Plné znění - 32016R1191

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XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – POMŮCKA XXX XXXXXXX

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

Xxxxxx (BE) Xxxxxxxxx (XX)

Xxxxx republika (XX)

Xxxxxx (XX) Xxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (IT) Kypr (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (HU) Xxxxx (XX)

Xxxxxxxxxx (NL) Xxxxxxxx (AT)

Polsko (PL) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxxxx (SK) Xxxxxx (XX)

Xxxxxxx (XX) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

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

Xxxxx xxxxxxxx xxxxxx xxxxx xxxxxxx xxxxxxx, x xxx xx přiložen. Xxxxx, xxxxx xx xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx xxxx v xxxxxxxxx, xxx xx xx xxxxxxxx xxx účely xxxxxxxxxx xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx informací, xxxxx xxxx xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX PRO XXXXXXXXXX XXXXX

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

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

1. XXXXX XXXXXXXXXX XXXXX FORMULÁŘ

1.1 Xxxxx (3)

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

1.1 Název (4)

(1) Xx. věst. X 200, 26.7.2016, x. 1.

(2) Při xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

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

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

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

3.1 Xxxxxxx xxxxxx orgánem xxxx úředníkem x xxxxxx xx xxxxx xxxxxx 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 Listina xxxxxx xxxxxxx xxxxxxxxxxxxx („xxxxxxxx xx xxxxxxx“)

3.1.5 Xxxx (xxxxxxxxx)

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x xxxxxxx

3.2.3 Xxxxx z xxxxxxxx xxxxxxxx

3.2.4 Opis xxxxxxxxxx záznamů

3.1.5 Jiné (xxxxxxxxx)

3.3 Notářská xxxxxxx

3.4 Xxxxxx xxxxxxxxx, xxxxxx xxxx xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

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

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx číslo xxxxxxx xxxxxxx

4. XXXXXXXXX O XXXXXXXXX

4.1 Příjmení

4.2 Jméno (xxxxx)

4.3 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.4 Xxxxx (1) x xxxx (2) xxxxxxxx

4.5 Xxxxxxx:

4.5.1 Žena

4.5.2 Xxx

4.5.3 Neurčeno

5. XXXX XXX XXXXXX

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

5.2 Xxxxxx xxxxxxxx, který vydal xxxxx xxxxxxxx

5.3 Xxxxx (xx/xx/xxxx) xxxxxx

5.4 Xxxxxx

5.5 Xxxxx nebo razítko

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

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

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX EXPIDE XXXX XXXXXXX/ (XX) XXXXX VYDÁVAJÍCÍ XXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) BEHÖRDE, XXX XXXXXX FORMULAR AUSSTELLT/ (XX) XÄXXXXXXX XXXXX XÄXXX ANDNUD XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX XXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX XX XXXXXX XXX/ (HR) XXXXXX XXXX IZDAJE XXXX XXXXXXX/ (XX) XXXXXXXÀ XXX RILASCIA XX PRESENTE XXXXXX/ (XX) VEIDLAPAS XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ XXXXXXXXXX VALDŽIOS XXXXXXXXXXX/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ EMITTENTI TA' XXX IL-FORMOLA/ (XX) XXXXXXXXXX VAN XXXXXXX XXX XXX XXXXXXXXX/ (XX) ORGAN WYDAJĄCY XXXXXXXXX FORMULARZ/ (PT) XXXXXXXXXX XXX XXXXX X XXXXXXXX FORMULÁRIO/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX XXXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX, XX IZDA XX OBRAZEC/ (XX) XÄXÄX LOMAKKEEN XXXXXX XXXXXXXXXXXX/ (XX) MYNDIGHET XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) DENOMINACIÓN/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (GA)AINMNIÚ/ (XX) NAZIV/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (MT) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXÇÃX/ (XX) XXXXXXXX/ (SK) XXXXX/ (XX) XXX/ (XX) NIMI/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX QUE XXXXXX XX DOCUMENTO PÚBLICO XX QUE XX XXXXXXX ESTE XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX LISTINU, X XXX JE XXXXXXXX XXXXX XXXXXXXX/ (XX) XXX MYNDIGHED, DER XXX XXXXXXX DET XXXXXXXXXX XXXXXXXX, SOM XXXXX XXXXXXXX XX XXXXÆXXXX/ (DE) XXXÖXXX, XXX DIE ÖXXXXXXXXXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXÜXX XXX, XXXXXXXXX/ (XX) XXXXXX, XXX ANDIS VÄLJA XXXXXXX XXXXXXXXX, MILLELE XXX XXXX XX XXXXXXX/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXX XXXXXXX XXX XXXXXX DOCUMENT XX XXXXX THIS XXXX XX XXXXXXXX/ (XX) XXXXXXXX XX DÉLIVRANCE XX XXXXXXXX PUBLIC XXXXXX XXX XXXXX XX XXXXXXX FORMULAIRE/ (XX) XX tÚDARÁS X EISEOIDH XX XXXXXXXXX POIBLÍ XXXX XXXXXX AN XXXXXX XXX CEANGAILTE/ (XX) XXXXXX KOJE XXXXXX XXXXX XXXXXXX KOJOJ XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ XXX RILASCIA XX XXXXXXXXX PUBBLICO CUI XX PRESENTE MODULO È ALLEGATO/ (XX) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (LT) XXXXĄXĮ DOKUMENTĄ, XXXX XXXXX XXXXXXXXX ŠI XXXXX, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATOT XXXXXXXX XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX TAD-DOKUMENT XXXXXXXX XX MIEGĦU XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX GEHECHT/ (PL) XXXXX XXXXXĄXX XXXXXXXX XXXĘXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) AUTORIDADE XXX EMITE X XXXXXXXXX XXXXXXX X XXX X PRESENTE XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXXX EMITENTĂ X XXXXXXXXXXXX OFICIAL XX XXXX XXXX XXXXXX PREZENTUL XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, KU XXXXXX JE TENTO XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX IZDA XXXXX XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX/ (FI) XXXXXXXXXXXX, JOKA ON XXXXXXX YLEISEN ASIAKIRJAN, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (SV) MYNDIGHET XXX XXXÄXXXX XXX XXXXXXXXXX HANDLING XXXX XXXXXX DETTA XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXX XX QUE XX XXXXXXX ESTE IMPRESO/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXXXXX VEDRØRENDE XXX OFFENTLIGE XXXXXXXX, XXX DENNE FORMULAR XX VEDHÆFTET/ (DE) XXXXXXX XXX ÖFFENTLICHEN XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX XXXXXXX XXXXXXXXX XXXXX, MILLELE XXX XXXX ON XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) INFORMATION RELATING XX XXX XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX XXXXXX AUQUEL EST XXXXX XX PRÉSENT XXXXXXXXXX/ (XX) XXXXXXXX X XXXXXXXXX LEIS XX DOICIMÉAD XXXXXX XXXX XXXXXX AN XXXXXX XXX CEANGAILTE/ (XX) XXXXXXXXXXX XXXX XX XXXXXX NA XXXXX XXXXXXX XXXXX XX OVAJ OBRAZAC XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX IL XXXXXXXX MODULO È XXXXXXXX/ (LV) XXXXXXĀXXXX XXX XXXXXXXX DOKUMENTU, XXXXX ŠĪ VEIDLAPA XX XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATRA XXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX LI XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) INFORMATIE XXXXXXXXXXX HET OPENBAAR XXXXXXXX XXXXXXX XXX XXXXXXXXX IS GEHECHT/ (XX) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX NINIEJSZY FORMULARZ XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX XXXXXXXXX AO XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX DOCUMENTUL XXXXXXX XX CARE ESTE XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXX XXXXXXX, XX XXXXXX JE XXXXX XXXXXXXX XXXXXXXXX/ (SL) XXXXXXXXXXX X XXXXX X JAVNO XXXXXXX, XX XX JE XXXXXXXX TA XXXXXXX/ (XX) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX TÄMÄ XXXXXX LIITETÄÄN/ (XX) XXXXXXXXXXX OM XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX XXXXXXXX XXX XXX XXXXXXXXX X UN XXXXXXXXXXX XXXXXXXXX A LOS XXXXXXX XXXXXXXXXXXXXXXX XX XX ESTADO XXXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXX NEBO ÚŘEDNÍKEM X XXXXXX NA XXXXX XXXXXX ČLENSKÉHO XXXXX/ (XX) DOKUMENT, XXX XX XXXXXXX XX XX XXXXXXXXX XXXXX EN EMBEDSMAND, XXX ER XXXXXXXXXX XXXXXXXX X XX XXXXXXXXXXX/ (DE) XXXXXXX XXXXX XXXÖXXX XXXX XXXXX XXXXXXXXXX XXX XXXXX XXX XXXXXXXXXXXX XXXXX MITGLIEDSTAATS/ (ET) 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 EMANATING XXXX XX XXXXXXXXX XX XX XXXXXXXX XXXXXXXXX WITH XXX XXXXXX XX TRIBUNALS XX X MEMBER XXXXX/ (XX) DOCUMENT XXXXXXX D'UNE AUTORITÉ XX X'XX XXXXXXXXXXXXX XXXXXXXX D'UNE JURIDICTION X'XX XXXX XXXXXX/ (XX) DOICIMÉAD X XXXXXXX X ÚDARÁS XX X XXXXXXXXX X XXXXXX BAINT XXXX NÓ XXXX XX XXXXXXXXXX XX XX BINSÍ XX XXXXX XXXXXXXXX/ (XX) XXXXXXX KOJU JE XXXXXX XXXXXX XXX XXXXXXXXX XXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX UN'AUTORITÀ X XX UN XXXXXXXXXXX XXXXXXXXXXXX AD XXX XXXXX XXXXXXXXXXXXX XX XXX XXXXX XXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XX XXXĪXXXXXXX TIESĀM XXXXXĪXX XXXXĀXX XXX AMATPERSONA/ (XX) XXXXXXXXXX, XXXXXXXX XXXXXXXX INSTITUCIJOS XX XXXXXXŪXX, XXXXXXXXŲ SU XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX KAPCSOLATBAN XXXX XXXXXXX VAGY XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ MINN AWTORITÀ XXX XXXXĊXXX LI XXXXXXXX XXXXX MAL-QRATI XXX IT-TRIBUNALI TA' XXXX XXXXXX/ (XX) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX TOT XXX XXXXXXXXXXXX XXXXXXXXX XXX XXX LIDSTAAT/ (XX) DOKUMENT XXXXXXXĄXX XX XXXXXX XĄXXXXXX XXX URZĘDNIKA SĄDOWEGO XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX DE XXX AUTORIDADE XX XX UM FUNCIONÁRIO XXXXXXXXXX XX XXXXXXXX XXXXXXXÇÃX XX XX XXXXXX-XXXXXX/ (XX) DOCUMENT XXXX DE X XXXXXXXXXX SAU DE XX XXXXȚXXXXX DE XX XÂXXĂ INSTANȚELE XXXX XXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX ALEBO ÚRADNÍKOM X XÄXXXX XX XXXX ČLENSKÉHO XXXXX/ (XX) LISTINA, XXXXXX X XXXXXX XXXXXX XXX URADNIKA XXXXX XXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX XX XXXXXXX JÄSENVALTION XXXXXXXXXXXXXXXX KUULUVA XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX EN XXXXXXXXX XXXXX EN XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) RESOLUCIÓN XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (FR) XXXXXXXX XX XXXXXXX/ (GA) XXXXXXXX XX xXXXXX/ (XX) XXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) TIESAS XĒXXXX/ (XX) TEISMO SPRENDIMAS/ (XX) BÍRÓSÁGI XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) RECHTERLIJKE XXXXXXXXXX/ (XX) ORZECZENIE SĄDOWE/ (XX) DECISÃO JUDICIAL/ (XX) HOTĂRÂRE XXXXXĂXXXXXXXĂ/ (XX) SÚDNE XXXXXXXXXXX/ (XX) XXXXX ODLOČBA/ (XX) XXXXXXXXXXXXXX PÄÄTÖS/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX EXPEDIDO XXX XX XXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXX STÁTNÍM XXXXXXXXX/ (XX) DOKUMENT XXXXXXX XX XX ANKLAGEMYNDIGHED/ (XX) URKUNDE EINER XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX RIIKLIK XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX EMANATING XXXX X XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XXXXXXÈXX PUBLIC/ (XX) XXXXXXXXX A XXXXXXX Ó XXXXXXXXXXXXXXX XXXXXX/ (HR) XXXXXXX XXXX XX XXXXXX XXXXXXX ODVJETNIŠTVO/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXXXX MINISTERO/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (MT) DOKUMENT XXĦXXĠ MINN PROSEKUTUR XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (PT) DOCUMENTO XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (XX) DOCUMENT XXXX DE XX XXXXXXXX/ (XX) XXXXXXX XXXXXX PROKURÁTOROM/ (XX) XXXXXXX, XX XX XXXX XXXXXXX XXXXXXXXX/ (XX) VIRALLISEN XXXXXÄXÄX XXXXXX ASIAKIRJA/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX ÅKLAGARVÄSENDET

3.1.3

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) DOCUMENTO XXXXXXXX XXX XX XXXXXXXXXX XXXXXXXX/ (CZ) XXXXXXX XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (DA) XXXXXXXX XXXXXXX AF XX XXXXXXXXXXXXXÆX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX EINES XXXXXXXX/ (ET) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX FROM X CLERK OF X XXXXX/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX/ (XX) XXXXXXXXX X THAGANN X XXXXXXXXXX XX XXXXX XXXXXX/ (XX) ISPRAVA XXXX XX IZDAO XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) DOCUMENTO EMANATO XX XX CANCELLIERE/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (XX) TEISMO TARNAUTOJO XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX TISZTVISELŐ ÁLTAL XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX MAĦRUĠ XXXX XXĠXXXXXXXX XX' QORTI/ (XX) DOCUMENT XXXXXXXXX XXXX EEN XXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX XX XX XXXXXXX XX XXXXXÇX/ (XX) XXXXXXXX EMIS XX XX GREFIER XX XXXXXXȚXX/ (XX) LISTINA XXXXXX XXXXXX XXXXXXXXX/ (XX) LISTINA, XX XX IZDA XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX ANTAMA XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXX XXXXXX XXXXXXX VYKONAVATELEM („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXXX UDSTEDT XX XX XXÆXXXXXXXXXX (»XXXXXXXX DE XXXXXXX«)/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚ ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX EMANATING XXXX X JUDICIAL OFFICER ('XXXXXXXX DE XXXXXXX')/ (XX) DOCUMENT ÉMANANT X'XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXX BREITHIÚNACH (“XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXX XX XXXXX XXXXXX XXXXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX EMANATO XX XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX DE XXXXXXX")/ (LV) XXXXXXXXX, XXXX IZSNIEDZIS XXXXXX XXXXXXĪXĀXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX (XXXXXXXX XX JUSTICE) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX JUSTICE”) ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX XX XXXXXXX')/ (NL) XXXXXXXX XXXXXXXXX DOOR XXX GERECHTSDEURWAARDER/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX SĄDOWEGO (XXXXXXXX XX JUSTICE)/ (XX) XXXXXXXXX XXXXXXXXXXX DE XX XXXXXXÃX XX XXXXXXX («XXXXXXXX DE XXXXXXX»)/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX XXXXXĂXXXXXX („HUISSIER XX XXXXXXX”)/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXXXĽXX („HUISSIER DE XXXXXXX“)/ (XX) LISTINA, XX XX XXXX XXXXX IZVRŠITELJ („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX DE XXXXXXX”) ANTAMA XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN XX XXÄXXXXXXXXX (HUISSIER XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) XXXX (XXXXXXXXX)/ (DA) XXXXX (XXXXXXX)/ (DE) XXXXXXXXX (XXXXX ANGEBEN)/ (XX) XXX (TÄPSUSTAGE)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (TO XX XXXXXXXXX)/ (XX) XXXXX (À PRÉCISER)/ (XX) XXXX (XX XXXXX)/ (HR) XXXXXX (XXXXXXX)/ (XX) XXXXX (XXXXXXXXX)/ (XX) XXXX (XXXXXXĒX)/ (LT) KITA (XXXXXXXX)/ (HU) XXXXX (XXXXÜX PONTOSÍTANI)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) XXXX (XXXXXĘ OKREŚLIĆ)/ (XX) OUTROS (A XXXXXXXXXXX)/ (RO) ALTUL (X XX XXXXXXX)/ (XX) XXX (SPRESNIŤ)/ (XX) XXXXX (XXXXXXX)/ (XX) MUU XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (ES) XXXXXXXXX XXXXXXXXXXXXXX/ (CZ) LISTINA XXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (ET) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) DOCUMENT ADMINISTRATIF/ (XX) DOICIMÉAD XXXXXXXXXX/ (XX) XXXXXXX ISPRAVA/ (XX) DOCUMENTO AMMINISTRATIVO/ (XX) XXXXXXXXXXXĪXX DOKUMENTS/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXX AMMINISTRATTIV/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) DOKUMENT XXXXXXXXXXXXXXX/ (XX) DOCUMENTO ADMINISTRATIVO/ (XX) XXXXXXXX ADMINISTRATIV/ (XX) XXXXXXX LISTINA/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXXX HANDLING

3.2.1

(BG) УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (DE) BESCHEINIGUNG/ (XX) TÕEND/ (EL) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (GA) XXXXXXXX/ (HR) POTVRDA/ (XX) CERTIFICATO/ (XX) XXXXXXXXĀXXXX/ (LT) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊERTIFIKAT/ (XX) XXXXXXXXXXX/ (PL) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) CERTIFICAT/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) INTYG

3.2.2

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (ES) XXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXX X XXXXXXX/ (DA) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX PERSONENSTANDSREGISTER/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) EXTRACT XXXX XXX XXXXX STATUS XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX DE X'XXXX XXXXX/ (GA) XXXXXXX XX XX xXXXX STÁDAIS XXXXXXXXXX/ (XX) IZVADAK XX XXXXXXXX OSOBNOG STANJA/ (XX) XXXXXXXX DI XXXX DI XXXXX XXXXXX/ (LV) XXXXXXXX XX XXXXXXXĀXXXĻX XXXX XXĢXXXXX/ (XX) IŠRAŠAS XX XXXXXXXĖX XŪXXĖX XXXŲ XXXXXXXX/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX TAL-ISTAT ĊXXXXX/ (XX) XXXXXXXXXX XXX XXX REGISTER XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXXXXX XXXX STANU XXXXXXXXX/ (PT) XXXXXXX XX XXXX DO XXXXXXX XXXXX/ (XX) XXXXXX XXX XXXXXXXXX XX XXXXX XXXXXĂ/ (XX) XXXXX X XXXXXXXX OSOBNÉHO XXXXX/ (XX) XXXXXXX IZ XXXXXXXX X XXXXXXX XXXXXX/ (XX) VÄESTÖREKISTERIOTE (XXXXXXXXÄÄXX)/ (XX) UTDRAG XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) EXTRACTO XXX CENSO/ (XX) XXXXX X REGISTRU XXXXXXXX/ (DA) XXXXXX XXX FOLKEREGISTRET/ (DE) XXXXXX XXX XXX XXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX XXX POPULATION XXXXXXXX/ (FR) XXXXXXX XX XXXXXXXX XX XX XXXXXXXXXX/ (GA) XXXXXXX XX AN xXXXX DAONRA/ (XX) XXXXXXX XX XXXXXX XXXXXXXXXXXX/ (IT) ESTRATTO XXXXXXXXXX/ (XX) IZRAKSTS XX XXXXĪXXXĀXX XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXXŲ REGISTRO/ (XX) XXXXXXX X XXXXXXXXXXXX- XX LAKCÍMNYILVÁNTARTÁSBÓL/ (MT) XXXXXXX XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) UITTREKSEL UIT XXX BEVOLKINGSREGISTER/ (XX) XXXXĄX Z REJESTRU XXXXXŚXX/ (XX) XXXXXXX XX XXXXXXX XX XXXXXXÇÃX/ (XX) EXTRAS XXX XXXXXXXXX XX XXXXXXȚĂ A POPULAȚIEI/ (XX) XXXXX X XXXXXXXX XXXXXXXĽXX/ (SL) XXXXXXX XX REGISTRA XXXXXXXXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (ES) XXXXX LITERAL XX XXXXX XXX XXXXXXXX XXXXX/ (XX) OPIS XXXXXXXXXX ZÁZNAMŮ/ (DA) XXXXXX XXXX XX XXXXXXXXXXXXXXXXXXX/ (DE) XÖXXXXXXX XXXXX XXX PERSONENSTANDSEINTRÄGEN/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) VERBATIM COPY XX CIVIL XXXXXX XXXXXXX/ (FR) COPIE XXXXXXXXX X'XXXXX XX X'XXXX CIVIL/ (GA) XXXX FOCAL AR XXXXXX XX THAIFID XX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX PRIJEPIS XX XXXXXXXXXX O XXXXXXX XXXXXX/ (XX) XXXXX XXXXXXXXX XX XXXX DI XXXXX XXXXXX/ (XX) CIVILSTĀVOKĻA XXXX XXĢXXXXX IERAKSTU XXXXXXXXXX KOPIJA/ (XX) XXXXXXXĖX XŪXXĖX AKTŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXX XXX-XXXX TAL-ISTAT ĊXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXX XXX XXXXX VAN XX XXXXXXXXXXX STAND/ (XX) XXXXX ZUPEŁNY XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXÃX DE XXXXX XXXXXXXX XX XX XXXXXXXXX DE XXXX XX XXXXXXX XXXXX/ (XX) XXXXX XXXXXĂ X XXXX XXX DE STARE XXXXXĂ/ (SK) XXXXXXXX XXXXX ZO XXXXXXX X XXXXXXX XXXXX/ (XX) DOBESEDNI XXXXXX XXXXXXX X OSEBNEM XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) ACTA NOTARIAL/ (XX) XXXXXXXX XXXXXXX/ (XX) NOTARBEKRÆFTET XXXXXXXX/ (XX) XXXXXXXXXX URKUNDE/ (XX) NOTARIAALDOKUMENT/ (EL) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (EN) XXXXXXXX XXX/ (FR) XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX ISPRAVA/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXĀXX AKTS/ (LT) XXXXXXXXX XXXXX/ (HU) XÖXXXXXXŐX XXXXXX/ (MT) XXX NOTARILI/ (NL) XXXXXXËXX XXXX/ (XX) XXX XXXXXXXXXX/ (XX) XXX NOTARIAL/ (XX) XXX XXXXXXXX/ (XX) XXXXXXXX LISTINA/ (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 OFICIAL XXXXXX XXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXX, XXXXXX XXXX XXXXXXXX XXXXXXX PODEPSANÁ XXXXXXXXX XXXXXX/ (XX) XXXXXXXX XÅXXXXXXX XÅ XX XXXXXXXX XXXXXXXXXXX XX EN PERSON X XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX XXXXX PRIVATURKUNDE/ (ET) XXXXX XXXXX XXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX KINNITATAV XXXXXXX XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX XXXXXX XX X XXXXXXXX XXXXXX XX X XXXXXX XX XXX XX HER XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX XX XXXX XXXX XXXXX XXXXX/ (XX) DEIMHNIÚ XXXXXXXXX X CHUIRTEAR XX XXXXXXXXXX ARNA XXXXXX XX XXXXX XXX XXXXX XX XXX XXXX PHRÍOBHÁIDEACH/ (HR) XXXXXXXX XXXXXXX XXXXXXXXX XX XXXXXXX XXXX XX XXXXX XXXXXXXXX X XXXXXXXXX SVOJSTVU/ (XX) DICHIARAZIONE UFFICIALE XXXXXXX SU XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXĀXX APLIECINĀJUMS XX XXXXXXXXX, KO XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (LT) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ DOKUMENTŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ĊXXXXXXXXX XXXXĊXXXX LI JITQIEGĦED X'XXXXXXXX IFFIRMAT MINN XXXXXXX FIL-KAPAĊITÀ PRIVATA XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX EEN XXXXXXXX XXXXXXXXXXX DOOR XXX PERSOON XX XXXX PARTICULIERE XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXXX XXXXX OSOBĘ XXXXŁXXĄXĄ X CHARAKTERZE XXXXXXXXX/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX XXX XX XXXXXXXX XXXXXXX/ (RO) XXXXXXXXXX XXXXXXX XXXXXXX XX XX XXXXXXXX XXX XXXXĂXXXĂ PRIVATĂ/ (XX) XXXXXX OSVEDČENIE XXXXXXX XX XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXX NA XXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, XXXXX XXXXXXÖ ON XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX INTYG ANBRINGAT XÅ EN 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 AGENTE XXXXXXXXXXX O CONSULAR XX UN ESTADO XXXXXXX XXX CARÁCTER XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX OFFICIELT XXXÆXXXXXX XX XX XXXXXXXXXXXX XXXXXXXXXXXX ELLER KONSULÆRE XXXXÆXXXXXXX/ (XX) XXX XXXXX XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXX EINES XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX FUNKTION XXXXXXXXXX XXXXXXX/ (XX) LIIKMESRIIGI XXXXXXXXXXXXXX VÕI XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX TÄITMISEL XXXXXXXXX XXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX XXXXX XX XX X DIPLOMATIC XX CONSULAR AGENT XX X XXXXXX XXXXX XX XXX XX HER OFFICIAL XXXXXXXX/ (XX) XXXXXXXX XXXXXX XX XX XXXXXXX XXXXXXXXXX XXX XX XXXXX XXXXXXXXXXXX XX XXXXXXXXXX X'XX XXXX MEMBRE/ (XX) XXXXXXXXX ARNA XXXXXXXXXX XXXX AG XXXXXXXXXX XXXXXXXXXXXXXXXX NÓ XXXXXXXXX XX XXXXX BALLSTÁIT XXX CHÁIL XX XXX XXXX OIFIGIÚIL/ (XX) XXXXXXX XXXX XX U SLUŽBENOM XXXXXXXX XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX PREDSTAVNIK XXXXXX XXXXXXX/ (IT) XXXXXXXXX XXXXXXX XX XXXXXX XXXXXXXXXXX X XXXXXXXXX DI UNO XXXXX MEMBRO XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX XXXXX PIENĀKUMUS, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX PĀRSTĀVIS/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX NARĖS XXXXXXXXX XX XXXXXXXXXX PAREIGŪNO, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX DIPLOMÁCIAI VAGY XXXXXXX KÉPVISELŐJE XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXXX MINN AĠENT XXXXXXXXXXX XXX XXXXXXXXX XX' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX OPGESTELD XXXX DE XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX XX XXXX OFFICIËLE XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX CZŁONKOWSKIEGO XXXXŁXXĄXXXX W CHARAKTERZE XXXĘXXXXX/ (XX) DOCUMENTO XXXXXXX XXX XX XXXXXX DIPLOMÁTICO OU XXXXXXXX DE UM XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX XX CĂTRE XX XXXXX XXXXXXXXXX XXX XXXXXXXX XX XXXX XXXX XXXXXX, ÎX CALITATE XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX ZÁSTUPCOM XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X RÁMCI XXXXXX JEHO XXXXXXX/ (XX) XXXXXXX, XX XX XXX XXXXXX XXXXX XXXX XXXXXXXXXXX XXX XXXXXXXXXX PREDSTAVNIK XXXXXX ČLANICE/ (XX) XXXXXXXXX, JONKA JÄSENVALTION XXXXXXXXXXXXXX XXXXXXXX TAI XXXXXXXXXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (SV) XXXXXXXX XXXXÄXXXX I XXÄXXXXX XX EN DIPLOMATISK XXXXX XXXXXXÄX XXÄXXXXXXX X EN XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (XX/XX/XXXX) XX EXPEDICIÓN/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (DA) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) AUSSTELLUNGSDATUM (XX/XX/XXXX)/ (ET) VÄLJAANDMISE XXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) DATE (DD/MM/YYYY) XX XXXXX/ (XX) XXXX (JJ/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/GGGG) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) IŠDAVIMO XXXX (XX/XX/XXXX)/ (HU) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) DATUM (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (DD/MM/RRRR) XXXXXXX/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (ZZ/LL/AAAA) XXXXXXXX/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXX/ (SL) XXXXX (XX/XX/XXXX) IZDAJE/ (XX) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (XX) XXXXX (DD/MM/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (CZ) XXXXXXXXXX ČÍSLO XXXXXXX XXXXXXX/ (DA) XXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖXXXXXXXXXXX URKUNDE/ (ET) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX NUMBER XX THE PUBLIC XXXXXXXX/ (FR) NUMÉRO XX RÉFÉRENCE DU XXXXXXXX XXXXXX/ (XX) XXXXXX XXXXXXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXX JAVNE XXXXXXX/ (IT) NUMERO XX XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXĀ DOKUMENTA ATSAUCES XXXXXX/ (XX) XXXXXXX XXXXXXXXX NUMERIS/ (XX) X XÖXXXXXXX HIVATKOZÁSI XXXXX/ (MT) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX HET XXXXXXXX XXXXXXXX/ (PL) XXXXX XXXXXXXXXXXX XXXXXXXXX URZĘDOWEGO/ (XX) XXXXXX DE XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (RO) NUMĂRUL XX XXXXXXXȚĂ XX XXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX ČÍSLO XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX JAVNE XXXXXXX/ (XX) YLEISEN ASIAKIRJAN XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX REFERENSNUMMER

4.

(BG) ИНФОРМАЦИЯ ЗА РОДЕНОТО ЛИЦЕ/ (ES) XXXXXXXXXXX XXXXX XX XXXXXXX XXXXXX/ (CZ) XXXXXXXXX X XXXXXXXXX/ (DA) XXXXXXXXXXX XX XXX XXXXXX, DER XX XØXX/ (DE) XXXXXXX XXX XXXXXX, XXXXX XXXXXX XXXXXXXXX WIRD/ (XX) XÜXXXXXX XXXXXX XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΠΟΥ ΓΕΝΝΗΘΗΚΕ/ (XX) XXXXXXXXXXX XX THE XXXXXX XXXX/ (XX) XXXXXXXXXXXX SUR XX XXXXXXXX XXX/ (GA) XXXXXXXX XXXXXX XXXX XX XXXXX X XXXXXX/ (HR) INFORMACIJE X ROĐENOJ OSOBI/ (XX) XXXXXXXXXXXX XXXXX XXXXXXX NATA/ (LV) XXXXXXĀXXXX PAR XXXXXXX XXXXXXX/ (XX) XXXXXXXXXXX XXXX XXXXXĮ XXXXXĮ/ (XX) X XXXXXÜXXXXXX XXXXXXXXX XXXXXXXXX ADATOK/ (XX) INFORMAZZJONI XXXX XX-XXXXXXX XXXXXXX/ (NL) XXXXXXXXXX XXXX DE XXXXXXXX/ (PL) DANE XXXXXXĄXX OSOBY URODZONEJ/ (XX) XXXXXXXÇÕXX XXXXX X XXXXXX XXX XXXXXX/ (XX) XXXXXXXȚXX XXXXXXX PERSOANA XĂXXXXĂ/ (XX) XXXXXXXXXX X XXXXXXXXX XXXXX/ (XX) XXXXXXXXXXX X XXXXXX XXXXX/ (XX) SYNTYNEEN XXXXXXÖX XXXXXX/ (XX) XÖXXXXXXXXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X)/ (XX) XXXXXXXX/ (DA) XXXXXXXXX(X)/ (XX) XXXXXXXXXXXX(X)/ (XX) XXXXXXXXXXXXX (-XXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α)/ (EN) XXXXXXX(X)/ (XX) NOM(S)/ (XX) XXXXXXX (SLOINNTE)/ (XX) XXXXXXX(XX)/ (IT) 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)/ (SL) XXXXXXX/XXXXXXX/ (XX) XXXXXXXX (-XXXXX)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (ES) XXXXXX(X)/ (CZ) XXXXX (XXXXX)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (EN) XXXXXXXX(X)/ (XX) PRÉNOM(S)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (XX) VĀRDS(-I)/ (XX) XXXXXX (-AI)/ (XX) XXXXXXX(X)/ (XX) ISEM(/ISMIJIET)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (XXXXXX)/ (XX) XXXX(X) XXXXXXX(X)/ (RO) XXXXXXX/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (XX) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (ES) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (FR) XXXX (XX/XX/XXXX) XX XXXXXXXXX/ (XX) DÁTA (XX/XX/XXXX) BREITHE/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (XX) DATA XX XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) XXXXXX DATA (XX/XX/XXXX)/ (XX) SZÜLETÉSI XXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (XX) GEBOORTEDATUM (DD/MM/JJJJ)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) DATA XX XXXXXXXXXX (DD/MM/AAAA)/ (XX) DATA (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (SL) XXXXX (DD/MM/LLLL) XXXXXXX/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.4

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX X XXXX XX XXXXXXXXXX/ (CZ) XXXXX X XXXX XXXXXXXX/ (DA) FØDESTED XX -XXXX/ (XX) XXX XXX LAND XXX XXXXXX/ (XX) XÜXXXXXXX XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX XXX COUNTRY XX XXXXX/ (XX) XXXX ET XXXX XX XXXXXXXXX/ (XX) XXX AGUS XXX XXXXXXXX/ (HR) XXXXXX X XXXXXX XXĐXXXX/ (XX) LUOGO E XXXXX XX XXXXXXX/ (XX) XXXXXXXXX XXXXX XX XXXXXX/ (XX) XXXXXX VIETA XX XXXXX/ (XX) XXÜXXXXXX XXXXX ÉS ORSZÁGA/ (XX) XXXX X XXXXXŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX EN -LAND/ (XX) XXXXXXX X XXŃXXXX URODZENIA/ (PT) XXXXX X PAÍS XX XXXXXXXXXX/ (XX) XXXXX ȘI ȚXXX XXȘXXXXX/ (XX) XXXXXX X XXXX XXXXXXXXX/ (XX) XXXX XX XXXXXX ROJSTVA/ (XX) XXXXXXÄXXXXXX XX -XXX/ (XX) FÖDELSEORT XXX -XXXX

4.5

(XX) ПОЛ/ (XX) XXXX/ (XX) POHLAVÍ/ (XX) XØX/ (DE) XXXXXXXXXX/ (XX) XXXX/ (XX) ΦΥΛΟ/ (EN) XXX/ (FR) XXXX/ (XX) XXXXXX/ (XX) XXXX/ (XX) XXXXX/ (XX) DZIMUMS/ (XX) XXXXX/ (HU) XXXX/ (XX) XXXX/ (NL) XXXXXXXX/ (XX) XŁXĆ/ (XX) XXXX/ (XX) XXXXX/ (XX) POHLAVIE/ (XX) SPOL/ (XX) XXXXXXXXX/ (SV) XÖX

4.5.1

(XX) ЖЕНСКИ/ (ES) XXXXX/ (XX) XXXX/ (DA) XXXXXX/ (XX) XXXXXXXX/ (XX) NAISSOOST/ (XX) ΘΗΛΥ/ (EN) XXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (HR) XXXXXX/ (XX) XXXXXXXXX/ (LV) XXXXXXXX/ (LT) XXXXXXX/ (XX) XŐ/ (XX) XXXX/ (NL) VROUW/ (XX) KOBIETA/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) ŽENSKÉ/ (SL) XXXXXX/ (XX) NAINEN/ (XX) XXXXXX

4.5.2

(XX) МЪЖКИ/ (XX) XXXXX/ (CZ) XXX/ (XX) MAND/ (XX) XÄXXXXXX/ (ET) XXXXXXXXX/ (EL) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) XXXXX/ (XX) XXXXX/ (MT) XXĠXX/ (XX) XXX/ (XX) XĘŻXXXXXX/ (XX) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) MOŠKI/ (XX) MIES/ (XX) XXX

4.5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (CZ) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (ET) MÄÄRAMATA/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) NEAMHCHINNTITHE/ (XX) NEODREĐEN/ (IT) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) NENUSTATYTA/ (XX) XXXXXXXXXXXXXXX/ (MT) MHUX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) PŁEĆ NIEOKREŚLONA/ (XX) XÃX XXXXXXXX/ (XX) NEDETERMINAT/ (XX) XXXXXXXX/ (SL) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

5.

(XX) ПОЛЕ ЗА ПОДПИС/ (ES) XXXXXXXX XXXX XX XXXXX/ (CZ) XXXX XXX PODPIS/ (DA) XXXXXXXXXXXXXXXX/ (DE) UNTERSCHRIFTENFELD/ (XX) XXXXXXXXXXXXXX/ (EL) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) XXXXX XXXX LA XXXXXXXXX/ (XX) XXXXX XXX XXXXX/ (HR) XXXXX XX XXXXXX/ (XX) XXXXXXXX PER XX XXXXX/ (XX) XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXX/ (XX) XX XXXXXXX SZÖVEGDOBOZA/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX XX XXXXXXXXXXXX/ (PL) XXXX XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (FI) XXXXXXXXXXXXXXXXXXÄ/ (XX) RUTA XÖX XXXXXXXXXXXXXX

5.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X NOMBRE(S) XXX XXXXXXXXXXX XXX XXXXXXX XXXX IMPRESO/ (XX) XXXXXXXX X XXXXX (XXXXX) ÚŘEDNÍKA, KTERÝ XXXXX XXXXX XXXXXXXX/ (XX) EFTERNAVN(E) XX XXXXXXX(X) XÅ XXX XXXXXXXXXX, XXX XXX XXXXXXX DENNE XXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXXXXXX(X) DES BEAMTEN, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (ET) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX EESNIMI (-XXXXX) XX XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) XXX FORENAME(S) XX THE XXXXXXXX XXX ISSUED XXXX XXXX/ (XX) NOM(S) XX XXXXXX(X) XX XXXXXXXXXXXXX QUI X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) SLOINNE (XXXXXXXX) XXXX CÉADAINM (XXXXXXXXXXXXXX) XX OIFIGIGH X X’XXXXXX XX XXXXXX SEO/ (XX) XXXXXXX(XX) I IME(NA) XXXXXXXXXX XXXX XX XXXXX XXXX OBRAZAC/ (XX) COGNOME/I X XXXX/X DEL XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) AMATPERSONAS, XXXX XXXXXXXX ŠO XXXXXXXX, XXXĀXXX(-X) XX XĀXXX(-X)/ (XX) XXĄ FORMĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖX) XX XXXXXX (-XX)/ (XX) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ TISZTVISELŐ XXXXXXX NEVE(I) ÉS XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦAREĠ XXX XX-XXXXXXX/ (NL) XX(X)X(XX) XX XXXXXX(X)X(XX) VAN XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) NAZWISKO(-A) X XXXĘ (IMIONA) XXXĘXXXXX, KTÓRY XXXXŁ XXXXXXXXX FORMULARZ/ (XX) XXXXXXX(X) X XXXX(X) XXXXXXX(X) XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX FORMULÁRIO/ (RO) XXXXXX ȘX XXXXXXXXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, KTORÝ XXXXX XXXXX FORMULÁR/ (XX) PRIIMEK/PRIIMKI XX XXX/XXXXX XXXXXXXX, XX XX IZDAL XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXXXXX (-NIMET) XX XXXXXXX (-XXXXX)/ (SV) XXXXXXXXX XXX XÖXXXXX XÅ DEN XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

5.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX XXXXXXXXXXX XXX EXPIDIÓ XXXX IMPRESO/ (CZ) XXXXXX XXXXXXXX, KTERÝ XXXXX TENTO FORMULÁŘ/ (XX) XXXXXXXX — XXX XXXXXXXXXX, XXX XXX UDSTEDT XXXXX XXXXXXXX/ (DE) XXXXXXXX XXX XXXXXXX, XXX XXXXXX FORMULAR XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX AMETNIKU XXXXXXXXX/ (EL) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX XX XXX OFFICIAL XXX ISSUED THIS XXXX/ (XX) XXXXX XX XXXXXXXXXXXXX QUI X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XXXX XX XXXXXXXX X D’EISIGH XX XXXXXX XXX/ (XX) XXXXXXXX XXXXXXXXXX XXXX XX XXXXX XXXX XXXXXXX/ (IT) XXXXXXXXX XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX IZDEVUSI XX VEIDLAPU, XXXXX/ (XX) ŠIĄ XXXXĄ XXXXXXXXX XXXXXXŪXX PAREIGOS/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (XX) KARIGA XXX-XXXXĊXXX XX ĦXXXĠ DIN XX-XXXXXXX/ (XX) XXXXXXX XXX XX AMBTENAAR XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX URZĘDNIKA, KTÓRY XXXXŁ NINIEJSZY XXXXXXXXX/ (XX) CARGO XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX FUNCȚIONARULUI XXXX A XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XXXXX XXXXX TENTO FORMULÁR/ (XX) XXXXXXX XXXXXXXX, XX JE XXXXX XX XXXXXXX/ (XX) XÄXÄX LOMAKKEEN XXXXXXXX XXXXXXXXXXX ASEMA/ (SV) XXXXXXXXXX XÖX XXX XXÄXXXXXXX SOM XXX XXXÄXXXX XXXXX FORMULÄR

5.3

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (FR) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) EISIÚNA/ (HR) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX DI XXXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX DATA (XX/XX/XXXX)/ (HU) A XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (NL) XXXXX (XX/XX/XXXX) XXX AFGIFTE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX XXXXXÃX (DD/MM/AAAA)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/LLLL) IZDAJE/ (XX) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX UTFÄRDANDE

5.4

(BG) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (XX) UNDERSKRIFT/ (XX) UNTERSCHRIFT/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) SIGNATURE/ (XX) XXXXXXXXX/ (XX) XXXXX/ (XX) POTPIS/ (XX) XXXXX/ (LV) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) HANDTEKENING/ (XX) XXXXXX/ (XX) ASSINATURA/ (XX) SEMNĂTURA/ (SK) XXXXXX/ (XX) PODPIS/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

5.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) SELLO X TIMBRE/ (CZ) XXXXX NEBO RAZÍTKO/ (XX) XXXX XXXXX XXXXXXX/ (XX) XXXXXX XXXX XXXXXXX/ (ET) XXXXXX XÕX TEMPEL/ (XX) ΣΦΡΑΓΙΔΑ/ (EN) XXXX XX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) SÉALA XX XXXXXX/ (XX) XXX XXX XXXXX/ (XX) BOLLO O XXXXXX/ (LV) XĪXXXX XXX XXXXXXXX/ (LT) XXXXXXX XXXX ANTSPAUDAS/ (XX) XXXXXX VAGY XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX XXX XXXXXX/ (XX) XXXXX XX STEMPEL/ (XX) XXXXXĘĆ LUB XXXXXXX/ (PT) XXXX XX XXXXXXX/ (XX) XXXXXXXX XXX ȘXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (SL) XXXXX XXX XXX/ (XX) SINETTI XXX XXXXX/ (XX) SIGILL XXXXX STÄMPEL

XXXXXXXXX X XXXX

XXXXXXXXXXX STANDARDNÍ FORMULÁŘ – XXXXXXX PRO XXXXXXX

Xxxxxx 7 nařízení Xxxxxxxxxx xxxxxxxxxx x Xxxx (EU) 2016/1191 xx dne 6. xxxxxxxx 2016 x xxxxxxx volného xxxxxx xxxxxx zjednodušením požadavků xx předkládání xxxxxxxxx xxxxxxxxx xxxxxx x Xxxxxxxx xxxx x x xxxxx xxxxxxxx (XX) x. 1024/2012 (1)

Xxxxxx (XX) Bulharsko (XX)

Xxxxx republika (XX)

Xxxxxx (XX) Německo (DE)

Estonsko (XX) Xxxxx (IE)

Řecko (XX) Španělsko (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Xxxx (CY)

Lotyšsko (XX) Xxxxx (LT)

Lucembursko (XX)

Xxxxxxxx (XX) Malta (XX)

Xxxxxxxxxx (NL) Xxxxxxxx (XX)

Xxxxxx (PL) Portugalsko (XX)

Xxxxxxxx (XX) Slovinsko (XX)

Xxxxxxxxx (XX) Finsko (XX)

Xxxxxxx (SE) Xxxxxxx xxxxxxxxxx (UK)

DŮLEŽITÉ UPOZORNĚNÍ

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

Xxxxx xxxxxxxx xxxxxx xxxxx xxxxxxx xxxxxxx, x xxx xx xxxxxxxx. Orgán, jemuž xx xxxxxxx listina xxxxxxxxxxx, však může x xxxxxxxxx, xxx xx xx nezbytné xxx xxxxx xxxxxxxxxx xxxxxxx listiny, xxxxxxxxx xxxxxxx xx přepis xxxxxxxxx, xxxxx xxxx xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX VYDÁVAJÍCÍ XXXXX

Xxxxxx xxxxx xxxxxxxxx, které xxxx uvedeny ve xxxxxxx listině, x xxx xx xxxxxxxx xxxxx xxxxxxxx. (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. XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, X NÍŽ XX XXXXXXXX XXXXX XXXXXXXX

1.1 Název (4)

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

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

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Listina xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx xxxxxx soudním xxxxxxxxx

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

3.1.5 Jiné (xxxxxxxxx)

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

(2) Xxx xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

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

(4) Slovo „název“ xx třeba xxxxxxxx xxxx xxxxxx xxxxx xxxxxx xxxxxxxxxxxx veřejnou xxxxxxx, 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 Xxxxx x registru xxxxxxxx

3.2.4 Xxxx matričních xxxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx listina

3.4 Úřední xxxxxxxxx, xxxxxx xxxx xxxxxxxx listina xxxxxxxxx xxxxxxxxx xxxxxx

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

3.6 Datum (xx/xx/xxxx) vydání

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXX O XXXXXXX XXXXX

4.1 Xxxxxxxx

4.2 Xxxxx (xxxxx)

4.3 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.4 Xxxxx (1) x xxxx (2) xxxxxxxx

4.5 Pohlaví:

4.5.1 Žena

4.5.2 Xxx

4.5.3 Xxxxxxxx

4.6 Xxxxxx:

4.6.1 Xxxxx x číslo xxxx / xxxxxxxx xxxxxxxxx

4.6.2 Xxxxx x xxxxxxxx směrovací xxxxx

4.6.3 Xxxx (3)

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

6. XXXX PRO PODPIS

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

6.2 Xxxxxx xxxxxxxx, xxxxx xxxxx xxxxx xxxxxxxx

6.3 Xxxxx (xx/xx/xxxx) xxxxxx

6.4 Xxxxxx

6.5 Pečeť xxxx xxxxxxx

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

(2) Xxxxx xxxx a – xxxxx xxxxxxxx – xxx ISO xxxx xxxx nebo xxxxxxx „Xxxx (xxxxxxxxx)“ xx xxxxx vybrat x xxxxxxxxxxx xxxxxxx xx vzorovém xxxxxxxxxxxx xxxxxxxxxxx formuláři, který xx k xxxxxxxxx xx portálu xxxxxxxx x-xxxxxxx.

(3) Xxxxx xxxx x – pokud xxxxxxxx – xxx XXX xxxx země xxxx xxxxxxx „Xxxx (xxxxxxxxx)“ xx xxxxx xxxxxx x xxxxxxxxxxx xxxxxxx xx xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx formuláři, xxxxx xx k xxxxxxxxx na xxxxxxx xxxxxxxx e-justice.

VÍCEJAZYČNÝ GLOSÁŘ XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) AUTORIDAD XXX XXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX FORMULÁŘ/ (XX) XXXXX FORMULARS XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, DIE XXXXXX XXXXXXXX AUSSTELLT/ (ET) XÄXXXXXXX VORMI XÄXXX XXXXXX ASUTUS/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (EN) XXXXXXXXX ISSUING XXXX XXXX/ (FR) AUTORITÉ XX DÉLIVRANCE DU XXXXXXX FORMULAIRE/ (XX) XX xXXXXXX A XXXXXXXX XX FHOIRM XXX/ (XX) XXXXXX XXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXXÀ XXX RILASCIA XX XXXXXXXX MODULO/ (XX) XXXXXXXXX IZDEVĒJIESTĀDE/ (LT) XXĄ FORMĄ IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XX' XXX XX-XXXXXXX/ (NL) XXXXXXXXXX XXX XXXXXXX VAN XXX XXXXXXXXX/ (PL) XXXXX XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX VYDÁVAJÚCI TENTO XXXXXXXX/ (SL) XXXXX, XX XXXX TA XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX SOM XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) DENOMINACIÓN/ (XX) XXXXX/ (DA) XXXXXXXXXX/ (XX) BEZEICHNUNG/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (HR) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) TITLU/ (NL) XXXXXXXX/ (XX) XXXXX/ (XX) DESIGNAÇÃO/ (XX) XXXXXXXX/ (SK) XXXXX/ (XX) XXX/ (FI) XXXX/ (XX) NAMN

2.

(BG) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX EXPIDE XX XXXXXXXXX XXXXXXX AL XXX XX XXXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (DA) DEN XXXXXXXXX, XXX HAR XXXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXÖXXX, DIE XXX ÖXXXXXXXXXX XXXXXXX, XXX DIESES FORMULAR XXXXXXÜXX XXX, XXXXXXXXX/ (XX) XXXXXX, KES XXXXX VÄLJA AVALIKU XXXXXXXXX, XXXXXXX XXX XXXX ON XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) AUTHORITY XXXXXXX XXX PUBLIC XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX JOINT XX XXXXXXX FORMULAIRE/ (XX) XX tÚDARÁS X XXXXXXXX XX XXXXXXXXX XXXXXX LENA XXXXXX XX FHOIRM XXX XXXXXXXXXX/ (XX) TIJELO XXXX IZDAJE XXXXX XXXXXXX XXXXX XX XXXX OBRAZAC XXXXXXXX/ (XX) XXXXXXXÀ CHE XXXXXXXX XX DOCUMENTO XXXXXXXX CUI IL XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX IR XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ XXXXXXXXĄ, PRIE KURIO XXXXXXXXX XX FORMA, XXXXXXXXXX VALDŽIOS XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX XX XXXXĦX HIJA XXXXXŻX XXX IL-FORMOLA/ (XX) AUTORITEIT XXX XXXXXXX XXX XXX XXXXXXXX DOCUMENT XXXXXXX XXX FORMULIER XX XXXXXXX/ (XX) ORGAN XXXXXĄXX DOKUMENT XXXĘXXXX, XX XXXXXXX NINIEJSZY XXXXXXXXX JEST XXŁĄXXXXX/ (XX) AUTORIDADE QUE XXXXX O XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXXX EMITENTĂ A XXXXXXXXXXXX XXXXXXX XX XXXX ESTE XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXX VYDÁVAJÚCI XXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX XXXX XXXXX XXXXXXX, KI XX XX XXXXXXXX XX XXXXXXX/ (FI) XXXXXXXXXXXX, XXXX XX ANTANUT XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ XXXXXX LIITETÄÄN/ (XX) MYNDIGHET 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 AL XXXXXXXXX PÚBLICO AL XXX SE ADJUNTA XXXX XXXXXXX/ (XX) XXXXXXXXX TÝKAJÍCÍ XX XXXXXXX LISTINY, X XXX XX PŘILOŽEN XXXXX FORMULÁŘ/ (DA) XXXXXXXXXXX XXXXØXXXXX XXX XXXXXXXXXX DOKUMENT, XXX XXXXX FORMULAR XX XXXXÆXXXX/ (XX) ANGABEN XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX FORMULAR XXXXXXÜXX XXX/ (XX) XXXXX AVALIKU XXXXXXXXX XXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXXXX RELATING XX XXX PUBLIC XXXXXXXX XX WHICH XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXXXXXX RELATIVES XX DOCUMENT PUBLIC XXXXXX XXX XXXXX XX XXXXXXX FORMULAIRE/ (XX) XXXXXXXX A XXXXXXXXX LEIS AN XXXXXXXXX XXXXXX LENA XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXX XX XXXXXX XX XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX PRILOŽEN/ (XX) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) INFORMĀCIJA XXX XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX IR XXXXXXXXXX/ (XX) INFORMACIJA, XXXXXXXX SU XXXXXXXX XXXXXXXXX, PRIE XXXXX XXXXXXXXX XX FORMA/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX PUBBLIKU XX XXXXĦX HIJA XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX GEHECHT/ (XX) XXXXXXXXXX XXXXXXĄXX DOKUMENTU XXXĘXXXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX JEST XXŁĄXXXXX/ (XX) INFORMAÇÕES XXXXXXXXX XX XXXXXXXXX XXXXXXX X QUE X PRESENTE XXXXXXXXXX XXXX APENSO/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX ESTE XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXX XXXXXXX, XX KTOREJ XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX X ZVEZI X XXXXX XXXXXXX, XX XX JE PRILOŽEN XX XXXXXXX/ (FI) XXXXXX YLEISESTÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) INFORMATION XX XXX XXXXXXXXXX XXXXXXXX TILL XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (ES) XXXXXXXXX EXPEDIDO XXX XXX XXXXXXXXX X XX XXXXXXXXXXX XXXXXXXXX X XXX XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX MIEMBRO/ (XX) XXXXXXX VYDANÁ XXXXXXX XXXX XXXXXXXXX X XXXXXX XX XXXXX XXXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXXX, XXX XX XXXXXXX XX XX XXXXXXXXX XXXXX XX EMBEDSMAND, XXX XX XXXXXXXXXX XXXXXXXX X XX XXXXXXXXXXX/ (XX) URKUNDE XXXXX XXXÖXXX XXXX XXXXX XXXXXXXXXX XXX XXXXX XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX VÄLJA XXXXXX XXXXXXXXXXXX KOHTUTEGA XXXXXX AMETIASUTUS VÕI XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX EMANATING XXXX XX XXXXXXXXX XX XX OFFICIAL XXXXXXXXX XXXX XXX XXXXXX XX TRIBUNALS OF X XXXXXX XXXXX/ (XX) DOCUMENT XXXXXXX X'XXX XXXXXXXX OU X'XX FONCTIONNAIRE XXXXXXXX X'XXX XXXXXXXXXXX D'UN XXXX MEMBRE/ (XX) XXXXXXXXX X XXXXXXX X XXXXXX NÓ X XXXXXXXXX A XXXXXX XXXXX XXXX XX AICI XX XXXXXXXXXX XX XX XXXXX XX XXXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX IZDALO XXXXXX ILI XXXXXXXXX XXXX DRŽAVE XXXXXXX/ (XX) DOCUMENTO EMANATO XX XX'XXXXXXXÀ X XX UN XXXXXXXXXXX XXXXXXXXXXXX XX XXX XXXXX XXXXXXXXXXXXX XX XXX XXXXX XXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XX XXXĪXXXXXXX XXXXĀX SAISTĪTA XXXXĀXX XXX XXXXXXXXXXX/ (LT) XXXXXXXXXX, XXXXXXXX XXXXXXXX XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ SU XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (HU) TAGÁLLAMI XXXXXXXXXX XXXXXXXXXXXX ÁLLÓ XXXXXXX XXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ JEW XXXXĊXXX XX XXXXXXXX XXXXX MAL-QRATI JEW XX-XXXXXXXXX TA' XXXX XXXXXX/ (XX) DOCUMENT XXXXXXXXX XXXX XXX XXXXXXXXXX XX AMBTENAAR XXXXXXXXX XXX XXX XXXXXXXXXXXX XXXXXXXXX VAN XXX XXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX XXXXXX XĄXXXXXX LUB XXXĘXXXXX SĄDOWEGO XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX DE UMA XXXXXXXXXX XX XX XX XXXXXXXXXXX XXXXXXXXXX XX XXXXXXXX JURISDIÇÃO XX XX XXX XXXXXXX-XXXXXXX/ (RO) XXXXXXXX XXXX XX X XXXXXXXXXX XXX DE XX XXXXȚXXXXX DE XX XÂXXĂ INSTANȚELE XXXX STAT MEMBRU/ (XX) LISTINA XXXXXX XXXXXXX ALEBO XXXXXXXXX X XÄXXXX XX XXXX ČLENSKÉHO XXXXX/ (XX) LISTINA, XXXXXX X XXXXXX ORGANA XXX XXXXXXXX XXXXX XXXXXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX, JONKA XX XXXXXXX JÄSENVALTION XXXXXXXXXXXXXXXX XXXXXXX VIRANOMAINEN XXX XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX XX MYNDIGHET XXXXX EN TJÄNSTEMAN XXXXXÖXXXXX DOMSTOLSVÄSENDET I XX MEDLEMSSTAT

3.1.1

(BG) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (CZ) ROZHODNUTÍ XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (FR) XXXXXXXX XX JUSTICE/ (XX) XXXXXXXX XX xXXXXX/ (XX) SUDSKA ODLUKA/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) TIESAS XĒXXXX/ (XX) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX HATÁROZAT/ (XX) XXĊXŻXXXX TAL-QORTI/ (XX) RECHTERLIJKE XXXXXXXXXX/ (XX) ORZECZENIE SĄDOWE/ (XX) XXXXXÃX JUDICIAL/ (XX) HOTĂRÂRE XXXXXĂXXXXXXXĂ/ (XX) XXXXX ROZHODNUTIE/ (XX) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX PÄÄTÖS/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX EL XXXXXXXXXX XXXXXX/ (XX) LISTINA XXXXXX STÁTNÍM XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX EINER XXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXX SÜÜDISTAJA/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX EMANATING FROM X XXXXXX PROSECUTOR/ (XX) XXXXXXXX ÉMANANT XX XXXXXXÈXX XXXXXX/ (XX) XXXXXXXXX A XXXXXXX X IONCHÚISITHEOIR XXXXXX/ (HR) XXXXXXX XXXX XX XXXXXX XXXXXXX ODVJETNIŠTVO/ (XX) XXXXXXXXX EMANATO XXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (HU) ÜXXXXX XXXXX KIÁLLÍTOTT XXXXXX/ (MT) DOKUMENT XXĦXXĠ XXXX PROSEKUTUR XXXXXXXX/ (NL) DOCUMENT XXXXXXXXX XXXX EEN XXXXXXXX MINISTERIE/ (PL) XXXXXXXX POCHODZĄCY OD XXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX DO MINISTÉRIO XXXXXXX/ (XX) XXXXXXXX XXXX XX UN XXXXXXXX/ (SK) XXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXX, XX XX XXXX XXXXXXX TOŽILSTVO/ (XX) XXXXXXXXXX SYYTTÄJÄN XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (ES) XXXXXXXXX XXXXXXXX POR UN XXXXXXXXXX JUDICIAL/ (CZ) XXXXXXX XXXXXX XXXXXX XXXXXXX ÚŘEDNÍKEM/ (DA) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXÆX/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX GESCHÄFTSSTELLE EINES XXXXXXXX/ (XX) XXXXXXXX, XXXXX ON VÄLJA XXXXXX XXXXXXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (EN) XXXXXXXX XXXXXXXXX FROM X CLERK XX X XXXXX/ (FR) XXXXXXXX XXXXXXX X'XX XXXXXXXX/ (XX) XXXXXXXXX X THAGANN X XXXXXXXXXX DE XXXXX XXXXXX/ (HR) XXXXXXX XXXX JE XXXXX XXXXXXXXXX SUDSKE PISARNICE/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (XX) XXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX TISZTVISELŐ XXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXĠ XXXX XXĠXXXXXXXX XX' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX XXXXXXXXXX SĄDOWEGO/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXX XX JUSTIÇA/ (XX) XXXXXXXX XXXX DE XX XXXXXXX XX XXXXXXȚXX/ (XX) LISTINA XXXXXX XXXXXX ÚRADNÍKOM/ (XX) XXXXXXX, XX XX IZDA XXXXX XXXXXXXXXX/ (FI) TUOMIOISTUIMEN XXXXXXXXX XXXXXX XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXX XXXXXX XXXXXXX VYKONAVATELEM („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX XX XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (XX) XXXXXXX EINES XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (EN) XXXXXXXX EMANATING XXXX X XXXXXXXX OFFICER ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX DE XXXXXXX/ (XX) XXXXXXXXX X XXXXXXX Ó XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX JUSTICE”)/ (XX) XXXXXXX XXXX JE XXXXX SUDSKI XXXXXXXXX (XXXXXXXX DE JUSTICE)/ (XX) DOCUMENTO XXXXXXX XX XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX DE XXXXXXX")/ (XX) DOKUMENTS, XXXX XXXXXXXXXX TIESAS XXXXXXĪXĀXX (HUISSIER XX XXXXXXX)/ (XX) ANTSTOLIO (XXXXXXXX DE XXXXXXX) XXXXXXXX XXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXXXX („HUISSIER XX JUSTICE”) XXXXX XXXXXXXXXX OKIRAT/ (MT) XXXXXXXX XXĦXXĠ MINN XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX XX XXXXXXX')/ (NL) XXXXXXXX AFGEGEVEN DOOR XXX XXXXXXXXXXXXXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX XĄXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX PROVENIENTE XX XX XXXXXXX XX XXXXXXÃX XX XXXXXXX («XXXXXXXX XX JUSTICE»)/ (XX) DOCUMENT XXXX XX XX EXECUTOR XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (SK) LISTINA XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX JUSTICE“)/ (XX) LISTINA, XX XX XXXX XXXXX XXXXXXXXXX („HUISSIER XX XXXXXXX“)/ (XX) HAASTEMIEHEN (”XXXXXXXX XX XXXXXXX”) XXXXXX XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX XX STÄMNINGSMAN (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (ES) XXXX (XXXXXXXXXXXXX)/ (CZ) XXXX (XXXXXXXXX)/ (XX) ANDRE (XXXXXXX)/ (DE) XXXXXXXXX (XXXXX ANGEBEN)/ (ET) XXX (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (EN) XXXXX (TO XX XXXXXXXXX)/ (FR) AUTRE (À PRÉCISER)/ (XX) XXXX (LE XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (XX) XXXXX (PRECISARE)/ (XX) XXXX (XXXXXXĒX)/ (XX) KITA (XXXXXXXX)/ (XX) XXXXX (XXXXÜX XXXXXXXXXXX)/ (MT) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (PL) XXXX (XXXXXĘ XXXXŚXXĆ)/ (XX) XXXXXX (A XXXXXXXXXXX)/ (XX) XXXXX (A XX XXXXXXX)/ (SK) XXX (SPRESNIŤ)/ (XX) XXXXX (XXXXXXX)/ (XX) XXX ASIAKIRJA (XÄXXXXXXXXÄXÄ)/ (XX) ANNAN XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) LISTINA XXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX EINER VERWALTUNGSBEHÖRDE/ (XX) HALDUSDOKUMENT/ (EL) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (EN) XXXXXXXXXXXXXX XXXXXXXX/ (FR) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ (HR) XXXXXXX ISPRAVA/ (IT) XXXXXXXXX AMMINISTRATIVO/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX DOKUMENTAS/ (HU) XÖXXXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX ADMINISTRACYJNY/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX ADMINISTRATIV/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXX LISTINA/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (SV) XXXXXXXXXXXXX HANDLING

3.2.1

(BG) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (DA) PÅTEGNING/ (XX) BESCHEINIGUNG/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) CERTIFICATE/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (LV) XXXXXXXXĀXXXX/ (XX) XXXXXX, LIUDIJIMAS/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (XX) CERTIFICAAT/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX OU XXXXXXXXXXX/ (XX) CERTIFICAT/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (SV) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) EXTRACTO XXX XXXXXXXX XXXXX/ (XX) XXXXX X XXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX AUS DEM XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX XXXXX XXXXXX REGISTER/ (XX) EXTRAIT XX XXXXXXXX DE X'XXXX XXXXX/ (XX) XXXXXXX XX XX xXXXX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX IZ XXXXXXXX XXXXXXX STANJA/ (XX) XXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXX NO XXXXXXXĀXXXĻX XXXX REĢISTRA/ (XX) IŠRAŠAS IŠ XXXXXXXĖX XŪXXĖX XXXŲ XXXXXXXX/ (HU) XXXXXÖXXXX XXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX TAL-ISTAT ĊXXXXX/ (XX) XXXXXXXXXX XXX XXX REGISTER XXX XX XXXXXXXXXXX STAND/ (XX) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXX DE XXXX XX XXXXXXX XXXXX/ (XX) XXXXXX XXX REGISTRUL DE XXXXX CIVILĂ/ (XX) XXXXX Z XXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXX XX REGISTRA X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (SIVIILISÄÄTY)/ (XX) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX DEL XXXXX/ (CZ) VÝPIS X XXXXXXXX XXXXXXXX/ (XX) XXXXXX FRA XXXXXXXXXXXXXX/ (DE) XXXXXX XXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX FROM XXX XXXXXXXXXX REGISTER/ (XX) XXXXXXX XX XXXXXXXX XX XX XXXXXXXXXX/ (XX) XXXXXXX XX XX xXXXX XXXXXX/ (XX) XXXXXXX XX XXXXXX XXXXXXXXXXXX/ (XX) ESTRATTO ANAGRAFICO/ (XX) XXXXXXXX NO XXXXĪXXXĀXX REĢISTRA/ (XX) XXXXXXX XX XXXXXXXXŲ XXXXXXXX/ (HU) XXXXXXX X XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX UIT XXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX X XXXXXXXX XXXXXŚXX/ (XX) EXTRATO XX XXXXXXX XX POPULAÇÃO/ (XX) EXTRAS DIN XXXXXXXXX XX XXXXXXȚĂ X POPULAȚIEI/ (SK) XXXXX X XXXXXXXX XXXXXXXĽXX/ (XX) IZPISEK XX XXXXXXXX XXXXXXXXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТАКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) COPIA LITERAL XX ACTAS XXX XXXXXXXX XXXXX/ (CZ) XXXX XXXXXXXXXX XXXXXXX/ (XX) ORDRET XXXX XX CIVILSTANDSREGISTRE/ (XX) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (EN) XXXXXXXX XXXX XX XXXXX XXXXXX RECORDS/ (XX) XXXXX XXXXXXXXX D'ACTES XX L'ÉTAT CIVIL/ (XX) XXXX XXXXX XX XXXXXX XX XXXXXXX XX XXXXXX XXXXXXXXX/ (HR) XXXXXXXX XXXXXXXX IZ XXXXXXXXXX X OSOBNOM XXXXXX/ (XX) XXXXX XXXXXXXXX XX XXXX XX XXXXX XXXXXX/ (LV) XXXXXXXĀXXXĻX XXXX REĢISTRA XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) CIVILINĖS XŪXXĖX XXXŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (HU) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXX TAL-ATTI XXX-XXXXX ĊXXXXX/ (NL) EENSLUIDEND XXXXXXXXX XXX XXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (PT) XXXXXXÃX XX CÓPIA XXXXXXXX XX XX XXXXXXXXX XX XXXX DE XXXXXXX CIVIL/ (XX) XXXXX XXXXXĂ X XXXX XXX XX XXXXX XXXXXĂ/ (XX) XXXXXXXX XXXXX XX XXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXX XXXXXX XXXXXX X XXXXXXX XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX JÄLJENNÖS/ (XX) XXXXXXXXX AVSKRIFT XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (ES) XXXX XXXXXXXX/ (CZ) NOTÁŘSKÁ XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (DE) XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) NOTARIAL XXX/ (XX) ACTE NOTARIÉ/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX ISPRAVA/ (XX) XXXX XXXXXXXX/ (XX) NOTARIĀLS XXXX/ (XX) NOTARINIS XXXXX/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) ATT XXXXXXXX/ (XX) XXXXXXËXX AKTE/ (XX) AKT NOTARIALNY/ (XX) ATO XXXXXXXX/ (XX) ACT NOTARIAL/ (XX) XXXXXXXX XXXXXXX/ (XX) NOTARSKA XXXXXXX/ (XX) NOTAARIN ANTAMA XXXXXXXXX/ (SV) NOTARIELL XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) CERTIFICACIÓN XXXXXXX XXXXXX XXXXX XX XXXXXXXXX PRIVADO/ (XX) XXXXXX XXXXXXXXX, XXXXXX XXXX OPATŘENA XXXXXXX XXXXXXXXX XXXXXXXXX OSOBOU/ (XX) OFFICIEL XÅXXXXXXX XÅ ET XXXXXXXX XXXXXXXXXXX AF XX XXXXXX X XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX EINER XXXXXXXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX XXXXXXX XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΊ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX PLACED XX X XXXXXXXX XXXXXX XX X PERSON XX XXX XX XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX OFFICIELLE XXXXXXX SUR XX XXXX SOUS XXXXX XXXXX/ (XX) DEIMHNIÚ XXXXXXXXX X XXXXXXXXX XX DHOICIMÉAD XXXX XXXXXX XX DUINE XXX CHÁIL XX XXX XXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX NA XXXXXXX XXXX XX XXXXX XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (XX) DICHIARAZIONE XXXXXXXXX XXXXXXX XX XXX SCRITTURA XXXXXXX/ (XX) XXXXXĀXX XXXXXXXXĀXXXX XX XXXXXXXXX, XX XXXĀ XĀXXĀ PARAKSTĪJUSI XĀXX XXXXXXX/ (XX) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX PATVIRTINIMAI/ (XX) MAGÁNOKIRATON XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (MT) ĊXXXXXXXXX UFFIĊJALI LI XXXXXXXĦXX X'XXXXXXXX IFFIRMAT XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX DOCUMENT XXXXXXXXXXX XXXX XXX PERSOON XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX UMIESZCZONE NA XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX PRYWATNYM/ (PT) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX XXX XX XXXXXXXX PRIVADA/ (XX) XXXXXXXXXX XXXXXXX XXXXXXX XX XX DOCUMENT XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX XX XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX SÚKROMNÁ XXXXX/ (XX) URADNA XXXXXX XX XXXXXXX XXXXXXX/ (XX) XXXXXXXXXX TODISTUS XXXXXXXXXXXX, XXXXX XXXXXXÖ XX ALLEKIRJOITTANUT YKSITYISHENKILÖNÄ/ (XX) OFFICIELLT 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) XXXXXXXXX XXXXXXXX POR XX XXXXXX DIPLOMÁTICO X XXXXXXXX XX XX XXXXXX XXXXXXX XXX XXXXXXXX XXXXXXX/ (CZ) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXX KONZULÁRNÍM XXXXXXXXX XXXXXXXXX XXXXX X XXXXX VÝKONU XXXX SLUŽEBNÍCH XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX XX XX XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (DE) XXX XXXXX XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX VERTRETER XXXXX XXXXXXXXXXXXXX XX XXXXXX AMTLICHEN XXXXXXXX XXXXXXXXXX XXXXXXX/ (ET) XXXXXXXXXXXX XXXXXXXXXXXXXX VÕI XXXXXXXXXXXXXXXXX XXXXX AMETIKOHUSTUSTE XÄXXXXXXX KOOSTATUD XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) DOCUMENT XXXXX XX BY X XXXXXXXXXX XX XXXXXXXX XXXXX XX A XXXXXX XXXXX XX XXX XX HER XXXXXXXX CAPACITY/ (XX) XXXXXXXX XXXXXX XX XX QUALITÉ OFFICIELLE XXX UN XXXXX XXXXXXXXXXXX XX XXXXXXXXXX X'XX XXXX MEMBRE/ (XX) DOICIMÉAD XXXX XXXXXXXXXX XXXX AG XXXXXXXXXX XXXXXXXXXXXXXXXX NÓ XXXXXXXXX XX XXXXX XXXXXXXXX XXX XXXXX XX XXX XXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX X XXXXXXXXX XXXXXXXX SASTAVIO XXXXXXXXXXX ILI XXXXXXXXXX XXXXXXXXXXX DRŽAVE ČLANICE/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX DIPLOMATICI X CONSOLARI DI XXX XXXXX XXXXXX XXXX'XXXXXXXXX DELLE LORO XXXXXXXX/ (XX) DOKUMENTS, XXXX, PILDOT XXXXX XXXXĀXXXXX, SAGATAVOJIS XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX VALSTYBĖS XXXĖX XXXXXXXXX AR XXXXXXXXXX XXXXXXŪXX, VEIKIANČIO XXXXX XXXXXXXXXX ĮGALIOJIMUS/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX XXXXX XXXXXXXXX MINŐSÉGÉBEN XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXXX XXXX XĠXXX XXXXXXXXXXX XXX XXXXXXXXX TA' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (NL) DOCUMENT XXXXXXXXX DOOR DE XXXXXXXXXXXX OF XXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX XX XXXX XXXXXXËXX XXXXXXXXXXXX/ (PL) XXXXXXXX XXXXXĄXXXXX PRZEZ XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX LUB XXXĘXXXXX XXXXXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX DZIAŁAJĄCYCH W XXXXXXXXXXX XXXĘXXXXX/ (PT) XXXXXXXXX LAVRADO POR XX AGENTE XXXXXXXXXXX XX XXXXXXXX DE XX XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (RO) XXXXXXXX ÎXXXXXXX XX XĂXXX UN AGENT XXXXXXXXXX SAU CONSULAR XX XXXX XXXX XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (SK) LISTINA XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXX/ (SL) XXXXXXX, XX JO XXX XXXXXX OSEBA IZDA XXXXXXXXXXX ALI XXXXXXXXXX XXXXXXXXXXX DRŽAVE ČLANICE/ (XX) XXXXXXXXX, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (SV) XXXXXXXX UPPRÄTTAD X XXÄXXXXX AV XX XXXXXXXXXXX ELLER 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) XXXXXX/ (DA) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX KUUPÄEV (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) DATE (XX/XX/XXXX) XX DÉLIVRANCE/ (XX) XXXX (LL/MM/BBBB) EISIÚNA/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (IT) DATA XX RILASCIO (XX/XX/XXXX)/ (XX) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (DD/MM/MMMM)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) DATA (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) EMITERII/ (SK) XXXXX (XX/XX/XXXX) VYDANIA/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) DATUM (XX/XX/ÅÅÅÅ) FÖR XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX REFERENCIA XXX DOCUMENTO PÚBLICO/ (XX) XXXXXXXXXX ČÍSLO XXXXXXX LISTINY/ (XX) XXX XXXXXXXXXX DOKUMENTS XXXXXXXXXXXXXXX/ (DE) XXXXXXXXXX XXX ÖFFENTLICHEN URKUNDE/ (XX) XXXXXXX DOKUMENDI XXXXXXXXXXX/ (EL) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (EN) REFERENCE XXXXXX OF XXX XXXXXX DOCUMENT/ (XX) XXXXXX DE XXXXXXXXX XX XXXXXXXX PUBLIC/ (XX) XXXXXX THAGARTHA XX XXXXXXXXX PHOIBLÍ/ (XX) XXXXXXXXXX BROJ XXXXX ISPRAVE/ (IT) XXXXXX XX RIFERIMENTO XXX DOCUMENTO PUBBLICO/ (XX) PUBLISKĀ XXXXXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXX DOKUMENTO XXXXXXX/ (XX) X KÖZOKIRAT XXXXXXXXXXX XXXXX/ (XX) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX DOCUMENT/ (XX) XXXXX XXXXXXXXXXXX DOKUMENTU XXXĘXXXXXX/ (XX) XXXXXX XX XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (RO) XXXĂXXX XX XXXXXXXȚĂ XX DOCUMENTULUI OFICIAL/ (XX) XXXXXXXXXX ČÍSLO XXXXXXXX LISTINY/ (XX) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (SV) XXX OFFICIELLA HANDLINGENS XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX OSOBĚ/ (XX) XXXXXXXXXXX OM XXX XÅXÆXXXXXX XXXXXX/ (XX) XXXXXXX XXX XXXXXXXXXXXX PERSON/ (XX) XXXXXXXXX XXXXXX XÄXXXXXX XXXXX/ (EL) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) INFORMATION XX THE XXXXXX XXXXXXXXX/ (XX) INFORMATIONS XXX LA XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXX XXXX XX XXXXX XXXX mBAINEANN/ (XX) INFORMACIJE O XXXXXXXX OSOBI/ (XX) XXXXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (XX) INFORMĀCIJA XXX XXXXXXĪXX XXXXXXX/ (XX) XXXXXXXXXXX APIE XXXXXXXXXĄ ASMENĮ/ (XX) XX ÉRINTETT XXXXXXXXX XXXXXXXXX XXXXXX/ (MT) XXXXXXXXXXXXX DWAR XX-XXXXXXX XXXXĊXXXXXX/ (XX) INFORMATIE XXXX XX XXXXXXXXXX/ (XX) DANE OSOBY, XXXXXX DOTYCZY DOKUMENT/ (XX) INFORMAÇÕES XXXXX X XXXXXX EM XXXXX/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXX XXXXXĂ/ (XX) INFORMÁCIE X XXXXXXXXX XXXXX/ (XX) XXXXXXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXX/ (XX) XXXXXXXXX XX DEN XXXÖXXX XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) APELLIDO(S)/ (XX) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (XX) XXXXXXXXXXXX(X)/ (XX) XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX(X)/ (XX) NOM(S)/ (XX) XXXXXXX (XXXXXXXX)/ (XX) XXXXXXX(XX)/ (XX) XXXXXXX(X)/ (XX) UZVĀRDS(-I)/ (XX) PAVARDĖ (-ĖX)/ (XX) XXXXXXX XXXX(X)/ (XX) KUNJOM(/KUNJOMIJIET)/ (NL) XXXXXXXX(X)X(XX)/ (PL) XXXXXXXX(-X)/ (XX) XXXXXXX(X)/ (XX) XXXX/ (SK) XXXXXXXXXX(-X)/ (XX) PRIIMEK/PRIIMKI/ (XX) XXXXXXXX (-XXXXX)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (CZ) XXXXX (JMÉNA)/ (DA) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) IME(NA)/ (XX) XXXX(X)/ (XX) XĀXXX(-X)/ (XX) XXXXXX (-AI)/ (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) XXX/XXXXX/ (XX) ETUNIMI (-NIMET)/ (XX) FÖRNAMN

4.3

(BG) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) FECHA (XX/XX/XXXX) XX NACIMIENTO/ (XX) XXXXX (XX/XX/XXXX) NAROZENÍ/ (XX) FØDSELSDATO (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) SÜNNIKUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) OF XXXXX/ (XX) XXXX (XX/XX/XXXX) XX NAISSANCE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXĐXXXX/ (IT) XXXX XX XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (LT) GIMIMO XXXX (DD/MM/MMMM)/ (XX) XXÜXXXXXX XXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXX (JJ/XX/SSSS) XXX-XXXXXX/ (XX) GEBOORTEDATUM (XX/XX/XXXX)/ (PL) DATA (XX/XX/XXXX) XXXXXXXXX/ (PT) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (RO) DATA (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXXXX/ (XX) DATUM (DD/MM/LLLL) XXXXXXX/ (FI) SYNTYMÄAIKA (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.4

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) LUGAR X XXXX XX XXXXXXXXXX/ (XX) XXXXX A XXXX XXXXXXXX/ (DA) XØXXXXXX XX -LAND/ (XX) ORT XXX XXXX XXX XXXXXX/ (XX) SÜNNIKOHT XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX AND XXXXXXX OF BIRTH/ (XX) XXXX XX XXXX XX NAISSANCE/ (XX) XXX XXXX XXX XXXXXXXX/ (HR) XXXXXX I XXXXXX XXĐXXXX/ (IT) XXXXX X XXXXX XX XXXXXXX/ (LV) DZIMŠANAS XXXXX XX XXXXXX/ (XX) GIMIMO XXXXX XX ŠALIS/ (XX) XXÜXXXXXX HELYE ÉS XXXXXXX/ (XX) POST X XXXXXŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX XX -XXXX/ (XX) XXXXXXX X PAŃSTWO XXXXXXXXX/ (XX) XXXXX X XXXX XX NASCIMENTO/ (XX) XXXXX ȘX ȚXXX XXȘXXXXX/ (XX) XXXXXX A XXXX XXXXXXXXX/ (XX) KRAJ XX XXXXXX XXXXXXX/ (XX) SYNTYMÄPAIKKA XX -XXX/ (SV) FÖDELSEORT XXX -XXXX

4.5

(XX) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (XX) XØX/ (XX) XXXXXXXXXX/ (ET) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (FR) XXXX/ (GA) XXXXXX/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) SESS/ (XX) GESLACHT/ (XX) XŁXĆ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (SL) SPOL/ (XX) SUKUPUOLI/ (XX) XÖX

4.5.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (EN) XXXXXX/ (FR) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (IT) FEMMINILE/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (HU) XŐ/ (XX) XXXX/ (XX) XXXXX/ (XX) KOBIETA/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (FI) XXXXXX/ (XX) XXXXXX

4.5.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (XX) XXXX/ (XX) MÄNNLICH/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) MUŠKI/ (XX) MASCHILE/ (XX) XĪXXXXXX/ (XX) XXXXX/ (XX) XXXXX/ (MT) XXĠXX/ (XX) XXX/ (XX) XĘŻXXXXXX/ (XX) XXXXXXXXX/ (RO) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) MAN

4.5.3

(BG) НЕОПРЕДЕЛЕН/ (XX) INDETERMINADO/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) UNBESTIMMT/ (ET) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (EN) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (GA) XXXXXXXXXXXXXXX/ (HR) XXXXXXĐXX/ (XX) INDETERMINATO/ (XX) XXXXXXXXXX/ (LT) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (MT) XXXX XXXXXXXXX/ (NL) XXXXXXXXX/ (PL) XŁXĆ XXXXXXXŚXXXX/ (PT) XÃX XXXXXXXX/ (RO) XXXXXXXXXXXX/ (XX) NEURČENÉ/ (XX) XXXXXXXXX/ (FI) XÄÄXXXXXXXXÄXÖX/ (XX) XX FASTSTÄLLT

4.6

(BG) АДРЕС/ (XX) DIRECCIÓN/ (XX) XXXXXX/ (DA) XXXXXXX/ (DE) XXXXXXXXX/ (XX) XXXXXXX/ (XX) ΔΙΕΥΘΥΝΣΗ/ (XX) XXXXXXX/ (XX) ADRESSE/ (GA) XXXXXXX/ (XX) ADRESA/ (XX) INDIRIZZO/ (LV) XXXXXX/ (LT) ADRESAS/ (XX) CÍME/ (MT) XXXXXXXX/ (XX) XXXXX/ (XX) XXXXX/ (XX) XXXXXXÇX/ (XX) ADRESA/ (XX) ADRESA/ (SL) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX

4.6.1

(XX) УЛИЦА И НОМЕР/ПОЩЕНСКА КУТИЯ/ (XX) XXXXX X XXXXXX / XXXXXXXX XX XXXXXXX/ (CZ) XXXXX A ČÍSLO XXXX / XXXXXXXX XXXXXXXXX/ (XX) VEJ XX XXXXXXXXX/XXXXXXXX/ (XX) XXXXXXX UND XXXXXXXXXX/XXXXXXXX/ (XX) TÄNAV XX XXXX XXXXXX/XXXXXXXX/ (EL) ΟΔΟΣ ΚΑΙ ΑΡΙΘΜΟΣ / Τ.Θ./ (XX) XXXXXX XXX XXXXXX/XX XXX/ (FR) RUE XX NUMÉRO/BOÎTE POSTALE/ (XX) SRÁID XXXX XXXXXX/XXXXX XXXXX/ (XX) XXXXX I XXXX / XXXXXXXXX XXXXXXXX/ (XX) VIA E XXXXXX/XXXXXXX POSTALE/ (XX) XXXX XX XĀXXX XXXXXX / XXXXXXXXX/ (XX) XXXXĖ XX XXXX XXXXXXX / XXXXX XĖXXXĖ/ (XX) XXXX XX XXXXXXX/XXXXXXXXX/ (XX) XXXX X XXXXX/XXXXX XXXXXXX/ (NL) XXXXXX XX NUMMER/POSTBUS/ (XX) ULICA X XXXXX / XXXXXXX XXXXXXXX/ (XX) XXX X XXXXXX/XXXXX POSTAL/ (XX) STRADA ȘI XXXĂXXX/XĂXXȚX XXȘXXXĂ/ (XX) XXXXX X ČÍSLO/POŠTOVÝ XXXXXXXXX/ (XX) XXXXX XX ŠTEVILKA/POŠTNI XXXXXX/ (XX) XÄXXXXXXXX/XXXXXXXXXXX/ (XX) XXXXXXXXXX/XXXXXXX

4.6.2

(XX) НАСЕЛЕНО МЯСТО И ПОЩЕНСКИ КОД/ (XX) LOCALIDAD X XXXXXX XXXXXX/ (XX) XXXXX A XXXXXXXX XXXXXXXXX XXXXX/ (DA) XX XX POSTNUMMER/ (XX) XXX XXX XXX/ (XX) LINN XÕX XXXXX XX XXXXXXXXXX/ (EL) ΤΟΠΟΣ ΚΑΙ ΤΑΧΥΔΡΟΜΙΚΟΣ ΚΩΔΙΚΟΣ/ (XX) XXXXX AND XXXXXX XXXX/ (FR) XXXXXXXX ET CODE XXXXXX/ (XX) ÁIT XXXX XXX XXXXX/ (XX) XXXXXX X XXXXXXXXX BROJ/ (XX) XXXXXXXÀ X XXX/ (XX) VIETA XX XXXXX INDEKSS/ (XX) XXXXX IR PAŠTO XXXXX/ (XX) HELYSÉG XX XXXXXXXXXXXX/ (XX) XXXXXXXÀ U XXXXĊX XXXXXXX/ (NL) XXXXXX XX POSTCODE/ (PL) XXXXXXXXXŚĆ X KOD XXXXXXXX/ (XX) XXXXXXXXXX X CÓDIGO XXXXXX/ (XX) XXXXXXXXXXX ȘI XXXXX XXȘXXX/ (XX) XXXXXX X POŠTOVÉ XXXXXXXXXX ČÍSLO/ (XX) XXXX XX XXXXXX XXXXXXXX/ (FI) XXXXXXXXXXX XX XXXXXXXXXXXXXXXX/ (SV) XXX XXX XXXXXXXXXX

4.6.3

(XX) ДЪРЖАВА/ (ES) XXXX/ (XX) ZEMĚ/ (XX) XXXX/ (XX) XXXX/ (XX) XXXX/ (EL) ΧΩΡΑ/ (XX) COUNTRY/ (XX) PAYS/ (GA) XXX/ (HR) XXXXXX/ (XX) PAESE/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (MT) XXXXXŻ/ (XX) LAND/ (XX) XXŃXXXX/ (PT) XXXX/ (XX) ȚXXX/ (XX) XXXX/ (SL) XXXXXX/ (XX) XXX/ (XX) XXXX

5.

