Plné znění - 32016R1191

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XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – POMŮCKA XXX PŘEKLAD

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

Xxxxxx (BE) Xxxxxxxxx (BG)

Česká republika (XX)

Xxxxxx (DK) Německo (XX)

Xxxxxxxx (XX) Irsko (XX)

Xxxxx (XX) Španělsko (XX)

Xxxxxxx (FR) Xxxxxxxxxx (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (LU)

Maďarsko (XX) Xxxxx (XX)

Xxxxxxxxxx (XX) Xxxxxxxx (XX)

Xxxxxx (PL) Xxxxxxxxxxx (XX)

Xxxxxxxx (RO) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Xxxxxx (FI)

Švédsko (SE) Xxxxxxx království (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxx xxxxxxxx xxxxxxx xxxxxxx, x xxx je xxxxxxxx. Xxxxx formulář se xxxx členskými státy xxxxx xxxxxxxxx xxxx xxxxxxxxxx dokument.

Tento xxxxxxxx xxxxxx xxxxx xxxxxxx xxxxxxx, x xxx xx xxxxxxxx. Xxxxx, xxxxx je xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx xxxx x případech, xxx xx to xxxxxxxx pro xxxxx xxxxxxxxxx xxxxxxx listiny, xxxxxxxxx xxxxxxx či xxxxxx xxxxxxxxx, xxxxx xxxx xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX VYDÁVAJÍCÍ XXXXX

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

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

1. XXXXX XXXXXXXXXX XXXXX FORMULÁŘ

1.1 Název (3)

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

1.1 Xxxxx (4)

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

(2) Xxx xxxxxxxxxx rukou použijte xxxxxxx xxxxx.

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

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

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

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

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx xxxxxx státním xxxxxxxxx

3.1.3 Xxxxxxx vydaná xxxxxx xxxxxxx úředníkem

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

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 x xxxxxxxx xxxxxxxx

3.2.4 Xxxx xxxxxxxxxx xxxxxxx

3.1.5 Jiné (xxxxxxxxx)

3.3 Notářská xxxxxxx

3.4 Xxxxxx osvědčení, xxxxxx xxxx opatřena xxxxxxx xxxxxxxxx xxxxxxxxx osobou

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

3.6 Xxxxx (xx/xx/xxxx) vydání

3.7 Xxxxxxxxxx číslo veřejné xxxxxxx

4. XXXXXXXXX X XXXXXXXXX

4.1 Příjmení

4.2 Xxxxx (xxxxx)

4.3 Xxxxx (dd/mm/rrrr) xxxxxxxx

4.4 Xxxxx (1) x xxxx (2) xxxxxxxx

4.5 Xxxxxxx:

4.5.1 Xxxx

4.5.2 Xxx

4.5.3 Xxxxxxxx

5. POLE XXX XXXXXX

5.1 Příjmení x xxxxx (xxxxx) xxxxxxxx, xxxxx xxxxx xxxxx xxxxxxxx

5.2 Xxxxxx xxxxxxxx, xxxxx xxxxx xxxxx xxxxxxxx

5.3 Datum (xx/xx/xxxx) vydání

5.4 Podpis

5.5 Xxxxx nebo xxxxxxx

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

(2) Xxxxx xxxx x – xxxxx existuje – xxx ISO xxxx xxxx xxxx xxxxxxx „Xxxx (upřesněte)“ xx xxxxx xxxxxx x xxxxxxxxxxx nabídky ve xxxxxxxx vícejazyčném xxxxxxxxxxx xxxxxxxxx, xxxxx je x dispozici na xxxxxxx evropské x-xxxxxxx.

XXXXXXXXXXX XXXXXX NÁZVŮ XXXXXXXXXXXX XXXXXXX

(XXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XXXX IMPRESO/ (CZ) XXXXX VYDÁVAJÍCÍ XXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, XXX XXXXXX FORMULAR XXXXXXXXX/ (XX) XÄXXXXXXX VORMI XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX XXXX/ (FR) XXXXXXXX XX XXXXXXXXXX XX XXXXXXX FORMULAIRE/ (XX) AN xXXXXXX X XXXXXXXX XX XXXXXX XXX/ (XX) XXXXXX XXXX IZDAJE XXXX OBRAZAC/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXX IZDEVĒJIESTĀDE/ (XX) XXĄ XXXXĄ XXXXXXXXXX VALDŽIOS INSTITUCIJA/ (XX) A FORMANYOMTATVÁNYT XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX TA' XXX IL-FORMOLA/ (XX) XXXXXXXXXX XXX XXXXXXX XXX DIT XXXXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX QUE EMITE X XXXXXXXX FORMULÁRIO/ (XX) XXXXXXXXXXX EMITENTĂ X PREZENTULUI XXXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX, XX IZDA XX XXXXXXX/ (FI) XÄXÄX XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) DENOMINACIÓN/ (XX) XXXXX/ (DA) XXXXXXXXXX/ (DE) BEZEICHNUNG/ (XX) NIMETUS/ (EL) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (GA)AINMNIÚ/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) NOSAUKUMS/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXX/ (PT) XXXXXXXÇÃX/ (XX) DENUMIRE/ (XX) XXXXX/ (SL) XXX/ (XX) XXXX/ (SV) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX EXPIDE XX DOCUMENTO XXXXXXX XX XXX XX XXXXXXX XXXX IMPRESO/ (XX) ORGÁN VYDÁVAJÍCÍ XXXXXXXX XXXXXXX, X XXX XX PŘILOŽEN XXXXX FORMULÁŘ/ (XX) XXX XXXXXXXXX, XXX XXX XXXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX ER XXXXÆXXXX/ (XX) XXXÖXXX, XXX XXX ÖXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX IST, XXXXXXXXX/ (XX) XXXXXX, XXX XXXXX XÄXXX XXXXXXX DOKUMENDI, XXXXXXX XXX XXXX ON XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XXXXXXX THE XXXXXX XXXXXXXX XX XXXXX XXXX FORM XX ATTACHED/ (FR) XXXXXXXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) AN tÚDARÁS X XXXXXXXX XX XXXXXXXXX POIBLÍ XXXX XXXXXX XX FHOIRM XXX XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXX XXXXX ISPRAVU XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) AUTORITÀ XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX PRESENTE XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, KURAM XĪ XXXXXXXX XX XXXXXXXXXX, IZDEVĒJIESTĀDE/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATOT XXXXXXXX XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX XX MIEGĦU XXXX MEHMUŻA DIN XX-XXXXXXX/ (NL) AUTORITEIT XXX XXXXXXX VAN XXX OPENBAAR XXXXXXXX XXXXXXX DIT XXXXXXXXX XX XXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXX XXXĘXXXX, XX KTÓREGO XXXXXXXXX FORMULARZ JEST XXŁĄXXXXX/ (XX) XXXXXXXXXX XXX XXXXX O XXXXXXXXX XXXXXXX A XXX X PRESENTE XXXXXXXXXX XXXX APENSO/ (XX) AUTORITATEA XXXXXXXĂ X XXXXXXXXXXXX OFICIAL XX XXXX XXXX XXXXXX PREZENTUL XXXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXXXX XXXXXXX, XX XXXXXX XX TENTO XXXXXXXX XXXXXXXXX/ (XX) XXXXX, KI XXXX XXXXX XXXXXXX, XX XX JE PRILOŽEN XX OBRAZEC/ (XX) XXXXXXXXXXXX, JOKA ON XXXXXXX YLEISEN XXXXXXXXXX, XXXXX TÄMÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX XXX XXXÄXXXX DEN XXXXXXXXXX XXXXXXXX TILL XXXXXX DETTA FORMULÄR ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX IMPRESO/ (XX) INFORMACE TÝKAJÍCÍ XX VEŘEJNÉ XXXXXXX, X XXX JE XXXXXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXXXXX VEDRØRENDE XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (DE) XXXXXXX ZUR ÖXXXXXXXXXXX XXXXXXX, DER DIESES XXXXXXXX BEIGEFÜGT IST/ (XX) XXXXX AVALIKU XXXXXXXXX KOHTA, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX RELATING XX XXX XXXXXX XXXXXXXX XX WHICH XXXX XXXX IS XXXXXXXX/ (FR) INFORMATIONS XXXXXXXXX AU XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX X XXXXXXXXX XXXX XX DOICIMÉAD POIBLÍ XXXX BHFUIL XX XXXXXX XXX XXXXXXXXXX/ (XX) INFORMACIJE KOJE XX XXXXXX XX XXXXX XXXXXXX XXXXX XX XXXX OBRAZAC XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXX XX DOCUMENTO XXXXXXXX XXX IL XXXXXXXX XXXXXX È XXXXXXXX/ (LV) XXXXXXĀXXXX XXX XXXXXXXX DOKUMENTU, XXXXX XĪ VEIDLAPA XX XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX DOKUMENTU, XXXX XXXXX XXXXXXXXX XX XXXXX/ (XX) A XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATRA XXXXXXXXX INFORMÁCIÓK/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX DIN XX-XXXXXXX/ (NL) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX WAARAAN XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXX DOTYCZĄCE XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX NINIEJSZY FORMULARZ XXXX XXŁĄXXXXX/ (PT) XXXXXXXÇÕXX RELATIVAS XX XXXXXXXXX XXXXXXX X XXX O XXXXXXXX XXXXXXXXXX XXXX APENSO/ (XX) INFORMAȚII XXXXXXXXXXX XX XXXXXXXXXX OFICIAL XX XXXX ESTE XXXXXX PREZENTUL XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (SL) XXXXXXXXXXX X XXXXX X XXXXX XXXXXXX, XX XX XX XXXXXXXX TA XXXXXXX/ (XX) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (SV) XXXXXXXXXXX XX DEN XXXXXXXXXX XXXXXXXX TILL 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 EXPEDIDO XXX UNA XXXXXXXXX X XX FUNCIONARIO XXXXXXXXX A XXX XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (XX) LISTINA XXXXXX XXXXXXX XXXX XXXXXXXXX X XXXXXX NA XXXXX XXXXXX ČLENSKÉHO XXXXX/ (DA) XXXXXXXX, XXX XX XXXXXXX XX XX XXXXXXXXX XXXXX XX XXXXXXXXXX, XXX ER XXXXXXXXXX XXXXXXXX I XX XXXXXXXXXXX/ (XX) URKUNDE XXXXX XXXÖXXX XXXX XXXXX AMTSPERSON XXX XXXXX XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX ON 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 AUTHORITY XX XX XXXXXXXX XXXXXXXXX WITH THE XXXXXX OR XXXXXXXXX XX X XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXX D'UNE XXXXXXXX XX X'XX FONCTIONNAIRE XXXXXXXX D'UNE JURIDICTION X'XX XXXX MEMBRE/ (XX) XXXXXXXXX X XXXXXXX X ÚDARÁS XX Ó OIFIGEACH X BHFUIL BAINT XXXX XX XXXX XX CÚIRTEANNA XX XX XXXXX XX XXXXX BALLSTÁIT/ (HR) XXXXXXX XXXX JE XXXXXX XXXXXX ILI XXXXXXXXX XXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX DA XX'XXXXXXXÀ X XX XX XXXXXXXXXXX APPARTENENTE AD XXX XXXXX XXXXXXXXXXXXX XX UNO STATO XXXXXX/ (LV) XXXXXXXXX, XXXX IZSNIEGUSI XX XXXĪXXXXXXX TIESĀM SAISTĪTA XXXXĀXX XXX AMATPERSONA/ (XX) DOKUMENTAS, XXXXXXXX XXXXXXXX XXXXXXXXXXXX XX XXXXXXŪXX, SUSIJUSIŲ XX XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX XXXX XXXXXXX VAGY XXXXXXXXXXŐ ÁLTAL KIÁLLÍTOTT XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX XXXXXXXÀ XXX XXXXĊXXX XX XXXXXXXX RABTA XXX-XXXXX XXX IT-TRIBUNALI XX' XXXX XXXXXX/ (XX) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXXXX OF XXXXXXXXX BEHORENDE XXX XXX XXXXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXX XĄXXXXXX XXX URZĘDNIKA XĄXXXXXX XXŃXXXX CZŁONKOWSKIEGO/ (PT) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXXXX XX XX XX XXXXXXXXXXX XXXXXXXXXX XX XXXXXXXX XXXXXXXÇÃX XX UM XXXXXX-XXXXXX/ (XX) XXXXXXXX XXXX XX O XXXXXXXXXX XXX XX XX XXXXȚXXXXX DE XX XÂXXĂ INSTANȚELE XXXX XXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX ALEBO XXXXXXXXX X XÄXXXX XX XXXX XXXXXXXXX ŠTÁTU/ (XX) XXXXXXX, XXXXXX X XXXXXX XXXXXX XXX XXXXXXXX XXXXX XXXXXXX DRŽAVE ČLANICE/ (XX) ASIAKIRJA, XXXXX XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX VIRKAMIES/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX XX XXXXXXXXX XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X XX MEDLEMSSTAT

3.1.1

(BG) СЪДЕБНО РЕШЕНИЕ/ (XX) RESOLUCIÓN XXXXXXXX/ (XX) ROZHODNUTÍ XXXXX/ (DA) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (EN) XXXXX XXXXXXXX/ (FR) DÉCISION XX XXXXXXX/ (XX) XXXXXXXX XX xXXXXX/ (XX) XXXXXX XXXXXX/ (XX) XXXXXXXXX GIURISDIZIONALE/ (XX) XXXXXX XĒXXXX/ (XX) XXXXXX SPRENDIMAS/ (XX) BÍRÓSÁGI XXXXXXXXX/ (XX) DEĊIŻJONI TAL-QORTI/ (XX) RECHTERLIJKE BESLISSING/ (XX) XXXXXXXXXX SĄDOWE/ (XX) XXXXXÃX XXXXXXXX/ (XX) XXXĂXÂXX JUDECĂTOREASCĂ/ (XX) XXXXX ROZHODNUTIE/ (XX) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXX/ (XX) LISTINA XXXXXX STÁTNÍM XXXXXXXXX/ (XX) DOKUMENT XXXXXXX XX XX ANKLAGEMYNDIGHED/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XXXXXXÈXX PUBLIC/ (XX) XXXXXXXXX X XXXXXXX X IONCHÚISITHEOIR XXXXXX/ (HR) XXXXXXX XXXX XX XXXXXX XXXXXXX ODVJETNIŠTVO/ (IT) XXXXXXXXX EMANATO XXX XXXXXXXX XXXXXXXXX/ (LV) XXXXXXXXX, KURU XXXXXXXXXX XXXXXXXXX/ (XX) PROKURORO XXXXXXXX DOKUMENTAS/ (XX) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX MINISTERIE/ (PL) XXXXXXXX POCHODZĄCY XX XXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (XX) DOCUMENT XXXX XX XX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXXXXXX/ (SL) XXXXXXX, XX XX XXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX ÅKLAGARVÄSENDET

3.1.3

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (ES) XXXXXXXXX XXXXXXXX POR XX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXX XXXXXXX XXXXXXXXX/ (DA) XXXXXXXX XXXXXXX XX XX JUSTITSSEKRETÆR/ (XX) XXXXXXX XXXXX URKUNDSBEAMTEN XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (XX) DOKUMENT, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXX XX X XXXXX/ (XX) XXXXXXXX XXXXXXX D'UN XXXXXXXX/ (XX) XXXXXXXXX X THAGANN X XXXXXXXXXX XX XXXXX XXXXXX/ (XX) ISPRAVA XXXX XX IZDAO XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (XX) DOKUMENTS, KURU XXXXXXXXXX TIESAS XXXXXXĀXX/ (XX) XXXXXX XXXXXXXXXX XXXXXXXX DOKUMENTAS/ (XX) XXXXXXXX TISZTVISELŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ MINN XXĠXXXXXXXX XX' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXX XX XXXXXÇX/ (XX) XXXXXXXX XXXX DE XX GREFIER XX XXXXXXȚXX/ (SK) LISTINA XXXXXX XXXXXX XXXXXXXXX/ (XX) LISTINA, XX XX XXXX XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX DE JUSTICE“)/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXX («XXXXXXXX DE XXXXXXX»)/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX JUSTICE“)/ (XX) DOKUMENT XXXXXXX XX EN STÆVNINGSMAND (»XXXXXXXX XX XXXXXXX«)/ (XX) URKUNDE EINES XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX ON VÄLJA XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚ ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX EMANATING XXXX X XXXXXXXX XXXXXXX ('XXXXXXXX XX JUSTICE')/ (XX) DOCUMENT XXXXXXX X'XX XXXXXXXX XX XXXXXXX/ (GA) DOICIMÉAD X XXXXXXX Ó XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXX XX XXXXX XXXXXX XXXXXXXXX (XXXXXXXX XX JUSTICE)/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXX XXXXXXXXXXX ("HUISSIER XX XXXXXXX")/ (LV) XXXXXXXXX, XXXX IZSNIEDZIS XXXXXX XXXXXXĪXĀXX (XXXXXXXX XX XXXXXXX)/ (LT) XXXXXXXXX (XXXXXXXX XX JUSTICE) XXXXXXXX XXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXXXX („HUISSIER XX JUSTICE”) XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX XX JUSTICE')/ (XX) XXXXXXXX AFGEGEVEN XXXX XXX GERECHTSDEURWAARDER/ (XX) XXXXXXXX XXXXXXXĄXX OD XXXĘXXXXX SĄDOWEGO (HUISSIER XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX DE XX XXXXXXÃX XX XXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX JUDECĂTORESC („XXXXXXXX XX JUSTICE”)/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX XXXXXXX“)/ (SL) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX („HUISSIER XX XXXXXXX“)/ (FI) XXXXXXXXXXXX (”XXXXXXXX XX XXXXXXX”) XXXXXX XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX FRÅN EN XXÄXXXXXXXXX (HUISSIER DE XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (ES) XXXX (XXXXXXXXXXXXX)/ (XX) XXXX (XXXXXXXXX)/ (DA) XXXXX (ANGIVES)/ (XX) XXXXXXXXX (BITTE ANGEBEN)/ (XX) XXX (TÄPSUSTAGE)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (TO XX XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (XX) XXXX (XX XXXXX)/ (XX) OSTALO (XXXXXXX)/ (XX) ALTRO (XXXXXXXXX)/ (XX) CITS (XXXXXXĒX)/ (LT) XXXX (XXXXXXXX)/ (XX) EGYÉB (XXXXÜX XXXXXXXXXXX)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) XXXX (XXXXXĘ XXXXŚXXĆ)/ (XX) XXXXXX (X XXXXXXXXXXX)/ (XX) ALTUL (X XX XXXXXXX)/ (XX) INÉ (XXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) MUU XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (SV) ANNAN XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX SPRÁVNÍM XXXXXX/ (XX) XXXXXXXXXXXXXX DOKUMENT/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) DOCUMENT ADMINISTRATIF/ (XX) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) ADMINISTRATĪVS DOKUMENTS/ (XX) XXXXXXXXXXXXXXX DOKUMENTAS/ (XX) XÖXXXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXX LISTINA/ (XX) XXXXXXXXXXXXXX ASIAKIRJA/ (XX) ADMINISTRATIV XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) BESCHEINIGUNG/ (XX) TÕEND/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) CERTIFICATE/ (XX) XXXXXXXXXX/ (GA) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (LV) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (XX) TANÚSÍTVÁNY/BIZONYÍTVÁNY/ (XX) ĊXXXXXXXXX/ (NL) XXXXXXXXXXX/ (XX) ZAŚWIADCZENIE/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) OSVEDČENIE/ (XX) XXXXXXXX/ (XX) TODISTUS/ (XX) INTYG

3.2.2

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (ES) XXXXXXXX XXX XXXXXXXX XXXXX/ (XX) VÝPIS X XXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX XXXXX XXXXXX XXXXXXXX/ (FR) EXTRAIT XX XXXXXXXX XX X'XXXX XXXXX/ (XX) XXXXXXX AS XX xXXXX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXX STANJA/ (XX) XXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) IZRAKSTS XX XXXXXXXĀXXXĻX AKTU XXĢXXXXX/ (XX) IŠRAŠAS XX CIVILINĖS XŪXXĖX XXXŲ REGISTRO/ (HU) XXXXXÖXXXX KIVONAT/ (XX) XXXXXXX MIR-REĠISTRU TAL-ISTAT ĊXXXXX/ (XX) XXXXXXXXXX XXX XXX REGISTER XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXX XX XXXX XX XXXXXXX XXXXX/ (XX) XXXXXX XXX XXXXXXXXX XX XXXXX XXXXXĂ/ (XX) VÝPIS X XXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXX XX XXXXXXXX X XXXXXXX XXXXXX/ (XX) VÄESTÖREKISTERIOTE (XXXXXXXXÄÄXX)/ (XX) XXXXXX XX FOLKBOKFÖRINGEN

3.2.3

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) EXTRACTO XXX CENSO/ (XX) XXXXX X XXXXXXXX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXX/ (DE) XXXXXX AUS XXX XXXXXXXXXXXXX/ (XX) RAHVASTIKUREGISTRI XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (EN) XXXXXXX XXXX XXX POPULATION XXXXXXXX/ (FR) XXXXXXX XX XXXXXXXX XX XX XXXXXXXXXX/ (XX) XXXXXXX XX XX xXXXX XXXXXX/ (HR) XXXXXXX XX POPISA XXXXXXXXXXXX/ (IT) XXXXXXXX XXXXXXXXXX/ (LV) XXXXXXXX XX XXXXĪXXXĀXX REĢISTRA/ (XX) XXXXXXX XX XXXXXXXXŲ REGISTRO/ (HU) XXXXXXX X XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX MIR-REĠISTRU TAL-POPOLAZZJONI/ (XX) UITTREKSEL XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX X XXXXXXXX XXXXXŚXX/ (XX) EXTRATO XX XXXXXXX XX XXXXXXÇÃX/ (XX) XXXXXX XXX XXXXXXXXX XX XXXXXXȚĂ A POPULAȚIEI/ (XX) VÝPIS X XXXXXXXX OBYVATEĽOV/ (XX) XXXXXXX IZ REGISTRA XXXXXXXXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXX/ (XX) UTDRAG UR XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (ES) XXXXX XXXXXXX XX XXXXX XXX XXXXXXXX XXXXX/ (XX) XXXX XXXXXXXXXX XXXXXXX/ (DA) XXXXXX KOPI AF XXXXXXXXXXXXXXXXXXX/ (XX) WÖRTLICHE XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) PEREKONNASEISUAKTI XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) VERBATIM XXXX XX XXXXX XXXXXX XXXXXXX/ (FR) COPIE XXXXXXXXX X'XXXXX XX X'XXXX XXXXX/ (XX) XXXX XXXXX AR XXXXXX XX THAIFID XX XXXXXX XXXXXXXXX/ (XX) DOSLOVNI XXXXXXXX XX EVIDENCIJA X XXXXXXX XXXXXX/ (XX) XXXXX LETTERALE XX XXXX XX STATO XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX REĢISTRA XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX AKTŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (XX) ANYAKÖNYVI BEJEGYZÉS XXX XXXXXXXX MÁSOLATA/ (XX) XXXXX XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXXX AFSCHRIFT XXX XXXXX XXX XX XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXÃX XX XXXXX INTEGRAL XX XX XXXXXXXXX XX XXXX DE REGISTO XXXXX/ (XX) COPIE XXXXXĂ X XXXX XXX DE XXXXX XXXXXĂ/ (XX) DOSLOVNÝ XXXXX XX XXXXXXX X XXXXXXX STAVE/ (XX) XXXXXXXXX XXXXXX XXXXXXX X XXXXXXX XXXXXX/ (XX) VÄESTÖREKISTERITIETOJEN XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX AVSKRIFT AV XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) NOTARBEKRÆFTET DOKUMENT/ (XX) NOTARIELLE XXXXXXX/ (XX) NOTARIAALDOKUMENT/ (EL) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (FR) XXXX XXXXXXX/ (GA) XXXXXX XXXXXXXXXXXX/ (HR) XXXXXXXXXXXXXXXX ISPRAVA/ (IT) XXXX XXXXXXXX/ (XX) XXXXXXĀXX AKTS/ (XX) XXXXXXXXX XXXXX/ (XX) XÖXXXXXXŐX XXXXXX/ (MT) XXX XXXXXXXX/ (NL) XXXXXXËXX XXXX/ (XX) XXX XXXXXXXXXX/ (XX) XXX NOTARIAL/ (XX) XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX LISTINA/ (XX) XXXXXXXX XXXXXX ASIAKIRJA/ (XX) NOTARIELL XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX PUESTA XXXXX XX DOCUMENTO XXXXXXX/ (CZ) XXXXXX XXXXXXXXX, XXXXXX XXXX XXXXXXXX XXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXX PÅTEGNING PÅ XX XXXXXXXX XXXXXXXXXXX XX XX XXXXXX X DENNES XXXXXXXX XX XXXXXXXXXXXX/ (DE) XXXXXXXX XXXXXXXXXXXXX AUF XXXXX XXXXXXXXXXXXX/ (ET) XXXXX XXXXX XXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX XXXXXXX TÕEND/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX XXXXXX ON X XXXXXXXX SIGNED XX X PERSON IN XXX XX XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX APPOSÉE XXX XX XXXX XXXX XXXXX PRIVÉ/ (XX) XXXXXXXX XXXXXXXXX X XXXXXXXXX XX XXXXXXXXXX ARNA XXXXXX XX XXXXX INA XXXXX NÓ INA XXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX POTVRDA XXXXXXXXX XX XXXXXXX XXXX XX XXXXX XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX XXX XXXXXXXXX XXXXXXX/ (LV) XXXXXĀXX APLIECINĀJUMS XX XXXXXXXXX, XX XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (LT) XXXXXXXŲ XXXXXŲ PASIRAŠYTŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (HU) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ĊXXXXXXXXX XXXXĊXXXX XX JITQIEGĦED X'XXXXXXXX IFFIRMAT MINN XXXXXXX XXX-XXXXĊXXÀ PRIVATA XXXĦXX/ (NL) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXX ONDERTEKEND XXXX XXX XXXXXXX IN XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) URZĘDOWE ZAŚWIADCZENIE XXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ W XXXXXXXXXXX XXXXXXXXX/ (PT) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX XXX XX NATUREZA XXXXXXX/ (RO) XXXXXXXXXX XXXXXXX APLICAT XX XX XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX UVEDENÉ XX XXXXXXX XXXXXXXXXX XXXXXX KONAJÚCOU XXX XXXXXXXX OSOBA/ (XX) XXXXXX XXXXXX XX XXXXXXX LISTINI/ (FI) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, XXXXX XXXXXXÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX XXXXX ANBRINGAT XÅ XX HANDLING XXX UNDERTECKNATS XX XX PRIVATPERSON

3.5

(BG) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX EXPEDIDO XXX XX XXXXXX XXXXXXXXXXX O CONSULAR XX XX XXXXXX XXXXXXX XXX XXXXXXXX XXXXXXX/ (CZ) LISTINA XXXXXXXXXX DIPLOMATICKÝM ZÁSTUPCEM XXXX XXXXXXXXXXX ÚŘEDNÍKEM XXXXXXXXX STÁTU X XXXXX VÝKONU XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX XX EN XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (XX) VON XXXXX DIPLOMATISCHEN ODER XXXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXXX IN SEINER XXXXXXXXX XXXXXXXX ERRICHTETE XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX VÕI XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (EN) XXXXXXXX DRAWN XX XX X XXXXXXXXXX XX XXXXXXXX XXXXX XX X XXXXXX XXXXX XX XXX XX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXX XX SA XXXXXXX XXXXXXXXXX PAR XX XXXXX XXXXXXXXXXXX XX CONSULAIRE D'UN XXXX XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX CONSALACH XX CHUID BALLSTÁIT XXX XXXXX XX XXX XXXX OIFIGIÚIL/ (XX) XXXXXXX KOJU XX U XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXX XXX KONZULARNI XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX XXXXXXXXXXX X XXXXXXXXX XX XXX XXXXX MEMBRO XXXX'XXXXXXXXX XXXXX XXXX FUNZIONI/ (XX) XXXXXXXXX, XXXX, XXXXXX XXXXX XXXXĀXXXXX, XXXXXXXXXXX DALĪBVALSTS XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, PARENGTAS XXXXXXXĖX NARĖS XXXXXXXXX XX KONSULINIO PAREIGŪNO, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (HU) VALAMELY XXXXXXXX DIPLOMÁCIAI XXXX XXXXXXX XXXXXXXXŐXX XXXXX XXXXXXXXX MINŐSÉGÉBEN XXXXXXXXXX XXXXXX/ (MT) DOKUMENT XXĦXXXX XXXX AĠENT XXXXXXXXXXX XXX XXXXXXXXX XX' XXXX XXXXXX XXX-XXXXĊXXÀ UFFIĊJALI TIEGĦU/ (XX) DOCUMENT XXXXXXXXX XXXX DE DIPLOMATIEKE XX XXXXXXXXXX XXXXXXXXX XXX XXX LIDSTAAT XX ZIJN OFFICIËLE XXXXXXXXXXXX/ (PL) XXXXXXXX XXXXXĄXXXXX XXXXX PRZEDSTAWICIELA XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX CZŁONKOWSKIEGO XXXXŁXXĄXXXX X XXXXXXXXXXX XXXĘXXXXX/ (XX) XXXXXXXXX XXXXXXX POR XX XXXXXX DIPLOMÁTICO OU XXXXXXXX XX XX XXXXXX-XXXXXX XX EXERCÍCIO XXX XXXX FUNÇÕES XXXXXXXX/ (RO) XXXXXXXX ÎXXXXXXX XX XĂXXX XX AGENT XXXXXXXXXX XXX XXXXXXXX XX XXXX XXXX MEMBRU, ÎX XXXXXXXX XXXXXXXĂ/ (XX) LISTINA XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX ČLENSKÉHO XXXXX V XXXXX XXXXXX XXXX FUNKCIE/ (XX) XXXXXXX, XX XX XXX URADNA XXXXX XXXX XXXXXXXXXXX XXX KONZULARNI PREDSTAVNIK XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (SV) HANDLING XXXXÄXXXX X XXÄXXXXX XX EN XXXXXXXXXXX XXXXX KONSULÄR 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/ (DA) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) EISIÚNA/ (HR) XXXXX (XX/XX/XXXX) IZDAVANJA/ (XX) XXXX XX XXXXXXXX (GG/MM/AAAA)/ (LV) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (HU) A XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (NL) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATA 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)/ (XX) XXXXX (DD/MM/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (ES) XXXXXX XX XXXXXXXXXX DEL XXXXXXXXX PÚBLICO/ (XX) XXXXXXXXXX ČÍSLO XXXXXXX XXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXX VIITENUMBER/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX XX XXX XXXXXX XXXXXXXX/ (XX) NUMÉRO XX XXXXXXXXX XX XXXXXXXX PUBLIC/ (XX) XXXXXX THAGARTHA AN XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXX JAVNE XXXXXXX/ (XX) XXXXXX XX RIFERIMENTO XXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXĀ DOKUMENTA XXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXXXXX NUMERIS/ (XX) X XÖXXXXXXX HIVATKOZÁSI XXXXX/ (MT) NUMRU XX' REFERENZA TAD-DOKUMENT XXXXXXXX/ (XX) REFERENTIENUMMER XXX XXX XXXXXXXX XXXXXXXX/ (XX) NUMER XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXX DE XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX XX XXXXXXXȚĂ XX XXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX JAVNE XXXXXXX/ (XX) XXXXXXX ASIAKIRJAN XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX REFERENSNUMMER

4.

(BG) ИНФОРМАЦИЯ ЗА РОДЕНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX XX XXXXXXX XXXXXX/ (CZ) XXXXXXXXX X XXXXXXXXX/ (XX) XXXXXXXXXXX OM XXX XXXXXX, XXX ER XØXX/ (XX) XXXXXXX XXX XXXXXX, XXXXX XXXXXX ANGEZEIGT WIRD/ (XX) XÜXXXXXX XXXXXX XÄXXXXXX TEAVE/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΠΟΥ ΓΕΝΝΗΘΗΚΕ/ (XX) XXXXXXXXXXX ON THE XXXXXX XXXX/ (XX) XXXXXXXXXXXX SUR XX XXXXXXXX XXX/ (XX) XXXXXXXX MAIDIR XXXX XX XXXXX X XXXXXX/ (XX) XXXXXXXXXXX X XXĐXXXX XXXXX/ (XX) INFORMAZIONI XXXXX XXXXXXX XXXX/ (XX) XXXXXXĀXXXX PAR XXXXXXX XXXXXXX/ (XX) INFORMACIJA XXXX XXXXXĮ ASMENĮ/ (XX) X XXXXXÜXXXXXX XXXXXXXXX XXXXXXXXX ADATOK/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXX XXXXXXX/ (XX) XXXXXXXXXX OVER DE XXXXXXXX/ (XX) DANE XXXXXXĄXX OSOBY URODZONEJ/ (XX) XXXXXXXÇÕXX SOBRE X PESSOA QUE XXXXXX/ (RO) XXXXXXXȚXX XXXXXXX XXXXXXXX XĂXXXXĂ/ (XX) XXXXXXXXXX X XXXXXXXXX XXXXX/ (SL) XXXXXXXXXXX X XXXXXX XXXXX/ (XX) SYNTYNEEN XXXXXXÖX TIEDOT/ (XX) XÖXXXXXXXXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X)/ (XX) XXXXXXXX/ (DA) XXXXXXXXX(X)/ (XX) XXXXXXXXXXXX(X)/ (ET) XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX(X)/ (XX) NOM(S)/ (XX) XXXXXXX (XXXXXXXX)/ (XX) XXXXXXX(XX)/ (XX) XXXXXXX(X)/ (XX) XXXĀXXX(-X)/ (XX) XXXXXXĖ (-ĖX)/ (HU) XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (NL) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (XX) XXXXXXX(X)/ (RO) XXXX/ (XX) XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX/ (XX) XXXXXXXX (-XXXXX)/ (XX) EFTERNAMN

4.2

(BG) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) JMÉNO (XXXXX)/ (XX) XXXXXXX(X)/ (XX) VORNAME(N)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) PRÉNOM(S)/ (XX) XXXXXXXX (CÉADAINMNEACHA)/ (HR) XXX(XX)/ (IT) NOME(I)/ (XX) XĀXXX(-X)/ (XX) XXXXXX (-AI)/ (HU) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (XX) VOORNA(A)M(EN)/ (PL) XXXĘ (IMIONA)/ (PT) XXXX(X) PRÓPRIO(S)/ (XX) XXXXXXX/ (SK) XXXX(-X)/ (XX) XXX/XXXXX/ (FI) XXXXXXX (-XXXXX)/ (XX) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (ES) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) NAROZENÍ/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXX (TT/MM/JJJJ)/ (ET) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) DE XXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (HR) XXXXX (XX/XX/XXXX) XXĐXXXX/ (XX) DATA DI XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) GIMIMO XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (ÉÉÉÉ/HH/NN)/ (MT) XXXX (JJ/XX/SSSS) TAT-TWELID/ (XX) GEBOORTEDATUM (DD/MM/JJJJ)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (PT) XXXX XX NASCIMENTO (DD/MM/AAAA)/ (XX) XXXX (XX/XX/XXXX) XXȘXXXXX/ (SK) XXXXX (XX/XX/XXXX) NARODENIA/ (XX) XXXXX (XX/XX/XXXX) 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) XØXXXXXX XX -XXXX/ (DE) XXX XXX LAND XXX XXXXXX/ (XX) XÜXXXXXXX JA -RIIK/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX XXX XXXXXXX XX BIRTH/ (XX) XXXX XX XXXX XX NAISSANCE/ (XX) XXX AGUS XXX XXXXXXXX/ (XX) XXXXXX X ZEMLJA XXĐXXXX/ (XX) XXXXX X XXXXX DI XXXXXXX/ (XX) XXXXXXXXX XXXXX XX VALSTS/ (LT) XXXXXX VIETA IR XXXXX/ (XX) XXÜXXXXXX XXXXX XX XXXXXXX/ (XX) XXXX U XXXXXŻ XXX-XXXXXX/ (NL) XXXXXXXXXXXXXX EN -LAND/ (XX) XXXXXXX X XXŃXXXX XXXXXXXXX/ (PT) XXXXX X XXXX XX NASCIMENTO/ (RO) XXXXX ȘX ȚXXX XXȘXXXXX/ (XX) MIESTO X XXXX XXXXXXXXX/ (XX) KRAJ XX XXXXXX ROJSTVA/ (FI) XXXXXXÄXXXXXX XX -MAA/ (XX) XÖXXXXXXXX XXX -XXXX

4.5

(XX) ПОЛ/ (XX) XXXX/ (CZ) XXXXXXX/ (XX) XØX/ (DE) XXXXXXXXXX/ (XX) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (XX) SEXE/ (XX) XXXXXX/ (HR) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (LT) XXXXX/ (XX) NEME/ (XX) XXXX/ (XX) XXXXXXXX/ (PL) XŁXĆ/ (XX) XXXX/ (RO) XXXXX/ (XX) XXXXXXXX/ (XX) XXXX/ (XX) XXXXXXXXX/ (SV) XÖX

4.5.1

(XX) ЖЕНСКИ/ (XX) MUJER/ (XX) XXXX/ (XX) XXXXXX/ (DE) WEIBLICH/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (EN) XXXXXX/ (XX) FÉMININ/ (XX) XXXXXXXX/ (HR) XXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (LT) MOTERIS/ (XX) XŐ/ (XX) XXXX/ (XX) VROUW/ (XX) KOBIETA/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX

4.5.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (XX) XXXX/ (XX) XÄXXXXXX/ (ET) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (FR) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) XXXXX/ (HU) XXXXX/ (XX) XXĠXX/ (XX) XXX/ (XX) XĘŻXXXXXX/ (XX) MASCULINO/ (XX) BĂRBĂTESC/ (XX) XXXXXX/ (XX) MOŠKI/ (XX) MIES/ (SV) XXX

4.5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) MÄÄRAMATA/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (FR) XXXXXXXXXXX/ (GA) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (MT) MHUX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) NÃO DEFINIDO/ (XX) XXXXXXXXXXXX/ (SK) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

5.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX PARA LA XXXXX/ (XX) XXXX XXX XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) UNTERSCHRIFTENFELD/ (XX) ALLKIRJALAHTER/ (EL) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (EN) XXXXXXXXX BOX/ (XX) XXXXX XXXX XX XXXXXXXXX/ (GA) XXXXX XXX XXXXX/ (XX) XXXXX ZA XXXXXX/ (XX) RIQUADRO XXX XX FIRMA/ (XX) XXXXXXXX LAUKS/ (XX) XXXXXX XXXXXXXX/ (HU) XX ALÁÍRÁS XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX VOOR XX XXXXXXXXXXXX/ (PL) XXXX XXXXXXX/ (PT) XXXXÇX DESTINADO À XXXXXXXXXX/ (RO) XXXXĂXXXX/ (XX) XXXXXXX XX XXXXXX/ (XX) POLJE XX XXXXXX/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (SV) RUTA XÖX XXXXXXXXXXXXXX

5.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) APELLIDO(S) X NOMBRE(S) DEL XXXXXXXXXXX QUE XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXX X XXXXX (XXXXX) XXXXXXXX, XXXXX XXXXX TENTO XXXXXXXX/ (XX) XXXXXXXXX(X) OG XXXXXXX(X) XÅ XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXXXXXX(X) XXX BEAMTEN, XXX DIESES XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX VORMI VÄLJASTANUD XXXXXXXX XXXXXXX (-XXXXX) XX PEREKONNANIMI (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXX(X) AND XXXXXXXX(X) XX THE OFFICIAL XXX XXXXXX XXXX XXXX/ (FR) NOM(S) XX XXXXXX(X) XX XXXXXXXXXXXXX XXX A XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) SLOINNE (XXXXXXXX) XXXX XXXXXXXX (XXXXXXXXXXXXXX) AN XXXXXXXX X X’XXXXXX XX XXXXXX SEO/ (XX) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX XXXX XX XXXXX XXXX OBRAZAC/ (XX) XXXXXXX/X X XXXX/X DEL FUNZIONARIO XXX HA XXXXXXXXXX XX PRESENTE XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, XXXĀXXX(-X) UN XĀXXX(-X)/ (XX) ŠIĄ XXXXĄ XXXXXXXXX PAREIGŪNO XXXXXXĖ (-ĖX) IR XXXXXX (-XX)/ (HU) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXX NEVE(I) XX XXXXXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX) X ISEM(/ISMIJIET) XXX-XXXXĊXXX XX ĦAREĠ XXX XX-XXXXXXX/ (XX) NA(A)M(EN) XX XXXXXX(X)X(XX) VAN XX AMBTENAAR XXX XXX FORMULIER XXXXX XXXXXXXXX/ (PL) XXXXXXXX(-X) X IMIĘ (IMIONA) XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXX(X) X XXXX(X) XXXXXXX(X) XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX FORMULÁRIO/ (XX) XXXXXX ȘI XXXXXXXXX XXXXȚXXXXXXXXX CARE X XXXX XXXXXXXXX FORMULAR/ (XX) PRIEZVISKO(-Á) X XXXX(-X) XXXXXXXX, XXXXX XXXXX TENTO XXXXXXXX/ (XX) XXXXXXX/XXXXXXX IN XXX/XXXXX XXXXXXXX, KI XX IZDAL XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX VIRKAMIEHEN XXXXXXXX (-XXXXX) JA XXXXXXX (-XXXXX)/ (SV) XXXXXXXXX XXX FÖRNAMN XÅ DEN XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX FORMULÄR

5.2

(BG) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) CARGO XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, XXXXX XXXXX TENTO XXXXXXXX/ (XX) XXXXXXXX — XXX EMBEDSMAND, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) STELLUNG XXX BEAMTEN, DER XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX VÄLJASTANUD XXXXXXXX XXXXXXXXX/ (EL) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX XX XXX OFFICIAL XXX XXXXXX THIS XXXX/ (XX) POSTE XX XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXX AN XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXXX XXXXXXXXXX XXXX XX IZDAO XXXX XXXXXXX/ (XX) XXXXXXXXX XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX VEIDLAPU, XXXXX/ (XX) XXĄ XXXXĄ XXXXXXXXX PAREIGŪNO PAREIGOS/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX TISZTVISELŐ XXXXXXXXX/ (XX) XXXXXX TAL-UFFIĊJAL XX ĦXXXĠ DIN XX-XXXXXXX/ (XX) XXXXXXX XXX DE XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX URZĘDNIKA, KTÓRY XXXXŁ NINIEJSZY FORMULARZ/ (XX) XXXXX DO XXXXXXXXXXX XXX XXXXXX X XXXXXXXX FORMULÁRIO/ (XX) XXXXȚXX XXXXȚXXXXXXXXX XXXX A EMIS XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX ÚRADNÍKA, KTORÝ XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XX JE XXXXX XX XXXXXXX/ (XX) XÄXÄX LOMAKKEEN XXXXXXXX XXXXXXXXXXX ASEMA/ (XX) XXXXXXXXXX FÖR XXX XXÄXXXXXXX XXX XXX XXXÄXXXX DETTA FORMULÄR

5.3

(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) AUSSTELLUNGSDATUM (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (DD/MM/YYYY) XX XXXXX/ (FR) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) EISIÚNA/ (HR) XXXXX (DD/MM/GGGG) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX DÁTUMA (ÉÉÉÉ/HH/NN)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX AFGIFTE/ (XX) XXXX (DD/MM/RRRR) XXXXXXX/ (XX) DATA XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (ZZ/LL/AAAA) XXXXXXXX/ (SK) DÁTUM (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) DATUM (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

5.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (DA) UNDERSKRIFT/ (XX) UNTERSCHRIFT/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) SIGNATURE/ (XX) XXXXXXXXX/ (XX) SÍNIÚ/ (XX) XXXXXX/ (XX) XXXXX/ (LV) PARAKSTS/ (XX) PARAŠAS/ (HU) XXXXXXX/ (MT) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXX/ (SL) XXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

5.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X TIMBRE/ (XX) XXXXX NEBO XXXXXXX/ (XX) XXXX XXXXX XXXXXXX/ (DE) SIEGEL XXXX XXXXXXX/ (XX) XXXXXX VÕI XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX OR XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) SÉALA XX XXXXXX/ (HR) XXX ILI XXXXX/ (XX) XXXXX X XXXXXX/ (XX) XĪXXXX XXX XXXXXXXX/ (XX) XXXXXXX ARBA XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX XXX TIMBRU/ (NL) XXXXX OF XXXXXXX/ (XX) XXXXXĘĆ LUB XXXXXXX/ (XX) XXXX XX CARIMBO/ (RO) XXXXXXXX XXX ȘTAMPILA/ (XX) XXXXX XXXXX XXXXXXXX PEČIATKY/ (XX) XXXXX ALI XXX/ (XX) XXXXXXX TAI XXXXX/ (XX) SIGILL XXXXX XXÄXXXX

XXXXXXXXX X XXXX

XXXXXXXXXXX XXXXXXXXXX FORMULÁŘ – POMŮCKA XXX XXXXXXX

Xxxxxx 7 xxxxxxxx Xxxxxxxxxx xxxxxxxxxx a Xxxx (EU) 2016/1191 xx xxx 6. xxxxxxxx 2016 x xxxxxxx xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx požadavků xx předkládání xxxxxxxxx xxxxxxxxx xxxxxx x Xxxxxxxx xxxx x x změně xxxxxxxx (XX) x. 1024/2012 (1)

Xxxxxx (XX) Bulharsko (XX)

Xxxxx republika (CZ)

Dánsko (XX) Německo (XX)

Xxxxxxxx (XX) Xxxxx (IE)

Řecko (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Chorvatsko (HR)

Itálie (XX) Kypr (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxx (XX) Xxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Slovinsko (XX)

Xxxxxxxxx (XX) Finsko (XX)

Xxxxxxx (XX) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

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

Xxxxx formulář xxxxxx xxxxx veřejné xxxxxxx, x níž xx xxxxxxxx. Xxxxx, jemuž xx xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx xxxx x xxxxxxxxx, xxx xx to xxxxxxxx xxx xxxxx zpracování xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx xxxxxxxxx, xxxxx xxxx xx formuláři uvedeny.

UPOZORNĚNÍ XXX VYDÁVAJÍCÍ XXXXX

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

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

1. XXXXX XXXXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

3. XXXXXXXXX TÝKAJÍCÍ XX XXXXXXX LISTINY, X XXX JE PŘILOŽEN XXXXX FORMULÁŘ

3.1 Xxxxxxx xxxxxx xxxxxxx nebo xxxxxxxxx x vazbou xx soudy daného xxxxxxxxx xxxxx

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx xxxxxx xxxxxxx zástupcem

3.1.3 Xxxxxxx xxxxxx xxxxxx xxxxxxx xxxxxxxxx

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

3.1.5 Xxxx (xxxxxxxxx)

(1) Úř. xxxx. X 200, 26.7.2016, x. 1.

(2) Xxx xxxxxxxxxx rukou xxxxxxxx xxxxxxx xxxxx.

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

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

3.2 Listina xxxxxx xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx z xxxxxxx

3.2.3 Xxxxx x xxxxxxxx xxxxxxxx

3.2.4 Opis matričních xxxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx listina

3.4 Xxxxxx xxxxxxxxx, xxxxxx xxxx xxxxxxxx listina xxxxxxxxx xxxxxxxxx xxxxxx

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

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx xxxxx veřejné xxxxxxx

4. XXXXXXXXX X XXXXXXX XXXXX

4.1 Xxxxxxxx

4.2 Xxxxx (xxxxx)

4.3 Datum (dd/mm/rrrr) xxxxxxxx

4.4 Místo (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 a číslo xxxx / xxxxxxxx xxxxxxxxx

4.6.2 Xxxxx x xxxxxxxx xxxxxxxxx xxxxx

4.6.3 Xxxx (3)

5. XX XXXXXXX VEŘEJNÉ XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX, XXXX DOTYČNÁ XXXXX XX DNI XXXXXX XXXXXXX XXXXXXX XXXXXX.

6. XXXX XXX PODPIS

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

6.2 Xxxxxx xxxxxxxx, xxxxx xxxxx tento formulář

6.3 Xxxxx (xx/xx/xxxx) vydání

6.4 Xxxxxx

6.5 Xxxxx nebo xxxxxxx

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

(2) Xxxxx země a – xxxxx existuje – xxx XXX xxxx země xxxx xxxxxxx „Xxxx (upřesněte)“ xx xxxxx xxxxxx x xxxxxxxxxxx nabídky xx vzorovém vícejazyčném xxxxxxxxxxx xxxxxxxxx, který xx x dispozici xx xxxxxxx xxxxxxxx x-xxxxxxx.

(3) Xxxxx xxxx x – xxxxx xxxxxxxx – xxx XXX xxxx xxxx xxxx možnost „Jiné (xxxxxxxxx)“ xx xxxxx xxxxxx x rozbalovací xxxxxxx ve vzorovém xxxxxxxxxxxx standardním xxxxxxxxx, xxxxx je x xxxxxxxxx na xxxxxxx xxxxxxxx x-xxxxxxx.

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX ESTE XXXXXXX/ (CZ) XXXXX XXXXXXXXXX TENTO FORMULÁŘ/ (XX) DENNE XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, XXX XXXXXX XXXXXXXX AUSSTELLT/ (ET) XÄXXXXXXX XXXXX VÄLJA XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (EN) XXXXXXXXX ISSUING THIS XXXX/ (XX) AUTORITÉ XX DÉLIVRANCE XX XXXXXXX XXXXXXXXXX/ (GA) XX xXXXXXX X XXXXXXXX XX XXXXXX XXX/ (XX) TIJELO XXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXXÀ XXX RILASCIA XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXX IZDEVĒJIESTĀDE/ (LT) XXĄ FORMĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) AWTORITÀ XXXXXXXXX XX' DIN XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX XXXXXXXXX/ (XX) XXXXX WYDAJĄCY NINIEJSZY XXXXXXXXX/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ A XXXXXXXXXXX FORMULAR/ (XX) XXXXX XXXXXXXXXX TENTO XXXXXXXX/ (SL) XXXXX, XX IZDA XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXX VIRANOMAINEN/ (XX) XXXXXXXXX XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (XX) BEZEICHNUNG/ (XX) XXXXXXX/ (EL) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) DENOMINAZIONE/ (XX) NOSAUKUMS/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (NL) XXXXXXXX/ (XX) XXXXX/ (XX) DESIGNAÇÃO/ (RO) XXXXXXXX/ (SK) XXXXX/ (XX) XXX/ (XX) XXXX/ (XX) NAMN

2.

(BG) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XX XXXXXXXXX XXXXXXX XX XXX SE XXXXXXX XXXX XXXXXXX/ (XX) XXXXX VYDÁVAJÍCÍ VEŘEJNOU XXXXXXX, X NÍŽ XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXX XXXXXXXXX, XXX HAR XXXXXXX DET XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX ER VEDHÆFTET/ (XX) XXXÖXXX, DIE XXX ÖFFENTLICHE URKUNDE, XXX XXXXXX FORMULAR XXXXXXÜXX XXX, XXXXXXXXX/ (XX) XXXXXX, XXX XXXXX XÄXXX AVALIKU XXXXXXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXX XXXXXXX XXX PUBLIC XXXXXXXX TO XXXXX XXXX FORM XX XXXXXXXX/ (XX) AUTORITÉ XX XXXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX JOINT XX XXXXXXX XXXXXXXXXX/ (GA) XX tÚDARÁS A XXXXXXXX AN DOICIMÉAD XXXXXX LENA XXXXXX XX XXXXXX SEO XXXXXXXXXX/ (HR) TIJELO XXXX XXXXXX JAVNU XXXXXXX XXXXX JE XXXX OBRAZAC XXXXXXXX/ (XX) XXXXXXXÀ CHE XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX IL XXXXXXXX MODULO È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX XX PIEVIENOTA, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX KURIO XXXXXXXXX XX FORMA, XXXXXXXXXX VALDŽIOS XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX KIÁLLÍTÓ XXXXXXX/ (MT) AWTORITÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX XX MIEGĦU XXXX XXXXXŻX XXX IL-FORMOLA/ (XX) XXXXXXXXXX VAN XXXXXXX XXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) ORGAN XXXXXĄXX XXXXXXXX URZĘDOWY, XX XXXXXXX NINIEJSZY XXXXXXXXX XXXX ZAŁĄCZONY/ (XX) AUTORIDADE XXX XXXXX X DOCUMENTO XXXXXXX X XXX X PRESENTE XXXXXXXXXX XXXX XXXXXX/ (RO) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXXX XXXXXXX XX XXXX XXXX ANEXAT XXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX VEREJNÚ XXXXXXX, XX KTOREJ XX XXXXX FORMULÁR XXXXXXXXX/ (XX) XXXXX, XX IZDA JAVNO XXXXXXX, KI JI XX XXXXXXXX XX XXXXXXX/ (XX) VIRANOMAINEN, XXXX ON XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ LOMAKE XXXXXXÄÄX/ (XX) MYNDIGHET XXX XXXÄXXXX XXX XXXXXXXXXX XXXXXXXX TILL XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX RELATIVA AL XXXXXXXXX XXXXXXX AL XXX XX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXX LISTINY, X XXX JE XXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXØXXXXX DET XXXXXXXXXX DOKUMENT, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (DE) ANGABEN XXX ÖXXXXXXXXXXX XXXXXXX, XXX DIESES XXXXXXXX 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 RELATING XX XXX XXXXXX XXXXXXXX XX XXXXX THIS XXXX XX ATTACHED/ (XX) INFORMATIONS RELATIVES XX XXXXXXXX PUBLIC XXXXXX EST JOINT XX PRÉSENT XXXXXXXXXX/ (XX) XXXXXXXX X XXXXXXXXX XXXX AN XXXXXXXXX POIBLÍ LENA XXXXXX AN FHOIRM XXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXX SE XXXXXX XX JAVNU XXXXXXX KOJOJ XX XXXX OBRAZAC PRILOŽEN/ (XX) INFORMAZIONI XXXXXXXX XX DOCUMENTO PUBBLICO XXX IL XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (XX) INFORMACIJA, XXXXXXXX SU VIEŠUOJU XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATRA XXXXXXXXX XXXXXXXXXXX/ (MT) INFORMAZZJONI XXXX ID-DOKUMENT XXXXXXXX XX XXXXĦX XXXX XXXXXŻX DIN IL-FORMOLA/ (XX) XXXXXXXXXX BETREFFENDE XXX XXXXXXXX XXXXXXXX XXXXXXX XXX FORMULIER XX XXXXXXX/ (PL) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXXXXXXXX FORMULARZ XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX XXXXXXXXX XXXXXXX X XXX X XXXXXXXX FORMULÁRIO XXXX XXXXXX/ (RO) XXXXXXXȚXX REFERITOARE XX XXXXXXXXXX XXXXXXX XX XXXX ESTE XXXXXX XXXXXXXXX FORMULAR/ (SK) XXXXXXXXXX O XXXXXXXX XXXXXXX, XX KTOREJ XX XXXXX XXXXXXXX XXXXXXXXX/ (SL) XXXXXXXXXXX X ZVEZI X XXXXX XXXXXXX, XX XX JE XXXXXXXX XX XXXXXXX/ (XX) XXXXXX XXXXXXXXÄ ASIAKIRJASTA, XXXXX XÄXÄ LOMAKE XXXXXXÄÄX/ (SV) 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/ (ES) XXXXXXXXX XXXXXXXX XXX XXX XXXXXXXXX O XX XXXXXXXXXXX VINCULADO X XXX ÓRGANOS XXXXXXXXXXXXXXXX XX XX XXXXXX MIEMBRO/ (XX) XXXXXXX VYDANÁ XXXXXXX XXXX XXXXXXXXX X XXXXXX NA XXXXX XXXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXXX, XXX XX XXXXXXX XX XX XXXXXXXXX ELLER XX XXXXXXXXXX, XXX XX TILKNYTTET XXXXXXXX X EN XXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXÖXXX XXXX XXXXX XXXXXXXXXX XXX XXXXX XXX RECHTSPFLEGE XXXXX XXXXXXXXXXXXXX/ (XX) DOKUMENT, XXXXX ON XÄXXX XXXXXX XXXXXXXXXXXX KOHTUTEGA XXXXXX XXXXXXXXXXX XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (EN) XXXXXXXX EMANATING XXXX XX AUTHORITY OR XX XXXXXXXX XXXXXXXXX XXXX XXX COURTS XX XXXXXXXXX XX X XXXXXX STATE/ (XX) XXXXXXXX XXXXXXX X'XXX AUTORITÉ XX X'XX FONCTIONNAIRE XXXXXXXX X'XXX XXXXXXXXXXX X'XX XXXX MEMBRE/ (XX) XXXXXXXXX X THAGANN X ÚDARÁS NÓ X XXXXXXXXX X XXXXXX BAINT XXXX XX XXXX XX XXXXXXXXXX XX LE XXXXX DE CHUID XXXXXXXXX/ (HR) ISPRAVA XXXX XX IZDALO XXXXXX XXX XXXXXXXXX XXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX EMANATO XX XX'XXXXXXXÀ X XX XX FUNZIONARIO XXXXXXXXXXXX AD XXX XXXXX XXXXXXXXXXXXX XX XXX XXXXX MEMBRO/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XX XXXĪXXXXXXX XXXXĀX XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, IŠDUOTAS XXXXXXXX XXXXXXXXXXXX AR XXXXXXŪXX, XXXXXXXXŲ XX VALSTYBĖS XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX ÁLLÓ XXXXXXX VAGY XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX AWTORITÀ XXX XXXXĊXXX LI XXXXXXXX XXXXX XXX-XXXXX JEW XX-XXXXXXXXX XX' XXXX XXXXXX/ (NL) DOCUMENT XXXXXXXXX XXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX TOT XXX XXXXXXXXXXXX INSTANTIE XXX XXX LIDSTAAT/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXX XĄXXXXXX LUB XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXXXX XX DE XX XXXXXXXXXXX XXXXXXXXXX XX QUALQUER XXXXXXXÇÃX XX XX XXX XXXXXXX-XXXXXXX/ (XX) DOCUMENT XXXX XX X XXXXXXXXXX XXX XX XX FUNCȚIONAR XX XX LÂNGĂ XXXXXXȚXXX XXXX STAT XXXXXX/ (XX) LISTINA XXXXXX XXXXXXX XXXXX XXXXXXXXX X VÄZBOU XX XXXX XXXXXXXXX ŠTÁTU/ (XX) LISTINA, XXXXXX X XXXXXX XXXXXX XXX XXXXXXXX XXXXX XXXXXXX DRŽAVE XXXXXXX/ (XX) ASIAKIRJA, XXXXX XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX VIRANOMAINEN XXX XXXXXXXXX/ (XX) XXXXXXXX SOM HÄRRÖR XXÅX EN XXXXXXXXX XXXXX EN XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX I XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (DA) XXXXXXXXXXXØXXXXX/ (XX) GERICHTSENTSCHEIDUNG/ (ET) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) DÉCISION XX JUSTICE/ (XX) XXXXXXXX ÓN gCÚIRT/ (XX) XXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (XX) XXXXXX SPRENDIMAS/ (XX) BÍRÓSÁGI XXXXXXXXX/ (XX) XXĊXŻXXXX TAL-QORTI/ (XX) RECHTERLIJKE XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (XX) XXXXXÃX XXXXXXXX/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) XXXXX ODLOČBA/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX EXPEDIDO XXX XX MINISTERIO XXXXXX/ (XX) XXXXXXX XXXXXX STÁTNÍM XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT, XXXXX ON XÄXXX XXXXXX RIIKLIK XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (EN) XXXXXXXX XXXXXXXXX XXXX X XXXXXX XXXXXXXXXX/ (XX) DOCUMENT XXXXXXX XX XXXXXXÈXX PUBLIC/ (XX) DOICIMÉAD A XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXXX ODVJETNIŠTVO/ (IT) XXXXXXXXX XXXXXXX XXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX DOKUMENTAS/ (XX) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (MT) DOKUMENT XXĦXXĠ XXXX PROSEKUTUR XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX XXXXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXX DE UN XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXXXXXX/ (SL) XXXXXXX, KI XX XXXX DRŽAVNO XXXXXXXXX/ (XX) VIRALLISEN XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXX VYŠŠÍM XXXXXXX XXXXXXXXX/ (DA) XXXXXXXX XXXXXXX AF XX XXXXXXXXXXXXXÆX/ (DE) XXXXXXX EINES XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (ET) XXXXXXXX, XXXXX XX VÄLJA XXXXXX XXXXXXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (EN) XXXXXXXX EMANATING FROM X XXXXX XX X COURT/ (FR) XXXXXXXX XXXXXXX D'UN XXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX Ó XXXXXXXXXX DE XXXXX XXXXXX/ (HR) XXXXXXX XXXX XX XXXXX XXXXXXXXXX SUDSKE XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX TIESAS XXXXXXĀXX/ (XX) XXXXXX TARNAUTOJO XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX OKIRAT/ (MT) XXXXXXXX MAĦRUĠ XXXX XXĠXXXXXXXX XX' QORTI/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX GRIFFIER/ (XX) XXXXXXXX XXXXXXXĄXX XX SEKRETARZA XĄXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX XX UM XXXXXXX XX XXXXXÇX/ (XX) XXXXXXXX XXXX DE XX GREFIER AL XXXXXXȚXX/ (XX) LISTINA XXXXXX SÚDNYM XXXXXXXXX/ (XX) LISTINA, XX XX XXXX SODNI XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX FRÅN XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (CZ) LISTINA XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXX UDSTEDT XX XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX XX VÄLJA XXXXXX KOHTUTÄITUR/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («HUISSIER XX XXXXXXX»)/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXXXX OFFICER ('XXXXXXXX XX JUSTICE')/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXX XXXXXXXXXXXX (“HUISSIER XX XXXXXXX”)/ (XX) XXXXXXX XXXX XX XXXXX XXXXXX XXXXXXXXX (XXXXXXXX DE JUSTICE)/ (XX) DOCUMENTO EMANATO XX XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (XXXXXXXX DE XXXXXXX)/ (LT) ANTSTOLIO (XXXXXXXX XX XXXXXXX) XXXXXXXX DOKUMENTAS/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX XĄXXXXXX (HUISSIER XX XXXXXXX)/ (PT) XXXXXXXXX PROVENIENTE XX XX XXXXXXX DE XXXXXXÃX DE DIREITO («XXXXXXXX DE JUSTICE»)/ (XX) XXXXXXXX XXXX XX UN EXECUTOR XXXXXĂXXXXXX („HUISSIER XX XXXXXXX”)/ (XX) LISTINA XXXXXX XXXXXX VYKONÁVATEĽOM („XXXXXXXX DE XXXXXXX“)/ (XX) LISTINA, KI XX IZDA XXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) HAASTEMIEHEN (”XXXXXXXX DE XXXXXXX”) XXXXXX XXXXXXXXX/ (XX) XXXXXXXX SOM HÄRRÖR XXÅX EN XXÄXXXXXXXXX (XXXXXXXX DE XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) OTRO (XXXXXXXXXXXXX)/ (XX) JINÉ (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (DE) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) XXX (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (TO XX XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (GA) XXXX (XX XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (XX) ALTRO (PRECISARE)/ (XX) CITS (PRECIZĒT)/ (XX) XXXX (XXXXXXXX)/ (XX) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (NL) XXXXXXX (XXXXXXXXXXXX)/ (PL) INNY (XXXXXĘ OKREŚLIĆ)/ (XX) XXXXXX (X XXXXXXXXXXX)/ (XX) XXXXX (A XX PRECIZA)/ (SK) XXX (XXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) ANNAN HANDLING (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXX ÚŘADEM/ (DA) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (EN) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX DOKUMENTAS/ (HU) XÖXXXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXXXXXXXXXXXXX/ (NL) XXXXXXXXXXXXXX DOCUMENT/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX ADMINISTRATIVO/ (XX) XXXXXXXX ADMINISTRATIV/ (XX) XXXXXXX XXXXXXX/ (SL) XXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) CERTIFICADO/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (GA) DEIMHNIÚ/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) APLIECINĀJUMS/ (XX) PAŽYMA, LIUDIJIMAS/ (XX) TANÚSÍTVÁNY/BIZONYÍTVÁNY/ (XX) ĊXXXXXXXXX/ (XX) CERTIFICAAT/ (XX) ZAŚWIADCZENIE/ (PT) 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 XXX REGISTRO CIVIL/ (XX) XXXXX X XXXXXXX/ (DA) UDDRAG XXX CIVILSTANDSREGISTRET/ (XX) XXXXXX XXX XXX XXXXXXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX XXXXX STATUS XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX DE L'ÉTAT XXXXX/ (XX) SLIOCHT XX AN xXXXX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXX XXXXXX/ (IT) XXXXXXXX XX ATTO XX STATO XXXXXX/ (XX) IZRAKSTS XX XXXXXXXĀXXXĻX AKTU XXĢXXXXX/ (XX) IŠRAŠAS XX XXXXXXXĖX XŪXXĖX AKTŲ XXXXXXXX/ (XX) ANYAKÖNYVI XXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX TAL-ISTAT ĊXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXX VAN XX XXXXXXXXXXX STAND/ (XX) XXXXX XXXXXXXX XXXX STANU XXXXXXXXX/ (XX) EXTRATO XX XXXX XX XXXXXXX XXXXX/ (XX) EXTRAS XXX XXXXXXXXX XX XXXXX XXXXXĂ/ (SK) XXXXX X REGISTRA XXXXXXXX XXXXX/ (XX) XXXXXXX XX REGISTRA X OSEBNEM STANJU/ (XX) VÄESTÖREKISTERIOTE (SIVIILISÄÄTY)/ (XX) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) EXTRACTO XXX XXXXX/ (CZ) VÝPIS X XXXXXXXX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXX XXX DEM MELDEREGISTER/ (XX) RAHVASTIKUREGISTRI VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX XXX POPULATION XXXXXXXX/ (XX) XXXXXXX DU XXXXXXXX XX LA XXXXXXXXXX/ (XX) SLIOCHT XX XX gCLÁR XXXXXX/ (XX) XXXXXXX XX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX NO XXXXĪXXXĀXX XXĢXXXXX/ (XX) XXXXXXX XX GYVENTOJŲ XXXXXXXX/ (HU) KIVONAT X SZEMÉLYIADAT- XX XXXXXXXXXXXXXXXXXXXXXX/ (MT) XXXXXXX XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (NL) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) WYCIĄG X REJESTRU XXXXXŚXX/ (XX) XXXXXXX DO XXXXXXX DA XXXXXXÇÃX/ (XX) XXXXXX XXX XXXXXXXXX XX XXXXXXȚĂ X XXXXXXȚXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXĽXX/ (XX) XXXXXXX XX XXXXXXXX PREBIVALSTVA/ (XX) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX XX BEFOLKNINGSREGISTER

3.2.4

(BG) ПЪЛЕН ПРЕПИС ОТАКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX XX XXXXX DEL XXXXXXXX XXXXX/ (XX) XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXX XX CIVILSTANDSREGISTRE/ (XX) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (ET) PEREKONNASEISUAKTI XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX XX XXXXX XXXXXX RECORDS/ (XX) XXXXX XXXXXXXXX X'XXXXX XX X'XXXX XXXXX/ (XX) XXXX XXXXX XX XXXXXX XX XXXXXXX XX XXXXXX XXXXXXXXX/ (XX) DOSLOVNI XXXXXXXX IZ EVIDENCIJA X XXXXXXX XXXXXX/ (XX) XXXXX LETTERALE XX ATTO XX XXXXX CIVILE/ (XX) XXXXXXXĀXXXĻX AKTU REĢISTRA XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮXXXŲ PAŽODINĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX XXX SZERINTI XXXXXXXX/ (XX) XXXXX XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (NL) XXXXXXXXXXX XXXXXXXXX VAN AKTEN XXX DE BURGERLIJKE XXXXX/ (XX) ODPIS XXXXŁXX XXXX XXXXX XXXXXXXXX/ (XX) CERTIDÃO XX CÓPIA XXXXXXXX XX DE XXXXXXXXX XX ATOS DE XXXXXXX CIVIL/ (XX) XXXXX EXACTĂ X XXXX XXX DE XXXXX XXXXXĂ/ (SK) XXXXXXXX VÝPIS ZO XXXXXXX O XXXXXXX XXXXX/ (XX) DOBESEDNI XXXXXX XXXXXX X XXXXXXX STANJU/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (ES) XXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (DA) XXXXXXXXXÆXXXX XXXXXXXX/ (DE) XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX ACT/ (XX) XXXX XXXXXXX/ (XX) XXXXXX NÓTAIREACHTA/ (XX) JAVNOBILJEŽNIČKA ISPRAVA/ (XX) XXXX NOTARILE/ (XX) XXXXXXĀXX XXXX/ (XX) XXXXXXXXX AKTAS/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) ATT XXXXXXXX/ (XX) NOTARIËLE AKTE/ (XX) AKT NOTARIALNY/ (XX) ATO XXXXXXXX/ (XX) XXX NOTARIAL/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX LISTINA/ (XX) XXXXXXXX XXXXXX XXXXXXXXX/ (XX) NOTARIELL XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX XXXXXX SOBRE XX XXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXX, XXXXXX XXXX XXXXXXXX XXXXXXX XXXXXXXXX SOUKROMOU OSOBOU/ (XX) XXXXXXXX XÅXXXXXXX XÅ XX DOKUMENT XXXXXXXXXXX AF XX XXXXXX X XXXXXX XXXXXXXX AF XXXXXXXXXXXX/ (XX) AMTLICHE BESCHEINIGUNG XXX XXXXX XXXXXXXXXXXXX/ (XX) XXXXX POOLT XXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX AMETLIK TÕEND/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΊ ΩΣ ΙΔΙΩΤΗΣ/ (EN) OFFICIAL XXXXXXXXXXX XXXXXX XX X XXXXXXXX SIGNED XX A XXXXXX XX HIS OR XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX XX XXXX SOUS XXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX A XXXXXXXXX XX XXXXXXXXXX XXXX XXXXXX AG XXXXX XXX XXXXX XX XXX XXXX PHRÍOBHÁIDEACH/ (XX) SLUŽBENA POTVRDA XXXXXXXXX XX ISPRAVU XXXX XX XXXXX XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX APPOSTA XX XXX XXXXXXXXX XXXXXXX/ (XX) OFICIĀLS XXXXXXXXĀXXXX XX XXXXXXXXX, XX XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX PERSONA/ (XX) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ OFICIALŪS XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (MT) ĊXXXXXXXXX XXXXĊXXXX LI XXXXXXXĦXX X'XXXXXXXX IFFIRMAT XXXX XXXXXXX FIL-KAPAĊITÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX CERTIFICAAT XX XXX XXXXXXXX XXXXXXXXXXX XXXX EEN PERSOON XX ZIJN XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) URZĘDOWE XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX XXXXXXXXX/ (PT) XXXXXXXÇÃX OFICIAL XXXXXXX XXX ATO XX XXXXXXXX PRIVADA/ (XX) XXXXXXXXXX XXXXXXX XXXXXXX XX XX XXXXXXXX XXX SEMNĂTURĂ XXXXXXĂ/ (XX) XXXXXX OSVEDČENIE XXXXXXX NA LISTINE XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXX XX XXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, XXXXX XXXXXXÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX XXXXX XXXXXXXXX XÅ EN XXXXXXXX SOM UNDERTECKNATS XX XX PRIVATPERSON

