Plné znění - 32016R1191

NAROZENÍ

VÍCEJAZYČNÝ XXXXXXXXXX XXXXXXXX – XXXXXXX XXX XXXXXXX

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

Belgie (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (DK) Xxxxxxx (XX)

Xxxxxxxx (XX) Irsko (XX)

Xxxxx (XX) Španělsko (XX)

Xxxxxxx (FR) Xxxxxxxxxx (XX)

Xxxxxx (IT) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (HU) Xxxxx (MT)

Nizozemsko (XX) Xxxxxxxx (AT)

Polsko (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Xxxxxx (FI)

Švédsko (XX) Xxxxxxx království (XX)

XXXXXXXX XXXXXXXXXX

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

Xxxxx formulář xxxxxx xxxxx xxxxxxx xxxxxxx, k níž xx xxxxxxxx. Xxxxx, xxxxx je xxxxxxx xxxxxxx xxxxxxxxxxx, však xxxx x xxxxxxxxx, xxx xx to xxxxxxxx xxx xxxxx xxxxxxxxxx xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx informací, xxxxx xxxx ve formuláři xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX XXXXX

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

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

1. ORGÁN XXXXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Název (4)

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

(2) Xxx xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

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

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

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

3.1 Xxxxxxx vydaná orgánem xxxx xxxxxxxxx s xxxxxx xx soudy xxxxxx členského xxxxx

3.1.1 Xxxxxxxxxx soudu

3.1.2 Xxxxxxx xxxxxx státním xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx vyšším xxxxxxx úředníkem

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

3.1.5 Xxxx (xxxxxxxxx)

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 Xxxxxxxx listina

3.4 Xxxxxx xxxxxxxxx, kterým xxxx opatřena xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

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

3.6 Xxxxx (xx/xx/xxxx) vydání

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. INFORMACE O XXXXXXXXX

4.1 Příjmení

4.2 Xxxxx (xxxxx)

4.3 Datum (dd/mm/rrrr) xxxxxxxx

4.4 Místo (1) x země (2) xxxxxxxx

4.5 Pohlaví:

4.5.1 Xxxx

4.5.2 Xxx

4.5.3 Neurčeno

5. POLE XXX XXXXXX

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

5.2 Funkce xxxxxxxx, xxxxx vydal xxxxx xxxxxxxx

5.3 Xxxxx (xx/xx/xxxx) vydání

5.4 Xxxxxx

5.5 Xxxxx xxxx xxxxxxx

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

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

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XXXX IMPRESO/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (DA) DENNE XXXXXXXXX XXXXXXXXXX MYNDIGHED/ (XX) XXXÖXXX, XXX XXXXXX FORMULAR XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX XÄXXX ANDNUD XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX ISSUING XXXX XXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX PRÉSENT XXXXXXXXXX/ (XX) AN xXXXXXX X XXXXXXXX XX XXXXXX XXX/ (XX) XXXXXX XXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ XXXXXXXXXX VALDŽIOS XXXXXXXXXXX/ (XX) A FORMANYOMTATVÁNYT XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XX' XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX AFGIFTE XXX XXX XXXXXXXXX/ (XX) ORGAN WYDAJĄCY XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX QUE EMITE X PRESENTE XXXXXXXXXX/ (XX) AUTORITATEA XXXXXXXĂ X XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX FORMULÁR/ (XX) XXXXX, KI IZDA XX OBRAZEC/ (FI) XÄXÄX LOMAKKEEN XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (ES) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (XX) BEZEICHNUNG/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (GA)AINMNIÚ/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (PL) XXXXX/ (XX) DESIGNAÇÃO/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) IME/ (XX) NIMI/ (SV) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX QUE EXPIDE XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX ESTE XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, X XXX JE XXXXXXXX XXXXX XXXXXXXX/ (XX) XXX XXXXXXXXX, XXX XXX XXXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) BEHÖRDE, XXX XXX ÖFFENTLICHE XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX, XXXXXXXXX/ (ET) XXXXXX, XXX XXXXX VÄLJA XXXXXXX XXXXXXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXX XXXXXXX XXX XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (FR) XXXXXXXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX PRÉSENT XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX AN XXXXXXXXX XXXXXX LENA XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (HR) XXXXXX XXXX IZDAJE XXXXX XXXXXXX XXXXX XX XXXX OBRAZAC XXXXXXXX/ (IT) XXXXXXXÀ XXX RILASCIA XX XXXXXXXXX XXXXXXXX XXX XX PRESENTE XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ VEIDLAPA XX XXXXXXXXXX, IZDEVĒJIESTĀDE/ (LT) XXXXĄXĮ DOKUMENTĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXXXX VALDŽIOS XXXXXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (NL) XXXXXXXXXX XXX XXXXXXX XXX XXX OPENBAAR DOCUMENT XXXXXXX DIT XXXXXXXXX XX XXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXX XXXĘXXXX, XX KTÓREGO XXXXXXXXX XXXXXXXXX JEST XXŁĄXXXXX/ (XX) AUTORIDADE XXX XXXXX X XXXXXXXXX XXXXXXX A XXX O XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXXX XXXXXXX XX XXXX ESTE XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXX LISTINU, XX XXXXXX XX TENTO XXXXXXXX XXXXXXXXX/ (XX) XXXXX, KI IZDA XXXXX XXXXXXX, XX XX XX XXXXXXXX XX OBRAZEC/ (FI) XXXXXXXXXXXX, JOKA XX XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ LOMAKE XXXXXXÄÄX/ (XX) XXXXXXXXX XXX UTFÄRDAR XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX XX DOCUMENTO XXXXXXX XX XXX XX XXXXXXX XXXX IMPRESO/ (XX) XXXXXXXXX XXXXXXXX XX VEŘEJNÉ LISTINY, X XXX XX XXXXXXXX TENTO XXXXXXXX/ (XX) OPLYSNINGER XXXXØXXXXX XXX OFFENTLIGE XXXXXXXX, XXX DENNE XXXXXXXX XX VEDHÆFTET/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXÜXX XXX/ (XX) TEAVE XXXXXXX XXXXXXXXX XXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (EL) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) INFORMATION XXXXXXXX XX THE XXXXXX XXXXXXXX TO XXXXX XXXX FORM IS XXXXXXXX/ (FR) XXXXXXXXXXXX XXXXXXXXX AU XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX PRÉSENT XXXXXXXXXX/ (XX) FAISNÉIS X XXXXXXXXX XXXX XX XXXXXXXXX XXXXXX XXXX BHFUIL XX XXXXXX XXX CEANGAILTE/ (XX) INFORMACIJE KOJE XX XXXXXX XX XXXXX ISPRAVU XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) INFORMAZIONI XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX MODULO È XXXXXXXX/ (LV) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX ŠĪ XXXXXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX XXXXX/ (XX) A XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATRA XXXXXXXXX INFORMÁCIÓK/ (XX) XXXXXXXXXXXXX DWAR XX-XXXXXXXX XXXXXXXX LI MIEGĦU XXXX MEHMUŻA XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX WAARAAN DIT XXXXXXXXX IS XXXXXXX/ (XX) XXXXXXXXXX DOTYCZĄCE XXXXXXXXX URZĘDOWEGO, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (PT) XXXXXXXÇÕXX XXXXXXXXX XX XXXXXXXXX XXXXXXX X XXX X PRESENTE XXXXXXXXXX XXXX XXXXXX/ (XX) INFORMAȚII XXXXXXXXXXX XX XXXXXXXXXX OFICIAL XX XXXX ESTE XXXXXX PREZENTUL FORMULAR/ (XX) XXXXXXXXXX X XXXXXXXX XXXXXXX, KU XXXXXX XX TENTO XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXX X JAVNO LISTINO, XX XX XX XXXXXXXX TA OBRAZEC/ (XX) XXXXXX YLEISESTÄ XXXXXXXXXXXX, XXXXX TÄMÄ XXXXXX LIITETÄÄN/ (XX) XXXXXXXXXXX XX DEN 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/ (XX) XXXXXXXXX XXXXXXXX XXX XXX XXXXXXXXX X XX XXXXXXXXXXX XXXXXXXXX X XXX XXXXXXX JURISDICCIONALES XX XX XXXXXX XXXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXX XXXX XXXXXXXXX X XXXXXX NA XXXXX DANÉHO XXXXXXXXX XXXXX/ (DA) XXXXXXXX, XXX XX UDSTEDT XX XX XXXXXXXXX XXXXX XX EMBEDSMAND, XXX XX XXXXXXXXXX XXXXXXXX X EN XXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXÖXXX XXXX XXXXX XXXXXXXXXX XXX XXXXX XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, MILLE XX XÄXXX ANDNUD LIIKMESRIIGI XXXXXXXXX XXXXXX XXXXXXXXXXX XÕX XXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) DOCUMENT XXXXXXXXX XXXX XX AUTHORITY XX AN OFFICIAL XXXXXXXXX XXXX XXX XXXXXX XX XXXXXXXXX XX A XXXXXX XXXXX/ (XX) DOCUMENT XXXXXXX X'XXX AUTORITÉ XX D'UN FONCTIONNAIRE XXXXXXXX X'XXX JURIDICTION X'XX ÉTAT MEMBRE/ (XX) DOICIMÉAD X XXXXXXX X XXXXXX XX X XXXXXXXXX X XXXXXX XXXXX XXXX XX XXXX XX CÚIRTEANNA XX XX XXXXX DE XXXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXX ILI XXXXXXXXX XXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX UN'AUTORITÀ X XX UN XXXXXXXXXXX APPARTENENTE XX XXX XXXXX GIURISDIZIONI XX XXX XXXXX XXXXXX/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX AR XXXĪXXXXXXX TIESĀM XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX XXXXXXXX XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ SU XXXXXXXĖX XXXĖX TEISMAIS XX XXXXXXXXXXX/ (XX) XXXXXXXXX BÍRÓSÁGGAL XXXXXXXXXXXX XXXX HATÓSÁG VAGY XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ MINN AWTORITÀ XXX XXXXĊXXX XX XXXXXXXX XXXXX MAL-QRATI XXX XX-XXXXXXXXX TA' XXXX MEMBRU/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX TOT XXX XXXXXXXXXXXX XXXXXXXXX XXX XXX LIDSTAAT/ (XX) XXXXXXXX XXXXXXXĄXX XX ORGANU XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX CZŁONKOWSKIEGO/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXXXX XX XX UM XXXXXXXXXXX XXXXXXXXXX XX QUALQUER XXXXXXXÇÃX DE XX XXXXXX-XXXXXX/ (RO) DOCUMENT XXXX DE X XXXXXXXXXX SAU XX XX XXXXȚXXXXX XX XX XÂXXĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (XX) LISTINA XXXXXX XXXXXXX XXXXX XXXXXXXXX X VÄZBOU XX XXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX, IZDANA X XXXXXX ORGANA XXX URADNIKA XXXXX XXXXXXX DRŽAVE ČLANICE/ (XX) XXXXXXXXX, XXXXX XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXXXXXXXX XXXXX EN XXÄXXXXXXX XXXXXÖXXXXX DOMSTOLSVÄSENDET X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (ES) RESOLUCIÓN XXXXXXXX/ (CZ) ROZHODNUTÍ XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) DÉCISION XX JUSTICE/ (XX) XXXXXXXX XX xXXXXX/ (XX) XXXXXX ODLUKA/ (XX) XXXXXXXXX GIURISDIZIONALE/ (XX) XXXXXX XĒXXXX/ (XX) XXXXXX SPRENDIMAS/ (XX) BÍRÓSÁGI HATÁROZAT/ (XX) DEĊIŻJONI XXX-XXXXX/ (XX) XXXXXXXXXXXX BESLISSING/ (XX) XXXXXXXXXX SĄDOWE/ (XX) DECISÃO JUDICIAL/ (XX) HOTĂRÂRE XXXXXĂXXXXXXXĂ/ (XX) SÚDNE XXXXXXXXXXX/ (XX) XXXXX XXXXXXX/ (XX) TUOMIOISTUIMEN PÄÄTÖS/ (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 ANKLAGEMYNDIGHED/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX ON VÄLJA XXXXXX RIIKLIK XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXX XXXXXXXXXX/ (XX) DOCUMENT XXXXXXX XX MINISTÈRE PUBLIC/ (XX) XXXXXXXXX A XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (HR) XXXXXXX XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXXXX XXXXXXXXX/ (LV) XXXXXXXXX, KURU IZSNIEDZIS XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (MT) DOKUMENT XXĦXXĠ MINN PROSEKUTUR XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX DO MINISTÉRIO XXXXXXX/ (RO) XXXXXXXX XXXX XX UN XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXX, XX JO XXXX DRŽAVNO XXXXXXXXX/ (XX) VIRALLISEN XXXXXÄXÄX XXXXXX XXXXXXXXX/ (SV) XXXXXXXX XXX XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX POR UN XXXXXXXXXX XXXXXXXX/ (CZ) XXXXXXX XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX UDSTEDT XX XX JUSTITSSEKRETÆR/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX EINES XXXXXXXX/ (ET) XXXXXXXX, XXXXX XX VÄLJA XXXXXX KOHTUAMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (EN) XXXXXXXX XXXXXXXXX FROM X XXXXX OF X XXXXX/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXX DE CHUID XXXXXX/ (XX) XXXXXXX XXXX XX XXXXX XXXXXXXXXX SUDSKE PISARNICE/ (XX) XXXXXXXXX XXXXXXX XX UN XXXXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX TIESAS XXXXXXĀXX/ (XX) XXXXXX TARNAUTOJO XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX TISZTVISELŐ XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ XXXX XXĠXXXXXXXX XX' QORTI/ (XX) DOCUMENT XXXXXXXXX XXXX EEN XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX SEKRETARZA XĄXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXX XX JUSTIÇA/ (XX) XXXXXXXX EMIS XX XX XXXXXXX XX XXXXXXȚXX/ (SK) XXXXXXX XXXXXX XXXXXX ÚRADNÍKOM/ (XX) LISTINA, XX XX XXXX XXXXX XXXXXXXXXX/ (XX) TUOMIOISTUIMEN XXXXXXXXX ANTAMA XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN EN XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX DE JUSTICE“)/ (XX) DOCUMENTO XXXXXXXX XXX XX XXXXXX XXXXXXXX («HUISSIER XX XXXXXXX»)/ (CZ) LISTINA XXXXXX SOUDNÍM VYKONAVATELEM („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXX UDSTEDT XX XX XXÆXXXXXXXXXX (»XXXXXXXX DE JUSTICE«)/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX ON XÄXXX XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚ ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (EN) XXXXXXXX XXXXXXXXX FROM X XXXXXXXX XXXXXXX ('XXXXXXXX DE XXXXXXX')/ (XX) XXXXXXXX XXXXXXX X'XX HUISSIER XX XXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXX BREITHIÚNACH (“XXXXXXXX XX JUSTICE”)/ (HR) XXXXXXX XXXX XX XXXXX XXXXXX XXXXXXXXX (XXXXXXXX DE JUSTICE)/ (XX) DOCUMENTO XXXXXXX XX UN XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (XX) XXXXXXXXX, XXXX IZSNIEDZIS XXXXXX XXXXXXĪXĀXX (HUISSIER DE XXXXXXX)/ (XX) ANTSTOLIO (XXXXXXXX DE XXXXXXX) XXXXXXXX DOKUMENTAS/ (HU) XXXXXXXX VÉGREHAJTÓ („HUISSIER XX XXXXXXX”) XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ MINN XXXXĊXXX ĠXXXXXXXXXX ('HUISSIER XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX GERECHTSDEURWAARDER/ (PL) XXXXXXXX POCHODZĄCY OD XXXĘXXXXX XĄXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXÃX XX XXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) DOCUMENT XXXX XX XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (SK) XXXXXXX VYDANÁ SÚDNYM XXXXXXXXXXĽXX („XXXXXXXX XX XXXXXXX“)/ (XX) LISTINA, XX XX XXXX XXXXX XXXXXXXXXX („XXXXXXXX XX JUSTICE“)/ (FI) XXXXXXXXXXXX (”HUISSIER XX XXXXXXX”) XXXXXX XXXXXXXXX/ (XX) HANDLING SOM XÄXXÖX FRÅN EN XXÄXXXXXXXXX (XXXXXXXX DE XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) XXXX (UPŘESNĚTE)/ (XX) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) XXX (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) OTHER (XX XX XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (XX) XXXX (LE XXXXX)/ (HR) OSTALO (XXXXXXX)/ (IT) ALTRO (XXXXXXXXX)/ (LV) XXXX (XXXXXXĒX)/ (XX) KITA (XXXXXXXX)/ (HU) XXXXX (XXXXÜX PONTOSÍTANI)/ (XX) XĦXXXX (IPPREĊIŻA)/ (XX) XXXXXXX (SPECIFICEREN)/ (XX) XXXX (XXXXXĘ OKREŚLIĆ)/ (XX) XXXXXX (X XXXXXXXXXXX)/ (RO) XXXXX (X SE XXXXXXX)/ (XX) XXX (SPRESNIŤ)/ (XX) DRUGO (NAVESTI)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (CZ) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (XX) ADMINISTRATIVT XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX ADMINISTRATIF/ (XX) DOICIMÉAD XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX DOKUMENTS/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) SPRÁVNA XXXXXXX/ (XX) UPRAVNA LISTINA/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) ADMINISTRATIV XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX/ (XX) OSVĚDČENÍ/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) TÕEND/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) POTVRDA/ (XX) XXXXXXXXXXX/ (LV) XXXXXXXXĀXXXX/ (XX) PAŽYMA, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊERTIFIKAT/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX OU XXXXXXXXXXX/ (RO) XXXXXXXXXX/ (XX) OSVEDČENIE/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) INTYG

3.2.2

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX DEL XXXXXXXX XXXXX/ (XX) XXXXX X MATRIKY/ (XX) XXXXXX XXX CIVILSTANDSREGISTRET/ (XX) AUSZUG XXX XXX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) EXTRACT XXXX XXX XXXXX XXXXXX XXXXXXXX/ (XX) EXTRAIT XX XXXXXXXX DE X'XXXX XXXXX/ (XX) XXXXXXX XX XX xXXXX STÁDAIS SHIBHIALTA/ (XX) XXXXXXX XX XXXXXXXX XXXXXXX STANJA/ (XX) XXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) IZRAKSTS XX CIVILSTĀVOKĻA XXXX XXĢXXXXX/ (LT) XXXXXXX XX XXXXXXXĖX BŪKLĖS XXXŲ REGISTRO/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (XX) UITTREKSEL XXX XXX XXXXXXXX XXX DE XXXXXXXXXXX XXXXX/ (PL) ODPIS XXXXXXXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXX XX XXXX XX XXXXXXX XXXXX/ (XX) XXXXXX XXX XXXXXXXXX XX XXXXX CIVILĂ/ (XX) XXXXX X XXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXX XX XXXXXXXX X XXXXXXX XXXXXX/ (FI) VÄESTÖREKISTERIOTE (XXXXXXXXÄÄXX)/ (SV) UTDRAG XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) EXTRACTO XXX CENSO/ (CZ) XXXXX X XXXXXXXX XXXXXXXX/ (XX) UDDRAG XXX XXXXXXXXXXXXXX/ (DE) XXXXXX XXX XXX XXXXXXXXXXXXX/ (XX) RAHVASTIKUREGISTRI XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) EXTRACT XXXX XXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XX REGISTRE XX XX POPULATION/ (GA) XXXXXXX AS XX xXXXX XXXXXX/ (XX) XXXXXXX IZ XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX/ (LV) XXXXXXXX XX XXXXĪXXXĀXX XXĢXXXXX/ (XX) XXXXXXX IŠ XXXXXXXXŲ XXXXXXXX/ (XX) XXXXXXX A SZEMÉLYIADAT- XX XXXXXXXXXXXXXXXXXXXXXX/ (MT) XXXXXXX MIR-REĠISTRU XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX X REJESTRU XXXXXŚXX/ (XX) XXXXXXX XX XXXXXXX DA XXXXXXÇÃX/ (XX) XXXXXX XXX REGISTRUL XX XXXXXXȚĂ X XXXXXXȚXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXĽXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXXXXXXX/ (XX) VÄESTÖREKISTERIOTE/ (XX) XXXXXX UR XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX XX XXXXX XXX XXXXXXXX XXXXX/ (XX) XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXX XX XXXXXXXXXXXXXXXXXXX/ (DE) WÖRTLICHE XXXXX XXX PERSONENSTANDSEINTRÄGEN/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) VERBATIM XXXX XX XXXXX XXXXXX XXXXXXX/ (FR) XXXXX XXXXXXXXX D'ACTES XX X'XXXX XXXXX/ (XX) XXXX XXXXX XX XXXXXX XX XXXXXXX XX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XX XXXXXXXXXX X XXXXXXX XXXXXX/ (XX) XXXXX LETTERALE XX XXXX DI XXXXX XXXXXX/ (LV) XXXXXXXĀXXXĻX XXXX XXĢXXXXX IERAKSTU XXXXXXXXXX KOPIJA/ (XX) XXXXXXXĖX XŪXXĖX AKTŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (XX) EENSLUIDEND XXXXXXXXX XXX XXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXŁXX XXXX XXXXX CYWILNEGO/ (XX) CERTIDÃO XX XXXXX XXXXXXXX XX XX NARRATIVA XX XXXX DE REGISTO XXXXX/ (XX) COPIE XXXXXĂ A XXXX XXX DE STARE XXXXXĂ/ (SK) XXXXXXXX XXXXX ZO XXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXX PREPIS XXXXXXX O OSEBNEM XXXXXX/ (XX) VÄESTÖREKISTERITIETOJEN XXXXXXXXXX XÄXXXXXÖX/ (SV) XXXXXXXXX XXXXXXXX AV XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXÆXXXX DOKUMENT/ (XX) NOTARIELLE URKUNDE/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (EN) XXXXXXXX XXX/ (XX) XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (HR) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXĀXX XXXX/ (XX) XXXXXXXXX XXXXX/ (HU) XÖXXXXXXŐX OKIRAT/ (XX) XXX NOTARILI/ (XX) XXXXXXËXX XXXX/ (PL) XXX NOTARIALNY/ (XX) XXX XXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX LISTINA/ (XX) XXXXXXXX ANTAMA XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX XXXXXX XXXXX XX XXXXXXXXX XXXXXXX/ (XX) ÚŘEDNÍ XXXXXXXXX, XXXXXX BYLA XXXXXXXX XXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXX XÅXXXXXXX XÅ XX XXXXXXXX XXXXXXXXXXX XX XX XXXXXX X XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX XXXXX XXXXXXXXXXXXX/ (ET) XXXXX XXXXX ERAISIKUNA XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX XXXXXXX TÕEND/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) OFFICIAL XXXXXXXXXXX XXXXXX XX X XXXXXXXX SIGNED BY X XXXXXX XX XXX XX XXX XXXXXXX CAPACITY/ (XX) XXXXXXXXXXX XXXXXXXXXX APPOSÉE XXX XX XXXX XXXX XXXXX PRIVÉ/ (XX) XXXXXXXX XXXXXXXXX X CHUIRTEAR AR XXXXXXXXXX ARNA XXXXXX XX DUINE INA XXXXX XX XXX XXXX PHRÍOBHÁIDEACH/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX XX ISPRAVU KOJU XX XXXXX XXXXXXXXX X XXXXXXXXX SVOJSTVU/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXĀXX XXXXXXXXĀXXXX UZ XXXXXXXXX, XX XXXĀ XĀXXĀ PARAKSTĪJUSI XĀXX XXXXXXX/ (XX) PRIVAČIŲ XXXXXŲ XXXXXXXXXŲ DOKUMENTŲ XXXXXXXŪX XXXXXXXXXXXXX/ (HU) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ĊERTIFIKAT XXXXĊXXXX XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ PRIVATA XXXĦXX/ (XX) OFFICIEEL XXXXXXXXXXX XX XXX XXXXXXXX XXXXXXXXXXX XXXX XXX XXXXXXX IN XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ W CHARAKTERZE XXXXXXXXX/ (XX) DECLARAÇÃO XXXXXXX XXXXXXX XXX XXX DE XXXXXXXX XXXXXXX/ (RO) CERTIFICAT XXXXXXX XXXXXXX XX XX DOCUMENT SUB XXXXĂXXXĂ XXXXXXĂ/ (SK) XXXXXX XXXXXXXXXX XXXXXXX XX XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX AKO XXXXXXXX XXXXX/ (SL) XXXXXX XXXXXX XX XXXXXXX XXXXXXX/ (XX) XXXXXXXXXX TODISTUS ASIAKIRJASSA, XXXXX XXXXXXÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX INTYG XXXXXXXXX XÅ XX XXXXXXXX XXX XXXXXXXXXXXXX XX XX PRIVATPERSON

3.5

(BG) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX XXX UN AGENTE XXXXXXXXXXX X XXXXXXXX XX UN XXXXXX XXXXXXX CON CARÁCTER XXXXXXX/ (CZ) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM ZÁSTUPCEM XXXX KONZULÁRNÍM ÚŘEDNÍKEM XXXXXXXXX XXXXX X XXXXX VÝKONU XXXX XXXXXXXXXX POVINNOSTÍ/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX XX XX XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (XX) XXX XXXXX DIPLOMATISCHEN ODER XXXXXXXXXXXXXX VERTRETER EINES XXXXXXXXXXXXXX XX SEINER XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (XX) LIIKMESRIIGI XXXXXXXXXXXXXX XÕX KONSULAARAMETNIKU XXXXX XXXXXXXXXXXXXXX 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 A XXXXXXXXXX XX XXXXXXXX AGENT XX X XXXXXX XXXXX XX XXX XX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXX XX SA XXXXXXX XXXXXXXXXX XXX XX XXXXX DIPLOMATIQUE XX XXXXXXXXXX X'XX XXXX XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX XXXX AG XXXXXXXXXX XXXXXXXXXXXXXXXX NÓ CONSALACH XX XXXXX XXXXXXXXX XXX CHÁIL XX XXX XXXX XXXXXXXXX/ (XX) ISPRAVA XXXX XX X XXXXXXXXX XXXXXXXX SASTAVIO XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX XXXXXXXXXXX X XXXXXXXXX XX XXX XXXXX XXXXXX NELL'ESERCIZIO XXXXX LORO FUNZIONI/ (XX) DOKUMENTS, KURU, XXXXXX XXXXX XXXXĀXXXXX, XXXXXXXXXXX DALĪBVALSTS DIPLOMĀTISKAIS XXX XXXXXXĀXXXX XĀXXXĀXXX/ (XX) DOKUMENTAS, PARENGTAS XXXXXXXĖX XXXĖX XXXXXXXXX XX KONSULINIO PAREIGŪNO, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) VALAMELY XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXXX MINN AĠENT XXXXXXXXXXX JEW XXXXXXXXX XX' XXXX XXXXXX XXX-XXXXĊXXÀ UFFIĊJALI XXXXĦX/ (XX) XXXXXXXX OPGESTELD XXXX XX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX XXX XXX LIDSTAAT XX ZIJN XXXXXXËXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXĄXXXXX PRZEZ PRZEDSTAWICIELA XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX CZŁONKOWSKIEGO XXXXŁXXĄXXXX X XXXXXXXXXXX XXXĘXXXXX/ (PT) XXXXXXXXX XXXXXXX POR UM XXXXXX DIPLOMÁTICO XX XXXXXXXX XX XX XXXXXX-XXXXXX XX XXXXXXXXX XXX SUAS XXXÇÕXX XXXXXXXX/ (RO) XXXXXXXX ÎXXXXXXX XX XĂXXX XX XXXXX XXXXXXXXXX XXX XXXXXXXX XX XXXX STAT XXXXXX, ÎX CALITATE XXXXXXXĂ/ (XX) XXXXXXX VYHOTOVENÁ XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX ÚRADNÍKOM ČLENSKÉHO XXXXX V RÁMCI XXXXXX XXXX FUNKCIE/ (XX) XXXXXXX, XX XX XXX URADNA XXXXX XXXX DIPLOMATSKI XXX XXXXXXXXXX PREDSTAVNIK XXXXXX ČLANICE/ (XX) XXXXXXXXX, JONKA XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXÄXXXX X XXÄXXXXX XX EN XXXXXXXXXXX XXXXX XXXXXXÄX XXÄXXXXXXX X EN MEDLEMSSTAT

3.6

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) FECHA (XX/XX/XXXX) XX EXPEDICIÓN/ (XX) XXXXX (DD/MM/RRRR) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) AUSSTELLUNGSDATUM (XX/XX/XXXX)/ (XX) VÄLJAANDMISE XXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (DD/MM/YYYY) XX XXXXX/ (XX) XXXX (JJ/MM/AAAA) XX XXXXXXXXXX/ (XX) DÁTA (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/GGGG) IZDAVANJA/ (XX) XXXX DI XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) IŠDAVIMO XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX DÁTUMA (ÉÉÉÉ/HH/NN)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (PT) XXXX XX EMISSÃO (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) DATUM (XX/XX/ÅÅÅÅ) XÖX UTFÄRDANDE

3.7

(BG) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX VEŘEJNÉ XXXXXXX/ (DA) XXX XXXXXXXXXX XXXXXXXXX REFERENCENUMMER/ (XX) XXXXXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX/ (ET) XXXXXXX XXXXXXXXX VIITENUMBER/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX XX XXX XXXXXX XXXXXXXX/ (XX) NUMÉRO XX XXXXXXXXX XX XXXXXXXX PUBLIC/ (GA) XXXXXX THAGARTHA XX XXXXXXXXX XXXXXXX/ (HR) XXXXXXXXXX XXXX JAVNE XXXXXXX/ (IT) NUMERO XX XXXXXXXXXXX DEL XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX ATSAUCES XXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXX/ (XX) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (NL) REFERENTIENUMMER XXX HET XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX DOKUMENTU XXXĘXXXXXX/ (XX) XXXXXX XX XXXXXÊXXXX DO XXXXXXXXX XXXXXXX/ (XX) NUMĂRUL XX REFERINȚĂ XX XXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (SL) REFERENČNA XXXXXXXX JAVNE XXXXXXX/ (XX) YLEISEN ASIAKIRJAN XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX HANDLINGENS XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА РОДЕНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX LA XXXXXXX XXXXXX/ (CZ) XXXXXXXXX X NAROZENÉM/ (XX) XXXXXXXXXXX OM DEN XXXXXX, DER ER XØXX/ (XX) XXXXXXX XXX XXXXXX, XXXXX XXXXXX XXXXXXXXX WIRD/ (XX) XÜXXXXXX ISIKUT XÄXXXXXX XXXXX/ (EL) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΠΟΥ ΓΕΝΝΗΘΗΚΕ/ (XX) XXXXXXXXXXX XX XXX XXXXXX XXXX/ (XX) XXXXXXXXXXXX SUR XX XXXXXXXX XXX/ (XX) XXXXXXXX XXXXXX XXXX XX XXXXX X XXXXXX/ (XX) XXXXXXXXXXX X XXĐXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXX XXXXXXX XXXX/ (XX) XXXXXXĀXXXX XXX DZIMUŠO XXXXXXX/ (XX) XXXXXXXXXXX XXXX XXXXXĮ ASMENĮ/ (XX) X XXXXXÜXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX DWAR XX-XXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXX DE XXXXXXXX/ (PL) DANE XXXXXXĄXX XXXXX XXXXXXXXX/ (XX) INFORMAÇÕES SOBRE X PESSOA XXX XXXXXX/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXX XĂXXXXĂ/ (XX) XXXXXXXXXX O XXXXXXXXX XXXXX/ (XX) XXXXXXXXXXX X ROJENI XXXXX/ (XX) XXXXXXXXX XXXXXXÖX XXXXXX/ (SV) XÖXXXXXXXXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X)/ (CZ) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (XX) FAMILIENNAME(N)/ (ET) XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (EN) XXXXXXX(X)/ (XX) XXX(X)/ (XX) XXXXXXX (XXXXXXXX)/ (XX) XXXXXXX(XX)/ (IT) XXXXXXX(X)/ (XX) XXXĀXXX(-X)/ (XX) XXXXXXĖ (-ĖS)/ (XX) XXXXXXX XXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX)/ (NL) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (XX) XXXXXXX(X)/ (XX) XXXX/ (XX) XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX/ (XX) SUKUNIMI (-XXXXX)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) XXXXX (XXXXX)/ (XX) XXXXXXX(X)/ (XX) VORNAME(N)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (EN) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (CÉADAINMNEACHA)/ (XX) XXX(XX)/ (XX) NOME(I)/ (XX) XĀXXX(-X)/ (XX) XXXXXX (-XX)/ (HU) XXXXXXX(X)/ (MT) XXXX(/XXXXXXXX)/ (XX) VOORNA(A)M(EN)/ (XX) XXXĘ (IMIONA)/ (XX) XXXX(X) XXXXXXX(X)/ (RO) XXXXXXX/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (SV) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) NAROZENÍ/ (DA) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX BIRTH/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXX/ (XX) DÁTA (XX/XX/XXXX) BREITHE/ (XX) XXXXX (DD/MM/GGGG) ROĐENJA/ (XX) DATA DI XXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (HU) SZÜLETÉSI XXXXX (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXXX/ (XX) DATA XX XXXXXXXXXX (DD/MM/AAAA)/ (XX) DATA (XX/XX/XXXX) XXȘXXXXX/ (XX) DÁTUM (XX/XX/XXXX) NARODENIA/ (XX) XXXXX (XX/XX/XXXX) ROJSTVA/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.4

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX Y XXXX XX XXXXXXXXXX/ (CZ) XXXXX X XXXX XXXXXXXX/ (XX) XØXXXXXX XX -XXXX/ (XX) XXX UND XXXX XXX XXXXXX/ (XX) XÜXXXXXXX XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX XXX XXXXXXX XX BIRTH/ (FR) XXXX XX XXXX XX NAISSANCE/ (GA) XXX XXXX XXX XXXXXXXX/ (HR) MJESTO X XXXXXX ROĐENJA/ (XX) XXXXX X XXXXX XX XXXXXXX/ (XX) DZIMŠANAS VIETA XX XXXXXX/ (XX) XXXXXX VIETA XX XXXXX/ (XX) XXÜXXXXXX XXXXX XX ORSZÁGA/ (XX) POST X XXXXXŻ XXX-XXXXXX/ (NL) XXXXXXXXXXXXXX EN -XXXX/ (XX) XXXXXXX X XXŃXXXX XXXXXXXXX/ (XX) XXXXX X PAÍS XX XXXXXXXXXX/ (XX) XXXXX ȘX ȚARA XXȘXXXXX/ (SK) XXXXXX X XXXX NARODENIA/ (XX) XXXX IN XXXXXX ROJSTVA/ (XX) XXXXXXÄXXXXXX XX -XXX/ (XX) XÖXXXXXXXX XXX -XXXX

4.5

(XX) ПОЛ/ (ES) XXXX/ (XX) POHLAVÍ/ (XX) XØX/ (XX) XXXXXXXXXX/ (XX) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXX/ (XX) XXXXX/ (XX) DZIMUMS/ (LT) XXXXX/ (XX) XXXX/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXX/ (XX) XXXXXXXXX/ (XX) KÖN

4.5.1

(BG) ЖЕНСКИ/ (XX) MUJER/ (XX) ŽENA/ (DA) XXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (EN) XXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) FEMMINILE/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XŐ/ (MT) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) ŽENSKÉ/ (XX) XXXXXX/ (FI) XXXXXX/ (XX) XXXXXX

4.5.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (XX) XXXX/ (XX) XÄXXXXXX/ (ET) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (FR) XXXXXXXX/ (GA) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) VĪRIETIS/ (XX) XXXXX/ (HU) XXXXX/ (XX) XXĠXX/ (XX) MAN/ (XX) XĘŻXXXXXX/ (PT) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (SK) XXXXXX/ (SL) MOŠKI/ (XX) XXXX/ (XX) XXX

4.5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (DE) XXXXXXXXXX/ (ET) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (GA) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) MHUX XXXXXXXXX/ (XX) ONBEPAALD/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) XÃX DEFINIDO/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (SV) XX XXXXXXÄXXX

5.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX XXXXX/ (CZ) POLE XXX XXXXXX/ (DA) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) ALLKIRJALAHTER/ (EL) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) XXXXX POUR LA XXXXXXXXX/ (GA) XXXXX XXX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXXXXX XXX XX FIRMA/ (XX) XXXXXXXX LAUKS/ (XX) XXXXXX XXXXXXXX/ (XX) XX XXXXXXX SZÖVEGDOBOZA/ (XX) KAXXA XXX-XXXXXXXX/ (XX) XXX XXXX XX XXXXXXXXXXXX/ (XX) XXXX PODPISU/ (PT) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (XX) SEMNĂTURA/ (XX) XXXXXXX XX XXXXXX/ (SL) XXXXX XX XXXXXX/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (SV) XXXX XÖX UNDERTECKNANDE

5.1

(BG) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X NOMBRE(S) XXX XXXXXXXXXXX XXX EXPIDIÓ XXXX XXXXXXX/ (CZ) XXXXXXXX A JMÉNO (XXXXX) XXXXXXXX, XXXXX XXXXX TENTO XXXXXXXX/ (XX) EFTERNAVN(E) XX XXXXXXX(X) XÅ DEN XXXXXXXXXX, DER XXX XXXXXXX XXXXX XXXXXXXX/ (XX) FAMILIENNAME(N) UND XXXXXXX(X) XXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX HAT/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXX (-XXXXX) XX XXXXXXXXXXXXX (-NIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXX(X) XXX XXXXXXXX(X) XX THE OFFICIAL XXX ISSUED XXXX XXXX/ (FR) NOM(S) XX XXXXXX(X) XX XXXXXXXXXXXXX XXX A XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) AGUS XXXXXXXX (XXXXXXXXXXXXXX) XX XXXXXXXX X D’EISIGH XX XXXXXX XXX/ (XX) XXXXXXX(XX) X IME(NA) XXXXXXXXXX XXXX JE XXXXX XXXX XXXXXXX/ (XX) XXXXXXX/X X XXXX/X DEL XXXXXXXXXXX XXX XX RILASCIATO XX XXXXXXXX XXXXXX/ (XX) AMATPERSONAS, KURA XXXXXXXX ŠO VEIDLAPU, XXXĀXXX(-X) XX VĀRDS(-I)/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖX) XX VARDAS (-XX)/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX TISZTVISELŐ XXXXXXX XXXX(X) XX XXXXXXX(X)/ (XX) KUNJOM(/KUNJOMIJIET) X ISEM(/ISMIJIET) XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XX(X)X(XX) XX XXXXXX(X)X(XX) XXX XX XXXXXXXXX DIE XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) NAZWISKO(-A) X XXXĘ (IMIONA) XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX FORMULARZ/ (XX) XXXXXXX(X) X NOME(S) XXXXXXX(X) XX XXXXXXXXXXX XXX XXXXXX O XXXXXXXX XXXXXXXXXX/ (XX) XXXXXX ȘI XXXXXXXXX XXXXȚXXXXXXXXX XXXX A XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) X XXXX(-X) ÚRADNÍKA, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX XXX/XXXXX URADNIKA, XX XX XXXXX TA XXXXXXX/ (XX) TÄMÄN XXXXXXXXX ANTANEEN VIRKAMIEHEN XXXXXXXX (-NIMET) JA XXXXXXX (-NIMET)/ (XX) XXXXXXXXX OCH FÖRNAMN XÅ XXX TJÄNSTEMAN XXX XXX XXXÄXXXX XXXXX FORMULÄR

5.2

(BG) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX XXXXXXXXXXX XXX EXPIDIÓ XXXX XXXXXXX/ (XX) XXXXXX ÚŘEDNÍKA, XXXXX XXXXX TENTO XXXXXXXX/ (XX) XXXXXXXX — XXX EMBEDSMAND, DER XXX XXXXXXX DENNE XXXXXXXX/ (XX) STELLUNG XXX XXXXXXX, XXX XXXXXX XXXXXXXX AUSGESTELLT XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX XX XXX OFFICIAL XXX ISSUED XXXX XXXX/ (FR) XXXXX XX XXXXXXXXXXXXX QUI X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XXXX XX OIFIGIGH X X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXXX XXXXXXXXXX XXXX XX XXXXX XXXX XXXXXXX/ (XX) POSIZIONE XXX FUNZIONARIO XXX XX XXXXXXXXXX IL XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, KURA XXXXXXXX XX VEIDLAPU, XXXXX/ (XX) XXĄ XXXXĄ XXXXXXXXX PAREIGŪNO XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX TISZTVISELŐ BEOSZTÁSA/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦAREĠ DIN XX-XXXXXXX/ (XX) XXXXXXX XXX XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX URZĘDNIKA, KTÓRY XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX XX XXXXXXXXXXX XXX XXXXXX X PRESENTE FORMULÁRIO/ (XX) POZIȚIA XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX ÚRADNÍKA, KTORÝ XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (FI) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX SOM HAR XXXÄXXXX DETTA FORMULÄR

5.3

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) UDSTEDELSESDATO (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (JJ/MM/AAAA) DE XXXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) EISIÚNA/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) DATA XX XXXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) A XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (JJ/XX/SSSS) XXX-ĦXXĠ/ (NL) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATA XX XXXXXÃX (XX/XX/XXXX)/ (XX) DATA (ZZ/LL/AAAA) XXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) VYDANIA/ (SL) XXXXX (XX/XX/XXXX) IZDAJE/ (XX) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

5.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (XX) UNDERSKRIFT/ (XX) UNTERSCHRIFT/ (XX) XXXXXXX/ (EL) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (FR) XXXXXXXXX/ (GA) SÍNIÚ/ (XX) XXXXXX/ (IT) XXXXX/ (XX) PARAKSTS/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) ALLEKIRJOITUS/ (XX) XXXXXXXXXXXX

5.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (ES) SELLO X XXXXXX/ (XX) XXXXX XXXX XXXXXXX/ (XX) XXXX ELLER XXXXXXX/ (XX) XXXXXX XXXX XXXXXXX/ (ET) XXXXXX XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXX ILI PEČAT/ (XX) BOLLO X XXXXXX/ (XX) XĪXXXX XXX SPIEDOGS/ (XX) XXXXXXX ARBA XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX XXX XXXXXX/ (XX) XXXXX OF STEMPEL/ (XX) PIECZĘĆ XXX XXXXXXX/ (XX) XXXX XX CARIMBO/ (XX) XXXXXXXX XXX ȘXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (SL) XXXXX XXX XXX/ (XX) XXXXXXX TAI XXXXX/ (SV) XXXXXX XXXXX STÄMPEL

XXXXXXXXX X XXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – POMŮCKA XXX XXXXXXX

Xxxxxx 7 nařízení Xxxxxxxxxx xxxxxxxxxx a Xxxx (XX) 2016/1191 xx xxx 6. xxxxxxxx 2016 o xxxxxxx xxxxxxx xxxxxx xxxxxx zjednodušením xxxxxxxxx xx předkládání xxxxxxxxx xxxxxxxxx xxxxxx v Xxxxxxxx unii x x xxxxx xxxxxxxx (XX) x. 1024/2012 (1)

Xxxxxx (XX) Xxxxxxxxx (XX)

Xxxxx republika (XX)

Xxxxxx (XX) Německo (XX)

Xxxxxxxx (XX) Irsko (IE)

Řecko (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Chorvatsko (XX)

Xxxxxx (XX) Xxxx (CY)

Lotyšsko (XX) Litva (LT)

Lucembursko (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxx (XX) Rakousko (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Slovinsko (XX)

Xxxxxxxxx (SK) Finsko (XX)

Xxxxxxx (SE) Xxxxxxx xxxxxxxxxx (UK)

DŮLEŽITÉ UPOZORNĚNÍ

Jediným xxxxxx tohoto xxxxxxxxxxxxx xxxxxxxxxxxx formuláře xx xxxxxxxxx překladu veřejné xxxxxxx, x xxx xx přiložen. Xxxxx xxxxxxxx se xxxx xxxxxxxxx státy xxxxx xxxxxxxxx xxxx xxxxxxxxxx xxxxxxxx.

Xxxxx formulář odráží xxxxx veřejné listiny, x xxx xx xxxxxxxx. Xxxxx, xxxxx xx xxxxxxx xxxxxxx xxxxxxxxxxx, však může x xxxxxxxxx, xxx xx xx xxxxxxxx xxx xxxxx xxxxxxxxxx xxxxxxx xxxxxxx, požadovat xxxxxxx xx přepis xxxxxxxxx, které xxxx xx xxxxxxxxx uvedeny.

UPOZORNĚNÍ XXX XXXXXXXXXX ORGÁN

Uveďte xxxxx xxxxxxxxx, xxxxx xxxx xxxxxxx ve xxxxxxx listině, x xxx xx přiložen xxxxx xxxxxxxx. (2)

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

1. XXXXX VYDÁVAJÍCÍ XXXXX XXXXXXXX

1.1 Název (3)

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

1.1 Název (4)

3. XXXXXXXXX TÝKAJÍCÍ SE XXXXXXX XXXXXXX, K XXX JE PŘILOŽEN XXXXX XXXXXXXX

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

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Listina xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Listina xxxxxx xxxxxx soudním xxxxxxxxx

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

3.1.5 Jiné (xxxxxxxxx)

(1) Xx. věst. X 200, 26.7.2016, x. 1.

(2) Při xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx písmo.

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

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

3.2 Listina xxxxxx xxxxxxxx úřadem

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x xxxxxxx

3.2.3 Xxxxx x registru xxxxxxxx

3.2.4 Xxxx matričních xxxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Úřední xxxxxxxxx, xxxxxx xxxx xxxxxxxx xxxxxxx podepsaná xxxxxxxxx xxxxxx

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

3.6 Xxxxx (xx/xx/xxxx) vydání

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXX X DOTYČNÉ XXXXX

4.1 Příjmení

4.2 Xxxxx (xxxxx)

4.3 Xxxxx (dd/mm/rrrr) xxxxxxxx

4.4 Xxxxx (1) x xxxx (2) xxxxxxxx

4.5 Xxxxxxx:

4.5.1 Žena

4.5.2 Xxx

4.5.3 Neurčeno

4.6 Adresa:

4.6.1 Xxxxx x číslo xxxx / xxxxxxxx xxxxxxxxx

4.6.2 Xxxxx a xxxxxxxx xxxxxxxxx xxxxx

4.6.3 Xxxx (3)

5. XX XXXXXXX VEŘEJNÉ LISTINY, X XXX XX XXXXXXXX TENTO XXXXXXXX, XXXX DOTYČNÁ XXXXX XX XXX XXXXXX XXXXXXX XXXXXXX NAŽIVU.

6. XXXX PRO XXXXXX

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

6.2 Xxxxxx úředníka, xxxxx xxxxx xxxxx formulář

6.3 Xxxxx (dd/mm/rrrr) xxxxxx

6.4 Xxxxxx

6.5 Xxxxx xxxx xxxxxxx

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

(2) Xxxxx xxxx x – xxxxx xxxxxxxx – kód ISO xxxx xxxx xxxx xxxxxxx „Jiné (upřesněte)“ xx xxxxx vybrat x rozbalovací nabídky xx xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxxxxxx, který xx k xxxxxxxxx xx xxxxxxx xxxxxxxx x-xxxxxxx.

(3) Xxxxx země x – pokud xxxxxxxx – xxx XXX xxxx xxxx xxxx možnost „Xxxx (xxxxxxxxx)“ xx xxxxx xxxxxx x xxxxxxxxxxx xxxxxxx xx vzorovém xxxxxxxxxxxx xxxxxxxxxxx xxxxxxxxx, xxxxx xx k xxxxxxxxx xx portálu xxxxxxxx x-xxxxxxx.

XXXXXXXXXXX GLOSÁŘ XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) AUTORIDAD XXX EXPIDE ESTE XXXXXXX/ (XX) XXXXX XXXXXXXXXX TENTO XXXXXXXX/ (XX) DENNE FORMULARS XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, DIE DIESES XXXXXXXX XXXXXXXXX/ (ET) XÄXXXXXXX XXXXX XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX XXXX/ (FR) AUTORITÉ XX DÉLIVRANCE DU XXXXXXX XXXXXXXXXX/ (GA) XX tÚDARÁS A XXXXXXXX XX FHOIRM XXX/ (XX) XXXXXX XXXX IZDAJE XXXX XXXXXXX/ (IT) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (LT) XXĄ XXXXĄ IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (XX) X FORMANYOMTATVÁNYT KIÁLLÍTÓ XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX XX' XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX AFGIFTE XXX XXX FORMULIER/ (PL) XXXXX XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (PT) XXXXXXXXXX XXX XXXXX O XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX EMITENTĂ X XXXXXXXXXXX FORMULAR/ (SK) XXXXX VYDÁVAJÚCI XXXXX XXXXXXXX/ (XX) ORGAN, XX XXXX XX XXXXXXX/ (FI) XÄXÄX XXXXXXXXX ANTAVA XXXXXXXXXXXX/ (XX) MYNDIGHET XXX XXXÄXXXX FORMULÄRET

1.1

(BG) НАИМЕНОВАНИЕ/ (XX) DENOMINACIÓN/ (XX) XXXXX/ (DA) XXXXXXXXXX/ (XX) BEZEICHNUNG/ (ET) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) DESIGNATION/ (XX) XXXXXXXXXXXX/ (GA)AINMNIÚ/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) MEGNEVEZÉS/ (XX) XXXXX/ (NL) XXXXXXXX/ (XX) XXXXX/ (XX) DESIGNAÇÃO/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) IME/ (FI) XXXX/ (SV) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XX XXXXXXXXX XXXXXXX AL XXX SE ADJUNTA XXXX IMPRESO/ (XX) XXXXX VYDÁVAJÍCÍ XXXXXXXX XXXXXXX, K XXX XX PŘILOŽEN TENTO XXXXXXXX/ (XX) XXX XXXXXXXXX, XXX XXX XXXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX DENNE XXXXXXXX ER XXXXÆXXXX/ (XX) XXXÖXXX, DIE XXX ÖXXXXXXXXXX URKUNDE, XXX XXXXXX FORMULAR XXXXXXÜXX XXX, XXXXXXXXX/ (XX) 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 THE XXXXXX XXXXXXXX XX WHICH XXXX XXXX XX XXXXXXXX/ (XX) AUTORITÉ XX XXXXXXXXXX DU XXXXXXXX PUBLIC AUQUEL XXX JOINT XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (HR) XXXXXX XXXX IZDAJE XXXXX XXXXXXX KOJOJ XX XXXX XXXXXXX PRILOŽEN/ (XX) AUTORITÀ CHE XXXXXXXX IL DOCUMENTO XXXXXXXX XXX XX XXXXXXXX MODULO È XXXXXXXX/ (LV) PUBLISKĀ XXXXXXXXX, KURAM XĪ XXXXXXXX XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (LT) VIEŠĄJĮ XXXXXXXXĄ, XXXX KURIO XXXXXXXXX XX FORMA, XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (XX) X FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX TAD-DOKUMENT XXXXXXXX XX MIEGĦU HIJA XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX VAN HET XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) ORGAN XXXXXĄXX XXXXXXXX XXXĘXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXXXX QUE XXXXX X DOCUMENTO XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX APENSO/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXXX XXXXXXX XX XXXX ESTE ANEXAT XXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, XX KTOREJ XX TENTO XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX XXXX JAVNO XXXXXXX, KI XX XX XXXXXXXX TA XXXXXXX/ (XX) XXXXXXXXXXXX, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) MYNDIGHET SOM XXXÄXXXX DEN OFFICIELLA XXXXXXXX XXXX VILKEN XXXXX FORMULÄR ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX XXXXXXXX XX XXXXXXXXX PÚBLICO XX XXX SE XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXX SE XXXXXXX XXXXXXX, X XXX JE XXXXXXXX XXXXX XXXXXXXX/ (DA) XXXXXXXXXXX VEDRØRENDE DET XXXXXXXXXX XXXXXXXX, SOM XXXXX FORMULAR ER XXXXÆXXXX/ (XX) XXXXXXX XXX ÖFFENTLICHEN XXXXXXX, XXX XXXXXX FORMULAR XXXXXXÜXX XXX/ (ET) XXXXX XXXXXXX XXXXXXXXX XXXXX, XXXXXXX XXX XXXX ON XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXXXX XXXXXXXX TO XXX XXXXXX DOCUMENT XX XXXXX THIS XXXX XX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX PUBLIC XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) FAISNÉIS X XXXXXXXXX LEIS XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXXXXX KOJE XX XXXXXX NA JAVNU XXXXXXX KOJOJ XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX PUBBLICO XXX IL PRESENTE XXXXXX È ALLEGATO/ (XX) INFORMĀCIJA XXX XXXXXXXX XXXXXXXXX, XXXXX XĪ VEIDLAPA XX XXXXXXXXXX/ (LT) XXXXXXXXXXX, XXXXXXXX SU XXXXXXXX XXXXXXXXX, PRIE KURIO XXXXXXXXX ŠI FORMA/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX PUBBLIKU XX XXXXĦX XXXX XXXXXŻX DIN XX-XXXXXXX/ (XX) INFORMATIE BETREFFENDE XXX OPENBAAR DOCUMENT XXXXXXX XXX FORMULIER XX XXXXXXX/ (XX) XXXXXXXXXX DOTYCZĄCE DOKUMENTU XXXĘXXXXXX, DO XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX XXXXXXXXX AO XXXXXXXXX XXXXXXX A XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXȚXX REFERITOARE LA XXXXXXXXXX XXXXXXX LA XXXX XXXX ANEXAT XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX O XXXXXXXX XXXXXXX, XX XXXXXX XX TENTO XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXX X XXXXX LISTINO, XX XX JE XXXXXXXX XX XXXXXXX/ (XX) XXXXXX YLEISESTÄ ASIAKIRJASTA, XXXXX XÄXÄ LOMAKE XXXXXXÄÄX/ (XX) INFORMATION XX DEN OFFICIELLA XXXXXXXX XXXX VILKEN 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 POR XXX AUTORIDAD O XX XXXXXXXXXXX XXXXXXXXX X XXX XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXX ORGÁNEM XXXX XXXXXXXXX X XXXXXX XX SOUDY XXXXXX XXXXXXXXX STÁTU/ (XX) XXXXXXXX, XXX XX XXXXXXX XX XX MYNDIGHED XXXXX XX XXXXXXXXXX, DER XX XXXXXXXXXX DOMSTOLE X XX XXXXXXXXXXX/ (XX) URKUNDE XXXXX XXXÖXXX ODER XXXXX XXXXXXXXXX ALS ORGAN XXX RECHTSPFLEGE XXXXX XXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX KOHTUTEGA XXXXXX XXXXXXXXXXX VÕI XXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX EMANATING XXXX XX XXXXXXXXX XX XX XXXXXXXX CONNECTED XXXX XXX XXXXXX XX XXXXXXXXX XX X MEMBER XXXXX/ (XX) XXXXXXXX XXXXXXX X'XXX XXXXXXXX XX X'XX XXXXXXXXXXXXX XXXXXXXX X'XXX XXXXXXXXXXX D'UN XXXX XXXXXX/ (XX) XXXXXXXXX X THAGANN X ÚDARÁS XX X XXXXXXXXX A XXXXXX XXXXX XXXX XX XXXX XX XXXXXXXXXX NÓ XX XXXXX XX CHUID XXXXXXXXX/ (XX) ISPRAVA XXXX XX XXXXXX XXXXXX XXX XXXXXXXXX XXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ X XX UN XXXXXXXXXXX XXXXXXXXXXXX XX XXX XXXXX XXXXXXXXXXXXX XX XXX XXXXX MEMBRO/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX AR XXXĪXXXXXXX XXXXĀX XXXXXĪXX IESTĀDE XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, IŠDUOTAS XXXXXXXX XXXXXXXXXXXX AR PAREIGŪNO, XXXXXXXXŲ SU XXXXXXXĖX XXXĖX TEISMAIS AR XXXXXXXXXXX/ (XX) TAGÁLLAMI XXXXXXXXXX KAPCSOLATBAN ÁLLÓ XXXXXXX XXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ XXX XXXXĊXXX LI JKOLLHOM XXXXX XXX-XXXXX JEW XX-XXXXXXXXX TA' XXXX XXXXXX/ (NL) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXXXX OF AMBTENAAR XXXXXXXXX XXX XXX XXXXXXXXXXXX XXXXXXXXX VAN XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX OD XXXXXX XĄXXXXXX XXX XXXĘXXXXX SĄDOWEGO PAŃSTWA XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXXXX OU XX XX XXXXXXXXXXX XXXXXXXXXX XX QUALQUER XXXXXXXÇÃX XX UM XXX XXXXXXX-XXXXXXX/ (XX) DOCUMENT XXXX XX X XXXXXXXXXX XXX XX XX XXXXȚXXXXX XX XX XÂXXĂ XXXXXXȚXXX XXXX XXXX MEMBRU/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXX XXXXXXXXX X XÄXXXX NA XXXX ČLENSKÉHO ŠTÁTU/ (XX) LISTINA, XXXXXX X XXXXXX ORGANA XXX XXXXXXXX XXXXX XXXXXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX, JONKA XX ANTANUT XÄXXXXXXXXXX XXXXXXXXXXXXXXXX KUULUVA VIRANOMAINEN XXX XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX EN MYNDIGHET XXXXX EN TJÄNSTEMAN XXXXXÖXXXXX XXXXXXXXXÄXXXXXX I XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (ES) XXXXXXXXXX XXXXXXXX/ (CZ) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) GERICHTSENTSCHEIDUNG/ (XX) XXXXXXXXXX/ (EL) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (EN) COURT XXXXXXXX/ (FR) DÉCISION XX JUSTICE/ (XX) XXXXXXXX ÓN gCÚIRT/ (XX) SUDSKA XXXXXX/ (XX) DECISIONE XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (XX) TEISMO XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) ORZECZENIE XĄXXXX/ (XX) XXXXXÃX XXXXXXXX/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) SÚDNE ROZHODNUTIE/ (XX) XXXXX ODLOČBA/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) DOCUMENTO XXXXXXXX XXX XX XXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXX STÁTNÍM ZÁSTUPCEM/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX EINER XXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT, XXXXX XX XÄXXX XXXXXX XXXXXXX SÜÜDISTAJA/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (EN) XXXXXXXX EMANATING XXXX X PUBLIC XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XXXXXXÈXX XXXXXX/ (XX) DOICIMÉAD X XXXXXXX Ó IONCHÚISITHEOIR XXXXXX/ (XX) ISPRAVA XXXX JE XXXXXX XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (HU) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (NL) XXXXXXXX XXXXXXXXX DOOR EEN XXXXXXXX MINISTERIE/ (XX) XXXXXXXX XXXXXXXĄXX OD XXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX DO MINISTÉRIO XXXXXXX/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX/ (SK) XXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXX, KI JO XXXX DRŽAVNO TOŽILSTVO/ (XX) VIRALLISEN XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX ÅKLAGARVÄSENDET

3.1.3

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) DOCUMENTO XXXXXXXX XXX UN XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (DA) XXXXXXXX UDSTEDT XX XX XXXXXXXXXXXXXÆX/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX, XXXXX XX VÄLJA XXXXXX KOHTUAMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXX XX X XXXXX/ (FR) XXXXXXXX XXXXXXX X'XX XXXXXXXX/ (GA) XXXXXXXXX X THAGANN Ó XXXXXXXXXX DE XXXXX XXXXXX/ (XX) XXXXXXX XXXX XX IZDAO XXXXXXXXXX SUDSKE XXXXXXXXX/ (XX) XXXXXXXXX EMANATO XX XX XXXXXXXXXXX/ (XX) DOKUMENTS, KURU XXXXXXXXXX TIESAS XXXXXXĀXX/ (XX) XXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX XXĠXXXXXXXX TA' XXXXX/ (XX) DOCUMENT AFGEGEVEN XXXX XXX GRIFFIER/ (XX) XXXXXXXX POCHODZĄCY XX XXXXXXXXXX SĄDOWEGO/ (XX) XXXXXXXXX PROVENIENTE XX UM XXXXXXX XX XXXXXÇX/ (XX) XXXXXXXX EMIS XX XX XXXXXXX XX XXXXXXȚXX/ (SK) LISTINA XXXXXX XXXXXX ÚRADNÍKOM/ (XX) XXXXXXX, XX XX XXXX SODNI XXXXXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXX EXPEDIDO XXX XX XXXXXX XXXXXXXX («HUISSIER XX XXXXXXX»)/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXX XXXXXXX XX XX STÆVNINGSMAND (»XXXXXXXX DE XXXXXXX«)/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT, XXXXX XX XÄXXX XXXXXX XXXXXXÄXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX JUSTICE»)/ (EN) XXXXXXXX XXXXXXXXX XXXX X XXXXXXXX OFFICER ('XXXXXXXX DE XXXXXXX')/ (XX) XXXXXXXX XXXXXXX X'XX HUISSIER XX XXXXXXX/ (XX) XXXXXXXXX X XXXXXXX Ó XXXXXXXXX XXXXXXXXXXXX (“HUISSIER XX JUSTICE”)/ (XX) XXXXXXX KOJU XX XXXXX XXXXXX OVRŠITELJ (XXXXXXXX DE JUSTICE)/ (XX) XXXXXXXXX EMANATO XX XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (LV) XXXXXXXXX, XXXX IZSNIEDZIS XXXXXX XXXXXXĪXĀXX (XXXXXXXX DE XXXXXXX)/ (XX) ANTSTOLIO (XXXXXXXX XX XXXXXXX) XXXXXXXX DOKUMENTAS/ (HU) XXXXXXXX XXXXXXXXXX („HUISSIER XX XXXXXXX”) ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠUDIZZJARJU ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX GERECHTSDEURWAARDER/ (XX) XXXXXXXX POCHODZĄCY OD XXXĘXXXXX XĄXXXXXX (HUISSIER XX XXXXXXX)/ (PT) XXXXXXXXX XXXXXXXXXXX XX XX OFICIAL DE XXXXXXÃX DE XXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXX XX XX EXECUTOR XXXXXĂXXXXXX („HUISSIER XX XXXXXXX”)/ (SK) XXXXXXX XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX DE JUSTICE“)/ (XX) LISTINA, XX XX XXXX SODNI XXXXXXXXXX („XXXXXXXX DE XXXXXXX“)/ (FI) XXXXXXXXXXXX (”XXXXXXXX DE XXXXXXX”) XXXXXX ASIAKIRJA/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX XX XXÄXXXXXXXXX (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (CZ) XXXX (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (DE) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) XXX (XÄXXXXXXXX)/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (EN) XXXXX (XX XX XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (XX) XXXX (XX XXXXX)/ (XX) OSTALO (XXXXXXX)/ (XX) ALTRO (XXXXXXXXX)/ (XX) XXXX (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (XX) EGYÉB (XXXXÜX XXXXXXXXXXX)/ (XX) OĦRAJN (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) XXXX (XXXXXĘ XXXXŚXXĆ)/ (PT) XXXXXX (X XXXXXXXXXXX)/ (XX) XXXXX (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) LISTINA XXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX DOCUMENT/ (XX) XXXXXXXX ADMINISTRATIF/ (XX) XXXXXXXXX RIARACHÁIN/ (XX) XXXXXXX XXXXXXX/ (IT) XXXXXXXXX AMMINISTRATIVO/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (LT) XXXXXXXXXXXXXXX DOKUMENTAS/ (XX) XÖXXXXXXXXXXX OKIRAT/ (MT) XXXXXXXX AMMINISTRATTIV/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX ADMINISTRACYJNY/ (XX) XXXXXXXXX ADMINISTRATIVO/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX LISTINA/ (XX) XXXXXXX XXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (CZ) XXXXXXXXX/ (XX) PÅTEGNING/ (XX) XXXXXXXXXXXXX/ (ET) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (XX) CERTIFICAAT/ (XX) ZAŚWIADCZENIE/ (XX) XXXXXXÃX OU XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (SK) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) TODISTUS/ (SV) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (ES) EXTRACTO XXX XXXXXXXX XXXXX/ (XX) XXXXX X XXXXXXX/ (DA) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX AUS XXX XXXXXXXXXXXXXXXXXXXXXX/ (XX) PEREKONNASEISUREGISTRI XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX XXXXX XXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XX X'XXXX XXXXX/ (XX) XXXXXXX XX XX gCLÁR XXXXXXX XXXXXXXXXX/ (HR) XXXXXXX IZ REGISTRA XXXXXXX XXXXXX/ (XX) XXXXXXXX XX ATTO XX STATO XXXXXX/ (XX) XXXXXXXX XX XXXXXXXĀXXXĻX XXXX XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXĖX XŪXXĖX XXXŲ XXXXXXXX/ (XX) ANYAKÖNYVI XXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊIVILI/ (XX) XXXXXXXXXX XXX XXX REGISTER VAN XX BURGERLIJKE XXXXX/ (XX) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXX DE XXXX XX XXXXXXX XXXXX/ (RO) XXXXXX XXX XXXXXXXXX XX XXXXX XXXXXĂ/ (SK) XXXXX X XXXXXXXX XXXXXXXX STAVU/ (XX) XXXXXXX IZ XXXXXXXX X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) XXXXXX UR XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) EXTRACTO DEL XXXXX/ (CZ) XXXXX X XXXXXXXX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) AUSZUG XXX XXX MELDEREGISTER/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) EXTRACT XXXX XXX POPULATION XXXXXXXX/ (XX) XXXXXXX DU XXXXXXXX XX XX XXXXXXXXXX/ (GA) XXXXXXX XX AN xXXXX XXXXXX/ (HR) XXXXXXX XX XXXXXX STANOVNIŠTVA/ (XX) ESTRATTO XXXXXXXXXX/ (XX) IZRAKSTS XX XXXXĪXXXĀXX XXĢXXXXX/ (LT) XXXXXXX XX GYVENTOJŲ XXXXXXXX/ (XX) KIVONAT X SZEMÉLYIADAT- XX XXXXXXXXXXXXXXXXXXXXXX/ (MT) ESTRATT XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (NL) XXXXXXXXXX UIT XXX XXXXXXXXXXXXXXXXXX/ (XX) WYCIĄG X XXXXXXXX LUDNOŚCI/ (XX) XXXXXXX XX XXXXXXX XX XXXXXXÇÃX/ (XX) XXXXXX XXX XXXXXXXXX DE XXXXXXȚĂ X XXXXXXȚXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXĽXX/ (SL) XXXXXXX XX XXXXXXXX XXXXXXXXXXXX/ (XX) VÄESTÖREKISTERIOTE/ (XX) XXXXXX UR BEFOLKNINGSREGISTER

3.2.4

(BG) ПЪЛЕН ПРЕПИС ОТАКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) COPIA LITERAL XX XXXXX DEL XXXXXXXX XXXXX/ (XX) XXXX MATRIČNÍCH ZÁZNAMŮ/ (XX) XXXXXX KOPI XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (ET) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (EN) VERBATIM XXXX OF XXXXX XXXXXX XXXXXXX/ (XX) XXXXX XXXXXXXXX X'XXXXX XX X'XXXX XXXXX/ (XX) XXXX XXXXX XX XXXXXX XX XXXXXXX XX XXXXXX XXXXXXXXX/ (HR) DOSLOVNI XXXXXXXX IZ XXXXXXXXXX X XXXXXXX XXXXXX/ (XX) COPIA XXXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXĀXXXĻX AKTU XXĢXXXXX XXXXXXXX XXXXXXXXXX KOPIJA/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮRAŠŲ XXXXXXXĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (XX) EENSLUIDEND XXXXXXXXX VAN XXXXX XXX DE BURGERLIJKE XXXXX/ (XX) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXÃX XX XXXXX XXXXXXXX XX DE XXXXXXXXX XX ATOS DE XXXXXXX XXXXX/ (XX) XXXXX XXXXXĂ X XXXX XXX DE XXXXX XXXXXĂ/ (SK) XXXXXXXX XXXXX ZO XXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXX XXXXXX XXXXXX O XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX SANATARKKA XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX XX FOLKBOKFÖRINGSHANDLING

3.3

(BG) НОТАРИАЛЕН АКТ/ (ES) XXXX XXXXXXXX/ (CZ) XXXXXXXX XXXXXXX/ (DA) XXXXXXXXXÆXXXX XXXXXXXX/ (DE) NOTARIELLE XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) NOTARIAL XXX/ (XX) ACTE XXXXXXX/ (XX) GNÍOMH NÓTAIREACHTA/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXĀXX XXXX/ (XX) XXXXXXXXX AKTAS/ (XX) KÖZJEGYZŐI XXXXXX/ (XX) XXX XXXXXXXX/ (XX) NOTARIËLE XXXX/ (XX) AKT XXXXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) NOTÁRSKA XXXXXXX/ (XX) XXXXXXXX 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 UN XXXXXXXXX PRIVADO/ (CZ) XXXXXX OSVĚDČENÍ, XXXXXX XXXX XXXXXXXX XXXXXXX XXXXXXXXX SOUKROMOU XXXXXX/ (XX) OFFICIEL PÅTEGNING XÅ ET XXXXXXXX XXXXXXXXXXX AF XX XXXXXX X XXXXXX XXXXXXXX XX PRIVATPERSON/ (XX) XXXXXXXX BESCHEINIGUNG XXX XXXXX XXXXXXXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXXXX XXXXXXXXXXXXXX DOKUMENDILE XXXXXXXXXX XXXXXXX XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΊ ΩΣ ΙΔΙΩΤΗΣ/ (XX) OFFICIAL XXXXXXXXXXX XXXXXX XX X XXXXXXXX SIGNED XX X XXXXXX XX XXX XX XXX XXXXXXX XXXXXXXX/ (XX) DÉCLARATION OFFICIELLE XXXXXXX XXX XX XXXX XXXX SEING XXXXX/ (XX) DEIMHNIÚ XXXXXXXXX A XXXXXXXXX XX XXXXXXXXXX XXXX XXXXXX AG DUINE XXX CHÁIL NÓ XXX XXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX POTVRDA XXXXXXXXX XX ISPRAVU XXXX XX OSOBA XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (IT) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX XXX XXXXXXXXX XXXXXXX/ (XX) OFICIĀLS XXXXXXXXĀXXXX XX XXXXXXXXX, XX XXXĀ VĀRDĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (XX) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX PATVIRTINIMAI/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX TANÚSÍTVÁNY/ (XX) ĊXXXXXXXXX XXXXĊXXXX LI XXXXXXXĦXX F'DOKUMENT IFFIRMAT XXXX PERSUNA FIL-KAPAĊITÀ XXXXXXX TAGĦHA/ (XX) XXXXXXXXX CERTIFICAAT XX XXX DOCUMENT ONDERTEKEND XXXX EEN XXXXXXX XX XXXX PARTICULIERE XXXXXXXXXXXX/ (PL) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX PRYWATNYM/ (XX) XXXXXXXÇÃX OFICIAL XXXXXXX XXX ATO XX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXX APLICAT XX XX XXXXXXXX XXX XXXXĂXXXĂ PRIVATĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX XX XXXXXXX XXXXXXXXXX XXXXXX KONAJÚCOU XXX XXXXXXXX OSOBA/ (XX) XXXXXX XXXXXX XX XXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, XXXXX HENKILÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX XXXXX XXXXXXXXX XÅ EN XXXXXXXX XXX XXXXXXXXXXXXX XX EN PRIVATPERSON

3.5

(BG) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (ES) XXXXXXXXX XXXXXXXX POR XX XXXXXX DIPLOMÁTICO O XXXXXXXX DE XX XXXXXX XXXXXXX CON XXXXXXXX XXXXXXX/ (XX) XXXXXXX VYHOTOVENÁ XXXXXXXXXXXXX XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX STÁTU X XXXXX XXXXXX XXXX SLUŽEBNÍCH XXXXXXXXXX/ (XX) XXXXXXXX OFFICIELT XXXÆXXXXXX XX EN XXXXXXXXXXXX XXXXXXXXXXXX ELLER XXXXXXÆXX REPRÆSENTANT/ (DE) XXX XXXXX DIPLOMATISCHEN XXXX XXXXXXXXXXXXXX VERTRETER XXXXX XXXXXXXXXXXXXX IN XXXXXX XXXXXXXXX FUNKTION XXXXXXXXXX XXXXXXX/ (ET) XXXXXXXXXXXX XXXXXXXXXXXXXX VÕI XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) DOCUMENT XXXXX XX XX X XXXXXXXXXX OR XXXXXXXX XXXXX OF X XXXXXX STATE XX XXX XX HER XXXXXXXX XXXXXXXX/ (FR) XXXXXXXX XXXXXX XX XX XXXXXXX OFFICIELLE XXX XX XXXXX XXXXXXXXXXXX XX XXXXXXXXXX X'XX ÉTAT XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX SUAS XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX XX CHUID XXXXXXXXX XXX CHÁIL XX XXX XXXX XXXXXXXXX/ (HR) XXXXXXX XXXX XX X XXXXXXXXX SVOJSTVU XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX DRŽAVE ČLANICE/ (XX) XXXXXXXXX XXXXXXX XX AGENTI XXXXXXXXXXX X XXXXXXXXX XX XXX XXXXX XXXXXX XXXX'XXXXXXXXX DELLE XXXX XXXXXXXX/ (LV) XXXXXXXXX, XXXX, PILDOT XXXXX XXXXĀXXXXX, SAGATAVOJIS XXXĪXXXXXXX XXXXXXĀXXXXXXX VAI XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX VALSTYBĖS NARĖS XXXXXXXXX XX XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (HU) XXXXXXXX TAGÁLLAM DIPLOMÁCIAI XXXX KONZULI KÉPVISELŐJE XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXXX MINN XĠXXX XXXXXXXXXXX JEW XXXXXXXXX TA' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (NL) DOCUMENT XXXXXXXXX XXXX XX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX VAN EEN XXXXXXXX XX XXXX XXXXXXËXX XXXXXXXXXXXX/ (PL) XXXXXXXX SPORZĄDZONY PRZEZ XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX LUB XXXĘXXXXX KONSULARNEGO PAŃSTWA XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX XXXĘXXXXX/ (XX) XXXXXXXXX LAVRADO XXX XX XXXXXX XXXXXXXXXXX XX XXXXXXXX XX XX XXXXXX-XXXXXX XX XXXXXXXXX XXX SUAS XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX XX XĂXXX XX XXXXX XXXXXXXXXX XXX XXXXXXXX XX UNUI STAT XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX ZÁSTUPCOM XXXXX XXXXXXXXXXX ÚRADNÍKOM XXXXXXXXX ŠTÁTU X XXXXX VÝKONU XXXX XXXXXXX/ (SL) XXXXXXX, XX XX XXX XXXXXX OSEBA IZDA XXXXXXXXXXX XXX KONZULARNI XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, JONKA XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX ON XXXXXXXX XXXXXXXXXXXXXXXXXX/ (SV) XXXXXXXX XXXXÄXXXX X XXÄXXXXX XX XX XXXXXXXXXXX XXXXX KONSULÄR XXÄXXXXXXX I EN XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (CZ) DATUM (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX KUUPÄEV (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (JJ/MM/AAAA) XX DÉLIVRANCE/ (GA) XXXX (LL/MM/BBBB) EISIÚNA/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (IT) XXXX XX RILASCIO (XX/XX/XXXX)/ (XX) IZDOŠANAS XXXXXX (XX/XX/XXXX)/ (LT) XXXXXXXX XXXX (DD/MM/MMMM)/ (XX) X XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) XXXXX (XX/XX/XXXX) VAN XXXXXXX/ (XX) XXXX (XX/XX/XXXX) WYDANIA/ (PT) XXXX DE EMISSÃO (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) DATUM (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (ES) XXXXXX DE XXXXXXXXXX XXX DOCUMENTO XXXXXXX/ (XX) XXXXXXXXXX ČÍSLO XXXXXXX XXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) KENNNUMMER XXX ÖXXXXXXXXXXX XXXXXXX/ (XX) AVALIKU XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) REFERENCE XXXXXX OF THE XXXXXX DOCUMENT/ (FR) XXXXXX XX XXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) UIMHIR THAGARTHA XX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (IT) XXXXXX XX XXXXXXXXXXX XXX DOCUMENTO PUBBLICO/ (XX) PUBLISKĀ DOKUMENTA XXXXXXXX XXXXXX/ (LT) XXXXXXX DOKUMENTO XXXXXXX/ (XX) A KÖZOKIRAT XXXXXXXXXXX SZÁMA/ (XX) XXXXX TA' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX HET XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (PT) XXXXXX XX XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX XX REFERINȚĂ XX XXXXXXXXXXXX OFICIAL/ (XX) XXXXXXXXXX ČÍSLO XXXXXXXX LISTINY/ (XX) XXXXXXXXXX ŠTEVILKA XXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX VIITENUMERO/ (XX) XXX OFFICIELLA HANDLINGENS XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX XX XXXXXXXXXX/ (CZ) XXXXXXXXX X XXXXXXX OSOBĚ/ (XX) OPLYSNINGER XX XXX PÅGÆLDENDE XXXXXX/ (XX) XXXXXXX ZUR XXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXX XÄXXXXXX XXXXX/ (EL) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (EN) XXXXXXXXXXX XX XXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXX XXX XX XXXXXXXX XXXXXXXXX/ (GA) XXXXXXXX XXXXXX XXXX AN XXXXX XXXX mBAINEANN/ (XX) INFORMACIJE O XXXXXXXX XXXXX/ (IT) XXXXXXXXXXXX SULLA XXXXXXX XXXXXXXXXXX/ (XX) XXXXXXĀXXXX XXX ATTIECĪGO XXXXXXX/ (XX) INFORMACIJA XXXX XXXXXXXXXĄ XXXXXĮ/ (HU) XX XXXXXXXX SZEMÉLYRE XXXXXXXXX ADATOK/ (XX) XXXXXXXXXXXXX XXXX IL-PERSUNA XXXXĊXXXXXX/ (NL) XXXXXXXXXX XXXX XX XXXXXXXXXX/ (XX) XXXX XXXXX, XXXXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÇÕXX XXXXX X XXXXXX XX XXXXX/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXX XXXXXĂ/ (XX) XXXXXXXXXX X XXXXXXXXX XXXXX/ (XX) XXXXXXXXXXX O XXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX TIEDOT/ (SV) XXXXXXXXX XX XXX XXXÖXXX XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (ES) XXXXXXXX(X)/ (XX) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (XX) XXXXXXXXXXXX(X)/ (XX) XXXXXXXXXXXXX (-NIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (EN) XXXXXXX(X)/ (FR) XXX(X)/ (XX) SLOINNE (XXXXXXXX)/ (XX) PREZIME(NA)/ (IT) XXXXXXX(X)/ (LV) XXXĀXXX(-X)/ (XX) PAVARDĖ (-ĖX)/ (XX) CSALÁDI XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (XX) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (XX) XXXXXXX(X)/ (RO) XXXX/ (XX) XXXXXXXXXX(-X)/ (XX) PRIIMEK/PRIIMKI/ (XX) XXXXXXXX (-XXXXX)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) NOMBRE(S)/ (CZ) XXXXX (XXXXX)/ (XX) XXXXXXX(X)/ (DE) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (EN) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) CÉADAINM (CÉADAINMNEACHA)/ (XX) XXX(XX)/ (IT) XXXX(X)/ (XX) VĀRDS(-I)/ (XX) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (MT) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (XXXXXX)/ (XX) XXXX(X) XXXXXXX(X)/ (XX) XXXXXXX/ (XX) 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 (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) SÜNNIKUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (EN) XXXX (XX/XX/XXXX) XX BIRTH/ (XX) XXXX (XX/XX/XXXX) XX NAISSANCE/ (XX) XXXX (XX/XX/XXXX) BREITHE/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (XX) DATA XX XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (XX) GIMIMO XXXX (DD/MM/MMMM)/ (HU) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (PL) XXXX (XX/XX/XXXX) XXXXXXXXX/ (PT) XXXX DE NASCIMENTO (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (FI) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.4

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) LUGAR Y XXXX XX XXXXXXXXXX/ (XX) MÍSTO X XXXX XXXXXXXX/ (DA) XØXXXXXX XX -LAND/ (XX) ORT UND XXXX XXX XXXXXX/ (XX) XÜXXXXXXX XX -XXXX/ (EL) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) PLACE AND XXXXXXX XX XXXXX/ (XX) XXXX XX XXXX XX XXXXXXXXX/ (XX) XXX XXXX XXX XXXXXXXX/ (HR) XXXXXX X XXXXXX XXĐXXXX/ (IT) LUOGO X PAESE DI XXXXXXX/ (LV) DZIMŠANAS XXXXX XX VALSTS/ (XX) XXXXXX VIETA XX XXXXX/ (XX) XXÜXXXXXX XXXXX ÉS XXXXXXX/ (XX) XXXX X XXXXXŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX XX -XXXX/ (XX) XXXXXXX X XXŃXXXX XXXXXXXXX/ (XX) XXXXX X XXXX XX XXXXXXXXXX/ (XX) XXXXX ȘI ȚXXX NAȘTERII/ (SK) XXXXXX X XXXX XXXXXXXXX/ (XX) KRAJ XX DRŽAVA ROJSTVA/ (XX) SYNTYMÄPAIKKA XX -XXX/ (XX) XÖXXXXXXXX XXX -LAND

4.5

(BG) ПОЛ/ (XX) SEXO/ (CZ) XXXXXXX/ (XX) XØX/ (XX) XXXXXXXXXX/ (XX) XXXX/ (EL) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (XX) INSCNE/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (HU) XXXX/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (XX) XXXX/ (XX) SEXUL/ (XX) XXXXXXXX/ (XX) XXXX/ (XX) XXXXXXXXX/ (XX) XÖX

4.5.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (CZ) ŽENA/ (XX) KVINDE/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (FR) FÉMININ/ (XX) BAINEANN/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (XX) SIEVIETE/ (XX) XXXXXXX/ (HU) NŐ/ (XX) XXXX/ (XX) XXXXX/ (PL) XXXXXXX/ (XX) FEMININO/ (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/ (XX) MALE/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (HR) XXXXX/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (LT) XXXXX/ (XX) FÉRFI/ (XX) XXĠXX/ (XX) XXX/ (XX) XĘŻXXXXXX/ (PT) XXXXXXXXX/ (RO) XĂXXĂXXXX/ (XX) MUŽSKÉ/ (SL) XXXXX/ (XX) MIES/ (XX) MAN

4.5.3

(BG) НЕОПРЕДЕЛЕН/ (XX) INDETERMINADO/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (GA) XXXXXXXXXXXXXXX/ (XX) NEODREĐEN/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) NENUSTATYTA/ (XX) MEGHATÁROZATLAN/ (MT) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (SL) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) EJ XXXXXXÄXXX

4.6

(XX) АДРЕС/ (XX) DIRECCIÓN/ (XX) ADRESA/ (XX) XXXXXXX/ (XX) XXXXXXXXX/ (XX) AADRESS/ (XX) ΔΙΕΥΘΥΝΣΗ/ (XX) XXXXXXX/ (XX) ADRESSE/ (XX) XXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXX/ (LT) XXXXXXX/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) ADRES/ (XX) XXXXX/ (XX) XXXXXXÇX/ (XX) ADRESA/ (XX) ADRESA/ (XX) XXXXXX/ (FI) XXXXXX/ (XX) XXXXXX

4.6.1

(XX) УЛИЦА И НОМЕР/ПОЩЕНСКА КУТИЯ/ (XX) XXXXX X XXXXXX / APARTADO XX XXXXXXX/ (XX) XXXXX X XXXXX XXXX / XXXXXXXX XXXXXXXXX/ (XX) XXX XX HUSNUMMER/POSTBOKS/ (XX) XXXXXXX XXX XXXXXXXXXX/XXXXXXXX/ (XX) XÄXXX XX XXXX NUMBER/POSTKAST/ (XX) ΟΔΟΣ ΚΑΙ ΑΡΙΘΜΟΣ / Τ.Θ./ (XX) XXXXXX XXX XXXXXX/XX XXX/ (XX) XXX XX NUMÉRO/BOÎTE XXXXXXX/ (XX) SRÁID AGUS XXXXXX/XXXXX POIST/ (XX) XXXXX X BROJ / XXXXXXXXX XXXXXXXX/ (XX) XXX X XXXXXX/XXXXXXX POSTALE/ (XX) XXXX UN XĀXXX XXXXXX / XXXXXXXXX/ (XX) GATVĖ XX XXXX XXXXXXX / XXXXX DĖŽUTĖ/ (XX) XXXX XX XXXXXXX/XXXXXXXXX/ (XX) TRIQ U XXXXX/XXXXX POSTALI/ (NL) XXXXXX XX XXXXXX/XXXXXXX/ (XX) ULICA X XXXXX / SKRYTKA XXXXXXXX/ (PT) RUA X XXXXXX/XXXXX XXXXXX/ (XX) STRADA ȘX XXXĂXXX/XĂXXȚX XXȘXXXĂ/ (SK) XXXXX X ČÍSLO/POŠTOVÝ XXXXXXXXX/ (XX) ULICA XX XXXXXXXX/XXXXXX PREDAL/ (XX) XÄXXXXXXXX/XXXXXXXXXXX/ (SV) XXXXXXXXXX/XXXXXXX

4.6.2

(XX) НАСЕЛЕНО МЯСТО И ПОЩЕНСКИ КОД/ (XX) LOCALIDAD X XXXXXX XXXXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXXX ČÍSLO/ (XX) XX XX POSTNUMMER/ (XX) PLZ XXX XXX/ (XX) XXXX XÕX XXXXX XX XXXXXXXXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΤΑΧΥΔΡΟΜΙΚΟΣ ΚΩΔΙΚΟΣ/ (XX) PLACE XXX XXXXXX XXXX/ (XX) XXXXXXXX XX XXXX XXXXXX/ (GA) XXX XXXX CÓD POIST/ (XX) XXXXXX X XXXXXXXXX XXXX/ (XX) XXXXXXXÀ X XXX/ (XX) VIETA UN XXXXX INDEKSS/ (LT) XXXXX XX PAŠTO XXXXX/ (HU) XXXXXXX XX IRÁNYÍTÓSZÁM/ (XX) XXXXXXXÀ X KODIĊI XXXXXXX/ (NL) XXXXXX XX XXXXXXXX/ (PL) XXXXXXXXXŚĆ I XXX XXXXXXXX/ (XX) LOCALIDADE X XXXXXX XXXXXX/ (XX) XXXXXXXXXXX ȘX XXXXX XXȘXXX/ (SK) XXXXXX A POŠTOVÉ XXXXXXXXXX XXXXX/ (SL) XXXX XX POŠTNA XXXXXXXX/ (FI) POSTINUMERO XX POSTITOIMIPAIKKA/ (XX) XXX XXX XXXXXXXXXX

4.6.3

(XX) ДЪРЖАВА/ (ES) XXXX/ (XX) ZEMĚ/ (DA) XXXX/ (XX) XXXX/ (XX) XXXX/ (XX) ΧΩΡΑ/ (XX) XXXXXXX/ (XX) XXXX/ (XX) XXX/ (XX) XXXXXX/ (XX) PAESE/ (XX) XXXXXX/ (LT) XXXXX/ (XX) ORSZÁG/ (MT) XXXXXŻ/ (XX) XXXX/ (XX) PAŃSTWO/ (XX) XXXX/ (XX) ȚARA/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXX/ (XX) LAND

5.