(XX) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ, СЪОТВЕТНОТО ЛИЦЕ Е БИЛО ЖИВО КЪМ ДАТАТА НА ИЗДАВАНЕ НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXX XX XXXXXXXXX XXXXXXX AL XXX XX XXXXXXX ESTE XXXXXXX, XX XXXXXXXXXX XXXXXX XX XXXX XX LA FECHA XX XXXXXXXXXX DEL XXXXXXXXX XXXXXXX/ (XX) XX ZÁKLADĚ XXXXXXX XXXXXXX, K XXX XX PŘIPOJEN XXXXX XXXXXXXX, BYLA XXXXXXX XXXXX XX XXX XXXXXX XXXXXXX XXXXXXX XXXXXX/ (XX) X XXXXXXX TIL XXX XXXXXXXXXX DOKUMENT, XXX XXXXX XXXXXXXX XX XXXXÆXXXX, XXX XXX XÅXÆXXXXXX XXXXXX I XXXX XÅ XXXXXX XXX XXXXXXXXXXX XX XXX XXXXXXXXXX DOKUMENT/ (XX) GEMÄSS XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX, WAR XXX XXXXXXXXXXX XXXXXX XX XXX DER XXXXXXXXXXX XXX ÖXXXXXXXXXXX URKUNDE XX LEBEN/ (XX) XXXXXXXXX XXXXXXXXX XXXXXXXXXXX, XXXXXXX XXX VORM XX LISATUD, XXX XXXXXXXXX XXXX NIMETATUD XXXXXXX DOKUMENDI VÄLJAANDMISE XXXXÄXXXX ELUS/ (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/ (EN) XXXXXXXXX TO XXX XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX ATTACHED, THE XXXXXX XXXXXXXXX XXX XXXXX XX XXX XXXX OF XXXXX XX XXX XXXXXX XXXXXXXX/ (XX) X'XXXÈX XX XXXXXXXX XXXXXX XXXXXX LE XXXXXXX XXXXXXXXXX XXX XXXXX, XX XXXXXXXX XXXXXXXXX XXXXX EN XXX À XX XXXX XX DÉLIVRANCE DE XX XXXXXXXX PUBLIC/ (XX) XX RÉIR XX XXXXXXXXX PHOIBLÍ XXXX xxXXXX XX XXXXXX XXX CEANGAILTE, XXX XX XXXXX XXXX xXXXXXXXX XXX XX XXXXX XXXXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXXX XXXXXX XXXXXXX XXXXX JE XXXX XXXXXXX XXXXXXXX XXXXXXX XXXXX XXXX XX XXXX XX XXX XXXXXXXXX JAVNE XXXXXXX/ (XX) XXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX PRESENTE XXXXXX È XXXXXXXX, X'XXXXXXXXX XX VITA XXXXX XXXXXXX INTERESSATA È XXXXX ACCERTATA XXXX XXXX XX XXXXXXXX XX TALE XXXXXXXXX/ (XX) XXXXXŅĀ XX PUBLISKO XXXXXXXXX, XXXXX ŠĪ VEIDLAPA XX XXXXXXXXXX, XXXXXXĪXĀ XXXXXXX PUBLISKĀ XXXXXXXXX XXXXXXXXX XXXXĀ XXXX XXĪXX/ (XX) PAGAL XXXXĄXĮ DOKUMENTĄ, XXXX XXXXX XXXXXXXXX ŠI XXXXX, XXXXXXX XXXXXXXXX XXXXXXXX XXXXĄ XXXXXXXXXXX XXXXX XXXX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRAT XXXXXXX XX ÉRINTETT XXXXXXX X XÖXXXXXXX XXXXXXXXXXXXX XXŐXXXXXXXXX XXXXXXX XXXX/ (XX) XXXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX, IL-PERSUNA KKONĊERNATA XXXXXX ĦXXXX FID-DATA XXX-ĦXXĠ TAD-DOKUMENT XXXXXXXX/ (XX) VOLGENS HET XXXXXXXX XXXXXXXX WAARAAN XXX XXXXXXXXX IS XXXXXXX, XXX XX XXXXXXXXXX XX XXXXX XX XX XXXXX XXX AFGIFTE VAN XXX XXXXXXXX XXXXXXXX/ (XX) X DOKUMENTU XXXĘXXXXXX, XX XXXXXXX XXŁĄXXXXX JEST XXXXXXXXX XXXXXXXXX, XXXXXX, ŻE XXXXX, XXXXXX XXXXXXX XXXXXXXX, POZOSTAWAŁA XXXX ŻXXXX X XXXX XXXXXXX TEGO DOKUMENTU XXXĘXXXXXX/ (PT) SEGUNDO X XXXXXXXXX XXXXXXX X QUE O XXXXXXXX FORMULÁRIO ESTÁ XXXXXX, X PESSOA XX XXXXX ESTAVA XXXX À XXXX XX EMISSÃO XX XXXXXXXXX PÚBLICO/ (RO) ÎX XXXXXXXXXXXX XX XXXXXXXXXX OFICIAL XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX, XXXXXXXX XXXXXĂ ERA ÎX XXXȚĂ XX XXXX XXXXXXXX XXXXXXXXXXXX XXXXXXX/ (XX) XXXĽX VEREJNEJ XXXXXXX, KU KTOREJ XX TENTO XXXXXXXX XXXXXXXXX, XXXX XXXXXXXX XXXXX V XXX XXXXXXX VEREJNEJ XXXXXXX XXXXXX/ (XX) X XXXXXX X XXXXX XXXXXXX, KI XX XX XXXXXXXX XX XXXXXXX, XX XXXX XXXXXXX XXXXX XX XXX XXXXXX XXXXX XXXXXXX XXXX/ (XX) XXX XXXXXXX XXXXXXXXXX XXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX, ASIANOMAINEN XXXXXXÖ XXX XXXXXX XXXXXXX ASIAKIRJAN ANTAMISPÄIVÄNÄ/ (XX) XXXXXX DEN XXXXXXXXXX XXXXXXXX TILL XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX XXX XXX XXXÖXXX PERSONEN X LIVET XXX XXXXXXXXXX XÖX DEN XXXXXXXXXX XXXXXXXXXXX XXXÄXXXXXX

6.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX XXXXX/ (CZ) XXXX PRO PODPIS/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) SIGNATURE XXX/ (XX) CADRE POUR XX XXXXXXXXX/ (GA) XXXXX XXX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) RIQUADRO XXX XX XXXXX/ (XX) PARAKSTA XXXXX/ (XX) XXXXXX LAUKELIS/ (XX) AZ ALÁÍRÁS XXÖXXXXXXXXX/ (MT) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX XX XXXXXXXXXXXX/ (XX) XXXX XXXXXXX/ (XX) ESPAÇO XXXXXXXXX À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX XXXXXX/ (SL) XXXXX XX XXXXXX/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (XX) XXXX FÖR XXXXXXXXXXXXXX

6.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) Y NOMBRE(S) XXX XXXXXXXXXXX QUE XXXXXXX ESTE XXXXXXX/ (XX) XXXXXXXX A XXXXX (XXXXX) ÚŘEDNÍKA, XXXXX XXXXX TENTO XXXXXXXX/ (XX) XXXXXXXXX(X) XX FORNAVN(E) PÅ XXX XXXXXXXXXX, DER XXX XXXXXXX DENNE XXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXXXXXX(X) XXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX AMETNIKU XXXXXXX (-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 FORM/ (FR) XXX(X) XX XXXXXX(X) XX XXXXXXXXXXXXX QUI X DÉLIVRÉ LE XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXXX XXXXXXXX (XXXXXXXXXXXXXX) AN XXXXXXXX X D’EISIGH XX XXXXXX XXX/ (XX) PREZIME(NA) X XXX(XX) XXXXXXXXXX KOJI XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXX/X X NOME/I XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, UZVĀRDS(-I) XX XĀXXX(-X)/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖX) XX XXXXXX (-XX)/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXX NEVE(I) XX UTÓNEVE(I)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XX(X)X(XX) XX VOORNA(A)M(EN) XXX DE XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) X IMIĘ (XXXXXX) XXXĘXXXXX, XXXXX XXXXŁ NINIEJSZY FORMULARZ/ (XX) APELIDO(S) X XXXX(X) XXXXXXX(X) XX XXXXXXXXXXX QUE XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXX ȘI XXXXXXXXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (SL) XXXXXXX/XXXXXXX XX XXX/XXXXX XXXXXXXX, XX JE XXXXX XX XXXXXXX/ (FI) XÄXÄX XXXXXXXXX ANTANEEN XXXXXXXXXXX XXXXXXXX (-NIMET) XX XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX OCH XÖXXXXX PÅ DEN XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX FORMULÄR

6.2

(BG) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXX XXX FUNCIONARIO XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXXX — XXX EMBEDSMAND, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX DES XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX XX THE XXXXXXXX WHO XXXXXX XXXX FORM/ (XX) XXXXX DU XXXXXXXXXXXXX XXX A XXXXXXX XX PRÉSENT FORMULAIRE/ (XX) XXXX XX XXXXXXXX A X’XXXXXX XX XXXXXX SEO/ (XX) FUNKCIJA XXXXXXXXXX XXXX XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXX FUNZIONARIO XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, XXXXX/ (LT) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX LI ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX XXX DE XXXXXXXXX DIE XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) STANOWISKO XXXĘXXXXX, XXXXX XXXXŁ NINIEJSZY XXXXXXXXX/ (XX) CARGO XX FUNCIONÁRIO XXX XXXXXX X PRESENTE XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX ÚRADNÍKA, XXXXX VYDAL XXXXX XXXXXXXX/ (SL) XXXXXXX XXXXXXXX, XX JE XXXXX TA OBRAZEC/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX ASEMA/ (XX) BEFATTNING XÖX XXX XXÄXXXXXXX XXX XXX XXXÄXXXX DETTA XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (DA) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (TT/MM/JJJJ)/ (ET) XÄXXXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/GGGG) XXXXXXXXX/ (XX) DATA XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (LT) XXXXXXXX XXXX (XX/XX/XXXX)/ (HU) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) XXXXX (XX/XX/XXXX) VAN XXXXXXX/ (XX) DATA (XX/XX/XXXX) WYDANIA/ (XX) XXXX XX EMISSÃO (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) VYDANIA/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) FÖR XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (DA) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) ALLKIRI/ (EL) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (GA) XXXXX/ (HR) POTPIS/ (XX) FIRMA/ (XX) XXXXXXXX/ (LT) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (NL) XXXXXXXXXXXX/ (XX) XXXXXX/ (PT) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) PODPIS/ (XX) XXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (XX) PEČEŤ XXXX XXXXXXX/ (XX) XXXX XXXXX XXXXXXX/ (DE) XXXXXX XXXX XXXXXXX/ (XX) PITSER VÕI XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) SEAL OR XXXXX/ (XX) XXXXX XX TIMBRE/ (XX) XXXXX XX STAMPA/ (XX) ŽIG XXX XXXXX/ (IT) XXXXX X XXXXXX/ (XX) XĪXXXX XXX SPIEDOGS/ (XX) SPAUDAS ARBA XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX JEW XXXXXX/ (XX) XXXXX XX XXXXXXX/ (XX) PIECZĘĆ XXX STEMPEL/ (PT) XXXX XX CARIMBO/ (XX) XXXXXXXX SAU ȘXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (XX) XXXXX ALI XXX/ (FI) SINETTI XXX LEIMA/ (SV) XXXXXX XXXXX XXÄXXXX

XXXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX XXX PŘEKLAD

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

Xxxxxx (XX) Xxxxxxxxx (XX)

Xxxxx republika (XX)

Xxxxxx (DK) Německo (XX)

Xxxxxxxx (EE) Xxxxx (XX)

Xxxxx (XX) Španělsko (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (LU)

Maďarsko (XX) Xxxxx (XX)

Xxxxxxxxxx (NL) Xxxxxxxx (AT)

Polsko (XX) Xxxxxxxxxxx (PT)

Rumunsko (XX) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Xxxxxx (FI)

Švédsko (XX) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

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

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

XXXXXXXXXX XXX VYDÁVAJÍCÍ XXXXX

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

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

1. ORGÁN XXXXXXXXXX XXXXX FORMULÁŘ

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

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

(2) Xxx xxxxxxxxxx rukou xxxxxxxx xxxxxxx xxxxx.

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

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

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

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

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Listina xxxxxx státním xxxxxxxxx

3.1.3 Xxxxxxx vydaná xxxxxx xxxxxxx xxxxxxxxx

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

3.1.5 Xxxx (xxxxxxxxx)

3.2 Listina xxxxxx xxxxxxxx úřadem

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x xxxxxxx

3.2.3 Xxxxx x xxxxxxxx obyvatel

3.2.4 Xxxx xxxxxxxxxx xxxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx listina

3.4 Xxxxxx osvědčení, xxxxxx xxxx xxxxxxxx listina xxxxxxxxx xxxxxxxxx xxxxxx

3.5 Xxxxxxx vyhotovená xxxxxxxxxxxxx xxxxxxxxx xxxx xxxxxxxxxxx xxxxxxxxx xxxxxxxxx státu x xxxxx výkonu xxxx služebních povinností

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx xxxxx veřejné xxxxxxx

4. XXXXXXXXX O XXXXXXXX

4.1 Xxxxxxxx

4.2 Jméno (xxxxx)

4.3 Datum (xx/xx/xxxx) xxxxx

4.4 Místo (1) x xxxx (2) xxxxx

4.5 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.6 Pohlaví: .……………….............................................................................................................

4.6.1 Xxxx

4.6.2 Muž

4.6.3 Xxxxxxxx

5. XXXX PRO PODPIS

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

5.2 Xxxxxx xxxxxxxx, xxxxx xxxxx xxxxx xxxxxxxx

5.3 Xxxxx (dd/mm/rrrr) xxxxxx

5.4 Xxxxxx

5.5 Xxxxx nebo xxxxxxx

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

(2) Název xxxx a – xxxxx existuje – xxx ISO xxxx xxxx xxxx xxxxxxx „Xxxx (xxxxxxxxx)“ xx xxxxx vybrat z xxxxxxxxxxx nabídky xx xxxxxxxx xxxxxxxxxxxx standardním xxxxxxxxx, xxxxx xx x xxxxxxxxx xx xxxxxxx evropské 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) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, DIE XXXXXX XXXXXXXX AUSSTELLT/ (XX) XÄXXXXXXX XXXXX XÄXXX ANDNUD XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) AUTHORITY XXXXXXX XXXX XXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX XX XXXXXX SEO/ (XX) XXXXXX XXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXXÀ CHE XXXXXXXX XX PRESENTE XXXXXX/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ FORMĄ XXXXXXXXXX VALDŽIOS XXXXXXXXXXX/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ EMITTENTI XX' XXX IL-FORMOLA/ (XX) XXXXXXXXXX XXX AFGIFTE XXX XXX XXXXXXXXX/ (XX) ORGAN XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (PT) XXXXXXXXXX XXX XXXXX X XXXXXXXX FORMULÁRIO/ (XX) AUTORITATEA EMITENTĂ X XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX, XX XXXX XX XXXXXXX/ (XX) XÄXÄX LOMAKKEEN XXXXXX XXXXXXXXXXXX/ (SV) XXXXXXXXX XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) DENOMINACIÓN/ (XX) XXXXX/ (DA) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) DÉNOMINATION/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (HU) XXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (PL) XXXXX/ (XX) DESIGNAÇÃO/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) IME/ (XX) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XX XXXXXXXXX XXXXXXX XX XXX SE XXXXXXX XXXX IMPRESO/ (XX) ORGÁN XXXXXXXXXX XXXXXXXX XXXXXXX, X XXX XX PŘILOŽEN XXXXX FORMULÁŘ/ (DA) XXX XXXXXXXXX, XXX XXX XXXXXXX DET XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXÖXXX, XXX XXX ÖFFENTLICHE XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXÜXX IST, XXXXXXXXX/ (ET) XXXXXX, XXX XXXXX VÄLJA XXXXXXX XXXXXXXXX, XXXXXXX XXX XXXX ON XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX ISSUING XXX XXXXXX DOCUMENT XX XXXXX XXXX XXXX XX ATTACHED/ (XX) XXXXXXXX DE XXXXXXXXXX XX DOCUMENT PUBLIC XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X EISEOIDH AN XXXXXXXXX XXXXXX LENA XXXXXX XX XXXXXX XXX CEANGAILTE/ (XX) XXXXXX XXXX IZDAJE XXXXX ISPRAVU KOJOJ XX OVAJ XXXXXXX XXXXXXXX/ (IT) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX CUI XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (LT) XXXXĄXĮ DOKUMENTĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX OPENBAAR XXXXXXXX XXXXXXX DIT FORMULIER XX GEHECHT/ (XX) XXXXX XXXXXĄXX DOKUMENT XXXĘXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXXXX XXX EMITE X XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXXX EMITENTĂ X XXXXXXXXXXXX OFICIAL XX XXXX XXXX XXXXXX PREZENTUL XXXXXXXX/ (XX) XXXXX VYDÁVAJÚCI XXXXXXX LISTINU, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXX, KI XXXX XXXXX LISTINO, XX XX XX XXXXXXXX XX XXXXXXX/ (FI) XXXXXXXXXXXX, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ LOMAKE XXXXXXÄÄX/ (XX) XXXXXXXXX XXX UTFÄRDAR DEN XXXXXXXXXX HANDLING TILL XXXXXX XXXXX FORMULÄR ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXX XX QUE SE XXXXXXX XXXX XXXXXXX/ (XX) INFORMACE XXXXXXXX XX XXXXXXX LISTINY, X XXX XX XXXXXXXX TENTO XXXXXXXX/ (XX) XXXXXXXXXXX XXXXØXXXXX XXX OFFENTLIGE DOKUMENT, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX DIESES XXXXXXXX BEIGEFÜGT XXX/ (XX) TEAVE XXXXXXX XXXXXXXXX XXXXX, XXXXXXX XXX VORM XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX RELATING XX XXX XXXXXX XXXXXXXX TO XXXXX XXXX XXXX IS XXXXXXXX/ (FR) INFORMATIONS XXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX EST XXXXX LE XXXXXXX XXXXXXXXXX/ (XX) FAISNÉIS X XXXXXXXXX XXXX XX DOICIMÉAD XXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXX XX ODNOSE XX XXXXX XXXXXXX KOJOJ XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXX AL XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (LV) XXXXXXĀXXXX XXX PUBLISKO XXXXXXXXX, XXXXX ŠĪ XXXXXXXX XX PIEVIENOTA/ (LT) XXXXXXXXXXX, XXXXXXXX SU XXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX ŠI XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX DWAR ID-DOKUMENT XXXXXXXX XX MIEGĦU XXXX XXXXXŻX XXX XX-XXXXXXX/ (NL) XXXXXXXXXX XXXXXXXXXXX XXX OPENBAAR XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) INFORMACJE XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, DO XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX XXXXXXXXX XXXXXXX A XXX X XXXXXXXX XXXXXXXXXX ESTÁ APENSO/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX FORMULAR/ (XX) XXXXXXXXXX X XXXXXXXX XXXXXXX, KU XXXXXX JE TENTO XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXX X XXXXX LISTINO, XX JI XX XXXXXXXX XX OBRAZEC/ (XX) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX TÄMÄ XXXXXX LIITETÄÄN/ (XX) XXXXXXXXXXX XX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX DETTA XXXXXXÄX ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX XXXXXXXX XXX XXX XXXXXXXXX X XX XXXXXXXXXXX XXXXXXXXX X XXX XXXXXXX XXXXXXXXXXXXXXXX DE XX ESTADO XXXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXX XXXX ÚŘEDNÍKEM X XXXXXX XX XXXXX XXXXXX ČLENSKÉHO XXXXX/ (DA) XXXXXXXX, XXX ER XXXXXXX XX XX MYNDIGHED XXXXX EN EMBEDSMAND, XXX XX TILKNYTTET XXXXXXXX X EN XXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXÖXXX XXXX XXXXX AMTSPERSON XXX XXXXX XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX ANDNUD XXXXXXXXXXXX XXXXXXXXX SEOTUD XXXXXXXXXXX XÕX AMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX XXXX AN XXXXXXXXX XX AN XXXXXXXX XXXXXXXXX XXXX XXX XXXXXX XX XXXXXXXXX XX A XXXXXX XXXXX/ (XX) DOCUMENT XXXXXXX X'XXX XXXXXXXX XX X'XX XXXXXXXXXXXXX XXXXXXXX X'XXX XXXXXXXXXXX X'XX XXXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXX XX X OIFIGEACH X BHFUIL XXXXX XXXX XX AICI XX CÚIRTEANNA NÓ XX BINSÍ XX XXXXX BALLSTÁIT/ (XX) XXXXXXX KOJU XX XXXXXX XXXXXX XXX XXXXXXXXX XXXX XXXXXX XXXXXXX/ (XX) DOCUMENTO XXXXXXX DA XX'XXXXXXXÀ X XX XX XXXXXXXXXXX XXXXXXXXXXXX XX XXX XXXXX XXXXXXXXXXXXX XX XXX XXXXX XXXXXX/ (XX) XXXXXXXXX, XXXX IZSNIEGUSI XX XXXĪXXXXXXX XXXXĀX SAISTĪTA XXXXĀXX XXX AMATPERSONA/ (XX) DOKUMENTAS, XXXXXXXX XXXXXXXX XXXXXXXXXXXX AR XXXXXXŪXX, SUSIJUSIŲ XX XXXXXXXĖX XXXĖX TEISMAIS XX XXXXXXXXXXX/ (XX) XXXXXXXXX BÍRÓSÁGGAL KAPCSOLATBAN XXXX XXXXXXX XXXX XXXXXXXXXXŐ ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX AWTORITÀ XXX XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX XXX XX-XXXXXXXXX TA' XXXX XXXXXX/ (XX) XXXXXXXX AFGEGEVEN DOOR XXX AUTORITEIT OF XXXXXXXXX XXXXXXXXX XXX XXX RECHTERLIJKE INSTANTIE XXX XXX XXXXXXXX/ (XX) DOKUMENT POCHODZĄCY XX ORGANU XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXXXX OU XX XX FUNCIONÁRIO XXXXXXXXXX XX QUALQUER XXXXXXXÇÃX XX XX XXXXXX-XXXXXX/ (XX) DOCUMENT XXXX XX O XXXXXXXXXX SAU XX XX XXXXȚXXXXX DE XX XÂXXĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (XX) LISTINA VYDANÁ XXXXXXX XXXXX XXXXXXXXX X XÄXXXX XX XXXX XXXXXXXXX ŠTÁTU/ (XX) XXXXXXX, XXXXXX X STRANI XXXXXX XXX URADNIKA XXXXX XXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX XX ANTANUT JÄSENVALTION XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (SV) XXXXXXXX XXX XÄXXÖX XXÅX EN XXXXXXXXX XXXXX EN XXÄXXXXXXX XXXXXÖXXXXX DOMSTOLSVÄSENDET I XX MEDLEMSSTAT

3.1.1

(BG) СЪДЕБНО РЕШЕНИЕ/ (ES) RESOLUCIÓN XXXXXXXX/ (CZ) ROZHODNUTÍ XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXX XX xXXXXX/ (XX) XXXXXX XXXXXX/ (XX) DECISIONE GIURISDIZIONALE/ (XX) XXXXXX LĒMUMS/ (XX) XXXXXX XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXX/ (XX) XXĊXŻXXXX TAL-QORTI/ (XX) RECHTERLIJKE XXXXXXXXXX/ (XX) ORZECZENIE XĄXXXX/ (XX) XXXXXÃX XXXXXXXX/ (XX) HOTĂRÂRE XXXXXĂXXXXXXXĂ/ (XX) XXXXX ROZHODNUTIE/ (XX) SODNA ODLOČBA/ (XX) TUOMIOISTUIMEN XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX EL XXXXXXXXXX XXXXXX/ (CZ) LISTINA XXXXXX XXXXXXX XXXXXXXXX/ (XX) DOKUMENT UDSTEDT XX EN ANKLAGEMYNDIGHED/ (XX) XXXXXXX EINER XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXX SÜÜDISTAJA/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX FROM X PUBLIC PROSECUTOR/ (XX) DOCUMENT ÉMANANT XX XXXXXXÈXX PUBLIC/ (XX) XXXXXXXXX A XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXX JE XXXXXX XXXXXXX XXXXXXXXXXXX/ (IT) XXXXXXXXX EMANATO XXX XXXXXXXX XXXXXXXXX/ (LV) XXXXXXXXX, XXXX IZSNIEDZIS XXXXXXXXX/ (XX) PROKURORO XXXXXXXX XXXXXXXXXX/ (XX) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXĠ MINN XXXXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXXXXX XXXX XXX XXXXXXXX MINISTERIE/ (XX) XXXXXXXX XXXXXXXĄXX OD XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX MINISTÉRIO XXXXXXX/ (XX) DOCUMENT XXXX DE XX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXXXXXX/ (SL) XXXXXXX, XX XX XXXX XXXXXXX XXXXXXXXX/ (XX) VIRALLISEN XXXXXÄXÄX XXXXXX ASIAKIRJA/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX ÅKLAGARVÄSENDET

3.1.3

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX JUDICIAL/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (DA) XXXXXXXX XXXXXXX AF XX JUSTITSSEKRETÆR/ (XX) XXXXXXX XXXXX URKUNDSBEAMTEN XXX GESCHÄFTSSTELLE EINES XXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX FROM X XXXXX OF X XXXXX/ (FR) XXXXXXXX ÉMANANT D'UN XXXXXXXX/ (GA) DOICIMÉAD X XXXXXXX Ó XXXXXXXXXX DE CHUID XXXXXX/ (XX) XXXXXXX XXXX XX XXXXX XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX CANCELLIERE/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX SEKRETĀRS/ (XX) TEISMO TARNAUTOJO XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX TISZTVISELŐ ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXĠXXXXXXXX TA' QORTI/ (XX) XXXXXXXX AFGEGEVEN XXXX EEN XXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX SEKRETARZA SĄDOWEGO/ (XX) DOCUMENTO XXXXXXXXXXX XX XX OFICIAL XX XXXXXÇX/ (XX) XXXXXXXX XXXX XX XX GREFIER AL XXXXXXȚXX/ (XX) XXXXXXX XXXXXX XXXXXX ÚRADNÍKOM/ (XX) XXXXXXX, XX XX IZDA XXXXX XXXXXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXXXX ANTAMA XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX EN XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXXXX XXXXXXXX XXX XX AGENTE XXXXXXXX («HUISSIER DE XXXXXXX»)/ (CZ) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXXX UDSTEDT XX EN STÆVNINGSMAND (»XXXXXXXX XX XXXXXXX«)/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX ON VÄLJA XXXXXX XXXXXXÄXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («HUISSIER XX XXXXXXX»)/ (EN) XXXXXXXX XXXXXXXXX FROM X XXXXXXXX OFFICER ('XXXXXXXX XX JUSTICE')/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXX X THAGANN X XXXXXXXXX XXXXXXXXXXXX (“HUISSIER XX XXXXXXX”)/ (XX) XXXXXXX KOJU XX XXXXX SUDSKI XXXXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXX XX UN XXXXXXXXX XXXXXXXXXXX ("HUISSIER XX XXXXXXX")/ (XX) DOKUMENTS, XXXX XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (XXXXXXXX DE XXXXXXX)/ (LT) XXXXXXXXX (XXXXXXXX XX XXXXXXX) XXXXXXXX DOKUMENTAS/ (XX) XXXXXXXX VÉGREHAJTÓ („HUISSIER XX XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠUDIZZJARJU ('HUISSIER XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX XXXĘXXXXX XĄXXXXXX (XXXXXXXX XX JUSTICE)/ (PT) XXXXXXXXX XXXXXXXXXXX DE XX XXXXXXÃX XX XXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX DE XXXXXXX“)/ (XX) LISTINA, XX JO IZDA XXXXX IZVRŠITELJ („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXXXXX (”HUISSIER XX XXXXXXX”) ANTAMA ASIAKIRJA/ (XX) HANDLING XXX XÄXXÖX XXÅX XX XXÄXXXXXXXXX (HUISSIER DE XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) XXXX (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (BITTE XXXXXXX)/ (XX) MUU (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) OTHER (XX XX SPECIFIED)/ (FR) XXXXX (À XXXXXXXX)/ (XX) XXXX (LE XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (XX) XXXXX (XXXXXXXXX)/ (LV) XXXX (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (XX) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) XĦXXXX (IPPREĊIŻA)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (PL) XXXX (XXXXXĘ XXXXŚXXĆ)/ (XX) XXXXXX (A XXXXXXXXXXX)/ (RO) ALTUL (X XX XXXXXXX)/ (XX) XXX (XXXXXXXX)/ (XX) DRUGO (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) ANNAN XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX SPRÁVNÍM XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ (XX) UPRAVNA XXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) ADMINISTRACINIS XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX OKIRAT/ (XX) DOKUMENT AMMINISTRATTIV/ (XX) XXXXXXXXXXXXXX DOCUMENT/ (XX) DOKUMENT 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) XXXXXXXXX/ (DA) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (HU) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) CERTIFICAT/ (XX) OSVEDČENIE/ (XX) XXXXXXXX/ (XX) TODISTUS/ (XX) INTYG

3.2.2

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (ES) XXXXXXXX DEL REGISTRO XXXXX/ (XX) XXXXX X XXXXXXX/ (XX) XXXXXX XXX CIVILSTANDSREGISTRET/ (XX) AUSZUG AUS XXX XXXXXXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX XXXXX XXXXXX XXXXXXXX/ (FR) XXXXXXX XX REGISTRE XX X'XXXX XXXXX/ (XX) XXXXXXX AS XX xXXXX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXX STANJA/ (XX) ESTRATTO XX XXXX XX STATO XXXXXX/ (XX) XXXXXXXX XX XXXXXXXĀXXXĻX XXXX XXĢXXXXX/ (LT) IŠRAŠAS XX CIVILINĖS BŪKLĖS XXXŲ XXXXXXXX/ (HU) XXXXXÖXXXX XXXXXXX/ (MT) XXXXXXX XXX-XXĠXXXXX TAL-ISTAT ĊXXXXX/ (NL) XXXXXXXXXX XXX XXX XXXXXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) ODPIS XXXXXXXX XXXX XXXXX XXXXXXXXX/ (XX) EXTRATO XX XXXX DO XXXXXXX XXXXX/ (XX) XXXXXX XXX XXXXXXXXX XX XXXXX CIVILĂ/ (XX) VÝPIS X XXXXXXXX XXXXXXXX XXXXX/ (XX) IZPISEK XX XXXXXXXX X OSEBNEM XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) UTDRAG XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) EXTRACTO XXX XXXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX XXXXXXXXXXXXX/ (XX) RAHVASTIKUREGISTRI XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX XXX POPULATION XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XX XX XXXXXXXXXX/ (XX) XXXXXXX XX XX xXXXX XXXXXX/ (XX) XXXXXXX IZ XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX/ (LV) IZRAKSTS XX XXXXĪXXXĀXX REĢISTRA/ (XX) XXXXXXX XX XXXXXXXXŲ REGISTRO/ (XX) XXXXXXX A XXXXXXXXXXXX- XX LAKCÍMNYILVÁNTARTÁSBÓL/ (XX) XXXXXXX XXX-XXĠXXXXX TAL-POPOLAZZJONI/ (XX) XXXXXXXXXX XXX XXX BEVOLKINGSREGISTER/ (XX) XXXXĄX Z XXXXXXXX XXXXXŚXX/ (PT) XXXXXXX XX REGISTO XX XXXXXXÇÃX/ (RO) EXTRAS XXX REGISTRUL DE XXXXXXȚĂ X XXXXXXȚXXX/ (XX) VÝPIS X XXXXXXXX XXXXXXXĽXX/ (XX) XXXXXXX XX REGISTRA XXXXXXXXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) UTDRAG XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (ES) XXXXX LITERAL DE XXXXX XXX REGISTRO XXXXX/ (XX) OPIS XXXXXXXXXX XXXXXXX/ (XX) XXXXXX KOPI AF XXXXXXXXXXXXXXXXXXX/ (XX) WÖRTLICHE XXXXX VON XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX COPY XX CIVIL XXXXXX XXXXXXX/ (XX) XXXXX XXXXXXXXX X'XXXXX DE X'XXXX XXXXX/ (XX) XXXX FOCAL AR XXXXXX DE XXXXXXX XX XXXXXX SIBHIALTA/ (XX) XXXXXXXX XXXXXXXX XX XXXXXXXXXX O XXXXXXX STANJU/ (XX) XXXXX XXXXXXXXX XX XXXX XX XXXXX XXXXXX/ (LV) XXXXXXXĀXXXĻX XXXX XXĢXXXXX XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXĖX BŪKLĖS AKTŲ ĮXXXŲ XXXXXXXĖ KOPIJA/ (XX) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX MÁSOLATA/ (XX) XXXXX XXXXXXXX XXX-XXXX TAL-ISTAT ĊXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXX XXX XXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) ODPIS ZUPEŁNY XXXX XXXXX CYWILNEGO/ (XX) XXXXXXÃX XX XXXXX INTEGRAL XX XX XXXXXXXXX XX XXXX XX XXXXXXX XXXXX/ (XX) COPIE XXXXXĂ X XXXX XXX DE XXXXX XXXXXĂ/ (XX) DOSLOVNÝ XXXXX ZO XXXXXXX X XXXXXXX STAVE/ (XX) XXXXXXXXX PREPIS XXXXXX X OSEBNEM XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX AV XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) ACTA XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) XXXXXXXXXX URKUNDE/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX ACT/ (XX) XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX NOTARILE/ (LV) XXXXXXĀXX XXXX/ (XX) XXXXXXXXX AKTAS/ (HU) XÖXXXXXXŐX XXXXXX/ (XX) XXX NOTARILI/ (NL) XXXXXXËXX XXXX/ (XX) XXX XXXXXXXXXX/ (XX) XXX NOTARIAL/ (RO) XXX NOTARIAL/ (XX) XXXXXXXX LISTINA/ (SL) XXXXXXXX LISTINA/ (FI) XXXXXXXX ANTAMA XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX OFICIAL XXXXXX XXXXX XX DOCUMENTO XXXXXXX/ (CZ) ÚŘEDNÍ XXXXXXXXX, XXXXXX XXXX XXXXXXXX LISTINA XXXXXXXXX XXXXXXXXX XXXXXX/ (DA) XXXXXXXX XÅXXXXXXX PÅ XX XXXXXXXX XXXXXXXXXXX XX XX PERSON X XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXX BESCHEINIGUNG AUF XXXXX XXXXXXXXXXXXX/ (ET) XXXXX XXXXX XXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX KINNITATAV XXXXXXX XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) OFFICIAL XXXXXXXXXXX XXXXXX XX X XXXXXXXX XXXXXX BY X PERSON XX XXX OR XXX XXXXXXX XXXXXXXX/ (FR) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX XX XXXX XXXX SEING XXXXX/ (XX) XXXXXXXX XXXXXXXXX X CHUIRTEAR XX XXXXXXXXXX ARNA SHÍNIÚ XX XXXXX INA XXXXX XX XXX XXXX PHRÍOBHÁIDEACH/ (XX) XXXXXXXX POTVRDA XXXXXXXXX XX ISPRAVU XXXX XX OSOBA XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX XXX XXXXXXXXX PRIVATA/ (LV) XXXXXĀXX APLIECINĀJUMS XX XXXXXXXXX, XX SAVĀ XĀXXĀ XXXXXXXĪXXXX KĀDA XXXXXXX/ (LT) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX PATVIRTINIMAI/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (MT) ĊERTIFIKAT XXXXĊXXXX LI XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ PRIVATA XXXĦXX/ (NL) XXXXXXXXX XXXXXXXXXXX XX EEN XXXXXXXX XXXXXXXXXXX DOOR XXX XXXXXXX XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) URZĘDOWE ZAŚWIADCZENIE XXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX XXXXXXXXX/ (PT) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX XXX XX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXX XXXXXXX XX XX XXXXXXXX SUB XXXXĂXXXĂ PRIVATĂ/ (XX) XXXXXX XXXXXXXXXX UVEDENÉ XX XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX OSOBA/ (XX) XXXXXX XXXXXX XX XXXXXXX LISTINI/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, XXXXX HENKILÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX XXXXX XXXXXXXXX XÅ EN XXXXXXXX XXX UNDERTECKNATS 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 XX XXXXXX XXXXXXX CON XXXXXXXX XXXXXXX/ (CZ) LISTINA XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXX KONZULÁRNÍM ÚŘEDNÍKEM XXXXXXXXX STÁTU V XXXXX XXXXXX XXXX XXXXXXXXXX POVINNOSTÍ/ (DA) XXXXXXXX XXXXXXXXX UDFÆRDIGET XX XX XXXXXXXXXXXX XXXXXXXXXXXX XXXXX KONSULÆRE XXXXÆXXXXXXX/ (XX) XXX XXXXX XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX KONSULAARAMETNIKU XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΈΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX XXXXX UP XX X XXXXXXXXXX XX XXXXXXXX AGENT XX X XXXXXX XXXXX XX XXX XX XXX XXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXX XX XX XXXXXXX XXXXXXXXXX XXX XX XXXXX XXXXXXXXXXXX XX CONSULAIRE X'XX XXXX MEMBRE/ (XX) XXXXXXXXX XXXX THARRAINGT XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX XX CHUID XXXXXXXXX XXX XXXXX XX XXX XXXX XXXXXXXXX/ (XX) XXXXXXX KOJU XX X SLUŽBENOM XXXXXXXX SASTAVIO DIPLOMATSKI XXX XXXXXXXXXX PREDSTAVNIK XXXXXX ČLANICE/ (IT) XXXXXXXXX XXXXXXX DA XXXXXX DIPLOMATICI X XXXXXXXXX XX XXX XXXXX MEMBRO NELL'ESERCIZIO XXXXX LORO FUNZIONI/ (XX) XXXXXXXXX, KURU, XXXXXX XXXXX PIENĀKUMUS, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX PĀRSTĀVIS/ (XX) DOKUMENTAS, XXXXXXXXX XXXXXXXĖX XXXĖX DIPLOMATO XX KONSULINIO XXXXXXŪXX, XXXXXXXXXX PAGAL XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX XXXXX XXXXXXXXX MINŐSÉGÉBEN KIÁLLÍTOTT XXXXXX/ (XX) DOKUMENT XXĦXXXX XXXX XĠXXX XXXXXXXXXXX XXX KONSULARI XX' XXXX MEMBRU XXX-XXXXĊXXÀ UFFIĊJALI TIEGĦU/ (XX) XXXXXXXX OPGESTELD XXXX DE XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX XX XXXX XXXXXXËXX XXXXXXXXXXXX/ (PL) XXXXXXXX XXXXXĄXXXXX XXXXX PRZEDSTAWICIELA XXXXXXXXXXXXXXX XXX URZĘDNIKA XXXXXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX XXXĘXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XX XXXXXX XXXXXXXXXXX XX XXXXXXXX DE UM XXXXXX-XXXXXX NO EXERCÍCIO XXX XXXX FUNÇÕES XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX XX XĂXXX XX AGENT XXXXXXXXXX XXX XXXXXXXX XX XXXX XXXX XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX ALEBO XXXXXXXXXXX ÚRADNÍKOM ČLENSKÉHO XXXXX X RÁMCI XXXXXX JEHO FUNKCIE/ (XX) XXXXXXX, KI XX XXX URADNA XXXXX IZDA XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX ČLANICE/ (FI) XXXXXXXXX, XXXXX JÄSENVALTION XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX ON LAATINUT XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXÄXXXX X TJÄNSTEN XX EN DIPLOMATISK XXXXX XXXXXXÄX XXÄXXXXXXX X XX MEDLEMSSTAT

3.6

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) VÄLJAANDMISE XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (DD/MM/YYYY) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (GA) DÁTA (XX/XX/XXXX) EISIÚNA/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (GG/MM/AAAA)/ (XX) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) IŠDAVIMO DATA (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (JJ/XX/SSSS) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) VYDANIA/ (XX) XXXXX (DD/MM/LLLL) XXXXXX/ (XX) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (XX) XXXXX (DD/MM/ÅÅÅÅ) XÖX UTFÄRDANDE

3.7

(BG) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX REFERENCIA DEL XXXXXXXXX PÚBLICO/ (XX) XXXXXXXXXX ČÍSLO VEŘEJNÉ XXXXXXX/ (XX) DET XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖXXXXXXXXXXX URKUNDE/ (XX) XXXXXXX XXXXXXXXX VIITENUMBER/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) REFERENCE XXXXXX XX XXX XXXXXX XXXXXXXX/ (FR) NUMÉRO XX XXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXX THAGARTHA AN XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX BROJ JAVNE XXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXX DEL XXXXXXXXX XXXXXXXX/ (LV) XXXXXXXĀ XXXXXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXX/ (XX) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXX XX' REFERENZA XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX XXXXXXXX/ (PL) NUMER XXXXXXXXXXXX DOKUMENTU XXXĘXXXXXX/ (XX) XXXXXX DE XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (RO) NUMĂRUL XX XXXXXXXȚĂ XX XXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (XX) REFERENČNA XXXXXXXX XXXXX XXXXXXX/ (XX) YLEISEN XXXXXXXXXX XXXXXXXXXXX/ (XX) DEN XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА ПОЧИНАЛОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX LA PERSONA XXXXXXXXX/ (CZ) XXXXXXXXX X XXXXXXXX/ (XX) XXXXXXXXXXX OM AFDØDE/ (XX) XXXXXXX XXX XXXXXX, XXXXX XXX XXXXXXXXX WIRD/ (XX) XXXXXX XXXXXX KÄSITLEV XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΘΑΝΟΝΤΟΣ/ (XX) XXXXXXXXXXX XX XXX XXXXXXXX PERSON/ (FR) XXXXXXXXXXXX SUR XX XXXXXXXX DÉCÉDÉE/ (GA) XXXXXXXX MAIDIR XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXXXXX X XXXXXXXXXX XXXXX/ (IT) XXXXXXXXXXXX SULLA PERSONA XXXXXXXX/ (XX) XXXXXXĀXXXX XXX MIRUŠO PERSONU/ (XX) XXXXXXXXXXX APIE XXXXXĮ XXXXXĮ/ (XX) XX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX IL-PERSUNA XXĊXXXXX/ (XX) XXXXXXXXXX OVER XX OVERLEDENE/ (XX) XXXX XXXXXXĄXX XXXXX XXXXŁXX/ (XX) XXXXXXXÇÕXX XXXXX A PESSOA XXXXXXXX/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXX XXXXXXXĂ/ (XX) INFORMÁCIE O XXXXXXXX XXXXX/ (XX) XXXXXXXXXXX X UMRLEM/ (XX) XXXXXXXX XXXXXXÖX XXXXXX/ (XX) INFORMATION XX DEN XXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X)/ (XX) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (DE) XXXXXXXXXXXX(X)/ (ET) XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (XX) SURNAME(S)/ (XX) XXX(X)/ (XX) XXXXXXX (XXXXXXXX)/ (HR) PREZIME(NA)/ (XX) XXXXXXX(X)/ (XX) XXXĀXXX(-X)/ (XX) XXXXXXĖ (-ĖX)/ (XX) XXXXXXX XXXX(X)/ (XX) KUNJOM(/KUNJOMIJIET)/ (XX) ACHTERNA(A)M(EN)/ (XX) XXXXXXXX(-X)/ (XX) APELIDO(S)/ (XX) NUME/ (XX) XXXXXXXXXX(-X)/ (XX) PRIIMEK/PRIIMKI/ (XX) SUKUNIMI (-XXXXX)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (ES) XXXXXX(X)/ (XX) XXXXX (XXXXX)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (ET) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (GA) XXXXXXXX (XXXXXXXXXXXXXX)/ (HR) XXX(XX)/ (XX) XXXX(X)/ (XX) XĀXXX(-X)/ (LT) XXXXXX (-XX)/ (HU) XXXXXXX(X)/ (XX) ISEM(/ISMIJIET)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (XXXXXX)/ (XX) XXXX(X) XXXXXXX(X)/ (RO) XXXXXXX/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (SV) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА СМЪРТТА/ (XX) XXXXX (XX/XX/XXXX) DE XXXXXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXX/ (XX) XØXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXX (XX/XX/XXXX) DES XXXXX/ (XX) XXXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΘΑΝΑΤΟΥ/ (EN) DATE (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXÈX/ (XX) XXXX (LL/MM/BBBB) XX XXXXX/ (XX) XXXXX (XX/XX/XXXX) SMRTI/ (XX) XXXX XX XXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXX XXXX (XX/XX/XXXX)/ (XX) XXXXXXXXXXXXX XXXXX (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXX-XXXX/ (NL) XXXXX (DD/MM/JJJJ) VAN XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) ZGONU/ (XX) XXXX XX XXXXX (XX/XX/XXXX)/ (RO) DATA (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXX/ (FI) XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XÖXXXXXXXX

4.4

(XX) МЯСТО И ДЪРЖАВА НА СМЪРТТА/ (XX) XXXXX X PAÍS XX XXXXXXXXXXXXX/ (XX) XXXXX X XXXX XXXXX/ (XX) DØDSSTED XX -XXXX/ (XX) XXX XXX XXXX XXX XXXXX/ (XX) XXXXXXXXX XX -RIIK/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΘΑΝΑΤΟΥ/ (EN) XXXXX XXX XXXXXXX XX XXXXX/ (FR) XXXX ET PAYS XX XXXÈX/ (GA) XXX AGUS XXX XX BHÁIS/ (XX) XXXXXX X ZEMLJA XXXXX/ (XX) LUOGO X XXXXX XX XXXXXXX/ (LV) XXXXXXXX XXXXX UN XXXXXX/ (XX) XXXXXXX XXXXX XX ŠALIS/ (XX) XXXXXXXXXXXXX XXXXX XX XXXXXXX/ (XX) XXXX X PAJJIŻ XXX-XXXX/ (XX) XXXXXX XX XXXX XXX XXXXXXXXXX/ (XX) XXXXXXX I XXŃXXXX XXXXX/ (XX) XXXXX E XXXX XX ÓBITO/ (XX) XXXXX ȘX ȚXXX XXXXXXXXX/ (SK) MIESTO X XXXX ÚMRTIA/ (XX) XXXX IN XXXXXX SMRTI/ (XX) XXXXXXXXXXXX JA -XXX/ (XX) ORT XXX XXXX XÄX XÖXXXXXXXX XXXXÄXXXXX

4.5

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (ES) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XØXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX BIRTH/ (FR) XXXX (XX/XX/XXXX) DE XXXXXXXXX/ (XX) DÁTA (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) ROĐENJA/ (XX) DATA XX XXXXXXX (GG/MM/AAAA)/ (LV) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) GIMIMO DATA (XX/XX/XXXX)/ (XX) SZÜLETÉSI XXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) TAT-TWELID/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXXX/ (PT) XXXX XX NASCIMENTO (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (XX/XX/XXXX) NARODENIA/ (XX) XXXXX (DD/MM/LLLL) XXXXXXX/ (XX) XXXXXXÄXXXX (PP/KK/VVVV)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.6

(XX) ПОЛ/ (XX) XXXX/ (XX) POHLAVÍ/ (XX) XØX/ (XX) XXXXXXXXXX/ (XX) XXXX/ (EL) ΦΥΛΟ/ (XX) XXX/ (XX) SEXE/ (XX) XXXXXX/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (PT) XXXX/ (RO) XXXXX/ (XX) XXXXXXXX/ (XX) XXXX/ (XX) SUKUPUOLI/ (XX) KÖN

4.6.1

(BG) ЖЕНСКИ/ (XX) MUJER/ (XX) XXXX/ (DA) XXXXXX/ (XX) WEIBLICH/ (ET) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XŐ/ (MT) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (SK) XXXXXX/ (SL) XXXXXX/ (XX) NAINEN/ (SV) XXXXXX

4.6.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (XX) MAND/ (DE) XÄXXXXXX/ (ET) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (FR) XXXXXXXX/ (XX) FIREANN/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) XXXXX/ (HU) XXXXX/ (XX) RAĠEL/ (XX) XXX/ (XX) MĘŻCZYZNA/ (XX) XXXXXXXXX/ (RO) XĂXXĂXXXX/ (SK) MUŽSKÉ/ (XX) XXXXX/ (FI) XXXX/ (XX) XXX

4.6.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (DA) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) MÄÄRAMATA/ (EL) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (EN) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) MHUX STABBILIT/ (XX) ONBEPAALD/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) XÃX DEFINIDO/ (XX) XXXXXXXXXXXX/ (SK) NEURČENÉ/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) EJ XXXXXXÄXXX

5.

(XX) ПОЛЕ ЗА ПОДПИС/ (ES) XXXXXXXX XXXX LA FIRMA/ (XX) XXXX XXX XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (EL) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (EN) XXXXXXXXX XXX/ (FR) CADRE XXXX XX SIGNATURE/ (XX) BOSCA XXX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXXXXX XXX XX XXXXX/ (LV) PARAKSTA XXXXX/ (XX) XXXXXX XXXXXXXX/ (HU) XX XXXXXXX XXÖXXXXXXXXX/ (MT) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX DE XXXXXXXXXXXX/ (XX) XXXX XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXXX NA XXXXXX/ (XX) POLJE XX XXXXXX/ (XX) ALLEKIRJOITUSKENTTÄ/ (XX) RUTA FÖR 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/ (XX) PŘÍJMENÍ X XXXXX (JMÉNA) XXXXXXXX, XXXXX XXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXXX(X) OG XXXXXXX(X) XÅ XXX EMBEDSMAND, XXX HAR XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXXXXXX(X) XXX BEAMTEN, DER XXXXXX XXXXXXXX AUSGESTELLT XXX/ (XX) XÄXXXXXXX XXXXX VÄLJASTANUD XXXXXXXX XXXXXXX (-XXXXX) XX XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) SURNAME(S) XXX XXXXXXXX(X) XX XXX XXXXXXXX WHO XXXXXX XXXX XXXX/ (XX) NOM(S) XX XXXXXX(X) XX XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXXX XXXXXXXX (CÉADAINMNEACHA) XX XXXXXXXX X X’XXXXXX XX FHOIRM XXX/ (XX) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX XXXX XX XXXXX XXXX OBRAZAC/ (IT) XXXXXXX/X X NOME/I XXX XXXXXXXXXXX XXX XX RILASCIATO XX XXXXXXXX XXXXXX/ (LV) XXXXXXXXXXXX, XXXX IZDEVUSI XX XXXXXXXX, XXXĀXXX(-X) XX XĀXXX(-X)/ (XX) XXĄ XXXXĄ IŠDAVUSIO XXXXXXŪXX PAVARDĖ (-ĖX) XX XXXXXX (-XX)/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXX XXXX(X) XX UTÓNEVE(I)/ (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 XXX XXXXXXXXX XXXXX AFGEGEVEN/ (XX) XXXXXXXX(-X) X XXXĘ (XXXXXX) URZĘDNIKA, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXX(X) X XXXX(X) PRÓPRIO(S) XX XXXXXXXXXXX QUE XXXXXX O PRESENTE XXXXXXXXXX/ (RO) XXXXXX ȘX PRENUMELE FUNCȚIONARULUI XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) X MENO(-Á) XXXXXXXX, XXXXX XXXXX XXXXX FORMULÁR/ (XX) XXXXXXX/XXXXXXX XX IME/IMENA XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX SUKUNIMI (-XXXXX) JA ETUNIMI (-XXXXX)/ (SV) XXXXXXXXX XXX FÖRNAMN XÅ XXX TJÄNSTEMAN XXX XXX UTFÄRDAT XXXXX XXXXXXÄX

5.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXX DEL XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (CZ) XXXXXX XXXXXXXX, XXXXX VYDAL XXXXX FORMULÁŘ/ (DA) XXXXXXXX — DEN XXXXXXXXXX, DER XXX XXXXXXX XXXXX FORMULAR/ (XX) XXXXXXXX XXX XXXXXXX, XXX XXXXXX XXXXXXXX AUSGESTELLT XXX/ (XX) XÄXXXXXXX VORMI XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) POSITION OF XXX XXXXXXXX WHO XXXXXX XXXX FORM/ (XX) XXXXX XX XXXXXXXXXXXXX XXX A XXXXXXX XX PRÉSENT XXXXXXXXXX/ (GA) XXXX XX XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXXX XXXXXXXXXX KOJI XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) AMATPERSONAS, XXXX XXXXXXXX ŠO XXXXXXXX, XXXXX/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX PAREIGOS/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (MT) XXXXXX TAL-UFFIĊJAL XX ĦXXXĠ DIN XX-XXXXXXX/ (XX) FUNCTIE XXX XX AMBTENAAR XXX XXX FORMULIER HEEFT XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX FORMULARZ/ (XX) XXXXX DO XXXXXXXXXXX XXX EMITIU O XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX XXXX X EMIS XXXXXXXXX XXXXXXXX/ (SK) XXXXXXX XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XX XX IZDAL XX XXXXXXX/ (FI) XÄXÄX XXXXXXXXX XXXXXXXX VIRKAMIEHEN XXXXX/ (SV) XXXXXXXXXX XÖX XXX XXÄXXXXXXX XXX XXX UTFÄRDAT XXXXX XXXXXXÄX

5.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (CZ) XXXXX (DD/MM/RRRR) VYDÁNÍ/ (XX) UDSTEDELSESDATO (XX/XX/ÅÅÅÅ)/ (XX) AUSSTELLUNGSDATUM (TT/MM/JJJJ)/ (XX) VÄLJAANDMISE KUUPÄEV (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (DD/MM/YYYY) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DÁTA (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXX/ (IT) XXXX DI RILASCIO (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (DD/MM/MMMM)/ (XX) A XXXXXXXXX XXXXXX (ÉÉÉÉ/HH/NN)/ (MT) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX AFGIFTE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (ZZ/LL/AAAA) XXXXXXXX/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXX/ (SL) XXXXX (XX/XX/XXXX) IZDAJE/ (FI) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (DD/MM/ÅÅÅÅ) XÖX XXXÄXXXXXX

5.4

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

5.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (XX) XXXXX XXXX XXXXXXX/ (XX) XXXX XXXXX XXXXXXX/ (XX) XXXXXX XXXX XXXXXXX/ (XX) PITSER XÕX TEMPEL/ (EL) ΣΦΡΑΓΙΔΑ/ (EN) XXXX XX XXXXX/ (XX) XXXXX OU XXXXXX/ (XX) XXXXX XX XXXXXX/ (HR) XXX XXX XXXXX/ (XX) XXXXX O XXXXXX/ (XX) XĪXXXX VAI XXXXXXXX/ (XX) XXXXXXX XXXX ANTSPAUDAS/ (HU) XXXXXX VAGY BÉLYEGZŐLENYOMAT/ (XX) XXĠXXX XXX XXXXXX/ (NL) XXXXX XX XXXXXXX/ (PL) XXXXXĘĆ XXX XXXXXXX/ (XX) XXXX XX XXXXXXX/ (XX) SIGILIUL XXX ȘXXXXXXX/ (XX) XXXXX ALEBO XXXXXXXX XXXXXXXX/ (XX) PEČAT XXX XXX/ (XX) XXXXXXX XXX XXXXX/ (XX) XXXXXX XXXXX XXÄXXXX

XXXXXXXXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – POMŮCKA XXX PŘEKLAD

Článek 7 xxxxxxxx Xxxxxxxxxx parlamentu x Xxxx (XX) 2016/1191 xx xxx 6. xxxxxxxx 2016 x podpoře volného xxxxxx občanů xxxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx x Xxxxxxxx unii x o xxxxx xxxxxxxx (XX) x. 1024/2012 (1)

Belgie (XX) Xxxxxxxxx (BG)

Česká republika (XX)

Xxxxxx (DK) Xxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Kypr (XX)

Xxxxxxxx (LV) Xxxxx (XX)

Xxxxxxxxxxx (LU)

Maďarsko (XX) Xxxxx (XX)

Xxxxxxxxxx (XX) Xxxxxxxx (AT)

Polsko (XX) Xxxxxxxxxxx (PT)

Rumunsko (XX) Xxxxxxxxx (XX)

Xxxxxxxxx (SK) Xxxxxx (XX)

Xxxxxxx (XX) Xxxxxxx království (XX)

XXXXXXXX XXXXXXXXXX

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

Tento xxxxxxxx xxxxxx xxxxx xxxxxxx xxxxxxx, x xxx xx xxxxxxxx. Xxxxx, xxxxx xx xxxxxxx xxxxxxx předkládána, xxxx xxxx x případech, xxx xx xx xxxxxxxx xxx xxxxx xxxxxxxxxx xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx informací, které xxxx xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX PRO VYDÁVAJÍCÍ XXXXX

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

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

1. ORGÁN VYDÁVAJÍCÍ XXXXX XXXXXXXX

1.1 Název (3)

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

1.1 Název (4)

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

3.1 Xxxxxxx vydaná orgánem xxxx úředníkem x xxxxxx xx xxxxx xxxxxx členského státu

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx vyšším xxxxxxx úředníkem

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

3.1.5 Xxxx (xxxxxxxxx)

(1) Úř. xxxx. X 200, 26.7.2016, s. 1.

(2) Xxx xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

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

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

3.2 Xxxxxxx xxxxxx správním úřadem

3.2.1 Xxxxxxxxx

3.2.2 Výpis x xxxxxxx

3.2.3 Výpis x xxxxxxxx xxxxxxxx

3.2.4 Xxxx xxxxxxxxxx xxxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Notářská listina

3.4 Xxxxxx osvědčení, xxxxxx xxxx xxxxxxxx listina xxxxxxxxx xxxxxxxxx xxxxxx

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

3.6 Xxxxx (dd/mm/rrrr) xxxxxx

3.7 Xxxxxxxxxx číslo xxxxxxx xxxxxxx

4. XXXXXXXXXX

4.1 Xxxxx (xx/xx/xxxx) xxxxxxxx xxxxxxxxxx

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

5. MANŽEL/MANŽELKA X

5.1 Xxxxx/x příjmení

5.2 Xxxxxxxx xxxx xxxxxxxxx xxxxxxxxxx

5.3 Xxxxxxxx xx uzavření xxxxxxxxxx

5.4 Xxxxx (xxxxx)

5.5 Xxxxx (xx/xx/xxxx) xxxxxxxx

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

5.6.1 Xxxx

5.6.2 Muž

5.6.3 Xxxxxxxx

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

(2) Xxxxx xxxx a – xxxxx xxxxxxxx – kód ISO xxxx xxxx xxxx xxxxxxx „Xxxx (upřesněte)“ xx xxxxx vybrat x xxxxxxxxxxx xxxxxxx xx xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx formuláři, který xx x xxxxxxxxx xx xxxxxxx xxxxxxxx x-xxxxxxx.

6. XXXXXX/XXXXXXXX X

6.1 Xxxxx/x xxxxxxxx

6.2 Xxxxxxxx xxxx xxxxxxxxx xxxxxxxxxx

6.3 Xxxxxxxx xx uzavření xxxxxxxxxx

6.4 Xxxxx (xxxxx)

6.5 Xxxxx (xx/xx/xxxx) xxxxxxxx

6.6 Xxxxxxx:

6.6.1 Žena

6.6.2 Muž

6.6.3 Xxxxxxxx

7. POLE PRO XXXXXX

7.1 Příjmení x xxxxx (jména) xxxxxxxx, xxxxx vydal tento xxxxxxxx

7.2 Xxxxxx úředníka, xxxxx xxxxx tento xxxxxxxx

7.3 Xxxxx (xx/xx/xxxx) xxxxxx

7.4 Podpis

7.5 Xxxxx xxxx xxxxxxx

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) AUTORIDAD XXX XXXXXX XXXX XXXXXXX/ (CZ) XXXXX XXXXXXXXXX TENTO XXXXXXXX/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (ET) XÄXXXXXXX VORMI XÄXXX XXXXXX ASUTUS/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX XXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XX xXXXXXX A XXXXXXXX XX XXXXXX XXX/ (HR) XXXXXX XXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX IL XXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (LT) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XX' XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX XXXXXXXXX/ (XX) XXXXX WYDAJĄCY NINIEJSZY XXXXXXXXX/ (XX) AUTORIDADE XXX XXXXX O XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX EMITENTĂ X XXXXXXXXXXX FORMULAR/ (XX) XXXXX VYDÁVAJÚCI TENTO XXXXXXXX/ (SL) XXXXX, XX XXXX TA XXXXXXX/ (XX) XÄXÄX XXXXXXXXX ANTAVA VIRANOMAINEN/ (XX) XXXXXXXXX XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) DENOMINACIÓN/ (XX) XXXXX/ (DA) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXX/ (EL) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (GA)AINMNIÚ/ (HR) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (LT) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (NL) XXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXÇÃX/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) XXX/ (XX) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX EL XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX VEŘEJNOU XXXXXXX, K XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXX XXXXXXXXX, DER XXX XXXXXXX XXX OFFENTLIGE XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) BEHÖRDE, DIE XXX ÖFFENTLICHE URKUNDE, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX, XXXXXXXXX/ (XX) XXXXXX, XXX XXXXX XÄXXX AVALIKU XXXXXXXXX, XXXXXXX SEE XXXX XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XXXXXXX XXX PUBLIC XXXXXXXX TO XXXXX XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXXXX DU XXXXXXXX XXXXXX AUQUEL XXX JOINT LE XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX XX DOICIMÉAD XXXXXX XXXX BHFUIL XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXX XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) AUTORITÀ XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX MODULO È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX FORMA, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX KIÁLLÍTÓ XXXXXXX/ (XX) AWTORITÀ XXXXXXXXX TAD-DOKUMENT XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) AUTORITEIT XXX XXXXXXX XXX XXX XXXXXXXX XXXXXXXX WAARAAN XXX FORMULIER XX XXXXXXX/ (XX) ORGAN XXXXXĄXX DOKUMENT XXXĘXXXX, XX XXXXXXX NINIEJSZY XXXXXXXXX JEST XXŁĄXXXXX/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXXX XXXXXXX X XXX X XXXXXXXX FORMULÁRIO XXXX XXXXXX/ (XX) XXXXXXXXXXX EMITENTĂ A XXXXXXXXXXXX OFICIAL XX XXXX XXXX XXXXXX XXXXXXXXX FORMULAR/ (SK) XXXXX VYDÁVAJÚCI XXXXXXX XXXXXXX, XX KTOREJ XX TENTO XXXXXXXX XXXXXXXXX/ (XX) ORGAN, XX XXXX XXXXX XXXXXXX, KI JI XX XXXXXXXX TA XXXXXXX/ (XX) VIRANOMAINEN, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXX XXXXXXXXXX XXXXXXXX TILL VILKEN XXXXX FORMULÄR ÄR XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX RELATIVA AL XXXXXXXXX XXXXXXX XX XXX SE ADJUNTA XXXX IMPRESO/ (XX) XXXXXXXXX XXXXXXXX SE XXXXXXX XXXXXXX, K XXX XX XXXXXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXXXXX XXXXØXXXXX DET XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX ER XXXXÆXXXX/ (DE) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX FORMULAR XXXXXXÜXX IST/ (XX) XXXXX AVALIKU XXXXXXXXX XXXXX, MILLELE XXX XXXX XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXX XXXXXX XXXXXXXX XX XXXXX XXXX XXXX IS ATTACHED/ (XX) INFORMATIONS RELATIVES XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX X XXXXXXXXX LEIS XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXX XX XXXXXX XX XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX PRILOŽEN/ (XX) XXXXXXXXXXXX RELATIVE XX XXXXXXXXX XXXXXXXX XXX IL XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX IR XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX XXXXXXXXX, XXXX KURIO XXXXXXXXX XX XXXXX/ (XX) X FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) INFORMAZZJONI XXXX ID-DOKUMENT XXXXXXXX XX MIEGĦU XXXX XXXXXŻX XXX IL-FORMOLA/ (XX) XXXXXXXXXX BETREFFENDE XXX XXXXXXXX XXXXXXXX XXXXXXX XXX FORMULIER XX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, DO XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX XXXXXXXXX AO DOCUMENTO XXXXXXX A XXX X XXXXXXXX FORMULÁRIO XXXX XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX LA XXXXXXXXXX XXXXXXX XX XXXX ESTE ANEXAT XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX O VEREJNEJ XXXXXXX, XX KTOREJ XX XXXXX FORMULÁR XXXXXXXXX/ (SL) XXXXXXXXXXX X XXXXX X XXXXX XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXXXX XX XXX XXXXXXXXXX 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 EXPEDIDO XXX XXX AUTORIDAD X XX FUNCIONARIO VINCULADO X LOS XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXX XXXXXXXXX S XXXXXX NA XXXXX XXXXXX XXXXXXXXX STÁTU/ (XX) XXXXXXXX, DER XX XXXXXXX XX XX XXXXXXXXX XXXXX XX XXXXXXXXXX, XXX XX XXXXXXXXXX XXXXXXXX X XX MEDLEMSSTAT/ (XX) XXXXXXX XXXXX XXXÖXXX XXXX XXXXX XXXXXXXXXX ALS ORGAN XXX RECHTSPFLEGE XXXXX XXXXXXXXXXXXXX/ (ET) DOKUMENT, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXXXX VÕI XXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX EMANATING XXXX XX XXXXXXXXX XX XX XXXXXXXX CONNECTED XXXX THE XXXXXX XX TRIBUNALS XX X MEMBER STATE/ (XX) DOCUMENT XXXXXXX X'XXX AUTORITÉ XX X'XX XXXXXXXXXXXXX RELEVANT X'XXX XXXXXXXXXXX X'XX XXXX XXXXXX/ (XX) XXXXXXXXX A XXXXXXX X ÚDARÁS NÓ X XXXXXXXXX A XXXXXX XXXXX XXXX XX XXXX XX XXXXXXXXXX XX XX XXXXX XX XXXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXX XXX XXXXXXXXX XXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ X XX XX FUNZIONARIO XXXXXXXXXXXX XX UNA XXXXX GIURISDIZIONI XX XXX STATO MEMBRO/ (XX) XXXXXXXXX, KURU XXXXXXXXXX AR XXXĪXXXXXXX XXXXĀX XXXXXĪXX XXXXĀXX XXX AMATPERSONA/ (LT) XXXXXXXXXX, IŠDUOTAS XXXXXXXX XXXXXXXXXXXX AR PAREIGŪNO, XXXXXXXXŲ SU XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX XXXX XXXXXXX VAGY XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ XXX XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX XXX XX-XXXXXXXXX XX' XXXX XXXXXX/ (NL) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX OF AMBTENAAR XXXXXXXXX TOT XXX XXXXXXXXXXXX INSTANTIE VAN XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX OD XXXXXX XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (PT) DOCUMENTO XXXXXXXXXXX DE XXX XXXXXXXXXX OU XX XX XXXXXXXXXXX DEPENDENTE XX XXXXXXXX JURISDIÇÃO XX UM ESTADO-MEMBRO/ (XX) XXXXXXXX XXXX XX X XXXXXXXXXX XXX XX UN XXXXȚXXXXX XX PE XÂXXĂ XXXXXXȚXXX UNUI XXXX XXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXX XXXXX ÚRADNÍKOM X XÄXXXX XX XXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX, IZDANA X XXXXXX XXXXXX ALI XXXXXXXX XXXXX XXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, JONKA XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX VIRANOMAINEN XXX XXXXXXXXX/ (XX) HANDLING XXX HÄRRÖR XXÅX XX XXXXXXXXX XXXXX XX XXÄXXXXXXX TILLHÖRANDE XXXXXXXXXÄXXXXXX I EN XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX JUDICIAL/ (XX) XXXXXXXXXX SOUDU/ (XX) XXXXXXXXXXXØXXXXX/ (DE) XXXXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX DECISION/ (XX) DÉCISION XX XXXXXXX/ (XX) XXXXXXXX XX xXXXXX/ (XX) XXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (LV) XXXXXX XĒXXXX/ (XX) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX HATÁROZAT/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (PL) XXXXXXXXXX XĄXXXX/ (XX) XXXXXÃX XXXXXXXX/ (RO) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX ROZHODNUTIE/ (XX) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX PÄÄTÖS/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX EXPEDIDO XXX XX XXXXXXXXXX FISCAL/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX AF XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, MILLE XX VÄLJA XXXXXX XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (EN) XXXXXXXX XXXXXXXXX XXXX X XXXXXX PROSECUTOR/ (XX) XXXXXXXX XXXXXXX XX XXXXXXÈXX XXXXXX/ (XX) XXXXXXXXX A THAGANN X XXXXXXXXXXXXXXX POIBLÍ/ (XX) ISPRAVA KOJU XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (IT) XXXXXXXXX XXXXXXX DAL XXXXXXXX XXXXXXXXX/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (XX) ÜGYÉSZ XXXXX XXXXXXXXXX OKIRAT/ (XX) DOKUMENT XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXXXXX XXXX XXX OPENBAAR XXXXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX PROKURATORA/ (XX) DOCUMENTO PROVENIENTE XX MINISTÉRIO XXXXXXX/ (XX) XXXXXXXX EMIS XX XX XXXXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXXXXXXX/ (XX) XXXXXXX, XX JO XXXX XXXXXXX TOŽILSTVO/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) HANDLING XXX HÄRRÖR XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) DOCUMENTO XXXXXXXX XXX UN XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXÆX/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX EINES XXXXXXXX/ (XX) DOKUMENT, XXXXX XX VÄLJA XXXXXX XXXXXXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXX OF X XXXXX/ (XX) DOCUMENT XXXXXXX D'UN XXXXXXXX/ (XX) DOICIMÉAD A XXXXXXX X CHLÉIREACH XX XXXXX CÚIRTE/ (XX) XXXXXXX KOJU XX XXXXX XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX EMANATO XX XX XXXXXXXXXXX/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (XX) XXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ MINN XXĠXXXXXXXX XX' XXXXX/ (NL) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX OD XXXXXXXXXX SĄDOWEGO/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX OFICIAL XX XXXXXÇX/ (XX) XXXXXXXX XXXX XX UN XXXXXXX XX INSTANȚEI/ (XX) XXXXXXX VYDANÁ XXXXXX XXXXXXXXX/ (XX) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX SIHTEERIN XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX XX DOMSTOLSTJÄNSTEMAN

3.1.4

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (ES) XXXXXXXXX EXPEDIDO XXX XX AGENTE XXXXXXXX («XXXXXXXX DE JUSTICE»)/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX JUSTICE“)/ (DA) XXXXXXXX UDSTEDT XX XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (XX) XXXXXXX EINES XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX ANDNUD XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (EN) XXXXXXXX XXXXXXXXX XXXX A XXXXXXXX XXXXXXX ('XXXXXXXX XX JUSTICE')/ (XX) XXXXXXXX ÉMANANT D'UN XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X OIFIGEACH XXXXXXXXXXXX (“XXXXXXXX DE XXXXXXX”)/ (HR) XXXXXXX XXXX XX IZDAO XXXXXX XXXXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (XX) DOKUMENTS, KURU XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (XXXXXXXX DE XXXXXXX)/ (XX) XXXXXXXXX (XXXXXXXX XX XXXXXXX) IŠDUOTAS XXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXXXX („HUISSIER DE XXXXXXX”) ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX XX XXXXXXX')/ (NL) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXXXXXXXXXXXXX/ (PL) DOKUMENT XXXXXXXĄXX XX XXXĘXXXXX XĄXXXXXX (XXXXXXXX DE XXXXXXX)/ (PT) DOCUMENTO XXXXXXXXXXX DE XXXXXXXXÃX XX DIREITO («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX EMIS XX XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX JUSTICE”)/ (XX) XXXXXXX VYDANÁ XXXXXX XXXXXXXXXXĽXX („HUISSIER XX XXXXXXX“)/ (XX) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX („XXXXXXXX DE XXXXXXX“)/ (XX) HAASTEMIEHEN (”XXXXXXXX XX JUSTICE”) XXXXXX XXXXXXXXX/ (SV) HANDLING XXX HÄRRÖR FRÅN XX XXÄXXXXXXXXX (HUISSIER XX JUSTICE)

3.1.5

(BG) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (ESPECIFÍQUESE)/ (XX) XXXX (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) SONSTIGES (XXXXX XXXXXXX)/ (XX) MUU (XÄXXXXXXXX)/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX XX XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (GA) EILE (XX XXXXX)/ (XX) XXXXXX (NAVESTI)/ (XX) XXXXX (PRECISARE)/ (XX) XXXX (PRECIZĒT)/ (LT) XXXX (XXXXXXXX)/ (XX) XXXXX (KÉRJÜK XXXXXXXXXXX)/ (XX) XĦXXXX (IPPREĊIŻA)/ (XX) OVERIGE (SPECIFICEREN)/ (XX) INNY (XXXXXĘ XXXXŚXXĆ)/ (PT) OUTROS (X XXXXXXXXXXX)/ (XX) XXXXX (X XX XXXXXXX)/ (XX) XXX (XXXXXXXX)/ (XX) DRUGO (XXXXXXX)/ (XX) XXX XXXXXXXXX (TÄSMENNETTÄVÄ)/ (SV) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (CZ) XXXXXXX VYDANÁ SPRÁVNÍM XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXXÖXXX/ (ET) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (EN) XXXXXXXXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (IT) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) ADMINISTRATĪVS XXXXXXXXX/ (XX) ADMINISTRACINIS XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (MT) DOKUMENT XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) SPRÁVNA XXXXXXX/ (XX) UPRAVNA XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) PÅTEGNING/ (XX) XXXXXXXXXXXXX/ (ET) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (EN) XXXXXXXXXXX/ (XX) CERTIFICAT/ (XX) DEIMHNIÚ/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, LIUDIJIMAS/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊERTIFIKAT/ (XX) XXXXXXXXXXX/ (PL) XXŚXXXXXXXXXX/ (XX) CERTIDÃO XX CERTIFICADO/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) POTRDILO/ (FI) XXXXXXXX/ (SV) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX XXXXXXXX XXXXX/ (CZ) XXXXX X XXXXXXX/ (XX) XXXXXX FRA XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX XXXXX XXXXXX REGISTER/ (XX) XXXXXXX XX REGISTRE XX X'XXXX XXXXX/ (XX) SLIOCHT AS XX gCLÁR XXXXXXX XXXXXXXXXX/ (XX) IZVADAK XX XXXXXXXX XXXXXXX XXXXXX/ (XX) ESTRATTO XX XXXX DI XXXXX XXXXXX/ (XX) XXXXXXXX NO XXXXXXXĀXXXĻX XXXX XXĢXXXXX/ (XX) XXXXXXX XX CIVILINĖS XŪXXĖX AKTŲ XXXXXXXX/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) XXXXXXX MIR-REĠISTRU XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXX UIT XXX XXXXXXXX XXX DE XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXX XX XXXX XX XXXXXXX XXXXX/ (XX) XXXXXX XXX XXXXXXXXX XX STARE XXXXXĂ/ (SK) XXXXX X REGISTRA XXXXXXXX XXXXX/ (XX) IZPISEK XX XXXXXXXX X XXXXXXX XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (SV) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (ES) XXXXXXXX XXX CENSO/ (XX) XXXXX Z XXXXXXXX OBYVATEL/ (XX) XXXXXX FRA XXXXXXXXXXXXXX/ (XX) AUSZUG XXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (EN) XXXXXXX XXXX XXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XX REGISTRE XX LA POPULATION/ (XX) XXXXXXX AS XX gCLÁR XXXXXX/ (XX) XXXXXXX XX XXXXXX XXXXXXXXXXXX/ (IT) XXXXXXXX ANAGRAFICO/ (XX) XXXXXXXX NO XXXXĪXXXĀXX XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXXŲ XXXXXXXX/ (XX) KIVONAT A XXXXXXXXXXXX- XX LAKCÍMNYILVÁNTARTÁSBÓL/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) UITTREKSEL XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX Z XXXXXXXX XXXXXŚXX/ (XX) XXXXXXX XX XXXXXXX XX XXXXXXÇÃX/ (XX) XXXXXX XXX XXXXXXXXX XX EVIDENȚĂ X XXXXXXȚXXX/ (SK) XXXXX X REGISTRA XXXXXXXĽXX/ (XX) IZPISEK IZ XXXXXXXX XXXXXXXXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX/ (SV) XXXXXX XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX XX XXXXX XXX XXXXXXXX XXXXX/ (XX) XXXX MATRIČNÍCH ZÁZNAMŮ/ (XX) XXXXXX KOPI XX CIVILSTANDSREGISTRE/ (DE) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX XX XXXXX XXXXXX XXXXXXX/ (FR) XXXXX XXXXXXXXX X'XXXXX XX X'XXXX CIVIL/ (XX) XXXX FOCAL XX FHOCAL XX XXXXXXX XX STÁDAS XXXXXXXXX/ (HR) XXXXXXXX XXXXXXXX IZ XXXXXXXXXX X XXXXXXX XXXXXX/ (XX) COPIA XXXXXXXXX XX ATTO XX XXXXX CIVILE/ (XX) XXXXXXXĀXXXĻX XXXX XXĢXXXXX XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (XX) ANYAKÖNYVI XXXXXXXXX XXX SZERINTI XXXXXXXX/ (XX) XXXXX XXXXXXXX XXX-XXXX TAL-ISTAT ĊXXXXX/ (XX) EENSLUIDEND XXXXXXXXX XXX XXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXŁXX XXXX STANU XXXXXXXXX/ (PT) XXXXXXÃX XX XXXXX XXXXXXXX XX DE XXXXXXXXX XX ATOS XX XXXXXXX XXXXX/ (XX) XXXXX EXACTĂ X XXXX ACT XX XXXXX XXXXXĂ/ (SK) XXXXXXXX XXXXX XX XXXXXXX X XXXXXXX XXXXX/ (SL) XXXXXXXX XXXXXX XXXXXX X XXXXXXX STANJU/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (CZ) XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (DE) NOTARIELLE XXXXXXX/ (XX) NOTARIAALDOKUMENT/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX ACT/ (XX) ACTE NOTARIÉ/ (XX) GNÍOMH XXXXXXXXXXXX/ (XX) JAVNOBILJEŽNIČKA ISPRAVA/ (XX) XXXX XXXXXXXX/ (XX) NOTARIĀLS XXXX/ (XX) XXXXXXXXX XXXXX/ (XX) KÖZJEGYZŐI XXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (XX) XXX NOTARIALNY/ (XX) XXX XXXXXXXX/ (XX) ACT XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX LISTINA/ (XX) XXXXXXXX ANTAMA XXXXXXXXX/ (XX) NOTARIELL XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX XXXXXX XXXXX XX XXXXXXXXX XXXXXXX/ (CZ) XXXXXX OSVĚDČENÍ, KTERÝM XXXX OPATŘENA XXXXXXX XXXXXXXXX SOUKROMOU XXXXXX/ (XX) XXXXXXXX XÅXXXXXXX XÅ ET XXXXXXXX XXXXXXXXXXX XX XX XXXXXX X XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX EINER 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 DOCUMENT SIGNED XX X PERSON XX XXX XX XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX OFFICIELLE XXXXXXX XXX XX XXXX XXXX XXXXX XXXXX/ (XX) DEIMHNIÚ XXXXXXXXX X CHUIRTEAR XX XXXXXXXXXX XXXX XXXXXX XX DUINE XXX XXXXX NÓ XXX XXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX XX ISPRAVU XXXX JE XXXXX XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX APPOSTA XX XXX XXXXXXXXX PRIVATA/ (XX) XXXXXĀXX XXXXXXXXĀXXXX XX XXXXXXXXX, XX XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (LT) XXXXXXXŲ XXXXXŲ PASIRAŠYTŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ĊXXXXXXXXX XXXXĊXXXX XX XXXXXXXĦXX F'DOKUMENT IFFIRMAT XXXX PERSUNA XXX-XXXXĊXXÀ XXXXXXX TAGĦHA/ (XX) XXXXXXXXX CERTIFICAAT OP XXX DOCUMENT XXXXXXXXXXX XXXX XXX PERSOON XX ZIJN XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX NA XXXXXXXXXX XXXXXXXXXX PRZEZ XXXXĘ XXXXŁXXĄXĄ W XXXXXXXXXXX PRYWATNYM/ (XX) XXXXXXXÇÃX OFICIAL XXXXXXX XXX XXX XX XXXXXXXX XXXXXXX/ (RO) XXXXXXXXXX XXXXXXX XXXXXXX XX XX XXXXXXXX XXX SEMNĂTURĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX XX LISTINE XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX XXXXX/ (XX) URADNA XXXXXX XX ZASEBNI XXXXXXX/ (XX) VIRALLINEN TODISTUS XXXXXXXXXXXX, XXXXX XXXXXXÖ 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/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXXXXX X XXXXXXXX XX UN XXXXXX XXXXXXX CON XXXXXXXX XXXXXXX/ (CZ) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX VÝKONU XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX XX XX XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (DE) XXX XXXXX XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXXX IN XXXXXX XXXXXXXXX FUNKTION XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) DOCUMENT XXXXX XX BY X XXXXXXXXXX OR XXXXXXXX XXXXX OF A XXXXXX STATE XX XXX XX HER XXXXXXXX CAPACITY/ (FR) XXXXXXXX ÉTABLI EN XX XXXXXXX XXXXXXXXXX XXX XX XXXXX XXXXXXXXXXXX OU XXXXXXXXXX X'XX XXXX MEMBRE/ (XX) DOICIMÉAD XXXX XXXXXXXXXX SUAS XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX XX CHUID XXXXXXXXX XXX CHÁIL XX INA XXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX U XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXX XXX KONZULARNI XXXXXXXXXXX DRŽAVE XXXXXXX/ (XX) DOCUMENTO XXXXXXX XX XXXXXX XXXXXXXXXXX X CONSOLARI XX XXX XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX LORO XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX XXXXX XXXXĀXXXXX, XXXXXXXXXXX DALĪBVALSTS XXXXXXĀXXXXXXX VAI XXXXXXĀXXXX XĀXXXĀXXX/ (LT) XXXXXXXXXX, XXXXXXXXX VALSTYBĖS XXXĖX XXXXXXXXX XX XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX XXXXX XXXXXXXXXX ĮGALIOJIMUS/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX XXXXX HIVATALOS MINŐSÉGÉBEN XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX IMĦEJJI MINN XĠXXX XXXXXXXXXXX XXX XXXXXXXXX XX' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) DOCUMENT XXXXXXXXX DOOR DE XXXXXXXXXXXX OF CONSULAIRE XXXXXXXXX VAN XXX XXXXXXXX IN XXXX XXXXXXËXX XXXXXXXXXXXX/ (PL) XXXXXXXX XXXXXĄXXXXX PRZEZ XXXXXXXXXXXXXXX DYPLOMATYCZNEGO LUB XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX W XXXXXXXXXXX XXXĘXXXXX/ (PT) XXXXXXXXX XXXXXXX POR XX XXXXXX DIPLOMÁTICO XX XXXXXXXX DE XX XXXXXX-XXXXXX XX XXXXXXXXX DAS SUAS XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎNTOCMIT DE XĂXXX XX XXXXX XXXXXXXXXX SAU XXXXXXXX XX XXXX XXXX XXXXXX, ÎN XXXXXXXX XXXXXXXĂ/ (XX) LISTINA XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX KONZULÁRNYM XXXXXXXXX XXXXXXXXX ŠTÁTU X XXXXX XXXXXX XXXX XXXXXXX/ (SL) XXXXXXX, XX XX XXX XXXXXX OSEBA IZDA XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) ASIAKIRJA, XXXXX XÄXXXXXXXXXX DIPLOMAATTINEN XXXXXXXX XXX KONSULIEDUSTAJA XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXÄXXXX I XXÄXXXXX AV EN XXXXXXXXXXX XXXXX XXXXXXÄX XXÄXXXXXXX X XX XXXXXXXXXXX

3.6

(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)/ (XX) XÄXXXXXXXXXX KUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) DATE (XX/XX/XXXX) XX ISSUE/ (XX) DATE (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) EISIÚNA/ (XX) XXXXX (DD/MM/GGGG) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (GG/MM/AAAA)/ (XX) IZDOŠANAS XXXXXX (XX/XX/XXXX)/ (XX) IŠDAVIMO XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (NL) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (PL) DATA (XX/XX/XXXX) XXXXXXX/ (XX) XXXX DE XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) EMITERII/ (XX) XXXXX (DD/MM/RRRR) VYDANIA/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (FI) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) FÖR UTFÄRDANDE

3.7

(BG) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (ES) XXXXXX XX REFERENCIA XXX XXXXXXXXX PÚBLICO/ (XX) REFERENČNÍ ČÍSLO XXXXXXX LISTINY/ (XX) XXX OFFENTLIGE DOKUMENTS XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖXXXXXXXXXXX URKUNDE/ (XX) AVALIKU DOKUMENDI XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (EN) XXXXXXXXX XXXXXX XX XXX XXXXXX DOCUMENT/ (FR) XXXXXX XX RÉFÉRENCE XX XXXXXXXX PUBLIC/ (XX) UIMHIR THAGARTHA XX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXX XXX DOCUMENTO XXXXXXXX/ (XX) PUBLISKĀ DOKUMENTA XXXXXXXX XXXXXX/ (XX) XXXXXXX DOKUMENTO XXXXXXX/ (XX) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX VAN HET XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXX XX REFERÊNCIA XX XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX XX REFERINȚĂ XX XXXXXXXXXXXX OFICIAL/ (XX) XXXXXXXXXX ČÍSLO XXXXXXXX LISTINY/ (XX) XXXXXXXXXX ŠTEVILKA JAVNE XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (SV) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) БРАК/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ÆXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ABIELU/ (XX) ΓΑΜΟΣ/ (EN) XXXXXXXX/ (FR) MARIAGE/ (XX) PÓSADH/ (HR) XXXXXXXXX XXXXX/ (IT) XXXXXXXXXX/ (XX) XXXXĪXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXÖXXX/ (XX) ŻXXXĠ/ (XX) HUWELIJK/ (XX) XXŁŻXŃXXXX/ (PT) CASAMENTO/ (XX) XĂXĂXXXXX/ (XX) XXXXXXXXXX/ (SL) XXXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXXXXX/ (XX) ÄKTENSKAP

4.1

(BG) ДАТА (ДД/ММ/ГГГГ) НА БРАКА/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXX XXXXXXXXXX/ (DA) XXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXXXXXXXXX/ (XX) ABIELLUMISE XXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΤΕΛΕΣΗΣ ΤΟΥ ΓΑΜΟΥ/ (XX) XXXX (DD/MM/YYYY) OF XXX XXXXXXXX/ (FR) XXXX (XX/XX/XXXX) DU XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXX XXXXX/ (XX) XXXX XX MATRIMONIO (XX/XX/XXXX)/ (LV) XXXXĪXXX XXXXĒXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) SANTUOKOS XXXXXXXX XXXX (DD/MM/MMMM)/ (HU) X XXXXXXXXXÖXXX IDEJE (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) XXŻ-ŻXXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXX XXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX XXŁŻXŃXXXX/ (PT) XXXX XX XXXXXXXXX (XX/XX/XXXX)/ (XX) DATA (ZZ/LL/AAAA) XĂXĂXXXXXX/ (SK) DÁTUM (XX/XX/XXXX) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX ZAKONSKE XXXXX/ (XX) XXXXXXXXXX XXXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) DATUM (XX/XX/ÅÅÅÅ) FÖR ÄXXXXXXXXXXX XXXÅXXXX

4.2

(XX) МЯСТО И ДЪРЖАВА НА БРАКА/ (XX) LUGAR X XXXX XXX XXXXXXXXXX/ (XX) XXXXX X XXXX XXXXXXXX XXXXXXXXXX/ (XX) VIELSESSTED XX -XXXX/ (XX) XXX XXX LAND DER XXXXXXXXXXXXXX/ (ET) ABIELLUMISE XXXX XX XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΤΕΛΕΣΗΣ ΤΟΥ ΓΑΜΟΥ/ (XX) XXXXX XXX COUNTRY XX XXX XXXXXXXX/ (XX) XXXX XX XXXX XX XXXXXXX/ (GA) XXX AGUS XXX XX XXXXXX/ (XX) XXXXXX X XXXXXX XXXXXXXXX BRAKA/ (IT) XXXXX X PAESE XX XXXXXXXXXX/ (XX) XXXXĪXXX XXXXĒXXXXXX XXXXX XX VALSTS/ (XX) XXXXXXXXX SUDARYMO XXXXX XX XXXXX/ (HU) X XXXXXXXXXÖXXX XXXXX XX ORSZÁGA/ (XX) XXXX X XXXXXŻ XXŻ-ŻXXXĠ/ (NL) XXXXXX XX XXXX VAN XXX XXXXXXXX/ (XX) XXXXXXX X PAŃSTWO XXXXXXXX XXŁŻXŃXXXX/ (XX) XXXXX X XXXX XX XXXXXXXXX/ (RO) XXXXX ȘX ȚARA XĂXĂXXXXXX/ (XX) XXXXXX X ŠTÁT XXXXXXXXX XXXXXXXXXX/ (XX) XXXX XX XXXXXX XXXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXXXXX XX -XXX/ (XX) ORT XXX XXXX DÄR ÄXXXXXXXXXX INGICKS

5.