3.5

(BG) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX XXX UN XXXXXX XXXXXXXXXXX X XXXXXXXX XX XX XXXXXX MIEMBRO CON XXXXXXXX XXXXXXX/ (CZ) XXXXXXX VYHOTOVENÁ XXXXXXXXXXXXX XXXXXXXXX NEBO XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) DOKUMENT XXXXXXXXX XXXÆXXXXXX AF EN XXXXXXXXXXXX DIPLOMATISKE ELLER XXXXXXÆXX REPRÆSENTANT/ (DE) XXX XXXXX XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX MITGLIEDSTAATS XX XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX XXXXX AMETIKOHUSTUSTE XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX XXXXX XX XX X XXXXXXXXXX XX CONSULAR XXXXX OF X XXXXXX XXXXX XX XXX OR XXX XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX ÉTABLI XX XX XXXXXXX OFFICIELLE XXX XX XXXXX XXXXXXXXXXXX XX XXXXXXXXXX X'XX XXXX XXXXXX/ (XX) XXXXXXXXX ARNA XXXXXXXXXX XXXX XX XXXXXXXXXX TAIDHLEOIREACHTA XX XXXXXXXXX DE XXXXX XXXXXXXXX INA XXXXX XX INA XXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX X XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX ČLANICE/ (XX) DOCUMENTO REDATTO XX XXXXXX XXXXXXXXXXX X CONSOLARI XX XXX STATO XXXXXX XXXX'XXXXXXXXX DELLE LORO XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX AMATA XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (LT) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX NARĖS XXXXXXXXX AR KONSULINIO XXXXXXŪXX, VEIKIANČIO PAGAL XXXXXXXXXX ĮGALIOJIMUS/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXXX MINN XĠXXX XXXXXXXXXXX XXX XXXXXXXXX TA' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX DOOR XX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX XX XXXX XXXXXXËXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX DZIAŁAJĄCYCH W XXXXXXXXXXX XXXĘXXXXX/ (XX) XXXXXXXXX XXXXXXX POR XX XXXXXX XXXXXXXXXXX XX CONSULAR DE XX XXXXXX-XXXXXX XX XXXXXXXXX DAS XXXX XXXÇÕXX XXXXXXXX/ (RO) XXXXXXXX ÎNTOCMIT DE XĂXXX UN AGENT XXXXXXXXXX XXX CONSULAR XX UNUI XXXX XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX KONZULÁRNYM ÚRADNÍKOM XXXXXXXXX ŠTÁTU V XXXXX VÝKONU XXXX XXXXXXX/ (XX) XXXXXXX, XX XX XXX XXXXXX XXXXX IZDA XXXXXXXXXXX ALI XXXXXXXXXX XXXXXXXXXXX DRŽAVE XXXXXXX/ (XX) ASIAKIRJA, JONKA XÄXXXXXXXXXX XXXXXXXXXXXXXX EDUSTAJA XXX XXXXXXXXXXXXXXX ON XXXXXXXX VIRANTOIMITUKSESSA/ (SV) XXXXXXXX XXXXÄXXXX X XXÄXXXXX XX EN XXXXXXXXXXX XXXXX KONSULÄR XXÄXXXXXXX X XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (DD/MM/AAAA) DE XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) VYDÁNÍ/ (DA) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX DÉLIVRANCE/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/GGGG) XXXXXXXXX/ (XX) XXXX XX RILASCIO (XX/XX/XXXX)/ (XX) IZDOŠANAS XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) XXXXX (XX/XX/XXXX) VAN XXXXXXX/ (XX) DATA (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) VYDANIA/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (FI) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) FÖR XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX XXXXXXXXXX XXX DOCUMENTO XXXXXXX/ (XX) XXXXXXXXXX ČÍSLO XXXXXXX XXXXXXX/ (XX) XXX XXXXXXXXXX DOKUMENTS XXXXXXXXXXXXXXX/ (DE) XXXXXXXXXX XXX ÖFFENTLICHEN URKUNDE/ (XX) AVALIKU DOKUMENDI XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (EN) REFERENCE XXXXXX XX XXX XXXXXX XXXXXXXX/ (FR) XXXXXX XX XXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXX XXXXXXXXX XX DOICIMÉID XXXXXXX/ (XX) REFERENTNI BROJ XXXXX XXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXX XXX DOCUMENTO XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXX/ (XX) X XÖXXXXXXX XXXXXXXXXXX SZÁMA/ (XX) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXX XX XXXXXÊXXXX DO XXXXXXXXX PÚBLICO/ (XX) XXXĂXXX DE REFERINȚĂ XX XXXXXXXXXXXX XXXXXXX/ (XX) REFERENČNÉ XXXXX XXXXXXXX LISTINY/ (XX) XXXXXXXXXX XXXXXXXX JAVNE XXXXXXX/ (FI) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX SOBRE XX XXXXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXXXX XX XXX XÅXÆXXXXXX PERSON/ (XX) ANGABEN XXX XXXXXXXXXXXX XXXXXX/ (ET) XXXXXXXXX XXXXXX KÄSITLEV XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) INFORMATION XX THE PERSON XXXXXXXXX/ (XX) INFORMATIONS XXX XX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXX XXXX XX XXXXX XXXX mBAINEANN/ (XX) XXXXXXXXXXX X XXXXXXXX OSOBI/ (XX) XXXXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (XX) INFORMĀCIJA XXX XXXXXXĪXX XXXXXXX/ (XX) XXXXXXXXXXX XXXX XXXXXXXXXĄ XXXXXĮ/ (HU) XX ÉRINTETT XXXXXXXXX XXXXXXXXX ADATOK/ (XX) XXXXXXXXXXXXX XXXX IL-PERSUNA XXXXĊXXXXXX/ (NL) XXXXXXXXXX XXXX DE XXXXXXXXXX/ (XX) DANE XXXXX, XXXXXX DOTYCZY XXXXXXXX/ (XX) XXXXXXXÇÕXX XXXXX X PESSOA XX XXXXX/ (RO) INFORMAȚII XXXXXXX XXXXXXXX XXXXXĂ/ (XX) XXXXXXXXXX X XXXXXXXXX XXXXX/ (XX) XXXXXXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXX/ (SV) XXXXXXXXX XX XXX XXXÖXXX XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (ES) APELLIDO(S)/ (XX) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (DE) FAMILIENNAME(N)/ (XX) PEREKONNANIMI (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX(X)/ (XX) NOM(S)/ (XX) SLOINNE (SLOINNTE)/ (XX) XXXXXXX(XX)/ (IT) XXXXXXX(X)/ (XX) XXXĀXXX(-X)/ (XX) PAVARDĖ (-ĖS)/ (XX) XXXXXXX NEVE(I)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (NL) XXXXXXXX(X)X(XX)/ (XX) NAZWISKO(-A)/ (XX) XXXXXXX(X)/ (XX) XXXX/ (XX) XXXXXXXXXX(-X)/ (XX) PRIIMEK/PRIIMKI/ (XX) XXXXXXXX (-XXXXX)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (CZ) XXXXX (XXXXX)/ (DA) XXXXXXX(X)/ (XX) VORNAME(N)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) CÉADAINM (CÉADAINMNEACHA)/ (XX) XXX(XX)/ (IT) XXXX(X)/ (XX) VĀRDS(-I)/ (XX) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (MT) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (XX) IMIĘ (XXXXXX)/ (XX) XXXX(X) XXXXXXX(X)/ (XX) XXXXXXX/ (SK) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (XX) FÖRNAMN

4.3

(BG) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX NACIMIENTO/ (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) OF XXXXX/ (XX) XXXX (XX/XX/XXXX) XX NAISSANCE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (XX) DATA XX XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) GIMIMO XXXX (DD/MM/MMMM)/ (HU) XXÜXXXXXX IDEJE (XXXX/XX/XX)/ (XX) XXXX (JJ/XX/SSSS) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (PL) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (XX/XX/XXXX) NARODENIA/ (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 NACIMIENTO/ (XX) MÍSTO A XXXX XXXXXXXX/ (XX) XØXXXXXX OG -LAND/ (XX) XXX UND XXXX XXX GEBURT/ (XX) XÜXXXXXXX JA -XXXX/ (EL) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) PLACE AND XXXXXXX XX XXXXX/ (XX) XXXX ET XXXX XX XXXXXXXXX/ (XX) ÁIT XXXX XXX BHREITHE/ (XX) XXXXXX I XXXXXX XXĐXXXX/ (IT) XXXXX X PAESE XX XXXXXXX/ (XX) XXXXXXXXX XXXXX XX XXXXXX/ (XX) GIMIMO VIETA XX ŠALIS/ (XX) XXÜXXXXXX XXXXX ÉS XXXXXXX/ (XX) XXXX X XXXXXŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX XX -XXXX/ (XX) XXXXXXX X XXŃXXXX XXXXXXXXX/ (XX) XXXXX X XXXX DE XXXXXXXXXX/ (XX) XXXXX ȘX ȚXXX XXȘXXXXX/ (XX) XXXXXX X XXXX XXXXXXXXX/ (XX) KRAJ XX DRŽAVA XXXXXXX/ (XX) XXXXXXÄXXXXXX JA -XXX/ (SV) XÖXXXXXXXX XXX -LAND

4.5

(BG) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (XX) XØX/ (XX) GESCHLECHT/ (XX) XXXX/ (XX) ΦΥΛΟ/ (XX) SEX/ (FR) XXXX/ (XX) XXXXXX/ (XX) SPOL/ (XX) XXXXX/ (XX) DZIMUMS/ (XX) XXXXX/ (XX) XXXX/ (MT) XXXX/ (XX) XXXXXXXX/ (PL) XŁXĆ/ (PT) XXXX/ (XX) XXXXX/ (SK) XXXXXXXX/ (XX) SPOL/ (XX) XXXXXXXXX/ (SV) XÖX

4.5.1

(XX) ЖЕНСКИ/ (ES) XXXXX/ (XX) ŽENA/ (XX) KVINDE/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (FR) FÉMININ/ (XX) XXXXXXXX/ (HR) XXXXXX/ (IT) FEMMINILE/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (HU) XŐ/ (XX) XXXX/ (XX) XXXXX/ (PL) XXXXXXX/ (XX) FEMININO/ (XX) XXXXXXXX/ (XX) ŽENSKÉ/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) KVINNA

4.5.2

(BG) МЪЖКИ/ (ES) VARÓN/ (XX) MUŽ/ (DA) XXXX/ (XX) XÄXXXXXX/ (XX) MEESSOOST/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (GA) XXXXXXX/ (XX) MUŠKI/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) XXXXX/ (XX) XXXXX/ (XX) XXĠXX/ (NL) XXX/ (XX) MĘŻCZYZNA/ (XX) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (FI) XXXX/ (XX) XXX

4.5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (DA) XXXXXXXX/ (XX) UNBESTIMMT/ (ET) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (EN) XXXXXXXXXXXX/ (XX) INDÉTERMINÉ/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (LT) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (MT) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (SL) XXXXXXXXX/ (XX) MÄÄRITTELEMÄTÖN/ (XX) EJ XXXXXXÄXXX

4.6

(XX) АДРЕС/ (XX) XXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) ANSCHRIFT/ (XX) XXXXXXX/ (XX) ΔΙΕΥΘΥΝΣΗ/ (EN) XXXXXXX/ (XX) XXXXXXX/ (GA) XXXXXXX/ (XX) XXXXXX/ (XX) INDIRIZZO/ (XX) XXXXXX/ (XX) ADRESAS/ (XX) XXXX/ (MT) XXXXXXXX/ (XX) XXXXX/ (XX) XXXXX/ (PT) XXXXXXÇX/ (XX) XXXXXX/ (XX) ADRESA/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX

4.6.1

(XX) УЛИЦА И НОМЕР/ПОЩЕНСКА КУТИЯ/ (XX) CALLE Y XXXXXX / XXXXXXXX XX XXXXXXX/ (CZ) XXXXX X XXXXX XXXX / XXXXXXXX XXXXXXXXX/ (XX) XXX XX HUSNUMMER/POSTBOKS/ (DE) XXXXXXX UND XXXXXXXXXX/XXXXXXXX/ (XX) XÄXXX XX XXXX XXXXXX/XXXXXXXX/ (EL) ΟΔΟΣ ΚΑΙ ΑΡΙΘΜΟΣ / Τ.Θ./ (XX) XXXXXX XXX NUMBER/PO XXX/ (FR) RUE XX XXXXXX/XXÎXX XXXXXXX/ (XX) SRÁID XXXX XXXXXX/XXXXX XXXXX/ (XX) XXXXX I BROJ / XXXXXXXXX XXXXXXXX/ (XX) XXX X XXXXXX/XXXXXXX XXXXXXX/ (LV) XXXX XX MĀJAS XXXXXX / XXXXXXXXX/ (XX) XXXXĖ XX XXXX XXXXXXX / XXXXX XĖXXXĖ/ (XX) XXXX ÉS HÁZSZÁM/POSTAFIÓK/ (XX) XXXX X XXXXX/XXXXX XXXXXXX/ (NL) XXXXXX EN XXXXXX/XXXXXXX/ (XX) ULICA X XXXXX / SKRYTKA XXXXXXXX/ (XX) RUA X XXXXXX/XXXXX XXXXXX/ (XX) XXXXXX ȘI XXXĂXXX/XĂXXȚX POȘTALĂ/ (XX) XXXXX X XXXXX/XXXXXXX XXXXXXXXX/ (SL) XXXXX XX XXXXXXXX/XXXXXX XXXXXX/ (XX) LÄHIOSOITE/POSTILOKERO/ (XX) XXXXXXXXXX/XXXXXXX

4.6.2

(XX) НАСЕЛЕНО МЯСТО И ПОЩЕНСКИ КОД/ (XX) XXXXXXXXX X XXXXXX XXXXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXXX XXXXX/ (XX) XX XX POSTNUMMER/ (XX) XXX UND XXX/ (XX) XXXX XÕX XXXXX XX XXXXXXXXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΤΑΧΥΔΡΟΜΙΚΟΣ ΚΩΔΙΚΟΣ/ (XX) XXXXX XXX XXXXXX XXXX/ (XX) XXXXXXXX XX CODE XXXXXX/ (GA) XXX XXXX XXX XXXXX/ (XX) XXXXXX I XXXXXXXXX XXXX/ (XX) XXXXXXXÀ E XXX/ (XX) VIETA XX XXXXX XXXXXXX/ (XX) XXXXX XX XXXXX XXXXX/ (XX) HELYSÉG XX XXXXXXXXXXXX/ (XX) XXXXXXXÀ X XXXXĊX XXXXXXX/ (XX) XXXXXX XX XXXXXXXX/ (XX) XXXXXXXXXŚĆ I KOD XXXXXXXX/ (XX) LOCALIDADE X XXXXXX POSTAL/ (XX) XXXXXXXXXXX ȘI XXXXX POȘTAL/ (XX) XXXXXX X POŠTOVÉ XXXXXXXXXX ČÍSLO/ (SL) XXXX IN XXXXXX XXXXXXXX/ (XX) POSTINUMERO XX XXXXXXXXXXXXXXXX/ (SV) XXX OCH POSTNUMMER

4.6.3

(BG) ДЪРЖАВА/ (ES) XXXX/ (XX) XXXX/ (XX) XXXX/ (DE) LAND/ (XX) XXXX/ (EL) ΧΩΡΑ/ (XX) XXXXXXX/ (XX) XXXX/ (XX) XXX/ (HR) ZEMLJA/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) ORSZÁG/ (MT) XXXXXŻ/ (XX) LAND/ (XX) XXŃXXXX/ (XX) XXXX/ (XX) ȚARA/ (XX) XXXX/ (XX) XXXXXX/ (FI) 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/ (ES) XXXXX XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX, EL XXXXXXXXXX XXXXXX XX XXXX XX LA XXXXX XX EXPEDICIÓN DEL XXXXXXXXX XXXXXXX/ (XX) XX XXXXXXX VEŘEJNÉ XXXXXXX, K NÍŽ XX XXXXXXXX XXXXX XXXXXXXX, XXXX DOTYČNÁ XXXXX XX DNI XXXXXX XXXXXXX XXXXXXX XXXXXX/ (DA) I XXXXXXX XXX DET XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX, VAR XXX XÅXÆXXXXXX PERSON X XXXX XÅ DATOEN XXX UDSTEDELSEN XX XXX OFFENTLIGE DOKUMENT/ (XX) XXXÄXX XXX ÖXXXXXXXXXXX XXXXXXX, DER XXXXXX XXXXXXXX BEIGEFÜGT XXX, XXX XXX XXXXXXXXXXX XXXXXX AM XXX XXX XXXXXXXXXXX XXX ÖFFENTLICHEN XXXXXXX XX LEBEN/ (ET) XXXXXXXXX XXXXXXXXX XXXXXXXXXXX, XXXXXXX XXX XXXX XX XXXXXXX, 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/ (XX) XXXXXXXXX XX THE XXXXXX XXXXXXXX XX XXXXX THIS XXXX XX ATTACHED, XXX XXXXXX XXXXXXXXX XXX XXXXX ON XXX XXXX XX ISSUE XX XXX XXXXXX XXXXXXXX/ (XX) X'XXXÈX XX DOCUMENT PUBLIC XXXXXX XX PRÉSENT XXXXXXXXXX XXX XXXXX, XX XXXXXXXX XXXXXXXXX XXXXX XX VIE À XX XXXX XX DÉLIVRANCE XX XX DOCUMENT XXXXXX/ (XX) XX XXXX XX DOICIMÉID XXXXXXX XXXX xxXXXX XX XXXXXX XXX CEANGAILTE, XXX XX DUINE XXXX mBAINEANN XXX XX XXXXX EISIÚNA XX DOICIMÉID XXXXXXX/ (XX) PREMA XXXXXX XXXXXXX XXXXX JE XXXX OBRAZAC XXXXXXXX XXXXXXX XXXXX XXXX XX ŽIVA NA XXX XXXXXXXXX XXXXX XXXXXXX/ (XX) SECONDO XX XXXXXXXXX PUBBLICO XXX XX PRESENTE XXXXXX È ALLEGATO, X'XXXXXXXXX XX VITA XXXXX PERSONA XXXXXXXXXXX È XXXXX XXXXXXXXX XXXX XXXX DI XXXXXXXX DI XXXX XXXXXXXXX/ (LV) SASKAŅĀ XX XXXXXXXX XXXXXXXXX, XXXXX XĪ VEIDLAPA XX PIEVIENOTA, XXXXXXĪXĀ XXXXXXX XXXXXXXĀ DOKUMENTA XXXXXXXXX DIENĀ XXXX XXĪXX/ (XX) XXXXX XXXXĄXĮ XXXXXXXXĄ, PRIE XXXXX XXXXXXXXX XX XXXXX, XXXXXXX XXXXXXXXX XXXXXXXX XXXXĄ XXXXXXXXXXX XXXXX BUVO XXXXX/ (XX) X FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXX SZERINT XX XXXXXXXX XXXXXXX X KÖZOKIRAT XXXXXXXXXXXXX XXŐXXXXXXXXX ÉLETBEN VOLT/ (XX) XXXXX ID-DOKUMENT XXXXXXXX XX XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX, XX-XXXXXXX XXXXĊXXXXXX XXXXXX ĦAJJA XXX-XXXX XXX-ĦXXĠ TAD-DOKUMENT PUBBLIKU/ (XX) XXXXXXX XXX XXXXXXXX DOCUMENT WAARAAN XXX XXXXXXXXX XX XXXXXXX, WAS XX XXXXXXXXXX XX XXXXX XX XX DATUM XXX AFGIFTE VAN XXX OPENBAAR XXXXXXXX/ (XX) Z DOKUMENTU XXXĘXXXXXX, XX KTÓREGO XXŁĄXXXXX XXXX XXXXXXXXX XXXXXXXXX, XXXXXX, ŻX XXXXX, KTÓREJ XXXXXXX XXXXXXXX, XXXXXXXXXŁX XXXX ŻXXXX W XXXX XXXXXXX XXXX XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXXX X XXXXXXXXX PÚBLICO X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX, X PESSOA XX XXXXX ESTAVA XXXX À DATA XX XXXXXÃX DO XXXXXXXXX XXXXXXX/ (XX) ÎX CONFORMITATE XX XXXXXXXXXX OFICIAL XX XXXX XXXX ANEXAT XXXXXXXXX FORMULAR, PERSOANA XXXXXĂ XXX ÎX XXXȚĂ XX XXXX XXXXXXXX XXXXXXXXXXXX OFICIAL/ (XX) PODĽA XXXXXXXX XXXXXXX, KU XXXXXX XX TENTO FORMULÁR XXXXXXXXX, XXXX XXXXXXXX XXXXX X XXX XXXXXXX XXXXXXXX LISTINY XXXXXX/ (SL) X XXXXXX X XXXXX XXXXXXX, KI XX XX XXXXXXXX TA XXXXXXX, XX XXXX XXXXXXX XXXXX XX XXX XXXXXX XXXXX XXXXXXX ŽIVA/ (FI) XXX XXXXXXX ASIAKIRJAN XXXXXX, JOHON XÄXÄ XXXXXX XXXXXXÄÄX, ASIANOMAINEN XXXXXXÖ XXX XXXXXX XXXXXXX XXXXXXXXXX ANTAMISPÄIVÄNÄ/ (XX) XXXXXX XXX XXXXXXXXXX HANDLING TILL XXXXXX XXXXX FORMULÄR ÄX XXXXXXX XXX XXX BERÖRDA XXXXXXXX X XXXXX VID XXXXXXXXXX FÖR XXX XXXXXXXXXX XXXXXXXXXXX XXXÄXXXXXX

6.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX PARA XX XXXXX/ (XX) XXXX XXX XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX BOX/ (XX) XXXXX POUR XX XXXXXXXXX/ (XX) XXXXX DON XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXXXXX XXX LA XXXXX/ (XX) PARAKSTA LAUKS/ (XX) PARAŠO XXXXXXXX/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (MT) KAXXA XXX-XXXXXXXX/ (XX) XXX XXXX DE XXXXXXXXXXXX/ (XX) POLE XXXXXXX/ (XX) XXXXÇX DESTINADO À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) KOLÓNKA XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (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) X XXXXXX(X) XXX XXXXXXXXXXX QUE XXXXXXX ESTE XXXXXXX/ (XX) XXXXXXXX X XXXXX (XXXXX) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (DA) XXXXXXXXX(X) XX XXXXXXX(X) XÅ XXX XXXXXXXXXX, XXX XXX UDSTEDT XXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX VORNAME(N) XXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX HAT/ (XX) XÄXXXXXXX VORMI XÄXXXXXXXXX XXXXXXXX XXXXXXX (-XXXXX) XX XXXXXXXXXXXXX (-XXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) XXX XXXXXXXX(X) XX XXX XXXXXXXX XXX XXXXXX XXXX FORM/ (XX) XXX(X) XX XXXXXX(X) XX XXXXXXXXXXXXX QUI X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XXXXXXX (SLOINNTE) AGUS XXXXXXXX (XXXXXXXXXXXXXX) XX XXXXXXXX X X’XXXXXX XX FHOIRM XXX/ (XX) PREZIME(NA) X XXX(XX) XXXXXXXXXX XXXX XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXX/X X NOME/I XXX XXXXXXXXXXX XXX HA XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) AMATPERSONAS, XXXX IZDEVUSI XX XXXXXXXX, XXXĀXXX(-X) UN XĀXXX(-X)/ (XX) ŠIĄ XXXXĄ IŠDAVUSIO XXXXXXŪXX XXXXXXĖ (-ĖX) XX XXXXXX (-XX)/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ CSALÁDI NEVE(I) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) U ISEM(/ISMIJIET) XXX-XXXXĊXXX XX ĦXXXĠ XXX IL-FORMOLA/ (NL) XX(X)X(XX) XX XXXXXX(X)X(XX) XXX DE AMBTENAAR XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) I IMIĘ (XXXXXX) XXXĘXXXXX, KTÓRY XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) APELIDO(S) 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) XXXXXXXX, XXXXX VYDAL TENTO XXXXXXXX/ (SL) XXXXXXX/XXXXXXX XX XXX/XXXXX URADNIKA, XX JE IZDAL XX OBRAZEC/ (XX) XÄXÄX XXXXXXXXX ANTANEEN XXXXXXXXXXX XXXXXXXX (-XXXXX) XX XXXXXXX (-XXXXX)/ (XX) EFTERNAMN XXX XÖXXXXX PÅ XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

6.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) CARGO XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX ÚŘEDNÍKA, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX — XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (DE) XXXXXXXX DES XXXXXXX, XXX DIESES FORMULAR XXXXXXXXXXX XXX/ (ET) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXX XX XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) XXXXX XX XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXX XX XXXXXXXX A X’XXXXXX XX XXXXXX SEO/ (XX) XXXXXXXX XXXXXXXXXX XXXX XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXX XXXXXXXXXXX XXX HA XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX ŠO XXXXXXXX, XXXXX/ (LT) XXĄ XXXXĄ IŠDAVUSIO XXXXXXŪXX XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦAREĠ XXX XX-XXXXXXX/ (XX) XXXXXXX XXX XX XXXXXXXXX DIE DIT XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX XXXX A XXXX PREZENTUL FORMULAR/ (XX) XXXXXXX ÚRADNÍKA, XXXXX XXXXX TENTO XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, KI XX XXXXX XX OBRAZEC/ (XX) TÄMÄN LOMAKKEEN XXXXXXXX VIRKAMIEHEN XXXXX/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX 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) XX XXXXX/ (XX) DATE (XX/XX/XXXX) XX DÉLIVRANCE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXX/ (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)/ (MT) DATA (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) XXXXX (DD/MM/JJJJ) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX DE XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (XX) FIRMA/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (DE) XXXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXX/ (MT) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) ALLEKIRJOITUS/ (XX) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X TIMBRE/ (XX) XXXXX XXXX XXXXXXX/ (XX) XXXX XXXXX STEMPEL/ (DE) XXXXXX XXXX XXXXXXX/ (XX) XXXXXX VÕI XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX XXXXX/ (XX) XXXXX XX XXXXXX/ (GA) XXXXX XX STAMPA/ (XX) XXX XXX XXXXX/ (XX) XXXXX X TIMBRO/ (XX) XĪXXXX VAI XXXXXXXX/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (MT) XXĠXXX XXX XXXXXX/ (XX) XXXXX OF XXXXXXX/ (XX) XXXXXĘĆ XXX XXXXXXX/ (XX) XXXX OU XXXXXXX/ (XX) SIGILIUL SAU ȘXXXXXXX/ (XX) PEČAŤ XXXXX ODTLAČOK XXXXXXXX/ (XX) XXXXX XXX XXX/ (XX) XXXXXXX XXX LEIMA/ (XX) XXXXXX XXXXX XXÄXXXX

ÚMRTÍ

VÍCEJAZYČNÝ STANDARDNÍ XXXXXXXX – XXXXXXX XXX XXXXXXX

Xxxxxx 7 xxxxxxxx Xxxxxxxxxx xxxxxxxxxx x Rady (XX) 2016/1191 xx dne 6. xxxxxxxx 2016 x xxxxxxx volného xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx x Xxxxxxxx unii x x změně xxxxxxxx (XX) x. 1024/2012 (1)

Belgie (XX) Xxxxxxxxx (BG)

Česká xxxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxx (XX)

Xxxxxxxx (XX) Irsko (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Kypr (XX)

Xxxxxxxx (LV) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (MT)

Nizozemsko (NL) Xxxxxxxx (AT)

Polsko (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxxxx (SK) Xxxxxx (XX)

Xxxxxxx (SE) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

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

Xxxxx xxxxxxxx xxxxxx obsah veřejné xxxxxxx, k xxx xx xxxxxxxx. Xxxxx, xxxxx xx veřejná xxxxxxx předkládána, však xxxx v xxxxxxxxx, xxx xx to xxxxxxxx xxx xxxxx xxxxxxxxxx veřejné xxxxxxx, xxxxxxxxx xxxxxxx xx xxxxxx informací, xxxxx xxxx xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX PRO XXXXXXXXXX XXXXX

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

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

1. XXXXX VYDÁVAJÍCÍ XXXXX XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

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

(2) Xxx xxxxxxxxxx rukou xxxxxxxx xxxxxxx písmo.

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

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

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

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

3.1.1 Xxxxxxxxxx soudu

3.1.2 Listina xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx xxxxxx xxxxxxx úředníkem

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

3.1.5 Xxxx (upřesněte)

3.2 Xxxxxxx xxxxxx správním xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x xxxxxxx

3.2.3 Xxxxx x xxxxxxxx xxxxxxxx

3.2.4 Xxxx xxxxxxxxxx xxxxxxx

3.1.5 Jiné (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, kterým xxxx xxxxxxxx listina xxxxxxxxx soukromou xxxxxx

3.5 Xxxxxxx xxxxxxxxxx diplomatickým xxxxxxxxx nebo konzulárním xxxxxxxxx členského xxxxx x xxxxx xxxxxx xxxx služebních xxxxxxxxxx

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXX X XXXXXXXX

4.1 Xxxxxxxx

4.2 Xxxxx (xxxxx)

4.3 Xxxxx (xx/xx/xxxx) xxxxx

4.4 Xxxxx (1) x xxxx (2) xxxxx

4.5 Xxxxx (xx/xx/xxxx) xxxxxxxx

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

4.6.1 Xxxx

4.6.2 Muž

4.6.3 Xxxxxxxx

5. XXXX PRO XXXXXX

5.1 Xxxxxxxx a jméno (xxxxx) xxxxxxxx, který xxxxx xxxxx xxxxxxxx

5.2 Xxxxxx xxxxxxxx, který xxxxx xxxxx formulář

5.3 Xxxxx (xx/xx/xxxx) xxxxxx

5.4 Xxxxxx

5.5 Xxxxx xxxx xxxxxxx

(1) Slovy „místo xxxxx“ se rozumí xxxxx obce xxxx xxxxx, xxxxxx x xxxxx, kde daná xxxxx zemřela.

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

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XXXX IMPRESO/ (CZ) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, XXX XXXXXX FORMULAR XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX XÄXXX XXXXXX ASUTUS/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX XXXX/ (FR) XXXXXXXX XX DÉLIVRANCE XX PRÉSENT XXXXXXXXXX/ (XX) XX tÚDARÁS X XXXXXXXX AN XXXXXX SEO/ (XX) XXXXXX KOJE IZDAJE XXXX XXXXXXX/ (IT) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXX XXXXXX/ (XX) VEIDLAPAS IZDEVĒJIESTĀDE/ (XX) XXĄ FORMĄ XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX HATÓSÁG/ (MT) XXXXXXXÀ EMITTENTI XX' XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX FORMULIER/ (XX) ORGAN WYDAJĄCY XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX QUE EMITE X PRESENTE FORMULÁRIO/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX XXXXXXXX/ (XX) ORGÁN VYDÁVAJÚCI XXXXX FORMULÁR/ (SL) XXXXX, XX XXXX XX XXXXXXX/ (FI) XÄXÄX XXXXXXXXX ANTAVA XXXXXXXXXXXX/ (SV) XXXXXXXXX XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (DE) BEZEICHNUNG/ (XX) XXXXXXX/ (EL) ΟΝΟΜΑΣΙΑ/ (EN) XXXXXXXXXXX/ (XX) DÉNOMINATION/ (XX)XXXXXXX/ (XX) XXXXX/ (IT) XXXXXXXXXXXXX/ (XX) NOSAUKUMS/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (XX) BENAMING/ (XX) XXXXX/ (PT) XXXXXXXÇÃX/ (XX) DENUMIRE/ (XX) XXXXX/ (XX) XXX/ (XX) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX QUE XXXXXX XX XXXXXXXXX XXXXXXX XX QUE SE XXXXXXX ESTE IMPRESO/ (XX) ORGÁN VYDÁVAJÍCÍ XXXXXXXX XXXXXXX, X XXX JE XXXXXXXX XXXXX XXXXXXXX/ (XX) XXX XXXXXXXXX, XXX XXX XXXXXXX DET XXXXXXXXXX XXXXXXXX, SOM XXXXX XXXXXXXX XX XXXXÆXXXX/ (DE) BEHÖRDE, XXX XXX ÖXXXXXXXXXX XXXXXXX, DER XXXXXX XXXXXXXX BEIGEFÜGT IST, XXXXXXXXX/ (XX) XXXXXX, XXX ANDIS VÄLJA XXXXXXX XXXXXXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXX XXXXXXX XXX XXXXXX XXXXXXXX TO XXXXX THIS XXXX XX XXXXXXXX/ (FR) XXXXXXXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX tÚDARÁS X XXXXXXXX XX XXXXXXXXX XXXXXX LENA XXXXXX XX XXXXXX XXX CEANGAILTE/ (XX) XXXXXX XXXX XXXXXX XXXXX XXXXXXX KOJOJ XX OVAJ XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX IL XXXXXXXXX XXXXXXXX XXX XX PRESENTE XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, KURAM XĪ VEIDLAPA XX XXXXXXXXXX, IZDEVĒJIESTĀDE/ (XX) XXXXĄXĮ DOKUMENTĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX TAD-DOKUMENT XXXXXXXX LI XXXXĦX XXXX XXXXXŻX DIN XX-XXXXXXX/ (XX) AUTORITEIT XXX XXXXXXX XXX XXX XXXXXXXX DOCUMENT XXXXXXX DIT XXXXXXXXX XX GEHECHT/ (PL) XXXXX WYDAJĄCY XXXXXXXX XXXĘXXXX, DO XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (PT) XXXXXXXXXX XXX XXXXX O XXXXXXXXX XXXXXXX X XXX O XXXXXXXX XXXXXXXXXX XXXX APENSO/ (XX) AUTORITATEA XXXXXXXĂ X XXXXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXXXX LISTINU, KU XXXXXX JE XXXXX XXXXXXXX XXXXXXXXX/ (SL) XXXXX, KI XXXX XXXXX XXXXXXX, KI XX XX PRILOŽEN XX XXXXXXX/ (XX) XXXXXXXXXXXX, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (SV) XXXXXXXXX XXX XXXÄXXXX DEN XXXXXXXXXX HANDLING XXXX XXXXXX XXXXX FORMULÄR ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) INFORMACIÓN RELATIVA XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX IMPRESO/ (XX) XXXXXXXXX TÝKAJÍCÍ XX XXXXXXX XXXXXXX, X XXX JE XXXXXXXX TENTO FORMULÁŘ/ (XX) XXXXXXXXXXX XXXXØXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX DENNE FORMULAR XX XXXXÆXXXX/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, DER DIESES XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX XXXXXXX XXXXXXXXX KOHTA, MILLELE XXX VORM XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX XX THE XXXXXX XXXXXXXX XX WHICH XXXX XXXX XX XXXXXXXX/ (FR) XXXXXXXXXXXX XXXXXXXXX XX DOCUMENT XXXXXX XXXXXX XXX XXXXX XX PRÉSENT XXXXXXXXXX/ (XX) XXXXXXXX X BHAINEANN XXXX XX DOICIMÉAD POIBLÍ XXXX BHFUIL XX XXXXXX SEO CEANGAILTE/ (XX) XXXXXXXXXXX XXXX XX XXXXXX XX XXXXX XXXXXXX XXXXX XX OVAJ XXXXXXX XXXXXXXX/ (IT) XXXXXXXXXXXX XXXXXXXX AL DOCUMENTO XXXXXXXX CUI IL XXXXXXXX MODULO È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX ŠĪ VEIDLAPA XX PIEVIENOTA/ (LT) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX XXXXXXXXX, PRIE XXXXX XXXXXXXXX ŠI XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXXXX XXXXXXXXX INFORMÁCIÓK/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (NL) XXXXXXXXXX XXXXXXXXXXX HET OPENBAAR XXXXXXXX WAARAAN XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXX DOTYCZĄCE XXXXXXXXX URZĘDOWEGO, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (PT) XXXXXXXÇÕXX RELATIVAS AO XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX ESTÁ APENSO/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX O XXXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX PRIPOJENÝ/ (XX) XXXXXXXXXXX V XXXXX X XXXXX LISTINO, XX XX XX XXXXXXXX TA XXXXXXX/ (XX) TIEDOT XXXXXXXXÄ XXXXXXXXXXXX, JOHON XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXXXX OM XXX XXXXXXXXXX HANDLING TILL XXXXXX XXXXX FORMULÄR ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX XXXXXXXX XXX XXX AUTORIDAD X XX FUNCIONARIO XXXXXXXXX A LOS XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX MIEMBRO/ (XX) LISTINA XXXXXX XXXXXXX XXXX XXXXXXXXX X XXXXXX XX XXXXX DANÉHO XXXXXXXXX XXXXX/ (XX) DOKUMENT, XXX XX XXXXXXX XX XX MYNDIGHED XXXXX EN EMBEDSMAND, XXX ER XXXXXXXXXX XXXXXXXX X XX XXXXXXXXXXX/ (DE) XXXXXXX XXXXX BEHÖRDE XXXX XXXXX XXXXXXXXXX XXX XXXXX XXX RECHTSPFLEGE XXXXX MITGLIEDSTAATS/ (XX) XXXXXXXX, XXXXX XX XÄXXX ANDNUD LIIKMESRIIGI XXXXXXXXX XXXXXX XXXXXXXXXXX XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXX XX AN XXXXXXXX XXXXXXXXX XXXX XXX XXXXXX OR TRIBUNALS XX X XXXXXX XXXXX/ (FR) XXXXXXXX XXXXXXX D'UNE XXXXXXXX XX X'XX XXXXXXXXXXXXX XXXXXXXX X'XXX JURIDICTION X'XX XXXX MEMBRE/ (XX) DOICIMÉAD X XXXXXXX Ó XXXXXX XX X XXXXXXXXX X XXXXXX XXXXX XXXX XX XXXX XX XXXXXXXXXX XX XX XXXXX XX XXXXX BALLSTÁIT/ (XX) XXXXXXX XXXX XX XXXXXX TIJELO ILI XXXXXXXXX SUDA DRŽAVE XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX UN'AUTORITÀ X XX XX XXXXXXXXXXX APPARTENENTE XX XXX XXXXX XXXXXXXXXXXXX XX UNO STATO XXXXXX/ (XX) XXXXXXXXX, XXXX IZSNIEGUSI XX XXXĪXXXXXXX XXXXĀX XXXXXĪXX XXXXĀXX VAI XXXXXXXXXXX/ (XX) DOKUMENTAS, IŠDUOTAS XXXXXXXX XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ SU XXXXXXXĖX XXXĖX XXXXXXXX XX TRIBUNOLAIS/ (HU) XXXXXXXXX XXXXXXXXXX KAPCSOLATBAN XXXX XXXXXXX VAGY XXXXXXXXXXŐ XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ XXX XXXXĊXXX LI XXXXXXXX XXXXX XXX-XXXXX XXX IT-TRIBUNALI XX' XXXX MEMBRU/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX XXX XXX RECHTERLIJKE XXXXXXXXX XXX EEN XXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX XXXXXX SĄDOWEGO XXX URZĘDNIKA XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX PROVENIENTE XX XXX XXXXXXXXXX OU XX UM FUNCIONÁRIO XXXXXXXXXX DE QUALQUER XXXXXXXÇÃX XX UM XXXXXX-XXXXXX/ (XX) XXXXXXXX XXXX XX O XXXXXXXXXX XXX XX XX XXXXȚXXXXX DE XX LÂNGĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXX XXXXXXXXX X XÄXXXX XX XXXX ČLENSKÉHO ŠTÁTU/ (XX) LISTINA, XXXXXX X XXXXXX XXXXXX XXX URADNIKA XXXXX XXXXXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX, XXXXX XX ANTANUT JÄSENVALTION XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX EN XXXXXXXXX XXXXX XX XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (CZ) XXXXXXXXXX XXXXX/ (DA) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (EN) XXXXX XXXXXXXX/ (FR) XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXX XX gCÚIRT/ (XX) XXXXXX ODLUKA/ (XX) DECISIONE GIURISDIZIONALE/ (XX) TIESAS LĒMUMS/ (XX) XXXXXX XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX BESLISSING/ (XX) ORZECZENIE XĄXXXX/ (XX) DECISÃO JUDICIAL/ (XX) HOTĂRÂRE XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) SODNA XXXXXXX/ (XX) XXXXXXXXXXXXXX PÄÄTÖS/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX EXPEDIDO XXX XX XXXXXXXXXX XXXXXX/ (XX) LISTINA XXXXXX STÁTNÍM ZÁSTUPCEM/ (XX) DOKUMENT UDSTEDT XX XX XXXXXXXXXXXXXXXX/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX ON VÄLJA XXXXXX XXXXXXX SÜÜDISTAJA/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (EN) XXXXXXXX XXXXXXXXX XXXX X XXXXXX XXXXXXXXXX/ (XX) DOCUMENT XXXXXXX XX MINISTÈRE XXXXXX/ (XX) XXXXXXXXX X XXXXXXX Ó XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXXXX XXXXXXXXX/ (LV) XXXXXXXXX, XXXX IZSNIEDZIS XXXXXXXXX/ (XX) PROKURORO XXXXXXXX XXXXXXXXXX/ (HU) ÜXXXXX ÁLTAL XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ MINN XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX OD XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX DO MINISTÉRIO XXXXXXX/ (XX) DOCUMENT XXXX DE XX XXXXXXXX/ (XX) LISTINA XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXX, XX JO XXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) DOCUMENTO XXXXXXXX XXX XX XXXXXXXXXX JUDICIAL/ (XX) XXXXXXX VYDANÁ XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX JUSTITSSEKRETÆR/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX GESCHÄFTSSTELLE XXXXX XXXXXXXX/ (ET) XXXXXXXX, XXXXX XX XÄXXX XXXXXX KOHTUAMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX XXXX X CLERK OF X XXXXX/ (XX) XXXXXXXX XXXXXXX D'UN XXXXXXXX/ (GA) XXXXXXXXX X THAGANN X XXXXXXXXXX DE XXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXX XXXXXXXXXX SUDSKE PISARNICE/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX XXXXXX SEKRETĀRS/ (XX) XXXXXX TARNAUTOJO XXXXXXXX XXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXĠ XXXX XXĠXXXXXXXX TA' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX XX UM XXXXXXX XX XXXXXÇX/ (RO) XXXXXXXX XXXX XX XX XXXXXXX XX XXXXXXȚXX/ (SK) LISTINA XXXXXX SÚDNYM XXXXXXXXX/ (XX) XXXXXXX, KI XX XXXX XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN EN XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXXX EXPEDIDO XXX XX XXXXXX XXXXXXXX («HUISSIER DE XXXXXXX»)/ (XX) XXXXXXX XXXXXX XXXXXXX VYKONAVATELEM („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX XX EN STÆVNINGSMAND (»XXXXXXXX XX XXXXXXX«)/ (XX) XXXXXXX EINES XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX ON XÄXXX XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («HUISSIER XX JUSTICE»)/ (EN) XXXXXXXX XXXXXXXXX FROM X XXXXXXXX XXXXXXX ('XXXXXXXX XX JUSTICE')/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX XX XXXXXXX/ (GA) DOICIMÉAD X XXXXXXX Ó XXXXXXXXX BREITHIÚNACH (“XXXXXXXX XX JUSTICE”)/ (HR) XXXXXXX XXXX XX XXXXX SUDSKI XXXXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX EMANATO XX XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (XXXXXXXX XX XXXXXXX)/ (LT) ANTSTOLIO (XXXXXXXX DE JUSTICE) XXXXXXXX DOKUMENTAS/ (HU) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX JUSTICE”) ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX XX JUSTICE')/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX XĄXXXXXX (XXXXXXXX XX JUSTICE)/ (PT) XXXXXXXXX XXXXXXXXXXX DE XX ESCRIVÃO XX XXXXXXX («XXXXXXXX DE XXXXXXX»)/ (RO) XXXXXXXX XXXX DE UN XXXXXXXX JUDECĂTORESC („XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX XXXXXXX“)/ (XX) LISTINA, XX XX XXXX XXXXX IZVRŠITELJ („XXXXXXXX XX XXXXXXX“)/ (FI) XXXXXXXXXXXX (”XXXXXXXX DE XXXXXXX”) XXXXXX ASIAKIRJA/ (XX) HANDLING SOM XÄXXÖX FRÅN EN XXÄXXXXXXXXX (XXXXXXXX DE XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) XXXX (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) MUU (TÄPSUSTAGE)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX XX XXXXXXXXX)/ (FR) XXXXX (À PRÉCISER)/ (XX) XXXX (XX XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (IT) ALTRO (XXXXXXXXX)/ (XX) XXXX (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (XX) XXXXX (XXXXÜX XXXXXXXXXXX)/ (MT) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) XXXX (XXXXXĘ OKREŚLIĆ)/ (XX) XXXXXX (X XXXXXXXXXXX)/ (XX) XXXXX (X SE XXXXXXX)/ (XX) XXX (XXXXXXXX)/ (XX) XXXXX (NAVESTI)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX SPRÁVNÍM XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) HALDUSDOKUMENT/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX DOCUMENT/ (XX) DOCUMENT ADMINISTRATIF/ (XX) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) ADMINISTRATĪVS XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX ADMINISTRACYJNY/ (XX) XXXXXXXXX ADMINISTRATIVO/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) SPRÁVNA LISTINA/ (XX) UPRAVNA XXXXXXX/ (XX) HALLINNOLLINEN XXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) CERTIFICADO/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) BESCHEINIGUNG/ (XX) TÕEND/ (EL) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (EN) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (GA) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (LT) XXXXXX, XXXXXXXXXX/ (HU) TANÚSÍTVÁNY/BIZONYÍTVÁNY/ (XX) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) ZAŚWIADCZENIE/ (XX) CERTIDÃO XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (SL) XXXXXXXX/ (XX) XXXXXXXX/ (XX) INTYG

3.2.2

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (ES) XXXXXXXX XXX REGISTRO XXXXX/ (CZ) XXXXX X XXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX AUS XXX XXXXXXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX XXXXX XXXXXX XXXXXXXX/ (FR) EXTRAIT XX XXXXXXXX XX X'XXXX CIVIL/ (XX) XXXXXXX XX XX xXXXX XXXXXXX SHIBHIALTA/ (XX) XXXXXXX IZ XXXXXXXX XXXXXXX XXXXXX/ (XX) XXXXXXXX DI XXXX XX XXXXX XXXXXX/ (XX) IZRAKSTS XX CIVILSTĀVOKĻA XXXX XXĢXXXXX/ (XX) IŠRAŠAS XX XXXXXXXĖX XŪXXĖX XXXŲ XXXXXXXX/ (HU) XXXXXÖXXXX KIVONAT/ (MT) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXX XXX HET REGISTER XXX DE XXXXXXXXXXX XXXXX/ (PL) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (XX) EXTRATO XX XXXX DO XXXXXXX CIVIL/ (XX) XXXXXX XXX REGISTRUL XX XXXXX CIVILĂ/ (XX) XXXXX X XXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXX IZ XXXXXXXX X OSEBNEM XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) XXXXXX XX FOLKBOKFÖRINGEN

3.2.3

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (ES) XXXXXXXX XXX XXXXX/ (XX) XXXXX X REGISTRU XXXXXXXX/ (XX) UDDRAG XXX FOLKEREGISTRET/ (XX) XXXXXX XXX DEM XXXXXXXXXXXXX/ (ET) RAHVASTIKUREGISTRI XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX XXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XX REGISTRE DE XX POPULATION/ (GA) XXXXXXX AS AN xXXXX XXXXXX/ (XX) XXXXXXX XX POPISA XXXXXXXXXXXX/ (XX) ESTRATTO XXXXXXXXXX/ (LV) XXXXXXXX XX XXXXĪXXXĀXX REĢISTRA/ (XX) XXXXXXX XX XXXXXXXXŲ XXXXXXXX/ (XX) XXXXXXX A XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX XXX BEVOLKINGSREGISTER/ (PL) XXXXĄX X XXXXXXXX XXXXXŚXX/ (PT) XXXXXXX XX XXXXXXX DA XXXXXXÇÃX/ (XX) XXXXXX XXX REGISTRUL XX XXXXXXȚĂ X XXXXXXȚXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXĽXX/ (SL) XXXXXXX XX XXXXXXXX XXXXXXXXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXX/ (XX) XXXXXX UR XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (ES) XXXXX XXXXXXX DE XXXXX XXX XXXXXXXX XXXXX/ (XX) XXXX XXXXXXXXXX ZÁZNAMŮ/ (XX) XXXXXX KOPI AF XXXXXXXXXXXXXXXXXXX/ (DE) WÖRTLICHE XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX KOOPIA/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) VERBATIM COPY XX CIVIL XXXXXX XXXXXXX/ (XX) COPIE XXXXXXXXX X'XXXXX DE X'XXXX XXXXX/ (XX) XXXX FOCAL XX XXXXXX XX THAIFID XX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XX EVIDENCIJA X XXXXXXX XXXXXX/ (XX) XXXXX XXXXXXXXX XX XXXX XX XXXXX XXXXXX/ (LV) XXXXXXXĀXXXĻX XXXX XXĢXXXXX XXXXXXXX XXXXXXXXXX KOPIJA/ (XX) XXXXXXXĖX BŪKLĖS AKTŲ ĮXXXŲ PAŽODINĖ XXXXXX/ (XX) ANYAKÖNYVI XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX VERBATIM XXX-XXXX TAL-ISTAT ĊXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXX XXX XXXXX XXX XX XXXXXXXXXXX STAND/ (XX) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXÃX XX XXXXX INTEGRAL XX XX NARRATIVA XX XXXX XX REGISTO XXXXX/ (XX) XXXXX XXXXXĂ X UNUI XXX DE XXXXX XXXXXĂ/ (SK) XXXXXXXX XXXXX XX XXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXX XXXXXX XXXXXX X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX AV XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX NOTARIAL/ (XX) NOTÁŘSKÁ LISTINA/ (XX) XXXXXXXXXÆXXXX DOKUMENT/ (XX) XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (EL) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX ACT/ (FR) XXXX XXXXXXX/ (GA) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX ISPRAVA/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXĀXX XXXX/ (XX) XXXXXXXXX XXXXX/ (XX) XÖXXXXXXŐX OKIRAT/ (XX) XXX NOTARILI/ (NL) XXXXXXËXX XXXX/ (PL) XXX NOTARIALNY/ (PT) XXX NOTARIAL/ (RO) XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (SL) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX HANDLING

3.4

(BG) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX PUESTA XXXXX XX XXXXXXXXX XXXXXXX/ (CZ) XXXXXX XXXXXXXXX, XXXXXX BYLA XXXXXXXX XXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (DA) XXXXXXXX XÅXXXXXXX XÅ XX XXXXXXXX XXXXXXXXXXX XX XX XXXXXX X XXXXXX EGENSKAB XX XXXXXXXXXXXX/ (DE) XXXXXXXX XXXXXXXXXXXXX XXX XXXXX XXXXXXXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX KINNITATAV XXXXXXX TÕEND/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) OFFICIAL CERTIFICATE XXXXXX ON X XXXXXXXX XXXXXX XX X XXXXXX IN XXX XX XXX XXXXXXX CAPACITY/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX XX XXXX XXXX XXXXX XXXXX/ (XX) XXXXXXXX OIFIGIÚIL X CHUIRTEAR XX XXXXXXXXXX XXXX XXXXXX XX XXXXX XXX XXXXX NÓ XXX XXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX XX XXXXXXX XXXX XX XXXXX POTPISALA X PRIVATNOM XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX SU XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXĀXX XXXXXXXXĀXXXX XX XXXXXXXXX, KO XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (LT) PRIVAČIŲ XXXXXŲ XXXXXXXXXŲ DOKUMENTŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ĊXXXXXXXXX XXXXĊXXXX XX XXXXXXXĦXX X'XXXXXXXX IFFIRMAT MINN XXXXXXX FIL-KAPAĊITÀ XXXXXXX XXXĦXX/ (XX) OFFICIEEL XXXXXXXXXXX OP EEN XXXXXXXX XXXXXXXXXXX DOOR XXX PERSOON XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXXX PRZEZ OSOBĘ XXXXŁXXĄXĄ X CHARAKTERZE XXXXXXXXX/ (PT) DECLARAÇÃO XXXXXXX INSERTA XXX XXX XX NATUREZA XXXXXXX/ (RO) XXXXXXXXXX XXXXXXX XXXXXXX XX XX XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX UVEDENÉ XX XXXXXXX XXXXXXXXXX XXXXXX KONAJÚCOU XXX XXXXXXXX OSOBA/ (XX) XXXXXX XXXXXX NA XXXXXXX XXXXXXX/ (XX) XXXXXXXXXX TODISTUS ASIAKIRJASSA, XXXXX XXXXXXÖ XX XXXXXXXXXXXXXXXX YKSITYISHENKILÖNÄ/ (SV) XXXXXXXXXX XXXXX XXXXXXXXX XÅ XX XXXXXXXX XXX XXXXXXXXXXXXX XX XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX XXX UN AGENTE XXXXXXXXXXX X XXXXXXXX XX XX XXXXXX XXXXXXX XXX XXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM XXXXXXXXX XXXX KONZULÁRNÍM XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX OFFICIELT XXXÆXXXXXX XX XX XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (XX) VON XXXXX XXXXXXXXXXXXXX ODER XXXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXXX IN XXXXXX XXXXXXXXX XXXXXXXX ERRICHTETE XXXXXXX/ (ET) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX KONSULAARAMETNIKU XXXXX XXXXXXXXXXXXXXX TÄITMISEL XXXXXXXXX XXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΈΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX XXXXX XX XX A XXXXXXXXXX XX XXXXXXXX XXXXX XX A XXXXXX XXXXX IN XXX XX HER XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXX XX SA XXXXXXX XXXXXXXXXX XXX XX AGENT XXXXXXXXXXXX XX XXXXXXXXXX X'XX XXXX XXXXXX/ (XX) XXXXXXXXX ARNA XXXXXXXXXX XXXX AG XXXXXXXXXX XXXXXXXXXXXXXXXX XX CONSALACH XX CHUID BALLSTÁIT XXX XXXXX XX XXX XXXX OIFIGIÚIL/ (XX) XXXXXXX XXXX XX X XXXXXXXXX XXXXXXXX SASTAVIO XXXXXXXXXXX XXX KONZULARNI PREDSTAVNIK XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX DIPLOMATICI O XXXXXXXXX XX XXX XXXXX XXXXXX NELL'ESERCIZIO XXXXX LORO XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX XXXXX XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX DIPLOMĀTISKAIS XXX XXXXXXĀXXXX XĀXXXĀXXX/ (XX) DOKUMENTAS, PARENGTAS XXXXXXXĖX XXXĖX XXXXXXXXX XX KONSULINIO PAREIGŪNO, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) VALAMELY XXXXXXXX XXXXXXXXXXX VAGY XXXXXXX XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXXX XXXX XĠXXX XXXXXXXXXXX XXX XXXXXXXXX XX' XXXX MEMBRU XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) DOCUMENT OPGESTELD XXXX XX XXXXXXXXXXXX XX XXXXXXXXXX AMBTENAAR XXX EEN XXXXXXXX XX XXXX XXXXXXËXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXĄXXXXX PRZEZ PRZEDSTAWICIELA XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX CZŁONKOWSKIEGO XXXXŁXXĄXXXX X XXXXXXXXXXX XXXĘXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XX XXXXXX XXXXXXXXXXX XX XXXXXXXX XX XX XXXXXX-XXXXXX XX EXERCÍCIO XXX XXXX XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX DE CĂTRE XX XXXXX XXXXXXXXXX XXX XXXXXXXX XX XXXX XXXX XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (XX) LISTINA VYHOTOVENÁ XXXXXXXXXXXXX ZÁSTUPCOM XXXXX XXXXXXXXXXX XXXXXXXXX ČLENSKÉHO XXXXX X RÁMCI XXXXXX XXXX XXXXXXX/ (XX) XXXXXXX, XX XX XXX XXXXXX XXXXX XXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX ČLANICE/ (FI) XXXXXXXXX, JONKA JÄSENVALTION XXXXXXXXXXXXXX XXXXXXXX TAI XXXXXXXXXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) HANDLING XXXXÄXXXX I TJÄNSTEN XX XX XXXXXXXXXXX XXXXX KONSULÄR TJÄNSTEMAN X XX XXXXXXXXXXX

3.6

(XX) 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) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX ISSUE/ (XX) XXXX (JJ/MM/AAAA) DE XXXXXXXXXX/ (GA) DÁTA (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/GGGG) IZDAVANJA/ (XX) XXXX XX XXXXXXXX (GG/MM/AAAA)/ (LV) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (XX) XXXXXXXX DATA (XX/XX/XXXX)/ (XX) X XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (NL) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) DATA (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX EMISSÃO (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) VYDANIA/ (SL) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) ANTAMISPÄIVÄ (PP/KK/VVVV)/ (XX) DATUM (XX/XX/ÅÅÅÅ) XÖX UTFÄRDANDE

3.7

(BG) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX REFERENCIA XXX XXXXXXXXX XXXXXXX/ (CZ) XXXXXXXXXX ČÍSLO XXXXXXX XXXXXXX/ (XX) DET XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX DER ÖXXXXXXXXXXX URKUNDE/ (ET) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) REFERENCE XXXXXX XX THE XXXXXX XXXXXXXX/ (XX) XXXXXX XX RÉFÉRENCE XX XXXXXXXX XXXXXX/ (XX) XXXXXX XXXXXXXXX AN XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX BROJ XXXXX XXXXXXX/ (IT) XXXXXX XX XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXX/ (HU) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) NUMRU XX' REFERENZA XXX-XXXXXXXX XXXXXXXX/ (XX) REFERENTIENUMMER XXX XXX OPENBAAR XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXX DE XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) NUMĂRUL XX XXXXXXXȚĂ XX XXXXXXXXXXXX XXXXXXX/ (SK) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) YLEISEN ASIAKIRJAN XXXXXXXXXXX/ (SV) XXX XXXXXXXXXX HANDLINGENS XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА ПОЧИНАЛОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX XX XXXXXXX XXXXXXXXX/ (XX) INFORMACE X ZEMŘELÉM/ (DA) XXXXXXXXXXX XX XXXØXX/ (XX) XXXXXXX XXX XXXXXX, XXXXX XXX XXXXXXXXX XXXX/ (ET) XXXXXX XXXXXX KÄSITLEV XXXXX/ (EL) ΣΤΟΙΧΕΙΑ ΤΟΥ ΘΑΝΟΝΤΟΣ/ (XX) XXXXXXXXXXX XX XXX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX XXX XX XXXXXXXX DÉCÉDÉE/ (XX) XXXXXXXX XXXXXX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXXXXX O XXXXXXXXXX OSOBI/ (XX) XXXXXXXXXXXX XXXXX XXXXXXX XXXXXXXX/ (LV) XXXXXXĀXXXX XXX MIRUŠO XXXXXXX/ (XX) XXXXXXXXXXX XXXX XXXXXĮ XXXXXĮ/ (HU) XX ELHUNYTRA VONATKOZÓ XXXXXX/ (XX) XXXXXXXXXXXXX XXXX IL-PERSUNA XXĊXXXXX/ (XX) XXXXXXXXXX XXXX XX XXXXXXXXXX/ (XX) XXXX XXXXXXĄXX XXXXX XXXXŁXX/ (XX) XXXXXXXÇÕXX XXXXX X XXXXXX XXXXXXXX/ (XX) INFORMAȚII XXXXXXX XXXXXXXX XXXXXXXĂ/ (XX) INFORMÁCIE X XXXXXXXX XXXXX/ (XX) XXXXXXXXXXX O XXXXXX/ (XX) KUOLLEEN XXXXXXÖX XXXXXX/ (XX) XXXXXXXXXXX XX XXX AVLIDNE

4.1

(BG) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X)/ (CZ) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (XX) XXXXXXXXXXXX(X)/ (ET) XXXXXXXXXXXXX (-XXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX(X)/ (FR) XXX(X)/ (XX) SLOINNE (XXXXXXXX)/ (XX) XXXXXXX(XX)/ (XX) XXXXXXX(X)/ (LV) XXXĀXXX(-X)/ (LT) XXXXXXĖ (-ĖX)/ (XX) CSALÁDI XXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX)/ (XX) XXXXXXXX(X)X(XX)/ (PL) XXXXXXXX(-X)/ (XX) APELIDO(S)/ (XX) XXXX/ (XX) XXXXXXXXXX(-X)/ (XX) PRIIMEK/PRIIMKI/ (XX) SUKUNIMI (-NIMET)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) JMÉNO (XXXXX)/ (XX) 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) VARDAS (-XX)/ (XX) XXXXXXX(X)/ (XX) ISEM(/ISMIJIET)/ (NL) XXXXXX(X)X(XX)/ (XX) XXXĘ (XXXXXX)/ (XX) NOME(S) XXXXXXX(X)/ (XX) PRENUME/ (XX) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (XX) FÖRNAMN

4.3

(BG) ДАТА (ДД/ММ/ГГГГ) НА СМЪРТТА/ (XX) XXXXX (XX/XX/XXXX) XX FALLECIMIENTO/ (XX) XXXXX (XX/XX/XXXX) XXXXX/ (XX) DØDSDATO (XX/XX/ÅÅÅÅ)/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXX/ (XX) SURMAKUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΘΑΝΑΤΟΥ/ (XX) XXXX (XX/XX/XXXX) XX DEATH/ (XX) XXXX (JJ/MM/AAAA) XX XXXÈX/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXXX (XX/XX/XXXX) SMRTI/ (IT) XXXX XX XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXXXX (XX/XX/XXXX)/ (LT) XXXXXXX XXXX (DD/MM/MMMM)/ (XX) XXXXXXXXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) TAL-MEWT/ (NL) XXXXX (XX/XX/XXXX) XXX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) ZGONU/ (XX) XXXX XX ÓBITO (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXX/ (XX) KUOLINAIKA (XX/XX/XXXX)/ (SV) DATUM (XX/XX/ÅÅÅÅ) XÖX DÖDSFALLET

4.4

(BG) МЯСТО И ДЪРЖАВА НА СМЪРТТА/ (ES) XXXXX X PAÍS XX XXXXXXXXXXXXX/ (XX) XXXXX X XXXX XXXXX/ (XX) XØXXXXXX XX -XXXX/ (XX) XXX UND XXXX XXX XXXXX/ (XX) XXXXXXXXX XX -RIIK/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΘΑΝΑΤΟΥ/ (XX) XXXXX XXX XXXXXXX XX XXXXX/ (XX) XXXX ET XXXX XX DÉCÈS/ (XX) XXX XXXX XXX XX BHÁIS/ (XX) XXXXXX X ZEMLJA XXXXX/ (XX) LUOGO X PAESE DI XXXXXXX/ (XX) MIRŠANAS XXXXX UN XXXXXX/ (XX) XXXXXXX VIETA XX ŠALIS/ (XX) XXXXXXXXXXXXX XXXXX XX XXXXXXX/ (XX) XXXX X XXXXXŻ XXX-XXXX/ (XX) XXXXXX EN XXXX XXX OVERLIJDEN/ (XX) MIEJSCE I XXŃXXXX XXXXX/ (XX) XXXXX E PAÍS XX XXXXX/ (RO) XXXXX ȘX ȚXXX XXXXXXXXX/ (XX) MIESTO X XXXX XXXXXX/ (XX) KRAJ XX XXXXXX XXXXX/ (XX) XXXXXXXXXXXX JA -XXX/ (XX) ORT XXX XXXX DÄR XÖXXXXXXXX XXXXÄXXXXX

4.5

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (XX/XX/XXXX) DE XXXXXXXXXX/ (CZ) DATUM (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 (DD/MM/YYYY) XX BIRTH/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) BREITHE/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (XX) XXXX XX XXXXXXX (GG/MM/AAAA)/ (LV) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXXX/ (PT) DATA XX NASCIMENTO (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXȘXXXXX/ (XX) DÁTUM (XX/XX/XXXX) NARODENIA/ (SL) XXXXX (DD/MM/LLLL) ROJSTVA/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) FÖDELSEDATUM (DD/MM/ÅÅÅÅ)

4.6

(BG) ПОЛ/ (XX) XXXX/ (XX) POHLAVÍ/ (XX) XØX/ (DE) GESCHLECHT/ (XX) SUGU/ (EL) ΦΥΛΟ/ (EN) SEX/ (XX) XXXX/ (GA) XXXXXX/ (HR) SPOL/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (XX) XXXX/ (XX) SEXUL/ (XX) XXXXXXXX/ (SL) XXXX/ (XX) XXXXXXXXX/ (XX) XÖX

4.6.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (CZ) XXXX/ (XX) KVINDE/ (XX) WEIBLICH/ (XX) XXXXXXXXX/ (EL) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (XX) SIEVIETE/ (XX) XXXXXXX/ (XX) XŐ/ (MT) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (PT) FEMININO/ (XX) FEMEIESC/ (SK) XXXXXX/ (SL) XXXXXX/ (XX) XXXXXX/ (SV) XXXXXX

4.6.2

(XX) МЪЖКИ/ (ES) XXXXX/ (XX) XXX/ (XX) MAND/ (XX) XÄXXXXXX/ (ET) MEESSOOST/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (FR) XXXXXXXX/ (XX) XXXXXXX/ (HR) XXXXX/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) XXXXX/ (XX) XXXXX/ (XX) XXĠXX/ (NL) XXX/ (PL) XĘŻXXXXXX/ (XX) MASCULINO/ (RO) XĂXXĂXXXX/ (XX) MUŽSKÉ/ (XX) XXXXX/ (FI) XXXX/ (XX) XXX

4.6.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (EN) XXXXXXXXXXXX/ (XX) INDÉTERMINÉ/ (XX) XXXXXXXXXXXXXXX/ (HR) XXXXXXĐXX/ (IT) XXXXXXXXXXXXX/ (XX) NENOTEIKTS/ (LT) XXXXXXXXXXX/ (HU) XXXXXXXXXXXXXXX/ (XX) MHUX XXXXXXXXX/ (XX) XXXXXXXXX/ (PL) XŁXĆ NIEOKREŚLONA/ (XX) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) NEURČENÉ/ (XX) NEDOLOČEN/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) EJ XXXXXXÄXXX

5.

(XX) ПОЛЕ ЗА ПОДПИС/ (ES) XXXXXXXX XXXX XX XXXXX/ (XX) XXXX XXX XXXXXX/ (XX) UNDERSKRIFTSFELT/ (XX) UNTERSCHRIFTENFELD/ (XX) XXXXXXXXXXXXXX/ (EL) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (EN) SIGNATURE XXX/ (XX) CADRE XXXX XX SIGNATURE/ (XX) XXXXX DON XXXXX/ (HR) XXXXX XX POTPIS/ (IT) XXXXXXXX XXX XX XXXXX/ (XX) XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXX/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX XX XXXXXXXXXXXX/ (XX) POLE XXXXXXX/ (PT) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (XX) SEMNĂTURA/ (XX) XXXXXXX XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (FI) XXXXXXXXXXXXXXXXXXÄ/ (XX) XXXX XÖX XXXXXXXXXXXXXX

5.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) APELLIDO(S) Y XXXXXX(X) XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) PŘÍJMENÍ X XXXXX (XXXXX) XXXXXXXX, XXXXX XXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXXX(X) OG XXXXXXX(X) XÅ XXX EMBEDSMAND, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX VORNAME(N) XXX BEAMTEN, DER XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXX (-XXXXX) XX XXXXXXXXXXXXX (-XXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) XXX XXXXXXXX(X) XX XXX OFFICIAL XXX XXXXXX THIS FORM/ (XX) XXX(X) XX XXXXXX(X) XX XXXXXXXXXXXXX XXX A XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX XXXXXXXX A X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXX(XX) X XXX(XX) SLUŽBENIKA XXXX XX XXXXX XXXX OBRAZAC/ (IT) XXXXXXX/X E NOME/I XXX FUNZIONARIO XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX IZDEVUSI XX XXXXXXXX, XXXĀXXX(-X) XX XĀXXX(-X)/ (XX) XXĄ XXXXĄ IŠDAVUSIO XXXXXXŪXX XXXXXXĖ (-ĖS) XX VARDAS (-AI)/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX TISZTVISELŐ XXXXXXX XXXX(X) ÉS XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) TAL-UFFIĊJAL XX ĦXXXĠ DIN IL-FORMOLA/ (XX) XX(X)X(XX) XX XXXXXX(X)X(XX) VAN XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) NAZWISKO(-A) I XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXX(X) X XXXX(X) PRÓPRIO(S) XX FUNCIONÁRIO QUE XXXXXX O XXXXXXXX XXXXXXXXXX/ (XX) NUMELE ȘX XXXXXXXXX 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 XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX VIRKAMIEHEN XXXXXXXX (-XXXXX) XX ETUNIMI (-XXXXX)/ (XX) EFTERNAMN XXX XÖXXXXX XÅ XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

5.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX DEL XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, KTERÝ XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX — DEN XXXXXXXXXX, DER XXX XXXXXXX DENNE FORMULAR/ (XX) XXXXXXXX XXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) KÄESOLEVA XXXXX XÄXXXXXXXXX XXXXXXXX AMETIKOHT/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) POSITION XX XXX XXXXXXXX WHO XXXXXX XXXX XXXX/ (XX) XXXXX XX XXXXXXXXXXXXX QUI X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (GA) POST XX XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (XX) FUNKCIJA XXXXXXXXXX KOJI XX XXXXX OVAJ OBRAZAC/ (XX) XXXXXXXXX XXX XXXXXXXXXXX CHE XX XXXXXXXXXX XX PRESENTE XXXXXX/ (LV) XXXXXXXXXXXX, XXXX IZDEVUSI XX XXXXXXXX, XXXXX/ (XX) XXĄ XXXXĄ IŠDAVUSIO XXXXXXŪXX XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (MT) XXXXXX XXX-XXXXĊXXX LI ĦXXXĠ XXX IL-FORMOLA/ (XX) XXXXXXX VAN XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX FORMULARZ/ (XX) XXXXX XX XXXXXXXXXXX XXX EMITIU X XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) FUNKCIA XXXXXXXX, KTORÝ XXXXX XXXXX XXXXXXXX/ (SL) XXXXXXX XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX VIRKAMIEHEN XXXXX/ (XX) XXXXXXXXXX XÖX XXX TJÄNSTEMAN XXX HAR XXXÄXXXX XXXXX XXXXXXÄX

5.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) AUSSTELLUNGSDATUM (TT/MM/JJJJ)/ (XX) VÄLJAANDMISE XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (DD/MM/YYYY) XX XXXXX/ (XX) DATE (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DÁTA (LL/MM/BBBB) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX DI XXXXXXXX (XX/XX/XXXX)/ (LV) IZDOŠANAS XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (JJ/XX/SSSS) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (DD/MM/RRRR) XXXXXXX/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) EMITERII/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (FI) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) FÖR XXXÄXXXXXX

5.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (ET) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (IT) XXXXX/ (XX) PARAKSTS/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (NL) XXXXXXXXXXXX/ (XX) PODPIS/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (SK) PODPIS/ (XX) XXXXXX/ (FI) XXXXXXXXXXXXX/ (SV) XXXXXXXXXXXX

5.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) SELLO X XXXXXX/ (XX) PEČEŤ XXXX XXXXXXX/ (XX) XXXX XXXXX XXXXXXX/ (XX) XXXXXX XXXX XXXXXXX/ (XX) XXXXXX XÕX XXXXXX/ (EL) ΣΦΡΑΓΙΔΑ/ (XX) SEAL XX XXXXX/ (FR) XXXXX OU XXXXXX/ (XX) XXXXX NÓ XXXXXX/ (HR) ŽIG XXX XXXXX/ (XX) XXXXX O TIMBRO/ (XX) ZĪMOGS VAI XXXXXXXX/ (LT) XXXXXXX XXXX ANTSPAUDAS/ (XX) XXXXXX XXXX BÉLYEGZŐLENYOMAT/ (XX) XXĠXXX XXX XXXXXX/ (NL) XXXXX XX STEMPEL/ (XX) XXXXXĘĆ XXX XXXXXXX/ (XX) XXXX XX XXXXXXX/ (XX) XXXXXXXX XXX ȘXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXX ŽIG/ (FI) XXXXXXX XXX LEIMA/ (XX) XXXXXX ELLER XXÄXXXX

XXXXXXXXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX XXX XXXXXXX

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

Xxxxxx (XX) Xxxxxxxxx (BG)

Česká republika (XX)

Xxxxxx (XX) Německo (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (XX) Španělsko (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (IT) Xxxx (XX)

Xxxxxxxx (LV) Litva (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxx (NL) Xxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Xxxxxx (FI)

Švédsko (XX) Xxxxxxx království (XX)

XXXXXXXX XXXXXXXXXX

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

Xxxxx xxxxxxxx xxxxxx obsah xxxxxxx xxxxxxx, x xxx xx xxxxxxxx. Orgán, xxxxx je xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx xxxx x xxxxxxxxx, xxx xx xx xxxxxxxx pro xxxxx xxxxxxxxxx xxxxxxx xxxxxxx, xxxxxxxxx xxxxxxx či xxxxxx xxxxxxxxx, xxxxx xxxx xx formuláři xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX XXXXX

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

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

1. XXXXX VYDÁVAJÍCÍ XXXXX XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

3. XXXXXXXXX XXXXXXXX XX VEŘEJNÉ LISTINY, X XXX JE XXXXXXXX TENTO XXXXXXXX

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

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx vydaná xxxxxx xxxxxxx xxxxxxxxx

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

3.1.5 Xxxx (xxxxxxxxx)

(1) Úř. xxxx. X 200, 26.7.2016, x. 1.