(BG) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ, СЪОТВЕТНОТО ЛИЦЕ Е БИЛО ЖИВО КЪМ ДАТАТА НА ИЗДАВАНЕ НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXX EL XXXXXXXXX XXXXXXX XX QUE XX ADJUNTA XXXX XXXXXXX, XX XXXXXXXXXX XXXXXX EN XXXX XX XX FECHA XX XXXXXXXXXX XXX XXXXXXXXX PÚBLICO/ (XX) XX ZÁKLADĚ VEŘEJNÉ XXXXXXX, X XXX XX PŘIPOJEN XXXXX XXXXXXXX, XXXX XXXXXXX XXXXX XX DNI XXXXXX XXXXXXX LISTINY XXXXXX/ (XX) I XXXXXXX XXX XXX XXXXXXXXXX DOKUMENT, XXX XXXXX XXXXXXXX XX XXXXÆXXXX, XXX XXX XÅXÆXXXXXX XXXXXX X XXXX XÅ XXXXXX XXX XXXXXXXXXXX XX XXX XXXXXXXXXX DOKUMENT/ (XX) XXXÄXX XXX ÖXXXXXXXXXXX URKUNDE, XXX XXXXXX XXXXXXXX BEIGEFÜGT XXX, XXX DIE XXXXXXXXXXX XXXXXX XX XXX XXX XXXXXXXXXXX XXX ÖFFENTLICHEN URKUNDE XX XXXXX/ (XX) XXXXXXXXX AVALIKULE XXXXXXXXXXX, XXXXXXX XXX VORM XX LISATUD, OLI XXXXXXXXX XXXX NIMETATUD XXXXXXX DOKUMENDI XÄXXXXXXXXXX XXXXÄXXXX XXXX/ (EL) ΣΥΜΦΩΝΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ, ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΒΡΙΣΚΟΤΑΝ ΣΤΗ ΖΩΗ ΚΑΤΑ ΤΗΝ ΗΜΕΡΟΜΗΝΙΑ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX TO THE XXXXXX DOCUMENT XX XXXXX XXXX FORM XX XXXXXXXX, XXX XXXXXX XXXXXXXXX WAS XXXXX XX XXX XXXX XX ISSUE XX XXX XXXXXX XXXXXXXX/ (XX) X'XXXÈX XX XXXXXXXX XXXXXX XXXXXX XX XXXXXXX XXXXXXXXXX XXX JOINT, XX XXXXXXXX XXXXXXXXX XXXXX XX XXX À XX XXXX XX XXXXXXXXXX XX XX XXXXXXXX XXXXXX/ (XX) XX XXXX XX XXXXXXXXX XXXXXXX XXXX xxXXXX XX XXXXXX XXX XXXXXXXXXX, XXX AN DUINE XXXX xXXXXXXXX XXX XX XXXXX XXXXXXX XX XXXXXXXXX PHOIBLÍ/ (XX) XXXXX XXXXXX XXXXXXX XXXXX XX XXXX OBRAZAC PRILOŽEN XXXXXXX XXXXX XXXX XX XXXX XX XXX XXXXXXXXX XXXXX XXXXXXX/ (IT) SECONDO XX XXXXXXXXX XXXXXXXX XXX XX PRESENTE XXXXXX È XXXXXXXX, X'XXXXXXXXX IN XXXX XXXXX XXXXXXX XXXXXXXXXXX È XXXXX XXXXXXXXX XXXX XXXX XX XXXXXXXX DI XXXX XXXXXXXXX/ (XX) SASKAŅĀ XX XXXXXXXX XXXXXXXXX, XXXXX XĪ VEIDLAPA XX XXXXXXXXXX, XXXXXXĪXĀ XXXXXXX PUBLISKĀ DOKUMENTA XXXXXXXXX XXXXĀ BIJA XXĪXX/ (XX) XXXXX XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, VIEŠOJO XXXXXXXXX XXXXXXXX XXXXĄ XXXXXXXXXXX XXXXX XXXX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXX SZERINT XX ÉRINTETT SZEMÉLY X XÖXXXXXXX XXXXXXXXXXXXX XXŐXXXXXXXXX ÉLETBEN XXXX/ (XX) XXXXX ID-DOKUMENT XXXXXXXX XX XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX, XX-XXXXXXX KKONĊERNATA XXXXXX ĦXXXX XXX-XXXX XXX-ĦXXĠ XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXX XXXXXXXX DOCUMENT XXXXXXX XXX FORMULIER XX XXXXXXX, WAS XX XXXXXXXXXX XX LEVEN XX XX XXXXX XXX XXXXXXX XXX XXX XXXXXXXX DOCUMENT/ (XX) Z XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXŁĄXXXXX XXXX NINIEJSZY XXXXXXXXX, XXXXXX, ŻE XXXXX, KTÓREJ XXXXXXX XXXXXXXX, XXXXXXXXXŁX XXXX ŻXXXX W DNIU XXXXXXX TEGO XXXXXXXXX XXXĘXXXXXX/ (XX) SEGUNDO X XXXXXXXXX PÚBLICO X QUE O XXXXXXXX XXXXXXXXXX ESTÁ XXXXXX, X XXXXXX XX CAUSA XXXXXX XXXX À XXXX XX XXXXXÃX XX XXXXXXXXX XXXXXXX/ (RO) ÎX XXXXXXXXXXXX CU XXXXXXXXXX XXXXXXX LA XXXX ESTE XXXXXX XXXXXXXXX FORMULAR, XXXXXXXX XXXXXĂ XXX ÎX XXXȚĂ LA DATA XXXXXXXX XXXXXXXXXXXX XXXXXXX/ (XX) PODĽA VEREJNEJ XXXXXXX, KU XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX, XXXX XXXXXXXX XXXXX X DEŇ XXXXXXX XXXXXXXX XXXXXXX XXXXXX/ (SL) X XXXXXX X XXXXX XXXXXXX, XX XX XX XXXXXXXX TA XXXXXXX, XX BILA XXXXXXX XXXXX XX XXX IZDAJE JAVNE XXXXXXX ŽIVA/ (FI) XXX XXXXXXX XXXXXXXXXX XXXXXX, XXXXX XÄXÄ XXXXXX LIITETÄÄN, XXXXXXXXXXXX XXXXXXÖ OLI XXXXXX XXXXXXX ASIAKIRJAN XXXXXXXXÄXXÄXÄ/ (XX) ENLIGT XXX XXXXXXXXXX XXXXXXXX TILL XXXXXX DETTA FORMULÄR ÄX XXXXXXX VAR XXX XXXÖXXX XXXXXXXX X XXXXX XXX XXXXXXXXXX FÖR DEN XXXXXXXXXX HANDLINGENS UTFÄRDANDE

6.

(BG) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX FIRMA/ (XX) XXXX XXX XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) CADRE XXXX XX SIGNATURE/ (GA) XXXXX DON XXXXX/ (XX) XXXXX ZA XXXXXX/ (IT) XXXXXXXX XXX XX FIRMA/ (XX) PARAKSTA XXXXX/ (XX) XXXXXX LAUKELIS/ (XX) XX ALÁÍRÁS XXÖXXXXXXXXX/ (MT) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX XX HANDTEKENING/ (XX) POLE XXXXXXX/ (XX) XXXXÇX DESTINADO À ASSINATURA/ (XX) XXXXĂXXXX/ (SK) KOLÓNKA XX XXXXXX/ (SL) XXXXX XX PODPIS/ (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) PŘÍJMENÍ A XXXXX (JMÉNA) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXX(X) XX XXXXXXX(X) XÅ XXX XXXXXXXXXX, XXX XXX XXXXXXX DENNE XXXXXXXX/ (XX) FAMILIENNAME(N) XXX VORNAME(N) XXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX VORMI XÄXXXXXXXXX XXXXXXXX XXXXXXX (-XXXXX) XX PEREKONNANIMI (-XXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) SURNAME(S) XXX XXXXXXXX(X) OF THE XXXXXXXX XXX ISSUED XXXX XXXX/ (XX) XXX(X) XX PRÉNOM(S) XX FONCTIONNAIRE QUI X DÉLIVRÉ LE XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX (SLOINNTE) XXXX XXXXXXXX (CÉADAINMNEACHA) XX XXXXXXXX X X’XXXXXX XX FHOIRM XXX/ (XX) PREZIME(NA) X XXX(XX) XXXXXXXXXX KOJI XX XXXXX XXXX XXXXXXX/ (XX) COGNOME/I X NOME/I XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX PRESENTE XXXXXX/ (XX) AMATPERSONAS, XXXX IZDEVUSI XX XXXXXXXX, XXXĀXXX(-X) UN XĀXXX(-X)/ (LT) ŠIĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖS) XX XXXXXX (-XX)/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXX XXXX(X) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X ISEM(/ISMIJIET) XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (NL) XX(X)X(XX) XX VOORNA(A)M(EN) XXX DE AMBTENAAR XXX XXX XXXXXXXXX XXXXX AFGEGEVEN/ (PL) XXXXXXXX(-X) X XXXĘ (XXXXXX) XXXĘXXXXX, KTÓRY XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXX(X) E XXXX(X) PRÓPRIO(S) XX XXXXXXXXXXX QUE XXXXXX X XXXXXXXX FORMULÁRIO/ (XX) XXXXXX ȘX XXXXXXXXX XXXXȚXXXXXXXXX XXXX X XXXX PREZENTUL XXXXXXXX/ (SK) XXXXXXXXXX(-X) X MENO(-Á) XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (SL) XXXXXXX/XXXXXXX XX IME/IMENA XXXXXXXX, XX XX XXXXX XX OBRAZEC/ (FI) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXXXXX (-XXXXX) XX XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX OCH XÖXXXXX XÅ DEN XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

6.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) CARGO XXX FUNCIONARIO XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX — XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (DE) XXXXXXXX DES XXXXXXX, XXX DIESES XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX VÄLJASTANUD XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX XX XXX XXXXXXXX WHO XXXXXX XXXX XXXX/ (XX) XXXXX XX XXXXXXXXXXXXX XXX X DÉLIVRÉ XX PRÉSENT XXXXXXXXXX/ (XX) POST XX XXXXXXXX X D’EISIGH XX XXXXXX XXX/ (XX) FUNKCIJA XXXXXXXXXX XXXX XX XXXXX XXXX XXXXXXX/ (IT) XXXXXXXXX XXX XXXXXXXXXXX XXX HA XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX VEIDLAPU, XXXXX/ (XX) XXĄ XXXXĄ IŠDAVUSIO XXXXXXŪXX XXXXXXXX/ (HU) A XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX LI ĦAREĠ XXX IL-FORMOLA/ (XX) XXXXXXX VAN DE XXXXXXXXX DIE XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) STANOWISKO URZĘDNIKA, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX XX XXXXXXXXXXX XXX XXXXXX O XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) FUNKCIA ÚRADNÍKA, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) POLOŽAJ XXXXXXXX, KI XX XXXXX XX XXXXXXX/ (XX) XÄXÄX LOMAKKEEN XXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (TT/MM/JJJJ)/ (ET) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX ISSUE/ (XX) DATE (XX/XX/XXXX) XX DÉLIVRANCE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) IZDOŠANAS DATUMS (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (DD/MM/MMMM)/ (HU) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXX-ĦXXĠ/ (NL) XXXXX (XX/XX/XXXX) VAN XXXXXXX/ (XX) XXXX (XX/XX/XXXX) WYDANIA/ (XX) XXXX XX EMISSÃO (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) EMITERII/ (SK) XXXXX (DD/MM/RRRR) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) FÖR UTFÄRDANDE

6.4

(BG) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) SIGNATURE/ (XX) XXXXXXXXX/ (GA) XXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (LT) XXXXXXX/ (XX) XXXXXXX/ (MT) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (RO) XXXXĂXXXX/ (XX) PODPIS/ (SL) XXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) NAMNTECKNING

6.5

(BG) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (ES) XXXXX O XXXXXX/ (XX) XXXXX XXXX XXXXXXX/ (DA) XXXX XXXXX XXXXXXX/ (DE) XXXXXX ODER XXXXXXX/ (XX) XXXXXX VÕI XXXXXX/ (EL) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX XXXXX/ (FR) XXXXX XX TIMBRE/ (XX) XXXXX XX STAMPA/ (XX) XXX XXX XXXXX/ (XX) BOLLO X XXXXXX/ (XX) XĪXXXX VAI XXXXXXXX/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (HU) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX JEW XXXXXX/ (XX) XXXXX XX XXXXXXX/ (PL) XXXXXĘĆ XXX XXXXXXX/ (XX) XXXX OU XXXXXXX/ (XX) SIGILIUL XXX ȘXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXX PEČIATKY/ (XX) XXXXX XXX XXX/ (XX) XXXXXXX XXX XXXXX/ (XX) XXXXXX XXXXX XXÄXXXX

XXXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – POMŮCKA XXX XXXXXXX

Xxxxxx 7 xxxxxxxx Evropského xxxxxxxxxx x Xxxx (XX) 2016/1191 ze xxx 6. července 2016 x xxxxxxx xxxxxxx xxxxxx občanů xxxxxxxxxxxxx xxxxxxxxx xx předkládání xxxxxxxxx xxxxxxxxx listin x Evropské xxxx x x xxxxx xxxxxxxx (XX) č. 1024/2012 (1)

Xxxxxx (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxx (XX)

Xxxxxxxx (EE) Xxxxx (XX)

Xxxxx (XX) Španělsko (XX)

Xxxxxxx (FR) Xxxxxxxxxx (XX)

Xxxxxx (XX) Kypr (XX)

Xxxxxxxx (LV) Litva (XX)

Xxxxxxxxxxx (LU)

Maďarsko (XX) Xxxxx (MT)

Nizozemsko (XX) Xxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Xxxxxx (XX)

Xxxxxxx (XX) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx účelem xxxxxx xxxxxxxxxxxxx xxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxx překladu xxxxxxx xxxxxxx, k xxx je přiložen. Xxxxx formulář se xxxx xxxxxxxxx xxxxx xxxxx xxxxxxxxx jako xxxxxxxxxx dokument.

Tento xxxxxxxx xxxxxx xxxxx xxxxxxx xxxxxxx, x xxx xx přiložen. Xxxxx, xxxxx xx xxxxxxx xxxxxxx xxxxxxxxxxx, však xxxx v případech, xxx xx to xxxxxxxx xxx xxxxx xxxxxxxxxx xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx informací, xxxxx xxxx ve formuláři xxxxxxx.

XXXXXXXXXX PRO XXXXXXXXXX XXXXX

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

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

1. XXXXX XXXXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Název (4)

(1) Úř. xxxx. X 200, 26.7.2016, x. 1.

(2) Při xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

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

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

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

3.1 Xxxxxxx vydaná xxxxxxx xxxx xxxxxxxxx s xxxxxx xx xxxxx xxxxxx členského státu

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx xxxxxx xxxxxxx xxxxxxxxx

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

3.1.5 Xxxx (xxxxxxxxx)

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Výpis x xxxxxxx

3.2.3 Výpis x xxxxxxxx xxxxxxxx

3.2.4 Xxxx xxxxxxxxxx záznamů

3.1.5 Jiné (xxxxxxxxx)

3.3 Notářská xxxxxxx

3.4 Xxxxxx osvědčení, xxxxxx xxxx xxxxxxxx listina xxxxxxxxx soukromou xxxxxx

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

3.6 Xxxxx (dd/mm/rrrr) vydání

3.7 Xxxxxxxxxx číslo veřejné xxxxxxx

4. XXXXXXXXX X XXXXXXXX

4.1 Xxxxxxxx

4.2 Xxxxx (xxxxx)

4.3 Xxxxx (dd/mm/rrrr) xxxxx

4.4 Xxxxx (1) x xxxx (2) xxxxx

4.5 Datum (xx/xx/xxxx) xxxxxxxx

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

4.6.1 Xxxx

4.6.2 Muž

4.6.3 Xxxxxxxx

5. XXXX XXX XXXXXX

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

5.2 Xxxxxx xxxxxxxx, xxxxx xxxxx tento formulář

5.3 Xxxxx (dd/mm/rrrr) xxxxxx

5.4 Xxxxxx

5.5 Xxxxx nebo xxxxxxx

(1) Xxxxx „xxxxx xxxxx“ se xxxxxx xxxxx xxxx xxxx xxxxx, xxxxxx x xxxxx, xxx xxxx xxxxx xxxxxxx.

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

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XXXX IMPRESO/ (CZ) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) DENNE XXXXXXXXX UDSTEDENDE XXXXXXXXX/ (XX) XXXÖXXX, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX XÄXXX XXXXXX ASUTUS/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) AUTHORITY XXXXXXX XXXX XXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX PRÉSENT XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX XX XXXXXX XXX/ (HR) XXXXXX XXXX XXXXXX XXXX XXXXXXX/ (IT) XXXXXXXÀ CHE XXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXX IZDEVĒJIESTĀDE/ (XX) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) A FORMANYOMTATVÁNYT XXXXXXXX HATÓSÁG/ (XX) XXXXXXXÀ EMITTENTI XX' XXX XX-XXXXXXX/ (NL) XXXXXXXXXX VAN XXXXXXX XXX XXX XXXXXXXXX/ (XX) XXXXX WYDAJĄCY XXXXXXXXX FORMULARZ/ (XX) XXXXXXXXXX QUE XXXXX X PRESENTE XXXXXXXXXX/ (XX) XXXXXXXXXXX EMITENTĂ X PREZENTULUI FORMULAR/ (XX) ORGÁN XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX, XX IZDA XX OBRAZEC/ (FI) XÄXÄX XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) NÁZEV/ (XX) XXXXXXXXXX/ (DE) XXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (EN) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) NOSAUKUMS/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (MT) TITLU/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) DESIGNAÇÃO/ (XX) XXXXXXXX/ (SK) XXXXX/ (XX) XXX/ (XX) NIMI/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX XXXXXX XX DOCUMENTO XXXXXXX XX QUE SE XXXXXXX ESTE XXXXXXX/ (XX) XXXXX VYDÁVAJÍCÍ XXXXXXXX XXXXXXX, X XXX JE XXXXXXXX XXXXX FORMULÁŘ/ (DA) XXX XXXXXXXXX, XXX XXX XXXXXXX DET XXXXXXXXXX XXXXXXXX, XXX XXXXX FORMULAR XX XXXXÆXXXX/ (XX) XXXÖXXX, XXX XXX ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX BEIGEFÜGT XXX, XXXXXXXXX/ (ET) XXXXXX, XXX XXXXX VÄLJA XXXXXXX XXXXXXXXX, MILLELE XXX VORM XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX ISSUING XXX XXXXXX XXXXXXXX XX XXXXX THIS XXXX XX ATTACHED/ (FR) XXXXXXXX XX DÉLIVRANCE XX XXXXXXXX XXXXXX XXXXXX XXX JOINT XX XXXXXXX FORMULAIRE/ (XX) AN xXXXXXX X XXXXXXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXX KOJE XXXXXX XXXXX ISPRAVU XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX IL XXXXXXXXX XXXXXXXX CUI XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ DOKUMENTA, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, IZDEVĒJIESTĀDE/ (LT) XXXXĄXĮ XXXXXXXXĄ, PRIE XXXXX XXXXXXXXX XX XXXXX, IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX KÍSÉRT KÖZOKIRATOT XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ EMITTENTI XXX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX AFGIFTE VAN XXX OPENBAAR XXXXXXXX XXXXXXX XXX FORMULIER XX GEHECHT/ (PL) XXXXX WYDAJĄCY DOKUMENT XXXĘXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (PT) XXXXXXXXXX XXX EMITE X XXXXXXXXX PÚBLICO A XXX O PRESENTE XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X DOCUMENTULUI XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX FORMULAR/ (XX) ORGÁN XXXXXXXXXX XXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX IZDA XXXXX XXXXXXX, XX XX JE XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXXXX, XXXX ON XXXXXXX XXXXXXX ASIAKIRJAN, XXXXX XÄXÄ LOMAKE XXXXXXÄÄX/ (SV) MYNDIGHET XXX XXXÄXXXX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX RELATIVA XX DOCUMENTO XXXXXXX XX XXX XX XXXXXXX ESTE IMPRESO/ (XX) XXXXXXXXX TÝKAJÍCÍ XX XXXXXXX XXXXXXX, X XXX JE XXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXØXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXX ZUR ÖXXXXXXXXXXX XXXXXXX, XXX DIESES XXXXXXXX BEIGEFÜGT XXX/ (XX) XXXXX XXXXXXX XXXXXXXXX XXXXX, XXXXXXX XXX VORM XX XXXXXXX/ (EL) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX RELATING XX THE XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (FR) INFORMATIONS XXXXXXXXX XX DOCUMENT XXXXXX AUQUEL XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) FAISNÉIS X XXXXXXXXX XXXX XX DOICIMÉAD XXXXXX XXXX XXXXXX XX XXXXXX SEO XXXXXXXXXX/ (XX) INFORMACIJE KOJE XX XXXXXX XX XXXXX XXXXXXX KOJOJ XX OVAJ OBRAZAC XXXXXXXX/ (IT) XXXXXXXXXXXX XXXXXXXX AL DOCUMENTO XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (LV) INFORMĀCIJA XXX PUBLISKO XXXXXXXXX, XXXXX XĪ XXXXXXXX XX PIEVIENOTA/ (LT) XXXXXXXXXXX, SUSIJUSI XX XXXXXXXX DOKUMENTU, XXXX XXXXX XXXXXXXXX ŠI XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (NL) INFORMATIE XXXXXXXXXXX HET OPENBAAR XXXXXXXX WAARAAN XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXX DOTYCZĄCE XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXXXXXXXX FORMULARZ XXXX ZAŁĄCZONY/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX XXXXXXXXX PÚBLICO A XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX OFICIAL XX CARE XXXX XXXXXX PREZENTUL XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX V XXXXX X XXXXX XXXXXXX, XX XX XX XXXXXXXX XX OBRAZEC/ (XX) XXXXXX YLEISESTÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX LIITETÄÄN/ (XX) XXXXXXXXXXX XX XXX XXXXXXXXXX XXXXXXXX TILL XXXXXX XXXXX XXXXXXÄX ÄX BIFOGAT

3.1

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX XXXXXXXX XXX XXX XXXXXXXXX X XX XXXXXXXXXXX XXXXXXXXX X XXX XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX MIEMBRO/ (XX) XXXXXXX VYDANÁ XXXXXXX XXXX XXXXXXXXX X XXXXXX NA XXXXX XXXXXX ČLENSKÉHO XXXXX/ (DA) XXXXXXXX, XXX XX XXXXXXX XX XX XXXXXXXXX XXXXX EN XXXXXXXXXX, XXX ER XXXXXXXXXX XXXXXXXX X XX XXXXXXXXXXX/ (XX) XXXXXXX XXXXX BEHÖRDE XXXX XXXXX AMTSPERSON ALS XXXXX XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX ANDNUD XXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXXXX XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXX XX XX XXXXXXXX XXXXXXXXX XXXX XXX XXXXXX XX XXXXXXXXX XX X XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXX X'XXX XXXXXXXX XX D'UN FONCTIONNAIRE XXXXXXXX X'XXX XXXXXXXXXXX X'XX XXXX MEMBRE/ (XX) XXXXXXXXX X XXXXXXX X XXXXXX XX X XXXXXXXXX X XXXXXX BAINT XXXX NÓ XXXX XX XXXXXXXXXX XX XX XXXXX XX XXXXX XXXXXXXXX/ (XX) XXXXXXX KOJU XX XXXXXX XXXXXX ILI XXXXXXXXX XXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX UN'AUTORITÀ X XX XX XXXXXXXXXXX APPARTENENTE XX XXX XXXXX XXXXXXXXXXXXX XX UNO STATO XXXXXX/ (XX) XXXXXXXXX, XXXX IZSNIEGUSI XX XXXĪXXXXXXX XXXXĀX XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX XXXXXXXX XXXXXXXXXXXX AR XXXXXXŪXX, XXXXXXXXŲ SU XXXXXXXĖX NARĖS TEISMAIS XX XXXXXXXXXXX/ (HU) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX XXXX XXXXXXX VAGY XXXXXXXXXXŐ XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ XXX UFFIĊJAL XX XXXXXXXX RABTA MAL-QRATI XXX XX-XXXXXXXXX XX' XXXX MEMBRU/ (NL) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXXXX XX XXXXXXXXX BEHORENDE XXX XXX XXXXXXXXXXXX XXXXXXXXX XXX EEN XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXX XĄXXXXXX XXX XXXĘXXXXX SĄDOWEGO XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX PROVENIENTE XX XXX AUTORIDADE XX XX XX XXXXXXXXXXX XXXXXXXXXX DE XXXXXXXX XXXXXXXÇÃX XX UM XXXXXX-XXXXXX/ (XX) XXXXXXXX XXXX DE O XXXXXXXXXX XXX XX XX XXXXȚXXXXX XX XX XÂXXĂ XXXXXXȚXXX XXXX STAT XXXXXX/ (XX) LISTINA VYDANÁ XXXXXXX XXXXX XXXXXXXXX X VÄZBOU NA XXXX ČLENSKÉHO ŠTÁTU/ (XX) LISTINA, XXXXXX X XXXXXX XXXXXX XXX URADNIKA XXXXX XXXXXXX XXXXXX XXXXXXX/ (XX) ASIAKIRJA, XXXXX XX XXXXXXX JÄSENVALTION XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (SV) XXXXXXXX XXX XÄXXÖX XXÅX XX XXXXXXXXX XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX I XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (ES) XXXXXXXXXX XXXXXXXX/ (CZ) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXXXX/ (EL) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (FR) XXXXXXXX XX XXXXXXX/ (GA) XXXXXXXX XX xXXXXX/ (XX) SUDSKA XXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) TIESAS LĒMUMS/ (XX) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX HATÁROZAT/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (XX) DECISÃO XXXXXXXX/ (XX) HOTĂRÂRE JUDECĂTOREASCĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) SODNA XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (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 EN XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX VÄLJA XXXXXX XXXXXXX SÜÜDISTAJA/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (EN) XXXXXXXX EMANATING XXXX X XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX MINISTÈRE PUBLIC/ (XX) XXXXXXXXX X XXXXXXX Ó IONCHÚISITHEOIR XXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX DAL XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XXXXXXXXX/ (LT) PROKURORO XXXXXXXX XXXXXXXXXX/ (HU) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (NL) DOCUMENT XXXXXXXXX XXXX XXX XXXXXXXX XXXXXXXXXX/ (PL) XXXXXXXX POCHODZĄCY OD XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (XX) DOCUMENT XXXX XX UN XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXXXXXX/ (SL) XXXXXXX, KI JO XXXX DRŽAVNO TOŽILSTVO/ (XX) VIRALLISEN XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX POR XX XXXXXXXXXX XXXXXXXX/ (CZ) XXXXXXX XXXXXX VYŠŠÍM XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX JUSTITSSEKRETÆR/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (ET) XXXXXXXX, XXXXX XX VÄLJA XXXXXX KOHTUAMETNIK/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX FROM X XXXXX OF X XXXXX/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX/ (GA) DOICIMÉAD X THAGANN Ó XXXXXXXXXX XX XXXXX XXXXXX/ (XX) ISPRAVA XXXX JE IZDAO XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) DOCUMENTO XXXXXXX XX XX CANCELLIERE/ (XX) DOKUMENTS, KURU XXXXXXXXXX TIESAS XXXXXXĀXX/ (XX) TEISMO TARNAUTOJO XXXXXXXX XXXXXXXXXX/ (HU) XXXXXXXX TISZTVISELŐ XXXXX XXXXXXXXXX OKIRAT/ (MT) XXXXXXXX XXĦXXĠ MINN XXĠXXXXXXXX XX' QORTI/ (XX) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX XXXXXXXXXX SĄDOWEGO/ (XX) XXXXXXXXX XXXXXXXXXXX XX UM XXXXXXX XX XXXXXÇX/ (RO) XXXXXXXX XXXX XX XX XXXXXXX XX XXXXXXȚXX/ (XX) XXXXXXX XXXXXX SÚDNYM ÚRADNÍKOM/ (XX) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX ASIAKIRJA/ (XX) HANDLING SOM XÄXXÖX XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (XX) DOCUMENTO EXPEDIDO XXX XX XXXXXX XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (CZ) LISTINA XXXXXX SOUDNÍM XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXX UDSTEDT XX XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX KOHTUTÄITUR/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX JUSTICE»)/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXXXX OFFICER ('XXXXXXXX DE XXXXXXX')/ (XX) XXXXXXXX ÉMANANT X'XX XXXXXXXX XX XXXXXXX/ (GA) DOICIMÉAD X XXXXXXX Ó XXXXXXXXX BREITHIÚNACH (“XXXXXXXX XX JUSTICE”)/ (HR) XXXXXXX XXXX JE XXXXX SUDSKI XXXXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) DOCUMENTO XXXXXXX XX XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX DE XXXXXXX")/ (XX) XXXXXXXXX, XXXX IZSNIEDZIS XXXXXX XXXXXXĪXĀXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX (XXXXXXXX XX XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX („HUISSIER XX JUSTICE”) ÁLTAL XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('HUISSIER XX XXXXXXX')/ (NL) XXXXXXXX AFGEGEVEN XXXX XXX GERECHTSDEURWAARDER/ (XX) XXXXXXXX XXXXXXXĄXX OD XXXĘXXXXX XĄXXXXXX (HUISSIER XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXÃX XX XXXXXXX («HUISSIER XX XXXXXXX»)/ (XX) XXXXXXXX XXXX DE UN XXXXXXXX XXXXXĂXXXXXX („HUISSIER XX JUSTICE”)/ (XX) XXXXXXX XXXXXX SÚDNYM XXXXXXXXXXĽXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXX, XX XX IZDA XXXXX IZVRŠITELJ („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX XX XXXXXXX”) XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN EN XXÄXXXXXXXXX (HUISSIER XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (CZ) XXXX (UPŘESNĚTE)/ (XX) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX ANGEBEN)/ (XX) MUU (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX XX SPECIFIED)/ (XX) XXXXX (À PRÉCISER)/ (XX) XXXX (XX XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (XX) XXXXX (XXXXXXXXX)/ (XX) XXXX (XXXXXXĒX)/ (LT) XXXX (XXXXXXXX)/ (HU) XXXXX (XXXXÜX PONTOSÍTANI)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (NL) XXXXXXX (XXXXXXXXXXXX)/ (PL) XXXX (XXXXXĘ XXXXŚXXĆ)/ (XX) XXXXXX (A XXXXXXXXXXX)/ (XX) XXXXX (X SE PRECIZA)/ (XX) XXX (XXXXXXXX)/ (XX) DRUGO (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) ANNAN XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (CZ) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) DOCUMENT ADMINISTRATIF/ (XX) DOICIMÉAD XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXX AMMINISTRATIVO/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX DOKUMENTAS/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXX AMMINISTRATTIV/ (XX) XXXXXXXXXXXXXX DOCUMENT/ (XX) DOKUMENT XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX ADMINISTRATIV/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) HALLINNOLLINEN XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) OSVĚDČENÍ/ (DA) XÅXXXXXXX/ (DE) BESCHEINIGUNG/ (XX) TÕEND/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (EN) CERTIFICATE/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) POTVRDA/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (NL) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (XX) CERTIDÃO XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (SL) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXX X MATRIKY/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX AUS XXX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) EXTRACT XXXX XXX CIVIL XXXXXX XXXXXXXX/ (XX) EXTRAIT XX XXXXXXXX XX X'XXXX XXXXX/ (XX) XXXXXXX AS XX xXXXX STÁDAIS SHIBHIALTA/ (XX) IZVADAK IZ XXXXXXXX XXXXXXX STANJA/ (XX) ESTRATTO XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXX XX XXXXXXXĀXXXĻX AKTU XXĢXXXXX/ (XX) IŠRAŠAS XX XXXXXXXĖX BŪKLĖS XXXŲ XXXXXXXX/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX TAL-ISTAT ĊXXXXX/ (NL) XXXXXXXXXX XXX XXX XXXXXXXX XXX XX BURGERLIJKE XXXXX/ (XX) XXXXX XXXXXXXX AKTU XXXXX XXXXXXXXX/ (XX) XXXXXXX XX ATOS XX XXXXXXX CIVIL/ (RO) XXXXXX XXX REGISTRUL XX XXXXX XXXXXĂ/ (XX) XXXXX Z XXXXXXXX OSOBNÉHO XXXXX/ (XX) XXXXXXX XX XXXXXXXX O OSEBNEM XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (ES) XXXXXXXX XXX XXXXX/ (CZ) XXXXX X REGISTRU XXXXXXXX/ (DA) UDDRAG XXX FOLKEREGISTRET/ (DE) XXXXXX XXX XXX XXXXXXXXXXXXX/ (XX) RAHVASTIKUREGISTRI XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) EXTRACT XXXX XXX XXXXXXXXXX XXXXXXXX/ (FR) EXTRAIT XX XXXXXXXX XX XX POPULATION/ (GA) XXXXXXX XX XX xXXXX XXXXXX/ (XX) XXXXXXX IZ XXXXXX XXXXXXXXXXXX/ (XX) ESTRATTO XXXXXXXXXX/ (LV) XXXXXXXX XX XXXXĪXXXĀXX XXĢXXXXX/ (XX) XXXXXXX IŠ XXXXXXXXŲ XXXXXXXX/ (HU) XXXXXXX A XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX X XXXXXXXX XXXXXŚXX/ (PT) XXXXXXX XX XXXXXXX XX XXXXXXÇÃX/ (XX) XXXXXX XXX XXXXXXXXX XX XXXXXXȚĂ A XXXXXXȚXXX/ (XX) XXXXX X XXXXXXXX OBYVATEĽOV/ (XX) XXXXXXX IZ XXXXXXXX XXXXXXXXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX UR XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (ES) XXXXX XXXXXXX XX XXXXX XXX REGISTRO XXXXX/ (XX) XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXX XX XXXXXXXXXXXXXXXXXXX/ (XX) WÖRTLICHE XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX XX CIVIL STATUS XXXXXXX/ (XX) COPIE XXXXXXXXX X'XXXXX DE X'XXXX XXXXX/ (XX) XXXX FOCAL XX XXXXXX XX THAIFID XX XXXXXX SIBHIALTA/ (XX) XXXXXXXX PRIJEPIS XX XXXXXXXXXX O XXXXXXX STANJU/ (XX) XXXXX LETTERALE XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX REĢISTRA IERAKSTU XXXXXXXXXX XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (XX) ANYAKÖNYVI XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXX XXX-XXXX XXX-XXXXX ĊIVILI/ (XX) XXXXXXXXXXX XXXXXXXXX XXX AKTEN VAN XX XXXXXXXXXXX STAND/ (XX) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (XX) CERTIDÃO XX XXXXX XXXXXXXX XX XX XXXXXXXXX DE XXXX DE REGISTO XXXXX/ (XX) XXXXX XXXXXĂ X XXXX XXX XX STARE XXXXXĂ/ (XX) XXXXXXXX XXXXX ZO XXXXXXX X XXXXXXX STAVE/ (XX) XXXXXXXXX XXXXXX XXXXXX X OSEBNEM XXXXXX/ (FI) VÄESTÖREKISTERITIETOJEN XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX AVSKRIFT XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXXX LISTINA/ (XX) NOTARBEKRÆFTET XXXXXXXX/ (XX) XXXXXXXXXX URKUNDE/ (XX) NOTARIAALDOKUMENT/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX ACT/ (XX) XXXX XXXXXXX/ (GA) XXXXXX XXXXXXXXXXXX/ (HR) XXXXXXXXXXXXXXXX ISPRAVA/ (XX) XXXX NOTARILE/ (LV) XXXXXXĀXX XXXX/ (XX) XXXXXXXXX XXXXX/ (HU) XÖXXXXXXŐX XXXXXX/ (XX) XXX XXXXXXXX/ (NL) XXXXXXËXX XXXX/ (XX) XXX XXXXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXX XXXXXXXX/ (SK) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX LISTINA/ (XX) XXXXXXXX XXXXXX ASIAKIRJA/ (XX) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX OFICIAL PUESTA XXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXX, XXXXXX XXXX XXXXXXXX LISTINA PODEPSANÁ XXXXXXXXX XXXXXX/ (XX) XXXXXXXX XÅXXXXXXX PÅ XX XXXXXXXX UNDERTEGNET XX EN PERSON X DENNES EGENSKAB XX PRIVATPERSON/ (XX) XXXXXXXX XXXXXXXXXXXXX AUF XXXXX PRIVATURKUNDE/ (XX) XXXXX XXXXX ERAISIKUNA XXXXXXXXXXXXXX DOKUMENDILE KINNITATAV XXXXXXX XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX CERTIFICATE XXXXXX XX X XXXXXXXX XXXXXX BY X XXXXXX XX XXX XX XXX XXXXXXX XXXXXXXX/ (FR) XXXXXXXXXXX OFFICIELLE XXXXXXX XXX XX XXXX XXXX XXXXX PRIVÉ/ (XX) XXXXXXXX XXXXXXXXX X XXXXXXXXX AR XXXXXXXXXX XXXX XXXXXX XX XXXXX XXX XXXXX XX XXX XXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX STAVLJENA XX ISPRAVU XXXX XX XXXXX POTPISALA X XXXXXXXXX XXXXXXXX/ (XX) DICHIARAZIONE XXXXXXXXX XXXXXXX SU UNA XXXXXXXXX XXXXXXX/ (XX) XXXXXĀXX APLIECINĀJUMS UZ XXXXXXXXX, XX SAVĀ XĀXXĀ PARAKSTĪJUSI XĀXX XXXXXXX/ (XX) PRIVAČIŲ XXXXXŲ XXXXXXXXXŲ DOKUMENTŲ XXXXXXXŪX PATVIRTINIMAI/ (HU) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ĊERTIFIKAT XXXXĊXXXX XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX XXXXXXX FIL-KAPAĊITÀ PRIVATA XXXĦXX/ (XX) OFFICIEEL XXXXXXXXXXX XX EEN XXXXXXXX XXXXXXXXXXX DOOR XXX XXXXXXX XX XXXX XXXXXXXXXXXX HOEDANIGHEID/ (XX) URZĘDOWE XXŚXXXXXXXXXX XXXXXXXXXXX XX DOKUMENCIE XXXXXXXXXX PRZEZ XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX NUM XXX XX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXX APLICAT PE XX XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (SK) XXXXXX XXXXXXXXXX XXXXXXX XX XXXXXXX XXXXXXXXXX XXXXXX KONAJÚCOU XXX XXXXXXXX XXXXX/ (SL) XXXXXX XXXXXX XX XXXXXXX LISTINI/ (XX) XXXXXXXXXX TODISTUS XXXXXXXXXXXX, XXXXX HENKILÖ ON XXXXXXXXXXXXXXXX YKSITYISHENKILÖNÄ/ (SV) XXXXXXXXXX XXXXX XXXXXXXXX XÅ EN XXXXXXXX XXX XXXXXXXXXXXXX AV XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX XXX XX AGENTE XXXXXXXXXXX X XXXXXXXX XX UN XXXXXX XXXXXXX XXX XXXXXXXX XXXXXXX/ (CZ) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM ZÁSTUPCEM XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXXXXX POVINNOSTÍ/ (XX) XXXXXXXX OFFICIELT XXXÆXXXXXX XX XX XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (XX) XXX XXXXX XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXX EINES XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX XXXXXXXX ERRICHTETE XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX VÕI KONSULAARAMETNIKU XXXXX AMETIKOHUSTUSTE TÄITMISEL XXXXXXXXX DOKUMENT/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΈΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX XXXXX UP XX X DIPLOMATIC XX CONSULAR AGENT XX X MEMBER XXXXX XX XXX XX XXX XXXXXXXX XXXXXXXX/ (FR) XXXXXXXX XXXXXX EN SA XXXXXXX XXXXXXXXXX XXX XX AGENT XXXXXXXXXXXX XX XXXXXXXXXX D'UN XXXX XXXXXX/ (XX) XXXXXXXXX XXXX THARRAINGT XXXX AG XXXXXXXXXX XXXXXXXXXXXXXXXX XX CONSALACH XX XXXXX BALLSTÁIT XXX XXXXX XX XXX XXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX X XXXXXXXXX XXXXXXXX SASTAVIO DIPLOMATSKI XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (IT) XXXXXXXXX REDATTO XX XXXXXX DIPLOMATICI O XXXXXXXXX XX UNO XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (XX) DOKUMENTS, XXXX, XXXXXX AMATA XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX KONSULĀRAIS XĀXXXĀXXX/ (XX) XXXXXXXXXX, PARENGTAS XXXXXXXĖX NARĖS XXXXXXXXX XX XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX PAGAL OFICIALIUS ĮXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX DIPLOMÁCIAI XXXX XXXXXXX XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXXX XXXX XĠXXX XXXXXXXXXXX XXX KONSULARI XX' XXXX XXXXXX XXX-XXXXĊXXÀ UFFIĊJALI XXXXĦX/ (XX) XXXXXXXX OPGESTELD XXXX XX DIPLOMATIEKE XX CONSULAIRE AMBTENAAR XXX XXX XXXXXXXX XX XXXX XXXXXXËXX XXXXXXXXXXXX/ (PL) DOKUMENT XXXXXĄXXXXX XXXXX PRZEDSTAWICIELA XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX XXXĘXXXXX/ (XX) DOCUMENTO XXXXXXX XXX XX XXXXXX DIPLOMÁTICO OU XXXXXXXX XX XX XXXXXX-XXXXXX NO EXERCÍCIO XXX XXXX XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX XX XĂXXX XX XXXXX XXXXXXXXXX XXX XXXXXXXX XX XXXX XXXX XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX ZÁSTUPCOM ALEBO XXXXXXXXXXX XXXXXXXXX ČLENSKÉHO XXXXX X RÁMCI XXXXXX XXXX XXXXXXX/ (XX) XXXXXXX, XX XX XXX URADNA XXXXX XXXX DIPLOMATSKI XXX KONZULARNI PREDSTAVNIK XXXXXX ČLANICE/ (XX) XXXXXXXXX, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX TAI XXXXXXXXXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (SV) HANDLING XXXXÄXXXX I XXÄXXXXX XX EN XXXXXXXXXXX XXXXX KONSULÄR XXÄXXXXXXX X EN XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) FECHA (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (DA) UDSTEDELSESDATO (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) DATE (DD/MM/YYYY) XX XXXXX/ (XX) XXXX (JJ/MM/AAAA) DE XXXXXXXXXX/ (XX) DÁTA (XX/XX/XXXX) XXXXXXX/ (HR) XXXXX (DD/MM/GGGG) XXXXXXXXX/ (XX) XXXX DI XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) IŠDAVIMO DATA (XX/XX/XXXX)/ (XX) A XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (XX) XXXX (JJ/XX/SSSS) XXX-ĦXXĠ/ (NL) DATUM (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX XXXXXÃX (DD/MM/AAAA)/ (XX) DATA (ZZ/LL/AAAA) XXXXXXXX/ (XX) DÁTUM (XX/XX/XXXX) VYDANIA/ (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/ (ES) NÚMERO XX REFERENCIA XXX XXXXXXXXX XXXXXXX/ (CZ) XXXXXXXXXX ČÍSLO XXXXXXX XXXXXXX/ (XX) XXX XXXXXXXXXX DOKUMENTS XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX DER ÖXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) REFERENCE XXXXXX XX THE XXXXXX XXXXXXXX/ (FR) XXXXXX XX XXXXXXXXX XX XXXXXXXX PUBLIC/ (XX) XXXXXX XXXXXXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX BROJ JAVNE XXXXXXX/ (IT) NUMERO XX XXXXXXXXXXX XXX XXXXXXXXX PUBBLICO/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXX/ (HU) X XÖXXXXXXX HIVATKOZÁSI XXXXX/ (XX) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXX XX XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX XX REFERINȚĂ AL XXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (XX) REFERENČNA XXXXXXXX XXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (XX) DEN XXXXXXXXXX HANDLINGENS XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА ПОЧИНАЛОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX XX PERSONA XXXXXXXXX/ (XX) XXXXXXXXX X XXXXXXXX/ (XX) XXXXXXXXXXX XX XXXØXX/ (XX) XXXXXXX XXX XXXXXX, XXXXX TOD XXXXXXXXX WIRD/ (ET) XXXXXX XXXXXX KÄSITLEV XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΘΑΝΟΝΤΟΣ/ (EN) XXXXXXXXXXX XX THE XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX XXX XX XXXXXXXX XXXXXXX/ (XX) XXXXXXXX MAIDIR LEIS XX XXXXX XXXXXX/ (XX) XXXXXXXXXXX X XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXX SULLA PERSONA XXXXXXXX/ (XX) INFORMĀCIJA XXX XXXXXX XXXXXXX/ (XX) INFORMACIJA XXXX XXXXXĮ XXXXXĮ/ (XX) XX XXXXXXXXX VONATKOZÓ XXXXXX/ (XX) INFORMAZZJONI XXXX XX-XXXXXXX XXĊXXXXX/ (XX) INFORMATIE OVER XX XXXXXXXXXX/ (XX) XXXX DOTYCZĄCE XXXXX XXXXŁXX/ (PT) XXXXXXXÇÕXX XXXXX A XXXXXX XXXXXXXX/ (XX) INFORMAȚII XXXXXXX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXXXXX X XXXXXXXX XXXXX/ (XX) XXXXXXXXXXX O UMRLEM/ (XX) KUOLLEEN XXXXXXÖX XXXXXX/ (XX) INFORMATION XX XXX XXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X)/ (XX) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (DE) XXXXXXXXXXXX(X)/ (XX) XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX(X)/ (XX) XXX(X)/ (XX) XXXXXXX (XXXXXXXX)/ (XX) PREZIME(NA)/ (XX) COGNOME(I)/ (LV) XXXĀXXX(-X)/ (LT) XXXXXXĖ (-ĖX)/ (XX) XXXXXXX XXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX)/ (XX) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (XX) XXXXXXX(X)/ (XX) NUME/ (XX) XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX/ (XX) SUKUNIMI (-NIMET)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) XXXXX (XXXXX)/ (XX) FORNAVN(E)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (EL) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (XX) XĀXXX(-X)/ (XX) XXXXXX (-XX)/ (XX) UTÓNEVE(I)/ (XX) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (XX) IMIĘ (XXXXXX)/ (PT) XXXX(X) XXXXXXX(X)/ (XX) XXXXXXX/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (SV) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА СМЪРТТА/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXXXXX/ (XX) DATUM (DD/MM/RRRR) XXXXX/ (DA) DØDSDATO (XX/XX/ÅÅÅÅ)/ (XX) XXXXX (XX/XX/XXXX) XXX TODES/ (XX) XXXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΘΑΝΑΤΟΥ/ (XX) XXXX (XX/XX/XXXX) XX DEATH/ (XX) XXXX (XX/XX/XXXX) XX XXXÈX/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (HR) XXXXX (XX/XX/XXXX) SMRTI/ (XX) XXXX XX XXXXXXX (XX/XX/XXXX)/ (XX) MIRŠANAS XXXXXX (DD/MM/GGGG)/ (LT) XXXXXXX DATA (XX/XX/XXXX)/ (XX) XXXXXXXXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-XXXX/ (NL) XXXXX (XX/XX/XXXX) XXX XXXXXXXXXX/ (XX) DATA (XX/XX/XXXX) ZGONU/ (XX) XXXX DO ÓBITO (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) ÚMRTIA/ (XX) XXXXX (XX/XX/XXXX) XXXXX/ (XX) KUOLINAIKA (XX/XX/XXXX)/ (XX) DATUM (XX/XX/ÅÅÅÅ) FÖR XÖXXXXXXXX

4.4

(XX) МЯСТО И ДЪРЖАВА НА СМЪРТТА/ (ES) XXXXX Y XXXX XX FALLECIMIENTO/ (CZ) XXXXX A XXXX XXXXX/ (DA) XØXXXXXX XX -LAND/ (XX) XXX XXX XXXX XXX TODES/ (XX) XXXXXXXXX XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΘΑΝΑΤΟΥ/ (XX) XXXXX XXX XXXXXXX XX XXXXX/ (XX) XXXX XX XXXX XX DÉCÈS/ (GA) XXX AGUS TÍR XX XXXXX/ (HR) XXXXXX I ZEMLJA XXXXX/ (IT) XXXXX X PAESE XX XXXXXXX/ (LV) XXXXXXXX XXXXX XX VALSTS/ (XX) XXXXXXX XXXXX XX XXXXX/ (HU) XXXXXXXXXXXXX HELYE XX XXXXXXX/ (XX) XXXX X PAJJIŻ XXX-XXXX/ (XX) XXXXXX XX XXXX XXX XXXXXXXXXX/ (XX) XXXXXXX X XXŃXXXX XXXXX/ (XX) XXXXX X XXXX XX XXXXX/ (XX) XXXXX ȘX ȚARA XXXXXXXXX/ (XX) XXXXXX X ŠTÁT ÚMRTIA/ (XX) XXXX XX XXXXXX XXXXX/ (XX) XXXXXXXXXXXX XX -XXX/ (XX) XXX XXX XXXX DÄR DÖDSFALLET XXXXÄXXXXX

4.5

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXX/ (DA) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (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) XX XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) BREITHE/ (HR) XXXXX (XX/XX/XXXX) ROĐENJA/ (XX) XXXX XX XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) GIMIMO XXXX (XX/XX/XXXX)/ (XX) SZÜLETÉSI XXXXX (ÉÉÉÉ/HH/NN)/ (MT) XXXX (JJ/XX/SSSS) XXX-XXXXXX/ (XX) GEBOORTEDATUM (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) XXXXX (DD/MM/LLLL) XXXXXXX/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) FÖDELSEDATUM (XX/XX/ÅÅÅÅ)

4.6

(XX) ПОЛ/ (ES) SEXO/ (XX) XXXXXXX/ (XX) XØX/ (XX) XXXXXXXXXX/ (XX) SUGU/ (XX) ΦΥΛΟ/ (EN) SEX/ (XX) XXXX/ (XX) XXXXXX/ (HR) XXXX/ (XX) SESSO/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) NEME/ (XX) XXXX/ (NL) XXXXXXXX/ (XX) XŁXĆ/ (PT) XXXX/ (RO) XXXXX/ (XX) XXXXXXXX/ (SL) XXXX/ (XX) SUKUPUOLI/ (XX) XÖX

4.6.1

(XX) ЖЕНСКИ/ (XX) MUJER/ (XX) XXXX/ (XX) KVINDE/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (FR) XXXXXXX/ (GA) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (HU) XŐ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (SL) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX

4.6.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) MUŽ/ (XX) XXXX/ (XX) XÄXXXXXX/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (EN) XXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) XXXXX/ (HU) FÉRFI/ (XX) XXĠXX/ (XX) XXX/ (XX) MĘŻCZYZNA/ (XX) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (SK) XXXXXX/ (XX) XXXXX/ (FI) XXXX/ (SV) MAN

4.6.3

(BG) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) NEAMHCHINNTITHE/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (XX) ONBEPAALD/ (PL) XŁXĆ XXXXXXXŚXXXX/ (XX) XÃX XXXXXXXX/ (RO) XXXXXXXXXXXX/ (SK) XXXXXXXX/ (XX) XXXXXXXXX/ (FI) XÄÄXXXXXXXXÄXÖX/ (SV) EJ XXXXXXÄXXX

5.

(XX) ПОЛЕ ЗА ПОДПИС/ (ES) RECUADRO XXXX XX XXXXX/ (XX) XXXX PRO XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) UNTERSCHRIFTENFELD/ (ET) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (EN) SIGNATURE XXX/ (FR) XXXXX XXXX XX XXXXXXXXX/ (XX) BOSCA DON XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXXXXX XXX XX XXXXX/ (XX) PARAKSTA XXXXX/ (LT) PARAŠO XXXXXXXX/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (MT) XXXXX TAL-IFFIRMAR/ (NL) XXX XXXX DE XXXXXXXXXXXX/ (XX) XXXX XXXXXXX/ (PT) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXXX NA XXXXXX/ (XX) XXXXX ZA XXXXXX/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (XX) XXXX XÖX XXXXXXXXXXXXXX

5.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X XXXXXX(X) DEL XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (CZ) XXXXXXXX X XXXXX (JMÉNA) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXX(X) XX XXXXXXX(X) XÅ XXX EMBEDSMAND, XXX XXX XXXXXXX XXXXX FORMULAR/ (XX) XXXXXXXXXXXX(X) XXX XXXXXXX(X) XXX BEAMTEN, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX AMETNIKU XXXXXXX (-NIMED) XX XXXXXXXXXXXXX (-NIMED)/ (EL) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) SURNAME(S) XXX XXXXXXXX(X) OF XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) XXX(X) ET XXXXXX(X) DU XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX FORMULAIRE/ (XX) XXXXXXX (XXXXXXXX) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (HR) XXXXXXX(XX) X IME(NA) SLUŽBENIKA XXXX XX XXXXX XXXX XXXXXXX/ (IT) XXXXXXX/X X XXXX/X XXX FUNZIONARIO XXX XX RILASCIATO IL XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, KURA IZDEVUSI XX VEIDLAPU, UZVĀRDS(-I) XX VĀRDS(-I)/ (LT) XXĄ FORMĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖX) XX VARDAS (-XX)/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ CSALÁDI XXXX(X) ÉS XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) TAL-UFFIĊJAL LI ĦXXXĠ XXX IL-FORMOLA/ (XX) XX(X)X(XX) XX XXXXXX(X)X(XX) XXX XX XXXXXXXXX XXX DIT XXXXXXXXX HEEFT AFGEGEVEN/ (XX) XXXXXXXX(-X) I XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (XX) APELIDO(S) X XXXX(X) XXXXXXX(X) XX XXXXXXXXXXX XXX XXXXXX O PRESENTE XXXXXXXXXX/ (XX) XXXXXX ȘX XXXXXXXXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXXXXXXX(-X) A MENO(-Á) XXXXXXXX, XXXXX VYDAL XXXXX FORMULÁR/ (XX) XXXXXXX/XXXXXXX IN IME/IMENA XXXXXXXX, XX XX XXXXX TA XXXXXXX/ (XX) XÄXÄX LOMAKKEEN XXXXXXXX VIRKAMIEHEN XXXXXXXX (-XXXXX) XX XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX XXX XÖXXXXX PÅ XXX TJÄNSTEMAN SOM XXX XXXÄXXXX DETTA XXXXXXÄX

5.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXX XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (CZ) FUNKCE XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXXX — XXX XXXXXXXXXX, DER HAR XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX XXX XXXXXXX, DER DIESES XXXXXXXX AUSGESTELLT XXX/ (XX) XÄXXXXXXX VORMI XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX OF XXX OFFICIAL XXX XXXXXX XXXX XXXX/ (XX) POSTE XX XXXXXXXXXXXXX XXX X XXXXXXX LE PRÉSENT XXXXXXXXXX/ (XX) XXXX XX XXXXXXXX A X’XXXXXX XX XXXXXX XXX/ (HR) XXXXXXXX XXXXXXXXXX XXXX XX XXXXX XXXX OBRAZAC/ (XX) XXXXXXXXX XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, XXXXX/ (XX) XXĄ FORMĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXXXX/ (MT) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX XXX XX AMBTENAAR XXX XXX XXXXXXXXX HEEFT XXXXXXXXX/ (PL) STANOWISKO XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX FORMULARZ/ (XX) XXXXX XX XXXXXXXXXXX XXX XXXXXX O XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX CARE X XXXX PREZENTUL XXXXXXXX/ (SK) FUNKCIA XXXXXXXX, KTORÝ XXXXX XXXXX FORMULÁR/ (XX) XXXXXXX XXXXXXXX, KI XX XXXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX ANTANEEN XXXXXXXXXXX XXXXX/ (XX) BEFATTNING XÖX DEN TJÄNSTEMAN XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

5.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) VYDÁNÍ/ (XX) UDSTEDELSESDATO (XX/XX/ÅÅÅÅ)/ (XX) AUSSTELLUNGSDATUM (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) OF XXXXX/ (FR) XXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXX (LL/MM/BBBB) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) IZDAVANJA/ (IT) XXXX XX RILASCIO (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (LT) XXXXXXXX XXXX (DD/MM/MMMM)/ (XX) X XXXXXXXXX XXXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (DD/MM/JJJJ) XXX XXXXXXX/ (XX) XXXX (DD/MM/RRRR) XXXXXXX/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) EMITERII/ (XX) XXXXX (DD/MM/RRRR) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) FÖR XXXÄXXXXXX

5.4

(XX) ПОДПИС/ (XX) XXXXX/ (CZ) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (ET) ALLKIRI/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) SÍNIÚ/ (HR) XXXXXX/ (IT) XXXXX/ (XX) XXXXXXXX/ (LT) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (NL) XXXXXXXXXXXX/ (XX) PODPIS/ (XX) ASSINATURA/ (XX) XXXXĂXXXX/ (XX) PODPIS/ (XX) PODPIS/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

5.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) SELLO X XXXXXX/ (XX) PEČEŤ XXXX RAZÍTKO/ (XX) XXXX XXXXX XXXXXXX/ (XX) SIEGEL ODER XXXXXXX/ (ET) XXXXXX XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (EN) XXXX XX XXXXX/ (XX) XXXXX OU TIMBRE/ (XX) XXXXX NÓ XXXXXX/ (HR) XXX XXX XXXXX/ (XX) XXXXX X XXXXXX/ (XX) XĪXXXX XXX XXXXXXXX/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (XX) XXXXXX VAGY XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX JEW XXXXXX/ (NL) ZEGEL XX STEMPEL/ (XX) XXXXXĘĆ XXX STEMPEL/ (XX) XXXX XX XXXXXXX/ (RO) SIGILIUL XXX ȘTAMPILA/ (XX) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXX XXX/ (XX) XXXXXXX TAI XXXXX/ (XX) XXXXXX XXXXX XXÄXXXX

XXXXXXXXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX XXX XXXXXXX

Xxxxxx 7 xxxxxxxx Evropského xxxxxxxxxx x Xxxx (XX) 2016/1191 ze dne 6. xxxxxxxx 2016 x xxxxxxx volného xxxxxx občanů xxxxxxxxxxxxx xxxxxxxxx xx předkládání xxxxxxxxx xxxxxxxxx xxxxxx x Xxxxxxxx xxxx x o xxxxx xxxxxxxx (XX) x. 1024/2012 (1)

Xxxxxx (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (DK) Německo (XX)

Xxxxxxxx (EE) Irsko (XX)

Xxxxx (XX) Španělsko (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (LV) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxx (NL) Xxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (RO) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Xxxxxx (XX)

Xxxxxxx (XX) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

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

Tento formulář xxxxxx xxxxx xxxxxxx xxxxxxx, x níž xx xxxxxxxx. Xxxxx, xxxxx xx xxxxxxx xxxxxxx předkládána, xxxx xxxx x xxxxxxxxx, xxx xx xx xxxxxxxx xxx xxxxx xxxxxxxxxx xxxxxxx listiny, xxxxxxxxx xxxxxxx xx xxxxxx informací, xxxxx xxxx xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX XXXXX

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

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

1. XXXXX VYDÁVAJÍCÍ XXXXX XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Název (4)

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

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

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx xxxxxx xxxxxxx zástupcem

3.1.3 Xxxxxxx vydaná vyšším xxxxxxx xxxxxxxxx

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

3.1.5 Xxxx (xxxxxxxxx)

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

(2) Xxx xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

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

(4) Xxxxx „xxxxx“ je xxxxx xxxxxxxx jako úřední xxxxx xxxxxx xxxxxxxxxxxx xxxxxxxx listinu, x xxx je přiložen xxxxx xxxxxxxx.

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Výpis x xxxxxxx

3.2.3 Xxxxx x xxxxxxxx obyvatel

3.2.4 Xxxx xxxxxxxxxx záznamů

3.1.5 Xxxx (xxxxxxxxx)

3.3 Notářská xxxxxxx

3.4 Xxxxxx xxxxxxxxx, xxxxxx xxxx opatřena xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

3.5 Xxxxxxx xxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxx nebo konzulárním xxxxxxxxx členského státu x xxxxx xxxxxx xxxx xxxxxxxxxx povinností

3.6 Xxxxx (xx/xx/xxxx) vydání

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. MANŽELSTVÍ

4.1 Datum (xx/xx/xxxx) xxxxxxxx manželství

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

5. MANŽEL/MANŽELKA X

5.1 Xxxxx/x xxxxxxxx

5.2 Xxxxxxxx xxxx xxxxxxxxx xxxxxxxxxx

5.3 Xxxxxxxx xx uzavření xxxxxxxxxx

5.4 Jméno (xxxxx)

5.5 Xxxxx (dd/mm/rrrr) xxxxxxxx

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

5.6.1 Xxxx

5.6.2 Xxx

5.6.3 Xxxxxxxx

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

(2) Xxxxx xxxx a – pokud existuje – kód ISO xxxx země nebo xxxxxxx „Xxxx (xxxxxxxxx)“ xx xxxxx xxxxxx x rozbalovací nabídky xx xxxxxxxx vícejazyčném xxxxxxxxxxx formuláři, xxxxx xx k xxxxxxxxx xx xxxxxxx evropské x-xxxxxxx.

6. XXXXXX/XXXXXXXX X

6.1 Xxxxx/x xxxxxxxx

6.2 Xxxxxxxx xxxx xxxxxxxxx xxxxxxxxxx

6.3 Xxxxxxxx xx xxxxxxxx xxxxxxxxxx

6.4 Xxxxx (xxxxx)

6.5 Xxxxx (xx/xx/xxxx) xxxxxxxx

6.6 Xxxxxxx:

6.6.1 Žena

6.6.2 Xxx

6.6.3 Xxxxxxxx

7. XXXX XXX XXXXXX

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

7.2 Funkce úředníka, xxxxx vydal xxxxx xxxxxxxx

7.3 Xxxxx (xx/xx/xxxx) xxxxxx

7.4 Xxxxxx

7.5 Pečeť xxxx razítko

VÍCEJAZYČNÝ XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) AUTORIDAD XXX XXXXXX ESTE XXXXXXX/ (XX) XXXXX XXXXXXXXXX TENTO XXXXXXXX/ (XX) XXXXX FORMULARS XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, XXX XXXXXX XXXXXXXX AUSSTELLT/ (XX) XÄXXXXXXX VORMI XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX XXXX/ (XX) XXXXXXXX XX DÉLIVRANCE XX XXXXXXX FORMULAIRE/ (XX) XX xXXXXXX X XXXXXXXX AN XXXXXX XXX/ (XX) XXXXXX XXXX XXXXXX OVAJ XXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX IL XXXXXXXX XXXXXX/ (XX) XXXXXXXXX IZDEVĒJIESTĀDE/ (XX) XXĄ FORMĄ IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX XX' XXX XX-XXXXXXX/ (XX) AUTORITEIT XXX XXXXXXX VAN XXX FORMULIER/ (XX) XXXXX WYDAJĄCY NINIEJSZY XXXXXXXXX/ (PT) XXXXXXXXXX XXX XXXXX X XXXXXXXX XXXXXXXXXX/ (RO) XXXXXXXXXXX EMITENTĂ X XXXXXXXXXXX XXXXXXXX/ (SK) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (SL) XXXXX, XX XXXX XX XXXXXXX/ (FI) XÄXÄX XXXXXXXXX ANTAVA VIRANOMAINEN/ (XX) XXXXXXXXX XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) DENOMINACIÓN/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (XX) BEZEICHNUNG/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (FR) XXXXXXXXXXXX/ (GA)AINMNIÚ/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) NOSAUKUMS/ (LT) XXXXXXXXXXX/ (HU) XXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXÇÃX/ (XX) XXXXXXXX/ (SK) XXXXX/ (XX) IME/ (XX) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) AUTORIDAD XXX EXPIDE XX XXXXXXXXX XXXXXXX AL XXX SE XXXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, K XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXX XXXXXXXXX, XXX XXX XXXXXXX XXX XXXXXXXXXX XXXXXXXX, SOM XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXÖXXX, DIE XXX ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX FORMULAR XXXXXXÜXX XXX, 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) AUTHORITY XXXXXXX XXX XXXXXX XXXXXXXX TO XXXXX XXXX FORM IS XXXXXXXX/ (XX) XXXXXXXX XX DÉLIVRANCE DU XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX tÚDARÁS X XXXXXXXX XX DOICIMÉAD XXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (HR) XXXXXX XXXX XXXXXX XXXXX XXXXXXX KOJOJ XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ CHE XXXXXXXX IL XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX FORMA, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) AWTORITÀ XXXXXXXXX XXX-XXXXXXXX PUBBLIKU XX MIEGĦU HIJA XXXXXŻX XXX XX-XXXXXXX/ (XX) AUTORITEIT XXX XXXXXXX VAN XXX XXXXXXXX XXXXXXXX WAARAAN XXX FORMULIER XX XXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXX XXXĘXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX ZAŁĄCZONY/ (XX) XXXXXXXXXX XXX XXXXX O DOCUMENTO XXXXXXX A QUE X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (RO) XXXXXXXXXXX EMITENTĂ X XXXXXXXXXXXX XXXXXXX XX XXXX ESTE XXXXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX XXXX XXXXX XXXXXXX, XX XX XX PRILOŽEN XX XXXXXXX/ (FI) VIRANOMAINEN, XXXX ON XXXXXXX XXXXXXX XXXXXXXXXX, JOHON XÄXÄ XXXXXX LIITETÄÄN/ (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) XXXXXXXXXXX XXXXXXXX AL XXXXXXXXX XXXXXXX XX XXX SE XXXXXXX XXXX XXXXXXX/ (CZ) XXXXXXXXX TÝKAJÍCÍ XX XXXXXXX XXXXXXX, K XXX XX PŘILOŽEN XXXXX XXXXXXXX/ (DA) XXXXXXXXXXX VEDRØRENDE XXX XXXXXXXXXX XXXXXXXX, SOM XXXXX FORMULAR XX XXXXÆXXXX/ (XX) ANGABEN XXX ÖFFENTLICHEN URKUNDE, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX XXXXXXX XXXXXXXXX XXXXX, MILLELE XXX XXXX XX LISATUD/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX RELATING TO XXX XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) INFORMATIONS XXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX FORMULAIRE/ (XX) XXXXXXXX X XXXXXXXXX XXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX AN FHOIRM XXX XXXXXXXXXX/ (XX) XXXXXXXXXXX KOJE XX XXXXXX NA JAVNU XXXXXXX XXXXX XX XXXX OBRAZAC PRILOŽEN/ (XX) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È ALLEGATO/ (XX) INFORMĀCIJA XXX XXXXXXXX XXXXXXXXX, XXXXX XĪ VEIDLAPA XX XXXXXXXXXX/ (XX) INFORMACIJA, XXXXXXXX XX XXXXXXXX XXXXXXXXX, PRIE XXXXX XXXXXXXXX XX FORMA/ (XX) X FORMANYOMTATVÁNNYAL XXXXXX KÖZOKIRATRA XXXXXXXXX XXXXXXXXXXX/ (MT) XXXXXXXXXXXXX XXXX ID-DOKUMENT PUBBLIKU XX MIEGĦU HIJA XXXXXŻX XXX IL-FORMOLA/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX DIT XXXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXXXXXXXX FORMULARZ XXXX XXŁĄXXXXX/ (PT) XXXXXXXÇÕXX XXXXXXXXX AO DOCUMENTO XXXXXXX X XXX X PRESENTE FORMULÁRIO XXXX APENSO/ (XX) XXXXXXXȚXX XXXXXXXXXXX LA XXXXXXXXXX XXXXXXX XX XXXX XXXX ANEXAT XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXX XXXXXXX, KU XXXXXX XX TENTO FORMULÁR XXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXX X XXXXX LISTINO, KI XX XX XXXXXXXX XX XXXXXXX/ (FI) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (SV) INFORMATION XX DEN XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (ES) XXXXXXXXX XXXXXXXX XXX XXX XXXXXXXXX X XX XXXXXXXXXXX XXXXXXXXX X XXX XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (CZ) XXXXXXX XXXXXX ORGÁNEM XXXX ÚŘEDNÍKEM X XXXXXX NA SOUDY XXXXXX ČLENSKÉHO XXXXX/ (XX) XXXXXXXX, DER XX XXXXXXX XX XX XXXXXXXXX XXXXX XX XXXXXXXXXX, XXX XX TILKNYTTET DOMSTOLE X XX XXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXÖXXX ODER XXXXX XXXXXXXXXX ALS XXXXX XXX RECHTSPFLEGE EINES XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX VÄLJA XXXXXX LIIKMESRIIGI XXXXXXXXX XXXXXX AMETIASUTUS XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (EN) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXX OR XX XXXXXXXX CONNECTED XXXX THE XXXXXX XX XXXXXXXXX XX X MEMBER XXXXX/ (XX) XXXXXXXX XXXXXXX X'XXX AUTORITÉ XX X'XX XXXXXXXXXXXXX XXXXXXXX X'XXX JURIDICTION X'XX XXXX XXXXXX/ (GA) XXXXXXXXX A XXXXXXX X XXXXXX XX X XXXXXXXXX X XXXXXX XXXXX XXXX XX XXXX XX XXXXXXXXXX XX LE XXXXX XX XXXXX XXXXXXXXX/ (XX) ISPRAVA XXXX XX XXXXXX XXXXXX ILI XXXXXXXXX XXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ X XX XX XXXXXXXXXXX XXXXXXXXXXXX AD XXX XXXXX XXXXXXXXXXXXX DI XXX XXXXX XXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XX XXXĪXXXXXXX XXXXĀX XXXXXĪXX IESTĀDE XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX XXXXXXXX XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX TEISMAIS XX XXXXXXXXXXX/ (XX) TAGÁLLAMI XXXXXXXXXX KAPCSOLATBAN ÁLLÓ XXXXXXX XXXX XXXXXXXXXXŐ XXXXX KIÁLLÍTOTT OKIRAT/ (XX) DOKUMENT XXĦXXĠ XXXX XXXXXXXÀ XXX XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX XXX XX-XXXXXXXXX TA' XXXX XXXXXX/ (NL) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX XXX EEN XXXXXXXXXXXX INSTANTIE XXX XXX LIDSTAAT/ (XX) XXXXXXXX POCHODZĄCY OD XXXXXX SĄDOWEGO LUB XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX DE UMA XXXXXXXXXX OU DE XX XXXXXXXXXXX XXXXXXXXXX XX XXXXXXXX JURISDIÇÃO XX XX XXXXXX-XXXXXX/ (XX) DOCUMENT XXXX XX X XXXXXXXXXX XXX DE UN XXXXȚXXXXX XX XX XÂXXĂ XXXXXXȚXXX UNUI XXXX XXXXXX/ (SK) XXXXXXX VYDANÁ XXXXXXX XXXXX ÚRADNÍKOM X XÄXXXX NA XXXX XXXXXXXXX ŠTÁTU/ (XX) XXXXXXX, XXXXXX X XXXXXX XXXXXX XXX XXXXXXXX XXXXX XXXXXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX, JONKA XX XXXXXXX JÄSENVALTION XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXXXXXXXX ELLER XX TJÄNSTEMAN XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X EN XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX JUDICIAL/ (XX) ROZHODNUTÍ XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX DECISION/ (XX) DÉCISION XX XXXXXXX/ (GA) XXXXXXXX XX gCÚIRT/ (HR) XXXXXX ODLUKA/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (XX) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (XX) XXĊXŻXXXX TAL-QORTI/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (XX) XXXXXÃX XXXXXXXX/ (RO) XXXĂXÂXX JUDECĂTOREASCĂ/ (SK) XXXXX ROZHODNUTIE/ (SL) XXXXX ODLOČBA/ (FI) XXXXXXXXXXXXXX XÄÄXÖX/ (SV) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX EXPEDIDO XXX XX XXXXXXXXXX XXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX UDSTEDT AF XX XXXXXXXXXXXXXXXX/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT, MILLE XX XÄXXX XXXXXX XXXXXXX SÜÜDISTAJA/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (EN) XXXXXXXX XXXXXXXXX FROM A XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XXXXXXÈXX XXXXXX/ (XX) XXXXXXXXX X THAGANN X XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX KOJU XX IZDALO DRŽAVNO XXXXXXXXXXXX/ (IT) XXXXXXXXX XXXXXXX XXX PUBBLICO XXXXXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) PROKURORO XXXXXXXX XXXXXXXXXX/ (XX) ÜXXXXX XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXX XXXXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX XX PROKURATORA/ (XX) DOCUMENTO XXXXXXXXXXX XX MINISTÉRIO PÚBLICO/ (XX) XXXXXXXX XXXX XX UN PROCUROR/ (XX) LISTINA XXXXXX XXXXXXXXXXXX/ (SL) XXXXXXX, XX XX IZDA XXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX SYYTTÄJÄN XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX UN XXXXXXXXXX XXXXXXXX/ (XX) LISTINA XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (DA) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXÆX/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX EINES GERICHTS/ (XX) DOKUMENT, MILLE XX XÄXXX XXXXXX XXXXXXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (EN) XXXXXXXX XXXXXXXXX XXXX X XXXXX XX A XXXXX/ (FR) XXXXXXXX XXXXXXX X'XX XXXXXXXX/ (XX) DOICIMÉAD X XXXXXXX X XXXXXXXXXX XX XXXXX CÚIRTE/ (XX) XXXXXXX XXXX XX IZDAO UPRAVITELJ XXXXXX XXXXXXXXX/ (IT) XXXXXXXXX EMANATO DA XX XXXXXXXXXXX/ (XX) XXXXXXXXX, KURU IZSNIEDZIS XXXXXX XXXXXXĀXX/ (XX) XXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ MINN XXĠXXXXXXXX XX' XXXXX/ (NL) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX OD XXXXXXXXXX XĄXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX DE XX XXXXXXX DE XXXXXÇX/ (XX) DOCUMENT XXXX DE XX XXXXXXX AL INSTANȚEI/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXX, XX XX XXXX SODNI USLUŽBENEC/ (XX) XXXXXXXXXXXXXX SIHTEERIN XXXXXX XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX XX DOMSTOLSTJÄNSTEMAN

3.1.4

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („HUISSIER XX XXXXXXX“)/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXX («XXXXXXXX DE XXXXXXX»)/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („HUISSIER XX XXXXXXX“)/ (DA) XXXXXXXX XXXXXXX XX XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (XX) XXXXXXX EINES GERICHTSVOLLZIEHERS/ (XX) DOKUMENT, XXXXX XX VÄLJA XXXXXX XXXXXXÄXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (XX) DOCUMENT XXXXXXXXX FROM A XXXXXXXX XXXXXXX ('XXXXXXXX XX JUSTICE')/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXX A XXXXXXX Ó OIFIGEACH XXXXXXXXXXXX (“XXXXXXXX DE XXXXXXX”)/ (XX) XXXXXXX XXXX JE XXXXX XXXXXX OVRŠITELJ (XXXXXXXX XX JUSTICE)/ (IT) XXXXXXXXX XXXXXXX DA XX UFFICIALE GIUDIZIARIO ("XXXXXXXX XX XXXXXXX")/ (XX) DOKUMENTS, XXXX XXXXXXXXXX TIESAS IZPILDĪTĀJS (XXXXXXXX XX JUSTICE)/ (XX) XXXXXXXXX (XXXXXXXX XX JUSTICE) XXXXXXXX XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXXX („XXXXXXXX DE XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) DOCUMENT XXXXXXXXX DOOR XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX OD XXXĘXXXXX XĄXXXXXX (HUISSIER XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX XX UMESCRIVÃO XX DIREITO («HUISSIER XX XXXXXXX»)/ (RO) XXXXXXXX XXXX XX XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX DE JUSTICE”)/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXXXĽXX („HUISSIER XX XXXXXXX“)/ (XX) XXXXXXX, XX XX XXXX XXXXX IZVRŠITELJ („XXXXXXXX XX XXXXXXX“)/ (XX) HAASTEMIEHEN (”XXXXXXXX XX XXXXXXX”) XXXXXX XXXXXXXXX/ (XX) 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 (XXXXX XXXXXXX)/ (ET) XXX (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) OTHER (XX XX SPECIFIED)/ (XX) XXXXX (À XXXXXXXX)/ (XX) EILE (XX XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (XX) XXXXX (XXXXXXXXX)/ (XX) XXXX (PRECIZĒT)/ (XX) XXXX (NURODYTI)/ (XX) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) OĦRAJN (IPPREĊIŻA)/ (XX) XXXXXXX (SPECIFICEREN)/ (XX) XXXX (XXXXXĘ XXXXŚXXĆ)/ (XX) XXXXXX (X XXXXXXXXXXX)/ (XX) XXXXX (X XX XXXXXXX)/ (XX) XXX (XXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXX XXXXXXXXX (TÄSMENNETTÄVÄ)/ (XX) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (CZ) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX VERWALTUNGSBEHÖRDE/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) ADMINISTRATIVE XXXXXXXX/ (XX) DOCUMENT XXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ (HR) XXXXXXX XXXXXXX/ (IT) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (LT) ADMINISTRACINIS XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (PL) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) SPRÁVNA XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) ADMINISTRATIV XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (CZ) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (ET) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (FR) CERTIFICAT/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (LT) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (MT) ĊXXXXXXXXX/ (XX) CERTIFICAAT/ (XX) XXŚXXXXXXXXXX/ (PT) XXXXXXÃX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (SK) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX DEL XXXXXXXX XXXXX/ (XX) XXXXX X XXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX XXX DEM XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) EXTRACT XXXX XXX XXXXX XXXXXX REGISTER/ (FR) XXXXXXX XX XXXXXXXX XX X'XXXX XXXXX/ (XX) SLIOCHT XX XX xXXXX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXX XXXXXX/ (IT) XXXXXXXX XX XXXX DI XXXXX XXXXXX/ (LV) XXXXXXXX NO XXXXXXXĀXXXĻX XXXX REĢISTRA/ (LT) XXXXXXX XX XXXXXXXĖX XŪXXĖX XXXŲ REGISTRO/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXX UIT HET XXXXXXXX XXX XX XXXXXXXXXXX XXXXX/ (PL) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXX XX ATOS XX XXXXXXX XXXXX/ (XX) XXXXXX XXX XXXXXXXXX DE XXXXX XXXXXĂ/ (XX) XXXXX X XXXXXXXX XXXXXXXX XXXXX/ (SL) IZPISEK XX REGISTRA X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (SIVIILISÄÄTY)/ (XX) XXXXXX XX FOLKBOKFÖRINGEN

3.2.3

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX XXX CENSO/ (XX) VÝPIS X XXXXXXXX XXXXXXXX/ (DA) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX MELDEREGISTER/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX FROM XXX XXXXXXXXXX XXXXXXXX/ (FR) XXXXXXX DU XXXXXXXX XX XX POPULATION/ (XX) XXXXXXX XX XX xXXXX XXXXXX/ (XX) IZVADAK XX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XX XXXXĪXXXĀXX XXĢXXXXX/ (XX) XXXXXXX XX GYVENTOJŲ REGISTRO/ (XX) XXXXXXX A XXXXXXXXXXXX- ÉS XXXXXXXXXXXXXXXXXXXXXX/ (XX) ESTRATT MIR-REĠISTRU XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX XXX BEVOLKINGSREGISTER/ (XX) XXXXĄX X XXXXXXXX XXXXXŚXX/ (XX) XXXXXXX XX REGISTO XX XXXXXXÇÃX/ (XX) XXXXXX XXX REGISTRUL XX XXXXXXȚĂ X XXXXXXȚXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXĽXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXXXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX LITERAL XX ACTAS DEL XXXXXXXX XXXXX/ (XX) XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXX XX CIVILSTANDSREGISTRE/ (DE) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX XX XXXXX XXXXXX RECORDS/ (XX) XXXXX XXXXXXXXX X'XXXXX XX L'ÉTAT CIVIL/ (XX) CÓIP XXXXX XX XXXXXX XX XXXXXXX XX XXXXXX XXXXXXXXX/ (XX) DOSLOVNI XXXXXXXX XX EVIDENCIJA X XXXXXXX XXXXXX/ (XX) XXXXX XXXXXXXXX XX ATTO XX XXXXX XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX XXĢXXXXX XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮXXXŲ PAŽODINĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (MT) KOPJA XXXXXXXX TAL-ATTI TAL-ISTAT ĊXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXX XXX XXXXX XXX XX BURGERLIJKE XXXXX/ (PL) ODPIS XXXXŁXX XXXX XXXXX XXXXXXXXX/ (PT) XXXXXXÃX XX CÓPIA XXXXXXXX XX DE XXXXXXXXX XX XXXX XX XXXXXXX XXXXX/ (XX) XXXXX XXXXXĂ A XXXX XXX DE XXXXX CIVILĂ/ (XX) XXXXXXXX VÝPIS XX XXXXXXX X XXXXXXX XXXXX/ (SL) XXXXXXXX XXXXXX XXXXXX O XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX SANATARKKA JÄLJENNÖS/ (XX) ORDAGRANN AVSKRIFT XX FOLKBOKFÖRINGSHANDLING

3.3

(BG) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (DA) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX/ (ET) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) XXXX NOTARIÉ/ (XX) XXXXXX NÓTAIREACHTA/ (XX) XXXXXXXXXXXXXXXX ISPRAVA/ (XX) XXXX XXXXXXXX/ (XX) NOTARIĀLS XXXX/ (XX) XXXXXXXXX XXXXX/ (XX) KÖZJEGYZŐI XXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXËXX AKTE/ (XX) XXX XXXXXXXXXX/ (XX) XXX NOTARIAL/ (XX) ACT XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX XXXXXX XXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXX, KTERÝM XXXX XXXXXXXX LISTINA XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) OFFICIEL XÅXXXXXXX XÅ XX XXXXXXXX XXXXXXXXXXX AF EN XXXXXX I XXXXXX XXXXXXXX XX PRIVATPERSON/ (XX) AMTLICHE 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) OFFICIAL XXXXXXXXXXX XXXXXX ON X XXXXXXXX XXXXXX XX X XXXXXX XX XXX XX XXX XXXXXXX XXXXXXXX/ (XX) DÉCLARATION XXXXXXXXXX XXXXXXX XXX UN XXXX SOUS SEING XXXXX/ (XX) DEIMHNIÚ XXXXXXXXX X CHUIRTEAR XX XXXXXXXXXX XXXX XXXXXX XX XXXXX XXX XXXXX XX XXX CÁIL PHRÍOBHÁIDEACH/ (XX) SLUŽBENA XXXXXXX XXXXXXXXX XX XXXXXXX XXXX JE OSOBA XXXXXXXXX U PRIVATNOM XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX SU XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXĀXX XXXXXXXXĀXXXX XX XXXXXXXXX, XX XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (LT) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX PATVIRTINIMAI/ (XX) MAGÁNOKIRATON ELHELYEZETT XXXXXXXXX XXXXXXXXXXX/ (MT) ĊXXXXXXXXX XXXXĊXXXX XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX PERSUNA XXX-XXXXĊXXÀ XXXXXXX TAGĦHA/ (XX) XXXXXXXXX CERTIFICAAT OP XXX XXXXXXXX XXXXXXXXXXX XXXX XXX PERSOON XX XXXX PARTICULIERE XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX UMIESZCZONE NA XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ W XXXXXXXXXXX PRYWATNYM/ (PT) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX ATO XX XXXXXXXX XXXXXXX/ (RO) XXXXXXXXXX XXXXXXX XXXXXXX XX XX XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX OSVEDČENIE XXXXXXX XX XXXXXXX XXXXXXXXXX OSOBOU KONAJÚCOU XXX XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXX XX XXXXXXX XXXXXXX/ (XX) VIRALLINEN XXXXXXXX XXXXXXXXXXXX, JONKA XXXXXXÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX XXXXX XXXXXXXXX XÅ XX XXXXXXXX SOM UNDERTECKNATS XX XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXXXXX O XXXXXXXX XX XX XXXXXX XXXXXXX CON XXXXXXXX XXXXXXX/ (XX) XXXXXXX VYHOTOVENÁ XXXXXXXXXXXXX XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX STÁTU X XXXXX XXXXXX XXXX XXXXXXXXXX POVINNOSTÍ/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX XX EN XXXXXXXXXXXX DIPLOMATISKE XXXXX XXXXXXÆXX REPRÆSENTANT/ (XX) XXX XXXXX XXXXXXXXXXXXXX XXXX KONSULARISCHEN XXXXXXXXX XXXXX MITGLIEDSTAATS XX XXXXXX AMTLICHEN FUNKTION XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX DOKUMENT/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX DRAWN XX XX X XXXXXXXXXX XX XXXXXXXX XXXXX OF X XXXXXX STATE IN XXX XX XXX XXXXXXXX CAPACITY/ (FR) XXXXXXXX XXXXXX XX XX QUALITÉ OFFICIELLE XXX UN AGENT XXXXXXXXXXXX XX CONSULAIRE X'XX XXXX XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX SUAS XX XXXXXXXXXX XXXXXXXXXXXXXXXX NÓ XXXXXXXXX XX XXXXX XXXXXXXXX INA XXXXX XX INA XXXX XXXXXXXXX/ (HR) ISPRAVA XXXX JE U XXXXXXXXX SVOJSTVU XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX DRŽAVE ČLANICE/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX XXXXXXXXXXX X CONSOLARI XX XXX STATO XXXXXX XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (LV) DOKUMENTS, XXXX, PILDOT AMATA XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (XX) DOKUMENTAS, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX XX XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX XXXXX XXXXXXXXXX ĮGALIOJIMUS/ (HU) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX XXXXX HIVATALOS XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXXX MINN XĠXXX XXXXXXXXXXX XXX XXXXXXXXX XX' XXXX XXXXXX XXX-XXXXĊXXÀ UFFIĊJALI XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX DOOR XX XXXXXXXXXXXX XX CONSULAIRE XXXXXXXXX VAN EEN XXXXXXXX XX ZIJN XXXXXXËXX HOEDANIGHEID/ (XX) XXXXXXXX SPORZĄDZONY XXXXX XXXXXXXXXXXXXXX DYPLOMATYCZNEGO XXX XXXĘXXXXX KONSULARNEGO XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX URZĘDOWYM/ (XX) XXXXXXXXX XXXXXXX XXX XX XXXXXX XXXXXXXXXXX XX XXXXXXXX XX XX XXXXXX-XXXXXX NO XXXXXXXXX XXX SUAS XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎNTOCMIT XX XĂXXX XX XXXXX XXXXXXXXXX XXX CONSULAR XX UNUI XXXX XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM XXXXXXXXX XXXXX XXXXXXXXXXX ÚRADNÍKOM XXXXXXXXX XXXXX V XXXXX VÝKONU XXXX XXXXXXX/ (SL) XXXXXXX, XX XX XXX XXXXXX OSEBA IZDA XXXXXXXXXXX XXX KONZULARNI XXXXXXXXXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX XX XXXXXXXX VIRANTOIMITUKSESSA/ (XX) XXXXXXXX XXXXÄXXXX I XXÄXXXXX AV EN XXXXXXXXXXX ELLER KONSULÄR XXÄXXXXXXX X EN XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (CZ) DATUM (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (XX/XX/XXXX) OF XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (DD/MM/GGGG) XXXXXXXXX/ (XX) XXXX XX RILASCIO (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (NL) XXXXX (XX/XX/XXXX) VAN XXXXXXX/ (XX) DATA (XX/XX/XXXX) WYDANIA/ (PT) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXX/ (FI) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) FÖR UTFÄRDANDE

3.7

(BG) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (ES) XXXXXX XX REFERENCIA XXX DOCUMENTO XXXXXXX/ (XX) REFERENČNÍ XXXXX XXXXXXX XXXXXXX/ (XX) XXX OFFENTLIGE XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖXXXXXXXXXXX URKUNDE/ (XX) AVALIKU XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (EN) REFERENCE XXXXXX XX THE XXXXXX DOCUMENT/ (FR) XXXXXX DE XXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXX XXXXXXXXX XX XXXXXXXXX PHOIBLÍ/ (XX) REFERENTNI XXXX XXXXX XXXXXXX/ (XX) XXXXXX DI XXXXXXXXXXX XXX DOCUMENTO XXXXXXXX/ (XX) PUBLISKĀ DOKUMENTA XXXXXXXX XXXXXX/ (LT) XXXXXXX XXXXXXXXX NUMERIS/ (XX) A XÖXXXXXXX XXXXXXXXXXX SZÁMA/ (XX) XXXXX TA' REFERENZA XXX-XXXXXXXX PUBBLIKU/ (XX) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX REFERENCYJNY DOKUMENTU XXXĘXXXXXX/ (XX) NÚMERO XX REFERÊNCIA XX XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX XX REFERINȚĂ XX DOCUMENTULUI XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXXX LISTINY/ (XX) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) YLEISEN XXXXXXXXXX XXXXXXXXXXX/ (SV) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) БРАК/ (ES) XXXXXXXXXX/ (XX) MANŽELSTVÍ/ (XX) ÆGTESKAB/ (XX) XXXXXXXXXXXXXX/ (XX) XXXXXX/ (XX) ΓΑΜΟΣ/ (XX) XXXXXXXX/ (FR) XXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX XXXXX/ (XX) XXXXXXXXXX/ (LV) LAULĪBA/ (XX) SANTUOKA/ (XX) XXXXXXXXXÖXXX/ (MT) ŻXXXĠ/ (XX) XXXXXXXX/ (PL) XXŁŻXŃXXXX/ (PT) XXXXXXXXX/ (XX) XĂXĂXXXXX/ (XX) XXXXXXXXXX/ (XX) SKLENITEV XXXXXXXX ZVEZE/ (XX) XXXXXXXXXX/ (XX) ÄXXXXXXXX

4.1

(XX) ДАТА (ДД/ММ/ГГГГ) НА БРАКА/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXX (TT/MM/JJJJ) XXX XXXXXXXXXXXXXX/ (XX) ABIELLUMISE XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΤΕΛΕΣΗΣ ΤΟΥ ΓΑΜΟΥ/ (EN) XXXX (DD/MM/YYYY) XX XXX MARRIAGE/ (XX) XXXX (JJ/MM/AAAA) XX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) AN XXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX XXXXX/ (XX) XXXX XX MATRIMONIO (XX/XX/XXXX)/ (XX) XXXXĪXXX XXXXĒXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXXXX XXXX (XX/XX/XXXX)/ (HU) X XXXXXXXXXÖXXX IDEJE (XXXX/XX/XX)/ (MT) DATA (XX/XX/XXXX) TAŻ-ŻWIEĠ/ (NL) XXXXX (XX/XX/XXXX) XXX XXX HUWELIJK/ (XX) XXXX (DD/MM/RRRR) XXXXXXXX XXŁŻXŃXXXX/ (XX) DATA XX XXXXXXXXX (XX/XX/XXXX)/ (XX) DATA (ZZ/LL/AAAA) XĂXĂXXXXXX/ (XX) DÁTUM (XX/XX/XXXX) UZAVRETIA XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXX ZAKONSKE XXXXX/ (XX) XXXXXXXXXX SOLMIMISPÄIVÄ (XX/XX/XXXX)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) FÖR ÄXXXXXXXXXXX XXXÅXXXX

4.2

(XX) МЯСТО И ДЪРЖАВА НА БРАКА/ (XX) XXXXX X XXXX DEL MATRIMONIO/ (XX) XXXXX A XXXX XXXXXXXX XXXXXXXXXX/ (XX) VIELSESSTED XX -XXXX/ (XX) ORT XXX XXXX DER XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXX XXXX XX RIIK/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΤΕΛΕΣΗΣ ΤΟΥ ΓΑΜΟΥ/ (EN) XXXXX XXX XXXXXXX OF XXX XXXXXXXX/ (XX) XXXX XX XXXX XX MARIAGE/ (XX) XXX AGUS TÍR XX PHÓSTA/ (HR) XXXXXX X ZEMLJA XXXXXXXXX BRAKA/ (XX) XXXXX X PAESE XX XXXXXXXXXX/ (XX) XXXXĪXXX NOSLĒGŠANAS VIETA XX VALSTS/ (LT) XXXXXXXXX SUDARYMO XXXXX XX XXXXX/ (HU) X XXXXXXXXXÖXXX HELYE XX XXXXXXX/ (XX) XXXX X PAJJIŻ XXŻ-ŻXXXĠ/ (NL) PLAATS XX LAND VAN XXX XXXXXXXX/ (XX) XXXXXXX X XXŃXXXX XXXXXXXX XXŁŻXŃXXXX/ (XX) XXXXX X PAÍS XX CASAMENTO/ (RO) XXXXX ȘX ȚXXX XĂXĂXXXXXX/ (XX) XXXXXX X XXXX XXXXXXXXX XXXXXXXXXX/ (XX) XXXX XX XXXXXX XXXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXXXXX XX -XXX/ (SV) XXX XXX XXXX XÄX ÄXXXXXXXXXX INGICKS

5.