(BG) СЪПРУГ X/ (ES) CÓNYUGE X/ (XX) XXXXXX/XXXXXXXX X/ (XX) ÆXXXXÆXXX X/ (XX) XXXXXXXXXX X/ (XX) XXXXXXXX X/ (XX) ΣΥΖΥΓΟΣ Α/ (XX) XXXXXX X/ (XX) XXXXXXXX X/ (XX) XXXXX X/ (XX) XXXXXX XXXX X/ (XX) XXXXXXX X/ (XX) XXXXĀXXXX X/ (LT) XXXXXXXXXXX X/ (XX) „X” XXXXXXXXX/ (XX) XXXXXĠX X/ (XX) XXXXXXXX(X)X(X) A/ (XX) XXŁŻXXXX X/ (XX) XÔXXXXX X/ (XX) XXȚXX A/ (SK) XXXXXX/XXXXXXXX X/ (XX) XXXXXXX A/ (XX) XXXXXXX X/ (SV) XXXX/XXXX A

5.1

(BG) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (XX) APELLIDO(S) XX XXXXXXXXXX/ (XX) XXXXX/X XXXXXXXX/ (XX) EFTERNAVN(E) XXX XØXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXX XXXXXX/ (XX) XÜXXXXÄXXXX XXXXXXXXXXXXX (XÜXXXXÄXXXXX XXXXXXXXXXXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (XX) XXXXXXX(X) XX BIRTH/ (XX) XXX(X) À XX NAISSANCE/ (GA) XXXXXXX (XXXXXXXX) XXXXXXX/ (XX) PREZIME(NA) XXX XXĐXXXX/ (IT) XXXXXXX/X XXXX XXXXXXX/ (XX) XXXĀXXX(-X) DZIMŠANAS BRĪDĪ/ (XX) XXXXXXĖ (-ĖX), XXXXXXXX (-OS) XXXXX/ (XX) XXÜXXXXXX XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) XXX-XXXXXX/ (XX) ACHTERNA(A)M(EN) XXX XX GEBOORTE/ (XX) NAZWISKO(-A) XXXXXX/ (XX) APELIDO(S) À XXXX XX XXXXXXXXXX/ (XX) XXXXXX LA XXȘXXXX/ (XX) XXXXX XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX XX ROJSTVU/ (XX) XXXXXXXX (-NIMET) XXXXXXÄXXXXXXXÄ/ (XX) XXXXXXXXX XXX XÖXXXXX

5.2

(XX) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ БРАКА/ (XX) XXXXXXXX(X) XXXXX DE XXXXXXXX MATRIMONIO/ (XX) XXXXXXXX XXXX UZAVŘENÍM XXXXXXXXXX/ (XX) XXXXXXXXX(X) XØX XXXXXXX/ (XX) XXXXXXXXXXXX(X) VOR XXX XXXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXX (-XXXXX) XXXX XXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΤΟΝ ΓΑΜΟ/ (XX) XXXXXXX(X) XXXXXX XXX XXXXXXXX/ (XX) XXX(X) XXXXX LE MARIAGE/ (XX) XXXXXXX (XXXXXXXX) XXXXX AN xXXXXXX/ (XX) PREZIME(NA) XXXXX XXXXXXXXX XXXXX/ (IT) XXXXXXX/X XXXXX XXX XXXXXXXXXX/ (XX) XXXĀXXX(-X) XXXXX XXXXĪXXX/ (XX) XXXXXXĖ (-ĖX) PRIEŠ XXXXXXXĄ/ (HU) XXXXXXX XXXX(X) X XXXXXXXXXÖXXX XXŐXX/ (MT) KUNJOM(/KUNJOMIJIET) XXXXX XŻ-ŻXXXĠ/ (XX) XXXXXXXX(X)X(XX) VÓÓR XXX XXXXXXXX/ (PL) XXXXXXXX(-X) XXXXX XXXXXXXXX XXŁŻXŃXXXX/ (XX) XXXXXXX(X) XXXXX XX CASAMENTO/ (RO) XXXXXX ÎXXXXXX XX XĂXĂXXXXX/ (SK) XXXXXXXXXX(-X) XXXX XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX/XXXXXXX XXXX XXXXXXXXXXX XXXXXXXX ZVEZE/ (XX) SUKUNIMI (-XXXXX) XXXXX XXXXXXXXXXX/ (XX) XXXXXXXXX FÖRE ÄKTENSKAPETS XXXÅXXXX

5.3

(XX) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА БРАКА/ (XX) XXXXXXXX(X) XXXXXXX XX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX PO XXXXXXXX MANŽELSTVÍ/ (XX) XXXXXXXXX(X) XXXXX XXXXXXX/ (XX) FAMILIENNAME(N) XXXX XXX EHESCHLIESSUNG/ (XX) XXXXXXXXXXXXX (-XXXXX) XÄXXXX XXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΜΕΤΑ ΤΟΝ ΓΑΜΟ/ (XX) XXXXXXX(X) FOLLOWING XXX XXXXXXXX/ (FR) XXX(X) À XX XXXXX XX XXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXX XXX AN XXXXXX/ (HR) PREZIME(NA) XXXXX SKLAPANJA BRAKA/ (XX) XXXXXXX/X XXXX XX XXXXXXXXXX/ (LV) XXXĀXXX(-X) PĒC XXXXĪXXX/ (XX) XXXXXXĖ (-ĖX) XX XXXXXXXXX/ (XX) XXXXXXX XXXX(X) X XXXXXXXXXÖXXX UTÁN/ (MT) XXXXXX(/XXXXXXXXXXX) XXXX Ż-ŻXXXĠ/ (XX) XXXXXXXX(X)X(XX) XX XXX XXXXXXXX/ (XX) XXXXXXXX(-X) PO ZAWARCIU XXŁŻXŃXXXX/ (XX) XXXXXXX(X) XXXX X CASAMENTO/ (XX) XXXXXX XXXĂ XĂXĂXXXXX/ (SK) XXXXXXXXXX(-X) XX XXXXXXXX MANŽELSTVA/ (XX) XXXXXXX/XXXXXXX XX XXXXXXXXX ZAKONSKE ZVEZE/ (XX) SUKUNIMI (-XXXXX) XXXXXXXXXX XXXXXXXXXX XÄXXXXX/ (XX) XXXXXXXXX XXXXX ÄXXXXXXXXXXX INGÅENDE

5.4

(BG) СОБСТВЕНО(И) ИМЕ(НА)/ (ES) XXXXXX(X)/ (XX) JMÉNO (XXXXX)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (EL) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (HR) XXX(XX)/ (XX) XXXX(X)/ (XX) XĀXXX(-X)/ (XX) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (XXXXXX)/ (XX) XXXX(X) XXXXXXX(X)/ (RO) XXXXXXX/ (XX) XXXX(-X)/ (SL) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (XX) FÖRNAMN

5.5

(BG) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (ES) FECHA (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXX/ (DA) FØDSELSDATO (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXX (XX/XX/XXXX)/ (ET) SÜNNIKUUPÄEV (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) DATE (XX/XX/XXXX) DE XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (XX) XXXX XX NASCITA (XX/XX/XXXX)/ (LV) DZIMŠANAS XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX IDEJE (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (NL) XXXXXXXXXXXXX (XX/XX/XXXX)/ (PL) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX DE XXXXXXXXXX (DD/MM/AAAA)/ (XX) XXXX (XX/XX/XXXX) XXȘXXXXX/ (XX) DÁTUM (DD/MM/RRRR) XXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) ROJSTVA/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

5.6

(XX) ПОЛ/ (XX) SEXO/ (CZ) XXXXXXX/ (DA) XØX/ (XX) XXXXXXXXXX/ (ET) XXXX/ (XX) ΦΥΛΟ/ (XX) SEX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXX/ (XX) XXXXX/ (LV) XXXXXXX/ (XX) LYTIS/ (XX) XXXX/ (XX) SESS/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (PT) XXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) SPOL/ (XX) XXXXXXXXX/ (SV) XÖX

5.6.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (HR) XXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (HU) XŐ/ (XX) MARA/ (NL) XXXXX/ (PL) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) KVINNA

5.6.2

(BG) МЪЖКИ/ (XX) XXXXX/ (XX) MUŽ/ (XX) XXXX/ (XX) XÄXXXXXX/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (EN) MALE/ (XX) MASCULIN/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (LV) XĪXXXXXX/ (XX) XXXXX/ (XX) FÉRFI/ (MT) XXĠXX/ (XX) XXX/ (XX) MĘŻCZYZNA/ (XX) XXXXXXXXX/ (RO) XĂXXĂXXXX/ (XX) MUŽSKÉ/ (XX) XXXXX/ (FI) XXXX/ (XX) XXX

5.6.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (DA) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (EL) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (EN) UNDETERMINED/ (XX) XXXXXXXXXXX/ (GA) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (LT) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (PL) XŁXĆ XXXXXXXŚXXXX/ (PT) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) NEURČENÉ/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX FASTSTÄLLT

6.

(BG) СЪПРУГ X/ (ES) XXXXXXX X/ (XX) XXXXXX/XXXXXXXX X/ (DA) ÆXXXXÆXXX B/ (XX) XXXXXXXXXX X/ (ET) XXXXXXXX X/ (EL) ΣΥΖΥΓΟΣ Β/ (XX) XXXXXX X/ (FR) XXXXXXXX X/ (XX) XXXXX X/ (XX) XXXXXX XXXX X/ (XX) CONIUGE B/ (XX) XXXXĀXXXX X/ (XX) SUTUOKTINIS B/ (XX) „X” XXXXXXXXX/ (XX) KONJUĠI B/ (XX) ECHTGENO(O)T(E) X/ (XX) XXŁŻXXXX X/ (XX) CÔNJUGE B/ (XX) XXȚXX B/ (XX) XXXXXX/XXXXXXXX B/ (XX) ZAKONEC X/ (XX) PUOLISO X/ (XX) MAKE/MAKA B

7.

(BG) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX FIRMA/ (XX) XXXX XXX XXXXXX/ (XX) UNDERSKRIFTSFELT/ (DE) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) XXXXX XXXX XX SIGNATURE/ (XX) XXXXX XXX XXXXX/ (XX) POLJE ZA XXXXXX/ (XX) XXXXXXXX XXX LA XXXXX/ (XX) XXXXXXXX LAUKS/ (XX) XXXXXX LAUKELIS/ (XX) XX ALÁÍRÁS XXÖXXXXXXXXX/ (XX) KAXXA XXX-XXXXXXXX/ (NL) XXX XXXX XX XXXXXXXXXXXX/ (XX) XXXX XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (SK) XXXXXXX XX XXXXXX/ (XX) XXXXX ZA XXXXXX/ (XX) ALLEKIRJOITUSKENTTÄ/ (SV) XXXX XÖX UNDERTECKNANDE

7.1

(BG) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) Y XXXXXX(X) XXX XXXXXXXXXXX XXX XXXXXXX ESTE IMPRESO/ (XX) PŘÍJMENÍ A XXXXX (JMÉNA) XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXXXX(X) XX XXXXXXX(X) PÅ XXX XXXXXXXXXX, DER XXX UDSTEDT DENNE XXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXXXXXX(X) DES XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) KÄESOLEVA 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 THE XXXXXXXX WHO XXXXXX XXXX FORM/ (XX) XXX(X) XX PRÉNOM(S) XX FONCTIONNAIRE XXX X XXXXXXX XX XXXXXXX FORMULAIRE/ (GA) XXXXXXX (XXXXXXXX) XXXX XXXXXXXX (CÉADAINMNEACHA) AN XXXXXXXX A X’XXXXXX XX XXXXXX SEO/ (XX) XXXXXXX(XX) I XXX(XX) XXXXXXXXXX KOJI XX XXXXX XXXX XXXXXXX/ (IT) XXXXXXX/X X XXXX/X XXX XXXXXXXXXXX XXX XX XXXXXXXXXX IL PRESENTE XXXXXX/ (LV) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, XXXĀXXX(-X) XX XĀXXX(-X)/ (XX) ŠIĄ XXXXĄ IŠDAVUSIO XXXXXXŪXX XXXXXXĖ (-ĖX) XX XXXXXX (-AI)/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ CSALÁDI NEVE(I) XX XXXXXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX LI ĦXXXĠ XXX XX-XXXXXXX/ (NL) XX(X)X(XX) XX XXXXXX(X)X(XX) XXX DE XXXXXXXXX XXX XXX FORMULIER XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) X IMIĘ (XXXXXX) XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX FORMULARZ/ (XX) XXXXXXX(X) X XXXX(X) PRÓPRIO(S) DO XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXX ȘX XXXXXXXXX FUNCȚIONARULUI XXXX X EMIS XXXXXXXXX XXXXXXXX/ (XX) PRIEZVISKO(-Á) X XXXX(-X) ÚRADNÍKA, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX IME/IMENA XXXXXXXX, XX XX IZDAL XX XXXXXXX/ (FI) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXXXXX (-NIMET) XX XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX XXX XÖXXXXX XÅ XXX XXÄXXXXXXX XXX XXX XXXÄXXXX DETTA XXXXXXÄX

7.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX XXXXXXXXXXX QUE XXXXXXX XXXX XXXXXXX/ (XX) FUNKCE ÚŘEDNÍKA, XXXXX VYDAL XXXXX XXXXXXXX/ (DA) STILLING — DEN XXXXXXXXXX, XXX HAR UDSTEDT XXXXX XXXXXXXX/ (DE) XXXXXXXX DES XXXXXXX, XXX DIESES XXXXXXXX XXXXXXXXXXX HAT/ (XX) XÄXXXXXXX VORMI XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (EL) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXX XX XXX XXXXXXXX XXX ISSUED XXXX XXXX/ (XX) XXXXX XX XXXXXXXXXXXXX XXX A XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXX XX XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXXX SLUŽBENIKA XXXX XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXX XXXXXXXXXXX XXX XX RILASCIATO XX XXXXXXXX XXXXXX/ (XX) AMATPERSONAS, XXXX XXXXXXXX XX XXXXXXXX, XXXXX/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦAREĠ XXX XX-XXXXXXX/ (XX) XXXXXXX XXX DE XXXXXXXXX XXX XXX XXXXXXXXX HEEFT XXXXXXXXX/ (XX) STANOWISKO URZĘDNIKA, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (XX) CARGO XX FUNCIONÁRIO QUE XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX FORMULAR/ (XX) FUNKCIA XXXXXXXX, XXXXX XXXXX TENTO XXXXXXXX/ (XX) POLOŽAJ XXXXXXXX, XX XX XXXXX XX OBRAZEC/ (XX) XÄXÄX LOMAKKEEN XXXXXXXX VIRKAMIEHEN ASEMA/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX XXX XXX XXXÄXXXX DETTA XXXXXXÄX

7.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) VYDÁNÍ/ (DA) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX DÉLIVRANCE/ (XX) XXXX (LL/MM/BBBB) 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)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXX-ĦXXĠ/ (NL) XXXXX (DD/MM/JJJJ) VAN XXXXXXX/ (PL) XXXX (XX/XX/XXXX) WYDANIA/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

7.4

(XX) ПОДПИС/ (ES) FIRMA/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) SIGNATURE/ (XX) XXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (LT) PARAŠAS/ (XX) ALÁÍRÁS/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (PT) XXXXXXXXXX/ (XX) SEMNĂTURA/ (XX) XXXXXX/ (SL) XXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

7.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (ES) XXXXX X XXXXXX/ (XX) XXXXX XXXX XXXXXXX/ (XX) SEGL XXXXX XXXXXXX/ (XX) XXXXXX XXXX STEMPEL/ (XX) PITSER XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX XXXXX/ (XX) XXXXX XX XXXXXX/ (GA) XXXXX XX XXXXXX/ (XX) ŽIG XXX XXXXX/ (XX) XXXXX X TIMBRO/ (LV) XĪXXXX VAI XXXXXXXX/ (XX) XXXXXXX ARBA XXXXXXXXXX/ (XX) XXXXXX XXXX BÉLYEGZŐLENYOMAT/ (MT) XXĠXXX JEW XXXXXX/ (XX) XXXXX XX XXXXXXX/ (PL) PIECZĘĆ XXX XXXXXXX/ (PT) XXXX XX XXXXXXX/ (XX) XXXXXXXX XXX ȘXXXXXXX/ (XX) PEČAŤ XXXXX XXXXXXXX XXXXXXXX/ (XX) PEČAT ALI XXX/ (XX) SINETTI XXX XXXXX/ (XX) XXXXXX XXXXX XXÄXXXX

XXXXXXXXXXX K XXXXXXXX MANŽELSTVÍ

VÍCEJAZYČNÝ XXXXXXXXXX XXXXXXXX – XXXXXXX XXX XXXXXXX

Xxxxxx 7 xxxxxxxx Xxxxxxxxxx xxxxxxxxxx x Rady (EU) 2016/1191 xx dne 6. xxxxxxxx 2016 x podpoře xxxxxxx xxxxxx občanů xxxxxxxxxxxxx xxxxxxxxx na předkládání xxxxxxxxx veřejných xxxxxx x Xxxxxxxx xxxx x o xxxxx xxxxxxxx (EU) x. 1024/2012 (1)

Belgie (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (EL) Španělsko (XX)

Xxxxxxx (FR) Xxxxxxxxxx (XX)

Xxxxxx (IT) Xxxx (XX)

Xxxxxxxx (LV) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (HU) Xxxxx (XX)

Xxxxxxxxxx (XX) Xxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxxxxxx (SI)

Slovensko (XX) Xxxxxx (XX)

Xxxxxxx (XX) Xxxxxxx království (XX)

XXXXXXXX XXXXXXXXXX

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

Xxxxx xxxxxxxx xxxxxx xxxxx xxxxxxx xxxxxxx, k níž xx přiložen. Orgán, xxxxx xx xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx xxxx v xxxxxxxxx, xxx je xx xxxxxxxx xxx xxxxx xxxxxxxxxx veřejné xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx informací, které xxxx xx formuláři xxxxxxx.

XXXXXXXXXX PRO XXXXXXXXXX XXXXX

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

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

1. ORGÁN XXXXXXXXXX XXXXX FORMULÁŘ

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

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

3.1 Xxxxxxx xxxxxx xxxxxxx xxxx xxxxxxxxx x xxxxxx na soudy xxxxxx členského xxxxx

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx xxxxxx xxxxxxx xxxxxxxxx

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

3.1.5 Xxxx (xxxxxxxxx)

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

(2) Xxx xxxxxxxxxx rukou xxxxxxxx xxxxxxx xxxxx.

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

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

3.2 Xxxxxxx xxxxxx xxxxxxxx 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 xxxx xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

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

3.6 Xxxxx (dd/mm/rrrr) vydání

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. INFORMACE O XXXXXXX OSOBĚ

4.1 Xxxxxxxx

4.2 Xxxxx (jména)

4.3 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.4 Místo (1) x xxxx (2) xxxxxxxx

4.5 Xxxxxxx:

4.5.1 Xxxx

4.5.2 Xxx

4.5.3 Neurčeno

4.6 Xxxxxx xxxxxxxxxxx:

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

5.1 Xx xxxxxxx xxxxx xxxxxxxxx uzavřít xxxxxxxxxx podle xxxxxxxxxxxxxx xxxxx xxxxxxxxx xxxxx, x němž xx xxxxxxx xxxxxxx vydána.

5.2 Xxxxxxx xxxxx xxxxxx xxxxxxxxxx manželství xxx xxxx xxxxxx podle xxxxxxxxxxxxxx práva xxxxxxxxx xxxxx, v xxxx xx xxxxxxx listina xxxxxx.

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

5.4 Xxxxxxxxxx xxxxx známá xxxxxxxx manželství mezi xxxxxxxx xxxxxx x xxxxx snoubencem / xxxx snoubenkou xxxxx xxxxxxxxxxxxxx xxxxx xxxxxxxxx xxxxx, x němž xx xxxxxxx listina xxxxxx.

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

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

(2) Xxxxx xxxx x – xxxxx existuje – xxx XXX xxxx země nebo xxxxxxx „Jiné (upřesněte)“ xx třeba vybrat x xxxxxxxxxxx xxxxxxx xx xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx formuláři, xxxxx xx k xxxxxxxxx xx xxxxxxx xxxxxxxx x-xxxxxxx.

(3) Lze zvolit xxxx xxxxxxxx.

6. XXXXXXXXX X SNOUBENCI / XXXXXXXXX XXXXXXX OSOBY

4.1 Xxxxxxxx

4.2 Jméno (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 XXX XXXXXX

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

7.2 Xxxxxx xxxxxxxx, xxxxx xxxxx tento xxxxxxxx

7.3 Xxxxx (xx/xx/xxxx) vydání

7.4 Xxxxxx

7.5 Xxxxx xxxx xxxxxxx

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

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

XXXXXXXXXXX GLOSÁŘ XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXXXXXXX K XXXXXXXX XXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) AUTORIDAD XXX XXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (DE) BEHÖRDE, XXX DIESES XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX VÄLJA XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX XXXX/ (XX) XXXXXXXX DE XXXXXXXXXX DU XXXXXXX XXXXXXXXXX/ (GA) XX xXXXXXX A XXXXXXXX XX XXXXXX XXX/ (XX) XXXXXX KOJE XXXXXX OVAJ XXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXX XXXXXX/ (XX) VEIDLAPAS XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXX/ (XX) XXXXXXXÀ EMITTENTI XX' XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX DIT XXXXXXXXX/ (XX) ORGAN XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (XX) AUTORIDADE XXX XXXXX X PRESENTE XXXXXXXXXX/ (RO) XXXXXXXXXXX XXXXXXXĂ X PREZENTULUI XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX FORMULÁR/ (XX) XXXXX, XX XXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXX VIRANOMAINEN/ (SV) XXXXXXXXX XXX XXXÄXXXX XXXXXXÄXXX

1.1

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

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) AUTORIDAD XXX XXXXXX XX DOCUMENTO XXXXXXX XX XXX XX ADJUNTA ESTE XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, X NÍŽ XX XXXXXXXX TENTO XXXXXXXX/ (XX) DEN XXXXXXXXX, XXX XXX XXXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXÖXXX, XXX XXX ÖXXXXXXXXXX XXXXXXX, 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/ (XX) XXXXXXXXX ISSUING XXX PUBLIC DOCUMENT XX XXXXX XXXX XXXX XX ATTACHED/ (XX) AUTORITÉ XX XXXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX XX XXXXXXXXX POIBLÍ XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXX JAVNU XXXXXXX XXXXX XX OVAJ XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXXX PUBBLICO XXX IL PRESENTE XXXXXX È XXXXXXXX/ (XX) PUBLISKĀ DOKUMENTA, XXXXX ŠĪ XXXXXXXX XX XXXXXXXXXX, IZDEVĒJIESTĀDE/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX PRIDEDAMA XX XXXXX, IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (XX) X FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX LI XXXXĦX HIJA XXXXXŻX XXX IL-FORMOLA/ (NL) XXXXXXXXXX XXX XXXXXXX XXX HET XXXXXXXX XXXXXXXX WAARAAN DIT XXXXXXXXX XX XXXXXXX/ (XX) ORGAN XXXXXĄXX XXXXXXXX XXXĘXXXX, XX XXXXXXX XXXXXXXXX FORMULARZ XXXX ZAŁĄCZONY/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXXX XXXXXXX X XXX O XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ A XXXXXXXXXXXX XXXXXXX XX CARE XXXX ANEXAT XXXXXXXXX XXXXXXXX/ (SK) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX XXXX JAVNO XXXXXXX, XX XX JE XXXXXXXX TA XXXXXXX/ (XX) VIRANOMAINEN, XXXX XX ANTANUT XXXXXXX XXXXXXXXXX, XXXXX TÄMÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX SOM XXXÄXXXX XXX OFFICIELLA XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXX AL QUE XX XXXXXXX XXXX XXXXXXX/ (CZ) XXXXXXXXX XXXXXXXX SE VEŘEJNÉ XXXXXXX, X NÍŽ XX XXXXXXXX TENTO XXXXXXXX/ (XX) XXXXXXXXXXX XXXXØXXXXX DET XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXX ZUR ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX XXXXXXX DOKUMENDI XXXXX, XXXXXXX SEE XXXX XX XXXXXXX/ (EL) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX TO XXX XXXXXX DOCUMENT XX XXXXX THIS XXXX XX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX XXXXXX AUQUEL XXX JOINT LE XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX A XXXXXXXXX XXXX XX XXXXXXXXX XXXXXX LENA XXXXXX XX XXXXXX SEO XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXX SE XXXXXX XX JAVNU XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX RELATIVE AL XXXXXXXXX XXXXXXXX XXX XX PRESENTE XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX PAR XXXXXXXX XXXXXXXXX, KURAM ŠĪ XXXXXXXX IR XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX XXXXX/ (XX) X FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXXXX VONATKOZÓ XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX DWAR XX-XXXXXXXX PUBBLIKU LI XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX HET XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX IS XXXXXXX/ (XX) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX URZĘDOWEGO, XX KTÓREGO NINIEJSZY XXXXXXXXX JEST ZAŁĄCZONY/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX DOCUMENTO PÚBLICO X XXX O XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) INFORMAȚII XXXXXXXXXXX LA XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXXXXXXX X XXXXXXXX XXXXXXX, XX XXXXXX JE XXXXX FORMULÁR PRIPOJENÝ/ (XX) XXXXXXXXXXX V XXXXX Z JAVNO XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXX XXXXXXXXÄ ASIAKIRJASTA, JOHON XÄXÄ LOMAKE XXXXXXÄÄX/ (XX) XXXXXXXXXXX XX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX XXXXXXXX POR UNA XXXXXXXXX X UN XXXXXXXXXXX XXXXXXXXX X XXX ÓRGANOS JURISDICCIONALES XX XX XXXXXX XXXXXXX/ (XX) LISTINA XXXXXX XXXXXXX XXXX XXXXXXXXX S XXXXXX XX SOUDY DANÉHO XXXXXXXXX XXXXX/ (XX) XXXXXXXX, DER ER XXXXXXX XX XX XXXXXXXXX ELLER EN XXXXXXXXXX, DER ER XXXXXXXXXX XXXXXXXX I XX XXXXXXXXXXX/ (DE) XXXXXXX XXXXX XXXÖXXX XXXX XXXXX XXXXXXXXXX XXX ORGAN XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX VÄLJA XXXXXX XXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXXXX VÕI XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΈΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX XXXX AN XXXXXXXXX XX AN XXXXXXXX CONNECTED WITH XXX COURTS XX XXXXXXXXX OF X XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXX X'XXX XXXXXXXX XX X'XX XXXXXXXXXXXXX RELEVANT D'UNE XXXXXXXXXXX X'XX XXXX XXXXXX/ (XX) DOICIMÉAD X XXXXXXX X XXXXXX XX Ó XXXXXXXXX A BHFUIL XXXXX XXXX NÓ XXXX XX XXXXXXXXXX XX XX BINSÍ XX CHUID XXXXXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX TIJELO XXX XXXXXXXXX XXXX XXXXXX XXXXXXX/ (IT) XXXXXXXXX EMANATO DA XX'XXXXXXXÀ X XX XX XXXXXXXXXXX APPARTENENTE XX XXX DELLE XXXXXXXXXXXXX XX XXX XXXXX XXXXXX/ (XX) XXXXXXXXX, XXXX IZSNIEGUSI XX XXXĪXXXXXXX XXXXĀX XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (LT) XXXXXXXXXX, XXXXXXXX VALDŽIOS XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX XXXX XXXXXXX XXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXĠ MINN XXXXXXXÀ XXX UFFIĊJAL XX XXXXXXXX XXXXX XXX-XXXXX XXX IT-TRIBUNALI XX' XXXX MEMBRU/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX AUTORITEIT XX XXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXXXXXX XXXXXXXXX XXX EEN XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX ORGANU XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX PAŃSTWA XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX PROVENIENTE XX XXX XXXXXXXXXX XX XX XX XXXXXXXXXXX DEPENDENTE XX XXXXXXXX XXXXXXXÇÃX DE XX XXXXXX-XXXXXX/ (XX) XXXXXXXX XXXX DE X XXXXXXXXXX SAU XX XX XXXXȚXXXXX XX XX XÂXXĂ XXXXXXȚXXX UNUI XXXX XXXXXX/ (XX) XXXXXXX XXXXXX ORGÁNOM XXXXX XXXXXXXXX S XÄXXXX XX XXXX ČLENSKÉHO XXXXX/ (SL) XXXXXXX, XXXXXX S XXXXXX XXXXXX XXX XXXXXXXX XXXXX XXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX XX XXXXXXXXX XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X EN XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) GERICHTSENTSCHEIDUNG/ (XX) KOHTUOTSUS/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) XXXXXXXX DE JUSTICE/ (XX) XXXXXXXX XX xXXXXX/ (XX) XXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) TIESAS XĒXXXX/ (XX) TEISMO XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) ORZECZENIE XĄXXXX/ (XX) XXXXXÃX XXXXXXXX/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (SK) XXXXX XXXXXXXXXXX/ (XX) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) DOMSTOLSBESLUT

3.1.2

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) DOCUMENTO XXXXXXXX XXX XX XXXXXXXXXX FISCAL/ (CZ) XXXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) DOKUMENT XXXXXXX XX EN XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXX XÜÜXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XXXXXXÈXX XXXXXX/ (GA) XXXXXXXXX X THAGANN X XXXXXXXXXXXXXXX XXXXXX/ (HR) XXXXXXX XXXX XX XXXXXX DRŽAVNO ODVJETNIŠTVO/ (XX) DOCUMENTO EMANATO XXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (XX) ÜGYÉSZ XXXXX XXXXXXXXXX OKIRAT/ (MT) XXXXXXXX XXĦXXĠ MINN XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX DOOR XXX OPENBAAR MINISTERIE/ (XX) XXXXXXXX POCHODZĄCY XX XXXXXXXXXXX/ (XX) XXXXXXXXX PROVENIENTE DO XXXXXXXXXX XXXXXXX/ (RO) XXXXXXXX EMIS XX XX XXXXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXXXXXXX/ (XX) XXXXXXX, KI XX XXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX ANTAMA XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (ES) XXXXXXXXX XXXXXXXX XXX XX SECRETARIO JUDICIAL/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXÆX/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXX XXX GESCHÄFTSSTELLE XXXXX XXXXXXXX/ (XX) XXXXXXXX, MILLE XX XÄXXX ANDNUD KOHTUAMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX EMANATING XXXX X XXXXX XX X XXXXX/ (XX) DOCUMENT XXXXXXX X'XX XXXXXXXX/ (GA) XXXXXXXXX A XXXXXXX X XXXXXXXXXX DE XXXXX XXXXXX/ (HR) XXXXXXX XXXX XX XXXXX XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX DA XX XXXXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (XX) TEISMO XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (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) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXX XX JUSTIÇA/ (XX) XXXXXXXX EMIS XX UN XXXXXXX XX XXXXXXȚXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („HUISSIER XX XXXXXXX“)/ (ES) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXX («XXXXXXXX XX JUSTICE»)/ (CZ) XXXXXXX VYDANÁ XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (DA) XXXXXXXX XXXXXXX XX EN XXÆXXXXXXXXXX (»XXXXXXXX DE XXXXXXX«)/ (XX) XXXXXXX XXXXX GERICHTSVOLLZIEHERS/ (XX) XXXXXXXX, MILLE ON XÄXXX XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX DE XXXXXXX»)/ (XX) XXXXXXXX EMANATING XXXX A XXXXXXXX XXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXX X'XX HUISSIER XX XXXXXXX/ (GA) XXXXXXXXX X XXXXXXX X OIFIGEACH XXXXXXXXXXXX (“XXXXXXXX DE JUSTICE”)/ (XX) XXXXXXX KOJU XX XXXXX XXXXXX XXXXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXX DA UN XXXXXXXXX XXXXXXXXXXX ("HUISSIER XX JUSTICE")/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX IZPILDĪTĀJS (HUISSIER XX JUSTICE)/ (LT) XXXXXXXXX (XXXXXXXX XX XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXXX („XXXXXXXX XX JUSTICE”) XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX URZĘDNIKA XĄXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXÃX XX DIREITO («XXXXXXXX XX XXXXXXX»)/ (RO) XXXXXXXX EMIS XX XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX DE JUSTICE”)/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXX, KI JO XXXX XXXXX XXXXXXXXXX („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXXXXXXX (”HUISSIER XX JUSTICE”) ANTAMA XXXXXXXXX/ (SV) XXXXXXXX XXX HÄRRÖR XXÅX XX STÄMNINGSMAN (XXXXXXXX XX JUSTICE)

3.1.5

(BG) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) XXXX (UPŘESNĚTE)/ (XX) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (BITTE XXXXXXX)/ (XX) MUU (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (EN) XXXXX (XX BE XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (GA) XXXX (XX XXXXX)/ (XX) XXXXXX (NAVESTI)/ (XX) XXXXX (XXXXXXXXX)/ (XX) XXXX (PRECIZĒT)/ (LT) XXXX (XXXXXXXX)/ (XX) XXXXX (XXXXÜX PONTOSÍTANI)/ (XX) OĦRAJN (IPPREĊIŻA)/ (XX) XXXXXXX (SPECIFICEREN)/ (XX) INNY (XXXXXĘ XXXXŚXXĆ)/ (XX) XXXXXX (X XXXXXXXXXXX)/ (XX) XXXXX (X XX XXXXXXX)/ (XX) XXX (XXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) MUU XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) XXXXX XXXXXXXX (SPECIFICERAS)

3.2

(BG) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (CZ) XXXXXXX VYDANÁ XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) ADMINISTRATIVE XXXXXXXX/ (FR) DOCUMENT XXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ (HR) XXXXXXX XXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) ADMINISTRATĪVS XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) KÖZIGAZGATÁSI XXXXXX/ (XX) DOKUMENT XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (RO) DOCUMENT XXXXXXXXXXXXX/ (SK) SPRÁVNA XXXXXXX/ (XX) UPRAVNA XXXXXXX/ (FI) HALLINNOLLINEN XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (ET) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (EN) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (IT) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (LT) XXXXXX, LIUDIJIMAS/ (HU) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊERTIFIKAT/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (RO) XXXXXXXXXX/ (XX) OSVEDČENIE/ (XX) POTRDILO/ (FI) XXXXXXXX/ (XX) INTYG

3.2.2

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) EXTRACTO DEL XXXXXXXX XXXXX/ (XX) XXXXX Z MATRIKY/ (XX) UDDRAG XXX XXXXXXXXXXXXXXXXXXXX/ (DE) AUSZUG XXX XXX PERSONENSTANDSREGISTER/ (XX) XXXXXXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX XXXXX XXXXXX REGISTER/ (XX) XXXXXXX XX REGISTRE XX X'XXXX XXXXX/ (XX) SLIOCHT XX XX xXXXX XXXXXXX XXXXXXXXXX/ (HR) XXXXXXX XX XXXXXXXX OSOBNOG XXXXXX/ (XX) XXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXX XX XXXXXXXĀXXXĻX XXXX XXĢXXXXX/ (XX) XXXXXXX IŠ XXXXXXXĖX XŪXXĖX XXXŲ XXXXXXXX/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXX UIT XXX XXXXXXXX XXX XX XXXXXXXXXXX STAND/ (XX) XXXXX XXXXXXXX XXXX XXXXX CYWILNEGO/ (XX) XXXXXXX XX XXXX XX REGISTO CIVIL/ (XX) XXXXXX XXX XXXXXXXXX DE XXXXX XXXXXĂ/ (SK) VÝPIS X REGISTRA OSOBNÉHO XXXXX/ (XX) IZPISEK XX REGISTRA X XXXXXXX STANJU/ (XX) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (SV) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX XXX XXXXX/ (XX) VÝPIS X XXXXXXXX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) AUSZUG XXX XXX XXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX FROM XXX XXXXXXXXXX REGISTER/ (FR) XXXXXXX XX XXXXXXXX XX XX XXXXXXXXXX/ (XX) SLIOCHT XX XX xXXXX XXXXXX/ (XX) XXXXXXX IZ XXXXXX STANOVNIŠTVA/ (XX) XXXXXXXX ANAGRAFICO/ (XX) XXXXXXXX XX XXXXĪXXXĀXX XXĢXXXXX/ (XX) XXXXXXX XX GYVENTOJŲ XXXXXXXX/ (XX) XXXXXXX X XXXXXXXXXXXX- ÉS LAKCÍMNYILVÁNTARTÁSBÓL/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) WYCIĄG X XXXXXXXX LUDNOŚCI/ (PT) XXXXXXX XX XXXXXXX XX POPULAÇÃO/ (RO) 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 XXXXXXX XX XXXXX XXX XXXXXXXX XXXXX/ (CZ) XXXX XXXXXXXXXX XXXXXXX/ (XX) ORDRET KOPI XX CIVILSTANDSREGISTRE/ (XX) XÖXXXXXXX KOPIE XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (ET) XXXXXXXXXXXXXXXXXX XXXXXX/ (EL) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX OF XXXXX XXXXXX XXXXXXX/ (FR) XXXXX INTÉGRALE X'XXXXX XX L'ÉTAT CIVIL/ (XX) XXXX FOCAL XX FHOCAL XX XXXXXXX XX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XX XXXXXXXXXX X OSOBNOM XXXXXX/ (XX) COPIA LETTERALE XX XXXX XX XXXXX CIVILE/ (LV) XXXXXXXĀXXXĻX AKTU XXĢXXXXX XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) CIVILINĖS XŪXXĖX XXXŲ ĮXXXŲ PAŽODINĖ XXXXXX/ (HU) ANYAKÖNYVI XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (MT) KOPJA XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (NL) XXXXXXXXXXX XXXXXXXXX VAN XXXXX XXX XX BURGERLIJKE XXXXX/ (XX) ODPIS XXXXŁXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXÃX XX XXXXX XXXXXXXX XX XX NARRATIVA XX XXXX XX XXXXXXX XXXXX/ (XX) XXXXX EXACTĂ X XXXX ACT XX XXXXX CIVILĂ/ (XX) XXXXXXXX XXXXX ZO XXXXXXX X OSOBNOM XXXXX/ (SL) XXXXXXXXX XXXXXX XXXXXX O XXXXXXX XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX AVSKRIFT XX FOLKBOKFÖRINGSHANDLING

3.3

(BG) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (DA) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) NOTARIELLE XXXXXXX/ (XX) NOTARIAALDOKUMENT/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) NOTARIAL ACT/ (XX) ACTE XXXXXXX/ (XX) XXXXXX NÓTAIREACHTA/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX XXXXXXXX/ (XX) NOTARIĀLS XXXX/ (XX) NOTARINIS XXXXX/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXËXX AKTE/ (XX) AKT XXXXXXXXXX/ (XX) ATO XXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX ANTAMA XXXXXXXXX/ (XX) NOTARIELL XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX OFICIAL XXXXXX SOBRE UN XXXXXXXXX PRIVADO/ (XX) XXXXXX XXXXXXXXX, XXXXXX XXXX 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/ (XX) XXXXX POOLT XXXXXXXXXX ALLKIRJASTATUD 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 XX X PERSON XX HIS XX XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX UN XXXX XXXX XXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX X XXXXXXXXX XX XXXXXXXXXX XXXX XXXXXX XX DUINE XXX XXXXX XX XXX XXXX PHRÍOBHÁIDEACH/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX XX XXXXXXX XXXX XX XXXXX XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (XX) DICHIARAZIONE XXXXXXXXX XXXXXXX XX XXX SCRITTURA PRIVATA/ (XX) OFICIĀLS XXXXXXXXĀXXXX XX DOKUMENTA, XX XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX PERSONA/ (XX) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX PATVIRTINIMAI/ (XX) MAGÁNOKIRATON XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ĊXXXXXXXXX XXXXĊXXXX LI XXXXXXXĦXX F'DOKUMENT XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX CERTIFICAAT OP XXX XXXXXXXX ONDERTEKEND XXXX EEN XXXXXXX XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX UMIESZCZONE XX XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX PRYWATNYM/ (PT) XXXXXXXÇÃX XXXXXXX INSERTA XXX ATO DE XXXXXXXX PRIVADA/ (RO) XXXXXXXXXX XXXXXXX APLICAT XX XX DOCUMENT XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX OSVEDČENIE XXXXXXX XX LISTINE XXXXXXXXXX XXXXXX KONAJÚCOU XXX XXXXXXXX OSOBA/ (XX) XXXXXX IZJAVA XX ZASEBNI LISTINI/ (XX) VIRALLINEN TODISTUS XXXXXXXXXXXX, XXXXX XXXXXXÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX INTYG XXXXXXXXX XÅ XX XXXXXXXX XXX UNDERTECKNATS XX XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (ES) DOCUMENTO XXXXXXXX POR XX XXXXXX DIPLOMÁTICO O XXXXXXXX XX XX XXXXXX XXXXXXX XXX XXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX OFFICIELT XXXÆXXXXXX XX XX XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX REPRÆSENTANT/ (XX) XXX XXXXX DIPLOMATISCHEN XXXX XXXXXXXXXXXXXX VERTRETER XXXXX XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX URKUNDE/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX POOLT XXXXXXXXXXXXXXX XÄXXXXXXX KOOSTATUD XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX DRAWN XX XX X XXXXXXXXXX OR CONSULAR XXXXX XX A XXXXXX XXXXX XX XXX XX XXX XXXXXXXX XXXXXXXX/ (FR) XXXXXXXX XXXXXX EN XX QUALITÉ XXXXXXXXXX XXX XX XXXXX XXXXXXXXXXXX OU XXXXXXXXXX X'XX XXXX MEMBRE/ (XX) DOICIMÉAD XXXX XXXXXXXXXX SUAS AG XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX DE CHUID XXXXXXXXX INA XXXXX XX XXX XXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX X XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX DRŽAVE XXXXXXX/ (XX) DOCUMENTO XXXXXXX XX XXXXXX DIPLOMATICI X XXXXXXXXX XX XXX XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (LV) XXXXXXXXX, XXXX, PILDOT XXXXX XXXXĀXXXXX, SAGATAVOJIS DALĪBVALSTS XXXXXXĀXXXXXXX XXX KONSULĀRAIS XĀXXXĀXXX/ (LT) DOKUMENTAS, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX XX KONSULINIO XXXXXXŪXX, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX XXXXX HIVATALOS XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXXX XXXX XĠXXX XXXXXXXXXXX JEW XXXXXXXXX XX' XXXX XXXXXX FIL-KAPAĊITÀ UFFIĊJALI XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXXXXX OF CONSULAIRE XXXXXXXXX XXX EEN XXXXXXXX XX ZIJN XXXXXXËXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX LUB XXXĘXXXXX KONSULARNEGO PAŃSTWA XXŁXXXXXXXXXXX DZIAŁAJĄCYCH W XXXXXXXXXXX URZĘDOWYM/ (XX) XXXXXXXXX XXXXXXX POR XX XXXXXX XXXXXXXXXXX XX CONSULAR XX XX XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (RO) XXXXXXXX ÎXXXXXXX XX XĂXXX UN AGENT XXXXXXXXXX XXX XXXXXXXX XX XXXX XXXX XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX V XXXXX VÝKONU XXXX XXXXXXX/ (XX) XXXXXXX, XX JO XXX XXXXXX XXXXX IZDA XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX UPPRÄTTAD X XXÄXXXXX XX XX XXXXXXXXXXX ELLER XXXXXXÄX XXÄXXXXXXX X XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) VYDÁNÍ/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) DATE (XX/XX/XXXX) OF ISSUE/ (XX) XXXX (XX/XX/XXXX) XX DÉLIVRANCE/ (XX) XXXX (LL/MM/BBBB) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (IT) XXXX XX RILASCIO (GG/MM/AAAA)/ (XX) IZDOŠANAS XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (MT) DATA (XX/XX/XXXX) TAL-ĦRUĠ/ (NL) XXXXX (DD/MM/JJJJ) VAN XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (PT) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXX/ (FI) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) FÖR XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX DE XXXXXXXXXX XXX DOCUMENTO XXXXXXX/ (XX) XXXXXXXXXX ČÍSLO XXXXXXX XXXXXXX/ (XX) XXX OFFENTLIGE XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX/ (XX) AVALIKU XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) REFERENCE XXXXXX XX THE XXXXXX DOCUMENT/ (XX) XXXXXX XX XXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXX XXXXXXXXX XX XXXXXXXXX PHOIBLÍ/ (XX) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXX XXX XXXXXXXXX PUBBLICO/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX XXXXXX/ (LT) XXXXXXX XXXXXXXXX XXXXXXX/ (XX) X XÖXXXXXXX XXXXXXXXXXX SZÁMA/ (MT) XXXXX TA' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (NL) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX DOCUMENT/ (PL) XXXXX REFERENCYJNY XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXX XX XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (RO) XXXĂXXX XX REFERINȚĂ XX XXXXXXXXXXXX OFICIAL/ (XX) XXXXXXXXXX ČÍSLO XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (XX) XXX OFFICIELLA HANDLINGENS XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (ES) XXXXXXXXXXX XXXXX XX XXXXXXXXXX/ (CZ) XXXXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXXXX XX XXX XÅXÆXXXXXX XXXXXX/ (XX) ANGABEN ZUR XXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXX XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX XXXXXX XXXXXXXXX/ (XX) INFORMATIONS XXX XX PERSONNE XXXXXXXXX/ (XX) FAISNÉIS XXXXXX XXXX XX XXXXX LENA xXXXXXXXX/ (XX) XXXXXXXXXXX O XXXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (LV) XXXXXXĀXXXX XXX XXXXXXĪXX PERSONU/ (XX) INFORMACIJA XXXX XXXXXXXXXĄ ASMENĮ/ (XX) XX XXXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (MT) XXXXXXXXXXXXX DWAR IL-PERSUNA XXXXĊXXXXXX/ (XX) XXXXXXXXXX XXXX DE XXXXXXXXXX/ (XX) DANE OSOBY, XXXXXX XXXXXXX DOKUMENT/ (XX) XXXXXXXÇÕXX XXXXX X XXXXXX XX XXXXX/ (RO) XXXXXXXȚXX XXXXXXX XXXXXXXX XXXXXĂ/ (XX) INFORMÁCIE O XXXXXXXXX XXXXX/ (SL) XXXXXXXXXXX O ZADEVNI XXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXX/ (XX) XXXXXXXXX XX XXX XXXÖXXX XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (ES) XXXXXXXX(X)/ (XX) PŘÍJMENÍ/ (XX) XXXXXXXXX(X)/ (XX) FAMILIENNAME(N)/ (XX) PEREKONNANIMI (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (EN) XXXXXXX(X)/ (XX) XXX(X)/ (XX) XXXXXXX (SLOINNTE)/ (XX) PREZIME(NA)/ (XX) XXXXXXX(X)/ (XX) XXXĀXXX(-X)/ (XX) XXXXXXĖ (-ĖS)/ (XX) XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (XX) XXXXXXXX(X)X(XX)/ (PL) XXXXXXXX(-X)/ (XX) APELIDO(S)/ (XX) XXXX/ (SK) PRIEZVISKO(-Á)/ (XX) PRIIMEK/PRIIMKI/ (XX) XXXXXXXX (-XXXXX)/ (SV) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (CZ) XXXXX (XXXXX)/ (XX) XXXXXXX(X)/ (DE) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) CÉADAINM (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (IT) XXXX(X)/ (LV) XĀXXX(-X)/ (XX) XXXXXX (-AI)/ (XX) XXXXXXX(X)/ (MT) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (XXXXXX)/ (XX) NOME(S) XXXXXXX(X)/ (XX) PRENUME/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (XX) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX NACIMIENTO/ (CZ) XXXXX (DD/MM/RRRR) XXXXXXXX/ (XX) FØDSELSDATO (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) DATE (XX/XX/XXXX) OF XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) BREITHE/ (XX) DATUM (DD/MM/GGGG) XXĐXXXX/ (XX) XXXX XX XXXXXXX (GG/MM/AAAA)/ (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/ (XX) XXXX DE XXXXXXXXXX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) NAȘTERII/ (XX) XXXXX (DD/MM/RRRR) XXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (FI) XXXXXXÄXXXX (XX/XX/XXXX)/ (SV) FÖDELSEDATUM (XX/XX/ÅÅÅÅ)

4.4

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) LUGAR X XXXX XX XXXXXXXXXX/ (XX) XXXXX X XXXX XXXXXXXX/ (XX) XØXXXXXX XX -LAND/ (XX) ORT XXX XXXX DER XXXXXX/ (XX) XÜXXXXXXX XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX XXX XXXXXXX OF BIRTH/ (XX) LIEU ET XXXX DE NAISSANCE/ (XX) ÁIT XXXX XXX XXXXXXXX/ (XX) XXXXXX I XXXXXX XXĐXXXX/ (XX) XXXXX X XXXXX DI XXXXXXX/ (XX) DZIMŠANAS XXXXX XX VALSTS/ (XX) XXXXXX VIETA XX XXXXX/ (HU) XXÜXXXXXX XXXXX ÉS XXXXXXX/ (XX) XXXX X XXXXXŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX XX -XXXX/ (PL) MIEJSCE X XXŃXXXX XXXXXXXXX/ (XX) XXXXX E XXXX XX NASCIMENTO/ (XX) LOCUL ȘX ȚXXX XXȘXXXXX/ (SK) XXXXXX X XXXX XXXXXXXXX/ (SL) XXXX XX XXXXXX XXXXXXX/ (XX) SYNTYMÄPAIKKA JA -XXX/ (XX) FÖDELSEORT XXX -XXXX

4.5

(XX) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (XX) KØN/ (XX) XXXXXXXXXX/ (ET) XXXX/ (EL) ΦΥΛΟ/ (XX) XXX/ (FR) XXXX/ (XX) XXXXXX/ (XX) XXXX/ (IT) XXXXX/ (LV) XXXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (PT) XXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXX/ (XX) XXXXXXXXX/ (XX) XÖX

4.5.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (CZ) XXXX/ (XX) XXXXXX/ (XX) XXXXXXXX/ (ET) NAISSOOST/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (IT) FEMMINILE/ (XX) SIEVIETE/ (LT) XXXXXXX/ (XX) XŐ/ (XX) XXXX/ (XX) XXXXX/ (PL) KOBIETA/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) ŽENSKÉ/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX

4.5.2

(XX) МЪЖКИ/ (ES) VARÓN/ (XX) MUŽ/ (DA) XXXX/ (XX) MÄNNLICH/ (XX) XXXXXXXXX/ (EL) ΑΡΡΕΝ/ (XX) XXXX/ (XX) MASCULIN/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) VYRAS/ (XX) FÉRFI/ (XX) XXĠXX/ (XX) MAN/ (XX) XĘŻXXXXXX/ (PT) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) XXX

4.5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) UBESTEMT/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) UNDETERMINED/ (XX) INDÉTERMINÉ/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) INDETERMINATO/ (LV) XXXXXXXXXX/ (LT) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XŁXĆ XXXXXXXŚXXXX/ (PT) XÃX XXXXXXXX/ (XX) NEDETERMINAT/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (FI) XÄÄXXXXXXXXÄXÖX/ (XX) EJ XXXXXXÄXXX

4.6

(XX) ГРАЖДАНСТВО/ (ES) XXXXXXXXXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (XX) NATIONALITET/ (DE) XXXXXX-XXXXXÖXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) ΙΘΑΓΕΝΕΙΑ/ (XX) XXXXXXXXXXX/ (FR) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) CITTADINANZA/ (XX) VALSTSPIEDERĪBA/ (LT) XXXXXXXXĖ/ (XX) XXXXXXXXXXXXXXX/ (XX) ĊITTADINANZA/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXĂȚXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (SV) XXXXXXXXXXXXX

5.

(XX) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) SEGÚN XX DOCUMENTO PÚBLICO XX QUE SE XXXXXXX ESTE XXXXXXX,/ (XX) NA XXXXXXX XXXXXXX XXXXXXX, X XXX JE PŘILOŽEN XXXXX XXXXXXXX,/ (XX) X XXXXXXX TIL XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX FORMULAR XX XXXXÆXXXX/ (DE) XXXÄXX DER ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX BEIGEFÜGT XXX/ (XX) VASTAVALT XXXXXXXXX XXXXXXXXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΣΥΜΦΩΝΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXX XX XXX XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (FR) X'XXXÈX XX XXXXXXXX XXXXXX XXXXXX LE PRÉSENT XXXXXXXXXX EST JOINT/ (XX) DE XXXX XX XXXXXXXXX XXXXXXX XXXX XXXXXX AN XXXXXX XXX XXXXXXXXXX/ (XX) XXXXX JAVNOJ XXXXXXX KOJOJ JE XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXXX XXXXXXXX CUI XX XXXXXXXX XXXXXX È ALLEGATO/ (XX) XXXXXŅĀ XX XXXXXXXX XXXXXXXXX, XXXXX ŠĪ XXXXXXXX XX XXXXXXXXXX/ (XX) PAGAL VIEŠĄJĮ XXXXXXXXĄ, PRIE KURIO XXXXXXXXX ŠI XXXXX/ (XX) A FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXX XXXXXXX/ (XX) XXXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXX XXX OPENBAAR DOCUMENT XXXXXXX XXX FORMULIER XX XXXXXXX/ (XX) X XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX ZAŁĄCZONY XXXX NINIEJSZY FORMULARZ, XXXXXX, ŻX/ (XX) XXXXXXX O XXXXXXXXX XXXXXXX X QUE X PRESENTE FORMULÁRIO XXXX APENSO/ (RO) ÎX XXXXXXXXXXXX XX XXXXXXXXXX OFICIAL XX XXXX ESTE XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXĽX XXXXXXXX XXXXXXX, XX KTOREJ XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) X XXXXXX X XXXXX XXXXXXX, XX XX XX XXXXXXXX XX OBRAZEC/ (XX) XXX XXXXXXX XXXXXXXXXX XXXXXX, XXXXX XÄXÄ LOMAKE XXXXXXÄÄX/ (XX) XXXXXX XXX XXXXXXXXXX XXXXXXXX TILL XXXXXX XXXXX XXXXXXÄX 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 XXXXX CAPACIDAD XXXX XXXXXXXX XXXXXXXXXX XXX XXXXXXX XX XXXXXXX XXXXXXXX XXX XXXXXX XXXXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (CZ) JE XXXXXXX OSOBA XXXXXXXXX XXXXXXX XXXXXXXXXX XXXXX XXXXXXXXXXXXXX XXXXX ČLENSKÉHO XXXXX, V NĚMŽ XX XXXXXXX XXXXXXX XXXXXX/ (XX) DEN XÅXÆXXXXXX PERSON XXX XXXXXX XXX XX XXXXX INDGÅ ÆGTESKAB X HENHOLD TIL XXXXXXXX XXX I XXX XXXXXXXXXXX, XXXX XXX XXXXXXXXXX DOKUMENT XX XXXXXXX/ (DE) XXX XXX XXXXXXXXXXX XXXXXX XXXX XXX XXXXXXXXXX RECHT XXX XXXXXXXXXXXXXX, XX DEM XXX ÖXXXXXXXXXX URKUNDE XXXXXXXXXXX XXXXX, XXXXÄXXX/ (XX) XX XXXXXXXXX XXXX XXXXXXX XXXXXXXXX XÄXXX ANDNUD LIIKMESRIIGI ÕXXXXX XXXXXXXX ABIELUVÕIMELINE/ (XX) ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΕΧΕΙ ΤΗΝ ΙΚΑΝΟΤΗΤΑ ΣΥΝΑΨΗΣ ΓΑΜΟΥ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ/ (XX) XXX XXXXXX XXXXXXXXX XXX XXX CAPACITY XX XXXXX XXXXX XXX XXXXXXXX LAW XX XXX XXXXXX XXXXX XXXXX XXX XXXXXX XXXXXXXX XX XXXXXX/ (XX) XX PERSONNE XXXXXXXXX XXXX XX XXXXXX XX XXXXX XX XXXXX NATIONAL XX X'XXXX MEMBRE XÙ XX XXXXXXXX XXXXXX EST XXXXXXX/ (XX) XX XX XXXXX XXXX mBAINEANN XXX XXXXXX XXXX XXXXXX XXXX DHLÍ XXXXXXXXX AN XXXXXXXXXX XXX nDÉANTAR XX XXXXXXXXX POIBLÍ X XXXXXXXX/ (XX) XXXXXXX XXXXX IMA XXXXXXXXXX XX XXXXXXXXX XXXXX XXXXX NACIONALNOM XXXXX XXXXXX XXXXXXX X XXXXX XX XXXXX XXXXXXX XXXXXX/ (XX) XX XXXXXXX XXXXXXXXXXX XXXXXXXX XX CAPACITÀ XX XXXXXXXXX XXXXXXXXXX X XXXXX XXX XXXXXXX XXXXXXXXX XXXXX XXXXX XXXXXX CHE XXXXXXXX IL XXXXXXXXX XXXXXXXX/ (XX) XXXXXXĪXĀ XXXXXXX XXĒX XXXXXX XXXXĪXĀ XXXXXŅĀ XX XĀX XXXĪXXXXXXX XXXXĪXX XXXXXX, XXXĀ PUBLISKAIS XXXXXXXXX XX IZDOTS/ (XX) XXXXXXXXXXX XXXXX XXX VEIKSNUS XXXXXXXX XXXXXXXĄ PAGAL VALSTYBĖS XXXĖX, XXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXXXXX, NACIONALINĘ XXXXĘ/ (XX) XX XXXXXXXX SZEMÉLY X XÖXXXXXXX

XXXXXXXXXXXXX XXXXX XXXXXXXX XXXXXXXX XXXXXXX JOGA XXXXXXX HÁZASSÁGOT KÖTHET/ (XX) IL-PERSUNA XXXXĊXXXXXX XĦXXXXX X-XXXXĊXXÀ XX XXŻŻXXXXĠ XXĦX XX-XXĠX XXXXXXXXXX XXX-XXXXX MEMBRU XXXX INĦAREĠ ID-DOKUMENT XXXXXXXX/ (NL) HEEFT XX XXXXXXXXXX DE XXXXXXXXXXX OM XX XXXXX OP XXXXX XXX HET XXXXXXXXX XXXXX XXX XX XXXXXXXX XXXX XXX XXXXXXXX XXXXXXXX XXXXX XXXXXXXXX/ (XX) OSOBA, XXXXXX XXXXXXX DOKUMENT, XXXXXXX ZDOLNOŚĆ DO XXXXXXXX XXŁŻXŃXXXX XX XXXX PRAWA XXXXXXXXX XXŃXXXX CZŁONKOWSKIEGO, X XXXXXX XXX DOKUMENT XXXĘXXXX XXXXXŁ XXXXXX/ (XX) X XXXXXX XX CAUSA POSSUI XXXXXXXXXX XXXXXXXXXXX XXX XXXXXX DO DIREITO XXXXXXXX XX ESTADO-MEMBRO XX XXX X XXXXXXXXX XXXXXXX FOI XXXXXXX/ (XX) PERSOANA XXXXXĂ XXX XXXXXXXXXXX XX A XX XĂXĂXXXX ÎX CONFORMITATE XX XXXXXXX XXXXXX XX XXXXXXXX MEMBRU ÎX XXXX XXXX XXXX XXXXXXXXXX OFICIAL/ (XX) XXXXXXXX OSOBA XX XXÔXXXXXX XXXXXXXX XXXXXXXXXX XXXĽX VNÚTROŠTÁTNEHO XXXXX XXXXXXXXX XXXXX, X KTOROM XX XXXXXXX XXXXXXX VYDANÁ/ (XX) JE XXXXXXX XXXXX SPOSOBNA XX XXXXXXXXX XXXXXXXX XXXXX X XXXXXX X XXXXXXXXXXX PRAVOM XXXXXX XXXXXXX, X XXXXXX XX XXXXXX JAVNA XXXXXXX/ (FI) ASIANOMAISELLA XXXXXXÖXXÄ XX KELPOISUUS XXXXXX AVIOLIITTO XXX XÄXXXXXXXXXX XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, XXXXX YLEINEN XXXXXXXXX XX XXXXXXX/ (XX) XXX DEN XXXÖXXX PERSONEN XXXÖXXXXXX XXX XXXÅ ÄXXXXXXXX XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX X XXX XXXXXXXXXXX XÄX DEN XXXXXXXXXX HANDLINGEN XXXÄXXXXXX

5.2

(XX) НЯМА ДАННИ СЪОТВЕТНОТО ЛИЦЕ ДА Е ВСТЪПИЛО В БРАК СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) NO CONSTA XXXXXX XXXXXXXXXX X XXXXXX XXX INTERESADO XXX ARREGLO XX XXXXXXX XXXXXXXX XXX XXXXXX XXXXXXX XX XXXXXXXXXX DEL DOCUMENTO XXXXXXX/ (XX) DOTYČNÁ XXXXX XXXXXX XXXXXXXXXX XXXXXXXXXX XXX XXXX XXXXXX XXXXX XXXXXXXXXXXXXX XXXXX XXXXXXXXX STÁTU, X NĚMŽ XX XXXXXXX XXXXXXX VYDÁNA/ (XX) DEN XÅXÆXXXXXX XXXXXX XXX IKKE XX XXXX NOGET ÆXXXXXXX XXXØXX XXXXX XXX NAVN I XXXXXXX XXX XXXXXXXX XXX X XXX XXXXXXXXXXX, XXXX DET XXXXXXXXXX XXXXXXXX XX XXXXXXX/ (DE) XXX XXX XXXXXXXXXXX XXXXXX XXXXX XXXXX XXXXX XXXXXXXX XXXXX EHE XXXX XXX XXXXXXXXXX XXXXX XXX MITGLIEDSTAATS, XX XXX XXX ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, XXXXXXXXXXX/ (ET) XX XXX XXXXXXXXX XXXXX XXXXX ÜXXXXX XXXXXXX XXXXXXXXX XÄXXX XXXXXX XXXXXXXXXXXX ÕIGUSE XXXXXX XXXXXXXXXXXX/ (XX) ΔΕΝ ΦΑΙΝΕΤΑΙ ΝΑ ΥΠΑΡΧΕΙ ΓΑΜΟΣ ΣΤΟ ΟΝΟΜΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ/ (EN) XXX XXXXXX XXXXXXXXX XXXXXXX XX XXXX XX MARRIAGE XX XXX XX XXX XXXX XXXXX XXX XXXXXXXX XXX OF XXX XXXXXX XXXXX XXXXX XXX XXXXXX XXXXXXXX XX XXXXXX/ (XX) XX XXXXXXXX XXXXXXXXX XX XXXXXX XXX XXXXX CONTRACTÉ XX XXXXXXX EN XXX XXX EN XXXXX XX XXXXX XXXXXXXX XX L'ÉTAT XXXXXX XÙ XX XXXXXXXX PUBLIC XXX XXXXXXX/ (GA) XXX XXX FHIANAISE ANN XX XXXXXX XX XXXXX XXXX mBAINEANN XXXXX XXXXXX XXXX XX XXXXXX xXXXX XXXXX XXX NÁISIÚNTA XX XXXXXXXXX INA xXXXXXXX XX XXXXXXXXX XXXXXX X XXXXXXXX/ (XX) XXXX XXXXXXX XX XX DOTIČNA XXXXX POD XXXXXX XXXXXX SKLOPILA XXXX XXXXX NACIONALNOM PRAVU XXXXXX ČLANICE X XXXXX XX XXXXX XXXXXXX XXXXXX/ (XX) X NOME XXXXX XXXXXXX XXXXXXXXXXX XXX XXXXXXX REGISTRATO XXXXX XXXX DI XXXXXXXXXX X XXXXX DEL XXXXXXX XXXXXXXXX DELLO XXXXX MEMBRO CHE XXXXXXXX XX XXXXXXXXX XXXXXXXX/ (XX) UZ XXXXXXĪXĀX XXXXXXXX XĀXXX XXX NOSLĒGTA XXXXXXX XXXXĪXX XXXXXŅĀ XX XĀX XXXĪXXXXXXX TIESĪBU XXXXXX, XXXĀ PUBLISKAIS XXXXXXXXX IR IZDOTS/ (XX) XXXXXXXXXXX XXXXX XXXX VARDU XĖXX XXXXXĘX SANTUOKOS XXXXX XXXXXXXĖX XXXĖX, KURIOJE XXXXXXXX XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (XX) XX XXXXXXXX SZEMÉLYNEK X XÖXXXXXXX XXXXXXXXXXXXX XXXXX SZERINTI XXXXXXXX XXXXXXX XXXX XXXXXXX XXXXXXXXX XXXXXXXXXXXXXXXX XXXXX/ (XX) XX-XXXXXXX KKONĊERNATA XXXXXX XX XX XĦXXXXX L-EBDA ŻXXXĠ XXXXĠXXXXXX X'XXXXXX TAĦT XX-XXĠX XXXXXXXXXX TAL-ISTAT XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX PUBBLIKU/ (XX) XXXXX XX BETROKKENE XXXX XXXXXXXX XX XXXX XX XXXX XXXX OP XXXXX XXX HET XXXXXXXXX XXXXX XXX XX XXXXXXXX XXXX XXX XXXXXXXX DOCUMENT XXXXX XXXXXXXXX/ (XX) XXXXX, XXXXXX DOTYCZY XXXXXXXX, XXX XXXXXXXXX X XXXĄXXX XXŁŻXŃXXXX NA XXXX PRAWA XXXXXXXXX XXŃXXXX, X XXXXXX XXX XXXXXXXX URZĘDOWY XXXXXŁ XXXXXX/ (XX) XÃX SE XXXXXXX XXXXXXX XXXXXXXXX XX XXXX XX XXXXXX XX XXXXX XXX XXXXXX XX XXXXXXX XXXXXXXX XX XXXXXX-XXXXXX XX XXX O XXXXXXXXX XXXXXXX XXX XXXXXXX/ (XX) NU XX XXXXXȘXX NICIO XĂXĂXXXXX ÎXXXXXXXĂ XX XXXXXX XXXXXXXXX VIZATE ÎX XXXXXXXXXXXX XX XXXXXXX XXXXXX XX XXXXXXXX MEMBRU ÎN XXXX ESTE XXXX XXXXXXXXXX OFICIAL/ (XX) XXXXXXXX XXXXX XXXXXX XXXXXXXXXX MANŽELSTVO VO XXXXXX XXXX XXXĽX XXXXXXXXXXXXXX PRÁVA XXXXXXXXX XXXXX, X XXXXXX XX XXXXXXX LISTINA XXXXXX/ (XX) XX XXXXXXXXXXXXXX XXXXXXXX ZADEVNA XXXXX XX V XXXXXXXX XXXXX, XX XX JO SKLENILA X XXXXXX XXXXX XX X XXXXXX X XXXXXXXXXXX XXXXXX XXXXXX XXXXXXX, X XXXXXX JE XXXXXX XXXXX LISTINA/ (XX) XXXXXXXXXXXX HENKILÖN XXXXXXX XX XXX XXXXXXXX XXXXXXXXXXX XXX XÄXXXXXXXXXX XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, XXXXX YLEINEN XXXXXXXXX XX XXXXXXX/ (SV) XÖXXXXXXXX XXX XXXÖXXX XXXXXXXX XXXX XX XXXÅXX ÄXXXXXXXX XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX X DEN XXXXXXXXXXX XÄX XXX OFFICIELLA XXXXXXXXXX UTFÄRDADES

5.3

(BG) НЕ СА ИЗВЕСТНИ ПРЕЧКИ СЪОТВЕТНОТО ЛИЦЕ ДА ВСТЪПИ В БРАК СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) XX XXX XXXXXXXXXX XX XXXXXX XXXXXXXXXXX PARA XXX XX INTERESADO CONTRAIGA XXXXXXXXXX XXX ARREGLO XX XXXXXXX XXXXXXXX XXX XXXXXX MIEMBRO XX XXXXXXXXXX DEL XXXXXXXXX PÚBLICO/ (XX) XXXXXXXXXX ŽÁDNÁ XXXXX XXXXXXXX, XXX DOTYČNÁ XXXXX XXXXXXXX XXXXXXXXXX XXXXX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXX XX XXXXXXX XXXXXXX XXXXXX/ (DA) XXX XXXXXXXXXX XXXXX XXXXXX HINDRINGER XXX XXX XÅXÆXXXXXX XXXXXXX XXXXÅXXXX XX ÆXXXXXXX X XXXXXXX XXX XXXXXXXX XXX X XXX XXXXXXXXXXX, HVOR XXX XXXXXXXXXX XXXXXXXX XX UDSTEDT/ (XX) XXX XXXX XXXXXXXXX XXXXXXX, XXX DER XXXXXXXXXXXXXX XXX XXXXXXXXXXXX XXXXXX NACH XXX XXXXXXXXXX XXXXX XXX XXXXXXXXXXXXXX, XX XXX XXX ÖFFENTLICHE

URKUNDE XXXXXXXXXXX XXXXX, XXXXXXXXXXXXX/ (XX) XX XXX XXXXX XXXXXXXXX VÄLJA XXXXXX XXXXXXXXXXXX ÕIGUSE KOHASEID XXXXXXXXXX, XXX TAKISTAKSID XXXXXXXXXX XXXXXX XXXXXX XÕXXXXX/ (XX) ΔΕΝ ΕΙΝΑΙ ΓΝΩΣΤΟ ΚΑΝΕΝΑ ΚΩΛΥΜΑ ΓΙΑ ΤΗ ΣΥΝΑΨΗ ΓΑΜΟΥ ΑΠΟ ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ/ (XX) XXXXX XX XX XXXXX XXXXXXXXXX XXX THE XXXXXX XXXXXXXXX TO XXXXX UNDER XXX XXXXXXXX XXX XX XXX XXXXXX XXXXX XXXXX XXX XXXXXX XXXXXXXX XX ISSUED/ (XX) XX X'XXXXXX XXX X'XXXÊXXXXXXX XXXXX XX XXXXXXX XX XX PERSONNE XXXXXXXXX XX XXXXX XX XXXXX XXXXXXXX XX X'XXXX XXXXXX XÙ XX XXXXXXXX PUBLIC XXX XXXXXXX/ (GA) XXX XXX XXXX XXXXXXXXX XXX XX XX XXXXX LENA xXXXXXXXX XXXX PÓSADH XXXXX DLÍ XXXXXXXXX XX XXXXXXXXX INA xXXXXXXX AN XXXXXXXXX XXXXXX X EISIÚINT/ (XX) XXXX POZNATE XXXXXXX XXXX XXXX XXXXXXX XXXXX XX XX MOGLA SKLOPITI XXXX XXXXX XXXXXXXXXXX XXXXX XXXXXX XXXXXXX X XXXXX XX XXXXX ISPRAVA XXXXXX/ (XX) XXX XXXX XXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX A XXXXX XXX XXXXXXX XXXXXXXXX XXXXX STATO XXXXXX XXX XXXXXXXX XX XXXXXXXXX PUBBLICO/ (XX) XXX XXXĀXX XXXĀXX XĶĒXXĻX XXXXXXĪXXXXX PERSONAI XXĀXXXX XXXXĪXĀ XXXXXŅĀ XX TĀS DALĪBVALSTS XXXXĪXX XXXXXX, XXXĀ XXXXXXXXXX XXXXXXXXX XX XXXXXX/ (XX) XĖXX XXXXXŲ XXXŪXXŲ XXXXXXXXXXX XXXXXXXX SUDARYTI XXXXXXXĄ XXXXX VALSTYBĖS XXXĖX, XXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXXXXX, NACIONALINĘ XXXXĘ/ (XX) NINCS X XÖXXXXXXX KIÁLLÍTÁSÁNAK XXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXX XXXXXXXX XXXXXX XXXXXXXX XXXXX, HOGY XX XXXXXXXX XXXXXXX XXXXXXXXXX KÖSSÖN/ (MT) XX XXXX X-XXXX XXXXXXXXXX XXXĦXXX GĦALL-PERSUNA XXXXĊXXXXXX BIEX XXŻŻXXXXĠ XXĦX XX-XXĠX XXXXXXXXXX XXX-XXXXX XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (XX) XX ER XXXX XXXXXXXXXXX XXXX XX BETROKKENE XX XX HUWEN OP XXXXX VAN HET XXXXXXXXX XXXXX XXX XX XXXXXXXX XXXX XXX OPENBAAR DOCUMENT XXXXX AFGEGEVEN/ (XX) XXX ISTNIEJĄ XXXXX XXXXXXXXXX XXX ZAWARCIA XXXXX XXXXĘ, KTÓREJ XXXXXXX XXXXXXXX, MAŁŻEŃSTWA XX MOCY PRAWA XXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX, X XXXXXX XXX XXXXXXXX XXXĘXXXX ZOSTAŁ XXXXXX/ (XX) NÃO XXXXXX XXXXXXXXXXX CONHECIDO X QUE X XXXXXX XX XXXXX XXXXXXXX XXXXXXXXXX XXX XXXXXX DO XXXXXXX XXXXXXXX DO ESTADO-MEMBRO XX-XXX O DOCUMENTO XXXXXXX XXX XXXXXXX/ (XX) NU XX XXXXXX XXXXXXXXXXX XX XĂXĂXXXXX PERSOANEI VIZATE ÎX XXXXXXXXXXXX XX XXXXXXX XXXXXX XX XXXXXXXX XXXXXX ÎX XXXX ESTE XXXX XXXXXXXXXX OFICIAL/ (XX) XXX XX ZNÁMA XXXXXXXX XXX XXXXXXXX XXXXX XXXXXXXX XXXXXXXXXX XXXĽX VNÚTROŠTÁTNEHO XXXXX XXXXXXXXX XXXXX, X XXXXXX JE VEREJNÁ XXXXXXX XXXXXX/ (SL) XX XXXXXXXXXXXX XXXXXXXX, XX XXXXXXX OSEBA XX BI XXXXX XXXXXXXX XXXXXXXX ZVEZE X XXXXXX X XXXXXXXXXXX PRAVOM DRŽAVE XXXXXXX, X XXXXXX XX XXXXXX XXXXX XXXXXXX/ (XX) ASIANOMAISEN XXXXXXÖX XXXXXXXXXXXX XX XXXXXXÄ OLEVAN ESTEITÄ XXX XÄXXXXXXXXXX KANSALLISEN XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX XXXXXXXXX ON XXXXXXX/ (XX) XXXXX XXX XXXX KÄNDA XXXXXX XÖX XXX XXXÖXXX XXXXXXXX ATT XXXÅ ÄXXXXXXXX XXXXXX XXX NATIONELLA XXXXXXXXXXXXXX X XXX XXXXXXXXXXX XÄX XXX XXXXXXXXXX XXXXXXXXXX XXXÄXXXXXX

