Doporučujeme vyhotovovat xxxxxxxxxx xx xxxxxxx *xxx (xxxxxxxx xxxxxxx) xxx xxxxxxxxx xxxxxxxx této xxxxxxx.
Xxxxxx/Xxxxxxx xxxx *)......................................................................................................
Odbor ......................................................................................................
Xx. ....................................................................
X .................................. xxx ..................................
Vzdání xx xxxxx xx xxxxxxxxxx xxxxx xxxxxxxxxx
Účastníci xxxxxx
xx xxxx ...................................................................................................... xx. ..................................
xxx (xxxx) ........................................................................................................................................,
xxx (xxxx) ........................................................................................................................................ ,
pan (xxxx) ........................................................................................................................................ , *)
xxxxxx xxx .................................. xxxxxxxxxx, xx xx xxxxxxxx xxxxx práva xx doručování písemných xxxxxxxxxx xxxxxxxxxx x xxxxxxxx xxxxxxxxx xxxxxx xx xxxx xxxxxxx xxxx.
....................................................................
xxxxxx xxxxxxxxx
....................................................................
xxxxxx účastníka
....................................................................
podpis xxxxxxxxx
xxxxxx xxxxxxx - xxxxx
....................................................................
xxxxx, xxxxxxxx x xxxxxx xxxxxxxxx úřední xxxxx