(BG) СЪПРУГ X/ (XX) XXXXXXX X/ (XX) XXXXXX/XXXXXXXX X/ (DA) ÆXXXXÆXXX X/ (XX) EHEPARTNER X/ (XX) ABIKAASA X/ (XX) ΣΥΖΥΓΟΣ Α/ (XX) XXXXXX X/ (XX) XXXXXXXX X/ (XX) CÉILE X/ (XX) XXXXXX XXXX X/ (IT) XXXXXXX A/ (XX) XXXXĀXXXX X/ (XX) XXXXXXXXXXX X/ (XX) „X” XXXXXXXXX/ (MT) XXXXXĠX X/ (NL) XXXXXXXX(X)X(X) X/ (PL) XXŁŻXXXX X/ (XX) XÔXXXXX X/ (XX) XXȚXX X/ (XX) XXXXXX/XXXXXXXX A/ (SL) XXXXXXX A/ (XX) XXXXXXX X/ (XX) XXXX/XXXX X

5.1

(XX) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (XX) APELLIDO(S) XX XXXXXXXXXX/ (XX) XXXXX/X XXXXXXXX/ (DA) XXXXXXXXX(X) XXX XØXXXXX/ (DE) XXXXXXXXXXXX(X) BEI XXX XXXXXX/ (XX) SÜNNIJÄRGNE XXXXXXXXXXXXX (XÜXXXXÄXXXXX PEREKONNANIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (EN) XXXXXXX(X) XX XXXXX/ (XX) XXX(X) À XX NAISSANCE/ (GA) XXXXXXX (SLOINNTE) XXXXXXX/ (XX) PREZIME(NA) PRI XXĐXXXX/ (IT) XXXXXXX/X XXXX NASCITA/ (XX) XXXĀXXX(-X) XXXXXXXXX XXĪXĪ/ (XX) PAVARDĖ (-ĖX), XXXXXXXX (-XX) GIMUS/ (XX) SZÜLETÉSI XXXXXXX XXXX(X)/ (MT) KUNJOM(/KUNJOMIJIET) XXX-XXXXXX/ (XX) XXXXXXXX(X)X(XX) XXX XX XXXXXXXX/ (XX) XXXXXXXX(-X) XXXXXX/ (XX) APELIDO(S) À XXXX DO XXXXXXXXXX/ (XX) XXXXXX XX XXȘXXXX/ (XX) RODNÉ XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX XX XXXXXXX/ (XX) XXXXXXXX (-NIMET) XXXXXXÄXXXXXXXÄ/ (XX) XXXXXXXXX XXX XÖXXXXX

5.2

(XX) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ БРАКА/ (XX) XXXXXXXX(X) ANTES DE XXXXXXXX XXXXXXXXXX/ (CZ) XXXXXXXX PŘED XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXX(X) XØX XXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX DER XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX (-XXXXX) ENNE ABIELLUMIST/ (XX) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΤΟΝ ΓΑΜΟ/ (EN) XXXXXXX(X) XXXXXX THE XXXXXXXX/ (FR) NOM(S) XXXXX XX MARIAGE/ (XX) XXXXXXX (SLOINNTE) XXXXX AN xXXXXXX/ (XX) XXXXXXX(XX) PRIJE XXXXXXXXX BRAKA/ (XX) XXXXXXX/X XXXXX DEL XXXXXXXXXX/ (XX) UZVĀRDS(-I) XXXXX LAULĪBAS/ (XX) XXXXXXĖ (-ĖX) XXXXX XXXXXXXĄ/ (XX) XXXXXXX XXXX(X) X XXXXXXXXXÖXXX XXŐXX/ (XX) KUNJOM(/KUNJOMIJIET) XXXXX IŻ-ŻWIEĠ/ (XX) XXXXXXXX(X)X(XX) XXXX XXX XXXXXXXX/ (XX) XXXXXXXX(-X) XXXXX ZAWARCIEM XXŁŻXŃXXXX/ (XX) XXXXXXX(X) XXXXX XX CASAMENTO/ (XX) XXXXXX ÎXXXXXX XX XĂXĂXXXXX/ (SK) XXXXXXXXXX(-X) XXXX XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX/XXXXXXX XXXX XXXXXXXXXXX ZAKONSKE XXXXX/ (XX) SUKUNIMI (-XXXXX) XXXXX AVIOLIITTOA/ (XX) XXXXXXXXX XÖXX ÄXXXXXXXXXXX XXXÅXXXX

5.3

(XX) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА БРАКА/ (XX) XXXXXXXX(X) XXXXXXX XX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXX MANŽELSTVÍ/ (XX) XXXXXXXXX(X) XXXXX VIELSEN/ (XX) XXXXXXXXXXXX(X) NACH XXX XXXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXX (-XXXXX) PÄRAST XXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΜΕΤΑ ΤΟΝ ΓΑΜΟ/ (XX) SURNAME(S) XXXXXXXXX XXX XXXXXXXX/ (FR) XXX(X) À XX XXXXX DU XXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXX XXX AN XXXXXX/ (XX) XXXXXXX(XX) XXXXX XXXXXXXXX BRAKA/ (XX) XXXXXXX/X DOPO XX XXXXXXXXXX/ (LV) XXXĀXXX(-X) XĒX XXXXĪXXX/ (XX) XXXXXXĖ (-ĖX) XX SANTUOKOS/ (XX) XXXXXXX XXXX(X) X XXXXXXXXXÖXXX XXXX/ (XX) XXXXXX(/XXXXXXXXXXX) XXXX Ż-ŻXXXĠ/ (XX) ACHTERNA(A)M(EN) XX XXX XXXXXXXX/ (XX) XXXXXXXX(-X) XX ZAWARCIU XXŁŻXŃXXXX/ (XX) XXXXXXX(X) XXXX X CASAMENTO/ (XX) NUMELE XXXĂ XĂXĂXXXXX/ (XX) PRIEZVISKO(-Á) XX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX XXXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXXXXXXX XXXXXXXXXX XÄXXXXX/ (XX) XXXXXXXXX EFTER ÄXXXXXXXXXXX XXXÅXXXX

5.4

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (ES) XXXXXX(X)/ (XX) JMÉNO (JMÉNA)/ (XX) FORNAVN(E)/ (XX) XXXXXXX(X)/ (ET) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) FORENAME(S)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) IME(NA)/ (XX) XXXX(X)/ (XX) XĀXXX(-X)/ (XX) XXXXXX (-XX)/ (XX) UTÓNEVE(I)/ (XX) ISEM(/ISMIJIET)/ (NL) XXXXXX(X)X(XX)/ (PL) XXXĘ (XXXXXX)/ (PT) XXXX(X) XXXXXXX(X)/ (XX) XXXXXXX/ (XX) XXXX(-X)/ (SL) XXX/XXXXX/ (XX) ETUNIMI (-XXXXX)/ (XX) XÖXXXXX

5.5

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (EN) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) DE NAISSANCE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (IT) XXXX XX NASCITA (XX/XX/XXXX)/ (LV) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX IDEJE (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) TAT-TWELID/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (RO) XXXX (ZZ/LL/AAAA) XXȘXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (FI) XXXXXXÄXXXX (XX/XX/XXXX)/ (SV) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

5.6

(XX) ПОЛ/ (XX) XXXX/ (CZ) XXXXXXX/ (XX) XØX/ (XX) XXXXXXXXXX/ (ET) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (FR) XXXX/ (XX) INSCNE/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXX/ (MT) SESS/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (XX) SEXO/ (XX) SEXUL/ (SK) XXXXXXXX/ (XX) XXXX/ (XX) SUKUPUOLI/ (XX) XÖX

5.6.1

(XX) ЖЕНСКИ/ (ES) XXXXX/ (CZ) XXXX/ (XX) XXXXXX/ (XX) XXXXXXXX/ (ET) NAISSOOST/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (FR) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (IT) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XŐ/ (XX) XXXX/ (XX) XXXXX/ (XX) KOBIETA/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (SV) XXXXXX

5.6.2

(XX) МЪЖКИ/ (ES) VARÓN/ (XX) XXX/ (XX) XXXX/ (XX) XÄXXXXXX/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (LV) XĪXXXXXX/ (XX) XXXXX/ (XX) XXXXX/ (XX) XXĠXX/ (XX) MAN/ (XX) XĘŻXXXXXX/ (XX) XXXXXXXXX/ (XX) BĂRBĂTESC/ (XX) MUŽSKÉ/ (SL) XXXXX/ (XX) XXXX/ (XX) XXX

5.6.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (DA) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (EL) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (EN) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (HR) NEODREĐEN/ (XX) INDETERMINATO/ (XX) XXXXXXXXXX/ (LT) XXXXXXXXXXX/ (XX) MEGHATÁROZATLAN/ (XX) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (PL) XŁXĆ XXXXXXXŚXXXX/ (XX) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (SL) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) EJ FASTSTÄLLT

6.

(BG) СЪПРУГ X/ (ES) XXXXXXX X/ (CZ) XXXXXX/XXXXXXXX X/ (XX) ÆXXXXÆXXX X/ (DE) XXXXXXXXXX X/ (XX) XXXXXXXX X/ (EL) ΣΥΖΥΓΟΣ Β/ (XX) XXXXXX X/ (XX) XXXXXXXX X/ (XX) XXXXX B/ (HR) XXXXXX XXXX B/ (XX) CONIUGE X/ (XX) XXXXĀXXXX X/ (XX) XXXXXXXXXXX B/ (XX) „B” XXXXXXXXX/ (XX) XXXXXĠX X/ (XX) XXXXXXXX(X)X(X) X/ (XX) MAŁŻONEK B/ (XX) XÔXXXXX X/ (XX) XXȚXX B/ (XX) MANŽEL/MANŽELKA B/ (XX) XXXXXXX B/ (XX) XXXXXXX X/ (XX) XXXX/XXXX X

7.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX XXXXX/ (CZ) XXXX XXX PODPIS/ (XX) XXXXXXXXXXXXXXXX/ (DE) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) SIGNATURE XXX/ (XX) XXXXX POUR XX XXXXXXXXX/ (XX) XXXXX DON SÍNIÚ/ (XX) XXXXX XX XXXXXX/ (XX) RIQUADRO XXX XX FIRMA/ (XX) XXXXXXXX XXXXX/ (XX) XXXXXX LAUKELIS/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) VAK XXXX XX HANDTEKENING/ (XX) POLE PODPISU/ (XX) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX XXXXXX/ (XX) XXXXX XX PODPIS/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (XX) XXXX FÖR UNDERTECKNANDE

7.1

(BG) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X NOMBRE(S) XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXX A XXXXX (JMÉNA) ÚŘEDNÍKA, XXXXX XXXXX TENTO XXXXXXXX/ (DA) XXXXXXXXX(X) XX FORNAVN(E) XÅ XXX XXXXXXXXXX, XXX XXX UDSTEDT DENNE XXXXXXXX/ (DE) XXXXXXXXXXXX(X) XXX XXXXXXX(X) XXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (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) SURNAME(S) XXX XXXXXXXX(X) XX XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) XXX(X) XX PRÉNOM(S) XX XXXXXXXXXXXXX QUI X XXXXXXX LE XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) AGUS XXXXXXXX (XXXXXXXXXXXXXX) XX XXXXXXXX X X’XXXXXX XX FHOIRM SEO/ (XX) PREZIME(NA) I XXX(XX) XXXXXXXXXX XXXX XX XXXXX XXXX XXXXXXX/ (IT) COGNOME/I X XXXX/X XXX XXXXXXXXXXX CHE XX XXXXXXXXXX IL PRESENTE XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, XXXĀXXX(-X) XX XĀXXX(-X)/ (XX) XXĄ XXXXĄ XXXXXXXXX PAREIGŪNO XXXXXXĖ (-ĖX) XX XXXXXX (-AI)/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXXXXXŐ XXXXXXX XXXX(X) XX UTÓNEVE(I)/ (XX) XXXXXX(/XXXXXXXXXXX) U XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦXXXĠ XXX IL-FORMOLA/ (XX) XX(X)X(XX) EN VOORNA(A)M(EN) XXX DE XXXXXXXXX XXX XXX FORMULIER XXXXX XXXXXXXXX/ (PL) XXXXXXXX(-X) I XXXĘ (XXXXXX) URZĘDNIKA, XXXXX XXXXŁ XXXXXXXXX FORMULARZ/ (XX) APELIDO(S) X XXXX(X) XXXXXXX(X) DO XXXXXXXXXXX XXX EMITIU X XXXXXXXX XXXXXXXXXX/ (XX) NUMELE ȘX XXXXXXXXX FUNCȚIONARULUI XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, XXXXX XXXXX TENTO XXXXXXXX/ (XX) PRIIMEK/PRIIMKI XX XXX/XXXXX XXXXXXXX, XX XX IZDAL XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXXXXX (-XXXXX) XX ETUNIMI (-XXXXX)/ (XX) EFTERNAMN XXX XÖXXXXX XÅ DEN XXÄXXXXXXX SOM XXX XXXÄXXXX DETTA FORMULÄR

7.2

(BG) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) FUNKCE XXXXXXXX, XXXXX XXXXX TENTO XXXXXXXX/ (DA) XXXXXXXX — XXX EMBEDSMAND, XXX XXX UDSTEDT XXXXX FORMULAR/ (XX) XXXXXXXX DES BEAMTEN, XXX XXXXXX XXXXXXXX XXXXXXXXXXX HAT/ (ET) XÄXXXXXXX XXXXX VÄLJASTANUD XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXX XX THE XXXXXXXX WHO ISSUED XXXX XXXX/ (XX) XXXXX DU XXXXXXXXXXXXX XXX X XXXXXXX XX PRÉSENT XXXXXXXXXX/ (XX) POST AN XXXXXXXX A X’XXXXXX XX FHOIRM XXX/ (XX) FUNKCIJA SLUŽBENIKA XXXX XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXX FUNZIONARIO XXX XX XXXXXXXXXX XX XXXXXXXX MODULO/ (XX) XXXXXXXXXXXX, KURA XXXXXXXX XX XXXXXXXX, XXXXX/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX TISZTVISELŐ XXXXXXXXX/ (MT) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ XXX IL-FORMOLA/ (NL) XXXXXXX VAN XX XXXXXXXXX DIE XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) STANOWISKO URZĘDNIKA, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX XX XXXXXXXXXXX XXX XXXXXX O XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX CARE X XXXX PREZENTUL XXXXXXXX/ (XX) XXXXXXX ÚRADNÍKA, XXXXX VYDAL XXXXX XXXXXXXX/ (SL) POLOŽAJ XXXXXXXX, XX XX XXXXX XX OBRAZEC/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXX/ (XX) BEFATTNING XÖX XXX TJÄNSTEMAN XXX XXX UTFÄRDAT DETTA XXXXXXÄX

7.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (DD/MM/AAAA) DE XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) DATE (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (LL/MM/BBBB) EISIÚNA/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (IT) DATA XX XXXXXXXX (GG/MM/AAAA)/ (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) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (PL) XXXX (XX/XX/XXXX) WYDANIA/ (XX) XXXX DE XXXXXÃX (XX/XX/XXXX)/ (RO) DATA (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) VYDANIA/ (XX) XXXXX (DD/MM/LLLL) XXXXXX/ (XX) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

7.4

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

7.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X TIMBRE/ (XX) PEČEŤ XXXX XXXXXXX/ (XX) SEGL XXXXX XXXXXXX/ (XX) XXXXXX ODER STEMPEL/ (XX) PITSER XÕX XXXXXX/ (EL) ΣΦΡΑΓΙΔΑ/ (XX) SEAL XX XXXXX/ (XX) XXXXX XX XXXXXX/ (GA) XXXXX XX STAMPA/ (XX) XXX XXX XXXXX/ (XX) XXXXX X TIMBRO/ (XX) XĪXXXX VAI XXXXXXXX/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (XX) XXXXXX XXXX BÉLYEGZŐLENYOMAT/ (MT) XXĠXXX XXX XXXXXX/ (XX) ZEGEL XX XXXXXXX/ (PL) XXXXXĘĆ XXX XXXXXXX/ (XX) XXXX OU CARIMBO/ (XX) SIGILIUL SAU ȘXXXXXXX/ (XX) PEČAŤ XXXXX ODTLAČOK XXXXXXXX/ (XX) PEČAT XXX XXX/ (XX) XXXXXXX XXX LEIMA/ (XX) XXXXXX XXXXX XXÄXXXX

XXXXXXXXXXX X XXXXXXXX XXXXXXXXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX XXX PŘEKLAD

Článek 7 xxxxxxxx Xxxxxxxxxx xxxxxxxxxx x Xxxx (XX) 2016/1191 ze xxx 6. xxxxxxxx 2016 x xxxxxxx volného xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxxxx xxxxxxxxx veřejných listin x Xxxxxxxx unii x x změně xxxxxxxx (XX) x. 1024/2012 (1)

Belgie (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (DK) Xxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (EL) Španělsko (XX)

Xxxxxxx (FR) Xxxxxxxxxx (XX)

Xxxxxx (XX) Kypr (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxx (NL) Xxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (RO) Xxxxxxxxx (XX)

Xxxxxxxxx (SK) Xxxxxx (XX)

Xxxxxxx (SE) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxxxxx formuláře xx xxxxxxxxx překladu xxxxxxx xxxxxxx, k xxx xx přiložen. Xxxxx xxxxxxxx xx xxxx xxxxxxxxx xxxxx xxxxx xxxxxxxxx jako xxxxxxxxxx xxxxxxxx.

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

XXXXXXXXXX PRO VYDÁVAJÍCÍ XXXXX

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

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

1. ORGÁN VYDÁVAJÍCÍ XXXXX XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

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

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

3.1.1 Xxxxxxxxxx soudu

3.1.2 Xxxxxxx xxxxxx státním zástupcem

3.1.3 Xxxxxxx xxxxxx xxxxxx xxxxxxx xxxxxxxxx

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

3.1.5 Xxxx (upřesněte)

(1) Úř. xxxx. L 200, 26.7.2016, x. 1.

(2) Xxx xxxxxxxxxx xxxxx xxxxxxxx hůlkové písmo.

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

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

3.2 Listina xxxxxx správním úřadem

3.2.1 Xxxxxxxxx

3.2.2 Výpis x xxxxxxx

3.2.3 Xxxxx z xxxxxxxx xxxxxxxx

3.2.4 Opis xxxxxxxxxx záznamů

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, xxxxxx xxxx xxxxxxxx listina xxxxxxxxx xxxxxxxxx xxxxxx

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

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXX O XXXXXXX XXXXX

4.1 Xxxxxxxx

4.2 Xxxxx (xxxxx)

4.3 Xxxxx (xx/xx/xxxx) narození

4.4 Xxxxx (1) x země (2) xxxxxxxx

4.5 Pohlaví:

4.5.1 Xxxx

4.5.2 Xxx

4.5.3 Neurčeno

4.6 Xxxxxx xxxxxxxxxxx:

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

5.1 Xx dotyčná xxxxx xxxxxxxxx uzavřít xxxxxxxxxx xxxxx vnitrostátního xxxxx xxxxxxxxx xxxxx, x xxxx xx xxxxxxx xxxxxxx xxxxxx.

5.2 Xxxxxxx xxxxx xxxxxx xxxxxxxxxx xxxxxxxxxx xxx xxxx xxxxxx podle xxxxxxxxxxxxxx xxxxx xxxxxxxxx xxxxx, x xxxx xx xxxxxxx xxxxxxx xxxxxx.

5.3 Neexistuje xxxxx xxxxx xxxxxxxx, aby xxxxxxx xxxxx xxxxxxxx xxxxxxxxxx xxxxx xxxxxxxxxxxxxx xxxxx xxxxxxxxx xxxxx, x němž je xxxxxxx xxxxxxx xxxxxx.

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

5.5 Xxxxxxxxxx žádná xxxxx xxxxxxx proti xxxxxxxx xxxxxxxxxx xxxx xxxxxxxx xxxxxx x xxxxx xxxxxxxxxx / xxxx xxxxxxxxxx xxxxx xxxxxxxxxxxxxx práva xxxxxxxxx xxxxx, x xxxx xx xxxxxxx xxxxxxx xxxxxx.

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

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

(3) Xxx xxxxxx xxxx xxxxxxxx.

6. XXXXXXXXX X SNOUBENCI / XXXXXXXXX DOTYČNÉ 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 Xxx

4.5.3 Xxxxxxxx

4.6 Xxxxxx xxxxxxxxxxx

7. XXXX PRO XXXXXX

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

7.2 Xxxxxx xxxxxxxx, který xxxxx xxxxx xxxxxxxx

7.3 Xxxxx (xx/xx/xxxx) xxxxxx

7.4 Xxxxxx

7.5 Xxxxx xxxx xxxxxxx

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

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

XXXXXXXXXXX XXXXXX NÁZVŮ XXXXXXXXXXXX XXXXXXX

(XXXXXXXXXXX K XXXXXXXX XXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX ESTE IMPRESO/ (XX) XXXXX VYDÁVAJÍCÍ XXXXX FORMULÁŘ/ (XX) XXXXX FORMULARS XXXXXXXXXX XXXXXXXXX/ (DE) XXXÖXXX, XXX DIESES FORMULAR XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (EN) AUTHORITY XXXXXXX XXXX XXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX A XXXXXXXX XX FHOIRM XXX/ (XX) XXXXXX KOJE XXXXXX OVAJ XXXXXXX/ (XX) XXXXXXXÀ CHE XXXXXXXX XX XXXXXXXX XXXXXX/ (XX) VEIDLAPAS XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXX/ (XX) AWTORITÀ XXXXXXXXX XX' XXX IL-FORMOLA/ (XX) XXXXXXXXXX VAN XXXXXXX XXX XXX XXXXXXXXX/ (PL) XXXXX XXXXXĄXX XXXXXXXXX FORMULARZ/ (XX) AUTORIDADE XXX XXXXX O PRESENTE XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX XXXXXXXX/ (SK) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX, KI XXXX XX XXXXXXX/ (XX) TÄMÄN XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (EN) XXXXXXXXXXX/ (XX) DÉNOMINATION/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (LT) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (MT) XXXXX/ (XX) XXXXXXXX/ (XX) NAZWA/ (XX) XXXXXXXÇÃX/ (XX) DENUMIRE/ (XX) XXXXX/ (XX) XXX/ (FI) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XX XXXXXXXXX XXXXXXX XX QUE XX XXXXXXX XXXX XXXXXXX/ (CZ) ORGÁN XXXXXXXXXX VEŘEJNOU XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXX XXXXXXXXX, XXX XXX UDSTEDT XXX XXXXXXXXXX XXXXXXXX, XXX DENNE XXXXXXXX XX XXXXÆXXXX/ (XX) XXXÖXXX, XXX XXX ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX FORMULAR XXXXXXÜXX XXX, XXXXXXXXX/ (ET) XXXXXX, XXX ANDIS XÄXXX XXXXXXX XXXXXXXXX, XXXXXXX SEE VORM XX XXXXXXX/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXX XXXXXXXX XX XXXXX THIS XXXX IS XXXXXXXX/ (XX) AUTORITÉ XX XXXXXXXXXX XX DOCUMENT XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) AN xXXXXXX X XXXXXXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) TIJELO XXXX XXXXXX JAVNU XXXXXXX XXXXX XX XXXX XXXXXXX PRILOŽEN/ (IT) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) PUBLISKĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ DOKUMENTĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX HATÓSÁG/ (XX) XXXXXXXÀ EMITTENTI XXX-XXXXXXXX XXXXXXXX LI XXXXĦX HIJA MEHMUŻA XXX IL-FORMOLA/ (XX) XXXXXXXXXX VAN XXXXXXX XXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX IS XXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXX URZĘDOWY, XX XXXXXXX XXXXXXXXX FORMULARZ XXXX XXŁĄXXXXX/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXXX PÚBLICO X XXX O XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (RO) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXXX XXXXXXX LA CARE XXXX ANEXAT PREZENTUL XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX XXXX XXXXX XXXXXXX, XX JI XX XXXXXXXX XX OBRAZEC/ (XX) XXXXXXXXXXXX, XXXX XX ANTANUT XXXXXXX XXXXXXXXXX, JOHON TÄMÄ XXXXXX XXXXXXÄÄX/ (SV) XXXXXXXXX XXX XXXÄXXXX XXX OFFICIELLA HANDLING XXXX XXXXXX DETTA XXXXXXÄX ÄR XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) INFORMACIÓN XXXXXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX/ (CZ) INFORMACE XXXXXXXX XX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX TENTO XXXXXXXX/ (DA) XXXXXXXXXXX XXXXØXXXXX DET XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX VEDHÆFTET/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX URKUNDE, XXX XXXXXX XXXXXXXX XXXXXXÜXX 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) XXXXXXXXXXX XXXXXXXX TO THE XXXXXX XXXXXXXX TO XXXXX XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX XXXXXX AUQUEL XXX XXXXX XX XXXXXXX FORMULAIRE/ (XX) XXXXXXXX A BHAINEANN XXXX AN XXXXXXXXX XXXXXX XXXX BHFUIL XX FHOIRM XXX XXXXXXXXXX/ (HR) INFORMACIJE XXXX SE XXXXXX XX XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX PRILOŽEN/ (IT) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX MODULO È XXXXXXXX/ (XX) XXXXXXĀXXXX PAR XXXXXXXX XXXXXXXXX, KURAM XĪ XXXXXXXX IR XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX XXXXXXXXX, XXXX KURIO XXXXXXXXX XX XXXXX/ (HU) X FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) INFORMAZZJONI DWAR XX-XXXXXXXX XXXXXXXX LI XXXXĦX XXXX XXXXXŻX XXX IL-FORMOLA/ (XX) XXXXXXXXXX XXXXXXXXXXX HET XXXXXXXX DOCUMENT XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (PL) XXXXXXXXXX XXXXXXĄXX DOKUMENTU XXXĘXXXXXX, XX KTÓREGO XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) INFORMAÇÕES XXXXXXXXX XX DOCUMENTO PÚBLICO X XXX X XXXXXXXX XXXXXXXXXX ESTÁ XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX PREZENTUL XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX PRIPOJENÝ/ (XX) XXXXXXXXXXX X XXXXX X XXXXX XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ LOMAKE XXXXXXÄÄX/ (XX) INFORMATION OM XXX XXXXXXXXXX XXXXXXXX XXXX VILKEN XXXXX XXXXXXÄX ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX XXXXXXXX XXX XXX XXXXXXXXX X XX XXXXXXXXXXX VINCULADO X XXX ÓRGANOS JURISDICCIONALES XX XX XXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXX XXXXXXXXX X XXXXXX XX XXXXX XXXXXX XXXXXXXXX STÁTU/ (XX) XXXXXXXX, DER XX XXXXXXX XX EN XXXXXXXXX XXXXX XX XXXXXXXXXX, XXX XX XXXXXXXXXX XXXXXXXX X XX XXXXXXXXXXX/ (XX) XXXXXXX EINER BEHÖRDE XXXX XXXXX XXXXXXXXXX XXX XXXXX XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXXXX XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΈΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) 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 RELEVANT D'UNE XXXXXXXXXXX D'UN XXXX XXXXXX/ (XX) XXXXXXXXX X THAGANN X XXXXXX NÓ Ó XXXXXXXXX X XXXXXX XXXXX XXXX NÓ XXXX LE XXXXXXXXXX XX LE XXXXX XX XXXXX XXXXXXXXX/ (XX) ISPRAVA XXXX XX XXXXXX TIJELO XXX XXXXXXXXX XXXX XXXXXX XXXXXXX/ (IT) XXXXXXXXX XXXXXXX DA XX'XXXXXXXÀ X XX XX XXXXXXXXXXX APPARTENENTE XX XXX XXXXX XXXXXXXXXXXXX XX XXX XXXXX XXXXXX/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX XX DALĪBVALSTS TIESĀM XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (LT) XXXXXXXXXX, XXXXXXXX XXXXXXXX INSTITUCIJOS XX PAREIGŪNO, XXXXXXXXŲ XX VALSTYBĖS XXXĖX XXXXXXXX AR XXXXXXXXXXX/ (XX) TAGÁLLAMI XXXXXXXXXX XXXXXXXXXXXX ÁLLÓ XXXXXXX XXXX TISZTVISELŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ MINN XXXXXXXÀ XXX XXXXĊXXX XX XXXXXXXX RABTA XXX-XXXXX XXX XX-XXXXXXXXX XX' XXXX XXXXXX/ (XX) DOCUMENT XXXXXXXXX XXXX EEN AUTORITEIT XX XXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX XXXXXX XĄXXXXXX XXX URZĘDNIKA XĄXXXXXX XXŃXXXX CZŁONKOWSKIEGO/ (XX) DOCUMENTO XXXXXXXXXXX XX XXX AUTORIDADE XX XX UM XXXXXXXXXXX DEPENDENTE DE XXXXXXXX JURISDIÇÃO XX XX XXXXXX-XXXXXX/ (XX) XXXXXXXX EMIS DE X AUTORITATE XXX XX UN FUNCȚIONAR XX XX XÂXXĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (SK) LISTINA XXXXXX XXXXXXX XXXXX XXXXXXXXX S VÄZBOU XX SÚDY ČLENSKÉHO XXXXX/ (XX) XXXXXXX, XXXXXX X XXXXXX XXXXXX XXX XXXXXXXX XXXXX XXXXXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX, XXXXX XX XXXXXXX XÄXXXXXXXXXX OIKEUSLAITOKSEEN XXXXXXX XXXXXXXXXXXX TAI XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN EN XXXXXXXXX XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X EN XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (CZ) XXXXXXXXXX XXXXX/ (DA) XXXXXXXXXXXØXXXXX/ (XX) GERICHTSENTSCHEIDUNG/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (EN) XXXXX DECISION/ (XX) XXXXXXXX DE JUSTICE/ (XX) XXXXXXXX XX xXXXXX/ (XX) XXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (LV) XXXXXX XĒXXXX/ (LT) TEISMO XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (PL) XXXXXXXXXX XĄXXXX/ (PT) XXXXXÃX XXXXXXXX/ (RO) 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 XXXXXXXXXX FISCAL/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) DOKUMENT XXXXXXX XX EN XXXXXXXXXXXXXXXX/ (DE) URKUNDE XXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX ANDNUD XXXXXXX XÜÜXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX A PUBLIC XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX DU XXXXXXÈXX XXXXXX/ (XX) DOICIMÉAD X XXXXXXX Ó XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX DRŽAVNO ODVJETNIŠTVO/ (XX) XXXXXXXXX XXXXXXX XXX PUBBLICO XXXXXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX PROKURORS/ (LT) XXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (XX) ÜGYÉSZ ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (NL) XXXXXXXX XXXXXXXXX DOOR XXX OPENBAAR XXXXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX PROKURATORA/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXX DE XX PROCUROR/ (XX) XXXXXXX VYDANÁ XXXXXXXXXXXX/ (XX) XXXXXXX, KI XX XXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX ÅKLAGARVÄSENDET

3.1.3

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX JUDICIAL/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX ÚŘEDNÍKEM/ (XX) DOKUMENT XXXXXXX XX EN XXXXXXXXXXXXXÆX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXX DER GESCHÄFTSSTELLE XXXXX XXXXXXXX/ (XX) XXXXXXXX, MILLE XX XÄXXX XXXXXX KOHTUAMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) DOCUMENT EMANATING XXXX A XXXXX XX A XXXXX/ (XX) XXXXXXXX ÉMANANT X'XX XXXXXXXX/ (GA) XXXXXXXXX X XXXXXXX X XXXXXXXXXX XX XXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXX UPRAVITELJ XXXXXX XXXXXXXXX/ (IT) DOCUMENTO XXXXXXX XX UN XXXXXXXXXXX/ (XX) DOKUMENTS, XXXX IZSNIEDZIS TIESAS XXXXXXĀXX/ (LT) XXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX TISZTVISELŐ XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXĠXXXXXXXX XX' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX SEKRETARZA XĄXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXX DE XXXXXÇX/ (XX) DOCUMENT XXXX XX XX GREFIER XX XXXXXXȚXX/ (XX) XXXXXXX XXXXXX SÚDNYM XXXXXXXXX/ (XX) LISTINA, XX JO IZDA XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX ANTAMA XXXXXXXXX/ (SV) XXXXXXXX XXX HÄRRÖR XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („HUISSIER DE XXXXXXX“)/ (ES) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (DA) XXXXXXXX XXXXXXX AF XX XXÆXXXXXXXXXX (»XXXXXXXX DE XXXXXXX«)/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, MILLE XX XÄXXX XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX EMANATING XXXX A JUDICIAL XXXXXXX ('XXXXXXXX XX XXXXXXX')/ (FR) XXXXXXXX XXXXXXX X'XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX DE XXXXXXX”)/ (XX) XXXXXXX KOJU XX XXXXX SUDSKI XXXXXXXXX (HUISSIER DE XXXXXXX)/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (XXXXXXXX XX JUSTICE)/ (XX) XXXXXXXXX (XXXXXXXX XX XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX JUSTICE”) XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT MAĦRUĠ XXXX XXXXĊXXX ĠUDIZZJARJU ('XXXXXXXX XX XXXXXXX')/ (XX) DOCUMENT AFGEGEVEN XXXX XXX GERECHTSDEURWAARDER/ (XX) XXXXXXXX POCHODZĄCY XX XXXĘXXXXX XĄXXXXXX (XXXXXXXX DE JUSTICE)/ (XX) XXXXXXXXX XXXXXXXXXXX XX UM XXXXXXÃX XX XXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX EMIS DE XX XXXXXXXX JUDECĂTORESC („XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX VYDANÁ XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX XXXXXXX“)/ (SL) XXXXXXX, XX JO XXXX SODNI IZVRŠITELJ („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX XX XXXXXXX”) XXXXXX XXXXXXXXX/ (SV) XXXXXXXX XXX XÄXXÖX FRÅN XX XXÄXXXXXXXXX (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) XXXX (XXXXXXXXX)/ (XX) ANDRE (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) XXX (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (EN) OTHER (XX BE XXXXXXXXX)/ (XX) AUTRE (À XXXXXXXX)/ (XX) XXXX (XX XXXXX)/ (XX) XXXXXX (NAVESTI)/ (IT) XXXXX (XXXXXXXXX)/ (LV) XXXX (PRECIZĒT)/ (XX) XXXX (XXXXXXXX)/ (XX) XXXXX (XXXXÜX PONTOSÍTANI)/ (XX) OĦRAJN (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) XXXX (XXXXXĘ XXXXŚXXĆ)/ (XX) XXXXXX (X XXXXXXXXXXX)/ (RO) XXXXX (X SE XXXXXXX)/ (SK) INÉ (XXXXXXXX)/ (SL) DRUGO (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (SV) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX SPRÁVNÍM XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (ET) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (EN) XXXXXXXXXXXXXX XXXXXXXX/ (FR) XXXXXXXX XXXXXXXXXXXXX/ (XX) DOICIMÉAD XXXXXXXXXX/ (HR) XXXXXXX XXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (LV) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (NL) ADMINISTRATIEF XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) DOCUMENT XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) UPRAVNA XXXXXXX/ (XX) HALLINNOLLINEN XXXXXXXXX/ (SV) ADMINISTRATIV XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) TÕEND/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (EN) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (HR) XXXXXXX/ (XX) CERTIFICATO/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX CERTIFICADO/ (XX) XXXXXXXXXX/ (SK) OSVEDČENIE/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) INTYG

3.2.2

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) EXTRACTO XXX XXXXXXXX XXXXX/ (XX) XXXXX X XXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (DE) XXXXXX XXX DEM PERSONENSTANDSREGISTER/ (XX) PEREKONNASEISUREGISTRI XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (EN) EXTRACT XXXX THE XXXXX XXXXXX XXXXXXXX/ (FR) XXXXXXX XX XXXXXXXX XX X'XXXX XXXXX/ (XX) XXXXXXX AS XX xXXXX STÁDAIS XXXXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXX XXXXXX/ (XX) XXXXXXXX XX ATTO DI XXXXX XXXXXX/ (XX) XXXXXXXX NO XXXXXXXĀXXXĻX XXXX REĢISTRA/ (XX) XXXXXXX XX XXXXXXXĖX XŪXXĖX XXXŲ XXXXXXXX/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) XXXXXXX MIR-REĠISTRU XXX-XXXXX ĊIVILI/ (XX) XXXXXXXXXX XXX XXX XXXXXXXX VAN XX XXXXXXXXXXX STAND/ (XX) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXX DE ATOS XX REGISTO CIVIL/ (XX) EXTRAS XXX XXXXXXXXX XX STARE XXXXXĂ/ (XX) VÝPIS X XXXXXXXX XXXXXXXX XXXXX/ (XX) IZPISEK XX REGISTRA O XXXXXXX XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) XXXXXX XX FOLKBOKFÖRINGEN

3.2.3

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX DEL CENSO/ (XX) XXXXX X XXXXXXXX OBYVATEL/ (DA) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (EL) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (EN) XXXXXXX FROM THE XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XX REGISTRE XX LA XXXXXXXXXX/ (XX) XXXXXXX AS XX gCLÁR XXXXXX/ (XX) XXXXXXX IZ XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX ANAGRAFICO/ (XX) XXXXXXXX NO IEDZĪVOTĀJU XXĢXXXXX/ (XX) IŠRAŠAS XX XXXXXXXXŲ REGISTRO/ (XX) KIVONAT X XXXXXXXXXXXX- ÉS XXXXXXXXXXXXXXXXXXXXXX/ (XX) ESTRATT MIR-REĠISTRU XXX-XXXXXXXXXXXX/ (NL) XXXXXXXXXX XXX XXX BEVOLKINGSREGISTER/ (XX) XXXXĄX Z XXXXXXXX LUDNOŚCI/ (XX) XXXXXXX XX XXXXXXX XX XXXXXXÇÃX/ (RO) XXXXXX XXX XXXXXXXXX XX XXXXXXȚĂ A XXXXXXȚXXX/ (XX) VÝPIS X XXXXXXXX XXXXXXXĽXX/ (XX) XXXXXXX XX XXXXXXXX PREBIVALSTVA/ (FI) XÄXXXÖXXXXXXXXXXXX/ (SV) XXXXXX XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX XX XXXXX DEL XXXXXXXX XXXXX/ (XX) XXXX MATRIČNÍCH ZÁZNAMŮ/ (XX) XXXXXX XXXX XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX KOPIE XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (EN) VERBATIM XXXX XX XXXXX XXXXXX RECORDS/ (XX) XXXXX XXXXXXXXX X'XXXXX XX X'XXXX XXXXX/ (XX) XXXX FOCAL XX FHOCAL DE XXXXXXX XX XXXXXX XXXXXXXXX/ (XX) DOSLOVNI XXXXXXXX XX EVIDENCIJA X XXXXXXX STANJU/ (XX) XXXXX XXXXXXXXX XX ATTO DI XXXXX XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX XXĢXXXXX XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) KOPJA XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (NL) XXXXXXXXXXX XXXXXXXXX XXX AKTEN XXX XX XXXXXXXXXXX XXXXX/ (PL) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXÃX XX CÓPIA INTEGRAL XX XX XXXXXXXXX XX ATOS XX XXXXXXX CIVIL/ (RO) XXXXX XXXXXĂ X XXXX XXX XX XXXXX XXXXXĂ/ (XX) XXXXXXXX XXXXX ZO XXXXXXX X XXXXXXX XXXXX/ (SL) XXXXXXXXX XXXXXX XXXXXX X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (CZ) NOTÁŘSKÁ XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX/ (ET) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) ACTE NOTARIÉ/ (XX) GNÍOMH XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX NOTARILE/ (XX) NOTARIĀLS XXXX/ (XX) NOTARINIS XXXXX/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (XX) XXX NOTARIALNY/ (XX) ATO NOTARIAL/ (XX) XXX XXXXXXXX/ (XX) XXXXXXXX LISTINA/ (XX) NOTARSKA XXXXXXX/ (XX) NOTAARIN XXXXXX XXXXXXXXX/ (XX) NOTARIELL XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX XXXXXX SOBRE UN XXXXXXXXX XXXXXXX/ (XX) XXXXXX OSVĚDČENÍ, XXXXXX XXXX XXXXXXXX XXXXXXX XXXXXXXXX SOUKROMOU XXXXXX/ (XX) OFFICIEL XÅXXXXXXX XÅ ET XXXXXXXX XXXXXXXXXXX XX EN XXXXXX I XXXXXX XXXXXXXX AF XXXXXXXXXXXX/ (XX) XXXXXXXX BESCHEINIGUNG XXX XXXXX XXXXXXXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXXXX ALLKIRJASTATUD 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 PERSON XX HIS OR XXX PRIVATE CAPACITY/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX XX XXXX SOUS XXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX A XXXXXXXXX XX XXXXXXXXXX ARNA XXXXXX XX XXXXX XXX XXXXX XX XXX CÁIL XXXXXXXXXXXXXX/ (XX) SLUŽBENA XXXXXXX XXXXXXXXX XX ISPRAVU XXXX XX OSOBA XXXXXXXXX U PRIVATNOM XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX APPOSTA XX XXX SCRITTURA PRIVATA/ (XX) XXXXXĀXX XXXXXXXXĀXXXX XX DOKUMENTA, XX XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (LT) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ OFICIALŪS XXXXXXXXXXXXX/ (XX) MAGÁNOKIRATON XXXXXXXXXXX XXXXXXXXX TANÚSÍTVÁNY/ (XX) ĊXXXXXXXXX UFFIĊJALI XX XXXXXXXĦXX F'DOKUMENT XXXXXXXX XXXX PERSUNA XXX-XXXXĊXXÀ XXXXXXX TAGĦHA/ (XX) XXXXXXXXX CERTIFICAAT XX XXX XXXXXXXX XXXXXXXXXXX XXXX XXX PERSOON XX XXXX PARTICULIERE XXXXXXXXXXXX/ (XX) URZĘDOWE XXŚXXXXXXXXXX XXXXXXXXXXX NA XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ DZIAŁAJĄCĄ X XXXXXXXXXXX XXXXXXXXX/ (PT) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX XXX XX XXXXXXXX XXXXXXX/ (RO) XXXXXXXXXX OFICIAL XXXXXXX XX XX DOCUMENT XXX XXXXĂXXXĂ PRIVATĂ/ (XX) ÚRADNÉ XXXXXXXXXX XXXXXXX NA XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXXX IZJAVA XX ZASEBNI XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, JONKA HENKILÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX XXXXX XXXXXXXXX PÅ XX XXXXXXXX SOM XXXXXXXXXXXXX XX XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (ES) XXXXXXXXX XXXXXXXX POR XX XXXXXX XXXXXXXXXXX X XXXXXXXX DE XX XXXXXX XXXXXXX XXX XXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM XXXXXXXXX XXXX KONZULÁRNÍM XXXXXXXXX XXXXXXXXX STÁTU X RÁMCI VÝKONU XXXX SLUŽEBNÍCH POVINNOSTÍ/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX XX EN XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX REPRÆSENTANT/ (DE) XXX EINEM DIPLOMATISCHEN XXXX KONSULARISCHEN VERTRETER XXXXX MITGLIEDSTAATS XX XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX XXXXX AMETIKOHUSTUSTE XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX DRAWN XX BY X XXXXXXXXXX OR CONSULAR XXXXX OF A XXXXXX XXXXX XX XXX XX XXX XXXXXXXX XXXXXXXX/ (FR) XXXXXXXX ÉTABLI XX XX XXXXXXX XXXXXXXXXX XXX XX XXXXX XXXXXXXXXXXX XX XXXXXXXXXX X'XX XXXX XXXXXX/ (XX) DOICIMÉAD XXXX XXXXXXXXXX SUAS XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX XX XXXXX XXXXXXXXX XXX CHÁIL XX XXX XXXX XXXXXXXXX/ (XX) XXXXXXX XXXX JE U XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX DRŽAVE XXXXXXX/ (XX) DOCUMENTO XXXXXXX XX XXXXXX XXXXXXXXXXX X CONSOLARI XX XXX STATO XXXXXX XXXX'XXXXXXXXX XXXXX LORO XXXXXXXX/ (XX) DOKUMENTS, XXXX, PILDOT AMATA XXXXĀXXXXX, XXXXXXXXXXX DALĪBVALSTS XXXXXXĀXXXXXXX VAI XXXXXXĀXXXX XĀXXXĀXXX/ (XX) DOKUMENTAS, XXXXXXXXX XXXXXXXĖX NARĖS XXXXXXXXX AR KONSULINIO XXXXXXŪXX, XXXXXXXXXX PAGAL XXXXXXXXXX ĮGALIOJIMUS/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX KÉPVISELŐJE XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXXX XXXX XĠXXX XXXXXXXXXXX XXX XXXXXXXXX TA' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) DOCUMENT XXXXXXXXX DOOR DE XXXXXXXXXXXX OF XXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX XX XXXX XXXXXXËXX HOEDANIGHEID/ (XX) XXXXXXXX XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX LUB XXXĘXXXXX KONSULARNEGO XXŃXXXX XXŁXXXXXXXXXXX DZIAŁAJĄCYCH W XXXXXXXXXXX URZĘDOWYM/ (XX) XXXXXXXXX XXXXXXX POR XX AGENTE DIPLOMÁTICO XX XXXXXXXX XX XX XXXXXX-XXXXXX XX XXXXXXXXX DAS XXXX XXXÇÕXX OFICIAIS/ (XX) XXXXXXXX ÎNTOCMIT XX XĂXXX XX XXXXX XXXXXXXXXX XXX XXXXXXXX XX XXXX XXXX XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (SK) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM XXXXXXXXX XXXXX XXXXXXXXXXX ÚRADNÍKOM XXXXXXXXX ŠTÁTU X XXXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXX, XX XX XXX XXXXXX OSEBA XXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX, JONKA XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX KONSULIEDUSTAJA XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXÄXXXX X XXÄXXXXX AV XX XXXXXXXXXXX XXXXX XXXXXXÄX XXÄXXXXXXX I EN XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) VYDÁNÍ/ (DA) XXXXXXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (XX/XX/XXXX) OF XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) IZDOŠANAS DATUMS (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (DD/MM/JJJJ) VAN XXXXXXX/ (XX) DATA (XX/XX/XXXX) WYDANIA/ (PT) XXXX XX 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)/ (XX) DATUM (XX/XX/ÅÅÅÅ) FÖR XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (ES) XXXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (DA) XXX OFFENTLIGE XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX XX THE XXXXXX DOCUMENT/ (XX) XXXXXX XX RÉFÉRENCE XX XXXXXXXX XXXXXX/ (XX) XXXXXX XXXXXXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXX XXXXX ISPRAVE/ (XX) XXXXXX XX XXXXXXXXXXX XXX DOCUMENTO PUBBLICO/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXX DOKUMENTO XXXXXXX/ (XX) A KÖZOKIRAT XXXXXXXXXXX SZÁMA/ (MT) XXXXX TA' XXXXXXXXX XXX-XXXXXXXX PUBBLIKU/ (XX) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX XXXXXXXX/ (PL) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXX XX XXXXXÊXXXX DO XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX XX XXXXXXXȚĂ XX XXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX ČÍSLO XXXXXXXX XXXXXXX/ (SL) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (XX) XXX OFFICIELLA XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX SOBRE XX XXXXXXXXXX/ (XX) INFORMACE X DOTYČNÉ XXXXX/ (XX) XXXXXXXXXXX XX XXX XÅXÆXXXXXX PERSON/ (XX) ANGABEN XXX XXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXX XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (EN) XXXXXXXXXXX XX XXX PERSON XXXXXXXXX/ (XX) XXXXXXXXXXXX XXX LA XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXX XXXX XX XXXXX XXXX xXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (XX) XXXXXXĀXXXX XXX ATTIECĪGO PERSONU/ (XX) XXXXXXXXXXX APIE XXXXXXXXXĄ XXXXXĮ/ (HU) XX XXXXXXXX SZEMÉLYRE XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX IL-PERSUNA XXXXĊXXXXXX/ (XX) XXXXXXXXXX XXXX XX XXXXXXXXXX/ (XX) XXXX OSOBY, XXXXXX DOTYCZY XXXXXXXX/ (XX) XXXXXXXÇÕXX SOBRE X XXXXXX XX XXXXX/ (XX) INFORMAȚII XXXXXXX PERSOANA XXXXXĂ/ (XX) INFORMÁCIE O XXXXXXXXX XXXXX/ (SL) XXXXXXXXXXX O XXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXX/ (XX) XXXXXXXXX OM XXX XXXÖXXX XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) APELLIDO(S)/ (XX) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (XX) XXXXXXXXXXXX(X)/ (XX) PEREKONNANIMI (-NIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX(X)/ (XX) NOM(S)/ (XX) SLOINNE (XXXXXXXX)/ (XX) XXXXXXX(XX)/ (XX) XXXXXXX(X)/ (XX) XXXĀXXX(-X)/ (XX) PAVARDĖ (-ĖX)/ (XX) CSALÁDI XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (NL) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (XX) APELIDO(S)/ (RO) XXXX/ (XX) XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX/ (FI) XXXXXXXX (-XXXXX)/ (SV) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) XXXXX (XXXXX)/ (DA) XXXXXXX(X)/ (DE) VORNAME(N)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (EN) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (CÉADAINMNEACHA)/ (XX) IME(NA)/ (XX) XXXX(X)/ (XX) XĀXXX(-X)/ (XX) XXXXXX (-AI)/ (XX) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (NL) XXXXXX(X)X(XX)/ (XX) IMIĘ (XXXXXX)/ (XX) XXXX(X) XXXXXXX(X)/ (XX) XXXXXXX/ (XX) XXXX(-X)/ (SL) IME/IMENA/ (XX) XXXXXXX (-XXXXX)/ (XX) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) FECHA (XX/XX/XXXX) XX XXXXXXXXXX/ (CZ) XXXXX (DD/MM/RRRR) XXXXXXXX/ (XX) FØDSELSDATO (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (EN) XXXX (XX/XX/XXXX) OF XXXXX/ (XX) XXXX (JJ/MM/AAAA) XX XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) BREITHE/ (XX) XXXXX (DD/MM/GGGG) XXĐXXXX/ (XX) XXXX XX NASCITA (GG/MM/AAAA)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (LT) GIMIMO XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (NL) GEBOORTEDATUM (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) URODZENIA/ (PT) XXXX DE NASCIMENTO (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) NAȘTERII/ (SK) XXXXX (XX/XX/XXXX) NARODENIA/ (XX) DATUM (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (SV) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.4

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) LUGAR X XXXX XX XXXXXXXXXX/ (XX) MÍSTO A XXXX XXXXXXXX/ (XX) XØXXXXXX XX -LAND/ (XX) XXX UND XXXX XXX XXXXXX/ (XX) XÜXXXXXXX XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX XXX XXXXXXX XX BIRTH/ (XX) LIEU ET XXXX XX NAISSANCE/ (XX) ÁIT XXXX XXX XXXXXXXX/ (HR) XXXXXX I ZEMLJA XXĐXXXX/ (IT) XXXXX X XXXXX XX XXXXXXX/ (XX) XXXXXXXXX XXXXX UN VALSTS/ (XX) GIMIMO VIETA XX XXXXX/ (HU) XXÜXXXXXX XXXXX XX XXXXXXX/ (XX) XXXX X XXXXXŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX EN -XXXX/ (XX) MIEJSCE X PAŃSTWO XXXXXXXXX/ (XX) XXXXX X XXXX XX XXXXXXXXXX/ (XX) XXXXX ȘX ȚXXX XXȘXXXXX/ (XX) XXXXXX X ŠTÁT XXXXXXXXX/ (SL) XXXX XX DRŽAVA XXXXXXX/ (XX) XXXXXXÄXXXXXX XX -XXX/ (XX) FÖDELSEORT XXX -XXXX

4.5

(XX) ПОЛ/ (XX) SEXO/ (XX) XXXXXXX/ (XX) XØX/ (XX) XXXXXXXXXX/ (ET) XXXX/ (XX) ΦΥΛΟ/ (XX) SEX/ (FR) XXXX/ (XX) INSCNE/ (XX) SPOL/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (HU) XXXX/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (PT) SEXO/ (XX) SEXUL/ (SK) XXXXXXXX/ (XX) XXXX/ (XX) XXXXXXXXX/ (SV) XÖX

4.5.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (CZ) XXXX/ (XX) XXXXXX/ (DE) XXXXXXXX/ (ET) NAISSOOST/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (FR) FÉMININ/ (XX) XXXXXXXX/ (XX) XXXXXX/ (IT) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XŐ/ (XX) MARA/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (RO) XXXXXXXX/ (SK) XXXXXX/ (XX) ŽENSKI/ (XX) XXXXXX/ (SV) XXXXXX

4.5.2

(XX) МЪЖКИ/ (XX) VARÓN/ (XX) XXX/ (XX) XXXX/ (DE) MÄNNLICH/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (XX) MASCULIN/ (XX) XXXXXXX/ (XX) MUŠKI/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (LT) XXXXX/ (XX) FÉRFI/ (XX) XXĠXX/ (XX) XXX/ (XX) XĘŻXXXXXX/ (XX) XXXXXXXXX/ (XX) BĂRBĂTESC/ (XX) MUŽSKÉ/ (XX) XXXXX/ (XX) XXXX/ (XX) XXX

4.5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (CZ) XXXXXXXX/ (XX) XXXXXXXX/ (XX) UNBESTIMMT/ (ET) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (EN) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (PL) XŁXĆ XXXXXXXŚXXXX/ (XX) NÃO XXXXXXXX/ (RO) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (SL) XXXXXXXXX/ (FI) MÄÄRITTELEMÄTÖN/ (XX) EJ FASTSTÄLLT

4.6

(BG) ГРАЖДАНСТВО/ (XX) XXXXXXXXXXXX/ (XX) STÁTNÍ PŘÍSLUŠNOST/ (XX) XXXXXXXXXXXX/ (DE) XXXXXX-XXXXXÖXXXXXXX/ (ET) KODAKONDSUS/ (XX) ΙΘΑΓΕΝΕΙΑ/ (EN) XXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (HR) XXXXXXXXXXXXX/ (XX) CITTADINANZA/ (XX) VALSTSPIEDERĪBA/ (LT) XXXXXXXXĖ/ (HU) ÁLLAMPOLGÁRSÁGA/ (XX) ĊXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) NACIONALIDADE/ (XX) XXXĂȚXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) KANSALAISUUS/ (XX) XXXXXXXXXXXXX

5.

(XX) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX IMPRESO,/ (XX) XX XXXXXXX XXXXXXX XXXXXXX, K XXX JE XXXXXXXX XXXXX FORMULÁŘ,/ (XX) X XXXXXXX XXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX VEDHÆFTET/ (DE) XXXÄXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXXXXXX AVALIKULE XXXXXXXXXXX, MILLELE SEE XXXX ON XXXXXXX/ (XX) ΣΥΜΦΩΝΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XX THE XXXXXX XXXXXXXX XX WHICH XXXX XXXX XX XXXXXXXX/ (FR) X'XXXÈX XX XXXXXXXX XXXXXX XXXXXX XX PRÉSENT XXXXXXXXXX XXX XXXXX/ (XX) XX RÉIR XX XXXXXXXXX XXXXXXX XXXX BHFUIL AN XXXXXX XXX XXXXXXXXXX/ (XX) XXXXX XXXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXXX PUBBLICO CUI XX XXXXXXXX XXXXXX È XXXXXXXX/ (LV) XXXXXŅĀ XX PUBLISKO XXXXXXXXX, KURAM ŠĪ XXXXXXXX IR XXXXXXXXXX/ (XX) XXXXX XXXXĄXĮ XXXXXXXXĄ, XXXX KURIO XXXXXXXXX ŠI FORMA/ (XX) A XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRAT XXXXXXX/ (XX) XXXXX ID-DOKUMENT XXXXXXXX XX MIEGĦU XXXX MEHMUŻA DIN XX-XXXXXXX/ (NL) XXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX FORMULIER XX GEHECHT/ (XX) X DOKUMENTU URZĘDOWEGO, XX KTÓREGO XXŁĄXXXXX XXXX XXXXXXXXX XXXXXXXXX, XXXXXX, ŻX/ (XX) XXXXXXX X XXXXXXXXX XXXXXXX X XXX X PRESENTE FORMULÁRIO XXXX XXXXXX/ (XX) ÎX CONFORMITATE CU XXXXXXXXXX OFICIAL LA XXXX ESTE XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXĽX VEREJNEJ LISTINY, XX XXXXXX XX XXXXX FORMULÁR PRIPOJENÝ/ (XX) V XXXXXX X XXXXX XXXXXXX, XX JI XX XXXXXXXX TA XXXXXXX/ (XX) XXX XXXXXXX XXXXXXXXXX XXXXXX, XXXXX XÄXÄ LOMAKE LIITETÄÄN/ (XX) ENLIGT XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX FORMULÄR ÄX BIFOGAT

5.1

(BG) СЪОТВЕТНОТО ЛИЦЕ ПРИТЕЖАВА БРАЧНА ДЕЕСПОСОБНОСТ СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) XX XXXXXXXXXX TIENE CAPACIDAD XXXX XXXXXXXX XXXXXXXXXX XXX XXXXXXX AL XXXXXXX XXXXXXXX DEL XXXXXX MIEMBRO XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (CZ) XX XXXXXXX XXXXX XXXXXXXXX XXXXXXX XXXXXXXXXX XXXXX XXXXXXXXXXXXXX XXXXX ČLENSKÉHO XXXXX, V NĚMŽ XX XXXXXXX LISTINA XXXXXX/ (XX) XXX XÅXÆXXXXXX PERSON XXX XXXXXX TIL XX XXXXX INDGÅ ÆGTESKAB X HENHOLD XXX XXXXXXXX RET I XXX XXXXXXXXXXX, HVOR XXX OFFENTLIGE DOKUMENT XX XXXXXXX/ (XX) XXX XXX XXXXXXXXXXX XXXXXX NACH DEM XXXXXXXXXX XXXXX DES XXXXXXXXXXXXXX, XX XXX XXX ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX WURDE, XXXXÄXXX/ (XX) XX ASJAOMANE 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/ (XX) THE XXXXXX XXXXXXXXX HAS XXX XXXXXXXX XX XXXXX UNDER XXX XXXXXXXX XXX XX XXX XXXXXX XXXXX XXXXX XXX XXXXXX XXXXXXXX XX ISSUED/ (XX) XX XXXXXXXX XXXXXXXXX XXXX XX XXXXXX XX XXXXX XX XXXXX XXXXXXXX XX L'ÉTAT MEMBRE XÙ XX DOCUMENT XXXXXX EST DÉLIVRÉ/ (XX) XX XX XXXXX LENA xXXXXXXXX XXX XXXXXX XXXX XXXXXX FAOI DHLÍ XXXXXXXXX AN XXXXXXXXXX XXX nDÉANTAR XX XXXXXXXXX POIBLÍ A XXXXXXXX/ (XX) XXXXXXX XXXXX IMA XXXXXXXXXX XX XXXXXXXXX XXXXX XXXXX NACIONALNOM XXXXX XXXXXX XXXXXXX X XXXXX XX XXXXX XXXXXXX XXXXXX/ (XX) XX PERSONA INTERESSATA XXXXXXXX XX CAPACITÀ XX CONTRARRE XXXXXXXXXX X NORMA DEL XXXXXXX XXXXXXXXX DELLO XXXXX XXXXXX CHE XXXXXXXX IL DOCUMENTO XXXXXXXX/ (XX) XXXXXXĪXĀ XXXXXXX SPĒJ DOTIES XXXXĪXĀ XXXXXŅĀ XX XĀX XXXĪXXXXXXX XXXXĪXX XXXXXX, XXXĀ XXXXXXXXXX XXXXXXXXX XX XXXXXX/ (XX) XXXXXXXXXXX XXXXX XXX VEIKSNUS XXXXXXXX XXXXXXXĄ PAGAL XXXXXXXĖX XXXĖX, XXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (XX) XX XXXXXXXX XXXXXXX A XÖXXXXXXX

XXXXXXXXXXXXX XXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXX XXXXXXX XXXXXXXXXX KÖTHET/ (XX) IL-PERSUNA XXXXĊXXXXXX XĦXXXXX L-KAPAĊITÀ LI XXŻŻXXXXĠ TAĦT IL-LIĠI XXXXXXXXXX XXX-XXXXX MEMBRU XXXX XXĦXXXĠ ID-DOKUMENT XXXXXXXX/ (XX) XXXXX XX BETROKKENE DE XXXXXXXXXXX XX XX XXXXX XX GROND XXX XXX XXXXXXXXX XXXXX VAN XX XXXXXXXX WAAR XXX XXXXXXXX XXXXXXXX WORDT XXXXXXXXX/ (PL) XXXXX, XXXXXX XXXXXXX XXXXXXXX, XXXXXXX XXXXXXŚĆ DO XXXXXXXX XXŁŻXŃXXXX XX XXXX XXXXX XXXXXXXXX XXŃXXXX CZŁONKOWSKIEGO, X XXXXXX XXX XXXXXXXX XXXĘXXXX XXXXXŁ XXXXXX/ (XX) A XXXXXX XX XXXXX XXXXXX XXXXXXXXXX XXXXXXXXXXX XXX XXXXXX XX XXXXXXX XXXXXXXX XX ESTADO-MEMBRO XX QUE X XXXXXXXXX XXXXXXX XXX XXXXXXX/ (XX) XXXXXXXX XXXXXĂ ARE XXXXXXXXXXX XX X XX XĂXĂXXXX ÎX CONFORMITATE XX XXXXXXX XXXXXX XX XXXXXXXX MEMBRU ÎX CARE XXXX XXXX XXXXXXXXXX OFICIAL/ (XX) XXXXXXXX OSOBA XX XXÔXXXXXX UZAVRIEŤ XXXXXXXXXX PODĽA XXXXXXXXXXXXXX XXXXX XXXXXXXXX ŠTÁTU, X XXXXXX XX XXXXXXX LISTINA XXXXXX/ (XX) XX XXXXXXX XXXXX SPOSOBNA XX XXXXXXXXX XXXXXXXX ZVEZE X XXXXXX X XXXXXXXXXXX XXXXXX XXXXXX XXXXXXX, V XXXXXX XX XXXXXX XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXÖXXÄ XX XXXXXXXXXX XXXXXX XXXXXXXXXX SEN XÄXXXXXXXXXX XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, JOSSA XXXXXXX XXXXXXXXX XX XXXXXXX/ (XX) HAR DEN XXXÖXXX XXXXXXXX BEHÖRIGHET XXX XXXÅ ÄKTENSKAP XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX I XXX 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 XXXXXX XXXXXX MATRIMONIO X XXXXXX DEL XXXXXXXXXX XXX XXXXXXX AL XXXXXXX XXXXXXXX XXX XXXXXX MIEMBRO DE XXXXXXXXXX DEL DOCUMENTO XXXXXXX/ (XX) XXXXXXX XXXXX XXXXXX XXXXXXXXXX XXXXXXXXXX XXX XXXX XXXXXX XXXXX XXXXXXXXXXXXXX XXXXX XXXXXXXXX STÁTU, X XXXX JE XXXXXXX XXXXXXX VYDÁNA/ (XX) DEN XÅXÆXXXXXX XXXXXX SES XXXX XX XXXX XXXXX ÆXXXXXXX XXXØXX XXXXX XXX NAVN I XXXXXXX XXX XXXXXXXX XXX I XXX XXXXXXXXXXX, XXXX XXX XXXXXXXXXX XXXXXXXX XX XXXXXXX/ (XX) XXX XXX BETREFFENDE XXXXXX XXXXX XXXXX XXXXX XXXXXXXX XXXXX XXX XXXX XXX XXXXXXXXXX XXXXX XXX XXXXXXXXXXXXXX, XX XXX DIE ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, XXXXXXXXXXX/ (ET) XX XXX XXXXXXXXX XXXXX XXXXX ÜHTEGI XXXXXXX XXXXXXXXX XÄXXX XXXXXX LIIKMESRIIGI ÕIGUSE XXXXXX XXXXXXXXXXXX/ (XX) ΔΕΝ ΦΑΙΝΕΤΑΙ ΝΑ ΥΠΑΡΧΕΙ ΓΑΜΟΣ ΣΤΟ ΟΝΟΜΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ/ (EN) XXX PERSON XXXXXXXXX XXXXXXX XX XXXX XX XXXXXXXX XX XXX OR XXX XXXX XXXXX XXX XXXXXXXX XXX XX XXX XXXXXX XXXXX XXXXX XXX XXXXXX XXXXXXXX XX ISSUED/ (XX) LA XXXXXXXX XXXXXXXXX NE XXXXXX XXX XXXXX CONTRACTÉ XX XXXXXXX XX XXX XXX EN XXXXX XX XXXXX XXXXXXXX DE L'ÉTAT XXXXXX XÙ XX XXXXXXXX XXXXXX XXX XXXXXXX/ (XX) NÍL XXX XXXXXXXXX XXX XX XXXXXX XX XXXXX XXXX xXXXXXXXX XXXXX XXXXXX XXXX XX XXXXXX xXXXX XXXXX XXX XXXXXXXXX XX XXXXXXXXX XXX xXXXXXXX XX XXXXXXXXX XXXXXX A XXXXXXXX/ (XX) NIJE XXXXXXX XX XX DOTIČNA XXXXX XXX SVOJIM XXXXXX XXXXXXXX XXXX XXXXX NACIONALNOM XXXXX XXXXXX XXXXXXX X XXXXX XX XXXXX XXXXXXX XXXXXX/ (IT) X XXXX XXXXX XXXXXXX XXXXXXXXXXX XXX XXXXXXX XXXXXXXXXX ALCUN XXXX DI XXXXXXXXXX X XXXXX XXX XXXXXXX XXXXXXXXX DELLO XXXXX XXXXXX CHE XXXXXXXX IL XXXXXXXXX XXXXXXXX/ (XX) XX XXXXXXĪXĀX PERSONAS VĀRDA XXX XXXXĒXXX XXXXXXX XXXXĪXX SASKAŅĀ XX XĀX DALĪBVALSTS TIESĪBU XXXXXX, XXXĀ PUBLISKAIS XXXXXXXXX XX XXXXXX/ (XX) ATITINKAMAS XXXXX XXXX XXXXX NĖRA XXXXXĘX SANTUOKOS XXXXX XXXXXXXĖX NARĖS, XXXXXXX XXXXXXXX XXXXXXXXXX IŠDUODAMAS, XXXXXXXXXXĘ XXXXĘ/ (HU) XX XXXXXXXX SZEMÉLYNEK X XÖXXXXXXX XXXXXXXXXXXXX XXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXX XXXXXXX XXXXXXXXX MEGÁLLAPÍTHATÓAN NINCS/ (XX) IL-PERSUNA XXXXĊXXXXXX XXXXXX XX XX XĦXXXXX X-XXXX ŻXXXĠ XXXXĠXXXXXX F'ISIMHA TAĦT XX-XXĠX XXXXXXXXXX TAL-ISTAT XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX PUBBLIKU/ (XX) XXXXX DE XXXXXXXXXX XXXX XXXXXXXX XX XXXX XX XXXX XXXX XX XXXXX XXX HET XXXXXXXXX XXXXX VAN DE XXXXXXXX XXXX XXX XXXXXXXX XXXXXXXX WORDT XXXXXXXXX/ (PL) XXXXX, XXXXXX XXXXXXX XXXXXXXX, XXX POZOSTAJE W XXXĄXXX MAŁŻEŃSKIM XX XXXX XXXXX XXXXXXXXX XXŃXXXX, X XXXXXX XXX XXXXXXXX XXXĘXXXX XXXXXŁ XXXXXX/ (PT) XÃX XX XXXXXXX XXXXXXX XXXXXXXXX XX XXXX XX PESSOA XX XXXXX XXX XXXXXX XX XXXXXXX XXXXXXXX DO XXXXXX-XXXXXX XX XXX O XXXXXXXXX XXXXXXX XXX XXXXXXX/ (XX) XX XX XXXXXȘXX NICIO XĂXĂXXXXX ÎNCHEIATĂ XX XXXXXX XXXXXXXXX XXXXXX ÎX XXXXXXXXXXXX CU XXXXXXX XXXXXX XX XXXXXXXX XXXXXX ÎX XXXX XXXX XXXX XXXXXXXXXX OFICIAL/ (SK) XXXXXXXX XXXXX XXXXXX XXXXXXXXXX XXXXXXXXXX XX XXXXXX XXXX XXXĽX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X KTOROM XX XXXXXXX XXXXXXX XXXXXX/ (XX) XX XXXXXXXXXXXXXX XXXXXXXX ZADEVNA XXXXX XX X XXXXXXXX XXXXX, XX XX XX XXXXXXXX X SVOJEM IMENU XX V SKLADU X XXXXXXXXXXX XXXXXX XXXXXX XXXXXXX, X XXXXXX JE IZDANA XXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXXX XX XXX XXXXXXXX XXXXXXXXXXX SEN XÄXXXXXXXXXX XXXXXXXXXXX XXXXXÄÄXÄXXÖX MUKAAN, XXXXX XXXXXXX XXXXXXXXX XX XXXXXXX/ (XX) XÖXXXXXXXX XXX BERÖRDA XXXXXXXX INTE HA XXXÅXX ÄXXXXXXXX XXXXXX XXX NATIONELLA XXXXXXXXXXXXXX X DEN XXXXXXXXXXX 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) NO XXX XXXXXXXXXX XX XXXXXX XXXXXXXXXXX XXXX XXX XX XXXXXXXXXX CONTRAIGA XXXXXXXXXX XXX XXXXXXX XX XXXXXXX XXXXXXXX XXX XXXXXX XXXXXXX XX EXPEDICIÓN DEL XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX ŽÁDNÁ XXXXX XXXXXXXX, ABY XXXXXXX XXXXX XXXXXXXX MANŽELSTVÍ XXXXX VNITROSTÁTNÍHO XXXXX XXXXXXXXX STÁTU, V XXXX JE XXXXXXX XXXXXXX XXXXXX/ (DA) XXX FORELIGGER XXXXX XXXXXX HINDRINGER XXX XXX XÅXÆXXXXXX XXXXXXX XXXXÅXXXX XX ÆXXXXXXX X XXXXXXX XXX XXXXXXXX XXX X XXX XXXXXXXXXXX, XXXX XXX XXXXXXXXXX DOKUMENT XX XXXXXXX/ (XX) XXX XXXX HINDERNIS XXXXXXX, DAS XXX XXXXXXXXXXXXXX XXX XXXXXXXXXXXX XXXXXX XXXX DEM XXXXXXXXXX XXXXX XXX XXXXXXXXXXXXXX, IN XXX XXX ÖXXXXXXXXXX

XXXXXXX XXXXXXXXXXX XXXXX, ENTGEGENSTEHT/ (XX) XX XXX TEADA XXXXXXXXX VÄLJA XXXXXX XXXXXXXXXXXX ÕXXXXX XXXXXXXX XXXXXXXXXX, XXX XXXXXXXXXXX XXXXXXXXXX ISIKUL 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/ (EN) THERE XX NO XXXXX XXXXXXXXXX XXX XXX XXXXXX XXXXXXXXX TO XXXXX XXXXX XXX XXXXXXXX XXX XX XXX XXXXXX XXXXX XXXXX THE XXXXXX XXXXXXXX XX XXXXXX/ (XX) XX X'XXXXXX XXX D'EMPÊCHEMENT CONNU XX XXXXXXX DE XX XXXXXXXX CONCERNÉE XX XXXXX XX XXXXX NATIONAL DE X'XXXX MEMBRE XÙ XX XXXXXXXX XXXXXX XXX XXXXXXX/ (GA) XXX XXX XXXX XXXXXXXXX XXX AR XX XXXXX LENA xXXXXXXXX CHUN XXXXXX XXXXX DLÍ XXXXXXXXX XX BHALLSTÁT INA xXXXXXXX XX DOICIMÉAD XXXXXX A EISIÚINT/ (XX) NEMA POZNATE XXXXXXX XXXX XXXX XXXXXXX XXXXX XX XX MOGLA SKLOPITI XXXX XXXXX NACIONALNOM XXXXX XXXXXX ČLANICE X XXXXX XX XXXXX ISPRAVA XXXXXX/ (XX) XXX XXXX XXXX IMPEDIMENTI XX XXXXXXXXXX DELLA XXXXXXX XXXXXXXXXXX X XXXXX XXX XXXXXXX NAZIONALE XXXXX XXXXX XXXXXX XXX RILASCIA IL XXXXXXXXX XXXXXXXX/ (XX) XXX ZINĀMI NEKĀDI XĶĒXXĻX XXXXXXĪXXXXX XXXXXXXX XXĀXXXX XXXXĪXĀ SASKAŅĀ XX TĀS DALĪBVALSTS XXXXĪXX AKTIEM, XXXĀ XXXXXXXXXX XXXXXXXXX IR XXXXXX/ (XX) XĖXX XXXXXŲ KLIŪČIŲ XXXXXXXXXXX XXXXXXXX SUDARYTI XXXXXXXĄ XXXXX VALSTYBĖS NARĖS, XXXXXXX VIEŠASIS XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (XX) NINCS X XÖXXXXXXX KIÁLLÍTÁSÁNAK XXXXX XXXXXXXX XXXXXXXX NEMZETI XXXX XXXXXXXX XXXXXX XXXXXXXX ANNAK, XXXX XX XXXXXXXX SZEMÉLY XXXXXXXXXX KÖSSÖN/ (MT) XX XXXX L-EBDA XXXXXXXXXX XXXĦXXX XĦXXX-XXXXXXX XXXXĊXXXXXX XXXX TIŻŻEWWEĠ XXĦX XX-XXĠX XXXXXXXXXX XXX-XXXXX MEMBRU XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (XX) XX ER XXXX XXXXXXXXXXX XXXX XX BETROKKENE XX XX XXXXX OP XXXXX VAN XXX XXXXXXXXX RECHT VAN XX XXXXXXXX WAAR XXX XXXXXXXX DOCUMENT XXXXX XXXXXXXXX/ (PL) XXX ISTNIEJĄ XXXXX XXXXXXXXXX XXX ZAWARCIA XXXXX XXXXĘ, XXXXXX XXXXXXX XXXXXXXX, XXŁŻXŃXXXX XX XXXX PRAWA XXXXXXXXX PAŃSTWA CZŁONKOWSKIEGO, X XXXXXX XXX XXXXXXXX XXXĘXXXX XXXXXŁ XXXXXX/ (XX) XÃX XXXXXX IMPEDIMENTO CONHECIDO X XXX X XXXXXX XX CAUSA XXXXXXXX MATRIMÓNIO NOS XXXXXX DO XXXXXXX XXXXXXXX XX XXXXXX-XXXXXX XX-XXX X DOCUMENTO XXXXXXX XXX XXXXXXX/ (XX) NU SE XXXXXX XXXXXXXXXXX XX XĂXĂXXXXX PERSOANEI VIZATE ÎX XXXXXXXXXXXX XX XXXXXXX XXXXXX XX XXXXXXXX MEMBRU ÎX XXXX ESTE XXXX XXXXXXXXXX OFICIAL/ (XX) XXX JE XXXXX XXXXXXXX XXX DOTKNUTÚ XXXXX UZAVRIEŤ XXXXXXXXXX XXXĽX XXXXXXXXXXXXXX XXXXX XXXXXXXXX ŠTÁTU, X XXXXXX XX XXXXXXX XXXXXXX VYDANÁ/ (SL) XX UGOTOVLJENIH XXXXXXXX, XX XXXXXXX XXXXX XX XX XXXXX XXXXXXXX ZAKONSKE ZVEZE X SKLADU X XXXXXXXXXXX PRAVOM XXXXXX XXXXXXX, V XXXXXX XX IZDANA JAVNA XXXXXXX/ (XX) ASIANOMAISEN XXXXXXÖX XXXXXXXXXXXX EI XXXXXXÄ XXXXXX XXXXXXÄ XXX XÄXXXXXXXXXX KANSALLISEN XXXXXÄÄXÄXXÖX XXXXXX, JOSSA XXXXXXX ASIAKIRJA XX XXXXXXX/ (SV) XXXXX XXX XXXX XÄXXX XXXXXX XÖX DEN XXXÖXXX PERSONEN XXX XXXÅ ÄXXXXXXXX XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX X DEN MEDLEMSSTAT XÄX XXX XXXXXXXXXX XXXXXXXXXX UTFÄRDADES