5.4

(XX) НЕ СА ИЗВЕСТНИ ПРЕЧКИ ЗА СКЛЮЧВАНЕТО НА БРАК МЕЖДУ СЪОТВЕТНОТО ЛИЦЕ И НЕЙНИЯ(НЕГОВАТА) БЪДЕЩ(А) СЪПРУГ(А) СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) XX XXX XXXXXXXXXX XX XXXXXX XXXXXXXXXXX XXXX XXX XX XXXXXXXXXX XXXXXXXXX MATRIMONIO XXX XX FUTURO XXXXXXX XXX XXXXXXX XX XXXXXXX XXXXXXXX XXX XXXXXX XXXXXXX XX XXXXXXXXXX XXX XXXXXXXXX PÚBLICO/ (XX) XXXXXXXXXX ŽÁDNÁ ZNÁMÁ XXXXXXXX XXXXXXXXXX MEZI XXXXXXXX XXXXXX X XXXXX XXXXXXXXXX / XXXX SNOUBENKOU PODLE XXXXXXXXXXXXXX PRÁVA ČLENSKÉHO XXXXX, V XXXX XX XXXXXXX XXXXXXX XXXXXX/ (XX) XXX XXXXXXXXXX XXXXX KENDTE XXXXXXXXXX XXX INDGÅELSE XX ÆGTESKAB MELLEM XXX XÅXÆXXXXXX XXXXXX XX DENNES KOMMENDE ÆXXXXÆXXX X XXXXXXX XXX XXXXXXXX XXX X DEN XXXXXXXXXXX, XXXX DET XXXXXXXXXX XXXXXXXX ER XXXXXXX/ (XX) XXX XXXX XXXXXXXXX XXXXXXX, XXX XXXXX XXXXXXXXXXXXXX DER XXXXXXXXXXXX PERSON XXX XXXXX KÜNFTIGEN EHEGATTEN XXXX XXX XXXXXXXXXX XXXXX XXX MITGLIEDSTAATS, XX DEM DIE ÖXXXXXXXXXX URKUNDE XXXXXXXXXXX XXXXX, XXXXXXXXXXXXX/ (XX) XX XXX TEADA XXXXXXX DOKUMENDI XÄXXX XXXXXX XXXXXXXXXXXX ÕIGUSE XXXXXXXX ASJAOLUSID, MIS XXXXXXXXXXX ABIELU SÕLMIMIST XXXXXXXXX XXXXX JA XXXX XXXXXXXX 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 IS XX XXXXXXXXXX XXXXX XX X MARRIAGE XXXXXXX THE XXXXXX XXXXXXXXX XXX HIS XX XXX INTENDED XXXXXX XXXXX XXX XXXXXXXX LAW OF XXX MEMBER XXXXX XXXXX XXX XXXXXX XXXXXXXX IS XXXXXX/ (XX) IL X'XXXXXX XXX X'XXXÊXXXXXXX XXXXX XX XXXXXXX XX XX XXXXXXXX XXXXXXXXX XXXX XXX FUTUR XXXXXXXX EN VERTU XX XXXXX NATIONAL XX X'XXXX XXXXXX XÙ XX DOCUMENT XXXXXX XXX XXXXXXX/ (XX) XXX XXX XXXX XXXXXXXXX XXX XX PHÓSADH IDIR XX XXXXX XXXX xXXXXXXXX AGUS X X(X)XXXX XXXXXXXXXX XXXX XXXX XXXXXXXXX XX XXXXXXXXXX XXX nDÉANTAR XX XXXXXXXXX XXXXXX X EISIÚINT/ (XX) XXXX XXXXXXX ZAPREKE XXXX KOJE DOTIČNA XXXXX X XXXXXX XXXXĆX XXXXXX DRUG XX XX MOGLI XXXXXXXX BRAK XXXXX XXXXXXXXXXX XXXXX DRŽAVE XXXXXXX U XXXXX XX XXXXX XXXXXXX XXXXXX/ (XX) XXX XXXX XXXX IMPEDIMENTI XX MATRIMONIO XXX XX PERSONA XXXXXXXXXXX X IL FUTURO XXXXXXX X XXXXX XXX XXXXXXX XXXXXXXXX XXXXX XXXXX XXXXXX XXX XXXXXXXX XX XXXXXXXXX PUBBLICO/ (LV) XXX XXXĀXX NEKĀDI XĶĒXXĻX LAULĪBAS NOSLĒGŠANAI XXXXX ATTIECĪGO XXXXXXX XX TĀS XXXXXX XXXXĀXX SASKAŅĀ XX XĀX XXXĪXXXXXXX XXXXĪXX XXXXXX, XXXĀ PUBLISKAIS XXXXXXXXX XX XXXXXX/ (XX) XĖXX XXXXXŲ XXXŪXXŲ ATITINKAMO XXXXXX XX JO BŪSIMO (-XX) XXXXXXXXXXX (-ĖX) XXXXXXXXX PAGAL XXXXXXXĖX XXXĖX, XXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (XX) XXXXX X XÖXXXXXXX KIÁLLÍTÁSÁNAK XXXXX XXXXXXXX TAGÁLLAM XXXXXXX JOGA XXXXXXXX, XXXXXX AKADÁLYA ANNAK, XXXX XX XXXXXXXX XXXXXXX XX XXXXXŐ XXXXXXXXXX XXXXXXXXX

XXXXXXXXXX XÖXXÖX/ (XX) MA XXXX X-XXXX XXXXXXXXXX XXXĦXXX XĦXŻ-ŻXXXĠ XXXX IL-PERSUNA XXXXĊXXXXXX X X-XXXXXĠX XXXXX XXXĦXX XXĦX XX-XXĠX XXXXXXXXXX XXX-XXXXX XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (XX) XX ER XXXX XXXXXXXXXXX VOOR EEN XXXXXXXX XXXXXX XX XXXXXXXXXX XX XXXX XX HAAR BEOOGDE XXXXXXXX(X)X(X) XX GROND XXX XXX XXXXXXXXX XXXXX VAN XX XXXXXXXX XXXX HET XXXXXXXX XXXXXXXX XXXXX XXXXXXXXX/ (XX) NIE XXXXXXXĄ XXXXX PRZESZKODY XXX ZAWARCIA XXŁŻXŃXXXX XXXXX OSOBĘ, XXXXXX XXXXXXX XXXXXXXX, X XXXXĄ, X KTÓRĄ XXXXXXXX ONA XXXXXXĆ XXŁŻXŃXXXX, XX MOCY XXXXX XXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX, W XXXXXX XXX XXXXXXXX URZĘDOWY XXXXXŁ XXXXXX/ (PT) XÃX EXISTE IMPEDIMENTO XXXXXXXXX X XXX XX XXXXXXXX CONTRAIAM XXXXXXXXXX XXX XXXXXX XX XXXXXXX XXXXXXXX XX ESTADO-MEMBRO EM XXX X XXXXXXXXX XXX XXXXXXX/ (RO) XX XX XXXXXX XXXXXXXXXXX LA XĂXĂXXXXX XXXXXX XXXXXXXX VIZATĂ ȘX VIITORUL XXȚ (XXXXXXXXX XXȚXX) ÎX XXXXXXXXXXXX CU XXXXXXX XXXXXX XX STATULUI XXXXXX ÎN CARE XXXX XXXX XXXXXXXXXX XXXXXXX/ (SK) NIE XX ZNÁMA PREKÁŽKA XXXXXXXX MANŽELSTVO XXXXX XXXXXXXXX XXXXXX A XXX XXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXX XXXXXXXX XXXĽX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXXXX XX XXXXXXX XXXXXXX XXXXXX/ (SL) XX XXXXXXXXXXXX ZADRŽKOV, XX XXXXXXX XXXXX XX XXXX XXXXXXXXXX XXXXXXX NE XX XXXXX SKLENITI XXXXXXXX XXXXX X XXXXXX X XXXXXXXXXXX PRAVOM XXXXXX XXXXXXX, V XXXXXX XX IZDANA XXXXX XXXXXXX/ (FI) XXXXXXXXXXXX XXXXXXÖX XX XÄXXX XXXXXXX XXXXXXXXXX XÄXXXXXXX XXXXXXXXXXXX EI XXXXXXÄ OLEVAN XXXXXXÄ XXX XÄXXXXXXXXXX XXXXXXXXXXX XXXXXÄÄXÄXXÖX MUKAAN, JOSSA XXXXXXX XXXXXXXXX XX XXXXXXX/ (SV) XXXXX XXX INGA KÄNDA XXXXXX XÖX XXXÅXXXX XX ÄXXXXXXXX XXXXXX XXX XXXÖXXX XXXXXXXX XXX XXXX ELLER XXXXXX BLIVANDE MAKE XXXXX MAKA ENLIGT XXX NATIONELLA XXXXXXXXXXXXXX X XXX MEDLEMSSTAT XÄX XXX XXXXXXXXXX XXXXXXXXXX XXXÄXXXXXX

5.5

(XX) НЕ СА ИЗВЕСТНИ ВЪЗРАЖЕНИЯ СРЕЩУ СКЛЮЧВАНЕТО НА БРАК МЕЖДУ СЪОТВЕТНОТО ЛИЦЕ И НЕЙНИЯ(НЕГОВАТА) БЪДЕЩ(А) СЪПРУГ(А) СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) XX XXX XXXXXXXXX XXXXXXXX XX XXXXXXXXXX XXXXX XX XXXXXXXXXX X XX XXXXXX XXXXXXX XXX ARREGLO XX DERECHO XXXXXXXX XXX ESTADO MIEMBRO XX EXPEDICIÓN XXX XXXXXXXXX XXXXXXX/ (CZ) XXXXXXXXXX XXXXX XXXXX XXXXXXX XXXXX XXXXXXXX XXXXXXXXXX XXXX XXXXXXXX XXXXXX X XXXXX XXXXXXXXXX / XXXX XXXXXXXXXX XXXXX XXXXXXXXXXXXXX XXXXX ČLENSKÉHO XXXXX, X XXXX JE XXXXXXX LISTINA XXXXXX/ (XX) XXX FORELIGGER XXXXX XXXXXX XXXXXXXXXXX XXX XXXXÅXXXX XX XX ÆGTESKAB XXXXXX XXX PÅGÆLDENDE XXXXXX XX XXXXXX XXXXXXXX ÆXXXXÆXXX X XXXXXXX XXX NATIONAL RET X XXX MEDLEMSSTAT, XXXX DET XXXXXXXXXX XXXXXXXX ER XXXXXXX/ (XX) IST XXXX XXXXXXX BEKANNT, DER XXXXX XXXXXXXXXXXXXX DER XXXXXXXXXXXX XXXXXX MIT XXX KÜNFTIGEN EHEGATTEN XXXX XXX XXXXXXXXXX XXXXX DES XXXXXXXXXXXXXX, XX XXX DIE ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, XXXXXXXXXXXXX/ (XX) XX OLE XXXXX XXXXXXX XXXXXXXXX XÄXXX XXXXXX XXXXXXXXXXXX ÕXXXXX XXXXXX XXXXXXXXXX, MIS XXXXXXXXX XXXXXX XÕXXXXXXX XXXXXXXXX XXXXX XX XXXX XXXXXXXX XXXXXXXX XXXXX/ (EL) ΔΕΝ ΕΙΝΑΙ ΓΝΩΣΤΗ ΚΑΜΙΑ ΑΝΤΙΡΡΗΣΗ ΓΙΑ ΤΗ ΣΥΝΑΨΗ ΓΑΜΟΥ ΜΕΤΑΞΥ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΚΑΙ ΤΟΥ ΜΕΛΛΟΝΤΟΣ Ή ΤΗΣ ΜΕΛΛΟΥΣΑΣ ΣΥΖΥΓΟΥ ΤΟΥ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΌΣΙΟ ΕΓΓΡΑΦΟ/ (XX) XXXXX XX XX XXXXXXXXXX XXXXX XX X MARRIAGE XXXXXXX XXX PERSON XXXXXXXXX AND XXX XX XXX XXXXXXXX XXXXXX XXXXX THE XXXXXXXX XXX XX XXX XXXXXX STATE XXXXX XXX PUBLIC XXXXXXXX XX XXXXXX/ (XX) XX X'XXXXXX XXX X'XXXXXXXXXX XXXXXX XX MARIAGE DE XX PERSONNE CONCERNÉE XXXX XXX XXXXX XXXXXXXX XX VERTU XX DROIT XXXXXXXX XX X'XXXX XXXXXX XÙ XX DOCUMENT XXXXXX XXX DÉLIVRÉ/ (XX) XXX AON XXXX XX XXXXXXX XXXXXXXXX ANN XX XXXXXXX IDIR XX XXXXX XXXX xXXXXXXXX XXXX A X(X)XXXX XXXXXXXXXX XXXX XXXX XXXXXXXXX AN XXXXXXXXXX XXX xXXXXXXX AN XXXXXXXXX XXXXXX X XXXXXXXX/ (XX) NEMA XXXXXXXX XXXXXXXXX XXXX XXXXX XXXXXXX XXXXX X XXXXXX BUDUĆI XXXXXX DRUG XX XX XXXXX XXXXXXXX XXXX PREMA XXXXXXXXXXX XXXXX XXXXXX XXXXXXX X XXXXX XX XXXXX XXXXXXX IZDANA/ (XX) XXX XXXX XXXX OPPOSIZIONI XX XXXXXXXXXX XXX LA XXXXXXX XXXXXXXXXXX X XX XXXXXX XXXXXXX X NORMA DEL XXXXXXX XXXXXXXXX DELLO XXXXX MEMBRO XXX XXXXXXXX IL DOCUMENTO XXXXXXXX/ (XX) XXX XXXĀXX NEKĀDI XXXXXXXXX XXXXĪXXX XXXXĒXXXXXX STARP XXXXXXĪXX PERSONU XX XĀX XXXXXX XXXXĀXX XXXXXŅĀ XX XĀX XXXĪXXXXXXX TIESĪBU XXXXXX, XXXĀ XXXXXXXXXX DOKUMENTS XX XXXXXX/ (XX) XĖXX XXXXXŲ XXXXXXXXXXXXŲ XXXXXXXXXX ASMENS IR XX XŪXXXX (-XX) XXXXXXXXXXX (-ĖS) SANTUOKAI XXXXX VALSTYBĖS NARĖS, XXXXXXX VIEŠASIS DOKUMENTAS XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (XX) NEM ISMERT XXXXX, X XÖXXXXXXX XXXXXXXXXXXXX HELYE SZERINTI XXXXXXXX XXXXXXX XXXX XXXXXXXX XXXXXXXXXX, AMELYET XX ÉRINTETT XXXXXXX XX LEENDŐ HÁZASTÁRSA XXXXX KÖTENDŐ XXXXXXXXXXX XXXXXXX NYÚJTOTTAK XX/ (XX) XX XXXX X-XXXX XXXXŻXXXXXXX XXXĦXXXX XĦXŻ-ŻXXXĠ XXXX XX-XXXXXXX XXXXĊXXXXXX U X-XXXXXĠX XXXXX TAGĦHA TAĦT XX-XXĠX NAZZJONALI TAL-ISTAT XXXXXX FEJN INĦAREĠ XX-XXXXXXXX XXXXXXXX/ (XX) XX XX XXXX XXXXXX XXXXX XXX XXXXXXXX TUSSEN XX XXXXXXXXXX EN ZIJN XX XXXX BEOOGDE XXXXXXXX(X)X(X) OP XXXXX XXX XXX XXXXXXXXX XXXXX XXX XX XXXXXXXX XXXX XXX XXXXXXXX XXXXXXXX XXXXX XXXXXXXXX/ (XX) NIE XXŁXXXXXX XXXXXXXXX WOBEC XXXXXXXX XXŁŻXŃXXXX PRZEZ XXXXĘ, KTÓREJ XXXXXXX XXXXXXXX, X XXXXĄ, X XXXXĄ ZAMIERZA XXX ZAWRZEĆ XXŁŻXŃXXXX, XX XXXX PRAWA XXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX, X KTÓRYM TEN XXXXXXXX XXXĘXXXX XXXXXŁ XXXXXX/ (XX) XÃX XXXXXX XXXXXÇÃX CONHECIDA X XXX OS XXXXXXXX XXXXXXXXX XXXXXXXXXX XXX XXXXXX XX XXXXXXX NACIONAL XX XXXXXX-XXXXXX EM XXX X DOCUMENTO FOI XXXXXXX/ (XX) NU XX XXXXXȘXX XXXXX XXXXXȚXX XX XĂXĂXXXXX XXXXXX XXXXXXXX XXXXXĂ ȘX XXXXXXXX XXȚ (XXXXXXXXX XXȚXX) ÎX XXXXXXXXXXXX XX DREPTUL XXXXXX AL XXXXXXXX XXXXXX ÎN XXXX XXXX EMIS XXXXXXXXXX XXXXXXX/ (XX) XXX XX XXXXX XXXXXXXX XXXX UZAVRETIU XXXXXXXXXX XXXXX DOTKNUTOU XXXXXX X JEJ XXXXXXXXXXXX XXXXXXXXX XXXXX NASTÁVAJÚCIM XXXXXXXX XXXĽX VNÚTROŠTÁTNEHO XXXXX XXXXXXXXX XXXXX, X XXXXXX XX XXXXXXX XXXXXXX VYDANÁ/ (XX) NI XXXXXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXXXXX XXXXX MED XXXXXXX XXXXX XX XXXXXX XXXXXXXXXXX XXXXXXXX X XXXXXX Z XXXXXXXXXXX XXXXXX DRŽAVE XXXXXXX, X XXXXXX XX XXXXXX XXXXX LISTINA/ (XX) XXXXXXXXXXXX XXXXXXÖX XX XÄXXX XXXXXXX XXXXXXXXXX VÄLISTÄ XXXXXXXXXXX XX XXX XXXXXXXXXXX XXX XÄXXXXXXXXXX XXXXXXXXXXX XXXXXÄÄXÄXXÖX MUKAAN, JOSSA XXXXXXX XXXXXXXXX ON XXXXXXX/ (XX) FINNS XXX XXXX XÄXXX XXXÄXXXXXXXX MOT INGÅENDE XX ÄXXXXXXXX MELLAN XXX XXXÖXXX XXXXXXXX XXX HANS XXXXX XXXXXX XXXXXXXX MAKE XXXXX MAKA XXXXXX XXX NATIONELLA LAGSTIFTNINGEN X XXX XXXXXXXXXXX XÄX XXX XXXXXXXXXX XXXXXXXXXX XXXÄXXXXXX

6.

(XX) ИНФОРМАЦИЯ ЗА БЪДЕЩИЯ(АТА) СЪПРУГ(А) НА СЪОТВЕТНОТО ЛИЦЕ/ (XX) INFORMACIÓN XXXXX XX XXXXXX XXXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXXX X XXXXXXXXX / SNOUBENCE XXXXXXX XXXXX/ (XX) XXXXXXXXXXX XX XXX XÅXÆXXXXXX XXXXXXX XXXXXXXX ÆGTEFÆLLE/ (XX) XXXXXXX ZU XXX XÜXXXXXXX XXXXXXXXX XXX XXXXXXXXXXXX PERSON/ (XX) XXXXX XXXXX XXXXX, KELLEGA ASJAOMANE XXXX XXXXXX ABIELU XÕXXXXX/ (EL) ΣΤΟΙΧΕΙΑ ΤΟΥ ΜΕΛΛΟΝΤΟΣ Ή ΤΗΣ ΜΕΛΛΟΥΣΑΣ ΣΥΖΥΓΟΥ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX XXXXXXXX XXXXXX OF THE XXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXX XXX LE XXXXX XXXXXXXX XX XX XXXXXXXX CONCERNÉE/ (XX) XXXXXXXX XXXXXX XX XXXXX XXXXXXXXXX XX XXXXX LENA xXXXXXXXX/ (HR) XXXXXXXXXXX X XXXXĆXX XXXXXXX XXXXX DOTIČNE XXXXX/ (XX) XXXXXXXXXXXX XXX XXXXXX XXXXXXX DELLA XXXXXXX INTERESSATA/ (XX) XXXXXXĀXXXX XXX ATTIECĪGĀS XXXXXXXX XXXXXX XXXXĀXX/ (XX) XXXXXXXXXXX APIE XXXXXXXXXX XXXXXX XŪXXXĄ XXXXXXXXXĮ (-Ę)/ (XX) XX XXXXXXXX XXXXXXX XXXXXŐ XXXXXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXĠX XXXXX XXX-XXXXXXX KKONĊERNATA/ (NL) XXXXXXXXXX XXXX XX XXXXXXX ECHTGENO(O)T(E) VAN XX XXXXXXXXXX/ (PL) XXXX XXXXX, X XXXXĄ XXXXX, KTÓREJ XXXXXXX XXXXXXXX, XXXXXXXX XXXXXXĆ XXŁŻXŃXXXX/ (PT) XXXXXXXÇÕXX XXXXX X XXXXXX XÔXXXXX DA XXXXXX XX XXXXX/ (XX) XXXXXXXȚXX PRIVIND XXXXXXXX SOȚ (VIITOAREA XXȚXX) XX (X) XXXXXXXXX VIZATE/ (XX) XXXXXXXXXX X XXXXXXXXXXXX XXXXXXXXX/ XXXXXXXXXXXX XXXXXXXX XXXXXXXXX XXXXX/ (SL) XXXXXXXXXXX X XXXXXXXXXXX XXXXXXX ZADEVNE OSEBE/ (XX) TIEDOT XXXXXXXXXXXX XXXXXXÖX XXXXXXXXX PUOLISOSTA/ (XX) XXXXXXXXX XX XXX XXXÖXXX PERSONENS XXXXXXXX MAKE XXXXX XXXX

7.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX FIRMA/ (XX) XXXX XXX XXXXXX/ (XX) UNDERSKRIFTSFELT/ (XX) UNTERSCHRIFTENFELD/ (XX) XXXXXXXXXXXXXX/ (EL) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (EN) XXXXXXXXX XXX/ (FR) XXXXX XXXX XX SIGNATURE/ (XX) XXXXX XXX XXXXX/ (XX) POLJE XX XXXXXX/ (XX) XXXXXXXX PER XX XXXXX/ (XX) XXXXXXXX XXXXX/ (LT) XXXXXX XXXXXXXX/ (XX) AZ XXXXXXX XXÖXXXXXXXXX/ (MT) XXXXX XXX-XXXXXXXX/ (XX) XXX VOOR DE XXXXXXXXXXXX/ (XX) POLE XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (FI) XXXXXXXXXXXXXXXXXXÄ/ (XX) XXXX XÖX XXXXXXXXXXXXXX

7.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X XXXXXX(X) XXX XXXXXXXXXXX XXX EXPIDIÓ ESTE XXXXXXX/ (XX) XXXXXXXX X XXXXX (XXXXX) XXXXXXXX, XXXXX XXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXXX(X) XX FORNAVN(E) XÅ XXX XXXXXXXXXX, XXX HAR XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX VORNAME(N) XXX BEAMTEN, DER XXXXXX FORMULAR XXXXXXXXXXX XXX/ (ET) KÄESOLEVA XXXXX VÄLJASTANUD XXXXXXXX XXXXXXX (-XXXXX) JA XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) XXX XXXXXXXX(X) XX XXX XXXXXXXX WHO XXXXXX XXXX FORM/ (XX) XXX(X) XX XXXXXX(X) DU FONCTIONNAIRE XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXXX CÉADAINM (XXXXXXXXXXXXXX) XX XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (XX) PREZIME(NA) X XXX(XX) XXXXXXXXXX XXXX JE XXXXX XXXX XXXXXXX/ (XX) XXXXXXX/X X NOME/I XXX XXXXXXXXXXX XXX XX RILASCIATO XX XXXXXXXX MODULO/ (XX) XXXXXXXXXXXX, KURA IZDEVUSI XX VEIDLAPU, UZVĀRDS(-I) XX XĀXXX(-X)/ (XX) XXĄ FORMĄ XXXXXXXXX XXXXXXŪXX PAVARDĖ (-ĖX) XX XXXXXX (-XX)/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXX XXXX(X) XX UTÓNEVE(I)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XX(X)X(XX) XX XXXXXX(X)X(XX) VAN XX XXXXXXXXX DIE XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) NAZWISKO(-A) I XXXĘ (XXXXXX) URZĘDNIKA, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXX(X) X XXXX(X) XXXXXXX(X) XX FUNCIONÁRIO XXX XXXXXX O XXXXXXXX XXXXXXXXXX/ (XX) XXXXXX ȘX PRENUMELE XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX XXX/XXXXX XXXXXXXX, XX XX XXXXX TA XXXXXXX/ (XX) TÄMÄN XXXXXXXXX XXXXXXXX VIRKAMIEHEN XXXXXXXX (-XXXXX) XX XXXXXXX (-XXXXX)/ (SV) XXXXXXXXX XXX XÖXXXXX XÅ XXX TJÄNSTEMAN XXX XXX XXXÄXXXX DETTA XXXXXXÄX

7.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXX DEL XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, XXXXX XXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXX — XXX XXXXXXXXXX, DER XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX XXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXXXXXX HAT/ (XX) KÄESOLEVA XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) POSITION OF XXX OFFICIAL XXX XXXXXX XXXX XXXX/ (XX) XXXXX DU XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XXXX XX OIFIGIGH X X’XXXXXX AN XXXXXX XXX/ (XX) XXXXXXXX XXXXXXXXXX XXXX XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXX XXXXXXXXXXX CHE XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) AMATPERSONAS, XXXX XXXXXXXX XX XXXXXXXX, AMATS/ (XX) XXĄ FORMĄ XXXXXXXXX XXXXXXŪXX PAREIGOS/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ BEOSZTÁSA/ (MT) XXXXXX XXX-XXXXĊXXX LI ĦXXXĠ XXX IL-FORMOLA/ (XX) XXXXXXX XXX XX AMBTENAAR XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX FORMULARZ/ (PT) XXXXX XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX XXXX X XXXX PREZENTUL XXXXXXXX/ (XX) FUNKCIA XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (SL) XXXXXXX URADNIKA, XX XX XXXXX XX XXXXXXX/ (XX) TÄMÄN XXXXXXXXX ANTANEEN XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX XÖX XXX TJÄNSTEMAN XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

7.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) FECHA (DD/MM/AAAA) XX XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) AUSSTELLUNGSDATUM (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 DÉLIVRANCE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) IZDAVANJA/ (XX) XXXX DI XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (LT) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (DD/MM/JJJJ) XXX XXXXXXX/ (PL) XXXX (XX/XX/XXXX) WYDANIA/ (XX) XXXX DE XXXXXÃX (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXX/ (SL) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

7.4

(XX) ПОДПИС/ (XX) XXXXX/ (CZ) XXXXXX/ (XX) UNDERSKRIFT/ (DE) XXXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (IT) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (HU) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (PL) XXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

7.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX O XXXXXX/ (CZ) PEČEŤ XXXX RAZÍTKO/ (DA) XXXX ELLER XXXXXXX/ (XX) XXXXXX ODER XXXXXXX/ (XX) PITSER XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) SEAL XX STAMP/ (FR) XXXXX XX XXXXXX/ (XX) SÉALA NÓ XXXXXX/ (HR) XXX XXX XXXXX/ (XX) XXXXX X XXXXXX/ (XX) XĪXXXX XXX XXXXXXXX/ (LT) XXXXXXX XXXX XXXXXXXXXX/ (XX) XXXXXX XXXX BÉLYEGZŐLENYOMAT/ (XX) XXĠXXX JEW XXXXXX/ (XX) XXXXX XX STEMPEL/ (XX) XXXXXĘĆ LUB XXXXXXX/ (XX) XXXX XX XXXXXXX/ (XX) SIGILIUL XXX ȘXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXX XXX/ (FI) XXXXXXX XXX XXXXX/ (XX) SIGILL XXXXX XXÄXXXX

XXXXXXX STAV

VÍCEJAZYČNÝ XXXXXXXXXX XXXXXXXX – XXXXXXX XXX PŘEKLAD

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

Belgie (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (CZ)

Dánsko (XX) Xxxxxxx (XX)

Xxxxxxxx (EE) Xxxxx (IE)

Řecko (XX) Xxxxxxxxx (ES)

Francie (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxx (XX) Xxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxxxxxx (PT)

Rumunsko (XX) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Finsko (FI)

Švédsko (XX) Spojené království (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx standardního xxxxxxxxx xx xxxxxxxxx xxxxxxxx xxxxxxx xxxxxxx, x xxx je xxxxxxxx. Tento xxxxxxxx xx xxxx xxxxxxxxx xxxxx xxxxx pohybovat xxxx xxxxxxxxxx dokument.

Tento xxxxxxxx odráží obsah xxxxxxx listiny, k xxx xx xxxxxxxx. Xxxxx, xxxxx xx xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx xxxx v xxxxxxxxx, xxx xx xx nezbytné xxx xxxxx zpracování xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx xx přepis xxxxxxxxx, xxxxx jsou xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX ORGÁN

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

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

1. XXXXX XXXXXXXXXX TENTO XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

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

3.1 Listina xxxxxx xxxxxxx nebo xxxxxxxxx x xxxxxx na xxxxx xxxxxx xxxxxxxxx xxxxx

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx xxxxxx státním xxxxxxxxx

3.1.3 Xxxxxxx vydaná xxxxxx xxxxxxx xxxxxxxxx

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

3.1.5 Jiné (upřesněte)

(1) Xx. věst. X 200, 26.7.2016, x. 1.

(2) Xxx xxxxxxxxxx xxxxx použijte hůlkové xxxxx.

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

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

3.2.4 Xxxx matričních xxxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Notářská xxxxxxx

3.4 Úřední xxxxxxxxx, xxxxxx xxxx xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

3.5 Xxxxxxx xxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxx xxxx xxxxxxxxxxx úředníkem xxxxxxxxx xxxxx x xxxxx xxxxxx jeho služebních xxxxxxxxxx

3.6 Xxxxx (dd/mm/rrrr) xxxxxx

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. INFORMACE X DOTYČNÉ XXXXX

4.1 Xxxxx/x příjmení

4.2 Současné/á xxxxxxxx

4.3 Xxxxxxxx před xxxxxxxxx manželství

4.4 Xxxxxxxx xx xxxxxxxx xxxxxxxxxx

4.5 Xxxxx (jména)

4.6 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.7 Xxxxx (1) x země (2) xxxxxxxx

4.8 Pohlaví:

4.8.1 Xxxx

4.8.2 Muž

4.8.3 Xxxxxxxx

4.9 Xxxxxx xxxxxxxxxxx

5. NA XXXXXXX VEŘEJNÉ XXXXXXX, X XXX XX XXXXXXXX TENTO FORMULÁŘ, XX DOTYČNÁ OSOBA XXXXX RODINNÝ STAV:

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

5.2 Xxxxxxxxx – nesezdaný

5.2.1 Xxxxxxxx – Svobodný

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

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

5.3 Xxxxxxxx

(1) Xxxxx „místo narození“ xx rozumí název xxxx xxxx xxxxx, xxxxxx a xxxxx, xxx xx xxxx xxxxx narodila.

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

6. XXXX PRO PODPIS

6.1 Xxxxxxxx x jméno (xxxxx) úředníka, xxxxx xxxxx xxxxx formulář

6.2 Xxxxxx xxxxxxxx, xxxxx xxxxx xxxxx xxxxxxxx

6.3 Xxxxx (xx/xx/xxxx) xxxxxx

6.4 Xxxxxx

6.5 Xxxxx xxxx xxxxxxx

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXXX XXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX EXPIDE XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX TENTO FORMULÁŘ/ (XX) DENNE XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, DIE DIESES XXXXXXXX AUSSTELLT/ (XX) XÄXXXXXXX XXXXX VÄLJA XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (EN) XXXXXXXXX XXXXXXX XXXX XXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXX FORMULAIRE/ (XX) XX xXXXXXX X XXXXXXXX XX FHOIRM XXX/ (XX) TIJELO XXXX XXXXXX OVAJ XXXXXXX/ (IT) AUTORITÀ XXX XXXXXXXX XX XXXXXXXX XXXXXX/ (LV) XXXXXXXXX IZDEVĒJIESTĀDE/ (XX) XXĄ FORMĄ IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX XX' XXX XX-XXXXXXX/ (XX) AUTORITEIT XXX XXXXXXX VAN XXX XXXXXXXXX/ (XX) XXXXX WYDAJĄCY NINIEJSZY XXXXXXXXX/ (XX) XXXXXXXXXX XXX EMITE X XXXXXXXX FORMULÁRIO/ (RO) XXXXXXXXXXX EMITENTĂ A XXXXXXXXXXX XXXXXXXX/ (SK) XXXXX XXXXXXXXXX TENTO XXXXXXXX/ (XX) XXXXX, XX XXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX SOM XXXÄXXXX FORMULÄRET

1.1

(BG) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (HR) XXXXX/ (XX) DENOMINAZIONE/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) TITLU/ (XX) XXXXXXXX/ (XX) NAZWA/ (XX) XXXXXXXÇÃX/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) XXX/ (FI) XXXX/ (SV) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX EXPIDE XX XXXXXXXXX XXXXXXX XX XXX XX ADJUNTA XXXX IMPRESO/ (CZ) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, X XXX XX PŘILOŽEN XXXXX XXXXXXXX/ (XX) DEN XXXXXXXXX, DER XXX XXXXXXX XXX OFFENTLIGE XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) BEHÖRDE, XXX XXX ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX FORMULAR XXXXXXÜXX XXX, XXXXXXXXX/ (XX) XXXXXX, XXX XXXXX XÄXXX XXXXXXX XXXXXXXXX, MILLELE XXX XXXX XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXX XXXXXXX XXX XXXXXX XXXXXXXX TO XXXXX XXXX FORM XX XXXXXXXX/ (FR) XXXXXXXX XX DÉLIVRANCE DU XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XX xXXXXXX X XXXXXXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX SEO XXXXXXXXXX/ (HR) TIJELO XXXX XXXXXX XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX PRILOŽEN/ (XX) XXXXXXXÀ CHE XXXXXXXX IL XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) PUBLISKĀ XXXXXXXXX, KURAM XĪ XXXXXXXX IR XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX ŠI FORMA, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX KIÁLLÍTÓ XXXXXXX/ (MT) AWTORITÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX DIN XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX VAN XXX XXXXXXXX XXXXXXXX XXXXXXX XXX FORMULIER XX XXXXXXX/ (XX) XXXXX XXXXXĄXX DOKUMENT XXXĘXXXX, XX KTÓREGO XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXXXX XXX XXXXX X DOCUMENTO XXXXXXX A XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (RO) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXX VYDÁVAJÚCI XXXXXXX XXXXXXX, KU XXXXXX XX TENTO FORMULÁR XXXXXXXXX/ (XX) ORGAN, XX IZDA XXXXX XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXXXX, XXXX ON XXXXXXX XXXXXXX ASIAKIRJAN, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX FORMULÄR ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX XXXXXXXX AL XXXXXXXXX XXXXXXX XX XXX XX ADJUNTA XXXX IMPRESO/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXX XXXXXXX, X XXX XX PŘILOŽEN XXXXX XXXXXXXX/ (DA) XXXXXXXXXXX XXXXØXXXXX DET XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (DE) ANGABEN XXX ÖXXXXXXXXXXX XXXXXXX, XXX DIESES FORMULAR XXXXXXÜXX XXX/ (ET) XXXXX XXXXXXX XXXXXXXXX XXXXX, MILLELE XXX XXXX ON XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXXXX RELATING XX XXX PUBLIC XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXXXXXX RELATIVES XX DOCUMENT XXXXXX XXXXXX EST XXXXX XX XXXXXXX FORMULAIRE/ (XX) FAISNÉIS X XXXXXXXXX XXXX XX XXXXXXXXX XXXXXX LENA XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (HR) XXXXXXXXXXX KOJE SE XXXXXX XX XXXXX XXXXXXX XXXXX XX XXXX OBRAZAC XXXXXXXX/ (XX) INFORMAZIONI XXXXXXXX XX DOCUMENTO XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX XĪ VEIDLAPA XX XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX SU XXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX FORMA/ (XX) X FORMANYOMTATVÁNNYAL XXXXXX KÖZOKIRATRA XXXXXXXXX XXXXXXXXXXX/ (MT) XXXXXXXXXXXXX XXXX XX-XXXXXXXX PUBBLIKU XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX DIT FORMULIER XX XXXXXXX/ (XX) XXXXXXXXXX DOTYCZĄCE XXXXXXXXX XXXĘXXXXXX, XX KTÓREGO XXXXXXXXX XXXXXXXXX JEST XXŁĄXXXXX/ (PT) XXXXXXXÇÕXX XXXXXXXXX XX XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXX XXXXXXX, KU XXXXXX XX XXXXX FORMULÁR XXXXXXXXX/ (SL) XXXXXXXXXXX X XXXXX X XXXXX XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXXXX XX XXX XXXXXXXXXX XXXXXXXX TILL VILKEN XXXXX XXXXXXÄX ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (ES) XXXXXXXXX XXXXXXXX XXX XXX XXXXXXXXX X XX XXXXXXXXXXX XXXXXXXXX X LOS ÓRGANOS XXXXXXXXXXXXXXXX XX UN XXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXX XXXXXXXXX X XXXXXX XX SOUDY XXXXXX ČLENSKÉHO XXXXX/ (XX) DOKUMENT, DER XX XXXXXXX XX XX XXXXXXXXX XXXXX XX EMBEDSMAND, XXX XX XXXXXXXXXX XXXXXXXX X EN XXXXXXXXXXX/ (XX) XXXXXXX EINER XXXÖXXX XXXX XXXXX XXXXXXXXXX XXX XXXXX XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX ON XÄXXX XXXXXX XXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXXXX VÕI XXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX FROM XX XXXXXXXXX OR XX XXXXXXXX XXXXXXXXX XXXX THE XXXXXX XX TRIBUNALS XX X XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXX X'XXX AUTORITÉ OU X'XX FONCTIONNAIRE XXXXXXXX X'XXX XXXXXXXXXXX X'XX XXXX MEMBRE/ (XX) XXXXXXXXX X THAGANN X ÚDARÁS XX X OIFIGEACH X XXXXXX BAINT AIGE XX XXXX XX XXXXXXXXXX XX LE XXXXX XX CHUID XXXXXXXXX/ (XX) ISPRAVA XXXX XX XXXXXX XXXXXX ILI SLUŽBENIK XXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ X XX XX XXXXXXXXXXX XXXXXXXXXXXX XX XXX XXXXX XXXXXXXXXXXXX XX XXX STATO XXXXXX/ (XX) XXXXXXXXX, KURU XXXXXXXXXX AR XXXĪXXXXXXX XXXXĀX XXXXXĪXX XXXXĀXX XXX AMATPERSONA/ (XX) XXXXXXXXXX, XXXXXXXX XXXXXXXX XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX TEISMAIS XX XXXXXXXXXXX/ (XX) TAGÁLLAMI XXXXXXXXXX XXXXXXXXXXXX ÁLLÓ XXXXXXX XXXX XXXXXXXXXXŐ XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX AWTORITÀ JEW XXXXĊXXX LI XXXXXXXX XXXXX XXX-XXXXX XXX XX-XXXXXXXXX TA' XXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXX DOOR EEN XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX TOT XXX XXXXXXXXXXXX INSTANTIE XXX XXX LIDSTAAT/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXX XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXXXX XX XX XX FUNCIONÁRIO XXXXXXXXXX XX XXXXXXXX XXXXXXXÇÃX XX XX XXXXXX-XXXXXX/ (XX) XXXXXXXX EMIS XX X AUTORITATE XXX XX XX XXXXȚXXXXX DE PE XÂXXĂ XXXXXXȚXXX UNUI XXXX MEMBRU/ (XX) XXXXXXX VYDANÁ XXXXXXX XXXXX XXXXXXXXX X XÄXXXX XX SÚDY XXXXXXXXX XXXXX/ (XX) XXXXXXX, XXXXXX S XXXXXX XXXXXX XXX XXXXXXXX XXXXX OBLASTI XXXXXX XXXXXXX/ (XX) XXXXXXXXX, JONKA ON XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX VIRANOMAINEN XXX XXXXXXXXX/ (SV) HANDLING XXX HÄRRÖR XXÅX XX XXXXXXXXX XXXXX XX XXÄXXXXXXX TILLHÖRANDE XXXXXXXXXÄXXXXXX I XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (XX) DOMSTOLSAFGØRELSE/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) XXXXXXXX DE XXXXXXX/ (XX) CINNEADH XX gCÚIRT/ (HR) XXXXXX ODLUKA/ (IT) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (XX) XXXXXX XXXXXXXXXX/ (HU) XXXXXXXX HATÁROZAT/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (PL) XXXXXXXXXX XĄXXXX/ (XX) XXXXXÃX XXXXXXXX/ (XX) XXXĂXÂXX JUDECĂTOREASCĂ/ (SK) XXXXX XXXXXXXXXXX/ (SL) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (SV) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXX/ (XX) LISTINA XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXXXX/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT, XXXXX XX VÄLJA ANDNUD XXXXXXX XÜÜXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (EN) XXXXXXXX XXXXXXXXX FROM X XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XXXXXXÈXX XXXXXX/ (XX) XXXXXXXXX X THAGANN X IONCHÚISITHEOIR XXXXXX/ (XX) ISPRAVA XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX PUBBLICO XXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) ÜGYÉSZ XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX XXXXXXXXXX PUBBLIKU/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX XXXXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX PROKURATORA/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX PÚBLICO/ (XX) XXXXXXXX XXXX XX XX PROCUROR/ (XX) LISTINA XXXXXX XXXXXXXXXXXX/ (XX) LISTINA, XX XX XXXX XXXXXXX TOŽILSTVO/ (FI) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX UN SECRETARIO XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXÆX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXX DER XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) DOCUMENT XXXXXXXXX XXXX X XXXXX XX A XXXXX/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX/ (XX) XXXXXXXXX A XXXXXXX Ó CHLÉIREACH XX XXXXX XXXXXX/ (XX) XXXXXXX XXXX XX IZDAO XXXXXXXXXX XXXXXX XXXXXXXXX/ (IT) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XXXXXX SEKRETĀRS/ (XX) XXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ ÁLTAL XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX XXĠXXXXXXXX XX' XXXXX/ (NL) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX XXXXXXXXXX XĄXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX DE XX XXXXXXX XX XXXXXÇX/ (RO) XXXXXXXX XXXX DE XX XXXXXXX XX XXXXXXȚXX/ (XX) XXXXXXX XXXXXX XXXXXX ÚRADNÍKOM/ (XX) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX SIHTEERIN XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX EN XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („HUISSIER XX JUSTICE“)/ (XX) XXXXXXXXX XXXXXXXX POR XX AGENTE XXXXXXXX («XXXXXXXX XX JUSTICE»)/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („HUISSIER XX XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX AF XX XXÆXXXXXXXXXX (»HUISSIER XX XXXXXXX«)/ (XX) XXXXXXX EINES GERICHTSVOLLZIEHERS/ (XX) XXXXXXXX, MILLE XX VÄLJA ANDNUD XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (EN) DOCUMENT XXXXXXXXX FROM X XXXXXXXX XXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX DE XXXXXXX/ (XX) DOICIMÉAD X XXXXXXX X OIFIGEACH XXXXXXXXXXXX (“XXXXXXXX DE XXXXXXX”)/ (HR) XXXXXXX XXXX XX IZDAO XXXXXX OVRŠITELJ (XXXXXXXX XX XXXXXXX)/ (IT) XXXXXXXXX XXXXXXX XX XX XXXXXXXXX GIUDIZIARIO ("XXXXXXXX XX XXXXXXX")/ (XX) DOKUMENTS, XXXX XXXXXXXXXX TIESAS XXXXXXĪXĀXX (XXXXXXXX DE XXXXXXX)/ (XX) XXXXXXXXX (XXXXXXXX XX JUSTICE) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXĠ XXXX UFFIĊJAL ĠXXXXXXXXXX ('HUISSIER XX XXXXXXX')/ (NL) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX XĄXXXXXX (HUISSIER XX XXXXXXX)/ (XX) DOCUMENTO XXXXXXXXXXX XX XX XXXXXXÃX XX XXXXXXX («XXXXXXXX XX JUSTICE»)/ (XX) DOCUMENT XXXX XX XX XXXXXXXX XXXXXĂXXXXXX („HUISSIER XX XXXXXXX”)/ (XX) LISTINA XXXXXX SÚDNYM XXXXXXXXXXĽXX („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX („HUISSIER DE XXXXXXX“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX DE XXXXXXX”) XXXXXX ASIAKIRJA/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX XX XXÄXXXXXXXXX (XXXXXXXX XX JUSTICE)

3.1.5

(BG) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) XXXX (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) XXX (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX XX XXXXXXXXX)/ (XX) XXXXX (À PRÉCISER)/ (XX) XXXX (XX XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (XX) XXXXX (PRECISARE)/ (XX) XXXX (XXXXXXĒX)/ (XX) KITA (NURODYTI)/ (XX) XXXXX (XXXXÜX XXXXXXXXXXX)/ (MT) XĦXXXX (XXXXXĊXŻX)/ (NL) XXXXXXX (XXXXXXXXXXXX)/ (PL) XXXX (XXXXXĘ OKREŚLIĆ)/ (XX) XXXXXX (A ESPECIFICAR)/ (XX) XXXXX (X XX XXXXXXX)/ (SK) XXX (SPRESNIŤ)/ (XX) XXXXX (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) LISTINA VYDANÁ XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX DOCUMENT/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXXXX RIARACHÁIN/ (XX) XXXXXXX ISPRAVA/ (XX) XXXXXXXXX AMMINISTRATIVO/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (HU) XÖXXXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX DOCUMENT/ (PL) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX ADMINISTRATIVO/ (RO) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX LISTINA/ (XX) XXXXXXX LISTINA/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) CERTIFICADO/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (ET) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (IT) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (XX) TANÚSÍTVÁNY/BIZONYÍTVÁNY/ (XX) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) ZAŚWIADCZENIE/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (SK) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (ES) EXTRACTO XXX REGISTRO XXXXX/ (XX) XXXXX X XXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (DE) XXXXXX AUS XXX XXXXXXXX-XXXXXXXXXXXXXX/ (ET) PEREKONNASEISUREGISTRI XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX XXXXX XXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX DE X'XXXX XXXXX/ (GA) XXXXXXX XX XX gCLÁR XXXXXXX XXXXXXXXXX/ (HR) XXXXXXX IZ XXXXXXXX XXXXXXX STANJA/ (IT) XXXXXXXX XX ATTO XX STATO XXXXXX/ (XX) XXXXXXXX NO XXXXXXXĀXXXĻX AKTU REĢISTRA/ (XX) XXXXXXX IŠ XXXXXXXĖX BŪKLĖS AKTŲ XXXXXXXX/ (XX) ANYAKÖNYVI XXXXXXX/ (MT) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXX UIT XXX XXXXXXXX XXX XX BURGERLIJKE STAND/ (XX) ODPIS XXXXXXXX XXXX XXXXX CYWILNEGO/ (XX) XXXXXXX XX XXXX DO XXXXXXX XXXXX/ (RO) XXXXXX XXX XXXXXXXXX XX XXXXX CIVILĂ/ (XX) XXXXX Z XXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXX XX XXXXXXXX X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) XXXXXX UR XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) EXTRACTO XXX XXXXX/ (CZ) XXXXX X REGISTRU XXXXXXXX/ (XX) UDDRAG XXX XXXXXXXXXXXXXX/ (DE) AUSZUG XXX DEM MELDEREGISTER/ (XX) RAHVASTIKUREGISTRI XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX XXX XXXXXXXXXX REGISTER/ (XX) EXTRAIT XX XXXXXXXX DE XX XXXXXXXXXX/ (XX) XXXXXXX XX AN xXXXX XXXXXX/ (HR) XXXXXXX XX XXXXXX STANOVNIŠTVA/ (XX) XXXXXXXX XXXXXXXXXX/ (XX) IZRAKSTS NO XXXXĪXXXĀXX REĢISTRA/ (XX) XXXXXXX XX XXXXXXXXŲ XXXXXXXX/ (XX) KIVONAT X XXXXXXXXXXXX- ÉS XXXXXXXXXXXXXXXXXXXXXX/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX UIT XXX XXXXXXXXXXXXXXXXXX/ (PL) XXXXĄX X REJESTRU LUDNOŚCI/ (XX) XXXXXXX XX XXXXXXX XX XXXXXXÇÃX/ (XX) XXXXXX XXX XXXXXXXXX XX XXXXXXȚĂ X XXXXXXȚXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXĽXX/ (XX) IZPISEK XX XXXXXXXX XXXXXXXXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX UR XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX DE XXXXX XXX XXXXXXXX XXXXX/ (XX) XXXX MATRIČNÍCH XXXXXXX/ (XX) XXXXXX XXXX AF XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX KOPIE XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (ET) XXXXXXXXXXXXXXXXXX KOOPIA/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (EN) XXXXXXXX XXXX XX XXXXX XXXXXX XXXXXXX/ (XX) XXXXX INTÉGRALE X'XXXXX DE X'XXXX XXXXX/ (XX) XXXX XXXXX AR XXXXXX XX XXXXXXX AR XXXXXX XXXXXXXXX/ (HR) XXXXXXXX XXXXXXXX XX XXXXXXXXXX X XXXXXXX XXXXXX/ (XX) XXXXX XXXXXXXXX DI XXXX XX STATO CIVILE/ (XX) CIVILSTĀVOKĻA XXXX XXĢXXXXX IERAKSTU AUTENTISKA XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮRAŠŲ XXXXXXXĖ XXXXXX/ (XX) XXXXXÖXXXX BEJEGYZÉS XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXX TAL-ATTI XXX-XXXXX ĊXXXXX/ (NL) XXXXXXXXXXX XXXXXXXXX XXX XXXXX VAN XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXÃX DE XXXXX XXXXXXXX OU XX XXXXXXXXX XX XXXX XX XXXXXXX XXXXX/ (XX) XXXXX XXXXXĂ X XXXX XXX XX STARE XXXXXĂ/ (XX) XXXXXXXX XXXXX XX XXXXXXX O XXXXXXX XXXXX/ (XX) XXXXXXXXX XXXXXX XXXXXX X OSEBNEM XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (CZ) XXXXXXXX LISTINA/ (XX) XXXXXXXXXÆXXXX DOKUMENT/ (DE) XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) NOTARIAL XXX/ (XX) XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) JAVNOBILJEŽNIČKA XXXXXXX/ (XX) ATTO XXXXXXXX/ (LV) XXXXXXĀXX XXXX/ (XX) XXXXXXXXX XXXXX/ (HU) XÖXXXXXXŐX XXXXXX/ (MT) XXX XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (XX) XXX XXXXXXXXXX/ (XX) XXX XXXXXXXX/ (RO) ACT XXXXXXXX/ (SK) NOTÁRSKA XXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) NOTAARIN XXXXXX XXXXXXXXX/ (SV) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX XXXXXX XXXXX XX XXXXXXXXX PRIVADO/ (XX) XXXXXX XXXXXXXXX, XXXXXX XXXX XXXXXXXX XXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (DA) OFFICIEL XÅXXXXXXX XÅ XX XXXXXXXX XXXXXXXXXXX AF XX XXXXXX X XXXXXX EGENSKAB XX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX XXXXX XXXXXXXXXXXXX/ (ET) XXXXX XXXXX ERAISIKUNA 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 XXXXXX XX A XXXXXX IN XXX XX HER XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX APPOSÉE XXX XX XXXX SOUS XXXXX PRIVÉ/ (XX) XXXXXXXX OIFIGIÚIL A XXXXXXXXX XX XXXXXXXXXX XXXX XXXXXX XX XXXXX XXX CHÁIL XX XXX CÁIL XXXXXXXXXXXXXX/ (XX) SLUŽBENA XXXXXXX XXXXXXXXX XX XXXXXXX KOJU JE XXXXX XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX XXX SCRITTURA XXXXXXX/ (XX) XXXXXĀXX XXXXXXXXĀXXXX UZ XXXXXXXXX, XX SAVĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (XX) PRIVAČIŲ XXXXXŲ XXXXXXXXXŲ DOKUMENTŲ OFICIALŪS XXXXXXXXXXXXX/ (XX) MAGÁNOKIRATON XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ĊERTIFIKAT XXXXĊXXXX XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX PERSUNA XXX-XXXXĊXXÀ XXXXXXX TAGĦHA/ (XX) OFFICIEEL XXXXXXXXXXX XX XXX DOCUMENT XXXXXXXXXXX DOOR EEN XXXXXXX XX ZIJN XXXXXXXXXXXX HOEDANIGHEID/ (XX) XXXĘXXXX ZAŚWIADCZENIE XXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX XXX XX NATUREZA XXXXXXX/ (XX) XXXXXXXXXX XXXXXXX XXXXXXX XX XX XXXXXXXX SUB XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX XX XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX AKO XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXX XX XXXXXXX XXXXXXX/ (XX) VIRALLINEN XXXXXXXX ASIAKIRJASSA, XXXXX XXXXXXÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (SV) XXXXXXXXXX XXXXX XXXXXXXXX PÅ XX XXXXXXXX XXX XXXXXXXXXXXXX XX EN XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXXXXX X CONSULAR DE XX XXXXXX XXXXXXX XXX CARÁCTER XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX ZÁSTUPCEM NEBO XXXXXXXXXXX ÚŘEDNÍKEM XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (DA) DOKUMENT XXXXXXXXX UDFÆRDIGET XX XX MEDLEMSSTATS XXXXXXXXXXXX XXXXX XXXXXXÆXX REPRÆSENTANT/ (XX) VON EINEM XXXXXXXXXXXXXX XXXX KONSULARISCHEN XXXXXXXXX XXXXX XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX XXXXXXXX ERRICHTETE URKUNDE/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX KONSULAARAMETNIKU XXXXX XXXXXXXXXXXXXXX TÄITMISEL KOOSTATUD XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (EN) XXXXXXXX XXXXX XX XX X DIPLOMATIC XX XXXXXXXX XXXXX XX X XXXXXX XXXXX XX XXX OR XXX XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXX XX SA QUALITÉ XXXXXXXXXX XXX XX XXXXX DIPLOMATIQUE OU XXXXXXXXXX D'UN XXXX XXXXXX/ (GA) DOICIMÉAD XXXX THARRAINGT XXXX XX GNÍOMHAIRE TAIDHLEOIREACHTA XX CONSALACH XX XXXXX XXXXXXXXX XXX XXXXX XX XXX XXXX OIFIGIÚIL/ (HR) XXXXXXX XXXX XX X XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX PREDSTAVNIK XXXXXX XXXXXXX/ (XX) DOCUMENTO XXXXXXX XX AGENTI XXXXXXXXXXX X XXXXXXXXX XX XXX XXXXX XXXXXX NELL'ESERCIZIO XXXXX XXXX FUNZIONI/ (XX) XXXXXXXXX, XXXX, XXXXXX XXXXX XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX PĀRSTĀVIS/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX XXXXXXXXX AR XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX TAGÁLLAM XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXXX XXXX XĠXXX XXXXXXXXXXX XXX KONSULARI TA' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX OPGESTELD XXXX XX XXXXXXXXXXXX OF XXXXXXXXXX XXXXXXXXX VAN XXX XXXXXXXX IN XXXX XXXXXXËXX XXXXXXXXXXXX/ (XX) DOKUMENT SPORZĄDZONY XXXXX PRZEDSTAWICIELA XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X CHARAKTERZE URZĘDOWYM/ (XX) XXXXXXXXX LAVRADO XXX XX XXXXXX XXXXXXXXXXX OU CONSULAR XX UM XXXXXX-XXXXXX XX EXERCÍCIO XXX XXXX XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎNTOCMIT XX XĂXXX UN XXXXX XXXXXXXXXX XXX XXXXXXXX XX XXXX XXXX MEMBRU, ÎX XXXXXXXX OFICIALĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX ČLENSKÉHO ŠTÁTU X RÁMCI VÝKONU XXXX XXXXXXX/ (XX) XXXXXXX, KI XX XXX XXXXXX XXXXX XXXX XXXXXXXXXXX ALI XXXXXXXXXX PREDSTAVNIK XXXXXX XXXXXXX/ (FI) XXXXXXXXX, XXXXX XÄXXXXXXXXXX DIPLOMAATTINEN 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) XXXXX (XX/XX/XXXX) XX EXPEDICIÓN/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX KUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (DD/MM/YYYY) XX XXXXX/ (FR) DATE (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) DÁTA (LL/MM/BBBB) XXXXXXX/ (HR) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX DI RILASCIO (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) A KIÁLLÍTÁS XXXXXX (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (DD/MM/RRRR) XXXXXXX/ (XX) DATA XX XXXXXÃX (DD/MM/AAAA)/ (XX) XXXX (XX/XX/XXXX) EMITERII/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (FI) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXX REFERENCENUMMER/ (DE) XXXXXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX/ (ET) XXXXXXX XXXXXXXXX VIITENUMBER/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX XX XXX PUBLIC DOCUMENT/ (XX) XXXXXX XX XXXXXXXXX DU XXXXXXXX XXXXXX/ (GA) UIMHIR XXXXXXXXX AN XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXX JAVNE XXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX/ (LV) PUBLISKĀ XXXXXXXXX ATSAUCES XXXXXX/ (XX) XXXXXXX DOKUMENTO XXXXXXX/ (HU) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX PUBBLIKU/ (XX) REFERENTIENUMMER VAN XXX XXXXXXXX XXXXXXXX/ (XX) NUMER XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXX XX REFERÊNCIA XX XXXXXXXXX XXXXXXX/ (XX) NUMĂRUL DE XXXXXXXȚĂ AL XXXXXXXXXXXX XXXXXXX/ (XX) REFERENČNÉ XXXXX VEREJNEJ XXXXXXX/ (XX) XXXXXXXXXX ŠTEVILKA XXXXX LISTINE/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX REFERENSNUMMER

4.

(BG) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) INFORMACIÓN SOBRE XX XXXXXXXXXX/ (XX) XXXXXXXXX O XXXXXXX XXXXX/ (XX) XXXXXXXXXXX XX XXX XÅXÆXXXXXX XXXXXX/ (XX) XXXXXXX XXX XXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXX XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (EN) XXXXXXXXXXX ON THE XXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXX XXX XX XXXXXXXX CONCERNÉE/ (GA) XXXXXXXX MAIDIR XXXX XX DUINE LENA xXXXXXXXX/ (XX) INFORMACIJE X DOTIČNOJ OSOBI/ (XX) XXXXXXXXXXXX SULLA XXXXXXX XXXXXXXXXXX/ (XX) XXXXXXĀXXXX PAR XXXXXXĪXX XXXXXXX/ (LT) INFORMACIJA XXXX ATITINKAMĄ ASMENĮ/ (XX) XX ÉRINTETT XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXX KKONĊERNATA/ (XX) XXXXXXXXXX XXXX XX XXXXXXXXXX/ (PL) XXXX XXXXX, XXXXXX DOTYCZY XXXXXXXX/ (XX) XXXXXXXÇÕXX XXXXX A XXXXXX XX XXXXX/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXX XXXXXĂ/ (XX) XXXXXXXXXX X DOTKNUTEJ XXXXX/ (XX) XXXXXXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXXXXX HENKILÖN XXXXXX/ (XX) UPPGIFTER OM XXX XXXÖXXX XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (XX) XXXXXXXX(X) XX NACIMIENTO/ (XX) XXXXX/X XXXXXXXX/ (XX) XXXXXXXXX(X) XXX XØXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXX XXXXXX/ (ET) XÜXXXXÄXXXX XXXXXXXXXXXXX (SÜNNIJÄRGSED XXXXXXXXXXXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (XX) SURNAME(S) AT XXXXX/ (FR) XXX(X) À XX XXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXXXXXX/ (HR) PREZIME(NA) XXX XXĐXXXX/ (XX) XXXXXXX/X XXXX XXXXXXX/ (XX) XXXĀXXX(-X) XXXXXXXXX XXĪXĪ/ (XX) PAVARDĖ (-ĖX), XXXXXXXX (-XX) XXXXX/ (HU) SZÜLETÉSI XXXXXXX XXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX) XXX-XXXXXX/ (XX) XXXXXXXX(X)X(XX) XXX XX XXXXXXXX/ (XX) XXXXXXXX(-X) XXXXXX/ (XX) XXXXXXX(X) À XXXX XX XXXXXXXXXX/ (XX) NUMELE XX XXȘXXXX/ (SK) XXXXX XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX OB XXXXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXXXÄXXXXXXXÄ/ (XX) XXXXXXXXX XXX XÖXXXXX

4.2

(XX) НАСТОЯЩО(И) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X) XXXXXX(XX)/ (CZ) XXXXXXXX/X XXXXXXXX/ (XX) XXXÆXXXXX EFTERNAVN(E)/ (XX) XXXXXXXXXX(X) FAMILIENNAME(N)/ (ET) XXXXXXXX XXXXXXXXXXXXX (XXXXXXXXX XXXXXXXXXXXXXX)/ (XX) ΤΡΕΧΟΝ(-ΤΑ) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX XXXXXXX(X)/ (XX) NOM(S) XXXXXX(X)/ (GA) XXXXXXX (XXXXXXXX) XXXXXX/ (XX) XXXXXXXX(-X) PREZIME(NA)/ (IT) XXXXXXX/X XXXXXXX/X/ (XX) XXXXXXX(-XX) XXXĀXXX(-X)/ (LT) XXXXXXXXĖ (-ĖX) XXXXXXĖ (-ĖX)/ (XX) XXXXXXXXX XXXXXXX XXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX) XXXXXXX/ (XX) XXXXXXX ACHTERNA(A)M(EN)/ (XX) XXXXXX NAZWISKO(-A)/ (PT) XXXXXXX XX XXXXXXXX XXXXXX/ (XX) NUMELE XXXXXX(X)/ (SK) SÚČASNÉ XXXXXXXXXX(-X)/ (XX) XXXXXXX XXXXXXX/XXXXXXX/ (XX) XXXXXXXX XXXXXXXX (XXXXXXXX SUKUNIMET)/ (XX) XXXXXXXXX XXXXXXXXX

4.3

(XX) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ БРАКА/ (ES) XXXXXXXX(X) XXXXX XX CONTRAER XXXXXXXXXX/ (XX) XXXXXXXX XXXX UZAVŘENÍM MANŽELSTVÍ/ (XX) XXXXXXXXX(X) XØX XXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX (-XXXXX) XXXX XXXXXXXXXXX/ (EL) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΤΟΝ ΓΑΜΟ/ (EN) SURNAME(S) XXXXXX XXX MARRIAGE/ (XX) XXX(X) XXXXX XX MARIAGE/ (XX) XXXXXXX (SLOINNTE) XXXXX XX bPÓSADH/ (XX) XXXXXXX(XX) XXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX/X XXXXX XXX XXXXXXXXXX/ (XX) UZVĀRDS(-I) XXXXX XXXXĪXXX/ (LT) PAVARDĖ (-ĖX) XXXXX SANTUOKĄ/ (XX) CSALÁDI XXXX(X) X XXXXXXXXXÖXXX XXŐXX/ (XX) XXXXXX(/XXXXXXXXXXX) XXXXX XŻ-ŻXXXĠ/ (XX) ACHTERNA(A)M(EN) XXXX XXX XXXXXXXX/ (XX) NAZWISKO(-A) PRZED XXXXXXXXX XXŁŻXŃXXXX/ (PT) XXXXXXX(X) XXXXX XX XXXXXXXXX/ (XX) XXXXXX ÎXXXXXX DE CĂSĂTORIE/ (XX) XXXXXXXXXX(-X) PRED XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX/XXXXXXX XXXX XXXXXXXXXXX XXXXXXXX ZVEZE/ (XX) XXXXXXXX (-XXXXX) ENNEN XXXXXXXXXXX/ (XX) EFTERNAMN XÖXX ÄKTENSKAPETS INGÅENDE

4.4

(BG) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА БРАКА/ (XX) XXXXXXXX(X) XXXXXXX XX XXXXXXXX MATRIMONIO/ (XX) XXXXXXXX PO UZAVŘENÍ XXXXXXXXXX/ (XX) EFTERNAVN(E) XXXXX XXXXXXX/ (DE) XXXXXXXXXXXX(X) NACH XXX XXXXXXXXXXXXXX/ (XX) PEREKONNANIMI (-XXXXX) PÄRAST XXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΜΕΤΑ ΤΟΝ ΓΑΜΟ/ (EN) XXXXXXX(X) XXXXXXXXX THE XXXXXXXX/ (FR) NOM(S) À LA SUITE XX XXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXX XXX AN XXXXXX/ (XX) XXXXXXX(XX) NAKON XXXXXXXXX XXXXX/ (IT) XXXXXXX/X DOPO IL XXXXXXXXXX/ (XX) UZVĀRDS(-I) XĒX XXXXĪXXX/ (XX) XXXXXXĖ (-ĖX) PO XXXXXXXXX/ (HU) CSALÁDI XXXX(X) A XXXXXXXX-XÖXXX XXXX/ (XX) XXXXXX(/XXXXXXXXXXX) XXXX Ż-ŻWIEĠ/ (XX) XXXXXXXX(X)X(XX) XX XXX XXXXXXXX/ (XX) XXXXXXXX(-X) XX XXXXXXXX XXŁŻXŃXXXX/ (XX) XXXXXXX(X) XXXX X CASAMENTO/ (RO) XXXXXX XXXĂ XĂXĂXXXXX/ (XX) XXXXXXXXXX(-X) XX XXXXXXXX XXXXXXXXXX/ (SL) XXXXXXX/XXXXXXX XX XXXXXXXXX XXXXXXXX ZVEZE/ (XX) XXXXXXXX (-XXXXX) XXXXXXXXXX XXXXXXXXXX XÄXXXXX/ (SV) XXXXXXXXX EFTER ÄKTENSKAPETS XXXÅXXXX

4.5

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (CZ) XXXXX (XXXXX)/ (DA) XXXXXXX(X)/ (DE) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (EN) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) IME(NA)/ (XX) XXXX(X)/ (XX) XĀXXX(-X)/ (XX) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (MT) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (XX) IMIĘ (XXXXXX)/ (XX) XXXX(X) PRÓPRIO(S)/ (XX) PRENUME/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-NIMET)/ (XX) XÖXXXXX

4.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXX/ (XX) FØDSELSDATO (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX BIRTH/ (XX) XXXX (JJ/MM/AAAA) XX XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (XX) DATA XX XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (XX) GIMIMO XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXX (JJ/XX/SSSS) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (PL) XXXX (XX/XX/XXXX) URODZENIA/ (PT) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) NAȘTERII/ (SK) XXXXX (XX/XX/XXXX) NARODENIA/ (XX) DATUM (XX/XX/XXXX) XXXXXXX/ (XX) SYNTYMÄAIKA (XX/XX/XXXX)/ (XX) FÖDELSEDATUM (XX/XX/ÅÅÅÅ)

4.7

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX Y XXXX XX NACIMIENTO/ (XX) XXXXX A XXXX XXXXXXXX/ (DA) XØXXXXXX OG -XXXX/ (XX) XXX UND XXXX XXX XXXXXX/ (XX) XÜXXXXXXX XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX XXX XXXXXXX XX XXXXX/ (XX) XXXX XX XXXX DE XXXXXXXXX/ (XX) XXX XXXX XXX XXXXXXXX/ (XX) XXXXXX X XXXXXX XXĐXXXX/ (XX) LUOGO X PAESE XX XXXXXXX/ (LV) XXXXXXXXX XXXXX XX XXXXXX/ (XX) XXXXXX VIETA XX XXXXX/ (XX) XXÜXXXXXX HELYE XX XXXXXXX/ (XX) XXXX X XXXXXŻ TAT-TWELID/ (XX) GEBOORTEPLAATS XX -XXXX/ (XX) XXXXXXX X XXŃXXXX URODZENIA/ (XX) XXXXX X XXXX DE NASCIMENTO/ (XX) LOCUL ȘX ȚXXX NAȘTERII/ (XX) XXXXXX A XXXX XXXXXXXXX/ (XX) XXXX XX XXXXXX XXXXXXX/ (XX) XXXXXXÄXXXXXX XX -XXX/ (SV) XÖXXXXXXXX XXX -LAND

4.8

(BG) ПОЛ/ (XX) SEXO/ (XX) XXXXXXX/ (XX) KØN/ (XX) XXXXXXXXXX/ (ET) XXXX/ (EL) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) LYTIS/ (XX) XXXX/ (XX) XXXX/ (XX) XXXXXXXX/ (PL) XŁXĆ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) SPOL/ (XX) SUKUPUOLI/ (XX) XÖX

4.8.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) ŽENA/ (XX) XXXXXX/ (DE) XXXXXXXX/ (ET) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (FR) XXXXXXX/ (XX) BAINEANN/ (HR) XXXXXX/ (IT) XXXXXXXXX/ (XX) XXXXXXXX/ (LT) XXXXXXX/ (XX) XŐ/ (XX) XXXX/ (XX) XXXXX/ (XX) KOBIETA/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (SV) XXXXXX

4.8.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (XX) XXXX/ (XX) MÄNNLICH/ (XX) MEESSOOST/ (EL) ΑΡΡΕΝ/ (EN) XXXX/ (XX) MASCULIN/ (XX) XXXXXXX/ (XX) MUŠKI/ (XX) MASCHILE/ (XX) XĪXXXXXX/ (XX) XXXXX/ (XX) XXXXX/ (XX) XXĠXX/ (XX) XXX/ (XX) XĘŻXXXXXX/ (PT) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) MIES/ (XX) XXX

4.8.3

(XX) НЕОПРЕДЕЛЕН/ (XX) INDETERMINADO/ (CZ) XXXXXXXX/ (XX) UBESTEMT/ (XX) UNBESTIMMT/ (ET) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) UNDETERMINED/ (XX) XXXXXXXXXXX/ (GA) XXXXXXXXXXXXXXX/ (HR) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) MEGHATÁROZATLAN/ (XX) XXXX XXXXXXXXX/ (NL) XXXXXXXXX/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (SL) XXXXXXXXX/ (FI) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

4.9

(XX) ГРАЖДАНСТВО/ (ES) NACIONALIDAD/ (XX) STÁTNÍ XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (DE) XXXXXX-XXXXXÖXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) ΙΘΑΓΕΝΕΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) CITTADINANZA/ (XX) XXXXXXXXXXXXĪXX/ (LT) XXXXXXXXĖ/ (XX) ÁLLAMPOLGÁRSÁGA/ (XX) ĊXXXXXXXXXXX/ (NL) XXXXXXXXXXXXX/ (PL) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (RO) XXXĂȚXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (XX) DRŽAVLJANSTVO/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX

5.

(XX) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ, СЕМЕЙНОТО ПОЛОЖЕНИЕ НА СЪОТВЕТНОТО ЛИЦЕ Е, КАКТО СЛЕДВА/ (XX) XXXXX XX XXXXXXXXX PÚBLICO AL XXX XX XXXXXXX XXXX IMPRESO, XX XXXXXX XXXXX XXX XXXXXXXXXX XX XX XXXXXXXXX:/ (XX) XX XXXXXXX XXXXXXX LISTINY, X NÍŽ JE XXXXXXXX XXXXX XXXXXXXX, XX XXXXXXX XXXXX XXXXX XXXXXXX XXXX/ (XX) X XXXXXXX XXX DET XXXXXXXXXX XXXXXXXX, SOM DENNE XXXXXXXX XX XXXXÆXXXX, XXX DEN PÅGÆLDENDE XXXXXX FØLGENDE ÆGTESKABELIGE XXXXXX/ (DE) FAMILIENSTAND XXX BETREFFENDEN XXXXXX XXXÄXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX BEIGEFÜGT XXX/ (XX) XXXXXXXXX XXXXXXXXX XXXXXXXXXXX, XXXXXXX SEE XXXX XX XXXXXXX, XX XXXXXXXXXX ISIKUL XÄXXXXXX XXXXXXXXXXXXX/ (EL) ΣΥΜΦΩΝΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ, ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΕΧΕΙ ΤΗΝ ΑΚΟΛΟΥΘΗ ΟΙΚΟΓΕΝΕΙΑΚΗ ΚΑΤΑΣΤΑΣΗ/ (XX) ACCORDING XX XXX XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX, XXX XXXXXX CONCERNED XXX THE FOLLOWING XXXXXXX STATUS/ (FR) X'XXXÈX XX DOCUMENT XXXXXX AUQUEL XX XXXXXXX XXXXXXXXXX XXX XXXXX, XX XXXXXXXXX XXXXXXXXXXXX DE XX XXXXXXXX CONCERNÉE EST XX XXXXXXXX/ (XX) XX XXXX AN XXXXXXXXX XXXXXXX LENA XXXXXX AN FHOIRM XXX CEANGAILTE, TÁ XX STÁDAS PÓSTA X XXXXXX AG XX XXXXX XXXX xXXXXXXXX/ (HR) XXXXX XXXXXX XXXXXXX XXXXX XX OVAJ XXXXXXX XXXXXXXX XXXXXX STANJE XXXXXXX OSOBE XX XXXXXXĆX/ (XX) XXXXXXX XX XXXXXXXXX PUBBLICO XXX XX PRESENTE XXXXXX È XXXXXXXX, XX XXXXX XXXXXX XXXXX XXXXXXX XXXXXXXXXXX È IL XXXXXXXX/ (XX) XXXXXŅĀ AR XXXXXXXX XXXXXXXXX, XXXXX XĪ VEIDLAPA XX XXXXXXXXXX, XXXXXXĪXXXXX XXXXXXXX XX ŠĀDS ĢIMENES XXĀXXXXXX/ (LT) XXXXX XXXXĄXĮ DOKUMENTĄ, PRIE XXXXX XXXXXXXXX XX XXXXX, ATITINKAMO XXXXXX XXXXXXXXXĖ XXXĖXXX XXX XXXXX/ (XX) AZ XXXXXXXX XXXXXXX XXXXXXX XXXXXXXX X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRAT XXXXXXX/ (XX) XXXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX 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 VOLGENDE/ (XX) Z DOKUMENTU XXXĘXXXXXX, DO KTÓREGO XXŁĄXXXXX XXXX XXXXXXXXX XXXXXXXXX, WYNIKA, ŻE XXXXX, KTÓREJ DOTYCZY XXXXXXXX, XXXXXXX XXXXĘXXXĄXX XXXX XXXXXXX/ (XX) XXXXXXX X XXXXXXXXX XXXXXXX X XXX X XXXXXXXX FORMULÁRIO XXXX XXXXXX, À XXXX XX XXX XXXXXÃX, O XXXXXX XXXXX DA XXXXXX XX XXXXX X/ (XX) ÎX XXXXXXXXXXXX XX XXXXXXXXXX OFICIAL XX CARE XXXX XXXXXX PREZENTUL XXXXXXXX, XXXXXXXX XXXXXĂ ARE XXXĂXXXXXX XXXXX XXXXXĂ/ (XX) XXXĽX XXXXXXXX XXXXXXX, XX XXXXXX XX TENTO FORMULÁR XXXXXXXXX, XX XXXXXXXX XXXXX NACHÁDZA V XXXXX XXXXXXX XXXXX/ (XX) X XXXXXX X XXXXX XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX, XXX ZADEVNA OSEBA XXXXXXXXX XXXXXXXX STAN/ (XX) XXX YLEISEN XXXXXXXXXX MUKAAN, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX, XXXXXXXXXXXX HENKILÖN SIVIILISÄÄTY XX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXX XXXXXXXX TILL VILKEN XXXXX XXXXXXÄX ÄX XXXXXXX ÄR XXX XXXÖXXX XXXXXXXXX CIVILSTÅND XÖXXXXXX

5.1

(XX) СЪС СКЛЮЧЕН БРАК/ДАТА (ДД/ММ/ГГГГ) НА СКЛЮЧВАНЕ НА БРАКА/ (XX) XXXXXX / XXXXX (XX/XX/XXXX) DEL XXXXXXXXXX/ (CZ) XXXXX – ŽENATÝ/DATUM (XX/XX/XXXX) XXXXXXXX XXXXXXXXXX/ (XX) XXXX/XXXX (XX/XX/ÅÅÅÅ) FOR XXXXÅXXXX AF ÆXXXXXXX/ (XX) XXXXXXXXXXX/XXX XXX XXXXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) XXXXXXX / XXXXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (EL) ΕΓΓΑΜΟΣ/-Η / ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΑΜΟΥ/ (EN) XXXXXXX/XXXX (DD/MM/YYYY) OF XXXXXXXX/ (XX) MARIÉ(E)/DATE (XX/XX/XXXX) DU XXXXXXX/ (XX) XXXXX/XXXX (XX/XX/XXXX) XXXXX/ (XX) X XXXXX / XXXXX (XX/XX/XXXX) XXXXXXXXX BRAKA/ (XX) XXXXXXXXX/X - XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (LV) XXXXĒXXXX / XXXXĪXXX XXXXĒXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXĘX (-USI) / XXXXXXXXX SUDARYMO DATA (XX/XX/XXXX)/ (XX) HÁZAS/HÁZASSÁGKÖTÉS XXXXX (XXXX/XX/XX)/ (XX) XXŻŻXXXXĠ/XXŻŻXXĠX X DATA (XX/XX/XXXX) XXŻ-ŻXXXĠ/ (XX) XXXXXX/XXXXX (DD/MM/JJJJ) XXX XXX XXXXXXXX/ (XX) XXXXXXXXX W XXXĄXXX XXŁŻXŃXXXX/ DATA (XX/XX/XXXX) XXXXXXXX ZWIĄZKU XXŁŻXŃXXXXXX/ (XX) XXXXXX(X)/XXXX XX XXXXXXXXX (DD/MM/AAAA)/ (XX) XĂXĂXXXXX(Ă)/XXXX (XX/XX/XXXX) CĂSĂTORIEI/ (XX) XXXXXX/XXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXXX XXXXXXXXXX/ (SL) XXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXXX XXXXXXXX ZVEZE/ (FI) XXXXXXXXXX/XXXXXXXXXX XXXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXX/XXXXX (XX/XX/ÅÅÅÅ) XÖX ÄXXXXXXXXXXX XXXÅXXXX

5.2

(XX) БЕЗ СКЛЮЧЕН БРАК/ (XX) XX CASADO/ (XX) XXXXXXXXX – XXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (ET) XX OLE XXXXXXX/ (XX) ΑΓΑΜΟΣ/-Η/ (XX) XXX MARRIED/ (XX) XXX XXXXX(X)/ (XX) XXX X BHEITH XXXXX/ (HR) NIJE X XXXXX/ (XX) XXX CONIUGATO/A/ (XX) XXXXXXĒXXXX/ (XX) NESUSITUOKĘS (-XXX)/ (XX) XXXXXÜXXXXX/ (XX) MHUX XXŻŻXXXXĠ/XXXX XXŻŻXXĠX/ (XX) XXXXXXXX/ (XX) XXX POZOSTAJE X ZWIĄZKU XXŁŻXŃXXXX/ (XX) NÃO CASADO(A)/ (XX) NECĂSĂTORIT(Ă)/ (SK) XXXXXXXX/XXXXXXXX/ (XX) XXXXXXXXX/ (XX) XX NAIMISISSA/ (XX) XXXXX

5.2.1

(XX) НИКОГА НЕ Е СКЛЮЧВАЛО БРАК/ (XX) XXXXXXX/ (XX) SVOBODNÁ – XXXXXXXX/ (XX) XXXXXX XXXX/ (XX) XXX XXXXXXXXXXX/ (XX) XX XXX KUNAGI XXXXXXX XXXXX/ (XX) ΔΕΝ ΕΧΕΙ ΣΥΝΑΨΕΙ ΠΟΤΕ ΓΑΜΟ/ (EN) XXXXX XXXXXXX/ (XX) X'XXXXX XXXXXX XXX XXXXX(X)/ (XX) XXX X XXXXXX XXXXX XXXXX/ (XX) NIKADA XXXX XXX(-XX) U XXXXX/ (XX) XXXXXX/XXXXXX/ (XX) XXXXX XXX XXXXX XXXXĒXXXX/ (XX) XXXXXXX XXXXXX SUSITUOKĘS (-USI)/ (XX) XŐXXXX / XXXXXXX/ (XX) ĠUVNI/XEBBA/ (XX) NOOIT XXXXXX/ (XX) XXXXX XXX XXXXXŁ(-X) XXXĄXXX XXŁŻXŃXXXXXX/ (XX) XXXXXXXX/ (XX) XX X FOST XĂXĂXXXXX(Ă) XXXXXXXXĂ/ (XX) XXXXX SA XXXXXXXX/XXXXXXXX/ (XX) NIKOLI XXXXXXX/ (XX) EI XXX XXXXXXX OLLUT NAIMISISSA/ (XX) XXX XXXXXX XXXXX XXXX

5.2.2

(XX) С РАЗТРОГНАТ БРАК/ДАТА (ДД/ММ/ГГГГ) НА РАЗВОДА/ (ES) XXXXXXXXXX / XXXXX (XX/XX/XXXX) DEL XXXXXXXX/ (XX) XXXXXXXXX – XXXXXXXXX/XXXXX (XX/XX/XXXX) ROZVODU/ (XX) FRASKILT/DATO (XX/XX/ÅÅÅÅ) XXX SKILSMISSE/ (XX) XXXXXXXXXX / XXXXX (XX/XX/XXXX) XXX XXXXXXXXX/ (XX) XXXXXXXXX / XXXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΔΙΑΖΕΥΓΜΕΝΟΣ/-Η / ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΔΙΑΖΥΓΙΟΥ/ (XX) DIVORCED/DATE (XX/XX/XXXX) XX XXXXXXX/ (XX) XXXXXXX(X)/XXXX (XX/XX/XXXX) XX XXXXXXX/ (GA) XXXXXXXXXX/XXXX (XX/XX/XXXX) COLSCARTHA/ (XX) XXXXXXXX(X)/XXXXX (XX/XX/XXXX) RAZVODA/ (XX) XXXXXXXXXX/X - XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XĶĪXXXX / ŠĶIRŠANĀS XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXĘX (-XXX) / XXXXXXXXX XXXXXXXXXX XXXX (XX/XX/XXXX)/ (XX) ELVÁLT/A HÁZASSÁG XXXXXXXXXXXXX IDEJE (XXXX/XX/XX)/ (XX) XXXXXXXXX(X) U XXXX (JJ/XX/SSSS) XXX-XXXXXXXX/ (XX) XXXXXXXXXX/XXXXX (DD/MM/JJJJ) XXX XX XXXXXXXXXXXXX/ (XX) ROZWIEDZIONY(-A) / XXXX (XX/XX/XXXX) ROZWODU/ (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) ERONNUT/AVIOERON XÄXXÄXÄÄXÄ (XX/XX/XXXX)/ (XX) XXXXX/XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXXXXÄXXX

5.2.3

(XX) С ПОЧИНАЛ(А) СЪПРУГ(А)/ДАТА (ДД/ММ/ГГГГ) НА СМЪРТТА НА СЪПРУГА(АТА)/ (XX) VIUDO / XXXXX (XX/XX/XXXX) DE XXXXXXXXXXXXX DEL XXXXXXX/ (XX) XXXXX – XXXXXX/XXXXX (XX/XX/XXXX) XXXXX XXXXXXX/XXXXXXXX/ (XX) XXXXXXXXX/XXXX (XX/XX/ÅÅÅÅ) FOR ÆGTEFÆLLES XØX/ (XX) XXXXXXXXX / STERBEDATUM (XX/XX/XXXX) XXX XXXXXXXXX/ (XX) XXXX / ABIKAASA XXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΣΕ ΧΗΡΕΙΑ / ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΘΑΝΑΤΟΥ ΣΥΖΥΓΟΥ/ (EN) XXXXXXX/ XXXX (DD/MM/YYYY) XX SPOUSE'S DEATH/ (XX) VEUF(VE)/DATE (JJ/MM/AAAA) XX XXXÈX DU XXXXXXXX/ (XX) BAINTREACH/ XXXX (XX/XX/XXXX) BÁIS XX XXXXXX/ (XX) XXXXXX(-XXX) / XXXXX (XX/XX/XXXX) SMRTI BRAČNOGA XXXXX/ (XX) XXXXXX/X - DATA DI XXXXXXX DEL CONIUGE (XX/XX/XXXX)/ (LV) ATRAITNIS / XXXXĀXĀ MIRŠANAS XXXXXX (XX/XX/XXXX)/ (LT) XXXXXX (-Ė) / XXXXXXXXXXX (-ĖS) XXXXXXX XXXX (DD/MM/MMMM)/ (XX) ÖXXXXX/X HÁZASTÁRS HALÁLÁNAK XXXXX (XXXX/XX/XX)/ (XX) XXXXX/XXXXX X DATA (XX/XX/XXXX) TAL-MEWT TAL-KONJUĠI/ (XX) WEDUWE/WEDUWNAAR/DATUM (XX/XX/XXXX) XXX OVERLIJDEN XXX XX ECHTGENO(O)T(E)/ (XX) XXXXXXX, XXXXX / XXXX (XX/XX/XXXX) XXXXX XXŁŻXXXX/ (PT) XXXXX(X)/XXXX XX ÓBITO XX XÔXXXXX (XX/XX/XXXX)/ (XX) XĂXXX(Ă)/XXXX (XX/XX/XXXX) XXXXXXXXX XXȚXXXX (XXȚXXX)/ (XX) XXXXXX/XXXXX/XXXXX (DD/MM/RRRR) XXXXXX XXXXXXX/XXXXXXXX/ (XX) OVDOVEL/DATUM (XX/XX/XXXX) XXXXX ZAKONCA/ (XX) XXXXX/XXXXXXXX XXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) ÄXXXXXX XXXXX ÄXXX/XXXXX (XX/XX/ÅÅÅÅ) XÖX MAKENS ELLER XXXXXX XÖX

5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (CZ) XXXXXXXX/ (DA) XXXXXXXX/ (XX) UNBESTIMMT/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (HR) XXXXXXĐXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX STABBILIT/ (XX) XXXXXXXXX/ (PL) STAN XXXXXXXXXXX/ (XX) NÃO XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (SL) XXXXXXXXX/ (XX) MÄÄRITTELEMÄTÖN/ (XX) XX FASTSTÄLLT

6.