(2) Xxx xxxxxxxxxx rukou xxxxxxxx hůlkové písmo.

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

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

3.2 Xxxxxxx xxxxxx správním xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Výpis z xxxxxxx

3.2.3 Xxxxx x xxxxxxxx xxxxxxxx

3.2.4 Opis xxxxxxxxxx xxxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx osvědčení, xxxxxx xxxx xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx osobou

3.5 Xxxxxxx xxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxx nebo xxxxxxxxxxx xxxxxxxxx členského xxxxx x xxxxx výkonu xxxx služebních xxxxxxxxxx

3.6 Xxxxx (dd/mm/rrrr) xxxxxx

3.7 Xxxxxxxxxx číslo xxxxxxx xxxxxxx

4. XXXXXXXXXX

4.1 Xxxxx (xx/xx/xxxx) xxxxxxxx manželství

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 po xxxxxxxx xxxxxxxxxx

5.4 Xxxxx (xxxxx)

5.5 Xxxxx (dd/mm/rrrr) 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 města, xxxxxx x xxxxx, xxx xxxx xxxxxxxxxx uzavřeno.

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

6. XXXXXX/XXXXXXXX X

6.1 Xxxxx/x příjmení

6.2 Příjmení xxxx xxxxxxxxx manželství

6.3 Xxxxxxxx xx xxxxxxxx xxxxxxxxxx

6.4 Jméno (xxxxx)

6.5 Xxxxx (dd/mm/rrrr) narození

6.6 Xxxxxxx:

6.6.1 Xxxx

6.6.2 Xxx

6.6.3 Xxxxxxxx

7. XXXX XXX XXXXXX

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

7.2 Funkce xxxxxxxx, xxxxx xxxxx xxxxx xxxxxxxx

7.3 Datum (dd/mm/rrrr) xxxxxx

7.4 Podpis

7.5 Pečeť xxxx razítko

VÍCEJAZYČNÝ GLOSÁŘ XXXXX STANDARDNÍCH XXXXXXX

(XXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) AUTORIDAD XXX XXXXXX ESTE XXXXXXX/ (CZ) ORGÁN XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (DE) XXXÖXXX, DIE XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX VORMI XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (EN) XXXXXXXXX XXXXXXX THIS XXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX tÚDARÁS X XXXXXXXX XX XXXXXX XXX/ (HR) XXXXXX XXXX IZDAJE OVAJ XXXXXXX/ (XX) AUTORITÀ XXX XXXXXXXX IL XXXXXXXX MODULO/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ FORMĄ IŠDUODANTI XXXXXXXX INSTITUCIJA/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX TA' XXX XX-XXXXXXX/ (XX) AUTORITEIT XXX XXXXXXX XXX XXX XXXXXXXXX/ (PL) XXXXX WYDAJĄCY XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXX EMITE X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX FORMULAR/ (XX) XXXXX VYDÁVAJÚCI TENTO XXXXXXXX/ (SL) XXXXX, XX XXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX ANTAVA XXXXXXXXXXXX/ (XX) MYNDIGHET SOM XXXÄXXXX FORMULÄRET

1.1

(BG) НАИМЕНОВАНИЕ/ (XX) DENOMINACIÓN/ (CZ) XXXXX/ (DA) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXX/ (EL) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (FR) XXXXXXXXXXXX/ (GA)AINMNIÚ/ (XX) XXXXX/ (IT) DENOMINAZIONE/ (XX) XXXXXXXXX/ (LT) XXXXXXXXXXX/ (HU) XXXXXXXXXX/ (XX) TITLU/ (XX) XXXXXXXX/ (XX) NAZWA/ (XX) XXXXXXXÇÃX/ (RO) XXXXXXXX/ (XX) XXXXX/ (XX) IME/ (FI) XXXX/ (SV) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) AUTORIDAD XXX XXXXXX XX XXXXXXXXX XXXXXXX AL XXX XX XXXXXXX XXXX IMPRESO/ (XX) XXXXX XXXXXXXXXX VEŘEJNOU XXXXXXX, K NÍŽ XX XXXXXXXX TENTO XXXXXXXX/ (DA) XXX XXXXXXXXX, DER XXX XXXXXXX DET OFFENTLIGE XXXXXXXX, SOM XXXXX XXXXXXXX XX VEDHÆFTET/ (XX) XXXÖXXX, XXX XXX ÖFFENTLICHE XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX, XXXXXXXXX/ (XX) XXXXXX, KES XXXXX XÄXXX XXXXXXX XXXXXXXXX, XXXXXXX XXX XXXX ON XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXX XXXXXXXX TO WHICH XXXX XXXX IS XXXXXXXX/ (XX) XXXXXXXX XX DÉLIVRANCE XX XXXXXXXX PUBLIC AUQUEL XXX XXXXX LE XXXXXXX XXXXXXXXXX/ (XX) XX tÚDARÁS A XXXXXXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (HR) XXXXXX XXXX XXXXXX XXXXX XXXXXXX KOJOJ XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ CHE XXXXXXXX IL XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, KURAM ŠĪ XXXXXXXX IR XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (LT) VIEŠĄJĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX FORMA, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX PUBBLIKU XX XXXXĦX HIJA XXXXXŻX XXX IL-FORMOLA/ (XX) AUTORITEIT XXX XXXXXXX VAN HET XXXXXXXX XXXXXXXX XXXXXXX XXX FORMULIER XX XXXXXXX/ (XX) XXXXX XXXXXĄXX DOKUMENT URZĘDOWY, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXXXX QUE XXXXX O XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX FORMULAR/ (SK) XXXXX VYDÁVAJÚCI VEREJNÚ XXXXXXX, KU XXXXXX XX TENTO XXXXXXXX XXXXXXXXX/ (XX) ORGAN, XX XXXX JAVNO XXXXXXX, XX XX XX PRILOŽEN XX XXXXXXX/ (XX) VIRANOMAINEN, XXXX XX XXXXXXX XXXXXXX ASIAKIRJAN, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX XXX XXXÄXXXX DEN OFFICIELLA XXXXXXXX XXXX VILKEN XXXXX XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX XXXXXXXX XX XXXXXXXXX PÚBLICO XX XXX SE XXXXXXX XXXX IMPRESO/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXX XXXXXXX, K XXX XX PŘILOŽEN XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXØXXXXX XXX XXXXXXXXXX DOKUMENT, XXX XXXXX FORMULAR XX XXXXÆXXXX/ (DE) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX XXXXXXX XXXXXXXXX XXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXXXX RELATING XX XXX XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX ATTACHED/ (XX) INFORMATIONS XXXXXXXXX XX DOCUMENT XXXXXX XXXXXX XXX XXXXX XX PRÉSENT XXXXXXXXXX/ (XX) FAISNÉIS X XXXXXXXXX XXXX XX XXXXXXXXX XXXXXX LENA XXXXXX AN XXXXXX XXX CEANGAILTE/ (XX) XXXXXXXXXXX KOJE SE XXXXXX NA XXXXX XXXXXXX XXXXX XX XXXX OBRAZAC PRILOŽEN/ (XX) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX IL PRESENTE XXXXXX È ALLEGATO/ (XX) INFORMĀCIJA XXX XXXXXXXX DOKUMENTU, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX FORMA/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX VONATKOZÓ XXXXXXXXXXX/ (MT) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX MIEGĦU XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX XXX OPENBAAR DOCUMENT XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXX DOTYCZĄCE XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX JEST XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXȚXX REFERITOARE XX XXXXXXXXXX OFICIAL XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX O XXXXXXXX XXXXXXX, KU KTOREJ XX TENTO XXXXXXXX XXXXXXXXX/ (SL) XXXXXXXXXXX X XXXXX X XXXXX XXXXXXX, KI XX JE XXXXXXXX XX XXXXXXX/ (XX) XXXXXX YLEISESTÄ ASIAKIRJASTA, XXXXX TÄMÄ LOMAKE XXXXXXÄÄX/ (SV) XXXXXXXXXXX XX DEN XXXXXXXXXX XXXXXXXX TILL XXXXXX XXXXX FORMULÄR ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (ES) XXXXXXXXX EXPEDIDO XXX XXX XXXXXXXXX X XX FUNCIONARIO XXXXXXXXX X XXX XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX MIEMBRO/ (XX) XXXXXXX XXXXXX ORGÁNEM XXXX ÚŘEDNÍKEM S XXXXXX XX SOUDY XXXXXX XXXXXXXXX XXXXX/ (XX) DOKUMENT, XXX XX XXXXXXX XX XX MYNDIGHED XXXXX XX EMBEDSMAND, XXX XX TILKNYTTET DOMSTOLE X XX XXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXÖXXX XXXX XXXXX XXXXXXXXXX ALS ORGAN XXX XXXXXXXXXXXX EINES XXXXXXXXXXXXXX/ (XX) DOKUMENT, XXXXX XX VÄLJA XXXXXX XXXXXXXXXXXX KOHTUTEGA XXXXXX AMETIASUTUS XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (EN) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXX XX XX OFFICIAL XXXXXXXXX XXXX XXX COURTS XX TRIBUNALS XX X XXXXXX XXXXX/ (XX) DOCUMENT ÉMANANT X'XXX XXXXXXXX OU X'XX FONCTIONNAIRE RELEVANT X'XXX XXXXXXXXXXX X'XX XXXX MEMBRE/ (XX) XXXXXXXXX A XXXXXXX X XXXXXX XX X XXXXXXXXX A XXXXXX XXXXX AIGE XX XXXX LE XXXXXXXXXX NÓ LE XXXXX XX CHUID XXXXXXXXX/ (HR) ISPRAVA XXXX JE XXXXXX XXXXXX ILI SLUŽBENIK XXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX EMANATO XX XX'XXXXXXXÀ O XX UN XXXXXXXXXXX XXXXXXXXXXXX XX XXX XXXXX GIURISDIZIONI XX XXX XXXXX XXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XX DALĪBVALSTS XXXXĀX XXXXXĪXX IESTĀDE XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX VALDŽIOS XXXXXXXXXXXX AR XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX TEISMAIS XX XXXXXXXXXXX/ (HU) XXXXXXXXX XXXXXXXXXX KAPCSOLATBAN ÁLLÓ XXXXXXX XXXX TISZTVISELŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX XXXXXXXÀ JEW XXXXĊXXX XX JKOLLHOM XXXXX MAL-QRATI XXX XX-XXXXXXXXX XX' STAT XXXXXX/ (XX) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXXXX OF XXXXXXXXX XXXXXXXXX XXX EEN XXXXXXXXXXXX INSTANTIE XXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX OD XXXXXX SĄDOWEGO XXX XXXĘXXXXX SĄDOWEGO PAŃSTWA XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX DE UMA XXXXXXXXXX XX DE XX XXXXXXXXXXX XXXXXXXXXX XX QUALQUER XXXXXXXÇÃX XX XX XXXXXX-XXXXXX/ (XX) XXXXXXXX XXXX XX O AUTORITATE XXX DE XX XXXXȚXXXXX XX XX XÂXXĂ XXXXXXȚXXX UNUI XXXX MEMBRU/ (XX) XXXXXXX XXXXXX ORGÁNOM XXXXX ÚRADNÍKOM X XÄXXXX XX SÚDY XXXXXXXXX XXXXX/ (XX) XXXXXXX, IZDANA S XXXXXX XXXXXX XXX XXXXXXXX SODNE XXXXXXX XXXXXX XXXXXXX/ (FI) XXXXXXXXX, JONKA XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX TAI XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXXXXXXXX XXXXX XX XXÄXXXXXXX TILLHÖRANDE XXXXXXXXXÄXXXXXX I XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX JUDICIAL/ (XX) ROZHODNUTÍ XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) XXXXXXXX DE XXXXXXX/ (XX) XXXXXXXX XX gCÚIRT/ (XX) XXXXXX ODLUKA/ (XX) XXXXXXXXX GIURISDIZIONALE/ (LV) XXXXXX LĒMUMS/ (XX) XXXXXX SPRENDIMAS/ (XX) XXXXXXXX XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (XX) XXXXXÃX JUDICIAL/ (RO) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (SK) XXXXX XXXXXXXXXXX/ (XX) XXXXX ODLOČBA/ (XX) XXXXXXXXXXXXXX PÄÄTÖS/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX POR XX XXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (DA) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX EINER XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, MILLE XX XÄXXX ANDNUD XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX A XXXXXX XXXXXXXXXX/ (FR) XXXXXXXX XXXXXXX XX XXXXXXÈXX XXXXXX/ (GA) XXXXXXXXX X XXXXXXX X XXXXXXXXXXXXXXX POIBLÍ/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (IT) XXXXXXXXX XXXXXXX XXX XXXXXXXX XXXXXXXXX/ (LV) DOKUMENTS, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (XX) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX AFGEGEVEN XXXX XXX OPENBAAR XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX EMIS XX XX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXXXXXX/ (SL) XXXXXXX, XX XX XXXX XXXXXXX TOŽILSTVO/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX UN XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXX SOUDNÍM XXXXXXXXX/ (DA) XXXXXXXX XXXXXXX XX EN XXXXXXXXXXXXXÆX/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX EINES GERICHTS/ (XX) XXXXXXXX, XXXXX XX VÄLJA ANDNUD XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (EN) DOCUMENT XXXXXXXXX XXXX X XXXXX XX A XXXXX/ (FR) DOCUMENT XXXXXXX X'XX XXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX Ó XXXXXXXXXX XX XXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXX XXXXXXXXXX XXXXXX PISARNICE/ (IT) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (LV) XXXXXXXXX, KURU XXXXXXXXXX XXXXXX XXXXXXĀXX/ (XX) XXXXXX TARNAUTOJO XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX XXĠXXXXXXXX XX' QORTI/ (XX) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX XXXXXXXXXX SĄDOWEGO/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXX DE XXXXXÇX/ (XX) XXXXXXXX XXXX XX XX XXXXXXX XX XXXXXXȚXX/ (XX) XXXXXXX VYDANÁ XXXXXX ÚRADNÍKOM/ (XX) XXXXXXX, KI JO XXXX XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX ASIAKIRJA/ (XX) XXXXXXXX SOM XÄXXÖX XXÅX EN XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („HUISSIER XX JUSTICE“)/ (ES) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXX («XXXXXXXX XX JUSTICE»)/ (XX) LISTINA VYDANÁ XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX XX XX XXÆXXXXXXXXXX (»XXXXXXXX XX JUSTICE«)/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXÄXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX DE XXXXXXX»)/ (EN) XXXXXXXX XXXXXXXXX XXXX X XXXXXXXX XXXXXXX ('XXXXXXXX XX JUSTICE')/ (XX) XXXXXXXX ÉMANANT D'UN XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXX X XXXXXXX Ó XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX DE XXXXXXX”)/ (XX) XXXXXXX XXXX JE IZDAO XXXXXX XXXXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXX XX XX UFFICIALE XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX TIESAS IZPILDĪTĀJS (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX (XXXXXXXX XX JUSTICE) XXXXXXXX XXXXXXXXXX/ (HU) XXXXXXXX XXXXXXXXXX („XXXXXXXX DE XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ MINN UFFIĊJAL ĠXXXXXXXXXX ('HUISSIER XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX XĄXXXXXX (XXXXXXXX XX XXXXXXX)/ (PT) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXÃX XX DIREITO («HUISSIER XX XXXXXXX»)/ (XX) XXXXXXXX EMIS XX XX EXECUTOR XXXXXĂXXXXXX („XXXXXXXX DE JUSTICE”)/ (XX) XXXXXXX XXXXXX XXXXXX VYKONÁVATEĽOM („HUISSIER XX JUSTICE“)/ (SL) XXXXXXX, XX JO XXXX XXXXX XXXXXXXXXX („XXXXXXXX DE JUSTICE“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX XX XXXXXXX”) XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX XX XXÄXXXXXXXXX (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) OTRO (ESPECIFÍQUESE)/ (XX) JINÉ (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) XXX (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX XX XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (XX) XXXX (XX SONRÚ)/ (HR) XXXXXX (NAVESTI)/ (XX) XXXXX (XXXXXXXXX)/ (LV) XXXX (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (XX) XXXXX (KÉRJÜK XXXXXXXXXXX)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (SPECIFICEREN)/ (XX) INNY (PROSZĘ XXXXŚXXĆ)/ (PT) XXXXXX (X XXXXXXXXXXX)/ (XX) XXXXX (A SE XXXXXXX)/ (SK) XXX (XXXXXXXX)/ (SL) XXXXX (XXXXXXX)/ (XX) MUU XXXXXXXXX (TÄSMENNETTÄVÄ)/ (SV) XXXXX XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX VYDANÁ SPRÁVNÍM XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (DE) URKUNDE XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (EN) XXXXXXXXXXXXXX XXXXXXXX/ (FR) DOCUMENT XXXXXXXXXXXXX/ (XX) DOICIMÉAD XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) ADMINISTRACINIS XXXXXXXXXX/ (XX) KÖZIGAZGATÁSI XXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (PL) DOKUMENT XXXXXXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) SPRÁVNA XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXXXX/ (SV) ADMINISTRATIV XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) PÅTEGNING/ (XX) XXXXXXXXXXXXX/ (ET) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) CERTIFICAT/ (XX) DEIMHNIÚ/ (HR) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) APLIECINĀJUMS/ (XX) XXXXXX, XXXXXXXXXX/ (HU) XXXXXXXXXXX/XXXXXXXXXXXX/ (MT) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (RO) XXXXXXXXXX/ (SK) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) INTYG

3.2.2

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) EXTRACTO XXX XXXXXXXX XXXXX/ (XX) XXXXX X XXXXXXX/ (XX) UDDRAG XXX XXXXXXXXXXXXXXXXXXXX/ (DE) XXXXXX XXX XXX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (EN) EXTRACT XXXX THE XXXXX XXXXXX XXXXXXXX/ (XX) XXXXXXX XX REGISTRE XX X'XXXX XXXXX/ (XX) SLIOCHT XX XX gCLÁR XXXXXXX XXXXXXXXXX/ (HR) XXXXXXX XX REGISTRA OSOBNOG XXXXXX/ (IT) ESTRATTO XX ATTO XX XXXXX CIVILE/ (XX) XXXXXXXX XX XXXXXXXĀXXXĻX XXXX XXĢXXXXX/ (XX) XXXXXXX IŠ XXXXXXXĖX XŪXXĖX XXXŲ XXXXXXXX/ (XX) ANYAKÖNYVI XXXXXXX/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXX VAN DE XXXXXXXXXXX STAND/ (XX) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXX DE XXXX XX XXXXXXX XXXXX/ (XX) XXXXXX XXX XXXXXXXXX DE XXXXX XXXXXĂ/ (XX) XXXXX X XXXXXXXX OSOBNÉHO XXXXX/ (SL) XXXXXXX XX XXXXXXXX X XXXXXXX STANJU/ (XX) XÄXXXÖXXXXXXXXXXXX (SIVIILISÄÄTY)/ (XX) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX DEL CENSO/ (XX) XXXXX X XXXXXXXX XXXXXXXX/ (DA) XXXXXX FRA FOLKEREGISTRET/ (XX) XXXXXX AUS XXX XXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX FROM THE XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XX XX POPULATION/ (XX) SLIOCHT AS XX xXXXX XXXXXX/ (XX) IZVADAK XX XXXXXX STANOVNIŠTVA/ (XX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX NO XXXXĪXXXĀXX XXĢXXXXX/ (XX) IŠRAŠAS XX GYVENTOJŲ XXXXXXXX/ (XX) KIVONAT X XXXXXXXXXXXX- ÉS XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) UITTREKSEL XXX XXX BEVOLKINGSREGISTER/ (XX) WYCIĄG X XXXXXXXX XXXXXŚXX/ (XX) XXXXXXX DO REGISTO XX POPULAÇÃO/ (RO) XXXXXX DIN REGISTRUL XX XXXXXXȚĂ X XXXXXXȚXXX/ (SK) XXXXX X XXXXXXXX XXXXXXXĽXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXXXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX/ (SV) XXXXXX XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) COPIA XXXXXXX XX XXXXX XXX XXXXXXXX XXXXX/ (XX) XXXX XXXXXXXXXX ZÁZNAMŮ/ (XX) XXXXXX XXXX XX CIVILSTANDSREGISTRE/ (XX) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) PEREKONNASEISUAKTI XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX OF XXXXX XXXXXX RECORDS/ (FR) XXXXX INTÉGRALE X'XXXXX XX X'XXXX XXXXX/ (XX) XXXX XXXXX XX XXXXXX XX XXXXXXX XX STÁDAS XXXXXXXXX/ (HR) XXXXXXXX XXXXXXXX IZ XXXXXXXXXX X XXXXXXX XXXXXX/ (XX) XXXXX LETTERALE XX XXXX DI XXXXX XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX REĢISTRA XXXXXXXX XXXXXXXXXX KOPIJA/ (XX) CIVILINĖS XŪXXĖX XXXŲ ĮXXXŲ PAŽODINĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX SZÓ XXXXXXXX XXXXXXXX/ (MT) XXXXX XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXX XXX AKTEN XXX XX XXXXXXXXXXX XXXXX/ (PL) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (XX) CERTIDÃO XX XXXXX INTEGRAL XX DE NARRATIVA XX XXXX XX XXXXXXX XXXXX/ (XX) XXXXX XXXXXĂ A XXXX ACT XX XXXXX CIVILĂ/ (SK) XXXXXXXX XXXXX ZO XXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXX XXXXXX LISTIN X XXXXXXX XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXXXXXXX SANATARKKA XÄXXXXXÖX/ (XX) ORDAGRANN XXXXXXXX XX FOLKBOKFÖRINGSHANDLING

3.3

(BG) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (CZ) XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) NOTARIAL XXX/ (XX) ACTE XXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX ISPRAVA/ (XX) ATTO XXXXXXXX/ (XX) NOTARIĀLS AKTS/ (XX) NOTARINIS XXXXX/ (XX) KÖZJEGYZŐI OKIRAT/ (XX) ATT NOTARILI/ (XX) XXXXXXËXX XXXX/ (XX) XXX NOTARIALNY/ (XX) ATO NOTARIAL/ (XX) XXX XXXXXXXX/ (XX) NOTÁRSKA LISTINA/ (XX) NOTARSKA LISTINA/ (XX) XXXXXXXX XXXXXX 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/ (CZ) XXXXXX OSVĚDČENÍ, XXXXXX XXXX OPATŘENA LISTINA XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXX PÅTEGNING XÅ XX XXXXXXXX XXXXXXXXXXX AF EN XXXXXX X XXXXXX XXXXXXXX XX XXXXXXXXXXXX/ (XX) AMTLICHE XXXXXXXXXXXXX XXX EINER PRIVATURKUNDE/ (XX) ISIKU XXXXX XXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX XXXXXXX TÕEND/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) OFFICIAL XXXXXXXXXXX PLACED ON X XXXXXXXX XXXXXX XX X XXXXXX XX HIS XX XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX SUR UN XXXX SOUS XXXXX XXXXX/ (GA) XXXXXXXX XXXXXXXXX X CHUIRTEAR XX DHOICIMÉAD XXXX XXXXXX XX XXXXX XXX CHÁIL XX XXX XXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX XX ISPRAVU XXXX XX XXXXX XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (IT) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX XXX SCRITTURA XXXXXXX/ (XX) XXXXXĀXX XXXXXXXXĀXXXX XX DOKUMENTA, XX XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (XX) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX ELHELYEZETT XXXXXXXXX XXXXXXXXXXX/ (MT) ĊXXXXXXXXX UFFIĊJALI LI XXXXXXXĦXX F'DOKUMENT IFFIRMAT XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXX XXXXXXXXXXX XXXX XXX XXXXXXX XX XXXX PARTICULIERE XXXXXXXXXXXX/ (PL) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX PRYWATNYM/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX XXX XX XXXXXXXX PRIVADA/ (RO) XXXXXXXXXX OFICIAL XXXXXXX XX XX XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX OSVEDČENIE XXXXXXX XX XXXXXXX XXXXXXXXXX OSOBOU XXXXXXXXX XXX SÚKROMNÁ XXXXX/ (XX) XXXXXX IZJAVA XX XXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, XXXXX XXXXXXÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX INTYG XXXXXXXXX XÅ EN 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 UN XXXXXX XXXXXXXXXXX X XXXXXXXX XX XX XXXXXX MIEMBRO XXX XXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX NEBO KONZULÁRNÍM XXXXXXXXX ČLENSKÉHO STÁTU X RÁMCI XXXXXX XXXX XXXXXXXXXX POVINNOSTÍ/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX AF XX XXXXXXXXXXXX XXXXXXXXXXXX ELLER XXXXXXÆXX REPRÆSENTANT/ (XX) XXX EINEM XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXXX XX XXXXXX AMTLICHEN XXXXXXXX XXXXXXXXXX XXXXXXX/ (ET) XXXXXXXXXXXX XXXXXXXXXXXXXX VÕI XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX DRAWN XX XX A XXXXXXXXXX XX XXXXXXXX XXXXX XX X XXXXXX XXXXX XX XXX XX HER XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX ÉTABLI XX XX XXXXXXX OFFICIELLE XXX XX AGENT XXXXXXXXXXXX OU XXXXXXXXXX X'XX XXXX MEMBRE/ (XX) XXXXXXXXX ARNA XXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX NÓ XXXXXXXXX XX XXXXX XXXXXXXXX INA XXXXX XX INA XXXX XXXXXXXXX/ (XX) ISPRAVA XXXX XX X XXXXXXXXX SVOJSTVU XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX XXXXXXXXXXX X XXXXXXXXX XX XXX XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (LV) XXXXXXXXX, XXXX, XXXXXX AMATA XXXXĀXXXXX, SAGATAVOJIS DALĪBVALSTS XXXXXXĀXXXXXXX XXX KONSULĀRAIS XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX NARĖS XXXXXXXXX AR XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX KONZULI XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXXX XXXX XĠXXX XXXXXXXXXXX XXX XXXXXXXXX XX' XXXX XXXXXX FIL-KAPAĊITÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX DOOR XX XXXXXXXXXXXX XX CONSULAIRE XXXXXXXXX XXX EEN XXXXXXXX XX XXXX XXXXXXËXX XXXXXXXXXXXX/ (PL) XXXXXXXX SPORZĄDZONY XXXXX XXXXXXXXXXXXXXX DYPLOMATYCZNEGO XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX W XXXXXXXXXXX XXXĘXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XX XXXXXX XXXXXXXXXXX XX CONSULAR XX XX XXXXXX-XXXXXX NO XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎNTOCMIT XX XĂXXX UN XXXXX XXXXXXXXXX XXX XXXXXXXX XX XXXX XXXX XXXXXX, ÎX CALITATE XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX KONZULÁRNYM ÚRADNÍKOM XXXXXXXXX XXXXX X XXXXX VÝKONU XXXX XXXXXXX/ (XX) XXXXXXX, XX XX XXX XXXXXX XXXXX XXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX DRŽAVE XXXXXXX/ (XX) ASIAKIRJA, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX KONSULIEDUSTAJA XX XXXXXXXX VIRANTOIMITUKSESSA/ (XX) XXXXXXXX XXXXÄXXXX X XXÄXXXXX AV EN XXXXXXXXXXX ELLER XXXXXXÄX XXÄXXXXXXX I EN XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) VYDÁNÍ/ (XX) XXXXXXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX KUUPÄEV (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) OF ISSUE/ (XX) XXXX (XX/XX/XXXX) XX DÉLIVRANCE/ (XX) XXXX (LL/MM/BBBB) EISIÚNA/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (IT) XXXX XX RILASCIO (XX/XX/XXXX)/ (XX) IZDOŠANAS XXXXXX (XX/XX/XXXX)/ (LT) IŠDAVIMO XXXX (XX/XX/XXXX)/ (XX) X KIÁLLÍTÁS XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (DD/MM/JJJJ) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) WYDANIA/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) EMITERII/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (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 XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (DA) XXX XXXXXXXXXX DOKUMENTS XXXXXXXXXXXXXXX/ (XX) KENNNUMMER XXX ÖXXXXXXXXXXX URKUNDE/ (XX) AVALIKU DOKUMENDI XXXXXXXXXXX/ (EL) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) REFERENCE XXXXXX XX THE XXXXXX XXXXXXXX/ (XX) XXXXXX XX XXXXXXXXX XX XXXXXXXX PUBLIC/ (XX) UIMHIR XXXXXXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXX XXXXX ISPRAVE/ (XX) XXXXXX XX XXXXXXXXXXX XXX DOCUMENTO PUBBLICO/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX NUMURS/ (XX) XXXXXXX DOKUMENTO XXXXXXX/ (XX) A XÖXXXXXXX XXXXXXXXXXX SZÁMA/ (MT) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX PUBBLIKU/ (NL) XXXXXXXXXXXXXXXX XXX HET XXXXXXXX DOCUMENT/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXX XX XXXXXÊXXXX XX XXXXXXXXX PÚBLICO/ (XX) XXXĂXXX XX XXXXXXXȚĂ XX DOCUMENTULUI OFICIAL/ (XX) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX ŠTEVILKA XXXXX XXXXXXX/ (XX) YLEISEN XXXXXXXXXX VIITENUMERO/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) БРАК/ (XX) XXXXXXXXXX/ (CZ) XXXXXXXXXX/ (XX) ÆXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) XXXXXX/ (XX) ΓΑΜΟΣ/ (EN) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXX/ (HR) XXXXXXXXX BRAKA/ (IT) XXXXXXXXXX/ (XX) LAULĪBA/ (XX) XXXXXXXX/ (XX) XXXXXXXXXÖXXX/ (MT) ŻXXXĠ/ (XX) XXXXXXXX/ (PL) XXŁŻXŃXXXX/ (XX) XXXXXXXXX/ (XX) XĂXĂXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX XXXXX/ (FI) XXXXXXXXXX/ (XX) ÄXXXXXXXX

4.1

(XX) ДАТА (ДД/ММ/ГГГГ) НА БРАКА/ (XX) XXXXX (XX/XX/XXXX) DEL XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXX XXXXXXXXXX/ (DA) XXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXX (TT/MM/JJJJ) DER XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΤΕΛΕΣΗΣ ΤΟΥ ΓΑΜΟΥ/ (XX) XXXX (DD/MM/YYYY) OF XXX MARRIAGE/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XX PHÓSTA/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX XXXXX/ (XX) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) LAULĪBAS XXXXĒXXXXXX DATUMS (XX/XX/XXXX)/ (XX) XXXXXXXXX SUDARYMO XXXX (DD/MM/MMMM)/ (HU) X XXXXXXXXXÖXXX IDEJE (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXŻ-ŻXXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXX HUWELIJK/ (XX) XXXX (XX/XX/XXXX) ZAWARCIA XXŁŻXŃXXXX/ (PT) XXXX XX XXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XĂXĂXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXXXXX ZAKONSKE ZVEZE/ (XX) XXXXXXXXXX SOLMIMISPÄIVÄ (XX/XX/XXXX)/ (XX) DATUM (XX/XX/ÅÅÅÅ) FÖR ÄXXXXXXXXXXX XXXÅXXXX

4.2

(XX) МЯСТО И ДЪРЖАВА НА БРАКА/ (XX) LUGAR X XXXX XXX MATRIMONIO/ (XX) XXXXX X XXXX XXXXXXXX XXXXXXXXXX/ (XX) VIELSESSTED XX -XXXX/ (XX) XXX XXX XXXX DER XXXXXXXXXXXXXX/ (ET) XXXXXXXXXXX XXXX XX RIIK/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΤΕΛΕΣΗΣ ΤΟΥ ΓΑΜΟΥ/ (XX) XXXXX XXX XXXXXXX OF XXX XXXXXXXX/ (FR) XXXX XX PAYS XX MARIAGE/ (XX) XXX AGUS XXX XX XXXXXX/ (XX) XXXXXX X ZEMLJA XXXXXXXXX XXXXX/ (XX) XXXXX E PAESE XX XXXXXXXXXX/ (XX) XXXXĪXXX NOSLĒGŠANAS XXXXX XX XXXXXX/ (LT) XXXXXXXXX XXXXXXXX XXXXX XX XXXXX/ (XX) X HÁZASSÁGKÖTÉS HELYE XX XXXXXXX/ (XX) XXXX X XXXXXŻ XXŻ-ŻXXXĠ/ (NL) XXXXXX XX XXXX XXX XXX XXXXXXXX/ (PL) XXXXXXX X PAŃSTWO XXXXXXXX XXŁŻXŃXXXX/ (XX) XXXXX X PAÍS XX CASAMENTO/ (XX) XXXXX ȘX ȚXXX XĂXĂXXXXXX/ (XX) XXXXXX X ŠTÁT XXXXXXXXX XXXXXXXXXX/ (SL) XXXX XX DRŽAVA XXXXXXXXX XXXXXXXX ZVEZE/ (FI) XXXXXXXXXX SOLMIMISPAIKKA XX -XXX/ (XX) XXX XXX XXXX DÄR ÄXXXXXXXXXX XXXXXXX

5.

(XX) СЪПРУГ X/ (XX) XXXXXXX X/ (XX) XXXXXX/XXXXXXXX X/ (XX) ÆXXXXÆXXX X/ (XX) XXXXXXXXXX X/ (XX) XXXXXXXX X/ (XX) ΣΥΖΥΓΟΣ Α/ (XX) SPOUSE X/ (XX) CONJOINT X/ (XX) XXXXX X/ (XX) BRAČNI XXXX A/ (XX) XXXXXXX A/ (LV) XXXXĀXXXX X/ (XX) XXXXXXXXXXX A/ (XX) „X” XXXXXXXXX/ (MT) XXXXXĠX X/ (XX) XXXXXXXX(X)X(X) X/ (XX) XXŁŻXXXX X/ (XX) XÔXXXXX A/ (XX) XXȚXX X/ (XX) XXXXXX/XXXXXXXX X/ (XX) XXXXXXX X/ (XX) XXXXXXX X/ (SV) XXXX/XXXX X

5.1

(XX) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (XX) XXXXXXXX(X) XX XXXXXXXXXX/ (XX) XXXXX/X XXXXXXXX/ (XX) XXXXXXXXX(X) XXX XØXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXX XXXXXX/ (XX) XÜXXXXÄXXXX XXXXXXXXXXXXX (XÜXXXXÄXXXXX PEREKONNANIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (XX) XXXXXXX(X) XX XXXXX/ (XX) XXX(X) À XX XXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) BREITHE/ (XX) XXXXXXX(XX) PRI XXĐXXXX/ (XX) XXXXXXX/X XXXX XXXXXXX/ (LV) XXXĀXXX(-X) XXXXXXXXX XXĪXĪ/ (XX) XXXXXXĖ (-ĖX), XXXXXXXX (-OS) XXXXX/ (XX) SZÜLETÉSI CSALÁDI XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) XXX-XXXXXX/ (XX) XXXXXXXX(X)X(XX) XXX DE XXXXXXXX/ (XX) NAZWISKO(-A) RODOWE/ (XX) XXXXXXX(X) À XXXX XX XXXXXXXXXX/ (XX) XXXXXX XX XXȘXXXX/ (SK) RODNÉ XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX XX XXXXXXX/ (XX) XXXXXXXX (-NIMET) SYNTYMÄHETKELLÄ/ (XX) EFTERNAMN XXX XÖXXXXX

5.2

(XX) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ БРАКА/ (XX) XXXXXXXX(X) ANTES DE XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXX XXXXXXXXX XXXXXXXXXX/ (DA) XXXXXXXXX(X) XØX XXXXXXX/ (XX) XXXXXXXXXXXX(X) VOR DER XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX (-XXXXX) XXXX XXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΤΟΝ ΓΑΜΟ/ (XX) XXXXXXX(X) XXXXXX THE XXXXXXXX/ (FR) XXX(X) XXXXX XX XXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXXXX XX xXXXXXX/ (XX) XXXXXXX(XX) XXXXX XXXXXXXXX BRAKA/ (XX) XXXXXXX/X XXXXX XXX XXXXXXXXXX/ (XX) XXXĀXXX(-X) XXXXX XXXXĪXXX/ (LT) XXXXXXĖ (-ĖX) XXXXX XXXXXXXĄ/ (HU) XXXXXXX XXXX(X) A XXXXXXXXXÖXXX XXŐXX/ (XX) XXXXXX(/XXXXXXXXXXX) XXXXX XŻ-ŻXXXĠ/ (XX) XXXXXXXX(X)X(XX) VÓÓR HET XXXXXXXX/ (PL) NAZWISKO(-A) XXXXX XXXXXXXXX XXŁŻXŃXXXX/ (XX) XXXXXXX(X) XXXXX XX CASAMENTO/ (XX) XXXXXX ÎXXXXXX DE XĂXĂXXXXX/ (XX) XXXXXXXXXX(-X) XXXX UZAVRETÍM XXXXXXXXXX/ (XX) PRIIMEK/PRIIMKI XXXX XXXXXXXXXXX ZAKONSKE ZVEZE/ (XX) XXXXXXXX (-NIMET) XXXXX AVIOLIITTOA/ (SV) XXXXXXXXX XÖXX ÄXXXXXXXXXXX XXXÅXXXX

5.3

(XX) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА БРАКА/ (XX) XXXXXXXX(X) XXXXXXX XX XXXXXXXX MATRIMONIO/ (XX) PŘÍJMENÍ PO XXXXXXXX MANŽELSTVÍ/ (XX) XXXXXXXXX(X) EFTER XXXXXXX/ (XX) XXXXXXXXXXXX(X) NACH XXX XXXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXX (-NIMED) PÄRAST XXXXXXXXXXX/ (EL) ΕΠΩΝΥΜΟ(-Α) ΜΕΤΑ ΤΟΝ ΓΑΜΟ/ (XX) XXXXXXX(X) FOLLOWING XXX MARRIAGE/ (XX) XXX(X) À XX XXXXX XX MARIAGE/ (XX) XXXXXXX (SLOINNTE) XXX XXX AN XXXXXX/ (XX) XXXXXXX(XX) XXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX/X DOPO XX XXXXXXXXXX/ (LV) XXXĀXXX(-X) PĒC XXXXĪXXX/ (XX) PAVARDĖ (-ĖX) XX XXXXXXXXX/ (XX) XXXXXXX NEVE(I) X XXXXXXXXXÖXXX UTÁN/ (XX) XXXXXX(/XXXXXXXXXXX) XXXX Ż-ŻXXXĠ/ (XX) ACHTERNA(A)M(EN) XX XXX HUWELIJK/ (XX) XXXXXXXX(-X) PO XXXXXXXX XXŁŻXŃXXXX/ (XX) XXXXXXX(X) XXXX X CASAMENTO/ (XX) XXXXXX XXXĂ XĂXĂXXXXX/ (XX) PRIEZVISKO(-Á) XX XXXXXXXX MANŽELSTVA/ (XX) PRIIMEK/PRIIMKI PO XXXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXXXXXXX XXXXXXXXXX JÄLKEEN/ (XX) XXXXXXXXX EFTER ÄXXXXXXXXXXX INGÅENDE

5.4

(BG) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) NOMBRE(S)/ (XX) JMÉNO (XXXXX)/ (XX) XXXXXXX(X)/ (DE) XXXXXXX(X)/ (ET) XXXXXXX (-XXXXX)/ (EL) ΟΝΟΜΑ(-ΤΑ)/ (XX) FORENAME(S)/ (FR) XXXXXX(X)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (HR) XXX(XX)/ (XX) XXXX(X)/ (XX) XĀXXX(-X)/ (XX) XXXXXX (-XX)/ (HU) UTÓNEVE(I)/ (XX) ISEM(/ISMIJIET)/ (XX) XXXXXX(X)X(XX)/ (XX) IMIĘ (XXXXXX)/ (PT) XXXX(X) XXXXXXX(X)/ (XX) XXXXXXX/ (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 (DD/MM/RRRR) XXXXXXXX/ (DA) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) GEBURTSDATUM (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (HR) XXXXX (XX/XX/XXXX) XXĐXXXX/ (XX) XXXX XX NASCITA (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX XXXX (DD/MM/MMMM)/ (XX) SZÜLETÉSI IDEJE (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXȘXXXXX/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXXXX/ (SL) DATUM (XX/XX/XXXX) ROJSTVA/ (FI) XXXXXXÄXXXX (PP/KK/VVVV)/ (XX) XÖXXXXXXXXXX (DD/MM/ÅÅÅÅ)

5.6

(BG) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (DA) KØN/ (XX) XXXXXXXXXX/ (XX) XXXX/ (EL) ΦΥΛΟ/ (XX) XXX/ (FR) XXXX/ (GA) XXXXXX/ (XX) XXXX/ (XX) XXXXX/ (LV) XXXXXXX/ (XX) XXXXX/ (HU) XXXX/ (XX) SESS/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (XX) SEXO/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) SPOL/ (XX) XXXXXXXXX/ (SV) XÖX

5.6.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) ŽENA/ (XX) XXXXXX/ (XX) XXXXXXXX/ (ET) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (FR) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) FEMMINILE/ (XX) XXXXXXXX/ (LT) XXXXXXX/ (HU) NŐ/ (XX) XXXX/ (XX) XXXXX/ (PL) XXXXXXX/ (XX) FEMININO/ (RO) XXXXXXXX/ (XX) ŽENSKÉ/ (XX) XXXXXX/ (FI) XXXXXX/ (XX) XXXXXX

5.6.2

(XX) МЪЖКИ/ (ES) XXXXX/ (XX) MUŽ/ (DA) XXXX/ (DE) MÄNNLICH/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) MASCHILE/ (XX) XĪXXXXXX/ (XX) XXXXX/ (XX) XXXXX/ (MT) XXĠXX/ (XX) XXX/ (XX) MĘŻCZYZNA/ (XX) XXXXXXXXX/ (XX) BĂRBĂTESC/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXX/ (XX) MAN

5.6.3

(BG) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) UNBESTIMMT/ (ET) XÄÄXXXXXX/ (EL) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) INDÉTERMINÉ/ (XX) XXXXXXXXXXXXXXX/ (HR) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) NENUSTATYTA/ (XX) MEGHATÁROZATLAN/ (XX) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (SL) XXXXXXXXX/ (FI) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

6.

(XX) СЪПРУГ X/ (ES) XXXXXXX B/ (CZ) XXXXXX/XXXXXXXX X/ (DA) ÆXXXXÆXXX X/ (XX) XXXXXXXXXX B/ (XX) XXXXXXXX X/ (XX) ΣΥΖΥΓΟΣ Β/ (XX) XXXXXX B/ (FR) XXXXXXXX X/ (XX) XXXXX X/ (XX) XXXXXX XXXX X/ (XX) XXXXXXX X/ (XX) LAULĀTAIS X/ (XX) SUTUOKTINIS X/ (XX) „X” XXXXXXXXX/ (XX) XXXXXĠX X/ (XX) XXXXXXXX(X)X(X) B/ (XX) XXŁŻXXXX X/ (XX) XÔXXXXX X/ (XX) XXȚXX B/ (XX) XXXXXX/XXXXXXXX X/ (XX) ZAKONEC X/ (XX) PUOLISO B/ (XX) XXXX/XXXX X

7.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX FIRMA/ (CZ) XXXX XXX PODPIS/ (XX) UNDERSKRIFTSFELT/ (XX) XXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) XXXXX XXXX XX SIGNATURE/ (XX) XXXXX XXX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) RIQUADRO XXX XX XXXXX/ (XX) XXXXXXXX XXXXX/ (XX) XXXXXX LAUKELIS/ (XX) AZ XXXXXXX XXÖXXXXXXXXX/ (XX) KAXXA XXX-XXXXXXXX/ (XX) XXX XXXX XX XXXXXXXXXXXX/ (XX) POLE XXXXXXX/ (XX) ESPAÇO XXXXXXXXX À ASSINATURA/ (XX) XXXXĂXXXX/ (SK) KOLÓNKA XX PODPIS/ (SL) XXXXX ZA XXXXXX/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (SV) XXXX XÖX XXXXXXXXXXXXXX

7.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXX(X) Y XXXXXX(X) XXX XXXXXXXXXXX XXX XXXXXXX ESTE IMPRESO/ (XX) XXXXXXXX A XXXXX (JMÉNA) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (DA) EFTERNAVN(E) XX XXXXXXX(X) XÅ XXX XXXXXXXXXX, DER XXX XXXXXXX DENNE XXXXXXXX/ (DE) XXXXXXXXXXXX(X) XXX XXXXXXX(X) XXX XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXXXXXX HAT/ (XX) XÄXXXXXXX VORMI XÄXXXXXXXXX AMETNIKU EESNIMI (-XXXXX) XX XXXXXXXXXXXXX (-XXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) XXX XXXXXXXX(X) XX XXX XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) XXX(X) XX PRÉNOM(S) XX XXXXXXXXXXXXX XXX X XXXXXXX LE XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX XXXXXXXX X X’XXXXXX XX XXXXXX SEO/ (XX) XXXXXXX(XX) I XXX(XX) XXXXXXXXXX XXXX XX XXXXX OVAJ XXXXXXX/ (IT) XXXXXXX/X X XXXX/X XXX XXXXXXXXXXX CHE HA XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX IZDEVUSI XX XXXXXXXX, UZVĀRDS(-I) XX XĀXXX(-X)/ (XX) ŠIĄ XXXXĄ IŠDAVUSIO PAREIGŪNO XXXXXXĖ (-ĖX) XX XXXXXX (-XX)/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXXXXXŐ CSALÁDI XXXX(X) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X ISEM(/ISMIJIET) XXX-XXXXĊXXX XX ĦAREĠ XXX IL-FORMOLA/ (XX) XX(X)X(XX) EN XXXXXX(X)X(XX) XXX XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (PL) XXXXXXXX(-X) X XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX FORMULARZ/ (XX) XXXXXXX(X) X XXXX(X) XXXXXXX(X) DO XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXX ȘX XXXXXXXXX XXXXȚXXXXXXXXX XXXX X EMIS PREZENTUL XXXXXXXX/ (XX) PRIEZVISKO(-Á) X MENO(-Á) XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX XXX/XXXXX XXXXXXXX, XX XX XXXXX XX OBRAZEC/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXXXXX (-XXXXX) XX XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX XXX XÖXXXXX XÅ DEN XXÄXXXXXXX XXX HAR XXXÄXXXX DETTA FORMULÄR

7.2

(BG) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) CARGO XXX XXXXXXXXXXX XXX XXXXXXX ESTE IMPRESO/ (XX) XXXXXX XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) STILLING — XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX FORMULAR/ (DE) XXXXXXXX XXX XXXXXXX, XXX XXXXXX FORMULAR XXXXXXXXXXX HAT/ (ET) XÄXXXXXXX VORMI VÄLJASTANUD XXXXXXXX AMETIKOHT/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX XX XXX XXXXXXXX XXX ISSUED XXXX XXXX/ (XX) XXXXX XX FONCTIONNAIRE XXX X DÉLIVRÉ XX XXXXXXX XXXXXXXXXX/ (XX) XXXX XX XXXXXXXX A X’XXXXXX XX XXXXXX XXX/ (XX) FUNKCIJA SLUŽBENIKA XXXX XX XXXXX XXXX OBRAZAC/ (XX) XXXXXXXXX XXX FUNZIONARIO XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) AMATPERSONAS, KURA XXXXXXXX ŠO XXXXXXXX, XXXXX/ (XX) XXĄ XXXXĄ XXXXXXXXX PAREIGŪNO XXXXXXXX/ (XX) A XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (MT) KARIGA XXX-XXXXĊXXX XX ĦXXXĠ XXX IL-FORMOLA/ (XX) XXXXXXX VAN DE XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX WYDAŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX XX XXXXXXXXXXX XXX XXXXXX O XXXXXXXX XXXXXXXXXX/ (RO) XXXXȚXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XXXXX VYDAL TENTO XXXXXXXX/ (SL) POLOŽAJ XXXXXXXX, XX JE XXXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX FÖR XXX TJÄNSTEMAN XXX XXX UTFÄRDAT DETTA XXXXXXÄX

7.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (DA) XXXXXXXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (TT/MM/JJJJ)/ (ET) XÄXXXXXXXXXX KUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) DATE (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXX/ (IT) DATA XX XXXXXXXX (XX/XX/XXXX)/ (XX) IZDOŠANAS XXXXXX (XX/XX/XXXX)/ (XX) IŠDAVIMO XXXX (DD/MM/MMMM)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (PL) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX DE XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) EMITERII/ (XX) XXXXX (DD/MM/RRRR) XXXXXXX/ (XX) DATUM (DD/MM/LLLL) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) DATUM (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

7.4

(XX) ПОДПИС/ (ES) FIRMA/ (XX) XXXXXX/ (DA) XXXXXXXXXXX/ (XX) UNTERSCHRIFT/ (XX) XXXXXXX/ (EL) ΥΠΟΓΡΑΦΗ/ (EN) SIGNATURE/ (XX) SIGNATURE/ (GA) XXXXX/ (XX) POTPIS/ (XX) XXXXX/ (LV) XXXXXXXX/ (LT) XXXXXXX/ (XX) ALÁÍRÁS/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (FI) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

7.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX O XXXXXX/ (XX) PEČEŤ XXXX XXXXXXX/ (XX) SEGL XXXXX XXXXXXX/ (XX) XXXXXX XXXX XXXXXXX/ (XX) PITSER XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX XXXXX/ (XX) SCEAU XX XXXXXX/ (XX) XXXXX NÓ XXXXXX/ (XX) XXX ILI XXXXX/ (XX) XXXXX X XXXXXX/ (LV) XĪXXXX VAI XXXXXXXX/ (XX) XXXXXXX ARBA XXXXXXXXXX/ (XX) PECSÉT XXXX XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX XXX XXXXXX/ (XX) XXXXX XX XXXXXXX/ (XX) XXXXXĘĆ XXX STEMPEL/ (PT) XXXX OU XXXXXXX/ (XX) SIGILIUL SAU ȘXXXXXXX/ (SK) PEČAŤ XXXXX ODTLAČOK XXXXXXXX/ (XX) XXXXX XXX XXX/ (FI) XXXXXXX XXX XXXXX/ (SV) XXXXXX XXXXX XXÄXXXX

XXXXXXXXXXX X XXXXXXXX MANŽELSTVÍ

VÍCEJAZYČNÝ XXXXXXXXXX XXXXXXXX – XXXXXXX XXX PŘEKLAD

Článek 7 xxxxxxxx Evropského parlamentu x Xxxx (EU) 2016/1191 xx dne 6. xxxxxxxx 2016 x xxxxxxx volného xxxxxx občanů xxxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx x Xxxxxxxx unii x x xxxxx xxxxxxxx (EU) x. 1024/2012 (1)

Xxxxxx (BE) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (XX) Německo (XX)

Xxxxxxxx (EE) Irsko (XX)

Xxxxx (EL) Španělsko (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (IT) Kypr (XX)

Xxxxxxxx (LV) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (HU) Xxxxx (MT)

Nizozemsko (XX) Xxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (RO) Xxxxxxxxx (SI)

Slovensko (SK) Xxxxxx (XX)

Xxxxxxx (XX) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

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

Tento formulář xxxxxx obsah xxxxxxx xxxxxxx, x xxx xx xxxxxxxx. Xxxxx, xxxxx xx xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx xxxx x xxxxxxxxx, xxx je xx xxxxxxxx pro xxxxx xxxxxxxxxx veřejné xxxxxxx, xxxxxxxxx xxxxxxx či xxxxxx informací, xxxxx xxxx ve formuláři xxxxxxx.

XXXXXXXXXX PRO XXXXXXXXXX XXXXX

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

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

1. XXXXX XXXXXXXXXX XXXXX FORMULÁŘ

1.1 Název (3)

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

1.1 Xxxxx (4)

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

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

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx vydaná xxxxxx xxxxxxx úředníkem

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

3.1.5 Xxxx (xxxxxxxxx)

(1) Úř. xxxx. L 200, 26.7.2016, x. 1.

(2) Xxx xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx písmo.

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

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

3.2 Xxxxxxx xxxxxx xxxxxxxx úřadem

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx z xxxxxxx

3.2.3 Výpis z xxxxxxxx xxxxxxxx

3.2.4 Opis xxxxxxxxxx záznamů

3.1.5 Jiné (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, xxxxxx xxxx opatřena listina xxxxxxxxx xxxxxxxxx osobou

3.5 Xxxxxxx vyhotovená diplomatickým xxxxxxxxx nebo xxxxxxxxxxx xxxxxxxxx členského státu x rámci výkonu xxxx služebních povinností

3.6 Xxxxx (xx/xx/xxxx) vydání

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. INFORMACE O XXXXXXX XXXXX

4.1 Příjmení

4.2 Xxxxx (xxxxx)

4.3 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.4 Xxxxx (1) a země (2) narození

4.5 Xxxxxxx:

4.5.1 Xxxx

4.5.2 Muž

4.5.3 Xxxxxxxx

4.6 Xxxxxx xxxxxxxxxxx:

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

5.1 Xx dotyčná xxxxx xxxxxxxxx xxxxxxx xxxxxxxxxx podle vnitrostátního xxxxx xxxxxxxxx xxxxx, x němž xx xxxxxxx xxxxxxx xxxxxx.

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

5.3 Xxxxxxxxxx xxxxx xxxxx překážka, xxx xxxxxxx osoba xxxxxxxx xxxxxxxxxx xxxxx vnitrostátního xxxxx členského státu, x němž xx xxxxxxx xxxxxxx vydána.

5.4 Xxxxxxxxxx xxxxx známá xxxxxxxx manželství xxxx xxxxxxxx xxxxxx a xxxxx xxxxxxxxxx / xxxx xxxxxxxxxx xxxxx xxxxxxxxxxxxxx práva xxxxxxxxx xxxxx, x němž xx veřejná listina xxxxxx.

5.5 Xxxxxxxxxx xxxxx xxxxx xxxxxxx xxxxx xxxxxxxx manželství mezi xxxxxxxx xxxxxx x xxxxx snoubencem / xxxx xxxxxxxxxx podle xxxxxxxxxxxxxx xxxxx xxxxxxxxx xxxxx, x němž xx xxxxxxx xxxxxxx xxxxxx.

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

(2) Xxxxx země a – xxxxx xxxxxxxx – xxx ISO xxxx xxxx xxxx xxxxxxx „Jiné (upřesněte)“ xx třeba xxxxxx x xxxxxxxxxxx xxxxxxx xx xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxxxxxx, xxxxx xx x dispozici xx xxxxxxx xxxxxxxx x-xxxxxxx.

(3) Xxx xxxxxx xxxx xxxxxxxx.

6. XXXXXXXXX X XXXXXXXXX / XXXXXXXXX DOTYČNÉ OSOBY

4.1 Xxxxxxxx

4.2 Xxxxx (xxxxx)

4.3 Xxxxx (xx/xx/xxxx) narození

4.4 Xxxxx (1) x xxxx (2) xxxxxxxx

4.5 Xxxxxxx:

4.5.1 Xxxx

4.5.2 Muž

4.5.3 Xxxxxxxx

4.6 Xxxxxx xxxxxxxxxxx

7. XXXX XXX XXXXXX

7.1 Xxxxxxxx x xxxxx (xxxxx) úředníka, který xxxxx xxxxx formulář

7.2 Xxxxxx xxxxxxxx, xxxxx xxxxx tento xxxxxxxx

7.3 Xxxxx (xx/xx/xxxx) xxxxxx

7.4 Xxxxxx

7.5 Pečeť xxxx xxxxxxx

(1) Slovy „xxxxx xxxxxxxx“ xx xxxxxx xxxxx obce nebo xxxxx, xxxxxx x xxxxx, kde xx xxxx xxxxx xxxxxxxx.

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

XXXXXXXXXXX GLOSÁŘ XXXXX XXXXXXXXXXXX POLOŽEK

(ZPŮSOBILOST K XXXXXXXX MANŽELSTVÍ)

1.

(BG) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) AUTORIDAD QUE XXXXXX ESTE XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX FORMULÁŘ/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, XXX DIESES FORMULAR XXXXXXXXX/ (XX) KÄESOLEVA XXXXX XÄXXX ANDNUD XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (EN) XXXXXXXXX XXXXXXX THIS XXXX/ (XX) AUTORITÉ XX XXXXXXXXXX DU XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X EISEOIDH XX XXXXXX SEO/ (XX) TIJELO XXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX IL XXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (LT) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX HATÓSÁG/ (XX) AWTORITÀ XXXXXXXXX XX' DIN XX-XXXXXXX/ (XX) AUTORITEIT XXX XXXXXXX VAN XXX XXXXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXXX FORMULARZ/ (XX) XXXXXXXXXX XXX XXXXX X PRESENTE XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ A PREZENTULUI XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX, XX XXXX XX OBRAZEC/ (XX) XÄXÄX XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX SOM XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) BETEGNELSE/ (XX) XXXXXXXXXXX/ (ET) NIMETUS/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (LV) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) MEGNEVEZÉS/ (XX) XXXXX/ (XX) BENAMING/ (XX) XXXXX/ (XX) XXXXXXXÇÃX/ (XX) DENUMIRE/ (XX) XXXXX/ (SL) XXX/ (XX) XXXX/ (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 VEŘEJNOU LISTINU, X XXX JE XXXXXXXX XXXXX XXXXXXXX/ (XX) DEN XXXXXXXXX, XXX HAR UDSTEDT XXX XXXXXXXXXX XXXXXXXX, XXX DENNE XXXXXXXX XX XXXXÆXXXX/ (XX) XXXÖXXX, XXX XXX ÖXXXXXXXXXX XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXÜXX XXX, XXXXXXXXX/ (ET) XXXXXX, XXX XXXXX XÄXXX XXXXXXX DOKUMENDI, XXXXXXX XXX VORM XX LISATUD/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) AUTHORITY XXXXXXX XXX XXXXXX XXXXXXXX XX XXXXX XXXX XXXX IS ATTACHED/ (XX) AUTORITÉ XX XXXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX A XXXXXXXX XX DOICIMÉAD XXXXXX XXXX XXXXXX XX XXXXXX SEO CEANGAILTE/ (XX) XXXXXX XXXX XXXXXX XXXXX XXXXXXX XXXXX JE OVAJ XXXXXXX XXXXXXXX/ (IT) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXXX PUBBLICO XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ DOKUMENTA, XXXXX ŠĪ VEIDLAPA XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX FORMA, IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX HATÓSÁG/ (XX) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX VAN XXXXXXX XXX XXX OPENBAAR XXXXXXXX XXXXXXX XXX XXXXXXXXX IS GEHECHT/ (XX) ORGAN XXXXXĄXX XXXXXXXX URZĘDOWY, DO XXXXXXX XXXXXXXXX XXXXXXXXX XXXX ZAŁĄCZONY/ (XX) XXXXXXXXXX XXX XXXXX X XXXXXXXXX XXXXXXX X XXX X XXXXXXXX FORMULÁRIO ESTÁ XXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ A XXXXXXXXXXXX XXXXXXX XX CARE XXXX ANEXAT PREZENTUL XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, XX KTOREJ XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX XXXX XXXXX XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) VIRANOMAINEN, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, JOHON TÄMÄ XXXXXX LIITETÄÄN/ (XX) XXXXXXXXX SOM UTFÄRDAR XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX BIFOGAT

3.

(BG) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) INFORMACIÓN XXXXXXXX XX DOCUMENTO XXXXXXX AL QUE XX XXXXXXX ESTE XXXXXXX/ (CZ) INFORMACE XXXXXXXX SE XXXXXXX XXXXXXX, K XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXØXXXXX DET XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX ER XXXXÆXXXX/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX URKUNDE, XXX XXXXXX XXXXXXXX BEIGEFÜGT XXX/ (XX) TEAVE XXXXXXX DOKUMENDI XXXXX, XXXXXXX XXX XXXX XX LISATUD/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX XX THE XXXXXX DOCUMENT XX XXXXX XXXX FORM XX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX XXXXXXX FORMULAIRE/ (XX) XXXXXXXX X XXXXXXXXX XXXX XX DOICIMÉAD XXXXXX XXXX XXXXXX XX FHOIRM SEO XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXX XX XXXXXX XX JAVNU ISPRAVU XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX PUBBLICO XXX XX XXXXXXXX XXXXXX È ALLEGATO/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX ŠĪ XXXXXXXX IR PIEVIENOTA/ (XX) XXXXXXXXXXX, XXXXXXXX XX XXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX FORMA/ (XX) X FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXXXX XXXXXXXXX INFORMÁCIÓK/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX/ (NL) XXXXXXXXXX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (PL) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) INFORMAÇÕES XXXXXXXXX XX XXXXXXXXX PÚBLICO X QUE X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX PREZENTUL XXXXXXXX/ (XX) INFORMÁCIE X XXXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXX X XXXXX XXXXXXX, XX JI XX XXXXXXXX XX XXXXXXX/ (XX) TIEDOT XXXXXXXXÄ XXXXXXXXXXXX, JOHON XÄXÄ LOMAKE XXXXXXÄÄX/ (XX) XXXXXXXXXXX XX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX DETTA XXXXXXÄX ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) DOCUMENTO XXXXXXXX POR XXX XXXXXXXXX O XX XXXXXXXXXXX VINCULADO X XXX XXXXXXX XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (CZ) XXXXXXX XXXXXX XXXXXXX XXXX XXXXXXXXX X VAZBOU XX SOUDY DANÉHO XXXXXXXXX XXXXX/ (DA) XXXXXXXX, XXX ER XXXXXXX XX XX XXXXXXXXX XXXXX XX XXXXXXXXXX, XXX XX XXXXXXXXXX XXXXXXXX I XX XXXXXXXXXXX/ (DE) XXXXXXX XXXXX XXXÖXXX XXXX EINER XXXXXXXXXX XXX XXXXX XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX ANDNUD XXXXXXXXXXXX XXXXXXXXX SEOTUD XXXXXXXXXXX XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΈΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXX XX XX XXXXXXXX CONNECTED WITH XXX XXXXXX XX XXXXXXXXX XX A XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXX D'UNE XXXXXXXX XX D'UN XXXXXXXXXXXXX XXXXXXXX X'XXX XXXXXXXXXXX X'XX ÉTAT XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXX XX X XXXXXXXXX X BHFUIL XXXXX XXXX NÓ XXXX XX XXXXXXXXXX XX XX BINSÍ XX CHUID XXXXXXXXX/ (XX) ISPRAVA XXXX XX XXXXXX TIJELO XXX XXXXXXXXX XXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ O DA XX XXXXXXXXXXX APPARTENENTE XX UNA XXXXX XXXXXXXXXXXXX XX XXX XXXXX MEMBRO/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XX DALĪBVALSTS XXXXĀX XXXXXĪXX XXXXĀXX VAI XXXXXXXXXXX/ (LT) DOKUMENTAS, XXXXXXXX VALDŽIOS XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX XXXXXXXX AR XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX XXXX XXXXXXX XXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX OKIRAT/ (MT) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ XXX UFFIĊJAL XX JKOLLHOM RABTA XXX-XXXXX XXX XX-XXXXXXXXX XX' XXXX MEMBRU/ (XX) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX XXX XXX RECHTERLIJKE XXXXXXXXX XXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX OD XXXXXX XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX UMA XXXXXXXXXX XX DE XX XXXXXXXXXXX XXXXXXXXXX XX XXXXXXXX JURISDIÇÃO XX XX XXXXXX-XXXXXX/ (RO) XXXXXXXX XXXX XX X XXXXXXXXXX XXX XX XX FUNCȚIONAR XX PE XÂXXĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXX XXXXXXXXX X XÄXXXX XX XXXX XXXXXXXXX XXXXX/ (SL) LISTINA, XXXXXX S XXXXXX XXXXXX ALI XXXXXXXX XXXXX XXXXXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX, XXXXX XX ANTANUT XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX TAI XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX XXÅX EN XXXXXXXXX XXXXX EN XXÄXXXXXXX TILLHÖRANDE XXXXXXXXXÄXXXXXX X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (ES) XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (DA) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) KOHTUOTSUS/ (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/ (MT) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (PL) ORZECZENIE XĄXXXX/ (XX) XXXXXÃX XXXXXXXX/ (RO) HOTĂRÂRE XXXXXĂXXXXXXXĂ/ (XX) SÚDNE XXXXXXXXXXX/ (XX) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX POR XX XXXXXXXXXX FISCAL/ (XX) XXXXXXX VYDANÁ XXXXXXX XXXXXXXXX/ (DA) XXXXXXXX XXXXXXX XX EN XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX STAATSANWALTSCHAFT/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) DOCUMENT XXXXXXXXX XXXX A XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX DU XXXXXXÈXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (HR) XXXXXXX KOJU XX XXXXXX XXXXXXX ODVJETNIŠTVO/ (XX) DOCUMENTO XXXXXXX XXX PUBBLICO XXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (LT) XXXXXXXXX XXXXXXXX DOKUMENTAS/ (XX) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX OPENBAAR XXXXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX XX XXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX DO XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX EMIS XX XX XXXXXXXX/ (XX) XXXXXXX VYDANÁ PROKURÁTOROM/ (XX) XXXXXXX, XX XX XXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX ÅKLAGARVÄSENDET

3.1.3

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (ES) XXXXXXXXX XXXXXXXX POR XX SECRETARIO XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXÆX/ (XX) URKUNDE EINES XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (ET) XXXXXXXX, MILLE XX XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) DOCUMENT XXXXXXXXX XXXX A XXXXX XX A COURT/ (XX) XXXXXXXX XXXXXXX X'XX GREFFIER/ (GA) XXXXXXXXX X XXXXXXX X CHLÉIREACH XX XXXXX CÚIRTE/ (XX) XXXXXXX KOJU JE XXXXX XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX TIESAS XXXXXXĀXX/ (LT) TEISMO XXXXXXXXXX IŠDUOTAS DOKUMENTAS/ (XX) XXXXXXXX TISZTVISELŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX REĠISTRATUR XX' XXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXX XX XXXXXÇX/ (XX) DOCUMENT EMIS XX XX XXXXXXX XX INSTANȚEI/ (XX) XXXXXXX VYDANÁ XXXXXX XXXXXXXXX/ (XX) XXXXXXX, XX JO XXXX XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX ANTAMA XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (ES) XXXXXXXXX XXXXXXXX XXX XX XXXXXX JUDICIAL («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXX XXXXXX SOUDNÍM XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (DA) XXXXXXXX XXXXXXX XX XX XXÆXXXXXXXXXX (»XXXXXXXX DE XXXXXXX«)/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXX, MILLE ON XÄXXX XXXXXX KOHTUTÄITUR/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX DE JUSTICE»)/ (XX) XXXXXXXX XXXXXXXXX XXXX A JUDICIAL XXXXXXX ('XXXXXXXX XX XXXXXXX')/ (FR) XXXXXXXX XXXXXXX X'XX XXXXXXXX XX XXXXXXX/ (GA) XXXXXXXXX X XXXXXXX X XXXXXXXXX BREITHIÚNACH (“XXXXXXXX DE JUSTICE”)/ (XX) ISPRAVA KOJU XX XXXXX SUDSKI XXXXXXXXX (HUISSIER DE XXXXXXX)/ (IT) XXXXXXXXX XXXXXXX XX XX XXXXXXXXX GIUDIZIARIO ("XXXXXXXX XX XXXXXXX")/ (LV) XXXXXXXXX, XXXX IZSNIEDZIS XXXXXX IZPILDĪTĀJS (XXXXXXXX XX JUSTICE)/ (XX) XXXXXXXXX (HUISSIER XX XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) BÍRÓSÁGI VÉGREHAJTÓ („XXXXXXXX DE XXXXXXX”) XXXXX XXXXXXXXXX OKIRAT/ (XX) DOKUMENT MAĦRUĠ XXXX UFFIĊJAL ĠXXXXXXXXXX ('XXXXXXXX XX JUSTICE')/ (XX) DOCUMENT XXXXXXXXX XXXX EEN XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX SĄDOWEGO (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX ESCRIVÃO XX XXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXX DE XX EXECUTOR XXXXXĂXXXXXX („XXXXXXXX DE XXXXXXX”)/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXXXĽXX („HUISSIER XX XXXXXXX“)/ (SL) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXXXXXXX (”HUISSIER XX JUSTICE”) ANTAMA XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX FRÅN XX STÄMNINGSMAN (HUISSIER XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) OTRO (XXXXXXXXXXXXX)/ (XX) JINÉ (XXXXXXXXX)/ (XX) ANDRE (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (ET) XXX (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (EN) XXXXX (XX XX XXXXXXXXX)/ (XX) AUTRE (À XXXXXXXX)/ (XX) EILE (XX SONRÚ)/ (HR) XXXXXX (XXXXXXX)/ (IT) XXXXX (XXXXXXXXX)/ (XX) XXXX (XXXXXXĒX)/ (XX) XXXX (XXXXXXXX)/ (XX) XXXXX (KÉRJÜK XXXXXXXXXXX)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) INNY (XXXXXĘ XXXXŚXXĆ)/ (XX) XXXXXX (X ESPECIFICAR)/ (RO) XXXXX (X XX XXXXXXX)/ (XX) INÉ (XXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (FI) XXX XXXXXXXXX (TÄSMENNETTÄVÄ)/ (XX) XXXXX XXXXXXXX (SPECIFICERAS)

3.2

(BG) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX ADMINISTRATIVO/ (CZ) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (DA) XXXXXXXXXXXXXX XXXXXXXX/ (DE) XXXXXXX XXXXX VERWALTUNGSBEHÖRDE/ (XX) XXXXXXXXXXXXXX/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) ADMINISTRATIVE XXXXXXXX/ (FR) XXXXXXXX XXXXXXXXXXXXX/ (GA) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (LV) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (HU) XÖXXXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (PL) XXXXXXXX XXXXXXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXXXXX/ (RO) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) ADMINISTRATIV XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) PÅTEGNING/ (XX) XXXXXXXXXXXXX/ (ET) TÕEND/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) CERTIFICATO/ (XX) XXXXXXXXĀXXXX/ (LT) XXXXXX, LIUDIJIMAS/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (PL) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (FI) XXXXXXXX/ (XX) INTYG

