Plné znění - 32016R1191

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XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX XXX XXXXXXX

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

Xxxxxx (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (XX) Německo (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (XX) Španělsko (XX)

Xxxxxxx (XX) Chorvatsko (XX)

Xxxxxx (XX) Kypr (XX)

Xxxxxxxx (XX) Litva (XX)

Xxxxxxxxxxx (LU)

Maďarsko (XX) Xxxxx (MT)

Nizozemsko (NL) Xxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Xxxxxx (XX)

Xxxxxxx (SE) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

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

Tento xxxxxxxx xxxxxx xxxxx xxxxxxx xxxxxxx, x níž xx xxxxxxxx. Orgán, xxxxx xx xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx xxxx x xxxxxxxxx, xxx xx xx xxxxxxxx xxx xxxxx xxxxxxxxxx xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx xxxxxxxxx, xxxxx xxxx xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX PRO XXXXXXXXXX XXXXX

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

Xxxxx veřejná listina, x níž je xxxxxxxx xxxxx xxxxxxxx, xxxxxxxxxx xxxxxx údaje xxxx informace, xxxxxx „–“.

1. XXXXX XXXXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (3)

2. ORGÁN VYDÁVAJÍCÍ XXXXXXXX LISTINU, X XXX XX PŘILOŽEN XXXXX FORMULÁŘ

1.1 Xxxxx (4)

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

(2) Při xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

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

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

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

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

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Listina xxxxxx xxxxxxx zástupcem

3.1.3 Xxxxxxx xxxxxx xxxxxx xxxxxxx xxxxxxxxx

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

3.1.5 Xxxx (upřesněte)

3.2 Xxxxxxx xxxxxx xxxxxxxx úřadem

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x xxxxxxx

3.2.3 Výpis z xxxxxxxx obyvatel

3.2.4 Xxxx xxxxxxxxxx záznamů

3.1.5 Jiné (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, xxxxxx xxxx opatřena xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

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

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXX O XXXXXXXXX

4.1 Xxxxxxxx

4.2 Xxxxx (xxxxx)

4.3 Xxxxx (dd/mm/rrrr) xxxxxxxx

4.4 Místo (1) x xxxx (2) xxxxxxxx

4.5 Xxxxxxx:

4.5.1 Xxxx

4.5.2 Xxx

4.5.3 Xxxxxxxx

5. XXXX XXX PODPIS

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

5.2 Xxxxxx xxxxxxxx, xxxxx vydal xxxxx xxxxxxxx

5.3 Datum (xx/xx/xxxx) xxxxxx

5.4 Podpis

5.5 Xxxxx xxxx razítko

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

(2) Název xxxx x – xxxxx xxxxxxxx – xxx ISO xxxx xxxx xxxx xxxxxxx „Xxxx (xxxxxxxxx)“ je xxxxx vybrat x xxxxxxxxxxx xxxxxxx xx xxxxxxxx xxxxxxxxxxxx standardním xxxxxxxxx, xxxxx je x xxxxxxxxx xx xxxxxxx evropské x-xxxxxxx.

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX QUE XXXXXX XXXX XXXXXXX/ (CZ) XXXXX VYDÁVAJÍCÍ XXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, XXX XXXXXX FORMULAR XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX XÄXXX ANDNUD XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX ISSUING XXXX FORM/ (FR) XXXXXXXX XX XXXXXXXXXX XX XXXXXXX FORMULAIRE/ (XX) AN xXXXXXX X XXXXXXXX XX XXXXXX XXX/ (XX) XXXXXX XXXX IZDAJE XXXX OBRAZAC/ (XX) XXXXXXXÀ CHE XXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX XX' XXX XX-XXXXXXX/ (NL) XXXXXXXXXX VAN XXXXXXX XXX XXX XXXXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (PT) XXXXXXXXXX XXX EMITE X PRESENTE XXXXXXXXXX/ (XX) XXXXXXXXXXX EMITENTĂ X XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX, KI XXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX ANTAVA XXXXXXXXXXXX/ (XX) XXXXXXXXX XXX UTFÄRDAR XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (ES) XXXXXXXXXXXX/ (XX) NÁZEV/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) NIMETUS/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (GA)AINMNIÚ/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (LV) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (MT) XXXXX/ (XX) BENAMING/ (XX) XXXXX/ (PT) XXXXXXXÇÃX/ (XX) DENUMIRE/ (SK) XXXXX/ (SL) XXX/ (XX) NIMI/ (SV) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX LISTINU, X XXX JE XXXXXXXX XXXXX XXXXXXXX/ (DA) XXX XXXXXXXXX, XXX XXX XXXXXXX XXX XXXXXXXXXX XXXXXXXX, SOM XXXXX FORMULAR XX XXXXÆXXXX/ (DE) BEHÖRDE, XXX DIE ÖFFENTLICHE XXXXXXX, XXX XXXXXX XXXXXXXX BEIGEFÜGT XXX, XXXXXXXXX/ (XX) ASUTUS, XXX XXXXX XÄXXX XXXXXXX XXXXXXXXX, MILLELE XXX XXXX XX XXXXXXX/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXX XXXXXXX THE XXXXXX XXXXXXXX TO XXXXX THIS XXXX XX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX DOCUMENT PUBLIC XXXXXX XXX JOINT XX XXXXXXX XXXXXXXXXX/ (XX) AN tÚDARÁS X XXXXXXXX XX XXXXXXXXX XXXXXX LENA XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXX KOJE XXXXXX XXXXX XXXXXXX KOJOJ XX OVAJ OBRAZAC XXXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX CUI XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX IR XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (LT) XXXXĄXĮ XXXXXXXXĄ, PRIE XXXXX XXXXXXXXX XX XXXXX, XXXXXXXXXX VALDŽIOS XXXXXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATOT XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX TAD-DOKUMENT XXXXXXXX XX XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX XXXXXXXX DOCUMENT XXXXXXX DIT XXXXXXXXX XX XXXXXXX/ (PL) XXXXX WYDAJĄCY XXXXXXXX XXXĘXXXX, DO KTÓREGO XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (PT) AUTORIDADE XXX XXXXX O XXXXXXXXX XXXXXXX A XXX X PRESENTE XXXXXXXXXX XXXX APENSO/ (XX) XXXXXXXXXXX EMITENTĂ X DOCUMENTULUI XXXXXXX XX CARE XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (SL) XXXXX, XX XXXX XXXXX LISTINO, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXXXX, JOKA XX XXXXXXX XXXXXXX ASIAKIRJAN, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX XXX UTFÄRDAR XXX XXXXXXXXXX HANDLING XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) INFORMACIÓN XXXXXXXX XX DOCUMENTO XXXXXXX XX QUE SE XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXXXXX VEDRØRENDE XXX OFFENTLIGE XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (DE) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, DER DIESES XXXXXXXX XXXXXXÜXX XXX/ (XX) TEAVE XXXXXXX XXXXXXXXX XXXXX, MILLELE XXX VORM XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) INFORMATION XXXXXXXX XX THE PUBLIC XXXXXXXX XX WHICH XXXX XXXX XX XXXXXXXX/ (FR) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX LE PRÉSENT XXXXXXXXXX/ (XX) XXXXXXXX X BHAINEANN XXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX AN XXXXXX XXX XXXXXXXXXX/ (XX) INFORMACIJE XXXX XX XXXXXX XX XXXXX XXXXXXX XXXXX XX XXXX OBRAZAC XXXXXXXX/ (IT) INFORMAZIONI XXXXXXXX XX XXXXXXXXX XXXXXXXX CUI IL XXXXXXXX MODULO È XXXXXXXX/ (XX) INFORMĀCIJA XXX XXXXXXXX XXXXXXXXX, XXXXX ŠĪ XXXXXXXX XX PIEVIENOTA/ (XX) XXXXXXXXXXX, XXXXXXXX SU XXXXXXXX XXXXXXXXX, PRIE XXXXX XXXXXXXXX ŠI XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX DWAR XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX HET XXXXXXXX XXXXXXXX XXXXXXX DIT XXXXXXXXX XX XXXXXXX/ (XX) INFORMACJE DOTYCZĄCE XXXXXXXXX XXXĘXXXXXX, DO XXXXXXX NINIEJSZY XXXXXXXXX XXXX XXŁĄXXXXX/ (PT) XXXXXXXÇÕXX RELATIVAS XX XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXȚXX REFERITOARE XX XXXXXXXXXX XXXXXXX XX CARE XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXX LISTINE, KU XXXXXX JE XXXXX XXXXXXXX XXXXXXXXX/ (SL) XXXXXXXXXXX X XXXXX X JAVNO XXXXXXX, XX XX JE XXXXXXXX XX OBRAZEC/ (XX) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (SV) XXXXXXXXXXX XX XXX XXXXXXXXXX HANDLING XXXX XXXXXX DETTA XXXXXXÄX ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX XXXXXXXX XXX XXX XXXXXXXXX X XX XXXXXXXXXXX XXXXXXXXX X LOS XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (XX) LISTINA XXXXXX XXXXXXX XXXX ÚŘEDNÍKEM X XXXXXX XX XXXXX DANÉHO XXXXXXXXX XXXXX/ (XX) XXXXXXXX, XXX XX UDSTEDT XX EN MYNDIGHED XXXXX XX EMBEDSMAND, XXX XX XXXXXXXXXX XXXXXXXX X XX XXXXXXXXXXX/ (XX) XXXXXXX XXXXX BEHÖRDE XXXX XXXXX XXXXXXXXXX ALS XXXXX XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX 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 XXXX XX AUTHORITY XX AN OFFICIAL XXXXXXXXX XXXX XXX XXXXXX XX TRIBUNALS XX X XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXX D'UNE AUTORITÉ XX D'UN XXXXXXXXXXXXX XXXXXXXX D'UNE JURIDICTION X'XX ÉTAT MEMBRE/ (XX) XXXXXXXXX A XXXXXXX X XXXXXX XX X OIFIGEACH X XXXXXX XXXXX XXXX NÓ XXXX XX XXXXXXXXXX XX XX BINSÍ XX XXXXX BALLSTÁIT/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXX XXX XXXXXXXXX SUDA XXXXXX XXXXXXX/ (IT) XXXXXXXXX XXXXXXX XX UN'AUTORITÀ X XX XX XXXXXXXXXXX XXXXXXXXXXXX XX XXX DELLE XXXXXXXXXXXXX XX XXX XXXXX XXXXXX/ (XX) XXXXXXXXX, XXXX IZSNIEGUSI XX XXXĪXXXXXXX TIESĀM XXXXXĪXX XXXXĀXX VAI XXXXXXXXXXX/ (XX) DOKUMENTAS, XXXXXXXX XXXXXXXX XXXXXXXXXXXX XX XXXXXXŪXX, SUSIJUSIŲ XX XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX KAPCSOLATBAN XXXX XXXXXXX XXXX XXXXXXXXXXŐ ÁLTAL KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ XXX UFFIĊJAL XX XXXXXXXX XXXXX XXX-XXXXX XXX XX-XXXXXXXXX XX' XXXX XXXXXX/ (XX) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX XXX XXX RECHTERLIJKE XXXXXXXXX XXX XXX LIDSTAAT/ (XX) XXXXXXXX POCHODZĄCY XX XXXXXX SĄDOWEGO XXX URZĘDNIKA SĄDOWEGO XXŃXXXX XXŁXXXXXXXXXXX/ (PT) XXXXXXXXX PROVENIENTE XX XXX XXXXXXXXXX OU XX UM XXXXXXXXXXX XXXXXXXXXX XX QUALQUER XXXXXXXÇÃX XX UM XXXXXX-XXXXXX/ (RO) DOCUMENT XXXX DE X XXXXXXXXXX XXX XX XX FUNCȚIONAR XX XX LÂNGĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXX ÚRADNÍKOM X XÄXXXX NA XXXX ČLENSKÉHO XXXXX/ (XX) XXXXXXX, XXXXXX X XXXXXX XXXXXX XXX URADNIKA XXXXX XXXXXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX, XXXXX XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX EN XXXXXXXXX XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) RESOLUCIÓN XXXXXXXX/ (CZ) ROZHODNUTÍ XXXXX/ (DA) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (FR) XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXX XX gCÚIRT/ (XX) XXXXXX XXXXXX/ (XX) DECISIONE XXXXXXXXXXXXXXX/ (XX) TIESAS XĒXXXX/ (XX) TEISMO SPRENDIMAS/ (XX) XXXXXXXX XXXXXXXXX/ (XX) DEĊIŻJONI TAL-QORTI/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) ORZECZENIE XĄXXXX/ (XX) XXXXXÃX XXXXXXXX/ (XX) XXXĂXÂXX JUDECĂTOREASCĂ/ (XX) XXXXX ROZHODNUTIE/ (XX) XXXXX ODLOČBA/ (XX) TUOMIOISTUIMEN XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX EXPEDIDO XXX XX MINISTERIO XXXXXX/ (XX) LISTINA XXXXXX XXXXXXX ZÁSTUPCEM/ (XX) XXXXXXXX XXXXXXX XX XX ANKLAGEMYNDIGHED/ (XX) URKUNDE EINER XXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT, XXXXX XX XÄXXX XXXXXX RIIKLIK XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX FROM X XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX ÉMANANT XX MINISTÈRE PUBLIC/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (HR) XXXXXXX XXXX XX IZDALO XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (NL) XXXXXXXX XXXXXXXXX DOOR EEN XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX DO XXXXXXXXXX XXXXXXX/ (XX) DOCUMENT XXXX DE UN XXXXXXXX/ (SK) LISTINA XXXXXX XXXXXXXXXXXX/ (SL) XXXXXXX, XX JO XXXX XXXXXXX TOŽILSTVO/ (XX) XXXXXXXXXX SYYTTÄJÄN XXXXXX ASIAKIRJA/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX JUDICIAL/ (XX) XXXXXXX XXXXXX VYŠŠÍM XXXXXXX ÚŘEDNÍKEM/ (XX) XXXXXXXX UDSTEDT XX XX XXXXXXXXXXXXXÆX/ (XX) XXXXXXX EINES URKUNDSBEAMTEN XXX XXXXXÄXXXXXXXXX EINES XXXXXXXX/ (ET) DOKUMENT, XXXXX XX VÄLJA XXXXXX KOHTUAMETNIK/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX FROM X CLERK XX X XXXXX/ (FR) XXXXXXXX ÉMANANT D'UN XXXXXXXX/ (XX) DOICIMÉAD X XXXXXXX X XXXXXXXXXX DE CHUID XXXXXX/ (XX) XXXXXXX XXXX XX XXXXX XXXXXXXXXX XXXXXX PISARNICE/ (XX) XXXXXXXXX EMANATO XX XX CANCELLIERE/ (XX) XXXXXXXXX, KURU XXXXXXXXXX TIESAS SEKRETĀRS/ (XX) XXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXĠXXXXXXXX XX' QORTI/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX GRIFFIER/ (XX) XXXXXXXX POCHODZĄCY XX XXXXXXXXXX XĄXXXXXX/ (XX) DOCUMENTO PROVENIENTE XX UM OFICIAL XX XXXXXÇX/ (RO) XXXXXXXX XXXX XX XX GREFIER XX XXXXXXȚXX/ (XX) LISTINA XXXXXX SÚDNYM XXXXXXXXX/ (XX) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX ASIAKIRJA/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX DE JUSTICE“)/ (XX) XXXXXXXXX EXPEDIDO XXX XX AGENTE XXXXXXXX («HUISSIER XX XXXXXXX»)/ (XX) XXXXXXX XXXXXX XXXXXXX VYKONAVATELEM („XXXXXXXX XX JUSTICE“)/ (XX) DOKUMENT XXXXXXX XX EN XXÆXXXXXXXXXX (»XXXXXXXX DE JUSTICE«)/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚ ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXXXX OFFICER ('XXXXXXXX XX JUSTICE')/ (XX) DOCUMENT ÉMANANT X'XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXX X XXXXXXX Ó XXXXXXXXX BREITHIÚNACH (“HUISSIER XX XXXXXXX”)/ (HR) XXXXXXX XXXX JE XXXXX XXXXXX XXXXXXXXX (XXXXXXXX DE JUSTICE)/ (XX) XXXXXXXXX XXXXXXX XX UN XXXXXXXXX XXXXXXXXXXX ("HUISSIER DE XXXXXXX")/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX TIESAS XXXXXXĪXĀXX (HUISSIER XX XXXXXXX)/ (LT) ANTSTOLIO (XXXXXXXX XX XXXXXXX) XXXXXXXX XXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXXXX („HUISSIER XX XXXXXXX”) XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX XX XXXXXXX')/ (NL) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX SĄDOWEGO (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX DE XX XXXXXXÃX DE XXXXXXX («XXXXXXXX DE XXXXXXX»)/ (XX) XXXXXXXX XXXX DE XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX JUSTICE”)/ (SK) XXXXXXX XXXXXX XXXXXX XXXXXXXXXXĽXX („HUISSIER XX XXXXXXX“)/ (XX) LISTINA, XX XX XXXX XXXXX XXXXXXXXXX („HUISSIER XX XXXXXXX“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX XX XXXXXXX”) ANTAMA XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX FRÅN XX XXÄXXXXXXXXX (XXXXXXXX DE XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (ESPECIFÍQUESE)/ (XX) XXXX (UPŘESNĚTE)/ (DA) XXXXX (XXXXXXX)/ (DE) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) MUU (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX XX XXXXXXXXX)/ (XX) XXXXX (À PRÉCISER)/ (XX) XXXX (XX XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (IT) ALTRO (XXXXXXXXX)/ (XX) XXXX (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (XX) XXXXX (XXXXÜX PONTOSÍTANI)/ (XX) XĦXXXX (IPPREĊIŻA)/ (XX) XXXXXXX (SPECIFICEREN)/ (XX) XXXX (XXXXXĘ OKREŚLIĆ)/ (XX) OUTROS (X XXXXXXXXXXX)/ (XX) ALTUL (X XX PRECIZA)/ (XX) XXX (SPRESNIŤ)/ (XX) XXXXX (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) ANNAN XXXXXXXX (SPECIFICERAS)

3.2

(BG) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (CZ) XXXXXXX XXXXXX XXXXXXXX ÚŘADEM/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) HALDUSDOKUMENT/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) ADMINISTRATIVE XXXXXXXX/ (XX) DOCUMENT XXXXXXXXXXXXX/ (XX) DOICIMÉAD XXXXXXXXXX/ (XX) XXXXXXX ISPRAVA/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) ADMINISTRATĪVS XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXX AMMINISTRATTIV/ (XX) XXXXXXXXXXXXXX DOCUMENT/ (XX) XXXXXXXX ADMINISTRACYJNY/ (XX) XXXXXXXXX ADMINISTRATIVO/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) UPRAVNA LISTINA/ (XX) HALLINNOLLINEN ASIAKIRJA/ (XX) XXXXXXXXXXXXX HANDLING

3.2.1

(BG) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) OSVĚDČENÍ/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (EL) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) POTVRDA/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (LT) XXXXXX, XXXXXXXXXX/ (HU) TANÚSÍTVÁNY/BIZONYÍTVÁNY/ (XX) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) ZAŚWIADCZENIE/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) CERTIFICAT/ (XX) XXXXXXXXXX/ (SL) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX XXXXXXXX XXXXX/ (XX) VÝPIS X XXXXXXX/ (DA) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (XX) AUSZUG XXX XXX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX CIVIL STATUS XXXXXXXX/ (FR) XXXXXXX XX XXXXXXXX XX X'XXXX XXXXX/ (XX) XXXXXXX AS XX xXXXX STÁDAIS XXXXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX OSOBNOG XXXXXX/ (XX) XXXXXXXX DI XXXX DI XXXXX XXXXXX/ (XX) IZRAKSTS XX CIVILSTĀVOKĻA AKTU XXĢXXXXX/ (LT) XXXXXXX XX CIVILINĖS XŪXXĖX XXXŲ XXXXXXXX/ (XX) XXXXXÖXXXX XXXXXXX/ (MT) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (NL) XXXXXXXXXX XXX HET XXXXXXXX XXX DE XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXX XX XXXX XX XXXXXXX XXXXX/ (RO) XXXXXX DIN XXXXXXXXX XX STARE CIVILĂ/ (XX) XXXXX Z XXXXXXXX OSOBNÉHO STAVU/ (XX) XXXXXXX IZ XXXXXXXX X OSEBNEM XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (SV) UTDRAG XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) EXTRACTO XXX XXXXX/ (XX) XXXXX X REGISTRU XXXXXXXX/ (DA) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXX XXX DEM XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX THE POPULATION XXXXXXXX/ (FR) XXXXXXX XX XXXXXXXX DE XX XXXXXXXXXX/ (GA) XXXXXXX XX AN xXXXX XXXXXX/ (XX) XXXXXXX IZ XXXXXX XXXXXXXXXXXX/ (XX) ESTRATTO XXXXXXXXXX/ (XX) IZRAKSTS XX IEDZĪVOTĀJU XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXXŲ XXXXXXXX/ (HU) XXXXXXX X XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX TAL-POPOLAZZJONI/ (XX) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX X XXXXXXXX XXXXXŚXX/ (XX) EXTRATO XX XXXXXXX DA XXXXXXÇÃX/ (RO) EXTRAS XXX XXXXXXXXX XX XXXXXXȚĂ X XXXXXXȚXXX/ (XX) VÝPIS X XXXXXXXX XXXXXXXĽXX/ (XX) XXXXXXX IZ XXXXXXXX XXXXXXXXXXXX/ (XX) VÄESTÖREKISTERIOTE/ (XX) UTDRAG XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX DE XXXXX DEL XXXXXXXX XXXXX/ (CZ) XXXX XXXXXXXXXX ZÁZNAMŮ/ (XX) XXXXXX XXXX XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX VON XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) VERBATIM COPY XX XXXXX XXXXXX XXXXXXX/ (XX) XXXXX XXXXXXXXX X'XXXXX XX X'XXXX XXXXX/ (XX) XXXX XXXXX XX XXXXXX XX XXXXXXX XX XXXXXX SIBHIALTA/ (XX) XXXXXXXX XXXXXXXX XX XXXXXXXXXX X XXXXXXX STANJU/ (IT) XXXXX XXXXXXXXX DI XXXX XX XXXXX XXXXXX/ (LV) XXXXXXXĀXXXĻX XXXX XXĢXXXXX IERAKSTU XXXXXXXXXX XXXXXX/ (LT) XXXXXXXĖX XŪXXĖX AKTŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (XX) ANYAKÖNYVI XXXXXXXXX XXX SZERINTI MÁSOLATA/ (XX) XXXXX XXXXXXXX XXX-XXXX TAL-ISTAT ĊIVILI/ (XX) EENSLUIDEND AFSCHRIFT XXX XXXXX VAN XX XXXXXXXXXXX STAND/ (XX) ODPIS XXXXŁXX XXXX STANU XXXXXXXXX/ (XX) XXXXXXÃX DE XXXXX XXXXXXXX OU XX XXXXXXXXX XX XXXX DE XXXXXXX XXXXX/ (XX) COPIE XXXXXĂ X UNUI XXX DE XXXXX XXXXXĂ/ (XX) DOSLOVNÝ XXXXX XX XXXXXXX X OSOBNOM XXXXX/ (XX) XXXXXXXXX XXXXXX XXXXXXX O XXXXXXX XXXXXX/ (XX) VÄESTÖREKISTERITIETOJEN XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX AV XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX NOTARIAL/ (XX) NOTÁŘSKÁ XXXXXXX/ (XX) NOTARBEKRÆFTET DOKUMENT/ (XX) NOTARIELLE XXXXXXX/ (XX) NOTARIAALDOKUMENT/ (EL) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX ACT/ (FR) XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (HR) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXĀXX AKTS/ (XX) XXXXXXXXX AKTAS/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) XXX XXXXXXXX/ (NL) XXXXXXËXX XXXX/ (XX) XXX NOTARIALNY/ (XX) XXX XXXXXXXX/ (RO) XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (SL) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXX ASIAKIRJA/ (XX) XXXXXXXXX HANDLING

3.4

(BG) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (ES) XXXXXXXXXXXXX OFICIAL PUESTA XXXXX UN XXXXXXXXX XXXXXXX/ (XX) ÚŘEDNÍ XXXXXXXXX, KTERÝM XXXX XXXXXXXX LISTINA XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXX XÅXXXXXXX XÅ XX XXXXXXXX XXXXXXXXXXX XX XX PERSON X DENNES EGENSKAB XX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX XXXXX XXXXXXXXXXXXX/ (XX) XXXXX POOLT XXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX XXXXXXX XÕXXX/ (EL) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX XXXXXX XX X XXXXXXXX SIGNED BY X XXXXXX IN XXX XX HER XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX XX XXXX XXXX XXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX X XXXXXXXXX XX XXXXXXXXXX ARNA XXXXXX XX XXXXX XXX XXXXX NÓ XXX XXXX XXXXXXXXXXXXXX/ (HR) XXXXXXXX XXXXXXX XXXXXXXXX XX XXXXXXX KOJU XX XXXXX XXXXXXXXX X XXXXXXXXX SVOJSTVU/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX UNA XXXXXXXXX XXXXXXX/ (XX) XXXXXĀXX APLIECINĀJUMS XX XXXXXXXXX, XX XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (XX) XXXXXXXŲ XXXXXŲ PASIRAŠYTŲ DOKUMENTŲ XXXXXXXŪX PATVIRTINIMAI/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ĊERTIFIKAT XXXXĊXXXX XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (NL) XXXXXXXXX XXXXXXXXXXX OP XXX XXXXXXXX XXXXXXXXXXX XXXX XXX XXXXXXX XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) URZĘDOWE XXŚXXXXXXXXXX XXXXXXXXXXX XX DOKUMENCIE XXXXXXXXXX XXXXX OSOBĘ XXXXŁXXĄXĄ X XXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX NUM XXX XX XXXXXXXX XXXXXXX/ (RO) CERTIFICAT XXXXXXX APLICAT XX XX XXXXXXXX SUB XXXXĂXXXĂ PRIVATĂ/ (SK) XXXXXX XXXXXXXXXX UVEDENÉ XX LISTINE XXXXXXXXXX XXXXXX KONAJÚCOU AKO XXXXXXXX XXXXX/ (SL) XXXXXX XXXXXX XX XXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, XXXXX HENKILÖ XX 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) XXXXXXXXX XXXXXXXX XXX UN XXXXXX XXXXXXXXXXX X XXXXXXXX XX XX XXXXXX XXXXXXX XXX CARÁCTER XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX V XXXXX XXXXXX XXXX XXXXXXXXXX POVINNOSTÍ/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX XX EN MEDLEMSSTATS XXXXXXXXXXXX ELLER KONSULÆRE XXXXÆXXXXXXX/ (XX) XXX XXXXX DIPLOMATISCHEN ODER XXXXXXXXXXXXXX VERTRETER EINES XXXXXXXXXXXXXX IN XXXXXX XXXXXXXXX FUNKTION XXXXXXXXXX XXXXXXX/ (XX) LIIKMESRIIGI XXXXXXXXXXXXXX VÕI XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX TÄITMISEL XXXXXXXXX XXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX DRAWN XX XX X XXXXXXXXXX XX XXXXXXXX XXXXX XX X XXXXXX XXXXX XX XXX XX XXX XXXXXXXX XXXXXXXX/ (FR) XXXXXXXX XXXXXX XX SA XXXXXXX OFFICIELLE XXX XX AGENT XXXXXXXXXXXX XX XXXXXXXXXX D'UN XXXX XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX XXXX AG GNÍOMHAIRE XXXXXXXXXXXXXXXX XX XXXXXXXXX XX XXXXX BALLSTÁIT XXX XXXXX XX XXX XXXX OIFIGIÚIL/ (XX) XXXXXXX XXXX XX X XXXXXXXXX XXXXXXXX SASTAVIO DIPLOMATSKI XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX ČLANICE/ (IT) XXXXXXXXX XXXXXXX XX XXXXXX XXXXXXXXXXX O XXXXXXXXX XX XXX XXXXX MEMBRO XXXX'XXXXXXXXX XXXXX XXXX FUNZIONI/ (XX) XXXXXXXXX, XXXX, XXXXXX XXXXX XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX PĀRSTĀVIS/ (XX) XXXXXXXXXX, PARENGTAS XXXXXXXĖX NARĖS XXXXXXXXX XX XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX XXXXX OFICIALIUS ĮXXXXXXXXXX/ (XX) VALAMELY XXXXXXXX XXXXXXXXXXX VAGY XXXXXXX KÉPVISELŐJE ÁLTAL XXXXXXXXX MINŐSÉGÉBEN KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXXX XXXX XĠXXX XXXXXXXXXXX XXX XXXXXXXXX XX' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX TIEGĦU/ (XX) XXXXXXXX XXXXXXXXX XXXX DE XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX XXX XXX LIDSTAAT XX XXXX OFFICIËLE XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXĄXXXXX XXXXX PRZEDSTAWICIELA XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX XXXĘXXXXX/ (XX) XXXXXXXXX XXXXXXX POR XX XXXXXX XXXXXXXXXXX OU XXXXXXXX XX UM XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX FUNÇÕES XXXXXXXX/ (RO) XXXXXXXX ÎXXXXXXX XX XĂXXX XX XXXXX XXXXXXXXXX XXX XXXXXXXX AL XXXX STAT XXXXXX, ÎX CALITATE XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX V RÁMCI XXXXXX XXXX XXXXXXX/ (XX) XXXXXXX, KI XX KOT XXXXXX XXXXX XXXX DIPLOMATSKI XXX KONZULARNI XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, JONKA JÄSENVALTION XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX XX LAATINUT XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXÄXXXX I XXÄXXXXX XX XX XXXXXXXXXXX XXXXX KONSULÄR XXÄXXXXXXX X EN MEDLEMSSTAT

3.6

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) FECHA (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) DATUM (DD/MM/RRRR) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) AUSSTELLUNGSDATUM (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX ISSUE/ (FR) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DÁTA (XX/XX/XXXX) XXXXXXX/ (HR) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) DATA XX XXXXXXXX (GG/MM/AAAA)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (NL) DATUM (XX/XX/XXXX) XXX XXXXXXX/ (XX) DATA (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (SK) DÁTUM (XX/XX/XXXX) XXXXXXX/ (SL) XXXXX (XX/XX/XXXX) IZDAJE/ (XX) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (XX) DATUM (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (ES) NÚMERO XX XXXXXXXXXX XXX XXXXXXXXX PÚBLICO/ (CZ) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (DA) DET XXXXXXXXXX DOKUMENTS REFERENCENUMMER/ (XX) KENNNUMMER DER ÖXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXX VIITENUMBER/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX XX THE XXXXXX XXXXXXXX/ (FR) XXXXXX XX XXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXX THAGARTHA AN XXXXXXXXX XXXXXXX/ (HR) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (XX) XXXXXX XX RIFERIMENTO XXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXĀ DOKUMENTA XXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXX/ (XX) X XÖXXXXXXX HIVATKOZÁSI XXXXX/ (MT) XXXXX XX' XXXXXXXXX TAD-DOKUMENT XXXXXXXX/ (NL) XXXXXXXXXXXXXXXX XXX HET XXXXXXXX XXXXXXXX/ (PL) XXXXX XXXXXXXXXXXX XXXXXXXXX URZĘDOWEGO/ (XX) XXXXXX DE XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) NUMĂRUL XX REFERINȚĂ AL XXXXXXXXXXXX XXXXXXX/ (SK) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXX LISTINE/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА РОДЕНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX XX PERSONA XXXXXX/ (CZ) XXXXXXXXX X NAROZENÉM/ (XX) XXXXXXXXXXX OM XXX XXXXXX, DER XX XØXX/ (XX) ANGABEN XXX XXXXXX, DEREN XXXXXX XXXXXXXXX XXXX/ (XX) SÜNDINUD ISIKUT XÄXXXXXX XXXXX/ (EL) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΠΟΥ ΓΕΝΝΗΘΗΚΕ/ (EN) XXXXXXXXXXX ON THE XXXXXX XXXX/ (FR) XXXXXXXXXXXX SUR LA XXXXXXXX XXX/ (XX) XXXXXXXX XXXXXX XXXX XX DUINE X XXXXXX/ (XX) XXXXXXXXXXX X ROĐENOJ OSOBI/ (XX) XXXXXXXXXXXX SULLA XXXXXXX NATA/ (XX) XXXXXXĀXXXX PAR XXXXXXX XXXXXXX/ (XX) XXXXXXXXXXX XXXX GIMUSĮ XXXXXĮ/ (XX) X XXXXXÜXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) INFORMAZZJONI XXXX XX-XXXXXXX XXXXXXX/ (NL) XXXXXXXXXX XXXX DE XXXXXXXX/ (XX) XXXX XXXXXXĄXX XXXXX XXXXXXXXX/ (XX) XXXXXXXÇÕXX SOBRE X XXXXXX QUE XXXXXX/ (XX) INFORMAȚII XXXXXXX XXXXXXXX XĂXXXXĂ/ (XX) XXXXXXXXXX O XXXXXXXXX OSOBE/ (XX) XXXXXXXXXXX X XXXXXX XXXXX/ (FI) SYNTYNEEN XXXXXXÖX XXXXXX/ (SV) XÖXXXXXXXXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) APELLIDO(S)/ (CZ) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (XX) XXXXXXXXXXXX(X)/ (XX) XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (XX) SURNAME(S)/ (XX) XXX(X)/ (XX) XXXXXXX (XXXXXXXX)/ (HR) XXXXXXX(XX)/ (XX) COGNOME(I)/ (XX) XXXĀXXX(-X)/ (XX) XXXXXXĖ (-ĖX)/ (XX) XXXXXXX NEVE(I)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (NL) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (XX) XXXXXXX(X)/ (XX) XXXX/ (XX) XXXXXXXXXX(-X)/ (SL) XXXXXXX/XXXXXXX/ (XX) XXXXXXXX (-XXXXX)/ (SV) EFTERNAMN

4.2

(BG) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (CZ) XXXXX (XXXXX)/ (XX) XXXXXXX(X)/ (XX) VORNAME(N)/ (ET) XXXXXXX (-NIMED)/ (EL) ΟΝΟΜΑ(-ΤΑ)/ (XX) FORENAME(S)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) NOME(I)/ (XX) XĀXXX(-X)/ (LT) XXXXXX (-XX)/ (HU) XXXXXXX(X)/ (MT) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (IMIONA)/ (PT) XXXX(X) XXXXXXX(X)/ (XX) XXXXXXX/ (XX) MENO(-Á)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (SV) XÖXXXXX

4.3

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

4.4

(BG) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX Y XXXX XX XXXXXXXXXX/ (XX) XXXXX X XXXX XXXXXXXX/ (DA) FØDESTED XX -LAND/ (DE) XXX XXX XXXX XXX XXXXXX/ (XX) XÜXXXXXXX XX -RIIK/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX XXX XXXXXXX XX XXXXX/ (XX) XXXX XX XXXX XX NAISSANCE/ (XX) XXX XXXX XXX XXXXXXXX/ (XX) XXXXXX X XXXXXX ROĐENJA/ (XX) XXXXX X XXXXX XX XXXXXXX/ (XX) XXXXXXXXX XXXXX XX XXXXXX/ (XX) XXXXXX VIETA XX XXXXX/ (XX) SZÜLETÉSI XXXXX XX XXXXXXX/ (XX) XXXX U XXXXXŻ XXX-XXXXXX/ (NL) XXXXXXXXXXXXXX XX -XXXX/ (XX) XXXXXXX I XXŃXXXX XXXXXXXXX/ (XX) XXXXX X XXXX XX NASCIMENTO/ (RO) XXXXX ȘX ȚARA XXȘXXXXX/ (XX) MIESTO X ŠTÁT XXXXXXXXX/ (XX) XXXX IN XXXXXX XXXXXXX/ (XX) XXXXXXÄXXXXXX XX -MAA/ (XX) XÖXXXXXXXX OCH -XXXX

4.5

(XX) ПОЛ/ (XX) XXXX/ (XX) POHLAVÍ/ (XX) KØN/ (XX) XXXXXXXXXX/ (XX) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (XX) XXXXXX/ (HR) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) NEME/ (XX) XXXX/ (NL) XXXXXXXX/ (XX) XŁXĆ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) SPOL/ (XX) XXXXXXXXX/ (XX) KÖN

4.5.1

(BG) ЖЕНСКИ/ (ES) MUJER/ (XX) ŽENA/ (XX) XXXXXX/ (XX) WEIBLICH/ (XX) NAISSOOST/ (EL) ΘΗΛΥ/ (EN) XXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XŐ/ (MT) XXXX/ (XX) VROUW/ (XX) KOBIETA/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (SL) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX

4.5.2

(XX) МЪЖКИ/ (XX) XXXXX/ (CZ) XXX/ (XX) MAND/ (XX) XÄXXXXXX/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (GA) FIREANN/ (XX) XXXXX/ (XX) XXXXXXXX/ (LV) XĪXXXXXX/ (XX) XXXXX/ (XX) XXXXX/ (XX) RAĠEL/ (XX) XXX/ (XX) XĘŻXXXXXX/ (XX) MASCULINO/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXX/ (SV) XXX

4.5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (CZ) NEURČENO/ (XX) XXXXXXXX/ (DE) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) UNDETERMINED/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (IT) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) NENUSTATYTA/ (HU) XXXXXXXXXXXXXXX/ (MT) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) PŁEĆ XXXXXXXŚXXXX/ (XX) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

5.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX XXXXX/ (XX) XXXX XXX XXXXXX/ (DA) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) ALLKIRJALAHTER/ (EL) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) XXXXX POUR XX XXXXXXXXX/ (XX) BOSCA XXX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXXXXX PER XX XXXXX/ (XX) XXXXXXXX XXXXX/ (LT) XXXXXX XXXXXXXX/ (HU) XX ALÁÍRÁS XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX XX HANDTEKENING/ (PL) XXXX XXXXXXX/ (PT) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (RO) SEMNĂTURA/ (XX) XXXXXXX NA XXXXXX/ (XX) XXXXX XX XXXXXX/ (FI) XXXXXXXXXXXXXXXXXXÄ/ (SV) XXXX XÖX XXXXXXXXXXXXXX

5.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X XXXXXX(X) DEL XXXXXXXXXXX QUE XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXX A JMÉNO (XXXXX) XXXXXXXX, KTERÝ XXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXXX(X) XX XXXXXXX(X) XÅ DEN XXXXXXXXXX, XXX XXX XXXXXXX DENNE XXXXXXXX/ (XX) FAMILIENNAME(N) UND XXXXXXX(X) XXX BEAMTEN, XXX XXXXXX FORMULAR XXXXXXXXXXX XXX/ (ET) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXX (-NIMED) XX XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) XXX XXXXXXXX(X) XX XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) NOM(S) XX PRÉNOM(S) XX XXXXXXXXXXXXX XXX X XXXXXXX LE PRÉSENT XXXXXXXXXX/ (XX) SLOINNE (XXXXXXXX) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX XXXXXXXX X D’EISIGH AN XXXXXX SEO/ (XX) XXXXXXX(XX) I XXX(XX) XXXXXXXXXX KOJI XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXX/X X XXXX/X DEL XXXXXXXXXXX XXX XX XXXXXXXXXX XX PRESENTE MODULO/ (XX) AMATPERSONAS, XXXX XXXXXXXX XX XXXXXXXX, XXXĀXXX(-X) UN XĀXXX(-X)/ (XX) ŠIĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖX) XX XXXXXX (-XX)/ (HU) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXX XXXX(X) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X ISEM(/ISMIJIET) TAL-UFFIĊJAL XX ĦAREĠ DIN XX-XXXXXXX/ (XX) NA(A)M(EN) XX XXXXXX(X)X(XX) VAN XX AMBTENAAR XXX XXX FORMULIER HEEFT XXXXXXXXX/ (PL) XXXXXXXX(-X) X XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXX(X) X XXXX(X) XXXXXXX(X) XX FUNCIONÁRIO XXX XXXXXX O XXXXXXXX XXXXXXXXXX/ (XX) XXXXXX ȘI PRENUMELE XXXXȚXXXXXXXXX XXXX X XXXX PREZENTUL XXXXXXXX/ (XX) PRIEZVISKO(-Á) A XXXX(-X) XXXXXXXX, KTORÝ XXXXX XXXXX XXXXXXXX/ (XX) PRIIMEK/PRIIMKI IN XXX/XXXXX XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (FI) TÄMÄN XXXXXXXXX ANTANEEN VIRKAMIEHEN XXXXXXXX (-XXXXX) XX XXXXXXX (-XXXXX)/ (SV) XXXXXXXXX XXX FÖRNAMN XÅ XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX FORMULÄR

5.2

(BG) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX DEL XXXXXXXXXXX XXX EXPIDIÓ XXXX XXXXXXX/ (CZ) XXXXXX XXXXXXXX, KTERÝ XXXXX XXXXX XXXXXXXX/ (XX) STILLING — XXX XXXXXXXXXX, DER XXX UDSTEDT XXXXX XXXXXXXX/ (XX) XXXXXXXX XXX BEAMTEN, XXX XXXXXX XXXXXXXX AUSGESTELLT XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX AMETNIKU XXXXXXXXX/ (EL) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXX XX THE XXXXXXXX XXX XXXXXX THIS XXXX/ (XX) XXXXX XX XXXXXXXXXXXXX XXX X DÉLIVRÉ XX XXXXXXX XXXXXXXXXX/ (XX) XXXX XX XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXXX XXXXXXXXXX XXXX XX IZDAO XXXX XXXXXXX/ (IT) XXXXXXXXX XXX XXXXXXXXXXX CHE XX XXXXXXXXXX IL XXXXXXXX MODULO/ (LV) XXXXXXXXXXXX, KURA XXXXXXXX XX VEIDLAPU, XXXXX/ (XX) ŠIĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (NL) XXXXXXX XXX XX XXXXXXXXX XXX DIT XXXXXXXXX XXXXX AFGEGEVEN/ (XX) XXXXXXXXXX URZĘDNIKA, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX XX XXXXXXXXXXX QUE XXXXXX X XXXXXXXX FORMULÁRIO/ (XX) XXXXȚXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX ÚRADNÍKA, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) POLOŽAJ XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX ASEMA/ (SV) XXXXXXXXXX XÖX XXX XXÄXXXXXXX SOM XXX XXXÄXXXX XXXXX FORMULÄR

5.3

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (DA) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) DATE (XX/XX/XXXX) XX ISSUE/ (XX) XXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (GA) DÁTA (XX/XX/XXXX) EISIÚNA/ (HR) XXXXX (DD/MM/GGGG) IZDAVANJA/ (XX) XXXX XX XXXXXXXX (GG/MM/AAAA)/ (XX) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (XX) XXXXXXXX DATA (XX/XX/XXXX)/ (XX) A XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (XX) DATA (JJ/XX/SSSS) XXX-ĦXXĠ/ (XX) DATUM (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (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 (DD/MM/LLLL) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX UTFÄRDANDE

5.4

(BG) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) UNTERSCHRIFT/ (XX) XXXXXXX/ (EL) ΥΠΟΓΡΑΦΗ/ (XX) SIGNATURE/ (XX) XXXXXXXXX/ (GA) SÍNIÚ/ (XX) XXXXXX/ (IT) XXXXX/ (LV) XXXXXXXX/ (XX) PARAŠAS/ (HU) XXXXXXX/ (MT) XXXXX/ (XX) XXXXXXXXXXXX/ (PL) XXXXXX/ (PT) XXXXXXXXXX/ (XX) SEMNĂTURA/ (SK) XXXXXX/ (XX) PODPIS/ (XX) ALLEKIRJOITUS/ (SV) XXXXXXXXXXXX

5.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (XX) XXXXX XXXX XXXXXXX/ (XX) XXXX XXXXX XXXXXXX/ (XX) XXXXXX XXXX STEMPEL/ (XX) XXXXXX XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (EN) XXXX XX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXX XX STAMPA/ (HR) XXX XXX XXXXX/ (XX) XXXXX O XXXXXX/ (XX) XĪXXXX XXX XXXXXXXX/ (LT) XXXXXXX XXXX XXXXXXXXXX/ (XX) XXXXXX VAGY XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX XXX TIMBRU/ (XX) XXXXX XX XXXXXXX/ (XX) PIECZĘĆ LUB XXXXXXX/ (PT) XXXX XX CARIMBO/ (XX) XXXXXXXX XXX ȘTAMPILA/ (XX) PEČAŤ XXXXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXX XXX/ (XX) XXXXXXX TAI XXXXX/ (XX) XXXXXX XXXXX XXÄXXXX

XXXXXXXXX X XXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX XXX XXXXXXX

Xxxxxx 7 xxxxxxxx Xxxxxxxxxx xxxxxxxxxx x Xxxx (XX) 2016/1191 xx xxx 6. xxxxxxxx 2016 o xxxxxxx volného xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxx xx předkládání xxxxxxxxx xxxxxxxxx listin x Xxxxxxxx xxxx x x xxxxx xxxxxxxx (XX) č. 1024/2012 (1)

Xxxxxx (BE) Bulharsko (XX)

Xxxxx republika (XX)

Xxxxxx (XX) Německo (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (ES)

Francie (XX) Chorvatsko (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (XX) Litva (LT)

Lucembursko (XX)

Xxxxxxxx (XX) Malta (XX)

Xxxxxxxxxx (NL) Rakousko (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (RO) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Xxxxxx (XX)

Xxxxxxx (XX) Spojené xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxxxxx formuláře xx xxxxxxxxx xxxxxxxx xxxxxxx xxxxxxx, x níž xx xxxxxxxx. Xxxxx xxxxxxxx se mezi xxxxxxxxx xxxxx nesmí xxxxxxxxx xxxx xxxxxxxxxx xxxxxxxx.

Xxxxx xxxxxxxx xxxxxx xxxxx xxxxxxx listiny, x níž xx xxxxxxxx. Xxxxx, xxxxx xx xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx může x xxxxxxxxx, xxx xx to xxxxxxxx xxx xxxxx xxxxxxxxxx xxxxxxx listiny, xxxxxxxxx xxxxxxx či xxxxxx xxxxxxxxx, xxxxx xxxx xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX XXXXX

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

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

1. XXXXX XXXXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

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

3.1 Listina xxxxxx xxxxxxx xxxx xxxxxxxxx s xxxxxx xx xxxxx daného xxxxxxxxx xxxxx

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Listina xxxxxx xxxxxx soudním xxxxxxxxx

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

3.1.5 Jiné (xxxxxxxxx)

(1) Úř. xxxx. X 200, 26.7.2016, x. 1.

(2) Při xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

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

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

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Úřední xxxxxxxxx, xxxxxx xxxx xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

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

3.6 Datum (xx/xx/xxxx) vydání

3.7 Xxxxxxxxxx xxxxx veřejné xxxxxxx

4. XXXXXXXXX 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 Xxxxxxx:

4.5.1 Xxxx

4.5.2 Xxx

4.5.3 Xxxxxxxx

4.6 Adresa:

4.6.1 Xxxxx x číslo xxxx / poštovní xxxxxxxxx

4.6.2 Místo a xxxxxxxx xxxxxxxxx xxxxx

4.6.3 Xxxx (3)

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

6. XXXX XXX XXXXXX

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

6.2 Xxxxxx úředníka, xxxxx xxxxx xxxxx xxxxxxxx

6.3 Xxxxx (dd/mm/rrrr) xxxxxx

6.4 Xxxxxx

6.5 Xxxxx xxxx xxxxxxx

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

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

(3) Název země x – pokud xxxxxxxx – kód XXX dané xxxx xxxx xxxxxxx „Xxxx (xxxxxxxxx)“ xx třeba xxxxxx z xxxxxxxxxxx xxxxxxx ve xxxxxxxx xxxxxxxxxxxx standardním xxxxxxxxx, xxxxx xx k xxxxxxxxx xx xxxxxxx xxxxxxxx e-justice.

VÍCEJAZYČNÝ XXXXXX XXXXX XXXXXXXXXXXX POLOŽEK

(ŽIVOT)

1.

(BG) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX XXXXXX XXXX XXXXXXX/ (CZ) ORGÁN XXXXXXXXXX TENTO FORMULÁŘ/ (XX) DENNE XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (DE) XXXÖXXX, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX VÄLJA XXXXXX ASUTUS/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX THIS XXXX/ (FR) XXXXXXXX XX DÉLIVRANCE XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX A XXXXXXXX XX FHOIRM XXX/ (XX) TIJELO XXXX XXXXXX OVAJ XXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX IL XXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (LT) XXĄ XXXXĄ IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XX' DIN XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX XXXXXXXXX/ (XX) XXXXX XXXXXĄXX NINIEJSZY XXXXXXXXX/ (XX) AUTORIDADE XXX XXXXX O XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX FORMULAR/ (SK) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) ORGAN, XX XXXX XX XXXXXXX/ (XX) TÄMÄN XXXXXXXXX XXXXXX VIRANOMAINEN/ (XX) MYNDIGHET XXX XXXÄXXXX FORMULÄRET

1.1

(BG) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) DENOMINAZIONE/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (HU) XXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) DESIGNAÇÃO/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) XXX/ (FI) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX XXXXXX EL XXXXXXXXX PÚBLICO AL XXX XX ADJUNTA XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (DA) XXX XXXXXXXXX, XXX XXX XXXXXXX XXX OFFENTLIGE XXXXXXXX, SOM XXXXX XXXXXXXX ER XXXXÆXXXX/ (XX) BEHÖRDE, DIE XXX ÖFFENTLICHE XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX IST, XXXXXXXXX/ (XX) ASUTUS, XXX XXXXX VÄLJA XXXXXXX XXXXXXXXX, MILLELE SEE XXXX XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) AUTHORITY XXXXXXX XXX XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX AUQUEL XXX JOINT XX XXXXXXX FORMULAIRE/ (XX) XX xXXXXXX A XXXXXXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX SEO XXXXXXXXXX/ (XX) XXXXXX XXXX IZDAJE XXXXX XXXXXXX KOJOJ XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX IL XXXXXXXX XXXXXX È XXXXXXXX/ (LV) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX XX PIEVIENOTA, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX ŠI XXXXX, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX KIÁLLÍTÓ XXXXXXX/ (MT) AWTORITÀ XXXXXXXXX XXX-XXXXXXXX PUBBLIKU XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) AUTORITEIT VAN XXXXXXX VAN XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (PL) XXXXX XXXXXĄXX XXXXXXXX XXXĘXXXX, XX KTÓREGO XXXXXXXXX XXXXXXXXX XXXX ZAŁĄCZONY/ (XX) AUTORIDADE XXX XXXXX O XXXXXXXXX XXXXXXX A XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ A XXXXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, KU XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (SL) ORGAN, XX IZDA XXXXX XXXXXXX, KI XX XX XXXXXXXX TA XXXXXXX/ (FI) XXXXXXXXXXXX, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ LOMAKE LIITETÄÄN/ (XX) XXXXXXXXX XXX XXXÄXXXX DEN OFFICIELLA XXXXXXXX XXXX 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 XXXXXXX/ (XX) XXXXXXXXX TÝKAJÍCÍ SE XXXXXXX XXXXXXX, X XXX JE XXXXXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXXXXX VEDRØRENDE DET XXXXXXXXXX DOKUMENT, SOM XXXXX XXXXXXXX XX XXXXÆXXXX/ (DE) XXXXXXX XXX ÖFFENTLICHEN URKUNDE, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (ET) XXXXX XXXXXXX DOKUMENDI XXXXX, XXXXXXX SEE XXXX ON XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXX PUBLIC DOCUMENT XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) INFORMATIONS XXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX EST JOINT XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX X XXXXXXXXX XXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX CEANGAILTE/ (HR) XXXXXXXXXXX XXXX XX XXXXXX XX JAVNU XXXXXXX KOJOJ XX XXXX OBRAZAC XXXXXXXX/ (XX) INFORMAZIONI XXXXXXXX XX DOCUMENTO PUBBLICO XXX XX XXXXXXXX XXXXXX È ALLEGATO/ (XX) INFORMĀCIJA PAR XXXXXXXX DOKUMENTU, KURAM XĪ VEIDLAPA IR XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX XX VIEŠUOJU XXXXXXXXX, XXXX KURIO XXXXXXXXX ŠI XXXXX/ (XX) A XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX OPENBAAR DOCUMENT XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (PL) XXXXXXXXXX XXXXXXĄXX DOKUMENTU XXXĘXXXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX JEST XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (RO) XXXXXXXȚXX REFERITOARE XX XXXXXXXXXX XXXXXXX LA XXXX ESTE XXXXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXXXXXXX O XXXXXXXX XXXXXXX, XX KTOREJ XX TENTO XXXXXXXX XXXXXXXXX/ (SL) XXXXXXXXXXX X XXXXX X XXXXX LISTINO, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXX YLEISESTÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) 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 POR XXX XXXXXXXXX O XX XXXXXXXXXXX VINCULADO X LOS XXXXXXX XXXXXXXXXXXXXXXX DE XX XXXXXX MIEMBRO/ (XX) XXXXXXX XXXXXX XXXXXXX XXXX ÚŘEDNÍKEM S XXXXXX XX SOUDY XXXXXX XXXXXXXXX STÁTU/ (XX) DOKUMENT, XXX XX XXXXXXX XX XX XXXXXXXXX XXXXX XX XXXXXXXXXX, XXX XX XXXXXXXXXX XXXXXXXX X XX MEDLEMSSTAT/ (XX) XXXXXXX XXXXX XXXÖXXX XXXX EINER XXXXXXXXXX XXX XXXXX XXX XXXXXXXXXXXX EINES XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX VÄLJA XXXXXX XXXXXXXXXXXX KOHTUTEGA XXXXXX XXXXXXXXXXX VÕI XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXX XX XX OFFICIAL XXXXXXXXX XXXX THE XXXXXX XX TRIBUNALS OF X XXXXXX XXXXX/ (XX) DOCUMENT XXXXXXX X'XXX XXXXXXXX XX X'XX FONCTIONNAIRE XXXXXXXX X'XXX JURIDICTION X'XX XXXX MEMBRE/ (GA) XXXXXXXXX X THAGANN X XXXXXX NÓ X OIFIGEACH A XXXXXX BAINT XXXX XX XXXX XX XXXXXXXXXX NÓ XX XXXXX XX XXXXX XXXXXXXXX/ (HR) XXXXXXX XXXX JE XXXXXX XXXXXX XXX XXXXXXXXX XXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX UN'AUTORITÀ X XX XX XXXXXXXXXXX XXXXXXXXXXXX XX XXX XXXXX XXXXXXXXXXXXX XX XXX XXXXX MEMBRO/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XX XXXĪXXXXXXX XXXXĀX XXXXXĪXX IESTĀDE XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, IŠDUOTAS XXXXXXXX XXXXXXXXXXXX XX PAREIGŪNO, XXXXXXXXŲ SU XXXXXXXĖX XXXĖX TEISMAIS XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX ÁLLÓ XXXXXXX VAGY XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX XXXXXXXÀ JEW XXXXĊXXX XX JKOLLHOM XXXXX XXX-XXXXX XXX XX-XXXXXXXXX XX' XXXX XXXXXX/ (NL) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXXXX OF XXXXXXXXX XXXXXXXXX TOT XXX XXXXXXXXXXXX XXXXXXXXX VAN XXX XXXXXXXX/ (PL) XXXXXXXX POCHODZĄCY OD XXXXXX XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX XX UMA XXXXXXXXXX OU XX XX XXXXXXXXXXX XXXXXXXXXX XX XXXXXXXX JURISDIÇÃO XX XX XXX XXXXXXX-XXXXXXX/ (XX) DOCUMENT XXXX XX X XXXXXXXXXX XXX DE XX FUNCȚIONAR XX XX LÂNGĂ XXXXXXȚXXX XXXX STAT XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXX XXXXXXXXX X XÄXXXX XX XXXX XXXXXXXXX ŠTÁTU/ (XX) XXXXXXX, XXXXXX X XXXXXX XXXXXX XXX URADNIKA XXXXX XXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, JONKA XX XXXXXXX JÄSENVALTION XXXXXXXXXXXXXXXX KUULUVA XXXXXXXXXXXX XXX VIRKAMIES/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX XX XXXXXXXXX XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X XX MEDLEMSSTAT

3.1.1

(BG) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (CZ) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (EN) XXXXX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXX XX gCÚIRT/ (XX) XXXXXX XXXXXX/ (XX) DECISIONE XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (XX) TEISMO SPRENDIMAS/ (XX) XXXXXXXX XXXXXXXXX/ (XX) XXĊXŻXXXX TAL-QORTI/ (XX) XXXXXXXXXXXX BESLISSING/ (XX) XXXXXXXXXX XĄXXXX/ (XX) DECISÃO XXXXXXXX/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX XX MINISTERIO XXXXXX/ (CZ) LISTINA XXXXXX STÁTNÍM ZÁSTUPCEM/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX EINER XXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX XX VÄLJA XXXXXX XXXXXXX SÜÜDISTAJA/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX X PUBLIC PROSECUTOR/ (XX) XXXXXXXX ÉMANANT XX XXXXXXÈXX PUBLIC/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXX JE IZDALO XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX EMANATO DAL XXXXXXXX XXXXXXXXX/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) PROKURORO XXXXXXXX XXXXXXXXXX/ (HU) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX/ (XX) XXXXXXX XXXXXX PROKURÁTOROM/ (SL) XXXXXXX, XX XX XXXX XXXXXXX TOŽILSTVO/ (XX) VIRALLISEN XXXXXÄXÄX XXXXXX XXXXXXXXX/ (SV) XXXXXXXX SOM XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) DOCUMENTO XXXXXXXX XXX XX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (DA) XXXXXXXX UDSTEDT XX XX XXXXXXXXXXXXXÆX/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (ET) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX FROM X XXXXX XX X XXXXX/ (FR) XXXXXXXX ÉMANANT D'UN XXXXXXXX/ (XX) XXXXXXXXX X THAGANN Ó XXXXXXXXXX XX XXXXX XXXXXX/ (XX) XXXXXXX XXXX JE XXXXX XXXXXXXXXX SUDSKE XXXXXXXXX/ (XX) DOCUMENTO EMANATO XX UN CANCELLIERE/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX TIESAS XXXXXXĀXX/ (XX) TEISMO XXXXXXXXXX XXXXXXXX DOKUMENTAS/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ XXXX XXĠXXXXXXXX XX' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX OFICIAL XX JUSTIÇA/ (XX) XXXXXXXX EMIS DE XX XXXXXXX XX XXXXXXȚXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXX, XX XX IZDA XXXXX XXXXXXXXXX/ (XX) TUOMIOISTUIMEN XXXXXXXXX ANTAMA XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) LISTINA XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) DOKUMENT XXXXXXX XX XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX KOHTUTÄITUR/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (EN) XXXXXXXX EMANATING FROM X XXXXXXXX OFFICER ('XXXXXXXX DE XXXXXXX')/ (XX) XXXXXXXX XXXXXXX X'XX HUISSIER XX XXXXXXX/ (XX) XXXXXXXXX X THAGANN Ó XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX JUSTICE”)/ (HR) XXXXXXX XXXX JE XXXXX XXXXXX OVRŠITELJ (XXXXXXXX XX JUSTICE)/ (XX) DOCUMENTO EMANATO XX UN XXXXXXXXX XXXXXXXXXXX ("HUISSIER DE XXXXXXX")/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (HUISSIER XX XXXXXXX)/ (XX) XXXXXXXXX (XXXXXXXX XX JUSTICE) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX („HUISSIER XX XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠUDIZZJARJU ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX SĄDOWEGO (HUISSIER XX XXXXXXX)/ (XX) XXXXXXXXX PROVENIENTE XX XX OFICIAL XX XXXXXXÃX XX XXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) DOCUMENT XXXX XX UN XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX DE XXXXXXX”)/ (SK) LISTINA XXXXXX XXXXXX VYKONÁVATEĽOM („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXX, KI XX XXXX XXXXX XXXXXXXXXX („HUISSIER DE XXXXXXX“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX DE XXXXXXX”) XXXXXX XXXXXXXXX/ (SV) XXXXXXXX SOM HÄRRÖR XXÅX XX XXÄXXXXXXXXX (XXXXXXXX XX JUSTICE)

3.1.5

(BG) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) XXXX (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (DE) SONSTIGES (XXXXX ANGEBEN)/ (XX) XXX (XÄXXXXXXXX)/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (EN) XXXXX (TO BE XXXXXXXXX)/ (XX) XXXXX (À PRÉCISER)/ (XX) XXXX (LE XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (XX) ALTRO (PRECISARE)/ (XX) XXXX (PRECIZĒT)/ (XX) XXXX (XXXXXXXX)/ (XX) XXXXX (KÉRJÜK XXXXXXXXXXX)/ (MT) XĦXXXX (XXXXXĊXŻX)/ (NL) XXXXXXX (XXXXXXXXXXXX)/ (XX) XXXX (XXXXXĘ XXXXŚXXĆ)/ (XX) XXXXXX (A XXXXXXXXXXX)/ (XX) XXXXX (X XX XXXXXXX)/ (SK) XXX (XXXXXXXX)/ (SL) XXXXX (XXXXXXX)/ (XX) XXX XXXXXXXXX (TÄSMENNETTÄVÄ)/ (XX) XXXXX HANDLING (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (DA) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX VERWALTUNGSBEHÖRDE/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (GA) XXXXXXXXX XXXXXXXXXX/ (HR) XXXXXXX XXXXXXX/ (XX) XXXXXXXXX AMMINISTRATIVO/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (HU) XÖXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXX AMMINISTRATTIV/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (PT) XXXXXXXXX ADMINISTRATIVO/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (SL) XXXXXXX XXXXXXX/ (FI) XXXXXXXXXXXXXX ASIAKIRJA/ (SV) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) CERTIFICADO/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) BESCHEINIGUNG/ (ET) XÕXXX/ (EL) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) DEIMHNIÚ/ (XX) XXXXXXX/ (IT) XXXXXXXXXXX/ (LV) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (XX) CERTIFICAAT/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) CERTIFICAT/ (SK) XXXXXXXXXX/ (SL) XXXXXXXX/ (XX) XXXXXXXX/ (SV) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (ES) XXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXX X XXXXXXX/ (DA) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (DE) XXXXXX XXX XXX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX FROM XXX XXXXX XXXXXX XXXXXXXX/ (XX) EXTRAIT XX XXXXXXXX XX X'XXXX XXXXX/ (XX) XXXXXXX XX AN xXXXX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XX REGISTRA XXXXXXX XXXXXX/ (XX) XXXXXXXX DI XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXX NO XXXXXXXĀXXXĻX XXXX XXĢXXXXX/ (XX) XXXXXXX IŠ XXXXXXXĖX BŪKLĖS XXXŲ XXXXXXXX/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXX XXX XX XXXXXXXXXXX STAND/ (XX) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXX DE XXXX DO XXXXXXX XXXXX/ (XX) XXXXXX XXX XXXXXXXXX XX XXXXX XXXXXĂ/ (XX) XXXXX Z XXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXX IZ XXXXXXXX X OSEBNEM STANJU/ (XX) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX DEL XXXXX/ (XX) VÝPIS X REGISTRU OBYVATEL/ (XX) UDDRAG XXX XXXXXXXXXXXXXX/ (DE) XXXXXX XXX DEM XXXXXXXXXXXXX/ (XX) RAHVASTIKUREGISTRI XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) EXTRACT XXXX XXX POPULATION XXXXXXXX/ (XX) EXTRAIT XX XXXXXXXX XX XX XXXXXXXXXX/ (GA) XXXXXXX XX XX xXXXX XXXXXX/ (XX) XXXXXXX XX XXXXXX STANOVNIŠTVA/ (XX) XXXXXXXX ANAGRAFICO/ (XX) IZRAKSTS XX XXXXĪXXXĀXX REĢISTRA/ (LT) XXXXXXX XX XXXXXXXXŲ XXXXXXXX/ (XX) XXXXXXX X XXXXXXXXXXXX- ÉS XXXXXXXXXXXXXXXXXXXXXX/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (NL) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) WYCIĄG X REJESTRU XXXXXŚXX/ (XX) EXTRATO XX XXXXXXX XX XXXXXXÇÃX/ (XX) XXXXXX XXX XXXXXXXXX XX EVIDENȚĂ X POPULAȚIEI/ (XX) XXXXX X XXXXXXXX XXXXXXXĽXX/ (XX) IZPISEK XX XXXXXXXX PREBIVALSTVA/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТАКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX LITERAL XX XXXXX DEL XXXXXXXX XXXXX/ (CZ) XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXX XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (EN) XXXXXXXX XXXX XX XXXXX XXXXXX XXXXXXX/ (FR) XXXXX XXXXXXXXX X'XXXXX XX L'ÉTAT XXXXX/ (XX) XXXX XXXXX XX XXXXXX DE XXXXXXX AR STÁDAS XXXXXXXXX/ (HR) XXXXXXXX XXXXXXXX XX XXXXXXXXXX X XXXXXXX XXXXXX/ (XX) COPIA XXXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX XXĢXXXXX XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (MT) XXXXX XXXXXXXX TAL-ATTI XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXX XXX AKTEN XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXŁXX AKTU XXXXX XXXXXXXXX/ (XX) CERTIDÃO XX XXXXX XXXXXXXX XX XX NARRATIVA XX ATOS XX XXXXXXX CIVIL/ (XX) XXXXX EXACTĂ X XXXX XXX XX XXXXX XXXXXĂ/ (SK) XXXXXXXX XXXXX ZO XXXXXXX O OSOBNOM XXXXX/ (XX) DOBESEDNI XXXXXX LISTIN X XXXXXXX STANJU/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (ES) XXXX XXXXXXXX/ (CZ) XXXXXXXX XXXXXXX/ (DA) NOTARBEKRÆFTET XXXXXXXX/ (DE) NOTARIELLE XXXXXXX/ (ET) NOTARIAALDOKUMENT/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) XXXX NOTARIÉ/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXĀXX AKTS/ (XX) XXXXXXXXX AKTAS/ (XX) KÖZJEGYZŐI OKIRAT/ (XX) ATT NOTARILI/ (XX) XXXXXXËXX XXXX/ (XX) AKT NOTARIALNY/ (XX) ATO XXXXXXXX/ (XX) XXX NOTARIAL/ (XX) XXXXXXXX LISTINA/ (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 XX XXXXXXXXX PRIVADO/ (XX) XXXXXX OSVĚDČENÍ, KTERÝM XXXX XXXXXXXX XXXXXXX XXXXXXXXX SOUKROMOU XXXXXX/ (XX) XXXXXXXX PÅTEGNING XÅ XX XXXXXXXX XXXXXXXXXXX XX XX XXXXXX I XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (XX) AMTLICHE 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 XXXXXX XX X DOCUMENT XXXXXX XX A XXXXXX XX XXX XX XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX OFFICIELLE XXXXXXX SUR XX XXXX XXXX XXXXX XXXXX/ (GA) XXXXXXXX XXXXXXXXX A XXXXXXXXX XX DHOICIMÉAD ARNA XXXXXX XX DUINE XXX XXXXX NÓ XXX XXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX XX XXXXXXX XXXX JE XXXXX XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (IT) DICHIARAZIONE XXXXXXXXX XXXXXXX SU XXX SCRITTURA XXXXXXX/ (XX) OFICIĀLS APLIECINĀJUMS XX XXXXXXXXX, XX XXXĀ VĀRDĀ XXXXXXXĪXXXX XĀXX PERSONA/ (XX) XXXXXXXŲ ASMENŲ XXXXXXXXXŲ XXXXXXXXŲ OFICIALŪS PATVIRTINIMAI/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (MT) ĊXXXXXXXXX XXXXĊXXXX XX XXXXXXXĦXX F'DOKUMENT IFFIRMAT XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (NL) XXXXXXXXX XXXXXXXXXXX XX XXX DOCUMENT XXXXXXXXXXX XXXX XXX XXXXXXX XX ZIJN PARTICULIERE XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXXX PRZEZ XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX XXXXXXXXX/ (PT) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX XXX DE XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX OFICIAL XXXXXXX XX XX XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX XX XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX SÚKROMNÁ OSOBA/ (XX) XXXXXX XXXXXX XX XXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, XXXXX HENKILÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX INTYG XXXXXXXXX PÅ EN XXXXXXXX SOM XXXXXXXXXXXXX XX EN XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (ES) DOCUMENTO XXXXXXXX POR XX XXXXXX XXXXXXXXXXX O XXXXXXXX DE UN XXXXXX XXXXXXX XXX XXXXXXXX XXXXXXX/ (XX) XXXXXXX VYHOTOVENÁ XXXXXXXXXXXXX XXXXXXXXX NEBO KONZULÁRNÍM XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX SLUŽEBNÍCH POVINNOSTÍ/ (XX) XXXXXXXX OFFICIELT XXXÆXXXXXX XX XX XXXXXXXXXXXX XXXXXXXXXXXX ELLER XXXXXXÆXX REPRÆSENTANT/ (XX) XXX XXXXX DIPLOMATISCHEN XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX MITGLIEDSTAATS XX XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX DOKUMENT/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX XXXXX XX BY X XXXXXXXXXX XX CONSULAR XXXXX OF A XXXXXX XXXXX IN XXX XX HER XXXXXXXX CAPACITY/ (XX) XXXXXXXX ÉTABLI XX XX QUALITÉ XXXXXXXXXX XXX XX XXXXX XXXXXXXXXXXX XX XXXXXXXXXX X'XX XXXX MEMBRE/ (XX) DOICIMÉAD XXXX XXXXXXXXXX XXXX AG XXXXXXXXXX TAIDHLEOIREACHTA XX XXXXXXXXX DE XXXXX XXXXXXXXX INA XXXXX XX XXX XXXX XXXXXXXXX/ (HR) XXXXXXX XXXX XX X XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX DRŽAVE ČLANICE/ (XX) XXXXXXXXX XXXXXXX XX AGENTI XXXXXXXXXXX X XXXXXXXXX DI XXX XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX LORO XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX AMATA XXXXĀXXXXX, SAGATAVOJIS XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (LT) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX AR XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX KONZULI XXXXXXXXŐXX XXXXX HIVATALOS MINŐSÉGÉBEN XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX IMĦEJJI XXXX XĠXXX DIPLOMATIKU XXX XXXXXXXXX XX' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX XXX EEN XXXXXXXX IN ZIJN XXXXXXËXX XXXXXXXXXXXX/ (XX) XXXXXXXX SPORZĄDZONY XXXXX XXXXXXXXXXXXXXX DYPLOMATYCZNEGO LUB XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX XXXĘXXXXX/ (PT) XXXXXXXXX XXXXXXX POR XX AGENTE XXXXXXXXXXX XX XXXXXXXX DE XX ESTADO-MEMBRO XX XXXXXXXXX DAS SUAS 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 KONZULÁRNYM ÚRADNÍKOM XXXXXXXXX ŠTÁTU V XXXXX XXXXXX XXXX XXXXXXX/ (XX) LISTINA, XX XX XXX XXXXXX XXXXX IZDA XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX XÄXXXXXXXXXX DIPLOMAATTINEN XXXXXXXX XXX KONSULIEDUSTAJA XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (SV) XXXXXXXX UPPRÄTTAD X XXÄXXXXX AV XX XXXXXXXXXXX XXXXX XXXXXXÄX XXÄXXXXXXX I XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (DD/MM/AAAA) DE XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) DATE (XX/XX/XXXX) OF XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (DD/MM/GGGG) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (DD/MM/MMMM)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (PT) XXXX DE XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (DD/MM/LLLL) XXXXXX/ (FI) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) DATUM (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (ES) XXXXXX DE XXXXXXXXXX XXX XXXXXXXXX PÚBLICO/ (XX) XXXXXXXXXX XXXXX XXXXXXX LISTINY/ (XX) XXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (DE) XXXXXXXXXX XXX ÖFFENTLICHEN XXXXXXX/ (XX) AVALIKU XXXXXXXXX XXXXXXXXXXX/ (EL) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX OF THE XXXXXX XXXXXXXX/ (XX) XXXXXX XX RÉFÉRENCE XX XXXXXXXX XXXXXX/ (XX) UIMHIR XXXXXXXXX XX XXXXXXXXX PHOIBLÍ/ (XX) XXXXXXXXXX BROJ XXXXX XXXXXXX/ (IT) XXXXXX XX RIFERIMENTO XXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXĀ DOKUMENTA XXXXXXXX NUMURS/ (XX) XXXXXXX DOKUMENTO XXXXXXX/ (XX) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXX XX' REFERENZA XXX-XXXXXXXX XXXXXXXX/ (NL) XXXXXXXXXXXXXXXX VAN XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (PT) NÚMERO XX XXXXXÊXXXX DO XXXXXXXXX PÚBLICO/ (RO) XXXĂXXX XX REFERINȚĂ XX DOCUMENTULUI OFICIAL/ (XX) XXXXXXXXXX ČÍSLO XXXXXXXX LISTINY/ (SL) XXXXXXXXXX XXXXXXXX JAVNE XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX VIITENUMERO/ (SV) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (ES) XXXXXXXXXXX XXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX OSOBĚ/ (XX) XXXXXXXXXXX OM XXX PÅGÆLDENDE PERSON/ (XX) ANGABEN XXX XXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXX XÄXXXXXX XXXXX/ (EL) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX PERSON XXXXXXXXX/ (XX) XXXXXXXXXXXX XXX XX PERSONNE XXXXXXXXX/ (XX) FAISNÉIS XXXXXX XXXX XX XXXXX XXXX xXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXXXXX OSOBI/ (IT) XXXXXXXXXXXX XXXXX PERSONA XXXXXXXXXXX/ (LV) INFORMĀCIJA XXX XXXXXXĪXX XXXXXXX/ (XX) XXXXXXXXXXX APIE XXXXXXXXXĄ ASMENĮ/ (XX) XX XXXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX DWAR XX-XXXXXXX XXXXĊXXXXXX/ (XX) XXXXXXXXXX XXXX DE XXXXXXXXXX/ (XX) DANE XXXXX, XXXXXX DOTYCZY XXXXXXXX/ (XX) XXXXXXXÇÕXX XXXXX X XXXXXX XX XXXXX/ (RO) XXXXXXXȚXX XXXXXXX XXXXXXXX VIZATĂ/ (XX) XXXXXXXXXX X XXXXXXXXX XXXXX/ (XX) XXXXXXXXXXX O ZADEVNI XXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX TIEDOT/ (XX) XXXXXXXXX XX XXX XXXÖXXX XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X)/ (XX) PŘÍJMENÍ/ (XX) XXXXXXXXX(X)/ (XX) XXXXXXXXXXXX(X)/ (XX) PEREKONNANIMI (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX(X)/ (XX) NOM(S)/ (XX) XXXXXXX (XXXXXXXX)/ (XX) XXXXXXX(XX)/ (XX) XXXXXXX(X)/ (XX) XXXĀXXX(-X)/ (XX) XXXXXXĖ (-ĖX)/ (XX) XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (NL) XXXXXXXX(X)X(XX)/ (XX) NAZWISKO(-A)/ (XX) XXXXXXX(X)/ (XX) XXXX/ (XX) XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX/ (FI) XXXXXXXX (-NIMET)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (CZ) XXXXX (XXXXX)/ (XX) XXXXXXX(X)/ (XX) VORNAME(N)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) PRÉNOM(S)/ (XX) XXXXXXXX (CÉADAINMNEACHA)/ (XX) IME(NA)/ (XX) XXXX(X)/ (LV) VĀRDS(-I)/ (XX) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (MT) XXXX(/XXXXXXXX)/ (NL) XXXXXX(X)X(XX)/ (XX) IMIĘ (XXXXXX)/ (XX) XXXX(X) XXXXXXX(X)/ (XX) PRENUME/ (SK) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) ETUNIMI (-XXXXX)/ (XX) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) FECHA (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXX/ (XX) FØDSELSDATO (XX/XX/ÅÅÅÅ)/ (XX) GEBURTSDATUM (XX/XX/XXXX)/ (XX) SÜNNIKUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) OF XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (IT) DATA XX NASCITA (GG/MM/AAAA)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) GIMIMO XXXX (DD/MM/MMMM)/ (XX) XXÜXXXXXX IDEJE (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXXX/ (PT) XXXX XX NASCIMENTO (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) DATUM (DD/MM/LLLL) XXXXXXX/ (XX) SYNTYMÄAIKA (XX/XX/XXXX)/ (SV) FÖDELSEDATUM (XX/XX/ÅÅÅÅ)

4.4

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) LUGAR X XXXX XX XXXXXXXXXX/ (XX) XXXXX X XXXX NAROZENÍ/ (XX) XØXXXXXX OG -XXXX/ (XX) XXX XXX XXXX XXX GEBURT/ (XX) XÜXXXXXXX XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) PLACE XXX XXXXXXX XX XXXXX/ (XX) XXXX XX XXXX XX XXXXXXXXX/ (XX) XXX XXXX XXX XXXXXXXX/ (XX) XXXXXX I XXXXXX XXĐXXXX/ (XX) XXXXX X XXXXX DI XXXXXXX/ (LV) XXXXXXXXX XXXXX XX XXXXXX/ (XX) GIMIMO XXXXX XX XXXXX/ (XX) XXÜXXXXXX HELYE XX XXXXXXX/ (XX) XXXX X XXXXXŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX XX -XXXX/ (XX) XXXXXXX X XXŃXXXX XXXXXXXXX/ (XX) XXXXX E XXXX XX XXXXXXXXXX/ (XX) XXXXX ȘI ȚXXX XXȘXXXXX/ (XX) XXXXXX X XXXX XXXXXXXXX/ (SL) KRAJ XX XXXXXX XXXXXXX/ (XX) XXXXXXÄXXXXXX XX -XXX/ (SV) FÖDELSEORT XXX -LAND

4.5

(BG) ПОЛ/ (XX) SEXO/ (CZ) XXXXXXX/ (DA) KØN/ (XX) XXXXXXXXXX/ (XX) XXXX/ (XX) ΦΥΛΟ/ (XX) SEX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXX/ (XX) XXXXX/ (LV) XXXXXXX/ (XX) LYTIS/ (XX) XXXX/ (XX) XXXX/ (XX) XXXXXXXX/ (PL) XŁXĆ/ (XX) SEXO/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXX/ (XX) XXXXXXXXX/ (XX) XÖX

4.5.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) ŽENA/ (XX) XXXXXX/ (DE) XXXXXXXX/ (XX) NAISSOOST/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (HR) XXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (HU) XŐ/ (XX) MARA/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) ŽENSKÉ/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX

4.5.2

(XX) МЪЖКИ/ (XX) VARÓN/ (XX) XXX/ (XX) XXXX/ (XX) MÄNNLICH/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (EN) XXXX/ (XX) MASCULIN/ (GA) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) VYRAS/ (XX) XXXXX/ (XX) XXĠXX/ (XX) XXX/ (XX) MĘŻCZYZNA/ (XX) XXXXXXXXX/ (RO) XĂXXĂXXXX/ (XX) XXXXXX/ (SL) XXXXX/ (FI) MIES/ (XX) XXX

4.5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (CZ) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (EL) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) UNDETERMINED/ (XX) INDÉTERMINÉ/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) MEGHATÁROZATLAN/ (MT) XXXX XXXXXXXXX/ (NL) XXXXXXXXX/ (XX) PŁEĆ XXXXXXXŚXXXX/ (PT) NÃO XXXXXXXX/ (XX) NEDETERMINAT/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) EJ FASTSTÄLLT

4.6

(BG) АДРЕС/ (ES) XXXXXXXXX/ (XX) ADRESA/ (XX) XXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXX/ (XX) ΔΙΕΥΘΥΝΣΗ/ (XX) XXXXXXX/ (XX) ADRESSE/ (XX) XXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) ADRES/ (XX) XXXXX/ (PT) XXXXXXÇX/ (XX) XXXXXX/ (XX) XXXXXX/ (SL) XXXXXX/ (XX) XXXXXX/ (XX) ADRESS

4.6.1

(BG) УЛИЦА И НОМЕР/ПОЩЕНСКА КУТИЯ/ (XX) XXXXX Y XXXXXX / XXXXXXXX XX XXXXXXX/ (CZ) XXXXX X XXXXX XXXX / POŠTOVNÍ XXXXXXXXX/ (XX) XXX XX XXXXXXXXX/XXXXXXXX/ (XX) XXXXXXX XXX HAUSNUMMER/POSTFACH/ (XX) XÄXXX XX XXXX XXXXXX/XXXXXXXX/ (EL) ΟΔΟΣ ΚΑΙ ΑΡΙΘΜΟΣ / Τ.Θ./ (EN) XXXXXX XXX XXXXXX/XX XXX/ (FR) XXX XX XXXXXX/XXÎXX XXXXXXX/ (XX) XXXXX XXXX XXXXXX/XXXXX XXXXX/ (HR) XXXXX X XXXX / POŠTANSKI XXXXXXXX/ (XX) XXX X XXXXXX/XXXXXXX XXXXXXX/ (XX) XXXX UN XĀXXX XXXXXX / PASTKASTE/ (XX) XXXXĖ IR XXXX XXXXXXX / XXXXX XĖXXXĖ/ (XX) XXXX XX XXXXXXX/XXXXXXXXX/ (XX) TRIQ X XXXXX/XXXXX XXXXXXX/ (XX) XXXXXX EN XXXXXX/XXXXXXX/ (XX) XXXXX I XXXXX / SKRYTKA XXXXXXXX/ (XX) RUA X XXXXXX/XXXXX XXXXXX/ (XX) STRADA ȘI XXXĂXXX/XĂXXȚX XXȘXXXĂ/ (XX) XXXXX X XXXXX/XXXXXXX XXXXXXXXX/ (XX) XXXXX XX XXXXXXXX/XXXXXX XXXXXX/ (XX) LÄHIOSOITE/POSTILOKERO/ (SV) XXXXXXXXXX/XXXXXXX

4.6.2

(XX) НАСЕЛЕНО МЯСТО И ПОЩЕНСКИ КОД/ (XX) XXXXXXXXX X XXXXXX XXXXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXXX XXXXX/ (XX) XX OG POSTNUMMER/ (XX) XXX XXX XXX/ (XX) XXXX XÕX XXXXX XX XXXXXXXXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΤΑΧΥΔΡΟΜΙΚΟΣ ΚΩΔΙΚΟΣ/ (XX) XXXXX AND XXXXXX XXXX/ (XX) XXXXXXXX XX CODE XXXXXX/ (XX) XXX XXXX CÓD POIST/ (XX) XXXXXX I XXXXXXXXX XXXX/ (IT) XXXXXXXÀ X XXX/ (XX) VIETA XX XXXXX INDEKSS/ (LT) XXXXX XX XXXXX XXXXX/ (XX) HELYSÉG XX XXXXXXXXXXXX/ (XX) XXXXXXXÀ U XXXXĊX XXXXXXX/ (XX) XXXXXX XX XXXXXXXX/ (XX) XXXXXXXXXŚĆ I XXX XXXXXXXX/ (PT) LOCALIDADE X XXXXXX POSTAL/ (XX) XXXXXXXXXXX ȘX XXXXX XXȘXXX/ (XX) XXXXXX A XXXXXXX XXXXXXXXXX ČÍSLO/ (XX) XXXX IN POŠTNA XXXXXXXX/ (FI) XXXXXXXXXXX XX XXXXXXXXXXXXXXXX/ (XX) XXX OCH POSTNUMMER

4.6.3

(BG) ДЪРЖАВА/ (XX) PAÍS/ (XX) ZEMĚ/ (DA) XXXX/ (DE) XXXX/ (XX) RIIK/ (XX) ΧΩΡΑ/ (EN) XXXXXXX/ (XX) PAYS/ (XX) XXX/ (XX) ZEMLJA/ (XX) PAESE/ (XX) XXXXXX/ (XX) ŠALIS/ (XX) ORSZÁG/ (MT) XXXXXŻ/ (XX) XXXX/ (XX) XXŃXXXX/ (PT) XXXX/ (RO) ȚARA/ (XX) ŠTÁT/ (XX) XXXXXX/ (XX) XXX/ (XX) XXXX

5.

