx xxxxxx x xxxxx snoubencem / xxxx xxxxxxxxxx xxxxx xxxxxxxxxxxxxx práva xxxxxxxxx xxxxx, v xxxx xx xxxxxxx xxxxxxx xxxxxx.

5.5 Xxxxxxxxxx žádná xxxxx xxxxxxx xxxxx xxxxxxxx xxxxxxxxxx xxxx xxxxxxxx osobou a xxxxx xxxxxxxxxx / xxxx snoubenkou podle xxxxxxxxxxxxxx práva xxxxxxxxx xxxxx, x němž xx xxxxxxx xxxxxxx xxxxxx.

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

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

(3) Xxx xxxxxx xxxx xxxxxxxx.

6. INFORMACE X XXXXXXXXX / XXXXXXXXX XXXXXXX XXXXX

4.1 Xxxxxxxx

4.2 Jméno (xxxxx)

4.3 Xxxxx (dd/mm/rrrr) xxxxxxxx

4.4 Xxxxx (1) x xxxx (2) xxxxxxxx

4.5 Xxxxxxx:

4.5.1 Xxxx

4.5.2 Xxx

4.5.3 Xxxxxxxx

4.6 Xxxxxx xxxxxxxxxxx

7. XXXX PRO PODPIS

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

7.2 Xxxxxx xxxxxxxx, xxxxx xxxxx xxxxx formulář

7.3 Xxxxx (dd/mm/rrrr) vydání

7.4 Xxxxxx

7.5 Xxxxx nebo xxxxxxx

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

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

XXXXXXXXXXX XXXXXX NÁZVŮ XXXXXXXXXXXX XXXXXXX

(XXXXXXXXXXX K XXXXXXXX XXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX QUE XXXXXX ESTE XXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXX XXXXXXXX/ (DA) XXXXX FORMULARS XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) KÄESOLEVA XXXXX VÄLJA XXXXXX XXXXXX/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (EN) XXXXXXXXX XXXXXXX XXXX XXXX/ (XX) AUTORITÉ XX XXXXXXXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XX xXXXXXX X XXXXXXXX XX XXXXXX XXX/ (XX) TIJELO XXXX XXXXXX XXXX OBRAZAC/ (XX) AUTORITÀ XXX XXXXXXXX XX XXXXXXXX XXXXXX/ (XX) VEIDLAPAS XXXXXĒXXXXXĀXX/ (LT) XXĄ XXXXĄ IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ EMITTENTI XX' XXX IL-FORMOLA/ (XX) AUTORITEIT VAN XXXXXXX VAN DIT XXXXXXXXX/ (PL) XXXXX XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (XX) AUTORIDADE XXX XXXXX X PRESENTE XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ A XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX FORMULÁR/ (XX) ORGAN, XX XXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (SV) XXXXXXXXX SOM UTFÄRDAR XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (ES) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (ET) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (HR) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (MT) XXXXX/ (XX) BENAMING/ (XX) XXXXX/ (PT) XXXXXXXÇÃX/ (XX) DENUMIRE/ (XX) NÁZOV/ (SL) XXX/ (XX) XXXX/ (XX) NAMN

2.

(BG) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX ESTE XXXXXXX/ (CZ) ORGÁN XXXXXXXXXX XXXXXXXX XXXXXXX, X NÍŽ XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXX MYNDIGHED, XXX XXX UDSTEDT XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (DE) XXXÖXXX, DIE XXX ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX BEIGEFÜGT XXX, XXXXXXXXX/ (XX) XXXXXX, XXX XXXXX XÄXXX XXXXXXX XXXXXXXXX, XXXXXXX XXX XXXX XX LISATUD/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX ISSUING XXX PUBLIC DOCUMENT XX XXXXX XXXX XXXX IS ATTACHED/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX LE XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX A EISEOIDH XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) TIJELO KOJE XXXXXX XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ CHE RILASCIA XX DOCUMENTO XXXXXXXX XXX XX PRESENTE XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ VEIDLAPA XX XXXXXXXXXX, IZDEVĒJIESTĀDE/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ EMITTENTI XXX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX/ (NL) XXXXXXXXXX VAN XXXXXXX XXX XXX XXXXXXXX XXXXXXXX XXXXXXX DIT XXXXXXXXX XX XXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXX XXXĘXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (PT) XXXXXXXXXX XXX XXXXX X XXXXXXXXX PÚBLICO X XXX O XXXXXXXX XXXXXXXXXX ESTÁ XXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXXX XXXXXXX XX CARE XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX VEREJNÚ LISTINU, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) ORGAN, XX XXXX JAVNO XXXXXXX, XX XX JE XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXXXX, JOKA XX XXXXXXX YLEISEN XXXXXXXXXX, JOHON XÄXÄ XXXXXX XXXXXXÄÄX/ (SV) XXXXXXXXX SOM XXXÄXXXX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄR XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXX AL QUE XX XXXXXXX ESTE XXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XX VEŘEJNÉ XXXXXXX, K NÍŽ XX XXXXXXXX XXXXX XXXXXXXX/ (DA) XXXXXXXXXXX XXXXØXXXXX XXX OFFENTLIGE XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXX ZUR ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX XXXXXXX DOKUMENDI XXXXX, XXXXXXX XXX VORM XX LISATUD/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXX XXXXXX XXXXXXXX TO XXXXX XXXX FORM XX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX XXXXXX AUQUEL XXX XXXXX XX XXXXXXX FORMULAIRE/ (GA) XXXXXXXX X BHAINEANN XXXX XX XXXXXXXXX XXXXXX LENA XXXXXX XX FHOIRM SEO XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXX XX XXXXXX XX JAVNU ISPRAVU XXXXX JE XXXX XXXXXXX PRILOŽEN/ (XX) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX MODULO È XXXXXXXX/ (LV) XXXXXXĀXXXX XXX PUBLISKO XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX XX VIEŠUOJU DOKUMENTU, XXXX XXXXX PRIDEDAMA XX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) INFORMAZZJONI DWAR XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX BETREFFENDE XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (PL) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX URZĘDOWEGO, XX KTÓREGO XXXXXXXXX XXXXXXXXX JEST ZAŁĄCZONY/ (XX) INFORMAÇÕES XXXXXXXXX XX XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX LA DOCUMENTUL XXXXXXX LA XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) INFORMÁCIE X VEREJNEJ LISTINE, XX XXXXXX XX XXXXX FORMULÁR PRIPOJENÝ/ (XX) INFORMACIJE X XXXXX X JAVNO XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX/ (FI) TIEDOT XXXXXXXXÄ ASIAKIRJASTA, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXXXX OM XXX OFFICIELLA HANDLING XXXX VILKEN DETTA XXXXXXÄX ÄX BIFOGAT

3.1

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (ES) XXXXXXXXX XXXXXXXX XXX XXX XXXXXXXXX X XX XXXXXXXXXXX XXXXXXXXX A XXX XXXXXXX XXXXXXXXXXXXXXXX XX UN ESTADO XXXXXXX/ (CZ) LISTINA XXXXXX XXXXXXX XXXX XXXXXXXXX X XXXXXX XX SOUDY XXXXXX XXXXXXXXX XXXXX/ (DA) XXXXXXXX, XXX XX XXXXXXX AF XX XXXXXXXXX XXXXX EN XXXXXXXXXX, XXX XX XXXXXXXXXX DOMSTOLE X XX XXXXXXXXXXX/ (DE) XXXXXXX EINER XXXÖXXX XXXX XXXXX XXXXXXXXXX XXX XXXXX XXX XXXXXXXXXXXX EINES XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX VÄLJA XXXXXX XXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXXXX XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΈΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) DOCUMENT XXXXXXXXX XXXX AN XXXXXXXXX XX XX XXXXXXXX XXXXXXXXX XXXX XXX XXXXXX OR XXXXXXXXX XX X XXXXXX STATE/ (XX) XXXXXXXX XXXXXXX X'XXX XXXXXXXX OU X'XX XXXXXXXXXXXXX RELEVANT X'XXX XXXXXXXXXXX X'XX XXXX XXXXXX/ (GA) XXXXXXXXX X THAGANN X XXXXXX XX X XXXXXXXXX X XXXXXX XXXXX XXXX XX XXXX XX XXXXXXXXXX XX XX XXXXX XX CHUID XXXXXXXXX/ (XX) XXXXXXX KOJU XX XXXXXX XXXXXX XXX SLUŽBENIK SUDA XXXXXX ČLANICE/ (IT) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ X DA XX FUNZIONARIO XXXXXXXXXXXX XX XXX XXXXX XXXXXXXXXXXXX DI UNO XXXXX XXXXXX/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX XX XXXĪXXXXXXX TIESĀM XXXXXĪXX IESTĀDE XXX XXXXXXXXXXX/ (LT) XXXXXXXXXX, XXXXXXXX VALDŽIOS XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX XXXXXXXX AR TRIBUNOLAIS/ (XX) XXXXXXXXX BÍRÓSÁGGAL XXXXXXXXXXXX XXXX HATÓSÁG XXXX TISZTVISELŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ XXX XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX JEW IT-TRIBUNALI XX' XXXX XXXXXX/ (XX) DOCUMENT AFGEGEVEN XXXX XXX XXXXXXXXXX XX XXXXXXXXX BEHORENDE XXX EEN XXXXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX OD XXXXXX XĄXXXXXX LUB XXXĘXXXXX XĄXXXXXX PAŃSTWA CZŁONKOWSKIEGO/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXXXX XX DE XX XXXXXXXXXXX XXXXXXXXXX DE XXXXXXXX JURISDIÇÃO DE XX XXXXXX-XXXXXX/ (XX) XXXXXXXX EMIS DE X XXXXXXXXXX XXX XX XX XXXXȚXXXXX XX PE XÂXXĂ XXXXXXȚXXX UNUI XXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXX XXXXXXXXX S VÄZBOU XX XXXX XXXXXXXXX XXXXX/ (SL) LISTINA, XXXXXX X STRANI XXXXXX ALI XXXXXXXX XXXXX OBLASTI XXXXXX XXXXXXX/ (FI) XXXXXXXXX, XXXXX XX XXXXXXX XÄXXXXXXXXXX OIKEUSLAITOKSEEN XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) HANDLING SOM XÄXXÖX FRÅN EN XXXXXXXXX XXXXX EN XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (ES) XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX SOUDU/ (DA) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (EL) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (EN) XXXXX XXXXXXXX/ (XX) XXXXXXXX DE JUSTICE/ (XX) XXXXXXXX XX xXXXXX/ (XX) XXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) TIESAS XĒXXXX/ (XX) TEISMO XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (MT) DEĊIŻJONI XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (PT) XXXXXÃX XXXXXXXX/ (RO) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (SK) XXXXX XXXXXXXXXXX/ (XX) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX FISCAL/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (DA) XXXXXXXX XXXXXXX XX EN XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX XX XÄXXX XXXXXX RIIKLIK XÜÜXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) DOCUMENT XXXXXXXXX XXXX X XXXXXX XXXXXXXXXX/ (XX) DOCUMENT XXXXXXX DU XXXXXXÈXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXXX ODVJETNIŠTVO/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) ÜXXXXX XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ MINN XXXXXXXXXX XXXXXXXX/ (NL) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX XXXXXXXXXXX/ (XX) XXXXXXXXX PROVENIENTE DO XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXX XX XX PROCUROR/ (SK) XXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXX, XX XX IZDA XXXXXXX XXXXXXXXX/ (XX) VIRALLISEN XXXXXÄXÄX ANTAMA ASIAKIRJA/ (XX) HANDLING XXX XÄXXÖX FRÅN ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX XX SECRETARIO XXXXXXXX/ (XX) LISTINA XXXXXX XXXXXX SOUDNÍM XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX EN JUSTITSSEKRETÆR/ (XX) XXXXXXX EINES XXXXXXXXXXXXXX XXX GESCHÄFTSSTELLE XXXXX XXXXXXXX/ (XX) XXXXXXXX, MILLE XX XÄXXX ANDNUD XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX EMANATING XXXX X CLERK XX X COURT/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXX DE XXXXX CÚIRTE/ (HR) XXXXXXX XXXX JE XXXXX UPRAVITELJ XXXXXX XXXXXXXXX/ (XX) DOCUMENTO XXXXXXX XX XX XXXXXXXXXXX/ (LV) DOKUMENTS, XXXX IZSNIEDZIS TIESAS XXXXXXĀXX/ (XX) TEISMO XXXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (XX) XXXXXXXX TISZTVISELŐ XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ XXXX XXĠXXXXXXXX XX' XXXXX/ (NL) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX OD XXXXXXXXXX XĄXXXXXX/ (PT) DOCUMENTO XXXXXXXXXXX XX XX XXXXXXX DE XXXXXÇX/ (XX) XXXXXXXX XXXX XX UN XXXXXXX XX XXXXXXȚXX/ (XX) XXXXXXX VYDANÁ SÚDNYM XXXXXXXXX/ (XX) LISTINA, XX JO IZDA XXXXX XXXXXXXXXX/ (FI) XXXXXXXXXXXXXX SIHTEERIN XXXXXX XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX XXÅX XX DOMSTOLSTJÄNSTEMAN

3.1.4

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („HUISSIER XX XXXXXXX“)/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (CZ) XXXXXXX VYDANÁ SOUDNÍM XXXXXXXXXXXXX („HUISSIER DE XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX AF EN XXÆXXXXXXXXXX (»XXXXXXXX DE XXXXXXX«)/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX ON XÄXXX ANDNUD XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXXXXXXX XXXX A XXXXXXXX XXXXXXX ('XXXXXXXX DE XXXXXXX')/ (XX) XXXXXXXX XXXXXXX X'XX HUISSIER XX XXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX DE JUSTICE”)/ (XX) XXXXXXX KOJU XX XXXXX SUDSKI XXXXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXX GIUDIZIARIO ("HUISSIER XX XXXXXXX")/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX IZPILDĪTĀJS (HUISSIER XX XXXXXXX)/ (XX) XXXXXXXXX (XXXXXXXX DE XXXXXXX) XXXXXXXX DOKUMENTAS/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX”) XXXXX KIÁLLÍTOTT OKIRAT/ (XX) DOKUMENT MAĦRUĠ XXXX XXXXĊXXX ĠUDIZZJARJU ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX XXXĘXXXXX SĄDOWEGO (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX ESCRIVÃO XX DIREITO («HUISSIER XX XXXXXXX»)/ (RO) XXXXXXXX XXXX XX XX XXXXXXXX JUDECĂTORESC („XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX VYDANÁ XXXXXX XXXXXXXXXXĽXX („HUISSIER XX JUSTICE“)/ (XX) XXXXXXX, XX JO XXXX XXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXXXXX (”HUISSIER XX JUSTICE”) ANTAMA XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN XX STÄMNINGSMAN (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (ESPECIFÍQUESE)/ (XX) XXXX (XXXXXXXXX)/ (XX) ANDRE (XXXXXXX)/ (XX) SONSTIGES (XXXXX XXXXXXX)/ (XX) XXX (XÄXXXXXXXX)/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (EN) OTHER (XX XX SPECIFIED)/ (XX) XXXXX (À XXXXXXXX)/ (XX) EILE (XX SONRÚ)/ (XX) XXXXXX (NAVESTI)/ (IT) XXXXX (XXXXXXXXX)/ (XX) XXXX (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (HU) XXXXX (XXXXÜX PONTOSÍTANI)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (SPECIFICEREN)/ (XX) XXXX (PROSZĘ XXXXŚXXĆ)/ (PT) XXXXXX (X ESPECIFICAR)/ (RO) XXXXX (X SE XXXXXXX)/ (XX) XXX (XXXXXXXX)/ (SL) DRUGO (XXXXXXX)/ (FI) MUU XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (DE) XXXXXXX XXXXX VERWALTUNGSBEHÖRDE/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (GA) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) ADMINISTRACINIS XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXXXXXXXXXXXXX/ (NL) XXXXXXXXXXXXXX XXXXXXXX/ (PL) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (RO) DOCUMENT XXXXXXXXXXXXX/ (XX) SPRÁVNA XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (ET) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (FR) XXXXXXXXXX/ (XX) DEIMHNIÚ/ (XX) XXXXXXX/ (XX) CERTIFICATO/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊERTIFIKAT/ (XX) CERTIFICAAT/ (XX) XXŚXXXXXXXXXX/ (PT) XXXXXXÃX XX CERTIFICADO/ (XX) XXXXXXXXXX/ (XX) OSVEDČENIE/ (XX) POTRDILO/ (FI) XXXXXXXX/ (SV) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXX X XXXXXXX/ (XX) UDDRAG FRA XXXXXXXXXXXXXXXXXXXX/ (XX) AUSZUG XXX DEM XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) EXTRACT XXXX XXX XXXXX XXXXXX REGISTER/ (FR) XXXXXXX XX XXXXXXXX XX L'ÉTAT XXXXX/ (XX) XXXXXXX XX XX gCLÁR XXXXXXX XXXXXXXXXX/ (HR) XXXXXXX XX XXXXXXXX XXXXXXX XXXXXX/ (IT) ESTRATTO XX ATTO XX XXXXX XXXXXX/ (XX) XXXXXXXX NO XXXXXXXĀXXXĻX XXXX XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXĖX XŪXXĖX XXXŲ XXXXXXXX/ (XX) ANYAKÖNYVI XXXXXXX/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXX ĊIVILI/ (NL) XXXXXXXXXX XXX XXX XXXXXXXX XXX XX XXXXXXXXXXX XXXXX/ (PL) XXXXX XXXXXXXX AKTU XXXXX XXXXXXXXX/ (XX) XXXXXXX XX XXXX XX XXXXXXX XXXXX/ (XX) XXXXXX XXX XXXXXXXXX XX STARE XXXXXĂ/ (XX) VÝPIS X XXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXX XX REGISTRA O XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (SIVIILISÄÄTY)/ (SV) XXXXXX UR FOLKBOKFÖRINGEN

3.2.3

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX XXX CENSO/ (XX) XXXXX Z XXXXXXXX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX XXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (EL) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX XXX XXXXXXXXXX REGISTER/ (XX) XXXXXXX XX XXXXXXXX XX XX POPULATION/ (XX) SLIOCHT XX XX xXXXX XXXXXX/ (XX) XXXXXXX IZ XXXXXX XXXXXXXXXXXX/ (IT) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XX XXXXĪXXXĀXX XXĢXXXXX/ (LT) XXXXXXX XX XXXXXXXXŲ XXXXXXXX/ (XX) XXXXXXX A XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (NL) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX X XXXXXXXX XXXXXŚXX/ (PT) XXXXXXX XX XXXXXXX XX XXXXXXÇÃX/ (RO) XXXXXX DIN XXXXXXXXX XX EVIDENȚĂ X XXXXXXȚXXX/ (XX) XXXXX 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 ZÁZNAMŮ/ (XX) XXXXXX XXXX XX CIVILSTANDSREGISTRE/ (DE) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (ET) XXXXXXXXXXXXXXXXXX XXXXXX/ (EL) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX XX XXXXX XXXXXX XXXXXXX/ (FR) XXXXX XXXXXXXXX X'XXXXX XX X'XXXX XXXXX/ (XX) XXXX XXXXX XX XXXXXX XX XXXXXXX XX XXXXXX XXXXXXXXX/ (HR) XXXXXXXX XXXXXXXX IZ XXXXXXXXXX X OSOBNOM STANJU/ (XX) XXXXX XXXXXXXXX XX ATTO XX XXXXX XXXXXX/ (LV) XXXXXXXĀXXXĻX XXXX XXĢXXXXX XXXXXXXX AUTENTISKA XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮXXXŲ PAŽODINĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX SZÓ XXXXXXXX XXXXXXXX/ (XX) KOPJA XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (XX) EENSLUIDEND XXXXXXXXX XXX XXXXX XXX DE BURGERLIJKE XXXXX/ (PL) XXXXX XXXXŁXX AKTU XXXXX XXXXXXXXX/ (XX) CERTIDÃO XX XXXXX XXXXXXXX XX DE XXXXXXXXX XX XXXX DE XXXXXXX XXXXX/ (XX) XXXXX XXXXXĂ A XXXX ACT DE XXXXX XXXXXĂ/ (SK) XXXXXXXX XXXXX XX XXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXX XXXXXX XXXXXX X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) ORDAGRANN AVSKRIFT XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (ES) ACTA XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (DA) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX/ (ET) NOTARIAALDOKUMENT/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) XXXX NOTARIÉ/ (XX) GNÍOMH NÓTAIREACHTA/ (XX) JAVNOBILJEŽNIČKA XXXXXXX/ (XX) ATTO XXXXXXXX/ (XX) XXXXXXĀXX XXXX/ (XX) XXXXXXXXX XXXXX/ (XX) KÖZJEGYZŐI OKIRAT/ (XX) XXX NOTARILI/ (XX) NOTARIËLE AKTE/ (XX) XXX XXXXXXXXXX/ (XX) XXX NOTARIAL/ (XX) XXX NOTARIAL/ (XX) NOTÁRSKA XXXXXXX/ (XX) NOTARSKA XXXXXXX/ (XX) XXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) CERTIFICACIÓN XXXXXXX XXXXXX XXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXX, XXXXXX XXXX OPATŘENA XXXXXXX XXXXXXXXX SOUKROMOU XXXXXX/ (XX) OFFICIEL XÅXXXXXXX XÅ ET XXXXXXXX XXXXXXXXXXX XX EN XXXXXX I DENNES XXXXXXXX AF XXXXXXXXXXXX/ (XX) XXXXXXXX BESCHEINIGUNG XXX XXXXX PRIVATURKUNDE/ (XX) XXXXX XXXXX XXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX XXXXXXX XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) OFFICIAL XXXXXXXXXXX PLACED XX X XXXXXXXX SIGNED XX A XXXXXX XX XXX XX XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX XX XXXX XXXX XXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX X XXXXXXXXX XX XXXXXXXXXX ARNA XXXXXX XX XXXXX XXX CHÁIL XX XXX CÁIL XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX XX ISPRAVU XXXX XX XXXXX XXXXXXXXX U XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX XXX XXXXXXXXX PRIVATA/ (XX) XXXXXĀXX APLIECINĀJUMS XX XXXXXXXXX, XX XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX PERSONA/ (LT) XXXXXXXŲ XXXXXŲ PASIRAŠYTŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) MAGÁNOKIRATON XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ĊXXXXXXXXX UFFIĊJALI XX XXXXXXXĦXX F'DOKUMENT XXXXXXXX XXXX PERSUNA XXX-XXXXĊXXÀ XXXXXXX TAGĦHA/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXX XXXXXXXXXXX XXXX XXX PERSOON XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (PL) URZĘDOWE XXŚXXXXXXXXXX XXXXXXXXXXX NA XXXXXXXXXX PODPISANYM PRZEZ XXXXĘ XXXXŁXXĄXĄ W XXXXXXXXXXX PRYWATNYM/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX ATO DE XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXX XXXXXXX XX XX XXXXXXXX XXX XXXXĂXXXĂ PRIVATĂ/ (XX) ÚRADNÉ XXXXXXXXXX XXXXXXX XX XXXXXXX XXXXXXXXXX OSOBOU KONAJÚCOU XXX XXXXXXXX OSOBA/ (XX) URADNA IZJAVA XX XXXXXXX XXXXXXX/ (XX) XXXXXXXXXX TODISTUS XXXXXXXXXXXX, XXXXX XXXXXXÖ XX ALLEKIRJOITTANUT XXXXXXXXXXXXXXÖXÄ/ (XX) OFFICIELLT XXXXX XXXXXXXXX PÅ XX XXXXXXXX XXX XXXXXXXXXXXXX XX XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (ES) DOCUMENTO XXXXXXXX POR UN XXXXXX XXXXXXXXXXX X XXXXXXXX XX XX XXXXXX XXXXXXX CON XXXXXXXX XXXXXXX/ (XX) XXXXXXX VYHOTOVENÁ XXXXXXXXXXXXX XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) DOKUMENT XXXXXXXXX XXXÆXXXXXX XX XX XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX REPRÆSENTANT/ (XX) XXX XXXXX XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX MITGLIEDSTAATS IN XXXXXX AMTLICHEN FUNKTION XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX POOLT XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) DOCUMENT DRAWN XX XX X XXXXXXXXXX XX XXXXXXXX XXXXX XX X XXXXXX XXXXX XX XXX XX HER XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXX XX XX QUALITÉ XXXXXXXXXX XXX UN AGENT XXXXXXXXXXXX XX CONSULAIRE X'XX ÉTAT XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX XXXX AG XXXXXXXXXX TAIDHLEOIREACHTA XX XXXXXXXXX DE XXXXX XXXXXXXXX XXX XXXXX XX XXX CÁIL XXXXXXXXX/ (XX) ISPRAVA XXXX JE X XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX DRŽAVE XXXXXXX/ (XX) DOCUMENTO REDATTO XX XXXXXX XXXXXXXXXXX X XXXXXXXXX XX XXX XXXXX MEMBRO XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (XX) DOKUMENTS, XXXX, XXXXXX XXXXX XXXXĀXXXXX, SAGATAVOJIS DALĪBVALSTS XXXXXXĀXXXXXXX VAI XXXXXXĀXXXX XĀXXXĀXXX/ (LT) DOKUMENTAS, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX XX XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX PAGAL XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX DIPLOMÁCIAI XXXX KONZULI XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX IMĦEJJI XXXX XĠXXX XXXXXXXXXXX JEW XXXXXXXXX XX' XXXX XXXXXX FIL-KAPAĊITÀ UFFIĊJALI XXXXĦX/ (NL) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX IN ZIJN XXXXXXËXX XXXXXXXXXXXX/ (XX) XXXXXXXX SPORZĄDZONY PRZEZ XXXXXXXXXXXXXXX DYPLOMATYCZNEGO LUB XXXĘXXXXX KONSULARNEGO XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX W XXXXXXXXXXX XXXĘXXXXX/ (PT) XXXXXXXXX XXXXXXX XXX XX XXXXXX XXXXXXXXXXX XX XXXXXXXX XX XX XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎNTOCMIT XX XĂXXX UN XXXXX XXXXXXXXXX XXX CONSULAR XX XXXX XXXX XXXXXX, ÎX CALITATE XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX KONZULÁRNYM XXXXXXXXX XXXXXXXXX XXXXX X XXXXX VÝKONU XXXX XXXXXXX/ (XX) LISTINA, XX XX KOT XXXXXX OSEBA XXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX DRŽAVE ČLANICE/ (XX) XXXXXXXXX, JONKA XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX XX XXXXXXXX VIRANTOIMITUKSESSA/ (XX) XXXXXXXX UPPRÄTTAD X XXÄXXXXX AV XX XXXXXXXXXXX XXXXX XXXXXXÄX XXÄXXXXXXX I XX XXXXXXXXXXX

3.6

(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)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (XX/XX/XXXX) OF XXXXX/ (XX) XXXX (JJ/MM/AAAA) XX DÉLIVRANCE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (GG/MM/AAAA)/ (XX) IZDOŠANAS XXXXXX (XX/XX/XXXX)/ (XX) IŠDAVIMO XXXX (DD/MM/MMMM)/ (HU) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (PT) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX DE XXXXXXXXXX XXX DOCUMENTO PÚBLICO/ (XX) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (DA) XXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (DE) XXXXXXXXXX XXX ÖFFENTLICHEN XXXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX OF XXX XXXXXX XXXXXXXX/ (XX) XXXXXX DE RÉFÉRENCE XX XXXXXXXX XXXXXX/ (XX) XXXXXX THAGARTHA XX XXXXXXXXX XXXXXXX/ (XX) REFERENTNI BROJ XXXXX ISPRAVE/ (XX) XXXXXX DI RIFERIMENTO XXX XXXXXXXXX XXXXXXXX/ (XX) PUBLISKĀ XXXXXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXX/ (XX) X XÖXXXXXXX XXXXXXXXXXX SZÁMA/ (XX) XXXXX TA' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX DOCUMENT/ (PL) XXXXX REFERENCYJNY XXXXXXXXX XXXĘXXXXXX/ (PT) XXXXXX XX REFERÊNCIA XX XXXXXXXXX XXXXXXX/ (RO) XXXĂXXX DE XXXXXXXȚĂ XX DOCUMENTULUI XXXXXXX/ (XX) REFERENČNÉ XXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX JAVNE XXXXXXX/ (FI) YLEISEN XXXXXXXXXX XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXXXX OM XXX PÅGÆLDENDE PERSON/ (XX) XXXXXXX XXX XXXXXXXXXXXX PERSON/ (XX) XXXXXXXXX XXXXXX XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXX XXX XX PERSONNE XXXXXXXXX/ (GA) XXXXXXXX XXXXXX XXXX XX XXXXX LENA mBAINEANN/ (XX) XXXXXXXXXXX X XXXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (LV) XXXXXXĀXXXX XXX XXXXXXĪXX XXXXXXX/ (XX) INFORMACIJA XXXX XXXXXXXXXĄ XXXXXĮ/ (XX) XX XXXXXXXX XXXXXXXXX XXXXXXXXX ADATOK/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXX XXXXĊXXXXXX/ (XX) XXXXXXXXXX XXXX XX BETROKKENE/ (XX) XXXX XXXXX, XXXXXX XXXXXXX XXXXXXXX/ (XX) INFORMAÇÕES SOBRE X PESSOA EM XXXXX/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXX XXXXXĂ/ (XX) INFORMÁCIE X XXXXXXXXX XXXXX/ (SL) XXXXXXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXX/ (SV) XXXXXXXXX XX XXX XXXÖXXX PERSONEN

4.1

(BG) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X)/ (XX) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (DE) XXXXXXXXXXXX(X)/ (XX) XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX(X)/ (FR) XXX(X)/ (XX) XXXXXXX (SLOINNTE)/ (XX) XXXXXXX(XX)/ (IT) XXXXXXX(X)/ (LV) UZVĀRDS(-I)/ (XX) XXXXXXĖ (-ĖX)/ (XX) XXXXXXX NEVE(I)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (XX) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (XX) APELIDO(S)/ (XX) XXXX/ (SK) PRIEZVISKO(-Á)/ (XX) XXXXXXX/XXXXXXX/ (FI) XXXXXXXX (-XXXXX)/ (SV) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (CZ) XXXXX (JMÉNA)/ (DA) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (LV) VĀRDS(-I)/ (XX) XXXXXX (-AI)/ (XX) XXXXXXX(X)/ (MT) XXXX(/XXXXXXXX)/ (XX) VOORNA(A)M(EN)/ (XX) XXXĘ (IMIONA)/ (XX) XXXX(X) XXXXXXX(X)/ (XX) PRENUME/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (XX) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX NACIMIENTO/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XØXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (EN) XXXX (XX/XX/XXXX) OF BIRTH/ (XX) DATE (XX/XX/XXXX) XX XXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) BREITHE/ (XX) XXXXX (DD/MM/GGGG) XXĐXXXX/ (XX) DATA XX NASCITA (XX/XX/XXXX)/ (XX) DZIMŠANAS XXXXXX (XX/XX/XXXX)/ (XX) GIMIMO XXXX (DD/MM/MMMM)/ (HU) XXÜXXXXXX IDEJE (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (XX) GEBOORTEDATUM (XX/XX/XXXX)/ (PL) DATA (XX/XX/XXXX) URODZENIA/ (XX) XXXX XX NASCIMENTO (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) NAȘTERII/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (FI) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) FÖDELSEDATUM (XX/XX/ÅÅÅÅ)

4.4

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX X XXXX DE NACIMIENTO/ (XX) MÍSTO A XXXX XXXXXXXX/ (DA) XØXXXXXX OG -XXXX/ (XX) XXX XXX XXXX DER XXXXXX/ (XX) SÜNNIKOHT XX -XXXX/ (EL) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX XXX XXXXXXX OF XXXXX/ (XX) XXXX XX XXXX DE XXXXXXXXX/ (XX) XXX XXXX XXX XXXXXXXX/ (HR) XXXXXX X XXXXXX XXĐXXXX/ (XX) XXXXX X XXXXX DI XXXXXXX/ (XX) XXXXXXXXX XXXXX XX XXXXXX/ (XX) GIMIMO XXXXX XX XXXXX/ (XX) XXÜXXXXXX XXXXX XX XXXXXXX/ (XX) XXXX X XXXXXŻ XXX-XXXXXX/ (XX) GEBOORTEPLAATS XX -XXXX/ (XX) XXXXXXX X XXŃXXXX XXXXXXXXX/ (XX) XXXXX X XXXX DE XXXXXXXXXX/ (XX) XXXXX ȘX ȚXXX NAȘTERII/ (SK) XXXXXX X XXXX XXXXXXXXX/ (SL) XXXX XX DRŽAVA ROJSTVA/ (XX) XXXXXXÄXXXXXX JA -XXX/ (SV) XÖXXXXXXXX XXX -XXXX

4.5

(XX) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (XX) KØN/ (XX) XXXXXXXXXX/ (XX) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXX/ (IT) XXXXX/ (XX) XXXXXXX/ (XX) LYTIS/ (XX) XXXX/ (XX) SESS/ (XX) GESLACHT/ (XX) XŁXĆ/ (PT) XXXX/ (XX) XXXXX/ (SK) XXXXXXXX/ (XX) XXXX/ (XX) XXXXXXXXX/ (SV) XÖX

4.5.1

(XX) ЖЕНСКИ/ (ES) XXXXX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXXXXXX/ (ET) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) BAINEANN/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (HU) NŐ/ (XX) XXXX/ (XX) XXXXX/ (PL) KOBIETA/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (SK) ŽENSKÉ/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX

4.5.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (DA) XXXX/ (XX) XÄXXXXXX/ (XX) MEESSOOST/ (XX) ΑΡΡΕΝ/ (EN) XXXX/ (XX) MASCULIN/ (XX) XXXXXXX/ (XX) MUŠKI/ (XX) MASCHILE/ (XX) XĪXXXXXX/ (LT) VYRAS/ (XX) XXXXX/ (XX) XXĠXX/ (XX) MAN/ (XX) XĘŻXXXXXX/ (XX) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) MAN

4.5.3

(BG) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (DA) XXXXXXXX/ (XX) UNBESTIMMT/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) UNDETERMINED/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) INDETERMINATO/ (XX) XXXXXXXXXX/ (XX) NENUSTATYTA/ (XX) MEGHATÁROZATLAN/ (MT) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) PŁEĆ XXXXXXXŚXXXX/ (XX) NÃO XXXXXXXX/ (RO) XXXXXXXXXXXX/ (XX) NEURČENÉ/ (SL) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) EJ XXXXXXÄXXX

4.6

(XX) ГРАЖДАНСТВО/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX-XXXXXÖXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) ΙΘΑΓΕΝΕΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) NÁISIÚNTACHT/ (XX) XXXXXXXXXXXXX/ (XX) CITTADINANZA/ (XX) XXXXXXXXXXXXĪXX/ (XX) XXXXXXXXĖ/ (XX) ÁLLAMPOLGÁRSÁGA/ (XX) ĊXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) NACIONALIDADE/ (RO) XXXĂȚXXXX/ (SK) ŠTÁTNA XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX

5.

(XX) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) SEGÚN XX XXXXXXXXX XXXXXXX XX XXX SE XXXXXXX ESTE XXXXXXX,/ (XX) NA XXXXXXX XXXXXXX XXXXXXX, K XXX XX XXXXXXXX XXXXX XXXXXXXX,/ (DA) X XXXXXXX TIL XXX XXXXXXXXXX DOKUMENT, XXX DENNE FORMULAR XX VEDHÆFTET/ (XX) XXXÄXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) VASTAVALT AVALIKULE XXXXXXXXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΣΥΜΦΩΝΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) ACCORDING XX THE PUBLIC XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (FR) X'XXXÈX XX XXXXXXXX XXXXXX XXXXXX XX PRÉSENT XXXXXXXXXX XXX XXXXX/ (XX) XX XXXX XX XXXXXXXXX XXXXXXX XXXX BHFUIL XX XXXXXX SEO CEANGAILTE/ (XX) XXXXX XXXXXX XXXXXXX XXXXX XX XXXX OBRAZAC PRILOŽEN/ (XX) XXXXXXX IL XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (LV) XXXXXŅĀ AR PUBLISKO XXXXXXXXX, XXXXX ŠĪ XXXXXXXX XX XXXXXXXXXX/ (XX) PAGAL VIEŠĄJĮ XXXXXXXXĄ, PRIE XXXXX XXXXXXXXX XX FORMA/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXX XXXXXXX/ (XX) XXXXX ID-DOKUMENT XXXXXXXX XX XXXXĦX XXXX MEHMUŻA DIN XX-XXXXXXX/ (XX) XXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX GEHECHT/ (XX) X XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXŁĄXXXXX XXXX XXXXXXXXX FORMULARZ, XXXXXX, ŻX/ (XX) XXXXXXX O XXXXXXXXX XXXXXXX A XXX X PRESENTE FORMULÁRIO XXXX APENSO/ (XX) ÎX XXXXXXXXXXXX CU XXXXXXXXXX XXXXXXX LA XXXX XXXX ANEXAT XXXXXXXXX XXXXXXXX/ (XX) XXXĽX XXXXXXXX XXXXXXX, XX XXXXXX JE XXXXX FORMULÁR XXXXXXXXX/ (XX) V XXXXXX X JAVNO XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) XXX YLEISEN XXXXXXXXXX MUKAAN, JOHON XÄXÄ LOMAKE XXXXXXÄÄX/ (XX) XXXXXX XXX XXXXXXXXXX HANDLING TILL XXXXXX XXXXX FORMULÄR ÄX XXXXXXX

5.1

(XX) СЪОТВЕТНОТО ЛИЦЕ ПРИТЕЖАВА БРАЧНА ДЕЕСПОСОБНОСТ СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (ES) XX XXXXXXXXXX TIENE XXXXXXXXX XXXX XXXXXXXX XXXXXXXXXX XXX XXXXXXX XX XXXXXXX XXXXXXXX DEL XXXXXX MIEMBRO XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) XX XXXXXXX XXXXX ZPŮSOBILÁ XXXXXXX XXXXXXXXXX XXXXX XXXXXXXXXXXXXX PRÁVA XXXXXXXXX XXXXX, V NĚMŽ XX XXXXXXX XXXXXXX XXXXXX/ (XX) XXX XÅXÆXXXXXX XXXXXX HAR XXXXXX XXX XX XXXXX XXXXÅ ÆGTESKAB X HENHOLD XXX XXXXXXXX RET X XXX MEDLEMSSTAT, XXXX XXX XXXXXXXXXX XXXXXXXX XX XXXXXXX/ (XX) XXX XXX XXXXXXXXXXX XXXXXX NACH XXX XXXXXXXXXX RECHT XXX XXXXXXXXXXXXXX, XX DEM XXX ÖFFENTLICHE XXXXXXX XXXXXXXXXXX XXXXX, XXXXÄXXX/ (XX) XX ASJAOMANE XXXX AVALIKU DOKUMENDI XÄXXX ANDNUD LIIKMESRIIGI ÕXXXXX KOHASELT XXXXXXXÕXXXXXXX/ (XX) ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΕΧΕΙ ΤΗΝ ΙΚΑΝΟΤΗΤΑ ΣΥΝΑΨΗΣ ΓΑΜΟΥ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ/ (XX) XXX XXXXXX CONCERNED XXX XXX XXXXXXXX XX XXXXX XXXXX XXX XXXXXXXX XXX OF XXX XXXXXX XXXXX XXXXX THE XXXXXX XXXXXXXX IS XXXXXX/ (XX) XX XXXXXXXX XXXXXXXXX XXXX XX XXXXXX XX XXXXX XX XXXXX XXXXXXXX XX L'ÉTAT MEMBRE XÙ LE XXXXXXXX XXXXXX EST XXXXXXX/ (XX) XX AN XXXXX XXXX xXXXXXXXX XXX CHUMAS XXXX XXXXXX FAOI XXXX XXXXXXXXX AN XXXXXXXXXX XXX xXXXXXXX XX XXXXXXXXX XXXXXX X XXXXXXXX/ (XX) DOTIČNA XXXXX XXX SPOSOBNOST XX SKLAPANJE XXXXX XXXXX NACIONALNOM PRAVU XXXXXX ČLANICE X XXXXX JE JAVNA XXXXXXX IZDANA/ (IT) XX XXXXXXX XXXXXXXXXXX XXXXXXXX XX CAPACITÀ XX XXXXXXXXX MATRIMONIO X XXXXX DEL XXXXXXX XXXXXXXXX XXXXX XXXXX MEMBRO CHE XXXXXXXX XX DOCUMENTO XXXXXXXX/ (XX) ATTIECĪGĀ XXXXXXX SPĒJ XXXXXX XXXXĪXĀ SASKAŅĀ XX XĀX XXXĪXXXXXXX TIESĪBU XXXXXX, XXXĀ XXXXXXXXXX XXXXXXXXX XX IZDOTS/ (XX) ATITINKAMAS XXXXX XXX XXXXXXXX XXXXXXXX XXXXXXXĄ XXXXX XXXXXXXĖX XXXĖX, XXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (HU) XX XXXXXXXX XXXXXXX A XÖXXXXXXX

XXXXXXXXXXXXX HELYE XXXXXXXX XXXXXXXX NEMZETI XXXX XXXXXXX XXXXXXXXXX XÖXXXX/ (XX) XX-XXXXXXX XXXXĊXXXXXX XĦXXXXX L-KAPAĊITÀ LI XXŻŻXXXXĠ XXĦX XX-XXĠX XXXXXXXXXX TAL-ISTAT XXXXXX XXXX XXĦXXXĠ ID-DOKUMENT XXXXXXXX/ (NL) XXXXX XX XXXXXXXXXX XX XXXXXXXXXXX XX XX XXXXX OP GROND XXX HET NATIONALE XXXXX XXX XX XXXXXXXX XXXX XXX XXXXXXXX DOCUMENT XXXXX XXXXXXXXX/ (PL) XXXXX, XXXXXX DOTYCZY XXXXXXXX, XXXXXXX XXXXXXŚĆ XX XXXXXXXX XXŁŻXŃXXXX XX XXXX PRAWA XXXXXXXXX XXŃXXXX CZŁONKOWSKIEGO, X XXXXXX XXX XXXXXXXX XXXĘXXXX XXXXXŁ WYDANY/ (XX) X XXXXXX XX XXXXX POSSUI XXXXXXXXXX XXXXXXXXXXX XXX XXXXXX XX XXXXXXX XXXXXXXX XX XXXXXX-XXXXXX XX XXX O XXXXXXXXX PÚBLICO XXX XXXXXXX/ (RO) XXXXXXXX XXXXXĂ XXX XXXXXXXXXXX XX A XX XĂXĂXXXX ÎN CONFORMITATE XX XXXXXXX XXXXXX XX XXXXXXXX XXXXXX ÎX XXXX XXXX XXXX XXXXXXXXXX OFICIAL/ (XX) DOTKNUTÁ OSOBA XX SPÔSOBILÁ UZAVRIEŤ XXXXXXXXXX XXXĽX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXXXX XX XXXXXXX XXXXXXX XXXXXX/ (XX) JE ZADEVNA XXXXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXXXX X XXXXXX Z XXXXXXXXXXX PRAVOM DRŽAVE XXXXXXX, X KATERI XX XXXXXX XXXXX XXXXXXX/ (XX) ASIANOMAISELLA XXXXXXÖXXÄ XX KELPOISUUS XXXXXX AVIOLIITTO XXX XÄXXXXXXXXXX KANSALLISEN XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX XXXXXXXXX XX XXXXXXX/ (XX) XXX DEN XXXÖXXX XXXXXXXX BEHÖRIGHET XXX XXXÅ ÄXXXXXXXX XXXXXX DEN NATIONELLA XXXXXXXXXXXXXX I DEN XXXXXXXXXXX XÄX XXX XXXXXXXXXX XXXXXXXXXX XXXÄXXXXXX

5.2

(XX) НЯМА ДАННИ СЪОТВЕТНОТО ЛИЦЕ ДА Е ВСТЪПИЛО В БРАК СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) NO XXXXXX XXXXXX MATRIMONIO A XXXXXX DEL XXXXXXXXXX XXX XXXXXXX XX XXXXXXX XXXXXXXX XXX XXXXXX MIEMBRO DE XXXXXXXXXX DEL DOCUMENTO XXXXXXX/ (XX) XXXXXXX XXXXX XXXXXX XXXXXXXXXX XXXXXXXXXX XXX XXXX XXXXXX XXXXX VNITROSTÁTNÍHO XXXXX XXXXXXXXX STÁTU, X XXXX XX XXXXXXX XXXXXXX XXXXXX/ (XX) XXX PÅGÆLDENDE XXXXXX XXX IKKE XX XXXX XXXXX ÆXXXXXXX XXXØXX UNDER XXX XXXX X XXXXXXX TIL XXXXXXXX XXX I DEN XXXXXXXXXXX, XXXX DET XXXXXXXXXX XXXXXXXX XX XXXXXXX/ (DE) XXX XXX XXXXXXXXXXX PERSON XXXXX XXXXX XXXXX XXXXXXXX XXXXX XXX XXXX XXX NATIONALEN XXXXX DES XXXXXXXXXXXXXX, XX XXX XXX ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, XXXXXXXXXXX/ (XX) XX OLE XXXXXXXXX XXXXX XXXXX ÜHTEGI XXXXXXX XXXXXXXXX XÄXXX XXXXXX XXXXXXXXXXXX ÕXXXXX XXXXXX XXXXXXXXXXXX/ (EL) 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/ (EN) XXX XXXXXX XXXXXXXXX XXXXXXX TO HAVE XX XXXXXXXX XX XXX XX XXX XXXX XXXXX XXX XXXXXXXX XXX XX XXX XXXXXX STATE XXXXX XXX PUBLIC XXXXXXXX IS ISSUED/ (XX) XX PERSONNE XXXXXXXXX XX XXXXXX XXX XXXXX CONTRACTÉ XX MARIAGE XX XXX XXX XX XXXXX DU DROIT XXXXXXXX XX L'ÉTAT XXXXXX XÙ LE XXXXXXXX XXXXXX EST XXXXXXX/ (XX) NÍL XXX XXXXXXXXX XXX XX BHFUIL AN XXXXX LENA xXXXXXXXX XXXXX XXXXXX XXXX XX FAOINA hAINM XXXXX DLÍ XXXXXXXXX XX BHALLSTÁT XXX xXXXXXXX XX XXXXXXXXX XXXXXX A XXXXXXXX/ (XX) XXXX XXXXXXX XX JE XXXXXXX XXXXX POD XXXXXX XXXXXX XXXXXXXX BRAK XXXXX NACIONALNOM XXXXX XXXXXX XXXXXXX X XXXXX JE JAVNA XXXXXXX XXXXXX/ (XX) X XXXX DELLA XXXXXXX XXXXXXXXXXX NON XXXXXXX REGISTRATO XXXXX XXXX DI MATRIMONIO X XXXXX DEL XXXXXXX NAZIONALE XXXXX XXXXX MEMBRO CHE XXXXXXXX IL XXXXXXXXX XXXXXXXX/ (LV) UZ XXXXXXĪXĀX XXXXXXXX VĀRDA XXX NOSLĒGTA XXXXXXX XXXXĪXX XXXXXŅĀ XX XĀX XXXĪXXXXXXX TIESĪBU XXXXXX, XXXĀ PUBLISKAIS XXXXXXXXX IR XXXXXX/ (XX) XXXXXXXXXXX XXXXX XXXX XXXXX NĖRA XXXXXĘX SANTUOKOS XXXXX XXXXXXXĖX XXXĖX, XXXXXXX XXXXXXXX XXXXXXXXXX IŠDUODAMAS, XXXXXXXXXXĘ XXXXĘ/ (HU) XX XXXXXXXX SZEMÉLYNEK X XÖXXXXXXX KIÁLLÍTÁSÁNAK XXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXX XXXXXXX XXXXXXXXX XXXXXXXXXXXXXXXX NINCS/ (XX) XX-XXXXXXX KKONĊERNATA XXXXXX XX XX XĦXXXXX X-XXXX ŻXXXĠ XXXXĠXXXXXX X'XXXXXX XXĦX XX-XXĠX NAZZJONALI XXX-XXXXX XXXXXX XXXX INĦAREĠ XX-XXXXXXXX XXXXXXXX/ (NL) XXXXX DE XXXXXXXXXX XXXX XXXXXXXX XX XXXX OF HAAR XXXX XX XXXXX XXX XXX XXXXXXXXX XXXXX XXX XX XXXXXXXX XXXX XXX XXXXXXXX XXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXX, XXXXXX XXXXXXX DOKUMENT, XXX XXXXXXXXX X XXXĄXXX MAŁŻEŃSKIM XX XXXX XXXXX XXXXXXXXX XXŃXXXX, X XXXXXX XXX DOKUMENT URZĘDOWY XXXXXŁ XXXXXX/ (PT) XÃX SE XXXXXXX XXXXXXX CASAMENTO EM XXXX XX PESSOA XX XXXXX XXX XXXXXX XX DIREITO XXXXXXXX XX ESTADO-MEMBRO XX XXX O XXXXXXXXX PÚBLICO FOI XXXXXXX/ (RO) NU XX XXXXXȘXX XXXXX XĂXĂXXXXX ÎNCHEIATĂ XX XXXXXX PERSOANEI XXXXXX ÎX XXXXXXXXXXXX XX XXXXXXX INTERN AL XXXXXXXX XXXXXX ÎX XXXX XXXX EMIS XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXX XXXXXX XXXXXXXXXX XXXXXXXXXX XX XXXXXX XXXX XXXĽX XXXXXXXXXXXXXX PRÁVA XXXXXXXXX XXXXX, X XXXXXX XX XXXXXXX XXXXXXX XXXXXX/ (XX) XX XXXXXXXXXXXXXX PODATKIH XXXXXXX XXXXX XX X XXXXXXXX XXXXX, XX XX XX XXXXXXXX X XXXXXX XXXXX XX X SKLADU X XXXXXXXXXXX XXXXXX XXXXXX XXXXXXX, V XXXXXX XX XXXXXX XXXXX XXXXXXX/ (XX) XXXXXXXXXXXX HENKILÖN XXXXXXX XX XXX XXXXXXXX XXXXXXXXXXX SEN JÄSENVALTION XXXXXXXXXXX LAINSÄÄDÄNNÖN XXXXXX, XXXXX YLEINEN XXXXXXXXX XX XXXXXXX/ (XX) XÖXXXXXXXX DEN XXXÖXXX XXXXXXXX XXXX XX XXXÅXX ÄXXXXXXXX XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX X XXX XXXXXXXXXXX XÄX DEN XXXXXXXXXX XXXXXXXXXX UTFÄRDADES

5.3

(BG) НЕ СА ИЗВЕСТНИ ПРЕЧКИ СЪОТВЕТНОТО ЛИЦЕ ДА ВСТЪПИ В БРАК СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) NO XXX XXXXXXXXXX XX NINGÚN XXXXXXXXXXX XXXX QUE XX XXXXXXXXXX XXXXXXXXX XXXXXXXXXX XXX ARREGLO XX DERECHO NACIONAL XXX XXXXXX MIEMBRO XX XXXXXXXXXX DEL XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX ŽÁDNÁ ZNÁMÁ XXXXXXXX, XXX XXXXXXX XXXXX XXXXXXXX MANŽELSTVÍ XXXXX XXXXXXXXXXXXXX XXXXX XXXXXXXXX STÁTU, V XXXX XX XXXXXXX XXXXXXX XXXXXX/ (XX) XXX FORELIGGER XXXXX XXXXXX XXXXXXXXXX XXX XXX XÅXÆXXXXXX PERSONS XXXXÅXXXX XX ÆXXXXXXX X XXXXXXX TIL XXXXXXXX XXX I XXX XXXXXXXXXXX, XXXX XXX OFFENTLIGE XXXXXXXX XX UDSTEDT/ (DE) XXX KEIN XXXXXXXXX XXXXXXX, XXX DER XXXXXXXXXXXXXX DER XXXXXXXXXXXX XXXXXX NACH DEM XXXXXXXXXX XXXXX XXX XXXXXXXXXXXXXX, XX DEM XXX ÖFFENTLICHE

URKUNDE XXXXXXXXXXX XXXXX, XXXXXXXXXXXXX/ (XX) XX OLE XXXXX XXXXXXXXX XÄXXX ANDNUD XXXXXXXXXXXX ÕXXXXX XXXXXXXX XXXXXXXXXX, MIS TAKISTAKSID XXXXXXXXXX XXXXXX XXXXXX XÕXXXXX/ (EL) 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 NO XXXXX XXXXXXXXXX XXX XXX XXXXXX XXXXXXXXX TO XXXXX XXXXX XXX XXXXXXXX XXX OF XXX XXXXXX STATE XXXXX XXX PUBLIC XXXXXXXX XX XXXXXX/ (XX) XX X'XXXXXX XXX X'XXXÊXXXXXXX XXXXX XX XXXXXXX XX XX XXXXXXXX XXXXXXXXX XX XXXXX XX XXXXX XXXXXXXX XX X'XXXX MEMBRE OÙ XX XXXXXXXX XXXXXX XXX XXXXXXX/ (XX) XXX XXX BHAC XXXXXXXXX XXX XX XX XXXXX LENA xXXXXXXXX XXXX XXXXXX XXXXX XXX NÁISIÚNTA XX BHALLSTÁT XXX xXXXXXXX XX DOICIMÉAD XXXXXX A EISIÚINT/ (XX) NEMA POZNATE XXXXXXX ZBOG KOJE XXXXXXX XXXXX XX XX MOGLA SKLOPITI XXXX XXXXX XXXXXXXXXXX XXXXX XXXXXX ČLANICE X XXXXX XX XXXXX XXXXXXX XXXXXX/ (XX) XXX XXXX XXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX A XXXXX XXX XXXXXXX NAZIONALE XXXXX STATO XXXXXX XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX/ (XX) XXX XXXĀXX XXXĀXX XĶĒXXĻX ATTIECĪGAJAI PERSONAI XXĀXXXX XXXXĪXĀ XXXXXŅĀ XX XĀX DALĪBVALSTS XXXXĪXX AKTIEM, XXXĀ XXXXXXXXXX XXXXXXXXX XX XXXXXX/ (LT) XĖXX XXXXXŲ KLIŪČIŲ XXXXXXXXXXX XXXXXXXX SUDARYTI XXXXXXXĄ XXXXX VALSTYBĖS XXXĖX, XXXXXXX VIEŠASIS DOKUMENTAS XXXXXXXXXX, XXXXXXXXXXĘ TEISĘ/ (XX) XXXXX A XÖXXXXXXX XXXXXXXXXXXXX XXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXX XXXXXXXX XXXXXX XXXXXXXX XXXXX, XXXX XX XXXXXXXX XXXXXXX XXXXXXXXXX KÖSSÖN/ (XX) XX XXXX X-XXXX XXXXXXXXXX XXXĦXXX XĦXXX-XXXXXXX XXXXĊXXXXXX XXXX XXŻŻXXXXĠ XXĦX XX-XXĠX XXXXXXXXXX XXX-XXXXX XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (XX) IS XX XXXX XXXXXXXXXXX XXXX XX BETROKKENE XX XX XXXXX XX XXXXX XXX HET XXXXXXXXX XXXXX VAN XX XXXXXXXX XXXX XXX XXXXXXXX XXXXXXXX XXXXX AFGEGEVEN/ (XX) XXX XXXXXXXĄ ZNANE XXXXXXXXXX DLA XXXXXXXX XXXXX XXXXĘ, XXXXXX XXXXXXX DOKUMENT, MAŁŻEŃSTWA XX XXXX XXXXX XXXXXXXXX XXŃXXXX CZŁONKOWSKIEGO, X XXXXXX XXX XXXXXXXX URZĘDOWY XXXXXŁ XXXXXX/ (PT) NÃO XXXXXX XXXXXXXXXXX XXXXXXXXX X XXX A XXXXXX XX CAUSA XXXXXXXX MATRIMÓNIO NOS XXXXXX XX DIREITO XXXXXXXX XX XXXXXX-XXXXXX XX-XXX X DOCUMENTO XXXXXXX XXX XXXXXXX/ (XX) XX SE XXXXXX XXXXXXXXXXX LA XĂXĂXXXXX XXXXXXXXX XXXXXX ÎX XXXXXXXXXXXX CU XXXXXXX XXXXXX XX XXXXXXXX XXXXXX ÎN XXXX ESTE XXXX XXXXXXXXXX OFICIAL/ (XX) XXX XX XXXXX XXXXXXXX XXX DOTKNUTÚ XXXXX XXXXXXXX XXXXXXXXXX XXXĽX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXXXX XX XXXXXXX XXXXXXX XXXXXX/ (XX) XX XXXXXXXXXXXX ZADRŽKOV, XX XXXXXXX XXXXX XX XX XXXXX XXXXXXXX XXXXXXXX XXXXX X XXXXXX X XXXXXXXXXXX XXXXXX XXXXXX XXXXXXX, V XXXXXX XX XXXXXX XXXXX XXXXXXX/ (FI) ASIANOMAISEN XXXXXXÖX XXXXXXXXXXXX XX XXXXXXÄ XXXXXX XXXXXXÄ XXX XÄXXXXXXXXXX KANSALLISEN XXXXXÄÄXÄXXÖX MUKAAN, XXXXX XXXXXXX ASIAKIRJA ON XXXXXXX/ (SV) XXXXX XXX XXXX XÄXXX XXXXXX XÖX XXX XXXÖXXX PERSONEN XXX XXXÅ ÄXXXXXXXX XXXXXX XXX NATIONELLA LAGSTIFTNINGEN X DEN XXXXXXXXXXX XÄX DEN XXXXXXXXXX XXXXXXXXXX UTFÄRDADES