3.2.2

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) EXTRACTO XXX XXXXXXXX XXXXX/ (CZ) XXXXX X XXXXXXX/ (XX) XXXXXX FRA XXXXXXXXXXXXXXXXXXXX/ (XX) AUSZUG XXX DEM XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX XXXXX XXXXXX XXXXXXXX/ (XX) XXXXXXX DU XXXXXXXX XX X'XXXX CIVIL/ (XX) XXXXXXX XX XX xXXXX XXXXXXX XXXXXXXXXX/ (HR) IZVADAK XX XXXXXXXX XXXXXXX XXXXXX/ (IT) XXXXXXXX XX ATTO XX XXXXX XXXXXX/ (LV) XXXXXXXX NO XXXXXXXĀXXXĻX XXXX REĢISTRA/ (LT) XXXXXXX IŠ XXXXXXXĖX XŪXXĖX XXXŲ XXXXXXXX/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊIVILI/ (XX) XXXXXXXXXX XXX XXX XXXXXXXX XXX XX XXXXXXXXXXX XXXXX/ (PL) XXXXX SKRÓCONY XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXX XX XXXX XX REGISTO CIVIL/ (XX) XXXXXX XXX XXXXXXXXX DE STARE XXXXXĂ/ (SK) VÝPIS X REGISTRA XXXXXXXX XXXXX/ (XX) XXXXXXX XX REGISTRA X XXXXXXX XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX DEL XXXXX/ (XX) XXXXX Z XXXXXXXX OBYVATEL/ (DA) XXXXXX XXX FOLKEREGISTRET/ (XX) XXXXXX XXX XXX MELDEREGISTER/ (XX) XXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX FROM XXX XXXXXXXXXX XXXXXXXX/ (FR) XXXXXXX XX REGISTRE XX LA POPULATION/ (XX) XXXXXXX AS XX xXXXX XXXXXX/ (XX) XXXXXXX XX XXXXXX STANOVNIŠTVA/ (XX) XXXXXXXX ANAGRAFICO/ (XX) XXXXXXXX XX XXXXĪXXXĀXX XXĢXXXXX/ (XX) XXXXXXX XX GYVENTOJŲ XXXXXXXX/ (XX) XXXXXXX A XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX MIR-REĠISTRU XXX-XXXXXXXXXXXX/ (NL) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) WYCIĄG Z XXXXXXXX XXXXXŚXX/ (PT) XXXXXXX DO REGISTO XX XXXXXXÇÃX/ (XX) XXXXXX DIN XXXXXXXXX XX XXXXXXȚĂ A XXXXXXȚXXX/ (XX) XXXXX X XXXXXXXX OBYVATEĽOV/ (XX) IZPISEK XX XXXXXXXX PREBIVALSTVA/ (XX) XÄXXXÖXXXXXXXXXXXX/ (SV) UTDRAG XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX XX ACTAS XXX XXXXXXXX XXXXX/ (CZ) XXXX MATRIČNÍCH XXXXXXX/ (XX) XXXXXX XXXX XX XXXXXXXXXXXXXXXXXXX/ (DE) XÖXXXXXXX XXXXX VON XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (EL) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (EN) XXXXXXXX XXXX XX XXXXX XXXXXX XXXXXXX/ (XX) XXXXX XXXXXXXXX X'XXXXX XX X'XXXX XXXXX/ (XX) XXXX XXXXX XX XXXXXX DE XXXXXXX AR XXXXXX XXXXXXXXX/ (XX) DOSLOVNI XXXXXXXX XX EVIDENCIJA X XXXXXXX STANJU/ (XX) XXXXX XXXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX XXĢXXXXX XXXXXXXX AUTENTISKA XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX SZÓ SZERINTI XXXXXXXX/ (MT) XXXXX XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXX VAN AKTEN XXX DE XXXXXXXXXXX XXXXX/ (PL) XXXXX XXXXŁXX XXXX STANU XXXXXXXXX/ (PT) CERTIDÃO XX XXXXX XXXXXXXX XX XX XXXXXXXXX XX XXXX DE XXXXXXX CIVIL/ (XX) XXXXX XXXXXĂ A XXXX XXX XX XXXXX XXXXXĂ/ (XX) XXXXXXXX VÝPIS XX XXXXXXX X XXXXXXX XXXXX/ (SL) XXXXXXXXX XXXXXX XXXXXX O XXXXXXX XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) ORDAGRANN XXXXXXXX XX FOLKBOKFÖRINGSHANDLING

3.3

(BG) НОТАРИАЛЕН АКТ/ (XX) ACTA XXXXXXXX/ (CZ) XXXXXXXX XXXXXXX/ (XX) NOTARBEKRÆFTET XXXXXXXX/ (DE) XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) NOTARIAL ACT/ (XX) ACTE XXXXXXX/ (XX) GNÍOMH NÓTAIREACHTA/ (XX) XXXXXXXXXXXXXXXX ISPRAVA/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXĀXX XXXX/ (XX) XXXXXXXXX XXXXX/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) XXX NOTARILI/ (XX) XXXXXXËXX AKTE/ (XX) AKT NOTARIALNY/ (XX) ATO XXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXXX LISTINA/ (XX) XXXXXXXX XXXXXXX/ (XX) NOTAARIN 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 OSVĚDČENÍ, XXXXXX XXXX XXXXXXXX LISTINA XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXX XÅXXXXXXX XÅ XX DOKUMENT XXXXXXXXXXX XX EN XXXXXX I DENNES XXXXXXXX AF PRIVATPERSON/ (XX) XXXXXXXX BESCHEINIGUNG XXX XXXXX XXXXXXXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXXXX XXXXXXXXXXXXXX DOKUMENDILE XXXXXXXXXX AMETLIK TÕEND/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX XXXXXX ON X XXXXXXXX XXXXXX XX X XXXXXX XX HIS XX XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX SUR UN XXXX SOUS SEING XXXXX/ (XX) XXXXXXXX XXXXXXXXX X XXXXXXXXX XX DHOICIMÉAD ARNA XXXXXX XX XXXXX XXX CHÁIL XX XXX XXXX XXXXXXXXXXXXXX/ (XX) SLUŽBENA POTVRDA XXXXXXXXX XX XXXXXXX XXXX JE XXXXX XXXXXXXXX X PRIVATNOM XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX SU XXX XXXXXXXXX PRIVATA/ (XX) XXXXXĀXX APLIECINĀJUMS XX XXXXXXXXX, KO XXXĀ XĀXXĀ PARAKSTĪJUSI XĀXX XXXXXXX/ (LT) XXXXXXXŲ ASMENŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX ELHELYEZETT XXXXXXXXX TANÚSÍTVÁNY/ (XX) ĊXXXXXXXXX XXXXĊXXXX XX XXXXXXXĦXX F'DOKUMENT XXXXXXXX XXXX PERSUNA XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXX ONDERTEKEND XXXX EEN XXXXXXX XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (PL) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX NA XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX PRYWATNYM/ (PT) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX ATO XX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXX APLICAT XX UN XXXXXXXX XXX XXXXĂXXXĂ PRIVATĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX NA XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXX XX XXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, JONKA XXXXXXÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX XXXXX XXXXXXXXX XÅ EN XXXXXXXX SOM UNDERTECKNATS XX XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) DOCUMENTO XXXXXXXX XXX UN XXXXXX XXXXXXXXXXX X XXXXXXXX DE XX XXXXXX MIEMBRO XXX XXXXXXXX XXXXXXX/ (CZ) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX VÝKONU XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX OFFICIELT XXXÆXXXXXX AF XX XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX REPRÆSENTANT/ (XX) XXX XXXXX XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX POOLT AMETIKOHUSTUSTE 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 XX CONSULAR XXXXX OF X XXXXXX STATE XX XXX XX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX ÉTABLI XX XX QUALITÉ XXXXXXXXXX XXX XX XXXXX XXXXXXXXXXXX OU XXXXXXXXXX X'XX XXXX MEMBRE/ (XX) XXXXXXXXX XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX DE XXXXX XXXXXXXXX XXX CHÁIL XX INA XXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX X XXXXXXXXX XXXXXXXX SASTAVIO XXXXXXXXXXX ILI XXXXXXXXXX XXXXXXXXXXX XXXXXX ČLANICE/ (XX) DOCUMENTO XXXXXXX XX AGENTI DIPLOMATICI X CONSOLARI DI XXX STATO XXXXXX XXXX'XXXXXXXXX XXXXX LORO XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX AMATA XXXXĀXXXXX, SAGATAVOJIS XXXĪXXXXXXX XXXXXXĀXXXXXXX VAI KONSULĀRAIS XĀXXXĀXXX/ (LT) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX NARĖS XXXXXXXXX XX KONSULINIO XXXXXXŪXX, XXXXXXXXXX PAGAL XXXXXXXXXX ĮGALIOJIMUS/ (XX) XXXXXXXX TAGÁLLAM DIPLOMÁCIAI XXXX KONZULI XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXXX XXXX XĠXXX DIPLOMATIKU XXX XXXXXXXXX XX' STAT XXXXXX XXX-XXXXĊXXÀ UFFIĊJALI XXXXĦX/ (XX) DOCUMENT XXXXXXXXX DOOR XX XXXXXXXXXXXX OF XXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX XX ZIJN XXXXXXËXX HOEDANIGHEID/ (XX) XXXXXXXX XXXXXĄXXXXX PRZEZ XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX KONSULARNEGO XXŃXXXX XXŁXXXXXXXXXXX DZIAŁAJĄCYCH X XXXXXXXXXXX XXXĘXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XX XXXXXX XXXXXXXXXXX XX CONSULAR DE XX ESTADO-MEMBRO NO XXXXXXXXX XXX SUAS XXXÇÕXX OFICIAIS/ (XX) XXXXXXXX ÎXXXXXXX XX XĂXXX UN XXXXX XXXXXXXXXX XXX CONSULAR XX XXXX XXXX XXXXXX, ÎN CALITATE XXXXXXXĂ/ (SK) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXX ÚRADNÍKOM XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXX/ (SL) XXXXXXX, XX XX KOT XXXXXX OSEBA XXXX XXXXXXXXXXX ALI KONZULARNI XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) ASIAKIRJA, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX EDUSTAJA XXX XXXXXXXXXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXÄXXXX X XXÄXXXXX XX XX XXXXXXXXXXX XXXXX XXXXXXÄX XXÄXXXXXXX X XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) DE 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) XXXX (XX/XX/XXXX) OF XXXXX/ (XX) XXXX (JJ/MM/AAAA) XX DÉLIVRANCE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXX/ (IT) XXXX XX XXXXXXXX (GG/MM/AAAA)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXX-ĦXXĠ/ (NL) XXXXX (XX/XX/XXXX) VAN XXXXXXX/ (XX) DATA (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX EMISSÃO (XX/XX/XXXX)/ (RO) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXX/ (XX) ANTAMISPÄIVÄ (XX/XX/XXXX)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX DE REFERENCIA XXX XXXXXXXXX PÚBLICO/ (XX) REFERENČNÍ ČÍSLO XXXXXXX LISTINY/ (XX) XXX XXXXXXXXXX DOKUMENTS XXXXXXXXXXXXXXX/ (XX) KENNNUMMER XXX ÖXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX OF XXX XXXXXX DOCUMENT/ (FR) XXXXXX XX XXXXXXXXX XX XXXXXXXX PUBLIC/ (XX) XXXXXX XXXXXXXXX XX XXXXXXXXX PHOIBLÍ/ (XX) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (IT) XXXXXX XX RIFERIMENTO XXX DOCUMENTO PUBBLICO/ (XX) PUBLISKĀ XXXXXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXXXXX NUMERIS/ (XX) X KÖZOKIRAT XXXXXXXXXXX XXXXX/ (XX) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX PUBBLIKU/ (XX) XXXXXXXXXXXXXXXX XXX HET XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (PT) XXXXXX XX XXXXXÊXXXX XX XXXXXXXXX PÚBLICO/ (RO) XXXĂXXX DE XXXXXXXȚĂ XX DOCUMENTULUI XXXXXXX/ (XX) REFERENČNÉ XXXXX XXXXXXXX LISTINY/ (XX) XXXXXXXXXX XXXXXXXX JAVNE XXXXXXX/ (FI) YLEISEN XXXXXXXXXX VIITENUMERO/ (XX) XXX OFFICIELLA XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX SOBRE XX XXXXXXXXXX/ (CZ) XXXXXXXXX X DOTYČNÉ XXXXX/ (XX) XXXXXXXXXXX XX XXX PÅGÆLDENDE XXXXXX/ (XX) XXXXXXX XXX XXXXXXXXXXXX XXXXXX/ (ET) XXXXXXXXX XXXXXX XÄXXXXXX XXXXX/ (EL) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXX XXX XX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXX LEIS AN XXXXX LENA xXXXXXXXX/ (XX) INFORMACIJE X XXXXXXXX XXXXX/ (IT) XXXXXXXXXXXX XXXXX PERSONA XXXXXXXXXXX/ (LV) XXXXXXĀXXXX XXX XXXXXXĪXX XXXXXXX/ (XX) XXXXXXXXXXX APIE XXXXXXXXXĄ XXXXXĮ/ (XX) XX XXXXXXXX XXXXXXXXX XXXXXXXXX ADATOK/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXX XXXXĊXXXXXX/ (XX) INFORMATIE XXXX DE XXXXXXXXXX/ (XX) XXXX XXXXX, XXXXXX DOTYCZY XXXXXXXX/ (XX) XXXXXXXÇÕXX XXXXX X PESSOA EM XXXXX/ (RO) XXXXXXXȚXX XXXXXXX PERSOANA XXXXXĂ/ (XX) XXXXXXXXXX X XXXXXXXXX XXXXX/ (XX) XXXXXXXXXXX O XXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXX/ (XX) XXXXXXXXX OM XXX XXXÖXXX XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) APELLIDO(S)/ (XX) PŘÍJMENÍ/ (XX) XXXXXXXXX(X)/ (XX) XXXXXXXXXXXX(X)/ (XX) XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX(X)/ (XX) XXX(X)/ (XX) XXXXXXX (XXXXXXXX)/ (XX) XXXXXXX(XX)/ (XX) XXXXXXX(X)/ (XX) XXXĀXXX(-X)/ (XX) XXXXXXĖ (-ĖX)/ (XX) XXXXXXX NEVE(I)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (NL) XXXXXXXX(X)X(XX)/ (XX) NAZWISKO(-A)/ (XX) APELIDO(S)/ (XX) XXXX/ (SK) PRIEZVISKO(-Á)/ (XX) PRIIMEK/PRIIMKI/ (FI) XXXXXXXX (-XXXXX)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (CZ) XXXXX (JMÉNA)/ (XX) XXXXXXX(X)/ (XX) VORNAME(N)/ (XX) EESNIMI (-NIMED)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) PRÉNOM(S)/ (XX) CÉADAINM (CÉADAINMNEACHA)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (LV) VĀRDS(-I)/ (XX) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (IMIONA)/ (XX) XXXX(X) XXXXXXX(X)/ (XX) PRENUME/ (SK) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) ETUNIMI (-XXXXX)/ (XX) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) FECHA (XX/XX/XXXX) XX NACIMIENTO/ (XX) XXXXX (DD/MM/RRRR) NAROZENÍ/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) GEBURTSDATUM (XX/XX/XXXX)/ (XX) SÜNNIKUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (JJ/MM/AAAA) XX XXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (IT) XXXX XX NASCITA (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (LT) GIMIMO 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 XX XXXXXXXXXX (XX/XX/XXXX)/ (RO) DATA (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (XX/XX/XXXX) NARODENIA/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

4.4

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) LUGAR X XXXX DE XXXXXXXXXX/ (XX) XXXXX X XXXX XXXXXXXX/ (DA) XØXXXXXX OG -XXXX/ (XX) XXX XXX XXXX DER GEBURT/ (XX) XÜXXXXXXX JA -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX XXX XXXXXXX XX XXXXX/ (XX) XXXX XX XXXX XX NAISSANCE/ (XX) XXX XXXX XXX XXXXXXXX/ (XX) XXXXXX I ZEMLJA XXĐXXXX/ (IT) XXXXX X XXXXX XX XXXXXXX/ (LV) XXXXXXXXX XXXXX XX XXXXXX/ (XX) GIMIMO VIETA XX ŠALIS/ (XX) XXÜXXXXXX XXXXX XX XXXXXXX/ (MT) XXXX X XXXXXŻ TAT-TWELID/ (XX) GEBOORTEPLAATS XX -XXXX/ (XX) XXXXXXX X XXŃXXXX XXXXXXXXX/ (XX) XXXXX X XXXX XX XXXXXXXXXX/ (XX) LOCUL ȘX ȚXXX XXȘXXXXX/ (XX) XXXXXX X XXXX XXXXXXXXX/ (XX) XXXX XX DRŽAVA XXXXXXX/ (XX) XXXXXXÄXXXXXX XX -XXX/ (XX) FÖDELSEORT XXX -LAND

4.5

(BG) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (XX) KØN/ (XX) XXXXXXXXXX/ (ET) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (XX) INSCNE/ (XX) SPOL/ (XX) XXXXX/ (XX) DZIMUMS/ (XX) XXXXX/ (XX) XXXX/ (XX) SESS/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (XX) SEXO/ (XX) SEXUL/ (XX) XXXXXXXX/ (SL) XXXX/ (XX) SUKUPUOLI/ (XX) XÖX

4.5.1

(XX) ЖЕНСКИ/ (ES) XXXXX/ (XX) ŽENA/ (XX) KVINDE/ (XX) XXXXXXXX/ (ET) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (HR) XXXXXX/ (XX) XXXXXXXXX/ (XX) SIEVIETE/ (XX) XXXXXXX/ (XX) XŐ/ (XX) MARA/ (XX) XXXXX/ (PL) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (XX) ŽENSKI/ (XX) XXXXXX/ (XX) XXXXXX

4.5.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (XX) XXXX/ (DE) XÄXXXXXX/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (XX) MASCULIN/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (LV) XĪXXXXXX/ (LT) XXXXX/ (XX) XXXXX/ (XX) XXĠXX/ (XX) MAN/ (XX) MĘŻCZYZNA/ (PT) XXXXXXXXX/ (XX) BĂRBĂTESC/ (XX) MUŽSKÉ/ (XX) XXXXX/ (XX) XXXX/ (XX) XXX

4.5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (CZ) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (ET) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (GA) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (LV) XXXXXXXXXX/ (LT) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (MT) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (PL) XŁXĆ XXXXXXXŚXXXX/ (PT) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (SL) XXXXXXXXX/ (XX) MÄÄRITTELEMÄTÖN/ (XX) XX FASTSTÄLLT

4.6

(BG) ГРАЖДАНСТВО/ (XX) XXXXXXXXXXXX/ (XX) STÁTNÍ PŘÍSLUŠNOST/ (XX) NATIONALITET/ (XX) XXXXXX-XXXXXÖXXXXXXX/ (XX) KODAKONDSUS/ (XX) ΙΘΑΓΕΝΕΙΑ/ (EN) XXXXXXXXXXX/ (FR) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (IT) CITTADINANZA/ (XX) XXXXXXXXXXXXĪXX/ (XX) XXXXXXXXĖ/ (HU) XXXXXXXXXXXXXXX/ (XX) ĊXXXXXXXXXXX/ (NL) XXXXXXXXXXXXX/ (XX) OBYWATELSTWO/ (XX) XXXXXXXXXXXXX/ (XX) XXXĂȚXXXX/ (SK) XXXXXX XXXXXXXXXXX/ (SL) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX

5.

(XX) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XX XXXXXXXXX XXXXXXX XX QUE XX XXXXXXX XXXX XXXXXXX,/ (XX) XX XXXXXXX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX FORMULÁŘ,/ (XX) X HENHOLD TIL XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX FORMULAR XX XXXXÆXXXX/ (DE) XXXÄXX XXX ÖFFENTLICHEN XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXXXXXX AVALIKULE XXXXXXXXXXX, XXXXXXX XXX XXXX ON LISATUD/ (XX) ΣΥΜΦΩΝΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XX THE XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (FR) D'APRÈS XX XXXXXXXX PUBLIC XXXXXX LE PRÉSENT XXXXXXXXXX XXX XXXXX/ (XX) XX XXXX XX DOICIMÉID XXXXXXX XXXX XXXXXX AN XXXXXX XXX CEANGAILTE/ (XX) PREMA XXXXXX XXXXXXX KOJOJ JE XXXX XXXXXXX XXXXXXXX/ (XX) SECONDO IL XXXXXXXXX XXXXXXXX CUI XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXŅĀ XX XXXXXXXX XXXXXXXXX, XXXXX ŠĪ XXXXXXXX XX XXXXXXXXXX/ (XX) XXXXX VIEŠĄJĮ XXXXXXXXĄ, PRIE XXXXX XXXXXXXXX XX FORMA/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXX SZERINT/ (XX) XXXXX XX-XXXXXXXX XXXXXXXX XX MIEGĦU XXXX XXXXXŻX DIN XX-XXXXXXX/ (NL) VOLGENS XXX XXXXXXXX XXXXXXXX XXXXXXX DIT XXXXXXXXX XX XXXXXXX/ (XX) X XXXXXXXXX XXXĘXXXXXX, XX XXXXXXX XXŁĄXXXXX XXXX NINIEJSZY FORMULARZ, XXXXXX, ŻE/ (PT) XXXXXXX O XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) ÎX XXXXXXXXXXXX XX XXXXXXXXXX OFICIAL XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXĽX XXXXXXXX XXXXXXX, XX XXXXXX JE XXXXX XXXXXXXX XXXXXXXXX/ (XX) X SKLADU X XXXXX XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) SEN XXXXXXX XXXXXXXXXX MUKAAN, JOHON XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) ENLIGT DEN XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

5.1

(XX) СЪОТВЕТНОТО ЛИЦЕ ПРИТЕЖАВА БРАЧНА ДЕЕСПОСОБНОСТ СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (ES) XX XXXXXXXXXX TIENE XXXXXXXXX XXXX XXXXXXXX XXXXXXXXXX XXX XXXXXXX XX XXXXXXX XXXXXXXX XXX XXXXXX XXXXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (CZ) XX XXXXXXX OSOBA XXXXXXXXX XXXXXXX XXXXXXXXXX PODLE XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXX XX VEŘEJNÁ XXXXXXX XXXXXX/ (XX) XXX XÅXÆXXXXXX XXXXXX XXX XXXXXX XXX XX XXXXX XXXXÅ ÆXXXXXXX X HENHOLD XXX XXXXXXXX RET X XXX XXXXXXXXXXX, XXXX XXX OFFENTLIGE XXXXXXXX XX XXXXXXX/ (XX) XXX DIE XXXXXXXXXXX XXXXXX NACH XXX XXXXXXXXXX XXXXX DES XXXXXXXXXXXXXX, XX XXX XXX ÖXXXXXXXXXX URKUNDE XXXXXXXXXXX XXXXX, EHEFÄHIG/ (XX) XX ASJAOMANE XXXX XXXXXXX DOKUMENDI XÄXXX XXXXXX LIIKMESRIIGI ÕXXXXX XXXXXXXX XXXXXXXÕXXXXXXX/ (XX) ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΕΧΕΙ ΤΗΝ ΙΚΑΝΟΤΗΤΑ ΣΥΝΑΨΗΣ ΓΑΜΟΥ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ/ (XX) XXX XXXXXX XXXXXXXXX XXX XXX XXXXXXXX TO XXXXX UNDER XXX XXXXXXXX XXX XX XXX MEMBER STATE XXXXX XXX XXXXXX XXXXXXXX IS ISSUED/ (XX) XX XXXXXXXX XXXXXXXXX XXXX XX XXXXXX EN VERTU XX XXXXX XXXXXXXX XX X'XXXX XXXXXX XÙ XX XXXXXXXX XXXXXX XXX XXXXXXX/ (XX) XX XX XXXXX XXXX xXXXXXXXX XXX XXXXXX XXXX XXXXXX FAOI XXXX XXXXXXXXX XX XXXXXXXXXX XXX xXXXXXXX XX XXXXXXXXX XXXXXX A XXXXXXXX/ (HR) XXXXXXX XXXXX XXX XXXXXXXXXX XX XXXXXXXXX XXXXX XXXXX XXXXXXXXXXX XXXXX XXXXXX ČLANICE X XXXXX XX JAVNA XXXXXXX XXXXXX/ (IT) XX XXXXXXX INTERESSATA XXXXXXXX XX XXXXXXXÀ XX CONTRARRE XXXXXXXXXX X NORMA XXX XXXXXXX NAZIONALE DELLO XXXXX XXXXXX CHE XXXXXXXX XX DOCUMENTO XXXXXXXX/ (XX) ATTIECĪGĀ XXXXXXX XXĒX XXXXXX XXXXĪXĀ XXXXXŅĀ XX XĀX XXXĪXXXXXXX TIESĪBU XXXXXX, KURĀ PUBLISKAIS XXXXXXXXX XX IZDOTS/ (XX) XXXXXXXXXXX XXXXX XXX XXXXXXXX XXXXXXXX XXXXXXXĄ XXXXX VALSTYBĖS XXXĖX, XXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXXXXX, NACIONALINĘ XXXXĘ/ (HU) AZ XXXXXXXX XXXXXXX A XÖXXXXXXX

XXXXXXXXXXXXX XXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXX XXXXXXX XXXXXXXXXX KÖTHET/ (XX) XX-XXXXXXX KKONĊERNATA XĦXXXXX X-XXXXĊXXÀ XX XXŻŻXXXXĠ XXĦX XX-XXĠX XXXXXXXXXX XXX-XXXXX XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (NL) XXXXX XX BETROKKENE XX XXXXXXXXXXX XX TE XXXXX OP XXXXX XXX XXX XXXXXXXXX XXXXX XXX XX XXXXXXXX XXXX XXX XXXXXXXX XXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXX, XXXXXX DOTYCZY DOKUMENT, XXXXXXX XXXXXXŚĆ XX XXXXXXXX XXŁŻXŃXXXX XX XXXX PRAWA KRAJOWEGO XXŃXXXX XXŁXXXXXXXXXXX, W XXXXXX XXX DOKUMENT XXXĘXXXX XXXXXŁ WYDANY/ (XX) A XXXXXX XX XXXXX XXXXXX XXXXXXXXXX XXXXXXXXXXX XXX XXXXXX XX XXXXXXX XXXXXXXX DO ESTADO-MEMBRO XX XXX X XXXXXXXXX XXXXXXX XXX XXXXXXX/ (RO) PERSOANA XXXXXĂ XXX XXXXXXXXXXX XX X XX XĂXĂXXXX ÎN XXXXXXXXXXXX XX XXXXXXX XXXXXX XX XXXXXXXX XXXXXX ÎX XXXX XXXX XXXX DOCUMENTUL XXXXXXX/ (XX) XXXXXXXX XXXXX XX XXÔXXXXXX UZAVRIEŤ XXXXXXXXXX XXXĽX VNÚTROŠTÁTNEHO XXXXX XXXXXXXXX XXXXX, X KTOROM JE XXXXXXX XXXXXXX VYDANÁ/ (XX) JE ZADEVNA XXXXX SPOSOBNA ZA XXXXXXXXX ZAKONSKE XXXXX X XXXXXX X XXXXXXXXXXX XXXXXX XXXXXX XXXXXXX, X XXXXXX XX XXXXXX JAVNA XXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXÖXXÄ XX XXXXXXXXXX XXXXXX AVIOLIITTO XXX XÄXXXXXXXXXX XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, JOSSA XXXXXXX XXXXXXXXX ON XXXXXXX/ (XX) HAR XXX XXXÖXXX PERSONEN BEHÖRIGHET XXX XXXÅ ÄXXXXXXXX XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX X XXX XXXXXXXXXXX DÄR XXX 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 XXXXXX XXXXXX XXXXXXXXXX X XXXXXX DEL XXXXXXXXXX XXX ARREGLO AL XXXXXXX XXXXXXXX XXX XXXXXX XXXXXXX DE XXXXXXXXXX XXX DOCUMENTO XXXXXXX/ (XX) DOTYČNÁ XXXXX XXXXXX XXXXXXXXXX XXXXXXXXXX XXX XXXX XXXXXX XXXXX VNITROSTÁTNÍHO XXXXX XXXXXXXXX XXXXX, X NĚMŽ JE XXXXXXX XXXXXXX VYDÁNA/ (XX) XXX XÅXÆXXXXXX XXXXXX XXX XXXX XX XXXX XXXXX ÆXXXXXXX OPFØRT UNDER XXX XXXX X XXXXXXX TIL NATIONAL XXX X DEN XXXXXXXXXXX, HVOR XXX XXXXXXXXXX DOKUMENT ER XXXXXXX/ (XX) XXX XXX XXXXXXXXXXX XXXXXX XXXXX XXXXX NAMEN XXXXXXXX KEINE XXX XXXX XXX XXXXXXXXXX XXXXX XXX XXXXXXXXXXXXXX, XX XXX XXX ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, GESCHLOSSEN/ (XX) XX OLE XXXXXXXXX XXXXX XXXXX ÜHTEGI XXXXXXX XXXXXXXXX VÄLJA XXXXXX XXXXXXXXXXXX ÕIGUSE XXXXXX ABIELUKANNET/ (EL) ΔΕΝ ΦΑΙΝΕΤΑΙ ΝΑ ΥΠΑΡΧΕΙ ΓΑΜΟΣ ΣΤΟ ΟΝΟΜΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ/ (EN) XXX PERSON XXXXXXXXX XXXXXXX XX XXXX XX MARRIAGE XX XXX XX XXX XXXX XXXXX THE XXXXXXXX XXX XX XXX XXXXXX XXXXX XXXXX XXX XXXXXX XXXXXXXX XX XXXXXX/ (XX) XX XXXXXXXX XXXXXXXXX XX SEMBLE XXX AVOIR XXXXXXXXX XX XXXXXXX XX XXX NOM EN XXXXX XX XXXXX XXXXXXXX XX L'ÉTAT XXXXXX XÙ XX XXXXXXXX XXXXXX XXX XXXXXXX/ (GA) XXX XXX XXXXXXXXX XXX XX XXXXXX XX XXXXX LENA xXXXXXXXX XXXXX XXXXXX AINM XX FAOINA xXXXX XXXXX XXX XXXXXXXXX XX XXXXXXXXX XXX xXXXXXXX AN XXXXXXXXX XXXXXX X EISIÚINT/ (XX) NIJE POZNATO XX JE XXXXXXX XXXXX POD XXXXXX XXXXXX XXXXXXXX XXXX XXXXX XXXXXXXXXXX PRAVU XXXXXX XXXXXXX X XXXXX XX XXXXX XXXXXXX XXXXXX/ (XX) X NOME XXXXX XXXXXXX INTERESSATA NON XXXXXXX XXXXXXXXXX ALCUN XXXX XX XXXXXXXXXX X XXXXX XXX XXXXXXX XXXXXXXXX DELLO XXXXX XXXXXX XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX/ (LV) UZ XXXXXXĪXĀX PERSONAS VĀRDA XXX XXXXĒXXX NEVIENA XXXXĪXX SASKAŅĀ AR XĀX XXXĪXXXXXXX XXXXĪXX XXXXXX, XXXĀ XXXXXXXXXX XXXXXXXXX XX IZDOTS/ (XX) XXXXXXXXXXX ASMUO XXXX XXXXX XĖXX XXXXXĘX XXXXXXXXX XXXXX XXXXXXXĖX XXXĖX, XXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ TEISĘ/ (XX) XX XXXXXXXX XXXXXXXXXX X XÖXXXXXXX XXXXXXXXXXXXX XXXXX XXXXXXXX TAGÁLLAM XXXXXXX XXXX XXXXXXX XXXXXXXXX MEGÁLLAPÍTHATÓAN XXXXX/ (XX) XX-XXXXXXX KKONĊERNATA XXXXXX LI XX XĦXXXXX L-EBDA ŻWIEĠ XXXXĠXXXXXX F'ISIMHA TAĦT XX-XXĠX XXXXXXXXXX TAL-ISTAT XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX PUBBLIKU/ (XX) XXXXX XX BETROKKENE XXXX XXXXXXXX IN XXXX XX XXXX XXXX XX XXXXX XXX XXX XXXXXXXXX XXXXX XXX XX XXXXXXXX XXXX XXX XXXXXXXX XXXXXXXX WORDT XXXXXXXXX/ (XX) OSOBA, XXXXXX XXXXXXX XXXXXXXX, XXX POZOSTAJE W XXXĄXXX MAŁŻEŃSKIM XX XXXX XXXXX XXXXXXXXX XXŃXXXX, X KTÓRYM XXX DOKUMENT XXXĘXXXX XXXXXŁ WYDANY/ (PT) XÃX XX AFIGURA XXXXXXX XXXXXXXXX XX XXXX XX PESSOA XX XXXXX XXX XXXXXX XX DIREITO XXXXXXXX XX ESTADO-MEMBRO XX XXX O XXXXXXXXX XXXXXXX XXX XXXXXXX/ (XX) NU XX XXXXXȘXX XXXXX XĂXĂXXXXX ÎNCHEIATĂ XX XXXXXX PERSOANEI XXXXXX ÎX XXXXXXXXXXXX XX XXXXXXX XXXXXX AL XXXXXXXX XXXXXX ÎX XXXX XXXX EMIS XXXXXXXXXX XXXXXXX/ (SK) XXXXXXXX OSOBA XXXXXX XXXXXXXXXX MANŽELSTVO XX XXXXXX XXXX XXXĽX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, V XXXXXX XX VEREJNÁ XXXXXXX XXXXXX/ (SL) XX XXXXXXXXXXXXXX PODATKIH ZADEVNA XXXXX XX X XXXXXXXX XXXXX, XX XX XX XXXXXXXX X XXXXXX XXXXX XX X XXXXXX X XXXXXXXXXXX XXXXXX XXXXXX ČLANICE, X XXXXXX JE XXXXXX XXXXX XXXXXXX/ (FI) XXXXXXXXXXXX XXXXXXÖX XXXXXXX XX XXX XXXXXXXX XXXXXXXXXXX SEN XÄXXXXXXXXXX XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX XXXXXXXXX XX XXXXXXX/ (XX) XÖXXXXXXXX XXX XXXÖXXX XXXXXXXX XXXX XX XXXÅXX ÄXXXXXXXX ENLIGT XXX XXXXXXXXXX LAGSTIFTNINGEN X DEN XXXXXXXXXXX XÄX DEN XXXXXXXXXX XXXXXXXXXX XXXÄXXXXXX

5.3

(XX) НЕ СА ИЗВЕСТНИ ПРЕЧКИ СЪОТВЕТНОТО ЛИЦЕ ДА ВСТЪПИ В БРАК СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) NO XXX XXXXXXXXXX DE XXXXXX XXXXXXXXXXX XXXX XXX XX XXXXXXXXXX XXXXXXXXX XXXXXXXXXX CON XXXXXXX XX DERECHO XXXXXXXX XXX XXXXXX MIEMBRO XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (CZ) XXXXXXXXXX ŽÁDNÁ XXXXX XXXXXXXX, XXX XXXXXXX XXXXX XXXXXXXX XXXXXXXXXX XXXXX VNITROSTÁTNÍHO XXXXX XXXXXXXXX XXXXX, X XXXX JE XXXXXXX XXXXXXX XXXXXX/ (XX) XXX XXXXXXXXXX XXXXX XXXXXX XXXXXXXXXX XXX XXX XÅXÆXXXXXX PERSONS XXXXÅXXXX XX ÆXXXXXXX X HENHOLD TIL XXXXXXXX XXX X XXX XXXXXXXXXXX, HVOR XXX XXXXXXXXXX XXXXXXXX XX UDSTEDT/ (XX) XXX KEIN HINDERNIS XXXXXXX, XXX DER XXXXXXXXXXXXXX XXX XXXXXXXXXXXX XXXXXX XXXX XXX XXXXXXXXXX XXXXX DES XXXXXXXXXXXXXX, IN DEM XXX ÖFFENTLICHE

URKUNDE XXXXXXXXXXX XXXXX, ENTGEGENSTEHT/ (XX) XX XXX TEADA XXXXXXXXX XÄXXX ANDNUD XXXXXXXXXXXX ÕIGUSE KOHASEID XXXXXXXXXX, MIS TAKISTAKSID XXXXXXXXXX XXXXXX ABIELU XÕXXXXX/ (XX) ΔΕΝ ΕΙΝΑΙ ΓΝΩΣΤΟ ΚΑΝΕΝΑ ΚΩΛΥΜΑ ΓΙΑ ΤΗ ΣΥΝΑΨΗ ΓΑΜΟΥ ΑΠΟ ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ/ (EN) XXXXX XX XX XXXXX XXXXXXXXXX FOR XXX XXXXXX CONCERNED XX XXXXX XXXXX XXX XXXXXXXX XXX XX XXX XXXXXX XXXXX XXXXX XXX PUBLIC XXXXXXXX IS XXXXXX/ (XX) IL X'XXXXXX XXX D'EMPÊCHEMENT XXXXX XX XXXXXXX XX XX XXXXXXXX CONCERNÉE XX VERTU DU XXXXX XXXXXXXX XX X'XXXX MEMBRE XÙ XX XXXXXXXX XXXXXX XXX XXXXXXX/ (GA) XXX XXX XXXX XXXXXXXXX ANN XX XX DUINE XXXX xXXXXXXXX XXXX XXXXXX XXXXX DLÍ NÁISIÚNTA XX XXXXXXXXX INA xXXXXXXX AN DOICIMÉAD XXXXXX A EISIÚINT/ (XX) XXXX POZNATE XXXXXXX ZBOG XXXX XXXXXXX XXXXX NE XX XXXXX XXXXXXXX XXXX PREMA XXXXXXXXXXX XXXXX DRŽAVE XXXXXXX X XXXXX XX XXXXX XXXXXXX IZDANA/ (XX) XXX SONO XXXX IMPEDIMENTI XX XXXXXXXXXX DELLA PERSONA XXXXXXXXXXX X XXXXX XXX XXXXXXX XXXXXXXXX XXXXX XXXXX MEMBRO XXX XXXXXXXX XX XXXXXXXXX PUBBLICO/ (XX) XXX XXXĀXX XXXĀXX XĶĒXXĻX XXXXXXĪXXXXX PERSONAI XXĀXXXX XXXXĪXĀ SASKAŅĀ XX XĀX DALĪBVALSTS XXXXĪXX XXXXXX, KURĀ XXXXXXXXXX XXXXXXXXX XX XXXXXX/ (LT) NĖRA XXXXXŲ XXXŪXXŲ ATITINKAMAM XXXXXXXX XXXXXXXX XXXXXXXĄ XXXXX XXXXXXXĖX XXXĖX, XXXXXXX XXXXXXXX DOKUMENTAS XXXXXXXXXX, XXXXXXXXXXĘ TEISĘ/ (XX) NINCS X XÖXXXXXXX KIÁLLÍTÁSÁNAK HELYE XXXXXXXX XXXXXXXX XXXXXXX XXXX XXXXXXXX ISMERT XXXXXXXX XXXXX, HOGY XX ÉRINTETT XXXXXXX XXXXXXXXXX KÖSSÖN/ (XX) XX XXXX L-EBDA XXXXXXXXXX XXXĦXXX GĦALL-PERSUNA XXXXĊXXXXXX XXXX XXŻŻXXXXĠ XXĦX IL-LIĠI XXXXXXXXXX XXX-XXXXX XXXXXX FEJN XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (XX) XX XX XXXX XXXXXXXXXXX XXXX XX XXXXXXXXXX OM XX XXXXX OP XXXXX XXX XXX XXXXXXXXX XXXXX XXX XX XXXXXXXX XXXX XXX XXXXXXXX XXXXXXXX XXXXX XXXXXXXXX/ (XX) XXX XXXXXXXĄ XXXXX XXXXXXXXXX XXX XXXXXXXX XXXXX OSOBĘ, KTÓREJ XXXXXXX DOKUMENT, XXŁŻXŃXXXX XX XXXX XXXXX XXXXXXXXX PAŃSTWA CZŁONKOWSKIEGO, X KTÓRYM XXX XXXXXXXX XXXĘXXXX ZOSTAŁ XXXXXX/ (XX) XÃX XXXXXX XXXXXXXXXXX XXXXXXXXX X XXX X XXXXXX XX CAUSA XXXXXXXX XXXXXXXXXX NOS XXXXXX XX XXXXXXX XXXXXXXX XX ESTADO-MEMBRO XX-XXX X XXXXXXXXX XXXXXXX XXX XXXXXXX/ (XX) NU XX XXXXXX XXXXXXXXXXX LA XĂXĂXXXXX XXXXXXXXX VIZATE ÎX CONFORMITATE XX XXXXXXX XXXXXX AL XXXXXXXX MEMBRU ÎX XXXX XXXX XXXX XXXXXXXXXX XXXXXXX/ (SK) XXX XX ZNÁMA XXXXXXXX XXX XXXXXXXX XXXXX XXXXXXXX XXXXXXXXXX XXXĽX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXXXX XX XXXXXXX XXXXXXX XXXXXX/ (SL) XX XXXXXXXXXXXX XXXXXXXX, XX XXXXXXX OSEBA XX XX XXXXX XXXXXXXX ZAKONSKE ZVEZE X XXXXXX X XXXXXXXXXXX PRAVOM XXXXXX XXXXXXX, X XXXXXX XX XXXXXX XXXXX XXXXXXX/ (XX) ASIANOMAISEN XXXXXXÖX XXXXXXXXXXXX XX XXXXXXÄ XXXXXX XXXXXXÄ XXX XÄXXXXXXXXXX XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, JOSSA XXXXXXX XXXXXXXXX ON XXXXXXX/ (XX) FINNS XXX XXXX XÄXXX XXXXXX XÖX XXX XXXÖXXX PERSONEN ATT XXXÅ ÄKTENSKAP ENLIGT XXX XXXXXXXXXX XXXXXXXXXXXXXX X XXX XXXXXXXXXXX XÄX DEN 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 HAY XXXXXXXXXX XX NINGÚN XXXXXXXXXXX XXXX XXX XX XXXXXXXXXX XXXXXXXXX MATRIMONIO XXX XX XXXXXX XXXXXXX XXX XXXXXXX XX XXXXXXX XXXXXXXX XXX ESTADO MIEMBRO XX EXPEDICIÓN XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXX XXXXXXXX MANŽELSTVÍ XXXX XXXXXXXX XXXXXX X XXXXX SNOUBENCEM / XXXX SNOUBENKOU XXXXX XXXXXXXXXXXXXX XXXXX ČLENSKÉHO XXXXX, X XXXX XX XXXXXXX XXXXXXX XXXXXX/ (DA) XXX XXXXXXXXXX XXXXX XXXXXX XXXXXXXXXX FOR XXXXÅXXXX XX ÆGTESKAB MELLEM XXX XÅXÆXXXXXX PERSON XX DENNES KOMMENDE ÆXXXXÆXXX X XXXXXXX XXX XXXXXXXX RET X DEN XXXXXXXXXXX, XXXX XXX XXXXXXXXXX XXXXXXXX ER XXXXXXX/ (XX) XXX XXXX XXXXXXXXX XXXXXXX, XXX XXXXX EHESCHLIESSUNG XXX XXXXXXXXXXXX XXXXXX XXX XXXXX KÜNFTIGEN XXXXXXXXX XXXX XXX XXXXXXXXXX XXXXX XXX XXXXXXXXXXXXXX, XX XXX XXX ÖXXXXXXXXXX XXXXXXX AUSGESTELLT XXXXX, XXXXXXXXXXXXX/ (XX) XX XXX TEADA XXXXXXX DOKUMENDI XÄXXX XXXXXX LIIKMESRIIGI ÕIGUSE XXXXXXXX XXXXXXXXXX, MIS XXXXXXXXXXX ABIELU XÕXXXXXXX XXXXXXXXX XXXXX JA XXXX TULEVASE XXXXXXXX XXXXX/ (XX) ΔΕΝ ΕΊΝΑΙ ΓΝΩΣΤΟ ΚΑΝΕΝΑ ΚΩΛΥΜΑ ΓΙΑ ΤΗ ΣΥΝΑΨΗ ΓΑΜΟΥ ΜΕΤΑΞΥ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΚΑΙ ΤΟΥ ΜΕΛΛΟΝΤΟΣ Ή ΤΗΣ ΜΕΛΛΟΥΣΑΣ ΣΥΖΥΓΟΥ ΤΟΥ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΌΣΙΟ ΕΓΓΡΑΦΟ/ (XX) XXXXX IS XX XXXXXXXXXX XXXXX XX A XXXXXXXX XXXXXXX XXX XXXXXX XXXXXXXXX XXX XXX XX XXX XXXXXXXX XXXXXX XXXXX THE XXXXXXXX LAW XX XXX XXXXXX XXXXX XXXXX XXX XXXXXX XXXXXXXX XX ISSUED/ (XX) XX N'EXISTE XXX X'XXXÊXXXXXXX XXXXX XX MARIAGE DE XX XXXXXXXX XXXXXXXXX XXXX XXX FUTUR XXXXXXXX EN XXXXX XX XXXXX XXXXXXXX XX L'ÉTAT MEMBRE XÙ XX XXXXXXXX XXXXXX XXX DÉLIVRÉ/ (XX) XXX XXX XXXX XXXXXXXXX XXX XX PHÓSADH XXXX XX XXXXX LENA xXXXXXXXX XXXX X X(X)XXXX XXXXXXXXXX XXXX XXXX XXXXXXXXX XX XXXXXXXXXX XXX xXXXXXXX XX DOICIMÉAD XXXXXX X XXXXXXXX/ (HR) XXXX POZNATE XXXXXXX XXXX XXXX XXXXXXX XXXXX X XXXXXX XXXXĆX BRAČNI XXXX XX BI XXXXX XXXXXXXX BRAK PREMA XXXXXXXXXXX XXXXX DRŽAVE XXXXXXX X XXXXX XX JAVNA ISPRAVA XXXXXX/ (XX) XXX XXXX XXXX IMPEDIMENTI XX XXXXXXXXXX XXX XX XXXXXXX XXXXXXXXXXX X IL FUTURO XXXXXXX X NORMA XXX DIRITTO NAZIONALE XXXXX XXXXX XXXXXX XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX/ (LV) XXX XXXĀXX XXXĀXX XĶĒXXĻX XXXXĪXXX XXXXĒXXXXXX XXXXX ATTIECĪGO XXXXXXX XX XĀX TOPOŠO XXXXĀXX SASKAŅĀ XX XĀX DALĪBVALSTS XXXXĪXX XXXXXX, XXXĀ XXXXXXXXXX XXXXXXXXX XX XXXXXX/ (XX) XĖXX ŽINOMŲ XXXŪXXŲ XXXXXXXXXX XXXXXX XX JO XŪXXXX (-XX) XXXXXXXXXXX (-ĖX) XXXXXXXXX XXXXX VALSTYBĖS XXXĖX, XXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (XX) NINCS X XÖXXXXXXX KIÁLLÍTÁSÁNAK XXXXX XXXXXXXX XXXXXXXX XXXXXXX JOGA XXXXXXXX, XXXXXX AKADÁLYA XXXXX, XXXX AZ ÉRINTETT XXXXXXX XX LEENDŐ XXXXXXXXXX XXXXXXXXX

XXXXXXXXXX XÖXXÖX/ (XX) XX HEMM X-XXXX XXXXXXXXXX MAGĦRUF XĦXŻ-ŻXXXĠ XXXX XX-XXXXXXX XXXXĊXXXXXX X X-XXXXXĠX XXXXX XXXĦXX XXĦX XX-XXĠX XXXXXXXXXX XXX-XXXXX XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (XX) XX ER GEEN XXXXXXXXXXX XXXX XXX XXXXXXXX TUSSEN DE XXXXXXXXXX XX XXXX XX XXXX XXXXXXX XXXXXXXX(X)X(X) XX GROND XXX XXX XXXXXXXXX XXXXX XXX XX XXXXXXXX WAAR XXX XXXXXXXX DOCUMENT WORDT XXXXXXXXX/ (XX) XXX XXXXXXXĄ XXXXX PRZESZKODY XXX XXXXXXXX XXŁŻXŃXXXX XXXXX OSOBĘ, KTÓREJ XXXXXXX XXXXXXXX, Z XXXXĄ, X XXXXĄ XXXXXXXX ONA XXXXXXĆ XXŁŻXŃXXXX, NA XXXX XXXXX XXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX, W XXXXXX XXX XXXXXXXX XXXĘXXXX XXXXXŁ XXXXXX/ (XX) XÃX EXISTE XXXXXXXXXXX XXXXXXXXX X XXX XX XXXXXXXX XXXXXXXXX XXXXXXXXXX NOS XXXXXX XX XXXXXXX XXXXXXXX XX XXXXXX-XXXXXX XX XXX O DOCUMENTO XXX XXXXXXX/ (XX) XX XX XXXXXX XXXXXXXXXXX XX XĂXĂXXXXX XXXXXX PERSOANA XXXXXĂ ȘX XXXXXXXX SOȚ (XXXXXXXXX SOȚIE) ÎX XXXXXXXXXXXX XX XXXXXXX XXXXXX AL XXXXXXXX XXXXXX ÎX XXXX XXXX XXXX XXXXXXXXXX XXXXXXX/ (XX) XXX XX XXXXX XXXXXXXX XXXXXXXX XXXXXXXXXX XXXXX XXXXXXXXX OSOBOU A XXX NASTÁVAJÚCOU XXXXXXXXX XXXXX XXXXXXXXXXXX MANŽELOM XXXĽX VNÚTROŠTÁTNEHO PRÁVA XXXXXXXXX ŠTÁTU, V XXXXXX XX VEREJNÁ XXXXXXX VYDANÁ/ (XX) XX XXXXXXXXXXXX XXXXXXXX, XX XXXXXXX XXXXX XX NJEN PREDVIDENI XXXXXXX XX BI XXXXX SKLENITI ZAKONSKE XXXXX X XXXXXX X XXXXXXXXXXX XXXXXX XXXXXX XXXXXXX, X XXXXXX JE IZDANA XXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XX XÄXXX XXXXXXX XXXXXXXXXX XÄXXXXXXX XXXXXXXXXXXX XX XXXXXXÄ OLEVAN XXXXXXÄ XXX XÄXXXXXXXXXX XXXXXXXXXXX XXXXXÄÄXÄXXÖX MUKAAN, XXXXX XXXXXXX XXXXXXXXX ON XXXXXXX/ (SV) XXXXX XXX XXXX XÄXXX XXXXXX XÖX XXXÅXXXX XX ÄXXXXXXXX MELLAN XXX XXXÖXXX XXXXXXXX XXX HANS XXXXX XXXXXX XXXXXXXX XXXX XXXXX XXXX XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX X DEN MEDLEMSSTAT XÄX XXX XXXXXXXXXX XXXXXXXXXX UTFÄRDADES

5.5

(BG) НЕ СА ИЗВЕСТНИ ВЪЗРАЖЕНИЯ СРЕЩУ СКЛЮЧВАНЕТО НА БРАК МЕЖДУ СЪОТВЕТНОТО ЛИЦЕ И НЕЙНИЯ(НЕГОВАТА) БЪДЕЩ(А) СЪПРУГ(А) СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (ES) XX HAY XXXXXXXXX XXXXXXXX XX MATRIMONIO XXXXX XX XXXXXXXXXX X XX XXXXXX XXXXXXX XXX ARREGLO XX XXXXXXX XXXXXXXX XXX ESTADO XXXXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (CZ) XXXXXXXXXX ŽÁDNÁ XXXXX XXXXXXX PROTI XXXXXXXX XXXXXXXXXX XXXX DOTYČNOU XXXXXX A XXXXX XXXXXXXXXX / XXXX XXXXXXXXXX XXXXX VNITROSTÁTNÍHO XXXXX XXXXXXXXX XXXXX, X XXXX JE XXXXXXX XXXXXXX VYDÁNA/ (XX) DER XXXXXXXXXX XXXXX KENDTE XXXXXXXXXXX XXX XXXXÅXXXX XX XX ÆXXXXXXX XXXXXX XXX XÅXÆXXXXXX XXXXXX XX DENNES KOMMENDE ÆXXXXÆXXX X XXXXXXX XXX XXXXXXXX RET X XXX XXXXXXXXXXX, XXXX XXX XXXXXXXXXX XXXXXXXX XX XXXXXXX/ (XX) XXX KEIN XXXXXXX XXXXXXX, XXX XXXXX XXXXXXXXXXXXXX XXX XXXXXXXXXXXX XXXXXX MIT XXX KÜNFTIGEN XXXXXXXXX XXXX XXX XXXXXXXXXX XXXXX XXX XXXXXXXXXXXXXX, XX XXX XXX ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, XXXXXXXXXXXXX/ (XX) XX XXX XXXXX XXXXXXX XXXXXXXXX XÄXXX XXXXXX LIIKMESRIIGI ÕXXXXX XXXXXX XXXXXXXXXX, MIS XXXXXXXXX XXXXXX XÕXXXXXXX XXXXXXXXX ISIKU XX XXXX TULEVASE XXXXXXXX XXXXX/ (XX) ΔΕΝ ΕΙΝΑΙ ΓΝΩΣΤΗ ΚΑΜΙΑ ΑΝΤΙΡΡΗΣΗ ΓΙΑ ΤΗ ΣΥΝΑΨΗ ΓΑΜΟΥ ΜΕΤΑΞΥ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΚΑΙ ΤΟΥ ΜΕΛΛΟΝΤΟΣ Ή ΤΗΣ ΜΕΛΛΟΥΣΑΣ ΣΥΖΥΓΟΥ ΤΟΥ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΌΣΙΟ ΕΓΓΡΑΦΟ/ (XX) THERE XX XX XXXXXXXXXX KNOWN XX X MARRIAGE XXXXXXX THE PERSON XXXXXXXXX AND XXX XX HER XXXXXXXX XXXXXX UNDER XXX XXXXXXXX LAW XX XXX XXXXXX XXXXX XXXXX XXX XXXXXX XXXXXXXX XX ISSUED/ (XX) IL X'XXXXXX XXX X'XXXXXXXXXX CONNUE XX MARIAGE XX XX XXXXXXXX XXXXXXXXX XXXX XXX XXXXX XXXXXXXX EN VERTU XX DROIT NATIONAL XX X'XXXX XXXXXX XÙ LE XXXXXXXX XXXXXX XXX XXXXXXX/ (XX) XXX XXX XXXX XX XXXXXXX XXXXXXXXX ANN XX XXXXXXX XXXX XX XXXXX LENA mBAINEANN XXXX X C(H)ÉILE XXXXXXXXXX FAOI XXXX XXXXXXXXX XX XXXXXXXXXX XXX xXXXXXXX XX XXXXXXXXX XXXXXX X XXXXXXXX/ (HR) NEMA XXXXXXXX XXXXXXXXX XXXX XXXXX XXXXXXX OSOBA X NJEZIN XXXXĆX XXXXXX DRUG XX XX XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXXXX XXXXX XXXXXX XXXXXXX X XXXXX JE XXXXX XXXXXXX XXXXXX/ (XX) NON XXXX XXXX OPPOSIZIONI XX XXXXXXXXXX TRA XX XXXXXXX XXXXXXXXXXX X XX FUTURO CONIUGE X NORMA XXX XXXXXXX XXXXXXXXX DELLO XXXXX XXXXXX XXX XXXXXXXX XX DOCUMENTO XXXXXXXX/ (XX) NAV XXXĀXX XXXĀXX IEBILDUMI XXXXĪXXX XXXXĒXXXXXX STARP XXXXXXĪXX PERSONU XX XĀX TOPOŠO XXXXĀXX XXXXXŅĀ XX XĀX XXXĪXXXXXXX TIESĪBU XXXXXX, XXXĀ PUBLISKAIS XXXXXXXXX XX IZDOTS/ (LT) XĖXX XXXXXŲ XXXXXXXXXXXXŲ XXXXXXXXXX XXXXXX XX XX XŪXXXX (-XX) XXXXXXXXXXX (-ĖS) XXXXXXXXX XXXXX XXXXXXXĖX XXXĖX, XXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (XX) NEM XXXXXX XXXXX, A XÖXXXXXXX XXXXXXXXXXXXX HELYE XXXXXXXX XXXXXXXX XXXXXXX XXXX XXXXXXXX XXXXXXXXXX, AMELYET XX XXXXXXXX XXXXXXX XX XXXXXŐ XXXXXXXXXX XXXXX XÖXXXXŐ XXXXXXXXXXX XXXXXXX NYÚJTOTTAK BE/ (XX) XX XXXX X-XXXX XXXXŻXXXXXXX XXXĦXXXX XĦXŻ-ŻXXXĠ BEJN IL-PERSUNA XXXXĊXXXXXX U L-KONJUĠI XXXXX XXXĦXX XXĦX XX-XXĠX XXXXXXXXXX XXX-XXXXX XXXXXX FEJN INĦAREĠ XX-XXXXXXXX XXXXXXXX/ (NL) XX XX XXXX XXXXXX TEGEN XXX XXXXXXXX XXXXXX XX XXXXXXXXXX XX ZIJN XX HAAR BEOOGDE XXXXXXXX(X)X(X) XX XXXXX XXX XXX XXXXXXXXX XXXXX XXX XX XXXXXXXX XXXX XXX XXXXXXXX XXXXXXXX WORDT XXXXXXXXX/ (PL) XXX XXŁXXXXXX SPRZECIWU XXXXX XXXXXXXX XXŁŻXŃXXXX XXXXX XXXXĘ, XXXXXX DOTYCZY XXXXXXXX, X OSOBĄ, X XXXXĄ XXXXXXXX XXX XXXXXXĆ MAŁŻEŃSTWO, XX XXXX XXXXX XXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX, X XXXXXX XXX XXXXXXXX XXXĘXXXX ZOSTAŁ XXXXXX/ (XX) NÃO XXXXXX OPOSIÇÃO CONHECIDA X QUE XX XXXXXXXX CONTRAIAM XXXXXXXXXX XXX TERMOS XX XXXXXXX XXXXXXXX XX XXXXXX-XXXXXX EM QUE X DOCUMENTO XXX XXXXXXX/ (RO) NU XX CUNOAȘTE XXXXX XXXXXȚXX XX XĂXĂXXXXX XXXXXX PERSOANA VIZATĂ ȘX VIITORUL SOȚ (XXXXXXXXX SOȚIE) ÎN XXXXXXXXXXXX XX DREPTUL XXXXXX XX XXXXXXXX XXXXXX ÎX CARE XXXX XXXX XXXXXXXXXX XXXXXXX/ (XX) XXX XX XXXXX XXXXXXXX XXXX UZAVRETIU XXXXXXXXXX XXXXX DOTKNUTOU XXXXXX X XXX XXXXXXXXXXXX XXXXXXXXX XXXXX NASTÁVAJÚCIM XXXXXXXX XXXĽX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, X XXXXXX XX XXXXXXX LISTINA XXXXXX/ (XX) XX XXXXXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXXXXX XXXXX XXX XXXXXXX XXXXX XX XXXXXX XXXXXXXXXXX XXXXXXXX X XXXXXX X NACIONALNIM XXXXXX XXXXXX XXXXXXX, X KATERI JE XXXXXX XXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XX XÄXXX XXXXXXX XXXXXXXXXX VÄLISTÄ XXXXXXXXXXX XX XXX XXXXXXXXXXX XXX JÄSENVALTION XXXXXXXXXXX XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX ASIAKIRJA XX XXXXXXX/ (XX) XXXXX XXX XXXX XÄXXX XXXÄXXXXXXXX MOT XXXÅXXXX XX ÄXXXXXXXX XXXXXX XXX XXXÖXXX PERSONEN XXX HANS ELLER XXXXXX XXXXXXXX XXXX XXXXX XXXX XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX X XXX XXXXXXXXXXX XÄX XXX OFFICIELLA XXXXXXXXXX UTFÄRDADES

6.

(BG) ИНФОРМАЦИЯ ЗА БЪДЕЩИЯ(АТА) СЪПРУГ(А) НА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX XXXXX XX FUTURO XXXXXXX XXX INTERESADO/ (XX) XXXXXXXXX X XXXXXXXXX / XXXXXXXXX DOTYČNÉ XXXXX/ (XX) XXXXXXXXXXX XX DEN PÅGÆLDENDE XXXXXXX XXXXXXXX ÆXXXXÆXXX/ (XX) ANGABEN XX XXX XÜXXXXXXX XXXXXXXXX XXX XXXXXXXXXXXX XXXXXX/ (XX) XXXXX XXXXX XXXXX, KELLEGA XXXXXXXXX XXXX XXXXXX XXXXXX XÕXXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΜΕΛΛΟΝΤΟΣ Ή ΤΗΣ ΜΕΛΛΟΥΣΑΣ ΣΥΖΥΓΟΥ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) INFORMATION XX XXX XXXXXXXX XXXXXX XX XXX XXXXXX CONCERNED/ (XX) XXXXXXXXXXXX XXX LE XXXXX CONJOINT XX XX PERSONNE XXXXXXXXX/ (XX) XXXXXXXX MAIDIR XX XXXXX XXXXXXXXXX XX XXXXX XXXX xXXXXXXXX/ (HR) XXXXXXXXXXX X BUDUĆEM BRAČNOM XXXXX XXXXXXX XXXXX/ (XX) XXXXXXXXXXXX SUL XXXXXX XXXXXXX XXXXX XXXXXXX INTERESSATA/ (LV) XXXXXXĀXXXX XXX ATTIECĪGĀS XXXXXXXX XXXXXX XXXXĀXX/ (XX) XXXXXXXXXXX XXXX XXXXXXXXXX ASMENS BŪSIMĄ XXXXXXXXXĮ (-Ę)/ (HU) XX XXXXXXXX XXXXXXX XXXXXŐ XXXXXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXĠX XXXXX XXX-XXXXXXX XXXXĊXXXXXX/ (XX) XXXXXXXXXX OVER XX XXXXXXX XXXXXXXX(X)X(X) VAN XX XXXXXXXXXX/ (XX) XXXX OSOBY, Z XXXXĄ XXXXX, XXXXXX XXXXXXX XXXXXXXX, XXXXXXXX XXXXXXĆ XXŁŻXŃXXXX/ (PT) XXXXXXXÇÕXX SOBRE O XXXXXX CÔNJUGE XX XXXXXX XX XXXXX/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXX XXȚ (VIITOAREA XXȚXX) XX (A) XXXXXXXXX VIZATE/ (XX) XXXXXXXXXX X NASTÁVAJÚCOM XXXXXXXXX/ XXXXXXXXXXXX XXXXXXXX XXXXXXXXX XXXXX/ (SL) XXXXXXXXXXX X PREDVIDENEM XXXXXXX XXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXXXXXX XXXXXXÖX XXXXXXXXX PUOLISOSTA/ (XX) XXXXXXXXX XX XXX XXXÖXXX XXXXXXXXX XXXXXXXX MAKE ELLER XXXX

7.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX XXXXX/ (XX) XXXX PRO XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) XXXXX XXXX XX XXXXXXXXX/ (XX) BOSCA XXX XXXXX/ (XX) POLJE XX POTPIS/ (XX) XXXXXXXX PER XX XXXXX/ (XX) XXXXXXXX XXXXX/ (LT) XXXXXX XXXXXXXX/ (XX) XX XXXXXXX SZÖVEGDOBOZA/ (MT) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX DE XXXXXXXXXXXX/ (XX) XXXX XXXXXXX/ (XX) ESPAÇO XXXXXXXXX À ASSINATURA/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX XXXXXX/ (XX) XXXXX XX XXXXXX/ (XX) ALLEKIRJOITUSKENTTÄ/ (XX) RUTA FÖR XXXXXXXXXXXXXX

7.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) APELLIDO(S) Y XXXXXX(X) XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (CZ) PŘÍJMENÍ X XXXXX (XXXXX) XXXXXXXX, KTERÝ XXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXXX(X) XX FORNAVN(E) XÅ DEN XXXXXXXXXX, XXX HAR UDSTEDT XXXXX FORMULAR/ (XX) XXXXXXXXXXXX(X) XXX VORNAME(N) XXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) KÄESOLEVA XXXXX VÄLJASTANUD XXXXXXXX XXXXXXX (-XXXXX) XX XXXXXXXXXXXXX (-NIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) XXX XXXXXXXX(X) OF XXX OFFICIAL XXX XXXXXX THIS XXXX/ (XX) XXX(X) XX XXXXXX(X) XX FONCTIONNAIRE XXX A DÉLIVRÉ XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX OIFIGIGH A X’XXXXXX AN XXXXXX XXX/ (XX) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX XXXX XX IZDAO XXXX OBRAZAC/ (IT) XXXXXXX/X X XXXX/X XXX FUNZIONARIO XXX XX XXXXXXXXXX IL XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX IZDEVUSI XX XXXXXXXX, UZVĀRDS(-I) XX XĀXXX(-X)/ (XX) XXĄ FORMĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖX) XX VARDAS (-XX)/ (XX) A FORMANYOMTATVÁNYT XXXXXXXX XXXXXXXXXXŐ XXXXXXX XXXX(X) XX XXXXXXX(X)/ (XX) KUNJOM(/KUNJOMIJIET) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX LI ĦXXXĠ XXX XX-XXXXXXX/ (XX) XX(X)X(XX) EN XXXXXX(X)X(XX) VAN DE XXXXXXXXX XXX XXX XXXXXXXXX HEEFT XXXXXXXXX/ (XX) XXXXXXXX(-X) I XXXĘ (IMIONA) XXXĘXXXXX, XXXXX WYDAŁ NINIEJSZY XXXXXXXXX/ (XX) APELIDO(S) X XXXX(X) XXXXXXX(X) XX FUNCIONÁRIO XXX XXXXXX X PRESENTE XXXXXXXXXX/ (XX) XXXXXX ȘX PRENUMELE XXXXȚXXXXXXXXX XXXX X EMIS XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) A XXXX(-X) XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX IME/IMENA XXXXXXXX, KI JE XXXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXXXXX (-XXXXX) JA XXXXXXX (-XXXXX)/ (XX) EFTERNAMN XXX FÖRNAMN XÅ XXX XXÄXXXXXXX SOM XXX XXXÄXXXX XXXXX XXXXXXÄX

7.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (CZ) XXXXXX XXXXXXXX, KTERÝ VYDAL XXXXX XXXXXXXX/ (DA) XXXXXXXX — XXX XXXXXXXXXX, DER XXX XXXXXXX XXXXX FORMULAR/ (XX) XXXXXXXX XXX XXXXXXX, DER DIESES XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX VORMI XÄXXXXXXXXX AMETNIKU XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) POSITION OF XXX XXXXXXXX XXX XXXXXX THIS FORM/ (XX) XXXXX XX XXXXXXXXXXXXX XXX X XXXXXXX LE XXXXXXX XXXXXXXXXX/ (XX) POST XX XXXXXXXX A X’XXXXXX XX FHOIRM XXX/ (XX) XXXXXXXX XXXXXXXXXX XXXX JE XXXXX OVAJ XXXXXXX/ (XX) XXXXXXXXX XXX XXXXXXXXXXX XXX XX XXXXXXXXXX IL PRESENTE XXXXXX/ (LV) AMATPERSONAS, XXXX IZDEVUSI ŠO XXXXXXXX, XXXXX/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (HU) X FORMANYOMTATVÁNYT KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXXXX/ (MT) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ XXX IL-FORMOLA/ (XX) FUNCTIE XXX XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX DO XXXXXXXXXXX XXX EMITIU O XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX CARE X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, KTORÝ XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX URADNIKA, XX XX IZDAL XX XXXXXXX/ (XX) TÄMÄN XXXXXXXXX XXXXXXXX VIRKAMIEHEN XXXXX/ (SV) XXXXXXXXXX XÖX XXX XXÄXXXXXXX XXX HAR XXXÄXXXX XXXXX XXXXXXÄX

7.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX EXPEDICIÓN/ (CZ) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) UDSTEDELSESDATO (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (DD/MM/MMMM)/ (XX) X KIÁLLÍTÁS XXXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) DATUM (DD/MM/JJJJ) XXX XXXXXXX/ (PL) XXXX (DD/MM/RRRR) XXXXXXX/ (XX) DATA DE XXXXXÃX (DD/MM/AAAA)/ (XX) XXXX (ZZ/LL/AAAA) XXXXXXXX/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXX/ (SL) XXXXX (XX/XX/XXXX) IZDAJE/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (DD/MM/ÅÅÅÅ) XÖX XXXÄXXXXXX

7.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) ALLKIRI/ (XX) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) SÍNIÚ/ (XX) XXXXXX/ (IT) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) PODPIS/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) PODPIS/ (XX) XXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) NAMNTECKNING

7.5

(BG) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (CZ) PEČEŤ XXXX RAZÍTKO/ (XX) XXXX XXXXX XXXXXXX/ (XX) SIEGEL ODER XXXXXXX/ (XX) PITSER XÕX TEMPEL/ (XX) ΣΦΡΑΓΙΔΑ/ (EN) XXXX XX STAMP/ (FR) XXXXX OU XXXXXX/ (XX) XXXXX NÓ XXXXXX/ (HR) ŽIG XXX PEČAT/ (IT) XXXXX X XXXXXX/ (XX) ZĪMOGS XXX XXXXXXXX/ (XX) XXXXXXX XXXX ANTSPAUDAS/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX JEW XXXXXX/ (XX) ZEGEL XX XXXXXXX/ (XX) XXXXXĘĆ XXX STEMPEL/ (XX) SELO OU XXXXXXX/ (XX) SIGILIUL XXX ȘTAMPILA/ (SK) XXXXX XXXXX ODTLAČOK XXXXXXXX/ (SL) PEČAT XXX ŽIG/ (XX) XXXXXXX XXX XXXXX/ (XX) XXXXXX ELLER XXÄXXXX

XXXXXXX STAV

VÍCEJAZYČNÝ XXXXXXXXXX FORMULÁŘ – XXXXXXX XXX XXXXXXX

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

Belgie (XX) Bulharsko (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxx (DE)

Estonsko (XX) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (LT)

Lucembursko (XX)

Xxxxxxxx (XX) Malta (MT)

Nizozemsko (XX) Xxxxxxxx (XX)

Xxxxxx (XX) Portugalsko (XX)

Xxxxxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxxxx (XX) Xxxxxx (XX)

Xxxxxxx (XX) Xxxxxxx království (XX)

XXXXXXXX XXXXXXXXXX

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

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

XXXXXXXXXX PRO XXXXXXXXXX XXXXX

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

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

1. ORGÁN XXXXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

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

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

3.1.1 Xxxxxxxxxx soudu

3.1.2 Xxxxxxx xxxxxx státním xxxxxxxxx

3.1.3 Xxxxxxx vydaná xxxxxx xxxxxxx úředníkem

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

3.1.5 Xxxx (xxxxxxxxx)

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

(2) Při xxxxxxxxxx xxxxx xxxxxxxx hůlkové xxxxx.

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

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

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Výpis x xxxxxxx

3.2.3 Xxxxx x xxxxxxxx xxxxxxxx

3.2.4 Xxxx matričních xxxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Úřední xxxxxxxxx, xxxxxx xxxx xxxxxxxx xxxxxxx podepsaná soukromou xxxxxx

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

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx xxxxx xxxxxxx listiny

4. INFORMACE X XXXXXXX XXXXX

4.1 Xxxxx/x xxxxxxxx

4.2 Současné/á xxxxxxxx

4.3 Xxxxxxxx xxxx xxxxxxxxx xxxxxxxxxx

4.4 Příjmení xx xxxxxxxx xxxxxxxxxx

4.5 Xxxxx (xxxxx)

4.6 Datum (xx/xx/xxxx) xxxxxxxx

4.7 Místo (1) x země (2) xxxxxxxx

4.8 Xxxxxxx:

4.8.1 Xxxx

4.8.2 Muž

4.8.3 Neurčeno

4.9 Xxxxxx příslušnost

5. NA XXXXXXX XXXXXXX XXXXXXX, X NÍŽ JE XXXXXXXX XXXXX XXXXXXXX, XX XXXXXXX XXXXX XXXXX RODINNÝ STAV:

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

5.2 Xxxxxxxxx – xxxxxxxxx

5.2.1 Xxxxxxxx – Xxxxxxxx

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

5.2.3 Xxxxx – vdovec/Datum (xx/xx/xxxx) xxxxx xxxxxxx/xxxxxxxx

5.3 Xxxxxxxx

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

(2) Xxxxx xxxx a – xxxxx xxxxxxxx – xxx ISO xxxx xxxx xxxx možnost „Xxxx (xxxxxxxxx)“ xx xxxxx vybrat x xxxxxxxxxxx nabídky xx xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxxxxxx, který xx x xxxxxxxxx na xxxxxxx xxxxxxxx x-xxxxxxx.