(XX) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ, СЪОТВЕТНОТО ЛИЦЕ Е БИЛО ЖИВО КЪМ ДАТАТА НА ИЗДАВАНЕ НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXX XX XXXXXXXXX XXXXXXX XX QUE XX XXXXXXX XXXX XXXXXXX, XX XXXXXXXXXX XXXXXX XX VIDA XX XX FECHA XX XXXXXXXXXX XXX XXXXXXXXX PÚBLICO/ (CZ) XX XXXXXXX XXXXXXX XXXXXXX, X NÍŽ XX XXXXXXXX TENTO XXXXXXXX, XXXX XXXXXXX XXXXX XX XXX XXXXXX XXXXXXX LISTINY XXXXXX/ (XX) X XXXXXXX TIL DET XXXXXXXXXX XXXXXXXX, XXX XXXXX FORMULAR XX XXXXÆXXXX, XXX XXX XÅXÆXXXXXX XXXXXX X XXXX XÅ XXXXXX XXX XXXXXXXXXXX AF XXX XXXXXXXXXX XXXXXXXX/ (XX) XXXÄXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX, WAR XXX XXXXXXXXXXX PERSON XX XXX XXX XXXXXXXXXXX XXX ÖFFENTLICHEN XXXXXXX XX XXXXX/ (XX) XXXXXXXXX XXXXXXXXX XXXXXXXXXXX, XXXXXXX XXX XXXX XX XXXXXXX, XXX XXXXXXXXX ISIK NIMETATUD XXXXXXX XXXXXXXXX VÄLJAANDMISE XXXXÄXXXX XXXX/ (EL) ΣΥΜΦΩΝΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ, ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΒΡΙΣΚΟΤΑΝ ΣΤΗ ΖΩΗ ΚΑΤΑ ΤΗΝ ΗΜΕΡΟΜΗΝΙΑ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX TO THE XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX, XXX XXXXXX CONCERNED XXX XXXXX XX XXX XXXX XX XXXXX XX XXX XXXXXX XXXXXXXX/ (XX) X'XXXÈX XX XXXXXXXX PUBLIC XXXXXX XX XXXXXXX XXXXXXXXXX XXX JOINT, XX XXXXXXXX XXXXXXXXX XXXXX XX XXX À LA XXXX XX XXXXXXXXXX XX XX DOCUMENT PUBLIC/ (XX) XX XXXX XX XXXXXXXXX XXXXXXX XXXX xxXXXX AN XXXXXX SEO CEANGAILTE, XXX XX XXXXX XXXX mBAINEANN XXX XX XXXXX EISIÚNA XX DOICIMÉID PHOIBLÍ/ (XX) PREMA XXXXXX XXXXXXX KOJOJ XX XXXX XXXXXXX XXXXXXXX XXXXXXX OSOBA BILA XX ŽIVA XX XXX XXXXXXXXX XXXXX XXXXXXX/ (XX) XXXXXXX XX XXXXXXXXX XXXXXXXX XXX IL XXXXXXXX XXXXXX È XXXXXXXX, X'XXXXXXXXX XX VITA XXXXX PERSONA INTERESSATA È XXXXX XXXXXXXXX XXXX DATA XX XXXXXXXX DI TALE XXXXXXXXX/ (XX) XXXXXŅĀ XX XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, XXXXXXĪXĀ XXXXXXX PUBLISKĀ XXXXXXXXX XXXXXXXXX XXXXĀ BIJA XXĪXX/ (XX) PAGAL XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX PRIDEDAMA XX XXXXX, XXXXXXX DOKUMENTO XXXXXXXX XXXXĄ XXXXXXXXXXX XXXXX XXXX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXX SZERINT XX XXXXXXXX SZEMÉLY X KÖZOKIRAT XXXXXXXXXXXXX XXŐXXXXXXXXX ÉLETBEN XXXX/ (XX) SKONT ID-DOKUMENT XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX, XX-XXXXXXX XXXXĊXXXXXX XXXXXX ĦAJJA XXX-XXXX XXX-ĦXXĠ XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXX XXXXXXXX XXXXXXXX WAARAAN XXX FORMULIER XX XXXXXXX, WAS XX XXXXXXXXXX IN XXXXX XX DE XXXXX XXX XXXXXXX XXX XXX XXXXXXXX DOCUMENT/ (XX) X DOKUMENTU XXXĘXXXXXX, XX XXXXXXX XXŁĄXXXXX XXXX NINIEJSZY XXXXXXXXX, XXXXXX, ŻX XXXXX, XXXXXX DOTYCZY XXXXXXXX, XXXXXXXXXŁX XXXX ŻXXXX X XXXX XXXXXXX XXXX XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXXX X XXXXXXXXX PÚBLICO X QUE X XXXXXXXX FORMULÁRIO XXXX XXXXXX, X XXXXXX XX XXXXX XXXXXX XXXX À XXXX XX XXXXXÃX DO XXXXXXXXX XXXXXXX/ (RO) ÎX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX, XXXXXXXX XXXXXĂ XXX ÎN XXXȚĂ XX XXXX XXXXXXXX XXXXXXXXXXXX OFICIAL/ (XX) XXXĽX VEREJNEJ XXXXXXX, KU KTOREJ XX XXXXX XXXXXXXX XXXXXXXXX, XXXX DOTKNUTÁ XXXXX X XXX XXXXXXX VEREJNEJ XXXXXXX XXXXXX/ (XX) V XXXXXX X XXXXX XXXXXXX, XX XX XX XXXXXXXX TA XXXXXXX, JE XXXX XXXXXXX XXXXX NA XXX IZDAJE JAVNE XXXXXXX XXXX/ (XX) XXX XXXXXXX XXXXXXXXXX XXXXXX, XXXXX XÄXÄ XXXXXX LIITETÄÄN, XXXXXXXXXXXX XXXXXXÖ XXX ELOSSA XXXXXXX XXXXXXXXXX ANTAMISPÄIVÄNÄ/ (XX) XXXXXX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX FORMULÄR ÄX BIFOGAT VAR XXX XXXÖXXX XXXXXXXX X XXXXX XXX XXXXXXXXXX XÖX XXX XXXXXXXXXX XXXXXXXXXXX UTFÄRDANDE

6.

(BG) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX XXXXX/ (XX) XXXX XXX PODPIS/ (XX) UNDERSKRIFTSFELT/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) XXXXX XXXX XX XXXXXXXXX/ (XX) XXXXX DON XXXXX/ (XX) POLJE XX XXXXXX/ (XX) XXXXXXXX XXX LA XXXXX/ (XX) XXXXXXXX XXXXX/ (XX) PARAŠO XXXXXXXX/ (XX) XX ALÁÍRÁS XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX XX HANDTEKENING/ (XX) POLE XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (RO) XXXXĂXXXX/ (SK) KOLÓNKA XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (XX) ALLEKIRJOITUSKENTTÄ/ (XX) XXXX XÖX XXXXXXXXXXXXXX

6.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) Y XXXXXX(X) XXX XXXXXXXXXXX XXX XXXXXXX ESTE IMPRESO/ (XX) XXXXXXXX X XXXXX (XXXXX) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXX(X) XX XXXXXXX(X) XÅ XXX XXXXXXXXXX, DER XXX UDSTEDT XXXXX XXXXXXXX/ (DE) XXXXXXXXXXXX(X) XXX VORNAME(N) XXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX HAT/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXX (-XXXXX) XX XXXXXXXXXXXXX (-XXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) SURNAME(S) AND XXXXXXXX(X) OF XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) XXX(X) ET XXXXXX(X) XX FONCTIONNAIRE XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XXXXXXX (SLOINNTE) AGUS XXXXXXXX (XXXXXXXXXXXXXX) AN XXXXXXXX A X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX XXXX XX XXXXX XXXX XXXXXXX/ (IT) COGNOME/I X XXXX/X DEL XXXXXXXXXXX XXX XX XXXXXXXXXX IL XXXXXXXX XXXXXX/ (XX) AMATPERSONAS, XXXX XXXXXXXX ŠO XXXXXXXX, UZVĀRDS(-I) XX XĀXXX(-X)/ (XX) XXĄ XXXXĄ IŠDAVUSIO PAREIGŪNO XXXXXXĖ (-ĖX) IR XXXXXX (-AI)/ (HU) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXXXXXŐ XXXXXXX NEVE(I) XX UTÓNEVE(I)/ (MT) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XX(X)X(XX) XX VOORNA(A)M(EN) XXX DE XXXXXXXXX XXX DIT FORMULIER XXXXX AFGEGEVEN/ (XX) XXXXXXXX(-X) X XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX XXXXŁ NINIEJSZY XXXXXXXXX/ (XX) XXXXXXX(X) E XXXX(X) PRÓPRIO(S) XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXX ȘX XXXXXXXXX XXXXȚXXXXXXXXX CARE X XXXX PREZENTUL XXXXXXXX/ (XX) XXXXXXXXXX(-X) X XXXX(-X) ÚRADNÍKA, XXXXX XXXXX XXXXX XXXXXXXX/ (SL) XXXXXXX/XXXXXXX XX IME/IMENA XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXXXXX (-NIMET) XX ETUNIMI (-XXXXX)/ (XX) XXXXXXXXX OCH XÖXXXXX PÅ XXX XXÄXXXXXXX SOM XXX XXXÄXXXX XXXXX XXXXXXÄX

6.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX FUNCIONARIO XXX XXXXXXX ESTE IMPRESO/ (XX) FUNKCE XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX — XXX EMBEDSMAND, XXX XXX UDSTEDT XXXXX XXXXXXXX/ (XX) XXXXXXXX XXX BEAMTEN, XXX DIESES FORMULAR XXXXXXXXXXX HAT/ (ET) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX AMETIKOHT/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXX OF XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) XXXXX XX XXXXXXXXXXXXX XXX A XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXX XX XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (XX) FUNKCIJA XXXXXXXXXX XXXX JE XXXXX XXXX XXXXXXX/ (IT) XXXXXXXXX XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX PRESENTE XXXXXX/ (XX) XXXXXXXXXXXX, KURA XXXXXXXX XX VEIDLAPU, XXXXX/ (XX) XXĄ XXXXĄ IŠDAVUSIO PAREIGŪNO XXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (MT) XXXXXX XXX-XXXXĊXXX XX ĦAREĠ XXX XX-XXXXXXX/ (NL) XXXXXXX XXX DE XXXXXXXXX DIE DIT XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX URZĘDNIKA, XXXXX XXXXŁ NINIEJSZY XXXXXXXXX/ (PT) CARGO XX XXXXXXXXXXX XXX XXXXXX O PRESENTE XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX XXXX A XXXX XXXXXXXXX XXXXXXXX/ (XX) FUNKCIA XXXXXXXX, XXXXX XXXXX TENTO XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, KI XX XXXXX XX XXXXXXX/ (XX) TÄMÄN XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX FÖR XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (CZ) 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) XXXX (XX/XX/XXXX) XX ISSUE/ (XX) XXXX (XX/XX/XXXX) XX DÉLIVRANCE/ (XX) XXXX (XX/XX/XXXX) EISIÚNA/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (IT) XXXX XX RILASCIO (GG/MM/AAAA)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) IŠDAVIMO XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (MT) DATA (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (PL) DATA (XX/XX/XXXX) WYDANIA/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) FÖR XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (DA) XXXXXXXXXXX/ (DE) XXXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXX/ (XX) POTPIS/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) PARAŠAS/ (XX) ALÁÍRÁS/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) ALLEKIRJOITUS/ (XX) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X TIMBRE/ (XX) PEČEŤ XXXX XXXXXXX/ (DA) SEGL XXXXX XXXXXXX/ (XX) XXXXXX XXXX XXXXXXX/ (XX) PITSER XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX OR XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXX NÓ XXXXXX/ (XX) ŽIG XXX XXXXX/ (IT) BOLLO X XXXXXX/ (XX) XĪXXXX XXX SPIEDOGS/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (HU) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX XXX XXXXXX/ (XX) XXXXX XX XXXXXXX/ (XX) PIECZĘĆ XXX XXXXXXX/ (XX) XXXX XX XXXXXXX/ (XX) SIGILIUL XXX ȘXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (XX) PEČAT XXX XXX/ (XX) XXXXXXX XXX XXXXX/ (XX) XXXXXX XXXXX XXÄXXXX

XXXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX XXX XXXXXXX

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

Xxxxxx (XX) Xxxxxxxxx (BG)

Česká republika (XX)

Xxxxxx (DK) Xxxxxxx (XX)

Xxxxxxxx (XX) Irsko (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (FR) Xxxxxxxxxx (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (HU) Xxxxx (MT)

Nizozemsko (XX) Xxxxxxxx (AT)

Polsko (PL) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxxxxxx (SI)

Slovensko (XX) Xxxxxx (XX)

Xxxxxxx (XX) Xxxxxxx království (UK)

DŮLEŽITÉ XXXXXXXXXX

Xxxxxxx účelem tohoto xxxxxxxxxxxxx xxxxxxxxxxxx formuláře xx xxxxxxxxx xxxxxxxx xxxxxxx xxxxxxx, k xxx xx přiložen. Xxxxx formulář se xxxx xxxxxxxxx xxxxx xxxxx xxxxxxxxx jako xxxxxxxxxx xxxxxxxx.

Xxxxx xxxxxxxx xxxxxx xxxxx veřejné xxxxxxx, k níž xx přiložen. Orgán, xxxxx xx xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx xxxx x xxxxxxxxx, xxx xx to xxxxxxxx pro xxxxx xxxxxxxxxx xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx xxxxxxxxx, které xxxx xx formuláři xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX XXXXX

Xxxxxx pouze informace, xxxxx jsou xxxxxxx xx veřejné xxxxxxx, x xxx je xxxxxxxx xxxxx xxxxxxxx. (2)

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

1. ORGÁN XXXXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

(1) Úř. xxxx. X 200, 26.7.2016, x. 1.

(2) Xxx xxxxxxxxxx rukou použijte xxxxxxx písmo.

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

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

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

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

3.1.1 Xxxxxxxxxx soudu

3.1.2 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx xxxxxx xxxxxxx xxxxxxxxx

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

3.1.5 Xxxx (xxxxxxxxx)

3.2 Xxxxxxx xxxxxx správním xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx z xxxxxxx

3.2.3 Xxxxx x xxxxxxxx xxxxxxxx

3.2.4 Xxxx xxxxxxxxxx xxxxxxx

3.1.5 Jiné (xxxxxxxxx)

3.3 Notářská listina

3.4 Xxxxxx xxxxxxxxx, xxxxxx xxxx opatřena listina xxxxxxxxx xxxxxxxxx xxxxxx

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

3.6 Xxxxx (dd/mm/rrrr) xxxxxx

3.7 Xxxxxxxxxx xxxxx veřejné xxxxxxx

4. INFORMACE X XXXXXXXX

4.1 Xxxxxxxx

4.2 Jméno (xxxxx)

4.3 Datum (xx/xx/xxxx) xxxxx

4.4 Xxxxx (1) x xxxx (2) xxxxx

4.5 Xxxxx (dd/mm/rrrr) xxxxxxxx

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

4.6.1 Xxxx

4.6.2 Muž

4.6.3 Xxxxxxxx

5. XXXX XXX XXXXXX

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

5.2 Xxxxxx xxxxxxxx, xxxxx xxxxx tento formulář

5.3 Xxxxx (xx/xx/xxxx) xxxxxx

5.4 Xxxxxx

5.5 Pečeť xxxx xxxxxxx

(1) Slovy „xxxxx xxxxx“ xx xxxxxx xxxxx xxxx nebo xxxxx, xxxxxx a xxxxx, xxx daná xxxxx xxxxxxx.

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

XXXXXXXXXXX XXXXXX NÁZVŮ STANDARDNÍCH XXXXXXX

(XXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XXXX XXXXXXX/ (CZ) XXXXX VYDÁVAJÍCÍ XXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXX UDSTEDENDE XXXXXXXXX/ (XX) XXXÖXXX, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) KÄESOLEVA XXXXX XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX XXXX/ (XX) XXXXXXXX DE DÉLIVRANCE XX PRÉSENT FORMULAIRE/ (XX) XX xXXXXXX X XXXXXXXX XX XXXXXX XXX/ (XX) XXXXXX XXXX IZDAJE XXXX XXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXX MODULO/ (XX) VEIDLAPAS XXXXXĒXXXXXĀXX/ (XX) ŠIĄ XXXXĄ XXXXXXXXXX VALDŽIOS INSTITUCIJA/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX HATÓSÁG/ (MT) XXXXXXXÀ XXXXXXXXX XX' XXX XX-XXXXXXX/ (NL) XXXXXXXXXX VAN XXXXXXX XXX DIT XXXXXXXXX/ (XX) XXXXX WYDAJĄCY XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXX XXXXX X PRESENTE XXXXXXXXXX/ (XX) AUTORITATEA XXXXXXXĂ X PREZENTULUI XXXXXXXX/ (XX) XXXXX VYDÁVAJÚCI XXXXX XXXXXXXX/ (XX) XXXXX, XX XXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (SV) XXXXXXXXX XXX XXXÄXXXX FORMULÄRET

1.1

(BG) НАИМЕНОВАНИЕ/ (ES) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (XX) BEZEICHNUNG/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (EN) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (GA)AINMNIÚ/ (XX) XXXXX/ (IT) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) PAVADINIMAS/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (XX) BENAMING/ (XX) XXXXX/ (PT) XXXXXXXÇÃX/ (XX) XXXXXXXX/ (SK) XXXXX/ (XX) XXX/ (XX) XXXX/ (SV) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX LISTINU, K XXX JE PŘILOŽEN XXXXX XXXXXXXX/ (DA) XXX XXXXXXXXX, DER XXX XXXXXXX DET XXXXXXXXXX XXXXXXXX, XXX XXXXX FORMULAR XX XXXXÆXXXX/ (DE) BEHÖRDE, XXX XXX ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX, XXXXXXXXX/ (ET) XXXXXX, XXX XXXXX XÄXXX XXXXXXX XXXXXXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXX XXXXXXX XXX XXXXXX DOCUMENT XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX PRÉSENT XXXXXXXXXX/ (XX) AN xXXXXXX X XXXXXXXX XX XXXXXXXXX POIBLÍ XXXX XXXXXX XX XXXXXX XXX CEANGAILTE/ (HR) XXXXXX XXXX XXXXXX XXXXX ISPRAVU KOJOJ XX OVAJ XXXXXXX XXXXXXXX/ (IT) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX PRESENTE MODULO È XXXXXXXX/ (XX) XXXXXXXĀ DOKUMENTA, XXXXX XĪ VEIDLAPA IR XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (LT) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATOT XXXXXXXX XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX TAD-DOKUMENT XXXXXXXX LI XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX/ (NL) AUTORITEIT XXX XXXXXXX XXX XXX XXXXXXXX XXXXXXXX XXXXXXX DIT XXXXXXXXX XX XXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXX XXXĘXXXX, XX KTÓREGO XXXXXXXXX FORMULARZ XXXX XXŁĄXXXXX/ (PT) AUTORIDADE XXX EMITE O XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX APENSO/ (XX) AUTORITATEA XXXXXXXĂ X DOCUMENTULUI XXXXXXX XX CARE XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXXXX XXXXXXX, KU XXXXXX JE XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX XXXX XXXXX LISTINO, XX XX JE XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXXXX, JOKA ON XXXXXXX YLEISEN XXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX FORMULÄR ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) INFORMACIÓN XXXXXXXX XX XXXXXXXXX XXXXXXX XX QUE XX XXXXXXX XXXX IMPRESO/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXX XXXXXXX, X NÍŽ XX XXXXXXXX XXXXX XXXXXXXX/ (XX) OPLYSNINGER VEDRØRENDE XXX XXXXXXXXXX XXXXXXXX, XXX DENNE XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX IST/ (XX) XXXXX XXXXXXX XXXXXXXXX XXXXX, MILLELE XXX XXXX XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX RELATING XX THE XXXXXX XXXXXXXX XX XXXXX XXXX FORM IS XXXXXXXX/ (XX) INFORMATIONS XXXXXXXXX AU XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX X BHAINEANN XXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) INFORMACIJE KOJE XX XXXXXX XX XXXXX XXXXXXX XXXXX XX OVAJ OBRAZAC XXXXXXXX/ (IT) XXXXXXXXXXXX XXXXXXXX XX DOCUMENTO XXXXXXXX CUI XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX PUBLISKO XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX SU XXXXXXXX XXXXXXXXX, PRIE XXXXX XXXXXXXXX XX XXXXX/ (XX) A XXXXXXXXXXXXXXXXXXX KÍSÉRT KÖZOKIRATRA XXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX LI XXXXĦX XXXX XXXXXŻX DIN XX-XXXXXXX/ (XX) INFORMATIE XXXXXXXXXXX HET XXXXXXXX XXXXXXXX XXXXXXX DIT XXXXXXXXX IS XXXXXXX/ (XX) INFORMACJE XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, DO XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX ESTÁ APENSO/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX DOCUMENTUL XXXXXXX XX CARE XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXX XXXXXXX, KU XXXXXX JE XXXXX XXXXXXXX PRIPOJENÝ/ (XX) XXXXXXXXXXX V ZVEZI X XXXXX LISTINO, XX JI XX XXXXXXXX TA XXXXXXX/ (XX) TIEDOT YLEISESTÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX LIITETÄÄN/ (XX) XXXXXXXXXXX XX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX FORMULÄR ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX XXXXXXXX XXX XXX XXXXXXXXX X XX FUNCIONARIO XXXXXXXXX A XXX XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX MIEMBRO/ (XX) LISTINA XXXXXX XXXXXXX NEBO XXXXXXXXX X XXXXXX XX XXXXX DANÉHO XXXXXXXXX XXXXX/ (XX) DOKUMENT, XXX ER XXXXXXX XX EN XXXXXXXXX XXXXX EN XXXXXXXXXX, XXX XX TILKNYTTET XXXXXXXX I XX XXXXXXXXXXX/ (XX) XXXXXXX XXXXX BEHÖRDE XXXX XXXXX XXXXXXXXXX XXX XXXXX DER XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX ANDNUD XXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXXXX XÕX AMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXX XX AN OFFICIAL XXXXXXXXX XXXX XXX XXXXXX OR TRIBUNALS XX X MEMBER XXXXX/ (XX) XXXXXXXX XXXXXXX X'XXX XXXXXXXX XX X'XX XXXXXXXXXXXXX XXXXXXXX D'UNE XXXXXXXXXXX X'XX XXXX XXXXXX/ (XX) DOICIMÉAD X XXXXXXX Ó ÚDARÁS XX X XXXXXXXXX X XXXXXX BAINT XXXX NÓ XXXX XX XXXXXXXXXX XX XX BINSÍ DE XXXXX XXXXXXXXX/ (XX) XXXXXXX KOJU XX XXXXXX XXXXXX ILI XXXXXXXXX XXXX DRŽAVE XXXXXXX/ (IT) XXXXXXXXX XXXXXXX DA UN'AUTORITÀ X DA XX XXXXXXXXXXX APPARTENENTE XX XXX XXXXX GIURISDIZIONI XX XXX XXXXX XXXXXX/ (LV) DOKUMENTS, XXXX IZSNIEGUSI XX XXXĪXXXXXXX XXXXĀX SAISTĪTA XXXXĀXX XXX AMATPERSONA/ (XX) DOKUMENTAS, IŠDUOTAS XXXXXXXX XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX NARĖS XXXXXXXX XX TRIBUNOLAIS/ (XX) XXXXXXXXX XXXXXXXXXX KAPCSOLATBAN XXXX XXXXXXX VAGY XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ XXX XXXXĊXXX LI XXXXXXXX XXXXX XXX-XXXXX XXX IT-TRIBUNALI XX' XXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXXXXXX INSTANTIE XXX XXX XXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX XXXXXX SĄDOWEGO XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (PT) XXXXXXXXX PROVENIENTE XX XXX AUTORIDADE XX XX XX FUNCIONÁRIO XXXXXXXXXX XX XXXXXXXX XXXXXXXÇÃX XX UM XXXXXX-XXXXXX/ (RO) XXXXXXXX XXXX XX X XXXXXXXXXX XXX XX XX FUNCȚIONAR XX XX XÂXXĂ XXXXXXȚXXX XXXX STAT XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX ALEBO ÚRADNÍKOM X XÄXXXX XX XXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX, XXXXXX X STRANI XXXXXX XXX URADNIKA XXXXX XXXXXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX, XXXXX XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX VIRANOMAINEN XXX VIRKAMIES/ (XX) XXXXXXXX SOM HÄRRÖR XXÅX XX XXXXXXXXX XXXXX XX TJÄNSTEMAN XXXXXÖXXXXX XXXXXXXXXÄXXXXXX I XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) RESOLUCIÓN XXXXXXXX/ (CZ) ROZHODNUTÍ XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) GERICHTSENTSCHEIDUNG/ (ET) XXXXXXXXXX/ (EL) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (EN) XXXXX XXXXXXXX/ (FR) XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXX XX xXXXXX/ (XX) XXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX LĒMUMS/ (XX) XXXXXX SPRENDIMAS/ (XX) BÍRÓSÁGI HATÁROZAT/ (XX) DEĊIŻJONI TAL-QORTI/ (XX) RECHTERLIJKE XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (XX) XXXXXÃX XXXXXXXX/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX ROZHODNUTIE/ (XX) SODNA XXXXXXX/ (XX) XXXXXXXXXXXXXX PÄÄTÖS/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) DOCUMENTO EXPEDIDO XXX EL MINISTERIO XXXXXX/ (XX) LISTINA XXXXXX STÁTNÍM XXXXXXXXX/ (XX) DOKUMENT XXXXXXX XX XX ANKLAGEMYNDIGHED/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (ET) DOKUMENT, XXXXX XX VÄLJA XXXXXX RIIKLIK XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX EMANATING XXXX X PUBLIC XXXXXXXXXX/ (XX) DOCUMENT ÉMANANT XX XXXXXXÈXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X IONCHÚISITHEOIR XXXXXX/ (XX) XXXXXXX XXXX JE IZDALO XXXXXXX ODVJETNIŠTVO/ (IT) XXXXXXXXX EMANATO DAL XXXXXXXX XXXXXXXXX/ (LV) XXXXXXXXX, KURU XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX DOKUMENTAS/ (HU) ÜXXXXX ÁLTAL XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ MINN XXXXXXXXXX XXXXXXXX/ (NL) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX MINISTERIE/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX MINISTÉRIO XXXXXXX/ (XX) DOCUMENT XXXX XX UN XXXXXXXX/ (SK) XXXXXXX XXXXXX XXXXXXXXXXXX/ (SL) XXXXXXX, XX JO XXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX SOM HÄRRÖR XXÅX ÅKLAGARVÄSENDET

3.1.3

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX JUDICIAL/ (XX) XXXXXXX VYDANÁ XXXXXX XXXXXXX ÚŘEDNÍKEM/ (DA) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXÆX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX GESCHÄFTSSTELLE XXXXX XXXXXXXX/ (XX) XXXXXXXX, XXXXX ON VÄLJA XXXXXX KOHTUAMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXX OF X XXXXX/ (FR) XXXXXXXX XXXXXXX X'XX XXXXXXXX/ (XX) DOICIMÉAD X XXXXXXX X XXXXXXXXXX XX XXXXX XXXXXX/ (HR) XXXXXXX XXXX XX XXXXX XXXXXXXXXX XXXXXX PISARNICE/ (XX) DOCUMENTO XXXXXXX XX XX XXXXXXXXXXX/ (XX) DOKUMENTS, KURU XXXXXXXXXX TIESAS SEKRETĀRS/ (XX) XXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ MINN XXĠXXXXXXXX XX' QORTI/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN GRIFFIER/ (XX) DOKUMENT XXXXXXXĄXX XX SEKRETARZA XĄXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX OFICIAL XX JUSTIÇA/ (RO) XXXXXXXX XXXX XX XX XXXXXXX AL XXXXXXȚXX/ (XX) XXXXXXX XXXXXX XXXXXX ÚRADNÍKOM/ (XX) LISTINA, XX XX IZDA XXXXX XXXXXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (XX) DOCUMENTO XXXXXXXX XXX XX AGENTE XXXXXXXX («XXXXXXXX DE XXXXXXX»)/ (XX) LISTINA XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX XX XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (XX) XXXXXXX EINES XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX VÄLJA XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («HUISSIER XX JUSTICE»)/ (EN) XXXXXXXX XXXXXXXXX XXXX X XXXXXXXX XXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX ÉMANANT X'XX XXXXXXXX DE XXXXXXX/ (XX) XXXXXXXXX X XXXXXXX Ó XXXXXXXXX XXXXXXXXXXXX (“HUISSIER XX JUSTICE”)/ (HR) XXXXXXX XXXX JE XXXXX SUDSKI XXXXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX EMANATO XX XX XXXXXXXXX XXXXXXXXXXX ("HUISSIER XX XXXXXXX")/ (LV) DOKUMENTS, XXXX IZSNIEDZIS XXXXXX XXXXXXĪXĀXX (HUISSIER XX XXXXXXX)/ (LT) ANTSTOLIO (XXXXXXXX DE XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠUDIZZJARJU ('XXXXXXXX XX XXXXXXX')/ (NL) XXXXXXXX XXXXXXXXX XXXX XXX GERECHTSDEURWAARDER/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX SĄDOWEGO (XXXXXXXX XX XXXXXXX)/ (PT) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXÃX DE XXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) DOCUMENT XXXX XX XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX VYDANÁ SÚDNYM XXXXXXXXXXĽXX („HUISSIER XX XXXXXXX“)/ (XX) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX („HUISSIER XX JUSTICE“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX XX XXXXXXX”) ANTAMA XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX XX XXÄXXXXXXXXX (HUISSIER XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (ES) XXXX (XXXXXXXXXXXXX)/ (XX) XXXX (UPŘESNĚTE)/ (XX) XXXXX (ANGIVES)/ (DE) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) XXX (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (TO XX SPECIFIED)/ (XX) XXXXX (À XXXXXXXX)/ (XX) XXXX (XX XXXXX)/ (HR) XXXXXX (XXXXXXX)/ (XX) XXXXX (XXXXXXXXX)/ (LV) XXXX (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (XX) EGYÉB (XXXXÜX XXXXXXXXXXX)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (NL) XXXXXXX (SPECIFICEREN)/ (XX) XXXX (XXXXXĘ OKREŚLIĆ)/ (XX) XXXXXX (X XXXXXXXXXXX)/ (RO) XXXXX (X XX XXXXXXX)/ (XX) INÉ (XXXXXXXX)/ (XX) XXXXX (NAVESTI)/ (XX) MUU XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) ANNAN XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (XX) ADMINISTRATIVT DOKUMENT/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (ET) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) ADMINISTRATIVE XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) DOICIMÉAD RIARACHÁIN/ (XX) XXXXXXX XXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX DOKUMENTS/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) KÖZIGAZGATÁSI OKIRAT/ (XX) XXXXXXXX AMMINISTRATTIV/ (XX) ADMINISTRATIEF DOCUMENT/ (XX) XXXXXXXX ADMINISTRACYJNY/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX ADMINISTRATIV/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX ASIAKIRJA/ (XX) XXXXXXXXXXXXX HANDLING

3.2.1

(BG) УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (EL) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) POTVRDA/ (XX) XXXXXXXXXXX/ (LV) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (XX) TANÚSÍTVÁNY/BIZONYÍTVÁNY/ (XX) ĊERTIFIKAT/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) CERTIFICAT/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) 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 XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX AUS XXX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) EXTRACT XXXX XXX XXXXX XXXXXX XXXXXXXX/ (XX) XXXXXXX XX REGISTRE DE X'XXXX XXXXX/ (XX) XXXXXXX XX AN xXXXX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX IZ XXXXXXXX OSOBNOG XXXXXX/ (XX) ESTRATTO DI XXXX DI STATO XXXXXX/ (XX) IZRAKSTS XX XXXXXXXĀXXXĻX AKTU XXĢXXXXX/ (LT) IŠRAŠAS XX XXXXXXXĖX XŪXXĖX XXXŲ XXXXXXXX/ (XX) XXXXXÖXXXX XXXXXXX/ (MT) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (XX) UITTREKSEL XXX HET REGISTER XXX XX XXXXXXXXXXX XXXXX/ (PL) ODPIS XXXXXXXX AKTU STANU XXXXXXXXX/ (XX) EXTRATO XX XXXX XX XXXXXXX XXXXX/ (XX) XXXXXX DIN XXXXXXXXX XX XXXXX XXXXXĂ/ (XX) XXXXX X XXXXXXXX OSOBNÉHO XXXXX/ (XX) XXXXXXX IZ XXXXXXXX X XXXXXXX XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (SV) XXXXXX XX FOLKBOKFÖRINGEN

3.2.3

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX XXX XXXXX/ (XX) XXXXX Z XXXXXXXX XXXXXXXX/ (XX) UDDRAG XXX FOLKEREGISTRET/ (XX) XXXXXX AUS DEM XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX THE POPULATION XXXXXXXX/ (FR) XXXXXXX XX XXXXXXXX XX XX XXXXXXXXXX/ (XX) XXXXXXX XX XX xXXXX XXXXXX/ (HR) XXXXXXX IZ POPISA XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX/ (XX) IZRAKSTS XX XXXXĪXXXĀXX XXĢXXXXX/ (XX) XXXXXXX IŠ XXXXXXXXŲ REGISTRO/ (HU) XXXXXXX X XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX TAL-POPOLAZZJONI/ (XX) UITTREKSEL XXX XXX BEVOLKINGSREGISTER/ (PL) XXXXĄX Z XXXXXXXX XXXXXŚXX/ (XX) XXXXXXX XX XXXXXXX DA XXXXXXÇÃX/ (RO) XXXXXX XXX XXXXXXXXX XX XXXXXXȚĂ A XXXXXXȚXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXĽXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXXXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (ES) XXXXX LITERAL XX XXXXX XXX XXXXXXXX XXXXX/ (XX) XXXX XXXXXXXXXX XXXXXXX/ (DA) XXXXXX KOPI XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX KOOPIA/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX COPY XX XXXXX XXXXXX XXXXXXX/ (FR) XXXXX XXXXXXXXX X'XXXXX XX X'XXXX XXXXX/ (GA) XXXX XXXXX AR XXXXXX XX XXXXXXX XX STÁDAS SIBHIALTA/ (XX) DOSLOVNI XXXXXXXX XX EVIDENCIJA O XXXXXXX STANJU/ (XX) XXXXX LETTERALE DI XXXX DI XXXXX XXXXXX/ (XX) CIVILSTĀVOKĻA XXXX XXĢXXXXX IERAKSTU XXXXXXXXXX XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮXXXŲ PAŽODINĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX XXX SZERINTI XXXXXXXX/ (XX) XXXXX XXXXXXXX XXX-XXXX XXX-XXXXX ĊIVILI/ (XX) XXXXXXXXXXX XXXXXXXXX XXX XXXXX VAN XX XXXXXXXXXXX XXXXX/ (XX) ODPIS XXXXŁXX XXXX STANU CYWILNEGO/ (XX) CERTIDÃO XX XXXXX INTEGRAL XX XX XXXXXXXXX XX XXXX DE REGISTO XXXXX/ (XX) XXXXX XXXXXĂ A XXXX XXX XX XXXXX XXXXXĂ/ (XX) XXXXXXXX XXXXX ZO XXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXX XXXXXX XXXXXX O XXXXXXX XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX AVSKRIFT XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (XX) NOTÁŘSKÁ LISTINA/ (XX) NOTARBEKRÆFTET XXXXXXXX/ (XX) XXXXXXXXXX URKUNDE/ (XX) NOTARIAALDOKUMENT/ (EL) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (EN) XXXXXXXX XXX/ (XX) XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX ISPRAVA/ (XX) XXXX NOTARILE/ (XX) XXXXXXĀXX XXXX/ (XX) XXXXXXXXX XXXXX/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) XXX NOTARILI/ (NL) XXXXXXËXX XXXX/ (XX) XXX XXXXXXXXXX/ (PT) XXX NOTARIAL/ (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/ (ES) XXXXXXXXXXXXX XXXXXXX PUESTA XXXXX XX DOCUMENTO XXXXXXX/ (CZ) XXXXXX XXXXXXXXX, KTERÝM XXXX XXXXXXXX XXXXXXX PODEPSANÁ XXXXXXXXX XXXXXX/ (DA) XXXXXXXX XÅXXXXXXX PÅ XX XXXXXXXX UNDERTEGNET XX XX XXXXXX X XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX AUF XXXXX XXXXXXXXXXXXX/ (ET) XXXXX POOLT ERAISIKUNA XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX XXXXXXX XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) OFFICIAL XXXXXXXXXXX XXXXXX ON X XXXXXXXX SIGNED BY X XXXXXX XX XXX XX HER XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX XX XXXX XXXX XXXXX XXXXX/ (XX) DEIMHNIÚ XXXXXXXXX X XXXXXXXXX XX XXXXXXXXXX XXXX SHÍNIÚ XX DUINE XXX XXXXX XX XXX XXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX POTVRDA STAVLJENA XX XXXXXXX XXXX XX OSOBA XXXXXXXXX X XXXXXXXXX SVOJSTVU/ (XX) DICHIARAZIONE XXXXXXXXX XXXXXXX XX UNA XXXXXXXXX XXXXXXX/ (LV) XXXXXĀXX XXXXXXXXĀXXXX XX XXXXXXXXX, KO SAVĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (XX) XXXXXXXŲ XXXXXŲ PASIRAŠYTŲ DOKUMENTŲ XXXXXXXŪX XXXXXXXXXXXXX/ (HU) XXXXXXXXXXXXX ELHELYEZETT XXXXXXXXX XXXXXXXXXXX/ (MT) ĊERTIFIKAT XXXXĊXXXX LI XXXXXXXĦXX X'XXXXXXXX IFFIRMAT XXXX XXXXXXX FIL-KAPAĊITÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX EEN XXXXXXXX XXXXXXXXXXX XXXX XXX XXXXXXX IN XXXX PARTICULIERE XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXXX PRZEZ XXXXĘ XXXXŁXXĄXĄ X CHARAKTERZE XXXXXXXXX/ (XX) DECLARAÇÃO XXXXXXX XXXXXXX XXX XXX XX XXXXXXXX XXXXXXX/ (XX) CERTIFICAT XXXXXXX XXXXXXX XX XX XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (SK) XXXXXX OSVEDČENIE XXXXXXX XX LISTINE XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXXX IZJAVA XX XXXXXXX XXXXXXX/ (FI) XXXXXXXXXX TODISTUS XXXXXXXXXXXX, XXXXX XXXXXXÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX XXXXX XXXXXXXXX XÅ XX XXXXXXXX XXX UNDERTECKNATS XX XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX XXX UN XXXXXX XXXXXXXXXXX O CONSULAR XX UN XXXXXX XXXXXXX CON XXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX V XXXXX VÝKONU XXXX XXXXXXXXXX XXXXXXXXXX/ (DA) XXXXXXXX XXXXXXXXX XXXÆXXXXXX XX EN XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (DE) XXX XXXXX DIPLOMATISCHEN ODER XXXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX XXXXX AMETIKOHUSTUSTE TÄITMISEL XXXXXXXXX XXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΈΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (EN) XXXXXXXX XXXXX XX XX A DIPLOMATIC XX XXXXXXXX XXXXX XX X XXXXXX XXXXX IN XXX XX XXX XXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXX XX XX XXXXXXX OFFICIELLE XXX XX XXXXX DIPLOMATIQUE XX XXXXXXXXXX X'XX XXXX XXXXXX/ (GA) XXXXXXXXX ARNA XXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX XX XXXXX XXXXXXXXX XXX XXXXX NÓ XXX CÁIL XXXXXXXXX/ (XX) XXXXXXX KOJU XX U XXXXXXXXX XXXXXXXX SASTAVIO XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX XXXXXXXXXXX O XXXXXXXXX DI XXX XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (XX) XXXXXXXXX, KURU, XXXXXX XXXXX XXXXĀXXXXX, XXXXXXXXXXX DALĪBVALSTS XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX DIPLOMATO XX XXXXXXXXXX PAREIGŪNO, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX DIPLOMÁCIAI XXXX XXXXXXX XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXXX XXXX AĠENT XXXXXXXXXXX XXX XXXXXXXXX XX' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX OPGESTELD XXXX DE XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX XXX XXX LIDSTAAT XX ZIJN OFFICIËLE XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX PAŃSTWA CZŁONKOWSKIEGO XXXXŁXXĄXXXX W XXXXXXXXXXX XXXĘXXXXX/ (XX) XXXXXXXXX XXXXXXX POR XX XXXXXX DIPLOMÁTICO XX XXXXXXXX XX UM XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX FUNÇÕES XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX XX XĂXXX XX AGENT XXXXXXXXXX XXX CONSULAR XX XXXX XXXX XXXXXX, ÎX CALITATE XXXXXXXĂ/ (XX) LISTINA VYHOTOVENÁ XXXXXXXXXXXXX ZÁSTUPCOM XXXXX XXXXXXXXXXX ÚRADNÍKOM ČLENSKÉHO XXXXX V XXXXX XXXXXX JEHO FUNKCIE/ (XX) LISTINA, XX XX XXX XXXXXX XXXXX XXXX XXXXXXXXXXX XXX XXXXXXXXXX PREDSTAVNIK XXXXXX ČLANICE/ (XX) XXXXXXXXX, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX ON XXXXXXXX XXXXXXXXXXXXXXXXXX/ (SV) XXXXXXXX XXXXÄXXXX X TJÄNSTEN XX XX DIPLOMATISK XXXXX XXXXXXÄX XXÄXXXXXXX X EN XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) FECHA (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (DA) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) AUSSTELLUNGSDATUM (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (DD/MM/YYYY) XX ISSUE/ (XX) XXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (HR) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (GG/MM/AAAA)/ (XX) XXXXXXXXX DATUMS (DD/MM/GGGG)/ (XX) IŠDAVIMO XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (JJ/XX/SSSS) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX EMISSÃO (DD/MM/AAAA)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (SK) 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 XX XXXXXXXXXX XXX XXXXXXXXX PÚBLICO/ (XX) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (XX) DET XXXXXXXXXX XXXXXXXXX REFERENCENUMMER/ (XX) XXXXXXXXXX DER ÖXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXX VIITENUMBER/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) REFERENCE NUMBER XX THE XXXXXX XXXXXXXX/ (XX) NUMÉRO XX XXXXXXXXX XX XXXXXXXX PUBLIC/ (XX) XXXXXX XXXXXXXXX AN XXXXXXXXX PHOIBLÍ/ (XX) XXXXXXXXXX BROJ XXXXX XXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX/ (LV) XXXXXXXĀ XXXXXXXXX ATSAUCES XXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXX/ (HU) X XÖXXXXXXX HIVATKOZÁSI XXXXX/ (XX) XXXXX XX' REFERENZA XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX XXXXXXXX/ (PL) NUMER XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXX DE XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX XX XXXXXXXȚĂ XX XXXXXXXXXXXX OFICIAL/ (XX) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (SL) XXXXXXXXXX XXXXXXXX XXXXX LISTINE/ (XX) YLEISEN XXXXXXXXXX XXXXXXXXXXX/ (SV) XXX XXXXXXXXXX HANDLINGENS XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА ПОЧИНАЛОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX XX XXXXXXX XXXXXXXXX/ (CZ) XXXXXXXXX X ZEMŘELÉM/ (XX) XXXXXXXXXXX XX XXXØXX/ (XX) ANGABEN XXX XXXXXX, DEREN XXX XXXXXXXXX WIRD/ (XX) XXXXXX ISIKUT KÄSITLEV XXXXX/ (EL) ΣΤΟΙΧΕΙΑ ΤΟΥ ΘΑΝΟΝΤΟΣ/ (XX) XXXXXXXXXXX ON XXX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX XXX XX XXXXXXXX DÉCÉDÉE/ (XX) XXXXXXXX XXXXXX LEIS XX XXXXX XXXXXX/ (XX) XXXXXXXXXXX X XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXX XXXXXXX/ (XX) INFORMACIJA APIE XXXXXĮ ASMENĮ/ (HU) XX XXXXXXXXX VONATKOZÓ XXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXX XXĊXXXXX/ (XX) INFORMATIE XXXX XX XXXXXXXXXX/ (XX) XXXX XXXXXXĄXX XXXXX XXXXŁXX/ (XX) XXXXXXXÇÕXX XXXXX X PESSOA XXXXXXXX/ (XX) INFORMAȚII XXXXXXX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXXXXX X XXXXXXXX XXXXX/ (XX) XXXXXXXXXXX X UMRLEM/ (XX) XXXXXXXX XXXXXXÖX XXXXXX/ (XX) XXXXXXXXXXX XX DEN XXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X)/ (XX) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (XX) XXXXXXXXXXXX(X)/ (XX) PEREKONNANIMI (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX(X)/ (XX) XXX(X)/ (GA) SLOINNE (XXXXXXXX)/ (XX) XXXXXXX(XX)/ (XX) XXXXXXX(X)/ (XX) XXXĀXXX(-X)/ (LT) XXXXXXĖ (-ĖX)/ (XX) XXXXXXX XXXX(X)/ (XX) KUNJOM(/KUNJOMIJIET)/ (XX) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (PT) APELIDO(S)/ (XX) XXXX/ (XX) XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX/ (XX) XXXXXXXX (-XXXXX)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) XXXXX (XXXXX)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) EESNIMI (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (HR) IME(NA)/ (XX) NOME(I)/ (XX) XĀXXX(-X)/ (XX) VARDAS (-XX)/ (XX) XXXXXXX(X)/ (XX) ISEM(/ISMIJIET)/ (NL) XXXXXX(X)X(XX)/ (XX) IMIĘ (XXXXXX)/ (XX) XXXX(X) XXXXXXX(X)/ (XX) XXXXXXX/ (XX) MENO(-Á)/ (SL) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (XX) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА СМЪРТТА/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXX/ (DA) DØDSDATO (XX/XX/ÅÅÅÅ)/ (DE) XXXXX (XX/XX/XXXX) DES XXXXX/ (XX) XXXXXXXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΘΑΝΑΤΟΥ/ (EN) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX DÉCÈS/ (XX) XXXX (LL/MM/BBBB) XX XXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXX/ (IT) XXXX DI DECESSO (XX/XX/XXXX)/ (LV) MIRŠANAS XXXXXX (XX/XX/XXXX)/ (LT) XXXXXXX DATA (DD/MM/MMMM)/ (XX) XXXXXXXXXXXXX IDEJE (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXX-XXXX/ (NL) XXXXX (XX/XX/XXXX) VAN XXXXXXXXXX/ (PL) XXXX (XX/XX/XXXX) XXXXX/ (XX) XXXX DO ÓBITO (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXX/ (FI) XXXXXXXXXX (XX/XX/XXXX)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) XÖX DÖDSFALLET

4.4

(BG) МЯСТО И ДЪРЖАВА НА СМЪРТТА/ (ES) XXXXX Y XXXX XX XXXXXXXXXXXXX/ (XX) XXXXX A XXXX XXXXX/ (XX) XØXXXXXX XX -XXXX/ (XX) XXX XXX XXXX XXX XXXXX/ (ET) XXXXXXXXX XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΘΑΝΑΤΟΥ/ (XX) XXXXX XXX COUNTRY XX XXXXX/ (XX) XXXX XX PAYS XX XXXÈX/ (GA) XXX AGUS XXX XX XXXXX/ (XX) XXXXXX X ZEMLJA XXXXX/ (XX) LUOGO X XXXXX XX XXXXXXX/ (XX) XXXXXXXX XXXXX UN VALSTS/ (XX) MIRTIES XXXXX XX ŠALIS/ (XX) XXXXXXXXXXXXX HELYE XX XXXXXXX/ (XX) XXXX X XXXXXŻ XXX-XXXX/ (XX) XXXXXX EN XXXX VAN XXXXXXXXXX/ (XX) MIEJSCE X XXŃXXXX XXXXX/ (XX) XXXXX X PAÍS XX XXXXX/ (RO) XXXXX ȘI ȚXXX XXXXXXXXX/ (XX) XXXXXX X ŠTÁT ÚMRTIA/ (XX) XXXX XX XXXXXX XXXXX/ (XX) XXXXXXXXXXXX JA -XXX/ (XX) XXX OCH XXXX XÄX XÖXXXXXXXX XXXXÄXXXXX

4.5

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (CZ) DATUM (XX/XX/XXXX) XXXXXXXX/ (XX) XØXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (DE) XXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (DD/MM/YYYY) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXX/ (GA) DÁTA (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) ROĐENJA/ (XX) DATA DI XXXXXXX (XX/XX/XXXX)/ (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) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXȘXXXXX/ (SK) DÁTUM (XX/XX/XXXX) NARODENIA/ (XX) XXXXX (DD/MM/LLLL) XXXXXXX/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) FÖDELSEDATUM (XX/XX/ÅÅÅÅ)

4.6

(XX) ПОЛ/ (XX) XXXX/ (XX) POHLAVÍ/ (DA) XØX/ (XX) XXXXXXXXXX/ (XX) SUGU/ (EL) ΦΥΛΟ/ (EN) SEX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) XXXX/ (XX) GESLACHT/ (XX) XŁXĆ/ (PT) XXXX/ (RO) SEXUL/ (XX) XXXXXXXX/ (SL) XXXX/ (XX) SUKUPUOLI/ (XX) KÖN

4.6.1

(BG) ЖЕНСКИ/ (XX) XXXXX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXXXXXX/ (ET) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) BAINEANN/ (XX) ŽENSKI/ (XX) XXXXXXXXX/ (LV) SIEVIETE/ (XX) XXXXXXX/ (XX) XŐ/ (MT) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) FEMEIESC/ (SK) XXXXXX/ (XX) ŽENSKI/ (XX) XXXXXX/ (XX) XXXXXX

4.6.2

(XX) МЪЖКИ/ (ES) XXXXX/ (XX) MUŽ/ (XX) XXXX/ (XX) XÄXXXXXX/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (EN) XXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) MASCHILE/ (XX) VĪRIETIS/ (XX) XXXXX/ (XX) XXXXX/ (XX) XXĠXX/ (XX) XXX/ (PL) XĘŻXXXXXX/ (XX) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) MAN

4.6.3

(BG) НЕОПРЕДЕЛЕН/ (ES) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (HR) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (LT) XXXXXXXXXXX/ (XX) MEGHATÁROZATLAN/ (XX) XXXX STABBILIT/ (XX) ONBEPAALD/ (PL) XŁXĆ XXXXXXXŚXXXX/ (XX) XÃX DEFINIDO/ (XX) XXXXXXXXXXXX/ (XX) NEURČENÉ/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

5.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX LA FIRMA/ (XX) XXXX XXX XXXXXX/ (XX) UNDERSKRIFTSFELT/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) XXXXX XXXX LA XXXXXXXXX/ (XX) BOSCA XXX XXXXX/ (HR) POLJE XX POTPIS/ (XX) XXXXXXXX XXX XX XXXXX/ (LV) XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXX/ (XX) XX XXXXXXX SZÖVEGDOBOZA/ (XX) XXXXX XXX-XXXXXXXX/ (NL) XXX VOOR XX XXXXXXXXXXXX/ (XX) XXXX XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXXX NA PODPIS/ (XX) POLJE XX XXXXXX/ (XX) ALLEKIRJOITUSKENTTÄ/ (XX) XXXX XÖX XXXXXXXXXXXXXX

5.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X XXXXXX(X) XXX FUNCIONARIO XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXX X JMÉNO (XXXXX) XXXXXXXX, XXXXX XXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXXX(X) XX XXXXXXX(X) XÅ DEN XXXXXXXXXX, XXX HAR UDSTEDT XXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXXXXXX(X) XXX XXXXXXX, XXX XXXXXX XXXXXXXX AUSGESTELLT XXX/ (ET) KÄESOLEVA XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXX (-XXXXX) XX XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) SURNAME(S) XXX XXXXXXXX(X) XX XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) NOM(S) XX XXXXXX(X) XX XXXXXXXXXXXXX XXX X DÉLIVRÉ XX XXXXXXX FORMULAIRE/ (XX) XXXXXXX (SLOINNTE) XXXX CÉADAINM (XXXXXXXXXXXXXX) XX XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX XXXX XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXX/X E XXXX/X XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, KURA XXXXXXXX XX XXXXXXXX, XXXĀXXX(-X) XX VĀRDS(-I)/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX PAVARDĖ (-ĖS) XX VARDAS (-AI)/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXXXXXŐ XXXXXXX XXXX(X) ÉS XXXXXXX(X)/ (XX) KUNJOM(/KUNJOMIJIET) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XX(X)X(XX) EN XXXXXX(X)X(XX) XXX XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) X XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (XX) APELIDO(S) X XXXX(X) XXXXXXX(X) XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (RO) XXXXXX ȘX XXXXXXXXX FUNCȚIONARULUI XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, KTORÝ XXXXX XXXXX FORMULÁR/ (SL) XXXXXXX/XXXXXXX XX XXX/XXXXX XXXXXXXX, XX XX XXXXX XX OBRAZEC/ (XX) XÄXÄX LOMAKKEEN XXXXXXXX XXXXXXXXXXX XXXXXXXX (-XXXXX) XX XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX XXX XÖXXXXX XÅ XXX XXÄXXXXXXX XXX XXX UTFÄRDAT XXXXX XXXXXXÄX

5.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX DEL FUNCIONARIO XXX XXXXXXX ESTE XXXXXXX/ (XX) XXXXXX XXXXXXXX, XXXXX XXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXX — DEN XXXXXXXXXX, DER HAR XXXXXXX XXXXX FORMULAR/ (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 OF XXX XXXXXXXX XXX XXXXXX THIS XXXX/ (XX) XXXXX XX XXXXXXXXXXXXX XXX X XXXXXXX XX PRÉSENT XXXXXXXXXX/ (GA) POST XX XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (XX) FUNKCIJA XXXXXXXXXX XXXX XX XXXXX OVAJ XXXXXXX/ (XX) XXXXXXXXX XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX PRESENTE XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX ŠO XXXXXXXX, XXXXX/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ BEOSZTÁSA/ (XX) XXXXXX XXX-XXXXĊXXX LI ĦXXXĠ XXX IL-FORMOLA/ (XX) XXXXXXX VAN XX XXXXXXXXX XXX XXX XXXXXXXXX HEEFT XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, KTÓRY XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX DO XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (RO) XXXXȚXX XXXXȚXXXXXXXXX CARE X XXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXXXX XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, KI XX XXXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX XÖX XXX TJÄNSTEMAN XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

5.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX EXPEDICIÓN/ (XX) XXXXX (DD/MM/RRRR) VYDÁNÍ/ (XX) XXXXXXXXXXXXXXX (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/ (FR) DATE (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DÁTA (LL/MM/BBBB) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) IZDAVANJA/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) IZDOŠANAS XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (DD/MM/MMMM)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) DATUM (DD/MM/JJJJ) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX DE XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXX/ (SL) DATUM (XX/XX/XXXX) XXXXXX/ (FI) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (XX) XXXXX (DD/MM/ÅÅÅÅ) XÖX XXXÄXXXXXX

5.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (DE) XXXXXXXXXXXX/ (ET) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) SIGNATURE/ (XX) SÍNIÚ/ (HR) XXXXXX/ (XX) XXXXX/ (XX) PARAKSTS/ (XX) XXXXXXX/ (HU) ALÁÍRÁS/ (XX) FIRMA/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) ASSINATURA/ (RO) XXXXĂXXXX/ (XX) XXXXXX/ (XX) PODPIS/ (FI) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

5.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (XX) XXXXX XXXX XXXXXXX/ (XX) XXXX ELLER STEMPEL/ (XX) XXXXXX ODER XXXXXXX/ (XX) PITSER XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX XXXXX/ (FR) XXXXX XX XXXXXX/ (XX) SÉALA NÓ XXXXXX/ (HR) XXX XXX XXXXX/ (XX) XXXXX X TIMBRO/ (XX) XĪXXXX XXX XXXXXXXX/ (XX) XXXXXXX XXXX ANTSPAUDAS/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX XXX XXXXXX/ (XX) ZEGEL XX XXXXXXX/ (PL) XXXXXĘĆ LUB XXXXXXX/ (XX) XXXX XX XXXXXXX/ (XX) XXXXXXXX XXX ȘTAMPILA/ (SK) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXX ŽIG/ (XX) XXXXXXX XXX XXXXX/ (XX) XXXXXX XXXXX XXÄXXXX

MANŽELSTVÍ

VÍCEJAZYČNÝ XXXXXXXXXX XXXXXXXX – POMŮCKA XXX PŘEKLAD

Článek 7 xxxxxxxx Xxxxxxxxxx xxxxxxxxxx x Xxxx (XX) 2016/1191 xx dne 6. července 2016 x podpoře volného xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx x Evropské xxxx x x xxxxx xxxxxxxx (XX) x. 1024/2012 (1)

Xxxxxx (BE) Xxxxxxxxx (BG)

Česká xxxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Chorvatsko (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (XX) Litva (XX)

Xxxxxxxxxxx (LU)

Maďarsko (HU) Xxxxx (XX)

Xxxxxxxxxx (XX) Xxxxxxxx (AT)

Polsko (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (RO) Xxxxxxxxx (SI)

Slovensko (XX) Xxxxxx (FI)

Švédsko (XX) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx standardního formuláře xx usnadnění xxxxxxxx xxxxxxx xxxxxxx, x xxx xx xxxxxxxx. Xxxxx xxxxxxxx xx xxxx členskými státy xxxxx pohybovat xxxx xxxxxxxxxx xxxxxxxx.

Xxxxx xxxxxxxx xxxxxx obsah xxxxxxx xxxxxxx, x níž xx xxxxxxxx. Xxxxx, xxxxx xx xxxxxxx xxxxxxx předkládána, xxxx xxxx x případech, xxx xx to xxxxxxxx xxx účely xxxxxxxxxx xxxxxxx xxxxxxx, xxxxxxxxx překlad či xxxxxx xxxxxxxxx, xxxxx xxxx xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX XXXXX

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

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

1. XXXXX XXXXXXXXXX XXXXX XXXXXXXX

1.1 Název (3)

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

1.1 Xxxxx (4)

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

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

3.1.1 Xxxxxxxxxx soudu

3.1.2 Listina xxxxxx xxxxxxx zástupcem

3.1.3 Xxxxxxx xxxxxx vyšším xxxxxxx úředníkem

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

3.1.5 Xxxx (upřesněte)

(1) Úř. xxxx. X 200, 26.7.2016, s. 1.

(2) Xxx vyplňování rukou xxxxxxxx xxxxxxx písmo.

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

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

3.2 Listina xxxxxx xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx z xxxxxxx

3.2.3 Xxxxx x xxxxxxxx xxxxxxxx

3.2.4 Xxxx xxxxxxxxxx záznamů

3.1.5 Xxxx (xxxxxxxxx)

3.3 Notářská listina

3.4 Xxxxxx xxxxxxxxx, kterým xxxx xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx osobou

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

3.6 Xxxxx (dd/mm/rrrr) xxxxxx

3.7 Xxxxxxxxxx číslo xxxxxxx xxxxxxx

4. XXXXXXXXXX

4.1 Xxxxx (xx/xx/xxxx) uzavření xxxxxxxxxx

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

5. XXXXXX/XXXXXXXX X

5.1 Xxxxx/x příjmení

5.2 Příjmení xxxx xxxxxxxxx manželství

5.3 Xxxxxxxx xx xxxxxxxx xxxxxxxxxx

5.4 Jméno (jména)

5.5 Xxxxx (xx/xx/xxxx) narození

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

5.6.1 Žena

5.6.2 Xxx

5.6.3 Xxxxxxxx

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

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

6. XXXXXX/XXXXXXXX X

6.1 Xxxxx/x xxxxxxxx

6.2 Xxxxxxxx xxxx uzavřením xxxxxxxxxx

6.3 Xxxxxxxx xx xxxxxxxx xxxxxxxxxx

6.4 Jméno (jména)

6.5 Xxxxx (xx/xx/xxxx) xxxxxxxx

6.6 Xxxxxxx:

6.6.1 Žena

6.6.2 Xxx

6.6.3 Xxxxxxxx

7. POLE XXX XXXXXX

7.1 Příjmení a xxxxx (xxxxx) xxxxxxxx, xxxxx xxxxx xxxxx xxxxxxxx

7.2 Xxxxxx úředníka, xxxxx xxxxx xxxxx xxxxxxxx

7.3 Xxxxx (xx/xx/xxxx) xxxxxx

7.4 Xxxxxx

7.5 Pečeť xxxx razítko

VÍCEJAZYČNÝ XXXXXX XXXXX STANDARDNÍCH XXXXXXX

(XXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) AUTORIDAD XXX EXPIDE ESTE XXXXXXX/ (CZ) XXXXX XXXXXXXXXX XXXXX FORMULÁŘ/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, DIE XXXXXX XXXXXXXX AUSSTELLT/ (XX) XÄXXXXXXX XXXXX XÄXXX XXXXXX XXXXXX/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX ISSUING XXXX XXXX/ (XX) AUTORITÉ XX DÉLIVRANCE XX XXXXXXX FORMULAIRE/ (XX) XX tÚDARÁS A XXXXXXXX XX FHOIRM XXX/ (XX) XXXXXX XXXX XXXXXX XXXX XXXXXXX/ (IT) AUTORITÀ XXX XXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXX/ (XX) AWTORITÀ XXXXXXXXX TA' XXX XX-XXXXXXX/ (NL) AUTORITEIT XXX XXXXXXX XXX XXX FORMULIER/ (XX) XXXXX XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (XX) AUTORIDADE XXX EMITE X XXXXXXXX FORMULÁRIO/ (RO) XXXXXXXXXXX EMITENTĂ A XXXXXXXXXXX FORMULAR/ (SK) XXXXX VYDÁVAJÚCI TENTO XXXXXXXX/ (SL) ORGAN, XX XXXX XX XXXXXXX/ (FI) XÄXÄX XXXXXXXXX ANTAVA XXXXXXXXXXXX/ (XX) MYNDIGHET XXX XXXÄXXXX FORMULÄRET

1.1

(BG) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (DA) XXXXXXXXXX/ (XX) BEZEICHNUNG/ (ET) XXXXXXX/ (EL) ΟΝΟΜΑΣΙΑ/ (XX) DESIGNATION/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) XXXXX/ (IT) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (HU) XXXXXXXXXX/ (XX) XXXXX/ (NL) XXXXXXXX/ (PL) XXXXX/ (XX) XXXXXXXÇÃX/ (RO) XXXXXXXX/ (SK) NÁZOV/ (XX) XXX/ (XX) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX EXPIDE EL XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX IMPRESO/ (CZ) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, K XXX XX PŘILOŽEN XXXXX XXXXXXXX/ (XX) DEN XXXXXXXXX, DER XXX XXXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) BEHÖRDE, XXX XXX ÖFFENTLICHE XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX IST, XXXXXXXXX/ (XX) XXXXXX, KES 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 WHICH XXXX FORM XX XXXXXXXX/ (FR) AUTORITÉ XX XXXXXXXXXX DU XXXXXXXX XXXXXX AUQUEL XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XX xXXXXXX X XXXXXXXX XX DOICIMÉAD XXXXXX XXXX BHFUIL XX XXXXXX XXX XXXXXXXXXX/ (HR) TIJELO XXXX XXXXXX XXXXX XXXXXXX KOJOJ XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ CHE XXXXXXXX IL XXXXXXXXX XXXXXXXX CUI XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) PUBLISKĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX ŠI FORMA, XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) AWTORITÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX XX MIEGĦU XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX HET XXXXXXXX DOCUMENT WAARAAN XXX FORMULIER XX XXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXX XXXĘXXXX, XX KTÓREGO XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) AUTORIDADE XXX XXXXX X DOCUMENTO XXXXXXX X XXX X XXXXXXXX FORMULÁRIO XXXX XXXXXX/ (RO) XXXXXXXXXXX EMITENTĂ X XXXXXXXXXXXX XXXXXXX XX XXXX ESTE ANEXAT XXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX VEREJNÚ XXXXXXX, XX KTOREJ XX TENTO XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX XXXX XXXXX XXXXXXX, XX JI XX XXXXXXXX TA XXXXXXX/ (XX) XXXXXXXXXXXX, XXXX ON XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX SOM XXXÄXXXX DEN XXXXXXXXXX XXXXXXXX TILL VILKEN XXXXX FORMULÄR ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX RELATIVA AL XXXXXXXXX XXXXXXX XX XXX XX ADJUNTA XXXX IMPRESO/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXX XXXXXXX, X XXX JE XXXXXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXXXXX XXXXØXXXXX XXX XXXXXXXXXX XXXXXXXX, SOM XXXXX FORMULAR ER XXXXÆXXXX/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX XXXXXXX XXXXXXXXX XXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXXXX XXXXXXXX XX XXX XXXXXX DOCUMENT XX XXXXX XXXX XXXX IS XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX EST XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) FAISNÉIS X XXXXXXXXX XXXX AN XXXXXXXXX XXXXXX XXXX XXXXXX XX FHOIRM XXX CEANGAILTE/ (HR) XXXXXXXXXXX KOJE SE XXXXXX XX XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX RELATIVE XX XXXXXXXXX XXXXXXXX XXX XX PRESENTE XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, KURAM XĪ XXXXXXXX IR XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX XXXXXXXXX, PRIE XXXXX XXXXXXXXX XX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX VONATKOZÓ XXXXXXXXXXX/ (MT) XXXXXXXXXXXXX XXXX ID-DOKUMENT XXXXXXXX XX MIEGĦU HIJA XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX BETREFFENDE XXX OPENBAAR XXXXXXXX XXXXXXX XXX FORMULIER XX XXXXXXX/ (PL) XXXXXXXXXX DOTYCZĄCE XXXXXXXXX XXXĘXXXXXX, XX KTÓREGO XXXXXXXXX XXXXXXXXX JEST XXŁĄXXXXX/ (PT) INFORMAÇÕES XXXXXXXXX AO XXXXXXXXX XXXXXXX A XXX X PRESENTE XXXXXXXXXX XXXX XXXXXX/ (RO) XXXXXXXȚXX XXXXXXXXXXX LA XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXXXXXXX X XXXXXXXX XXXXXXX, XX KTOREJ XX XXXXX FORMULÁR XXXXXXXXX/ (XX) INFORMACIJE X XXXXX X XXXXX LISTINO, KI XX XX PRILOŽEN XX XXXXXXX/ (XX) XXXXXX XXXXXXXXÄ ASIAKIRJASTA, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (SV) INFORMATION XX DEN XXXXXXXXXX XXXXXXXX TILL VILKEN XXXXX XXXXXXÄX ÄR XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX EXPEDIDO XXX XXX XXXXXXXXX O XX XXXXXXXXXXX VINCULADO X XXX ÓRGANOS XXXXXXXXXXXXXXXX XX UN XXXXXX XXXXXXX/ (CZ) XXXXXXX VYDANÁ XXXXXXX XXXX ÚŘEDNÍKEM X XXXXXX NA XXXXX XXXXXX ČLENSKÉHO XXXXX/ (XX) DOKUMENT, DER XX UDSTEDT AF XX XXXXXXXXX XXXXX XX XXXXXXXXXX, DER XX XXXXXXXXXX XXXXXXXX X EN MEDLEMSSTAT/ (XX) URKUNDE XXXXX XXXÖXXX XXXX XXXXX XXXXXXXXXX XXX XXXXX XXX XXXXXXXXXXXX EINES XXXXXXXXXXXXXX/ (XX) DOKUMENT, XXXXX XX VÄLJA XXXXXX LIIKMESRIIGI XXXXXXXXX XXXXXX XXXXXXXXXXX XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX XXXX XX AUTHORITY OR XX OFFICIAL XXXXXXXXX XXXX XXX XXXXXX XX XXXXXXXXX OF X XXXXXX STATE/ (XX) DOCUMENT ÉMANANT X'XXX XXXXXXXX XX X'XX FONCTIONNAIRE XXXXXXXX X'XXX JURIDICTION X'XX XXXX XXXXXX/ (XX) XXXXXXXXX X THAGANN X ÚDARÁS NÓ X XXXXXXXXX X XXXXXX XXXXX AIGE XX XXXX LE XXXXXXXXXX XX XX XXXXX XX XXXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXX XXX SLUŽBENIK XXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ X XX UN FUNZIONARIO XXXXXXXXXXXX XX XXX XXXXX XXXXXXXXXXXXX XX XXX STATO MEMBRO/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XX DALĪBVALSTS XXXXĀX XXXXXĪXX XXXXĀXX XXX AMATPERSONA/ (XX) XXXXXXXXXX, XXXXXXXX VALDŽIOS XXXXXXXXXXXX AR XXXXXXŪXX, XXXXXXXXŲ SU XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (HU) XXXXXXXXX XXXXXXXXXX KAPCSOLATBAN XXXX XXXXXXX XXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX AWTORITÀ JEW XXXXĊXXX LI XXXXXXXX XXXXX XXX-XXXXX JEW XX-XXXXXXXXX TA' STAT XXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXXXXXX XXXXXXXXX VAN XXX LIDSTAAT/ (PL) XXXXXXXX XXXXXXXĄXX OD XXXXXX SĄDOWEGO XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXXXX OU DE XX XXXXXXXXXXX XXXXXXXXXX XX XXXXXXXX JURISDIÇÃO XX XX ESTADO-MEMBRO/ (XX) DOCUMENT EMIS XX X XXXXXXXXXX XXX XX XX XXXXȚXXXXX DE XX XÂXXĂ XXXXXXȚXXX UNUI XXXX MEMBRU/ (XX) XXXXXXX VYDANÁ XXXXXXX XXXXX ÚRADNÍKOM X XÄXXXX XX XXXX XXXXXXXXX ŠTÁTU/ (SL) XXXXXXX, XXXXXX S XXXXXX XXXXXX XXX XXXXXXXX XXXXX XXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX XX XXXXXXX JÄSENVALTION XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) HANDLING XXX HÄRRÖR FRÅN XX XXXXXXXXX ELLER XX XXÄXXXXXXX TILLHÖRANDE XXXXXXXXXÄXXXXXX X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) RESOLUCIÓN JUDICIAL/ (XX) XXXXXXXXXX SOUDU/ (XX) XXXXXXXXXXXØXXXXX/ (DE) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) XXXXXXXX DE XXXXXXX/ (GA) XXXXXXXX XX gCÚIRT/ (XX) XXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (XX) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (NL) XXXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (PT) XXXXXÃX XXXXXXXX/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) XXXXX XXXXXXX/ (FI) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX FISCAL/ (XX) XXXXXXX VYDANÁ XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX ANKLAGEMYNDIGHED/ (XX) XXXXXXX EINER STAATSANWALTSCHAFT/ (XX) XXXXXXXX, MILLE XX VÄLJA ANDNUD XXXXXXX SÜÜDISTAJA/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (EN) XXXXXXXX XXXXXXXXX XXXX X XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XXXXXXÈXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX DAL XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX PROKURORS/ (XX) XXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (HU) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX PROSEKUTUR PUBBLIKU/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX PROVENIENTE XX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX EMIS XX XX PROCUROR/ (XX) LISTINA VYDANÁ XXXXXXXXXXXX/ (XX) LISTINA, XX JO XXXX XXXXXXX XXXXXXXXX/ (FI) XXXXXXXXXX SYYTTÄJÄN XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR 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) DOKUMENT XXXXXXX XX XX XXXXXXXXXXXXXÆX/ (XX) XXXXXXX XXXXX URKUNDSBEAMTEN DER XXXXXÄXXXXXXXXX EINES XXXXXXXX/ (XX) DOKUMENT, XXXXX XX XÄXXX ANDNUD XXXXXXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (EN) XXXXXXXX XXXXXXXXX FROM A XXXXX XX X XXXXX/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X CHLÉIREACH XX XXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXX UPRAVITELJ XXXXXX PISARNICE/ (XX) XXXXXXXXX EMANATO XX XX XXXXXXXXXXX/ (LV) XXXXXXXXX, KURU IZSNIEDZIS XXXXXX XXXXXXĀXX/ (XX) XXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX REĠISTRATUR XX' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX SĄDOWEGO/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXX DE XXXXXÇX/ (RO) DOCUMENT XXXX DE UN XXXXXXX AL XXXXXXȚXX/ (XX) LISTINA XXXXXX XXXXXX XXXXXXXXX/ (SL) XXXXXXX, KI JO XXXX XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXX/ (SV) XXXXXXXX XXX XÄXXÖX XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXX XXXXXXX XX XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (XX) XXXXXXX XXXXX GERICHTSVOLLZIEHERS/ (XX) XXXXXXXX, XXXXX XX VÄLJA XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX DE XXXXXXX»)/ (XX) XXXXXXXX XXXXXXXXX FROM X XXXXXXXX XXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX ÉMANANT D'UN XXXXXXXX XX JUSTICE/ (XX) XXXXXXXXX X XXXXXXX Ó OIFIGEACH XXXXXXXXXXXX (“HUISSIER DE XXXXXXX”)/ (XX) XXXXXXX XXXX XX IZDAO XXXXXX OVRŠITELJ (HUISSIER XX XXXXXXX)/ (IT) XXXXXXXXX EMANATO DA XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX (HUISSIER XX XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX DE XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('HUISSIER XX XXXXXXX')/ (NL) DOCUMENT XXXXXXXXX XXXX XXX XXXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX XXXĘXXXXX XĄXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXÃX XX DIREITO («XXXXXXXX XX JUSTICE»)/ (XX) XXXXXXXX EMIS XX XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX DE XXXXXXX”)/ (XX) XXXXXXX XXXXXX XXXXXX VYKONÁVATEĽOM („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXX, KI XX XXXX XXXXX IZVRŠITELJ („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXXXXXX (”HUISSIER XX XXXXXXX”) ANTAMA XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX XX XXÄXXXXXXXXX (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) OTRO (XXXXXXXXXXXXX)/ (XX) XXXX (UPŘESNĚTE)/ (XX) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (BITTE XXXXXXX)/ (XX) MUU (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX XX XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (XX) XXXX (XX SONRÚ)/ (XX) XXXXXX (NAVESTI)/ (XX) XXXXX (PRECISARE)/ (LV) XXXX (PRECIZĒT)/ (LT) XXXX (NURODYTI)/ (HU) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) OĦRAJN (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) XXXX (XXXXXĘ XXXXŚXXĆ)/ (PT) XXXXXX (X XXXXXXXXXXX)/ (XX) XXXXX (X XX XXXXXXX)/ (SK) INÉ (XXXXXXXX)/ (XX) DRUGO (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) XXXXX HANDLING (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX ADMINISTRATIVO/ (XX) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (XX) ADMINISTRATIVT XXXXXXXX/ (DE) URKUNDE XXXXX XXXXXXXXXXXXXXÖXXX/ (ET) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (GA) XXXXXXXXX XXXXXXXXXX/ (HR) UPRAVNA XXXXXXX/ (IT) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (LT) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (NL) XXXXXXXXXXXXXX XXXXXXXX/ (XX) DOKUMENT XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) HALLINNOLLINEN XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (EN) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) DEIMHNIÚ/ (XX) XXXXXXX/ (IT) CERTIFICATO/ (XX) APLIECINĀJUMS/ (XX) XXXXXX, LIUDIJIMAS/ (HU) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (RO) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (FI) XXXXXXXX/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX XXXXXXXX CIVIL/ (XX) XXXXX Z XXXXXXX/ (XX) UDDRAG FRA XXXXXXXXXXXXXXXXXXXX/ (DE) XXXXXX XXX XXX PERSONENSTANDSREGISTER/ (XX) XXXXXXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX XXXXX XXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XX L'ÉTAT XXXXX/ (XX) SLIOCHT AS XX xXXXX STÁDAIS XXXXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX OSOBNOG XXXXXX/ (IT) ESTRATTO XX XXXX DI XXXXX CIVILE/ (XX) XXXXXXXX NO XXXXXXXĀXXXĻX XXXX REĢISTRA/ (LT) XXXXXXX XX CIVILINĖS XŪXXĖX XXXŲ REGISTRO/ (XX) ANYAKÖNYVI KIVONAT/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (NL) XXXXXXXXXX XXX XXX XXXXXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX SKRÓCONY XXXX XXXXX XXXXXXXXX/ (PT) XXXXXXX XX XXXX XX REGISTO XXXXX/ (XX) XXXXXX DIN XXXXXXXXX XX XXXXX XXXXXĂ/ (XX) XXXXX X XXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXX XX REGISTRA O XXXXXXX XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) XXXXXX UR XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (ES) XXXXXXXX XXX XXXXX/ (XX) VÝPIS Z XXXXXXXX XXXXXXXX/ (XX) XXXXXX XXX FOLKEREGISTRET/ (XX) XXXXXX XXX XXX MELDEREGISTER/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX XXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XX REGISTRE XX XX XXXXXXXXXX/ (XX) SLIOCHT XX XX xXXXX XXXXXX/ (XX) XXXXXXX XX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX/ (LV) XXXXXXXX NO IEDZĪVOTĀJU XXĢXXXXX/ (XX) IŠRAŠAS XX XXXXXXXXŲ REGISTRO/ (XX) KIVONAT A XXXXXXXXXXXX- ÉS XXXXXXXXXXXXXXXXXXXXXX/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) UITTREKSEL XXX HET XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX Z XXXXXXXX XXXXXŚXX/ (XX) XXXXXXX XX REGISTO XX XXXXXXÇÃX/ (XX) XXXXXX XXX XXXXXXXXX XX XXXXXXȚĂ A XXXXXXȚXXX/ (XX) VÝPIS X XXXXXXXX OBYVATEĽOV/ (XX) IZPISEK XX XXXXXXXX XXXXXXXXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) UTDRAG XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) COPIA XXXXXXX XX ACTAS XXX XXXXXXXX CIVIL/ (CZ) XXXX XXXXXXXXXX XXXXXXX/ (XX) ORDRET KOPI XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) VERBATIM XXXX XX XXXXX XXXXXX XXXXXXX/ (XX) XXXXX INTÉGRALE D'ACTES XX X'XXXX CIVIL/ (XX) CÓIP XXXXX XX XXXXXX DE XXXXXXX XX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XX EVIDENCIJA X OSOBNOM XXXXXX/ (XX) XXXXX XXXXXXXXX XX ATTO XX XXXXX XXXXXX/ (LV) XXXXXXXĀXXXĻX AKTU XXĢXXXXX XXXXXXXX XXXXXXXXXX KOPIJA/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮRAŠŲ PAŽODINĖ XXXXXX/ (HU) ANYAKÖNYVI XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXX TAL-ATTI XXX-XXXXX ĊXXXXX/ (NL) XXXXXXXXXXX XXXXXXXXX XXX XXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXŁXX AKTU STANU XXXXXXXXX/ (PT) XXXXXXÃX XX CÓPIA XXXXXXXX XX DE NARRATIVA XX XXXX XX XXXXXXX XXXXX/ (XX) XXXXX XXXXXĂ X XXXX XXX XX XXXXX XXXXXĂ/ (XX) XXXXXXXX VÝPIS ZO XXXXXXX X XXXXXXX XXXXX/ (SL) XXXXXXXX XXXXXX LISTIN X XXXXXXX XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) ORDAGRANN XXXXXXXX XX FOLKBOKFÖRINGSHANDLING

3.3

(BG) НОТАРИАЛЕН АКТ/ (ES) XXXX XXXXXXXX/ (CZ) XXXXXXXX XXXXXXX/ (XX) NOTARBEKRÆFTET XXXXXXXX/ (XX) NOTARIELLE XXXXXXX/ (XX) NOTARIAALDOKUMENT/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) JAVNOBILJEŽNIČKA ISPRAVA/ (XX) XXXX NOTARILE/ (XX) XXXXXXĀXX AKTS/ (XX) NOTARINIS XXXXX/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) ATT XXXXXXXX/ (XX) NOTARIËLE XXXX/ (XX) XXX XXXXXXXXXX/ (XX) ATO NOTARIAL/ (XX) XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) NOTARSKA LISTINA/ (XX) NOTAARIN 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/ (CZ) XXXXXX OSVĚDČENÍ, XXXXXX XXXX XXXXXXXX XXXXXXX XXXXXXXXX SOUKROMOU XXXXXX/ (XX) XXXXXXXX XÅXXXXXXX XÅ XX DOKUMENT XXXXXXXXXXX AF EN XXXXXX X DENNES XXXXXXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX EINER 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 XX X DOCUMENT XXXXXX XX A XXXXXX XX XXX XX XXX XXXXXXX XXXXXXXX/ (XX) DÉCLARATION XXXXXXXXXX XXXXXXX SUR UN XXXX XXXX SEING XXXXX/ (GA) XXXXXXXX XXXXXXXXX A XXXXXXXXX XX XXXXXXXXXX XXXX XXXXXX AG XXXXX XXX CHÁIL XX XXX XXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX POTVRDA XXXXXXXXX XX XXXXXXX XXXX XX XXXXX XXXXXXXXX X PRIVATNOM XXXXXXXX/ (XX) DICHIARAZIONE XXXXXXXXX XXXXXXX SU XXX SCRITTURA XXXXXXX/ (XX) XXXXXĀXX APLIECINĀJUMS XX XXXXXXXXX, KO XXXĀ XĀXXĀ PARAKSTĪJUSI XĀXX PERSONA/ (XX) XXXXXXXŲ ASMENŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX PATVIRTINIMAI/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ĊXXXXXXXXX XXXXĊXXXX XX XXXXXXXĦXX F'DOKUMENT XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXX XXXXXXXXXXX XXXX XXX XXXXXXX XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) URZĘDOWE XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX PODPISANYM XXXXX XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÃX OFICIAL XXXXXXX XXX XXX XX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXX APLICAT XX XX XXXXXXXX XXX SEMNĂTURĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX XX XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX OSOBA/ (XX) XXXXXX IZJAVA XX XXXXXXX LISTINI/ (XX) VIRALLINEN 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 XX XX XXXXXX XXXXXXX XXX XXXXXXXX OFICIAL/ (XX) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM XXXXXXXXX XXXX KONZULÁRNÍM XXXXXXXXX XXXXXXXXX STÁTU X XXXXX XXXXXX XXXX XXXXXXXXXX POVINNOSTÍ/ (XX) DOKUMENT XXXXXXXXX XXXÆXXXXXX XX EN XXXXXXXXXXXX DIPLOMATISKE XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (XX) XXX XXXXX DIPLOMATISCHEN XXXX KONSULARISCHEN VERTRETER XXXXX XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX FUNKTION XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX DIPLOMAATILISE 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) DOCUMENT XXXXX XX BY X XXXXXXXXXX XX XXXXXXXX XXXXX OF X XXXXXX STATE XX XXX XX XXX XXXXXXXX XXXXXXXX/ (FR) XXXXXXXX ÉTABLI XX XX QUALITÉ XXXXXXXXXX XXX UN XXXXX XXXXXXXXXXXX XX XXXXXXXXXX X'XX ÉTAT MEMBRE/ (XX) DOICIMÉAD XXXX XXXXXXXXXX SUAS AG XXXXXXXXXX XXXXXXXXXXXXXXXX NÓ XXXXXXXXX DE XXXXX XXXXXXXXX XXX CHÁIL XX INA CÁIL XXXXXXXXX/ (XX) ISPRAVA XXXX XX X XXXXXXXXX SVOJSTVU XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX DRŽAVE ČLANICE/ (XX) XXXXXXXXX REDATTO XX AGENTI XXXXXXXXXXX X XXXXXXXXX DI XXX STATO XXXXXX XXXX'XXXXXXXXX DELLE XXXX XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX XXXXX XXXXĀXXXXX, SAGATAVOJIS DALĪBVALSTS XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX AR XXXXXXXXXX XXXXXXŪXX, VEIKIANČIO PAGAL XXXXXXXXXX ĮGALIOJIMUS/ (HU) XXXXXXXX XXXXXXXX DIPLOMÁCIAI XXXX XXXXXXX XXXXXXXXŐXX XXXXX XXXXXXXXX MINŐSÉGÉBEN XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXXX MINN XĠXXX XXXXXXXXXXX XXX XXXXXXXXX TA' STAT XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (NL) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXXXXX XX CONSULAIRE XXXXXXXXX XXX XXX XXXXXXXX XX XXXX XXXXXXËXX HOEDANIGHEID/ (PL) XXXXXXXX XXXXXĄXXXXX PRZEZ XXXXXXXXXXXXXXX DYPLOMATYCZNEGO XXX XXXĘXXXXX KONSULARNEGO XXŃXXXX XXŁXXXXXXXXXXX DZIAŁAJĄCYCH X XXXXXXXXXXX URZĘDOWYM/ (XX) XXXXXXXXX LAVRADO XXX XX AGENTE XXXXXXXXXXX XX XXXXXXXX DE XX XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (RO) XXXXXXXX ÎXXXXXXX DE XĂXXX XX AGENT XXXXXXXXXX SAU XXXXXXXX XX UNUI XXXX XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX ZÁSTUPCOM XXXXX KONZULÁRNYM XXXXXXXXX XXXXXXXXX XXXXX V XXXXX XXXXXX XXXX XXXXXXX/ (SL) LISTINA, XX XX XXX XXXXXX XXXXX IZDA XXXXXXXXXXX XXX KONZULARNI XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) ASIAKIRJA, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX KONSULIEDUSTAJA XX XXXXXXXX VIRANTOIMITUKSESSA/ (SV) XXXXXXXX XXXXÄXXXX X XXÄXXXXX AV EN XXXXXXXXXXX ELLER KONSULÄR XXÄXXXXXXX X XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (CZ) DATUM (XX/XX/XXXX) VYDÁNÍ/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) XÄXXXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (JJ/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXX (LL/MM/BBBB) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXX/ (XX) DATA XX XXXXXXXX (GG/MM/AAAA)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (LT) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X KIÁLLÍTÁS XXXXXX (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (SK) XXXXX (DD/MM/RRRR) VYDANIA/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (FI) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) DATUM (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX DE XXXXXXXXXX XXX DOCUMENTO XXXXXXX/ (XX) REFERENČNÍ XXXXX XXXXXXX XXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX/ (XX) AVALIKU DOKUMENDI XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (EN) XXXXXXXXX XXXXXX OF XXX XXXXXX XXXXXXXX/ (XX) XXXXXX XX XXXXXXXXX XX DOCUMENT PUBLIC/ (XX) XXXXXX XXXXXXXXX XX DOICIMÉID PHOIBLÍ/ (XX) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXX/ (XX) A XÖXXXXXXX XXXXXXXXXXX SZÁMA/ (XX) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX VAN XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX REFERENCYJNY XXXXXXXXX XXXĘXXXXXX/ (PT) XXXXXX XX REFERÊNCIA XX XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX DE REFERINȚĂ XX DOCUMENTULUI XXXXXXX/ (XX) REFERENČNÉ XXXXX XXXXXXXX LISTINY/ (XX) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) YLEISEN XXXXXXXXXX XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) БРАК/ (XX) XXXXXXXXXX/ (CZ) MANŽELSTVÍ/ (XX) ÆXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) XXXXXX/ (XX) ΓΑΜΟΣ/ (XX) XXXXXXXX/ (FR) XXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX BRAKA/ (XX) XXXXXXXXXX/ (LV) XXXXĪXX/ (XX) SANTUOKA/ (XX) XXXXXXXXXÖXXX/ (XX) ŻXXXĠ/ (XX) XXXXXXXX/ (XX) XXŁŻXŃXXXX/ (XX) XXXXXXXXX/ (XX) XĂXĂXXXXX/ (SK) XXXXXXXXXX/ (SL) XXXXXXXXX XXXXXXXX ZVEZE/ (XX) XXXXXXXXXX/ (XX) ÄXXXXXXXX

4.1

(XX) ДАТА (ДД/ММ/ГГГГ) НА БРАКА/ (XX) FECHA (XX/XX/XXXX) XXX MATRIMONIO/ (XX) DATUM (XX/XX/XXXX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXX (XX/XX/XXXX) XXX XXXXXXXXXXXXXX/ (ET) ABIELLUMISE XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΤΕΛΕΣΗΣ ΤΟΥ ΓΑΜΟΥ/ (XX) XXXX (XX/XX/XXXX) XX XXX XXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXX/ (GA) DÁTA (XX/XX/XXXX) XX PHÓSTA/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX BRAKA/ (IT) XXXX DI XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXXĪXXX XXXXĒXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) XXXXXXXXX XXXXXXXX XXXX (DD/MM/MMMM)/ (XX) X XXXXXXXXXÖXXX IDEJE (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXŻ-ŻXXXĠ/ (XX) XXXXX (XX/XX/XXXX) VAN XXX HUWELIJK/ (XX) XXXX (DD/MM/RRRR) XXXXXXXX XXŁŻXŃXXXX/ (XX) XXXX XX XXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XĂXĂXXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX ZAKONSKE ZVEZE/ (XX) AVIOLIITON XXXXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) FÖR ÄKTENSKAPETS XXXÅXXXX

4.2

(XX) МЯСТО И ДЪРЖАВА НА БРАКА/ (XX) LUGAR X XXXX XXX MATRIMONIO/ (XX) XXXXX A XXXX XXXXXXXX XXXXXXXXXX/ (XX) VIELSESSTED XX -XXXX/ (XX) ORT XXX LAND DER XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXX XXXX JA XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΤΕΛΕΣΗΣ ΤΟΥ ΓΑΜΟΥ/ (XX) XXXXX XXX COUNTRY XX XXX XXXXXXXX/ (XX) XXXX ET XXXX XX XXXXXXX/ (XX) XXX XXXX XXX XX XXXXXX/ (XX) XXXXXX X XXXXXX XXXXXXXXX BRAKA/ (IT) XXXXX E XXXXX XX MATRIMONIO/ (LV) XXXXĪXXX NOSLĒGŠANAS XXXXX XX XXXXXX/ (XX) XXXXXXXXX SUDARYMO XXXXX XX XXXXX/ (XX) X XXXXXXXXXÖXXX HELYE XX XXXXXXX/ (MT) XXXX U XXXXXŻ XXŻ-ŻXXXĠ/ (NL) XXXXXX XX LAND VAN XXX HUWELIJK/ (PL) XXXXXXX X XXŃXXXX XXXXXXXX XXŁŻXŃXXXX/ (XX) XXXXX X PAÍS XX XXXXXXXXX/ (RO) XXXXX ȘI ȚXXX XĂXĂXXXXXX/ (XX) XXXXXX X ŠTÁT XXXXXXXXX XXXXXXXXXX/ (XX) KRAJ XX DRŽAVA XXXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXXXXX XX -XXX/ (XX) ORT XXX XXXX DÄR ÄXXXXXXXXXX XXXXXXX

5.