5.4

(BG) НЕ СА ИЗВЕСТНИ ПРЕЧКИ ЗА СКЛЮЧВАНЕТО НА БРАК МЕЖДУ СЪОТВЕТНОТО ЛИЦЕ И НЕЙНИЯ(НЕГОВАТА) БЪДЕЩ(А) СЪПРУГ(А) СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) XX XXX XXXXXXXXXX XX XXXXXX IMPEDIMENTO XXXX QUE XX XXXXXXXXXX XXXXXXXXX XXXXXXXXXX XXX XX FUTURO XXXXXXX XXX XXXXXXX XX DERECHO XXXXXXXX XXX XXXXXX XXXXXXX XX EXPEDICIÓN XXX XXXXXXXXX PÚBLICO/ (XX) XXXXXXXXXX XXXXX XXXXX XXXXXXXX XXXXXXXXXX MEZI XXXXXXXX XXXXXX A XXXXX SNOUBENCEM / XXXX SNOUBENKOU XXXXX XXXXXXXXXXXXXX XXXXX ČLENSKÉHO XXXXX, X XXXX XX VEŘEJNÁ LISTINA XXXXXX/ (XX) XXX XXXXXXXXXX XXXXX XXXXXX XXXXXXXXXX XXX INDGÅELSE XX ÆXXXXXXX MELLEM XXX XÅXÆXXXXXX XXXXXX XX XXXXXX XXXXXXXX ÆXXXXÆXXX X XXXXXXX XXX XXXXXXXX XXX X XXX MEDLEMSSTAT, XXXX XXX OFFENTLIGE XXXXXXXX ER UDSTEDT/ (XX) XXX XXXX XXXXXXXXX XXXXXXX, XXX XXXXX XXXXXXXXXXXXXX XXX XXXXXXXXXXXX XXXXXX XXX XXXXX XÜXXXXXXX XXXXXXXXX XXXX XXX NATIONALEN XXXXX XXX XXXXXXXXXXXXXX, XX XXX DIE ÖXXXXXXXXXX XXXXXXX AUSGESTELLT XXXXX, ENTGEGENSTEHT/ (XX) XX XXX XXXXX XXXXXXX DOKUMENDI XÄXXX XXXXXX XXXXXXXXXXXX ÕXXXXX XXXXXXXX XXXXXXXXXX, XXX XXXXXXXXXXX XXXXXX SÕLMIMIST XXXXXXXXX ISIKU XX XXXX XXXXXXXX XXXXXXXX XXXXX/ (XX) ΔΕΝ ΕΊΝΑΙ ΓΝΩΣΤΟ ΚΑΝΕΝΑ ΚΩΛΥΜΑ ΓΙΑ ΤΗ ΣΥΝΑΨΗ ΓΑΜΟΥ ΜΕΤΑΞΥ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΚΑΙ ΤΟΥ ΜΕΛΛΟΝΤΟΣ Ή ΤΗΣ ΜΕΛΛΟΥΣΑΣ ΣΥΖΥΓΟΥ ΤΟΥ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΌΣΙΟ ΕΓΓΡΑΦΟ/ (XX) THERE XX XX XXXXXXXXXX XXXXX XX X XXXXXXXX XXXXXXX XXX XXXXXX XXXXXXXXX AND XXX XX XXX INTENDED XXXXXX UNDER XXX XXXXXXXX LAW XX XXX XXXXXX STATE XXXXX XXX XXXXXX XXXXXXXX XX XXXXXX/ (XX) IL N'EXISTE XXX D'EMPÊCHEMENT XXXXX XX XXXXXXX XX XX XXXXXXXX XXXXXXXXX XXXX XXX XXXXX XXXXXXXX XX VERTU XX DROIT NATIONAL XX X'XXXX XXXXXX XÙ XX XXXXXXXX XXXXXX XXX DÉLIVRÉ/ (XX) XXX XXX XXXX AITHEANTA XXX XX XXXXXXX IDIR XX DUINE LENA xXXXXXXXX XXXX X X(X)XXXX BEARTAITHE FAOI XXXX XXXXXXXXX XX XXXXXXXXXX XXX xXXXXXXX XX DOICIMÉAD XXXXXX X XXXXXXXX/ (XX) XXXX XXXXXXX XXXXXXX XXXX XXXX DOTIČNA XXXXX I XXXXXX XXXXĆX XXXXXX XXXX XX XX MOGLI XXXXXXXX XXXX PREMA XXXXXXXXXXX PRAVU XXXXXX XXXXXXX X XXXXX XX XXXXX XXXXXXX XXXXXX/ (XX) XXX XXXX NOTI IMPEDIMENTI XX XXXXXXXXXX TRA XX XXXXXXX XXXXXXXXXXX X XX XXXXXX XXXXXXX X XXXXX XXX XXXXXXX XXXXXXXXX XXXXX XXXXX XXXXXX XXX RILASCIA IL XXXXXXXXX XXXXXXXX/ (XX) XXX XXXĀXX XXXĀXX XĶĒXXĻX XXXXĪXXX XXXXĒXXXXXX XXXXX ATTIECĪGO PERSONU XX XĀX XXXXXX XXXXĀXX XXXXXŅĀ AR XĀX XXXĪXXXXXXX XXXXĪXX XXXXXX, KURĀ PUBLISKAIS XXXXXXXXX IR XXXXXX/ (XX) XĖXX XXXXXŲ XXXŪXXŲ XXXXXXXXXX XXXXXX XX XX XŪXXXX (-XX) SUTUOKTINIO (-ĖX) XXXXXXXXX XXXXX XXXXXXXĖX XXXĖX, XXXXXXX VIEŠASIS XXXXXXXXXX XXXXXXXXXX, NACIONALINĘ XXXXĘ/ (XX) XXXXX X KÖZOKIRAT XXXXXXXXXXXXX XXXXX SZERINTI TAGÁLLAM XXXXXXX XXXX SZERINTI, XXXXXX AKADÁLYA XXXXX, XXXX XX ÉRINTETT XXXXXXX XX LEENDŐ XXXXXXXXXX EGYMÁSSAL

HÁZASSÁGOT XÖXXÖX/ (XX) XX HEMM X-XXXX XXXXXXXXXX XXXĦXXX XĦXŻ-ŻXXXĠ XXXX XX-XXXXXXX XXXXĊXXXXXX X X-XXXXXĠX XXXXX TAGĦHA XXĦX XX-XXĠX XXXXXXXXXX XXX-XXXXX XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (XX) XX ER GEEN XXXXXXXXXXX VOOR EEN XXXXXXXX XXXXXX DE XXXXXXXXXX XX XXXX XX XXXX XXXXXXX XXXXXXXX(X)X(X) XX XXXXX XXX XXX XXXXXXXXX XXXXX XXX DE XXXXXXXX WAAR XXX XXXXXXXX DOCUMENT XXXXX XXXXXXXXX/ (PL) XXX XXXXXXXĄ XXXXX XXXXXXXXXX XXX XXXXXXXX XXŁŻXŃXXXX XXXXX OSOBĘ, XXXXXX XXXXXXX XXXXXXXX, Z XXXXĄ, X XXXXĄ XXXXXXXX XXX ZAWRZEĆ XXŁŻXŃXXXX, NA XXXX XXXXX XXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX, X XXXXXX XXX XXXXXXXX XXXĘXXXX XXXXXŁ XXXXXX/ (PT) XÃX EXISTE XXXXXXXXXXX XXXXXXXXX X QUE XX NUBENTES XXXXXXXXX XXXXXXXXXX XXX TERMOS XX XXXXXXX XXXXXXXX XX ESTADO-MEMBRO EM XXX X DOCUMENTO XXX EMITIDO/ (XX) XX XX XXXXXX XXXXXXXXXXX LA CĂSĂTORIA XXXXXX XXXXXXXX XXXXXĂ ȘX VIITORUL XXȚ (XXXXXXXXX XXȚXX) ÎX XXXXXXXXXXXX XX DREPTUL XXXXXX XX XXXXXXXX XXXXXX ÎX CARE XXXX XXXX XXXXXXXXXX XXXXXXX/ (SK) XXX XX XXXXX XXXXXXXX XXXXXXXX XXXXXXXXXX XXXXX XXXXXXXXX OSOBOU A XXX XXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXX XXXXXXXX XXXĽX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXXXX XX VEREJNÁ XXXXXXX XXXXXX/ (XX) XX XXXXXXXXXXXX XXXXXXXX, XX ZADEVNA OSEBA XX XXXX XXXXXXXXXX XXXXXXX NE BI XXXXX XXXXXXXX XXXXXXXX XXXXX V SKLADU X NACIONALNIM XXXXXX XXXXXX XXXXXXX, X XXXXXX XX IZDANA XXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XX XÄXXX TULEVAN XXXXXXXXXX XÄXXXXXXX XXXXXXXXXXXX EI XXXXXXÄ XXXXXX XXXXXXÄ XXX XÄXXXXXXXXXX KANSALLISEN XXXXXÄÄXÄXXÖX XXXXXX, JOSSA XXXXXXX XXXXXXXXX XX XXXXXXX/ (SV) XXXXX XXX XXXX XÄXXX XXXXXX XÖX XXXÅXXXX XX ÄKTENSKAP MELLAN XXX XXXÖXXX XXXXXXXX XXX XXXX XXXXX XXXXXX BLIVANDE XXXX XXXXX XXXX ENLIGT XXX NATIONELLA XXXXXXXXXXXXXX X XXX XXXXXXXXXXX XÄX XXX XXXXXXXXXX XXXXXXXXXX XXXÄXXXXXX

5.5

(XX) НЕ СА ИЗВЕСТНИ ВЪЗРАЖЕНИЯ СРЕЩУ СКЛЮЧВАНЕТО НА БРАК МЕЖДУ СЪОТВЕТНОТО ЛИЦЕ И НЕЙНИЯ(НЕГОВАТА) БЪДЕЩ(А) СЪПРУГ(А) СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (ES) XX XXX XXXXXXXXX XXXXXXXX XX XXXXXXXXXX XXXXX XX INTERESADO X SU FUTURO XXXXXXX XXX XXXXXXX XX XXXXXXX XXXXXXXX XXX XXXXXX XXXXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX ZNÁMÁ XXXXXXX PROTI XXXXXXXX XXXXXXXXXX MEZI XXXXXXXX XXXXXX X XXXXX XXXXXXXXXX / XXXX XXXXXXXXXX XXXXX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXX XX XXXXXXX XXXXXXX VYDÁNA/ (XX) DER XXXXXXXXXX XXXXX XXXXXX XXXXXXXXXXX XXX INDGÅELSE AF XX ÆXXXXXXX XXXXXX XXX PÅGÆLDENDE XXXXXX XX XXXXXX XXXXXXXX ÆXXXXÆXXX X XXXXXXX XXX XXXXXXXX XXX X XXX XXXXXXXXXXX, XXXX DET OFFENTLIGE XXXXXXXX XX UDSTEDT/ (XX) XXX XXXX XXXXXXX XXXXXXX, DER XXXXX EHESCHLIESSUNG DER XXXXXXXXXXXX XXXXXX XXX XXX KÜNFTIGEN XXXXXXXXX XXXX DEM NATIONALEN XXXXX XXX XXXXXXXXXXXXXX, XX DEM XXX ÖXXXXXXXXXX URKUNDE XXXXXXXXXXX XXXXX, XXXXXXXXXXXXX/ (ET) XX OLE XXXXX XXXXXXX XXXXXXXXX XÄXXX XXXXXX XXXXXXXXXXXX ÕXXXXX XXXXXX XXXXXXXXXX, MIS XXXXXXXXX ABIELU XÕXXXXXXX XXXXXXXXX XXXXX XX XXXX XXXXXXXX ABIKAASA XXXXX/ (EL) ΔΕΝ ΕΙΝΑΙ ΓΝΩΣΤΗ ΚΑΜΙΑ ΑΝΤΙΡΡΗΣΗ ΓΙΑ ΤΗ ΣΥΝΑΨΗ ΓΑΜΟΥ ΜΕΤΑΞΥ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΚΑΙ ΤΟΥ ΜΕΛΛΟΝΤΟΣ Ή ΤΗΣ ΜΕΛΛΟΥΣΑΣ ΣΥΖΥΓΟΥ ΤΟΥ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΌΣΙΟ ΕΓΓΡΑΦΟ/ (XX) XXXXX XX XX XXXXXXXXXX KNOWN XX A XXXXXXXX XXXXXXX THE XXXXXX XXXXXXXXX AND XXX XX XXX XXXXXXXX XXXXXX XXXXX XXX XXXXXXXX LAW OF XXX XXXXXX STATE XXXXX XXX XXXXXX XXXXXXXX XX ISSUED/ (XX) XX X'XXXXXX XXX D'OPPOSITION CONNUE XX XXXXXXX DE XX PERSONNE XXXXXXXXX XXXX XXX FUTUR XXXXXXXX XX VERTU XX DROIT NATIONAL XX L'ÉTAT XXXXXX XÙ XX DOCUMENT XXXXXX XXX DÉLIVRÉ/ (XX) NÍL XXX XXXX XX XXXXXXX XXXXXXXXX XXX AR XXXXXXX XXXX XX XXXXX LENA mBAINEANN XXXX A X(X)XXXX XXXXXXXXXX XXXX DHLÍ XXXXXXXXX XX BHALLSTÁIT XXX nDÉANTAR AN XXXXXXXXX XXXXXX X XXXXXXXX/ (HR) XXXX XXXXXXXX XXXXXXXXX ZBOG XXXXX XXXXXXX XXXXX X XXXXXX BUDUĆI XXXXXX XXXX XX XX MOGLI XXXXXXXX XXXX XXXXX XXXXXXXXXXX XXXXX XXXXXX XXXXXXX X KOJOJ XX XXXXX XXXXXXX XXXXXX/ (XX) XXX SONO XXXX XXXXXXXXXXX AL XXXXXXXXXX XXX XX XXXXXXX XXXXXXXXXXX X XX FUTURO CONIUGE X XXXXX XXX XXXXXXX XXXXXXXXX XXXXX XXXXX XXXXXX XXX XXXXXXXX IL DOCUMENTO XXXXXXXX/ (XX) XXX XXXĀXX NEKĀDI IEBILDUMI XXXXĪXXX XXXXĒXXXXXX XXXXX XXXXXXĪXX XXXXXXX UN XĀX XXXXXX XXXXĀXX XXXXXŅĀ XX XĀX XXXĪXXXXXXX XXXXĪXX XXXXXX, XXXĀ XXXXXXXXXX XXXXXXXXX XX XXXXXX/ (XX) XĖXX XXXXXŲ PRIEŠTARAVIMŲ XXXXXXXXXX ASMENS XX XX XŪXXXX (-XX) XXXXXXXXXXX (-ĖX) XXXXXXXXX XXXXX XXXXXXXĖX XXXĖX, XXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (XX) XXX XXXXXX XXXXX, A XÖXXXXXXX XXXXXXXXXXXXX XXXXX SZERINTI XXXXXXXX XXXXXXX XXXX XXXXXXXX ELLENVETÉS, XXXXXXX XX XXXXXXXX XXXXXXX XX LEENDŐ XXXXXXXXXX XXXXX XÖXXXXŐ HÁZASSÁGGAL XXXXXXX NYÚJTOTTAK XX/ (XX) XX XXXX X-XXXX XXXXŻXXXXXXX MAGĦRUFA XĦXŻ-ŻXXXĠ BEJN XX-XXXXXXX XXXXĊXXXXXX X L-KONJUĠI XXXXX XXXĦXX XXĦX XX-XXĠX XXXXXXXXXX XXX-XXXXX XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (XX) XX ER XXXX XXXXXX XXXXX XXX XXXXXXXX TUSSEN DE XXXXXXXXXX XX XXXX XX HAAR XXXXXXX XXXXXXXX(X)X(X) OP XXXXX XXX XXX XXXXXXXXX XXXXX XXX XX XXXXXXXX WAAR HET XXXXXXXX XXXXXXXX XXXXX XXXXXXXXX/ (XX) XXX XXŁXXXXXX XXXXXXXXX XXXXX XXXXXXXX XXŁŻXŃXXXX XXXXX XXXXĘ, XXXXXX XXXXXXX XXXXXXXX, X XXXXĄ, X KTÓRĄ XXXXXXXX XXX ZAWRZEĆ MAŁŻEŃSTWO, XX XXXX XXXXX XXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX, X XXXXXX TEN XXXXXXXX XXXĘXXXX XXXXXŁ XXXXXX/ (XX) XÃX XXXXXX OPOSIÇÃO CONHECIDA X XXX OS XXXXXXXX XXXXXXXXX XXXXXXXXXX XXX XXXXXX DO XXXXXXX XXXXXXXX DO XXXXXX-XXXXXX EM XXX X XXXXXXXXX FOI XXXXXXX/ (XX) XX XX CUNOAȘTE XXXXX XXXXXȚXX XX XĂXĂXXXXX XXXXXX XXXXXXXX XXXXXĂ ȘX XXXXXXXX XXȚ (XXXXXXXXX XXȚXX) ÎN XXXXXXXXXXXX XX DREPTUL XXXXXX XX XXXXXXXX XXXXXX ÎN XXXX XXXX XXXX XXXXXXXXXX XXXXXXX/ (SK) XXX XX XXXXX XXXXXXXX XXXX XXXXXXXXX MANŽELSTVA XXXXX DOTKNUTOU XXXXXX X XXX NASTÁVAJÚCOU XXXXXXXXX XXXXX XXXXXXXXXXXX XXXXXXXX PODĽA VNÚTROŠTÁTNEHO XXXXX ČLENSKÉHO XXXXX, X KTOROM XX XXXXXXX XXXXXXX XXXXXX/ (XX) XX XXXXXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX ZAKONSKE XXXXX MED XXXXXXX XXXXX XX XXXXXX XXXXXXXXXXX XXXXXXXX X XXXXXX X XXXXXXXXXXX XXXXXX DRŽAVE ČLANICE, X KATERI JE XXXXXX XXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XX HÄNEN XXXXXXX XXXXXXXXXX VÄLISTÄ XXXXXXXXXXX XX XXX XXXXXXXXXXX XXX XÄXXXXXXXXXX XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, JOSSA XXXXXXX ASIAKIRJA ON XXXXXXX/ (SV) FINNS XXX INGA XÄXXX XXXÄXXXXXXXX MOT XXXÅXXXX XX ÄXXXXXXXX MELLAN XXX XXXÖXXX PERSONEN XXX HANS XXXXX XXXXXX XXXXXXXX XXXX XXXXX XXXX XXXXXX XXX XXXXXXXXXX LAGSTIFTNINGEN X DEN XXXXXXXXXXX XÄX XXX XXXXXXXXXX XXXXXXXXXX UTFÄRDADES

6.

(BG) ИНФОРМАЦИЯ ЗА БЪДЕЩИЯ(АТА) СЪПРУГ(А) НА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX SOBRE XX XXXXXX XXXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXXX O XXXXXXXXX / XXXXXXXXX XXXXXXX XXXXX/ (DA) XXXXXXXXXXX XX DEN PÅGÆLDENDE XXXXXXX XXXXXXXX ÆGTEFÆLLE/ (XX) XXXXXXX ZU XXX XÜXXXXXXX XXXXXXXXX XXX XXXXXXXXXXXX PERSON/ (XX) TEAVE XXXXX XXXXX, XXXXXXX XXXXXXXXX XXXX XXXXXX XXXXXX XÕXXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΜΕΛΛΟΝΤΟΣ Ή ΤΗΣ ΜΕΛΛΟΥΣΑΣ ΣΥΖΥΓΟΥ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX XXXXXXXX XXXXXX XX THE XXXXXX CONCERNED/ (XX) XXXXXXXXXXXX SUR XX XXXXX XXXXXXXX XX XX XXXXXXXX XXXXXXXXX/ (XX) FAISNÉIS MAIDIR XX XXXXX XXXXXXXXXX XX DUINE XXXX xXXXXXXXX/ (HR) XXXXXXXXXXX X XXXXĆXX BRAČNOM XXXXX XXXXXXX XXXXX/ (XX) INFORMAZIONI SUL XXXXXX XXXXXXX DELLA XXXXXXX XXXXXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXĪXĀX XXXXXXXX XXXXXX XXXXĀXX/ (XX) INFORMACIJA XXXX XXXXXXXXXX ASMENS BŪSIMĄ XXXXXXXXXĮ (-Ę)/ (HU) XX XXXXXXXX XXXXXXX XXXXXŐ HÁZASTÁRSÁRA VONATKOZÓ XXXXXX/ (MT) INFORMAZZJONI XXXX IL-KONJUĠI FUTUR XXX-XXXXXXX XXXXĊXXXXXX/ (XX) XXXXXXXXXX XXXX DE XXXXXXX ECHTGENO(O)T(E) XXX XX XXXXXXXXXX/ (XX) XXXX OSOBY, Z XXXXĄ XXXXX, XXXXXX XXXXXXX XXXXXXXX, XXXXXXXX XXXXXXĆ XXŁŻXŃXXXX/ (XX) XXXXXXXÇÕXX SOBRE O XXXXXX CÔNJUGE DA XXXXXX EM CAUSA/ (XX) INFORMAȚII XXXXXXX XXXXXXXX XXȚ (XXXXXXXXX XXȚXX) AL (X) XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXX X XXXXXXXXXXXX XXXXXXXXX/ NASTÁVAJÚCEJ MANŽELKE XXXXXXXXX XXXXX/ (XX) XXXXXXXXXXX X XXXXXXXXXXX XXXXXXX ZADEVNE OSEBE/ (XX) XXXXXX ASIANOMAISEN XXXXXXÖX TULEVASTA XXXXXXXXXX/ (XX) XXXXXXXXX XX XXX BERÖRDA PERSONENS XXXXXXXX XXXX XXXXX XXXX

7.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) RECUADRO XXXX XX XXXXX/ (XX) XXXX PRO XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) XXXXX XXXX LA SIGNATURE/ (XX) BOSCA DON XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXXXXX PER XX XXXXX/ (XX) XXXXXXXX XXXXX/ (LT) XXXXXX XXXXXXXX/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX XX XXXXXXXXXXXX/ (PL) XXXX XXXXXXX/ (PT) XXXXÇX XXXXXXXXX À ASSINATURA/ (XX) XXXXĂXXXX/ (SK) XXXXXXX XX XXXXXX/ (XX) POLJE XX XXXXXX/ (FI) XXXXXXXXXXXXXXXXXXÄ/ (XX) XXXX FÖR XXXXXXXXXXXXXX

7.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) APELLIDO(S) X XXXXXX(X) XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) PŘÍJMENÍ X JMÉNO (XXXXX) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXX(X) XX FORNAVN(E) XÅ XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (DE) XXXXXXXXXXXX(X) XXX VORNAME(N) XXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXX (-XXXXX) XX XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) XXX FORENAME(S) OF XXX OFFICIAL XXX XXXXXX XXXX XXXX/ (XX) NOM(S) ET XXXXXX(X) DU XXXXXXXXXXXXX XXX A XXXXXXX XX XXXXXXX FORMULAIRE/ (XX) SLOINNE (XXXXXXXX) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX OIFIGIGH X X’XXXXXX AN XXXXXX XXX/ (XX) XXXXXXX(XX) X IME(NA) XXXXXXXXXX XXXX XX XXXXX XXXX OBRAZAC/ (IT) XXXXXXX/X X NOME/I XXX XXXXXXXXXXX XXX XX RILASCIATO IL XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX IZDEVUSI XX VEIDLAPU, UZVĀRDS(-I) XX VĀRDS(-I)/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX PAVARDĖ (-ĖX) XX VARDAS (-XX)/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ CSALÁDI XXXX(X) XX UTÓNEVE(I)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XX(X)X(XX) XX XXXXXX(X)X(XX) VAN XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX AFGEGEVEN/ (XX) XXXXXXXX(-X) X XXXĘ (XXXXXX) URZĘDNIKA, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXX(X) X XXXX(X) XXXXXXX(X) XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (RO) XXXXXX ȘX PRENUMELE XXXXȚXXXXXXXXX XXXX A EMIS XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, XXXXX VYDAL XXXXX FORMULÁR/ (XX) XXXXXXX/XXXXXXX XX XXX/XXXXX XXXXXXXX, KI XX XXXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXXXXX (-XXXXX) JA XXXXXXX (-XXXXX)/ (XX) EFTERNAMN XXX XÖXXXXX XÅ XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

7.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX XXXXXXXXXXX XXX XXXXXXX ESTE XXXXXXX/ (CZ) XXXXXX XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (DA) XXXXXXXX — DEN XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX XXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX XX XXX XXXXXXXX WHO XXXXXX XXXX XXXX/ (XX) XXXXX XX XXXXXXXXXXXXX XXX A XXXXXXX LE XXXXXXX XXXXXXXXXX/ (GA) POST XX OIFIGIGH X X’XXXXXX AN XXXXXX XXX/ (HR) FUNKCIJA XXXXXXXXXX KOJI XX XXXXX XXXX OBRAZAC/ (XX) POSIZIONE XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (LV) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, AMATS/ (LT) XXĄ FORMĄ IŠDAVUSIO XXXXXXŪXX PAREIGOS/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX LI ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX XXX XX AMBTENAAR DIE XXX XXXXXXXXX XXXXX XXXXXXXXX/ (PL) STANOWISKO XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX FORMULARZ/ (XX) XXXXX XX XXXXXXXXXXX XXX EMITIU X XXXXXXXX XXXXXXXXXX/ (RO) XXXXȚXX FUNCȚIONARULUI XXXX X XXXX PREZENTUL XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (SL) XXXXXXX XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

7.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) FECHA (XX/XX/XXXX) XX EXPEDICIÓN/ (XX) XXXXX (DD/MM/RRRR) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) AUSSTELLUNGSDATUM (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (XX/XX/XXXX) XX XXXXX/ (FR) DATE (XX/XX/XXXX) XX DÉLIVRANCE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (HR) XXXXX (XX/XX/XXXX) IZDAVANJA/ (XX) XXXX DI XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (PL) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (FI) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) FÖR XXXÄXXXXXX

7.4

(XX) ПОДПИС/ (XX) XXXXX/ (CZ) XXXXXX/ (XX) UNDERSKRIFT/ (DE) XXXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) PARAKSTS/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (NL) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (FI) XXXXXXXXXXXXX/ (XX) NAMNTECKNING

7.5

(BG) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX O XXXXXX/ (XX) PEČEŤ XXXX RAZÍTKO/ (DA) XXXX XXXXX XXXXXXX/ (XX) XXXXXX XXXX XXXXXXX/ (XX) XXXXXX XÕX TEMPEL/ (EL) ΣΦΡΑΓΙΔΑ/ (EN) XXXX XX STAMP/ (FR) XXXXX XX TIMBRE/ (XX) XXXXX XX XXXXXX/ (XX) XXX XXX XXXXX/ (XX) XXXXX O TIMBRO/ (XX) ZĪMOGS VAI XXXXXXXX/ (XX) SPAUDAS XXXX ANTSPAUDAS/ (HU) XXXXXX VAGY XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX XXX XXXXXX/ (XX) XXXXX XX XXXXXXX/ (XX) XXXXXĘĆ XXX XXXXXXX/ (XX) XXXX XX XXXXXXX/ (RO) XXXXXXXX XXX ȘTAMPILA/ (SK) XXXXX XXXXX ODTLAČOK XXXXXXXX/ (SL) PEČAT XXX XXX/ (XX) XXXXXXX XXX XXXXX/ (XX) SIGILL XXXXX XXÄXXXX

XXXXXXX XXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX PRO XXXXXXX

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

Belgie (XX) Xxxxxxxxx (BG)

Česká xxxxxxxxx (CZ)

Dánsko (XX) Xxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (FR) Xxxxxxxxxx (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Malta (XX)

Xxxxxxxxxx (XX) Xxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxxxxxx (PT)

Rumunsko (XX) Slovinsko (SI)

Slovensko (XX) Xxxxxx (FI)

Švédsko (XX) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX UPOZORNĚNÍ

Jediným xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxx xxxxxxxx xxxxxxx listiny, x níž xx xxxxxxxx. Xxxxx formulář xx xxxx členskými xxxxx xxxxx pohybovat xxxx samostatný xxxxxxxx.

Xxxxx xxxxxxxx xxxxxx obsah xxxxxxx listiny, x xxx xx přiložen. Xxxxx, xxxxx xx xxxxxxx xxxxxxx předkládána, xxxx xxxx v xxxxxxxxx, kdy xx xx nezbytné xxx xxxxx zpracování veřejné xxxxxxx, xxxxxxxxx překlad xx xxxxxx informací, xxxxx xxxx ve xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX ORGÁN

Uveďte xxxxx xxxxxxxxx, xxxxx xxxx xxxxxxx xx veřejné xxxxxxx, x níž xx přiložen xxxxx xxxxxxxx. (2)

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

1. XXXXX XXXXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

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

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

3.1.1 Xxxxxxxxxx soudu

3.1.2 Xxxxxxx vydaná xxxxxxx xxxxxxxxx

3.1.3 Listina xxxxxx xxxxxx xxxxxxx xxxxxxxxx

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

3.1.5 Jiné (xxxxxxxxx)

(1) Xx. věst. X 200, 26.7.2016, x. 1.

(2) Při xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

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

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

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Výpis x matriky

3.2.3 Xxxxx x registru obyvatel

3.2.4 Xxxx matričních záznamů

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Úřední xxxxxxxxx, xxxxxx xxxx xxxxxxxx xxxxxxx podepsaná soukromou xxxxxx

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

3.6 Datum (xx/xx/xxxx) xxxxxx

3.7 Referenční xxxxx xxxxxxx xxxxxxx

4. INFORMACE X XXXXXXX OSOBĚ

4.1 Xxxxx/x xxxxxxxx

4.2 Současné/á xxxxxxxx

4.3 Xxxxxxxx xxxx xxxxxxxxx xxxxxxxxxx

4.4 Příjmení xx uzavření manželství

4.5 Xxxxx (xxxxx)

4.6 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.7 Xxxxx (1) a xxxx (2) narození

4.8 Xxxxxxx:

4.8.1 Xxxx

4.8.2 Muž

4.8.3 Xxxxxxxx

4.9 Xxxxxx xxxxxxxxxxx

5. XX XXXXXXX XXXXXXX XXXXXXX, X NÍŽ JE XXXXXXXX XXXXX XXXXXXXX, XX XXXXXXX XXXXX XXXXX XXXXXXX XXXX:

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

5.2 Xxxxxxxxx – xxxxxxxxx

5.2.1 Xxxxxxxx – Svobodný

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

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

5.3 Xxxxxxxx

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

(2) Název xxxx x – xxxxx existuje – xxx ISO xxxx xxxx nebo možnost „Xxxx (xxxxxxxxx)“ xx xxxxx vybrat x xxxxxxxxxxx xxxxxxx ve xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxxxxxx, xxxxx xx x xxxxxxxxx na xxxxxxx evropské x-xxxxxxx.

6. XXXX XXX XXXXXX

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

6.2 Xxxxxx xxxxxxxx, xxxxx xxxxx tento xxxxxxxx

6.3 Xxxxx (xx/xx/xxxx) vydání

6.4 Xxxxxx

6.5 Xxxxx xxxx xxxxxxx

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXXX XXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX ESTE XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX MYNDIGHED/ (XX) XXXÖXXX, DIE DIESES XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX VÄLJA XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (EN) XXXXXXXXX ISSUING XXXX XXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX XX XXXXXX XXX/ (XX) XXXXXX XXXX IZDAJE XXXX XXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) AWTORITÀ XXXXXXXXX XX' XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX XXXXXXXXX/ (XX) XXXXX WYDAJĄCY NINIEJSZY XXXXXXXXX/ (PT) XXXXXXXXXX XXX XXXXX X XXXXXXXX XXXXXXXXXX/ (RO) XXXXXXXXXXX EMITENTĂ X XXXXXXXXXXX XXXXXXXX/ (SK) XXXXX VYDÁVAJÚCI TENTO XXXXXXXX/ (XX) XXXXX, XX XXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX SOM XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) DENOMINACIÓN/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (ET) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) DESIGNATION/ (XX) XXXXXXXXXXXX/ (GA)AINMNIÚ/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) MEGNEVEZÉS/ (XX) XXXXX/ (XX) XXXXXXXX/ (PL) NAZWA/ (XX) XXXXXXXÇÃX/ (XX) XXXXXXXX/ (XX) NÁZOV/ (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 AL XXX SE XXXXXXX XXXX XXXXXXX/ (CZ) XXXXX VYDÁVAJÍCÍ XXXXXXXX XXXXXXX, K NÍŽ XX XXXXXXXX TENTO XXXXXXXX/ (DA) DEN XXXXXXXXX, XXX XXX XXXXXXX XXX OFFENTLIGE XXXXXXXX, SOM XXXXX XXXXXXXX ER VEDHÆFTET/ (XX) XXXÖXXX, DIE XXX ÖFFENTLICHE XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX IST, XXXXXXXXX/ (XX) XXXXXX, XXX XXXXX XÄXXX XXXXXXX XXXXXXXXX, XXXXXXX XXX XXXX ON XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) AUTORITÉ XX DÉLIVRANCE XX XXXXXXXX XXXXXX AUQUEL XXX XXXXX XX XXXXXXX FORMULAIRE/ (GA) XX tÚDARÁS A XXXXXXXX XX DOICIMÉAD XXXXXX XXXX XXXXXX XX XXXXXX SEO XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXX XXXXX XXXXXXX KOJOJ XX XXXX OBRAZAC PRILOŽEN/ (XX) AUTORITÀ XXX XXXXXXXX XX DOCUMENTO XXXXXXXX XXX IL XXXXXXXX XXXXXX È XXXXXXXX/ (XX) PUBLISKĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX XX PIEVIENOTA, XXXXXĒXXXXXĀXX/ (XX) VIEŠĄJĮ XXXXXXXXĄ, PRIE XXXXX XXXXXXXXX XX XXXXX, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X FORMANYOMTATVÁNNYAL XXXXXX KÖZOKIRATOT XXXXXXXX XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX PUBBLIKU XX XXXXĦX XXXX XXXXXŻX DIN XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX XXXXXXXX DOCUMENT XXXXXXX XXX XXXXXXXXX IS XXXXXXX/ (XX) XXXXX XXXXXĄXX DOKUMENT XXXĘXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX JEST XXŁĄXXXXX/ (XX) AUTORIDADE QUE XXXXX O XXXXXXXXX XXXXXXX X QUE X XXXXXXXX FORMULÁRIO XXXX XXXXXX/ (RO) XXXXXXXXXXX XXXXXXXĂ A XXXXXXXXXXXX XXXXXXX XX XXXX ESTE ANEXAT XXXXXXXXX FORMULAR/ (XX) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, XX XXXXXX XX TENTO XXXXXXXX XXXXXXXXX/ (SL) XXXXX, XX XXXX XXXXX XXXXXXX, XX XX XX PRILOŽEN XX XXXXXXX/ (XX) XXXXXXXXXXXX, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, JOHON XÄXÄ XXXXXX LIITETÄÄN/ (XX) MYNDIGHET XXX XXXÄXXXX XXX OFFICIELLA XXXXXXXX XXXX XXXXXX XXXXX FORMULÄR ÄR XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX AL XXXXXXXXX PÚBLICO XX XXX XX ADJUNTA XXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXXXXX VEDRØRENDE DET XXXXXXXXXX DOKUMENT, SOM XXXXX XXXXXXXX ER XXXXÆXXXX/ (DE) ANGABEN XXX ÖFFENTLICHEN XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX XXXXXXX DOKUMENDI XXXXX, XXXXXXX XXX XXXX ON XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXXXX XXXXXXXX XX XXX XXXXXX DOCUMENT XX XXXXX XXXX XXXX IS XXXXXXXX/ (XX) INFORMATIONS XXXXXXXXX XX DOCUMENT XXXXXX XXXXXX EST JOINT XX XXXXXXX FORMULAIRE/ (XX) XXXXXXXX X XXXXXXXXX XXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX AN XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXXXXX KOJE XX XXXXXX XX JAVNU XXXXXXX KOJOJ XX XXXX OBRAZAC XXXXXXXX/ (XX) INFORMAZIONI XXXXXXXX XX DOCUMENTO XXXXXXXX XXX XX PRESENTE XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX PAR XXXXXXXX DOKUMENTU, KURAM XĪ XXXXXXXX IR XXXXXXXXXX/ (LT) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX XXXXXXXXX, PRIE KURIO XXXXXXXXX XX FORMA/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATRA VONATKOZÓ XXXXXXXXXXX/ (MT) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX HIJA XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX DIT XXXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, DO XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (PT) XXXXXXXÇÕXX XXXXXXXXX AO XXXXXXXXX XXXXXXX X QUE X XXXXXXXX XXXXXXXXXX XXXX APENSO/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX OFICIAL XX XXXX ESTE ANEXAT XXXXXXXXX XXXXXXXX/ (SK) XXXXXXXXXX X XXXXXXXX XXXXXXX, XX KTOREJ XX TENTO FORMULÁR XXXXXXXXX/ (SL) INFORMACIJE X ZVEZI X XXXXX LISTINO, KI XX JE XXXXXXXX XX XXXXXXX/ (FI) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (SV) XXXXXXXXXXX XX DEN OFFICIELLA XXXXXXXX XXXX XXXXXX XXXXX FORMULÄR ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX EXPEDIDO XXX XXX AUTORIDAD X XX XXXXXXXXXXX XXXXXXXXX X XXX ÓRGANOS XXXXXXXXXXXXXXXX DE UN XXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXX ORGÁNEM XXXX ÚŘEDNÍKEM S XXXXXX NA SOUDY XXXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXXX, DER XX UDSTEDT AF XX XXXXXXXXX XXXXX XX XXXXXXXXXX, DER XX TILKNYTTET XXXXXXXX X EN XXXXXXXXXXX/ (XX) XXXXXXX EINER XXXÖXXX XXXX XXXXX XXXXXXXXXX XXX XXXXX XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) DOKUMENT, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX KOHTUTEGA XXXXXX XXXXXXXXXXX XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX FROM XX XXXXXXXXX XX XX OFFICIAL XXXXXXXXX XXXX XXX COURTS XX XXXXXXXXX XX X MEMBER XXXXX/ (XX) DOCUMENT XXXXXXX X'XXX XXXXXXXX OU X'XX XXXXXXXXXXXXX RELEVANT X'XXX JURIDICTION X'XX XXXX MEMBRE/ (XX) XXXXXXXXX A XXXXXXX X XXXXXX NÓ X OIFIGEACH X XXXXXX XXXXX XXXX XX XXXX XX XXXXXXXXXX NÓ XX XXXXX XX XXXXX XXXXXXXXX/ (HR) XXXXXXX XXXX XX IZDALO XXXXXX XXX SLUŽBENIK XXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX EMANATO XX UN'AUTORITÀ X XX UN FUNZIONARIO XXXXXXXXXXXX XX UNA XXXXX XXXXXXXXXXXXX XX XXX XXXXX XXXXXX/ (XX) XXXXXXXXX, KURU XXXXXXXXXX AR DALĪBVALSTS XXXXĀX XXXXXĪXX XXXXĀXX XXX AMATPERSONA/ (LT) XXXXXXXXXX, XXXXXXXX XXXXXXXX XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ XX VALSTYBĖS XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (HU) TAGÁLLAMI XXXXXXXXXX XXXXXXXXXXXX XXXX XXXXXXX VAGY XXXXXXXXXXŐ XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX AWTORITÀ XXX XXXXĊXXX LI XXXXXXXX XXXXX XXX-XXXXX XXX XX-XXXXXXXXX XX' XXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX TOT XXX XXXXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX XXXXXX XĄXXXXXX LUB XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX UMA XXXXXXXXXX XX DE XX XXXXXXXXXXX XXXXXXXXXX XX QUALQUER XXXXXXXÇÃX XX UM XXXXXX-XXXXXX/ (XX) XXXXXXXX EMIS XX O AUTORITATE XXX XX UN XXXXȚXXXXX DE XX XÂXXĂ INSTANȚELE XXXX XXXX MEMBRU/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXX XXXXXXXXX S XÄXXXX XX XXXX XXXXXXXXX ŠTÁTU/ (XX) XXXXXXX, XXXXXX X XXXXXX XXXXXX XXX XXXXXXXX SODNE XXXXXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX, XXXXX XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (SV) HANDLING XXX XÄXXÖX XXÅX XX MYNDIGHET ELLER XX XXÄXXXXXXX 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 XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXX/ (GA) XXXXXXXX XX xXXXXX/ (HR) XXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (XX) XXXXXX XXXXXXXXXX/ (HU) XXXXXXXX HATÁROZAT/ (MT) XXĊXŻXXXX XXX-XXXXX/ (NL) XXXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (PT) XXXXXÃX XXXXXXXX/ (XX) XXXĂXÂXX JUDECĂTOREASCĂ/ (SK) XXXXX XXXXXXXXXXX/ (XX) XXXXX XXXXXXX/ (FI) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX POR XX XXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX EINER XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, MILLE XX XÄXXX XXXXXX XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) DOCUMENT XXXXXXXXX XXXX X XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX ÉMANANT XX XXXXXXÈXX XXXXXX/ (GA) XXXXXXXXX X THAGANN X XXXXXXXXXXXXXXX POIBLÍ/ (XX) XXXXXXX KOJU XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX PUBBLICO XXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) PROKURORO XXXXXXXX XXXXXXXXXX/ (HU) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX PROSEKUTUR XXXXXXXX/ (XX) DOCUMENT AFGEGEVEN XXXX XXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX OD PROKURATORA/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX PÚBLICO/ (XX) XXXXXXXX EMIS XX UN PROCUROR/ (XX) LISTINA XXXXXX XXXXXXXXXXXX/ (XX) LISTINA, XX XX IZDA XXXXXXX TOŽILSTVO/ (XX) XXXXXXXXXX SYYTTÄJÄN XXXXXX XXXXXXXXX/ (SV) XXXXXXXX XXX HÄRRÖR XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX UN SECRETARIO XXXXXXXX/ (XX) XXXXXXX XXXXXX VYŠŠÍM XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXÆX/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX, XXXXX XX VÄLJA XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (EN) XXXXXXXX XXXXXXXXX XXXX X XXXXX XX A XXXXX/ (XX) XXXXXXXX XXXXXXX D'UN XXXXXXXX/ (XX) XXXXXXXXX A XXXXXXX Ó CHLÉIREACH XX XXXXX CÚIRTE/ (XX) XXXXXXX XXXX XX XXXXX XXXXXXXXXX XXXXXX XXXXXXXXX/ (IT) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (XX) XXXXXXXXX, KURU IZSNIEDZIS XXXXXX SEKRETĀRS/ (LT) XXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ MINN REĠISTRATUR XX' XXXXX/ (XX) XXXXXXXX AFGEGEVEN XXXX XXX GRIFFIER/ (XX) XXXXXXXX POCHODZĄCY XX XXXXXXXXXX SĄDOWEGO/ (XX) XXXXXXXXX PROVENIENTE XX XX XXXXXXX XX XXXXXÇX/ (RO) XXXXXXXX XXXX XX XX XXXXXXX XX XXXXXXȚXX/ (XX) LISTINA VYDANÁ XXXXXX XXXXXXXXX/ (XX) XXXXXXX, KI XX XXXX SODNI 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) XXXXXXXXX EXPEDIDO POR XX AGENTE XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) LISTINA XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXX XXXXXXX XX XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (DE) XXXXXXX XXXXX GERICHTSVOLLZIEHERS/ (XX) XXXXXXXX, MILLE XX XÄXXX ANDNUD XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXXXX XXXXXXX ('XXXXXXXX XX JUSTICE')/ (FR) XXXXXXXX ÉMANANT X'XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X OIFIGEACH XXXXXXXXXXXX (“HUISSIER DE XXXXXXX”)/ (XX) XXXXXXX XXXX XX XXXXX XXXXXX OVRŠITELJ (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX TIESAS XXXXXXĪXĀXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX (HUISSIER XX XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXXX („XXXXXXXX XX XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXĠ MINN XXXXĊXXX ĠXXXXXXXXXX ('HUISSIER XX XXXXXXX')/ (NL) DOCUMENT XXXXXXXXX XXXX XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX URZĘDNIKA XĄXXXXXX (HUISSIER DE XXXXXXX)/ (PT) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXÃX DE XXXXXXX («XXXXXXXX DE JUSTICE»)/ (XX) XXXXXXXX EMIS XX XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (SK) XXXXXXX XXXXXX SÚDNYM XXXXXXXXXXĽXX („XXXXXXXX XX XXXXXXX“)/ (XX) LISTINA, XX XX IZDA XXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (FI) XXXXXXXXXXXX (”XXXXXXXX XX JUSTICE”) XXXXXX ASIAKIRJA/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX EN STÄMNINGSMAN (XXXXXXXX DE XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) XXXX (XXXXXXXXX)/ (XX) ANDRE (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (ET) XXX (TÄPSUSTAGE)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (TO XX XXXXXXXXX)/ (XX) XXXXX (À PRÉCISER)/ (XX) XXXX (XX XXXXX)/ (XX) XXXXXX (NAVESTI)/ (XX) XXXXX (XXXXXXXXX)/ (XX) XXXX (PRECIZĒT)/ (XX) XXXX (XXXXXXXX)/ (XX) EGYÉB (XXXXÜX XXXXXXXXXXX)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) XXXX (XXXXXĘ XXXXŚXXĆ)/ (XX) XXXXXX (X XXXXXXXXXXX)/ (XX) XXXXX (X XX XXXXXXX)/ (XX) XXX (XXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) XXXXX HANDLING (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX ADMINISTRATIVO/ (XX) XXXXXXX XXXXXX XXXXXXXX ÚŘADEM/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (EL) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ (HR) XXXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (HU) XÖXXXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (NL) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX ADMINISTRATIV/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXX LISTINA/ (XX) XXXXXXXXXXXXXX ASIAKIRJA/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) CERTIFICADO/ (CZ) XXXXXXXXX/ (DA) PÅTEGNING/ (XX) BESCHEINIGUNG/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) CERTIFICATE/ (FR) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (LV) XXXXXXXXĀXXXX/ (XX) PAŽYMA, LIUDIJIMAS/ (XX) TANÚSÍTVÁNY/BIZONYÍTVÁNY/ (XX) ĊXXXXXXXXX/ (XX) CERTIFICAAT/ (XX) XXŚXXXXXXXXXX/ (PT) XXXXXXÃX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (SL) POTRDILO/ (XX) XXXXXXXX/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (ES) EXTRACTO XXX XXXXXXXX XXXXX/ (XX) XXXXX X XXXXXXX/ (DA) UDDRAG XXX XXXXXXXXXXXXXXXXXXXX/ (DE) XXXXXX XXX DEM XXXXXXXX-XXXXXXXXXXXXXX/ (XX) PEREKONNASEISUREGISTRI XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (EN) XXXXXXX FROM THE XXXXX XXXXXX REGISTER/ (XX) EXTRAIT DU XXXXXXXX XX X'XXXX XXXXX/ (GA) XXXXXXX XX XX xXXXX XXXXXXX SHIBHIALTA/ (HR) XXXXXXX IZ XXXXXXXX XXXXXXX XXXXXX/ (XX) XXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXX XX XXXXXXXĀXXXĻX AKTU XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXĖX XŪXXĖX XXXŲ XXXXXXXX/ (HU) ANYAKÖNYVI XXXXXXX/ (MT) ESTRATT XXX-XXĠXXXXX TAL-ISTAT ĊXXXXX/ (XX) UITTREKSEL XXX XXX XXXXXXXX VAN XX XXXXXXXXXXX STAND/ (XX) XXXXX SKRÓCONY XXXX XXXXX CYWILNEGO/ (XX) EXTRATO DE XXXX DO XXXXXXX XXXXX/ (XX) XXXXXX XXX REGISTRUL XX XXXXX XXXXXĂ/ (XX) XXXXX X XXXXXXXX XXXXXXXX STAVU/ (XX) XXXXXXX XX XXXXXXXX X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX XXX XXXXX/ (CZ) XXXXX X REGISTRU XXXXXXXX/ (XX) UDDRAG XXX XXXXXXXXXXXXXX/ (XX) AUSZUG XXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX FROM XXX POPULATION REGISTER/ (XX) EXTRAIT XX XXXXXXXX XX XX XXXXXXXXXX/ (XX) SLIOCHT XX XX gCLÁR XXXXXX/ (HR) XXXXXXX XX XXXXXX XXXXXXXXXXXX/ (XX) ESTRATTO ANAGRAFICO/ (XX) IZRAKSTS NO XXXXĪXXXĀXX XXĢXXXXX/ (XX) XXXXXXX XX GYVENTOJŲ XXXXXXXX/ (XX) XXXXXXX X XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX HET XXXXXXXXXXXXXXXXXX/ (PL) XXXXĄX X REJESTRU XXXXXŚXX/ (XX) EXTRATO XX XXXXXXX XX XXXXXXÇÃX/ (XX) XXXXXX DIN XXXXXXXXX XX XXXXXXȚĂ X XXXXXXȚXXX/ (SK) XXXXX X XXXXXXXX XXXXXXXĽXX/ (XX) IZPISEK XX XXXXXXXX XXXXXXXXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (ES) XXXXX XXXXXXX XX XXXXX XXX REGISTRO XXXXX/ (XX) XXXX MATRIČNÍCH XXXXXXX/ (XX) ORDRET XXXX XX XXXXXXXXXXXXXXXXXXX/ (XX) WÖRTLICHE XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX COPY OF XXXXX XXXXXX XXXXXXX/ (XX) XXXXX XXXXXXXXX X'XXXXX DE X'XXXX XXXXX/ (XX) XXXX XXXXX XX FHOCAL XX XXXXXXX XX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XX XXXXXXXXXX O XXXXXXX XXXXXX/ (XX) COPIA XXXXXXXXX DI XXXX XX STATO XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX XXĢXXXXX XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) CIVILINĖS XŪXXĖX XXXŲ ĮRAŠŲ XXXXXXXĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX MÁSOLATA/ (XX) XXXXX XXXXXXXX XXX-XXXX XXX-XXXXX ĊIVILI/ (XX) XXXXXXXXXXX AFSCHRIFT XXX XXXXX XXX XX XXXXXXXXXXX STAND/ (PL) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXÃX XX CÓPIA XXXXXXXX XX XX XXXXXXXXX DE ATOS XX XXXXXXX XXXXX/ (XX) XXXXX XXXXXĂ X UNUI XXX XX XXXXX CIVILĂ/ (XX) DOSLOVNÝ VÝPIS XX XXXXXXX X XXXXXXX STAVE/ (XX) XXXXXXXXX XXXXXX XXXXXX X XXXXXXX XXXXXX/ (XX) VÄESTÖREKISTERITIETOJEN XXXXXXXXXX XÄXXXXXÖX/ (XX) ORDAGRANN XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (ES) XXXX XXXXXXXX/ (XX) XXXXXXXX LISTINA/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (DE) XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) NOTARIAL XXX/ (FR) ACTE XXXXXXX/ (XX) GNÍOMH XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) ATTO XXXXXXXX/ (LV) XXXXXXĀXX XXXX/ (LT) XXXXXXXXX XXXXX/ (HU) XÖXXXXXXŐX XXXXXX/ (MT) XXX XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (PL) AKT XXXXXXXXXX/ (PT) ATO XXXXXXXX/ (XX) XXX XXXXXXXX/ (SK) XXXXXXXX XXXXXXX/ (SL) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXX ASIAKIRJA/ (XX) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX XXXXXX XXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXX, XXXXXX XXXX XXXXXXXX XXXXXXX XXXXXXXXX SOUKROMOU XXXXXX/ (XX) XXXXXXXX XÅXXXXXXX PÅ ET XXXXXXXX XXXXXXXXXXX XX XX XXXXXX X XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX AUF XXXXX XXXXXXXXXXXXX/ (XX) XXXXX XXXXX ERAISIKUNA XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX XXXXXXX XÕXXX/ (EL) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX CERTIFICATE XXXXXX XX A XXXXXXXX XXXXXX XX A XXXXXX IN XXX XX XXX XXXXXXX XXXXXXXX/ (XX) DÉCLARATION XXXXXXXXXX XXXXXXX XXX XX ACTE XXXX XXXXX PRIVÉ/ (XX) XXXXXXXX OIFIGIÚIL X XXXXXXXXX XX DHOICIMÉAD XXXX SHÍNIÚ XX XXXXX XXX CHÁIL XX XXX XXXX XXXXXXXXXXXXXX/ (HR) SLUŽBENA XXXXXXX XXXXXXXXX XX XXXXXXX XXXX JE XXXXX XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX XXX SCRITTURA XXXXXXX/ (XX) XXXXXĀXX XXXXXXXXĀXXXX UZ DOKUMENTA, XX SAVĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (XX) XXXXXXXŲ ASMENŲ XXXXXXXXXŲ DOKUMENTŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX HIVATALOS TANÚSÍTVÁNY/ (XX) ĊXXXXXXXXX UFFIĊJALI XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ PRIVATA XXXĦXX/ (XX) OFFICIEEL XXXXXXXXXXX XX XXX XXXXXXXX XXXXXXXXXXX DOOR XXX XXXXXXX XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX DOKUMENCIE XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX NUM ATO XX NATUREZA XXXXXXX/ (XX) XXXXXXXXXX OFICIAL XXXXXXX XX XX XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (SK) ÚRADNÉ XXXXXXXXXX XXXXXXX XX XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX AKO XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXX XX XXXXXXX XXXXXXX/ (FI) VIRALLINEN XXXXXXXX XXXXXXXXXXXX, XXXXX XXXXXXÖ ON XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) OFFICIELLT XXXXX ANBRINGAT 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 AGENTE DIPLOMÁTICO X XXXXXXXX XX XX XXXXXX XXXXXXX XXX XXXXXXXX XXXXXXX/ (XX) LISTINA VYHOTOVENÁ XXXXXXXXXXXXX XXXXXXXXX NEBO XXXXXXXXXXX XXXXXXXXX ČLENSKÉHO XXXXX X XXXXX XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (DA) XXXXXXXX XXXXXXXXX XXXÆXXXXXX XX XX MEDLEMSSTATS DIPLOMATISKE XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (XX) XXX XXXXX XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXXX XX SEINER AMTLICHEN XXXXXXXX ERRICHTETE XXXXXXX/ (XX) XXXXXXXXXXXX DIPLOMAATILISE XÕX XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX KOOSTATUD XXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (EN) XXXXXXXX XXXXX XX XX X XXXXXXXXXX XX XXXXXXXX AGENT XX X XXXXXX XXXXX XX XXX XX XXX OFFICIAL CAPACITY/ (XX) XXXXXXXX ÉTABLI XX SA QUALITÉ XXXXXXXXXX PAR XX XXXXX DIPLOMATIQUE OU XXXXXXXXXX D'UN XXXX XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX DE XXXXX XXXXXXXXX XXX XXXXX XX XXX XXXX XXXXXXXXX/ (XX) XXXXXXX XXXX JE X XXXXXXXXX SVOJSTVU XXXXXXXX XXXXXXXXXXX ILI XXXXXXXXXX PREDSTAVNIK XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX AGENTI XXXXXXXXXXX X XXXXXXXXX XX UNO XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (LV) XXXXXXXXX, KURU, XXXXXX XXXXX XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX DIPLOMĀTISKAIS XXX XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, PARENGTAS XXXXXXXĖX XXXĖX DIPLOMATO AR XXXXXXXXXX PAREIGŪNO, VEIKIANČIO XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) VALAMELY XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX ÁLTAL XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX IMĦEJJI XXXX AĠENT XXXXXXXXXXX XXX KONSULARI XX' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (NL) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX VAN XXX LIDSTAAT XX XXXX XXXXXXËXX HOEDANIGHEID/ (XX) XXXXXXXX XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX XXXĘXXXXX/ (XX) DOCUMENTO LAVRADO XXX XX XXXXXX XXXXXXXXXXX XX XXXXXXXX XX XX XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX FUNÇÕES XXXXXXXX/ (XX) XXXXXXXX ÎNTOCMIT XX CĂTRE UN XXXXX XXXXXXXXXX XXX XXXXXXXX XX XXXX XXXX XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX VYHOTOVENÁ XXXXXXXXXXXXX XXXXXXXXX XXXXX KONZULÁRNYM XXXXXXXXX XXXXXXXXX XXXXX X XXXXX VÝKONU XXXX XXXXXXX/ (SL) XXXXXXX, KI XX XXX URADNA XXXXX XXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) ASIAKIRJA, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX KONSULIEDUSTAJA XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXÄXXXX X TJÄNSTEN XX XX XXXXXXXXXXX XXXXX XXXXXXÄX XXÄXXXXXXX X XX MEDLEMSSTAT

3.6

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) FECHA (DD/MM/AAAA) XX EXPEDICIÓN/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) AUSSTELLUNGSDATUM (TT/MM/JJJJ)/ (XX) VÄLJAANDMISE KUUPÄEV (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) DATE (XX/XX/XXXX) DE DÉLIVRANCE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX DI XXXXXXXX (XX/XX/XXXX)/ (XX) IZDOŠANAS XXXXXX (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 AFGIFTE/ (XX) XXXX (DD/MM/RRRR) WYDANIA/ (XX) XXXX DE XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (ZZ/LL/AAAA) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) XXXXX (DD/MM/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (XX) XXX OFFENTLIGE XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX/ (ET) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (EL) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX OF XXX XXXXXX XXXXXXXX/ (XX) NUMÉRO XX XXXXXXXXX DU XXXXXXXX XXXXXX/ (XX) XXXXXX XXXXXXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXX XXXXX ISPRAVE/ (XX) NUMERO XX XXXXXXXXXXX DEL XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX ATSAUCES XXXXXX/ (XX) VIEŠOJO XXXXXXXXX XXXXXXX/ (XX) A XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXX XX' XXXXXXXXX TAD-DOKUMENT PUBBLIKU/ (XX) XXXXXXXXXXXXXXXX XXX XXX OPENBAAR XXXXXXXX/ (XX) NUMER XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXX DE XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) NUMĂRUL XX XXXXXXXȚĂ AL DOCUMENTULUI XXXXXXX/ (SK) XXXXXXXXXX XXXXX XXXXXXXX LISTINY/ (XX) REFERENČNA XXXXXXXX XXXXX XXXXXXX/ (XX) XXXXXXX ASIAKIRJAN XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX SOBRE XX XXXXXXXXXX/ (XX) XXXXXXXXX O XXXXXXX XXXXX/ (DA) XXXXXXXXXXX XX DEN XÅXÆXXXXXX XXXXXX/ (XX) XXXXXXX XXX XXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXXX ISIKUT XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXX XXX LA XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXX MAIDIR XXXX XX XXXXX XXXX xXXXXXXXX/ (HR) XXXXXXXXXXX X XXXXXXXX OSOBI/ (XX) XXXXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (XX) XXXXXXĀXXXX XXX ATTIECĪGO XXXXXXX/ (XX) XXXXXXXXXXX XXXX XXXXXXXXXĄ XXXXXĮ/ (XX) AZ ÉRINTETT XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXX KKONĊERNATA/ (XX) XXXXXXXXXX XXXX XX XXXXXXXXXX/ (PL) XXXX XXXXX, XXXXXX DOTYCZY XXXXXXXX/ (XX) XXXXXXXÇÕXX XXXXX X PESSOA XX CAUSA/ (RO) XXXXXXXȚXX XXXXXXX XXXXXXXX XXXXXĂ/ (XX) INFORMÁCIE X XXXXXXXXX XXXXX/ (XX) INFORMACIJE X XXXXXXX XXXXX/ (FI) XXXXXXXXXXXX HENKILÖN TIEDOT/ (XX) XXXXXXXXX OM XXX XXXÖXXX XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (ES) APELLIDO(S) XX XXXXXXXXXX/ (CZ) XXXXX/X XXXXXXXX/ (XX) XXXXXXXXX(X) XXX FØDSLEN/ (XX) XXXXXXXXXXXX(X) BEI XXX XXXXXX/ (XX) XÜXXXXÄXXXX XXXXXXXXXXXXX (SÜNNIJÄRGSED XXXXXXXXXXXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (XX) SURNAME(S) XX XXXXX/ (XX) XXX(X) À LA NAISSANCE/ (XX) XXXXXXX (XXXXXXXX) XXXXXXX/ (HR) XXXXXXX(XX) XXX ROĐENJU/ (XX) XXXXXXX/X ALLA NASCITA/ (XX) XXXĀXXX(-X) DZIMŠANAS XXĪXĪ/ (XX) XXXXXXĖ (-ĖX), SUTEIKTA (-OS) XXXXX/ (HU) XXÜXXXXXX XXXXXXX XXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX) MAT-TWELID/ (XX) XXXXXXXX(X)X(XX) BIJ XX XXXXXXXX/ (XX) XXXXXXXX(-X) XXXXXX/ (PT) APELIDO(S) À DATA XX XXXXXXXXXX/ (XX) XXXXXX XX XXȘXXXX/ (XX) XXXXX XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX OB XXXXXXX/ (XX) SUKUNIMI (-XXXXX) XXXXXXÄXXXXXXXÄ/ (XX) XXXXXXXXX XXX FÖDSELN

4.2

(BG) НАСТОЯЩО(И) ФАМИЛНО(И) ИМЕ(НА)/ (ES) XXXXXXXX(X) XXXXXX(XX)/ (XX) XXXXXXXX/X XXXXXXXX/ (XX) XXXÆXXXXX XXXXXXXXX(X)/ (DE) XXXXXXXXXX(X) FAMILIENNAME(N)/ (ET) XXXXXXXX XXXXXXXXXXXXX (PRAEGUSED XXXXXXXXXXXXXX)/ (XX) ΤΡΕΧΟΝ(-ΤΑ) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX XXXXXXX(X)/ (XX) NOM(S) XXXXXX(X)/ (GA) SLOINNE (XXXXXXXX) XXXXXX/ (XX) XXXXXXXX(-X) XXXXXXX(XX)/ (IT) XXXXXXX/X ATTUALE/I/ (LV) XXXXXXX(-XX) XXXĀXXX(-X)/ (XX) XXXXXXXXĖ (-ĖX) XXXXXXĖ (-ĖX)/ (XX) XXXXXXXXX XXXXXXX NEVE(I)/ (XX) XXXXXX(/XXXXXXXXXXX) XXXXXXX/ (NL) XXXXXXX ACHTERNA(A)M(EN)/ (XX) XXXXXX NAZWISKO(-A)/ (XX) XXXXXXX XX XXXXXXXX XXXXXX/ (RO) NUMELE XXXXXX(X)/ (XX) SÚČASNÉ XXXXXXXXXX(-X)/ (XX) XXXXXXX XXXXXXX/XXXXXXX/ (XX) NYKYINEN XXXXXXXX (XXXXXXXX SUKUNIMET)/ (XX) XXXXXXXXX EFTERNAMN

4.3

(BG) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ БРАКА/ (ES) APELLIDO(S) XXXXX XX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXX XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXX(X) XØX XXXXXXX/ (DE) XXXXXXXXXXXX(X) XXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX (-XXXXX) XXXX ABIELLUMIST/ (EL) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΤΟΝ ΓΑΜΟ/ (EN) XXXXXXX(X) XXXXXX THE XXXXXXXX/ (XX) XXX(X) XXXXX XX XXXXXXX/ (XX) XXXXXXX (SLOINNTE) XXXXX XX xXXXXXX/ (XX) XXXXXXX(XX) PRIJE XXXXXXXXX XXXXX/ (XX) XXXXXXX/X XXXXX DEL XXXXXXXXXX/ (XX) XXXĀXXX(-X) XXXXX XXXXĪXXX/ (LT) XXXXXXĖ (-ĖX) PRIEŠ XXXXXXXĄ/ (XX) CSALÁDI NEVE(I) X XXXXXXXXXÖXXX ELŐTT/ (XX) XXXXXX(/XXXXXXXXXXX) XXXXX XŻ-ŻXXXĠ/ (XX) ACHTERNA(A)M(EN) XXXX XXX XXXXXXXX/ (XX) XXXXXXXX(-X) XXXXX XXXXXXXXX XXŁŻXŃXXXX/ (PT) XXXXXXX(X) XXXXX XX XXXXXXXXX/ (XX) NUMELE ÎXXXXXX XX CĂSĂTORIE/ (XX) XXXXXXXXXX(-X) PRED XXXXXXXXX XXXXXXXXXX/ (XX) 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/ (ES) XXXXXXXX(X) XXXXXXX XX XXXXXXXX MATRIMONIO/ (XX) XXXXXXXX XX XXXXXXXX XXXXXXXXXX/ (DA) XXXXXXXXX(X) XXXXX VIELSEN/ (DE) XXXXXXXXXXXX(X) XXXX XXX XXXXXXXXXXXXXX/ (ET) PEREKONNANIMI (-XXXXX) XÄXXXX ABIELLUMIST/ (XX) ΕΠΩΝΥΜΟ(-Α) ΜΕΤΑ ΤΟΝ ΓΑΜΟ/ (XX) XXXXXXX(X) XXXXXXXXX XXX XXXXXXXX/ (XX) XXX(X) À XX SUITE XX XXXXXXX/ (XX) XXXXXXX (SLOINNTE) XXX XXX XX PHÓSTA/ (XX) PREZIME(NA) NAKON XXXXXXXXX XXXXX/ (XX) XXXXXXX/X DOPO IL XXXXXXXXXX/ (XX) UZVĀRDS(-I) XĒX LAULĪBAS/ (XX) XXXXXXĖ (-ĖX) PO XXXXXXXXX/ (HU) XXXXXXX XXXX(X) X XXXXXXXX-XÖXXX XXXX/ (MT) XXXXXX(/XXXXXXXXXXX) XXXX Ż-ŻXXXĠ/ (XX) XXXXXXXX(X)X(XX) XX XXX XXXXXXXX/ (XX) XXXXXXXX(-X) XX ZAWARCIU XXŁŻXŃXXXX/ (XX) APELIDO(S) XXXX X XXXXXXXXX/ (XX) XXXXXX XXXĂ XĂXĂXXXXX/ (XX) XXXXXXXXXX(-X) PO XXXXXXXX MANŽELSTVA/ (SL) XXXXXXX/XXXXXXX XX XXXXXXXXX XXXXXXXX ZVEZE/ (FI) XXXXXXXX (-XXXXX) AVIOLIITON XXXXXXXXXX XÄXXXXX/ (XX) XXXXXXXXX XXXXX ÄXXXXXXXXXXX XXXÅXXXX

4.5

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) XXXXX (JMÉNA)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (EN) XXXXXXXX(X)/ (XX) PRÉNOM(S)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (XX) XĀXXX(-X)/ (XX) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (NL) VOORNA(A)M(EN)/ (XX) IMIĘ (XXXXXX)/ (XX) NOME(S) XXXXXXX(X)/ (XX) XXXXXXX/ (SK) XXXX(-X)/ (SL) IME/IMENA/ (XX) ETUNIMI (-XXXXX)/ (XX) FÖRNAMN

4.6

(BG) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXXX/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) SÜNNIKUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) DATE (XX/XX/XXXX) XX BIRTH/ (XX) XXXX (JJ/MM/AAAA) XX XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXĐXXXX/ (IT) DATA XX XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (HU) XXÜXXXXXX XXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (NL) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) URODZENIA/ (XX) XXXX DE XXXXXXXXXX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXȘXXXXX/ (SK) XXXXX (DD/MM/RRRR) NARODENIA/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) FÖDELSEDATUM (XX/XX/ÅÅÅÅ)

4.7

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) LUGAR X XXXX XX XXXXXXXXXX/ (XX) XXXXX X XXXX NAROZENÍ/ (XX) XØXXXXXX XX -XXXX/ (XX) ORT XXX XXXX XXX GEBURT/ (XX) XÜXXXXXXX XX -XXXX/ (EL) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) PLACE XXX XXXXXXX XX BIRTH/ (XX) LIEU XX XXXX XX XXXXXXXXX/ (XX) XXX XXXX XXX XXXXXXXX/ (XX) XXXXXX I ZEMLJA XXĐXXXX/ (XX) XXXXX X XXXXX XX XXXXXXX/ (XX) XXXXXXXXX XXXXX UN XXXXXX/ (XX) XXXXXX XXXXX XX ŠALIS/ (XX) XXÜXXXXXX XXXXX XX XXXXXXX/ (MT) POST X XXXXXŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX XX -XXXX/ (XX) MIEJSCE X XXŃXXXX URODZENIA/ (XX) XXXXX E XXXX XX NASCIMENTO/ (XX) XXXXX ȘI ȚXXX XXȘXXXXX/ (SK) XXXXXX A ŠTÁT XXXXXXXXX/ (XX) KRAJ XX XXXXXX ROJSTVA/ (XX) XXXXXXÄXXXXXX XX -XXX/ (SV) XÖXXXXXXXX XXX -XXXX

4.8

(XX) ПОЛ/ (XX) SEXO/ (CZ) XXXXXXX/ (DA) XØX/ (XX) XXXXXXXXXX/ (ET) XXXX/ (EL) ΦΥΛΟ/ (XX) SEX/ (XX) XXXX/ (XX) INSCNE/ (XX) XXXX/ (XX) XXXXX/ (LV) DZIMUMS/ (XX) LYTIS/ (XX) XXXX/ (XX) SESS/ (XX) GESLACHT/ (XX) XŁXĆ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXX/ (XX) XXXXXXXXX/ (XX) XÖX

4.8.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) ŽENA/ (XX) XXXXXX/ (DE) XXXXXXXX/ (ET) XXXXXXXXX/ (XX) ΘΗΛΥ/ (EN) XXXXXX/ (FR) FÉMININ/ (XX) XXXXXXXX/ (HR) XXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (LT) XXXXXXX/ (XX) NŐ/ (XX) XXXX/ (XX) XXXXX/ (XX) KOBIETA/ (XX) XXXXXXXX/ (RO) XXXXXXXX/ (XX) ŽENSKÉ/ (XX) XXXXXX/ (FI) XXXXXX/ (XX) XXXXXX

4.8.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (DA) XXXX/ (XX) XÄXXXXXX/ (XX) MEESSOOST/ (EL) ΑΡΡΕΝ/ (EN) MALE/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (LV) XĪXXXXXX/ (XX) XXXXX/ (XX) XXXXX/ (XX) XXĠXX/ (XX) MAN/ (XX) XĘŻXXXXXX/ (PT) XXXXXXXXX/ (RO) XĂXXĂXXXX/ (XX) XXXXXX/ (SL) XXXXX/ (XX) MIES/ (XX) MAN

4.8.3

(BG) НЕОПРЕДЕЛЕН/ (XX) INDETERMINADO/ (CZ) XXXXXXXX/ (DA) XXXXXXXX/ (XX) XXXXXXXXXX/ (ET) XÄÄXXXXXX/ (EL) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (EN) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) NENUSTATYTA/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX STABBILIT/ (XX) XXXXXXXXX/ (XX) XŁXĆ XXXXXXXŚXXXX/ (PT) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

4.9

(XX) ГРАЖДАНСТВО/ (XX) NACIONALIDAD/ (XX) STÁTNÍ XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX-XXXXXÖXXXXXXX/ (XX) KODAKONDSUS/ (XX) ΙΘΑΓΕΝΕΙΑ/ (EN) XXXXXXXXXXX/ (XX) NATIONALITÉ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) CITTADINANZA/ (XX) VALSTSPIEDERĪBA/ (XX) XXXXXXXXĖ/ (HU) ÁLLAMPOLGÁRSÁGA/ (XX) ĊXXXXXXXXXXX/ (NL) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) NACIONALIDADE/ (RO) XXXĂȚXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (SL) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX

5.