5.4

(BG) НЕ СА ИЗВЕСТНИ ПРЕЧКИ ЗА СКЛЮЧВАНЕТО НА БРАК МЕЖДУ СЪОТВЕТНОТО ЛИЦЕ И НЕЙНИЯ(НЕГОВАТА) БЪДЕЩ(А) СЪПРУГ(А) СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (ES) XX HAY XXXXXXXXXX XX XXXXXX XXXXXXXXXXX XXXX XXX EL XXXXXXXXXX CONTRAIGA XXXXXXXXXX XXX XX XXXXXX XXXXXXX XXX XXXXXXX XX XXXXXXX XXXXXXXX XXX XXXXXX XXXXXXX XX XXXXXXXXXX DEL XXXXXXXXX XXXXXXX/ (CZ) XXXXXXXXXX XXXXX ZNÁMÁ XXXXXXXX XXXXXXXXXX XXXX XXXXXXXX XXXXXX A XXXXX SNOUBENCEM / XXXX XXXXXXXXXX XXXXX XXXXXXXXXXXXXX PRÁVA XXXXXXXXX XXXXX, V XXXX XX VEŘEJNÁ XXXXXXX XXXXXX/ (XX) DER XXXXXXXXXX XXXXX XXXXXX XXXXXXXXXX FOR XXXXÅXXXX XX ÆGTESKAB MELLEM XXX XÅXÆXXXXXX XXXXXX XX DENNES XXXXXXXX ÆXXXXÆXXX X HENHOLD XXX XXXXXXXX XXX X XXX XXXXXXXXXXX, XXXX XXX XXXXXXXXXX XXXXXXXX XX XXXXXXX/ (XX) XXX XXXX XXXXXXXXX XXXXXXX, XXX XXXXX XXXXXXXXXXXXXX XXX XXXXXXXXXXXX XXXXXX XXX XXXXX KÜNFTIGEN XXXXXXXXX XXXX XXX NATIONALEN XXXXX XXX MITGLIEDSTAATS, XX XXX DIE ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, XXXXXXXXXXXXX/ (XX) XX XXX XXXXX XXXXXXX XXXXXXXXX XÄXXX XXXXXX LIIKMESRIIGI ÕXXXXX XXXXXXXX XXXXXXXXXX, XXX XXXXXXXXXXX XXXXXX XÕXXXXXXX XXXXXXXXX ISIKU XX XXXX TULEVASE ABIKAASA 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 IMPEDIMENT KNOWN XX A MARRIAGE XXXXXXX THE PERSON XXXXXXXXX XXX XXX XX XXX XXXXXXXX XXXXXX UNDER THE XXXXXXXX XXX XX XXX XXXXXX XXXXX XXXXX XXX XXXXXX XXXXXXXX XX XXXXXX/ (XX) IL X'XXXXXX XXX X'XXXÊXXXXXXX CONNU XX XXXXXXX DE XX PERSONNE CONCERNÉE XXXX SON XXXXX XXXXXXXX XX XXXXX XX XXXXX XXXXXXXX XX X'XXXX XXXXXX XÙ XX DOCUMENT XXXXXX XXX XXXXXXX/ (XX) XXX XXX XXXX XXXXXXXXX XXX XX PHÓSADH XXXX XX XXXXX LENA xXXXXXXXX XXXX A X(X)XXXX XXXXXXXXXX XXXX XXXX XXXXXXXXX XX XXXXXXXXXX INA xXXXXXXX XX DOICIMÉAD XXXXXX X XXXXXXXX/ (HR) XXXX XXXXXXX ZAPREKE XXXX XXXX DOTIČNA XXXXX X XXXXXX XXXXĆX XXXXXX DRUG XX XX XXXXX XXXXXXXX BRAK XXXXX XXXXXXXXXXX PRAVU XXXXXX XXXXXXX X XXXXX XX XXXXX XXXXXXX XXXXXX/ (XX) XXX XXXX XXXX IMPEDIMENTI XX XXXXXXXXXX TRA XX XXXXXXX INTERESSATA X XX XXXXXX XXXXXXX X NORMA XXX DIRITTO XXXXXXXXX XXXXX STATO XXXXXX XXX RILASCIA IL XXXXXXXXX XXXXXXXX/ (XX) XXX ZINĀMI NEKĀDI XĶĒXXĻX XXXXĪXXX XXXXĒXXXXXX XXXXX XXXXXXĪXX XXXXXXX XX XĀX TOPOŠO XXXXĀXX XXXXXŅĀ XX XĀX DALĪBVALSTS XXXXĪXX XXXXXX, XXXĀ XXXXXXXXXX XXXXXXXXX XX XXXXXX/ (XX) NĖRA ŽINOMŲ XXXŪXXŲ XXXXXXXXXX XXXXXX XX XX XŪXXXX (-XX) XXXXXXXXXXX (-ĖS) XXXXXXXXX XXXXX XXXXXXXĖX XXXĖX, XXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (HU) NINCS X KÖZOKIRAT XXXXXXXXXXXXX XXXXX SZERINTI XXXXXXXX XXXXXXX JOGA XXXXXXXX, XXXXXX XXXXXXXX ANNAK, XXXX AZ XXXXXXXX XXXXXXX XX XXXXXŐ XXXXXXXXXX XXXXXXXXX

XXXXXXXXXX XÖXXÖX/ (XX) XX HEMM X-XXXX IMPEDIMENT XXXĦXXX XĦXŻ-ŻXXXĠ XXXX XX-XXXXXXX XXXXĊXXXXXX X X-XXXXXĠX XXXXX XXXĦXX TAĦT XX-XXĠX XXXXXXXXXX TAL-ISTAT XXXXXX XXXX INĦAREĠ XX-XXXXXXXX PUBBLIKU/ (NL) XX ER XXXX XXXXXXXXXXX XXXX EEN XXXXXXXX XXXXXX XX XXXXXXXXXX EN XXXX XX XXXX XXXXXXX XXXXXXXX(X)X(X) XX XXXXX XXX XXX XXXXXXXXX XXXXX XXX DE XXXXXXXX XXXX XXX XXXXXXXX XXXXXXXX XXXXX XXXXXXXXX/ (PL) NIE XXXXXXXĄ ZNANE XXXXXXXXXX XXX XXXXXXXX XXŁŻXŃXXXX XXXXX OSOBĘ, XXXXXX XXXXXXX DOKUMENT, X XXXXĄ, Z XXXXĄ XXXXXXXX ONA XXXXXXĆ XXŁŻXŃXXXX, XX MOCY XXXXX KRAJOWEGO XXŃXXXX XXŁXXXXXXXXXXX, X KTÓRYM XXX XXXXXXXX URZĘDOWY XXXXXŁ XXXXXX/ (PT) XÃX XXXXXX IMPEDIMENTO XXXXXXXXX A XXX XX XXXXXXXX XXXXXXXXX XXXXXXXXXX NOS XXXXXX XX DIREITO NACIONAL XX XXXXXX-XXXXXX XX XXX X XXXXXXXXX XXX XXXXXXX/ (XX) XX XX XXXXXX XXXXXXXXXXX LA XĂXĂXXXXX XXXXXX XXXXXXXX XXXXXĂ ȘX VIITORUL XXȚ (XXXXXXXXX SOȚIE) ÎX XXXXXXXXXXXX XX XXXXXXX XXXXXX XX STATULUI XXXXXX ÎX XXXX XXXX XXXX XXXXXXXXXX XXXXXXX/ (SK) NIE XX XXXXX PREKÁŽKA XXXXXXXX XXXXXXXXXX MEDZI XXXXXXXXX OSOBOU A XXX XXXXXXXXXXXX MANŽELKOU XXXXX NASTÁVAJÚCIM MANŽELOM XXXĽX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXXXX JE XXXXXXX XXXXXXX VYDANÁ/ (XX) XX UGOTOVLJENIH XXXXXXXX, XX XXXXXXX XXXXX XX XXXX XXXXXXXXXX XXXXXXX XX XX XXXXX XXXXXXXX XXXXXXXX XXXXX X SKLADU X XXXXXXXXXXX XXXXXX XXXXXX XXXXXXX, V XXXXXX JE XXXXXX XXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XX XÄXXX XXXXXXX PUOLISONSA XÄXXXXXXX XXXXXXXXXXXX XX XXXXXXÄ XXXXXX XXXXXXÄ XXX JÄSENVALTION XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX ASIAKIRJA XX XXXXXXX/ (XX) XXXXX XXX XXXX XÄXXX XXXXXX FÖR XXXÅXXXX XX ÄXXXXXXXX MELLAN XXX BERÖRDA XXXXXXXX XXX XXXX XXXXX XXXXXX BLIVANDE XXXX XXXXX MAKA XXXXXX XXX NATIONELLA LAGSTIFTNINGEN X XXX XXXXXXXXXXX XÄX DEN OFFICIELLA XXXXXXXXXX XXXÄXXXXXX

5.5

(XX) НЕ СА ИЗВЕСТНИ ВЪЗРАЖЕНИЯ СРЕЩУ СКЛЮЧВАНЕТО НА БРАК МЕЖДУ СЪОТВЕТНОТО ЛИЦЕ И НЕЙНИЯ(НЕГОВАТА) БЪДЕЩ(А) СЪПРУГ(А) СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (ES) XX XXX XXXXXXXXX XXXXXXXX AL XXXXXXXXXX XXXXX XX XXXXXXXXXX X SU FUTURO XXXXXXX CON XXXXXXX XX XXXXXXX NACIONAL XXX XXXXXX XXXXXXX XX EXPEDICIÓN DEL XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXX XXXXXXX XXXXX UZAVŘENÍ XXXXXXXXXX XXXX XXXXXXXX XXXXXX X JEJÍM XXXXXXXXXX / XXXX XXXXXXXXXX XXXXX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXX XX XXXXXXX LISTINA XXXXXX/ (XX) XXX FORELIGGER XXXXX XXXXXX XXXXXXXXXXX XXX XXXXÅXXXX XX XX ÆXXXXXXX XXXXXX XXX XÅXÆXXXXXX XXXXXX XX XXXXXX XXXXXXXX ÆXXXXÆXXX I HENHOLD XXX XXXXXXXX XXX X XXX XXXXXXXXXXX, XXXX XXX XXXXXXXXXX XXXXXXXX ER XXXXXXX/ (XX) IST XXXX XXXXXXX XXXXXXX, XXX XXXXX XXXXXXXXXXXXXX DER XXXXXXXXXXXX XXXXXX XXX XXX XÜXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX XXXXX DES XXXXXXXXXXXXXX, XX XXX DIE ÖXXXXXXXXXX URKUNDE XXXXXXXXXXX XXXXX, XXXXXXXXXXXXX/ (XX) XX XXX TEADA XXXXXXX XXXXXXXXX XÄXXX XXXXXX XXXXXXXXXXXX ÕIGUSE XXXXXX XXXXXXXXXX, XXX XXXXXXXXX XXXXXX XÕXXXXXXX XXXXXXXXX XXXXX JA XXXX TULEVASE ABIKAASA XXXXX/ (XX) ΔΕΝ ΕΙΝΑΙ ΓΝΩΣΤΗ ΚΑΜΙΑ ΑΝΤΙΡΡΗΣΗ ΓΙΑ ΤΗ ΣΥΝΑΨΗ ΓΑΜΟΥ ΜΕΤΑΞΥ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΚΑΙ ΤΟΥ ΜΕΛΛΟΝΤΟΣ Ή ΤΗΣ ΜΕΛΛΟΥΣΑΣ ΣΥΖΥΓΟΥ ΤΟΥ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΌΣΙΟ ΕΓΓΡΑΦΟ/ (XX) XXXXX IS XX XXXXXXXXXX XXXXX XX X XXXXXXXX XXXXXXX THE XXXXXX XXXXXXXXX XXX XXX XX XXX XXXXXXXX XXXXXX XXXXX THE XXXXXXXX XXX XX XXX XXXXXX XXXXX XXXXX XXX XXXXXX XXXXXXXX XX XXXXXX/ (XX) XX X'XXXXXX XXX X'XXXXXXXXXX XXXXXX XX XXXXXXX XX XX XXXXXXXX XXXXXXXXX XXXX XXX FUTUR XXXXXXXX XX VERTU XX XXXXX XXXXXXXX XX X'XXXX MEMBRE XÙ LE DOCUMENT XXXXXX XXX XXXXXXX/ (XX) XXX XXX XXXX XX AGHAIDH XXXXXXXXX XXX XX XXXXXXX XXXX XX XXXXX XXXX mBAINEANN XXXX X C(H)ÉILE XXXXXXXXXX FAOI XXXX XXXXXXXXX XX XXXXXXXXXX XXX nDÉANTAR XX XXXXXXXXX POIBLÍ X XXXXXXXX/ (XX) XXXX XXXXXXXX PRIGOVORA ZBOG XXXXX XXXXXXX XXXXX X XXXXXX XXXXĆX XXXXXX XXXX NE XX XXXXX XXXXXXXX XXXX XXXXX NACIONALNOM XXXXX XXXXXX XXXXXXX X XXXXX XX XXXXX XXXXXXX XXXXXX/ (XX) NON XXXX XXXX OPPOSIZIONI XX XXXXXXXXXX XXX XX XXXXXXX XXXXXXXXXXX E XX FUTURO CONIUGE X XXXXX XXX XXXXXXX XXXXXXXXX XXXXX XXXXX XXXXXX XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX/ (XX) XXX XXXĀXX XXXĀXX XXXXXXXXX XXXXĪXXX NOSLĒGŠANAI XXXXX XXXXXXĪXX XXXXXXX UN XĀX XXXXXX XXXXĀXX XXXXXŅĀ XX XĀX XXXĪXXXXXXX XXXXĪXX XXXXXX, XXXĀ PUBLISKAIS XXXXXXXXX XX XXXXXX/ (LT) XĖXX XXXXXŲ XXXXXXXXXXXXŲ XXXXXXXXXX XXXXXX XX XX BŪSIMO (-XX) XXXXXXXXXXX (-ĖS) XXXXXXXXX XXXXX XXXXXXXĖX XXXĖX, XXXXXXX XXXXXXXX DOKUMENTAS XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (XX) NEM XXXXXX XXXXX, X XÖXXXXXXX XXXXXXXXXXXXX XXXXX XXXXXXXX XXXXXXXX NEMZETI XXXX XXXXXXXX XXXXXXXXXX, XXXXXXX XX XXXXXXXX XXXXXXX XX XXXXXŐ XXXXXXXXXX XXXXX XÖXXXXŐ XXXXXXXXXXX XXXXXXX NYÚJTOTTAK XX/ (XX) XX HEMM X-XXXX XXXXŻXXXXXXX XXXĦXXXX XĦXŻ-ŻXXXĠ BEJN XX-XXXXXXX XXXXĊXXXXXX U L-KONJUĠI XXXXX XXXĦXX XXĦX XX-XXĠX XXXXXXXXXX TAL-ISTAT XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX PUBBLIKU/ (XX) XX ER XXXX XXXXXX XXXXX XXX XXXXXXXX XXXXXX DE XXXXXXXXXX XX XXXX XX XXXX XXXXXXX XXXXXXXX(X)X(X) OP GROND XXX XXX XXXXXXXXX XXXXX XXX DE XXXXXXXX XXXX HET XXXXXXXX XXXXXXXX WORDT XXXXXXXXX/ (PL) XXX XXŁXXXXXX XXXXXXXXX WOBEC XXXXXXXX XXŁŻXŃXXXX XXXXX XXXXĘ, XXXXXX DOTYCZY XXXXXXXX, X XXXXĄ, X XXXXĄ XXXXXXXX XXX XXXXXXĆ XXŁŻXŃXXXX, XX XXXX XXXXX XXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX, X KTÓRYM XXX XXXXXXXX URZĘDOWY XXXXXŁ XXXXXX/ (XX) XÃX XXXXXX OPOSIÇÃO XXXXXXXXX X QUE OS XXXXXXXX CONTRAIAM MATRIMÓNIO XXX XXXXXX XX XXXXXXX XXXXXXXX DO XXXXXX-XXXXXX XX XXX X XXXXXXXXX XXX XXXXXXX/ (RO) XX XX XXXXXȘXX XXXXX XXXXXȚXX XX XĂXĂXXXXX XXXXXX XXXXXXXX VIZATĂ ȘX XXXXXXXX SOȚ (XXXXXXXXX XXȚXX) ÎN XXXXXXXXXXXX CU DREPTUL XXXXXX XX STATULUI XXXXXX ÎX XXXX XXXX XXXX XXXXXXXXXX XXXXXXX/ (XX) NIE XX XXXXX XXXXXXXX XXXX XXXXXXXXX XXXXXXXXXX XXXXX XXXXXXXXX OSOBOU X XXX XXXXXXXXXXXX XXXXXXXXX ALEBO XXXXXXXXXXXX XXXXXXXX PODĽA VNÚTROŠTÁTNEHO XXXXX XXXXXXXXX XXXXX, X XXXXXX XX XXXXXXX XXXXXXX XXXXXX/ (XX) XX XXXXXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX ZAKONSKE XXXXX MED ZADEVNO XXXXX XX XXXXXX XXXXXXXXXXX XXXXXXXX X XXXXXX X XXXXXXXXXXX XXXXXX DRŽAVE ČLANICE, X KATERI XX XXXXXX JAVNA XXXXXXX/ (XX) ASIANOMAISEN XXXXXXÖX XX XÄXXX TULEVAN XXXXXXXXXX XÄXXXXÄ AVIOLIITTOA XX XXX VASTUSTETTU XXX JÄSENVALTION XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX ASIAKIRJA XX XXXXXXX/ (XX) FINNS XXX XXXX XÄXXX XXXÄXXXXXXXX XXX XXXÅXXXX XX ÄKTENSKAP XXXXXX XXX XXXÖXXX XXXXXXXX XXX XXXX XXXXX XXXXXX BLIVANDE MAKE XXXXX XXXX XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX X XXX XXXXXXXXXXX XÄX XXX OFFICIELLA XXXXXXXXXX UTFÄRDADES

6.

(BG) ИНФОРМАЦИЯ ЗА БЪДЕЩИЯ(АТА) СЪПРУГ(А) НА СЪОТВЕТНОТО ЛИЦЕ/ (XX) INFORMACIÓN SOBRE XX FUTURO XXXXXXX XXX INTERESADO/ (XX) XXXXXXXXX O XXXXXXXXX / XXXXXXXXX XXXXXXX XXXXX/ (DA) XXXXXXXXXXX XX XXX XÅXÆXXXXXX XXXXXXX KOMMENDE ÆXXXXÆXXX/ (XX) ANGABEN XX XXX XÜXXXXXXX EHEGATTEN XXX XXXXXXXXXXXX XXXXXX/ (XX) TEAVE XXXXX XXXXX, KELLEGA XXXXXXXXX XXXX XXXXXX XXXXXX XÕXXXXX/ (EL) ΣΤΟΙΧΕΙΑ ΤΟΥ ΜΕΛΛΟΝΤΟΣ Ή ΤΗΣ ΜΕΛΛΟΥΣΑΣ ΣΥΖΥΓΟΥ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (EN) XXXXXXXXXXX XX XXX XXXXXXXX XXXXXX XX XXX XXXXXX XXXXXXXXX/ (FR) XXXXXXXXXXXX SUR XX XXXXX XXXXXXXX XX XX PERSONNE XXXXXXXXX/ (XX) FAISNÉIS XXXXXX XX CÉILE XXXXXXXXXX XX DUINE XXXX xXXXXXXXX/ (HR) INFORMACIJE X XXXXĆXX BRAČNOM XXXXX XXXXXXX XXXXX/ (XX) XXXXXXXXXXXX SUL XXXXXX XXXXXXX XXXXX XXXXXXX INTERESSATA/ (XX) XXXXXXĀXXXX PAR XXXXXXĪXĀX XXXXXXXX TOPOŠO LAULĀTO/ (XX) INFORMACIJA APIE XXXXXXXXXX XXXXXX BŪSIMĄ XXXXXXXXXĮ (-Ę)/ (XX) XX XXXXXXXX XXXXXXX XXXXXŐ HÁZASTÁRSÁRA VONATKOZÓ XXXXXX/ (MT) XXXXXXXXXXXXX XXXX IL-KONJUĠI XXXXX XXX-XXXXXXX XXXXĊXXXXXX/ (NL) XXXXXXXXXX OVER DE XXXXXXX ECHTGENO(O)T(E) XXX XX BETROKKENE/ (XX) XXXX OSOBY, X XXXXĄ XXXXX, XXXXXX XXXXXXX XXXXXXXX, XXXXXXXX XXXXXXĆ XXŁŻXŃXXXX/ (XX) XXXXXXXÇÕXX SOBRE X XXXXXX CÔNJUGE XX XXXXXX XX XXXXX/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXX XXȚ (VIITOAREA XXȚXX) XX (X) XXXXXXXXX VIZATE/ (XX) XXXXXXXXXX X NASTÁVAJÚCOM XXXXXXXXX/ NASTÁVAJÚCEJ XXXXXXXX XXXXXXXXX OSOBY/ (SL) XXXXXXXXXXX O PREDVIDENEM XXXXXXX XXXXXXX XXXXX/ (XX) TIEDOT ASIANOMAISEN XXXXXXÖX TULEVASTA XXXXXXXXXX/ (XX) XXXXXXXXX XX XXX BERÖRDA XXXXXXXXX XXXXXXXX XXXX XXXXX XXXX

7.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX LA FIRMA/ (XX) POLE PRO XXXXXX/ (DA) XXXXXXXXXXXXXXXX/ (XX) UNTERSCHRIFTENFELD/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (EN) XXXXXXXXX XXX/ (XX) XXXXX XXXX LA SIGNATURE/ (XX) XXXXX DON XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXXXXX XXX LA XXXXX/ (LV) PARAKSTA XXXXX/ (XX) PARAŠO XXXXXXXX/ (HU) XX XXXXXXX XXÖXXXXXXXXX/ (MT) XXXXX TAL-IFFIRMAR/ (NL) XXX XXXX DE XXXXXXXXXXXX/ (PL) POLE XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (SK) XXXXXXX XX XXXXXX/ (XX) XXXXX ZA XXXXXX/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (XX) XXXX FÖR XXXXXXXXXXXXXX

7.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X XXXXXX(X) XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) PŘÍJMENÍ X XXXXX (XXXXX) XXXXXXXX, XXXXX XXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXXX(X) XX XXXXXXX(X) XÅ XXX XXXXXXXXXX, XXX HAR XXXXXXX XXXXX FORMULAR/ (XX) XXXXXXXXXXXX(X) XXX VORNAME(N) XXX XXXXXXX, DER XXXXXX FORMULAR XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXX (-XXXXX) XX XXXXXXXXXXXXX (-NIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) XXX FORENAME(S) OF XXX XXXXXXXX WHO XXXXXX XXXX XXXX/ (XX) NOM(S) ET XXXXXX(X) XX XXXXXXXXXXXXX XXX X DÉLIVRÉ XX XXXXXXX FORMULAIRE/ (XX) XXXXXXX (XXXXXXXX) XXXX CÉADAINM (XXXXXXXXXXXXXX) XX XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX XXXX XX XXXXX XXXX XXXXXXX/ (IT) XXXXXXX/X X NOME/I XXX XXXXXXXXXXX XXX XX RILASCIATO IL XXXXXXXX XXXXXX/ (LV) XXXXXXXXXXXX, XXXX IZDEVUSI XX XXXXXXXX, XXXĀXXX(-X) XX XĀXXX(-X)/ (XX) XXĄ XXXXĄ IŠDAVUSIO XXXXXXŪXX XXXXXXĖ (-ĖX) XX XXXXXX (-AI)/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXX XXXX(X) ÉS XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) U XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦXXXĠ XXX IL-FORMOLA/ (XX) XX(X)X(XX) XX XXXXXX(X)X(XX) VAN XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) NAZWISKO(-A) I XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX XXXXŁ NINIEJSZY XXXXXXXXX/ (XX) XXXXXXX(X) X XXXX(X) XXXXXXX(X) XX XXXXXXXXXXX XXX XXXXXX O XXXXXXXX XXXXXXXXXX/ (RO) XXXXXX ȘX PRENUMELE XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (SL) XXXXXXX/XXXXXXX XX XXX/XXXXX XXXXXXXX, KI XX XXXXX TA XXXXXXX/ (XX) TÄMÄN XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXXXXX (-XXXXX) JA XXXXXXX (-XXXXX)/ (SV) EFTERNAMN XXX XÖXXXXX XÅ XXX XXÄXXXXXXX XXX XXX UTFÄRDAT XXXXX XXXXXXÄX

7.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXX DEL XXXXXXXXXXX XXX XXXXXXX ESTE XXXXXXX/ (XX) XXXXXX XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (DA) XXXXXXXX — XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX XXX XXXXXXX, XXX DIESES XXXXXXXX AUSGESTELLT HAT/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX OF XXX OFFICIAL WHO XXXXXX XXXX XXXX/ (XX) XXXXX DU XXXXXXXXXXXXX XXX A XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXX XX XXXXXXXX A X’XXXXXX XX XXXXXX XXX/ (XX) FUNKCIJA XXXXXXXXXX XXXX JE XXXXX OVAJ XXXXXXX/ (XX) POSIZIONE DEL XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX IZDEVUSI XX XXXXXXXX, AMATS/ (LT) XXĄ XXXXĄ IŠDAVUSIO XXXXXXŪXX PAREIGOS/ (XX) X FORMANYOMTATVÁNYT KIÁLLÍTÓ XXXXXXXXXXŐ BEOSZTÁSA/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ DIN XX-XXXXXXX/ (XX) XXXXXXX XXX XX XXXXXXXXX XXX XXX FORMULIER XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (PT) XXXXX DO XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX FUNCȚIONARULUI XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (SL) XXXXXXX XXXXXXXX, KI XX IZDAL XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXX/ (SV) XXXXXXXXXX XÖX XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

7.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) VYDÁNÍ/ (XX) XXXXXXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) VÄLJAANDMISE KUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (XX/XX/XXXX) OF XXXXX/ (XX) XXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXX (LL/MM/BBBB) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX DI RILASCIO (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (LT) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X KIÁLLÍTÁS XXXXXX (XXXX/XX/XX)/ (XX) XXXX (JJ/XX/SSSS) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (PL) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATA XX XXXXXÃX (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) IZDAJE/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) FÖR XXXÄXXXXXX

7.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) PODPIS/ (XX) UNDERSKRIFT/ (XX) XXXXXXXXXXXX/ (XX) ALLKIRI/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXX/ (HR) XXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (LT) XXXXXXX/ (HU) XXXXXXX/ (XX) FIRMA/ (NL) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) ASSINATURA/ (XX) XXXXĂXXXX/ (SK) XXXXXX/ (XX) PODPIS/ (FI) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

7.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) SELLO X XXXXXX/ (CZ) PEČEŤ XXXX XXXXXXX/ (DA) XXXX XXXXX STEMPEL/ (XX) XXXXXX XXXX XXXXXXX/ (ET) XXXXXX XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX STAMP/ (XX) XXXXX XX XXXXXX/ (XX) SÉALA XX XXXXXX/ (HR) XXX XXX XXXXX/ (XX) XXXXX O XXXXXX/ (XX) XĪXXXX VAI XXXXXXXX/ (XX) SPAUDAS XXXX XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (XX) SIĠILL XXX XXXXXX/ (XX) XXXXX XX STEMPEL/ (XX) XXXXXĘĆ LUB STEMPEL/ (XX) SELO XX XXXXXXX/ (RO) XXXXXXXX XXX ȘTAMPILA/ (XX) XXXXX XXXXX ODTLAČOK XXXXXXXX/ (XX) XXXXX XXX XXX/ (FI) XXXXXXX TAI XXXXX/ (XX) SIGILL ELLER XXÄXXXX

XXXXXXX XXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX XXX PŘEKLAD

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

Xxxxxx (XX) Xxxxxxxxx (BG)

Česká xxxxxxxxx (XX)

Xxxxxx (DK) Xxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (IE)

Řecko (XX) Xxxxxxxxx (ES)

Francie (FR) Xxxxxxxxxx (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxx (XX) Rakousko (AT)

Polsko (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Slovinsko (SI)

Slovensko (XX) Xxxxxx (XX)

Xxxxxxx (XX) Spojené království (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx účelem xxxxxx xxxxxxxxxxxxx standardního xxxxxxxxx xx xxxxxxxxx xxxxxxxx xxxxxxx xxxxxxx, x xxx xx xxxxxxxx. Tento formulář xx mezi xxxxxxxxx xxxxx xxxxx xxxxxxxxx xxxx xxxxxxxxxx xxxxxxxx.

Xxxxx xxxxxxxx xxxxxx xxxxx xxxxxxx listiny, x xxx je xxxxxxxx. Xxxxx, xxxxx xx xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx xxxx v xxxxxxxxx, kdy xx xx nezbytné xxx xxxxx zpracování veřejné xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx xxxxxxxxx, xxxxx xxxx xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX XXXXX

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

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

1. XXXXX XXXXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

3. XXXXXXXXX XXXXXXXX SE XXXXXXX XXXXXXX, X XXX XX PŘILOŽEN TENTO XXXXXXXX

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

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx vydaná xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx xxxxxx xxxxxxx xxxxxxxxx

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

3.1.5 Xxxx (xxxxxxxxx)

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

(2) Xxx vyplňování xxxxx použijte xxxxxxx xxxxx.

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

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

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x xxxxxxx

3.2.3 Xxxxx x xxxxxxxx obyvatel

3.2.4 Xxxx xxxxxxxxxx záznamů

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx osvědčení, xxxxxx byla opatřena xxxxxxx podepsaná soukromou xxxxxx

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

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. INFORMACE X XXXXXXX XXXXX

4.1 Xxxxx/x xxxxxxxx

4.2 Xxxxxxxx/x xxxxxxxx

4.3 Příjmení xxxx xxxxxxxxx xxxxxxxxxx

4.4 Xxxxxxxx xx uzavření xxxxxxxxxx

4.5 Xxxxx (xxxxx)

4.6 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.7 Místo (1) x xxxx (2) xxxxxxxx

4.8 Pohlaví:

4.8.1 Xxxx

4.8.2 Xxx

4.8.3 Neurčeno

4.9 Xxxxxx xxxxxxxxxxx

5. NA XXXXXXX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX TENTO XXXXXXXX, XX DOTYČNÁ XXXXX XXXXX XXXXXXX XXXX:

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

5.2 Xxxxxxxxx – nesezdaný

5.2.1 Xxxxxxxx – Xxxxxxxx

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

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

5.3 Xxxxxxxx

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

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

6. XXXX PRO PODPIS

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

6.2 Xxxxxx xxxxxxxx, xxxxx xxxxx xxxxx xxxxxxxx

6.3 Xxxxx (xx/xx/xxxx) xxxxxx

6.4 Xxxxxx

6.5 Pečeť xxxx xxxxxxx

XXXXXXXXXXX GLOSÁŘ NÁZVŮ XXXXXXXXXXXX XXXXXXX

(XXXXXXX STAV)

1.

(BG) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX EXPIDE ESTE XXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX FORMULARS XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, XXX DIESES XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX VORMI VÄLJA XXXXXX ASUTUS/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX XXXX/ (FR) XXXXXXXX XX DÉLIVRANCE XX XXXXXXX XXXXXXXXXX/ (XX) XX tÚDARÁS X XXXXXXXX XX XXXXXX XXX/ (HR) XXXXXX XXXX XXXXXX OVAJ XXXXXXX/ (IT) XXXXXXXÀ XXX RILASCIA XX XXXXXXXX XXXXXX/ (LV) XXXXXXXXX XXXXXĒXXXXXĀXX/ (LT) XXĄ XXXXĄ IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX TA' DIN XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX FORMULIER/ (PL) XXXXX WYDAJĄCY XXXXXXXXX XXXXXXXXX/ (XX) AUTORIDADE XXX XXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX, XX IZDA TA XXXXXXX/ (FI) TÄMÄN XXXXXXXXX ANTAVA 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/ (XX)XXXXXXX/ (XX) XXXXX/ (IT) DENOMINAZIONE/ (XX) XXXXXXXXX/ (LT) XXXXXXXXXXX/ (HU) XXXXXXXXXX/ (XX) TITLU/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXÇÃX/ (RO) XXXXXXXX/ (XX) NÁZOV/ (XX) IME/ (XX) XXXX/ (XX) NAMN

2.

(BG) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XX XXXXXXXXX XXXXXXX AL XXX XX ADJUNTA XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXX XXXXXXXXX, DER XXX XXXXXXX DET OFFENTLIGE XXXXXXXX, SOM XXXXX XXXXXXXX ER VEDHÆFTET/ (XX) XXXÖXXX, XXX XXX ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX FORMULAR XXXXXXÜXX XXX, XXXXXXXXX/ (XX) ASUTUS, XXX XXXXX XÄXXX AVALIKU XXXXXXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XXXXXXX XXX PUBLIC XXXXXXXX XX XXXXX XXXX XXXX IS XXXXXXXX/ (FR) XXXXXXXX XX DÉLIVRANCE XX XXXXXXXX XXXXXX AUQUEL XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XX xXXXXXX A XXXXXXXX XX XXXXXXXXX XXXXXX XXXX BHFUIL XX XXXXXX SEO XXXXXXXXXX/ (HR) XXXXXX XXXX XXXXXX XXXXX XXXXXXX XXXXX JE XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX CUI XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, KURAM ŠĪ XXXXXXXX XX PIEVIENOTA, XXXXXĒXXXXXĀXX/ (LT) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX ŠI XXXXX, XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (XX) X FORMANYOMTATVÁNNYAL XXXXXX KÖZOKIRATOT KIÁLLÍTÓ XXXXXXX/ (XX) AWTORITÀ XXXXXXXXX TAD-DOKUMENT PUBBLIKU XX XXXXĦX XXXX XXXXXŻX DIN XX-XXXXXXX/ (XX) AUTORITEIT XXX XXXXXXX XXX HET XXXXXXXX DOCUMENT XXXXXXX XXX XXXXXXXXX IS XXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXX URZĘDOWY, XX KTÓREGO XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXXXX QUE XXXXX X XXXXXXXXX XXXXXXX A XXX X PRESENTE FORMULÁRIO XXXX XXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXXX XXXXXXX LA XXXX XXXX ANEXAT XXXXXXXXX XXXXXXXX/ (SK) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, KU XXXXXX XX TENTO XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX IZDA XXXXX XXXXXXX, KI JI XX XXXXXXXX XX XXXXXXX/ (FI) VIRANOMAINEN, XXXX XX XXXXXXX XXXXXXX ASIAKIRJAN, XXXXX XÄXÄ XXXXXX LIITETÄÄN/ (XX) XXXXXXXXX XXX XXXÄXXXX DEN XXXXXXXXXX XXXXXXXX XXXX VILKEN XXXXX FORMULÄR ÄR XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXXXXXXXX PÚBLICO XX XXX XX XXXXXXX XXXX IMPRESO/ (XX) XXXXXXXXX XXXXXXXX SE XXXXXXX LISTINY, X XXX JE XXXXXXXX XXXXX XXXXXXXX/ (DA) XXXXXXXXXXX VEDRØRENDE XXX XXXXXXXXXX XXXXXXXX, SOM XXXXX FORMULAR XX XXXXÆXXXX/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX XXXXXXX XXXXXXXXX XXXXX, XXXXXXX SEE XXXX ON XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX RELATING TO XXX XXXXXX DOCUMENT XX WHICH XXXX XXXX IS XXXXXXXX/ (XX) INFORMATIONS XXXXXXXXX XX DOCUMENT XXXXXX XXXXXX XXX XXXXX XX XXXXXXX FORMULAIRE/ (XX) FAISNÉIS A XXXXXXXXX LEIS XX XXXXXXXXX XXXXXX XXXX XXXXXX XX FHOIRM XXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXX XX XXXXXX NA XXXXX XXXXXXX XXXXX XX XXXX OBRAZAC PRILOŽEN/ (XX) XXXXXXXXXXXX RELATIVE XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX XX VIEŠUOJU XXXXXXXXX, PRIE XXXXX XXXXXXXXX XX XXXXX/ (XX) A XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX VONATKOZÓ XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, DO KTÓREGO XXXXXXXXX FORMULARZ XXXX XXŁĄXXXXX/ (XX) INFORMAÇÕES XXXXXXXXX XX XXXXXXXXX XXXXXXX X QUE X PRESENTE FORMULÁRIO XXXX APENSO/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX ESTE XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXX XXXXXXX, XX XXXXXX XX TENTO FORMULÁR XXXXXXXXX/ (SL) XXXXXXXXXXX X XXXXX X XXXXX XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXX YLEISESTÄ XXXXXXXXXXXX, XXXXX TÄMÄ XXXXXX XXXXXXÄÄX/ (XX) INFORMATION XX XXX OFFICIELLA XXXXXXXX TILL XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX XXXXXXXX XXX XXX XXXXXXXXX X XX XXXXXXXXXXX XXXXXXXXX X LOS XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (CZ) XXXXXXX VYDANÁ XXXXXXX XXXX XXXXXXXXX S XXXXXX XX XXXXX XXXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXXX, DER XX XXXXXXX AF XX XXXXXXXXX ELLER XX XXXXXXXXXX, XXX XX XXXXXXXXXX DOMSTOLE X XX MEDLEMSSTAT/ (XX) XXXXXXX EINER XXXÖXXX XXXX XXXXX XXXXXXXXXX XXX ORGAN XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX VÄLJA XXXXXX XXXXXXXXXXXX KOHTUTEGA XXXXXX XXXXXXXXXXX XÕX XXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX EMANATING XXXX XX XXXXXXXXX OR XX XXXXXXXX XXXXXXXXX XXXX XXX XXXXXX XX XXXXXXXXX XX X MEMBER XXXXX/ (XX) XXXXXXXX XXXXXXX X'XXX XXXXXXXX OU X'XX XXXXXXXXXXXXX XXXXXXXX X'XXX JURIDICTION X'XX XXXX XXXXXX/ (XX) XXXXXXXXX X THAGANN X XXXXXX XX X OIFIGEACH X XXXXXX XXXXX XXXX XX XXXX XX XXXXXXXXXX NÓ XX XXXXX DE CHUID XXXXXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXX ILI SLUŽBENIK XXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ X XX UN XXXXXXXXXXX XXXXXXXXXXXX AD UNA XXXXX GIURISDIZIONI DI XXX XXXXX MEMBRO/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XX XXXĪXXXXXXX XXXXĀX XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX VALDŽIOS XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ SU VALSTYBĖS XXXĖX TEISMAIS XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX XXXX XXXXXXX XXXX TISZTVISELŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT MAĦRUĠ XXXX XXXXXXXÀ XXX XXXXĊXXX LI XXXXXXXX XXXXX XXX-XXXXX JEW XX-XXXXXXXXX XX' STAT XXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX XXX EEN XXXXXXXXXXXX INSTANTIE XXX XXX XXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY OD XXXXXX SĄDOWEGO XXX XXXĘXXXXX SĄDOWEGO PAŃSTWA XXŁXXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX DE XXX XXXXXXXXXX XX XX XX FUNCIONÁRIO DEPENDENTE XX XXXXXXXX JURISDIÇÃO XX XX XXXXXX-XXXXXX/ (XX) XXXXXXXX XXXX XX X AUTORITATE XXX XX UN XXXXȚXXXXX XX PE XÂXXĂ XXXXXXȚXXX UNUI XXXX XXXXXX/ (XX) XXXXXXX VYDANÁ ORGÁNOM XXXXX ÚRADNÍKOM X XÄXXXX XX SÚDY XXXXXXXXX XXXXX/ (XX) XXXXXXX, XXXXXX X XXXXXX XXXXXX ALI XXXXXXXX SODNE XXXXXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX, JONKA XX XXXXXXX JÄSENVALTION OIKEUSLAITOKSEEN XXXXXXX VIRANOMAINEN XXX XXXXXXXXX/ (SV) XXXXXXXX XXX HÄRRÖR FRÅN XX XXXXXXXXX XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX I XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX JUDICIAL/ (XX) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) DÉCISION DE XXXXXXX/ (XX) CINNEADH XX gCÚIRT/ (XX) XXXXXX XXXXXX/ (IT) XXXXXXXXX GIURISDIZIONALE/ (XX) XXXXXX XĒXXXX/ (LT) XXXXXX SPRENDIMAS/ (XX) XXXXXXXX HATÁROZAT/ (XX) XXĊXŻXXXX TAL-QORTI/ (NL) XXXXXXXXXXXX BESLISSING/ (XX) XXXXXXXXXX SĄDOWE/ (XX) XXXXXÃX XXXXXXXX/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (SL) XXXXX ODLOČBA/ (FI) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX POR XX XXXXXXXXXX XXXXXX/ (XX) LISTINA XXXXXX XXXXXXX ZÁSTUPCEM/ (XX) XXXXXXXX UDSTEDT AF XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX EINER STAATSANWALTSCHAFT/ (XX) XXXXXXXX, XXXXX XX VÄLJA XXXXXX XXXXXXX SÜÜDISTAJA/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX FROM A XXXXXX XXXXXXXXXX/ (FR) XXXXXXXX XXXXXXX DU XXXXXXÈXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXXXXXXX POIBLÍ/ (XX) ISPRAVA XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (IT) XXXXXXXXX XXXXXXX DAL PUBBLICO XXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (HU) ÜGYÉSZ XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX PROKURATORA/ (XX) DOCUMENTO XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (XX) DOCUMENT XXXX XX XX XXXXXXXX/ (XX) LISTINA XXXXXX XXXXXXXXXXXX/ (SL) LISTINA, XX XX XXXX XXXXXXX TOŽILSTVO/ (XX) XXXXXXXXXX SYYTTÄJÄN XXXXXX XXXXXXXXX/ (SV) XXXXXXXX XXX XÄXXÖX FRÅN ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) DOCUMENTO XXXXXXXX XXX UN XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXX VYŠŠÍM XXXXXXX XXXXXXXXX/ (XX) DOKUMENT XXXXXXX XX EN XXXXXXXXXXXXXÆX/ (DE) URKUNDE XXXXX URKUNDSBEAMTEN XXX XXXXXÄXXXXXXXXX XXXXX GERICHTS/ (XX) XXXXXXXX, MILLE XX VÄLJA ANDNUD XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX XXXX A XXXXX XX X XXXXX/ (XX) DOCUMENT XXXXXXX D'UN GREFFIER/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXX XX XXXXX XXXXXX/ (XX) ISPRAVA XXXX XX IZDAO XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX EMANATO DA XX XXXXXXXXXXX/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XXXXXX SEKRETĀRS/ (LT) XXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX REĠISTRATUR XX' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX SĄDOWEGO/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXX XX XXXXXÇX/ (XX) DOCUMENT XXXX XX XX XXXXXXX AL XXXXXXȚXX/ (XX) LISTINA XXXXXX XXXXXX XXXXXXXXX/ (SL) XXXXXXX, KI XX XXXX XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXX XXXXXXXX POR XX XXXXXX XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXX XXXXXX XXXXXXX VYKONAVATELEM („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXX UDSTEDT XX XX XXÆXXXXXXXXXX (»XXXXXXXX XX JUSTICE«)/ (DE) XXXXXXX EINES XXXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT, XXXXX XX XÄXXX ANDNUD XXXXXXÄXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXXXX XXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX ÉMANANT X'XX XXXXXXXX XX XXXXXXX/ (XX) DOICIMÉAD X XXXXXXX Ó XXXXXXXXX XXXXXXXXXXXX (“HUISSIER XX XXXXXXX”)/ (XX) ISPRAVA XXXX XX XXXXX XXXXXX XXXXXXXXX (HUISSIER XX XXXXXXX)/ (XX) XXXXXXXXX EMANATO XX XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX JUSTICE")/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (XXXXXXXX DE JUSTICE)/ (XX) XXXXXXXXX (XXXXXXXX XX JUSTICE) XXXXXXXX XXXXXXXXXX/ (HU) BÍRÓSÁGI XXXXXXXXXX („HUISSIER XX XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('HUISSIER DE XXXXXXX')/ (NL) XXXXXXXX XXXXXXXXX DOOR EEN XXXXXXXXXXXXXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX XĄXXXXXX (XXXXXXXX XX XXXXXXX)/ (PT) XXXXXXXXX XXXXXXXXXXX XX UM XXXXXXÃX XX XXXXXXX («XXXXXXXX XX JUSTICE»)/ (XX) XXXXXXXX XXXX XX UN XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXXXX SÚDNYM VYKONÁVATEĽOM („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXX, KI XX XXXX XXXXX XXXXXXXXXX („HUISSIER XX XXXXXXX“)/ (XX) HAASTEMIEHEN (”XXXXXXXX DE XXXXXXX”) XXXXXX ASIAKIRJA/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX EN XXÄXXXXXXXXX (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) OTRO (XXXXXXXXXXXXX)/ (XX) XXXX (XXXXXXXXX)/ (XX) ANDRE (XXXXXXX)/ (DE) XXXXXXXXX (XXXXX ANGEBEN)/ (XX) XXX (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (TO XX XXXXXXXXX)/ (XX) AUTRE (À XXXXXXXX)/ (GA) XXXX (XX XXXXX)/ (XX) XXXXXX (NAVESTI)/ (XX) XXXXX (XXXXXXXXX)/ (XX) XXXX (XXXXXXĒX)/ (XX) XXXX (NURODYTI)/ (XX) EGYÉB (XXXXÜX XXXXXXXXXXX)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (NL) OVERIGE (XXXXXXXXXXXX)/ (XX) XXXX (XXXXXĘ OKREŚLIĆ)/ (XX) XXXXXX (X ESPECIFICAR)/ (XX) XXXXX (X XX PRECIZA)/ (XX) XXX (XXXXXXXX)/ (SL) XXXXX (XXXXXXX)/ (XX) XXX XXXXXXXXX (TÄSMENNETTÄVÄ)/ (XX) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) LISTINA XXXXXX XXXXXXXX ÚŘADEM/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) HALDUSDOKUMENT/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (EN) XXXXXXXXXXXXXX DOCUMENT/ (XX) XXXXXXXX ADMINISTRATIF/ (XX) XXXXXXXXX XXXXXXXXXX/ (HR) XXXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (LT) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX DOCUMENT/ (XX) XXXXXXXX ADMINISTRACYJNY/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX ADMINISTRATIV/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXXX HANDLING

3.2.1

(BG) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (DA) PÅTEGNING/ (XX) XXXXXXXXXXXXX/ (ET) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) DEIMHNIÚ/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (XX) PAŽYMA, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (NL) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) CERTIFICAT/ (XX) XXXXXXXXXX/ (XX) POTRDILO/ (XX) XXXXXXXX/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXX X XXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (DE) XXXXXX XXX XXX XXXXXXXX-XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX FROM XXX XXXXX XXXXXX REGISTER/ (XX) XXXXXXX XX XXXXXXXX DE X'XXXX XXXXX/ (GA) XXXXXXX XX AN gCLÁR XXXXXXX XXXXXXXXXX/ (HR) XXXXXXX IZ XXXXXXXX XXXXXXX XXXXXX/ (XX) XXXXXXXX XX XXXX XX XXXXX CIVILE/ (XX) XXXXXXXX XX XXXXXXXĀXXXĻX XXXX REĢISTRA/ (XX) IŠRAŠAS IŠ XXXXXXXĖX XŪXXĖX XXXŲ XXXXXXXX/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊIVILI/ (XX) UITTREKSEL UIT XXX XXXXXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXXXXX XXXX STANU CYWILNEGO/ (XX) XXXXXXX XX XXXX XX REGISTO XXXXX/ (XX) EXTRAS XXX REGISTRUL XX XXXXX XXXXXĂ/ (XX) XXXXX Z REGISTRA XXXXXXXX XXXXX/ (XX) XXXXXXX XX XXXXXXXX X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (SIVIILISÄÄTY)/ (XX) XXXXXX UR XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) EXTRACTO XXX XXXXX/ (CZ) XXXXX X XXXXXXXX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) AUSZUG XXX DEM XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) EXTRACT FROM XXX XXXXXXXXXX REGISTER/ (XX) EXTRAIT XX XXXXXXXX XX XX XXXXXXXXXX/ (XX) SLIOCHT XX XX xXXXX XXXXXX/ (HR) IZVADAK XX XXXXXX STANOVNIŠTVA/ (XX) XXXXXXXX ANAGRAFICO/ (XX) XXXXXXXX XX XXXXĪXXXĀXX REĢISTRA/ (XX) XXXXXXX IŠ XXXXXXXXŲ XXXXXXXX/ (HU) XXXXXXX X XXXXXXXXXXXX- ÉS XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (PL) XXXXĄX X REJESTRU LUDNOŚCI/ (XX) XXXXXXX DO XXXXXXX XX POPULAÇÃO/ (XX) EXTRAS XXX XXXXXXXXX XX XXXXXXȚĂ X XXXXXXȚXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXĽXX/ (SL) XXXXXXX XX XXXXXXXX XXXXXXXXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) COPIA XXXXXXX DE XXXXX XXX XXXXXXXX XXXXX/ (XX) XXXX MATRIČNÍCH XXXXXXX/ (XX) ORDRET XXXX XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (EL) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX OF XXXXX XXXXXX XXXXXXX/ (XX) COPIE XXXXXXXXX X'XXXXX XX X'XXXX XXXXX/ (XX) CÓIP XXXXX AR XXXXXX XX THAIFID XX XXXXXX SIBHIALTA/ (HR) XXXXXXXX PRIJEPIS XX XXXXXXXXXX O XXXXXXX XXXXXX/ (XX) COPIA XXXXXXXXX XX XXXX XX STATO CIVILE/ (XX) XXXXXXXĀXXXĻX XXXX XXĢXXXXX XXXXXXXX XXXXXXXXXX XXXXXX/ (LT) XXXXXXXĖX XŪXXĖX XXXŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX VERBATIM XXX-XXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXXX AFSCHRIFT XXX XXXXX VAN XX XXXXXXXXXXX STAND/ (XX) XXXXX ZUPEŁNY XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXÃX DE XXXXX XXXXXXXX OU DE XXXXXXXXX DE ATOS XX XXXXXXX XXXXX/ (XX) XXXXX EXACTĂ X UNUI XXX XX XXXXX XXXXXĂ/ (XX) DOSLOVNÝ XXXXX XX XXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXX XXXXXX XXXXXX X OSEBNEM XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX SANATARKKA XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX AV XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (CZ) XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (DE) XXXXXXXXXX URKUNDE/ (XX) XXXXXXXXXXXXXXXXX/ (EL) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (EN) XXXXXXXX XXX/ (FR) XXXX XXXXXXX/ (GA) GNÍOMH XXXXXXXXXXXX/ (XX) JAVNOBILJEŽNIČKA XXXXXXX/ (XX) ATTO XXXXXXXX/ (LV) XXXXXXĀXX XXXX/ (LT) XXXXXXXXX XXXXX/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) XXX XXXXXXXX/ (XX) NOTARIËLE XXXX/ (PL) AKT XXXXXXXXXX/ (PT) ATO XXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) NOTÁRSKA XXXXXXX/ (SL) XXXXXXXX XXXXXXX/ (XX) NOTAARIN XXXXXX XXXXXXXXX/ (SV) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (ES) CERTIFICACIÓN XXXXXXX XXXXXX XXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXX, XXXXXX BYLA OPATŘENA XXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (DA) OFFICIEL XÅXXXXXXX XÅ XX XXXXXXXX UNDERTEGNET XX XX PERSON X XXXXXX XXXXXXXX AF XXXXXXXXXXXX/ (DE) 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 A XXXXXXXX XXXXXX BY X XXXXXX XX HIS XX XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX XX XXXX XXXX XXXXX PRIVÉ/ (GA) XXXXXXXX OIFIGIÚIL X XXXXXXXXX AR XXXXXXXXXX XXXX SHÍNIÚ AG XXXXX XXX CHÁIL XX XXX CÁIL XXXXXXXXXXXXXX/ (HR) XXXXXXXX XXXXXXX STAVLJENA XX XXXXXXX KOJU JE XXXXX XXXXXXXXX U XXXXXXXXX SVOJSTVU/ (IT) XXXXXXXXXXXXX XXXXXXXXX APPOSTA XX UNA XXXXXXXXX XXXXXXX/ (XX) XXXXXĀXX XXXXXXXXĀXXXX XX XXXXXXXXX, XX XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (XX) PRIVAČIŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ OFICIALŪS XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX TANÚSÍTVÁNY/ (XX) ĊXXXXXXXXX XXXXĊXXXX XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX PERSUNA XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX EEN DOCUMENT XXXXXXXXXXX DOOR EEN XXXXXXX XX ZIJN XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX UMIESZCZONE XX XXXXXXXXXX PODPISANYM XXXXX XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX PRYWATNYM/ (XX) DECLARAÇÃO XXXXXXX XXXXXXX NUM ATO XX XXXXXXXX PRIVADA/ (XX) XXXXXXXXXX XXXXXXX XXXXXXX XX UN XXXXXXXX SUB XXXXĂXXXĂ XXXXXXĂ/ (SK) ÚRADNÉ XXXXXXXXXX UVEDENÉ XX XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX SÚKROMNÁ XXXXX/ (XX) XXXXXX XXXXXX XX XXXXXXX XXXXXXX/ (XX) VIRALLINEN XXXXXXXX ASIAKIRJASSA, XXXXX XXXXXXÖ XX ALLEKIRJOITTANUT XXXXXXXXXXXXXXÖXÄ/ (XX) OFFICIELLT XXXXX XXXXXXXXX XÅ XX XXXXXXXX XXX XXXXXXXXXXXXX XX EN XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX EXPEDIDO XXX XX XXXXXX XXXXXXXXXXX X XXXXXXXX XX XX XXXXXX XXXXXXX XXX CARÁCTER XXXXXXX/ (XX) XXXXXXX VYHOTOVENÁ XXXXXXXXXXXXX XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX ČLENSKÉHO XXXXX X RÁMCI XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX UDFÆRDIGET AF XX MEDLEMSSTATS XXXXXXXXXXXX XXXXX KONSULÆRE REPRÆSENTANT/ (XX) XXX XXXXX XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (XX) LIIKMESRIIGI XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX TÄITMISEL XXXXXXXXX XXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) DOCUMENT XXXXX UP XX X XXXXXXXXXX OR XXXXXXXX AGENT XX X XXXXXX XXXXX XX XXX OR XXX XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX ÉTABLI XX XX XXXXXXX XXXXXXXXXX PAR XX XXXXX XXXXXXXXXXXX XX XXXXXXXXXX X'XX XXXX XXXXXX/ (XX) XXXXXXXXX XXXX THARRAINGT XXXX XX XXXXXXXXXX TAIDHLEOIREACHTA XX XXXXXXXXX XX XXXXX BALLSTÁIT XXX XXXXX NÓ XXX XXXX OIFIGIÚIL/ (HR) XXXXXXX KOJU XX X XXXXXXXXX SVOJSTVU XXXXXXXX XXXXXXXXXXX ILI XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (IT) XXXXXXXXX XXXXXXX XX XXXXXX XXXXXXXXXXX X CONSOLARI XX UNO STATO XXXXXX NELL'ESERCIZIO DELLE XXXX XXXXXXXX/ (LV) XXXXXXXXX, XXXX, XXXXXX XXXXX XXXXĀXXXXX, SAGATAVOJIS XXXĪXXXXXXX XXXXXXĀXXXXXXX VAI XXXXXXĀXXXX XĀXXXĀXXX/ (LT) XXXXXXXXXX, PARENGTAS XXXXXXXĖX XXXĖX XXXXXXXXX AR XXXXXXXXXX PAREIGŪNO, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) VALAMELY TAGÁLLAM XXXXXXXXXXX VAGY XXXXXXX XXXXXXXXŐXX ÁLTAL XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX IMĦEJJI XXXX AĠENT DIPLOMATIKU XXX KONSULARI XX' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX TIEGĦU/ (NL) XXXXXXXX OPGESTELD DOOR XX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX XXX XXX LIDSTAAT XX XXXX XXXXXXËXX XXXXXXXXXXXX/ (XX) DOKUMENT SPORZĄDZONY XXXXX PRZEDSTAWICIELA XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX XXXĘXXXXX/ (XX) XXXXXXXXX LAVRADO XXX XX XXXXXX XXXXXXXXXXX OU CONSULAR XX XX XXXXXX-XXXXXX XX XXXXXXXXX DAS XXXX XXXÇÕXX XXXXXXXX/ (XX) DOCUMENT ÎXXXXXXX XX XĂXXX XX XXXXX XXXXXXXXXX XXX XXXXXXXX AL XXXX XXXX XXXXXX, ÎN XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX VÝKONU XXXX FUNKCIE/ (SL) XXXXXXX, KI XX XXX XXXXXX OSEBA XXXX XXXXXXXXXXX ALI XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (FI) XXXXXXXXX, XXXXX XÄXXXXXXXXXX DIPLOMAATTINEN XXXXXXXX XXX KONSULIEDUSTAJA XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) HANDLING UPPRÄTTAD X TJÄNSTEN AV XX XXXXXXXXXXX ELLER XXXXXXÄX XXÄXXXXXXX I XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) AUSSTELLUNGSDATUM (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (LL/MM/BBBB) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) IZDAVANJA/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) IZDOŠANAS XXXXXX (XX/XX/XXXX)/ (LT) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) A XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (JJ/XX/SSSS) TAL-ĦRUĠ/ (XX) XXXXX (DD/MM/JJJJ) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) WYDANIA/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (RO) XXXX (ZZ/LL/AAAA) 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 DE XXXXXXXXXX DEL XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX/ (ET) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (EN) XXXXXXXXX NUMBER XX XXX XXXXXX XXXXXXXX/ (XX) XXXXXX XX XXXXXXXXX DU XXXXXXXX XXXXXX/ (XX) XXXXXX XXXXXXXXX AN XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXX JAVNE ISPRAVE/ (XX) XXXXXX DI XXXXXXXXXXX XXX DOCUMENTO XXXXXXXX/ (XX) PUBLISKĀ XXXXXXXXX XXXXXXXX NUMURS/ (XX) XXXXXXX DOKUMENTO XXXXXXX/ (XX) A XÖXXXXXXX HIVATKOZÁSI XXXXX/ (XX) XXXXX XX' XXXXXXXXX TAD-DOKUMENT XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX XXX OPENBAAR XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX URZĘDOWEGO/ (XX) XXXXXX DE XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) NUMĂRUL XX XXXXXXXȚĂ XX XXXXXXXXXXXX XXXXXXX/ (XX) REFERENČNÉ XXXXX XXXXXXXX LISTINY/ (XX) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) INFORMACIÓN SOBRE XX INTERESADO/ (CZ) XXXXXXXXX O XXXXXXX XXXXX/ (DA) XXXXXXXXXXX XX XXX PÅGÆLDENDE XXXXXX/ (DE) XXXXXXX XXX XXXXXXXXXXXX PERSON/ (XX) XXXXXXXXX ISIKUT XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (EN) XXXXXXXXXXX XX XXX XXXXXX CONCERNED/ (XX) XXXXXXXXXXXX XXX LA XXXXXXXX XXXXXXXXX/ (GA) XXXXXXXX XXXXXX XXXX XX DUINE XXXX xXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXXXXX OSOBI/ (XX) XXXXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (LV) XXXXXXĀXXXX XXX ATTIECĪGO XXXXXXX/ (XX) XXXXXXXXXXX XXXX XXXXXXXXXĄ ASMENĮ/ (XX) XX XXXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX DWAR XX-XXXXXXX XXXXĊXXXXXX/ (XX) XXXXXXXXXX XXXX XX XXXXXXXXXX/ (PL) DANE XXXXX, XXXXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÇÕXX XXXXX X XXXXXX XX XXXXX/ (XX) XXXXXXXȚXX XXXXXXX PERSOANA XXXXXĂ/ (SK) XXXXXXXXXX X DOTKNUTEJ XXXXX/ (XX) INFORMACIJE X XXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXX/ (XX) XXXXXXXXX XX XXX BERÖRDA PERSONEN

4.1

(BG) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (ES) XXXXXXXX(X) XX XXXXXXXXXX/ (CZ) XXXXX/X PŘÍJMENÍ/ (XX) XXXXXXXXX(X) VED XØXXXXX/ (XX) FAMILIENNAME(N) XXX XXX XXXXXX/ (XX) XÜXXXXÄXXXX XXXXXXXXXXXXX (XÜXXXXÄXXXXX XXXXXXXXXXXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (XX) XXXXXXX(X) XX XXXXX/ (XX) NOM(S) À XX XXXXXXXXX/ (XX) XXXXXXX (SLOINNTE) XXXXXXX/ (XX) PREZIME(NA) XXX XXĐXXXX/ (XX) XXXXXXX/X ALLA NASCITA/ (XX) XXXĀXXX(-X) DZIMŠANAS XXĪXĪ/ (XX) XXXXXXĖ (-ĖX), XXXXXXXX (-XX) XXXXX/ (XX) XXÜXXXXXX XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) XXX-XXXXXX/ (XX) XXXXXXXX(X)X(XX) XXX XX XXXXXXXX/ (XX) NAZWISKO(-A) XXXXXX/ (XX) XXXXXXX(X) À DATA DO XXXXXXXXXX/ (RO) XXXXXX XX XXȘXXXX/ (SK) XXXXX XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX OB XXXXXXX/ (XX) SUKUNIMI (-NIMET) XXXXXXÄXXXXXXXÄ/ (XX) XXXXXXXXX XXX XÖXXXXX

4.2

(XX) НАСТОЯЩО(И) ФАМИЛНО(И) ИМЕ(НА)/ (ES) XXXXXXXX(X) ACTUAL(ES)/ (XX) XXXXXXXX/X PŘÍJMENÍ/ (XX) XXXÆXXXXX XXXXXXXXX(X)/ (XX) XXXXXXXXXX(X) FAMILIENNAME(N)/ (XX) XXXXXXXX PEREKONNANIMI (PRAEGUSED XXXXXXXXXXXXXX)/ (XX) ΤΡΕΧΟΝ(-ΤΑ) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX XXXXXXX(X)/ (FR) NOM(S) XXXXXX(X)/ (XX) SLOINNE (XXXXXXXX) XXXXXX/ (XX) XXXXXXXX(-X) PREZIME(NA)/ (XX) XXXXXXX/X ATTUALE/I/ (XX) XXXXXXX(-XX) XXXĀXXX(-X)/ (LT) XXXXXXXXĖ (-ĖS) PAVARDĖ (-ĖX)/ (HU) JELENLEGI XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) ATTWALI/ (NL) XXXXXXX XXXXXXXX(X)X(XX)/ (XX) XXXXXX XXXXXXXX(-X)/ (PT) XXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXX XXXXXX(X)/ (XX) SÚČASNÉ XXXXXXXXXX(-X)/ (SL) XXXXXXX XXXXXXX/XXXXXXX/ (FI) XXXXXXXX XXXXXXXX (XXXXXXXX SUKUNIMET)/ (XX) XXXXXXXXX XXXXXXXXX

4.3

(XX) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ БРАКА/ (XX) XXXXXXXX(X) XXXXX XX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXX UZAVŘENÍM XXXXXXXXXX/ (XX) XXXXXXXXX(X) XØX XXXXXXX/ (DE) XXXXXXXXXXXX(X) XXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX (-XXXXX) XXXX XXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΤΟΝ ΓΑΜΟ/ (EN) XXXXXXX(X) XXXXXX XXX MARRIAGE/ (XX) NOM(S) AVANT XX MARIAGE/ (GA) XXXXXXX (XXXXXXXX) XXXXX XX xXXXXXX/ (HR) XXXXXXX(XX) XXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX/X XXXXX XXX MATRIMONIO/ (XX) XXXĀXXX(-X) XXXXX XXXXĪXXX/ (XX) XXXXXXĖ (-ĖX) XXXXX SANTUOKĄ/ (XX) XXXXXXX NEVE(I) X XXXXXXXXXÖXXX ELŐTT/ (XX) XXXXXX(/XXXXXXXXXXX) QABEL XŻ-ŻXXXĠ/ (NL) XXXXXXXX(X)X(XX) XXXX XXX XXXXXXXX/ (XX) XXXXXXXX(-X) PRZED XXXXXXXXX MAŁŻEŃSTWA/ (XX) XXXXXXX(X) XXXXX DO XXXXXXXXX/ (XX) NUMELE ÎXXXXXX XX XĂXĂXXXXX/ (XX) PRIEZVISKO(-Á) PRED XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX/XXXXXXX XXXX XXXXXXXXXXX XXXXXXXX ZVEZE/ (XX) XXXXXXXX (-XXXXX) ENNEN XXXXXXXXXXX/ (XX) EFTERNAMN XÖXX ÄXXXXXXXXXXX INGÅENDE

4.4

(BG) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА БРАКА/ (XX) XXXXXXXX(X) XXXXXXX XX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XX UZAVŘENÍ XXXXXXXXXX/ (DA) EFTERNAVN(E) XXXXX VIELSEN/ (XX) XXXXXXXXXXXX(X) NACH XXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX (-XXXXX) XÄXXXX XXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΜΕΤΑ ΤΟΝ ΓΑΜΟ/ (XX) XXXXXXX(X) XXXXXXXXX THE XXXXXXXX/ (XX) NOM(S) À LA XXXXX XX MARIAGE/ (XX) XXXXXXX (XXXXXXXX) XXX XXX XX PHÓSTA/ (XX) PREZIME(NA) XXXXX XXXXXXXXX XXXXX/ (IT) XXXXXXX/X DOPO XX XXXXXXXXXX/ (LV) UZVĀRDS(-I) XĒX XXXXĪXXX/ (XX) XXXXXXĖ (-ĖX) XX XXXXXXXXX/ (XX) XXXXXXX XXXX(X) X HÁZASSÁG-KÖTÉS XXXX/ (XX) KUNJOM(/KUNJOMIJIET) XXXX Ż-ŻWIEĠ/ (XX) XXXXXXXX(X)X(XX) XX XXX XXXXXXXX/ (XX) XXXXXXXX(-X) XX XXXXXXXX XXŁŻXŃXXXX/ (XX) APELIDO(S) XXXX X XXXXXXXXX/ (XX) XXXXXX XXXĂ CĂSĂTORIE/ (XX) XXXXXXXXXX(-X) XX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX SKLENITVI XXXXXXXX ZVEZE/ (XX) XXXXXXXX (-NIMET) AVIOLIITON XXXXXXXXXX XÄXXXXX/ (XX) XXXXXXXXX XXXXX ÄKTENSKAPETS XXXÅXXXX

4.5

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) XXXXX (JMÉNA)/ (DA) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) CÉADAINM (XXXXXXXXXXXXXX)/ (XX) IME(NA)/ (XX) XXXX(X)/ (XX) XĀXXX(-X)/ (XX) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (MT) XXXX(/XXXXXXXX)/ (XX) VOORNA(A)M(EN)/ (XX) XXXĘ (XXXXXX)/ (XX) XXXX(X) PRÓPRIO(S)/ (XX) PRENUME/ (XX) XXXX(-X)/ (XX) IME/IMENA/ (XX) ETUNIMI (-XXXXX)/ (XX) FÖRNAMN

4.6

(BG) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) DATE (XX/XX/XXXX) XX BIRTH/ (XX) XXXX (XX/XX/XXXX) XX NAISSANCE/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (IT) DATA XX NASCITA (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (LT) GIMIMO XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX IDEJE (XXXX/XX/XX)/ (XX) DATA (JJ/XX/SSSS) XXX-XXXXXX/ (NL) GEBOORTEDATUM (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX DE NASCIMENTO (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (SV) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.7

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX X XXXX DE XXXXXXXXXX/ (XX) XXXXX A XXXX NAROZENÍ/ (DA) XØXXXXXX OG -XXXX/ (XX) ORT XXX XXXX DER GEBURT/ (XX) SÜNNIKOHT JA -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) PLACE AND XXXXXXX OF XXXXX/ (XX) LIEU XX XXXX XX NAISSANCE/ (XX) ÁIT AGUS XXX XXXXXXXX/ (XX) XXXXXX I XXXXXX XXĐXXXX/ (XX) XXXXX X XXXXX DI XXXXXXX/ (XX) XXXXXXXXX XXXXX XX XXXXXX/ (XX) XXXXXX VIETA XX ŠALIS/ (HU) XXÜXXXXXX HELYE XX XXXXXXX/ (MT) XXXX X XXXXXŻ XXX-XXXXXX/ (XX) GEBOORTEPLAATS XX -XXXX/ (PL) XXXXXXX X XXŃXXXX XXXXXXXXX/ (XX) XXXXX E XXXX XX XXXXXXXXXX/ (XX) LOCUL ȘI ȚXXX XXȘXXXXX/ (SK) XXXXXX A XXXX XXXXXXXXX/ (XX) XXXX XX XXXXXX XXXXXXX/ (XX) SYNTYMÄPAIKKA XX -XXX/ (SV) FÖDELSEORT XXX -XXXX

4.8

(XX) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (XX) XØX/ (XX) GESCHLECHT/ (XX) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXX/ (XX) XXXXX/ (LV) XXXXXXX/ (XX) LYTIS/ (XX) XXXX/ (MT) SESS/ (XX) GESLACHT/ (XX) XŁXĆ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) SPOL/ (XX) XXXXXXXXX/ (SV) XÖX

4.8.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) XXXX/ (XX) KVINDE/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) FEMMINILE/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XŐ/ (XX) MARA/ (XX) XXXXX/ (PL) KOBIETA/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (SK) ŽENSKÉ/ (XX) XXXXXX/ (XX) XXXXXX/ (SV) XXXXXX

4.8.2

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

4.8.3

(BG) НЕОПРЕДЕЛЕН/ (XX) INDETERMINADO/ (CZ) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (ET) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) NEODREĐEN/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) MEGHATÁROZATLAN/ (XX) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) XÃX XXXXXXXX/ (XX) NEDETERMINAT/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX FASTSTÄLLT

4.9

(BG) ГРАЖДАНСТВО/ (ES) XXXXXXXXXXXX/ (XX) STÁTNÍ XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX-XXXXXÖXXXXXXX/ (ET) XXXXXXXXXXX/ (XX) ΙΘΑΓΕΝΕΙΑ/ (EN) XXXXXXXXXXX/ (FR) NATIONALITÉ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXĪXX/ (LT) XXXXXXXXĖ/ (XX) ÁLLAMPOLGÁRSÁGA/ (XX) ĊXXXXXXXXXXX/ (NL) XXXXXXXXXXXXX/ (PL) OBYWATELSTWO/ (XX) XXXXXXXXXXXXX/ (RO) XXXĂȚXXXX/ (SK) ŠTÁTNA XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX

5.

(XX) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ, СЕМЕЙНОТО ПОЛОЖЕНИЕ НА СЪОТВЕТНОТО ЛИЦЕ Е, КАКТО СЛЕДВА/ (XX) SEGÚN XX XXXXXXXXX PÚBLICO XX XXX XX ADJUNTA XXXX XXXXXXX, XX XXXXXX CIVIL XXX XXXXXXXXXX XX XX XXXXXXXXX:/ (XX) NA XXXXXXX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX TENTO FORMULÁŘ, XX DOTYČNÁ OSOBA XXXXX RODINNÝ XXXX/ (XX) X HENHOLD XXX DET XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX VEDHÆFTET, XXX XXX XÅXÆXXXXXX XXXXXX XØXXXXXX ÆXXXXXXXXXXXX XXXXXX/ (DE) FAMILIENSTAND XXX XXXXXXXXXXXX PERSON XXXÄXX XXX ÖFFENTLICHEN XXXXXXX, XXX DIESES XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXXXXXX XXXXXXXXX XXXXXXXXXXX, XXXXXXX XXX XXXX XX LISATUD, XX ASJAOMASEL XXXXXX 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 XX XXXXXXXX, XXX PERSON XXXXXXXXX XXX XXX FOLLOWING XXXXXXX XXXXXX/ (XX) X'XXXÈX LE XXXXXXXX XXXXXX XXXXXX LE XXXXXXX XXXXXXXXXX XXX XXXXX, LA XXXXXXXXX XXXXXXXXXXXX XX LA XXXXXXXX XXXXXXXXX XXX XX XXXXXXXX/ (GA) XX XXXX AN XXXXXXXXX XXXXXXX LENA XXXXXX XX FHOIRM XXX XXXXXXXXXX, XX XX XXXXXX PÓSTA X XXXXXX XX XX DUINE XXXX xXXXXXXXX/ (HR) XXXXX XXXXXX XXXXXXX XXXXX XX OVAJ OBRAZAC XXXXXXXX XXXXXX XXXXXX XXXXXXX OSOBE JE XXXXXXĆX/ (XX) XXXXXXX XX DOCUMENTO XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX, XX XXXXX XXXXXX XXXXX XXXXXXX INTERESSATA È XX XXXXXXXX/ (XX) XXXXXŅĀ XX XXXXXXXX DOKUMENTU, KURAM XĪ XXXXXXXX XX XXXXXXXXXX, ATTIECĪGAJAI XXXXXXXX XX ŠĀDS ĢIMENES XXĀXXXXXX/ (XX) XXXXX XXXXĄXĮ XXXXXXXXĄ, PRIE XXXXX PRIDEDAMA ŠI XXXXX, XXXXXXXXXX XXXXXX XXXXXXXXXĖ XXXĖXXX XXX XXXXX/ (HU) XX XXXXXXXX SZEMÉLY XXXXXXX XXXXXXXX X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXX XXXXXXX/ (XX) SKONT XX-XXXXXXXX XXXXXXXX XX MIEGĦU XXXX XXXXXŻX DIN XX-XXXXXXX, XX-XXXXXXX XXXXĊXXXXXX XĦXXXXX X-XXXXX ĊXXXXX XXX ĠXX/ (XX) XXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX, XX DE XXXXXXXXXXX XXXXX XXX XX XXXXXXXXXX XX XXXXXXXX/ (XX) X DOKUMENTU XXXĘXXXXXX, XX XXXXXXX XXŁĄXXXXX JEST XXXXXXXXX XXXXXXXXX, XXXXXX, ŻX XXXXX, XXXXXX XXXXXXX XXXXXXXX, XXXXXXX NASTĘPUJĄCY XXXX CYWILNY/ (XX) XXXXXXX X DOCUMENTO XXXXXXX X XXX X XXXXXXXX FORMULÁRIO XXXX APENSO, À XXXX XX XXX XXXXXÃX, X XXXXXX XXXXX XX XXXXXX XX XXXXX X/ (XX) ÎX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX FORMULAR, XXXXXXXX XXXXXĂ XXX XXXĂXXXXXX XXXXX CIVILĂ/ (XX) XXXĽX VEREJNEJ XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX, SA XXXXXXXX XXXXX NACHÁDZA X XXXXX OSOBNOM XXXXX/ (XX) X XXXXXX X XXXXX LISTINO, XX XX XX XXXXXXXX TA XXXXXXX, XXX XXXXXXX OSEBA XXXXXXXXX XXXXXXXX XXXX/ (XX) XXX XXXXXXX XXXXXXXXXX XXXXXX, XXXXX XÄXÄ LOMAKE XXXXXXÄÄX, XXXXXXXXXXXX HENKILÖN XXXXXXXXÄÄXX XX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX ÄR DEN XXXÖXXX PERSONENS XXXXXXXÅXX XÖXXXXXX

5.1

(XX) СЪС СКЛЮЧЕН БРАК/ДАТА (ДД/ММ/ГГГГ) НА СКЛЮЧВАНЕ НА БРАКА/ (XX) XXXXXX / XXXXX (DD/MM/AAAA) XXX XXXXXXXXXX/ (XX) XXXXX – XXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXX XXXXXXXXXX/ (DA) XXXX/XXXX (XX/XX/ÅÅÅÅ) XXX XXXXÅXXXX AF ÆXXXXXXX/ (XX) VERHEIRATET/TAG DER XXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XXXXXXX / XXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (EL) ΕΓΓΑΜΟΣ/-Η / ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΑΜΟΥ/ (XX) XXXXXXX/XXXX (DD/MM/YYYY) XX XXXXXXXX/ (FR) XXXXX(X)/XXXX (XX/XX/XXXX) XX XXXXXXX/ (XX) PÓSTA/DÁTA (XX/XX/XXXX) XXXXX/ (XX) X XXXXX / XXXXX (XX/XX/XXXX) SKLAPANJA BRAKA/ (XX) XXXXXXXXX/X - XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXXĒXXXX / XXXXĪXXX XXXXĒXXXXXX XXXXXX (DD/MM/GGGG)/ (LT) XXXXXXXXĘX (-XXX) / XXXXXXXXX XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) XXXXX/XXXXXXXXXÖXXX XXXXX (XXXX/XX/XX)/ (XX) XXŻŻXXXXĠ/XXŻŻXXĠX U XXXX (XX/XX/XXXX) TAŻ-ŻWIEĠ/ (XX) XXXXXX/XXXXX (DD/MM/JJJJ) VAN XXX XXXXXXXX/ (XX) XXXXXXXXX W XXXĄXXX XXŁŻXŃXXXX/ XXXX (XX/XX/XXXX) XXXXXXXX XXXĄXXX XXŁŻXŃXXXXXX/ (XX) XXXXXX(X)/XXXX XX XXXXXXXXX (DD/MM/AAAA)/ (XX) XĂXĂXXXXX(Ă)/XXXX (XX/XX/XXXX) XĂXĂXXXXXX/ (XX) XXXXXX/XXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX/XXXXX (DD/MM/LLLL) SKLENITVE XXXXXXXX ZVEZE/ (FI) XXXXXXXXXX/XXXXXXXXXX XXXXXXXXXÄXXÄ (PP/KK/VVVV)/ (XX) XXXX/XXXXX (XX/XX/ÅÅÅÅ) XÖX ÄKTENSKAPETS XXXÅXXXX

5.2

(XX) БЕЗ СКЛЮЧЕН БРАК/ (XX) XX XXXXXX/ (XX) XXXXXXXXX – XXXXXXXXX/ (XX) XXXXX/ (XX) UNVERHEIRATET/ (XX) XX XXX ABIELUS/ (XX) ΑΓΑΜΟΣ/-Η/ (EN) XXX XXXXXXX/ (XX) XXX MARIÉ(E)/ (XX) XXX X XXXXXX XXXXX/ (HR) XXXX X BRAKU/ (XX) XXX XXXXXXXXX/X/ (XX) XXXXXXĒXXXX/ (LT) NESUSITUOKĘS (-XXX)/ (XX) EGYEDÜLÁLLÓ/ (XX) XXXX XXŻŻXXXXĠ/XXXX XXŻŻXXĠX/ (XX) XXXXXXXX/ (XX) XXX XXXXXXXXX X XXXĄXXX XXŁŻXŃXXXX/ (XX) XÃX XXXXXX(X)/ (XX) XXXĂXĂXXXXX(Ă)/ (SK) XXXXXXXX/XXXXXXXX/ (XX) NEPOROČEN/ (XX) XX XXXXXXXXXX/ (XX) XXXXX

5.2.1

(XX) НИКОГА НЕ Е СКЛЮЧВАЛО БРАК/ (XX) XXXXXXX/ (XX) SVOBODNÁ – XXXXXXXX/ (XX) XXXXXX XXXX/ (XX) NIE XXXXXXXXXXX/ (XX) XX XXX KUNAGI XXXXXXX XXXXX/ (EL) ΔΕΝ ΕΧΕΙ ΣΥΝΑΨΕΙ ΠΟΤΕ ΓΑΜΟ/ (EN) NEVER XXXXXXX/ (XX) X'XXXXX XXXXXX XXX MARIÉ(E)/ (XX) XXX A XXXXXX XXXXX RIAMH/ (XX) XXXXXX XXXX XXX(-XX) U XXXXX/ (XX) XXXXXX/XXXXXX/ (XX) XXXXX NAV XXXXX XXXXĒXXXX/ (XX) NIEKADA XXXXXX SUSITUOKĘS (-XXX)/ (XX) XŐXXXX / XXXXXXX/ (XX) ĠUVNI/XEBBA/ (XX) XXXXX GEHUWD/ (XX) XXXXX XXX XXXXXŁ(-X) XXXĄXXX XXŁŻXŃXXXXXX/ (XX) XXXXXXXX/ (XX) XX A XXXX XĂXĂXXXXX(Ă) NICIODATĂ/ (XX) XXXXX SA NEOŽENIL/NEVYDALA/ (XX) XXXXXX POROČEN/ (XX) XX XXX XXXXXXX XXXXX NAIMISISSA/ (XX) HAR XXXXXX XXXXX GIFT

5.2.2

(BG) С РАЗТРОГНАТ БРАК/ДАТА (ДД/ММ/ГГГГ) НА РАЗВОДА/ (XX) XXXXXXXXXX / FECHA (XX/XX/XXXX) XXX DIVORCIO/ (XX) ROZVEDENÁ – XXXXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXXX/XXXX (DD/MM/ÅÅÅÅ) XXX XXXXXXXXXX/ (DE) XXXXXXXXXX / DATUM (XX/XX/XXXX) XXX XXXXXXXXX/ (XX) LAHUTATUD / XXXXXXXXXX KUUPÄEV (XX/XX/XXXX)/ (XX) ΔΙΑΖΕΥΓΜΕΝΟΣ/-Η / ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΔΙΑΖΥΓΙΟΥ/ (XX) DIVORCED/DATE (XX/XX/XXXX) XX DIVORCE/ (XX) XXXXXXX(X)/XXXX (XX/XX/XXXX) DU XXXXXXX/ (XX) 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 / XĶXXXXXĀX DATUMS (XX/XX/XXXX)/ (LT) XXXXXXXXĘX (-XXX) / XXXXXXXXX XXXXXXXXXX XXXX (XX/XX/XXXX)/ (XX) XXXXXX/X XXXXXXXX XXXXXXXXXXXXX XXXXX (XXXX/XX/XX)/ (XX) DIVORZJAT(A) X XXXX (JJ/XX/SSSS) 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) XXXXXȚXXXX/ (XX) XXXXXXXXX/X/XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) 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) XXXXX / XXXXX (DD/MM/AAAA) DE XXXXXXXXXXXXX DEL XXXXXXX/ (XX) XXXXX – XXXXXX/XXXXX (XX/XX/XXXX) XXXXX XXXXXXX/XXXXXXXX/ (DA) XXXXXXXXX/XXXX (XX/XX/ÅÅÅÅ) XXX ÆXXXXÆXXXX XØX/ (DE) XXXXXXXXX / XXXXXXXXXXX (TT/MM/JJJJ) XXX XXXXXXXXX/ (XX) XXXX / XXXXXXXX XXXXX KUUPÄEV (XX/XX/XXXX)/ (XX) ΣΕ ΧΗΡΕΙΑ / ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΘΑΝΑΤΟΥ ΣΥΖΥΓΟΥ/ (XX) XXXXXXX/ XXXX (XX/XX/XXXX) XX XXXXXX'X XXXXX/ (XX) VEUF(VE)/DATE (XX/XX/XXXX) XX DÉCÈS DU XXXXXXXX/ (GA) XXXXXXXXXX/ XXXX (XX/XX/XXXX) XXXX XX CHÉILE/ (XX) XXXXXX(-XXX) / XXXXX (XX/XX/XXXX) SMRTI XXXXXXXX XXXXX/ (IT) XXXXXX/X - DATA DI XXXXXXX XXX XXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX / XXXXĀXĀ MIRŠANAS XXXXXX (XX/XX/XXXX)/ (LT) XXXXXX (-Ė) / XXXXXXXXXXX (-ĖX) XXXXXXX XXXX (XX/XX/XXXX)/ (XX) ÖXXXXX/X XXXXXXXXX XXXXXXXXX XXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXXX/XXXXX X DATA (XX/XX/XXXX) TAL-MEWT TAL-KONJUĠI/ (XX) XXXXXX/XXXXXXXXX/XXXXX (DD/MM/JJJJ) XXX OVERLIJDEN VAN XX XXXXXXXX(X)X(X)/ (XX) XXXXXXX, XXXXX / XXXX (DD/MM/RRRR) XXXXX XXŁŻXXXX/ (XX) XXXXX(X)/XXXX XX XXXXX XX XÔXXXXX (XX/XX/XXXX)/ (XX) 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 ZAKONCA/ (XX) LESKI/PUOLISON XXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) ÄNKLING 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/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) NENUSTATYTA/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX STABBILIT/ (XX) XXXXXXXXX/ (XX) XXXX XXXXXXXXXXX/ (PT) XÃX XXXXXXXX/ (RO) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) EJ FASTSTÄLLT

6.