(XX) СЪПРУГ X/ (ES) XXXXXXX X/ (CZ) MANŽEL/MANŽELKA X/ (XX) ÆXXXXÆXXX X/ (XX) EHEPARTNER X/ (XX) XXXXXXXX X/ (XX) ΣΥΖΥΓΟΣ Α/ (XX) XXXXXX X/ (XX) XXXXXXXX X/ (XX) CÉILE X/ (XX) XXXXXX XXXX X/ (IT) XXXXXXX X/ (LV) XXXXĀXXXX A/ (XX) XXXXXXXXXXX X/ (HU) „X” XXXXXXXXX/ (XX) XXXXXĠX X/ (XX) XXXXXXXX(X)X(X) X/ (XX) XXŁŻXXXX A/ (PT) XÔXXXXX A/ (XX) XXȚXX A/ (SK) XXXXXX/XXXXXXXX A/ (XX) XXXXXXX X/ (FI) XXXXXXX X/ (SV) XXXX/XXXX A

5.1

(BG) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (XX) APELLIDO(S) DE XXXXXXXXXX/ (XX) XXXXX/X XXXXXXXX/ (XX) EFTERNAVN(E) XXX XØXXXXX/ (DE) XXXXXXXXXXXX(X) XXX XXX XXXXXX/ (ET) XÜXXXXÄXXXX XXXXXXXXXXXXX (SÜNNIJÄRGSED PEREKONNANIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (EN) XXXXXXX(X) XX BIRTH/ (XX) XXX(X) À XX NAISSANCE/ (XX) XXXXXXX (SLOINNTE) XXXXXXX/ (XX) XXXXXXX(XX) XXX XXĐXXXX/ (IT) XXXXXXX/X XXXX XXXXXXX/ (XX) XXXĀXXX(-X) DZIMŠANAS XXĪXĪ/ (XX) XXXXXXĖ (-ĖS), XXXXXXXX (-OS) XXXXX/ (XX) XXÜXXXXXX XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) XXX-XXXXXX/ (XX) XXXXXXXX(X)X(XX) XXX DE GEBOORTE/ (XX) NAZWISKO(-A) XXXXXX/ (XX) XXXXXXX(X) À XXXX DO XXXXXXXXXX/ (XX) NUMELE XX XXȘXXXX/ (XX) XXXXX XXXXXXXXXX(-X)/ (SL) XXXXXXX/XXXXXXX XX XXXXXXX/ (FI) XXXXXXXX (-NIMET) XXXXXXÄXXXXXXXÄ/ (XX) XXXXXXXXX XXX XÖXXXXX

5.2

(XX) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ БРАКА/ (ES) XXXXXXXX(X) ANTES XX XXXXXXXX MATRIMONIO/ (XX) XXXXXXXX PŘED XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXX(X) XØX XXXXXXX/ (XX) XXXXXXXXXXXX(X) VOR DER XXXXXXXXXXXXXX/ (XX) PEREKONNANIMI (-XXXXX) XXXX ABIELLUMIST/ (XX) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΤΟΝ ΓΑΜΟ/ (XX) XXXXXXX(X) XXXXXX XXX XXXXXXXX/ (XX) NOM(S) XXXXX XX MARIAGE/ (XX) XXXXXXX (SLOINNTE) XXXXX XX bPÓSADH/ (XX) PREZIME(NA) XXXXX XXXXXXXXX BRAKA/ (IT) XXXXXXX/X PRIMA XXX XXXXXXXXXX/ (XX) UZVĀRDS(-I) XXXXX XXXXĪXXX/ (XX) XXXXXXĖ (-ĖS) XXXXX XXXXXXXĄ/ (XX) XXXXXXX XXXX(X) A HÁZASSÁGKÖTÉS XXŐXX/ (XX) XXXXXX(/XXXXXXXXXXX) XXXXX XŻ-ŻXXXĠ/ (NL) XXXXXXXX(X)X(XX) XXXX HET XXXXXXXX/ (PL) XXXXXXXX(-X) XXXXX ZAWARCIEM XXŁŻXŃXXXX/ (XX) APELIDO(S) XXXXX XX XXXXXXXXX/ (XX) XXXXXX ÎXXXXXX DE XĂXĂXXXXX/ (XX) XXXXXXXXXX(-X) XXXX XXXXXXXXX XXXXXXXXXX/ (XX) PRIIMEK/PRIIMKI PRED XXXXXXXXXXX ZAKONSKE XXXXX/ (XX) SUKUNIMI (-NIMET) XXXXX XXXXXXXXXXX/ (XX) XXXXXXXXX XÖXX ÄXXXXXXXXXXX XXXÅXXXX

5.3

(XX) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА БРАКА/ (XX) APELLIDO(S) XXXXXXX XX CONTRAER MATRIMONIO/ (XX) PŘÍJMENÍ XX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXX(X) XXXXX VIELSEN/ (XX) XXXXXXXXXXXX(X) XXXX XXX EHESCHLIESSUNG/ (XX) XXXXXXXXXXXXX (-XXXXX) PÄRAST XXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΜΕΤΑ ΤΟΝ ΓΑΜΟ/ (XX) SURNAME(S) XXXXXXXXX XXX XXXXXXXX/ (XX) XXX(X) À XX XXXXX XX XXXXXXX/ (XX) XXXXXXX (SLOINNTE) XXX ÉIS AN XXXXXX/ (HR) PREZIME(NA) XXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX/X DOPO XX XXXXXXXXXX/ (LV) XXXĀXXX(-X) XĒX XXXXĪXXX/ (XX) XXXXXXĖ (-ĖS) XX SANTUOKOS/ (XX) XXXXXXX NEVE(I) X XXXXXXXXXÖXXX XXXX/ (XX) XXXXXX(/XXXXXXXXXXX) XXXX Ż-ŻXXXĠ/ (XX) XXXXXXXX(X)X(XX) XX XXX XXXXXXXX/ (XX) XXXXXXXX(-X) XX ZAWARCIU XXŁŻXŃXXXX/ (XX) XXXXXXX(X) XXXX O CASAMENTO/ (XX) NUMELE XXXĂ XĂXĂXXXXX/ (XX) XXXXXXXXXX(-X) XX XXXXXXXX MANŽELSTVA/ (XX) XXXXXXX/XXXXXXX XX XXXXXXXXX ZAKONSKE ZVEZE/ (XX) SUKUNIMI (-XXXXX) XXXXXXXXXX XXXXXXXXXX XÄXXXXX/ (XX) EFTERNAMN XXXXX ÄXXXXXXXXXXX INGÅENDE

5.4

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

5.5

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (XX/XX/XXXX) DE NACIMIENTO/ (XX) DATUM (XX/XX/XXXX) XXXXXXXX/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) GEBURTSDATUM (XX/XX/XXXX)/ (XX) SÜNNIKUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (DD/MM/YYYY) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) DE NAISSANCE/ (XX) DÁTA (LL/MM/BBBB) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (XX) XXXX XX XXXXXXX (XX/XX/XXXX)/ (XX) DZIMŠANAS XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX XXXX (DD/MM/MMMM)/ (XX) XXÜXXXXXX IDEJE (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) TAT-TWELID/ (XX) XXXXXXXXXXXXX (DD/MM/JJJJ)/ (PL) XXXX (DD/MM/RRRR) XXXXXXXXX/ (XX) DATA XX XXXXXXXXXX (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) XXȘXXXXX/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) ROJSTVA/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (DD/MM/ÅÅÅÅ)

5.6

(BG) ПОЛ/ (XX) SEXO/ (XX) XXXXXXX/ (XX) XØX/ (XX) XXXXXXXXXX/ (XX) XXXX/ (EL) ΦΥΛΟ/ (XX) SEX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXX/ (IT) XXXXX/ (LV) XXXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) SESS/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (XX) XXXX/ (XX) SEXUL/ (XX) XXXXXXXX/ (SL) XXXX/ (XX) SUKUPUOLI/ (SV) XÖX

5.6.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (CZ) XXXX/ (XX) XXXXXX/ (XX) XXXXXXXX/ (ET) XXXXXXXXX/ (XX) ΘΗΛΥ/ (EN) XXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (IT) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) NŐ/ (XX) XXXX/ (NL) XXXXX/ (PL) XXXXXXX/ (XX) FEMININO/ (RO) XXXXXXXX/ (XX) ŽENSKÉ/ (XX) XXXXXX/ (FI) XXXXXX/ (XX) XXXXXX

5.6.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (DA) XXXX/ (XX) XÄXXXXXX/ (XX) MEESSOOST/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (HR) MUŠKI/ (XX) MASCHILE/ (XX) XĪXXXXXX/ (XX) XXXXX/ (XX) XXXXX/ (MT) XXĠXX/ (NL) XXX/ (XX) MĘŻCZYZNA/ (XX) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (FI) XXXX/ (XX) XXX

5.6.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) UNBESTIMMT/ (XX) XÄÄXXXXXX/ (EL) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) INDETERMINATO/ (LV) XXXXXXXXXX/ (LT) NENUSTATYTA/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (PL) XŁXĆ XXXXXXXŚXXXX/ (XX) NÃO XXXXXXXX/ (RO) NEDETERMINAT/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (FI) MÄÄRITTELEMÄTÖN/ (XX) XX FASTSTÄLLT

6.

(BG) СЪПРУГ X/ (XX) XXXXXXX X/ (XX) XXXXXX/XXXXXXXX X/ (DA) ÆXXXXÆXXX B/ (XX) XXXXXXXXXX B/ (ET) XXXXXXXX X/ (XX) ΣΥΖΥΓΟΣ Β/ (XX) XXXXXX B/ (XX) XXXXXXXX B/ (XX) XXXXX B/ (HR) XXXXXX XXXX X/ (XX) XXXXXXX B/ (XX) XXXXĀXXXX X/ (XX) XXXXXXXXXXX B/ (XX) „X” XXXXXXXXX/ (XX) XXXXXĠX X/ (XX) ECHTGENO(O)T(E) X/ (XX) XXŁŻXXXX X/ (XX) XÔXXXXX X/ (XX) XXȚXX X/ (XX) MANŽEL/MANŽELKA X/ (XX) XXXXXXX B/ (XX) PUOLISO X/ (XX) XXXX/XXXX B

7.

(BG) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX XXXXX/ (CZ) XXXX PRO XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (ET) ALLKIRJALAHTER/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) XXXXX POUR XX XXXXXXXXX/ (XX) XXXXX XXX XXXXX/ (XX) POLJE ZA XXXXXX/ (XX) RIQUADRO XXX XX FIRMA/ (XX) XXXXXXXX LAUKS/ (XX) XXXXXX LAUKELIS/ (XX) XX ALÁÍRÁS XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX DE XXXXXXXXXXXX/ (XX) XXXX XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (RO) XXXXĂXXXX/ (XX) XXXXXXX XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (XX) ALLEKIRJOITUSKENTTÄ/ (SV) XXXX XÖX XXXXXXXXXXXXXX

7.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X XXXXXX(X) XXX XXXXXXXXXXX XXX XXXXXXX ESTE XXXXXXX/ (XX) PŘÍJMENÍ X XXXXX (JMÉNA) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXX(X) XX XXXXXXX(X) XÅ XXX EMBEDSMAND, XXX XXX UDSTEDT DENNE XXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXXXXXX(X) DES XXXXXXX, DER DIESES XXXXXXXX XXXXXXXXXXX XXX/ (XX) KÄESOLEVA XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXX (-XXXXX) XX XXXXXXXXXXXXX (-XXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) XXX XXXXXXXX(X) XX XXX XXXXXXXX XXX XXXXXX XXXX FORM/ (FR) XXX(X) XX XXXXXX(X) XX FONCTIONNAIRE QUI X XXXXXXX XX XXXXXXX FORMULAIRE/ (XX) XXXXXXX (SLOINNTE) AGUS XXXXXXXX (XXXXXXXXXXXXXX) XX XXXXXXXX X D’EISIGH XX XXXXXX SEO/ (XX) XXXXXXX(XX) X XXX(XX) SLUŽBENIKA XXXX XX XXXXX XXXX XXXXXXX/ (IT) XXXXXXX/X X NOME/I XXX XXXXXXXXXXX CHE XX XXXXXXXXXX IL XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX IZDEVUSI ŠO XXXXXXXX, UZVĀRDS(-I) XX XĀXXX(-X)/ (XX) ŠIĄ XXXXĄ XXXXXXXXX PAREIGŪNO XXXXXXĖ (-ĖX) XX XXXXXX (-AI)/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXX XXXX(X) XX XXXXXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX LI ĦAREĠ XXX XX-XXXXXXX/ (NL) XX(X)X(XX) EN XXXXXX(X)X(XX) XXX XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX AFGEGEVEN/ (XX) XXXXXXXX(-X) I IMIĘ (XXXXXX) XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX FORMULARZ/ (XX) XXXXXXX(X) X XXXX(X) XXXXXXX(X) XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXX ȘX XXXXXXXXX XXXXȚXXXXXXXXX CARE X XXXX PREZENTUL XXXXXXXX/ (SK) PRIEZVISKO(-Á) X XXXX(-X) XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (SL) PRIIMEK/PRIIMKI XX IME/IMENA URADNIKA, XX JE XXXXX XX OBRAZEC/ (FI) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXXXXX (-XXXXX) XX XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX XXX XÖXXXXX PÅ DEN XXÄXXXXXXX SOM HAR XXXÄXXXX XXXXX XXXXXXÄX

7.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX FUNCIONARIO XXX XXXXXXX ESTE XXXXXXX/ (XX) FUNKCE XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX — XXX EMBEDSMAND, XXX XXX XXXXXXX XXXXX FORMULAR/ (DE) XXXXXXXX DES XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX VÄLJASTANUD XXXXXXXX XXXXXXXXX/ (EL) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXX XX XXX XXXXXXXX WHO XXXXXX XXXX XXXX/ (FR) XXXXX DU FONCTIONNAIRE XXX A XXXXXXX XX PRÉSENT FORMULAIRE/ (XX) XXXX XX XXXXXXXX X D’EISIGH XX XXXXXX XXX/ (XX) XXXXXXXX XXXXXXXXXX XXXX XX IZDAO XXXX XXXXXXX/ (IT) XXXXXXXXX XXX FUNZIONARIO XXX HA RILASCIATO XX PRESENTE MODULO/ (XX) AMATPERSONAS, KURA XXXXXXXX XX XXXXXXXX, XXXXX/ (LT) XXĄ XXXXĄ IŠDAVUSIO XXXXXXŪXX XXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX XXX XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) STANOWISKO XXXĘXXXXX, XXXXX XXXXŁ NINIEJSZY XXXXXXXXX/ (XX) XXXXX XX XXXXXXXXXXX XXX XXXXXX X PRESENTE XXXXXXXXXX/ (RO) XXXXȚXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX FORMULAR/ (XX) XXXXXXX XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) POLOŽAJ XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (XX) TÄMÄN XXXXXXXXX XXXXXXXX VIRKAMIEHEN XXXXX/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

7.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (CZ) DATUM (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) DATE (XX/XX/XXXX) XX XXXXX/ (XX) DATE (JJ/MM/AAAA) XX XXXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXX/ (IT) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) IZDOŠANAS DATUMS (XX/XX/XXXX)/ (XX) IŠDAVIMO XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) TAL-ĦRUĠ/ (NL) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (PL) XXXX (XX/XX/XXXX) XXXXXXX/ (PT) XXXX XX EMISSÃO (XX/XX/XXXX)/ (RO) DATA (XX/XX/XXXX) EMITERII/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) XÖX UTFÄRDANDE

7.4

(BG) ПОДПИС/ (ES) XXXXX/ (XX) PODPIS/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (EN) SIGNATURE/ (XX) XXXXXXXXX/ (GA) XXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (LV) XXXXXXXX/ (XX) XXXXXXX/ (XX) ALÁÍRÁS/ (MT) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) NAMNTECKNING

7.5

(BG) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (ES) XXXXX X XXXXXX/ (XX) XXXXX XXXX XXXXXXX/ (XX) XXXX XXXXX XXXXXXX/ (XX) XXXXXX XXXX XXXXXXX/ (XX) PITSER XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXX NÓ XXXXXX/ (XX) XXX ILI XXXXX/ (IT) XXXXX X XXXXXX/ (XX) XĪXXXX VAI XXXXXXXX/ (XX) SPAUDAS XXXX XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX XXX XXXXXX/ (XX) XXXXX OF XXXXXXX/ (XX) XXXXXĘĆ XXX STEMPEL/ (XX) XXXX OU XXXXXXX/ (XX) XXXXXXXX XXX ȘXXXXXXX/ (XX) PEČAŤ XXXXX XXXXXXXX PEČIATKY/ (XX) XXXXX XXX XXX/ (XX) XXXXXXX XXX LEIMA/ (XX) XXXXXX ELLER XXÄXXXX

ZPŮSOBILOST K XXXXXXXX XXXXXXXXXX

XXXXXXXXXXX STANDARDNÍ XXXXXXXX – POMŮCKA XXX PŘEKLAD

Článek 7 xxxxxxxx Evropského xxxxxxxxxx x Xxxx (XX) 2016/1191 xx xxx 6. xxxxxxxx 2016 x xxxxxxx xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxx xx předkládání xxxxxxxxx veřejných xxxxxx x Xxxxxxxx xxxx x x xxxxx xxxxxxxx (XX) x. 1024/2012 (1)

Belgie (BE) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (DK) Xxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (XX) Španělsko (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Kypr (XX)

Xxxxxxxx (XX) Litva (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxx (NL) Xxxxxxxx (AT)

Polsko (PL) Xxxxxxxxxxx (PT)

Rumunsko (XX) Xxxxxxxxx (XX)

Xxxxxxxxx (SK) Xxxxxx (FI)

Švédsko (XX) Xxxxxxx království (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxx xxxxxxxx xxxxxxx xxxxxxx, k xxx xx xxxxxxxx. Xxxxx xxxxxxxx xx xxxx xxxxxxxxx xxxxx xxxxx pohybovat xxxx xxxxxxxxxx xxxxxxxx.

Xxxxx xxxxxxxx xxxxxx xxxxx xxxxxxx xxxxxxx, x xxx xx xxxxxxxx. Xxxxx, xxxxx xx xxxxxxx xxxxxxx xxxxxxxxxxx, však xxxx x xxxxxxxxx, xxx xx xx xxxxxxxx xxx účely xxxxxxxxxx xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx xxxxxxxxx, xxxxx xxxx xx formuláři xxxxxxx.

XXXXXXXXXX XXX VYDÁVAJÍCÍ XXXXX

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

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

1. XXXXX VYDÁVAJÍCÍ XXXXX XXXXXXXX

1.1 Název (3)

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

1.1 Název (4)

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

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

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Listina xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx vydaná xxxxxx xxxxxxx úředníkem

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

3.1.5 Xxxx (xxxxxxxxx)

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

(2) Xxx xxxxxxxxxx xxxxx xxxxxxxx hůlkové písmo.

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

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

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x xxxxxxx

3.2.3 Výpis x xxxxxxxx xxxxxxxx

3.2.4 Opis xxxxxxxxxx xxxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, kterým xxxx opatřena xxxxxxx xxxxxxxxx soukromou osobou

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

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXX O XXXXXXX XXXXX

4.1 Příjmení

4.2 Xxxxx (xxxxx)

4.3 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.4 Místo (1) x země (2) xxxxxxxx

4.5 Pohlaví:

4.5.1 Xxxx

4.5.2 Xxx

4.5.3 Xxxxxxxx

4.6 Xxxxxx xxxxxxxxxxx:

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

5.1 Je xxxxxxx xxxxx xxxxxxxxx xxxxxxx xxxxxxxxxx xxxxx xxxxxxxxxxxxxx xxxxx xxxxxxxxx státu, x xxxx xx xxxxxxx xxxxxxx xxxxxx.

5.2 Xxxxxxx xxxxx patrně xxxxxxxxxx manželství xxx xxxx xxxxxx xxxxx xxxxxxxxxxxxxx xxxxx členského xxxxx, x xxxx xx xxxxxxx xxxxxxx xxxxxx.

5.3 Xxxxxxxxxx xxxxx xxxxx překážka, aby xxxxxxx xxxxx xxxxxxxx xxxxxxxxxx xxxxx xxxxxxxxxxxxxx xxxxx členského státu, x němž xx xxxxxxx xxxxxxx xxxxxx.

5.4 Xxxxxxxxxx xxxxx xxxxx xxxxxxxx xxxxxxxxxx xxxx xxxxxxxx osobou x xxxxx xxxxxxxxxx / xxxx xxxxxxxxxx xxxxx xxxxxxxxxxxxxx práva xxxxxxxxx xxxxx, x xxxx xx veřejná xxxxxxx xxxxxx.

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

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

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

(3) Xxx xxxxxx xxxx xxxxxxxx.

6. XXXXXXXXX X SNOUBENCI / XXXXXXXXX XXXXXXX XXXXX

4.1 Xxxxxxxx

4.2 Xxxxx (xxxxx)

4.3 Xxxxx (xx/xx/xxxx) narození

4.4 Xxxxx (1) x xxxx (2) xxxxxxxx

4.5 Xxxxxxx:

4.5.1 Xxxx

4.5.2 Muž

4.5.3 Xxxxxxxx

4.6 Xxxxxx xxxxxxxxxxx

7. XXXX XXX XXXXXX

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

7.2 Xxxxxx xxxxxxxx, xxxxx xxxxx tento xxxxxxxx

7.3 Xxxxx (dd/mm/rrrr) vydání

7.4 Xxxxxx

7.5 Pečeť xxxx xxxxxxx

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

(2) Xxxxx xxxx x – xxxxx xxxxxxxx – xxx ISO xxxx xxxx xxxx xxxxxxx „Jiné (upřesněte)“ xx xxxxx vybrat x xxxxxxxxxxx xxxxxxx xx xxxxxxxx vícejazyčném xxxxxxxxxxx xxxxxxxxx, xxxxx xx k xxxxxxxxx xx xxxxxxx evropské x-xxxxxxx.

XXXXXXXXXXX GLOSÁŘ NÁZVŮ XXXXXXXXXXXX POLOŽEK

(ZPŮSOBILOST X XXXXXXXX MANŽELSTVÍ)

1.

(BG) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX ESTE IMPRESO/ (XX) XXXXX XXXXXXXXXX XXXXX FORMULÁŘ/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, XXX DIESES XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX VÄLJA ANDNUD XXXXXX/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX THIS XXXX/ (XX) XXXXXXXX DE XXXXXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX A XXXXXXXX XX XXXXXX XXX/ (XX) XXXXXX XXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX IL PRESENTE XXXXXX/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ XXXXXXXXXX VALDŽIOS XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX HATÓSÁG/ (XX) XXXXXXXÀ XXXXXXXXX XX' XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX VAN XXX XXXXXXXXX/ (PL) ORGAN XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (XX) AUTORIDADE XXX XXXXX X PRESENTE XXXXXXXXXX/ (RO) XXXXXXXXXXX XXXXXXXĂ X PREZENTULUI XXXXXXXX/ (SK) XXXXX XXXXXXXXXX TENTO FORMULÁR/ (XX) XXXXX, XX XXXX XX OBRAZEC/ (XX) XÄXÄX LOMAKKEEN XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXX UTFÄRDAR XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) BETEGNELSE/ (XX) XXXXXXXXXXX/ (ET) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (FR) DÉNOMINATION/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) PAVADINIMAS/ (XX) MEGNEVEZÉS/ (XX) XXXXX/ (XX) BENAMING/ (XX) XXXXX/ (XX) XXXXXXXÇÃX/ (XX) XXXXXXXX/ (XX) NÁZOV/ (XX) XXX/ (XX) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) AUTORIDAD XXX XXXXXX XX XXXXXXXXX XXXXXXX AL XXX XX ADJUNTA XXXX XXXXXXX/ (CZ) XXXXX XXXXXXXXXX XXXXXXXX LISTINU, X NÍŽ JE XXXXXXXX TENTO FORMULÁŘ/ (XX) XXX XXXXXXXXX, XXX XXX XXXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX VEDHÆFTET/ (XX) XXXÖXXX, DIE DIE ÖXXXXXXXXXX XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXÜXX XXX, AUSSTELLT/ (ET) XXXXXX, KES ANDIS XÄXXX AVALIKU XXXXXXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX ISSUING XXX XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXX DE XXXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX EST XXXXX XX PRÉSENT XXXXXXXXXX/ (GA) XX xXXXXXX X XXXXXXXX XX DOICIMÉAD XXXXXX XXXX XXXXXX AN XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXX KOJE XXXXXX JAVNU XXXXXXX XXXXX JE XXXX XXXXXXX PRILOŽEN/ (IT) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX IL XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX XX PIEVIENOTA, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ DOKUMENTĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX HATÓSÁG/ (XX) AWTORITÀ XXXXXXXXX XXX-XXXXXXXX PUBBLIKU XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX VAN XXXXXXX XXX HET OPENBAAR XXXXXXXX XXXXXXX XXX XXXXXXXXX IS GEHECHT/ (XX) XXXXX XXXXXĄXX XXXXXXXX XXXĘXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXXX PÚBLICO X XXX O XXXXXXXX XXXXXXXXXX ESTÁ XXXXXX/ (RO) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXXX XXXXXXX LA XXXX XXXX XXXXXX PREZENTUL XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXX LISTINU, XX KTOREJ XX XXXXX FORMULÁR XXXXXXXXX/ (XX) XXXXX, XX XXXX XXXXX XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXXXX, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX TÄMÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄR XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX XX DOCUMENTO XXXXXXX XX QUE XX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXØXXXXX XXX XXXXXXXXXX XXXXXXXX, SOM XXXXX XXXXXXXX ER XXXXÆXXXX/ (XX) XXXXXXX ZUR ÖXXXXXXXXXXX URKUNDE, XXX XXXXXX XXXXXXXX BEIGEFÜGT XXX/ (XX) XXXXX XXXXXXX XXXXXXXXX KOHTA, XXXXXXX XXX VORM XX LISATUD/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX XX THE XXXXXX XXXXXXXX XX XXXXX XXXX FORM XX ATTACHED/ (FR) XXXXXXXXXXXX RELATIVES AU XXXXXXXX XXXXXX XXXXXX XXX JOINT XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX A BHAINEANN XXXX AN DOICIMÉAD XXXXXX XXXX XXXXXX XX FHOIRM XXX XXXXXXXXXX/ (XX) INFORMACIJE XXXX XX ODNOSE XX XXXXX XXXXXXX XXXXX XX OVAJ XXXXXXX PRILOŽEN/ (XX) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX PRESENTE XXXXXX È ALLEGATO/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, KURAM XĪ XXXXXXXX XX PIEVIENOTA/ (XX) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX FORMA/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX VONATKOZÓ XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX DWAR XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX IS XXXXXXX/ (PL) INFORMACJE XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX XXXXXXXXX XXXXXXX X XXX X XXXXXXXX FORMULÁRIO ESTÁ XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX LA DOCUMENTUL XXXXXXX XX CARE XXXX ANEXAT XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXX XXXXXXX, XX KTOREJ JE XXXXX XXXXXXXX XXXXXXXXX/ (XX) INFORMACIJE V XXXXX Z XXXXX XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) TIEDOT XXXXXXXXÄ ASIAKIRJASTA, JOHON XÄXÄ XXXXXX LIITETÄÄN/ (XX) XXXXXXXXXXX XX XXX XXXXXXXXXX HANDLING XXXX VILKEN XXXXX XXXXXXÄX ÄX BIFOGAT

3.1

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX XXXXXXXX XXX UNA XXXXXXXXX X XX XXXXXXXXXXX VINCULADO X XXX XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (XX) LISTINA XXXXXX XXXXXXX XXXX XXXXXXXXX X VAZBOU XX SOUDY XXXXXX XXXXXXXXX XXXXX/ (DA) XXXXXXXX, XXX XX XXXXXXX XX EN XXXXXXXXX ELLER EN XXXXXXXXXX, XXX ER XXXXXXXXXX XXXXXXXX X XX XXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXÖXXX XXXX EINER XXXXXXXXXX XXX XXXXX XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) DOKUMENT, XXXXX XX VÄLJA ANDNUD XXXXXXXXXXXX XXXXXXXXX SEOTUD XXXXXXXXXXX XÕX AMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΈΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) DOCUMENT XXXXXXXXX XXXX XX XXXXXXXXX OR XX XXXXXXXX XXXXXXXXX WITH XXX XXXXXX XX XXXXXXXXX XX A XXXXXX XXXXX/ (FR) XXXXXXXX XXXXXXX D'UNE XXXXXXXX XX D'UN XXXXXXXXXXXXX RELEVANT X'XXX XXXXXXXXXXX D'UN ÉTAT XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXX XX X XXXXXXXXX X XXXXXX XXXXX AIGE NÓ XXXX LE XXXXXXXXXX XX XX XXXXX XX XXXXX XXXXXXXXX/ (XX) ISPRAVA XXXX XX XXXXXX XXXXXX XXX XXXXXXXXX SUDA XXXXXX XXXXXXX/ (IT) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ X XX XX XXXXXXXXXXX XXXXXXXXXXXX XX UNA XXXXX XXXXXXXXXXXXX XX XXX XXXXX XXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XX DALĪBVALSTS XXXXĀX XXXXXĪXX IESTĀDE XXX XXXXXXXXXXX/ (LT) XXXXXXXXXX, XXXXXXXX XXXXXXXX XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX NARĖS XXXXXXXX XX TRIBUNOLAIS/ (XX) XXXXXXXXX BÍRÓSÁGGAL XXXXXXXXXXXX XXXX XXXXXXX XXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ XXX XXXXĊXXX XX JKOLLHOM RABTA XXX-XXXXX XXX IT-TRIBUNALI XX' STAT XXXXXX/ (XX) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX XXX EEN RECHTERLIJKE XXXXXXXXX XXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXX XĄXXXXXX LUB XXXĘXXXXX XĄXXXXXX PAŃSTWA CZŁONKOWSKIEGO/ (XX) DOCUMENTO PROVENIENTE XX XXX XXXXXXXXXX XX DE XX XXXXXXXXXXX XXXXXXXXXX DE XXXXXXXX JURISDIÇÃO DE XX ESTADO-MEMBRO/ (XX) XXXXXXXX EMIS XX X XXXXXXXXXX SAU XX XX FUNCȚIONAR XX PE XÂXXĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (XX) LISTINA XXXXXX XXXXXXX XXXXX XXXXXXXXX X VÄZBOU XX SÚDY ČLENSKÉHO XXXXX/ (XX) XXXXXXX, XXXXXX S XXXXXX XXXXXX XXX XXXXXXXX XXXXX OBLASTI DRŽAVE XXXXXXX/ (XX) XXXXXXXXX, XXXXX XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX KUULUVA XXXXXXXXXXXX XXX VIRKAMIES/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN XX XXXXXXXXX XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (DE) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (EN) XXXXX XXXXXXXX/ (FR) XXXXXXXX XX JUSTICE/ (XX) XXXXXXXX XX xXXXXX/ (XX) SUDSKA XXXXXX/ (XX) DECISIONE XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (XX) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) RECHTERLIJKE XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (XX) DECISÃO XXXXXXXX/ (RO) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (SV) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (ES) XXXXXXXXX XXXXXXXX POR EL XXXXXXXXXX FISCAL/ (XX) XXXXXXX VYDANÁ XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX AF XX XXXXXXXXXXXXXXXX/ (DE) URKUNDE XXXXX STAATSANWALTSCHAFT/ (XX) XXXXXXXX, XXXXX XX XÄXXX ANDNUD RIIKLIK XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) DOCUMENT EMANATING XXXX X XXXXXX XXXXXXXXXX/ (FR) DOCUMENT XXXXXXX XX MINISTÈRE XXXXXX/ (XX) XXXXXXXXX X THAGANN X XXXXXXXXXXXXXXX XXXXXX/ (HR) XXXXXXX KOJU XX XXXXXX DRŽAVNO ODVJETNIŠTVO/ (XX) DOCUMENTO XXXXXXX XXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX DOKUMENTAS/ (XX) ÜGYÉSZ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ MINN XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX OPENBAAR XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX PÚBLICO/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) LISTINA, XX XX IZDA XXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX ASIAKIRJA/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX POR XX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX ÚŘEDNÍKEM/ (XX) XXXXXXXX XXXXXXX XX EN XXXXXXXXXXXXXÆX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXX DER GESCHÄFTSSTELLE XXXXX GERICHTS/ (XX) XXXXXXXX, XXXXX ON XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX EMANATING XXXX X CLERK XX A COURT/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX/ (GA) XXXXXXXXX X XXXXXXX X XXXXXXXXXX DE XXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXX UPRAVITELJ SUDSKE XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (LT) XXXXXX XXXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXĠXXXXXXXX XX' XXXXX/ (NL) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX OD XXXXXXXXXX XĄXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX DE UM XXXXXXX XX XXXXXÇX/ (XX) DOCUMENT XXXX XX XX GREFIER XX XXXXXXȚXX/ (SK) XXXXXXX VYDANÁ SÚDNYM XXXXXXXXX/ (XX) XXXXXXX, XX XX IZDA XXXXX XXXXXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXXXX ANTAMA XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX DOMSTOLSTJÄNSTEMAN

3.1.4

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („HUISSIER DE XXXXXXX“)/ (XX) DOCUMENTO XXXXXXXX POR XX XXXXXX XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXX VYDANÁ XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (DA) XXXXXXXX XXXXXXX AF XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXX, MILLE XX XÄXXX XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX JUSTICE»)/ (XX) XXXXXXXX EMANATING XXXX X XXXXXXXX XXXXXXX ('HUISSIER XX XXXXXXX')/ (FR) XXXXXXXX XXXXXXX X'XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXX X THAGANN X XXXXXXXXX BREITHIÚNACH (“XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX KOJU XX XXXXX XXXXXX XXXXXXXXX (HUISSIER XX XXXXXXX)/ (IT) XXXXXXXXX XXXXXXX XX XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (XX) XXXXXXXXX, KURU IZSNIEDZIS XXXXXX XXXXXXĪXĀXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX (HUISSIER XX XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX UFFIĊJAL ĠUDIZZJARJU ('XXXXXXXX DE JUSTICE')/ (XX) DOCUMENT AFGEGEVEN XXXX EEN XXXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX URZĘDNIKA SĄDOWEGO (XXXXXXXX XX JUSTICE)/ (XX) XXXXXXXXX PROVENIENTE XX XX ESCRIVÃO XX DIREITO («XXXXXXXX XX XXXXXXX»)/ (RO) XXXXXXXX EMIS DE XX EXECUTOR JUDECĂTORESC („XXXXXXXX XX XXXXXXX”)/ (XX) LISTINA XXXXXX XXXXXX VYKONÁVATEĽOM („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXX, XX XX XXXX XXXXX IZVRŠITELJ („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXXXXX (”HUISSIER XX XXXXXXX”) ANTAMA XXXXXXXXX/ (SV) XXXXXXXX XXX XÄXXÖX XXÅX XX XXÄXXXXXXXXX (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) OTRO (ESPECIFÍQUESE)/ (XX) XXXX (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (BITTE XXXXXXX)/ (XX) MUU (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (EN) XXXXX (XX XX XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (XX) EILE (XX XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (IT) XXXXX (XXXXXXXXX)/ (XX) XXXX (XXXXXXĒX)/ (XX) XXXX (NURODYTI)/ (HU) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) OĦRAJN (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) XXXX (PROSZĘ XXXXŚXXĆ)/ (XX) XXXXXX (X XXXXXXXXXXX)/ (XX) XXXXX (A XX XXXXXXX)/ (XX) INÉ (XXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (FI) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX ADMINISTRATIVO/ (XX) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (DA) ADMINISTRATIVT XXXXXXXX/ (XX) XXXXXXX XXXXX VERWALTUNGSBEHÖRDE/ (ET) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (EN) ADMINISTRATIVE XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ (XX) UPRAVNA XXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) ADMINISTRATĪVS XXXXXXXXX/ (XX) ADMINISTRACINIS XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXXXXXXXXXXXXX/ (NL) XXXXXXXXXXXXXX XXXXXXXX/ (XX) DOKUMENT XXXXXXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) DOCUMENT XXXXXXXXXXXXX/ (XX) SPRÁVNA XXXXXXX/ (XX) UPRAVNA XXXXXXX/ (XX) HALLINNOLLINEN XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX/ (CZ) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (EN) XXXXXXXXXXX/ (FR) XXXXXXXXXX/ (XX) XXXXXXXX/ (HR) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (LT) XXXXXX, LIUDIJIMAS/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (MT) ĊERTIFIKAT/ (XX) XXXXXXXXXXX/ (PL) XXŚXXXXXXXXXX/ (XX) CERTIDÃO XX CERTIFICADO/ (XX) XXXXXXXXXX/ (XX) OSVEDČENIE/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (SV) INTYG

3.2.2

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX XXXXXXXX CIVIL/ (XX) XXXXX X XXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX XXX DEM PERSONENSTANDSREGISTER/ (XX) XXXXXXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) EXTRACT XXXX XXX XXXXX XXXXXX REGISTER/ (XX) XXXXXXX XX XXXXXXXX XX L'ÉTAT CIVIL/ (XX) XXXXXXX XX XX xXXXX STÁDAIS XXXXXXXXXX/ (XX) IZVADAK XX XXXXXXXX XXXXXXX XXXXXX/ (XX) XXXXXXXX XX XXXX XX XXXXX CIVILE/ (LV) XXXXXXXX NO CIVILSTĀVOKĻA XXXX XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXĖX XŪXXĖX AKTŲ XXXXXXXX/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (NL) XXXXXXXXXX XXX XXX XXXXXXXX XXX XX XXXXXXXXXXX STAND/ (XX) XXXXX XXXXXXXX XXXX XXXXX CYWILNEGO/ (XX) XXXXXXX DE ATOS XX XXXXXXX CIVIL/ (XX) XXXXXX XXX XXXXXXXXX DE XXXXX XXXXXĂ/ (SK) XXXXX X XXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXX XX XXXXXXXX X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (SIVIILISÄÄTY)/ (XX) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX XXX XXXXX/ (XX) VÝPIS Z XXXXXXXX OBYVATEL/ (XX) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) AUSZUG XXX XXX XXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (EN) XXXXXXX XXXX XXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XX XX XXXXXXXXXX/ (XX) SLIOCHT AS XX xXXXX XXXXXX/ (XX) XXXXXXX XX XXXXXX STANOVNIŠTVA/ (XX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX NO IEDZĪVOTĀJU XXĢXXXXX/ (XX) IŠRAŠAS XX XXXXXXXXŲ XXXXXXXX/ (XX) XXXXXXX X XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX HET XXXXXXXXXXXXXXXXXX/ (XX) WYCIĄG Z XXXXXXXX XXXXXŚXX/ (XX) XXXXXXX XX REGISTO XX XXXXXXÇÃX/ (XX) XXXXXX XXX 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/ (XX) XXXXX XXXXXXX XX XXXXX DEL XXXXXXXX CIVIL/ (CZ) XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXX XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX VON XXXXXXXXXXXXXXXXXXXÄXXX/ (ET) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) VERBATIM XXXX OF XXXXX XXXXXX RECORDS/ (XX) XXXXX INTÉGRALE D'ACTES XX X'XXXX CIVIL/ (XX) CÓIP XXXXX XX XXXXXX XX XXXXXXX XX XXXXXX XXXXXXXXX/ (HR) XXXXXXXX XXXXXXXX IZ EVIDENCIJA X OSOBNOM STANJU/ (XX) XXXXX LETTERALE XX XXXX DI XXXXX XXXXXX/ (LV) XXXXXXXĀXXXĻX AKTU XXĢXXXXX XXXXXXXX AUTENTISKA XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮRAŠŲ XXXXXXXĖ XXXXXX/ (XX) ANYAKÖNYVI XXXXXXXXX XXX SZERINTI XXXXXXXX/ (XX) KOPJA XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXX XXX XXXXX XXX DE XXXXXXXXXXX XXXXX/ (PL) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXÃX XX XXXXX INTEGRAL XX XX XXXXXXXXX XX ATOS XX XXXXXXX XXXXX/ (XX) XXXXX EXACTĂ X XXXX XXX XX XXXXX XXXXXĂ/ (XX) XXXXXXXX XXXXX XX XXXXXXX O XXXXXXX XXXXX/ (SL) XXXXXXXXX XXXXXX XXXXXX X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX SANATARKKA JÄLJENNÖS/ (XX) ORDAGRANN XXXXXXXX XX FOLKBOKFÖRINGSHANDLING

3.3

(BG) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (CZ) XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX/ (ET) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) NOTARIAL ACT/ (XX) XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) JAVNOBILJEŽNIČKA XXXXXXX/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXĀXX XXXX/ (XX) XXXXXXXXX XXXXX/ (XX) KÖZJEGYZŐI XXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (XX) AKT NOTARIALNY/ (XX) XXX XXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXX XXXXXXXXX/ (SV) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX XXXXXX SOBRE XX XXXXXXXXX XXXXXXX/ (XX) XXXXXX OSVĚDČENÍ, KTERÝM XXXX OPATŘENA LISTINA XXXXXXXXX SOUKROMOU OSOBOU/ (XX) XXXXXXXX XÅXXXXXXX XÅ XX DOKUMENT XXXXXXXXXXX XX XX XXXXXX I XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX XXXXX XXXXXXXXXXXXX/ (XX) ISIKU XXXXX XXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX XXXXXXX XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX XXXXXX XX X XXXXXXXX SIGNED XX A XXXXXX XX HIS XX XXX XXXXXXX CAPACITY/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX XX XXXX XXXX SEING XXXXX/ (XX) XXXXXXXX XXXXXXXXX X CHUIRTEAR XX XXXXXXXXXX XXXX XXXXXX XX DUINE XXX XXXXX XX XXX CÁIL XXXXXXXXXXXXXX/ (XX) XXXXXXXX POTVRDA XXXXXXXXX NA XXXXXXX XXXX JE XXXXX XXXXXXXXX U PRIVATNOM XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX XXX XXXXXXXXX XXXXXXX/ (XX) OFICIĀLS APLIECINĀJUMS XX DOKUMENTA, XX XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (XX) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ OFICIALŪS XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX TANÚSÍTVÁNY/ (MT) ĊXXXXXXXXX UFFIĊJALI XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX TAGĦHA/ (NL) XXXXXXXXX XXXXXXXXXXX XX XXX DOCUMENT ONDERTEKEND XXXX XXX XXXXXXX XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ DZIAŁAJĄCĄ X XXXXXXXXXXX PRYWATNYM/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX XXX DE XXXXXXXX PRIVADA/ (RO) XXXXXXXXXX XXXXXXX XXXXXXX XX UN XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) ÚRADNÉ OSVEDČENIE XXXXXXX XX XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX OSOBA/ (XX) XXXXXX XXXXXX XX XXXXXXX LISTINI/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, XXXXX XXXXXXÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX XXXXX XXXXXXXXX XÅ XX XXXXXXXX XXX XXXXXXXXXXXXX XX EN XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXXXXX O XXXXXXXX XX XX XXXXXX MIEMBRO CON XXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX NEBO XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X RÁMCI VÝKONU XXXX SLUŽEBNÍCH XXXXXXXXXX/ (XX) DOKUMENT XXXXXXXXX XXXÆXXXXXX AF XX XXXXXXXXXXXX XXXXXXXXXXXX ELLER XXXXXXÆXX REPRÆSENTANT/ (DE) XXX XXXXX XXXXXXXXXXXXXX XXXX KONSULARISCHEN VERTRETER XXXXX XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (ET) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX POOLT XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX DRAWN XX BY X XXXXXXXXXX OR CONSULAR XXXXX XX X XXXXXX XXXXX IN XXX XX HER XXXXXXXX CAPACITY/ (XX) XXXXXXXX XXXXXX EN XX QUALITÉ OFFICIELLE XXX UN XXXXX XXXXXXXXXXXX OU CONSULAIRE X'XX XXXX MEMBRE/ (XX) XXXXXXXXX XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX TAIDHLEOIREACHTA NÓ XXXXXXXXX DE XXXXX XXXXXXXXX INA CHÁIL XX XXX XXXX XXXXXXXXX/ (XX) XXXXXXX XXXX JE X XXXXXXXXX XXXXXXXX SASTAVIO XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX AGENTI XXXXXXXXXXX X XXXXXXXXX DI XXX XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX LORO XXXXXXXX/ (LV) XXXXXXXXX, XXXX, XXXXXX XXXXX XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (LT) DOKUMENTAS, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX AR KONSULINIO XXXXXXŪXX, XXXXXXXXXX PAGAL XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX XXXXX HIVATALOS MINŐSÉGÉBEN XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXXX XXXX XĠXXX XXXXXXXXXXX XXX XXXXXXXXX XX' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX DOOR XX XXXXXXXXXXXX OF XXXXXXXXXX XXXXXXXXX VAN XXX XXXXXXXX XX XXXX XXXXXXËXX XXXXXXXXXXXX/ (PL) XXXXXXXX SPORZĄDZONY XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX LUB XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX DZIAŁAJĄCYCH X XXXXXXXXXXX XXXĘXXXXX/ (XX) XXXXXXXXX LAVRADO XXX XX XXXXXX XXXXXXXXXXX XX CONSULAR XX XX XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (RO) XXXXXXXX ÎXXXXXXX XX XĂXXX XX AGENT XXXXXXXXXX XXX XXXXXXXX XX UNUI STAT XXXXXX, ÎN CALITATE XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM XXXXXXXXX XXXXX XXXXXXXXXXX ÚRADNÍKOM XXXXXXXXX XXXXX V XXXXX VÝKONU XXXX XXXXXXX/ (SL) LISTINA, XX XX KOT XXXXXX XXXXX IZDA XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) ASIAKIRJA, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX ON XXXXXXXX XXXXXXXXXXXXXXXXXX/ (SV) XXXXXXXX XXXXÄXXXX X XXÄXXXXX XX XX XXXXXXXXXXX XXXXX XXXXXXÄX XXÄXXXXXXX X EN XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) VYDÁNÍ/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (LL/MM/BBBB) EISIÚNA/ (XX) DATUM (DD/MM/GGGG) XXXXXXXXX/ (XX) DATA XX RILASCIO (XX/XX/XXXX)/ (XX) IZDOŠANAS XXXXXX (XX/XX/XXXX)/ (LT) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X KIÁLLÍTÁS DÁTUMA (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (NL) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) VYDANIA/ (XX) DATUM (DD/MM/LLLL) 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 XXXXXXX/ (XX) XXX OFFENTLIGE XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖFFENTLICHEN XXXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (EL) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (EN) XXXXXXXXX XXXXXX XX THE XXXXXX XXXXXXXX/ (FR) XXXXXX XX XXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXX XXXXXXXXX XX XXXXXXXXX XXXXXXX/ (XX) REFERENTNI XXXX XXXXX ISPRAVE/ (XX) XXXXXX XX RIFERIMENTO XXX XXXXXXXXX XXXXXXXX/ (XX) PUBLISKĀ XXXXXXXXX XXXXXXXX NUMURS/ (XX) XXXXXXX DOKUMENTO XXXXXXX/ (XX) X KÖZOKIRAT XXXXXXXXXXX XXXXX/ (XX) XXXXX TA' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX VAN XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) NÚMERO XX REFERÊNCIA DO XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX DE XXXXXXXȚĂ XX XXXXXXXXXXXX XXXXXXX/ (XX) REFERENČNÉ ČÍSLO XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (SV) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX EL XXXXXXXXXX/ (CZ) XXXXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXXXX XX XXX XÅXÆXXXXXX XXXXXX/ (XX) XXXXXXX XXX XXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXX KÄSITLEV XXXXX/ (EL) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) INFORMATION XX XXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXX XXX XX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXX XXXX XX XXXXX XXXX xXXXXXXXX/ (XX) XXXXXXXXXXX O XXXXXXXX OSOBI/ (XX) XXXXXXXXXXXX SULLA PERSONA XXXXXXXXXXX/ (LV) INFORMĀCIJA XXX XXXXXXĪXX PERSONU/ (XX) XXXXXXXXXXX APIE XXXXXXXXXĄ XXXXXĮ/ (XX) XX ÉRINTETT SZEMÉLYRE XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX IL-PERSUNA XXXXĊXXXXXX/ (XX) XXXXXXXXXX XXXX XX BETROKKENE/ (XX) XXXX OSOBY, XXXXXX XXXXXXX DOKUMENT/ (XX) XXXXXXXÇÕXX XXXXX X XXXXXX XX XXXXX/ (XX) INFORMAȚII XXXXXXX PERSOANA XXXXXĂ/ (XX) XXXXXXXXXX O XXXXXXXXX XXXXX/ (XX) XXXXXXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXX/ (XX) XXXXXXXXX OM DEN XXXÖXXX PERSONEN

4.1

(BG) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X)/ (XX) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (XX) XXXXXXXXXXXX(X)/ (XX) XXXXXXXXXXXXX (-NIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX(X)/ (XX) XXX(X)/ (XX) SLOINNE (SLOINNTE)/ (XX) PREZIME(NA)/ (XX) XXXXXXX(X)/ (XX) XXXĀXXX(-X)/ (XX) PAVARDĖ (-ĖS)/ (XX) XXXXXXX XXXX(X)/ (XX) KUNJOM(/KUNJOMIJIET)/ (XX) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (XX) APELIDO(S)/ (RO) XXXX/ (SK) XXXXXXXXXX(-X)/ (XX) PRIIMEK/PRIIMKI/ (FI) XXXXXXXX (-XXXXX)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) XXXXX (XXXXX)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (FR) XXXXXX(X)/ (XX) CÉADAINM (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (IT) XXXX(X)/ (XX) VĀRDS(-I)/ (XX) VARDAS (-XX)/ (XX) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (XX) VOORNA(A)M(EN)/ (XX) XXXĘ (XXXXXX)/ (XX) XXXX(X) XXXXXXX(X)/ (XX) PRENUME/ (SK) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) ETUNIMI (-XXXXX)/ (XX) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XØXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) GEBURTSDATUM (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) DATE (XX/XX/XXXX) OF BIRTH/ (XX) XXXX (JJ/MM/AAAA) XX XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/GGGG) XXĐXXXX/ (IT) XXXX XX NASCITA (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (HU) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (NL) GEBOORTEDATUM (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX DE XXXXXXXXXX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) NAȘTERII/ (SK) XXXXX (XX/XX/XXXX) NARODENIA/ (XX) DATUM (XX/XX/XXXX) XXXXXXX/ (FI) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) FÖDELSEDATUM (XX/XX/ÅÅÅÅ)

4.4

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) LUGAR X XXXX DE NACIMIENTO/ (XX) MÍSTO X XXXX XXXXXXXX/ (DA) XØXXXXXX XX -XXXX/ (XX) XXX UND XXXX XXX GEBURT/ (XX) SÜNNIKOHT XX -XXXX/ (EL) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX AND XXXXXXX XX XXXXX/ (XX) XXXX XX XXXX XX XXXXXXXXX/ (XX) ÁIT XXXX XXX XXXXXXXX/ (XX) XXXXXX X ZEMLJA XXĐXXXX/ (XX) XXXXX X XXXXX XX XXXXXXX/ (XX) XXXXXXXXX XXXXX XX XXXXXX/ (XX) GIMIMO XXXXX XX XXXXX/ (XX) XXÜXXXXXX XXXXX ÉS XXXXXXX/ (XX) XXXX X XXXXXŻ TAT-TWELID/ (XX) GEBOORTEPLAATS EN -XXXX/ (XX) XXXXXXX X XXŃXXXX XXXXXXXXX/ (XX) XXXXX E XXXX DE NASCIMENTO/ (XX) XXXXX ȘI ȚXXX XXȘXXXXX/ (XX) XXXXXX A XXXX XXXXXXXXX/ (XX) XXXX XX XXXXXX ROJSTVA/ (XX) SYNTYMÄPAIKKA JA -XXX/ (XX) XÖXXXXXXXX XXX -XXXX

4.5

(XX) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (XX) XØX/ (XX) XXXXXXXXXX/ (XX) XXXX/ (XX) ΦΥΛΟ/ (XX) SEX/ (XX) XXXX/ (GA) XXXXXX/ (XX) XXXX/ (XX) XXXXX/ (LV) DZIMUMS/ (XX) XXXXX/ (XX) XXXX/ (MT) XXXX/ (XX) GESLACHT/ (XX) XŁXĆ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) SPOL/ (XX) SUKUPUOLI/ (XX) XÖX

4.5.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (CZ) XXXX/ (XX) XXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (EN) XXXXXX/ (FR) XXXXXXX/ (XX) BAINEANN/ (HR) XXXXXX/ (IT) XXXXXXXXX/ (XX) XXXXXXXX/ (LT) XXXXXXX/ (XX) XŐ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) ŽENSKI/ (XX) XXXXXX/ (XX) XXXXXX

4.5.2

(XX) МЪЖКИ/ (ES) VARÓN/ (XX) XXX/ (XX) XXXX/ (XX) MÄNNLICH/ (XX) MEESSOOST/ (XX) ΑΡΡΕΝ/ (EN) XXXX/ (XX) XXXXXXXX/ (GA) XXXXXXX/ (HR) XXXXX/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) VYRAS/ (XX) XXXXX/ (XX) XXĠXX/ (XX) XXX/ (XX) XĘŻXXXXXX/ (PT) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (SL) XXXXX/ (XX) MIES/ (XX) XXX

4.5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (CZ) XXXXXXXX/ (XX) XXXXXXXX/ (XX) UNBESTIMMT/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) INDÉTERMINÉ/ (XX) XXXXXXXXXXXXXXX/ (HR) XXXXXXĐXX/ (XX) INDETERMINATO/ (LV) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX STABBILIT/ (XX) XXXXXXXXX/ (XX) XŁXĆ XXXXXXXŚXXXX/ (PT) XÃX XXXXXXXX/ (XX) NEDETERMINAT/ (XX) NEURČENÉ/ (SL) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

4.6

(XX) ГРАЖДАНСТВО/ (ES) XXXXXXXXXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX-XXXXXÖXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) ΙΘΑΓΕΝΕΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) CITTADINANZA/ (XX) XXXXXXXXXXXXĪXX/ (XX) XXXXXXXXĖ/ (HU) ÁLLAMPOLGÁRSÁGA/ (XX) ĊXXXXXXXXXXX/ (NL) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) NACIONALIDADE/ (XX) XXXĂȚXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (SL) XXXXXXXXXXXXX/ (XX) KANSALAISUUS/ (XX) XXXXXXXXXXXXX

5.

(XX) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XX DOCUMENTO PÚBLICO XX QUE SE XXXXXXX XXXX IMPRESO,/ (XX) XX XXXXXXX XXXXXXX XXXXXXX, X XXX JE XXXXXXXX XXXXX XXXXXXXX,/ (XX) X XXXXXXX TIL XXX XXXXXXXXXX XXXXXXXX, XXX DENNE XXXXXXXX XX XXXXÆXXXX/ (XX) XXXÄXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX BEIGEFÜGT IST/ (XX) VASTAVALT XXXXXXXXX XXXXXXXXXXX, XXXXXXX SEE XXXX ON XXXXXXX/ (XX) ΣΥΜΦΩΝΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XX XXX XXXXXX XXXXXXXX TO XXXXX XXXX FORM XX XXXXXXXX/ (XX) X'XXXÈX XX XXXXXXXX PUBLIC XXXXXX XX PRÉSENT XXXXXXXXXX XXX JOINT/ (XX) XX XXXX XX XXXXXXXXX XXXXXXX XXXX BHFUIL XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXX XXXXXX XXXXXXX KOJOJ JE XXXX XXXXXXX PRILOŽEN/ (XX) XXXXXXX XX XXXXXXXXX XXXXXXXX CUI XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXŅĀ XX PUBLISKO XXXXXXXXX, XXXXX XĪ XXXXXXXX XX PIEVIENOTA/ (XX) XXXXX XXXXĄXĮ XXXXXXXXĄ, XXXX KURIO XXXXXXXXX ŠI XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXX XXXXXXX/ (XX) SKONT ID-DOKUMENT XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) VOLGENS XXX XXXXXXXX XXXXXXXX XXXXXXX DIT XXXXXXXXX XX XXXXXXX/ (PL) X XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXŁĄXXXXX XXXX NINIEJSZY XXXXXXXXX, XXXXXX, ŻE/ (XX) XXXXXXX X XXXXXXXXX XXXXXXX X QUE X PRESENTE XXXXXXXXXX XXXX XXXXXX/ (RO) ÎX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX ESTE ANEXAT XXXXXXXXX XXXXXXXX/ (XX) XXXĽX XXXXXXXX XXXXXXX, XX KTOREJ XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) X XXXXXX X XXXXX XXXXXXX, XX XX JE XXXXXXXX TA XXXXXXX/ (XX) XXX YLEISEN XXXXXXXXXX XXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX DETTA XXXXXXÄX ÄX XXXXXXX

5.1

(XX) СЪОТВЕТНОТО ЛИЦЕ ПРИТЕЖАВА БРАЧНА ДЕЕСПОСОБНОСТ СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) XX XXXXXXXXXX XXXXX XXXXXXXXX XXXX CONTRAER XXXXXXXXXX XXX XXXXXXX AL XXXXXXX NACIONAL XXX XXXXXX XXXXXXX DE XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) XX XXXXXXX XXXXX XXXXXXXXX XXXXXXX XXXXXXXXXX XXXXX XXXXXXXXXXXXXX PRÁVA ČLENSKÉHO XXXXX, X XXXX XX XXXXXXX XXXXXXX XXXXXX/ (XX) XXX XÅXÆXXXXXX XXXXXX XXX XXXXXX XXX XX XXXXX XXXXÅ ÆGTESKAB X XXXXXXX XXX XXXXXXXX RET X XXX MEDLEMSSTAT, HVOR XXX OFFENTLIGE XXXXXXXX XX UDSTEDT/ (DE) XXX XXX XXXXXXXXXXX XXXXXX XXXX XXX XXXXXXXXXX RECHT XXX XXXXXXXXXXXXXX, XX XXX XXX ÖFFENTLICHE XXXXXXX XXXXXXXXXXX XXXXX, EHEFÄHIG/ (XX) XX XXXXXXXXX XXXX XXXXXXX XXXXXXXXX XÄXXX XXXXXX XXXXXXXXXXXX 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/ (EN) XXX XXXXXX XXXXXXXXX XXX XXX XXXXXXXX XX XXXXX UNDER THE XXXXXXXX XXX XX XXX MEMBER XXXXX XXXXX XXX PUBLIC XXXXXXXX XX ISSUED/ (XX) LA PERSONNE XXXXXXXXX XXXX XX XXXXXX XX XXXXX XX XXXXX NATIONAL XX L'ÉTAT XXXXXX XÙ XX XXXXXXXX XXXXXX XXX XXXXXXX/ (XX) XX XX XXXXX XXXX xXXXXXXXX XXX XXXXXX CHUN XXXXXX XXXX XXXX XXXXXXXXX XX XXXXXXXXXX XXX xXXXXXXX XX XXXXXXXXX XXXXXX X XXXXXXXX/ (HR) DOTIČNA XXXXX IMA XXXXXXXXXX XX XXXXXXXXX XXXXX XXXXX XXXXXXXXXXX PRAVU XXXXXX ČLANICE X XXXXX XX JAVNA XXXXXXX XXXXXX/ (IT) XX XXXXXXX XXXXXXXXXXX XXXXXXXX XX XXXXXXXÀ XX CONTRARRE XXXXXXXXXX X XXXXX XXX XXXXXXX NAZIONALE XXXXX XXXXX XXXXXX CHE XXXXXXXX IL XXXXXXXXX XXXXXXXX/ (XX) ATTIECĪGĀ XXXXXXX XXĒX XXXXXX XXXXĪXĀ SASKAŅĀ XX XĀX XXXĪXXXXXXX XXXXĪXX XXXXXX, XXXĀ XXXXXXXXXX XXXXXXXXX XX IZDOTS/ (XX) ATITINKAMAS XXXXX XXX XXXXXXXX XXXXXXXX XXXXXXXĄ XXXXX VALSTYBĖS XXXĖX, XXXXXXX XXXXXXXX XXXXXXXXXX IŠDUODAMAS, XXXXXXXXXXĘ XXXXĘ/ (HU) AZ XXXXXXXX XXXXXXX X XÖXXXXXXX

XXXXXXXXXXXXX XXXXX SZERINTI XXXXXXXX NEMZETI XXXX XXXXXXX HÁZASSÁGOT XÖXXXX/ (XX) XX-XXXXXXX XXXXĊXXXXXX XĦXXXXX X-XXXXĊXXÀ XX XXŻŻXXXXĠ XXĦX IL-LIĠI XXXXXXXXXX XXX-XXXXX XXXXXX XXXX INĦAREĠ ID-DOKUMENT XXXXXXXX/ (XX) XXXXX XX XXXXXXXXXX DE XXXXXXXXXXX XX XX XXXXX XX XXXXX XXX HET NATIONALE XXXXX XXX XX XXXXXXXX WAAR XXX XXXXXXXX XXXXXXXX WORDT XXXXXXXXX/ (PL) XXXXX, XXXXXX XXXXXXX XXXXXXXX, XXXXXXX ZDOLNOŚĆ XX XXXXXXXX XXŁŻXŃXXXX XX XXXX XXXXX XXXXXXXXX XXŃXXXX CZŁONKOWSKIEGO, W XXXXXX TEN DOKUMENT XXXĘXXXX XXXXXŁ WYDANY/ (XX) A PESSOA XX CAUSA XXXXXX XXXXXXXXXX XXXXXXXXXXX NOS XXXXXX XX XXXXXXX XXXXXXXX XX XXXXXX-XXXXXX XX XXX X XXXXXXXXX PÚBLICO XXX XXXXXXX/ (RO) XXXXXXXX XXXXXĂ ARE XXXXXXXXXXX XX X XX XĂXĂXXXX ÎX CONFORMITATE XX XXXXXXX INTERN XX XXXXXXXX XXXXXX ÎX XXXX ESTE XXXX XXXXXXXXXX XXXXXXX/ (XX) DOTKNUTÁ XXXXX XX XXÔXXXXXX XXXXXXXX XXXXXXXXXX XXXĽX VNÚTROŠTÁTNEHO XXXXX ČLENSKÉHO XXXXX, X XXXXXX XX XXXXXXX LISTINA XXXXXX/ (XX) XX ZADEVNA XXXXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXXXX X XXXXXX X XXXXXXXXXXX XXXXXX XXXXXX XXXXXXX, V KATERI XX IZDANA JAVNA XXXXXXX/ (XX) ASIANOMAISELLA XXXXXXÖXXÄ ON XXXXXXXXXX XXXXXX XXXXXXXXXX XXX XÄXXXXXXXXXX XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX XXXXXXXXX XX XXXXXXX/ (XX) HAR XXX XXXÖXXX XXXXXXXX BEHÖRIGHET XXX XXXÅ ÄXXXXXXXX XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX I DEN XXXXXXXXXXX DÄR XXX XXXXXXXXXX XXXXXXXXXX UTFÄRDADES

5.2

(BG) НЯМА ДАННИ СЪОТВЕТНОТО ЛИЦЕ ДА Е ВСТЪПИЛО В БРАК СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) XX CONSTA XXXXXX XXXXXXXXXX A XXXXXX XXX INTERESADO XXX XXXXXXX AL XXXXXXX XXXXXXXX XXX XXXXXX XXXXXXX XX XXXXXXXXXX DEL XXXXXXXXX XXXXXXX/ (CZ) XXXXXXX XXXXX XXXXXX XXXXXXXXXX XXXXXXXXXX XXX SVÝM XXXXXX XXXXX XXXXXXXXXXXXXX XXXXX ČLENSKÉHO STÁTU, X XXXX XX XXXXXXX XXXXXXX XXXXXX/ (XX) DEN XÅXÆXXXXXX XXXXXX SES IKKE XX XXXX XXXXX ÆXXXXXXX XXXØXX XXXXX XXX XXXX I XXXXXXX XXX XXXXXXXX XXX I DEN XXXXXXXXXXX, XXXX XXX XXXXXXXXXX XXXXXXXX XX XXXXXXX/ (XX) XXX XXX XXXXXXXXXXX PERSON XXXXX IHREM NAMEN XXXXXXXX XXXXX XXX XXXX XXX XXXXXXXXXX XXXXX DES MITGLIEDSTAATS, XX DEM XXX ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, GESCHLOSSEN/ (XX) XX OLE ASJAOMASE XXXXX XXXXX ÜXXXXX XXXXXXX DOKUMENDI XÄXXX XXXXXX LIIKMESRIIGI ÕXXXXX XXXXXX XXXXXXXXXXXX/ (XX) ΔΕΝ ΦΑΙΝΕΤΑΙ ΝΑ ΥΠΑΡΧΕΙ ΓΑΜΟΣ ΣΤΟ ΟΝΟΜΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ/ (XX) XXX XXXXXX XXXXXXXXX XXXXXXX TO HAVE XX MARRIAGE XX XXX OR HER XXXX UNDER THE XXXXXXXX XXX OF XXX XXXXXX XXXXX XXXXX THE PUBLIC XXXXXXXX IS ISSUED/ (XX) XX PERSONNE XXXXXXXXX XX XXXXXX XXX AVOIR CONTRACTÉ XX XXXXXXX EN XXX NOM XX XXXXX XX XXXXX XXXXXXXX XX X'XXXX XXXXXX XÙ XX XXXXXXXX PUBLIC XXX XXXXXXX/ (XX) XXX XXX XXXXXXXXX XXX XX XXXXXX XX XXXXX XXXX xXXXXXXXX XXXXX FAOINA AINM XX XXXXXX hAINM XXXXX XXX XXXXXXXXX XX BHALLSTÁT XXX xXXXXXXX XX DOICIMÉAD XXXXXX X EISIÚINT/ (XX) NIJE POZNATO XX XX XXXXXXX XXXXX POD SVOJIM XXXXXX SKLOPILA XXXX XXXXX NACIONALNOM XXXXX XXXXXX XXXXXXX U XXXXX JE XXXXX XXXXXXX XXXXXX/ (XX) X XXXX XXXXX XXXXXXX INTERESSATA XXX XXXXXXX REGISTRATO XXXXX XXXX DI XXXXXXXXXX X XXXXX XXX XXXXXXX XXXXXXXXX XXXXX XXXXX XXXXXX XXX XXXXXXXX XX DOCUMENTO XXXXXXXX/ (LV) XX XXXXXXĪXĀX XXXXXXXX VĀRDA XXX NOSLĒGTA XXXXXXX XXXXĪXX SASKAŅĀ AR XĀX DALĪBVALSTS XXXXĪXX XXXXXX, KURĀ XXXXXXXXXX XXXXXXXXX IR XXXXXX/ (XX) ATITINKAMAS ASMUO XXXX VARDU NĖRA XXXXXĘX SANTUOKOS XXXXX XXXXXXXĖX NARĖS, KURIOJE XXXXXXXX XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (XX) XX XXXXXXXX SZEMÉLYNEK X XÖXXXXXXX KIÁLLÍTÁSÁNAK XXXXX SZERINTI XXXXXXXX XXXXXXX XXXX XXXXXXX XXXXXXXXX XXXXXXXXXXXXXXXX XXXXX/ (XX) XX-XXXXXXX KKONĊERNATA XXXXXX XX MA XĦXXXXX X-XXXX ŻWIEĠ XXXXĠXXXXXX X'XXXXXX TAĦT XX-XXĠX NAZZJONALI XXX-XXXXX XXXXXX XXXX INĦAREĠ XX-XXXXXXXX PUBBLIKU/ (XX) XXXXX XX XXXXXXXXXX XXXX HUWELIJK IN XXXX XX HAAR XXXX XX XXXXX XXX HET XXXXXXXXX XXXXX VAN XX XXXXXXXX WAAR XXX XXXXXXXX XXXXXXXX XXXXX XXXXXXXXX/ (PL) OSOBA, XXXXXX XXXXXXX XXXXXXXX, XXX POZOSTAJE W XXXĄXXX XXŁŻXŃXXXX XX XXXX PRAWA KRAJOWEGO XXŃXXXX, X KTÓRYM XXX XXXXXXXX URZĘDOWY XXXXXŁ XXXXXX/ (PT) XÃX XX XXXXXXX XXXXXXX XXXXXXXXX EM XXXX DA PESSOA XX XXXXX XXX XXXXXX XX DIREITO XXXXXXXX XX XXXXXX-XXXXXX XX XXX X XXXXXXXXX XXXXXXX XXX XXXXXXX/ (XX) NU XX XXXXXȘXX XXXXX XĂXĂXXXXX ÎNCHEIATĂ PE XXXXXX XXXXXXXXX VIZATE ÎX CONFORMITATE CU XXXXXXX XXXXXX XX XXXXXXXX XXXXXX ÎX XXXX ESTE EMIS XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXX XXXXXX XXXXXXXXXX XXXXXXXXXX XX XXXXXX XXXX PODĽA XXXXXXXXXXXXXX XXXXX ČLENSKÉHO XXXXX, X KTOROM XX VEREJNÁ LISTINA XXXXXX/ (SL) XX XXXXXXXXXXXXXX PODATKIH XXXXXXX XXXXX XX X XXXXXXXX ZVEZI, KI XX XX XXXXXXXX X SVOJEM XXXXX XX X XXXXXX X NACIONALNIM PRAVOM XXXXXX ČLANICE, X XXXXXX JE XXXXXX XXXXX XXXXXXX/ (FI) XXXXXXXXXXXX XXXXXXÖX NIMELLE XX XXX MERKITTY XXXXXXXXXXX XXX JÄSENVALTION XXXXXXXXXXX XXXXXÄÄXÄXXÖX MUKAAN, XXXXX XXXXXXX ASIAKIRJA XX XXXXXXX/ (XX) XÖXXXXXXXX XXX XXXÖXXX XXXXXXXX XXXX XX XXXÅXX ÄXXXXXXXX XXXXXX XXX NATIONELLA XXXXXXXXXXXXXX X XXX MEDLEMSSTAT XÄX DEN XXXXXXXXXX XXXXXXXXXX XXXÄXXXXXX

5.3

(XX) НЕ СА ИЗВЕСТНИ ПРЕЧКИ СЪОТВЕТНОТО ЛИЦЕ ДА ВСТЪПИ В БРАК СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) XX HAY XXXXXXXXXX XX NINGÚN XXXXXXXXXXX XXXX XXX XX XXXXXXXXXX XXXXXXXXX XXXXXXXXXX CON ARREGLO XX XXXXXXX NACIONAL XXX ESTADO XXXXXXX XX EXPEDICIÓN DEL XXXXXXXXX PÚBLICO/ (XX) XXXXXXXXXX XXXXX XXXXX XXXXXXXX, ABY DOTYČNÁ XXXXX XXXXXXXX XXXXXXXXXX XXXXX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, V XXXX XX XXXXXXX XXXXXXX XXXXXX/ (DA) XXX XXXXXXXXXX XXXXX XXXXXX XXXXXXXXXX XXX XXX XÅXÆXXXXXX XXXXXXX XXXXÅXXXX XX ÆXXXXXXX X XXXXXXX XXX XXXXXXXX XXX X XXX MEDLEMSSTAT, XXXX XXX OFFENTLIGE DOKUMENT XX XXXXXXX/ (XX) XXX XXXX XXXXXXXXX XXXXXXX, DAS XXX XXXXXXXXXXXXXX XXX XXXXXXXXXXXX XXXXXX XXXX XXX XXXXXXXXXX RECHT XXX XXXXXXXXXXXXXX, XX DEM XXX ÖXXXXXXXXXX

XXXXXXX AUSGESTELLT XXXXX, ENTGEGENSTEHT/ (ET) XX XXX TEADA XXXXXXXXX XÄXXX ANDNUD XXXXXXXXXXXX ÕIGUSE KOHASEID XXXXXXXXXX, XXX XXXXXXXXXXX XXXXXXXXXX XXXXXX ABIELU XÕXXXXX/ (XX) ΔΕΝ ΕΙΝΑΙ ΓΝΩΣΤΟ ΚΑΝΕΝΑ ΚΩΛΥΜΑ ΓΙΑ ΤΗ ΣΥΝΑΨΗ ΓΑΜΟΥ ΑΠΟ ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ/ (XX) XXXXX XX XX XXXXX XXXXXXXXXX XXX XXX XXXXXX XXXXXXXXX TO XXXXX XXXXX XXX XXXXXXXX LAW XX XXX XXXXXX STATE XXXXX XXX XXXXXX XXXXXXXX XX XXXXXX/ (XX) XX N'EXISTE XXX X'XXXÊXXXXXXX XXXXX XX XXXXXXX XX XX XXXXXXXX XXXXXXXXX XX VERTU XX XXXXX XXXXXXXX XX X'XXXX XXXXXX XÙ XX XXXXXXXX XXXXXX XXX XXXXXXX/ (GA) XXX XXX BHAC XXXXXXXXX ANN XX XX XXXXX LENA xXXXXXXXX CHUN XXXXXX XXXXX XXX NÁISIÚNTA XX XXXXXXXXX XXX xXXXXXXX XX XXXXXXXXX XXXXXX X XXXXXXXX/ (XX) XXXX XXXXXXX XXXXXXX ZBOG XXXX XXXXXXX XXXXX XX XX MOGLA SKLOPITI XXXX XXXXX XXXXXXXXXXX XXXXX DRŽAVE ČLANICE X KOJOJ XX XXXXX XXXXXXX XXXXXX/ (XX) NON SONO XXXX XXXXXXXXXXX AL XXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX X XXXXX XXX XXXXXXX NAZIONALE XXXXX XXXXX XXXXXX XXX RILASCIA XX XXXXXXXXX XXXXXXXX/ (XX) XXX XXXĀXX XXXĀXX XĶĒXXĻX XXXXXXĪXXXXX XXXXXXXX XXĀXXXX XXXXĪXĀ XXXXXŅĀ XX XĀX XXXĪXXXXXXX XXXXĪXX XXXXXX, XXXĀ XXXXXXXXXX XXXXXXXXX XX XXXXXX/ (XX) NĖRA XXXXXŲ XXXŪXXŲ XXXXXXXXXXX XXXXXXXX SUDARYTI XXXXXXXĄ XXXXX XXXXXXXĖX XXXĖX, XXXXXXX XXXXXXXX DOKUMENTAS XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (XX) XXXXX X XÖXXXXXXX XXXXXXXXXXXXX HELYE XXXXXXXX XXXXXXXX XXXXXXX XXXX XXXXXXXX XXXXXX XXXXXXXX ANNAK, XXXX XX XXXXXXXX XXXXXXX XXXXXXXXXX KÖSSÖN/ (MT) XX XXXX X-XXXX XXXXXXXXXX XXXĦXXX XĦXXX-XXXXXXX XXXXĊXXXXXX XXXX XXŻŻXXXXĠ XXĦX XX-XXĠX NAZZJONALI XXX-XXXXX XXXXXX XXXX XXĦXXXĠ ID-DOKUMENT PUBBLIKU/ (XX) XX ER XXXX BELEMMERING VOOR XX BETROKKENE XX XX XXXXX XX XXXXX VAN HET XXXXXXXXX XXXXX VAN XX XXXXXXXX XXXX XXX XXXXXXXX DOCUMENT XXXXX XXXXXXXXX/ (XX) XXX ISTNIEJĄ XXXXX XXXXXXXXXX XXX ZAWARCIA XXXXX XXXXĘ, XXXXXX XXXXXXX XXXXXXXX, XXŁŻXŃXXXX XX XXXX XXXXX XXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX, X XXXXXX TEN XXXXXXXX XXXĘXXXX XXXXXŁ XXXXXX/ (XX) XÃX XXXXXX IMPEDIMENTO XXXXXXXXX X XXX X XXXXXX XX XXXXX XXXXXXXX XXXXXXXXXX XXX XXXXXX XX XXXXXXX XXXXXXXX DO XXXXXX-XXXXXX XX-XXX X XXXXXXXXX XXXXXXX XXX XXXXXXX/ (XX) XX SE XXXXXX XXXXXXXXXXX XX XĂXĂXXXXX XXXXXXXXX VIZATE ÎX XXXXXXXXXXXX XX XXXXXXX XXXXXX AL XXXXXXXX MEMBRU ÎX XXXX ESTE XXXX XXXXXXXXXX XXXXXXX/ (XX) XXX XX XXXXX XXXXXXXX PRE DOTKNUTÚ XXXXX XXXXXXXX XXXXXXXXXX XXXĽX VNÚTROŠTÁTNEHO XXXXX XXXXXXXXX ŠTÁTU, X XXXXXX XX XXXXXXX XXXXXXX VYDANÁ/ (SL) XX XXXXXXXXXXXX ZADRŽKOV, XX XXXXXXX OSEBA XX BI XXXXX XXXXXXXX ZAKONSKE ZVEZE X XXXXXX Z XXXXXXXXXXX PRAVOM XXXXXX XXXXXXX, X XXXXXX XX IZDANA XXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXXXXXXXX XX XXXXXXÄ XXXXXX XXXXXXÄ XXX JÄSENVALTION XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, JOSSA XXXXXXX ASIAKIRJA XX XXXXXXX/ (XX) FINNS XXX INGA KÄNDA XXXXXX XÖX XXX XXXÖXXX PERSONEN ATT XXXÅ ÄXXXXXXXX XXXXXX XXX NATIONELLA LAGSTIFTNINGEN X DEN MEDLEMSSTAT XÄX DEN OFFICIELLA XXXXXXXXXX XXXÄXXXXXX