(BG) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX XXXXX/ (CZ) XXXX PRO PODPIS/ (XX) XXXXXXXXXXXXXXXX/ (DE) XXXXXXXXXXXXXXXXXX/ (XX) ALLKIRJALAHTER/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) SIGNATURE XXX/ (XX) XXXXX XXXX XX XXXXXXXXX/ (XX) XXXXX XXX XXXXX/ (XX) POLJE XX XXXXXX/ (XX) RIQUADRO XXX LA XXXXX/ (XX) XXXXXXXX LAUKS/ (XX) XXXXXX XXXXXXXX/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX XX XXXXXXXXXXXX/ (XX) XXXX PODPISU/ (XX) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX XXXXXX/ (XX) XXXXX ZA XXXXXX/ (XX) ALLEKIRJOITUSKENTTÄ/ (XX) XXXX XÖX XXXXXXXXXXXXXX

6.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X NOMBRE(S) XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) PŘÍJMENÍ X XXXXX (XXXXX) XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXXXX(X) XX FORNAVN(E) XÅ XXX XXXXXXXXXX, DER XXX XXXXXXX XXXXX XXXXXXXX/ (XX) FAMILIENNAME(N) XXX XXXXXXX(X) XXX XXXXXXX, DER DIESES XXXXXXXX AUSGESTELLT XXX/ (XX) XÄXXXXXXX VORMI XÄXXXXXXXXX XXXXXXXX EESNIMI (-XXXXX) JA XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) AND XXXXXXXX(X) XX XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (FR) XXX(X) XX PRÉNOM(S) XX XXXXXXXXXXXXX QUI X XXXXXXX XX XXXXXXX FORMULAIRE/ (XX) XXXXXXX (XXXXXXXX) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX XXXXXXXX A X’XXXXXX XX FHOIRM XXX/ (XX) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX KOJI XX XXXXX XXXX XXXXXXX/ (XX) COGNOME/I X XXXX/X DEL XXXXXXXXXXX XXX XX XXXXXXXXXX IL XXXXXXXX XXXXXX/ (LV) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, XXXĀXXX(-X) UN XĀXXX(-X)/ (LT) XXĄ XXXXĄ IŠDAVUSIO PAREIGŪNO XXXXXXĖ (-ĖX) IR XXXXXX (-XX)/ (XX) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ CSALÁDI XXXX(X) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦXXXĠ XXX IL-FORMOLA/ (XX) XX(X)X(XX) EN XXXXXX(X)X(XX) XXX XX XXXXXXXXX XXX XXX FORMULIER XXXXX AFGEGEVEN/ (PL) XXXXXXXX(-X) X XXXĘ (XXXXXX) XXXĘXXXXX, KTÓRY XXXXŁ XXXXXXXXX FORMULARZ/ (XX) XXXXXXX(X) E XXXX(X) XXXXXXX(X) XX XXXXXXXXXXX QUE XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) NUMELE ȘX XXXXXXXXX XXXXȚXXXXXXXXX XXXX X EMIS XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) X XXXX(-X) ÚRADNÍKA, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX IME/IMENA XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (XX) XÄXÄX LOMAKKEEN XXXXXXXX XXXXXXXXXXX XXXXXXXX (-NIMET) XX ETUNIMI (-XXXXX)/ (XX) XXXXXXXXX XXX XÖXXXXX XÅ XXX XXÄXXXXXXX XXX HAR XXXÄXXXX DETTA XXXXXXÄX

6.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX FUNCIONARIO XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, XXXXX VYDAL TENTO XXXXXXXX/ (XX) XXXXXXXX — XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX DES XXXXXXX, XXX DIESES XXXXXXXX XXXXXXXXXXX HAT/ (ET) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX XX THE XXXXXXXX XXX ISSUED XXXX XXXX/ (FR) XXXXX XX XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) POST XX XXXXXXXX X X’XXXXXX XX XXXXXX SEO/ (XX) XXXXXXXX XXXXXXXXXX XXXX XX XXXXX XXXX OBRAZAC/ (IT) XXXXXXXXX XXX XXXXXXXXXXX XXX HA XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) AMATPERSONAS, XXXX XXXXXXXX ŠO XXXXXXXX, XXXXX/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (XX) KARIGA XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX VAN XX XXXXXXXXX DIE XXX XXXXXXXXX HEEFT XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX WYDAŁ NINIEJSZY XXXXXXXXX/ (XX) XXXXX XX XXXXXXXXXXX QUE XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) POZIȚIA XXXXȚXXXXXXXXX CARE X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX ÚRADNÍKA, XXXXX XXXXX TENTO XXXXXXXX/ (XX) POLOŽAJ XXXXXXXX, XX JE XXXXX XX XXXXXXX/ (XX) TÄMÄN XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXX/ (XX) BEFATTNING XÖX XXX TJÄNSTEMAN XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (DD/MM/AAAA) DE XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX KUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) DATE (XX/XX/XXXX) OF ISSUE/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXX/ (IT) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) IZDOŠANAS XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (HU) X XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX DE XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (DD/MM/LLLL) XXXXXX/ (XX) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) FÖR XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (ES) FIRMA/ (XX) PODPIS/ (XX) XXXXXXXXXXX/ (DE) UNTERSCHRIFT/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (EN) SIGNATURE/ (XX) SIGNATURE/ (GA) XXXXX/ (XX) POTPIS/ (XX) FIRMA/ (XX) XXXXXXXX/ (XX) PARAŠAS/ (XX) XXXXXXX/ (MT) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) PODPIS/ (XX) XXXXXX/ (FI) XXXXXXXXXXXXX/ (XX) NAMNTECKNING

6.5

(BG) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (XX) XXXXX NEBO XXXXXXX/ (DA) SEGL XXXXX STEMPEL/ (XX) XXXXXX ODER STEMPEL/ (XX) PITSER VÕI XXXXXX/ (EL) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX XXXXX/ (FR) XXXXX XX TIMBRE/ (XX) XXXXX NÓ XXXXXX/ (XX) XXX ILI XXXXX/ (XX) BOLLO X XXXXXX/ (XX) XĪXXXX XXX XXXXXXXX/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (MT) XXĠXXX JEW XXXXXX/ (XX) ZEGEL XX XXXXXXX/ (XX) XXXXXĘĆ XXX XXXXXXX/ (PT) XXXX XX XXXXXXX/ (XX) SIGILIUL SAU ȘXXXXXXX/ (XX) XXXXX XXXXX ODTLAČOK XXXXXXXX/ (XX) PEČAT XXX XXX/ (FI) SINETTI XXX XXXXX/ (XX) XXXXXX XXXXX XXÄXXXX

XXXXXXXXXXXX PARTNERSTVÍ

VÍCEJAZYČNÝ XXXXXXXXXX XXXXXXXX – XXXXXXX PRO XXXXXXX

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

Xxxxxx (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (CZ)

Dánsko (XX) Xxxxxxx (DE)

Estonsko (EE) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (HR)

Itálie (XX) Xxxx (XX)

Xxxxxxxx (LV) Xxxxx (XX)

Xxxxxxxxxxx (LU)

Maďarsko (XX) Malta (XX)

Xxxxxxxxxx (XX) Xxxxxxxx (AT)

Polsko (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Slovinsko (XX)

Xxxxxxxxx (XX) Xxxxxx (FI)

Švédsko (XX) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx xxxxxx xxxxxx vícejazyčného xxxxxxxxxxxx xxxxxxxxx xx usnadnění xxxxxxxx veřejné xxxxxxx, x xxx xx xxxxxxxx. Xxxxx formulář xx mezi členskými xxxxx nesmí pohybovat xxxx samostatný dokument.

Tento xxxxxxxx odráží xxxxx xxxxxxx xxxxxxx, x xxx xx xxxxxxxx. Xxxxx, jemuž xx xxxxxxx listina xxxxxxxxxxx, xxxx xxxx x xxxxxxxxx, xxx je xx xxxxxxxx xxx xxxxx xxxxxxxxxx xxxxxxx xxxxxxx, požadovat xxxxxxx xx přepis xxxxxxxxx, xxxxx xxxx xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX PRO XXXXXXXXXX XXXXX

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

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

1. ORGÁN XXXXXXXXXX XXXXX FORMULÁŘ

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

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

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

3.1.1 Rozhodnutí soudu

3.1.2 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx xxxxxx xxxxxxx xxxxxxxxx

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

3.1.5 Jiné (xxxxxxxxx)

(1) Xx. věst. X 200, 26.7.2016, x. 1.

(2) Xxx vyplňování xxxxx xxxxxxxx hůlkové xxxxx.

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

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

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Osvědčení

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

3.5 Xxxxxxx vyhotovená xxxxxxxxxxxxx zástupcem xxxx xxxxxxxxxxx xxxxxxxxx členského xxxxx x rámci xxxxxx jeho xxxxxxxxxx xxxxxxxxxx

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx číslo xxxxxxx listiny

4. REGISTROVANÉ XXXXXXXXXXX

4.1 Xxxxx (xx/xx/xxxx) xxxxxxxxxx partnerství

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

5. XXXXXXX/XXXXXXXXX A

5.1 Rodné/á xxxxxxxx

5.2 Xxxxxxxx xxxx xxxxxxxxx xxxxxxxxxxxxxx partnerství

5.3 Xxxxxxxx xx xxxxxxxx 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 Neurčeno

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

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

6. XXXXXXX/XXXXXXXXX X

5.1 Xxxxx/x xxxxxxxx

5.2 Xxxxxxxx xxxx xxxxxxxxx registrovaného xxxxxxxxxxx

5.3 Xxxxxxxx xx uzavření xxxxxxxxxxxxxx xxxxxxxxxxx

5.4 Xxxxx (xxxxx)

5.5 Datum (xx/xx/xxxx) xxxxxxxx

5.6 Pohlaví:

5.6.1 Žena

5.6.2 Xxx

5.6.3 Neurčeno

7. XXXX XXX XXXXXX

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

7.2 Xxxxxx xxxxxxxx, xxxxx xxxxx xxxxx xxxxxxxx

7.3 Datum (xx/xx/xxxx) vydání

7.4 Xxxxxx

7.5 Xxxxx nebo razítko

VÍCEJAZYČNÝ XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXXXXXXXX XXXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX QUE XXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX FORMULARS UDSTEDENDE XXXXXXXXX/ (DE) BEHÖRDE, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX VÄLJA XXXXXX XXXXXX/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) AUTHORITY XXXXXXX XXXX FORM/ (XX) XXXXXXXX XX XXXXXXXXXX XX PRÉSENT XXXXXXXXXX/ (GA) AN xXXXXXX A XXXXXXXX XX XXXXXX XXX/ (XX) TIJELO XXXX XXXXXX OVAJ XXXXXXX/ (XX) XXXXXXXÀ CHE XXXXXXXX XX XXXXXXXX XXXXXX/ (XX) VEIDLAPAS XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXX/ (XX) AWTORITÀ EMITTENTI XX' XXX IL-FORMOLA/ (XX) XXXXXXXXXX XXX XXXXXXX XXX DIT XXXXXXXXX/ (XX) XXXXX XXXXXĄXX NINIEJSZY FORMULARZ/ (XX) XXXXXXXXXX QUE XXXXX O XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ A XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) ORGAN, KI XXXX TA XXXXXXX/ (XX) 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/ (XX) XXXXXXXXXXX/ (FR) XXXXXXXXXXXX/ (XX)XXXXXXX/ (HR) NAZIV/ (XX) DENOMINAZIONE/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) MEGNEVEZÉS/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXÇÃX/ (RO) XXXXXXXX/ (XX) XXXXX/ (SL) XXX/ (FI) NIMI/ (XX) NAMN

2.

(BG) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) AUTORIDAD XXX XXXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXX MYNDIGHED, XXX XXX XXXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX DENNE XXXXXXXX XX XXXXÆXXXX/ (DE) XXXÖXXX, XXX XXX ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX, XXXXXXXXX/ (ET) XXXXXX, XXX XXXXX XÄXXX XXXXXXX XXXXXXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XXXXXXX XXX PUBLIC XXXXXXXX XX XXXXX XXXX XXXX IS XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXXXX DU XXXXXXXX XXXXXX XXXXXX EST XXXXX XX PRÉSENT XXXXXXXXXX/ (XX) AN xXXXXXX X XXXXXXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX SEO CEANGAILTE/ (XX) XXXXXX KOJE XXXXXX JAVNU ISPRAVU XXXXX JE OVAJ XXXXXXX PRILOŽEN/ (IT) XXXXXXXÀ CHE XXXXXXXX XX DOCUMENTO XXXXXXXX XXX IL PRESENTE XXXXXX È ALLEGATO/ (XX) PUBLISKĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX XX PIEVIENOTA, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX KURIO PRIDEDAMA XX FORMA, IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (XX) X FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX PUBBLIKU XX XXXXĦX HIJA MEHMUŻA XXX XX-XXXXXXX/ (XX) XXXXXXXXXX VAN AFGIFTE XXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX GEHECHT/ (XX) ORGAN WYDAJĄCY XXXXXXXX XXXĘXXXX, DO XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXXXX XXX EMITE X XXXXXXXXX XXXXXXX X QUE O XXXXXXXX FORMULÁRIO XXXX XXXXXX/ (RO) XXXXXXXXXXX XXXXXXXĂ A XXXXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, XX XXXXXX XX XXXXX FORMULÁR XXXXXXXXX/ (XX) XXXXX, XX XXXX XXXXX LISTINO, XX XX JE XXXXXXXX XX XXXXXXX/ (XX) VIRANOMAINEN, JOKA XX XXXXXXX YLEISEN XXXXXXXXXX, JOHON XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXX OFFICIELLA XXXXXXXX XXXX XXXXXX DETTA XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) INFORMACIÓN XXXXXXXX AL XXXXXXXXX XXXXXXX XX XXX XX ADJUNTA XXXX XXXXXXX/ (CZ) XXXXXXXXX XXXXXXXX SE XXXXXXX XXXXXXX, X NÍŽ XX XXXXXXXX TENTO XXXXXXXX/ (DA) OPLYSNINGER XXXXØXXXXX XXX XXXXXXXXXX XXXXXXXX, SOM DENNE XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXX ZUR ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX FORMULAR XXXXXXÜXX XXX/ (ET) XXXXX XXXXXXX DOKUMENDI XXXXX, XXXXXXX SEE XXXX XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXX XXXXXX DOCUMENT XX XXXXX XXXX FORM XX XXXXXXXX/ (FR) XXXXXXXXXXXX XXXXXXXXX AU XXXXXXXX PUBLIC XXXXXX XXX XXXXX XX XXXXXXX FORMULAIRE/ (GA) XXXXXXXX X BHAINEANN XXXX AN DOICIMÉAD XXXXXX XXXX XXXXXX XX XXXXXX SEO XXXXXXXXXX/ (HR) XXXXXXXXXXX XXXX SE XXXXXX XX XXXXX ISPRAVU XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXX AL XXXXXXXXX PUBBLICO CUI XX XXXXXXXX MODULO È ALLEGATO/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (XX) INFORMACIJA, SUSIJUSI XX XXXXXXXX DOKUMENTU, XXXX XXXXX PRIDEDAMA XX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXXX INFORMÁCIÓK/ (XX) INFORMAZZJONI DWAR XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX/ (XX) XXXXXXXXXX BETREFFENDE XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) INFORMACJE XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX ZAŁĄCZONY/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX XXXXXXXXX PÚBLICO X XXX O XXXXXXXX FORMULÁRIO XXXX XXXXXX/ (XX) INFORMAȚII XXXXXXXXXXX XX DOCUMENTUL XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) INFORMÁCIE X XXXXXXXX LISTINE, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) INFORMACIJE X XXXXX X XXXXX XXXXXXX, XX XX XX PRILOŽEN TA XXXXXXX/ (FI) TIEDOT XXXXXXXXÄ ASIAKIRJASTA, XXXXX XÄXÄ LOMAKE LIITETÄÄN/ (XX) XXXXXXXXXXX XX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX DETTA XXXXXXÄX ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (ES) XXXXXXXXX XXXXXXXX XXX XXX XXXXXXXXX X XX XXXXXXXXXXX XXXXXXXXX X XXX XXXXXXX XXXXXXXXXXXXXXXX XX XX ESTADO XXXXXXX/ (CZ) XXXXXXX XXXXXX ORGÁNEM XXXX XXXXXXXXX X XXXXXX XX SOUDY XXXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXXX, XXX ER XXXXXXX XX EN XXXXXXXXX XXXXX XX XXXXXXXXXX, DER XX XXXXXXXXXX DOMSTOLE X XX XXXXXXXXXXX/ (DE) XXXXXXX XXXXX XXXÖXXX XXXX XXXXX AMTSPERSON XXX XXXXX DER XXXXXXXXXXXX XXXXX MITGLIEDSTAATS/ (XX) 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) DOCUMENT XXXXXXXXX FROM AN XXXXXXXXX OR XX XXXXXXXX CONNECTED XXXX XXX XXXXXX XX XXXXXXXXX OF X XXXXXX STATE/ (XX) XXXXXXXX XXXXXXX X'XXX XXXXXXXX OU D'UN XXXXXXXXXXXXX XXXXXXXX D'UNE XXXXXXXXXXX X'XX XXXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX Ó XXXXXX XX Ó XXXXXXXXX X BHFUIL XXXXX XXXX NÓ XXXX XX XXXXXXXXXX XX LE XXXXX XX CHUID XXXXXXXXX/ (XX) ISPRAVA XXXX XX XXXXXX XXXXXX XXX SLUŽBENIK XXXX XXXXXX ČLANICE/ (IT) XXXXXXXXX XXXXXXX DA XX'XXXXXXXÀ X XX XX XXXXXXXXXXX XXXXXXXXXXXX XX UNA XXXXX XXXXXXXXXXXXX XX XXX XXXXX XXXXXX/ (XX) XXXXXXXXX, KURU IZSNIEGUSI XX XXXĪXXXXXXX XXXXĀX XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX XXXXXXXX XXXXXXXXXXXX XX XXXXXXŪXX, SUSIJUSIŲ XX VALSTYBĖS XXXĖX XXXXXXXX XX TRIBUNOLAIS/ (XX) XXXXXXXXX BÍRÓSÁGGAL XXXXXXXXXXXX XXXX XXXXXXX XXXX TISZTVISELŐ ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX XXXXXXXÀ JEW UFFIĊJAL XX XXXXXXXX XXXXX XXX-XXXXX XXX XX-XXXXXXXXX XX' XXXX XXXXXX/ (XX) XXXXXXXX AFGEGEVEN XXXX EEN XXXXXXXXXX XX AMBTENAAR XXXXXXXXX XXX EEN XXXXXXXXXXXX XXXXXXXXX VAN XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXX XĄXXXXXX XXX URZĘDNIKA XĄXXXXXX XXŃXXXX CZŁONKOWSKIEGO/ (XX) DOCUMENTO XXXXXXXXXXX XX UMA AUTORIDADE XX XX UM XXXXXXXXXXX XXXXXXXXXX DE XXXXXXXX XXXXXXXÇÃX XX XX XXXXXX-XXXXXX/ (XX) XXXXXXXX XXXX XX X AUTORITATE SAU XX XX XXXXȚXXXXX XX PE LÂNGĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (XX) XXXXXXX XXXXXX ORGÁNOM ALEBO XXXXXXXXX S VÄZBOU XX XXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX, XXXXXX S STRANI XXXXXX XXX XXXXXXXX XXXXX OBLASTI DRŽAVE XXXXXXX/ (FI) XXXXXXXXX, XXXXX ON XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX VIRKAMIES/ (XX) XXXXXXXX SOM XÄXXÖX FRÅN XX XXXXXXXXX XXXXX EN XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X XX MEDLEMSSTAT

3.1.1

(BG) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX JUDICIAL/ (XX) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (EL) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX DECISION/ (XX) XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXX XX xXXXXX/ (XX) XXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (XX) XXXXXX XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) RECHTERLIJKE XXXXXXXXXX/ (XX) ORZECZENIE XĄXXXX/ (XX) XXXXXÃX XXXXXXXX/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX EL XXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXX STÁTNÍM XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXXXX/ (XX) URKUNDE XXXXX STAATSANWALTSCHAFT/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX RIIKLIK XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX X PUBLIC XXXXXXXXXX/ (FR) XXXXXXXX XXXXXXX XX XXXXXXÈXX XXXXXX/ (GA) DOICIMÉAD X THAGANN Ó XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXX JE XXXXXX XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX PROKURORS/ (XX) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) ÜGYÉSZ XXXXX XXXXXXXXXX OKIRAT/ (MT) XXXXXXXX MAĦRUĠ XXXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX OPENBAAR XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX PROKURATORA/ (XX) XXXXXXXXX XXXXXXXXXXX DO XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX/ (XX) XXXXXXX XXXXXX PROKURÁTOROM/ (XX) LISTINA, XX XX XXXX XXXXXXX XXXXXXXXX/ (FI) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX ÅKLAGARVÄSENDET

3.1.3

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (ES) XXXXXXXXX EXPEDIDO XXX XX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) DOKUMENT XXXXXXX XX XX XXXXXXXXXXXXXÆX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX GERICHTS/ (XX) XXXXXXXX, XXXXX XX XÄXXX ANDNUD XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX EMANATING XXXX X XXXXX XX A XXXXX/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXX DE XXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXX XXXXXXXXXX SUDSKE XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (LV) DOKUMENTS, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (LT) TEISMO XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX TISZTVISELŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT MAĦRUĠ XXXX REĠISTRATUR TA' XXXXX/ (XX) XXXXXXXX XXXXXXXXX DOOR EEN XXXXXXXX/ (PL) DOKUMENT XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX XX UM XXXXXXX XX XXXXXÇX/ (XX) XXXXXXXX XXXX XX UN XXXXXXX XX XXXXXXȚXX/ (XX) XXXXXXX XXXXXX SÚDNYM XXXXXXXXX/ (SL) LISTINA, XX JO XXXX XXXXX USLUŽBENEC/ (XX) XXXXXXXXXXXXXX XXXXXXXXX ANTAMA XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXX («HUISSIER XX XXXXXXX»)/ (CZ) XXXXXXX XXXXXX SOUDNÍM XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX XX XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, MILLE XX XÄXXX XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤ(-ΡΙΑ) («XXXXXXXX XX JUSTICE»)/ (XX) XXXXXXXX XXXXXXXXX XXXX X JUDICIAL XXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) DOCUMENT XXXXXXX X'XX HUISSIER XX XXXXXXX/ (GA) XXXXXXXXX X XXXXXXX X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX JUSTICE”)/ (XX) ISPRAVA XXXX XX IZDAO SUDSKI XXXXXXXXX (XXXXXXXX DE XXXXXXX)/ (IT) XXXXXXXXX XXXXXXX XX XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX JUSTICE")/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (XXXXXXXX XX XXXXXXX)/ (LT) XXXXXXXXX (XXXXXXXX XX XXXXXXX) IŠDUOTAS XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXXX („XXXXXXXX DE XXXXXXX”) XXXXX KIÁLLÍTOTT OKIRAT/ (XX) DOKUMENT XXĦXXĠ XXXX UFFIĊJAL ĠXXXXXXXXXX ('XXXXXXXX DE XXXXXXX')/ (XX) DOCUMENT AFGEGEVEN XXXX XXX GERECHTSDEURWAARDER/ (XX) XXXXXXXX POCHODZĄCY XX XXXĘXXXXX SĄDOWEGO (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX XX UM XXXXXXÃX XX XXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXX DE XX EXECUTOR JUDECĂTORESC („XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX VYDANÁ XXXXXX VYKONÁVATEĽOM („HUISSIER XX XXXXXXX“)/ (XX) XXXXXXX, XX XX XXXX SODNI XXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) HAASTEMIEHEN (”HUISSIER XX JUSTICE”) ANTAMA XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX XXÅX XX STÄMNINGSMAN (HUISSIER XX JUSTICE)

3.1.5

(BG) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) XXXX (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) SONSTIGES (XXXXX XXXXXXX)/ (ET) MUU (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) OTHER (XX BE SPECIFIED)/ (XX) XXXXX (À XXXXXXXX)/ (XX) XXXX (XX XXXXX)/ (XX) XXXXXX (NAVESTI)/ (XX) XXXXX (XXXXXXXXX)/ (LV) XXXX (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (XX) XXXXX (KÉRJÜK PONTOSÍTANI)/ (XX) XĦXXXX (IPPREĊIŻA)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) XXXX (XXXXXĘ XXXXŚXXĆ)/ (XX) OUTROS (X XXXXXXXXXXX)/ (XX) XXXXX (A SE XXXXXXX)/ (XX) INÉ (XXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (FI) XXX XXXXXXXXX (TÄSMENNETTÄVÄ)/ (XX) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (ET) XXXXXXXXXXXXXX/ (EL) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ (HR) XXXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (LT) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) KÖZIGAZGATÁSI XXXXXX/ (MT) XXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (SV) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX/ (CZ) OSVĚDČENÍ/ (XX) XÅXXXXXXX/ (DE) XXXXXXXXXXXXX/ (ET) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (EN) XXXXXXXXXXX/ (FR) CERTIFICAT/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (LT) XXXXXX, XXXXXXXXXX/ (HU) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (PL) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) OSVEDČENIE/ (XX) XXXXXXXX/ (FI) XXXXXXXX/ (SV) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX XXXXXXXX XXXXX/ (CZ) XXXXX X MATRIKY/ (XX) XXXXXX FRA XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (EN) EXTRACT XXXX XXX CIVIL XXXXXX REGISTER/ (XX) XXXXXXX XX XXXXXXXX XX X'XXXX XXXXX/ (XX) XXXXXXX XX XX xXXXX XXXXXXX XXXXXXXXXX/ (XX) IZVADAK XX XXXXXXXX XXXXXXX XXXXXX/ (XX) ESTRATTO XX ATTO DI XXXXX XXXXXX/ (XX) XXXXXXXX NO XXXXXXXĀXXXĻX XXXX XXĢXXXXX/ (XX) XXXXXXX IŠ XXXXXXXĖX XŪXXĖX XXXŲ XXXXXXXX/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXX UIT XXX XXXXXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (PT) XXXXXXX XX ATOS XX REGISTO CIVIL/ (XX) EXTRAS XXX XXXXXXXXX DE XXXXX XXXXXĂ/ (SK) VÝPIS X XXXXXXXX OSOBNÉHO XXXXX/ (XX) XXXXXXX XX XXXXXXXX X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (ES) XXXXXXXX XXX XXXXX/ (XX) VÝPIS X XXXXXXXX XXXXXXXX/ (DA) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) AUSZUG XXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX XXX XXXXXXXXXX REGISTER/ (FR) XXXXXXX XX REGISTRE XX XX POPULATION/ (XX) XXXXXXX XX XX gCLÁR XXXXXX/ (XX) XXXXXXX XX XXXXXX XXXXXXXXXXXX/ (IT) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XX XXXXĪXXXĀXX XXĢXXXXX/ (LT) IŠRAŠAS XX XXXXXXXXŲ REGISTRO/ (XX) KIVONAT X XXXXXXXXXXXX- ÉS XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX MIR-REĠISTRU XXX-XXXXXXXXXXXX/ (XX) UITTREKSEL XXX HET XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX X XXXXXXXX LUDNOŚCI/ (XX) XXXXXXX XX XXXXXXX XX POPULAÇÃO/ (XX) XXXXXX DIN XXXXXXXXX XX XXXXXXȚĂ A XXXXXXȚXXX/ (XX) VÝPIS X XXXXXXXX OBYVATEĽOV/ (XX) IZPISEK XX XXXXXXXX PREBIVALSTVA/ (XX) XÄXXXÖXXXXXXXXXXXX/ (SV) UTDRAG XX BEFOLKNINGSREGISTER

3.2.4

(BG) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) COPIA XXXXXXX XX XXXXX XXX XXXXXXXX XXXXX/ (XX) XXXX XXXXXXXXXX ZÁZNAMŮ/ (XX) ORDRET KOPI XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (ET) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (EN) VERBATIM XXXX XX XXXXX XXXXXX XXXXXXX/ (FR) XXXXX INTÉGRALE D'ACTES XX X'XXXX XXXXX/ (XX) XXXX XXXXX XX FHOCAL XX XXXXXXX XX STÁDAS XXXXXXXXX/ (HR) XXXXXXXX XXXXXXXX IZ XXXXXXXXXX X XXXXXXX XXXXXX/ (XX) COPIA XXXXXXXXX XX ATTO XX XXXXX XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX REĢISTRA XXXXXXXX XXXXXXXXXX KOPIJA/ (XX) CIVILINĖS BŪKLĖS XXXŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (HU) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (MT) KOPJA XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXX XXX AKTEN XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (PT) XXXXXXÃX XX XXXXX XXXXXXXX XX XX XXXXXXXXX XX XXXX XX XXXXXXX XXXXX/ (RO) XXXXX EXACTĂ X XXXX ACT XX XXXXX XXXXXĂ/ (XX) XXXXXXXX XXXXX XX XXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXX XXXXXX XXXXXX X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX XX FOLKBOKFÖRINGSHANDLING

3.3

(BG) НОТАРИАЛЕН АКТ/ (XX) ACTA XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) NOTARIELLE XXXXXXX/ (ET) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) XXXX XXXXXXX/ (XX) GNÍOMH NÓTAIREACHTA/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX NOTARILE/ (XX) NOTARIĀLS XXXX/ (XX) XXXXXXXXX AKTAS/ (XX) KÖZJEGYZŐI OKIRAT/ (XX) ATT XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (XX) XXX XXXXXXXXXX/ (XX) ATO 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) CERTIFICACIÓN XXXXXXX XXXXXX XXXXX UN XXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXX, KTERÝM XXXX OPATŘENA XXXXXXX XXXXXXXXX XXXXXXXXX OSOBOU/ (XX) XXXXXXXX XÅXXXXXXX XÅ XX DOKUMENT XXXXXXXXXXX XX XX XXXXXX X XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (XX) AMTLICHE XXXXXXXXXXXXX XXX XXXXX XXXXXXXXXXXXX/ (XX) ISIKU POOLT XXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX AMETLIK TÕEND/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX XXXXXX ON X XXXXXXXX SIGNED XX X PERSON XX HIS XX XXX XXXXXXX CAPACITY/ (XX) DÉCLARATION XXXXXXXXXX XXXXXXX SUR UN XXXX SOUS XXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX A CHUIRTEAR XX XXXXXXXXXX XXXX XXXXXX XX DUINE XXX XXXXX XX XXX XXXX PHRÍOBHÁIDEACH/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX XX XXXXXXX XXXX XX XXXXX XXXXXXXXX U PRIVATNOM XXXXXXXX/ (XX) DICHIARAZIONE XXXXXXXXX XXXXXXX SU XXX SCRITTURA XXXXXXX/ (XX) XXXXXĀXX APLIECINĀJUMS XX XXXXXXXXX, XX XXXĀ VĀRDĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (XX) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ OFICIALŪS XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (MT) ĊXXXXXXXXX XXXXĊXXXX LI XXXXXXXĦXX F'DOKUMENT IFFIRMAT XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX CERTIFICAAT XX XXX DOCUMENT ONDERTEKEND XXXX XXX XXXXXXX XX ZIJN XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX PRYWATNYM/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX XXX XX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX OFICIAL XXXXXXX XX UN XXXXXXXX XXX XXXXĂXXXĂ PRIVATĂ/ (XX) XXXXXX OSVEDČENIE XXXXXXX XX XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXXX IZJAVA XX XXXXXXX LISTINI/ (XX) VIRALLINEN XXXXXXXX XXXXXXXXXXXX, XXXXX HENKILÖ XX XXXXXXXXXXXXXXXX YKSITYISHENKILÖNÄ/ (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) DOCUMENTO XXXXXXXX POR XX XXXXXX XXXXXXXXXXX O XXXXXXXX XX XX XXXXXX MIEMBRO XXX XXXXXXXX OFICIAL/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX NEBO KONZULÁRNÍM XXXXXXXXX ČLENSKÉHO XXXXX X XXXXX XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX XX XX XXXXXXXXXXXX DIPLOMATISKE XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (XX) XXX XXXXX DIPLOMATISCHEN XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXXX IN XXXXXX XXXXXXXXX FUNKTION XXXXXXXXXX XXXXXXX/ (ET) XXXXXXXXXXXX XXXXXXXXXXXXXX VÕI XXXXXXXXXXXXXXXXX POOLT XXXXXXXXXXXXXXX XÄXXXXXXX KOOSTATUD XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX DRAWN XX XX A XXXXXXXXXX OR XXXXXXXX XXXXX XX A XXXXXX XXXXX IN XXX XX XXX XXXXXXXX XXXXXXXX/ (FR) XXXXXXXX XXXXXX XX XX QUALITÉ XXXXXXXXXX XXX XX AGENT XXXXXXXXXXXX OU XXXXXXXXXX X'XX ÉTAT XXXXXX/ (XX) DOICIMÉAD XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX NÓ XXXXXXXXX DE CHUID XXXXXXXXX XXX XXXXX XX XXX CÁIL XXXXXXXXX/ (HR) ISPRAVA XXXX XX X XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX DIPLOMATICI X XXXXXXXXX XX XXX XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (XX) DOKUMENTS, XXXX, XXXXXX XXXXX XXXXĀXXXXX, SAGATAVOJIS DALĪBVALSTS XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (LT) DOKUMENTAS, XXXXXXXXX VALSTYBĖS XXXĖX XXXXXXXXX XX XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX PAGAL XXXXXXXXXX ĮXXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX XXXXX HIVATALOS XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXXX XXXX XĠXXX DIPLOMATIKU JEW XXXXXXXXX XX' STAT XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (NL) XXXXXXXX XXXXXXXXX XXXX DE XXXXXXXXXXXX OF XXXXXXXXXX XXXXXXXXX XXX EEN XXXXXXXX XX XXXX XXXXXXËXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX W XXXXXXXXXXX XXXĘXXXXX/ (PT) XXXXXXXXX LAVRADO XXX XX XXXXXX DIPLOMÁTICO XX XXXXXXXX XX XX ESTADO-MEMBRO NO XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (RO) XXXXXXXX ÎNTOCMIT XX XĂXXX UN XXXXX XXXXXXXXXX XXX XXXXXXXX XX XXXX STAT XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM XXXXXXXXX XXXXX KONZULÁRNYM XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXX/ (SL) XXXXXXX, XX XX XXX XXXXXX XXXXX IZDA XXXXXXXXXXX XXX KONZULARNI XXXXXXXXXXX DRŽAVE XXXXXXX/ (XX) ASIAKIRJA, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXÄXXXX I XXÄXXXXX AV XX XXXXXXXXXXX ELLER XXXXXXÄX XXÄXXXXXXX I EN 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)/ (XX) XXXXXXXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (JJ/MM/AAAA) XX DÉLIVRANCE/ (GA) XXXX (LL/MM/BBBB) EISIÚNA/ (XX) XXXXX (DD/MM/GGGG) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (GG/MM/AAAA)/ (XX) IZDOŠANAS DATUMS (XX/XX/XXXX)/ (XX) IŠDAVIMO XXXX (DD/MM/MMMM)/ (XX) X KIÁLLÍTÁS XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (NL) XXXXX (DD/MM/JJJJ) VAN XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) EMITERII/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXX DOKUMENDI XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX XX THE XXXXXX DOCUMENT/ (XX) XXXXXX XX XXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) UIMHIR THAGARTHA XX XXXXXXXXX PHOIBLÍ/ (XX) REFERENTNI XXXX XXXXX XXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX/ (XX) PUBLISKĀ XXXXXXXXX XXXXXXXX NUMURS/ (XX) XXXXXXX DOKUMENTO NUMERIS/ (XX) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX VAN XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXX XX XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX DE XXXXXXXȚĂ XX DOCUMENTULUI OFICIAL/ (XX) REFERENČNÉ ČÍSLO XXXXXXXX LISTINY/ (XX) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) YLEISEN XXXXXXXXXX XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) РЕГИСТРИРАНО ПАРТНЬОРСТВО/ (XX) XXXXX DE XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXX PARTNERSTVÍ/ (XX) XXXXXXXXXXX PARTNERSKAB/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX KOOSELU/ (XX) ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΥΜΒΙΩΣΗ/ (EN) XXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXXX/ (HR) XXXXXXXXXXXX PARTNERSTVO/ (IT) XXXXXX XXXXXXXXXX/ (XX) XXĢXXXXĒXXX XXXXXXXXXXXXXĪXXX/ (XX) XXXXXXXXXXX XXXXXXXXXXĖ/ (XX) XXXXXXXXXX ÉLETTÁRSI KAPCSOLAT/ (XX) SĦUBIJA XXXĠXXXXXXX/ (XX) XXXXXXXXXXXXX PARTNERSCHAP/ (XX) ZAREJESTROWANY ZWIĄZEK XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX ÎXXXXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX XXXXXXXX/ (FI) XXXXXXXXÖXXX XXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXXX

4.1

(XX) ДАТА (ДД/ММ/ГГГГ) НА РЕГИСТРИРАНЕ НА АКТА/ (ES) XXXXX (XX/XX/XXXX) DE XXXXXXXXXXX XX XX XXXXX XX XXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXXX XXXXXXXXXXX/ (XX) XXXX (XX/XX/ÅÅÅÅ) XXX XXXXXXXXXXXXXX XX XXXXXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXXXXX XXX XXXXXXXXXXXXX/ (XX) KOOSELU XXXXXXXXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΚΑΤΑΧΩΡΙΣΗΣ ΤΗΣ ΠΡΑΞΗΣ/ (XX) DATE (XX/XX/XXXX) XX XXX XXXXXXXXXXXX XX XXX XXXXXXXXXXX/ (XX) XXXX (JJ/MM/AAAA) X'XXXXXXXXXXXXXX DU XXXXXXXXXXX/ (XX) DÁTA (XX/XX/XXXX) XXXXXX XX PÁIRTNÉIREACHTA/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXXXXXX XXXXXXXXXXX/ (IT) XXXX DI XXXXXXXXXXXXX XXXX'XXXX (GG/MM/AAAA)/ (LV) XXXXXXXXXXXXXĪXX REĢISTRĀCIJAS XXXXXX (XX/XX/XXXX)/ (XX) PARTNERYSTĖS XXXXXXXXXXXXX DATA (XX/XX/XXXX)/ (XX) XX ÉLETTÁRSI XXXXXXXXX XXXXXXXXXXXXX IDEJE (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) XXX-XXĠXXXXXXXXXXX XXX-XĦXXXXX/ (XX) XXXXX (DD/MM/JJJJ) XXX DE REGISTRATIE XXX XX AKTE/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXXXX XXXĄXXX PARTNERSKIEGO/ (XX) XXXX DE XXXXXXX DA XXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) ÎXXXXXXXXĂXXX XXXXXXX/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXXXX REGISTROVANÉHO PARTNERSTVA/ (XX) XXXXX (DD/MM/LLLL) XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) PARISUHTEEN REKISTERÖINTIPÄIVÄ (XX/XX/XXXX)/ (SV) DATUM (XX/XX/ÅÅÅÅ) XÖX REGISTRERING XX XXXXXXXXXXXXX

4.2

(XX) МЯСТО И ДЪРЖАВА НА РЕГИСТРИРАНЕ НА АКТА/ (XX) LUGAR X XXXX XX INSCRIPCIÓN XX XX XXXXX XX XXXXX/ (XX) XXXXX X XXXX XXXXXXXXXX PARTNERSTVÍ/ (XX) XXXX XX XXXX XXX XXXXXXXXXXXXXX XX XXXXXXXXXXXXX/ (XX) XXX XXX LAND XXX XXXXXXXXXX DER XXXXXXXXXXXXX/ (XX) KOOSELU XXXXXXXXXXXXXXX XXXX XX XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΚΑΤΑΧΩΡΙΣΗΣ ΤΗΣ ΠΡΑΞΗΣ/ (XX) XXXXX XXX XXXXXXX XX XXX XXXXXXXXXXXX XX XXX XXXXXXXXXXX/ (XX) XXXX ET XXXX X'XXXXXXXXXXXXXX XX XXXXXXXXXXX/ (XX) XXX AGUS XXX CHLÁRÚ XX XXXXXXXXXXXXXXX/ (XX) MJESTO X XXXXXX REGISTRIRANJA XXXXXXXXXXX/ (XX) XXXXX X XXXXX XX XXXXXXXXXXXXX XXXX'XXXX/ (XX) XXXXXXXXXXXXXĪXX XXĢXXXXĀXXXXX VIETA XX VALSTS/ (LT) XXXXXXXXXXĖX REGISTRACIJOS XXXXX XX ŠALIS/ (XX) XX ÉLETTÁRSI XXXXXXXXX XXXXXXXXXXXXX HELYE XX XXXXXXX/ (XX) XXXX X PAJJIŻ XXX-XXĠXXXXXXXXXXX XXX-XĦXXXXX/ (XX) XXXXXX XX XXXX VAN XX XXXXXXXXXXX XXX XX XXXX/ (PL) XXXXXXX X XXŃXXXX XXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX / (XX) XXXXX X PAÍS DE XXXXXXX DA XXXXXXXX/ (XX) LOCUL ȘX ȚXXX ÎNREGISTRĂRII XXXXXXX/ (XX) XXXXXX A XXXX UZAVRETIA REGISTROVANÉHO XXXXXXXXXXX/ (XX) KRAJ XX XXXXXX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (FI) XXXXXXXXXXX XXXXXXXXÖXXXXXXXXXX XX -XXX/ (XX) XXX XXX LAND DÄR XXXXX REGISTRERADES

5.

(BG) ПАРТНЬОР А/ (ES) XXXXXXX X/ (XX) XXXXXXX/XXXXXXXXX X/ (DA) XXXXXXX X/ (XX) XXXXXXX X/ (XX) XXXXXXX X/ (XX) ΣΥΝΤΡΟΦΟΣ Α/ (EN) XXXXXXX X/ (XX) XXXXXXXXXX X/ (GA) XXXXXXXXX X/ (XX) XXXXXXX X/ (IT) XXXXXXX X/ (LV) PARTNERIS X/ (XX) PARTNERIS X/ (XX) „X” XXXXXXXXX/ (MT) XXXĦXX X/ (XX) XXXXXXX X/ (XX) XXXXXXX X/ (PT) XXXXXXXX X/ (XX) XXXXXXXXXX X/ (SK) PARTNER X/ (SL) PARTNER X/ (XX) XXXXXXXX X/ (SV) PARTNER X

5.1

(XX) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (XX) XXXXXXXX(X) XX XXXXXXXXXX/ (XX) RODNÉ/Á PŘÍJMENÍ/ (XX) XXXXXXXXX(X) VED XØXXXXX/ (DE) XXXXXXXXXXXX(X) XXX XXX XXXXXX/ (XX) XÜXXXXÄXXXX PEREKONNANIMI (XÜXXXXÄXXXXX XXXXXXXXXXXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (EN) SURNAME(S) XX XXXXX/ (XX) XXX(X) À XX XXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXXXXXX/ (XX) XXXXXXX(XX) PRI XXĐXXXX/ (XX) COGNOME/I XXXX XXXXXXX/ (XX) XXXĀXXX(-X) XXXXXXXXX XXĪXĪ/ (LT) XXXXXXĖ (-ĖX), SUTEIKTA (-XX) GIMUS/ (XX) XXÜXXXXXX XXXXXXX NEVE(I)/ (XX) KUNJOM(/KUNJOMIJIET) XXX-XXXXXX/ (XX) ACHTERNA(A)M(EN) BIJ XX XXXXXXXX/ (XX) XXXXXXXX(-X) XXXXXX/ (PT) XXXXXXX(X) À XXXX XX XXXXXXXXXX/ (XX) XXXXXX XX XXȘXXXX/ (XX) XXXXX PRIEZVISKO(-Á)/ (XX) PRIIMEK/PRIIMKI XX XXXXXXX/ (FI) SUKUNIMI (-XXXXX) XXXXXXÄXXXXXXXÄ/ (XX) XXXXXXXXX VID XÖXXXXX

5.2

(XX) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ АКТА/ (XX) XXXXXXXX(X) XXXXX DE LA XXXXXXXXXXX/ (XX) XXXXXXXX XXXX XXXXXXXXX REGISTROVANÉHO XXXXXXXXXXX/ (DA) XXXXXXXXX(X) XØX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX DER XXXXXXXXXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX (-NIMED) XXXX REGISTREERIMIST/ (EL) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΑΠΟ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (XX) XXXXXXX(X) BEFORE XXX XXX/ (FR) XXX(X) XXXXX L'ACTE/ (XX) XXXXXXX (XXXXXXXX) XXXXX XX nGNÍOMH/ (XX) PREZIME(NA) XXXXX XXXXXXXXXXXXX PARTNERSTVA/ (IT) XXXXXXX/X XXXXX XXXX'XXXX/ (XX) XXXĀXXX(-X) XXXXX XXXX/ (XX) XXXXXXĖ (-ĖX) PRIEŠ XXXXXXXX XXXĄ/ (HU) XXXXXXX XXXX(X) AZ ÉLETTÁRSI XXXXXXXXX BEJEGYZÉSE XXŐXX/ (XX) XXXXXX(/XXXXXXXXXXX) QABEL X-XXX/ (XX) XXXXXXXX(X)X(XX) XXXX XX XXXX/ (XX) NAZWISKO(-A) XXXXX XXXXXXXXXXĄ ZWIĄZKU/ (XX) XXXXXXX(X) ANTES XX XXX/ (XX) XXXXXX ÎXXXXXX DE ÎXXXXXXXXXXXX XXXXXXXXXXXXXXX/ (XX) PRIEZVISKO(-Á) XXXX XXXXXXXXX REGISTROVANÉHO XXXXXXXXXXX/ (XX) PRIIMEK/PRIIMKI XXXX XXXXXXXXXXXX PARTNERSKE XXXXXXXXX/ (FI) XXXXXXXX (-XXXXX) ENNEN XXXXXXXXÖXXXXÄ/ (XX) XXXXXXXXX FÖRE XXXÅXXXXX

5.3

(XX) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА РЕГИСТРИРАНЕТО НА АКТА/ (ES) XXXXXXXX(X) DESPUÉS XX XX INSCRIPCIÓN/ (XX) XXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXX(X) XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXXX XXX XXXXXXXXXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX (-XXXXX) XÄXXXX XXXXXXXXXXXXXXX/ (XX) ΕΠΏΝΥΜΟ(-Α) ΜΕΤΑ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (XX) SURNAME(S) XXXXXXXXX XXX XXX/ (XX) XXX(X) À XX XXXXX DE X'XXXX/ (XX) XXXXXXX (XXXXXXXX) XXX ÉIS AN XXXXXX/ (XX) XXXXXXX(XX) XXXXX XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXX/X XXXX X'XXXX/ (XX) XXXĀXXX(-X) XĒX XXXX/ (XX) XXXXXXĖ (-ĖX) XX XXXX XXXXXXXX/ (XX) XXXXXXX XXXX(X) AZ XXXXXXXXX XXXXXXXXX BEJEGYZÉSE XXXX/ (XX) KUNJOM(/KUNJOMIJIET) XXXX L-ATT/ (XX) XXXXXXXX(X)X(XX) NA XX XXXX/ (PL) XXXXXXXX(-X) XX REJESTRACJI XXXĄXXX/ (XX) XXXXXXX(X) XXXX X XXX/ (XX) XXXXXX XXXĂ ÎNREGISTRAREA XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX(-X) XX XXXXXXXX REGISTROVANÉHO XXXXXXXXXXX/ (SL) XXXXXXX/XXXXXXX XX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXXXXXÖXXXXX JÄLKEEN/ (XX) EFTERNAMN EFTER XXXÅXXXXX

5.4

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) NOMBRE(S)/ (XX) XXXXX (JMÉNA)/ (DA) XXXXXXX(X)/ (DE) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (FR) XXXXXX(X)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (XX) XĀXXX(-X)/ (XX) VARDAS (-XX)/ (XX) UTÓNEVE(I)/ (XX) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (XX) IMIĘ (XXXXXX)/ (XX) NOME(S) PRÓPRIO(S)/ (XX) PRENUME/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (XX) XÖXXXXX

5.5

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) NAROZENÍ/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) DATE (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (JJ/MM/AAAA) XX NAISSANCE/ (GA) XXXX (XX/XX/XXXX) BREITHE/ (XX) DATUM (XX/XX/XXXX) XXĐXXXX/ (XX) DATA XX XXXXXXX (GG/MM/AAAA)/ (XX) DZIMŠANAS XXXXXX (XX/XX/XXXX)/ (LT) GIMIMO XXXX (DD/MM/MMMM)/ (HU) XXÜXXXXXX IDEJE (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) URODZENIA/ (XX) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXXXX/ (XX) DATUM (DD/MM/LLLL) XXXXXXX/ (FI) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

5.6

(XX) ПОЛ/ (XX) XXXX/ (XX) POHLAVÍ/ (XX) KØN/ (XX) XXXXXXXXXX/ (XX) SUGU/ (XX) ΦΥΛΟ/ (EN) XXX/ (XX) XXXX/ (XX) XXXXXX/ (HR) XXXX/ (XX) SESSO/ (XX) DZIMUMS/ (XX) XXXXX/ (HU) NEME/ (XX) XXXX/ (XX) XXXXXXXX/ (PL) XŁXĆ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) SPOL/ (XX) XXXXXXXXX/ (XX) XÖX

5.6.1

(XX) ЖЕНСКИ/ (ES) XXXXX/ (XX) ŽENA/ (XX) XXXXXX/ (DE) WEIBLICH/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) FEMALE/ (XX) XXXXXXX/ (GA) XXXXXXXX/ (XX) ŽENSKI/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XŐ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) FEMEIESC/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX

5.6.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (DA) XXXX/ (XX) MÄNNLICH/ (ET) XXXXXXXXX/ (EL) ΑΡΡΕΝ/ (XX) XXXX/ (FR) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) VYRAS/ (HU) XXXXX/ (XX) RAĠEL/ (XX) XXX/ (XX) XĘŻXXXXXX/ (PT) XXXXXXXXX/ (XX) BĂRBĂTESC/ (XX) XXXXXX/ (XX) MOŠKI/ (XX) MIES/ (XX) XXX

5.6.3

(XX) НЕОПРЕДЕЛЕН/ (ES) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) UBESTEMT/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) UNDETERMINED/ (FR) XXXXXXXXXXX/ (GA) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) MHUX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) PŁEĆ XXXXXXXŚXXXX/ (XX) XÃX DEFINIDO/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (SL) XXXXXXXXX/ (XX) MÄÄRITTELEMÄTÖN/ (SV) XX FASTSTÄLLT

6.

(BG) ПАРТНЬОР X/ (XX) MIEMBRO X/ (XX) XXXXXXX/XXXXXXXXX X/ (DA) XXXXXXX X/ (DE) PARTNER X/ (XX) XXXXXXX X / (EL) ΣΥΝΤΡΟΦΟΣ X/ (EN) XXXXXXX X/ (XX) XXXXXXXXXX B/ (XX) XXXXXXXXX X/ (XX) XXXXXXX B/ (XX) XXXXXXX X/ (XX) XXXXXXXXX X/ (XX) XXXXXXXXX X/ (HU) „X” XXXXXXXX/ (XX) XXXĦXX X/ (XX) XXXXXXX X/ (XX) XXXXXXX X/ (XX) XXXXXXXX B/ (XX) XXXXXXXXXX B/ (SK) XXXXXXX X/ (SL) XXXXXXX X/ (FI) XXXXXXXX X/ (SV) XXXXXXX B

7.

(BG) ПОЛЕ ЗА ПОДПИС/ (ES) XXXXXXXX XXXX XX XXXXX/ (XX) XXXX XXX PODPIS/ (DA) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) ALLKIRJALAHTER/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) XXXXX XXXX LA XXXXXXXXX/ (XX) BOSCA XXX XXXXX/ (XX) XXXXX ZA XXXXXX/ (XX) RIQUADRO PER XX XXXXX/ (LV) XXXXXXXX XXXXX/ (LT) XXXXXX XXXXXXXX/ (HU) XX XXXXXXX XXÖXXXXXXXXX/ (XX) KAXXA XXX-XXXXXXXX/ (XX) VAK XXXX XX HANDTEKENING/ (XX) XXXX XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX XXXXXX/ (SL) POLJE XX XXXXXX/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (XX) XXXX XÖX XXXXXXXXXXXXXX

7.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X XXXXXX(X) XXX XXXXXXXXXXX QUE XXXXXXX XXXX IMPRESO/ (XX) XXXXXXXX X XXXXX (XXXXX) XXXXXXXX, XXXXX XXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXXX(X) OG XXXXXXX(X) XÅ XXX XXXXXXXXXX, DER HAR XXXXXXX XXXXX XXXXXXXX/ (XX) FAMILIENNAME(N) XXX XXXXXXX(X) DES BEAMTEN, XXX XXXXXX FORMULAR XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX EESNIMI (-XXXXX) XX XXXXXXXXXXXXX (-NIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXX(X) AND FORENAME(S) XX THE XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) XXX(X) XX XXXXXX(X) DU XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XXXXXXX (XXXXXXXX) AGUS XXXXXXXX (XXXXXXXXXXXXXX) AN XXXXXXXX X X’XXXXXX AN XXXXXX SEO/ (HR) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX KOJI XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXX/X E XXXX/X XXX XXXXXXXXXXX XXX XX RILASCIATO XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX VEIDLAPU, XXXĀXXX(-X) XX VĀRDS(-I)/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX PAVARDĖ (-ĖX) IR XXXXXX (-XX)/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX TISZTVISELŐ XXXXXXX XXXX(X) XX XXXXXXX(X)/ (XX) KUNJOM(/KUNJOMIJIET) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦAREĠ DIN XX-XXXXXXX/ (NL) NA(A)M(EN) XX XXXXXX(X)X(XX) XXX XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (PL) NAZWISKO(-A) X XXXĘ (IMIONA) XXXĘXXXXX, KTÓRY XXXXŁ XXXXXXXXX XXXXXXXXX/ (PT) XXXXXXX(X) X NOME(S) XXXXXXX(X) XX FUNCIONÁRIO XXX XXXXXX O XXXXXXXX FORMULÁRIO/ (XX) XXXXXX ȘI XXXXXXXXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) X XXXX(-X) ÚRADNÍKA, XXXXX XXXXX TENTO XXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX XXX/XXXXX XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (FI) TÄMÄN XXXXXXXXX XXXXXXXX VIRKAMIEHEN XXXXXXXX (-XXXXX) JA XXXXXXX (-NIMET)/ (XX) XXXXXXXXX OCH XÖXXXXX XÅ XXX XXÄXXXXXXX XXX HAR XXXÄXXXX XXXXX XXXXXXÄX

7.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX DEL XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX — XXX XXXXXXXXXX, XXX XXX XXXXXXX DENNE XXXXXXXX/ (XX) XXXXXXXX XXX BEAMTEN, DER XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (ET) XÄXXXXXXX XXXXX XÄXXXXXXXXX AMETNIKU XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX XX THE XXXXXXXX XXX ISSUED XXXX XXXX/ (XX) XXXXX XX XXXXXXXXXXXXX QUI X XXXXXXX LE XXXXXXX FORMULAIRE/ (GA) XXXX XX OIFIGIGH X X’XXXXXX XX XXXXXX SEO/ (XX) XXXXXXXX XXXXXXXXXX KOJI XX XXXXX OVAJ XXXXXXX/ (XX) XXXXXXXXX XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX VEIDLAPU, XXXXX/ (XX) XXĄ FORMĄ XXXXXXXXX XXXXXXŪXX PAREIGOS/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ BEOSZTÁSA/ (XX) XXXXXX TAL-UFFIĊJAL XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) FUNCTIE XXX DE XXXXXXXXX XXX XXX FORMULIER XXXXX AFGEGEVEN/ (PL) XXXXXXXXXX XXXĘXXXXX, KTÓRY XXXXŁ NINIEJSZY FORMULARZ/ (XX) XXXXX XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX FORMULÁRIO/ (XX) XXXXȚXX XXXXȚXXXXXXXXX XXXX A XXXX XXXXXXXXX FORMULAR/ (XX) XXXXXXX XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XX JE XXXXX XX OBRAZEC/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXX/ (SV) XXXXXXXXXX XÖX XXX XXÄXXXXXXX SOM XXX XXXÄXXXX XXXXX XXXXXXÄX

7.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXX/ (XX) UDSTEDELSESDATO (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) VÄLJAANDMISE XXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (JJ/MM/AAAA) DE XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/GGGG) IZDAVANJA/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) DATUM (XX/XX/XXXX) VAN 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/ (XX) XXXXX (DD/MM/LLLL) XXXXXX/ (XX) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (XX) DATUM (DD/MM/ÅÅÅÅ) XÖX XXXÄXXXXXX

7.4

(XX) ПОДПИС/ (XX) FIRMA/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) SIGNATURE/ (XX) XXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (IT) XXXXX/ (XX) PARAKSTS/ (XX) PARAŠAS/ (XX) XXXXXXX/ (XX) FIRMA/ (XX) HANDTEKENING/ (XX) XXXXXX/ (PT) ASSINATURA/ (XX) SEMNĂTURA/ (XX) XXXXXX/ (XX) PODPIS/ (XX) ALLEKIRJOITUS/ (XX) XXXXXXXXXXXX

7.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (XX) XXXXX XXXX XXXXXXX/ (XX) XXXX ELLER XXXXXXX/ (XX) SIEGEL XXXX STEMPEL/ (XX) XXXXXX VÕI XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX XXXXX/ (XX) XXXXX XX XXXXXX/ (GA) XXXXX XX XXXXXX/ (HR) XXX ILI XXXXX/ (XX) XXXXX O XXXXXX/ (XX) ZĪMOGS XXX XXXXXXXX/ (LT) XXXXXXX XXXX XXXXXXXXXX/ (XX) PECSÉT VAGY XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX XXX TIMBRU/ (XX) XXXXX XX XXXXXXX/ (XX) PIECZĘĆ LUB XXXXXXX/ (XX) SELO XX CARIMBO/ (XX) XXXXXXXX XXX ȘXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXX PEČIATKY/ (XX) XXXXX ALI XXX/ (XX) XXXXXXX TAI XXXXX/ (XX) XXXXXX XXXXX XXÄXXXX

XXXXXXXXXXX X XXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX

XXXXXXXXXXX XXXXXXXXXX FORMULÁŘ – XXXXXXX XXX XXXXXXX

Xxxxxx 7 nařízení Evropského xxxxxxxxxx a Xxxx (XX) 2016/1191 xx xxx 6. července 2016 o podpoře xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxx na xxxxxxxxxxx některých veřejných xxxxxx x Evropské xxxx x x xxxxx nařízení (XX) x. 1024/2012 (1)

Xxxxxx (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (DK) Xxxxxxx (DE)

Estonsko (XX) Xxxxx (XX)

Xxxxx (EL) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (HR)

Itálie (XX) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxx (XX) Xxxxxxxx (AT)

Polsko (XX) Portugalsko (XX)

Xxxxxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Xxxxxx (XX)

Xxxxxxx (XX) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx xxxxxx xxxxxx vícejazyčného xxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxx xxxxxxxx xxxxxxx listiny, x níž xx xxxxxxxx. Xxxxx formulář xx mezi xxxxxxxxx xxxxx nesmí xxxxxxxxx xxxx samostatný dokument.

Tento xxxxxxxx xxxxxx obsah xxxxxxx xxxxxxx, x xxx xx xxxxxxxx. Xxxxx, xxxxx xx xxxxxxx xxxxxxx předkládána, xxxx xxxx x xxxxxxxxx, kdy xx xx xxxxxxxx xxx xxxxx xxxxxxxxxx xxxxxxx xxxxxxx, požadovat xxxxxxx xx xxxxxx xxxxxxxxx, xxxxx jsou ve xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX ORGÁN

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

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

1. XXXXX XXXXXXXXXX TENTO XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

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

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

3.1.1 Xxxxxxxxxx soudu

3.1.2 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Listina xxxxxx xxxxxx xxxxxxx úředníkem

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

3.1.5 Xxxx (xxxxxxxxx)

(1) Xx. věst. L 200, 26.7.2016, x. 1.

(2) Xxx xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

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

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

3.2 Xxxxxxx vydaná xxxxxxxx xxxxxx

3.2.1 Osvědčení

3.2.2 Xxxxx x xxxxxxx

3.2.3 Xxxxx x xxxxxxxx obyvatel

3.2.4 Xxxx xxxxxxxxxx záznamů

3.1.5 Xxxx (upřesněte)

3.3 Notářská xxxxxxx

3.4 Xxxxxx xxxxxxxxx, xxxxxx xxxx xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

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

3.6 Xxxxx (dd/mm/rrrr) xxxxxx

3.7 Xxxxxxxxxx číslo xxxxxxx xxxxxxx

4. XXXXXXXXX X XXXXXXX XXXXX

4.1 Xxxxxxxx

4.2 Jméno (xxxxx)

4.3 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.4 Xxxxx (1) x xxxx (2) narození

4.5 Xxxxxxx:

4.5.1 Xxxx

4.5.2 Muž

4.5.3 Xxxxxxxx

4.6 Xxxxxx příslušnost

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

5.1 Je xxxxxxx xxxxx způsobilá xxxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxx xxxxxxxxxxxxxx xxxxx xxxxxxxxx xxxxx, x xxxx xx veřejná xxxxxxx xxxxxx.

5.2 Xxxxxxx xxxxx patrně xxxxxxxxxx xxx xxxx xxxxxx xxxxxxxxxxxx xxxxxxxxxxx podle xxxxxxxxxxxxxx práva xxxxxxxxx xxxxx, v němž xx xxxxxxx xxxxxxx xxxxxx.

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

5.4 Xxxxxxxxxx xxxxx xxxxx xxxxxxxx registrovaného xxxxxxxxxxx mezi dotyčnou xxxxxx x xxxxx xxxxxxxx xxxxxxxxx / xxxx xxxxxxx xxxxxxxxxx xxxxx xxxxxxxxxxxxxx xxxxx xxxxxxxxx státu, x xxxx xx xxxxxxx xxxxxxx xxxxxx.

5.5 Xxxxxxxxxx xxxxx známá námitka xxxxx xxxxxxxx xxxxxxxxxxxxxx xxxxxxxxxxx xxxx dotyčnou xxxxxx x xxxxx xxxxxxxx partnerem / xxxx budoucí xxxxxxxxxx xxxxx xxxxxxxxxxxxxx práva xxxxxxxxx státu, v xxxx je veřejná xxxxxxx xxxxxx.

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

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

(3) Xxx xxxxxx xxxx možností.

6. XXXXXXXXX X BUDOUCÍM XXXXXXXXXX / XXXXXXX XXXXXXXXX DOTYČNÉ XXXXX

4.1 Xxxxxxxx

4.2 Xxxxx (xxxxx)

4.3 Xxxxx (dd/mm/rrrr) narození

4.4 Xxxxx (1) x xxxx (2) narození

4.5 Xxxxxxx:

4.5.1 Žena

4.5.2 Xxx

4.5.3 Xxxxxxxx

4.6 Xxxxxx xxxxxxxxxxx

7. XXXX PRO XXXXXX

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

7.2 Xxxxxx úředníka, xxxxx xxxxx tento xxxxxxxx

7.3 Xxxxx (dd/mm/rrrr) vydání

7.4 Xxxxxx

7.5 Xxxxx nebo xxxxxxx

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

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

XXXXXXXXXXX XXXXXX NÁZVŮ XXXXXXXXXXXX XXXXXXX

(XXXXXXXXXXX XX XXXXXX XX XXXXXXXXXXXXXX XXXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XXXX XXXXXXX/ (XX) XXXXX VYDÁVAJÍCÍ XXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXX UDSTEDENDE XXXXXXXXX/ (XX) BEHÖRDE, XXX XXXXXX FORMULAR XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX ISSUING XXXX XXXX/ (FR) XXXXXXXX DE XXXXXXXXXX XX PRÉSENT FORMULAIRE/ (XX) XX tÚDARÁS X XXXXXXXX XX XXXXXX SEO/ (HR) XXXXXX KOJE XXXXXX XXXX XXXXXXX/ (XX) XXXXXXXÀ CHE XXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX TA' XXX IL-FORMOLA/ (NL) XXXXXXXXXX VAN XXXXXXX XXX XXX XXXXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXX EMITE X XXXXXXXX XXXXXXXXXX/ (XX) AUTORITATEA XXXXXXXĂ X XXXXXXXXXXX FORMULAR/ (XX) XXXXX XXXXXXXXXX XXXXX FORMULÁR/ (SL) XXXXX, XX IZDA XX XXXXXXX/ (FI) XÄXÄX XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXX UTFÄRDAR FORMULÄRET

1.1

(BG) НАИМЕНОВАНИЕ/ (XX) DENOMINACIÓN/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (DE) BEZEICHNUNG/ (XX) XXXXXXX/ (EL) ΟΝΟΜΑΣΙΑ/ (XX) DESIGNATION/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) TITLU/ (XX) BENAMING/ (XX) XXXXX/ (PT) XXXXXXXÇÃX/ (XX) DENUMIRE/ (XX) XXXXX/ (XX) XXX/ (XX) XXXX/ (SV) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX ESTE IMPRESO/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, K XXX XX XXXXXXXX XXXXX FORMULÁŘ/ (XX) XXX XXXXXXXXX, XXX XXX UDSTEDT DET XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (DE) XXXÖXXX, XXX DIE ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX, XXXXXXXXX/ (XX) XXXXXX, XXX XXXXX VÄLJA XXXXXXX DOKUMENDI, XXXXXXX XXX VORM XX XXXXXXX/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXX DOCUMENT TO XXXXX XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXX DE DÉLIVRANCE XX DOCUMENT PUBLIC XXXXXX XXX JOINT XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX XX XXXXXXXXX POIBLÍ XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXX XXXX IZDAJE XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX MODULO È XXXXXXXX/ (LV) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX IR XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ DOKUMENTĄ, XXXX XXXXX XXXXXXXXX ŠI XXXXX, XXXXXXXXXX VALDŽIOS XXXXXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX TAD-DOKUMENT XXXXXXXX LI MIEGĦU XXXX MEHMUŻA XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX OPENBAAR XXXXXXXX XXXXXXX XXX XXXXXXXXX XX GEHECHT/ (PL) XXXXX WYDAJĄCY XXXXXXXX XXXĘXXXX, XX KTÓREGO XXXXXXXXX XXXXXXXXX JEST XXŁĄXXXXX/ (XX) AUTORIDADE XXX EMITE X XXXXXXXXX PÚBLICO X XXX O PRESENTE XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXXX EMITENTĂ X XXXXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXX VYDÁVAJÚCI XXXXXXX XXXXXXX, XX XXXXXX JE XXXXX XXXXXXXX XXXXXXXXX/ (SL) XXXXX, XX XXXX XXXXX LISTINO, XX XX XX XXXXXXXX XX XXXXXXX/ (FI) XXXXXXXXXXXX, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (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) INFORMACIÓN RELATIVA XX DOCUMENTO XXXXXXX XX XXX SE XXXXXXX XXXX IMPRESO/ (XX) INFORMACE TÝKAJÍCÍ XX XXXXXXX XXXXXXX, X XXX JE XXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX VEDRØRENDE XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) TEAVE XXXXXXX XXXXXXXXX XXXXX, MILLELE XXX XXXX XX XXXXXXX/ (EL) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) INFORMATION XXXXXXXX XX XXX PUBLIC XXXXXXXX XX XXXXX XXXX XXXX IS XXXXXXXX/ (FR) XXXXXXXXXXXX XXXXXXXXX AU XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) FAISNÉIS X BHAINEANN XXXX XX DOICIMÉAD XXXXXX XXXX BHFUIL AN XXXXXX XXX XXXXXXXXXX/ (XX) INFORMACIJE XXXX XX XXXXXX XX XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX IL XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (LT) XXXXXXXXXXX, XXXXXXXX SU XXXXXXXX XXXXXXXXX, PRIE XXXXX XXXXXXXXX XX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATRA XXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX DWAR XX-XXXXXXXX XXXXXXXX XX MIEGĦU XXXX MEHMUŻA DIN XX-XXXXXXX/ (NL) XXXXXXXXXX XXXXXXXXXXX HET XXXXXXXX XXXXXXXX WAARAAN XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXX DOTYCZĄCE XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX NINIEJSZY XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX RELATIVAS XX XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) INFORMAȚII REFERITOARE XX DOCUMENTUL XXXXXXX XX XXXX XXXX XXXXXX PREZENTUL XXXXXXXX/ (XX) XXXXXXXXXX O XXXXXXXX XXXXXXX, XX XXXXXX XX TENTO XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX V ZVEZI X JAVNO XXXXXXX, XX XX JE XXXXXXXX TA OBRAZEC/ (XX) TIEDOT YLEISESTÄ XXXXXXXXXXXX, XXXXX TÄMÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXXXX OM XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX DETTA XXXXXXÄX ÄX BIFOGAT

3.1

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX XXXXXXXX XXX XXX XXXXXXXXX X XX XXXXXXXXXXX XXXXXXXXX X XXX XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (XX) LISTINA VYDANÁ XXXXXXX XXXX XXXXXXXXX X VAZBOU NA XXXXX XXXXXX ČLENSKÉHO XXXXX/ (XX) XXXXXXXX, XXX XX UDSTEDT XX XX MYNDIGHED XXXXX XX XXXXXXXXXX, XXX XX XXXXXXXXXX XXXXXXXX I XX XXXXXXXXXXX/ (XX) XXXXXXX XXXXX BEHÖRDE ODER XXXXX AMTSPERSON XXX XXXXX XXX RECHTSPFLEGE XXXXX MITGLIEDSTAATS/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX XXXXXXXXX XXXXXX AMETIASUTUS XÕX XXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXX XX XX XXXXXXXX XXXXXXXXX XXXX THE XXXXXX XX TRIBUNALS XX A MEMBER XXXXX/ (XX) XXXXXXXX XXXXXXX X'XXX AUTORITÉ XX D'UN FONCTIONNAIRE XXXXXXXX X'XXX JURIDICTION X'XX XXXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X ÚDARÁS XX X XXXXXXXXX X XXXXXX XXXXX XXXX XX XXXX XX CÚIRTEANNA XX XX XXXXX XX XXXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXX XXX XXXXXXXXX XXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX XXXXXXX DA XX'XXXXXXXÀ X XX UN XXXXXXXXXXX APPARTENENTE XX XXX XXXXX XXXXXXXXXXXXX XX XXX XXXXX XXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX AR XXXĪXXXXXXX XXXXĀX XXXXXĪXX XXXXĀXX VAI AMATPERSONA/ (XX) XXXXXXXXXX, XXXXXXXX XXXXXXXX XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX XXXXXXXX XX TRIBUNOLAIS/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX XXXX HATÓSÁG XXXX XXXXXXXXXXŐ ÁLTAL KIÁLLÍTOTT XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX AWTORITÀ XXX XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX XXX XX-XXXXXXXXX XX' XXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX TOT XXX XXXXXXXXXXXX XXXXXXXXX XXX EEN XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX ORGANU XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXXXX XX XX UM XXXXXXXXXXX XXXXXXXXXX DE QUALQUER XXXXXXXÇÃX DE XX XXXXXX-XXXXXX/ (XX) DOCUMENT XXXX XX X XXXXXXXXXX SAU XX XX XXXXȚXXXXX DE XX XÂXXĂ INSTANȚELE XXXX STAT XXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXX XXXXX ÚRADNÍKOM X VÄZBOU XX XXXX ČLENSKÉHO XXXXX/ (XX) XXXXXXX, IZDANA X XXXXXX XXXXXX XXX URADNIKA XXXXX XXXXXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX, XXXXX XX XXXXXXX JÄSENVALTION XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX XX XXXXXXXXX XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX DOMSTOLSVÄSENDET I XX MEDLEMSSTAT

3.1.1

(BG) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (XX) ROZHODNUTÍ XXXXX/ (XX) DOMSTOLSAFGØRELSE/ (XX) XXXXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXX/ (GA) XXXXXXXX ÓN gCÚIRT/ (XX) XXXXXX ODLUKA/ (XX) XXXXXXXXX GIURISDIZIONALE/ (XX) XXXXXX XĒXXXX/ (XX) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (XX) DEĊIŻJONI TAL-QORTI/ (XX) XXXXXXXXXXXX BESLISSING/ (XX) ORZECZENIE XĄXXXX/ (XX) XXXXXÃX JUDICIAL/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX ROZHODNUTIE/ (XX) SODNA XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX EL XXXXXXXXXX XXXXXX/ (XX) LISTINA XXXXXX STÁTNÍM ZÁSTUPCEM/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXXXX/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXXXXXX/ (ET) DOKUMENT, XXXXX ON XÄXXX XXXXXX XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX X PUBLIC PROSECUTOR/ (XX) XXXXXXXX XXXXXXX XX MINISTÈRE PUBLIC/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX DAL XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX, KURU IZSNIEDZIS XXXXXXXXX/ (XX) PROKURORO XXXXXXXX XXXXXXXXXX/ (HU) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (NL) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXX XXXXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX DO XXXXXXXXXX XXXXXXX/ (XX) DOCUMENT XXXX XX XX XXXXXXXX/ (XX) XXXXXXX XXXXXX PROKURÁTOROM/ (SL) XXXXXXX, XX XX XXXX XXXXXXX TOŽILSTVO/ (XX) XXXXXXXXXX SYYTTÄJÄN XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (ES) XXXXXXXXX XXXXXXXX POR UN XXXXXXXXXX XXXXXXXX/ (CZ) XXXXXXX XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (DA) XXXXXXXX XXXXXXX AF XX JUSTITSSEKRETÆR/ (XX) XXXXXXX XXXXX URKUNDSBEAMTEN XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (ET) XXXXXXXX, XXXXX ON VÄLJA XXXXXX XXXXXXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (EN) XXXXXXXX XXXXXXXXX XXXX X XXXXX XX X XXXXX/ (XX) XXXXXXXX XXXXXXX D'UN XXXXXXXX/ (GA) XXXXXXXXX X THAGANN Ó XXXXXXXXXX XX XXXXX XXXXXX/ (XX) ISPRAVA XXXX XX IZDAO XXXXXXXXXX SUDSKE XXXXXXXXX/ (XX) XXXXXXXXX EMANATO XX UN XXXXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX TIESAS SEKRETĀRS/ (XX) XXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX OKIRAT/ (MT) XXXXXXXX XXĦXXĠ XXXX XXĠXXXXXXXX XX' QORTI/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX GRIFFIER/ (XX) DOKUMENT POCHODZĄCY XX SEKRETARZA SĄDOWEGO/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXX XX XXXXXÇX/ (XX) XXXXXXXX XXXX XX XX XXXXXXX AL XXXXXXȚXX/ (SK) XXXXXXX XXXXXX SÚDNYM XXXXXXXXX/ (XX) XXXXXXX, XX XX XXXX SODNI XXXXXXXXXX/ (XX) TUOMIOISTUIMEN XXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX EN XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (XX) DOCUMENTO XXXXXXXX XXX XX XXXXXX XXXXXXXX («XXXXXXXX DE XXXXXXX»)/ (CZ) LISTINA XXXXXX SOUDNÍM XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) DOKUMENT UDSTEDT XX EN STÆVNINGSMAND (»XXXXXXXX XX XXXXXXX«)/ (XX) XXXXXXX EINES XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX KOHTUTÄITUR/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («HUISSIER XX XXXXXXX»)/ (XX) XXXXXXXX EMANATING FROM X JUDICIAL XXXXXXX ('XXXXXXXX DE JUSTICE')/ (XX) DOCUMENT XXXXXXX X'XX HUISSIER DE XXXXXXX/ (XX) XXXXXXXXX X THAGANN X XXXXXXXXX XXXXXXXXXXXX (“HUISSIER XX XXXXXXX”)/ (XX) XXXXXXX XXXX XX XXXXX XXXXXX XXXXXXXXX (XXXXXXXX XX JUSTICE)/ (XX) XXXXXXXXX EMANATO XX XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (XXXXXXXX XX XXXXXXX)/ (XX) ANTSTOLIO (XXXXXXXX DE JUSTICE) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX XX JUSTICE')/ (XX) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXXXXXXXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX OD XXXĘXXXXX XĄXXXXXX (HUISSIER XX JUSTICE)/ (XX) XXXXXXXXX XXXXXXXXXXX DE XX XXXXXXÃX DE XXXXXXX («XXXXXXXX DE XXXXXXX»)/ (RO) XXXXXXXX XXXX XX UN XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXXXX SÚDNYM XXXXXXXXXXĽXX („HUISSIER DE XXXXXXX“)/ (SL) XXXXXXX, XX JO XXXX XXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX XX XXXXXXX”) XXXXXX XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX XX XXÄXXXXXXXXX (HUISSIER XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (ES) XXXX (ESPECIFÍQUESE)/ (CZ) XXXX (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (DE) XXXXXXXXX (XXXXX ANGEBEN)/ (XX) XXX (TÄPSUSTAGE)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX XX SPECIFIED)/ (XX) XXXXX (À XXXXXXXX)/ (XX) EILE (XX XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (IT) XXXXX (XXXXXXXXX)/ (XX) CITS (XXXXXXĒX)/ (LT) XXXX (XXXXXXXX)/ (HU) EGYÉB (XXXXÜX XXXXXXXXXXX)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (NL) XXXXXXX (SPECIFICEREN)/ (XX) XXXX (PROSZĘ OKREŚLIĆ)/ (XX) XXXXXX (X XXXXXXXXXXX)/ (XX) ALTUL (X SE XXXXXXX)/ (XX) XXX (SPRESNIŤ)/ (XX) DRUGO (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) ANNAN XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (ES) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX SPRÁVNÍM ÚŘADEM/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) URKUNDE EINER XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX DOCUMENT/ (XX) DOCUMENT ADMINISTRATIF/ (XX) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXXXXXXXXXXXXX/ (XX) ADMINISTRATIEF DOCUMENT/ (XX) DOKUMENT XXXXXXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) SPRÁVNA LISTINA/ (XX) XXXXXXX LISTINA/ (XX) HALLINNOLLINEN XXXXXXXXX/ (XX) ADMINISTRATIV XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) TÕEND/ (EL) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (EN) CERTIFICATE/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (HR) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (XX) TANÚSÍTVÁNY/BIZONYÍTVÁNY/ (XX) ĊERTIFIKAT/ (XX) XXXXXXXXXXX/ (XX) ZAŚWIADCZENIE/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) CERTIFICAT/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) INTYG

3.2.2

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (ES) XXXXXXXX XXX REGISTRO XXXXX/ (XX) XXXXX X XXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (XX) AUSZUG XXX XXX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) EXTRACT XXXX XXX XXXXX XXXXXX XXXXXXXX/ (FR) EXTRAIT XX XXXXXXXX DE X'XXXX CIVIL/ (GA) XXXXXXX XX XX xXXXX STÁDAIS XXXXXXXXXX/ (XX) XXXXXXX IZ XXXXXXXX XXXXXXX STANJA/ (XX) XXXXXXXX DI XXXX DI XXXXX XXXXXX/ (XX) IZRAKSTS XX XXXXXXXĀXXXĻX XXXX XXĢXXXXX/ (XX) IŠRAŠAS XX XXXXXXXĖX XŪXXĖX XXXŲ XXXXXXXX/ (HU) XXXXXÖXXXX XXXXXXX/ (MT) XXXXXXX MIR-REĠISTRU XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXX XXX HET XXXXXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) ODPIS XXXXXXXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXX XX ATOS DO XXXXXXX XXXXX/ (RO) XXXXXX XXX XXXXXXXXX XX XXXXX XXXXXĂ/ (XX) VÝPIS X XXXXXXXX XXXXXXXX XXXXX/ (XX) IZPISEK XX XXXXXXXX O XXXXXXX XXXXXX/ (FI) VÄESTÖREKISTERIOTE (XXXXXXXXÄÄXX)/ (XX) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (ES) EXTRACTO XXX XXXXX/ (CZ) XXXXX X XXXXXXXX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXX/ (DE) XXXXXX AUS DEM XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (EN) XXXXXXX XXXX XXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XX REGISTRE XX XX XXXXXXXXXX/ (XX) XXXXXXX AS XX xXXXX DAONRA/ (HR) XXXXXXX XX POPISA XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX/ (LV) IZRAKSTS XX XXXXĪXXXĀXX XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXXŲ XXXXXXXX/ (XX) XXXXXXX A SZEMÉLYIADAT- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX MIR-REĠISTRU XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX X REJESTRU XXXXXŚXX/ (PT) EXTRATO XX XXXXXXX XX XXXXXXÇÃX/ (RO) XXXXXX XXX XXXXXXXXX DE XXXXXXȚĂ A POPULAȚIEI/ (XX) XXXXX X XXXXXXXX OBYVATEĽOV/ (XX) XXXXXXX XX XXXXXXXX XXXXXXXXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX UR XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX XX XXXXX DEL XXXXXXXX XXXXX/ (XX) OPIS XXXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXX XX XXXXXXXXXXXXXXXXXXX/ (XX) WÖRTLICHE XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) VERBATIM XXXX XX CIVIL XXXXXX XXXXXXX/ (XX) XXXXX XXXXXXXXX X'XXXXX XX X'XXXX XXXXX/ (XX) XXXX XXXXX XX XXXXXX XX XXXXXXX XX XXXXXX SIBHIALTA/ (XX) XXXXXXXX PRIJEPIS XX XXXXXXXXXX X XXXXXXX XXXXXX/ (XX) XXXXX LETTERALE DI XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX XXĢXXXXX IERAKSTU XXXXXXXXXX XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮXXXŲ PAŽODINĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX XXX SZERINTI XXXXXXXX/ (XX) KOPJA XXXXXXXX XXX-XXXX XXX-XXXXX ĊIVILI/ (XX) XXXXXXXXXXX XXXXXXXXX XXX XXXXX XXX XX BURGERLIJKE STAND/ (XX) ODPIS XXXXŁXX XXXX XXXXX XXXXXXXXX/ (XX) CERTIDÃO XX XXXXX XXXXXXXX XX XX NARRATIVA XX XXXX DE XXXXXXX XXXXX/ (RO) XXXXX XXXXXĂ X UNUI XXX XX STARE XXXXXĂ/ (SK) XXXXXXXX XXXXX ZO XXXXXXX X OSOBNOM XXXXX/ (XX) XXXXXXXXX XXXXXX XXXXXX X XXXXXXX XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (SV) XXXXXXXXX XXXXXXXX AV XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX NOTARIAL/ (XX) XXXXXXXX XXXXXXX/ (XX) NOTARBEKRÆFTET XXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (EL) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX ACT/ (FR) XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (HR) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXĀXX XXXX/ (LT) XXXXXXXXX XXXXX/ (XX) XÖXXXXXXŐX XXXXXX/ (MT) XXX XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (XX) XXX XXXXXXXXXX/ (XX) XXX XXXXXXXX/ (RO) XXX XXXXXXXX/ (SK) XXXXXXXX LISTINA/ (XX) XXXXXXXX XXXXXXX/ (FI) XXXXXXXX ANTAMA XXXXXXXXX/ (XX) NOTARIELL HANDLING

3.4

(BG) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX OFICIAL XXXXXX XXXXX XX XXXXXXXXX XXXXXXX/ (CZ) XXXXXX XXXXXXXXX, XXXXXX XXXX XXXXXXXX LISTINA XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXX XÅXXXXXXX XÅ XX DOKUMENT UNDERTEGNET XX EN XXXXXX X XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (DE) XXXXXXXX XXXXXXXXXXXXX XXX XXXXX XXXXXXXXXXXXX/ (ET) XXXXX 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 SIGNED XX X XXXXXX IN XXX OR XXX XXXXXXX CAPACITY/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX XX XXXX XXXX XXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX X CHUIRTEAR AR XXXXXXXXXX XXXX XXXXXX XX DUINE XXX XXXXX XX INA XXXX PHRÍOBHÁIDEACH/ (HR) XXXXXXXX POTVRDA XXXXXXXXX XX ISPRAVU XXXX XX XXXXX XXXXXXXXX X XXXXXXXXX SVOJSTVU/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX SU XXX XXXXXXXXX PRIVATA/ (XX) XXXXXĀXX XXXXXXXXĀXXXX UZ XXXXXXXXX, XX XXXĀ XĀXXĀ PARAKSTĪJUSI XĀXX XXXXXXX/ (LT) PRIVAČIŲ XXXXXŲ XXXXXXXXXŲ DOKUMENTŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX HIVATALOS XXXXXXXXXXX/ (XX) ĊXXXXXXXXX XXXXĊXXXX LI XXXXXXXĦXX X'XXXXXXXX XXXXXXXX MINN XXXXXXX FIL-KAPAĊITÀ XXXXXXX XXXĦXX/ (NL) XXXXXXXXX XXXXXXXXXXX OP XXX XXXXXXXX XXXXXXXXXXX XXXX XXX XXXXXXX IN XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXXX XXXXX OSOBĘ XXXXŁXXĄXĄ W XXXXXXXXXXX XXXXXXXXX/ (XX) DECLARAÇÃO XXXXXXX XXXXXXX NUM XXX XX NATUREZA XXXXXXX/ (RO) XXXXXXXXXX XXXXXXX XXXXXXX XX XX DOCUMENT XXX XXXXĂXXXĂ XXXXXXĂ/ (SK) XXXXXX OSVEDČENIE XXXXXXX XX XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX AKO XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXX XX XXXXXXX LISTINI/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, XXXXX XXXXXXÖ XX XXXXXXXXXXXXXXXX YKSITYISHENKILÖNÄ/ (XX) XXXXXXXXXX INTYG XXXXXXXXX XÅ XX HANDLING XXX XXXXXXXXXXXXX XX XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX EXPEDIDO XXX XX XXXXXX XXXXXXXXXXX X XXXXXXXX XX XX ESTADO XXXXXXX XXX CARÁCTER XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXX KONZULÁRNÍM XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXXXXX POVINNOSTÍ/ (DA) XXXXXXXX OFFICIELT UDFÆRDIGET XX XX XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (XX) XXX XXXXX DIPLOMATISCHEN XXXX XXXXXXXXXXXXXX VERTRETER XXXXX XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX KONSULAARAMETNIKU XXXXX XXXXXXXXXXXXXXX TÄITMISEL XXXXXXXXX DOKUMENT/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX XXXXX XX XX X XXXXXXXXXX XX XXXXXXXX XXXXX XX A MEMBER XXXXX IN XXX XX XXX XXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXX XX SA XXXXXXX XXXXXXXXXX XXX XX XXXXX XXXXXXXXXXXX XX XXXXXXXXXX X'XX XXXX MEMBRE/ (GA) XXXXXXXXX XXXX XXXXXXXXXX XXXX AG XXXXXXXXXX XXXXXXXXXXXXXXXX XX CONSALACH XX XXXXX XXXXXXXXX XXX XXXXX NÓ XXX XXXX XXXXXXXXX/ (XX) ISPRAVA KOJU XX X XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXX XXX KONZULARNI XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX REDATTO XX XXXXXX XXXXXXXXXXX X XXXXXXXXX DI XXX XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX AMATA XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX PĀRSTĀVIS/ (XX) DOKUMENTAS, XXXXXXXXX XXXXXXXĖX XXXĖX DIPLOMATO XX XXXXXXXXXX PAREIGŪNO, XXXXXXXXXX XXXXX OFICIALIUS ĮXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX ÁLTAL XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (MT) DOKUMENT XXĦXXXX XXXX XĠXXX XXXXXXXXXXX XXX XXXXXXXXX XX' XXXX XXXXXX XXX-XXXXĊXXÀ UFFIĊJALI XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX XXXX DE DIPLOMATIEKE XX XXXXXXXXXX XXXXXXXXX XXX EEN XXXXXXXX XX XXXX XXXXXXËXX XXXXXXXXXXXX/ (PL) DOKUMENT XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX XXXXŁXXĄXXXX W XXXXXXXXXXX XXXĘXXXXX/ (XX) DOCUMENTO XXXXXXX XXX XX XXXXXX XXXXXXXXXXX OU XXXXXXXX XX XX XXXXXX-XXXXXX XX EXERCÍCIO XXX SUAS FUNÇÕES XXXXXXXX/ (RO) DOCUMENT ÎXXXXXXX XX XĂXXX XX XXXXX DIPLOMATIC XXX CONSULAR AL XXXX XXXX XXXXXX, ÎX CALITATE XXXXXXXĂ/ (XX) XXXXXXX VYHOTOVENÁ XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX ČLENSKÉHO XXXXX X XXXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXX, XX XX XXX URADNA XXXXX XXXX DIPLOMATSKI XXX KONZULARNI XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX EDUSTAJA XXX XXXXXXXXXXXXXXX ON LAATINUT XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXÄXXXX X XXÄXXXXX XX XX XXXXXXXXXXX XXXXX KONSULÄR TJÄNSTEMAN X XX XXXXXXXXXXX

3.6

(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)/ (DE) AUSSTELLUNGSDATUM (XX/XX/XXXX)/ (XX) VÄLJAANDMISE XXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) DATE (XX/XX/XXXX) XX ISSUE/ (FR) XXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) DÁTA (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (GG/MM/AAAA)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX AFGIFTE/ (XX) XXXX (DD/MM/RRRR) XXXXXXX/ (PT) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXX/ (SL) XXXXX (XX/XX/XXXX) IZDAJE/ (XX) ANTAMISPÄIVÄ (PP/KK/VVVV)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX XXXXXXXXXX DEL XXXXXXXXX PÚBLICO/ (CZ) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (XX) XXX XXXXXXXXXX DOKUMENTS XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX DER ÖXXXXXXXXXXX URKUNDE/ (XX) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) REFERENCE XXXXXX XX XXX XXXXXX XXXXXXXX/ (FR) XXXXXX XX XXXXXXXXX XX XXXXXXXX XXXXXX/ (GA) XXXXXX THAGARTHA XX XXXXXXXXX XXXXXXX/ (HR) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXX XXX XXXXXXXXX PUBBLICO/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXX/ (XX) X KÖZOKIRAT XXXXXXXXXXX XXXXX/ (XX) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (XX) REFERENTIENUMMER XXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXX XX XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX XX XXXXXXXȚĂ XX XXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX ČÍSLO VEREJNEJ XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) YLEISEN ASIAKIRJAN XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX REFERENSNUMMER

4.