(BG) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX PARA XX XXXXX/ (XX) XXXX XXX XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) XXXXX XXXX XX XXXXXXXXX/ (XX) XXXXX XXX XXXXX/ (XX) XXXXX ZA XXXXXX/ (XX) XXXXXXXX XXX LA XXXXX/ (XX) XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXX/ (XX) AZ ALÁÍRÁS XXÖXXXXXXXXX/ (XX) KAXXA XXX-XXXXXXXX/ (XX) XXX XXXX XX XXXXXXXXXXXX/ (XX) XXXX XXXXXXX/ (XX) ESPAÇO XXXXXXXXX À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX PODPIS/ (SL) XXXXX XX XXXXXX/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (XX) XXXX FÖR UNDERTECKNANDE

6.1

(BG) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X XXXXXX(X) XXX XXXXXXXXXXX QUE XXXXXXX ESTE XXXXXXX/ (XX) XXXXXXXX A XXXXX (XXXXX) XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXXXX(X) XX XXXXXXX(X) XÅ XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (DE) XXXXXXXXXXXX(X) XXX VORNAME(N) XXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX AMETNIKU EESNIMI (-XXXXX) XX PEREKONNANIMI (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) SURNAME(S) XXX XXXXXXXX(X) XX THE XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) XXX(X) ET XXXXXX(X) XX FONCTIONNAIRE XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XXXXXXX (XXXXXXXX) AGUS XXXXXXXX (XXXXXXXXXXXXXX) AN XXXXXXXX A X’XXXXXX XX FHOIRM SEO/ (XX) XXXXXXX(XX) I XXX(XX) XXXXXXXXXX XXXX XX XXXXX XXXX XXXXXXX/ (XX) COGNOME/I X XXXX/X XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (LV) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, UZVĀRDS(-I) UN XĀXXX(-X)/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖS) IR XXXXXX (-XX)/ (HU) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ CSALÁDI XXXX(X) XX UTÓNEVE(I)/ (XX) XXXXXX(/XXXXXXXXXXX) U XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦAREĠ XXX IL-FORMOLA/ (NL) XX(X)X(XX) XX VOORNA(A)M(EN) XXX XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (PL) XXXXXXXX(-X) X XXXĘ (XXXXXX) XXXĘXXXXX, KTÓRY XXXXŁ XXXXXXXXX FORMULARZ/ (XX) XXXXXXX(X) E XXXX(X) PRÓPRIO(S) XX XXXXXXXXXXX XXX XXXXXX X PRESENTE FORMULÁRIO/ (XX) XXXXXX ȘX XXXXXXXXX XXXXȚXXXXXXXXX XXXX X EMIS XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) X XXXX(-X) ÚRADNÍKA, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) PRIIMEK/PRIIMKI XX IME/IMENA XXXXXXXX, XX XX IZDAL XX OBRAZEC/ (XX) XÄXÄX XXXXXXXXX ANTANEEN XXXXXXXXXXX XXXXXXXX (-NIMET) XX XXXXXXX (-NIMET)/ (XX) XXXXXXXXX XXX XÖXXXXX PÅ XXX XXÄXXXXXXX SOM XXX XXXÄXXXX DETTA XXXXXXÄX

6.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) CARGO XXX FUNCIONARIO XXX XXXXXXX XXXX XXXXXXX/ (XX) FUNKCE XXXXXXXX, XXXXX XXXXX TENTO XXXXXXXX/ (DA) XXXXXXXX — XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX XXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (ET) XÄXXXXXXX XXXXX VÄLJASTANUD XXXXXXXX XXXXXXXXX/ (EL) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX XX XXX XXXXXXXX WHO ISSUED XXXX XXXX/ (XX) XXXXX DU FONCTIONNAIRE XXX X DÉLIVRÉ XX XXXXXXX XXXXXXXXXX/ (XX) POST XX XXXXXXXX X D’EISIGH XX XXXXXX XXX/ (XX) FUNKCIJA SLUŽBENIKA XXXX XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX PRESENTE XXXXXX/ (XX) XXXXXXXXXXXX, KURA XXXXXXXX ŠO XXXXXXXX, XXXXX/ (XX) ŠIĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (XX) KARIGA XXX-XXXXĊXXX LI ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX XXX XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX URZĘDNIKA, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX XX XXXXXXXXXXX XXX XXXXXX X PRESENTE XXXXXXXXXX/ (RO) POZIȚIA XXXXȚXXXXXXXXX CARE X XXXX PREZENTUL XXXXXXXX/ (XX) XXXXXXX ÚRADNÍKA, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) POLOŽAJ XXXXXXXX, XX XX XXXXX XX OBRAZEC/ (XX) TÄMÄN XXXXXXXXX XXXXXXXX XXXXXXXXXXX ASEMA/ (XX) BEFATTNING FÖR XXX XXÄXXXXXXX SOM XXX UTFÄRDAT DETTA XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) VYDÁNÍ/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (XX/XX/XXXX) XX ISSUE/ (XX) DATE (XX/XX/XXXX) XX DÉLIVRANCE/ (XX) XXXX (XX/XX/XXXX) EISIÚNA/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXX/ (XX) DATA XX XXXXXXXX (XX/XX/XXXX)/ (XX) IZDOŠANAS DATUMS (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (DD/MM/MMMM)/ (XX) X KIÁLLÍTÁS XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) WYDANIA/ (XX) XXXX DE EMISSÃO (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) XXXXXXXX/ (SK) XXXXX (DD/MM/RRRR) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (FI) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) XÖX UTFÄRDANDE

6.4

(BG) ПОДПИС/ (ES) FIRMA/ (XX) PODPIS/ (XX) XXXXXXXXXXX/ (DE) XXXXXXXXXXXX/ (XX) ALLKIRI/ (XX) ΥΠΟΓΡΑΦΗ/ (EN) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXX/ (HR) POTPIS/ (XX) FIRMA/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) ALÁÍRÁS/ (MT) XXXXX/ (NL) HANDTEKENING/ (XX) XXXXXX/ (PT) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (FI) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (XX) XXXXX NEBO XXXXXXX/ (XX) XXXX XXXXX XXXXXXX/ (XX) XXXXXX XXXX STEMPEL/ (XX) XXXXXX XÕX XXXXXX/ (EL) ΣΦΡΑΓΙΔΑ/ (XX) SEAL OR XXXXX/ (XX) SCEAU XX XXXXXX/ (GA) XXXXX XX XXXXXX/ (XX) ŽIG XXX XXXXX/ (IT) BOLLO X TIMBRO/ (XX) XĪXXXX XXX XXXXXXXX/ (XX) SPAUDAS XXXX XXXXXXXXXX/ (XX) XXXXXX XXXX BÉLYEGZŐLENYOMAT/ (XX) XXĠXXX XXX XXXXXX/ (XX) XXXXX XX XXXXXXX/ (XX) PIECZĘĆ XXX XXXXXXX/ (XX) XXXX OU XXXXXXX/ (XX) SIGILIUL XXX ȘXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (XX) XXXXX ALI XXX/ (XX) XXXXXXX XXX XXXXX/ (SV) XXXXXX XXXXX STÄMPEL

XXXXXXXXXXXX XXXXXXXXXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX XXX XXXXXXX

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

Belgie (XX) Xxxxxxxxx (BG)

Česká xxxxxxxxx (XX)

Xxxxxx (DK) Xxxxxxx (XX)

Xxxxxxxx (EE) Xxxxx (IE)

Řecko (XX) Xxxxxxxxx (ES)

Francie (FR) Xxxxxxxxxx (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (LU)

Maďarsko (XX) Xxxxx (XX)

Xxxxxxxxxx (XX) Rakousko (AT)

Polsko (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Slovinsko (XX)

Xxxxxxxxx (XX) Xxxxxx (FI)

Švédsko (XX) Spojené království (XX)

XXXXXXXX UPOZORNĚNÍ

Jediným xxxxxx xxxxxx xxxxxxxxxxxxx standardního xxxxxxxxx je xxxxxxxxx xxxxxxxx veřejné xxxxxxx, x xxx xx xxxxxxxx. Xxxxx xxxxxxxx xx mezi xxxxxxxxx xxxxx xxxxx xxxxxxxxx xxxx xxxxxxxxxx dokument.

Tento xxxxxxxx xxxxxx xxxxx xxxxxxx xxxxxxx, x xxx je přiložen. Xxxxx, xxxxx xx xxxxxxx listina xxxxxxxxxxx, xxxx xxxx x xxxxxxxxx, kdy xx xx xxxxxxxx xxx xxxxx zpracování xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx informací, xxxxx jsou ve xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX ORGÁN

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

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

1. XXXXX XXXXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

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

3.1 Listina xxxxxx xxxxxxx nebo xxxxxxxxx x vazbou na xxxxx daného členského xxxxx

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx xxxxxx soudním xxxxxxxxx

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

3.1.5 Xxxx (upřesněte)

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

(2) Při xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

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

(4) Xxxxx „název“ je xxxxx xxxxxxxx jako xxxxxx xxxxx xxxxxx xxxxxxxxxxxx xxxxxxxx listinu, x níž xx xxxxxxxx xxxxx xxxxxxxx.

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x xxxxxxx

3.2.3 Výpis x xxxxxxxx xxxxxxxx

3.2.4 Xxxx matričních záznamů

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, xxxxxx xxxx xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

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

3.6 Xxxxx (dd/mm/rrrr) xxxxxx

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. REGISTROVANÉ XXXXXXXXXXX

4.1 Xxxxx (xx/xx/xxxx) xxxxxxxxxx xxxxxxxxxxx

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

5. XXXXXXX/XXXXXXXXX A

5.1 Xxxxx/x xxxxxxxx

5.2 Příjmení xxxx xxxxxxxxx xxxxxxxxxxxxxx xxxxxxxxxxx

5.3 Xxxxxxxx xx xxxxxxxx xxxxxxxxxxxxxx xxxxxxxxxxx

5.4 Xxxxx (xxxxx)

5.5 Xxxxx (xx/xx/xxxx) xxxxxxxx

5.6 Pohlaví:

5.6.1 Žena

5.6.2 Xxx

5.6.3 Xxxxxxxx

(1) Xxxxx „xxxxx registrace partnerství“ xx xxxxxx xxxxx xxxx xxxx xxxxx, xxxxxx x xxxxx, xxx xxxx tato xxxxxxxxxx provedena.

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

6. XXXXXXX/XXXXXXXXX X

5.1 Rodné/á xxxxxxxx

5.2 Xxxxxxxx xxxx xxxxxxxxx registrovaného partnerství

5.3 Xxxxxxxx po uzavření xxxxxxxxxxxxxx xxxxxxxxxxx

5.4 Jméno (xxxxx)

5.5 Xxxxx (dd/mm/rrrr) xxxxxxxx

5.6 Pohlaví:

5.6.1 Žena

5.6.2 Xxx

5.6.3 Xxxxxxxx

7. XXXX XXX XXXXXX

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

7.2 Funkce xxxxxxxx, který vydal xxxxx xxxxxxxx

7.3 Xxxxx (xx/xx/xxxx) vydání

7.4 Xxxxxx

7.5 Xxxxx xxxx xxxxxxx

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXXXXXXXX PARTNERSTVÍ)

1.

(BG) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) AUTORIDAD XXX XXXXXX ESTE IMPRESO/ (XX) ORGÁN VYDÁVAJÍCÍ XXXXX XXXXXXXX/ (DA) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) BEHÖRDE, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) KÄESOLEVA XXXXX VÄLJA ANDNUD XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX FORM/ (XX) AUTORITÉ XX XXXXXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) AN xXXXXXX X XXXXXXXX XX XXXXXX XXX/ (XX) XXXXXX XXXX XXXXXX OVAJ OBRAZAC/ (XX) AUTORITÀ XXX XXXXXXXX XX PRESENTE XXXXXX/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXX/ (XX) AWTORITÀ XXXXXXXXX XX' DIN IL-FORMOLA/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX XXXXXXXXX/ (PL) XXXXX XXXXXĄXX NINIEJSZY FORMULARZ/ (XX) XXXXXXXXXX XXX XXXXX X PRESENTE XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX XXXXXXXX/ (SK) ORGÁN XXXXXXXXXX TENTO XXXXXXXX/ (XX) XXXXX, XX XXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXX VIRANOMAINEN/ (SV) XXXXXXXXX XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (DE) XXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) DENOMINAZIONE/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (MT) XXXXX/ (XX) BENAMING/ (XX) XXXXX/ (XX) XXXXXXXÇÃX/ (XX) XXXXXXXX/ (XX) NÁZOV/ (SL) XXX/ (FI) NIMI/ (XX) NAMN

2.

(BG) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XX DOCUMENTO XXXXXXX AL XXX XX ADJUNTA XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, X NÍŽ XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXX XXXXXXXXX, XXX XXX UDSTEDT XXX OFFENTLIGE XXXXXXXX, XXX XXXXX FORMULAR XX XXXXÆXXXX/ (DE) XXXÖXXX, XXX XXX ÖXXXXXXXXXX XXXXXXX, DER XXXXXX FORMULAR XXXXXXÜXX XXX, XXXXXXXXX/ (ET) XXXXXX, KES XXXXX XÄXXX AVALIKU DOKUMENDI, XXXXXXX SEE XXXX XX XXXXXXX/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXX XXXXXXXX XX WHICH XXXX XXXX IS XXXXXXXX/ (XX) AUTORITÉ XX XXXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX LE XXXXXXX XXXXXXXXXX/ (XX) AN xXXXXXX A XXXXXXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX AN XXXXXX XXX CEANGAILTE/ (XX) XXXXXX XXXX XXXXXX XXXXX XXXXXXX XXXXX JE OVAJ XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ XXX RILASCIA XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ DOKUMENTA, XXXXX XĪ VEIDLAPA XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ DOKUMENTĄ, XXXX XXXXX PRIDEDAMA XX XXXXX, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ EMITTENTI XXX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX/ (XX) XXXXXXXXXX VAN XXXXXXX XXX HET XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX GEHECHT/ (XX) XXXXX XXXXXĄXX XXXXXXXX URZĘDOWY, XX XXXXXXX NINIEJSZY XXXXXXXXX XXXX XXŁĄXXXXX/ (PT) XXXXXXXXXX XXX XXXXX X DOCUMENTO XXXXXXX X XXX X XXXXXXXX FORMULÁRIO XXXX XXXXXX/ (XX) AUTORITATEA XXXXXXXĂ X XXXXXXXXXXXX XXXXXXX XX XXXX XXXX ANEXAT XXXXXXXXX XXXXXXXX/ (SK) ORGÁN XXXXXXXXXX XXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX XXXX JAVNO XXXXXXX, XX XX XX XXXXXXXX XX OBRAZEC/ (XX) XXXXXXXXXXXX, XXXX XX ANTANUT XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ XXXXXX LIITETÄÄN/ (SV) XXXXXXXXX XXX XXXÄXXXX XXX XXXXXXXXXX HANDLING 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 ESTE XXXXXXX/ (XX) XXXXXXXXX XXXXXXXX SE XXXXXXX XXXXXXX, K XXX XX XXXXXXXX TENTO XXXXXXXX/ (DA) OPLYSNINGER XXXXØXXXXX XXX OFFENTLIGE XXXXXXXX, XXX XXXXX XXXXXXXX ER XXXXÆXXXX/ (XX) XXXXXXX ZUR ÖXXXXXXXXXXX XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (ET) XXXXX XXXXXXX XXXXXXXXX KOHTA, XXXXXXX XXX VORM XX LISATUD/ (EL) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXXXX XXXXXXXX TO XXX XXXXXX DOCUMENT TO XXXXX XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXXXXXX RELATIVES XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX A XXXXXXXXX XXXX AN XXXXXXXXX XXXXXX XXXX BHFUIL XX XXXXXX SEO XXXXXXXXXX/ (XX) INFORMACIJE XXXX XX ODNOSE XX XXXXX XXXXXXX XXXXX JE OVAJ XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX RELATIVE XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È ALLEGATO/ (XX) XXXXXXĀXXXX XXX PUBLISKO XXXXXXXXX, XXXXX XĪ XXXXXXXX IR PIEVIENOTA/ (XX) INFORMACIJA, XXXXXXXX XX XXXXXXXX DOKUMENTU, XXXX XXXXX XXXXXXXXX XX FORMA/ (XX) X XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) INFORMAZZJONI XXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX BETREFFENDE HET XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) INFORMACJE XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX KTÓREGO NINIEJSZY XXXXXXXXX XXXX ZAŁĄCZONY/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX DOCUMENTO XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (RO) INFORMAȚII XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX LA XXXX XXXX ANEXAT PREZENTUL XXXXXXXX/ (SK) XXXXXXXXXX X XXXXXXXX LISTINE, XX KTOREJ XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) INFORMACIJE X XXXXX X JAVNO XXXXXXX, XX XX XX XXXXXXXX TA XXXXXXX/ (XX) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX LIITETÄÄN/ (XX) XXXXXXXXXXX OM XXX XXXXXXXXXX HANDLING XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX XXXXXXXX POR UNA XXXXXXXXX X XX XXXXXXXXXXX XXXXXXXXX X XXX ÓRGANOS XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (CZ) LISTINA XXXXXX ORGÁNEM XXXX XXXXXXXXX S XXXXXX XX SOUDY DANÉHO XXXXXXXXX XXXXX/ (XX) XXXXXXXX, XXX XX XXXXXXX XX XX XXXXXXXXX XXXXX XX XXXXXXXXXX, XXX ER XXXXXXXXXX DOMSTOLE X XX XXXXXXXXXXX/ (DE) XXXXXXX EINER BEHÖRDE XXXX EINER AMTSPERSON XXX XXXXX DER XXXXXXXXXXXX XXXXX 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/ (EN) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXX OR XX XXXXXXXX CONNECTED XXXX XXX COURTS OR XXXXXXXXX OF X XXXXXX STATE/ (XX) XXXXXXXX XXXXXXX D'UNE XXXXXXXX XX D'UN XXXXXXXXXXXXX RELEVANT D'UNE XXXXXXXXXXX X'XX ÉTAT XXXXXX/ (XX) XXXXXXXXX X XXXXXXX Ó XXXXXX XX X XXXXXXXXX X XXXXXX XXXXX AIGE XX XXXX XX XXXXXXXXXX XX LE XXXXX XX XXXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX IZDALO XXXXXX XXX XXXXXXXXX XXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ O XX XX XXXXXXXXXXX APPARTENENTE XX XXX XXXXX XXXXXXXXXXXXX XX XXX XXXXX XXXXXX/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XX XXXĪXXXXXXX TIESĀM XXXXXĪXX XXXXĀXX VAI XXXXXXXXXXX/ (LT) XXXXXXXXXX, XXXXXXXX XXXXXXXX INSTITUCIJOS XX XXXXXXŪXX, SUSIJUSIŲ XX VALSTYBĖS NARĖS XXXXXXXX XX XXXXXXXXXXX/ (XX) TAGÁLLAMI XXXXXXXXXX XXXXXXXXXXXX XXXX XXXXXXX XXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ MINN XXXXXXXÀ JEW XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX XXX XX-XXXXXXXXX XX' XXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX XX AMBTENAAR XXXXXXXXX XXX XXX XXXXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX XX XXXXXX XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX XX XXX AUTORIDADE XX DE XX XXXXXXXXXXX DEPENDENTE XX XXXXXXXX XXXXXXXÇÃX XX XX XXXXXX-XXXXXX/ (XX) XXXXXXXX XXXX XX X XXXXXXXXXX SAU XX XX XXXXȚXXXXX XX XX LÂNGĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (XX) LISTINA XXXXXX XXXXXXX XXXXX XXXXXXXXX X XÄXXXX XX XXXX XXXXXXXXX XXXXX/ (XX) LISTINA, XXXXXX S XXXXXX XXXXXX XXX URADNIKA XXXXX XXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX XX ANTANUT XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX VIRKAMIES/ (XX) HANDLING XXX XÄXXÖX XXÅX XX XXXXXXXXX ELLER EN XXÄXXXXXXX TILLHÖRANDE DOMSTOLSVÄSENDET X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (ES) XXXXXXXXXX XXXXXXXX/ (XX) 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) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (XX) DEĊIŻJONI XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (PL) XXXXXXXXXX XĄXXXX/ (PT) XXXXXÃX XXXXXXXX/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (SV) DOMSTOLSBESLUT

3.1.2

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX POR XX XXXXXXXXXX FISCAL/ (XX) XXXXXXX XXXXXX STÁTNÍM XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX AF XX XXXXXXXXXXXXXXXX/ (DE) URKUNDE XXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX ANDNUD RIIKLIK XÜÜXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXX XXXXXXXXXX/ (XX) DOCUMENT XXXXXXX DU XXXXXXÈXX XXXXXX/ (GA) XXXXXXXXX X THAGANN Ó XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXX JE XXXXXX DRŽAVNO ODVJETNIŠTVO/ (XX) DOCUMENTO XXXXXXX XXX PUBBLICO MINISTERO/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX IŠDUOTAS DOKUMENTAS/ (XX) ÜGYÉSZ ÁLTAL XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ MINN XXXXXXXXXX PUBBLIKU/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX OPENBAAR MINISTERIE/ (XX) XXXXXXXX POCHODZĄCY XX XXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (RO) XXXXXXXX EMIS XX XX PROCUROR/ (XX) XXXXXXX VYDANÁ XXXXXXXXXXXX/ (XX) LISTINA, XX XX XXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX ANTAMA XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXXXX/ (XX) LISTINA VYDANÁ XXXXXX SOUDNÍM XXXXXXXXX/ (XX) XXXXXXXX UDSTEDT XX XX XXXXXXXXXXXXXÆX/ (XX) XXXXXXX EINES XXXXXXXXXXXXXX XXX GESCHÄFTSSTELLE XXXXX GERICHTS/ (XX) XXXXXXXX, XXXXX XX XÄXXX ANDNUD XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXX XX X COURT/ (XX) DOCUMENT XXXXXXX X'XX XXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXX XX XXXXX XXXXXX/ (XX) XXXXXXX XXXX JE XXXXX XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) DOCUMENTO XXXXXXX XX XX XXXXXXXXXXX/ (XX) XXXXXXXXX, XXXX IZSNIEDZIS XXXXXX XXXXXXĀXX/ (XX) TEISMO XXXXXXXXXX XXXXXXXX DOKUMENTAS/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX KIÁLLÍTOTT XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX REĠISTRATUR XX' XXXXX/ (NL) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXX DE XXXXXÇX/ (XX) DOCUMENT EMIS XX XX GREFIER XX XXXXXXȚXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXX/ (XX) LISTINA, XX XX XXXX XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX SIHTEERIN XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXXXX XXXXXXXX XXX UN XXXXXX XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (CZ) XXXXXXX VYDANÁ SOUDNÍM XXXXXXXXXXXXX („HUISSIER XX XXXXXXX“)/ (DA) DOKUMENT XXXXXXX XX EN XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (XX) XXXXXXX XXXXX GERICHTSVOLLZIEHERS/ (XX) XXXXXXXX, MILLE ON XÄXXX ANDNUD XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤ(-ΡΙΑ) («XXXXXXXX DE XXXXXXX»)/ (XX) DOCUMENT XXXXXXXXX XXXX A XXXXXXXX XXXXXXX ('XXXXXXXX XX XXXXXXX')/ (FR) DOCUMENT XXXXXXX X'XX XXXXXXXX XX JUSTICE/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXX BREITHIÚNACH (“XXXXXXXX XX JUSTICE”)/ (XX) XXXXXXX KOJU XX XXXXX XXXXXX XXXXXXXXX (XXXXXXXX XX XXXXXXX)/ (IT) DOCUMENTO XXXXXXX XX XX XXXXXXXXX GIUDIZIARIO ("HUISSIER XX XXXXXXX")/ (XX) XXXXXXXXX, XXXX IZSNIEDZIS XXXXXX XXXXXXĪXĀXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX (HUISSIER XX XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX VÉGREHAJTÓ („XXXXXXXX DE JUSTICE”) XXXXX KIÁLLÍTOTT OKIRAT/ (XX) XXXXXXXX MAĦRUĠ XXXX XXXXĊXXX ĠUDIZZJARJU ('XXXXXXXX DE XXXXXXX')/ (XX) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX URZĘDNIKA XĄXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX XX UM ESCRIVÃO XX XXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX EMIS XX XX XXXXXXXX JUDECĂTORESC („XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX XXXXXXX“)/ (SL) XXXXXXX, XX XX XXXX XXXXX IZVRŠITELJ („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX XX XXXXXXX”) XXXXXX XXXXXXXXX/ (SV) XXXXXXXX XXX XÄXXÖX FRÅN XX XXÄXXXXXXXXX (XXXXXXXX XX JUSTICE)

3.1.5

(BG) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) JINÉ (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) MUU (XÄXXXXXXXX)/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) OTHER (XX XX SPECIFIED)/ (XX) XXXXX (À XXXXXXXX)/ (XX) EILE (XX XXXXX)/ (XX) XXXXXX (NAVESTI)/ (XX) XXXXX (PRECISARE)/ (XX) XXXX (XXXXXXĒX)/ (XX) XXXX (NURODYTI)/ (XX) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) OĦRAJN (XXXXXĊXŻX)/ (XX) OVERIGE (SPECIFICEREN)/ (XX) XXXX (XXXXXĘ XXXXŚXXĆ)/ (PT) OUTROS (X XXXXXXXXXXX)/ (XX) XXXXX (A XX XXXXXXX)/ (XX) XXX (XXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (SV) XXXXX XXXXXXXX (SPECIFICERAS)

3.2

(BG) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX ADMINISTRATIVO/ (XX) XXXXXXX XXXXXX SPRÁVNÍM XXXXXX/ (DA) XXXXXXXXXXXXXX XXXXXXXX/ (DE) XXXXXXX XXXXX VERWALTUNGSBEHÖRDE/ (XX) XXXXXXXXXXXXXX/ (EL) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (FR) DOCUMENT XXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (HU) KÖZIGAZGATÁSI XXXXXX/ (MT) DOKUMENT XXXXXXXXXXXXXX/ (NL) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (RO) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (SL) XXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) CERTIFICAT/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (IT) XXXXXXXXXXX/ (XX) APLIECINĀJUMS/ (LT) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊERTIFIKAT/ (XX) CERTIFICAAT/ (PL) XXŚXXXXXXXXXX/ (PT) XXXXXXÃX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) OSVEDČENIE/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (SV) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXX X MATRIKY/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (DE) XXXXXX XXX DEM XXXXXXXXXXXXXXXXXXXXXX/ (XX) PEREKONNASEISUREGISTRI XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX THE CIVIL XXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XX X'XXXX CIVIL/ (XX) XXXXXXX XX XX gCLÁR XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXX XXXXXX/ (XX) ESTRATTO XX XXXX XX XXXXX XXXXXX/ (LV) XXXXXXXX NO XXXXXXXĀXXXĻX XXXX XXĢXXXXX/ (XX) XXXXXXX XX CIVILINĖS XŪXXĖX XXXŲ XXXXXXXX/ (XX) XXXXXÖXXXX KIVONAT/ (XX) XXXXXXX MIR-REĠISTRU XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXX VAN DE XXXXXXXXXXX XXXXX/ (XX) XXXXX SKRÓCONY AKTU XXXXX XXXXXXXXX/ (XX) XXXXXXX XX ATOS XX REGISTO CIVIL/ (XX) XXXXXX XXX XXXXXXXXX DE XXXXX XXXXXĂ/ (XX) VÝPIS X XXXXXXXX XXXXXXXX XXXXX/ (SL) XXXXXXX XX XXXXXXXX O XXXXXXX STANJU/ (FI) XÄXXXÖXXXXXXXXXXXX (SIVIILISÄÄTY)/ (XX) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX XXX XXXXX/ (XX) VÝPIS X XXXXXXXX XXXXXXXX/ (DA) XXXXXX XXX FOLKEREGISTRET/ (XX) AUSZUG XXX XXX MELDEREGISTER/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX XXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XX REGISTRE XX XX XXXXXXXXXX/ (XX) XXXXXXX AS XX xXXXX DAONRA/ (XX) IZVADAK IZ XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XX XXXXĪXXXĀXX XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXXŲ REGISTRO/ (XX) KIVONAT A XXXXXXXXXXXX- ÉS XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) WYCIĄG X XXXXXXXX XXXXXŚXX/ (XX) XXXXXXX XX XXXXXXX XX XXXXXXÇÃX/ (XX) XXXXXX DIN XXXXXXXXX XX XXXXXXȚĂ X XXXXXXȚXXX/ (XX) VÝPIS X XXXXXXXX XXXXXXXĽXX/ (XX) XXXXXXX XX XXXXXXXX PREBIVALSTVA/ (FI) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX LITERAL XX XXXXX XXX XXXXXXXX XXXXX/ (XX) XXXX XXXXXXXXXX ZÁZNAMŮ/ (XX) XXXXXX XXXX XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX VON XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) PEREKONNASEISUAKTI XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) VERBATIM XXXX OF CIVIL XXXXXX RECORDS/ (XX) XXXXX XXXXXXXXX D'ACTES XX L'ÉTAT XXXXX/ (XX) CÓIP XXXXX XX XXXXXX DE XXXXXXX AR STÁDAS XXXXXXXXX/ (HR) XXXXXXXX XXXXXXXX XX EVIDENCIJA X OSOBNOM XXXXXX/ (XX) XXXXX LETTERALE XX XXXX DI XXXXX XXXXXX/ (LV) XXXXXXXĀXXXĻX AKTU REĢISTRA XXXXXXXX AUTENTISKA XXXXXX/ (XX) CIVILINĖS BŪKLĖS XXXŲ ĮRAŠŲ XXXXXXXĖ XXXXXX/ (HU) XXXXXÖXXXX XXXXXXXXX XXX SZERINTI XXXXXXXX/ (MT) XXXXX XXXXXXXX XXX-XXXX TAL-ISTAT ĊXXXXX/ (XX) EENSLUIDEND XXXXXXXXX XXX XXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) ODPIS XXXXŁXX XXXX STANU XXXXXXXXX/ (PT) CERTIDÃO XX XXXXX XXXXXXXX XX XX NARRATIVA XX ATOS XX XXXXXXX XXXXX/ (RO) XXXXX XXXXXĂ X XXXX ACT XX XXXXX CIVILĂ/ (SK) XXXXXXXX XXXXX ZO XXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXX XXXXXX XXXXXX X XXXXXXX XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX XX FOLKBOKFÖRINGSHANDLING

3.3

(BG) НОТАРИАЛЕН АКТ/ (ES) ACTA XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (DA) NOTARBEKRÆFTET XXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX ACT/ (XX) XXXX XXXXXXX/ (XX) XXXXXX NÓTAIREACHTA/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX XXXXXXXX/ (XX) NOTARIĀLS XXXX/ (XX) XXXXXXXXX XXXXX/ (XX) KÖZJEGYZŐI XXXXXX/ (XX) XXX NOTARILI/ (XX) XXXXXXËXX XXXX/ (XX) XXX XXXXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) NOTARSKA XXXXXXX/ (XX) NOTAARIN XXXXXX XXXXXXXXX/ (XX) NOTARIELL XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX XXXXXX SOBRE UN XXXXXXXXX PRIVADO/ (XX) XXXXXX XXXXXXXXX, KTERÝM XXXX XXXXXXXX LISTINA XXXXXXXXX SOUKROMOU XXXXXX/ (XX) XXXXXXXX XÅXXXXXXX XÅ XX DOKUMENT XXXXXXXXXXX XX XX XXXXXX I XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (XX) AMTLICHE BESCHEINIGUNG XXX EINER XXXXXXXXXXXXX/ (XX) ISIKU POOLT XXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX XXXXXXX TÕEND/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX XXXXXX XX X XXXXXXXX XXXXXX XX A PERSON XX XXX XX XXX XXXXXXX CAPACITY/ (XX) XXXXXXXXXXX OFFICIELLE XXXXXXX SUR XX XXXX XXXX XXXXX XXXXX/ (XX) DEIMHNIÚ XXXXXXXXX A XXXXXXXXX XX XXXXXXXXXX XXXX XXXXXX XX XXXXX XXX CHÁIL XX XXX XXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX XX XXXXXXX XXXX XX XXXXX XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (IT) DICHIARAZIONE XXXXXXXXX APPOSTA SU XXX XXXXXXXXX PRIVATA/ (XX) OFICIĀLS APLIECINĀJUMS XX XXXXXXXXX, KO XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX PERSONA/ (LT) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ OFICIALŪS XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (MT) ĊXXXXXXXXX XXXXĊXXXX LI XXXXXXXĦXX X'XXXXXXXX IFFIRMAT XXXX PERSUNA XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXX XXXXXXXXXXX XXXX XXX PERSOON XX XXXX PARTICULIERE XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÃX XXXXXXX INSERTA XXX XXX XX XXXXXXXX PRIVADA/ (XX) XXXXXXXXXX OFICIAL XXXXXXX XX UN XXXXXXXX XXX SEMNĂTURĂ XXXXXXĂ/ (XX) ÚRADNÉ XXXXXXXXXX XXXXXXX NA LISTINE XXXXXXXXXX XXXXXX KONAJÚCOU XXX XXXXXXXX XXXXX/ (XX) XXXXXX IZJAVA XX ZASEBNI LISTINI/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, XXXXX XXXXXXÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX XXXXX XXXXXXXXX PÅ EN XXXXXXXX XXX XXXXXXXXXXXXX XX XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) DOCUMENTO XXXXXXXX POR XX XXXXXX XXXXXXXXXXX O XXXXXXXX XX UN XXXXXX XXXXXXX XXX XXXXXXXX OFICIAL/ (XX) XXXXXXX VYHOTOVENÁ DIPLOMATICKÝM XXXXXXXXX XXXX KONZULÁRNÍM XXXXXXXXX ČLENSKÉHO XXXXX X XXXXX VÝKONU XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX XX EN XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX REPRÆSENTANT/ (DE) XXX XXXXX DIPLOMATISCHEN XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX MITGLIEDSTAATS XX XXXXXX AMTLICHEN FUNKTION XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX DIPLOMAATILISE XÕX XXXXXXXXXXXXXXXXX POOLT XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX DOKUMENT/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) DOCUMENT DRAWN XX BY X XXXXXXXXXX OR CONSULAR XXXXX XX A XXXXXX XXXXX XX XXX OR XXX XXXXXXXX CAPACITY/ (XX) XXXXXXXX XXXXXX XX XX XXXXXXX OFFICIELLE XXX XX XXXXX XXXXXXXXXXXX XX CONSULAIRE X'XX XXXX XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX XX XXXXX XXXXXXXXX INA XXXXX XX XXX CÁIL XXXXXXXXX/ (HR) ISPRAVA XXXX XX U XXXXXXXXX SVOJSTVU XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX DRŽAVE ČLANICE/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX DIPLOMATICI X XXXXXXXXX XX XXX STATO MEMBRO XXXX'XXXXXXXXX DELLE XXXX XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX XXXXX XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX VALSTYBĖS XXXĖX XXXXXXXXX AR XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX PAGAL XXXXXXXXXX ĮXXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXX DIPLOMÁCIAI XXXX KONZULI XXXXXXXXŐXX XXXXX XXXXXXXXX MINŐSÉGÉBEN XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXXX XXXX XĠXXX DIPLOMATIKU XXX XXXXXXXXX TA' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (NL) XXXXXXXX XXXXXXXXX XXXX DE XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX VAN EEN XXXXXXXX IN XXXX XXXXXXËXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX LUB XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX DZIAŁAJĄCYCH W XXXXXXXXXXX URZĘDOWYM/ (PT) XXXXXXXXX XXXXXXX XXX XX XXXXXX XXXXXXXXXXX XX XXXXXXXX XX XX XXXXXX-XXXXXX XX XXXXXXXXX DAS XXXX XXXÇÕXX OFICIAIS/ (RO) XXXXXXXX ÎXXXXXXX XX XĂXXX UN AGENT XXXXXXXXXX SAU CONSULAR XX XXXX XXXX XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX ÚRADNÍKOM XXXXXXXXX XXXXX V XXXXX XXXXXX XXXX XXXXXXX/ (XX) LISTINA, XX XX XXX XXXXXX XXXXX XXXX XXXXXXXXXXX ALI XXXXXXXXXX XXXXXXXXXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX, XXXXX XÄXXXXXXXXXX DIPLOMAATTINEN EDUSTAJA XXX KONSULIEDUSTAJA XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX UPPRÄTTAD X XXÄXXXXX XX EN XXXXXXXXXXX XXXXX XXXXXXÄX XXÄXXXXXXX X XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (CZ) DATUM (XX/XX/XXXX) XXXXXX/ (DA) 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 XXXXX/ (XX) DATE (XX/XX/XXXX) XX DÉLIVRANCE/ (GA) XXXX (LL/MM/BBBB) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX RILASCIO (XX/XX/XXXX)/ (XX) IZDOŠANAS XXXXXX (XX/XX/XXXX)/ (LT) IŠDAVIMO XXXX (DD/MM/MMMM)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (NL) XXXXX (XX/XX/XXXX) VAN XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (PT) XXXX DE EMISSÃO (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) EMITERII/ (SK) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (DD/MM/LLLL) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX DE REFERENCIA XXX XXXXXXXXX XXXXXXX/ (XX) REFERENČNÍ XXXXX XXXXXXX LISTINY/ (DA) XXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (DE) XXXXXXXXXX XXX ÖFFENTLICHEN URKUNDE/ (XX) AVALIKU XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX XX XXX XXXXXX DOCUMENT/ (FR) XXXXXX XX RÉFÉRENCE XX XXXXXXXX XXXXXX/ (XX) UIMHIR XXXXXXXXX XX DOICIMÉID PHOIBLÍ/ (XX) XXXXXXXXXX BROJ XXXXX XXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXĀ DOKUMENTA XXXXXXXX XXXXXX/ (LT) XXXXXXX XXXXXXXXX NUMERIS/ (XX) A XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX VAN HET XXXXXXXX XXXXXXXX/ (PL) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (PT) NÚMERO XX XXXXXÊXXXX XX XXXXXXXXX PÚBLICO/ (XX) XXXĂXXX DE XXXXXXXȚĂ XX XXXXXXXXXXXX OFICIAL/ (XX) XXXXXXXXXX ČÍSLO XXXXXXXX LISTINY/ (XX) XXXXXXXXXX ŠTEVILKA XXXXX XXXXXXX/ (FI) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX HANDLINGENS XXXXXXXXXXXXXX

4.

(XX) РЕГИСТРИРАНО ПАРТНЬОРСТВО/ (XX) XXXXX DE XXXXX REGISTRADA/ (CZ) XXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXX PARTNERSCHAFT/ (XX) XXXXXXXXXXXXXX XXXXXXX/ (XX) ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΥΜΒΙΩΣΗ/ (EN) XXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX CHLÁRAITHE/ (HR) XXXXXXXXXXXX XXXXXXXXXXX/ (IT) XXXXXX XXXXXXXXXX/ (LV) XXĢXXXXĒXXX XXXXXXXXXXXXXĪXXX/ (XX) XXXXXXXXXXX XXXXXXXXXXĖ/ (XX) XXXXXXXXXX XXXXXXXXX XXXXXXXXX/ (XX) XĦXXXXX XXXĠXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXXX/ (XX) ZAREJESTROWANY ZWIĄZEK XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (RO) PARTENERIAT ÎXXXXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXX/ (XX) REGISTRIRANA XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXÖXXX PARISUHDE/ (XX) XXXXXXXXXXX XXXXXXXXXXX

4.1

(XX) ДАТА (ДД/ММ/ГГГГ) НА РЕГИСТРИРАНЕ НА АКТА/ (ES) XXXXX (DD/MM/AAAA) XX XXXXXXXXXXX XX LA XXXXX DE HECHO/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXXX XXXXXXXXXXX/ (DA) XXXX (XX/XX/ÅÅÅÅ) FOR XXXXXXXXXXXXXX AF PARTNERSKABET/ (XX) DATUM (XX/XX/XXXX) XXX EINTRAGUNG XXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΚΑΤΑΧΩΡΙΣΗΣ ΤΗΣ ΠΡΑΞΗΣ/ (XX) XXXX (DD/MM/YYYY) XX XXX XXXXXXXXXXXX XX XXX XXXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) X'XXXXXXXXXXXXXX XX XXXXXXXXXXX/ (XX) DÁTA (XX/XX/XXXX) XXXXXX NA XXXXXXXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXX XX XXXXXXXXXXXXX XXXX'XXXX (XX/XX/XXXX)/ (XX) XXXXXXXXXXXXXĪXX REĢISTRĀCIJAS XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXXXĖX XXXXXXXXXXXXX DATA (XX/XX/XXXX)/ (XX) XX XXXXXXXXX XXXXXXXXX XXXXXXXXXXXXX XXXXX (XXXX/XX/XX)/ (MT) DATA (XX/XX/XXXX) XXX-XXĠXXXXXXXXXXX TAS-SĦUBIJA/ (XX) XXXXX (XX/XX/XXXX) XXX XX XXXXXXXXXXX XXX XX AKTE/ (XX) DATA (XX/XX/XXXX) XXXXXXXXXXX XXXĄXXX PARTNERSKIEGO/ (XX) DATA XX XXXXXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) ÎNREGISTRĂRII ACTULUI/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX XXXXXXXXXXXXXX PARTNERSTVA/ (XX) XXXXX (DD/MM/LLLL) XXXXXXXXXXXX XXXXXXXXXX SKUPNOSTI/ (XX) XXXXXXXXXXX XXXXXXXXÖXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) FÖR REGISTRERING XX XXXXXXXXXXXXX

4.2

(XX) МЯСТО И ДЪРЖАВА НА РЕГИСТРИРАНЕ НА АКТА/ (XX) XXXXX Y XXXX XX XXXXXXXXXXX XX XX UNIÓN XX XXXXX/ (XX) XXXXX X XXXX XXXXXXXXXX XXXXXXXXXXX/ (XX) XXXX XX XXXX XXX REGISTRERINGEN AF XXXXXXXXXXXXX/ (XX) ORT XXX XXXX XXX XXXXXXXXXX XXX PARTNERSCHAFT/ (XX) XXXXXXX XXXXXXXXXXXXXXX XXXX XX XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΚΑΤΑΧΩΡΙΣΗΣ ΤΗΣ ΠΡΑΞΗΣ/ (XX) PLACE XXX XXXXXXX XX XXX XXXXXXXXXXXX XX XXX PARTNERSHIP/ (FR) XXXX XX XXXX X'XXXXXXXXXXXXXX XX XXXXXXXXXXX/ (XX) XXX AGUS XXX CHLÁRÚ XX XXXXXXXXXXXXXXX/ (HR) XXXXXX X ZEMLJA XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) LUOGO X PAESE XX XXXXXXXXXXXXX XXXX'XXXX/ (XX) XXXXXXXXXXXXXĪXX XXĢXXXXĀXXXXX XXXXX XX XXXXXX/ (XX) XXXXXXXXXXĖX XXXXXXXXXXXXX VIETA XX ŠALIS/ (XX) XX XXXXXXXXX XXXXXXXXX XXXXXXXXXXXXX XXXXX ÉS XXXXXXX/ (XX) POST X XXXXXŻ XXX-XXĠXXXXXXXXXXX XXX-XĦXXXXX/ (XX) XXXXXX XX LAND XXX XX XXXXXXXXXXX VAN XX AKTE/ (XX) XXXXXXX I PAŃSTWO XXXXXXXXXXX XXXĄXXX PARTNERSKIEGO / (XX) XXXXX X PAÍS XX XXXXXXX DA XXXXXXXX/ (XX) XXXXX ȘI ȚXXX ÎXXXXXXXXĂXXX XXXXXXX/ (XX) MIESTO A XXXX UZAVRETIA XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXX XX XXXXXX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXÖXXXXXXXXXX XX -XXX/ (XX) XXX XXX XXXX XÄX XXXXX REGISTRERADES

5.

(BG) ПАРТНЬОР А/ (XX) MIEMBRO X/ (XX) PARTNER/PARTNERKA X/ (XX) PARTNER X/ (XX) XXXXXXX X/ (ET) XXXXXXX X/ (XX) ΣΥΝΤΡΟΦΟΣ Α/ (XX) XXXXXXX X/ (XX) XXXXXXXXXX X/ (XX) XXXXXXXXX X/ (HR) XXXXXXX X/ (XX) XXXXXXX X/ (XX) PARTNERIS X/ (LT) XXXXXXXXX X/ (XX) „X” XXXXXXXXX/ (MT) SIEĦEB X/ (XX) XXXXXXX X/ (XX) XXXXXXX X/ (XX) XXXXXXXX X/ (RO) XXXXXXXXXX X/ (SK) XXXXXXX X/ (XX) PARTNER X/ (FI) KUMPPANI X/ (XX) XXXXXXX X

5.1

(XX) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (XX) XXXXXXXX(X) XX XXXXXXXXXX/ (XX) RODNÉ/Á XXXXXXXX/ (XX) XXXXXXXXX(X) VED XØXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXX XXXXXX/ (XX) XÜXXXXÄXXXX PEREKONNANIMI (XÜXXXXÄXXXXX XXXXXXXXXXXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (XX) XXXXXXX(X) XX XXXXX/ (XX) XXX(X) À XX XXXXXXXXX/ (XX) SLOINNE (XXXXXXXX) BREITHE/ (XX) XXXXXXX(XX) XXX ROĐENJU/ (XX) COGNOME/I ALLA XXXXXXX/ (XX) XXXĀXXX(-X) XXXXXXXXX XXĪXĪ/ (XX) XXXXXXĖ (-ĖX), XXXXXXXX (-XX) XXXXX/ (XX) XXÜXXXXXX CSALÁDI NEVE(I)/ (XX) KUNJOM(/KUNJOMIJIET) MAT-TWELID/ (XX) XXXXXXXX(X)X(XX) BIJ XX XXXXXXXX/ (XX) XXXXXXXX(-X) RODOWE/ (XX) XXXXXXX(X) À DATA XX NASCIMENTO/ (XX) XXXXXX XX NAȘTERE/ (XX) XXXXX XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX XX XXXXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXXXÄXXXXXXXÄ/ (XX) XXXXXXXXX VID XÖXXXXX

5.2

(XX) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ АКТА/ (ES) XXXXXXXX(X) XXXXX DE XX XXXXXXXXXXX/ (CZ) XXXXXXXX XXXX UZAVŘENÍM XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) EFTERNAVN(E) XØX REGISTRERINGEN/ (DE) XXXXXXXXXXXX(X) XXX XXX XXXXXXXXXX XXX PARTNERSCHAFT/ (XX) PEREKONNANIMI (-NIMED) XXXX XXXXXXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΑΠΟ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (XX) XXXXXXX(X) BEFORE XXX ACT/ (XX) XXX(X) AVANT L'ACTE/ (XX) XXXXXXX (SLOINNTE) XXXXX AN nGNÍOMH/ (XX) XXXXXXX(XX) PRIJE XXXXXXXXXXXXX PARTNERSTVA/ (IT) XXXXXXX/X PRIMA XXXX'XXXX/ (XX) XXXĀXXX(-X) PIRMS XXXX/ (XX) PAVARDĖ (-ĖX) XXXXX SUDARANT XXXĄ/ (XX) CSALÁDI XXXX(X) AZ XXXXXXXXX XXXXXXXXX XXXXXXXXXX XXŐXX/ (XX) KUNJOM(/KUNJOMIJIET) XXXXX X-XXX/ (NL) ACHTERNA(A)M(EN) XXXX XX XXXX/ (XX) XXXXXXXX(-X) XXXXX XXXXXXXXXXĄ ZWIĄZKU/ (XX) XXXXXXX(X) ANTES XX XXX/ (RO) XXXXXX ÎXXXXXX DE ÎNREGISTRAREA XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX(-X) XXXX XXXXXXXXX REGISTROVANÉHO XXXXXXXXXXX/ (XX) XXXXXXX/XXXXXXX XXXX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) SUKUNIMI (-XXXXX) XXXXX REKISTERÖINTIÄ/ (XX) XXXXXXXXX FÖRE XXXÅXXXXX

5.3

(XX) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА РЕГИСТРИРАНЕТО НА АКТА/ (XX) XXXXXXXX(X) XXXXXXX DE XX XXXXXXXXXXX/ (XX) XXXXXXXX PO UZAVŘENÍ XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXX(X) XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX(X) NACH XXX XXXXXXXXXX DER XXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXX (-XXXXX) XÄXXXX XXXXXXXXXXXXXXX/ (XX) ΕΠΏΝΥΜΟ(-Α) ΜΕΤΑ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (XX) SURNAME(S) XXXXXXXXX XXX XXX/ (XX) XXX(X) À XX XXXXX XX L'ACTE/ (XX) XXXXXXX (XXXXXXXX) XXX ÉIS XX XXXXXX/ (HR) XXXXXXX(XX) XXXXX XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) COGNOME/I XXXX X'XXXX/ (LV) XXXĀXXX(-X) XĒX XXXX/ (XX) XXXXXXĖ (-ĖX) PO XXXX XXXXXXXX/ (XX) XXXXXXX NEVE(I) AZ XXXXXXXXX KAPCSOLAT BEJEGYZÉSE XXXX/ (XX) KUNJOM(/KUNJOMIJIET) XXXX X-XXX/ (XX) XXXXXXXX(X)X(XX) XX DE XXXX/ (XX) NAZWISKO(-A) XX XXXXXXXXXXX XXXĄXXX/ (XX) XXXXXXX(X) APÓS X XXX/ (XX) XXXXXX DUPĂ ÎXXXXXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX(-X) XX XXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (SL) XXXXXXX/XXXXXXX XX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXXXXXÖXXXXX XÄXXXXX/ (XX) XXXXXXXXX XXXXX XXXÅXXXXX

5.4

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) NOMBRE(S)/ (CZ) XXXXX (JMÉNA)/ (DA) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) PRÉNOM(S)/ (XX) CÉADAINM (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (LV) XĀXXX(-X)/ (XX) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (MT) XXXX(/XXXXXXXX)/ (XX) VOORNA(A)M(EN)/ (XX) XXXĘ (XXXXXX)/ (XX) XXXX(X) PRÓPRIO(S)/ (XX) PRENUME/ (XX) XXXX(-X)/ (XX) IME/IMENA/ (XX) XXXXXXX (-NIMET)/ (XX) XÖXXXXX

5.5

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX NACIMIENTO/ (XX) XXXXX (XX/XX/XXXX) NAROZENÍ/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) SÜNNIKUUPÄEV (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) BREITHE/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (XX) XXXX XX NASCITA (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (LT) XXXXXX XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) DATA (JJ/XX/SSSS) XXX-XXXXXX/ (XX) GEBOORTEDATUM (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (PT) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) XXȘXXXXX/ (SK) XXXXX (DD/MM/RRRR) NARODENIA/ (XX) DATUM (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

5.6

(XX) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (XX) KØN/ (XX) XXXXXXXXXX/ (ET) SUGU/ (XX) ΦΥΛΟ/ (XX) XXX/ (XX) SEXE/ (XX) XXXXXX/ (HR) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (LT) XXXXX/ (XX) XXXX/ (XX) XXXX/ (NL) XXXXXXXX/ (XX) XŁXĆ/ (XX) XXXX/ (XX) XXXXX/ (XX) POHLAVIE/ (XX) SPOL/ (XX) XXXXXXXXX/ (XX) XÖX

5.6.1

(XX) ЖЕНСКИ/ (XX) MUJER/ (XX) ŽENA/ (XX) XXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (EL) ΘΗΛΥ/ (XX) FEMALE/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (HR) XXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) NŐ/ (XX) XXXX/ (XX) VROUW/ (XX) KOBIETA/ (XX) XXXXXXXX/ (XX) FEMEIESC/ (XX) ŽENSKÉ/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) KVINNA

5.6.2

(BG) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (XX) MAND/ (XX) MÄNNLICH/ (XX) XXXXXXXXX/ (EL) ΑΡΡΕΝ/ (XX) XXXX/ (FR) XXXXXXXX/ (GA) FIREANN/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) VĪRIETIS/ (XX) XXXXX/ (XX) XXXXX/ (XX) XXĠXX/ (XX) MAN/ (PL) XĘŻXXXXXX/ (XX) MASCULINO/ (XX) XĂXXĂXXXX/ (SK) XXXXXX/ (XX) MOŠKI/ (XX) XXXX/ (XX) XXX

5.6.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) NEURČENO/ (XX) XXXXXXXX/ (DE) XXXXXXXXXX/ (ET) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) NENOTEIKTS/ (XX) XXXXXXXXXXX/ (HU) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (NL) ONBEPAALD/ (XX) PŁEĆ XXXXXXXŚXXXX/ (XX) XÃX DEFINIDO/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (SL) XXXXXXXXX/ (XX) MÄÄRITTELEMÄTÖN/ (XX) XX FASTSTÄLLT

6.

(BG) ПАРТНЬОР X/ (ES) XXXXXXX X/ (CZ) XXXXXXX/XXXXXXXXX X/ (DA) XXXXXXX X/ (XX) XXXXXXX X/ (XX) XXXXXXX X / (XX) ΣΥΝΤΡΟΦΟΣ X/ (XX) XXXXXXX X/ (XX) XXXXXXXXXX X/ (XX) XXXXXXXXX B/ (HR) XXXXXXX B/ (IT) XXXXXXX X/ (XX) XXXXXXXXX X/ (XX) XXXXXXXXX B/ (XX) „X” XXXXXXXX/ (XX) XXXĦXX X/ (NL) XXXXXXX B/ (PL) XXXXXXX B/ (XX) XXXXXXXX B/ (XX) XXXXXXXXXX X/ (XX) XXXXXXX X/ (XX) XXXXXXX X/ (XX) XXXXXXXX X/ (XX) XXXXXXX X

7.

(XX) ПОЛЕ ЗА ПОДПИС/ (ES) XXXXXXXX XXXX XX XXXXX/ (CZ) XXXX XXX XXXXXX/ (DA) XXXXXXXXXXXXXXXX/ (XX) UNTERSCHRIFTENFELD/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX BOX/ (XX) XXXXX XXXX XX XXXXXXXXX/ (GA) XXXXX XXX SÍNIÚ/ (XX) XXXXX XX POTPIS/ (XX) XXXXXXXX XXX XX XXXXX/ (LV) XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXX/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX VOOR XX XXXXXXXXXXXX/ (XX) XXXX XXXXXXX/ (XX) XXXXÇX DESTINADO À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX XXXXXX/ (SL) XXXXX XX XXXXXX/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (XX) XXXX XÖX UNDERTECKNANDE

7.1

(BG) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X XXXXXX(X) XXX XXXXXXXXXXX XXX EXPIDIÓ XXXX IMPRESO/ (CZ) XXXXXXXX X JMÉNO (XXXXX) XXXXXXXX, XXXXX XXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXXX(X) XX XXXXXXX(X) XÅ XXX XXXXXXXXXX, XXX XXX XXXXXXX DENNE XXXXXXXX/ (XX) FAMILIENNAME(N) UND XXXXXXX(X) DES BEAMTEN, XXX XXXXXX XXXXXXXX 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) XXX XXXXXXXX(X) XX THE OFFICIAL XXX ISSUED XXXX XXXX/ (XX) XXX(X) XX XXXXXX(X) DU XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XXXXXXX (XXXXXXXX) XXXX CÉADAINM (XXXXXXXXXXXXXX) AN OIFIGIGH X X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX XXXX XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXX/X X XXXX/X XXX XXXXXXXXXXX XXX HA XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX ŠO VEIDLAPU, XXXĀXXX(-X) UN XĀXXX(-X)/ (XX) ŠIĄ XXXXĄ XXXXXXXXX PAREIGŪNO XXXXXXĖ (-ĖX) XX VARDAS (-XX)/ (XX) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXX XXXX(X) ÉS XXXXXXX(X)/ (XX) KUNJOM(/KUNJOMIJIET) X ISEM(/ISMIJIET) XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (NL) XX(X)X(XX) XX XXXXXX(X)X(XX) XXX XX XXXXXXXXX DIE XXX XXXXXXXXX HEEFT XXXXXXXXX/ (PL) XXXXXXXX(-X) X XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXX(X) X XXXX(X) XXXXXXX(X) XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXX ȘX XXXXXXXXX XXXXȚXXXXXXXXX XXXX X XXXX PREZENTUL XXXXXXXX/ (XX) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, XXXXX XXXXX TENTO FORMULÁR/ (XX) XXXXXXX/XXXXXXX IN XXX/XXXXX URADNIKA, XX XX XXXXX TA XXXXXXX/ (FI) XÄXÄX XXXXXXXXX ANTANEEN XXXXXXXXXXX XXXXXXXX (-NIMET) XX XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX XXX FÖRNAMN XÅ DEN XXÄXXXXXXX XXX HAR UTFÄRDAT XXXXX XXXXXXÄX

7.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX XXXXXXXXXXX XXX EXPIDIÓ XXXX XXXXXXX/ (XX) XXXXXX ÚŘEDNÍKA, XXXXX XXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXX — XXX EMBEDSMAND, XXX XXX UDSTEDT XXXXX XXXXXXXX/ (DE) STELLUNG XXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (EL) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) POSITION XX XXX OFFICIAL XXX XXXXXX THIS XXXX/ (FR) XXXXX XX XXXXXXXXXXXXX XXX X DÉLIVRÉ LE XXXXXXX XXXXXXXXXX/ (XX) XXXX XX XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXXX XXXXXXXXXX KOJI XX XXXXX XXXX XXXXXXX/ (IT) POSIZIONE XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX VEIDLAPU, XXXXX/ (XX) ŠIĄ FORMĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ DIN XX-XXXXXXX/ (NL) XXXXXXX XXX XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, KTÓRY XXXXŁ NINIEJSZY XXXXXXXXX/ (XX) XXXXX XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) POZIȚIA FUNCȚIONARULUI XXXX X XXXX XXXXXXXXX FORMULAR/ (SK) XXXXXXX ÚRADNÍKA, KTORÝ XXXXX XXXXX FORMULÁR/ (XX) POLOŽAJ XXXXXXXX, XX XX IZDAL XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX ANTANEEN XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

7.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) FECHA (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (DA) UDSTEDELSESDATO (XX/XX/ÅÅÅÅ)/ (DE) AUSSTELLUNGSDATUM (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (DD/MM/YYYY) XX ISSUE/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) EISIÚNA/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (GG/MM/AAAA)/ (XX) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (XX) XXXXXXXX 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 (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX EMISSÃO (DD/MM/AAAA)/ (XX) DATA (ZZ/LL/AAAA) XXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) IZDAJE/ (XX) ANTAMISPÄIVÄ (PP/KK/VVVV)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

7.4

(XX) ПОДПИС/ (XX) FIRMA/ (XX) XXXXXX/ (XX) UNDERSKRIFT/ (XX) XXXXXXXXXXXX/ (ET) XXXXXXX/ (EL) ΥΠΟΓΡΑΦΗ/ (XX) SIGNATURE/ (XX) XXXXXXXXX/ (GA) XXXXX/ (XX) XXXXXX/ (IT) XXXXX/ (LV) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXX/ (MT) FIRMA/ (XX) HANDTEKENING/ (XX) XXXXXX/ (XX) ASSINATURA/ (XX) XXXXĂXXXX/ (SK) XXXXXX/ (XX) PODPIS/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

7.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (XX) XXXXX NEBO XXXXXXX/ (XX) XXXX XXXXX XXXXXXX/ (XX) XXXXXX XXXX XXXXXXX/ (ET) XXXXXX XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (EN) XXXX XX STAMP/ (XX) XXXXX XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXX XXX XXXXX/ (XX) BOLLO X XXXXXX/ (XX) ZĪMOGS XXX XXXXXXXX/ (LT) XXXXXXX XXXX XXXXXXXXXX/ (XX) PECSÉT VAGY XXXXXXXŐXXXXXXXX/ (XX) SIĠILL XXX TIMBRU/ (NL) XXXXX OF XXXXXXX/ (XX) XXXXXĘĆ LUB XXXXXXX/ (XX) SELO XX CARIMBO/ (XX) XXXXXXXX SAU ȘTAMPILA/ (XX) PEČAŤ XXXXX XXXXXXXX XXXXXXXX/ (XX) XXXXX ALI XXX/ (XX) XXXXXXX XXX XXXXX/ (XX) XXXXXX XXXXX XXÄXXXX

ZPŮSOBILOST K XXXXXXXX XXXXXXXXXXXXXX PARTNERSTVÍ

VÍCEJAZYČNÝ XXXXXXXXXX XXXXXXXX – XXXXXXX PRO XXXXXXX

Xxxxxx 7 nařízení Evropského xxxxxxxxxx x Rady (XX) 2016/1191 ze xxx 6. července 2016 o xxxxxxx xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxx na xxxxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx v Xxxxxxxx xxxx x x xxxxx nařízení (XX) x. 1024/2012 (1)

Xxxxxx (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (CZ)

Dánsko (XX) Xxxxxxx (DE)

Estonsko (XX) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (ES)

Francie (FR) Xxxxxxxxxx (XX)

Xxxxxx (XX) Xxxx (CY)

Lotyšsko (XX) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxx (XX) Xxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxxxxxx (SI)

Slovensko (XX) Xxxxxx (FI)

Švédsko (XX) Xxxxxxx království (XX)

XXXXXXXX XXXXXXXXXX

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

Xxxxx xxxxxxxx xxxxxx xxxxx xxxxxxx xxxxxxx, k xxx je přiložen. Xxxxx, xxxxx xx xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx xxxx x xxxxxxxxx, xxx xx xx nezbytné xxx xxxxx zpracování xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx xxxxxxxxx, xxxxx xxxx ve xxxxxxxxx xxxxxxx.

XXXXXXXXXX PRO XXXXXXXXXX XXXXX

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

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

1. XXXXX XXXXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (3)

2. XXXXX XXXXXXXXXX VEŘEJNOU XXXXXXX, X XXX JE XXXXXXXX XXXXX FORMULÁŘ

1.1 Xxxxx (4)

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

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

3.1.1 Rozhodnutí xxxxx

3.1.2 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Listina xxxxxx xxxxxx xxxxxxx úředníkem

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

3.1.5 Xxxx (xxxxxxxxx)

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

(2) Xxx xxxxxxxxxx xxxxx použijte xxxxxxx xxxxx.

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

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

3.2 Xxxxxxx xxxxxx správním xxxxxx

3.2.1 Osvědčení

3.2.2 Výpis x matriky

3.2.3 Xxxxx x xxxxxxxx obyvatel

3.2.4 Xxxx xxxxxxxxxx záznamů

3.1.5 Xxxx (xxxxxxxxx)

3.3 Notářská xxxxxxx

3.4 Úřední xxxxxxxxx, xxxxxx xxxx xxxxxxxx xxxxxxx podepsaná xxxxxxxxx xxxxxx

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

3.6 Datum (xx/xx/xxxx) xxxxxx

3.7 Referenční xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXX X DOTYČNÉ XXXXX

4.1 Xxxxxxxx

4.2 Xxxxx (jména)

4.3 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.4 Xxxxx (1) x xxxx (2) xxxxxxxx

4.5 Xxxxxxx:

4.5.1 Xxxx

4.5.2 Muž

4.5.3 Xxxxxxxx

4.6 Xxxxxx příslušnost

5. XX ZÁKLADĚ VEŘEJNÉ XXXXXXX, X XXX XX XXXXXXXX TENTO XXXXXXXX, (3)

5.1 Xx xxxxxxx xxxxx xxxxxxxxx xxxxxxx registrované partnerství xxxxx xxxxxxxxxxxxxx práva xxxxxxxxx státu, x xxxx xx xxxxxxx xxxxxxx xxxxxx.

5.2 Xxxxxxx xxxxx xxxxxx xxxxxxxxxx xxx xxxx xxxxxx xxxxxxxxxxxx partnerství xxxxx xxxxxxxxxxxxxx práva xxxxxxxxx xxxxx, v xxxx xx veřejná xxxxxxx xxxxxx.

5.3 Xxxxxxxxxx xxxxx xxxxx xxxxxxxx, xxx xxxxxxx osoba xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxx xxxxxxxxxxxxxx xxxxx xxxxxxxxx xxxxx, x xxxx xx xxxxxxx xxxxxxx xxxxxx.

5.4 Neexistuje xxxxx xxxxx překážka registrovaného xxxxxxxxxxx mezi xxxxxxxx xxxxxx x xxxxx xxxxxxxx xxxxxxxxx / xxxx xxxxxxx xxxxxxxxxx xxxxx xxxxxxxxxxxxxx xxxxx xxxxxxxxx státu, v xxxx xx veřejná xxxxxxx xxxxxx.

5.5 Xxxxxxxxxx xxxxx xxxxx námitka xxxxx xxxxxxxx registrovaného xxxxxxxxxxx xxxx xxxxxxxx xxxxxx a jejím xxxxxxxx xxxxxxxxx / xxxx xxxxxxx partnerkou xxxxx vnitrostátního xxxxx xxxxxxxxx xxxxx, x xxxx xx veřejná xxxxxxx vydána.

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

(2) Název země x – xxxxx xxxxxxxx – kód XXX xxxx xxxx xxxx xxxxxxx „Xxxx (xxxxxxxxx)“ xx xxxxx xxxxxx x rozbalovací xxxxxxx xx vzorovém xxxxxxxxxxxx xxxxxxxxxxx formuláři, xxxxx je x xxxxxxxxx xx xxxxxxx xxxxxxxx e-justice.

(3) Lze xxxxxx xxxx možností.

6. XXXXXXXXX X XXXXXXXX XXXXXXXXXX / XXXXXXX XXXXXXXXX XXXXXXX XXXXX

4.1 Xxxxxxxx

4.2 Xxxxx (xxxxx)

4.3 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.4 Xxxxx (1) a xxxx (2) narození

4.5 Xxxxxxx:

4.5.1 Xxxx

4.5.2 Muž

4.5.3 Xxxxxxxx

4.6 Xxxxxx příslušnost

7. XXXX PRO PODPIS

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) xxxxxx

7.4 Xxxxxx

7.5 Pečeť xxxx xxxxxxx

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

(2) Xxxxx xxxx a – xxxxx xxxxxxxx – xxx XXX xxxx xxxx xxxx xxxxxxx „Jiné (xxxxxxxxx)“ xx třeba xxxxxx x xxxxxxxxxxx xxxxxxx xx vzorovém vícejazyčném xxxxxxxxxxx xxxxxxxxx, který xx x xxxxxxxxx xx portálu xxxxxxxx x-xxxxxxx.

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX POLOŽEK

(ZPŮSOBILOST KE XXXXXX XX XXXXXXXXXXXXXX XXXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX QUE EXPIDE XXXX XXXXXXX/ (CZ) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) BEHÖRDE, DIE XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX XÄXXX XXXXXX ASUTUS/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) AUTHORITY XXXXXXX XXXX XXXX/ (FR) XXXXXXXX DE XXXXXXXXXX XX PRÉSENT FORMULAIRE/ (XX) AN xXXXXXX X XXXXXXXX XX XXXXXX SEO/ (HR) XXXXXX XXXX XXXXXX XXXX OBRAZAC/ (IT) XXXXXXXÀ CHE XXXXXXXX XX PRESENTE MODULO/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) ŠIĄ XXXXĄ XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XX' XXX XX-XXXXXXX/ (XX) XXXXXXXXXX VAN XXXXXXX XXX XXX XXXXXXXXX/ (XX) XXXXX WYDAJĄCY XXXXXXXXX FORMULARZ/ (XX) XXXXXXXXXX QUE XXXXX X XXXXXXXX FORMULÁRIO/ (XX) AUTORITATEA XXXXXXXĂ X XXXXXXXXXXX XXXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXX FORMULÁR/ (XX) XXXXX, XX XXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXX UTFÄRDAR XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (ES) DENOMINACIÓN/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (XX) BEZEICHNUNG/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) NAZIV/ (XX) XXXXXXXXXXXXX/ (XX) NOSAUKUMS/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXX/ (PT) XXXXXXXÇÃX/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) XXX/ (XX) NIMI/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX QUE XXXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, K XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXX XXXXXXXXX, XXX XXX UDSTEDT XXX XXXXXXXXXX XXXXXXXX, SOM XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXÖXXX, XXX XXX ÖFFENTLICHE XXXXXXX, DER DIESES XXXXXXXX XXXXXXÜXX IST, 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/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXX XXXXXXXX XX XXXXX XXXX FORM XX XXXXXXXX/ (XX) XXXXXXXX DE XXXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX PRÉSENT FORMULAIRE/ (XX) XX xXXXXXX X EISEOIDH XX XXXXXXXXX POIBLÍ XXXX XXXXXX AN XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXX XXXX IZDAJE XXXXX ISPRAVU KOJOJ XX XXXX OBRAZAC XXXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX CUI XX PRESENTE MODULO È ALLEGATO/ (XX) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX PRIDEDAMA ŠI XXXXX, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX TAD-DOKUMENT XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (NL) XXXXXXXXXX XXX AFGIFTE XXX XXX XXXXXXXX DOCUMENT XXXXXXX DIT XXXXXXXXX XX GEHECHT/ (PL) XXXXX XXXXXĄXX XXXXXXXX XXXĘXXXX, XX KTÓREGO XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (PT) XXXXXXXXXX XXX EMITE O XXXXXXXXX PÚBLICO A XXX X XXXXXXXX XXXXXXXXXX XXXX APENSO/ (XX) AUTORITATEA XXXXXXXĂ X XXXXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX PREZENTUL FORMULAR/ (XX) XXXXX XXXXXXXXXX XXXXXXX LISTINU, XX XXXXXX XX XXXXX XXXXXXXX PRIPOJENÝ/ (SL) XXXXX, XX XXXX XXXXX XXXXXXX, KI XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXXXX, XXXX XX XXXXXXX YLEISEN ASIAKIRJAN, XXXXX TÄMÄ XXXXXX XXXXXXÄÄX/ (XX) MYNDIGHET 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 SE XXXXXXX ESTE XXXXXXX/ (XX) INFORMACE TÝKAJÍCÍ XX VEŘEJNÉ XXXXXXX, X NÍŽ XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX VEDRØRENDE XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXX ZUR ÖXXXXXXXXXXX XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX AVALIKU XXXXXXXXX XXXXX, MILLELE XXX XXXX ON XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) INFORMATION RELATING XX XXX XXXXXX XXXXXXXX XX XXXXX XXXX FORM IS XXXXXXXX/ (FR) XXXXXXXXXXXX XXXXXXXXX AU DOCUMENT XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XXXXXXXX X XXXXXXXXX XXXX XX DOICIMÉAD XXXXXX XXXX XXXXXX XX XXXXXX XXX CEANGAILTE/ (XX) XXXXXXXXXXX XXXX XX XXXXXX XX XXXXX XXXXXXX XXXXX XX XXXX OBRAZAC XXXXXXXX/ (IT) INFORMAZIONI XXXXXXXX XX XXXXXXXXX XXXXXXXX CUI XX XXXXXXXX XXXXXX È XXXXXXXX/ (LV) INFORMĀCIJA XXX XXXXXXXX XXXXXXXXX, XXXXX ŠĪ XXXXXXXX XX PIEVIENOTA/ (XX) XXXXXXXXXXX, XXXXXXXX SU XXXXXXXX DOKUMENTU, PRIE XXXXX XXXXXXXXX XX XXXXX/ (HU) A XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (MT) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX MIEGĦU XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX DIT XXXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXXXXXXXX FORMULARZ XXXX XXŁĄXXXXX/ (PT) XXXXXXXÇÕXX XXXXXXXXX XX XXXXXXXXX PÚBLICO X XXX X PRESENTE XXXXXXXXXX XXXX APENSO/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX FORMULAR/ (XX) XXXXXXXXXX X XXXXXXXX XXXXXXX, XX XXXXXX XX TENTO XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXX X JAVNO XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) TIEDOT XXXXXXXXÄ XXXXXXXXXXXX, JOHON TÄMÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXXXX XX DEN XXXXXXXXXX HANDLING XXXX XXXXXX XXXXX FORMULÄR ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX EXPEDIDO XXX XXX XXXXXXXXX X XX XXXXXXXXXXX XXXXXXXXX A XXX XXXXXXX JURISDICCIONALES XX XX ESTADO XXXXXXX/ (XX) LISTINA XXXXXX XXXXXXX XXXX XXXXXXXXX X XXXXXX XX XXXXX XXXXXX ČLENSKÉHO XXXXX/ (XX) XXXXXXXX, XXX XX UDSTEDT XX EN XXXXXXXXX XXXXX XX EMBEDSMAND, XXX XX XXXXXXXXXX XXXXXXXX X XX XXXXXXXXXXX/ (XX) XXXXXXX XXXXX BEHÖRDE ODER XXXXX AMTSPERSON ALS XXXXX XXX RECHTSPFLEGE XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, MILLE ON XÄXXX ANDNUD LIIKMESRIIGI XXXXXXXXX SEOTUD XXXXXXXXXXX XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) DOCUMENT XXXXXXXXX XXXX AN XXXXXXXXX XX XX XXXXXXXX XXXXXXXXX XXXX XXX XXXXXX XX TRIBUNALS XX X XXXXXX XXXXX/ (FR) XXXXXXXX XXXXXXX X'XXX XXXXXXXX XX X'XX XXXXXXXXXXXXX XXXXXXXX X'XXX XXXXXXXXXXX X'XX XXXX MEMBRE/ (XX) DOICIMÉAD X XXXXXXX Ó XXXXXX XX X OIFIGEACH X XXXXXX BAINT XXXX XX XXXX XX XXXXXXXXXX NÓ XX XXXXX XX XXXXX BALLSTÁIT/ (XX) XXXXXXX KOJU JE XXXXXX XXXXXX XXX XXXXXXXXX XXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ X XX XX XXXXXXXXXXX XXXXXXXXXXXX XX XXX XXXXX XXXXXXXXXXXXX XX XXX STATO XXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XX XXXĪXXXXXXX TIESĀM XXXXXĪXX XXXXĀXX VAI XXXXXXXXXXX/ (XX) DOKUMENTAS, XXXXXXXX XXXXXXXX INSTITUCIJOS XX XXXXXXŪXX, SUSIJUSIŲ XX XXXXXXXĖX XXXĖX TEISMAIS XX XXXXXXXXXXX/ (XX) XXXXXXXXX BÍRÓSÁGGAL XXXXXXXXXXXX XXXX XXXXXXX XXXX XXXXXXXXXXŐ XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ XXX UFFIĊJAL XX XXXXXXXX XXXXX XXX-XXXXX XXX XX-XXXXXXXXX XX' XXXX XXXXXX/ (NL) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX TOT XXX XXXXXXXXXXXX XXXXXXXXX XXX XXX LIDSTAAT/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXX XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX PROVENIENTE XX XXX XXXXXXXXXX XX XX XX XXXXXXXXXXX XXXXXXXXXX DE QUALQUER XXXXXXXÇÃX XX XX XXXXXX-XXXXXX/ (XX) XXXXXXXX XXXX XX X XXXXXXXXXX SAU XX XX XXXXȚXXXXX XX XX LÂNGĂ INSTANȚELE XXXX XXXX MEMBRU/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXX ÚRADNÍKOM X VÄZBOU XX XXXX XXXXXXXXX ŠTÁTU/ (XX) XXXXXXX, IZDANA X XXXXXX XXXXXX XXX XXXXXXXX SODNE XXXXXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX, XXXXX XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX VIRANOMAINEN XXX XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX XX XXXXXXXXX XXXXX XX TJÄNSTEMAN XXXXXÖXXXXX XXXXXXXXXÄXXXXXX I XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (ES) XXXXXXXXXX XXXXXXXX/ (CZ) ROZHODNUTÍ XXXXX/ (DA) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) COURT XXXXXXXX/ (XX) DÉCISION XX XXXXXXX/ (XX) XXXXXXXX XX xXXXXX/ (XX) SUDSKA ODLUKA/ (XX) DECISIONE XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (XX) TEISMO XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) ORZECZENIE XĄXXXX/ (XX) DECISÃO JUDICIAL/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) SÚDNE XXXXXXXXXXX/ (XX) SODNA ODLOČBA/ (XX) TUOMIOISTUIMEN XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX EXPEDIDO XXX EL XXXXXXXXXX XXXXXX/ (XX) LISTINA XXXXXX XXXXXXX XXXXXXXXX/ (XX) DOKUMENT UDSTEDT XX EN ANKLAGEMYNDIGHED/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX XX VÄLJA XXXXXX XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXX XXXXXXXXXX/ (XX) DOCUMENT XXXXXXX XX MINISTÈRE PUBLIC/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (HR) XXXXXXX XXXX XX XXXXXX XXXXXXX ODVJETNIŠTVO/ (IT) XXXXXXXXX EMANATO XXX XXXXXXXX MINISTERO/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (LT) XXXXXXXXX XXXXXXXX DOKUMENTAS/ (XX) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (MT) DOKUMENT XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXXXXX DOOR EEN XXXXXXXX MINISTERIE/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (PT) DOCUMENTO XXXXXXXXXXX DO XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXX XX UN XXXXXXXX/ (XX) XXXXXXX XXXXXX PROKURÁTOROM/ (XX) XXXXXXX, XX JO XXXX XXXXXXX XXXXXXXXX/ (XX) VIRALLISEN XXXXXÄXÄX XXXXXX ASIAKIRJA/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX POR UN XXXXXXXXXX JUDICIAL/ (XX) XXXXXXX XXXXXX VYŠŠÍM XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX AF XX XXXXXXXXXXXXXÆX/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX GESCHÄFTSSTELLE XXXXX XXXXXXXX/ (XX) DOKUMENT, XXXXX XX VÄLJA XXXXXX KOHTUAMETNIK/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (EN) XXXXXXXX EMANATING XXXX X XXXXX XX X XXXXX/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXX DE CHUID XXXXXX/ (XX) XXXXXXX XXXX JE XXXXX XXXXXXXXXX SUDSKE XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX XXXXXX SEKRETĀRS/ (XX) XXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (HU) XXXXXXXX TISZTVISELŐ XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX MAĦRUĠ XXXX XXĠXXXXXXXX XX' QORTI/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (XX) DOCUMENTO PROVENIENTE XX XX XXXXXXX XX XXXXXÇX/ (XX) XXXXXXXX XXXX DE XX XXXXXXX AL XXXXXXȚXX/ (XX) XXXXXXX XXXXXX SÚDNYM ÚRADNÍKOM/ (XX) LISTINA, XX XX XXXX XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX ASIAKIRJA/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXXX EXPEDIDO XXX UN XXXXXX XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (CZ) XXXXXXX XXXXXX SOUDNÍM VYKONAVATELEM („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXX UDSTEDT XX XX STÆVNINGSMAND (»XXXXXXXX XX XXXXXXX«)/ (XX) URKUNDE EINES XXXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXXXXXXX FROM X XXXXXXXX OFFICER ('XXXXXXXX DE JUSTICE')/ (XX) DOCUMENT XXXXXXX X'XX XXXXXXXX XX XXXXXXX/ (GA) XXXXXXXXX X XXXXXXX Ó XXXXXXXXX XXXXXXXXXXXX (“HUISSIER XX XXXXXXX”)/ (XX) XXXXXXX XXXX XX XXXXX SUDSKI OVRŠITELJ (XXXXXXXX DE XXXXXXX)/ (XX) XXXXXXXXX XXXXXXX XX XX UFFICIALE XXXXXXXXXXX ("HUISSIER XX XXXXXXX")/ (XX) DOKUMENTS, XXXX IZSNIEDZIS XXXXXX XXXXXXĪXĀXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX (XXXXXXXX XX JUSTICE) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX VÉGREHAJTÓ („XXXXXXXX XX JUSTICE”) XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ MINN XXXXĊXXX ĠXXXXXXXXXX ('HUISSIER XX JUSTICE')/ (NL) XXXXXXXX AFGEGEVEN XXXX XXX GERECHTSDEURWAARDER/ (XX) XXXXXXXX POCHODZĄCY XX XXXĘXXXXX XĄXXXXXX (XXXXXXXX XX XXXXXXX)/ (PT) XXXXXXXXX PROVENIENTE XX XX XXXXXXÃX DE XXXXXXX («HUISSIER DE XXXXXXX»)/ (RO) XXXXXXXX XXXX XX XX XXXXXXXX JUDECĂTORESC („XXXXXXXX XX XXXXXXX”)/ (SK) XXXXXXX XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXXXXX (”HUISSIER XX XXXXXXX”) XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX EN XXÄXXXXXXXXX (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (CZ) XXXX (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) XXX (TÄPSUSTAGE)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX XX XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (XX) XXXX (XX XXXXX)/ (XX) OSTALO (XXXXXXX)/ (XX) XXXXX (XXXXXXXXX)/ (XX) XXXX (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (XX) EGYÉB (XXXXÜX PONTOSÍTANI)/ (XX) XĦXXXX (IPPREĊIŻA)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (PL) XXXX (XXXXXĘ XXXXŚXXĆ)/ (XX) XXXXXX (X XXXXXXXXXXX)/ (XX) ALTUL (X XX XXXXXXX)/ (XX) XXX (XXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (SV) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (CZ) LISTINA XXXXXX SPRÁVNÍM XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX EINER XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) ADMINISTRATIVE XXXXXXXX/ (XX) DOCUMENT ADMINISTRATIF/ (XX) DOICIMÉAD XXXXXXXXXX/ (XX) UPRAVNA XXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) ADMINISTRATĪVS DOKUMENTS/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXX AMMINISTRATTIV/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX ADMINISTRACYJNY/ (XX) XXXXXXXXX ADMINISTRATIVO/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) CERTIFICADO/ (XX) OSVĚDČENÍ/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (EN) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (GA) XXXXXXXX/ (HR) XXXXXXX/ (XX) XXXXXXXXXXX/ (LV) XXXXXXXXĀXXXX/ (LT) PAŽYMA, XXXXXXXXXX/ (XX) TANÚSÍTVÁNY/BIZONYÍTVÁNY/ (XX) ĊERTIFIKAT/ (XX) XXXXXXXXXXX/ (PL) XXŚXXXXXXXXXX/ (XX) CERTIDÃO OU XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (SL) XXXXXXXX/ (XX) XXXXXXXX/ (XX) INTYG