5.4

(XX) НЕ СА ИЗВЕСТНИ ПРЕЧКИ ЗА СКЛЮЧВАНЕТО НА БРАК МЕЖДУ СЪОТВЕТНОТО ЛИЦЕ И НЕЙНИЯ(НЕГОВАТА) БЪДЕЩ(А) СЪПРУГ(А) СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (ES) XX XXX XXXXXXXXXX XX XXXXXX XXXXXXXXXXX XXXX XXX EL XXXXXXXXXX CONTRAIGA XXXXXXXXXX XXX SU XXXXXX XXXXXXX XXX XXXXXXX XX XXXXXXX NACIONAL XXX ESTADO MIEMBRO XX EXPEDICIÓN DEL XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX ŽÁDNÁ XXXXX XXXXXXXX XXXXXXXXXX MEZI XXXXXXXX OSOBOU X XXXXX SNOUBENCEM / XXXX XXXXXXXXXX PODLE XXXXXXXXXXXXXX PRÁVA XXXXXXXXX XXXXX, X NĚMŽ XX XXXXXXX XXXXXXX XXXXXX/ (DA) XXX XXXXXXXXXX XXXXX KENDTE XXXXXXXXXX FOR INDGÅELSE XX ÆXXXXXXX XXXXXX XXX XÅXÆXXXXXX XXXXXX XX XXXXXX XXXXXXXX ÆXXXXÆXXX X XXXXXXX XXX XXXXXXXX RET X DEN XXXXXXXXXXX, XXXX DET XXXXXXXXXX XXXXXXXX XX XXXXXXX/ (XX) IST XXXX XXXXXXXXX BEKANNT, XXX XXXXX XXXXXXXXXXXXXX XXX XXXXXXXXXXXX XXXXXX XXX XXXXX KÜNFTIGEN XXXXXXXXX XXXX XXX NATIONALEN XXXXX DES MITGLIEDSTAATS, XX DEM DIE ÖXXXXXXXXXX XXXXXXX AUSGESTELLT XXXXX, ENTGEGENSTEHT/ (XX) XX XXX XXXXX XXXXXXX XXXXXXXXX VÄLJA XXXXXX XXXXXXXXXXXX ÕXXXXX XXXXXXXX XXXXXXXXXX, XXX XXXXXXXXXXX ABIELU XÕXXXXXXX XXXXXXXXX XXXXX JA XXXX XXXXXXXX XXXXXXXX XXXXX/ (XX) ΔΕΝ ΕΊΝΑΙ ΓΝΩΣΤΟ ΚΑΝΕΝΑ ΚΩΛΥΜΑ ΓΙΑ ΤΗ ΣΥΝΑΨΗ ΓΑΜΟΥ ΜΕΤΑΞΥ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΚΑΙ ΤΟΥ ΜΕΛΛΟΝΤΟΣ Ή ΤΗΣ ΜΕΛΛΟΥΣΑΣ ΣΥΖΥΓΟΥ ΤΟΥ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΌΣΙΟ ΕΓΓΡΑΦΟ/ (XX) THERE XX XX XXXXXXXXXX XXXXX XX A XXXXXXXX XXXXXXX THE XXXXXX XXXXXXXXX AND XXX XX XXX XXXXXXXX XXXXXX XXXXX THE XXXXXXXX XXX OF XXX MEMBER XXXXX XXXXX THE XXXXXX XXXXXXXX XX XXXXXX/ (XX) IL X'XXXXXX XXX X'XXXÊXXXXXXX XXXXX XX XXXXXXX XX XX XXXXXXXX CONCERNÉE XXXX XXX XXXXX XXXXXXXX XX VERTU XX XXXXX XXXXXXXX XX X'XXXX MEMBRE XÙ XX DOCUMENT XXXXXX XXX XXXXXXX/ (XX) XXX XXX XXXX AITHEANTA XXX XX XXXXXXX IDIR XX DUINE XXXX xXXXXXXXX XXXX A X(X)XXXX XXXXXXXXXX FAOI XXXX NÁISIÚNTA XX XXXXXXXXXX XXX xXXXXXXX XX XXXXXXXXX POIBLÍ X EISIÚINT/ (XX) XXXX XXXXXXX XXXXXXX XXXX XXXX XXXXXXX XXXXX X NJEZIN XXXXĆX XXXXXX XXXX XX XX MOGLI XXXXXXXX XXXX PREMA XXXXXXXXXXX XXXXX DRŽAVE XXXXXXX U XXXXX XX XXXXX XXXXXXX XXXXXX/ (XX) XXX XXXX XXXX XXXXXXXXXXX XX XXXXXXXXXX XXX XX XXXXXXX XXXXXXXXXXX X IL FUTURO XXXXXXX A XXXXX XXX DIRITTO XXXXXXXXX XXXXX XXXXX MEMBRO XXX XXXXXXXX XX XXXXXXXXX PUBBLICO/ (LV) XXX ZINĀMI XXXĀXX XĶĒXXĻX LAULĪBAS XXXXĒXXXXXX XXXXX XXXXXXĪXX XXXXXXX XX XĀX TOPOŠO XXXXĀXX XXXXXŅĀ AR XĀX DALĪBVALSTS XXXXĪXX XXXXXX, KURĀ XXXXXXXXXX XXXXXXXXX IR XXXXXX/ (XX) XĖXX XXXXXŲ XXXŪXXŲ XXXXXXXXXX XXXXXX XX XX XŪXXXX (-XX) SUTUOKTINIO (-ĖS) XXXXXXXXX XXXXX XXXXXXXĖX XXXĖX, KURIOJE XXXXXXXX XXXXXXXXXX IŠDUODAMAS, XXXXXXXXXXĘ XXXXĘ/ (XX) NINCS X KÖZOKIRAT KIÁLLÍTÁSÁNAK XXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXX XXXXXXXX, XXXXXX XXXXXXXX XXXXX, XXXX XX ÉRINTETT XXXXXXX XX XXXXXŐ XXXXXXXXXX XXXXXXXXX

XXXXXXXXXX XÖXXÖX/ (XX) MA HEMM X-XXXX IMPEDIMENT XXXĦXXX XĦXŻ-ŻXXXĠ BEJN XX-XXXXXXX XXXXĊXXXXXX X L-KONJUĠI XXXXX XXXĦXX XXĦX XX-XXĠX XXXXXXXXXX XXX-XXXXX XXXXXX XXXX INĦAREĠ XX-XXXXXXXX XXXXXXXX/ (NL) XX ER XXXX XXXXXXXXXXX VOOR XXX XXXXXXXX XXXXXX XX XXXXXXXXXX EN XXXX XX HAAR XXXXXXX XXXXXXXX(X)X(X) XX XXXXX XXX XXX NATIONALE XXXXX VAN XX XXXXXXXX XXXX HET XXXXXXXX XXXXXXXX XXXXX XXXXXXXXX/ (XX) NIE XXXXXXXĄ ZNANE PRZESZKODY XXX ZAWARCIA XXŁŻXŃXXXX XXXXX XXXXĘ, XXXXXX XXXXXXX DOKUMENT, X XXXXĄ, X XXXXĄ XXXXXXXX XXX XXXXXXĆ XXŁŻXŃXXXX, XX MOCY XXXXX XXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX, X XXXXXX XXX XXXXXXXX XXXĘXXXX XXXXXŁ WYDANY/ (XX) XÃX XXXXXX XXXXXXXXXXX XXXXXXXXX A XXX XX XXXXXXXX XXXXXXXXX XXXXXXXXXX XXX TERMOS XX DIREITO XXXXXXXX XX XXXXXX-XXXXXX XX XXX X XXXXXXXXX XXX XXXXXXX/ (XX) XX XX XXXXXX XXXXXXXXXXX XX XĂXĂXXXXX XXXXXX XXXXXXXX VIZATĂ ȘX XXXXXXXX SOȚ (XXXXXXXXX XXȚXX) ÎX XXXXXXXXXXXX XX DREPTUL XXXXXX XX STATULUI XXXXXX ÎN CARE XXXX XXXX XXXXXXXXXX XXXXXXX/ (XX) NIE XX XXXXX XXXXXXXX XXXXXXXX XXXXXXXXXX XXXXX XXXXXXXXX XXXXXX X XXX NASTÁVAJÚCOU XXXXXXXXX XXXXX XXXXXXXXXXXX XXXXXXXX XXXĽX XXXXXXXXXXXXXX PRÁVA XXXXXXXXX ŠTÁTU, X XXXXXX XX VEREJNÁ XXXXXXX XXXXXX/ (XX) XX UGOTOVLJENIH XXXXXXXX, XX XXXXXXX XXXXX XX XXXX PREDVIDENI XXXXXXX NE XX XXXXX SKLENITI ZAKONSKE XXXXX X XXXXXX X XXXXXXXXXXX XXXXXX XXXXXX XXXXXXX, V XXXXXX JE XXXXXX XXXXX XXXXXXX/ (FI) XXXXXXXXXXXX HENKILÖN JA XÄXXX XXXXXXX XXXXXXXXXX XÄXXXXXXX XXXXXXXXXXXX XX XXXXXXÄ OLEVAN ESTEITÄ XXX XÄXXXXXXXXXX KANSALLISEN XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX ASIAKIRJA ON XXXXXXX/ (SV) XXXXX XXX XXXX KÄNDA XXXXXX XÖX XXXÅXXXX XX ÄKTENSKAP MELLAN XXX BERÖRDA PERSONEN XXX XXXX XXXXX XXXXXX XXXXXXXX XXXX XXXXX MAKA XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX X XXX XXXXXXXXXXX XÄX XXX XXXXXXXXXX XXXXXXXXXX XXXÄXXXXXX

5.5

(XX) НЕ СА ИЗВЕСТНИ ВЪЗРАЖЕНИЯ СРЕЩУ СКЛЮЧВАНЕТО НА БРАК МЕЖДУ СЪОТВЕТНОТО ЛИЦЕ И НЕЙНИЯ(НЕГОВАТА) БЪДЕЩ(А) СЪПРУГ(А) СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) XX HAY XXXXXXXXX XXXXXXXX XX MATRIMONIO XXXXX XX XXXXXXXXXX X XX XXXXXX XXXXXXX XXX XXXXXXX XX XXXXXXX XXXXXXXX XXX ESTADO XXXXXXX XX XXXXXXXXXX DEL XXXXXXXXX XXXXXXX/ (CZ) XXXXXXXXXX XXXXX XXXXX XXXXXXX XXXXX XXXXXXXX XXXXXXXXXX XXXX XXXXXXXX XXXXXX A XXXXX XXXXXXXXXX / XXXX XXXXXXXXXX XXXXX XXXXXXXXXXXXXX XXXXX ČLENSKÉHO XXXXX, X NĚMŽ XX XXXXXXX LISTINA XXXXXX/ (XX) XXX FORELIGGER XXXXX KENDTE INDSIGELSER XXX XXXXÅXXXX XX XX ÆGTESKAB XXXXXX XXX PÅGÆLDENDE XXXXXX XX DENNES XXXXXXXX ÆXXXXÆXXX I HENHOLD XXX XXXXXXXX RET X DEN MEDLEMSSTAT, XXXX DET OFFENTLIGE XXXXXXXX ER XXXXXXX/ (XX) XXX KEIN XXXXXXX XXXXXXX, XXX XXXXX XXXXXXXXXXXXXX DER XXXXXXXXXXXX PERSON MIT XXX XÜXXXXXXX EHEGATTEN XXXX XXX XXXXXXXXXX XXXXX XXX MITGLIEDSTAATS, XX XXX DIE ÖXXXXXXXXXX XXXXXXX AUSGESTELLT XXXXX, XXXXXXXXXXXXX/ (XX) XX OLE TEADA XXXXXXX DOKUMENDI XÄXXX XXXXXX XXXXXXXXXXXX ÕXXXXX XXXXXX XXXXXXXXXX, XXX XXXXXXXXX XXXXXX XÕXXXXXXX XXXXXXXXX XXXXX JA XXXX XXXXXXXX XXXXXXXX XXXXX/ (EL) ΔΕΝ ΕΙΝΑΙ ΓΝΩΣΤΗ ΚΑΜΙΑ ΑΝΤΙΡΡΗΣΗ ΓΙΑ ΤΗ ΣΥΝΑΨΗ ΓΑΜΟΥ ΜΕΤΑΞΥ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΚΑΙ ΤΟΥ ΜΕΛΛΟΝΤΟΣ Ή ΤΗΣ ΜΕΛΛΟΥΣΑΣ ΣΥΖΥΓΟΥ ΤΟΥ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΌΣΙΟ ΕΓΓΡΑΦΟ/ (XX) THERE XX XX XXXXXXXXXX XXXXX XX X MARRIAGE XXXXXXX XXX XXXXXX XXXXXXXXX XXX XXX XX XXX XXXXXXXX XXXXXX UNDER XXX XXXXXXXX XXX XX XXX MEMBER XXXXX XXXXX XXX XXXXXX XXXXXXXX XX ISSUED/ (XX) XX X'XXXXXX XXX X'XXXXXXXXXX XXXXXX XX MARIAGE DE XX XXXXXXXX XXXXXXXXX XXXX SON XXXXX XXXXXXXX XX VERTU XX XXXXX XXXXXXXX XX X'XXXX XXXXXX XÙ XX DOCUMENT XXXXXX XXX DÉLIVRÉ/ (XX) XXX XXX XXXX IN AGHAIDH XXXXXXXXX XXX AR XXXXXXX XXXX XX XXXXX LENA mBAINEANN XXXX X C(H)ÉILE XXXXXXXXXX FAOI XXXX XXXXXXXXX AN BHALLSTÁIT XXX xXXXXXXX AN XXXXXXXXX POIBLÍ X XXXXXXXX/ (XX) XXXX XXXXXXXX PRIGOVORA XXXX XXXXX XXXXXXX XXXXX X XXXXXX BUDUĆI XXXXXX XXXX XX XX MOGLI XXXXXXXX XXXX PREMA NACIONALNOM XXXXX XXXXXX ČLANICE X XXXXX XX XXXXX XXXXXXX IZDANA/ (XX) XXX XXXX XXXX XXXXXXXXXXX AL XXXXXXXXXX XXX XX XXXXXXX XXXXXXXXXXX X XX XXXXXX XXXXXXX X NORMA DEL XXXXXXX NAZIONALE DELLO XXXXX MEMBRO XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX/ (XX) XXX XXXĀXX XXXĀXX XXXXXXXXX XXXXĪXXX XXXXĒXXXXXX STARP XXXXXXĪXX XXXXXXX XX XĀX XXXXXX XXXXĀXX XXXXXŅĀ XX TĀS XXXĪXXXXXXX XXXXĪXX AKTIEM, XXXĀ XXXXXXXXXX XXXXXXXXX XX XXXXXX/ (XX) XĖXX ŽINOMŲ XXXXXXXXXXXXŲ XXXXXXXXXX ASMENS IR XX XŪXXXX (-OS) XXXXXXXXXXX (-ĖX) XXXXXXXXX XXXXX VALSTYBĖS XXXĖX, XXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ TEISĘ/ (XX) XXX XXXXXX XXXXX, A KÖZOKIRAT XXXXXXXXXXXXX HELYE SZERINTI XXXXXXXX XXXXXXX JOGA XXXXXXXX ELLENVETÉS, XXXXXXX XX XXXXXXXX SZEMÉLY XX XXXXXŐ HÁZASTÁRSA XXXXX KÖTENDŐ HÁZASSÁGGAL XXXXXXX XXXXXXXXXX XX/ (XX) MA XXXX X-XXXX OPPOŻIZZJONI MAGĦRUFA XĦXŻ-ŻXXXĠ BEJN XX-XXXXXXX XXXXĊXXXXXX U X-XXXXXĠX XXXXX XXXĦXX XXĦX XX-XXĠX XXXXXXXXXX XXX-XXXXX XXXXXX XXXX INĦAREĠ XX-XXXXXXXX XXXXXXXX/ (XX) XX ER GEEN XXXXXX TEGEN XXX XXXXXXXX TUSSEN XX XXXXXXXXXX XX ZIJN XX XXXX BEOOGDE XXXXXXXX(X)X(X) OP XXXXX XXX HET NATIONALE XXXXX VAN XX XXXXXXXX XXXX HET XXXXXXXX XXXXXXXX XXXXX XXXXXXXXX/ (XX) XXX XXŁXXXXXX XXXXXXXXX XXXXX XXXXXXXX MAŁŻEŃSTWA XXXXX XXXXĘ, XXXXXX XXXXXXX XXXXXXXX, X OSOBĄ, X XXXXĄ XXXXXXXX XXX XXXXXXĆ XXŁŻXŃXXXX, XX XXXX PRAWA XXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX, X XXXXXX XXX XXXXXXXX URZĘDOWY XXXXXŁ XXXXXX/ (XX) NÃO XXXXXX XXXXXÇÃX XXXXXXXXX X QUE XX XXXXXXXX CONTRAIAM XXXXXXXXXX XXX XXXXXX DO XXXXXXX XXXXXXXX XX XXXXXX-XXXXXX XX XXX X XXXXXXXXX XXX XXXXXXX/ (RO) XX XX XXXXXȘXX XXXXX XXXXXȚXX XX CĂSĂTORIA XXXXXX XXXXXXXX XXXXXĂ ȘX VIITORUL XXȚ (XXXXXXXXX XXȚXX) ÎN XXXXXXXXXXXX XX XXXXXXX XXXXXX XX STATULUI XXXXXX ÎN XXXX XXXX XXXX XXXXXXXXXX XXXXXXX/ (XX) XXX XX XXXXX NÁMIETKA XXXX XXXXXXXXX XXXXXXXXXX XXXXX XXXXXXXXX OSOBOU X JEJ NASTÁVAJÚCOU XXXXXXXXX XXXXX XXXXXXXXXXXX XXXXXXXX PODĽA XXXXXXXXXXXXXX XXXXX ČLENSKÉHO ŠTÁTU, X KTOROM JE XXXXXXX XXXXXXX XXXXXX/ (XX) NI UGOTOVLJENEGA XXXXXXXXXXXXX XXXXXXXXX XXXXXXXX XXXXX MED ZADEVNO XXXXX IN XXXXXX XXXXXXXXXXX ZAKONCEM X XXXXXX Z NACIONALNIM XXXXXX DRŽAVE XXXXXXX, X KATERI XX XXXXXX JAVNA XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XX XÄXXX XXXXXXX XXXXXXXXXX VÄLISTÄ XXXXXXXXXXX XX OLE XXXXXXXXXXX XXX XÄXXXXXXXXXX XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, JOSSA XXXXXXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXX XXX INGA XÄXXX XXXÄXXXXXXXX XXX XXXÅXXXX XX ÄXXXXXXXX XXXXXX XXX XXXÖXXX PERSONEN XXX XXXX ELLER XXXXXX BLIVANDE MAKE XXXXX MAKA XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX X XXX MEDLEMSSTAT XÄX DEN OFFICIELLA XXXXXXXXXX UTFÄRDADES

6.

(BG) ИНФОРМАЦИЯ ЗА БЪДЕЩИЯ(АТА) СЪПРУГ(А) НА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX XX FUTURO XXXXXXX XXX INTERESADO/ (CZ) XXXXXXXXX X XXXXXXXXX / SNOUBENCE XXXXXXX XXXXX/ (DA) XXXXXXXXXXX XX DEN PÅGÆLDENDE XXXXXXX KOMMENDE ÆGTEFÆLLE/ (XX) XXXXXXX XX XXX XÜXXXXXXX XXXXXXXXX XXX XXXXXXXXXXXX PERSON/ (XX) XXXXX ISIKU XXXXX, KELLEGA ASJAOMANE 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 OF XXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXX XXX XX XXXXX XXXXXXXX XX XX XXXXXXXX CONCERNÉE/ (XX) FAISNÉIS MAIDIR XX CÉILE XXXXXXXXXX XX DUINE XXXX xXXXXXXXX/ (XX) INFORMACIJE X XXXXĆXX BRAČNOM XXXXX XXXXXXX XXXXX/ (XX) INFORMAZIONI SUL XXXXXX XXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (LV) XXXXXXĀXXXX PAR XXXXXXĪXĀX XXXXXXXX TOPOŠO LAULĀTO/ (XX) XXXXXXXXXXX APIE XXXXXXXXXX XXXXXX XŪXXXĄ XXXXXXXXXĮ (-Ę)/ (HU) XX XXXXXXXX XXXXXXX XXXXXŐ XXXXXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXĠX FUTUR XXX-XXXXXXX XXXXĊXXXXXX/ (NL) XXXXXXXXXX XXXX XX XXXXXXX ECHTGENO(O)T(E) XXX XX BETROKKENE/ (PL) XXXX XXXXX, X XXXXĄ OSOBA, XXXXXX XXXXXXX XXXXXXXX, XXXXXXXX XXXXXXĆ XXŁŻXŃXXXX/ (XX) XXXXXXXÇÕXX XXXXX X XXXXXX XÔXXXXX XX XXXXXX XX XXXXX/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXX XXȚ (XXXXXXXXX XXȚXX) XX (X) XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXX X XXXXXXXXXXXX XXXXXXXXX/ XXXXXXXXXXXX XXXXXXXX XXXXXXXXX OSOBY/ (XX) XXXXXXXXXXX X PREDVIDENEM XXXXXXX ZADEVNE OSEBE/ (XX) XXXXXX XXXXXXXXXXXX XXXXXXÖX XXXXXXXXX PUOLISOSTA/ (XX) XXXXXXXXX XX XXX XXXÖXXX PERSONENS XXXXXXXX XXXX ELLER XXXX

7.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) RECUADRO XXXX LA FIRMA/ (XX) POLE XXX XXXXXX/ (XX) UNDERSKRIFTSFELT/ (XX) UNTERSCHRIFTENFELD/ (ET) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (EN) XXXXXXXXX XXX/ (XX) CADRE XXXX XX XXXXXXXXX/ (XX) XXXXX XXX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXXXXX XXX XX XXXXX/ (XX) XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXX/ (HU) XX XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX VOOR DE XXXXXXXXXXXX/ (XX) POLE XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À ASSINATURA/ (XX) SEMNĂTURA/ (SK) XXXXXXX XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (FI) XXXXXXXXXXXXXXXXXXÄ/ (XX) XXXX FÖR XXXXXXXXXXXXXX

7.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) APELLIDO(S) X XXXXXX(X) DEL FUNCIONARIO XXX EXPIDIÓ XXXX XXXXXXX/ (XX) XXXXXXXX X XXXXX (XXXXX) XXXXXXXX, KTERÝ VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXXXX(X) XX FORNAVN(E) XÅ XXX XXXXXXXXXX, XXX HAR XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX VORNAME(N) XXX BEAMTEN, DER XXXXXX FORMULAR XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXX (-XXXXX) XX XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) XXX FORENAME(S) XX XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) XXX(X) XX XXXXXX(X) DU XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) SLOINNE (SLOINNTE) XXXX XXXXXXXX (CÉADAINMNEACHA) XX XXXXXXXX X X’XXXXXX XX FHOIRM XXX/ (XX) XXXXXXX(XX) X IME(NA) XXXXXXXXXX XXXX XX XXXXX XXXX OBRAZAC/ (XX) XXXXXXX/X E XXXX/X XXX XXXXXXXXXXX XXX XX RILASCIATO XX XXXXXXXX MODULO/ (LV) XXXXXXXXXXXX, XXXX XXXXXXXX XX VEIDLAPU, UZVĀRDS(-I) XX VĀRDS(-I)/ (XX) XXĄ XXXXĄ IŠDAVUSIO XXXXXXŪXX PAVARDĖ (-ĖX) XX XXXXXX (-AI)/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ CSALÁDI XXXX(X) XX UTÓNEVE(I)/ (XX) KUNJOM(/KUNJOMIJIET) U XXXX(/XXXXXXXX) XXX-XXXXĊXXX LI ĦXXXĠ XXX XX-XXXXXXX/ (XX) XX(X)X(XX) XX XXXXXX(X)X(XX) XXX XX XXXXXXXXX DIE XXX XXXXXXXXX HEEFT XXXXXXXXX/ (XX) NAZWISKO(-A) X XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (PT) APELIDO(S) X XXXX(X) XXXXXXX(X) XX XXXXXXXXXXX XXX XXXXXX X PRESENTE XXXXXXXXXX/ (XX) XXXXXX ȘX PRENUMELE XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX XXX/XXXXX XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXXXXX (-XXXXX) JA ETUNIMI (-XXXXX)/ (XX) XXXXXXXXX XXX XÖXXXXX PÅ XXX XXÄXXXXXXX SOM XXX XXXÄXXXX XXXXX XXXXXXÄX

7.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXX XXX FUNCIONARIO XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, KTERÝ XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX — XXX XXXXXXXXXX, DER HAR XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX DES XXXXXXX, DER DIESES XXXXXXXX AUSGESTELLT XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX AMETIKOHT/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX XX XXX XXXXXXXX WHO XXXXXX XXXX XXXX/ (XX) XXXXX XX XXXXXXXXXXXXX QUI A XXXXXXX LE XXXXXXX XXXXXXXXXX/ (GA) POST XX XXXXXXXX X X’XXXXXX AN FHOIRM XXX/ (XX) XXXXXXXX XXXXXXXXXX XXXX XX XXXXX XXXX XXXXXXX/ (XX) POSIZIONE DEL XXXXXXXXXXX CHE HA XXXXXXXXXX IL PRESENTE XXXXXX/ (LV) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, AMATS/ (LT) XXĄ FORMĄ IŠDAVUSIO XXXXXXŪXX XXXXXXXX/ (HU) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (MT) XXXXXX TAL-UFFIĊJAL XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX XXX XX AMBTENAAR XXX XXX XXXXXXXXX HEEFT XXXXXXXXX/ (XX) STANOWISKO XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX FORMULARZ/ (PT) XXXXX XX XXXXXXXXXXX XXX XXXXXX O XXXXXXXX FORMULÁRIO/ (RO) XXXXȚXX XXXXȚXXXXXXXXX XXXX X XXXX PREZENTUL XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XXXXX XXXXX XXXXX FORMULÁR/ (XX) XXXXXXX XXXXXXXX, XX XX IZDAL XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXX/ (SV) BEFATTNING XÖX DEN XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

7.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) VÄLJAANDMISE XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (DD/MM/YYYY) OF XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (HR) XXXXX (XX/XX/XXXX) IZDAVANJA/ (XX) XXXX XX RILASCIO (XX/XX/XXXX)/ (XX) IZDOŠANAS XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX DATA (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) DATUM (XX/XX/XXXX) XXX XXXXXXX/ (PL) XXXX (XX/XX/XXXX) WYDANIA/ (XX) DATA XX XXXXXÃX (DD/MM/AAAA)/ (XX) XXXX (ZZ/LL/AAAA) XXXXXXXX/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (XX) XXXXX (DD/MM/ÅÅÅÅ) XÖX XXXÄXXXXXX

7.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) PODPIS/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (HU) ALÁÍRÁS/ (XX) FIRMA/ (XX) XXXXXXXXXXXX/ (PL) PODPIS/ (XX) ASSINATURA/ (XX) XXXXĂXXXX/ (SK) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXXXX/ (SV) XXXXXXXXXXXX

7.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (CZ) PEČEŤ XXXX RAZÍTKO/ (XX) XXXX ELLER XXXXXXX/ (XX) SIEGEL XXXX XXXXXXX/ (XX) XXXXXX XÕX TEMPEL/ (EL) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXX XXX XXXXX/ (IT) XXXXX X TIMBRO/ (XX) XĪXXXX XXX XXXXXXXX/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (HU) XXXXXX VAGY XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX XXX XXXXXX/ (XX) XXXXX XX STEMPEL/ (PL) XXXXXĘĆ XXX XXXXXXX/ (XX) XXXX XX XXXXXXX/ (RO) SIGILIUL XXX ȘTAMPILA/ (SK) XXXXX ALEBO XXXXXXXX XXXXXXXX/ (XX) XXXXX XXX XXX/ (FI) XXXXXXX XXX XXXXX/ (XX) SIGILL ELLER XXÄXXXX

XXXXXXX XXXX

XXXXXXXXXXX XXXXXXXXXX FORMULÁŘ – XXXXXXX PRO PŘEKLAD

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

Xxxxxx (XX) Bulharsko (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxx (DE)

Estonsko (XX) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (IT) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (LT)

Lucembursko (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxx (XX) Rakousko (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Xxxxxx (XX)

Xxxxxxx (XX) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

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

Xxxxx xxxxxxxx xxxxxx xxxxx xxxxxxx listiny, x xxx xx xxxxxxxx. Xxxxx, xxxxx xx xxxxxxx listina xxxxxxxxxxx, xxxx může v xxxxxxxxx, xxx xx xx nezbytné xxx xxxxx xxxxxxxxxx veřejné xxxxxxx, požadovat xxxxxxx xx xxxxxx xxxxxxxxx, xxxxx xxxx xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX ORGÁN

Uveďte pouze xxxxxxxxx, které jsou xxxxxxx xx veřejné xxxxxxx, k níž xx xxxxxxxx tento xxxxxxxx. (2)

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

1. XXXXX XXXXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

3. XXXXXXXXX XXXXXXXX XX VEŘEJNÉ XXXXXXX, X XXX XX XXXXXXXX XXXXX 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 státním xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx xxxxxx soudním úředníkem

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

3.1.5 Jiné (upřesněte)

(1) Xx. věst. X 200, 26.7.2016, x. 1.

(2) Při xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

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

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

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x xxxxxxx

3.2.3 Xxxxx x registru xxxxxxxx

3.2.4 Xxxx xxxxxxxxxx xxxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Notářská xxxxxxx

3.4 Úřední osvědčení, xxxxxx xxxx opatřena xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

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

3.6 Datum (dd/mm/rrrr) xxxxxx

3.7 Xxxxxxxxxx číslo xxxxxxx xxxxxxx

4. XXXXXXXXX X DOTYČNÉ XXXXX

4.1 Xxxxx/x xxxxxxxx

4.2 Xxxxxxxx/x xxxxxxxx

4.3 Xxxxxxxx před xxxxxxxxx xxxxxxxxxx

4.4 Xxxxxxxx xx xxxxxxxx xxxxxxxxxx

4.5 Xxxxx (xxxxx)

4.6 Datum (xx/xx/xxxx) xxxxxxxx

4.7 Místo (1) a země (2) narození

4.8 Xxxxxxx:

4.8.1 Xxxx

4.8.2 Muž

4.8.3 Neurčeno

4.9 Xxxxxx xxxxxxxxxxx

5. NA XXXXXXX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX FORMULÁŘ, XX XXXXXXX XXXXX XXXXX XXXXXXX STAV:

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

5.2 Xxxxxxxxx – nesezdaný

5.2.1 Xxxxxxxx – Svobodný

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

5.2.3 Xxxxx – xxxxxx/Xxxxx (xx/xx/xxxx) xxxxx xxxxxxx/xxxxxxxx

5.3 Neurčeno

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

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

6. XXXX PRO PODPIS

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

6.2 Xxxxxx xxxxxxxx, který xxxxx xxxxx xxxxxxxx

6.3 Xxxxx (xx/xx/xxxx) vydání

6.4 Xxxxxx

6.5 Pečeť xxxx xxxxxxx

XXXXXXXXXXX GLOSÁŘ NÁZVŮ XXXXXXXXXXXX POLOŽEK

(RODINNÝ XXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX XXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX TENTO XXXXXXXX/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (DE) XXXÖXXX, XXX DIESES XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX VORMI XÄXXX XXXXXX ASUTUS/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX XXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX XX XXXXXX XXX/ (XX) XXXXXX XXXX XXXXXX OVAJ XXXXXXX/ (XX) AUTORITÀ XXX XXXXXXXX XX XXXXXXXX XXXXXX/ (LV) XXXXXXXXX IZDEVĒJIESTĀDE/ (XX) XXĄ FORMĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (HU) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX TA' DIN XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX XXXXXXXXX/ (XX) XXXXX WYDAJĄCY XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXX EMITE X XXXXXXXX FORMULÁRIO/ (XX) XXXXXXXXXXX EMITENTĂ X XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX VYDÁVAJÚCI XXXXX XXXXXXXX/ (XX) ORGAN, XX XXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX ANTAVA XXXXXXXXXXXX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXX/ (EL) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (FR) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) NOSAUKUMS/ (XX) XXXXXXXXXXX/ (XX) MEGNEVEZÉS/ (XX) TITLU/ (NL) XXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXÇÃX/ (RO) XXXXXXXX/ (SK) XXXXX/ (XX) IME/ (XX) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX EL XXXXXXXXX XXXXXXX AL XXX XX XXXXXXX XXXX XXXXXXX/ (CZ) XXXXX VYDÁVAJÍCÍ VEŘEJNOU XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (DA) XXX XXXXXXXXX, XXX XXX XXXXXXX DET OFFENTLIGE XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) BEHÖRDE, DIE XXX ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX FORMULAR XXXXXXÜXX XXX, XXXXXXXXX/ (XX) XXXXXX, XXX XXXXX XÄXXX XXXXXXX XXXXXXXXX, MILLELE XXX XXXX XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XXXXXXX THE XXXXXX XXXXXXXX XX XXXXX XXXX XXXX IS XXXXXXXX/ (FR) XXXXXXXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX LE XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX AN XXXXXXXXX XXXXXX LENA BHFUIL XX XXXXXX XXX XXXXXXXXXX/ (HR) TIJELO XXXX IZDAJE XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) AUTORITÀ XXX XXXXXXXX XX DOCUMENTO XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, KURAM XĪ XXXXXXXX IR XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX ŠI FORMA, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX XX MIEGĦU XXXX XXXXXŻX XXX IL-FORMOLA/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX XXXXXXXX DOCUMENT XXXXXXX XXX FORMULIER IS XXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXX XXXĘXXXX, XX XXXXXXX NINIEJSZY XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXXX XXXXXXX A QUE X XXXXXXXX FORMULÁRIO XXXX APENSO/ (RO) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXXX OFICIAL XX XXXX XXXX ANEXAT XXXXXXXXX FORMULAR/ (XX) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, XX KTOREJ XX TENTO XXXXXXXX XXXXXXXXX/ (SL) ORGAN, XX IZDA XXXXX XXXXXXX, XX XX XX XXXXXXXX TA XXXXXXX/ (XX) XXXXXXXXXXXX, XXXX XX ANTANUT XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ LOMAKE LIITETÄÄN/ (XX) MYNDIGHET XXX XXXÄXXXX DEN OFFICIELLA XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX AL XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX IMPRESO/ (XX) XXXXXXXXX XXXXXXXX SE XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX VEDRØRENDE DET XXXXXXXXXX XXXXXXXX, SOM XXXXX XXXXXXXX XX XXXXÆXXXX/ (DE) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXÜXX XXX/ (ET) XXXXX AVALIKU XXXXXXXXX XXXXX, XXXXXXX XXX XXXX ON XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX TO XXX PUBLIC DOCUMENT XX XXXXX THIS XXXX IS XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX XX DOCUMENT XXXXXX XXXXXX XXX JOINT XX XXXXXXX FORMULAIRE/ (XX) FAISNÉIS X XXXXXXXXX LEIS XX XXXXXXXXX XXXXXX XXXX XXXXXX AN XXXXXX XXX CEANGAILTE/ (XX) XXXXXXXXXXX KOJE XX XXXXXX XX XXXXX XXXXXXX KOJOJ XX XXXX XXXXXXX PRILOŽEN/ (XX) INFORMAZIONI XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX IL XXXXXXXX XXXXXX È ALLEGATO/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (LT) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX ŠI XXXXX/ (XX) X FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXXXX VONATKOZÓ XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX MIEGĦU XXXX XXXXXŻX DIN XX-XXXXXXX/ (XX) INFORMATIE BETREFFENDE XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXX DOTYCZĄCE XXXXXXXXX XXXĘXXXXXX, XX KTÓREGO XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) INFORMAÇÕES XXXXXXXXX AO XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXX XXXXXXX, KU XXXXXX XX TENTO FORMULÁR XXXXXXXXX/ (XX) XXXXXXXXXXX X ZVEZI X XXXXX XXXXXXX, KI XX JE XXXXXXXX XX OBRAZEC/ (FI) XXXXXX XXXXXXXXÄ ASIAKIRJASTA, XXXXX TÄMÄ XXXXXX XXXXXXÄÄX/ (XX) INFORMATION XX XXX OFFICIELLA XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄR XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX XXXXXXXX POR XXX XXXXXXXXX O XX FUNCIONARIO XXXXXXXXX X LOS ÓRGANOS XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXX ORGÁNEM XXXX ÚŘEDNÍKEM S XXXXXX NA XXXXX XXXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXXX, XXX XX UDSTEDT AF XX MYNDIGHED XXXXX XX XXXXXXXXXX, XXX XX TILKNYTTET DOMSTOLE X XX XXXXXXXXXXX/ (XX) XXXXXXX EINER XXXÖXXX ODER EINER XXXXXXXXXX XXX ORGAN XXX XXXXXXXXXXXX EINES XXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX KOHTUTEGA XXXXXX AMETIASUTUS XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXX OR XX XXXXXXXX CONNECTED XXXX THE XXXXXX XX XXXXXXXXX XX X XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXX X'XXX XXXXXXXX XX X'XX XXXXXXXXXXXXX RELEVANT X'XXX XXXXXXXXXXX X'XX XXXX XXXXXX/ (GA) XXXXXXXXX X XXXXXXX X XXXXXX XX X XXXXXXXXX X XXXXXX XXXXX AIGE XX AICI XX XXXXXXXXXX NÓ LE XXXXX DE XXXXX XXXXXXXXX/ (XX) XXXXXXX XXXX JE XXXXXX XXXXXX ILI XXXXXXXXX XXXX XXXXXX XXXXXXX/ (XX) DOCUMENTO EMANATO XX XX'XXXXXXXÀ O XX UN FUNZIONARIO XXXXXXXXXXXX XX UNA XXXXX GIURISDIZIONI DI XXX STATO MEMBRO/ (XX) DOKUMENTS, XXXX XXXXXXXXXX AR XXXĪXXXXXXX XXXXĀX XXXXXĪXX IESTĀDE XXX XXXXXXXXXXX/ (LT) XXXXXXXXXX, IŠDUOTAS VALDŽIOS XXXXXXXXXXXX AR XXXXXXŪXX, XXXXXXXXŲ SU XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX XXXX XXXXXXX VAGY TISZTVISELŐ XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ JEW XXXXĊXXX XX JKOLLHOM XXXXX XXX-XXXXX XXX XX-XXXXXXXXX XX' XXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX OF XXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXXXXXX INSTANTIE VAN XXX XXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX XXXXXX XĄXXXXXX LUB XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXXXX XX DE XX FUNCIONÁRIO XXXXXXXXXX XX XXXXXXXX JURISDIÇÃO XX XX XXXXXX-XXXXXX/ (XX) XXXXXXXX EMIS XX O XXXXXXXXXX XXX XX XX XXXXȚXXXXX XX XX XÂXXĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (XX) XXXXXXX XXXXXX ORGÁNOM XXXXX XXXXXXXXX X XÄXXXX XX SÚDY XXXXXXXXX XXXXX/ (XX) XXXXXXX, IZDANA S XXXXXX XXXXXX XXX XXXXXXXX XXXXX XXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX ON XXXXXXX JÄSENVALTION XXXXXXXXXXXXXXXX XXXXXXX VIRANOMAINEN XXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXXXXXXXX ELLER XX XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX JUDICIAL/ (XX) ROZHODNUTÍ XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) KOHTUOTSUS/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX DECISION/ (XX) DÉCISION XX XXXXXXX/ (XX) XXXXXXXX XX gCÚIRT/ (HR) XXXXXX XXXXXX/ (IT) XXXXXXXXX XXXXXXXXXXXXXXX/ (LV) XXXXXX XĒXXXX/ (LT) XXXXXX SPRENDIMAS/ (XX) XXXXXXXX HATÁROZAT/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX BESLISSING/ (XX) XXXXXXXXXX SĄDOWE/ (XX) XXXXXÃX XXXXXXXX/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX ROZHODNUTIE/ (SL) XXXXX ODLOČBA/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX XX MINISTERIO XXXXXX/ (XX) LISTINA VYDANÁ XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX AF XX ANKLAGEMYNDIGHED/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, MILLE XX XÄXXX XXXXXX XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) DOCUMENT XXXXXXXXX XXXX X XXXXXX PROSECUTOR/ (FR) XXXXXXXX ÉMANANT DU XXXXXXÈXX XXXXXX/ (XX) XXXXXXXXX X THAGANN X XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXX XXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) ÜGYÉSZ XXXXX KIÁLLÍTOTT XXXXXX/ (XX) DOKUMENT MAĦRUĠ XXXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX AFGEGEVEN XXXX XXX OPENBAAR XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX OD PROKURATORA/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (XX) DOCUMENT EMIS XX XX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) LISTINA, XX XX XXXX XXXXXXX XXXXXXXXX/ (FI) XXXXXXXXXX SYYTTÄJÄN ANTAMA XXXXXXXXX/ (SV) HANDLING XXX XÄXXÖX FRÅN ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX UN SECRETARIO XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (DA) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXÆX/ (DE) URKUNDE XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX, MILLE XX VÄLJA XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXX XX X XXXXX/ (FR) XXXXXXXX XXXXXXX D'UN XXXXXXXX/ (XX) DOICIMÉAD A XXXXXXX Ó CHLÉIREACH XX XXXXX XXXXXX/ (XX) XXXXXXX KOJU XX IZDAO XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (LV) XXXXXXXXX, KURU XXXXXXXXXX XXXXXX SEKRETĀRS/ (XX) XXXXXX TARNAUTOJO XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX XXĠXXXXXXXX XX' QORTI/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX GRIFFIER/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX DE XX OFICIAL XX XXXXXÇX/ (RO) DOCUMENT XXXX XX UN XXXXXXX XX XXXXXXȚXX/ (XX) XXXXXXX VYDANÁ XXXXXX ÚRADNÍKOM/ (XX) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („HUISSIER XX JUSTICE“)/ (ES) XXXXXXXXX XXXXXXXX POR XX XXXXXX XXXXXXXX («XXXXXXXX XX JUSTICE»)/ (XX) LISTINA VYDANÁ XXXXXXX XXXXXXXXXXXXX („HUISSIER XX XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX AF XX XXÆXXXXXXXXXX (»XXXXXXXX XX JUSTICE«)/ (XX) XXXXXXX XXXXX GERICHTSVOLLZIEHERS/ (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 ('HUISSIER XX XXXXXXX')/ (XX) XXXXXXXX ÉMANANT X'XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXX X XXXXXXX Ó OIFIGEACH XXXXXXXXXXXX (“HUISSIER XX XXXXXXX”)/ (HR) ISPRAVA XXXX JE IZDAO XXXXXX XXXXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (XXXXXXXX DE XXXXXXX)/ (XX) XXXXXXXXX (XXXXXXXX XX XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX („HUISSIER XX XXXXXXX”) XXXXX KIÁLLÍTOTT XXXXXX/ (XX) DOKUMENT XXĦXXĠ MINN XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX URZĘDNIKA XĄXXXXXX (HUISSIER XX XXXXXXX)/ (PT) DOCUMENTO XXXXXXXXXXX DE XX XXXXXXÃX XX DIREITO («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXXXX SÚDNYM XXXXXXXXXXĽXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX („XXXXXXXX DE XXXXXXX“)/ (FI) XXXXXXXXXXXX (”XXXXXXXX XX XXXXXXX”) XXXXXX XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX XX STÄMNINGSMAN (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (ES) XXXX (XXXXXXXXXXXXX)/ (CZ) JINÉ (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX ANGEBEN)/ (ET) XXX (TÄPSUSTAGE)/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (EN) XXXXX (XX BE XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (XX) XXXX (XX XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (XX) XXXXX (XXXXXXXXX)/ (XX) XXXX (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (XX) XXXXX (KÉRJÜK XXXXXXXXXXX)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) OVERIGE (XXXXXXXXXXXX)/ (XX) XXXX (XXXXXĘ XXXXŚXXĆ)/ (XX) XXXXXX (X ESPECIFICAR)/ (XX) ALTUL (X XX XXXXXXX)/ (XX) XXX (SPRESNIŤ)/ (XX) XXXXX (NAVESTI)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXX ÚŘADEM/ (DA) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX EINER VERWALTUNGSBEHÖRDE/ (XX) XXXXXXXXXXXXXX/ (EL) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX DOCUMENT/ (XX) XXXXXXXX ADMINISTRATIF/ (XX) XXXXXXXXX RIARACHÁIN/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (LV) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXXXXXXXXXXXXX/ (NL) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (RO) XXXXXXXX XXXXXXXXXXXXX/ (SK) XXXXXXX XXXXXXX/ (XX) XXXXXXX LISTINA/ (XX) XXXXXXXXXXXXXX ASIAKIRJA/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) CERTIFICADO/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (ET) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (GA) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) APLIECINĀJUMS/ (XX) PAŽYMA, LIUDIJIMAS/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (SL) POTRDILO/ (XX) XXXXXXXX/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) EXTRACTO XXX REGISTRO XXXXX/ (XX) XXXXX X XXXXXXX/ (XX) UDDRAG XXX XXXXXXXXXXXXXXXXXXXX/ (DE) XXXXXX XXX XXX XXXXXXXX-XXXXXXXXXXXXXX/ (XX) PEREKONNASEISUREGISTRI XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX XXXXX XXXXXX REGISTER/ (XX) XXXXXXX DU XXXXXXXX XX X'XXXX XXXXX/ (XX) SLIOCHT XX XX gCLÁR XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX IZ REGISTRA XXXXXXX XXXXXX/ (XX) XXXXXXXX DI XXXX XX XXXXX CIVILE/ (XX) IZRAKSTS XX XXXXXXXĀXXXĻX XXXX XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXĖX XŪXXĖX XXXŲ XXXXXXXX/ (XX) XXXXXÖXXXX XXXXXXX/ (MT) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (XX) UITTREKSEL XXX XXX XXXXXXXX XXX XX XXXXXXXXXXX STAND/ (XX) ODPIS SKRÓCONY XXXX STANU CYWILNEGO/ (XX) XXXXXXX XX XXXX XX XXXXXXX XXXXX/ (XX) XXXXXX XXX REGISTRUL XX XXXXX XXXXXĂ/ (XX) XXXXX X XXXXXXXX XXXXXXXX STAVU/ (XX) XXXXXXX XX XXXXXXXX X XXXXXXX XXXXXX/ (XX) VÄESTÖREKISTERIOTE (XXXXXXXXÄÄXX)/ (XX) UTDRAG XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX XXX XXXXX/ (CZ) VÝPIS X XXXXXXXX OBYVATEL/ (XX) UDDRAG FRA XXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) EXTRACT XXXX XXX POPULATION REGISTER/ (XX) EXTRAIT XX XXXXXXXX XX LA XXXXXXXXXX/ (GA) XXXXXXX XX XX xXXXX XXXXXX/ (XX) XXXXXXX XX POPISA STANOVNIŠTVA/ (XX) ESTRATTO XXXXXXXXXX/ (XX) XXXXXXXX NO XXXXĪXXXĀXX REĢISTRA/ (XX) XXXXXXX XX XXXXXXXXŲ XXXXXXXX/ (XX) XXXXXXX X XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX UIT HET XXXXXXXXXXXXXXXXXX/ (PL) WYCIĄG X XXXXXXXX XXXXXŚXX/ (XX) EXTRATO XX XXXXXXX XX POPULAÇÃO/ (XX) EXTRAS XXX XXXXXXXXX XX EVIDENȚĂ X XXXXXXȚXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXĽXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXXXXXXX/ (XX) VÄESTÖREKISTERIOTE/ (SV) XXXXXX XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX XX XXXXX XXX REGISTRO XXXXX/ (XX) OPIS XXXXXXXXXX XXXXXXX/ (DA) ORDRET XXXX XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX KOOPIA/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX XX XXXXX XXXXXX XXXXXXX/ (XX) XXXXX XXXXXXXXX X'XXXXX XX X'XXXX XXXXX/ (XX) CÓIP XXXXX AR XXXXXX XX XXXXXXX XX XXXXXX XXXXXXXXX/ (HR) XXXXXXXX PRIJEPIS XX XXXXXXXXXX X XXXXXXX XXXXXX/ (IT) XXXXX XXXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) CIVILSTĀVOKĻA AKTU XXĢXXXXX XXXXXXXX AUTENTISKA XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮRAŠŲ XXXXXXXĖ KOPIJA/ (XX) XXXXXÖXXXX BEJEGYZÉS XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXX TAL-ATTI XXX-XXXXX ĊXXXXX/ (NL) XXXXXXXXXXX XXXXXXXXX XXX XXXXX VAN XX XXXXXXXXXXX XXXXX/ (PL) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXÃX XX XXXXX XXXXXXXX XX DE XXXXXXXXX XX XXXX XX XXXXXXX XXXXX/ (XX) COPIE XXXXXĂ X UNUI ACT XX XXXXX CIVILĂ/ (XX) XXXXXXXX XXXXX XX XXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXX PREPIS XXXXXX X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX SANATARKKA XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX XX FOLKBOKFÖRINGSHANDLING

3.3

(BG) НОТАРИАЛЕН АКТ/ (ES) XXXX XXXXXXXX/ (CZ) XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) XXXXXXXXXX URKUNDE/ (ET) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (EN) XXXXXXXX XXX/ (XX) ACTE XXXXXXX/ (GA) XXXXXX XXXXXXXXXXXX/ (XX) JAVNOBILJEŽNIČKA XXXXXXX/ (IT) XXXX XXXXXXXX/ (XX) NOTARIĀLS XXXX/ (LT) XXXXXXXXX XXXXX/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) XXX XXXXXXXX/ (NL) XXXXXXËXX XXXX/ (XX) XXX XXXXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (SL) XXXXXXXX XXXXXXX/ (XX) NOTAARIN XXXXXX ASIAKIRJA/ (SV) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX PUESTA SOBRE XX XXXXXXXXX PRIVADO/ (XX) XXXXXX XXXXXXXXX, XXXXXX XXXX OPATŘENA XXXXXXX PODEPSANÁ XXXXXXXXX XXXXXX/ (DA) OFFICIEL XÅXXXXXXX PÅ ET XXXXXXXX XXXXXXXXXXX XX XX XXXXXX I XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (DE) XXXXXXXX XXXXXXXXXXXXX AUF XXXXX XXXXXXXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX XXXXXXX XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX CERTIFICATE XXXXXX XX X XXXXXXXX XXXXXX BY A XXXXXX XX XXX XX HER XXXXXXX XXXXXXXX/ (FR) DÉCLARATION XXXXXXXXXX APPOSÉE SUR XX XXXX XXXX XXXXX PRIVÉ/ (XX) XXXXXXXX XXXXXXXXX A XXXXXXXXX XX DHOICIMÉAD XXXX SHÍNIÚ AG XXXXX XXX CHÁIL XX INA XXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX STAVLJENA NA XXXXXXX KOJU JE XXXXX POTPISALA U XXXXXXXXX XXXXXXXX/ (IT) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXĀXX XXXXXXXXĀXXXX XX XXXXXXXXX, XX SAVĀ XĀXXĀ XXXXXXXĪXXXX KĀDA XXXXXXX/ (XX) PRIVAČIŲ XXXXXŲ XXXXXXXXXŲ DOKUMENTŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX HIVATALOS XXXXXXXXXXX/ (XX) ĊERTIFIKAT XXXXĊXXXX XX JITQIEGĦED X'XXXXXXXX XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ PRIVATA XXXĦXX/ (XX) OFFICIEEL XXXXXXXXXXX XX XXX XXXXXXXX XXXXXXXXXXX DOOR XXX XXXXXXX XX ZIJN XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX PODPISANYM XXXXX OSOBĘ XXXXŁXXĄXĄ X XXXXXXXXXXX PRYWATNYM/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX NUM XXX XX XXXXXXXX PRIVADA/ (XX) XXXXXXXXXX OFICIAL XXXXXXX XX XX XXXXXXXX SUB XXXXĂXXXĂ XXXXXXĂ/ (XX) ÚRADNÉ XXXXXXXXXX XXXXXXX XX XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXX XX ZASEBNI XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, XXXXX XXXXXXÖ ON ALLEKIRJOITTANUT XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX XXXXX ANBRINGAT XÅ XX HANDLING SOM XXXXXXXXXXXXX AV XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX POR XX AGENTE DIPLOMÁTICO X XXXXXXXX DE XX XXXXXX MIEMBRO XXX XXXXXXXX XXXXXXX/ (XX) XXXXXXX VYHOTOVENÁ XXXXXXXXXXXXX XXXXXXXXX XXXX XXXXXXXXXXX ÚŘEDNÍKEM ČLENSKÉHO XXXXX X RÁMCI XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) DOKUMENT XXXXXXXXX XXXÆXXXXXX XX XX XXXXXXXXXXXX XXXXXXXXXXXX XXXXX KONSULÆRE XXXXÆXXXXXXX/ (XX) XXX XXXXX XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (XX) LIIKMESRIIGI XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX XXXXX UP XX X XXXXXXXXXX XX XXXXXXXX XXXXX XX X MEMBER STATE XX HIS XX XXX XXXXXXXX XXXXXXXX/ (XX) DOCUMENT ÉTABLI XX XX QUALITÉ XXXXXXXXXX XXX XX XXXXX DIPLOMATIQUE OU XXXXXXXXXX X'XX ÉTAT XXXXXX/ (GA) DOICIMÉAD XXXX THARRAINGT XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX DE XXXXX XXXXXXXXX XXX XXXXX NÓ XXX XXXX OIFIGIÚIL/ (HR) XXXXXXX KOJU JE X SLUŽBENOM SVOJSTVU XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX DRŽAVE XXXXXXX/ (XX) DOCUMENTO XXXXXXX XX XXXXXX XXXXXXXXXXX O XXXXXXXXX XX XXX XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (XX) XXXXXXXXX, KURU, XXXXXX XXXXX XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (LT) XXXXXXXXXX, XXXXXXXXX VALSTYBĖS XXXĖX DIPLOMATO AR XXXXXXXXXX XXXXXXŪXX, VEIKIANČIO XXXXX OFICIALIUS ĮXXXXXXXXXX/ (XX) VALAMELY XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX XXXXX HIVATALOS XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX IMĦEJJI XXXX XĠXXX XXXXXXXXXXX XXX XXXXXXXXX TA' XXXX XXXXXX FIL-KAPAĊITÀ XXXXĊXXXX TIEGĦU/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXXXXX OF XXXXXXXXXX AMBTENAAR XXX XXX LIDSTAAT XX XXXX OFFICIËLE HOEDANIGHEID/ (XX) XXXXXXXX SPORZĄDZONY XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX KONSULARNEGO XXŃXXXX CZŁONKOWSKIEGO XXXXŁXXĄXXXX X CHARAKTERZE XXXĘXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XX AGENTE XXXXXXXXXXX XX CONSULAR XX XX XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX XXXÇÕXX OFICIAIS/ (XX) DOCUMENT ÎNTOCMIT XX XĂXXX XX XXXXX XXXXXXXXXX XXX XXXXXXXX XX XXXX XXXX MEMBRU, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X RÁMCI XXXXXX XXXX XXXXXXX/ (XX) XXXXXXX, XX JO XXX URADNA XXXXX XXXX DIPLOMATSKI ALI XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) ASIAKIRJA, XXXXX JÄSENVALTION XXXXXXXXXXXXXX XXXXXXXX XXX KONSULIEDUSTAJA XX XXXXXXXX VIRANTOIMITUKSESSA/ (XX) HANDLING XXXXÄXXXX X XXÄXXXXX AV XX DIPLOMATISK XXXXX XXXXXXÄX XXÄXXXXXXX I XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX EXPEDICIÓN/ (XX) XXXXX (DD/MM/RRRR) VYDÁNÍ/ (XX) XXXXXXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) VÄLJAANDMISE KUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) DE DÉLIVRANCE/ (XX) XXXX (LL/MM/BBBB) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX RILASCIO (XX/XX/XXXX)/ (XX) IZDOŠANAS XXXXXX (DD/MM/GGGG)/ (LT) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXX (JJ/XX/SSSS) XXX-ĦXXĠ/ (XX) XXXXX (DD/MM/JJJJ) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) WYDANIA/ (XX) DATA DE XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) IZDAJE/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (DD/MM/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX XXXXXXXXXX DEL XXXXXXXXX XXXXXXX/ (XX) REFERENČNÍ XXXXX XXXXXXX XXXXXXX/ (XX) XXX OFFENTLIGE XXXXXXXXX REFERENCENUMMER/ (XX) XXXXXXXXXX DER ÖFFENTLICHEN XXXXXXX/ (XX) AVALIKU XXXXXXXXX XXXXXXXXXXX/ (EL) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX XX XXX XXXXXX XXXXXXXX/ (XX) NUMÉRO XX XXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXX XXXXXXXXX AN DOICIMÉID XXXXXXX/ (XX) XXXXXXXXXX XXXX XXXXX ISPRAVE/ (XX) XXXXXX DI XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX ATSAUCES XXXXXX/ (XX) XXXXXXX DOKUMENTO XXXXXXX/ (XX) X XÖXXXXXXX XXXXXXXXXXX SZÁMA/ (XX) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX PUBBLIKU/ (XX) REFERENTIENUMMER XXX XXX OPENBAAR XXXXXXXX/ (XX) XXXXX REFERENCYJNY XXXXXXXXX XXXĘXXXXXX/ (PT) XXXXXX XX XXXXXÊXXXX XX XXXXXXXXX PÚBLICO/ (XX) XXXĂXXX XX XXXXXXXȚĂ AL XXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX VEREJNEJ XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXX LISTINE/ (XX) XXXXXXX ASIAKIRJAN XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) INFORMACIÓN XXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXX O XXXXXXX XXXXX/ (DA) OPLYSNINGER XX XXX XÅXÆXXXXXX XXXXXX/ (XX) XXXXXXX XXX BETREFFENDEN XXXXXX/ (XX) XXXXXXXXX XXXXXX XÄXXXXXX XXXXX/ (EL) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXX SUR XX XXXXXXXX CONCERNÉE/ (GA) XXXXXXXX XXXXXX XXXX XX DUINE XXXX xXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXXXXX XXXXX/ (XX) XXXXXXXXXXXX SULLA XXXXXXX XXXXXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXĪXX XXXXXXX/ (XX) INFORMACIJA XXXX XXXXXXXXXĄ XXXXXĮ/ (XX) XX XXXXXXXX XXXXXXXXX VONATKOZÓ XXXXXX/ (XX) XXXXXXXXXXXXX DWAR XX-XXXXXXX KKONĊERNATA/ (XX) XXXXXXXXXX XXXX XX XXXXXXXXXX/ (PL) DANE XXXXX, XXXXXX DOTYCZY XXXXXXXX/ (PT) XXXXXXXÇÕXX XXXXX A XXXXXX XX CAUSA/ (RO) XXXXXXXȚXX XXXXXXX PERSOANA XXXXXĂ/ (XX) INFORMÁCIE X DOTKNUTEJ OSOBE/ (XX) XXXXXXXXXXX X XXXXXXX OSEBI/ (FI) XXXXXXXXXXXX HENKILÖN XXXXXX/ (XX) XXXXXXXXX OM XXX XXXÖXXX PERSONEN

4.1

(BG) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (XX) XXXXXXXX(X) XX XXXXXXXXXX/ (XX) XXXXX/X XXXXXXXX/ (XX) XXXXXXXXX(X) XXX XØXXXXX/ (XX) FAMILIENNAME(N) XXX XXX XXXXXX/ (ET) XÜXXXXÄXXXX XXXXXXXXXXXXX (SÜNNIJÄRGSED XXXXXXXXXXXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (XX) XXXXXXX(X) XX XXXXX/ (XX) XXX(X) À LA NAISSANCE/ (XX) XXXXXXX (XXXXXXXX) XXXXXXX/ (XX) XXXXXXX(XX) XXX XXĐXXXX/ (XX) XXXXXXX/X ALLA NASCITA/ (XX) XXXĀXXX(-X) XXXXXXXXX XXĪXĪ/ (LT) PAVARDĖ (-ĖX), XXXXXXXX (-XX) XXXXX/ (HU) SZÜLETÉSI XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) XXX-XXXXXX/ (NL) XXXXXXXX(X)X(XX) XXX XX XXXXXXXX/ (XX) XXXXXXXX(-X) XXXXXX/ (PT) XXXXXXX(X) À XXXX XX XXXXXXXXXX/ (XX) XXXXXX XX NAȘTERE/ (XX) XXXXX XXXXXXXXXX(-X)/ (SL) XXXXXXX/XXXXXXX XX XXXXXXX/ (XX) SUKUNIMI (-NIMET) XXXXXXÄXXXXXXXÄ/ (XX) XXXXXXXXX XXX XÖXXXXX

4.2

(XX) НАСТОЯЩО(И) ФАМИЛНО(И) ИМЕ(НА)/ (ES) XXXXXXXX(X) ACTUAL(ES)/ (CZ) XXXXXXXX/X XXXXXXXX/ (XX) XXXÆXXXXX XXXXXXXXX(X)/ (XX) XXXXXXXXXX(X) FAMILIENNAME(N)/ (XX) XXXXXXXX XXXXXXXXXXXXX (XXXXXXXXX XXXXXXXXXXXXXX)/ (EL) ΤΡΕΧΟΝ(-ΤΑ) ΕΠΩΝΥΜΟ(-Α)/ (XX) CURRENT XXXXXXX(X)/ (XX) XXX(X) XXXXXX(X)/ (XX) SLOINNE (XXXXXXXX) XXXXXX/ (XX) XXXXXXXX(-X) XXXXXXX(XX)/ (IT) XXXXXXX/X XXXXXXX/X/ (XX) XXXXXXX(-XX) XXXĀXXX(-X)/ (XX) XXXXXXXXĖ (-ĖX) XXXXXXĖ (-ĖX)/ (HU) XXXXXXXXX XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) ATTWALI/ (XX) XXXXXXX XXXXXXXX(X)X(XX)/ (XX) XXXXXX NAZWISKO(-A)/ (XX) XXXXXXX XX XXXXXXXX XXXXXX/ (RO) XXXXXX XXXXXX(X)/ (SK) XXXXXXX XXXXXXXXXX(-X)/ (XX) XXXXXXX XXXXXXX/XXXXXXX/ (XX) XXXXXXXX XXXXXXXX (XXXXXXXX XXXXXXXXX)/ (XX) NUVARANDE EFTERNAMN

4.3

(BG) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ БРАКА/ (XX) XXXXXXXX(X) XXXXX DE XXXXXXXX XXXXXXXXXX/ (CZ) XXXXXXXX XXXX UZAVŘENÍM XXXXXXXXXX/ (XX) EFTERNAVN(E) XØX XXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX (-XXXXX) XXXX XXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΤΟΝ ΓΑΜΟ/ (XX) XXXXXXX(X) XXXXXX XXX XXXXXXXX/ (XX) NOM(S) XXXXX XX MARIAGE/ (XX) XXXXXXX (SLOINNTE) XXXXX XX bPÓSADH/ (XX) XXXXXXX(XX) XXXXX SKLAPANJA XXXXX/ (XX) COGNOME/I XXXXX DEL MATRIMONIO/ (XX) XXXĀXXX(-X) PIRMS XXXXĪXXX/ (LT) XXXXXXĖ (-ĖX) XXXXX XXXXXXXĄ/ (XX) XXXXXXX NEVE(I) X XXXXXXXXXÖXXX ELŐTT/ (XX) XXXXXX(/XXXXXXXXXXX) XXXXX XŻ-ŻXXXĠ/ (XX) XXXXXXXX(X)X(XX) XXXX HET XXXXXXXX/ (XX) NAZWISKO(-A) PRZED XXXXXXXXX XXŁŻXŃXXXX/ (XX) XXXXXXX(X) ANTES XX XXXXXXXXX/ (RO) NUMELE ÎXXXXXX XX XĂXĂXXXXX/ (XX) XXXXXXXXXX(-X) XXXX XXXXXXXXX XXXXXXXXXX/ (SL) XXXXXXX/XXXXXXX XXXX XXXXXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXX XXXXXXXXXXX/ (XX) XXXXXXXXX XÖXX ÄKTENSKAPETS INGÅENDE

4.4

(BG) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА БРАКА/ (XX) XXXXXXXX(X) DESPUÉS DE XXXXXXXX MATRIMONIO/ (XX) XXXXXXXX PO XXXXXXXX XXXXXXXXXX/ (XX) EFTERNAVN(E) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXX(X) NACH XXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX (-XXXXX) PÄRAST XXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΜΕΤΑ ΤΟΝ ΓΑΜΟ/ (EN) XXXXXXX(X) XXXXXXXXX XXX XXXXXXXX/ (XX) XXX(X) À XX XXXXX XX MARIAGE/ (XX) XXXXXXX (XXXXXXXX) TAR XXX AN PHÓSTA/ (XX) XXXXXXX(XX) XXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX/X XXXX XX XXXXXXXXXX/ (XX) XXXĀXXX(-X) XĒX XXXXĪXXX/ (XX) XXXXXXĖ (-ĖS) XX XXXXXXXXX/ (XX) XXXXXXX XXXX(X) X XXXXXXXX-XÖXXX XXXX/ (XX) XXXXXX(/XXXXXXXXXXX) XXXX Ż-ŻXXXĠ/ (XX) XXXXXXXX(X)X(XX) NA XXX XXXXXXXX/ (PL) XXXXXXXX(-X) XX XXXXXXXX XXŁŻXŃXXXX/ (XX) APELIDO(S) XXXX X CASAMENTO/ (XX) XXXXXX XXXĂ CĂSĂTORIE/ (XX) XXXXXXXXXX(-X) XX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX/XXXXXXX PO SKLENITVI XXXXXXXX XXXXX/ (XX) XXXXXXXX (-XXXXX) AVIOLIITON XXXXXXXXXX JÄLKEEN/ (SV) XXXXXXXXX XXXXX ÄXXXXXXXXXXX XXXÅXXXX

4.5

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) XXXXX (XXXXX)/ (DA) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (CÉADAINMNEACHA)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (XX) VĀRDS(-I)/ (XX) XXXXXX (-AI)/ (XX) UTÓNEVE(I)/ (MT) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (IMIONA)/ (XX) NOME(S) PRÓPRIO(S)/ (XX) XXXXXXX/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-NIMET)/ (XX) XÖXXXXX

4.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) FECHA (XX/XX/XXXX) XX NACIMIENTO/ (XX) XXXXX (XX/XX/XXXX) NAROZENÍ/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) SÜNNIKUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (EN) DATE (XX/XX/XXXX) XX XXXXX/ (XX) DATE (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 XXXXXX (XX/XX/XXXX)/ (LT) XXXXXX XXXX (XX/XX/XXXX)/ (HU) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (NL) GEBOORTEDATUM (XX/XX/XXXX)/ (PL) XXXX (XX/XX/XXXX) XXXXXXXXX/ (PT) XXXX XX NASCIMENTO (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.7

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX Y XXXX XX NACIMIENTO/ (XX) XXXXX A XXXX XXXXXXXX/ (XX) XØXXXXXX OG -XXXX/ (XX) XXX UND XXXX DER XXXXXX/ (XX) XÜXXXXXXX XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX XXX XXXXXXX XX XXXXX/ (XX) XXXX XX XXXX XX NAISSANCE/ (XX) ÁIT AGUS XXX XXXXXXXX/ (XX) XXXXXX X ZEMLJA XXĐXXXX/ (XX) XXXXX X XXXXX XX XXXXXXX/ (LV) XXXXXXXXX XXXXX UN VALSTS/ (XX) XXXXXX VIETA XX XXXXX/ (XX) XXÜXXXXXX XXXXX ÉS XXXXXXX/ (XX) POST X XXXXXŻ XXX-XXXXXX/ (XX) GEBOORTEPLAATS EN -XXXX/ (PL) MIEJSCE X XXŃXXXX XXXXXXXXX/ (XX) XXXXX E XXXX XX NASCIMENTO/ (XX) XXXXX ȘX ȚXXX NAȘTERII/ (XX) XXXXXX A XXXX XXXXXXXXX/ (XX) XXXX XX XXXXXX XXXXXXX/ (XX) XXXXXXÄXXXXXX XX -XXX/ (SV) XÖXXXXXXXX XXX -LAND

4.8

(BG) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (DA) KØN/ (XX) GESCHLECHT/ (XX) XXXX/ (EL) ΦΥΛΟ/ (XX) XXX/ (FR) XXXX/ (GA) XXXXXX/ (XX) XXXX/ (IT) XXXXX/ (XX) DZIMUMS/ (XX) XXXXX/ (HU) XXXX/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (XX) XXXX/ (XX) XXXXX/ (SK) XXXXXXXX/ (XX) SPOL/ (XX) SUKUPUOLI/ (XX) XÖX

4.8.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (CZ) XXXX/ (XX) XXXXXX/ (DE) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (IT) XXXXXXXXX/ (XX) XXXXXXXX/ (LT) XXXXXXX/ (XX) XŐ/ (XX) MARA/ (NL) XXXXX/ (XX) KOBIETA/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (SV) XXXXXX

4.8.2

(XX) МЪЖКИ/ (XX) VARÓN/ (XX) XXX/ (XX) XXXX/ (DE) MÄNNLICH/ (XX) XXXXXXXXX/ (EL) ΑΡΡΕΝ/ (EN) MALE/ (XX) MASCULIN/ (GA) XXXXXXX/ (HR) MUŠKI/ (XX) XXXXXXXX/ (LV) XĪXXXXXX/ (XX) XXXXX/ (XX) XXXXX/ (XX) XXĠXX/ (XX) XXX/ (XX) XĘŻXXXXXX/ (PT) XXXXXXXXX/ (RO) BĂRBĂTESC/ (XX) MUŽSKÉ/ (SL) XXXXX/ (XX) MIES/ (XX) MAN

4.8.3

(BG) НЕОПРЕДЕЛЕН/ (XX) INDETERMINADO/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (ET) XÄÄXXXXXX/ (EL) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (EN) XXXXXXXXXXXX/ (XX) INDÉTERMINÉ/ (XX) XXXXXXXXXXXXXXX/ (XX) NEODREĐEN/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) NENUSTATYTA/ (XX) MEGHATÁROZATLAN/ (XX) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (PL) XŁXĆ XXXXXXXŚXXXX/ (XX) XÃX XXXXXXXX/ (RO) XXXXXXXXXXXX/ (XX) NEURČENÉ/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

4.9

(XX) ГРАЖДАНСТВО/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (XX) NATIONALITET/ (XX) XXXXXX-XXXXXÖXXXXXXX/ (ET) XXXXXXXXXXX/ (XX) ΙΘΑΓΕΝΕΙΑ/ (XX) XXXXXXXXXXX/ (FR) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (IT) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXĪXX/ (XX) XXXXXXXXĖ/ (XX) XXXXXXXXXXXXXXX/ (XX) ĊXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (PL) OBYWATELSTWO/ (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) XXXXX EL XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX, XX XXXXXX CIVIL XXX XXXXXXXXXX ES EL XXXXXXXXX:/ (XX) XX XXXXXXX VEŘEJNÉ LISTINY, X NÍŽ XX XXXXXXXX XXXXX XXXXXXXX, XX XXXXXXX OSOBA XXXXX XXXXXXX STAV/ (XX) X HENHOLD XXX DET XXXXXXXXXX XXXXXXXX, SOM XXXXX XXXXXXXX XX XXXXÆXXXX, XXX XXX XÅXÆXXXXXX XXXXXX XØXXXXXX ÆXXXXXXXXXXXX XXXXXX/ (DE) XXXXXXXXXXXXX XXX XXXXXXXXXXXX PERSON XXXÄXX DER ÖFFENTLICHEN XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXXXXXX XXXXXXXXX XXXXXXXXXXX, XXXXXXX SEE 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) ACCORDING XX XXX XXXXXX DOCUMENT XX WHICH XXXX XXXX IS ATTACHED, XXX XXXXXX CONCERNED XXX THE XXXXXXXXX XXXXXXX STATUS/ (FR) X'XXXÈX LE XXXXXXXX XXXXXX XXXXXX XX XXXXXXX FORMULAIRE XXX XXXXX, XX XXXXXXXXX XXXXXXXXXXXX XX XX XXXXXXXX XXXXXXXXX XXX XX XXXXXXXX/ (XX) XX XXXX XX XXXXXXXXX XXXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX, XX XX XXXXXX XXXXX X LEANAS XX XX XXXXX XXXX xXXXXXXXX/ (XX) PREMA XXXXXX XXXXXXX KOJOJ XX XXXX XXXXXXX XXXXXXXX XXXXXX STANJE XXXXXXX XXXXX XX XXXXXXĆX/ (IT) SECONDO XX XXXXXXXXX XXXXXXXX XXX IL XXXXXXXX XXXXXX È XXXXXXXX, XX XXXXX CIVILE XXXXX XXXXXXX XXXXXXXXXXX È XX XXXXXXXX/ (XX) SASKAŅĀ XX XXXXXXXX XXXXXXXXX, KURAM XĪ XXXXXXXX IR XXXXXXXXXX, ATTIECĪGAJAI XXXXXXXX XX XĀXX ĢIMENES XXĀXXXXXX/ (XX) XXXXX XXXXĄXĮ XXXXXXXXĄ, PRIE XXXXX XXXXXXXXX XX XXXXX, XXXXXXXXXX ASMENS XXXXXXXXXĖ PADĖTIS XXX XXXXX/ (XX) XX XXXXXXXX SZEMÉLY CSALÁDI XXXXXXXX A XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXX SZERINT/ (XX) XXXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX, XX-XXXXXXX XXXXĊXXXXXX XĦXXXXX X-XXXXX ĊXXXXX XXX ĠXX/ (XX) XXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX GEHECHT, XX XX BURGERLIJKE XXXXX XXX XX XXXXXXXXXX DE XXXXXXXX/ (XX) Z DOKUMENTU XXXĘXXXXXX, DO XXXXXXX XXŁĄXXXXX XXXX XXXXXXXXX XXXXXXXXX, XXXXXX, ŻX XXXXX, KTÓREJ DOTYCZY XXXXXXXX, POSIADA XXXXĘXXXĄXX XXXX XXXXXXX/ (XX) XXXXXXX X DOCUMENTO XXXXXXX A XXX X PRESENTE FORMULÁRIO XXXX XXXXXX, À XXXX XX SUA XXXXXÃX, X XXXXXX XXXXX XX XXXXXX XX CAUSA X/ (XX) ÎX XXXXXXXXXXXX XX DOCUMENTUL OFICIAL XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX, XXXXXXXX VIZATĂ XXX XXXĂXXXXXX XXXXX XXXXXĂ/ (XX) XXXĽX XXXXXXXX XXXXXXX, KU XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX, SA DOTKNUTÁ XXXXX NACHÁDZA X XXXXX OSOBNOM STAVE/ (XX) X XXXXXX X XXXXX XXXXXXX, XX JI XX XXXXXXXX XX XXXXXXX, XXX ZADEVNA OSEBA XXXXXXXXX XXXXXXXX STAN/ (XX) XXX XXXXXXX XXXXXXXXXX XXXXXX, XXXXX XÄXÄ LOMAKE LIITETÄÄN, XXXXXXXXXXXX XXXXXXÖX XXXXXXXXÄÄXX XX XXXXXXXX/ (XX) XXXXXX XXX OFFICIELLA XXXXXXXX XXXX VILKEN XXXXX FORMULÄR ÄX XXXXXXX ÄX XXX XXXÖXXX XXXXXXXXX XXXXXXXÅXX XÖXXXXXX

5.1

(XX) СЪС СКЛЮЧЕН БРАК/ДАТА (ДД/ММ/ГГГГ) НА СКЛЮЧВАНЕ НА БРАКА/ (XX) CASADO / XXXXX (XX/XX/XXXX) XXX XXXXXXXXXX/ (XX) VDANÁ – XXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXX XXXXXXXXXX/ (DA) XXXX/XXXX (DD/MM/ÅÅÅÅ) XXX XXXXÅXXXX AF ÆXXXXXXX/ (XX) VERHEIRATET/TAG XXX XXXXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) XXXXXXX / XXXXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΕΓΓΑΜΟΣ/-Η / ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΑΜΟΥ/ (XX) XXXXXXX/XXXX (XX/XX/XXXX) XX XXXXXXXX/ (XX) XXXXX(X)/XXXX (XX/XX/XXXX) XX XXXXXXX/ (XX) PÓSTA/DÁTA (XX/XX/XXXX) XXXXX/ (XX) U XXXXX / DATUM (XX/XX/XXXX) XXXXXXXXX XXXXX/ (XX) XXXXXXXXX/X - XXXX DI XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXXĒXXXX / XXXXĪXXX XXXXĒXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXĘX (-USI) / XXXXXXXXX XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) XXXXX/XXXXXXXXXÖXXX XXXXX (XXXX/XX/XX)/ (XX) XXŻŻXXXXĠ/XXŻŻXXĠX X DATA (XX/XX/XXXX) XXŻ-ŻXXXĠ/ (XX) XXXXXX/XXXXX (XX/XX/XXXX) VAN XXX XXXXXXXX/ (XX) XXXXXXXXX X XXXĄXXX XXŁŻXŃXXXX/ XXXX (DD/MM/RRRR) XXXXXXXX XXXĄXXX XXŁŻXŃXXXXXX/ (XX) XXXXXX(X)/XXXX DO XXXXXXXXX (XX/XX/XXXX)/ (RO) XĂXĂXXXXX(Ă)/XXXX (XX/XX/XXXX) XĂXĂXXXXXX/ (XX) XXXXXX/XXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXXX MANŽELSTVA/ (XX) XXXXXXX/XXXXX (DD/MM/LLLL) XXXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXXXXX/XXXXXXXXXX XXXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXX/XXXXX (XX/XX/ÅÅÅÅ) XÖX ÄXXXXXXXXXXX INGÅENDE

5.2

(BG) БЕЗ СКЛЮЧЕН БРАК/ (XX) XX XXXXXX/ (XX) XXXXXXXXX – XXXXXXXXX/ (DA) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XX XXX XXXXXXX/ (XX) ΑΓΑΜΟΣ/-Η/ (XX) XXX XXXXXXX/ (FR) XXX XXXXX(X)/ (XX) XXX X BHEITH XXXXX/ (XX) XXXX X BRAKU/ (IT) XXX CONIUGATO/A/ (XX) XXXXXXĒXXXX/ (XX) XXXXXXXXXXĘX (-XXX)/ (HU) XXXXXÜXXXXX/ (XX) XXXX XXŻŻXXXXĠ/XXXX XXŻŻXXĠX/ (XX) XXXXXXXX/ (XX) XXX XXXXXXXXX X ZWIĄZKU MAŁŻEŃSKIM/ (XX) XÃX XXXXXX(X)/ (XX) NECĂSĂTORIT(Ă)/ (XX) XXXXXXXX/XXXXXXXX/ (XX) XXXXXXXXX/ (XX) XX XXXXXXXXXX/ (XX) XXXXX

5.2.1

(XX) НИКОГА НЕ Е СКЛЮЧВАЛО БРАК/ (XX) XXXXXXX/ (XX) SVOBODNÁ – XXXXXXXX/ (XX) XXXXXX XXXX/ (DE) NIE XXXXXXXXXXX/ (XX) XX XXX KUNAGI XXXXXXX XXXXX/ (EL) ΔΕΝ ΕΧΕΙ ΣΥΝΑΨΕΙ ΠΟΤΕ ΓΑΜΟ/ (XX) XXXXX XXXXXXX/ (XX) N'AYANT XXXXXX XXX XXXXX(X)/ (XX) XXX X XXXXXX XXXXX RIAMH/ (XX) XXXXXX XXXX XXX(-XX) U XXXXX/ (XX) XXXXXX/XXXXXX/ (LV) XXXXX XXX BIJIS XXXXĒXXXX/ (LT) XXXXXXX XXXXXX XXXXXXXXĘX (-USI)/ (XX) NŐTLEN / XXXXXXX/ (XX) ĠXXXX/XXXXX/ (XX) NOOIT GEHUWD/ (XX) NIGDY NIE XXXXXŁ(-X) XXXĄXXX XXŁŻXŃXXXXXX/ (XX) XXXXXXXX/ (XX) XX A XXXX XĂXĂXXXXX(Ă) XXXXXXXXĂ/ (SK) XXXXX XX NEOŽENIL/NEVYDALA/ (XX) XXXXXX XXXXXXX/ (XX) XX XXX XXXXXXX XXXXX XXXXXXXXXX/ (XX) XXX XXXXXX XXXXX XXXX

5.2.2

(XX) С РАЗТРОГНАТ БРАК/ДАТА (ДД/ММ/ГГГГ) НА РАЗВОДА/ (XX) XXXXXXXXXX / FECHA (XX/XX/XXXX) DEL XXXXXXXX/ (XX) XXXXXXXXX – XXXXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXXX/XXXX (XX/XX/ÅÅÅÅ) XXX SKILSMISSE/ (XX) XXXXXXXXXX / DATUM (XX/XX/XXXX) DER SCHEIDUNG/ (XX) LAHUTATUD / XXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΔΙΑΖΕΥΓΜΕΝΟΣ/-Η / ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΔΙΑΖΥΓΙΟΥ/ (XX) DIVORCED/DATE (XX/XX/XXXX) XX XXXXXXX/ (XX) XXXXXXX(X)/XXXX (JJ/MM/AAAA) XX XXXXXXX/ (GA) XXXXXXXXXX/XXXX (XX/XX/XXXX) XXXXXXXXXX/ (XX) XXXXXXXX(X)/XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) DIVORZIATO/A - XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XĶĪXXXX / ŠĶIRŠANĀS DATUMS (XX/XX/XXXX)/ (LT) XXXXXXXXĘX (-XXX) / XXXXXXXXX XXXXXXXXXX XXXX (DD/MM/MMMM)/ (XX) XXXXXX/X HÁZASSÁG XXXXXXXXXXXXX IDEJE (XXXX/XX/XX)/ (XX) XXXXXXXXX(X) X XXXX (XX/XX/XXXX) XXX-XXXXXXXX/ (XX) XXXXXXXXXX/XXXXX (XX/XX/XXXX) XXX XX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX(-X) / XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXXXXX(X)/XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXȚXX(Ă)/XXXX (ZZ/LL/AAAA) DIVORȚULUI/ (XX) XXXXXXXXX/X/XXXXX (DD/MM/RRRR) XXXXXXX/ (SL) XXXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXX/XXXXXXXX XÄXXÄXÄÄXÄ (XX/XX/XXXX)/ (XX) XXXXX/XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXXXXÄXXX

5.2.3

(XX) С ПОЧИНАЛ(А) СЪПРУГ(А)/ДАТА (ДД/ММ/ГГГГ) НА СМЪРТТА НА СЪПРУГА(АТА)/ (XX) VIUDO / XXXXX (XX/XX/XXXX) XX XXXXXXXXXXXXX DEL XXXXXXX/ (XX) XXXXX – XXXXXX/XXXXX (XX/XX/XXXX) XXXXX XXXXXXX/XXXXXXXX/ (XX) ENKESTAND/DATO (XX/XX/ÅÅÅÅ) FOR ÆXXXXÆXXXX XØX/ (DE) VERWITWET / XXXXXXXXXXX (XX/XX/XXXX) XXX XXXXXXXXX/ (XX) XXXX / XXXXXXXX XXXXX KUUPÄEV (XX/XX/XXXX)/ (XX) ΣΕ ΧΗΡΕΙΑ / ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΘΑΝΑΤΟΥ ΣΥΖΥΓΟΥ/ (EN) XXXXXXX/ DATE (XX/XX/XXXX) XX XXXXXX'X XXXXX/ (XX) VEUF(VE)/DATE (JJ/MM/AAAA) XX XXXÈX XX XXXXXXXX/ (XX) XXXXXXXXXX/ XXXX (LL/MM/BBBB) XXXX XX XXXXXX/ (XX) XXXXXX(-XXX) / XXXXX (XX/XX/XXXX) XXXXX XXXXXXXX XXXXX/ (IT) VEDOVO/A - DATA DI XXXXXXX XXX CONIUGE (XX/XX/XXXX)/ (LV) ATRAITNIS / LAULĀTĀ XXXXXXXX XXXXXX (XX/XX/XXXX)/ (LT) XXXXXX (-Ė) / XXXXXXXXXXX (-ĖX) XXXXXXX XXXX (XX/XX/XXXX)/ (XX) ÖXXXXX/X XXXXXXXXX HALÁLÁNAK XXXXX (XXXX/XX/XX)/ (MT) XXXXX/XXXXX U DATA (XX/XX/XXXX) TAL-MEWT XXX-XXXXXĠX/ (XX) WEDUWE/WEDUWNAAR/DATUM (XX/XX/XXXX) XXX OVERLIJDEN XXX XX XXXXXXXX(X)X(X)/ (XX) XXXXXXX, XXXXX / XXXX (XX/XX/XXXX) XXXXX XXŁŻXXXX/ (XX) VIÚVO(A)/DATA XX XXXXX XX XÔXXXXX (XX/XX/XXXX)/ (RO) XĂXXX(Ă)/XXXX (ZZ/LL/AAAA) XXXXXXXXX XXȚXXXX (XXȚXXX)/ (XX) XXXXXX/XXXXX/XXXXX (DD/MM/RRRR) XXXXXX XXXXXXX/XXXXXXXX/ (XX) XXXXXXX/XXXXX (XX/XX/XXXX) XXXXX XXXXXXX/ (XX) XXXXX/XXXXXXXX KUOLINPÄIVÄ (XX/XX/XXXX)/ (XX) ÄXXXXXX XXXXX ÄNKA/DATUM (XX/XX/ÅÅÅÅ) XÖX XXXXXX XXXXX XXXXXX XÖX

5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) UBESTEMT/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (EN) XXXXXXXXXXXX/ (XX) INDÉTERMINÉ/ (GA) XXXXXXXXXXXXXXX/ (HR) XXXXXXĐXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (LT) NENUSTATYTA/ (XX) MEGHATÁROZATLAN/ (XX) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) STAN XXXXXXXXXXX/ (PT) XÃX XXXXXXXX/ (RO) NEDETERMINAT/ (XX) XXXXXXXX/ (SL) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

6.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX XXXXX/ (XX) XXXX XXX XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) ALLKIRJALAHTER/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) CADRE XXXX XX XXXXXXXXX/ (XX) XXXXX XXX SÍNIÚ/ (XX) XXXXX XX XXXXXX/ (XX) RIQUADRO XXX XX XXXXX/ (XX) XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXX/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX XX HANDTEKENING/ (XX) POLE XXXXXXX/ (XX) XXXXÇX DESTINADO À ASSINATURA/ (XX) XXXXĂXXXX/ (SK) XXXXXXX XX XXXXXX/ (SL) XXXXX XX XXXXXX/ (XX) ALLEKIRJOITUSKENTTÄ/ (SV) XXXX FÖR XXXXXXXXXXXXXX

6.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X XXXXXX(X) XXX XXXXXXXXXXX QUE XXXXXXX XXXX IMPRESO/ (XX) XXXXXXXX X XXXXX (XXXXX) XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXXXX(X) XX XXXXXXX(X) XÅ XXX XXXXXXXXXX, DER XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXXXXXX(X) 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 XXXXXXXX(X) XX XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) XXX(X) XX PRÉNOM(S) XX FONCTIONNAIRE QUI X DÉLIVRÉ XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXXX XXXXXXXX (CÉADAINMNEACHA) XX XXXXXXXX A X’XXXXXX XX XXXXXX SEO/ (XX) XXXXXXX(XX) I XXX(XX) SLUŽBENIKA XXXX XX XXXXX XXXX XXXXXXX/ (IT) XXXXXXX/X X XXXX/X XXX XXXXXXXXXXX CHE XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX IZDEVUSI XX XXXXXXXX, XXXĀXXX(-X) XX XĀXXX(-X)/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖX) XX XXXXXX (-AI)/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXXXXXŐ XXXXXXX XXXX(X) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (NL) XX(X)X(XX) XX XXXXXX(X)X(XX) XXX XX AMBTENAAR XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) X IMIĘ (XXXXXX) URZĘDNIKA, KTÓRY XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) APELIDO(S) X XXXX(X) XXXXXXX(X) DO XXXXXXXXXXX QUE XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) NUMELE ȘI XXXXXXXXX XXXXȚXXXXXXXXX XXXX X EMIS XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) X MENO(-Á) XXXXXXXX, XXXXX XXXXX TENTO XXXXXXXX/ (SL) XXXXXXX/XXXXXXX XX XXX/XXXXX XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (XX) XÄXÄX LOMAKKEEN XXXXXXXX XXXXXXXXXXX SUKUNIMI (-NIMET) XX XXXXXXX (-XXXXX)/ (XX) EFTERNAMN OCH XÖXXXXX XÅ XXX XXÄXXXXXXX XXX HAR XXXÄXXXX DETTA XXXXXXÄX

6.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) CARGO XXX XXXXXXXXXXX QUE XXXXXXX ESTE XXXXXXX/ (XX) XXXXXX ÚŘEDNÍKA, XXXXX VYDAL TENTO XXXXXXXX/ (XX) STILLING — XXX XXXXXXXXXX, XXX HAR XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX XXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXXXXXX XXX/ (ET) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (EL) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX XX XXX XXXXXXXX WHO XXXXXX XXXX XXXX/ (XX) XXXXX DU XXXXXXXXXXXXX XXX X DÉLIVRÉ XX XXXXXXX FORMULAIRE/ (XX) XXXX XX XXXXXXXX A X’XXXXXX XX FHOIRM XXX/ (XX) XXXXXXXX XXXXXXXXXX XXXX JE XXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX VEIDLAPU, XXXXX/ (LT) XXĄ XXXXĄ IŠDAVUSIO XXXXXXŪXX XXXXXXXX/ (HU) A XXXXXXXXXXXXXXXXX XXXXXXXX TISZTVISELŐ XXXXXXXXX/ (MT) XXXXXX XXX-XXXXĊXXX LI ĦAREĠ XXX XX-XXXXXXX/ (NL) XXXXXXX VAN XX XXXXXXXXX DIE XXX XXXXXXXXX XXXXX AFGEGEVEN/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (XX) CARGO XX FUNCIONÁRIO XXX XXXXXX O XXXXXXXX XXXXXXXXXX/ (RO) POZIȚIA XXXXȚXXXXXXXXX XXXX A XXXX XXXXXXXXX FORMULAR/ (XX) XXXXXXX XXXXXXXX, XXXXX VYDAL TENTO XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (XX) XÄXÄX LOMAKKEEN XXXXXXXX VIRKAMIEHEN ASEMA/ (XX) BEFATTNING XÖX XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (CZ) DATUM (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX KUUPÄEV (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (LL/MM/BBBB) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (IT) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (NL) XXXXX (DD/MM/JJJJ) XXX XXXXXXX/ (XX) DATA (XX/XX/XXXX) XXXXXXX/ (PT) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (DD/MM/LLLL) XXXXXX/ (FI) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (XX) DATUM (XX/XX/ÅÅÅÅ) FÖR XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (ES) FIRMA/ (XX) XXXXXX/ (DA) XXXXXXXXXXX/ (DE) XXXXXXXXXXXX/ (XX) XXXXXXX/ (EL) ΥΠΟΓΡΑΦΗ/ (EN) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXX/ (HR) XXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (LT) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) HANDTEKENING/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (RO) SEMNĂTURA/ (XX) XXXXXX/ (XX) XXXXXX/ (FI) XXXXXXXXXXXXX/ (XX) NAMNTECKNING

6.5

(BG) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X TIMBRE/ (XX) XXXXX XXXX XXXXXXX/ (XX) XXXX XXXXX XXXXXXX/ (XX) XXXXXX XXXX STEMPEL/ (XX) PITSER VÕI XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) SEAL XX XXXXX/ (XX) SCEAU XX XXXXXX/ (GA) XXXXX XX XXXXXX/ (XX) XXX XXX XXXXX/ (XX) XXXXX X XXXXXX/ (XX) XĪXXXX XXX XXXXXXXX/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX JEW XXXXXX/ (XX) XXXXX OF XXXXXXX/ (XX) XXXXXĘĆ XXX STEMPEL/ (XX) XXXX OU XXXXXXX/ (XX) SIGILIUL XXX ȘXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (XX) XXXXX ALI XXX/ (XX) XXXXXXX XXX XXXXX/ (SV) XXXXXX XXXXX XXÄXXXX

REGISTROVANÉ XXXXXXXXXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX XXX XXXXXXX

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

Xxxxxx (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxx (DE)

Estonsko (EE) Xxxxx (XX)

Xxxxx (EL) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Malta (MT)

Nizozemsko (XX) Rakousko (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxxxxxx (SI)

Slovensko (XX) Xxxxxx (XX)

Xxxxxxx (XX) Spojené království (XX)

XXXXXXXX UPOZORNĚNÍ

Jediným xxxxxx xxxxxx vícejazyčného xxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxx xxxxxxxx veřejné listiny, x xxx je xxxxxxxx. Xxxxx xxxxxxxx xx xxxx xxxxxxxxx xxxxx xxxxx xxxxxxxxx xxxx samostatný dokument.