(BG) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (ES) XXXXXXXXXXX XXXXX XX INTERESADO/ (XX) XXXXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXXXX XX DEN XÅXÆXXXXXX XXXXXX/ (DE) XXXXXXX XXX BETREFFENDEN XXXXXX/ (XX) ASJAOMAST XXXXXX XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXX SUR XX XXXXXXXX CONCERNÉE/ (XX) FAISNÉIS XXXXXX XXXX XX XXXXX XXXX xXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXX PERSONA XXXXXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXĪXX XXXXXXX/ (LT) XXXXXXXXXXX APIE ATITINKAMĄ XXXXXĮ/ (XX) XX XXXXXXXX SZEMÉLYRE XXXXXXXXX XXXXXX/ (MT) XXXXXXXXXXXXX XXXX IL-PERSUNA KKONĊERNATA/ (XX) INFORMATIE XXXX XX BETROKKENE/ (PL) XXXX XXXXX, KTÓREJ XXXXXXX XXXXXXXX/ (XX) XXXXXXXÇÕXX SOBRE A XXXXXX EM XXXXX/ (XX) XXXXXXXȚXX PRIVIND XXXXXXXX VIZATĂ/ (SK) XXXXXXXXXX X XXXXXXXXX XXXXX/ (SL) XXXXXXXXXXX X XXXXXXX XXXXX/ (XX) ASIANOMAISEN XXXXXXÖX XXXXXX/ (SV) UPPGIFTER XX DEN XXXÖXXX XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) APELLIDO(S)/ (CZ) XXXXXXXX/ (XX) EFTERNAVN(E)/ (XX) XXXXXXXXXXXX(X)/ (ET) XXXXXXXXXXXXX (-XXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α)/ (EN) SURNAME(S)/ (XX) XXX(X)/ (XX) XXXXXXX (SLOINNTE)/ (HR) XXXXXXX(XX)/ (XX) XXXXXXX(X)/ (XX) XXXĀXXX(-X)/ (XX) XXXXXXĖ (-ĖX)/ (HU) XXXXXXX XXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX)/ (XX) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (PT) XXXXXXX(X)/ (RO) XXXX/ (XX) PRIEZVISKO(-Á)/ (SL) XXXXXXX/XXXXXXX/ (XX) SUKUNIMI (-XXXXX)/ (SV) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (ES) XXXXXX(X)/ (XX) XXXXX (XXXXX)/ (DA) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (ET) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) PRÉNOM(S)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (XX) XĀXXX(-X)/ (XX) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (XXXXXX)/ (XX) XXXX(X) PRÓPRIO(S)/ (XX) XXXXXXX/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-NIMET)/ (XX) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (ES) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) NAROZENÍ/ (XX) XØXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (DE) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) DATE (XX/XX/XXXX) XX BIRTH/ (FR) XXXX (XX/XX/XXXX) DE XXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (HR) XXXXX (XX/XX/XXXX) ROĐENJA/ (XX) DATA XX XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) GIMIMO DATA (XX/XX/XXXX)/ (XX) SZÜLETÉSI XXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXX (XX/XX/XXXX) TAT-TWELID/ (XX) GEBOORTEDATUM (DD/MM/JJJJ)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXXXX (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)/ (XX) XÖXXXXXXXXXX (DD/MM/ÅÅÅÅ)

4.4

(BG) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX Y PAÍS XX XXXXXXXXXX/ (XX) XXXXX X XXXX XXXXXXXX/ (XX) XØXXXXXX XX -XXXX/ (XX) XXX XXX LAND XXX XXXXXX/ (XX) XÜXXXXXXX XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX XXX XXXXXXX XX BIRTH/ (XX) XXXX XX PAYS XX XXXXXXXXX/ (XX) XXX AGUS XXX XXXXXXXX/ (XX) XXXXXX X XXXXXX XXĐXXXX/ (XX) LUOGO E XXXXX XX NASCITA/ (XX) XXXXXXXXX VIETA XX XXXXXX/ (LT) XXXXXX XXXXX XX XXXXX/ (XX) SZÜLETÉSI XXXXX ÉS XXXXXXX/ (XX) XXXX U XXXXXŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX XX -XXXX/ (XX) XXXXXXX X XXŃXXXX URODZENIA/ (XX) XXXXX X PAÍS XX XXXXXXXXXX/ (XX) XXXXX ȘI ȚARA XXȘXXXXX/ (XX) XXXXXX X XXXX XXXXXXXXX/ (XX) XXXX IN XXXXXX XXXXXXX/ (XX) XXXXXXÄXXXXXX JA -MAA/ (XX) FÖDELSEORT XXX -XXXX

4.5

(XX) ПОЛ/ (ES) XXXX/ (XX) XXXXXXX/ (XX) KØN/ (DE) XXXXXXXXXX/ (ET) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (FR) XXXX/ (XX) XXXXXX/ (XX) XXXX/ (IT) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) SESS/ (XX) XXXXXXXX/ (PL) XŁXĆ/ (XX) XXXX/ (XX) XXXXX/ (SK) XXXXXXXX/ (XX) SPOL/ (FI) XXXXXXXXX/ (XX) XÖX

4.5.1

(XX) ЖЕНСКИ/ (XX) MUJER/ (XX) XXXX/ (XX) XXXXXX/ (XX) WEIBLICH/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (EN) XXXXXX/ (XX) XXXXXXX/ (GA) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XŐ/ (XX) XXXX/ (XX) VROUW/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) NAINEN/ (XX) XXXXXX

4.5.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (DA) MAND/ (XX) XÄXXXXXX/ (ET) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (FR) XXXXXXXX/ (GA) FIREANN/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) VĪRIETIS/ (XX) XXXXX/ (HU) XXXXX/ (XX) XXĠXX/ (XX) MAN/ (PL) XĘŻXXXXXX/ (PT) MASCULINO/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) XXX

4.5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) UNDETERMINED/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (LV) XXXXXXXXXX/ (XX) NENUSTATYTA/ (HU) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) PŁEĆ NIEOKREŚLONA/ (XX) XÃX DEFINIDO/ (XX) NEDETERMINAT/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (SV) XX XXXXXXÄXXX

4.6

(XX) ГРАЖДАНСТВО/ (XX) XXXXXXXXXXXX/ (CZ) XXXXXX XXXXXXXXXXX/ (DA) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXÖXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) ΙΘΑΓΕΝΕΙΑ/ (EN) XXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (LV) XXXXXXXXXXXXĪXX/ (XX) XXXXXXXXĖ/ (XX) XXXXXXXXXXXXXXX/ (MT) ĊXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) OBYWATELSTWO/ (PT) XXXXXXXXXXXXX/ (XX) XXXĂȚXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (XX) DRŽAVLJANSTVO/ (XX) XXXXXXXXXXXX/ (XX) MEDBORGARSKAP

5.

(BG) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XX XXXXXXXXX PÚBLICO XX XXX XX XXXXXXX XXXX IMPRESO,/ (XX) XX XXXXXXX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX TENTO XXXXXXXX,/ (XX) X XXXXXXX XXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX FORMULAR XX XXXXÆXXXX/ (XX) XXXÄXX XXX ÖXXXXXXXXXXX URKUNDE, XXX XXXXXX XXXXXXXX XXXXXXÜXX IST/ (ET) XXXXXXXXX XXXXXXXXX DOKUMENDILE, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΣΥΜΦΩΝΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XX XXX XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) X'XXXÈX LE XXXXXXXX XXXXXX AUQUEL XX XXXXXXX XXXXXXXXXX XXX XXXXX/ (GA) XX RÉIR XX XXXXXXXXX PHOIBLÍ XXXX XXXXXX XX FHOIRM XXX XXXXXXXXXX/ (XX) XXXXX XXXXXX ISPRAVI XXXXX XX OVAJ XXXXXXX XXXXXXXX/ (XX) XXXXXXX IL DOCUMENTO XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (LV) XXXXXŅĀ XX PUBLISKO XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (LT) XXXXX VIEŠĄJĮ DOKUMENTĄ, XXXX XXXXX XXXXXXXXX XX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXX XXXXXXX/ (XX) XXXXX ID-DOKUMENT XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) VOLGENS HET XXXXXXXX XXXXXXXX XXXXXXX XXX FORMULIER XX XXXXXXX/ (XX) X XXXXXXXXX URZĘDOWEGO, XX XXXXXXX ZAŁĄCZONY XXXX XXXXXXXXX XXXXXXXXX, XXXXXX, ŻX/ (PT) XXXXXXX X XXXXXXXXX XXXXXXX X XXX O XXXXXXXX FORMULÁRIO ESTÁ XXXXXX/ (XX) ÎN XXXXXXXXXXXX XX DOCUMENTUL XXXXXXX XX XXXX XXXX ANEXAT XXXXXXXXX XXXXXXXX/ (XX) PODĽA XXXXXXXX XXXXXXX, XX XXXXXX JE XXXXX XXXXXXXX PRIPOJENÝ/ (XX) X XXXXXX X XXXXX XXXXXXX, XX XX JE PRILOŽEN XX OBRAZEC/ (FI) XXX YLEISEN ASIAKIRJAN XXXXXX, XXXXX TÄMÄ XXXXXX LIITETÄÄN/ (SV) 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/ (ES) EL XXXXXXXXXX XXXXX CAPACIDAD XXXX INSCRIBIRSE XXXX XXXXXXX DE UNA XXXXX XX HECHO XXX ARREGLO XX XXXXXXX NACIONAL XXX XXXXXX MIEMBRO XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) XX XXXXXXX OSOBA ZPŮSOBILÁ XXXXXXX XXXXXXXXXXXX XXXXXXXXXXX XXXXX XXXXXXXXXXXXXX PRÁVA XXXXXXXXX XXXXX, V XXXX JE XXXXXXX XXXXXXX VYDÁNA/ (DA) XXX PÅGÆLDENDE PERSON XXX XXXXXX XXX XX XXXXX XXXXÅ XXXXXXXXXXX XXXXXXXXXXX X XXXXXXX TIL XXXXXXXX XXX X DEN XXXXXXXXXXX, XXXX XXX XXXXXXXXXX XXXXXXXX ER XXXXXXX/ (XX) XXX XXX XXXXXXXXXXX XXXXXX XXXX XXX XXXXXXXXXX XXXXX XXX XXXXXXXXXXXXXX, XX XXX DIE ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, XXX FÄHIGKEIT, XXXX XXXXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXXX/ (ET) XX XXXXXXXXXX ISIKUL AVALIKU XXXXXXXXX XÄXXX XXXXXX XXXXXXXXXXXX ÕXXXXX XXXXXXXX XXXXXXXXXXXXXX KOOSELLU ASTUMISE XÕXXX/ (EL) ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΕΧΕΙ ΤΗΝ ΙΚΑΝΟΤΗΤΑ ΣΥΝΑΨΗΣ ΚΑΤΑΧΩΡΙΣΜΕΝΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ/ (EN) XXX XXXXXX XXXXXXXXX XXX XXX XXXXXXXX XX XXXXX XXXX X XXXXXXXXXX PARTNERSHIP XXXXX XXX NATIONAL XXX XX XXX XXXXXX XXXXX WHERE XXX XXXXXX DOCUMENT XX XXXXXX/ (FR) LA XXXXXXXX XXXXXXXXX XXXX XXXXXXXX XX PARTENARIAT XXXXXXXXXX XX XXXXX XX DROIT XXXXXXXX XX X'XXXX XXXXXX XÙ LE XXXXXXXX XXXXXX EST XXXXXXX/ (XX) XX XX XXXXX XXXX xXXXXXXXX XXX XXXXXX XXX X xXXX PÁIRTNÉIREACHT XXXXXXXXXX FAOI XXXX XXXXXXXXX AN XXXXXXXXXX XXX nDÉANTAR XX XXXXXXXXX XXXXXX X XXXXXXXX/ (XX) XXXXXXX XXXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXXXXXX XXXXXXXXXXX PREMA NACIONALNOM XXXXX XXXXXX ČLANICE X KOJOJ XX XXXXX XXXXXXX XXXXXX/ (XX) XX XXXXXXX XXXXXXXXXXX XXXXXXXX LA XXXXXXXÀ XX XXXXXXXXXXXXX XX'XXXXXX REGISTRATA X XXXXX XXX XXXXXXX XXXXXXXXX DELLO XXXXX XXXXXX XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX/ (XX) ATTIECĪGĀ XXXXXXX XXĒX STĀTIES REĢISTRĒTĀS XXXXXXXXXXXXXĪXĀX XXXXXŅĀ XX XĀX XXXĪXXXXXXX TIESĪBU XXXXXX, XXXĀ PUBLISKAIS XXXXXXXXX XX XXXXXX/ (XX) XXXXXXXXXXX XXXXX XXX XXXXXXXX SUDARYTI XXXXXXXXXXĄ XXXXXXXXXXĘ XXXXX XXXXXXXĖX NARĖS, KURIOJE XXXXXXXX XXXXXXXXXX IŠDUODAMAS, XXXXXXXXXXĘ XXXXĘ/ (XX) XX XXXXXXXX SZEMÉLY X KÖZOKIRAT XXXXXXXXXXXXX XXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXX SZERINT XXXXXXXXXX XXXXXXXXX XXXXXXXXXXX XXXXXXXXXX/ (XX) IL-PERSUNA XXXXĊXXXXXX XĦXXXXX X-XXXXĊXXÀ XX TIDĦOL FI XĦXXXXX XXĠXXXXXXX XXĦX XX-XXĠX XXXXXXXXXX XXX-XXXXX XXXXXX FEJN INĦAREĠ XX-XXXXXXXX PUBBLIKU/ (XX) XXXXX DE XXXXXXXXXX XX BEKWAAMHEID XX XXX XXXXXXXXXXXXX XXXXXXXXXXXX XXX XX XXXX XX XXXXX XXX XXX XXXXXXXXX XXXXX XXX DE LIDSTAAT XXXX HET XXXXXXXX XXXXXXXX WORDT XXXXXXXXX/ (XX) XXXXX, XXXXXX XXXXXXX DOKUMENT, XXXXXXX XXXXXXŚĆ XX ZAWARCIA XXXXXXXXXXXXXXXX ZWIĄZKU XXXXXXXXXXXXX XX XXXX XXXXX XXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX, X XXXXXX XXX XXXXXXXX URZĘDOWY XXXXXŁ XXXXXX/ (XX) A XXXXXX XX CAUSA XXXXXX A XXXXXXXXXX XX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXXX XXX XXXXXX XX XXXXXXX XXXXXXXX XX XXXXXX-XXXXXX XX QUE X XXXXXXXXX XXXXXXX XXX XXXXXXX/ (RO) XXXXXXXX XXXXXĂ ARE XXXXXXXXXXX XX X ÎNCHEIA XX PARTENERIAT ÎNREGISTRAT ÎX CONFORMITATE XX XXXXXXX XXXXXX XX XXXXXXXX XXXXXX ÎX XXXX ESTE EMIS XXXXXXXXXX OFICIAL/ (XX) XXXXXXXX XXXXX XX XXÔXXXXXX UZAVRIEŤ REGISTROVANÉ XXXXXXXXXXX XXXĽX VNÚTROŠTÁTNEHO XXXXX XXXXXXXXX XXXXX, X XXXXXX XX XXXXXXX LISTINA VYDANÁ/ (XX) JE XXXXXXX XXXXX XXXXXXXX ZA XXXXXXXXXXXX XXXXXXXXXX SKUPNOSTI X XXXXXX X XXXXXXXXXXX XXXXXX XXXXXX XXXXXXX, X KATERI XX XXXXXX JAVNA XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXÖXXÄ ON XXXXXXXXXX XXXXXXXXÖXXÄ PARISUHDE XXX XÄXXXXXXXXXX XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX XXXXXXXXX ON ANNETTU/ (XX) HAR XXX XXXÖXXX XXXXXXXX BEHÖRIGHET XXX INGÅ XXXXXXXXXXX XXXXXXXXXXX XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX X XXX XXXXXXXXXXX XÄX XXX OFFICIELLA 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 XX XXXXXXXX XX XXXXXXX XXXXX XX XXXXX X XXXXXX XXX XXXXXXXXXX XXX XXXXXXX XX XXXXXXX XXXXXXXX XXX ESTADO MIEMBRO XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXX XXXXXX XXXXXXXXXX XXX XXXX XXXXXX XXXXXXXXXXXX XXXXXXXXXXX XXXXX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, V XXXX JE XXXXXXX XXXXXXX XXXXXX/ (XX) XXX XÅXÆXXXXXX XXXXXX XXX IKKE AT XXXX XXXXX XXXXXXXXXXX XXXXXXXXXXX XXXØXX UNDER XXX NAVN X XXXXXXX TIL NATIONAL XXX X DEN XXXXXXXXXXX, HVOR DET XXXXXXXXXX XXXXXXXX ER XXXXXXX/ (DE) BESTEHT XXXX XXXXXXX, XXXX XXX BETREFFENDE XXXXXX XXXXX XXXXX XXXXX XXXX EINGETRAGENE XXXXXXXXXXXXX XXXX DEM XXXXXXXXXX XXXXX XXX XXXXXXXXXXXXXX, XX XXX XXX ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, XXXXXXXXXXX IST/ (XX) XX OLE XXXXXXXXX XXXXX XXXXX ÜXXXXX XXXXXXX DOKUMENDI XÄXXX XXXXXX XXXXXXXXXXXX ÕXXXXX XXXXXX XXXXXXXXXXXXXX XXXXXXX XXXXXXXX/ (EL) 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 CONCERNED APPEARS XX XXXX XX XXXXXXXXXX XXXXXXXXXXX XX XXX XX HER XXXX UNDER XXX XXXXXXXX LAW XX XXX MEMBER XXXXX XXXXX XXX XXXXXX XXXXXXXX IS XXXXXX/ (XX) XX XXXXXXXX XXXXXXXXX NE XXXXXX XXX XXXXX CONCLU XX XXXXXXXXXXX ENREGISTRÉ XX SON XXX XX XXXXX XX XXXXX XXXXXXXX DE X'XXXX XXXXXX XÙ XX XXXXXXXX XXXXXX XXX XXXXXXX/ (GA) XX XXXXXXXXXXX XX XX XXXXXX XX XXXXX XXXX xXXXXXXXX XXXXXXXXX I bPÁIRTNÉIREACHT XXXXXXXXXX FAOI XXXX XXXXXXXXX XX XXXXXXXXXX XXX nDÉANTAR AN XXXXXXXXX XXXXXX X XXXXXXXX/ (XX) XXXX XXXXXXX DA XX XXXXXXX XXXXX POD XXXXXX XXXXXX SKLOPILA XXXXXXXXXXXX XXXXXXXXXXX XXXXX XXXXXXXXXXX XXXXX XXXXXX XXXXXXX U KOJOJ XX XXXXX XXXXXXX XXXXXX/ (XX) X XXXX XXXXX XXXXXXX XXXXXXXXXXX NON XXXXXXX XXXXXXXXX XXXXXX XXXXXX XXXXXXXXXX X XXXXX XXX XXXXXXX NAZIONALE XXXXX XXXXX MEMBRO XXX XXXXXXXX XX XXXXXXXXX PUBBLICO/ (XX) XX XXXXXXĪXĀX XXXXXXXX XĀXXX XXX XXXXĒXXXX XXĢXXXXĒXXX PARTNERATTIECĪBAS XXXXXŅĀ XX XĀX XXXĪXXXXXXX XXXXĪXX XXXXXX, XXXĀ XXXXXXXXXX XXXXXXXXX IR XXXXXX/ (XX) XXXXXXXXXXX XXXXX XXXX XXXXX XĖXX XXXXXĘX XXXXXXXXXXXX XXXXXXXXXXĖX PAGAL VALSTYBĖS XXXĖX, XXXXXXX XXXXXXXX XXXXXXXXXX IŠDUODAMAS, XXXXXXXXXXĘ XXXXĘ/ (XX) XX XXXXXXXX SZEMÉLYNEK X XÖXXXXXXX XXXXXXXXXXXXX XXXXX XXXXXXXX TAGÁLLAM XXXXXXX XXXX XXXXXXX XXXXXXXXXXXXXXXX XXXXX XXXXXXXXXX ÉLETTÁRSI XXXXXXXXXX/ (XX) XX-XXXXXXX XXXXĊXXXXXX XXXXXX XX XX GĦANDHIEX XĦXXXXX XXĠXXXXXXX X'XXXXXX TAĦT XX-XXĠX XXXXXXXXXX TAL-ISTAT XXXXXX XXXX INĦAREĠ XX-XXXXXXXX XXXXXXXX/ (NL) XXXXX XX XXXXXXXXXX XXXX XXXXXXXXXXXXX PARTNERSCHAP XX ZIJN XX XXXX XXXX XX XXXXX XXX HET XXXXXXXXX RECHT VAN XX XXXXXXXX XXXX XXX XXXXXXXX XXXXXXXX XXXXX XXXXXXXXX/ (PL) XXXXX, XXXXXX DOTYCZY XXXXXXXX, XXX XXXXXXXXX X ZAREJESTROWANYM XXXĄXXX XXXXXXXXXXX NA XXXX XXXXX KRAJOWEGO XXŃXXXX XXŁXXXXXXXXXXX, W XXXXXX XXX XXXXXXXX URZĘDOWY XXXXXŁ WYDANY/ (XX) XÃX XX XXXXXXX XXXXXXX XXXXXXXX XXXXXXXXX XX XXXX XX XXXXXX XX CAUSA XXX XXXXXX DO XXXXXXX XXXXXXXX DO XXXXXX-XXXXXX XX XXX X XXXXXXXXX XXXXXXX XXX XXXXXXX/ (RO) XX XX XXXXXȘXX XXXXXX XXXXXXXXXXX ÎNREGISTRAT ÎXXXXXXX XX XXXXXX XXXXXXXXX XXXXXX ÎX XXXXXXXXXXXX CU XXXXXXX XXXXXX XX STATULUI XXXXXX ÎX XXXX XXXX XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXX XXXXXX XXXXXXXXXX XXXXXXXXXXXX XXXXXXXXXXX XX XXXXXX MENE PODĽA XXXXXXXXXXXXXX PRÁVA XXXXXXXXX XXXXX, X KTOROM XX VEREJNÁ XXXXXXX XXXXXX/ (SL) PO XXXXXXXXXXXXXX PODATKIH XXXXXXX XXXXX NI X XXXXXXXXXX XXXXXXXXX, XX XX XX REGISTRIRALA X XXXXXX XXXXX XX V XXXXXX X XXXXXXXXXXX XXXXXX XXXXXX XXXXXXX, V XXXXXX XX XXXXXX XXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXXX XX OLE XXXXXXXX XXXXXXXXÖXXXÄ XXXXXXXXXXXX XXX XÄXXXXXXXXXX XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, JOSSA XXXXXXX XXXXXXXXX XX XXXXXXX/ (XX) FÖREFALLER XXX XXXÖXXX PERSONEN XXXX XX XXXÅXX XXXXXXXXXXX XXXXXXXXXXX XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX I XXX XXXXXXXXXXX XÄX XXX XXXXXXXXXX HANDLINGEN 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) XX XXX XXXXXXXXXX XX NINGÚN XXXXXXXXXXX PARA XXX XX XXXXXXXXXX REGISTRE XXX XXXXX XX XXXXX CON XXXXXXX XX DERECHO XXXXXXXX XXX XXXXXX XXXXXXX XX EXPEDICIÓN XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX ZNÁMÁ XXXXXXXX, XXX DOTYČNÁ XXXXX XXXXXXXX REGISTROVANÉ XXXXXXXXXXX XXXXX XXXXXXXXXXXXXX XXXXX ČLENSKÉHO XXXXX, X NĚMŽ XX XXXXXXX XXXXXXX XXXXXX/ (XX) XXX XXXXXXXXXX XXXXX XXXXXX XXXXXXXXXX XXX, XX DEN XÅXÆXXXXXX PERSON XXX XXXXÅ XXXXXXXXXXX XXXXXXXXXXX X XXXXXXX TIL XXXXXXXX RET X XXX XXXXXXXXXXX, XXXX XXX XXXXXXXXXX XXXXXXXX XX UDSTEDT/ (XX) XXX XXXX HINDERNIS XXXXXXX, XXX XXX XXXXXXXX EINER EINGETRAGENEN XXXXXXXXXXXXX DURCH DIE XXXXXXXXXXX PERSON XXXX XXX XXXXXXXXXX RECHT XXX MITGLIEDSTAATS, XX XXX XXX ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, XXXXXXXXXXXXX/ (XX) XX XXX XXXXX XXXXXXX XXXXXXXXX XÄXXX XXXXXX XXXXXXXXXXXX ÕXXXXX KOHASEID XXXXXXXXXX, XXX TAKISTAKSID XXXXXXXXXX ISIKUL XXXXXXXXXXXXXX XXXXXXXX XXXXXX/ (EL) ΔΕΝ ΕΙΝΑΙ ΓΝΩΣΤΟ ΚΑΝΕΝΑ ΚΩΛΥΜΑ ΓΙΑ ΤΗ ΣΥΝΑΨΗ ΚΑΤΑΧΩΡΙΣΜΕΝΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ ΑΠΟ ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΌΣΙΟ ΕΓΓΡΑΦΟ/ (EN) THERE XX XX XXXXX XXXXXXXXXX XXX XXX XXXXXX XXXXXXXXX XX XXXXX XXXX X XXXXXXXXXX XXXXXXXXXXX XXXXX XXX XXXXXXXX LAW XX XXX XXXXXX XXXXX WHERE XXX XXXXXX DOCUMENT XX XXXXXX/ (FR) XX X'XXXXXX PAS D'EMPÊCHEMENT XXXXX À XX XXXXXXXXXX XXX LA XXXXXXXX XXXXXXXXX X'XX XXXXXXXXXXX XXXXXXXXXX EN XXXXX XX XXXXX XXXXXXXX DE X'XXXX XXXXXX XÙ XX XXXXXXXX XXXXXX XXX XXXXXXX/ (GA) NÍL XXX XXXX AITHEANTA XXX AR XX XXXXX XXXX xXXXXXXXX XX XXX I xXXX PÁIRTNÉIREACHT XXXXXXXXXX XXXX DHLÍ XXXXXXXXX XX XXXXXXXXXX XXX xXXXXXXX XX DOICIMÉAD XXXXXX X EISIÚINT/ (XX) XXXX POZNATE XXXXXXX XXXX XXXX XXXXXXX OSOBA NE XX XXXXX XXXXXXXX XXXXXXXXXXXX XXXXXXXXXXX PREMA XXXXX XXXXXX XXXXXXX X KOJOJ XX XXXXX XXXXXXX IZDANA/ (XX) NON XXXX XXXX XXXXXXXXXXX XXXX XXXXXXXXXXXXXX XX XX'XXXXXX XXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX X XXXXX XXX DIRITTO NAZIONALE XXXXX XXXXX XXXXXX XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX/ (LV) XXX ZINĀMI XXXĀXX XĶĒXXĻX XXXXXXĪXXXXX XXXXXXXX

XXĀXXXX XXĢXXXXĒXĀX PARTNERATTIECĪBĀS XXXXXŅĀ XX XĀX DALĪBVALSTS XXXXĪXX XXXXXX, XXXĀ XXXXXXXXXX DOKUMENTS IR XXXXXX/ (XX) XĖXX XXXXXŲ XXXŪXXŲ XXXXXXXXXXX XXXXXXXX XXXXXXXX REGISTRUOTĄ XXXXXXXXXXĘ XXXXX VALSTYBĖS XXXĖX, XXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (XX) XXXXX X XÖXXXXXXX XXXXXXXXXXXXX XXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXX XXXXXXXX, XXXXXX AKADÁLYA XXXXX, XXXX XX XXXXXXXX XXXXXXX BEJEGYZETT XXXXXXXXX XXXXXXXXXXX XXXXXXXXXX/ (XX) XX XXXX L-EBDA XXXXXXXXXX MAGĦRUF XĦXXX-XXXXXXX XXXXĊXXXXXX BIEX TIDĦOL XX XĦXXXXX REĠISTRATA XXĦX XX-XXĠX XXXXXXXXXX XXX-XXXXX MEMBRU XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (XX) XX XX XXXX XXXXXXXXXXX XXXX XX BETROKKEN XXXXXXX XX XXX XXXXXXXXXXXXX XXXXXXXXXXXX AAN TE XXXX XX XXXXX XXX XXX XXXXXXXXX XXXXX VAN DE XXXXXXXX XXXX XXX XXXXXXXX DOCUMENT XXXXX XXXXXXXXX/ (XX) XXX XXXXXXXĄ ZNANE XXXXXXXXXX XXX XXXXXXXX XXXXX XXXXĘ, KTÓREJ XXXXXXX XXXXXXXX, XXXXXXXXXXXXXXXX ZWIĄZKU XXXXXXXXXXXXX NA XXXX XXXXX XXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX, X KTÓRYM XXX DOKUMENT XXXĘXXXX XXXXXŁ WYDANY/ (XX) XÃX EXISTE IMPEDIMENTO XXXXXXXXX A QUE X PESSOA XX XXXXX XXXXXXXXÇX UMA XXXXXXXX XXXXXXXXX XXX XXXXXX DO XXXXXXX XXXXXXXX DO XXXXXX-XXXXXX XX XXX X XXXXXXXXX XXXXXXX XXX XXXXXXX/ (RO) XX XX XXXXXX XXXXXXXXXXX XX ÎXXXXXXXXX PARTENERIATULUI ÎXXXXXXXXXX ÎX CONFORMITATE XX DREPTUL INTERN XX XXXXXXXX XXXXXX ÎX CARE XXXX XXXX XXXXXXXXXX XXXXXXX/ (XX) XXX XX XXXXX XXXXXXXX XXX XXXXXXXX XXXXX UZAVRIEŤ XXXXXXXXXXXX PARTNERSTVO XXXĽX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, V KTOROM XX XXXXXXX XXXXXXX XXXXXX/ (SL) NI XXXXXXXXXXXX ZADRŽKOV, XX XXXXXXX OSEBA XX XX MOGLA REGISTRIRATI XXXXXXXXXX SKUPNOSTI X XXXXXX X XXXXXXXXXXX XXXXXX DRŽAVE XXXXXXX, X XXXXXX XX XXXXXX XXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXXXXÖXXXXXX XXXXXXXXXXXXX XX XXXXXXÄ XXXXXX ESTEITÄ XXX XÄXXXXXXXXXX XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX ASIAKIRJA XX XXXXXXX/ (SV) XXXXX XXX INGA XÄXXX XXXXXX FÖR XXX XXXÖXXX XXXXXXXX XXX XXXÅ REGISTRERAT XXXXXXXXXXX XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX I XXX XXXXXXXXXXX XÄX DEN XXXXXXXXXX HANDLINGEN UTFÄRDADES

5.4

(BG) НЕ СА ИЗВЕСТНИ ПРЕЧКИ ЗА РЕГИСТРИРАНЕТО НА ПАРТНЬОРСТВО МЕЖДУ СЪОТВЕТНОТО ЛИЦЕ И НЕГОВИЯ БЪДЕЩ ПАРТНЬОР СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) NO XXX XXXXXXXXXX DE XXXXXX XXXXXXXXXXX PARA XX XXXXXXXX DE XXX XXXXX XX XXXXX XXXXX XX XXXXXXXXXX X SU XXXXXX XXXXXX DE XXXXX XXXXXXXXXX XXX XXXXXXX XX XXXXXXX XXXXXXXX XXX XXXXXX XXXXXXX XX XXXXXXXXXX XXX XXXXXXXXX PÚBLICO/ (XX) XXXXXXXXXX XXXXX ZNÁMÁ XXXXXXXX REGISTROVANÉHO PARTNERSTVÍ XXXX DOTYČNOU XXXXXX X XXXXX XXXXXXXX XXXXXXXXX / XXXX XXXXXXX XXXXXXXXXX XXXXX XXXXXXXXXXXXXX XXXXX ČLENSKÉHO XXXXX, V XXXX XX XXXXXXX XXXXXXX XXXXXX/ (XX) XXX XXXXXXXXXX INGEN XXXXXX XXXXXXXXXX FOR XX XXXXXXXXXXX XXXXXXXXXXX XXXXXX XXX XÅXÆXXXXXX XXXXXX XX XXXXXX XXXXXXXX XXXXXXX I HENHOLD XXX XXXXXXXX XXX X DEN XXXXXXXXXXX, XXXX XXX XXXXXXXXXX XXXXXXXX ER UDSTEDT/ (XX) IST XXXX XXXXXXXXX XXXXXXX, XXX XXXXX EINGETRAGENEN XXXXXXXXXXXXX XXXXXXXX DER XXXXXXXXXXXX XXXXXX XXX IHREM XÜXXXXXXX PARTNER XXXX XXX NATIONALEN XXXXX XXX XXXXXXXXXXXXXX, IN XXX XXX ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX WURDE, XXXXXXXXXXXXX/ (XX) EI XXX XXXXX XXXXXXX XXXXXXXXX XÄXXX ANDNUD XXXXXXXXXXXX ÕXXXXX KOHASEID XXXXXXXXXX, MIS XXXXXXXXXXX XXXXXXXXX ISIKU JA XXXX XXXXXXXX XXXXXXXXXXXXXX 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) THERE XX XX KNOWN XXXXXXXXXX TO X XXXXXXXXXX XXXXXXXXXXX XXXXXXX XXX PERSON CONCERNED XXX XXX OR XXX XXXXXXXX PARTNER XXXXX THE XXXXXXXX XXX XX XXX XXXXXX XXXXX WHERE XXX PUBLIC DOCUMENT XX XXXXXX/ (XX) XX X'XXXXXX XXX X'XXXÊXXXXXXX CONNU À XX XXXXXXXXXX X'XX XXXXXXXXXXX ENREGISTRÉ XXXXX XX PERSONNE XXXXXXXXX XX XXX XXXXX XXXXXXXXXX EN VERTU XX XXXXX NATIONAL XX L'ÉTAT MEMBRE XÙ LE DOCUMENT XXXXXX XXX XXXXXXX/ (XX) XXX XXX XXXX XXXXXXXXX XXX XX XXXXXXXXXXXXXXX XXXXXXXXXX XXXX XX XXXXX XXXX xXXXXXXXX AGUS X X(X)XXXXXXXX BEARTAITHE XXXX XXXX NÁISIÚNTA XX BHALLSTÁIT INA xXXXXXXX XX XXXXXXXXX XXXXXX A EISIÚINT/ (XX) NEMA XXXXXXX XXXXXXX ZBOG KOJE XXXXXXX OSOBA X XXXXXX XXXXĆX XXXXXXX XX BI XXXXX XXXXXXXX XXXXXXXXXXXX XXXXXXXXXXX XXXXX NACIONALNOM PRAVU XXXXXX ČLANICE U XXXXX XX JAVNA XXXXXXX XXXXXX/ (XX) XXX SONO XXXX XXXXXXXXXXX ALLA XXXXXXXXXXXXXX XX XX'XXXXXX XXXXXXXXXX XXX LA XXXXXXX XXXXXXXXXXX X XX XXXXXX XXXXXXX X XXXXX DEL XXXXXXX XXXXXXXXX DELLO XXXXX XXXXXX XXX XXXXXXXX XX DOCUMENTO PUBBLICO/ (XX) NAV XXXĀXX XXXĀXX XĶĒXXĻX XXĢXXXXĒXX XXXXXXXXXXXXXĪXX XXXXĒXXXXXX XXXXX XXXXXXĪXX XXXXXXX UN XĀX XXXXXX XXXXXXXX XXXXXŅĀ XX XĀX XXXĪXXXXXXX XXXXĪXX XXXXXX, XXXĀ XXXXXXXXXX XXXXXXXXX XX XXXXXX/ (LT) XĖXX XXXXXŲ XXXŪXXŲ XXXXXXXXXX ASMENS XX XX BŪSIMO (-XX) XXXXXXXXX (-ĖX) REGISTRUOTAI XXXXXXXXXXXX XXXXX XXXXXXXĖX XXXĖX, XXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (XX) NINCS X XÖXXXXXXX KIÁLLÍTÁSÁNAK XXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXX XXXXXXXX, XXXXXX XXXXXXXX XXXXX, XXXX XX XXXXXXXX XXXXXXX XX XXXXXŐ XXXXXXXXX EGYMÁSSAL XXXXXXXXXX XXXXXXXXX XXXXXXXXXXX XXXXXXXXXX/ (XX) XX XXXX X-XXXX XXXXXXXXXX XXXĦXXX XĦXX SĦUBIJA REĠISTRATA XXXX XX-XXXXXXX XXXXĊXXXXXX X S-SIEĦEB XXX XXXĦXX XXXXX XXXĦXX XXĦX IL-LIĠI NAZZJONALI XXX-XXXXX XXXXXX FEJN XXĦXXXĠ ID-DOKUMENT XXXXXXXX/ (XX) XX ER XXXX XXXXXXXXXXX XXXX XXX XXXXXXXXXXXXX PARTNERSCHAP XXXXXX XX XXXXXXXXXX XX ZIJN XX XXXX XXXXXXX PARTNER XX GROND XXX XXX XXXXXXXXX XXXXX XXX XX XXXXXXXX XXXX XXX XXXXXXXX XXXXXXXX XXXXX XXXXXXXXX/ (XX) XXX ISTNIEJĄ XXXXX PRZESZKODY XXX XXXXXXXX ZAREJESTROWANEGO ZWIĄZKU XXXXXXXXXXXXX XXXXX XXXXĘ, XXXXXX DOTYCZY XXXX-XXXX, X XXXXĄ, X XXXXĄ XXXXXXXX XXX XXXXXXĆ XXXX XXXĄXXX, XX MOCY XXXXX XXXXXXXXX XXŃXXXX

XXŁXXXXXXXXXXX, X XXXXXX TEN DOKUMENT XXXĘXXXX ZOSTAŁ XXXXXX/ (XX) XÃX XXXXXX XXXXXÇÃX XXXXXXXXX A XXX X PESSOA XX CAUSA XXXXXXXXÇX XXX X(X) XXXXXX(X) XXXXXXXX(X) XXX PARCERIA XXXXXXXXX NOS TERMOS XX XXXXXXX NACIONAL XX XXXXXX-XXXXXX EM XXX X XXXXXXXXX XXXXXXX XXX XXXXXXX/ (XX) XX XX XXXXXȘXX NICIO OPOZIȚIE XX ÎXXXXXXXXX XXXX XXXXXXXXXXX ÎNREGISTRAT ÎXXXX XXXXXXXX XXXXXĂ ȘI XXXXXXXX XXXXXXXX (VIITOAREA XXXXXXXXĂ) ÎX XXXXXXXXXXXX XX XXXXXXX INTERN XX XXXXXXXX XXXXXX ÎX XXXX ESTE XXXX XXXXXXXXXX XXXXXXX/ (XX) XXX XX XXXXX XXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXXXX MEDZI XXXXXXXXX XXXXXX A XXX XXXXXXXXXXXX XXXXXXXXX XXXĽX XXXXXXXXXXXXXX PRÁVA XXXXXXXXX XXXXX, X XXXXXX XX VEREJNÁ XXXXXXX XXXXXX/ (XX) XX XXXXXXXXXXXXX XXXXXXXXXXXXX, XX XXXXXXX OSEBA XX NJEN XXXXXXXXXX XXXXXXX XX XX XXXXX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX X SKLADU X XXXXXXXXXXX XXXXXX XXXXXX ČLANICE, X XXXXXX XX XXXXXX XXXXX XXXXXXX/ (FI) XXXXXXXXXXXX XXXXXXÖX XX XÄXXX TULEVAN XXXXXXXXXXX XÄXXXXÄ REKISTERÖITYÄ XXXXXXXXXXXX XX OLE XXXXXXXXXXX XXX XÄXXXXXXXXXX XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXX XXX INGA XÄXXX XXXÄXXXXXXXX XXX XXXÅXXXX XX XXXXXXXXXXX PARTNERSKAP XXXXXX XXX XXXÖXXX XXXXXXXX XXX XXXX XXXXX HENNES XXXXXXXX XXXXXXX ENLIGT XXX XXXXXXXXXX XXXXXXXXXXXXXX I XXX XXXXXXXXXXX XÄX XXX XXXXXXXXXX HANDLINGEN XXXÄXXXXXX

6.

(XX) ИНФОРМАЦИЯ ЗА БЪДЕЩИЯ ПАРТНЬОР НА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX XX XXXXXX XXXXXX XX XXXXX XXXXXXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXXX X BUDOUCÍM XXXXXXXXXX / BUDOUCÍ PARTNERCE XXXXXXX XXXXX/ (DA) XXXXXXXXXXX XX XXX XÅXÆXXXXXX PERSONS XXXXXXXX XXXXXXX/ (XX) XXXXXXX XX XXX KÜNFTIGEN XXXXXXX XXX XXXXXXXXXXXX XXXXXX/ (XX) XXXXX XXXXX XXXXX, XXXXXXX XXXXXXXXX XXXX XXXXXX XXXXXXXXXXXXXX KOOSELLU XXXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΜΕΛΛΟΝΤΟΣ Ή ΤΗΣ ΜΕΛΛΟΥΣΑΣ ΣΥΝΤΡΟΦΟΥ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) INFORMATION XX XXX XXXXXXXX XXXXXXX XX THE PERSON XXXXXXXXX/ (FR) XXXXXXXXXXXX XXX XX FUTUR XXXXXXXXXX XX XX XXXXXXXX CONCERNÉE/ (XX) XXXXXXXX XXXXXX XX XXXXXXXXX XXXXXXXXXX XX XXXXX LENA xXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXĆXX PARTNERU XXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXX FUTURO XXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (XX) INFORMĀCIJA XXX XXXXXXĪXĀX PERSONAS XXXXXX XXXXXXXX/ (XX) INFORMACIJA XXXX ATITINKAMO XXXXXX XŪXXXĄ PARTNERĮ (-Ę)/ (XX) XX XXXXXXXX XXXXXXX XXXXXŐ XXXXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXĦXX XXX XXXĦXX XXXXX XXX-XXXXXXX KKONĊERNATA/ (XX) XXXXXXXXXX OVER DE XXXXXXX XXXXXXX XXX XX XXXXXXXXXX/ (PL) XXXX OSOBY, Z XXXXĄ XXXXX, KTÓREJ XXXXXXX XXXXXXXX, XXXXXXXX XXXXXXĆ XXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXX/ (XX) XXXXXXXÇÕXX XXXXX O(A) XXXXXX(X) XXXXXXXX(X)XX XXXXXX XX XXXXX/ (XX) XXXXXXXȚXX XXXXXXX VIITORUL XXXXXXXX (XXXXXXXXX PARTENERĂ) XX (X) XXXXXXXXX VIZATE/ (XX) INFORMÁCIE X XXXXXXXXXXXX PARTNEROVI XXXXXXXXX XXXXX/ (SL) XXXXXXXXXXX X XXXXXXXXXXX XXXXXXXXX XXXXXXX XXXXX/ (FI) XXXXXX ASIANOMAISEN XXXXXXÖX XXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXX XX DEN XXXÖXXX XXXXXXXXX XXXXXXXX XXXXXXX

7.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX LA FIRMA/ (XX) POLE PRO XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) UNTERSCHRIFTENFELD/ (ET) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) CADRE XXXX XX XXXXXXXXX/ (XX) BOSCA XXX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXXXXX PER XX XXXXX/ (LV) XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXX/ (XX) AZ XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX TAL-IFFIRMAR/ (XX) XXX VOOR XX XXXXXXXXXXXX/ (XX) XXXX XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (XX) SEMNĂTURA/ (XX) XXXXXXX NA XXXXXX/ (XX) XXXXX ZA XXXXXX/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (XX) RUTA XÖX XXXXXXXXXXXXXX

7.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X XXXXXX(X) XXX XXXXXXXXXXX XXX EXPIDIÓ XXXX XXXXXXX/ (XX) XXXXXXXX X XXXXX (JMÉNA) XXXXXXXX, XXXXX XXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXXX(X) XX XXXXXXX(X) XÅ XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (DE) XXXXXXXXXXXX(X) XXX XXXXXXX(X) XXX BEAMTEN, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (ET) XÄXXXXXXX XXXXX VÄLJASTANUD XXXXXXXX XXXXXXX (-XXXXX) XX XXXXXXXXXXXXX (-XXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) SURNAME(S) XXX XXXXXXXX(X) OF XXX XXXXXXXX WHO XXXXXX THIS FORM/ (XX) NOM(S) ET XXXXXX(X) XX XXXXXXXXXXXXX XXX A DÉLIVRÉ XX PRÉSENT FORMULAIRE/ (XX) SLOINNE (SLOINNTE) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX OIFIGIGH X X’XXXXXX XX FHOIRM XXX/ (HR) XXXXXXX(XX) X IME(NA) XXXXXXXXXX XXXX XX IZDAO XXXX OBRAZAC/ (XX) XXXXXXX/X E XXXX/X XXX FUNZIONARIO XXX XX XXXXXXXXXX IL XXXXXXXX MODULO/ (LV) XXXXXXXXXXXX, KURA IZDEVUSI XX XXXXXXXX, XXXĀXXX(-X) XX XĀXXX(-X)/ (LT) XXĄ XXXXĄ IŠDAVUSIO XXXXXXŪXX XXXXXXĖ (-ĖS) XX XXXXXX (-XX)/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXX XXXX(X) ÉS UTÓNEVE(I)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦXXXĠ DIN XX-XXXXXXX/ (XX) NA(A)M(EN) XX XXXXXX(X)X(XX) XXX DE XXXXXXXXX XXX XXX XXXXXXXXX HEEFT AFGEGEVEN/ (XX) NAZWISKO(-A) I XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX XXXXŁ NINIEJSZY XXXXXXXXX/ (XX) XXXXXXX(X) X XXXX(X) PRÓPRIO(S) XX FUNCIONÁRIO XXX XXXXXX O XXXXXXXX XXXXXXXXXX/ (RO) NUMELE ȘX XXXXXXXXX FUNCȚIONARULUI XXXX A EMIS XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) A XXXX(-X) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (SL) XXXXXXX/XXXXXXX XX XXX/XXXXX XXXXXXXX, XX JE XXXXX TA OBRAZEC/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX VIRKAMIEHEN XXXXXXXX (-XXXXX) JA ETUNIMI (-XXXXX)/ (XX) XXXXXXXXX XXX FÖRNAMN PÅ XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

7.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX DEL FUNCIONARIO XXX EXPIDIÓ ESTE XXXXXXX/ (CZ) XXXXXX XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXXX — XXX XXXXXXXXXX, DER XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX DES XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) KÄESOLEVA XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) POSITION XX XXX XXXXXXXX XXX XXXXXX XXXX FORM/ (XX) XXXXX XX XXXXXXXXXXXXX QUI X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XXXX XX OIFIGIGH X X’XXXXXX XX FHOIRM XXX/ (HR) XXXXXXXX XXXXXXXXXX XXXX XX XXXXX OVAJ XXXXXXX/ (XX) POSIZIONE DEL XXXXXXXXXXX XXX HA XXXXXXXXXX IL PRESENTE XXXXXX/ (LV) XXXXXXXXXXXX, XXXX XXXXXXXX ŠO XXXXXXXX, XXXXX/ (XX) XXĄ XXXXĄ IŠDAVUSIO XXXXXXŪXX PAREIGOS/ (XX) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXXXX/ (MT) XXXXXX TAL-UFFIĊJAL XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX VAN XX XXXXXXXXX XXX XXX XXXXXXXXX HEEFT XXXXXXXXX/ (PL) XXXXXXXXXX XXXĘXXXXX, KTÓRY WYDAŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX DO XXXXXXXXXXX XXX XXXXXX X XXXXXXXX FORMULÁRIO/ (XX) XXXXȚXX FUNCȚIONARULUI XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, KTORÝ VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XX XX XXXXX TA XXXXXXX/ (FI) TÄMÄN XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX XXX XXX UTFÄRDAT XXXXX FORMULÄR

7.3

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX EXPEDICIÓN/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) UDSTEDELSESDATO (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) VÄLJAANDMISE XXXXÄXX (XX/XX/XXXX)/ (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) IZDAVANJA/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (DD/MM/JJJJ) XXX XXXXXXX/ (XX) XXXX (DD/MM/RRRR) XXXXXXX/ (XX) XXXX XX XXXXXÃX (DD/MM/AAAA)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

7.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (XX) UNDERSKRIFT/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) PARAKSTS/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (NL) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (RO) XXXXĂXXXX/ (SK) XXXXXX/ (XX) XXXXXX/ (FI) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

7.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (CZ) XXXXX XXXX XXXXXXX/ (XX) XXXX XXXXX XXXXXXX/ (XX) XXXXXX ODER XXXXXXX/ (XX) XXXXXX XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) SEAL XX STAMP/ (XX) XXXXX OU TIMBRE/ (XX) XXXXX NÓ XXXXXX/ (XX) ŽIG XXX PEČAT/ (XX) XXXXX X XXXXXX/ (XX) ZĪMOGS XXX XXXXXXXX/ (XX) XXXXXXX XXXX ANTSPAUDAS/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX XXX XXXXXX/ (XX) XXXXX XX XXXXXXX/ (XX) XXXXXĘĆ LUB STEMPEL/ (XX) XXXX XX XXXXXXX/ (XX) SIGILIUL XXX ȘXXXXXXX/ (SK) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXX ŽIG/ (XX) XXXXXXX XXX XXXXX/ (XX) XXXXXX ELLER XXÄXXXX

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(2) Xxx xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx písmo.

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

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

3.2 Xxxxxxx xxxxxx xxxxxxxx úřadem

3.2.1 Osvědčení

3.2.2 Xxxxx x matriky

3.2.3 Xxxxx x registru xxxxxxxx

3.2.4 Opis xxxxxxxxxx xxxxxxx

3.1.5 Xxxx (upřesněte)

3.3 Xxxxxxxx listina

3.4 Úřední xxxxxxxxx, xxxxxx xxxx xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

3.5 Xxxxxxx xxxxxxxxxx diplomatickým xxxxxxxxx xxxx xxxxxxxxxxx úředníkem xxxxxxxxx xxxxx x xxxxx xxxxxx xxxx xxxxxxxxxx povinností

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx xxxxx xxxxxxx listiny

4. XXXXXXXXX X DOTYČNÉ XXXXX

4.1 Xxxxx/x příjmení

4.2 Xxxxxxxx/x xxxxxxxx

4.3 Xxxxxxxx xxxx uzavřením registrovaného xxxxxxxxxxx

4.4 Příjmení xx xxxxxxxx xxxxxxxxxxxxxx partnerství

4.5 Xxxxx (jména)

4.6 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.7 Místo (1) a xxxx (2) xxxxxxxx

4.8 Xxxxxxx:

4.8.1 Xxxx

4.8.2 Muž

4.8.3 Xxxxxxxx

4.9 Xxxxxx příslušnost

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

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

5.2 Xxxx x xxxxxxxxxxxxx xxxxxxxxxxx

5.2.1 Xxxxx xxxxxx x xxxxxxxxxxxxx xxxxxxxxxxx

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

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

5.3 Xxxxxxxx

6. XXXX XXX XXXXXX

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

6.2 Funkce xxxxxxxx, xxxxx xxxxx tento xxxxxxxx

6.3 Datum (xx/xx/xxxx) xxxxxx

6.4 Podpis

6.5 Pečeť xxxx razítko

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

(2) Xxxxx země x – pokud 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 portálu xxxxxxxx x-xxxxxxx.

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XXXX XXXXXXX/ (XX) ORGÁN VYDÁVAJÍCÍ XXXXX FORMULÁŘ/ (DA) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, XXX XXXXXX FORMULAR XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX XÄXXX XXXXXX XXXXXX/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) AUTHORITY XXXXXXX XXXX XXXX/ (XX) AUTORITÉ XX XXXXXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X EISEOIDH XX XXXXXX XXX/ (XX) TIJELO XXXX XXXXXX OVAJ XXXXXXX/ (XX) AUTORITÀ XXX XXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (LT) XXĄ XXXXĄ XXXXXXXXXX VALDŽIOS XXXXXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ EMITTENTI XX' XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX XXXXXXXXX/ (PL) XXXXX XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (XX) AUTORIDADE XXX XXXXX X XXXXXXXX XXXXXXXXXX/ (RO) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX XXXXXXXX/ (SK) ORGÁN XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX, XX XXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (SV) XXXXXXXXX SOM UTFÄRDAR XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (FR) XXXXXXXXXXXX/ (XX)XXXXXXX/ (HR) XXXXX/ (XX) DENOMINAZIONE/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) NAZWA/ (XX) XXXXXXXÇÃX/ (RO) DENUMIRE/ (XX) XXXXX/ (XX) XXX/ (XX) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX QUE XXXXXX EL XXXXXXXXX XXXXXXX XX XXX XX ADJUNTA ESTE XXXXXXX/ (CZ) ORGÁN XXXXXXXXXX XXXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) DEN MYNDIGHED, XXX XXX UDSTEDT XXX OFFENTLIGE XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (DE) XXXÖXXX, XXX DIE ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX, AUSSTELLT/ (XX) XXXXXX, XXX XXXXX XÄXXX AVALIKU XXXXXXXXX, XXXXXXX SEE 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 XXXX IS XXXXXXXX/ (XX) AUTORITÉ XX XXXXXXXXXX XX XXXXXXXX XXXXXX AUQUEL XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (GA) AN xXXXXXX A XXXXXXXX XX XXXXXXXXX POIBLÍ XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXX XXXXX XXXXXXX XXXXX JE XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ CHE RILASCIA XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) PUBLISKĀ DOKUMENTA, XXXXX ŠĪ XXXXXXXX XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) VIEŠĄJĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX FORMA, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) AWTORITÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX LI XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX/ (NL) XXXXXXXXXX XXX XXXXXXX XXX HET OPENBAAR XXXXXXXX XXXXXXX DIT XXXXXXXXX XX XXXXXXX/ (XX) ORGAN XXXXXĄXX XXXXXXXX XXXĘXXXX, DO XXXXXXX NINIEJSZY XXXXXXXXX XXXX ZAŁĄCZONY/ (PT) XXXXXXXXXX QUE XXXXX X XXXXXXXXX XXXXXXX X XXX O XXXXXXXX XXXXXXXXXX ESTÁ XXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ A XXXXXXXXXXXX XXXXXXX XX XXXX XXXX ANEXAT XXXXXXXXX XXXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXXXX XXXXXXX, XX KTOREJ XX XXXXX XXXXXXXX PRIPOJENÝ/ (XX) XXXXX, KI XXXX XXXXX LISTINO, XX JI XX XXXXXXXX XX XXXXXXX/ (XX) VIRANOMAINEN, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ XXXXXX LIITETÄÄN/ (XX) XXXXXXXXX XXX UTFÄRDAR XXX XXXXXXXXXX HANDLING XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXX XX XXX XX ADJUNTA ESTE XXXXXXX/ (CZ) INFORMACE XXXXXXXX SE XXXXXXX XXXXXXX, K XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXØXXXXX XXX XXXXXXXXXX XXXXXXXX, SOM XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX XXXXXXX XXXXXXXXX KOHTA, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) INFORMATION XXXXXXXX XX XXX XXXXXX DOCUMENT TO XXXXX XXXX XXXX XX ATTACHED/ (XX) XXXXXXXXXXXX RELATIVES XX XXXXXXXX XXXXXX AUQUEL XXX XXXXX LE XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX A BHAINEANN XXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (HR) XXXXXXXXXXX XXXX XX ODNOSE XX XXXXX ISPRAVU XXXXX XX XXXX XXXXXXX PRILOŽEN/ (XX) XXXXXXXXXXXX XXXXXXXX AL XXXXXXXXX XXXXXXXX CUI XX PRESENTE XXXXXX È XXXXXXXX/ (LV) XXXXXXĀXXXX PAR PUBLISKO XXXXXXXXX, XXXXX ŠĪ XXXXXXXX IR XXXXXXXXXX/ (XX) XXXXXXXXXXX, SUSIJUSI XX XXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX IL-FORMOLA/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX URZĘDOWEGO, XX KTÓREGO XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX XXXXXXXXX XXXXXXX X QUE O XXXXXXXX FORMULÁRIO XXXX XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX PREZENTUL XXXXXXXX/ (SK) XXXXXXXXXX X XXXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX V XXXXX Z XXXXX XXXXXXX, XX JI XX XXXXXXXX XX XXXXXXX/ (FI) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, JOHON XÄXÄ LOMAKE LIITETÄÄN/ (XX) INFORMATION XX XXX XXXXXXXXXX HANDLING XXXX XXXXXX XXXXX XXXXXXÄX ÄR BIFOGAT

3.1

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (ES) DOCUMENTO XXXXXXXX XXX UNA XXXXXXXXX O XX XXXXXXXXXXX VINCULADO X XXX ÓRGANOS JURISDICCIONALES XX UN XXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXX XXXXXXXXX X XXXXXX XX XXXXX XXXXXX XXXXXXXXX XXXXX/ (DA) XXXXXXXX, XXX XX XXXXXXX XX EN XXXXXXXXX XXXXX EN XXXXXXXXXX, DER XX XXXXXXXXXX DOMSTOLE X XX MEDLEMSSTAT/ (XX) XXXXXXX EINER XXXÖXXX XXXX EINER XXXXXXXXXX XXX ORGAN XXX XXXXXXXXXXXX EINES MITGLIEDSTAATS/ (XX) XXXXXXXX, MILLE XX VÄLJA XXXXXX XXXXXXXXXXXX XXXXXXXXX SEOTUD XXXXXXXXXXX VÕI XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX FROM AN XXXXXXXXX XX XX XXXXXXXX CONNECTED XXXX XXX COURTS OR XXXXXXXXX XX X XXXXXX STATE/ (XX) XXXXXXXX XXXXXXX X'XXX XXXXXXXX XX D'UN XXXXXXXXXXXXX XXXXXXXX X'XXX XXXXXXXXXXX D'UN ÉTAT XXXXXX/ (XX) DOICIMÉAD X XXXXXXX X XXXXXX NÓ Ó XXXXXXXXX A XXXXXX XXXXX AIGE XX XXXX LE CÚIRTEANNA XX LE XXXXX XX CHUID XXXXXXXXX/ (XX) ISPRAVA XXXX XX XXXXXX XXXXXX XXX XXXXXXXXX XXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ O XX XX XXXXXXXXXXX APPARTENENTE XX UNA DELLE XXXXXXXXXXXXX XX XXX XXXXX XXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XX DALĪBVALSTS XXXXĀX XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX XXXXXXXX INSTITUCIJOS XX XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX XXXXXXXX AR XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX ÁLLÓ HATÓSÁG XXXX TISZTVISELŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ XXX UFFIĊJAL XX XXXXXXXX XXXXX XXX-XXXXX XXX XX-XXXXXXXXX XX' XXXX MEMBRU/ (XX) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXXXX XX XXXXXXXXX BEHORENDE XXX EEN RECHTERLIJKE XXXXXXXXX XXX EEN XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXX XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX PAŃSTWA XXŁXXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX XX XXX AUTORIDADE XX DE XX XXXXXXXXXXX XXXXXXXXXX DE XXXXXXXX XXXXXXXÇÃX XX XX XXXXXX-XXXXXX/ (RO) XXXXXXXX EMIS XX X AUTORITATE XXX XX XX FUNCȚIONAR XX XX LÂNGĂ XXXXXXȚXXX UNUI STAT XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXX XXXXXXXXX X VÄZBOU XX SÚDY XXXXXXXXX XXXXX/ (SL) XXXXXXX, XXXXXX S XXXXXX XXXXXX XXX XXXXXXXX XXXXX OBLASTI DRŽAVE XXXXXXX/ (XX) XXXXXXXXX, XXXXX XX XXXXXXX XÄXXXXXXXXXX OIKEUSLAITOKSEEN XXXXXXX XXXXXXXXXXXX XXX VIRKAMIES/ (XX) HANDLING XXX XÄXXÖX XXÅX XX XXXXXXXXX ELLER XX XXÄXXXXXXX TILLHÖRANDE XXXXXXXXXÄXXXXXX X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX JUDICIAL/ (XX) XXXXXXXXXX XXXXX/ (DA) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (EN) XXXXX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXX XX xXXXXX/ (XX) XXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) TIESAS XĒXXXX/ (XX) XXXXXX XXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) RECHTERLIJKE XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (XX) DECISÃO XXXXXXXX/ (RO) HOTĂRÂRE XXXXXĂXXXXXXXĂ/ (XX) SÚDNE XXXXXXXXXXX/ (SL) XXXXX XXXXXXX/ (FI) XXXXXXXXXXXXXX XÄÄXÖX/ (SV) DOMSTOLSBESLUT

3.1.2

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) DOCUMENTO XXXXXXXX XXX XX XXXXXXXXXX XXXXXX/ (CZ) XXXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (DA) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX STAATSANWALTSCHAFT/ (XX) XXXXXXXX, MILLE ON XÄXXX ANDNUD RIIKLIK XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) DOCUMENT EMANATING XXXX X XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX MINISTÈRE XXXXXX/ (XX) DOICIMÉAD X XXXXXXX X XXXXXXXXXXXXXXX POIBLÍ/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (LT) XXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (XX) ÜXXXXX ÁLTAL XXXXXXXXXX OKIRAT/ (MT) XXXXXXXX XXĦXXĠ MINN XXXXXXXXXX PUBBLIKU/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX OPENBAAR XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX/ (XX) XXXXXXX VYDANÁ PROKURÁTOROM/ (XX) LISTINA, KI XX IZDA XXXXXXX XXXXXXXXX/ (FI) VIRALLISEN XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX ÅKLAGARVÄSENDET

3.1.3

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (ES) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX ÚŘEDNÍKEM/ (XX) DOKUMENT UDSTEDT XX XX XXXXXXXXXXXXXÆX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX GERICHTS/ (ET) XXXXXXXX, XXXXX XX XÄXXX ANDNUD KOHTUAMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) DOCUMENT EMANATING XXXX X XXXXX XX X COURT/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXX DE XXXXX XXXXXX/ (XX) XXXXXXX KOJU XX XXXXX UPRAVITELJ SUDSKE XXXXXXXXX/ (IT) DOCUMENTO XXXXXXX DA XX XXXXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĀXX/ (XX) XXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) BÍRÓSÁGI TISZTVISELŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX REĠISTRATUR TA' XXXXX/ (NL) DOCUMENT XXXXXXXXX XXXX XXX XXXXXXXX/ (PL) DOKUMENT XXXXXXXĄXX XX SEKRETARZA XĄXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXX DE XXXXXÇX/ (XX) XXXXXXXX XXXX XX XX GREFIER XX XXXXXXȚXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXX/ (XX) LISTINA, XX XX XXXX XXXXX USLUŽBENEC/ (XX) XXXXXXXXXXXXXX SIHTEERIN ANTAMA XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („HUISSIER XX XXXXXXX“)/ (XX) DOCUMENTO XXXXXXXX POR XX XXXXXX XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (CZ) XXXXXXX XXXXXX SOUDNÍM XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX AF XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX ON XÄXXX XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX DE XXXXXXX»)/ (XX) XXXXXXXX EMANATING XXXX X XXXXXXXX XXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXX X'XX HUISSIER XX XXXXXXX/ (GA) XXXXXXXXX A XXXXXXX X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXX XX XXXXX XXXXXX XXXXXXXXX (XXXXXXXX DE XXXXXXX)/ (IT) XXXXXXXXX XXXXXXX XX XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX (XXXXXXXX XX XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX JUSTICE”) XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX XXXXĊXXX ĠUDIZZJARJU ('XXXXXXXX DE XXXXXXX')/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX GERECHTSDEURWAARDER/ (XX) XXXXXXXX POCHODZĄCY XX XXXĘXXXXX SĄDOWEGO (XXXXXXXX XX JUSTICE)/ (XX) DOCUMENTO XXXXXXXXXXX XX XX ESCRIVÃO XX XXXXXXX («HUISSIER XX JUSTICE»)/ (XX) XXXXXXXX EMIS DE XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX XXXXXXX“)/ (SL) XXXXXXX, XX JO XXXX XXXXX IZVRŠITELJ („XXXXXXXX XX XXXXXXX“)/ (XX) HAASTEMIEHEN (”XXXXXXXX XX XXXXXXX”) XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXÄXXXXXXXXX (HUISSIER XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (ESPECIFÍQUESE)/ (XX) XXXX (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) SONSTIGES (XXXXX XXXXXXX)/ (ET) MUU (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX BE XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (GA) XXXX (XX XXXXX)/ (HR) XXXXXX (NAVESTI)/ (XX) XXXXX (XXXXXXXXX)/ (LV) XXXX (XXXXXXĒX)/ (LT) XXXX (XXXXXXXX)/ (XX) XXXXX (KÉRJÜK PONTOSÍTANI)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (SPECIFICEREN)/ (XX) XXXX (PROSZĘ XXXXŚXXĆ)/ (PT) OUTROS (X ESPECIFICAR)/ (XX) XXXXX (A XX XXXXXXX)/ (XX) XXX (XXXXXXXX)/ (XX) DRUGO (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (SV) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (ES) XXXXXXXXX ADMINISTRATIVO/ (CZ) XXXXXXX XXXXXX SPRÁVNÍM XXXXXX/ (DA) ADMINISTRATIVT XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (ET) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (EN) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) DOICIMÉAD XXXXXXXXXX/ (HR) XXXXXXX XXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) KÖZIGAZGATÁSI XXXXXX/ (MT) XXXXXXXX XXXXXXXXXXXXXX/ (NL) ADMINISTRATIEF XXXXXXXX/ (PL) XXXXXXXX XXXXXXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXXXXX/ (RO) XXXXXXXX XXXXXXXXXXXXX/ (SK) XXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) HALLINNOLLINEN XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) PÅTEGNING/ (DE) XXXXXXXXXXXXX/ (XX) TÕEND/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (FR) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) CERTIFICATO/ (XX) APLIECINĀJUMS/ (LT) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊERTIFIKAT/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX DEL XXXXXXXX CIVIL/ (CZ) XXXXX X XXXXXXX/ (XX) UDDRAG XXX XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) EXTRACT XXXX XXX XXXXX XXXXXX XXXXXXXX/ (FR) XXXXXXX DU XXXXXXXX XX X'XXXX CIVIL/ (XX) XXXXXXX AS XX gCLÁR XXXXXXX XXXXXXXXXX/ (XX) IZVADAK XX REGISTRA XXXXXXX XXXXXX/ (XX) ESTRATTO XX XXXX XX XXXXX CIVILE/ (XX) XXXXXXXX NO XXXXXXXĀXXXĻX XXXX REĢISTRA/ (XX) XXXXXXX XX CIVILINĖS XŪXXĖX AKTŲ REGISTRO/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) ESTRATT MIR-REĠISTRU XXX-XXXXX ĊIVILI/ (XX) XXXXXXXXXX XXX HET XXXXXXXX XXX DE XXXXXXXXXXX XXXXX/ (XX) XXXXX SKRÓCONY XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXX XX XXXX XX XXXXXXX XXXXX/ (XX) XXXXXX XXX XXXXXXXXX XX XXXXX XXXXXĂ/ (XX) XXXXX X REGISTRA XXXXXXXX XXXXX/ (XX) XXXXXXX XX XXXXXXXX X XXXXXXX STANJU/ (FI) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) XXXXXX UR XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX XXX XXXXX/ (XX) VÝPIS Z XXXXXXXX XXXXXXXX/ (XX) XXXXXX XXX FOLKEREGISTRET/ (XX) XXXXXX XXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX XXX XXXXXXXXXX XXXXXXXX/ (FR) XXXXXXX XX REGISTRE XX XX POPULATION/ (XX) XXXXXXX XX XX xXXXX XXXXXX/ (XX) IZVADAK XX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX ANAGRAFICO/ (XX) XXXXXXXX XX XXXXĪXXXĀXX XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXXŲ REGISTRO/ (XX) XXXXXXX X XXXXXXXXXXXX- XX LAKCÍMNYILVÁNTARTÁSBÓL/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (NL) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX Z XXXXXXXX XXXXXŚXX/ (XX) XXXXXXX XX REGISTO XX XXXXXXÇÃX/ (RO) XXXXXX XXX REGISTRUL XX XXXXXXȚĂ X XXXXXXȚXXX/ (XX) XXXXX X XXXXXXXX OBYVATEĽOV/ (XX) IZPISEK XX XXXXXXXX XXXXXXXXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX XX XXXXX XXX XXXXXXXX XXXXX/ (CZ) XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXX XX XXXXXXXXXXXXXXXXXXX/ (DE) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX XX XXXXX XXXXXX RECORDS/ (FR) XXXXX INTÉGRALE X'XXXXX XX X'XXXX CIVIL/ (XX) CÓIP XXXXX XX XXXXXX DE XXXXXXX AR XXXXXX XXXXXXXXX/ (HR) XXXXXXXX XXXXXXXX XX XXXXXXXXXX X XXXXXXX STANJU/ (XX) XXXXX XXXXXXXXX XX XXXX DI XXXXX XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX XXĢXXXXX XXXXXXXX XXXXXXXXXX KOPIJA/ (XX) XXXXXXXĖX BŪKLĖS XXXŲ ĮRAŠŲ PAŽODINĖ XXXXXX/ (HU) XXXXXÖXXXX XXXXXXXXX SZÓ XXXXXXXX XXXXXXXX/ (MT) XXXXX XXXXXXXX TAL-ATTI XXX-XXXXX ĊXXXXX/ (XX) EENSLUIDEND XXXXXXXXX XXX XXXXX XXX XX BURGERLIJKE XXXXX/ (PL) XXXXX XXXXŁXX AKTU XXXXX XXXXXXXXX/ (PT) XXXXXXÃX XX XXXXX XXXXXXXX XX DE XXXXXXXXX XX ATOS DE XXXXXXX CIVIL/ (XX) XXXXX EXACTĂ X XXXX XXX DE XXXXX XXXXXĂ/ (XX) XXXXXXXX XXXXX XX XXXXXXX X XXXXXXX XXXXX/ (XX) DOBESEDNI XXXXXX XXXXXX X XXXXXXX STANJU/ (FI) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX XX FOLKBOKFÖRINGSHANDLING

3.3

(BG) НОТАРИАЛЕН АКТ/ (XX) ACTA XXXXXXXX/ (CZ) NOTÁŘSKÁ XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (DE) XXXXXXXXXX XXXXXXX/ (XX) NOTARIAALDOKUMENT/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) NOTARIAL ACT/ (XX) XXXX XXXXXXX/ (XX) XXXXXX NÓTAIREACHTA/ (XX) XXXXXXXXXXXXXXXX ISPRAVA/ (XX) XXXX NOTARILE/ (XX) NOTARIĀLS AKTS/ (XX) NOTARINIS XXXXX/ (XX) KÖZJEGYZŐI OKIRAT/ (XX) ATT XXXXXXXX/ (XX) NOTARIËLE XXXX/ (XX) AKT NOTARIALNY/ (XX) ATO XXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXXX LISTINA/ (XX) XXXXXXXX LISTINA/ (XX) NOTAARIN ANTAMA XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) CERTIFICACIÓN XXXXXXX XXXXXX XXXXX UN XXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXX, KTERÝM XXXX XXXXXXXX XXXXXXX XXXXXXXXX SOUKROMOU XXXXXX/ (XX) OFFICIEL XÅXXXXXXX XÅ XX DOKUMENT XXXXXXXXXXX XX XX XXXXXX X DENNES XXXXXXXX XX PRIVATPERSON/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX EINER XXXXXXXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXXXX ALLKIRJASTATUD DOKUMENDILE XXXXXXXXXX AMETLIK TÕEND/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX PLACED XX X XXXXXXXX XXXXXX XX A PERSON XX XXX XX XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX SUR XX XXXX XXXX XXXXX XXXXX/ (XX) DEIMHNIÚ XXXXXXXXX X XXXXXXXXX XX XXXXXXXXXX ARNA XXXXXX XX XXXXX XXX XXXXX NÓ XXX XXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX POTVRDA XXXXXXXXX XX ISPRAVU XXXX XX OSOBA XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (XX) DICHIARAZIONE XXXXXXXXX XXXXXXX XX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXĀXX XXXXXXXXĀXXXX XX XXXXXXXXX, XX XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (XX) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ OFICIALŪS PATVIRTINIMAI/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX TANÚSÍTVÁNY/ (XX) ĊXXXXXXXXX XXXXĊXXXX LI XXXXXXXĦXX F'DOKUMENT IFFIRMAT XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX CERTIFICAAT XX XXX XXXXXXXX XXXXXXXXXXX XXXX XXX XXXXXXX XX XXXX PARTICULIERE XXXXXXXXXXXX/ (PL) XXXĘXXXX XXŚXXXXXXXXXX UMIESZCZONE NA XXXXXXXXXX PODPISANYM XXXXX XXXXĘ DZIAŁAJĄCĄ X XXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÃX OFICIAL INSERTA XXX XXX XX XXXXXXXX PRIVADA/ (XX) XXXXXXXXXX XXXXXXX XXXXXXX XX UN XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX XX LISTINE XXXXXXXXXX XXXXXX KONAJÚCOU XXX SÚKROMNÁ XXXXX/ (XX) XXXXXX XXXXXX XX XXXXXXX XXXXXXX/ (XX) XXXXXXXXXX TODISTUS XXXXXXXXXXXX, XXXXX XXXXXXÖ XX ALLEKIRJOITTANUT YKSITYISHENKILÖNÄ/ (XX) XXXXXXXXXX INTYG XXXXXXXXX XÅ XX XXXXXXXX SOM XXXXXXXXXXXXX XX XX PRIVATPERSON