3.2.2

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (ES) XXXXXXXX DEL XXXXXXXX XXXXX/ (XX) VÝPIS X MATRIKY/ (DA) XXXXXX XXX CIVILSTANDSREGISTRET/ (XX) XXXXXX XXX XXX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX FROM XXX XXXXX XXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XX X'XXXX XXXXX/ (XX) XXXXXXX XX AN xXXXX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX IZ XXXXXXXX XXXXXXX XXXXXX/ (XX) XXXXXXXX XX XXXX XX STATO XXXXXX/ (XX) XXXXXXXX XX XXXXXXXĀXXXĻX AKTU XXĢXXXXX/ (LT) XXXXXXX XX XXXXXXXĖX BŪKLĖS XXXŲ XXXXXXXX/ (XX) XXXXXÖXXXX KIVONAT/ (MT) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (NL) XXXXXXXXXX XXX XXX REGISTER XXX XX XXXXXXXXXXX XXXXX/ (XX) ODPIS XXXXXXXX XXXX XXXXX XXXXXXXXX/ (XX) EXTRATO XX XXXX XX XXXXXXX XXXXX/ (XX) XXXXXX DIN XXXXXXXXX XX STARE XXXXXĂ/ (XX) XXXXX X XXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXX XX XXXXXXXX X XXXXXXX XXXXXX/ (XX) VÄESTÖREKISTERIOTE (XXXXXXXXÄÄXX)/ (SV) UTDRAG XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (ES) EXTRACTO XXX XXXXX/ (XX) XXXXX X REGISTRU XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXX AUS DEM XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) EXTRACT XXXX XXX XXXXXXXXXX XXXXXXXX/ (XX) EXTRAIT XX REGISTRE XX XX XXXXXXXXXX/ (GA) XXXXXXX XX AN xXXXX XXXXXX/ (XX) XXXXXXX XX XXXXXX XXXXXXXXXXXX/ (IT) ESTRATTO XXXXXXXXXX/ (LV) XXXXXXXX XX IEDZĪVOTĀJU XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXXŲ XXXXXXXX/ (XX) XXXXXXX X XXXXXXXXXXXX- XX LAKCÍMNYILVÁNTARTÁSBÓL/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (PL) XXXXĄX Z REJESTRU XXXXXŚXX/ (PT) XXXXXXX XX XXXXXXX XX XXXXXXÇÃX/ (RO) XXXXXX XXX XXXXXXXXX DE XXXXXXȚĂ A XXXXXXȚXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXĽXX/ (SL) XXXXXXX XX REGISTRA XXXXXXXXXXXX/ (XX) VÄESTÖREKISTERIOTE/ (XX) UTDRAG UR XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX XX XXXXX XXX XXXXXXXX XXXXX/ (XX) XXXX XXXXXXXXXX XXXXXXX/ (DA) XXXXXX XXXX XX XXXXXXXXXXXXXXXXXXX/ (XX) WÖRTLICHE XXXXX VON XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX XX CIVIL XXXXXX XXXXXXX/ (XX) XXXXX XXXXXXXXX D'ACTES XX X'XXXX XXXXX/ (XX) XXXX XXXXX XX XXXXXX DE XXXXXXX XX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX PRIJEPIS XX EVIDENCIJA X XXXXXXX XXXXXX/ (XX) XXXXX XXXXXXXXX XX XXXX DI XXXXX XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX XXĢXXXXX XXXXXXXX XXXXXXXXXX KOPIJA/ (LT) XXXXXXXĖX XŪXXĖX XXXŲ ĮXXXŲ PAŽODINĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX XXX SZERINTI XXXXXXXX/ (XX) XXXXX XXXXXXXX XXX-XXXX XXX-XXXXX ĊIVILI/ (XX) EENSLUIDEND XXXXXXXXX XXX AKTEN XXX XX BURGERLIJKE XXXXX/ (XX) XXXXX ZUPEŁNY XXXX XXXXX XXXXXXXXX/ (XX) CERTIDÃO XX XXXXX INTEGRAL XX XX NARRATIVA XX XXXX XX REGISTO XXXXX/ (XX) XXXXX XXXXXĂ A UNUI XXX DE STARE XXXXXĂ/ (XX) XXXXXXXX XXXXX XX ZÁPISOV X OSOBNOM XXXXX/ (XX) XXXXXXXXX XXXXXX XXXXXX X XXXXXXX XXXXXX/ (FI) VÄESTÖREKISTERITIETOJEN XXXXXXXXXX XÄXXXXXÖX/ (SV) XXXXXXXXX XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) ACTA XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) NOTARBEKRÆFTET DOKUMENT/ (XX) XXXXXXXXXX URKUNDE/ (XX) XXXXXXXXXXXXXXXXX/ (EL) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (EN) XXXXXXXX XXX/ (XX) XXXX XXXXXXX/ (GA) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX NOTARILE/ (XX) XXXXXXĀXX XXXX/ (XX) XXXXXXXXX XXXXX/ (XX) XÖXXXXXXŐX XXXXXX/ (MT) XXX XXXXXXXX/ (XX) XXXXXXËXX AKTE/ (PL) XXX XXXXXXXXXX/ (PT) XXX XXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXXX LISTINA/ (SL) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXX ASIAKIRJA/ (XX) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX PUESTA XXXXX UN XXXXXXXXX XXXXXXX/ (CZ) XXXXXX XXXXXXXXX, XXXXXX XXXX XXXXXXXX XXXXXXX XXXXXXXXX XXXXXXXXX OSOBOU/ (DA) XXXXXXXX XÅXXXXXXX XÅ XX XXXXXXXX XXXXXXXXXXX XX XX XXXXXX X DENNES EGENSKAB XX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX AUF XXXXX XXXXXXXXXXXXX/ (ET) XXXXX POOLT XXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX XXXXXXX XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX XXXXXX XX X XXXXXXXX XXXXXX BY X XXXXXX XX XXX XX HER XXXXXXX XXXXXXXX/ (FR) XXXXXXXXXXX OFFICIELLE APPOSÉE XXX XX XXXX XXXX SEING PRIVÉ/ (XX) XXXXXXXX XXXXXXXXX X XXXXXXXXX XX XXXXXXXXXX XXXX XXXXXX XX XXXXX INA XXXXX XX XXX XXXX PHRÍOBHÁIDEACH/ (XX) XXXXXXXX XXXXXXX STAVLJENA XX XXXXXXX XXXX XX OSOBA XXXXXXXXX X PRIVATNOM XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX UNA XXXXXXXXX XXXXXXX/ (XX) XXXXXĀXX XXXXXXXXĀXXXX UZ XXXXXXXXX, KO XXXĀ XĀXXĀ PARAKSTĪJUSI XĀXX XXXXXXX/ (LT) XXXXXXXŲ XXXXXŲ PASIRAŠYTŲ DOKUMENTŲ XXXXXXXŪX XXXXXXXXXXXXX/ (HU) XXXXXXXXXXXXX ELHELYEZETT XXXXXXXXX XXXXXXXXXXX/ (MT) ĊERTIFIKAT XXXXĊXXXX XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX EEN XXXXXXXX ONDERTEKEND DOOR XXX XXXXXXX XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX ZAŚWIADCZENIE XXXXXXXXXXX XX DOKUMENCIE XXXXXXXXXX PRZEZ XXXXĘ XXXXŁXXĄXĄ X CHARAKTERZE XXXXXXXXX/ (PT) DECLARAÇÃO XXXXXXX XXXXXXX XXX XXX XX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXX XXXXXXX PE XX XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX OSVEDČENIE XXXXXXX XX XXXXXXX XXXXXXXXXX XXXXXX KONAJÚCOU XXX XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXX NA XXXXXXX XXXXXXX/ (XX) XXXXXXXXXX TODISTUS XXXXXXXXXXXX, XXXXX HENKILÖ ON XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX XXXXX XXXXXXXXX XÅ XX HANDLING XXX UNDERTECKNATS AV XX PRIVATPERSON

3.5

(BG) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXXXXX O XXXXXXXX XX XX ESTADO XXXXXXX XXX CARÁCTER XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX ZÁSTUPCEM XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX STÁTU X XXXXX XXXXXX JEHO XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX XX XX XXXXXXXXXXXX XXXXXXXXXXXX ELLER XXXXXXÆXX XXXXÆXXXXXXX/ (XX) VON XXXXX XXXXXXXXXXXXXX ODER XXXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (ET) 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 XXXXX XX XX X XXXXXXXXXX XX XXXXXXXX XXXXX XX X XXXXXX XXXXX XX XXX XX XXX XXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXX EN XX XXXXXXX XXXXXXXXXX XXX XX XXXXX DIPLOMATIQUE XX CONSULAIRE D'UN XXXX XXXXXX/ (XX) XXXXXXXXX ARNA XXXXXXXXXX XXXX XX GNÍOMHAIRE XXXXXXXXXXXXXXXX XX CONSALACH XX CHUID XXXXXXXXX XXX XXXXX XX XXX XXXX XXXXXXXXX/ (XX) ISPRAVA XXXX XX X XXXXXXXXX XXXXXXXX XXXXXXXX DIPLOMATSKI XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (IT) XXXXXXXXX XXXXXXX XX XXXXXX DIPLOMATICI O XXXXXXXXX XX XXX XXXXX XXXXXX NELL'ESERCIZIO XXXXX LORO XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX XXXXX XXXXĀXXXXX, XXXXXXXXXXX DALĪBVALSTS DIPLOMĀTISKAIS XXX XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX XX KONSULINIO XXXXXXŪXX, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXX DIPLOMÁCIAI XXXX XXXXXXX XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXXX MINN XĠXXX XXXXXXXXXXX XXX XXXXXXXXX XX' STAT XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) DOCUMENT XXXXXXXXX XXXX XX XXXXXXXXXXXX XX XXXXXXXXXX AMBTENAAR XXX XXX XXXXXXXX XX XXXX XXXXXXËXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXĄXXXXX PRZEZ XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX XXXXŁXXĄXXXX W CHARAKTERZE XXXĘXXXXX/ (XX) XXXXXXXXX XXXXXXX POR UM XXXXXX DIPLOMÁTICO XX XXXXXXXX XX XX XXXXXX-XXXXXX NO EXERCÍCIO XXX XXXX XXXÇÕXX XXXXXXXX/ (XX) DOCUMENT ÎXXXXXXX XX XĂXXX XX AGENT DIPLOMATIC XXX XXXXXXXX XX XXXX XXXX XXXXXX, ÎX CALITATE XXXXXXXĂ/ (XX) LISTINA XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX V RÁMCI XXXXXX XXXX XXXXXXX/ (XX) XXXXXXX, XX XX XXX XXXXXX XXXXX IZDA DIPLOMATSKI XXX KONZULARNI XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, JONKA JÄSENVALTION XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX ON LAATINUT XXXXXXXXXXXXXXXXXX/ (SV) XXXXXXXX XXXXÄXXXX I XXÄXXXXX XX XX XXXXXXXXXXX XXXXX XXXXXXÄX XXÄXXXXXXX X XX MEDLEMSSTAT

3.6

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (DA) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) VÄLJAANDMISE XXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX ISSUE/ (FR) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DÁTA (XX/XX/XXXX) EISIÚNA/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX DATA (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) DATUM (XX/XX/XXXX) XXX AFGIFTE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) VYDANIA/ (SL) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (DD/MM/ÅÅÅÅ) XÖX UTFÄRDANDE

3.7

(BG) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX REFERENCIA XXX XXXXXXXXX XXXXXXX/ (CZ) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX/ (ET) XXXXXXX DOKUMENDI VIITENUMBER/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) REFERENCE NUMBER XX XXX XXXXXX XXXXXXXX/ (FR) XXXXXX XX RÉFÉRENCE XX XXXXXXXX PUBLIC/ (GA) XXXXXX THAGARTHA XX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (XX) NUMERO XX XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX ATSAUCES XXXXXX/ (XX) VIEŠOJO XXXXXXXXX NUMERIS/ (XX) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (MT) XXXXX XX' REFERENZA TAD-DOKUMENT XXXXXXXX/ (NL) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX XXXXXXXX/ (PL) NUMER XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) NÚMERO XX XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX XX REFERINȚĂ XX XXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (XX) REFERENČNA XXXXXXXX XXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (XX) DEN XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (ES) XXXXXXXXXXX XXXXX XX XXXXXXXXXX/ (XX) INFORMACE X XXXXXXX OSOBĚ/ (XX) XXXXXXXXXXX OM XXX XÅXÆXXXXXX PERSON/ (XX) XXXXXXX ZUR XXXXXXXXXXXX XXXXXX/ (XX) ASJAOMAST XXXXXX XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX XXXXXX CONCERNED/ (XX) INFORMATIONS SUR XX PERSONNE CONCERNÉE/ (XX) XXXXXXXX XXXXXX XXXX XX XXXXX XXXX mBAINEANN/ (HR) XXXXXXXXXXX X XXXXXXXX XXXXX/ (XX) INFORMAZIONI XXXXX XXXXXXX INTERESSATA/ (XX) XXXXXXĀXXXX XXX XXXXXXĪXX XXXXXXX/ (XX) XXXXXXXXXXX APIE XXXXXXXXXĄ XXXXXĮ/ (HU) XX XXXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX IL-PERSUNA KKONĊERNATA/ (XX) XXXXXXXXXX XXXX XX XXXXXXXXXX/ (PL) XXXX XXXXX, XXXXXX XXXXXXX DOKUMENT/ (PT) XXXXXXXÇÕXX SOBRE A XXXXXX EM CAUSA/ (XX) XXXXXXXȚXX PRIVIND XXXXXXXX XXXXXĂ/ (SK) XXXXXXXXXX X DOTKNUTEJ XXXXX/ (SL) XXXXXXXXXXX X XXXXXXX OSEBI/ (XX) ASIANOMAISEN XXXXXXÖX XXXXXX/ (XX) XXXXXXXXX XX DEN XXXÖXXX XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) APELLIDO(S)/ (CZ) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (XX) XXXXXXXXXXXX(X)/ (XX) XXXXXXXXXXXXX (-XXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α)/ (EN) SURNAME(S)/ (XX) XXX(X)/ (GA) XXXXXXX (SLOINNTE)/ (XX) XXXXXXX(XX)/ (XX) COGNOME(I)/ (XX) XXXĀXXX(-X)/ (XX) XXXXXXĖ (-ĖX)/ (XX) XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (XX) XXXXXXXX(X)X(XX)/ (XX) NAZWISKO(-A)/ (XX) XXXXXXX(X)/ (XX) NUME/ (XX) PRIEZVISKO(-Á)/ (XX) XXXXXXX/XXXXXXX/ (XX) XXXXXXXX (-XXXXX)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (ES) XXXXXX(X)/ (CZ) XXXXX (XXXXX)/ (XX) FORNAVN(E)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-NIMED)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (GA) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (XX) VĀRDS(-I)/ (XX) XXXXXX (-AI)/ (XX) XXXXXXX(X)/ (XX) ISEM(/ISMIJIET)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (IMIONA)/ (PT) XXXX(X) PRÓPRIO(S)/ (XX) XXXXXXX/ (XX) MENO(-Á)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (XX) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (ES) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (CZ) DATUM (XX/XX/XXXX) XXXXXXXX/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (JJ/MM/AAAA) DE XXXXXXXXX/ (GA) DÁTA (XX/XX/XXXX) BREITHE/ (XX) XXXXX (DD/MM/GGGG) ROĐENJA/ (XX) DATA DI XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) GIMIMO XXXX (XX/XX/XXXX)/ (HU) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (DD/MM/JJJJ)/ (XX) DATA (DD/MM/RRRR) XXXXXXXXX/ (PT) DATA XX NASCIMENTO (XX/XX/XXXX)/ (XX) XXXX (ZZ/LL/AAAA) XXȘXXXXX/ (XX) XXXXX (XX/XX/XXXX) NARODENIA/ (XX) XXXXX (DD/MM/LLLL) XXXXXXX/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) FÖDELSEDATUM (DD/MM/ÅÅÅÅ)

4.4

(BG) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX X PAÍS XX XXXXXXXXXX/ (XX) XXXXX X XXXX XXXXXXXX/ (XX) XØXXXXXX XX -LAND/ (XX) XXX UND XXXX XXX XXXXXX/ (XX) XÜXXXXXXX JA -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX XXX XXXXXXX XX BIRTH/ (FR) XXXX XX XXXX XX XXXXXXXXX/ (XX) XXX XXXX XXX XXXXXXXX/ (HR) XXXXXX X XXXXXX ROĐENJA/ (XX) XXXXX X XXXXX DI NASCITA/ (XX) XXXXXXXXX VIETA XX VALSTS/ (XX) XXXXXX XXXXX XX XXXXX/ (XX) XXÜXXXXXX XXXXX XX XXXXXXX/ (XX) POST U XXXXXŻ TAT-TWELID/ (NL) XXXXXXXXXXXXXX XX -XXXX/ (XX) MIEJSCE I XXŃXXXX XXXXXXXXX/ (XX) XXXXX X PAÍS XX XXXXXXXXXX/ (RO) XXXXX ȘI ȚARA XXȘXXXXX/ (XX) XXXXXX X ŠTÁT XXXXXXXXX/ (XX) XXXX XX XXXXXX XXXXXXX/ (XX) XXXXXXÄXXXXXX XX -MAA/ (XX) XÖXXXXXXXX OCH -XXXX

4.5

(XX) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (XX) XØX/ (XX) XXXXXXXXXX/ (ET) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (FR) XXXX/ (XX) XXXXXX/ (XX) XXXX/ (IT) XXXXX/ (XX) DZIMUMS/ (LT) XXXXX/ (XX) XXXX/ (XX) XXXX/ (NL) XXXXXXXX/ (XX) PŁEĆ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXX/ (FI) XXXXXXXXX/ (SV) XÖX

4.5.1

(XX) ЖЕНСКИ/ (ES) MUJER/ (XX) ŽENA/ (XX) XXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (EL) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XŐ/ (MT) XXXX/ (NL) VROUW/ (XX) XXXXXXX/ (PT) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (FI) XXXXXX/ (XX) XXXXXX

4.5.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (XX) MAND/ (XX) MÄNNLICH/ (XX) XXXXXXXXX/ (EL) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) FIREANN/ (XX) MUŠKI/ (XX) XXXXXXXX/ (LV) XĪXXXXXX/ (XX) VYRAS/ (XX) XXXXX/ (MT) XXĠXX/ (XX) XXX/ (XX) XĘŻXXXXXX/ (XX) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (SL) MOŠKI/ (XX) XXXX/ (XX) XXX

4.5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (CZ) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (GA) NEAMHCHINNTITHE/ (XX) XXXXXXĐXX/ (IT) XXXXXXXXXXXXX/ (LV) NENOTEIKTS/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XŁXĆ NIEOKREŚLONA/ (XX) XÃX XXXXXXXX/ (XX) NEDETERMINAT/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) MÄÄRITTELEMÄTÖN/ (XX) XX XXXXXXÄXXX

4.6

(XX) ГРАЖДАНСТВО/ (XX) NACIONALIDAD/ (XX) XXXXXX XXXXXXXXXXX/ (DA) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXÖXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) ΙΘΑΓΕΝΕΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) DRŽAVLJANSTVO/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXĪXX/ (XX) XXXXXXXXĖ/ (XX) XXXXXXXXXXXXXXX/ (XX) ĊXXXXXXXXXXX/ (NL) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXĂȚXXXX/ (XX) ŠTÁTNA XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) MEDBORGARSKAP

5.

(BG) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX EL XXXXXXXXX XXXXXXX AL XXX XX ADJUNTA XXXX IMPRESO,/ (XX) XX ZÁKLADĚ XXXXXXX XXXXXXX, X XXX XX XXXXXXXX TENTO XXXXXXXX,/ (XX) X XXXXXXX XXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX FORMULAR ER XXXXÆXXXX/ (XX) XXXÄXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX FORMULAR XXXXXXÜXX XXX/ (XX) XXXXXXXXX AVALIKULE DOKUMENDILE, XXXXXXX XXX XXXX XX LISATUD/ (XX) ΣΥΜΦΩΝΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX TO XXX XXXXXX XXXXXXXX XX WHICH XXXX XXXX XX XXXXXXXX/ (XX) X'XXXÈX XX XXXXXXXX PUBLIC XXXXXX XX PRÉSENT XXXXXXXXXX XXX XXXXX/ (XX) XX XXXX XX XXXXXXXXX XXXXXXX LENA XXXXXX AN XXXXXX XXX CEANGAILTE/ (HR) XXXXX XXXXXX XXXXXXX XXXXX JE OVAJ XXXXXXX PRILOŽEN/ (IT) XXXXXXX XX DOCUMENTO XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (LV) XXXXXŅĀ XX XXXXXXXX XXXXXXXXX, XXXXX ŠĪ XXXXXXXX XX XXXXXXXXXX/ (XX) XXXXX VIEŠĄJĮ DOKUMENTĄ, XXXX KURIO XXXXXXXXX XX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXX SZERINT/ (XX) XXXXX ID-DOKUMENT XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX FORMULIER XX XXXXXXX/ (PL) Z XXXXXXXXX URZĘDOWEGO, XX XXXXXXX XXŁĄXXXXX XXXX XXXXXXXXX XXXXXXXXX, XXXXXX, ŻX/ (XX) XXXXXXX X XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) ÎX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX ANEXAT XXXXXXXXX XXXXXXXX/ (XX) XXXĽX XXXXXXXX LISTINY, XX XXXXXX XX TENTO XXXXXXXX PRIPOJENÝ/ (XX) X XXXXXX X XXXXX LISTINO, KI XX XX PRILOŽEN XX XXXXXXX/ (XX) XXX XXXXXXX XXXXXXXXXX XXXXXX, JOHON XÄXÄ XXXXXX LIITETÄÄN/ (XX) XXXXXX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

5.1

(XX) СЪОТВЕТНОТО ЛИЦЕ ПРИТЕЖАВА ДЕЕСПОСОБНОСТ ДА ВСТЪПИ В РЕГИСТРИРАНО ПАРТНЬОРСТВО СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) EL XXXXXXXXXX XXXXX XXXXXXXXX XXXX XXXXXXXXXXX XXXX XXXXXXX XX XXX XXXXX XX HECHO XXX XXXXXXX XX XXXXXXX XXXXXXXX DEL XXXXXX XXXXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) XX XXXXXXX OSOBA XXXXXXXXX XXXXXXX REGISTROVANÉ PARTNERSTVÍ XXXXX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, V XXXX JE XXXXXXX XXXXXXX XXXXXX/ (XX) XXX PÅGÆLDENDE XXXXXX XXX XXXXXX XXX XX KUNNE XXXXÅ XXXXXXXXXXX XXXXXXXXXXX X XXXXXXX XXX XXXXXXXX XXX X XXX XXXXXXXXXXX, HVOR XXX XXXXXXXXXX XXXXXXXX ER XXXXXXX/ (DE) XXX XXX XXXXXXXXXXX PERSON XXXX XXX NATIONALEN XXXXX XXX XXXXXXXXXXXXXX, XX DEM XXX ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, XXX FÄHIGKEIT, XXXX XXXXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXXX/ (XX) XX XXXXXXXXXX ISIKUL AVALIKU XXXXXXXXX VÄLJA XXXXXX XXXXXXXXXXXX ÕXXXXX XXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXXXXXXX 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) THE XXXXXX XXXXXXXXX XXX XXX XXXXXXXX TO XXXXX XXXX A XXXXXXXXXX XXXXXXXXXXX XXXXX XXX NATIONAL XXX XX THE XXXXXX XXXXX WHERE XXX XXXXXX XXXXXXXX XX XXXXXX/ (FR) LA XXXXXXXX XXXXXXXXX XXXX XXXXXXXX XX XXXXXXXXXXX XXXXXXXXXX EN VERTU XX XXXXX XXXXXXXX XX X'XXXX XXXXXX XÙ LE DOCUMENT XXXXXX XXX XXXXXXX/ (XX) TÁ XX XXXXX XXXX mBAINEANN XXX CHUMAS DUL X mBUN PÁIRTNÉIREACHT XXXXXXXXXX XXXX DHLÍ XXXXXXXXX AN XXXXXXXXXX XXX nDÉANTAR XX XXXXXXXXX POIBLÍ X XXXXXXXX/ (XX) XXXXXXX XXXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXXXXXX XXXXXXXXXXX XXXXX XXXXXXXXXXX XXXXX XXXXXX ČLANICE X KOJOJ JE XXXXX ISPRAVA XXXXXX/ (XX) LA PERSONA XXXXXXXXXXX XXXXXXXX LA XXXXXXXÀ XX XXXXXXXXXXXXX XX'XXXXXX REGISTRATA A XXXXX XXX XXXXXXX XXXXXXXXX XXXXX STATO XXXXXX XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXĪXĀ XXXXXXX XXĒX XXĀXXXX REĢISTRĒTĀS XXXXXXXXXXXXXĪXĀX XXXXXŅĀ AR XĀX DALĪBVALSTS TIESĪBU XXXXXX, XXXĀ XXXXXXXXXX XXXXXXXXX XX IZDOTS/ (XX) XXXXXXXXXXX ASMUO XXX XXXXXXXX SUDARYTI XXXXXXXXXXĄ XXXXXXXXXXĘ XXXXX XXXXXXXĖX XXXĖX, KURIOJE XXXXXXXX XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (HU) XX ÉRINTETT XXXXXXX X KÖZOKIRAT KIÁLLÍTÁSÁNAK XXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXX XXXXXXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXX XXXXXXXXXX/ (XX) XX-XXXXXXX XXXXĊXXXXXX XĦXXXXX L-KAPAĊITÀ XX XXXĦXX XX XĦXXXXX REĠISTRATA XXĦX XX-XXĠX XXXXXXXXXX TAL-ISTAT XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (XX) XXXXX DE XXXXXXXXXX XX XXXXXXXXXXX OM XXX XXXXXXXXXXXXX XXXXXXXXXXXX XXX XX XXXX XX XXXXX XXX XXX NATIONALE RECHT XXX DE LIDSTAAT XXXX XXX OPENBAAR XXXXXXXX WORDT XXXXXXXXX/ (XX) XXXXX, KTÓREJ XXXXXXX XXXXXXXX, POSIADA XXXXXXŚĆ DO XXXXXXXX XXXXXXXXXXXXXXXX ZWIĄZKU XXXXXXXXXXXXX XX MOCY PRAWA XXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX, X KTÓRYM XXX XXXXXXXX XXXĘXXXX XXXXXŁ XXXXXX/ (XX) X XXXXXX XX XXXXX XXXXXX A XXXXXXXXXX XX ESTABELECER XXX XXXXXXXX XXXXXXXXX XXX XXXXXX XX XXXXXXX XXXXXXXX DO XXXXXX-XXXXXX XX XXX O XXXXXXXXX XXXXXXX XXX XXXXXXX/ (XX) XXXXXXXX XXXXXĂ XXX CAPACITATEA XX X ÎXXXXXX XX XXXXXXXXXXX ÎXXXXXXXXXX ÎX XXXXXXXXXXXX CU XXXXXXX XXXXXX XX XXXXXXXX XXXXXX ÎX XXXX XXXX XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXX XX XXÔXXXXXX XXXXXXXX REGISTROVANÉ XXXXXXXXXXX XXXĽX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXXXX XX XXXXXXX XXXXXXX VYDANÁ/ (XX) JE ZADEVNA XXXXX XXXXXXXX XX XXXXXXXXXXXX PARTNERSKE SKUPNOSTI X XXXXXX Z XXXXXXXXXXX PRAVOM XXXXXX XXXXXXX, V KATERI XX IZDANA JAVNA XXXXXXX/ (FI) ASIANOMAISELLA XXXXXXÖXXÄ ON XXXXXXXXXX XXXXXXXXÖXXÄ XXXXXXXXX SEN XÄXXXXXXXXXX XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX XXXXXXXXX XX XXXXXXX/ (XX) XXX DEN XXXÖXXX XXXXXXXX BEHÖRIGHET XXX XXXÅ REGISTRERAT XXXXXXXXXXX XXXXXX DEN XXXXXXXXXX XXXXXXXXXXXXXX X XXX XXXXXXXXXXX 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/ (ES) XX XXXXXX EL XXXXXXXX DE XXXXXXX XXXXX XX XXXXX X XXXXXX XXX XXXXXXXXXX CON XXXXXXX XX XXXXXXX XXXXXXXX XXX XXXXXX XXXXXXX XX EXPEDICIÓN DEL XXXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXX XXXXXX XXXXXXXXXX XXX XXXX XXXXXX REGISTROVANÉ XXXXXXXXXXX XXXXX VNITROSTÁTNÍHO XXXXX XXXXXXXXX XXXXX, X XXXX JE VEŘEJNÁ XXXXXXX VYDÁNA/ (XX) XXX XÅXÆXXXXXX PERSON XXX XXXX XX XXXX XXXXX XXXXXXXXXXX XXXXXXXXXXX OPFØRT XXXXX XXX NAVN X XXXXXXX XXX XXXXXXXX XXX I XXX XXXXXXXXXXX, XXXX DET XXXXXXXXXX DOKUMENT XX XXXXXXX/ (DE) XXXXXXX XXXX XXXXXXX, XXXX XXX XXXXXXXXXXX XXXXXX XXXXX XXXXX XXXXX XXXX XXXXXXXXXXXX XXXXXXXXXXXXX XXXX XXX XXXXXXXXXX XXXXX XXX XXXXXXXXXXXXXX, XX XXX DIE ÖXXXXXXXXXX XXXXXXX AUSGESTELLT XXXXX, EINGEGANGEN IST/ (XX) XX OLE XXXXXXXXX XXXXX XXXXX ÜXXXXX XXXXXXX XXXXXXXXX XÄXXX ANDNUD LIIKMESRIIGI ÕXXXXX XXXXXX XXXXXXXXXXXXXX XXXXXXX LEPINGUT/ (XX) ΔΕΝ ΦΑΙΝΕΤΑΙ ΝΑ ΥΠΑΡΧΕΙ ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΧΕΣΗ ΣΥΜΒΙΩΣΗΣ ΣΤΟ ΟΝΟΜΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ/ (XX) XXX XXXXXX XXXXXXXXX APPEARS XX XXXX XX XXXXXXXXXX PARTNERSHIP XX XXX XX HER XXXX XXXXX XXX XXXXXXXX XXX XX XXX XXXXXX STATE XXXXX XXX XXXXXX XXXXXXXX IS XXXXXX/ (XX) XX XXXXXXXX XXXXXXXXX XX XXXXXX XXX XXXXX XXXXXX XX XXXXXXXXXXX ENREGISTRÉ XX XXX XXX XX XXXXX XX XXXXX XXXXXXXX DE X'XXXX XXXXXX XÙ XX XXXXXXXX XXXXXX XXX DÉLIVRÉ/ (XX) XX XXXXXXXXXXX XX XX BHFUIL AN XXXXX XXXX mBAINEANN XXXXXXXXX I xXXXXXXXXXXXXXX XXXXXXXXXX XXXX XXXX XXXXXXXXX XX BHALLSTÁIT XXX xXXXXXXX XX XXXXXXXXX XXXXXX A XXXXXXXX/ (HR) NIJE XXXXXXX XX XX XXXXXXX OSOBA XXX XXXXXX IMENOM XXXXXXXX XXXXXXXXXXXX PARTNERSTVO XXXXX XXXXXXXXXXX XXXXX XXXXXX XXXXXXX X KOJOJ XX JAVNA ISPRAVA XXXXXX/ (IT) X XXXX XXXXX XXXXXXX XXXXXXXXXXX NON RISULTA XXXXXXXXX ALCUNA UNIONE XXXXXXXXXX X NORMA XXX XXXXXXX XXXXXXXXX XXXXX STATO XXXXXX XXX XXXXXXXX XX XXXXXXXXX PUBBLICO/ (XX) XX ATTIECĪGĀS PERSONAS XĀXXX XXX XXXXĒXXXX XXĢXXXXĒXXX XXXXXXXXXXXXXĪXXX XXXXXŅĀ XX XĀX XXXĪXXXXXXX XXXXĪXX AKTIEM, XXXĀ XXXXXXXXXX XXXXXXXXX XX XXXXXX/ (LT) XXXXXXXXXXX XXXXX SAVO XXXXX XĖXX XXXXXĘX REGISTRUOTOS XXXXXXXXXXĖX PAGAL XXXXXXXĖX XXXĖX, XXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (XX) XX XXXXXXXX SZEMÉLYNEK X XÖXXXXXXX KIÁLLÍTÁSÁNAK HELYE XXXXXXXX TAGÁLLAM NEMZETI XXXX XXXXXXX MEGÁLLAPÍTHATÓAN XXXXX BEJEGYZETT ÉLETTÁRSI XXXXXXXXXX/ (XX) XX-XXXXXXX XXXXĊXXXXXX TIDHER LI XX XĦXXXXXXX XĦXXXXX XXĠXXXXXXX X'XXXXXX TAĦT XX-XXĠX NAZZJONALI XXX-XXXXX XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (NL) XXXXX XX BETROKKENE XXXX GEREGISTREERD XXXXXXXXXXXX XX XXXX XX XXXX XXXX XX XXXXX VAN XXX XXXXXXXXX RECHT XXX XX XXXXXXXX WAAR XXX XXXXXXXX XXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXX, XXXXXX XXXXXXX XXXXXXXX, NIE XXXXXXXXX X XXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXX NA XXXX XXXXX KRAJOWEGO PAŃSTWA XXŁXXXXXXXXXXX, X KTÓRYM XXX DOKUMENT XXXĘXXXX XXXXXŁ WYDANY/ (XX) XÃX XX AFIGURA XXXXXXX XXXXXXXX REGISTADA XX XXXX DA XXXXXX XX CAUSA XXX XXXXXX XX XXXXXXX XXXXXXXX XX XXXXXX-XXXXXX EM XXX X XXXXXXXXX XXXXXXX XXX XXXXXXX/ (XX) XX XX XXXXXȘXX XXXXXX PARTENERIAT ÎXXXXXXXXXX ÎXXXXXXX XX NUMELE XXXXXXXXX XXXXXX ÎX XXXXXXXXXXXX CU XXXXXXX XXXXXX AL XXXXXXXX XXXXXX ÎN XXXX XXXX EMIS XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXX XXXXXX NEUZAVRELA XXXXXXXXXXXX XXXXXXXXXXX XX XXXXXX MENE XXXĽX XXXXXXXXXXXXXX XXXXX ČLENSKÉHO XXXXX, X XXXXXX XX XXXXXXX XXXXXXX XXXXXX/ (SL) PO XXXXXXXXXXXXXX PODATKIH XXXXXXX XXXXX NI X XXXXXXXXXX XXXXXXXXX, KI XX JO REGISTRIRALA X XXXXXX XXXXX XX X XXXXXX X XXXXXXXXXXX PRAVOM XXXXXX ČLANICE, X XXXXXX JE XXXXXX XXXXX LISTINA/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXXX XX XXX XXXXXXXX XXXXXXXXÖXXXÄ XXXXXXXXXXXX XXX XÄXXXXXXXXXX KANSALLISEN XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX XXXXXXXXX XX ANNETTU/ (XX) XÖXXXXXXXX DEN XXXÖXXX XXXXXXXX XXXX XX XXXÅXX XXXXXXXXXXX XXXXXXXXXXX XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX X XXX MEDLEMSSTAT DÄR XXX XXXXXXXXXX XXXXXXXXXX XXXÄXXXXXX

5.3

(XX) НЕ СА ИЗВЕСТНИ ПРЕЧКИ СЪОТВЕТНОТО ЛИЦЕ ДА ВСТЪПИ В РЕГИСТРИРАНО ПАРТНЬОРСТВО СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) NO HAY XXXXXXXXXX XX XXXXXX XXXXXXXXXXX XXXX QUE XX INTERESADO REGISTRE XXX XXXXX XX XXXXX XXX ARREGLO XX XXXXXXX XXXXXXXX XXX ESTADO XXXXXXX XX XXXXXXXXXX DEL XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX ŽÁDNÁ XXXXX XXXXXXXX, XXX XXXXXXX XXXXX XXXXXXXX XXXXXXXXXXXX XXXXXXXXXXX PODLE XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXX JE XXXXXXX XXXXXXX XXXXXX/ (XX) DER XXXXXXXXXX XXXXX KENDTE XXXXXXXXXX XXX, XX XXX XÅXÆXXXXXX XXXXXX XXX XXXXÅ XXXXXXXXXXX PARTNERSKAB X XXXXXXX XXX XXXXXXXX XXX I XXX XXXXXXXXXXX, XXXX XXX XXXXXXXXXX XXXXXXXX XX UDSTEDT/ (XX) XXX KEIN XXXXXXXXX XXXXXXX, XXX XXX XXXXXXXX XXXXX XXXXXXXXXXXXX XXXXXXXXXXXXX DURCH XXX XXXXXXXXXXX XXXXXX XXXX XXX XXXXXXXXXX XXXXX XXX XXXXXXXXXXXXXX, XX XXX XXX ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, XXXXXXXXXXXXX/ (ET) XX XXX TEADA XXXXXXX XXXXXXXXX XÄXXX ANDNUD XXXXXXXXXXXX ÕIGUSE XXXXXXXX XXXXXXXXXX, XXX XXXXXXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXXXXXXX XXXXXXXX XXXXXX/ (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 TO XXXXX XXXX X XXXXXXXXXX PARTNERSHIP UNDER XXX NATIONAL XXX XX XXX XXXXXX XXXXX XXXXX XXX XXXXXX XXXXXXXX IS XXXXXX/ (FR) XX X'XXXXXX PAS X'XXXÊXXXXXXX XXXXX À XX XXXXXXXXXX XXX XX XXXXXXXX XXXXXXXXX D'UN XXXXXXXXXXX XXXXXXXXXX XX XXXXX DU XXXXX XXXXXXXX DE X'XXXX XXXXXX XÙ XX XXXXXXXX XXXXXX XXX XXXXXXX/ (GA) XXX XXX BHAC XXXXXXXXX XXX AR XX XXXXX XXXX xXXXXXXXX XX XXX X xXXX XXXXXXXXXXXXXX CHLÁRAITHE XXXX DHLÍ XXXXXXXXX XX XXXXXXXXXX XXX xXXXXXXX XX DOICIMÉAD XXXXXX X XXXXXXXX/ (XX) XXXX XXXXXXX XXXXXXX XXXX KOJE XXXXXXX XXXXX NE XX XXXXX XXXXXXXX XXXXXXXXXXXX PARTNERSTVO XXXXX XXXXX XXXXXX XXXXXXX X XXXXX XX XXXXX XXXXXXX XXXXXX/ (XX) XXX XXXX XXXX XXXXXXXXXXX ALLA XXXXXXXXXXXXXX DI XX'XXXXXX XXXXXXXXXX XXXXX PERSONA XXXXXXXXXXX A NORMA XXX XXXXXXX XXXXXXXXX XXXXX STATO MEMBRO XXX XXXXXXXX IL XXXXXXXXX XXXXXXXX/ (XX) XXX XXXĀXX XXXĀXX XĶĒXXĻX XXXXXXĪXXXXX XXXXXXXX

XXĀXXXX XXĢXXXXĒXĀX XXXXXXXXXXXXXĪXĀX XXXXXŅĀ XX XĀX XXXĪXXXXXXX XXXXĪXX XXXXXX, XXXĀ XXXXXXXXXX XXXXXXXXX XX XXXXXX/ (XX) XĖXX XXXXXŲ XXXŪXXŲ XXXXXXXXXXX XXXXXXXX XXXXXXXX REGISTRUOTĄ XXXXXXXXXXĘ PAGAL XXXXXXXĖX XXXĖX, XXXXXXX VIEŠASIS XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (XX) XXXXX X XÖXXXXXXX XXXXXXXXXXXXX XXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXX XXXXXXXX, XXXXXX XXXXXXXX ANNAK, XXXX AZ XXXXXXXX XXXXXXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXX XXXXXXXXXX/ (XX) XX HEMM L-EBDA XXXXXXXXXX XXXĦXXX XĦXXX-XXXXXXX XXXXĊXXXXXX XXXX XXXĦXX XX XĦXXXXX REĠISTRATA XXĦX XX-XXĠX XXXXXXXXXX XXX-XXXXX XXXXXX FEJN XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (XX) XX ER XXXX XXXXXXXXXXX XXXX XX XXXXXXXXX XXXXXXX XX XXX XXXXXXXXXXXXX XXXXXXXXXXXX XXX XX XXXX XX XXXXX XXX HET NATIONALE XXXXX XXX DE XXXXXXXX XXXX XXX XXXXXXXX XXXXXXXX XXXXX XXXXXXXXX/ (XX) XXX XXXXXXXĄ XXXXX XXXXXXXXXX XXX XXXXXXXX PRZEZ XXXXĘ, XXXXXX DOTYCZY XXXXXXXX, ZAREJESTROWANEGO XXXĄXXX XXXXXXXXXXXXX XX XXXX XXXXX XXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX, X XXXXXX XXX DOKUMENT XXXĘXXXX XXXXXŁ XXXXXX/ (XX) XÃX EXISTE IMPEDIMENTO XXXXXXXXX X XXX X XXXXXX XX XXXXX ESTABELEÇA UMA XXXXXXXX XXXXXXXXX XXX XXXXXX XX XXXXXXX XXXXXXXX DO ESTADO-MEMBRO XX XXX X XXXXXXXXX XXXXXXX FOI XXXXXXX/ (RO) XX XX CUNOSC IMPEDIMENTE XX ÎNCHEIEREA XXXXXXXXXXXXXXX ÎXXXXXXXXXX ÎX CONFORMITATE XX XXXXXXX XXXXXX XX STATULUI XXXXXX ÎX XXXX XXXX XXXX XXXXXXXXXX XXXXXXX/ (XX) NIE XX XXXXX XXXXXXXX PRE XXXXXXXX XXXXX XXXXXXXX XXXXXXXXXXXX PARTNERSTVO XXXĽX XXXXXXXXXXXXXX PRÁVA XXXXXXXXX XXXXX, X KTOROM XX XXXXXXX LISTINA XXXXXX/ (XX) NI XXXXXXXXXXXX ZADRŽKOV, XX XXXXXXX XXXXX XX XX XXXXX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX V XXXXXX X NACIONALNIM XXXXXX XXXXXX ČLANICE, X XXXXXX JE XXXXXX XXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXXXXÖXXXXXX XXXXXXXXXXXXX XX XXXXXXÄ XXXXXX XXXXXXÄ XXX JÄSENVALTION XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX XXXXXXXXX ON XXXXXXX/ (XX) XXXXX XXX XXXX KÄNDA XXXXXX FÖR XXX XXXÖXXX XXXXXXXX XXX XXXÅ XXXXXXXXXXX PARTNERSKAP XXXXXX DEN XXXXXXXXXX XXXXXXXXXXXXXX X XXX XXXXXXXXXXX XÄX XXX XXXXXXXXXX HANDLINGEN XXXÄXXXXXX

5.4

(XX) НЕ СА ИЗВЕСТНИ ПРЕЧКИ ЗА РЕГИСТРИРАНЕТО НА ПАРТНЬОРСТВО МЕЖДУ СЪОТВЕТНОТО ЛИЦЕ И НЕГОВИЯ БЪДЕЩ ПАРТНЬОР СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) XX XXX XXXXXXXXXX DE XXXXXX XXXXXXXXXXX XXXX XX XXXXXXXX DE XXX XXXXX XX XXXXX XXXXX EL XXXXXXXXXX X XX FUTURA XXXXXX DE XXXXX XXXXXXXXXX CON XXXXXXX XX XXXXXXX XXXXXXXX XXX XXXXXX XXXXXXX XX XXXXXXXXXX XXX XXXXXXXXX PÚBLICO/ (XX) XXXXXXXXXX XXXXX XXXXX XXXXXXXX REGISTROVANÉHO XXXXXXXXXXX XXXX XXXXXXXX XXXXXX X XXXXX XXXXXXXX XXXXXXXXX / XXXX XXXXXXX XXXXXXXXXX XXXXX XXXXXXXXXXXXXX PRÁVA XXXXXXXXX XXXXX, X NĚMŽ XX VEŘEJNÁ XXXXXXX XXXXXX/ (DA) DER XXXXXXXXXX XXXXX XXXXXX XXXXXXXXXX FOR XX XXXXXXXXXXX XXXXXXXXXXX MELLEM XXX XÅXÆXXXXXX XXXXXX XX DENNES XXXXXXXX XXXXXXX X HENHOLD XXX NATIONAL XXX X DEN XXXXXXXXXXX, XXXX XXX XXXXXXXXXX XXXXXXXX XX XXXXXXX/ (XX) XXX KEIN XXXXXXXXX XXXXXXX, DAS XXXXX XXXXXXXXXXXXX PARTNERSCHAFT XXXXXXXX XXX XXXXXXXXXXXX XXXXXX UND XXXXX XÜXXXXXXX PARTNER XXXX XXX XXXXXXXXXX XXXXX XXX XXXXXXXXXXXXXX, XX XXX XXX ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, XXXXXXXXXXXXX/ (ET) EI XXX XXXXX XXXXXXX XXXXXXXXX XÄXXX XXXXXX XXXXXXXXXXXX ÕXXXXX KOHASEID XXXXXXXXXX, MIS TAKISTAKSID XXXXXXXXX XXXXX XX XXXX XXXXXXXX REGISTREERITUD XXXXXXXXXXX XXXXXXXX XXXXXXXX/ (XX) ΔΕΝ ΕΙΝΑΙ ΓΝΩΣΤΟ ΚΑΝΕΝΑ ΚΩΛΥΜΑ ΓΙΑ ΤΗ ΣΥΝΑΨΗ ΚΑΤΑΧΩΡΙΣΜΕΝΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ ΜΕΤΑΞΥ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΚΑΙ ΤΟΥ ΜΕΛΛΟΝΤΟΣ Ή ΤΗΣ ΜΕΛΛΟΥΣΑΣ ΣΥΝΤΡΟΦΟΥ ΤΟΥ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΌΣΙΟ ΕΓΓΡΑΦΟ/ (XX) XXXXX XX XX KNOWN XXXXXXXXXX TO X XXXXXXXXXX XXXXXXXXXXX XXXXXXX XXX XXXXXX CONCERNED XXX HIS XX XXX XXXXXXXX XXXXXXX XXXXX XXX XXXXXXXX XXX XX THE XXXXXX STATE WHERE XXX XXXXXX XXXXXXXX XX XXXXXX/ (FR) XX X'XXXXXX PAS X'XXXÊXXXXXXX CONNU À XX XXXXXXXXXX X'XX XXXXXXXXXXX XXXXXXXXXX ENTRE XX XXXXXXXX XXXXXXXXX XX XXX XXXXX XXXXXXXXXX XX XXXXX XX XXXXX XXXXXXXX XX X'XXXX XXXXXX XÙ XX XXXXXXXX XXXXXX XXX XXXXXXX/ (XX) NÍL XXX XXXX XXXXXXXXX XXX XX XXXXXXXXXXXXXXX XXXXXXXXXX XXXX XX XXXXX XXXX xXXXXXXXX XXXX X P(H)ÁIRTNÉIR BEARTAITHE XXXX XXXX XXXXXXXXX XX XXXXXXXXXX INA xXXXXXXX XX DOICIMÉAD XXXXXX X XXXXXXXX/ (XX) NEMA XXXXXXX XXXXXXX ZBOG KOJE XXXXXXX OSOBA X XXXXXX XXXXĆX PARTNER XX BI MOGLI XXXXXXXX REGISTRIRANO XXXXXXXXXXX XXXXX XXXXXXXXXXX PRAVU XXXXXX XXXXXXX X XXXXX XX XXXXX XXXXXXX XXXXXX/ (IT) XXX SONO XXXX XXXXXXXXXXX ALLA XXXXXXXXXXXXXX XX XX'XXXXXX REGISTRATA XXX XX XXXXXXX XXXXXXXXXXX E XX XXXXXX XXXXXXX X XXXXX XXX XXXXXXX XXXXXXXXX XXXXX STATO XXXXXX XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX/ (XX) XXX XXXĀXX XXXĀXX XĶĒXXĻX XXĢXXXXĒXX XXXXXXXXXXXXXĪXX NOSLĒGŠANAI STARP XXXXXXĪXX XXXXXXX UN XĀX XXXXXX XXXXXXXX XXXXXŅĀ XX TĀS XXXĪXXXXXXX XXXXĪXX XXXXXX, XXXĀ XXXXXXXXXX DOKUMENTS XX XXXXXX/ (XX) XĖXX ŽINOMŲ XXXŪXXŲ XXXXXXXXXX ASMENS XX XX XŪXXXX (-OS) XXXXXXXXX (-ĖX) XXXXXXXXXXXX XXXXXXXXXXXX PAGAL VALSTYBĖS XXXĖX, KURIOJE XXXXXXXX XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (HU) XXXXX X XÖXXXXXXX KIÁLLÍTÁSÁNAK XXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXX XXXXXXXX, XXXXXX XXXXXXXX ANNAK, XXXX XX XXXXXXXX XXXXXXX XX XXXXXŐ XXXXXXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXX XXXXXXXXXX/ (XX) XX HEMM X-XXXX XXXXXXXXXX XXXĦXXX XĦXX XĦXXXXX XXĠXXXXXXX XXXX IL-PERSUNA XXXXĊXXXXXX X X-XXXĦXX JEW XXXĦXX FUTUR XXXĦXX XXĦX IL-LIĠI NAZZJONALI XXX-XXXXX XXXXXX FEJN XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (XX) XX XX XXXX XXXXXXXXXXX XXXX XXX XXXXXXXXXXXXX XXXXXXXXXXXX XXXXXX XX BETROKKENE XX ZIJN OF XXXX XXXXXXX XXXXXXX XX XXXXX XXX XXX NATIONALE RECHT XXX DE XXXXXXXX XXXX XXX XXXXXXXX XXXXXXXX XXXXX XXXXXXXXX/ (XX) NIE XXXXXXXĄ XXXXX PRZESZKODY XXX XXXXXXXX XXXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX XXXXX XXXXĘ, XXXXXX XXXXXXX DOKU-MENT, X OSOBĄ, Z XXXXĄ XXXXXXXX ONA XXXXXXĆ TAKI ZWIĄZEK, XX XXXX XXXXX XXXXXXXXX XXŃXXXX

XXŁXXXXXXXXXXX, W XXXXXX TEN DOKUMENT XXXĘXXXX XXXXXŁ XXXXXX/ (XX) NÃO XXXXXX XXXXXÇÃX XXXXXXXXX X XXX X XXXXXX XX CAUSA XXXXXXXXÇX XXX X(X) FUTURO(A) XXXXXXXX(X) UMA PARCERIA XXXXXXXXX XXX XXXXXX XX XXXXXXX XXXXXXXX XX ESTADO-MEMBRO XX XXX O XXXXXXXXX XXXXXXX FOI EMITIDO/ (XX) XX XX XXXXXȘXX NICIO XXXXXȚXX XX ÎXXXXXXXXX XXXX XXXXXXXXXXX ÎXXXXXXXXXX ÎXXXX XXXXXXXX XXXXXĂ ȘX XXXXXXXX XXXXXXXX (XXXXXXXXX XXXXXXXXĂ) ÎX CONFORMITATE XX DREPTUL XXXXXX XX XXXXXXXX XXXXXX ÎX CARE XXXX XXXX XXXXXXXXXX XXXXXXX/ (XX) NIE XX XXXXX XXXXXXXX XXXX XXXXXXXXXXXXXX PARTNERSTVU MEDZI XXXXXXXXX XXXXXX X XXX XXXXXXXXXXXX PARTNEROM XXXĽX VNÚTROŠTÁTNEHO XXXXX XXXXXXXXX XXXXX, X XXXXXX XX XXXXXXX XXXXXXX VYDANÁ/ (XX) XX XXXXXXXXXXXXX XXXXXXXXXXXXX, XX ZADEVNA XXXXX XX NJEN PREDVIDENI XXXXXXX NE XX XXXXX XXXXXXXXXXXX PARTNERSKE XXXXXXXXX X XXXXXX X XXXXXXXXXXX XXXXXX XXXXXX XXXXXXX, V XXXXXX XX XXXXXX XXXXX XXXXXXX/ (FI) XXXXXXXXXXXX XXXXXXÖX XX XÄXXX XXXXXXX XXXXXXXXXXX XÄXXXXÄ XXXXXXXXÖXXXÄ XXXXXXXXXXXX XX XXX VASTUSTETTU XXX JÄSENVALTION XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX XXXXXXXXX XX XXXXXXX/ (SV) XXXXX XXX XXXX XÄXXX XXXÄXXXXXXXX XXX XXXÅXXXX XX XXXXXXXXXXX XXXXXXXXXXX XXXXXX DEN XXXÖXXX XXXXXXXX XXX XXXX XXXXX HENNES XXXXXXXX XXXXXXX ENLIGT XXX XXXXXXXXXX LAGSTIFTNINGEN X XXX XXXXXXXXXXX XÄX XXX XXXXXXXXXX XXXXXXXXXX XXXÄXXXXXX

6.

(XX) ИНФОРМАЦИЯ ЗА БЪДЕЩИЯ ПАРТНЬОР НА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX XX XXXXXX XXXXXX DE XXXXX REGISTRADA DEL XXXXXXXXXX/ (XX) XXXXXXXXX X BUDOUCÍM XXXXXXXXXX / XXXXXXX XXXXXXXXX XXXXXXX OSOBY/ (XX) XXXXXXXXXXX OM XXX XÅXÆXXXXXX XXXXXXX KOMMENDE XXXXXXX/ (DE) ANGABEN XX XXX KÜNFTIGEN XXXXXXX XXX XXXXXXXXXXXX XXXXXX/ (XX) XXXXX XXXXX XXXXX, XXXXXXX XXXXXXXXX XXXX SOOVIB XXXXXXXXXXXXXX KOOSELLU XXXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΜΕΛΛΟΝΤΟΣ Ή ΤΗΣ ΜΕΛΛΟΥΣΑΣ ΣΥΝΤΡΟΦΟΥ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX INTENDED XXXXXXX XX THE PERSON XXXXXXXXX/ (FR) XXXXXXXXXXXX XXX LE XXXXX XXXXXXXXXX XX LA XXXXXXXX XXXXXXXXX/ (GA) XXXXXXXX XXXXXX XX XXXXXXXXX BEARTAITHE AN XXXXX LENA xXXXXXXXX/ (XX) INFORMACIJE O XXXXĆXX XXXXXXXX DOTIČNE XXXXX/ (IT) XXXXXXXXXXXX XXX FUTURO XXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (XX) INFORMĀCIJA PAR XXXXXXĪXĀX PERSONAS XXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXX XXXXXXXXXX XXXXXX XŪXXXĄ XXXXXXXĮ (-Ę)/ (XX) XX ÉRINTETT XXXXXXX XXXXXŐ XXXXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX IS-SIEĦEB XXX SIEĦBA XXXXX XXX-XXXXXXX XXXXĊXXXXXX/ (XX) XXXXXXXXXX XXXX XX XXXXXXX PARTNER VAN XX BETROKKENE/ (PL) XXXX OSOBY, X XXXXĄ XXXXX, XXXXXX XXXXXXX XXXXXXXX, XXXXXXXX XXXXXXĆ XXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXX/ (XX) XXXXXXXÇÕXX XXXXX O(A) FUTURO(A) XXXXXXXX(X)XX XXXXXX XX XXXXX/ (XX) INFORMAȚII XXXXXXX XXXXXXXX PARTENER (XXXXXXXXX XXXXXXXXĂ) AL (X) XXXXXXXXX VIZATE/ (XX) XXXXXXXXXX X XXXXXXXXXXXX XXXXXXXXXX DOTKNUTEJ XXXXX/ (XX) XXXXXXXXXXX X XXXXXXXXXXX XXXXXXXXX XXXXXXX OSEBE/ (XX) XXXXXX ASIANOMAISEN XXXXXXÖX XXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXX OM XXX XXXÖXXX PERSONENS XXXXXXXX XXXXXXX

7.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX FIRMA/ (XX) XXXX XXX XXXXXX/ (XX) UNDERSKRIFTSFELT/ (XX) XXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXX/ (EL) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) SIGNATURE XXX/ (XX) XXXXX XXXX XX XXXXXXXXX/ (XX) BOSCA XXX XXXXX/ (HR) XXXXX XX XXXXXX/ (IT) XXXXXXXX XXX XX XXXXX/ (XX) XXXXXXXX XXXXX/ (XX) PARAŠO XXXXXXXX/ (XX) AZ XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX XX XXXXXXXXXXXX/ (PL) XXXX XXXXXXX/ (XX) ESPAÇO XXXXXXXXX À ASSINATURA/ (XX) SEMNĂTURA/ (XX) XXXXXXX XX PODPIS/ (XX) POLJE XX XXXXXX/ (FI) XXXXXXXXXXXXXXXXXXÄ/ (XX) XXXX XÖX XXXXXXXXXXXXXX

7.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) APELLIDO(S) Y XXXXXX(X) XXX XXXXXXXXXXX XXX XXXXXXX ESTE XXXXXXX/ (XX) XXXXXXXX X XXXXX (XXXXX) XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (DA) XXXXXXXXX(X) OG XXXXXXX(X) XÅ XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX FORMULAR/ (DE) XXXXXXXXXXXX(X) UND XXXXXXX(X) XXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX AMETNIKU 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) OF XXX OFFICIAL XXX XXXXXX XXXX FORM/ (XX) NOM(S) XX XXXXXX(X) XX XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX FORMULAIRE/ (XX) SLOINNE (SLOINNTE) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX XXXXXXXX X X’XXXXXX XX FHOIRM XXX/ (HR) XXXXXXX(XX) X IME(NA) XXXXXXXXXX XXXX XX IZDAO XXXX OBRAZAC/ (XX) XXXXXXX/X X XXXX/X XXX FUNZIONARIO XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, KURA XXXXXXXX XX VEIDLAPU, UZVĀRDS(-I) XX XĀXXX(-X)/ (XX) XXĄ FORMĄ XXXXXXXXX XXXXXXŪXX PAVARDĖ (-ĖS) XX XXXXXX (-XX)/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ CSALÁDI XXXX(X) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX LI ĦXXXĠ XXX XX-XXXXXXX/ (XX) NA(A)M(EN) XX XXXXXX(X)X(XX) VAN XX XXXXXXXXX XXX DIT XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) I XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX XXXXŁ NINIEJSZY XXXXXXXXX/ (XX) XXXXXXX(X) X XXXX(X) XXXXXXX(X) XX FUNCIONÁRIO XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (RO) NUMELE ȘX XXXXXXXXX FUNCȚIONARULUI XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) X MENO(-Á) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX/XXXXXXX IN IME/IMENA XXXXXXXX, KI XX XXXXX XX XXXXXXX/ (XX) TÄMÄN XXXXXXXXX XXXXXXXX VIRKAMIEHEN XXXXXXXX (-XXXXX) JA XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX XXX XÖXXXXX XÅ XXX XXÄXXXXXXX XXX XXX UTFÄRDAT XXXXX XXXXXXÄX

7.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX DEL XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (CZ) FUNKCE XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX — DEN XXXXXXXXXX, DER XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX XXX XXXXXXX, DER DIESES XXXXXXXX AUSGESTELLT HAT/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX AMETIKOHT/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX OF XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) POSTE XX XXXXXXXXXXXXX QUI X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXX XX XXXXXXXX X X’XXXXXX AN FHOIRM XXX/ (HR) XXXXXXXX XXXXXXXXXX KOJI XX XXXXX XXXX OBRAZAC/ (XX) POSIZIONE XXX XXXXXXXXXXX CHE HA XXXXXXXXXX IL PRESENTE XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, XXXXX/ (LT) XXĄ FORMĄ IŠDAVUSIO XXXXXXŪXX PAREIGOS/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (MT) XXXXXX TAL-UFFIĊJAL XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) FUNCTIE VAN XX XXXXXXXXX XXX XXX FORMULIER XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX FORMULÁRIO/ (RO) XXXXȚXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXXXX XXXXXXXX, KTORÝ XXXXX XXXXX FORMULÁR/ (XX) XXXXXXX XXXXXXXX, KI XX IZDAL TA XXXXXXX/ (FI) XÄXÄX XXXXXXXXX ANTANEEN XXXXXXXXXXX XXXXX/ (SV) XXXXXXXXXX XÖX XXX XXÄXXXXXXX XXX HAR UTFÄRDAT 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) AUSSTELLUNGSDATUM (TT/MM/JJJJ)/ (XX) XÄXXXXXXXXXX KUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (FR) XXXX (XX/XX/XXXX) DE DÉLIVRANCE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX DI XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (LT) XXXXXXXX DATA (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) DATUM (XX/XX/XXXX) XXX AFGIFTE/ (PL) XXXX (DD/MM/RRRR) XXXXXXX/ (XX) DATA XX XXXXXÃX (DD/MM/AAAA)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) IZDAJE/ (FI) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) FÖR XXXÄXXXXXX

7.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (ET) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) SIGNATURE/ (XX) SÍNIÚ/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (LT) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) ASSINATURA/ (RO) XXXXĂXXXX/ (SK) PODPIS/ (XX) XXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

7.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) SELLO X XXXXXX/ (CZ) XXXXX XXXX XXXXXXX/ (XX) XXXX ELLER STEMPEL/ (XX) XXXXXX XXXX XXXXXXX/ (XX) PITSER XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX STAMP/ (XX) XXXXX XX XXXXXX/ (XX) XXXXX NÓ XXXXXX/ (HR) ŽIG XXX XXXXX/ (IT) XXXXX X TIMBRO/ (XX) XĪXXXX XXX XXXXXXXX/ (LT) XXXXXXX XXXX XXXXXXXXXX/ (XX) XXXXXX VAGY BÉLYEGZŐLENYOMAT/ (XX) XXĠXXX XXX XXXXXX/ (XX) XXXXX XX STEMPEL/ (PL) XXXXXĘĆ XXX STEMPEL/ (XX) XXXX XX XXXXXXX/ (XX) SIGILIUL XXX ȘTAMPILA/ (SK) XXXXX XXXXX ODTLAČOK XXXXXXXX/ (XX) XXXXX XXX XXX/ (XX) XXXXXXX TAI LEIMA/ (XX) XXXXXX XXXXX XXÄXXXX

XXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX PRO XXXXXXX

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

Xxxxxx (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxx (DE)

Estonsko (XX) Xxxxx (XX)

Xxxxx (XX) Španělsko (ES)

Francie (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Kypr (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (HU) Xxxxx (XX)

Xxxxxxxxxx (NL) Xxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Slovinsko (XX)

Xxxxxxxxx (XX) Xxxxxx (XX)

Xxxxxxx (SE) Xxxxxxx xxxxxxxxxx (UK)

DŮLEŽITÉ XXXXXXXXXX

Xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxx překladu xxxxxxx xxxxxxx, x xxx xx přiložen. Xxxxx xxxxxxxx se xxxx xxxxxxxxx xxxxx nesmí xxxxxxxxx xxxx samostatný xxxxxxxx.

Xxxxx xxxxxxxx odráží xxxxx xxxxxxx listiny, x xxx je xxxxxxxx. Xxxxx, xxxxx xx veřejná listina xxxxxxxxxxx, však xxxx x případech, xxx xx to nezbytné xxx xxxxx xxxxxxxxxx xxxxxxx xxxxxxx, požadovat xxxxxxx či xxxxxx xxxxxxxxx, které xxxx xx formuláři uvedeny.

UPOZORNĚNÍ XXX XXXXXXXXXX XXXXX

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

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

1. XXXXX XXXXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

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

3.1 Xxxxxxx xxxxxx xxxxxxx nebo xxxxxxxxx s xxxxxx xx xxxxx xxxxxx xxxxxxxxx státu

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Listina vydaná xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx vyšším soudním xxxxxxxxx

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

3.1.5 Xxxx (xxxxxxxxx)

(1) Úř. xxxx. X 200, 26.7.2016, x. 1.

(2) Při xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

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

(4) Slovo „xxxxx“ xx třeba xxxxxxxx xxxx xxxxxx xxxxx xxxxxx xxxxxxxxxxxx veřejnou xxxxxxx, x xxx xx xxxxxxxx xxxxx xxxxxxxx.

3.2 Xxxxxxx vydaná xxxxxxxx úřadem

3.2.1 Osvědčení

3.2.2 Xxxxx z matriky

3.2.3 Xxxxx z xxxxxxxx xxxxxxxx

3.2.4 Xxxx xxxxxxxxxx xxxxxxx

3.1.5 Jiné (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, kterým xxxx xxxxxxxx xxxxxxx podepsaná xxxxxxxxx xxxxxx

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

3.6 Datum (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx xxxxx veřejné xxxxxxx

4. XXXXXXXXX X XXXXXXX XXXXX

4.1 Rodné/á příjmení

4.2 Xxxxxxxx/x xxxxxxxx

4.3 Příjmení xxxx xxxxxxxxx registrovaného xxxxxxxxxxx

4.4 Xxxxxxxx po xxxxxxxx registrovaného xxxxxxxxxxx

4.5 Xxxxx (xxxxx)

4.6 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.7 Místo (1) x xxxx (2) xxxxxxxx

4.8 Xxxxxxx:

4.8.1 Xxxx

4.8.2 Xxx

4.8.3 Neurčeno

4.9 Xxxxxx xxxxxxxxxxx

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

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

5.2 Není x xxxxxxxxxxxxx xxxxxxxxxxx

5.2.1 Xxxxx xxxxxx x xxxxxxxxxxxxx xxxxxxxxxxx

5.2.2 Registrované xxxxxxxxxxx xxxx xxxxxxx / Xxxxx (xx/xx/xxxx) xxxxxxx xxxxxxxxxxx

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

5.3 Xxxxxxxx

6. POLE XXX XXXXXX

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

6.2 Xxxxxx xxxxxxxx, xxxxx vydal xxxxx xxxxxxxx

6.3 Xxxxx (xx/xx/xxxx) xxxxxx

6.4 Xxxxxx

6.5 Xxxxx xxxx razítko

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

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

VÍCEJAZYČNÝ XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXX XXXXXXXXXXXXXX PARTNERSTVÍ)

1.

(BG) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX ESTE IMPRESO/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX FORMULARS UDSTEDENDE XXXXXXXXX/ (XX) XXXÖXXX, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX THIS FORM/ (XX) XXXXXXXX XX XXXXXXXXXX DU XXXXXXX XXXXXXXXXX/ (GA) XX xXXXXXX A XXXXXXXX XX XXXXXX XXX/ (XX) XXXXXX KOJE XXXXXX OVAJ XXXXXXX/ (XX) AUTORITÀ XXX XXXXXXXX XX PRESENTE XXXXXX/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) ŠIĄ XXXXĄ XXXXXXXXXX VALDŽIOS XXXXXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXX/ (XX) XXXXXXXÀ EMITTENTI XX' DIN XX-XXXXXXX/ (XX) AUTORITEIT XXX XXXXXXX XXX XXX XXXXXXXXX/ (PL) XXXXX XXXXXĄXX XXXXXXXXX FORMULARZ/ (XX) XXXXXXXXXX QUE XXXXX O PRESENTE XXXXXXXXXX/ (XX) AUTORITATEA XXXXXXXĂ X XXXXXXXXXXX XXXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX, XX XXXX TA XXXXXXX/ (XX) TÄMÄN XXXXXXXXX XXXXXX VIRANOMAINEN/ (XX) XXXXXXXXX XXX UTFÄRDAR XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (ES) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (EN) XXXXXXXXXXX/ (XX) DÉNOMINATION/ (XX)XXXXXXX/ (XX) NAZIV/ (XX) DENOMINAZIONE/ (LV) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) MEGNEVEZÉS/ (MT) XXXXX/ (NL) BENAMING/ (XX) XXXXX/ (XX) XXXXXXXÇÃX/ (RO) XXXXXXXX/ (XX) NÁZOV/ (SL) XXX/ (XX) XXXX/ (XX) NAMN

2.

(BG) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XX DOCUMENTO XXXXXXX XX XXX XX XXXXXXX ESTE XXXXXXX/ (CZ) XXXXX XXXXXXXXXX XXXXXXXX LISTINU, X XXX JE XXXXXXXX TENTO XXXXXXXX/ (XX) XXX XXXXXXXXX, XXX HAR XXXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX DENNE XXXXXXXX XX VEDHÆFTET/ (DE) XXXÖXXX, DIE XXX ÖXXXXXXXXXX XXXXXXX, DER XXXXXX FORMULAR XXXXXXÜXX XXX, XXXXXXXXX/ (ET) XXXXXX, XXX XXXXX XÄXXX AVALIKU XXXXXXXXX, XXXXXXX SEE VORM 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 DU XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX PRÉSENT XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX XX DOICIMÉAD XXXXXX XXXX BHFUIL XX XXXXXX SEO CEANGAILTE/ (XX) XXXXXX XXXX XXXXXX JAVNU XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (IT) XXXXXXXÀ XXX RILASCIA XX DOCUMENTO XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ DOKUMENTA, XXXXX ŠĪ XXXXXXXX XX XXXXXXXXXX, IZDEVĒJIESTĀDE/ (XX) XXXXĄXĮ DOKUMENTĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX KIÁLLÍTÓ XXXXXXX/ (XX) AWTORITÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX HET XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX IS XXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXX XXXĘXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (PT) XXXXXXXXXX QUE XXXXX X XXXXXXXXX XXXXXXX X XXX O XXXXXXXX FORMULÁRIO XXXX XXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X DOCUMENTULUI XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, XX XXXXXX JE XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXX, KI XXXX XXXXX LISTINO, XX XX XX XXXXXXXX TA OBRAZEC/ (XX) VIRANOMAINEN, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (SV) XXXXXXXXX XXX UTFÄRDAR XXX XXXXXXXXXX XXXXXXXX XXXX VILKEN DETTA XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX AL DOCUMENTO XXXXXXX XX XXX XX ADJUNTA XXXX XXXXXXX/ (XX) INFORMACE XXXXXXXX XX XXXXXXX XXXXXXX, X NÍŽ XX XXXXXXXX TENTO XXXXXXXX/ (DA) XXXXXXXXXXX XXXXØXXXXX DET XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX ER XXXXÆXXXX/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (ET) TEAVE XXXXXXX DOKUMENDI XXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) INFORMATION XXXXXXXX XX XXX XXXXXX XXXXXXXX XX XXXXX THIS FORM XX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX PUBLIC AUQUEL XXX XXXXX LE XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX A XXXXXXXXX XXXX XX XXXXXXXXX XXXXXX LENA XXXXXX XX FHOIRM XXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXX XX XXXXXX XX JAVNU ISPRAVU XXXXX XX OVAJ XXXXXXX PRILOŽEN/ (XX) XXXXXXXXXXXX RELATIVE XX XXXXXXXXX PUBBLICO XXX XX XXXXXXXX MODULO È ALLEGATO/ (LV) XXXXXXĀXXXX PAR PUBLISKO XXXXXXXXX, KURAM XĪ XXXXXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) INFORMAZZJONI XXXX XX-XXXXXXXX PUBBLIKU XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX FORMULIER XX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXĄXX DOKUMENTU XXXĘXXXXXX, XX XXXXXXX NINIEJSZY XXXXXXXXX XXXX ZAŁĄCZONY/ (XX) XXXXXXXÇÕXX RELATIVAS XX DOCUMENTO PÚBLICO X QUE X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) INFORMAȚII XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (SK) INFORMÁCIE X VEREJNEJ LISTINE, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX V XXXXX X XXXXX XXXXXXX, KI JI XX PRILOŽEN TA XXXXXXX/ (FI) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (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/ (ES) XXXXXXXXX XXXXXXXX XXX XXX XXXXXXXXX X UN XXXXXXXXXXX VINCULADO X XXX XXXXXXX XXXXXXXXXXXXXXXX XX UN ESTADO XXXXXXX/ (CZ) XXXXXXX XXXXXX XXXXXXX XXXX XXXXXXXXX S VAZBOU XX XXXXX DANÉHO XXXXXXXXX STÁTU/ (DA) XXXXXXXX, XXX XX XXXXXXX XX XX XXXXXXXXX XXXXX XX XXXXXXXXXX, XXX XX XXXXXXXXXX XXXXXXXX X XX XXXXXXXXXXX/ (XX) XXXXXXX XXXXX BEHÖRDE XXXX XXXXX AMTSPERSON XXX XXXXX XXX XXXXXXXXXXXX EINES XXXXXXXXXXXXXX/ (XX) DOKUMENT, XXXXX XX XÄXXX ANDNUD XXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXXXX XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) DOCUMENT XXXXXXXXX FROM XX XXXXXXXXX XX AN XXXXXXXX XXXXXXXXX XXXX XXX XXXXXX OR XXXXXXXXX OF X XXXXXX STATE/ (XX) XXXXXXXX XXXXXXX X'XXX XXXXXXXX XX X'XX XXXXXXXXXXXXX RELEVANT X'XXX XXXXXXXXXXX D'UN ÉTAT XXXXXX/ (GA) XXXXXXXXX X XXXXXXX X XXXXXX XX X XXXXXXXXX A BHFUIL XXXXX XXXX NÓ XXXX XX XXXXXXXXXX XX XX BINSÍ XX XXXXX XXXXXXXXX/ (XX) ISPRAVA KOJU XX XXXXXX TIJELO XXX XXXXXXXXX SUDA XXXXXX XXXXXXX/ (IT) XXXXXXXXX EMANATO XX XX'XXXXXXXÀ X XX XX XXXXXXXXXXX APPARTENENTE XX XXX XXXXX XXXXXXXXXXXXX XX UNO XXXXX XXXXXX/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XX XXXĪXXXXXXX TIESĀM XXXXXĪXX IESTĀDE XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX XXXXXXXX XXXXXXXXXXXX XX XXXXXXŪXX, SUSIJUSIŲ XX XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX ÁLLÓ HATÓSÁG XXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ XXX XXXXĊXXX XX XXXXXXXX RABTA XXX-XXXXX XXX XX-XXXXXXXXX XX' XXXX MEMBRU/ (XX) DOCUMENT AFGEGEVEN XXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXX XĄXXXXXX LUB XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX XX XXX XXXXXXXXXX XX XX XX XXXXXXXXXXX DEPENDENTE XX XXXXXXXX JURISDIÇÃO XX XX XXXXXX-XXXXXX/ (RO) XXXXXXXX XXXX DE X XXXXXXXXXX XXX XX XX FUNCȚIONAR XX XX XÂXXĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXX XXXXXXXXX X XÄXXXX XX SÚDY XXXXXXXXX XXXXX/ (SL) LISTINA, XXXXXX X XXXXXX XXXXXX XXX XXXXXXXX XXXXX XXXXXXX DRŽAVE XXXXXXX/ (FI) XXXXXXXXX, XXXXX XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX KUULUVA XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXXXXXXXX XXXXX XX XXÄXXXXXXX TILLHÖRANDE XXXXXXXXXÄXXXXXX X XX MEDLEMSSTAT

3.1.1

(BG) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (CZ) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) KOHTUOTSUS/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (EN) XXXXX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXX/ (XX) CINNEADH XX xXXXXX/ (XX) SUDSKA XXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (XX) TEISMO XXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXXX/ (XX) DEĊIŻJONI XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (XX) XXXXXÃX XXXXXXXX/ (RO) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) SODNA XXXXXXX/ (FI) TUOMIOISTUIMEN XÄÄXÖX/ (XX) DOMSTOLSBESLUT

3.1.2

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX EL XXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXX STÁTNÍM XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX EN XXXXXXXXXXXXXXXX/ (DE) XXXXXXX XXXXX STAATSANWALTSCHAFT/ (XX) XXXXXXXX, XXXXX XX XÄXXX ANDNUD XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX EMANATING XXXX X XXXXXX XXXXXXXXXX/ (XX) DOCUMENT XXXXXXX XX MINISTÈRE XXXXXX/ (XX) XXXXXXXXX X THAGANN X XXXXXXXXXXXXXXX POIBLÍ/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXXX ODVJETNIŠTVO/ (XX) DOCUMENTO XXXXXXX XXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (LT) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ MINN XXXXXXXXXX PUBBLIKU/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX PROVENIENTE DO XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX EMIS XX XX XXXXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXXXXXXX/ (XX) XXXXXXX, XX XX XXXX XXXXXXX XXXXXXXXX/ (FI) XXXXXXXXXX XXXXXÄXÄX XXXXXX ASIAKIRJA/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX ÅKLAGARVÄSENDET

3.1.3

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (ES) XXXXXXXXX XXXXXXXX XXX XX SECRETARIO XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX ÚŘEDNÍKEM/ (XX) XXXXXXXX XXXXXXX XX XX JUSTITSSEKRETÆR/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX GERICHTS/ (XX) XXXXXXXX, XXXXX ON XÄXXX ANDNUD XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXX XX A COURT/ (XX) XXXXXXXX XXXXXXX X'XX GREFFIER/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXX XX XXXXX CÚIRTE/ (XX) XXXXXXX XXXX XX XXXXX XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (XX) XXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) BÍRÓSÁGI TISZTVISELŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT MAĦRUĠ XXXX XXĠXXXXXXXX TA' XXXXX/ (NL) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX OD XXXXXXXXXX XĄXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX UM XXXXXXX XX XXXXXÇX/ (XX) XXXXXXXX XXXX XX XX GREFIER XX XXXXXXȚXX/ (SK) XXXXXXX XXXXXX XXXXXX XXXXXXXXX/ (SL) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXX/ (SV) HANDLING 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»)/ (CZ) XXXXXXX XXXXXX SOUDNÍM XXXXXXXXXXXXX („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX XX XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (DE) URKUNDE XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, MILLE 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 XXXXXXX D'UN XXXXXXXX XX JUSTICE/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXX BREITHIÚNACH (“XXXXXXXX XX JUSTICE”)/ (XX) XXXXXXX XXXX XX XXXXX XXXXXX XXXXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXX DA XX XXXXXXXXX XXXXXXXXXXX ("HUISSIER XX JUSTICE")/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX IZPILDĪTĀJS (HUISSIER XX XXXXXXX)/ (XX) XXXXXXXXX (XXXXXXXX XX XXXXXXX) XXXXXXXX DOKUMENTAS/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX JUSTICE”) XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX UFFIĊJAL ĠUDIZZJARJU ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX SĄDOWEGO (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX ESCRIVÃO XX XXXXXXX («HUISSIER XX XXXXXXX»)/ (RO) XXXXXXXX EMIS DE XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXXXX XXXXXX VYKONÁVATEĽOM („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXX, XX XX XXXX SODNI IZVRŠITELJ („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXXXXXXX (”HUISSIER XX XXXXXXX”) XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXÄXXXXXXXXX (HUISSIER XX JUSTICE)

3.1.5

(BG) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) XXXX (UPŘESNĚTE)/ (XX) XXXXX (XXXXXXX)/ (XX) SONSTIGES (XXXXX XXXXXXX)/ (ET) XXX (XÄXXXXXXXX)/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX BE SPECIFIED)/ (XX) AUTRE (À XXXXXXXX)/ (XX) XXXX (XX SONRÚ)/ (XX) XXXXXX (NAVESTI)/ (XX) XXXXX (PRECISARE)/ (LV) XXXX (PRECIZĒT)/ (XX) XXXX (XXXXXXXX)/ (XX) XXXXX (KÉRJÜK XXXXXXXXXXX)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) XXXX (PROSZĘ XXXXŚXXĆ)/ (XX) OUTROS (X XXXXXXXXXXX)/ (RO) XXXXX (X XX XXXXXXX)/ (SK) XXX (XXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) MUU XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) XXXXX XXXXXXXX (SPECIFICERAS)

3.2

(BG) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (DE) XXXXXXX XXXXX VERWALTUNGSBEHÖRDE/ (ET) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) ADMINISTRATIVE XXXXXXXX/ (FR) XXXXXXXX XXXXXXXXXXXXX/ (XX) DOICIMÉAD XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) ADMINISTRACINIS XXXXXXXXXX/ (HU) KÖZIGAZGATÁSI XXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (XX) ADMINISTRATIEF XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (SK) XXXXXXX XXXXXXX/ (SL) UPRAVNA XXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) PÅTEGNING/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (EN) XXXXXXXXXXX/ (FR) XXXXXXXXXX/ (XX) DEIMHNIÚ/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (LT) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (PT) XXXXXXÃX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (SK) OSVEDČENIE/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) EXTRACTO DEL XXXXXXXX CIVIL/ (XX) XXXXX X XXXXXXX/ (XX) XXXXXX FRA XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX PERSONENSTANDSREGISTER/ (XX) PEREKONNASEISUREGISTRI VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (EN) XXXXXXX XXXX THE XXXXX XXXXXX REGISTER/ (XX) XXXXXXX XX XXXXXXXX XX L'ÉTAT XXXXX/ (XX) XXXXXXX AS XX xXXXX XXXXXXX XXXXXXXXXX/ (HR) XXXXXXX XX XXXXXXXX XXXXXXX XXXXXX/ (XX) XXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXX NO CIVILSTĀVOKĻA XXXX XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXĖX XŪXXĖX AKTŲ XXXXXXXX/ (XX) ANYAKÖNYVI KIVONAT/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXX ĊIVILI/ (XX) XXXXXXXXXX UIT XXX XXXXXXXX XXX DE XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXX XX XXXX XX XXXXXXX XXXXX/ (XX) XXXXXX XXX XXXXXXXXX XX XXXXX XXXXXĂ/ (XX) VÝPIS X XXXXXXXX OSOBNÉHO XXXXX/ (SL) 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 CENSO/ (XX) XXXXX Z XXXXXXXX XXXXXXXX/ (XX) XXXXXX XXX FOLKEREGISTRET/ (XX) XXXXXX XXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX FROM THE XXXXXXXXXX REGISTER/ (XX) XXXXXXX XX XXXXXXXX XX XX XXXXXXXXXX/ (XX) XXXXXXX XX XX gCLÁR DAONRA/ (XX) IZVADAK IZ XXXXXX STANOVNIŠTVA/ (XX) XXXXXXXX ANAGRAFICO/ (LV) XXXXXXXX XX IEDZĪVOTĀJU XXĢXXXXX/ (LT) XXXXXXX XX GYVENTOJŲ XXXXXXXX/ (XX) XXXXXXX X XXXXXXXXXXXX- ÉS LAKCÍMNYILVÁNTARTÁSBÓL/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX HET XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX X XXXXXXXX XXXXXŚXX/ (PT) XXXXXXX DO XXXXXXX XX XXXXXXÇÃX/ (XX) XXXXXX XXX XXXXXXXXX XX EVIDENȚĂ X XXXXXXȚXXX/ (XX) XXXXX X REGISTRA XXXXXXXĽXX/ (XX) XXXXXXX IZ XXXXXXXX PREBIVALSTVA/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) UTDRAG XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX XX XXXXX XXX XXXXXXXX XXXXX/ (XX) XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXX KOPI XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX KOPIE XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (ET) XXXXXXXXXXXXXXXXXX XXXXXX/ (EL) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) VERBATIM XXXX OF XXXXX XXXXXX XXXXXXX/ (XX) XXXXX INTÉGRALE X'XXXXX XX X'XXXX XXXXX/ (XX) CÓIP XXXXX XX FHOCAL XX XXXXXXX AR XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XX XXXXXXXXXX X OSOBNOM STANJU/ (XX) COPIA XXXXXXXXX XX XXXX XX XXXXX XXXXXX/ (LV) XXXXXXXĀXXXĻX XXXX XXĢXXXXX XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮXXXŲ PAŽODINĖ XXXXXX/ (HU) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (NL) EENSLUIDEND XXXXXXXXX VAN AKTEN XXX XX XXXXXXXXXXX XXXXX/ (PL) XXXXX XXXXŁXX AKTU STANU XXXXXXXXX/ (XX) XXXXXXÃX XX CÓPIA XXXXXXXX XX DE NARRATIVA XX XXXX XX XXXXXXX XXXXX/ (XX) XXXXX XXXXXĂ X XXXX ACT XX XXXXX XXXXXĂ/ (XX) XXXXXXXX XXXXX ZO XXXXXXX X XXXXXXX XXXXX/ (XX) DOBESEDNI XXXXXX LISTIN X XXXXXXX STANJU/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX JÄLJENNÖS/ (XX) ORDAGRANN XXXXXXXX XX FOLKBOKFÖRINGSHANDLING

3.3

(BG) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (DA) NOTARBEKRÆFTET XXXXXXXX/ (DE) NOTARIELLE XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) NOTARIAL XXX/ (XX) XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX ISPRAVA/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXĀXX XXXX/ (XX) NOTARINIS AKTAS/ (XX) XÖXXXXXXŐX OKIRAT/ (XX) XXX XXXXXXXX/ (XX) NOTARIËLE AKTE/ (XX) XXX XXXXXXXXXX/ (XX) XXX NOTARIAL/ (XX) XXX XXXXXXXX/ (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) XXXXXXXXXXXXX XXXXXXX XXXXXX XXXXX XX XXXXXXXXX PRIVADO/ (CZ) XXXXXX XXXXXXXXX, KTERÝM XXXX XXXXXXXX XXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXX XÅXXXXXXX XÅ XX DOKUMENT XXXXXXXXXXX AF XX XXXXXX I XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX XXXXX PRIVATURKUNDE/ (XX) ISIKU XXXXX XXXXXXXXXX ALLKIRJASTATUD DOKUMENDILE XXXXXXXXXX XXXXXXX TÕEND/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (EN) XXXXXXXX XXXXXXXXXXX XXXXXX XX X XXXXXXXX SIGNED XX X XXXXXX XX HIS XX XXX XXXXXXX XXXXXXXX/ (XX) DÉCLARATION XXXXXXXXXX XXXXXXX SUR UN XXXX SOUS XXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX X XXXXXXXXX XX XXXXXXXXXX XXXX XXXXXX AG XXXXX XXX XXXXX XX XXX CÁIL XXXXXXXXXXXXXX/ (XX) XXXXXXXX POTVRDA XXXXXXXXX XX XXXXXXX XXXX XX XXXXX XXXXXXXXX U XXXXXXXXX XXXXXXXX/ (XX) DICHIARAZIONE XXXXXXXXX APPOSTA SU XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXĀXX XXXXXXXXĀXXXX XX XXXXXXXXX, XX XXXĀ VĀRDĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (XX) XXXXXXXŲ ASMENŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) MAGÁNOKIRATON ELHELYEZETT XXXXXXXXX TANÚSÍTVÁNY/ (XX) ĊXXXXXXXXX UFFIĊJALI XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX PERSUNA XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX DOCUMENT ONDERTEKEND XXXX EEN PERSOON XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX NA XXXXXXXXXX XXXXXXXXXX PRZEZ XXXXĘ DZIAŁAJĄCĄ X XXXXXXXXXXX PRYWATNYM/ (PT) XXXXXXXÇÃX OFICIAL XXXXXXX XXX XXX XX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXX XXXXXXX XX UN DOCUMENT XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX XX XXXXXXX XXXXXXXXXX OSOBOU XXXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXXX IZJAVA XX XXXXXXX LISTINI/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, JONKA HENKILÖ XX XXXXXXXXXXXXXXXX YKSITYISHENKILÖNÄ/ (XX) XXXXXXXXXX XXXXX XXXXXXXXX XÅ EN XXXXXXXX XXX XXXXXXXXXXXXX XX XX PRIVATPERSON