Tento xxxxxxxx xxxxxx xxxxx xxxxxxx xxxxxxx, x xxx xx xxxxxxxx. Xxxxx, jemuž je xxxxxxx listina xxxxxxxxxxx, xxxx xxxx v xxxxxxxxx, xxx je xx xxxxxxxx pro xxxxx zpracování xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx xxxxxxxxx, xxxxx xxxx xx xxxxxxxxx uvedeny.

UPOZORNĚNÍ PRO XXXXXXXXXX XXXXX

Xxxxxx pouze xxxxxxxxx, xxxxx jsou xxxxxxx xx xxxxxxx xxxxxxx, k xxx xx xxxxxxxx tento xxxxxxxx. (2)

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

1. ORGÁN XXXXXXXXXX TENTO XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

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

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

3.1.1 Rozhodnutí soudu

3.1.2 Xxxxxxx xxxxxx státním xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx xxxxxx soudním úředníkem

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

3.1.5 Xxxx (xxxxxxxxx)

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

(2) Xxx vyplňování xxxxx xxxxxxxx hůlkové xxxxx.

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

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

3.2 Xxxxxxx vydaná xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Výpis x xxxxxxx

3.2.3 Xxxxx x xxxxxxxx obyvatel

3.2.4 Xxxx xxxxxxxxxx xxxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Úřední osvědčení, xxxxxx byla xxxxxxxx xxxxxxx xxxxxxxxx soukromou xxxxxx

3.5 Listina vyhotovená xxxxxxxxxxxxx zástupcem nebo xxxxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxx x xxxxx xxxxxx jeho xxxxxxxxxx xxxxxxxxxx

3.6 Xxxxx (dd/mm/rrrr) xxxxxx

3.7 Xxxxxxxxxx číslo xxxxxxx xxxxxxx

4. REGISTROVANÉ XXXXXXXXXXX

4.1 Datum (dd/mm/rrrr) xxxxxxxxxx partnerství

4.2 Xxxxx (1) a xxxx (2) registrace xxxxxxxxxxx

5. XXXXXXX/XXXXXXXXX A

5.1 Xxxxx/x xxxxxxxx

5.2 Xxxxxxxx xxxx xxxxxxxxx xxxxxxxxxxxxxx xxxxxxxxxxx

5.3 Xxxxxxxx xx xxxxxxxx xxxxxxxxxxxxxx xxxxxxxxxxx

5.4 Jméno (xxxxx)

5.5 Xxxxx (dd/mm/rrrr) xxxxxxxx

5.6 Xxxxxxx:

5.6.1 Xxxx

5.6.2 Xxx

5.6.3 Xxxxxxxx

(1) Xxxxx „xxxxx registrace xxxxxxxxxxx“ xx xxxxxx název xxxx xxxx města, xxxxxx x xxxxx, xxx xxxx xxxx xxxxxxxxxx xxxxxxxxx.

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

6. XXXXXXX/XXXXXXXXX B

5.1 Xxxxx/x xxxxxxxx

5.2 Xxxxxxxx xxxx xxxxxxxxx registrovaného partnerství

5.3 Xxxxxxxx xx xxxxxxxx xxxxxxxxxxxxxx xxxxxxxxxxx

5.4 Xxxxx (xxxxx)

5.5 Datum (xx/xx/xxxx) xxxxxxxx

5.6 Xxxxxxx:

5.6.1 Xxxx

5.6.2 Xxx

5.6.3 Xxxxxxxx

7. XXXX XXX XXXXXX

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

7.2 Xxxxxx xxxxxxxx, xxxxx xxxxx xxxxx xxxxxxxx

7.3 Xxxxx (xx/xx/xxxx) vydání

7.4 Podpis

7.5 Xxxxx nebo razítko

VÍCEJAZYČNÝ XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXXXXXXXX XXXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX QUE XXXXXX XXXX XXXXXXX/ (XX) XXXXX VYDÁVAJÍCÍ XXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXX UDSTEDENDE XXXXXXXXX/ (XX) XXXÖXXX, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) KÄESOLEVA XXXXX XÄXXX XXXXXX XXXXXX/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (EN) XXXXXXXXX XXXXXXX XXXX FORM/ (XX) AUTORITÉ XX XXXXXXXXXX DU PRÉSENT XXXXXXXXXX/ (XX) AN xXXXXXX X XXXXXXXX XX XXXXXX SEO/ (XX) XXXXXX XXXX XXXXXX OVAJ OBRAZAC/ (XX) AUTORITÀ XXX XXXXXXXX XX XXXXXXXX XXXXXX/ (XX) VEIDLAPAS XXXXXĒXXXXXĀXX/ (XX) ŠIĄ XXXXĄ IŠDUODANTI VALDŽIOS XXXXXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXX/ (XX) AWTORITÀ XXXXXXXXX XX' DIN IL-FORMOLA/ (XX) AUTORITEIT VAN XXXXXXX XXX XXX XXXXXXXXX/ (PL) XXXXX XXXXXĄXX NINIEJSZY FORMULARZ/ (XX) XXXXXXXXXX XXX XXXXX X PRESENTE XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX TENTO XXXXXXXX/ (XX) XXXXX, XX XXXX XX OBRAZEC/ (XX) XÄXÄX LOMAKKEEN XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX SOM UTFÄRDAR XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (DE) XXXXXXXXXXX/ (ET) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (FR) DÉNOMINATION/ (XX)XXXXXXX/ (XX) NAZIV/ (XX) DENOMINAZIONE/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (NL) XXXXXXXX/ (XX) NAZWA/ (PT) XXXXXXXÇÃX/ (RO) XXXXXXXX/ (XX) NÁZOV/ (XX) XXX/ (XX) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XX XXXXXXXXX XXXXXXX AL XXX XX ADJUNTA ESTE XXXXXXX/ (XX) ORGÁN XXXXXXXXXX VEŘEJNOU XXXXXXX, X XXX XX XXXXXXXX XXXXX FORMULÁŘ/ (XX) XXX MYNDIGHED, XXX HAR XXXXXXX XXX OFFENTLIGE DOKUMENT, XXX XXXXX XXXXXXXX XX VEDHÆFTET/ (XX) XXXÖXXX, XXX XXX ÖXXXXXXXXXX URKUNDE, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX, AUSSTELLT/ (XX) XXXXXX, XXX ANDIS XÄXXX AVALIKU XXXXXXXXX, XXXXXXX XXX XXXX XX LISATUD/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) AUTHORITY XXXXXXX XXX PUBLIC XXXXXXXX XX XXXXX XXXX XXXX IS XXXXXXXX/ (XX) AUTORITÉ XX XXXXXXXXXX XX DOCUMENT XXXXXX AUQUEL EST XXXXX LE PRÉSENT XXXXXXXXXX/ (GA) AN xXXXXXX X XXXXXXXX XX DOICIMÉAD XXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) TIJELO XXXX XXXXXX XXXXX ISPRAVU XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX DOCUMENTO XXXXXXXX XXX XX XXXXXXXX XXXXXX È ALLEGATO/ (XX) XXXXXXXĀ XXXXXXXXX, XXXXX ŠĪ XXXXXXXX XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX KURIO PRIDEDAMA XX FORMA, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX/ (NL) XXXXXXXXXX XXX AFGIFTE XXX XXX OPENBAAR XXXXXXXX XXXXXXX DIT XXXXXXXXX XX XXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXX XXXĘXXXX, XX XXXXXXX XXXXXXXXX FORMULARZ XXXX ZAŁĄCZONY/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXXX PÚBLICO X XXX O XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (RO) XXXXXXXXXXX XXXXXXXĂ A DOCUMENTULUI XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXXXX LISTINU, XX KTOREJ XX XXXXX XXXXXXXX PRIPOJENÝ/ (XX) XXXXX, XX XXXX JAVNO XXXXXXX, XX JI XX XXXXXXXX XX OBRAZEC/ (XX) XXXXXXXXXXXX, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX TÄMÄ XXXXXX LIITETÄÄN/ (SV) XXXXXXXXX XXX UTFÄRDAR XXX XXXXXXXXXX HANDLING XXXX XXXXXX XXXXX XXXXXXÄX ÄR XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX AL XXXXXXXXX XXXXXXX AL XXX XX XXXXXXX ESTE XXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXX XXXXXXX, K XXX XX PŘILOŽEN XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXØXXXXX DET XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX URKUNDE, XXX XXXXXX XXXXXXXX BEIGEFÜGT XXX/ (ET) TEAVE XXXXXXX XXXXXXXXX XXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (EL) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXXXX XXXXXXXX TO THE XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (FR) XXXXXXXXXXXX RELATIVES XX XXXXXXXX PUBLIC XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX X BHAINEANN XXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (HR) XXXXXXXXXXX XXXX XX XXXXXX XX JAVNU XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX PRESENTE XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX PAR XXXXXXXX XXXXXXXXX, KURAM ŠĪ XXXXXXXX IR XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX DOKUMENTU, XXXX XXXXX PRIDEDAMA XX XXXXX/ (XX) X FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXXXX VONATKOZÓ XXXXXXXXXXX/ (XX) INFORMAZZJONI XXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX HIJA MEHMUŻA XXX IL-FORMOLA/ (NL) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX DOCUMENT XXXXXXX XXX FORMULIER IS XXXXXXX/ (PL) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX URZĘDOWEGO, XX KTÓREGO NINIEJSZY XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX XXXXXXXXX XXXXXXX X QUE X XXXXXXXX FORMULÁRIO ESTÁ XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXXXXXXX X XXXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX PRIPOJENÝ/ (XX) XXXXXXXXXXX X XXXXX X XXXXX XXXXXXX, XX XX XX XXXXXXXX TA XXXXXXX/ (FI) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXXXX XX XXX OFFICIELLA 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 O XX XXXXXXXXXXX XXXXXXXXX X XXX XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (CZ) LISTINA XXXXXX XXXXXXX XXXX XXXXXXXXX X XXXXXX XX XXXXX XXXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXXX, XXX XX XXXXXXX AF XX XXXXXXXXX XXXXX XX XXXXXXXXXX, XXX XX XXXXXXXXXX XXXXXXXX X XX XXXXXXXXXXX/ (XX) XXXXXXX XXXXX BEHÖRDE XXXX XXXXX AMTSPERSON XXX ORGAN XXX XXXXXXXXXXXX EINES XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX XXXXXXXXX SEOTUD XXXXXXXXXXX XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXX XX XX XXXXXXXX XXXXXXXXX XXXX XXX COURTS OR XXXXXXXXX XX X XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXX X'XXX XXXXXXXX XX X'XX XXXXXXXXXXXXX XXXXXXXX X'XXX XXXXXXXXXXX D'UN XXXX XXXXXX/ (GA) XXXXXXXXX X XXXXXXX X XXXXXX XX Ó XXXXXXXXX X BHFUIL XXXXX XXXX XX XXXX XX XXXXXXXXXX XX XX XXXXX XX XXXXX BALLSTÁIT/ (XX) XXXXXXX XXXX XX IZDALO XXXXXX XXX XXXXXXXXX XXXX XXXXXX XXXXXXX/ (IT) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ X XX XX FUNZIONARIO XXXXXXXXXXXX XX XXX XXXXX XXXXXXXXXXXXX DI XXX XXXXX XXXXXX/ (XX) XXXXXXXXX, KURU IZSNIEGUSI XX DALĪBVALSTS TIESĀM XXXXXĪXX IESTĀDE VAI XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX VALDŽIOS XXXXXXXXXXXX XX XXXXXXŪXX, SUSIJUSIŲ XX XXXXXXXĖX XXXĖX XXXXXXXX XX TRIBUNOLAIS/ (XX) TAGÁLLAMI BÍRÓSÁGGAL XXXXXXXXXXXX XXXX HATÓSÁG XXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX XXXXXXXÀ XXX UFFIĊJAL XX XXXXXXXX RABTA XXX-XXXXX XXX IT-TRIBUNALI XX' XXXX XXXXXX/ (XX) DOCUMENT XXXXXXXXX XXXX XXX XXXXXXXXXX XX XXXXXXXXX BEHORENDE XXX EEN XXXXXXXXXXXX XXXXXXXXX XXX EEN XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX OD XXXXXX XĄXXXXXX LUB URZĘDNIKA XĄXXXXXX PAŃSTWA XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX PROVENIENTE XX UMA AUTORIDADE XX DE XX XXXXXXXXXXX XXXXXXXXXX DE XXXXXXXX JURISDIÇÃO DE XX XXXXXX-XXXXXX/ (RO) XXXXXXXX XXXX XX X XXXXXXXXXX SAU XX XX FUNCȚIONAR XX XX XÂXXĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (XX) LISTINA XXXXXX ORGÁNOM ALEBO XXXXXXXXX X XÄXXXX XX XXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX, XXXXXX X XXXXXX XXXXXX XXX URADNIKA XXXXX XXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX ON XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN XX XXXXXXXXX XXXXX EN XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X EN MEDLEMSSTAT

3.1.1

(BG) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX JUDICIAL/ (CZ) XXXXXXXXXX XXXXX/ (DA) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) KOHTUOTSUS/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXX XX xXXXXX/ (XX) XXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (LT) XXXXXX XXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (NL) XXXXXXXXXXXX XXXXXXXXXX/ (XX) ORZECZENIE XĄXXXX/ (XX) XXXXXÃX XXXXXXXX/ (XX) 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 XXXXXX STÁTNÍM XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXXXX/ (XX) URKUNDE 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 XX XXXXXXÈXX XXXXXX/ (XX) DOICIMÉAD X THAGANN Ó XXXXXXXXXXXXXXX POIBLÍ/ (XX) XXXXXXX KOJU XX XXXXXX DRŽAVNO ODVJETNIŠTVO/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXXXX MINISTERO/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX DOKUMENTAS/ (XX) ÜGYÉSZ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (NL) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXX MINISTERIE/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (PT) XXXXXXXXX PROVENIENTE XX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX EMIS XX XX XXXXXXXX/ (SK) XXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXX, XX XX IZDA XXXXXXX XXXXXXXXX/ (FI) XXXXXXXXXX XXXXXÄXÄX ANTAMA XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX FRÅN ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX EXPEDIDO XXX XX XXXXXXXXXX JUDICIAL/ (XX) XXXXXXX VYDANÁ XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXÆX/ (XX) URKUNDE EINES XXXXXXXXXXXXXX DER GESCHÄFTSSTELLE XXXXX XXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) DOCUMENT XXXXXXXXX XXXX A XXXXX XX X XXXXX/ (XX) XXXXXXXX ÉMANANT X'XX XXXXXXXX/ (GA) XXXXXXXXX X XXXXXXX X XXXXXXXXXX DE XXXXX XXXXXX/ (HR) XXXXXXX XXXX XX XXXXX XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX DA XX XXXXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (LT) XXXXXX XXXXXXXXXX XXXXXXXX DOKUMENTAS/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX OKIRAT/ (XX) DOKUMENT XXĦXXĠ XXXX XXĠXXXXXXXX TA' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX OD XXXXXXXXXX XĄXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXX XX XXXXXÇX/ (XX) DOCUMENT EMIS XX XX GREFIER XX XXXXXXȚXX/ (SK) XXXXXXX XXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXX, XX XX XXXX XXXXX USLUŽBENEC/ (FI) XXXXXXXXXXXXXX SIHTEERIN XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXX («HUISSIER XX XXXXXXX»)/ (CZ) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („HUISSIER XX XXXXXXX“)/ (XX) DOKUMENT XXXXXXX XX XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (XX) XXXXXXX XXXXX GERICHTSVOLLZIEHERS/ (ET) XXXXXXXX, XXXXX ON XÄXXX XXXXXX KOHTUTÄITUR/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤ(-ΡΙΑ) («XXXXXXXX XX JUSTICE»)/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXXXX XXXXXXX ('HUISSIER DE XXXXXXX')/ (XX) DOCUMENT XXXXXXX D'UN XXXXXXXX XX JUSTICE/ (GA) XXXXXXXXX X XXXXXXX X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX JUSTICE”)/ (XX) ISPRAVA KOJU XX XXXXX XXXXXX XXXXXXXXX (HUISSIER XX XXXXXXX)/ (IT) XXXXXXXXX XXXXXXX DA XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX (XXXXXXXX XX XXXXXXX) XXXXXXXX DOKUMENTAS/ (XX) XXXXXXXX VÉGREHAJTÓ („XXXXXXXX XX JUSTICE”) XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX XX JUSTICE')/ (XX) DOCUMENT XXXXXXXXX XXXX XXX GERECHTSDEURWAARDER/ (XX) DOKUMENT XXXXXXXĄXX XX XXXĘXXXXX XĄXXXXXX (XXXXXXXX DE XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX ESCRIVÃO XX XXXXXXX («HUISSIER XX JUSTICE»)/ (XX) XXXXXXXX XXXX XX XX EXECUTOR XXXXXĂXXXXXX („XXXXXXXX DE JUSTICE”)/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXXXĽXX („HUISSIER XX XXXXXXX“)/ (SL) XXXXXXX, KI JO XXXX XXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX XX XXXXXXX”) XXXXXX XXXXXXXXX/ (SV) XXXXXXXX XXX HÄRRÖR FRÅN XX XXÄXXXXXXXXX (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (ESPECIFÍQUESE)/ (XX) XXXX (XXXXXXXXX)/ (XX) XXXXX (ANGIVES)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) XXX (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX XX XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (XX) XXXX (XX SONRÚ)/ (XX) XXXXXX (NAVESTI)/ (IT) XXXXX (PRECISARE)/ (XX) XXXX (PRECIZĒT)/ (LT) XXXX (XXXXXXXX)/ (XX) XXXXX (KÉRJÜK PONTOSÍTANI)/ (XX) OĦRAJN (XXXXXĊXŻX)/ (XX) XXXXXXX (SPECIFICEREN)/ (XX) XXXX (XXXXXĘ XXXXŚXXĆ)/ (XX) OUTROS (X ESPECIFICAR)/ (XX) XXXXX (X XX XXXXXXX)/ (SK) XXX (XXXXXXXX)/ (XX) DRUGO (XXXXXXX)/ (XX) MUU XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (SV) XXXXX XXXXXXXX (SPECIFICERAS)

3.2

(BG) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (ES) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (DA) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX VERWALTUNGSBEHÖRDE/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) ADMINISTRATIVE XXXXXXXX/ (FR) DOCUMENT XXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ (HR) UPRAVNA XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (NL) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) ADMINISTRATIV XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (CZ) XXXXXXXXX/ (XX) PÅTEGNING/ (DE) XXXXXXXXXXXXX/ (ET) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (EN) XXXXXXXXXXX/ (XX) CERTIFICAT/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (LT) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (MT) ĊXXXXXXXXX/ (XX) CERTIFICAAT/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX CERTIFICADO/ (RO) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) POTRDILO/ (XX) XXXXXXXX/ (XX) INTYG

3.2.2

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) EXTRACTO DEL XXXXXXXX CIVIL/ (XX) XXXXX X XXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX XXX DEM XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX XXXXX XXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XX X'XXXX XXXXX/ (XX) XXXXXXX AS XX xXXXX STÁDAIS XXXXXXXXXX/ (XX) IZVADAK XX XXXXXXXX OSOBNOG XXXXXX/ (XX) XXXXXXXX XX XXXX DI XXXXX CIVILE/ (XX) XXXXXXXX NO XXXXXXXĀXXXĻX XXXX REĢISTRA/ (XX) XXXXXXX IŠ CIVILINĖS XŪXXĖX XXXŲ XXXXXXXX/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) XXXXXXX MIR-REĠISTRU XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXX UIT XXX XXXXXXXX XXX DE XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXX XX XXXX XX REGISTO CIVIL/ (XX) XXXXXX XXX XXXXXXXXX XX XXXXX XXXXXĂ/ (SK) XXXXX X XXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXX XX XXXXXXXX O 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) XXXXXX XXX FOLKEREGISTRET/ (XX) XXXXXX AUS XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (EL) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX XXX XXXXXXXXXX REGISTER/ (FR) XXXXXXX XX REGISTRE XX LA POPULATION/ (XX) XXXXXXX XX XX xXXXX XXXXXX/ (XX) XXXXXXX IZ XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX NO IEDZĪVOTĀJU XXĢXXXXX/ (XX) IŠRAŠAS XX GYVENTOJŲ XXXXXXXX/ (XX) KIVONAT A XXXXXXXXXXXX- XX LAKCÍMNYILVÁNTARTÁSBÓL/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX Z XXXXXXXX XXXXXŚXX/ (PT) XXXXXXX XX REGISTO XX XXXXXXÇÃX/ (XX) XXXXXX XXX REGISTRUL XX XXXXXXȚĂ X XXXXXXȚXXX/ (SK) VÝPIS X XXXXXXXX OBYVATEĽOV/ (XX) XXXXXXX IZ XXXXXXXX PREBIVALSTVA/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX XX BEFOLKNINGSREGISTER

3.2.4

(BG) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX LITERAL XX XXXXX DEL XXXXXXXX XXXXX/ (CZ) XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXX XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX KOPIE XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (ET) XXXXXXXXXXXXXXXXXX XXXXXX/ (EL) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX XX XXXXX XXXXXX XXXXXXX/ (XX) XXXXX XXXXXXXXX X'XXXXX XX X'XXXX XXXXX/ (XX) XXXX XXXXX XX FHOCAL DE XXXXXXX XX STÁDAS XXXXXXXXX/ (XX) DOSLOVNI XXXXXXXX XX XXXXXXXXXX X XXXXXXX XXXXXX/ (XX) XXXXX XXXXXXXXX XX ATTO XX XXXXX CIVILE/ (XX) XXXXXXXĀXXXĻX AKTU REĢISTRA XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXĖX BŪKLĖS XXXŲ ĮRAŠŲ XXXXXXXĖ XXXXXX/ (HU) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXX TAL-ATTI TAL-ISTAT ĊXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXX XXX XXXXX XXX DE XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXŁXX AKTU STANU XXXXXXXXX/ (PT) XXXXXXÃX XX CÓPIA XXXXXXXX XX XX XXXXXXXXX XX XXXX XX XXXXXXX CIVIL/ (XX) XXXXX XXXXXĂ A XXXX ACT XX XXXXX XXXXXĂ/ (XX) XXXXXXXX VÝPIS ZO XXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXX XXXXXX LISTIN O XXXXXXX STANJU/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX SANATARKKA XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) ACTA XXXXXXXX/ (XX) NOTÁŘSKÁ XXXXXXX/ (DA) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) NOTARIELLE XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) NOTARIAL XXX/ (XX) ACTE NOTARIÉ/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX NOTARILE/ (XX) XXXXXXĀXX XXXX/ (XX) NOTARINIS XXXXX/ (XX) KÖZJEGYZŐI OKIRAT/ (XX) XXX NOTARILI/ (XX) NOTARIËLE XXXX/ (XX) XXX XXXXXXXXXX/ (XX) ATO NOTARIAL/ (XX) XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) NOTARSKA LISTINA/ (XX) XXXXXXXX XXXXXX XXXXXXXXX/ (SV) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX OFICIAL XXXXXX SOBRE XX XXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXX, KTERÝM XXXX XXXXXXXX XXXXXXX XXXXXXXXX SOUKROMOU XXXXXX/ (XX) XXXXXXXX XÅXXXXXXX XÅ XX XXXXXXXX XXXXXXXXXXX XX EN XXXXXX X XXXXXX XXXXXXXX XX PRIVATPERSON/ (XX) XXXXXXXX BESCHEINIGUNG XXX XXXXX XXXXXXXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXXXX ALLKIRJASTATUD DOKUMENDILE XXXXXXXXXX XXXXXXX TÕEND/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX PLACED XX X DOCUMENT SIGNED XX X XXXXXX XX XXX OR XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX SUR UN XXXX SOUS XXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX A CHUIRTEAR XX XXXXXXXXXX ARNA XXXXXX XX XXXXX XXX XXXXX XX XXX XXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX NA XXXXXXX XXXX XX OSOBA XXXXXXXXX X PRIVATNOM XXXXXXXX/ (IT) DICHIARAZIONE XXXXXXXXX XXXXXXX SU XXX SCRITTURA XXXXXXX/ (XX) OFICIĀLS XXXXXXXXĀXXXX XX DOKUMENTA, KO XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (XX) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX PATVIRTINIMAI/ (XX) MAGÁNOKIRATON XXXXXXXXXXX XXXXXXXXX TANÚSÍTVÁNY/ (XX) ĊXXXXXXXXX XXXXĊXXXX XX XXXXXXXĦXX X'XXXXXXXX IFFIRMAT XXXX XXXXXXX FIL-KAPAĊITÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXX ONDERTEKEND XXXX EEN XXXXXXX XX XXXX PARTICULIERE XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX PODPISANYM PRZEZ XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX PRYWATNYM/ (PT) XXXXXXXÇÃX OFICIAL INSERTA XXX XXX XX XXXXXXXX XXXXXXX/ (RO) XXXXXXXXXX XXXXXXX XXXXXXX XX XX XXXXXXXX XXX SEMNĂTURĂ PRIVATĂ/ (XX) ÚRADNÉ XXXXXXXXXX XXXXXXX NA XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXX XX XXXXXXX LISTINI/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, XXXXX HENKILÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) OFFICIELLT INTYG 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/ (ES) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXXXXX O XXXXXXXX DE XX XXXXXX XXXXXXX XXX XXXXXXXX XXXXXXX/ (CZ) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX STÁTU X RÁMCI XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX XX XX XXXXXXXXXXXX XXXXXXXXXXXX ELLER XXXXXXÆXX XXXXÆXXXXXXX/ (DE) XXX XXXXX XXXXXXXXXXXXXX XXXX KONSULARISCHEN XXXXXXXXX XXXXX XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (ET) XXXXXXXXXXXX DIPLOMAATILISE XÕX XXXXXXXXXXXXXXXXX POOLT XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX DRAWN XX BY A XXXXXXXXXX XX CONSULAR XXXXX XX A XXXXXX XXXXX IN XXX OR HER XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXX XX XX QUALITÉ XXXXXXXXXX XXX XX XXXXX XXXXXXXXXXXX XX XXXXXXXXXX X'XX XXXX XXXXXX/ (XX) DOICIMÉAD XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX TAIDHLEOIREACHTA XX XXXXXXXXX DE XXXXX XXXXXXXXX XXX CHÁIL XX XXX CÁIL XXXXXXXXX/ (XX) ISPRAVA XXXX XX X XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXX ILI KONZULARNI XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX REDATTO XX XXXXXX XXXXXXXXXXX X XXXXXXXXX XX XXX XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (LV) XXXXXXXXX, XXXX, XXXXXX XXXXX XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (LT) DOKUMENTAS, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX AR KONSULINIO XXXXXXŪXX, VEIKIANČIO XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX TAGÁLLAM XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX XXXXX XXXXXXXXX MINŐSÉGÉBEN XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXXX XXXX XĠXXX XXXXXXXXXXX XXX XXXXXXXXX TA' STAT XXXXXX FIL-KAPAĊITÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX DOOR DE XXXXXXXXXXXX XX CONSULAIRE XXXXXXXXX XXX EEN XXXXXXXX XX XXXX XXXXXXËXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXĄXXXXX PRZEZ XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX KONSULARNEGO PAŃSTWA XXŁXXXXXXXXXXX XXXXŁXXĄXXXX W XXXXXXXXXXX URZĘDOWYM/ (PT) XXXXXXXXX LAVRADO POR XX XXXXXX XXXXXXXXXXX XX XXXXXXXX XX XX XXXXXX-XXXXXX NO XXXXXXXXX XXX XXXX XXXÇÕXX OFICIAIS/ (XX) XXXXXXXX ÎXXXXXXX XX XĂXXX XX XXXXX XXXXXXXXXX SAU XXXXXXXX XX XXXX XXXX XXXXXX, ÎN XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX KONZULÁRNYM ÚRADNÍKOM XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXX, XX XX KOT XXXXXX OSEBA IZDA XXXXXXXXXXX XXX KONZULARNI XXXXXXXXXXX XXXXXX ČLANICE/ (XX) ASIAKIRJA, JONKA XÄXXXXXXXXXX DIPLOMAATTINEN XXXXXXXX XXX XXXXXXXXXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXÄXXXX I XXÄXXXXX AV EN XXXXXXXXXXX ELLER XXXXXXÄX XXÄXXXXXXX X EN XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) XXXXXX/ (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 ISSUE/ (XX) DATE (JJ/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) DATA XX XXXXXXXX (GG/MM/AAAA)/ (XX) IZDOŠANAS 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) XXXXXXX/ (XX) XXXX DE EMISSÃO (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (ES) XXXXXX DE XXXXXXXXXX XXX DOCUMENTO XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (XX) XXX OFFENTLIGE XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖXXXXXXXXXXX URKUNDE/ (XX) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (EL) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (EN) REFERENCE XXXXXX OF THE XXXXXX XXXXXXXX/ (FR) XXXXXX DE XXXXXXXXX XX DOCUMENT XXXXXX/ (XX) XXXXXX XXXXXXXXX XX DOICIMÉID XXXXXXX/ (XX) REFERENTNI BROJ XXXXX ISPRAVE/ (IT) XXXXXX DI XXXXXXXXXXX XXX DOCUMENTO XXXXXXXX/ (XX) XXXXXXXĀ DOKUMENTA XXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXX/ (XX) A XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXX TA' REFERENZA XXX-XXXXXXXX XXXXXXXX/ (NL) XXXXXXXXXXXXXXXX VAN XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXX XX XXXXXÊXXXX XX XXXXXXXXX PÚBLICO/ (RO) XXXĂXXX XX XXXXXXXȚĂ XX XXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) YLEISEN XXXXXXXXXX XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX HANDLINGENS XXXXXXXXXXXXXX

4.

(XX) РЕГИСТРИРАНО ПАРТНЬОРСТВО/ (XX) XXXXX DE XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXX/ (DA) XXXXXXXXXXX PARTNERSKAB/ (XX) XXXXXXXXXXXX PARTNERSCHAFT/ (XX) XXXXXXXXXXXXXX KOOSELU/ (XX) ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΥΜΒΙΩΣΗ/ (XX) XXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXXX/ (HR) XXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXX XXXXXXXXXX/ (LV) XXĢXXXXĒXXX PARTNERATTIECĪBAS/ (XX) XXXXXXXXXXX XXXXXXXXXXĖ/ (XX) XXXXXXXXXX ÉLETTÁRSI XXXXXXXXX/ (XX) XĦXXXXX RREĠISTRATA/ (XX) XXXXXXXXXXXXX XXXXXXXXXXXX/ (XX) ZAREJESTROWANY XXXĄXXX XXXXXXXXXX/ (PT) XXXXXXXX XXXXXXXXX/ (RO) PARTENERIAT ÎXXXXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXX/ (XX) REGISTRIRANA XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXÖXXX XXXXXXXXX/ (XX) XXXXXXXXXXX PARTNERSKAP

4.1

(BG) ДАТА (ДД/ММ/ГГГГ) НА РЕГИСТРИРАНЕ НА АКТА/ (XX) XXXXX (DD/MM/AAAA) DE XXXXXXXXXXX XX LA XXXXX XX HECHO/ (XX) DATUM (DD/MM/RRRR) XXXXXXXXXX XXXXXXXXXXX/ (DA) XXXX (XX/XX/ÅÅÅÅ) XXX XXXXXXXXXXXXXX AF XXXXXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXX EINTRAGUNG XXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXXXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΚΑΤΑΧΩΡΙΣΗΣ ΤΗΣ ΠΡΑΞΗΣ/ (XX) XXXX (DD/MM/YYYY) XX THE REGISTRATION XX THE XXXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) X'XXXXXXXXXXXXXX XX PARTENARIAT/ (XX) XXXX (LL/MM/BBBB) XXXXXX NA PÁIRTNÉIREACHTA/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXXXXXX XXXXXXXXXXX/ (IT) XXXX XX XXXXXXXXXXXXX XXXX'XXXX (GG/MM/AAAA)/ (XX) XXXXXXXXXXXXXĪXX XXĢXXXXĀXXXXX XXXXXX (XX/XX/XXXX)/ (XX) PARTNERYSTĖS XXXXXXXXXXXXX XXXX (XX/XX/XXXX)/ (XX) XX ÉLETTÁRSI XXXXXXXXX XXXXXXXXXXXXX IDEJE (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) XXX-XXĠXXXXXXXXXXX TAS-SĦUBIJA/ (XX) DATUM (XX/XX/XXXX) XXX DE REGISTRATIE XXX DE XXXX/ (XX) XXXX (DD/MM/RRRR) XXXXXXXXXXX XXXĄXXX PARTNERSKIEGO/ (XX) DATA XX XXXXXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) ÎXXXXXXXXĂXXX XXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXXXX REGISTROVANÉHO XXXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX REKISTERÖINTIPÄIVÄ (XX/XX/XXXX)/ (SV) DATUM (XX/XX/ÅÅÅÅ) FÖR REGISTRERING XX XXXXXXXXXXXXX

4.2

(XX) МЯСТО И ДЪРЖАВА НА РЕГИСТРИРАНЕ НА АКТА/ (XX) LUGAR X XXXX XX XXXXXXXXXXX XX XX XXXXX XX XXXXX/ (XX) XXXXX X ZEMĚ XXXXXXXXXX XXXXXXXXXXX/ (XX) XXXX XX XXXX XXX REGISTRERINGEN AF XXXXXXXXXXXXX/ (DE) ORT XXX XXXX XXX XXXXXXXXXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXX REGISTREERIMISE XXXX XX XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΚΑΤΑΧΩΡΙΣΗΣ ΤΗΣ ΠΡΑΞΗΣ/ (XX) PLACE XXX COUNTRY OF XXX REGISTRATION OF XXX XXXXXXXXXXX/ (FR) XXXX XX XXXX X'XXXXXXXXXXXXXX XX XXXXXXXXXXX/ (XX) XXX XXXX XXX XXXXXX XX XXXXXXXXXXXXXXX/ (XX) XXXXXX X XXXXXX REGISTRIRANJA XXXXXXXXXXX/ (XX) XXXXX X XXXXX DI XXXXXXXXXXXXX DELL'ATTO/ (XX) XXXXXXXXXXXXXĪXX XXĢXXXXĀXXXXX VIETA XX XXXXXX/ (XX) XXXXXXXXXXĖX XXXXXXXXXXXXX XXXXX XX XXXXX/ (HU) XX ÉLETTÁRSI XXXXXXXXX XXXXXXXXXXXXX XXXXX ÉS XXXXXXX/ (XX) XXXX X XXXXXŻ XXX-XXĠXXXXXXXXXXX XXX-XĦXXXXX/ (XX) XXXXXX XX XXXX VAN XX XXXXXXXXXXX XXX XX XXXX/ (XX) XXXXXXX I PAŃSTWO XXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX / (XX) XXXXX X PAÍS XX XXXXXXX DA PARCERIA/ (XX) LOCUL ȘX ȚXXX ÎXXXXXXXXĂXXX XXXXXXX/ (XX) XXXXXX A XXXX XXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXX XX DRŽAVA REGISTRACIJE XXXXXXXXXX SKUPNOSTI/ (XX) XXXXXXXXXXX XXXXXXXXÖXXXXXXXXXX JA -XXX/ (XX) XXX XXX LAND XÄX XXXXX XXXXXXXXXXXXX

5.

(XX) ПАРТНЬОР А/ (XX) XXXXXXX X/ (CZ) XXXXXXX/XXXXXXXXX X/ (XX) XXXXXXX X/ (XX) XXXXXXX X/ (ET) XXXXXXX X/ (EL) ΣΥΝΤΡΟΦΟΣ Α/ (XX) XXXXXXX X/ (XX) XXXXXXXXXX X/ (GA) XXXXXXXXX X/ (HR) PARTNER X/ (XX) XXXXXXX X/ (LV) XXXXXXXXX X/ (XX) XXXXXXXXX X/ (HU) „A” XXXXXXXXX/ (XX) SIEĦEB X/ (NL) XXXXXXX X/ (XX) XXXXXXX X/ (XX) XXXXXXXX X/ (RO) XXXXXXXXXX X/ (SK) XXXXXXX X/ (XX) XXXXXXX X/ (FI) XXXXXXXX X/ (SV) PARTNER X

5.1

(XX) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (ES) XXXXXXXX(X) XX XXXXXXXXXX/ (XX) XXXXX/X PŘÍJMENÍ/ (XX) EFTERNAVN(E) XXX XØXXXXX/ (DE) XXXXXXXXXXXX(X) XXX DER XXXXXX/ (XX) SÜNNIJÄRGNE XXXXXXXXXXXXX (XÜXXXXÄXXXXX XXXXXXXXXXXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (EN) XXXXXXX(X) XX XXXXX/ (XX) XXX(X) À XX XXXXXXXXX/ (XX) SLOINNE (XXXXXXXX) XXXXXXX/ (HR) XXXXXXX(XX) XXX XXĐXXXX/ (XX) XXXXXXX/X XXXX XXXXXXX/ (XX) XXXĀXXX(-X) XXXXXXXXX BRĪDĪ/ (LT) XXXXXXĖ (-ĖS), XXXXXXXX (-XX) XXXXX/ (XX) XXÜXXXXXX XXXXXXX XXXX(X)/ (XX) KUNJOM(/KUNJOMIJIET) XXX-XXXXXX/ (XX) XXXXXXXX(X)X(XX) BIJ XX XXXXXXXX/ (XX) XXXXXXXX(-X) XXXXXX/ (XX) XXXXXXX(X) À XXXX XX XXXXXXXXXX/ (RO) XXXXXX XX NAȘTERE/ (XX) RODNÉ PRIEZVISKO(-Á)/ (XX) PRIIMEK/PRIIMKI XX XXXXXXX/ (FI) SUKUNIMI (-XXXXX) XXXXXXÄXXXXXXXÄ/ (XX) XXXXXXXXX XXX XÖXXXXX

5.2

(XX) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ АКТА/ (XX) APELLIDO(S) XXXXX XX LA XXXXXXXXXXX/ (CZ) XXXXXXXX XXXX UZAVŘENÍM REGISTROVANÉHO XXXXXXXXXXX/ (DA) EFTERNAVN(E) XØX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX(X) VOR XXX XXXXXXXXXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX (-XXXXX) XXXX REGISTREERIMIST/ (EL) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΑΠΟ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (XX) SURNAME(S) XXXXXX XXX XXX/ (XX) XXX(X) XXXXX X'XXXX/ (XX) XXXXXXX (XXXXXXXX) XXXXX AN nGNÍOMH/ (XX) XXXXXXX(XX) XXXXX XXXXXXXXXXXXX PARTNERSTVA/ (XX) XXXXXXX/X XXXXX XXXX'XXXX/ (XX) XXXĀXXX(-X) XXXXX XXXX/ (XX) PAVARDĖ (-ĖX) PRIEŠ XXXXXXXX XXXĄ/ (HU) CSALÁDI XXXX(X) XX XXXXXXXXX XXXXXXXXX XXXXXXXXXX XXŐXX/ (XX) XXXXXX(/XXXXXXXXXXX) QABEL X-XXX/ (XX) XXXXXXXX(X)X(XX) XXXX XX XXXX/ (XX) XXXXXXXX(-X) XXXXX XXXXXXXXXXĄ XXXĄXXX/ (PT) XXXXXXX(X) XXXXX XX XXX/ (XX) NUMELE ÎXXXXXX XX ÎXXXXXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX(-X) XXXX UZAVRETÍM XXXXXXXXXXXXXX XXXXXXXXXXX/ (SL) XXXXXXX/XXXXXXX XXXX REGISTRACIJO XXXXXXXXXX XXXXXXXXX/ (FI) XXXXXXXX (-XXXXX) ENNEN XXXXXXXXÖXXXXÄ/ (XX) XXXXXXXXX XÖXX XXXÅXXXXX

5.3

(XX) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА РЕГИСТРИРАНЕТО НА АКТА/ (XX) XXXXXXXX(X) XXXXXXX XX XX INSCRIPCIÓN/ (XX) XXXXXXXX PO XXXXXXXX XXXXXXXXXXXXXX PARTNERSTVÍ/ (DA) XXXXXXXXX(X) XXXXX REGISTRERINGEN/ (XX) FAMILIENNAME(N) XXXX XXX XXXXXXXXXX DER XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX (-XXXXX) XÄXXXX REGISTREERIMIST/ (XX) ΕΠΏΝΥΜΟ(-Α) ΜΕΤΑ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (XX) XXXXXXX(X) XXXXXXXXX XXX XXX/ (XX) XXX(X) À LA XXXXX DE X'XXXX/ (XX) XXXXXXX (SLOINNTE) XXX XXX XX XXXXXX/ (XX) XXXXXXX(XX) XXXXX XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) COGNOME/I DOPO X'XXXX/ (XX) XXXĀXXX(-X) XĒX XXXX/ (LT) XXXXXXĖ (-ĖX) XX XXXX XXXXXXXX/ (XX) XXXXXXX XXXX(X) XX XXXXXXXXX XXXXXXXXX BEJEGYZÉSE XXXX/ (XX) XXXXXX(/XXXXXXXXXXX) XXXX X-XXX/ (NL) XXXXXXXX(X)X(XX) XX XX XXXX/ (PL) NAZWISKO(-A) XX XXXXXXXXXXX XXXĄXXX/ (XX) APELIDO(S) XXXX X ATO/ (XX) XXXXXX XXXĂ ÎXXXXXXXXXXXX XXXXXXXXXXXXXXX/ (XX) PRIEZVISKO(-Á) XX UZAVRETÍ REGISTROVANÉHO XXXXXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX REGISTRACIJI PARTNERSKE XXXXXXXXX/ (FI) XXXXXXXX (-XXXXX) XXXXXXXXÖXXXXX JÄLKEEN/ (XX) XXXXXXXXX XXXXX XXXÅXXXXX

5.4

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (CZ) XXXXX (JMÉNA)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) EESNIMI (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) IME(NA)/ (IT) XXXX(X)/ (LV) XĀXXX(-X)/ (XX) XXXXXX (-AI)/ (XX) UTÓNEVE(I)/ (XX) XXXX(/XXXXXXXX)/ (NL) XXXXXX(X)X(XX)/ (XX) XXXĘ (XXXXXX)/ (XX) XXXX(X) XXXXXXX(X)/ (XX) XXXXXXX/ (SK) XXXX(-X)/ (SL) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (XX) FÖRNAMN

5.5

(BG) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) FECHA (DD/MM/AAAA) XX XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) SÜNNIKUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX BIRTH/ (XX) DATE (JJ/MM/AAAA) XX NAISSANCE/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (IT) XXXX XX XXXXXXX (XX/XX/XXXX)/ (XX) DZIMŠANAS DATUMS (XX/XX/XXXX)/ (XX) GIMIMO XXXX (DD/MM/MMMM)/ (HU) XXÜXXXXXX IDEJE (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXX-XXXXXX/ (XX) GEBOORTEDATUM (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX DE XXXXXXXXXX (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (XX/XX/XXXX) NARODENIA/ (XX) DATUM (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

5.6

(XX) ПОЛ/ (XX) XXXX/ (CZ) XXXXXXX/ (XX) XØX/ (DE) XXXXXXXXXX/ (XX) SUGU/ (XX) ΦΥΛΟ/ (XX) XXX/ (FR) XXXX/ (XX) XXXXXX/ (XX) XXXX/ (IT) XXXXX/ (XX) DZIMUMS/ (XX) XXXXX/ (HU) XXXX/ (XX) SESS/ (XX) XXXXXXXX/ (PL) XŁXĆ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXX/ (FI) XXXXXXXXX/ (XX) KÖN

5.6.1

(BG) ЖЕНСКИ/ (XX) MUJER/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (EL) ΘΗΛΥ/ (XX) FEMALE/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (HR) ŽENSKI/ (XX) FEMMINILE/ (XX) XXXXXXXX/ (LT) MOTERIS/ (XX) XŐ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (RO) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX

5.6.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (XX) XXXX/ (XX) MÄNNLICH/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (GA) FIREANN/ (XX) MUŠKI/ (IT) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) VYRAS/ (XX) XXXXX/ (MT) XXĠXX/ (XX) MAN/ (XX) XĘŻXXXXXX/ (XX) MASCULINO/ (XX) BĂRBĂTESC/ (SK) XXXXXX/ (SL) XXXXX/ (XX) XXXX/ (XX) XXX

5.6.3

(XX) НЕОПРЕДЕЛЕН/ (ES) XXXXXXXXXXXXX/ (XX) NEURČENO/ (XX) UBESTEMT/ (DE) XXXXXXXXXX/ (ET) MÄÄRAMATA/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) UNDETERMINED/ (XX) XXXXXXXXXXX/ (XX) NEAMHCHINNTITHE/ (XX) XXXXXXĐXX/ (IT) XXXXXXXXXXXXX/ (LV) NENOTEIKTS/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

6.

(XX) ПАРТНЬОР X/ (ES) MIEMBRO X/ (CZ) XXXXXXX/XXXXXXXXX X/ (XX) XXXXXXX X/ (XX) XXXXXXX X/ (ET) XXXXXXX X / (XX) ΣΥΝΤΡΟΦΟΣ X/ (XX) XXXXXXX X/ (XX) XXXXXXXXXX X/ (XX) XXXXXXXXX B/ (XX) XXXXXXX X/ (XX) XXXXXXX X/ (XX) XXXXXXXXX B/ (XX) XXXXXXXXX X/ (HU) „X” XXXXXXXX/ (MT) XXXĦXX X/ (XX) XXXXXXX B/ (XX) XXXXXXX X/ (PT) XXXXXXXX X/ (XX) XXXXXXXXXX X/ (XX) XXXXXXX B/ (XX) XXXXXXX X/ (FI) XXXXXXXX X/ (SV) XXXXXXX B

7.

(BG) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX LA XXXXX/ (XX) XXXX XXX XXXXXX/ (DA) XXXXXXXXXXXXXXXX/ (XX) UNTERSCHRIFTENFELD/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) XXXXX POUR LA XXXXXXXXX/ (XX) XXXXX XXX SÍNIÚ/ (XX) XXXXX XX POTPIS/ (XX) XXXXXXXX XXX XX XXXXX/ (XX) XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXX/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) VAK XXXX XX HANDTEKENING/ (XX) XXXX PODPISU/ (XX) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXXX NA XXXXXX/ (XX) XXXXX XX XXXXXX/ (FI) XXXXXXXXXXXXXXXXXXÄ/ (SV) RUTA XÖX UNDERTECKNANDE

7.1

(BG) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) APELLIDO(S) X XXXXXX(X) XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (CZ) XXXXXXXX X JMÉNO (XXXXX) ÚŘEDNÍKA, KTERÝ XXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXXX(X) OG XXXXXXX(X) PÅ XXX XXXXXXXXXX, XXX HAR XXXXXXX DENNE FORMULAR/ (XX) XXXXXXXXXXXX(X) XXX XXXXXXX(X) XXX XXXXXXX, XXX DIESES FORMULAR XXXXXXXXXXX XXX/ (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) AND FORENAME(S) XX XXX OFFICIAL XXX XXXXXX THIS XXXX/ (FR) XXX(X) XX XXXXXX(X) DU XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX OIFIGIGH X X’XXXXXX XX XXXXXX XXX/ (HR) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX XXXX JE XXXXX OVAJ XXXXXXX/ (XX) XXXXXXX/X X XXXX/X DEL FUNZIONARIO XXX XX XXXXXXXXXX XX PRESENTE XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, XXXĀXXX(-X) XX VĀRDS(-I)/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖX) XX XXXXXX (-XX)/ (XX) A XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXX XXXX(X) ÉS XXXXXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦAREĠ DIN XX-XXXXXXX/ (XX) XX(X)X(XX) XX XXXXXX(X)X(XX) VAN XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) X IMIĘ (XXXXXX) XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXX(X) X NOME(S) XXXXXXX(X) XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX FORMULÁRIO/ (XX) XXXXXX ȘX PRENUMELE XXXXȚXXXXXXXXX CARE A XXXX XXXXXXXXX XXXXXXXX/ (XX) PRIEZVISKO(-Á) A XXXX(-X) ÚRADNÍKA, KTORÝ XXXXX XXXXX XXXXXXXX/ (XX) PRIIMEK/PRIIMKI IN XXX/XXXXX URADNIKA, XX XX XXXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX VIRKAMIEHEN XXXXXXXX (-XXXXX) JA XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX XXX XÖXXXXX XÅ DEN XXÄXXXXXXX XXX XXX UTFÄRDAT XXXXX XXXXXXÄX

7.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX DEL XXXXXXXXXXX XXX XXXXXXX XXXX IMPRESO/ (XX) XXXXXX XXXXXXXX, XXXXX XXXXX TENTO FORMULÁŘ/ (XX) XXXXXXXX — XXX XXXXXXXXXX, DER XXX UDSTEDT XXXXX XXXXXXXX/ (DE) STELLUNG XXX XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (ET) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX XX XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) XXXXX XX XXXXXXXXXXXXX XXX X DÉLIVRÉ XX XXXXXXX XXXXXXXXXX/ (XX) XXXX XX XXXXXXXX X D’EISIGH AN XXXXXX XXX/ (XX) XXXXXXXX SLUŽBENIKA KOJI XX XXXXX XXXX XXXXXXX/ (XX) POSIZIONE XXX FUNZIONARIO CHE XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX IZDEVUSI XX XXXXXXXX, XXXXX/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) FUNCTIE XXX XX XXXXXXXXX XXX XXX FORMULIER XXXXX XXXXXXXXX/ (PL) XXXXXXXXXX XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX DO XXXXXXXXXXX XXX XXXXXX X XXXXXXXX FORMULÁRIO/ (XX) XXXXȚXX FUNCȚIONARULUI XXXX X EMIS XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, KTORÝ XXXXX TENTO XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XX XX IZDAL XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX ANTANEEN XXXXXXXXXXX ASEMA/ (SV) XXXXXXXXXX FÖR XXX XXÄXXXXXXX XXX HAR XXXÄXXXX XXXXX XXXXXXÄX

7.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXX/ (XX) UDSTEDELSESDATO (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (JJ/MM/AAAA) XX XXXXXXXXXX/ (XX) DÁTA (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) DATA XX XXXXXXXX (GG/MM/AAAA)/ (LV) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) IŠDAVIMO XXXX (XX/XX/XXXX)/ (HU) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (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 (ZZ/LL/AAAA) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) IZDAJE/ (XX) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

7.4

(XX) ПОДПИС/ (XX) XXXXX/ (CZ) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (ET) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (GA) SÍNIÚ/ (XX) POTPIS/ (XX) XXXXX/ (XX) PARAKSTS/ (XX) XXXXXXX/ (HU) XXXXXXX/ (XX) XXXXX/ (XX) HANDTEKENING/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (XX) SEMNĂTURA/ (SK) XXXXXX/ (SL) XXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

7.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X TIMBRE/ (CZ) XXXXX XXXX XXXXXXX/ (XX) XXXX XXXXX XXXXXXX/ (XX) XXXXXX XXXX XXXXXXX/ (XX) XXXXXX XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (EN) XXXX XX XXXXX/ (XX) SCEAU OU XXXXXX/ (XX) XXXXX XX STAMPA/ (HR) XXX XXX XXXXX/ (XX) XXXXX O XXXXXX/ (XX) ZĪMOGS XXX XXXXXXXX/ (XX) XXXXXXX ARBA ANTSPAUDAS/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (MT) SIĠILL XXX XXXXXX/ (XX) XXXXX XX STEMPEL/ (XX) XXXXXĘĆ XXX XXXXXXX/ (XX) SELO XX CARIMBO/ (XX) XXXXXXXX XXX ȘTAMPILA/ (XX) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (XX) XXXXX ALI XXX/ (XX) XXXXXXX XXX XXXXX/ (SV) XXXXXX XXXXX STÄMPEL

ZPŮSOBILOST X XXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX PRO XXXXXXX

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

Xxxxxx (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (CZ)

Dánsko (XX) Xxxxxxx (XX)

Xxxxxxxx (EE) Xxxxx (IE)

Řecko (XX) Xxxxxxxxx (XX)

Xxxxxxx (FR) Xxxxxxxxxx (HR)

Itálie (XX) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (LU)

Maďarsko (XX) Malta (XX)

Xxxxxxxxxx (XX) Rakousko (XX)

Xxxxxx (XX) Portugalsko (XX)

Xxxxxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Xxxxxx (FI)

Švédsko (XX) Xxxxxxx království (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx účelem xxxxxx xxxxxxxxxxxxx standardního xxxxxxxxx xx xxxxxxxxx xxxxxxxx veřejné xxxxxxx, x xxx xx xxxxxxxx. Tento xxxxxxxx xx xxxx členskými xxxxx nesmí xxxxxxxxx xxxx xxxxxxxxxx dokument.

Tento xxxxxxxx xxxxxx xxxxx xxxxxxx xxxxxxx, x xxx xx xxxxxxxx. Xxxxx, xxxxx je xxxxxxx listina xxxxxxxxxxx, xxxx xxxx x xxxxxxxxx, kdy xx xx nezbytné xxx xxxxx xxxxxxxxxx veřejné xxxxxxx, xxxxxxxxx xxxxxxx xx přepis informací, xxxxx xxxx xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX XXXXX

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

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

1. XXXXX XXXXXXXXXX TENTO FORMULÁŘ

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

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

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

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 („huissier xx xxxxxxx“)

3.1.5 Xxxx (xxxxxxxxx)

(1) Xx. věst. L 200, 26.7.2016, x. 1.

(2) Xxx xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

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

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

3.2 Xxxxxxx vydaná xxxxxxxx xxxxxx

3.2.1 Osvědčení

3.2.2 Výpis x matriky

3.2.3 Xxxxx x registru xxxxxxxx

3.2.4 Xxxx matričních záznamů

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Úřední xxxxxxxxx, xxxxxx byla xxxxxxxx xxxxxxx podepsaná xxxxxxxxx xxxxxx

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

3.6 Xxxxx (dd/mm/rrrr) xxxxxx

3.7 Referenční xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXX X XXXXXXX OSOBĚ

4.1 Xxxxxxxx

4.2 Xxxxx (jména)

4.3 Xxxxx (dd/mm/rrrr) xxxxxxxx

4.4 Xxxxx (1) x xxxx (2) xxxxxxxx

4.5 Xxxxxxx:

4.5.1 Žena

4.5.2 Xxx

4.5.3 Xxxxxxxx

4.6 Státní xxxxxxxxxxx

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

5.1 Je xxxxxxx xxxxx xxxxxxxxx xxxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxx vnitrostátního xxxxx xxxxxxxxx státu, x xxxx xx veřejná xxxxxxx vydána.

5.2 Dotyčná xxxxx xxxxxx xxxxxxxxxx xxx xxxx jménem xxxxxxxxxxxx xxxxxxxxxxx xxxxx xxxxxxxxxxxxxx xxxxx xxxxxxxxx xxxxx, v němž xx xxxxxxx xxxxxxx xxxxxx.

5.3 Xxxxxxxxxx žádná xxxxx xxxxxxxx, aby xxxxxxx osoba xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxx xxxxxxxxxxxxxx xxxxx členského xxxxx, x xxxx xx xxxxxxx xxxxxxx xxxxxx.

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

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

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

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

(3) Xxx xxxxxx xxxx xxxxxxxx.

6. XXXXXXXXX X XXXXXXXX XXXXXXXXXX / BUDOUCÍ XXXXXXXXX XXXXXXX XXXXX

4.1 Xxxxxxxx

4.2 Xxxxx (jména)

4.3 Xxxxx (xx/xx/xxxx) narození

4.4 Xxxxx (1) a xxxx (2) xxxxxxxx

4.5 Xxxxxxx:

4.5.1 Xxxx

4.5.2 Muž

4.5.3 Xxxxxxxx

4.6 Xxxxxx xxxxxxxxxxx

7. XXXX XXX XXXXXX

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

7.2 Xxxxxx xxxxxxxx, který xxxxx tento formulář

7.3 Xxxxx (xx/xx/xxxx) vydání

7.4 Xxxxxx

7.5 Xxxxx nebo xxxxxxx

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

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

XXXXXXXXXXX GLOSÁŘ XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXXXXXXX KE XXXXXX XX XXXXXXXXXXXXXX XXXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX EXPIDE XXXX XXXXXXX/ (XX) XXXXX VYDÁVAJÍCÍ TENTO XXXXXXXX/ (XX) DENNE XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) KÄESOLEVA XXXXX XÄXXX XXXXXX ASUTUS/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) AUTHORITY XXXXXXX XXXX FORM/ (XX) XXXXXXXX DE XXXXXXXXXX XX PRÉSENT FORMULAIRE/ (XX) XX tÚDARÁS X EISEOIDH XX XXXXXX XXX/ (XX) XXXXXX XXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXXÀ XXX RILASCIA XX XXXXXXXX XXXXXX/ (XX) VEIDLAPAS XXXXXĒXXXXXĀXX/ (XX) XXĄ FORMĄ XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (XX) A FORMANYOMTATVÁNYT XXXXXXXX XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX XX' XXX XX-XXXXXXX/ (NL) XXXXXXXXXX XXX XXXXXXX XXX DIT XXXXXXXXX/ (XX) XXXXX WYDAJĄCY XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX QUE XXXXX X PRESENTE XXXXXXXXXX/ (XX) XXXXXXXXXXX EMITENTĂ X PREZENTULUI XXXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXX XXXXXXXX/ (SL) XXXXX, XX XXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXX UTFÄRDAR XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) DENOMINACIÓN/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (DE) XXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) NAZIV/ (IT) XXXXXXXXXXXXX/ (LV) NOSAUKUMS/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXX/ (PT) DESIGNAÇÃO/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) 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 XX XXXXXXX XXXX IMPRESO/ (XX) ORGÁN XXXXXXXXXX XXXXXXXX XXXXXXX, K XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXX MYNDIGHED, XXX XXX XXXXXXX DET XXXXXXXXXX XXXXXXXX, XXX XXXXX FORMULAR XX XXXXÆXXXX/ (DE) BEHÖRDE, XXX DIE ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX IST, XXXXXXXXX/ (XX) ASUTUS, XXX XXXXX VÄLJA XXXXXXX XXXXXXXXX, MILLELE XXX VORM XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXX ISSUING THE XXXXXX DOCUMENT XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXX XX DÉLIVRANCE XX DOCUMENT XXXXXX XXXXXX EST XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX AN XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXX XXXX IZDAJE XXXXX XXXXXXX KOJOJ XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È ALLEGATO/ (XX) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ DOKUMENTĄ, XXXX XXXXX PRIDEDAMA XX XXXXX, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX HATÓSÁG/ (XX) XXXXXXXÀ EMITTENTI XXX-XXXXXXXX XXXXXXXX LI MIEGĦU XXXX MEHMUŻA XXX XX-XXXXXXX/ (XX) AUTORITEIT XXX AFGIFTE XXX XXX XXXXXXXX XXXXXXXX XXXXXXX DIT XXXXXXXXX XX XXXXXXX/ (PL) XXXXX XXXXXĄXX DOKUMENT XXXĘXXXX, XX KTÓREGO XXXXXXXXX FORMULARZ XXXX XXŁĄXXXXX/ (PT) XXXXXXXXXX XXX XXXXX X XXXXXXXXX XXXXXXX A XXX X XXXXXXXX XXXXXXXXXX XXXX APENSO/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXXX OFICIAL XX CARE XXXX XXXXXX PREZENTUL XXXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXXXX XXXXXXX, XX XXXXXX JE XXXXX XXXXXXXX PRIPOJENÝ/ (XX) XXXXX, XX XXXX XXXXX LISTINO, KI XX XX PRILOŽEN XX XXXXXXX/ (XX) XXXXXXXXXXXX, XXXX XX XXXXXXX YLEISEN ASIAKIRJAN, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX XXX UTFÄRDAR XXX XXXXXXXXXX HANDLING TILL XXXXXX XXXXX XXXXXXÄX ÄX BIFOGAT

3.

(BG) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX/ (XX) INFORMACE XXXXXXXX XX XXXXXXX XXXXXXX, X NÍŽ XX XXXXXXXX TENTO XXXXXXXX/ (XX) OPLYSNINGER XXXXØXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXX XXX ÖFFENTLICHEN XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) TEAVE XXXXXXX XXXXXXXXX KOHTA, MILLELE XXX VORM XX XXXXXXX/ (EL) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) INFORMATION XXXXXXXX XX XXX PUBLIC XXXXXXXX XX WHICH XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX XXXXXX AUQUEL XXX XXXXX XX PRÉSENT XXXXXXXXXX/ (XX) XXXXXXXX X XXXXXXXXX XXXX XX DOICIMÉAD XXXXXX XXXX BHFUIL XX XXXXXX XXX CEANGAILTE/ (XX) XXXXXXXXXXX KOJE XX ODNOSE NA XXXXX ISPRAVU XXXXX XX XXXX OBRAZAC XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXX XX DOCUMENTO XXXXXXXX XXX IL XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX ŠĪ XXXXXXXX XX PIEVIENOTA/ (XX) XXXXXXXXXXX, XXXXXXXX SU XXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATRA XXXXXXXXX INFORMÁCIÓK/ (MT) XXXXXXXXXXXXX DWAR XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX DIN XX-XXXXXXX/ (NL) INFORMATIE XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX DIT XXXXXXXXX IS XXXXXXX/ (XX) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (PT) XXXXXXXÇÕXX XXXXXXXXX XX XXXXXXXXX PÚBLICO A XXX O PRESENTE XXXXXXXXXX XXXX APENSO/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX DOCUMENTUL OFICIAL XX XXXX XXXX XXXXXX PREZENTUL XXXXXXXX/ (XX) XXXXXXXXXX O XXXXXXXX XXXXXXX, KU XXXXXX JE XXXXX XXXXXXXX PRIPOJENÝ/ (XX) XXXXXXXXXXX X ZVEZI X JAVNO XXXXXXX, XX JI JE XXXXXXXX TA XXXXXXX/ (XX) XXXXXX YLEISESTÄ XXXXXXXXXXXX, JOHON TÄMÄ XXXXXX XXXXXXÄÄX/ (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/ (XX) XXXXXXXXX EXPEDIDO XXX XXX XXXXXXXXX X UN XXXXXXXXXXX XXXXXXXXX X LOS XXXXXXX XXXXXXXXXXXXXXXX DE XX XXXXXX XXXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXX XXXX XXXXXXXXX X XXXXXX NA XXXXX DANÉHO XXXXXXXXX XXXXX/ (DA) XXXXXXXX, XXX ER XXXXXXX XX EN XXXXXXXXX XXXXX XX XXXXXXXXXX, XXX ER XXXXXXXXXX XXXXXXXX X XX XXXXXXXXXXX/ (DE) XXXXXXX XXXXX XXXÖXXX XXXX XXXXX AMTSPERSON XXX XXXXX DER RECHTSPFLEGE XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXXXX XÕX AMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) DOCUMENT XXXXXXXXX XXXX XX AUTHORITY XX XX XXXXXXXX XXXXXXXXX XXXX XXX XXXXXX OR XXXXXXXXX XX X XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXX D'UNE AUTORITÉ XX D'UN XXXXXXXXXXXXX XXXXXXXX X'XXX XXXXXXXXXXX X'XX XXXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXX XX X OIFIGEACH X XXXXXX XXXXX XXXX XX XXXX XX XXXXXXXXXX XX XX XXXXX XX XXXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXX ILI XXXXXXXXX XXXX DRŽAVE XXXXXXX/ (IT) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ X XX XX XXXXXXXXXXX XXXXXXXXXXXX AD XXX XXXXX XXXXXXXXXXXXX XX XXX XXXXX XXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX AR XXXĪXXXXXXX XXXXĀX XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (XX) DOKUMENTAS, XXXXXXXX XXXXXXXX XXXXXXXXXXXX AR XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX TEISMAIS XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX XXXX HATÓSÁG XXXX XXXXXXXXXXŐ ÁLTAL KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXĠ MINN XXXXXXXÀ XXX XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX XXX IT-TRIBUNALI TA' XXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXXXXXX XXXXXXXXX XXX EEN LIDSTAAT/ (XX) DOKUMENT XXXXXXXĄXX XX XXXXXX SĄDOWEGO XXX URZĘDNIKA XĄXXXXXX XXŃXXXX CZŁONKOWSKIEGO/ (PT) XXXXXXXXX PROVENIENTE XX XXX XXXXXXXXXX XX XX UM XXXXXXXXXXX XXXXXXXXXX XX XXXXXXXX XXXXXXXÇÃX DE XX XXXXXX-XXXXXX/ (XX) XXXXXXXX XXXX XX X XXXXXXXXXX XXX XX XX FUNCȚIONAR XX XX XÂXXĂ INSTANȚELE XXXX XXXX XXXXXX/ (XX) LISTINA XXXXXX XXXXXXX ALEBO ÚRADNÍKOM X XÄXXXX XX XXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX, XXXXXX X XXXXXX XXXXXX XXX XXXXXXXX SODNE XXXXXXX DRŽAVE ČLANICE/ (XX) XXXXXXXXX, XXXXX XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX KUULUVA XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX EN XXXXXXXXX XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX I XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) RESOLUCIÓN XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) GERICHTSENTSCHEIDUNG/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (EN) XXXXX XXXXXXXX/ (XX) XXXXXXXX XX JUSTICE/ (XX) XXXXXXXX XX gCÚIRT/ (XX) XXXXXX ODLUKA/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (XX) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX HATÁROZAT/ (XX) DEĊIŻJONI XXX-XXXXX/ (XX) RECHTERLIJKE XXXXXXXXXX/ (XX) ORZECZENIE XĄXXXX/ (XX) XXXXXÃX XXXXXXXX/ (XX) HOTĂRÂRE XXXXXĂXXXXXXXĂ/ (XX) SÚDNE ROZHODNUTIE/ (XX) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX PÄÄTÖS/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX EXPEDIDO XXX XX XXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXX STÁTNÍM XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX VÄLJA XXXXXX XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX X PUBLIC XXXXXXXXXX/ (XX) DOCUMENT ÉMANANT XX XXXXXXÈXX XXXXXX/ (XX) DOICIMÉAD A XXXXXXX X IONCHÚISITHEOIR XXXXXX/ (XX) ISPRAVA XXXX XX IZDALO XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX EMANATO DAL XXXXXXXX MINISTERO/ (LV) XXXXXXXXX, XXXX IZSNIEDZIS XXXXXXXXX/ (XX) PROKURORO XXXXXXXX XXXXXXXXXX/ (XX) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX PROSEKUTUR XXXXXXXX/ (NL) DOCUMENT XXXXXXXXX XXXX EEN XXXXXXXX MINISTERIE/ (XX) XXXXXXXX POCHODZĄCY XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX DO XXXXXXXXXX XXXXXXX/ (XX) DOCUMENT XXXX XX XX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXX, XX XX XXXX DRŽAVNO XXXXXXXXX/ (XX) VIRALLISEN XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX SOM 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 UDSTEDT AF XX XXXXXXXXXXXXXÆX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX GESCHÄFTSSTELLE XXXXX XXXXXXXX/ (XX) XXXXXXXX, XXXXX ON XÄXXX XXXXXX XXXXXXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX EMANATING FROM X CLERK OF X XXXXX/ (FR) XXXXXXXX XXXXXXX X'XX XXXXXXXX/ (GA) XXXXXXXXX X XXXXXXX X XXXXXXXXXX XX XXXXX XXXXXX/ (XX) XXXXXXX XXXX XX IZDAO XXXXXXXXXX XXXXXX PISARNICE/ (XX) DOCUMENTO EMANATO XX XX XXXXXXXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX TIESAS XXXXXXĀXX/ (XX) XXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXXXXŐ ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXĠXXXXXXXX XX' QORTI/ (XX) DOCUMENT XXXXXXXXX XXXX XXX XXXXXXXX/ (XX) DOKUMENT POCHODZĄCY XX XXXXXXXXXX XĄXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX XX XX XXXXXXX XX JUSTIÇA/ (XX) XXXXXXXX XXXX DE XX GREFIER XX XXXXXXȚXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXX, KI XX IZDA SODNI XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX ANTAMA ASIAKIRJA/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (XX) DOCUMENTO XXXXXXXX XXX UN AGENTE XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXX XXXXXX SOUDNÍM VYKONAVATELEM („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX XX EN XXÆXXXXXXXXXX (»XXXXXXXX DE XXXXXXX«)/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX ON XÄXXX XXXXXX XXXXXXÄXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX JUSTICE»)/ (EN) XXXXXXXX EMANATING XXXX X JUDICIAL OFFICER ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXX X'XX HUISSIER DE XXXXXXX/ (GA) XXXXXXXXX X XXXXXXX Ó XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXX XX XXXXX XXXXXX OVRŠITELJ (XXXXXXXX XX XXXXXXX)/ (XX) DOCUMENTO XXXXXXX XX XX UFFICIALE XXXXXXXXXXX ("HUISSIER XX XXXXXXX")/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX TIESAS XXXXXXĪXĀXX (HUISSIER XX XXXXXXX)/ (XX) ANTSTOLIO (XXXXXXXX XX XXXXXXX) XXXXXXXX XXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXXXX („HUISSIER XX XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠUDIZZJARJU ('HUISSIER XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX XĄXXXXXX (HUISSIER XX JUSTICE)/ (PT) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXÃX XX XXXXXXX («HUISSIER DE XXXXXXX»)/ (XX) XXXXXXXX XXXX DE UN XXXXXXXX JUDECĂTORESC („XXXXXXXX XX XXXXXXX”)/ (SK) XXXXXXX XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX XXXXXXX“)/ (XX) LISTINA, XX XX IZDA XXXXX IZVRŠITELJ („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX DE XXXXXXX”) XXXXXX XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX FRÅN EN XXÄXXXXXXXXX (XXXXXXXX DE XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (ESPECIFÍQUESE)/ (CZ) XXXX (XXXXXXXXX)/ (XX) XXXXX (ANGIVES)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) MUU (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (TO XX XXXXXXXXX)/ (XX) XXXXX (À PRÉCISER)/ (XX) EILE (LE XXXXX)/ (HR) OSTALO (XXXXXXX)/ (XX) XXXXX (XXXXXXXXX)/ (LV) XXXX (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (HU) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) XĦXXXX (IPPREĊIŻA)/ (NL) XXXXXXX (XXXXXXXXXXXX)/ (XX) XXXX (XXXXXĘ OKREŚLIĆ)/ (XX) XXXXXX (A XXXXXXXXXXX)/ (XX) XXXXX (X SE PRECIZA)/ (XX) XXX (XXXXXXXX)/ (XX) XXXXX (NAVESTI)/ (XX) XXX ASIAKIRJA (XÄXXXXXXXXÄXÄ)/ (XX) ANNAN XXXXXXXX (SPECIFICERAS)

3.2

(BG) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (ES) XXXXXXXXX XXXXXXXXXXXXXX/ (CZ) LISTINA XXXXXX XXXXXXXX ÚŘADEM/ (XX) XXXXXXXXXXXXXX DOKUMENT/ (XX) URKUNDE EINER XXXXXXXXXXXXXXÖXXX/ (XX) HALDUSDOKUMENT/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) ADMINISTRATIVE XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX ISPRAVA/ (XX) XXXXXXXXX AMMINISTRATIVO/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX DOKUMENTAS/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) DOKUMENT XXXXXXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXX LISTINA/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) CERTIFICADO/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) BESCHEINIGUNG/ (XX) XÕXXX/ (EL) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (EN) XXXXXXXXXXX/ (XX) CERTIFICAT/ (GA) XXXXXXXX/ (XX) POTVRDA/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (HU) TANÚSÍTVÁNY/BIZONYÍTVÁNY/ (XX) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (FI) XXXXXXXX/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (ES) XXXXXXXX XXX REGISTRO XXXXX/ (XX) XXXXX X XXXXXXX/ (XX) XXXXXX XXX CIVILSTANDSREGISTRET/ (XX) AUSZUG AUS XXX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX CIVIL STATUS XXXXXXXX/ (XX) EXTRAIT XX XXXXXXXX XX X'XXXX CIVIL/ (GA) XXXXXXX AS AN xXXXX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX IZ XXXXXXXX XXXXXXX STANJA/ (XX) XXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXX XX XXXXXXXĀXXXĻX XXXX XXĢXXXXX/ (LT) XXXXXXX XX XXXXXXXĖX XŪXXĖX XXXŲ XXXXXXXX/ (XX) XXXXXÖXXXX KIVONAT/ (MT) XXXXXXX XXX-XXĠXXXXX TAL-ISTAT ĊXXXXX/ (NL) UITTREKSEL XXX XXX XXXXXXXX XXX XX BURGERLIJKE XXXXX/ (PL) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (PT) XXXXXXX XX ATOS DO XXXXXXX XXXXX/ (XX) XXXXXX DIN REGISTRUL XX STARE CIVILĂ/ (XX) VÝPIS X XXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXX XX XXXXXXXX O XXXXXXX XXXXXX/ (FI) VÄESTÖREKISTERIOTE (XXXXXXXXÄÄXX)/ (XX) UTDRAG XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) EXTRACTO XXX XXXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXX/ (DA) UDDRAG XXX XXXXXXXXXXXXXX/ (DE) XXXXXX XXX DEM XXXXXXXXXXXXX/ (ET) RAHVASTIKUREGISTRI XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX THE POPULATION XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XX XX XXXXXXXXXX/ (GA) XXXXXXX XX AN xXXXX XXXXXX/ (HR) XXXXXXX IZ XXXXXX XXXXXXXXXXXX/ (XX) ESTRATTO XXXXXXXXXX/ (LV) XXXXXXXX XX IEDZĪVOTĀJU REĢISTRA/ (XX) IŠRAŠAS IŠ XXXXXXXXŲ XXXXXXXX/ (XX) XXXXXXX A XXXXXXXXXXXX- XX LAKCÍMNYILVÁNTARTÁSBÓL/ (MT) XXXXXXX XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX UIT XXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX X REJESTRU XXXXXŚXX/ (XX) EXTRATO XX REGISTO DA XXXXXXÇÃX/ (RO) XXXXXX XXX XXXXXXXXX DE XXXXXXȚĂ A XXXXXXȚXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXĽXX/ (SL) XXXXXXX XX XXXXXXXX XXXXXXXXXXXX/ (FI) VÄESTÖREKISTERIOTE/ (XX) UTDRAG XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX XX XXXXX DEL XXXXXXXX XXXXX/ (CZ) XXXX XXXXXXXXXX ZÁZNAMŮ/ (DA) XXXXXX XXXX AF XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX VON XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX KOOPIA/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX XX XXXXX XXXXXX XXXXXXX/ (FR) XXXXX XXXXXXXXX D'ACTES XX X'XXXX XXXXX/ (XX) XXXX XXXXX AR XXXXXX DE THAIFID XX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XX XXXXXXXXXX O XXXXXXX XXXXXX/ (XX) XXXXX XXXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) CIVILSTĀVOKĻA XXXX XXĢXXXXX XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXĖX BŪKLĖS XXXŲ ĮXXXŲ XXXXXXXĖ KOPIJA/ (XX) XXXXXÖXXXX BEJEGYZÉS XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXX XXX-XXXX TAL-ISTAT ĊXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXX XXX XXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXŁXX XXXX XXXXX CYWILNEGO/ (XX) CERTIDÃO DE XXXXX XXXXXXXX XX XX XXXXXXXXX XX XXXX XX XXXXXXX XXXXX/ (XX) COPIE XXXXXĂ X XXXX XXX XX STARE XXXXXĂ/ (XX) DOSLOVNÝ XXXXX XX ZÁPISOV X XXXXXXX XXXXX/ (XX) DOBESEDNI XXXXXX XXXXXX O OSEBNEM XXXXXX/ (XX) VÄESTÖREKISTERITIETOJEN XXXXXXXXXX XÄXXXXXÖX/ (SV) XXXXXXXXX AVSKRIFT XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (XX) NOTÁŘSKÁ XXXXXXX/ (XX) NOTARBEKRÆFTET DOKUMENT/ (XX) NOTARIELLE URKUNDE/ (XX) XXXXXXXXXXXXXXXXX/ (EL) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (EN) XXXXXXXX XXX/ (FR) XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (IT) XXXX XXXXXXXX/ (XX) XXXXXXĀXX XXXX/ (XX) XXXXXXXXX XXXXX/ (XX) XÖXXXXXXŐX OKIRAT/ (MT) XXX XXXXXXXX/ (XX) XXXXXXËXX AKTE/ (XX) XXX XXXXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX LISTINA/ (XX) XXXXXXXX ANTAMA ASIAKIRJA/ (XX) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (ES) XXXXXXXXXXXXX OFICIAL XXXXXX XXXXX XX XXXXXXXXX XXXXXXX/ (XX) ÚŘEDNÍ XXXXXXXXX, XXXXXX BYLA XXXXXXXX XXXXXXX PODEPSANÁ XXXXXXXXX XXXXXX/ (DA) XXXXXXXX XÅXXXXXXX XÅ XX DOKUMENT XXXXXXXXXXX XX XX XXXXXX X DENNES EGENSKAB XX XXXXXXXXXXXX/ (DE) XXXXXXXX XXXXXXXXXXXXX XXX XXXXX PRIVATURKUNDE/ (XX) XXXXX XXXXX XXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX KINNITATAV XXXXXXX TÕEND/ (EL) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX CERTIFICATE XXXXXX XX X XXXXXXXX XXXXXX XX X XXXXXX XX XXX XX XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX XX XXXX XXXX SEING PRIVÉ/ (XX) DEIMHNIÚ OIFIGIÚIL X XXXXXXXXX XX XXXXXXXXXX XXXX XXXXXX XX XXXXX XXX XXXXX NÓ INA XXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX POTVRDA STAVLJENA XX ISPRAVU XXXX XX XXXXX XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXX UFFICIALE XXXXXXX SU XXX XXXXXXXXX XXXXXXX/ (LV) XXXXXĀXX XXXXXXXXĀXXXX XX XXXXXXXXX, KO XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (LT) XXXXXXXŲ XXXXXŲ PASIRAŠYTŲ DOKUMENTŲ XXXXXXXŪX PATVIRTINIMAI/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (MT) ĊXXXXXXXXX XXXXĊXXXX XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXX XXXXXXXXXXX XXXX XXX PERSOON XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX NA XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ X CHARAKTERZE XXXXXXXXX/ (XX) DECLARAÇÃO XXXXXXX XXXXXXX XXX XXX XX NATUREZA XXXXXXX/ (RO) XXXXXXXXXX XXXXXXX XXXXXXX PE XX XXXXXXXX XXX XXXXĂXXXĂ PRIVATĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX XX XXXXXXX PODPÍSANEJ XXXXXX KONAJÚCOU XXX XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXX NA XXXXXXX LISTINI/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, XXXXX HENKILÖ ON XXXXXXXXXXXXXXXX YKSITYISHENKILÖNÄ/ (XX) XXXXXXXXXX XXXXX XXXXXXXXX XÅ XX XXXXXXXX XXX UNDERTECKNATS XX XX PRIVATPERSON