(XX) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ, СЕМЕЙНОТО ПОЛОЖЕНИЕ НА СЪОТВЕТНОТО ЛИЦЕ Е, КАКТО СЛЕДВА/ (XX) SEGÚN XX XXXXXXXXX XXXXXXX XX XXX SE XXXXXXX XXXX XXXXXXX, EL XXXXXX XXXXX XXX XXXXXXXXXX XX EL XXXXXXXXX:/ (CZ) XX XXXXXXX XXXXXXX LISTINY, X NÍŽ XX XXXXXXXX TENTO XXXXXXXX, XX XXXXXXX XXXXX XXXXX RODINNÝ XXXX/ (XX) X HENHOLD XXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX ER XXXXÆXXXX, XXX DEN PÅGÆLDENDE XXXXXX XØXXXXXX ÆXXXXXXXXXXXX XXXXXX/ (DE) XXXXXXXXXXXXX XXX BETREFFENDEN XXXXXX XXXÄXX XXX ÖXXXXXXXXXXX XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXÜXX IST/ (XX) XXXXXXXXX XXXXXXXXX XXXXXXXXXXX, XXXXXXX XXX XXXX XX XXXXXXX, XX XXXXXXXXXX ISIKUL XÄXXXXXX XXXXXXXXXXXXX/ (XX) ΣΥΜΦΩΝΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ, ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΕΧΕΙ ΤΗΝ ΑΚΟΛΟΥΘΗ ΟΙΚΟΓΕΝΕΙΑΚΗ ΚΑΤΑΣΤΑΣΗ/ (XX) XXXXXXXXX XX XXX PUBLIC XXXXXXXX XX XXXXX THIS XXXX IS XXXXXXXX, XXX PERSON XXXXXXXXX XXX THE XXXXXXXXX XXXXXXX XXXXXX/ (XX) X'XXXÈX XX XXXXXXXX XXXXXX XXXXXX XX XXXXXXX XXXXXXXXXX XXX XXXXX, LA XXXXXXXXX XXXXXXXXXXXX XX XX XXXXXXXX CONCERNÉE XXX XX SUIVANTE/ (GA) XX RÉIR XX XXXXXXXXX XXXXXXX XXXX XXXXXX AN XXXXXX XXX XXXXXXXXXX, XX XX STÁDAS PÓSTA X XXXXXX XX XX XXXXX LENA xXXXXXXXX/ (HR) PREMA XXXXXX XXXXXXX KOJOJ XX OVAJ XXXXXXX XXXXXXXX XXXXXX XXXXXX XXXXXXX OSOBE XX XXXXXXĆX/ (IT) XXXXXXX XX DOCUMENTO XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX, XX STATO CIVILE XXXXX XXXXXXX INTERESSATA È IL SEGUENTE/ (XX) XXXXXŅĀ AR XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX IR XXXXXXXXXX, ATTIECĪGAJAI PERSONAI XX XĀXX ĢXXXXXX XXĀXXXXXX/ (XX) PAGAL XXXXĄXĮ DOKUMENTĄ, XXXX XXXXX PRIDEDAMA XX XXXXX, XXXXXXXXXX XXXXXX XXXXXXXXXĖ XXXĖXXX XXX XXXXX/ (HU) XX XXXXXXXX SZEMÉLY CSALÁDI XXXXXXXX X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXX XXXXXXX/ (XX) XXXXX ID-DOKUMENT XXXXXXXX LI XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX, IL-PERSUNA XXXXĊXXXXXX XĦXXXXX L-ISTAT ĊIVILI XXX ĠEJ/ (XX) XXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX, XX XX XXXXXXXXXXX XXXXX XXX DE XXXXXXXXXX XX VOLGENDE/ (XX) Z XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXŁĄXXXXX XXXX XXXXXXXXX XXXXXXXXX, WYNIKA, ŻX XXXXX, XXXXXX DOTYCZY XXXXXXXX, XXXXXXX NASTĘPUJĄCY XXXX CYWILNY/ (XX) XXXXXXX X XXXXXXXXX XXXXXXX A QUE X XXXXXXXX XXXXXXXXXX XXXX XXXXXX, À XXXX XX XXX XXXXXÃX, X ESTADO XXXXX DA PESSOA XX XXXXX X/ (XX) ÎX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX CARE XXXX XXXXXX PREZENTUL XXXXXXXX, XXXXXXXX XXXXXĂ XXX XXXĂXXXXXX STARE XXXXXĂ/ (XX) PODĽA XXXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX, XX DOTKNUTÁ XXXXX NACHÁDZA X XXXXX XXXXXXX STAVE/ (XX) X XXXXXX X JAVNO XXXXXXX, XX JI XX XXXXXXXX TA XXXXXXX, XXX ZADEVNA XXXXX XXXXXXXXX XXXXXXXX STAN/ (XX) XXX XXXXXXX XXXXXXXXXX XXXXXX, XXXXX XÄXÄ LOMAKE LIITETÄÄN, XXXXXXXXXXXX XXXXXXÖX SIVIILISÄÄTY XX SEURAAVA/ (XX) XXXXXX XXX XXXXXXXXXX XXXXXXXX TILL XXXXXX XXXXX FORMULÄR ÄR XXXXXXX ÄX DEN XXXÖXXX XXXXXXXXX XXXXXXXÅXX XÖXXXXXX

5.1

(XX) СЪС СКЛЮЧЕН БРАК/ДАТА (ДД/ММ/ГГГГ) НА СКЛЮЧВАНЕ НА БРАКА/ (XX) XXXXXX / XXXXX (XX/XX/XXXX) DEL XXXXXXXXXX/ (CZ) XXXXX – XXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXX MANŽELSTVÍ/ (XX) XXXX/XXXX (DD/MM/ÅÅÅÅ) XXX XXXXÅXXXX XX ÆGTESKAB/ (XX) VERHEIRATET/TAG XXX XXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXX / ABIELLUMISE XXXXÄXX (XX/XX/XXXX)/ (XX) ΕΓΓΑΜΟΣ/-Η / ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΑΜΟΥ/ (EN) XXXXXXX/XXXX (XX/XX/XXXX) XX XXXXXXXX/ (FR) XXXXX(X)/XXXX (XX/XX/XXXX) XX XXXXXXX/ (XX) XXXXX/XXXX (XX/XX/XXXX) XXXXX/ (HR) X XXXXX / DATUM (XX/XX/XXXX) SKLAPANJA XXXXX/ (XX) CONIUGATO/A - XXXX DI MATRIMONIO (XX/XX/XXXX)/ (XX) PRECĒJIES / XXXXĪXXX NOSLĒGŠANAS XXXXXX (DD/MM/GGGG)/ (XX) XXXXXXXXĘX (-USI) / XXXXXXXXX XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) XXXXX/XXXXXXXXXÖXXX XXXXX (XXXX/XX/XX)/ (XX) XXŻŻXXXXĠ/XXŻŻXXĠX U XXXX (XX/XX/XXXX) XXŻ-ŻXXXĠ/ (XX) XXXXXX/XXXXX (XX/XX/XXXX) XXX XXX XXXXXXXX/ (XX) XXXXXXXXX W XXXĄXXX XXŁŻXŃXXXX/ XXXX (XX/XX/XXXX) XXXXXXXX ZWIĄZKU XXŁŻXŃXXXXXX/ (XX) CASADO(A)/DATA DO XXXXXXXXX (XX/XX/XXXX)/ (XX) XĂXĂXXXXX(Ă)/XXXX (XX/XX/XXXX) XĂXĂXXXXXX/ (XX) ŽENATÝ/VYDATÁ/DÁTUM (XX/XX/XXXX) XXXXXXXXX MANŽELSTVA/ (XX) XXXXXXX/XXXXX (DD/MM/LLLL) SKLENITVE XXXXXXXX ZVEZE/ (FI) XXXXXXXXXX/XXXXXXXXXX XXXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXX/XXXXX (XX/XX/ÅÅÅÅ) XÖX ÄXXXXXXXXXXX INGÅENDE

5.2

(BG) БЕЗ СКЛЮЧЕН БРАК/ (XX) NO CASADO/ (XX) XXXXXXXXX – XXXXXXXXX/ (XX) XXXXX/ (XX) UNVERHEIRATET/ (ET) XX XXX ABIELUS/ (XX) ΑΓΑΜΟΣ/-Η/ (XX) XXX XXXXXXX/ (XX) XXX XXXXX(X)/ (XX) XXX A BHEITH XXXXX/ (XX) XXXX X XXXXX/ (XX) XXX XXXXXXXXX/X/ (LV) XXXXXXĒXXXX/ (XX) XXXXXXXXXXĘX (-XXX)/ (XX) XXXXXÜXXXXX/ (XX) XXXX MIŻŻEWWEĠ/MHUX XXŻŻXXĠX/ (XX) ONGEHUWD/ (XX) NIE POZOSTAJE X XXXĄXXX XXŁŻXŃXXXX/ (XX) NÃO XXXXXX(X)/ (XX) XXXĂXĂXXXXX(Ă)/ (XX) XXXXXXXX/XXXXXXXX/ (XX) NEPOROČEN/ (XX) XX NAIMISISSA/ (XX) XXXXX

5.2.1

(XX) НИКОГА НЕ Е СКЛЮЧВАЛО БРАК/ (ES) XXXXXXX/ (XX) SVOBODNÁ – XXXXXXXX/ (XX) ALDRIG XXXX/ (DE) XXX XXXXXXXXXXX/ (XX) EI XXX XXXXXX XXXXXXX XXXXX/ (XX) ΔΕΝ ΕΧΕΙ ΣΥΝΑΨΕΙ ΠΟΤΕ ΓΑΜΟ/ (XX) XXXXX XXXXXXX/ (XX) X'XXXXX XXXXXX XXX XXXXX(X)/ (XX) GAN A XXXXXX XXXXX RIAMH/ (XX) NIKADA NIJE XXX(-XX) U XXXXX/ (XX) XXXXXX/XXXXXX/ (XX) XXXXX NAV XXXXX XXXXĒXXXX/ (XX) NIEKADA XXXXXX XXXXXXXXĘX (-XXX)/ (XX) XŐXXXX / XXXXXXX/ (XX) ĠXXXX/XXXXX/ (XX) XXXXX GEHUWD/ (XX) XXXXX XXX XXXXXŁ(-X) XXXĄXXX XXŁŻXŃXXXXXX/ (XX) XXXXXXXX/ (RO) XX A XXXX XĂXĂXXXXX(Ă) NICIODATĂ/ (SK) XXXXX SA XXXXXXXX/XXXXXXXX/ (XX) XXXXXX POROČEN/ (XX) EI XXX XXXXXXX XXXXX NAIMISISSA/ (XX) HAR XXXXXX XXXXX GIFT

5.2.2

(BG) С РАЗТРОГНАТ БРАК/ДАТА (ДД/ММ/ГГГГ) НА РАЗВОДА/ (XX) XXXXXXXXXX / XXXXX (XX/XX/XXXX) XXX XXXXXXXX/ (XX) XXXXXXXXX – XXXXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXXX/XXXX (XX/XX/ÅÅÅÅ) XXX SKILSMISSE/ (XX) XXXXXXXXXX / XXXXX (XX/XX/XXXX) DER XXXXXXXXX/ (XX) LAHUTATUD / XXXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΔΙΑΖΕΥΓΜΕΝΟΣ/-Η / ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΔΙΑΖΥΓΙΟΥ/ (XX) XXXXXXXX/XXXX (DD/MM/YYYY) XX DIVORCE/ (XX) XXXXXXX(X)/XXXX (XX/XX/XXXX) DU XXXXXXX/ (GA) COLSCARTHA/DÁTA (XX/XX/XXXX) XXXXXXXXXX/ (XX) XXXXXXXX(X)/XXXXX (DD/MM/GGGG) XXXXXXX/ (XX) XXXXXXXXXX/X - XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XĶĪXXXX / ŠĶIRŠANĀS DATUMS (XX/XX/XXXX)/ (XX) IŠSITUOKĘS (-XXX) / SANTUOKOS XXXXXXXXXX XXXX (DD/MM/MMMM)/ (XX) ELVÁLT/A HÁZASSÁG XXXXXXXXXXXXX IDEJE (ÉÉÉÉ/HH/NN)/ (XX) XXXXXXXXX(X) X XXXX (XX/XX/XXXX) TAD-DIVORZJU/ (XX) XXXXXXXXXX/XXXXX (XX/XX/XXXX) XXX XX ECHTSCHEIDING/ (XX) ROZWIEDZIONY(-A) / XXXX (XX/XX/XXXX) ROZWODU/ (XX) XXXXXXXXXX(X)/XXXX XX XXXXXXXX (XX/XX/XXXX)/ (RO) XXXXXȚXX(Ă)/XXXX (XX/XX/XXXX) DIVORȚULUI/ (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) VIUDO / XXXXX (DD/MM/AAAA) XX XXXXXXXXXXXXX XXX XXXXXXX/ (XX) XXXXX – XXXXXX/XXXXX (XX/XX/XXXX) XXXXX XXXXXXX/XXXXXXXX/ (DA) ENKESTAND/DATO (XX/XX/ÅÅÅÅ) XXX ÆGTEFÆLLES XØX/ (XX) VERWITWET / STERBEDATUM (TT/MM/JJJJ) XXX XXXXXXXXX/ (XX) XXXX / XXXXXXXX XXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΣΕ ΧΗΡΕΙΑ / ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΘΑΝΑΤΟΥ ΣΥΖΥΓΟΥ/ (XX) XXXXXXX/ DATE (DD/MM/YYYY) XX XXXXXX'X XXXXX/ (XX) XXXX(XX)/XXXX (XX/XX/XXXX) XX DÉCÈS XX XXXXXXXX/ (XX) BAINTREACH/ XXXX (XX/XX/XXXX) XXXX XX CHÉILE/ (HR) XXXXXX(-XXX) / XXXXX (XX/XX/XXXX) XXXXX XXXXXXXX XXXXX/ (XX) VEDOVO/A - XXXX DI XXXXXXX XXX XXXXXXX (XX/XX/XXXX)/ (XX) ATRAITNIS / LAULĀTĀ XXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX (-Ė) / XXXXXXXXXXX (-ĖS) MIRTIES XXXX (DD/MM/MMMM)/ (XX) ÖXXXXX/X XXXXXXXXX XXXXXXXXX XXXXX (ÉÉÉÉ/HH/NN)/ (MT) XXXXX/XXXXX X XXXX (XX/XX/XXXX) XXX-XXXX TAL-KONJUĠI/ (XX) XXXXXX/XXXXXXXXX/XXXXX (XX/XX/XXXX) XXX XXXXXXXXXX XXX XX XXXXXXXX(X)X(X)/ (PL) XXXXXXX, XXXXX / XXXX (XX/XX/XXXX) ZGONU XXŁŻXXXX/ (PT) VIÚVO(A)/DATA XX XXXXX XX XÔXXXXX (XX/XX/XXXX)/ (XX) XĂXXX(Ă)/XXXX (XX/XX/XXXX) XXXXXXXXX XXȚXXXX (SOȚIEI)/ (SK) XXXXXX/XXXXX/XXXXX (XX/XX/XXXX) XXXXXX XXXXXXX/XXXXXXXX/ (SL) XXXXXXX/XXXXX (XX/XX/XXXX) XXXXX XXXXXXX/ (XX) LESKI/PUOLISON KUOLINPÄIVÄ (XX/XX/XXXX)/ (SV) ÄXXXXXX XXXXX ÄXXX/XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXXXX ELLER XXXXXX XÖX

5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) INDETERMINADO/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) NEUTVRĐENO/ (XX) INDETERMINATO/ (XX) XXXXXXXXXX/ (XX) NENUSTATYTA/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX STABBILIT/ (XX) XXXXXXXXX/ (XX) XXXX XXXXXXXXXXX/ (XX) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) NEURČENÉ/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

6.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX FIRMA/ (XX) XXXX XXX PODPIS/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) ALLKIRJALAHTER/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) SIGNATURE BOX/ (XX) CADRE XXXX XX SIGNATURE/ (XX) XXXXX XXX SÍNIÚ/ (XX) POLJE ZA XXXXXX/ (IT) RIQUADRO XXX XX FIRMA/ (XX) XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXX/ (XX) XX ALÁÍRÁS XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX DE HANDTEKENING/ (XX) POLE XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX XXXXXX/ (SL) XXXXX XX XXXXXX/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (XX) XXXX XÖX XXXXXXXXXXXXXX

6.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) Y NOMBRE(S) XXX XXXXXXXXXXX XXX XXXXXXX XXXX IMPRESO/ (XX) PŘÍJMENÍ X XXXXX (JMÉNA) ÚŘEDNÍKA, XXXXX VYDAL TENTO XXXXXXXX/ (DA) XXXXXXXXX(X) XX XXXXXXX(X) XÅ XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (DE) XXXXXXXXXXXX(X) XXX XXXXXXX(X) XXX XXXXXXX, DER DIESES XXXXXXXX XXXXXXXXXXX HAT/ (XX) KÄESOLEVA VORMI XÄXXXXXXXXX XXXXXXXX XXXXXXX (-XXXXX) XX XXXXXXXXXXXXX (-XXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) SURNAME(S) XXX XXXXXXXX(X) OF THE XXXXXXXX XXX XXXXXX XXXX XXXX/ (FR) XXX(X) XX XXXXXX(X) XX FONCTIONNAIRE XXX X DÉLIVRÉ XX XXXXXXX XXXXXXXXXX/ (GA) XXXXXXX (SLOINNTE) AGUS XXXXXXXX (CÉADAINMNEACHA) XX XXXXXXXX X D’EISIGH XX XXXXXX XXX/ (XX) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX XXXX XX XXXXX OVAJ XXXXXXX/ (XX) COGNOME/I X XXXX/X DEL XXXXXXXXXXX XXX HA XXXXXXXXXX IL XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX IZDEVUSI ŠO XXXXXXXX, XXXĀXXX(-X) XX XĀXXX(-X)/ (XX) XXĄ XXXXĄ IŠDAVUSIO PAREIGŪNO XXXXXXĖ (-ĖX) IR XXXXXX (-XX)/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXX NEVE(I) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X ISEM(/ISMIJIET) XXX-XXXXĊXXX XX ĦXXXĠ XXX IL-FORMOLA/ (XX) XX(X)X(XX) EN XXXXXX(X)X(XX) XXX DE XXXXXXXXX XXX XXX FORMULIER XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) X XXXĘ (XXXXXX) XXXĘXXXXX, KTÓRY XXXXŁ XXXXXXXXX FORMULARZ/ (XX) APELIDO(S) X XXXX(X) XXXXXXX(X) XX XXXXXXXXXXX XXX XXXXXX X PRESENTE XXXXXXXXXX/ (XX) XXXXXX ȘI XXXXXXXXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) PRIEZVISKO(-Á) X XXXX(-X) XXXXXXXX, XXXXX XXXXX TENTO XXXXXXXX/ (SL) PRIIMEK/PRIIMKI XX XXX/XXXXX XXXXXXXX, XX XX IZDAL XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX ANTANEEN XXXXXXXXXXX XXXXXXXX (-XXXXX) XX XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX OCH XÖXXXXX XÅ DEN XXÄXXXXXXX SOM XXX XXXÄXXXX XXXXX FORMULÄR

6.2

(BG) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) CARGO XXX XXXXXXXXXXX XXX XXXXXXX ESTE XXXXXXX/ (XX) XXXXXX ÚŘEDNÍKA, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXXX — XXX EMBEDSMAND, XXX XXX UDSTEDT XXXXX XXXXXXXX/ (XX) XXXXXXXX XXX XXXXXXX, XXX XXXXXX FORMULAR XXXXXXXXXXX HAT/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXX XX XXX XXXXXXXX XXX ISSUED XXXX XXXX/ (XX) XXXXX XX FONCTIONNAIRE XXX A DÉLIVRÉ XX XXXXXXX FORMULAIRE/ (XX) POST XX XXXXXXXX A D’EISIGH XX XXXXXX XXX/ (XX) XXXXXXXX XXXXXXXXXX XXXX JE IZDAO XXXX OBRAZAC/ (IT) XXXXXXXXX DEL XXXXXXXXXXX XXX HA RILASCIATO XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, KURA XXXXXXXX XX VEIDLAPU, XXXXX/ (LT) XXĄ XXXXĄ IŠDAVUSIO XXXXXXŪXX XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX TISZTVISELŐ XXXXXXXXX/ (MT) KARIGA XXX-XXXXĊXXX XX ĦXXXĠ XXX IL-FORMOLA/ (XX) XXXXXXX XXX XX XXXXXXXXX XXX DIT XXXXXXXXX XXXXX AFGEGEVEN/ (XX) XXXXXXXXXX URZĘDNIKA, XXXXX WYDAŁ NINIEJSZY XXXXXXXXX/ (XX) CARGO XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX FORMULAR/ (XX) XXXXXXX XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (SL) XXXXXXX XXXXXXXX, KI XX XXXXX XX OBRAZEC/ (XX) TÄMÄN XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXX/ (XX) BEFATTNING FÖR XXX XXÄXXXXXXX SOM XXX UTFÄRDAT 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 XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) DATE (XX/XX/XXXX) OF XXXXX/ (XX) DATE (JJ/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXX (LL/MM/BBBB) EISIÚNA/ (XX) XXXXX (DD/MM/GGGG) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (GG/MM/AAAA)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (LT) XXXXXXXX XXXX (XX/XX/XXXX)/ (HU) X KIÁLLÍTÁS XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (NL) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (PL) XXXX (XX/XX/XXXX) XXXXXXX/ (PT) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) EMITERII/ (SK) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) DATUM (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (XX) FIRMA/ (XX) PODPIS/ (XX) XXXXXXXXXXX/ (DE) XXXXXXXXXXXX/ (XX) XXXXXXX/ (EL) ΥΠΟΓΡΑΦΗ/ (XX) SIGNATURE/ (XX) SIGNATURE/ (GA) XXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (LT) XXXXXXX/ (XX) XXXXXXX/ (MT) XXXXX/ (NL) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (ES) XXXXX O XXXXXX/ (XX) XXXXX XXXX XXXXXXX/ (XX) XXXX XXXXX XXXXXXX/ (XX) XXXXXX XXXX STEMPEL/ (XX) PITSER VÕI XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXX XX STAMPA/ (XX) XXX XXX XXXXX/ (XX) BOLLO X XXXXXX/ (XX) XĪXXXX XXX SPIEDOGS/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX XXX XXXXXX/ (XX) ZEGEL OF XXXXXXX/ (PL) XXXXXĘĆ XXX XXXXXXX/ (XX) XXXX XX XXXXXXX/ (XX) XXXXXXXX XXX ȘXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXX PEČIATKY/ (XX) XXXXX XXX XXX/ (FI) XXXXXXX XXX XXXXX/ (XX) XXXXXX XXXXX STÄMPEL

XXXXXXXXXXXX PARTNERSTVÍ

VÍCEJAZYČNÝ XXXXXXXXXX XXXXXXXX – XXXXXXX XXX XXXXXXX

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

Xxxxxx (XX) Bulharsko (BG)

Česká xxxxxxxxx (CZ)

Dánsko (XX) Xxxxxxx (DE)

Estonsko (EE) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (IT) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (LU)

Maďarsko (XX) Malta (MT)

Nizozemsko (XX) Rakousko (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Xxxxxx (FI)

Švédsko (XX) Spojené xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

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

Xxxxx xxxxxxxx xxxxxx obsah xxxxxxx listiny, x xxx je xxxxxxxx. Xxxxx, xxxxx je xxxxxxx listina xxxxxxxxxxx, xxxx xxxx x xxxxxxxxx, xxx xx xx nezbytné xxx xxxxx zpracování xxxxxxx xxxxxxx, požadovat xxxxxxx xx xxxxxx informací, xxxxx jsou xx xxxxxxxxx uvedeny.

UPOZORNĚNÍ XXX XXXXXXXXXX XXXXX

Xxxxxx pouze xxxxxxxxx, které jsou xxxxxxx ve veřejné xxxxxxx, x níž xx přiložen tento xxxxxxxx. (2)

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

1. XXXXX 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 XX XXXXXXX XXXXXXX, K XXX XX XXXXXXXX XXXXX XXXXXXXX

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

3.1.1 Xxxxxxxxxx soudu

3.1.2 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Listina vydaná xxxxxx xxxxxxx úředníkem

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

3.1.5 Xxxx (xxxxxxxxx)

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

(2) Xxx xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

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

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

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Osvědčení

3.2.2 Výpis 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 Úřední xxxxxxxxx, xxxxxx byla xxxxxxxx xxxxxxx xxxxxxxxx soukromou xxxxxx

3.5 Listina xxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxx nebo xxxxxxxxxxx úředníkem členského xxxxx x xxxxx xxxxxx xxxx xxxxxxxxxx xxxxxxxxxx

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx xxxxx xxxxxxx listiny

4. XXXXXXXXXXXX XXXXXXXXXXX

4.1 Datum (xx/xx/xxxx) xxxxxxxxxx xxxxxxxxxxx

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

5. XXXXXXX/XXXXXXXXX X

5.1 Xxxxx/x xxxxxxxx

5.2 Xxxxxxxx před xxxxxxxxx xxxxxxxxxxxxxx xxxxxxxxxxx

5.3 Xxxxxxxx po uzavření xxxxxxxxxxxxxx xxxxxxxxxxx

5.4 Xxxxx (xxxxx)

5.5 Xxxxx (dd/mm/rrrr) xxxxxxxx

5.6 Pohlaví:

5.6.1 Xxxx

5.6.2 Xxx

5.6.3 Xxxxxxxx

(1) Slovy „xxxxx xxxxxxxxxx xxxxxxxxxxx“ xx xxxxxx název xxxx xxxx města, xxxxxx x xxxxx, xxx xxxx xxxx xxxxxxxxxx provedena.

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

6. XXXXXXX/XXXXXXXXX B

5.1 Xxxxx/x xxxxxxxx

5.2 Xxxxxxxx před xxxxxxxxx xxxxxxxxxxxxxx partnerství

5.3 Xxxxxxxx po xxxxxxxx xxxxxxxxxxxxxx partnerství

5.4 Xxxxx (xxxxx)

5.5 Xxxxx (xx/xx/xxxx) xxxxxxxx

5.6 Pohlaví:

5.6.1 Xxxx

5.6.2 Xxx

5.6.3 Xxxxxxxx

7. XXXX XXX XXXXXX

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

7.2 Funkce xxxxxxxx, xxxxx xxxxx xxxxx formulář

7.3 Datum (xx/xx/xxxx) vydání

7.4 Podpis

7.5 Xxxxx xxxx xxxxxxx

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXXXXXXXX PARTNERSTVÍ)

1.

(BG) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) AUTORIDAD QUE XXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, XXX DIESES FORMULAR XXXXXXXXX/ (ET) XÄXXXXXXX XXXXX XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX THIS FORM/ (XX) XXXXXXXX DE XXXXXXXXXX DU XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX XX XXXXXX XXX/ (XX) TIJELO XXXX XXXXXX OVAJ OBRAZAC/ (XX) XXXXXXXÀ XXX XXXXXXXX IL PRESENTE XXXXXX/ (XX) VEIDLAPAS XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ XXXXXXXXXX VALDŽIOS XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX HATÓSÁG/ (XX) AWTORITÀ XXXXXXXXX XX' DIN XX-XXXXXXX/ (XX) XXXXXXXXXX VAN XXXXXXX XXX XXX XXXXXXXXX/ (PL) XXXXX XXXXXĄXX XXXXXXXXX FORMULARZ/ (XX) AUTORIDADE XXX XXXXX X XXXXXXXX XXXXXXXXXX/ (RO) XXXXXXXXXXX XXXXXXXĂ X PREZENTULUI XXXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX, XX XXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXX VIRANOMAINEN/ (SV) XXXXXXXXX SOM XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (ES) XXXXXXXXXXXX/ (CZ) XXXXX/ (XX) XXXXXXXXXX/ (DE) XXXXXXXXXXX/ (ET) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (FR) DÉNOMINATION/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (LV) XXXXXXXXX/ (XX) PAVADINIMAS/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXÇÃX/ (XX) DENUMIRE/ (XX) NÁZOV/ (XX) XXX/ (XX) NIMI/ (XX) NAMN

2.

(BG) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) AUTORIDAD QUE XXXXXX XX XXXXXXXXX XXXXXXX XX QUE XX ADJUNTA XXXX XXXXXXX/ (XX) ORGÁN XXXXXXXXXX VEŘEJNOU XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXX XXXXXXXXX, XXX XXX XXXXXXX XXX OFFENTLIGE DOKUMENT, XXX XXXXX FORMULAR XX XXXXÆXXXX/ (DE) XXXÖXXX, DIE XXX ÖXXXXXXXXXX XXXXXXX, DER XXXXXX XXXXXXXX BEIGEFÜGT XXX, XXXXXXXXX/ (ET) XXXXXX, XXX XXXXX XÄXXX AVALIKU XXXXXXXXX, XXXXXXX SEE XXXX XX XXXXXXX/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXX XXXXXXXX XX WHICH XXXX XXXX IS XXXXXXXX/ (XX) XXXXXXXX DE XXXXXXXXXX XX DOCUMENT XXXXXX XXXXXX XXX XXXXX XX PRÉSENT XXXXXXXXXX/ (GA) XX xXXXXXX X XXXXXXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX AN XXXXXX XXX CEANGAILTE/ (XX) TIJELO XXXX XXXXXX JAVNU XXXXXXX XXXXX JE OVAJ XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX IL PRESENTE XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ DOKUMENTA, XXXXX ŠĪ XXXXXXXX XX XXXXXXXXXX, IZDEVĒJIESTĀDE/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX FORMA, XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX KIÁLLÍTÓ XXXXXXX/ (XX) AWTORITÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX AFGIFTE XXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) ORGAN WYDAJĄCY XXXXXXXX XXXĘXXXX, XX XXXXXXX NINIEJSZY XXXXXXXXX XXXX XXŁĄXXXXX/ (PT) XXXXXXXXXX QUE XXXXX X XXXXXXXXX PÚBLICO X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X DOCUMENTULUI XXXXXXX LA XXXX XXXX ANEXAT PREZENTUL XXXXXXXX/ (XX) XXXXX XXXXXXXXXX VEREJNÚ XXXXXXX, XX KTOREJ XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) ORGAN, XX XXXX XXXXX XXXXXXX, XX XX JE XXXXXXXX XX OBRAZEC/ (XX) XXXXXXXXXXXX, XXXX XX ANTANUT XXXXXXX XXXXXXXXXX, JOHON TÄMÄ XXXXXX XXXXXXÄÄX/ (SV) XXXXXXXXX XXX XXXÄXXXX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX DETTA XXXXXXÄX ÄX BIFOGAT

3.

(BG) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX XXXXXXXX AL DOCUMENTO XXXXXXX XX QUE XX ADJUNTA XXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XX VEŘEJNÉ XXXXXXX, K XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) OPLYSNINGER XXXXØXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX ER XXXXÆXXXX/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX XXXXXXX XXXXXXXXX KOHTA, XXXXXXX SEE XXXX XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX XX THE XXXXXX XXXXXXXX TO XXXXX THIS XXXX XX ATTACHED/ (FR) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX FORMULAIRE/ (XX) XXXXXXXX X XXXXXXXXX XXXX XX XXXXXXXXX XXXXXX LENA XXXXXX XX FHOIRM XXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXX XX XXXXXX XX XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXXX CUI XX PRESENTE XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX PAR XXXXXXXX XXXXXXXXX, KURAM ŠĪ XXXXXXXX IR XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX XXXXXXXXX, XXXX XXXXX PRIDEDAMA XX XXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX HIJA MEHMUŻA XXX XX-XXXXXXX/ (NL) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX WAARAAN XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX URZĘDOWEGO, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX XXXXXXXXX XXXXXXX X XXX O XXXXXXXX FORMULÁRIO XXXX XXXXXX/ (RO) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX PREZENTUL XXXXXXXX/ (XX) INFORMÁCIE X XXXXXXXX XXXXXXX, XX KTOREJ XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) INFORMACIJE X XXXXX X XXXXX XXXXXXX, KI JI XX XXXXXXXX TA XXXXXXX/ (XX) TIEDOT XXXXXXXXÄ XXXXXXXXXXXX, JOHON XÄXÄ LOMAKE XXXXXXÄÄX/ (XX) XXXXXXXXXXX XX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX DETTA XXXXXXÄX ÄR XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (ES) XXXXXXXXX XXXXXXXX POR XXX XXXXXXXXX X UN XXXXXXXXXXX XXXXXXXXX A XXX XXXXXXX JURISDICCIONALES XX UN XXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXX XXXXXXXXX X VAZBOU XX XXXXX DANÉHO XXXXXXXXX XXXXX/ (DA) XXXXXXXX, XXX XX XXXXXXX XX XX XXXXXXXXX XXXXX XX XXXXXXXXXX, DER ER XXXXXXXXXX DOMSTOLE X XX MEDLEMSSTAT/ (DE) XXXXXXX XXXXX XXXÖXXX XXXX XXXXX AMTSPERSON XXX ORGAN XXX XXXXXXXXXXXX EINES XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX ANDNUD XXXXXXXXXXXX XXXXXXXXX SEOTUD XXXXXXXXXXX XÕX AMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX XXXX AN XXXXXXXXX OR XX XXXXXXXX XXXXXXXXX XXXX XXX COURTS XX XXXXXXXXX XX X XXXXXX XXXXX/ (XX) XXXXXXXX ÉMANANT X'XXX XXXXXXXX XX D'UN XXXXXXXXXXXXX XXXXXXXX X'XXX XXXXXXXXXXX X'XX XXXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXX NÓ X XXXXXXXXX X XXXXXX XXXXX XXXX XX XXXX XX XXXXXXXXXX XX XX XXXXX XX CHUID XXXXXXXXX/ (XX) ISPRAVA KOJU XX XXXXXX XXXXXX XXX SLUŽBENIK XXXX XXXXXX XXXXXXX/ (IT) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ X XX XX FUNZIONARIO XXXXXXXXXXXX XX UNA XXXXX XXXXXXXXXXXXX XX UNO XXXXX XXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XX XXXĪXXXXXXX TIESĀM XXXXXĪXX XXXXĀXX VAI XXXXXXXXXXX/ (LT) XXXXXXXXXX, XXXXXXXX XXXXXXXX INSTITUCIJOS XX PAREIGŪNO, SUSIJUSIŲ XX XXXXXXXĖX NARĖS XXXXXXXX AR XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX ÁLLÓ XXXXXXX XXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ MINN XXXXXXXÀ XXX XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX XXX XX-XXXXXXXXX XX' XXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX XX AMBTENAAR XXXXXXXXX XXX EEN XXXXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX XX ORGANU XĄXXXXXX XXX URZĘDNIKA XĄXXXXXX PAŃSTWA XXŁXXXXXXXXXXX/ (XX) DOCUMENTO PROVENIENTE XX XXX XXXXXXXXXX XX DE UM XXXXXXXXXXX XXXXXXXXXX XX XXXXXXXX JURISDIÇÃO XX XX ESTADO-MEMBRO/ (XX) XXXXXXXX XXXX XX X XXXXXXXXXX XXX XX XX FUNCȚIONAR XX XX XÂXXĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (XX) LISTINA XXXXXX ORGÁNOM XXXXX XXXXXXXXX X VÄZBOU XX XXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX, XXXXXX X XXXXXX XXXXXX XXX XXXXXXXX XXXXX XXXXXXX XXXXXX XXXXXXX/ (FI) XXXXXXXXX, XXXXX ON ANTANUT XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX FRÅN EN XXXXXXXXX XXXXX XX XXÄXXXXXXX TILLHÖRANDE XXXXXXXXXÄXXXXXX X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX JUDICIAL/ (XX) XXXXXXXXXX SOUDU/ (XX) XXXXXXXXXXXØXXXXX/ (DE) XXXXXXXXXXXXXXXXXXXX/ (XX) KOHTUOTSUS/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (EN) XXXXX DECISION/ (XX) XXXXXXXX DE XXXXXXX/ (XX) CINNEADH XX xXXXXX/ (XX) XXXXXX XXXXXX/ (IT) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (XX) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (MT) XXĊXŻXXXX XXX-XXXXX/ (XX) RECHTERLIJKE XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (XX) XXXXXÃX XXXXXXXX/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) SÚDNE XXXXXXXXXXX/ (SL) SODNA XXXXXXX/ (FI) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) DOMSTOLSBESLUT

3.1.2

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (ES) XXXXXXXXX XXXXXXXX XXX EL XXXXXXXXXX XXXXXX/ (CZ) XXXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) DOKUMENT XXXXXXX AF XX XXXXXXXXXXXXXXXX/ (XX) URKUNDE XXXXX STAATSANWALTSCHAFT/ (XX) XXXXXXXX, XXXXX ON XÄXXX XXXXXX XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX EMANATING XXXX A XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XXXXXXÈXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX EMANATO XXX XXXXXXXX XXXXXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) ÜGYÉSZ ÁLTAL XXXXXXXXXX OKIRAT/ (MT) XXXXXXXX XXĦXXĠ MINN XXXXXXXXXX PUBBLIKU/ (NL) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX DO XXXXXXXXXX PÚBLICO/ (XX) XXXXXXXX XXXX DE XX XXXXXXXX/ (XX) XXXXXXX VYDANÁ PROKURÁTOROM/ (XX) LISTINA, XX XX IZDA XXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX ASIAKIRJA/ (XX) HANDLING SOM XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (ES) XXXXXXXXX EXPEDIDO XXX XX XXXXXXXXXX JUDICIAL/ (XX) LISTINA XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) DOKUMENT XXXXXXX XX EN XXXXXXXXXXXXXÆX/ (XX) XXXXXXX EINES XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX KOHTUAMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX EMANATING XXXX A XXXXX XX X XXXXX/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX/ (GA) XXXXXXXXX X XXXXXXX X XXXXXXXXXX XX XXXXX CÚIRTE/ (XX) XXXXXXX XXXX JE XXXXX XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX TIESAS XXXXXXĀXX/ (XX) XXXXXX XXXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX XXĠXXXXXXXX TA' XXXXX/ (XX) DOCUMENT XXXXXXXXX XXXX XXX XXXXXXXX/ (PL) DOKUMENT XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX XX UM XXXXXXX XX XXXXXÇX/ (XX) XXXXXXXX EMIS XX XX XXXXXXX XX XXXXXXȚXX/ (SK) XXXXXXX VYDANÁ SÚDNYM XXXXXXXXX/ (SL) XXXXXXX, XX JO XXXX XXXXX USLUŽBENEC/ (XX) XXXXXXXXXXXXXX XXXXXXXXX ANTAMA XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR FRÅN XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXXXX XXXXXXXX POR XX XXXXXX XXXXXXXX («XXXXXXXX XX JUSTICE»)/ (CZ) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („HUISSIER DE XXXXXXX“)/ (XX) DOKUMENT XXXXXXX AF EN XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (DE) URKUNDE XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, MILLE XX XÄXXX ANDNUD XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤ(-ΡΙΑ) («XXXXXXXX DE XXXXXXX»)/ (XX) XXXXXXXX EMANATING XXXX X XXXXXXXX XXXXXXX ('XXXXXXXX DE XXXXXXX')/ (XX) XXXXXXXX XXXXXXX X'XX HUISSIER XX JUSTICE/ (GA) XXXXXXXXX X THAGANN X XXXXXXXXX BREITHIÚNACH (“XXXXXXXX DE XXXXXXX”)/ (XX) XXXXXXX XXXX XX XXXXX XXXXXX XXXXXXXXX (HUISSIER XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXX XX UN XXXXXXXXX GIUDIZIARIO ("XXXXXXXX XX XXXXXXX")/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX IZPILDĪTĀJS (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX (XXXXXXXX XX XXXXXXX) XXXXXXXX DOKUMENTAS/ (XX) BÍRÓSÁGI XXXXXXXXXX („XXXXXXXX XX XXXXXXX”) XXXXX KIÁLLÍTOTT OKIRAT/ (XX) XXXXXXXX MAĦRUĠ XXXX XXXXĊXXX ĠUDIZZJARJU ('XXXXXXXX XX JUSTICE')/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX SĄDOWEGO (XXXXXXXX DE JUSTICE)/ (XX) XXXXXXXXX PROVENIENTE XX XX ESCRIVÃO XX XXXXXXX («HUISSIER XX JUSTICE»)/ (XX) XXXXXXXX XXXX DE XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX JUSTICE”)/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX XX XXXXXXX”) XXXXXX XXXXXXXXX/ (SV) XXXXXXXX XXX XÄXXÖX XXÅX XX XXÄXXXXXXXXX (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (ESPECIFÍQUESE)/ (XX) JINÉ (XXXXXXXXX)/ (XX) XXXXX (ANGIVES)/ (XX) SONSTIGES (XXXXX XXXXXXX)/ (ET) MUU (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) OTHER (XX XX XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (XX) XXXX (XX XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (XX) XXXXX (XXXXXXXXX)/ (LV) XXXX (XXXXXXĒX)/ (LT) XXXX (XXXXXXXX)/ (XX) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) OĦRAJN (XXXXXĊXŻX)/ (XX) XXXXXXX (SPECIFICEREN)/ (XX) XXXX (PROSZĘ XXXXŚXXĆ)/ (XX) XXXXXX (X XXXXXXXXXXX)/ (RO) XXXXX (A XX XXXXXXX)/ (XX) XXX (XXXXXXXX)/ (SL) XXXXX (XXXXXXX)/ (FI) MUU XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (ES) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (DA) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (EL) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ (HR) UPRAVNA XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (HU) KÖZIGAZGATÁSI XXXXXX/ (MT) DOKUMENT XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (PL) DOKUMENT XXXXXXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (SK) XXXXXXX XXXXXXX/ (SL) XXXXXXX XXXXXXX/ (XX) HALLINNOLLINEN XXXXXXXXX/ (XX) ADMINISTRATIV XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (DE) XXXXXXXXXXXXX/ (ET) TÕEND/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) CERTIFICAT/ (XX) DEIMHNIÚ/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (HU) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊERTIFIKAT/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) POTRDILO/ (FI) XXXXXXXX/ (SV) INTYG

3.2.2

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX DEL XXXXXXXX XXXXX/ (CZ) XXXXX Z XXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (XX) AUSZUG XXX XXX PERSONENSTANDSREGISTER/ (XX) XXXXXXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (EN) EXTRACT XXXX THE XXXXX XXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XX X'XXXX XXXXX/ (XX) SLIOCHT AS XX gCLÁR XXXXXXX XXXXXXXXXX/ (XX) IZVADAK XX REGISTRA XXXXXXX XXXXXX/ (XX) ESTRATTO XX XXXX DI XXXXX XXXXXX/ (LV) XXXXXXXX XX XXXXXXXĀXXXĻX XXXX XXĢXXXXX/ (XX) XXXXXXX XX CIVILINĖS XŪXXĖX XXXŲ REGISTRO/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊIVILI/ (XX) XXXXXXXXXX UIT XXX XXXXXXXX XXX DE XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (PT) XXXXXXX DE ATOS XX XXXXXXX CIVIL/ (XX) XXXXXX XXX XXXXXXXXX XX STARE XXXXXĂ/ (XX) VÝPIS X XXXXXXXX XXXXXXXX XXXXX/ (SL) XXXXXXX XX XXXXXXXX X XXXXXXX XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) XXXXXX UR XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX DEL CENSO/ (XX) VÝPIS Z XXXXXXXX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX MELDEREGISTER/ (ET) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX XXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XX XX XXXXXXXXXX/ (XX) SLIOCHT XX XX xXXXX DAONRA/ (XX) XXXXXXX IZ XXXXXX XXXXXXXXXXXX/ (IT) XXXXXXXX XXXXXXXXXX/ (LV) XXXXXXXX XX XXXXĪXXXĀXX XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXXŲ XXXXXXXX/ (XX) XXXXXXX X XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX HET XXXXXXXXXXXXXXXXXX/ (XX) WYCIĄG X XXXXXXXX LUDNOŚCI/ (XX) XXXXXXX XX XXXXXXX XX POPULAÇÃO/ (RO) XXXXXX DIN XXXXXXXXX XX XXXXXXȚĂ A XXXXXXȚXXX/ (SK) XXXXX X XXXXXXXX XXXXXXXĽXX/ (XX) IZPISEK XX XXXXXXXX PREBIVALSTVA/ (FI) XÄXXXÖXXXXXXXXXXXX/ (SV) UTDRAG XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) COPIA XXXXXXX XX ACTAS DEL XXXXXXXX XXXXX/ (XX) XXXX MATRIČNÍCH ZÁZNAMŮ/ (XX) ORDRET KOPI XX XXXXXXXXXXXXXXXXXXX/ (DE) XÖXXXXXXX KOPIE XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (ET) PEREKONNASEISUAKTI XXXXXX/ (EL) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX OF XXXXX XXXXXX XXXXXXX/ (FR) XXXXX XXXXXXXXX D'ACTES XX X'XXXX XXXXX/ (XX) XXXX FOCAL XX XXXXXX DE XXXXXXX AR XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XX XXXXXXXXXX X OSOBNOM XXXXXX/ (XX) XXXXX XXXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXĀXXXĻX AKTU XXĢXXXXX XXXXXXXX AUTENTISKA XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮRAŠŲ XXXXXXXĖ XXXXXX/ (XX) ANYAKÖNYVI XXXXXXXXX XXX SZERINTI XXXXXXXX/ (XX) XXXXX XXXXXXXX TAL-ATTI TAL-ISTAT ĊXXXXX/ (XX) EENSLUIDEND XXXXXXXXX VAN XXXXX XXX XX BURGERLIJKE XXXXX/ (PL) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXÃX XX CÓPIA XXXXXXXX XX XX XXXXXXXXX XX ATOS XX XXXXXXX CIVIL/ (RO) XXXXX XXXXXĂ X XXXX XXX XX XXXXX XXXXXĂ/ (XX) XXXXXXXX XXXXX XX XXXXXXX O XXXXXXX XXXXX/ (SL) XXXXXXXXX XXXXXX XXXXXX X XXXXXXX XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX JÄLJENNÖS/ (XX) ORDAGRANN XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) NOTARBEKRÆFTET XXXXXXXX/ (XX) NOTARIELLE XXXXXXX/ (ET) NOTARIAALDOKUMENT/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) JAVNOBILJEŽNIČKA XXXXXXX/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXĀXX AKTS/ (XX) XXXXXXXXX AKTAS/ (XX) KÖZJEGYZŐI XXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (XX) XXX XXXXXXXXXX/ (XX) ATO NOTARIAL/ (XX) XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) NOTARSKA XXXXXXX/ (XX) XXXXXXXX ANTAMA XXXXXXXXX/ (SV) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX XXXXXX XXXXX XX XXXXXXXXX PRIVADO/ (CZ) XXXXXX OSVĚDČENÍ, XXXXXX XXXX XXXXXXXX XXXXXXX XXXXXXXXX SOUKROMOU XXXXXX/ (XX) OFFICIEL XÅXXXXXXX XÅ ET XXXXXXXX XXXXXXXXXXX XX EN XXXXXX X XXXXXX XXXXXXXX AF XXXXXXXXXXXX/ (XX) XXXXXXXX BESCHEINIGUNG XXX XXXXX PRIVATURKUNDE/ (XX) XXXXX POOLT 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 DOCUMENT XXXXXX XX A PERSON XX XXX XX XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX UN XXXX SOUS XXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX X XXXXXXXXX XX XXXXXXXXXX XXXX XXXXXX XX XXXXX XXX XXXXX XX XXX CÁIL XXXXXXXXXXXXXX/ (XX) XXXXXXXX POTVRDA XXXXXXXXX XX XXXXXXX XXXX XX XXXXX XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (IT) XXXXXXXXXXXXX XXXXXXXXX APPOSTA SU XXX SCRITTURA XXXXXXX/ (XX) XXXXXĀXX APLIECINĀJUMS XX XXXXXXXXX, XX XXXĀ XĀXXĀ PARAKSTĪJUSI XĀXX XXXXXXX/ (XX) XXXXXXXŲ ASMENŲ XXXXXXXXXŲ XXXXXXXXŲ OFICIALŪS XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX TANÚSÍTVÁNY/ (XX) ĊXXXXXXXXX UFFIĊJALI XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX XXXXXXX FIL-KAPAĊITÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXX XXXXXXXXXXX XXXX EEN XXXXXXX XX ZIJN XXXXXXXXXXXX XXXXXXXXXXXX/ (PL) XXXĘXXXX XXŚXXXXXXXXXX UMIESZCZONE NA XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ W XXXXXXXXXXX PRYWATNYM/ (PT) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX XXX XX XXXXXXXX PRIVADA/ (RO) XXXXXXXXXX XXXXXXX XXXXXXX XX XX XXXXXXXX XXX XXXXĂXXXĂ PRIVATĂ/ (XX) XXXXXX OSVEDČENIE XXXXXXX XX LISTINE XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXX XX XXXXXXX LISTINI/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, XXXXX HENKILÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX XXXXX XXXXXXXXX XÅ XX XXXXXXXX SOM UNDERTECKNATS XX XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX DIPLOMÁTICO O XXXXXXXX DE XX XXXXXX MIEMBRO XXX XXXXXXXX OFICIAL/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXX KONZULÁRNÍM XXXXXXXXX XXXXXXXXX STÁTU X RÁMCI XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX OFFICIELT XXXÆXXXXXX AF EN XXXXXXXXXXXX DIPLOMATISKE XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (XX) XXX XXXXX XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX MITGLIEDSTAATS IN XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX POOLT AMETIKOHUSTUSTE XÄXXXXXXX XXXXXXXXX DOKUMENT/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) DOCUMENT XXXXX XX XX A XXXXXXXXXX XX XXXXXXXX XXXXX XX A XXXXXX XXXXX XX XXX XX XXX XXXXXXXX CAPACITY/ (FR) XXXXXXXX ÉTABLI XX XX XXXXXXX XXXXXXXXXX XXX XX XXXXX XXXXXXXXXXXX XX XXXXXXXXXX X'XX XXXX MEMBRE/ (XX) XXXXXXXXX XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX DE XXXXX XXXXXXXXX XXX XXXXX XX INA XXXX XXXXXXXXX/ (HR) XXXXXXX XXXX JE U XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX XXXXXXXXXXX X CONSOLARI XX XXX XXXXX XXXXXX XXXX'XXXXXXXXX DELLE XXXX XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX XXXXX XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (LT) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX AR XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX PAGAL XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX XXXXX HIVATALOS MINŐSÉGÉBEN XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXXX XXXX XĠXXX XXXXXXXXXXX XXX XXXXXXXXX XX' XXXX XXXXXX FIL-KAPAĊITÀ UFFIĊJALI XXXXĦX/ (NL) DOCUMENT XXXXXXXXX DOOR XX XXXXXXXXXXXX XX CONSULAIRE XXXXXXXXX XXX XXX XXXXXXXX XX XXXX XXXXXXËXX HOEDANIGHEID/ (XX) XXXXXXXX XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX LUB XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX URZĘDOWYM/ (XX) XXXXXXXXX XXXXXXX POR XX XXXXXX XXXXXXXXXXX XX XXXXXXXX XX XX ESTADO-MEMBRO XX XXXXXXXXX XXX SUAS XXXÇÕXX OFICIAIS/ (XX) XXXXXXXX ÎXXXXXXX XX XĂXXX XX AGENT XXXXXXXXXX XXX CONSULAR XX XXXX STAT XXXXXX, ÎN XXXXXXXX XXXXXXXĂ/ (XX) LISTINA XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX ÚRADNÍKOM XXXXXXXXX XXXXX X XXXXX VÝKONU JEHO XXXXXXX/ (SL) XXXXXXX, XX XX XXX XXXXXX OSEBA IZDA XXXXXXXXXXX ALI KONZULARNI XXXXXXXXXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX, JONKA XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX ON XXXXXXXX XXXXXXXXXXXXXXXXXX/ (SV) XXXXXXXX XXXXÄXXXX X XXÄXXXXX XX XX XXXXXXXXXXX XXXXX XXXXXXÄX XXÄXXXXXXX I XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (DA) 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) OF XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (LL/MM/BBBB) EISIÚNA/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (XX) IŠDAVIMO XXXX (XX/XX/XXXX)/ (HU) X KIÁLLÍTÁS DÁTUMA (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX DE EMISSÃO (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) DATUM (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX REFERENCIA XXX XXXXXXXXX PÚBLICO/ (XX) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (DA) XXX OFFENTLIGE XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) KENNNUMMER XXX ÖXXXXXXXXXXX URKUNDE/ (XX) AVALIKU DOKUMENDI XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (EN) XXXXXXXXX XXXXXX XX THE XXXXXX XXXXXXXX/ (XX) XXXXXX DE XXXXXXXXX XX XXXXXXXX PUBLIC/ (XX) UIMHIR XXXXXXXXX XX XXXXXXXXX PHOIBLÍ/ (XX) REFERENTNI XXXX XXXXX XXXXXXX/ (IT) XXXXXX DI RIFERIMENTO XXX XXXXXXXXX PUBBLICO/ (XX) PUBLISKĀ XXXXXXXXX XXXXXXXX XXXXXX/ (LT) XXXXXXX DOKUMENTO XXXXXXX/ (XX) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (MT) XXXXX TA' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (NL) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX REFERENCYJNY XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXX XX XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX XX XXXXXXXȚĂ XX XXXXXXXXXXXX OFICIAL/ (XX) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX ŠTEVILKA XXXXX XXXXXXX/ (FI) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (XX) XXX OFFICIELLA HANDLINGENS XXXXXXXXXXXXXX

4.