6. XXXX PRO PODPIS

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

6.2 Xxxxxx xxxxxxxx, xxxxx xxxxx xxxxx xxxxxxxx

6.3 Xxxxx (dd/mm/rrrr) xxxxxx

6.4 Xxxxxx

6.5 Xxxxx xxxx xxxxxxx

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXXX XXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) AUTORIDAD XXX EXPIDE XXXX XXXXXXX/ (CZ) XXXXX XXXXXXXXXX XXXXX FORMULÁŘ/ (XX) DENNE XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX VÄLJA XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (EN) XXXXXXXXX XXXXXXX XXXX XXXX/ (XX) AUTORITÉ XX XXXXXXXXXX DU XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX AN XXXXXX XXX/ (HR) XXXXXX XXXX XXXXXX XXXX XXXXXXX/ (IT) XXXXXXXÀ XXX RILASCIA IL XXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (LT) XXĄ FORMĄ IŠDUODANTI XXXXXXXX XXXXXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX XX' XXX XX-XXXXXXX/ (NL) XXXXXXXXXX XXX XXXXXXX VAN XXX XXXXXXXXX/ (PL) XXXXX XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXX EMITE X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX FORMULAR/ (XX) XXXXX XXXXXXXXXX TENTO XXXXXXXX/ (XX) ORGAN, XX XXXX XX XXXXXXX/ (FI) XÄXÄX XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) MYNDIGHET XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) DENOMINACIÓN/ (CZ) XXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (ET) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (FR) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) DENOMINAZIONE/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) TITLU/ (XX) XXXXXXXX/ (PL) XXXXX/ (XX) XXXXXXXÇÃX/ (RO) XXXXXXXX/ (XX) NÁZOV/ (XX) XXX/ (XX) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX EXPIDE EL XXXXXXXXX PÚBLICO AL XXX XX XXXXXXX XXXX XXXXXXX/ (XX) XXXXX VYDÁVAJÍCÍ XXXXXXXX XXXXXXX, X NÍŽ XX PŘILOŽEN XXXXX XXXXXXXX/ (DA) XXX XXXXXXXXX, XXX HAR XXXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXÖXXX, XXX XXX ÖXXXXXXXXXX XXXXXXX, XXX DIESES XXXXXXXX XXXXXXÜXX XXX, AUSSTELLT/ (XX) ASUTUS, XXX XXXXX VÄLJA XXXXXXX XXXXXXXXX, MILLELE SEE XXXX XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XXXXXXX XXX XXXXXX XXXXXXXX XX XXXXX XXXX FORM XX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXXXX DU XXXXXXXX XXXXXX XXXXXX XXX JOINT XX XXXXXXX XXXXXXXXXX/ (GA) XX xXXXXXX A XXXXXXXX AN DOICIMÉAD XXXXXX LENA XXXXXX XX FHOIRM SEO XXXXXXXXXX/ (XX) TIJELO XXXX IZDAJE JAVNU XXXXXXX XXXXX XX XXXX XXXXXXX PRILOŽEN/ (XX) XXXXXXXÀ CHE XXXXXXXX XX DOCUMENTO XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (LV) XXXXXXXĀ XXXXXXXXX, XXXXX ŠĪ XXXXXXXX IR XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) VIEŠĄJĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) AWTORITÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX IL-FORMOLA/ (XX) XXXXXXXXXX XXX XXXXXXX VAN XXX XXXXXXXX XXXXXXXX WAARAAN XXX XXXXXXXXX XX XXXXXXX/ (XX) ORGAN XXXXXĄXX XXXXXXXX XXXĘXXXX, XX XXXXXXX NINIEJSZY XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXXXX XXX XXXXX O DOCUMENTO XXXXXXX X QUE X PRESENTE FORMULÁRIO XXXX APENSO/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX XXXX XXXXX XXXXXXX, KI XX XX PRILOŽEN XX XXXXXXX/ (FI) VIRANOMAINEN, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX AL XXXXXXXXX XXXXXXX AL XXX XX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX TÝKAJÍCÍ XX XXXXXXX LISTINY, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXØXXXXX XXX XXXXXXXXXX XXXXXXXX, SOM XXXXX FORMULAR XX XXXXÆXXXX/ (XX) ANGABEN XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX XXXXXXX XXXXXXXXX XXXXX, XXXXXXX XXX XXXX XX LISATUD/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXX XXXXXX XXXXXXXX XX XXXXX THIS XXXX IS XXXXXXXX/ (XX) XXXXXXXXXXXX RELATIVES XX DOCUMENT PUBLIC XXXXXX EST XXXXX XX PRÉSENT FORMULAIRE/ (XX) XXXXXXXX X XXXXXXXXX XXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXX XX XXXXXX XX JAVNU XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX PUBBLICO XXX XX PRESENTE XXXXXX È XXXXXXXX/ (XX) INFORMĀCIJA XXX XXXXXXXX DOKUMENTU, KURAM XĪ XXXXXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX XX VIEŠUOJU XXXXXXXXX, XXXX KURIO XXXXXXXXX XX FORMA/ (XX) A XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX VONATKOZÓ XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX DIN XX-XXXXXXX/ (XX) XXXXXXXXXX BETREFFENDE XXX OPENBAAR XXXXXXXX XXXXXXX DIT XXXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXĄXX DOKUMENTU XXXĘXXXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (PT) XXXXXXXÇÕXX XXXXXXXXX XX DOCUMENTO XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXȚXX REFERITOARE LA XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX O XXXXXXXX XXXXXXX, KU XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) INFORMACIJE X ZVEZI X XXXXX XXXXXXX, XX XX JE XXXXXXXX XX OBRAZEC/ (XX) XXXXXX XXXXXXXXÄ ASIAKIRJASTA, XXXXX 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 XXX XXX XXXXXXXXX X XX XXXXXXXXXXX VINCULADO X XXX XXXXXXX XXXXXXXXXXXXXXXX DE XX XXXXXX XXXXXXX/ (XX) XXXXXXX VYDANÁ ORGÁNEM XXXX ÚŘEDNÍKEM S XXXXXX NA SOUDY XXXXXX ČLENSKÉHO XXXXX/ (XX) DOKUMENT, XXX XX XXXXXXX AF XX MYNDIGHED XXXXX XX EMBEDSMAND, DER XX XXXXXXXXXX XXXXXXXX X EN XXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXÖXXX XXXX XXXXX XXXXXXXXXX XXX XXXXX XXX RECHTSPFLEGE XXXXX XXXXXXXXXXXXXX/ (XX) DOKUMENT, XXXXX XX VÄLJA XXXXXX XXXXXXXXXXXX KOHTUTEGA XXXXXX XXXXXXXXXXX VÕI XXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (EN) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXX XX XX XXXXXXXX XXXXXXXXX XXXX XXX COURTS XX XXXXXXXXX XX X XXXXXX XXXXX/ (XX) XXXXXXXX XXXXXXX X'XXX XXXXXXXX OU X'XX XXXXXXXXXXXXX XXXXXXXX X'XXX XXXXXXXXXXX D'UN XXXX XXXXXX/ (XX) XXXXXXXXX A THAGANN X XXXXXX XX X OIFIGEACH X XXXXXX BAINT AIGE XX AICI XX XXXXXXXXXX NÓ LE XXXXX DE XXXXX XXXXXXXXX/ (XX) ISPRAVA XXXX XX IZDALO XXXXXX ILI XXXXXXXXX XXXX DRŽAVE XXXXXXX/ (XX) XXXXXXXXX EMANATO XX XX'XXXXXXXÀ X XX UN XXXXXXXXXXX XXXXXXXXXXXX XX XXX XXXXX XXXXXXXXXXXXX XX XXX STATO XXXXXX/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XX DALĪBVALSTS XXXXĀX SAISTĪTA IESTĀDE XXX XXXXXXXXXXX/ (LT) XXXXXXXXXX, XXXXXXXX VALDŽIOS XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ XX VALSTYBĖS XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (XX) TAGÁLLAMI XXXXXXXXXX KAPCSOLATBAN XXXX XXXXXXX XXXX TISZTVISELŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX XXXXXXXÀ XXX XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX XXX XX-XXXXXXXXX XX' STAT XXXXXX/ (NL) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXXXXXX XXXXXXXXX VAN XXX LIDSTAAT/ (PL) XXXXXXXX XXXXXXXĄXX XX XXXXXX XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX PAŃSTWA XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXXXX XX DE XX FUNCIONÁRIO XXXXXXXXXX XX XXXXXXXX JURISDIÇÃO XX UM XXXXXX-XXXXXX/ (XX) XXXXXXXX EMIS XX X XXXXXXXXXX XXX XX UN XXXXȚXXXXX XX XX XÂXXĂ INSTANȚELE XXXX XXXX MEMBRU/ (SK) XXXXXXX XXXXXX XXXXXXX XXXXX XXXXXXXXX X XÄXXXX XX XXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX, XXXXXX X XXXXXX ORGANA XXX XXXXXXXX SODNE OBLASTI XXXXXX XXXXXXX/ (XX) XXXXXXXXX, JONKA XX XXXXXXX XÄXXXXXXXXXX OIKEUSLAITOKSEEN XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (SV) XXXXXXXX XXX XÄXXÖX XXÅX XX MYNDIGHET ELLER XX XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX I XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) RESOLUCIÓN XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (DE) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) DÉCISION XX XXXXXXX/ (XX) CINNEADH XX xXXXXX/ (HR) XXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX LĒMUMS/ (LT) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXX SĄDOWE/ (XX) XXXXXÃX XXXXXXXX/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) XXXXX XXXXXXX/ (FI) XXXXXXXXXXXXXX PÄÄTÖS/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX POR XX XXXXXXXXXX FISCAL/ (XX) LISTINA XXXXXX XXXXXXX ZÁSTUPCEM/ (DA) XXXXXXXX UDSTEDT XX XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT, XXXXX XX VÄLJA ANDNUD XXXXXXX SÜÜDISTAJA/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX FROM X XXXXXX PROSECUTOR/ (XX) XXXXXXXX XXXXXXX XX XXXXXXÈXX PUBLIC/ (XX) XXXXXXXXX A XXXXXXX X XXXXXXXXXXXXXXX POIBLÍ/ (XX) ISPRAVA XXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX/ (IT) XXXXXXXXX XXXXXXX XXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) PROKURORO IŠDUOTAS XXXXXXXXXX/ (HU) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT MAĦRUĠ XXXX PROSEKUTUR PUBBLIKU/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN OPENBAAR XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX OD PROKURATORA/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (XX) DOCUMENT XXXX XX XX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) LISTINA, XX JO XXXX XXXXXXX TOŽILSTVO/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (SV) XXXXXXXX XXX HÄRRÖR XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX EXPEDIDO XXX XX XXXXXXXXXX XXXXXXXX/ (CZ) XXXXXXX XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) DOKUMENT XXXXXXX AF XX XXXXXXXXXXXXXÆX/ (XX) XXXXXXX XXXXX URKUNDSBEAMTEN XXX XXXXXÄXXXXXXXXX EINES XXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (EN) XXXXXXXX XXXXXXXXX XXXX A XXXXX OF X XXXXX/ (FR) DOCUMENT XXXXXXX X'XX GREFFIER/ (XX) DOICIMÉAD X XXXXXXX X XXXXXXXXXX XX CHUID XXXXXX/ (XX) XXXXXXX KOJU XX XXXXX XXXXXXXXXX XXXXXX PISARNICE/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XXXXXX XXXXXXĀXX/ (LT) XXXXXX XXXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXXXŐ XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX REĠISTRATUR XX' XXXXX/ (NL) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX XXXXXXXXXX XĄXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX DE XX XXXXXXX DE XXXXXÇX/ (XX) XXXXXXXX XXXX DE XX XXXXXXX XX XXXXXXȚXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXX, KI XX XXXX XXXXX XXXXXXXXXX/ (XX) TUOMIOISTUIMEN SIHTEERIN XXXXXX XXXXXXXXX/ (XX) XXXXXXXX SOM 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 XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX DE XXXXXXX»)/ (XX) DOCUMENT XXXXXXXXX XXXX X XXXXXXXX XXXXXXX ('HUISSIER XX XXXXXXX')/ (FR) XXXXXXXX XXXXXXX X'XX XXXXXXXX XX JUSTICE/ (XX) XXXXXXXXX X XXXXXXX X XXXXXXXXX XXXXXXXXXXXX (“HUISSIER DE XXXXXXX”)/ (XX) XXXXXXX XXXX JE IZDAO XXXXXX XXXXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX EMANATO XX XX UFFICIALE GIUDIZIARIO ("XXXXXXXX XX JUSTICE")/ (XX) XXXXXXXXX, KURU XXXXXXXXXX TIESAS XXXXXXĪXĀXX (XXXXXXXX DE JUSTICE)/ (XX) ANTSTOLIO (XXXXXXXX XX XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXXX („HUISSIER XX XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ MINN XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX XX XXXXXXX')/ (NL) XXXXXXXX XXXXXXXXX DOOR XXX XXXXXXXXXXXXXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX OD URZĘDNIKA XĄXXXXXX (HUISSIER DE XXXXXXX)/ (PT) DOCUMENTO XXXXXXXXXXX DE XX XXXXXXÃX XX XXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXX XX UN XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX DE XXXXXXX”)/ (XX) XXXXXXX XXXXXX SÚDNYM XXXXXXXXXXĽXX („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXX, XX XX XXXX SODNI XXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (FI) XXXXXXXXXXXX (”XXXXXXXX XX XXXXXXX”) XXXXXX ASIAKIRJA/ (SV) XXXXXXXX XXX HÄRRÖR XXÅX XX XXÄXXXXXXXXX (XXXXXXXX DE JUSTICE)

3.1.5

(BG) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (CZ) JINÉ (XXXXXXXXX)/ (XX) ANDRE (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (ET) XXX (TÄPSUSTAGE)/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX BE XXXXXXXXX)/ (FR) XXXXX (À XXXXXXXX)/ (XX) XXXX (XX XXXXX)/ (XX) OSTALO (XXXXXXX)/ (XX) ALTRO (PRECISARE)/ (XX) XXXX (XXXXXXĒX)/ (XX) KITA (XXXXXXXX)/ (XX) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) XXXX (XXXXXĘ OKREŚLIĆ)/ (XX) XXXXXX (X XXXXXXXXXXX)/ (XX) ALTUL (A XX XXXXXXX)/ (SK) XXX (XXXXXXXX)/ (XX) XXXXX (NAVESTI)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) ANNAN XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (DA) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX VERWALTUNGSBEHÖRDE/ (XX) HALDUSDOKUMENT/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (EN) XXXXXXXXXXXXXX DOCUMENT/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (IT) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (NL) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX ADMINISTRACYJNY/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX ADMINISTRATIV/ (SK) XXXXXXX LISTINA/ (XX) XXXXXXX XXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXXXX/ (SV) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (ET) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (FR) XXXXXXXXXX/ (XX) DEIMHNIÚ/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊXXXXXXXXX/ (XX) CERTIFICAAT/ (XX) ZAŚWIADCZENIE/ (XX) XXXXXXÃX XX XXXXXXXXXXX/ (XX) CERTIFICAT/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (ES) XXXXXXXX XXX XXXXXXXX CIVIL/ (XX) XXXXX X XXXXXXX/ (XX) XXXXXX XXX CIVILSTANDSREGISTRET/ (XX) XXXXXX XXX XXX XXXXXXXX-XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (EN) XXXXXXX FROM XXX XXXXX XXXXXX XXXXXXXX/ (XX) EXTRAIT XX XXXXXXXX DE L'ÉTAT XXXXX/ (GA) XXXXXXX XX AN xXXXX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXX XXXXXX/ (XX) XXXXXXXX XX ATTO XX XXXXX XXXXXX/ (XX) XXXXXXXX NO XXXXXXXĀXXXĻX AKTU XXĢXXXXX/ (XX) IŠRAŠAS XX XXXXXXXĖX XŪXXĖX XXXŲ XXXXXXXX/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXX ĊIVILI/ (XX) XXXXXXXXXX UIT XXX XXXXXXXX XXX XX BURGERLIJKE STAND/ (XX) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXX DE XXXX XX XXXXXXX XXXXX/ (RO) EXTRAS XXX XXXXXXXXX DE XXXXX CIVILĂ/ (XX) XXXXX X XXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXX XX XXXXXXXX X OSEBNEM XXXXXX/ (XX) VÄESTÖREKISTERIOTE (XXXXXXXXÄÄXX)/ (XX) XXXXXX UR XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX XXX XXXXX/ (XX) VÝPIS X XXXXXXXX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXX/ (DE) XXXXXX XXX XXX XXXXXXXXXXXXX/ (XX) RAHVASTIKUREGISTRI VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX FROM XXX XXXXXXXXXX XXXXXXXX/ (XX) EXTRAIT DU XXXXXXXX XX XX XXXXXXXXXX/ (XX) SLIOCHT XX XX xXXXX XXXXXX/ (XX) XXXXXXX XX XXXXXX XXXXXXXXXXXX/ (XX) ESTRATTO XXXXXXXXXX/ (XX) XXXXXXXX NO XXXXĪXXXĀXX XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXXŲ XXXXXXXX/ (XX) XXXXXXX X XXXXXXXXXXXX- ÉS XXXXXXXXXXXXXXXXXXXXXX/ (MT) XXXXXXX XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) WYCIĄG X REJESTRU XXXXXŚXX/ (XX) XXXXXXX XX XXXXXXX DA XXXXXXÇÃX/ (XX) XXXXXX DIN XXXXXXXXX XX XXXXXXȚĂ X XXXXXXȚXXX/ (SK) 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 CIVIL/ (XX) XXXX XXXXXXXXXX XXXXXXX/ (XX) ORDRET XXXX AF XXXXXXXXXXXXXXXXXXX/ (XX) WÖRTLICHE XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX COPY OF XXXXX STATUS XXXXXXX/ (XX) COPIE XXXXXXXXX X'XXXXX XX X'XXXX XXXXX/ (XX) CÓIP XXXXX AR FHOCAL XX XXXXXXX XX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX PRIJEPIS IZ XXXXXXXXXX X XXXXXXX XXXXXX/ (IT) XXXXX XXXXXXXXX DI XXXX XX STATO CIVILE/ (XX) XXXXXXXĀXXXĻX XXXX XXĢXXXXX IERAKSTU XXXXXXXXXX XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮRAŠŲ XXXXXXXĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXX XXX-XXXX XXX-XXXXX ĊIVILI/ (NL) XXXXXXXXXXX AFSCHRIFT VAN XXXXX XXX XX XXXXXXXXXXX STAND/ (XX) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXÃX XX XXXXX XXXXXXXX XX XX XXXXXXXXX XX XXXX XX XXXXXXX XXXXX/ (XX) COPIE EXACTĂ X XXXX XXX XX STARE CIVILĂ/ (XX) XXXXXXXX XXXXX XX XXXXXXX O XXXXXXX XXXXX/ (XX) XXXXXXXXX XXXXXX LISTIN X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX AV XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (DA) XXXXXXXXXÆXXXX XXXXXXXX/ (DE) XXXXXXXXXX URKUNDE/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (EN) XXXXXXXX XXX/ (XX) XXXX XXXXXXX/ (GA) XXXXXX XXXXXXXXXXXX/ (HR) XXXXXXXXXXXXXXXX XXXXXXX/ (IT) XXXX XXXXXXXX/ (XX) XXXXXXĀXX XXXX/ (XX) NOTARINIS XXXXX/ (XX) KÖZJEGYZŐI XXXXXX/ (MT) ATT XXXXXXXX/ (NL) XXXXXXËXX XXXX/ (XX) XXX XXXXXXXXXX/ (XX) XXX XXXXXXXX/ (RO) XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) NOTARSKA XXXXXXX/ (XX) NOTAARIN XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) CERTIFICACIÓN XXXXXXX PUESTA SOBRE XX DOCUMENTO XXXXXXX/ (XX) XXXXXX XXXXXXXXX, XXXXXX XXXX XXXXXXXX XXXXXXX XXXXXXXXX SOUKROMOU XXXXXX/ (XX) OFFICIEL XÅXXXXXXX XÅ XX XXXXXXXX UNDERTEGNET XX XX XXXXXX X XXXXXX XXXXXXXX AF XXXXXXXXXXXX/ (DE) AMTLICHE XXXXXXXXXXXXX AUF XXXXX XXXXXXXXXXXXX/ (XX) XXXXX XXXXX ERAISIKUNA XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX AMETLIK XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (EN) XXXXXXXX XXXXXXXXXXX PLACED XX X XXXXXXXX XXXXXX BY X XXXXXX IN XXX XX XXX XXXXXXX XXXXXXXX/ (FR) DÉCLARATION XXXXXXXXXX XXXXXXX XXX XX XXXX SOUS XXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX X XXXXXXXXX XX XXXXXXXXXX XXXX XXXXXX XX XXXXX XXX XXXXX XX XXX CÁIL XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX NA XXXXXXX XXXX XX XXXXX XXXXXXXXX X XXXXXXXXX SVOJSTVU/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX XXX XXXXXXXXX XXXXXXX/ (LV) OFICIĀLS XXXXXXXXĀXXXX XX XXXXXXXXX, XX XXXĀ VĀRDĀ XXXXXXXĪXXXX KĀDA PERSONA/ (XX) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ OFICIALŪS XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX TANÚSÍTVÁNY/ (XX) ĊXXXXXXXXX XXXXĊXXXX XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX MINN XXXXXXX XXX-XXXXĊXXÀ XXXXXXX TAGĦHA/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXX DOCUMENT XXXXXXXXXXX XXXX XXX XXXXXXX XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX DOKUMENCIE PODPISANYM XXXXX XXXXĘ XXXXŁXXĄXĄ X CHARAKTERZE PRYWATNYM/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX XXX XX NATUREZA XXXXXXX/ (XX) XXXXXXXXXX XXXXXXX XXXXXXX XX UN XXXXXXXX SUB SEMNĂTURĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX UVEDENÉ XX XXXXXXX XXXXXXXXXX OSOBOU XXXXXXXXX XXX SÚKROMNÁ XXXXX/ (XX) URADNA XXXXXX NA XXXXXXX XXXXXXX/ (FI) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, JONKA XXXXXXÖ XX ALLEKIRJOITTANUT XXXXXXXXXXXXXXÖXÄ/ (XX) OFFICIELLT XXXXX XXXXXXXXX XÅ 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 XX XXXXXX XXXXXXX XXX XXXXXXXX OFICIAL/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX ZÁSTUPCEM XXXX XXXXXXXXXXX XXXXXXXXX ČLENSKÉHO XXXXX X XXXXX XXXXXX XXXX SLUŽEBNÍCH XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX AF XX XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (XX) VON XXXXX XXXXXXXXXXXXXX ODER KONSULARISCHEN XXXXXXXXX EINES MITGLIEDSTAATS XX XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (XX) LIIKMESRIIGI DIPLOMAATILISE XÕX KONSULAARAMETNIKU XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (EN) DOCUMENT XXXXX XX XX X DIPLOMATIC XX XXXXXXXX XXXXX OF X XXXXXX XXXXX XX XXX XX XXX OFFICIAL XXXXXXXX/ (XX) XXXXXXXX ÉTABLI XX SA XXXXXXX XXXXXXXXXX XXX XX XXXXX XXXXXXXXXXXX XX XXXXXXXXXX X'XX XXXX XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX TAIDHLEOIREACHTA XX XXXXXXXXX DE XXXXX XXXXXXXXX INA XXXXX XX INA XXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX X XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX DRŽAVE XXXXXXX/ (IT) XXXXXXXXX XXXXXXX XX XXXXXX XXXXXXXXXXX O CONSOLARI XX UNO STATO XXXXXX NELL'ESERCIZIO XXXXX XXXX XXXXXXXX/ (LV) XXXXXXXXX, XXXX, XXXXXX XXXXX PIENĀKUMUS, XXXXXXXXXXX XXXĪXXXXXXX DIPLOMĀTISKAIS XXX XXXXXXĀXXXX PĀRSTĀVIS/ (XX) XXXXXXXXXX, XXXXXXXXX VALSTYBĖS XXXĖX XXXXXXXXX XX XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX XXXXX OFICIALIUS ĮXXXXXXXXXX/ (XX) XXXXXXXX TAGÁLLAM XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX OKIRAT/ (XX) DOKUMENT IMĦEJJI XXXX AĠENT XXXXXXXXXXX XXX XXXXXXXXX TA' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX DOOR XX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX IN XXXX OFFICIËLE XXXXXXXXXXXX/ (XX) DOKUMENT XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX DZIAŁAJĄCYCH X XXXXXXXXXXX XXXĘXXXXX/ (XX) XXXXXXXXX LAVRADO XXX XX AGENTE XXXXXXXXXXX XX XXXXXXXX XX XX ESTADO-MEMBRO XX XXXXXXXXX DAS XXXX FUNÇÕES XXXXXXXX/ (XX) DOCUMENT ÎXXXXXXX XX XĂXXX UN XXXXX XXXXXXXXXX SAU XXXXXXXX AL XXXX XXXX XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX VYHOTOVENÁ XXXXXXXXXXXXX XXXXXXXXX XXXXX KONZULÁRNYM XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX FUNKCIE/ (XX) XXXXXXX, XX XX XXX URADNA OSEBA XXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX DRŽAVE XXXXXXX/ (FI) XXXXXXXXX, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX XX LAATINUT VIRANTOIMITUKSESSA/ (XX) HANDLING XXXXÄXXXX X TJÄNSTEN XX XX XXXXXXXXXXX ELLER XXXXXXÄX XXÄXXXXXXX I XX XXXXXXXXXXX

3.6

(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)/ (XX) XÄXXXXXXXXXX KUUPÄEV (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (DD/MM/YYYY) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) DE DÉLIVRANCE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) IZDAVANJA/ (IT) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) XXXXXXXX DATA (XX/XX/XXXX)/ (XX) A XXXXXXXXX XXXXXX (ÉÉÉÉ/HH/NN)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) DATUM (DD/MM/JJJJ) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX DE XXXXXXXXXX DEL XXXXXXXXX XXXXXXX/ (XX) REFERENČNÍ XXXXX XXXXXXX LISTINY/ (XX) XXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXX ÖFFENTLICHEN XXXXXXX/ (XX) XXXXXXX XXXXXXXXX VIITENUMBER/ (EL) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (EN) XXXXXXXXX XXXXXX OF XXX PUBLIC XXXXXXXX/ (XX) NUMÉRO XX XXXXXXXXX XX DOCUMENT XXXXXX/ (XX) XXXXXX XXXXXXXXX XX DOICIMÉID XXXXXXX/ (HR) REFERENTNI XXXX JAVNE ISPRAVE/ (XX) NUMERO XX XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX NUMURS/ (XX) XXXXXXX DOKUMENTO XXXXXXX/ (XX) X XÖXXXXXXX HIVATKOZÁSI XXXXX/ (XX) NUMRU XX' XXXXXXXXX TAD-DOKUMENT XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX VAN XXX XXXXXXXX DOCUMENT/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXX DE REFERÊNCIA XX XXXXXXXXX PÚBLICO/ (XX) XXXĂXXX XX XXXXXXXȚĂ XX XXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXX LISTINE/ (FI) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX REFERENSNUMMER

4.

(BG) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) INFORMACIÓN XXXXX XX INTERESADO/ (CZ) XXXXXXXXX X XXXXXXX XXXXX/ (DA) XXXXXXXXXXX XX DEN PÅGÆLDENDE XXXXXX/ (XX) ANGABEN XXX XXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXX XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXX XXX LA XXXXXXXX CONCERNÉE/ (XX) XXXXXXXX XXXXXX XXXX XX DUINE LENA xXXXXXXXX/ (HR) INFORMACIJE X XXXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXĪXX XXXXXXX/ (XX) XXXXXXXXXXX XXXX XXXXXXXXXĄ ASMENĮ/ (XX) AZ ÉRINTETT XXXXXXXXX VONATKOZÓ XXXXXX/ (XX) XXXXXXXXXXXXX DWAR XX-XXXXXXX XXXXĊXXXXXX/ (NL) XXXXXXXXXX OVER XX XXXXXXXXXX/ (XX) DANE XXXXX, KTÓREJ DOTYCZY XXXXXXXX/ (XX) XXXXXXXÇÕXX XXXXX X PESSOA XX CAUSA/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXX XXXXXĂ/ (XX) INFORMÁCIE X DOTKNUTEJ XXXXX/ (XX) INFORMACIJE O XXXXXXX XXXXX/ (XX) XXXXXXXXXXXX HENKILÖN XXXXXX/ (XX) UPPGIFTER XX XXX BERÖRDA PERSONEN

4.1

(BG) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (XX) XXXXXXXX(X) XX XXXXXXXXXX/ (XX) XXXXX/X XXXXXXXX/ (DA) XXXXXXXXX(X) XXX FØDSLEN/ (XX) XXXXXXXXXXXX(X) BEI XXX XXXXXX/ (ET) XÜXXXXÄXXXX PEREKONNANIMI (XÜXXXXÄXXXXX XXXXXXXXXXXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (XX) XXXXXXX(X) AT XXXXX/ (FR) XXX(X) À XX XXXXXXXXX/ (XX) XXXXXXX (SLOINNTE) XXXXXXX/ (XX) PREZIME(NA) XXX XXĐXXXX/ (XX) XXXXXXX/X XXXX NASCITA/ (XX) XXXĀXXX(-X) DZIMŠANAS XXĪXĪ/ (XX) PAVARDĖ (-ĖX), XXXXXXXX (-OS) XXXXX/ (XX) XXÜXXXXXX XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) MAT-TWELID/ (XX) XXXXXXXX(X)X(XX) XXX XX XXXXXXXX/ (PL) XXXXXXXX(-X) XXXXXX/ (PT) APELIDO(S) À DATA XX XXXXXXXXXX/ (XX) NUMELE XX NAȘTERE/ (XX) XXXXX XXXXXXXXXX(-X)/ (SL) XXXXXXX/XXXXXXX OB XXXXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXXXÄXXXXXXXÄ/ (XX) XXXXXXXXX XXX XÖXXXXX

4.2

(XX) НАСТОЯЩО(И) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X) ACTUAL(ES)/ (XX) XXXXXXXX/X XXXXXXXX/ (XX) XXXÆXXXXX XXXXXXXXX(X)/ (XX) XXXXXXXXXX(X) FAMILIENNAME(N)/ (XX) XXXXXXXX XXXXXXXXXXXXX (XXXXXXXXX XXXXXXXXXXXXXX)/ (EL) ΤΡΕΧΟΝ(-ΤΑ) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXX XXXXXXX(X)/ (XX) XXX(X) XXXXXX(X)/ (XX) XXXXXXX (XXXXXXXX) REATHA/ (HR) XXXXXXXX(-X) XXXXXXX(XX)/ (XX) XXXXXXX/X XXXXXXX/X/ (LV) XXXXXXX(-XX) XXXĀXXX(-X)/ (XX) XXXXXXXXĖ (-ĖX) XXXXXXĖ (-ĖX)/ (XX) XXXXXXXXX XXXXXXX XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) XXXXXXX/ (XX) XXXXXXX ACHTERNA(A)M(EN)/ (XX) XXXXXX XXXXXXXX(-X)/ (PT) XXXXXXX XX XXXXXXXX XXXXXX/ (XX) NUMELE XXXXXX(X)/ (XX) XXXXXXX XXXXXXXXXX(-X)/ (XX) SEDANJI XXXXXXX/XXXXXXX/ (XX) XXXXXXXX XXXXXXXX (XXXXXXXX SUKUNIMET)/ (XX) NUVARANDE XXXXXXXXX

4.3

(XX) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ БРАКА/ (XX) APELLIDO(S) XXXXX DE CONTRAER XXXXXXXXXX/ (XX) XXXXXXXX XXXX XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXX(X) XØX XXXXXXX/ (DE) XXXXXXXXXXXX(X) XXX DER XXXXXXXXXXXXXX/ (XX) PEREKONNANIMI (-XXXXX) XXXX ABIELLUMIST/ (XX) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΤΟΝ ΓΑΜΟ/ (XX) XXXXXXX(X) XXXXXX THE XXXXXXXX/ (XX) XXX(X) XXXXX XX XXXXXXX/ (GA) XXXXXXX (XXXXXXXX) XXXXX XX xXXXXXX/ (XX) XXXXXXX(XX) XXXXX XXXXXXXXX XXXXX/ (XX) COGNOME/I XXXXX XXX MATRIMONIO/ (XX) XXXĀXXX(-X) XXXXX XXXXĪXXX/ (XX) XXXXXXĖ (-ĖX) XXXXX XXXXXXXĄ/ (XX) XXXXXXX NEVE(I) X XXXXXXXXXÖXXX XXŐXX/ (XX) XXXXXX(/XXXXXXXXXXX) XXXXX XŻ-ŻXXXĠ/ (NL) XXXXXXXX(X)X(XX) XXXX HET XXXXXXXX/ (XX) NAZWISKO(-A) XXXXX XXXXXXXXX XXŁŻXŃXXXX/ (PT) XXXXXXX(X) XXXXX XX XXXXXXXXX/ (XX) NUMELE ÎXXXXXX XX XĂXĂXXXXX/ (XX) PRIEZVISKO(-Á) XXXX XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX/XXXXXXX XXXX SKLENITVIJO XXXXXXXX XXXXX/ (FI) XXXXXXXX (-XXXXX) XXXXX XXXXXXXXXXX/ (XX) XXXXXXXXX XÖXX ÄXXXXXXXXXXX INGÅENDE

4.4

(BG) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА БРАКА/ (XX) XXXXXXXX(X) DESPUÉS XX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXX XXXXXXXXXX/ (DA) XXXXXXXXX(X) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXX(X) NACH DER XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX (-XXXXX) XÄXXXX XXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΜΕΤΑ ΤΟΝ ΓΑΜΟ/ (XX) XXXXXXX(X) XXXXXXXXX XXX XXXXXXXX/ (XX) XXX(X) À LA SUITE XX MARIAGE/ (GA) XXXXXXX (SLOINNTE) XXX XXX XX XXXXXX/ (XX) PREZIME(NA) NAKON XXXXXXXXX BRAKA/ (IT) XXXXXXX/X XXXX XX XXXXXXXXXX/ (XX) XXXĀXXX(-X) XĒX XXXXĪXXX/ (LT) XXXXXXĖ (-ĖX) XX XXXXXXXXX/ (HU) XXXXXXX XXXX(X) X HÁZASSÁG-KÖTÉS XXXX/ (XX) KUNJOM(/KUNJOMIJIET) XXXX Ż-ŻXXXĠ/ (XX) XXXXXXXX(X)X(XX) XX XXX XXXXXXXX/ (XX) NAZWISKO(-A) XX ZAWARCIU XXŁŻXŃXXXX/ (XX) XXXXXXX(X) XXXX X XXXXXXXXX/ (RO) XXXXXX DUPĂ CĂSĂTORIE/ (XX) PRIEZVISKO(-Á) XX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX/XXXXXXX PO XXXXXXXXX XXXXXXXX XXXXX/ (XX) XXXXXXXX (-XXXXX) AVIOLIITON XXXXXXXXXX JÄLKEEN/ (SV) XXXXXXXXX XXXXX ÄKTENSKAPETS XXXÅXXXX

4.5

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) NOMBRE(S)/ (CZ) XXXXX (XXXXX)/ (DA) XXXXXXX(X)/ (DE) XXXXXXX(X)/ (XX) EESNIMI (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (FR) PRÉNOM(S)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (IT) XXXX(X)/ (LV) XĀXXX(-X)/ (XX) XXXXXX (-AI)/ (XX) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (XX) IMIĘ (IMIONA)/ (XX) XXXX(X) PRÓPRIO(S)/ (XX) XXXXXXX/ (SK) XXXX(-X)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (XX) FÖRNAMN

4.6

(BG) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) FECHA (XX/XX/XXXX) XX XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) XXXXXXXX/ (XX) FØDSELSDATO (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) SÜNNIKUUPÄEV (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (EN) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) DATE (XX/XX/XXXX) XX XXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (IT) XXXX XX XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX IDEJE (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXX-XXXXXX/ (NL) GEBOORTEDATUM (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) NAȘTERII/ (XX) XXXXX (XX/XX/XXXX) NARODENIA/ (XX) XXXXX (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 XXXXXXXXXX/ (XX) MÍSTO X XXXX XXXXXXXX/ (XX) XØXXXXXX XX -LAND/ (XX) ORT XXX XXXX XXX XXXXXX/ (XX) SÜNNIKOHT XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) PLACE XXX XXXXXXX XX XXXXX/ (XX) XXXX XX XXXX XX XXXXXXXXX/ (XX) XXX AGUS XXX XXXXXXXX/ (XX) XXXXXX X XXXXXX XXĐXXXX/ (IT) LUOGO X XXXXX XX XXXXXXX/ (XX) DZIMŠANAS XXXXX UN XXXXXX/ (XX) XXXXXX XXXXX XX XXXXX/ (XX) XXÜXXXXXX XXXXX XX XXXXXXX/ (XX) XXXX X PAJJIŻ TAT-TWELID/ (XX) XXXXXXXXXXXXXX XX -XXXX/ (XX) MIEJSCE X XXŃXXXX XXXXXXXXX/ (XX) LOCAL X XXXX XX XXXXXXXXXX/ (XX) XXXXX ȘI ȚXXX XXȘXXXXX/ (SK) XXXXXX X XXXX XXXXXXXXX/ (XX) XXXX XX XXXXXX XXXXXXX/ (XX) XXXXXXÄXXXXXX XX -XXX/ (SV) FÖDELSEORT XXX -XXXX

4.8

(XX) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (XX) XØX/ (XX) GESCHLECHT/ (ET) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (XX) XXXXXX/ (XX) SPOL/ (IT) XXXXX/ (XX) DZIMUMS/ (XX) XXXXX/ (XX) XXXX/ (XX) XXXX/ (XX) XXXXXXXX/ (PL) XŁXĆ/ (XX) XXXX/ (XX) XXXXX/ (SK) XXXXXXXX/ (XX) SPOL/ (XX) SUKUPUOLI/ (XX) XÖX

4.8.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXXXXXX/ (XX) NAISSOOST/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (IT) FEMMINILE/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XŐ/ (XX) MARA/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) FEMININO/ (RO) XXXXXXXX/ (SK) XXXXXX/ (XX) ŽENSKI/ (XX) XXXXXX/ (XX) XXXXXX

4.8.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) MUŽ/ (XX) XXXX/ (XX) MÄNNLICH/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (EN) XXXX/ (XX) MASCULIN/ (GA) XXXXXXX/ (HR) XXXXX/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) XXXXX/ (XX) XXXXX/ (MT) XXĠXX/ (NL) MAN/ (XX) XĘŻXXXXXX/ (PT) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (SL) XXXXX/ (XX) XXXX/ (XX) MAN

4.8.3

(BG) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) UBESTEMT/ (XX) XXXXXXXXXX/ (ET) XÄÄXXXXXX/ (EL) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) UNDETERMINED/ (XX) INDÉTERMINÉ/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) INDETERMINATO/ (LV) XXXXXXXXXX/ (LT) NENUSTATYTA/ (XX) MEGHATÁROZATLAN/ (MT) XXXX XXXXXXXXX/ (NL) XXXXXXXXX/ (PL) PŁEĆ XXXXXXXŚXXXX/ (XX) XÃX XXXXXXXX/ (XX) NEDETERMINAT/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (FI) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

4.9

(XX) ГРАЖДАНСТВО/ (XX) XXXXXXXXXXXX/ (XX) STÁTNÍ PŘÍSLUŠNOST/ (XX) XXXXXXXXXXXX/ (DE) XXXXXX-XXXXXÖXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) ΙΘΑΓΕΝΕΙΑ/ (EN) XXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (IT) CITTADINANZA/ (XX) XXXXXXXXXXXXĪXX/ (LT) XXXXXXXXĖ/ (XX) ÁLLAMPOLGÁRSÁGA/ (XX) ĊXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (PL) OBYWATELSTWO/ (XX) XXXXXXXXXXXXX/ (RO) XXXĂȚXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) KANSALAISUUS/ (SV) 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 XX XXX SE XXXXXXX XXXX IMPRESO, XX XXXXXX CIVIL XXX XXXXXXXXXX XX XX XXXXXXXXX:/ (XX) XX XXXXXXX XXXXXXX XXXXXXX, X NÍŽ XX XXXXXXXX TENTO XXXXXXXX, XX DOTYČNÁ OSOBA XXXXX RODINNÝ XXXX/ (XX) X XXXXXXX XXX XXX XXXXXXXXXX XXXXXXXX, SOM DENNE XXXXXXXX XX XXXXÆXXXX, XXX XXX XÅXÆXXXXXX XXXXXX XØXXXXXX ÆXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXX BETREFFENDEN XXXXXX XXXÄXX XXX ÖFFENTLICHEN XXXXXXX, DER XXXXXX XXXXXXXX BEIGEFÜGT XXX/ (XX) XXXXXXXXX XXXXXXXXX XXXXXXXXXXX, XXXXXXX XXX XXXX XX XXXXXXX, XX ASJAOMASEL XXXXXX XÄXXXXXX PEREKONNASEIS/ (XX) ΣΥΜΦΩΝΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ, ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΕΧΕΙ ΤΗΝ ΑΚΟΛΟΥΘΗ ΟΙΚΟΓΕΝΕΙΑΚΗ ΚΑΤΑΣΤΑΣΗ/ (XX) XXXXXXXXX XX XXX XXXXXX DOCUMENT XX WHICH XXXX XXXX XX XXXXXXXX, XXX XXXXXX XXXXXXXXX XXX THE FOLLOWING XXXXXXX STATUS/ (XX) X'XXXÈX LE DOCUMENT XXXXXX XXXXXX XX XXXXXXX XXXXXXXXXX EST XXXXX, XX XXXXXXXXX XXXXXXXXXXXX DE LA XXXXXXXX XXXXXXXXX XXX XX XXXXXXXX/ (XX) XX XXXX XX XXXXXXXXX PHOIBLÍ XXXX XXXXXX AN FHOIRM XXX XXXXXXXXXX, XX XX STÁDAS PÓSTA X XXXXXX AG XX DUINE XXXX xXXXXXXXX/ (XX) PREMA XXXXXX ISPRAVI XXXXX XX XXXX XXXXXXX XXXXXXXX BRAČNO XXXXXX XXXXXXX OSOBE XX XXXXXXĆX/ (XX) XXXXXXX XX XXXXXXXXX PUBBLICO XXX XX XXXXXXXX XXXXXX È XXXXXXXX, XX STATO XXXXXX XXXXX PERSONA INTERESSATA È XX XXXXXXXX/ (XX) XXXXXŅĀ XX XXXXXXXX XXXXXXXXX, XXXXX XĪ VEIDLAPA IR XXXXXXXXXX, XXXXXXĪXXXXX XXXXXXXX XX XĀXX ĢXXXXXX XXĀXXXXXX/ (XX) XXXXX XXXXĄXĮ XXXXXXXXĄ, PRIE XXXXX PRIDEDAMA ŠI XXXXX, ATITINKAMO ASMENS XXXXXXXXXĖ XXXĖXXX XXX XXXXX/ (XX) AZ XXXXXXXX XXXXXXX XXXXXXX XXXXXXXX X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRAT XXXXXXX/ (XX) XXXXX XX-XXXXXXXX XXXXXXXX LI MIEGĦU XXXX MEHMUŻA XXX XX-XXXXXXX, XX-XXXXXXX XXXXĊXXXXXX XĦXXXXX X-XXXXX ĊIVILI XXX ĠEJ/ (XX) XXXXXXX HET XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX, XX XX XXXXXXXXXXX XXXXX XXX XX XXXXXXXXXX XX VOLGENDE/ (XX) X DOKUMENTU XXXĘXXXXXX, DO XXXXXXX XXŁĄXXXXX XXXX XXXXXXXXX XXXXXXXXX, XXXXXX, ŻE XXXXX, XXXXXX DOTYCZY XXXXXXXX, XXXXXXX XXXXĘXXXĄXX XXXX XXXXXXX/ (XX) XXXXXXX O DOCUMENTO XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX, À XXXX XX XXX XXXXXÃX, X ESTADO XXXXX DA PESSOA XX CAUSA X/ (XX) ÎX XXXXXXXXXXXX XX DOCUMENTUL XXXXXXX XX XXXX XXXX XXXXXX PREZENTUL XXXXXXXX, XXXXXXXX XXXXXĂ XXX XXXĂXXXXXX STARE XXXXXĂ/ (XX) XXXĽX VEREJNEJ XXXXXXX, XX XXXXXX XX TENTO XXXXXXXX XXXXXXXXX, XX DOTKNUTÁ XXXXX XXXXXXXX X XXXXX XXXXXXX XXXXX/ (XX) X XXXXXX X XXXXX LISTINO, XX JI XX XXXXXXXX XX XXXXXXX, XXX XXXXXXX XXXXX XXXXXXXXX XXXXXXXX STAN/ (XX) XXX YLEISEN XXXXXXXXXX MUKAAN, JOHON XÄXÄ XXXXXX XXXXXXÄÄX, XXXXXXXXXXXX XXXXXXÖX SIVIILISÄÄTY XX XXXXXXXX/ (SV) XXXXXX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX ÄX DEN XXXÖXXX XXXXXXXXX CIVILSTÅND XÖXXXXXX

5.1

(XX) СЪС СКЛЮЧЕН БРАК/ДАТА (ДД/ММ/ГГГГ) НА СКЛЮЧВАНЕ НА БРАКА/ (XX) CASADO / XXXXX (XX/XX/XXXX) XXX XXXXXXXXXX/ (CZ) XXXXX – XXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXX XXXXXXXXXX/ (DA) XXXX/XXXX (DD/MM/ÅÅÅÅ) XXX XXXXÅXXXX XX ÆXXXXXXX/ (XX) VERHEIRATET/TAG XXX XXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXX / XXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΕΓΓΑΜΟΣ/-Η / ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΑΜΟΥ/ (XX) XXXXXXX/XXXX (XX/XX/XXXX) XX XXXXXXXX/ (XX) MARIÉ(E)/DATE (XX/XX/XXXX) XX MARIAGE/ (XX) XXXXX/XXXX (XX/XX/XXXX) XXXXX/ (XX) X XXXXX / XXXXX (XX/XX/XXXX) XXXXXXXXX XXXXX/ (XX) CONIUGATO/A - XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXXĒXXXX / XXXXĪXXX XXXXĒXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXĘX (-USI) / XXXXXXXXX SUDARYMO XXXX (XX/XX/XXXX)/ (XX) XXXXX/XXXXXXXXXÖXXX XXXXX (XXXX/XX/XX)/ (MT) XXŻŻXXXXĠ/XXŻŻXXĠX X XXXX (XX/XX/XXXX) XXŻ-ŻXXXĠ/ (NL) XXXXXX/XXXXX (XX/XX/XXXX) XXX XXX XXXXXXXX/ (PL) XXXXXXXXX X XXXĄXXX XXŁŻXŃXXXX/ XXXX (XX/XX/XXXX) XXXXXXXX XXXĄXXX XXŁŻXŃXXXXXX/ (XX) CASADO(A)/DATA XX XXXXXXXXX (XX/XX/XXXX)/ (XX) XĂXĂXXXXX(Ă)/XXXX (ZZ/LL/AAAA) XĂXĂXXXXXX/ (XX) XXXXXX/XXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXXX XXXXXXXXXX/ (SL) XXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXXX XXXXXXXX XXXXX/ (FI) XXXXXXXXXX/XXXXXXXXXX SOLMIMISPÄIVÄ (XX/XX/XXXX)/ (XX) XXXX/XXXXX (XX/XX/ÅÅÅÅ) XÖX ÄKTENSKAPETS XXXÅXXXX

5.2

(XX) БЕЗ СКЛЮЧЕН БРАК/ (XX) XX XXXXXX/ (XX) XXXXXXXXX – XXXXXXXXX/ (XX) UGIFT/ (XX) XXXXXXXXXXXXX/ (XX) XX OLE XXXXXXX/ (XX) ΑΓΑΜΟΣ/-Η/ (XX) XXX MARRIED/ (XX) XXX MARIÉ(E)/ (XX) XXX X XXXXXX XXXXX/ (XX) XXXX X XXXXX/ (IT) XXX CONIUGATO/A/ (XX) XXXXXXĒXXXX/ (LT) XXXXXXXXXXĘX (-XXX)/ (HU) XXXXXÜXXXXX/ (XX) XXXX XXŻŻXXXXĠ/XXXX XXŻŻXXĠX/ (XX) XXXXXXXX/ (XX) XXX XXXXXXXXX X XXXĄXXX XXŁŻXŃXXXX/ (XX) XÃX XXXXXX(X)/ (XX) NECĂSĂTORIT(Ă)/ (SK) XXXXXXXX/XXXXXXXX/ (SL) NEPOROČEN/ (XX) EI NAIMISISSA/ (XX) OGIFT

5.2.1

(BG) НИКОГА НЕ Е СКЛЮЧВАЛО БРАК/ (XX) XXXXXXX/ (XX) XXXXXXXX – XXXXXXXX/ (XX) XXXXXX XXXX/ (DE) XXX XXXXXXXXXXX/ (XX) XX XXX KUNAGI XXXXXXX XXXXX/ (EL) ΔΕΝ ΕΧΕΙ ΣΥΝΑΨΕΙ ΠΟΤΕ ΓΑΜΟ/ (XX) NEVER XXXXXXX/ (FR) X'XXXXX XXXXXX XXX XXXXX(X)/ (XX) XXX A XXXXXX XXXXX XXXXX/ (XX) XXXXXX XXXX XXX(-XX) X XXXXX/ (XX) CELIBE/NUBILE/ (XX) XXXXX XXX XXXXX XXXXĒXXXX/ (XX) NIEKADA XXXXXX XXXXXXXXĘX (-XXX)/ (XX) XŐXXXX / XXXXXXX/ (XX) ĠXXXX/XXXXX/ (XX) XXXXX XXXXXX/ (XX) XXXXX NIE XXXXXŁ(-X) XXXĄXXX XXŁŻXŃXXXXXX/ (XX) XXXXXXXX/ (RO) XX X FOST XĂXĂXXXXX(Ă) XXXXXXXXĂ/ (SK) XXXXX XX XXXXXXXX/XXXXXXXX/ (XX) NIKOLI XXXXXXX/ (XX) EI XXX XXXXXXX XXXXX XXXXXXXXXX/ (XX) XXX XXXXXX XXXXX XXXX

5.2.2

(XX) С РАЗТРОГНАТ БРАК/ДАТА (ДД/ММ/ГГГГ) НА РАЗВОДА/ (XX) XXXXXXXXXX / XXXXX (XX/XX/XXXX) XXX XXXXXXXX/ (XX) ROZVEDENÁ – XXXXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXXX/XXXX (XX/XX/ÅÅÅÅ) XXX XXXXXXXXXX/ (XX) XXXXXXXXXX / DATUM (XX/XX/XXXX) DER SCHEIDUNG/ (XX) XXXXXXXXX / XXXXXXXXXX KUUPÄEV (PP/KK/AAAA)/ (XX) ΔΙΑΖΕΥΓΜΕΝΟΣ/-Η / ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΔΙΑΖΥΓΙΟΥ/ (XX) XXXXXXXX/XXXX (XX/XX/XXXX) XX DIVORCE/ (XX) XXXXXXX(X)/XXXX (XX/XX/XXXX) XX XXXXXXX/ (XX) COLSCARTHA/DÁTA (XX/XX/XXXX) XXXXXXXXXX/ (HR) XXXXXXXX(X)/XXXXX (DD/MM/GGGG) XXXXXXX/ (XX) DIVORZIATO/A - XXXX XX DIVORZIO (XX/XX/XXXX)/ (LV) XĶĪXXXX / XĶXXXXXĀX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXĘX (-XXX) / XXXXXXXXX XXXXXXXXXX DATA (XX/XX/XXXX)/ (XX) ELVÁLT/A HÁZASSÁG XXXXXXXXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXXXXXXX(X) U XXXX (XX/XX/XXXX) XXX-XXXXXXXX/ (XX) GESCHEIDEN/DATUM (XX/XX/XXXX) XXX XX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX(-X) / XXXX (XX/XX/XXXX) ROZWODU/ (XX) XXXXXXXXXX(X)/XXXX DO XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXȚXX(Ă)/XXXX (XX/XX/XXXX) XXXXXȚXXXX/ (XX) ROZVEDENÝ/Á/DÁTUM (XX/XX/XXXX) XXXXXXX/ (SL) RAZVEZAN/DATUM (XX/XX/XXXX) XXXXXXX XXXXXXXX XXXXX/ (XX) ERONNUT/AVIOERON XÄXXÄXÄÄXÄ (XX/XX/XXXX)/ (XX) XXXXX/XXXXX (DD/MM/ÅÅÅÅ) FÖR XXXXXXÄXXX

5.2.3

(XX) С ПОЧИНАЛ(А) СЪПРУГ(А)/ДАТА (ДД/ММ/ГГГГ) НА СМЪРТТА НА СЪПРУГА(АТА)/ (XX) XXXXX / XXXXX (XX/XX/XXXX) XX XXXXXXXXXXXXX XXX CÓNYUGE/ (XX) XXXXX – XXXXXX/XXXXX (XX/XX/XXXX) XXXXX XXXXXXX/XXXXXXXX/ (DA) XXXXXXXXX/XXXX (XX/XX/ÅÅÅÅ) FOR ÆGTEFÆLLES XØX/ (XX) XXXXXXXXX / STERBEDATUM (XX/XX/XXXX) XXX XXXXXXXXX/ (XX) XXXX / ABIKAASA XXXXX KUUPÄEV (XX/XX/XXXX)/ (XX) ΣΕ ΧΗΡΕΙΑ / ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΘΑΝΑΤΟΥ ΣΥΖΥΓΟΥ/ (EN) XXXXXXX/ DATE (DD/MM/YYYY) XX XXXXXX'X DEATH/ (XX) VEUF(VE)/DATE (XX/XX/XXXX) XX XXXÈX XX XXXXXXXX/ (XX) XXXXXXXXXX/ XXXX (LL/MM/BBBB) XXXX XX CHÉILE/ (HR) XXXXXX(-XXX) / XXXXX (XX/XX/XXXX) SMRTI XXXXXXXX XXXXX/ (XX) VEDOVO/A - XXXX XX XXXXXXX XXX XXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX / LAULĀTĀ XXXXXXXX XXXXXX (XX/XX/XXXX)/ (LT) XXXXXX (-Ė) / XXXXXXXXXXX (-ĖS) XXXXXXX XXXX (XX/XX/XXXX)/ (XX) ÖXXXXX/X HÁZASTÁRS XXXXXXXXX XXXXX (XXXX/XX/XX)/ (MT) XXXXX/XXXXX X XXXX (XX/XX/XXXX) XXX-XXXX TAL-KONJUĠI/ (XX) WEDUWE/WEDUWNAAR/DATUM (XX/XX/XXXX) XXX XXXXXXXXXX XXX XX XXXXXXXX(X)X(X)/ (XX) XXXXXXX, XXXXX / XXXX (XX/XX/XXXX) ZGONU XXŁŻXXXX/ (XX) XXXXX(X)/XXXX XX XXXXX DO XÔXXXXX (XX/XX/XXXX)/ (XX) XĂXXX(Ă)/XXXX (XX/XX/XXXX) DECESULUI XXȚXXXX (XXȚXXX)/ (XX) XXXXXX/XXXXX/XXXXX (XX/XX/XXXX) XXXXXX XXXXXXX/XXXXXXXX/ (XX) XXXXXXX/XXXXX (XX/XX/XXXX) XXXXX XXXXXXX/ (XX) XXXXX/XXXXXXXX XXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) ÄNKLING XXXXX ÄXXX/XXXXX (DD/MM/ÅÅÅÅ) XÖX XXXXXX ELLER XXXXXX XÖX

5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (CZ) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (EL) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (EN) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (GA) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (LT) NENUSTATYTA/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX STABBILIT/ (XX) XXXXXXXXX/ (XX) XXXX XXXXXXXXXXX/ (XX) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (FI) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

6.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) RECUADRO XXXX XX XXXXX/ (XX) XXXX XXX XXXXXX/ (XX) UNDERSKRIFTSFELT/ (XX) XXXXXXXXXXXXXXXXXX/ (ET) ALLKIRJALAHTER/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) SIGNATURE XXX/ (XX) XXXXX XXXX XX XXXXXXXXX/ (GA) XXXXX XXX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXXXXX XXX XX FIRMA/ (XX) XXXXXXXX LAUKS/ (XX) XXXXXX LAUKELIS/ (XX) XX XXXXXXX XXÖXXXXXXXXX/ (MT) KAXXA XXX-XXXXXXXX/ (XX) XXX XXXX XX XXXXXXXXXXXX/ (XX) XXXX PODPISU/ (XX) XXXXÇX DESTINADO À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX PODPIS/ (XX) XXXXX ZA XXXXXX/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (SV) XXXX XÖX UNDERTECKNANDE

6.1

(BG) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXX(X) X NOMBRE(S) XXX XXXXXXXXXXX XXX XXXXXXX XXXX IMPRESO/ (XX) XXXXXXXX X XXXXX (XXXXX) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) EFTERNAVN(E) XX XXXXXXX(X) PÅ XXX XXXXXXXXXX, XXX XXX UDSTEDT XXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX VORNAME(N) DES XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX HAT/ (XX) KÄESOLEVA XXXXX XÄXXXXXXXXX XXXXXXXX EESNIMI (-XXXXX) XX XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) SURNAME(S) AND XXXXXXXX(X) OF XXX XXXXXXXX WHO XXXXXX XXXX XXXX/ (XX) XXX(X) XX XXXXXX(X) XX XXXXXXXXXXXXX QUI X XXXXXXX XX XXXXXXX FORMULAIRE/ (GA) XXXXXXX (XXXXXXXX) AGUS XXXXXXXX (XXXXXXXXXXXXXX) XX XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXX(XX) X XXX(XX) SLUŽBENIKA KOJI XX XXXXX XXXX XXXXXXX/ (IT) COGNOME/I X XXXX/X DEL XXXXXXXXXXX CHE XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX IZDEVUSI XX XXXXXXXX, UZVĀRDS(-I) UN XĀXXX(-X)/ (XX) XXĄ XXXXĄ IŠDAVUSIO PAREIGŪNO XXXXXXĖ (-ĖX) XX XXXXXX (-AI)/ (XX) X FORMANYOMTATVÁNYT KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXX NEVE(I) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) U XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦXXXĠ XXX IL-FORMOLA/ (NL) XX(X)X(XX) EN XXXXXX(X)X(XX) XXX DE XXXXXXXXX XXX XXX XXXXXXXXX XXXXX AFGEGEVEN/ (PL) XXXXXXXX(-X) X IMIĘ (XXXXXX) XXXĘXXXXX, KTÓRY XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXX(X) E XXXX(X) XXXXXXX(X) XX XXXXXXXXXXX XXX EMITIU X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXX ȘX XXXXXXXXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXXXXXXX(-X) X XXXX(-X) ÚRADNÍKA, XXXXX XXXXX TENTO XXXXXXXX/ (XX) PRIIMEK/PRIIMKI XX XXX/XXXXX XXXXXXXX, XX XX XXXXX XX OBRAZEC/ (FI) XÄXÄX XXXXXXXXX ANTANEEN XXXXXXXXXXX SUKUNIMI (-NIMET) XX XXXXXXX (-XXXXX)/ (XX) EFTERNAMN OCH XÖXXXXX PÅ DEN XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX FORMULÄR

6.2

(BG) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX FUNCIONARIO QUE XXXXXXX ESTE XXXXXXX/ (XX) XXXXXX ÚŘEDNÍKA, XXXXX XXXXX XXXXX XXXXXXXX/ (DA) XXXXXXXX — XXX EMBEDSMAND, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (DE) XXXXXXXX XXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXXXXXX HAT/ (XX) XÄXXXXXXX XXXXX VÄLJASTANUD XXXXXXXX AMETIKOHT/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXX XX XXX XXXXXXXX XXX ISSUED XXXX XXXX/ (FR) XXXXX XX FONCTIONNAIRE XXX X DÉLIVRÉ XX PRÉSENT XXXXXXXXXX/ (XX) XXXX XX XXXXXXXX X D’EISIGH XX XXXXXX XXX/ (XX) XXXXXXXX XXXXXXXXXX XXXX XX XXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXX FUNZIONARIO XXX XX RILASCIATO XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, KURA XXXXXXXX ŠO XXXXXXXX, XXXXX/ (LT) ŠIĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (XX) XXXXXX XXX-XXXXĊXXX LI ĦAREĠ XXX XX-XXXXXXX/ (XX) XXXXXXX VAN XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) STANOWISKO XXXĘXXXXX, XXXXX WYDAŁ NINIEJSZY XXXXXXXXX/ (XX) XXXXX XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX CARE X XXXX XXXXXXXXX XXXXXXXX/ (XX) FUNKCIA ÚRADNÍKA, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) POLOŽAJ XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (XX) XÄXÄX LOMAKKEEN XXXXXXXX XXXXXXXXXXX ASEMA/ (XX) BEFATTNING FÖR XXX XXÄXXXXXXX SOM XXX XXXÄXXXX XXXXX XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (CZ) DATUM (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) DATA XX RILASCIO (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) IŠDAVIMO XXXX (XX/XX/XXXX)/ (XX) X KIÁLLÍTÁS XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (NL) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) DATA (XX/XX/XXXX) WYDANIA/ (PT) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (SK) XXXXX (DD/MM/RRRR) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) FÖR XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) PODPIS/ (DA) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) ALLKIRI/ (XX) ΥΠΟΓΡΑΦΗ/ (EN) XXXXXXXXX/ (XX) SIGNATURE/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (RO) XXXXĂXXXX/ (XX) XXXXXX/ (SL) XXXXXX/ (XX) ALLEKIRJOITUS/ (XX) NAMNTECKNING

6.5

(BG) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (ES) XXXXX X XXXXXX/ (XX) XXXXX XXXX XXXXXXX/ (XX) SEGL XXXXX XXXXXXX/ (XX) XXXXXX ODER XXXXXXX/ (XX) XXXXXX XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX XXXXX/ (XX) XXXXX XX XXXXXX/ (GA) XXXXX XX XXXXXX/ (XX) ŽIG XXX XXXXX/ (XX) XXXXX X XXXXXX/ (XX) XĪXXXX XXX SPIEDOGS/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (XX) XXXXXX XXXX BÉLYEGZŐLENYOMAT/ (XX) XXĠXXX JEW TIMBRU/ (XX) XXXXX XX XXXXXXX/ (XX) XXXXXĘĆ XXX XXXXXXX/ (PT) XXXX OU XXXXXXX/ (XX) SIGILIUL SAU ȘXXXXXXX/ (SK) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXX XXX/ (XX) XXXXXXX XXX XXXXX/ (XX) XXXXXX XXXXX XXÄXXXX

REGISTROVANÉ PARTNERSTVÍ

VÍCEJAZYČNÝ XXXXXXXXXX XXXXXXXX – XXXXXXX XXX PŘEKLAD

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

Xxxxxx (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (CZ)

Dánsko (XX) Xxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Xxxxxxxxxx (XX)

Xxxxxx (IT) Xxxx (CY)

Lotyšsko (XX) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxx (XX) Xxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

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Xxxxxxxxx (XX) Xxxxxx (FI)

Švédsko (XX) Xxxxxxx království (XX)

XXXXXXXX UPOZORNĚNÍ

Jediným xxxxxx xxxxxx xxxxxxxxxxxxx standardního xxxxxxxxx je xxxxxxxxx xxxxxxxx veřejné listiny, x xxx xx xxxxxxxx. Xxxxx xxxxxxxx xx mezi členskými xxxxx nesmí pohybovat xxxx xxxxxxxxxx xxxxxxxx.

Xxxxx xxxxxxxx odráží xxxxx xxxxxxx xxxxxxx, x xxx xx přiložen. Xxxxx, jemuž xx xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx xxxx v xxxxxxxxx, xxx xx xx nezbytné xxx xxxxx zpracování xxxxxxx xxxxxxx, požadovat xxxxxxx xx přepis informací, xxxxx xxxx ve xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX XXXXX

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

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

1. ORGÁN XXXXXXXXXX TENTO XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

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

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

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx vydaná státním xxxxxxxxx

3.1.3 Xxxxxxx vydaná xxxxxx xxxxxxx xxxxxxxxx

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

3.1.5 Xxxx (xxxxxxxxx)

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

(2) Při xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

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

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

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x matriky

3.2.3 Xxxxx x xxxxxxxx obyvatel

3.2.4 Xxxx xxxxxxxxxx xxxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Úřední xxxxxxxxx, xxxxxx xxxx opatřena xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

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

3.6 Xxxxx (dd/mm/rrrr) xxxxxx

3.7 Referenční číslo xxxxxxx xxxxxxx

4. XXXXXXXXXXXX XXXXXXXXXXX

4.1 Xxxxx (xx/xx/xxxx) xxxxxxxxxx xxxxxxxxxxx

4.2 Místo (1) x země (2) registrace partnerství

5. XXXXXXX/XXXXXXXXX A

5.1 Xxxxx/x xxxxxxxx

5.2 Xxxxxxxx před xxxxxxxxx xxxxxxxxxxxxxx xxxxxxxxxxx

5.3 Xxxxxxxx po uzavření xxxxxxxxxxxxxx xxxxxxxxxxx

5.4 Jméno (xxxxx)

5.5 Datum (xx/xx/xxxx) xxxxxxxx

5.6 Xxxxxxx:

5.6.1 Žena

5.6.2 Xxx

5.6.3 Xxxxxxxx

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

(2) Xxxxx xxxx x – xxxxx existuje – xxx ISO dané xxxx xxxx xxxxxxx „Xxxx (xxxxxxxxx)“ xx xxxxx xxxxxx z xxxxxxxxxxx xxxxxxx xx xxxxxxxx vícejazyčném standardním xxxxxxxxx, který xx x xxxxxxxxx na xxxxxxx evropské e-justice.

6. XXXXXXX/XXXXXXXXX X

5.1 Xxxxx/x xxxxxxxx

5.2 Příjmení xxxx xxxxxxxxx xxxxxxxxxxxxxx xxxxxxxxxxx

5.3 Xxxxxxxx xx xxxxxxxx xxxxxxxxxxxxxx xxxxxxxxxxx

5.4 Xxxxx (xxxxx)

5.5 Xxxxx (xx/xx/xxxx) xxxxxxxx

5.6 Pohlaví:

5.6.1 Žena

5.6.2 Xxx

5.6.3 Xxxxxxxx

7. POLE XXX XXXXXX

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

7.2 Xxxxxx xxxxxxxx, který vydal xxxxx xxxxxxxx

7.3 Datum (xx/xx/xxxx) xxxxxx

7.4 Xxxxxx

7.5 Xxxxx xxxx xxxxxxx

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXXXXXXXX XXXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX XXXXXX XXXX XXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXX FORMULÁŘ/ (XX) XXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (DE) BEHÖRDE, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (EN) XXXXXXXXX XXXXXXX XXXX FORM/ (XX) AUTORITÉ DE XXXXXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX XX FHOIRM XXX/ (XX) TIJELO XXXX XXXXXX XXXX OBRAZAC/ (XX) AUTORITÀ CHE XXXXXXXX XX XXXXXXXX XXXXXX/ (XX) VEIDLAPAS XXXXXĒXXXXXĀXX/ (LT) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ HATÓSÁG/ (XX) XXXXXXXÀ XXXXXXXXX XX' DIN XX-XXXXXXX/ (XX) AUTORITEIT VAN XXXXXXX XXX XXX XXXXXXXXX/ (XX) ORGAN XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (XX) AUTORIDADE XXX XXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX TENTO XXXXXXXX/ (XX) ORGAN, KI XXXX XX OBRAZEC/ (XX) TÄMÄN LOMAKKEEN XXXXXX VIRANOMAINEN/ (XX) XXXXXXXXX XXX UTFÄRDAR XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (CZ) XXXXX/ (XX) XXXXXXXXXX/ (DE) XXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (XX) DÉNOMINATION/ (XX)XXXXXXX/ (HR) XXXXX/ (XX) DENOMINAZIONE/ (XX) XXXXXXXXX/ (XX) PAVADINIMAS/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (NL) XXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXÇÃX/ (RO) DENUMIRE/ (XX) NÁZOV/ (SL) XXX/ (FI) XXXX/ (XX) NAMN

2.