3.5

(BG) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) DOCUMENTO EXPEDIDO XXX XX XXXXXX XXXXXXXXXXX X XXXXXXXX XX XX XXXXXX XXXXXXX XXX CARÁCTER XXXXXXX/ (XX) LISTINA XXXXXXXXXX XXXXXXXXXXXXX ZÁSTUPCEM XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX STÁTU X XXXXX XXXXXX JEHO XXXXXXXXXX XXXXXXXXXX/ (DA) XXXXXXXX XXXXXXXXX UDFÆRDIGET XX EN XXXXXXXXXXXX XXXXXXXXXXXX XXXXX KONSULÆRE XXXXÆXXXXXXX/ (XX) XXX XXXXX DIPLOMATISCHEN XXXX XXXXXXXXXXXXXX VERTRETER EINES XXXXXXXXXXXXXX XX SEINER XXXXXXXXX XXXXXXXX XXXXXXXXXX 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/ (EN) XXXXXXXX DRAWN XX XX X DIPLOMATIC XX XXXXXXXX XXXXX XX A MEMBER XXXXX IN XXX XX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXX EN XX XXXXXXX XXXXXXXXXX XXX XX AGENT XXXXXXXXXXXX XX CONSULAIRE X'XX XXXX XXXXXX/ (GA) XXXXXXXXX XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX CONSALACH XX XXXXX XXXXXXXXX XXX XXXXX NÓ XXX XXXX XXXXXXXXX/ (XX) ISPRAVA XXXX XX U SLUŽBENOM XXXXXXXX SASTAVIO XXXXXXXXXXX XXX KONZULARNI XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX XXXXXXXXXXX X XXXXXXXXX XX XXX XXXXX XXXXXX NELL'ESERCIZIO XXXXX LORO XXXXXXXX/ (XX) DOKUMENTS, XXXX, XXXXXX XXXXX XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX DIPLOMĀTISKAIS XXX KONSULĀRAIS XĀXXXĀXXX/ (XX) DOKUMENTAS, PARENGTAS XXXXXXXĖX XXXĖX XXXXXXXXX XX KONSULINIO XXXXXXŪXX, XXXXXXXXXX XXXXX OFICIALIUS ĮXXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXX XXXXXXXXXXX VAGY XXXXXXX XXXXXXXXŐXX ÁLTAL XXXXXXXXX MINŐSÉGÉBEN XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXXX XXXX XĠXXX XXXXXXXXXXX XXX XXXXXXXXX XX' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) DOCUMENT XXXXXXXXX XXXX XX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX XXX EEN XXXXXXXX XX XXXX OFFICIËLE XXXXXXXXXXXX/ (PL) DOKUMENT XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX LUB XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX CZŁONKOWSKIEGO XXXXŁXXĄXXXX W XXXXXXXXXXX XXXĘXXXXX/ (PT) DOCUMENTO XXXXXXX POR XX XXXXXX XXXXXXXXXXX OU XXXXXXXX XX UM XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX FUNÇÕES XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX XX CĂTRE XX XXXXX XXXXXXXXXX XXX XXXXXXXX XX XXXX STAT MEMBRU, ÎX XXXXXXXX XXXXXXXĂ/ (XX) LISTINA XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX ALEBO XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX FUNKCIE/ (XX) XXXXXXX, XX XX XXX XXXXXX XXXXX IZDA XXXXXXXXXXX XXX KONZULARNI XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX TAI XXXXXXXXXXXXXXX ON XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXÄXXXX X XXÄXXXXX XX XX DIPLOMATISK XXXXX XXXXXXÄX XXÄXXXXXXX X EN XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX EXPEDICIÓN/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) UDSTEDELSESDATO (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) 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) EISIÚNA/ (HR) XXXXX (DD/MM/GGGG) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (HU) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) DATUM (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATA XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (SK) DÁTUM (XX/XX/XXXX) XXXXXXX/ (SL) XXXXX (DD/MM/LLLL) IZDAJE/ (XX) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (XX) DATUM (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (XX) DET XXXXXXXXXX XXXXXXXXX REFERENCENUMMER/ (XX) KENNNUMMER DER ÖXXXXXXXXXXX XXXXXXX/ (ET) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) REFERENCE XXXXXX XX THE XXXXXX XXXXXXXX/ (XX) NUMÉRO XX XXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXX XXXXXXXXX AN XXXXXXXXX PHOIBLÍ/ (HR) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX ATSAUCES XXXXXX/ (LT) VIEŠOJO XXXXXXXXX XXXXXXX/ (XX) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (XX) REFERENTIENUMMER XXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXX XX XXXXXÊXXXX DO XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX XX XXXXXXXȚĂ XX XXXXXXXXXXXX XXXXXXX/ (SK) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX JAVNE XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (SV) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) INFORMACIÓN XXXXX EL XXXXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX OSOBĚ/ (XX) XXXXXXXXXXX XX DEN XÅXÆXXXXXX XXXXXX/ (DE) XXXXXXX XXX BETREFFENDEN XXXXXX/ (XX) ASJAOMAST XXXXXX XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX XXXXXX XXXXXXXXX/ (XX) INFORMATIONS SUR XX XXXXXXXX XXXXXXXXX/ (XX) FAISNÉIS XXXXXX XXXX AN XXXXX XXXX xXXXXXXXX/ (HR) XXXXXXXXXXX O XXXXXXXX XXXXX/ (IT) INFORMAZIONI XXXXX PERSONA XXXXXXXXXXX/ (XX) INFORMĀCIJA XXX XXXXXXĪXX PERSONU/ (XX) XXXXXXXXXXX APIE XXXXXXXXXĄ XXXXXĮ/ (XX) XX XXXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (MT) XXXXXXXXXXXXX XXXX IL-PERSUNA XXXXĊXXXXXX/ (XX) INFORMATIE OVER XX XXXXXXXXXX/ (XX) XXXX XXXXX, XXXXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÇÕXX SOBRE X XXXXXX EM CAUSA/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXX XXXXXĂ/ (XX) XXXXXXXXXX O XXXXXXXXX XXXXX/ (XX) XXXXXXXXXXX X XXXXXXX OSEBI/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXX/ (XX) UPPGIFTER XX XXX XXXÖXXX XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) APELLIDO(S)/ (CZ) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (XX) FAMILIENNAME(N)/ (XX) XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX(X)/ (XX) XXX(X)/ (XX) XXXXXXX (XXXXXXXX)/ (HR) XXXXXXX(XX)/ (XX) XXXXXXX(X)/ (XX) XXXĀXXX(-X)/ (LT) XXXXXXĖ (-ĖS)/ (HU) XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (XX) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (XX) XXXXXXX(X)/ (RO) XXXX/ (XX) PRIEZVISKO(-Á)/ (SL) XXXXXXX/XXXXXXX/ (FI) XXXXXXXX (-XXXXX)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (ES) XXXXXX(X)/ (XX) XXXXX (XXXXX)/ (DA) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-NIMED)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) NOME(I)/ (XX) XĀXXX(-X)/ (XX) XXXXXX (-XX)/ (HU) XXXXXXX(X)/ (MT) 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)/ (XX) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (ES) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) NAROZENÍ/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) DATE (DD/MM/YYYY) XX XXXXX/ (FR) XXXX (XX/XX/XXXX) DE XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) BREITHE/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (XX) XXXX XX XXXXXXX (GG/MM/AAAA)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (HU) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (XX) GEBOORTEDATUM (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (PT) DATA XX NASCIMENTO (XX/XX/XXXX)/ (XX) XXXX (ZZ/LL/AAAA) XXȘXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXXX/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) FÖDELSEDATUM (DD/MM/ÅÅÅÅ)

4.4

(BG) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (ES) XXXXX X XXXX XX NACIMIENTO/ (XX) XXXXX X ZEMĚ XXXXXXXX/ (XX) FØDESTED XX -LAND/ (DE) XXX XXX XXXX XXX XXXXXX/ (XX) XÜXXXXXXX JA -RIIK/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (EN) XXXXX XXX XXXXXXX XX XXXXX/ (XX) XXXX XX PAYS XX XXXXXXXXX/ (XX) XXX AGUS XXX XXXXXXXX/ (HR) XXXXXX X XXXXXX ROĐENJA/ (XX) XXXXX X XXXXX DI XXXXXXX/ (XX) DZIMŠANAS XXXXX XX VALSTS/ (XX) XXXXXX XXXXX IR XXXXX/ (HU) XXÜXXXXXX XXXXX ÉS ORSZÁGA/ (XX) POST U XXXXXŻ XXX-XXXXXX/ (NL) XXXXXXXXXXXXXX EN -LAND/ (XX) XXXXXXX I XXŃXXXX URODZENIA/ (XX) XXXXX E XXXX XX XXXXXXXXXX/ (XX) XXXXX ȘX ȚARA XXȘXXXXX/ (XX) XXXXXX X ŠTÁT XXXXXXXXX/ (XX) XXXX IN XXXXXX XXXXXXX/ (XX) XXXXXXÄXXXXXX XX -XXX/ (XX) XÖXXXXXXXX OCH -XXXX

4.5

(XX) ПОЛ/ (ES) XXXX/ (XX) XXXXXXX/ (XX) KØN/ (DE) XXXXXXXXXX/ (XX) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (XX) INSCNE/ (HR) XXXX/ (IT) SESSO/ (XX) DZIMUMS/ (XX) XXXXX/ (XX) NEME/ (XX) SESS/ (NL) XXXXXXXX/ (XX) XŁXĆ/ (XX) SEXO/ (RO) XXXXX/ (XX) XXXXXXXX/ (XX) XXXX/ (XX) XXXXXXXXX/ (SV) XÖX

4.5.1

(XX) ЖЕНСКИ/ (ES) XXXXX/ (XX) ŽENA/ (XX) XXXXXX/ (XX) XXXXXXXX/ (XX) NAISSOOST/ (XX) ΘΗΛΥ/ (EN) XXXXXX/ (XX) FÉMININ/ (GA) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (LV) XXXXXXXX/ (XX) MOTERIS/ (XX) XŐ/ (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) XÄXXXXXX/ (ET) XXXXXXXXX/ (EL) ΑΡΡΕΝ/ (XX) XXXX/ (FR) XXXXXXXX/ (GA) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (LV) XĪXXXXXX/ (XX) VYRAS/ (HU) XXXXX/ (XX) XXĠXX/ (XX) MAN/ (PL) XĘŻXXXXXX/ (PT) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (SK) XXXXXX/ (XX) XXXXX/ (XX) MIES/ (XX) XXX

4.5.3

(XX) НЕОПРЕДЕЛЕН/ (ES) XXXXXXXXXXXXX/ (XX) NEURČENO/ (XX) XXXXXXXX/ (DE) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (GA) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (IT) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) NENUSTATYTA/ (HU) XXXXXXXXXXXXXXX/ (MT) MHUX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XŁXĆ NIEOKREŚLONA/ (XX) XÃX XXXXXXXX/ (XX) NEDETERMINAT/ (XX) XXXXXXXX/ (XX) NEDOLOČEN/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX FASTSTÄLLT

4.6

(BG) ГРАЖДАНСТВО/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (DA) XXXXXXXXXXXX/ (DE) STAATSANGEHÖRIGKEIT/ (XX) XXXXXXXXXXX/ (XX) ΙΘΑΓΕΝΕΙΑ/ (EN) NATIONALITY/ (XX) XXXXXXXXXXX/ (GA) XXXXXXXXXXXX/ (XX) DRŽAVLJANSTVO/ (XX) CITTADINANZA/ (XX) XXXXXXXXXXXXĪXX/ (LT) XXXXXXXXĖ/ (XX) XXXXXXXXXXXXXXX/ (XX) ĊXXXXXXXXXXX/ (NL) NATIONALITEIT/ (XX) XXXXXXXXXXXX/ (PT) XXXXXXXXXXXXX/ (XX) XXXĂȚXXXX/ (XX) ŠTÁTNA PRÍSLUŠNOSŤ/ (XX) XXXXXXXXXXXXX/ (FI) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX

5.

(XX) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XX XXXXXXXXX XXXXXXX AL XXX SE XXXXXXX XXXX XXXXXXX,/ (CZ) XX XXXXXXX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX,/ (XX) X XXXXXXX XXX DET XXXXXXXXXX XXXXXXXX, XXX XXXXX FORMULAR ER XXXXÆXXXX/ (XX) XXXÄXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXXXXXX XXXXXXXXX DOKUMENDILE, XXXXXXX XXX XXXX XX LISATUD/ (XX) ΣΥΜΦΩΝΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) ACCORDING XX XXX XXXXXX XXXXXXXX XX XXXXX THIS XXXX XX XXXXXXXX/ (XX) X'XXXÈX LE XXXXXXXX XXXXXX XXXXXX XX XXXXXXX XXXXXXXXXX XXX XXXXX/ (GA) XX RÉIR XX XXXXXXXXX XXXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (HR) XXXXX XXXXXX ISPRAVI XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXX XX DOCUMENTO XXXXXXXX XXX XX XXXXXXXX MODULO È XXXXXXXX/ (LV) XXXXXŅĀ XX PUBLISKO DOKUMENTU, XXXXX ŠĪ XXXXXXXX XX XXXXXXXXXX/ (LT) XXXXX VIEŠĄJĮ XXXXXXXXĄ, XXXX XXXXX PRIDEDAMA XX FORMA/ (HU) X XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXX XXXXXXX/ (XX) XXXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX IL-FORMOLA/ (XX) XXXXXXX HET XXXXXXXX XXXXXXXX WAARAAN XXX XXXXXXXXX IS XXXXXXX/ (XX) X XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX ZAŁĄCZONY XXXX XXXXXXXXX XXXXXXXXX, WYNIKA, ŻX/ (PT) SEGUNDO X DOCUMENTO XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) ÎN XXXXXXXXXXXX CU DOCUMENTUL XXXXXXX LA XXXX XXXX XXXXXX PREZENTUL XXXXXXXX/ (XX) XXXĽX XXXXXXXX LISTINY, KU XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) X XXXXXX X XXXXX XXXXXXX, KI XX XX XXXXXXXX XX XXXXXXX/ (FI) XXX YLEISEN XXXXXXXXXX XXXXXX, JOHON TÄMÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXX DEN XXXXXXXXXX XXXXXXXX XXXX VILKEN XXXXX FORMULÄR ÄR XXXXXXX

5.1

(XX) СЪОТВЕТНОТО ЛИЦЕ ПРИТЕЖАВА ДЕЕСПОСОБНОСТ ДА ВСТЪПИ В РЕГИСТРИРАНО ПАРТНЬОРСТВО СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) XX XXXXXXXXXX XXXXX CAPACIDAD XXXX XXXXXXXXXXX COMO XXXXXXX XX XXX XXXXX DE XXXXX XXX XXXXXXX AL XXXXXXX XXXXXXXX XXX XXXXXX XXXXXXX XX XXXXXXXXXX XXX DOCUMENTO XXXXXXX/ (XX) XX XXXXXXX XXXXX ZPŮSOBILÁ XXXXXXX REGISTROVANÉ XXXXXXXXXXX XXXXX VNITROSTÁTNÍHO XXXXX XXXXXXXXX STÁTU, V XXXX XX VEŘEJNÁ XXXXXXX XXXXXX/ (DA) XXX XÅXÆXXXXXX PERSON XXX XXXXXX XXX XX XXXXX INDGÅ XXXXXXXXXXX XXXXXXXXXXX I XXXXXXX XXX XXXXXXXX XXX I DEN XXXXXXXXXXX, XXXX DET XXXXXXXXXX XXXXXXXX XX XXXXXXX/ (DE) XXX XXX XXXXXXXXXXX XXXXXX XXXX XXX NATIONALEN XXXXX XXX XXXXXXXXXXXXXX, XX XXX XXX ÖXXXXXXXXXX URKUNDE XXXXXXXXXXX XXXXX, XXX FÄHIGKEIT, XXXX XXXXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXXX/ (XX) ON XXXXXXXXXX XXXXXX XXXXXXX XXXXXXXXX XÄXXX XXXXXX XXXXXXXXXXXX ÕIGUSE XXXXXXXX XXXXXXXXXXXXXX XXXXXXXX ASTUMISE XÕXXX/ (XX) ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΕΧΕΙ ΤΗΝ ΙΚΑΝΟΤΗΤΑ ΣΥΝΑΨΗΣ ΚΑΤΑΧΩΡΙΣΜΕΝΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ/ (XX) XXX XXXXXX XXXXXXXXX XXX XXX XXXXXXXX XX XXXXX INTO X XXXXXXXXXX XXXXXXXXXXX XXXXX XXX XXXXXXXX LAW XX XXX XXXXXX XXXXX XXXXX XXX XXXXXX XXXXXXXX XX XXXXXX/ (XX) XX XXXXXXXX XXXXXXXXX XXXX XXXXXXXX XX PARTENARIAT XXXXXXXXXX XX XXXXX XX XXXXX NATIONAL XX X'XXXX XXXXXX XÙ LE DOCUMENT XXXXXX XXX XXXXXXX/ (XX) TÁ AN XXXXX XXXX xXXXXXXXX XXX XXXXXX DUL X xXXX XXXXXXXXXXXXXX XXXXXXXXXX FAOI XXXX XXXXXXXXX XX BHALLSTÁIT XXX nDÉANTAR AN XXXXXXXXX XXXXXX A XXXXXXXX/ (XX) DOTIČNA XXXXX XXX SPOSOBNOST XX XXXXXXXXX REGISTRIRANOG XXXXXXXXXXX XXXXX XXXXXXXXXXX XXXXX XXXXXX XXXXXXX X KOJOJ JE XXXXX XXXXXXX XXXXXX/ (XX) LA XXXXXXX XXXXXXXXXXX XXXXXXXX LA XXXXXXXÀ XX XXXXXXXXXXXXX XX'XXXXXX XXXXXXXXXX X XXXXX DEL DIRITTO XXXXXXXXX DELLO XXXXX XXXXXX XXX RILASCIA XX XXXXXXXXX PUBBLICO/ (XX) XXXXXXĪXĀ PERSONA XXĒX STĀTIES XXĢXXXXĒXĀX XXXXXXXXXXXXXĪXĀX SASKAŅĀ AR XĀX XXXĪXXXXXXX XXXXĪXX XXXXXX, XXXĀ PUBLISKAIS XXXXXXXXX IR IZDOTS/ (XX) ATITINKAMAS ASMUO XXX VEIKSNUS SUDARYTI XXXXXXXXXXĄ XXXXXXXXXXĘ PAGAL XXXXXXXĖX XXXĖX, XXXXXXX XXXXXXXX XXXXXXXXXX IŠDUODAMAS, XXXXXXXXXXĘ TEISĘ/ (HU) XX XXXXXXXX XXXXXXX X KÖZOKIRAT KIÁLLÍTÁSÁNAK XXXXX XXXXXXXX XXXXXXXX XXXXXXX JOGA XXXXXXX XXXXXXXXXX ÉLETTÁRSI KAPCSOLATOT XXXXXXXXXX/ (XX) XX-XXXXXXX XXXXĊXXXXXX GĦANDHA L-KAPAĊITÀ XX TIDĦOL XX XĦXXXXX REĠISTRATA XXĦX XX-XXĠX XXXXXXXXXX XXX-XXXXX XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (XX) XXXXX XX XXXXXXXXXX XX XXXXXXXXXXX XX XXX GEREGISTREERD XXXXXXXXXXXX XXX XX GAAN XX XXXXX XXX XXX XXXXXXXXX XXXXX XXX XX XXXXXXXX XXXX HET XXXXXXXX XXXXXXXX XXXXX AFGEGEVEN/ (XX) OSOBA, XXXXXX XXXXXXX XXXXXXXX, XXXXXXX XXXXXXŚĆ XX ZAWARCIA XXXXXXXXXXXXXXXX XXXĄXXX PARTNERSKIEGO XX XXXX XXXXX XXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX, X XXXXXX TEN XXXXXXXX XXXĘXXXX XXXXXŁ XXXXXX/ (XX) A XXXXXX XX CAUSA XXXXXX X CAPACIDADE XX ESTABELECER XXX XXXXXXXX XXXXXXXXX XXX XXXXXX DO XXXXXXX XXXXXXXX DO XXXXXX-XXXXXX XX XXX O XXXXXXXXX XXXXXXX XXX XXXXXXX/ (XX) PERSOANA XXXXXĂ XXX XXXXXXXXXXX XX A ÎXXXXXX XX PARTENERIAT ÎXXXXXXXXXX ÎX CONFORMITATE XX XXXXXXX INTERN XX XXXXXXXX XXXXXX ÎX XXXX XXXX XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX OSOBA JE XXÔXXXXXX XXXXXXXX REGISTROVANÉ XXXXXXXXXXX PODĽA XXXXXXXXXXXXXX XXXXX XXXXXXXXX ŠTÁTU, X KTOROM JE XXXXXXX LISTINA VYDANÁ/ (XX) XX XXXXXXX XXXXX XXXXXXXX ZA XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX X XXXXXX X XXXXXXXXXXX PRAVOM DRŽAVE XXXXXXX, V XXXXXX XX IZDANA XXXXX XXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXÖXXÄ ON XXXXXXXXXX XXXXXXXXÖXXÄ XXXXXXXXX XXX XÄXXXXXXXXXX KANSALLISEN LAINSÄÄDÄNNÖN XXXXXX, JOSSA XXXXXXX XXXXXXXXX XX XXXXXXX/ (XX) XXX XXX XXXÖXXX XXXXXXXX BEHÖRIGHET XXX XXXÅ REGISTRERAT XXXXXXXXXXX ENLIGT XXX XXXXXXXXXX LAGSTIFTNINGEN X XXX MEDLEMSSTAT XÄX XXX XXXXXXXXXX XXXXXXXXXX XXXÄXXXXXX

5.2

(XX) НЯМА ДАННИ СЪОТВЕТНОТО ЛИЦЕ ДА Е ВСТЪПИЛО В РЕГИСТРИРАНО ПАРТНЬОРСТВО СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) XX XXXXXX XX XXXXXXXX DE XXXXXXX XXXXX XX HECHO X XXXXXX XXX XXXXXXXXXX XXX XXXXXXX XX DERECHO XXXXXXXX XXX XXXXXX MIEMBRO XX EXPEDICIÓN XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXXX OSOBA XXXXXX XXXXXXXXXX POD XXXX XXXXXX XXXXXXXXXXXX XXXXXXXXXXX XXXXX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, V XXXX XX XXXXXXX XXXXXXX XXXXXX/ (DA) XXX XÅXÆXXXXXX XXXXXX XXX XXXX XX XXXX XXXXX XXXXXXXXXXX XXXXXXXXXXX OPFØRT XXXXX XXX NAVN I XXXXXXX XXX XXXXXXXX XXX X XXX XXXXXXXXXXX, XXXX XXX XXXXXXXXXX XXXXXXXX XX XXXXXXX/ (XX) BESTEHT XXXX XXXXXXX, XXXX XXX XXXXXXXXXXX XXXXXX XXXXX XXXXX XXXXX XXXX EINGETRAGENE XXXXXXXXXXXXX XXXX DEM XXXXXXXXXX XXXXX XXX XXXXXXXXXXXXXX, XX DEM DIE ÖXXXXXXXXXX XXXXXXX AUSGESTELLT XXXXX, EINGEGANGEN XXX/ (XX) EI XXX XXXXXXXXX ISIKU NIMEL ÜXXXXX XXXXXXX XXXXXXXXX XÄXXX ANDNUD LIIKMESRIIGI ÕXXXXX KOHAST XXXXXXXXXXXXXX XXXXXXX XXXXXXXX/ (XX) ΔΕΝ ΦΑΙΝΕΤΑΙ ΝΑ ΥΠΑΡΧΕΙ ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΧΕΣΗ ΣΥΜΒΙΩΣΗΣ ΣΤΟ ΟΝΟΜΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ/ (XX) XXX XXXXXX XXXXXXXXX XXXXXXX XX XXXX NO XXXXXXXXXX XXXXXXXXXXX XX XXX XX XXX XXXX XXXXX XXX XXXXXXXX XXX XX XXX XXXXXX XXXXX XXXXX THE PUBLIC XXXXXXXX IS XXXXXX/ (XX) XX PERSONNE XXXXXXXXX XX XXXXXX XXX XXXXX CONCLU XX XXXXXXXXXXX ENREGISTRÉ XX XXX XXX XX XXXXX XX XXXXX XXXXXXXX DE X'XXXX XXXXXX XÙ XX XXXXXXXX XXXXXX XXX XXXXXXX/ (XX) XX XXXXXXXXXXX SÉ XX XXXXXX XX XXXXX XXXX mBAINEANN XXXXXXXXX X bPÁIRTNÉIREACHT XXXXXXXXXX XXXX XXXX XXXXXXXXX AN XXXXXXXXXX XXX nDÉANTAR AN XXXXXXXXX XXXXXX X XXXXXXXX/ (XX) XXXX XXXXXXX XX XX XXXXXXX XXXXX POD XXXXXX XXXXXX XXXXXXXX XXXXXXXXXXXX XXXXXXXXXXX PREMA XXXXXXXXXXX XXXXX XXXXXX XXXXXXX X KOJOJ XX XXXXX XXXXXXX XXXXXX/ (XX) X XXXX DELLA XXXXXXX XXXXXXXXXXX XXX RISULTA XXXXXXXXX XXXXXX XXXXXX XXXXXXXXXX A XXXXX XXX XXXXXXX XXXXXXXXX XXXXX XXXXX XXXXXX XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX/ (XX) XX ATTIECĪGĀS XXXXXXXX XĀXXX XXX XXXXĒXXXX XXĢXXXXĒXXX PARTNERATTIECĪBAS SASKAŅĀ XX XĀX XXXĪXXXXXXX XXXXĪXX XXXXXX, XXXĀ XXXXXXXXXX XXXXXXXXX XX XXXXXX/ (LT) ATITINKAMAS XXXXX SAVO VARDU XĖXX SUDARĘS XXXXXXXXXXXX XXXXXXXXXXĖX PAGAL XXXXXXXĖX XXXĖX, XXXXXXX XXXXXXXX XXXXXXXXXX IŠDUODAMAS, NACIONALINĘ XXXXĘ/ (XX) XX XXXXXXXX SZEMÉLYNEK X XÖXXXXXXX KIÁLLÍTÁSÁNAK XXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXX XXXXXXX XXXXXXXXXXXXXXXX XXXXX XXXXXXXXXX ÉLETTÁRSI XXXXXXXXXX/ (MT) IL-PERSUNA XXXXĊXXXXXX TIDHER XX XX GĦANDHIEX XĦXXXXX XXĠXXXXXXX F'ISIMHA XXĦX XX-XXĠX NAZZJONALI TAL-ISTAT XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (XX) XXXXX XX BETROKKENE XXXX XXXXXXXXXXXXX XXXXXXXXXXXX XX XXXX XX XXXX XXXX XX XXXXX XXX HET XXXXXXXXX XXXXX VAN XX XXXXXXXX XXXX XXX XXXXXXXX XXXXXXXX XXXXX XXXXXXXXX/ (PL) XXXXX, XXXXXX XXXXXXX XXXXXXXX, NIE XXXXXXXXX X ZAREJESTROWANYM ZWIĄZKU XXXXXXXXXXX XX MOCY XXXXX XXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX, X KTÓRYM XXX XXXXXXXX XXXĘXXXX XXXXXŁ WYDANY/ (XX) XÃX XX XXXXXXX XXXXXXX XXXXXXXX XXXXXXXXX XX NOME XX XXXXXX EM CAUSA XXX TERMOS XX XXXXXXX XXXXXXXX XX XXXXXX-XXXXXX EM QUE X DOCUMENTO XXXXXXX XXX EMITIDO/ (XX) XX XX XXXXXȘXX XXXXXX XXXXXXXXXXX ÎXXXXXXXXXX ÎXXXXXXX PE NUMELE XXXXXXXXX XXXXXX ÎX XXXXXXXXXXXX XX XXXXXXX XXXXXX AL XXXXXXXX XXXXXX ÎN XXXX XXXX XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXX XXXXXX NEUZAVRELA XXXXXXXXXXXX XXXXXXXXXXX XX XXXXXX MENE XXXĽX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXXXX XX XXXXXXX LISTINA XXXXXX/ (XX) XX XXXXXXXXXXXXXX XXXXXXXX XXXXXXX XXXXX XX V XXXXXXXXXX XXXXXXXXX, XX XX JO XXXXXXXXXXXX X SVOJEM IMENU XX V XXXXXX X XXXXXXXXXXX XXXXXX XXXXXX ČLANICE, X XXXXXX JE IZDANA XXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXXX XX XXX MERKITTY XXXXXXXXÖXXXÄ XXXXXXXXXXXX XXX XÄXXXXXXXXXX XXXXXXXXXXX LAINSÄÄDÄNNÖN XXXXXX, JOSSA YLEINEN XXXXXXXXX XX ANNETTU/ (XX) FÖREFALLER XXX XXXÖXXX PERSONEN XXXX XX XXXÅXX REGISTRERAT XXXXXXXXXXX ENLIGT XXX XXXXXXXXXX XXXXXXXXXXXXXX I XXX MEDLEMSSTAT XÄX XXX XXXXXXXXXX XXXXXXXXXX XXXÄXXXXXX

5.3

(XX) НЕ СА ИЗВЕСТНИ ПРЕЧКИ СЪОТВЕТНОТО ЛИЦЕ ДА ВСТЪПИ В РЕГИСТРИРАНО ПАРТНЬОРСТВО СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) NO XXX XXXXXXXXXX DE XXXXXX XXXXXXXXXXX XXXX QUE XX INTERESADO XXXXXXXX XXX XXXXX XX XXXXX CON XXXXXXX XX XXXXXXX NACIONAL XXX XXXXXX XXXXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX ZNÁMÁ XXXXXXXX, ABY DOTYČNÁ XXXXX UZAVŘELA XXXXXXXXXXXX XXXXXXXXXXX XXXXX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXX XX XXXXXXX XXXXXXX XXXXXX/ (XX) DER XXXXXXXXXX XXXXX XXXXXX HINDRINGER XXX, XX DEN XÅXÆXXXXXX PERSON XXX XXXXÅ REGISTRERET XXXXXXXXXXX X HENHOLD XXX XXXXXXXX RET X XXX XXXXXXXXXXX, XXXX XXX OFFENTLIGE XXXXXXXX XX XXXXXXX/ (XX) XXX XXXX XXXXXXXXX XXXXXXX, DAS XXX XXXXXXXX XXXXX XXXXXXXXXXXXX XXXXXXXXXXXXX XXXXX XXX XXXXXXXXXXX XXXXXX NACH XXX XXXXXXXXXX XXXXX XXX MITGLIEDSTAATS, XX XXX XXX ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, XXXXXXXXXXXXX/ (ET) EI XXX TEADA XXXXXXX XXXXXXXXX VÄLJA ANDNUD XXXXXXXXXXXX ÕXXXXX XXXXXXXX XXXXXXXXXX, XXX XXXXXXXXXXX XXXXXXXXXX ISIKUL REGISTREERITUD XXXXXXXX ASTUDA/ (XX) ΔΕΝ ΕΙΝΑΙ ΓΝΩΣΤΟ ΚΑΝΕΝΑ ΚΩΛΥΜΑ ΓΙΑ ΤΗ ΣΥΝΑΨΗ ΚΑΤΑΧΩΡΙΣΜΕΝΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ ΑΠΟ ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΌΣΙΟ ΕΓΓΡΑΦΟ/ (XX) XXXXX XX XX KNOWN XXXXXXXXXX FOR XXX XXXXXX XXXXXXXXX XX XXXXX XXXX X XXXXXXXXXX XXXXXXXXXXX XXXXX XXX NATIONAL XXX XX XXX MEMBER XXXXX WHERE XXX XXXXXX DOCUMENT XX XXXXXX/ (XX) XX X'XXXXXX PAS X'XXXÊXXXXXXX XXXXX À XX XXXXXXXXXX PAR XX XXXXXXXX CONCERNÉE D'UN XXXXXXXXXXX XXXXXXXXXX XX XXXXX XX XXXXX XXXXXXXX XX X'XXXX XXXXXX XÙ XX XXXXXXXX PUBLIC EST XXXXXXX/ (GA) XXX XXX XXXX AITHEANTA XXX XX XX XXXXX XXXX mBAINEANN XX XXX I xXXX PÁIRTNÉIREACHT CHLÁRAITHE XXXX XXXX XXXXXXXXX XX BHALLSTÁIT XXX xXXXXXXX XX DOICIMÉAD XXXXXX A EISIÚINT/ (XX) XXXX XXXXXXX XXXXXXX ZBOG KOJE XXXXXXX XXXXX NE XX MOGLA XXXXXXXX XXXXXXXXXXXX PARTNERSTVO XXXXX XXXXX DRŽAVE XXXXXXX X XXXXX XX XXXXX XXXXXXX XXXXXX/ (XX) XXX XXXX XXXX IMPEDIMENTI XXXX XXXXXXXXXXXXXX XX UN'UNIONE XXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX A NORMA XXX XXXXXXX XXXXXXXXX XXXXX XXXXX XXXXXX XXX XXXXXXXX XX XXXXXXXXX PUBBLICO/ (XX) XXX XXXĀXX NEKĀDI XĶĒXXĻX XXXXXXĪXXXXX PERSONAI

STĀTIES XXĢXXXXĒXĀX XXXXXXXXXXXXXĪXĀX SASKAŅĀ XX XĀX XXXĪXXXXXXX XXXXĪXX XXXXXX, XXXĀ XXXXXXXXXX DOKUMENTS XX XXXXXX/ (XX) NĖRA XXXXXŲ XXXŪXXŲ XXXXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXĄ XXXXXXXXXXĘ PAGAL XXXXXXXĖX XXXĖX, XXXXXXX VIEŠASIS XXXXXXXXXX XXXXXXXXXX, NACIONALINĘ XXXXĘ/ (XX) XXXXX X XÖXXXXXXX KIÁLLÍTÁSÁNAK XXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXX SZERINTI, XXXXXX XXXXXXXX XXXXX, XXXX AZ XXXXXXXX XXXXXXX BEJEGYZETT ÉLETTÁRSI XXXXXXXXXXX LÉTESÍTSEN/ (XX) XX XXXX L-EBDA XXXXXXXXXX XXXĦXXX XĦXXX-XXXXXXX XXXXĊXXXXXX XXXX TIDĦOL XX SĦUBIJA REĠISTRATA XXĦX XX-XXĠX XXXXXXXXXX XXX-XXXXX MEMBRU FEJN XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (XX) IS ER XXXX BELEMMERING XXXX XX XXXXXXXXX XXXXXXX XX EEN XXXXXXXXXXXXX XXXXXXXXXXXX XXX XX XXXX XX XXXXX XXX XXX XXXXXXXXX XXXXX VAN DE XXXXXXXX XXXX XXX XXXXXXXX XXXXXXXX WORDT XXXXXXXXX/ (PL) NIE XXXXXXXĄ ZNANE PRZESZKODY XXX XXXXXXXX PRZEZ XXXXĘ, XXXXXX XXXXXXX XXXXXXXX, XXXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX NA XXXX XXXXX KRAJOWEGO XXŃXXXX XXŁXXXXXXXXXXX, W XXXXXX XXX XXXXXXXX URZĘDOWY XXXXXŁ XXXXXX/ (XX) XÃX EXISTE IMPEDIMENTO XXXXXXXXX A QUE X XXXXXX XX XXXXX ESTABELEÇA UMA XXXXXXXX REGISTADA XXX XXXXXX XX XXXXXXX XXXXXXXX DO XXXXXX-XXXXXX XX QUE O XXXXXXXXX PÚBLICO XXX XXXXXXX/ (XX) NU XX CUNOSC IMPEDIMENTE XX ÎXXXXXXXXX PARTENERIATULUI ÎXXXXXXXXXX ÎX XXXXXXXXXXXX XX XXXXXXX XXXXXX XX STATULUI MEMBRU ÎX XXXX ESTE XXXX XXXXXXXXXX OFICIAL/ (XX) NIE XX XXXXX PREKÁŽKA XXX XXXXXXXX XXXXX XXXXXXXX XXXXXXXXXXXX XXXXXXXXXXX XXXĽX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X KTOROM XX VEREJNÁ XXXXXXX XXXXXX/ (XX) NI XXXXXXXXXXXX XXXXXXXX, XX XXXXXXX OSEBA NE XX MOGLA REGISTRIRATI XXXXXXXXXX SKUPNOSTI X XXXXXX X NACIONALNIM XXXXXX DRŽAVE XXXXXXX, X XXXXXX JE XXXXXX JAVNA LISTINA/ (XX) XXXXXXXXXXXX HENKILÖN XXXXXXXXÖXXXXXX XXXXXXXXXXXXX XX XXXXXXÄ XXXXXX ESTEITÄ XXX XÄXXXXXXXXXX XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX XXXXXXXXX XX XXXXXXX/ (XX) FINNS XXX INGA KÄNDA XXXXXX FÖR DEN XXXÖXXX XXXXXXXX ATT XXXÅ REGISTRERAT PARTNERSKAP XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX I DEN XXXXXXXXXXX XÄX XXX XXXXXXXXXX XXXXXXXXXX UTFÄRDADES

5.4

(BG) НЕ СА ИЗВЕСТНИ ПРЕЧКИ ЗА РЕГИСТРИРАНЕТО НА ПАРТНЬОРСТВО МЕЖДУ СЪОТВЕТНОТО ЛИЦЕ И НЕГОВИЯ БЪДЕЩ ПАРТНЬОР СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) XX XXX XXXXXXXXXX XX XXXXXX XXXXXXXXXXX XXXX XX XXXXXXXX DE XXX XXXXX XX XXXXX XXXXX XX XXXXXXXXXX X SU FUTURA XXXXXX XX HECHO XXXXXXXXXX XXX ARREGLO XX XXXXXXX XXXXXXXX XXX ESTADO XXXXXXX XX XXXXXXXXXX DEL XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX ZNÁMÁ XXXXXXXX XXXXXXXXXXXXXX PARTNERSTVÍ XXXX XXXXXXXX XXXXXX X JEJÍM BUDOUCÍM XXXXXXXXX / XXXX XXXXXXX PARTNERKOU XXXXX XXXXXXXXXXXXXX PRÁVA XXXXXXXXX XXXXX, X XXXX XX VEŘEJNÁ LISTINA XXXXXX/ (DA) XXX XXXXXXXXXX XXXXX KENDTE XXXXXXXXXX XXX XX XXXXXXXXXXX PARTNERSKAB MELLEM XXX XÅXÆXXXXXX PERSON XX XXXXXX XXXXXXXX XXXXXXX X XXXXXXX XXX NATIONAL XXX X XXX XXXXXXXXXXX, XXXX XXX XXXXXXXXXX XXXXXXXX XX XXXXXXX/ (XX) XXX XXXX XXXXXXXXX XXXXXXX, XXX XXXXX XXXXXXXXXXXXX XXXXXXXXXXXXX XXXXXXXX DER BETREFFENDEN XXXXXX UND IHREM XÜXXXXXXX XXXXXXX XXXX XXX XXXXXXXXXX XXXXX XXX XXXXXXXXXXXXXX, XX XXX XXX ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, XXXXXXXXXXXXX/ (XX) EI XXX XXXXX XXXXXXX XXXXXXXXX XÄXXX ANDNUD XXXXXXXXXXXX ÕIGUSE XXXXXXXX XXXXXXXXXX, MIS XXXXXXXXXXX XXXXXXXXX XXXXX JA XXXX TULEVASE 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/ (XX) XXXXX XX NO KNOWN XXXXXXXXXX XX X XXXXXXXXXX PARTNERSHIP BETWEEN XXX XXXXXX CONCERNED XXX XXX XX XXX XXXXXXXX XXXXXXX XXXXX XXX NATIONAL XXX OF XXX XXXXXX STATE WHERE XXX XXXXXX DOCUMENT XX XXXXXX/ (FR) XX X'XXXXXX XXX X'XXXÊXXXXXXX XXXXX À XX CONCLUSION X'XX XXXXXXXXXXX ENREGISTRÉ ENTRE XX XXXXXXXX XXXXXXXXX XX XXX FUTUR XXXXXXXXXX EN XXXXX XX DROIT XXXXXXXX XX X'XXXX MEMBRE XÙ LE XXXXXXXX XXXXXX XXX DÉLIVRÉ/ (XX) NÍL XXX XXXX AITHEANTA XXX XX PHÁIRTNÉIREACHT XXXXXXXXXX XXXX XX DUINE XXXX xXXXXXXXX XXXX X P(H)ÁIRTNÉIR BEARTAITHE XXXX DHLÍ XXXXXXXXX XX BHALLSTÁIT XXX xXXXXXXX XX DOICIMÉAD XXXXXX X XXXXXXXX/ (XX) XXXX POZNATE XXXXXXX XXXX KOJE XXXXXXX XXXXX I XXXXXX XXXXĆX XXXXXXX XX XX XXXXX XXXXXXXX XXXXXXXXXXXX XXXXXXXXXXX XXXXX XXXXXXXXXXX XXXXX XXXXXX XXXXXXX U XXXXX JE XXXXX XXXXXXX XXXXXX/ (XX) XXX XXXX NOTI XXXXXXXXXXX XXXX XXXXXXXXXXXXXX XX XX'XXXXXX REGISTRATA XXX XX PERSONA XXXXXXXXXXX X XX XXXXXX PARTNER X XXXXX XXX XXXXXXX XXXXXXXXX XXXXX STATO XXXXXX XXX XXXXXXXX XX DOCUMENTO XXXXXXXX/ (XX) XXX XXXĀXX XXXĀXX XĶĒXXĻX XXĢXXXXĒXX XXXXXXXXXXXXXĪXX XXXXĒXXXXXX XXXXX XXXXXXĪXX XXXXXXX XX XĀX TOPOŠO PARTNERI XXXXXŅĀ XX XĀX XXXĪXXXXXXX TIESĪBU AKTIEM, XXXĀ XXXXXXXXXX XXXXXXXXX XX IZDOTS/ (XX) XĖXX ŽINOMŲ XXXŪXXŲ XXXXXXXXXX XXXXXX XX XX XŪXXXX (-XX) XXXXXXXXX (-ĖS) XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXXĖX XXXĖX, XXXXXXX XXXXXXXX XXXXXXXXXX IŠDUODAMAS, XXXXXXXXXXĘ XXXXĘ/ (XX) XXXXX X KÖZOKIRAT KIÁLLÍTÁSÁNAK XXXXX SZERINTI TAGÁLLAM XXXXXXX XXXX SZERINTI, XXXXXX AKADÁLYA XXXXX, XXXX AZ XXXXXXXX XXXXXXX ÉS XXXXXŐ XXXXXXXXX XXXXXXXXX BEJEGYZETT XXXXXXXXX KAPCSOLATOT LÉTESÍTSEN/ (XX) MA HEMM X-XXXX XXXXXXXXXX XXXĦXXX XĦXX SĦUBIJA REĠISTRATA XXXX XX-XXXXXXX KKONĊERNATA X S-SIEĦEB XXX XXXĦXX XXXXX TAGĦHA XXĦX XX-XXĠX NAZZJONALI XXX-XXXXX XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (XX) XX ER XXXX XXXXXXXXXXX VOOR XXX GEREGISTREERD XXXXXXXXXXXX XXXXXX XX BETROKKENE XX XXXX XX XXXX XXXXXXX PARTNER XX GROND XXX XXX NATIONALE XXXXX XXX XX LIDSTAAT XXXX XXX XXXXXXXX XXXXXXXX XXXXX AFGEGEVEN/ (XX) XXX XXXXXXXĄ XXXXX XXXXXXXXXX DLA XXXXXXXX ZAREJESTROWANEGO XXXĄXXX XXXXXXXXXXXXX XXXXX XXXXĘ, XXXXXX XXXXXXX XXXX-XXXX, X OSOBĄ, Z XXXXĄ ZAMIERZA ONA XXXXXXĆ XXXX XXXĄXXX, XX MOCY XXXXX XXXXXXXXX PAŃSTWA

CZŁONKOWSKIEGO, X XXXXXX TEN XXXXXXXX XXXĘXXXX XXXXXŁ XXXXXX/ (XX) XÃX XXXXXX XXXXXÇÃX CONHECIDA X XXX A XXXXXX XX CAUSA ESTABELEÇA XXX X(X) XXXXXX(X) XXXXXXXX(X) XXX PARCERIA XXXXXXXXX XXX XXXXXX XX XXXXXXX XXXXXXXX XX ESTADO-MEMBRO XX XXX O DOCUMENTO XXXXXXX FOI EMITIDO/ (XX) NU SE XXXXXȘXX NICIO OPOZIȚIE XX ÎXXXXXXXXX UNUI XXXXXXXXXXX ÎXXXXXXXXXX ÎXXXX XXXXXXXX VIZATĂ ȘX XXXXXXXX XXXXXXXX (XXXXXXXXX XXXXXXXXĂ) ÎX XXXXXXXXXXXX XX DREPTUL XXXXXX XX XXXXXXXX XXXXXX ÎX XXXX XXXX XXXX DOCUMENTUL XXXXXXX/ (XX) XXX JE XXXXX XXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXXXX XXXXX XXXXXXXXX XXXXXX X XXX XXXXXXXXXXXX XXXXXXXXX XXXĽX XXXXXXXXXXXXXX XXXXX XXXXXXXXX ŠTÁTU, V XXXXXX XX XXXXXXX XXXXXXX XXXXXX/ (XX) XX XXXXXXXXXXXXX XXXXXXXXXXXXX, XX ZADEVNA XXXXX XX NJEN PREDVIDENI XXXXXXX XX XX XXXXX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX X XXXXXX X XXXXXXXXXXX PRAVOM XXXXXX XXXXXXX, V XXXXXX XX XXXXXX XXXXX XXXXXXX/ (XX) XXXXXXXXXXXX HENKILÖN JA XÄXXX XXXXXXX XXXXXXXXXXX XÄXXXXÄ REKISTERÖITYÄ XXXXXXXXXXXX XX OLE XXXXXXXXXXX XXX XÄXXXXXXXXXX KANSALLISEN XXXXXÄÄXÄXXÖX MUKAAN, XXXXX XXXXXXX XXXXXXXXX XX XXXXXXX/ (SV) XXXXX XXX XXXX XÄXXX XXXÄXXXXXXXX MOT XXXÅXXXX XX REGISTRERAT XXXXXXXXXXX XXXXXX XXX XXXÖXXX XXXXXXXX XXX XXXX XXXXX HENNES XXXXXXXX XXXXXXX XXXXXX XXX XXXXXXXXXX LAGSTIFTNINGEN X XXX XXXXXXXXXXX DÄR XXX XXXXXXXXXX HANDLINGEN XXXÄXXXXXX

6.

(XX) ИНФОРМАЦИЯ ЗА БЪДЕЩИЯ ПАРТНЬОР НА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX LA XXXXXX XXXXXX DE XXXXX XXXXXXXXXX DEL XXXXXXXXXX/ (XX) INFORMACE X XXXXXXXX XXXXXXXXXX / BUDOUCÍ XXXXXXXXX XXXXXXX XXXXX/ (XX) XXXXXXXXXXX XX DEN XÅXÆXXXXXX XXXXXXX XXXXXXXX XXXXXXX/ (DE) XXXXXXX XX XXX XÜXXXXXXX XXXXXXX DER XXXXXXXXXXXX XXXXXX/ (ET) XXXXX XXXXX XXXXX, KELLEGA XXXXXXXXX ISIK XXXXXX XXXXXXXXXXXXXX KOOSELLU XXXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΜΕΛΛΟΝΤΟΣ Ή ΤΗΣ ΜΕΛΛΟΥΣΑΣ ΣΥΝΤΡΟΦΟΥ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX XXXXXXXX XXXXXXX XX XXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXX XXX XX FUTUR XXXXXXXXXX XX XX XXXXXXXX XXXXXXXXX/ (GA) XXXXXXXX XXXXXX XX XXXXXXXXX BEARTAITHE XX XXXXX XXXX xXXXXXXXX/ (XX) INFORMACIJE X XXXXĆXX XXXXXXXX XXXXXXX XXXXX/ (XX) INFORMAZIONI XXX XXXXXX XXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (XX) INFORMĀCIJA XXX XXXXXXĪXĀX XXXXXXXX TOPOŠO XXXXXXXX/ (LT) INFORMACIJA XXXX XXXXXXXXXX ASMENS XŪXXXĄ XXXXXXXĮ (-Ę)/ (XX) AZ XXXXXXXX XXXXXXX LEENDŐ XXXXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX DWAR IS-SIEĦEB XXX SIEĦBA XXXXX XXX-XXXXXXX KKONĊERNATA/ (NL) XXXXXXXXXX XXXX XX XXXXXXX XXXXXXX VAN XX XXXXXXXXXX/ (XX) XXXX XXXXX, Z XXXXĄ XXXXX, XXXXXX XXXXXXX XXXXXXXX, XXXXXXXX XXXXXXĆ ZAREJESTROWANY XXXĄXXX XXXXXXXXXX/ (XX) XXXXXXXÇÕXX XXXXX X(X) XXXXXX(X) XXXXXXXX(X)XX XXXXXX XX XXXXX/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXX XXXXXXXX (XXXXXXXXX PARTENERĂ) XX (X) XXXXXXXXX VIZATE/ (XX) XXXXXXXXXX X XXXXXXXXXXXX PARTNEROVI DOTKNUTEJ XXXXX/ (XX) INFORMACIJE X PREDVIDENEM XXXXXXXXX XXXXXXX XXXXX/ (FI) XXXXXX XXXXXXXXXXXX XXXXXXÖX XXXXXXXXX KUMPPANISTA/ (XX) XXXXXXXXX XX DEN XXXÖXXX PERSONENS BLIVANDE XXXXXXX

7.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX FIRMA/ (XX) XXXX XXX XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (EL) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (EN) XXXXXXXXX XXX/ (XX) CADRE XXXX LA SIGNATURE/ (XX) BOSCA XXX XXXXX/ (HR) POLJE XX XXXXXX/ (IT) XXXXXXXX PER LA XXXXX/ (XX) XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXX/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (NL) XXX VOOR DE XXXXXXXXXXXX/ (PL) POLE XXXXXXX/ (XX) ESPAÇO XXXXXXXXX À XXXXXXXXXX/ (XX) SEMNĂTURA/ (SK) XXXXXXX XX PODPIS/ (XX) POLJE XX XXXXXX/ (XX) ALLEKIRJOITUSKENTTÄ/ (XX) RUTA XÖX XXXXXXXXXXXXXX

7.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X XXXXXX(X) XXX XXXXXXXXXXX XXX XXXXXXX ESTE XXXXXXX/ (XX) XXXXXXXX X XXXXX (XXXXX) XXXXXXXX, KTERÝ XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXX(X) OG XXXXXXX(X) XÅ XXX EMBEDSMAND, XXX HAR XXXXXXX XXXXX XXXXXXXX/ (DE) XXXXXXXXXXXX(X) XXX XXXXXXX(X) XXX BEAMTEN, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (ET) XÄXXXXXXX XXXXX XÄXXXXXXXXX AMETNIKU XXXXXXX (-NIMED) XX XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) XXX FORENAME(S) XX XXX XXXXXXXX XXX XXXXXX THIS FORM/ (XX) XXX(X) ET XXXXXX(X) XX FONCTIONNAIRE XXX A XXXXXXX XX XXXXXXX FORMULAIRE/ (XX) XXXXXXX (XXXXXXXX) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX OIFIGIGH A X’XXXXXX XX XXXXXX XXX/ (XX) PREZIME(NA) X IME(NA) SLUŽBENIKA XXXX XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXX/X X XXXX/X XXX FUNZIONARIO XXX XX RILASCIATO IL XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, KURA XXXXXXXX XX XXXXXXXX, XXXĀXXX(-X) XX XĀXXX(-X)/ (LT) XXĄ FORMĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖX) XX VARDAS (-XX)/ (XX) A FORMANYOMTATVÁNYT XXXXXXXX XXXXXXXXXXŐ XXXXXXX XXXX(X) XX XXXXXXX(X)/ (XX) KUNJOM(/KUNJOMIJIET) U XXXX(/XXXXXXXX) XXX-XXXXĊXXX LI ĦXXXĠ XXX XX-XXXXXXX/ (XX) XX(X)X(XX) XX XXXXXX(X)X(XX) XXX XX XXXXXXXXX XXX XXX XXXXXXXXX HEEFT XXXXXXXXX/ (XX) NAZWISKO(-A) X XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX WYDAŁ NINIEJSZY XXXXXXXXX/ (XX) APELIDO(S) X NOME(S) PRÓPRIO(S) XX XXXXXXXXXXX QUE XXXXXX X XXXXXXXX XXXXXXXXXX/ (RO) XXXXXX ȘX PRENUMELE XXXXȚXXXXXXXXX XXXX X EMIS XXXXXXXXX XXXXXXXX/ (SK) XXXXXXXXXX(-X) X MENO(-Á) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (SL) XXXXXXX/XXXXXXX XX XXX/XXXXX XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX VIRKAMIEHEN XXXXXXXX (-XXXXX) XX XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX XXX XÖXXXXX XÅ XXX XXÄXXXXXXX XXX XXX XXXÄXXXX DETTA XXXXXXÄX

7.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXX XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX — XXX XXXXXXXXXX, XXX HAR XXXXXXX XXXXX XXXXXXXX/ (XX) STELLUNG XXX XXXXXXX, DER DIESES XXXXXXXX XXXXXXXXXXX HAT/ (XX) KÄESOLEVA XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX XX XXX XXXXXXXX XXX XXXXXX THIS XXXX/ (XX) POSTE DU XXXXXXXXXXXXX QUI A XXXXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XXXX XX OIFIGIGH X X’XXXXXX XX XXXXXX XXX/ (XX) FUNKCIJA XXXXXXXXXX KOJI XX XXXXX XXXX OBRAZAC/ (XX) POSIZIONE DEL XXXXXXXXXXX XXX HA XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, XXXXX/ (XX) XXĄ FORMĄ IŠDAVUSIO XXXXXXŪXX PAREIGOS/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX TAL-UFFIĊJAL LI ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX XXX XX XXXXXXXXX XXX XXX XXXXXXXXX HEEFT XXXXXXXXX/ (PL) XXXXXXXXXX XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (PT) XXXXX XX XXXXXXXXXXX XXX EMITIU O XXXXXXXX FORMULÁRIO/ (RO) XXXXȚXX XXXXȚXXXXXXXXX CARE X EMIS XXXXXXXXX XXXXXXXX/ (SK) XXXXXXX XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX URADNIKA, KI 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) XXXXX (XX/XX/XXXX) XX EXPEDICIÓN/ (CZ) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) VÄLJAANDMISE XXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (XX/XX/XXXX) OF XXXXX/ (FR) XXXX (XX/XX/XXXX) DE DÉLIVRANCE/ (XX) XXXX (LL/MM/BBBB) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (LV) IZDOŠANAS XXXXXX (DD/MM/GGGG)/ (LT) XXXXXXXX DATA (XX/XX/XXXX)/ (XX) X KIÁLLÍTÁS XXXXXX (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (DD/MM/JJJJ) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) WYDANIA/ (XX) DATA XX XXXXXÃX (DD/MM/AAAA)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (DD/MM/ÅÅÅÅ) XÖX XXXÄXXXXXX

7.4

(XX) ПОДПИС/ (XX) XXXXX/ (CZ) PODPIS/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (EN) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) SÍNIÚ/ (XX) XXXXXX/ (XX) FIRMA/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (HU) XXXXXXX/ (XX) XXXXX/ (NL) XXXXXXXXXXXX/ (PL) PODPIS/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (FI) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

7.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) SELLO X XXXXXX/ (XX) PEČEŤ XXXX XXXXXXX/ (XX) XXXX XXXXX STEMPEL/ (XX) SIEGEL ODER XXXXXXX/ (XX) XXXXXX XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (EN) XXXX XX XXXXX/ (XX) XXXXX XX TIMBRE/ (XX) XXXXX XX XXXXXX/ (XX) ŽIG XXX XXXXX/ (XX) XXXXX X TIMBRO/ (XX) XĪXXXX VAI XXXXXXXX/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (XX) SIĠILL XXX XXXXXX/ (NL) XXXXX XX XXXXXXX/ (XX) XXXXXĘĆ LUB STEMPEL/ (XX) SELO XX XXXXXXX/ (XX) XXXXXXXX XXX ȘTAMPILA/ (XX) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (SL) XXXXX XXX XXX/ (XX) XXXXXXX TAI XXXXX/ (XX) XXXXXX XXXXX XXÄXXXX

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(1) Úř. věst. X 200, 26.7.2016, x. 1.

(2) Xxx xxxxxxxxxx rukou xxxxxxxx xxxxxxx písmo.

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

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

3.2 Xxxxxxx vydaná xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x matriky

3.2.3 Xxxxx x registru xxxxxxxx

3.2.4 Opis xxxxxxxxxx xxxxxxx

3.1.5 Jiné (upřesněte)

3.3 Xxxxxxxx xxxxxxx

3.4 Úřední xxxxxxxxx, xxxxxx byla xxxxxxxx listina podepsaná xxxxxxxxx xxxxxx

3.5 Listina xxxxxxxxxx diplomatickým xxxxxxxxx xxxx xxxxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxx x xxxxx xxxxxx xxxx xxxxxxxxxx xxxxxxxxxx

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx xxxxx veřejné xxxxxxx

4. XXXXXXXXX X XXXXXXX XXXXX

4.1 Xxxxx/x příjmení

4.2 Xxxxxxxx/x příjmení

4.3 Xxxxxxxx xxxx uzavřením xxxxxxxxxxxxxx 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) narození

4.8 Pohlaví:

4.8.1 Xxxx

4.8.2 Xxx

4.8.3 Xxxxxxxx

4.9 Xxxxxx xxxxxxxxxxx

5. XX XXXXXXX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX FORMULÁŘ, XX XXXXXXX XXXXX XXXXX XXXXXX REGISTROVANÉHO XXXXXXXXXXX:

5.1 Je v xxxxxxxxxxxxx xxxxxxxxxxx / Xxxxx (xx/xx/xxxx) registrace xxxxxxxxxxx

5.2 Není x xxxxxxxxxxxxx xxxxxxxxxxx

5.2.1 Xxxxx xxxxxx x registrovaném xxxxxxxxxxx

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

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

5.3 Xxxxxxxx

6. XXXX XXX XXXXXX

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

6.2 Xxxxxx xxxxxxxx, xxxxx xxxxx xxxxx xxxxxxxx

6.3 Datum (dd/mm/rrrr) xxxxxx

6.4 Podpis

6.5 Xxxxx xxxx razítko

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

(2) Název xxxx x – pokud xxxxxxxx – kód XXX dané xxxx xxxx možnost „Xxxx (xxxxxxxxx)“ je třeba xxxxxx x rozbalovací xxxxxxx ve xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxxxxxx, xxxxx xx k xxxxxxxxx na portálu xxxxxxxx e-justice.

VÍCEJAZYČNÝ XXXXXX XXXXX XXXXXXXXXXXX POLOŽEK

(STATUS XXXXXXXXXXXXXX XXXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) AUTORIDAD XXX XXXXXX XXXX XXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXX FORMULÁŘ/ (DA) XXXXX FORMULARS UDSTEDENDE XXXXXXXXX/ (XX) BEHÖRDE, XXX DIESES FORMULAR XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX XÄXXX ANDNUD XXXXXX/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) AUTHORITY XXXXXXX THIS XXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) AN xXXXXXX X EISEOIDH XX XXXXXX XXX/ (XX) XXXXXX XXXX XXXXXX OVAJ XXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX IL XXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (LT) ŠIĄ XXXXĄ IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (HU) A XXXXXXXXXXXXXXXXX KIÁLLÍTÓ HATÓSÁG/ (XX) AWTORITÀ XXXXXXXXX XX' DIN IL-FORMOLA/ (XX) XXXXXXXXXX XXX XXXXXXX VAN XXX XXXXXXXXX/ (XX) ORGAN XXXXXĄXX NINIEJSZY XXXXXXXXX/ (XX) XXXXXXXXXX XXX XXXXX O XXXXXXXX XXXXXXXXXX/ (RO) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX XXXXXXXX/ (SK) ORGÁN XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX, XX XXXX XX OBRAZEC/ (XX) XÄXÄX XXXXXXXXX XXXXXX VIRANOMAINEN/ (SV) XXXXXXXXX XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) NÁZEV/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (ET) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (LT) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (NL) BENAMING/ (XX) NAZWA/ (XX) XXXXXXXÇÃX/ (RO) XXXXXXXX/ (XX) XXXXX/ (XX) XXX/ (XX) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX QUE XXXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX/ (CZ) XXXXX XXXXXXXXXX XXXXXXXX LISTINU, X XXX XX XXXXXXXX XXXXX FORMULÁŘ/ (XX) DEN XXXXXXXXX, XXX HAR UDSTEDT XXX OFFENTLIGE XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (DE) XXXÖXXX, DIE XXX ÖXXXXXXXXXX URKUNDE, XXX XXXXXX FORMULAR XXXXXXÜXX XXX, XXXXXXXXX/ (XX) XXXXXX, XXX XXXXX XÄXXX XXXXXXX 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 XXXXX XXXX XXXX IS ATTACHED/ (XX) AUTORITÉ DE XXXXXXXXXX XX DOCUMENT XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) AN xXXXXXX X EISEOIDH XX DOICIMÉAD XXXXXX XXXX XXXXXX AN XXXXXX SEO XXXXXXXXXX/ (XX) XXXXXX KOJE XXXXXX XXXXX ISPRAVU XXXXX XX XXXX XXXXXXX PRILOŽEN/ (XX) XXXXXXXÀ XXX RILASCIA XX DOCUMENTO XXXXXXXX XXX XX PRESENTE XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ DOKUMENTA, XXXXX XĪ VEIDLAPA XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) VIEŠĄJĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) AWTORITÀ XXXXXXXXX XXX-XXXXXXXX PUBBLIKU XX XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX AFGIFTE XXX HET OPENBAAR XXXXXXXX XXXXXXX XXX XXXXXXXXX IS GEHECHT/ (XX) XXXXX XXXXXĄXX XXXXXXXX URZĘDOWY, XX XXXXXXX XXXXXXXXX FORMULARZ XXXX ZAŁĄCZONY/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXXX XXXXXXX X QUE O XXXXXXXX FORMULÁRIO XXXX XXXXXX/ (RO) XXXXXXXXXXX XXXXXXXĂ X DOCUMENTULUI XXXXXXX XX XXXX XXXX ANEXAT PREZENTUL XXXXXXXX/ (SK) XXXXX XXXXXXXXXX XXXXXXX LISTINU, XX XXXXXX XX XXXXX XXXXXXXX PRIPOJENÝ/ (XX) XXXXX, XX XXXX JAVNO XXXXXXX, XX XX XX XXXXXXXX TA OBRAZEC/ (XX) XXXXXXXXXXXX, JOKA XX ANTANUT YLEISEN XXXXXXXXXX, JOHON XÄXÄ XXXXXX XXXXXXÄÄX/ (SV) XXXXXXXXX XXX UTFÄRDAR XXX XXXXXXXXXX XXXXXXXX XXXX VILKEN XXXXX XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXX AL QUE XX ADJUNTA XXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXX XXXXXXX, K XXX XX PŘILOŽEN XXXXX XXXXXXXX/ (XX) OPLYSNINGER XXXXØXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX ER VEDHÆFTET/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX BEIGEFÜGT XXX/ (XX) TEAVE XXXXXXX XXXXXXXXX XXXXX, XXXXXXX SEE XXXX XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) INFORMATION XXXXXXXX XX THE XXXXXX XXXXXXXX XX XXXXX THIS XXXX XX XXXXXXXX/ (XX) XXXXXXXXXXXX RELATIVES AU XXXXXXXX XXXXXX AUQUEL XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX X XXXXXXXXX XXXX XX XXXXXXXXX XXXXXX LENA BHFUIL XX FHOIRM SEO XXXXXXXXXX/ (HR) XXXXXXXXXXX XXXX XX XXXXXX XX XXXXX ISPRAVU XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX PUBLISKO XXXXXXXXX, XXXXX ŠĪ XXXXXXXX XX XXXXXXXXXX/ (XX) INFORMACIJA, XXXXXXXX XX XXXXXXXX DOKUMENTU, XXXX XXXXX PRIDEDAMA XX XXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) INFORMAZZJONI XXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX/ (NL) XXXXXXXXXX BETREFFENDE HET XXXXXXXX DOCUMENT XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (PL) INFORMACJE XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) INFORMAÇÕES RELATIVAS XX XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (RO) INFORMAȚII XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX LA XXXX XXXX ANEXAT PREZENTUL XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXX XXXXXXX, XX KTOREJ XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) INFORMACIJE X XXXXX Z XXXXX XXXXXXX, KI JI XX PRILOŽEN TA XXXXXXX/ (XX) TIEDOT XXXXXXXXÄ XXXXXXXXXXXX, JOHON XÄXÄ LOMAKE XXXXXXÄÄX/ (XX) INFORMATION XX XXX XXXXXXXXXX XXXXXXXX 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/ (ES) XXXXXXXXX XXXXXXXX XXX UNA XXXXXXXXX O XX XXXXXXXXXXX XXXXXXXXX X XXX XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXX ORGÁNEM XXXX XXXXXXXXX X XXXXXX XX XXXXX XXXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXXX, XXX XX XXXXXXX AF XX XXXXXXXXX ELLER EN XXXXXXXXXX, DER XX XXXXXXXXXX XXXXXXXX I XX MEDLEMSSTAT/ (DE) XXXXXXX XXXXX XXXÖXXX XXXX XXXXX AMTSPERSON XXX ORGAN DER XXXXXXXXXXXX EINES XXXXXXXXXXXXXX/ (XX) XXXXXXXX, MILLE 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) DOCUMENT XXXXXXXXX XXXX XX XXXXXXXXX OR XX XXXXXXXX XXXXXXXXX WITH XXX XXXXXX OR XXXXXXXXX XX X XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXX X'XXX XXXXXXXX XX D'UN XXXXXXXXXXXXX XXXXXXXX X'XXX XXXXXXXXXXX X'XX ÉTAT XXXXXX/ (XX) XXXXXXXXX X THAGANN X XXXXXX NÓ X XXXXXXXXX A BHFUIL XXXXX XXXX XX XXXX XX XXXXXXXXXX XX XX XXXXX XX XXXXX XXXXXXXXX/ (XX) ISPRAVA KOJU XX XXXXXX TIJELO XXX XXXXXXXXX XXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX DA XX'XXXXXXXÀ O DA XX XXXXXXXXXXX XXXXXXXXXXXX XX XXX XXXXX XXXXXXXXXXXXX XX UNO XXXXX XXXXXX/ (LV) XXXXXXXXX, KURU IZSNIEGUSI XX DALĪBVALSTS XXXXĀX XXXXXĪXX IESTĀDE VAI XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX XXXXXXXX INSTITUCIJOS XX XXXXXXŪXX, SUSIJUSIŲ XX XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (XX) TAGÁLLAMI XXXXXXXXXX XXXXXXXXXXXX XXXX HATÓSÁG XXXX TISZTVISELŐ XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ XXX XXXXĊXXX XX JKOLLHOM RABTA XXX-XXXXX JEW XX-XXXXXXXXX XX' XXXX MEMBRU/ (XX) DOCUMENT XXXXXXXXX XXXX XXX AUTORITEIT XX XXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXXXXXX XXXXXXXXX VAN XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXX XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX PAŃSTWA XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX UMA AUTORIDADE XX XX XX XXXXXXXXXXX DEPENDENTE XX XXXXXXXX XXXXXXXÇÃX DE XX ESTADO-MEMBRO/ (XX) XXXXXXXX XXXX DE X XXXXXXXXXX XXX XX UN XXXXȚXXXXX XX XX XÂXXĂ XXXXXXȚXXX UNUI XXXX XXXXXX/ (SK) XXXXXXX XXXXXX XXXXXXX ALEBO XXXXXXXXX X VÄZBOU XX SÚDY ČLENSKÉHO XXXXX/ (SL) XXXXXXX, XXXXXX S XXXXXX XXXXXX XXX URADNIKA XXXXX OBLASTI XXXXXX XXXXXXX/ (FI) ASIAKIRJA, XXXXX ON XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX XX XXXXXXXXX ELLER XX XXÄXXXXXXX TILLHÖRANDE XXXXXXXXXÄXXXXXX X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (ES) XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) GERICHTSENTSCHEIDUNG/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX DECISION/ (FR) XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXX XX xXXXXX/ (XX) SUDSKA XXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (LV) XXXXXX XĒXXXX/ (LT) XXXXXX XXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXXX/ (MT) DEĊIŻJONI XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (PT) XXXXXÃX XXXXXXXX/ (XX) HOTĂRÂRE XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (SL) SODNA XXXXXXX/ (XX) TUOMIOISTUIMEN XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX POR EL XXXXXXXXXX XXXXXX/ (CZ) XXXXXXX XXXXXX STÁTNÍM XXXXXXXXX/ (DA) XXXXXXXX XXXXXXX AF XX XXXXXXXXXXXXXXXX/ (XX) URKUNDE XXXXX STAATSANWALTSCHAFT/ (XX) XXXXXXXX, XXXXX ON XÄXXX ANDNUD RIIKLIK XÜÜXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXX XXXXXXXXXX/ (XX) DOCUMENT XXXXXXX XX MINISTÈRE XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX DRŽAVNO XXXXXXXXXXXX/ (XX) XXXXXXXXX EMANATO XXX PUBBLICO XXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (LT) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) ÜXXXXX ÁLTAL XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX MAĦRUĠ XXXX XXXXXXXXXX XXXXXXXX/ (NL) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX MINISTERIE/ (XX) DOKUMENT POCHODZĄCY XX XXXXXXXXXXX/ (XX) XXXXXXXXX PROVENIENTE DO XXXXXXXXXX XXXXXXX/ (RO) XXXXXXXX XXXX XX XX PROCUROR/ (XX) XXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXX, XX XX XXXX XXXXXXX XXXXXXXXX/ (XX) VIRALLISEN XXXXXÄXÄX ANTAMA XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX FRÅN ÅKLAGARVÄSENDET

3.1.3

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX POR XX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX EN JUSTITSSEKRETÆR/ (XX) XXXXXXX EINES XXXXXXXXXXXXXX XXX GESCHÄFTSSTELLE XXXXX XXXXXXXX/ (XX) XXXXXXXX, MILLE XX XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXX XX X XXXXX/ (XX) DOCUMENT XXXXXXX X'XX XXXXXXXX/ (GA) XXXXXXXXX X THAGANN X CHLÉIREACH DE XXXXX XXXXXX/ (HR) XXXXXXX XXXX JE XXXXX XXXXXXXXXX SUDSKE XXXXXXXXX/ (XX) DOCUMENTO XXXXXXX XX UN XXXXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (XX) XXXXXX XXXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX REĠISTRATUR XX' XXXXX/ (XX) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX DE UM XXXXXXX DE XXXXXÇX/ (XX) DOCUMENT EMIS XX XX XXXXXXX XX XXXXXXȚXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXX/ (SV) HANDLING XXX HÄRRÖR FRÅN XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (ES) DOCUMENTO XXXXXXXX XXX XX XXXXXX XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX XX EN XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXXXXXXX XXXX A XXXXXXXX XXXXXXX ('HUISSIER XX XXXXXXX')/ (FR) XXXXXXXX XXXXXXX D'UN XXXXXXXX XX JUSTICE/ (XX) XXXXXXXXX X THAGANN X OIFIGEACH XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXX XX XXXXX XXXXXX XXXXXXXXX (HUISSIER DE XXXXXXX)/ (XX) DOCUMENTO XXXXXXX XX UN XXXXXXXXX XXXXXXXXXXX ("HUISSIER XX XXXXXXX")/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (HUISSIER XX XXXXXXX)/ (XX) XXXXXXXXX (HUISSIER DE XXXXXXX) IŠDUOTAS XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX DE JUSTICE”) XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX SĄDOWEGO (XXXXXXXX DE JUSTICE)/ (XX) XXXXXXXXX PROVENIENTE XX UM XXXXXXÃX XX DIREITO («XXXXXXXX XX JUSTICE»)/ (XX) XXXXXXXX XXXX XX XX EXECUTOR XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (XX) LISTINA VYDANÁ XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXX, XX JO XXXX XXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX XX JUSTICE”) XXXXXX XXXXXXXXX/ (SV) XXXXXXXX XXX HÄRRÖR XXÅX XX XXÄXXXXXXXXX (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) OTRO (ESPECIFÍQUESE)/ (XX) XXXX (XXXXXXXXX)/ (XX) ANDRE (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) XXX (XÄXXXXXXXX)/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX BE XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (GA) XXXX (XX SONRÚ)/ (XX) XXXXXX (NAVESTI)/ (XX) XXXXX (XXXXXXXXX)/ (XX) XXXX (PRECIZĒT)/ (LT) XXXX (XXXXXXXX)/ (XX) XXXXX (KÉRJÜK PONTOSÍTANI)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) XXXX (XXXXXĘ XXXXŚXXĆ)/ (XX) OUTROS (X XXXXXXXXXXX)/ (RO) XXXXX (A XX XXXXXXX)/ (SK) XXX (XXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) MUU XXXXXXXXX (TÄSMENNETTÄVÄ)/ (SV) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXXX XXXXXX/ (DA) XXXXXXXXXXXXXX XXXXXXXX/ (DE) 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/ (XX) ADMINISTRACINIS XXXXXXXXXX/ (HU) KÖZIGAZGATÁSI XXXXXX/ (MT) XXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (PL) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (RO) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) OSVĚDČENÍ/ (XX) PÅTEGNING/ (XX) XXXXXXXXXXXXX/ (ET) TÕEND/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) DEIMHNIÚ/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (LT) XXXXXX, LIUDIJIMAS/ (HU) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (XX) CERTIFICAAT/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (RO) XXXXXXXXXX/ (SK) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX XXXXXXXX XXXXX/ (CZ) XXXXX Z MATRIKY/ (XX) UDDRAG XXX XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX CIVIL XXXXXX REGISTER/ (FR) XXXXXXX XX XXXXXXXX XX X'XXXX CIVIL/ (XX) SLIOCHT AS XX gCLÁR XXXXXXX XXXXXXXXXX/ (HR) XXXXXXX XX REGISTRA XXXXXXX XXXXXX/ (XX) XXXXXXXX XX ATTO DI XXXXX XXXXXX/ (LV) XXXXXXXX XX CIVILSTĀVOKĻA XXXX REĢISTRA/ (XX) XXXXXXX XX XXXXXXXĖX XŪXXĖX AKTŲ XXXXXXXX/ (XX) XXXXXÖXXXX KIVONAT/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXX UIT XXX XXXXXXXX XXX XX XXXXXXXXXXX XXXXX/ (PL) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (PT) XXXXXXX XX XXXX XX REGISTO XXXXX/ (XX) XXXXXX XXX XXXXXXXXX XX STARE XXXXXĂ/ (XX) XXXXX X XXXXXXXX OSOBNÉHO XXXXX/ (XX) XXXXXXX XX REGISTRA X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (ES) XXXXXXXX XXX XXXXX/ (XX) XXXXX X XXXXXXXX OBYVATEL/ (DA) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXX AUS XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (EN) XXXXXXX XXXX THE XXXXXXXXXX REGISTER/ (XX) XXXXXXX XX XXXXXXXX XX XX XXXXXXXXXX/ (XX) SLIOCHT XX XX gCLÁR DAONRA/ (XX) XXXXXXX XX XXXXXX XXXXXXXXXXXX/ (IT) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XX XXXXĪXXXĀXX XXĢXXXXX/ (LT) XXXXXXX XX GYVENTOJŲ REGISTRO/ (XX) KIVONAT X XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (NL) XXXXXXXXXX XXX HET XXXXXXXXXXXXXXXXXX/ (XX) WYCIĄG X XXXXXXXX LUDNOŚCI/ (XX) XXXXXXX DO REGISTO XX XXXXXXÇÃX/ (RO) XXXXXX DIN XXXXXXXXX XX XXXXXXȚĂ X XXXXXXȚXXX/ (XX) XXXXX X XXXXXXXX OBYVATEĽOV/ (XX) XXXXXXX IZ XXXXXXXX PREBIVALSTVA/ (FI) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX XX XXXXX XXX XXXXXXXX CIVIL/ (CZ) XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXX XX XXXXXXXXXXXXXXXXXXX/ (DE) XÖXXXXXXX KOPIE VON XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (EN) XXXXXXXX XXXX OF XXXXX XXXXXX XXXXXXX/ (XX) XXXXX INTÉGRALE D'ACTES XX X'XXXX XXXXX/ (XX) XXXX FOCAL XX FHOCAL DE XXXXXXX AR XXXXXX XXXXXXXXX/ (XX) DOSLOVNI XXXXXXXX IZ XXXXXXXXXX X OSOBNOM XXXXXX/ (XX) XXXXX XXXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXĀXXXĻX AKTU REĢISTRA XXXXXXXX AUTENTISKA KOPIJA/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXX XXX-XXXX TAL-ISTAT ĊXXXXX/ (NL) XXXXXXXXXXX XXXXXXXXX XXX AKTEN XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (XX) CERTIDÃO XX CÓPIA XXXXXXXX XX XX XXXXXXXXX XX XXXX XX XXXXXXX XXXXX/ (RO) XXXXX EXACTĂ A XXXX XXX XX XXXXX XXXXXĂ/ (XX) XXXXXXXX XXXXX ZO XXXXXXX O XXXXXXX XXXXX/ (SL) XXXXXXXXX XXXXXX LISTIN X XXXXXXX STANJU/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) ORDAGRANN XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (ES) XXXX XXXXXXXX/ (XX) NOTÁŘSKÁ XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) NOTARIELLE XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) ATTO XXXXXXXX/ (XX) XXXXXXĀXX AKTS/ (XX) XXXXXXXXX AKTAS/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (XX) XXX XXXXXXXXXX/ (XX) ATO NOTARIAL/ (XX) XXX XXXXXXXX/ (XX) NOTÁRSKA XXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX ANTAMA XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX OFICIAL XXXXXX XXXXX UN XXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXX, KTERÝM XXXX XXXXXXXX XXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXX XÅXXXXXXX XÅ ET XXXXXXXX XXXXXXXXXXX XX XX XXXXXX X DENNES XXXXXXXX XX XXXXXXXXXXXX/ (XX) AMTLICHE BESCHEINIGUNG XXX EINER XXXXXXXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXXXX ALLKIRJASTATUD XXXXXXXXXXX XXXXXXXXXX XXXXXXX TÕEND/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX XXXXXX XX X XXXXXXXX SIGNED XX X XXXXXX XX HIS OR XXX PRIVATE CAPACITY/ (XX) DÉCLARATION XXXXXXXXXX XXXXXXX XXX UN XXXX XXXX XXXXX XXXXX/ (XX) DEIMHNIÚ XXXXXXXXX A XXXXXXXXX XX DHOICIMÉAD XXXX XXXXXX XX XXXXX XXX XXXXX XX XXX XXXX PHRÍOBHÁIDEACH/ (XX) XXXXXXXX POTVRDA XXXXXXXXX NA XXXXXXX XXXX XX XXXXX XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (IT) DICHIARAZIONE XXXXXXXXX APPOSTA XX XXX XXXXXXXXX XXXXXXX/ (XX) OFICIĀLS XXXXXXXXĀXXXX XX XXXXXXXXX, XX XXXĀ VĀRDĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (LT) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX PATVIRTINIMAI/ (XX) MAGÁNOKIRATON XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (MT) ĊXXXXXXXXX XXXXĊXXXX LI XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX XXXXXXX FIL-KAPAĊITÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX DOCUMENT XXXXXXXXXXX XXXX XXX PERSOON XX ZIJN PARTICULIERE XXXXXXXXXXXX/ (PL) URZĘDOWE XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX PODPISANYM XXXXX XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX PRYWATNYM/ (PT) XXXXXXXÇÃX XXXXXXX INSERTA XXX ATO XX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX OFICIAL XXXXXXX XX XX XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX OSVEDČENIE XXXXXXX NA XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXX XX ZASEBNI XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, XXXXX XXXXXXÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) OFFICIELLT XXXXX XXXXXXXXX XÅ XX XXXXXXXX XXX UNDERTECKNATS XX XX PRIVATPERSON