(XX) РЕГИСТРИРАНО ПАРТНЬОРСТВО/ (XX) XXXXX XX XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXX PARTNERSKAB/ (XX) XXXXXXXXXXXX PARTNERSCHAFT/ (XX) XXXXXXXXXXXXXX KOOSELU/ (XX) ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΥΜΒΙΩΣΗ/ (XX) XXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX CHLÁRAITHE/ (HR) XXXXXXXXXXXX PARTNERSTVO/ (IT) XXXXXX XXXXXXXXXX/ (LV) XXĢXXXXĒXXX XXXXXXXXXXXXXĪXXX/ (LT) XXXXXXXXXXX XXXXXXXXXXĖ/ (HU) XXXXXXXXXX XXXXXXXXX KAPCSOLAT/ (XX) XĦXXXXX XXXĠXXXXXXX/ (XX) GEREGISTREERD PARTNERSCHAP/ (XX) ZAREJESTROWANY XXXĄXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (XX) PARTENERIAT ÎXXXXXXXXXX/ (SK) REGISTROVANÉ XXXXXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXÖXXX XXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXXX

4.1

(XX) ДАТА (ДД/ММ/ГГГГ) НА РЕГИСТРИРАНЕ НА АКТА/ (XX) XXXXX (DD/MM/AAAA) DE XXXXXXXXXXX XX XX XXXXX XX XXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXXXXX PARTNERSTVÍ/ (XX) XXXX (XX/XX/ÅÅÅÅ) XXX XXXXXXXXXXXXXX XX XXXXXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXXXXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXXXXXXXXXX KUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΚΑΤΑΧΩΡΙΣΗΣ ΤΗΣ ΠΡΑΞΗΣ/ (XX) XXXX (XX/XX/XXXX) XX THE XXXXXXXXXXXX XX XXX PARTNERSHIP/ (XX) DATE (JJ/MM/AAAA) X'XXXXXXXXXXXXXX XX XXXXXXXXXXX/ (XX) XXXX (LL/MM/BBBB) XXXXXX XX XXXXXXXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXX XX XXXXXXXXXXXXX XXXX'XXXX (XX/XX/XXXX)/ (XX) XXXXXXXXXXXXXĪXX XXĢXXXXĀXXXXX XXXXXX (XX/XX/XXXX)/ (LT) XXXXXXXXXXĖX XXXXXXXXXXXXX XXXX (DD/MM/MMMM)/ (XX) AZ XXXXXXXXX XXXXXXXXX XXXXXXXXXXXXX XXXXX (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXX-XXĠXXXXXXXXXXX XXX-XĦXXXXX/ (XX) DATUM (XX/XX/XXXX) XXX DE XXXXXXXXXXX XXX DE AKTE/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX/ (XX) DATA XX XXXXXXX DA PARCERIA (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) ÎXXXXXXXXĂXXX XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX REGISTROVANÉHO PARTNERSTVA/ (XX) DATUM (DD/MM/LLLL) XXXXXXXXXXXX PARTNERSKE XXXXXXXXX/ (XX) PARISUHTEEN XXXXXXXXÖXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) XÖX REGISTRERING XX PARTNERSKAPET

4.2

(BG) МЯСТО И ДЪРЖАВА НА РЕГИСТРИРАНЕ НА АКТА/ (XX) XXXXX X XXXX XX XXXXXXXXXXX XX LA UNIÓN XX XXXXX/ (XX) XXXXX X XXXX XXXXXXXXXX PARTNERSTVÍ/ (XX) XXXX OG XXXX XXX XXXXXXXXXXXXXX XX XXXXXXXXXXXXX/ (XX) XXX XXX XXXX XXX XXXXXXXXXX XXX PARTNERSCHAFT/ (XX) XXXXXXX XXXXXXXXXXXXXXX XXXX JA RIIK/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΚΑΤΑΧΩΡΙΣΗΣ ΤΗΣ ΠΡΑΞΗΣ/ (XX) PLACE XXX XXXXXXX OF XXX XXXXXXXXXXXX OF XXX XXXXXXXXXXX/ (FR) XXXX ET XXXX X'XXXXXXXXXXXXXX DU PARTENARIAT/ (XX) ÁIT AGUS XXX XXXXXX XX XXXXXXXXXXXXXXX/ (XX) MJESTO X XXXXXX XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) LUOGO X PAESE DI XXXXXXXXXXXXX DELL'ATTO/ (XX) XXXXXXXXXXXXXĪXX XXĢXXXXĀXXXXX XXXXX XX VALSTS/ (XX) XXXXXXXXXXĖX XXXXXXXXXXXXX XXXXX XX XXXXX/ (XX) XX XXXXXXXXX XXXXXXXXX XXXXXXXXXXXXX HELYE XX XXXXXXX/ (MT) POST X PAJJIŻ XXX-XXĠXXXXXXXXXXX XXX-XĦXXXXX/ (XX) PLAATS XX LAND VAN XX XXXXXXXXXXX XXX XX XXXX/ (PL) XXXXXXX X PAŃSTWO XXXXXXXXXXX ZWIĄZKU XXXXXXXXXXXXX / (PT) XXXXX X XXXX XX XXXXXXX XX XXXXXXXX/ (XX) LOCUL ȘX ȚXXX ÎXXXXXXXXĂXXX ACTULUI/ (XX) XXXXXX A XXXX XXXXXXXXX REGISTROVANÉHO XXXXXXXXXXX/ (XX) KRAJ XX XXXXXX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXÖXXXXXXXXXX XX -XXX/ (XX) ORT XXX LAND XÄX XXXXX XXXXXXXXXXXXX

5.

(XX) ПАРТНЬОР А/ (XX) XXXXXXX X/ (CZ) XXXXXXX/XXXXXXXXX X/ (DA) PARTNER X/ (XX) PARTNER X/ (XX) PARTNER X/ (XX) ΣΥΝΤΡΟΦΟΣ Α/ (XX) XXXXXXX X/ (FR) XXXXXXXXXX X/ (GA) PÁIRTNÉIR X/ (XX) PARTNER X/ (XX) XXXXXXX X/ (XX) XXXXXXXXX X/ (XX) XXXXXXXXX X/ (XX) „X” XXXXXXXXX/ (XX) XXXĦXX X/ (NL) PARTNER X/ (PL) PARTNER X/ (XX) PARCEIRO X/ (XX) PARTENERUL X/ (XX) XXXXXXX X/ (XX) PARTNER X/ (XX) XXXXXXXX X/ (SV) XXXXXXX X

5.1

(XX) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (XX) XXXXXXXX(X) DE XXXXXXXXXX/ (XX) RODNÉ/Á PŘÍJMENÍ/ (XX) EFTERNAVN(E) XXX XØXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXX XXXXXX/ (XX) XÜXXXXÄXXXX XXXXXXXXXXXXX (XÜXXXXÄXXXXX XXXXXXXXXXXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (XX) XXXXXXX(X) XX XXXXX/ (XX) XXX(X) À XX XXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) BREITHE/ (XX) XXXXXXX(XX) PRI XXĐXXXX/ (XX) COGNOME/I ALLA XXXXXXX/ (LV) XXXĀXXX(-X) XXXXXXXXX BRĪDĪ/ (LT) XXXXXXĖ (-ĖX), XXXXXXXX (-XX) GIMUS/ (XX) XXÜXXXXXX XXXXXXX XXXX(X)/ (XX) KUNJOM(/KUNJOMIJIET) XXX-XXXXXX/ (XX) ACHTERNA(A)M(EN) XXX XX XXXXXXXX/ (PL) XXXXXXXX(-X) XXXXXX/ (XX) XXXXXXX(X) À XXXX XX XXXXXXXXXX/ (XX) XXXXXX LA NAȘTERE/ (XX) XXXXX XXXXXXXXXX(-X)/ (XX) PRIIMEK/PRIIMKI XX XXXXXXX/ (FI) XXXXXXXX (-XXXXX) XXXXXXÄXXXXXXXÄ/ (XX) XXXXXXXXX XXX XÖXXXXX

5.2

(XX) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ АКТА/ (XX) XXXXXXXX(X) XXXXX XX XX XXXXXXXXXXX/ (CZ) XXXXXXXX XXXX UZAVŘENÍM XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) EFTERNAVN(E) XØX XXXXXXXXXXXXXX/ (DE) XXXXXXXXXXXX(X) XXX DER XXXXXXXXXX XXX XXXXXXXXXXXXX/ (XX) PEREKONNANIMI (-XXXXX) XXXX REGISTREERIMIST/ (XX) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΑΠΟ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (XX) XXXXXXX(X) BEFORE XXX XXX/ (XX) XXX(X) XXXXX L'ACTE/ (XX) SLOINNE (SLOINNTE) XXXXX XX nGNÍOMH/ (XX) XXXXXXX(XX) XXXXX XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXX/X PRIMA XXXX'XXXX/ (XX) XXXĀXXX(-X) XXXXX XXXX/ (XX) PAVARDĖ (-ĖX) XXXXX XXXXXXXX XXXĄ/ (XX) CSALÁDI XXXX(X) XX XXXXXXXXX XXXXXXXXX XXXXXXXXXX XXŐXX/ (XX) KUNJOM(/KUNJOMIJIET) QABEL X-XXX/ (XX) XXXXXXXX(X)X(XX) XXXX DE XXXX/ (XX) NAZWISKO(-A) XXXXX XXXXXXXXXXĄ ZWIĄZKU/ (XX) XXXXXXX(X) ANTES XX XXX/ (XX) XXXXXX ÎXXXXXX XX ÎXXXXXXXXXXXX XXXXXXXXXXXXXXX/ (SK) XXXXXXXXXX(-X) XXXX XXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXX/XXXXXXX XXXX XXXXXXXXXXXX PARTNERSKE XXXXXXXXX/ (XX) SUKUNIMI (-XXXXX) XXXXX XXXXXXXXÖXXXXÄ/ (XX) EFTERNAMN XÖXX XXXÅXXXXX

5.3

(XX) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА РЕГИСТРИРАНЕТО НА АКТА/ (XX) XXXXXXXX(X) DESPUÉS XX XX XXXXXXXXXXX/ (XX) XXXXXXXX XX UZAVŘENÍ XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXX(X) EFTER XXXXXXXXXXXXXX/ (XX) FAMILIENNAME(N) XXXX XXX XXXXXXXXXX XXX XXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXX (-XXXXX) XÄXXXX REGISTREERIMIST/ (XX) ΕΠΏΝΥΜΟ(-Α) ΜΕΤΑ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (XX) XXXXXXX(X) XXXXXXXXX XXX ACT/ (FR) XXX(X) À LA XXXXX XX L'ACTE/ (XX) XXXXXXX (SLOINNTE) XXX XXX XX XXXXXX/ (HR) XXXXXXX(XX) XXXXX XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) COGNOME/I XXXX X'XXXX/ (XX) XXXĀXXX(-X) XĒX XXXX/ (LT) XXXXXXĖ (-ĖX) PO XXXX SUDARYMO/ (XX) XXXXXXX NEVE(I) XX XXXXXXXXX XXXXXXXXX XXXXXXXXXX XXXX/ (XX) KUNJOM(/KUNJOMIJIET) XXXX X-XXX/ (XX) XXXXXXXX(X)X(XX) XX XX XXXX/ (XX) XXXXXXXX(-X) XX XXXXXXXXXXX XXXĄXXX/ (XX) XXXXXXX(X) APÓS X XXX/ (XX) XXXXXX XXXĂ ÎNREGISTRAREA XXXXXXXXXXXXXXX/ (SK) PRIEZVISKO(-Á) XX XXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX XXXXXXXXXXXX PARTNERSKE XXXXXXXXX/ (FI) XXXXXXXX (-XXXXX) XXXXXXXXÖXXXXX XÄXXXXX/ (XX) EFTERNAMN EFTER XXXÅXXXXX

5.4

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) XXXXX (JMÉNA)/ (DA) XXXXXXX(X)/ (DE) XXXXXXX(X)/ (XX) XXXXXXX (-NIMED)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (IT) XXXX(X)/ (XX) VĀRDS(-I)/ (XX) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (NL) XXXXXX(X)X(XX)/ (XX) IMIĘ (XXXXXX)/ (XX) NOME(S) XXXXXXX(X)/ (XX) PRENUME/ (XX) XXXX(-X)/ (XX) IME/IMENA/ (XX) ETUNIMI (-XXXXX)/ (XX) XÖXXXXX

5.5

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) NAROZENÍ/ (XX) XØXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) DATE (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (JJ/MM/AAAA) XX NAISSANCE/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXĐXXXX/ (XX) XXXX XX XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (LT) XXXXXX XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (XX) GEBOORTEDATUM (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX DE XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXȘXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXXX/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

5.6

(XX) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (XX) KØN/ (XX) XXXXXXXXXX/ (XX) XXXX/ (XX) ΦΥΛΟ/ (EN) XXX/ (FR) XXXX/ (XX) XXXXXX/ (HR) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) SPOL/ (XX) XXXXXXXXX/ (SV) XÖX

5.6.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXXXXXX/ (XX) NAISSOOST/ (EL) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XŐ/ (XX) XXXX/ (NL) XXXXX/ (XX) KOBIETA/ (PT) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) KVINNA

5.6.2

(BG) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (XX) MAND/ (XX) XÄXXXXXX/ (XX) XXXXXXXXX/ (EL) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (GA) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (LV) XĪXXXXXX/ (XX) XXXXX/ (HU) XXXXX/ (XX) XXĠXX/ (XX) MAN/ (XX) XĘŻXXXXXX/ (XX) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) MIES/ (XX) XXX

5.6.3

(XX) НЕОПРЕДЕЛЕН/ (ES) XXXXXXXXXXXXX/ (XX) NEURČENO/ (XX) XXXXXXXX/ (DE) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) UNDETERMINED/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (LV) XXXXXXXXXX/ (XX) NENUSTATYTA/ (HU) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (NL) XXXXXXXXX/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) NÃO DEFINIDO/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) MÄÄRITTELEMÄTÖN/ (SV) XX XXXXXXÄXXX

6.

(XX) ПАРТНЬОР X/ (ES) XXXXXXX X/ (CZ) PARTNER/PARTNERKA X/ (XX) XXXXXXX X/ (XX) XXXXXXX X/ (ET) XXXXXXX X / (XX) ΣΥΝΤΡΟΦΟΣ X/ (XX) XXXXXXX X/ (XX) XXXXXXXXXX X/ (XX) XXXXXXXXX X/ (HR) XXXXXXX X/ (IT) XXXXXXX B/ (LV) XXXXXXXXX X/ (LT) XXXXXXXXX B/ (HU) „X” XXXXXXXX/ (MT) XXXĦXX X/ (XX) XXXXXXX X/ (XX) XXXXXXX X/ (XX) XXXXXXXX X/ (RO) XXXXXXXXXX X/ (XX) XXXXXXX X/ (XX) XXXXXXX X/ (XX) XXXXXXXX X/ (XX) XXXXXXX X

7.

(XX) ПОЛЕ ЗА ПОДПИС/ (ES) XXXXXXXX XXXX XX XXXXX/ (CZ) XXXX XXX PODPIS/ (DA) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) ALLKIRJALAHTER/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (FR) XXXXX POUR XX XXXXXXXXX/ (GA) BOSCA XXX XXXXX/ (XX) XXXXX ZA XXXXXX/ (XX) XXXXXXXX PER XX XXXXX/ (LV) XXXXXXXX XXXXX/ (LT) XXXXXX XXXXXXXX/ (XX) XX XXXXXXX SZÖVEGDOBOZA/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX XX XXXXXXXXXXXX/ (XX) XXXX XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (RO) XXXXĂXXXX/ (XX) XXXXXXX NA XXXXXX/ (XX) XXXXX XX XXXXXX/ (FI) XXXXXXXXXXXXXXXXXXÄ/ (XX) XXXX XÖX XXXXXXXXXXXXXX

7.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXX(X) X XXXXXX(X) XXX XXXXXXXXXXX XXX EXPIDIÓ XXXX XXXXXXX/ (XX) XXXXXXXX X XXXXX (XXXXX) XXXXXXXX, XXXXX XXXXX TENTO FORMULÁŘ/ (XX) XXXXXXXXX(X) XX XXXXXXX(X) PÅ XXX XXXXXXXXXX, DER HAR XXXXXXX XXXXX FORMULAR/ (XX) XXXXXXXXXXXX(X) XXX XXXXXXX(X) XXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXXXXXX HAT/ (ET) XÄXXXXXXX XXXXX VÄLJASTANUD XXXXXXXX XXXXXXX (-NIMED) XX XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) AND XXXXXXXX(X) XX THE XXXXXXXX XXX ISSUED XXXX XXXX/ (XX) NOM(S) XX XXXXXX(X) XX XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) AGUS XXXXXXXX (XXXXXXXXXXXXXX) AN XXXXXXXX X X’XXXXXX XX XXXXXX SEO/ (XX) XXXXXXX(XX) X IME(NA) XXXXXXXXXX XXXX XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXX/X X XXXX/X XXX XXXXXXXXXXX XXX HA XXXXXXXXXX XX PRESENTE MODULO/ (XX) AMATPERSONAS, KURA XXXXXXXX XX XXXXXXXX, XXXĀXXX(-X) XX XĀXXX(-X)/ (XX) ŠIĄ XXXXĄ XXXXXXXXX XXXXXXŪXX PAVARDĖ (-ĖX) XX XXXXXX (-XX)/ (HU) A XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXX XXXX(X) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) TAL-UFFIĊJAL XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XX(X)X(XX) XX XXXXXX(X)X(XX) XXX XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (PL) NAZWISKO(-A) X XXXĘ (IMIONA) XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXX(X) X NOME(S) XXXXXXX(X) XX FUNCIONÁRIO XXX EMITIU X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXX ȘX XXXXXXXXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) PRIEZVISKO(-Á) X XXXX(-X) ÚRADNÍKA, KTORÝ XXXXX TENTO XXXXXXXX/ (XX) PRIIMEK/PRIIMKI IN XXX/XXXXX URADNIKA, XX XX IZDAL XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX VIRKAMIEHEN XXXXXXXX (-XXXXX) XX XXXXXXX (-NIMET)/ (SV) XXXXXXXXX OCH FÖRNAMN XÅ DEN XXÄXXXXXXX XXX HAR XXXÄXXXX XXXXX XXXXXXÄX

7.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX XXXXXXXXXXX QUE EXPIDIÓ XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, XXXXX XXXXX XXXXX FORMULÁŘ/ (XX) STILLING — XXX EMBEDSMAND, XXX XXX XXXXXXX DENNE XXXXXXXX/ (XX) XXXXXXXX XXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) KÄESOLEVA XXXXX VÄLJASTANUD XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) POSITION XX XXX OFFICIAL XXX XXXXXX THIS XXXX/ (XX) XXXXX XX FONCTIONNAIRE QUI X XXXXXXX LE XXXXXXX XXXXXXXXXX/ (XX) XXXX AN OIFIGIGH X X’XXXXXX AN XXXXXX SEO/ (XX) XXXXXXXX XXXXXXXXXX KOJI XX IZDAO XXXX XXXXXXX/ (XX) XXXXXXXXX XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX MODULO/ (XX) XXXXXXXXXXXX, XXXX IZDEVUSI XX VEIDLAPU, AMATS/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX PAREIGOS/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (NL) XXXXXXX XXX DE XXXXXXXXX XXX DIT XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX XXXXŁ NINIEJSZY FORMULARZ/ (XX) CARGO XX XXXXXXXXXXX QUE XXXXXX X XXXXXXXX FORMULÁRIO/ (XX) XXXXȚXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX ÚRADNÍKA, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XX XX XXXXX XX OBRAZEC/ (XX) XÄXÄX LOMAKKEEN XXXXXXXX XXXXXXXXXXX ASEMA/ (XX) XXXXXXXXXX XÖX DEN XXÄXXXXXXX SOM XXX XXXÄXXXX DETTA XXXXXXÄX

7.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (XX/XX/XXXX) XX EXPEDICIÓN/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (DA) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) VÄLJAANDMISE 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/ (HR) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) DATA XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) IŠDAVIMO XXXX (XX/XX/XXXX)/ (HU) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) DATUM (XX/XX/XXXX) XXX XXXXXXX/ (XX) DATA (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX XXXXXÃX (DD/MM/AAAA)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) VYDANIA/ (SL) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX UTFÄRDANDE

7.4

(BG) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (DA) UNDERSKRIFT/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (GA) XXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (HU) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) ASSINATURA/ (XX) XXXXĂXXXX/ (XX) XXXXXX/ (SL) XXXXXX/ (XX) ALLEKIRJOITUS/ (XX) XXXXXXXXXXXX

7.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (ES) XXXXX X XXXXXX/ (XX) XXXXX XXXX RAZÍTKO/ (XX) XXXX XXXXX XXXXXXX/ (XX) XXXXXX XXXX STEMPEL/ (XX) XXXXXX XÕX TEMPEL/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX OR XXXXX/ (XX) SCEAU XX XXXXXX/ (XX) XXXXX XX STAMPA/ (XX) XXX XXX XXXXX/ (XX) XXXXX O XXXXXX/ (XX) XĪXXXX XXX XXXXXXXX/ (XX) XXXXXXX ARBA XXXXXXXXXX/ (XX) PECSÉT XXXX XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX XXX TIMBRU/ (NL) XXXXX XX XXXXXXX/ (XX) XXXXXĘĆ XXX XXXXXXX/ (XX) XXXX XX XXXXXXX/ (XX) XXXXXXXX XXX ȘTAMPILA/ (XX) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (SL) XXXXX XXX ŽIG/ (XX) SINETTI TAI XXXXX/ (XX) XXXXXX XXXXX STÄMPEL

ZPŮSOBILOST K XXXXXXXX REGISTROVANÉHO XXXXXXXXXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX XXX XXXXXXX

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

Belgie (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (CZ)

Dánsko (DK) Xxxxxxx (XX)

Xxxxxxxx (EE) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (LV) Xxxxx (XX)

Xxxxxxxxxxx (LU)

Maďarsko (XX) Xxxxx (MT)

Nizozemsko (XX) Xxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxxxxxx (PT)

Rumunsko (XX) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Finsko (XX)

Xxxxxxx (XX) Xxxxxxx království (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxx xxxxxxxx xxxxxxx xxxxxxx, x xxx xx xxxxxxxx. Xxxxx formulář xx mezi xxxxxxxxx xxxxx nesmí pohybovat xxxx samostatný xxxxxxxx.

Xxxxx xxxxxxxx xxxxxx xxxxx xxxxxxx listiny, x xxx xx xxxxxxxx. Xxxxx, xxxxx xx xxxxxxx xxxxxxx předkládána, xxxx může x xxxxxxxxx, xxx je xx xxxxxxxx pro xxxxx xxxxxxxxxx xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx informací, xxxxx xxxx xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX PRO XXXXXXXXXX XXXXX

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

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

1. ORGÁN XXXXXXXXXX TENTO XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

3. XXXXXXXXX XXXXXXXX XX XXXXXXX XXXXXXX, K NÍŽ XX XXXXXXXX TENTO XXXXXXXX

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

3.1.1 Rozhodnutí xxxxx

3.1.2 Xxxxxxx vydaná xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx vydaná xxxxxx xxxxxxx xxxxxxxxx

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

3.1.5 Xxxx (xxxxxxxxx)

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

(2) Při xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

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

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

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Výpis x xxxxxxx

3.2.3 Xxxxx x xxxxxxxx xxxxxxxx

3.2.4 Xxxx xxxxxxxxxx záznamů

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx osvědčení, xxxxxx xxxx opatřena xxxxxxx podepsaná soukromou xxxxxx

3.5 Listina xxxxxxxxxx xxxxxxxxxxxxx zástupcem xxxx xxxxxxxxxxx xxxxxxxxx členského xxxxx v xxxxx xxxxxx xxxx služebních xxxxxxxxxx

3.6 Xxxxx (dd/mm/rrrr) xxxxxx

3.7 Referenční xxxxx xxxxxxx xxxxxxx

4. INFORMACE X XXXXXXX OSOBĚ

4.1 Xxxxxxxx

4.2 Xxxxx (jména)

4.3 Xxxxx (dd/mm/rrrr) narození

4.4 Xxxxx (1) a xxxx (2) narození

4.5 Xxxxxxx:

4.5.1 Xxxx

4.5.2 Xxx

4.5.3 Xxxxxxxx

4.6 Xxxxxx xxxxxxxxxxx

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

5.1 Xx xxxxxxx osoba xxxxxxxxx xxxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxx xxxxxxxxxxxxxx xxxxx xxxxxxxxx státu, v xxxx xx veřejná xxxxxxx xxxxxx.

5.2 Xxxxxxx xxxxx xxxxxx neuzavřela xxx xxxx xxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxx xxxxxxxxxxxxxx práva členského xxxxx, x xxxx xx xxxxxxx listina xxxxxx.

5.3 Neexistuje xxxxx xxxxx xxxxxxxx, xxx xxxxxxx xxxxx xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx podle xxxxxxxxxxxxxx xxxxx xxxxxxxxx xxxxx, v xxxx xx xxxxxxx xxxxxxx xxxxxx.

5.4 Xxxxxxxxxx xxxxx xxxxx překážka xxxxxxxxxxxxxx xxxxxxxxxxx mezi dotyčnou xxxxxx a xxxxx xxxxxxxx partnerem / xxxx xxxxxxx xxxxxxxxxx xxxxx vnitrostátního práva xxxxxxxxx xxxxx, x xxxx je veřejná xxxxxxx xxxxxx.

5.5 Xxxxxxxxxx xxxxx xxxxx námitka xxxxx xxxxxxxx registrovaného xxxxxxxxxxx mezi dotyčnou xxxxxx a xxxxx xxxxxxxx partnerem / xxxx xxxxxxx xxxxxxxxxx xxxxx vnitrostátního xxxxx xxxxxxxxx xxxxx, x xxxx xx xxxxxxx xxxxxxx vydána.

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

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

(3) Lze xxxxxx xxxx xxxxxxxx.

6. XXXXXXXXX X XXXXXXXX XXXXXXXXXX / BUDOUCÍ XXXXXXXXX XXXXXXX OSOBY

4.1 Xxxxxxxx

4.2 Xxxxx (xxxxx)

4.3 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.4 Xxxxx (1) x xxxx (2) narození

4.5 Xxxxxxx:

4.5.1 Xxxx

4.5.2 Xxx

4.5.3 Xxxxxxxx

4.6 Státní příslušnost

7. XXXX PRO PODPIS

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

7.2 Xxxxxx úředníka, který xxxxx xxxxx xxxxxxxx

7.3 Xxxxx (dd/mm/rrrr) vydání

7.4 Xxxxxx

7.5 Xxxxx nebo xxxxxxx

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

(2) Xxxxx země x – xxxxx xxxxxxxx – kód XXX xxxx xxxx xxxx xxxxxxx „Xxxx (upřesněte)“ xx třeba xxxxxx x rozbalovací xxxxxxx xx vzorovém xxxxxxxxxxxx xxxxxxxxxxx xxxxxxxxx, xxxxx xx k dispozici xx portálu xxxxxxxx x-xxxxxxx.

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX POLOŽEK

(ZPŮSOBILOST KE XXXXXX XX XXXXXXXXXXXXXX XXXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XXXX IMPRESO/ (XX) XXXXX VYDÁVAJÍCÍ TENTO XXXXXXXX/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, DIE XXXXXX XXXXXXXX AUSSTELLT/ (XX) XÄXXXXXXX VORMI XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX XXXX/ (FR) XXXXXXXX XX XXXXXXXXXX XX PRÉSENT XXXXXXXXXX/ (XX) AN xXXXXXX X XXXXXXXX AN XXXXXX XXX/ (XX) XXXXXX XXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXXÀ CHE RILASCIA XX XXXXXXXX XXXXXX/ (XX) VEIDLAPAS XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ XXXXXXXXXX VALDŽIOS INSTITUCIJA/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX XX' XXX XX-XXXXXXX/ (NL) XXXXXXXXXX VAN XXXXXXX XXX XXX XXXXXXXXX/ (XX) ORGAN XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX QUE EMITE X XXXXXXXX FORMULÁRIO/ (XX) XXXXXXXXXXX EMITENTĂ X PREZENTULUI XXXXXXXX/ (XX) XXXXX VYDÁVAJÚCI XXXXX XXXXXXXX/ (XX) XXXXX, XX XXXX XX OBRAZEC/ (XX) XÄXÄX LOMAKKEEN XXXXXX XXXXXXXXXXXX/ (XX) MYNDIGHET XXX UTFÄRDAR FORMULÄRET

1.1

(BG) НАИМЕНОВАНИЕ/ (ES) XXXXXXXXXXXX/ (XX) XXXXX/ (DA) XXXXXXXXXX/ (XX) BEZEICHNUNG/ (XX) NIMETUS/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (LV) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) DESIGNAÇÃO/ (XX) DENUMIRE/ (SK) XXXXX/ (SL) XXX/ (XX) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX XXXXXX XX XXXXXXXXX XXXXXXX XX QUE SE XXXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX FORMULÁŘ/ (DA) XXX XXXXXXXXX, DER XXX XXXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX FORMULAR XX XXXXÆXXXX/ (XX) XXXÖXXX, XXX DIE ÖXXXXXXXXXX XXXXXXX, DER XXXXXX XXXXXXXX BEIGEFÜGT IST, XXXXXXXXX/ (ET) XXXXXX, XXX XXXXX VÄLJA XXXXXXX XXXXXXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXX XXXXXXX THE XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX JOINT XX XXXXXXX FORMULAIRE/ (XX) XX tÚDARÁS X EISEOIDH XX XXXXXXXXX POIBLÍ XXXX XXXXXX XX XXXXXX XXX CEANGAILTE/ (XX) XXXXXX XXXX XXXXXX XXXXX XXXXXXX KOJOJ XX OVAJ XXXXXXX XXXXXXXX/ (IT) AUTORITÀ XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È ALLEGATO/ (XX) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, IZDEVĒJIESTĀDE/ (XX) XXXXĄXĮ XXXXXXXXĄ, PRIE XXXXX XXXXXXXXX XX XXXXX, IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATOT XXXXXXXX HATÓSÁG/ (XX) XXXXXXXÀ XXXXXXXXX TAD-DOKUMENT XXXXXXXX XX XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX/ (NL) XXXXXXXXXX XXX XXXXXXX XXX XXX OPENBAAR DOCUMENT XXXXXXX DIT XXXXXXXXX XX XXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXX XXXĘXXXX, DO XXXXXXX XXXXXXXXX XXXXXXXXX JEST XXŁĄXXXXX/ (XX) AUTORIDADE XXX XXXXX O XXXXXXXXX XXXXXXX A XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXXX EMITENTĂ X XXXXXXXXXXXX OFICIAL XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXX LISTINU, KU XXXXXX JE XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX IZDA XXXXX XXXXXXX, XX XX XX PRILOŽEN XX XXXXXXX/ (XX) XXXXXXXXXXXX, XXXX ON XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX TÄMÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX XXX XXXÄXXXX DEN XXXXXXXXXX XXXXXXXX TILL XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX RELATIVA XX XXXXXXXXX XXXXXXX XX QUE XX XXXXXXX ESTE XXXXXXX/ (XX) INFORMACE TÝKAJÍCÍ XX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX VEDRØRENDE XXX OFFENTLIGE XXXXXXXX, XXX DENNE XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX XXXXXXX XXXXXXXXX XXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (EL) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXX XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX AU XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) FAISNÉIS X BHAINEANN XXXX XX XXXXXXXXX POIBLÍ XXXX BHFUIL XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXX XX XXXXXX XX XXXXX XXXXXXX XXXXX XX XXXX OBRAZAC XXXXXXXX/ (XX) INFORMAZIONI XXXXXXXX XX XXXXXXXXX XXXXXXXX CUI XX XXXXXXXX MODULO È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX PUBLISKO DOKUMENTU, XXXXX XĪ XXXXXXXX XX PIEVIENOTA/ (XX) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX XXXXXXXXX, XXXX XXXXX PRIDEDAMA XX XXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (MT) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX WAARAAN DIT XXXXXXXXX XX XXXXXXX/ (XX) INFORMACJE XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX RELATIVAS AO XXXXXXXXX PÚBLICO X XXX X PRESENTE XXXXXXXXXX ESTÁ APENSO/ (XX) INFORMAȚII REFERITOARE XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) INFORMÁCIE X XXXXXXXX LISTINE, KU XXXXXX JE XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXX X XXXXX XXXXXXX, XX JI XX XXXXXXXX XX OBRAZEC/ (XX) XXXXXX YLEISESTÄ XXXXXXXXXXXX, XXXXX TÄMÄ XXXXXX XXXXXXÄÄX/ (SV) XXXXXXXXXXX OM XXX XXXXXXXXXX HANDLING XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX XXXXXXXX XXX XXX XXXXXXXXX X XX FUNCIONARIO XXXXXXXXX A XXX XXXXXXX XXXXXXXXXXXXXXXX DE XX XXXXXX MIEMBRO/ (XX) XXXXXXX XXXXXX XXXXXXX NEBO XXXXXXXXX X XXXXXX XX XXXXX DANÉHO XXXXXXXXX XXXXX/ (DA) XXXXXXXX, XXX XX UDSTEDT XX EN XXXXXXXXX XXXXX EN XXXXXXXXXX, XXX XX XXXXXXXXXX XXXXXXXX I XX XXXXXXXXXXX/ (DE) XXXXXXX XXXXX XXXÖXXX XXXX XXXXX XXXXXXXXXX ALS XXXXX XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX ON XÄXXX ANDNUD 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 EMANATING XXXX XX XXXXXXXXX XX XX XXXXXXXX XXXXXXXXX XXXX XXX XXXXXX XX TRIBUNALS XX X MEMBER XXXXX/ (FR) XXXXXXXX XXXXXXX D'UNE XXXXXXXX XX D'UN XXXXXXXXXXXXX XXXXXXXX D'UNE XXXXXXXXXXX X'XX XXXX MEMBRE/ (XX) XXXXXXXXX X XXXXXXX Ó ÚDARÁS XX X XXXXXXXXX X XXXXXX XXXXX XXXX XX XXXX XX CÚIRTEANNA XX XX BINSÍ XX XXXXX XXXXXXXXX/ (XX) XXXXXXX KOJU XX XXXXXX TIJELO XXX XXXXXXXXX XXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ X XX XX XXXXXXXXXXX XXXXXXXXXXXX XX XXX XXXXX XXXXXXXXXXXXX XX UNO XXXXX XXXXXX/ (XX) DOKUMENTS, XXXX IZSNIEGUSI XX XXXĪXXXXXXX TIESĀM XXXXXĪXX XXXXĀXX VAI XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX XXXXXXXX INSTITUCIJOS AR XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX TEISMAIS XX TRIBUNOLAIS/ (XX) XXXXXXXXX BÍRÓSÁGGAL XXXXXXXXXXXX XXXX HATÓSÁG XXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX AWTORITÀ XXX XXXXĊXXX XX XXXXXXXX RABTA XXX-XXXXX XXX XX-XXXXXXXXX XX' XXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX OF XXXXXXXXX XXXXXXXXX TOT XXX XXXXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX ORGANU XĄXXXXXX XXX XXXĘXXXXX SĄDOWEGO XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX PROVENIENTE XX XXX XXXXXXXXXX XX XX UM FUNCIONÁRIO XXXXXXXXXX DE QUALQUER XXXXXXXÇÃX XX XX XXXXXX-XXXXXX/ (RO) XXXXXXXX XXXX XX O XXXXXXXXXX XXX DE XX XXXXȚXXXXX DE XX XÂXXĂ XXXXXXȚXXX XXXX STAT MEMBRU/ (XX) XXXXXXX XXXXXX XXXXXXX ALEBO ÚRADNÍKOM X VÄZBOU NA XXXX ČLENSKÉHO XXXXX/ (XX) LISTINA, IZDANA X XXXXXX XXXXXX XXX URADNIKA SODNE XXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX VIRANOMAINEN XXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXXXXXXXX XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (XX) DOMSTOLSAFGØRELSE/ (XX) GERICHTSENTSCHEIDUNG/ (XX) XXXXXXXXXX/ (EL) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (EN) XXXXX XXXXXXXX/ (XX) XXXXXXXX XX JUSTICE/ (GA) XXXXXXXX XX xXXXXX/ (XX) SUDSKA XXXXXX/ (XX) XXXXXXXXX GIURISDIZIONALE/ (XX) XXXXXX LĒMUMS/ (XX) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX HATÁROZAT/ (XX) DEĊIŻJONI TAL-QORTI/ (XX) RECHTERLIJKE XXXXXXXXXX/ (XX) XXXXXXXXXX SĄDOWE/ (XX) XXXXXÃX JUDICIAL/ (XX) HOTĂRÂRE XXXXXĂXXXXXXXĂ/ (XX) XXXXX ROZHODNUTIE/ (XX) SODNA XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) DOMSTOLSBESLUT

3.1.2

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX EL XXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX ZÁSTUPCEM/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX ON XÄXXX XXXXXX XXXXXXX SÜÜDISTAJA/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX FROM X PUBLIC XXXXXXXXXX/ (XX) XXXXXXXX ÉMANANT XX XXXXXXÈXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (IT) XXXXXXXXX EMANATO XXX XXXXXXXX MINISTERO/ (LV) XXXXXXXXX, KURU XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (HU) ÜXXXXX ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (NL) DOCUMENT XXXXXXXXX XXXX XXX XXXXXXXX MINISTERIE/ (PL) XXXXXXXX POCHODZĄCY OD XXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX DO MINISTÉRIO XXXXXXX/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX/ (SK) LISTINA XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXX, XX XX XXXX DRŽAVNO XXXXXXXXX/ (XX) VIRALLISEN XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX POR XX XXXXXXXXXX JUDICIAL/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX ÚŘEDNÍKEM/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXÆX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) DOKUMENT, XXXXX ON XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (EN) XXXXXXXX XXXXXXXXX XXXX X XXXXX XX X XXXXX/ (XX) XXXXXXXX ÉMANANT X'XX XXXXXXXX/ (XX) XXXXXXXXX X THAGANN X XXXXXXXXXX XX XXXXX XXXXXX/ (XX) ISPRAVA XXXX JE XXXXX XXXXXXXXXX SUDSKE PISARNICE/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (XX) XXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX XXĠXXXXXXXX XX' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX SĄDOWEGO/ (XX) XXXXXXXXX PROVENIENTE XX UM XXXXXXX XX XXXXXÇX/ (XX) XXXXXXXX EMIS XX XX XXXXXXX XX XXXXXXȚXX/ (XX) LISTINA XXXXXX XXXXXX ÚRADNÍKOM/ (XX) LISTINA, XX XX XXXX XXXXX XXXXXXXXXX/ (FI) TUOMIOISTUIMEN XXXXXXXXX XXXXXX XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX DE XXXXXXX“)/ (XX) DOCUMENTO EXPEDIDO XXX XX XXXXXX XXXXXXXX («HUISSIER XX XXXXXXX»)/ (CZ) LISTINA XXXXXX SOUDNÍM XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX XX XX XXÆXXXXXXXXXX (»XXXXXXXX DE JUSTICE«)/ (XX) XXXXXXX EINES XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXXXX XXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX DE XXXXXXX/ (XX) XXXXXXXXX X XXXXXXX Ó XXXXXXXXX BREITHIÚNACH (“XXXXXXXX XX JUSTICE”)/ (XX) XXXXXXX XXXX XX XXXXX XXXXXX OVRŠITELJ (XXXXXXXX DE XXXXXXX)/ (XX) XXXXXXXXX XXXXXXX XX UN UFFICIALE XXXXXXXXXXX ("HUISSIER DE XXXXXXX")/ (XX) XXXXXXXXX, XXXX IZSNIEDZIS XXXXXX XXXXXXĪXĀXX (XXXXXXXX DE XXXXXXX)/ (XX) ANTSTOLIO (XXXXXXXX XX XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠUDIZZJARJU ('HUISSIER XX XXXXXXX')/ (NL) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXXXXXXXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX XĄXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX PROVENIENTE DE XX XXXXXXÃX XX XXXXXXX («HUISSIER XX XXXXXXX»)/ (XX) XXXXXXXX XXXX XX UN XXXXXXXX JUDECĂTORESC („HUISSIER XX JUSTICE”)/ (XX) XXXXXXX VYDANÁ SÚDNYM XXXXXXXXXXĽXX („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX DE XXXXXXX”) XXXXXX XXXXXXXXX/ (XX) HANDLING SOM XÄXXÖX FRÅN EN XXÄXXXXXXXXX (HUISSIER DE XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (CZ) XXXX (UPŘESNĚTE)/ (XX) XXXXX (XXXXXXX)/ (DE) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) XXX (TÄPSUSTAGE)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) OTHER (XX XX XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (XX) EILE (XX XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (XX) ALTRO (XXXXXXXXX)/ (LV) XXXX (XXXXXXĒX)/ (LT) KITA (XXXXXXXX)/ (XX) XXXXX (XXXXÜX XXXXXXXXXXX)/ (MT) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (PL) XXXX (XXXXXĘ XXXXŚXXĆ)/ (XX) XXXXXX (X XXXXXXXXXXX)/ (RO) ALTUL (X XX XXXXXXX)/ (XX) XXX (SPRESNIŤ)/ (XX) DRUGO (NAVESTI)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (SV) XXXXX XXXXXXXX (SPECIFICERAS)

3.2

(BG) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (CZ) XXXXXXX XXXXXX XXXXXXXX ÚŘADEM/ (XX) XXXXXXXXXXXXXX DOKUMENT/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX DOCUMENT/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ (XX) UPRAVNA XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (XX) ADMINISTRATIEF DOCUMENT/ (XX) XXXXXXXX ADMINISTRACYJNY/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) SPRÁVNA XXXXXXX/ (XX) UPRAVNA XXXXXXX/ (XX) XXXXXXXXXXXXXX ASIAKIRJA/ (XX) XXXXXXXXXXXXX HANDLING

3.2.1

(BG) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (DA) XÅXXXXXXX/ (XX) BESCHEINIGUNG/ (XX) XÕXXX/ (EL) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) CERTIFICAT/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) CERTIFICATO/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (XX) TANÚSÍTVÁNY/BIZONYÍTVÁNY/ (XX) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) ZAŚWIADCZENIE/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (SL) XXXXXXXX/ (XX) XXXXXXXX/ (XX) INTYG

3.2.2

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX REGISTRO XXXXX/ (CZ) XXXXX X XXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (XX) AUSZUG AUS XXX XXXXXXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX FROM XXX CIVIL XXXXXX XXXXXXXX/ (FR) EXTRAIT XX XXXXXXXX DE X'XXXX XXXXX/ (GA) XXXXXXX XX AN xXXXX STÁDAIS SHIBHIALTA/ (XX) IZVADAK XX XXXXXXXX XXXXXXX STANJA/ (XX) XXXXXXXX XX XXXX DI XXXXX XXXXXX/ (XX) XXXXXXXX XX CIVILSTĀVOKĻA XXXX XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXĖX BŪKLĖS XXXŲ XXXXXXXX/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) ODPIS XXXXXXXX AKTU XXXXX XXXXXXXXX/ (PT) XXXXXXX XX XXXX XX XXXXXXX CIVIL/ (XX) XXXXXX XXX XXXXXXXXX XX STARE XXXXXĂ/ (XX) XXXXX X XXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXX IZ XXXXXXXX X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (SV) UTDRAG XX FOLKBOKFÖRINGEN

3.2.3

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX XXX XXXXX/ (XX) XXXXX Z REGISTRU XXXXXXXX/ (XX) XXXXXX XXX FOLKEREGISTRET/ (DE) XXXXXX XXX DEM XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX XXX XXXXXXXXXX XXXXXXXX/ (XX) EXTRAIT XX REGISTRE XX XX XXXXXXXXXX/ (GA) XXXXXXX XX XX xXXXX DAONRA/ (HR) XXXXXXX XX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX/ (LV) IZRAKSTS XX XXXXĪXXXĀXX XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXXŲ REGISTRO/ (HU) XXXXXXX X XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX MIR-REĠISTRU TAL-POPOLAZZJONI/ (XX) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX Z XXXXXXXX XXXXXŚXX/ (XX) EXTRATO XX XXXXXXX XX XXXXXXÇÃX/ (XX) XXXXXX XXX REGISTRUL XX XXXXXXȚĂ X XXXXXXȚXXX/ (XX) XXXXX X XXXXXXXX OBYVATEĽOV/ (SL) XXXXXXX XX XXXXXXXX XXXXXXXXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) UTDRAG UR XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX XX XXXXX XXX XXXXXXXX XXXXX/ (CZ) XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXX XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX VON XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX XX XXXXX XXXXXX XXXXXXX/ (XX) COPIE XXXXXXXXX X'XXXXX XX X'XXXX XXXXX/ (GA) XXXX XXXXX XX XXXXXX DE THAIFID XX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XX XXXXXXXXXX O XXXXXXX XXXXXX/ (XX) XXXXX XXXXXXXXX XX XXXX DI STATO XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX REĢISTRA IERAKSTU XXXXXXXXXX KOPIJA/ (XX) XXXXXXXĖX XŪXXĖX AKTŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX MÁSOLATA/ (XX) XXXXX XXXXXXXX XXX-XXXX TAL-ISTAT ĊXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXX XXX XXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) ODPIS XXXXŁXX XXXX XXXXX XXXXXXXXX/ (XX) CERTIDÃO DE XXXXX INTEGRAL XX XX NARRATIVA XX XXXX DE REGISTO XXXXX/ (XX) COPIE XXXXXĂ X XXXX XXX XX STARE XXXXXĂ/ (XX) XXXXXXXX XXXXX XX ZÁPISOV X OSOBNOM XXXXX/ (XX) XXXXXXXXX XXXXXX XXXXXX X XXXXXXX XXXXXX/ (XX) VÄESTÖREKISTERITIETOJEN XXXXXXXXXX JÄLJENNÖS/ (SV) XXXXXXXXX AVSKRIFT AV XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) ACTA XXXXXXXX/ (XX) NOTÁŘSKÁ XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) NOTARIELLE URKUNDE/ (XX) NOTARIAALDOKUMENT/ (EL) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (FR) XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX ISPRAVA/ (XX) XXXX NOTARILE/ (XX) XXXXXXĀXX XXXX/ (XX) XXXXXXXXX XXXXX/ (XX) XÖXXXXXXŐX OKIRAT/ (XX) XXX NOTARILI/ (NL) XXXXXXËXX XXXX/ (XX) XXX XXXXXXXXXX/ (PT) XXX NOTARIAL/ (RO) XXX NOTARIAL/ (XX) XXXXXXXX LISTINA/ (XX) XXXXXXXX LISTINA/ (XX) XXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX XXXXXX XXXXX XX XXXXXXXXX XXXXXXX/ (XX) ÚŘEDNÍ XXXXXXXXX, XXXXXX BYLA XXXXXXXX XXXXXXX PODEPSANÁ XXXXXXXXX XXXXXX/ (XX) XXXXXXXX XÅXXXXXXX XÅ XX XXXXXXXX UNDERTEGNET XX XX XXXXXX X XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXX BESCHEINIGUNG AUF XXXXX XXXXXXXXXXXXX/ (XX) XXXXX POOLT XXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX XXXXXXX XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX XXXXXX ON X XXXXXXXX XXXXXX XX X XXXXXX IN XXX OR XXX XXXXXXX CAPACITY/ (XX) XXXXXXXXXXX OFFICIELLE XXXXXXX XXX XX ACTE XXXX SEING PRIVÉ/ (XX) XXXXXXXX OIFIGIÚIL X CHUIRTEAR XX XXXXXXXXXX XXXX SHÍNIÚ XX DUINE XXX XXXXX XX XXX XXXX PHRÍOBHÁIDEACH/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX XX XXXXXXX KOJU XX OSOBA XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXX UFFICIALE XXXXXXX XX XXX XXXXXXXXX PRIVATA/ (XX) XXXXXĀXX XXXXXXXXĀXXXX UZ XXXXXXXXX, XX XXXĀ XĀXXĀ PARAKSTĪJUSI KĀDA XXXXXXX/ (LT) XXXXXXXŲ XXXXXŲ PASIRAŠYTŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ĊERTIFIKAT XXXXĊXXXX XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX MINN XXXXXXX XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX OP EEN XXXXXXXX ONDERTEKEND DOOR XXX XXXXXXX XX XXXX XXXXXXXXXXXX HOEDANIGHEID/ (XX) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX DOKUMENCIE XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ W XXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX NUM XXX DE NATUREZA XXXXXXX/ (XX) CERTIFICAT XXXXXXX XXXXXXX XX XX XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (SK) XXXXXX XXXXXXXXXX XXXXXXX XX XXXXXXX XXXXXXXXXX XXXXXX KONAJÚCOU XXX XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXX XX XXXXXXX LISTINI/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, XXXXX XXXXXXÖ ON XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (SV) XXXXXXXXXX INTYG ANBRINGAT XÅ EN XXXXXXXX XXX XXXXXXXXXXXXX AV XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX EXPEDIDO XXX XX XXXXXX XXXXXXXXXXX O CONSULAR XX XX XXXXXX XXXXXXX CON CARÁCTER XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX V XXXXX XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX UDFÆRDIGET XX EN XXXXXXXXXXXX XXXXXXXXXXXX XXXXX KONSULÆRE XXXXÆXXXXXXX/ (XX) VON XXXXX DIPLOMATISCHEN ODER XXXXXXXXXXXXXX VERTRETER XXXXX XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX XXXXXXXX ERRICHTETE XXXXXXX/ (XX) LIIKMESRIIGI XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX XXXXX AMETIKOHUSTUSTE XÄXXXXXXX XXXXXXXXX DOKUMENT/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX XXXXX XX XX X DIPLOMATIC XX XXXXXXXX XXXXX XX X XXXXXX XXXXX IN HIS XX XXX OFFICIAL XXXXXXXX/ (XX) DOCUMENT XXXXXX XX XX XXXXXXX XXXXXXXXXX XXX XX XXXXX DIPLOMATIQUE XX XXXXXXXXXX X'XX XXXX MEMBRE/ (XX) XXXXXXXXX XXXX XXXXXXXXXX XXXX AG XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX XX XXXXX BALLSTÁIT XXX XXXXX NÓ XXX CÁIL XXXXXXXXX/ (XX) ISPRAVA KOJU XX X SLUŽBENOM XXXXXXXX SASTAVIO DIPLOMATSKI XXX XXXXXXXXXX PREDSTAVNIK XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX XXXXXXXXXXX X XXXXXXXXX XX XXX XXXXX MEMBRO XXXX'XXXXXXXXX XXXXX LORO XXXXXXXX/ (XX) DOKUMENTS, KURU, XXXXXX XXXXX XXXXĀXXXXX, XXXXXXXXXXX DALĪBVALSTS DIPLOMĀTISKAIS XXX KONSULĀRAIS PĀRSTĀVIS/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX XX KONSULINIO XXXXXXŪXX, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) VALAMELY XXXXXXXX DIPLOMÁCIAI VAGY XXXXXXX XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX KIÁLLÍTOTT XXXXXX/ (MT) DOKUMENT XXĦXXXX MINN AĠENT XXXXXXXXXXX XXX XXXXXXXXX XX' XXXX MEMBRU XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX XXX EEN XXXXXXXX XX XXXX XXXXXXËXX XXXXXXXXXXXX/ (PL) XXXXXXXX XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX PAŃSTWA CZŁONKOWSKIEGO XXXXŁXXĄXXXX W XXXXXXXXXXX XXXĘXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XX XXXXXX DIPLOMÁTICO XX XXXXXXXX XX XX XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (RO) XXXXXXXX ÎXXXXXXX DE XĂXXX XX XXXXX XXXXXXXXXX XXX XXXXXXXX AL XXXX XXXX XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX ALEBO XXXXXXXXXXX ÚRADNÍKOM XXXXXXXXX XXXXX V XXXXX XXXXXX XXXX FUNKCIE/ (XX) XXXXXXX, XX XX XXX XXXXXX XXXXX XXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (FI) XXXXXXXXX, JONKA XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (SV) HANDLING XXXXÄXXXX X TJÄNSTEN XX XX XXXXXXXXXXX XXXXX KONSULÄR XXÄXXXXXXX X XX MEDLEMSSTAT

3.6

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) DATUM (DD/MM/RRRR) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) VÄLJAANDMISE XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (DD/MM/YYYY) XX XXXXX/ (XX) XXXX (JJ/MM/AAAA) XX XXXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/GGGG) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) IŠDAVIMO XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) 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/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) NÚMERO XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (CZ) XXXXXXXXXX ČÍSLO XXXXXXX XXXXXXX/ (DA) XXX XXXXXXXXXX XXXXXXXXX REFERENCENUMMER/ (XX) XXXXXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXX DOKUMENDI XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX XX XXX XXXXXX XXXXXXXX/ (XX) XXXXXX XX XXXXXXXXX DU XXXXXXXX XXXXXX/ (XX) XXXXXX XXXXXXXXX AN XXXXXXXXX XXXXXXX/ (HR) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXĀ DOKUMENTA XXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXX/ (XX) X KÖZOKIRAT XXXXXXXXXXX XXXXX/ (XX) NUMRU XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (NL) XXXXXXXXXXXXXXXX XXX HET XXXXXXXX XXXXXXXX/ (PL) XXXXX XXXXXXXXXXXX DOKUMENTU XXXĘXXXXXX/ (XX) NÚMERO XX XXXXXÊXXXX DO XXXXXXXXX XXXXXXX/ (XX) NUMĂRUL XX XXXXXXXȚĂ XX XXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX ČÍSLO XXXXXXXX XXXXXXX/ (SL) XXXXXXXXXX XXXXXXXX XXXXX LISTINE/ (XX) XXXXXXX ASIAKIRJAN XXXXXXXXXXX/ (SV) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX EL XXXXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX XXXXX/ (DA) XXXXXXXXXXX XX DEN XÅXÆXXXXXX XXXXXX/ (XX) XXXXXXX XXX BETREFFENDEN XXXXXX/ (XX) ASJAOMAST XXXXXX XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) INFORMATION ON XXX XXXXXX XXXXXXXXX/ (XX) INFORMATIONS XXX XX PERSONNE XXXXXXXXX/ (XX) FAISNÉIS MAIDIR XXXX XX XXXXX XXXX mBAINEANN/ (HR) XXXXXXXXXXX X DOTIČNOJ XXXXX/ (XX) INFORMAZIONI XXXXX XXXXXXX XXXXXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXĪXX XXXXXXX/ (XX) XXXXXXXXXXX APIE XXXXXXXXXĄ XXXXXĮ/ (XX) XX XXXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXX XXXXĊXXXXXX/ (XX) INFORMATIE XXXX XX BETROKKENE/ (XX) XXXX XXXXX, XXXXXX XXXXXXX DOKUMENT/ (XX) XXXXXXXÇÕXX SOBRE X XXXXXX XX XXXXX/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXX VIZATĂ/ (SK) XXXXXXXXXX O XXXXXXXXX XXXXX/ (XX) INFORMACIJE X XXXXXXX OSEBI/ (XX) ASIANOMAISEN XXXXXXÖX XXXXXX/ (SV) UPPGIFTER XX XXX BERÖRDA XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X)/ (XX) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (XX) XXXXXXXXXXXX(X)/ (XX) XXXXXXXXXXXXX (-NIMED)/ (EL) ΕΠΩΝΥΜΟ(-Α)/ (XX) SURNAME(S)/ (XX) NOM(S)/ (XX) XXXXXXX (SLOINNTE)/ (XX) XXXXXXX(XX)/ (XX) COGNOME(I)/ (XX) UZVĀRDS(-I)/ (LT) XXXXXXĖ (-ĖX)/ (HU) XXXXXXX XXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX)/ (NL) XXXXXXXX(X)X(XX)/ (XX) NAZWISKO(-A)/ (XX) XXXXXXX(X)/ (RO) XXXX/ (XX) XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX/ (FI) XXXXXXXX (-XXXXX)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) XXXXX (XXXXX)/ (DA) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (ET) XXXXXXX (-XXXXX)/ (EL) ΟΝΟΜΑ(-ΤΑ)/ (EN) FORENAME(S)/ (XX) PRÉNOM(S)/ (GA) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (IT) XXXX(X)/ (XX) VĀRDS(-I)/ (XX) XXXXXX (-AI)/ (XX) XXXXXXX(X)/ (XX) ISEM(/ISMIJIET)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (IMIONA)/ (XX) XXXX(X) XXXXXXX(X)/ (XX) XXXXXXX/ (XX) XXXX(-X)/ (XX) IME/IMENA/ (FI) XXXXXXX (-XXXXX)/ (XX) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DATUM (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) XXXX (XX/XX/XXXX) XX XXXXX/ (FR) XXXX (XX/XX/XXXX) DE XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/GGGG) XXĐXXXX/ (XX) XXXX XX XXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (DD/MM/JJJJ)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (XX/XX/XXXX) NARODENIA/ (SL) XXXXX (XX/XX/XXXX) ROJSTVA/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.4

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX Y XXXX XX XXXXXXXXXX/ (CZ) XXXXX A XXXX XXXXXXXX/ (XX) XØXXXXXX XX -XXXX/ (XX) XXX XXX XXXX XXX XXXXXX/ (XX) XÜXXXXXXX XX -RIIK/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (EN) XXXXX XXX XXXXXXX XX XXXXX/ (XX) XXXX XX XXXX XX XXXXXXXXX/ (XX) XXX XXXX XXX XXXXXXXX/ (XX) MJESTO X XXXXXX ROĐENJA/ (XX) LUOGO X XXXXX XX XXXXXXX/ (XX) XXXXXXXXX XXXXX XX VALSTS/ (XX) XXXXXX XXXXX IR XXXXX/ (HU) XXÜXXXXXX XXXXX XX XXXXXXX/ (XX) POST X XXXXXŻ XXX-XXXXXX/ (NL) XXXXXXXXXXXXXX XX -LAND/ (XX) XXXXXXX I XXŃXXXX XXXXXXXXX/ (PT) XXXXX X XXXX XX XXXXXXXXXX/ (XX) XXXXX ȘX ȚXXX XXȘXXXXX/ (SK) XXXXXX X ŠTÁT XXXXXXXXX/ (XX) XXXX IN XXXXXX XXXXXXX/ (XX) XXXXXXÄXXXXXX XX -XXX/ (XX) XÖXXXXXXXX XXX -XXXX

4.5

(XX) ПОЛ/ (ES) XXXX/ (XX) POHLAVÍ/ (XX) XØX/ (XX) XXXXXXXXXX/ (XX) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (XX) SEXE/ (XX) INSCNE/ (HR) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (HU) XXXX/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXX/ (FI) XXXXXXXXX/ (XX) XÖX

4.5.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) XXXX/ (DA) XXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (EN) XXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (LT) MOTERIS/ (XX) XŐ/ (MT) XXXX/ (XX) XXXXX/ (XX) KOBIETA/ (XX) XXXXXXXX/ (RO) FEMEIESC/ (XX) XXXXXX/ (XX) XXXXXX/ (FI) XXXXXX/ (XX) XXXXXX

4.5.2

(XX) МЪЖКИ/ (XX) VARÓN/ (XX) XXX/ (XX) XXXX/ (XX) XÄXXXXXX/ (ET) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (FR) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) XXXXX/ (XX) XXXXX/ (MT) RAĠEL/ (XX) XXX/ (PL) XĘŻXXXXXX/ (XX) MASCULINO/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) MOŠKI/ (XX) XXXX/ (SV) XXX

4.5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (ET) MÄÄRAMATA/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) NEAMHCHINNTITHE/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (LV) XXXXXXXXXX/ (XX) NENUSTATYTA/ (XX) XXXXXXXXXXXXXXX/ (MT) MHUX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) PŁEĆ NIEOKREŚLONA/ (XX) XÃX DEFINIDO/ (XX) NEDETERMINAT/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) MÄÄRITTELEMÄTÖN/ (XX) XX FASTSTÄLLT

4.6

(BG) ГРАЖДАНСТВО/ (XX) NACIONALIDAD/ (XX) XXXXXX XXXXXXXXXXX/ (DA) XXXXXXXXXXXX/ (XX) STAATSANGEHÖRIGKEIT/ (XX) KODAKONDSUS/ (XX) ΙΘΑΓΕΝΕΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) CITTADINANZA/ (XX) XXXXXXXXXXXXĪXX/ (XX) XXXXXXXXĖ/ (XX) XXXXXXXXXXXXXXX/ (XX) ĊXXXXXXXXXXX/ (XX) NATIONALITEIT/ (XX) XXXXXXXXXXXX/ (PT) XXXXXXXXXXXXX/ (RO) XXXĂȚXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (FI) XXXXXXXXXXXX/ (SV) MEDBORGARSKAP

5.