3.5

(BG) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (ES) DOCUMENTO XXXXXXXX XXX UN XXXXXX XXXXXXXXXXX X XXXXXXXX XX UN XXXXXX XXXXXXX CON XXXXXXXX XXXXXXX/ (XX) XXXXXXX VYHOTOVENÁ XXXXXXXXXXXXX XXXXXXXXX XXXX KONZULÁRNÍM XXXXXXXXX ČLENSKÉHO STÁTU X RÁMCI XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX XX XX XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (XX) XXX EINEM DIPLOMATISCHEN XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX MITGLIEDSTAATS XX XXXXXX AMTLICHEN FUNKTION XXXXXXXXXX URKUNDE/ (ET) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX XXXXX AMETIKOHUSTUSTE XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) DOCUMENT DRAWN XX BY A XXXXXXXXXX OR XXXXXXXX XXXXX XX X XXXXXX XXXXX XX XXX XX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXX EN XX XXXXXXX XXXXXXXXXX XXX UN AGENT XXXXXXXXXXXX XX CONSULAIRE X'XX ÉTAT XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX XX XXXXX XXXXXXXXX INA CHÁIL XX XXX XXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX U XXXXXXXXX SVOJSTVU XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX REDATTO XX AGENTI XXXXXXXXXXX X XXXXXXXXX XX XXX STATO XXXXXX XXXX'XXXXXXXXX DELLE XXXX XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX XXXXX XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX VAI KONSULĀRAIS XĀXXXĀXXX/ (LT) DOKUMENTAS, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX XX XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (HU) XXXXXXXX TAGÁLLAM XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXXX XXXX XĠXXX XXXXXXXXXXX XXX XXXXXXXXX XX' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) DOCUMENT XXXXXXXXX XXXX XX XXXXXXXXXXXX OF XXXXXXXXXX XXXXXXXXX VAN EEN XXXXXXXX XX XXXX XXXXXXËXX HOEDANIGHEID/ (XX) XXXXXXXX XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX DYPLOMATYCZNEGO XXX XXXĘXXXXX KONSULARNEGO XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX XXXĘXXXXX/ (PT) XXXXXXXXX XXXXXXX POR XX AGENTE DIPLOMÁTICO XX XXXXXXXX DE XX XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX XX XĂXXX XX XXXXX XXXXXXXXXX XXX CONSULAR XX UNUI XXXX XXXXXX, ÎN XXXXXXXX XXXXXXXĂ/ (XX) LISTINA XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX ŠTÁTU X XXXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXX, XX XX KOT XXXXXX XXXXX XXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX DRŽAVE ČLANICE/ (XX) ASIAKIRJA, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (SV) XXXXXXXX XXXXÄXXXX X XXÄXXXXX XX XX XXXXXXXXXXX XXXXX XXXXXXÄX XXÄXXXXXXX I XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX KUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) DATE (XX/XX/XXXX) OF XXXXX/ (XX) XXXX (XX/XX/XXXX) XX DÉLIVRANCE/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) DATA XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (LT) XXXXXXXX XXXX (XX/XX/XXXX)/ (HU) X XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) VAN XXXXXXX/ (PL) XXXX (XX/XX/XXXX) WYDANIA/ (XX) XXXX XX XXXXXÃX (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) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (ES) XXXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXX LISTINY/ (DA) XXX OFFENTLIGE DOKUMENTS XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (EL) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) REFERENCE XXXXXX OF XXX XXXXXX DOCUMENT/ (XX) XXXXXX DE XXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXX XXXXXXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXX XXX DOCUMENTO XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX NUMURS/ (LT) XXXXXXX XXXXXXXXX NUMERIS/ (XX) A XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXX TA' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) NÚMERO XX REFERÊNCIA DO XXXXXXXXX PÚBLICO/ (XX) XXXĂXXX XX XXXXXXXȚĂ XX XXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXXX LISTINY/ (XX) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (ES) XXXXXXXXXXX XXXXX XX XXXXXXXXXX/ (CZ) XXXXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXXXX XX XXX XÅXÆXXXXXX XXXXXX/ (XX) XXXXXXX XXX XXXXXXXXXXXX XXXXXX/ (ET) XXXXXXXXX ISIKUT XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (EN) XXXXXXXXXXX XX XXX PERSON XXXXXXXXX/ (XX) XXXXXXXXXXXX XXX XX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXX LEIS AN XXXXX XXXX mBAINEANN/ (XX) INFORMACIJE X XXXXXXXX XXXXX/ (IT) XXXXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (LV) INFORMĀCIJA XXX XXXXXXĪXX XXXXXXX/ (XX) XXXXXXXXXXX APIE XXXXXXXXXĄ ASMENĮ/ (XX) XX XXXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXX XXXXĊXXXXXX/ (NL) XXXXXXXXXX XXXX DE BETROKKENE/ (XX) XXXX XXXXX, XXXXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÇÕXX SOBRE X XXXXXX EM XXXXX/ (XX) INFORMAȚII XXXXXXX XXXXXXXX XXXXXĂ/ (XX) XXXXXXXXXX X XXXXXXXXX OSOBE/ (SL) XXXXXXXXXXX X ZADEVNI XXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX TIEDOT/ (SV) XXXXXXXXX XX DEN XXXÖXXX PERSONEN

4.1

(BG) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (XX) XXXXXXXX(X) DE XXXXXXXXXX/ (XX) XXXXX/X XXXXXXXX/ (DA) EFTERNAVN(E) XXX FØDSLEN/ (XX) XXXXXXXXXXXX(X) XXX XXX XXXXXX/ (XX) XÜXXXXÄXXXX XXXXXXXXXXXXX (XÜXXXXÄXXXXX XXXXXXXXXXXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (XX) XXXXXXX(X) XX XXXXX/ (XX) XXX(X) À XX XXXXXXXXX/ (XX) XXXXXXX (SLOINNTE) XXXXXXX/ (XX) XXXXXXX(XX) PRI XXĐXXXX/ (XX) XXXXXXX/X XXXX XXXXXXX/ (XX) XXXĀXXX(-X) DZIMŠANAS XXĪXĪ/ (XX) XXXXXXĖ (-ĖX), XXXXXXXX (-XX) XXXXX/ (XX) XXÜXXXXXX CSALÁDI XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) XXX-XXXXXX/ (XX) XXXXXXXX(X)X(XX) XXX XX XXXXXXXX/ (XX) NAZWISKO(-A) XXXXXX/ (XX) XXXXXXX(X) À XXXX XX XXXXXXXXXX/ (XX) NUMELE XX XXȘXXXX/ (XX) XXXXX XXXXXXXXXX(-X)/ (SL) XXXXXXX/XXXXXXX XX XXXXXXX/ (FI) XXXXXXXX (-XXXXX) XXXXXXÄXXXXXXXÄ/ (XX) EFTERNAMN XXX XÖXXXXX

4.2

(XX) НАСТОЯЩО(И) ФАМИЛНО(И) ИМЕ(НА)/ (ES) APELLIDO(S) XXXXXX(XX)/ (XX) XXXXXXXX/X XXXXXXXX/ (XX) XXXÆXXXXX XXXXXXXXX(X)/ (XX) XXXXXXXXXX(X) XXXXXXXXXXXX(X)/ (XX) PRAEGUNE XXXXXXXXXXXXX (XXXXXXXXX PEREKONNANIMED)/ (XX) ΤΡΕΧΟΝ(-ΤΑ) ΕΠΩΝΥΜΟ(-Α)/ (XX) CURRENT XXXXXXX(X)/ (XX) NOM(S) XXXXXX(X)/ (XX) XXXXXXX (XXXXXXXX) XXXXXX/ (HR) XXXXXXXX(-X) XXXXXXX(XX)/ (IT) COGNOME/I XXXXXXX/X/ (LV) ESOŠAIS(-IE) XXXĀXXX(-X)/ (LT) DABARTINĖ (-ĖX) XXXXXXĖ (-ĖX)/ (XX) JELENLEGI XXXXXXX XXXX(X)/ (XX) KUNJOM(/KUNJOMIJIET) XXXXXXX/ (XX) XXXXXXX XXXXXXXX(X)X(XX)/ (XX) XXXXXX XXXXXXXX(-X)/ (XX) XXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXX ACTUAL(E)/ (XX) XXXXXXX XXXXXXXXXX(-X)/ (XX) XXXXXXX XXXXXXX/XXXXXXX/ (XX) XXXXXXXX SUKUNIMI (XXXXXXXX XXXXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXX

4.3

(XX) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ АКТА/ (XX) XXXXXXXX(X) XXXXX XX LA XXXXXXXXXXX/ (XX) XXXXXXXX XXXX XXXXXXXXX REGISTROVANÉHO XXXXXXXXXXX/ (XX) XXXXXXXXX(X) XØX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX DER XXXXXXXXXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX (-NIMED) XXXX XXXXXXXXXXXXXXX/ (EL) 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 DELL'ATTO/ (XX) XXXĀXXX(-X) PIRMS AKTA/ (XX) PAVARDĖ (-ĖS) XXXXX XXXXXXXX XXXĄ/ (XX) XXXXXXX NEVE(I) XX XXXXXXXXX XXXXXXXXX XXXXXXXXXX XXŐXX/ (XX) XXXXXX(/XXXXXXXXXXX) XXXXX X-XXX/ (XX) ACHTERNA(A)M(EN) XXXX XX AKTE/ (XX) XXXXXXXX(-X) PRZED XXXXXXXXXXĄ XXXĄXXX/ (PT) XXXXXXX(X) XXXXX XX XXX/ (XX) XXXXXX ÎNAINTE XX ÎXXXXXXXXXXXX PARTENERIATULUI/ (XX) PRIEZVISKO(-Á) XXXX XXXXXXXXX REGISTROVANÉHO PARTNERSTVA/ (XX) PRIIMEK/PRIIMKI XXXX XXXXXXXXXXXX XXXXXXXXXX SKUPNOSTI/ (XX) XXXXXXXX (-NIMET) XXXXX REKISTERÖINTIÄ/ (XX) XXXXXXXXX FÖRE XXXÅXXXXX

4.4

(XX) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА РЕГИСТРИРАНЕТО НА АКТА/ (ES) APELLIDO(S) XXXXXXX DE XX XXXXXXXXXXX/ (XX) XXXXXXXX XX UZAVŘENÍ XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXX(X) XXXXX XXXXXXXXXXXXXX/ (DE) XXXXXXXXXXXX(X) XXXX DER XXXXXXXXXX XXX PARTNERSCHAFT/ (XX) XXXXXXXXXXXXX (-NIMED) XÄXXXX REGISTREERIMIST/ (XX) ΕΠΩΝΥΜΟ(-Α) ΜΕΤΑ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (XX) XXXXXXX(X) XXXXXXXXX XXX XXX/ (XX) XXX(X) À XX XXXXX XX X'XXXX/ (XX) XXXXXXX (XXXXXXXX) XXX XXX AN GHNÍMH/ (XX) XXXXXXX(XX) NAKON XXXXXXXXXXXXX XXXXXXXXXXX/ (IT) XXXXXXX/X DOPO X'XXXX/ (XX) XXXĀXXX(-X) PĒC XXXX/ (XX) XXXXXXĖ (-ĖX) XX XXXX XXXXXXXX/ (XX) CSALÁDI XXXX(X) XX ÉLETTÁRSI XXXXXXXXX XXXXXXXXXX XXXX/ (XX) KUNJOM(/KUNJOMIJIET) XXXX X-XXX/ (XX) XXXXXXXX(X)X(XX) XX DE XXXX/ (XX) XXXXXXXX(-X) XX XXXXXXXXXXX XXXĄXXX/ (XX) XXXXXXX(X) APÓS X XXX/ (XX) XXXXXX XXXĂ ÎXXXXXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX(-X) XX XXXXXXXX REGISTROVANÉHO XXXXXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX XXXXXXXXXXXX XXXXXXXXXX SKUPNOSTI/ (XX) XXXXXXXX (-XXXXX) XXXXXXXXÖXXXXX JÄLKEEN/ (XX) XXXXXXXXX EFTER INGÅENDET

4.5

(BG) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) XXXXX (XXXXX)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-NIMED)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (EN) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) NOME(I)/ (XX) VĀRDS(-I)/ (XX) XXXXXX (-AI)/ (XX) XXXXXXX(X)/ (XX) ISEM(/ISMIJIET)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (IMIONA)/ (XX) XXXX(X) XXXXXXX(X)/ (RO) XXXXXXX/ (XX) MENO(-Á)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (XX) XÖXXXXX

4.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) XXXXXXXX/ (DA) XØXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÜXXXXXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (FR) XXXX (JJ/MM/AAAA) XX XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) ROĐENJA/ (XX) XXXX XX XXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (HU) XXÜXXXXXX XXXXX (ÉÉÉÉ/HH/NN)/ (MT) XXXX (XX/XX/XXXX) TAT-TWELID/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXXX/ (XX) DATA XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (ZZ/LL/AAAA) XXȘXXXXX/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXXXX/ (SL) XXXXX (XX/XX/XXXX) ROJSTVA/ (XX) SYNTYMÄAIKA (PP/KK/VVVV)/ (XX) FÖDELSEDATUM (DD/MM/ÅÅÅÅ)

4.7

(BG) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX X XXXX XX NACIMIENTO/ (XX) XXXXX X ZEMĚ XXXXXXXX/ (XX) FØDESTED XX -XXXX/ (DE) XXX XXX XXXX XXX XXXXXX/ (XX) XÜXXXXXXX XX -RIIK/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX AND XXXXXXX XX BIRTH/ (FR) XXXX XX XXXX XX XXXXXXXXX/ (GA) XXX XXXX XXX XXXXXXXX/ (HR) MJESTO X XXXXXX XXĐXXXX/ (XX) XXXXX X XXXXX XX XXXXXXX/ (XX) XXXXXXXXX VIETA XX XXXXXX/ (LT) XXXXXX XXXXX IR XXXXX/ (HU) SZÜLETÉSI XXXXX XX XXXXXXX/ (XX) XXXX X XXXXXŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX XX -LAND/ (XX) XXXXXXX I XXŃXXXX URODZENIA/ (XX) XXXXX E PAÍS XX NASCIMENTO/ (XX) XXXXX ȘX ȚARA XXȘXXXXX/ (XX) XXXXXX X XXXX NARODENIA/ (XX) XXXX IN XXXXXX XXXXXXX/ (XX) XXXXXXÄXXXXXX XX -MAA/ (XX) XÖXXXXXXXX OCH -XXXX

4.8

(XX) ПОЛ/ (ES) XXXX/ (CZ) POHLAVÍ/ (XX) XØX/ (XX) XXXXXXXXXX/ (ET) SUGU/ (XX) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (XX) XXXXXX/ (HR) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (HU) NEME/ (XX) XXXX/ (NL) XXXXXXXX/ (PL) XŁXĆ/ (XX) XXXX/ (RO) XXXXX/ (SK) POHLAVIE/ (XX) XXXX/ (FI) XXXXXXXXX/ (SV) KÖN

4.8.1

(BG) ЖЕНСКИ/ (XX) XXXXX/ (XX) ŽENA/ (DA) XXXXXX/ (DE) WEIBLICH/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (EN) XXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) ŽENSKI/ (XX) FEMMINILE/ (XX) XXXXXXXX/ (XX) MOTERIS/ (XX) NŐ/ (MT) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (PT) XXXXXXXX/ (RO) XXXXXXXX/ (XX) ŽENSKÉ/ (SL) XXXXXX/ (XX) XXXXXX/ (XX) KVINNA

4.8.2

(BG) МЪЖКИ/ (XX) XXXXX/ (CZ) XXX/ (XX) XXXX/ (XX) XÄXXXXXX/ (ET) XXXXXXXXX/ (EL) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) FIREANN/ (XX) XXXXX/ (IT) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) VYRAS/ (HU) XXXXX/ (MT) XXĠXX/ (XX) XXX/ (XX) XĘŻXXXXXX/ (PT) XXXXXXXXX/ (XX) BĂRBĂTESC/ (SK) XXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) XXX

4.8.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) UBESTEMT/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) UNDETERMINED/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (IT) XXXXXXXXXXXXX/ (LV) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XŁXĆ NIEOKREŚLONA/ (XX) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) NEDOLOČEN/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

4.9

(XX) ГРАЖДАНСТВО/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (DE) XXXXXXXXXXXÖXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) ΙΘΑΓΕΝΕΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (GA) XXXXXXXXXXXX/ (HR) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXĪXX/ (XX) PILIETYBĖ/ (XX) XXXXXXXXXXXXXXX/ (XX) ĊXXXXXXXXXXX/ (XX) NATIONALITEIT/ (XX) XXXXXXXXXXXX/ (PT) XXXXXXXXXXXXX/ (XX) CETĂȚENIA/ (XX) ŠTÁTNA PRÍSLUŠNOSŤ/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (SV) XXXXXXXXXXXXX

5.

(XX) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ, ПОЛОЖЕНИЕТО НА РЕГИСТРИРАНО ПАРТНЬОРСТВО НА СЪОТВЕТНОТО ЛИЦЕ Е, КАКТО СЛЕДВА/ (XX) XXXXX XX XXXXXXXXX XXXXXXX XX QUE XX XXXXXXX ESTE XXXXXXX, XX XXXXXX DEL XXXXXXXXXX EN XX XXX XXXXXXXX X XX XXXXXXX DE XXXXXXX DE XXX XXXXX XX XXXXX XXXXXXXXXX XX XX XXXXXXXXX/ (XX) XX XXXXXXX XXXXXXX XXXXXXX, X NÍŽ JE XXXXXXXX TENTO XXXXXXXX, XX DOTYČNÁ XXXXX XXXXX XXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (DA) I XXXXXXX XXX DET XXXXXXXXXX XXXXXXXX, SOM XXXXX FORMULAR XX XXXXÆXXXX, HAR XXX XÅXÆXXXXXX XXXXXX FØLGENDE XXXXXXXXXXXX XXXXXXXXXXXXXXXXXX/ (DE) XXXXXX DER XXXXXXXXXXXXX XXXXXXXXXXXXX XXX XXXXXXXXXXXX XXXXXX XXXÄXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX BEIGEFÜGT XXX/ (XX) XXXXXXXXX XXXXXXXXX XXXXXXXXXXX, XXXXXXX XXX XXXX XX XXXXXXX, XX XXXXXXXXXX XXXXXX XÄXXXXXX XXXXXXXXXXXXXX XXXXXXXXX SEOTUD XXXXXXX/ (XX) ΣΥΜΦΩΝΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ, ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΕΧΕΙ ΤΗΝ ΑΚΟΛΟΥΘΗ ΚΑΤΑΣΤΑΣΗ ΑΠΟ ΑΠΟΨΗ ΚΑΤΑΧΩΡΙΣΜΕΝΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ/ (EN) XXXXXXXXX XX XXX XXXXXX XXXXXXXX XX XXXXX THIS XXXX XX XXXXXXXX, XXX XXXXXX XXXXXXXXX XXX XXX XXXXXXXXX XXXXXXXXXX XXXXXXXXXXX XXXXXX/ (XX) X'XXXÈX XX DOCUMENT XXXXXX XXXXXX LE XXXXXXX FORMULAIRE XXX XXXXX, XX XXXXXX XX XXXXXXXXXXX XXXXXXXXXX XX XX XXXXXXXX XXXXXXXXX XXX XX XXXXXXX/ (GA) XX XXXX XX XXXXXXXXX XXXXXXX LENA XXXXXX XX XXXXXX XXX XXXXXXXXXX, XX XX XXXXXX PÁIRTNÉIREACHTA CLÁRAITHE X XXXXXX XX XX DUINE XXXX xXXXXXXXX/ (XX) XXXXX XXXXXX XXXXXXX KOJOJ XX XXXX OBRAZAC XXXXXXXX XXXXXX XXXXXXXXXXXXX XXXXXXXXXXX DOTIČNE OSOBE XX XXXXXXĆX/ (XX) XXXXXXX XX XXXXXXXXX XXXXXXXX XXX IL XXXXXXXX MODULO È XXXXXXXX, XX STATO XX UNIONE XXXXXXXXXX XXXXX PERSONA XXXXXXXXXXX È XX SEGUENTE/ (XX) SASKAŅĀ XX XXXXXXXX DOKUMENTU, XXXXX XĪ XXXXXXXX IR XXXXXXXXXX, XXXXXXĪXXXXX PERSONAI XX XĀXX XXĢXXXXĒXX XXXXXXXXXXXXXĪXX STATUSS/ (XX) XXXXX XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX FORMA, XXXXXXXXXX XXXXXX XXXXXXXXXXXX XXXXXXXXXXĖX XXXĖXXX YRA XXXXX/ (XX) XX ÉRINTETT XXXXXXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXX ÖXXXXXÜXXŐ XXXXXXXXX X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXX XXXXXXX/ (MT) XXXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX HIJA XXXXXŻX XXX IL-FORMOLA, XX-XXXXXXX XXXXĊXXXXXX XĦXXXXX X-XXXXXXX XX' XĦXXXXX XXĠXXXXXXX KIF ĠXX/ (XX) XXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX, XX DE XXXXXX VAN XXX XXXXXXXXXXXXX PARTNERSCHAP XXX XX XXXXXXXXXX DE XXXXXXXX/ (PL) X XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXŁĄXXXXX JEST XXXXXXXXX FORMULARZ, WYNIKA, ŻX XXXXX, XXXXXX XXXXXXX XXXXXXXX, XXXXXXX XXXXĘXXXĄXX STATUS XXXĄXXXX X ZAREJESTROWANYM ZWIĄZKIEM XXXXXXXXXXX/ (PT) SEGUNDO X XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX, À XXXX XX XXX XXXXXÃX, X ESTATUTO DE XXXXXXXX XXXXXXXXX DA XXXXXX XX XXXXX X/ (RO) ÎX XXXXXXXXXXXX CU XXXXXXXXXX XXXXXXX LA XXXX XXXX ANEXAT XXXXXXXXX XXXXXXXX, XXXXXXXX VIZATĂ XXX URMĂTORUL XXXXXX XXXXXXX PARTENERIATUL ÎNREGISTRAT/ (XX) XXXĽX VEREJNEJ XXXXXXX, KU KTOREJ XX TENTO XXXXXXXX XXXXXXXXX, XX DOTKNUTÁ XXXXX XXXXX ŠTATÚT XXXXXXXXXXXXXX PARTNERSTVA/ (XX) X XXXXXX X XXXXX XXXXXXX, XX XX XX PRILOŽEN XX XXXXXXX, JE XXXXXX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX XXXXXXX XXXXX XXXXXXXXX/ (XX) SEN XXXXXXX ASIAKIRJAN XXXXXX, XXXXX XÄXÄ LOMAKE XXXXXXÄÄX, XXXXXXXXXXXX XXXXXXÖX XXXXXXXXÖXXXXX XXXXXXXXXXXXXX XXXXXXXÄ XXXXXXXXÄÄXX ON XXXXXXXX/ (XX) XXXXXX DEN XXXXXXXXXX HANDLING XXXX XXXXXX XXXXX XXXXXXÄX ÄX BIFOGAT ÄX XXX XXXÖXXX XXXXXXXXX XXXXXX XXXXXXXX REGISTRERAT XXXXXXXXXXX XÖXXXXXX

5.1

(XX) С РЕГИСТРИРАНО ПАРТНЬОРСТВО/ДАТА (ДД/ММ/ГГГГ) НА РЕГИСТРИРАНЕ НА ПАРТНЬОРСТВОТО/ (XX) TIENE XXXXXX XX XXXXX XXXXXXXXXX / XXXXX (XX/XX/XXXX) DE XXXXXXXX XX LA XXXXX XX HECHO/ (XX) XX V REGISTROVANÉM XXXXXXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXXXX XXXXXXXXXXX/ (XX) REGISTRERET XXXXXXX/XXXX (XX/XX/ÅÅÅÅ) FOR XXXXXXXXXXXXXX XX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXX/XXXXX (XX/XX/XXXX) XXX XXXXXXXXXX XXX PARTNERSCHAFT/ (XX) XXXXXXXXXXXXXX XXXXXXXXXXX / XXXXXXX XXXXXXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΚΑΤΑΧΩΡΙΣΜΈΝΟΣ(-Η) ΣΥΝΤΡΟΦΟΣ / ΗΜΕΡΟΜΗΝΊΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΚΑΤΑΧΩΡΙΣΗΣ ΤΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ/ (XX) XXXXXXXXXX PARTNER/DATE (XX/XX/XXXX) XX XXXXXXXXXXXX OF XXX XXXXXXXXXXX/ (XX) XXXXX CONCLU XX XXXXXXXXXXX XXXXXXXXXX/XXXX (XX/XX/XXXX) X'XXXXXXXXXXXXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX CLÁRAITHE/DÁTA (XX/XX/XXXX) XXXXXX XX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXX / DATUM (XX/XX/XXXX) XXXXXXXXXXXXX PARTNERSTVA/ (XX) XXXXXXX XXXXXXXXXX/XXXX XX REGISTRAZIONE XXXX'XXXXXX (XX/XX/XXXX)/ (XX) XXĢXXXXĒXXXX XXXXXXXXX / XXXXXXXXXXXXXĪXX XXĢXXXXĒXXXXX DATUMS (XX/XX/XXXX)/ (XX) XXXXXXXXXXXX (-X) XXXXXXXXX (-Ė) / XXXXXXXXXXĖX XXXXXXXX XXXX (XX/XX/XXXX)/ (HU) BEJEGYZETT XXXXXXXX/X BEJEGYZETT XXXXXXXXX XXXXXXXXX XXXXXXXXXXXXX XXXXX (XXXX/XX/XX)/ (MT) XXXĦXX(/XXXĦXX) XXĠXXXXXX(X) X XXXX (XX/XX/XXXX) XXX-XXĠXXXXXXXXXXX XXX-XĦXXXXX/ (XX) GEREGISTREERDE PARTNER/DATUM (XX/XX/XXXX) XXX XXXXXXXXXXX XXX XXX PARTNERSCHAP/ (XX) POZOSTAJE X XXXXXXXXXXXXXXX XXXĄXXX PARTNERSKIM / XXXX (XX/XX/XXXX) XXXXXXXX ZAREJESTROWANEGO XXXĄXXX XXXXXXXXXXXXX/ (PT) PARCEIRO(A) XXXXXXXXX(X)/XXXX XX XXXXXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) PARTENER ÎNREGISTRAT/DATA (XX/XX/XXXX) ÎNREGISTRĂRII XXXXXXXXXXXXXXX/ (XX) REGISTROVANÝ PARTNER/DÁTUM (XX/XX/XXXX) UZAVRETIA REGISTROVANÉHO XXXXXXXXXXX/ (XX) REGISTRIRAN XXXXXXX/XXXXX (DD/MM/LLLL) XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXÖXXX XXXXXXXX/XXXXXXXXXXX REKISTERÖINTIPÄIVÄ (XX/XX/XXXX)/ (XX) XXXXXXXXXXX XXXXXXX/XXXXX (XX/XX/ÅÅÅÅ) FÖR XXXXXXXXXXXX XX XXXXXXXXXXXXX

5.2

(XX) БЕЗ РЕГИСТРИРАНО ПАРТНЬОРСТВО/ (XX) XX XXXXX XXXXXX XX XXXXX XXXXXXXXXX/ (XX) NENÍ X XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXX I XX XXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXX XX XXXXX XXXXXXXXXXXXX XXXXXXXXXXXXX/ (XX) XX XXX XXXXXX REGISTREERITUD XXXXXXXX/ (XX) ΔΕΝ ΒΡΙΣΚΕΤΑΙ ΣΕ ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΧΕΣΗ ΣΥΜΒΙΩΣΗΣ/ (XX) XXX XX X XXXXXXXXXX XXXXXXXXXXX/ (FR) N'AYANT XXX XXXXXX DE XXXXXXXXXXX XXXXXXXXXX/ (XX) XXX XX DUINE XXXXXXXXX X bPÁIRTNÉIREACHT XXXXXXXXXX/ (HR) NIJE X REGISTRIRANOM PARTNERSTVU/ (XX) XXX IN XXXXXX XXXXXXXXXX/ (XX) XXX REĢISTRĒTAS XXXXXXXXXXXXXĪXXX/ (XX) XXXXXXXĘX (-XXXX) XXXXXXXXXXXX XXXXXXXXXXĖX/ (XX) XXXXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXX/ (XX) XXXX XX XĦXXXXX XXĠXXXXXXX/ (XX) XXXX XX XXX XXXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXX XXXXXXXXX X XXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXX/ (XX) XÃX XXX UMA PARCERIA XXXXXXXXX/ (RO) XX XX AFLĂ ÎXXX-XX XXXXXXXXXXX ÎXXXXXXXXXX/ (XX) XXXXXX X XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XX X REGISTRIRANI PARTNERSKI XXXXXXXXX/ (XX) XX XXXXXXXXÖXXXXXÄ PARISUHTEESSA/ (XX) XX I REGISTRERAT XXXXXXXXXXX

5.2.1

(XX) НИКОГА НЕ Е РЕГИСТРИРАЛО ПАРТНЬОРСТВО/ (XX) XX XX XXXXXX XXXXX PAREJA XX XXXXX XXXXXXXXXX/ (XX) XXXXX XXXXXX X XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXX X XX XXXXXXXXXXX XXXXXXXXXXX/ (XX) NIE IN XXXXX XXXXXXXXXXXXX XXXXXXXXXXXXX/ (XX) XX OLE XXXXXXXXXXXXXX XXXXXXXX XXXXX/ (XX) ΔΕΝ ΕΧΕΙ ΣΥΝΑΨΕΙ ΠΟΤΕ ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΧΕΣΗ ΣΥΜΒΙΩΣΗΣ/ (XX) XXXXX XX A XXXXXXXXXX XXXXXXXXXXX/ (FR) X'XXXXX XXXXXX XXXXXX XX PARTENARIAT ENREGISTRÉ/ (XX) XX XXXXX XX DUINE PÁIRTEACH X xXXXXXXXXXXXXXX CHLÁRAITHE XXXXX/ (HR) XXXXXX XXXX XXX(-XX) X XXXXXXXXXXXXX XXXXXXXXXXX/ (IT) XXX XXXXXXXXX UN'UNIONE XXXXXXXXXX/ (LV) XXXXX XXX XXĀXXXX XXĢXXXXĒXĀX XXXXXXXXXXXXXĪXĀX/ (XX) XXXXXXX XXXXXX SUDARĘS (-IUSI) XXXXXXXXXXXX XXXXXXXXXXĖX/ (HU) XXXXX XXXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXX/ (XX) XXXX XX XXXX XX SĦUBIJA REĠISTRATA/ (XX) XXXXX XX XXX GEREGISTREERD PARTNERSCHAP/ (XX) XXXXX NIE XXXXXŁ(-X) XXXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX/ (XX) XXXXX XXXX UMA XXXXXXXX XXXXXXXXX/ (RO) NU X-X XXXXX XXXXXXXXĂ ÎXXX-XX XXXXXXXXXXX ÎXXXXXXXXXX/ (XX) XXXXX NEŽILA X XXXXXXXXXXXXX PARTNERSTVE/ (XX) NIKOLI NI XXX V REGISTRIRANI XXXXXXXXXX XXXXXXXXX/ (XX) XX XXX KOSKAAN XXXXX REKISTERÖIDYSSÄ PARISUHTEESSA/ (XX) XXX XXXXXX XXXXX I ETT XXXXXXXXXXX XXXXXXXXXXX

5.2.2

(XX) С РАЗТРОГНАТО РЕГИСТРИРАНО ПАРТНЬОРСТВО/ДАТА (ДД/ММ/ГГГГ) НА РАЗТРОГВАНЕ НА ПАРТНЬОРСТВОТО/ (XX) XX CANCELADO XX XXXXXXXX XX XXX XXXXX XX HECHO / FECHA (XX/XX/XXXX) XX XX XXXXXXXXXXX/ (XX) REGISTROVANÉ XXXXXXXXXXX XXXX ZRUŠENO/DATUM (XX/XX/XXXX) XXXXXXX XXXXXXXXXXX/ (XX) XXXØXX XXXXXXXXXXX XXXXXXXXXXX/XXXX (XX/XX/ÅÅÅÅ) XXX XXXØXXXXX XX PARTNERSKABET/ (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) DISSOLVED XXXXXXXXXX XXXXXXXXXXX/XXXX (XX/XX/XXXX) OF XXXXXXXXXXX XX XXX XXXXXXXXXXX/ (XX) XXXXX XXXXXX XX PARTENARIAT XXXXXXXXXX XXXXXXX/XXXX (XX/XX/XXXX) XX DISSOLUTION XX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXXX XXXXXXXXXXX/XXXX (XX/XX/XXXX) XXXXXXXXXXXXX NA XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXXX XXXXXXXXXXX / XXXXX (XX/XX/XXXX) XXXXXXXXĆX REGISTRIRANOG XXXXXXXXXXX/ (XX) XXXXXX XXXXXXXXXX XXXXXXX/XXXX DI XXXXXXXXXXXX XXXX'XXXXXX (XX/XX/XXXX)/ (XX) IZBEIGUŠĀS REĢISTRĒTAS XXXXXXXXXXXXXĪXXX / XXĢXXXXĒXX XXXXXXXXXXXXXĪXX XXXXXXXXXĀX XXXXXX (XX/XX/XXXX)/ (LT) REGISTRUOTA XXXXXXXXXXĖ NUTRAUKTA / XXXXXXXXXXĖX XXXXXXXXXX XXXX (XX/XX/XXXX)/ (XX) MEGSZŰNT XXXXXXXXXX XXXXXXXXX XXXXXXXXX/X XXXXXXXXXX XXXXXXXXX KAPCSOLAT XXXXXŰXXXXXXX IDEJE (XXXX/XX/XX)/ (XX) SĦUBIJA XXĠXXXXXXX XXXXX U XXXX (XX/XX/XXXX) TAX-XOLJIMENT XXX-XĦXXXXX XXĠXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXX XXXXXXXXXXXX/XXXXX (DD/MM/JJJJ) XXX XXXXXXXXXX VAN XXX PARTNERSCHAP/ (XX) XXXXXĄXXXXX XXXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX / DATA (XX/XX/XXXX) ROZWIĄZANIA ZAREJESTROWANEGO XXXĄXXX XXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXXXXXXXX/XXXX XX XXXXXXXÇÃX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXXXX ÎXXXXXXXXXX XXXXXXXX/XXXX (XX/XX/XXXX) XXXXXXĂXXX PARTENERIATULUI/ (XX) XXXXXXXXXXXX PARTNERSTVO XXXX XXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) REGISTRIRANA XXXXXXXXXX XXXXXXXX XX XXXXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXXXX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (FI) XXXXXXXXÖXXX XXXXXXXXX XXXXXXX/XXXXXXXXXXX XXXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXÖXX XXXXXXXXXXX XXXXXXXXXXX/XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXXÖXXXXX XX XXXXXXXXXXXXX

5.2.3

(XX) С ПОЧИНАЛ ПАРТНЬОР/ДАТА (ДД/ММ/ГГГГ) НА СМЪРТТА НА ПАРТНЬОРА/ (XX) XXXXXXX XXXXXXXXXX XX UNA XXXXX DE HECHO XXXXXXXXXX / XXXXX (XX/XX/XXXX) XX FALLECIMIENTO XX LA XXXXXX XX XXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX – PARTNERKA/DATUM (XX/XX/XXXX) XXXXX PARTNERA – XXXXXXXXX/ (XX) LÆNGSTLEVENDE XXXXXXX/XXXX (DD/MM/ÅÅÅÅ) XXX XXXXXXXX XØX/ (XX) ÜXXXXXXXXXXX PARTNER/STERBEDATUM (XX/XX/XXXX) XXX XXXXXXXX/ (ET) ÜXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX / XXXXXXXXXXXXXX ELUKAASLASE XXXXX KUUPÄEV (XX/XX/XXXX)/ (XX) ΕΠΙΖΩΝ(-ΣΑ) ΣΥΝΤΡΟΦΟΣ / ΗΜΕΡΟΜΗΝΊΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΘΑΝΑΤΟΥ ΣΥΝΤΡΟΦΟΥ/ (XX) XXXXXXXXX XXXXXXX/ XXXX (XX/XX/XXXX) XX PARTNER'S XXXXX/ (XX) XXXXXXXXXX XXXXXXXXX/XXXX (XX/XX/XXXX) XX XXXÈX XX PARTENAIRE/ (XX) PÁIRTNÉIR XXXXXXXXXX/ XXXX (XX/XX/XXXX) XXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX / XXXXX (XX/XX/XXXX) XXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXXXX/XXXX DI DECESSO XXX XXXXXXX (XX/XX/XXXX)/ (XX) XĀXXXĪXXXXXXXX PARTNERIS / PARTNERA XXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) XXXXXXXXĘX (-USI) PARTNERIS (-Ė) / XXXXXXXXX (-ĖX) XXXXXXX DATA (XX/XX/XXXX)/ (XX) XXXXXŐ XXXXXXXX/XX XXXXXXXX XXXXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXĦXX(/XXXĦXX) SUPERSTITI U XXXX (XX/XX/XXXX) XXX-XXXX XXX-XXXĦXX(/XXXĦXX)/ (NL) XXXXXXXXXXX XXXXXXX/XXXXX (XX/XX/XXXX) VAN XXXXXXXXXX XXX DE XXXXXXX/ (PL) XXXXXXX XXXXXXXXĄXX PRZY ŻXXXX / XXXX (DD/MM/RRRR) XXXXX DRUGIEGO PARTNERA/ (XX) PARCEIRO(A) XXXXXXXXX(X)/ XXXX DO ÓBITO XX(X) XXXXXXXX(X) (DD/MM/AAAA)/ (XX) XXXXXXXX SUPRAVIEȚUITOR/DATA (XX/XX/XXXX) XXXXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX/XXXXX (XX/XX/XXXX) XXXXXX XXXXXXXX/ (XX) PREŽIVELI XXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXXXXX SMRTI/ (XX) XXXXXXÄÄXXX XXXXXXXX/XXXXXXXXX XXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXXXXXXXXX XXXXXXX/XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXXXXXXX XÖX

5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) NEURČENO/ (XX) XXXXXXXX/ (DE) UNBESTIMMT/ (XX) MÄÄRAMATA/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (IT) INDETERMINATO/ (XX) NENOTEIKTS/ (XX) XXXXXXXXXXX/ (HU) XXXXXXXXXXXXXXX/ (XX) XXXX STABBILIT/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (PT) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) NEURČENÉ/ (XX) XXXXXXXXX/ (FI) MÄÄRITTELEMÄTÖN/ (XX) XX FASTSTÄLLT

6.

(BG) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX XXXXX/ (XX) XXXX XXX PODPIS/ (XX) XXXXXXXXXXXXXXXX/ (DE) XXXXXXXXXXXXXXXXXX/ (XX) ALLKIRJALAHTER/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX BOX/ (XX) XXXXX POUR XX XXXXXXXXX/ (XX) XXXXX DON SÍNIÚ/ (XX) XXXXX XX XXXXXX/ (XX) RIQUADRO XXX LA XXXXX/ (XX) XXXXXXXX XXXXX/ (XX) PARAŠO XXXXXXXX/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX XX HANDTEKENING/ (XX) XXXX XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À ASSINATURA/ (XX) XXXXĂXXXX/ (XX) KOLÓNKA XX XXXXXX/ (XX) XXXXX ZA XXXXXX/ (XX) ALLEKIRJOITUSKENTTÄ/ (XX) XXXX FÖR XXXXXXXXXXXXXX

6.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) Y XXXXXX(X) XXX XXXXXXXXXXX XXX XXXXXXX XXXX IMPRESO/ (XX) XXXXXXXX A XXXXX (XXXXX) ÚŘEDNÍKA, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXX(X) XX XXXXXXX(X) PÅ XXX XXXXXXXXXX, DER XXX UDSTEDT XXXXX XXXXXXXX/ (DE) XXXXXXXXXXXX(X) XXX VORNAME(N) XXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXXXXXX XXX/ (XX) KÄESOLEVA XXXXX XÄXXXXXXXXX XXXXXXXX EESNIMI (-XXXXX) XX XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) SURNAME(S) XXX XXXXXXXX(X) OF XXX XXXXXXXX WHO ISSUED XXXX XXXX/ (XX) XXX(X) XX PRÉNOM(S) XX XXXXXXXXXXXXX XXX X XXXXXXX LE XXXXXXX XXXXXXXXXX/ (GA) XXXXXXX (SLOINNTE) XXXX XXXXXXXX (CÉADAINMNEACHA) AN XXXXXXXX X D’EISIGH XX XXXXXX SEO/ (XX) XXXXXXX(XX) X XXX(XX) SLUŽBENIKA KOJI XX IZDAO XXXX XXXXXXX/ (IT) XXXXXXX/X X NOME/I DEL XXXXXXXXXXX XXX XX XXXXXXXXXX XX PRESENTE XXXXXX/ (LV) AMATPERSONAS, XXXX XXXXXXXX XX XXXXXXXX, XXXĀXXX(-X) XX XĀXXX(-X)/ (XX) ŠIĄ XXXXĄ IŠDAVUSIO PAREIGŪNO XXXXXXĖ (-ĖX) XX XXXXXX (-XX)/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXXXXXŐ CSALÁDI NEVE(I) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) U XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (NL) XX(X)X(XX) EN VOORNA(A)M(EN) XXX XX XXXXXXXXX XXX XXX FORMULIER XXXXX AFGEGEVEN/ (XX) XXXXXXXX(-X) X IMIĘ (XXXXXX) URZĘDNIKA, KTÓRY XXXXŁ XXXXXXXXX FORMULARZ/ (XX) APELIDO(S) E XXXX(X) PRÓPRIO(S) DO XXXXXXXXXXX QUE XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXX ȘI XXXXXXXXX XXXXȚXXXXXXXXX CARE X EMIS PREZENTUL XXXXXXXX/ (SK) XXXXXXXXXX(-X) X XXXX(-X) ÚRADNÍKA, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) PRIIMEK/PRIIMKI XX XXX/XXXXX URADNIKA, XX JE XXXXX XX OBRAZEC/ (XX) XÄXÄX LOMAKKEEN ANTANEEN XXXXXXXXXXX XXXXXXXX (-NIMET) XX ETUNIMI (-XXXXX)/ (XX) XXXXXXXXX XXX XÖXXXXX PÅ DEN XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

6.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX XXXXXXXXXXX QUE XXXXXXX XXXX XXXXXXX/ (XX) FUNKCE XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX — DEN XXXXXXXXXX, XXX XXX UDSTEDT XXXXX XXXXXXXX/ (XX) XXXXXXXX XXX BEAMTEN, XXX XXXXXX FORMULAR XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXX XX XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (FR) XXXXX XX XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXX XX XXXXXXXX X D’EISIGH XX XXXXXX XXX/ (XX) XXXXXXXX XXXXXXXXXX XXXX XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXX FUNZIONARIO XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, KURA XXXXXXXX XX VEIDLAPU, XXXXX/ (XX) ŠIĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXXXX/ (XX) KARIGA XXX-XXXXĊXXX LI ĦXXXĠ XXX XX-XXXXXXX/ (NL) XXXXXXX VAN XX XXXXXXXXX DIE XXX XXXXXXXXX XXXXX AFGEGEVEN/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX XX FUNCIONÁRIO QUE XXXXXX X XXXXXXXX XXXXXXXXXX/ (RO) POZIȚIA XXXXȚXXXXXXXXX CARE X XXXX XXXXXXXXX XXXXXXXX/ (XX) FUNKCIA XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) POLOŽAJ XXXXXXXX, KI XX XXXXX XX OBRAZEC/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX ASEMA/ (XX) BEFATTNING FÖR XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (DA) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) IZDOŠANAS XXXXXX (XX/XX/XXXX)/ (LT) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) XXXXX (XX/XX/XXXX) VAN XXXXXXX/ (PL) XXXX (XX/XX/XXXX) XXXXXXX/ (PT) XXXX DE XXXXXÃX (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) XXXXXXXX/ (SK) XXXXX (DD/MM/RRRR) VYDANIA/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (XX) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (ES) XXXXX/ (XX) PODPIS/ (DA) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (EN) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXX/ (HR) XXXXXX/ (XX) FIRMA/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (NL) XXXXXXXXXXXX/ (XX) PODPIS/ (PT) XXXXXXXXXX/ (RO) XXXXĂXXXX/ (XX) PODPIS/ (SL) XXXXXX/ (XX) ALLEKIRJOITUS/ (XX) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (XX) XXXXX XXXX XXXXXXX/ (DA) XXXX XXXXX STEMPEL/ (XX) XXXXXX XXXX STEMPEL/ (XX) PITSER XÕX XXXXXX/ (EL) ΣΦΡΑΓΙΔΑ/ (XX) XXXX OR XXXXX/ (FR) XXXXX XX TIMBRE/ (GA) XXXXX NÓ XXXXXX/ (XX) XXX XXX XXXXX/ (XX) XXXXX X XXXXXX/ (XX) XĪXXXX XXX SPIEDOGS/ (XX) SPAUDAS XXXX XXXXXXXXXX/ (HU) XXXXXX XXXX BÉLYEGZŐLENYOMAT/ (XX) XXĠXXX JEW XXXXXX/ (XX) XXXXX XX XXXXXXX/ (XX) PIECZĘĆ XXX XXXXXXX/ (PT) XXXX OU XXXXXXX/ (XX) XXXXXXXX SAU ȘXXXXXXX/ (XX) XXXXX XXXXX ODTLAČOK XXXXXXXX/ (XX) XXXXX XXX XXX/ (FI) XXXXXXX XXX XXXXX/ (SV) XXXXXX XXXXX STÄMPEL

BYDLIŠTĚ xxxx XXXXX XXXXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX XXX XXXXXXX

Xxxxxx 7 xxxxxxxx Xxxxxxxxxx xxxxxxxxxx x Xxxx (XX) 2016/1191 xx dne 6. xxxxxxxx 2016 x xxxxxxx volného xxxxxx občanů xxxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx x Xxxxxxxx unii x o xxxxx xxxxxxxx (XX) č. 1024/2012 (1) (2)

Belgie (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (DK) Xxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (IE)

Řecko (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (HR)

Itálie (XX) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (LT)

Lucembursko (XX)

Xxxxxxxx (XX) Malta (XX)

Xxxxxxxxxx (XX) Xxxxxxxx (AT)

Polsko (XX) Xxxxxxxxxxx (PT)

Rumunsko (XX) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Finsko (FI)

Švédsko (XX) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxxxxx xxxxxxxxx xx usnadnění xxxxxxxx xxxxxxx listiny, x níž je xxxxxxxx. Xxxxx xxxxxxxx xx xxxx členskými xxxxx xxxxx pohybovat xxxx xxxxxxxxxx dokument.

Tento xxxxxxxx odráží xxxxx xxxxxxx listiny, k xxx xx xxxxxxxx. Xxxxx, jemuž je xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx xxxx v xxxxxxxxx, xxx xx xx xxxxxxxx xxx xxxxx xxxxxxxxxx veřejné xxxxxxx, xxxxxxxxx xxxxxxx xx přepis informací, xxxxx xxxx ve xxxxxxxxx uvedeny.

UPOZORNĚNÍ XXX XXXXXXXXXX XXXXX

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

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

1. ORGÁN XXXXXXXXXX XXXXX FORMULÁŘ

1.1 Xxxxx (4)

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

1.1 Xxxxx (5)

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

3.1 Xxxxxxx vydaná xxxxxxx xxxx xxxxxxxxx x vazbou na xxxxx daného xxxxxxxxx xxxxx

3.1.1 Xxxxxxxxxx soudu

3.1.2 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx xxxxxx xxxxxxx xxxxxxxxx

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

3.1.5 Xxxx (xxxxxxxxx)

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

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

(3) Při xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

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

(5) Xxxxx „xxxxx“ xx xxxxx xxxxxxxx xxxx xxxxxx název orgánu xxxxxxxxxxxx xxxxxxxx listinu, x níž xx xxxxxxxx xxxxx formulář.

3.2 Xxxxxxx xxxxxx správním xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Výpis x xxxxxxx

3.2.3 Výpis x xxxxxxxx obyvatel

3.2.4 Xxxx xxxxxxxxxx xxxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Notářská xxxxxxx

3.4 Xxxxxx xxxxxxxxx, xxxxxx byla opatřena xxxxxxx xxxxxxxxx soukromou xxxxxx

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

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Referenční xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXX X DOTYČNÉ XXXXX

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

5. XXXXXXXX XXXXXXXX XXXX XXXXX POBYTU XXXXX XXXXXXX XX XXXXXXX XXXXXXX, X XXX XX PŘIPOJEN XXXXX FORMULÁŘ

5.1 Bydliště

5.1.1 Xxxxxx:

5.1.1.1 Xxxxx a xxxxx xxxx / xxxxxxxx xxxxxxxxx

5.1.1.2 Xxxxx x poštovní směrovací xxxxx

5.1.1.3 Xxxx (1)

5.2 Xxxxx xxxxxx

5.1.1 Xxxxxx:

5.1.1.1 Xxxxx a číslo xxxx / xxxxxxxx xxxxxxxxx

5.1.1.2 Xxxxx x xxxxxxxx směrovací xxxxx

5.1.1.3 Xxxx (2)

6. XXXX XXX PODPIS

6.1 Xxxxxxxx x jméno (jména) xxxxxxxx, který xxxxx xxxxx xxxxxxxx

6.2 Funkce xxxxxxxx, xxxxx xxxxx xxxxx formulář

6.3 Xxxxx (xx/xx/xxxx) xxxxxx

6.4 Xxxxxx

6.5 Xxxxx xxxx xxxxxxx

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

(2) Xxxxx xxxx x – xxxxx xxxxxxxx – xxx ISO dané xxxx xxxx xxxxxxx „Xxxx (upřesněte)“ xx xxxxx xxxxxx x xxxxxxxxxxx nabídky xx xxxxxxxx vícejazyčném standardním xxxxxxxxx, který xx x xxxxxxxxx na xxxxxxx xxxxxxxx x-xxxxxxx.

XXXXXXXXXXX XXXXXX NÁZVŮ XXXXXXXXXXXX XXXXXXX

(XXXXXXXX nebo XXXXX XXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX QUE XXXXXX XXXX XXXXXXX/ (XX) XXXXX VYDÁVAJÍCÍ XXXXX XXXXXXXX/ (XX) DENNE XXXXXXXXX UDSTEDENDE XXXXXXXXX/ (XX) XXXÖXXX, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX VORMI XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX XXXX/ (XX) XXXXXXXX DE DÉLIVRANCE XX XXXXXXX XXXXXXXXXX/ (XX) XX tÚDARÁS X XXXXXXXX XX XXXXXX XXX/ (XX) XXXXXX KOJE XXXXXX XXXX XXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXX IZDEVĒJIESTĀDE/ (XX) XXĄ FORMĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX XX' XXX XX-XXXXXXX/ (XX) XXXXXXXXXX VAN XXXXXXX XXX XXX FORMULIER/ (XX) XXXXX XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXX EMITE X XXXXXXXX XXXXXXXXXX/ (XX) AUTORITATEA XXXXXXXĂ X XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX, XX IZDA XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) MYNDIGHET XXX XXXÄXXXX FORMULÄRET

1.1

(BG) НАИМЕНОВАНИЕ/ (ES) XXXXXXXXXXXX/ (XX) XXXXX/ (DA) XXXXXXXXXX/ (DE) BEZEICHNUNG/ (XX) XXXXXXX/ (EL) ΟΝΟΜΑΣΙΑ/ (EN) XXXXXXXXXXX/ (XX) DÉNOMINATION/ (XX)XXXXXXX/ (XX) XXXXX/ (IT) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) TITLU/ (XX) XXXXXXXX/ (PL) XXXXX/ (XX) XXXXXXXÇÃX/ (XX) DENUMIRE/ (XX) XXXXX/ (XX) IME/ (XX) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX QUE XXXXXX XX XXXXXXXXX PÚBLICO XX QUE SE XXXXXXX XXXX IMPRESO/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, X XXX JE PŘILOŽEN XXXXX XXXXXXXX/ (XX) XXX XXXXXXXXX, DER XXX XXXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX ER XXXXÆXXXX/ (XX) XXXÖXXX, XXX XXX ÖXXXXXXXXXX XXXXXXX, DER DIESES XXXXXXXX XXXXXXÜXX IST, XXXXXXXXX/ (XX) ASUTUS, XXX XXXXX VÄLJA XXXXXXX XXXXXXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XXXXXXX THE XXXXXX XXXXXXXX TO XXXXX XXXX XXXX XX XXXXXXXX/ (FR) XXXXXXXX XX DÉLIVRANCE XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX PRÉSENT XXXXXXXXXX/ (XX) XX tÚDARÁS X XXXXXXXX XX XXXXXXXXX POIBLÍ XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXX XXXX IZDAJE XXXXX ISPRAVU XXXXX XX OVAJ XXXXXXX XXXXXXXX/ (IT) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXXX PUBBLICO CUI XX XXXXXXXX XXXXXX È XXXXXXXX/ (LV) XXXXXXXĀ XXXXXXXXX, KURAM XĪ VEIDLAPA XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ DOKUMENTĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX DIN XX-XXXXXXX/ (NL) XXXXXXXXXX XXX XXXXXXX XXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXX XXXXXĄXX DOKUMENT XXXĘXXXX, XX XXXXXXX XXXXXXXXX FORMULARZ JEST XXŁĄXXXXX/ (XX) AUTORIDADE XXX XXXXX X XXXXXXXXX PÚBLICO X XXX X XXXXXXXX XXXXXXXXXX ESTÁ XXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X DOCUMENTULUI XXXXXXX XX XXXX ESTE XXXXXX PREZENTUL FORMULAR/ (XX) ORGÁN XXXXXXXXXX XXXXXXX LISTINU, KU XXXXXX XX XXXXX XXXXXXXX PRIPOJENÝ/ (SL) XXXXX, KI XXXX XXXXX LISTINO, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXXXX, XXXX ON XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (SV) XXXXXXXXX XXX XXXÄXXXX DEN XXXXXXXXXX HANDLING XXXX XXXXXX DETTA XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) INFORMACIÓN RELATIVA XX XXXXXXXXX XXXXXXX XX QUE XX XXXXXXX XXXX IMPRESO/ (XX) INFORMACE XXXXXXXX XX XXXXXXX XXXXXXX, X NÍŽ XX XXXXXXXX XXXXX FORMULÁŘ/ (XX) OPLYSNINGER VEDRØRENDE XXX OFFENTLIGE XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXX ZUR ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX BEIGEFÜGT IST/ (XX) TEAVE AVALIKU XXXXXXXXX XXXXX, MILLELE XXX XXXX ON XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXX PUBLIC XXXXXXXX XX WHICH XXXX XXXX IS XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX AU XXXXXXXX XXXXXX XXXXXX XXX XXXXX LE XXXXXXX XXXXXXXXXX/ (XX) FAISNÉIS X XXXXXXXXX XXXX XX XXXXXXXXX XXXXXX XXXX BHFUIL XX XXXXXX SEO CEANGAILTE/ (XX) XXXXXXXXXXX XXXX XX XXXXXX XX XXXXX ISPRAVU XXXXX XX OVAJ XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXX XX DOCUMENTO XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) INFORMĀCIJA XXX XXXXXXXX DOKUMENTU, XXXXX XĪ VEIDLAPA XX XXXXXXXXXX/ (LT) XXXXXXXXXXX, XXXXXXXX SU XXXXXXXX DOKUMENTU, XXXX XXXXX XXXXXXXXX XX XXXXX/ (XX) A XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATRA XXXXXXXXX INFORMÁCIÓK/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX MIEGĦU XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX HET XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXXXXXXXX FORMULARZ XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX RELATIVAS XX XXXXXXXXX XXXXXXX A XXX X XXXXXXXX XXXXXXXXXX ESTÁ XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX OFICIAL XX CARE ESTE XXXXXX PREZENTUL XXXXXXXX/ (XX) XXXXXXXXXX O XXXXXXXX LISTINE, XX XXXXXX JE XXXXX XXXXXXXX PRIPOJENÝ/ (XX) XXXXXXXXXXX X XXXXX X XXXXX XXXXXXX, XX XX JE XXXXXXXX XX XXXXXXX/ (XX) TIEDOT XXXXXXXXÄ XXXXXXXXXXXX, JOHON XÄXÄ XXXXXX LIITETÄÄN/ (XX) XXXXXXXXXXX OM DEN XXXXXXXXXX XXXXXXXX TILL XXXXXX XXXXX FORMULÄR 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 XXX XXXXXXXXX X XX FUNCIONARIO XXXXXXXXX A LOS XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (XX) LISTINA XXXXXX XXXXXXX NEBO XXXXXXXXX X XXXXXX NA XXXXX DANÉHO XXXXXXXXX XXXXX/ (XX) XXXXXXXX, XXX ER UDSTEDT XX XX XXXXXXXXX XXXXX XX EMBEDSMAND, XXX ER XXXXXXXXXX XXXXXXXX X EN XXXXXXXXXXX/ (DE) XXXXXXX XXXXX XXXÖXXX XXXX XXXXX XXXXXXXXXX XXX XXXXX DER XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX ON XÄXXX ANDNUD XXXXXXXXXXXX XXXXXXXXX XXXXXX AMETIASUTUS XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX XXXX AN XXXXXXXXX XX XX XXXXXXXX XXXXXXXXX WITH XXX COURTS XX XXXXXXXXX OF X XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXX D'UNE XXXXXXXX OU D'UN XXXXXXXXXXXXX RELEVANT X'XXX XXXXXXXXXXX X'XX ÉTAT XXXXXX/ (XX) DOICIMÉAD X XXXXXXX Ó XXXXXX XX Ó XXXXXXXXX X BHFUIL XXXXX XXXX XX XXXX LE CÚIRTEANNA XX XX XXXXX XX CHUID BALLSTÁIT/ (XX) XXXXXXX KOJU XX XXXXXX XXXXXX XXX XXXXXXXXX XXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ X XX XX FUNZIONARIO XXXXXXXXXXXX XX XXX DELLE XXXXXXXXXXXXX XX XXX XXXXX MEMBRO/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XX XXXĪXXXXXXX XXXXĀX XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX XXXXXXXX XXXXXXXXXXXX XX XXXXXXŪXX, SUSIJUSIŲ XX XXXXXXXĖX XXXĖX XXXXXXXX XX TRIBUNOLAIS/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX ÁLLÓ XXXXXXX XXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ MINN XXXXXXXÀ JEW XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX XXX XX-XXXXXXXXX XX' XXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXXXX XX AMBTENAAR XXXXXXXXX XXX XXX RECHTERLIJKE XXXXXXXXX XXX XXX XXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX XX XXXXXX XĄXXXXXX LUB XXXĘXXXXX XĄXXXXXX PAŃSTWA XXŁXXXXXXXXXXX/ (XX) DOCUMENTO PROVENIENTE XX XXX AUTORIDADE XX XX XX XXXXXXXXXXX XXXXXXXXXX XX XXXXXXXX JURISDIÇÃO DE XX XXXXXX-XXXXXX/ (XX) XXXXXXXX XXXX DE X AUTORITATE XXX XX XX XXXXȚXXXXX XX PE XÂXXĂ XXXXXXȚXXX XXXX STAT XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX ALEBO XXXXXXXXX S XÄXXXX XX XXXX ČLENSKÉHO XXXXX/ (XX) XXXXXXX, XXXXXX X STRANI XXXXXX ALI XXXXXXXX XXXXX OBLASTI DRŽAVE XXXXXXX/ (FI) XXXXXXXXX, XXXXX XX XXXXXXX XÄXXXXXXXXXX OIKEUSLAITOKSEEN KUULUVA XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) HANDLING SOM XÄXXÖX FRÅN XX XXXXXXXXX ELLER EN XXÄXXXXXXX TILLHÖRANDE DOMSTOLSVÄSENDET X EN MEDLEMSSTAT

3.1.1

(BG) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX JUDICIAL/ (XX) XXXXXXXXXX SOUDU/ (DA) XXXXXXXXXXXØXXXXX/ (DE) GERICHTSENTSCHEIDUNG/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (EN) XXXXX XXXXXXXX/ (FR) XXXXXXXX XX JUSTICE/ (XX) XXXXXXXX XX xXXXXX/ (XX) XXXXXX XXXXXX/ (IT) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (LT) XXXXXX XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXX/ (XX) DEĊIŻJONI XXX-XXXXX/ (NL) RECHTERLIJKE XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (XX) XXXXXÃX XXXXXXXX/ (RO) 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 XXXXXXXXXX FISCAL/ (CZ) XXXXXXX VYDANÁ STÁTNÍM XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX AF EN XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) DOCUMENT XXXXXXXXX XXXX A PUBLIC XXXXXXXXXX/ (FR) XXXXXXXX XXXXXXX XX XXXXXXÈXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXXXXXXX POIBLÍ/ (HR) XXXXXXX XXXX XX XXXXXX DRŽAVNO XXXXXXXXXXXX/ (XX) XXXXXXXXX EMANATO XXX PUBBLICO XXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX PROKURORS/ (XX) XXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (XX) ÜGYÉSZ XXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (NL) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXX MINISTERIE/ (XX) DOKUMENT POCHODZĄCY XX PROKURATORA/ (XX) XXXXXXXXX XXXXXXXXXXX DO XXXXXXXXXX XXXXXXX/ (RO) XXXXXXXX EMIS DE XX PROCUROR/ (SK) XXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXX, XX XX XXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX ASIAKIRJA/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX EXPEDIDO XXX XX XXXXXXXXXX XXXXXXXX/ (XX) LISTINA VYDANÁ XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX UDSTEDT XX EN XXXXXXXXXXXXXÆX/ (XX) XXXXXXX EINES XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (ET) XXXXXXXX, XXXXX XX XÄXXX ANDNUD XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXX XX X XXXXX/ (XX) DOCUMENT ÉMANANT X'XX XXXXXXXX/ (XX) XXXXXXXXX A XXXXXXX X XXXXXXXXXX DE XXXXX XXXXXX/ (HR) XXXXXXX KOJU JE XXXXX XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) DOCUMENTO XXXXXXX XX XX XXXXXXXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (XX) TEISMO XXXXXXXXXX IŠDUOTAS DOKUMENTAS/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX KIÁLLÍTOTT OKIRAT/ (XX) XXXXXXXX XXĦXXĠ XXXX XXĠXXXXXXXX XX' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX XX UM XXXXXXX XX JUSTIÇA/ (XX) XXXXXXXX EMIS XX XX GREFIER XX XXXXXXȚXX/ (XX) XXXXXXX XXXXXX SÚDNYM XXXXXXXXX/ (XX) XXXXXXX, XX XX IZDA XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX SIHTEERIN XXXXXX XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX XXÅX XX DOMSTOLSTJÄNSTEMAN

3.1.4

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (ES) DOCUMENTO XXXXXXXX XXX XX XXXXXX JUDICIAL («XXXXXXXX XX JUSTICE»)/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX AF XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (XX) URKUNDE XXXXX GERICHTSVOLLZIEHERS/ (XX) XXXXXXXX, XXXXX ON XÄXXX ANDNUD XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX DE XXXXXXX»)/ (XX) XXXXXXXX EMANATING XXXX X XXXXXXXX XXXXXXX ('XXXXXXXX DE XXXXXXX')/ (XX) XXXXXXXX XXXXXXX D'UN XXXXXXXX XX JUSTICE/ (XX) XXXXXXXXX A XXXXXXX X OIFIGEACH BREITHIÚNACH (“XXXXXXXX XX XXXXXXX”)/ (XX) ISPRAVA KOJU XX IZDAO XXXXXX XXXXXXXXX (HUISSIER XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXX GIUDIZIARIO ("XXXXXXXX XX XXXXXXX")/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (HUISSIER XX XXXXXXX)/ (XX) XXXXXXXXX (HUISSIER XX XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) BÍRÓSÁGI VÉGREHAJTÓ („XXXXXXXX XX XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX UFFIĊJAL ĠUDIZZJARJU ('XXXXXXXX XX JUSTICE')/ (XX) DOCUMENT XXXXXXXXX XXXX XXX XXXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX XXXĘXXXXX XĄXXXXXX (XXXXXXXX DE JUSTICE)/ (XX) DOCUMENTO XXXXXXXXXXX XX UM ESCRIVÃO XX XXXXXXX («HUISSIER XX XXXXXXX»)/ (RO) XXXXXXXX XXXX XX XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXX, XX JO XXXX XXXXX IZVRŠITELJ („XXXXXXXX XX XXXXXXX“)/ (XX) HAASTEMIEHEN (”XXXXXXXX XX XXXXXXX”) ANTAMA XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXÄXXXXXXXXX (XXXXXXXX XX JUSTICE)

3.1.5

(BG) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) XXXX (XXXXXXXXX)/ (XX) ANDRE (ANGIVES)/ (XX) XXXXXXXXX (BITTE XXXXXXX)/ (XX) MUU (XÄXXXXXXXX)/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX XX XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (GA) EILE (XX XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (XX) XXXXX (XXXXXXXXX)/ (XX) XXXX (PRECIZĒT)/ (XX) XXXX (XXXXXXXX)/ (HU) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) OĦRAJN (IPPREĊIŻA)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) INNY (XXXXXĘ XXXXŚXXĆ)/ (XX) XXXXXX (X XXXXXXXXXXX)/ (RO) XXXXX (X XX XXXXXXX)/ (XX) XXX (XXXXXXXX)/ (XX) DRUGO (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX VYDANÁ SPRÁVNÍM XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (HU) XÖXXXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXXXXXXXXXXXXX/ (XX) ADMINISTRATIEF XXXXXXXX/ (PL) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (SL) XXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) ADMINISTRATIV XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) OSVĚDČENÍ/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (ET) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (HR) XXXXXXX/ (IT) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (LT) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊERTIFIKAT/ (XX) CERTIFICAAT/ (XX) XXŚXXXXXXXXXX/ (XX) CERTIDÃO XX XXXXXXXXXXX/ (RO) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) EXTRACTO DEL XXXXXXXX XXXXX/ (XX) XXXXX Z MATRIKY/ (XX) UDDRAG XXX XXXXXXXXXXXXXXXXXXXX/ (XX) AUSZUG XXX XXX PERSONENSTANDSREGISTER/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX THE XXXXX XXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XX X'XXXX CIVIL/ (XX) XXXXXXX AS XX xXXXX STÁDAIS XXXXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXX XXXXXX/ (XX) ESTRATTO XX XXXX XX XXXXX XXXXXX/ (LV) XXXXXXXX XX CIVILSTĀVOKĻA XXXX XXĢXXXXX/ (XX) XXXXXXX XX CIVILINĖS XŪXXĖX AKTŲ REGISTRO/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (NL) XXXXXXXXXX XXX HET XXXXXXXX VAN XX XXXXXXXXXXX STAND/ (XX) XXXXX XXXXXXXX AKTU XXXXX CYWILNEGO/ (XX) XXXXXXX XX ATOS XX XXXXXXX XXXXX/ (XX) XXXXXX DIN XXXXXXXXX XX XXXXX XXXXXĂ/ (XX) VÝPIS X REGISTRA OSOBNÉHO XXXXX/ (XX) XXXXXXX XX XXXXXXXX X XXXXXXX STANJU/ (FI) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) XXXXXX XX FOLKBOKFÖRINGEN

3.2.3

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX XXX XXXXX/ (XX) XXXXX Z XXXXXXXX XXXXXXXX/ (DA) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) AUSZUG AUS XXX MELDEREGISTER/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX THE XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XX XX XXXXXXXXXX/ (XX) XXXXXXX XX XX xXXXX XXXXXX/ (XX) XXXXXXX IZ XXXXXX STANOVNIŠTVA/ (IT) XXXXXXXX XXXXXXXXXX/ (LV) XXXXXXXX XX IEDZĪVOTĀJU XXĢXXXXX/ (LT) XXXXXXX XX GYVENTOJŲ XXXXXXXX/ (XX) XXXXXXX X XXXXXXXXXXXX- ÉS LAKCÍMNYILVÁNTARTÁSBÓL/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (NL) XXXXXXXXXX XXX XXX BEVOLKINGSREGISTER/ (XX) XXXXĄX Z XXXXXXXX LUDNOŚCI/ (XX) XXXXXXX XX XXXXXXX XX POPULAÇÃO/ (XX) XXXXXX DIN XXXXXXXXX XX EVIDENȚĂ X XXXXXXȚXXX/ (XX) XXXXX X XXXXXXXX OBYVATEĽOV/ (XX) XXXXXXX XX XXXXXXXX XXXXXXXXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) UTDRAG XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX XX XXXXX XXX XXXXXXXX CIVIL/ (XX) XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXX KOPI XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX VON XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) PEREKONNASEISUAKTI XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX OF XXXXX XXXXXX XXXXXXX/ (XX) XXXXX XXXXXXXXX D'ACTES XX X'XXXX XXXXX/ (XX) XXXX XXXXX XX XXXXXX XX XXXXXXX XX XXXXXX XXXXXXXXX/ (HR) XXXXXXXX XXXXXXXX XX XXXXXXXXXX X OSOBNOM XXXXXX/ (XX) COPIA LETTERALE XX ATTO XX XXXXX XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX REĢISTRA XXXXXXXX AUTENTISKA XXXXXX/ (XX) XXXXXXXĖX BŪKLĖS XXXŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX SZÓ SZERINTI XXXXXXXX/ (MT) XXXXX XXXXXXXX TAL-ATTI XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXX VAN AKTEN XXX DE XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXÃX XX CÓPIA XXXXXXXX XX XX NARRATIVA XX ATOS XX XXXXXXX XXXXX/ (XX) XXXXX XXXXXĂ A XXXX ACT XX XXXXX CIVILĂ/ (XX) XXXXXXXX VÝPIS ZO XXXXXXX O XXXXXXX XXXXX/ (XX) XXXXXXXXX XXXXXX XXXXXX X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (ES) ACTA XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (DA) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX/ (ET) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX ACT/ (XX) XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX NOTARILE/ (XX) NOTARIĀLS XXXX/ (XX) XXXXXXXXX AKTAS/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) XXX XXXXXXXX/ (XX) NOTARIËLE AKTE/ (XX) AKT XXXXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXX NOTARIAL/ (XX) NOTÁRSKA XXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX XXXXXX SOBRE XX XXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXX, XXXXXX XXXX XXXXXXXX XXXXXXX XXXXXXXXX XXXXXXXXX OSOBOU/ (XX) XXXXXXXX XÅXXXXXXX XÅ XX XXXXXXXX XXXXXXXXXXX AF XX XXXXXX I XXXXXX XXXXXXXX AF XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX XXXXX XXXXXXXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX XXXXXXX XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (EN) XXXXXXXX XXXXXXXXXXX XXXXXX XX X DOCUMENT SIGNED XX X XXXXXX XX XXX XX XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX OFFICIELLE XXXXXXX XXX UN XXXX XXXX XXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX X XXXXXXXXX XX XXXXXXXXXX XXXX XXXXXX AG XXXXX XXX XXXXX XX XXX CÁIL PHRÍOBHÁIDEACH/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX XX XXXXXXX XXXX XX XXXXX XXXXXXXXX U XXXXXXXXX XXXXXXXX/ (IT) XXXXXXXXXXXXX XXXXXXXXX APPOSTA SU XXX XXXXXXXXX PRIVATA/ (XX) OFICIĀLS APLIECINĀJUMS XX XXXXXXXXX, XX XXXĀ XĀXXĀ PARAKSTĪJUSI XĀXX PERSONA/ (XX) XXXXXXXŲ XXXXXŲ PASIRAŠYTŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) MAGÁNOKIRATON ELHELYEZETT XXXXXXXXX XXXXXXXXXXX/ (XX) ĊXXXXXXXXX UFFIĊJALI XX XXXXXXXĦXX F'DOKUMENT IFFIRMAT XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX CERTIFICAAT XX XXX XXXXXXXX XXXXXXXXXXX XXXX XXX XXXXXXX XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX PODPISANYM XXXXX XXXXĘ DZIAŁAJĄCĄ X XXXXXXXXXXX PRYWATNYM/ (PT) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX XXX XX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXX XXXXXXX XX XX XXXXXXXX XXX SEMNĂTURĂ PRIVATĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX NA XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXX XX XXXXXXX LISTINI/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, XXXXX XXXXXXÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX INTYG XXXXXXXXX XÅ XX XXXXXXXX XXX XXXXXXXXXXXXX XX EN XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (ES) DOCUMENTO XXXXXXXX XXX XX XXXXXX XXXXXXXXXXX X XXXXXXXX XX XX XXXXXX XXXXXXX CON XXXXXXXX XXXXXXX/ (CZ) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX STÁTU X RÁMCI XXXXXX XXXX SLUŽEBNÍCH XXXXXXXXXX/ (XX) XXXXXXXX OFFICIELT XXXÆXXXXXX XX XX XXXXXXXXXXXX DIPLOMATISKE XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (XX) XXX XXXXX XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX VERTRETER XXXXX MITGLIEDSTAATS XX XXXXXX AMTLICHEN XXXXXXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX DIPLOMAATILISE 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 / (EN) DOCUMENT XXXXX UP XX X XXXXXXXXXX OR XXXXXXXX AGENT XX X XXXXXX XXXXX XX HIS OR XXX OFFICIAL XXXXXXXX/ (XX) XXXXXXXX XXXXXX XX XX XXXXXXX XXXXXXXXXX XXX UN XXXXX XXXXXXXXXXXX OU XXXXXXXXXX D'UN ÉTAT XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX XX XXXXX XXXXXXXXX INA XXXXX NÓ XXX XXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX X XXXXXXXXX XXXXXXXX XXXXXXXX DIPLOMATSKI XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) DOCUMENTO XXXXXXX XX XXXXXX XXXXXXXXXXX O XXXXXXXXX XX XXX XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX XXXXX PIENĀKUMUS, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, PARENGTAS XXXXXXXĖX XXXĖX DIPLOMATO AR XXXXXXXXXX PAREIGŪNO, VEIKIANČIO XXXXX OFICIALIUS ĮGALIOJIMUS/ (XX) VALAMELY XXXXXXXX XXXXXXXXXXX VAGY KONZULI XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXXX XXXX XĠXXX DIPLOMATIKU XXX KONSULARI TA' XXXX MEMBRU XXX-XXXXĊXXÀ XXXXĊXXXX TIEGĦU/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXXXXX OF XXXXXXXXXX XXXXXXXXX VAN XXX XXXXXXXX XX XXXX XXXXXXËXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXĄXXXXX XXXXX PRZEDSTAWICIELA DYPLOMATYCZNEGO XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX CZŁONKOWSKIEGO XXXXŁXXĄXXXX X XXXXXXXXXXX XXXĘXXXXX / (PT) XXXXXXXXX XXXXXXX XXX XX XXXXXX XXXXXXXXXXX XX XXXXXXXX XX XX XXXXXX-XXXXXX NO XXXXXXXXX XXX SUAS FUNÇÕES XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX XX CĂTRE XX XXXXX XXXXXXXXXX XXX XXXXXXXX XX XXXX STAT XXXXXX, ÎX CALITATE XXXXXXXĂ/ (XX) LISTINA VYHOTOVENÁ XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX ÚRADNÍKOM XXXXXXXXX XXXXX X XXXXX XXXXXX JEHO FUNKCIE/ (XX) XXXXXXX, XX XX XXX XXXXXX XXXXX IZDA DIPLOMATSKI XXX XXXXXXXXXX PREDSTAVNIK XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (SV) HANDLING XXXXÄXXXX I XXÄXXXXX XX XX XXXXXXXXXXX XXXXX KONSULÄR XXÄXXXXXXX X EN XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (XX/XX/XXXX) XX EXPEDICIÓN/ (XX) XXXXX (DD/MM/RRRR) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (FR) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DÁTA (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (HU) X XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX AFGIFTE/ (XX) DATA (DD/MM/RRRR) XXXXXXX/ (PT) XXXX XX EMISSÃO (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) DATUM (DD/MM/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) NÚMERO XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX VEŘEJNÉ XXXXXXX/ (DA) XXX XXXXXXXXXX DOKUMENTS XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXX VIITENUMBER/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX XX XXX XXXXXX XXXXXXXX/ (FR) NUMÉRO XX RÉFÉRENCE DU XXXXXXXX XXXXXX/ (GA) XXXXXX XXXXXXXXX XX XXXXXXXXX PHOIBLÍ/ (HR) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXX DEL XXXXXXXXX PUBBLICO/ (XX) XXXXXXXĀ XXXXXXXXX ATSAUCES XXXXXX/ (LT) VIEŠOJO XXXXXXXXX XXXXXXX/ (HU) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) NUMRU XX' XXXXXXXXX TAD-DOKUMENT XXXXXXXX/ (XX) REFERENTIENUMMER XXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXX DE XXXXXÊXXXX XX DOCUMENTO XXXXXXX/ (RO) XXXĂXXX XX XXXXXXXȚĂ XX XXXXXXXXXXXX XXXXXXX/ (SK) XXXXXXXXXX ČÍSLO VEREJNEJ XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (SV) DEN XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (ES) INFORMACIÓN XXXXX XX INTERESADO/ (XX) INFORMACE X XXXXXXX OSOBĚ/ (DA) XXXXXXXXXXX XX XXX XÅXÆXXXXXX PERSON/ (XX) XXXXXXX ZUR XXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXX XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΊΑ ΤΟΥ ΠΡΟΣΏΠΟΥ ΤΟ ΟΠΟΊΟ ΑΦΟΡΆ ΤΟ ΈΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXX XXX XX PERSONNE XXXXXXXXX/ (XX) XXXXXXXX XXXXXX XXXX XX DUINE XXXX mBAINEANN/ (XX) XXXXXXXXXXX O XXXXXXXX XXXXX/ (IT) XXXXXXXXXXXX XXXXX PERSONA XXXXXXXXXXX/ (XX) XXXXXXĀXXXX PAR XXXXXXĪXX XXXXXXX/ (XX) XXXXXXXXXXX APIE ATITINKAMĄ XXXXXĮ/ (XX) XX XXXXXXXX XXXXXXXXX VONATKOZÓ XXXXXX/ (XX) INFORMAZZJONI XXXX XX-XXXXXXX KKONĊERNATA/ (XX) XXXXXXXXXX OVER XX BETROKKENE/ (PL) XXXX OSOBY, XXXXXX XXXXXXX XXXXXXXX/ (PT) XXXXXXXÇÕXX XXXXX X XXXXXX XX CAUSA/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXX XXXXXĂ/ (XX) XXXXXXXXXX X XXXXXXXXX XXXXX/ (SL) XXXXXXXXXXX X ZADEVNI OSEBI/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXX/ (XX) XXXXXXXXX XX DEN BERÖRDA XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) APELLIDO(S)/ (XX) XXXXXXXX/ (DA) XXXXXXXXX(X)/ (XX) FAMILIENNAME(N)/ (ET) XXXXXXXXXXXXX (-NIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (EN) XXXXXXX(X)/ (XX) XXX(X)/ (GA) XXXXXXX (XXXXXXXX)/ (HR) XXXXXXX(XX)/ (XX) COGNOME(I)/ (XX) XXXĀXXX(-X)/ (XX) XXXXXXĖ (-ĖX)/ (HU) XXXXXXX NEVE(I)/ (MT) XXXXXX(/XXXXXXXXXXX)/ (NL) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (XX) XXXXXXX(X)/ (XX) XXXX/ (XX) XXXXXXXXXX(-X)/ (XX) XXXXXXX(XXXXXXX)/ (XX) SUKUNIMI (-XXXXX)/ (XX) EFTERNAMN

4.2

(BG) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) JMÉNO (XXXXX)/ (XX) FORNAVN(E)/ (XX) XXXXXXX(X)/ (ET) XXXXXXX (-NIMED)/ (XX) ΟΝΟΜΑ (-ΤΑ)/ (EN) XXXXXXXX(X)/ (FR) XXXXXX(X)/ (XX) CÉADAINM (CÉADAINMNEACHA)/ (XX) XXX(XX)/ (IT) XXXX(X)/ (XX) XĀXXX(-X)/ (XX) XXXXXX (-XX)/ (XX) UTÓNEVE(I)/ (XX) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (IMIONA)/ (XX) XXXX(X) XXXXXXXX(X)/ (XX) XXXXXXX/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (XX) FÖRNAMN

4.3

(BG) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXXX/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) SÜNNIKUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΊΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (JJ/MM/AAAA) XX XXXXXXXXX/ (XX) XXXX (LL/MM/BBBB) BREITHE/ (XX) XXXXX (DD/MM/GGGG) XXĐXXXX/ (IT) XXXX XX NASCITA (XX/XX/XXXX)/ (XX) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (LT) XXXXXX XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (NL) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) XXȘXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) DATUM (DD/MM/LLLL) XXXXXXX/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (SV) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.4

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) LUGAR Y XXXX XX XXXXXXXXXX/ (XX) XXXXX X XXXX XXXXXXXX/ (XX) XØXXXXXX OG -LAND/ (XX) XXX XXX XXXX DER XXXXXX/ (XX) XÜXXXXXXX XX -XXXX/ (EL) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX AND XXXXXXX OF BIRTH/ (XX) XXXX XX XXXX XX NAISSANCE/ (XX) XXX XXXX XXX XXXXXXXX/ (HR) XXXXXX I ZEMLJA XXĐXXXX/ (IT) XXXXX X XXXXX DI XXXXXXX/ (LV) XXXXXXXXX XXXXX XX XXXXXX/ (XX) XXXXXX XXXXX XX XXXXX/ (XX) XXÜXXXXXX XXXXX XX XXXXXXX/ (MT) POST X XXXXXŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX XX -XXXX/ (XX) MIEJSCE X XXŃXXXX URODZENIA/ (XX) XXXXX X XXXX XX XXXXXXXXXX/ (XX) XXXXX ȘI ȚXXX NAȘTERII/ (XX) XXXXXX A XXXX XXXXXXXXX/ (XX) XXXX XX DRŽAVA XXXXXXX/ (XX) XXXXXXÄXXXXXX XX -XXX/ (XX) FÖDELSEORT XXX -XXXX

4.5

(XX) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (XX) XØX/ (XX) XXXXXXXXXX/ (XX) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (GA) XXXXXX/ (XX) XXXX/ (IT) XXXXX/ (XX) XXXXXXX/ (XX) LYTIS/ (XX) XXXX/ (XX) XXXX/ (XX) XXXXXXXX/ (PL) XŁXĆ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXX/ (XX) XXXXXXXXX/ (XX) XÖX

4.5.1

(XX) ЖЕНСКИ/ (ES) XXXXX/ (XX) ŽENA/ (XX) XXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (XX) FÉMININ/ (XX) XXXXXXXX/ (HR) XXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XŐ/ (XX) XXXX/ (NL) XXXXX/ (PL) XXXXXXX/ (XX) XXXXXXXX/ (RO) XXXXXXXX/ (SK) XXXXXX/ (XX) ŽENSKI/ (FI) XXXXXX/ (XX) XXXXXX

4.5.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) MUŽ/ (XX) XXXX/ (XX) XÄXXXXXX/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) MALE/ (XX) XXXXXXXX/ (GA) XXXXXXX/ (XX) MUŠKI/ (XX) MASCHILE/ (LV) XĪXXXXXX/ (XX) XXXXX/ (XX) XXXXX/ (MT) XXĠXX/ (NL) XXX/ (XX) XĘŻXXXXXX/ (XX) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (SL) XXXXX/ (FI) XXXX/ (XX) XXX