3.5

(BG) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX POR XX XXXXXX XXXXXXXXXXX X XXXXXXXX DE UN XXXXXX MIEMBRO XXX XXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX ČLENSKÉHO XXXXX X XXXXX VÝKONU XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX XX XX XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (XX) XXX XXXXX DIPLOMATISCHEN XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX MITGLIEDSTAATS XX XXXXXX AMTLICHEN XXXXXXXX XXXXXXXXXX URKUNDE/ (ET) XXXXXXXXXXXX XXXXXXXXXXXXXX VÕI XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX KOOSTATUD XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) DOCUMENT XXXXX XX XX X XXXXXXXXXX XX CONSULAR XXXXX OF X XXXXXX STATE XX XXX OR HER XXXXXXXX CAPACITY/ (XX) XXXXXXXX XXXXXX XX XX XXXXXXX OFFICIELLE XXX XX XXXXX XXXXXXXXXXXX XX CONSULAIRE X'XX XXXX XXXXXX/ (XX) XXXXXXXXX ARNA XXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX XX XXXXX XXXXXXXXX XXX XXXXX XX INA XXXX XXXXXXXXX/ (XX) XXXXXXX XXXX JE X XXXXXXXXX XXXXXXXX SASTAVIO XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX REDATTO XX XXXXXX DIPLOMATICI X CONSOLARI DI XXX XXXXX XXXXXX XXXX'XXXXXXXXX DELLE XXXX XXXXXXXX/ (XX) XXXXXXXXX, XXXX, PILDOT XXXXX XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX VAI KONSULĀRAIS XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX XX XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX PAGAL XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXXX XXXX XĠXXX XXXXXXXXXXX JEW XXXXXXXXX TA' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (NL) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXXXXX OF CONSULAIRE XXXXXXXXX XXX XXX XXXXXXXX IN XXXX XXXXXXËXX XXXXXXXXXXXX/ (XX) XXXXXXXX SPORZĄDZONY XXXXX XXXXXXXXXXXXXXX DYPLOMATYCZNEGO XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX DZIAŁAJĄCYCH X XXXXXXXXXXX URZĘDOWYM/ (XX) XXXXXXXXX LAVRADO XXX XX XXXXXX XXXXXXXXXXX XX CONSULAR XX XX XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX XX XĂXXX UN AGENT XXXXXXXXXX SAU XXXXXXXX XX UNUI XXXX XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (XX) LISTINA XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX ŠTÁTU V XXXXX VÝKONU XXXX XXXXXXX/ (SL) XXXXXXX, XX XX XXX XXXXXX XXXXX IZDA XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) ASIAKIRJA, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX EDUSTAJA XXX KONSULIEDUSTAJA XX XXXXXXXX VIRANTOIMITUKSESSA/ (XX) XXXXXXXX UPPRÄTTAD I XXÄXXXXX XX XX XXXXXXXXXXX ELLER KONSULÄR XXÄXXXXXXX I XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (TT/MM/JJJJ)/ (ET) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX ISSUE/ (XX) XXXX (JJ/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (DD/MM/GGGG) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) IZDOŠANAS XXXXXX (XX/XX/XXXX)/ (XX) IŠDAVIMO XXXX (DD/MM/MMMM)/ (XX) X KIÁLLÍTÁS XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) XXXXX (XX/XX/XXXX) VAN XXXXXXX/ (XX) XXXX (XX/XX/XXXX) WYDANIA/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX REFERENCIA XXX XXXXXXXXX PÚBLICO/ (XX) REFERENČNÍ XXXXX XXXXXXX XXXXXXX/ (XX) XXX XXXXXXXXXX DOKUMENTS XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖFFENTLICHEN URKUNDE/ (XX) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (EL) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (EN) REFERENCE XXXXXX OF XXX XXXXXX DOCUMENT/ (XX) XXXXXX XX XXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) UIMHIR THAGARTHA XX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX BROJ XXXXX XXXXXXX/ (IT) XXXXXX XX XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX/ (XX) PUBLISKĀ XXXXXXXXX XXXXXXXX NUMURS/ (XX) XXXXXXX XXXXXXXXX XXXXXXX/ (XX) X XÖXXXXXXX XXXXXXXXXXX SZÁMA/ (MT) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX PUBBLIKU/ (NL) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) NÚMERO XX XXXXXÊXXXX DO XXXXXXXXX PÚBLICO/ (XX) XXXĂXXX XX REFERINȚĂ XX XXXXXXXXXXXX OFICIAL/ (XX) REFERENČNÉ XXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (SV) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX SOBRE EL XXXXXXXXXX/ (CZ) XXXXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXXXX XX XXX PÅGÆLDENDE PERSON/ (XX) ANGABEN XXX XXXXXXXXXXXX XXXXXX/ (ET) XXXXXXXXX XXXXXX XÄXXXXXX XXXXX/ (EL) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) INFORMATION XX THE XXXXXX XXXXXXXXX/ (FR) INFORMATIONS XXX LA PERSONNE XXXXXXXXX/ (XX) XXXXXXXX XXXXXX XXXX AN XXXXX LENA xXXXXXXXX/ (XX) XXXXXXXXXXX O XXXXXXXX OSOBI/ (XX) XXXXXXXXXXXX SULLA XXXXXXX XXXXXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXĪXX XXXXXXX/ (XX) INFORMACIJA APIE XXXXXXXXXĄ ASMENĮ/ (XX) XX XXXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX DWAR XX-XXXXXXX XXXXĊXXXXXX/ (XX) XXXXXXXXXX XXXX XX XXXXXXXXXX/ (XX) XXXX XXXXX, XXXXXX XXXXXXX XXXXXXXX/ (XX) INFORMAÇÕES SOBRE X PESSOA XX XXXXX/ (XX) XXXXXXXȚXX XXXXXXX PERSOANA VIZATĂ/ (XX) INFORMÁCIE X XXXXXXXXX XXXXX/ (SL) XXXXXXXXXXX X XXXXXXX XXXXX/ (XX) ASIANOMAISEN XXXXXXÖX XXXXXX/ (XX) XXXXXXXXX OM DEN XXXÖXXX XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (XX) APELLIDO(S) DE XXXXXXXXXX/ (XX) RODNÉ/Á XXXXXXXX/ (DA) XXXXXXXXX(X) XXX XØXXXXX/ (XX) XXXXXXXXXXXX(X) BEI DER XXXXXX/ (XX) XÜXXXXÄXXXX XXXXXXXXXXXXX (XÜXXXXÄXXXXX XXXXXXXXXXXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (XX) XXXXXXX(X) XX BIRTH/ (XX) XXX(X) À XX NAISSANCE/ (GA) XXXXXXX (SLOINNTE) BREITHE/ (XX) XXXXXXX(XX) PRI XXĐXXXX/ (XX) COGNOME/I XXXX XXXXXXX/ (XX) XXXĀXXX(-X) XXXXXXXXX XXĪXĪ/ (XX) XXXXXXĖ (-ĖS), XXXXXXXX (-XX) XXXXX/ (XX) XXÜXXXXXX XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) XXX-XXXXXX/ (XX) XXXXXXXX(X)X(XX) XXX XX XXXXXXXX/ (XX) XXXXXXXX(-X) XXXXXX/ (XX) APELIDO(S) À XXXX DO XXXXXXXXXX/ (XX) NUMELE XX XXȘXXXX/ (XX) XXXXX XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX XX XXXXXXX/ (XX) XXXXXXXX (-XXXXX) SYNTYMÄHETKELLÄ/ (XX) EFTERNAMN XXX XÖXXXXX

4.2

(XX) НАСТОЯЩО(И) ФАМИЛНО(И) ИМЕ(НА)/ (ES) XXXXXXXX(X) XXXXXX(XX)/ (XX) XXXXXXXX/X XXXXXXXX/ (XX) XXXÆXXXXX XXXXXXXXX(X)/ (XX) XXXXXXXXXX(X) XXXXXXXXXXXX(X)/ (XX) PRAEGUNE XXXXXXXXXXXXX (PRAEGUSED XXXXXXXXXXXXXX)/ (XX) ΤΡΕΧΟΝ(-ΤΑ) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX SURNAME(S)/ (XX) XXX(X) XXXXXX(X)/ (XX) XXXXXXX (XXXXXXXX) XXXXXX/ (XX) XXXXXXXX(-X) XXXXXXX(XX)/ (IT) XXXXXXX/X XXXXXXX/X/ (LV) XXXXXXX(-XX) XXXĀXXX(-X)/ (XX) XXXXXXXXĖ (-ĖX) XXXXXXĖ (-ĖS)/ (XX) XXXXXXXXX XXXXXXX XXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX) XXXXXXX/ (XX) XXXXXXX XXXXXXXX(X)X(XX)/ (PL) XXXXXX XXXXXXXX(-X)/ (XX) APELIDO XX XXXXXXXX XXXXXX/ (XX) NUMELE 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) APELLIDO(S) XXXXX XX XX XXXXXXXXXXX/ (XX) XXXXXXXX XXXX XXXXXXXXX REGISTROVANÉHO XXXXXXXXXXX/ (XX) XXXXXXXXX(X) XØX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXX EINTRAGUNG XXX XXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXX (-NIMED) XXXX XXXXXXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΑΠΟ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (XX) XXXXXXX(X) XXXXXX XXX XXX/ (XX) XXX(X) XXXXX L'ACTE/ (XX) XXXXXXX (XXXXXXXX) XXXXX XX nGNÍOMH/ (HR) XXXXXXX(XX) XXXXX XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) COGNOME/I XXXXX XXXX'XXXX/ (XX) XXXĀXXX(-X) XXXXX AKTA/ (XX) XXXXXXĖ (-ĖX) XXXXX SUDARANT XXXĄ/ (XX) XXXXXXX XXXX(X) XX ÉLETTÁRSI XXXXXXXXX XXXXXXXXXX XXŐXX/ (MT) XXXXXX(/XXXXXXXXXXX) XXXXX X-XXX/ (XX) XXXXXXXX(X)X(XX) VÓÓR XX AKTE/ (XX) XXXXXXXX(-X) PRZED XXXXXXXXXXĄ XXXĄXXX/ (PT) XXXXXXX(X) XXXXX DO XXX/ (XX) NUMELE ÎNAINTE XX ÎXXXXXXXXXXXX PARTENERIATULUI/ (XX) XXXXXXXXXX(-X) XXXX XXXXXXXXX XXXXXXXXXXXXXX PARTNERSTVA/ (XX) XXXXXXX/XXXXXXX XXXX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXX XXXXXXXXÖXXXXÄ/ (XX) XXXXXXXXX XÖXX XXXÅXXXXX

4.4

(XX) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА РЕГИСТРИРАНЕТО НА АКТА/ (XX) XXXXXXXX(X) XXXXXXX DE XX XXXXXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXX(X) XXXXX REGISTRERINGEN/ (XX) XXXXXXXXXXXX(X) XXXX XXX XXXXXXXXXX XXX PARTNERSCHAFT/ (XX) XXXXXXXXXXXXX (-XXXXX) XÄXXXX XXXXXXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΜΕΤΑ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (XX) XXXXXXX(X) FOLLOWING XXX XXX/ (XX) XXX(X) À XX XXXXX XX X'XXXX/ (GA) XXXXXXX (XXXXXXXX) TAR XXX AN XXXXXX/ (XX) XXXXXXX(XX) NAKON XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXX/X DOPO L'ATTO/ (XX) XXXĀXXX(-X) XĒX XXXX/ (XX) PAVARDĖ (-ĖX) XX XXXX XXXXXXXX/ (XX) XXXXXXX XXXX(X) AZ XXXXXXXXX XXXXXXXXX XXXXXXXXXX XXXX/ (XX) KUNJOM(/KUNJOMIJIET) WARA X-XXX/ (XX) XXXXXXXX(X)X(XX) XX XX XXXX/ (XX) XXXXXXXX(-X) XX XXXXXXXXXXX XXXĄXXX/ (PT) XXXXXXX(X) APÓS X XXX/ (XX) XXXXXX XXXĂ ÎNREGISTRAREA PARTENERIATULUI/ (XX) XXXXXXXXXX(-X) PO XXXXXXXX XXXXXXXXXXXXXX PARTNERSTVA/ (XX) XXXXXXX/XXXXXXX PO XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) SUKUNIMI (-XXXXX) XXXXXXXXÖXXXXX JÄLKEEN/ (SV) XXXXXXXXX XXXXX INGÅENDET

4.5

(BG) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) XXXXX (XXXXX)/ (DA) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) FORENAME(S)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (CÉADAINMNEACHA)/ (XX) XXX(XX)/ (XX) NOME(I)/ (XX) XĀXXX(-X)/ (XX) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (XX) VOORNA(A)M(EN)/ (XX) XXXĘ (XXXXXX)/ (XX) XXXX(X) XXXXXXX(X)/ (XX) XXXXXXX/ (SK) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (XX) XÖXXXXX

4.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXX/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÜXXXXXXXÄXX (PP/KK/AAAA)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (DD/MM/YYYY) XX BIRTH/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) BREITHE/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (XX) XXXX DI XXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) GIMIMO XXXX (XX/XX/XXXX)/ (XX) SZÜLETÉSI XXXXX (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) TAT-TWELID/ (XX) GEBOORTEDATUM (XX/XX/XXXX)/ (XX) DATA (DD/MM/RRRR) XXXXXXXXX/ (XX) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (SL) XXXXX (DD/MM/LLLL) XXXXXXX/ (XX) SYNTYMÄAIKA (XX/XX/XXXX)/ (XX) FÖDELSEDATUM (DD/MM/ÅÅÅÅ)

4.7

(BG) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX X XXXX XX XXXXXXXXXX/ (CZ) XXXXX X XXXX XXXXXXXX/ (XX) XØXXXXXX XX -LAND/ (XX) XXX UND XXXX XXX XXXXXX/ (XX) XÜXXXXXXX XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX AND XXXXXXX XX BIRTH/ (FR) XXXX ET XXXX XX XXXXXXXXX/ (XX) XXX AGUS XXX XXXXXXXX/ (XX) XXXXXX X XXXXXX XXĐXXXX/ (XX) XXXXX E XXXXX DI NASCITA/ (XX) XXXXXXXXX XXXXX XX XXXXXX/ (LT) XXXXXX XXXXX IR XXXXX/ (XX) XXÜXXXXXX XXXXX ÉS ORSZÁGA/ (XX) XXXX X XXXXXŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX EN -LAND/ (XX) XXXXXXX X XXŃXXXX URODZENIA/ (XX) XXXXX X XXXX XX NASCIMENTO/ (XX) XXXXX ȘX ȚARA XXȘXXXXX/ (XX) XXXXXX X XXXX XXXXXXXXX/ (XX) XXXX IN XXXXXX XXXXXXX/ (FI) XXXXXXÄXXXXXX XX -XXX/ (XX) XÖXXXXXXXX XXX -XXXX

4.8

(XX) ПОЛ/ (ES) XXXX/ (CZ) XXXXXXX/ (XX) XØX/ (DE) XXXXXXXXXX/ (XX) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (XX) XXXXXX/ (HR) XXXX/ (IT) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) XXXX/ (XX) XXXXXXXX/ (PL) XŁXĆ/ (XX) XXXX/ (XX) XXXXX/ (XX) POHLAVIE/ (XX) XXXX/ (XX) XXXXXXXXX/ (XX) KÖN

4.8.1

(BG) ЖЕНСКИ/ (XX) XXXXX/ (XX) XXXX/ (XX) XXXXXX/ (DE) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (HR) ŽENSKI/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (LT) MOTERIS/ (XX) XŐ/ (XX) XXXX/ (NL) XXXXX/ (XX) XXXXXXX/ (PT) XXXXXXXX/ (XX) FEMEIESC/ (XX) XXXXXX/ (SL) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX

4.8.2

(XX) МЪЖКИ/ (XX) VARÓN/ (CZ) XXX/ (XX) XXXX/ (XX) XÄXXXXXX/ (ET) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (LV) XĪXXXXXX/ (XX) XXXXX/ (HU) XXXXX/ (XX) XXĠXX/ (XX) XXX/ (XX) XĘŻXXXXXX/ (XX) MASCULINO/ (XX) XĂXXĂXXXX/ (SK) XXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) XXX

4.8.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (CZ) XXXXXXXX/ (XX) UBESTEMT/ (XX) XXXXXXXXXX/ (ET) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (GA) XXXXXXXXXXXXXXX/ (XX) NEODREĐEN/ (IT) XXXXXXXXXXXXX/ (LV) NENOTEIKTS/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (NL) XXXXXXXXX/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) MÄÄRITTELEMÄTÖN/ (XX) XX XXXXXXÄXXX

4.9

(XX) ГРАЖДАНСТВО/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (DA) XXXXXXXXXXXX/ (XX) STAATSANGEHÖRIGKEIT/ (XX) XXXXXXXXXXX/ (EL) ΙΘΑΓΕΝΕΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) DRŽAVLJANSTVO/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXĪXX/ (XX) XXXXXXXXĖ/ (XX) ÁLLAMPOLGÁRSÁGA/ (XX) ĊXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) OBYWATELSTWO/ (PT) XXXXXXXXXXXXX/ (XX) XXXĂȚXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (FI) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX

5.

(XX) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ, ПОЛОЖЕНИЕТО НА РЕГИСТРИРАНО ПАРТНЬОРСТВО НА СЪОТВЕТНОТО ЛИЦЕ Е, КАКТО СЛЕДВА/ (ES) SEGÚN XX XXXXXXXXX XXXXXXX XX QUE XX XXXXXXX XXXX IMPRESO, XX XXXXXX XXX XXXXXXXXXX XX XX XXX XXXXXXXX X XX CALIDAD XX XXXXXXX XX XXX XXXXX XX XXXXX XXXXXXXXXX XX XX XXXXXXXXX/ (XX) NA XXXXXXX VEŘEJNÉ XXXXXXX, X XXX JE XXXXXXXX XXXXX XXXXXXXX, XX DOTYČNÁ XXXXX XXXXX STATUS XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXX TIL XXX XXXXXXXXXX XXXXXXXX, SOM XXXXX FORMULAR XX XXXXÆXXXX, HAR XXX XÅXÆXXXXXX PERSON XØXXXXXX XXXXXXXXXXXX PARTNERSKABSSTATUS/ (XX) XXXXXX XXX EINGETRAGENEN XXXXXXXXXXXXX XXX XXXXXXXXXXXX XXXXXX GEMÄSS XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX BEIGEFÜGT XXX/ (ET) XXXXXXXXX XXXXXXXXX DOKUMENDILE, XXXXXXX XXX XXXX ON XXXXXXX, XX ASJAOMASEL XXXXXX XÄXXXXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXXX STAATUS/ (XX) ΣΥΜΦΩΝΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ, ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΕΧΕΙ ΤΗΝ ΑΚΟΛΟΥΘΗ ΚΑΤΑΣΤΑΣΗ ΑΠΟ ΑΠΟΨΗ ΚΑΤΑΧΩΡΙΣΜΕΝΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ/ (XX) XXXXXXXXX XX THE XXXXXX DOCUMENT XX XXXXX XXXX XXXX XX XXXXXXXX, XXX XXXXXX CONCERNED XXX XXX XXXXXXXXX XXXXXXXXXX XXXXXXXXXXX STATUS/ (XX) X'XXXÈX LE DOCUMENT XXXXXX AUQUEL XX XXXXXXX XXXXXXXXXX EST XXXXX, LE STATUT XX XXXXXXXXXXX ENREGISTRÉ XX XX XXXXXXXX XXXXXXXXX EST XX XXXXXXX/ (XX) XX XXXX XX XXXXXXXXX XXXXXXX LENA XXXXXX XX XXXXXX XXX XXXXXXXXXX, TÁ XX XXXXXX XXXXXXXXXXXXXXX XXXXXXXXX X XXXXXX XX XX XXXXX XXXX xXXXXXXXX/ (XX) XXXXX XXXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX XXXXXX XXXXXXXXXXXXX XXXXXXXXXXX DOTIČNE XXXXX XX XXXXXXĆX/ (IT) XXXXXXX IL XXXXXXXXX XXXXXXXX XXX IL XXXXXXXX XXXXXX È XXXXXXXX, LO XXXXX XX UNIONE REGISTRATA XXXXX XXXXXXX INTERESSATA È IL SEGUENTE/ (XX) XXXXXŅĀ XX XXXXXXXX DOKUMENTU, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, XXXXXXĪXXXXX PERSONAI XX ŠĀDS XXĢXXXXĒXX XXXXXXXXXXXXXĪXX STATUSS/ (LT) XXXXX VIEŠĄJĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXXXX XXXXXX REGISTRUOTOS XXXXXXXXXXĖX XXXĖXXX YRA XXXXX/ (XX) XX XXXXXXXX XXXXXXX XXXXXXXXXX ÉLETTÁRSI XXXXXXXXXXXX ÖXXXXXÜXXŐ XXXXXXXXX X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXX SZERINT/ (MT) XXXXX XX-XXXXXXXX PUBBLIKU XX MIEGĦU XXXX XXXXXŻX XXX XX-XXXXXXX, XX-XXXXXXX KKONĊERNATA XĦXXXXX X-XXXXXXX XX' SĦUBIJA XXĠXXXXXXX XXX ĠXX/ (XX) VOLGENS HET XXXXXXXX DOCUMENT WAARAAN XXX FORMULIER XX XXXXXXX, XX XX XXXXXX XXX XXX XXXXXXXXXXXXX PARTNERSCHAP XXX XX BETROKKENE DE XXXXXXXX/ (PL) X XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXŁĄXXXXX XXXX XXXXXXXXX XXXXXXXXX, XXXXXX, ŻX OSOBA, XXXXXX XXXXXXX XXXXXXXX, POSIADA XXXXĘXXXĄXX STATUS XXXĄXXXX X XXXXXXXXXXXXXXX XXXĄXXXXX XXXXXXXXXXX/ (XX) XXXXXXX X XXXXXXXXX PÚBLICO X XXX O XXXXXXXX FORMULÁRIO XXXX XXXXXX, À XXXX XX SUA XXXXXÃX, X ESTATUTO DE XXXXXXXX XXXXXXXXX XX XXXXXX EM CAUSA X/ (RO) ÎX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXX LA XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX, PERSOANA XXXXXĂ XXX URMĂTORUL XXXXXX XXXXXXX XXXXXXXXXXXXX ÎNREGISTRAT/ (XX) XXXĽX VEREJNEJ XXXXXXX, XX XXXXXX XX XXXXX FORMULÁR XXXXXXXXX, MÁ DOTKNUTÁ XXXXX XXXXX XXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (SL) X XXXXXX Z XXXXX XXXXXXX, KI XX XX PRILOŽEN XX OBRAZEC, JE XXXXXX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX ZADEVNE XXXXX XXXXXXXXX/ (XX) XXX XXXXXXX XXXXXXXXXX XXXXXX, XXXXX XÄXÄ LOMAKE XXXXXXÄÄX, XXXXXXXXXXXX XXXXXXÖX XXXXXXXXÖXXXXX XXXXXXXXXXXXXX LIITTYVÄ XXXXXXXXÄÄXX XX XXXXXXXX/ (XX) ENLIGT XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX ÄX XXX BERÖRDA XXXXXXXXX XXXXXX AVSEENDE XXXXXXXXXXX XXXXXXXXXXX XÖXXXXXX

5.1

(XX) С РЕГИСТРИРАНО ПАРТНЬОРСТВО/ДАТА (ДД/ММ/ГГГГ) НА РЕГИСТРИРАНЕ НА ПАРТНЬОРСТВОТО/ (XX) XXXXX XXXXXX XX XXXXX XXXXXXXXXX / XXXXX (XX/XX/XXXX) XX XXXXXXXX XX LA XXXXX XX XXXXX/ (XX) XX V REGISTROVANÉM XXXXXXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXX/XXXX (XX/XX/ÅÅÅÅ) FOR XXXXXXXXXXXXXX XX PARTNERSKABET/ (XX) EINGETRAGENER XXXXXXX/XXXXX (XX/XX/XXXX) XXX XXXXXXXXXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXXXX / XXXXXXX XXXXXXXXXXXXXXX KUUPÄEV (XX/XX/XXXX)/ (XX) ΚΑΤΑΧΩΡΙΣΜΈΝΟΣ(-Η) ΣΥΝΤΡΟΦΟΣ / ΗΜΕΡΟΜΗΝΊΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΚΑΤΑΧΩΡΙΣΗΣ ΤΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ/ (EN) XXXXXXXXXX XXXXXXX/XXXX (XX/XX/XXXX) XX XXXXXXXXXXXX XX XXX XXXXXXXXXXX/ (XX) XXXXX XXXXXX XX XXXXXXXXXXX ENREGISTRÉ/DATE (XX/XX/XXXX) X'XXXXXXXXXXXXXX XX XXXXXXXXXXX/ (XX) PÁIRTNÉIR XXXXXXXXX/XXXX (XX/XX/XXXX) XXXXXX XX XXXXXXXXXXXXXXX/ (HR) XXXXXXXXXXXX XXXXXXX / XXXXX (XX/XX/XXXX) XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXX REGISTRATO/DATA XX XXXXXXXXXXXXX XXXX'XXXXXX (XX/XX/XXXX)/ (XX) REĢISTRĒTAIS XXXXXXXXX / PARTNERATTIECĪBU XXĢXXXXĒXXXXX DATUMS (XX/XX/XXXX)/ (XX) XXXXXXXXXXXX (-X) XXXXXXXXX (-Ė) / XXXXXXXXXXĖX SUDARYMO DATA (XX/XX/XXXX)/ (XX) XXXXXXXXXX XXXXXXXX/X BEJEGYZETT XXXXXXXXX XXXXXXXXX LÉTESÍTÉSÉNEK XXXXX (XXXX/XX/XX)/ (MT) XXXĦXX(/XXXĦXX) XXĠXXXXXX(X) X DATA (XX/XX/XXXX) TAR-REĠISTRAZZJONI XXX-XĦXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXX/XXXXX (XX/XX/XXXX) XXX REGISTRATIE XXX HET PARTNERSCHAP/ (XX) POZOSTAJE X XXXXXXXXXXXXXXX XXXĄXXX PARTNERSKIM / XXXX (XX/XX/XXXX) XXXXXXXX ZAREJESTROWANEGO XXXĄXXX XXXXXXXXXXXXX/ (PT) XXXXXXXX(X) XXXXXXXXX(X)/XXXX XX XXXXXXX XX PARCERIA (XX/XX/XXXX)/ (XX) PARTENER ÎXXXXXXXXXX/XXXX (XX/XX/XXXX) ÎXXXXXXXXĂXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) REGISTRIRAN XXXXXXX/XXXXX (DD/MM/LLLL) REGISTRACIJE XXXXXXXXXX SKUPNOSTI/ (FI) XXXXXXXXÖXXX XXXXXXXX/XXXXXXXXXXX REKISTERÖINTIPÄIVÄ (XX/XX/XXXX)/ (XX) REGISTRERAD XXXXXXX/XXXXX (XX/XX/ÅÅÅÅ) FÖR XXXXXXXXXXXX AV XXXXXXXXXXXXX

5.2

(XX) БЕЗ РЕГИСТРИРАНО ПАРТНЬОРСТВО/ (XX) NO TIENE XXXXXX XX XXXXX XXXXXXXXXX/ (CZ) NENÍ X XXXXXXXXXXXXX PARTNERSTVÍ/ (XX) XXXX X XX XXXXXXXXXXX XXXXXXXXXXX/ (XX) NICHT XX XXXXX XXXXXXXXXXXXX XXXXXXXXXXXXX/ (XX) XX XXX XXXXXX XXXXXXXXXXXXXX KOOSELUS/ (XX) ΔΕΝ ΒΡΙΣΚΕΤΑΙ ΣΕ ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΧΕΣΗ ΣΥΜΒΙΩΣΗΣ/ (EN) NOT XX X REGISTERED XXXXXXXXXXX/ (FR) X'XXXXX XXX XXXXXX XX XXXXXXXXXXX XXXXXXXXXX/ (XX) XXX AN DUINE XXXXXXXXX X xXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) NIJE X XXXXXXXXXXXXX PARTNERSTVU/ (XX) NON XX XXXXXX XXXXXXXXXX/ (XX) XXX REĢISTRĒTAS XXXXXXXXXXXXXĪXXX/ (XX) NESUDARĘS (-XXXX) XXXXXXXXXXXX XXXXXXXXXXĖX/ (XX) XXXXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXX/ (XX) XXXX XX SĦUBIJA XXĠXXXXXXX/ (XX) XXXX IN XXX XXXXXXXXXXXXX PARTNERSCHAP/ (XX) NIE POZOSTAJE X XXXXXXXXXXXXXXX ZWIĄZKU XXXXXXXXXXX/ (XX) NÃO XXX XXX XXXXXXXX XXXXXXXXX/ (RO) NU XX XXXĂ ÎXXX-XX XXXXXXXXXXX ÎNREGISTRAT/ (SK) XXXXXX X XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XX X XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XX XXXXXXXXÖXXXXXÄ PARISUHTEESSA/ (XX) XX X XXXXXXXXXXX XXXXXXXXXXX

5.2.1

(XX) НИКОГА НЕ Е РЕГИСТРИРАЛО ПАРТНЬОРСТВО/ (XX) XX HA XXXXXX XXXXX PAREJA XX XXXXX XXXXXXXXXX/ (XX) NIKDY XXXXXX X REGISTROVANÉM XXXXXXXXXXX/ (XX) XXXXXX X XX XXXXXXXXXXX PARTNERSKAB/ (XX) NIE XX XXXXX XXXXXXXXXXXXX XXXXXXXXXXXXX/ (XX) EI OLE XXXXXXXXXXXXXX KOOSELUS XXXXX/ (XX) ΔΕΝ ΕΧΕΙ ΣΥΝΑΨΕΙ ΠΟΤΕ ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΧΕΣΗ ΣΥΜΒΙΩΣΗΣ/ (XX) XXXXX IN X XXXXXXXXXX XXXXXXXXXXX/ (XX) X'XXXXX XXXXXX XXXXXX XX XXXXXXXXXXX XXXXXXXXXX/ (XX) NÍ RAIBH XX XXXXX XXXXXXXXX X bPÁIRTNÉIREACHT XXXXXXXXXX XXXXX/ (XX) NIKADA XXXX BIO(-LA) U XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXX CONTRATTA XX'XXXXXX XXXXXXXXXX/ (XX) NEKAD XXX STĀJIES XXĢXXXXĒXĀX XXXXXXXXXXXXXĪXĀX/ (XX) XXXXXXX XXXXXX XXXXXĘX (-XXXX) XXXXXXXXXXXX PARTNERYSTĖS/ (HU) XXXXX VOLT BEJEGYZETT XXXXXXXXX XXXXXXXXXX/ (MT) XXXX XX KONT XX XĦXXXXX REĠISTRATA/ (XX) XXXXX IN XXX XXXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXXX XXX XXXXXŁ(-X) XXXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX/ (XX) XXXXX XXXX XXX XXXXXXXX XXXXXXXXX/ (RO) XX X-X XXXXX XXXXXXXXĂ ÎXXX-XX PARTENERIAT ÎXXXXXXXXXX/ (XX) XXXXX NEŽILA X REGISTROVANOM XXXXXXXXXXX/ (XX) NIKOLI XX XXX X XXXXXXXXXXXX XXXXXXXXXX SKUPNOSTI/ (XX) XX OLE KOSKAAN XXXXX XXXXXXXXÖXXXXXÄ XXXXXXXXXXXXX/ (XX) XXX XXXXXX XXXXX X XXX XXXXXXXXXXX PARTNERSKAP

5.2.2

(BG) С РАЗТРОГНАТО РЕГИСТРИРАНО ПАРТНЬОРСТВО/ДАТА (ДД/ММ/ГГГГ) НА РАЗТРОГВАНЕ НА ПАРТНЬОРСТВОТО/ (XX) XX XXXXXXXXX XX XXXXXXXX DE XXX XXXXX XX XXXXX / FECHA (XX/XX/XXXX) XX XX XXXXXXXXXXX/ (XX) XXXXXXXXXXXX PARTNERSTVÍ XXXX ZRUŠENO/DATUM (DD/MM/YYYY) XXXXXXX PARTNERSTVÍ/ (XX) XXXØXX REGISTRERET PARTNERSKAB/DATO (XX/XX/ÅÅÅÅ) FOR OPLØSNING XX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXXXX PARTNERSCHAFT/DATUM (XX/XX/XXXX) XXX XXXXXXXXX XXX PARTNERSCHAFT/ (XX) XXXXXXXXXXXXXX KOOSELU ON XÕXXXXXXX / XXXXXXX XÕXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΛΥΘΕΙΣΑ ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΧΕΣΗ ΣΥΜΒΙΩΣΗΣ / ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΛΥΣΗΣ ΤΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ/ (XX) XXXXXXXXX REGISTERED XXXXXXXXXXX/XXXX (DD/MM/YYYY) OF XXXXXXXXXXX XX THE XXXXXXXXXXX/ (XX) XXXXX XXXXXX XX PARTENARIAT XXXXXXXXXX DISSOUS/DATE (XX/XX/XXXX) XX DISSOLUTION XX XXXXXXXXXXX/ (GA) XXXXXXXXXXXXXX XXXXXXXXXX DHÍSCAOILTE/DÁTA (XX/XX/XXXX) XXXXXXXXXXXXX XX PÁIRTNÉIREACHTA/ (XX) XXXXXXXXXX XXXXXXXXXXXX XXXXXXXXXXX / DATUM (XX/XX/XXXX) RAZVRGNUĆA REGISTRIRANOG XXXXXXXXXXX/ (XX) XXXXXX XXXXXXXXXX XXXXXXX/XXXX XX XXXXXXXXXXXX XXXX'XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXĀX REĢISTRĒTAS XXXXXXXXXXXXXĪXXX / XXĢXXXXĒXX XXXXXXXXXXXXXĪXX XXXXXXXXXĀX XXXXXX (XX/XX/XXXX)/ (XX) REGISTRUOTA XXXXXXXXXXĖ NUTRAUKTA / XXXXXXXXXXĖX XXXXXXXXXX DATA (XX/XX/XXXX)/ (HU) XXXXXŰXX XXXXXXXXXX ÉLETTÁRSI XXXXXXXXX/X XXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXXŰXXXXXXX IDEJE (XXXX/XX/XX)/ (XX) XĦXXXXX XXĠXXXXXXX XXXXX X XXXX (XX/XX/XXXX) XXX-XXXXXXXXX XXX-XĦXXXXX XXĠXXXXXXX/ (NL) XXXXXXXXX XXXXXXXXXXXXX PARTNERSCHAP/DATUM (XX/XX/XXXX) XXX XXXXXXXXXX VAN XXX XXXXXXXXXXXX/ (XX) XXXXXĄXXXXX XXXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX / DATA (XX/XX/XXXX) XXXXXĄXXXXX XXXXXXXXXXXXXXXX XXXĄXXX PARTNERSKIEGO/ (PT) XXXXXXXX XXXXXXXXX DISSOLVIDA/DATA XX XXXXXXXÇÃX XX XXXXXXXX (XX/XX/XXXX)/ (RO) XXXXXXXXXXX ÎXXXXXXXXXX DIZOLVAT/DATA (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) XXXXXXXXXX REGISTRIRANE XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXÖXXX PARISUHDE XXXXXXX/XXXXXXXXXXX XXXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXÖXX REGISTRERAT XXXXXXXXXXX/XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXXÖXXXXX XX XXXXXXXXXXXXX

5.2.3

(XX) С ПОЧИНАЛ ПАРТНЬОР/ДАТА (ДД/ММ/ГГГГ) НА СМЪРТТА НА ПАРТНЬОРА/ (ES) XXXXXXX XXXXXXXXXX XX XXX XXXXX XX XXXXX XXXXXXXXXX / XXXXX (XX/XX/XXXX) DE XXXXXXXXXXXXX XX XX XXXXXX XX XXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX – PARTNERKA/DATUM (DD/MM/YYYY) XXXXX XXXXXXXX – XXXXXXXXX/ (DA) XÆXXXXXXXXXXX XXXXXXX/XXXX (XX/XX/ÅÅÅÅ) XXX XXXXXXXX XØX/ (XX) ÜXXXXXXXXXXX PARTNER/STERBEDATUM (XX/XX/XXXX) XXX XXXXXXXX/ (XX) ÜXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX / XXXXXXXXXXXXXX ELUKAASLASE XXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΕΠΙΖΩΝ(-ΣΑ) ΣΥΝΤΡΟΦΟΣ / ΗΜΕΡΟΜΗΝΊΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΘΑΝΑΤΟΥ ΣΥΝΤΡΟΦΟΥ/ (EN) XXXXXXXXX PARTNER/ DATE (XX/XX/XXXX) XX XXXXXXX'X XXXXX/ (XX) XXXXXXXXXX XXXXXXXXX/XXXX (XX/XX/XXXX) XX XXXÈX XX XXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ XXXX (LL/MM/BBBB) XXXX XX PHÁIRTNÉARA/ (XX) XXXXXXXXXX PARTNER / XXXXX (XX/XX/XXXX) XXXXX XXXXXXXX/ (IT) XXXXXXX XXXXXXXXXX/XXXX DI XXXXXXX XXX XXXXXXX (XX/XX/XXXX)/ (XX) XĀXXXĪXXXXXXXX XXXXXXXXX / PARTNERA XXXXXXXX XXXXXX (DD/MM/GGGG)/ (LT) XXXXXXXXĘX (-XXX) XXXXXXXXX (-Ė) / XXXXXXXXX (-ĖX) XXXXXXX XXXX (XX/XX/XXXX)/ (XX) XXXXXŐ XXXXXXXX/XX XXXXXXXX XXXXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXĦXX(/XXXĦXX) XXXXXXXXXX X XXXX (XX/XX/XXXX) XXX-XXXX XXX-XXXĦXX(/XXXĦXX)/ (XX) XXXXXXXXXXX XXXXXXX/XXXXX (XX/XX/XXXX) XXX XXXXXXXXXX XXX DE XXXXXXX/ (XX) PARTNER XXXXXXXXĄXX XXXX ŻYCIU / XXXX (XX/XX/XXXX) XXXXX XXXXXXXX XXXXXXXX/ (XX) PARCEIRO(A) SOBREVIVO(A)/ XXXX XX XXXXX XX(X) XXXXXXXX(X) (XX/XX/XXXX)/ (XX) PARTENER XXXXXXXXȚXXXXX/XXXX (XX/XX/XXXX) DECESULUI XXXXXXXXXXXX/ (XX) XXXXXXXXX PARTNER/DÁTUM (XX/XX/XXXX) ÚMRTIA PARTNERA/ (XX) XXXXXXXXX XXXXXXX/XXXXX (XX/XX/XXXX) PARTNERJEVE XXXXX/ (XX) ELOONJÄÄNYT XXXXXXXX/XXXXXXXXX XXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) XXXXXXXXXXXX XXXXXXX/XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXXXXXXX XÖX

5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) INDETERMINADO/ (XX) XXXXXXXX/ (DA) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (IT) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (PT) XÃX XXXXXXXX/ (XX) NEDETERMINAT/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) MÄÄRITTELEMÄTÖN/ (XX) XX XXXXXXÄXXX

6.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX XXXXX/ (XX) XXXX XXX XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (DE) XXXXXXXXXXXXXXXXXX/ (ET) ALLKIRJALAHTER/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX BOX/ (XX) XXXXX POUR XX XXXXXXXXX/ (GA) XXXXX DON XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) RIQUADRO XXX XX FIRMA/ (XX) PARAKSTA XXXXX/ (XX) XXXXXX LAUKELIS/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (XX) KAXXA XXX-XXXXXXXX/ (NL) XXX XXXX XX XXXXXXXXXXXX/ (XX) POLE XXXXXXX/ (XX) ESPAÇO XXXXXXXXX À ASSINATURA/ (XX) XXXXĂXXXX/ (SK) XXXXXXX XX PODPIS/ (XX) XXXXX XX XXXXXX/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (XX) XXXX XÖX XXXXXXXXXXXXXX

6.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X XXXXXX(X) XXX FUNCIONARIO QUE XXXXXXX ESTE XXXXXXX/ (XX) XXXXXXXX X XXXXX (XXXXX) XXXXXXXX, XXXXX XXXXX TENTO XXXXXXXX/ (DA) XXXXXXXXX(X) XX FORNAVN(E) XÅ XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) FAMILIENNAME(N) XXX XXXXXXX(X) DES XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX HAT/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX AMETNIKU XXXXXXX (-XXXXX) JA XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) AND XXXXXXXX(X) XX XXX XXXXXXXX WHO ISSUED XXXX XXXX/ (FR) XXX(X) ET XXXXXX(X) XX XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXXX XXXXXXXX (XXXXXXXXXXXXXX) AN XXXXXXXX A X’XXXXXX XX XXXXXX XXX/ (XX) PREZIME(NA) X XXX(XX) SLUŽBENIKA XXXX XX XXXXX XXXX XXXXXXX/ (IT) COGNOME/I X XXXX/X XXX XXXXXXXXXXX XXX HA XXXXXXXXXX XX XXXXXXXX XXXXXX/ (LV) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, UZVĀRDS(-I) UN XĀXXX(-X)/ (XX) XXĄ XXXXĄ IŠDAVUSIO XXXXXXŪXX XXXXXXĖ (-ĖS) XX XXXXXX (-XX)/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXX NEVE(I) XX UTÓNEVE(I)/ (XX) XXXXXX(/XXXXXXXXXXX) U XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XX(X)X(XX) EN XXXXXX(X)X(XX) XXX XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) I IMIĘ (XXXXXX) XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) APELIDO(S) E XXXX(X) XXXXXXX(X) XX XXXXXXXXXXX XXX EMITIU X XXXXXXXX XXXXXXXXXX/ (XX) NUMELE ȘI XXXXXXXXX XXXXȚXXXXXXXXX CARE X XXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX XXX/XXXXX URADNIKA, XX XX IZDAL XX XXXXXXX/ (XX) XÄXÄX LOMAKKEEN XXXXXXXX XXXXXXXXXXX XXXXXXXX (-XXXXX) 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 XXX XXXXXXX ESTE IMPRESO/ (XX) FUNKCE XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXXX — DEN XXXXXXXXXX, XXX XXX XXXXXXX XXXXX FORMULAR/ (DE) XXXXXXXX XXX XXXXXXX, XXX XXXXXX FORMULAR XXXXXXXXXXX HAT/ (XX) XÄXXXXXXX XXXXX VÄLJASTANUD XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXX XX THE XXXXXXXX XXX ISSUED XXXX FORM/ (XX) XXXXX XX XXXXXXXXXXXXX XXX A XXXXXXX XX XXXXXXX FORMULAIRE/ (XX) XXXX XX XXXXXXXX A X’XXXXXX XX XXXXXX SEO/ (XX) XXXXXXXX XXXXXXXXXX XXXX JE XXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXX XXXXXXXXXXX XXX HA RILASCIATO XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, KURA XXXXXXXX XX XXXXXXXX, XXXXX/ (XX) ŠIĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (HU) A XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXXXX/ (MT) KARIGA XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX XXX XX XXXXXXXXX DIE XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX URZĘDNIKA, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX XX XXXXXXXXXXX QUE XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) POZIȚIA XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) FUNKCIA XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (SL) XXXXXXX XXXXXXXX, XX XX XXXXX XX OBRAZEC/ (XX) TÄMÄN XXXXXXXXX XXXXXXXX VIRKAMIEHEN XXXXX/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX SOM XXX XXXÄXXXX DETTA XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX ISSUE/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) EISIÚNA/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (DD/MM/MMMM)/ (XX) X XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (NL) XXXXX (DD/MM/JJJJ) XXX XXXXXXX/ (PL) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX EMISSÃO (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (FI) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) DATUM (XX/XX/ÅÅÅÅ) FÖR XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (DA) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) ALLKIRI/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) SIGNATURE/ (XX) XXXXX/ (XX) POTPIS/ (XX) XXXXX/ (LV) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXX/ (MT) XXXXX/ (NL) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (RO) XXXXĂXXXX/ (XX) PODPIS/ (SL) XXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) NAMNTECKNING

6.5

(BG) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (ES) XXXXX X XXXXXX/ (XX) XXXXX XXXX XXXXXXX/ (XX) XXXX XXXXX XXXXXXX/ (XX) XXXXXX XXXX XXXXXXX/ (XX) PITSER XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX XXXXX/ (XX) XXXXX XX TIMBRE/ (GA) XXXXX XX XXXXXX/ (XX) XXX ILI XXXXX/ (XX) XXXXX X XXXXXX/ (XX) XĪXXXX VAI XXXXXXXX/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (XX) PECSÉT XXXX XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX JEW XXXXXX/ (XX) XXXXX XX XXXXXXX/ (XX) XXXXXĘĆ XXX STEMPEL/ (PT) XXXX XX XXXXXXX/ (XX) XXXXXXXX XXX ȘXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXX XXX/ (XX) SINETTI XXX LEIMA/ (SV) XXXXXX XXXXX XXÄXXXX

XXXXXXXX xxxx XXXXX XXXXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX XXX XXXXXXX

Xxxxxx 7 xxxxxxxx Xxxxxxxxxx xxxxxxxxxx x Rady (XX) 2016/1191 xx xxx 6. xxxxxxxx 2016 x podpoře volného xxxxxx xxxxxx zjednodušením xxxxxxxxx na xxxxxxxxxxx xxxxxxxxx veřejných listin x Evropské xxxx x o změně xxxxxxxx (XX) x. 1024/2012 (1) (2)

Xxxxxx (XX) Xxxxxxxxx (BG)

Česká xxxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (IE)

Řecko (XX) Xxxxxxxxx (XX)

Xxxxxxx (FR) Xxxxxxxxxx (XX)

Xxxxxx (IT) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxx (XX) Xxxxxxxx (XX)

Xxxxxx (XX) Portugalsko (XX)

Xxxxxxxx (XX) Slovinsko (XX)

Xxxxxxxxx (XX) Xxxxxx (FI)

Švédsko (XX) Xxxxxxx království (XX)

XXXXXXXX XXXXXXXXXX

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

Xxxxx xxxxxxxx xxxxxx xxxxx xxxxxxx xxxxxxx, k xxx xx přiložen. Xxxxx, xxxxx xx xxxxxxx xxxxxxx předkládána, xxxx xxxx x xxxxxxxxx, xxx je xx nezbytné xxx xxxxx xxxxxxxxxx xxxxxxx xxxxxxx, xxxxxxxxx překlad xx xxxxxx xxxxxxxxx, xxxxx xxxx ve xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX ORGÁN

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

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

1. XXXXX XXXXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (4)

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

1.1 Xxxxx (5)

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

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

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx vydaná xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx vydaná xxxxxx soudním úředníkem

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 xxxxx xxxxxx xxxxxxxx xx xxxxx „xxxxxxxx“ x „xxxxx pobytu“ xxxx xxx vykládány v xxxxxxx s xxxxxxxxxxxxx xxxxxx.

(3) Xxx xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

(4) Xxxxx „název“ xx třeba vykládat xxxx xxxxxx xxxxx xxxxxx xxxxxxxxxxxx formulář.

(5) Xxxxx „xxxxx“ je xxxxx vykládat xxxx xxxxxx xxxxx xxxxxx xxxxxxxxxxxx veřejnou xxxxxxx, x níž 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 registru obyvatel

3.2.4 Xxxx xxxxxxxxxx xxxxxxx

3.1.5 Xxxx (upřesněte)

3.3 Xxxxxxxx xxxxxxx

3.4 Úřední xxxxxxxxx, xxxxxx xxxx xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

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

3.6 Xxxxx (dd/mm/rrrr) xxxxxx

3.7 Xxxxxxxxxx číslo xxxxxxx xxxxxxx

4. XXXXXXXXX X XXXXXXX XXXXX

4.1 Xxxxxxxx

4.2 Xxxxx (jména)

4.3 Xxxxx (xx/xx/xxxx) narození

4.4 Xxxxx (1) a xxxx (2) xxxxxxxx

4.5 Xxxxxxx:

4.5.1 Žena

4.5.2 Xxx

4.5.3 Xxxxxxxx

5. SOUČASNÉ XXXXXXXX XXXX MÍSTO XXXXXX XXXXX XXXXXXX VE XXXXXXX XXXXXXX, X XXX JE PŘIPOJEN XXXXX XXXXXXXX

5.1 Bydliště

5.1.1 Xxxxxx:

5.1.1.1 Xxxxx x xxxxx xxxx / xxxxxxxx xxxxxxxxx

5.1.1.2 Xxxxx x xxxxxxxx xxxxxxxxx xxxxx

5.1.1.3 Xxxx (1)

5.2 Xxxxx xxxxxx

5.1.1 Adresa:

5.1.1.1 Xxxxx x číslo xxxx / xxxxxxxx xxxxxxxxx

5.1.1.2 Xxxxx x xxxxxxxx xxxxxxxxx xxxxx

5.1.1.3 Xxxx (2)

6. POLE XXX XXXXXX

6.1 Příjmení x xxxxx (jména) xxxxxxxx, který xxxxx xxxxx formulář

6.2 Xxxxxx xxxxxxxx, xxxxx vydal xxxxx xxxxxxxx

6.3 Xxxxx (xx/xx/xxxx) xxxxxx

6.4 Podpis

6.5 Xxxxx nebo xxxxxxx

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

(2) Název xxxx x – xxxxx xxxxxxxx – xxx XXX xxxx xxxx nebo xxxxxxx „Xxxx (upřesněte)“ xx xxxxx xxxxxx z xxxxxxxxxxx nabídky xx xxxxxxxx vícejazyčném xxxxxxxxxxx xxxxxxxxx, který xx x xxxxxxxxx na xxxxxxx evropské x-xxxxxxx.

XXXXXXXXXXX XXXXXX NÁZVŮ XXXXXXXXXXXX XXXXXXX

(XXXXXXXX xxxx XXXXX XXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX EXPIDE XXXX XXXXXXX/ (CZ) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (DA) XXXXX XXXXXXXXX UDSTEDENDE MYNDIGHED/ (XX) XXXÖXXX, XXX XXXXXX FORMULAR XXXXXXXXX/ (XX) KÄESOLEVA VORMI XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX XXXX/ (FR) XXXXXXXX XX XXXXXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) AN tÚDARÁS X XXXXXXXX AN XXXXXX SEO/ (XX) XXXXXX XXXX IZDAJE XXXX OBRAZAC/ (IT) XXXXXXXÀ CHE XXXXXXXX XX XXXXXXXX MODULO/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ FORMĄ XXXXXXXXXX VALDŽIOS XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX XX' XXX IL-FORMOLA/ (XX) XXXXXXXXXX VAN XXXXXXX XXX XXX FORMULIER/ (XX) XXXXX XXXXXĄXX XXXXXXXXX FORMULARZ/ (XX) XXXXXXXXXX QUE EMITE X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX FORMULAR/ (XX) XXXXX XXXXXXXXXX XXXXX FORMULÁR/ (XX) XXXXX, KI XXXX XX OBRAZEC/ (XX) XÄXÄX XXXXXXXXX ANTAVA XXXXXXXXXXXX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) NÁZEV/ (DA) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXX/ (EL) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) DÉNOMINATION/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) NOSAUKUMS/ (XX) PAVADINIMAS/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXX/ (PT) XXXXXXXÇÃX/ (XX) DENUMIRE/ (SK) XXXXX/ (SL) XXX/ (XX) NIMI/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX QUE XXXXXX XX XXXXXXXXX PÚBLICO XX XXX XX XXXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX LISTINU, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXX XXXXXXXXX, XXX XXX XXXXXXX XXX XXXXXXXXXX DOKUMENT, XXX XXXXX FORMULAR XX XXXXÆXXXX/ (XX) BEHÖRDE, XXX XXX ÖXXXXXXXXXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXÜXX XXX, XXXXXXXXX/ (XX) ASUTUS, XXX XXXXX XÄXXX XXXXXXX DOKUMENDI, 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 XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX tÚDARÁS X XXXXXXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX CEANGAILTE/ (HR) XXXXXX KOJE XXXXXX XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (IT) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX CUI XX XXXXXXXX XXXXXX È XXXXXXXX/ (LV) XXXXXXXĀ DOKUMENTA, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (LT) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXXXX VALDŽIOS XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATOT XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX DIN XX-XXXXXXX/ (NL) XXXXXXXXXX XXX AFGIFTE XXX XXX OPENBAAR XXXXXXXX XXXXXXX XXX FORMULIER XX XXXXXXX/ (XX) XXXXX WYDAJĄCY XXXXXXXX XXXĘXXXX, XX XXXXXXX XXXXXXXXX FORMULARZ XXXX XXŁĄXXXXX/ (XX) AUTORIDADE XXX XXXXX X XXXXXXXXX XXXXXXX X XXX X PRESENTE XXXXXXXXXX XXXX APENSO/ (XX) XXXXXXXXXXX XXXXXXXĂ X DOCUMENTULUI XXXXXXX XX CARE XXXX XXXXXX PREZENTUL XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXX LISTINU, KU XXXXXX JE TENTO XXXXXXXX PRIPOJENÝ/ (XX) XXXXX, KI XXXX XXXXX LISTINO, XX XX XX XXXXXXXX XX OBRAZEC/ (XX) XXXXXXXXXXXX, JOKA XX XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX TÄMÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXX XXXXXXXXXX XXXXXXXX TILL XXXXXX XXXXX FORMULÄR ÄX BIFOGAT

3.

(BG) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX RELATIVA XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX ESTE IMPRESO/ (XX) XXXXXXXXX XXXXXXXX XX VEŘEJNÉ LISTINY, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXØXXXXX XXX XXXXXXXXXX DOKUMENT, XXX XXXXX XXXXXXXX XX VEDHÆFTET/ (XX) XXXXXXX ZUR ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) TEAVE XXXXXXX XXXXXXXXX XXXXX, MILLELE XXX XXXX ON XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) INFORMATION RELATING XX XXX PUBLIC XXXXXXXX XX XXXXX XXXX FORM IS XXXXXXXX/ (FR) XXXXXXXXXXXX XXXXXXXXX AU DOCUMENT XXXXXX AUQUEL EST XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX X XXXXXXXXX XXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX AN XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXXXXX KOJE XX XXXXXX NA XXXXX XXXXXXX KOJOJ XX XXXX XXXXXXX XXXXXXXX/ (XX) INFORMAZIONI XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX XĪ VEIDLAPA XX PIEVIENOTA/ (XX) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX XXXXXXXXX, XXXX XXXXX PRIDEDAMA XX XXXXX/ (XX) A XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXX ID-DOKUMENT XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX WAARAAN XXX XXXXXXXXX IS XXXXXXX/ (XX) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX NINIEJSZY XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX XXXXXXXXX XXXXXXX A XXX X PRESENTE XXXXXXXXXX XXXX XXXXXX/ (XX) INFORMAȚII XXXXXXXXXXX XX DOCUMENTUL XXXXXXX XX XXXX XXXX XXXXXX PREZENTUL XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXX LISTINE, XX XXXXXX JE TENTO XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX V ZVEZI X XXXXX XXXXXXX, XX JI XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX TÄMÄ XXXXXX LIITETÄÄN/ (XX) XXXXXXXXXXX XX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX DETTA XXXXXXÄX ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) DOCUMENTO XXXXXXXX XXX XXX XXXXXXXXX X UN FUNCIONARIO XXXXXXXXX A XXX XXXXXXX XXXXXXXXXXXXXXXX DE XX XXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXX XXXXXXXXX X XXXXXX XX XXXXX DANÉHO XXXXXXXXX XXXXX/ (DA) DOKUMENT, XXX ER UDSTEDT XX XX MYNDIGHED XXXXX XX EMBEDSMAND, XXX ER TILKNYTTET XXXXXXXX I EN XXXXXXXXXXX/ (DE) XXXXXXX XXXXX BEHÖRDE ODER XXXXX XXXXXXXXXX ALS XXXXX XXX RECHTSPFLEGE XXXXX MITGLIEDSTAATS/ (XX) XXXXXXXX, MILLE XX XÄXXX XXXXXX XXXXXXXXXXXX XXXXXXXXX SEOTUD XXXXXXXXXXX XÕX AMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX FROM XX XXXXXXXXX XX AN XXXXXXXX CONNECTED WITH XXX COURTS XX XXXXXXXXX OF X XXXXXX STATE/ (FR) XXXXXXXX XXXXXXX D'UNE XXXXXXXX OU X'XX XXXXXXXXXXXXX XXXXXXXX D'UNE XXXXXXXXXXX X'XX XXXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXX NÓ X XXXXXXXXX A XXXXXX XXXXX AIGE NÓ XXXX LE XXXXXXXXXX XX LE BINSÍ XX XXXXX XXXXXXXXX/ (XX) XXXXXXX KOJU XX XXXXXX XXXXXX XXX XXXXXXXXX SUDA XXXXXX XXXXXXX/ (IT) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ O XX XX FUNZIONARIO XXXXXXXXXXXX XX XXX XXXXX XXXXXXXXXXXXX XX UNO XXXXX MEMBRO/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XX XXXĪXXXXXXX TIESĀM XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX VALDŽIOS XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ XX VALSTYBĖS XXXĖX XXXXXXXX XX TRIBUNOLAIS/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX XXXX XXXXXXX XXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ XXX XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX XXX IT-TRIBUNALI XX' XXXX MEMBRU/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXXXXXX XXXXXXXXX XXX EEN XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXX XĄXXXXXX LUB XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX AUTORIDADE XX XX XX XXXXXXXXXXX DEPENDENTE XX XXXXXXXX XXXXXXXÇÃX DE XX XXXXXX-XXXXXX/ (XX) XXXXXXXX XXXX DE X AUTORITATE XXX XX XX XXXXȚXXXXX XX PE XÂXXĂ XXXXXXȚXXX UNUI STAT XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX ALEBO XXXXXXXXX S XÄXXXX XX XXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX, XXXXXX X STRANI XXXXXX ALI XXXXXXXX XXXXX XXXXXXX XXXXXX XXXXXXX/ (XX) ASIAKIRJA, XXXXX XX ANTANUT XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX VIRKAMIES/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN XX XXXXXXXXX XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X EN XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (CZ) XXXXXXXXXX SOUDU/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (EL) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX DECISION/ (XX) XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXX ÓN xXXXXX/ (XX) SUDSKA XXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (XX) TEISMO XXXXXXXXXX/ (HU) BÍRÓSÁGI XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (XX) DECISÃO XXXXXXXX/ (XX) HOTĂRÂRE XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) SODNA XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (SV) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) DOCUMENTO XXXXXXXX POR EL XXXXXXXXXX FISCAL/ (XX) XXXXXXX VYDANÁ XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX EN XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, MILLE XX XÄXXX ANDNUD XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX A XXXXXX XXXXXXXXXX/ (FR) XXXXXXXX XXXXXXX XX MINISTÈRE XXXXXX/ (GA) DOICIMÉAD X XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXX JE XXXXXX DRŽAVNO XXXXXXXXXXXX/ (XX) XXXXXXXXX EMANATO XXX XXXXXXXX XXXXXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX PROKURORS/ (XX) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) ÜXXXXX XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXXXX PUBBLIKU/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX DO XXXXXXXXXX XXXXXXX/ (RO) XXXXXXXX XXXX XX XX PROCUROR/ (XX) XXXXXXX XXXXXX PROKURÁTOROM/ (XX) XXXXXXX, XX XX IZDA DRŽAVNO XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX ANTAMA ASIAKIRJA/ (XX) HANDLING SOM XÄXXÖX FRÅN ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (ES) XXXXXXXXX EXPEDIDO XXX XX XXXXXXXXXX JUDICIAL/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX ÚŘEDNÍKEM/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXÆX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX GESCHÄFTSSTELLE XXXXX GERICHTS/ (XX) XXXXXXXX, XXXXX ON XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX XXXX X CLERK XX X XXXXX/ (XX) XXXXXXXX XXXXXXX X'XX GREFFIER/ (XX) XXXXXXXXX A XXXXXXX X XXXXXXXXXX XX XXXXX XXXXXX/ (HR) XXXXXXX XXXX JE XXXXX UPRAVITELJ XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX UN XXXXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (XX) XXXXXX XXXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX MAĦRUĠ XXXX REĠISTRATUR XX' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX DE UM XXXXXXX DE XXXXXÇX/ (XX) XXXXXXXX EMIS XX XX XXXXXXX XX XXXXXXȚXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXX/ (SL) XXXXXXX, XX XX XXXX XXXXX 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 XX XXXXXX JUDICIAL («XXXXXXXX XX XXXXXXX»)/ (CZ) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX XX XX XXÆXXXXXXXXXX (»HUISSIER XX XXXXXXX«)/ (DE) URKUNDE XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, MILLE XX XÄXXX XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX JUSTICE»)/ (XX) XXXXXXXX EMANATING XXXX X JUDICIAL XXXXXXX ('HUISSIER DE XXXXXXX')/ (FR) XXXXXXXX XXXXXXX X'XX XXXXXXXX XX JUSTICE/ (XX) XXXXXXXXX A XXXXXXX X XXXXXXXXX BREITHIÚNACH (“XXXXXXXX XX JUSTICE”)/ (XX) XXXXXXX KOJU XX XXXXX XXXXXX XXXXXXXXX (HUISSIER XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (LV) XXXXXXXXX, XXXX IZSNIEDZIS XXXXXX XXXXXXĪXĀXX (XXXXXXXX XX JUSTICE)/ (LT) XXXXXXXXX (XXXXXXXX DE XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX”) XXXXX KIÁLLÍTOTT OKIRAT/ (XX) DOKUMENT MAĦRUĠ XXXX UFFIĊJAL ĠXXXXXXXXXX ('XXXXXXXX XX JUSTICE')/ (XX) XXXXXXXX AFGEGEVEN XXXX XXX GERECHTSDEURWAARDER/ (XX) XXXXXXXX XXXXXXXĄXX XX URZĘDNIKA SĄDOWEGO (XXXXXXXX XX JUSTICE)/ (XX) DOCUMENTO XXXXXXXXXXX XX XX XXXXXXÃX XX XXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXX DE XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX DE JUSTICE”)/ (XX) LISTINA XXXXXX XXXXXX VYKONÁVATEĽOM („HUISSIER XX JUSTICE“)/ (XX) XXXXXXX, XX XX XXXX XXXXX IZVRŠITELJ („XXXXXXXX XX XXXXXXX“)/ (XX) HAASTEMIEHEN (”HUISSIER XX JUSTICE”) XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXÄXXXXXXXXX (HUISSIER XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) JINÉ (XXXXXXXXX)/ (XX) ANDRE (ANGIVES)/ (XX) XXXXXXXXX (BITTE XXXXXXX)/ (XX) XXX (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) OTHER (XX BE XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (XX) XXXX (XX XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (XX) XXXXX (PRECISARE)/ (XX) XXXX (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (XX) XXXXX (XXXXÜX PONTOSÍTANI)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) OVERIGE (XXXXXXXXXXXX)/ (XX) INNY (XXXXXĘ XXXXŚXXĆ)/ (XX) XXXXXX (X ESPECIFICAR)/ (XX) XXXXX (X XX XXXXXXX)/ (XX) INÉ (XXXXXXXX)/ (XX) DRUGO (XXXXXXX)/ (FI) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (SV) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) URKUNDE XXXXX VERWALTUNGSBEHÖRDE/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXXXXXXXXX/ (XX) DOICIMÉAD XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (IT) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (LT) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (XX) ADMINISTRATIEF XXXXXXXX/ (PL) XXXXXXXX XXXXXXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXXXXX/ (RO) DOCUMENT XXXXXXXXXXXXX/ (XX) SPRÁVNA XXXXXXX/ (XX) UPRAVNA XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (SV) ADMINISTRATIV XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (CZ) OSVĚDČENÍ/ (XX) PÅTEGNING/ (XX) XXXXXXXXXXXXX/ (XX) TÕEND/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (EN) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (HR) XXXXXXX/ (IT) XXXXXXXXXXX/ (XX) APLIECINĀJUMS/ (XX) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (MT) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (PT) CERTIDÃO XX CERTIFICADO/ (RO) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (FI) 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 DEM XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (EN) EXTRACT XXXX THE XXXXX XXXXXX XXXXXXXX/ (XX) XXXXXXX XX REGISTRE XX L'ÉTAT XXXXX/ (XX) XXXXXXX XX XX xXXXX STÁDAIS XXXXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXX XXXXXX/ (XX) XXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXX NO CIVILSTĀVOKĻA XXXX XXĢXXXXX/ (XX) XXXXXXX IŠ XXXXXXXĖX XŪXXĖX XXXŲ XXXXXXXX/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊIVILI/ (XX) XXXXXXXXXX UIT XXX XXXXXXXX VAN DE XXXXXXXXXXX XXXXX/ (PL) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXX XX ATOS XX REGISTO XXXXX/ (XX) EXTRAS DIN XXXXXXXXX XX XXXXX XXXXXĂ/ (XX) VÝPIS X REGISTRA OSOBNÉHO XXXXX/ (XX) XXXXXXX XX REGISTRA O XXXXXXX STANJU/ (FI) XÄXXXÖXXXXXXXXXXXX (SIVIILISÄÄTY)/ (XX) XXXXXX UR FOLKBOKFÖRINGEN

3.2.3

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX XXX CENSO/ (XX) XXXXX X XXXXXXXX XXXXXXXX/ (DA) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX MELDEREGISTER/ (ET) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (EN) XXXXXXX XXXX XXX XXXXXXXXXX REGISTER/ (FR) XXXXXXX XX REGISTRE XX XX POPULATION/ (XX) SLIOCHT XX XX xXXXX XXXXXX/ (XX) IZVADAK IZ XXXXXX STANOVNIŠTVA/ (IT) XXXXXXXX XXXXXXXXXX/ (LV) XXXXXXXX XX IEDZĪVOTĀJU XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXXŲ XXXXXXXX/ (XX) KIVONAT X XXXXXXXXXXXX- XX LAKCÍMNYILVÁNTARTÁSBÓL/ (XX) XXXXXXX MIR-REĠISTRU XXX-XXXXXXXXXXXX/ (NL) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX X XXXXXXXX LUDNOŚCI/ (XX) XXXXXXX DO XXXXXXX XX XXXXXXÇÃX/ (XX) XXXXXX XXX XXXXXXXXX XX XXXXXXȚĂ X XXXXXXȚXXX/ (XX) VÝPIS X REGISTRA XXXXXXXĽXX/ (XX) XXXXXXX IZ XXXXXXXX XXXXXXXXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX XX BEFOLKNINGSREGISTER

3.2.4

(BG) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) COPIA XXXXXXX XX ACTAS XXX XXXXXXXX CIVIL/ (CZ) XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXX KOPI XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (EN) XXXXXXXX XXXX XX XXXXX XXXXXX RECORDS/ (FR) XXXXX INTÉGRALE X'XXXXX XX X'XXXX CIVIL/ (XX) XXXX FOCAL XX FHOCAL XX XXXXXXX XX XXXXXX XXXXXXXXX/ (XX) DOSLOVNI XXXXXXXX IZ XXXXXXXXXX X XXXXXXX XXXXXX/ (XX) XXXXX LETTERALE XX XXXX DI XXXXX CIVILE/ (LV) XXXXXXXĀXXXĻX XXXX REĢISTRA XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) CIVILINĖS XŪXXĖX XXXŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (HU) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXX TAL-ATTI XXX-XXXXX ĊXXXXX/ (NL) XXXXXXXXXXX XXXXXXXXX VAN AKTEN XXX DE XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (PT) CERTIDÃO XX XXXXX XXXXXXXX XX XX NARRATIVA XX ATOS DE XXXXXXX XXXXX/ (RO) XXXXX XXXXXĂ A XXXX XXX XX XXXXX CIVILĂ/ (XX) XXXXXXXX XXXXX XX XXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXX XXXXXX XXXXXX O XXXXXXX XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXXXXXXX SANATARKKA JÄLJENNÖS/ (XX) XXXXXXXXX AVSKRIFT XX FOLKBOKFÖRINGSHANDLING

3.3

(BG) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (DA) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) NOTARIELLE XXXXXXX/ (ET) NOTARIAALDOKUMENT/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) ATTO XXXXXXXX/ (XX) XXXXXXĀXX AKTS/ (XX) NOTARINIS XXXXX/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXËXX AKTE/ (XX) XXX XXXXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) ACT NOTARIAL/ (XX) XXXXXXXX XXXXXXX/ (XX) NOTARSKA LISTINA/ (XX) NOTAARIN XXXXXX 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 XXXXXXX/ (XX) XXXXXX OSVĚDČENÍ, XXXXXX XXXX XXXXXXXX XXXXXXX XXXXXXXXX SOUKROMOU OSOBOU/ (XX) XXXXXXXX XÅXXXXXXX XÅ XX XXXXXXXX XXXXXXXXXXX AF XX XXXXXX X DENNES XXXXXXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX EINER XXXXXXXXXXXXX/ (XX) XXXXX 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 X XXXXXX XX XXX XX XXX PRIVATE CAPACITY/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX SUR UN XXXX XXXX SEING XXXXX/ (XX) XXXXXXXX XXXXXXXXX A XXXXXXXXX XX DHOICIMÉAD XXXX XXXXXX AG XXXXX XXX XXXXX XX XXX CÁIL PHRÍOBHÁIDEACH/ (XX) XXXXXXXX POTVRDA XXXXXXXXX XX XXXXXXX XXXX JE OSOBA XXXXXXXXX X PRIVATNOM XXXXXXXX/ (IT) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX XXX XXXXXXXXX XXXXXXX/ (XX) OFICIĀLS XXXXXXXXĀXXXX XX XXXXXXXXX, XX XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (LT) XXXXXXXŲ ASMENŲ XXXXXXXXXŲ XXXXXXXXŲ OFICIALŪS XXXXXXXXXXXXX/ (XX) MAGÁNOKIRATON ELHELYEZETT XXXXXXXXX XXXXXXXXXXX/ (XX) ĊXXXXXXXXX UFFIĊJALI LI XXXXXXXĦXX F'DOKUMENT XXXXXXXX XXXX PERSUNA XXX-XXXXĊXXÀ XXXXXXX TAGĦHA/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX DOCUMENT ONDERTEKEND XXXX XXX XXXXXXX XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (PL) XXXĘXXXX XXŚXXXXXXXXXX UMIESZCZONE NA XXXXXXXXXX PODPISANYM PRZEZ XXXXĘ DZIAŁAJĄCĄ X XXXXXXXXXXX PRYWATNYM/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX XXX XX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXX XXXXXXX XX XX XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX NA LISTINE XXXXXXXXXX XXXXXX KONAJÚCOU XXX XXXXXXXX OSOBA/ (XX) XXXXXX IZJAVA XX ZASEBNI XXXXXXX/ (XX) XXXXXXXXXX TODISTUS XXXXXXXXXXXX, XXXXX HENKILÖ XX XXXXXXXXXXXXXXXX YKSITYISHENKILÖNÄ/ (XX) OFFICIELLT XXXXX XXXXXXXXX XÅ XX XXXXXXXX XXX XXXXXXXXXXXXX XX XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX POR XX XXXXXX XXXXXXXXXXX X XXXXXXXX XX XX XXXXXX XXXXXXX XXX XXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM XXXXXXXXX NEBO XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X RÁMCI XXXXXX XXXX XXXXXXXXXX POVINNOSTÍ/ (XX) DOKUMENT OFFICIELT XXXÆXXXXXX XX XX XXXXXXXXXXXX DIPLOMATISKE ELLER XXXXXXÆXX REPRÆSENTANT/ (XX) XXX XXXXX DIPLOMATISCHEN XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXXX IN XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (ET) XXXXXXXXXXXX DIPLOMAATILISE 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 / (EN) XXXXXXXX XXXXX XX XX X XXXXXXXXXX XX XXXXXXXX XXXXX XX X XXXXXX STATE XX HIS OR XXX XXXXXXXX CAPACITY/ (XX) XXXXXXXX XXXXXX XX SA XXXXXXX XXXXXXXXXX PAR XX XXXXX XXXXXXXXXXXX XX XXXXXXXXXX X'XX ÉTAT XXXXXX/ (GA) XXXXXXXXX XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX XX XXXXX XXXXXXXXX INA XXXXX NÓ INA XXXX XXXXXXXXX/ (HR) XXXXXXX KOJU XX X XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX DRŽAVE XXXXXXX/ (IT) XXXXXXXXX XXXXXXX XX AGENTI XXXXXXXXXXX X XXXXXXXXX XX UNO XXXXX XXXXXX NELL'ESERCIZIO XXXXX XXXX XXXXXXXX/ (LV) XXXXXXXXX, XXXX, XXXXXX XXXXX XXXXĀXXXXX, SAGATAVOJIS XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX XX XXXXXXXXXX XXXXXXŪXX, VEIKIANČIO XXXXX OFICIALIUS ĮGALIOJIMUS/ (XX) VALAMELY TAGÁLLAM XXXXXXXXXXX VAGY KONZULI XXXXXXXXŐXX ÁLTAL XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXXX XXXX AĠENT DIPLOMATIKU XXX XXXXXXXXX XX' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX XXX XXX LIDSTAAT XX XXXX XXXXXXËXX HOEDANIGHEID/ (XX) XXXXXXXX SPORZĄDZONY XXXXX PRZEDSTAWICIELA XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX DZIAŁAJĄCYCH X XXXXXXXXXXX XXXĘXXXXX / (XX) DOCUMENTO XXXXXXX POR XX XXXXXX XXXXXXXXXXX XX XXXXXXXX XX XX XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (RO) DOCUMENT ÎXXXXXXX DE XĂXXX XX XXXXX XXXXXXXXXX XXX CONSULAR XX XXXX XXXX XXXXXX, ÎX CALITATE OFICIALĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX ÚRADNÍKOM XXXXXXXXX XXXXX V XXXXX XXXXXX XXXX FUNKCIE/ (XX) LISTINA, KI XX XXX URADNA XXXXX XXXX DIPLOMATSKI XXX XXXXXXXXXX PREDSTAVNIK XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (SV) XXXXXXXX XXXXÄXXXX X XXÄXXXXX XX EN XXXXXXXXXXX XXXXX XXXXXXÄX XXÄXXXXXXX X EN XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX EXPEDICIÓN/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (DA) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) DATE (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/GGGG) IZDAVANJA/ (XX) DATA XX XXXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX DATUMS (DD/MM/GGGG)/ (XX) IŠDAVIMO DATA (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXX-ĦXXĠ/ (NL) XXXXX (XX/XX/XXXX) XXX AFGIFTE/ (XX) XXXX (DD/MM/RRRR) XXXXXXX/ (XX) DATA XX EMISSÃO (DD/MM/AAAA)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) DATUM (XX/XX/ÅÅÅÅ) XÖX UTFÄRDANDE

3.7

(BG) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) NÚMERO XX XXXXXXXXXX DEL XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (DA) DET XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖXXXXXXXXXXX URKUNDE/ (XX) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) REFERENCE XXXXXX XX XXX PUBLIC XXXXXXXX/ (FR) XXXXXX XX RÉFÉRENCE DU XXXXXXXX PUBLIC/ (XX) XXXXXX XXXXXXXXX XX XXXXXXXXX PHOIBLÍ/ (XX) XXXXXXXXXX BROJ JAVNE XXXXXXX/ (IT) NUMERO XX XXXXXXXXXXX DEL XXXXXXXXX XXXXXXXX/ (LV) XXXXXXXĀ XXXXXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXX/ (XX) X XÖXXXXXXX HIVATKOZÁSI XXXXX/ (XX) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (NL) XXXXXXXXXXXXXXXX XXX XXX OPENBAAR XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX DOKUMENTU XXXĘXXXXXX/ (XX) NÚMERO XX XXXXXÊXXXX DO XXXXXXXXX XXXXXXX/ (RO) NUMĂRUL XX XXXXXXXȚĂ XX XXXXXXXXXXXX XXXXXXX/ (SK) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX JAVNE XXXXXXX/ (XX) YLEISEN ASIAKIRJAN XXXXXXXXXXX/ (XX) DEN XXXXXXXXXX HANDLINGENS REFERENSNUMMER

4.

(BG) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (ES) XXXXXXXXXXX XXXXX EL INTERESADO/ (XX) XXXXXXXXX X XXXXXXX OSOBĚ/ (DA) XXXXXXXXXXX XX XXX XÅXÆXXXXXX PERSON/ (XX) XXXXXXX ZUR BETREFFENDEN XXXXXX/ (ET) XXXXXXXXX XXXXXX XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΊΑ ΤΟΥ ΠΡΟΣΏΠΟΥ ΤΟ ΟΠΟΊΟ ΑΦΟΡΆ ΤΟ ΈΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX XXXXXX CONCERNED/ (XX) INFORMATIONS XXX XX XXXXXXXX XXXXXXXXX/ (XX) FAISNÉIS MAIDIR XXXX XX DUINE XXXX xXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXXXXX XXXXX/ (IT) XXXXXXXXXXXX XXXXX PERSONA INTERESSATA/ (XX) INFORMĀCIJA XXX XXXXXXĪXX XXXXXXX/ (LT) XXXXXXXXXXX APIE XXXXXXXXXĄ XXXXXĮ/ (XX) AZ XXXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXX KKONĊERNATA/ (XX) INFORMATIE XXXX XX XXXXXXXXXX/ (XX) XXXX XXXXX, XXXXXX XXXXXXX DOKUMENT/ (XX) XXXXXXXÇÕXX XXXXX A XXXXXX XX CAUSA/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXX XXXXXĂ/ (SK) XXXXXXXXXX X XXXXXXXXX XXXXX/ (XX) XXXXXXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXX/ (XX) XXXXXXXXX XX XXX XXXÖXXX XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X)/ (XX) XXXXXXXX/ (DA) XXXXXXXXX(X)/ (XX) XXXXXXXXXXXX(X)/ (XX) XXXXXXXXXXXXX (-NIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (EN) SURNAME(S)/ (XX) XXX(X)/ (XX) XXXXXXX (XXXXXXXX)/ (HR) XXXXXXX(XX)/ (XX) XXXXXXX(X)/ (XX) XXXĀXXX(-X)/ (XX) XXXXXXĖ (-ĖX)/ (HU) XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (XX) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (XX) XXXXXXX(X)/ (XX) NUME/ (XX) XXXXXXXXXX(-X)/ (SL) XXXXXXX(XXXXXXX)/ (XX) SUKUNIMI (-XXXXX)/ (SV) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) XXXXX (XXXXX)/ (XX) FORNAVN(E)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-NIMED)/ (XX) ΟΝΟΜΑ (-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (XX) XĀXXX(-X)/ (XX) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (XX) VOORNA(A)M(EN)/ (XX) IMIĘ (XXXXXX)/ (XX) NOME(S) XXXXXXXX(X)/ (XX) XXXXXXX/ (SK) XXXX(-X)/ (SL) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (XX) FÖRNAMN

4.3

(BG) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) FECHA (DD/MM/AAAA) XX NACIMIENTO/ (CZ) XXXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XØXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) GEBURTSDATUM (TT/MM/JJJJ)/ (XX) SÜNNIKUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΊΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXX/ (GA) XXXX (LL/MM/BBBB) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXĐXXXX/ (IT) XXXX XX XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (LT) XXXXXX XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (NL) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) URODZENIA/ (XX) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) 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 A XXXX XXXXXXXX/ (XX) XØXXXXXX XX -XXXX/ (XX) ORT XXX XXXX XXX GEBURT/ (XX) SÜNNIKOHT XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX AND XXXXXXX XX XXXXX/ (XX) XXXX XX XXXX XX XXXXXXXXX/ (XX) XXX XXXX XXX XXXXXXXX/ (HR) XXXXXX X XXXXXX XXĐXXXX/ (IT) LUOGO X PAESE XX XXXXXXX/ (XX) XXXXXXXXX XXXXX XX XXXXXX/ (XX) XXXXXX XXXXX XX XXXXX/ (HU) XXÜXXXXXX XXXXX ÉS XXXXXXX/ (XX) XXXX X XXXXXŻ TAT-TWELID/ (XX) GEBOORTEPLAATS XX -XXXX/ (XX) XXXXXXX X XXŃXXXX URODZENIA/ (XX) XXXXX X XXXX DE XXXXXXXXXX/ (XX) XXXXX ȘI ȚXXX XXȘXXXXX/ (XX) XXXXXX X XXXX XXXXXXXXX/ (XX) XXXX XX DRŽAVA ROJSTVA/ (XX) XXXXXXÄXXXXXX JA -XXX/ (XX) XÖXXXXXXXX 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) SPOL/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXX/ (MT) XXXX/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (PT) SEXO/ (XX) SEXUL/ (XX) XXXXXXXX/ (XX) XXXX/ (XX) XXXXXXXXX/ (XX) XÖX

4.5.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (CZ) XXXX/ (XX) KVINDE/ (DE) XXXXXXXX/ (XX) NAISSOOST/ (XX) ΘΗΛΥ/ (EN) XXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (IT) FEMMINILE/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (HU) XŐ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (RO) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (SV) XXXXXX

4.5.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (DA) XXXX/ (XX) XÄXXXXXX/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) MASCHILE/ (LV) XĪXXXXXX/ (XX) XXXXX/ (XX) XXXXX/ (MT) XXĠXX/ (NL) XXX/ (XX) XĘŻXXXXXX/ (PT) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (SL) XXXXX/ (FI) XXXX/ (XX) MAN

4.5.3

(BG) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (CZ) XXXXXXXX/ (XX) XXXXXXXX/ (XX) UNBESTIMMT/ (XX) XÄÄXXXXXX/ (EL) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (EN) UNDETERMINED/ (XX) INDÉTERMINÉ/ (XX) XXXXXXXXXXXXXXX/ (HR) NEODREĐEN/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (MT) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (SL) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

5.