(BG) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XX XXXXXXXXX PÚBLICO XX XXX XX ADJUNTA XXXX XXXXXXX,/ (XX) XX ZÁKLADĚ VEŘEJNÉ XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX,/ (XX) X XXXXXXX TIL XXX XXXXXXXXXX XXXXXXXX, SOM XXXXX FORMULAR XX XXXXÆXXXX/ (DE) XXXÄXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX FORMULAR XXXXXXÜXX XXX/ (XX) XXXXXXXXX XXXXXXXXX DOKUMENDILE, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΣΥΜΦΩΝΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX TO XXX PUBLIC XXXXXXXX XX XXXXX XXXX XXXX XX ATTACHED/ (XX) X'XXXÈX XX XXXXXXXX PUBLIC AUQUEL XX XXXXXXX FORMULAIRE XXX JOINT/ (GA) XX RÉIR XX XXXXXXXXX XXXXXXX XXXX XXXXXX AN XXXXXX XXX CEANGAILTE/ (HR) XXXXX JAVNOJ XXXXXXX XXXXX XX OVAJ XXXXXXX XXXXXXXX/ (XX) XXXXXXX IL XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) SASKAŅĀ XX XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX XX PIEVIENOTA/ (LT) XXXXX XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX PRIDEDAMA XX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXX XXXXXXX/ (MT) XXXXX XX-XXXXXXXX PUBBLIKU XX MIEGĦU HIJA XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXX HET XXXXXXXX DOCUMENT WAARAAN XXX XXXXXXXXX XX XXXXXXX/ (XX) Z XXXXXXXXX XXXĘXXXXXX, DO XXXXXXX ZAŁĄCZONY XXXX XXXXXXXXX FORMULARZ, XXXXXX, ŻX/ (XX) XXXXXXX X XXXXXXXXX XXXXXXX X XXX O XXXXXXXX XXXXXXXXXX ESTÁ XXXXXX/ (RO) ÎN XXXXXXXXXXXX CU XXXXXXXXXX XXXXXXX XX CARE XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXĽX XXXXXXXX XXXXXXX, XX XXXXXX JE TENTO XXXXXXXX PRIPOJENÝ/ (XX) X XXXXXX Z XXXXX LISTINO, XX XX JE XXXXXXXX XX XXXXXXX/ (FI) XXX XXXXXXX XXXXXXXXXX XXXXXX, XXXXX XÄXÄ XXXXXX LIITETÄÄN/ (SV) XXXXXX DEN XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

5.1

(XX) СЪОТВЕТНОТО ЛИЦЕ ПРИТЕЖАВА ДЕЕСПОСОБНОСТ ДА ВСТЪПИ В РЕГИСТРИРАНО ПАРТНЬОРСТВО СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (ES) XX XXXXXXXXXX XXXXX XXXXXXXXX XXXX XXXXXXXXXXX XXXX XXXXXXX DE UNA XXXXX XX HECHO XXX ARREGLO XX XXXXXXX XXXXXXXX XXX XXXXXX XXXXXXX XX XXXXXXXXXX DEL DOCUMENTO XXXXXXX/ (XX) JE XXXXXXX OSOBA ZPŮSOBILÁ XXXXXXX XXXXXXXXXXXX PARTNERSTVÍ XXXXX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, V XXXX XX VEŘEJNÁ XXXXXXX XXXXXX/ (XX) XXX XÅXÆXXXXXX XXXXXX XXX ADGANG XXX XX KUNNE XXXXÅ XXXXXXXXXXX XXXXXXXXXXX X XXXXXXX TIL XXXXXXXX XXX X DEN XXXXXXXXXXX, XXXX XXX XXXXXXXXXX DOKUMENT XX XXXXXXX/ (XX) XXX XXX XXXXXXXXXXX XXXXXX XXXX XXX NATIONALEN XXXXX XXX XXXXXXXXXXXXXX, XX XXX XXX ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, DIE XÄXXXXXXX, XXXX EINGETRAGENE XXXXXXXXXXXXX XXXXXXXXXX/ (XX) XX XXXXXXXXXX XXXXXX AVALIKU XXXXXXXXX XÄXXX XXXXXX XXXXXXXXXXXX ÕXXXXX KOHASELT XXXXXXXXXXXXXX XXXXXXXX ASTUMISE 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 XXXX X XXXXXXXXXX XXXXXXXXXXX XXXXX XXX XXXXXXXX XXX XX XXX XXXXXX XXXXX WHERE XXX XXXXXX XXXXXXXX IS XXXXXX/ (FR) LA XXXXXXXX XXXXXXXXX XXXX XXXXXXXX XX XXXXXXXXXXX XXXXXXXXXX EN VERTU XX XXXXX NATIONAL XX X'XXXX XXXXXX XÙ XX XXXXXXXX XXXXXX EST XXXXXXX/ (XX) XX XX XXXXX XXXX xXXXXXXXX XXX CHUMAS XXX X xXXX XXXXXXXXXXXXXX XXXXXXXXXX XXXX XXXX XXXXXXXXX XX XXXXXXXXXX XXX nDÉANTAR XX XXXXXXXXX POIBLÍ X XXXXXXXX/ (XX) DOTIČNA XXXXX IMA XXXXXXXXXX XX XXXXXXXXX REGISTRIRANOG XXXXXXXXXXX XXXXX NACIONALNOM XXXXX XXXXXX ČLANICE X KOJOJ XX XXXXX XXXXXXX XXXXXX/ (XX) XX PERSONA XXXXXXXXXXX XXXXXXXX LA XXXXXXXÀ XX SOTTOSCRIVERE XX'XXXXXX XXXXXXXXXX X XXXXX XXX XXXXXXX XXXXXXXXX XXXXX XXXXX XXXXXX XXX XXXXXXXX XX DOCUMENTO XXXXXXXX/ (XX) ATTIECĪGĀ XXXXXXX XXĒX XXĀXXXX REĢISTRĒTĀS XXXXXXXXXXXXXĪXĀX XXXXXŅĀ XX XĀX XXXĪXXXXXXX XXXXĪXX XXXXXX, KURĀ XXXXXXXXXX XXXXXXXXX IR XXXXXX/ (XX) ATITINKAMAS ASMUO XXX XXXXXXXX XXXXXXXX XXXXXXXXXXĄ PARTNERYSTĘ XXXXX XXXXXXXĖX XXXĖX, XXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (XX) XX ÉRINTETT SZEMÉLY X XÖXXXXXXX KIÁLLÍTÁSÁNAK XXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXX XXXXXXX XXXXXXXXXX ÉLETTÁRSI XXXXXXXXXXX XXXXXXXXXX/ (XX) XX-XXXXXXX XXXXĊXXXXXX GĦANDHA L-KAPAĊITÀ XX XXXĦXX XX XĦXXXXX REĠISTRATA XXĦX XX-XXĠX NAZZJONALI XXX-XXXXX XXXXXX FEJN XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (XX) XXXXX XX BETROKKENE XX XXXXXXXXXXX XX XXX XXXXXXXXXXXXX XXXXXXXXXXXX XXX TE XXXX XX XXXXX XXX XXX XXXXXXXXX XXXXX XXX XX XXXXXXXX XXXX HET OPENBAAR XXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXX, XXXXXX XXXXXXX DOKUMENT, POSIADA XXXXXXŚĆ XX XXXXXXXX XXXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX XX XXXX PRAWA XXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX, X XXXXXX XXX XXXXXXXX XXXĘXXXX ZOSTAŁ XXXXXX/ (XX) A XXXXXX EM XXXXX XXXXXX X XXXXXXXXXX XX ESTABELECER XXX XXXXXXXX REGISTADA NOS XXXXXX XX XXXXXXX XXXXXXXX DO ESTADO-MEMBRO XX XXX O XXXXXXXXX XXXXXXX XXX XXXXXXX/ (RO) XXXXXXXX XXXXXĂ ARE XXXXXXXXXXX XX X ÎNCHEIA XX PARTENERIAT ÎXXXXXXXXXX ÎX CONFORMITATE XX XXXXXXX INTERN XX XXXXXXXX MEMBRU ÎX XXXX XXXX XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXX XX XXÔXXXXXX UZAVRIEŤ REGISTROVANÉ XXXXXXXXXXX XXXĽX VNÚTROŠTÁTNEHO XXXXX ČLENSKÉHO ŠTÁTU, X XXXXXX XX XXXXXXX XXXXXXX XXXXXX/ (XX) JE XXXXXXX XXXXX XXXXXXXX XX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX X XXXXXX X XXXXXXXXXXX PRAVOM DRŽAVE XXXXXXX, V XXXXXX XX XXXXXX XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXÖXXÄ XX XXXXXXXXXX XXXXXXXXÖXXÄ PARISUHDE SEN XÄXXXXXXXXXX XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, XXXXX YLEINEN XXXXXXXXX XX XXXXXXX/ (XX) XXX DEN XXXÖXXX XXXXXXXX BEHÖRIGHET XXX XXXÅ XXXXXXXXXXX XXXXXXXXXXX ENLIGT XXX XXXXXXXXXX XXXXXXXXXXXXXX X XXX XXXXXXXXXXX DÄR XXX XXXXXXXXXX XXXXXXXXXX XXXÄXXXXXX

5.2

(XX) НЯМА ДАННИ СЪОТВЕТНОТО ЛИЦЕ ДА Е ВСТЪПИЛО В РЕГИСТРИРАНО ПАРТНЬОРСТВО СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) XX XXXXXX EL XXXXXXXX DE XXXXXXX XXXXX DE HECHO X NOMBRE XXX XXXXXXXXXX CON XXXXXXX XX DERECHO XXXXXXXX XXX XXXXXX XXXXXXX XX XXXXXXXXXX DEL XXXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXX XXXXXX XXXXXXXXXX XXX XXXX XXXXXX XXXXXXXXXXXX XXXXXXXXXXX XXXXX XXXXXXXXXXXXXX XXXXX XXXXXXXXX STÁTU, V XXXX JE XXXXXXX XXXXXXX XXXXXX/ (XX) XXX PÅGÆLDENDE XXXXXX XXX XXXX XX XXXX NOGET XXXXXXXXXXX XXXXXXXXXXX XXXØXX XXXXX XXX NAVN X XXXXXXX TIL XXXXXXXX XXX X DEN XXXXXXXXXXX, XXXX DET XXXXXXXXXX XXXXXXXX ER XXXXXXX/ (XX) XXXXXXX XXXX XXXXXXX, DASS XXX XXXXXXXXXXX XXXXXX XXXXX XXXXX XXXXX XXXX XXXXXXXXXXXX PARTNERSCHAFT XXXX DEM XXXXXXXXXX XXXXX XXX XXXXXXXXXXXXXX, XX XXX DIE ÖXXXXXXXXXX URKUNDE XXXXXXXXXXX XXXXX, EINGEGANGEN XXX/ (XX) XX XXX XXXXXXXXX ISIKU XXXXX ÜXXXXX XXXXXXX DOKUMENDI XÄXXX ANDNUD LIIKMESRIIGI ÕXXXXX XXXXXX XXXXXXXXXXXXXX XXXXXXX XXXXXXXX/ (XX) ΔΕΝ ΦΑΙΝΕΤΑΙ ΝΑ ΥΠΑΡΧΕΙ ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΧΕΣΗ ΣΥΜΒΙΩΣΗΣ ΣΤΟ ΟΝΟΜΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ/ (XX) XXX XXXXXX XXXXXXXXX XXXXXXX XX XXXX NO XXXXXXXXXX XXXXXXXXXXX XX XXX XX XXX XXXX UNDER THE XXXXXXXX XXX XX XXX XXXXXX XXXXX XXXXX THE PUBLIC XXXXXXXX IS XXXXXX/ (XX) XX PERSONNE XXXXXXXXX NE XXXXXX XXX AVOIR XXXXXX XX XXXXXXXXXXX ENREGISTRÉ XX XXX XXX XX XXXXX XX XXXXX NATIONAL XX X'XXXX XXXXXX XÙ XX XXXXXXXX PUBLIC XXX XXXXXXX/ (GA) XX DHEALRAÍONN XX XX BHFUIL XX XXXXX XXXX xXXXXXXXX XXXXXXXXX X xXXXXXXXXXXXXXX XXXXXXXXXX FAOI DHLÍ XXXXXXXXX XX XXXXXXXXXX XXX xXXXXXXX XX XXXXXXXXX POIBLÍ X XXXXXXXX/ (XX) NIJE XXXXXXX XX XX XXXXXXX XXXXX POD XXXXXX IMENOM XXXXXXXX XXXXXXXXXXXX XXXXXXXXXXX XXXXX XXXXXXXXXXX XXXXX XXXXXX XXXXXXX X XXXXX XX JAVNA ISPRAVA XXXXXX/ (XX) A XXXX DELLA PERSONA XXXXXXXXXXX NON XXXXXXX XXXXXXXXX ALCUNA UNIONE XXXXXXXXXX X NORMA XXX XXXXXXX NAZIONALE XXXXX STATO XXXXXX XXX RILASCIA IL XXXXXXXXX XXXXXXXX/ (XX) XX XXXXXXĪXĀX XXXXXXXX XĀXXX XXX XXXXĒXXXX XXĢXXXXĒXXX PARTNERATTIECĪBAS SASKAŅĀ XX TĀS XXXĪXXXXXXX XXXXĪXX AKTIEM, XXXĀ XXXXXXXXXX DOKUMENTS IR XXXXXX/ (XX) XXXXXXXXXXX XXXXX SAVO XXXXX XĖXX XXXXXĘX XXXXXXXXXXXX XXXXXXXXXXĖX XXXXX XXXXXXXĖX XXXĖX, XXXXXXX VIEŠASIS XXXXXXXXXX IŠDUODAMAS, NACIONALINĘ XXXXĘ/ (XX) AZ XXXXXXXX XXXXXXXXXX X XÖXXXXXXX KIÁLLÍTÁSÁNAK XXXXX XXXXXXXX TAGÁLLAM XXXXXXX XXXX SZERINT XXXXXXXXXXXXXXXX XXXXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXX/ (MT) XX-XXXXXXX XXXXĊXXXXXX XXXXXX LI XX XĦXXXXXXX SĦUBIJA XXĠXXXXXXX X'XXXXXX TAĦT XX-XXĠX NAZZJONALI XXX-XXXXX XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (XX) XXXXX DE XXXXXXXXXX XXXX XXXXXXXXXXXXX PARTNERSCHAP XX XXXX XX XXXX NAAM XX XXXXX XXX XXX XXXXXXXXX RECHT VAN XX XXXXXXXX XXXX XXX XXXXXXXX DOCUMENT XXXXX XXXXXXXXX/ (XX) XXXXX, XXXXXX DOTYCZY XXXXXXXX, XXX XXXXXXXXX X XXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXX NA MOCY XXXXX KRAJOWEGO PAŃSTWA XXŁXXXXXXXXXXX, X XXXXXX XXX XXXXXXXX URZĘDOWY XXXXXŁ WYDANY/ (XX) XÃX SE AFIGURA XXXXXXX XXXXXXXX XXXXXXXXX XX XXXX XX XXXXXX XX CAUSA XXX XXXXXX XX XXXXXXX NACIONAL XX XXXXXX-XXXXXX XX QUE X XXXXXXXXX XXXXXXX XXX XXXXXXX/ (RO) XX XX CUNOAȘTE XXXXXX XXXXXXXXXXX ÎXXXXXXXXXX ÎXXXXXXX PE XXXXXX XXXXXXXXX XXXXXX ÎX XXXXXXXXXXXX XX XXXXXXX XXXXXX XX XXXXXXXX XXXXXX ÎN XXXX XXXX XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXX XXXXXX NEUZAVRELA XXXXXXXXXXXX XXXXXXXXXXX XX XXXXXX XXXX XXXĽX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X KTOROM XX XXXXXXX XXXXXXX XXXXXX/ (XX) XX XXXXXXXXXXXXXX PODATKIH XXXXXXX XXXXX NI X XXXXXXXXXX XXXXXXXXX, XX XX JO REGISTRIRALA X SVOJEM XXXXX XX X SKLADU X XXXXXXXXXXX XXXXXX XXXXXX ČLANICE, V XXXXXX XX XXXXXX XXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXXX XX OLE XXXXXXXX XXXXXXXXÖXXXÄ XXXXXXXXXXXX SEN XÄXXXXXXXXXX KANSALLISEN LAINSÄÄDÄNNÖN XXXXXX, XXXXX XXXXXXX XXXXXXXXX XX ANNETTU/ (XX) XÖXXXXXXXX XXX XXXÖXXX PERSONEN XXXX XX INGÅTT XXXXXXXXXXX XXXXXXXXXXX XXXXXX DEN XXXXXXXXXX XXXXXXXXXXXXXX X XXX MEDLEMSSTAT DÄR XXX XXXXXXXXXX XXXXXXXXXX XXXÄXXXXXX

5.3

(XX) НЕ СА ИЗВЕСТНИ ПРЕЧКИ СЪОТВЕТНОТО ЛИЦЕ ДА ВСТЪПИ В РЕГИСТРИРАНО ПАРТНЬОРСТВО СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) NO HAY XXXXXXXXXX DE XXXXXX XXXXXXXXXXX PARA XXX XX XXXXXXXXXX REGISTRE XXX UNIÓN XX XXXXX CON XXXXXXX XX XXXXXXX XXXXXXXX XXX XXXXXX XXXXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXX XXXXXXXX, ABY XXXXXXX XXXXX XXXXXXXX XXXXXXXXXXXX XXXXXXXXXXX XXXXX VNITROSTÁTNÍHO XXXXX XXXXXXXXX XXXXX, X XXXX XX XXXXXXX LISTINA VYDÁNA/ (XX) XXX FORELIGGER XXXXX XXXXXX XXXXXXXXXX XXX, XX DEN XÅXÆXXXXXX PERSON XXX XXXXÅ XXXXXXXXXXX XXXXXXXXXXX X XXXXXXX XXX XXXXXXXX RET X XXX XXXXXXXXXXX, XXXX XXX XXXXXXXXXX XXXXXXXX XX UDSTEDT/ (XX) XXX KEIN HINDERNIS XXXXXXX, DAS XXX XXXXXXXX XXXXX XXXXXXXXXXXXX XXXXXXXXXXXXX XXXXX XXX XXXXXXXXXXX XXXXXX XXXX XXX NATIONALEN RECHT XXX XXXXXXXXXXXXXX, XX XXX DIE ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, XXXXXXXXXXXXX/ (XX) XX XXX XXXXX XXXXXXX XXXXXXXXX XÄXXX XXXXXX XXXXXXXXXXXX ÕXXXXX XXXXXXXX XXXXXXXXXX, XXX XXXXXXXXXXX XXXXXXXXXX XXXXXX REGISTREERITUD XXXXXXXX ASTUDA/ (EL) ΔΕΝ ΕΙΝΑΙ ΓΝΩΣΤΟ ΚΑΝΕΝΑ ΚΩΛΥΜΑ ΓΙΑ ΤΗ ΣΥΝΑΨΗ ΚΑΤΑΧΩΡΙΣΜΕΝΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ ΑΠΟ ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΌΣΙΟ ΕΓΓΡΑΦΟ/ (XX) THERE XX XX XXXXX XXXXXXXXXX XXX XXX XXXXXX XXXXXXXXX XX XXXXX INTO A XXXXXXXXXX PARTNERSHIP XXXXX XXX NATIONAL XXX XX XXX XXXXXX XXXXX XXXXX XXX XXXXXX XXXXXXXX IS XXXXXX/ (XX) XX X'XXXXXX XXX X'XXXÊXXXXXXX XXXXX À LA XXXXXXXXXX XXX XX XXXXXXXX XXXXXXXXX D'UN XXXXXXXXXXX XXXXXXXXXX EN XXXXX XX DROIT XXXXXXXX XX X'XXXX XXXXXX OÙ LE XXXXXXXX PUBLIC XXX XXXXXXX/ (GA) XXX XXX XXXX AITHEANTA XXX XX XX XXXXX XXXX xXXXXXXXX XX DUL X xXXX XXXXXXXXXXXXXX CHLÁRAITHE XXXX XXXX NÁISIÚNTA XX XXXXXXXXXX INA xXXXXXXX XX XXXXXXXXX XXXXXX A XXXXXXXX/ (XX) XXXX POZNATE XXXXXXX XXXX XXXX XXXXXXX XXXXX XX XX MOGLA SKLOPITI XXXXXXXXXXXX XXXXXXXXXXX XXXXX XXXXX XXXXXX XXXXXXX X KOJOJ XX XXXXX ISPRAVA IZDANA/ (XX) XXX SONO XXXX XXXXXXXXXXX XXXX XXXXXXXXXXXXXX DI XX'XXXXXX XXXXXXXXXX XXXXX PERSONA XXXXXXXXXXX A XXXXX XXX DIRITTO NAZIONALE XXXXX XXXXX XXXXXX XXX XXXXXXXX IL XXXXXXXXX XXXXXXXX/ (XX) XXX XXXĀXX XXXĀXX XĶĒXXĻX ATTIECĪGAJAI XXXXXXXX

XXĀXXXX XXĢXXXXĒXĀX PARTNERATTIECĪBĀS XXXXXŅĀ XX TĀS XXXĪXXXXXXX XXXXĪXX AKTIEM, XXXĀ XXXXXXXXXX XXXXXXXXX XX XXXXXX/ (LT) NĖRA XXXXXŲ XXXŪXXŲ XXXXXXXXXXX XXXXXXXX SUDARYTI XXXXXXXXXXĄ XXXXXXXXXXĘ XXXXX XXXXXXXĖX XXXĖX, XXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (HU) XXXXX X XÖXXXXXXX XXXXXXXXXXXXX XXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXX XXXXXXXX, XXXXXX AKADÁLYA XXXXX, XXXX XX XXXXXXXX XXXXXXX BEJEGYZETT XXXXXXXXX XXXXXXXXXXX LÉTESÍTSEN/ (MT) XX HEMM L-EBDA XXXXXXXXXX XXXĦXXX XĦXXX-XXXXXXX XXXXĊXXXXXX BIEX XXXĦXX XX XĦXXXXX REĠISTRATA XXĦX XX-XXĠX XXXXXXXXXX XXX-XXXXX XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (XX) IS XX XXXX XXXXXXXXXXX XXXX XX BETROKKEN XXXXXXX XX XXX GEREGISTREERD XXXXXXXXXXXX XXX XX XXXX XX XXXXX XXX XXX NATIONALE XXXXX XXX XX XXXXXXXX XXXX HET XXXXXXXX XXXXXXXX WORDT XXXXXXXXX/ (PL) XXX XXXXXXXĄ XXXXX XXXXXXXXXX XXX ZAWARCIA PRZEZ XXXXĘ, XXXXXX XXXXXXX XXXXXXXX, XXXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX NA XXXX XXXXX XXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX, X KTÓRYM XXX XXXXXXXX XXXĘXXXX XXXXXŁ WYDANY/ (XX) XÃX EXISTE IMPEDIMENTO XXXXXXXXX X XXX X XXXXXX EM XXXXX XXXXXXXXÇX XXX XXXXXXXX XXXXXXXXX XXX XXXXXX XX XXXXXXX XXXXXXXX DO XXXXXX-XXXXXX XX XXX X XXXXXXXXX XXXXXXX FOI XXXXXXX/ (XX) NU XX XXXXXX XXXXXXXXXXX XX ÎXXXXXXXXX PARTENERIATULUI ÎXXXXXXXXXX ÎX XXXXXXXXXXXX XX XXXXXXX XXXXXX XX STATULUI XXXXXX ÎX XXXX XXXX XXXX XXXXXXXXXX XXXXXXX/ (XX) XXX XX XXXXX XXXXXXXX XXX XXXXXXXX OSOBU XXXXXXXX XXXXXXXXXXXX XXXXXXXXXXX XXXĽX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXXXX XX VEREJNÁ XXXXXXX XXXXXX/ (SL) XX XXXXXXXXXXXX XXXXXXXX, DA XXXXXXX XXXXX XX XX MOGLA XXXXXXXXXXXX XXXXXXXXXX SKUPNOSTI X XXXXXX X XXXXXXXXXXX XXXXXX XXXXXX ČLANICE, X KATERI JE XXXXXX JAVNA XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXXXXÖXXXXXX XXXXXXXXXXXXX XX XXXXXXÄ XXXXXX ESTEITÄ XXX JÄSENVALTION XXXXXXXXXXX XXXXXÄÄXÄXXÖX MUKAAN, JOSSA XXXXXXX ASIAKIRJA XX XXXXXXX/ (XX) XXXXX XXX INGA XÄXXX XXXXXX XÖX XXX XXXÖXXX XXXXXXXX ATT XXXÅ XXXXXXXXXXX XXXXXXXXXXX XXXXXX DEN XXXXXXXXXX XXXXXXXXXXXXXX I XXX XXXXXXXXXXX XÄX XXX XXXXXXXXXX HANDLINGEN 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 EL XXXXXXXX XX XXX XXXXX DE XXXXX XXXXX XX INTERESADO X XX XXXXXX XXXXXX DE XXXXX XXXXXXXXXX XXX ARREGLO XX XXXXXXX XXXXXXXX XXX XXXXXX XXXXXXX XX EXPEDICIÓN DEL XXXXXXXXX XXXXXXX/ (CZ) XXXXXXXXXX ŽÁDNÁ XXXXX XXXXXXXX REGISTROVANÉHO PARTNERSTVÍ XXXX XXXXXXXX XXXXXX X JEJÍM XXXXXXXX XXXXXXXXX / XXXX XXXXXXX PARTNERKOU PODLE XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXX XX XXXXXXX XXXXXXX XXXXXX/ (XX) XXX XXXXXXXXXX INGEN XXXXXX XXXXXXXXXX XXX XX XXXXXXXXXXX XXXXXXXXXXX MELLEM XXX XÅXÆXXXXXX XXXXXX XX XXXXXX KOMMENDE XXXXXXX X XXXXXXX XXX NATIONAL RET X XXX XXXXXXXXXXX, XXXX XXX XXXXXXXXXX XXXXXXXX ER UDSTEDT/ (XX) XXX XXXX XXXXXXXXX BEKANNT, XXX XXXXX XXXXXXXXXXXXX XXXXXXXXXXXXX XXXXXXXX XXX BETREFFENDEN XXXXXX XXX XXXXX XÜXXXXXXX XXXXXXX XXXX XXX XXXXXXXXXX XXXXX XXX XXXXXXXXXXXXXX, IN XXX XXX ÖFFENTLICHE XXXXXXX AUSGESTELLT WURDE, XXXXXXXXXXXXX/ (XX) XX XXX TEADA AVALIKU XXXXXXXXX XÄXXX XXXXXX XXXXXXXXXXXX ÕIGUSE KOHASEID XXXXXXXXXX, MIS XXXXXXXXXXX XXXXXXXXX ISIKU XX XXXX XXXXXXXX REGISTREERITUD XXXXXXXXXXX XXXXXXXX ASTUMIST/ (XX) ΔΕΝ ΕΙΝΑΙ ΓΝΩΣΤΟ ΚΑΝΕΝΑ ΚΩΛΥΜΑ ΓΙΑ ΤΗ ΣΥΝΑΨΗ ΚΑΤΑΧΩΡΙΣΜΕΝΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ ΜΕΤΑΞΥ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΚΑΙ ΤΟΥ ΜΕΛΛΟΝΤΟΣ Ή ΤΗΣ ΜΕΛΛΟΥΣΑΣ ΣΥΝΤΡΟΦΟΥ ΤΟΥ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΌΣΙΟ ΕΓΓΡΑΦΟ/ (EN) THERE XX NO KNOWN XXXXXXXXXX XX X XXXXXXXXXX XXXXXXXXXXX XXXXXXX XXX XXXXXX XXXXXXXXX XXX XXX XX XXX INTENDED XXXXXXX XXXXX XXX XXXXXXXX XXX XX XXX XXXXXX STATE XXXXX XXX PUBLIC XXXXXXXX XX ISSUED/ (XX) XX X'XXXXXX PAS X'XXXÊXXXXXXX XXXXX À XX CONCLUSION X'XX XXXXXXXXXXX XXXXXXXXXX XXXXX XX XXXXXXXX XXXXXXXXX XX SON FUTUR XXXXXXXXXX EN XXXXX XX XXXXX NATIONAL XX L'ÉTAT MEMBRE XÙ XX XXXXXXXX XXXXXX XXX XXXXXXX/ (XX) NÍL XXX XXXX XXXXXXXXX XXX XX XXXXXXXXXXXXXXX CHLÁRAITHE XXXX AN XXXXX XXXX xXXXXXXXX AGUS X X(X)XXXXXXXX BEARTAITHE XXXX XXXX XXXXXXXXX XX BHALLSTÁIT INA xXXXXXXX AN XXXXXXXXX XXXXXX X EISIÚINT/ (XX) XXXX POZNATE XXXXXXX XXXX XXXX XXXXXXX XXXXX X XXXXXX XXXXĆX XXXXXXX XX XX MOGLI XXXXXXXX XXXXXXXXXXXX PARTNERSTVO XXXXX XXXXXXXXXXX XXXXX XXXXXX XXXXXXX U XXXXX XX XXXXX XXXXXXX XXXXXX/ (XX) XXX XXXX NOTI XXXXXXXXXXX XXXX XXXXXXXXXXXXXX XX UN'UNIONE REGISTRATA XXX XX XXXXXXX XXXXXXXXXXX X XX XXXXXX PARTNER X XXXXX XXX DIRITTO XXXXXXXXX XXXXX XXXXX XXXXXX XXX RILASCIA XX XXXXXXXXX XXXXXXXX/ (XX) XXX XXXĀXX XXXĀXX XĶĒXXĻX XXĢXXXXĒXX XXXXXXXXXXXXXĪXX XXXXĒXXXXXX XXXXX XXXXXXĪXX XXXXXXX XX XĀX XXXXXX PARTNERI XXXXXŅĀ XX TĀS XXXĪXXXXXXX XXXXĪXX AKTIEM, XXXĀ XXXXXXXXXX DOKUMENTS XX XXXXXX/ (XX) XĖXX ŽINOMŲ XXXŪXXŲ XXXXXXXXXX ASMENS XX XX BŪSIMO (-XX) XXXXXXXXX (-ĖS) XXXXXXXXXXXX XXXXXXXXXXXX PAGAL VALSTYBĖS XXXĖX, KURIOJE VIEŠASIS XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (XX) XXXXX X XÖXXXXXXX XXXXXXXXXXXXX XXXXX SZERINTI XXXXXXXX XXXXXXX XXXX XXXXXXXX, XXXXXX AKADÁLYA XXXXX, XXXX AZ ÉRINTETT XXXXXXX XX LEENDŐ XXXXXXXXX EGYMÁSSAL XXXXXXXXXX XXXXXXXXX KAPCSOLATOT XXXXXXXXXX/ (XX) MA HEMM X-XXXX XXXXXXXXXX XXXĦXXX XĦXX SĦUBIJA REĠISTRATA XXXX XX-XXXXXXX XXXXĊXXXXXX X S-SIEĦEB XXX XXXĦXX FUTUR XXXĦXX XXĦX XX-XXĠX XXXXXXXXXX XXX-XXXXX XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (XX) XX XX XXXX XXXXXXXXXXX XXXX XXX XXXXXXXXXXXXX XXXXXXXXXXXX XXXXXX XX XXXXXXXXXX XX XXXX XX XXXX BEOOGDE XXXXXXX XX XXXXX XXX XXX XXXXXXXXX XXXXX XXX XX LIDSTAAT XXXX XXX OPENBAAR XXXXXXXX WORDT XXXXXXXXX/ (XX) XXX XXXXXXXĄ XXXXX XXXXXXXXXX XXX XXXXXXXX XXXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX XXXXX XXXXĘ, XXXXXX XXXXXXX XXXX-XXXX, X XXXXĄ, Z XXXXĄ ZAMIERZA XXX XXXXXXĆ XXXX ZWIĄZEK, XX XXXX XXXXX XXXXXXXXX XXŃXXXX

XXŁXXXXXXXXXXX, W XXXXXX TEN XXXXXXXX XXXĘXXXX XXXXXŁ WYDANY/ (XX) XÃX EXISTE XXXXXÇÃX CONHECIDA X XXX X XXXXXX XX CAUSA XXXXXXXXÇX XXX X(X) XXXXXX(X) XXXXXXXX(X) XXX XXXXXXXX XXXXXXXXX NOS XXXXXX XX XXXXXXX NACIONAL XX XXXXXX-XXXXXX EM XXX O XXXXXXXXX XXXXXXX XXX XXXXXXX/ (XX) XX XX XXXXXȘXX NICIO OPOZIȚIE XX ÎXXXXXXXXX XXXX XXXXXXXXXXX ÎXXXXXXXXXX ÎXXXX XXXXXXXX XXXXXĂ ȘX XXXXXXXX XXXXXXXX (XXXXXXXXX XXXXXXXXĂ) ÎN CONFORMITATE XX XXXXXXX XXXXXX XX STATULUI XXXXXX ÎX XXXX XXXX XXXX XXXXXXXXXX OFICIAL/ (XX) XXX XX XXXXX XXXXXXXX VOČI XXXXXXXXXXXXXX XXXXXXXXXXX XXXXX XXXXXXXXX XXXXXX X XXX NASTÁVAJÚCIM PARTNEROM XXXĽX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, V XXXXXX XX XXXXXXX XXXXXXX XXXXXX/ (SL) XX UGOTOVLJENEGA XXXXXXXXXXXXX, XX ZADEVNA XXXXX XX XXXX XXXXXXXXXX XXXXXXX XX XX XXXXX XXXXXXXXXXXX PARTNERSKE XXXXXXXXX X XXXXXX X XXXXXXXXXXX XXXXXX XXXXXX XXXXXXX, V XXXXXX XX XXXXXX XXXXX LISTINA/ (XX) XXXXXXXXXXXX HENKILÖN XX XÄXXX TULEVAN XXXXXXXXXXX XÄXXXXÄ XXXXXXXXÖXXXÄ XXXXXXXXXXXX XX OLE XXXXXXXXXXX XXX JÄSENVALTION KANSALLISEN XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXX XXX XXXX XÄXXX XXXÄXXXXXXXX XXX INGÅENDE XX XXXXXXXXXXX PARTNERSKAP XXXXXX XXX XXXÖXXX XXXXXXXX OCH HANS XXXXX XXXXXX XXXXXXXX XXXXXXX ENLIGT XXX XXXXXXXXXX LAGSTIFTNINGEN X XXX XXXXXXXXXXX XÄX XXX XXXXXXXXXX HANDLINGEN XXXÄXXXXXX

6.

(XX) ИНФОРМАЦИЯ ЗА БЪДЕЩИЯ ПАРТНЬОР НА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX XX XXXXXX PAREJA XX XXXXX REGISTRADA DEL XXXXXXXXXX/ (XX) INFORMACE X XXXXXXXX PARTNEROVI / BUDOUCÍ XXXXXXXXX XXXXXXX XXXXX/ (DA) XXXXXXXXXXX OM XXX XÅXÆXXXXXX XXXXXXX KOMMENDE XXXXXXX/ (XX) XXXXXXX XX XXX KÜNFTIGEN XXXXXXX XXX BETREFFENDEN XXXXXX/ (XX) TEAVE XXXXX KOHTA, XXXXXXX XXXXXXXXX ISIK SOOVIB XXXXXXXXXXXXXX XXXXXXXX XXXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΜΕΛΛΟΝΤΟΣ Ή ΤΗΣ ΜΕΛΛΟΥΣΑΣ ΣΥΝΤΡΟΦΟΥ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX INTENDED PARTNER XX XXX PERSON XXXXXXXXX/ (FR) XXXXXXXXXXXX XXX XX XXXXX XXXXXXXXXX XX XX XXXXXXXX CONCERNÉE/ (XX) XXXXXXXX XXXXXX LE XXXXXXXXX BEARTAITHE XX XXXXX XXXX mBAINEANN/ (XX) XXXXXXXXXXX X XXXXĆXX XXXXXXXX XXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXX XXXXXX XXXXXXX XXXXX PERSONA XXXXXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXĪXĀX PERSONAS TOPOŠO XXXXXXXX/ (XX) XXXXXXXXXXX XXXX ATITINKAMO ASMENS XŪXXXĄ PARTNERĮ (-Ę)/ (XX) AZ XXXXXXXX XXXXXXX XXXXXŐ ÉLETTÁRSÁRA XXXXXXXXX XXXXXX/ (MT) XXXXXXXXXXXXX XXXX XX-XXXĦXX XXX XXXĦXX XXXXX XXX-XXXXXXX XXXXĊXXXXXX/ (XX) XXXXXXXXXX XXXX XX XXXXXXX XXXXXXX XXX XX XXXXXXXXXX/ (XX) XXXX XXXXX, X XXXXĄ XXXXX, XXXXXX XXXXXXX XXXXXXXX, ZAMIERZA XXXXXXĆ XXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXX/ (XX) XXXXXXXÇÕXX XXXXX O(A) XXXXXX(X) XXXXXXXX(X)XX PESSOA EM XXXXX/ (RO) XXXXXXXȚXX XXXXXXX XXXXXXXX PARTENER (XXXXXXXXX XXXXXXXXĂ) AL (X) XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXX X XXXXXXXXXXXX PARTNEROVI XXXXXXXXX XXXXX/ (SL) INFORMACIJE X XXXXXXXXXXX XXXXXXXXX XXXXXXX XXXXX/ (XX) XXXXXX ASIANOMAISEN HENKILÖN XXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXX XX XXX XXXÖXXX XXXXXXXXX XXXXXXXX XXXXXXX

7.

(XX) ПОЛЕ ЗА ПОДПИС/ (ES) XXXXXXXX XXXX LA XXXXX/ (XX) XXXX PRO XXXXXX/ (DA) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (EL) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) CADRE XXXX LA XXXXXXXXX/ (XX) XXXXX XXX XXXXX/ (HR) XXXXX XX XXXXXX/ (XX) XXXXXXXX XXX XX XXXXX/ (XX) XXXXXXXX XXXXX/ (LT) XXXXXX XXXXXXXX/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (MT) XXXXX TAL-IFFIRMAR/ (XX) XXX XXXX DE XXXXXXXXXXXX/ (PL) XXXX XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À ASSINATURA/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX XXXXXX/ (XX) POLJE XX XXXXXX/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (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 XXXX XXXXXXX/ (XX) XXXXXXXX X XXXXX (XXXXX) XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXXXX(X) XX FORNAVN(E) XÅ DEN XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (DE) XXXXXXXXXXXX(X) XXX XXXXXXX(X) XXX XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXX (-NIMED) JA XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) SURNAME(S) XXX FORENAME(S) XX XXX XXXXXXXX WHO XXXXXX XXXX FORM/ (XX) XXX(X) XX XXXXXX(X) DU XXXXXXXXXXXXX XXX A XXXXXXX XX PRÉSENT XXXXXXXXXX/ (XX) SLOINNE (XXXXXXXX) XXXX XXXXXXXX (CÉADAINMNEACHA) XX OIFIGIGH X X’XXXXXX XX FHOIRM XXX/ (XX) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX XXXX JE XXXXX XXXX XXXXXXX/ (XX) XXXXXXX/X X NOME/I XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX IZDEVUSI XX VEIDLAPU, XXXĀXXX(-X) XX VĀRDS(-I)/ (LT) XXĄ XXXXĄ IŠDAVUSIO XXXXXXŪXX XXXXXXĖ (-ĖS) XX XXXXXX (-XX)/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX TISZTVISELŐ XXXXXXX XXXX(X) XX XXXXXXX(X)/ (XX) KUNJOM(/KUNJOMIJIET) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦXXXĠ XXX IL-FORMOLA/ (XX) XX(X)X(XX) EN XXXXXX(X)X(XX) VAN XX XXXXXXXXX XXX DIT XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) X XXXĘ (IMIONA) XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (PT) XXXXXXX(X) X XXXX(X) XXXXXXX(X) XX FUNCIONÁRIO XXX XXXXXX O XXXXXXXX XXXXXXXXXX/ (RO) XXXXXX ȘX PRENUMELE XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX FORMULAR/ (SK) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX IME/IMENA XXXXXXXX, KI XX XXXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXXXXX (-XXXXX) JA ETUNIMI (-XXXXX)/ (SV) XXXXXXXXX XXX XÖXXXXX XÅ XXX XXÄXXXXXXX SOM XXX XXXÄXXXX XXXXX XXXXXXÄX

7.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX DEL XXXXXXXXXXX XXX XXXXXXX ESTE XXXXXXX/ (CZ) FUNKCE XXXXXXXX, XXXXX XXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXX — DEN XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) STELLUNG DES XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX AMETNIKU AMETIKOHT/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX XX XXX XXXXXXXX XXX XXXXXX THIS XXXX/ (XX) POSTE XX XXXXXXXXXXXXX XXX X XXXXXXX LE XXXXXXX XXXXXXXXXX/ (XX) XXXX XX OIFIGIGH X X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXXX XXXXXXXXXX XXXX XX XXXXX XXXX OBRAZAC/ (XX) XXXXXXXXX DEL XXXXXXXXXXX XXX XX XXXXXXXXXX IL PRESENTE XXXXXX/ (LV) AMATPERSONAS, XXXX IZDEVUSI XX XXXXXXXX, AMATS/ (XX) XXĄ XXXXĄ IŠDAVUSIO XXXXXXŪXX XXXXXXXX/ (HU) X FORMANYOMTATVÁNYT KIÁLLÍTÓ XXXXXXXXXXŐ BEOSZTÁSA/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ DIN XX-XXXXXXX/ (XX) XXXXXXX XXX XX XXXXXXXXX XXX XXX FORMULIER XXXXX XXXXXXXXX/ (XX) STANOWISKO XXXĘXXXXX, KTÓRY XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX DO XXXXXXXXXXX XXX EMITIU X XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX FUNCȚIONARULUI XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) FUNKCIA XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XX XX IZDAL XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

7.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) FECHA (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) IZDAVANJA/ (XX) XXXX DI XXXXXXXX (XX/XX/XXXX)/ (XX) IZDOŠANAS XXXXXX (DD/MM/GGGG)/ (XX) XXXXXXXX DATA (DD/MM/MMMM)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (DD/MM/JJJJ) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX DE XXXXXÃX (DD/MM/AAAA)/ (XX) XXXX (XX/XX/XXXX) EMITERII/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (SL) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (DD/MM/ÅÅÅÅ) FÖR XXXÄXXXXXX

7.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (XX) UNDERSKRIFT/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (EN) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXX/ (HR) XXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) ALÁÍRÁS/ (XX) FIRMA/ (NL) XXXXXXXXXXXX/ (XX) PODPIS/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (SK) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

7.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX O XXXXXX/ (CZ) XXXXX XXXX XXXXXXX/ (XX) XXXX XXXXX XXXXXXX/ (XX) SIEGEL ODER XXXXXXX/ (XX) PITSER XÕX XXXXXX/ (EL) ΣΦΡΑΓΙΔΑ/ (EN) XXXX XX XXXXX/ (FR) XXXXX XX XXXXXX/ (XX) SÉALA NÓ XXXXXX/ (XX) XXX XXX XXXXX/ (IT) XXXXX O XXXXXX/ (XX) XĪXXXX XXX XXXXXXXX/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (XX) XXXXXX VAGY BÉLYEGZŐLENYOMAT/ (XX) SIĠILL XXX XXXXXX/ (NL) XXXXX XX XXXXXXX/ (XX) XXXXXĘĆ XXX XXXXXXX/ (XX) SELO XX XXXXXXX/ (RO) XXXXXXXX XXX ȘXXXXXXX/ (SK) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (SL) XXXXX XXX XXX/ (XX) XXXXXXX TAI LEIMA/ (XX) SIGILL ELLER XXÄXXXX

XXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX

XXXXXXXXXXX XXXXXXXXXX FORMULÁŘ – XXXXXXX XXX XXXXXXX

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

(2) Xxx xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

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

(4) Xxxxx „název“ xx xxxxx xxxxxxxx xxxx xxxxxx xxxxx xxxxxx xxxxxxxxxxxx xxxxxxxx xxxxxxx, x xxx xx přiložen xxxxx 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 Opis xxxxxxxxxx xxxxxxx

3.1.5 Xxxx (upřesněte)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, xxxxxx xxxx xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx osobou

3.5 Xxxxxxx xxxxxxxxxx xxxxxxxxxxxxx zástupcem xxxx konzulárním xxxxxxxxx xxxxxxxxx xxxxx x xxxxx xxxxxx jeho xxxxxxxxxx povinností

3.6 Datum (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXX O XXXXXXX XXXXX

4.1 Xxxxx/x příjmení

4.2 Xxxxxxxx/x příjmení

4.3 Xxxxxxxx xxxx xxxxxxxxx registrovaného xxxxxxxxxxx

4.4 Xxxxxxxx po xxxxxxxx xxxxxxxxxxxxxx xxxxxxxxxxx

4.5 Xxxxx (xxxxx)

4.6 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.7 Místo (1) x xxxx (2) xxxxxxxx

4.8 Xxxxxxx:

4.8.1 Xxxx

4.8.2 Muž

4.8.3 Xxxxxxxx

4.9 Xxxxxx xxxxxxxxxxx

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

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

5.2 Není x xxxxxxxxxxxxx xxxxxxxxxxx

5.2.1 Nikdy xxxxxx v xxxxxxxxxxxxx xxxxxxxxxxx

5.2.2 Registrované xxxxxxxxxxx xxxx xxxxxxx / Xxxxx (dd/mm/yyyy) xxxxxxx xxxxxxxxxxx

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

5.3 Xxxxxxxx

6. POLE PRO XXXXXX

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

6.2 Xxxxxx xxxxxxxx, xxxxx xxxxx xxxxx xxxxxxxx

6.3 Datum (dd/mm/rrrr) xxxxxx

6.4 Xxxxxx

6.5 Xxxxx xxxx razítko

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

(2) Název xxxx x – pokud xxxxxxxx – kód XXX xxxx země xxxx možnost „Jiné (xxxxxxxxx)“ je xxxxx xxxxxx z xxxxxxxxxxx xxxxxxx xx vzorovém xxxxxxxxxxxx xxxxxxxxxxx xxxxxxxxx, xxxxx xx x xxxxxxxxx xx portálu xxxxxxxx e-justice.

VÍCEJAZYČNÝ XXXXXX XXXXX STANDARDNÍCH XXXXXXX

(XXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX QUE XXXXXX ESTE XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX FORMULÁŘ/ (XX) XXXXX XXXXXXXXX UDSTEDENDE XXXXXXXXX/ (XX) XXXÖXXX, XXX XXXXXX FORMULAR XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (EN) XXXXXXXXX XXXXXXX XXXX XXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX A EISEOIDH XX XXXXXX XXX/ (XX) XXXXXX KOJE XXXXXX XXXX OBRAZAC/ (XX) XXXXXXXÀ CHE XXXXXXXX IL XXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (HU) A XXXXXXXXXXXXXXXXX XXXXXXXX HATÓSÁG/ (XX) XXXXXXXÀ EMITTENTI XX' XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX VAN XXX XXXXXXXXX/ (XX) ORGAN XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXX XXXXX O XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ A XXXXXXXXXXX XXXXXXXX/ (SK) ORGÁN XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX, KI XXXX TA OBRAZEC/ (XX) XÄXÄX XXXXXXXXX XXXXXX VIRANOMAINEN/ (XX) XXXXXXXXX XXX UTFÄRDAR XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (ES) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) NIMETUS/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (FR) DÉNOMINATION/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) MEGNEVEZÉS/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) NAZWA/ (PT) XXXXXXXÇÃX/ (RO) XXXXXXXX/ (XX) XXXXX/ (XX) XXX/ (XX) NIMI/ (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 ESTE XXXXXXX/ (CZ) XXXXX XXXXXXXXXX VEŘEJNOU LISTINU, X NÍŽ JE XXXXXXXX TENTO XXXXXXXX/ (XX) XXX XXXXXXXXX, XXX HAR UDSTEDT XXX XXXXXXXXXX XXXXXXXX, XXX DENNE XXXXXXXX XX XXXXÆXXXX/ (XX) XXXÖXXX, XXX XXX ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX, XXXXXXXXX/ (ET) XXXXXX, XXX XXXXX XÄXXX XXXXXXX DOKUMENDI, XXXXXXX SEE XXXX XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XXXXXXX XXX PUBLIC XXXXXXXX XX XXXXX THIS XXXX IS XXXXXXXX/ (XX) AUTORITÉ XX XXXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX LE XXXXXXX XXXXXXXXXX/ (XX) AN xXXXXXX A EISEOIDH XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXX XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (IT) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXXX PUBBLICO XXX IL PRESENTE XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX XX PIEVIENOTA, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ DOKUMENTĄ, XXXX KURIO XXXXXXXXX XX XXXXX, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ EMITTENTI XXX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX AFGIFTE XXX XXX XXXXXXXX XXXXXXXX XXXXXXX DIT XXXXXXXXX IS GEHECHT/ (XX) XXXXX XXXXXĄXX XXXXXXXX XXXĘXXXX, DO XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXXXX XXX XXXXX X DOCUMENTO XXXXXXX X QUE X XXXXXXXX FORMULÁRIO XXXX XXXXXX/ (RO) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXXX XXXXXXX LA XXXX XXXX XXXXXX PREZENTUL XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXX LISTINU, XX KTOREJ XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX XXXX XXXXX LISTINO, XX XX JE XXXXXXXX TA XXXXXXX/ (XX) VIRANOMAINEN, XXXX XX ANTANUT XXXXXXX XXXXXXXXXX, XXXXX TÄMÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXX XXXXXXXXXX XXXXXXXX XXXX VILKEN XXXXX XXXXXXÄX ÄR XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX XXXXXXXX AL XXXXXXXXX XXXXXXX XX QUE XX XXXXXXX XXXX XXXXXXX/ (CZ) INFORMACE XXXXXXXX XX VEŘEJNÉ XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (DA) XXXXXXXXXXX XXXXØXXXXX DET XXXXXXXXXX XXXXXXXX, SOM XXXXX XXXXXXXX XX VEDHÆFTET/ (XX) XXXXXXX ZUR ÖXXXXXXXXXXX URKUNDE, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX XXXXXXX DOKUMENDI XXXXX, XXXXXXX SEE XXXX XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXX XXXXXX XXXXXXXX TO XXXXX XXXX FORM XX XXXXXXXX/ (FR) XXXXXXXXXXXX XXXXXXXXX AU XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XXXXXXXX X XXXXXXXXX XXXX XX XXXXXXXXX XXXXXX LENA XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXX XX ODNOSE XX XXXXX ISPRAVU XXXXX JE OVAJ XXXXXXX PRILOŽEN/ (XX) XXXXXXXXXXXX XXXXXXXX AL XXXXXXXXX XXXXXXXX XXX XX PRESENTE MODULO È XXXXXXXX/ (LV) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX XX PIEVIENOTA/ (XX) XXXXXXXXXXX, XXXXXXXX XX VIEŠUOJU XXXXXXXXX, XXXX XXXXX PRIDEDAMA XX XXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX VONATKOZÓ XXXXXXXXXXX/ (XX) INFORMAZZJONI XXXX XX-XXXXXXXX XXXXXXXX LI XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX HET XXXXXXXX XXXXXXXX WAARAAN XXX XXXXXXXXX XX XXXXXXX/ (PL) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX KTÓREGO XXXXXXXXX XXXXXXXXX JEST XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX DOCUMENTO PÚBLICO X QUE X XXXXXXXX FORMULÁRIO XXXX XXXXXX/ (RO) INFORMAȚII XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX CARE XXXX ANEXAT PREZENTUL XXXXXXXX/ (XX) INFORMÁCIE X XXXXXXXX LISTINE, XX XXXXXX JE XXXXX XXXXXXXX PRIPOJENÝ/ (XX) INFORMACIJE V XXXXX X XXXXX XXXXXXX, KI XX XX PRILOŽEN TA XXXXXXX/ (FI) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX LIITETÄÄN/ (XX) XXXXXXXXXXX XX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (ES) XXXXXXXXX XXXXXXXX XXX XXX XXXXXXXXX X UN XXXXXXXXXXX VINCULADO A XXX XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (XX) LISTINA XXXXXX XXXXXXX XXXX XXXXXXXXX X XXXXXX XX XXXXX XXXXXX XXXXXXXXX STÁTU/ (XX) XXXXXXXX, DER ER XXXXXXX XX EN XXXXXXXXX XXXXX XX XXXXXXXXXX, DER ER XXXXXXXXXX XXXXXXXX X XX XXXXXXXXXXX/ (XX) XXXXXXX XXXXX BEHÖRDE XXXX XXXXX XXXXXXXXXX XXX XXXXX DER XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXXXX XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (EN) DOCUMENT XXXXXXXXX FROM AN XXXXXXXXX OR XX XXXXXXXX XXXXXXXXX WITH XXX COURTS XX XXXXXXXXX OF A XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXX D'UNE XXXXXXXX OU X'XX XXXXXXXXXXXXX XXXXXXXX D'UNE XXXXXXXXXXX D'UN ÉTAT XXXXXX/ (GA) XXXXXXXXX X XXXXXXX X XXXXXX XX Ó XXXXXXXXX X XXXXXX XXXXX XXXX XX XXXX LE CÚIRTEANNA XX XX XXXXX XX XXXXX BALLSTÁIT/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXX XXX XXXXXXXXX SUDA XXXXXX XXXXXXX/ (XX) XXXXXXXXX EMANATO XX XX'XXXXXXXÀ O XX XX XXXXXXXXXXX APPARTENENTE XX XXX DELLE XXXXXXXXXXXXX XX XXX XXXXX XXXXXX/ (XX) XXXXXXXXX, KURU IZSNIEGUSI XX XXXĪXXXXXXX XXXXĀX XXXXXĪXX IESTĀDE VAI XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX VALDŽIOS XXXXXXXXXXXX XX PAREIGŪNO, XXXXXXXXŲ XX XXXXXXXĖX NARĖS XXXXXXXX XX TRIBUNOLAIS/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX ÁLLÓ HATÓSÁG XXXX XXXXXXXXXXŐ ÁLTAL XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX MAĦRUĠ MINN XXXXXXXÀ JEW XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX XXX XX-XXXXXXXXX XX' STAT XXXXXX/ (XX) DOCUMENT XXXXXXXXX XXXX XXX AUTORITEIT XX XXXXXXXXX BEHORENDE XXX EEN RECHTERLIJKE XXXXXXXXX XXX EEN XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX OD XXXXXX XĄXXXXXX LUB URZĘDNIKA XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX XX XXX AUTORIDADE XX XX XX XXXXXXXXXXX XXXXXXXXXX XX XXXXXXXX XXXXXXXÇÃX XX XX ESTADO-MEMBRO/ (RO) XXXXXXXX XXXX DE X XXXXXXXXXX XXX XX XX XXXXȚXXXXX XX PE XÂXXĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (SK) XXXXXXX XXXXXX XXXXXXX XXXXX XXXXXXXXX X XÄXXXX XX XXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX, XXXXXX X STRANI XXXXXX XXX XXXXXXXX XXXXX XXXXXXX XXXXXX XXXXXXX/ (FI) XXXXXXXXX, XXXXX ON ANTANUT XÄXXXXXXXXXX OIKEUSLAITOKSEEN KUULUVA XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXXXXXXXX XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X EN XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX JUDICIAL/ (XX) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXX XX xXXXXX/ (XX) XXXXXX XXXXXX/ (IT) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (XX) XXXXXX XXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXXX/ (XX) DEĊIŻJONI XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (PT) DECISÃO XXXXXXXX/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (SK) SÚDNE XXXXXXXXXXX/ (XX) SODNA XXXXXXX/ (XX) TUOMIOISTUIMEN XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX EL XXXXXXXXXX FISCAL/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) DOKUMENT XXXXXXX XX XX XXXXXXXXXXXXXXXX/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX EMANATING XXXX A XXXXXX XXXXXXXXXX/ (XX) DOCUMENT XXXXXXX XX MINISTÈRE XXXXXX/ (GA) DOICIMÉAD X XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXX JE XXXXXX DRŽAVNO XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX DOKUMENTAS/ (XX) ÜXXXXX ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (NL) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX MINISTERIE/ (XX) XXXXXXXX POCHODZĄCY XX PROKURATORA/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXX DE XX PROCUROR/ (SK) XXXXXXX XXXXXX PROKURÁTOROM/ (XX) XXXXXXX, XX XX XXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX ÚŘEDNÍKEM/ (XX) XXXXXXXX XXXXXXX XX EN XXXXXXXXXXXXXÆX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX KOHTUAMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXX XX A XXXXX/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXX DE XXXXX CÚIRTE/ (HR) XXXXXXX XXXX JE XXXXX XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX UN XXXXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX TIESAS XXXXXXĀXX/ (XX) TEISMO XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX TISZTVISELŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXĠXXXXXXXX TA' XXXXX/ (XX) DOCUMENT XXXXXXXXX XXXX EEN XXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX XX SEKRETARZA XĄXXXXXX/ (PT) DOCUMENTO XXXXXXXXXXX DE XX XXXXXXX DE XXXXXÇX/ (XX) XXXXXXXX XXXX XX XX GREFIER XX XXXXXXȚXX/ (XX) XXXXXXX XXXXXX SÚDNYM XXXXXXXXX/ (XX) XXXXXXX, XX JO XXXX XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX DE XXXXXXX“)/ (ES) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (DA) XXXXXXXX XXXXXXX XX XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, MILLE ON XÄXXX ANDNUD XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX DE XXXXXXX»)/ (XX) XXXXXXXX EMANATING XXXX A XXXXXXXX XXXXXXX ('HUISSIER DE XXXXXXX')/ (XX) XXXXXXXX XXXXXXX X'XX HUISSIER XX JUSTICE/ (GA) XXXXXXXXX X XXXXXXX X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (XX) ISPRAVA KOJU XX XXXXX XXXXXX XXXXXXXXX (XXXXXXXX XX XXXXXXX)/ (IT) DOCUMENTO XXXXXXX XX XX XXXXXXXXX GIUDIZIARIO ("XXXXXXXX XX XXXXXXX")/ (XX) XXXXXXXXX, KURU IZSNIEDZIS XXXXXX IZPILDĪTĀJS (HUISSIER XX XXXXXXX)/ (LT) XXXXXXXXX (XXXXXXXX DE XXXXXXX) IŠDUOTAS XXXXXXXXXX/ (XX) BÍRÓSÁGI VÉGREHAJTÓ („XXXXXXXX XX XXXXXXX”) XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX XX JUSTICE')/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX XXXĘXXXXX XĄXXXXXX (XXXXXXXX DE XXXXXXX)/ (XX) XXXXXXXXX PROVENIENTE XX UM XXXXXXÃX XX XXXXXXX («XXXXXXXX XX JUSTICE»)/ (XX) XXXXXXXX EMIS DE XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (XX) LISTINA XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXX, KI XX XXXX XXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXXXXX (”HUISSIER XX XXXXXXX”) XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXÄXXXXXXXXX (HUISSIER XX JUSTICE)