(BG) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) AUTORIDAD XXX XXXXXX XX XXXXXXXXX XXXXXXX AL XXX XX XXXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX VEŘEJNOU LISTINU, X XXX JE XXXXXXXX TENTO FORMULÁŘ/ (XX) DEN XXXXXXXXX, XXX XXX XXXXXXX XXX OFFENTLIGE XXXXXXXX, XXX XXXXX FORMULAR XX XXXXÆXXXX/ (XX) XXXÖXXX, XXX DIE ÖXXXXXXXXXX URKUNDE, XXX XXXXXX XXXXXXXX BEIGEFÜGT XXX, XXXXXXXXX/ (XX) XXXXXX, XXX XXXXX XÄXXX XXXXXXX DOKUMENDI, XXXXXXX XXX XXXX XX LISATUD/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX ISSUING XXX XXXXXX XXXXXXXX XX WHICH XXXX XXXX IS ATTACHED/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX PRÉSENT XXXXXXXXXX/ (XX) XX xXXXXXX A XXXXXXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX SEO CEANGAILTE/ (XX) TIJELO XXXX XXXXXX JAVNU ISPRAVU XXXXX XX XXXX XXXXXXX PRILOŽEN/ (XX) XXXXXXXÀ XXX XXXXXXXX XX DOCUMENTO PUBBLICO XXX IL XXXXXXXX XXXXXX È ALLEGATO/ (XX) PUBLISKĀ DOKUMENTA, XXXXX XĪ VEIDLAPA XX PIEVIENOTA, IZDEVĒJIESTĀDE/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX KURIO PRIDEDAMA XX XXXXX, XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX KIÁLLÍTÓ XXXXXXX/ (XX) AWTORITÀ XXXXXXXXX XXX-XXXXXXXX PUBBLIKU XX XXXXĦX XXXX XXXXXŻX XXX IL-FORMOLA/ (XX) XXXXXXXXXX VAN XXXXXXX XXX XXX OPENBAAR XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXX URZĘDOWY, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX ZAŁĄCZONY/ (XX) XXXXXXXXXX QUE XXXXX X DOCUMENTO XXXXXXX X XXX O XXXXXXXX FORMULÁRIO XXXX XXXXXX/ (RO) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX PREZENTUL XXXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXXXX LISTINU, XX XXXXXX JE XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX XXXX XXXXX XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXXXX, XXXX XX ANTANUT XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ XXXXXX LIITETÄÄN/ (XX) XXXXXXXXX XXX XXXÄXXXX XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX AL DOCUMENTO XXXXXXX AL XXX XX XXXXXXX ESTE XXXXXXX/ (XX) INFORMACE XXXXXXXX XX VEŘEJNÉ XXXXXXX, K XXX XX XXXXXXXX TENTO XXXXXXXX/ (XX) OPLYSNINGER XXXXØXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX ER XXXXÆXXXX/ (XX) ANGABEN ZUR ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX FORMULAR XXXXXXÜXX XXX/ (ET) TEAVE XXXXXXX XXXXXXXXX XXXXX, XXXXXXX XXX XXXX XX LISATUD/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) INFORMATION XXXXXXXX XX THE XXXXXX XXXXXXXX XX XXXXX XXXX FORM XX ATTACHED/ (XX) XXXXXXXXXXXX XXXXXXXXX AU XXXXXXXX PUBLIC XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX X XXXXXXXXX XXXX XX DOICIMÉAD XXXXXX XXXX XXXXXX XX XXXXXX SEO XXXXXXXXXX/ (HR) INFORMACIJE XXXX XX XXXXXX XX JAVNU ISPRAVU XXXXX JE OVAJ XXXXXXX PRILOŽEN/ (XX) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXXX CUI XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX PAR XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX IR PIEVIENOTA/ (XX) XXXXXXXXXXX, SUSIJUSI XX XXXXXXXX DOKUMENTU, XXXX XXXXX XXXXXXXXX XX XXXXX/ (HU) X FORMANYOMTATVÁNNYAL KÍSÉRT XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) INFORMAZZJONI DWAR XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX MEHMUŻA XXX XX-XXXXXXX/ (NL) XXXXXXXXXX BETREFFENDE HET XXXXXXXX DOCUMENT XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX XXXĘXXXXXX, XX KTÓREGO XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX DOCUMENTO XXXXXXX X XXX O XXXXXXXX XXXXXXXXXX ESTÁ XXXXXX/ (RO) XXXXXXXȚXX XXXXXXXXXXX XX DOCUMENTUL XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) INFORMÁCIE X XXXXXXXX XXXXXXX, XX XXXXXX XX XXXXX FORMULÁR XXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXX X XXXXX XXXXXXX, XX XX XX XXXXXXXX TA XXXXXXX/ (XX) XXXXXX XXXXXXXXÄ ASIAKIRJASTA, JOHON XÄXÄ LOMAKE LIITETÄÄN/ (XX) XXXXXXXXXXX XX XXX OFFICIELLA 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 VINCULADO X XXX ÓRGANOS XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (CZ) XXXXXXX XXXXXX ORGÁNEM NEBO XXXXXXXXX S XXXXXX XX XXXXX XXXXXX XXXXXXXXX XXXXX/ (DA) XXXXXXXX, XXX ER XXXXXXX XX XX XXXXXXXXX XXXXX XX XXXXXXXXXX, DER ER XXXXXXXXXX XXXXXXXX I XX XXXXXXXXXXX/ (DE) XXXXXXX XXXXX XXXÖXXX XXXX XXXXX XXXXXXXXXX XXX XXXXX DER XXXXXXXXXXXX EINES XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXXXX XÕX AMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) DOCUMENT XXXXXXXXX XXXX XX XXXXXXXXX XX XX XXXXXXXX XXXXXXXXX XXXX XXX COURTS XX XXXXXXXXX XX X XXXXXX XXXXX/ (FR) XXXXXXXX XXXXXXX D'UNE XXXXXXXX OU D'UN XXXXXXXXXXXXX RELEVANT D'UNE XXXXXXXXXXX X'XX XXXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X XXXXXX XX Ó XXXXXXXXX X XXXXXX XXXXX AIGE XX XXXX LE CÚIRTEANNA XX XX BINSÍ XX XXXXX BALLSTÁIT/ (XX) XXXXXXX XXXX XX IZDALO XXXXXX XXX XXXXXXXXX SUDA XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ X DA XX FUNZIONARIO XXXXXXXXXXXX XX UNA XXXXX XXXXXXXXXXXXX XX UNO XXXXX MEMBRO/ (XX) XXXXXXXXX, XXXX IZSNIEGUSI XX DALĪBVALSTS XXXXĀX XXXXXĪXX XXXXĀXX VAI XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX XXXXXXXX XXXXXXXXXXXX XX XXXXXXŪXX, SUSIJUSIŲ XX VALSTYBĖS XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX ÁLLÓ XXXXXXX XXXX TISZTVISELŐ ÁLTAL XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ XXX UFFIĊJAL XX XXXXXXXX XXXXX XXX-XXXXX XXX XX-XXXXXXXXX XX' XXXX XXXXXX/ (XX) XXXXXXXX AFGEGEVEN XXXX EEN XXXXXXXXXX XX XXXXXXXXX BEHORENDE XXX XXX RECHTERLIJKE XXXXXXXXX XXX XXX XXXXXXXX/ (PL) DOKUMENT XXXXXXXĄXX XX XXXXXX XĄXXXXXX LUB XXXĘXXXXX 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 XXXXXXXXXX XXX XX XX FUNCȚIONAR XX PE XÂXXĂ XXXXXXȚXXX UNUI XXXX XXXXXX/ (SK) XXXXXXX XXXXXX XXXXXXX ALEBO XXXXXXXXX X XÄXXXX XX XXXX XXXXXXXXX XXXXX/ (XX) LISTINA, XXXXXX X XXXXXX XXXXXX XXX XXXXXXXX XXXXX OBLASTI XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX ON XXXXXXX XÄXXXXXXXXXX OIKEUSLAITOKSEEN XXXXXXX XXXXXXXXXXXX XXX XXXXXXXXX/ (XX) HANDLING SOM XÄXXÖX XXÅX XX XXXXXXXXX XXXXX EN XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X XX MEDLEMSSTAT

3.1.1

(BG) СЪДЕБНО РЕШЕНИЕ/ (ES) XXXXXXXXXX XXXXXXXX/ (CZ) XXXXXXXXXX SOUDU/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (EL) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (FR) XXXXXXXX XX XXXXXXX/ (XX) CINNEADH XX xXXXXX/ (XX) SUDSKA XXXXXX/ (IT) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (LT) TEISMO XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (XX) DEĊIŻJONI XXX-XXXXX/ (XX) RECHTERLIJKE XXXXXXXXXX/ (PL) ORZECZENIE XĄXXXX/ (PT) XXXXXÃX XXXXXXXX/ (XX) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) XXXXX XXXXXXX/ (FI) XXXXXXXXXXXXXX XÄÄXÖX/ (SV) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (ES) DOCUMENTO XXXXXXXX POR XX XXXXXXXXXX XXXXXX/ (CZ) XXXXXXX VYDANÁ XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX AF XX XXXXXXXXXXXXXXXX/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, MILLE XX XÄXXX ANDNUD XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXX XXXXXXXXXX/ (FR) XXXXXXXX XXXXXXX XX XXXXXXÈXX XXXXXX/ (GA) XXXXXXXXX X XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX KOJU JE XXXXXX DRŽAVNO XXXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXX XXX PUBBLICO MINISTERO/ (XX) DOKUMENTS, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX IŠDUOTAS DOKUMENTAS/ (XX) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX MAĦRUĠ XXXX XXXXXXXXXX PUBBLIKU/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX OPENBAAR MINISTERIE/ (XX) XXXXXXXX POCHODZĄCY XX XXXXXXXXXXX/ (XX) XXXXXXXXX PROVENIENTE DO XXXXXXXXXX PÚBLICO/ (XX) XXXXXXXX XXXX DE XX PROCUROR/ (XX) XXXXXXX VYDANÁ PROKURÁTOROM/ (XX) XXXXXXX, XX XX XXXX DRŽAVNO XXXXXXXXX/ (FI) XXXXXXXXXX XXXXXÄXÄX ANTAMA ASIAKIRJA/ (XX) HANDLING XXX XÄXXÖX FRÅN ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX XX SECRETARIO XXXXXXXX/ (XX) LISTINA XXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXÆX/ (XX) XXXXXXX EINES XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (ET) XXXXXXXX, MILLE ON XÄXXX XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) DOCUMENT XXXXXXXXX XXXX X XXXXX XX X COURT/ (XX) DOCUMENT ÉMANANT X'XX XXXXXXXX/ (XX) XXXXXXXXX A XXXXXXX X XXXXXXXXXX XX XXXXX CÚIRTE/ (XX) XXXXXXX KOJU XX XXXXX XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XX XXXXXXXXXXX/ (XX) XXXXXXXXX, XXXX IZSNIEDZIS XXXXXX XXXXXXĀXX/ (LT) TEISMO XXXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX XXĠXXXXXXXX XX' XXXXX/ (XX) DOCUMENT XXXXXXXXX XXXX XXX XXXXXXXX/ (PL) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX UM XXXXXXX XX XXXXXÇX/ (XX) XXXXXXXX XXXX XX UN XXXXXXX XX INSTANȚEI/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXX/ (SL) XXXXXXX, XX JO IZDA XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXX/ (SV) XXXXXXXX XXX XÄXXÖX XXÅX XX DOMSTOLSTJÄNSTEMAN

3.1.4

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXX VYDANÁ SOUDNÍM XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) DOKUMENT XXXXXXX XX EN XXÆXXXXXXXXXX (»HUISSIER XX XXXXXXX«)/ (XX) XXXXXXX XXXXX GERICHTSVOLLZIEHERS/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX KOHTUTÄITUR/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤ(-ΡΙΑ) («XXXXXXXX XX JUSTICE»)/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXXXX XXXXXXX ('XXXXXXXX XX XXXXXXX')/ (FR) XXXXXXXX XXXXXXX X'XX XXXXXXXX XX JUSTICE/ (GA) XXXXXXXXX X XXXXXXX X XXXXXXXXX BREITHIÚNACH (“XXXXXXXX XX JUSTICE”)/ (XX) XXXXXXX KOJU XX IZDAO XXXXXX XXXXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXX DA XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX JUSTICE")/ (LV) XXXXXXXXX, KURU XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX (XXXXXXXX DE XXXXXXX) XXXXXXXX DOKUMENTAS/ (XX) XXXXXXXX VÉGREHAJTÓ („XXXXXXXX DE XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠUDIZZJARJU ('XXXXXXXX DE JUSTICE')/ (XX) DOCUMENT AFGEGEVEN XXXX XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX SĄDOWEGO (XXXXXXXX DE XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXÃX XX XXXXXXX («HUISSIER XX JUSTICE»)/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX JUDECĂTORESC („XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXXXX XXXXXX VYKONÁVATEĽOM („HUISSIER XX XXXXXXX“)/ (SL) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX XX XXXXXXX”) XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX XX STÄMNINGSMAN (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (ESPECIFÍQUESE)/ (XX) XXXX (XXXXXXXXX)/ (XX) XXXXX (ANGIVES)/ (XX) SONSTIGES (BITTE XXXXXXX)/ (XX) XXX (XÄXXXXXXXX)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (EN) XXXXX (XX XX XXXXXXXXX)/ (XX) AUTRE (À XXXXXXXX)/ (GA) EILE (XX XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (XX) XXXXX (XXXXXXXXX)/ (LV) XXXX (PRECIZĒT)/ (XX) XXXX (XXXXXXXX)/ (XX) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) OĦRAJN (XXXXXĊXŻX)/ (XX) XXXXXXX (SPECIFICEREN)/ (XX) INNY (PROSZĘ XXXXŚXXĆ)/ (XX) OUTROS (X ESPECIFICAR)/ (RO) XXXXX (X SE XXXXXXX)/ (XX) XXX (XXXXXXXX)/ (SL) XXXXX (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) XXXXX HANDLING (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX SPRÁVNÍM XXXXXX/ (XX) ADMINISTRATIVT XXXXXXXX/ (DE) URKUNDE XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (EL) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXXXXXXXXX/ (GA) DOICIMÉAD XXXXXXXXXX/ (XX) UPRAVNA XXXXXXX/ (IT) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (LT) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) KÖZIGAZGATÁSI XXXXXX/ (XX) DOKUMENT XXXXXXXXXXXXXX/ (XX) ADMINISTRATIEF XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (SK) SPRÁVNA XXXXXXX/ (SL) XXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (SV) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (CZ) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) CERTIFICAT/ (XX) XXXXXXXX/ (HR) XXXXXXX/ (IT) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (HU) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊERTIFIKAT/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX XX CERTIFICADO/ (XX) XXXXXXXXXX/ (SK) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (SV) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXX X MATRIKY/ (XX) XXXXXX FRA XXXXXXXXXXXXXXXXXXXX/ (XX) AUSZUG XXX XXX PERSONENSTANDSREGISTER/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (EN) EXTRACT XXXX THE XXXXX XXXXXX XXXXXXXX/ (XX) XXXXXXX XX REGISTRE XX X'XXXX CIVIL/ (XX) SLIOCHT XX XX xXXXX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX OSOBNOG XXXXXX/ (IT) ESTRATTO XX ATTO DI XXXXX XXXXXX/ (LV) XXXXXXXX XX XXXXXXXĀXXXĻX XXXX XXĢXXXXX/ (XX) XXXXXXX IŠ CIVILINĖS XŪXXĖX XXXŲ REGISTRO/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) XXXXXXX MIR-REĠISTRU XXX-XXXXX ĊXXXXX/ (NL) XXXXXXXXXX XXX HET XXXXXXXX XXX DE XXXXXXXXXXX XXXXX/ (XX) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (XX) XXXXXXX XX XXXX XX REGISTO XXXXX/ (XX) XXXXXX DIN XXXXXXXXX XX XXXXX XXXXXĂ/ (XX) XXXXX X REGISTRA XXXXXXXX XXXXX/ (XX) IZPISEK XX REGISTRA O XXXXXXX STANJU/ (XX) XÄXXXÖXXXXXXXXXXXX (SIVIILISÄÄTY)/ (XX) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX XXX XXXXX/ (XX) VÝPIS Z XXXXXXXX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXX AUS XXX MELDEREGISTER/ (XX) XXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX XXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX DU XXXXXXXX XX XX XXXXXXXXXX/ (XX) XXXXXXX XX XX xXXXX DAONRA/ (XX) IZVADAK XX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XX XXXXĪXXXĀXX XXĢXXXXX/ (XX) XXXXXXX XX GYVENTOJŲ REGISTRO/ (XX) XXXXXXX X XXXXXXXXXXXX- XX LAKCÍMNYILVÁNTARTÁSBÓL/ (XX) XXXXXXX XXX-XXĠXXXXX XXX-XXXXXXXXXXXX/ (XX) UITTREKSEL XXX XXX BEVOLKINGSREGISTER/ (XX) XXXXĄX X XXXXXXXX XXXXXŚXX/ (XX) XXXXXXX XX XXXXXXX XX XXXXXXÇÃX/ (XX) XXXXXX XXX REGISTRUL XX XXXXXXȚĂ X XXXXXXȚXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXĽXX/ (XX) XXXXXXX IZ XXXXXXXX PREBIVALSTVA/ (XX) XÄXXXÖXXXXXXXXXXXX/ (SV) XXXXXX XX BEFOLKNINGSREGISTER

3.2.4

(BG) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX LITERAL XX ACTAS XXX XXXXXXXX XXXXX/ (CZ) XXXX XXXXXXXXXX XXXXXXX/ (XX) ORDRET KOPI XX CIVILSTANDSREGISTRE/ (XX) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX XX CIVIL XXXXXX XXXXXXX/ (XX) XXXXX INTÉGRALE X'XXXXX XX X'XXXX XXXXX/ (XX) XXXX XXXXX XX FHOCAL XX XXXXXXX AR XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XX EVIDENCIJA X OSOBNOM XXXXXX/ (XX) XXXXX LETTERALE XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXĀXXXĻX XXXX XXĢXXXXX XXXXXXXX AUTENTISKA XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (XX) ANYAKÖNYVI XXXXXXXXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (NL) EENSLUIDEND XXXXXXXXX VAN AKTEN XXX XX BURGERLIJKE XXXXX/ (XX) XXXXX XXXXŁXX AKTU STANU XXXXXXXXX/ (XX) XXXXXXÃX XX XXXXX XXXXXXXX XX DE XXXXXXXXX XX XXXX DE XXXXXXX XXXXX/ (RO) XXXXX EXACTĂ A XXXX XXX XX XXXXX CIVILĂ/ (XX) XXXXXXXX VÝPIS ZO XXXXXXX O OSOBNOM XXXXX/ (SL) XXXXXXXXX XXXXXX XXXXXX O XXXXXXX XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (ES) XXXX XXXXXXXX/ (CZ) XXXXXXXX XXXXXXX/ (DA) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXXXX/ (ET) NOTARIAALDOKUMENT/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) XXXX XXXXXXX/ (XX) GNÍOMH NÓTAIREACHTA/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX NOTARILE/ (XX) XXXXXXĀXX XXXX/ (XX) NOTARINIS XXXXX/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXXXXXËXX AKTE/ (XX) AKT XXXXXXXXXX/ (XX) ATO NOTARIAL/ (XX) XXX XXXXXXXX/ (XX) NOTÁRSKA XXXXXXX/ (XX) NOTARSKA XXXXXXX/ (XX) XXXXXXXX ANTAMA XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) CERTIFICACIÓN XXXXXXX XXXXXX XXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXX, KTERÝM XXXX XXXXXXXX XXXXXXX XXXXXXXXX XXXXXXXXX OSOBOU/ (XX) XXXXXXXX XÅXXXXXXX XÅ XX XXXXXXXX XXXXXXXXXXX XX XX XXXXXX I DENNES XXXXXXXX AF PRIVATPERSON/ (XX) AMTLICHE XXXXXXXXXXXXX XXX XXXXX XXXXXXXXXXXXX/ (XX) XXXXX POOLT XXXXXXXXXX XXXXXXXXXXXXXX DOKUMENDILE XXXXXXXXXX XXXXXXX XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) OFFICIAL XXXXXXXXXXX XXXXXX XX X XXXXXXXX XXXXXX XX A XXXXXX XX XXX OR XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX XX XXXX XXXX XXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX A XXXXXXXXX XX DHOICIMÉAD XXXX XXXXXX XX XXXXX XXX CHÁIL XX XXX XXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XXXXXXXXX XX ISPRAVU XXXX XX XXXXX XXXXXXXXX U XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX XXX XXXXXXXXX XXXXXXX/ (XX) OFICIĀLS XXXXXXXXĀXXXX XX XXXXXXXXX, XX XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX PERSONA/ (XX) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ĊXXXXXXXXX XXXXĊXXXX XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) XXXXXXXXX XXXXXXXXXXX OP XXX DOCUMENT ONDERTEKEND XXXX EEN XXXXXXX XX ZIJN PARTICULIERE XXXXXXXXXXXX/ (XX) XXXĘXXXX XXŚXXXXXXXXXX UMIESZCZONE XX XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX PRYWATNYM/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX ATO DE XXXXXXXX PRIVADA/ (RO) XXXXXXXXXX XXXXXXX APLICAT XX XX DOCUMENT XXX SEMNĂTURĂ PRIVATĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX NA XXXXXXX XXXXXXXXXX OSOBOU KONAJÚCOU XXX XXXXXXXX XXXXX/ (XX) URADNA XXXXXX XX XXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, XXXXX XXXXXXÖ XX XXXXXXXXXXXXXXXX YKSITYISHENKILÖNÄ/ (XX) XXXXXXXXXX XXXXX XXXXXXXXX PÅ EN XXXXXXXX SOM XXXXXXXXXXXXX XX EN XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) DOCUMENTO XXXXXXXX XXX XX XXXXXX XXXXXXXXXXX X XXXXXXXX XX UN XXXXXX MIEMBRO CON XXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM XXXXXXXXX NEBO XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX XXXXXXXXXX POVINNOSTÍ/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX AF XX XXXXXXXXXXXX XXXXXXXXXXXX ELLER XXXXXXÆXX XXXXÆXXXXXXX/ (DE) XXX XXXXX DIPLOMATISCHEN XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX MITGLIEDSTAATS XX XXXXXX AMTLICHEN XXXXXXXX XXXXXXXXXX XXXXXXX/ (ET) XXXXXXXXXXXX DIPLOMAATILISE VÕI XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX XXXXX XX XX X XXXXXXXXXX XX XXXXXXXX XXXXX XX X XXXXXX STATE XX XXX XX HER XXXXXXXX CAPACITY/ (XX) XXXXXXXX XXXXXX EN XX XXXXXXX OFFICIELLE XXX XX XXXXX XXXXXXXXXXXX XX XXXXXXXXXX X'XX XXXX XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX XX CHUID XXXXXXXXX INA XXXXX XX INA XXXX XXXXXXXXX/ (XX) ISPRAVA XXXX JE U XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX DRŽAVE ČLANICE/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX XXXXXXXXXXX X XXXXXXXXX DI XXX XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (LV) DOKUMENTS, XXXX, XXXXXX AMATA XXXXĀXXXXX, SAGATAVOJIS DALĪBVALSTS XXXXXXĀXXXXXXX VAI XXXXXXĀXXXX XĀXXXĀXXX/ (XX) DOKUMENTAS, XXXXXXXXX VALSTYBĖS XXXĖX XXXXXXXXX AR KONSULINIO XXXXXXŪXX, XXXXXXXXXX PAGAL XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX TAGÁLLAM XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX XXXXX XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX IMĦEJJI XXXX XĠXXX XXXXXXXXXXX XXX XXXXXXXXX XX' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX XX ZIJN XXXXXXËXX HOEDANIGHEID/ (PL) XXXXXXXX XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX LUB XXXĘXXXXX KONSULARNEGO XXŃXXXX XXŁXXXXXXXXXXX DZIAŁAJĄCYCH W XXXXXXXXXXX URZĘDOWYM/ (XX) XXXXXXXXX XXXXXXX XXX XX XXXXXX XXXXXXXXXXX XX CONSULAR DE XX XXXXXX-XXXXXX NO XXXXXXXXX XXX SUAS XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX XX XĂXXX XX XXXXX XXXXXXXXXX XXX XXXXXXXX XX UNUI STAT XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX V XXXXX XXXXXX JEHO XXXXXXX/ (XX) LISTINA, XX XX XXX XXXXXX OSEBA XXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, JONKA XÄXXXXXXXXXX XXXXXXXXXXXXXX EDUSTAJA XXX KONSULIEDUSTAJA XX XXXXXXXX VIRANTOIMITUKSESSA/ (XX) XXXXXXXX UPPRÄTTAD I XXÄXXXXX AV XX XXXXXXXXXXX ELLER KONSULÄR XXÄXXXXXXX X XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) 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/ (EN) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) DATE (JJ/MM/AAAA) XX DÉLIVRANCE/ (XX) XXXX (LL/MM/BBBB) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (GG/MM/AAAA)/ (XX) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (LT) IŠDAVIMO XXXX (XX/XX/XXXX)/ (XX) X KIÁLLÍTÁS DÁTUMA (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) XXXXX (DD/MM/JJJJ) XXX XXXXXXX/ (PL) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX EMISSÃO (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) DATUM (XX/XX/ÅÅÅÅ) XÖX UTFÄRDANDE

3.7

(BG) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (ES) XXXXXX DE REFERENCIA XXX DOCUMENTO XXXXXXX/ (XX) XXXXXXXXXX ČÍSLO XXXXXXX XXXXXXX/ (XX) XXX XXXXXXXXXX DOKUMENTS XXXXXXXXXXXXXXX/ (XX) KENNNUMMER XXX ÖXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (EL) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) REFERENCE XXXXXX XX THE XXXXXX XXXXXXXX/ (XX) XXXXXX XX XXXXXXXXX XX XXXXXXXX PUBLIC/ (XX) UIMHIR THAGARTHA XX XXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (XX) XXXXXX XX RIFERIMENTO XXX XXXXXXXXX XXXXXXXX/ (XX) PUBLISKĀ XXXXXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXX XXXXXXXXX NUMERIS/ (XX) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX PUBBLIKU/ (XX) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX XXXXXXXX/ (PL) XXXXX XXXXXXXXXXXX XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXX XX XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXĂXXX XX REFERINȚĂ XX DOCUMENTULUI XXXXXXX/ (XX) XXXXXXXXXX XXXXX XXXXXXXX XXXXXXX/ (SL) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (FI) YLEISEN XXXXXXXXXX XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) РЕГИСТРИРАНО ПАРТНЬОРСТВО/ (XX) XXXXX XX XXXXX REGISTRADA/ (CZ) XXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXX/ (EL) ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΥΜΒΙΩΣΗ/ (EN) XXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXXX/ (HR) XXXXXXXXXXXX XXXXXXXXXXX/ (IT) XXXXXX XXXXXXXXXX/ (XX) XXĢXXXXĒXXX XXXXXXXXXXXXXĪXXX/ (XX) XXXXXXXXXXX PARTNERYSTĖ/ (XX) XXXXXXXXXX XXXXXXXXX KAPCSOLAT/ (XX) XĦXXXXX XXXĠXXXXXXX/ (XX) GEREGISTREERD PARTNERSCHAP/ (XX) XXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX ÎXXXXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXX/ (SL) XXXXXXXXXXXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXÖXXX PARISUHDE/ (XX) XXXXXXXXXXX XXXXXXXXXXX

4.1

(XX) ДАТА (ДД/ММ/ГГГГ) НА РЕГИСТРИРАНЕ НА АКТА/ (ES) XXXXX (XX/XX/XXXX) XX XXXXXXXXXXX XX XX XXXXX XX HECHO/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXXX XXXXXXXXXXX/ (XX) XXXX (XX/XX/ÅÅÅÅ) XXX XXXXXXXXXXXXXX AF XXXXXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXX EINTRAGUNG XXX XXXXXXXXXXXXX/ (ET) KOOSELU XXXXXXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΚΑΤΑΧΩΡΙΣΗΣ ΤΗΣ ΠΡΑΞΗΣ/ (XX) DATE (XX/XX/XXXX) XX XXX XXXXXXXXXXXX XX THE XXXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) X'XXXXXXXXXXXXXX XX XXXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXX XX PÁIRTNÉIREACHTA/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXXXXXX PARTNERSTVA/ (IT) XXXX XX XXXXXXXXXXXXX XXXX'XXXX (XX/XX/XXXX)/ (XX) XXXXXXXXXXXXXĪXX REĢISTRĀCIJAS DATUMS (XX/XX/XXXX)/ (XX) PARTNERYSTĖS XXXXXXXXXXXXX XXXX (XX/XX/XXXX)/ (XX) AZ XXXXXXXXX XXXXXXXXX BEJEGYZÉSÉNEK XXXXX (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) TAR-REĠISTRAZZJONI XXX-XĦXXXXX/ (XX) DATUM (XX/XX/XXXX) XXX XX XXXXXXXXXXX XXX XX AKTE/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXXXX ZWIĄZKU PARTNERSKIEGO/ (XX) DATA DE XXXXXXX XX PARCERIA (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) ÎXXXXXXXXĂXXX XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX XXXXXXXXXXXXXX PARTNERSTVA/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXXXXX PARTNERSKE SKUPNOSTI/ (XX) XXXXXXXXXXX REKISTERÖINTIPÄIVÄ (XX/XX/XXXX)/ (SV) DATUM (XX/XX/ÅÅÅÅ) XÖX REGISTRERING XX PARTNERSKAPET

4.2

(BG) МЯСТО И ДЪРЖАВА НА РЕГИСТРИРАНЕ НА АКТА/ (XX) XXXXX X XXXX DE INSCRIPCIÓN XX LA XXXXX XX XXXXX/ (XX) XXXXX A XXXX XXXXXXXXXX XXXXXXXXXXX/ (XX) XXXX XX XXXX XXX XXXXXXXXXXXXXX AF XXXXXXXXXXXXX/ (XX) XXX XXX XXXX DER XXXXXXXXXX XXX XXXXXXXXXXXXX/ (XX) KOOSELU REGISTREERIMISE XXXX XX RIIK/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΚΑΤΑΧΩΡΙΣΗΣ ΤΗΣ ΠΡΑΞΗΣ/ (XX) PLACE XXX XXXXXXX XX XXX REGISTRATION XX XXX PARTNERSHIP/ (XX) XXXX ET XXXX X'XXXXXXXXXXXXXX XX XXXXXXXXXXX/ (XX) XXX XXXX XXX XXXXXX NA XXXXXXXXXXXXXXX/ (HR) MJESTO X ZEMLJA REGISTRIRANJA XXXXXXXXXXX/ (XX) LUOGO X XXXXX XX XXXXXXXXXXXXX DELL'ATTO/ (XX) XXXXXXXXXXXXXĪXX XXĢXXXXĀXXXXX XXXXX XX XXXXXX/ (XX) XXXXXXXXXXĖX REGISTRACIJOS XXXXX XX XXXXX/ (XX) XX XXXXXXXXX XXXXXXXXX XXXXXXXXXXXXX HELYE XX XXXXXXX/ (MT) XXXX X PAJJIŻ XXX-XXĠXXXXXXXXXXX XXX-XĦXXXXX/ (NL) PLAATS XX XXXX XXX XX XXXXXXXXXXX XXX XX XXXX/ (XX) XXXXXXX X XXŃXXXX XXXXXXXXXXX XXXĄXXX PARTNERSKIEGO / (XX) XXXXX X XXXX XX XXXXXXX XX XXXXXXXX/ (XX) LOCUL ȘX ȚXXX ÎXXXXXXXXĂXXX ACTULUI/ (XX) XXXXXX X XXXX UZAVRETIA XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXX XX DRŽAVA XXXXXXXXXXXX XXXXXXXXXX SKUPNOSTI/ (FI) XXXXXXXXXXX REKISTERÖINTIPAIKKA XX -XXX/ (XX) XXX XXX XXXX DÄR XXXXX XXXXXXXXXXXXX

5.

(XX) ПАРТНЬОР А/ (XX) XXXXXXX X/ (XX) PARTNER/PARTNERKA X/ (XX) PARTNER X/ (XX) XXXXXXX X/ (XX) PARTNER X/ (EL) ΣΥΝΤΡΟΦΟΣ Α/ (EN) XXXXXXX X/ (FR) XXXXXXXXXX X/ (XX) PÁIRTNÉIR X/ (HR) XXXXXXX X/ (XX) XXXXXXX X/ (XX) PARTNERIS X/ (LT) XXXXXXXXX X/ (XX) „A” XXXXXXXXX/ (XX) SIEĦEB X/ (XX) PARTNER X/ (XX) XXXXXXX X/ (PT) XXXXXXXX X/ (XX) PARTENERUL X/ (XX) PARTNER X/ (SL) XXXXXXX X/ (FI) XXXXXXXX X/ (XX) XXXXXXX X

5.1

(XX) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (XX) XXXXXXXX(X) DE XXXXXXXXXX/ (XX) RODNÉ/Á XXXXXXXX/ (XX) XXXXXXXXX(X) XXX XØXXXXX/ (DE) XXXXXXXXXXXX(X) XXX XXX XXXXXX/ (XX) XÜXXXXÄXXXX XXXXXXXXXXXXX (XÜXXXXÄXXXXX XXXXXXXXXXXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (EN) XXXXXXX(X) XX BIRTH/ (XX) XXX(X) À XX XXXXXXXXX/ (XX) SLOINNE (XXXXXXXX) XXXXXXX/ (HR) XXXXXXX(XX) XXX ROĐENJU/ (XX) COGNOME/I XXXX XXXXXXX/ (XX) XXXĀXXX(-X) XXXXXXXXX BRĪDĪ/ (XX) XXXXXXĖ (-ĖX), XXXXXXXX (-XX) XXXXX/ (XX) XXÜXXXXXX CSALÁDI XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) MAT-TWELID/ (XX) XXXXXXXX(X)X(XX) XXX XX XXXXXXXX/ (PL) XXXXXXXX(-X) XXXXXX/ (PT) XXXXXXX(X) À XXXX XX XXXXXXXXXX/ (XX) XXXXXX LA XXȘXXXX/ (XX) XXXXX XXXXXXXXXX(-X)/ (XX) PRIIMEK/PRIIMKI OB XXXXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXXXÄXXXXXXXÄ/ (SV) XXXXXXXXX XXX XÖXXXXX

5.2

(XX) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ АКТА/ (XX) XXXXXXXX(X) XXXXX DE XX XXXXXXXXXXX/ (XX) PŘÍJMENÍ XXXX XXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (DA) EFTERNAVN(E) XØX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXX XXXXXXXXXX XXX PARTNERSCHAFT/ (XX) PEREKONNANIMI (-XXXXX) XXXX XXXXXXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΑΠΟ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (XX) SURNAME(S) XXXXXX XXX ACT/ (XX) XXX(X) XXXXX X'XXXX/ (XX) SLOINNE (SLOINNTE) XXXXX XX xXXXXXX/ (XX) XXXXXXX(XX) XXXXX XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXX/X XXXXX DELL'ATTO/ (XX) UZVĀRDS(-I) XXXXX XXXX/ (XX) PAVARDĖ (-ĖX) PRIEŠ XXXXXXXX XXXĄ/ (XX) XXXXXXX XXXX(X) XX ÉLETTÁRSI XXXXXXXXX XXXXXXXXXX ELŐTT/ (XX) XXXXXX(/XXXXXXXXXXX) QABEL X-XXX/ (XX) ACHTERNA(A)M(EN) XXXX XX XXXX/ (XX) NAZWISKO(-A) PRZED XXXXXXXXXXĄ XXXĄXXX/ (PT) XXXXXXX(X) XXXXX XX XXX/ (RO) NUMELE ÎXXXXXX XX ÎXXXXXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX(-X) XXXX XXXXXXXXX REGISTROVANÉHO XXXXXXXXXXX/ (XX) XXXXXXX/XXXXXXX XXXX XXXXXXXXXXXX PARTNERSKE XXXXXXXXX/ (FI) XXXXXXXX (-XXXXX) ENNEN XXXXXXXXÖXXXXÄ/ (XX) XXXXXXXXX XÖXX XXXÅXXXXX

5.3

(XX) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА РЕГИСТРИРАНЕТО НА АКТА/ (ES) XXXXXXXX(X) XXXXXXX XX XX XXXXXXXXXXX/ (XX) XXXXXXXX XX UZAVŘENÍ XXXXXXXXXXXXXX PARTNERSTVÍ/ (XX) XXXXXXXXX(X) XXXXX REGISTRERINGEN/ (XX) XXXXXXXXXXXX(X) NACH XXX EINTRAGUNG XXX XXXXXXXXXXXXX/ (XX) PEREKONNANIMI (-XXXXX) PÄRAST XXXXXXXXXXXXXXX/ (XX) ΕΠΏΝΥΜΟ(-Α) ΜΕΤΑ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (XX) SURNAME(S) XXXXXXXXX XXX ACT/ (XX) XXX(X) À XX XXXXX DE X'XXXX/ (XX) SLOINNE (XXXXXXXX) XXX XXX XX XXXXXX/ (HR) PREZIME(NA) XXXXX XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) COGNOME/I XXXX X'XXXX/ (XX) XXXĀXXX(-X) XĒX XXXX/ (XX) XXXXXXĖ (-ĖX) PO XXXX XXXXXXXX/ (HU) XXXXXXX XXXX(X) XX XXXXXXXXX XXXXXXXXX XXXXXXXXXX XXXX/ (XX) KUNJOM(/KUNJOMIJIET) XXXX X-XXX/ (XX) XXXXXXXX(X)X(XX) XX XX XXXX/ (XX) XXXXXXXX(-X) XX XXXXXXXXXXX XXXĄXXX/ (XX) APELIDO(S) APÓS X ATO/ (XX) XXXXXX DUPĂ ÎXXXXXXXXXXXX XXXXXXXXXXXXXXX/ (SK) XXXXXXXXXX(-X) XX XXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (SL) XXXXXXX/XXXXXXX XX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (FI) SUKUNIMI (-XXXXX) XXXXXXXXÖXXXXX XÄXXXXX/ (XX) XXXXXXXXX XXXXX XXXÅXXXXX

5.4

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (CZ) XXXXX (XXXXX)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) XXXX(X)/ (LV) VĀRDS(-I)/ (XX) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (XXXXXX)/ (XX) NOME(S) XXXXXXX(X)/ (XX) XXXXXXX/ (XX) XXXX(-X)/ (XX) IME/IMENA/ (XX) ETUNIMI (-XXXXX)/ (XX) XÖXXXXX

5.5

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXXX/ (XX) XØXXXXXXXXX (DD/MM/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (TT/MM/JJJJ)/ (XX) SÜNNIKUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) OF XXXXX/ (XX) XXXX (JJ/MM/AAAA) XX XXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXĐXXXX/ (IT) XXXX XX XXXXXXX (GG/MM/AAAA)/ (XX) DZIMŠANAS XXXXXX (XX/XX/XXXX)/ (XX) GIMIMO XXXX (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (NL) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXXXXX/ (XX) DATUM (DD/MM/LLLL) XXXXXXX/ (XX) SYNTYMÄAIKA (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (XX/XX/ÅÅÅÅ)

5.6

(XX) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (XX) XØX/ (XX) XXXXXXXXXX/ (XX) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (XX) SEXE/ (XX) XXXXXX/ (XX) XXXX/ (XX) XXXXX/ (XX) DZIMUMS/ (XX) XXXXX/ (XX) XXXX/ (XX) XXXX/ (NL) XXXXXXXX/ (XX) XŁXĆ/ (XX) SEXO/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) SPOL/ (XX) XXXXXXXXX/ (XX) XÖX

5.6.1

(XX) ЖЕНСКИ/ (XX) MUJER/ (XX) XXXX/ (XX) XXXXXX/ (XX) WEIBLICH/ (XX) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (XX) FÉMININ/ (XX) XXXXXXXX/ (HR) XXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (LT) XXXXXXX/ (XX) XŐ/ (MT) XXXX/ (XX) XXXXX/ (XX) KOBIETA/ (XX) XXXXXXXX/ (XX) FEMEIESC/ (XX) ŽENSKÉ/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) KVINNA

5.6.2

(BG) МЪЖКИ/ (XX) XXXXX/ (CZ) XXX/ (XX) XXXX/ (XX) XÄXXXXXX/ (ET) XXXXXXXXX/ (EL) ΑΡΡΕΝ/ (XX) XXXX/ (FR) XXXXXXXX/ (GA) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) VĪRIETIS/ (XX) XXXXX/ (XX) XXXXX/ (XX) RAĠEL/ (XX) XXX/ (XX) XĘŻXXXXXX/ (XX) XXXXXXXXX/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (SL) XXXXX/ (XX) XXXX/ (XX) XXX

5.6.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) NEURČENO/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (IT) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) XÃX XXXXXXXX/ (XX) NEDETERMINAT/ (XX) XXXXXXXX/ (SL) NEDOLOČEN/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

6.

(XX) ПАРТНЬОР X/ (ES) MIEMBRO X/ (XX) XXXXXXX/XXXXXXXXX X/ (DA) XXXXXXX X/ (DE) XXXXXXX X/ (XX) PARTNER X / (XX) ΣΥΝΤΡΟΦΟΣ B/ (EN) XXXXXXX X/ (FR) XXXXXXXXXX X/ (XX) XXXXXXXXX X/ (XX) XXXXXXX X/ (IT) XXXXXXX B/ (XX) XXXXXXXXX B/ (XX) XXXXXXXXX X/ (XX) „X” ÉLETTÁRS/ (XX) XXXĦXX B/ (NL) XXXXXXX X/ (XX) XXXXXXX B/ (XX) XXXXXXXX B/ (XX) XXXXXXXXXX B/ (XX) XXXXXXX X/ (SL) XXXXXXX X/ (XX) XXXXXXXX X/ (XX) XXXXXXX X

7.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX XXXXX/ (CZ) POLE XXX XXXXXX/ (DA) XXXXXXXXXXXXXXXX/ (DE) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) XXXXX XXXX LA XXXXXXXXX/ (XX) XXXXX XXX SÍNIÚ/ (XX) XXXXX XX POTPIS/ (XX) XXXXXXXX PER XX XXXXX/ (XX) XXXXXXXX XXXXX/ (LT) XXXXXX XXXXXXXX/ (XX) XX ALÁÍRÁS SZÖVEGDOBOZA/ (XX) KAXXA XXX-XXXXXXXX/ (XX) VAK XXXX XX XXXXXXXXXXXX/ (XX) XXXX XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (RO) XXXXĂXXXX/ (XX) XXXXXXX XX XXXXXX/ (XX) XXXXX 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 EXPIDIÓ XXXX XXXXXXX/ (XX) XXXXXXXX A XXXXX (XXXXX) XXXXXXXX, XXXXX XXXXX XXXXX FORMULÁŘ/ (XX) EFTERNAVN(E) XX XXXXXXX(X) XÅ DEN XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) FAMILIENNAME(N) XXX XXXXXXX(X) DES XXXXXXX, XXX XXXXXX FORMULAR XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX VORMI VÄLJASTANUD XXXXXXXX XXXXXXX (-XXXXX) XX PEREKONNANIMI (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) XXX XXXXXXXX(X) XX XXX OFFICIAL XXX XXXXXX XXXX XXXX/ (XX) NOM(S) XX PRÉNOM(S) XX XXXXXXXXXXXXX XXX X XXXXXXX XX PRÉSENT XXXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX XXXXXXXX X X’XXXXXX AN XXXXXX XXX/ (XX) XXXXXXX(XX) X XXX(XX) XXXXXXXXXX KOJI JE XXXXX OVAJ XXXXXXX/ (XX) XXXXXXX/X E XXXX/X XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) AMATPERSONAS, XXXX XXXXXXXX XX VEIDLAPU, XXXĀXXX(-X) XX VĀRDS(-I)/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXĖ (-ĖX) IR VARDAS (-XX)/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX TISZTVISELŐ XXXXXXX NEVE(I) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X ISEM(/ISMIJIET) XXX-XXXXĊXXX XX ĦAREĠ XXX XX-XXXXXXX/ (NL) XX(X)X(XX) XX VOORNA(A)M(EN) XXX XX AMBTENAAR XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) X IMIĘ (XXXXXX) XXXĘXXXXX, KTÓRY XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXX(X) X XXXX(X) XXXXXXX(X) DO XXXXXXXXXXX XXX XXXXXX O XXXXXXXX FORMULÁRIO/ (RO) XXXXXX ȘI PRENUMELE XXXXȚXXXXXXXXX CARE A XXXX XXXXXXXXX FORMULAR/ (XX) PRIEZVISKO(-Á) A XXXX(-X) XXXXXXXX, XXXXX XXXXX TENTO XXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX XXX/XXXXX XXXXXXXX, XX XX XXXXX XX XXXXXXX/ (FI) XÄXÄX XXXXXXXXX ANTANEEN XXXXXXXXXXX XXXXXXXX (-NIMET) XX XXXXXXX (-XXXXX)/ (SV) XXXXXXXXX XXX XÖXXXXX XÅ DEN TJÄNSTEMAN XXX XXX UTFÄRDAT XXXXX XXXXXXÄX

7.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX XXXXXXXXXXX QUE XXXXXXX XXXX IMPRESO/ (XX) XXXXXX ÚŘEDNÍKA, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXX — XXX XXXXXXXXXX, DER XXX UDSTEDT XXXXX XXXXXXXX/ (XX) STELLUNG XXX XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX AMETNIKU XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) POSITION XX XXX XXXXXXXX XXX XXXXXX THIS XXXX/ (XX) XXXXX XX XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (GA) XXXX AN XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXXX XXXXXXXXXX KOJI XX IZDAO XXXX XXXXXXX/ (XX) XXXXXXXXX XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (LV) XXXXXXXXXXXX, KURA XXXXXXXX XX VEIDLAPU, XXXXX/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXXXXXŐ BEOSZTÁSA/ (XX) XXXXXX TAL-UFFIĊJAL XX ĦXXXĠ XXX XX-XXXXXXX/ (NL) FUNCTIE XXX XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, KTÓRY XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX XX XXXXXXXXXXX XXX EMITIU X XXXXXXXX XXXXXXXXXX/ (XX) XXXXȚXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX FORMULAR/ (XX) XXXXXXX XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XX XX XXXXX XX OBRAZEC/ (FI) XÄXÄX LOMAKKEEN ANTANEEN XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX XXX HAR XXXÄXXXX XXXXX XXXXXXÄX

7.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) FECHA (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXX/ (XX) UDSTEDELSESDATO (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX ISSUE/ (FR) XXXX (JJ/MM/AAAA) XX XXXXXXXXXX/ (GA) DÁTA (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) IZDAVANJA/ (XX) DATA XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX DATA (XX/XX/XXXX)/ (XX) X XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXX-ĦXXĠ/ (NL) DATUM (XX/XX/XXXX) XXX AFGIFTE/ (XX) DATA (DD/MM/RRRR) XXXXXXX/ (XX) DATA XX XXXXXÃX (DD/MM/AAAA)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (SK) DÁTUM (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (XX) XXXXX (DD/MM/ÅÅÅÅ) XÖX UTFÄRDANDE

7.4

(BG) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (ET) XXXXXXX/ (EL) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (FR) XXXXXXXXX/ (XX) XXXXX/ (XX) POTPIS/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (PL) XXXXXX/ (PT) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXXXX/ (SV) XXXXXXXXXXXX

7.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) SELLO X XXXXXX/ (XX) XXXXX NEBO XXXXXXX/ (XX) SEGL ELLER XXXXXXX/ (XX) XXXXXX XXXX STEMPEL/ (XX) XXXXXX VÕI TEMPEL/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX XX STAMP/ (XX) XXXXX XX XXXXXX/ (XX) SÉALA XX XXXXXX/ (XX) XXX XXX PEČAT/ (XX) XXXXX X XXXXXX/ (LV) ZĪMOGS XXX SPIEDOGS/ (XX) XXXXXXX XXXX XXXXXXXXXX/ (XX) XXXXXX VAGY XXXXXXXŐXXXXXXXX/ (MT) XXĠXXX XXX XXXXXX/ (NL) XXXXX XX STEMPEL/ (XX) XXXXXĘĆ XXX XXXXXXX/ (PT) SELO XX CARIMBO/ (XX) XXXXXXXX SAU ȘXXXXXXX/ (XX) XXXXX ALEBO XXXXXXXX PEČIATKY/ (SL) XXXXX XXX XXX/ (XX) XXXXXXX XXX XXXXX/ (SV) SIGILL XXXXX XXÄXXXX

XXXXXXXXXXX X XXXXXXXX REGISTROVANÉHO XXXXXXXXXXX

XXXXXXXXXXX XXXXXXXXXX XXXXXXXX – XXXXXXX XXX XXXXXXX

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

Belgie (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (DK) Xxxxxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (ES)

Francie (FR) Xxxxxxxxxx (XX)

Xxxxxx (XX) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (LT)

Lucembursko (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxx (XX) Xxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (XX) Xxxxxxxxx (SI)

Slovensko (XX) Xxxxxx (FI)

Švédsko (XX) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx xxxxxx xxxxxx vícejazyčného standardního xxxxxxxxx je xxxxxxxxx xxxxxxxx xxxxxxx xxxxxxx, x xxx xx xxxxxxxx. Xxxxx xxxxxxxx xx mezi xxxxxxxxx xxxxx nesmí xxxxxxxxx xxxx samostatný xxxxxxxx.

Xxxxx xxxxxxxx odráží obsah xxxxxxx xxxxxxx, x xxx je přiložen. Xxxxx, xxxxx je xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx xxxx x xxxxxxxxx, xxx xx xx xxxxxxxx xxx xxxxx zpracování xxxxxxx xxxxxxx, požadovat xxxxxxx xx xxxxxx xxxxxxxxx, xxxxx xxxx xx xxxxxxxxx uvedeny.

UPOZORNĚNÍ XXX XXXXXXXXXX ORGÁN

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

Pokud xxxxxxx xxxxxxx, x xxx xx xxxxxxxx tento xxxxxxxx, neobsahuje xxxxxx xxxxx xxxx informace, xxxxxx „–“.

1. ORGÁN XXXXXXXXXX TENTO XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

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

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

3.1.1 Xxxxxxxxxx soudu

3.1.2 Xxxxxxx xxxxxx xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx vydaná xxxxxx xxxxxxx úředníkem

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

3.1.5 Xxxx (upřesněte)

(1) Xx. věst. L 200, 26.7.2016, s. 1.

(2) Xxx xxxxxxxxxx xxxxx použijte hůlkové xxxxx.

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

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

3.2 Xxxxxxx xxxxxx xxxxxxxx xxxxxx

3.2.1 Osvědčení

3.2.2 Xxxxx x xxxxxxx

3.2.3 Xxxxx x xxxxxxxx xxxxxxxx

3.2.4 Xxxx xxxxxxxxxx záznamů

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, xxxxxx xxxx opatřena xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

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

3.6 Xxxxx (dd/mm/rrrr) xxxxxx

3.7 Xxxxxxxxxx xxxxx xxxxxxx listiny

4. INFORMACE X XXXXXXX XXXXX

4.1 Xxxxxxxx

4.2 Xxxxx (jména)

4.3 Xxxxx (dd/mm/rrrr) 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 xxxxxxxxxxx

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

5.1 Xx xxxxxxx xxxxx xxxxxxxxx xxxxxxx xxxxxxxxxxxx xxxxxxxxxxx xxxxx xxxxxxxxxxxxxx práva xxxxxxxxx xxxxx, x xxxx xx veřejná xxxxxxx xxxxxx.

5.2 Xxxxxxx xxxxx xxxxxx xxxxxxxxxx xxx xxxx jménem xxxxxxxxxxxx xxxxxxxxxxx podle xxxxxxxxxxxxxx xxxxx xxxxxxxxx xxxxx, x němž xx xxxxxxx xxxxxxx xxxxxx.

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

5.4 Xxxxxxxxxx xxxxx xxxxx xxxxxxxx registrovaného xxxxxxxxxxx xxxx xxxxxxxx xxxxxx a xxxxx xxxxxxxx xxxxxxxxx / xxxx xxxxxxx partnerkou xxxxx xxxxxxxxxxxxxx xxxxx xxxxxxxxx xxxxx, v xxxx xx xxxxxxx xxxxxxx xxxxxx.

5.5 Neexistuje xxxxx xxxxx xxxxxxx xxxxx xxxxxxxx xxxxxxxxxxxxxx xxxxxxxxxxx mezi xxxxxxxx xxxxxx a xxxxx xxxxxxxx xxxxxxxxx / xxxx xxxxxxx partnerkou xxxxx xxxxxxxxxxxxxx xxxxx xxxxxxxxx xxxxx, x xxxx xx xxxxxxx xxxxxxx xxxxxx.

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

(2) Xxxxx xxxx x – xxxxx xxxxxxxx – kód XXX xxxx země xxxx xxxxxxx „Jiné (xxxxxxxxx)“ xx xxxxx xxxxxx x xxxxxxxxxxx xxxxxxx ve xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx formuláři, xxxxx xx x xxxxxxxxx na portálu xxxxxxxx x-xxxxxxx.

(3) Xxx xxxxxx xxxx možností.

6. XXXXXXXXX X XXXXXXXX XXXXXXXXXX / XXXXXXX XXXXXXXXX XXXXXXX XXXXX

4.1 Xxxxxxxx

4.2 Xxxxx (xxxxx)

4.3 Xxxxx (dd/mm/rrrr) xxxxxxxx

4.4 Xxxxx (1) x xxxx (2) narození

4.5 Xxxxxxx:

4.5.1 Žena

4.5.2 Muž

4.5.3 Xxxxxxxx

4.6 Státní příslušnost

7. XXXX XXX XXXXXX

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

7.2 Xxxxxx úředníka, xxxxx xxxxx tento xxxxxxxx

7.3 Xxxxx (xx/xx/xxxx) xxxxxx

7.4 Xxxxxx

7.5 Xxxxx xxxx xxxxxxx

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

(2) Xxxxx xxxx a – xxxxx xxxxxxxx – kód ISO xxxx xxxx xxxx xxxxxxx „Xxxx (xxxxxxxxx)“ xx xxxxx vybrat x rozbalovací xxxxxxx xx vzorovém xxxxxxxxxxxx xxxxxxxxxxx xxxxxxxxx, xxxxx xx k dispozici xx xxxxxxx xxxxxxxx x-xxxxxxx.

XXXXXXXXXXX GLOSÁŘ NÁZVŮ XXXXXXXXXXXX POLOŽEK

(ZPŮSOBILOST XX XXXXXX XX REGISTROVANÉHO XXXXXXXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX QUE XXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX TENTO XXXXXXXX/ (XX) XXXXX XXXXXXXXX UDSTEDENDE XXXXXXXXX/ (XX) BEHÖRDE, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX XÄXXX ANDNUD XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) AUTHORITY XXXXXXX XXXX FORM/ (XX) XXXXXXXX DE XXXXXXXXXX XX XXXXXXX FORMULAIRE/ (XX) XX tÚDARÁS X EISEOIDH XX XXXXXX SEO/ (XX) XXXXXX KOJE XXXXXX XXXX OBRAZAC/ (XX) XXXXXXXÀ CHE XXXXXXXX XX PRESENTE XXXXXX/ (XX) XXXXXXXXX IZDEVĒJIESTĀDE/ (XX) ŠIĄ XXXXĄ XXXXXXXXXX VALDŽIOS INSTITUCIJA/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XX' XXX XX-XXXXXXX/ (NL) XXXXXXXXXX XXX AFGIFTE XXX DIT FORMULIER/ (XX) XXXXX XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (PT) XXXXXXXXXX XXX EMITE X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX EMITENTĂ X XXXXXXXXXXX XXXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXX XXXXXXXX/ (SL) XXXXX, KI XXXX XX XXXXXXX/ (FI) XÄXÄX XXXXXXXXX ANTAVA XXXXXXXXXXXX/ (SV) XXXXXXXXX XXX UTFÄRDAR FORMULÄRET

1.1

(BG) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) NIMETUS/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) DESIGNATION/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (LV) NOSAUKUMS/ (XX) PAVADINIMAS/ (XX) XXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXÇÃX/ (XX) DENUMIRE/ (XX) XXXXX/ (SL) IME/ (XX) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX XXX EXPIDE XX XXXXXXXXX XXXXXXX XX XXX XX XXXXXXX XXXX XXXXXXX/ (XX) ORGÁN VYDÁVAJÍCÍ XXXXXXXX LISTINU, X XXX XX PŘILOŽEN XXXXX FORMULÁŘ/ (XX) XXX XXXXXXXXX, XXX XXX XXXXXXX DET XXXXXXXXXX XXXXXXXX, SOM XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXÖXXX, XXX DIE ÖFFENTLICHE XXXXXXX, XXX DIESES XXXXXXXX XXXXXXÜXX XXX, XXXXXXXXX/ (ET) ASUTUS, XXX XXXXX VÄLJA XXXXXXX XXXXXXXXX, XXXXXXX XXX VORM ON XXXXXXX/ (EL) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXXX XXXXXXX THE XXXXXX XXXXXXXX XX XXXXX XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX EST JOINT XX PRÉSENT XXXXXXXXXX/ (XX) XX xXXXXXX X EISEOIDH XX XXXXXXXXX XXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (HR) XXXXXX XXXX XXXXXX XXXXX ISPRAVU KOJOJ XX OVAJ XXXXXXX XXXXXXXX/ (IT) AUTORITÀ XXX XXXXXXXX XX XXXXXXXXX PUBBLICO CUI XX PRESENTE MODULO È XXXXXXXX/ (LV) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, IZDEVĒJIESTĀDE/ (LT) XXXXĄXĮ XXXXXXXXĄ, PRIE XXXXX PRIDEDAMA ŠI XXXXX, IŠDUODANTI VALDŽIOS XXXXXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX LI XXXXĦX XXXX MEHMUŻA DIN XX-XXXXXXX/ (XX) AUTORITEIT XXX XXXXXXX VAN XXX XXXXXXXX DOCUMENT XXXXXXX DIT FORMULIER XX XXXXXXX/ (PL) XXXXX XXXXXĄXX XXXXXXXX XXXĘXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (PT) XXXXXXXXXX XXX XXXXX X XXXXXXXXX PÚBLICO X XXX X XXXXXXXX XXXXXXXXXX XXXX APENSO/ (XX) XXXXXXXXXXX XXXXXXXĂ X DOCUMENTULUI OFICIAL XX XXXX XXXX XXXXXX PREZENTUL XXXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXXXX XXXXXXX, XX XXXXXX XX TENTO XXXXXXXX PRIPOJENÝ/ (SL) XXXXX, XX IZDA XXXXX LISTINO, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXXXX, JOKA XX XXXXXXX YLEISEN ASIAKIRJAN, XXXXX TÄMÄ LOMAKE XXXXXXÄÄX/ (SV) XXXXXXXXX XXX UTFÄRDAR XXX XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX XX DOCUMENTO XXXXXXX XX QUE XX XXXXXXX ESTE XXXXXXX/ (XX) INFORMACE XXXXXXXX XX XXXXXXX LISTINY, X XXX XX XXXXXXXX TENTO FORMULÁŘ/ (XX) XXXXXXXXXXX XXXXØXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX VEDHÆFTET/ (DE) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX XXXXXXX XXXXXXXXX XXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXX PUBLIC XXXXXXXX XX WHICH XXXX XXXX XX XXXXXXXX/ (FR) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX PRÉSENT XXXXXXXXXX/ (XX) FAISNÉIS X XXXXXXXXX LEIS XX XXXXXXXXX XXXXXX XXXX BHFUIL XX XXXXXX SEO XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXX XX XXXXXX XX XXXXX XXXXXXX KOJOJ XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXX AL XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (LV) XXXXXXĀXXXX XXX XXXXXXXX DOKUMENTU, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXXXX, SUSIJUSI SU XXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX XXXXX/ (HU) A XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXXX INFORMÁCIÓK/ (MT) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) INFORMATIE XXXXXXXXXXX HET OPENBAAR XXXXXXXX XXXXXXX XXX XXXXXXXXX IS XXXXXXX/ (XX) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX URZĘDOWEGO, DO XXXXXXX XXXXXXXXX FORMULARZ XXXX ZAŁĄCZONY/ (XX) XXXXXXXÇÕXX RELATIVAS XX XXXXXXXXX PÚBLICO A XXX O XXXXXXXX XXXXXXXXXX XXXX APENSO/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX XXXXXXXXXX OFICIAL XX XXXX XXXX XXXXXX PREZENTUL XXXXXXXX/ (XX) XXXXXXXXXX O XXXXXXXX XXXXXXX, XX XXXXXX JE XXXXX XXXXXXXX XXXXXXXXX/ (SL) XXXXXXXXXXX V ZVEZI X JAVNO XXXXXXX, XX JI XX XXXXXXXX TA XXXXXXX/ (XX) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXXXX XX XXX XXXXXXXXXX HANDLING XXXX XXXXXX DETTA FORMULÄR ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX EXPEDIDO XXX XXX XXXXXXXXX X UN XXXXXXXXXXX XXXXXXXXX X XXX XXXXXXX XXXXXXXXXXXXXXXX DE XX XXXXXX XXXXXXX/ (XX) LISTINA XXXXXX XXXXXXX XXXX XXXXXXXXX X VAZBOU NA XXXXX XXXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXXX, XXX ER XXXXXXX XX EN XXXXXXXXX XXXXX XX XXXXXXXXXX, XXX XX XXXXXXXXXX XXXXXXXX X EN XXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXÖXXX XXXX XXXXX XXXXXXXXXX XXX XXXXX DER XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (ET) XXXXXXXX, MILLE XX XÄXXX XXXXXX XXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXXXX XÕX XXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX EMANATING XXXX XX AUTHORITY XX XX XXXXXXXX XXXXXXXXX XXXX XXX XXXXXX OR XXXXXXXXX XX X XXXXXX XXXXX/ (FR) XXXXXXXX XXXXXXX X'XXX XXXXXXXX XX D'UN FONCTIONNAIRE XXXXXXXX X'XXX XXXXXXXXXXX X'XX XXXX XXXXXX/ (XX) XXXXXXXXX X XXXXXXX X ÚDARÁS XX X OIFIGEACH X BHFUIL BAINT XXXX XX AICI XX CÚIRTEANNA XX XX XXXXX XX XXXXX BALLSTÁIT/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXX ILI XXXXXXXXX SUDA DRŽAVE XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX UN'AUTORITÀ X DA XX XXXXXXXXXXX APPARTENENTE AD XXX DELLE GIURISDIZIONI XX UNO STATO XXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX XX XXXĪXXXXXXX XXXXĀX XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX XXXXXXXX XXXXXXXXXXXX AR XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX XXXĖX XXXXXXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX XXXX HATÓSÁG XXXX XXXXXXXXXXŐ ÁLTAL KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX AWTORITÀ XXX XXXXĊXXX LI XXXXXXXX XXXXX XXX-XXXXX XXX XX-XXXXXXXXX TA' XXXX XXXXXX/ (NL) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXXXX OF XXXXXXXXX XXXXXXXXX TOT XXX RECHTERLIJKE INSTANTIE XXX XXX LIDSTAAT/ (XX) XXXXXXXX XXXXXXXĄXX XX ORGANU XĄXXXXXX XXX URZĘDNIKA SĄDOWEGO XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX DE XXX AUTORIDADE OU XX XX FUNCIONÁRIO XXXXXXXXXX XX XXXXXXXX XXXXXXXÇÃX XX XX XXXXXX-XXXXXX/ (XX) XXXXXXXX XXXX DE X XXXXXXXXXX SAU XX XX XXXXȚXXXXX XX XX XÂXXĂ INSTANȚELE XXXX XXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXX XXXXXXXXX X VÄZBOU NA XXXX ČLENSKÉHO XXXXX/ (XX) LISTINA, XXXXXX X XXXXXX XXXXXX XXX XXXXXXXX XXXXX XXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, JONKA XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX KUULUVA VIRANOMAINEN XXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXXXXXXXX XXXXX XX TJÄNSTEMAN XXXXXÖXXXXX DOMSTOLSVÄSENDET X XX MEDLEMSSTAT

3.1.1

(BG) СЪДЕБНО РЕШЕНИЕ/ (XX) RESOLUCIÓN XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) GERICHTSENTSCHEIDUNG/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (EN) COURT XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXX XX xXXXXX/ (XX) XXXXXX ODLUKA/ (XX) DECISIONE XXXXXXXXXXXXXXX/ (XX) TIESAS LĒMUMS/ (XX) TEISMO XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (XX) DECISÃO JUDICIAL/ (XX) HOTĂRÂRE XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (XX) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX PÄÄTÖS/ (XX) DOMSTOLSBESLUT

3.1.2

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) DOCUMENTO EXPEDIDO XXX XX XXXXXXXXXX XXXXXX/ (CZ) XXXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX UDSTEDT XX XX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) DOKUMENT, XXXXX ON XÄXXX XXXXXX XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX FROM X XXXXXX XXXXXXXXXX/ (XX) DOCUMENT ÉMANANT XX XXXXXXÈXX XXXXXX/ (XX) XXXXXXXXX A XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (HR) ISPRAVA XXXX JE XXXXXX XXXXXXX ODVJETNIŠTVO/ (XX) XXXXXXXXX EMANATO XXX XXXXXXXX MINISTERO/ (LV) XXXXXXXXX, KURU XXXXXXXXXX XXXXXXXXX/ (LT) XXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) ÜXXXXX XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXXXXX XXXX EEN XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX DO XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXX, XX JO XXXX XXXXXXX TOŽILSTVO/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (SV) XXXXXXXX XXX XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX POR XX XXXXXXXXXX JUDICIAL/ (CZ) XXXXXXX VYDANÁ VYŠŠÍM XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX JUSTITSSEKRETÆR/ (DE) XXXXXXX EINES XXXXXXXXXXXXXX XXX GESCHÄFTSSTELLE XXXXX XXXXXXXX/ (XX) DOKUMENT, XXXXX XX VÄLJA XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX XXXX X CLERK XX X XXXXX/ (XX) XXXXXXXX ÉMANANT D'UN XXXXXXXX/ (XX) DOICIMÉAD X XXXXXXX Ó XXXXXXXXXX DE XXXXX XXXXXX/ (XX) ISPRAVA XXXX XX XXXXX XXXXXXXXXX SUDSKE XXXXXXXXX/ (XX) DOCUMENTO EMANATO XX XX XXXXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX TIESAS SEKRETĀRS/ (XX) TEISMO XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX TISZTVISELŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ MINN XXĠXXXXXXXX XX' XXXXX/ (XX) DOCUMENT XXXXXXXXX XXXX EEN GRIFFIER/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX UM OFICIAL XX XXXXXÇX/ (XX) XXXXXXXX EMIS XX XX XXXXXXX XX XXXXXXȚXX/ (XX) LISTINA XXXXXX XXXXXX XXXXXXXXX/ (XX) LISTINA, XX XX XXXX SODNI XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX ANTAMA XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX FRÅN XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXXXX XXXXXXXX XXX XX AGENTE XXXXXXXX («HUISSIER XX XXXXXXX»)/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX XX EN XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (XX) URKUNDE XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX ON XÄXXX XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXXXXXXX XXXX X JUDICIAL XXXXXXX ('XXXXXXXX XX JUSTICE')/ (XX) DOCUMENT XXXXXXX X'XX HUISSIER XX XXXXXXX/ (GA) XXXXXXXXX X THAGANN Ó XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (HR) XXXXXXX XXXX XX XXXXX XXXXXX XXXXXXXXX (XXXXXXXX XX JUSTICE)/ (XX) XXXXXXXXX XXXXXXX XX UN XXXXXXXXX XXXXXXXXXXX ("HUISSIER XX XXXXXXX")/ (LV) DOKUMENTS, XXXX XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (HUISSIER DE XXXXXXX)/ (LT) ANTSTOLIO (XXXXXXXX DE XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX JUSTICE”) ÁLTAL XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX XX JUSTICE')/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX POCHODZĄCY XX XXXĘXXXXX XĄXXXXXX (HUISSIER XX XXXXXXX)/ (XX) XXXXXXXXX PROVENIENTE DE XX XXXXXXÃX DE XXXXXXX («HUISSIER XX XXXXXXX»)/ (RO) XXXXXXXX XXXX XX XX XXXXXXXX JUDECĂTORESC („XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX DE XXXXXXX“)/ (SL) XXXXXXX, XX XX IZDA XXXXX IZVRŠITELJ („HUISSIER XX JUSTICE“)/ (FI) XXXXXXXXXXXX (”HUISSIER XX XXXXXXX”) ANTAMA XXXXXXXXX/ (XX) XXXXXXXX SOM XÄXXÖX FRÅN EN XXÄXXXXXXXXX (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) XXXX (UPŘESNĚTE)/ (XX) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX ANGEBEN)/ (XX) XXX (TÄPSUSTAGE)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) OTHER (XX XX SPECIFIED)/ (FR) XXXXX (À XXXXXXXX)/ (XX) EILE (LE XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (XX) XXXXX (XXXXXXXXX)/ (XX) XXXX (XXXXXXĒX)/ (XX) KITA (XXXXXXXX)/ (HU) XXXXX (XXXXÜX XXXXXXXXXXX)/ (MT) XĦXXXX (IPPREĊIŻA)/ (NL) XXXXXXX (XXXXXXXXXXXX)/ (PL) XXXX (XXXXXĘ XXXXŚXXĆ)/ (XX) OUTROS (A XXXXXXXXXXX)/ (RO) ALTUL (X XX XXXXXXX)/ (XX) XXX (XXXXXXXX)/ (XX) DRUGO (NAVESTI)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) ANNAN XXXXXXXX (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX EINER XXXXXXXXXXXXXXÖXXX/ (ET) HALDUSDOKUMENT/ (XX) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX DOCUMENT/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXXXX RIARACHÁIN/ (XX) XXXXXXX ISPRAVA/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) ADMINISTRATĪVS XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX XXXXXXXXXX/ (XX) XÖXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX DOCUMENT/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX ADMINISTRATIVO/ (XX) XXXXXXXX ADMINISTRATIV/ (XX) XXXXXXX LISTINA/ (XX) XXXXXXX LISTINA/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) ADMINISTRATIV XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) OSVĚDČENÍ/ (XX) XÅXXXXXXX/ (DE) XXXXXXXXXXXXX/ (XX) XÕXXX/ (EL) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (EN) CERTIFICATE/ (XX) CERTIFICAT/ (XX) XXXXXXXX/ (HR) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (LT) PAŽYMA, XXXXXXXXXX/ (XX) TANÚSÍTVÁNY/BIZONYÍTVÁNY/ (XX) ĊXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) ZAŚWIADCZENIE/ (XX) CERTIDÃO XX XXXXXXXXXXX/ (XX) CERTIFICAT/ (XX) XXXXXXXXXX/ (SL) XXXXXXXX/ (XX) TODISTUS/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (ES) XXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXX X XXXXXXX/ (XX) XXXXXX FRA XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX PERSONENSTANDSREGISTER/ (ET) XXXXXXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) EXTRACT FROM XXX CIVIL XXXXXX XXXXXXXX/ (FR) XXXXXXX XX XXXXXXXX XX X'XXXX XXXXX/ (XX) XXXXXXX AS XX xXXXX STÁDAIS SHIBHIALTA/ (XX) IZVADAK IZ XXXXXXXX XXXXXXX XXXXXX/ (XX) XXXXXXXX XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXX XX XXXXXXXĀXXXĻX AKTU XXĢXXXXX/ (LT) XXXXXXX XX XXXXXXXĖX XŪXXĖX XXXŲ XXXXXXXX/ (XX) XXXXXÖXXXX XXXXXXX/ (MT) XXXXXXX XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXX XXX XX BURGERLIJKE XXXXX/ (PL) XXXXX XXXXXXXX XXXX STANU XXXXXXXXX/ (PT) XXXXXXX XX ATOS DO XXXXXXX XXXXX/ (XX) XXXXXX XXX XXXXXXXXX XX XXXXX XXXXXĂ/ (XX) VÝPIS Z XXXXXXXX OSOBNÉHO XXXXX/ (XX) XXXXXXX XX XXXXXXXX X XXXXXXX XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (SV) UTDRAG XX FOLKBOKFÖRINGEN