(XX) НАСТОЯЩО МЕСТОЖИВЕЕНЕ И/ИЛИ МЕСТОПРЕБИВАВАНЕ НА СЪОТВЕТНОТО ЛИЦЕ СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX X/X XXXXXXXXXX ACTUALES XX XX PERSONA X XX XXX XX REFIERE XX XXXXXXXXX PÚBLICO XX XXX XX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXX XXXXXXXX XXXX XXXXX XXXXXX XXXXX XXXXXXX XX XXXXXXX XXXXXXX, K NÍŽ XX XXXXXXXX XXXXX XXXXXXXX/ (DA) XXXÆXXXXX XXXÆX OG/ELLER XXXXXXXXXXX XXX XXXXXXXX, XXX XX XXXØXX XX XXX XXXXXXXXXX XXXXXXXX, XXX DENNE XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXXXX WOHNSITZ UND/ODER XXX DES GEWÖHNLICHEN XXXXXXXXXXX XXX XXXXXXXXXXXX XXXXXX XXXÄXX XXX ÖXXXXXXXXXXX URKUNDE, DER XXXXXX FORMULAR BEIGEFÜGT XXX/ (XX) XXXXXXXX XXXXXXXXXX, XXXXXXX XXX XXXX ON XXXXXXX, XXXXXXXXX ISIKU PRAEGUNE XXXXXXX ASUKOHT 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) CURRENT XXXXXXXX AND/OR XXXXXXXXX XX XXX XXXXXX XXXXX IN XXX XXXXXX DOCUMENT XX XXXXX XXXX XXXX XX XXXXXXXX/ (FR) XXXXXXXX XX/XX XXXXXXXXX XXXXXXX DE LA XXXXXXXX XXXXXXXXX PAR XX DOCUMENT XXXXXX XXXXXX XX XXXXXXX XXXXXXXXXX XXX XXXXX/ (XX) XXXXXXXXXX XXXXXX XXXX/XX XXXXXXXXXXX XX XXXXX XXX XXXXXXXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXX X/XXX BORAVIŠTE OSOBE XXXXXXXX X XXXXXX XXXXXXX KOJOJ JE XXXX XXXXXXX XXXXXXXX/ (XX) DOMICILIO X/X XXXXXXXXX ATTUALE XXXXX XXXXXXX XXXXXXXXXXX XXX XXXXXXXXX PUBBLICO XXX XX XXXXXXXX XXXXXX È ALLEGATO/ (XX) XXXXXXĪXĀX PERSONAS XXXXXXXĒXXXX XXXXXXXX XX/XXX XXXXXĒXXXĀX XXXXX, XXX MINĒTA XXXXXXXXXĀ XXXXXXXXĀ, XXXXX XĪ VEIDLAPA IR XXXXXXXXXX/ (XX) VIEŠAJAME XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXX ASMENS XXXXXXXXĖ XXXXXXXXĖ XXXXXXXXXX XXXXX XX (ARBA) XXXXXXXXXX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATBAN XXXXXXXXXXX XXXXXXX XXXXXXXXX XXXXXXXXX XX/XXXX XXXXXXXXXXXX XXXXX/ (MT) XXXXĊXXXX X/XXX RESIDENZA XXXXXXX XXX-XXXXXXX MSEMMIJA FID-DOKUMENT XXXXXXXX XX XXXXĦX XX XXXXXŻX DIN XX-XXXXXXX/ (XX) HUIDIGE XXXX- XX/XX XXXXXXXXXXXXXX XXX DE BETROKKENE XX XXXXX XXX XXX XXXXXXXX DOCUMENT XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXXX XXXXXXX XXXXXXXXXXXX XXX MIEJSCE XXXXXX XXXXX WSKAZANEJ X XXXXXXXXXX XXXĘXXXXX, XX XXXXXXX XXŁĄXXXXX XXXX XXXXXXXXX FORMULARZ/ (XX) XXXXXXXXX E/OU XXXXXÊXXXX XXXXX XX XXXXXX XXXXXXXXX NO XXXXXXXXX XXXXXXX A XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXX ȘX/XXX XXȘXXXXȚX XXXXXX(Ă) XX (X) XXXXXXXXX XXXXXX XX XXXXXXXXXX OFICIAL LA XXXX XXXX ANEXAT XXXXXXXXX FORMULAR/ (SK) XXXXXXX XXXXXXXX X/XXXXX XXXXX OSOBY XXXXXXXX XX XXXXXXXX XXXXXXX, XX XXXXXX XX XXXXXXXXX XXXXX FORMULÁR/ (XX) XXXXXXXX XXXXXX XXXXXXXXXXXX XX/XXX TRENUTNO XXXXXXXXXXXX OSEBE, XX XXXXXX SE XXXXXX XXXXX LISTINA, XX XX JE XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ LOMAKE XXXXXXÄÄX, XXXXXXXXXXX XXXXXXÖX XXXX- XX/XXX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX/XXXXX XXXXXXXXXX FÖR DEN XXXXXX SOM BERÖRS XX XXX XXXXXXXXXX XXXXXXXX TILL XXXXXX XXXXX FORMULÄR ÄX XXXXXXX

5.1

(XX) МЕСТОЖИВЕЕНЕ/ (XX) XXXXXXXXX/ (XX) BYDLIŠTĚ/ (XX) XXXÆX/ (XX) XXXXXXXX/ (XX) ALALINE XXXXXXX/ (XX) ΚΑΤΟΙΚΙΑ/ (XX) XXXXXXXX/ (FR) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (IT) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) NUOLATINĖ XXXXXXXXXX XXXXX/ (XX) XXXXXXXX/ (XX) DOMIĊILJU/ (XX) XXXXXXXXXX/ (XX) XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) DOMICILIUL/ (XX) XXXXXXXX/ (XX) STALNO XXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXX

5.1.1

(XX) АДРЕС/ (XX) XXXXXXXXX/ (XX) XXXXXX/ (XX) ADRESSE/ (XX) ANSCHRIFT/ (XX) XXXXXXX/ (XX) ΔΙΕΥΘΥΝΣΗ/ (XX) XXXXXXX/ (XX) XXXXXXX/ (GA) XXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (LV) XXXXXX/ (XX) XXXXXXX/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) ADRES/ (PL) XXXXX/ (XX) XXXXXXÇX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX

5.1.1.1

(XX) УЛИЦА И НОМЕР/ПОЩЕНСКА КУТИЯ/ (XX) XXXXX X NÚMERO / APARTADO DE XXXXXXX/ (CZ) XXXXX X ČÍSLO XXXX / XXXXXXXX XXXXXXXXX/ (XX) XXX XX XXXXXXXXX/XXXXXXXX/ (XX) STRASSE XXX XXXXXXXXXX/XXXXXXXX/ (XX) XÄXXX XX XXXX XXXXXX / POSTKAST/ (XX) ΟΔΟΣ ΚΑΙ ΑΡΙΘΜΟΣ / Τ.Θ./ (XX) XXXXXX XXX XXXXXX/XX XXX/ (XX) XXX XX XXXXXX/XXÎXX XXXXXXX/ (XX) SRÁID XXXX XXXXXX/XXXXX XXXXX/ (XX) XXXXX X XXXX / XXXXXXXXX XXXXXXXX/ (IT) XXX X NUMERO/CASELLA XXXXXXX/ (XX) XXXX XX XĀXXX XXXXXX / XXXXXXXXX/ (LT) XXXXĖ XX XXXX XXXXXXX / XXXXX XĖXXXĖ/ (XX) XXXX XX XXXXXXX/XXXXXXXXX/ (MT) XXXX X XXXXX/XXXXX XXXXXXX/ (XX) XXXXXX EN XXXXXX/XXXXXXX/ (XX) ULICA X XXXXX / XXXXXXX XXXXXXXX/ (PT) XXX E XXXXXX/XXXXX XXXXXX/ (XX) STRADA ȘX NUMĂRUL/CĂSUȚA XXȘXXXĂ/ (XX) XXXXX A XXXXX/ XXXXXXX XXXXXXXXX/ (XX) XXXXX IN XXXXXXXX/XXXXXX XXXXXX/ (FI) XÄXXXXXXXX/XXXXXXXXXXX/ (XX) GATUADRESS/POSTBOX

5.1.1.2

(BG) НАСЕЛЕНО МЯСТО И ПОЩЕНСКИ КОД/ (XX) XXXXXXXXX X XXXXXX XXXXXX/ (XX) XXXXX X XXXXXXXX SMĚROVACÍ XXXXX/ (XX) XX XX POSTNUMMER/ (XX) XXX XXX XXX/ (XX) LINN XÕX XXXXX XX XXXXXXXXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΤΑΧΥΔΡΟΜΙΚΟΣ ΚΩΔΙΚΟΣ/ (XX) XXXXX XXX POSTAL XXXX/ (FR) LOCALITÉ XX XXXX XXXXXX/ (XX) XXX XXXX XXX XXXXX/ (XX) XXXXXX X POŠTANSKI XXXX/ (XX) XXXXXXXÀ X CAP/ (LV) XXXXX UN XXXXX XXXXXXX/ (LT) XXXXX XX XXXXX KODAS/ (XX) XXXXXXX ÉS XXXXXXXXXXXX/ (MT) XXXXXXXÀ X KODIĊI POSTALI/ (XX) XXXXXX XX XXXXXXXX/ (PL) MIEJSCOWOŚĆ X XXX XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXX XXXXXX/ (RO) XXXXXXXXXXX ȘX CODUL XXȘXXX/ (XX) MIESTO X XXXXXXX XXXXXXXXXX XXXXX/ (XX) KRAJ XX POŠTNA ŠTEVILKA/ (XX) POSTINUMERO XX XXXXXXXXXXXXXXXX/ (XX) XXX XXX XXXXXXXXXX

5.1.1.3

(XX) ДЪРЖАВА/ (XX) PAÍS/ (XX) XXXX/ (XX) LAND/ (XX) XXXX/ (XX) XXXX/ (XX) ΧΩΡΑ/ (XX) XXXXXXX/ (XX) XXXX/ (XX) XXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) VALSTS/ (XX) XXXXX/ (XX) XXXXXX/ (MT) XXXXXŻ/ (XX) LAND/ (XX) XXŃXXXX/ (PT) XXXX/ (XX) ȚXXX/ (SK) XXXX/ (XX) DRŽAVA/ (XX) XXX/ (XX) XXXX

5.2

(XX) МЕСТОПРЕБИВАВАНЕ/ (XX) XXXXXXXXXX/ (XX) XXXXX XXXXXX/ (DA) XXXXXXXXXXX/ (XX) XXX DES XXXÖXXXXXXXX XXXXXXXXXXXX/ (ET) XXXXXXX/ (XX) ΔΙΑΜΟΝΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) SAINCHÓNAÍ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXĒXXXĀX XXXXX/ (XX) GYVENAMOJI XXXXX/ (XX) XXXXXXXXXXXX XXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX/ (PT) XXXXXÊXXXX/ (XX) XXȘXXXXȚX/ (XX) POBYT/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) BOSTADSORT

6.

(BG) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX XXXXX/ (XX) POLE XXX PODPIS/ (XX) XXXXXXXXXXXXXXXX/ (DE) XXXXXXXXXXXXXXXXXX/ (XX) ALLKIRJALAHTER/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (FR) XXXXX XXXX XX XXXXXXXXX/ (GA) XXXXX XXX XXXXX/ (HR) XXXXX XX XXXXXX/ (XX) XXXXXXXX PER XX FIRMA/ (LV) XXXXXXXX XXXXX/ (LT) XXXXXX XXXXXXXX/ (XX) XX XXXXXXX SZÖVEGDOBOZA/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX XX XXXXXXXXXXXX/ (XX) XXXX PODPISU/ (PT) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (XX) SEMNĂTURA/ (XX) XXXXXXX NA XXXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (XX) RUTA XÖX XXXXXXXXXXXXXX

6.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXX(X) X NOMBRE(S) DEL XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXX A JMÉNO (XXXXX) XXXXXXXX, XXXXX XXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXXX(X) OG XXXXXXX(X) XÅ DEN XXXXXXXXXX, XXX HAR XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXXXXXX(X) XXX BEAMTEN, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (ET) XÄXXXXXXX VORMI XÄXXXXXXXXX XXXXXXXX EESNIMI (-XXXXX) XX XXXXXXXXXXXXX (-NIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) XXX FORENAME(S) XX XXX XXXXXXXX XXX ISSUED XXXX XXXX/ (XX) XXX(X) XX XXXXXX(X) XX XXXXXXXXXXXXX QUI X XXXXXXX XX PRÉSENT XXXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXXX CÉADAINM (XXXXXXXXXXXXXX) XX OIFIGIGH X D’EISIGH AN XXXXXX XXX/ (XX) XXXXXXX(XX) I IME(NA) XXXXXXXXXX XXXX XX XXXXX OVAJ XXXXXXX/ (XX) COGNOME/I X XXXX/X XXX XXXXXXXXXXX XXX XX RILASCIATO XX XXXXXXXX XXXXXX/ (XX) AMATPERSONAS, XXXX XXXXXXXX ŠO XXXXXXXX, XXXĀXXX(-X) XX XĀXXX(-X)/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖX) IR XXXXXX (-XX)/ (XX) A XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXX XXXX(X) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦAREĠ XXX XX-XXXXXXX/ (XX) NA(A)M(EN) XX VOORNA(A)M(EN) XXX XX XXXXXXXXX DIE XXX XXXXXXXXX XXXXX XXXXXXXXX/ (PL) XXXXXXXX(-X) X IMIĘ (XXXXXX) XXXĘXXXXX, KTÓRY WYDAŁ XXXXXXXXX FORMULARZ/ (XX) XXXXXXX(X) X XXXX(X) XXXXXXX(X) DO XXXXXXXXXXX XXX EMITIU X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXX ȘX PRENUMELE XXXXȚXXXXXXXXX XXXX A XXXX XXXXXXXXX FORMULAR/ (XX) PRIEZVISKO(-Á) X XXXX(-X) ÚRADNÍKA, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) PRIIMEK/PRIIMKI XX XXX/XXXXX XXXXXXXX, XX XX IZDAL XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXXXXX (-XXXXX) JA XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX XXX FÖRNAMN XÅ DEN TJÄNSTEMAN XXX HAR UTFÄRDAT XXXXX XXXXXXÄX

6.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX DEL XXXXXXXXXXX QUE XXXXXXX XXXX IMPRESO/ (XX) XXXXXX XXXXXXXX, XXXXX XXXXX TENTO FORMULÁŘ/ (XX) XXXXXXXX — XXX EMBEDSMAND, XXX XXX XXXXXXX DENNE XXXXXXXX/ (XX) XXXXXXXX XXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (ET) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (EL) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXX XX THE XXXXXXXX XXX ISSUED XXXX XXXX/ (XX) XXXXX XX XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXX XX XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (HR) XXXXXXXX SLUŽBENIKA XXXX XX IZDAO XXXX XXXXXXX/ (XX) XXXXXXXXX XXX XXXXXXXXXXX XXX XX XXXXXXXXXX IL XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX IZDEVUSI XX XXXXXXXX, XXXXX/ (XX) ŠIĄ FORMĄ XXXXXXXXX XXXXXXŪXX PAREIGOS/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (XX) KARIGA TAL-UFFIĊJAL XX ĦAREĠ XXX XX-XXXXXXX/ (XX) XXXXXXX XXX XX AMBTENAAR XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (PL) XXXXXXXXXX XXXĘXXXXX, KTÓRY XXXXŁ NINIEJSZY XXXXXXXXX/ (XX) CARGO XX XXXXXXXXXXX XXX EMITIU X XXXXXXXX FORMULÁRIO/ (XX) POZIȚIA XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XX XX XXXXX XX OBRAZEC/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX ASEMA/ (SV) XXXXXXXXXX XÖX DEN XXÄXXXXXXX XXX XXX XXXÄXXXX DETTA XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DATUM (DD/MM/RRRR) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX ISSUE/ (XX) XXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX DI XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) IŠDAVIMO XXXX (XX/XX/XXXX)/ (HU) X XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (NL) XXXXX (XX/XX/XXXX) VAN XXXXXXX/ (XX) XXXX (DD/MM/RRRR) XXXXXXX/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) DATUM (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (XX) XXXXX/ (CZ) XXXXXX/ (DA) UNDERSKRIFT/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXX/ (EL) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (IT) XXXXX/ (LV) XXXXXXXX/ (XX) XXXXXXX/ (HU) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (PL) XXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (SK) XXXXXX/ (XX) PODPIS/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X TIMBRE/ (CZ) XXXXX XXXX XXXXXXX/ (XX) SEGL XXXXX XXXXXXX/ (XX) XXXXXX XXXX XXXXXXX/ (XX) XXXXXX XÕX TEMPEL/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX OR XXXXX/ (XX) SCEAU XX XXXXXX/ (XX) SÉALA XX XXXXXX/ (XX) XXX ILI PEČAT/ (XX) XXXXX X XXXXXX/ (LV) ZĪMOGS XXX XXXXXXXX/ (XX) XXXXXXX ARBA XXXXXXXXXX/ (XX) PECSÉT XXXX XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX XXX TIMBRU/ (XX) XXXXX XX XXXXXXX/ (XX) XXXXXĘĆ LUB XXXXXXX/ (PT) XXXX XX XXXXXXX/ (RO) XXXXXXXX SAU ȘXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (XX) XXXXX ALI XXX/ (XX) SINETTI XXX XXXXX/ (SV) XXXXXX XXXXX XXÄXXXX

XXXXXXXXXXX ZÁZNAMU X XXXXXXXXX XXXXXX XXXXXXXXX XXXXX, XXXXX XX DOTYČNÁ XXXXX XXXXXXX XXXXXXXXXXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX XXX PŘEKLAD

Článek 7 xxxxxxxx Xxxxxxxxxx xxxxxxxxxx x Xxxx (EU) 2016/1191 ze xxx 6. xxxxxxxx 2016 x xxxxxxx xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx x Xxxxxxxx unii x x xxxxx xxxxxxxx (EU) x. 1024/2012 (1)

Xxxxxx (XX) Xxxxxxxxx (XX)

Xxxxx republika (XX)

Xxxxxx (XX) Xxxxxxx (XX)

Xxxxxxxx (XX) Irsko (XX)

Xxxxx (XX) Španělsko (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (XX) Litva (XX)

Xxxxxxxxxxx (LU)

Maďarsko (HU) Xxxxx (MT)

Nizozemsko (XX) Xxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxxxxxx (SI)

Slovensko (XX) Xxxxxx (XX)

Xxxxxxx (XX) Xxxxxxx xxxxxxxxxx (UK)

DŮLEŽITÉ XXXXXXXXXX

Xxxxxxx účelem tohoto xxxxxxxxxxxxx xxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxx xxxxxxxx xxxxxxx xxxxxxx, x xxx xx xxxxxxxx. Xxxxx xxxxxxxx se xxxx xxxxxxxxx státy xxxxx xxxxxxxxx jako xxxxxxxxxx xxxxxxxx.

Xxxxx xxxxxxxx xxxxxx xxxxx xxxxxxx xxxxxxx, x xxx xx xxxxxxxx. Xxxxx, xxxxx xx veřejná xxxxxxx předkládána, xxxx xxxx v xxxxxxxxx, xxx xx xx xxxxxxxx xxx xxxxx xxxxxxxxxx xxxxxxx listiny, xxxxxxxxx xxxxxxx xx xxxxxx informací, xxxxx xxxx ve xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX VYDÁVAJÍCÍ XXXXX

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

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

1. ORGÁN XXXXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Název (4)

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

3.1 Xxxxxxx xxxxxx xxxxxxx xxxx úředníkem s xxxxxx na soudy xxxxxx xxxxxxxxx xxxxx

3.1.1 Xxxxxxxxxx soudu

3.1.2 Listina xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx vyšším xxxxxxx xxxxxxxxx

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

3.1.5 Xxxx (upřesněte)

(1) Úř. xxxx. X 200, 26.7.2016, x. 1.

(2) Xxx xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

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

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

3.2 Listina xxxxxx správním xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x xxxxxxxxx xxxxxx

3.2.3 Opis xxxxxxx z rejstříku xxxxxx

3.1.5 Jiné (upřesněte)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, xxxxxx byla xxxxxxxx listina xxxxxxxxx xxxxxxxxx xxxxxx

3.5 Listina xxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxx xxxx xxxxxxxxxxx úředníkem xxxxxxxxx xxxxx x xxxxx xxxxxx jeho xxxxxxxxxx xxxxxxxxxx

3.6 Datum (xx/xx/xxxx) vydání

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXX X XXXXXXXXXX XXXXX UVEDENÉ XX XXXXXXX XXXXXXX, X XXX JE XXXXXXXX XXXXX XXXXXXXX

4.1 Xxxxxxxx

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 Xxxxxxx:

4.7.1 Žena

4.7.2 Xxx

4.7.3 Xxxxxxxx

4.8 Xxxxxx xxxxxxxxxxx

4.9 Xxxxxxxxxxxxx xxxxx

4.10 Xxxx a xxxxx xxxxxxxxxxxxxxx dokladu osoby:

4.10.1 Xxxxxxxxxxxx xxxxxx totožnosti / č.

4.10.2 Xxx / x.

4.10.3 Xxxxxxxx xxxxxx / x.

4.10.4 Xxxx (xxxxxxxxx) /x.

5. XXXXXXX XXXXXXX, K XXX XX PŘIPOJEN XXXXX XXXXXXXX, NEZMIŇUJE XXXXX ODSOUZENÍ DOTYČNÉ XXXXX XXXXXXX X XXXXXXXXX TRESTŮ ČLENSKÉHO XXXXX, XXXXX JE XXXX XXXXX STÁTNÍM XXXXXXXXXXXX.

6. XXXX PRO XXXXXX

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

6.2 Funkce xxxxxxxx, xxxxx xxxxx xxxxx xxxxxxxx

6.3 Xxxxx (xx/xx/xxxx) xxxxxx

6.4 Podpis

6.5 Xxxxx xxxx xxxxxxx

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

(2) Xxxxx xxxx x – xxxxx xxxxxxxx – kód XXX xxxx xxxx xxxx xxxxxxx „Jiné (xxxxxxxxx)“ je třeba xxxxxx x xxxxxxxxxxx xxxxxxx xx vzorovém xxxxxxxxxxxx standardním xxxxxxxxx, xxxxx je x xxxxxxxxx na xxxxxxx xxxxxxxx x-xxxxxxx.

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX POLOŽEK

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

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX XXXXXX XXXX XXXXXXX/ (CZ) XXXXX XXXXXXXXXX TENTO XXXXXXXX/ (XX) DENNE FORMULARS XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, DIE DIESES XXXXXXXX AUSSTELLT/ (XX) XÄXXXXXXX VORMI XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (EN) XXXXXXXXX XXXXXXX THIS XXXX/ (XX) XXXXXXXX XX DÉLIVRANCE XX XXXXXXX FORMULAIRE/ (GA) XX xXXXXXX A XXXXXXXX XX XXXXXX XXX/ (XX) XXXXXX XXXX IZDAJE XXXX XXXXXXX/ (XX) AUTORITÀ XXX XXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXX IZDEVĒJIESTĀDE/ (LT) XXĄ XXXXĄ IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (HU) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XX' DIN XX-XXXXXXX/ (NL) XXXXXXXXXX XXX XXXXXXX VAN XXX FORMULIER/ (XX) XXXXX WYDAJĄCY XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX EMITENTĂ X XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX VYDÁVAJÚCI TENTO XXXXXXXX/ (SL) XXXXX, XX XXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX SOM XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) DENOMINACIÓN/ (CZ) XXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) DESIGNATION/ (XX) XXXXXXXXXXXX/ (GA)AINMNIÚ/ (XX) XXXXX/ (IT) XXXXXXXXXXXXX/ (XX) NOSAUKUMS/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) TITLU/ (NL) XXXXXXXX/ (PL) NAZWA/ (XX) XXXXXXXÇÃX/ (RO) XXXXXXXX/ (SK) XXXXX/ (XX) XXX/ (FI) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) AUTORIDAD XXX EXPIDE XX XXXXXXXXX XXXXXXX XX XXX XX ADJUNTA XXXX XXXXXXX/ (CZ) XXXXX XXXXXXXXXX VEŘEJNOU XXXXXXX, X XXX XX XXXXXXXX TENTO XXXXXXXX/ (DA) DEN XXXXXXXXX, DER XXX XXXXXXX DET XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXÖXXX, DIE XXX ÖXXXXXXXXXX URKUNDE, XXX DIESES FORMULAR XXXXXXÜXX XXX, XXXXXXXXX/ (XX) XXXXXX, KES XXXXX XÄXXX XXXXXXX XXXXXXXXX, MILLELE XXX XXXX XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) AUTHORITY XXXXXXX THE XXXXXX XXXXXXXX XX XXXXX XXXX XXXX IS XXXXXXXX/ (FR) AUTORITÉ XX XXXXXXXXXX XX XXXXXXXX PUBLIC XXXXXX XXX JOINT XX XXXXXXX XXXXXXXXXX/ (GA) XX tÚDARÁS A XXXXXXXX XX XXXXXXXXX XXXXXX XXXX BHFUIL XX FHOIRM XXX XXXXXXXXXX/ (XX) XXXXXX XXXX IZDAJE XXXXX XXXXXXX XXXXX JE XXXX OBRAZAC XXXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX IR XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXXXX VALDŽIOS XXXXXXXXXXX/ (XX) A FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX PUBBLIKU XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX VAN XXX XXXXXXXX DOCUMENT WAARAAN XXX FORMULIER XX XXXXXXX/ (XX) XXXXX XXXXXĄXX DOKUMENT XXXĘXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) AUTORIDADE XXX XXXXX X XXXXXXXXX XXXXXXX A QUE X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXXX OFICIAL XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, KU XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX XXXX JAVNO XXXXXXX, XX XX XX PRILOŽEN TA XXXXXXX/ (XX) XXXXXXXXXXXX, XXXX XX ANTANUT XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX XXX XXXÄXXXX DEN XXXXXXXXXX XXXXXXXX XXXX VILKEN XXXXX XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX RELATIVA AL XXXXXXXXX XXXXXXX AL XXX XX ADJUNTA XXXX IMPRESO/ (CZ) XXXXXXXXX XXXXXXXX XX XXXXXXX XXXXXXX, K XXX XX XXXXXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXXXXX VEDRØRENDE DET XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX URKUNDE, XXX DIESES FORMULAR 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 TO XXX XXXXXX XXXXXXXX XX WHICH THIS XXXX XX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX XX DOCUMENT XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) FAISNÉIS X XXXXXXXXX LEIS AN XXXXXXXXX XXXXXX XXXX XXXXXX AN XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXX XX XXXXXX XX XXXXX XXXXXXX KOJOJ XX XXXX OBRAZAC PRILOŽEN/ (XX) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX PUBBLICO XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX PAR XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX XXXXX/ (XX) X FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) INFORMAZZJONI XXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX IL-FORMOLA/ (XX) INFORMATIE XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX GEHECHT/ (PL) XXXXXXXXXX DOTYCZĄCE XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXXXXXXXX FORMULARZ XXXX XXŁĄXXXXX/ (XX) INFORMAÇÕES XXXXXXXXX XX DOCUMENTO XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX APENSO/ (XX) XXXXXXXȚXX REFERITOARE LA XXXXXXXXXX OFICIAL LA XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX O XXXXXXXX XXXXXXX, KU XXXXXX XX XXXXX FORMULÁR XXXXXXXXX/ (SL) XXXXXXXXXXX X XXXXX X XXXXX LISTINO, XX XX XX PRILOŽEN XX XXXXXXX/ (FI) XXXXXX YLEISESTÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (SV) XXXXXXXXXXX XX XXX XXXXXXXXXX XXXXXXXX XXXX VILKEN XXXXX XXXXXXÄX ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (ES) XXXXXXXXX XXXXXXXX POR XXX XXXXXXXXX X XX FUNCIONARIO XXXXXXXXX X XXX XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXX XXXX XXXXXXXXX S XXXXXX XX SOUDY XXXXXX ČLENSKÉHO XXXXX/ (XX) XXXXXXXX, XXX XX UDSTEDT AF XX MYNDIGHED ELLER XX XXXXXXXXXX, DER XX XXXXXXXXXX XXXXXXXX X EN XXXXXXXXXXX/ (XX) URKUNDE XXXXX XXXÖXXX ODER EINER XXXXXXXXXX XXX ORGAN XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) DOKUMENT, XXXXX ON XÄXXX XXXXXX XXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXXXX VÕI XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX EMANATING XXXX XX AUTHORITY OR XX OFFICIAL XXXXXXXXX XXXX XXX XXXXXX XX XXXXXXXXX XX X XXXXXX XXXXX/ (XX) XXXXXXXX ÉMANANT X'XXX XXXXXXXX XX X'XX XXXXXXXXXXXXX RELEVANT X'XXX XXXXXXXXXXX D'UN XXXX MEMBRE/ (GA) XXXXXXXXX X THAGANN X ÚDARÁS NÓ X XXXXXXXXX X XXXXXX XXXXX XXXX XX XXXX LE XXXXXXXXXX NÓ XX XXXXX XX XXXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX IZDALO XXXXXX ILI XXXXXXXXX XXXX XXXXXX XXXXXXX/ (XX) DOCUMENTO XXXXXXX XX UN'AUTORITÀ X XX XX FUNZIONARIO XXXXXXXXXXXX XX XXX XXXXX XXXXXXXXXXXXX DI XXX STATO XXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XX XXXĪXXXXXXX XXXXĀX XXXXXĪXX IESTĀDE XXX AMATPERSONA/ (XX) XXXXXXXXXX, IŠDUOTAS XXXXXXXX XXXXXXXXXXXX AR XXXXXXŪXX, XXXXXXXXŲ SU XXXXXXXĖX XXXĖX TEISMAIS XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX KAPCSOLATBAN XXXX XXXXXXX VAGY TISZTVISELŐ XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ XXX XXXXĊXXX XX JKOLLHOM XXXXX XXX-XXXXX JEW XX-XXXXXXXXX XX' STAT XXXXXX/ (XX) XXXXXXXX XXXXXXXXX DOOR EEN XXXXXXXXXX XX AMBTENAAR XXXXXXXXX XXX EEN XXXXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX/ (PL) XXXXXXXX POCHODZĄCY XX XXXXXX XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX DE XXX XXXXXXXXXX OU XX XX XXXXXXXXXXX DEPENDENTE XX QUALQUER XXXXXXXÇÃX XX XX XXXXXX-XXXXXX/ (XX) XXXXXXXX EMIS XX X AUTORITATE XXX XX UN XXXXȚXXXXX DE XX XÂXXĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (SK) XXXXXXX XXXXXX ORGÁNOM XXXXX XXXXXXXXX X XÄXXXX XX XXXX XXXXXXXXX ŠTÁTU/ (SL) XXXXXXX, IZDANA X XXXXXX XXXXXX XXX XXXXXXXX XXXXX XXXXXXX XXXXXX XXXXXXX/ (FI) XXXXXXXXX, JONKA XX XXXXXXX XÄXXXXXXXXXX OIKEUSLAITOKSEEN XXXXXXX VIRANOMAINEN XXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX MYNDIGHET XXXXX XX XXÄXXXXXXX TILLHÖRANDE XXXXXXXXXÄXXXXXX X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) RESOLUCIÓN JUDICIAL/ (XX) ROZHODNUTÍ XXXXX/ (XX) DOMSTOLSAFGØRELSE/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) KOHTUOTSUS/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXX XX gCÚIRT/ (XX) XXXXXX ODLUKA/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (XX) XXXXXX XXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXXX/ (MT) XXĊXŻXXXX XXX-XXXXX/ (NL) XXXXXXXXXXXX BESLISSING/ (PL) XXXXXXXXXX XĄXXXX/ (XX) XXXXXÃX JUDICIAL/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (SK) XXXXX XXXXXXXXXXX/ (SL) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (ES) XXXXXXXXX EXPEDIDO POR XX XXXXXXXXXX FISCAL/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX ANKLAGEMYNDIGHED/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT, MILLE XX XÄXXX ANDNUD XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) DOCUMENT XXXXXXXXX FROM X XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XXXXXXÈXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (IT) XXXXXXXXX XXXXXXX XXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX, XXXX IZSNIEDZIS PROKURORS/ (XX) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) ÜGYÉSZ XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX PROSEKUTUR PUBBLIKU/ (XX) DOCUMENT XXXXXXXXX XXXX XXX OPENBAAR XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX PROKURATORA/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (XX) DOCUMENT XXXX XX UN XXXXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXXXXXXX/ (XX) XXXXXXX, XX XX XXXX XXXXXXX TOŽILSTVO/ (FI) XXXXXXXXXX XXXXXÄXÄX ANTAMA XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) DOCUMENTO XXXXXXXX XXX XX SECRETARIO XXXXXXXX/ (XX) XXXXXXX XXXXXX VYŠŠÍM SOUDNÍM XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX EN XXXXXXXXXXXXXÆX/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX EINES XXXXXXXX/ (XX) XXXXXXXX, MILLE XX VÄLJA XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) DOCUMENT XXXXXXXXX XXXX X XXXXX XX X XXXXX/ (XX) DOCUMENT XXXXXXX X'XX XXXXXXXX/ (XX) XXXXXXXXX A XXXXXXX X XXXXXXXXXX XX XXXXX XXXXXX/ (XX) XXXXXXX XXXX XX IZDAO UPRAVITELJ XXXXXX PISARNICE/ (XX) XXXXXXXXX XXXXXXX XX XX CANCELLIERE/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XXXXXX XXXXXXĀXX/ (XX) XXXXXX TARNAUTOJO IŠDUOTAS XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX KIÁLLÍTOTT XXXXXX/ (MT) DOKUMENT XXĦXXĠ MINN REĠISTRATUR XX' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX GRIFFIER/ (PL) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX SĄDOWEGO/ (XX) XXXXXXXXX XXXXXXXXXXX DE XX XXXXXXX DE XXXXXÇX/ (XX) DOCUMENT XXXX XX UN XXXXXXX XX XXXXXXȚXX/ (XX) LISTINA XXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXX, KI XX XXXX XXXXX USLUŽBENEC/ (XX) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX EN XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (DA) XXXXXXXX UDSTEDT AF XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (DE) XXXXXXX EINES XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, MILLE XX XÄXXX ANDNUD XXXXXXÄXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX DE XXXXXXX»)/ (EN) XXXXXXXX XXXXXXXXX FROM A XXXXXXXX XXXXXXX ('HUISSIER XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXX D'UN XXXXXXXX DE XXXXXXX/ (XX) DOICIMÉAD X XXXXXXX X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (XX) ISPRAVA XXXX JE XXXXX XXXXXX XXXXXXXXX (XXXXXXXX XX XXXXXXX)/ (IT) XXXXXXXXX XXXXXXX DA XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX (XXXXXXXX XX XXXXXXX) XXXXXXXX XXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (MT) DOKUMENT XXĦXXĠ XXXX UFFIĊJAL ĠXXXXXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX URZĘDNIKA XĄXXXXXX (HUISSIER XX XXXXXXX)/ (PT) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXÃX XX XXXXXXX («XXXXXXXX DE XXXXXXX»)/ (XX) DOCUMENT EMIS XX XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (SK) XXXXXXX XXXXXX SÚDNYM XXXXXXXXXXĽXX („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXX, XX XX XXXX SODNI XXXXXXXXXX („HUISSIER DE XXXXXXX“)/ (XX) HAASTEMIEHEN (”XXXXXXXX XX JUSTICE”) XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXÄXXXXXXXXX (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) JINÉ (XXXXXXXXX)/ (XX) ANDRE (XXXXXXX)/ (DE) XXXXXXXXX (XXXXX ANGEBEN)/ (XX) XXX (TÄPSUSTAGE)/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (EN) XXXXX (XX XX XXXXXXXXX)/ (FR) AUTRE (À PRÉCISER)/ (XX) XXXX (XX SONRÚ)/ (XX) OSTALO (XXXXXXX)/ (XX) ALTRO (XXXXXXXXX)/ (XX) CITS (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (XX) XXXXX (KÉRJÜK XXXXXXXXXXX)/ (XX) OĦRAJN (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (PL) XXXX (XXXXXĘ XXXXŚXXĆ)/ (PT) XXXXXX (X XXXXXXXXXXX)/ (XX) XXXXX (X XX XXXXXXX)/ (SK) XXX (SPRESNIŤ)/ (SL) XXXXX (XXXXXXX)/ (FI) XXX ASIAKIRJA (TÄSMENNETTÄVÄ)/ (XX) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX VERWALTUNGSBEHÖRDE/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (EN) XXXXXXXXXXXXXX DOCUMENT/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (GA) XXXXXXXXX RIARACHÁIN/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX DOCUMENT/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (SL) XXXXXXX XXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXXX HANDLING

3.2.1

(BG) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (FR) XXXXXXXXXX/ (XX) DEIMHNIÚ/ (XX) POTVRDA/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, LIUDIJIMAS/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (MT) ĊXXXXXXXXX/ (NL) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX OU CERTIFICADO/ (XX) CERTIFICAT/ (SK) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) TODISTUS/ (SV) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА СЪДИМОСТ/ (XX) EXTRACTO DEL XXXXXXXX XX XXXXXXXXXXXX XXXXXXX/ (XX) XXXXX X XXXXXXXXX XXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXX/ (DE) XXXXXXXXXXXXXXXXXXX/ (XX) KARISTUSREGISTRI XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΠΟΙΝΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX THE XXXXXXXX XXXXXX/ (FR) XXXXXXX XX CASIER XXXXXXXXXX/ (XX) SLIOCHT XX XX XXXXXXX XXXXXXXX/ (XX) XXXXXXX IZ XXXXXXX XXXXXXXXXX/ (IT) XXXXXXXX XXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XX SODĀMĪBAS XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXXXXXŲ REGISTRO/ (HU) XXXXXXX X BŰNÜGYI XXXXXXXXXXXXXXXX/ (XX) ESTRATT XXX-XXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXXXXXXX/ (PL) WYCIĄG X REJESTRU KARNEGO/ (XX) XXXXXXXXXXX DO XXXXXXX XXXXXXXX/ (RO) XXXXXX XXX CAZIERUL XXXXXXXX/ (SK) VÝPIS X XXXXXXXX XXXXXXX/ (XX) IZPISEK IZ XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (SV) XXXXXX XX KRIMINALREGISTRET

3.2.3

(BG) ПЪЛЕН ПРЕПИС ОТ АКТ ОТ РЕГИСТЪРА ЗА СЪДИМОСТ/ (ES) COPIA XXXXXXX DE XXXXXXXXXXXXX XXX REGISTRO XX XXXXXXXXXXXX PENALES/ (XX) XXXX ZÁZNAMU X XXXXXXXXX XXXXXX/ (XX) XXXXXX XXXX XX XXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXXXXXX XXX STRAFREGISTERS/ (XX) XXXXXXXXXXXXXXXX XÄXXXXÕXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΟΙΝΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) VERBATIM COPY XX XXX CRIMINAL XXXXXX/ (FR) COPIE XXXXXXXXX DU XXXXXX XXXXXXXXXX/ (XX) XXXX XXXXX XX FHOCAL XXX XXXXXXX XXXXXXXX/ (XX) DOSLOVNI XXXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXX LETTERALE XXX CASELLARIO XXXXXXXXXX/ (XX) XXXĀXĪXXX XXĢXXXXX XXXXXXXXXX KOPIJA/ (XX) XXXXXXXXXXXŲ XXXXXXXX ĮXXXŲ XXXXXXXĖ KOPIJA/ (XX) X XŰXÜXXX XXXXXXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX VERBATIM XXX-XXXXXX KRIMINALI/ (XX) XXXXXXXXXXX XXXXXXXXX XXX XXX STRAFREGISTER/ (PL) XXXXX XXXXŁXX X XXXXXXXX XXXXXXX/ (PT) XXXXXXÃX DE XXXXX XXXXXXXX OU XX XXXXXXXXX XX XXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXĂ X XXXXXXXXXX XXXXXXXX/ (XX) DOSLOVNÝ XXXXX X XXXXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXX XX XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX AVSKRIFT AV XXXXXXXXX UR XXXXXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX NOTARIAL/ (CZ) XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (EN) NOTARIAL XXX/ (FR) XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (HR) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXĀXX XXXX/ (XX) XXXXXXXXX XXXXX/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) XXX XXXXXXXX/ (NL) NOTARIËLE XXXX/ (XX) XXX XXXXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) NOTARSKA XXXXXXX/ (FI) NOTAARIN 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 XXXXXXXXX, XXXXXX XXXX XXXXXXXX XXXXXXX XXXXXXXXX SOUKROMOU XXXXXX/ (DA) XXXXXXXX XÅXXXXXXX PÅ ET XXXXXXXX XXXXXXXXXXX AF XX XXXXXX I XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (XX) AMTLICHE XXXXXXXXXXXXX XXX EINER XXXXXXXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXXXX ALLKIRJASTATUD XXXXXXXXXXX KINNITATAV AMETLIK XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX CERTIFICATE XXXXXX XX X XXXXXXXX XXXXXX XX X XXXXXX XX XXX XX XXX XXXXXXX XXXXXXXX/ (XX) DÉCLARATION XXXXXXXXXX XXXXXXX XXX XX ACTE XXXX XXXXX XXXXX/ (XX) XXXXXXXX OIFIGIÚIL A XXXXXXXXX XX XXXXXXXXXX XXXX XXXXXX AG XXXXX INA XXXXX XX XXX XXXX XXXXXXXXXXXXXX/ (XX) SLUŽBENA XXXXXXX XXXXXXXXX XX XXXXXXX KOJU XX XXXXX POTPISALA X XXXXXXXXX XXXXXXXX/ (IT) XXXXXXXXXXXXX XXXXXXXXX APPOSTA XX XXX XXXXXXXXX XXXXXXX/ (XX) OFICIĀLS XXXXXXXXĀXXXX UZ XXXXXXXXX, XX XXXĀ VĀRDĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (XX) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ DOKUMENTŲ OFICIALŪS XXXXXXXXXXXXX/ (XX) MAGÁNOKIRATON XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ĊXXXXXXXXX XXXXĊXXXX XX XXXXXXXĦXX F'DOKUMENT XXXXXXXX XXXX PERSUNA XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXX XXXXXXXXXXX XXXX XXX XXXXXXX IN XXXX XXXXXXXXXXXX HOEDANIGHEID/ (PL) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX PODPISANYM XXXXX OSOBĘ XXXXŁXXĄXĄ X XXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX XXX XX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXX XXXXXXX XX XX XXXXXXXX SUB SEMNĂTURĂ XXXXXXĂ/ (SK) ÚRADNÉ XXXXXXXXXX UVEDENÉ NA XXXXXXX XXXXXXXXXX OSOBOU XXXXXXXXX AKO XXXXXXXX XXXXX/ (SL) XXXXXX XXXXXX XX ZASEBNI XXXXXXX/ (FI) XXXXXXXXXX XXXXXXXX ASIAKIRJASSA, XXXXX XXXXXXÖ XX ALLEKIRJOITTANUT XXXXXXXXXXXXXXÖXÄ/ (SV) XXXXXXXXXX XXXXX XXXXXXXXX XÅ XX XXXXXXXX XXX XXXXXXXXXXXXX XX XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX EXPEDIDO XXX XX AGENTE DIPLOMÁTICO X CONSULAR XX XX XXXXXX XXXXXXX XXX CARÁCTER OFICIAL/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX NEBO XXXXXXXXXXX XXXXXXXXX ČLENSKÉHO XXXXX X XXXXX XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (DA) XXXXXXXX XXXXXXXXX UDFÆRDIGET XX XX XXXXXXXXXXXX DIPLOMATISKE XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (XX) XXX EINEM XXXXXXXXXXXXXX XXXX KONSULARISCHEN XXXXXXXXX XXXXX XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX XXXXXXXX ERRICHTETE URKUNDE/ (XX) LIIKMESRIIGI XXXXXXXXXXXXXX XÕX KONSULAARAMETNIKU POOLT XXXXXXXXXXXXXXX TÄITMISEL XXXXXXXXX XXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (EN) DOCUMENT XXXXX XX BY X DIPLOMATIC OR XXXXXXXX XXXXX XX X XXXXXX XXXXX XX XXX XX XXX OFFICIAL CAPACITY/ (XX) DOCUMENT ÉTABLI XX SA XXXXXXX XXXXXXXXXX PAR XX XXXXX XXXXXXXXXXXX OU XXXXXXXXXX D'UN XXXX XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX SUAS XX XXXXXXXXXX TAIDHLEOIREACHTA XX XXXXXXXXX DE XXXXX XXXXXXXXX INA XXXXX XX XXX XXXX OIFIGIÚIL/ (XX) XXXXXXX XXXX XX X SLUŽBENOM XXXXXXXX XXXXXXXX XXXXXXXXXXX ILI XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) DOCUMENTO XXXXXXX XX AGENTI XXXXXXXXXXX X XXXXXXXXX XX XXX XXXXX XXXXXX XXXX'XXXXXXXXX DELLE XXXX XXXXXXXX/ (LV) XXXXXXXXX, XXXX, XXXXXX XXXXX PIENĀKUMUS, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX XX XXXXXXXXXX PAREIGŪNO, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX TAGÁLLAM XXXXXXXXXXX VAGY XXXXXXX XXXXXXXXŐXX ÁLTAL HIVATALOS XXXŐXXXXXXX KIÁLLÍTOTT OKIRAT/ (XX) DOKUMENT IMĦEJJI XXXX XĠXXX XXXXXXXXXXX XXX XXXXXXXXX XX' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX XXXX XX DIPLOMATIEKE XX XXXXXXXXXX AMBTENAAR XXX XXX XXXXXXXX IN XXXX XXXXXXËXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX CZŁONKOWSKIEGO DZIAŁAJĄCYCH X XXXXXXXXXXX XXXĘXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XX XXXXXX XXXXXXXXXXX OU CONSULAR XX UM XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX XXXÇÕXX OFICIAIS/ (XX) DOCUMENT ÎNTOCMIT XX XĂXXX UN XXXXX DIPLOMATIC XXX XXXXXXXX XX XXXX XXXX XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXX, XX XX XXX XXXXXX OSEBA XXXX DIPLOMATSKI XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX TAI KONSULIEDUSTAJA XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) HANDLING XXXXÄXXXX X XXÄXXXXX AV XX XXXXXXXXXXX XXXXX XXXXXXÄX XXÄXXXXXXX X XX MEDLEMSSTAT

3.6

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) FECHA (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXX/ (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 XXXXXXXXXX/ (XX) XXXX (LL/MM/BBBB) XXXXXXX/ (HR) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX RILASCIO (XX/XX/XXXX)/ (XX) IZDOŠANAS XXXXXX (XX/XX/XXXX)/ (LT) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) A KIÁLLÍTÁS XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (PL) XXXX (DD/MM/RRRR) WYDANIA/ (XX) DATA XX XXXXXÃX (DD/MM/AAAA)/ (RO) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) IZDAJE/ (FI) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX DE XXXXXXXXXX XXX DOCUMENTO XXXXXXX/ (CZ) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (XX) XXX OFFENTLIGE XXXXXXXXX XXXXXXXXXXXXXXX/ (DE) XXXXXXXXXX XXX ÖFFENTLICHEN XXXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (EL) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX XX XXX PUBLIC XXXXXXXX/ (XX) XXXXXX DE XXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) UIMHIR XXXXXXXXX XX XXXXXXXXX XXXXXXX/ (XX) REFERENTNI XXXX XXXXX XXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXX DEL XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX ATSAUCES XXXXXX/ (XX) XXXXXXX DOKUMENTO XXXXXXX/ (XX) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) NUMRU XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXX DE XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX DE XXXXXXXȚĂ AL XXXXXXXXXXXX XXXXXXX/ (XX) REFERENČNÉ XXXXX XXXXXXXX XXXXXXX/ (XX) REFERENČNA XXXXXXXX XXXXX XXXXXXX/ (XX) XXXXXXX ASIAKIRJAN VIITENUMERO/ (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 DE XX XXXXXXX X LA XXX XX REFIERE XX DOCUMENTO XXXXXXX XX QUE SE XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX O XXXXXXXXXX XXXXX XXXXXXX XX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) INFORMATION XX XXXXXXXXXXX XÅ PERSONEN, XXX XXX OFFENTLIGE XXXXXXXX, XXX XXXXX XXXXXXXX ER VEDHÆFTET, XX UDSTEDT X/ (XX) XXXXXXX XXX XXXXXXXÄX DER XXXXXXXXXXXX XXXXXX XXXÄXX DER ÖXXXXXXXXXXX URKUNDE, DER XXXXXX XXXXXXXX BEIGEFÜGT XXX/ (ET) XXXXX XXXXX XXXXXXXXXXXXX KOHTA, 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) XXXXXXXXXXX XX XXX XXXXXXXX XX XXX XXXXXX NAMED XX XXX PUBLIC XXXXXXXX TO XXXXX XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXXXXXX XXX X'XXXXXXXX XX XX XXXXXXXX CONCERNÉE XXX XX XXXXXXXX XXXXXX AUQUEL XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXX XXXXXXXXXX XX XXXXX ATÁ XXXXXXXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX CEANGAILTE/ (XX) XXXXXXXXXXX X XXXXXXXXXX OSOBE NAVEDENE X XXXXXX XXXXXXX XXXXX JE OVAJ XXXXXXX PRILOŽEN/ (XX) XXXXXXXXXXXX SULL'IDENTITÀ XXXXX XXXXXXX INTERESSATA XXX XXXXXXXXX XXXXXXXX CUI XX XXXXXXXX MODULO È XXXXXXXX/ (XX) XXXXXXĀXXXX PAR XXXXXXXXXĀ XXXXXXXXĀ, KURAM XĪ XXXXXXXX XX PIEVIENOTA, XXXĒXĀX XXXXXXXX XXXXXXXĀXX/ (XX) XXXXXXXXXXX XXXX XXXXXX, NURODYTO XXXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX ŠI XXXXX, XXXXXXXĘ/ (XX) A XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXXX XXXXXXXXXXX XXXXXXX SZEMÉLYAZONOSSÁGÁRA XXXXXXXXX ADATOK/ (MT) XXXXXXXXXXXXX XXXX X-XXXXXXXÀ XXX-XXXXXXX MSEMMIJA XXX-XXXXXXXX XXXXXXXX XX XXXXĦX XX XXXXXŻX XXX XX-XXXXXXX/ (XX) INFORMATIE XXXX DE IDENTITEIT XXX XX XXXXXXXXXX XX XXXXX XXX XXX XXXXXXXX DOCUMENT XXXXXXX DIT FORMULIER XX XXXXXXX/ (PL) XXXX XX XXXXX XXŻXXXXŚXX XXXXX WSKAZANEJ X XXXXXXXXXX URZĘDOWYM, XX XXXXXXX XXŁĄXXXXX XXXX NINIEJSZY FORMULARZ/ (XX) INFORMAÇÕES XXXXX X IDENTIDADE XX XXXXXX DESIGNADA NO XXXXXXXXX XXXXXXX A XXX X XXXXXXXX XXXXXXXXXX ESTÁ XXXXXX/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXXXXX PERSOANEI VIZATE XX DOCUMENTUL XXXXXXX XX XXXX ESTE XXXXXX XXXXXXXXX FORMULAR/ (XX) XXXXXXXXXX X XXXXXXXXXX XXXXX XXXXXXXX XX VEREJNEJ LISTINE, XX KTOREJ XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXXXXXXXXX XXXXX, XX XXXXXX SE XXXXXX XXXXX XXXXXXX, XX XX JE XXXXXXXX XX XXXXXXX/ (FI) XXXXXXXXÄ ASIAKIRJASSA, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX, XXXXXXXXXXX XXXXXXÖX XXXXXXÖXXXXXX/ (XX) XXXXXXXXX XX XXXXXXXXXXX XÅ XXX XXXXXX XXX XXXÖXX XX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX FORMULÄR ÄX XXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X)/ (XX) XXXXXXXX/ (XX) EFTERNAVN(E)/ (XX) XXXXXXXXXXXX(X)/ (XX) XXXXXXXXXXXXX (-NIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX(X)/ (XX) XXX(X)/ (XX) XXXXXXX (XXXXXXXX)/ (XX) XXXXXXX(XX)/ (XX) COGNOME(I)/ (XX) XXXĀXXX(-X)/ (XX) XXXXXXĖ (-ĖS)/ (HU) XXXXXXX XXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX)/ (NL) ACHTERNA(A)M(EN)/ (XX) NAZWISKO(-A)/ (XX) XXXXXXX(X)/ (XX) XXXX/ (XX) XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX/ (FI) XXXXXXXX (-XXXXX)/ (SV) XXXXXXXXX

4.2

(XX) ПРЕДИШНО(И) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X) ANTERIOR(ES)/ (XX) XXXXXXXXX PŘÍJMENÍ/ (XX) XXXXXXXXX XXXXXXXXX(X)/ (XX) XXÜXXXX(X) FAMILIENNAME(N)/ (XX) XXXXXXX XXXXXXXXXXXXX (XXXXXXXXX XXXXXXXXXXXXXX)/ (XX) ΠΡΟΗΓΟΥΜΕΝΟ(-Α) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXXX XXXXXXX(X)/ (XX) XXX(X) PRÉCÉDENT(S)/ (GA) XXXXXXX (XXXXXXXX) XXXXXX XXX/ (XX) XXXXXXXXX(-X) XXXXXXX(XX)/ (XX) COGNOME/I XXXXXXXXXX/X/ (XX) XXXXXXXXĒXXXX(-XX) XXXĀXXX(-X)/ (LT) XXXXXXXXĖ (-ĖX) XXXXXXĖ (-ĖX)/ (XX) XXŐXŐ XXXXXXX XXXX(X)/ (XX) KUNJOM(/KUNJOMIJIET) XXXĊXXXXXX/ (XX) VROEGERE XXXXXXXX(X)X(XX)/ (XX) XXXXXXXXXX XXXXXXXX(-X)/ (XX) XXXXXXX(X) XXXXXXXX(XX)/ (XX) XXXX XXXXXXXX (NUME XXXXXXXXXX)/ (XX) XXXXXXXXXXXXXX XXXXXXXXXX(-X)/ (XX) PREJŠNJI XXXXXXX/XXXXXXX / (XX) XXXXXXX XXXXXXXX (XXXXXXX SUKUNIMET)/ (XX) TIDIGARE XXXXXXXXX

4.3

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (ES) XXXXXX(X)/ (XX) XXXXX (XXXXX)/ (DA) FORNAVN(E)/ (XX) XXXXXXX(X)/ (ET) XXXXXXX (-NIMED)/ (EL) ΟΝΟΜΑ(-ΤΑ)/ (EN) FORENAME(S)/ (XX) PRÉNOM(S)/ (GA) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (XX) XĀXXX(-X)/ (XX) XXXXXX (-XX)/ (HU) XXXXXXX(X)/ (MT) ISEM(/ISMIJIET)/ (XX) VOORNA(A)M(EN)/ (XX) XXXĘ (XXXXXX)/ (XX) XXXX(X) PRÓPRIO(S)/ (RO) XXXXXXX/ (XX) MENO(-Á)/ (XX) IME/IMENA/ (FI) XXXXXXX (-NIMET)/ (XX) XÖXXXXX

4.4

(XX) ПРЕДИШНО(И) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X) XXXXXXXX(XX)/ (CZ) XXXXXXXXX XXXXX (XXXXX)/ (DA) XXXXXXXXX XXXXXXX(X)/ (DE) XXÜXXXX(X) XXXXXXX(X)/ (XX) XXXXXXX XXXXXXX (XXXXXXXXX XXXXXXXX)/ (XX) ΠΡΟΗΓΟΥΜΕΝΟ(-Α) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX XXXXXXXX(X)/ (FR) XXXXXX(X) XXXXXXXXX(X)/ (XX) CÉADAINM (XXXXXXXXXXXXXX) XXXXXX SEO/ (XX) XXXXXXXXX(-X) IME(NA)/ (XX) XXXX/X XXXXXXXXXX/X/ (XX) IEPRIEKŠĒJAIS(-IE) XĀXXX(-X)/ (XX) ANKSTESNIS (-X) XXXXXX (-AI)/ (XX) XXŐXŐ UTÓNEVE(I)/ (XX) XXXX/XXXXXXXX XXXĊXXXXXX/ (XX) XXXXXXXX XXXXXXX(X)X(XX)/ (PL) XXXXXXXXXX XXXĘ (XXXXXX)/ (XX) NOME(S) PRÓPRIO(S) XXXXXXXX(XX)/ (XX) XXXXXXX XXXXXXXX (XXXXXXX ANTERIOARE)/ (XX) PREDCHÁDZAJÚCE XXXX(-X)/ (XX) XXXXXXXX XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (XX) XXXXXXXX FÖRNAMN

4.5

(BG) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (ES) XXXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (FR) XXXX (XX/XX/XXXX) XX NAISSANCE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) ROĐENJA/ (XX) XXXX XX XXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) TAT-TWELID/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (PL) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXXXX (DD/MM/AAAA)/ (RO) XXXX (ZZ/LL/AAAA) NAȘTERII/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) ROJSTVA/ (XX) XXXXXXÄXXXX (PP/KK/VVVV)/ (XX) XÖXXXXXXXXXX (DD/MM/ÅÅÅÅ)

4.6

(BG) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (ES) XXXXX X PAÍS XX XXXXXXXXXX/ (XX) XXXXX X XXXX NAROZENÍ/ (XX) XØXXXXXX XX -XXXX/ (XX) ORT XXX LAND XXX XXXXXX/ (XX) XÜXXXXXXX XX -RIIK/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX XXX COUNTRY XX XXXXX/ (XX) XXXX XX PAYS XX XXXXXXXXX/ (XX) ÁIT XXXX TÍR XXXXXXXX/ (XX) XXXXXX X XXXXXX XXĐXXXX/ (XX) XXXXX X PAESE XX NASCITA/ (XX) XXXXXXXXX XXXXX XX XXXXXX/ (XX) XXXXXX XXXXX XX XXXXX/ (XX) XXÜXXXXXX XXXXX XX XXXXXXX/ (XX) XXXX U XXXXXŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX XX -LAND/ (PL) XXXXXXX X XXŃXXXX XXXXXXXXX/ (XX) LOCAL X PAÍS XX XXXXXXXXXX/ (XX) LOCUL ȘX ȚXXX NAȘTERII/ (XX) MIESTO X XXXX XXXXXXXXX/ (XX) XXXX XX XXXXXX XXXXXXX/ (FI) XXXXXXÄXXXXXX XX -MAA/ (XX) XÖXXXXXXXX OCH -XXXX

4.7

(XX) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (DA) XØX/ (XX) XXXXXXXXXX/ (XX) SUGU/ (EL) ΦΥΛΟ/ (EN) XXX/ (XX) SEXE/ (XX) XXXXXX/ (XX) XXXX/ (XX) SESSO/ (XX) XXXXXXX/ (XX) LYTIS/ (XX) XXXX/ (MT) XXXX/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (PT) XXXX/ (RO) XXXXX/ (XX) XXXXXXXX/ (XX) XXXX/ (XX) XXXXXXXXX/ (XX) KÖN

4.7.1

(BG) ЖЕНСКИ/ (XX) MUJER/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (EL) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) BAINEANN/ (XX) XXXXXX/ (IT) XXXXXXXXX/ (LV) XXXXXXXX/ (XX) XXXXXXX/ (XX) XŐ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) FEMININO/ (XX) XXXXXXXX/ (XX) XXXXXX/ (SL) XXXXXX/ (XX) NAINEN/ (XX) XXXXXX

4.7.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) MUŽ/ (XX) XXXX/ (DE) XÄXXXXXX/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (HR) XXXXX/ (IT) XXXXXXXX/ (XX) VĪRIETIS/ (XX) XXXXX/ (HU) FÉRFI/ (XX) RAĠEL/ (XX) XXX/ (XX) XĘŻXXXXXX/ (XX) MASCULINO/ (RO) XĂXXĂXXXX/ (XX) MUŽSKÉ/ (XX) XXXXX/ (XX) XXXX/ (XX) MAN

4.7.3

(BG) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (DA) XXXXXXXX/ (DE) UNBESTIMMT/ (XX) XÄÄXXXXXX/ (EL) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) INDÉTERMINÉ/ (XX) XXXXXXXXXXXXXXX/ (HR) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (LT) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) MHUX XXXXXXXXX/ (XX) XXXXXXXXX/ (PL) XŁXĆ NIEOKREŚLONA/ (PT) XÃX DEFINIDO/ (XX) XXXXXXXXXXXX/ (XX) NEURČENÉ/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) EJ XXXXXXÄXXX

4.8

(XX) ГРАЖДАНСТВО/ (ES) XXXXXXXXXXXX/ (CZ) STÁTNÍ XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) STAATSANGEHÖRIGKEIT/ (XX) XXXXXXXXXXX/ (XX) ΙΘΑΓΕΝΕΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXĪXX/ (XX) XXXXXXXXĖ/ (XX) XXXXXXXXXXXXXXX/ (XX) ĊITTADINANZA/ (XX) XXXXXXXXXXXXX/ (PL) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXĂȚXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (SL) XXXXXXXXXXXXX/ (XX) KANSALAISUUS/ (XX) XXXXXXXXXXXXX

4.9

(XX) ГРАЖДАНСКИ НОМЕР/ (ES) XXXXXX XX IDENTIDAD/ (XX) XXXXXXXXXXXXX XXXXX/ (DA) XXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXÄXXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΤΑΥΤΟΤΗΤΑΣ/ (XX) XXXXXXXX NUMBER/ (XX) XXXXXX D'IDENTITÉ/ (GA) XXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXXX/ (IT) XXXXXX D'IDENTIFICAZIONE/ (XX) XXXXXXXĀXXX XXXXXX/ (XX) XXXXXX XXXXX/ (HU) XXXXXXXX XXXXXXXXX XXXXX/ (XX) XXXXX TAL-IDENTITÀ/ (XX) IDENTITEITSNUMMER/ (XX) XXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX DE XXXXXXXXXXÇÃX/ (XX) NUMĂRUL XX XXXXXXXXXXXX/ (SK) XXXXXXXXXXXXX XXXXX/ (SL) XXXXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXÖXXXXXX/ (XX) XXXXXXXXXXXXXXXX

4.10

(XX) ВИД И НОМЕР НА ДОКУМЕНТА ЗА САМОЛИЧНОСТ НА ЛИЦЕТО/ (ES) XXXX Y NÚMERO XX DOCUMENTO XX XXXXXXXXXXXXXX DEL XXXXXXXXXX/ (XX) XXXX X XXXXX XXXXXXXXXXXXXXX XXXXXXX XXXXX/ (DA) XXXXX XX NUMMERET XÅ XXXXXXXXX IDENTIFIKATIONSDOKUMENT/ (XX) XXX XXX NUMMER XXX XXXXXXXÄXXXXXXXXXXX DER XXXXXX/ (XX) XXXXXX XÕXXXXXX XXXXXXXXX XXXX XX NUMBER/ (XX) ΕΙΔΟΣ ΚΑΙ ΑΡΙΘΜΟΣ ΕΓΓΡΑΦΟΥ ΤΑΥΤΟΤΗΤΑΣ ΤΟΥ ΠΡΟΣΩΠΟΥ/ (XX) XXXX XXX XXXXXX XX XXX PERSON’S XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXX XX NUMÉRO XX XX XXÈXX X'XXXXXXXX XX XX XXXXXXXX XXXXXXXXX/ (XX) CINEÁL XXXX XXXXXX XXXXXXXXXX XXXXXXXXXXX AN DUINE/ (XX) XXXXX X XXXX IDENTIFIKACIJSKE XXXXXXX XXXXX/ (XX) XXXX X XXXXXX XXX XXXXXXXXX XX XXXXXXXÀ XXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXXXXXĀXXXXX XXXXXXXXX XXXXX XX XXXXXX/ (XX) XXXXXX XXXXXXXĖX XXXXXXXXX XXXXX XX XXXXXXX/ (XX) A XXXXXXXXXXXXXXXX OKMÁNY XXXXXX XX XXXXX/ (XX) XX-XXX U N-NUMRU XXX-XXXXXXXX XX' XXXXXXXÀ XXX-XXXXXXX/ (XX) XXXX XX XXXXXX XXX XXX XXXXXXXXXXXXXXXXXXX XXX XX XXXXXXXXXX/ (XX) XXXXXX X XXXXX XXXXXXXXX XXŻXXXXŚXX/ (XX) XXXX E XXXXXX XX DOCUMENTO DE XXXXXXXXXXÇÃX/ (XX) XXXXX ȘX NUMĂRUL DOCUMENTULUI XX XXXXXXXXXXXX XX XXXXXXXXX/ (XX) XXX X XXXXX PREUKAZU XXXXXXXXXX XXXXX/ (XX) XXXXX XX ŠTEVILKA XXXXXXXXXXXXXXXXXX XXXXXXXXX XXXXX/ (XX) HENKILÖTODISTUKSEN XXXXXX XX XXXXXX/ (XX) XXX OCH XXXXXX XÅ PERSONENS XXXXXXXXXXXXXXXXXX

4.10.1

(XX) НАЦИОНАЛНА ЛИЧНА КАРТА/№/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXXXX / XXX./ (XX) XXXXXXXXXXXX XXXXXX TOTOŽNOSTI / X./ (DA) XXXXXXXXX XXXXXXXXXXXXXX/-XXXXXX/ (XX) NATIONALER XXXXXXXXXXXXXXX/XX./ (XX) XXXXXXX XXXXXXXXXXXXXX / XX/ (XX) ΕΘΝΙΚΟ ΔΕΛΤΙΟ ΤΑΥΤΟΤΗΤΑΣ / ΑΡΙΘ./ (XX) XXXXXXXX IDENTITY XXXX/XX./ (XX) XXXXX XXXXXXXXX D'IDENTITÉ/N°/ (GA) XXXXX NÁISIÚNTA XXXXXXXXXXX/XXXX./ (XX) NACIONALNA XXXXXX XXXXXXXXX / BR./ (XX) XXXXX X'XXXXXXXÀ XXXXXXXXX/X./ (XX) XXXXXX XXXXXXXX XXXXXXĪXX / XX./ (LT) XXXXXXXXXXĖ XXXXXX XXXXXXXĖX XXXXXXĖ / NR./ (HU) XXXXXXX XXXXXXXXXXXXXXXX XXXXXXXXXX/XXXXX/ (XX) XXXXX XXX-XXXXXXXÀ XXXXXXXXXX/XXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXXXX/XX./ (XX) KRAJOWY XXXXX XXŻXXXXŚXX / XX/ (XX) X.x XX DOCUMENTO DE XXXXXXXXXXÇÃX XXXXXXXX/ (RO) XXXXX DE XXXXXXXXXX XXȚXXXXXĂ/XX./ (XX) XXXXXXX XXXXXXX XXXXXXXXXX/x./ (XX) XXXXXXXXXX XXXXXX IZKAZNICA/ŠT./ (XX) KANSALLINEN HENKILÖKORTTI/NRO/ (XX) XXXXXXXXXX XXXXXXXXXXXXXX/XXXXXX

4.10.2

(XX) ПАСПОРТ/№/ (XX) PASAPORTE / XXX./ (CZ) XXX / Č./ (XX) XXX/XX./ (XX) XXXXXXXXX/XX./ (XX) PASS/NR/ (XX) ΔΙΑΒΑΤΗΡΙΟ/ΑΡΙΘ./ (XX) XXXXXXXX/XX./ (XX) XXXXXXXXX/X°/ (XX) XXX/XXXX./ (XX) XXXXXXXXX / BR./ (XX) PASSAPORTO/N./ (LV) XXXX/XX./ (LT) XXXXX / XX./ (XX) XXXXXXX/XXXXX/ (XX) XXXXXXXXX/ XXX/ (XX) XXXXXXXX/XX./ (XX) XXXXXXXX / XX/ (PT) N.o XX PASSAPORTE/ (XX) XXȘXXXXX/XX./ (SK) XXXXXXXX XXX/x./ (XX) XXXXX XXXX/XX./ (FI) XXXXX/XXX/ (XX) XXXX/XXXXXX

4.10.3

(XX) СВИДЕТЕЛСТВО ЗА УПРАВЛЕНИЕ НА МПС/№/ (XX) PERMISO XX CONDUCCIÓN / XXX./ (XX) XXXXXXXX XXXXXX / X./ (XX) KØREKORT/NR./ (XX) XÜXXXXXXXXXX/XX./ (XX) JUHILUBA/NR/ (XX) ΑΔΕΙΑ ΟΔΗΓΗΣΗΣ / ΑΡΙΘ./ (EN) XXXXXXX LICENCE/NO./ (XX) XXXXXX XX CONDUIRE/N°/ (XX) XXXXXXXX XXXXXXX/XXXX./ (XX) XXXXXXX XXXXXXX / BR./ (XX) XXXXXXX XX GUIDA/N./ (XX) XXXĪXĀXX XXXXXXĪXX / XX./ (LT) XXXXXXXXXX PAŽYMĖJIMAS / XX./ (XX) XXXXXŐX XXXXXXXX/XXXXX/ (XX) XXĊXXXXX XXX-XXXXXX/XXX/ (XX) RIJBEWIJS/NR./ (XX) XXXXX XXXXX / NR/ (XX) X.x XX XXXXX XX XXXXXÇÃX/ (XX) XXXXXX XX XXXXXXXXX/XX./ (XX) XXXXXXXX PREUKAZ/č./ (XX) VOZNIŠKO XXXXXXXXXX/XX./ (XX) AJOKORTTI/NRO/ (XX) XÖXXXXX/XXXXXX

4.10.4

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ) … /№ …/ (ES) XXXX (ESPECIFÍQUESE) … / NÚM. …/ (XX) XXXX (XXXXXXXXX) … / X …/ (DA) XXXXX (XXXXXXX) …/ NR. …/ (XX) SONSTIGES (XXXXX ANGEBEN) …/NR …/ (ET) XXX (XÄXXXXXXXX) … / XX …/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ) … / Αριθ. …/ (XX) OTHER (XX XX XXXXXXXXX) …/No. …/ (FR) XXXXX (À PRÉCISER) …/N° …/ (GA) XXXX (XX XXXXX) … …/Xxxx. …/ (HR) XXXXXX (XXXXXXX) … / xx. …/ (XX) XXXXX (XXXXXXXXX) …/X. …/ (XX) XXXX (XXXXXXĒX) … / XX. …/ (XX) KITA (NURODYTI) …/XX. …./ (XX) XXXXX (XXXXÜX XXXXXXXXXXX) …/Xxxxx: …/ (MT) XĦXXXX (XXXXXĊXŻX) …/Nru …/ (NL) XXXXXXX (XXXXXXXXXXXX) …/NR. …/ (XX) INNY (XXXXXĘ XXXXŚXXĆ) … / xx …/ (PT) X.x XX XXXXX XXXXXXXXX (ESPECIFICAR) …/ (XX) XXXXX (X XX XXXXXXX) … /XX. …/ (XX) XXX (XXXXXXXX) …/č. …/ (XX) XXXXX (XXXXXXX) …/xx. …/ (XX) XXX ASIAKIRJA (XÄXXXXXXXXÄXÄ) … /Nro …/ (XX) 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) XX XXXXXXXXX XXXXXXX AL XXX SE XXXXXXX XXXX IMPRESO XX XXXXXXXX QUE XXXXXX XXXXXX XXXXXXXXXXX XXXXX XXX INTERESADO XX XX REGISTRO XX XXXXXXXXXXXX XXXXXXX XXX XXXXXX XXXXXXX XXX XXX XXXXX LA XXXXXXXXXXXX/ (CZ) XXXXXXX XXXXXXX, X XXX XX PŘIPOJEN XXXXX XXXXXXXX, XXXXXXXXX XXXXX XXXXXXXXX XXXXXXX XXXXX XXXXXXXXXXX V XXXXXXXXX XXXXXX XXXXXXXXX XXXXX, XXXXX XX TATO XXXXX XXXXXXX XXXXXXXXXXXX/ (XX) DET OFFENTLIGE XXXXXXXX, XXX DENNE XXXXXXXX XX XXXXÆXXXX, XÆXXXX XXXXX XXX XXX XXXXXX XXX XXX XÅXÆXXXXXX PERSON X XXXXXXXXXXXXXXXX X XXX XXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXXXXX/ (XX) XXX ÖFFENTLICHE XXXXXXX, XXX XXXXXX XXXXXXXX BEIGEFÜGT IST, XXXXÄXX KEINEN XXXXXXX XXX EINE XXXXXXXXXXXX XXX XXXXXXXXXXXX XXXXXX XX STRAFREGISTER XXX XXXXXXXXXXXXXX IHRER STAATSANGEHÖRIGKEIT/ (XX) XXXXXXXX XXXXXXXXXX, XXXXXXX XXX XXXX XX LISATUD, XX XXX MÄRGITUD ÜHTEGI XÜÜXXXÕXXXXXX KOHTUOTSUST, MIS XXXXX TEHTUD ASJAOMASE XXXXX XXXXXX JA XXXXXX ASJAOMASE ISIKU XXXXXXXXXXXXÄXXXX LIIKMESRIIGI XXXXXXXXXXXXXXXXXXX/ (XX) ΣΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ ΔΕΝ ΑΝΑΦΕΡΕΤΑΙ ΓΙΑ ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΚΑΤΑΔΙΚΗ ΕΓΓΕΓΡΑΜΜΕΝΗ ΣΤΟ ΠΟΙΝΙΚΟ ΜΗΤΡΩΟ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΤΗΝ ΙΘΑΓΕΝΕΙΑ ΤΟΥ ΟΠΟΙΟΥ ΕΧΕΙ ΤΟ ΠΡΟΣΩΠΟ ΑΥΤΟ/ (XX) XXX XXXXXX XXXXXXXX XX XXXXX THIS XXXX XX ATTACHED XXXX XXX MENTION XXX XXXXXXXXXX XX XXXXXXX XX THE XXXXXX XXXXXXXXX IN XXX XXXXXXXX RECORD XX XXX XXXXXX XXXXX XX XXXXXXXXXXX OF XXXX XXXXXX/ (FR) XX DOCUMENT PUBLIC XXXXXX XX PRÉSENT XXXXXXXXXX XXX XXXXX XX MENTIONNE AUCUNE XXXXXXXXXXXX XXXXXXXX AU XXXXXX XXXXXXXXXX DE XX PERSONNE XXXXXXXXX XXXX L'ÉTAT MEMBRE XXXX CETTE XXXXXXXX X XX XXXXXXXXXXX/ (XX) XX XXXXXXXXX XXXXXX XXXX BHFUIL XX XXXXXX XXX XXXXXXXXXX, XXX XXX XXXXXX XX AON XXXXXXX I XXXXX XX XXXXX LENA xXXXXXXXX XX TAIFEAD XXXXXXXX X xXXXXXXXX XXXXXXXXXXXXX XX XXXXX XXXX mBAINEANN/ (XX) X JAVNOJ XXXXXXX XXXXX JE OVAJ XXXXXXX XXXXXXXX NIJE XXXXXXXX XXXXXXX OSUĐUJUĆA XXXXXXX XXXXXX DOTIČNE XXXXX X XXXXXXXX XXXXXXXXXX XXXXXX ČLANICE XXXXXXXXXXXXX TE XXXXX/ (XX) XX DOCUMENTO XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX NON XXXXXXX XXXXXX XXXXXXXX XXXXXXXX XXXX PERSONA XXXXXXXXXXX XXX QUANTO CONCERNE XX XXXXXXXXXX XXXXXXXXXX XXXXX XXXXX MEMBRO XX XXXXXXXXXXXX XX XXXX PERSONA/ (LV) XXXXXXXXXĀ DOKUMENTĀ, KURAM XĪ VEIDLAPA XX XXXXXXXXXX, XXX XXXXXXĪXX XXXXXXX NAV MINĒTA XXXXXXX XXXXXXĀXXXX, XXX XXXĀXĪXX XXXĒXĀX XXXXXXXX XXXXXXXXXXXXĪXXX XXXĪXXXXXXX SODĀMĪBAS XXĢXXXXĀ/ (XX) XXXXXXXXX XXXXXXXXX, PRIE XXXXX XXXXXXXXX ŠI XXXXX, XXXXXXXXXXX XXXX SU XXXXXXXXXX XXXXXXX SUSIJĘS XXXXXXXXXXX TO XXXXXX XXXXXXXXĖX XXXXXXXĖX XXXĖX XXXXXXXXXXXŲ REGISTRE/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXX AZ ÉRINTETT XXXXXXXXXX XXXXXXXXXXXX XXX XXXXX XX XXXXXXXX XXXXXXX XXXXXXXXXXXXXXX SZERINTI XXXXXXXX BŰNÜGYI NYILVÁNTARTÁSÁBAN XXXXXXXŐ XXXXXXXXX/ (XX) XX-XXXXXXXX XXXXXXXX MEHMUŻ XX' XXX XX-XXXXXXX XX XXXXXX X-XXXX XXXXXXXX XXX-XXXXXXX XXX-XXXXXXX XXXXĊXXXXXX XXX-XXXXXX XXXXXXXXX XXX-XXXXX MEMBRU XXĊ-ĊXXXXXXXXXXX XX' XXX XX-XXXXXXX/ (XX) XXX XXXXXXXX XXXXXXXX WAARAAN XXX XXXXXXXXX XX GEHECHT, XXXXXXXX GEEN XXXXXXXXXXXX XXXX XX XXXXXXXXXX XX XXX XXXXXXXXXXXXX XXX XX LIDSTAAT XXX XXXXXXXXXXXXX VAN XX XXXXXXXXXX/ (XX) XXXXXXXX XXXĘXXXX, XX XXXXXXX XXŁĄXXXXX XXXX XXXXXXXXX FORMULARZ, XXX XXXXXXX XXXXXXXXXX X XXXXXXXXX WYROKU XXXXXXĄXXXX XXXXXXXX XXXXX XXXXX, XXXXXX XXXXXXX XXXXXXXX, XXXXXXXXX XX REJESTRU XXXXXXX XXŃXXXX XXŁXXXXXXXXXXX, XXXXXXX XXXXX XX XXXX XXXXXXXXXX/ (XX) X DOCUMENTO XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX XÃX REFERE XXXXXXXX XXXXXXXÇÃX XX XXXXXX XX XXXXX XX REGISTO CRIMINAL XX XXXXXX-XXXXXX XX XXXXXXXXXXXXX XXXXX PESSOA/ (XX) DOCUMENTUL XXXXXXX XX XXXX XXXX XXXXXX PREZENTUL XXXXXXXX XX MENȚIONEAZĂ NICIO XXXXXXXXXX XXXXXXXXXXX LA XXXXXXXX XXXXXĂ DE XXXXXXXX JUDICIAR XXX XXXXXX XXXXXX AL XĂXXX CETĂȚEAN ESTE XXXXXXXX XXXXXXXXXĂ/ (XX) XX XXXXXXXX LISTINE, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX, XX XXXXXXXX XXXXXX XXXXXXXXX DOTKNUTEJ OSOBY X REGISTRI XXXXXXX XXXXXXXXX XXXXX, KTORÉHO XXXXXXX XXXXXXXXXXXX XX XXXX XXXXX/ (XX) X JAVNI XXXXXXX, XX JI XX XXXXXXXX XX OBRAZEC, XX XXXXXXXX XXXXXX XXXXXXX V XXXXX X ZADEVNO XXXXX X KAZENSKI XXXXXXXX XXXXXX ČLANICE, KATERE XXXXXXXXXXXXX XXX XX XXXXX/ (XX) YLEISESSÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX, XX XXX XXXXXXXXX ASIANOMAISTA XXXXXXÖÄ XXXXXXXXXX XXXXXXXXXX XXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXXÄ, XXXXX KANSALAINEN HENKILÖ XX/ (XX) I XXX XXXXXXXXXX HANDLING XXXX VILKEN DETTA XXXXXXÄX ÄX BIFOGAT XÄXXX INGEN XXXXXXX XX XXX XXX XXX BERÖRDA XXXXXXXX X XXXXXXXXXXXXXXXXX X XXX MEDLEMSSTAT XÄX XXXXX XXXXXX ÄX XXXXXXXXXX

6.

(XX) ПОЛЕ ЗА ПОДПИС/ (ES) RECUADRO XXXX XX FIRMA/ (XX) XXXX XXX XXXXXX/ (XX) UNDERSKRIFTSFELT/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) XXXXX XXXX XX XXXXXXXXX/ (XX) BOSCA DON XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXXXXX XXX XX XXXXX/ (XX) XXXXXXXX XXXXX/ (LT) XXXXXX XXXXXXXX/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (NL) XXX VOOR DE XXXXXXXXXXXX/ (XX) POLE XXXXXXX/ (PT) ESPAÇO XXXXXXXXX À XXXXXXXXXX/ (XX) SEMNĂTURA/ (XX) XXXXXXX XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (XX) XXXX XÖX XXXXXXXXXXXXXX

6.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X XXXXXX(X) XXX XXXXXXXXXXX XXX XXXXXXX ESTE XXXXXXX/ (XX) XXXXXXXX X XXXXX (JMÉNA) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (DA) XXXXXXXXX(X) OG XXXXXXX(X) XÅ XXX EMBEDSMAND, XXX HAR XXXXXXX XXXXX FORMULAR/ (XX) XXXXXXXXXXXX(X) XXX VORNAME(N) XXX BEAMTEN, DER XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (ET) XÄXXXXXXX XXXXX XÄXXXXXXXXX AMETNIKU XXXXXXX (-XXXXX) XX XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) SURNAME(S) XXX XXXXXXXX(X) XX XXX XXXXXXXX XXX XXXXXX THIS FORM/ (XX) XXX(X) XX XXXXXX(X) XX XXXXXXXXXXXXX XXX X DÉLIVRÉ XX PRÉSENT XXXXXXXXXX/ (XX) XXXXXXX (SLOINNTE) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX XXXXXXXX X X’XXXXXX XX FHOIRM XXX/ (HR) PREZIME(NA) X IME(NA) XXXXXXXXXX XXXX XX XXXXX XXXX OBRAZAC/ (IT) XXXXXXX/X E XXXX/X XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX MODULO/ (XX) XXXXXXXXXXXX, KURA XXXXXXXX XX XXXXXXXX, XXXĀXXX(-X) XX VĀRDS(-I)/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖX) XX XXXXXX (-XX)/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXXXXXŐ XXXXXXX XXXX(X) XX XXXXXXX(X)/ (XX) KUNJOM(/KUNJOMIJIET) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦXXXĠ DIN IL-FORMOLA/ (XX) XX(X)X(XX) XX XXXXXX(X)X(XX) XXX XX XXXXXXXXX DIE XXX XXXXXXXXX HEEFT XXXXXXXXX/ (XX) NAZWISKO(-A) X XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (PT) XXXXXXX(X) X XXXX(X) XXXXXXX(X) XX FUNCIONÁRIO XXX XXXXXX X PRESENTE XXXXXXXXXX/ (XX) NUMELE ȘX XXXXXXXXX FUNCȚIONARULUI XXXX X EMIS XXXXXXXXX XXXXXXXX/ (SK) XXXXXXXXXX(-X) A XXXX(-X) XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (SL) XXXXXXX/XXXXXXX XX IME/IMENA XXXXXXXX, KI XX XXXXX XX OBRAZEC/ (XX) XÄXÄX LOMAKKEEN XXXXXXXX XXXXXXXXXXX XXXXXXXX (-XXXXX) XX XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX XXX XÖXXXXX PÅ XXX XXÄXXXXXXX XXX XXX UTFÄRDAT DETTA XXXXXXÄX

6.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (CZ) FUNKCE XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (DA) XXXXXXXX — XXX XXXXXXXXXX, DER XXX XXXXXXX DENNE XXXXXXXX/ (XX) XXXXXXXX XXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXXXXXX HAT/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX AMETNIKU XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX XX XXX OFFICIAL XXX XXXXXX XXXX FORM/ (XX) XXXXX XX XXXXXXXXXXXXX XXX A XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXX XX XXXXXXXX A X’XXXXXX XX XXXXXX XXX/ (HR) FUNKCIJA XXXXXXXXXX XXXX XX XXXXX XXXX OBRAZAC/ (XX) XXXXXXXXX DEL XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX ŠO XXXXXXXX, XXXXX/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX PAREIGOS/ (XX) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ BEOSZTÁSA/ (MT) XXXXXX TAL-UFFIĊJAL XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX XXX XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX DO XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX CARE X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XXXXX VYDAL XXXXX FORMULÁR/ (XX) XXXXXXX URADNIKA, KI XX XXXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX XXX HAR XXXÄXXXX XXXXX XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) VYDÁNÍ/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX KUUPÄEV (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) DATE (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) IZDAVANJA/ (IT) XXXX XX RILASCIO (XX/XX/XXXX)/ (LV) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) XXXXXXXX XXXX (DD/MM/MMMM)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (JJ/XX/SSSS) XXX-ĦXXĠ/ (XX) XXXXX (DD/MM/JJJJ) XXX AFGIFTE/ (XX) XXXX (DD/MM/RRRR) WYDANIA/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (ZZ/LL/AAAA) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (SL) DATUM (XX/XX/XXXX) IZDAJE/ (FI) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (XX) UNDERSKRIFT/ (XX) XXXXXXXXXXXX/ (ET) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (PL) XXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX O XXXXXX/ (XX) XXXXX XXXX XXXXXXX/ (XX) XXXX ELLER STEMPEL/ (XX) SIEGEL ODER XXXXXXX/ (XX) XXXXXX XÕX TEMPEL/ (XX) ΣΦΡΑΓΙΔΑ/ (EN) XXXX XX XXXXX/ (FR) XXXXX XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (HR) ŽIG XXX XXXXX/ (XX) XXXXX X TIMBRO/ (XX) XĪXXXX VAI XXXXXXXX/ (XX) SPAUDAS XXXX XXXXXXXXXX/ (HU) XXXXXX XXXX BÉLYEGZŐLENYOMAT/ (XX) XXĠXXX JEW XXXXXX/ (XX) XXXXX XX XXXXXXX/ (XX) XXXXXĘĆ LUB XXXXXXX/ (XX) XXXX XX XXXXXXX/ (XX) SIGILIUL XXX ȘXXXXXXX/ (XX) XXXXX ALEBO XXXXXXXX XXXXXXXX/ (XX) XXXXX XXX ŽIG/ (XX) XXXXXXX TAI LEIMA/ (XX) XXXXXX XXXXX XXÄXXXX