4.5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (DA) UBESTEMT/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (EN) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (HR) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (LV) XXXXXXXXXX/ (XX) NENUSTATYTA/ (XX) XXXXXXXXXXXXXXX/ (MT) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) PŁEĆ XXXXXXXŚXXXX/ (XX) XÃX XXXXXXXX/ (RO) NEDETERMINAT/ (XX) XXXXXXXX/ (XX) 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) DOMICILIO X/X RESIDENCIA ACTUALES XX XX XXXXXXX X XX XXX XX XXXXXXX XX XXXXXXXXX PÚBLICO XX XXX XX XXXXXXX XXXX XXXXXXX/ (CZ) XXXXXXXX XXXXXXXX XXXX XXXXX POBYTU OSOBY XXXXXXX VE XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (DA) NUVÆRENDE XXXÆX XX/XXXXX XXXXXXXXXXX XXX XXXXXXXX, XXX XX XXXØXX XX XXX OFFENTLIGE DOKUMENT, XXX DENNE XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXXXX WOHNSITZ XXX/XXXX XXX DES XXXÖXXXXXXXX XXXXXXXXXXX DER XXXXXXXXXXXX XXXXXX XXXÄXX DER ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXXXXX XXXXXXXXXX, XXXXXXX SEE XXXX ON LISATUD, XXXXXXXXX XXXXX XXXXXXXX XXXXXXX XXXXXXX XX/XÕX XXXXXXX/ (EL) ΤΡΕΧΟΥΣΑ ΔΙΕΥΘΥΝΣΗ ΚΑΤΟΙΚΙΑΣ ΚΑΙ/Ή ΔΙΑΜΟΝΗΣ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) CURRENT XXXXXXXX AND/OR XXXXXXXXX XX XXX XXXXXX XXXXX XX XXX XXXXXX XXXXXXXX XX XXXXX XXXX FORM XX XXXXXXXX/ (XX) XXXXXXXX ET/OU RÉSIDENCE XXXXXXX DE XX XXXXXXXX CONCERNÉE XXX XX XXXXXXXX PUBLIC XXXXXX LE XXXXXXX XXXXXXXXXX EST XXXXX/ (XX) XXXXXXXXXX XXXXXX XXXX/XX GNÁTHCHÓNAÍ AN XXXXX XXX XXXXXXXXX XX DOICIMÉAD XXXXXX XXXX BHFUIL AN XXXXXX XXX CEANGAILTE/ (XX) TRENUTNO PREBIVALIŠTE X/XXX XXXXXXXXX OSOBE XXXXXXXX U JAVNOJ XXXXXXX XXXXX JE XXXX OBRAZAC PRILOŽEN/ (XX) DOMICILIO E/O XXXXXXXXX ATTUALE XXXXX XXXXXXX XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È ALLEGATO/ (XX) XXXXXXĪXĀX XXXXXXXX PAŠREIZĒJAIS XXXXXXXX XX/XXX XXXXXĒXXXĀX XXXXX, XXX MINĒTA XXXXXXXXXĀ XXXXXXXXĀ, KURAM XĪ XXXXXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXX, XXXX KURIO XXXXXXXXX ŠI XXXXX, XXXXXXXX XXXXXX DABARTINĖ XXXXXXXXĖ XXXXXXXXXX XXXXX XX (XXXX) XXXXXXXXXX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATBAN XXXXXXXXXXX XXXXXXX XXXXXXXXX XXXXXXXXX XX/XXXX TARTÓZKODÁSI XXXXX/ (XX) XXXXĊXXXX X/XXX XXXXXXXXX ATTWALI XXX-XXXXXXX MSEMMIJA FID-DOKUMENT XXXXXXXX XX MIEGĦU XX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXX XXXX- XX/XX XXXXXXXXXXXXXX XXX DE XXXXXXXXXX XX XXXXX XXX XXX OPENBAAR XXXXXXXX XXXXXXX XXX FORMULIER XX XXXXXXX/ (XX) XXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXX XXXXXX XXXXX XXXXXXXXX W XXXXXXXXXX URZĘDOWYM, XX XXXXXXX ZAŁĄCZONY XXXX XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX X/XX RESIDÊNCIA XXXXX DA XXXXXX XXXXXXXXX XX DOCUMENTO XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (RO) XXXXXXXXXX ȘX/XXX XXȘXXXXȚX XXXXXX(Ă) AL (X) XXXXXXXXX XXXXXX DE XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX FORMULAR/ (XX) XXXXXXX XXXXXXXX A/ALEBO XXXXX XXXXX UVEDENEJ XX VEREJNEJ XXXXXXX, XX KTOREJ JE XXXXXXXXX TENTO XXXXXXXX/ (XX) XXXXXXXX XXXXXX XXXXXXXXXXXX XX/XXX XXXXXXXX XXXXXXXXXXXX XXXXX, NA XXXXXX XX XXXXXX XXXXX LISTINA, KI XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX LIITETÄÄN, XXXXXXXXXXX HENKILÖN KOTI- XX/XXX XXXXXXXXXXX/ (SV) XXXXXXXXX HEMVIST XXX/XXXXX XXXXXXXXXX XÖX XXX XXXXXX SOM BERÖRS XX XXX XXXXXXXXXX XXXXXXXX XXXX VILKEN XXXXX XXXXXXÄX ÄX XXXXXXX

5.1

(XX) МЕСТОЖИВЕЕНЕ/ (XX) XXXXXXXXX/ (CZ) BYDLIŠTĚ/ (XX) BOPÆL/ (XX) XXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) ΚΑΤΟΙΚΙΑ/ (XX) DOMICILE/ (XX) XXXXXXXX/ (GA) XXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (IT) XXXXXXXXX/ (XX) DOMICILS/ (XX) NUOLATINĖ GYVENAMOJI XXXXX/ (XX) LAKÓHELY/ (XX) XXXXĊXXXX/ (NL) XXXXXXXXXX/ (XX) MIEJSCE XXXXXXXXXXXX/ (XX) DOMICÍLIO/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (FI) KOTIPAIKKA/ (XX) XXXXXXX

5.1.1

(XX) АДРЕС/ (XX) DIRECCIÓN/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXX/ (XX) ΔΙΕΥΘΥΝΣΗ/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) SEOLADH/ (XX) ADRESA/ (IT) XXXXXXXXX/ (XX) XXXXXX/ (XX) ADRESAS/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) ADRES/ (XX) XXXXX/ (XX) XXXXXXÇX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (SV) XXXXXX

5.1.1.1

(XX) УЛИЦА И НОМЕР/ПОЩЕНСКА КУТИЯ/ (XX) XXXXX X NÚMERO / APARTADO XX XXXXXXX/ (CZ) ULICE X ČÍSLO DOMU / XXXXXXXX PŘIHRÁDKA/ (XX) XXX XX XXXXXXXXX/XXXXXXXX/ (XX) XXXXXXX XXX XXXXXXXXXX/XXXXXXXX/ (XX) XÄXXX JA XXXX XXXXXX / XXXXXXXX/ (XX) ΟΔΟΣ ΚΑΙ ΑΡΙΘΜΟΣ / Τ.Θ./ (XX) STREET AND XXXXXX/XX XXX/ (XX) XXX XX XXXXXX/XXÎXX XXXXXXX/ (XX) XXXXX XXXX UIMHIR/BOSCA XXXXX/ (XX) XXXXX X XXXX / XXXXXXXXX XXXXXXXX/ (XX) XXX X XXXXXX/XXXXXXX XXXXXXX/ (XX) XXXX XX XĀXXX NUMURS / XXXXXXXXX/ (XX) XXXXĖ XX XXXX NUMERIS / XXXXX XĖXXXĖ/ (XX) XXXX XX XXXXXXX/XXXXXXXXX/ (XX) TRIQ X NUMRU/KAXXA XXXXXXX/ (XX) XXXXXX XX XXXXXX/XXXXXXX/ (PL) ULICA X XXXXX / XXXXXXX XXXXXXXX/ (PT) XXX X NÚMERO/CAIXA XXXXXX/ (XX) XXXXXX ȘX XXXĂXXX/XĂXXȚX POȘTALĂ/ (XX) XXXXX X XXXXX/ XXXXXXX XXXXXXXXX/ (XX) XXXXX XX XXXXXXXX/XXXXXX XXXXXX/ (XX) XÄXXXXXXXX/XXXXXXXXXXX/ (XX) XXXXXXXXXX/XXXXXXX

5.1.1.2

(XX) НАСЕЛЕНО МЯСТО И ПОЩЕНСКИ КОД/ (XX) XXXXXXXXX X CÓDIGO XXXXXX/ (XX) MÍSTO X XXXXXXXX XXXXXXXXX XXXXX/ (DA) XX XX XXXXXXXXXX/ (DE) XXX XXX ORT/ (XX) XXXX XÕX XXXXX XX XXXXXXXXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΤΑΧΥΔΡΟΜΙΚΟΣ ΚΩΔΙΚΟΣ/ (XX) XXXXX XXX POSTAL XXXX/ (XX) XXXXXXXX XX XXXX POSTAL/ (XX) XXX AGUS XXX POIST/ (HR) XXXXXX X POŠTANSKI XXXX/ (IT) LOCALITÀ X XXX/ (XX) XXXXX XX XXXXX XXXXXXX/ (XX) VIETA XX PAŠTO XXXXX/ (XX) XXXXXXX XX XXXXXXXXXXXX/ (XX) LOKALITÀ X KODIĊI XXXXXXX/ (XX) PLAATS XX XXXXXXXX/ (XX) MIEJSCOWOŚĆ X KOD POCZTOWY/ (XX) XXXXXXXXXX E XXXXXX XXXXXX/ (XX) XXXXXXXXXXX ȘX CODUL XXȘXXX/ (XX) MIESTO X POŠTOVÉ XXXXXXXXXX XXXXX/ (XX) XXXX XX XXXXXX XXXXXXXX/ (XX) POSTINUMERO JA XXXXXXXXXXXXXXXX/ (XX) XXX XXX POSTNUMMER

5.1.1.3

(BG) ДЪРЖАВА/ (XX) XXXX/ (XX) XXXX/ (DA) XXXX/ (XX) LAND/ (ET) XXXX/ (XX) ΧΩΡΑ/ (XX) XXXXXXX/ (XX) XXXX/ (XX) XXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXXŻ/ (XX) LAND/ (PL) XXŃXXXX/ (XX) PAÍS/ (XX) ȚARA/ (SK) XXXX/ (XX) DRŽAVA/ (XX) MAA/ (XX) XXXX

5.2

(XX) МЕСТОПРЕБИВАВАНЕ/ (XX) XXXXXXXXXX/ (XX) XXXXX XXXXXX/ (DA) OPHOLDSSTED/ (XX) ORT XXX XXXÖXXXXXXXX AUFTENTHALTS/ (ET) XXXXXXX/ (EL) ΔΙΑΜΟΝΗ/ (XX) XXXXXXXXX/ (FR) XXXXXXXXX/ (XX) SAINCHÓNAÍ/ (XX) BORAVIŠTE/ (XX) XXXXXXXXX/ (XX) XXXXXĒXXXĀX XXXXX/ (LT) GYVENAMOJI XXXXX/ (XX) XXXXXXXXXXXX XXXX/ (MT) XXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (PL) XXXXXXX POBYTU/ (PT) XXXXXÊXXXX/ (RO) REȘEDINȚA/ (XX) XXXXX/ (SL) XXXXXXXXXXXX/ (FI) XXXXXXXXXXX/ (XX) XXXXXXXXXX

6.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX PARA XX XXXXX/ (CZ) XXXX XXX XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) UNTERSCHRIFTENFELD/ (XX) XXXXXXXXXXXXXX/ (EL) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (FR) XXXXX POUR LA XXXXXXXXX/ (XX) BOSCA XXX XXXXX/ (HR) XXXXX ZA XXXXXX/ (XX) XXXXXXXX XXX XX FIRMA/ (XX) XXXXXXXX XXXXX/ (XX) XXXXXX LAUKELIS/ (HU) XX XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) VAK XXXX XX HANDTEKENING/ (PL) XXXX XXXXXXX/ (XX) XXXXÇX DESTINADO À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXXX NA XXXXXX/ (XX) XXXXX XX PODPIS/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (XX) XXXX XÖX UNDERTECKNANDE

6.1

(BG) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) APELLIDO(S) X XXXXXX(X) XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXX X XXXXX (XXXXX) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXX(X) OG XXXXXXX(X) XÅ XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) FAMILIENNAME(N) 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 THE XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) NOM(S) XX XXXXXX(X) XX XXXXXXXXXXXXX QUI X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXXX CÉADAINM (XXXXXXXXXXXXXX) AN XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXX(XX) X IME(NA) XXXXXXXXXX KOJI XX XXXXX OVAJ OBRAZAC/ (XX) XXXXXXX/X X XXXX/X XXX FUNZIONARIO XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX VEIDLAPU, XXXĀXXX(-X) XX VĀRDS(-I)/ (XX) ŠIĄ FORMĄ XXXXXXXXX XXXXXXŪXX PAVARDĖ (-ĖX) XX XXXXXX (-XX)/ (HU) A XXXXXXXXXXXXXXXXX XXXXXXXX TISZTVISELŐ XXXXXXX XXXX(X) ÉS XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X ISEM(/ISMIJIET) TAL-UFFIĊJAL XX ĦXXXĠ DIN XX-XXXXXXX/ (XX) XX(X)X(XX) XX XXXXXX(X)X(XX) XXX XX AMBTENAAR XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (PL) NAZWISKO(-A) X XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX FORMULARZ/ (XX) XXXXXXX(X) E NOME(S) XXXXXXX(X) DO XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXX ȘI XXXXXXXXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) PRIEZVISKO(-Á) A XXXX(-X) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX/XXXXXXX IN XXX/XXXXX XXXXXXXX, KI XX XXXXX XX XXXXXXX/ (FI) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXXXXX (-XXXXX) XX XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX XXX XÖXXXXX XÅ XXX TJÄNSTEMAN XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

6.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) CARGO XXX XXXXXXXXXXX XXX XXXXXXX XXXX IMPRESO/ (CZ) XXXXXX XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX — XXX EMBEDSMAND, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) STELLUNG XXX BEAMTEN, DER XXXXXX XXXXXXXX AUSGESTELLT XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXX XX XXX OFFICIAL XXX ISSUED XXXX XXXX/ (XX) POSTE XX XXXXXXXXXXXXX XXX X XXXXXXX LE XXXXXXX XXXXXXXXXX/ (GA) XXXX AN OIFIGIGH X X’XXXXXX AN XXXXXX SEO/ (XX) XXXXXXXX SLUŽBENIKA XXXX XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXX FUNZIONARIO CHE XX XXXXXXXXXX IL XXXXXXXX XXXXXX/ (LV) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, XXXXX/ (XX) XXĄ FORMĄ XXXXXXXXX XXXXXXŪXX PAREIGOS/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX TISZTVISELŐ BEOSZTÁSA/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX XXX XX AMBTENAAR XXX XXX XXXXXXXXX XXXXX AFGEGEVEN/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX DO XXXXXXXXXXX QUE XXXXXX X XXXXXXXX FORMULÁRIO/ (XX) XXXXȚXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, KTORÝ XXXXX TENTO XXXXXXXX/ (XX) XXXXXXX URADNIKA, XX XX XXXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX ANTANEEN XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX FORMULÄR

6.3

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) DE EXPEDICIÓN/ (XX) XXXXX (DD/MM/RRRR) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX ISSUE/ (XX) XXXX (JJ/MM/AAAA) XX XXXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (LV) 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) VAN XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATA XX EMISSÃO (XX/XX/XXXX)/ (XX) DATA (ZZ/LL/AAAA) XXXXXXXX/ (SK) DÁTUM (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/LLLL) IZDAJE/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) DATUM (XX/XX/ÅÅÅÅ) XÖX UTFÄRDANDE

6.4

(BG) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (XX) UNDERSKRIFT/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXX/ (EL) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) ASSINATURA/ (XX) XXXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) SELLO X TIMBRE/ (XX) XXXXX XXXX RAZÍTKO/ (XX) SEGL XXXXX XXXXXXX/ (DE) SIEGEL XXXX STEMPEL/ (XX) XXXXXX VÕI TEMPEL/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX STAMP/ (XX) SCEAU OU XXXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXX XXX XXXXX/ (XX) BOLLO X XXXXXX/ (XX) ZĪMOGS XXX SPIEDOGS/ (LT) XXXXXXX ARBA ANTSPAUDAS/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX XXX TIMBRU/ (XX) XXXXX XX XXXXXXX/ (XX) XXXXXĘĆ XXX XXXXXXX/ (XX) SELO XX XXXXXXX/ (RO) XXXXXXXX XXX ȘXXXXXXX/ (XX) XXXXX ALEBO XXXXXXXX XXXXXXXX/ (SL) XXXXX XXX XXX/ (XX) XXXXXXX XXX XXXXX/ (XX) XXXXXX XXXXX XXÄXXXX

XXXXXXXXXXX XXXXXXX X XXXXXXXXX XXXXXX XXXXXXXXX XXXXX, JEHOŽ XX DOTYČNÁ XXXXX XXXXXXX PŘÍSLUŠNÍKEM

VÍCEJAZYČNÝ XXXXXXXXXX XXXXXXXX – XXXXXXX XXX XXXXXXX

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

Xxxxxx (XX) Xxxxxxxxx (XX)

Xxxxx republika (XX)

Xxxxxx (DK) Xxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (EL) Španělsko (XX)

Xxxxxxx (XX) Chorvatsko (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (XX) Litva (XX)

Xxxxxxxxxxx (LU)

Maďarsko (HU) Xxxxx (XX)

Xxxxxxxxxx (XX) 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 formuláře xx usnadnění překladu xxxxxxx listiny, x xxx je xxxxxxxx. Xxxxx xxxxxxxx xx xxxx xxxxxxxxx státy xxxxx pohybovat jako xxxxxxxxxx xxxxxxxx.

Xxxxx xxxxxxxx xxxxxx xxxxx xxxxxxx xxxxxxx, x níž xx xxxxxxxx. Orgán, xxxxx xx veřejná xxxxxxx předkládána, xxxx xxxx x xxxxxxxxx, xxx je xx xxxxxxxx xxx xxxxx xxxxxxxxxx xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx či xxxxxx xxxxxxxxx, xxxxx xxxx xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX XXXXX

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

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

1. ORGÁN VYDÁVAJÍCÍ XXXXX XXXXXXXX

1.1 Název (3)

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

1.1 Xxxxx (4)

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

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

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx vydaná vyšším xxxxxxx úředníkem

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

3.1.5 Xxxx (xxxxxxxxx)

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

(2) Xxx xxxxxxxxxx rukou xxxxxxxx xxxxxxx xxxxx.

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

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

3.2 Xxxxxxx xxxxxx správním xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x xxxxxxxxx xxxxxx

3.2.3 Opis xxxxxxx x xxxxxxxxx xxxxxx

3.1.5 Xxxx (upřesněte)

3.3 Xxxxxxxx listina

3.4 Xxxxxx xxxxxxxxx, xxxxxx xxxx xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

3.5 Listina xxxxxxxxxx diplomatickým xxxxxxxxx xxxx xxxxxxxxxxx úředníkem xxxxxxxxx xxxxx x xxxxx výkonu jeho xxxxxxxxxx xxxxxxxxxx

3.6 Datum (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx xxxxx veřejné xxxxxxx

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

4.1 Příjmení

4.2 Xxxxxxxxx příjmení

4.3 Xxxxx (xxxxx)

4.4 Xxxxxxxxx jméno (xxxxx)

4.5 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.6 Místo (1) x xxxx (2) xxxxxxxx

4.7 Xxxxxxx:

4.7.1 Xxxx

4.7.2 Xxx

4.7.3 Xxxxxxxx

4.8 Xxxxxx xxxxxxxxxxx

4.9 Xxxxxxxxxxxxx xxxxx

4.10 Xxxx x číslo xxxxxxxxxxxxxxx xxxxxxx xxxxx:

4.10.1 Xxxxxxxxxxxx průkaz xxxxxxxxxx / x.

4.10.2 Xxx / x.

4.10.3 Řidičský xxxxxx / x.

4.10.4 Xxxx (xxxxxxxxx) /x.

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

6. XXXX PRO XXXXXX

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

6.2 Funkce xxxxxxxx, xxxxx vydal tento xxxxxxxx

6.3 Xxxxx (xx/xx/xxxx) xxxxxx

6.4 Xxxxxx

6.5 Xxxxx xxxx xxxxxxx

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

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

XXXXXXXXXXX GLOSÁŘ XXXXX XXXXXXXXXXXX XXXXXXX

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

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX EXPIDE XXXX XXXXXXX/ (CZ) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (DE) XXXÖXXX, XXX DIESES XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX XXXX/ (FR) XXXXXXXX XX DÉLIVRANCE XX XXXXXXX XXXXXXXXXX/ (XX) XX tÚDARÁS X XXXXXXXX XX FHOIRM XXX/ (XX) XXXXXX XXXX IZDAJE XXXX XXXXXXX/ (XX) XXXXXXXÀ XXX RILASCIA XX XXXXXXXX XXXXXX/ (LV) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) AWTORITÀ XXXXXXXXX XX' XXX XX-XXXXXXX/ (NL) XXXXXXXXXX XXX AFGIFTE XXX XXX XXXXXXXXX/ (PL) XXXXX WYDAJĄCY XXXXXXXXX XXXXXXXXX/ (PT) AUTORIDADE XXX XXXXX X XXXXXXXX FORMULÁRIO/ (XX) XXXXXXXXXXX XXXXXXXĂ A XXXXXXXXXXX XXXXXXXX/ (SK) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) ORGAN, XX XXXX XX XXXXXXX/ (XX) TÄMÄN XXXXXXXXX XXXXXX VIRANOMAINEN/ (XX) MYNDIGHET XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (CZ) XXXXX/ (DA) XXXXXXXXXX/ (XX) BEZEICHNUNG/ (ET) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (HR) XXXXX/ (IT) DENOMINAZIONE/ (XX) XXXXXXXXX/ (LT) XXXXXXXXXXX/ (XX) MEGNEVEZÉS/ (XX) TITLU/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) DESIGNAÇÃO/ (XX) XXXXXXXX/ (SK) XXXXX/ (XX) IME/ (XX) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) AUTORIDAD XXX EXPIDE XX XXXXXXXXX PÚBLICO AL XXX XX ADJUNTA XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, X NÍŽ XX XXXXXXXX TENTO XXXXXXXX/ (DA) DEN XXXXXXXXX, XXX XXX XXXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX ER XXXXÆXXXX/ (XX) BEHÖRDE, DIE XXX ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX FORMULAR XXXXXXÜXX XXX, AUSSTELLT/ (XX) ASUTUS, XXX XXXXX VÄLJA AVALIKU XXXXXXXXX, XXXXXXX XXX XXXX ON XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XXXXXXX XXX PUBLIC XXXXXXXX XX WHICH XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXXXX DU XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) TIJELO XXXX XXXXXX JAVNU XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX IL XXXXXXXXX XXXXXXXX CUI XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, KURAM ŠĪ XXXXXXXX XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (LT) XXXXĄXĮ XXXXXXXXĄ, XXXX KURIO XXXXXXXXX XX XXXXX, XXXXXXXXXX VALDŽIOS XXXXXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX DIN XX-XXXXXXX/ (XX) XXXXXXXXXX VAN XXXXXXX XXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX FORMULIER XX XXXXXXX/ (XX) XXXXX XXXXXĄXX DOKUMENT XXXĘXXXX, XX XXXXXXX NINIEJSZY XXXXXXXXX XXXX ZAŁĄCZONY/ (XX) XXXXXXXXXX XXX XXXXX X DOCUMENTO XXXXXXX X XXX X XXXXXXXX FORMULÁRIO XXXX XXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ A XXXXXXXXXXXX XXXXXXX XX XXXX ESTE ANEXAT XXXXXXXXX FORMULAR/ (SK) XXXXX VYDÁVAJÚCI XXXXXXX XXXXXXX, KU XXXXXX XX TENTO XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX XXXX XXXXX XXXXXXX, XX JI XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXXXX, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX SOM 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 XXXXXXXXX PÚBLICO XX XXX XX XXXXXXX XXXX IMPRESO/ (XX) XXXXXXXXX XXXXXXXX SE XXXXXXX XXXXXXX, K XXX XX XXXXXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXXXXX XXXXØXXXXX DET XXXXXXXXXX XXXXXXXX, XXX XXXXX FORMULAR XX XXXXÆXXXX/ (DE) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX IST/ (XX) XXXXX XXXXXXX DOKUMENDI XXXXX, XXXXXXX SEE XXXX XX LISATUD/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXXXX XXXXXXXX TO XXX XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX ATTACHED/ (XX) XXXXXXXXXXXX XXXXXXXXX XX DOCUMENT XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX X XXXXXXXXX XXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXXXXX KOJE XX XXXXXX XX XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX PRILOŽEN/ (XX) INFORMAZIONI XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX IL PRESENTE XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX XĪ VEIDLAPA IR XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX XXXXXXXXX, XXXX KURIO XXXXXXXXX ŠI FORMA/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (MT) XXXXXXXXXXXXX XXXX ID-DOKUMENT PUBBLIKU XX MIEGĦU HIJA XXXXXŻX XXX XX-XXXXXXX/ (XX) INFORMATIE XXXXXXXXXXX XXX OPENBAAR XXXXXXXX XXXXXXX XXX FORMULIER XX XXXXXXX/ (PL) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX KTÓREGO XXXXXXXXX XXXXXXXXX JEST XXŁĄXXXXX/ (PT) XXXXXXXÇÕXX XXXXXXXXX XX XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX LA XXXXXXXXXX OFICIAL LA XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXX XXXXXXX, KU XXXXXX XX XXXXX FORMULÁR XXXXXXXXX/ (XX) XXXXXXXXXXX X ZVEZI X XXXXX XXXXXXX, XX XX XX PRILOŽEN XX XXXXXXX/ (XX) XXXXXX YLEISESTÄ ASIAKIRJASTA, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXXXX 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/ (ES) XXXXXXXXX XXXXXXXX POR XXX AUTORIDAD X XX XXXXXXXXXXX XXXXXXXXX X LOS ÓRGANOS XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (XX) XXXXXXX VYDANÁ ORGÁNEM XXXX XXXXXXXXX X XXXXXX NA XXXXX XXXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXXX, XXX XX XXXXXXX XX XX XXXXXXXXX XXXXX XX XXXXXXXXXX, XXX XX XXXXXXXXXX XXXXXXXX X XX XXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXÖXXX XXXX EINER XXXXXXXXXX XXX XXXXX XXX RECHTSPFLEGE XXXXX XXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX KOHTUTEGA XXXXXX XXXXXXXXXXX XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX FROM XX XXXXXXXXX XX XX XXXXXXXX XXXXXXXXX XXXX XXX XXXXXX XX XXXXXXXXX OF X XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXX X'XXX XXXXXXXX XX X'XX FONCTIONNAIRE XXXXXXXX X'XXX XXXXXXXXXXX X'XX XXXX XXXXXX/ (GA) XXXXXXXXX A XXXXXXX X XXXXXX XX X XXXXXXXXX X XXXXXX XXXXX XXXX XX XXXX LE XXXXXXXXXX XX LE XXXXX XX XXXXX XXXXXXXXX/ (HR) XXXXXXX XXXX XX XXXXXX XXXXXX XXX XXXXXXXXX XXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ X XX XX FUNZIONARIO XXXXXXXXXXXX AD XXX XXXXX XXXXXXXXXXXXX XX XXX XXXXX XXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX AR XXXĪXXXXXXX XXXXĀX SAISTĪTA XXXXĀXX XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, IŠDUOTAS XXXXXXXX XXXXXXXXXXXX AR XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX XXXXXXXX AR XXXXXXXXXXX/ (HU) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX ÁLLÓ XXXXXXX XXXX TISZTVISELŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ JEW XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX XXX XX-XXXXXXXXX XX' STAT XXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXXXX OF XXXXXXXXX XXXXXXXXX TOT XXX XXXXXXXXXXXX XXXXXXXXX VAN XXX XXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX XX XXXXXX SĄDOWEGO XXX XXXĘXXXXX SĄDOWEGO XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX DE XXX XXXXXXXXXX XX DE XX XXXXXXXXXXX DEPENDENTE XX XXXXXXXX XXXXXXXÇÃX XX UM XXXXXX-XXXXXX/ (XX) DOCUMENT XXXX XX X XXXXXXXXXX XXX XX XX XXXXȚXXXXX XX PE XÂXXĂ XXXXXXȚXXX XXXX XXXX MEMBRU/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXX ÚRADNÍKOM S XÄXXXX XX XXXX XXXXXXXXX XXXXX/ (SL) XXXXXXX, XXXXXX S XXXXXX ORGANA ALI XXXXXXXX XXXXX OBLASTI XXXXXX XXXXXXX/ (XX) XXXXXXXXX, JONKA XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX TAI XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX XXÅX XX XXXXXXXXX XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) RESOLUCIÓN JUDICIAL/ (XX) ROZHODNUTÍ SOUDU/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) COURT XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXX XX gCÚIRT/ (XX) XXXXXX XXXXXX/ (IT) XXXXXXXXX GIURISDIZIONALE/ (XX) XXXXXX XĒXXXX/ (XX) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX HATÁROZAT/ (XX) XXĊXŻXXXX TAL-QORTI/ (NL) XXXXXXXXXXXX BESLISSING/ (PL) XXXXXXXXXX XĄXXXX/ (PT) XXXXXÃX JUDICIAL/ (RO) XXXĂXÂXX JUDECĂTOREASCĂ/ (SK) XXXXX XXXXXXXXXXX/ (XX) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (SV) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (ES) XXXXXXXXX EXPEDIDO POR XX XXXXXXXXXX XXXXXX/ (XX) LISTINA XXXXXX XXXXXXX ZÁSTUPCEM/ (XX) XXXXXXXX XXXXXXX AF XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX EINER STAATSANWALTSCHAFT/ (XX) DOKUMENT, XXXXX XX XÄXXX ANDNUD XXXXXXX XÜÜXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX A XXXXXX PROSECUTOR/ (FR) XXXXXXXX XXXXXXX XX XXXXXXÈXX XXXXXX/ (XX) XXXXXXXXX A XXXXXXX X IONCHÚISITHEOIR POIBLÍ/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX DAL PUBBLICO XXXXXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX PROKURORS/ (XX) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (HU) ÜXXXXX XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXXXX PUBBLIKU/ (XX) DOCUMENT AFGEGEVEN XXXX EEN XXXXXXXX XXXXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX PROVENIENTE XX XXXXXXXXXX XXXXXXX/ (XX) DOCUMENT XXXX XX UN XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) LISTINA, XX XX XXXX XXXXXXX TOŽILSTVO/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX UN XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXX SOUDNÍM XXXXXXXXX/ (DA) DOKUMENT XXXXXXX AF EN XXXXXXXXXXXXXÆX/ (XX) XXXXXXX XXXXX URKUNDSBEAMTEN XXX XXXXXÄXXXXXXXXX XXXXX GERICHTS/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXX XX X XXXXX/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX/ (XX) XXXXXXXXX A XXXXXXX Ó CHLÉIREACH XX CHUID XXXXXX/ (XX) ISPRAVA XXXX XX XXXXX XXXXXXXXXX XXXXXX PISARNICE/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XXXXXX SEKRETĀRS/ (LT) XXXXXX XXXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ MINN XXĠXXXXXXXX XX' QORTI/ (XX) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX XXXXXXXXXX SĄDOWEGO/ (XX) XXXXXXXXX PROVENIENTE XX XX OFICIAL DE XXXXXÇX/ (RO) XXXXXXXX XXXX DE XX XXXXXXX AL XXXXXXȚXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXX, KI JO XXXX XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX ASIAKIRJA/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX EN DOMSTOLSTJÄNSTEMAN

3.1.4

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (ES) XXXXXXXXX EXPEDIDO POR XX XXXXXX JUDICIAL («XXXXXXXX DE XXXXXXX»)/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXX XXXXXXX XX XX XXÆXXXXXXXXXX (»HUISSIER XX JUSTICE«)/ (DE) XXXXXXX EINES XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, MILLE XX XÄXXX XXXXXX XXXXXXÄXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX DE XXXXXXX»)/ (EN) XXXXXXXX XXXXXXXXX FROM X XXXXXXXX OFFICER ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXX A XXXXXXX X OIFIGEACH XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (XX) ISPRAVA XXXX JE XXXXX XXXXXX OVRŠITELJ (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXX DA XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX DE XXXXXXX")/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX TIESAS XXXXXXĪXĀXX (XXXXXXXX DE XXXXXXX)/ (XX) XXXXXXXXX (HUISSIER XX XXXXXXX) IŠDUOTAS XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXXX („HUISSIER XX XXXXXXX”) XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXXXX DOOR EEN XXXXXXXXXXXXXXXXXXX/ (PL) DOKUMENT XXXXXXXĄXX XX XXXĘXXXXX XĄXXXXXX (HUISSIER XX XXXXXXX)/ (PT) XXXXXXXXX XXXXXXXXXXX XX UM XXXXXXÃX XX XXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) DOCUMENT EMIS XX XX EXECUTOR XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (SK) XXXXXXX XXXXXX XXXXXX VYKONÁVATEĽOM („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXX, KI XX IZDA SODNI XXXXXXXXXX („HUISSIER XX XXXXXXX“)/ (XX) HAASTEMIEHEN (”XXXXXXXX XX XXXXXXX”) XXXXXX XXXXXXXXX/ (SV) XXXXXXXX XXX XÄXXÖX XXÅX EN STÄMNINGSMAN (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (ES) OTRO (XXXXXXXXXXXXX)/ (XX) XXXX (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) SONSTIGES (XXXXX XXXXXXX)/ (XX) XXX (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (EN) XXXXX (TO BE XXXXXXXXX)/ (FR) AUTRE (À XXXXXXXX)/ (XX) XXXX (XX XXXXX)/ (XX) OSTALO (XXXXXXX)/ (XX) XXXXX (PRECISARE)/ (XX) XXXX (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (XX) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) OĦRAJN (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) XXXX (XXXXXĘ XXXXŚXXĆ)/ (PT) XXXXXX (A XXXXXXXXXXX)/ (XX) XXXXX (X XX XXXXXXX)/ (SK) XXX (SPRESNIŤ)/ (XX) XXXXX (NAVESTI)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) XXXXX HANDLING (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX DOKUMENT/ (XX) XXXXXXX EINER XXXXXXXXXXXXXXÖXXX/ (XX) HALDUSDOKUMENT/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (GA) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX DOKUMENTS/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (RO) XXXXXXXX XXXXXXXXXXXXX/ (SK) XXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (CZ) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) BESCHEINIGUNG/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (FR) XXXXXXXXXX/ (GA) DEIMHNIÚ/ (XX) POTVRDA/ (XX) XXXXXXXXXXX/ (XX) APLIECINĀJUMS/ (XX) PAŽYMA, LIUDIJIMAS/ (XX) TANÚSÍTVÁNY/BIZONYÍTVÁNY/ (XX) ĊXXXXXXXXX/ (XX) CERTIFICAAT/ (XX) ZAŚWIADCZENIE/ (XX) XXXXXXÃX OU XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (SL) XXXXXXXX/ (XX) TODISTUS/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА СЪДИМОСТ/ (XX) EXTRACTO XXX XXXXXXXX XX XXXXXXXXXXXX XXXXXXX/ (CZ) XXXXX X XXXXXXXXX XXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXX/ (XX) STRAFREGISTERAUSZUG/ (XX) XXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΠΟΙΝΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) EXTRACT XXXX THE XXXXXXXX XXXXXX/ (XX) XXXXXXX XX XXXXXX XXXXXXXXXX/ (XX) XXXXXXX AS XX XXXXXXX XXXXXXXX/ (XX) IZVADAK XX XXXXXXX EVIDENCIJE/ (IT) XXXXXXXX XXX XXXXXXXXXX XXXXXXXXXX/ (XX) IZRAKSTS XX XXXĀXĪXXX XXĢXXXXX/ (XX) IŠRAŠAS XX XXXXXXXXXXXŲ XXXXXXXX/ (HU) XXXXXXX A XŰXÜXXX XXXXXXXXXXXXXXXX/ (MT) XXXXXXX XXX-XXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXXXXXXX/ (XX) XXXXĄX X REJESTRU XXXXXXX/ (XX) CERTIFICADO XX XXXXXXX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXX XXXXXXXX/ (SK) VÝPIS X XXXXXXXX XXXXXXX/ (XX) XXXXXXX XX XXXXXXXX EVIDENCE/ (XX) XXXXXXXXXXXXXXXXX/ (XX) XXXXXX XX KRIMINALREGISTRET

3.2.3

(BG) ПЪЛЕН ПРЕПИС ОТ АКТ ОТ РЕГИСТЪРА ЗА СЪДИМОСТ/ (ES) XXXXX XXXXXXX XX XXXXXXXXXXXXX XXX XXXXXXXX XX XXXXXXXXXXXX XXXXXXX/ (CZ) XXXX ZÁZNAMU X XXXXXXXXX TRESTŮ/ (XX) XXXXXX XXXX AF XXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXXXXXX DES XXXXXXXXXXXXXX/ (XX) KARISTUSREGISTRI VÄLJAVÕTTE XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΟΙΝΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXXX COPY XX XXX XXXXXXXX XXXXXX/ (XX) XXXXX XXXXXXXXX DU XXXXXX XXXXXXXXXX/ (XX) CÓIP XXXXX XX XXXXXX XXX XXXXXXX COIRIÚIL/ (XX) DOSLOVNI PRIJEPIS XX XXXXXXX XXXXXXXXXX/ (XX) XXXXX XXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXĀXĪXXX XXĢXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXŲ REGISTRO ĮXXXŲ XXXXXXXĖ XXXXXX/ (XX) X BŰNÜGYI XXXXXXXXXXXXX XXX XXXXXXXX MÁSOLATA/ (XX) XXXXX VERBATIM XXX-XXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXXXXXXX/ (PL) XXXXX ZUPEŁNY X XXXXXXXX XXXXXXX/ (XX) XXXXXXÃX XX XXXXX XXXXXXXX XX DE XXXXXXXXX XX XXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXĂ A XXXXXXXXXX XXXXXXXX/ (SK) XXXXXXXX XXXXX Z XXXXXXXX XXXXXXX/ (SL) DOBESEDNI XXXXXX XX XXXXXXXX XXXXXXXX/ (FI) XXXXXXXXXXXXXXXXXXXX XXXXXXXXXX JÄLJENNÖS/ (SV) XXXXXXXXX AVSKRIFT XX XXXXXXXXX UR XXXXXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (CZ) XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) XXXXXXXXXX URKUNDE/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) ACTE XXXXXXX/ (GA) GNÍOMH XXXXXXXXXXXX/ (XX) JAVNOBILJEŽNIČKA XXXXXXX/ (IT) ATTO XXXXXXXX/ (LV) XXXXXXĀXX XXXX/ (XX) XXXXXXXXX XXXXX/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (XX) XXX XXXXXXXXXX/ (PT) ATO XXXXXXXX/ (RO) ACT XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (SL) XXXXXXXX XXXXXXX/ (FI) NOTAARIN XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX HANDLING

3.4

(BG) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (ES) CERTIFICACIÓN XXXXXXX XXXXXX SOBRE XX DOCUMENTO XXXXXXX/ (XX) XXXXXX XXXXXXXXX, XXXXXX XXXX OPATŘENA XXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) OFFICIEL XÅXXXXXXX XÅ XX XXXXXXXX UNDERTEGNET XX XX XXXXXX I XXXXXX XXXXXXXX AF XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX XXXXX XXXXXXXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXXXX ALLKIRJASTATUD XXXXXXXXXXX XXXXXXXXXX XXXXXXX XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (EN) XXXXXXXX XXXXXXXXXXX XXXXXX XX A XXXXXXXX XXXXXX XX X XXXXXX IN XXX XX XXX PRIVATE XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX XX ACTE SOUS XXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX A XXXXXXXXX XX XXXXXXXXXX XXXX XXXXXX XX XXXXX XXX XXXXX XX XXX XXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX STAVLJENA NA XXXXXXX KOJU XX XXXXX XXXXXXXXX X XXXXXXXXX SVOJSTVU/ (IT) XXXXXXXXXXXXX UFFICIALE APPOSTA XX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXĀXX XXXXXXXXĀXXXX UZ XXXXXXXXX, XX XXXĀ VĀRDĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (XX) PRIVAČIŲ XXXXXŲ XXXXXXXXXŲ DOKUMENTŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) MAGÁNOKIRATON XXXXXXXXXXX HIVATALOS TANÚSÍTVÁNY/ (XX) ĊERTIFIKAT XXXXĊXXXX XX XXXXXXXĦXX F'DOKUMENT XXXXXXXX XXXX PERSUNA XXX-XXXXĊXXÀ PRIVATA TAGĦHA/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXX XXXXXXXXXXX DOOR XXX XXXXXXX XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (PL) XXXĘXXXX ZAŚWIADCZENIE XXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXXX XXXXX OSOBĘ DZIAŁAJĄCĄ X XXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX NUM XXX XX NATUREZA PRIVADA/ (XX) XXXXXXXXXX OFICIAL XXXXXXX XX XX XXXXXXXX SUB XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX NA XXXXXXX XXXXXXXXXX OSOBOU XXXXXXXXX AKO XXXXXXXX XXXXX/ (SL) URADNA XXXXXX XX XXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, JONKA XXXXXXÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (SV) XXXXXXXXXX XXXXX ANBRINGAT XÅ XX HANDLING XXX XXXXXXXXXXXXX XX EN XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX POR XX AGENTE XXXXXXXXXXX X CONSULAR XX XX ESTADO XXXXXXX XXX XXXXXXXX OFICIAL/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX NEBO XXXXXXXXXXX ÚŘEDNÍKEM XXXXXXXXX XXXXX V XXXXX XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (DA) XXXXXXXX XXXXXXXXX XXXÆXXXXXX XX XX MEDLEMSSTATS DIPLOMATISKE XXXXX XXXXXXÆXX REPRÆSENTANT/ (XX) VON XXXXX XXXXXXXXXXXXXX XXXX KONSULARISCHEN XXXXXXXXX XXXXX MITGLIEDSTAATS XX XXXXXX XXXXXXXXX XXXXXXXX ERRICHTETE XXXXXXX/ (XX) XXXXXXXXXXXX DIPLOMAATILISE XÕX KONSULAARAMETNIKU XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (EL) 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 XXXXXX STATE XX XXX XX XXX XXXXXXXX CAPACITY/ (XX) XXXXXXXX XXXXXX XX SA QUALITÉ XXXXXXXXXX PAR XX XXXXX DIPLOMATIQUE OU XXXXXXXXXX X'XX ÉTAT XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX XX XXXXX XXXXXXXXX XXX XXXXX XX XXX XXXX XXXXXXXXX/ (HR) XXXXXXX KOJU XX X SLUŽBENOM XXXXXXXX XXXXXXXX XXXXXXXXXXX ILI XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX XXXXXXXXXXX O XXXXXXXXX XX UNO STATO XXXXXX XXXX'XXXXXXXXX DELLE XXXX FUNZIONI/ (XX) XXXXXXXXX, XXXX, XXXXXX XXXXX PIENĀKUMUS, SAGATAVOJIS XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX VALSTYBĖS XXXĖX XXXXXXXXX XX XXXXXXXXXX XXXXXXŪXX, VEIKIANČIO XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX KONZULI XXXXXXXXŐXX ÁLTAL XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX IMĦEJJI XXXX AĠENT DIPLOMATIKU XXX XXXXXXXXX TA' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXXXXX OF XXXXXXXXXX AMBTENAAR VAN XXX LIDSTAAT IN XXXX XXXXXXËXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXĄXXXXX XXXXX PRZEDSTAWICIELA XXXXXXXXXXXXXXX XXX URZĘDNIKA XXXXXXXXXXXX XXŃXXXX CZŁONKOWSKIEGO DZIAŁAJĄCYCH X CHARAKTERZE URZĘDOWYM/ (XX) DOCUMENTO XXXXXXX XXX XX XXXXXX XXXXXXXXXXX XX XXXXXXXX XX UM ESTADO-MEMBRO XX XXXXXXXXX XXX XXXX XXXÇÕXX OFICIAIS/ (XX) DOCUMENT ÎXXXXXXX XX XĂXXX XX XXXXX DIPLOMATIC XXX XXXXXXXX XX XXXX XXXX XXXXXX, ÎN XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX VYHOTOVENÁ XXXXXXXXXXXXX XXXXXXXXX XXXXX KONZULÁRNYM XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX FUNKCIE/ (XX) XXXXXXX, KI JO XXX XXXXXX OSEBA XXXX DIPLOMATSKI XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (FI) XXXXXXXXX, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX XX XXXXXXXX VIRANTOIMITUKSESSA/ (XX) XXXXXXXX XXXXÄXXXX X TJÄNSTEN XX XX XXXXXXXXXXX ELLER XXXXXXÄX XXÄXXXXXXX X XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) FECHA (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) VYDÁNÍ/ (XX) XXXXXXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) AUSSTELLUNGSDATUM (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) DE DÉLIVRANCE/ (XX) DÁTA (XX/XX/XXXX) XXXXXXX/ (HR) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (IT) XXXX XX RILASCIO (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (DD/MM/MMMM)/ (XX) A XXXXXXXXX XXXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (DD/MM/JJJJ) XXX XXXXXXX/ (PL) XXXX (XX/XX/XXXX) WYDANIA/ (XX) XXXX XX XXXXXÃX (DD/MM/AAAA)/ (XX) XXXX (ZZ/LL/AAAA) XXXXXXXX/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXX/ (SL) XXXXX (XX/XX/XXXX) IZDAJE/ (FI) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (SV) XXXXX (DD/MM/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX XXXXXXXXXX XXX DOCUMENTO XXXXXXX/ (CZ) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖFFENTLICHEN XXXXXXX/ (XX) AVALIKU XXXXXXXXX XXXXXXXXXXX/ (EL) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (EN) XXXXXXXXX XXXXXX XX XXX PUBLIC XXXXXXXX/ (XX) NUMÉRO DE XXXXXXXXX DU XXXXXXXX XXXXXX/ (XX) XXXXXX XXXXXXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX/ (LV) PUBLISKĀ XXXXXXXXX ATSAUCES XXXXXX/ (XX) VIEŠOJO XXXXXXXXX XXXXXXX/ (XX) X XÖXXXXXXX HIVATKOZÁSI XXXXX/ (XX) XXXXX XX' XXXXXXXXX TAD-DOKUMENT XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX VAN XXX XXXXXXXX DOCUMENT/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (PT) XXXXXX XX REFERÊNCIA XX DOCUMENTO PÚBLICO/ (XX) XXXĂXXX XX XXXXXXXȚĂ XX DOCUMENTULUI XXXXXXX/ (XX) XXXXXXXXXX XXXXX VEREJNEJ XXXXXXX/ (XX) REFERENČNA XXXXXXXX XXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX VIITENUMERO/ (XX) DEN XXXXXXXXXX XXXXXXXXXXX REFERENSNUMMER

4.

(BG) ИНФОРМАЦИЯ ЗА САМОЛИЧНОСТТА НА СЪОТВЕТНОТО ЛИЦЕ СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX XXXXX XX XXXXXXXXX DE LA XXXXXXX X XX XXX SE REFIERE XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX ESTE IMPRESO/ (XX) INFORMACE X XXXXXXXXXX OSOBY XXXXXXX XX XXXXXXX XXXXXXX, X XXX JE XXXXXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXXXXX OM XXXXXXXXXXX XÅ PERSONEN, XXX XXX OFFENTLIGE XXXXXXXX, XXX XXXXX XXXXXXXX ER XXXXÆXXXX, XX UDSTEDT X/ (XX) ANGABEN XXX XXXXXXXÄX DER XXXXXXXXXXXX XXXXXX GEMÄSS XXX ÖXXXXXXXXXXX XXXXXXX, DER XXXXXX FORMULAR BEIGEFÜGT XXX/ (XX) XXXXX XXXXX XXXXXXXXXXXXX XXXXX, XXX XX NIMETATUD XXXXXXXX XXXXXXXXXX, MILLELE XXX XXXX XX XXXXXXX/ (EL) ΠΛΗΡΟΦΟΡΙΕΣ ΓΙΑ ΤΗΝ ΤΑΥΤΟΤΗΤΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΚΑΤΟΝΟΜΑΖΕΤΑΙ ΣΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX XXXXXXXX OF XXX PERSON XXXXX XX XXX PUBLIC XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXXXXXX XXX X'XXXXXXXX XX XX PERSONNE XXXXXXXXX XXX LE XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXX XXXXXXXXXX XX XXXXX XXX XXXXXXXXX XX XXXXXXXXX XXXXXX XXXX BHFUIL AN XXXXXX SEO CEANGAILTE/ (XX) XXXXXXXXXXX X XXXXXXXXXX XXXXX XXXXXXXX X XXXXXX ISPRAVI XXXXX XX XXXX XXXXXXX PRILOŽEN/ (XX) XXXXXXXXXXXX XXXX'XXXXXXXÀ DELLA XXXXXXX XXXXXXXXXXX DAL XXXXXXXXX PUBBLICO XXX XX PRESENTE XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXXXXĀ XXXXXXXXĀ, XXXXX XĪ XXXXXXXX IR XXXXXXXXXX, XXXĒXĀX XXXXXXXX XXXXXXXĀXX/ (XX) INFORMACIJA XXXX XXXXXX, XXXXXXXX VIEŠAJAME XXXXXXXXX, XXXX KURIO XXXXXXXXX XX FORMA, XXXXXXXĘ/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATBAN XXXXXXXXXXX XXXXXXX XXXXXXXXXXXXXXXXXXX XXXXXXXXX XXXXXX/ (MT) XXXXXXXXXXXXX XXXX X-XXXXXXXÀ XXX-XXXXXXX MSEMMIJA FID-DOKUMENT XXXXXXXX XX XXXXĦX XX MEHMUŻA XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXX DE XXXXXXXXXX XXX DE XXXXXXXXXX XX XXXXX XXX XXX XXXXXXXX XXXXXXXX XXXXXXX DIT XXXXXXXXX XX XXXXXXX/ (PL) XXXX XX TEMAT XXŻXXXXŚXX OSOBY WSKAZANEJ X XXXXXXXXXX XXXĘXXXXX, XX XXXXXXX ZAŁĄCZONY XXXX XXXXXXXXX FORMULARZ/ (XX) INFORMAÇÕES XXXXX X XXXXXXXXXX XX XXXXXX XXXXXXXXX NO XXXXXXXXX PÚBLICO A XXX O PRESENTE XXXXXXXXXX ESTÁ XXXXXX/ (XX) XXXXXXXȚXX PRIVIND XXXXXXXXXXX XXXXXXXXX XXXXXX XX DOCUMENTUL XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXXXX OSOBY UVEDENEJ XX XXXXXXXX LISTINE, XX XXXXXX JE XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX O XXXXXXXXXXXX XXXXX, XX XXXXXX SE XXXXXX XXXXX LISTINA, XX XX XX XXXXXXXX XX XXXXXXX/ (FI) XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX LIITETÄÄN, XXXXXXXXXXX HENKILÖN XXXXXXÖXXXXXX/ (XX) XXXXXXXXX OM XXXXXXXXXXX XÅ XXX XXXXXX SOM BERÖRS XX DEN XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX FORMULÄR ÄX XXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X)/ (XX) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (XX) XXXXXXXXXXXX(X)/ (XX) XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX(X)/ (XX) XXX(X)/ (XX) XXXXXXX (XXXXXXXX)/ (XX) XXXXXXX(XX)/ (IT) XXXXXXX(X)/ (XX) UZVĀRDS(-I)/ (XX) XXXXXXĖ (-ĖX)/ (XX) XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (XX) ACHTERNA(A)M(EN)/ (XX) XXXXXXXX(-X)/ (XX) XXXXXXX(X)/ (XX) NUME/ (XX) XXXXXXXXXX(-X)/ (SL) XXXXXXX/XXXXXXX/ (XX) XXXXXXXX (-XXXXX)/ (XX) XXXXXXXXX

4.2

(XX) ПРЕДИШНО(И) ФАМИЛНО(И) ИМЕ(НА)/ (XX) APELLIDO(S) XXXXXXXX(XX)/ (XX) XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXX(X)/ (XX) XXÜXXXX(X) XXXXXXXXXXXX(X)/ (XX) XXXXXXX XXXXXXXXXXXXX (XXXXXXXXX PEREKONNANIMED)/ (XX) ΠΡΟΗΓΟΥΜΕΝΟ(-Α) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXXX XXXXXXX(X)/ (FR) XXX(X) XXXXXXXXX(X)/ (GA) XXXXXXX (SLOINNTE) XXXXXX XXX/ (XX) XXXXXXXXX(-X) XXXXXXX(XX)/ (XX) XXXXXXX/X XXXXXXXXXX/X/ (XX) XXXXXXXXĒXXXX(-XX) XXXĀXXX(-X)/ (XX) XXXXXXXXĖ (-ĖX) PAVARDĖ (-ĖS)/ (XX) XXŐXŐ CSALÁDI XXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX) XXXĊXXXXXX/ (XX) XXXXXXXX XXXXXXXX(X)X(XX)/ (XX) XXXXXXXXXX XXXXXXXX(-X)/ (XX) XXXXXXX(X) XXXXXXXX(XX)/ (XX) NUME XXXXXXXX (NUME XXXXXXXXXX)/ (XX) XXXXXXXXXXXXXX XXXXXXXXXX(-X)/ (XX) XXXXXXXX XXXXXXX/XXXXXXX / (XX) XXXXXXX XXXXXXXX (XXXXXXX XXXXXXXXX)/ (XX) XXXXXXXX XXXXXXXXX

4.3

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) XXXXX (XXXXX)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-NIMED)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) FORENAME(S)/ (XX) PRÉNOM(S)/ (GA) XXXXXXXX (XXXXXXXXXXXXXX)/ (HR) XXX(XX)/ (XX) XXXX(X)/ (XX) VĀRDS(-I)/ (XX) XXXXXX (-AI)/ (HU) XXXXXXX(X)/ (MT) 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)/ (SV) XÖXXXXX

4.4

(XX) ПРЕДИШНО(И) СОБСТВЕНО(И) ИМЕ(НА)/ (ES) NOMBRE(S) XXXXXXXX(XX)/ (XX) XXXXXXXXX XXXXX (JMÉNA)/ (XX) XXXXXXXXX FORNAVN(E)/ (XX) XXÜXXXX(X) XXXXXXX(X)/ (XX) XXXXXXX XXXXXXX (XXXXXXXXX XXXXXXXX)/ (EL) ΠΡΟΗΓΟΥΜΕΝΟ(-Α) ΟΝΟΜΑ(-ΤΑ)/ (XX) PREVIOUS XXXXXXXX(X)/ (XX) XXXXXX(X) XXXXXXXXX(X)/ (GA) XXXXXXXX (XXXXXXXXXXXXXX) XXXXXX SEO/ (XX) XXXXXXXXX(-X) XXX(XX)/ (XX) XXXX/X XXXXXXXXXX/X/ (XX) IEPRIEKŠĒJAIS(-IE) VĀRDS(-I)/ (XX) ANKSTESNIS (-I) XXXXXX (-XX)/ (XX) XXŐXŐ UTÓNEVE(I)/ (MT) XXXX/XXXXXXXX XXXĊXXXXXX/ (XX) XXXXXXXX XXXXXXX(X)X(XX)/ (PL) XXXXXXXXXX IMIĘ (XXXXXX)/ (XX) XXXX(X) PRÓPRIO(S) XXXXXXXX(XX)/ (XX) PRENUME XXXXXXXX (XXXXXXX XXXXXXXXXX)/ (XX) XXXXXXXXXXXXXX XXXX(-X)/ (XX) PREJŠNJE IME/IMENA/ (XX) ETUNIMI (-XXXXX)/ (XX) XXXXXXXX XÖXXXXX

4.5

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX NACIMIENTO/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) GEBURTSDATUM (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (EN) XXXX (XX/XX/XXXX) XX XXXXX/ (FR) DATE (XX/XX/XXXX) XX XXXXXXXXX/ (XX) XXXX (LL/MM/BBBB) XXXXXXX/ (HR) XXXXX (XX/XX/XXXX) XXĐXXXX/ (IT) XXXX XX NASCITA (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (LT) XXXXXX XXXX (DD/MM/MMMM)/ (XX) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) URODZENIA/ (XX) DATA XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (ZZ/LL/AAAA) NAȘTERII/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) ROJSTVA/ (XX) XXXXXXÄXXXX (PP/KK/VVVV)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.6

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (ES) LUGAR X XXXX DE XXXXXXXXXX/ (XX) XXXXX X XXXX XXXXXXXX/ (XX) XØXXXXXX OG -XXXX/ (DE) ORT XXX XXXX DER XXXXXX/ (XX) XÜXXXXXXX XX -XXXX/ (EL) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX XXX XXXXXXX XX XXXXX/ (FR) XXXX XX XXXX DE XXXXXXXXX/ (XX) ÁIT XXXX XXX XXXXXXXX/ (XX) MJESTO X XXXXXX XXĐXXXX/ (XX) XXXXX X XXXXX XX XXXXXXX/ (XX) XXXXXXXXX XXXXX XX XXXXXX/ (XX) XXXXXX XXXXX XX XXXXX/ (XX) XXÜXXXXXX XXXXX XX XXXXXXX/ (MT) XXXX U XXXXXŻ XXX-XXXXXX/ (NL) XXXXXXXXXXXXXX XX -XXXX/ (PL) XXXXXXX I XXŃXXXX XXXXXXXXX/ (XX) XXXXX X XXXX DE XXXXXXXXXX/ (XX) LOCUL ȘX ȚARA XXȘXXXXX/ (XX) XXXXXX X XXXX NARODENIA/ (XX) XXXX XX DRŽAVA XXXXXXX/ (XX) XXXXXXÄXXXXXX XX -MAA/ (XX) XÖXXXXXXXX OCH -XXXX

4.7

(XX) ПОЛ/ (ES) XXXX/ (XX) XXXXXXX/ (DA) XØX/ (XX) XXXXXXXXXX/ (XX) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (XX) SEXE/ (GA) XXXXXX/ (HR) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) XXXX/ (NL) GESLACHT/ (XX) XŁXĆ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (SL) XXXX/ (XX) XXXXXXXXX/ (XX) XÖX

4.7.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (CZ) XXXX/ (XX) KVINDE/ (XX) WEIBLICH/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) FEMALE/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) MOTERIS/ (HU) XŐ/ (MT) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) FEMININO/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (SV) XXXXXX

4.7.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) MUŽ/ (XX) XXXX/ (XX) XÄXXXXXX/ (ET) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (EN) XXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (HR) XXXXX/ (IT) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) XXXXX/ (XX) XXXXX/ (XX) XXĠXX/ (XX) XXX/ (XX) MĘŻCZYZNA/ (XX) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (FI) XXXX/ (XX) MAN

4.7.3

(BG) НЕОПРЕДЕЛЕН/ (ES) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (DE) XXXXXXXXXX/ (XX) MÄÄRAMATA/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (FR) INDÉTERMINÉ/ (XX) XXXXXXXXXXXXXXX/ (HR) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) NENOTEIKTS/ (XX) XXXXXXXXXXX/ (XX) MEGHATÁROZATLAN/ (XX) XXXX STABBILIT/ (XX) ONBEPAALD/ (PL) XŁXĆ XXXXXXXŚXXXX/ (PT) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) NEDOLOČEN/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

4.8

(XX) ГРАЖДАНСТВО/ (XX) XXXXXXXXXXXX/ (XX) STÁTNÍ XXXXXXXXXXX/ (DA) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXÖXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) ΙΘΑΓΕΝΕΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (LV) XXXXXXXXXXXXĪXX/ (XX) XXXXXXXXĖ/ (XX) XXXXXXXXXXXXXXX/ (XX) ĊITTADINANZA/ (XX) XXXXXXXXXXXXX/ (PL) XXXXXXXXXXXX/ (PT) XXXXXXXXXXXXX/ (XX) XXXĂȚXXXX/ (SK) XXXXXX XXXXXXXXXXX/ (SL) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) MEDBORGARSKAP

4.9

(BG) ГРАЖДАНСКИ НОМЕР/ (ES) NÚMERO XX XXXXXXXXX/ (XX) XXXXXXXXXXXXX ČÍSLO/ (XX) XXXXXXXXXXXXXXXXXXXXX/ (XX) IDENTITÄTSNUMMER/ (XX) XXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΤΑΥΤΟΤΗΤΑΣ/ (XX) XXXXXXXX NUMBER/ (XX) XXXXXX X'XXXXXXXX/ (GA) XXXXXX XXXXXXXXXXX/ (HR) XXXXXXXXXXXXXXXX XXXX/ (XX) XXXXXX D'IDENTIFICAZIONE/ (XX) XXXXXXXĀXXX XXXXXX/ (LT) XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXXX/ (XX) XXXXX XXX-XXXXXXXÀ/ (XX) IDENTITEITSNUMMER/ (XX) XXXXX IDENTYFIKACYJNY/ (XX) XXXXXX DE XXXXXXXXXXÇÃX/ (XX) NUMĂRUL XX XXXXXXXXXXXX/ (SK) XXXXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXÖXXXXXX/ (XX) XXXXXXXXXXXXXXXX

4.10

(XX) ВИД И НОМЕР НА ДОКУМЕНТА ЗА САМОЛИЧНОСТ НА ЛИЦЕТО/ (ES) XXXX X NÚMERO XX DOCUMENTO DE XXXXXXXXXXXXXX XXX XXXXXXXXXX/ (XX) XXXX X XXXXX XXXXXXXXXXXXXXX DOKLADU XXXXX/ (DA) XXXXX XX XXXXXXXX XÅ XXXXXXXXX IDENTIFIKATIONSDOKUMENT/ (DE) XXX XXX XXXXXX XXX IDENTITÄTSDOKUMENTS DER XXXXXX/ (ET) XXXXXX XÕXXXXXX DOKUMENDI XXXX XX XXXXXX/ (EL) ΕΙΔΟΣ ΚΑΙ ΑΡΙΘΜΟΣ ΕΓΓΡΑΦΟΥ ΤΑΥΤΟΤΗΤΑΣ ΤΟΥ ΠΡΟΣΩΠΟΥ/ (EN) TYPE XXX XXXXXX OF XXX XXXXXX’X IDENTIFICATION XXXXXXXX/ (XX) XXXX XX XXXXXX XX XX XXÈXX D'IDENTITÉ XX XX PERSONNE XXXXXXXXX/ (XX) XXXXXX XXXX XXXXXX XXXXXXXXXX XXXXXXXXXXX XX XXXXX/ (XX) XXXXX X XXXX IDENTIFIKACIJSKE ISPRAVE XXXXX/ (XX) XXXX X XXXXXX XXX XXXXXXXXX DI XXXXXXXÀ XXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXXXXXĀXXXXX XXXXXXXXX XXXXX XX XXXXXX/ (XX) XXXXXX TAPATYBĖS XXXXXXXXX TIPAS XX XXXXXXX/ (XX) A XXXXXXXXXXXXXXXX OKMÁNY TÍPUSA XX SZÁMA/ (XX) XX-XXX X X-XXXXX XXX-XXXXXXXX XX' XXXXXXXÀ XXX-XXXXXXX/ (NL) XXXX XX NUMMER XXX XXX XXXXXXXXXXXXXXXXXXX XXX XX XXXXXXXXXX/ (XX) XXXXXX X XXXXX XXXXXXXXX XXŻXXXXŚXX/ (XX) XXXX X XXXXXX XX XXXXXXXXX DE XXXXXXXXXXÇÃX/ (RO) XXXXX ȘX NUMĂRUL XXXXXXXXXXXX XX IDENTIFICARE XX XXXXXXXXX/ (XX) XXX X XXXXX XXXXXXXX XXXXXXXXXX XXXXX/ (SL) XXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXÖXXXXXXXXXXX XXXXXX XX NUMERO/ (XX) XXX XXX XXXXXX XÅ PERSONENS XXXXXXXXXXXXXXXXXX

4.10.1

(XX) НАЦИОНАЛНА ЛИЧНА КАРТА/№/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXXXX / XXX./ (XX) VNITROSTÁTNÍ XXXXXX XXXXXXXXXX / X./ (XX) XXXXXXXXX XXXXXXXXXXXXXX/-XXXXXX/ (XX) NATIONALER XXXXXXXXXXXXXXX/XX./ (XX) RIIKLIK XXXXXXXXXXXXXX / XX/ (XX) ΕΘΝΙΚΟ ΔΕΛΤΙΟ ΤΑΥΤΟΤΗΤΑΣ / ΑΡΙΘ./ (XX) XXXXXXXX XXXXXXXX XXXX/XX./ (XX) XXXXX XXXXXXXXX D'IDENTITÉ/N°/ (XX) XXXXX XXXXXXXXX XXXXXXXXXXX/XXXX./ (XX) XXXXXXXXXX XXXXXX XXXXXXXXX / BR./ (XX) CARTA X'XXXXXXXÀ XXXXXXXXX/X./ (XX) XXXXXX XXXXXXXX XXXXXXĪXX / XX./ (XX) XXXXXXXXXXĖ XXXXXX XXXXXXXĖX XXXXXXĖ / XX./ (HU) XXXXXXX SZEMÉLYAZONOSÍTÓ XXXXXXXXXX/XXXXX/ (XX) XXXXX XXX-XXXXXXXÀ XXXXXXXXXX/XXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXXXX/XX./ (PL) KRAJOWY XXXXX XXŻXXXXŚXX / XX/ (PT) N.o XX XXXXXXXXX XX XXXXXXXXXXÇÃX XXXXXXXX/ (RO) XXXXX XX XXXXXXXXXX XXȚXXXXXĂ/XX./ (SK) NÁRODNÝ XXXXXXX XXXXXXXXXX/x./ (SL) XXXXXXXXXX OSEBNA IZKAZNICA/ŠT./ (XX) XXXXXXXXXXX XXXXXXÖXXXXXX/XXX/ (XX) NATIONELLT XXXXXXXXXXXXXX/XXXXXX

4.10.2

(XX) ПАСПОРТ/№/ (XX) XXXXXXXXX / XXX./ (XX) XXX / X./ (XX) XXX/XX./ (DE) XXXXXXXXX/XX./ (XX) XXXX/XX/ (XX) ΔΙΑΒΑΤΗΡΙΟ/ΑΡΙΘ./ (XX) XXXXXXXX/XX./ (XX) PASSEPORT/N°/ (XX) XXX/XXXX./ (XX) XXXXXXXXX / XX./ (XX) PASSAPORTO/N./ (XX) XXXX/XX./ (LT) XXXXX / NR./ (HU) XXXXXXX/XXXXX/ (MT) XXXXXXXXX/ XXX/ (XX) XXXXXXXX/XX./ (XX) XXXXXXXX / XX/ (PT) N.o XX XXXXXXXXXX/ (XX) XXȘXXXXX/XX./ (XX) XXXXXXXX XXX/x./ (XX) XXXXX XXXX/XX./ (XX) XXXXX/XXX/ (XX) PASS/NUMMER

4.10.3

(BG) СВИДЕТЕЛСТВО ЗА УПРАВЛЕНИЕ НА МПС/№/ (ES) PERMISO XX XXXXXXXXXX / XXX./ (XX) XXXXXXXX XXXXXX / X./ (XX) XØXXXXXX/XX./ (XX) XÜXXXXXXXXXX/XX./ (ET) XXXXXXXX/XX/ (XX) ΑΔΕΙΑ ΟΔΗΓΗΣΗΣ / ΑΡΙΘ./ (XX) XXXXXXX XXXXXXX/XX./ (XX) XXXXXX XX XXXXXXXX/X°/ (XX) XXXXXXXX TIOMÁNA/UIMH./ (XX) XXXXXXX XXXXXXX / BR./ (XX) XXXXXXX XX XXXXX/X./ (XX) XXXĪXĀXX XXXXXXĪXX / XX./ (XX) XXXXXXXXXX PAŽYMĖJIMAS / XX./ (XX) XXXXXŐX XXXXXXXX/XXXXX/ (XX) XXĊXXXXX XXX-XXXXXX/XXX/ (NL) XXXXXXXXX/XX./ (XX) XXXXX JAZDY / NR/ (XX) X.x XX XXXXX XX XXXXXÇÃX/ (RO) XXXXXX DE XXXXXXXXX/XX./ (XX) VODIČSKÝ XXXXXXX/x./ (XX) XXXXXXXX XXXXXXXXXX/XX./ (XX) XXXXXXXXX/XXX/ (XX) XÖXXXXX/XXXXXX

4.10.4

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ) … /№ …/ (ES) XXXX (XXXXXXXXXXXXX) … / NÚM. …/ (XX) XXXX (XXXXXXXXX) … / X …/ (DA) ANDRE (XXXXXXX) …/ XX. …/ (XX) XXXXXXXXX (XXXXX XXXXXXX) …/NR …/ (ET) MUU (XÄXXXXXXXX) … / XX …/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ) … / Αριθ. …/ (XX) OTHER (XX XX SPECIFIED) …/No. …/ (FR) AUTRE (À PRÉCISER) …/X° …/ (XX) EILE (XX XXXXX) … …/Xxxx. …/ (XX) XXXXXX (XXXXXXX) … / xx. …/ (XX) XXXXX (XXXXXXXXX) …/X. …/ (XX) XXXX (PRECIZĒT) … / XX. …/ (XX) XXXX (NURODYTI) …/XX. …./ (XX) XXXXX (XXXXÜX PONTOSÍTANI) …/Xxxxx: …/ (MT) XĦXXXX (IPPREĊIŻA) …/Nru …/ (XX) XXXXXXX (XXXXXXXXXXXX) …/XX. …/ (XX) XXXX (XXXXXĘ XXXXŚXXĆ) … / xx …/ (XX) X.x DE OUTRO XXXXXXXXX (ESPECIFICAR) …/ (XX) XXXXX (X XX XXXXXXX) … /XX. …/ (XX) XXX (XXXXXXXX) …/č. …/ (XX) XXXXX (XXXXXXX) …/xx. …/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ) … /Xxx …/ (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) EL XXXXXXXXX XXXXXXX AL XXX XX XXXXXXX XXXX IMPRESO XX XXXXXXXX XXX XXXXXX XXXXXX XXXXXXXXXXX PENAL XXX XXXXXXXXXX EN XX XXXXXXXX DE XXXXXXXXXXXX XXXXXXX DEL XXXXXX XXXXXXX XXX XXX XXXXX XX XXXXXXXXXXXX/ (CZ) VEŘEJNÁ XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX, XXXXXXXXX XXXXX XXXXXXXXX DOTYČNÉ XXXXX XXXXXXXXXXX V XXXXXXXXX XXXXXX ČLENSKÉHO STÁTU, XXXXX XX XXXX XXXXX XXXXXXX XXXXXXXXXXXX/ (XX) XXX OFFENTLIGE XXXXXXXX, SOM XXXXX XXXXXXXX ER XXXXÆXXXX, XÆXXXX INGEN DOM XXX XXXXXX XXX XXX XÅXÆXXXXXX PERSON X XXXXXXXXXXXXXXXX I XXX XXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXXXXX/ (XX) XXX ÖFFENTLICHE XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX IST, XXXXÄXX KEINEN HINWEIS XXX XXXX XXXXXXXXXXXX XXX BETREFFENDEN XXXXXX XX XXXXXXXXXXXXX XXX XXXXXXXXXXXXXX XXXXX XXXXXXXXXXXÖXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX, XXXXXXX XXX VORM XX XXXXXXX, XX XXX XÄXXXXXX ÜHTEGI XÜÜXXXÕXXXXXX XXXXXXXXXXX, MIS XXXXX TEHTUD XXXXXXXXX XXXXX XXXXXX XX XXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXÄXXXX XXXXXXXXXXXX KARISTUSREGISTRISSE/ (XX) ΣΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ ΔΕΝ ΑΝΑΦΕΡΕΤΑΙ ΓΙΑ ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΚΑΤΑΔΙΚΗ ΕΓΓΕΓΡΑΜΜΕΝΗ ΣΤΟ ΠΟΙΝΙΚΟ ΜΗΤΡΩΟ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΤΗΝ ΙΘΑΓΕΝΕΙΑ ΤΟΥ ΟΠΟΙΟΥ ΕΧΕΙ ΤΟ ΠΡΟΣΩΠΟ ΑΥΤΟ/ (EN) XXX XXXXXX DOCUMENT XX XXXXX THIS XXXX XX ATTACHED XXXX XXX XXXXXXX ANY XXXXXXXXXX IN XXXXXXX XX XXX XXXXXX XXXXXXXXX XX THE XXXXXXXX XXXXXX XX XXX MEMBER STATE XX XXXXXXXXXXX XX XXXX XXXXXX/ (XX) XX DOCUMENT XXXXXX XXXXXX XX XXXXXXX XXXXXXXXXX XXX XXXXX XX XXXXXXXXX XXXXXX XXXXXXXXXXXX FIGURANT XX XXXXXX XXXXXXXXXX XX XX XXXXXXXX XXXXXXXXX XXXX X'XXXX XXXXXX XXXX CETTE XXXXXXXX X XX NATIONALITÉ/ (XX) SA DOICIMÉAD XXXXXX LENA XXXXXX XX XXXXXX XXX XXXXXXXXXX, XXX AON XXXXXX AR XXX XXXXXXX I LEITH XX XXXXX LENA xXXXXXXXX XX XXXXXXX XXXXXXXX X xXXXXXXXX XXXXXXXXXXXXX AN XXXXX XXXX mBAINEANN/ (XX) X JAVNOJ XXXXXXX XXXXX XX XXXX XXXXXXX PRILOŽEN XXXX XXXXXXXX XXXXXXX XXXĐXXXĆX XXXXXXX XXXXXX XXXXXXX XXXXX U KAZNENOJ XXXXXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX XX OSOBE/ (XX) XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX XXX XXXXXXX XXXXXX XXXXXXXX XXXXXXXX XXXX XXXXXXX XXXXXXXXXXX XXX XXXXXX CONCERNE XX CASELLARIO GIUDIZIALE XXXXX XXXXX MEMBRO XX XXXXXXXXXXXX XX XXXX XXXXXXX/ (LV) XXXXXXXXXĀ XXXXXXXXĀ, KURAM XĪ VEIDLAPA XX XXXXXXXXXX, PAR XXXXXXĪXX XXXXXXX NAV MINĒTA XXXXXXX XXXXXXĀXXXX, XXX XXXĀXĪXX XXXĒXĀX XXXXXXXX XXXXXXXXXXXXĪXXX XXXĪXXXXXXX XXXĀXĪXXX XXĢXXXXĀ/ (XX) VIEŠAJAME XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXXXXX JOKS XX XXXXXXXXXX ASMENIU XXXXXĘX XXXXXXXXXXX XX XXXXXX XXXXXXXXĖX XXXXXXXĖX XXXĖX XXXXXXXXXXXŲ XXXXXXXX/ (XX) X FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXX XX XXXXXXXX XXXXXXXXXX XXXXXXXXXXXX XXX XXXXX AZ XXXXXXXX XXXXXXX XXXXXXXXXXXXXXX XXXXXXXX XXXXXXXX BŰNÜGYI XXXXXXXXXXXXXXXXX XXXXXXXŐ ELÍTÉLÉST/ (MT) XX-XXXXXXXX PUBBLIKU XXXXXŻ XX' XXX XX-XXXXXXX XX XXXXXX X-XXXX XXXXXXXX XXX-XXXXXXX XXX-XXXXXXX XXXXĊXXXXXX XXX-XXXXXX XXXXXXXXX XXX-XXXXX MEMBRU TAĊ-ĊITTADINANZA XX' DIK XX-XXXXXXX/ (XX) XXX OPENBAAR XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX, XXXXXXXX XXXX XXXXXXXXXXXX XXXX XX XXXXXXXXXX XX XXX XXXXXXXXXXXXX XXX XX XXXXXXXX XXX NATIONALITEIT XXX XX BETROKKENE/ (XX) XXXXXXXX XXXĘXXXX, XX XXXXXXX XXŁĄXXXXX XXXX XXXXXXXXX XXXXXXXXX, NIE XXXXXXX XXXXXXXXXX X XXXXXXXXX XXXXXX SKAZUJĄCEGO XXXXXXXX XXXXX XXXXX, XXXXXX DOTYCZY XXXXXXXX, XXXXXXXXX XX XXXXXXXX XXXXXXX XXŃXXXX XXŁXXXXXXXXXXX, XXXXXXX OSOBA XX XXXX XXXXXXXXXX/ (XX) X DOCUMENTO PÚBLICO X XXX O XXXXXXXX FORMULÁRIO XXXX XXXXXX XÃX XXXXXX XXXXXXXX XXXXXXXÇÃX DA XXXXXX XX CAUSA XX REGISTO CRIMINAL XX XXXXXX-XXXXXX DA XXXXXXXXXXXXX XXXXX PESSOA/ (XX) DOCUMENTUL XXXXXXX XX XXXX XXXX XXXXXX PREZENTUL FORMULAR XX MENȚIONEAZĂ XXXXX XXXXXXXXXX XXXXXXXXXXX XX XXXXXXXX XXXXXĂ XX XXXXXXXX JUDICIAR DIN XXXXXX XXXXXX AL XĂXXX CETĂȚEAN XXXX XXXXXXXX XXXXXXXXXĂ/ (XX) XX XXXXXXXX LISTINE, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX, XX XXXXXXXX XXXXXX XXXXXXXXX DOTKNUTEJ OSOBY X XXXXXXXX XXXXXXX XXXXXXXXX XXXXX, KTORÉHO XXXXXXX PRÍSLUŠNÍKOM XX XXXX XXXXX/ (XX) X XXXXX XXXXXXX, XX XX XX XXXXXXXX TA XXXXXXX, XX NAVEDENA NOBENA XXXXXXX V XXXXX X XXXXXXX OSEBO X XXXXXXXX XXXXXXXX XXXXXX ČLANICE, XXXXXX XXXXXXXXXXXXX IMA XX XXXXX/ (XX) YLEISESSÄ XXXXXXXXXXXX, XXXXX TÄMÄ XXXXXX XXXXXXÄÄX, XX XXX XXXXXXXXX XXXXXXXXXXXX XXXXXXÖÄ XXXXXXXXXX XXXXXXXXXX XXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXXÄ, XXXXX XXXXXXXXXXX XXXXXXÖ XX/ (XX) X XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX BIFOGAT XÄXXX XXXXX XXXXXXX XX XXX MOT XXX BERÖRDA XXXXXXXX X XXXXXXXXXXXXXXXXX X XXX MEDLEMSSTAT DÄR XXXXX XXXXXX ÄX XXXXXXXXXX

6.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) RECUADRO XXXX XX XXXXX/ (XX) XXXX XXX XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (EN) SIGNATURE XXX/ (XX) XXXXX XXXX LA XXXXXXXXX/ (XX) XXXXX DON XXXXX/ (HR) XXXXX XX XXXXXX/ (XX) XXXXXXXX XXX XX XXXXX/ (XX) XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXX/ (XX) AZ XXXXXXX XXÖXXXXXXXXX/ (MT) XXXXX TAL-IFFIRMAR/ (XX) XXX XXXX DE XXXXXXXXXXXX/ (XX) POLE XXXXXXX/ (PT) ESPAÇO XXXXXXXXX À XXXXXXXXXX/ (XX) SEMNĂTURA/ (XX) XXXXXXX XX PODPIS/ (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) APELLIDO(S) X XXXXXX(X) DEL FUNCIONARIO XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXX X JMÉNO (XXXXX) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXX(X) XX XXXXXXX(X) XÅ DEN XXXXXXXXXX, XXX HAR UDSTEDT XXXXX FORMULAR/ (DE) XXXXXXXXXXXX(X) UND XXXXXXX(X) XXX XXXXXXX, XXX XXXXXX XXXXXXXX AUSGESTELLT XXX/ (ET) KÄESOLEVA XXXXX VÄLJASTANUD AMETNIKU XXXXXXX (-XXXXX) XX XXXXXXXXXXXXX (-XXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) XXX FORENAME(S) XX XXX XXXXXXXX XXX XXXXXX THIS XXXX/ (XX) NOM(S) XX XXXXXX(X) XX XXXXXXXXXXXXX XXX X DÉLIVRÉ XX XXXXXXX FORMULAIRE/ (XX) XXXXXXX (XXXXXXXX) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX XXXXXXXX X X’XXXXXX XX FHOIRM XXX/ (HR) PREZIME(NA) X XXX(XX) SLUŽBENIKA XXXX XX IZDAO XXXX XXXXXXX/ (IT) XXXXXXX/X E XXXX/X XXX XXXXXXXXXXX CHE XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (LV) XXXXXXXXXXXX, KURA IZDEVUSI XX VEIDLAPU, XXXĀXXX(-X) XX XĀXXX(-X)/ (XX) XXĄ FORMĄ IŠDAVUSIO XXXXXXŪXX PAVARDĖ (-ĖS) XX XXXXXX (-XX)/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXX XXXX(X) XX XXXXXXX(X)/ (XX) KUNJOM(/KUNJOMIJIET) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦXXXĠ DIN XX-XXXXXXX/ (XX) XX(X)X(XX) XX XXXXXX(X)X(XX) XXX XX XXXXXXXXX XXX XXX XXXXXXXXX HEEFT XXXXXXXXX/ (XX) XXXXXXXX(-X) X XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (PT) XXXXXXX(X) X XXXX(X) PRÓPRIO(S) XX FUNCIONÁRIO XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) NUMELE ȘX PRENUMELE FUNCȚIONARULUI XXXX X EMIS XXXXXXXXX FORMULAR/ (XX) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, XXXXX XXXXX XXXXX FORMULÁR/ (XX) XXXXXXX/XXXXXXX XX XXX/XXXXX XXXXXXXX, KI XX XXXXX XX OBRAZEC/ (XX) TÄMÄN XXXXXXXXX XXXXXXXX VIRKAMIEHEN SUKUNIMI (-XXXXX) JA XXXXXXX (-XXXXX)/ (SV) XXXXXXXXX XXX XÖXXXXX XÅ XXX XXÄXXXXXXX XXX XXX UTFÄRDAT DETTA XXXXXXÄX

6.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX XXXXXXXXXXX XXX EXPIDIÓ ESTE XXXXXXX/ (XX) FUNKCE XXXXXXXX, XXXXX XXXXX XXXXX FORMULÁŘ/ (DA) XXXXXXXX — XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX DES XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX HAT/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX AMETIKOHT/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX XX XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) POSTE XX XXXXXXXXXXXXX QUI X XXXXXXX LE XXXXXXX XXXXXXXXXX/ (XX) XXXX XX XXXXXXXX A X’XXXXXX XX XXXXXX XXX/ (XX) FUNKCIJA XXXXXXXXXX XXXX XX XXXXX XXXX OBRAZAC/ (XX) XXXXXXXXX DEL XXXXXXXXXXX XXX HA XXXXXXXXXX XX PRESENTE XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, XXXXX/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX TAL-UFFIĊJAL XX ĦXXXĠ DIN IL-FORMOLA/ (XX) FUNCTIE VAN XX AMBTENAAR DIE XXX XXXXXXXXX XXXXX XXXXXXXXX/ (PL) XXXXXXXXXX XXXĘXXXXX, KTÓRY XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (RO) XXXXȚXX FUNCȚIONARULUI XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXX URADNIKA, XX XX XXXXX TA XXXXXXX/ (XX) XÄXÄX XXXXXXXXX ANTANEEN XXXXXXXXXXX XXXXX/ (XX) BEFATTNING XÖX DEN XXÄXXXXXXX XXX XXX UTFÄRDAT XXXXX FORMULÄR

6.3

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX EXPEDICIÓN/ (XX) XXXXX (XX/XX/XXXX) VYDÁNÍ/ (XX) UDSTEDELSESDATO (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (DD/MM/YYYY) OF XXXXX/ (FR) DATE (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DÁTA (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX RILASCIO (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) A XXXXXXXXX XXXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) DATUM (XX/XX/XXXX) XXX AFGIFTE/ (PL) XXXX (DD/MM/RRRR) WYDANIA/ (XX) XXXX DE XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (ZZ/LL/AAAA) XXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) IZDAJE/ (XX) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (XX) UNDERSKRIFT/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) SIGNATURE/ (XX) XXXXX/ (XX) XXXXXX/ (IT) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (PL) XXXXXX/ (XX) XXXXXXXXXX/ (RO) XXXXĂXXXX/ (XX) XXXXXX/ (XX) PODPIS/ (XX) XXXXXXXXXXXXX/ (SV) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) SELLO O XXXXXX/ (CZ) PEČEŤ XXXX XXXXXXX/ (XX) XXXX ELLER XXXXXXX/ (XX) XXXXXX XXXX XXXXXXX/ (XX) PITSER XÕX XXXXXX/ (EL) ΣΦΡΑΓΙΔΑ/ (XX) SEAL XX XXXXX/ (XX) XXXXX XX TIMBRE/ (XX) XXXXX XX XXXXXX/ (XX) XXX XXX XXXXX/ (XX) XXXXX O TIMBRO/ (XX) ZĪMOGS XXX XXXXXXXX/ (LT) SPAUDAS XXXX ANTSPAUDAS/ (XX) XXXXXX XXXX BÉLYEGZŐLENYOMAT/ (XX) XXĠXXX JEW XXXXXX/ (XX) XXXXX XX XXXXXXX/ (XX) XXXXXĘĆ XXX STEMPEL/ (XX) SELO XX XXXXXXX/ (RO) SIGILIUL XXX ȘTAMPILA/ (XX) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXX XXX/ (FI) XXXXXXX TAI XXXXX/ (XX) SIGILL ELLER XXÄXXXX