3.2.3

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) EXTRACTO XXX XXXXX/ (CZ) XXXXX X XXXXXXXX XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXX AUS XXX XXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (EL) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) EXTRACT XXXX XXX XXXXXXXXXX XXXXXXXX/ (XX) EXTRAIT XX XXXXXXXX XX XX XXXXXXXXXX/ (XX) XXXXXXX XX XX xXXXX DAONRA/ (XX) XXXXXXX XX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XX IEDZĪVOTĀJU XXĢXXXXX/ (XX) IŠRAŠAS IŠ XXXXXXXXŲ REGISTRO/ (XX) XXXXXXX A SZEMÉLYIADAT- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX MIR-REĠISTRU TAL-POPOLAZZJONI/ (XX) UITTREKSEL XXX XXX BEVOLKINGSREGISTER/ (PL) XXXXĄX X XXXXXXXX XXXXXŚXX/ (XX) EXTRATO XX XXXXXXX XX XXXXXXÇÃX/ (RO) XXXXXX XXX XXXXXXXXX XX XXXXXXȚĂ X XXXXXXȚXXX/ (XX) VÝPIS X XXXXXXXX XXXXXXXĽXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXXXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXX/ (XX) UTDRAG XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (ES) XXXXX XXXXXXX XX XXXXX XXX XXXXXXXX XXXXX/ (XX) XXXX XXXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXX AF XXXXXXXXXXXXXXXXXXX/ (DE) WÖRTLICHE XXXXX XXX PERSONENSTANDSEINTRÄGEN/ (XX) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) VERBATIM COPY XX CIVIL XXXXXX XXXXXXX/ (XX) COPIE XXXXXXXXX D'ACTES XX X'XXXX CIVIL/ (XX) XXXX XXXXX XX XXXXXX XX THAIFID XX XXXXXX XXXXXXXXX/ (XX) DOSLOVNI XXXXXXXX XX XXXXXXXXXX X XXXXXXX XXXXXX/ (IT) XXXXX XXXXXXXXX DI XXXX XX STATO XXXXXX/ (XX) CIVILSTĀVOKĻA XXXX REĢISTRA XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮXXXŲ PAŽODINĖ KOPIJA/ (XX) XXXXXÖXXXX BEJEGYZÉS XXX SZERINTI MÁSOLATA/ (XX) KOPJA XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (XX) EENSLUIDEND AFSCHRIFT XXX XXXXX VAN XX BURGERLIJKE STAND/ (XX) ODPIS XXXXŁXX XXXX XXXXX CYWILNEGO/ (XX) CERTIDÃO XX XXXXX XXXXXXXX OU XX NARRATIVA DE XXXX DE XXXXXXX XXXXX/ (XX) XXXXX XXXXXĂ A XXXX XXX XX STARE XXXXXĂ/ (SK) XXXXXXXX XXXXX XX XXXXXXX X XXXXXXX STAVE/ (XX) DOBESEDNI XXXXXX XXXXXX X OSEBNEM XXXXXX/ (XX) VÄESTÖREKISTERITIETOJEN XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX AV XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXÆXXXX DOKUMENT/ (XX) XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXĀXX XXXX/ (XX) XXXXXXXXX XXXXX/ (HU) XÖXXXXXXŐX XXXXXX/ (XX) XXX NOTARILI/ (XX) XXXXXXËXX XXXX/ (XX) XXX NOTARIALNY/ (XX) XXX XXXXXXXX/ (XX) XXX XXXXXXXX/ (SK) XXXXXXXX XXXXXXX/ (XX) XXXXXXXX LISTINA/ (XX) XXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX OFICIAL PUESTA XXXXX XX DOCUMENTO XXXXXXX/ (XX) ÚŘEDNÍ XXXXXXXXX, XXXXXX BYLA XXXXXXXX XXXXXXX PODEPSANÁ XXXXXXXXX XXXXXX/ (XX) XXXXXXXX XÅXXXXXXX XÅ XX XXXXXXXX XXXXXXXXXXX XX XX XXXXXX X DENNES EGENSKAB XX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX XXXXX PRIVATURKUNDE/ (XX) XXXXX POOLT ERAISIKUNA XXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXX XXXXXXX XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX XXXXXX XX X XXXXXXXX XXXXXX XX X XXXXXX XX XXX XX XXX XXXXXXX XXXXXXXX/ (FR) XXXXXXXXXXX XXXXXXXXXX APPOSÉE XXX XX XXXX XXXX XXXXX PRIVÉ/ (XX) XXXXXXXX XXXXXXXXX X CHUIRTEAR XX XXXXXXXXXX XXXX XXXXXX XX DUINE INA XXXXX NÓ XXX XXXX XXXXXXXXXXXXXX/ (HR) XXXXXXXX XXXXXXX STAVLJENA XX ISPRAVU XXXX XX OSOBA XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX SU XXX XXXXXXXXX XXXXXXX/ (LV) XXXXXĀXX APLIECINĀJUMS XX XXXXXXXXX, KO XXXĀ XĀXXĀ PARAKSTĪJUSI KĀDA XXXXXXX/ (XX) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX ELHELYEZETT XXXXXXXXX XXXXXXXXXXX/ (XX) ĊERTIFIKAT XXXXĊXXXX XX JITQIEGĦED X'XXXXXXXX XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) OFFICIEEL XXXXXXXXXXX XX EEN XXXXXXXX XXXXXXXXXXX DOOR XXX PERSOON XX XXXX XXXXXXXXXXXX HOEDANIGHEID/ (XX) XXXĘXXXX XXŚXXXXXXXXXX XXXXXXXXXXX XX DOKUMENCIE XXXXXXXXXX XXXXX XXXXĘ XXXXŁXXĄXĄ X CHARAKTERZE XXXXXXXXX/ (PT) XXXXXXXÇÃX XXXXXXX INSERTA NUM XXX XX XXXXXXXX XXXXXXX/ (RO) CERTIFICAT XXXXXXX XXXXXXX XX XX XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX XX XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX XXXXX/ (SL) XXXXXX IZJAVA NA XXXXXXX XXXXXXX/ (XX) XXXXXXXXXX TODISTUS XXXXXXXXXXXX, XXXXX HENKILÖ XX XXXXXXXXXXXXXXXX YKSITYISHENKILÖNÄ/ (XX) XXXXXXXXXX INTYG ANBRINGAT XÅ XX XXXXXXXX XXX XXXXXXXXXXXXX AV XX XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) DOCUMENTO XXXXXXXX XXX XX XXXXXX XXXXXXXXXXX O CONSULAR XX XX XXXXXX XXXXXXX XXX CARÁCTER XXXXXXX/ (CZ) LISTINA XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX VÝKONU XXXX XXXXXXXXXX POVINNOSTÍ/ (XX) XXXXXXXX XXXXXXXXX UDFÆRDIGET XX XX XXXXXXXXXXXX XXXXXXXXXXXX XXXXX KONSULÆRE XXXXÆXXXXXXX/ (XX) XXX XXXXX DIPLOMATISCHEN XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXX/ (ET) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX XXXXX XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX DOKUMENT/ (EL) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (EN) XXXXXXXX XXXXX UP XX X XXXXXXXXXX XX XXXXXXXX XXXXX XX X MEMBER XXXXX XX XXX XX HER OFFICIAL XXXXXXXX/ (XX) XXXXXXXX XXXXXX XX XX XXXXXXX XXXXXXXXXX PAR XX AGENT XXXXXXXXXXXX XX CONSULAIRE D'UN XXXX XXXXXX/ (XX) XXXXXXXXX ARNA THARRAINGT XXXX AG GNÍOMHAIRE XXXXXXXXXXXXXXXX XX CONSALACH XX CHUID BALLSTÁIT XXX XXXXX XX XXX CÁIL XXXXXXXXX/ (XX) XXXXXXX XXXX XX X XXXXXXXXX XXXXXXXX SASTAVIO XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX DA XXXXXX XXXXXXXXXXX X XXXXXXXXX XX UNO XXXXX MEMBRO XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX XXXXX PIENĀKUMUS, XXXXXXXXXXX DALĪBVALSTS XXXXXXĀXXXXXXX XXX XXXXXXĀXXXX XĀXXXĀXXX/ (XX) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX DIPLOMATO XX KONSULINIO XXXXXXŪXX, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX DIPLOMÁCIAI VAGY XXXXXXX XXXXXXXXŐXX ÁLTAL XXXXXXXXX MINŐSÉGÉBEN XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXXX XXXX XĠXXX XXXXXXXXXXX XXX XXXXXXXXX XX' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX XXXXĦX/ (XX) DOCUMENT XXXXXXXXX XXXX DE XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX XX ZIJN XXXXXXËXX XXXXXXXXXXXX/ (PL) DOKUMENT XXXXXĄXXXXX XXXXX PRZEDSTAWICIELA XXXXXXXXXXXXXXX LUB URZĘDNIKA XXXXXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X CHARAKTERZE XXXĘXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX XX XXXXXX DIPLOMÁTICO OU XXXXXXXX XX UM XXXXXX-XXXXXX XX EXERCÍCIO XXX XXXX XXXÇÕXX XXXXXXXX/ (XX) DOCUMENT ÎXXXXXXX XX XĂXXX XX XXXXX XXXXXXXXXX XXX CONSULAR AL XXXX STAT XXXXXX, ÎX XXXXXXXX OFICIALĂ/ (XX) XXXXXXX VYHOTOVENÁ XXXXXXXXXXXXX XXXXXXXXX ALEBO XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X RÁMCI XXXXXX XXXX FUNKCIE/ (XX) XXXXXXX, XX XX XXX XXXXXX XXXXX XXXX XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX, JONKA JÄSENVALTION XXXXXXXXXXXXXX EDUSTAJA XXX XXXXXXXXXXXXXXX XX LAATINUT XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXÄXXXX X XXÄXXXXX XX XX DIPLOMATISK XXXXX XXXXXXÄX XXÄXXXXXXX X XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) FECHA (XX/XX/XXXX) DE EXPEDICIÓN/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (DA) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) VÄLJAANDMISE XXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) DATE (XX/XX/XXXX) XX XXXXX/ (FR) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) DATA DI XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (XX) IŠDAVIMO DATA (XX/XX/XXXX)/ (XX) X XXXXXXXXX DÁTUMA (XXXX/XX/XX)/ (XX) DATA (JJ/XX/SSSS) XXX-ĦXXĠ/ (XX) DATUM (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (SK) DÁTUM (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXX/ (XX) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) NÚMERO XX XXXXXXXXXX XXX XXXXXXXXX PÚBLICO/ (XX) XXXXXXXXXX ČÍSLO VEŘEJNÉ XXXXXXX/ (XX) DET XXXXXXXXXX DOKUMENTS REFERENCENUMMER/ (XX) XXXXXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX/ (ET) XXXXXXX XXXXXXXXX VIITENUMBER/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX XX XXX PUBLIC XXXXXXXX/ (FR) NUMÉRO XX XXXXXXXXX XX XXXXXXXX PUBLIC/ (XX) XXXXXX XXXXXXXXX AN XXXXXXXXX XXXXXXX/ (HR) XXXXXXXXXX XXXX XXXXX XXXXXXX/ (IT) NUMERO XX XXXXXXXXXXX DEL XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX XXXXXX/ (XX) VIEŠOJO XXXXXXXXX XXXXXXX/ (XX) X KÖZOKIRAT XXXXXXXXXXX XXXXX/ (MT) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXX HET XXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXXXX XXXXXXXXX URZĘDOWEGO/ (XX) XXXXXX XX XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) NUMĂRUL XX XXXXXXXȚĂ XX XXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXX 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 XXXXXXXXXX/ (XX) INFORMACE X XXXXXXX XXXXX/ (DA) XXXXXXXXXXX OM DEN XÅXÆXXXXXX XXXXXX/ (DE) XXXXXXX ZUR BETREFFENDEN XXXXXX/ (XX) XXXXXXXXX XXXXXX XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX PERSON CONCERNED/ (XX) XXXXXXXXXXXX SUR XX XXXXXXXX XXXXXXXXX/ (XX) FAISNÉIS XXXXXX XXXX AN XXXXX XXXX xXXXXXXXX/ (XX) XXXXXXXXXXX O XXXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXĪXX XXXXXXX/ (XX) XXXXXXXXXXX XXXX ATITINKAMĄ XXXXXĮ/ (HU) XX XXXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) INFORMAZZJONI XXXX XX-XXXXXXX XXXXĊXXXXXX/ (XX) XXXXXXXXXX XXXX XX BETROKKENE/ (PL) XXXX XXXXX, XXXXXX XXXXXXX DOKUMENT/ (XX) XXXXXXXÇÕXX XXXXX X XXXXXX XX XXXXX/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXX XXXXXĂ/ (SK) XXXXXXXXXX O DOTKNUTEJ XXXXX/ (XX) XXXXXXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXX/ (XX) XXXXXXXXX XX XXX XXXÖXXX XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X)/ (CZ) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (XX) XXXXXXXXXXXX(X)/ (ET) XXXXXXXXXXXXX (-NIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (EN) SURNAME(S)/ (XX) XXX(X)/ (GA) XXXXXXX (XXXXXXXX)/ (XX) XXXXXXX(XX)/ (XX) XXXXXXX(X)/ (XX) XXXĀXXX(-X)/ (LT) XXXXXXĖ (-ĖX)/ (HU) XXXXXXX NEVE(I)/ (MT) XXXXXX(/XXXXXXXXXXX)/ (XX) XXXXXXXX(X)X(XX)/ (XX) NAZWISKO(-A)/ (XX) XXXXXXX(X)/ (XX) XXXX/ (XX) PRIEZVISKO(-Á)/ (XX) XXXXXXX/XXXXXXX/ (XX) XXXXXXXX (-XXXXX)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (XX) XXXXX (XXXXX)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) PRÉNOM(S)/ (GA) XXXXXXXX (XXXXXXXXXXXXXX)/ (XX) XXX(XX)/ (XX) NOME(I)/ (XX) XĀXXX(-X)/ (XX) XXXXXX (-XX)/ (HU) XXXXXXX(X)/ (XX) XXXX(/XXXXXXXX)/ (XX) XXXXXX(X)X(XX)/ (XX) XXXĘ (IMIONA)/ (PT) XXXX(X) XXXXXXX(X)/ (XX) 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/ (DA) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÜXXXXXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (DD/MM/YYYY) XX BIRTH/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) BREITHE/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (XX) DATA XX XXXXXXX (GG/MM/AAAA)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) GIMIMO XXXX (XX/XX/XXXX)/ (XX) SZÜLETÉSI XXXXX (XXXX/XX/XX)/ (MT) XXXX (JJ/XX/SSSS) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (DD/MM/RRRR) XXXXXXXXX/ (XX) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) DATA (ZZ/LL/AAAA) XXȘXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) 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/ (XX) XØXXXXXX XX -LAND/ (DE) XXX UND LAND XXX XXXXXX/ (XX) XÜXXXXXXX XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX AND XXXXXXX XX BIRTH/ (FR) XXXX XX XXXX XX XXXXXXXXX/ (GA) XXX XXXX XXX XXXXXXXX/ (XX) XXXXXX X ZEMLJA ROĐENJA/ (XX) LUOGO E XXXXX DI NASCITA/ (XX) XXXXXXXXX VIETA XX XXXXXX/ (XX) XXXXXX XXXXX XX XXXXX/ (HU) XXÜXXXXXX XXXXX XX ORSZÁGA/ (XX) XXXX X XXXXXŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX XX -XXXX/ (XX) MIEJSCE X XXŃXXXX XXXXXXXXX/ (PT) XXXXX E XXXX XX XXXXXXXXXX/ (XX) XXXXX ȘX ȚXXX XXȘXXXXX/ (SK) MIESTO X XXXX XXXXXXXXX/ (XX) KRAJ XX XXXXXX ROJSTVA/ (XX) XXXXXXÄXXXXXX XX -XXX/ (XX) XÖXXXXXXXX XXX -XXXX

4.5

(XX) ПОЛ/ (ES) XXXX/ (XX) POHLAVÍ/ (XX) XØX/ (DE) XXXXXXXXXX/ (XX) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (XX) XXXXXX/ (HR) XXXX/ (XX) SESSO/ (XX) XXXXXXX/ (LT) XXXXX/ (XX) XXXX/ (XX) XXXX/ (XX) XXXXXXXX/ (PL) XŁXĆ/ (XX) XXXX/ (XX) XXXXX/ (SK) XXXXXXXX/ (XX) XXXX/ (XX) XXXXXXXXX/ (XX) XÖX

4.5.1

(XX) ЖЕНСКИ/ (ES) MUJER/ (XX) ŽENA/ (XX) XXXXXX/ (XX) WEIBLICH/ (XX) XXXXXXXXX/ (EL) ΘΗΛΥ/ (XX) FEMALE/ (XX) XXXXXXX/ (GA) XXXXXXXX/ (HR) ŽENSKI/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XŐ/ (XX) XXXX/ (NL) XXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (RO) FEMEIESC/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) XXXXXX

4.5.2

(XX) МЪЖКИ/ (XX) XXXXX/ (CZ) XXX/ (DA) XXXX/ (XX) MÄNNLICH/ (ET) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) MALE/ (FR) XXXXXXXX/ (GA) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) XXXXX/ (XX) XXXXX/ (MT) XXĠXX/ (XX) MAN/ (PL) XĘŻXXXXXX/ (PT) MASCULINO/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) MIES/ (SV) XXX

4.5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (ET) MÄÄRAMATA/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (XX) ONBEPAALD/ (XX) PŁEĆ XXXXXXXŚXXXX/ (XX) NÃO XXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) NEDOLOČEN/ (XX) MÄÄRITTELEMÄTÖN/ (XX) XX XXXXXXÄXXX

4.6

(XX) ГРАЖДАНСТВО/ (XX) XXXXXXXXXXXX/ (CZ) XXXXXX XXXXXXXXXXX/ (DA) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXÖXXXXXXX/ (XX) KODAKONDSUS/ (XX) ΙΘΑΓΕΝΕΙΑ/ (EN) XXXXXXXXXXX/ (XX) NATIONALITÉ/ (XX) XXXXXXXXXXXX/ (HR) DRŽAVLJANSTVO/ (XX) XXXXXXXXXXXX/ (LV) XXXXXXXXXXXXĪXX/ (XX) PILIETYBĖ/ (XX) ÁLLAMPOLGÁRSÁGA/ (XX) ĊXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) OBYWATELSTWO/ (PT) XXXXXXXXXXXXX/ (XX) XXXĂȚXXXX/ (XX) ŠTÁTNA PRÍSLUŠNOSŤ/ (XX) DRŽAVLJANSTVO/ (FI) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX

5.

(XX) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XX XXXXXXXXX PÚBLICO XX XXX SE ADJUNTA XXXX XXXXXXX,/ (XX) XX XXXXXXX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX,/ (DA) X XXXXXXX XXX DET XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX ER XXXXÆXXXX/ (DE) GEMÄSS XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX FORMULAR XXXXXXÜXX IST/ (XX) XXXXXXXXX XXXXXXXXX DOKUMENDILE, XXXXXXX XXX XXXX XX LISATUD/ (XX) ΣΥΜΦΩΝΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XX XXX XXXXXX DOCUMENT XX XXXXX THIS XXXX XX ATTACHED/ (XX) D'APRÈS XX XXXXXXXX XXXXXX AUQUEL XX PRÉSENT XXXXXXXXXX XXX XXXXX/ (XX) XX RÉIR XX XXXXXXXXX XXXXXXX XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXX JAVNOJ ISPRAVI XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXX IL DOCUMENTO XXXXXXXX CUI XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXŅĀ XX PUBLISKO XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (LT) XXXXX XXXXĄXĮ DOKUMENTĄ, XXXX XXXXX XXXXXXXXX XX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXX XXXXXXX/ (XX) XXXXX XX-XXXXXXXX XXXXXXXX XX XXXXĦX XXXX XXXXXŻX DIN XX-XXXXXXX/ (XX) XXXXXXX HET XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (XX) X XXXXXXXXX URZĘDOWEGO, DO XXXXXXX ZAŁĄCZONY XXXX XXXXXXXXX FORMULARZ, XXXXXX, ŻX/ (XX) XXXXXXX X XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX ESTÁ XXXXXX/ (XX) ÎN XXXXXXXXXXXX XX XXXXXXXXXX XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXĽX XXXXXXXX XXXXXXX, XX XXXXXX JE XXXXX XXXXXXXX XXXXXXXXX/ (XX) X SKLADU X XXXXX XXXXXXX, KI XX XX XXXXXXXX XX OBRAZEC/ (XX) XXX XXXXXXX ASIAKIRJAN XXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXX DEN OFFICIELLA XXXXXXXX XXXX VILKEN XXXXX XXXXXXÄX ÄR XXXXXXX

5.1

(XX) СЪОТВЕТНОТО ЛИЦЕ ПРИТЕЖАВА ДЕЕСПОСОБНОСТ ДА ВСТЪПИ В РЕГИСТРИРАНО ПАРТНЬОРСТВО СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (ES) EL XXXXXXXXXX XXXXX XXXXXXXXX XXXX INSCRIBIRSE XXXX XXXXXXX DE XXX XXXXX XX HECHO XXX XXXXXXX XX XXXXXXX NACIONAL DEL XXXXXX XXXXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) JE XXXXXXX XXXXX ZPŮSOBILÁ XXXXXXX XXXXXXXXXXXX PARTNERSTVÍ XXXXX XXXXXXXXXXXXXX PRÁVA XXXXXXXXX XXXXX, X XXXX XX VEŘEJNÁ XXXXXXX VYDÁNA/ (DA) XXX XÅXÆXXXXXX XXXXXX XXX ADGANG XXX XX XXXXX INDGÅ XXXXXXXXXXX PARTNERSKAB X XXXXXXX XXX XXXXXXXX XXX X DEN XXXXXXXXXXX, XXXX XXX XXXXXXXXXX XXXXXXXX ER XXXXXXX/ (XX) HAT XXX XXXXXXXXXXX XXXXXX XXXX DEM XXXXXXXXXX XXXXX DES MITGLIEDSTAATS, XX XXX XXX ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, XXX FÄHIGKEIT, XXXX EINGETRAGENE XXXXXXXXXXXXX XXXXXXXXXX/ (XX) XX XXXXXXXXXX ISIKUL AVALIKU XXXXXXXXX VÄLJA XXXXXX XXXXXXXXXXXX ÕXXXXX XXXXXXXX XXXXXXXXXXXXXX KOOSELLU ASTUMISE XÕXXX/ (XX) ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΕΧΕΙ ΤΗΝ ΙΚΑΝΟΤΗΤΑ ΣΥΝΑΨΗΣ ΚΑΤΑΧΩΡΙΣΜΕΝΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ/ (XX) XXX XXXXXX XXXXXXXXX XXX XXX CAPACITY XX XXXXX INTO X XXXXXXXXXX XXXXXXXXXXX UNDER XXX XXXXXXXX LAW XX THE XXXXXX XXXXX XXXXX THE XXXXXX XXXXXXXX IS XXXXXX/ (XX) LA XXXXXXXX XXXXXXXXX XXXX XXXXXXXX UN XXXXXXXXXXX XXXXXXXXXX EN XXXXX XX XXXXX XXXXXXXX XX L'ÉTAT XXXXXX XÙ XX DOCUMENT XXXXXX XXX DÉLIVRÉ/ (XX) TÁ XX XXXXX XXXX xXXXXXXXX XXX CHUMAS XXX X mBUN XXXXXXXXXXXXXX XXXXXXXXXX XXXX XXXX XXXXXXXXX AN XXXXXXXXXX XXX xXXXXXXX XX XXXXXXXXX XXXXXX X XXXXXXXX/ (XX) XXXXXXX XXXXX IMA XXXXXXXXXX XX SKLAPANJE XXXXXXXXXXXXX XXXXXXXXXXX XXXXX XXXXXXXXXXX XXXXX DRŽAVE XXXXXXX X XXXXX XX XXXXX ISPRAVA IZDANA/ (XX) XX XXXXXXX XXXXXXXXXXX POSSIEDE XX XXXXXXXÀ DI SOTTOSCRIVERE XX'XXXXXX REGISTRATA X XXXXX XXX XXXXXXX XXXXXXXXX XXXXX STATO XXXXXX XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXĪXĀ XXXXXXX XXĒX XXĀXXXX XXĢXXXXĒXĀX XXXXXXXXXXXXXĪXĀX XXXXXŅĀ XX XĀX XXXĪXXXXXXX XXXXĪXX XXXXXX, XXXĀ XXXXXXXXXX XXXXXXXXX XX IZDOTS/ (XX) ATITINKAMAS XXXXX XXX XXXXXXXX XXXXXXXX XXXXXXXXXXĄ XXXXXXXXXXĘ XXXXX XXXXXXXĖX XXXĖX, KURIOJE XXXXXXXX XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (XX) XX ÉRINTETT XXXXXXX X XÖXXXXXXX XXXXXXXXXXXXX XXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXX SZERINT XXXXXXXXXX XXXXXXXXX XXXXXXXXXXX XXXXXXXXXX/ (XX) IL-PERSUNA XXXXĊXXXXXX GĦANDHA X-XXXXĊXXÀ XX TIDĦOL FI XĦXXXXX XXĠXXXXXXX XXĦX XX-XXĠX NAZZJONALI TAL-ISTAT XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX PUBBLIKU/ (NL) XXXXX XX XXXXXXXXXX XX XXXXXXXXXXX XX XXX XXXXXXXXXXXXX XXXXXXXXXXXX XXX TE XXXX XX GROND XXX XXX XXXXXXXXX XXXXX XXX XX XXXXXXXX XXXX HET XXXXXXXX XXXXXXXX XXXXX XXXXXXXXX/ (XX) OSOBA, XXXXXX XXXXXXX XXXXXXXX, XXXXXXX XXXXXXŚĆ DO XXXXXXXX XXXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX XX XXXX XXXXX XXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX, X XXXXXX TEN XXXXXXXX XXXĘXXXX XXXXXŁ XXXXXX/ (XX) X XXXXXX XX XXXXX XXXXXX X XXXXXXXXXX XX XXXXXXXXXXX XXX XXXXXXXX XXXXXXXXX XXX XXXXXX DO XXXXXXX XXXXXXXX XX ESTADO-MEMBRO XX XXX X XXXXXXXXX PÚBLICO XXX XXXXXXX/ (RO) XXXXXXXX XXXXXĂ XXX XXXXXXXXXXX XX X ÎNCHEIA XX XXXXXXXXXXX ÎXXXXXXXXXX ÎX XXXXXXXXXXXX XX XXXXXXX INTERN XX XXXXXXXX XXXXXX ÎX XXXX ESTE XXXX XXXXXXXXXX OFICIAL/ (SK) XXXXXXXX XXXXX XX XXÔXXXXXX UZAVRIEŤ XXXXXXXXXXXX XXXXXXXXXXX XXXĽX VNÚTROŠTÁTNEHO XXXXX XXXXXXXXX XXXXX, X XXXXXX XX XXXXXXX XXXXXXX VYDANÁ/ (XX) XX XXXXXXX XXXXX XXXXXXXX XX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX X XXXXXX X XXXXXXXXXXX XXXXXX DRŽAVE XXXXXXX, V XXXXXX XX IZDANA XXXXX XXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXÖXXÄ XX XXXXXXXXXX XXXXXXXXÖXXÄ XXXXXXXXX XXX XÄXXXXXXXXXX KANSALLISEN LAINSÄÄDÄNNÖN XXXXXX, JOSSA XXXXXXX XXXXXXXXX XX XXXXXXX/ (XX) XXX XXX XXXÖXXX XXXXXXXX XXXÖXXXXXX XXX XXXÅ XXXXXXXXXXX XXXXXXXXXXX XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX I XXX MEDLEMSSTAT XÄX XXX XXXXXXXXXX HANDLINGEN XXXÄXXXXXX

5.2

(XX) НЯМА ДАННИ СЪОТВЕТНОТО ЛИЦЕ ДА Е ВСТЪПИЛО В РЕГИСТРИРАНО ПАРТНЬОРСТВО СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) XX CONSTA XX XXXXXXXX XX NINGUNA XXXXX XX HECHO X XXXXXX XXX XXXXXXXXXX XXX ARREGLO XX XXXXXXX XXXXXXXX XXX ESTADO MIEMBRO XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXX PATRNĚ XXXXXXXXXX XXX XXXX XXXXXX REGISTROVANÉ PARTNERSTVÍ XXXXX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, V XXXX JE XXXXXXX XXXXXXX XXXXXX/ (XX) XXX XÅXÆXXXXXX XXXXXX XXX XXXX AT XXXX XXXXX XXXXXXXXXXX XXXXXXXXXXX OPFØRT UNDER XXX NAVN X XXXXXXX XXX XXXXXXXX XXX I XXX XXXXXXXXXXX, XXXX XXX XXXXXXXXXX DOKUMENT XX XXXXXXX/ (XX) XXXXXXX XXXX XXXXXXX, XXXX XXX XXXXXXXXXXX XXXXXX XXXXX XXXXX XXXXX XXXX XXXXXXXXXXXX XXXXXXXXXXXXX XXXX XXX NATIONALEN XXXXX XXX XXXXXXXXXXXXXX, XX XXX XXX ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX XXXXX, EINGEGANGEN IST/ (XX) XX XXX 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/ (EN) XXX XXXXXX XXXXXXXXX APPEARS XX XXXX XX XXXXXXXXXX XXXXXXXXXXX XX XXX OR XXX XXXX XXXXX XXX XXXXXXXX XXX OF XXX XXXXXX STATE XXXXX XXX XXXXXX XXXXXXXX XX XXXXXX/ (XX) XX XXXXXXXX XXXXXXXXX XX XXXXXX XXX AVOIR CONCLU XX PARTENARIAT ENREGISTRÉ XX XXX NOM XX VERTU XX XXXXX XXXXXXXX XX X'XXXX MEMBRE OÙ XX XXXXXXXX XXXXXX XXX XXXXXXX/ (XX) XX DHEALRAÍONN SÉ XX BHFUIL XX XXXXX XXXX mBAINEANN XXXXXXXXX X bPÁIRTNÉIREACHT XXXXXXXXXX FAOI XXXX XXXXXXXXX AN XXXXXXXXXX XXX xXXXXXXX AN XXXXXXXXX XXXXXX X XXXXXXXX/ (XX) NIJE XXXXXXX XX XX XXXXXXX OSOBA POD XXXXXX XXXXXX XXXXXXXX XXXXXXXXXXXX PARTNERSTVO PREMA XXXXXXXXXXX XXXXX XXXXXX XXXXXXX U XXXXX XX XXXXX XXXXXXX XXXXXX/ (XX) X XXXX XXXXX XXXXXXX XXXXXXXXXXX XXX XXXXXXX XXXXXXXXX XXXXXX XXXXXX XXXXXXXXXX A XXXXX XXX XXXXXXX NAZIONALE XXXXX XXXXX MEMBRO XXX XXXXXXXX XX XXXXXXXXX PUBBLICO/ (XX) XX XXXXXXĪXĀX PERSONAS XĀXXX XXX NOSLĒGTAS XXĢXXXXĒXXX XXXXXXXXXXXXXĪXXX XXXXXŅĀ XX XĀX XXXĪXXXXXXX XXXXĪXX XXXXXX, XXXĀ XXXXXXXXXX XXXXXXXXX XX XXXXXX/ (XX) XXXXXXXXXXX XXXXX XXXX XXXXX XĖXX XXXXXĘX XXXXXXXXXXXX XXXXXXXXXXĖX XXXXX XXXXXXXĖX XXXĖX, XXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (XX) XX XXXXXXXX SZEMÉLYNEK X XÖXXXXXXX KIÁLLÍTÁSÁNAK XXXXX XXXXXXXX XXXXXXXX NEMZETI XXXX SZERINT MEGÁLLAPÍTHATÓAN XXXXX BEJEGYZETT XXXXXXXXX XXXXXXXXXX/ (MT) XX-XXXXXXX XXXXĊXXXXXX XXXXXX XX XX GĦANDHIEX SĦUBIJA XXĠXXXXXXX X'XXXXXX XXĦX XX-XXĠX XXXXXXXXXX XXX-XXXXX XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (XX) XXXXX XX BETROKKENE XXXX XXXXXXXXXXXXX PARTNERSCHAP XX XXXX XX XXXX XXXX XX XXXXX XXX XXX XXXXXXXXX RECHT XXX XX LIDSTAAT XXXX XXX XXXXXXXX DOCUMENT XXXXX XXXXXXXXX/ (PL) XXXXX, XXXXXX XXXXXXX XXXXXXXX, XXX XXXXXXXXX X ZAREJESTROWANYM ZWIĄZKU XXXXXXXXXXX NA MOCY XXXXX XXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX, X XXXXXX XXX XXXXXXXX XXXĘXXXX XXXXXŁ WYDANY/ (XX) XÃX XX XXXXXXX XXXXXXX XXXXXXXX REGISTADA XX NOME DA XXXXXX XX XXXXX XXX XXXXXX XX XXXXXXX XXXXXXXX XX XXXXXX-XXXXXX EM XXX X XXXXXXXXX XXXXXXX XXX XXXXXXX/ (XX) XX XX XXXXXȘXX XXXXXX XXXXXXXXXXX ÎXXXXXXXXXX ÎXXXXXXX XX NUMELE XXXXXXXXX VIZATE ÎX XXXXXXXXXXXX XX DREPTUL XXXXXX AL XXXXXXXX XXXXXX ÎX CARE XXXX XXXX XXXXXXXXXX XXXXXXX/ (XX) DOTKNUTÁ XXXXX XXXXXX XXXXXXXXXX XXXXXXXXXXXX PARTNERSTVO XX XXXXXX XXXX PODĽA XXXXXXXXXXXXXX PRÁVA ČLENSKÉHO XXXXX, V KTOROM XX XXXXXXX XXXXXXX XXXXXX/ (SL) PO XXXXXXXXXXXXXX PODATKIH XXXXXXX XXXXX XX X XXXXXXXXXX XXXXXXXXX, XX XX XX XXXXXXXXXXXX X SVOJEM XXXXX XX X SKLADU X XXXXXXXXXXX XXXXXX XXXXXX XXXXXXX, X XXXXXX XX XXXXXX XXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XXXXXXX XX OLE XXXXXXXX XXXXXXXXÖXXXÄ XXXXXXXXXXXX XXX XÄXXXXXXXXXX KANSALLISEN LAINSÄÄDÄNNÖN XXXXXX, XXXXX YLEINEN XXXXXXXXX ON XXXXXXX/ (XX) XÖXXXXXXXX XXX XXXÖXXX PERSONEN XXXX XX INGÅTT XXXXXXXXXXX XXXXXXXXXXX XXXXXX DEN XXXXXXXXXX XXXXXXXXXXXXXX I XXX XXXXXXXXXXX DÄR XXX OFFICIELLA 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) NO XXX XXXXXXXXXX XX XXXXXX XXXXXXXXXXX PARA XXX XX XXXXXXXXXX XXXXXXXX XXX XXXXX XX XXXXX XXX XXXXXXX XX XXXXXXX XXXXXXXX XXX XXXXXX XXXXXXX XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (CZ) XXXXXXXXXX ŽÁDNÁ ZNÁMÁ XXXXXXXX, ABY XXXXXXX XXXXX UZAVŘELA XXXXXXXXXXXX XXXXXXXXXXX XXXXX XXXXXXXXXXXXXX XXXXX ČLENSKÉHO XXXXX, X XXXX XX XXXXXXX XXXXXXX XXXXXX/ (XX) DER FORELIGGER XXXXX XXXXXX HINDRINGER XXX, XX XXX XÅXÆXXXXXX PERSON XXX XXXXÅ XXXXXXXXXXX PARTNERSKAB X XXXXXXX XXX XXXXXXXX XXX I XXX MEDLEMSSTAT, HVOR XXX XXXXXXXXXX XXXXXXXX XX XXXXXXX/ (XX) XXX XXXX XXXXXXXXX XXXXXXX, XXX DEM XXXXXXXX XXXXX XXXXXXXXXXXXX XXXXXXXXXXXXX XXXXX XXX XXXXXXXXXXX PERSON NACH XXX NATIONALEN XXXXX XXX XXXXXXXXXXXXXX, XX XXX DIE ÖXXXXXXXXXX XXXXXXX XXXXXXXXXXX WURDE, XXXXXXXXXXXXX/ (ET) EI XXX XXXXX XXXXXXX XXXXXXXXX XÄXXX ANDNUD XXXXXXXXXXXX ÕXXXXX XXXXXXXX XXXXXXXXXX, XXX XXXXXXXXXXX XXXXXXXXXX ISIKUL XXXXXXXXXXXXXX XXXXXXXX XXXXXX/ (XX) ΔΕΝ ΕΙΝΑΙ ΓΝΩΣΤΟ ΚΑΝΕΝΑ ΚΩΛΥΜΑ ΓΙΑ ΤΗ ΣΥΝΑΨΗ ΚΑΤΑΧΩΡΙΣΜΕΝΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ ΑΠΟ ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΌΣΙΟ ΕΓΓΡΑΦΟ/ (XX) XXXXX XX NO XXXXX XXXXXXXXXX XXX XXX XXXXXX CONCERNED XX XXXXX XXXX X XXXXXXXXXX XXXXXXXXXXX XXXXX XXX XXXXXXXX XXX XX XXX XXXXXX XXXXX WHERE XXX XXXXXX XXXXXXXX XX XXXXXX/ (XX) XX X'XXXXXX XXX X'XXXÊXXXXXXX XXXXX À XX XXXXXXXXXX PAR XX XXXXXXXX XXXXXXXXX X'XX XXXXXXXXXXX XXXXXXXXXX XX XXXXX DU DROIT XXXXXXXX DE X'XXXX XXXXXX XÙ XX XXXXXXXX XXXXXX XXX XXXXXXX/ (XX) NÍL XXX XXXX AITHEANTA XXX AR XX XXXXX XXXX mBAINEANN XX XXX X xXXX XXXXXXXXXXXXXX XXXXXXXXXX XXXX XXXX NÁISIÚNTA XX XXXXXXXXXX INA xXXXXXXX XX XXXXXXXXX XXXXXX A EISIÚINT/ (XX) XXXX XXXXXXX XXXXXXX XXXX XXXX XXXXXXX XXXXX XX XX MOGLA SKLOPITI XXXXXXXXXXXX XXXXXXXXXXX PREMA XXXXX XXXXXX XXXXXXX X KOJOJ JE XXXXX ISPRAVA IZDANA/ (XX) XXX SONO XXXX IMPEDIMENTI ALLA XXXXXXXXXXXXXX DI XX'XXXXXX XXXXXXXXXX DELLA XXXXXXX XXXXXXXXXXX X XXXXX XXX XXXXXXX NAZIONALE XXXXX XXXXX XXXXXX XXX RILASCIA IL XXXXXXXXX PUBBLICO/ (LV) XXX ZINĀMI NEKĀDI XĶĒXXĻX ATTIECĪGAJAI XXXXXXXX

XXĀXXXX XXĢXXXXĒXĀX PARTNERATTIECĪBĀS XXXXXŅĀ XX XĀX XXXĪXXXXXXX XXXXĪXX XXXXXX, KURĀ XXXXXXXXXX XXXXXXXXX XX XXXXXX/ (XX) NĖRA XXXXXŲ KLIŪČIŲ ATITINKAMAM XXXXXXXX XXXXXXXX REGISTRUOTĄ XXXXXXXXXXĘ XXXXX VALSTYBĖS XXXĖX, XXXXXXX VIEŠASIS XXXXXXXXXX IŠDUODAMAS, XXXXXXXXXXĘ XXXXĘ/ (XX) XXXXX X XÖXXXXXXX KIÁLLÍTÁSÁNAK XXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXX XXXXXXXX, XXXXXX XXXXXXXX ANNAK, XXXX AZ XXXXXXXX XXXXXXX BEJEGYZETT ÉLETTÁRSI XXXXXXXXXXX LÉTESÍTSEN/ (XX) XX HEMM L-EBDA XXXXXXXXXX XXXĦXXX GĦALL-PERSUNA XXXXĊXXXXXX XXXX TIDĦOL XX XĦXXXXX REĠISTRATA XXĦX XX-XXĠX NAZZJONALI XXX-XXXXX XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX PUBBLIKU/ (XX) XX ER XXXX XXXXXXXXXXX XXXX XX XXXXXXXXX XXXXXXX XX XXX XXXXXXXXXXXXX XXXXXXXXXXXX AAN XX XXXX OP GROND XXX XXX XXXXXXXXX XXXXX XXX XX XXXXXXXX WAAR HET XXXXXXXX XXXXXXXX WORDT XXXXXXXXX/ (XX) XXX XXXXXXXĄ ZNANE XXXXXXXXXX XXX XXXXXXXX XXXXX XXXXĘ, XXXXXX XXXXXXX XXXXXXXX, ZAREJESTROWANEGO XXXĄXXX XXXXXXXXXXXXX XX XXXX XXXXX XXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX, X XXXXXX XXX XXXXXXXX XXXĘXXXX XXXXXŁ XXXXXX/ (XX) XÃX EXISTE IMPEDIMENTO XXXXXXXXX X XXX X XXXXXX XX XXXXX ESTABELEÇA XXX XXXXXXXX XXXXXXXXX XXX XXXXXX XX XXXXXXX XXXXXXXX XX XXXXXX-XXXXXX XX XXX X XXXXXXXXX XXXXXXX XXX XXXXXXX/ (RO) XX XX XXXXXX XXXXXXXXXXX XX ÎXXXXXXXXX XXXXXXXXXXXXXXX ÎXXXXXXXXXX ÎX CONFORMITATE XX DREPTUL XXXXXX XX XXXXXXXX MEMBRU ÎX CARE XXXX XXXX XXXXXXXXXX OFICIAL/ (XX) XXX XX XXXXX XXXXXXXX PRE XXXXXXXX XXXXX UZAVRIEŤ XXXXXXXXXXXX XXXXXXXXXXX PODĽA XXXXXXXXXXXXXX PRÁVA XXXXXXXXX XXXXX, V KTOROM XX XXXXXXX XXXXXXX XXXXXX/ (SL) NI XXXXXXXXXXXX ZADRŽKOV, XX XXXXXXX XXXXX NE XX XXXXX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX X XXXXXX X XXXXXXXXXXX XXXXXX DRŽAVE XXXXXXX, X KATERI XX XXXXXX XXXXX XXXXXXX/ (XX) ASIANOMAISEN HENKILÖN XXXXXXXXÖXXXXXX XXXXXXXXXXXXX XX XXXXXXÄ XXXXXX XXXXXXÄ XXX JÄSENVALTION KANSALLISEN XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX XXXXXXXXX ON XXXXXXX/ (SV) FINNS XXX XXXX XÄXXX XXXXXX XÖX XXX XXXÖXXX PERSONEN ATT XXXÅ XXXXXXXXXXX XXXXXXXXXXX XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX I XXX XXXXXXXXXXX XÄX XXX XXXXXXXXXX XXXXXXXXXX XXXÄXXXXXX

5.4

(XX) НЕ СА ИЗВЕСТНИ ПРЕЧКИ ЗА РЕГИСТРИРАНЕТО НА ПАРТНЬОРСТВО МЕЖДУ СЪОТВЕТНОТО ЛИЦЕ И НЕГОВИЯ БЪДЕЩ ПАРТНЬОР СЪГЛАСНО НАЦИОНАЛНОТО ПРАВО НА ДЪРЖАВАТА ЧЛЕНКА, В КОЯТО Е ИЗДАДЕН ОФИЦИАЛНИЯТ ДОКУМЕНТ/ (XX) NO HAY XXXXXXXXXX DE XXXXXX XXXXXXXXXXX PARA EL XXXXXXXX XX XXX XXXXX DE HECHO XXXXX XX XXXXXXXXXX X SU XXXXXX XXXXXX DE HECHO XXXXXXXXXX CON XXXXXXX XX XXXXXXX NACIONAL XXX ESTADO XXXXXXX XX XXXXXXXXXX XXX XXXXXXXXX PÚBLICO/ (XX) XXXXXXXXXX ŽÁDNÁ ZNÁMÁ XXXXXXXX REGISTROVANÉHO XXXXXXXXXXX XXXX DOTYČNOU OSOBOU X XXXXX BUDOUCÍM XXXXXXXXX / XXXX XXXXXXX XXXXXXXXXX XXXXX XXXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXX, V XXXX XX XXXXXXX XXXXXXX XXXXXX/ (XX) XXX XXXXXXXXXX INGEN XXXXXX XXXXXXXXXX FOR XX XXXXXXXXXXX XXXXXXXXXXX XXXXXX XXX XÅXÆXXXXXX XXXXXX XX XXXXXX KOMMENDE XXXXXXX X HENHOLD XXX NATIONAL XXX X XXX XXXXXXXXXXX, XXXX XXX XXXXXXXXXX XXXXXXXX XX XXXXXXX/ (XX) IST XXXX XXXXXXXXX XXXXXXX, XXX XXXXX XXXXXXXXXXXXX XXXXXXXXXXXXX XXXXXXXX XXX BETREFFENDEN XXXXXX XXX XXXXX XÜXXXXXXX XXXXXXX XXXX XXX NATIONALEN XXXXX XXX XXXXXXXXXXXXXX, XX XXX DIE ÖXXXXXXXXXX XXXXXXX AUSGESTELLT XXXXX, XXXXXXXXXXXXX/ (XX) XX XXX TEADA AVALIKU XXXXXXXXX XÄXXX XXXXXX XXXXXXXXXXXX ÕXXXXX XXXXXXXX XXXXXXXXXX, XXX TAKISTAKSID XXXXXXXXX XXXXX XX XXXX TULEVASE REGISTREERITUD XXXXXXXXXXX XXXXXXXX XXXXXXXX/ (XX) ΔΕΝ ΕΙΝΑΙ ΓΝΩΣΤΟ ΚΑΝΕΝΑ ΚΩΛΥΜΑ ΓΙΑ ΤΗ ΣΥΝΑΨΗ ΚΑΤΑΧΩΡΙΣΜΕΝΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ ΜΕΤΑΞΥ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΚΑΙ ΤΟΥ ΜΕΛΛΟΝΤΟΣ Ή ΤΗΣ ΜΕΛΛΟΥΣΑΣ ΣΥΝΤΡΟΦΟΥ ΤΟΥ ΔΥΝΑΜΕΙ ΤΟΥ ΕΘΝΙΚΟΥ ΔΙΚΑΙΟΥ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΟΠΟΥ ΕΚΔΟΘΗΚΕ ΤΟ ΔΗΜΌΣΙΟ ΕΓΓΡΑΦΟ/ (EN) THERE XX XX XXXXX XXXXXXXXXX XX X XXXXXXXXXX XXXXXXXXXXX BETWEEN XXX XXXXXX XXXXXXXXX XXX XXX XX XXX XXXXXXXX XXXXXXX XXXXX XXX XXXXXXXX XXX XX THE XXXXXX XXXXX WHERE XXX XXXXXX DOCUMENT XX XXXXXX/ (XX) XX N'EXISTE XXX X'XXXÊXXXXXXX XXXXX À XX XXXXXXXXXX X'XX XXXXXXXXXXX XXXXXXXXXX XXXXX XX PERSONNE XXXXXXXXX XX XXX FUTUR XXXXXXXXXX EN VERTU XX XXXXX XXXXXXXX XX X'XXXX XXXXXX XÙ LE DOCUMENT XXXXXX XXX XXXXXXX/ (XX) XXX AON XXXX XXXXXXXXX XXX XX PHÁIRTNÉIREACHT XXXXXXXXXX XXXX XX XXXXX XXXX xXXXXXXXX XXXX X X(X)XXXXXXXX XXXXXXXXXX XXXX DHLÍ XXXXXXXXX XX BHALLSTÁIT XXX xXXXXXXX XX XXXXXXXXX XXXXXX X XXXXXXXX/ (XX) XXXX POZNATE XXXXXXX XXXX XXXX XXXXXXX OSOBA X XXXXXX XXXXĆX XXXXXXX XX XX XXXXX XXXXXXXX XXXXXXXXXXXX XXXXXXXXXXX XXXXX NACIONALNOM PRAVU XXXXXX ČLANICE U XXXXX JE JAVNA XXXXXXX XXXXXX/ (XX) XXX SONO NOTI XXXXXXXXXXX ALLA XXXXXXXXXXXXXX XX UN'UNIONE XXXXXXXXXX XXX XX XXXXXXX XXXXXXXXXXX X IL XXXXXX XXXXXXX X XXXXX XXX XXXXXXX XXXXXXXXX DELLO STATO XXXXXX CHE XXXXXXXX XX XXXXXXXXX XXXXXXXX/ (XX) XXX ZINĀMI XXXĀXX ŠĶĒRŠĻI XXĢXXXXĒXX XXXXXXXXXXXXXĪXX XXXXĒXXXXXX XXXXX XXXXXXĪXX XXXXXXX UN XĀX TOPOŠO XXXXXXXX XXXXXŅĀ AR XĀX XXXĪXXXXXXX XXXXĪXX AKTIEM, XXXĀ XXXXXXXXXX XXXXXXXXX XX XXXXXX/ (XX) XĖXX XXXXXŲ KLIŪČIŲ XXXXXXXXXX ASMENS IR XX XŪXXXX (-OS) XXXXXXXXX (-ĖX) XXXXXXXXXXXX XXXXXXXXXXXX XXXXX VALSTYBĖS XXXĖX, XXXXXXX VIEŠASIS XXXXXXXXXX XXXXXXXXXX, XXXXXXXXXXĘ XXXXĘ/ (XX) NINCS X XÖXXXXXXX KIÁLLÍTÁSÁNAK XXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXX SZERINTI, XXXXXX XXXXXXXX XXXXX, XXXX XX XXXXXXXX XXXXXXX ÉS LEENDŐ XXXXXXXXX EGYMÁSSAL BEJEGYZETT XXXXXXXXX XXXXXXXXXXX LÉTESÍTSEN/ (XX) XX XXXX X-XXXX XXXXXXXXXX XXXĦXXX XĦXX SĦUBIJA REĠISTRATA XXXX XX-XXXXXXX XXXXĊXXXXXX X X-XXXĦXX JEW XXXĦXX XXXXX TAGĦHA XXĦX IL-LIĠI XXXXXXXXXX XXX-XXXXX XXXXXX XXXX XXĦXXXĠ XX-XXXXXXXX XXXXXXXX/ (XX) XX XX XXXX BELEMMERING XXXX XXX XXXXXXXXXXXXX PARTNERSCHAP XXXXXX DE XXXXXXXXXX XX XXXX XX XXXX XXXXXXX XXXXXXX XX XXXXX VAN XXX XXXXXXXXX RECHT XXX DE XXXXXXXX XXXX HET XXXXXXXX XXXXXXXX XXXXX AFGEGEVEN/ (XX) NIE ISTNIEJĄ XXXXX XXXXXXXXXX XXX XXXXXXXX XXXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX PRZEZ XXXXĘ, XXXXXX XXXXXXX DOKU-MENT, X XXXXĄ, X XXXXĄ XXXXXXXX ONA XXXXXXĆ XXXX ZWIĄZEK, XX XXXX XXXXX XXXXXXXXX PAŃSTWA

CZŁONKOWSKIEGO, W XXXXXX XXX DOKUMENT XXXĘXXXX XXXXXŁ XXXXXX/ (XX) XÃX XXXXXX XXXXXÇÃX CONHECIDA X XXX X XXXXXX XX XXXXX ESTABELEÇA XXX O(A) FUTURO(A) XXXXXXXX(X) XXX XXXXXXXX XXXXXXXXX XXX XXXXXX XX XXXXXXX XXXXXXXX XX ESTADO-MEMBRO XX XXX X XXXXXXXXX XXXXXXX FOI XXXXXXX/ (XX) XX XX XXXXXȘXX NICIO XXXXXȚXX XX ÎXXXXXXXXX XXXX XXXXXXXXXXX ÎXXXXXXXXXX ÎXXXX XXXXXXXX VIZATĂ ȘX XXXXXXXX PARTENER (XXXXXXXXX XXXXXXXXĂ) ÎN CONFORMITATE XX XXXXXXX INTERN XX STATULUI MEMBRU ÎX XXXX ESTE XXXX DOCUMENTUL XXXXXXX/ (XX) XXX XX XXXXX NÁMIETKA XXXX XXXXXXXXXXXXXX PARTNERSTVU MEDZI XXXXXXXXX OSOBOU X XXX XXXXXXXXXXXX XXXXXXXXX XXXĽX VNÚTROŠTÁTNEHO XXXXX XXXXXXXXX ŠTÁTU, X XXXXXX XX XXXXXXX XXXXXXX XXXXXX/ (XX) XX XXXXXXXXXXXXX XXXXXXXXXXXXX, XX ZADEVNA XXXXX XX XXXX XXXXXXXXXX XXXXXXX XX XX XXXXX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX X XXXXXX X NACIONALNIM XXXXXX XXXXXX XXXXXXX, X XXXXXX XX XXXXXX XXXXX XXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX XX XÄXXX XXXXXXX XXXXXXXXXXX XÄXXXXÄ REKISTERÖITYÄ XXXXXXXXXXXX XX XXX VASTUSTETTU XXX JÄSENVALTION KANSALLISEN XXXXXÄÄXÄXXÖX XXXXXX, XXXXX XXXXXXX ASIAKIRJA ON XXXXXXX/ (XX) FINNS XXX INGA XÄXXX XXXÄXXXXXXXX XXX INGÅENDE XX XXXXXXXXXXX XXXXXXXXXXX XXXXXX XXX XXXÖXXX XXXXXXXX XXX XXXX XXXXX HENNES BLIVANDE XXXXXXX XXXXXX XXX XXXXXXXXXX XXXXXXXXXXXXXX I XXX MEDLEMSSTAT DÄR XXX OFFICIELLA XXXXXXXXXX XXXÄXXXXXX

6.

(XX) ИНФОРМАЦИЯ ЗА БЪДЕЩИЯ ПАРТНЬОР НА СЪОТВЕТНОТО ЛИЦЕ/ (ES) XXXXXXXXXXX XXXXX XX XXXXXX PAREJA XX XXXXX REGISTRADA XXX XXXXXXXXXX/ (CZ) XXXXXXXXX X XXXXXXXX PARTNEROVI / XXXXXXX PARTNERCE XXXXXXX OSOBY/ (XX) XXXXXXXXXXX XX XXX XÅXÆXXXXXX PERSONS XXXXXXXX XXXXXXX/ (XX) ANGABEN XX XXX XÜXXXXXXX XXXXXXX XXX XXXXXXXXXXXX XXXXXX/ (XX) XXXXX XXXXX XXXXX, XXXXXXX XXXXXXXXX XXXX XXXXXX XXXXXXXXXXXXXX XXXXXXXX ASTUDA/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΜΕΛΛΟΝΤΟΣ Ή ΤΗΣ ΜΕΛΛΟΥΣΑΣ ΣΥΝΤΡΟΦΟΥ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) INFORMATION ON XXX XXXXXXXX XXXXXXX XX THE XXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXX XXX XX XXXXX XXXXXXXXXX DE XX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXX XX XXXXXXXXX BEARTAITHE XX XXXXX XXXX xXXXXXXXX/ (XX) INFORMACIJE O XXXXĆXX XXXXXXXX XXXXXXX XXXXX/ (XX) INFORMAZIONI XXX XXXXXX PARTNER XXXXX XXXXXXX XXXXXXXXXXX/ (XX) XXXXXXĀXXXX PAR XXXXXXĪXĀX XXXXXXXX XXXXXX XXXXXXXX/ (XX) INFORMACIJA XXXX XXXXXXXXXX XXXXXX XŪXXXĄ XXXXXXXĮ (-Ę)/ (XX) AZ ÉRINTETT XXXXXXX XXXXXŐ ÉLETTÁRSÁRA XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXĦXX XXX XXXĦXX XXXXX XXX-XXXXXXX KKONĊERNATA/ (XX) XXXXXXXXXX OVER XX XXXXXXX PARTNER XXX XX XXXXXXXXXX/ (PL) XXXX XXXXX, Z XXXXĄ XXXXX, XXXXXX XXXXXXX DOKUMENT, ZAMIERZA XXXXXXĆ XXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXX/ (XX) XXXXXXXÇÕXX XXXXX X(X) XXXXXX(X) XXXXXXXX(X)XX XXXXXX XX XXXXX/ (XX) XXXXXXXȚXX XXXXXXX VIITORUL XXXXXXXX (XXXXXXXXX PARTENERĂ) XX (X) XXXXXXXXX VIZATE/ (XX) XXXXXXXXXX X XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXXXXXX X PREDVIDENEM PARTNERJU XXXXXXX XXXXX/ (XX) XXXXXX ASIANOMAISEN XXXXXXÖX XXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXX OM DEN XXXÖXXX PERSONENS XXXXXXXX XXXXXXX

7.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX FIRMA/ (XX) XXXX PRO XXXXXX/ (DA) UNDERSKRIFTSFELT/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (FR) CADRE XXXX LA SIGNATURE/ (XX) XXXXX XXX XXXXX/ (XX) XXXXX XX XXXXXX/ (IT) XXXXXXXX XXX XX XXXXX/ (LV) XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXX/ (XX) XX XXXXXXX SZÖVEGDOBOZA/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX XX XXXXXXXXXXXX/ (XX) XXXX XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (SK) XXXXXXX NA PODPIS/ (XX) XXXXX XX XXXXXX/ (FI) ALLEKIRJOITUSKENTTÄ/ (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) Y XXXXXX(X) DEL XXXXXXXXXXX XXX EXPIDIÓ XXXX XXXXXXX/ (CZ) XXXXXXXX X XXXXX (XXXXX) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (DA) XXXXXXXXX(X) XX FORNAVN(E) XÅ XXX XXXXXXXXXX, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (DE) XXXXXXXXXXXX(X) UND XXXXXXX(X) XXX XXXXXXX, XXX XXXXXX FORMULAR AUSGESTELLT XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXX (-XXXXX) JA XXXXXXXXXXXXX (-XXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α) ΚΑΙ ΟΝΟΜΑ(-ΤΑ) ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXX(X) XXX FORENAME(S) XX XXX OFFICIAL XXX XXXXXX XXXX XXXX/ (XX) NOM(S) XX XXXXXX(X) XX FONCTIONNAIRE XXX X XXXXXXX XX XXXXXXX FORMULAIRE/ (XX) SLOINNE (SLOINNTE) XXXX CÉADAINM (XXXXXXXXXXXXXX) XX XXXXXXXX X X’XXXXXX AN FHOIRM XXX/ (XX) PREZIME(NA) X XXX(XX) SLUŽBENIKA XXXX JE IZDAO XXXX OBRAZAC/ (IT) XXXXXXX/X E XXXX/X XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, KURA IZDEVUSI XX XXXXXXXX, UZVĀRDS(-I) XX XĀXXX(-X)/ (XX) XXĄ FORMĄ XXXXXXXXX XXXXXXŪXX PAVARDĖ (-ĖX) XX XXXXXX (-XX)/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX TISZTVISELŐ XXXXXXX XXXX(X) XX UTÓNEVE(I)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) TAL-UFFIĊJAL XX ĦXXXĠ DIN XX-XXXXXXX/ (XX) NA(A)M(EN) XX XXXXXX(X)X(XX) XXX XX XXXXXXXXX DIE DIT XXXXXXXXX HEEFT AFGEGEVEN/ (XX) NAZWISKO(-A) X XXXĘ (IMIONA) XXXĘXXXXX, XXXXX XXXXŁ NINIEJSZY XXXXXXXXX/ (XX) XXXXXXX(X) X XXXX(X) PRÓPRIO(S) XX XXXXXXXXXXX QUE XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) NUMELE ȘX PRENUMELE XXXXȚXXXXXXXXX XXXX A XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) A XXXX(-X) XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX XXX/XXXXX XXXXXXXX, XX XX XXXXX XX OBRAZEC/ (XX) TÄMÄN LOMAKKEEN XXXXXXXX VIRKAMIEHEN XXXXXXXX (-XXXXX) XX XXXXXXX (-XXXXX)/ (XX) EFTERNAMN XXX XÖXXXXX XÅ XXX XXÄXXXXXXX XXX XXX UTFÄRDAT XXXXX XXXXXXÄX

7.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX DEL FUNCIONARIO XXX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX XXXXXXXX, KTERÝ XXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXX — XXX XXXXXXXXXX, XXX HAR XXXXXXX XXXXX FORMULAR/ (XX) XXXXXXXX XXX XXXXXXX, XXX XXXXXX XXXXXXXX AUSGESTELLT XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX AMETNIKU AMETIKOHT/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) POSITION XX XXX OFFICIAL XXX XXXXXX XXXX FORM/ (XX) POSTE XX XXXXXXXXXXXXX XXX A XXXXXXX XX PRÉSENT XXXXXXXXXX/ (XX) POST XX OIFIGIGH A X’XXXXXX XX XXXXXX XXX/ (XX) FUNKCIJA XXXXXXXXXX XXXX JE XXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX XXX XXXXXXXXXXX XXX XX XXXXXXXXXX XX PRESENTE XXXXXX/ (XX) XXXXXXXXXXXX, XXXX IZDEVUSI XX XXXXXXXX, XXXXX/ (XX) XXĄ FORMĄ IŠDAVUSIO XXXXXXŪXX XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ BEOSZTÁSA/ (XX) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX XXX XX AMBTENAAR XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, KTÓRY XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX DO XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (RO) XXXXȚXX XXXXȚXXXXXXXXX CARE X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, KTORÝ XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX URADNIKA, XX XX XXXXX XX XXXXXXX/ (XX) XÄXÄX XXXXXXXXX ANTANEEN XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

7.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) FECHA (DD/MM/AAAA) XX EXPEDICIÓN/ (CZ) XXXXX (DD/MM/RRRR) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (DD/MM/YYYY) XX XXXXX/ (FR) DATE (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (IT) XXXX XX RILASCIO (XX/XX/XXXX)/ (XX) IZDOŠANAS XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX DATA (XX/XX/XXXX)/ (XX) A XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) TAL-ĦRUĠ/ (XX) DATUM (XX/XX/XXXX) XXX XXXXXXX/ (PL) XXXX (DD/MM/RRRR) XXXXXXX/ (XX) XXXX DE XXXXXÃX (DD/MM/AAAA)/ (RO) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXX/ (SL) DATUM (XX/XX/XXXX) IZDAJE/ (XX) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) FÖR XXXÄXXXXXX

7.4

(XX) ПОДПИС/ (XX) XXXXX/ (CZ) XXXXXX/ (XX) UNDERSKRIFT/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (EN) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (IT) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (HU) ALÁÍRÁS/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) PODPIS/ (XX) ASSINATURA/ (XX) XXXXĂXXXX/ (SK) PODPIS/ (XX) PODPIS/ (FI) XXXXXXXXXXXXX/ (XX) NAMNTECKNING

7.5

(BG) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX X XXXXXX/ (XX) PEČEŤ XXXX RAZÍTKO/ (XX) XXXX XXXXX STEMPEL/ (XX) SIEGEL XXXX XXXXXXX/ (XX) XXXXXX XÕX XXXXXX/ (EL) ΣΦΡΑΓΙΔΑ/ (XX) SEAL XX XXXXX/ (FR) XXXXX XX XXXXXX/ (XX) XXXXX NÓ XXXXXX/ (HR) ŽIG XXX PEČAT/ (IT) XXXXX X TIMBRO/ (XX) ZĪMOGS XXX XXXXXXXX/ (XX) SPAUDAS XXXX ANTSPAUDAS/ (XX) XXXXXX VAGY BÉLYEGZŐLENYOMAT/ (XX) XXĠXXX JEW XXXXXX/ (XX) ZEGEL XX XXXXXXX/ (XX) XXXXXĘĆ XXX XXXXXXX/ (XX) SELO XX XXXXXXX/ (RO) XXXXXXXX XXX ȘXXXXXXX/ (SK) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (XX) PEČAT XXX XXX/ (FI) XXXXXXX XXX XXXXX/ (XX) SIGILL XXXXX XXÄXXXX

XXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX

XXXXXXXXXXX XXXXXXXXXX FORMULÁŘ – XXXXXXX PRO XXXXXXX

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

Xxxxxx (XX) Bulharsko (XX)

Xxxxx xxxxxxxxx (XX)

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Xxxxxxxx (XX) Xxxxx (IE)

Řecko (XX) Xxxxxxxxx (ES)

Francie (XX) Chorvatsko (XX)

Xxxxxx (XX) Xxxx (CY)

Lotyšsko (XX) Xxxxx (LT)

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Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxx (XX) Rakousko (XX)

Xxxxxx (XX) Xxxxxxxxxxx (XX)

Xxxxxxxx (RO) Xxxxxxxxx (XX)

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UPOZORNĚNÍ XXX XXXXXXXXXX XXXXX

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

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

1. XXXXX XXXXXXXXXX TENTO XXXXXXXX

1.1 Název (3)

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

1.1 Xxxxx (4)

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

3.1 Xxxxxxx xxxxxx xxxxxxx xxxx xxxxxxxxx s xxxxxx xx soudy daného xxxxxxxxx xxxxx

3.1.1 Rozhodnutí xxxxx

3.1.2 Xxxxxxx vydaná xxxxxxx xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx xxxxxx xxxxxxx xxxxxxxxx

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

3.1.5 Xxxx (xxxxxxxxx)

(1) Úř. xxxx. X 200, 26.7.2016, x. 1.

(2) Při xxxxxxxxxx rukou xxxxxxxx xxxxxxx xxxxx.

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

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

3.2 Xxxxxxx vydaná xxxxxxxx xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx x xxxxxxx

3.2.3 Xxxxx z xxxxxxxx xxxxxxxx

3.2.4 Xxxx matričních xxxxxxx

3.1.5 Jiné (upřesněte)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, kterým xxxx xxxxxxxx xxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx

3.5 Xxxxxxx xxxxxxxxxx diplomatickým xxxxxxxxx xxxx xxxxxxxxxxx xxxxxxxxx xxxxxxxxx státu v xxxxx xxxxxx jeho xxxxxxxxxx xxxxxxxxxx

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx xxxxx xxxxxxx xxxxxxx

4. XXXXXXXXX X XXXXXXX XXXXX

4.1 Xxxxx/x xxxxxxxx

4.2 Xxxxxxxx/x xxxxxxxx

4.3 Příjmení xxxx xxxxxxxxx registrovaného xxxxxxxxxxx

4.4 Xxxxxxxx xx xxxxxxxx xxxxxxxxxxxxxx partnerství

4.5 Xxxxx (xxxxx)

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 Xxx

4.8.3 Neurčeno

4.9 Xxxxxx příslušnost

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

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

5.2 Xxxx v xxxxxxxxxxxxx partnerství

5.2.1 Xxxxx xxxxxx x xxxxxxxxxxxxx xxxxxxxxxxx

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

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

5.3 Xxxxxxxx

6. POLE XXX XXXXXX

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

6.2 Funkce xxxxxxxx, xxxxx vydal tento xxxxxxxx

6.3 Datum (dd/mm/rrrr) xxxxxx

6.4 Xxxxxx

6.5 Xxxxx xxxx xxxxxxx

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

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

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX POLOŽEK

(STATUS XXXXXXXXXXXXXX PARTNERSTVÍ)

1.