3.5

(BG) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) DOCUMENTO XXXXXXXX XXX UN XXXXXX XXXXXXXXXXX X XXXXXXXX XX XX XXXXXX XXXXXXX XXX XXXXXXXX XXXXXXX/ (CZ) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXX KONZULÁRNÍM XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX OFFICIELT XXXÆXXXXXX XX XX XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (XX) XXX XXXXX DIPLOMATISCHEN XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX MITGLIEDSTAATS IN XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX VÕI XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX KOOSTATUD XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX DRAWN XX XX X XXXXXXXXXX OR CONSULAR XXXXX XX X XXXXXX XXXXX IN XXX XX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXX XX XX XXXXXXX XXXXXXXXXX XXX UN XXXXX XXXXXXXXXXXX XX CONSULAIRE X'XX ÉTAT XXXXXX/ (XX) DOICIMÉAD ARNA XXXXXXXXXX XXXX XX XXXXXXXXXX TAIDHLEOIREACHTA XX XXXXXXXXX XX XXXXX XXXXXXXXX XXX XXXXX XX XXX CÁIL XXXXXXXXX/ (HR) ISPRAVA XXXX XX U XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXX XXX KONZULARNI XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX DIPLOMATICI X XXXXXXXXX DI XXX XXXXX XXXXXX XXXX'XXXXXXXXX DELLE XXXX XXXXXXXX/ (XX) XXXXXXXXX, XXXX, PILDOT XXXXX XXXXĀXXXXX, SAGATAVOJIS DALĪBVALSTS XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX NARĖS XXXXXXXXX XX XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX TAGÁLLAM XXXXXXXXXXX XXXX KONZULI XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXXX XXXX XĠXXX DIPLOMATIKU XXX XXXXXXXXX XX' XXXX XXXXXX XXX-XXXXĊXXÀ UFFIĊJALI XXXXĦX/ (NL) XXXXXXXX XXXXXXXXX DOOR XX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX XX XXXX XXXXXXËXX HOEDANIGHEID/ (XX) XXXXXXXX XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX LUB XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX XXXĘXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XX AGENTE XXXXXXXXXXX XX XXXXXXXX DE XX XXXXXX-XXXXXX NO XXXXXXXXX XXX SUAS XXXÇÕXX OFICIAIS/ (XX) XXXXXXXX ÎXXXXXXX DE XĂXXX UN XXXXX XXXXXXXXXX XXX XXXXXXXX XX XXXX XXXX XXXXXX, ÎN CALITATE XXXXXXXĂ/ (XX) LISTINA XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX KONZULÁRNYM XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXX/ (XX) LISTINA, XX JO XXX XXXXXX OSEBA IZDA XXXXXXXXXXX XXX KONZULARNI XXXXXXXXXXX DRŽAVE ČLANICE/ (XX) XXXXXXXXX, JONKA XÄXXXXXXXXXX DIPLOMAATTINEN XXXXXXXX XXX XXXXXXXXXXXXXXX XX XXXXXXXX VIRANTOIMITUKSESSA/ (SV) XXXXXXXX XXXXÄXXXX X XXÄXXXXX AV XX XXXXXXXXXXX XXXXX KONSULÄR XXÄXXXXXXX I EN XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) DATE (XX/XX/XXXX) OF XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) EISIÚNA/ (XX) XXXXX (DD/MM/GGGG) XXXXXXXXX/ (IT) XXXX XX XXXXXXXX (GG/MM/AAAA)/ (XX) IZDOŠANAS XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (NL) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (PL) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX EMISSÃO (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (XX) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (ES) XXXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) REFERENČNÍ ČÍSLO XXXXXXX XXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXX DOKUMENDI XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX OF XXX XXXXXX XXXXXXXX/ (XX) XXXXXX XX RÉFÉRENCE XX XXXXXXXX XXXXXX/ (XX) UIMHIR THAGARTHA XX XXXXXXXXX XXXXXXX/ (XX) REFERENTNI XXXX XXXXX ISPRAVE/ (XX) XXXXXX XX XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXX DOKUMENTO NUMERIS/ (XX) A XÖXXXXXXX XXXXXXXXXXX XXXXX/ (MT) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (NL) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX DOKUMENTU XXXĘXXXXXX/ (PT) XXXXXX XX XXXXXÊXXXX DO XXXXXXXXX XXXXXXX/ (RO) XXXĂXXX DE XXXXXXXȚĂ XX DOCUMENTULUI XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (SL) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (FI) YLEISEN XXXXXXXXXX XXXXXXXXXXX/ (XX) XXX OFFICIELLA XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (ES) XXXXXXXXXXX XXXXX EL XXXXXXXXXX/ (XX) XXXXXXXXX X DOTYČNÉ OSOBĚ/ (XX) XXXXXXXXXXX XX XXX XÅXÆXXXXXX PERSON/ (XX) XXXXXXX ZUR XXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXX KÄSITLEV XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX THE XXXXXX XXXXXXXXX/ (FR) XXXXXXXXXXXX XXX XX XXXXXXXX XXXXXXXXX/ (GA) XXXXXXXX XXXXXX XXXX AN XXXXX LENA xXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXXXXX XXXXX/ (IT) XXXXXXXXXXXX XXXXX PERSONA XXXXXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXĪXX XXXXXXX/ (XX) XXXXXXXXXXX XXXX XXXXXXXXXĄ XXXXXĮ/ (HU) XX XXXXXXXX SZEMÉLYRE XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX DWAR IL-PERSUNA XXXXĊXXXXXX/ (XX) XXXXXXXXXX XXXX XX XXXXXXXXXX/ (XX) XXXX XXXXX, XXXXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÇÕXX XXXXX X XXXXXX EM XXXXX/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXX XXXXXĂ/ (XX) XXXXXXXXXX O XXXXXXXXX OSOBE/ (SL) XXXXXXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXX/ (XX) XXXXXXXXX XX XXX XXXÖXXX XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (XX) APELLIDO(S) XX XXXXXXXXXX/ (XX) XXXXX/X XXXXXXXX/ (XX) EFTERNAVN(E) XXX XØXXXXX/ (DE) XXXXXXXXXXXX(X) XXX XXX XXXXXX/ (XX) SÜNNIJÄRGNE XXXXXXXXXXXXX (XÜXXXXÄXXXXX XXXXXXXXXXXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (XX) XXXXXXX(X) XX XXXXX/ (XX) XXX(X) À XX XXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) BREITHE/ (XX) PREZIME(NA) PRI XXĐXXXX/ (XX) XXXXXXX/X XXXX XXXXXXX/ (XX) XXXĀXXX(-X) XXXXXXXXX XXĪXĪ/ (XX) XXXXXXĖ (-ĖX), XXXXXXXX (-OS) GIMUS/ (XX) XXÜXXXXXX XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) XXX-XXXXXX/ (XX) ACHTERNA(A)M(EN) XXX XX XXXXXXXX/ (XX) NAZWISKO(-A) RODOWE/ (XX) XXXXXXX(X) À XXXX DO XXXXXXXXXX/ (XX) XXXXXX XX XXȘXXXX/ (SK) XXXXX XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX XX XXXXXXX/ (XX) XXXXXXXX (-NIMET) SYNTYMÄHETKELLÄ/ (XX) XXXXXXXXX XXX XÖXXXXX

4.2

(XX) НАСТОЯЩО(И) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X) XXXXXX(XX)/ (XX) XXXXXXXX/X XXXXXXXX/ (DA) XXXÆXXXXX XXXXXXXXX(X)/ (XX) XXXXXXXXXX(X) XXXXXXXXXXXX(X)/ (XX) XXXXXXXX XXXXXXXXXXXXX (PRAEGUSED XXXXXXXXXXXXXX)/ (XX) ΤΡΕΧΟΝ(-ΤΑ) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX XXXXXXX(X)/ (XX) XXX(X) XXXXXX(X)/ (XX) SLOINNE (SLOINNTE) XXXXXX/ (HR) XXXXXXXX(-X) XXXXXXX(XX)/ (XX) XXXXXXX/X XXXXXXX/X/ (LV) XXXXXXX(-XX) XXXĀXXX(-X)/ (LT) XXXXXXXXĖ (-ĖX) PAVARDĖ (-ĖS)/ (XX) XXXXXXXXX XXXXXXX XXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX) XXXXXXX/ (NL) HUIDIGE XXXXXXXX(X)X(XX)/ (XX) XXXXXX XXXXXXXX(-X)/ (XX) APELIDO XX APELIDOS ATUAIS/ (XX) XXXXXX XXXXXX(X)/ (XX) SÚČASNÉ PRIEZVISKO(-Á)/ (XX) XXXXXXX XXXXXXX/XXXXXXX/ (XX) XXXXXXXX XXXXXXXX (XXXXXXXX XXXXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXX

4.3

(XX) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ АКТА/ (XX) APELLIDO(S) XXXXX XX XX XXXXXXXXXXX/ (XX) XXXXXXXX XXXX XXXXXXXXX XXXXXXXXXXXXXX PARTNERSTVÍ/ (XX) EFTERNAVN(E) XØX XXXXXXXXXXXXXX/ (XX) FAMILIENNAME(N) XXX XXX XXXXXXXXXX XXX PARTNERSCHAFT/ (XX) XXXXXXXXXXXXX (-XXXXX) XXXX XXXXXXXXXXXXXXX/ (EL) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΑΠΟ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (XX) XXXXXXX(X) XXXXXX THE XXX/ (XX) NOM(S) XXXXX X'XXXX/ (XX) XXXXXXX (SLOINNTE) XXXXX XX nGNÍOMH/ (XX) XXXXXXX(XX) XXXXX REGISTRIRANJA XXXXXXXXXXX/ (XX) XXXXXXX/X XXXXX XXXX'XXXX/ (XX) XXXĀXXX(-X) XXXXX AKTA/ (XX) XXXXXXĖ (-ĖX) XXXXX XXXXXXXX XXXĄ/ (XX) XXXXXXX XXXX(X) XX XXXXXXXXX KAPCSOLAT XXXXXXXXXX XXŐXX/ (XX) XXXXXX(/XXXXXXXXXXX) XXXXX X-XXX/ (XX) ACHTERNA(A)M(EN) XXXX XX AKTE/ (XX) XXXXXXXX(-X) XXXXX XXXXXXXXXXĄ XXXĄXXX/ (XX) XXXXXXX(X) XXXXX XX ATO/ (XX) XXXXXX ÎXXXXXX XX ÎNREGISTRAREA XXXXXXXXXXXXXXX/ (XX) PRIEZVISKO(-Á) PRED XXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) PRIIMEK/PRIIMKI XXXX XXXXXXXXXXXX XXXXXXXXXX SKUPNOSTI/ (XX) XXXXXXXX (-NIMET) XXXXX XXXXXXXXÖXXXXÄ/ (SV) XXXXXXXXX FÖRE XXXÅXXXXX

4.4

(XX) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА РЕГИСТРИРАНЕТО НА АКТА/ (ES) XXXXXXXX(X) XXXXXXX XX LA XXXXXXXXXXX/ (CZ) XXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXX(X) XXXXX XXXXXXXXXXXXXX/ (DE) XXXXXXXXXXXX(X) XXXX DER XXXXXXXXXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX (-NIMED) XÄXXXX XXXXXXXXXXXXXXX/ (EL) ΕΠΩΝΥΜΟ(-Α) ΜΕΤΑ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (XX) XXXXXXX(X) XXXXXXXXX THE XXX/ (FR) XXX(X) À XX XXXXX XX X'XXXX/ (GA) XXXXXXX (SLOINNTE) XXX XXX XX XXXXXX/ (XX) XXXXXXX(XX) XXXXX XXXXXXXXXXXXX PARTNERSTVA/ (XX) XXXXXXX/X DOPO X'XXXX/ (XX) XXXĀXXX(-X) XĒX XXXX/ (LT) PAVARDĖ (-ĖX) XX XXXX XXXXXXXX/ (XX) CSALÁDI XXXX(X) XX XXXXXXXXX XXXXXXXXX BEJEGYZÉSE XXXX/ (XX) KUNJOM(/KUNJOMIJIET) WARA X-XXX/ (XX) ACHTERNA(A)M(EN) XX XX AKTE/ (XX) XXXXXXXX(-X) PO XXXXXXXXXXX ZWIĄZKU/ (PT) XXXXXXX(X) XXXX O XXX/ (XX) XXXXXX XXXĂ ÎXXXXXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX(-X) XX XXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXX/XXXXXXX PO XXXXXXXXXXXX PARTNERSKE XXXXXXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXXXXXÖXXXXX XÄXXXXX/ (SV) XXXXXXXXX XXXXX INGÅENDET

4.5

(BG) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (CZ) XXXXX (XXXXX)/ (XX) FORNAVN(E)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (EL) ΟΝΟΜΑ(-ΤΑ)/ (EN) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (GA) XXXXXXXX (XXXXXXXXXXXXXX)/ (HR) XXX(XX)/ (XX) XXXX(X)/ (XX) XĀXXX(-X)/ (XX) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (IMIONA)/ (PT) XXXX(X) PRÓPRIO(S)/ (RO) XXXXXXX/ (SK) MENO(-Á)/ (XX) IME/IMENA/ (FI) XXXXXXX (-XXXXX)/ (XX) XÖXXXXX

4.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (DD/MM/YYYY) XX BIRTH/ (FR) XXXX (XX/XX/XXXX) XX XXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/GGGG) ROĐENJA/ (XX) XXXX XX XXXXXXX (GG/MM/AAAA)/ (LV) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (DD/MM/JJJJ)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX NASCIMENTO (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXȘXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (SL) XXXXX (DD/MM/LLLL) XXXXXXX/ (XX) SYNTYMÄAIKA (PP/KK/VVVV)/ (XX) XÖXXXXXXXXXX (DD/MM/ÅÅÅÅ)

4.7

(BG) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (ES) XXXXX Y PAÍS XX XXXXXXXXXX/ (CZ) XXXXX A XXXX XXXXXXXX/ (XX) XØXXXXXX XX -XXXX/ (DE) XXX XXX LAND XXX GEBURT/ (XX) XÜXXXXXXX JA -RIIK/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX XXX XXXXXXX XX BIRTH/ (XX) XXXX XX XXXX XX NAISSANCE/ (XX) XXX XXXX XXX XXXXXXXX/ (XX) XXXXXX X XXXXXX XXĐXXXX/ (XX) XXXXX X XXXXX XX NASCITA/ (XX) XXXXXXXXX XXXXX XX VALSTS/ (XX) XXXXXX XXXXX XX XXXXX/ (HU) XXÜXXXXXX XXXXX ÉS XXXXXXX/ (XX) XXXX X XXXXXŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX XX -LAND/ (XX) XXXXXXX X XXŃXXXX XXXXXXXXX/ (XX) XXXXX X PAÍS XX NASCIMENTO/ (XX) XXXXX ȘI ȚXXX XXȘXXXXX/ (XX) MIESTO X XXXX NARODENIA/ (XX) XXXX IN XXXXXX XXXXXXX/ (FI) XXXXXXÄXXXXXX XX -XXX/ (XX) XÖXXXXXXXX XXX -XXXX

4.8

(XX) ПОЛ/ (XX) XXXX/ (CZ) XXXXXXX/ (XX) KØN/ (DE) XXXXXXXXXX/ (XX) SUGU/ (XX) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (XX) XXXXXX/ (HR) XXXX/ (IT) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) SESS/ (NL) XXXXXXXX/ (XX) XŁXĆ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXX/ (FI) XXXXXXXXX/ (SV) XÖX

4.8.1

(XX) ЖЕНСКИ/ (ES) XXXXX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXXXXXX/ (XX) NAISSOOST/ (XX) ΘΗΛΥ/ (EN) XXXXXX/ (XX) FÉMININ/ (GA) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) NŐ/ (MT) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (RO) XXXXXXXX/ (XX) XXXXXX/ (SL) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX

4.8.2

(XX) МЪЖКИ/ (XX) XXXXX/ (CZ) XXX/ (XX) XXXX/ (XX) XÄXXXXXX/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (FR) XXXXXXXX/ (XX) FIREANN/ (XX) XXXXX/ (IT) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) XXXXX/ (XX) XXXXX/ (MT) XXĠXX/ (XX) MAN/ (XX) XĘŻXXXXXX/ (PT) MASCULINO/ (XX) XĂXXĂXXXX/ (SK) XXXXXX/ (XX) XXXXX/ (XX) XXXX/ (SV) XXX

4.8.3

(XX) НЕОПРЕДЕЛЕН/ (ES) XXXXXXXXXXXXX/ (CZ) XXXXXXXX/ (XX) XXXXXXXX/ (DE) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (FR) XXXXXXXXXXX/ (XX) NEAMHCHINNTITHE/ (XX) NEODREĐEN/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (HU) XXXXXXXXXXXXXXX/ (XX) MHUX XXXXXXXXX/ (NL) ONBEPAALD/ (XX) XŁXĆ NIEOKREŚLONA/ (XX) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (SK) XXXXXXXX/ (SL) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (SV) XX FASTSTÄLLT

4.9

(BG) ГРАЖДАНСТВО/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX PŘÍSLUŠNOST/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXÖXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) ΙΘΑΓΕΝΕΙΑ/ (XX) NATIONALITY/ (XX) NATIONALITÉ/ (GA) XXXXXXXXXXXX/ (HR) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXĪXX/ (XX) XXXXXXXXĖ/ (XX) ÁLLAMPOLGÁRSÁGA/ (XX) ĊXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (RO) XXXĂȚXXXX/ (XX) XXXXXX PRÍSLUŠNOSŤ/ (XX) DRŽAVLJANSTVO/ (XX) XXXXXXXXXXXX/ (XX) MEDBORGARSKAP

5.

(BG) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ, ПОЛОЖЕНИЕТО НА РЕГИСТРИРАНО ПАРТНЬОРСТВО НА СЪОТВЕТНОТО ЛИЦЕ Е, КАКТО СЛЕДВА/ (XX) XXXXX XX XXXXXXXXX PÚBLICO XX XXX SE XXXXXXX XXXX IMPRESO, XX XXXXXX DEL XXXXXXXXXX XX XX XXX RESPECTA X XX XXXXXXX DE XXXXXXX XX XXX XXXXX XX XXXXX XXXXXXXXXX ES EL XXXXXXXXX/ (CZ) XX XXXXXXX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX TENTO FORMULÁŘ, XX XXXXXXX XXXXX XXXXX XXXXXX REGISTROVANÉHO XXXXXXXXXXX/ (DA) X XXXXXXX XXX XXX XXXXXXXXXX XXXXXXXX, SOM XXXXX FORMULAR ER XXXXÆXXXX, XXX XXX XÅXÆXXXXXX XXXXXX XØXXXXXX XXXXXXXXXXXX PARTNERSKABSSTATUS/ (XX) XXXXXX XXX XXXXXXXXXXXXX XXXXXXXXXXXXX DER XXXXXXXXXXXX XXXXXX XXXÄXX DER ÖXXXXXXXXXXX URKUNDE, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) VASTAVALT XXXXXXXXX XXXXXXXXXXX, XXXXXXX XXX VORM XX XXXXXXX, XX XXXXXXXXXX XXXXXX XÄXXXXXX XXXXXXXXXXXXXX XXXXXXXXX SEOTUD STAATUS/ (XX) ΣΥΜΦΩΝΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ, ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΕΧΕΙ ΤΗΝ ΑΚΟΛΟΥΘΗ ΚΑΤΑΣΤΑΣΗ ΑΠΟ ΑΠΟΨΗ ΚΑΤΑΧΩΡΙΣΜΕΝΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ/ (EN) XXXXXXXXX XX THE XXXXXX DOCUMENT TO XXXXX XXXX XXXX XX XXXXXXXX, XXX XXXXXX XXXXXXXXX XXX XXX XXXXXXXXX XXXXXXXXXX XXXXXXXXXXX STATUS/ (FR) X'XXXÈX LE XXXXXXXX XXXXXX XXXXXX XX XXXXXXX FORMULAIRE XXX XXXXX, XX XXXXXX XX XXXXXXXXXXX XXXXXXXXXX XX XX XXXXXXXX XXXXXXXXX XXX LE XXXXXXX/ (GA) XX XXXX AN DOICIMÉID XXXXXXX XXXX BHFUIL XX XXXXXX XXX XXXXXXXXXX, XX XX XXXXXX XXXXXXXXXXXXXXX XXXXXXXXX X XXXXXX AG XX XXXXX XXXX xXXXXXXXX/ (XX) PREMA XXXXXX XXXXXXX XXXXX XX OVAJ OBRAZAC XXXXXXXX XXXXXX REGISTRIRANOG XXXXXXXXXXX XXXXXXX XXXXX XX XXXXXXĆX/ (XX) XXXXXXX XX XXXXXXXXX XXXXXXXX CUI XX XXXXXXXX MODULO È XXXXXXXX, XX STATO XX UNIONE XXXXXXXXXX XXXXX XXXXXXX INTERESSATA È XX SEGUENTE/ (XX) XXXXXŅĀ XX XXXXXXXX DOKUMENTU, KURAM XĪ VEIDLAPA XX XXXXXXXXXX, ATTIECĪGAJAI PERSONAI XX XĀXX XXĢXXXXĒXX XXXXXXXXXXXXXĪXX XXXXXXX/ (XX) XXXXX XXXXĄXĮ DOKUMENTĄ, XXXX XXXXX PRIDEDAMA XX XXXXX, ATITINKAMO XXXXXX XXXXXXXXXXXX PARTNERYSTĖS XXXĖXXX XXX XXXXX/ (XX) XX XXXXXXXX XXXXXXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXX ÖXXXXXÜXXŐ JOGÁLLÁSA X XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXX SZERINT/ (MT) XXXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX HIJA XXXXXŻX XXX IL-FORMOLA, XX-XXXXXXX KKONĊERNATA XĦXXXXX X-XXXXXXX XX' XĦXXXXX XXĠXXXXXXX XXX ĠEJ/ (XX) VOLGENS XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX IS XXXXXXX, XX DE XXXXXX XXX HET XXXXXXXXXXXXX XXXXXXXXXXXX XXX XX BETROKKENE XX XXXXXXXX/ (XX) X XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXŁĄXXXXX XXXX XXXXXXXXX XXXXXXXXX, WYNIKA, ŻX OSOBA, XXXXXX XXXXXXX XXXXXXXX, POSIADA XXXXĘXXXĄXX XXXXXX XXXĄXXXX X XXXXXXXXXXXXXXX XXXĄXXXXX XXXXXXXXXXX/ (XX) SEGUNDO X XXXXXXXXX PÚBLICO X XXX O XXXXXXXX XXXXXXXXXX ESTÁ XXXXXX, À XXXX XX XXX EMISSÃO, X XXXXXXXX XX XXXXXXXX XXXXXXXXX XX XXXXXX EM CAUSA X/ (XX) ÎX XXXXXXXXXXXX CU XXXXXXXXXX XXXXXXX LA XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX, PERSOANA XXXXXĂ XXX URMĂTORUL XXXXXX XXXXXXX PARTENERIATUL ÎNREGISTRAT/ (XX) PODĽA XXXXXXXX XXXXXXX, XX KTOREJ XX XXXXX FORMULÁR XXXXXXXXX, XX DOTKNUTÁ XXXXX TENTO ŠTATÚT XXXXXXXXXXXXXX XXXXXXXXXXX/ (SL) X XXXXXX X XXXXX XXXXXXX, XX XX JE PRILOŽEN XX XXXXXXX, JE XXXXXX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX ZADEVNE OSEBE XXXXXXXXX/ (FI) SEN XXXXXXX XXXXXXXXXX XXXXXX, XXXXX TÄMÄ XXXXXX XXXXXXÄÄX, XXXXXXXXXXXX XXXXXXÖX XXXXXXXXÖXXXXX XXXXXXXXXXXXXX XXXXXXXÄ XXXXXXXXÄÄXX XX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXX XXXXXXXX TILL XXXXXX XXXXX XXXXXXÄX ÄX BIFOGAT ÄR XXX XXXÖXXX PERSONENS XXXXXX XXXXXXXX XXXXXXXXXXX XXXXXXXXXXX FÖLJANDE

5.1

(BG) С РЕГИСТРИРАНО ПАРТНЬОРСТВО/ДАТА (ДД/ММ/ГГГГ) НА РЕГИСТРИРАНЕ НА ПАРТНЬОРСТВОТО/ (ES) XXXXX XXXXXX XX XXXXX XXXXXXXXXX / FECHA (XX/XX/XXXX) XX XXXXXXXX XX XX XXXXX XX HECHO/ (XX) XX X XXXXXXXXXXXXX XXXXXXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXX 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 KUUPÄEV (XX/XX/XXXX)/ (EL) ΚΑΤΑΧΩΡΙΣΜΈΝΟΣ(-Η) ΣΥΝΤΡΟΦΟΣ / ΗΜΕΡΟΜΗΝΊΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΚΑΤΑΧΩΡΙΣΗΣ ΤΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ/ (XX) XXXXXXXXXX XXXXXXX/XXXX (XX/XX/XXXX) XX REGISTRATION OF XXX XXXXXXXXXXX/ (XX) XXXXX XXXXXX UN XXXXXXXXXXX XXXXXXXXXX/XXXX (XX/XX/XXXX) X'XXXXXXXXXXXXXX DU PARTENARIAT/ (XX) XXXXXXXXX XXXXXXXXX/XXXX (XX/XX/XXXX) XXXXXX NA XXXXXXXXXXXXXXX/ (XX) REGISTRIRANI XXXXXXX / XXXXX (XX/XX/XXXX) XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXX XXXXXXXXXX/XXXX XX XXXXXXXXXXXXX DELL'UNIONE (XX/XX/XXXX)/ (XX) XXĢXXXXĒXXXX XXXXXXXXX / PARTNERATTIECĪBU XXĢXXXXĒXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXXXXX (-X) XXXXXXXXX (-Ė) / XXXXXXXXXXĖX XXXXXXXX DATA (XX/XX/XXXX)/ (HU) XXXXXXXXXX XXXXXXXX/X BEJEGYZETT XXXXXXXXX XXXXXXXXX XXXXXXXXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXĦXX(/XXXĦXX) XXĠXXXXXX(X) X XXXX (XX/XX/XXXX) XXX-XXĠXXXXXXXXXXX XXX-XĦXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXX/XXXXX (XX/XX/XXXX) XXX XXXXXXXXXXX XXX HET XXXXXXXXXXXX/ (XX) POZOSTAJE W XXXXXXXXXXXXXXX ZWIĄZKU PARTNERSKIM / DATA (DD/MM/RRRR) XXXXXXXX XXXXXXXXXXXXXXXX ZWIĄZKU XXXXXXXXXXXXX/ (PT) XXXXXXXX(X) XXXXXXXXX(X)/XXXX XX XXXXXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX ÎNREGISTRAT/DATA (XX/XX/XXXX) ÎXXXXXXXXĂXXX XXXXXXXXXXXXXXX/ (XX) REGISTROVANÝ XXXXXXX/XXXXX (XX/XX/XXXX) UZAVRETIA REGISTROVANÉHO XXXXXXXXXXX/ (XX) REGISTRIRAN XXXXXXX/XXXXX (DD/MM/LLLL) XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (FI) XXXXXXXXÖXXX XXXXXXXX/XXXXXXXXXXX XXXXXXXXÖXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXXXXXXXX XXXXXXX/XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXXXXXXXXXX XX XXXXXXXXXXXXX

5.2

(XX) БЕЗ РЕГИСТРИРАНО ПАРТНЬОРСТВО/ (XX) NO XXXXX XXXXXX DE XXXXX XXXXXXXXXX/ (CZ) XXXX X REGISTROVANÉM XXXXXXXXXXX/ (XX) XXXX I XX REGISTRERET PARTNERSKAB/ (XX) NICHT XX XXXXX XXXXXXXXXXXXX PARTNERSCHAFT/ (XX) XX XXX XXXXXX XXXXXXXXXXXXXX XXXXXXXX/ (XX) ΔΕΝ ΒΡΙΣΚΕΤΑΙ ΣΕ ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΧΕΣΗ ΣΥΜΒΙΩΣΗΣ/ (XX) XXX XX X REGISTERED XXXXXXXXXXX/ (XX) X'XXXXX XXX XXXXXX XX XXXXXXXXXXX ENREGISTRÉ/ (XX) XXX XX DUINE XXXXXXXXX X xXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XXXX X REGISTRIRANOM XXXXXXXXXXX/ (XX) NON IN XXXXXX REGISTRATA/ (XX) XXX XXĢXXXXĒXXX PARTNERATTIECĪBAS/ (XX) NESUDARĘS (-XXXX) XXXXXXXXXXXX XXXXXXXXXXĖX/ (XX) XXXXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXX/ (XX) MHUX XX XĦXXXXX XXĠXXXXXXX/ (XX) NIET XX XXX XXXXXXXXXXXXX XXXXXXXXXXXX/ (XX) NIE XXXXXXXXX X XXXXXXXXXXXXXXX ZWIĄZKU XXXXXXXXXXX/ (XX) XÃX XXX XXX XXXXXXXX XXXXXXXXX/ (RO) NU XX XXXĂ ÎNTR-UN XXXXXXXXXXX ÎNREGISTRAT/ (XX) XXXXXX X XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XX X REGISTRIRANI PARTNERSKI XXXXXXXXX/ (FI) XX XXXXXXXXÖXXXXXÄ PARISUHTEESSA/ (XX) XX X REGISTRERAT XXXXXXXXXXX

5.2.1

(XX) НИКОГА НЕ Е РЕГИСТРИРАЛО ПАРТНЬОРСТВО/ (XX) XX XX XXXXXX NUNCA XXXXXX XX XXXXX REGISTRADA/ (XX) XXXXX NEBYLA X XXXXXXXXXXXXX PARTNERSTVÍ/ (XX) XXXXXX I XX XXXXXXXXXXX XXXXXXXXXXX/ (XX) NIE XX XXXXX EINGETRAGENEN XXXXXXXXXXXXX/ (XX) EI OLE XXXXXXXXXXXXXX XXXXXXXX OLNUD/ (XX) ΔΕΝ ΕΧΕΙ ΣΥΝΑΨΕΙ ΠΟΤΕ ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΧΕΣΗ ΣΥΜΒΙΩΣΗΣ/ (XX) XXXXX XX X XXXXXXXXXX PARTNERSHIP/ (XX) X'XXXXX XXXXXX XXXXXX XX PARTENARIAT XXXXXXXXXX/ (XX) XX XXXXX XX XXXXX PÁIRTEACH X bPÁIRTNÉIREACHT XXXXXXXXXX XXXXX/ (XX) XXXXXX XXXX BIO(-LA) U XXXXXXXXXXXXX XXXXXXXXXXX/ (IT) XXX XXXXXXXXX UN'UNIONE XXXXXXXXXX/ (XX) NEKAD XXX STĀJIES REĢISTRĒTĀS XXXXXXXXXXXXXĪXĀX/ (XX) NIEKADA XXXXXX XXXXXĘX (-XXXX) XXXXXXXXXXXX XXXXXXXXXXĖX/ (XX) XXXXX XXXX XXXXXXXXXX XXXXXXXXX KAPCSOLATA/ (XX) XXXX XX XXXX XX SĦUBIJA XXĠXXXXXXX/ (XX) NOOIT XX XXX XXXXXXXXXXXXX PARTNERSCHAP/ (XX) XXXXX XXX XXXXXŁ(-X) XXXXXXXXXXXXXXXX ZWIĄZKU XXXXXXXXXXXXX/ (XX) XXXXX XXXX XXX PARCERIA XXXXXXXXX/ (XX) XX X-X XXXXX NICIODATĂ ÎXXX-XX XXXXXXXXXXX ÎNREGISTRAT/ (XX) XXXXX NEŽILA X XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXX XX XXX X XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XX XXX XXXXXXX XXXXX REKISTERÖIDYSSÄ PARISUHTEESSA/ (XX) XXX ALDRIG XXXXX X XXX XXXXXXXXXXX XXXXXXXXXXX

5.2.2

(XX) С РАЗТРОГНАТО РЕГИСТРИРАНО ПАРТНЬОРСТВО/ДАТА (ДД/ММ/ГГГГ) НА РАЗТРОГВАНЕ НА ПАРТНЬОРСТВОТО/ (ES) XX CANCELADO XX XXXXXXXX XX UNA XXXXX XX XXXXX / XXXXX (XX/XX/XXXX) XX XX CANCELACIÓN/ (XX) XXXXXXXXXXXX XXXXXXXXXXX XXXX XXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXX XXXXXXXXXXX/ (XX) XXXØXX XXXXXXXXXXX XXXXXXXXXXX/XXXX (XX/XX/ÅÅÅÅ) FOR XXXØXXXXX XX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXX EINGETRAGENE PARTNERSCHAFT/DATUM (XX/XX/XXXX) XXX XXXXXXXXX XXX PARTNERSCHAFT/ (ET) XXXXXXXXXXXXXX KOOSELU XX XÕXXXXXXX / XXXXXXX XÕXXXXXXXX KUUPÄEV (PP/KK/AAAA)/ (XX) ΛΥΘΕΙΣΑ ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΧΕΣΗ ΣΥΜΒΙΩΣΗΣ / ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΛΥΣΗΣ ΤΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXX/XXXX (XX/XX/XXXX) XX XXXXXXXXXXX XX XXX XXXXXXXXXXX/ (XX) AYANT XXXXXX XX XXXXXXXXXXX XXXXXXXXXX XXXXXXX/XXXX (XX/XX/XXXX) XX XXXXXXXXXXX DU XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXXX DHÍSCAOILTE/DÁTA (LL/MM/BBBB) XXXXXXXXXXXXX NA XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXXX XXXXXXXXXXX / XXXXX (XX/XX/XXXX) RAZVRGNUĆA XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXX XXXXXXXXXX XXXXXXX/XXXX XX XXXXXXXXXXXX XXXX'XXXXXX (XX/XX/XXXX)/ (XX) IZBEIGUŠĀS XXĢXXXXĒXXX XXXXXXXXXXXXXĪXXX / REĢISTRĒTU XXXXXXXXXXXXXĪXX XXXXXXXXXĀX DATUMS (XX/XX/XXXX)/ (LT) XXXXXXXXXXX XXXXXXXXXXĖ XXXXXXXXX / XXXXXXXXXXĖX NUTRAUKIMO DATA (XX/XX/XXXX)/ (HU) XXXXXŰXX XXXXXXXXXX ÉLETTÁRSI KAPCSOLAT/A XXXXXXXXXX ÉLETTÁRSI XXXXXXXXX XXXXXŰXXXXXXX XXXXX (ÉÉÉÉ/HH/NN)/ (XX) SĦUBIJA XXĠXXXXXXX XXXXX U XXXX (XX/XX/XXXX) XXX-XXXXXXXXX XXX-XĦXXXXX XXĠXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXX XXXXXXXXXXXX/XXXXX (DD/MM/JJJJ) XXX XXXXXXXXXX XXX XXX XXXXXXXXXXXX/ (XX) XXXXXĄXXXXX XXXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX / XXXX (XX/XX/XXXX) XXXXXĄXXXXX XXXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXXXXXXXX/XXXX XX XXXXXXXÇÃX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXXXX ÎXXXXXXXXXX DIZOLVAT/DATA (XX/XX/XXXX) DIZOLVĂRII XXXXXXXXXXXXXXX/ (XX) REGISTROVANÉ XXXXXXXXXXX XXXX XXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXX PARTNERSKA XXXXXXXX XX XXXXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXXXX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXÖXXX XXXXXXXXX PURETTU/PARISUHTEEN XXXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXÖXX REGISTRERAT XXXXXXXXXXX/XXXXX (XX/XX/ÅÅÅÅ) XÖX UPPLÖSNING XX XXXXXXXXXXXXX

5.2.3

(XX) С ПОЧИНАЛ ПАРТНЬОР/ДАТА (ДД/ММ/ГГГГ) НА СМЪРТТА НА ПАРТНЬОРА/ (XX) MIEMBRO XXXXXXXXXX DE XXX XXXXX DE XXXXX XXXXXXXXXX / XXXXX (XX/XX/XXXX) XX FALLECIMIENTO XX XX PAREJA XX XXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX – XXXXXXXXX/XXXXX (XX/XX/XXXX) XXXXX XXXXXXXX – XXXXXXXXX/ (XX) XÆXXXXXXXXXXX XXXXXXX/XXXX (XX/XX/ÅÅÅÅ) XXX XXXXXXXX XØX/ (DE) ÜXXXXXXXXXXX XXXXXXX/XXXXXXXXXXX (XX/XX/XXXX) XXX PARTNERS/ (ET) ÜXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX / XXXXXXXXXXXXXX XXXXXXXXXXX XXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΕΠΙΖΩΝ(-ΣΑ) ΣΥΝΤΡΟΦΟΣ / ΗΜΕΡΟΜΗΝΊΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΘΑΝΑΤΟΥ ΣΥΝΤΡΟΦΟΥ/ (EN) XXXXXXXXX XXXXXXX/ XXXX (XX/XX/XXXX) XX XXXXXXX'X XXXXX/ (XX) XXXXXXXXXX XXXXXXXXX/XXXX (XX/XX/XXXX) XX XXXÈX DU PARTENAIRE/ (XX) XXXXXXXXX XXXXXXXXXX/ XXXX (LL/MM/BBBB) BÁIS XX XXXXXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX / XXXXX (DD/MM/GGGG) SMRTI XXXXXXXX/ (IT) XXXXXXX XXXXXXXXXX/XXXX XX XXXXXXX XXX PARTNER (XX/XX/XXXX)/ (XX) PĀRDZĪVOJUŠAIS PARTNERIS / XXXXXXXX MIRŠANAS XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXĘX (-XXX) PARTNERIS (-Ė) / XXXXXXXXX (-ĖX) MIRTIES DATA (XX/XX/XXXX)/ (XX) TÚLÉLŐ XXXXXXXX/XX XXXXXXXX XXXXXXXXX XXXXX (ÉÉÉÉ/HH/NN)/ (MT) XXXĦXX(/XXXĦXX) SUPERSTITI U XXXX (XX/XX/XXXX) XXX-XXXX XXX-XXXĦXX(/XXXĦXX)/ (NL) OVERLEVENDE XXXXXXX/XXXXX (XX/XX/XXXX) XXX XXXXXXXXXX XXX XX XXXXXXX/ (XX) PARTNER XXXXXXXXĄXX XXXX ŻYCIU / DATA (DD/MM/RRRR) XXXXX DRUGIEGO XXXXXXXX/ (XX) XXXXXXXX(X) XXXXXXXXX(X)/ XXXX XX XXXXX XX(X) XXXXXXXX(X) (XX/XX/XXXX)/ (XX) XXXXXXXX XXXXXXXXȚXXXXX/XXXX (XX/XX/XXXX) XXXXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX PARTNER/DÁTUM (XX/XX/XXXX) ÚMRTIA XXXXXXXX/ (XX) PREŽIVELI XXXXXXX/XXXXX (XX/XX/XXXX) PARTNERJEVE XXXXX/ (XX) XXXXXXÄÄXXX KUMPPANI/KUMPPANIN XXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) XXXXXXXXXXXX XXXXXXX/XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXXXXXXX XÖX

5.3

(XX) НЕОПРЕДЕЛЕН/ (ES) INDETERMINADO/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (EL) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (EN) XXXXXXXXXXXX/ (FR) XXXXXXXXXXX/ (XX) NEAMHCHINNTITHE/ (HR) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (LT) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) MHUX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (PT) NÃO XXXXXXXX/ (RO) NEDETERMINAT/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

6.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX FIRMA/ (CZ) XXXX PRO XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) ALLKIRJALAHTER/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) XXXXX POUR XX XXXXXXXXX/ (GA) XXXXX XXX SÍNIÚ/ (XX) POLJE ZA XXXXXX/ (XX) RIQUADRO XXX XX XXXXX/ (XX) XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXX/ (XX) XX ALÁÍRÁS XXÖXXXXXXXXX/ (MT) KAXXA XXX-XXXXXXXX/ (NL) VAK XXXX XX XXXXXXXXXXXX/ (XX) XXXX XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (RO) XXXXĂXXXX/ (SK) XXXXXXX XX XXXXXX/ (XX) XXXXX ZA PODPIS/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (SV) XXXX XÖX XXXXXXXXXXXXXX

6.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXX(X) Y XXXXXX(X) XXX XXXXXXXXXXX QUE XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXX A XXXXX (XXXXX) XXXXXXXX, XXXXX XXXXX TENTO XXXXXXXX/ (DA) EFTERNAVN(E) XX XXXXXXX(X) XÅ XXX XXXXXXXXXX, XXX XXX XXXXXXX DENNE XXXXXXXX/ (XX) FAMILIENNAME(N) XXX XXXXXXX(X) 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 XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) AGUS XXXXXXXX (XXXXXXXXXXXXXX) XX XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXX(XX) I XXX(XX) SLUŽBENIKA XXXX XX IZDAO XXXX XXXXXXX/ (IT) XXXXXXX/X X XXXX/X DEL XXXXXXXXXXX XXX HA XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX IZDEVUSI ŠO XXXXXXXX, XXXĀXXX(-X) UN XĀXXX(-X)/ (LT) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖX) XX XXXXXX (-XX)/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ CSALÁDI XXXX(X) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) U XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦAREĠ XXX XX-XXXXXXX/ (XX) XX(X)X(XX) EN XXXXXX(X)X(XX) XXX XX AMBTENAAR XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (PL) XXXXXXXX(-X) X XXXĘ (XXXXXX) XXXĘXXXXX, KTÓRY XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) APELIDO(S) E XXXX(X) XXXXXXX(X) XX XXXXXXXXXXX XXX XXXXXX X PRESENTE XXXXXXXXXX/ (XX) NUMELE ȘX XXXXXXXXX XXXXȚXXXXXXXXX CARE X XXXX PREZENTUL XXXXXXXX/ (XX) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, XXXXX XXXXX TENTO XXXXXXXX/ (XX) PRIIMEK/PRIIMKI XX XXX/XXXXX XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (XX) XÄXÄX LOMAKKEEN XXXXXXXX XXXXXXXXXXX XXXXXXXX (-XXXXX) XX XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX OCH XÖXXXXX XÅ XXX XXÄXXXXXXX XXX XXX XXXÄXXXX DETTA FORMULÄR

6.2

(BG) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX FUNCIONARIO XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, XXXXX VYDAL TENTO XXXXXXXX/ (DA) XXXXXXXX — XXX EMBEDSMAND, XXX XXX XXXXXXX XXXXX FORMULAR/ (XX) XXXXXXXX XXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX HAT/ (XX) XÄXXXXXXX XXXXX VÄLJASTANUD XXXXXXXX AMETIKOHT/ (EL) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXX XX XXX XXXXXXXX XXX ISSUED XXXX XXXX/ (XX) XXXXX XX XXXXXXXXXXXXX XXX A DÉLIVRÉ XX XXXXXXX XXXXXXXXXX/ (XX) XXXX AN XXXXXXXX X X’XXXXXX XX FHOIRM XXX/ (XX) XXXXXXXX XXXXXXXXXX XXXX XX XXXXX XXXX OBRAZAC/ (XX) XXXXXXXXX XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX PRESENTE XXXXXX/ (XX) XXXXXXXXXXXX, KURA XXXXXXXX ŠO XXXXXXXX, XXXXX/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXXXX/ (MT) XXXXXX XXX-XXXXĊXXX LI ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX XXX XX XXXXXXXXX XXX XXX XXXXXXXXX HEEFT XXXXXXXXX/ (XX) XXXXXXXXXX URZĘDNIKA, XXXXX WYDAŁ NINIEJSZY XXXXXXXXX/ (PT) CARGO XX XXXXXXXXXXX QUE XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX CARE X XXXX PREZENTUL FORMULAR/ (XX) XXXXXXX XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, KI XX XXXXX XX XXXXXXX/ (XX) TÄMÄN XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXX/ (XX) BEFATTNING XÖX XXX XXÄXXXXXXX SOM XXX XXXÄXXXX DETTA XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (DD/MM/AAAA) 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/ (XX) XXXX (XX/XX/XXXX) OF XXXXX/ (XX) XXXX (XX/XX/XXXX) XX DÉLIVRANCE/ (XX) XXXX (LL/MM/BBBB) EISIÚNA/ (XX) XXXXX (DD/MM/GGGG) XXXXXXXXX/ (XX) XXXX XX RILASCIO (XX/XX/XXXX)/ (XX) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (XX) IŠDAVIMO XXXX (DD/MM/MMMM)/ (XX) X KIÁLLÍTÁS XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) VAN XXXXXXX/ (XX) XXXX (XX/XX/XXXX) WYDANIA/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) EMITERII/ (SK) XXXXX (DD/MM/RRRR) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (XX) DATUM (XX/XX/ÅÅÅÅ) FÖR XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) ALLKIRI/ (EL) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXX/ (XX) POTPIS/ (XX) XXXXX/ (LV) XXXXXXXX/ (LT) XXXXXXX/ (XX) ALÁÍRÁS/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) PODPIS/ (XX) XXXXXX/ (FI) XXXXXXXXXXXXX/ (XX) NAMNTECKNING

6.5

(BG) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X TIMBRE/ (XX) PEČEŤ XXXX XXXXXXX/ (XX) XXXX XXXXX XXXXXXX/ (XX) XXXXXX ODER STEMPEL/ (XX) XXXXXX VÕI XXXXXX/ (EL) ΣΦΡΑΓΙΔΑ/ (XX) SEAL XX XXXXX/ (XX) XXXXX XX TIMBRE/ (XX) XXXXX XX STAMPA/ (XX) ŽIG ILI XXXXX/ (XX) XXXXX X TIMBRO/ (XX) XĪXXXX VAI SPIEDOGS/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (HU) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (MT) XXĠXXX JEW TIMBRU/ (XX) XXXXX OF XXXXXXX/ (XX) XXXXXĘĆ XXX XXXXXXX/ (PT) XXXX XX CARIMBO/ (XX) XXXXXXXX SAU ȘXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (XX) PEČAT XXX XXX/ (FI) XXXXXXX XXX LEIMA/ (XX) XXXXXX ELLER XXÄXXXX

XXXXXXXX nebo XXXXX POBYTU

VÍCEJAZYČNÝ STANDARDNÍ XXXXXXXX – POMŮCKA XXX XXXXXXX

Xxxxxx 7 xxxxxxxx Xxxxxxxxxx xxxxxxxxxx x Rady (EU) 2016/1191 xx dne 6. xxxxxxxx 2016 x podpoře xxxxxxx xxxxxx občanů xxxxxxxxxxxxx xxxxxxxxx na předkládání xxxxxxxxx xxxxxxxxx listin x Evropské xxxx x x xxxxx xxxxxxxx (XX) x. 1024/2012 (1) (2)

Belgie (XX) Bulharsko (XX)

Xxxxx xxxxxxxxx (CZ)

Dánsko (XX) Xxxxxxx (DE)

Estonsko (XX) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (HR)

Itálie (XX) Xxxx (CY)

Lotyšsko (XX) Xxxxx (XX)

Xxxxxxxxxxx (LU)

Maďarsko (XX) Xxxxx (MT)

Nizozemsko (XX) Xxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxxxxxx (PT)

Rumunsko (XX) Xxxxxxxxx (SI)

Slovensko (XX) Xxxxxx (XX)

Xxxxxxx (XX) Xxxxxxx království (XX)

XXXXXXXX UPOZORNĚNÍ

Jediným xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxxxxx xxxxxxxxx xx usnadnění xxxxxxxx xxxxxxx xxxxxxx, x xxx je xxxxxxxx. Tento formulář xx xxxx xxxxxxxxx xxxxx nesmí xxxxxxxxx xxxx xxxxxxxxxx dokument.

Tento xxxxxxxx odráží obsah xxxxxxx listiny, x xxx je přiložen. Xxxxx, xxxxx je xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx xxxx x xxxxxxxxx, kdy xx xx xxxxxxxx xxx xxxxx zpracování xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx xxxxxxxxx, xxxxx xxxx xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX PRO XXXXXXXXXX XXXXX

Xxxxxx xxxxx xxxxxxxxx, xxxxx xxxx xxxxxxx ve xxxxxxx xxxxxxx, k xxx xx xxxxxxxx xxxxx xxxxxxxx. (3)

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

1. ORGÁN XXXXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (4)

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

1.1 Xxxxx (5)

3. INFORMACE XXXXXXXX XX XXXXXXX XXXXXXX, X NÍŽ XX XXXXXXXX TENTO XXXXXXXX

3.1 Listina xxxxxx xxxxxxx nebo úředníkem x xxxxxx xx xxxxx daného členského xxxxx

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Listina xxxxxx xxxxxx soudním xxxxxxxxx

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

3.1.5 Jiné (upřesněte)

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

(2) Pro xxxxx xxxxxx nařízení by xxxxx „xxxxxxxx“ a „xxxxx xxxxxx“ xxxx xxx xxxxxxxxx x xxxxxxx x xxxxxxxxxxxxx xxxxxx.

(3) Xxx xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

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

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

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Osvědčení

3.2.2 Xxxxx x matriky

3.2.3 Xxxxx x xxxxxxxx obyvatel

3.2.4 Xxxx xxxxxxxxxx záznamů

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Úřední xxxxxxxxx, xxxxxx xxxx xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

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

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Referenční číslo xxxxxxx listiny

4. INFORMACE X XXXXXXX OSOBĚ

4.1 Xxxxxxxx

4.2 Jméno (xxxxx)

4.3 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.4 Xxxxx (1) x xxxx (2) narození

4.5 Xxxxxxx:

4.5.1 Xxxx

4.5.2 Muž

4.5.3 Xxxxxxxx

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

5.1 Xxxxxxxx

5.1.1 Xxxxxx:

5.1.1.1 Ulice a xxxxx xxxx / xxxxxxxx přihrádka

5.1.1.2 Místo x xxxxxxxx směrovací xxxxx

5.1.1.3 Xxxx (1)

5.2 Xxxxx xxxxxx

5.1.1 Xxxxxx:

5.1.1.1 Xxxxx a xxxxx xxxx / poštovní xxxxxxxxx

5.1.1.2 Xxxxx x xxxxxxxx xxxxxxxxx xxxxx

5.1.1.3 Xxxx (2)

6. XXXX XXX XXXXXX

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

6.2 Xxxxxx xxxxxxxx, který xxxxx xxxxx xxxxxxxx

6.3 Xxxxx (xx/xx/xxxx) xxxxxx

6.4 Xxxxxx

6.5 Xxxxx xxxx xxxxxxx

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

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

XXXXXXXXXXX XXXXXX XXXXX STANDARDNÍCH XXXXXXX

(XXXXXXXX xxxx XXXXX XXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX EXPIDE XXXX XXXXXXX/ (CZ) XXXXX VYDÁVAJÍCÍ XXXXX XXXXXXXX/ (DA) XXXXX XXXXXXXXX XXXXXXXXXX MYNDIGHED/ (XX) BEHÖRDE, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) KÄESOLEVA XXXXX XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX FORM/ (XX) XXXXXXXX DE DÉLIVRANCE XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX AN XXXXXX XXX/ (HR) XXXXXX XXXX IZDAJE XXXX XXXXXXX/ (XX) XXXXXXXÀ CHE RILASCIA XX XXXXXXXX MODULO/ (XX) XXXXXXXXX IZDEVĒJIESTĀDE/ (XX) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (XX) A FORMANYOMTATVÁNYT XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ EMITTENTI TA' XXX XX-XXXXXXX/ (XX) XXXXXXXXXX VAN XXXXXXX XXX XXX FORMULIER/ (XX) XXXXX XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXX FORMULÁRIO/ (XX) AUTORITATEA EMITENTĂ X XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX FORMULÁR/ (XX) XXXXX, KI XXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (SV) XXXXXXXXX XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (ES) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (DE) BEZEICHNUNG/ (XX) NIMETUS/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (GA)AINMNIÚ/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) DESIGNAÇÃO/ (XX) XXXXXXXX/ (SK) XXXXX/ (SL) XXX/ (XX) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX EXPIDE XX DOCUMENTO PÚBLICO XX QUE XX XXXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX LISTINU, K XXX XX PŘILOŽEN XXXXX FORMULÁŘ/ (DA) XXX XXXXXXXXX, XXX XXX XXXXXXX XXX XXXXXXXXXX XXXXXXXX, SOM XXXXX XXXXXXXX ER XXXXÆXXXX/ (DE) BEHÖRDE, XXX XXX ÖFFENTLICHE XXXXXXX, XXX XXXXXX 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 DOCUMENT XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXX DE DÉLIVRANCE XX DOCUMENT XXXXXX XXXXXX EST JOINT XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXX XXXX IZDAJE XXXXX XXXXXXX XXXXX XX OVAJ XXXXXXX XXXXXXXX/ (IT) XXXXXXXÀ XXX XXXXXXXX IL XXXXXXXXX PUBBLICO CUI XX XXXXXXXX XXXXXX È XXXXXXXX/ (LV) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX IR XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ DOKUMENTĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX TAD-DOKUMENT XXXXXXXX LI XXXXĦX XXXX XXXXXŻX DIN XX-XXXXXXX/ (XX) AUTORITEIT XXX XXXXXXX VAN XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXX XXXĘXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX JEST XXŁĄXXXXX/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXXX XXXXXXX X XXX O PRESENTE XXXXXXXXXX ESTÁ XXXXXX/ (XX) AUTORITATEA EMITENTĂ X DOCUMENTULUI OFICIAL XX CARE ESTE XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, KU XXXXXX JE XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX XXXX XXXXX XXXXXXX, XX XX XX XXXXXXXX XX OBRAZEC/ (FI) XXXXXXXXXXXX, XXXX ON XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX XXX XXXÄXXXX DEN XXXXXXXXXX HANDLING TILL XXXXXX XXXXX XXXXXXÄX ÄX BIFOGAT

3.

(BG) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXX XX XXX SE XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX TÝKAJÍCÍ XX XXXXXXX LISTINY, X NÍŽ JE XXXXXXXX TENTO XXXXXXXX/ (XX) OPLYSNINGER XXXXØXXXXX XXX OFFENTLIGE DOKUMENT, XXX DENNE XXXXXXXX XX VEDHÆFTET/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXÜXX XXX/ (XX) TEAVE XXXXXXX XXXXXXXXX XXXXX, XXXXXXX XXX XXXX ON XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX XX THE XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) INFORMATIONS XXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX EST XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX X BHAINEANN XXXX XX XXXXXXXXX POIBLÍ XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) INFORMACIJE KOJE XX ODNOSE XX XXXXX ISPRAVU XXXXX XX XXXX OBRAZAC XXXXXXXX/ (XX) INFORMAZIONI XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX IL XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX SU XXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX XXXXX/ (XX) A XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXXX INFORMÁCIÓK/ (MT) XXXXXXXXXXXXX DWAR XX-XXXXXXXX XXXXXXXX XX MIEGĦU XXXX MEHMUŻA DIN XX-XXXXXXX/ (NL) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX IS XXXXXXX/ (XX) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX URZĘDOWEGO, DO XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX XXXXXXXXX AO XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX DOCUMENTUL XXXXXXX XX CARE ESTE XXXXXX PREZENTUL FORMULAR/ (XX) XXXXXXXXXX X XXXXXXXX LISTINE, KU XXXXXX XX TENTO XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXX X JAVNO XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) TIEDOT XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (SV) XXXXXXXXXXX XX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) DOCUMENTO XXXXXXXX XXX XXX AUTORIDAD X XX FUNCIONARIO XXXXXXXXX X XXX XXXXXXX XXXXXXXXXXXXXXXX DE XX ESTADO XXXXXXX/ (XX) LISTINA XXXXXX XXXXXXX XXXX XXXXXXXXX X VAZBOU NA XXXXX XXXXXX XXXXXXXXX XXXXX/ (DA) DOKUMENT, XXX XX UDSTEDT XX XX XXXXXXXXX XXXXX EN EMBEDSMAND, XXX ER XXXXXXXXXX XXXXXXXX X EN XXXXXXXXXXX/ (XX) URKUNDE XXXXX XXXÖXXX XXXX XXXXX XXXXXXXXXX XXX XXXXX XXX XXXXXXXXXXXX XXXXX MITGLIEDSTAATS/ (ET) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXXXX XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXX XX AN XXXXXXXX CONNECTED XXXX XXX XXXXXX XX XXXXXXXXX XX A XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXX D'UNE XXXXXXXX OU X'XX XXXXXXXXXXXXX XXXXXXXX X'XXX XXXXXXXXXXX X'XX XXXX XXXXXX/ (GA) DOICIMÉAD X THAGANN X XXXXXX NÓ X XXXXXXXXX X XXXXXX XXXXX XXXX XX XXXX XX CÚIRTEANNA XX XX XXXXX XX CHUID XXXXXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX TIJELO XXX XXXXXXXXX SUDA XXXXXX XXXXXXX/ (IT) XXXXXXXXX XXXXXXX DA XX'XXXXXXXÀ X DA XX XXXXXXXXXXX XXXXXXXXXXXX XX UNA DELLE XXXXXXXXXXXXX DI XXX XXXXX XXXXXX/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX XX DALĪBVALSTS XXXXĀX XXXXXĪXX IESTĀDE VAI XXXXXXXXXXX/ (LT) XXXXXXXXXX, XXXXXXXX VALDŽIOS INSTITUCIJOS XX XXXXXXŪXX, SUSIJUSIŲ XX XXXXXXXĖX XXXĖX XXXXXXXX AR XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX ÁLLÓ XXXXXXX XXXX TISZTVISELŐ ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ XXX XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX XXX XX-XXXXXXXXX XX' XXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXXXXXX XXXXXXXXX XXX EEN XXXXXXXX/ (PL) DOKUMENT XXXXXXXĄXX XX XXXXXX XĄXXXXXX LUB XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX XX XXX AUTORIDADE XX XX UM XXXXXXXXXXX DEPENDENTE XX XXXXXXXX XXXXXXXÇÃX XX XX ESTADO-MEMBRO/ (RO) XXXXXXXX EMIS XX X XXXXXXXXXX XXX XX XX XXXXȚXXXXX XX XX XÂXXĂ XXXXXXȚXXX UNUI XXXX XXXXXX/ (XX) LISTINA XXXXXX XXXXXXX XXXXX XXXXXXXXX X XÄXXXX XX XXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX, XXXXXX S XXXXXX XXXXXX XXX XXXXXXXX XXXXX OBLASTI XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX ON XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX XX XXXXXXXXX ELLER XX XXÄXXXXXXX TILLHÖRANDE DOMSTOLSVÄSENDET X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (DA) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (FR) XXXXXXXX DE JUSTICE/ (XX) CINNEADH XX xXXXXX/ (XX) SUDSKA XXXXXX/ (IT) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (LT) TEISMO XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (XX) DECISÃO XXXXXXXX/ (RO) HOTĂRÂRE XXXXXĂXXXXXXXĂ/ (XX) SÚDNE XXXXXXXXXXX/ (SL) SODNA XXXXXXX/ (FI) XXXXXXXXXXXXXX XÄÄXÖX/ (SV) DOMSTOLSBESLUT

3.1.2

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (ES) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXX/ (CZ) XXXXXXX VYDANÁ XXXXXXX XXXXXXXXX/ (DA) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX RIIKLIK XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX EMANATING XXXX X XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XXXXXXÈXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXXXXXXX POIBLÍ/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX PROKURORS/ (XX) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXĠ MINN XXXXXXXXXX XXXXXXXX/ (NL) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXX MINISTERIE/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (PT) XXXXXXXXX PROVENIENTE DO XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXX DE XX XXXXXXXX/ (SK) XXXXXXX XXXXXX PROKURÁTOROM/ (XX) LISTINA, KI XX XXXX DRŽAVNO XXXXXXXXX/ (FI) XXXXXXXXXX XXXXXÄXÄX ANTAMA XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX FRÅN ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (ES) XXXXXXXXX XXXXXXXX POR XX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX ÚŘEDNÍKEM/ (XX) XXXXXXXX UDSTEDT XX XX JUSTITSSEKRETÆR/ (XX) XXXXXXX EINES XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX GERICHTS/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX EMANATING XXXX A CLERK XX X XXXXX/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X CHLÉIREACH XX XXXXX XXXXXX/ (HR) XXXXXXX XXXX XX XXXXX XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (XX) DOKUMENTS, XXXX IZSNIEDZIS XXXXXX XXXXXXĀXX/ (LT) XXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX XXĠXXXXXXXX TA' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX OD SEKRETARZA XĄXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXX DE XXXXXÇX/ (XX) XXXXXXXX EMIS XX UN GREFIER XX XXXXXXȚXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXX/ (SL) LISTINA, XX XX XXXX XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX SIHTEERIN ANTAMA XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN XX DOMSTOLSTJÄNSTEMAN

3.1.4

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („HUISSIER DE XXXXXXX“)/ (ES) XXXXXXXXX XXXXXXXX POR XX XXXXXX XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX XX XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (DE) XXXXXXX XXXXX GERICHTSVOLLZIEHERS/ (ET) XXXXXXXX, XXXXX ON XÄXXX XXXXXX KOHTUTÄITUR/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (XX) DOCUMENT XXXXXXXXX XXXX X XXXXXXXX XXXXXXX ('HUISSIER XX XXXXXXX')/ (FR) XXXXXXXX XXXXXXX X'XX XXXXXXXX XX XXXXXXX/ (GA) XXXXXXXXX X XXXXXXX X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX DE JUSTICE”)/ (XX) XXXXXXX XXXX XX XXXXX SUDSKI XXXXXXXXX (XXXXXXXX DE XXXXXXX)/ (XX) DOCUMENTO XXXXXXX XX XX XXXXXXXXX XXXXXXXXXXX ("HUISSIER XX XXXXXXX")/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (XXXXXXXX XX XXXXXXX)/ (LT) XXXXXXXXX (XXXXXXXX DE XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX VÉGREHAJTÓ („XXXXXXXX XX JUSTICE”) XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX GERECHTSDEURWAARDER/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX XĄXXXXXX (XXXXXXXX DE XXXXXXX)/ (XX) DOCUMENTO PROVENIENTE XX XX XXXXXXÃX XX DIREITO («HUISSIER XX XXXXXXX»)/ (XX) XXXXXXXX EMIS XX XX EXECUTOR JUDECĂTORESC („XXXXXXXX XX XXXXXXX”)/ (XX) LISTINA XXXXXX XXXXXX VYKONÁVATEĽOM („HUISSIER XX XXXXXXX“)/ (XX) XXXXXXX, XX XX XXXX XXXXX IZVRŠITELJ („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXXXXXX (”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 (XXXXXXXXXXXXX)/ (XX) XXXX (XXXXXXXXX)/ (XX) XXXXX (ANGIVES)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (ET) MUU (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX XX XXXXXXXXX)/ (XX) AUTRE (À XXXXXXXX)/ (XX) XXXX (XX XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (XX) XXXXX (PRECISARE)/ (LV) XXXX (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (XX) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) XĦXXXX (IPPREĊIŻA)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) INNY (XXXXXĘ XXXXŚXXĆ)/ (PT) XXXXXX (X ESPECIFICAR)/ (XX) XXXXX (X XX XXXXXXX)/ (XX) INÉ (XXXXXXXX)/ (XX) DRUGO (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (SV) XXXXX XXXXXXXX (SPECIFICERAS)

3.2

(BG) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (ES) XXXXXXXXX ADMINISTRATIVO/ (CZ) XXXXXXX XXXXXX SPRÁVNÍM XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (DE) URKUNDE XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXXXXXXXXX/ (GA) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (LT) ADMINISTRACINIS XXXXXXXXXX/ (HU) KÖZIGAZGATÁSI XXXXXX/ (MT) XXXXXXXX XXXXXXXXXXXXXX/ (NL) XXXXXXXXXXXXXX XXXXXXXX/ (PL) DOKUMENT XXXXXXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) DOCUMENT XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) TÕEND/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (EN) XXXXXXXXXXX/ (FR) XXXXXXXXXX/ (XX) DEIMHNIÚ/ (HR) XXXXXXX/ (IT) XXXXXXXXXXX/ (XX) APLIECINĀJUMS/ (LT) XXXXXX, XXXXXXXXXX/ (HU) XXXXXXXXXXX/XXXXXXXXXXXX/ (MT) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (PT) CERTIDÃO XX CERTIFICADO/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (FI) XXXXXXXX/ (SV) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) EXTRACTO DEL XXXXXXXX CIVIL/ (XX) XXXXX X MATRIKY/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (DE) XXXXXX XXX XXX PERSONENSTANDSREGISTER/ (XX) XXXXXXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (EN) XXXXXXX XXXX XXX XXXXX XXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XX X'XXXX XXXXX/ (XX) XXXXXXX XX XX xXXXX XXXXXXX XXXXXXXXXX/ (HR) IZVADAK XX XXXXXXXX XXXXXXX XXXXXX/ (XX) XXXXXXXX XX XXXX DI XXXXX CIVILE/ (LV) XXXXXXXX XX CIVILSTĀVOKĻA XXXX XXĢXXXXX/ (XX) XXXXXXX XX CIVILINĖS XŪXXĖX XXXŲ XXXXXXXX/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (NL) XXXXXXXXXX XXX XXX XXXXXXXX XXX XX XXXXXXXXXXX STAND/ (XX) XXXXX XXXXXXXX AKTU XXXXX CYWILNEGO/ (XX) XXXXXXX DE ATOS XX XXXXXXX XXXXX/ (XX) EXTRAS XXX XXXXXXXXX DE XXXXX XXXXXĂ/ (XX) XXXXX X XXXXXXXX OSOBNÉHO XXXXX/ (SL) IZPISEK XX XXXXXXXX O XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (SV) XXXXXX XX FOLKBOKFÖRINGEN

3.2.3

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX XXX XXXXX/ (XX) VÝPIS X XXXXXXXX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX XXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XX XX XXXXXXXXXX/ (XX) SLIOCHT XX XX xXXXX DAONRA/ (XX) XXXXXXX XX XXXXXX XXXXXXXXXXXX/ (IT) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XX IEDZĪVOTĀJU XXĢXXXXX/ (XX) XXXXXXX XX GYVENTOJŲ XXXXXXXX/ (XX) KIVONAT X XXXXXXXXXXXX- ÉS XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX Z XXXXXXXX LUDNOŚCI/ (XX) XXXXXXX XX XXXXXXX XX XXXXXXÇÃX/ (RO) XXXXXX XXX REGISTRUL XX XXXXXXȚĂ A XXXXXXȚXXX/ (XX) XXXXX X XXXXXXXX OBYVATEĽOV/ (XX) XXXXXXX XX XXXXXXXX XXXXXXXXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXX/ (SV) XXXXXX XX BEFOLKNINGSREGISTER

3.2.4

(BG) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX XX XXXXX DEL XXXXXXXX XXXXX/ (XX) XXXX MATRIČNÍCH XXXXXXX/ (XX) ORDRET KOPI XX XXXXXXXXXXXXXXXXXXX/ (XX) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) PEREKONNASEISUAKTI XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX OF XXXXX XXXXXX RECORDS/ (XX) XXXXX XXXXXXXXX X'XXXXX XX X'XXXX CIVIL/ (XX) XXXX XXXXX XX FHOCAL DE XXXXXXX XX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX IZ XXXXXXXXXX X XXXXXXX XXXXXX/ (XX) XXXXX XXXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX REĢISTRA XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXĖX BŪKLĖS XXXŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) KOPJA XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXX XXX AKTEN XXX DE XXXXXXXXXXX XXXXX/ (PL) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (PT) XXXXXXÃX XX XXXXX XXXXXXXX XX XX XXXXXXXXX XX XXXX XX XXXXXXX CIVIL/ (RO) XXXXX EXACTĂ X XXXX ACT XX XXXXX CIVILĂ/ (XX) XXXXXXXX VÝPIS XX XXXXXXX O XXXXXXX XXXXX/ (XX) XXXXXXXXX XXXXXX XXXXXX X XXXXXXX XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX XX FOLKBOKFÖRINGSHANDLING

3.3

(BG) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) NOTARIAL XXX/ (XX) XXXX XXXXXXX/ (XX) GNÍOMH XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXĀXX XXXX/ (XX) NOTARINIS XXXXX/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (XX) XXX XXXXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX LISTINA/ (XX) XXXXXXXX XXXXXX XXXXXXXXX/ (SV) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) CERTIFICACIÓN OFICIAL XXXXXX XXXXX UN XXXXXXXXX XXXXXXX/ (XX) XXXXXX OSVĚDČENÍ, KTERÝM XXXX XXXXXXXX XXXXXXX XXXXXXXXX SOUKROMOU OSOBOU/ (XX) XXXXXXXX XÅXXXXXXX XÅ ET XXXXXXXX XXXXXXXXXXX AF XX XXXXXX X XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (XX) AMTLICHE XXXXXXXXXXXXX XXX XXXXX PRIVATURKUNDE/ (XX) ISIKU POOLT XXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX AMETLIK TÕEND/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) OFFICIAL XXXXXXXXXXX XXXXXX ON X DOCUMENT XXXXXX XX A PERSON XX HIS OR XXX XXXXXXX CAPACITY/ (XX) XXXXXXXXXXX OFFICIELLE XXXXXXX XXX XX XXXX XXXX SEING XXXXX/ (XX) XXXXXXXX XXXXXXXXX A XXXXXXXXX XX XXXXXXXXXX XXXX XXXXXX AG XXXXX XXX CHÁIL XX XXX CÁIL XXXXXXXXXXXXXX/ (XX) SLUŽBENA XXXXXXX XXXXXXXXX NA XXXXXXX XXXX JE XXXXX XXXXXXXXX U XXXXXXXXX XXXXXXXX/ (XX) DICHIARAZIONE XXXXXXXXX APPOSTA XX XXX SCRITTURA XXXXXXX/ (XX) XXXXXĀXX APLIECINĀJUMS XX XXXXXXXXX, KO XXXĀ XĀXXĀ PARAKSTĪJUSI XĀXX XXXXXXX/ (LT) XXXXXXXŲ XXXXXŲ PASIRAŠYTŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (MT) ĊXXXXXXXXX XXXXĊXXXX XX XXXXXXXĦXX F'DOKUMENT XXXXXXXX XXXX XXXXXXX FIL-KAPAĊITÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX OP XXX XXXXXXXX XXXXXXXXXXX XXXX EEN XXXXXXX XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX UMIESZCZONE XX XXXXXXXXXX PODPISANYM PRZEZ XXXXĘ XXXXŁXXĄXĄ W XXXXXXXXXXX XXXXXXXXX/ (PT) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX XXX XX XXXXXXXX PRIVADA/ (XX) XXXXXXXXXX XXXXXXX APLICAT XX XX XXXXXXXX XXX XXXXĂXXXĂ PRIVATĂ/ (XX) ÚRADNÉ XXXXXXXXXX XXXXXXX XX XXXXXXX XXXXXXXXXX XXXXXX KONAJÚCOU XXX XXXXXXXX XXXXX/ (XX) URADNA XXXXXX XX XXXXXXX LISTINI/ (XX) VIRALLINEN XXXXXXXX XXXXXXXXXXXX, JONKA XXXXXXÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) OFFICIELLT XXXXX XXXXXXXXX XÅ EN XXXXXXXX XXX XXXXXXXXXXXXX XX XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXXXXX X XXXXXXXX DE XX XXXXXX XXXXXXX CON XXXXXXXX XXXXXXX/ (XX) XXXXXXX VYHOTOVENÁ DIPLOMATICKÝM XXXXXXXXX XXXX KONZULÁRNÍM XXXXXXXXX ČLENSKÉHO XXXXX X RÁMCI XXXXXX XXXX XXXXXXXXXX POVINNOSTÍ/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX AF EN XXXXXXXXXXXX DIPLOMATISKE ELLER XXXXXXÆXX XXXXÆXXXXXXX/ (XX) XXX XXXXX DIPLOMATISCHEN XXXX XXXXXXXXXXXXXX VERTRETER XXXXX XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (ET) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ / (EN) DOCUMENT XXXXX XX XX X XXXXXXXXXX OR XXXXXXXX XXXXX OF X XXXXXX XXXXX XX HIS OR XXX XXXXXXXX CAPACITY/ (XX) XXXXXXXX XXXXXX XX XX QUALITÉ XXXXXXXXXX XXX XX XXXXX DIPLOMATIQUE XX XXXXXXXXXX X'XX ÉTAT XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX SUAS XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX XX XXXXX XXXXXXXXX INA XXXXX XX INA XXXX XXXXXXXXX/ (XX) XXXXXXX XXXX JE X SLUŽBENOM SVOJSTVU XXXXXXXX XXXXXXXXXXX ILI XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (IT) DOCUMENTO XXXXXXX XX XXXXXX XXXXXXXXXXX X XXXXXXXXX XX XXX XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (XX) XXXXXXXXX, KURU, XXXXXX XXXXX XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX PĀRSTĀVIS/ (XX) XXXXXXXXXX, PARENGTAS XXXXXXXĖX XXXĖX DIPLOMATO XX XXXXXXXXXX PAREIGŪNO, VEIKIANČIO XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXXX XXXX XĠXXX XXXXXXXXXXX XXX XXXXXXXXX XX' XXXX XXXXXX FIL-KAPAĊITÀ XXXXĊXXXX TIEGĦU/ (NL) XXXXXXXX OPGESTELD DOOR XX DIPLOMATIEKE XX XXXXXXXXXX AMBTENAAR XXX XXX LIDSTAAT XX XXXX XXXXXXËXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX CZŁONKOWSKIEGO DZIAŁAJĄCYCH X XXXXXXXXXXX XXXĘXXXXX / (XX) XXXXXXXXX XXXXXXX XXX XX XXXXXX XXXXXXXXXXX XX XXXXXXXX DE UM XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX FUNÇÕES XXXXXXXX/ (RO) XXXXXXXX ÎXXXXXXX DE XĂXXX XX AGENT XXXXXXXXXX XXX CONSULAR XX XXXX XXXX MEMBRU, ÎX CALITATE XXXXXXXĂ/ (XX) XXXXXXX VYHOTOVENÁ XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX ČLENSKÉHO XXXXX V XXXXX XXXXXX JEHO FUNKCIE/ (XX) XXXXXXX, KI XX KOT XXXXXX XXXXX XXXX XXXXXXXXXXX XXX XXXXXXXXXX PREDSTAVNIK XXXXXX ČLANICE/ (FI) XXXXXXXXX, JONKA XÄXXXXXXXXXX XXXXXXXXXXXXXX EDUSTAJA XXX XXXXXXXXXXXXXXX ON XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXÄXXXX X TJÄNSTEN XX EN XXXXXXXXXXX XXXXX XXXXXXÄX TJÄNSTEMAN X XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) DATUM (DD/MM/RRRR) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) AUSSTELLUNGSDATUM (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (DD/MM/YYYY) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) EISIÚNA/ (XX) XXXXX (DD/MM/GGGG) IZDAVANJA/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) IŠDAVIMO DATA (XX/XX/XXXX)/ (HU) A XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (NL) DATUM (XX/XX/XXXX) XXX XXXXXXX/ (XX) DATA (XX/XX/XXXX) XXXXXXX/ (PT) XXXX XX XXXXXÃX (DD/MM/AAAA)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) VYDANIA/ (SL) XXXXX (DD/MM/LLLL) IZDAJE/ (XX) ANTAMISPÄIVÄ (PP/KK/VVVV)/ (XX) DATUM (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX XXXXXXXXXX DEL XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (DA) XXX XXXXXXXXXX XXXXXXXXX REFERENCENUMMER/ (XX) XXXXXXXXXX DER ÖXXXXXXXXXXX XXXXXXX/ (ET) XXXXXXX DOKUMENDI XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX XX XXX XXXXXX XXXXXXXX/ (XX) NUMÉRO XX RÉFÉRENCE DU XXXXXXXX XXXXXX/ (GA) XXXXXX XXXXXXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX BROJ XXXXX XXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX/ (LV) XXXXXXXĀ DOKUMENTA XXXXXXXX XXXXXX/ (LT) XXXXXXX XXXXXXXXX XXXXXXX/ (XX) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) NUMRU XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (NL) REFERENTIENUMMER XXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXX XX XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) NUMĂRUL XX XXXXXXXȚĂ XX XXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) YLEISEN ASIAKIRJAN XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (ES) XXXXXXXXXXX XXXXX XX INTERESADO/ (XX) XXXXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXXXX XX XXX XÅXÆXXXXXX XXXXXX/ (XX) XXXXXXX XXX XXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXX XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΊΑ ΤΟΥ ΠΡΟΣΏΠΟΥ ΤΟ ΟΠΟΊΟ ΑΦΟΡΆ ΤΟ ΈΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX PERSON XXXXXXXXX/ (XX) XXXXXXXXXXXX XXX XX PERSONNE CONCERNÉE/ (XX) XXXXXXXX MAIDIR XXXX XX DUINE XXXX xXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXX XXXXXXX INTERESSATA/ (XX) XXXXXXĀXXXX PAR XXXXXXĪXX XXXXXXX/ (LT) XXXXXXXXXXX XXXX XXXXXXXXXĄ XXXXXĮ/ (XX) AZ XXXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXX KKONĊERNATA/ (XX) XXXXXXXXXX XXXX XX BETROKKENE/ (XX) XXXX OSOBY, XXXXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÇÕXX SOBRE X XXXXXX XX XXXXX/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXX VIZATĂ/ (XX) XXXXXXXXXX X DOTKNUTEJ XXXXX/ (SL) XXXXXXXXXXX X XXXXXXX OSEBI/ (XX) ASIANOMAISEN HENKILÖN XXXXXX/ (XX) UPPGIFTER XX DEN XXXÖXXX XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) APELLIDO(S)/ (XX) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (XX) FAMILIENNAME(N)/ (ET) XXXXXXXXXXXXX (-NIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (XX) SURNAME(S)/ (XX) XXX(X)/ (XX) XXXXXXX (XXXXXXXX)/ (XX) XXXXXXX(XX)/ (XX) XXXXXXX(X)/ (XX) UZVĀRDS(-I)/ (XX) XXXXXXĖ (-ĖX)/ (XX) XXXXXXX NEVE(I)/ (MT) XXXXXX(/XXXXXXXXXXX)/ (NL) XXXXXXXX(X)X(XX)/ (XX) NAZWISKO(-A)/ (XX) XXXXXXX(X)/ (RO) XXXX/ (XX) XXXXXXXXXX(-X)/ (XX) XXXXXXX(XXXXXXX)/ (XX) SUKUNIMI (-XXXXX)/ (SV) 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)/ (XX) XXXXXXXX(X)/ (XX) PRÉNOM(S)/ (XX) CÉADAINM (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (XX) XĀXXX(-X)/ (XX) XXXXXX (-AI)/ (XX) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (XX) IMIĘ (XXXXXX)/ (XX) NOME(S) XXXXXXXX(X)/ (XX) PRENUME/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (XX) FÖRNAMN

4.3

(BG) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) NAROZENÍ/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) GEBURTSDATUM (XX/XX/XXXX)/ (XX) SÜNNIKUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΊΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (EN) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) DATE (XX/XX/XXXX) XX NAISSANCE/ (GA) XXXX (XX/XX/XXXX) BREITHE/ (XX) XXXXX (DD/MM/GGGG) XXĐXXXX/ (XX) XXXX XX XXXXXXX (XX/XX/XXXX)/ (XX) DZIMŠANAS XXXXXX (XX/XX/XXXX)/ (XX) GIMIMO XXXX (DD/MM/MMMM)/ (HU) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (NL) GEBOORTEDATUM (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (PT) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (SV) FÖDELSEDATUM (XX/XX/ÅÅÅÅ)

4.4

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX X XXXX XX XXXXXXXXXX/ (XX) MÍSTO A XXXX XXXXXXXX/ (DA) XØXXXXXX XX -LAND/ (XX) XXX XXX XXXX XXX XXXXXX/ (XX) SÜNNIKOHT JA -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX XXX XXXXXXX XX XXXXX/ (XX) LIEU XX XXXX XX XXXXXXXXX/ (XX) ÁIT XXXX XXX XXXXXXXX/ (XX) XXXXXX X XXXXXX XXĐXXXX/ (XX) LUOGO X XXXXX XX XXXXXXX/ (LV) DZIMŠANAS XXXXX UN XXXXXX/ (XX) XXXXXX XXXXX XX ŠALIS/ (XX) XXÜXXXXXX HELYE ÉS XXXXXXX/ (XX) POST X XXXXXŻ TAT-TWELID/ (XX) XXXXXXXXXXXXXX XX -XXXX/ (PL) XXXXXXX X PAŃSTWO URODZENIA/ (XX) XXXXX E XXXX XX XXXXXXXXXX/ (XX) XXXXX ȘX ȚXXX XXȘXXXXX/ (XX) XXXXXX X XXXX XXXXXXXXX/ (XX) XXXX XX DRŽAVA XXXXXXX/ (XX) XXXXXXÄXXXXXX JA -XXX/ (XX) XÖXXXXXXXX XXX -LAND

4.5

(BG) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (XX) XØX/ (XX) XXXXXXXXXX/ (XX) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (GA) INSCNE/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) LYTIS/ (XX) XXXX/ (XX) SESS/ (XX) XXXXXXXX/ (PL) XŁXĆ/ (XX) XXXX/ (XX) SEXUL/ (XX) XXXXXXXX/ (SL) SPOL/ (XX) XXXXXXXXX/ (XX) XÖX

4.5.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) ŽENA/ (XX) XXXXXX/ (XX) XXXXXXXX/ (XX) NAISSOOST/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (FR) FÉMININ/ (XX) XXXXXXXX/ (XX) XXXXXX/ (IT) FEMMINILE/ (XX) SIEVIETE/ (LT) XXXXXXX/ (XX) XŐ/ (XX) MARA/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (FI) XXXXXX/ (SV) XXXXXX

4.5.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (XX) XXXX/ (XX) XÄXXXXXX/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (XX) MASCULIN/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) XXXXX/ (XX) XXXXX/ (XX) XXĠXX/ (XX) MAN/ (XX) XĘŻXXXXXX/ (XX) XXXXXXXXX/ (RO) XĂXXĂXXXX/ (XX) MUŽSKÉ/ (SL) XXXXX/ (XX) XXXX/ (XX) XXX

4.5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) INDETERMINADO/ (XX) XXXXXXXX/ (DA) UBESTEMT/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (EL) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (GA) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) NENUSTATYTA/ (XX) XXXXXXXXXXXXXXX/ (MT) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) XÃX XXXXXXXX/ (RO) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (SL) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

5.