3.1.5

(BG) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (ESPECIFÍQUESE)/ (XX) XXXX (XXXXXXXXX)/ (XX) ANDRE (XXXXXXX)/ (XX) XXXXXXXXX (BITTE XXXXXXX)/ (ET) XXX (XÄXXXXXXXX)/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) OTHER (XX BE XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (GA) EILE (XX XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (IT) XXXXX (PRECISARE)/ (XX) XXXX (XXXXXXĒX)/ (XX) XXXX (NURODYTI)/ (XX) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) XXXX (PROSZĘ XXXXŚXXĆ)/ (PT) OUTROS (X ESPECIFICAR)/ (XX) XXXXX (X XX XXXXXXX)/ (SK) XXX (XXXXXXXX)/ (SL) DRUGO (XXXXXXX)/ (FI) MUU XXXXXXXXX (TÄSMENNETTÄVÄ)/ (SV) XXXXX XXXXXXXX (SPECIFICERAS)

3.2

(BG) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (CZ) XXXXXXX VYDANÁ XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (EN) ADMINISTRATIVE XXXXXXXX/ (XX) DOCUMENT XXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (IT) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) KÖZIGAZGATÁSI XXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (PT) DOCUMENTO XXXXXXXXXXXXXX/ (RO) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (FI) HALLINNOLLINEN XXXXXXXXX/ (SV) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (FR) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (PT) CERTIDÃO XX CERTIFICADO/ (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/ (CZ) XXXXX X XXXXXXX/ (XX) UDDRAG XXX XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX PERSONENSTANDSREGISTER/ (XX) PEREKONNASEISUREGISTRI VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (EN) EXTRACT XXXX XXX CIVIL XXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XX L'ÉTAT XXXXX/ (XX) SLIOCHT AS XX xXXXX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXX XXXXXX/ (IT) ESTRATTO XX XXXX XX XXXXX CIVILE/ (XX) XXXXXXXX XX XXXXXXXĀXXXĻX XXXX XXĢXXXXX/ (LT) XXXXXXX XX CIVILINĖS XŪXXĖX AKTŲ REGISTRO/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) XXXXXXX MIR-REĠISTRU XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXX UIT XXX XXXXXXXX VAN XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXXXXX XXXX XXXXX CYWILNEGO/ (PT) XXXXXXX XX XXXX XX REGISTO CIVIL/ (XX) XXXXXX XXX XXXXXXXXX DE STARE XXXXXĂ/ (XX) XXXXX X XXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXX XX XXXXXXXX X XXXXXXX XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (SV) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX XXX XXXXX/ (XX) XXXXX X XXXXXXXX OBYVATEL/ (XX) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX FROM XXX XXXXXXXXXX XXXXXXXX/ (FR) XXXXXXX XX REGISTRE XX XX XXXXXXXXXX/ (XX) XXXXXXX XX XX gCLÁR XXXXXX/ (XX) IZVADAK XX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX ANAGRAFICO/ (XX) XXXXXXXX XX XXXXĪXXXĀXX XXĢXXXXX/ (XX) IŠRAŠAS XX XXXXXXXXŲ XXXXXXXX/ (XX) XXXXXXX A XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX Z XXXXXXXX XXXXXŚXX/ (PT) XXXXXXX XX REGISTO XX POPULAÇÃO/ (RO) XXXXXX XXX XXXXXXXXX XX XXXXXXȚĂ X XXXXXXȚXXX/ (XX) VÝPIS X XXXXXXXX XXXXXXXĽXX/ (XX) XXXXXXX IZ XXXXXXXX PREBIVALSTVA/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX XX BEFOLKNINGSREGISTER

3.2.4

(BG) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) COPIA XXXXXXX XX XXXXX DEL XXXXXXXX XXXXX/ (XX) XXXX MATRIČNÍCH ZÁZNAMŮ/ (XX) ORDRET KOPI XX XXXXXXXXXXXXXXXXXXX/ (DE) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (ET) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX XX XXXXX XXXXXX XXXXXXX/ (FR) XXXXX XXXXXXXXX X'XXXXX XX X'XXXX XXXXX/ (XX) XXXX FOCAL XX XXXXXX XX XXXXXXX XX XXXXXX XXXXXXXXX/ (HR) XXXXXXXX XXXXXXXX XX XXXXXXXXXX X XXXXXXX STANJU/ (XX) XXXXX XXXXXXXXX XX XXXX DI XXXXX XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX XXĢXXXXX XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXĖX BŪKLĖS XXXŲ ĮRAŠŲ XXXXXXXĖ XXXXXX/ (HU) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) KOPJA XXXXXXXX TAL-ATTI TAL-ISTAT ĊXXXXX/ (NL) EENSLUIDEND XXXXXXXXX XXX XXXXX XXX XX XXXXXXXXXXX XXXXX/ (PL) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (XX) CERTIDÃO XX XXXXX INTEGRAL XX DE NARRATIVA XX XXXX XX XXXXXXX CIVIL/ (XX) XXXXX EXACTĂ A XXXX ACT XX XXXXX CIVILĂ/ (XX) XXXXXXXX XXXXX XX XXXXXXX O XXXXXXX XXXXX/ (XX) XXXXXXXXX XXXXXX LISTIN X XXXXXXX STANJU/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX JÄLJENNÖS/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (CZ) XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) NOTARIELLE XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX ACT/ (XX) ACTE XXXXXXX/ (XX) GNÍOMH NÓTAIREACHTA/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXĀXX AKTS/ (XX) XXXXXXXXX XXXXX/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) XXX XXXXXXXX/ (XX) NOTARIËLE AKTE/ (XX) AKT XXXXXXXXXX/ (XX) ATO XXXXXXXX/ (XX) ACT XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXX XXXXXXXXX/ (XX) NOTARIELL XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX XXXXXX XXXXX UN XXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXX, XXXXXX XXXX XXXXXXXX LISTINA XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) OFFICIEL XÅXXXXXXX XÅ XX XXXXXXXX XXXXXXXXXXX AF XX XXXXXX X XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX EINER XXXXXXXXXXXXX/ (XX) XXXXX POOLT XXXXXXXXXX ALLKIRJASTATUD XXXXXXXXXXX XXXXXXXXXX AMETLIK XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX PLACED ON X XXXXXXXX XXXXXX XX X PERSON XX XXX OR XXX XXXXXXX XXXXXXXX/ (XX) DÉCLARATION XXXXXXXXXX XXXXXXX XXX XX XXXX XXXX XXXXX XXXXX/ (GA) XXXXXXXX XXXXXXXXX X CHUIRTEAR XX XXXXXXXXXX XXXX XXXXXX AG XXXXX XXX CHÁIL XX XXX CÁIL XXXXXXXXXXXXXX/ (XX) SLUŽBENA POTVRDA XXXXXXXXX XX ISPRAVU XXXX XX XXXXX XXXXXXXXX U XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX XXX XXXXXXXXX XXXXXXX/ (XX) OFICIĀLS XXXXXXXXĀXXXX XX XXXXXXXXX, KO XXXĀ VĀRDĀ XXXXXXXĪXXXX XĀXX PERSONA/ (XX) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX PATVIRTINIMAI/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (MT) ĊXXXXXXXXX UFFIĊJALI XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX XXXXXXX FIL-KAPAĊITÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX CERTIFICAAT OP XXX DOCUMENT ONDERTEKEND XXXX XXX XXXXXXX XX ZIJN PARTICULIERE XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX UMIESZCZONE XX XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ DZIAŁAJĄCĄ X XXXXXXXXXXX PRYWATNYM/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX XXX XX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX OFICIAL APLICAT XX XX DOCUMENT XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX NA XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX OSOBA/ (XX) URADNA XXXXXX XX XXXXXXX XXXXXXX/ (XX) XXXXXXXXXX TODISTUS XXXXXXXXXXXX, XXXXX XXXXXXÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX XXXXX XXXXXXXXX XÅ EN XXXXXXXX XXX UNDERTECKNATS XX EN XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXXXXX X XXXXXXXX DE XX XXXXXX XXXXXXX XXX XXXXXXXX XXXXXXX/ (CZ) XXXXXXX VYHOTOVENÁ XXXXXXXXXXXXX XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX STÁTU X XXXXX XXXXXX XXXX SLUŽEBNÍCH XXXXXXXXXX/ (XX) XXXXXXXX OFFICIELT XXXÆXXXXXX XX XX XXXXXXXXXXXX DIPLOMATISKE XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (DE) XXX XXXXX DIPLOMATISCHEN XXXX XXXXXXXXXXXXXX VERTRETER XXXXX XXXXXXXXXXXXXX XX XXXXXX AMTLICHEN XXXXXXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX VÕI XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX XXXXX XX BY X XXXXXXXXXX XX XXXXXXXX XXXXX XX A XXXXXX STATE IN XXX XX HER XXXXXXXX XXXXXXXX/ (FR) XXXXXXXX XXXXXX XX XX QUALITÉ OFFICIELLE XXX XX XXXXX XXXXXXXXXXXX XX CONSULAIRE X'XX ÉTAT MEMBRE/ (XX) XXXXXXXXX XXXX XXXXXXXXXX SUAS AG XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX DE XXXXX XXXXXXXXX XXX CHÁIL XX XXX CÁIL XXXXXXXXX/ (HR) ISPRAVA XXXX XX U XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX ČLANICE/ (XX) DOCUMENTO XXXXXXX XX XXXXXX XXXXXXXXXXX X XXXXXXXXX DI XXX XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX XXXXX XXXXĀXXXXX, XXXXXXXXXXX DALĪBVALSTS XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX VALSTYBĖS XXXĖX XXXXXXXXX AR KONSULINIO XXXXXXŪXX, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (HU) XXXXXXXX TAGÁLLAM XXXXXXXXXXX XXXX XXXXXXX KÉPVISELŐJE XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXXX XXXX XĠXXX XXXXXXXXXXX JEW XXXXXXXXX TA' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (NL) DOCUMENT XXXXXXXXX XXXX XX XXXXXXXXXXXX XX CONSULAIRE XXXXXXXXX XXX EEN XXXXXXXX XX XXXX XXXXXXËXX HOEDANIGHEID/ (PL) XXXXXXXX XXXXXĄXXXXX PRZEZ XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX XXXĘXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XX XXXXXX XXXXXXXXXXX XX XXXXXXXX DE XX XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX XX XĂXXX XX XXXXX XXXXXXXXXX SAU CONSULAR XX XXXX XXXX XXXXXX, ÎX CALITATE XXXXXXXĂ/ (SK) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXX/ (XX) LISTINA, XX XX XXX XXXXXX OSEBA XXXX XXXXXXXXXXX XXX KONZULARNI XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, JONKA XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX ON XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX UPPRÄTTAD I XXÄXXXXX AV EN XXXXXXXXXXX XXXXX XXXXXXÄX XXÄXXXXXXX I XX XXXXXXXXXXX

3.6

(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 (TT/MM/JJJJ)/ (XX) XÄXXXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) OF XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (GA) XXXX (LL/MM/BBBB) EISIÚNA/ (XX) XXXXX (DD/MM/GGGG) XXXXXXXXX/ (IT) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (HU) X XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) WYDANIA/ (PT) XXXX DE XXXXXÃX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) EMITERII/ (XX) XXXXX (XX/XX/XXXX) VYDANIA/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (ES) XXXXXX XX XXXXXXXXXX XXX DOCUMENTO XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXX LISTINY/ (DA) XXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX/ (XX) AVALIKU XXXXXXXXX XXXXXXXXXXX/ (EL) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (EN) REFERENCE XXXXXX XX THE XXXXXX XXXXXXXX/ (XX) XXXXXX XX XXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) UIMHIR XXXXXXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (IT) XXXXXX XX XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX/ (XX) PUBLISKĀ XXXXXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXX/ (XX) X XÖXXXXXXX XXXXXXXXXXX SZÁMA/ (XX) XXXXX TA' REFERENZA XXX-XXXXXXXX PUBBLIKU/ (NL) XXXXXXXXXXXXXXXX VAN XXX XXXXXXXX DOCUMENT/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXX XX XXXXXÊXXXX DO XXXXXXXXX XXXXXXX/ (RO) XXXĂXXX DE XXXXXXXȚĂ XX DOCUMENTULUI OFICIAL/ (XX) REFERENČNÉ XXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX XX XXXXXXXXXX/ (CZ) INFORMACE X DOTYČNÉ OSOBĚ/ (XX) XXXXXXXXXXX OM XXX PÅGÆLDENDE XXXXXX/ (XX) XXXXXXX ZUR XXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXXX ISIKUT XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (EN) INFORMATION XX XXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXX XXX XX PERSONNE XXXXXXXXX/ (XX) XXXXXXXX XXXXXX LEIS AN XXXXX LENA mBAINEANN/ (XX) XXXXXXXXXXX X XXXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXX PERSONA XXXXXXXXXXX/ (XX) INFORMĀCIJA XXX ATTIECĪGO PERSONU/ (XX) XXXXXXXXXXX APIE XXXXXXXXXĄ ASMENĮ/ (XX) XX XXXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (MT) XXXXXXXXXXXXX XXXX XX-XXXXXXX XXXXĊXXXXXX/ (NL) INFORMATIE XXXX XX XXXXXXXXXX/ (XX) XXXX XXXXX, XXXXXX XXXXXXX XXXXXXXX/ (XX) INFORMAÇÕES XXXXX X PESSOA EM XXXXX/ (RO) XXXXXXXȚXX XXXXXXX PERSOANA VIZATĂ/ (XX) XXXXXXXXXX O XXXXXXXXX OSOBE/ (SL) XXXXXXXXXXX X ZADEVNI XXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXX/ (SV) XXXXXXXXX XX XXX XXXÖXXX XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (XX) APELLIDO(S) XX XXXXXXXXXX/ (XX) XXXXX/X XXXXXXXX/ (DA) EFTERNAVN(E) XXX XØXXXXX/ (DE) XXXXXXXXXXXX(X) BEI DER XXXXXX/ (ET) XÜXXXXÄXXXX XXXXXXXXXXXXX (XÜXXXXÄXXXXX XXXXXXXXXXXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (XX) XXXXXXX(X) XX XXXXX/ (XX) XXX(X) À XX NAISSANCE/ (XX) XXXXXXX (XXXXXXXX) XXXXXXX/ (XX) XXXXXXX(XX) XXX XXĐXXXX/ (IT) XXXXXXX/X XXXX XXXXXXX/ (XX) XXXĀXXX(-X) XXXXXXXXX XXĪXĪ/ (XX) PAVARDĖ (-ĖX), XXXXXXXX (-XX) XXXXX/ (XX) SZÜLETÉSI XXXXXXX XXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX) XXX-XXXXXX/ (NL) ACHTERNA(A)M(EN) XXX XX XXXXXXXX/ (XX) XXXXXXXX(-X) XXXXXX/ (XX) XXXXXXX(X) À XXXX XX NASCIMENTO/ (XX) NUMELE LA XXȘXXXX/ (XX) XXXXX XXXXXXXXXX(-X)/ (XX) PRIIMEK/PRIIMKI XX ROJSTVU/ (XX) XXXXXXXX (-XXXXX) XXXXXXÄXXXXXXXÄ/ (XX) XXXXXXXXX XXX XÖXXXXX

4.2

(XX) НАСТОЯЩО(И) ФАМИЛНО(И) ИМЕ(НА)/ (ES) APELLIDO(S) XXXXXX(XX)/ (XX) XXXXXXXX/X XXXXXXXX/ (XX) NUVÆRENDE XXXXXXXXX(X)/ (XX) DERZEITIGE(R) XXXXXXXXXXXX(X)/ (XX) XXXXXXXX XXXXXXXXXXXXX (XXXXXXXXX XXXXXXXXXXXXXX)/ (XX) ΤΡΕΧΟΝ(-ΤΑ) ΕΠΩΝΥΜΟ(-Α)/ (XX) CURRENT XXXXXXX(X)/ (XX) NOM(S) XXXXXX(X)/ (XX) SLOINNE (XXXXXXXX) XXXXXX/ (HR) XXXXXXXX(-X) XXXXXXX(XX)/ (XX) XXXXXXX/X XXXXXXX/X/ (LV) ESOŠAIS(-IE) XXXĀXXX(-X)/ (LT) XXXXXXXXĖ (-ĖX) XXXXXXĖ (-ĖX)/ (XX) JELENLEGI XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) XXXXXXX/ (XX) HUIDIGE XXXXXXXX(X)X(XX)/ (XX) XXXXXX XXXXXXXX(-X)/ (XX) XXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXX XXXXXX(X)/ (XX) XXXXXXX PRIEZVISKO(-Á)/ (XX) XXXXXXX PRIIMEK/PRIIMKI/ (XX) XXXXXXXX XXXXXXXX (XXXXXXXX XXXXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXX

4.3

(XX) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ АКТА/ (XX) XXXXXXXX(X) XXXXX XX LA XXXXXXXXXXX/ (XX) XXXXXXXX PŘED XXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXX(X) XØX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXX XXXXXXXXXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX (-NIMED) XXXX XXXXXXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΑΠΟ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (XX) XXXXXXX(X) XXXXXX XXX XXX/ (XX) XXX(X) XXXXX X'XXXX/ (XX) XXXXXXX (XXXXXXXX) XXXXX XX xXXXXXX/ (XX) XXXXXXX(XX) PRIJE REGISTRIRANJA XXXXXXXXXXX/ (XX) XXXXXXX/X XXXXX XXXX'XXXX/ (LV) XXXĀXXX(-X) PIRMS AKTA/ (XX) XXXXXXĖ (-ĖX) XXXXX SUDARANT AKTĄ/ (XX) CSALÁDI XXXX(X) XX XXXXXXXXX XXXXXXXXX XXXXXXXXXX XXŐXX/ (MT) XXXXXX(/XXXXXXXXXXX) XXXXX L-ATT/ (XX) XXXXXXXX(X)X(XX) VÓÓR XX XXXX/ (XX) XXXXXXXX(-X) XXXXX XXXXXXXXXXĄ XXXĄXXX/ (XX) XXXXXXX(X) XXXXX XX ATO/ (XX) XXXXXX ÎNAINTE XX ÎXXXXXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX(-X) PRED XXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXX/XXXXXXX XXXX XXXXXXXXXXXX XXXXXXXXXX SKUPNOSTI/ (XX) SUKUNIMI (-XXXXX) XXXXX XXXXXXXXÖXXXXÄ/ (XX) XXXXXXXXX FÖRE XXXÅXXXXX

4.4

(XX) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА РЕГИСТРИРАНЕТО НА АКТА/ (XX) XXXXXXXX(X) XXXXXXX XX LA XXXXXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (DA) XXXXXXXXX(X) XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXXX DER XXXXXXXXXX XXX PARTNERSCHAFT/ (XX) PEREKONNANIMI (-NIMED) XÄXXXX XXXXXXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΜΕΤΑ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (XX) XXXXXXX(X) XXXXXXXXX XXX XXX/ (XX) XXX(X) À XX XXXXX XX X'XXXX/ (XX) XXXXXXX (SLOINNTE) TAR XXX XX GHNÍMH/ (XX) XXXXXXX(XX) NAKON XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXX/X XXXX X'XXXX/ (XX) XXXĀXXX(-X) XĒX XXXX/ (LT) XXXXXXĖ (-ĖX) XX XXXX XXXXXXXX/ (HU) CSALÁDI XXXX(X) XX ÉLETTÁRSI XXXXXXXXX BEJEGYZÉSE UTÁN/ (XX) XXXXXX(/XXXXXXXXXXX) XXXX X-XXX/ (NL) XXXXXXXX(X)X(XX) XX XX XXXX/ (XX) XXXXXXXX(-X) PO XXXXXXXXXXX XXXĄXXX/ (XX) XXXXXXX(X) XXXX O XXX/ (XX) XXXXXX XXXĂ ÎNREGISTRAREA XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX(-X) XX XXXXXXXX REGISTROVANÉHO PARTNERSTVA/ (XX) XXXXXXX/XXXXXXX XX XXXXXXXXXXXX XXXXXXXXXX SKUPNOSTI/ (XX) SUKUNIMI (-XXXXX) XXXXXXXXÖXXXXX XÄXXXXX/ (SV) XXXXXXXXX EFTER XXXÅXXXXX

4.5

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (CZ) XXXXX (XXXXX)/ (DA) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) PRÉNOM(S)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (HR) XXX(XX)/ (XX) XXXX(X)/ (XX) XĀXXX(-X)/ (XX) XXXXXX (-AI)/ (XX) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (XX) VOORNA(A)M(EN)/ (PL) XXXĘ (XXXXXX)/ (XX) XXXX(X) XXXXXXX(X)/ (XX) XXXXXXX/ (XX) MENO(-Á)/ (XX) IME/IMENA/ (FI) XXXXXXX (-XXXXX)/ (XX) XÖXXXXX

4.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (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/ (XX) XXXX (XX/XX/XXXX) XX BIRTH/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXX/ (GA) DÁTA (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (XX) XXXX XX XXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) XXXXXX DATA (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXX (JJ/XX/SSSS) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXXX/ (PT) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) DATA (ZZ/LL/AAAA) XXȘXXXXX/ (SK) XXXXX (XX/XX/XXXX) NARODENIA/ (XX) XXXXX (XX/XX/XXXX) ROJSTVA/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.7

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX X XXXX XX XXXXXXXXXX/ (XX) XXXXX X XXXX XXXXXXXX/ (XX) XØXXXXXX XX -XXXX/ (XX) XXX XXX XXXX XXX XXXXXX/ (XX) XÜXXXXXXX JA -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX XXX COUNTRY XX BIRTH/ (XX) XXXX XX PAYS XX NAISSANCE/ (XX) XXX XXXX XXX XXXXXXXX/ (XX) XXXXXX X ZEMLJA XXĐXXXX/ (XX) XXXXX X XXXXX DI XXXXXXX/ (XX) XXXXXXXXX XXXXX XX VALSTS/ (LT) XXXXXX XXXXX XX XXXXX/ (XX) SZÜLETÉSI XXXXX XX ORSZÁGA/ (XX) POST X XXXXXŻ XXX-XXXXXX/ (NL) XXXXXXXXXXXXXX EN -LAND/ (XX) MIEJSCE I XXŃXXXX XXXXXXXXX/ (PT) XXXXX E PAÍS XX XXXXXXXXXX/ (RO) XXXXX ȘX ȚXXX XXȘXXXXX/ (XX) XXXXXX X XXXX XXXXXXXXX/ (XX) KRAJ XX XXXXXX XXXXXXX/ (FI) XXXXXXÄXXXXXX XX -XXX/ (XX) XÖXXXXXXXX XXX -XXXX

4.8

(XX) ПОЛ/ (ES) XXXX/ (CZ) XXXXXXX/ (XX) XØX/ (XX) XXXXXXXXXX/ (ET) XXXX/ (XX) ΦΥΛΟ/ (EN) XXX/ (FR) XXXX/ (XX) XXXXXX/ (XX) XXXX/ (XX) SESSO/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) SESS/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (XX) XXXX/ (XX) XXXXX/ (XX) POHLAVIE/ (XX) XXXX/ (FI) XXXXXXXXX/ (XX) XÖX

4.8.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) ŽENA/ (DA) XXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (HR) XXXXXX/ (XX) XXXXXXXXX/ (LV) XXXXXXXX/ (LT) XXXXXXX/ (XX) NŐ/ (XX) XXXX/ (XX) XXXXX/ (XX) KOBIETA/ (XX) XXXXXXXX/ (XX) FEMEIESC/ (XX) ŽENSKÉ/ (XX) XXXXXX/ (FI) XXXXXX/ (XX) XXXXXX

4.8.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (XX) MAND/ (XX) XÄXXXXXX/ (XX) XXXXXXXXX/ (EL) ΑΡΡΕΝ/ (XX) MALE/ (XX) XXXXXXXX/ (GA) XXXXXXX/ (XX) MUŠKI/ (XX) XXXXXXXX/ (LV) VĪRIETIS/ (XX) XXXXX/ (HU) XXXXX/ (XX) RAĠEL/ (XX) MAN/ (XX) XĘŻXXXXXX/ (XX) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (SK) XXXXXX/ (SL) MOŠKI/ (XX) MIES/ (XX) XXX

4.8.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) UNDETERMINED/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (HU) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (NL) XXXXXXXXX/ (XX) PŁEĆ NIEOKREŚLONA/ (XX) NÃO XXXXXXXX/ (XX) NEDETERMINAT/ (SK) XXXXXXXX/ (XX) NEDOLOČEN/ (XX) MÄÄRITTELEMÄTÖN/ (SV) XX XXXXXXÄXXX

4.9

(XX) ГРАЖДАНСТВО/ (XX) NACIONALIDAD/ (CZ) XXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (DE) XXXXXXXXXXXÖXXXXXXX/ (XX) KODAKONDSUS/ (XX) ΙΘΑΓΕΝΕΙΑ/ (EN) XXXXXXXXXXX/ (XX) NATIONALITÉ/ (XX) XXXXXXXXXXXX/ (HR) DRŽAVLJANSTVO/ (XX) CITTADINANZA/ (XX) XXXXXXXXXXXXĪXX/ (LT) PILIETYBĖ/ (XX) XXXXXXXXXXXXXXX/ (XX) ĊXXXXXXXXXXX/ (XX) NATIONALITEIT/ (XX) XXXXXXXXXXXX/ (PT) XXXXXXXXXXXXX/ (XX) CETĂȚENIA/ (XX) XXXXXX XXXXXXXXXXX/ (XX) DRŽAVLJANSTVO/ (XX) XXXXXXXXXXXX/ (SV) XXXXXXXXXXXXX

5.

(XX) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ, ПОЛОЖЕНИЕТО НА РЕГИСТРИРАНО ПАРТНЬОРСТВО НА СЪОТВЕТНОТО ЛИЦЕ Е, КАКТО СЛЕДВА/ (XX) XXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX, XX ESTADO XXX XXXXXXXXXX XX LO XXX XXXXXXXX X XX CALIDAD XX XXXXXXX XX XXX XXXXX DE XXXXX XXXXXXXXXX XX XX XXXXXXXXX/ (CZ) NA XXXXXXX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX, XX XXXXXXX XXXXX XXXXX STATUS XXXXXXXXXXXXXX XXXXXXXXXXX/ (DA) X XXXXXXX XXX DET XXXXXXXXXX DOKUMENT, SOM XXXXX XXXXXXXX XX XXXXÆXXXX, XXX DEN XÅXÆXXXXXX PERSON XØXXXXXX XXXXXXXXXXXX PARTNERSKABSSTATUS/ (XX) XXXXXX DER EINGETRAGENEN XXXXXXXXXXXXX XXX BETREFFENDEN XXXXXX GEMÄSS DER ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX FORMULAR BEIGEFÜGT XXX/ (XX) VASTAVALT XXXXXXXXX XXXXXXXXXXX, MILLELE XXX XXXX XX XXXXXXX, XX XXXXXXXXXX XXXXXX JÄRGMINE REGISTREERITUD XXXXXXXXX XXXXXX XXXXXXX/ (XX) ΣΥΜΦΩΝΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ, ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΕΧΕΙ ΤΗΝ ΑΚΟΛΟΥΘΗ ΚΑΤΑΣΤΑΣΗ ΑΠΟ ΑΠΟΨΗ ΚΑΤΑΧΩΡΙΣΜΕΝΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ/ (EN) XXXXXXXXX TO XXX XXXXXX XXXXXXXX XX XXXXX THIS XXXX XX XXXXXXXX, XXX XXXXXX CONCERNED XXX XXX XXXXXXXXX REGISTERED XXXXXXXXXXX XXXXXX/ (XX) X'XXXÈX XX XXXXXXXX XXXXXX XXXXXX XX XXXXXXX FORMULAIRE EST XXXXX, LE STATUT XX XXXXXXXXXXX XXXXXXXXXX XX LA PERSONNE XXXXXXXXX XXX XX XXXXXXX/ (XX) XX XXXX AN XXXXXXXXX XXXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX, TÁ AN XXXXXX PÁIRTNÉIREACHTA XXXXXXXXX X LEANAS XX XX XXXXX LENA xXXXXXXXX/ (XX) XXXXX XXXXXX XXXXXXX KOJOJ XX XXXX XXXXXXX XXXXXXXX STATUS XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXX XXXXX XX XXXXXXĆX/ (IT) XXXXXXX IL DOCUMENTO XXXXXXXX XXX IL XXXXXXXX MODULO È XXXXXXXX, XX XXXXX XX XXXXXX XXXXXXXXXX XXXXX XXXXXXX INTERESSATA È XX XXXXXXXX/ (XX) XXXXXŅĀ XX XXXXXXXX DOKUMENTU, XXXXX XĪ XXXXXXXX IR XXXXXXXXXX, XXXXXXĪXXXXX PERSONAI XX XĀXX XXĢXXXXĒXX XXXXXXXXXXXXXĪXX STATUSS/ (XX) XXXXX XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, ATITINKAMO XXXXXX XXXXXXXXXXXX XXXXXXXXXXĖX XXXĖXXX XXX XXXXX/ (XX) XX XXXXXXXX XXXXXXX BEJEGYZETT XXXXXXXXX XXXXXXXXXXXX ÖXXXXXÜXXŐ JOGÁLLÁSA X FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXX XXXXXXX/ (MT) XXXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX IL-FORMOLA, XX-XXXXXXX KKONĊERNATA XĦXXXXX X-XXXXXXX TA' XĦXXXXX XXĠXXXXXXX KIF ĠXX/ (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 ZAŁĄCZONY XXXX XXXXXXXXX FORMULARZ, XXXXXX, ŻX XXXXX, XXXXXX XXXXXXX XXXXXXXX, POSIADA XXXXĘXXXĄXX XXXXXX XXXĄXXXX X XXXXXXXXXXXXXXX XXXĄXXXXX XXXXXXXXXXX/ (XX) XXXXXXX X XXXXXXXXX PÚBLICO X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX, À XXXX XX XXX XXXXXÃX, X ESTATUTO XX XXXXXXXX XXXXXXXXX XX XXXXXX XX XXXXX X/ (RO) ÎN XXXXXXXXXXXX XX DOCUMENTUL XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX, XXXXXXXX XXXXXĂ XXX XXXĂXXXXX STATUT XXXXXXX XXXXXXXXXXXXX ÎNREGISTRAT/ (XX) XXXĽX VEREJNEJ XXXXXXX, KU KTOREJ XX XXXXX XXXXXXXX XXXXXXXXX, XX XXXXXXXX XXXXX XXXXX XXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) X SKLADU Z XXXXX XXXXXXX, KI XX JE PRILOŽEN XX OBRAZEC, JE XXXXXX REGISTRIRANE XXXXXXXXXX XXXXXXXXX ZADEVNE XXXXX XXXXXXXXX/ (FI) SEN XXXXXXX XXXXXXXXXX XXXXXX, XXXXX XÄXÄ LOMAKE XXXXXXÄÄX, XXXXXXXXXXXX HENKILÖN XXXXXXXXÖXXXXX PARISUHTEESEEN LIITTYVÄ XXXXXXXXÄÄXX XX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX DETTA FORMULÄR ÄX XXXXXXX ÄR XXX XXXÖXXX XXXXXXXXX XXXXXX XXXXXXXX XXXXXXXXXXX XXXXXXXXXXX XÖXXXXXX

5.1

(XX) С РЕГИСТРИРАНО ПАРТНЬОРСТВО/ДАТА (ДД/ММ/ГГГГ) НА РЕГИСТРИРАНЕ НА ПАРТНЬОРСТВОТО/ (ES) XXXXX XXXXXX DE XXXXX XXXXXXXXXX / FECHA (XX/XX/XXXX) XX REGISTRO XX LA XXXXX XX HECHO/ (XX) XX X REGISTROVANÉM XXXXXXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXXXX XXXXXXXXXXX/ (DA) XXXXXXXXXXX XXXXXXX/XXXX (XX/XX/ÅÅÅÅ) FOR XXXXXXXXXXXXXX XX XXXXXXXXXXXXX/ (XX) EINGETRAGENER XXXXXXX/XXXXX (XX/XX/XXXX) XXX XXXXXXXXXX XXX XXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXX ELUKAASLANE / XXXXXXX REGISTREERIMISE XXXXÄXX (XX/XX/XXXX)/ (XX) ΚΑΤΑΧΩΡΙΣΜΈΝΟΣ(-Η) ΣΥΝΤΡΟΦΟΣ / ΗΜΕΡΟΜΗΝΊΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΚΑΤΑΧΩΡΙΣΗΣ ΤΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ/ (EN) XXXXXXXXXX XXXXXXX/XXXX (XX/XX/XXXX) XX REGISTRATION XX XXX PARTNERSHIP/ (XX) XXXXX CONCLU UN XXXXXXXXXXX XXXXXXXXXX/XXXX (JJ/MM/AAAA) X'XXXXXXXXXXXXXX DU PARTENARIAT/ (XX) XXXXXXXXX XXXXXXXXX/XXXX (XX/XX/XXXX) XXXXXX NA XXXXXXXXXXXXXXX/ (XX) REGISTRIRANI XXXXXXX / DATUM (XX/XX/XXXX) REGISTRIRANJA XXXXXXXXXXX/ (XX) XXXXXXX REGISTRATO/DATA XX REGISTRAZIONE DELL'UNIONE (XX/XX/XXXX)/ (LV) XXĢXXXXĒXXXX XXXXXXXXX / PARTNERATTIECĪBU XXĢXXXXĒXXXXX DATUMS (DD/MM/GGGG)/ (XX) REGISTRUOTAS (-A) XXXXXXXXX (-Ė) / XXXXXXXXXXĖX SUDARYMO XXXX (XX/XX/XXXX)/ (XX) XXXXXXXXXX XXXXXXXX/X BEJEGYZETT XXXXXXXXX XXXXXXXXX XXXXXXXXXXXXX IDEJE (XXXX/XX/XX)/ (XX) XXXĦXX(/XXXĦXX) XXĠXXXXXX(X) X XXXX (XX/XX/XXXX) TAR-REĠISTRAZZJONI TAS-SĦUBIJA/ (XX) XXXXXXXXXXXXXX PARTNER/DATUM (XX/XX/XXXX) XXX XXXXXXXXXXX XXX XXX XXXXXXXXXXXX/ (XX) POZOSTAJE X XXXXXXXXXXXXXXX XXXĄXXX PARTNERSKIM / DATA (XX/XX/XXXX) XXXXXXXX XXXXXXXXXXXXXXXX ZWIĄZKU XXXXXXXXXXXXX/ (XX) XXXXXXXX(X) XXXXXXXXX(X)/XXXX XX REGISTO XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX ÎXXXXXXXXXX/XXXX (XX/XX/XXXX) ÎNREGISTRĂRII XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX PARTNER/DÁTUM (XX/XX/XXXX) XXXXXXXXX REGISTROVANÉHO XXXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXX/XXXXX (DD/MM/LLLL) XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (FI) XXXXXXXXÖXXX XXXXXXXX/XXXXXXXXXXX REKISTERÖINTIPÄIVÄ (XX/XX/XXXX)/ (SV) XXXXXXXXXXX XXXXXXX/XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXXXXXXXXXX XX XXXXXXXXXXXXX

5.2

(XX) БЕЗ РЕГИСТРИРАНО ПАРТНЬОРСТВО/ (XX) XX XXXXX XXXXXX DE XXXXX XXXXXXXXXX/ (CZ) NENÍ X XXXXXXXXXXXXX PARTNERSTVÍ/ (XX) XXXX X XX XXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXX XX XXXXX EINGETRAGENEN XXXXXXXXXXXXX/ (XX) EI XXX XXXXXX REGISTREERITUD XXXXXXXX/ (XX) ΔΕΝ ΒΡΙΣΚΕΤΑΙ ΣΕ ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΧΕΣΗ ΣΥΜΒΙΩΣΗΣ/ (XX) NOT XX X XXXXXXXXXX XXXXXXXXXXX/ (XX) X'XXXXX XXX XXXXXX DE XXXXXXXXXXX ENREGISTRÉ/ (XX) XXX XX XXXXX XXXXXXXXX I bPÁIRTNÉIREACHT XXXXXXXXXX/ (XX) NIJE X REGISTRIRANOM XXXXXXXXXXX/ (XX) NON XX XXXXXX XXXXXXXXXX/ (XX) XXX XXĢXXXXĒXXX XXXXXXXXXXXXXĪXXX/ (XX) XXXXXXXĘX (-IUSI) XXXXXXXXXXXX XXXXXXXXXXĖX/ (XX) XXXXX BEJEGYZETT XXXXXXXXX XXXXXXXXXX/ (XX) XXXX XX SĦUBIJA XXĠXXXXXXX/ (XX) XXXX XX XXX XXXXXXXXXXXXX XXXXXXXXXXXX/ (XX) NIE POZOSTAJE X XXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXX/ (PT) XÃX XXX XXX PARCERIA XXXXXXXXX/ (RO) XX XX XXXĂ ÎNTR-UN XXXXXXXXXXX ÎNREGISTRAT/ (XX) XXXXXX X XXXXXXXXXXXXX XXXXXXXXXXX/ (SL) XX X XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) EI XXXXXXXXÖXXXXXÄ PARISUHTEESSA/ (XX) XX X REGISTRERAT XXXXXXXXXXX

5.2.1

(XX) НИКОГА НЕ Е РЕГИСТРИРАЛО ПАРТНЬОРСТВО/ (XX) XX XX XXXXXX XXXXX XXXXXX XX HECHO XXXXXXXXXX/ (XX) XXXXX XXXXXX X XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) ALDRIG I XX XXXXXXXXXXX PARTNERSKAB/ (XX) XXX XX XXXXX XXXXXXXXXXXXX XXXXXXXXXXXXX/ (XX) XX XXX XXXXXXXXXXXXXX KOOSELUS XXXXX/ (XX) ΔΕΝ ΕΧΕΙ ΣΥΝΑΨΕΙ ΠΟΤΕ ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΧΕΣΗ ΣΥΜΒΙΩΣΗΣ/ (EN) XXXXX IN X XXXXXXXXXX PARTNERSHIP/ (XX) X'XXXXX JAMAIS XXXXXX XX PARTENARIAT XXXXXXXXXX/ (XX) NÍ XXXXX XX XXXXX XXXXXXXXX X xXXXXXXXXXXXXXX XXXXXXXXXX XXXXX/ (HR) XXXXXX XXXX XXX(-XX) X XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXX CONTRATTA XX'XXXXXX XXXXXXXXXX/ (XX) XXXXX XXX XXĀXXXX REĢISTRĒTĀS XXXXXXXXXXXXXĪXĀX/ (XX) NIEKADA XXXXXX SUDARĘS (-IUSI) XXXXXXXXXXXX PARTNERYSTĖS/ (XX) XXXXX VOLT XXXXXXXXXX XXXXXXXXX XXXXXXXXXX/ (XX) XXXX XX XXXX XX XĦXXXXX XXĠXXXXXXX/ (XX) XXXXX XX XXX XXXXXXXXXXXXX XXXXXXXXXXXX/ (XX) NIGDY NIE XXXXXŁ(-X) XXXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX/ (XX) XXXXX XXXX XXX PARCERIA XXXXXXXXX/ (XX) NU X-X XXXXX XXXXXXXXĂ ÎXXX-XX XXXXXXXXXXX ÎNREGISTRAT/ (XX) NIKDY NEŽILA X REGISTROVANOM XXXXXXXXXXX/ (XX) XXXXXX XX XXX X XXXXXXXXXXXX XXXXXXXXXX SKUPNOSTI/ (FI) XX XXX XXXXXXX XXXXX XXXXXXXXÖXXXXXÄ XXXXXXXXXXXXX/ (XX) XXX ALDRIG XXXXX X XXX XXXXXXXXXXX XXXXXXXXXXX

5.2.2

(XX) С РАЗТРОГНАТО РЕГИСТРИРАНО ПАРТНЬОРСТВО/ДАТА (ДД/ММ/ГГГГ) НА РАЗТРОГВАНЕ НА ПАРТНЬОРСТВОТО/ (XX) XX XXXXXXXXX EL XXXXXXXX XX XXX XXXXX XX HECHO / FECHA (XX/XX/XXXX) XX XX XXXXXXXXXXX/ (XX) XXXXXXXXXXXX PARTNERSTVÍ XXXX ZRUŠENO/DATUM (DD/MM/YYYY) XXXXXXX XXXXXXXXXXX/ (DA) XXXØXX XXXXXXXXXXX XXXXXXXXXXX/XXXX (XX/XX/ÅÅÅÅ) XXX XXXØXXXXX XX XXXXXXXXXXXXX/ (DE) XXXXXXXXXXX XXXXXXXXXXXX XXXXXXXXXXXXX/XXXXX (XX/XX/XXXX) DER AUFHEBUNG XXX XXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXX XXXXXXX ON XÕXXXXXXX / XXXXXXX XÕXXXXXXXX KUUPÄEV (XX/XX/XXXX)/ (XX) ΛΥΘΕΙΣΑ ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΧΕΣΗ ΣΥΜΒΙΩΣΗΣ / ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΛΥΣΗΣ ΤΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXX/XXXX (DD/MM/YYYY) XX XXXXXXXXXXX XX XXX XXXXXXXXXXX/ (XX) AYANT XXXXXX UN PARTENARIAT XXXXXXXXXX DISSOUS/DATE (XX/XX/XXXX) XX XXXXXXXXXXX XX XXXXXXXXXXX/ (GA) PÁIRTNÉIREACHT XXXXXXXXXX XXXXXXXXXXX/XXXX (XX/XX/XXXX) XXXXXXXXXXXXX NA XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX REGISTRIRANO XXXXXXXXXXX / DATUM (XX/XX/XXXX) XXXXXXXXĆX REGISTRIRANOG XXXXXXXXXXX/ (XX) XXXXXX XXXXXXXXXX XXXXXXX/XXXX XX XXXXXXXXXXXX XXXX'XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXĀX XXĢXXXXĒXXX XXXXXXXXXXXXXĪXXX / XXĢXXXXĒXX XXXXXXXXXXXXXĪXX XXXXXXXXXĀX DATUMS (XX/XX/XXXX)/ (XX) XXXXXXXXXXX XXXXXXXXXXĖ NUTRAUKTA / XXXXXXXXXXĖX NUTRAUKIMO DATA (XX/XX/XXXX)/ (HU) XXXXXŰXX XXXXXXXXXX XXXXXXXXX XXXXXXXXX/X XXXXXXXXXX ÉLETTÁRSI KAPCSOLAT XXXXXŰXXXXXXX IDEJE (XXXX/XX/XX)/ (XX) XĦXXXXX XXĠXXXXXXX XXXXX X XXXX (XX/XX/XXXX) XXX-XXXXXXXXX TAS-SĦUBIJA XXĠXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXX XXXXXXXXXXXX/XXXXX (XX/XX/XXXX) XXX XXXXXXXXXX XXX XXX XXXXXXXXXXXX/ (PL) XXXXXĄXXXXX ZAREJESTROWANEGO XXXĄXXX XXXXXXXXXXXXX / XXXX (XX/XX/XXXX) XXXXXĄXXXXX ZAREJESTROWANEGO XXXĄXXX PARTNERSKIEGO/ (XX) XXXXXXXX XXXXXXXXX DISSOLVIDA/DATA XX XXXXXXXÇÃX DA XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXXXX ÎXXXXXXXXXX XXXXXXXX/XXXX (XX/XX/XXXX) XXXXXXĂXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXX XXXX XXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXX REGISTROVANÉHO XXXXXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX XXXXXXXX XX XXXXXXXXX/XXXXX (XX/XX/XXXX) PRENEHANJA XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (FI) XXXXXXXXÖXXX XXXXXXXXX XXXXXXX/XXXXXXXXXXX XXXXXXXXXÄXXÄ (PP/KK/VVVV)/ (XX) XXXXÖXX XXXXXXXXXXX XXXXXXXXXXX/XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXXÖXXXXX XX XXXXXXXXXXXXX

5.2.3

(XX) С ПОЧИНАЛ ПАРТНЬОР/ДАТА (ДД/ММ/ГГГГ) НА СМЪРТТА НА ПАРТНЬОРА/ (XX) MIEMBRO XXXXXXXXXX XX UNA XXXXX XX XXXXX XXXXXXXXXX / XXXXX (XX/XX/XXXX) DE XXXXXXXXXXXXX XX LA XXXXXX XX HECHO XXXXXXXXXX/ (XX) XXXXXXXX PARTNER – PARTNERKA/DATUM (XX/XX/XXXX) XXXXX PARTNERA – XXXXXXXXX/ (XX) XÆXXXXXXXXXXX XXXXXXX/XXXX (XX/XX/ÅÅÅÅ) XXX XXXXXXXX XØX/ (XX) ÜXXXXXXXXXXX XXXXXXX/XXXXXXXXXXX (XX/XX/XXXX) XXX XXXXXXXX/ (XX) ÜXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX / REGISTREERITUD ELUKAASLASE XXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΕΠΙΖΩΝ(-ΣΑ) ΣΥΝΤΡΟΦΟΣ / ΗΜΕΡΟΜΗΝΊΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΘΑΝΑΤΟΥ ΣΥΝΤΡΟΦΟΥ/ (EN) XXXXXXXXX XXXXXXX/ XXXX (XX/XX/XXXX) OF PARTNER'S XXXXX/ (XX) XXXXXXXXXX XXXXXXXXX/XXXX (XX/XX/XXXX) DU XXXÈX XX XXXXXXXXXX/ (XX) XXXXXXXXX MARTHANACH/ XXXX (XX/XX/XXXX) XXXX XX PHÁIRTNÉARA/ (HR) XXXXXXXXXX XXXXXXX / XXXXX (DD/MM/GGGG) SMRTI XXXXXXXX/ (IT) XXXXXXX XXXXXXXXXX/XXXX DI XXXXXXX XXX PARTNER (XX/XX/XXXX)/ (XX) XĀXXXĪXXXXXXXX XXXXXXXXX / XXXXXXXX XXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXĘX (-XXX) PARTNERIS (-Ė) / XXXXXXXXX (-ĖX) XXXXXXX DATA (XX/XX/XXXX)/ (XX) TÚLÉLŐ XXXXXXXX/XX XXXXXXXX XXXXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXĦXX(/XXXĦXX) SUPERSTITI X XXXX (XX/XX/XXXX) XXX-XXXX XXX-XXXĦXX(/XXXĦXX)/ (XX) XXXXXXXXXXX XXXXXXX/XXXXX (XX/XX/XXXX) XXX XXXXXXXXXX XXX DE XXXXXXX/ (XX) XXXXXXX XXXXXXXXĄXX XXXX ŻYCIU / DATA (XX/XX/XXXX) XXXXX DRUGIEGO XXXXXXXX/ (XX) XXXXXXXX(X) SOBREVIVO(A)/ XXXX DO XXXXX XX(X) XXXXXXXX(X) (DD/MM/AAAA)/ (XX) XXXXXXXX XXXXXXXXȚXXXXX/XXXX (XX/XX/XXXX) DECESULUI XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX/XXXXX (XX/XX/XXXX) XXXXXX PARTNERA/ (XX) XXXXXXXXX XXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXXXXX XXXXX/ (XX) XXXXXXÄÄXXX XXXXXXXX/XXXXXXXXX XXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXXXXXXXXX XXXXXXX/XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXXXXXXX DÖD

5.3

(BG) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) UNBESTIMMT/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) INDÉTERMINÉ/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (IT) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (LT) XXXXXXXXXXX/ (XX) MEGHATÁROZATLAN/ (XX) MHUX XXXXXXXXX/ (XX) ONBEPAALD/ (PL) XXXXXXXXXXX/ (XX) NÃO XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) NEURČENÉ/ (SL) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

6.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX PARA XX XXXXX/ (CZ) XXXX PRO XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) SIGNATURE XXX/ (XX) CADRE XXXX XX XXXXXXXXX/ (XX) XXXXX XXX XXXXX/ (XX) XXXXX ZA XXXXXX/ (XX) RIQUADRO XXX XX FIRMA/ (XX) PARAKSTA XXXXX/ (XX) XXXXXX XXXXXXXX/ (XX) XX ALÁÍRÁS XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX XX XXXXXXXXXXXX/ (XX) XXXX XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (RO) XXXXĂXXXX/ (XX) XXXXXXX XX PODPIS/ (XX) XXXXX XX XXXXXX/ (XX) ALLEKIRJOITUSKENTTÄ/ (XX) XXXX FÖR UNDERTECKNANDE

6.1

(BG) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X NOMBRE(S) XXX XXXXXXXXXXX XXX XXXXXXX ESTE IMPRESO/ (XX) XXXXXXXX X XXXXX (XXXXX) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (DA) EFTERNAVN(E) XX XXXXXXX(X) XÅ XXX EMBEDSMAND, DER XXX XXXXXXX XXXXX XXXXXXXX/ (DE) FAMILIENNAME(N) XXX XXXXXXX(X) XXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXX (-XXXXX) XX PEREKONNANIMI (-XXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) AND XXXXXXXX(X) OF XXX XXXXXXXX XXX ISSUED XXXX FORM/ (XX) XXX(X) XX XXXXXX(X) XX FONCTIONNAIRE XXX X XXXXXXX LE XXXXXXX XXXXXXXXXX/ (GA) XXXXXXX (SLOINNTE) AGUS XXXXXXXX (XXXXXXXXXXXXXX) XX XXXXXXXX X X’XXXXXX XX FHOIRM XXX/ (XX) XXXXXXX(XX) I XXX(XX) SLUŽBENIKA XXXX XX XXXXX OVAJ XXXXXXX/ (XX) XXXXXXX/X X XXXX/X DEL XXXXXXXXXXX CHE HA XXXXXXXXXX XX PRESENTE XXXXXX/ (LV) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, XXXĀXXX(-X) XX XĀXXX(-X)/ (LT) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖX) XX XXXXXX (-XX)/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXX XXXX(X) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X ISEM(/ISMIJIET) XXX-XXXXĊXXX LI ĦXXXĠ XXX XX-XXXXXXX/ (XX) XX(X)X(XX) EN XXXXXX(X)X(XX) XXX DE XXXXXXXXX XXX XXX FORMULIER XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) X XXXĘ (XXXXXX) XXXĘXXXXX, KTÓRY XXXXŁ NINIEJSZY XXXXXXXXX/ (XX) XXXXXXX(X) X XXXX(X) PRÓPRIO(S) XX XXXXXXXXXXX XXX EMITIU X XXXXXXXX XXXXXXXXXX/ (XX) NUMELE ȘX XXXXXXXXX XXXXȚXXXXXXXXX CARE X EMIS PREZENTUL XXXXXXXX/ (XX) PRIEZVISKO(-Á) X MENO(-Á) ÚRADNÍKA, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) PRIIMEK/PRIIMKI XX IME/IMENA URADNIKA, XX JE XXXXX XX OBRAZEC/ (FI) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXXXXX (-XXXXX) XX ETUNIMI (-NIMET)/ (XX) XXXXXXXXX XXX XÖXXXXX XÅ DEN XXÄXXXXXXX XXX XXX XXXÄXXXX DETTA FORMULÄR

6.2

(BG) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX XXXXXXXXXXX XXX XXXXXXX XXXX IMPRESO/ (XX) XXXXXX ÚŘEDNÍKA, XXXXX XXXXX TENTO XXXXXXXX/ (DA) XXXXXXXX — XXX EMBEDSMAND, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX XXX XXXXXXX, XXX XXXXXX FORMULAR XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX VORMI XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXX OF XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) XXXXX DU FONCTIONNAIRE XXX X XXXXXXX XX PRÉSENT XXXXXXXXXX/ (XX) POST XX XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (XX) FUNKCIJA XXXXXXXXXX XXXX XX XXXXX XXXX OBRAZAC/ (IT) XXXXXXXXX XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX PRESENTE XXXXXX/ (XX) AMATPERSONAS, XXXX XXXXXXXX XX XXXXXXXX, XXXXX/ (LT) XXĄ XXXXĄ IŠDAVUSIO XXXXXXŪXX XXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX TISZTVISELŐ XXXXXXXXX/ (MT) KARIGA XXX-XXXXĊXXX LI ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX VAN XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX XX FUNCIONÁRIO XXX XXXXXX O XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX FORMULAR/ (XX) XXXXXXX XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XX XX XXXXX XX OBRAZEC/ (XX) TÄMÄN XXXXXXXXX XXXXXXXX VIRKAMIEHEN XXXXX/ (XX) BEFATTNING FÖR XXX XXÄXXXXXXX XXX XXX XXXÄXXXX DETTA XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (DA) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (XX/XX/XXXX) OF ISSUE/ (XX) XXXX (XX/XX/XXXX) XX DÉLIVRANCE/ (XX) XXXX (LL/MM/BBBB) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX RILASCIO (XX/XX/XXXX)/ (XX) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (HU) X KIÁLLÍTÁS DÁTUMA (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXX-ĦXXĠ/ (NL) XXXXX (DD/MM/JJJJ) VAN XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (PT) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (RO) DATA (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (FI) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) DATUM (XX/XX/ÅÅÅÅ) FÖR XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (ES) XXXXX/ (XX) XXXXXX/ (DA) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (XX) SEMNĂTURA/ (XX) XXXXXX/ (XX) XXXXXX/ (FI) ALLEKIRJOITUS/ (XX) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX O TIMBRE/ (XX) XXXXX NEBO XXXXXXX/ (XX) XXXX XXXXX STEMPEL/ (XX) XXXXXX ODER STEMPEL/ (XX) PITSER XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX OR XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXX XXX XXXXX/ (XX) XXXXX X XXXXXX/ (XX) XĪXXXX XXX XXXXXXXX/ (XX) SPAUDAS XXXX XXXXXXXXXX/ (XX) XXXXXX XXXX BÉLYEGZŐLENYOMAT/ (MT) XXĠXXX XXX TIMBRU/ (XX) XXXXX OF XXXXXXX/ (XX) XXXXXĘĆ XXX XXXXXXX/ (XX) XXXX XX XXXXXXX/ (XX) SIGILIUL XXX ȘXXXXXXX/ (SK) PEČAŤ XXXXX XXXXXXXX PEČIATKY/ (XX) PEČAT ALI XXX/ (XX) SINETTI XXX XXXXX/ (XX) XXXXXX ELLER XXÄXXXX

BYDLIŠTĚ nebo XXXXX POBYTU

VÍCEJAZYČNÝ XXXXXXXXXX XXXXXXXX – POMŮCKA XXX XXXXXXX

Xxxxxx 7 xxxxxxxx Evropského xxxxxxxxxx x Xxxx (XX) 2016/1191 xx dne 6. xxxxxxxx 2016 x xxxxxxx xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxx xx předkládání xxxxxxxxx xxxxxxxxx xxxxxx x Xxxxxxxx unii x x xxxxx xxxxxxxx (EU) x. 1024/2012 (1) (2)

Belgie (XX) Xxxxxxxxx (BG)

Česká xxxxxxxxx (CZ)

Dánsko (XX) Xxxxxxx (DE)

Estonsko (EE) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (HR)

Itálie (IT) Xxxx (CY)

Lotyšsko (XX) Xxxxx (LT)

Lucembursko (XX)

Xxxxxxxx (XX) Xxxxx (MT)

Nizozemsko (XX) Rakousko (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Finsko (FI)

Švédsko (XX) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx účelem xxxxxx vícejazyčného standardního xxxxxxxxx je usnadnění xxxxxxxx veřejné xxxxxxx, x xxx je xxxxxxxx. Xxxxx xxxxxxxx xx xxxx členskými xxxxx nesmí xxxxxxxxx xxxx xxxxxxxxxx xxxxxxxx.

Xxxxx xxxxxxxx odráží xxxxx xxxxxxx xxxxxxx, x xxx xx xxxxxxxx. Xxxxx, xxxxx xx xxxxxxx xxxxxxx předkládána, xxxx xxxx x xxxxxxxxx, kdy xx xx xxxxxxxx pro xxxxx zpracování veřejné xxxxxxx, xxxxxxxxx xxxxxxx xx přepis xxxxxxxxx, xxxxx jsou xx xxxxxxxxx uvedeny.

UPOZORNĚNÍ XXX XXXXXXXXXX XXXXX

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

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

1. XXXXX XXXXXXXXXX TENTO FORMULÁŘ

1.1 Xxxxx (4)

2. XXXXX XXXXXXXXXX VEŘEJNOU LISTINU, X NÍŽ JE XXXXXXXX XXXXX FORMULÁŘ

1.1 Xxxxx (5)

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

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

3.1.1 Xxxxxxxxxx soudu

3.1.2 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx vydaná xxxxxx soudním úředníkem

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

3.1.5 Jiné (xxxxxxxxx)

(1) Xx. věst. L 200, 26.7.2016, x. 1.

(2) Xxx xxxxx xxxxxx nařízení xx xxxxx „xxxxxxxx“ x „xxxxx pobytu“ měly xxx xxxxxxxxx v xxxxxxx x vnitrostátním xxxxxx.

(3) Xxx xxxxxxxxxx xxxxx použijte xxxxxxx xxxxx.

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

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

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x xxxxxxx

3.2.3 Xxxxx x xxxxxxxx xxxxxxxx

3.2.4 Xxxx xxxxxxxxxx záznamů

3.1.5 Xxxx (upřesněte)

3.3 Xxxxxxxx xxxxxxx

3.4 Úřední osvědčení, xxxxxx xxxx opatřena xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

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

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Referenční číslo xxxxxxx xxxxxxx

4. INFORMACE X XXXXXXX OSOBĚ

4.1 Xxxxxxxx

4.2 Xxxxx (jména)

4.3 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.4 Xxxxx (1) a xxxx (2) xxxxxxxx

4.5 Xxxxxxx:

4.5.1 Xxxx

4.5.2 Muž

4.5.3 Xxxxxxxx

5. SOUČASNÉ XXXXXXXX XXXX XXXXX POBYTU XXXXX XXXXXXX VE XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX

5.1 Xxxxxxxx

5.1.1 Xxxxxx:

5.1.1.1 Xxxxx x xxxxx xxxx / xxxxxxxx přihrádka

5.1.1.2 Xxxxx x poštovní xxxxxxxxx xxxxx

5.1.1.3 Xxxx (1)

5.2 Xxxxx xxxxxx

5.1.1 Xxxxxx:

5.1.1.1 Xxxxx a xxxxx xxxx / poštovní xxxxxxxxx

5.1.1.2 Xxxxx x xxxxxxxx směrovací číslo

5.1.1.3 Xxxx (2)

6. XXXX XXX XXXXXX

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

6.2 Xxxxxx xxxxxxxx, xxxxx xxxxx xxxxx xxxxxxxx

6.3 Xxxxx (xx/xx/xxxx) xxxxxx

6.4 Xxxxxx

6.5 Xxxxx nebo xxxxxxx

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

(2) Xxxxx xxxx x – xxxxx existuje – xxx XXX dané xxxx xxxx možnost „Xxxx (xxxxxxxxx)“ xx xxxxx xxxxxx z xxxxxxxxxxx xxxxxxx ve xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxxxxxx, který je x dispozici na xxxxxxx evropské e-justice.

VÍCEJAZYČNÝ XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXXXX xxxx MÍSTO XXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX QUE EXPIDE XXXX XXXXXXX/ (CZ) XXXXX VYDÁVAJÍCÍ XXXXX XXXXXXXX/ (DA) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) BEHÖRDE, XXX XXXXXX FORMULAR XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX XÄXXX ANDNUD XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX XXXX/ (XX) XXXXXXXX DE DÉLIVRANCE XX PRÉSENT XXXXXXXXXX/ (XX) AN tÚDARÁS X XXXXXXXX AN XXXXXX SEO/ (XX) XXXXXX XXXX IZDAJE XXXX XXXXXXX/ (IT) XXXXXXXÀ XXX XXXXXXXX XX PRESENTE XXXXXX/ (XX) XXXXXXXXX IZDEVĒJIESTĀDE/ (XX) ŠIĄ XXXXĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX HATÓSÁG/ (XX) XXXXXXXÀ XXXXXXXXX TA' XXX IL-FORMOLA/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX FORMULIER/ (XX) ORGAN XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX QUE XXXXX X XXXXXXXX FORMULÁRIO/ (XX) AUTORITATEA XXXXXXXĂ X PREZENTULUI XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX, KI IZDA XX OBRAZEC/ (FI) XÄXÄX XXXXXXXXX ANTAVA XXXXXXXXXXXX/ (XX) XXXXXXXXX XXX UTFÄRDAR XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (ES) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) NIMETUS/ (XX) ΟΝΟΜΑΣΙΑ/ (EN) XXXXXXXXXXX/ (XX) DÉNOMINATION/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (LV) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (HU) XXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) DESIGNAÇÃO/ (XX) DENUMIRE/ (XX) XXXXX/ (SL) XXX/ (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 SE XXXXXXX ESTE XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, K XXX XX PŘILOŽEN XXXXX XXXXXXXX/ (XX) XXX XXXXXXXXX, XXX XXX XXXXXXX XXX XXXXXXXXXX DOKUMENT, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXÖXXX, XXX DIE ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX, XXXXXXXXX/ (XX) ASUTUS, XXX XXXXX XÄXXX XXXXXXX XXXXXXXXX, MILLELE XXX XXXX XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX ISSUING XXX XXXXXX XXXXXXXX XX XXXXX THIS XXXX XX XXXXXXXX/ (FR) XXXXXXXX XX XXXXXXXXXX XX XXXXXXXX PUBLIC XXXXXX XXX JOINT XX XXXXXXX FORMULAIRE/ (XX) AN xXXXXXX X XXXXXXXX XX XXXXXXXXX POIBLÍ XXXX XXXXXX AN XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXX KOJE XXXXXX XXXXX XXXXXXX XXXXX XX OVAJ XXXXXXX XXXXXXXX/ (IT) AUTORITÀ XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX CUI XX XXXXXXXX MODULO È XXXXXXXX/ (LV) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX IR XXXXXXXXXX, IZDEVĒJIESTĀDE/ (LT) XXXXĄXĮ DOKUMENTĄ, PRIE XXXXX XXXXXXXXX XX XXXXX, IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATOT XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ EMITTENTI XXX-XXXXXXXX XXXXXXXX LI MIEGĦU XXXX XXXXXŻX DIN XX-XXXXXXX/ (XX) XXXXXXXXXX XXX AFGIFTE XXX XXX XXXXXXXX XXXXXXXX XXXXXXX DIT FORMULIER XX GEHECHT/ (XX) XXXXX WYDAJĄCY XXXXXXXX XXXĘXXXX, DO XXXXXXX XXXXXXXXX FORMULARZ XXXX XXŁĄXXXXX/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXXX XXXXXXX A XXX X PRESENTE XXXXXXXXXX ESTÁ XXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X DOCUMENTULUI OFICIAL XX XXXX ESTE XXXXXX PREZENTUL XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXX LISTINU, KU XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXX, KI XXXX XXXXX XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXXXX, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX TÄMÄ XXXXXX XXXXXXÄÄX/ (XX) MYNDIGHET XXX XXXÄXXXX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX BIFOGAT

3.

(BG) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) INFORMACIÓN XXXXXXXX XX XXXXXXXXX XXXXXXX XX QUE SE XXXXXXX XXXX XXXXXXX/ (XX) INFORMACE XXXXXXXX XX XXXXXXX XXXXXXX, X XXX JE XXXXXXXX TENTO XXXXXXXX/ (XX) OPLYSNINGER XXXXØXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX FORMULAR XX XXXXÆXXXX/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX BEIGEFÜGT XXX/ (XX) TEAVE XXXXXXX XXXXXXXXX XXXXX, XXXXXXX XXX VORM XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXX XXXXXX XXXXXXXX XX WHICH XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XXXXXXXX X XXXXXXXXX LEIS XX DOICIMÉAD XXXXXX XXXX XXXXXX XX XXXXXX XXX CEANGAILTE/ (XX) XXXXXXXXXXX XXXX XX ODNOSE XX XXXXX ISPRAVU KOJOJ XX XXXX XXXXXXX XXXXXXXX/ (IT) XXXXXXXXXXXX XXXXXXXX AL XXXXXXXXX XXXXXXXX CUI XX XXXXXXXX XXXXXX È XXXXXXXX/ (LV) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX SU XXXXXXXX DOKUMENTU, XXXX XXXXX XXXXXXXXX XX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATRA XXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (NL) XXXXXXXXXX XXXXXXXXXXX HET XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXX DOTYCZĄCE XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX XXXXXXXXX AO XXXXXXXXX PÚBLICO X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX OFICIAL XX XXXX ESTE XXXXXX PREZENTUL XXXXXXXX/ (XX) INFORMÁCIE X XXXXXXXX XXXXXXX, XX XXXXXX JE TENTO XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX V XXXXX X XXXXX XXXXXXX, XX JI XX XXXXXXXX TA OBRAZEC/ (XX) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX TÄMÄ XXXXXX LIITETÄÄN/ (XX) XXXXXXXXXXX XX DEN XXXXXXXXXX HANDLING 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 XXXXXXXXX X UN XXXXXXXXXXX XXXXXXXXX X XXX XXXXXXX XXXXXXXXXXXXXXXX XX XX ESTADO XXXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXX XXXX XXXXXXXXX X XXXXXX XX XXXXX XXXXXX XXXXXXXXX XXXXX/ (XX) DOKUMENT, XXX XX XXXXXXX XX XX MYNDIGHED XXXXX XX XXXXXXXXXX, XXX XX TILKNYTTET XXXXXXXX X EN XXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXÖXXX ODER XXXXX XXXXXXXXXX XXX XXXXX XXX RECHTSPFLEGE XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX ANDNUD XXXXXXXXXXXX XXXXXXXXX XXXXXX AMETIASUTUS XÕX AMETNIK/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX FROM AN XXXXXXXXX XX AN XXXXXXXX XXXXXXXXX XXXX XXX XXXXXX XX XXXXXXXXX XX X XXXXXX STATE/ (XX) XXXXXXXX ÉMANANT D'UNE XXXXXXXX OU D'UN XXXXXXXXXXXXX XXXXXXXX D'UNE XXXXXXXXXXX X'XX ÉTAT XXXXXX/ (XX) XXXXXXXXX X THAGANN X XXXXXX NÓ X XXXXXXXXX A XXXXXX XXXXX AIGE XX XXXX LE XXXXXXXXXX XX XX XXXXX XX CHUID XXXXXXXXX/ (XX) XXXXXXX XXXX XX IZDALO XXXXXX XXX SLUŽBENIK XXXX XXXXXX ČLANICE/ (IT) XXXXXXXXX EMANATO DA XX'XXXXXXXÀ O XX XX FUNZIONARIO XXXXXXXXXXXX XX XXX XXXXX XXXXXXXXXXXXX XX XXX XXXXX XXXXXX/ (XX) XXXXXXXXX, XXXX IZSNIEGUSI XX DALĪBVALSTS XXXXĀX XXXXXĪXX IESTĀDE XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX XXXXXXXX XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ XX VALSTYBĖS XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX XXXX HATÓSÁG XXXX TISZTVISELŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ XXX XXXXĊXXX XX JKOLLHOM RABTA XXX-XXXXX XXX XX-XXXXXXXXX XX' XXXX XXXXXX/ (XX) DOCUMENT XXXXXXXXX XXXX XXX AUTORITEIT XX AMBTENAAR XXXXXXXXX XXX XXX XXXXXXXXXXXX XXXXXXXXX XXX EEN XXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX OD XXXXXX XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX CZŁONKOWSKIEGO/ (XX) DOCUMENTO XXXXXXXXXXX XX XXX AUTORIDADE XX DE UM XXXXXXXXXXX XXXXXXXXXX DE XXXXXXXX XXXXXXXÇÃX DE XX ESTADO-MEMBRO/ (XX) XXXXXXXX XXXX DE X XXXXXXXXXX SAU XX XX XXXXȚXXXXX XX XX XÂXXĂ XXXXXXȚXXX UNUI STAT XXXXXX/ (XX) LISTINA XXXXXX XXXXXXX ALEBO XXXXXXXXX S XÄXXXX XX XXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX, XXXXXX X XXXXXX XXXXXX ALI URADNIKA XXXXX XXXXXXX XXXXXX XXXXXXX/ (XX) ASIAKIRJA, XXXXX ON ANTANUT XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX TAI XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXXXXXXXX XXXXX EN XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (ES) XXXXXXXXXX XXXXXXXX/ (CZ) XXXXXXXXXX XXXXX/ (DA) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) KOHTUOTSUS/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (FR) XXXXXXXX XX JUSTICE/ (XX) XXXXXXXX XX xXXXXX/ (XX) SUDSKA XXXXXX/ (IT) DECISIONE XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (XX) TEISMO XXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (NL) RECHTERLIJKE XXXXXXXXXX/ (XX) ORZECZENIE XĄXXXX/ (XX) XXXXXÃX XXXXXXXX/ (RO) HOTĂRÂRE XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) SODNA XXXXXXX/ (FI) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX FISCAL/ (CZ) XXXXXXX VYDANÁ XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX AF XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, MILLE ON XÄXXX XXXXXX RIIKLIK XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXX XXXXXXXXXX/ (XX) DOCUMENT XXXXXXX XX XXXXXXÈXX XXXXXX/ (GA) XXXXXXXXX X XXXXXXX Ó XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX DRŽAVNO XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX PUBBLICO XXXXXXXXX/ (XX) DOKUMENTS, KURU XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (XX) ÜXXXXX ÁLTAL XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (NL) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX XXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX PÚBLICO/ (RO) XXXXXXXX XXXX XX XX XXXXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXXXXXXX/ (XX) XXXXXXX, KI XX IZDA XXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX ANTAMA XXXXXXXXX/ (XX) HANDLING SOM XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX POR XX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXX XXXXXXX ÚŘEDNÍKEM/ (XX) XXXXXXXX UDSTEDT XX XX JUSTITSSEKRETÆR/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX, XXXXX ON XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) DOCUMENT XXXXXXXXX XXXX X XXXXX XX A XXXXX/ (XX) DOCUMENT XXXXXXX X'XX GREFFIER/ (GA) XXXXXXXXX A THAGANN X XXXXXXXXXX XX XXXXX CÚIRTE/ (HR) XXXXXXX XXXX XX XXXXX UPRAVITELJ XXXXXX XXXXXXXXX/ (IT) XXXXXXXXX XXXXXXX XX UN XXXXXXXXXXX/ (XX) XXXXXXXXX, XXXX IZSNIEDZIS XXXXXX XXXXXXĀXX/ (XX) XXXXXX XXXXXXXXXX XXXXXXXX DOKUMENTAS/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX REĠISTRATUR XX' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX UM XXXXXXX XX JUSTIÇA/ (XX) XXXXXXXX EMIS XX XX XXXXXXX XX XXXXXXȚXX/ (SK) XXXXXXX XXXXXX SÚDNYM XXXXXXXXX/ (XX) LISTINA, XX JO IZDA XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXX/ (XX) HANDLING XXX HÄRRÖR XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („HUISSIER XX XXXXXXX“)/ (ES) DOCUMENTO XXXXXXXX XXX XX XXXXXX XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXX XXXXXX SOUDNÍM XXXXXXXXXXXXX („HUISSIER DE XXXXXXX“)/ (DA) XXXXXXXX XXXXXXX AF XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX KOHTUTÄITUR/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (XX) DOCUMENT XXXXXXXXX XXXX X XXXXXXXX XXXXXXX ('XXXXXXXX DE XXXXXXX')/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX XX XXXXXXX/ (GA) XXXXXXXXX X THAGANN X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX JUSTICE”)/ (XX) XXXXXXX XXXX XX XXXXX XXXXXX XXXXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) DOCUMENTO XXXXXXX XX XX XXXXXXXXX XXXXXXXXXXX ("HUISSIER XX XXXXXXX")/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX IZPILDĪTĀJS (HUISSIER XX XXXXXXX)/ (XX) XXXXXXXXX (HUISSIER DE XXXXXXX) XXXXXXXX DOKUMENTAS/ (XX) BÍRÓSÁGI XXXXXXXXXX („XXXXXXXX DE JUSTICE”) XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX UFFIĊJAL ĠXXXXXXXXXX ('XXXXXXXX DE XXXXXXX')/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN GERECHTSDEURWAARDER/ (XX) DOKUMENT XXXXXXXĄXX XX XXXĘXXXXX SĄDOWEGO (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX ESCRIVÃO XX DIREITO («HUISSIER XX XXXXXXX»)/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX VYDANÁ XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXX, KI JO XXXX XXXXX XXXXXXXXXX („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX XX JUSTICE”) XXXXXX XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX XXÅX XX STÄMNINGSMAN (XXXXXXXX XX JUSTICE)

3.1.5

(BG) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (ESPECIFÍQUESE)/ (XX) JINÉ (XXXXXXXXX)/ (XX) XXXXX (ANGIVES)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) XXX (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (EN) XXXXX (XX XX XXXXXXXXX)/ (XX) AUTRE (À XXXXXXXX)/ (XX) XXXX (XX XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (IT) XXXXX (XXXXXXXXX)/ (XX) XXXX (PRECIZĒT)/ (LT) XXXX (XXXXXXXX)/ (XX) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) OĦRAJN (XXXXXĊXŻX)/ (XX) OVERIGE (SPECIFICEREN)/ (XX) INNY (PROSZĘ XXXXŚXXĆ)/ (PT) OUTROS (X XXXXXXXXXXX)/ (XX) XXXXX (X SE XXXXXXX)/ (SK) XXX (XXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) XXXXX HANDLING (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (ES) XXXXXXXXX ADMINISTRATIVO/ (XX) XXXXXXX VYDANÁ XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (EL) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ (XX) UPRAVNA XXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (LT) XXXXXXXXXXXXXXX XXXXXXXXXX/ (HU) KÖZIGAZGATÁSI XXXXXX/ (MT) XXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (PL) XXXXXXXX XXXXXXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (SL) XXXXXXX XXXXXXX/ (FI) HALLINNOLLINEN XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (HR) XXXXXXX/ (IT) CERTIFICATO/ (XX) XXXXXXXXĀXXXX/ (LT) XXXXXX, LIUDIJIMAS/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (PL) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (RO) XXXXXXXXXX/ (SK) OSVEDČENIE/ (XX) XXXXXXXX/ (FI) XXXXXXXX/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX DEL XXXXXXXX XXXXX/ (XX) XXXXX X XXXXXXX/ (XX) XXXXXX FRA XXXXXXXXXXXXXXXXXXXX/ (XX) AUSZUG XXX XXX PERSONENSTANDSREGISTER/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (EN) XXXXXXX XXXX XXX XXXXX XXXXXX REGISTER/ (XX) XXXXXXX XX REGISTRE XX L'ÉTAT CIVIL/ (XX) SLIOCHT XX XX gCLÁR XXXXXXX XXXXXXXXXX/ (HR) XXXXXXX XX XXXXXXXX OSOBNOG XXXXXX/ (XX) XXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXX XX XXXXXXXĀXXXĻX XXXX XXĢXXXXX/ (XX) XXXXXXX XX CIVILINĖS XŪXXĖX XXXŲ XXXXXXXX/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (NL) XXXXXXXXXX XXX XXX XXXXXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXXXXX AKTU XXXXX CYWILNEGO/ (XX) XXXXXXX DE XXXX XX XXXXXXX CIVIL/ (XX) XXXXXX XXX XXXXXXXXX XX STARE XXXXXĂ/ (XX) XXXXX X XXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXX XX XXXXXXXX O XXXXXXX STANJU/ (XX) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) XXXXXX XX FOLKBOKFÖRINGEN

3.2.3

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX XXX CENSO/ (XX) XXXXX X XXXXXXXX OBYVATEL/ (DA) XXXXXX FRA XXXXXXXXXXXXXX/ (XX) XXXXXX AUS XXX MELDEREGISTER/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX XXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XX REGISTRE XX XX POPULATION/ (XX) XXXXXXX XX XX xXXXX XXXXXX/ (XX) XXXXXXX IZ XXXXXX STANOVNIŠTVA/ (XX) XXXXXXXX ANAGRAFICO/ (LV) XXXXXXXX XX XXXXĪXXXĀXX XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXXŲ XXXXXXXX/ (XX) XXXXXXX A XXXXXXXXXXXX- ÉS XXXXXXXXXXXXXXXXXXXXXX/ (XX) ESTRATT MIR-REĠISTRU XXX-XXXXXXXXXXXX/ (NL) XXXXXXXXXX XXX HET BEVOLKINGSREGISTER/ (XX) XXXXĄX Z XXXXXXXX XXXXXŚXX/ (XX) XXXXXXX DO XXXXXXX XX XXXXXXÇÃX/ (XX) XXXXXX XXX XXXXXXXXX XX XXXXXXȚĂ X XXXXXXȚXXX/ (XX) XXXXX X XXXXXXXX OBYVATEĽOV/ (XX) XXXXXXX IZ XXXXXXXX XXXXXXXXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) UTDRAG XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX XX XXXXX DEL XXXXXXXX XXXXX/ (XX) XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXX XX CIVILSTANDSREGISTRE/ (DE) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (EL) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX OF XXXXX XXXXXX XXXXXXX/ (FR) XXXXX XXXXXXXXX X'XXXXX XX X'XXXX XXXXX/ (XX) CÓIP FOCAL XX FHOCAL XX XXXXXXX XX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XX XXXXXXXXXX X XXXXXXX STANJU/ (XX) COPIA XXXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX REĢISTRA XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) CIVILINĖS XŪXXĖX XXXŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX SZÓ XXXXXXXX XXXXXXXX/ (XX) KOPJA XXXXXXXX TAL-ATTI XXX-XXXXX ĊXXXXX/ (NL) XXXXXXXXXXX XXXXXXXXX XXX XXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) ODPIS XXXXŁXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXÃX XX XXXXX XXXXXXXX XX XX XXXXXXXXX XX XXXX DE XXXXXXX XXXXX/ (XX) XXXXX EXACTĂ X XXXX XXX XX XXXXX CIVILĂ/ (XX) XXXXXXXX XXXXX ZO XXXXXXX O XXXXXXX XXXXX/ (XX) XXXXXXXXX XXXXXX XXXXXX X XXXXXXX STANJU/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (XX) NOTÁŘSKÁ XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (DE) XXXXXXXXXX XXXXXXX/ (ET) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX ACT/ (XX) XXXX XXXXXXX/ (XX) GNÍOMH NÓTAIREACHTA/ (XX) JAVNOBILJEŽNIČKA ISPRAVA/ (XX) XXXX XXXXXXXX/ (XX) NOTARIĀLS AKTS/ (XX) XXXXXXXXX XXXXX/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) ATT XXXXXXXX/ (XX) NOTARIËLE XXXX/ (XX) XXX XXXXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXX XXXXXXXXX/ (XX) NOTARIELL XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) CERTIFICACIÓN XXXXXXX XXXXXX SOBRE UN XXXXXXXXX XXXXXXX/ (CZ) XXXXXX XXXXXXXXX, XXXXXX XXXX XXXXXXXX XXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXX XÅXXXXXXX XÅ XX XXXXXXXX XXXXXXXXXXX XX XX XXXXXX I XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (XX) AMTLICHE XXXXXXXXXXXXX XXX XXXXX PRIVATURKUNDE/ (XX) ISIKU XXXXX XXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX XXXXXXX XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (EN) XXXXXXXX XXXXXXXXXXX XXXXXX XX X XXXXXXXX XXXXXX XX A XXXXXX XX XXX XX XXX XXXXXXX CAPACITY/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX UN XXXX XXXX XXXXX XXXXX/ (GA) XXXXXXXX XXXXXXXXX X XXXXXXXXX XX XXXXXXXXXX ARNA XXXXXX AG DUINE XXX XXXXX NÓ XXX XXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX XX XXXXXXX XXXX XX XXXXX XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX XXX SCRITTURA PRIVATA/ (XX) XXXXXĀXX APLIECINĀJUMS XX XXXXXXXXX, KO XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (XX) XXXXXXXŲ ASMENŲ PASIRAŠYTŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (MT) ĊXXXXXXXXX XXXXĊXXXX XX XXXXXXXĦXX F'DOKUMENT XXXXXXXX XXXX PERSUNA FIL-KAPAĊITÀ XXXXXXX TAGĦHA/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXX ONDERTEKEND XXXX EEN PERSOON XX XXXX PARTICULIERE XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX UMIESZCZONE NA XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ DZIAŁAJĄCĄ X XXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÃX OFICIAL INSERTA XXX XXX XX XXXXXXXX PRIVADA/ (RO) XXXXXXXXXX XXXXXXX APLICAT XX UN XXXXXXXX XXX SEMNĂTURĂ PRIVATĂ/ (XX) ÚRADNÉ XXXXXXXXXX XXXXXXX NA XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX XXXXX/ (XX) URADNA XXXXXX XX ZASEBNI XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, XXXXX XXXXXXÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX INTYG XXXXXXXXX PÅ EN XXXXXXXX XXX UNDERTECKNATS XX XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX XXX UN XXXXXX DIPLOMÁTICO X XXXXXXXX XX UN XXXXXX XXXXXXX XXX XXXXXXXX OFICIAL/ (XX) XXXXXXX VYHOTOVENÁ DIPLOMATICKÝM XXXXXXXXX NEBO XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X RÁMCI VÝKONU XXXX SLUŽEBNÍCH POVINNOSTÍ/ (XX) DOKUMENT XXXXXXXXX XXXÆXXXXXX XX XX XXXXXXXXXXXX XXXXXXXXXXXX ELLER XXXXXXÆXX XXXXÆXXXXXXX/ (DE) XXX XXXXX DIPLOMATISCHEN XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX MITGLIEDSTAATS XX XXXXXX XXXXXXXXX FUNKTION XXXXXXXXXX XXXXXXX/ (ET) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ / (XX) DOCUMENT XXXXX XX BY X DIPLOMATIC XX XXXXXXXX XXXXX OF X MEMBER STATE XX XXX OR XXX OFFICIAL XXXXXXXX/ (XX) DOCUMENT ÉTABLI XX XX XXXXXXX XXXXXXXXXX XXX XX XXXXX DIPLOMATIQUE OU XXXXXXXXXX X'XX ÉTAT XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX SUAS XX XXXXXXXXXX TAIDHLEOIREACHTA XX XXXXXXXXX DE XXXXX XXXXXXXXX INA XXXXX NÓ XXX XXXX OIFIGIÚIL/ (XX) XXXXXXX XXXX JE X XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX PREDSTAVNIK XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX XXXXXXXXXXX X CONSOLARI XX UNO XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX XXXX FUNZIONI/ (XX) XXXXXXXXX, XXXX, XXXXXX XXXXX PIENĀKUMUS, XXXXXXXXXXX XXXĪXXXXXXX DIPLOMĀTISKAIS XXX XXXXXXĀXXXX XĀXXXĀXXX/ (LT) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX DIPLOMATO XX XXXXXXXXXX PAREIGŪNO, VEIKIANČIO XXXXX XXXXXXXXXX ĮGALIOJIMUS/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX VAGY KONZULI XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX OKIRAT/ (XX) DOKUMENT IMĦEJJI XXXX XĠXXX DIPLOMATIKU XXX KONSULARI XX' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX XXXX XX DIPLOMATIEKE OF XXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX IN XXXX XXXXXXËXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX URZĘDOWYM / (XX) DOCUMENTO XXXXXXX POR UM XXXXXX DIPLOMÁTICO XX XXXXXXXX XX XX XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX FUNÇÕES XXXXXXXX/ (RO) DOCUMENT ÎXXXXXXX XX XĂXXX XX AGENT DIPLOMATIC XXX CONSULAR AL XXXX STAT XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X RÁMCI XXXXXX XXXX XXXXXXX/ (XX) LISTINA, KI XX XXX XXXXXX XXXXX XXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX JÄSENVALTION XXXXXXXXXXXXXX EDUSTAJA XXX XXXXXXXXXXXXXXX ON LAATINUT XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXÄXXXX X XXÄXXXXX XX EN XXXXXXXXXXX XXXXX XXXXXXÄX TJÄNSTEMAN X XX MEDLEMSSTAT

3.6

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (DA) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) DATE (DD/MM/YYYY) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) EISIÚNA/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX DI XXXXXXXX (GG/MM/AAAA)/ (LV) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) XXXXXXXX DATA (XX/XX/XXXX)/ (HU) X XXXXXXXXX XXXXXX (ÉÉÉÉ/HH/NN)/ (XX) DATA (XX/XX/XXXX) XXX-ĦXXĠ/ (NL) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (PT) DATA XX EMISSÃO (DD/MM/AAAA)/ (XX) XXXX (ZZ/LL/AAAA) XXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) VYDANIA/ (XX) XXXXX (DD/MM/LLLL) IZDAJE/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX REFERENCIA XXX XXXXXXXXX PÚBLICO/ (XX) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXX REFERENCENUMMER/ (XX) KENNNUMMER XXX ÖXXXXXXXXXXX URKUNDE/ (ET) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX XX XXX PUBLIC XXXXXXXX/ (FR) XXXXXX XX RÉFÉRENCE XX XXXXXXXX PUBLIC/ (XX) XXXXXX THAGARTHA XX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX BROJ XXXXX XXXXXXX/ (XX) XXXXXX XX RIFERIMENTO XXX XXXXXXXXX XXXXXXXX/ (LV) XXXXXXXĀ XXXXXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXX/ (XX) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) NUMRU XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (NL) XXXXXXXXXXXXXXXX XXX HET XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX URZĘDOWEGO/ (XX) NÚMERO DE XXXXXÊXXXX DO DOCUMENTO XXXXXXX/ (XX) XXXĂXXX XX REFERINȚĂ XX XXXXXXXXXXXX XXXXXXX/ (SK) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX JAVNE XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (ES) INFORMACIÓN XXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXX O XXXXXXX OSOBĚ/ (XX) XXXXXXXXXXX XX DEN XÅXÆXXXXXX PERSON/ (DE) XXXXXXX XXX XXXXXXXXXXXX XXXXXX/ (XX) ASJAOMAST XXXXXX XÄXXXXXX TEAVE/ (XX) ΣΤΟΙΧΕΊΑ ΤΟΥ ΠΡΟΣΏΠΟΥ ΤΟ ΟΠΟΊΟ ΑΦΟΡΆ ΤΟ ΈΝΤΥΠΟ/ (XX) XXXXXXXXXXX ON XXX XXXXXX CONCERNED/ (XX) INFORMATIONS SUR XX XXXXXXXX CONCERNÉE/ (XX) FAISNÉIS XXXXXX XXXX XX XXXXX XXXX xXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXX XXXXXXX INTERESSATA/ (XX) INFORMĀCIJA XXX XXXXXXĪXX XXXXXXX/ (XX) XXXXXXXXXXX APIE ATITINKAMĄ XXXXXĮ/ (XX) XX XXXXXXXX XXXXXXXXX VONATKOZÓ XXXXXX/ (MT) XXXXXXXXXXXXX XXXX XX-XXXXXXX XXXXĊXXXXXX/ (XX) XXXXXXXXXX XXXX XX BETROKKENE/ (PL) XXXX XXXXX, KTÓREJ XXXXXXX XXXXXXXX/ (PT) XXXXXXXÇÕXX XXXXX A XXXXXX XX XXXXX/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXX VIZATĂ/ (XX) XXXXXXXXXX X XXXXXXXXX XXXXX/ (XX) XXXXXXXXXXX X XXXXXXX OSEBI/ (XX) XXXXXXXXXXXX HENKILÖN XXXXXX/ (SV) XXXXXXXXX XX XXX XXXÖXXX XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) APELLIDO(S)/ (CZ) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (XX) FAMILIENNAME(N)/ (ET) XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (XX) SURNAME(S)/ (XX) XXX(X)/ (XX) XXXXXXX (XXXXXXXX)/ (XX) XXXXXXX(XX)/ (XX) XXXXXXX(X)/ (XX) XXXĀXXX(-X)/ (LT) XXXXXXĖ (-ĖX)/ (XX) XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (XX) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (XX) XXXXXXX(X)/ (XX) NUME/ (XX) XXXXXXXXXX(-X)/ (XX) XXXXXXX(XXXXXXX)/ (FI) XXXXXXXX (-XXXXX)/ (SV) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (CZ) XXXXX (XXXXX)/ (XX) XXXXXXX(X)/ (XX) VORNAME(N)/ (XX) XXXXXXX (-NIMED)/ (EL) ΟΝΟΜΑ (-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) CÉADAINM (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (IT) XXXX(X)/ (LV) VĀRDS(-I)/ (XX) XXXXXX (-XX)/ (XX) UTÓNEVE(I)/ (XX) XXXX(/XXXXXXXX)/ (XX) VOORNA(A)M(EN)/ (XX) XXXĘ (IMIONA)/ (XX) XXXX(X) PRÓPRIOS(S)/ (XX) XXXXXXX/ (SK) XXXX(-X)/ (SL) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (XX) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) NAROZENÍ/ (XX) XØXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) SÜNNIKUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΊΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (EN) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (JJ/MM/AAAA) XX NAISSANCE/ (GA) XXXX (LL/MM/BBBB) XXXXXXX/ (XX) XXXXX (DD/MM/GGGG) XXĐXXXX/ (XX) DATA XX NASCITA (GG/MM/AAAA)/ (XX) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (XX) GIMIMO XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (NL) XXXXXXXXXXXXX (XX/XX/XXXX)/ (PL) DATA (XX/XX/XXXX) XXXXXXXXX/ (PT) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) NAȘTERII/ (SK) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXXX/ (FI) SYNTYMÄAIKA (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.4

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) LUGAR X XXXX XX NACIMIENTO/ (XX) XXXXX X XXXX NAROZENÍ/ (XX) XØXXXXXX XX -LAND/ (XX) XXX UND XXXX XXX XXXXXX/ (XX) XÜXXXXXXX XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX XXX XXXXXXX OF XXXXX/ (XX) LIEU XX XXXX DE NAISSANCE/ (XX) XXX XXXX XXX XXXXXXXX/ (XX) XXXXXX I XXXXXX XXĐXXXX/ (XX) XXXXX X XXXXX XX XXXXXXX/ (LV) XXXXXXXXX XXXXX XX XXXXXX/ (XX) XXXXXX XXXXX XX ŠALIS/ (XX) XXÜXXXXXX HELYE XX XXXXXXX/ (XX) POST X XXXXXŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX XX -XXXX/ (XX) XXXXXXX X XXŃXXXX URODZENIA/ (XX) XXXXX X XXXX XX NASCIMENTO/ (XX) XXXXX ȘI ȚXXX XXȘXXXXX/ (XX) XXXXXX A XXXX XXXXXXXXX/ (XX) KRAJ XX XXXXXX XXXXXXX/ (XX) XXXXXXÄXXXXXX JA -XXX/ (XX) XÖXXXXXXXX XXX -XXXX

4.5

(XX) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (XX) XØX/ (XX) XXXXXXXXXX/ (ET) XXXX/ (XX) ΦΥΛΟ/ (XX) SEX/ (XX) XXXX/ (GA) XXXXXX/ (XX) XXXX/ (IT) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (HU) XXXX/ (XX) SESS/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (PT) XXXX/ (XX) SEXUL/ (XX) XXXXXXXX/ (XX) SPOL/ (XX) XXXXXXXXX/ (SV) XÖX

4.5.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) XXXX/ (XX) XXXXXX/ (DE) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (HR) XXXXXX/ (XX) FEMMINILE/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XŐ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) ŽENSKI/ (XX) XXXXXX/ (XX) KVINNA

4.5.2

(BG) МЪЖКИ/ (ES) VARÓN/ (XX) MUŽ/ (XX) XXXX/ (XX) XÄXXXXXX/ (XX) XXXXXXXXX/ (EL) ΑΡΡΕΝ/ (XX) XXXX/ (XX) MASCULIN/ (XX) XXXXXXX/ (HR) XXXXX/ (XX) XXXXXXXX/ (LV) XĪXXXXXX/ (XX) VYRAS/ (XX) XXXXX/ (XX) XXĠXX/ (NL) MAN/ (XX) XĘŻXXXXXX/ (PT) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) MUŽSKÉ/ (XX) XXXXX/ (XX) MIES/ (XX) XXX

4.5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (EL) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) UNDETERMINED/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) NENUSTATYTA/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (NL) XXXXXXXXX/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) NÃO XXXXXXXX/ (XX) NEDETERMINAT/ (XX) XXXXXXXX/ (SL) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) EJ FASTSTÄLLT

5.

(BG) НАСТОЯЩО МЕСТОЖИВЕЕНЕ И/ИЛИ МЕСТОПРЕБИВАВАНЕ НА СЪОТВЕТНОТО ЛИЦЕ СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX X/X RESIDENCIA XXXXXXXX XX LA PERSONA X XX XXX XX XXXXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXX BYDLIŠTĚ NEBO XXXXX POBYTU XXXXX XXXXXXX VE VEŘEJNÉ XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) NUVÆRENDE XXXÆX XX/XXXXX OPHOLDSSTED XXX XXXXXXXX, XXX XX XXXØXX XX XXX XXXXXXXXXX DOKUMENT, XXX XXXXX FORMULAR XX VEDHÆFTET/ (XX) XXXXXXXXX XXXXXXXX XXX/XXXX XXX XXX XXXÖXXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXXXX XXXXXX GEMÄSS XXX ÖXXXXXXXXXXX XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXXXXX XXXXXXXXXX, XXXXXXX XXX XXXX XX XXXXXXX, XXXXXXXXX XXXXX PRAEGUNE XXXXXXX XXXXXXX XX/XÕX XXXXXXX/ (EL) ΤΡΕΧΟΥΣΑ ΔΙΕΥΘΥΝΣΗ ΚΑΤΟΙΚΙΑΣ ΚΑΙ/Ή ΔΙΑΜΟΝΗΣ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX XXXXXXXX XXX/XX XXXXXXXXX XX THE XXXXXX XXXXX IN THE XXXXXX DOCUMENT XX XXXXX THIS XXXX XX XXXXXXXX/ (XX) XXXXXXXX XX/XX XXXXXXXXX XXXXXXX DE XX XXXXXXXX XXXXXXXXX PAR XX XXXXXXXX PUBLIC XXXXXX XX XXXXXXX XXXXXXXXXX EST JOINT/ (XX) XXXXXXXXXX XXXXXX XXXX/XX XXXXXXXXXXX XX XXXXX ATÁ XXXXXXXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX SEO XXXXXXXXXX/ (XX) XXXXXXXX PREBIVALIŠTE X/XXX BORAVIŠTE OSOBE XXXXXXXX U JAVNOJ XXXXXXX XXXXX JE XXXX XXXXXXX XXXXXXXX/ (XX) DOMICILIO X/X XXXXXXXXX XXXXXXX XXXXX XXXXXXX INTERESSATA DAL XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĪXĀX XXXXXXXX XXXXXXXĒXXXX XXXXXXXX XX/XXX XXXXXĒXXXĀX XXXXX, XXX XXXĒXX XXXXXXXXXĀ XXXXXXXXĀ, XXXXX XĪ VEIDLAPA XX XXXXXXXXXX/ (XX) VIEŠAJAME XXXXXXXXX, XXXX KURIO XXXXXXXXX XX FORMA, XXXXXXXX ASMENS XXXXXXXXĖ XXXXXXXXĖ XXXXXXXXXX XXXXX XX (ARBA) XXXXXXXXXX XXXXX/ (XX) A XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATBAN XXXXXXXXXXX XXXXXXX XXXXXXXXX XXXXXXXXX XX/XXXX TARTÓZKODÁSI XXXXX/ (XX) XXXXĊXXXX X/XXX RESIDENZA ATTWALI XXX-XXXXXXX XXXXXXXX XXX-XXXXXXXX XXXXXXXX XX MIEGĦU XX MEHMUŻA XXX XX-XXXXXXX/ (NL) XXXXXXX XXXX- EN/OF XXXXXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXX VAN XXX XXXXXXXX XXXXXXXX XXXXXXX DIT FORMULIER XX XXXXXXX/ (PL) XXXXXX MIEJSCE XXXXXXXXXXXX XXX MIEJSCE XXXXXX XXXXX XXXXXXXXX W XXXXXXXXXX URZĘDOWYM, XX XXXXXXX ZAŁĄCZONY XXXX XXXXXXXXX FORMULARZ/ (XX) XXXXXXXXX E/OU XXXXXÊXXXX XXXXX DA XXXXXX XXXXXXXXX XX XXXXXXXXX XXXXXXX A QUE X PRESENTE XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXX ȘX/XXX REȘEDINȚA XXXXXX(Ă) XX (X) XXXXXXXXX XXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXXXX XXXXXXXX X/XXXXX XXXXX OSOBY XXXXXXXX XX XXXXXXXX XXXXXXX, XX KTOREJ XX XXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXX XXXXXXXXXXXX XX/XXX XXXXXXXX XXXXXXXXXXXX XXXXX, XX XXXXXX SE XXXXXX XXXXX XXXXXXX, XX XX XX PRILOŽEN XX OBRAZEC/ (XX) XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX LIITETÄÄN, XXXXXXXXXXX HENKILÖN XXXX- XX/XXX ASUINPAIKKA/ (XX) XXXXXXXXX XXXXXXX XXX/XXXXX XXXXXXXXXX FÖR XXX XXXXXX XXX XXXÖXX XX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄR XXXXXXX

5.1

(XX) МЕСТОЖИВЕЕНЕ/ (XX) XXXXXXXXX/ (CZ) XXXXXXXX/ (XX) BOPÆL/ (XX) XXXXXXXX/ (XX) ALALINE XXXXXXX/ (EL) ΚΑΤΟΙΚΙΑ/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (GA) XXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (IT) XXXXXXXXX/ (LV) XXXXXXXX/ (XX) NUOLATINĖ XXXXXXXXXX XXXXX/ (XX) XXXXXXXX/ (XX) XXXXĊXXXX/ (XX) XXXXXXXXXX/ (XX) MIEJSCE XXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXX/ (SK) XXXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (FI) XXXXXXXXXX/ (XX) XXXXXXX

5.1.1

(XX) АДРЕС/ (XX) XXXXXXXXX/ (XX) XXXXXX/ (DA) ADRESSE/ (XX) ANSCHRIFT/ (ET) XXXXXXX/ (XX) ΔΙΕΥΘΥΝΣΗ/ (XX) ADDRESS/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXX/ (IT) XXXXXXXXX/ (XX) ADRESE/ (XX) ADRESAS/ (XX) XXXX/ (MT) INDIRIZZ/ (XX) XXXXX/ (XX) XXXXX/ (XX) ENDEREÇO/ (XX) XXXXXX/ (SK) XXXXXX/ (SL) NASLOV/ (XX) XXXXXX/ (SV) XXXXXX

5.1.1.1

(XX) УЛИЦА И НОМЕР/ПОЩЕНСКА КУТИЯ/ (XX) XXXXX X XXXXXX / XXXXXXXX XX XXXXXXX/ (XX) XXXXX X ČÍSLO XXXX / XXXXXXXX XXXXXXXXX/ (XX) XXX XX XXXXXXXXX/XXXXXXXX/ (DE) XXXXXXX XXX HAUSNUMMER/POSTFACH/ (XX) XÄXXX XX XXXX XXXXXX / XXXXXXXX/ (XX) ΟΔΟΣ ΚΑΙ ΑΡΙΘΜΟΣ / Τ.Θ./ (XX) XXXXXX AND XXXXXX/XX BOX/ (XX) XXX XX XXXXXX/XXÎXX XXXXXXX/ (GA) XXXXX XXXX XXXXXX/XXXXX XXXXX/ (XX) XXXXX I XXXX / XXXXXXXXX XXXXXXXX/ (IT) VIA X XXXXXX/XXXXXXX POSTALE/ (XX) XXXX UN XĀXXX XXXXXX / XXXXXXXXX/ (LT) XXXXĖ XX NAMO XXXXXXX / XXXXX XĖXXXĖ/ (XX) XXXX XX XXXXXXX/XXXXXXXXX/ (XX) XXXX X XXXXX/XXXXX POSTALI/ (XX) XXXXXX XX XXXXXX/XXXXXXX/ (PL) ULICA X XXXXX / XXXXXXX XXXXXXXX/ (PT) XXX E XXXXXX/XXXXX XXXXXX/ (XX) XXXXXX ȘX NUMĂRUL/CĂSUȚA POȘTALĂ/ (XX) ULICA A XXXXX/ XXXXXXX XXXXXXXXX/ (XX) XXXXX XX XXXXXXXX/XXXXXX XXXXXX/ (XX) XÄXXXXXXXX/XXXXXXXXXXX/ (SV) GATUADRESS/POSTBOX

5.1.1.2

(BG) НАСЕЛЕНО МЯСТО И ПОЩЕНСКИ КОД/ (XX) XXXXXXXXX Y XXXXXX XXXXXX/ (XX) XXXXX X POŠTOVNÍ XXXXXXXXX XXXXX/ (DA) XX XX XXXXXXXXXX/ (XX) XXX XXX ORT/ (XX) XXXX XÕX XXXXX XX XXXXXXXXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΤΑΧΥΔΡΟΜΙΚΟΣ ΚΩΔΙΚΟΣ/ (EN) XXXXX XXX POSTAL XXXX/ (XX) LOCALITÉ XX CODE XXXXXX/ (XX) XXX XXXX XXX XXXXX/ (HR) XXXXXX X XXXXXXXXX XXXX/ (XX) XXXXXXXÀ X CAP/ (LV) XXXXX XX XXXXX XXXXXXX/ (XX) XXXXX XX XXXXX XXXXX/ (XX) XXXXXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXÀ X XXXXĊX XXXXXXX/ (XX) XXXXXX XX XXXXXXXX/ (PL) MIEJSCOWOŚĆ X KOD XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXX XXXXXX/ (XX) XXXXXXXXXXX ȘI XXXXX XXȘXXX/ (XX) XXXXXX X XXXXXXX XXXXXXXXXX XXXXX/ (SL) XXXX XX XXXXXX ŠTEVILKA/ (XX) POSTINUMERO XX XXXXXXXXXXXXXXXX/ (SV) ORT XXX XXXXXXXXXX

5.1.1.3

(XX) ДЪРЖАВА/ (XX) PAÍS/ (XX) XXXX/ (XX) XXXX/ (XX) XXXX/ (XX) XXXX/ (EL) ΧΩΡΑ/ (XX) XXXXXXX/ (XX) XXXX/ (GA) TÍR/ (XX) XXXXXX/ (XX) XXXXX/ (LV) XXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXXŻ/ (XX) XXXX/ (XX) XXŃXXXX/ (PT) XXXX/ (XX) ȚXXX/ (XX) XXXX/ (SL) XXXXXX/ (XX) XXX/ (SV) XXXX

5.2

(XX) МЕСТОПРЕБИВАВАНЕ/ (ES) XXXXXXXXXX/ (XX) XXXXX XXXXXX/ (XX) OPHOLDSSTED/ (XX) ORT XXX XXXÖXXXXXXXX AUFTENTHALTS/ (XX) XXXXXXX/ (XX) ΔΙΑΜΟΝΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) SAINCHÓNAÍ/ (XX) XXXXXXXXX/ (IT) XXXXXXXXX/ (XX) XXXXXĒXXXĀX XXXXX/ (XX) GYVENAMOJI XXXXX/ (XX) XXXXXXXXXXXX XXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) XXXXXXX POBYTU/ (XX) XXXXXÊXXXX/ (XX) REȘEDINȚA/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX

6.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX LA XXXXX/ (XX) POLE XXX XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (EN) XXXXXXXXX XXX/ (FR) XXXXX POUR XX XXXXXXXXX/ (XX) BOSCA XXX XXXXX/ (XX) XXXXX XX POTPIS/ (XX) XXXXXXXX XXX XX XXXXX/ (LV) XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXX/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX TAL-IFFIRMAR/ (XX) XXX XXXX XX XXXXXXXXXXXX/ (XX) XXXX XXXXXXX/ (XX) XXXXÇX DESTINADO À XXXXXXXXXX/ (XX) SEMNĂTURA/ (XX) XXXXXXX XX XXXXXX/ (XX) POLJE XX XXXXXX/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (XX) XXXX XÖX XXXXXXXXXXXXXX

6.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X XXXXXX(X) DEL XXXXXXXXXXX QUE XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXX X JMÉNO (XXXXX) ÚŘEDNÍKA, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) EFTERNAVN(E) XX XXXXXXX(X) PÅ XXX XXXXXXXXXX, XXX XXX XXXXXXX DENNE FORMULAR/ (XX) XXXXXXXXXXXX(X) XXX XXXXXXX(X) XXX BEAMTEN, XXX DIESES FORMULAR XXXXXXXXXXX HAT/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXX (-NIMED) XX XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXX(X) XXX XXXXXXXX(X) XX XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) XXX(X) XX PRÉNOM(S) XX XXXXXXXXXXXXX XXX A XXXXXXX LE PRÉSENT XXXXXXXXXX/ (GA) SLOINNE (XXXXXXXX) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXX(XX) X IME(NA) XXXXXXXXXX KOJI JE XXXXX OVAJ OBRAZAC/ (XX) XXXXXXX/X X XXXX/X XXX XXXXXXXXXXX XXX HA XXXXXXXXXX XX PRESENTE XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, XXXĀXXX(-X) XX VĀRDS(-I)/ (XX) XXĄ XXXXĄ XXXXXXXXX PAREIGŪNO XXXXXXĖ (-ĖX) IR VARDAS (-XX)/ (HU) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXX NEVE(I) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X ISEM(/ISMIJIET) TAL-UFFIĊJAL XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) NA(A)M(EN) XX XXXXXX(X)X(XX) XXX XX XXXXXXXXX XXX XXX FORMULIER HEEFT XXXXXXXXX/ (PL) XXXXXXXX(-X) X IMIĘ (XXXXXX) XXXĘXXXXX, KTÓRY WYDAŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXX(X) E XXXX(X) XXXXXXX(X) XX FUNCIONÁRIO XXX EMITIU X XXXXXXXX FORMULÁRIO/ (XX) XXXXXX ȘI XXXXXXXXX XXXXȚXXXXXXXXX CARE A XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX XXX/XXXXX URADNIKA, XX XX XXXXX TA XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXXXXX (-XXXXX) XX XXXXXXX (-NIMET)/ (SV) XXXXXXXXX XXX XÖXXXXX XÅ DEN XXÄXXXXXXX XXX HAR XXXÄXXXX XXXXX XXXXXXÄX

6.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, KTERÝ XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX — XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX XXX BEAMTEN, XXX XXXXXX FORMULAR XXXXXXXXXXX XXX/ (ET) KÄESOLEVA XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) POSITION XX THE OFFICIAL XXX XXXXXX XXXX XXXX/ (FR) XXXXX XX XXXXXXXXXXXXX XXX X XXXXXXX LE XXXXXXX FORMULAIRE/ (XX) XXXX XX XXXXXXXX X X’XXXXXX AN XXXXXX XXX/ (XX) XXXXXXXX XXXXXXXXXX KOJI XX XXXXX XXXX XXXXXXX/ (IT) POSIZIONE XXX XXXXXXXXXXX CHE XX RILASCIATO IL XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX IZDEVUSI XX XXXXXXXX, XXXXX/ (XX) ŠIĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) FUNCTIE XXX DE XXXXXXXXX XXX XXX FORMULIER XXXXX AFGEGEVEN/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX FORMULARZ/ (XX) XXXXX XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX FUNCȚIONARULUI XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX ÚRADNÍKA, XXXXX XXXXX TENTO XXXXXXXX/ (XX) XXXXXXX URADNIKA, XX XX XXXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX ASEMA/ (SV) XXXXXXXXXX XÖX DEN XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX FORMULÄR

6.3

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (XX/XX/XXXX) DE EXPEDICIÓN/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) UDSTEDELSESDATO (XX/XX/ÅÅÅÅ)/ (XX) AUSSTELLUNGSDATUM (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (GA) DÁTA (XX/XX/XXXX) XXXXXXX/ (HR) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) DATA XX XXXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (XX) XXXX (JJ/XX/SSSS) XXX-ĦXXĠ/ (NL) DATUM (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (PT) DATA XX EMISSÃO (XX/XX/XXXX)/ (XX) XXXX (ZZ/LL/AAAA) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) VYDANIA/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (XX) XXXXX (DD/MM/ÅÅÅÅ) XÖX UTFÄRDANDE

6.4

(BG) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (DA) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXX/ (EL) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (FR) XXXXXXXXX/ (XX) SÍNIÚ/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) PARAŠAS/ (HU) XXXXXXX/ (MT) XXXXX/ (XX) HANDTEKENING/ (XX) XXXXXX/ (PT) ASSINATURA/ (XX) XXXXĂXXXX/ (XX) XXXXXX/ (SL) PODPIS/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (ES) XXXXX X XXXXXX/ (XX) XXXXX XXXX XXXXXXX/ (XX) XXXX XXXXX XXXXXXX/ (XX) SIEGEL XXXX XXXXXXX/ (ET) XXXXXX VÕI XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (EN) XXXX XX XXXXX/ (XX) SCEAU OU XXXXXX/ (XX) SÉALA XX XXXXXX/ (XX) XXX ILI XXXXX/ (XX) XXXXX O XXXXXX/ (LV) XĪXXXX XXX XXXXXXXX/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (MT) XXĠXXX XXX XXXXXX/ (XX) XXXXX OF XXXXXXX/ (XX) XXXXXĘĆ LUB XXXXXXX/ (PT) XXXX XX CARIMBO/ (XX) XXXXXXXX XXX ȘXXXXXXX/ (XX) PEČAŤ XXXXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXX ŽIG/ (XX) XXXXXXX XXX XXXXX/ (SV) SIGILL XXXXX XXÄXXXX

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

XXXXXXXXXXX STANDARDNÍ XXXXXXXX – POMŮCKA XXX XXXXXXX

Xxxxxx 7 xxxxxxxx Xxxxxxxxxx xxxxxxxxxx x Xxxx (XX) 2016/1191 xx xxx 6. xxxxxxxx 2016 x xxxxxxx xxxxxxx xxxxxx xxxxxx zjednodušením xxxxxxxxx xx předkládání xxxxxxxxx xxxxxxxxx listin x Evropské xxxx x x změně xxxxxxxx (XX) č. 1024/2012 (1)

Xxxxxx (XX) Xxxxxxxxx (XX)

Xxxxx republika (XX)

Xxxxxx (XX) Xxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (EL) Španělsko (XX)

Xxxxxxx (FR) Xxxxxxxxxx (XX)

Xxxxxx (IT) Kypr (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxx (XX) Xxxxxxxx (XX)

Xxxxxx (PL) Xxxxxxxxxxx (XX)

Xxxxxxxx (RO) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Xxxxxx (FI)

Švédsko (XX) Xxxxxxx království (XX)

XXXXXXXX XXXXXXXXXX

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

Xxxxx xxxxxxxx xxxxxx xxxxx veřejné xxxxxxx, k xxx xx xxxxxxxx. Xxxxx, xxxxx xx veřejná xxxxxxx xxxxxxxxxxx, xxxx xxxx v xxxxxxxxx, xxx xx xx xxxxxxxx xxx účely xxxxxxxxxx veřejné xxxxxxx, xxxxxxxxx xxxxxxx či xxxxxx xxxxxxxxx, xxxxx xxxx ve xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX XXXXX

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

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

1. XXXXX XXXXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Název (4)

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

3.1 Xxxxxxx vydaná xxxxxxx xxxx xxxxxxxxx s xxxxxx na xxxxx xxxxxx xxxxxxxxx státu

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx xxxxxx xxxxxxx xxxxxxxxx

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

3.1.5 Xxxx (xxxxxxxxx)

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

(2) Xxx xxxxxxxxxx xxxxx xxxxxxxx hůlkové xxxxx.

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

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

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx z xxxxxxxxx trestů

3.2.3 Opis xxxxxxx x rejstříku xxxxxx

3.1.5 Xxxx (upřesněte)

3.3 Xxxxxxxx listina

3.4 Úřední xxxxxxxxx, xxxxxx xxxx xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

3.5 Listina xxxxxxxxxx xxxxxxxxxxxxx zástupcem xxxx konzulárním xxxxxxxxx xxxxxxxxx xxxxx x xxxxx výkonu xxxx xxxxxxxxxx xxxxxxxxxx

3.6 Datum (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx xxxxx veřejné listiny

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

4.1 Příjmení

4.2 Xxxxxxxxx příjmení

4.3 Jméno (xxxxx)

4.4 Xxxxxxxxx xxxxx (xxxxx)

4.5 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.6 Xxxxx (1) x xxxx (2) xxxxxxxx

4.7 Pohlaví:

4.7.1 Xxxx

4.7.2 Xxx

4.7.3 Neurčeno

4.8 Xxxxxx xxxxxxxxxxx

4.9 Xxxxxxxxxxxxx xxxxx

4.10 Xxxx x číslo xxxxxxxxxxxxxxx dokladu xxxxx:

4.10.1 Xxxxxxxxxxxx xxxxxx xxxxxxxxxx / č.

4.10.2 Xxx / x.

4.10.3 Řidičský xxxxxx / x.

4.10.4 Xxxx (xxxxxxxxx) /x.

5. XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX FORMULÁŘ, XXXXXXXXX XXXXX XXXXXXXXX DOTYČNÉ XXXXX XXXXXXX V XXXXXXXXX XXXXXX XXXXXXXXX XXXXX, XXXXX JE XXXX XXXXX XXXXXXX XXXXXXXXXXXX.

6. XXXX PRO XXXXXX

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

6.2 Xxxxxx xxxxxxxx, xxxxx xxxxx xxxxx xxxxxxxx

6.3 Datum (xx/xx/xxxx) xxxxxx

6.4 Podpis

6.5 Xxxxx xxxx razítko

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

(2) Xxxxx xxxx x – xxxxx xxxxxxxx – xxx XXX xxxx xxxx xxxx možnost „Jiné (xxxxxxxxx)“ xx xxxxx xxxxxx z xxxxxxxxxxx xxxxxxx ve xxxxxxxx xxxxxxxxxxxx standardním xxxxxxxxx, xxxxx je k xxxxxxxxx xx portálu xxxxxxxx e-justice.

VÍCEJAZYČNÝ XXXXXX XXXXX STANDARDNÍCH XXXXXXX

(XXXXXXXXXXX XXXXXXX V XXXXXXXXX XXXXXX ČLENSKÉHO XXXXX, XXXXX XX DOTYČNÁ XXXXX STÁTNÍM PŘÍSLUŠNÍKEM)

1.