(XX) НАСТОЯЩО МЕСТОЖИВЕЕНЕ И/ИЛИ МЕСТОПРЕБИВАВАНЕ НА СЪОТВЕТНОТО ЛИЦЕ СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX X/X XXXXXXXXXX XXXXXXXX XX XX XXXXXXX X XX XXX XX XXXXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXX BYDLIŠTĚ XXXX XXXXX XXXXXX XXXXX XXXXXXX VE VEŘEJNÉ XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXXÆXXXXX XXXÆX OG/ELLER XXXXXXXXXXX XXX PERSONEN, XXX XX XXXØXX AF XXX OFFENTLIGE DOKUMENT, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (DE) XXXXXXXXX XXXXXXXX UND/ODER XXX XXX GEWÖHNLICHEN XXXXXXXXXXX DER XXXXXXXXXXXX XXXXXX GEMÄSS DER ÖXXXXXXXXXXX URKUNDE, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) AVALIKUS XXXXXXXXXX, XXXXXXX XXX XXXX ON LISATUD, XXXXXXXXX XXXXX PRAEGUNE XXXXXXX ASUKOHT JA/VÕI XXXXXXX/ (XX) ΤΡΕΧΟΥΣΑ ΔΙΕΥΘΥΝΣΗ ΚΑΤΟΙΚΙΑΣ ΚΑΙ/Ή ΔΙΑΜΟΝΗΣ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) CURRENT XXXXXXXX XXX/XX XXXXXXXXX XX XXX XXXXXX XXXXX IN XXX XXXXXX DOCUMENT XX XXXXX XXXX XXXX XX ATTACHED/ (XX) XXXXXXXX ET/OU XXXXXXXXX XXXXXXX XX XX XXXXXXXX XXXXXXXXX XXX XX XXXXXXXX XXXXXX XXXXXX LE XXXXXXX XXXXXXXXXX XXX XXXXX/ (XX) SAINCHÓNAÍ XXXXXX XXXX/XX XXXXXXXXXXX AN XXXXX XXX XXXXXXXXX XX XXXXXXXXX XXXXXX XXXX BHFUIL XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXX X/XXX XXXXXXXXX OSOBE XXXXXXXX X XXXXXX XXXXXXX XXXXX JE XXXX XXXXXXX PRILOŽEN/ (XX) DOMICILIO E/O XXXXXXXXX XXXXXXX XXXXX XXXXXXX XXXXXXXXXXX DAL XXXXXXXXX XXXXXXXX CUI XX XXXXXXXX XXXXXX È XXXXXXXX/ (LV) XXXXXXĪXĀX XXXXXXXX XXXXXXXĒXXXX XXXXXXXX UN/VAI XXXXXĒXXXĀX XXXXX, KAS MINĒTA XXXXXXXXXĀ XXXXXXXXĀ, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (LT) VIEŠAJAME XXXXXXXXX, PRIE XXXXX XXXXXXXXX XX XXXXX, XXXXXXXX XXXXXX XXXXXXXXĖ XXXXXXXXĖ XXXXXXXXXX XXXXX XX (XXXX) GYVENAMOJI XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXXX XXXXXXXXXXX XXXXXXX XXXXXXXXX XXXXXXXXX XX/XXXX XXXXXXXXXXXX XXXXX/ (XX) XXXXĊXXXX X/XXX RESIDENZA XXXXXXX XXX-XXXXXXX XXXXXXXX XXX-XXXXXXXX XXXXXXXX XX MIEGĦU XX MEHMUŻA XXX XX-XXXXXXX/ (NL) HUIDIGE XXXX- XX/XX XXXXXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXX XXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXXX MIEJSCE XXXXXXXXXXXX XXX MIEJSCE POBYTU XXXXX WSKAZANEJ X XXXXXXXXXX XXXĘXXXXX, XX XXXXXXX ZAŁĄCZONY JEST XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX E/OU XXXXXÊXXXX XXXXX DA XXXXXX XXXXXXXXX XX DOCUMENTO XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXX ȘX/XXX XXȘXXXXȚX XXXXXX(Ă) XX (A) XXXXXXXXX VIZATE XX XXXXXXXXXX XXXXXXX LA XXXX ESTE XXXXXX XXXXXXXXX FORMULAR/ (XX) XXXXXXX XXXXXXXX X/XXXXX XXXXX XXXXX XXXXXXXX XX XXXXXXXX LISTINE, XX KTOREJ JE XXXXXXXXX TENTO XXXXXXXX/ (XX) XXXXXXXX XXXXXX XXXXXXXXXXXX IN/ALI XXXXXXXX XXXXXXXXXXXX XXXXX, XX XXXXXX SE NANAŠA XXXXX XXXXXXX, KI XX XX XXXXXXXX XX XXXXXXX/ (FI) XXXXXXXXÄ ASIAKIRJASSA, XXXXX XÄXÄ LOMAKE LIITETÄÄN, XXXXXXXXXXX HENKILÖN KOTI- XX/XXX ASUINPAIKKA/ (XX) XXXXXXXXX HEMVIST XXX/XXXXX XXXXXXXXXX XÖX DEN XXXXXX XXX XXXÖXX XX XXX XXXXXXXXXX XXXXXXXX TILL VILKEN XXXXX XXXXXXÄX ÄX XXXXXXX

5.1

(XX) МЕСТОЖИВЕЕНЕ/ (XX) XXXXXXXXX/ (XX) BYDLIŠTĚ/ (XX) BOPÆL/ (DE) XXXXXXXX/ (ET) ALALINE XXXXXXX/ (XX) ΚΑΤΟΙΚΙΑ/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXĖ GYVENAMOJI XXXXX/ (XX) LAKÓHELY/ (XX) XXXXĊXXXX/ (XX) XXXXXXXXXX/ (PL) XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXX

5.1.1

(XX) АДРЕС/ (XX) XXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXX/ (EL) ΔΙΕΥΘΥΝΣΗ/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) SEOLADH/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (LV) ADRESE/ (XX) XXXXXXX/ (HU) XXXX/ (XX) XXXXXXXX/ (XX) ADRES/ (PL) XXXXX/ (PT) XXXXXXÇX/ (XX) XXXXXX/ (SK) XXXXXX/ (SL) NASLOV/ (XX) OSOITE/ (XX) XXXXXX

5.1.1.1

(XX) УЛИЦА И НОМЕР/ПОЩЕНСКА КУТИЯ/ (XX) XXXXX X XXXXXX / APARTADO XX XXXXXXX/ (XX) XXXXX X XXXXX DOMU / XXXXXXXX PŘIHRÁDKA/ (XX) XXX XX XXXXXXXXX/XXXXXXXX/ (XX) XXXXXXX XXX XXXXXXXXXX/XXXXXXXX/ (ET) XÄXXX JA MAJA XXXXXX / XXXXXXXX/ (XX) ΟΔΟΣ ΚΑΙ ΑΡΙΘΜΟΣ / Τ.Θ./ (XX) XXXXXX XXX XXXXXX/XX XXX/ (XX) XXX ET XXXXXX/XXÎXX XXXXXXX/ (XX) XXXXX XXXX XXXXXX/XXXXX XXXXX/ (XX) XXXXX X XXXX / XXXXXXXXX XXXXXXXX/ (IT) VIA X XXXXXX/XXXXXXX POSTALE/ (XX) XXXX XX XĀXXX NUMURS / XXXXXXXXX/ (LT) GATVĖ XX XXXX XXXXXXX / PAŠTO DĖŽUTĖ/ (XX) UTCA ÉS XXXXXXX/XXXXXXXXX/ (XX) XXXX X XXXXX/XXXXX POSTALI/ (XX) STRAAT EN XXXXXX/XXXXXXX/ (PL) ULICA X XXXXX / XXXXXXX XXXXXXXX/ (PT) XXX X XXXXXX/XXXXX XXXXXX/ (XX) STRADA ȘX NUMĂRUL/CĂSUȚA POȘTALĂ/ (XX) XXXXX X XXXXX/ XXXXXXX XXXXXXXXX/ (XX) XXXXX XX XXXXXXXX/XXXXXX XXXXXX/ (XX) XÄXXXXXXXX/XXXXXXXXXXX/ (SV) XXXXXXXXXX/XXXXXXX

5.1.1.2

(XX) НАСЕЛЕНО МЯСТО И ПОЩЕНСКИ КОД/ (XX) XXXXXXXXX X XXXXXX XXXXXX/ (CZ) XXXXX X XXXXXXXX XXXXXXXXX XXXXX/ (DA) BY XX XXXXXXXXXX/ (XX) XXX UND XXX/ (XX) XXXX XÕX XXXXX XX XXXXXXXXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΤΑΧΥΔΡΟΜΙΚΟΣ ΚΩΔΙΚΟΣ/ (XX) XXXXX XXX POSTAL XXXX/ (XX) LOCALITÉ XX XXXX XXXXXX/ (XX) XXX XXXX XXX POIST/ (XX) XXXXXX X XXXXXXXXX XXXX/ (IT) XXXXXXXÀ X XXX/ (LV) XXXXX XX PASTA XXXXXXX/ (XX) XXXXX XX XXXXX KODAS/ (XX) XXXXXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXÀ X XXXXĊX XXXXXXX/ (XX) PLAATS XX XXXXXXXX/ (XX) MIEJSCOWOŚĆ X XXX XXXXXXXX/ (XX) LOCALIDADE E XXXXXX XXXXXX/ (XX) XXXXXXXXXXX ȘI XXXXX XXȘXXX/ (XX) XXXXXX X XXXXXXX XXXXXXXXXX XXXXX/ (SL) KRAJ XX XXXXXX ŠTEVILKA/ (XX) POSTINUMERO JA XXXXXXXXXXXXXXXX/ (SV) XXX XXX XXXXXXXXXX

5.1.1.3

(XX) ДЪРЖАВА/ (XX) XXXX/ (XX) XXXX/ (DA) LAND/ (XX) LAND/ (XX) XXXX/ (XX) ΧΩΡΑ/ (XX) XXXXXXX/ (FR) XXXX/ (XX) XXX/ (XX) XXXXXX/ (IT) XXXXX/ (LV) VALSTS/ (XX) XXXXX/ (XX) XXXXXX/ (MT) PAJJIŻ/ (XX) XXXX/ (XX) XXŃXXXX/ (PT) XXXX/ (XX) ȚXXX/ (SK) XXXX/ (XX) XXXXXX/ (XX) XXX/ (XX) XXXX

5.2

(XX) МЕСТОПРЕБИВАВАНЕ/ (XX) XXXXXXXXXX/ (XX) MÍSTO XXXXXX/ (XX) OPHOLDSSTED/ (XX) XXX XXX XXXÖXXXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXX/ (EL) ΔΙΑΜΟΝΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (GA) XXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) UZTURĒŠANĀS XXXXX/ (LT) XXXXXXXXXX XXXXX/ (HU) TARTÓZKODÁSI XXXX/ (MT) XXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX/ (PT) XXXXXÊXXXX/ (XX) XXȘXXXXȚX/ (XX) POBYT/ (SL) XXXXXXXXXXXX/ (FI) XXXXXXXXXXX/ (XX) XXXXXXXXXX

6.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX XXXXX/ (XX) XXXX XXX XXXXXX/ (DA) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (EL) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX BOX/ (XX) XXXXX XXXX XX XXXXXXXXX/ (XX) XXXXX XXX XXXXX/ (XX) XXXXX ZA POTPIS/ (XX) XXXXXXXX XXX XX FIRMA/ (XX) XXXXXXXX LAUKS/ (LT) XXXXXX XXXXXXXX/ (HU) XX ALÁÍRÁS XXÖXXXXXXXXX/ (XX) KAXXA XXX-XXXXXXXX/ (XX) XXX XXXX XX HANDTEKENING/ (XX) XXXX XXXXXXX/ (PT) XXXXÇX DESTINADO À XXXXXXXXXX/ (XX) SEMNĂTURA/ (XX) XXXXXXX NA XXXXXX/ (XX) 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 NOMBRE(S) DEL XXXXXXXXXXX XXX XXXXXXX XXXX IMPRESO/ (XX) XXXXXXXX X XXXXX (XXXXX) XXXXXXXX, KTERÝ XXXXX XXXXX XXXXXXXX/ (XX) EFTERNAVN(E) XX XXXXXXX(X) XÅ XXX XXXXXXXXXX, DER XXX XXXXXXX DENNE FORMULAR/ (XX) XXXXXXXXXXXX(X) XXX XXXXXXX(X) DES XXXXXXX, XXX DIESES XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXX (-XXXXX) XX PEREKONNANIMI (-NIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXX(X) XXX XXXXXXXX(X) XX THE XXXXXXXX XXX ISSUED THIS XXXX/ (XX) XXX(X) XX XXXXXX(X) XX XXXXXXXXXXXXX XXX X XXXXXXX XX PRÉSENT XXXXXXXXXX/ (XX) SLOINNE (XXXXXXXX) XXXX CÉADAINM (XXXXXXXXXXXXXX) XX XXXXXXXX X X’XXXXXX AN XXXXXX XXX/ (XX) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX XXXX XX XXXXX XXXX OBRAZAC/ (XX) XXXXXXX/X E XXXX/X DEL XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX MODULO/ (XX) AMATPERSONAS, KURA XXXXXXXX ŠO XXXXXXXX, XXXĀXXX(-X) XX XĀXXX(-X)/ (XX) ŠIĄ FORMĄ XXXXXXXXX PAREIGŪNO PAVARDĖ (-ĖX) IR VARDAS (-XX)/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX TISZTVISELŐ XXXXXXX XXXX(X) ÉS XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦXXXĠ DIN XX-XXXXXXX/ (XX) NA(A)M(EN) XX XXXXXX(X)X(XX) VAN XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) X XXXĘ (IMIONA) XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXX(X) X XXXX(X) XXXXXXX(X) XX XXXXXXXXXXX XXX EMITIU X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXX ȘX XXXXXXXXX XXXXȚXXXXXXXXX XXXX A XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) A XXXX(-X) XXXXXXXX, XXXXX XXXXX TENTO XXXXXXXX/ (XX) PRIIMEK/PRIIMKI XX XXX/XXXXX URADNIKA, KI XX XXXXX XX XXXXXXX/ (XX) TÄMÄN XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXXXXX (-XXXXX) JA XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX OCH FÖRNAMN XÅ XXX TJÄNSTEMAN XXX HAR UTFÄRDAT XXXXX XXXXXXÄX

6.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX DEL XXXXXXXXXXX QUE XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX ÚŘEDNÍKA, XXXXX XXXXX XXXXX FORMULÁŘ/ (XX) STILLING — XXX XXXXXXXXXX, DER XXX XXXXXXX XXXXX XXXXXXXX/ (DE) XXXXXXXX XXX BEAMTEN, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) KÄESOLEVA XXXXX VÄLJASTANUD XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) POSITION XX XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) XXXXX XX XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXX XX XXXXXXXX X X’XXXXXX XX XXXXXX SEO/ (XX) XXXXXXXX SLUŽBENIKA XXXX XX IZDAO OVAJ XXXXXXX/ (IT) XXXXXXXXX XXX XXXXXXXXXXX CHE XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, XXXXX/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ BEOSZTÁSA/ (XX) XXXXXX TAL-UFFIĊJAL XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX XXX XX AMBTENAAR XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX URZĘDNIKA, XXXXX XXXXŁ NINIEJSZY XXXXXXXXX/ (XX) XXXXX XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX FUNCȚIONARULUI XXXX X XXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXXXX XXXXXXXX, XXXXX XXXXX TENTO FORMULÁR/ (XX) POLOŽAJ XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (FI) XÄXÄX LOMAKKEEN XXXXXXXX XXXXXXXXXXX XXXXX/ (SV) XXXXXXXXXX XÖX DEN XXÄXXXXXXX SOM XXX XXXÄXXXX DETTA XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DATUM (DD/MM/RRRR) XXXXXX/ (DA) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) VÄLJAANDMISE XXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) DATE (DD/MM/YYYY) XX ISSUE/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) EISIÚNA/ (XX) XXXXX (DD/MM/GGGG) XXXXXXXXX/ (XX) XXXX DI XXXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (HU) A XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (XX) XXXX (JJ/XX/SSSS) XXX-ĦXXĠ/ (XX) DATUM (XX/XX/XXXX) XXX AFGIFTE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATA XX XXXXXÃX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) VYDANIA/ (SL) XXXXX (XX/XX/XXXX) IZDAJE/ (XX) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (XX) DATUM (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXX/ (MT) XXXXX/ (XX) HANDTEKENING/ (PL) XXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXX/ (SL) XXXXXX/ (XX) XXXXXXXXXXXXX/ (SV) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X TIMBRE/ (CZ) XXXXX NEBO XXXXXXX/ (XX) SEGL XXXXX XXXXXXX/ (XX) SIEGEL XXXX XXXXXXX/ (XX) XXXXXX VÕI TEMPEL/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) SÉALA XX XXXXXX/ (HR) XXX ILI XXXXX/ (XX) XXXXX X XXXXXX/ (LV) ZĪMOGS XXX XXXXXXXX/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (XX) PECSÉT XXXX XXXXXXXŐXXXXXXXX/ (MT) XXĠXXX XXX TIMBRU/ (NL) XXXXX OF STEMPEL/ (XX) XXXXXĘĆ XXX XXXXXXX/ (XX) SELO XX XXXXXXX/ (RO) XXXXXXXX XXX ȘTAMPILA/ (XX) PEČAŤ XXXXX XXXXXXXX XXXXXXXX/ (XX) XXXXX ALI ŽIG/ (XX) SINETTI TAI XXXXX/ (XX) XXXXXX XXXXX STÄMPEL

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

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX XXX PŘEKLAD

Článek 7 xxxxxxxx Evropského xxxxxxxxxx x Rady (EU) 2016/1191 xx xxx 6. července 2016 x xxxxxxx volného xxxxxx občanů xxxxxxxxxxxxx xxxxxxxxx xx předkládání xxxxxxxxx xxxxxxxxx xxxxxx x Xxxxxxxx xxxx x x změně xxxxxxxx (XX) č. 1024/2012 (1)

Xxxxxx (XX) Xxxxxxxxx (XX)

Xxxxx republika (XX)

Xxxxxx (XX) Xxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (EL) Španělsko (XX)

Xxxxxxx (FR) Xxxxxxxxxx (XX)

Xxxxxx (XX) Kypr (XX)

Xxxxxxxx (LV) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (HU) Xxxxx (XX)

Xxxxxxxxxx (XX) Xxxxxxxx (XX)

Xxxxxx (PL) Xxxxxxxxxxx (XX)

Xxxxxxxx (RO) Xxxxxxxxx (SI)

Slovensko (SK) Xxxxxx (XX)

Xxxxxxx (XX) Xxxxxxx království (XX)

XXXXXXXX XXXXXXXXXX

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

Xxxxx xxxxxxxx xxxxxx obsah xxxxxxx xxxxxxx, x níž xx xxxxxxxx. Orgán, xxxxx xx xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx xxxx x xxxxxxxxx, xxx je xx xxxxxxxx pro xxxxx xxxxxxxxxx veřejné xxxxxxx, xxxxxxxxx překlad xx xxxxxx xxxxxxxxx, xxxxx xxxx xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX PRO XXXXXXXXXX XXXXX

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

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

1. XXXXX XXXXXXXXXX XXXXX FORMULÁŘ

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

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

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

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Listina xxxxxx xxxxxxx zástupcem

3.1.3 Xxxxxxx xxxxxx vyšším xxxxxxx xxxxxxxxx

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

3.1.5 Xxxx (upřesněte)

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

(2) Xxx vyplňování xxxxx xxxxxxxx xxxxxxx xxxxx.

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

(4) Xxxxx „xxxxx“ xx třeba xxxxxxxx xxxx úřední xxxxx xxxxxx vydávajícího xxxxxxxx xxxxxxx, 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 Xxxx xxxxxxx z rejstříku xxxxxx

3.1.5 Xxxx (upřesněte)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, xxxxxx xxxx xxxxxxxx xxxxxxx podepsaná xxxxxxxxx xxxxxx

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

3.6 Datum (xx/xx/xxxx) vydání

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXX O XXXXXXXXXX XXXXX UVEDENÉ VE XXXXXXX XXXXXXX, X XXX JE PŘIPOJEN XXXXX XXXXXXXX

4.1 Příjmení

4.2 Xxxxxxxxx příjmení

4.3 Xxxxx (xxxxx)

4.4 Předchozí xxxxx (xxxxx)

4.5 Datum (xx/xx/xxxx) xxxxxxxx

4.6 Xxxxx (1) x xxxx (2) xxxxxxxx

4.7 Pohlaví:

4.7.1 Xxxx

4.7.2 Xxx

4.7.3 Neurčeno

4.8 Xxxxxx xxxxxxxxxxx

4.9 Xxxxxxxxxxxxx xxxxx

4.10 Xxxx x xxxxx xxxxxxxxxxxxxxx xxxxxxx xxxxx:

4.10.1 Xxxxxxxxxxxx xxxxxx xxxxxxxxxx / č.

4.10.2 Xxx / x.

4.10.3 Řidičský xxxxxx / x.

4.10.4 Xxxx (xxxxxxxxx) /x.

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

6. POLE XXX XXXXXX

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

6.2 Xxxxxx xxxxxxxx, xxxxx xxxxx xxxxx xxxxxxxx

6.3 Datum (dd/mm/rrrr) xxxxxx

6.4 Xxxxxx

6.5 Pečeť xxxx xxxxxxx

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

(2) Xxxxx xxxx x – xxxxx xxxxxxxx – xxx XXX dané země xxxx možnost „Xxxx (xxxxxxxxx)“ je xxxxx xxxxxx x rozbalovací xxxxxxx xx xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx formuláři, xxxxx xx x xxxxxxxxx na xxxxxxx xxxxxxxx e-justice.

VÍCEJAZYČNÝ XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXXXXXXX XXXXXXX X REJSTŘÍKU XXXXXX ČLENSKÉHO STÁTU, XXXXX JE XXXXXXX XXXXX STÁTNÍM XXXXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, DIE XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX VORMI XÄXXX XXXXXX ASUTUS/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX ISSUING THIS XXXX/ (FR) XXXXXXXX XX XXXXXXXXXX DU XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX AN XXXXXX XXX/ (HR) XXXXXX XXXX IZDAJE XXXX XXXXXXX/ (XX) AUTORITÀ XXX XXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (HU) X FORMANYOMTATVÁNYT KIÁLLÍTÓ XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX TA' XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX AFGIFTE XXX XXX XXXXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (XX) AUTORIDADE XXX EMITE X XXXXXXXX FORMULÁRIO/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX XXXXXXXX/ (SK) XXXXX XXXXXXXXXX TENTO XXXXXXXX/ (XX) XXXXX, XX IZDA XX XXXXXXX/ (XX) TÄMÄN XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (CZ) XXXXX/ (DA) BETEGNELSE/ (XX) XXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) XXXXX/ (IT) DENOMINAZIONE/ (XX) NOSAUKUMS/ (LT) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXÇÃX/ (RO) XXXXXXXX/ (XX) XXXXX/ (XX) XXX/ (FI) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX XXXXXX XX XXXXXXXXX XXXXXXX AL XXX XX XXXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX VEŘEJNOU XXXXXXX, X XXX XX PŘILOŽEN TENTO XXXXXXXX/ (XX) DEN XXXXXXXXX, XXX XXX XXXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX VEDHÆFTET/ (XX) BEHÖRDE, DIE XXX ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX FORMULAR XXXXXXÜXX XXX, XXXXXXXXX/ (XX) XXXXXX, XXX XXXXX XÄXXX XXXXXXX XXXXXXXXX, XXXXXXX XXX XXXX XX LISATUD/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XXXXXXX THE PUBLIC XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) AUTORITÉ XX XXXXXXXXXX XX XXXXXXXX XXXXXX AUQUEL XXX JOINT XX XXXXXXX XXXXXXXXXX/ (GA) XX xXXXXXX X XXXXXXXX XX XXXXXXXXX XXXXXX LENA XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) TIJELO XXXX XXXXXX XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (LT) VIEŠĄJĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXXXX VALDŽIOS INSTITUCIJA/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATOT KIÁLLÍTÓ XXXXXXX/ (XX) AWTORITÀ XXXXXXXXX TAD-DOKUMENT XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX HET XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) ORGAN XXXXXĄXX DOKUMENT XXXĘXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX JEST ZAŁĄCZONY/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXXX XXXXXXX X XXX X XXXXXXXX FORMULÁRIO XXXX APENSO/ (XX) XXXXXXXXXXX EMITENTĂ A XXXXXXXXXXXX OFICIAL XX XXXX XXXX ANEXAT XXXXXXXXX XXXXXXXX/ (XX) XXXXX VYDÁVAJÚCI XXXXXXX XXXXXXX, XX KTOREJ XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX XXXX JAVNO XXXXXXX, KI JI XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXXXX, XXXX ON XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ XXXXXX LIITETÄÄN/ (XX) XXXXXXXXX XXX XXXÄXXXX DEN XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX FORMULÄR ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX RELATIVA XX XXXXXXXXX PÚBLICO XX XXX SE XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXXXXX XXXXØXXXXX DET XXXXXXXXXX DOKUMENT, XXX XXXXX FORMULAR ER XXXXÆXXXX/ (DE) XXXXXXX XXX ÖFFENTLICHEN XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX IST/ (ET) XXXXX AVALIKU XXXXXXXXX XXXXX, XXXXXXX SEE XXXX XX LISATUD/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXXXX RELATING TO XXX XXXXXX DOCUMENT XX XXXXX THIS XXXX XX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) FAISNÉIS A XXXXXXXXX XXXX AN XXXXXXXXX POIBLÍ XXXX XXXXXX AN FHOIRM XXX XXXXXXXXXX/ (HR) XXXXXXXXXXX KOJE XX XXXXXX NA XXXXX XXXXXXX XXXXX XX XXXX OBRAZAC PRILOŽEN/ (XX) INFORMAZIONI XXXXXXXX XX XXXXXXXXX PUBBLICO XXX XX XXXXXXXX XXXXXX È ALLEGATO/ (XX) XXXXXXĀXXXX XXX XXXXXXXX DOKUMENTU, XXXXX XĪ XXXXXXXX IR XXXXXXXXXX/ (LT) XXXXXXXXXXX, XXXXXXXX SU VIEŠUOJU XXXXXXXXX, PRIE XXXXX XXXXXXXXX XX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATRA VONATKOZÓ XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX HIJA XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX OPENBAAR DOCUMENT XXXXXXX XXX FORMULIER XX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX XXXXXXXXX AO DOCUMENTO XXXXXXX X QUE X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX OFICIAL LA XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXX XXXXXXX, XX KTOREJ XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) INFORMACIJE X XXXXX X XXXXX XXXXXXX, XX XX XX PRILOŽEN XX XXXXXXX/ (XX) XXXXXX YLEISESTÄ ASIAKIRJASTA, XXXXX TÄMÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXXXX XX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄR XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX XXXXXXXX POR XXX XXXXXXXXX X XX XXXXXXXXXXX XXXXXXXXX X LOS ÓRGANOS XXXXXXXXXXXXXXXX XX UN XXXXXX XXXXXXX/ (CZ) XXXXXXX XXXXXX XXXXXXX XXXX XXXXXXXXX X XXXXXX NA XXXXX XXXXXX XXXXXXXXX XXXXX/ (XX) DOKUMENT, XXX XX XXXXXXX XX XX XXXXXXXXX XXXXX XX XXXXXXXXXX, XXX XX TILKNYTTET DOMSTOLE X XX XXXXXXXXXXX/ (XX) URKUNDE XXXXX XXXÖXXX XXXX EINER XXXXXXXXXX ALS XXXXX XXX RECHTSPFLEGE EINES XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX ON XÄXXX XXXXXX XXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXXXX XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX EMANATING XXXX XX XXXXXXXXX OR XX XXXXXXXX XXXXXXXXX XXXX XXX XXXXXX XX XXXXXXXXX XX X XXXXXX STATE/ (XX) XXXXXXXX XXXXXXX X'XXX XXXXXXXX XX X'XX XXXXXXXXXXXXX XXXXXXXX X'XXX XXXXXXXXXXX X'XX XXXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X ÚDARÁS XX X XXXXXXXXX X XXXXXX BAINT AIGE XX XXXX XX XXXXXXXXXX XX XX XXXXX XX XXXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX IZDALO XXXXXX XXX SLUŽBENIK XXXX XXXXXX XXXXXXX/ (XX) DOCUMENTO XXXXXXX XX XX'XXXXXXXÀ X XX XX XXXXXXXXXXX XXXXXXXXXXXX XX UNA XXXXX GIURISDIZIONI XX XXX STATO XXXXXX/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XX XXXĪXXXXXXX XXXXĀX XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, IŠDUOTAS XXXXXXXX XXXXXXXXXXXX AR PAREIGŪNO, XXXXXXXXŲ SU XXXXXXXĖX XXXĖX XXXXXXXX AR XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX XXXX XXXXXXX VAGY XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX XXXXXXXÀ XXX XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX XXX XX-XXXXXXXXX XX' XXXX XXXXXX/ (NL) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXXXX XX AMBTENAAR XXXXXXXXX XXX EEN XXXXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXX XĄXXXXXX LUB XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXXXX XX XX XX XXXXXXXXXXX DEPENDENTE XX QUALQUER XXXXXXXÇÃX XX UM XXXXXX-XXXXXX/ (XX) XXXXXXXX XXXX XX X XXXXXXXXXX XXX XX XX XXXXȚXXXXX DE PE XÂXXĂ INSTANȚELE XXXX XXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXX XXXXXXXXX S XÄXXXX XX XXXX XXXXXXXXX ŠTÁTU/ (XX) XXXXXXX, XXXXXX S XXXXXX ORGANA ALI XXXXXXXX XXXXX XXXXXXX XXXXXX XXXXXXX/ (FI) XXXXXXXXX, XXXXX XX XXXXXXX JÄSENVALTION XXXXXXXXXXXXXXXX XXXXXXX VIRANOMAINEN TAI XXXXXXXXX/ (XX) HANDLING XXX HÄRRÖR XXÅX XX XXXXXXXXX XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX I XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) DÉCISION XX XXXXXXX/ (GA) CINNEADH XX gCÚIRT/ (XX) XXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX LĒMUMS/ (XX) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (PL) XXXXXXXXXX XĄXXXX/ (PT) XXXXXÃX JUDICIAL/ (RO) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX PÄÄTÖS/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX ZÁSTUPCEM/ (DA) XXXXXXXX UDSTEDT XX XX XXXXXXXXXXXXXXXX/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXX SÜÜDISTAJA/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (EN) XXXXXXXX XXXXXXXXX XXXX X XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX ÉMANANT DU XXXXXXÈXX XXXXXX/ (XX) XXXXXXXXX A XXXXXXX X XXXXXXXXXXXXXXX POIBLÍ/ (XX) ISPRAVA XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (IT) DOCUMENTO XXXXXXX DAL PUBBLICO XXXXXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX PROKURORS/ (XX) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (HU) ÜGYÉSZ XXXXX KIÁLLÍTOTT OKIRAT/ (XX) XXXXXXXX MAĦRUĠ XXXX PROSEKUTUR XXXXXXXX/ (XX) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXXXXXX/ (SL) XXXXXXX, XX XX XXXX XXXXXXX TOŽILSTVO/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX FRÅN ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXXXX/ (CZ) LISTINA XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (DA) XXXXXXXX XXXXXXX XX EN XXXXXXXXXXXXXÆX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) DOKUMENT, MILLE XX XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (EN) XXXXXXXX XXXXXXXXX FROM X XXXXX XX X XXXXX/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXX XX CHUID CÚIRTE/ (XX) ISPRAVA XXXX XX IZDAO UPRAVITELJ XXXXXX PISARNICE/ (XX) XXXXXXXXX XXXXXXX XX XX CANCELLIERE/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX SEKRETĀRS/ (XX) XXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX KIÁLLÍTOTT XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX XXĠXXXXXXXX XX' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX GRIFFIER/ (XX) XXXXXXXX XXXXXXXĄXX OD XXXXXXXXXX XĄXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX DE XX OFICIAL XX XXXXXÇX/ (XX) XXXXXXXX XXXX XX UN XXXXXXX XX XXXXXXȚXX/ (XX) LISTINA VYDANÁ XXXXXX XXXXXXXXX/ (XX) XXXXXXX, KI XX XXXX XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX SIHTEERIN XXXXXX XXXXXXXXX/ (SV) XXXXXXXX XXX HÄRRÖR XXÅX XX DOMSTOLSTJÄNSTEMAN

3.1.4

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXX EXPEDIDO POR XX XXXXXX XXXXXXXX («XXXXXXXX DE XXXXXXX»)/ (XX) LISTINA VYDANÁ XXXXXXX XXXXXXXXXXXXX („HUISSIER XX XXXXXXX“)/ (XX) XXXXXXXX UDSTEDT AF XX XXÆXXXXXXXXXX (»HUISSIER XX XXXXXXX«)/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX ANDNUD XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (EN) XXXXXXXX XXXXXXXXX XXXX X XXXXXXXX XXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX DE XXXXXXX/ (XX) DOICIMÉAD X XXXXXXX X OIFIGEACH XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (XX) ISPRAVA XXXX JE IZDAO XXXXXX OVRŠITELJ (XXXXXXXX XX JUSTICE)/ (XX) XXXXXXXXX XXXXXXX DA XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX DE XXXXXXX")/ (XX) DOKUMENTS, XXXX XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (XXXXXXXX XX JUSTICE)/ (XX) XXXXXXXXX (HUISSIER XX XXXXXXX) IŠDUOTAS XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXXX („HUISSIER DE XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) DOCUMENT XXXXXXXXX XXXX EEN XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX XĄXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX DE XX XXXXXXÃX XX XXXXXXX («XXXXXXXX DE XXXXXXX»)/ (XX) DOCUMENT XXXX XX XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (SK) LISTINA XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXX, KI XX IZDA XXXXX XXXXXXXXXX („XXXXXXXX DE XXXXXXX“)/ (FI) HAASTEMIEHEN (”XXXXXXXX XX XXXXXXX”) XXXXXX XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX XX XXÄXXXXXXXXX (XXXXXXXX DE XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (ES) XXXX (XXXXXXXXXXXXX)/ (CZ) XXXX (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (DE) XXXXXXXXX (XXXXX ANGEBEN)/ (XX) XXX (TÄPSUSTAGE)/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (EN) XXXXX (XX XX XXXXXXXXX)/ (XX) AUTRE (À XXXXXXXX)/ (XX) XXXX (XX XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (XX) XXXXX (XXXXXXXXX)/ (XX) XXXX (XXXXXXĒX)/ (XX) KITA (NURODYTI)/ (XX) XXXXX (KÉRJÜK XXXXXXXXXXX)/ (XX) OĦRAJN (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (PL) XXXX (XXXXXĘ XXXXŚXXĆ)/ (XX) XXXXXX (A XXXXXXXXXXX)/ (XX) ALTUL (X XX PRECIZA)/ (SK) XXX (XXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) ANNAN HANDLING (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX ADMINISTRATIVO/ (XX) XXXXXXX XXXXXX XXXXXXXX ÚŘADEM/ (DA) XXXXXXXXXXXXXX DOKUMENT/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) HALDUSDOKUMENT/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX DOCUMENT/ (FR) XXXXXXXX ADMINISTRATIF/ (XX) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (IT) XXXXXXXXX AMMINISTRATIVO/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (LT) XXXXXXXXXXXXXXX XXXXXXXXXX/ (HU) XÖXXXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXXXXXXXXXXXXX/ (NL) XXXXXXXXXXXXXX XXXXXXXX/ (PL) XXXXXXXX XXXXXXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX ADMINISTRATIV/ (SK) XXXXXXX XXXXXXX/ (SL) XXXXXXX LISTINA/ (FI) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXXX HANDLING

3.2.1

(BG) УДОСТОВЕРЕНИЕ/ (XX) CERTIFICADO/ (CZ) XXXXXXXXX/ (DA) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (EL) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (FR) XXXXXXXXXX/ (XX) DEIMHNIÚ/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (NL) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (SK) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА СЪДИМОСТ/ (XX) XXXXXXXX XXX XXXXXXXX DE XXXXXXXXXXXX XXXXXXX/ (CZ) XXXXX X XXXXXXXXX TRESTŮ/ (XX) XXXXXX FRA XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΠΟΙΝΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) EXTRACT XXXX THE XXXXXXXX XXXXXX/ (XX) XXXXXXX XX XXXXXX XXXXXXXXXX/ (XX) XXXXXXX XX XX XXXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXX XXXXXXXXXX/ (IT) XXXXXXXX XXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XX SODĀMĪBAS XXĢXXXXX/ (XX) IŠRAŠAS IŠ XXXXXXXXXXXŲ REGISTRO/ (HU) XXXXXXX X XŰXÜXXX XXXXXXXXXXXXXXXX/ (MT) ESTRATT XXX-XXXXXX KRIMINALI/ (XX) XXXXXXXXXX XXX XXX XXXXXXXXXXXXX/ (PL) XXXXĄX X XXXXXXXX KARNEGO/ (XX) CERTIFICADO XX XXXXXXX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) VÝPIS X XXXXXXXX XXXXXXX/ (XX) XXXXXXX XX XXXXXXXX EVIDENCE/ (FI) XXXXXXXXXXXXXXXXX/ (SV) XXXXXX XX XXXXXXXXXXXXXXXXX

3.2.3

(XX) ПЪЛЕН ПРЕПИС ОТ АКТ ОТ РЕГИСТЪРА ЗА СЪДИМОСТ/ (XX) COPIA XXXXXXX XX XXXXXXXXXXXXX XXX REGISTRO DE XXXXXXXXXXXX XXXXXXX/ (XX) XXXX XXXXXXX X XXXXXXXXX XXXXXX/ (XX) XXXXXX XXXX AF XXXXXXXXXXXXXXXX/ (DE) WÖRTLICHE XXXXXXXXX XXX XXXXXXXXXXXXXX/ (XX) KARISTUSREGISTRI XÄXXXXÕXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΟΙΝΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) VERBATIM XXXX XX THE CRIMINAL XXXXXX/ (FR) XXXXX XXXXXXXXX XX XXXXXX XXXXXXXXXX/ (XX) CÓIP XXXXX AR XXXXXX XXX TAIFEAD COIRIÚIL/ (XX) XXXXXXXX PRIJEPIS XX XXXXXXX XXXXXXXXXX/ (XX) XXXXX LETTERALE XXX XXXXXXXXXX XXXXXXXXXX/ (XX) SODĀMĪBAS XXĢXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXŲ XXXXXXXX ĮXXXŲ XXXXXXXĖ XXXXXX/ (HU) X XŰXÜXXX NYILVÁNTARTÁS XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXX XXX-XXXXXX KRIMINALI/ (XX) XXXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXXXXXXX/ (PL) XXXXX ZUPEŁNY Z XXXXXXXX XXXXXXX/ (XX) XXXXXXÃX XX XXXXX XXXXXXXX XX DE XXXXXXXXX XX XXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXĂ A XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXX Z XXXXXXXX XXXXXXX/ (SL) XXXXXXXXX XXXXXX XX XXXXXXXX XXXXXXXX/ (FI) RIKOSREKISTERIOTTEEN XXXXXXXXXX JÄLJENNÖS/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXXXX UR XXXXXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (CZ) XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (DE) XXXXXXXXXX URKUNDE/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) NOTARIAL XXX/ (FR) XXXX XXXXXXX/ (XX) GNÍOMH XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXĀXX XXXX/ (XX) XXXXXXXXX XXXXX/ (XX) KÖZJEGYZŐI XXXXXX/ (XX) XXX XXXXXXXX/ (XX) NOTARIËLE XXXX/ (XX) XXX XXXXXXXXXX/ (XX) ATO XXXXXXXX/ (XX) XXX XXXXXXXX/ (SK) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) NOTAARIN XXXXXX ASIAKIRJA/ (XX) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (ES) XXXXXXXXXXXXX XXXXXXX XXXXXX XXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXX, XXXXXX XXXX OPATŘENA XXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (DA) OFFICIEL XÅXXXXXXX XÅ XX XXXXXXXX XXXXXXXXXXX XX XX XXXXXX I XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX EINER XXXXXXXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXXXX ALLKIRJASTATUD XXXXXXXXXXX XXXXXXXXXX AMETLIK XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX XXXXXX XX A XXXXXXXX XXXXXX XX A XXXXXX XX HIS XX XXX XXXXXXX XXXXXXXX/ (FR) XXXXXXXXXXX XXXXXXXXXX APPOSÉE XXX XX XXXX XXXX XXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX X XXXXXXXXX XX XXXXXXXXXX XXXX XXXXXX XX XXXXX XXX CHÁIL XX INA XXXX XXXXXXXXXXXXXX/ (XX) SLUŽBENA XXXXXXX STAVLJENA XX XXXXXXX KOJU XX XXXXX XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (IT) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX XXX SCRITTURA XXXXXXX/ (XX) XXXXXĀXX XXXXXXXXĀXXXX XX XXXXXXXXX, XX XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX PERSONA/ (XX) PRIVAČIŲ XXXXXŲ XXXXXXXXXŲ DOKUMENTŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) MAGÁNOKIRATON XXXXXXXXXXX XXXXXXXXX TANÚSÍTVÁNY/ (XX) ĊXXXXXXXXX XXXXĊXXXX XX XXXXXXXĦXX F'DOKUMENT XXXXXXXX MINN XXXXXXX XXX-XXXXĊXXÀ PRIVATA XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX EEN XXXXXXXX XXXXXXXXXXX XXXX XXX XXXXXXX IN XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX DOKUMENCIE PODPISANYM XXXXX XXXXĘ DZIAŁAJĄCĄ X XXXXXXXXXXX PRYWATNYM/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX NUM XXX XX NATUREZA XXXXXXX/ (XX) XXXXXXXXXX XXXXXXX XXXXXXX PE XX XXXXXXXX XXX SEMNĂTURĂ XXXXXXĂ/ (SK) XXXXXX XXXXXXXXXX XXXXXXX XX XXXXXXX PODPÍSANEJ XXXXXX XXXXXXXXX XXX XXXXXXXX XXXXX/ (XX) URADNA XXXXXX XX ZASEBNI XXXXXXX/ (FI) XXXXXXXXXX XXXXXXXX ASIAKIRJASSA, XXXXX XXXXXXÖ ON ALLEKIRJOITTANUT XXXXXXXXXXXXXXÖXÄ/ (XX) OFFICIELLT XXXXX XXXXXXXXX XÅ XX HANDLING SOM XXXXXXXXXXXXX XX EN 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 XX XX XXXXXX XXXXXXX XXX XXXXXXXX XXXXXXX/ (XX) LISTINA VYHOTOVENÁ XXXXXXXXXXXXX XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX ČLENSKÉHO XXXXX V XXXXX XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX UDFÆRDIGET AF XX MEDLEMSSTATS XXXXXXXXXXXX XXXXX KONSULÆRE REPRÆSENTANT/ (XX) XXX EINEM XXXXXXXXXXXXXX ODER KONSULARISCHEN XXXXXXXXX XXXXX MITGLIEDSTAATS XX SEINER AMTLICHEN XXXXXXXX ERRICHTETE URKUNDE/ (XX) XXXXXXXXXXXX DIPLOMAATILISE XÕX XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX TÄITMISEL XXXXXXXXX XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (EN) DOCUMENT XXXXX UP BY X XXXXXXXXXX OR XXXXXXXX XXXXX XX X XXXXXX XXXXX XX HIS XX XXX OFFICIAL XXXXXXXX/ (XX) XXXXXXXX ÉTABLI XX XX XXXXXXX XXXXXXXXXX PAR XX XXXXX XXXXXXXXXXXX OU XXXXXXXXXX D'UN XXXX XXXXXX/ (GA) DOICIMÉAD XXXX THARRAINGT XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX XX XXXXX XXXXXXXXX XXX XXXXX NÓ XXX XXXX XXXXXXXXX/ (HR) XXXXXXX XXXX XX X SLUŽBENOM SVOJSTVU XXXXXXXX DIPLOMATSKI XXX XXXXXXXXXX PREDSTAVNIK XXXXXX XXXXXXX/ (IT) XXXXXXXXX XXXXXXX XX XXXXXX XXXXXXXXXXX O CONSOLARI XX UNO STATO XXXXXX 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 XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX KONZULI XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXXX XXXX XĠXXX XXXXXXXXXXX XXX XXXXXXXXX TA' XXXX MEMBRU XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (NL) XXXXXXXX XXXXXXXXX DOOR XX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX IN XXXX OFFICIËLE XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X CHARAKTERZE XXXĘXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XX AGENTE XXXXXXXXXXX OU XXXXXXXX XX XX XXXXXX-XXXXXX XX EXERCÍCIO XXX XXXX FUNÇÕES OFICIAIS/ (XX) DOCUMENT ÎXXXXXXX XX CĂTRE XX XXXXX DIPLOMATIC XXX XXXXXXXX XX XXXX XXXX XXXXXX, ÎX XXXXXXXX OFICIALĂ/ (SK) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX ŠTÁTU X XXXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXX, XX XX XXX XXXXXX OSEBA XXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX JÄSENVALTION XXXXXXXXXXXXXX XXXXXXXX TAI KONSULIEDUSTAJA XX XXXXXXXX VIRANTOIMITUKSESSA/ (XX) HANDLING UPPRÄTTAD X XXÄXXXXX XX XX XXXXXXXXXXX XXXXX XXXXXXÄX TJÄNSTEMAN X XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX EXPEDICIÓN/ (XX) XXXXX (DD/MM/RRRR) XXXXXX/ (XX) UDSTEDELSESDATO (XX/XX/ÅÅÅÅ)/ (XX) AUSSTELLUNGSDATUM (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (DD/MM/YYYY) XX XXXXX/ (FR) XXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXX/ (IT) XXXX XX RILASCIO (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX DATA (XX/XX/XXXX)/ (XX) A KIÁLLÍTÁS XXXXXX (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (PL) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX DE XXXXXÃX (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (SL) DATUM (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) FÖR XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖFFENTLICHEN XXXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX XX XXX XXXXXX XXXXXXXX/ (XX) NUMÉRO DE XXXXXXXXX DU XXXXXXXX XXXXXX/ (XX) UIMHIR XXXXXXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXX JAVNE ISPRAVE/ (XX) NUMERO XX XXXXXXXXXXX DEL XXXXXXXXX XXXXXXXX/ (LV) XXXXXXXĀ XXXXXXXXX ATSAUCES XXXXXX/ (XX) XXXXXXX DOKUMENTO XXXXXXX/ (HU) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXX TA' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (XX) REFERENTIENUMMER VAN XXX OPENBAAR XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXX XX XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) NUMĂRUL XX XXXXXXXȚĂ XX DOCUMENTULUI XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXXX LISTINY/ (XX) XXXXXXXXXX ŠTEVILKA XXXXX XXXXXXX/ (FI) XXXXXXX ASIAKIRJAN XXXXXXXXXXX/ (XX) DEN OFFICIELLA XXXXXXXXXXX REFERENSNUMMER

4.

(BG) ИНФОРМАЦИЯ ЗА САМОЛИЧНОСТТА НА СЪОТВЕТНОТО ЛИЦЕ СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXX XX XXXXXXXXX XX LA XXXXXXX A LA XXX SE XXXXXXX XX XXXXXXXXX XXXXXXX XX XXX SE XXXXXXX XXXX XXXXXXX/ (XX) INFORMACE X XXXXXXXXXX XXXXX XXXXXXX XX XXXXXXX XXXXXXX, X NÍŽ XX XXXXXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXXXXX XX XXXXXXXXXXX PÅ XXXXXXXX, XXX XXX XXXXXXXXXX XXXXXXXX, XXX DENNE XXXXXXXX XX XXXXÆXXXX, XX XXXXXXX I/ (XX) ANGABEN XXX XXXXXXXÄX XXX XXXXXXXXXXXX XXXXXX XXXÄXX DER ÖXXXXXXXXXXX URKUNDE, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX XXXXX ISIKUSAMASUSE KOHTA, XXX ON XXXXXXXXX XXXXXXXX XXXXXXXXXX, XXXXXXX XXX XXXX ON XXXXXXX/ (EL) ΠΛΗΡΟΦΟΡΙΕΣ ΓΙΑ ΤΗΝ ΤΑΥΤΟΤΗΤΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΚΑΤΟΝΟΜΑΖΕΤΑΙ ΣΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX IDENTITY OF XXX XXXXXX XXXXX XX XXX XXXXXX XXXXXXXX XX WHICH XXXX FORM XX XXXXXXXX/ (XX) XXXXXXXXXXXX XXX L'IDENTITÉ DE XX PERSONNE XXXXXXXXX XXX XX DOCUMENT XXXXXX AUQUEL XXX XXXXX XX PRÉSENT XXXXXXXXXX/ (XX) FAISNÉIS XXXX XXXXXXXXXX XX XXXXX ATÁ AINMNITHE XX XXXXXXXXX POIBLÍ XXXX BHFUIL AN XXXXXX SEO XXXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXXXXXXX XXXXX XXXXXXXX X XXXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXX'XXXXXXXÀ XXXXX XXXXXXX XXXXXXXXXXX XXX XXXXXXXXX PUBBLICO XXX XX XXXXXXXX XXXXXX È ALLEGATO/ (LV) XXXXXXĀXXXX XXX XXXXXXXXXĀ XXXXXXXXĀ, XXXXX ŠĪ XXXXXXXX IR XXXXXXXXXX, XXXĒXĀX XXXXXXXX IDENTITĀTI/ (XX) XXXXXXXXXXX XXXX XXXXXX, XXXXXXXX VIEŠAJAME XXXXXXXXX, XXXX KURIO XXXXXXXXX XX XXXXX, XXXXXXXĘ/ (HU) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXXX XXXXXXXXXXX XXXXXXX XXXXXXXXXXXXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX DWAR X-XXXXXXXÀ XXX-XXXXXXX XXXXXXXX XXX-XXXXXXXX XXXXXXXX LI XXXXĦX XX XXXXXŻX XXX XX-XXXXXXX/ (XX) INFORMATIE XXXX XX XXXXXXXXXX XXX DE BETROKKENE XX GROND XXX XXX OPENBAAR DOCUMENT XXXXXXX DIT FORMULIER XX GEHECHT/ (XX) XXXX XX TEMAT XXŻXXXXŚXX XXXXX WSKAZANEJ X XXXXXXXXXX URZĘDOWYM, XX XXXXXXX XXŁĄXXXXX XXXX XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÕXX XXXXX X XXXXXXXXXX XX XXXXXX XXXXXXXXX NO XXXXXXXXX XXXXXXX A XXX O PRESENTE XXXXXXXXXX XXXX XXXXXX/ (XX) INFORMAȚII XXXXXXX XXXXXXXXXXX PERSOANEI XXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX ESTE XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXXXX XXXXX XXXXXXXX XX VEREJNEJ LISTINE, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXXXXXXXXX XXXXX, NA XXXXXX XX NANAŠA XXXXX LISTINA, XX XX XX PRILOŽEN XX XXXXXXX/ (XX) XXXXXXXXÄ ASIAKIRJASSA, JOHON XÄXÄ XXXXXX LIITETÄÄN, XXXXXXXXXXX XXXXXXÖX XXXXXXÖXXXXXX/ (XX) UPPGIFTER XX XXXXXXXXXXX PÅ XXX XXXXXX XXX BERÖRS XX XXX XXXXXXXXXX XXXXXXXX XXXX VILKEN XXXXX XXXXXXÄX ÄR 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)/ (EN) XXXXXXX(X)/ (XX) XXX(X)/ (XX) XXXXXXX (SLOINNTE)/ (HR) XXXXXXX(XX)/ (IT) XXXXXXX(X)/ (XX) UZVĀRDS(-I)/ (XX) XXXXXXĖ (-ĖX)/ (HU) XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (NL) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (PT) XXXXXXX(X)/ (XX) XXXX/ (XX) XXXXXXXXXX(-X)/ (SL) XXXXXXX/XXXXXXX/ (XX) XXXXXXXX (-XXXXX)/ (XX) XXXXXXXXX

4.2

(XX) ПРЕДИШНО(И) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X) ANTERIOR(ES)/ (XX) XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXX(X)/ (XX) FRÜHERE(R) FAMILIENNAME(N)/ (XX) XXXXXXX PEREKONNANIMI (XXXXXXXXX PEREKONNANIMED)/ (XX) ΠΡΟΗΓΟΥΜΕΝΟ(-Α) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXXX XXXXXXX(X)/ (FR) XXX(X) XXXXXXXXX(X)/ (XX) XXXXXXX (XXXXXXXX) XXXXXX XXX/ (XX) PRIJAŠNJE(-A) XXXXXXX(XX)/ (XX) XXXXXXX/X XXXXXXXXXX/X/ (LV) XXXXXXXXĒXXXX(-XX) XXXĀXXX(-X)/ (LT) XXXXXXXXĖ (-ĖX) PAVARDĖ (-ĖX)/ (XX) XXŐXŐ CSALÁDI XXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX) XXXĊXXXXXX/ (XX) XXXXXXXX XXXXXXXX(X)X(XX)/ (XX) XXXXXXXXXX XXXXXXXX(-X)/ (XX) XXXXXXX(X) XXXXXXXX(XX)/ (RO) NUME XXXXXXXX (XXXX XXXXXXXXXX)/ (XX) XXXXXXXXXXXXXX PRIEZVISKO(-Á)/ (XX) XXXXXXXX PRIIMEK/PRIIMKI / (XX) XXXXXXX XXXXXXXX (ENTISET SUKUNIMET)/ (XX) XXXXXXXX XXXXXXXXX

4.3

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (ES) XXXXXX(X)/ (CZ) JMÉNO (XXXXX)/ (DA) FORNAVN(E)/ (XX) XXXXXXX(X)/ (ET) XXXXXXX (-NIMED)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) FORENAME(S)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (XX) VĀRDS(-I)/ (XX) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (XXXXXX)/ (XX) XXXX(X) XXXXXXX(X)/ (XX) XXXXXXX/ (XX) XXXX(-X)/ (XX) IME/IMENA/ (FI) XXXXXXX (-XXXXX)/ (SV) XÖXXXXX

4.4

(XX) ПРЕДИШНО(И) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X) XXXXXXXX(XX)/ (XX) XXXXXXXXX XXXXX (XXXXX)/ (XX) XXXXXXXXX XXXXXXX(X)/ (XX) XXÜXXXX(X) VORNAME(N)/ (ET) XXXXXXX EESNIMI (XXXXXXXXX XXXXXXXX)/ (EL) ΠΡΟΗΓΟΥΜΕΝΟ(-Α) ΟΝΟΜΑ(-ΤΑ)/ (EN) PREVIOUS XXXXXXXX(X)/ (XX) XXXXXX(X) XXXXXXXXX(X)/ (XX) CÉADAINM (XXXXXXXXXXXXXX) XXXXXX XXX/ (XX) XXXXXXXXX(-X) IME(NA)/ (XX) XXXX/X PRECEDENTE/I/ (XX) XXXXXXXXĒXXXX(-XX) XĀXXX(-X)/ (XX) ANKSTESNIS (-I) XXXXXX (-AI)/ (HU) XXŐXŐ XXXXXXX(X)/ (XX) XXXX/XXXXXXXX XXXĊXXXXXX/ (XX) XXXXXXXX XXXXXXX(X)X(XX)/ (PL) XXXXXXXXXX IMIĘ (XXXXXX)/ (XX) NOME(S) XXXXXXX(X) XXXXXXXX(XX)/ (RO) PRENUME XXXXXXXX (XXXXXXX XXXXXXXXXX)/ (XX) XXXXXXXXXXXXXX XXXX(-X)/ (XX) XXXXXXXX XXX/XXXXX/ (XX) XXXXXXX (-NIMET)/ (XX) TIDIGARE XÖXXXXX

4.5

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DATUM (DD/MM/RRRR) XXXXXXXX/ (XX) FØDSELSDATO (XX/XX/ÅÅÅÅ)/ (XX) GEBURTSDATUM (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) OF XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXX/ (XX) XXXX (LL/MM/BBBB) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) ROĐENJA/ (XX) XXXX DI XXXXXXX (XX/XX/XXXX)/ (XX) DZIMŠANAS XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX XXXX (DD/MM/MMMM)/ (XX) XXÜXXXXXX IDEJE (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (DD/MM/RRRR) URODZENIA/ (XX) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) NAȘTERII/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (SL) DATUM (XX/XX/XXXX) ROJSTVA/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.6

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX X XXXX XX XXXXXXXXXX/ (CZ) XXXXX X ZEMĚ XXXXXXXX/ (XX) FØDESTED XX -XXXX/ (DE) XXX XXX LAND XXX XXXXXX/ (XX) XÜXXXXXXX XX -XXXX/ (EL) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) PLACE XXX XXXXXXX XX XXXXX/ (XX) LIEU XX XXXX DE XXXXXXXXX/ (XX) XXX XXXX XXX XXXXXXXX/ (XX) XXXXXX X XXXXXX XXĐXXXX/ (IT) XXXXX X XXXXX XX XXXXXXX/ (XX) XXXXXXXXX XXXXX XX XXXXXX/ (XX) GIMIMO XXXXX XX ŠALIS/ (XX) SZÜLETÉSI XXXXX XX XXXXXXX/ (XX) XXXX U XXXXXŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX XX -XXXX/ (PL) XXXXXXX X XXŃXXXX XXXXXXXXX/ (PT) XXXXX X PAÍS XX XXXXXXXXXX/ (RO) LOCUL ȘX ȚARA XXȘXXXXX/ (XX) XXXXXX X XXXX XXXXXXXXX/ (SL) XXXX XX XXXXXX XXXXXXX/ (FI) SYNTYMÄPAIKKA XX -MAA/ (XX) XÖXXXXXXXX OCH -XXXX

4.7

(XX) ПОЛ/ (ES) XXXX/ (XX) POHLAVÍ/ (XX) XØX/ (XX) XXXXXXXXXX/ (XX) XXXX/ (XX) ΦΥΛΟ/ (XX) SEX/ (XX) SEXE/ (GA) XXXXXX/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (LT) XXXXX/ (XX) XXXX/ (MT) XXXX/ (XX) GESLACHT/ (XX) XŁXĆ/ (XX) XXXX/ (RO) SEXUL/ (XX) XXXXXXXX/ (XX) XXXX/ (XX) XXXXXXXXX/ (XX) KÖN

4.7.1

(BG) ЖЕНСКИ/ (XX) MUJER/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (EL) ΘΗΛΥ/ (XX) XXXXXX/ (FR) XXXXXXX/ (GA) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (XX) SIEVIETE/ (XX) MOTERIS/ (XX) XŐ/ (XX) XXXX/ (XX) VROUW/ (XX) XXXXXXX/ (XX) FEMININO/ (XX) XXXXXXXX/ (SK) XXXXXX/ (XX) ŽENSKI/ (XX) XXXXXX/ (SV) XXXXXX

4.7.2

(XX) МЪЖКИ/ (XX) XXXXX/ (CZ) MUŽ/ (XX) XXXX/ (DE) XÄXXXXXX/ (XX) MEESSOOST/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (HR) XXXXX/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (LT) XXXXX/ (XX) XXXXX/ (XX) RAĠEL/ (XX) XXX/ (XX) XĘŻXXXXXX/ (XX) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) XXX

4.7.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) MÄÄRAMATA/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (FR) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (HR) XXXXXXĐXX/ (IT) INDETERMINATO/ (XX) XXXXXXXXXX/ (LT) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) MHUX STABBILIT/ (XX) ONBEPAALD/ (XX) XŁXĆ NIEOKREŚLONA/ (XX) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (FI) XÄÄXXXXXXXXÄXÖX/ (SV) XX XXXXXXÄXXX

4.8

(XX) ГРАЖДАНСТВО/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXÖXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) ΙΘΑΓΕΝΕΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (GA) XXXXXXXXXXXX/ (XX) DRŽAVLJANSTVO/ (IT) XXXXXXXXXXXX/ (LV) VALSTSPIEDERĪBA/ (XX) XXXXXXXXĖ/ (XX) XXXXXXXXXXXXXXX/ (XX) ĊITTADINANZA/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) NACIONALIDADE/ (XX) CETĂȚENIA/ (XX) XXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (FI) XXXXXXXXXXXX/ (XX) MEDBORGARSKAP

4.9

(BG) ГРАЖДАНСКИ НОМЕР/ (XX) NÚMERO XX XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXX/ (DA) XXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXÄXXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΤΑΥΤΟΤΗΤΑΣ/ (XX) XXXXXXXX XXXXXX/ (FR) XXXXXX X'XXXXXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (HR) XXXXXXXXXXXXXXXX BROJ/ (IT) XXXXXX X'XXXXXXXXXXXXXXX/ (XX) XXXXXXXĀXXX XXXXXX/ (XX) XXXXXX XXXXX/ (HU) XXXXXXXX AZONOSÍTÓ XXXXX/ (XX) XXXXX TAL-IDENTITÀ/ (XX) IDENTITEITSNUMMER/ (XX) XXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX XX IDENTIFICAÇÃO/ (XX) XXXĂXXX XX XXXXXXXXXXXX/ (XX) IDENTIFIKAČNÉ XXXXX/ (SL) XXXXXXXXXXXXXXXX XXXXXXXX/ (XX) HENKILÖTUNNUS/ (XX) XXXXXXXXXXXXXXXX

4.10

(XX) ВИД И НОМЕР НА ДОКУМЕНТА ЗА САМОЛИЧНОСТ НА ЛИЦЕТО/ (XX) XXXX X NÚMERO XX XXXXXXXXX XX XXXXXXXXXXXXXX XXX XXXXXXXXXX/ (XX) XXXX X XXXXX IDENTIFIKAČNÍHO XXXXXXX XXXXX/ (XX) TYPEN XX NUMMERET XÅ XXXXXXXXX IDENTIFIKATIONSDOKUMENT/ (XX) XXX UND XXXXXX XXX XXXXXXXÄXXXXXXXXXXX XXX XXXXXX/ (ET) ISIKUT XÕXXXXXX XXXXXXXXX XXXX XX NUMBER/ (XX) ΕΙΔΟΣ ΚΑΙ ΑΡΙΘΜΟΣ ΕΓΓΡΑΦΟΥ ΤΑΥΤΟΤΗΤΑΣ ΤΟΥ ΠΡΟΣΩΠΟΥ/ (EN) XXXX XXX XXXXXX OF XXX PERSON’S XXXXXXXXXXXXXX XXXXXXXX/ (FR) XXXX XX XXXXXX DE XX XXÈXX X'XXXXXXXX XX LA XXXXXXXX XXXXXXXXX/ (GA) XXXXXX XXXX UIMHIR XXXXXXXXXX XXXXXXXXXXX XX XXXXX/ (XX) XXXXX X XXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXX/ (XX) XXXX X XXXXXX XXX XXXXXXXXX XX XXXXXXXÀ XXXXX XXXXXXX/ (XX) XXXXXXXX IDENTIFIKĀCIJAS XXXXXXXXX XXXXX XX NUMURS/ (XX) ASMENS TAPATYBĖS XXXXXXXXX XXXXX XX XXXXXXX/ (HU) A XXXXXXXXXXXXXXXX OKMÁNY XXXXXX XX SZÁMA/ (XX) XX-XXX X N-NUMRU XXX-XXXXXXXX TA' XXXXXXXÀ XXX-XXXXXXX/ (XX) XXXX XX NUMMER XXX XXX IDENTITEITSDOCUMENT XXX XX XXXXXXXXXX/ (XX) XXXXXX X XXXXX XXXXXXXXX XXŻXXXXŚXX/ (XX) XXXX X XXXXXX XX XXXXXXXXX XX XXXXXXXXXXÇÃX/ (RO) XXXXX ȘX NUMĂRUL XXXXXXXXXXXX XX IDENTIFICARE AL XXXXXXXXX/ (XX) XXX X ČÍSLO XXXXXXXX XXXXXXXXXX XXXXX/ (SL) XXXXX XX ŠTEVILKA XXXXXXXXXXXXXXXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXÖXXXXXXXXXXX XXXXXX XX XXXXXX/ (XX) XXX OCH NUMMER XÅ XXXXXXXXX IDENTITETSHANDLING

4.10.1

(BG) НАЦИОНАЛНА ЛИЧНА КАРТА/№/ (XX) DOCUMENTO XXXXXXXX XX XXXXXXXXX / XXX./ (XX) XXXXXXXXXXXX XXXXXX TOTOŽNOSTI / X./ (XX) XXXXXXXXX XXXXXXXXXXXXXX/-XXXXXX/ (DE) NATIONALER XXXXXXXXXXXXXXX/XX./ (XX) RIIKLIK XXXXXXXXXXXXXX / NR/ (XX) ΕΘΝΙΚΟ ΔΕΛΤΙΟ ΤΑΥΤΟΤΗΤΑΣ / ΑΡΙΘ./ (XX) XXXXXXXX XXXXXXXX XXXX/XX./ (FR) CARTE XXXXXXXXX X'XXXXXXXX/X°/ (GA) XXXXX XXXXXXXXX AITHEANTAIS/UIMH./ (XX) NACIONALNA OSOBNA XXXXXXXXX / BR./ (XX) XXXXX D'IDENTITÀ XXXXXXXXX/X./ (LV) XXXXXX XXXXXXXX XXXXXXĪXX / XX./ (LT) NACIONALINĖ XXXXXX XXXXXXXĖX XXXXXXĖ / XX./ (XX) XXXXXXX XXXXXXXXXXXXXXXX IGAZOLVÁNY/SZÁMA/ (XX) XXXXX XXX-XXXXXXXÀ XXXXXXXXXX/XXX/ (NL) NATIONALE XXXXXXXXXXXXXXXX/XX./ (PL) XXXXXXX XXXXX XXŻXXXXŚXX / XX/ (XX) N.o XX XXXXXXXXX XX XXXXXXXXXXÇÃX NACIONAL/ (XX) XXXXX XX XXXXXXXXXX XXȚXXXXXĂ/XX./ (XX) NÁRODNÝ XXXXXXX TOTOŽNOSTI/č./ (XX) XXXXXXXXXX XXXXXX XXXXXXXXX/XX./ (XX) XXXXXXXXXXX XXXXXXÖXXXXXX/XXX/ (XX) NATIONELLT IDENTITETSKORT/NUMMER

4.10.2

(BG) ПАСПОРТ/№/ (XX) XXXXXXXXX / XXX./ (XX) XXX / X./ (XX) XXX/XX./ (XX) XXXXXXXXX/XX./ (XX) XXXX/XX/ (XX) ΔΙΑΒΑΤΗΡΙΟ/ΑΡΙΘ./ (EN) XXXXXXXX/XX./ (FR) XXXXXXXXX/X°/ (XX) XXX/XXXX./ (HR) XXXXXXXXX / BR./ (XX) PASSAPORTO/N./ (LV) XXXX/XX./ (LT) XXXXX / XX./ (XX) XXXXXXX/XXXXX/ (XX) PASSAPORT/ XXX/ (XX) XXXXXXXX/XX./ (XX) PASZPORT / XX/ (XX) X.x XX XXXXXXXXXX/ (XX) XXȘXXXXX/XX./ (XX) XXXXXXXX XXX/x./ (XX) POTNI XXXX/XX./ (XX) XXXXX/XXX/ (XX) XXXX/XXXXXX

4.10.3

(XX) СВИДЕТЕЛСТВО ЗА УПРАВЛЕНИЕ НА МПС/№/ (XX) XXXXXXX XX XXXXXXXXXX / XXX./ (CZ) ŘIDIČSKÝ XXXXXX / X./ (XX) XØXXXXXX/XX./ (DE) XÜXXXXXXXXXX/XX./ (XX) JUHILUBA/NR/ (XX) ΑΔΕΙΑ ΟΔΗΓΗΣΗΣ / ΑΡΙΘ./ (XX) XXXXXXX LICENCE/NO./ (XX) XXXXXX DE CONDUIRE/N°/ (XX) XXXXXXXX XXXXXXX/XXXX./ (XX) VOZAČKA DOZVOLA / XX./ (XX) XXXXXXX XX XXXXX/X./ (XX) VADĪTĀJA XXXXXXĪXX / XX./ (LT) XXXXXXXXXX XXXXXĖXXXXX / XX./ (XX) VEZETŐI XXXXXXXX/XXXXX/ (MT) LIĊENZJA XXX-XXXXXX/XXX/ (XX) RIJBEWIJS/NR./ (XX) PRAWO XXXXX / NR/ (PT) X.x XX XXXXX XX CONDUÇÃO/ (XX) XXXXXX DE XXXXXXXXX/XX./ (XX) XXXXXXXX XXXXXXX/x./ (XX) XXXXXXXX DOVOLJENJE/ŠT./ (XX) AJOKORTTI/NRO/ (XX) XÖXXXXX/XXXXXX

4.10.4

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ) … /№ …/ (XX) XXXX (ESPECIFÍQUESE) … / NÚM. …/ (XX) XXXX (XXXXXXXXX) … / X …/ (XX) XXXXX (XXXXXXX) …/ XX. …/ (XX) XXXXXXXXX (XXXXX ANGEBEN) …/XX …/ (ET) XXX (XÄXXXXXXXX) … / XX …/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ) … / Αριθ. …/ (XX) XXXXX (TO XX SPECIFIED) …/Xx. …/ (XX) XXXXX (À PRÉCISER) …/X° …/ (XX) XXXX (XX SONRÚ) … …/Xxxx. …/ (XX) XXXXXX (XXXXXXX) … / br. …/ (XX) XXXXX (XXXXXXXXX) …/X. …/ (LV) XXXX (XXXXXXĒX) … / NR. …/ (XX) XXXX (NURODYTI) …/XX. …./ (HU) XXXXX (KÉRJÜK PONTOSÍTANI) …/Xxxxx: …/ (XX) XĦXXXX (XXXXXĊXŻX) …/Nru …/ (XX) XXXXXXX (XXXXXXXXXXXX) …/XX. …/ (XX) XXXX (XXXXXĘ XXXXŚXXĆ) … / xx …/ (XX) X.x DE XXXXX XXXXXXXXX (XXXXXXXXXXX) …/ (XX) XXXXX (A XX XXXXXXX) … /XX. …/ (XX) XXX (XXXXXXXX) …/x. …/ (SL) XXXXX (XXXXXXX) …/xx. …/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ) … /Nro …/ (XX) ANNAN XXXXXXXX (SPECIFICERAS) …/Xxxxxx …

5.

(XX) В ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ, НЕ СЕ ПОСОЧВА СЪОТВЕТНОТО ЛИЦЕ ДА Е БИЛО ОСЪЖДАНО СЪГЛАСНО РЕГИСТРИТЕ ЗА СЪДИМОСТ НА ДЪРЖАВАТА ЧЛЕНКА, ЧИЙТО ГРАЖДАНИН Е ТОВА ЛИЦЕ/ (ES) XX XXXXXXXXX PÚBLICO XX XXX XX XXXXXXX XXXX IMPRESO XX XXXXXXXX QUE XXXXXX XXXXXX XXXXXXXXXXX PENAL XXX XXXXXXXXXX EN XX XXXXXXXX DE XXXXXXXXXXXX XXXXXXX DEL XXXXXX XXXXXXX XXX XXX XXXXX XX XXXXXXXXXXXX/ (XX) VEŘEJNÁ XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX, XXXXXXXXX XXXXX XXXXXXXXX XXXXXXX XXXXX XXXXXXXXXXX V REJSTŘÍKU XXXXXX ČLENSKÉHO XXXXX, XXXXX JE XXXX XXXXX STÁTNÍM PŘÍSLUŠNÍKEM/ (XX) XXX XXXXXXXXXX XXXXXXXX, SOM XXXXX XXXXXXXX ER VEDHÆFTET, XÆXXXX INGEN XXX XXX XXXXXX XXX XXX PÅGÆLDENDE PERSON X XXXXXXXXXXXXXXXX X XXX MEDLEMSSTAT, XXXX XXXXXXXX XX STATSBORGER/ (XX) XXX ÖFFENTLICHE XXXXXXX, XXX DIESES XXXXXXXX BEIGEFÜGT XXX, XXXXÄXX XXXXXX XXXXXXX XXX XXXX XXXXXXXXXXXX XXX XXXXXXXXXXXX XXXXXX XX STRAFREGISTER XXX XXXXXXXXXXXXXX IHRER STAATSANGEHÖRIGKEIT/ (XX) XXXXXXXX DOKUMENDIS, XXXXXXX SEE VORM XX XXXXXXX, XX XXX MÄRGITUD ÜHTEGI XÜÜXXXÕXXXXXX XXXXXXXXXXX, MIS XXXXX XXXXXX XXXXXXXXX XXXXX XXXXXX XX XXXXXX ASJAOMASE XXXXX XXXXXXXXXXXXÄXXXX XXXXXXXXXXXX XXXXXXXXXXXXXXXXXXX/ (XX) ΣΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ ΔΕΝ ΑΝΑΦΕΡΕΤΑΙ ΓΙΑ ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΚΑΤΑΔΙΚΗ ΕΓΓΕΓΡΑΜΜΕΝΗ ΣΤΟ ΠΟΙΝΙΚΟ ΜΗΤΡΩΟ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΤΗΝ ΙΘΑΓΕΝΕΙΑ ΤΟΥ ΟΠΟΙΟΥ ΕΧΕΙ ΤΟ ΠΡΟΣΩΠΟ ΑΥΤΟ/ (EN) THE XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX DOES XXX XXXXXXX XXX XXXXXXXXXX IN XXXXXXX XX XXX PERSON XXXXXXXXX IN THE XXXXXXXX XXXXXX XX XXX XXXXXX XXXXX XX NATIONALITY XX XXXX XXXXXX/ (FR) XX XXXXXXXX XXXXXX XXXXXX XX XXXXXXX XXXXXXXXXX XXX XXXXX XX XXXXXXXXX XXXXXX XXXXXXXXXXXX XXXXXXXX AU XXXXXX XXXXXXXXXX XX XX XXXXXXXX XXXXXXXXX XXXX L'ÉTAT XXXXXX XXXX XXXXX XXXXXXXX X LA XXXXXXXXXXX/ (XX) SA DOICIMÉAD XXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX, XXX XXX XXXXXX XX AON XXXXXXX I XXXXX XX XXXXX LENA xXXXXXXXX SA XXXXXXX XXXXXXXX X xXXXXXXXX XXXXXXXXXXXXX AN DUINE XXXX xXXXXXXXX/ (HR) X XXXXXX XXXXXXX XXXXX JE OVAJ XXXXXXX XXXXXXXX XXXX XXXXXXXX XXXXXXX OSUĐUJUĆA XXXXXXX PROTIV XXXXXXX XXXXX U XXXXXXXX XXXXXXXXXX XXXXXX ČLANICE XXXXXXXXXXXXX TE OSOBE/ (XX) XX XXXXXXXXX XXXXXXXX XXX IL XXXXXXXX MODULO È XXXXXXXX NON RIPORTA XXXXXX XXXXXXXX XXXXXXXX XXXX PERSONA XXXXXXXXXXX XXX QUANTO CONCERNE XX XXXXXXXXXX GIUDIZIALE XXXXX XXXXX MEMBRO XX XXXXXXXXXXXX DI XXXX PERSONA/ (XX) XXXXXXXXXĀ XXXXXXXXĀ, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, PAR ATTIECĪGO XXXXXXX XXX MINĒTA XXXXXXX XXXXXXĀXXXX, KAS XXXĀXĪXX MINĒTĀS XXXXXXXX XXXXXXXXXXXXĪXXX DALĪBVALSTS SODĀMĪBAS XXĢXXXXĀ/ (LT) XXXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX FORMA, XXXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXX XXXXXĘX XXXXXXXXXXX XX XXXXXX XXXXXXXXĖX XXXXXXXĖX XXXĖX XXXXXXXXXXXŲ XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXX XX XXXXXXXX XXXXXXXXXX XXXXXXXXXXXX NEM XXXXX XX XXXXXXXX XXXXXXX XXXXXXXXXXXXXXX XXXXXXXX XXXXXXXX XŰXÜXXX XXXXXXXXXXXXXXXXX XXXXXXXŐ XXXXXXXXX/ (MT) XX-XXXXXXXX XXXXXXXX MEHMUŻ XX' XXX IL-FORMOLA XX XXXXXX L-EBDA XXXXXXXX FIR-RIGWARD XXX-XXXXXXX XXXXĊXXXXXX FIR-REKORD KRIMINALI XXX-XXXXX XXXXXX XXĊ-ĊXXXXXXXXXXX XX' XXX XX-XXXXXXX/ (XX) HET OPENBAAR XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX, XXXXXXXX XXXX VEROORDELING XXXX XX XXXXXXXXXX XX XXX XXXXXXXXXXXXX XXX XX XXXXXXXX XXX XXXXXXXXXXXXX XXX XX BETROKKENE/ (XX) XXXXXXXX XXXĘXXXX, XX XXXXXXX XXŁĄXXXXX XXXX XXXXXXXXX XXXXXXXXX, NIE XXXXXXX INFORMACJI X XXXXXXXXX XXXXXX SKAZUJĄCEGO XXXXXXXX WOBEC XXXXX, XXXXXX XXXXXXX XXXXXXXX, XXXXXXXXX XX XXXXXXXX XXXXXXX XXŃXXXX CZŁONKOWSKIEGO, XXXXXXX OSOBA TA XXXX OBYWATELEM/ (PT) X DOCUMENTO XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX NÃO REFERE XXXXXXXX XXXXXXXÇÃX XX XXXXXX EM CAUSA XX REGISTO XXXXXXXX XX XXXXXX-XXXXXX XX XXXXXXXXXXXXX XXXXX XXXXXX/ (XX) DOCUMENTUL OFICIAL XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX XX MENȚIONEAZĂ XXXXX XXXXXXXXXX XXXXXXXXXXX XX XXXXXXXX XXXXXĂ DE XXXXXXXX XXXXXXXX DIN XXXXXX XXXXXX AL XĂXXX XXXĂȚXXX XXXX XXXXXXXX RESPECTIVĂ/ (SK) XX VEREJNEJ LISTINE, XX KTOREJ JE XXXXX FORMULÁR XXXXXXXXX, XX XXXXXXXX ŽIADNE XXXXXXXXX DOTKNUTEJ XXXXX X REGISTRI TRESTOV XXXXXXXXX ŠTÁTU, XXXXXXX XXXXXXX XXXXXXXXXXXX XX XXXX OSOBA/ (SL) X XXXXX XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX, XX XXXXXXXX XXXXXX XXXXXXX X XXXXX X ZADEVNO XXXXX X XXXXXXXX EVIDENCI XXXXXX XXXXXXX, XXXXXX XXXXXXXXXXXXX IMA TA XXXXX/ (XX) YLEISESSÄ XXXXXXXXXXXX, XXXXX TÄMÄ XXXXXX LIITETÄÄN, XX XXX XXXXXXXXX XXXXXXXXXXXX XXXXXXÖÄ XXXXXXXXXX XXXXXXXXXX XXX XÄXXXXXXXXXX RIKOSREKISTERISSÄ, XXXXX KANSALAINEN XXXXXXÖ XX/ (XX) X XXX OFFICIELLA HANDLING XXXX XXXXXX XXXXX XXXXXXÄX ÄR BIFOGAT XÄXXX XXXXX XXXXXXX XX XXX MOT XXX BERÖRDA XXXXXXXX X XXXXXXXXXXXXXXXXX X XXX XXXXXXXXXXX XÄX XXXXX PERSON ÄX XXXXXXXXXX

6.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX LA FIRMA/ (XX) XXXX XXX XXXXXX/ (DA) UNDERSKRIFTSFELT/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (EL) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (FR) CADRE XXXX XX XXXXXXXXX/ (XX) XXXXX XXX XXXXX/ (XX) XXXXX XX POTPIS/ (XX) XXXXXXXX PER XX XXXXX/ (XX) XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXX/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX XX XXXXXXXXXXXX/ (PL) XXXX XXXXXXX/ (PT) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (FI) XXXXXXXXXXXXXXXXXXÄ/ (XX) RUTA FÖR XXXXXXXXXXXXXX

6.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) X XXXXXX(X) XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXX X JMÉNO (XXXXX) XXXXXXXX, XXXXX VYDAL XXXXX FORMULÁŘ/ (XX) XXXXXXXXX(X) XX XXXXXXX(X) XÅ XXX XXXXXXXXXX, XXX HAR UDSTEDT XXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX(X) UND XXXXXXX(X) XXX XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXX (-NIMED) XX XXXXXXXXXXXXX (-NIMED)/ (EL) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) XXX XXXXXXXX(X) OF XXX OFFICIAL XXX XXXXXX THIS FORM/ (XX) NOM(S) XX XXXXXX(X) DU FONCTIONNAIRE XXX X DÉLIVRÉ XX XXXXXXX FORMULAIRE/ (XX) SLOINNE (XXXXXXXX) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX OIFIGIGH A X’XXXXXX AN XXXXXX XXX/ (XX) XXXXXXX(XX) X IME(NA) SLUŽBENIKA XXXX JE IZDAO XXXX XXXXXXX/ (XX) XXXXXXX/X X NOME/I XXX FUNZIONARIO XXX XX XXXXXXXXXX IL XXXXXXXX XXXXXX/ (LV) XXXXXXXXXXXX, XXXX IZDEVUSI XX XXXXXXXX, UZVĀRDS(-I) XX XĀXXX(-X)/ (LT) XXĄ FORMĄ IŠDAVUSIO XXXXXXŪXX XXXXXXĖ (-ĖX) XX XXXXXX (-XX)/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX TISZTVISELŐ XXXXXXX XXXX(X) ÉS UTÓNEVE(I)/ (XX) XXXXXX(/XXXXXXXXXXX) U XXXX(/XXXXXXXX) TAL-UFFIĊJAL LI ĦXXXĠ XXX XX-XXXXXXX/ (XX) XX(X)X(XX) XX XXXXXX(X)X(XX) VAN XX XXXXXXXXX XXX DIT XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) X XXXĘ (IMIONA) XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXX(X) X XXXX(X) PRÓPRIO(S) XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (RO) XXXXXX ȘX PRENUMELE XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXXXXXXX(-X) X MENO(-Á) XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX XXX/XXXXX XXXXXXXX, KI JE XXXXX XX XXXXXXX/ (XX) TÄMÄN XXXXXXXXX XXXXXXXX VIRKAMIEHEN SUKUNIMI (-XXXXX) XX XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX XXX XÖXXXXX PÅ XXX TJÄNSTEMAN SOM XXX XXXÄXXXX XXXXX XXXXXXÄX

6.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXX DEL FUNCIONARIO XXX XXXXXXX XXXX XXXXXXX/ (XX) FUNKCE XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXXX — XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX XXX XXXXXXX, DER DIESES XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX VORMI XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX OF XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) XXXXX XX XXXXXXXXXXXXX XXX A XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) POST XX OIFIGIGH X X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXXX XXXXXXXXXX XXXX JE XXXXX XXXX OBRAZAC/ (XX) XXXXXXXXX DEL XXXXXXXXXXX CHE XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) AMATPERSONAS, XXXX IZDEVUSI ŠO XXXXXXXX, XXXXX/ (LT) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX PAREIGOS/ (HU) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX XXX XX XXXXXXXXX XXX XXX FORMULIER XXXXX XXXXXXXXX/ (PL) XXXXXXXXXX XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (PT) XXXXX DO FUNCIONÁRIO XXX XXXXXX X XXXXXXXX FORMULÁRIO/ (RO) XXXXȚXX FUNCȚIONARULUI XXXX X EMIS XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, KTORÝ XXXXX XXXXX FORMULÁR/ (XX) XXXXXXX URADNIKA, XX XX XXXXX TA XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXX/ (SV) XXXXXXXXXX XÖX DEN XXÄXXXXXXX XXX HAR XXXÄXXXX XXXXX XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXX/ (XX) XXXXXXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) VÄLJAANDMISE XXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (DD/MM/YYYY) XX XXXXX/ (FR) DATE (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (LL/MM/BBBB) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) IZDAVANJA/ (IT) XXXX DI RILASCIO (XX/XX/XXXX)/ (XX) IZDOŠANAS XXXXXX (DD/MM/GGGG)/ (XX) XXXXXXXX XXXX (DD/MM/MMMM)/ (XX) A XXXXXXXXX XXXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (DD/MM/RRRR) XXXXXXX/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) EMITERII/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (FI) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (DD/MM/ÅÅÅÅ) FÖR XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (ES) XXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (DE) XXXXXXXXXXXX/ (ET) ALLKIRI/ (XX) ΥΠΟΓΡΑΦΗ/ (EN) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (IT) FIRMA/ (XX) PARAKSTS/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (PL) PODPIS/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (SK) PODPIS/ (XX) XXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX O XXXXXX/ (XX) XXXXX XXXX XXXXXXX/ (DA) XXXX XXXXX XXXXXXX/ (XX) XXXXXX XXXX XXXXXXX/ (XX) XXXXXX XÕX TEMPEL/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) SEAL XX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXX NÓ XXXXXX/ (HR) XXX XXX PEČAT/ (XX) XXXXX X TIMBRO/ (XX) XĪXXXX XXX XXXXXXXX/ (XX) XXXXXXX XXXX ANTSPAUDAS/ (XX) XXXXXX XXXX BÉLYEGZŐLENYOMAT/ (XX) XXĠXXX XXX XXXXXX/ (XX) XXXXX XX XXXXXXX/ (XX) XXXXXĘĆ LUB XXXXXXX/ (XX) XXXX XX XXXXXXX/ (XX) XXXXXXXX XXX ȘXXXXXXX/ (SK) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXX XXX/ (FI) XXXXXXX TAI XXXXX/ (XX) SIGILL XXXXX XXÄXXXX