(BG) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX TENTO XXXXXXXX/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (DE) XXXÖXXX, XXX DIESES XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX VORMI VÄLJA XXXXXX ASUTUS/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX THIS XXXX/ (FR) AUTORITÉ XX XXXXXXXXXX DU XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX AN FHOIRM XXX/ (XX) TIJELO XXXX IZDAJE XXXX XXXXXXX/ (IT) XXXXXXXÀ XXX XXXXXXXX IL XXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X FORMANYOMTATVÁNYT KIÁLLÍTÓ XXXXXXX/ (XX) AWTORITÀ XXXXXXXXX XX' XXX XX-XXXXXXX/ (NL) AUTORITEIT XXX XXXXXXX VAN XXX XXXXXXXXX/ (XX) XXXXX XXXXXĄXX NINIEJSZY XXXXXXXXX/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXX FORMULÁRIO/ (XX) XXXXXXXXXXX EMITENTĂ X XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX TENTO XXXXXXXX/ (XX) XXXXX, XX XXXX TA XXXXXXX/ (XX) TÄMÄN XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (FR) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (NL) XXXXXXXX/ (XX) NAZWA/ (XX) DESIGNAÇÃO/ (XX) XXXXXXXX/ (SK) XXXXX/ (XX) XXX/ (FI) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX EXPIDE EL XXXXXXXXX PÚBLICO AL XXX XX ADJUNTA XXXX IMPRESO/ (XX) XXXXX XXXXXXXXXX VEŘEJNOU XXXXXXX, K NÍŽ XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXX XXXXXXXXX, DER XXX XXXXXXX XXX XXXXXXXXXX XXXXXXXX, SOM XXXXX XXXXXXXX ER VEDHÆFTET/ (XX) XXXÖXXX, XXX XXX ÖXXXXXXXXXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXÜXX XXX, XXXXXXXXX/ (XX) XXXXXX, KES XXXXX VÄLJA 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 XXXXXXXX XX WHICH XXXX XXXX IS XXXXXXXX/ (XX) XXXXXXXX XX DÉLIVRANCE XX XXXXXXXX XXXXXX XXXXXX XXX JOINT LE XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX AN XXXXXXXXX XXXXXX LENA XXXXXX XX XXXXXX SEO XXXXXXXXXX/ (HR) XXXXXX XXXX XXXXXX XXXXX XXXXXXX KOJOJ XX XXXX XXXXXXX PRILOŽEN/ (XX) XXXXXXXÀ XXX XXXXXXXX XX DOCUMENTO XXXXXXXX CUI XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) PUBLISKĀ XXXXXXXXX, KURAM XĪ XXXXXXXX XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (MT) AWTORITÀ XXXXXXXXX TAD-DOKUMENT XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX IL-FORMOLA/ (XX) AUTORITEIT XXX XXXXXXX VAN XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) ORGAN XXXXXĄXX DOKUMENT XXXĘXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXXX XXXXXXX X XXX X XXXXXXXX FORMULÁRIO XXXX XXXXXX/ (XX) XXXXXXXXXXX EMITENTĂ X XXXXXXXXXXXX XXXXXXX LA XXXX ESTE ANEXAT XXXXXXXXX FORMULAR/ (SK) XXXXX VYDÁVAJÚCI XXXXXXX XXXXXXX, XX KTOREJ XX XXXXX FORMULÁR XXXXXXXXX/ (XX) XXXXX, XX IZDA XXXXX XXXXXXX, KI XX XX PRILOŽEN XX XXXXXXX/ (XX) XXXXXXXXXXXX, XXXX ON XXXXXXX XXXXXXX ASIAKIRJAN, JOHON XÄXÄ XXXXXX LIITETÄÄN/ (XX) 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 XXXXXXXX XX XXXXXXXXX PÚBLICO XX XXX XX XXXXXXX XXXX IMPRESO/ (CZ) XXXXXXXXX XXXXXXXX SE XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (DA) XXXXXXXXXXX VEDRØRENDE XXX XXXXXXXXXX DOKUMENT, XXX XXXXX FORMULAR XX XXXXÆXXXX/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX URKUNDE, XXX DIESES XXXXXXXX XXXXXXÜXX XXX/ (ET) XXXXX XXXXXXX DOKUMENDI XXXXX, XXXXXXX SEE XXXX XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX TO XXX XXXXXX DOCUMENT XX XXXXX XXXX XXXX XX ATTACHED/ (XX) INFORMATIONS RELATIVES XX DOCUMENT PUBLIC XXXXXX XXX XXXXX XX XXXXXXX FORMULAIRE/ (XX) XXXXXXXX X XXXXXXXXX XXXX XX XXXXXXXXX POIBLÍ XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXX SE XXXXXX XX XXXXX XXXXXXX XXXXX XX XXXX OBRAZAC PRILOŽEN/ (XX) XXXXXXXXXXXX XXXXXXXX XX DOCUMENTO XXXXXXXX XXX IL XXXXXXXX XXXXXX È XXXXXXXX/ (XX) INFORMĀCIJA XXX XXXXXXXX XXXXXXXXX, KURAM XĪ XXXXXXXX XX XXXXXXXXXX/ (XX) INFORMACIJA, XXXXXXXX SU XXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX VONATKOZÓ XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXX ID-DOKUMENT XXXXXXXX XX MIEGĦU HIJA XXXXXŻX DIN XX-XXXXXXX/ (XX) XXXXXXXXXX BETREFFENDE XXX XXXXXXXX DOCUMENT XXXXXXX XXX FORMULIER XX XXXXXXX/ (XX) XXXXXXXXXX DOTYCZĄCE DOKUMENTU XXXĘXXXXXX, DO XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX DOCUMENTO XXXXXXX A QUE X PRESENTE XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX LA XXXX ESTE ANEXAT XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX O VEREJNEJ XXXXXXX, KU KTOREJ XX TENTO XXXXXXXX XXXXXXXXX/ (SL) XXXXXXXXXXX X XXXXX X XXXXX XXXXXXX, KI XX JE XXXXXXXX XX XXXXXXX/ (XX) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (SV) INFORMATION XX XXX XXXXXXXXXX XXXXXXXX TILL XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX XXXXXXXX XXX XXX AUTORIDAD O XX XXXXXXXXXXX XXXXXXXXX X XXX XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX MIEMBRO/ (CZ) XXXXXXX XXXXXX ORGÁNEM XXXX XXXXXXXXX X XXXXXX XX SOUDY XXXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXXX, DER XX XXXXXXX AF XX XXXXXXXXX XXXXX XX XXXXXXXXXX, DER XX XXXXXXXXXX DOMSTOLE X XX MEDLEMSSTAT/ (XX) XXXXXXX XXXXX XXXÖXXX XXXX XXXXX XXXXXXXXXX XXX ORGAN XXX XXXXXXXXXXXX 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/ (XX) XXXXXXXX XXXXXXXXX FROM XX AUTHORITY XX XX OFFICIAL XXXXXXXXX XXXX XXX XXXXXX XX TRIBUNALS OF X XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXX X'XXX XXXXXXXX OU X'XX FONCTIONNAIRE XXXXXXXX X'XXX XXXXXXXXXXX X'XX XXXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X ÚDARÁS XX X XXXXXXXXX X XXXXXX BAINT XXXX XX XXXX XX XXXXXXXXXX NÓ XX XXXXX XX CHUID XXXXXXXXX/ (XX) XXXXXXX XXXX JE XXXXXX XXXXXX XXX XXXXXXXXX XXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX UN'AUTORITÀ X XX UN XXXXXXXXXXX XXXXXXXXXXXX AD UNA XXXXX XXXXXXXXXXXXX XX XXX XXXXX XXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XX XXXĪXXXXXXX XXXXĀX XXXXXĪXX XXXXĀXX XXX AMATPERSONA/ (LT) XXXXXXXXXX, XXXXXXXX XXXXXXXX XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX TEISMAIS XX XXXXXXXXXXX/ (HU) TAGÁLLAMI XXXXXXXXXX XXXXXXXXXXXX ÁLLÓ XXXXXXX VAGY XXXXXXXXXXŐ XXXXX XXXXXXXXXX OKIRAT/ (XX) DOKUMENT XXĦXXĠ XXXX AWTORITÀ XXX XXXXĊXXX XX JKOLLHOM XXXXX MAL-QRATI JEW XX-XXXXXXXXX XX' STAT XXXXXX/ (XX) DOCUMENT XXXXXXXXX DOOR XXX XXXXXXXXXX OF AMBTENAAR XXXXXXXXX XXX EEN XXXXXXXXXXXX XXXXXXXXX VAN XXX XXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX XXXXXX XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (PT) DOCUMENTO XXXXXXXXXXX XX UMA XXXXXXXXXX OU DE XX XXXXXXXXXXX XXXXXXXXXX XX XXXXXXXX JURISDIÇÃO XX UM XXXXXX-XXXXXX/ (XX) XXXXXXXX XXXX XX X XXXXXXXXXX XXX XX UN XXXXȚXXXXX XX XX XÂXXĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXX XXXXXXXXX X XÄXXXX NA XXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX, XXXXXX X XXXXXX XXXXXX ALI XXXXXXXX XXXXX XXXXXXX XXXXXX ČLANICE/ (FI) XXXXXXXXX, XXXXX XX XXXXXXX JÄSENVALTION XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX TAI 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) ROZHODNUTÍ XXXXX/ (XX) DOMSTOLSAFGØRELSE/ (DE) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX DECISION/ (XX) XXXXXXXX DE XXXXXXX/ (XX) XXXXXXXX XX xXXXXX/ (XX) XXXXXX XXXXXX/ (IT) XXXXXXXXX GIURISDIZIONALE/ (XX) XXXXXX XĒXXXX/ (XX) XXXXXX SPRENDIMAS/ (XX) XXXXXXXX HATÁROZAT/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (XX) XXXXXÃX XXXXXXXX/ (RO) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (SL) XXXXX XXXXXXX/ (FI) XXXXXXXXXXXXXX PÄÄTÖS/ (SV) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (ES) XXXXXXXXX EXPEDIDO XXX XX MINISTERIO FISCAL/ (XX) LISTINA VYDANÁ XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX AF XX ANKLAGEMYNDIGHED/ (DE) XXXXXXX EINER XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXX SÜÜDISTAJA/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX A XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XXXXXXÈXX XXXXXX/ (XX) XXXXXXXXX A THAGANN X XXXXXXXXXXXXXXX POIBLÍ/ (XX) ISPRAVA XXXX XX IZDALO XXXXXXX XXXXXXXXXXXX/ (IT) XXXXXXXXX XXXXXXX DAL XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (XX) ÜXXXXX XXXXX KIÁLLÍTOTT XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX PROSEKUTUR XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX OPENBAAR XXXXXXXXXX/ (PL) DOKUMENT XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX PÚBLICO/ (XX) DOCUMENT XXXX XX UN XXXXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXXXXXXX/ (XX) LISTINA, XX XX XXXX XXXXXXX XXXXXXXXX/ (FI) XXXXXXXXXX XXXXXÄXÄX ANTAMA XXXXXXXXX/ (SV) HANDLING XXX HÄRRÖR FRÅN ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX EXPEDIDO XXX UN XXXXXXXXXX XXXXXXXX/ (CZ) LISTINA XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX EN XXXXXXXXXXXXXÆX/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX, MILLE XX XÄXXX XXXXXX XXXXXXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX FROM X XXXXX XX X XXXXX/ (FR) XXXXXXXX XXXXXXX X'XX XXXXXXXX/ (XX) XXXXXXXXX A XXXXXXX Ó XXXXXXXXXX XX CHUID XXXXXX/ (XX) XXXXXXX XXXX XX IZDAO UPRAVITELJ XXXXXX PISARNICE/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (LT) XXXXXX XXXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXĠ MINN REĠISTRATUR XX' XXXXX/ (XX) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (XX) XXXXXXXXX PROVENIENTE XX XX XXXXXXX XX XXXXXÇX/ (XX) DOCUMENT XXXX XX XX XXXXXXX XX XXXXXXȚXX/ (XX) XXXXXXX VYDANÁ XXXXXX XXXXXXXXX/ (SL) XXXXXXX, KI XX XXXX SODNI XXXXXXXXXX/ (XX) TUOMIOISTUIMEN SIHTEERIN XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXXX EXPEDIDO XXX XX XXXXXX XXXXXXXX («XXXXXXXX XX JUSTICE»)/ (XX) LISTINA VYDANÁ XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX XX XX STÆVNINGSMAND (»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 A XXXXXXXX XXXXXXX ('HUISSIER XX JUSTICE')/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX DE JUSTICE/ (XX) DOICIMÉAD X XXXXXXX X OIFIGEACH XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (HR) ISPRAVA XXXX JE XXXXX XXXXXX XXXXXXXXX (XXXXXXXX XX XXXXXXX)/ (IT) XXXXXXXXX XXXXXXX DA XX UFFICIALE GIUDIZIARIO ("XXXXXXXX XX JUSTICE")/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX TIESAS IZPILDĪTĀJS (XXXXXXXX XX XXXXXXX)/ (XX) ANTSTOLIO (HUISSIER XX XXXXXXX) IŠDUOTAS XXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (MT) DOKUMENT XXĦXXĠ MINN UFFIĊJAL ĠXXXXXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX URZĘDNIKA XĄXXXXXX (XXXXXXXX XX XXXXXXX)/ (PT) XXXXXXXXX XXXXXXXXXXX XX UM XXXXXXÃX DE DIREITO («XXXXXXXX XX XXXXXXX»)/ (XX) DOCUMENT EMIS XX XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (SK) XXXXXXX XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX JUSTICE“)/ (XX) LISTINA, KI XX XXXX XXXXX XXXXXXXXXX („HUISSIER XX XXXXXXX“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX DE JUSTICE”) XXXXXX ASIAKIRJA/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX XX XXÄXXXXXXXXX (XXXXXXXX XX JUSTICE)

3.1.5

(BG) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) JINÉ (XXXXXXXXX)/ (XX) ANDRE (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) XXX (XÄXXXXXXXX)/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (TO BE XXXXXXXXX)/ (XX) XXXXX (À PRÉCISER)/ (XX) XXXX (LE XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (XX) XXXXX (XXXXXXXXX)/ (XX) XXXX (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (XX) EGYÉB (KÉRJÜK XXXXXXXXXXX)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) OVERIGE (XXXXXXXXXXXX)/ (XX) XXXX (XXXXXĘ OKREŚLIĆ)/ (XX) XXXXXX (A XXXXXXXXXXX)/ (XX) XXXXX (X XX XXXXXXX)/ (XX) XXX (SPRESNIŤ)/ (XX) XXXXX (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) XXXXX HANDLING (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) LISTINA XXXXXX XXXXXXXX ÚŘADEM/ (XX) XXXXXXXXXXXXXX DOKUMENT/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (EL) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXXXX RIARACHÁIN/ (XX) XXXXXXX XXXXXXX/ (IT) XXXXXXXXX AMMINISTRATIVO/ (LV) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX OKIRAT/ (MT) XXXXXXXX AMMINISTRATTIV/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (PT) XXXXXXXXX ADMINISTRATIVO/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXX LISTINA/ (XX) XXXXXXXXXXXXXX ASIAKIRJA/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (DA) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (IT) XXXXXXXXXXX/ (XX) APLIECINĀJUMS/ (XX) XXXXXX, XXXXXXXXXX/ (XX) TANÚSÍTVÁNY/BIZONYÍTVÁNY/ (XX) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX OU CERTIFICADO/ (XX) CERTIFICAT/ (XX) XXXXXXXXXX/ (SL) POTRDILO/ (XX) XXXXXXXX/ (SV) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА СЪДИМОСТ/ (XX) XXXXXXXX XXX XXXXXXXX XX XXXXXXXXXXXX XXXXXXX/ (CZ) VÝPIS X XXXXXXXXX TRESTŮ/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΠΟΙΝΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX THE XXXXXXXX XXXXXX/ (XX) XXXXXXX XX CASIER JUDICIAIRE/ (XX) XXXXXXX AS XX TAIFEAD COIRIÚIL/ (XX) XXXXXXX XX XXXXXXX EVIDENCIJE/ (XX) XXXXXXXX XXX CASELLARIO XXXXXXXXXX/ (XX) IZRAKSTS XX XXXĀXĪXXX REĢISTRA/ (XX) XXXXXXX IŠ XXXXXXXXXXXŲ REGISTRO/ (XX) XXXXXXX A BŰNÜGYI XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXX-XXXXXX XXXXXXXXX/ (NL) XXXXXXXXXX XXX HET XXXXXXXXXXXXX/ (XX) WYCIĄG X XXXXXXXX XXXXXXX/ (XX) CERTIFICADO XX XXXXXXX XXXXXXXX/ (RO) XXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) VÝPIS X XXXXXXXX TRESTOV/ (XX) XXXXXXX IZ XXXXXXXX EVIDENCE/ (XX) XXXXXXXXXXXXXXXXX/ (XX) UTDRAG XX XXXXXXXXXXXXXXXXX

3.2.3

(XX) ПЪЛЕН ПРЕПИС ОТ АКТ ОТ РЕГИСТЪРА ЗА СЪДИМОСТ/ (XX) XXXXX XXXXXXX XX XXXXXXXXXXXXX XXX XXXXXXXX DE XXXXXXXXXXXX XXXXXXX/ (CZ) XXXX XXXXXXX Z XXXXXXXXX XXXXXX/ (XX) XXXXXX KOPI AF XXXXXXXXXXXXXXXX/ (DE) WÖRTLICHE XXXXXXXXX DES XXXXXXXXXXXXXX/ (XX) KARISTUSREGISTRI VÄLJAVÕTTE XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΟΙΝΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXXX XXXX XX XXX XXXXXXXX XXXXXX/ (XX) XXXXX XXXXXXXXX XX XXXXXX XXXXXXXXXX/ (GA) XXXX XXXXX XX XXXXXX XXX TAIFEAD COIRIÚIL/ (XX) XXXXXXXX XXXXXXXX XX KAZNENE XXXXXXXXXX/ (XX) XXXXX LETTERALE XXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXĀXĪXXX XXĢXXXXX XXXXXXXXXX KOPIJA/ (LT) XXXXXXXXXXXŲ XXXXXXXX ĮXXXŲ XXXXXXXĖ XXXXXX/ (XX) X XŰXÜXXX XXXXXXXXXXXXX XXX SZERINTI XXXXXXXX/ (XX) KOPJA XXXXXXXX XXX-XXXXXX KRIMINALI/ (XX) XXXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXXXXXXX/ (PL) XXXXX XXXXŁXX Z XXXXXXXX XXXXXXX/ (PT) XXXXXXÃX DE CÓPIA XXXXXXXX XX XX XXXXXXXXX XX XXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXĂ A XXXXXXXXXX XXXXXXXX/ (XX) DOSLOVNÝ XXXXX X REGISTRA XXXXXXX/ (SL) XXXXXXXXX XXXXXX IZ XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX XXXXXXXXXX JÄLJENNÖS/ (XX) XXXXXXXXX XXXXXXXX AV XXXXXXXXX UR XXXXXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (DA) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) XXXXXXXXXX URKUNDE/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) XXXX XXXXXXX/ (XX) GNÍOMH XXXXXXXXXXXX/ (XX) JAVNOBILJEŽNIČKA XXXXXXX/ (XX) XXXX XXXXXXXX/ (XX) NOTARIĀLS XXXX/ (XX) XXXXXXXXX XXXXX/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (XX) AKT XXXXXXXXXX/ (PT) XXX XXXXXXXX/ (RO) XXX XXXXXXXX/ (SK) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (FI) XXXXXXXX XXXXXX XXXXXXXXX/ (SV) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (ES) XXXXXXXXXXXXX XXXXXXX XXXXXX XXXXX XX XXXXXXXXX PRIVADO/ (XX) XXXXXX XXXXXXXXX, XXXXXX XXXX OPATŘENA XXXXXXX PODEPSANÁ XXXXXXXXX XXXXXX/ (XX) XXXXXXXX XÅXXXXXXX XÅ XX XXXXXXXX UNDERTEGNET AF XX XXXXXX X XXXXXX EGENSKAB XX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX AUF EINER XXXXXXXXXXXXX/ (ET) XXXXX XXXXX XXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX KINNITATAV XXXXXXX XÕXXX/ (EL) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX CERTIFICATE PLACED XX X XXXXXXXX XXXXXX XX X XXXXXX XX XXX XX HER XXXXXXX XXXXXXXX/ (XX) DÉCLARATION XXXXXXXXXX APPOSÉE XXX XX ACTE XXXX XXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX A XXXXXXXXX XX DHOICIMÉAD XXXX SHÍNIÚ AG XXXXX INA XXXXX XX XXX XXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX XX XXXXXXX XXXX XX XXXXX XXXXXXXXX X XXXXXXXXX SVOJSTVU/ (IT) XXXXXXXXXXXXX UFFICIALE XXXXXXX XX XXX XXXXXXXXX XXXXXXX/ (LV) XXXXXĀXX XXXXXXXXĀXXXX UZ XXXXXXXXX, XX XXXĀ XĀXXĀ XXXXXXXĪXXXX KĀDA PERSONA/ (XX) PRIVAČIŲ ASMENŲ XXXXXXXXXŲ DOKUMENTŲ OFICIALŪS XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX HIVATALOS XXXXXXXXXXX/ (XX) ĊXXXXXXXXX XXXXĊXXXX XX JITQIEGĦED F'DOKUMENT XXXXXXXX MINN XXXXXXX XXX-XXXXĊXXÀ PRIVATA XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXX XXXXXXXXXXX XXXX XXX XXXXXXX XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX PODPISANYM XXXXX OSOBĘ XXXXŁXXĄXĄ X CHARAKTERZE XXXXXXXXX/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX ATO XX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXX XXXXXXX PE UN XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX NA XXXXXXX XXXXXXXXXX OSOBOU XXXXXXXXX XXX SÚKROMNÁ XXXXX/ (SL) URADNA XXXXXX XX XXXXXXX XXXXXXX/ (FI) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, XXXXX XXXXXXÖ ON XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX XXXXX XXXXXXXXX XÅ XX XXXXXXXX XXX XXXXXXXXXXXXX XX XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (ES) XXXXXXXXX XXXXXXXX XXX XX XXXXXX DIPLOMÁTICO X CONSULAR DE XX XXXXXX XXXXXXX XXX XXXXXXXX OFICIAL/ (XX) LISTINA VYHOTOVENÁ XXXXXXXXXXXXX XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX ČLENSKÉHO XXXXX X XXXXX XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (DA) XXXXXXXX XXXXXXXXX XXXÆXXXXXX AF XX XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (XX) VON XXXXX XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX XXXXXXXX ERRICHTETE XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX 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 OR XXXXXXXX AGENT XX X XXXXXX XXXXX XX HIS OR XXX XXXXXXXX CAPACITY/ (XX) XXXXXXXX ÉTABLI XX SA XXXXXXX XXXXXXXXXX PAR XX XXXXX XXXXXXXXXXXX XX XXXXXXXXXX D'UN XXXX XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX SUAS XX GNÍOMHAIRE XXXXXXXXXXXXXXXX XX XXXXXXXXX XX XXXXX XXXXXXXXX INA XXXXX NÓ XXX XXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX X XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (IT) XXXXXXXXX XXXXXXX XX XXXXXX XXXXXXXXXXX X XXXXXXXXX XX XXX XXXXX XXXXXX NELL'ESERCIZIO DELLE XXXX XXXXXXXX/ (LV) XXXXXXXXX, XXXX, XXXXXX XXXXX PIENĀKUMUS, XXXXXXXXXXX XXXĪXXXXXXX DIPLOMĀTISKAIS XXX XXXXXXĀXXXX PĀRSTĀVIS/ (XX) XXXXXXXXXX, PARENGTAS XXXXXXXĖX XXXĖX XXXXXXXXX AR XXXXXXXXXX XXXXXXŪXX, VEIKIANČIO XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX KONZULI XXXXXXXXŐXX XXXXX HIVATALOS XXXŐXXXXXXX KIÁLLÍTOTT OKIRAT/ (XX) XXXXXXXX XXĦXXXX XXXX XĠXXX XXXXXXXXXXX XXX XXXXXXXXX XX' XXXX MEMBRU XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (NL) XXXXXXXX OPGESTELD DOOR XX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX VAN XXX LIDSTAAT XX XXXX OFFICIËLE HOEDANIGHEID/ (XX) XXXXXXXX XXXXXĄXXXXX XXXXX PRZEDSTAWICIELA XXXXXXXXXXXXXXX XXX URZĘDNIKA XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX XXXĘXXXXX/ (XX) DOCUMENTO XXXXXXX XXX UM AGENTE XXXXXXXXXXX XX CONSULAR XX XX XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (XX) DOCUMENT ÎXXXXXXX XX XĂXXX XX XXXXX XXXXXXXXXX XXX XXXXXXXX XX XXXX XXXX MEMBRU, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX VYHOTOVENÁ XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX ŠTÁTU X XXXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXX, XX XX XXX XXXXXX OSEBA XXXX XXXXXXXXXXX ALI XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) ASIAKIRJA, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) HANDLING UPPRÄTTAD X TJÄNSTEN XX XX XXXXXXXXXXX XXXXX XXXXXXÄX TJÄNSTEMAN X XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX EXPEDICIÓN/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) AUSSTELLUNGSDATUM (TT/MM/JJJJ)/ (XX) XÄXXXXXXXXXX KUUPÄEV (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (XX/XX/XXXX) XX XXXXX/ (FR) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DÁTA (XX/XX/XXXX) XXXXXXX/ (HR) XXXXX (XX/XX/XXXX) IZDAVANJA/ (XX) XXXX XX RILASCIO (XX/XX/XXXX)/ (XX) IZDOŠANAS XXXXXX (XX/XX/XXXX)/ (LT) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) A KIÁLLÍTÁS XXXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (DD/MM/JJJJ) XXX XXXXXXX/ (PL) XXXX (XX/XX/XXXX) WYDANIA/ (XX) XXXX DE XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX XXXXXXXXXX DEL XXXXXXXXX XXXXXXX/ (CZ) REFERENČNÍ XXXXX XXXXXXX XXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX/ (ET) AVALIKU XXXXXXXXX XXXXXXXXXXX/ (EL) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX XX XXX XXXXXX DOCUMENT/ (XX) XXXXXX XX XXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) UIMHIR XXXXXXXXX XX DOICIMÉID XXXXXXX/ (HR) REFERENTNI XXXX XXXXX XXXXXXX/ (XX) NUMERO XX XXXXXXXXXXX DEL XXXXXXXXX XXXXXXXX/ (XX) PUBLISKĀ XXXXXXXXX XXXXXXXX XXXXXX/ (XX) VIEŠOJO XXXXXXXXX XXXXXXX/ (XX) X XÖXXXXXXX XXXXXXXXXXX SZÁMA/ (XX) XXXXX XX' XXXXXXXXX TAD-DOKUMENT XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX VAN XXX XXXXXXXX XXXXXXXX/ (XX) NUMER XXXXXXXXXXXX XXXXXXXXX URZĘDOWEGO/ (XX) XXXXXX DE XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX XX XXXXXXXȚĂ AL XXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (XX) REFERENČNA XXXXXXXX XXXXX LISTINE/ (XX) XXXXXXX ASIAKIRJAN XXXXXXXXXXX/ (XX) DEN XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА САМОЛИЧНОСТТА НА СЪОТВЕТНОТО ЛИЦЕ СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXX LA XXXXXXXXX XX LA XXXXXXX X XX XXX SE XXXXXXX XX XXXXXXXXX XXXXXXX XX QUE SE XXXXXXX ESTE XXXXXXX/ (XX) INFORMACE X XXXXXXXXXX XXXXX XXXXXXX XX VEŘEJNÉ XXXXXXX, X XXX JE XXXXXXXX XXXXX XXXXXXXX/ (XX) INFORMATION XX XXXXXXXXXXX PÅ XXXXXXXX, XXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX ER XXXXÆXXXX, XX UDSTEDT X/ (XX) XXXXXXX ZUR XXXXXXXÄX XXX BETREFFENDEN XXXXXX XXXÄXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX FORMULAR XXXXXXÜXX XXX/ (ET) TEAVE XXXXX XXXXXXXXXXXXX XXXXX, XXX ON XXXXXXXXX XXXXXXXX XXXXXXXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΓΙΑ ΤΗΝ ΤΑΥΤΟΤΗΤΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΚΑΤΟΝΟΜΑΖΕΤΑΙ ΣΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) INFORMATION XX XXX IDENTITY OF XXX XXXXXX XXXXX XX THE XXXXXX XXXXXXXX TO XXXXX XXXX XXXX IS XXXXXXXX/ (XX) XXXXXXXXXXXX XXX L'IDENTITÉ XX XX PERSONNE XXXXXXXXX XXX XX DOCUMENT XXXXXX XXXXXX EST XXXXX LE XXXXXXX XXXXXXXXXX/ (XX) FAISNÉIS XXXX XXXXXXXXXX AN XXXXX XXX XXXXXXXXX XX XXXXXXXXX POIBLÍ XXXX XXXXXX XX XXXXXX SEO XXXXXXXXXX/ (XX) INFORMACIJE X XXXXXXXXXX XXXXX XXXXXXXX X JAVNOJ XXXXXXX XXXXX JE XXXX XXXXXXX XXXXXXXX/ (IT) XXXXXXXXXXXX XXXX'XXXXXXXÀ XXXXX XXXXXXX INTERESSATA XXX XXXXXXXXX XXXXXXXX XXX XX PRESENTE MODULO È XXXXXXXX/ (LV) XXXXXXĀXXXX XXX XXXXXXXXXĀ XXXXXXXXĀ, XXXXX ŠĪ XXXXXXXX XX PIEVIENOTA, XXXĒXĀX PERSONAS XXXXXXXĀXX/ (XX) INFORMACIJA XXXX XXXXXX, XXXXXXXX XXXXXXXXX XXXXXXXXX, PRIE XXXXX XXXXXXXXX XX XXXXX, XXXXXXXĘ/ (XX) X XXXXXXXXXXXXXXXXXXX KÍSÉRT KÖZOKIRATBAN XXXXXXXXXXX XXXXXXX XXXXXXXXXXXXXXXXXXX XXXXXXXXX ADATOK/ (XX) XXXXXXXXXXXXX XXXX L-IDENTITÀ XXX-XXXXXXX MSEMMIJA FID-DOKUMENT XXXXXXXX XX XXXXĦX XX MEHMUŻA DIN XX-XXXXXXX/ (XX) XXXXXXXXXX XXXX XX XXXXXXXXXX XXX DE BETROKKENE XX XXXXX XXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (PL) XXXX XX XXXXX XXŻXXXXŚXX XXXXX WSKAZANEJ X DOKUMENCIE XXXĘXXXXX, XX XXXXXXX ZAŁĄCZONY XXXX NINIEJSZY XXXXXXXXX/ (XX) XXXXXXXÇÕXX SOBRE X IDENTIDADE DA XXXXXX XXXXXXXXX NO XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX ESTÁ APENSO/ (XX) INFORMAȚII PRIVIND XXXXXXXXXXX XXXXXXXXX VIZATE XX XXXXXXXXXX OFICIAL XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) INFORMÁCIE X XXXXXXXXXX OSOBY XXXXXXXX XX XXXXXXXX LISTINE, XX KTOREJ XX XXXXX FORMULÁR XXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXXXXXXXXX OSEBE, NA XXXXXX SE XXXXXX XXXXX LISTINA, XX XX XX PRILOŽEN XX XXXXXXX/ (XX) XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX LIITETÄÄN, XXXXXXXXXXX XXXXXXÖX HENKILÖTIEDOT/ (XX) XXXXXXXXX XX XXXXXXXXXXX PÅ XXX XXXXXX XXX BERÖRS XX XXX OFFICIELLA XXXXXXXX TILL VILKEN XXXXX XXXXXXÄX ÄX XXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X)/ (XX) XXXXXXXX/ (XX) EFTERNAVN(E)/ (XX) XXXXXXXXXXXX(X)/ (XX) XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (XX) SURNAME(S)/ (XX) XXX(X)/ (XX) XXXXXXX (XXXXXXXX)/ (XX) XXXXXXX(XX)/ (XX) COGNOME(I)/ (XX) XXXĀXXX(-X)/ (LT) XXXXXXĖ (-ĖS)/ (XX) XXXXXXX NEVE(I)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (XX) ACHTERNA(A)M(EN)/ (XX) XXXXXXXX(-X)/ (XX) XXXXXXX(X)/ (XX) NUME/ (XX) XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX/ (FI) SUKUNIMI (-XXXXX)/ (XX) XXXXXXXXX

4.2

(XX) ПРЕДИШНО(И) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X) XXXXXXXX(XX)/ (XX) XXXXXXXXX XXXXXXXX/ (XX) TIDLIGERE EFTERNAVN(E)/ (XX) XXÜXXXX(X) FAMILIENNAME(N)/ (XX) XXXXXXX XXXXXXXXXXXXX (XXXXXXXXX XXXXXXXXXXXXXX)/ (EL) ΠΡΟΗΓΟΥΜΕΝΟ(-Α) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXXX XXXXXXX(X)/ (FR) XXX(X) XXXXXXXXX(X)/ (XX) XXXXXXX (SLOINNTE) XXXXXX XXX/ (XX) XXXXXXXXX(-X) XXXXXXX(XX)/ (XX) XXXXXXX/X XXXXXXXXXX/X/ (LV) XXXXXXXXĒXXXX(-XX) XXXĀXXX(-X)/ (XX) XXXXXXXXĖ (-ĖX) XXXXXXĖ (-ĖX)/ (XX) ELŐZŐ CSALÁDI XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) XXXĊXXXXXX/ (NL) XXXXXXXX XXXXXXXX(X)X(XX)/ (PL) XXXXXXXXXX XXXXXXXX(-X)/ (XX) XXXXXXX(X) XXXXXXXX(XX)/ (XX) XXXX XXXXXXXX (NUME ANTERIOARE)/ (XX) PREDCHÁDZAJÚCE XXXXXXXXXX(-X)/ (XX) XXXXXXXX PRIIMEK/PRIIMKI / (XX) XXXXXXX XXXXXXXX (ENTISET SUKUNIMET)/ (XX) TIDIGARE XXXXXXXXX

4.3

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (ES) XXXXXX(X)/ (XX) JMÉNO (XXXXX)/ (DA) XXXXXXX(X)/ (XX) VORNAME(N)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) PRÉNOM(S)/ (GA) XXXXXXXX (XXXXXXXXXXXXXX)/ (HR) XXX(XX)/ (XX) NOME(I)/ (XX) VĀRDS(-I)/ (XX) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (MT) ISEM(/ISMIJIET)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (XXXXXX)/ (XX) XXXX(X) XXXXXXX(X)/ (XX) XXXXXXX/ (XX) MENO(-Á)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-NIMET)/ (SV) XÖXXXXX

4.4

(XX) ПРЕДИШНО(И) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) NOMBRE(S) XXXXXXXX(XX)/ (CZ) PŘEDCHOZÍ XXXXX (JMÉNA)/ (XX) XXXXXXXXX XXXXXXX(X)/ (XX) XXÜXXXX(X) VORNAME(N)/ (XX) XXXXXXX XXXXXXX (XXXXXXXXX XXXXXXXX)/ (XX) ΠΡΟΗΓΟΥΜΕΝΟ(-Α) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX XXXXXXXX(X)/ (XX) PRÉNOM(S) XXXXXXXXX(X)/ (XX) CÉADAINM (XXXXXXXXXXXXXX) XXXXXX XXX/ (XX) XXXXXXXXX(-X) IME(NA)/ (XX) NOME/I PRECEDENTE/I/ (XX) XXXXXXXXĒXXXX(-XX) XĀXXX(-X)/ (XX) ANKSTESNIS (-X) XXXXXX (-XX)/ (XX) XXŐXŐ UTÓNEVE(I)/ (XX) XXXX/XXXXXXXX XXXĊXXXXXX/ (NL) XXXXXXXX XXXXXXX(X)X(XX)/ (XX) XXXXXXXXXX XXXĘ (XXXXXX)/ (XX) NOME(S) XXXXXXX(X) XXXXXXXX(XX)/ (XX) PRENUME XXXXXXXX (XXXXXXX ANTERIOARE)/ (XX) XXXXXXXXXXXXXX XXXX(-X)/ (XX) XXXXXXXX IME/IMENA/ (XX) ETUNIMI (-XXXXX)/ (XX) XXXXXXXX FÖRNAMN

4.5

(BG) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (ES) FECHA (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (EN) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) DATE (XX/XX/XXXX) DE XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (XX) XXXX DI NASCITA (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX DATA (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (PL) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX DE XXXXXXXXXX (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (FI) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (DD/MM/ÅÅÅÅ)

4.6

(BG) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) LUGAR X PAÍS XX XXXXXXXXXX/ (XX) XXXXX X XXXX XXXXXXXX/ (XX) FØDESTED XX -XXXX/ (DE) XXX XXX XXXX XXX XXXXXX/ (XX) XÜXXXXXXX XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX XXX XXXXXXX XX XXXXX/ (XX) LIEU XX PAYS XX XXXXXXXXX/ (XX) ÁIT XXXX XXX BHREITHE/ (XX) XXXXXX X XXXXXX XXĐXXXX/ (XX) XXXXX X PAESE XX NASCITA/ (XX) XXXXXXXXX XXXXX UN XXXXXX/ (XX) XXXXXX XXXXX IR ŠALIS/ (XX) SZÜLETÉSI XXXXX XX XXXXXXX/ (XX) XXXX X PAJJIŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX XX -XXXX/ (PL) XXXXXXX I PAŃSTWO XXXXXXXXX/ (XX) LOCAL X XXXX XX XXXXXXXXXX/ (XX) LOCUL ȘX ȚARA XXȘXXXXX/ (XX) XXXXXX X XXXX NARODENIA/ (SL) XXXX XX XXXXXX XXXXXXX/ (FI) SYNTYMÄPAIKKA XX -XXX/ (XX) XÖXXXXXXXX XXX -LAND

4.7

(BG) ПОЛ/ (ES) XXXX/ (XX) XXXXXXX/ (DA) XØX/ (XX) XXXXXXXXXX/ (XX) XXXX/ (EL) ΦΥΛΟ/ (EN) XXX/ (XX) SEXE/ (XX) XXXXXX/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) LYTIS/ (XX) NEME/ (MT) XXXX/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (XX) XXXX/ (XX) XXXXX/ (XX) POHLAVIE/ (XX) XXXX/ (FI) XXXXXXXXX/ (XX) XÖX

4.7.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) XXXX/ (DA) XXXXXX/ (XX) WEIBLICH/ (ET) XXXXXXXXX/ (EL) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (GA) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (LV) XXXXXXXX/ (XX) XXXXXXX/ (HU) XŐ/ (XX) XXXX/ (XX) VROUW/ (PL) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (SL) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX

4.7.2

(XX) МЪЖКИ/ (XX) XXXXX/ (CZ) XXX/ (XX) XXXX/ (XX) XÄXXXXXX/ (XX) MEESSOOST/ (XX) ΑΡΡΕΝ/ (EN) XXXX/ (XX) MASCULIN/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) VĪRIETIS/ (XX) XXXXX/ (HU) FÉRFI/ (XX) XXĠXX/ (XX) XXX/ (PL) XĘŻXXXXXX/ (XX) MASCULINO/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (FI) XXXX/ (XX) XXX

4.7.3

(XX) НЕОПРЕДЕЛЕН/ (ES) INDETERMINADO/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) UNBESTIMMT/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) NEAMHCHINNTITHE/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) MEGHATÁROZATLAN/ (XX) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (PL) XŁXĆ XXXXXXXŚXXXX/ (XX) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

4.8

(XX) ГРАЖДАНСТВО/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXÖXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) ΙΘΑΓΕΝΕΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) NÁISIÚNTACHT/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (LV) XXXXXXXXXXXXĪXX/ (XX) XXXXXXXXĖ/ (XX) XXXXXXXXXXXXXXX/ (XX) ĊXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (PL) XXXXXXXXXXXX/ (XX) NACIONALIDADE/ (XX) XXXĂȚXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (FI) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX

4.9

(XX) ГРАЖДАНСКИ НОМЕР/ (ES) NÚMERO XX IDENTIDAD/ (CZ) XXXXXXXXXXXXX XXXXX/ (DA) XXXXXXXXXXXXXXXXXXXXX/ (XX) IDENTITÄTSNUMMER/ (XX) ISIKUKOOD/ (XX) ΑΡΙΘΜΟΣ ΤΑΥΤΟΤΗΤΑΣ/ (XX) XXXXXXXX XXXXXX/ (XX) XXXXXX X'XXXXXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (HR) XXXXXXXXXXXXXXXX XXXX/ (IT) XXXXXX X'XXXXXXXXXXXXXXX/ (LV) XXXXXXXĀXXX NUMURS/ (LT) XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX SZÁMA/ (XX) XXXXX TAL-IDENTITÀ/ (XX) XXXXXXXXXXXXXXXXX/ (XX) XXXXX IDENTYFIKACYJNY/ (PT) XXXXXX XX XXXXXXXXXXÇÃX/ (XX) NUMĂRUL DE XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXXX/ (XX) HENKILÖTUNNUS/ (XX) IDENTITETSNUMMER

4.10

(BG) ВИД И НОМЕР НА ДОКУМЕНТА ЗА САМОЛИЧНОСТ НА ЛИЦЕТО/ (XX) XXXX X XXXXXX XX XXXXXXXXX XX XXXXXXXXXXXXXX XXX XXXXXXXXXX/ (XX) XXXX X XXXXX IDENTIFIKAČNÍHO DOKLADU XXXXX/ (DA) XXXXX XX NUMMERET XÅ XXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXX/ (XX) XXX XXX XXXXXX XXX XXXXXXXÄXXXXXXXXXXX XXX XXXXXX/ (ET) XXXXXX XÕXXXXXX DOKUMENDI XXXX XX NUMBER/ (XX) ΕΙΔΟΣ ΚΑΙ ΑΡΙΘΜΟΣ ΕΓΓΡΑΦΟΥ ΤΑΥΤΟΤΗΤΑΣ ΤΟΥ ΠΡΟΣΩΠΟΥ/ (EN) XXXX XXX XXXXXX XX XXX XXXXXX’X IDENTIFICATION XXXXXXXX/ (XX) XXXX XX NUMÉRO XX XX XXÈXX X'XXXXXXXX XX XX XXXXXXXX XXXXXXXXX/ (GA) XXXXXX XXXX XXXXXX DHOICIMÉAD XXXXXXXXXXX XX XXXXX/ (XX) XXXXX X XXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXX/ (XX) XXXX X XXXXXX XXX XXXXXXXXX XX XXXXXXXÀ XXXXX PERSONA/ (LV) XXXXXXXX IDENTIFIKĀCIJAS XXXXXXXXX XXXXX UN NUMURS/ (XX) XXXXXX XXXXXXXĖX XXXXXXXXX XXXXX XX XXXXXXX/ (XX) X XXXXXXXXXXXXXXXX OKMÁNY XXXXXX XX SZÁMA/ (XX) XX-XXX X X-XXXXX XXX-XXXXXXXX XX' XXXXXXXÀ XXX-XXXXXXX/ (XX) XXXX XX XXXXXX XXX XXX XXXXXXXXXXXXXXXXXXX XXX XX XXXXXXXXXX/ (XX) XXXXXX X NUMER XXXXXXXXX XXŻXXXXŚXX/ (XX) XXXX E XXXXXX XX XXXXXXXXX XX XXXXXXXXXXÇÃX/ (XX) TIPUL ȘX XXXĂXXX XXXXXXXXXXXX XX IDENTIFICARE XX XXXXXXXXX/ (XX) XXX X XXXXX PREUKAZU XXXXXXXXXX OSOBY/ (SL) XXXXX IN ŠTEVILKA XXXXXXXXXXXXXXXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXÖXXXXXXXXXXX XXXXXX XX XXXXXX/ (XX) XXX OCH XXXXXX XÅ XXXXXXXXX IDENTITETSHANDLING

4.10.1

(BG) НАЦИОНАЛНА ЛИЧНА КАРТА/№/ (XX) DOCUMENTO XXXXXXXX XX IDENTIDAD / XXX./ (CZ) XXXXXXXXXXXX XXXXXX XXXXXXXXXX / X./ (XX) XXXXXXXXX XXXXXXXXXXXXXX/-XXXXXX/ (DE) XXXXXXXXXX XXXXXXXXXXXXXXX/XX./ (XX) RIIKLIK XXXXXXXXXXXXXX / XX/ (XX) ΕΘΝΙΚΟ ΔΕΛΤΙΟ ΤΑΥΤΟΤΗΤΑΣ / ΑΡΙΘ./ (XX) NATIONAL IDENTITY XXXX/XX./ (FR) CARTE XXXXXXXXX D'IDENTITÉ/N°/ (GA) XXXXX XXXXXXXXX XXXXXXXXXXX/XXXX./ (XX) XXXXXXXXXX XXXXXX XXXXXXXXX / XX./ (XX) XXXXX X'XXXXXXXÀ XXXXXXXXX/X./ (XX) XXXXXX XXXXXXXX XXXXXXĪXX / XX./ (XX) XXXXXXXXXXĖ XXXXXX XXXXXXXĖX KORTELĖ / XX./ (XX) XXXXXXX SZEMÉLYAZONOSÍTÓ XXXXXXXXXX/XXXXX/ (XX) KARTA TAL-IDENTITÀ XXXXXXXXXX/XXX/ (NL) XXXXXXXXX XXXXXXXXXXXXXXXX/XX./ (XX) XXXXXXX XXXXX XXŻXXXXŚXX / XX/ (XX) N.o XX XXXXXXXXX XX XXXXXXXXXXÇÃX NACIONAL/ (XX) XXXXX DE IDENTITATE XXȚXXXXXĂ/XX./ (XX) XXXXXXX XXXXXXX XXXXXXXXXX/x./ (SL) XXXXXXXXXX OSEBNA XXXXXXXXX/XX./ (XX) XXXXXXXXXXX XXXXXXÖXXXXXX/XXX/ (XX) XXXXXXXXXX IDENTITETSKORT/NUMMER

4.10.2

(BG) ПАСПОРТ/№/ (ES) XXXXXXXXX / XXX./ (CZ) XXX / Č./ (XX) XXX/XX./ (XX) XXXXXXXXX/XX./ (XX) XXXX/XX/ (XX) ΔΙΑΒΑΤΗΡΙΟ/ΑΡΙΘ./ (EN) XXXXXXXX/XX./ (XX) XXXXXXXXX/X°/ (XX) XXX/XXXX./ (XX) XXXXXXXXX / BR./ (XX) PASSAPORTO/N./ (XX) XXXX/XX./ (XX) XXXXX / XX./ (HU) XXXXXXX/XXXXX/ (XX) PASSAPORT/ XXX/ (XX) PASPOORT/NR./ (XX) PASZPORT / XX/ (XX) X.x XX XXXXXXXXXX/ (XX) XXȘXXXXX/XX./ (XX) XXXXXXXX XXX/x./ (SL) POTNI XXXX/XX./ (XX) PASSI/NRO/ (XX) XXXX/XXXXXX

4.10.3

(XX) СВИДЕТЕЛСТВО ЗА УПРАВЛЕНИЕ НА МПС/№/ (XX) XXXXXXX XX CONDUCCIÓN / XXX./ (XX) XXXXXXXX XXXXXX / X./ (XX) XØXXXXXX/XX./ (XX) XÜXXXXXXXXXX/XX./ (ET) XXXXXXXX/XX/ (XX) ΑΔΕΙΑ ΟΔΗΓΗΣΗΣ / ΑΡΙΘ./ (XX) XXXXXXX XXXXXXX/XX./ (XX) XXXXXX DE CONDUIRE/N°/ (XX) XXXXXXXX XXXXXXX/XXXX./ (XX) XXXXXXX DOZVOLA / XX./ (IT) XXXXXXX XX XXXXX/X./ (XX) XXXĪXĀXX XXXXXXĪXX / NR./ (XX) XXXXXXXXXX XXXXXĖXXXXX / XX./ (XX) XXXXXŐX XXXXXXXX/XXXXX/ (XX) XXĊXXXXX XXX-XXXXXX/XXX/ (XX) XXXXXXXXX/XX./ (XX) PRAWO JAZDY / NR/ (PT) X.x XX XXXXX XX XXXXXÇÃX/ (RO) XXXXXX DE CONDUCERE/NR./ (XX) XXXXXXXX PREUKAZ/č./ (XX) VOZNIŠKO XXXXXXXXXX/XX./ (XX) XXXXXXXXX/XXX/ (SV) XÖXXXXX/XXXXXX

4.10.4

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ) … /№ …/ (ES) XXXX (ESPECIFÍQUESE) … / XXX. …/ (XX) XXXX (XXXXXXXXX) … / X …/ (XX) XXXXX (XXXXXXX) …/ XX. …/ (XX) SONSTIGES (XXXXX XXXXXXX) …/XX …/ (XX) XXX (XÄXXXXXXXX) … / XX …/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ) … / Αριθ. …/ (XX) XXXXX (XX XX SPECIFIED) …/Xx. …/ (XX) XXXXX (À XXXXXXXX) …/N° …/ (GA) XXXX (XX XXXXX) … …/Xxxx. …/ (XX) XXXXXX (NAVESTI) … / br. …/ (XX) XXXXX (XXXXXXXXX) …/X. …/ (XX) XXXX (PRECIZĒT) … / NR. …/ (XX) XXXX (NURODYTI) …/XX. …./ (XX) XXXXX (XXXXÜX XXXXXXXXXXX) …/Xxxxx: …/ (MT) XĦXXXX (XXXXXĊXŻX) …/Nru …/ (NL) OVERIGE (XXXXXXXXXXXX) …/XX. …/ (XX) XXXX (XXXXXĘ XXXXŚXXĆ) … / xx …/ (XX) X.x XX XXXXX XXXXXXXXX (XXXXXXXXXXX) …/ (XX) XXXXX (A XX XXXXXXX) … /XX. …/ (XX) XXX (XXXXXXXX) …/č. …/ (XX) XXXXX (XXXXXXX) …/xx. …/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ) … /Xxx …/ (SV) XXXXX XXXXXXXX (XXXXXXXXXXXX) …/Nummer …

5.

(XX) В ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ, НЕ СЕ ПОСОЧВА СЪОТВЕТНОТО ЛИЦЕ ДА Е БИЛО ОСЪЖДАНО СЪГЛАСНО РЕГИСТРИТЕ ЗА СЪДИМОСТ НА ДЪРЖАВАТА ЧЛЕНКА, ЧИЙТО ГРАЖДАНИН Е ТОВА ЛИЦЕ/ (XX) EL XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX NO XXXXXXXX XXX CONSTE XXXXXX XXXXXXXXXXX XXXXX XXX INTERESADO XX XX REGISTRO XX XXXXXXXXXXXX XXXXXXX XXX XXXXXX XXXXXXX XXX XXX TIENE LA XXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX, XXXXXXXXX XXXXX XXXXXXXXX DOTYČNÉ XXXXX XXXXXXXXXXX V XXXXXXXXX XXXXXX XXXXXXXXX XXXXX, XXXXX XX TATO XXXXX STÁTNÍM PŘÍSLUŠNÍKEM/ (XX) XXX OFFENTLIGE XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX, XÆXXXX INGEN XXX XXX XXXXXX XXX XXX XÅXÆXXXXXX XXXXXX X XXXXXXXXXXXXXXXX I XXX XXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXXXXX/ (XX) XXX ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX BEIGEFÜGT XXX, XXXXÄXX XXXXXX HINWEIS XXX XXXX VERURTEILUNG XXX BETREFFENDEN PERSON XX STRAFREGISTER DES XXXXXXXXXXXXXX XXXXX XXXXXXXXXXXÖXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX, XXXXXXX XXX VORM XX XXXXXXX, EI XXX MÄRGITUD ÜXXXXX XÜÜXXXÕXXXXXX XXXXXXXXXXX, XXX XXXXX XXXXXX ASJAOMASE XXXXX XXXXXX XX XXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXÄXXXX LIIKMESRIIGI KARISTUSREGISTRISSE/ (XX) ΣΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ ΔΕΝ ΑΝΑΦΕΡΕΤΑΙ ΓΙΑ ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΚΑΤΑΔΙΚΗ ΕΓΓΕΓΡΑΜΜΕΝΗ ΣΤΟ ΠΟΙΝΙΚΟ ΜΗΤΡΩΟ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΤΗΝ ΙΘΑΓΕΝΕΙΑ ΤΟΥ ΟΠΟΙΟΥ ΕΧΕΙ ΤΟ ΠΡΟΣΩΠΟ ΑΥΤΟ/ (XX) XXX XXXXXX XXXXXXXX XX XXXXX XXXX FORM XX ATTACHED XXXX XXX XXXXXXX XXX XXXXXXXXXX IN XXXXXXX XX XXX XXXXXX XXXXXXXXX XX XXX XXXXXXXX XXXXXX XX XXX XXXXXX XXXXX XX XXXXXXXXXXX XX XXXX PERSON/ (XX) XX XXXXXXXX PUBLIC XXXXXX XX XXXXXXX XXXXXXXXXX EST JOINT XX MENTIONNE AUCUNE XXXXXXXXXXXX FIGURANT XX XXXXXX XXXXXXXXXX DE XX PERSONNE XXXXXXXXX XXXX X'XXXX XXXXXX XXXX XXXXX XXXXXXXX X XX XXXXXXXXXXX/ (XX) XX XXXXXXXXX XXXXXX XXXX BHFUIL XX XXXXXX SEO XXXXXXXXXX, NÍL XXX XXXXXX XX XXX XXXXXXX X XXXXX XX DUINE XXXX xXXXXXXXX XX TAIFEAD XXXXXXXX X mBALLSTÁT XXXXXXXXXXXXX XX XXXXX XXXX mBAINEANN/ (XX) X JAVNOJ XXXXXXX XXXXX XX XXXX XXXXXXX PRILOŽEN XXXX XXXXXXXX XXXXXXX XXXĐXXXĆX XXXXXXX PROTIV XXXXXXX XXXXX X XXXXXXXX XXXXXXXXXX DRŽAVE XXXXXXX XXXXXXXXXXXXX TE XXXXX/ (XX) IL XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX MODULO È XXXXXXXX XXX XXXXXXX XXXXXX XXXXXXXX RELATIVA XXXX XXXXXXX XXXXXXXXXXX XXX XXXXXX CONCERNE XX XXXXXXXXXX XXXXXXXXXX XXXXX STATO XXXXXX XX XXXXXXXXXXXX DI XXXX XXXXXXX/ (LV) XXXXXXXXXĀ XXXXXXXXĀ, KURAM XĪ XXXXXXXX XX XXXXXXXXXX, XXX ATTIECĪGO XXXXXXX NAV XXXĒXX XXXXXXX XXXXXXĀXXXX, XXX XXXĀXĪXX XXXĒXĀX XXXXXXXX XXXXXXXXXXXXĪXXX XXXĪXXXXXXX XXXĀXĪXXX XXĢXXXXĀ/ (XX) XXXXXXXXX XXXXXXXXX, XXXX KURIO XXXXXXXXX XX XXXXX, XXXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXX XXXXXĘX XXXXXXXXXXX TO ASMENS XXXXXXXXĖX XXXXXXXĖX XXXĖX XXXXXXXXXXXŲ XXXXXXXX/ (HU) X FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXX XX XXXXXXXX XXXXXXXXXX XXXXXXXXXXXX NEM XXXXX XX XXXXXXXX XXXXXXX XXXXXXXXXXXXXXX XXXXXXXX XXXXXXXX XŰXÜXXX XXXXXXXXXXXXXXXXX XXXXXXXŐ XXXXXXXXX/ (XX) XX-XXXXXXXX PUBBLIKU MEHMUŻ XX' XXX XX-XXXXXXX XX JSEMMI L-EBDA XXXXXXXX XXX-XXXXXXX TAL-PERSUNA XXXXĊXXXXXX XXX-XXXXXX KRIMINALI XXX-XXXXX XXXXXX XXĊ-ĊXXXXXXXXXXX XX' XXX IL-PERSUNA/ (XX) XXX XXXXXXXX XXXXXXXX WAARAAN DIT XXXXXXXXX XX XXXXXXX, XXXXXXXX XXXX XXXXXXXXXXXX XXXX DE XXXXXXXXXX XX XXX XXXXXXXXXXXXX XXX XX XXXXXXXX XXX XXXXXXXXXXXXX XXX XX BETROKKENE/ (PL) XXXXXXXX XXXĘXXXX, DO XXXXXXX ZAŁĄCZONY XXXX XXXXXXXXX XXXXXXXXX, XXX XXXXXXX XXXXXXXXXX X XXXXXXXXX XXXXXX XXXXXXĄXXXX XXXXXXXX XXXXX XXXXX, XXXXXX XXXXXXX XXXXXXXX, XXXXXXXXX XX XXXXXXXX XXXXXXX PAŃSTWA XXŁXXXXXXXXXXX, XXXXXXX XXXXX XX XXXX XXXXXXXXXX/ (XX) X XXXXXXXXX XXXXXXX X XXX O XXXXXXXX XXXXXXXXXX ESTÁ XXXXXX XÃX XXXXXX XXXXXXXX CONDENAÇÃO XX XXXXXX XX XXXXX XX XXXXXXX XXXXXXXX XX ESTADO-MEMBRO XX XXXXXXXXXXXXX DESSA XXXXXX/ (XX) XXXXXXXXXX OFICIAL XX CARE XXXX XXXXXX XXXXXXXXX FORMULAR XX XXXȚXXXXXXĂ XXXXX XXXXXXXXXX XXXXXXXXXXX XX XXXXXXXX XXXXXĂ XX XXXXXXXX XXXXXXXX DIN XXXXXX XXXXXX XX XĂXXX XXXĂȚXXX XXXX XXXXXXXX XXXXXXXXXĂ/ (SK) XX XXXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX, XX XXXXXXXX XXXXXX XXXXXXXXX XXXXXXXXX OSOBY X XXXXXXXX XXXXXXX XXXXXXXXX ŠTÁTU, XXXXXXX XXXXXXX XXXXXXXXXXXX XX XXXX OSOBA/ (XX) X JAVNI LISTINI, XX XX XX XXXXXXXX TA XXXXXXX, XX NAVEDENA NOBENA XXXXXXX X XXXXX X XXXXXXX XXXXX X XXXXXXXX EVIDENCI XXXXXX ČLANICE, XXXXXX XXXXXXXXXXXXX XXX XX XXXXX/ (XX) XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX, XX XXX MAININTAA XXXXXXXXXXXX XXXXXXÖÄ KOSKEVISTA XXXXXXXXXX XXX JÄSENVALTION XXXXXXXXXXXXXXXXÄ, XXXXX XXXXXXXXXXX XXXXXXÖ XX/ (SV) I XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX XÄXXX INGEN XXXXXXX XX XXX XXX XXX BERÖRDA XXXXXXXX X XXXXXXXXXXXXXXXXX X XXX XXXXXXXXXXX XÄX XXXXX PERSON ÄR XXXXXXXXXX

6.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) RECUADRO XXXX XX FIRMA/ (XX) POLE PRO XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (EN) XXXXXXXXX XXX/ (XX) XXXXX XXXX XX SIGNATURE/ (XX) BOSCA XXX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXXXXX XXX XX XXXXX/ (LV) XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXX/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX VOOR DE XXXXXXXXXXXX/ (XX) XXXX XXXXXXX/ (XX) ESPAÇO XXXXXXXXX À ASSINATURA/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX XXXXXX/ (XX) XXXXX ZA 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 XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (CZ) XXXXXXXX X XXXXX (XXXXX) XXXXXXXX, KTERÝ VYDAL XXXXX FORMULÁŘ/ (XX) XXXXXXXXX(X) XX FORNAVN(E) XÅ DEN XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX(X) UND VORNAME(N) XXX BEAMTEN, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXX (-NIMED) XX XXXXXXXXXXXXX (-XXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) SURNAME(S) XXX FORENAME(S) XX XXX OFFICIAL XXX XXXXXX THIS FORM/ (XX) NOM(S) ET XXXXXX(X) XX XXXXXXXXXXXXX XXX X DÉLIVRÉ XX XXXXXXX XXXXXXXXXX/ (XX) SLOINNE (SLOINNTE) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX OIFIGIGH X X’XXXXXX XX XXXXXX XXX/ (XX) PREZIME(NA) X XXX(XX) SLUŽBENIKA XXXX JE XXXXX XXXX XXXXXXX/ (IT) XXXXXXX/X X NOME/I XXX XXXXXXXXXXX CHE XX XXXXXXXXXX IL XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, KURA IZDEVUSI XX XXXXXXXX, XXXĀXXX(-X) XX VĀRDS(-I)/ (XX) XXĄ FORMĄ IŠDAVUSIO XXXXXXŪXX PAVARDĖ (-ĖS) XX XXXXXX (-XX)/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX TISZTVISELŐ CSALÁDI XXXX(X) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) TAL-UFFIĊJAL XX ĦXXXĠ DIN IL-FORMOLA/ (XX) NA(A)M(EN) EN XXXXXX(X)X(XX) VAN DE XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) I XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (XX) APELIDO(S) X NOME(S) PRÓPRIO(S) XX XXXXXXXXXXX XXX XXXXXX O XXXXXXXX XXXXXXXXXX/ (RO) XXXXXX ȘX PRENUMELE XXXXȚXXXXXXXXX XXXX X EMIS XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) A XXXX(-X) XXXXXXXX, KTORÝ XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX/XXXXXXX IN XXX/XXXXX XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (XX) TÄMÄN LOMAKKEEN XXXXXXXX VIRKAMIEHEN SUKUNIMI (-XXXXX) JA XXXXXXX (-XXXXX)/ (XX) EFTERNAMN XXX XÖXXXXX XÅ XXX TJÄNSTEMAN XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

6.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX DEL FUNCIONARIO XXX XXXXXXX ESTE XXXXXXX/ (XX) XXXXXX XXXXXXXX, XXXXX XXXXX XXXXX FORMULÁŘ/ (DA) XXXXXXXX — XXX XXXXXXXXXX, DER HAR XXXXXXX XXXXX FORMULAR/ (XX) STELLUNG XXX XXXXXXX, XXX DIESES XXXXXXXX AUSGESTELLT XXX/ (XX) XÄXXXXXXX VORMI XÄXXXXXXXXX AMETNIKU XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) POSITION OF XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) POSTE XX XXXXXXXXXXXXX XXX X XXXXXXX LE XXXXXXX XXXXXXXXXX/ (GA) XXXX XX XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXXX XXXXXXXXXX XXXX XX XXXXX OVAJ XXXXXXX/ (XX) XXXXXXXXX XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX IZDEVUSI XX XXXXXXXX, XXXXX/ (XX) XXĄ FORMĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX VAN XX XXXXXXXXX XXX XXX XXXXXXXXX HEEFT XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, KTÓRY XXXXŁ XXXXXXXXX XXXXXXXXX/ (PT) XXXXX XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX FUNCȚIONARULUI CARE X EMIS XXXXXXXXX XXXXXXXX/ (XX) FUNKCIA XXXXXXXX, KTORÝ XXXXX XXXXX FORMULÁR/ (XX) XXXXXXX XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX VIRKAMIEHEN XXXXX/ (SV) BEFATTNING XÖX DEN TJÄNSTEMAN XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) VYDÁNÍ/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (DD/MM/YYYY) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (HR) DATUM (XX/XX/XXXX) IZDAVANJA/ (XX) XXXX DI XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (LT) XXXXXXXX DATA (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXX (JJ/XX/SSSS) TAL-ĦRUĠ/ (XX) DATUM (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) WYDANIA/ (XX) XXXX DE XXXXXÃX (XX/XX/XXXX)/ (RO) XXXX (ZZ/LL/AAAA) EMITERII/ (XX) XXXXX (DD/MM/RRRR) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) FÖR XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (XX) XXXXX/ (CZ) PODPIS/ (XX) XXXXXXXXXXX/ (DE) XXXXXXXXXXXX/ (XX) ALLKIRI/ (XX) ΥΠΟΓΡΑΦΗ/ (EN) XXXXXXXXX/ (FR) SIGNATURE/ (XX) XXXXX/ (XX) XXXXXX/ (IT) FIRMA/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (RO) XXXXĂXXXX/ (XX) PODPIS/ (XX) XXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (XX) XXXXX XXXX XXXXXXX/ (XX) XXXX XXXXX XXXXXXX/ (XX) XXXXXX XXXX XXXXXXX/ (XX) XXXXXX XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (EN) SEAL XX XXXXX/ (FR) XXXXX OU XXXXXX/ (XX) XXXXX XX XXXXXX/ (HR) XXX XXX XXXXX/ (IT) XXXXX X XXXXXX/ (XX) XĪXXXX XXX XXXXXXXX/ (XX) SPAUDAS XXXX XXXXXXXXXX/ (HU) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX JEW XXXXXX/ (XX) XXXXX XX XXXXXXX/ (PL) XXXXXĘĆ XXX XXXXXXX/ (XX) XXXX OU XXXXXXX/ (XX) XXXXXXXX XXX ȘTAMPILA/ (XX) XXXXX ALEBO ODTLAČOK XXXXXXXX/ (SL) XXXXX XXX XXX/ (FI) XXXXXXX XXX XXXXX/ (XX) XXXXXX XXXXX XXÄXXXX