(BG) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXX QUE XXXXXX XXXX IMPRESO/ (XX) ORGÁN XXXXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXX UDSTEDENDE XXXXXXXXX/ (DE) BEHÖRDE, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (ET) KÄESOLEVA XXXXX VÄLJA XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) AUTHORITY XXXXXXX XXXX XXXX/ (XX) XXXXXXXX DE XXXXXXXXXX XX PRÉSENT XXXXXXXXXX/ (GA) XX xXXXXXX A XXXXXXXX XX XXXXXX XXX/ (XX) XXXXXX XXXX XXXXXX XXXX XXXXXXX/ (XX) XXXXXXXÀ XXX XXXXXXXX XX XXXXXXXX XXXXXX/ (LV) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XX' XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX XXXXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX QUE XXXXX O XXXXXXXX XXXXXXXXXX/ (RO) XXXXXXXXXXX XXXXXXXĂ X XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (XX) ORGAN, KI XXXX TA XXXXXXX/ (XX) TÄMÄN XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXX XXX UTFÄRDAR XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (ES) XXXXXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (DE) XXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΟΝΟΜΑΣΙΑ/ (XX) XXXXXXXXXXX/ (FR) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (MT) XXXXX/ (XX) BENAMING/ (XX) XXXXX/ (XX) XXXXXXXÇÃX/ (XX) XXXXXXXX/ (XX) NÁZOV/ (SL) XXX/ (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 XX XXXXXXX XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) DEN MYNDIGHED, XXX XXX XXXXXXX XXX OFFENTLIGE DOKUMENT, XXX XXXXX FORMULAR XX XXXXÆXXXX/ (XX) XXXÖXXX, XXX DIE ÖXXXXXXXXXX URKUNDE, DER XXXXXX XXXXXXXX BEIGEFÜGT XXX, XXXXXXXXX/ (XX) XXXXXX, XXX XXXXX XÄXXX XXXXXXX XXXXXXXXX, XXXXXXX XXX VORM XX XXXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXX XXXXXXX XXX PUBLIC XXXXXXXX XX WHICH XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX DOCUMENT XXXXXX XXXXXX XXX XXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X XXXXXXXX XX XXXXXXXXX XXXXXX XXXX BHFUIL AN XXXXXX SEO CEANGAILTE/ (XX) XXXXXX XXXX XXXXXX XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÀ CHE XXXXXXXX XX DOCUMENTO XXXXXXXX XXX XX PRESENTE XXXXXX È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ VEIDLAPA XX PIEVIENOTA, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (XX) X XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX XXX-XXXXXXXX XXXXXXXX LI XXXXĦX HIJA XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX OPENBAAR XXXXXXXX WAARAAN DIT XXXXXXXXX IS GEHECHT/ (XX) XXXXX WYDAJĄCY XXXXXXXX XXXĘXXXX, XX XXXXXXX XXXXXXXXX FORMULARZ XXXX XXŁĄXXXXX/ (PT) XXXXXXXXXX XXX XXXXX X XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) AUTORITATEA XXXXXXXĂ X DOCUMENTULUI XXXXXXX LA XXXX XXXX ANEXAT PREZENTUL XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, XX KTOREJ JE XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX XXXX XXXXX LISTINO, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) VIRANOMAINEN, XXXX XX XXXXXXX YLEISEN XXXXXXXXXX, XXXXX TÄMÄ XXXXXX LIITETÄÄN/ (XX) 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 XXXXXXXX AL XXXXXXXXX XXXXXXX XX QUE XX ADJUNTA ESTE XXXXXXX/ (CZ) XXXXXXXXX XXXXXXXX SE XXXXXXX XXXXXXX, X NÍŽ XX PŘILOŽEN TENTO XXXXXXXX/ (XX) OPLYSNINGER XXXXØXXXXX XXX XXXXXXXXXX XXXXXXXX, SOM XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXX ZUR ÖXXXXXXXXXXX URKUNDE, XXX XXXXXX FORMULAR XXXXXXÜXX XXX/ (XX) XXXXX XXXXXXX XXXXXXXXX XXXXX, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XXXXXXXX XX THE XXXXXX DOCUMENT XX XXXXX XXXX FORM XX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX XXXXXX AUQUEL XXX JOINT LE XXXXXXX FORMULAIRE/ (XX) XXXXXXXX X XXXXXXXXX XXXX XX XXXXXXXXX XXXXXX LENA BHFUIL XX FHOIRM XXX XXXXXXXXXX/ (HR) XXXXXXXXXXX XXXX XX XXXXXX XX XXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXX AL XXXXXXXXX XXXXXXXX CUI XX PRESENTE XXXXXX È XXXXXXXX/ (LV) XXXXXXĀXXXX XXX PUBLISKO XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXXXX, SUSIJUSI XX XXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX XXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX VONATKOZÓ INFORMÁCIÓK/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX LI XXXXĦX HIJA MEHMUŻA XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXX HET XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX IS XXXXXXX/ (PL) XXXXXXXXXX XXXXXXĄXX DOKUMENTU XXXĘXXXXXX, XX KTÓREGO XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX RELATIVAS XX DOCUMENTO XXXXXXX X XXX X XXXXXXXX FORMULÁRIO XXXX XXXXXX/ (XX) INFORMAȚII XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX LA XXXX XXXX ANEXAT XXXXXXXXX XXXXXXXX/ (SK) XXXXXXXXXX X VEREJNEJ XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXX X XXXXX XXXXXXX, XX JI XX XXXXXXXX XX XXXXXXX/ (XX) TIEDOT XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ LOMAKE XXXXXXÄÄX/ (XX) XXXXXXXXXXX XX XXX XXXXXXXXXX HANDLING XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX XXXXXXXX XXX UNA XXXXXXXXX X XX XXXXXXXXXXX VINCULADO X XXX ÓRGANOS XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXX ORGÁNEM XXXX XXXXXXXXX X VAZBOU XX SOUDY XXXXXX XXXXXXXXX STÁTU/ (XX) XXXXXXXX, XXX XX XXXXXXX XX XX XXXXXXXXX XXXXX XX XXXXXXXXXX, XXX XX XXXXXXXXXX XXXXXXXX X XX XXXXXXXXXXX/ (XX) XXXXXXX XXXXX BEHÖRDE XXXX XXXXX XXXXXXXXXX XXX XXXXX XXX XXXXXXXXXXXX EINES XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXXXXXXX KOHTUTEGA XXXXXX XXXXXXXXXXX XÕX AMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (EN) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXX XX AN XXXXXXXX CONNECTED WITH XXX COURTS OR XXXXXXXXX XX X XXXXXX STATE/ (XX) XXXXXXXX ÉMANANT D'UNE XXXXXXXX OU D'UN XXXXXXXXXXXXX XXXXXXXX X'XXX XXXXXXXXXXX D'UN XXXX XXXXXX/ (XX) DOICIMÉAD X XXXXXXX X XXXXXX NÓ X XXXXXXXXX A BHFUIL XXXXX XXXX NÓ XXXX XX CÚIRTEANNA XX XX BINSÍ XX CHUID BALLSTÁIT/ (XX) ISPRAVA KOJU XX XXXXXX TIJELO XXX XXXXXXXXX XXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX XXXXXXX XX XX'XXXXXXXÀ O DA XX XXXXXXXXXXX XXXXXXXXXXXX XX UNA DELLE XXXXXXXXXXXXX DI UNO XXXXX XXXXXX/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX XX XXXĪXXXXXXX TIESĀM XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (LT) XXXXXXXXXX, XXXXXXXX VALDŽIOS INSTITUCIJOS XX PAREIGŪNO, XXXXXXXXŲ XX VALSTYBĖS NARĖS XXXXXXXX AR XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX XXXX 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 AFGEGEVEN XXXX EEN XXXXXXXXXX XX AMBTENAAR XXXXXXXXX XXX XXX XXXXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX OD XXXXXX XĄXXXXXX LUB XXXĘXXXXX XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX UMA XXXXXXXXXX XX DE UM XXXXXXXXXXX XXXXXXXXXX XX XXXXXXXX XXXXXXXÇÃX XX XX ESTADO-MEMBRO/ (XX) XXXXXXXX XXXX XX X AUTORITATE XXX XX UN XXXXȚXXXXX XX PE XÂXXĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXX XXXXXXXXX X XÄXXXX XX SÚDY XXXXXXXXX XXXXX/ (XX) XXXXXXX, XXXXXX X STRANI XXXXXX XXX URADNIKA XXXXX OBLASTI DRŽAVE XXXXXXX/ (XX) XXXXXXXXX, XXXXX XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX KUULUVA XXXXXXXXXXXX XXX VIRKAMIES/ (XX) HANDLING XXX XÄXXÖX XXÅX XX XXXXXXXXX XXXXX EN XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (ES) XXXXXXXXXX JUDICIAL/ (XX) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (DE) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX DECISION/ (XX) XXXXXXXX DE XXXXXXX/ (XX) XXXXXXXX XX xXXXXX/ (XX) SUDSKA XXXXXX/ (IT) XXXXXXXXX XXXXXXXXXXXXXXX/ (LV) XXXXXX XĒXXXX/ (XX) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (MT) DEĊIŻJONI XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (XX) XXXXXÃX XXXXXXXX/ (XX) HOTĂRÂRE XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (SL) XXXXX XXXXXXX/ (XX) TUOMIOISTUIMEN XÄÄXÖX/ (SV) DOMSTOLSBESLUT

3.1.2

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (ES) DOCUMENTO XXXXXXXX XXX XX XXXXXXXXXX XXXXXX/ (CZ) XXXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (DA) XXXXXXXX XXXXXXX XX EN XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXX STAATSANWALTSCHAFT/ (XX) XXXXXXXX, XXXXX XX XÄXXX ANDNUD XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX MINISTÈRE XXXXXX/ (XX) XXXXXXXXX X XXXXXXX Ó XXXXXXXXXXXXXXX POIBLÍ/ (XX) XXXXXXX XXXX XX XXXXXX XXXXXXX ODVJETNIŠTVO/ (XX) XXXXXXXXX EMANATO XXX XXXXXXXX XXXXXXXXX/ (XX) DOKUMENTS, XXXX XXXXXXXXXX XXXXXXXXX/ (LT) XXXXXXXXX XXXXXXXX DOKUMENTAS/ (XX) ÜXXXXX ÁLTAL XXXXXXXXXX XXXXXX/ (MT) XXXXXXXX MAĦRUĠ XXXX XXXXXXXXXX PUBBLIKU/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX OPENBAAR MINISTERIE/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX XXXX XX XX XXXXXXXX/ (SK) XXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXX, XX XX IZDA DRŽAVNO XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX FRÅN ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (ES) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXX XXXXXXX XXXXXXXXX/ (XX) DOKUMENT XXXXXXX XX XX JUSTITSSEKRETÆR/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX XXXXXÄXXXXXXXXX XXXXX XXXXXXXX/ (ET) XXXXXXXX, XXXXX ON XÄXXX ANDNUD XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX XXXX A XXXXX XX X COURT/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX/ (GA) XXXXXXXXX A THAGANN X XXXXXXXXXX XX XXXXX XXXXXX/ (XX) XXXXXXX XXXX JE XXXXX XXXXXXXXXX SUDSKE XXXXXXXXX/ (XX) DOCUMENTO XXXXXXX DA UN XXXXXXXXXXX/ (LV) DOKUMENTS, XXXX IZSNIEDZIS XXXXXX XXXXXXĀXX/ (XX) TEISMO XXXXXXXXXX XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ XXXXX KIÁLLÍTOTT OKIRAT/ (XX) XXXXXXXX XXĦXXĠ XXXX XXĠXXXXXXXX XX' XXXXX/ (XX) DOCUMENT XXXXXXXXX DOOR XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (PT) DOCUMENTO XXXXXXXXXXX DE UM XXXXXXX DE XXXXXÇX/ (XX) XXXXXXXX XXXX XX XX GREFIER XX INSTANȚEI/ (SK) XXXXXXX XXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXX, XX JO XXXX XXXXX USLUŽBENEC/ (FI) XXXXXXXXXXXXXX XXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXX XÄXXÖX XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („HUISSIER XX XXXXXXX“)/ (XX) XXXXXXXXX XXXXXXXX POR XX XXXXXX XXXXXXXX («HUISSIER XX JUSTICE»)/ (CZ) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX XX XX XXÆXXXXXXXXXX (»XXXXXXXX DE XXXXXXX«)/ (XX) XXXXXXX XXXXX GERICHTSVOLLZIEHERS/ (ET) XXXXXXXX, XXXXX ON XÄXXX XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX DE JUSTICE»)/ (XX) DOCUMENT XXXXXXXXX XXXX A XXXXXXXX XXXXXXX ('XXXXXXXX XX XXXXXXX')/ (FR) XXXXXXXX XXXXXXX X'XX XXXXXXXX XX XXXXXXX/ (GA) XXXXXXXXX X XXXXXXX X XXXXXXXXX BREITHIÚNACH (“XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXX XX XXXXX XXXXXX XXXXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) DOCUMENTO XXXXXXX DA XX XXXXXXXXX XXXXXXXXXXX ("HUISSIER XX JUSTICE")/ (XX) XXXXXXXXX, KURU XXXXXXXXXX XXXXXX IZPILDĪTĀJS (XXXXXXXX XX XXXXXXX)/ (LT) XXXXXXXXX (HUISSIER XX XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXXX („XXXXXXXX XX XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXĊXXX ĠXXXXXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX AFGEGEVEN XXXX EEN XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX SĄDOWEGO (XXXXXXXX XX XXXXXXX)/ (XX) DOCUMENTO PROVENIENTE XX XX XXXXXXÃX XX XXXXXXX («XXXXXXXX XX XXXXXXX»)/ (RO) XXXXXXXX EMIS XX XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX DE XXXXXXX”)/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX JUSTICE“)/ (XX) XXXXXXX, KI XX XXXX XXXXX XXXXXXXXXX („XXXXXXXX DE JUSTICE“)/ (XX) XXXXXXXXXXXX (”HUISSIER XX JUSTICE”) ANTAMA XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX FRÅN XX STÄMNINGSMAN (XXXXXXXX XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) OTRO (XXXXXXXXXXXXX)/ (XX) JINÉ (XXXXXXXXX)/ (XX) ANDRE (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) XXX (XÄXXXXXXXX)/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (XX BE XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (XX) XXXX (XX XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (XX) XXXXX (XXXXXXXXX)/ (XX) XXXX (XXXXXXĒX)/ (LT) XXXX (XXXXXXXX)/ (HU) XXXXX (XXXXÜX XXXXXXXXXXX)/ (XX) XĦXXXX (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) INNY (XXXXXĘ XXXXŚXXĆ)/ (PT) OUTROS (X XXXXXXXXXXX)/ (RO) XXXXX (X SE XXXXXXX)/ (XX) XXX (XXXXXXXX)/ (SL) XXXXX (XXXXXXX)/ (XX) MUU XXXXXXXXX (TÄSMENNETTÄVÄ)/ (XX) XXXXX HANDLING (SPECIFICERAS)

3.2

(BG) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (ES) XXXXXXXXX ADMINISTRATIVO/ (CZ) XXXXXXX VYDANÁ XXXXXXXX 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) XXXXXXXXX XXXXXXXXXXXXXX/ (LV) ADMINISTRATĪVS XXXXXXXXX/ (XX) ADMINISTRACINIS XXXXXXXXXX/ (HU) XÖXXXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (PL) XXXXXXXX XXXXXXXXXXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) DOCUMENT XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (FI) XXXXXXXXXXXXXX XXXXXXXXX/ (SV) ADMINISTRATIV XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÅXXXXXXX/ (XX) XXXXXXXXXXXXX/ (ET) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (EN) XXXXXXXXXXX/ (XX) CERTIFICAT/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (LT) XXXXXX, LIUDIJIMAS/ (HU) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊERTIFIKAT/ (XX) CERTIFICAAT/ (PL) XXŚXXXXXXXXXX/ (XX) CERTIDÃO XX XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) XXXXXXXX XXX XXXXXXXX XXXXX/ (CZ) XXXXX Z XXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (DE) XXXXXX XXX XXX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) EXTRACT XXXX XXX XXXXX XXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XX X'XXXX XXXXX/ (XX) SLIOCHT XX XX xXXXX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XX XXXXXXXX XXXXXXX XXXXXX/ (IT) XXXXXXXX XX XXXX XX XXXXX CIVILE/ (XX) XXXXXXXX XX XXXXXXXĀXXXĻX XXXX XXĢXXXXX/ (LT) XXXXXXX IŠ XXXXXXXĖX XŪXXĖX AKTŲ XXXXXXXX/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) ESTRATT XXX-XXĠXXXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXX XXX XXX XXXXXXXX XXX XX XXXXXXXXXXX STAND/ (XX) XXXXX XXXXXXXX XXXX XXXXX CYWILNEGO/ (XX) XXXXXXX XX XXXX XX REGISTO CIVIL/ (XX) EXTRAS XXX XXXXXXXXX XX XXXXX XXXXXĂ/ (SK) VÝPIS X XXXXXXXX OSOBNÉHO XXXXX/ (XX) XXXXXXX XX XXXXXXXX O XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (XXXXXXXXÄÄXX)/ (XX) XXXXXX XX FOLKBOKFÖRINGEN

3.2.3

(BG) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (XX) XXXXXXXX XXX XXXXX/ (XX) XXXXX X XXXXXXXX XXXXXXXX/ (DA) XXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXX XXX XXX XXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (XX) XXXXXXX XXXX XXX XXXXXXXXXX XXXXXXXX/ (FR) XXXXXXX DU REGISTRE XX XX POPULATION/ (XX) XXXXXXX XX XX xXXXX XXXXXX/ (XX) XXXXXXX XX XXXXXX STANOVNIŠTVA/ (XX) XXXXXXXX ANAGRAFICO/ (LV) XXXXXXXX NO XXXXĪXXXĀXX XXĢXXXXX/ (XX) IŠRAŠAS XX GYVENTOJŲ XXXXXXXX/ (XX) XXXXXXX A XXXXXXXXXXXX- XX XXXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXX MIR-REĠISTRU XXX-XXXXXXXXXXXX/ (XX) UITTREKSEL XXX XXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXĄX X XXXXXXXX LUDNOŚCI/ (PT) XXXXXXX DO REGISTO XX XXXXXXÇÃX/ (RO) XXXXXX DIN REGISTRUL XX XXXXXXȚĂ X XXXXXXȚXXX/ (SK) XXXXX X XXXXXXXX XXXXXXXĽXX/ (XX) IZPISEK XX XXXXXXXX PREBIVALSTVA/ (XX) XÄXXXÖXXXXXXXXXXXX/ (SV) XXXXXX XX XXXXXXXXXXXXXXXXXXX

3.2.4

(XX) ПЪЛЕН ПРЕПИС ОТ АКТОВЕ ЗА ГРАЖДАНСКО СЪСТОЯНИЕ/ (XX) XXXXX XXXXXXX XX XXXXX XXX XXXXXXXX CIVIL/ (XX) XXXX MATRIČNÍCH XXXXXXX/ (XX) XXXXXX XXXX XX CIVILSTANDSREGISTRE/ (DE) XÖXXXXXXX KOPIE VON XXXXXXXXXXXXXXXXXXXÄXXX/ (ET) PEREKONNASEISUAKTI XXXXXX/ (EL) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (XX) XXXXXXXX XXXX OF XXXXX XXXXXX XXXXXXX/ (XX) XXXXX INTÉGRALE X'XXXXX XX X'XXXX XXXXX/ (XX) XXXX XXXXX XX XXXXXX XX XXXXXXX XX XXXXXX XXXXXXXXX/ (HR) DOSLOVNI XXXXXXXX XX XXXXXXXXXX X XXXXXXX XXXXXX/ (XX) XXXXX XXXXXXXXX XX XXXX DI XXXXX CIVILE/ (LV) XXXXXXXĀXXXĻX XXXX REĢISTRA XXXXXXXX XXXXXXXXXX XXXXXX/ (XX) CIVILINĖS XŪXXĖX XXXŲ ĮXXXŲ XXXXXXXĖ XXXXXX/ (XX) XXXXXÖXXXX XXXXXXXXX SZÓ SZERINTI XXXXXXXX/ (XX) XXXXX XXXXXXXX XXX-XXXX XXX-XXXXX ĊXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXX XXX XXXXX XXX DE XXXXXXXXXXX XXXXX/ (PL) XXXXX XXXXŁXX XXXX XXXXX XXXXXXXXX/ (PT) XXXXXXÃX XX XXXXX XXXXXXXX XX DE NARRATIVA XX ATOS XX XXXXXXX XXXXX/ (XX) XXXXX XXXXXĂ A XXXX XXX XX XXXXX CIVILĂ/ (XX) XXXXXXXX XXXXX XX XXXXXXX O XXXXXXX XXXXX/ (XX) DOBESEDNI XXXXXX LISTIN X XXXXXXX STANJU/ (XX) XÄXXXÖXXXXXXXXXXXXXXXXX XXXXXXXXXX JÄLJENNÖS/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) ACTA XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (DA) NOTARBEKRÆFTET XXXXXXXX/ (XX) NOTARIELLE XXXXXXX/ (XX) NOTARIAALDOKUMENT/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) ACTE NOTARIÉ/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) JAVNOBILJEŽNIČKA XXXXXXX/ (XX) XXXX NOTARILE/ (XX) XXXXXXĀXX XXXX/ (XX) NOTARINIS XXXXX/ (XX) XÖXXXXXXŐX XXXXXX/ (XX) ATT XXXXXXXX/ (XX) XXXXXXËXX XXXX/ (XX) XXX NOTARIALNY/ (XX) XXX NOTARIAL/ (XX) XXX NOTARIAL/ (XX) XXXXXXXX LISTINA/ (XX) XXXXXXXX XXXXXXX/ (XX) NOTAARIN ANTAMA XXXXXXXXX/ (SV) XXXXXXXXX XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX XXXXXX XXXXX XX XXXXXXXXX PRIVADO/ (CZ) XXXXXX XXXXXXXXX, XXXXXX XXXX XXXXXXXX XXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXX XÅXXXXXXX XÅ ET DOKUMENT XXXXXXXXXXX XX EN XXXXXX X XXXXXX XXXXXXXX XX PRIVATPERSON/ (XX) XXXXXXXX XXXXXXXXXXXXX XXX EINER XXXXXXXXXXXXX/ (XX) XXXXX POOLT XXXXXXXXXX ALLKIRJASTATUD DOKUMENDILE XXXXXXXXXX XXXXXXX XÕXXX/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX XXXXXX ON X XXXXXXXX XXXXXX XX X XXXXXX XX XXX XX XXX PRIVATE XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX XXXXXXX XXX XX XXXX XXXX XXXXX XXXXX/ (XX) XXXXXXXX XXXXXXXXX A XXXXXXXXX XX XXXXXXXXXX ARNA XXXXXX AG XXXXX XXX XXXXX NÓ XXX XXXX XXXXXXXXXXXXXX/ (XX) SLUŽBENA XXXXXXX XXXXXXXXX NA XXXXXXX XXXX XX XXXXX XXXXXXXXX X PRIVATNOM XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX XXX SCRITTURA XXXXXXX/ (XX) OFICIĀLS XXXXXXXXĀXXXX XX XXXXXXXXX, XX XXXĀ XĀXXĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (XX) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ĊXXXXXXXXX XXXXĊXXXX LI XXXXXXXĦXX F'DOKUMENT XXXXXXXX XXXX XXXXXXX XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (NL) XXXXXXXXX XXXXXXXXXXX XX XXX XXXXXXXX XXXXXXXXXXX XXXX XXX XXXXXXX XX XXXX XXXXXXXXXXXX XXXXXXXXXXXX/ (PL) URZĘDOWE XXŚXXXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXXXXX XXXXX XXXXĘ DZIAŁAJĄCĄ X XXXXXXXXXXX PRYWATNYM/ (PT) XXXXXXXÇÃX OFICIAL XXXXXXX XXX XXX XX XXXXXXXX PRIVADA/ (XX) XXXXXXXXXX XXXXXXX XXXXXXX XX XX XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX XX XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX XXX XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXX XX XXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, XXXXX XXXXXXÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) OFFICIELLT XXXXX XXXXXXXXX XÅ XX XXXXXXXX XXX XXXXXXXXXXXXX XX XX PRIVATPERSON

3.5

(BG) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (XX) XXXXXXXXX XXXXXXXX POR UN XXXXXX XXXXXXXXXXX O XXXXXXXX XX UN XXXXXX XXXXXXX XXX XXXXXXXX XXXXXXX/ (CZ) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX STÁTU X XXXXX VÝKONU XXXX SLUŽEBNÍCH POVINNOSTÍ/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX XX XX XXXXXXXXXXXX DIPLOMATISKE XXXXX XXXXXXÆXX REPRÆSENTANT/ (XX) XXX EINEM XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX VERTRETER XXXXX MITGLIEDSTAATS IN XXXXXX AMTLICHEN XXXXXXXX XXXXXXXXXX URKUNDE/ (XX) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX POOLT AMETIKOHUSTUSTE XÄXXXXXXX KOOSTATUD XXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) XXXXXXXX XXXXX XX BY X XXXXXXXXXX XX XXXXXXXX XXXXX XX X XXXXXX XXXXX IN XXX XX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX ÉTABLI EN XX XXXXXXX XXXXXXXXXX XXX UN XXXXX XXXXXXXXXXXX XX XXXXXXXXXX X'XX XXXX XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX XXXX AG XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX XX XXXXX XXXXXXXXX INA CHÁIL XX XXX CÁIL XXXXXXXXX/ (XX) XXXXXXX XXXX XX X XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXXXX ILI XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX REDATTO XX XXXXXX XXXXXXXXXXX X XXXXXXXXX XX XXX XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX AMATA XXXXĀXXXXX, XXXXXXXXXXX DALĪBVALSTS XXXXXXĀXXXXXXX XXX KONSULĀRAIS XĀXXXĀXXX/ (LT) DOKUMENTAS, XXXXXXXXX VALSTYBĖS XXXĖX XXXXXXXXX AR XXXXXXXXXX XXXXXXŪXX, VEIKIANČIO XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX KONZULI XXXXXXXXŐXX XXXXX HIVATALOS MINŐSÉGÉBEN XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXXX MINN XĠXXX XXXXXXXXXXX XXX XXXXXXXXX XX' XXXX XXXXXX FIL-KAPAĊITÀ UFFIĊJALI XXXXĦX/ (XX) DOCUMENT XXXXXXXXX XXXX XX XXXXXXXXXXXX OF CONSULAIRE XXXXXXXXX XXX XXX XXXXXXXX XX XXXX XXXXXXËXX XXXXXXXXXXXX/ (XX) XXXXXXXX SPORZĄDZONY PRZEZ XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX XXX XXXĘXXXXX XXXXXXXXXXXX PAŃSTWA XXŁXXXXXXXXXXX DZIAŁAJĄCYCH X XXXXXXXXXXX XXXĘXXXXX/ (XX) XXXXXXXXX XXXXXXX POR XX XXXXXX XXXXXXXXXXX XX XXXXXXXX XX XX XXXXXX-XXXXXX XX XXXXXXXXX DAS SUAS XXXÇÕXX OFICIAIS/ (XX) XXXXXXXX ÎXXXXXXX XX XĂXXX UN XXXXX XXXXXXXXXX XXX XXXXXXXX XX XXXX STAT XXXXXX, ÎN XXXXXXXX XXXXXXXĂ/ (XX) LISTINA XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XXXXX KONZULÁRNYM XXXXXXXXX XXXXXXXXX XXXXX X XXXXX VÝKONU XXXX XXXXXXX/ (XX) LISTINA, XX XX XXX XXXXXX XXXXX IZDA XXXXXXXXXXX ALI XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX XX XXXXXXXX VIRANTOIMITUKSESSA/ (XX) XXXXXXXX XXXXÄXXXX X XXÄXXXXX AV EN XXXXXXXXXXX ELLER XXXXXXÄX XXÄXXXXXXX X EN XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (ES) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (CZ) DATUM (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (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 (XX/XX/XXXX)/ (XX) IZDOŠANAS DATUMS (XX/XX/XXXX)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (HU) X KIÁLLÍTÁS DÁTUMA (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)/ (RO) XXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) VYDANIA/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX XX REFERENCIA XXX DOCUMENTO PÚBLICO/ (XX) XXXXXXXXXX XXXXX XXXXXXX LISTINY/ (XX) XXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) KENNNUMMER XXX ÖXXXXXXXXXXX XXXXXXX/ (XX) XXXXXXX DOKUMENDI XXXXXXXXXXX/ (EL) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (EN) XXXXXXXXX XXXXXX XX XXX XXXXXX XXXXXXXX/ (XX) XXXXXX XX XXXXXXXXX XX XXXXXXXX XXXXXX/ (XX) XXXXXX XXXXXXXXX XX DOICIMÉID XXXXXXX/ (XX) XXXXXXXXXX XXXX XXXXX ISPRAVE/ (XX) XXXXXX XX XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX/ (XX) PUBLISKĀ XXXXXXXXX XXXXXXXX XXXXXX/ (LT) XXXXXXX DOKUMENTO XXXXXXX/ (XX) A XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX PUBBLIKU/ (XX) XXXXXXXXXXXXXXXX XXX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXX REFERENCYJNY XXXXXXXXX XXXĘXXXXXX/ (XX) XXXXXX XX XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (RO) XXXĂXXX XX REFERINȚĂ XX XXXXXXXXXXXX XXXXXXX/ (XX) REFERENČNÉ XXXXX XXXXXXXX LISTINY/ (XX) XXXXXXXXXX ŠTEVILKA JAVNE XXXXXXX/ (FI) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (XX) XXXXXXXXXXX SOBRE XX XXXXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX OSOBĚ/ (XX) OPLYSNINGER OM XXX XÅXÆXXXXXX XXXXXX/ (XX) XXXXXXX XXX XXXXXXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXX XÄXXXXXX XXXXX/ (XX) ΣΤΟΙΧΕΙΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX PERSON XXXXXXXXX/ (FR) XXXXXXXXXXXX XXX XX XXXXXXXX XXXXXXXXX/ (GA) FAISNÉIS XXXXXX XXXX AN XXXXX XXXX xXXXXXXXX/ (XX) XXXXXXXXXXX X XXXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX/ (XX) INFORMĀCIJA XXX XXXXXXĪXX XXXXXXX/ (XX) XXXXXXXXXXX APIE XXXXXXXXXĄ XXXXXĮ/ (XX) XX XXXXXXXX XXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXX XXXXĊXXXXXX/ (XX) XXXXXXXXXX XXXX XX XXXXXXXXXX/ (XX) DANE OSOBY, XXXXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÇÕXX XXXXX X PESSOA EM XXXXX/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXX XXXXXĂ/ (XX) XXXXXXXXXX X XXXXXXXXX XXXXX/ (SL) XXXXXXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXXXXX XXXXXXÖX TIEDOT/ (XX) XXXXXXXXX OM XXX XXXÖXXX PERSONEN

4.1

(BG) ФАМИЛНО(И) ИМЕ(НА) ПО РОЖДЕНИЕ/ (XX) XXXXXXXX(X) XX XXXXXXXXXX/ (XX) XXXXX/X XXXXXXXX/ (XX) EFTERNAVN(E) XXX XØXXXXX/ (DE) XXXXXXXXXXXX(X) BEI XXX XXXXXX/ (XX) XÜXXXXÄXXXX XXXXXXXXXXXXX (XÜXXXXÄXXXXX PEREKONNANIMED)/ (XX) ΕΠΩΝΥΜΟ(-Α) ΚΑΤΑ ΤΗ ΓΕΝΝΗΣΗ/ (XX) XXXXXXX(X) AT XXXXX/ (XX) NOM(S) À XX NAISSANCE/ (XX) XXXXXXX (XXXXXXXX) BREITHE/ (XX) XXXXXXX(XX) XXX XXĐXXXX/ (IT) XXXXXXX/X XXXX NASCITA/ (XX) XXXĀXXX(-X) XXXXXXXXX BRĪDĪ/ (XX) PAVARDĖ (-ĖX), XXXXXXXX (-XX) XXXXX/ (XX) XXÜXXXXXX XXXXXXX XXXX(X)/ (MT) KUNJOM(/KUNJOMIJIET) XXX-XXXXXX/ (XX) XXXXXXXX(X)X(XX) XXX DE GEBOORTE/ (XX) NAZWISKO(-A) XXXXXX/ (XX) APELIDO(S) À XXXX XX NASCIMENTO/ (XX) NUMELE XX XXȘXXXX/ (XX) XXXXX XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX XX XXXXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXXXÄXXXXXXXÄ/ (XX) XXXXXXXXX XXX XÖXXXXX

4.2

(XX) НАСТОЯЩО(И) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X) XXXXXX(XX)/ (CZ) SOUČASNÉ/Á XXXXXXXX/ (DA) XXXÆXXXXX XXXXXXXXX(X)/ (XX) XXXXXXXXXX(X) XXXXXXXXXXXX(X)/ (XX) XXXXXXXX XXXXXXXXXXXXX (XXXXXXXXX XXXXXXXXXXXXXX)/ (XX) ΤΡΕΧΟΝ(-ΤΑ) ΕΠΩΝΥΜΟ(-Α)/ (XX) CURRENT XXXXXXX(X)/ (XX) XXX(X) ACTUEL(S)/ (XX) SLOINNE (XXXXXXXX) XXXXXX/ (XX) XXXXXXXX(-X) XXXXXXX(XX)/ (XX) XXXXXXX/X XXXXXXX/X/ (XX) XXXXXXX(-XX) XXXĀXXX(-X)/ (XX) XXXXXXXXĖ (-ĖX) PAVARDĖ (-ĖX)/ (XX) XXXXXXXXX CSALÁDI XXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX) XXXXXXX/ (NL) HUIDIGE XXXXXXXX(X)X(XX)/ (PL) XXXXXX XXXXXXXX(-X)/ (XX) XXXXXXX XX XXXXXXXX ATUAIS/ (XX) XXXXXX XXXXXX(X)/ (XX) XXXXXXX XXXXXXXXXX(-X)/ (XX) SEDANJI PRIIMEK/PRIIMKI/ (XX) XXXXXXXX SUKUNIMI (XXXXXXXX XXXXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXX

4.3

(XX) ФАМИЛНО(И) ИМЕ(НА) ПРЕДИ АКТА/ (XX) XXXXXXXX(X) XXXXX XX XX INSCRIPCIÓN/ (XX) PŘÍJMENÍ PŘED XXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) EFTERNAVN(E) XØX XXXXXXXXXXXXXX/ (DE) XXXXXXXXXXXX(X) XXX XXX EINTRAGUNG XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX (-XXXXX) XXXX XXXXXXXXXXXXXXX/ (XX) ΕΠΩΝΥΜΟ(-Α) ΠΡΙΝ ΑΠΟ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (EN) XXXXXXX(X) XXXXXX THE XXX/ (XX) NOM(S) XXXXX X'XXXX/ (XX) XXXXXXX (SLOINNTE) XXXXX XX xXXXXXX/ (XX) XXXXXXX(XX) XXXXX XXXXXXXXXXXXX XXXXXXXXXXX/ (IT) COGNOME/I XXXXX XXXX'XXXX/ (XX) XXXĀXXX(-X) XXXXX AKTA/ (XX) XXXXXXĖ (-ĖS) XXXXX XXXXXXXX XXXĄ/ (XX) XXXXXXX XXXX(X) XX XXXXXXXXX XXXXXXXXX XXXXXXXXXX XXŐXX/ (XX) XXXXXX(/XXXXXXXXXXX) XXXXX X-XXX/ (XX) XXXXXXXX(X)X(XX) XXXX XX XXXX/ (XX) XXXXXXXX(-X) XXXXX XXXXXXXXXXĄ XXXĄXXX/ (XX) APELIDO(S) XXXXX XX ATO/ (XX) XXXXXX ÎXXXXXX XX ÎXXXXXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX(-X) XXXX XXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXX/XXXXXXX XXXX XXXXXXXXXXXX XXXXXXXXXX SKUPNOSTI/ (XX) XXXXXXXX (-XXXXX) XXXXX REKISTERÖINTIÄ/ (SV) XXXXXXXXX XÖXX XXXÅXXXXX

4.4

(XX) ФАМИЛНО(И) ИМЕ(НА) ВСЛЕДСТВИЕ НА РЕГИСТРИРАНЕТО НА АКТА/ (XX) APELLIDO(S) XXXXXXX DE LA XXXXXXXXXXX/ (CZ) PŘÍJMENÍ XX XXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (DA) XXXXXXXXX(X) XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXXX XXX XXXXXXXXXX XXX PARTNERSCHAFT/ (XX) PEREKONNANIMI (-NIMED) XÄXXXX REGISTREERIMIST/ (XX) ΕΠΩΝΥΜΟ(-Α) ΜΕΤΑ ΤΗΝ ΠΡΑΞΗ ΚΑΤΑΧΩΡΙΣΗΣ/ (XX) XXXXXXX(X) XXXXXXXXX XXX XXX/ (XX) XXX(X) À XX XXXXX XX L'ACTE/ (GA) XXXXXXX (XXXXXXXX) TAR XXX AN GHNÍMH/ (XX) PREZIME(NA) XXXXX XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXX/X XXXX X'XXXX/ (XX) XXXĀXXX(-X) XĒX XXXX/ (XX) XXXXXXĖ (-ĖX) PO XXXX XXXXXXXX/ (HU) XXXXXXX XXXX(X) AZ XXXXXXXXX XXXXXXXXX XXXXXXXXXX XXXX/ (XX) KUNJOM(/KUNJOMIJIET) XXXX X-XXX/ (NL) XXXXXXXX(X)X(XX) XX XX XXXX/ (XX) NAZWISKO(-A) XX XXXXXXXXXXX ZWIĄZKU/ (XX) XXXXXXX(X) XXXX O XXX/ (XX) XXXXXX XXXĂ ÎNREGISTRAREA XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX(-X) XX XXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXX/XXXXXXX PO XXXXXXXXXXXX PARTNERSKE XXXXXXXXX/ (XX) XXXXXXXX (-XXXXX) XXXXXXXXÖXXXXX XÄXXXXX/ (XX) XXXXXXXXX EFTER XXXÅXXXXX

4.5

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (CZ) JMÉNO (XXXXX)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (ET) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (XXXXXXXXXXXXXX)/ (HR) XXX(XX)/ (IT) XXXX(X)/ (XX) XĀXXX(-X)/ (XX) XXXXXX (-XX)/ (HU) XXXXXXX(X)/ (MT) XXXX(/XXXXXXXX)/ (XX) VOORNA(A)M(EN)/ (XX) XXXĘ (XXXXXX)/ (PT) XXXX(X) PRÓPRIO(S)/ (XX) XXXXXXX/ (XX) MENO(-Á)/ (XX) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (XX) XÖXXXXX

4.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (ES) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (CZ) XXXXX (XX/XX/XXXX) XXXXXXXX/ (DA) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX BIRTH/ (XX) XXXX (JJ/MM/AAAA) XX XXXXXXXXX/ (XX) DÁTA (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (XX) XXXX XX XXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX DATUMS (DD/MM/GGGG)/ (XX) GIMIMO DATA (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (MT) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (DD/MM/RRRR) XXXXXXXXX/ (PT) DATA XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) DATA (ZZ/LL/AAAA) XXȘXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXXX/ (XX) SYNTYMÄAIKA (PP/KK/VVVV)/ (XX) FÖDELSEDATUM (DD/MM/ÅÅÅÅ)

4.7

(BG) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (ES) XXXXX X XXXX XX NACIMIENTO/ (CZ) XXXXX A XXXX XXXXXXXX/ (XX) XØXXXXXX XX -XXXX/ (XX) XXX UND XXXX XXX XXXXXX/ (XX) XÜXXXXXXX XX -RIIK/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) XXXXX AND XXXXXXX XX BIRTH/ (XX) XXXX XX PAYS XX XXXXXXXXX/ (XX) XXX XXXX XXX XXXXXXXX/ (XX) XXXXXX X ZEMLJA ROĐENJA/ (XX) XXXXX E XXXXX XX XXXXXXX/ (XX) XXXXXXXXX VIETA XX VALSTS/ (XX) XXXXXX XXXXX XX XXXXX/ (XX) SZÜLETÉSI XXXXX XX ORSZÁGA/ (XX) POST X XXXXXŻ XXX-XXXXXX/ (XX) XXXXXXXXXXXXXX XX -XXXX/ (XX) XXXXXXX X XXŃXXXX XXXXXXXXX/ (XX) XXXXX X XXXX XX XXXXXXXXXX/ (RO) XXXXX ȘI ȚXXX XXȘXXXXX/ (XX) XXXXXX X XXXX NARODENIA/ (XX) KRAJ XX XXXXXX ROJSTVA/ (XX) XXXXXXÄXXXXXX JA -MAA/ (XX) FÖDELSEORT XXX -XXXX

4.8

(XX) ПОЛ/ (ES) XXXX/ (XX) XXXXXXX/ (XX) XØX/ (XX) XXXXXXXXXX/ (XX) XXXX/ (XX) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (XX) XXXXXX/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) NEME/ (XX) SESS/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (XX) SEXO/ (RO) XXXXX/ (XX) XXXXXXXX/ (XX) XXXX/ (XX) XXXXXXXXX/ (XX) XÖX

4.8.1

(XX) ЖЕНСКИ/ (ES) MUJER/ (XX) ŽENA/ (XX) XXXXXX/ (DE) WEIBLICH/ (XX) XXXXXXXXX/ (EL) ΘΗΛΥ/ (XX) FEMALE/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (HR) ŽENSKI/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (LT) XXXXXXX/ (XX) NŐ/ (XX) XXXX/ (XX) XXXXX/ (XX) KOBIETA/ (PT) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (SL) XXXXXX/ (FI) XXXXXX/ (XX) KVINNA

4.8.2

(BG) МЪЖКИ/ (XX) XXXXX/ (CZ) XXX/ (XX) MAND/ (XX) XÄXXXXXX/ (XX) XXXXXXXXX/ (XX) ΑΡΡΕΝ/ (XX) XXXX/ (XX) XXXXXXXX/ (GA) XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XĪXXXXXX/ (XX) VYRAS/ (XX) XXXXX/ (MT) XXĠXX/ (XX) XXX/ (XX) XĘŻXXXXXX/ (XX) MASCULINO/ (XX) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) MIES/ (SV) XXX

4.8.3

(XX) НЕОПРЕДЕЛЕН/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) XXXXXXXXXXXXX/ (LV) XXXXXXXXXX/ (XX) NENUSTATYTA/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) NÃO DEFINIDO/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXX/ (XX) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

4.9

(XX) ГРАЖДАНСТВО/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXÖXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) ΙΘΑΓΕΝΕΙΑ/ (XX) NATIONALITY/ (XX) XXXXXXXXXXX/ (GA) XXXXXXXXXXXX/ (HR) DRŽAVLJANSTVO/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXĪXX/ (XX) XXXXXXXXĖ/ (XX) ÁLLAMPOLGÁRSÁGA/ (MT) ĊXXXXXXXXXXX/ (NL) NATIONALITEIT/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (RO) XXXĂȚXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (FI) XXXXXXXXXXXX/ (SV) XXXXXXXXXXXXX

5.

(XX) СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ, ПОЛОЖЕНИЕТО НА РЕГИСТРИРАНО ПАРТНЬОРСТВО НА СЪОТВЕТНОТО ЛИЦЕ Е, КАКТО СЛЕДВА/ (XX) SEGÚN XX XXXXXXXXX XXXXXXX XX XXX SE XXXXXXX ESTE IMPRESO, XX XXXXXX DEL XXXXXXXXXX XX XX XXX XXXXXXXX A XX CALIDAD XX XXXXXXX DE XXX XXXXX DE HECHO XXXXXXXXXX ES EL XXXXXXXXX/ (XX) XX XXXXXXX VEŘEJNÉ XXXXXXX, X NÍŽ JE XXXXXXXX XXXXX XXXXXXXX, XX DOTYČNÁ OSOBA XXXXX XXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) I XXXXXXX XXX DET XXXXXXXXXX DOKUMENT, SOM XXXXX XXXXXXXX ER XXXXÆXXXX, XXX DEN XÅXÆXXXXXX PERSON XØXXXXXX XXXXXXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXX XXX EINGETRAGENEN XXXXXXXXXXXXX XXX BETREFFENDEN XXXXXX GEMÄSS XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (ET) XXXXXXXXX XXXXXXXXX XXXXXXXXXXX, XXXXXXX XXX XXXX XX XXXXXXX, XX XXXXXXXXXX XXXXXX XÄXXXXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXXX STAATUS/ (XX) ΣΥΜΦΩΝΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ, ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΕΧΕΙ ΤΗΝ ΑΚΟΛΟΥΘΗ ΚΑΤΑΣΤΑΣΗ ΑΠΟ ΑΠΟΨΗ ΚΑΤΑΧΩΡΙΣΜΕΝΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ/ (EN) XXXXXXXXX TO THE XXXXXX XXXXXXXX TO XXXXX XXXX XXXX XX ATTACHED, THE XXXXXX XXXXXXXXX XXX XXX XXXXXXXXX XXXXXXXXXX XXXXXXXXXXX XXXXXX/ (XX) X'XXXÈX XX XXXXXXXX XXXXXX AUQUEL LE XXXXXXX XXXXXXXXXX EST XXXXX, XX STATUT XX PARTENARIAT XXXXXXXXXX XX XX PERSONNE XXXXXXXXX XXX XX XXXXXXX/ (XX) XX XXXX XX XXXXXXXXX XXXXXXX XXXX XXXXXX XX XXXXXX SEO XXXXXXXXXX, XX XX XXXXXX XXXXXXXXXXXXXXX XXXXXXXXX X LEANAS XX XX XXXXX XXXX xXXXXXXXX/ (HR) XXXXX XXXXXX XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX XXXXXX REGISTRIRANOG XXXXXXXXXXX XXXXXXX XXXXX XX SLJEDEĆI/ (IT) XXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX, LO XXXXX XX XXXXXX XXXXXXXXXX XXXXX XXXXXXX XXXXXXXXXXX È XX XXXXXXXX/ (XX) XXXXXŅĀ XX XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, XXXXXXĪXXXXX XXXXXXXX XX ŠĀDS XXĢXXXXĒXX XXXXXXXXXXXXXĪXX XXXXXXX/ (XX) XXXXX XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX FORMA, XXXXXXXXXX XXXXXX REGISTRUOTOS PARTNERYSTĖS XXXĖXXX XXX XXXXX/ (XX) XX XXXXXXXX XXXXXXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXX ÖXXXXXÜXXŐ XXXXXXXXX X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXX XXXXXXX/ (MT) XXXXX ID-DOKUMENT PUBBLIKU XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX, XX-XXXXXXX XXXXĊXXXXXX GĦANDHA X-XXXXXXX XX' XĦXXXXX XXĠXXXXXXX KIF ĠEJ/ (XX) VOLGENS XXX XXXXXXXX DOCUMENT XXXXXXX XXX XXXXXXXXX XX XXXXXXX, IS DE XXXXXX VAN HET XXXXXXXXXXXXX PARTNERSCHAP XXX XX XXXXXXXXXX XX XXXXXXXX/ (PL) X XXXXXXXXX URZĘDOWEGO, DO XXXXXXX XXŁĄXXXXX XXXX XXXXXXXXX FORMULARZ, XXXXXX, ŻX XXXXX, KTÓREJ XXXXXXX DOKUMENT, XXXXXXX XXXXĘXXXĄXX XXXXXX ZWIĄZANY X XXXXXXXXXXXXXXX XXXĄXXXXX XXXXXXXXXXX/ (XX) XXXXXXX X XXXXXXXXX XXXXXXX X XXX X XXXXXXXX XXXXXXXXXX ESTÁ XXXXXX, À XXXX XX XXX XXXXXÃX, X XXXXXXXX DE XXXXXXXX XXXXXXXXX DA XXXXXX EM XXXXX X/ (XX) ÎX XXXXXXXXXXXX CU DOCUMENTUL XXXXXXX XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX, PERSOANA XXXXXĂ XXX URMĂTORUL XXXXXX XXXXXXX XXXXXXXXXXXXX ÎNREGISTRAT/ (XX) PODĽA XXXXXXXX XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX, MÁ DOTKNUTÁ XXXXX TENTO ŠTATÚT XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) X SKLADU Z XXXXX LISTINO, XX XX JE XXXXXXXX XX XXXXXXX, XX XXXXXX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX ZADEVNE OSEBE XXXXXXXXX/ (XX) XXX XXXXXXX XXXXXXXXXX MUKAAN, XXXXX TÄMÄ LOMAKE XXXXXXÄÄX, ASIANOMAISEN HENKILÖN XXXXXXXXÖXXXXX XXXXXXXXXXXXXX LIITTYVÄ XXXXXXXXÄÄXX ON XXXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXX XXXXXXXX TILL XXXXXX XXXXX FORMULÄR ÄX XXXXXXX ÄX XXX XXXÖXXX PERSONENS XXXXXX XXXXXXXX XXXXXXXXXXX XXXXXXXXXXX XÖXXXXXX

5.1

(XX) С РЕГИСТРИРАНО ПАРТНЬОРСТВО/ДАТА (ДД/ММ/ГГГГ) НА РЕГИСТРИРАНЕ НА ПАРТНЬОРСТВОТО/ (ES) TIENE XXXXXX XX XXXXX XXXXXXXXXX / XXXXX (XX/XX/XXXX) XX REGISTRO XX LA XXXXX XX HECHO/ (CZ) XX X XXXXXXXXXXXXX XXXXXXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXX/XXXX (XX/XX/ÅÅÅÅ) XXX XXXXXXXXXXXXXX XX XXXXXXXXXXXXX/ (XX) EINGETRAGENER PARTNER/DATUM (XX/XX/XXXX) XXX XXXXXXXXXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX ELUKAASLANE / XXXXXXX XXXXXXXXXXXXXXX KUUPÄEV (XX/XX/XXXX)/ (XX) ΚΑΤΑΧΩΡΙΣΜΈΝΟΣ(-Η) ΣΥΝΤΡΟΦΟΣ / ΗΜΕΡΟΜΗΝΊΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΚΑΤΑΧΩΡΙΣΗΣ ΤΗΣ ΣΧΕΣΗΣ ΣΥΜΒΙΩΣΗΣ/ (EN) XXXXXXXXXX XXXXXXX/XXXX (XX/XX/XXXX) XX XXXXXXXXXXXX XX XXX PARTNERSHIP/ (XX) XXXXX XXXXXX XX XXXXXXXXXXX XXXXXXXXXX/XXXX (JJ/MM/AAAA) X'XXXXXXXXXXXXXX XX PARTENARIAT/ (XX) XXXXXXXXX XXXXXXXXX/XXXX (XX/XX/XXXX) XXXXXX NA XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXX / XXXXX (XX/XX/XXXX) XXXXXXXXXXXXX PARTNERSTVA/ (XX) PARTNER XXXXXXXXXX/XXXX XX XXXXXXXXXXXXX XXXX'XXXXXX (XX/XX/XXXX)/ (XX) XXĢXXXXĒXXXX XXXXXXXXX / PARTNERATTIECĪBU XXĢXXXXĒXXXXX DATUMS (XX/XX/XXXX)/ (XX) REGISTRUOTAS (-A) XXXXXXXXX (-Ė) / XXXXXXXXXXĖX XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) XXXXXXXXXX XXXXXXXX/X BEJEGYZETT XXXXXXXXX XXXXXXXXX XXXXXXXXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXĦXX(/XXXĦXX) XXĠXXXXXX(X) X XXXX (XX/XX/XXXX) XXX-XXĠXXXXXXXXXXX TAS-SĦUBIJA/ (XX) XXXXXXXXXXXXXX PARTNER/DATUM (XX/XX/XXXX) XXX REGISTRATIE XXX HET XXXXXXXXXXXX/ (XX) XXXXXXXXX W XXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXX / DATA (DD/MM/RRRR) XXXXXXXX XXXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXXXX/ (XX) XXXXXXXX(X) XXXXXXXXX(X)/XXXX XX XXXXXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX ÎXXXXXXXXXX/XXXX (XX/XX/XXXX) ÎNREGISTRĂRII XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXX/XXXXX (XX/XX/XXXX) UZAVRETIA XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) REGISTRIRAN XXXXXXX/XXXXX (XX/XX/XXXX) REGISTRACIJE XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXÖXXX KUMPPANI/PARISUHTEEN REKISTERÖINTIPÄIVÄ (XX/XX/XXXX)/ (SV) XXXXXXXXXXX XXXXXXX/XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXXXXXXXXXX XX XXXXXXXXXXXXX

5.2

(XX) БЕЗ РЕГИСТРИРАНО ПАРТНЬОРСТВО/ (XX) XX TIENE XXXXXX XX HECHO XXXXXXXXXX/ (XX) XXXX X REGISTROVANÉM XXXXXXXXXXX/ (XX) IKKE I XX XXXXXXXXXXX XXXXXXXXXXX/ (XX) NICHT XX XXXXX EINGETRAGENEN XXXXXXXXXXXXX/ (XX) XX XXX XXXXXX REGISTREERITUD KOOSELUS/ (XX) ΔΕΝ ΒΡΙΣΚΕΤΑΙ ΣΕ ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΧΕΣΗ ΣΥΜΒΙΩΣΗΣ/ (EN) XXX XX X XXXXXXXXXX XXXXXXXXXXX/ (FR) X'XXXXX XXX CONCLU XX XXXXXXXXXXX ENREGISTRÉ/ (XX) XXX XX DUINE XXXXXXXXX X bPÁIRTNÉIREACHT XXXXXXXXXX/ (XX) XXXX X XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXX XX XXXXXX REGISTRATA/ (XX) XXX XXĢXXXXĒXXX XXXXXXXXXXXXXĪXXX/ (XX) NESUDARĘS (-IUSI) XXXXXXXXXXXX PARTNERYSTĖS/ (HU) XXXXX XXXXXXXXXX ÉLETTÁRSI XXXXXXXXXX/ (XX) XXXX XX SĦUBIJA REĠISTRATA/ (XX) XXXX XX XXX GEREGISTREERD XXXXXXXXXXXX/ (XX) XXX POZOSTAJE X XXXXXXXXXXXXXXX XXXĄXXX XXXXXXXXXXX/ (XX) XÃX XXX UMA XXXXXXXX XXXXXXXXX/ (RO) XX XX XXXĂ ÎXXX-XX XXXXXXXXXXX ÎXXXXXXXXXX/ (SK) XXXXXX X XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) NI X XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) EI XXXXXXXXÖXXXXXÄ PARISUHTEESSA/ (SV) XX X XXXXXXXXXXX XXXXXXXXXXX

5.2.1

(XX) НИКОГА НЕ Е РЕГИСТРИРАЛО ПАРТНЬОРСТВО/ (XX) XX XX XXXXXX NUNCA PAREJA XX XXXXX XXXXXXXXXX/ (XX) XXXXX NEBYLA X XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXX I XX REGISTRERET PARTNERSKAB/ (XX) XXX XX XXXXX XXXXXXXXXXXXX XXXXXXXXXXXXX/ (XX) EI OLE XXXXXXXXXXXXXX XXXXXXXX OLNUD/ (XX) ΔΕΝ ΕΧΕΙ ΣΥΝΑΨΕΙ ΠΟΤΕ ΚΑΤΑΧΩΡΙΣΜΕΝΗ ΣΧΕΣΗ ΣΥΜΒΙΩΣΗΣ/ (XX) XXXXX IN X XXXXXXXXXX XXXXXXXXXXX/ (XX) X'XXXXX XXXXXX CONCLU XX XXXXXXXXXXX XXXXXXXXXX/ (XX) XX RAIBH XX DUINE XXXXXXXXX X xXXXXXXXXXXXXXX CHLÁRAITHE XXXXX/ (XX) NIKADA XXXX XXX(-XX) U XXXXXXXXXXXXX XXXXXXXXXXX/ (IT) XXX XXXXXXXXX XX'XXXXXX XXXXXXXXXX/ (XX) XXXXX XXX STĀJIES REĢISTRĒTĀS XXXXXXXXXXXXXĪXĀX/ (XX) XXXXXXX XXXXXX XXXXXĘX (-IUSI) XXXXXXXXXXXX PARTNERYSTĖS/ (XX) XXXXX XXXX BEJEGYZETT XXXXXXXXX KAPCSOLATA/ (MT) XXXX XX XXXX XX XĦXXXXX XXĠXXXXXXX/ (XX) XXXXX XX XXX GEREGISTREERD XXXXXXXXXXXX/ (XX) XXXXX XXX XXXXXŁ(-X) XXXXXXXXXXXXXXXX ZWIĄZKU XXXXXXXXXXXXX/ (PT) NUNCA XXXX XXX PARCERIA XXXXXXXXX/ (XX) NU X-X XXXXX NICIODATĂ ÎXXX-XX XXXXXXXXXXX ÎNREGISTRAT/ (XX) XXXXX XXXXXX X REGISTROVANOM XXXXXXXXXXX/ (XX) NIKOLI XX XXX X XXXXXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (FI) XX XXX KOSKAAN XXXXX XXXXXXXXÖXXXXXÄ XXXXXXXXXXXXX/ (XX) XXX XXXXXX XXXXX I ETT XXXXXXXXXXX XXXXXXXXXXX

5.2.2

(XX) С РАЗТРОГНАТО РЕГИСТРИРАНО ПАРТНЬОРСТВО/ДАТА (ДД/ММ/ГГГГ) НА РАЗТРОГВАНЕ НА ПАРТНЬОРСТВОТО/ (XX) XX XXXXXXXXX XX XXXXXXXX DE XXX XXXXX XX XXXXX / XXXXX (XX/XX/XXXX) XX XX CANCELACIÓN/ (XX) XXXXXXXXXXXX XXXXXXXXXXX XXXX XXXXXXX/XXXXX (DD/MM/YYYY) XXXXXXX XXXXXXXXXXX/ (XX) XXXØXX XXXXXXXXXXX XXXXXXXXXXX/XXXX (XX/XX/ÅÅÅÅ) XXX OPLØSNING XX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXXXX XXXXXXXXXXXXX/XXXXX (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 (DD/MM/YYYY) XX XXXXXXXXXXX OF XXX XXXXXXXXXXX/ (XX) XXXXX XXXXXX XX XXXXXXXXXXX XXXXXXXXXX XXXXXXX/XXXX (XX/XX/XXXX) XX DISSOLUTION XX XXXXXXXXXXX/ (XX) PÁIRTNÉIREACHT XXXXXXXXXX XXXXXXXXXXX/XXXX (XX/XX/XXXX) XXXXXXXXXXXXX XX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXXX XXXXXXXXXXX / XXXXX (XX/XX/XXXX) XXXXXXXXĆX XXXXXXXXXXXXX XXXXXXXXXXX/ (XX) UNIONE XXXXXXXXXX SCIOLTA/DATA XX XXXXXXXXXXXX DELL'UNIONE (XX/XX/XXXX)/ (XX) XXXXXXXXĀX XXĢXXXXĒXXX XXXXXXXXXXXXXĪXXX / XXĢXXXXĒXX XXXXXXXXXXXXXĪXX XXXXXXXXXĀX XXXXXX (XX/XX/XXXX)/ (LT) XXXXXXXXXXX XXXXXXXXXXĖ XXXXXXXXX / XXXXXXXXXXĖX XXXXXXXXXX DATA (XX/XX/XXXX)/ (XX) XXXXXŰXX XXXXXXXXXX XXXXXXXXX XXXXXXXXX/X XXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXXŰXXXXXXX IDEJE (XXXX/XX/XX)/ (XX) XĦXXXXX XXĠXXXXXXX XXXXX X DATA (XX/XX/XXXX) XXX-XXXXXXXXX XXX-XĦXXXXX XXĠXXXXXXX/ (NL) XXXXXXXXX XXXXXXXXXXXXX XXXXXXXXXXXX/XXXXX (DD/MM/JJJJ) XXX ONTBINDING XXX XXX PARTNERSCHAP/ (PL) XXXXXĄXXXXX XXXXXXXXXXXXXXXX ZWIĄZKU XXXXXXXXXXXXX / XXXX (XX/XX/XXXX) XXXXXĄXXXXX XXXXXXXXXXXXXXXX XXXĄXXX PARTNERSKIEGO/ (XX) XXXXXXXX XXXXXXXXX DISSOLVIDA/DATA XX DISSOLUÇÃO XX XXXXXXXX (DD/MM/AAAA)/ (XX) XXXXXXXXXXX ÎNREGISTRAT XXXXXXXX/XXXX (XX/XX/XXXX) XXXXXXĂXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXXX XXXX XXXXXXX/XXXXX (XX/XX/XXXX) XXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX XXXXXXXX JE PRENEHALA/DATUM (XX/XX/XXXX) XXXXXXXXXX REGISTRIRANE XXXXXXXXXX SKUPNOSTI/ (FI) XXXXXXXXÖXXX XXXXXXXXX XXXXXXX/XXXXXXXXXXX XXXXXXXXXÄXXÄ (PP/KK/VVVV)/ (XX) XXXXÖXX XXXXXXXXXXX PARTNERSKAP/DATUM (XX/XX/ÅÅÅÅ) XÖX XXXXÖXXXXX XX XXXXXXXXXXXXX

5.2.3

(XX) С ПОЧИНАЛ ПАРТНЬОР/ДАТА (ДД/ММ/ГГГГ) НА СМЪРТТА НА ПАРТНЬОРА/ (ES) MIEMBRO XXXXXXXXXX DE UNA XXXXX DE HECHO XXXXXXXXXX / XXXXX (XX/XX/XXXX) DE FALLECIMIENTO XX XX XXXXXX XX XXXXX REGISTRADA/ (XX) XXXXXXXX PARTNER – XXXXXXXXX/XXXXX (DD/MM/YYYY) XXXXX XXXXXXXX – XXXXXXXXX/ (DA) XÆXXXXXXXXXXX XXXXXXX/XXXX (XX/XX/ÅÅÅÅ) XXX XXXXXXXX DØD/ (XX) ÜXXXXXXXXXXX PARTNER/STERBEDATUM (XX/XX/XXXX) XXX XXXXXXXX/ (XX) ÜXXXXXXXX REGISTREERITUD ELUKAASLANE / REGISTREERITUD XXXXXXXXXXX XXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΕΠΙΖΩΝ(-ΣΑ) ΣΥΝΤΡΟΦΟΣ / ΗΜΕΡΟΜΗΝΊΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΘΑΝΑΤΟΥ ΣΥΝΤΡΟΦΟΥ/ (XX) XXXXXXXXX PARTNER/ XXXX (XX/XX/XXXX) OF XXXXXXX'X XXXXX/ (FR) XXXXXXXXXX XXXXXXXXX/XXXX (JJ/MM/AAAA) DU XXXÈX XX XXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ XXXX (LL/MM/BBBB) XXXX XX PHÁIRTNÉARA/ (XX) XXXXXXXXXX XXXXXXX / XXXXX (XX/XX/XXXX) XXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXXXX/XXXX DI DECESSO XXX XXXXXXX (GG/MM/AAAA)/ (XX) XĀXXXĪXXXXXXXX PARTNERIS / PARTNERA MIRŠANAS XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXĘX (-XXX) XXXXXXXXX (-Ė) / XXXXXXXXX (-ĖX) MIRTIES XXXX (XX/XX/XXXX)/ (XX) XXXXXŐ XXXXXXXX/XX XXXXXXXX XXXXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXĦXX(/XXXĦXX) SUPERSTITI X XXXX (XX/XX/XXXX) XXX-XXXX XXX-XXXĦXX(/XXXĦXX)/ (XX) XXXXXXXXXXX XXXXXXX/XXXXX (XX/XX/XXXX) XXX XXXXXXXXXX XXX XX XXXXXXX/ (XX) XXXXXXX XXXXXXXXĄXX XXXX ŻXXXX / XXXX (DD/MM/RRRR) XXXXX DRUGIEGO XXXXXXXX/ (XX) PARCEIRO(A) SOBREVIVO(A)/ XXXX XX XXXXX XX(X) XXXXXXXX(X) (XX/XX/XXXX)/ (XX) XXXXXXXX XXXXXXXXȚXXXXX/XXXX (XX/XX/XXXX) DECESULUI XXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXX/XXXXX (XX/XX/XXXX) XXXXXX XXXXXXXX/ (XX) PREŽIVELI XXXXXXX/XXXXX (XX/XX/XXXX) PARTNERJEVE XXXXX/ (XX) ELOONJÄÄNYT XXXXXXXX/XXXXXXXXX XXXXXXXÄXXÄ (PP/KK/VVVV)/ (XX) XXXXXXXXXXXX XXXXXXX/XXXXX (XX/XX/ÅÅÅÅ) XÖX PARTNERNS DÖD

5.3

(BG) НЕОПРЕДЕЛЕН/ (ES) XXXXXXXXXXXXX/ (XX) NEURČENO/ (DA) XXXXXXXX/ (DE) XXXXXXXXXX/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (FR) XXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXX/ (HR) XXXXXXĐXX/ (XX) INDETERMINATO/ (XX) NENOTEIKTS/ (LT) XXXXXXXXXXX/ (XX) MEGHATÁROZATLAN/ (XX) XXXX STABBILIT/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXX/ (PT) XÃX XXXXXXXX/ (RO) XXXXXXXXXXXX/ (XX) XXXXXXXX/ (SL) XXXXXXXXX/ (FI) MÄÄRITTELEMÄTÖN/ (XX) XX FASTSTÄLLT

6.

(BG) ПОЛЕ ЗА ПОДПИС/ (XX) RECUADRO XXXX XX XXXXX/ (CZ) XXXX PRO XXXXXX/ (XX) XXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX XXX/ (XX) XXXXX XXXX XX XXXXXXXXX/ (XX) XXXXX XXX XXXXX/ (XX) POLJE XX XXXXXX/ (XX) RIQUADRO XXX XX XXXXX/ (XX) XXXXXXXX XXXXX/ (XX) PARAŠO LAUKELIS/ (XX) AZ XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX DE XXXXXXXXXXXX/ (XX) POLE XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXXX XX PODPIS/ (SL) XXXXX ZA PODPIS/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (SV) XXXX XÖX UNDERTECKNANDE

6.1

(BG) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXX(X) X XXXXXX(X) XXX XXXXXXXXXXX XXX XXXXXXX ESTE XXXXXXX/ (XX) XXXXXXXX A XXXXX (XXXXX) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXX(X) XX XXXXXXX(X) XÅ XXX EMBEDSMAND, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXXX(X) XXX XXXXXXX(X) DES XXXXXXX, XXX DIESES XXXXXXXX XXXXXXXXXXX XXX/ (XX) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX EESNIMI (-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 THE XXXXXXXX XXX XXXXXX XXXX XXXX/ (XX) XXX(X) ET XXXXXX(X) XX XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXX (XXXXXXXX) XXXX XXXXXXXX (XXXXXXXXXXXXXX) XX XXXXXXXX X D’EISIGH XX XXXXXX XXX/ (XX) XXXXXXX(XX) I XXX(XX) XXXXXXXXXX XXXX XX XXXXX OVAJ XXXXXXX/ (IT) XXXXXXX/X X XXXX/X XXX XXXXXXXXXXX CHE XX XXXXXXXXXX IL PRESENTE XXXXXX/ (XX) XXXXXXXXXXXX, XXXX IZDEVUSI XX XXXXXXXX, UZVĀRDS(-I) XX XĀXXX(-X)/ (XX) XXĄ XXXXĄ XXXXXXXXX PAREIGŪNO XXXXXXĖ (-ĖX) XX XXXXXX (-AI)/ (HU) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXX XXXX(X) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX LI ĦXXXĠ XXX IL-FORMOLA/ (XX) XX(X)X(XX) EN VOORNA(A)M(EN) XXX DE XXXXXXXXX XXX DIT XXXXXXXXX XXXXX AFGEGEVEN/ (XX) XXXXXXXX(-X) X XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX FORMULARZ/ (XX) XXXXXXX(X) X XXXX(X) XXXXXXX(X) XX XXXXXXXXXXX XXX EMITIU X XXXXXXXX FORMULÁRIO/ (XX) XXXXXX ȘX XXXXXXXXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (SK) XXXXXXXXXX(-X) X XXXX(-X) ÚRADNÍKA, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXX/XXXXXXX XX IME/IMENA XXXXXXXX, XX JE XXXXX XX OBRAZEC/ (XX) XÄXÄX LOMAKKEEN ANTANEEN XXXXXXXXXXX SUKUNIMI (-XXXXX) XX XXXXXXX (-NIMET)/ (XX) XXXXXXXXX OCH XÖXXXXX XÅ XXX XXÄXXXXXXX XXX HAR XXXÄXXXX XXXXX XXXXXXÄX

6.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXX XXX XXXXXXXXXXX QUE XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX ÚŘEDNÍKA, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXXX — XXX XXXXXXXXXX, XXX HAR XXXXXXX XXXXX FORMULAR/ (DE) XXXXXXXX DES BEAMTEN, XXX XXXXXX FORMULAR XXXXXXXXXXX XXX/ (ET) XÄXXXXXXX XXXXX XÄXXXXXXXXX XXXXXXXX XXXXXXXXX/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (EN) XXXXXXXX XX XXX XXXXXXXX WHO XXXXXX XXXX XXXX/ (XX) XXXXX XX XXXXXXXXXXXXX XXX X DÉLIVRÉ XX XXXXXXX XXXXXXXXXX/ (XX) XXXX XX XXXXXXXX X X’XXXXXX XX FHOIRM XXX/ (XX) XXXXXXXX SLUŽBENIKA XXXX XX XXXXX XXXX OBRAZAC/ (IT) XXXXXXXXX XXX XXXXXXXXXXX XXX XX RILASCIATO XX XXXXXXXX MODULO/ (XX) AMATPERSONAS, XXXX XXXXXXXX XX VEIDLAPU, XXXXX/ (LT) XXĄ XXXXĄ XXXXXXXXX PAREIGŪNO XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXXXX/ (MT) XXXXXX XXX-XXXXĊXXX XX ĦXXXĠ XXX IL-FORMOLA/ (XX) XXXXXXX XXX XX XXXXXXXXX XXX XXX XXXXXXXXX HEEFT AFGEGEVEN/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX XXXXŁ NINIEJSZY XXXXXXXXX/ (PT) XXXXX XX XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) POZIȚIA XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) POLOŽAJ XXXXXXXX, XX XX XXXXX TA OBRAZEC/ (XX) XÄXÄX LOMAKKEEN XXXXXXXX XXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXX XÖX XXX TJÄNSTEMAN XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX KUUPÄEV (XX/XX/XXXX)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) OF ISSUE/ (XX) XXXX (XX/XX/XXXX) XX DÉLIVRANCE/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/GGGG) XXXXXXXXX/ (XX) XXXX XX RILASCIO (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (LT) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) X KIÁLLÍTÁS XXXXXX (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXX-ĦXXĠ/ (NL) XXXXX (DD/MM/JJJJ) VAN XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXX XX EMISSÃO (XX/XX/XXXX)/ (RO) DATA (XX/XX/XXXX) XXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (SV) XXXXX (XX/XX/ÅÅÅÅ) XÖX UTFÄRDANDE

6.4

(BG) ПОДПИС/ (ES) XXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) ALLKIRI/ (EL) ΥΠΟΓΡΑΦΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXX/ (XX) POTPIS/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) PARAŠAS/ (XX) ALÁÍRÁS/ (XX) XXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (RO) SEMNĂTURA/ (XX) XXXXXX/ (XX) XXXXXX/ (XX) ALLEKIRJOITUS/ (XX) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (ES) XXXXX X XXXXXX/ (XX) XXXXX XXXX XXXXXXX/ (XX) XXXX XXXXX XXXXXXX/ (XX) XXXXXX XXXX XXXXXXX/ (XX) XXXXXX XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) XXXX OR XXXXX/ (FR) XXXXX XX XXXXXX/ (XX) XXXXX XX STAMPA/ (XX) XXX XXX XXXXX/ (IT) XXXXX X XXXXXX/ (XX) XĪXXXX XXX XXXXXXXX/ (XX) SPAUDAS ARBA XXXXXXXXXX/ (XX) XXXXXX XXXX BÉLYEGZŐLENYOMAT/ (MT) XXĠXXX XXX XXXXXX/ (XX) XXXXX XX XXXXXXX/ (PL) XXXXXĘĆ XXX XXXXXXX/ (PT) XXXX XX CARIMBO/ (XX) XXXXXXXX XXX ȘXXXXXXX/ (SK) PEČAŤ XXXXX ODTLAČOK PEČIATKY/ (XX) XXXXX ALI XXX/ (XX) SINETTI XXX LEIMA/ (XX) XXXXXX XXXXX STÄMPEL

BYDLIŠTĚ xxxx XXXXX XXXXXX

XXXXXXXXXXX STANDARDNÍ XXXXXXXX – XXXXXXX XXX XXXXXXX

Xxxxxx 7 xxxxxxxx Xxxxxxxxxx xxxxxxxxxx x Xxxx (XX) 2016/1191 xx xxx 6. xxxxxxxx 2016 x podpoře volného xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxx na předkládání xxxxxxxxx xxxxxxxxx xxxxxx x Xxxxxxxx xxxx x o xxxxx xxxxxxxx (XX) č. 1024/2012 (1) (2)

Xxxxxx (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxx (DE)

Estonsko (XX) Xxxxx (IE)

Řecko (XX) Xxxxxxxxx (ES)

Francie (XX) Xxxxxxxxxx (XX)

Xxxxxx (IT) Xxxx (CY)

Lotyšsko (XX) Xxxxx (XX)

Xxxxxxxxxxx (LU)

Maďarsko (XX) Xxxxx (XX)

Xxxxxxxxxx (XX) Xxxxxxxx (XX)

Xxxxxx (XX) Portugalsko (XX)

Xxxxxxxx (XX) Slovinsko (SI)

Slovensko (XX) Finsko (XX)

Xxxxxxx (XX) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

Xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx standardního xxxxxxxxx je xxxxxxxxx xxxxxxxx xxxxxxx listiny, x níž je xxxxxxxx. Tento xxxxxxxx xx xxxx xxxxxxxxx xxxxx nesmí pohybovat xxxx samostatný dokument.

Tento xxxxxxxx odráží obsah xxxxxxx xxxxxxx, x xxx je xxxxxxxx. Xxxxx, xxxxx xx xxxxxxx xxxxxxx xxxxxxxxxxx, xxxx xxxx v xxxxxxxxx, xxx je xx xxxxxxxx xxx xxxxx zpracování veřejné xxxxxxx, požadovat překlad xx přepis xxxxxxxxx, xxxxx xxxx xx xxxxxxxxx xxxxxxx.

XXXXXXXXXX XXX XXXXXXXXXX ORGÁN

Uveďte xxxxx xxxxxxxxx, xxxxx xxxx xxxxxxx xx veřejné xxxxxxx, k xxx xx xxxxxxxx tento xxxxxxxx. (3)

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

1. ORGÁN XXXXXXXXXX XXXXX FORMULÁŘ

1.1 Xxxxx (4)

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

1.1 Xxxxx (5)

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

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

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Xxxxxxx xxxxxx státním xxxxxxxxx

3.1.3 Xxxxxxx xxxxxx xxxxxx soudním xxxxxxxxx

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

3.1.5 Xxxx (upřesněte)

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

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

(3) Xxx xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

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

(5) Xxxxx „xxxxx“ je xxxxx xxxxxxxx xxxx xxxxxx xxxxx xxxxxx xxxxxxxxxxxx veřejnou listinu, x xxx je 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 obyvatel

3.2.4 Xxxx matričních xxxxxxx

3.1.5 Xxxx (upřesněte)

3.3 Notářská xxxxxxx

3.4 Xxxxxx xxxxxxxxx, xxxxxx xxxx xxxxxxxx xxxxxxx podepsaná xxxxxxxxx xxxxxx

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

3.6 Datum (xx/xx/xxxx) xxxxxx

3.7 Xxxxxxxxxx číslo xxxxxxx xxxxxxx

4. XXXXXXXXX X DOTYČNÉ OSOBĚ

4.1 Xxxxxxxx

4.2 Jméno (jména)

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 Muž

4.5.3 Xxxxxxxx

5. XXXXXXXX XXXXXXXX XXXX XXXXX XXXXXX XXXXX XXXXXXX VE XXXXXXX LISTINĚ, X XXX XX XXXXXXXX XXXXX FORMULÁŘ

5.1 Bydliště

5.1.1 Xxxxxx:

5.1.1.1 Ulice x xxxxx xxxx / xxxxxxxx přihrádka

5.1.1.2 Xxxxx x xxxxxxxx xxxxxxxxx xxxxx

5.1.1.3 Xxxx (1)

5.2 Xxxxx xxxxxx

5.1.1 Xxxxxx:

5.1.1.1 Xxxxx a xxxxx xxxx / poštovní xxxxxxxxx

5.1.1.2 Xxxxx x xxxxxxxx xxxxxxxxx číslo

5.1.1.3 Xxxx (2)

6. XXXX XXX XXXXXX

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

6.2 Xxxxxx xxxxxxxx, který xxxxx xxxxx xxxxxxxx

6.3 Datum (xx/xx/xxxx) xxxxxx

6.4 Xxxxxx

6.5 Xxxxx xxxx razítko

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

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

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXXXX nebo XXXXX XXXXXX)

1.

(XX) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX QUE EXPIDE XXXX XXXXXXX/ (XX) XXXXX XXXXXXXXXX TENTO XXXXXXXX/ (DA) XXXXX XXXXXXXXX UDSTEDENDE XXXXXXXXX/ (XX) XXXÖXXX, XXX XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX XXXX/ (XX) XXXXXXXX DE XXXXXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X EISEOIDH AN XXXXXX XXX/ (HR) XXXXXX KOJE XXXXXX XXXX XXXXXXX/ (IT) XXXXXXXÀ XXX XXXXXXXX XX PRESENTE MODULO/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) ŠIĄ XXXXĄ XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXX/ (MT) XXXXXXXÀ EMITTENTI XX' XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX XXX XXXXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX QUE XXXXX X XXXXXXXX XXXXXXXXXX/ (XX) AUTORITATEA EMITENTĂ X XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX FORMULÁR/ (SL) XXXXX, KI XXXX XX OBRAZEC/ (FI) XÄXÄX XXXXXXXXX XXXXXX XXXXXXXXXXXX/ (XX) MYNDIGHET XXX UTFÄRDAR XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) DENOMINACIÓN/ (XX) XXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) NIMETUS/ (XX) ΟΝΟΜΑΣΙΑ/ (EN) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (XX) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) NOSAUKUMS/ (XX) XXXXXXXXXXX/ (HU) XXXXXXXXXX/ (MT) XXXXX/ (XX) BENAMING/ (XX) XXXXX/ (XX) XXXXXXXÇÃX/ (XX) XXXXXXXX/ (SK) XXXXX/ (XX) IME/ (XX) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX XXXXXX XX DOCUMENTO XXXXXXX XX QUE XX XXXXXXX ESTE XXXXXXX/ (XX) ORGÁN XXXXXXXXXX XXXXXXXX XXXXXXX, X XXX JE PŘILOŽEN XXXXX FORMULÁŘ/ (XX) XXX MYNDIGHED, XXX XXX XXXXXXX XXX XXXXXXXXXX DOKUMENT, SOM XXXXX FORMULAR XX XXXXÆXXXX/ (XX) XXXÖXXX, XXX XXX ÖXXXXXXXXXX XXXXXXX, DER 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 XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX JOINT XX XXXXXXX XXXXXXXXXX/ (XX) XX xXXXXXX X EISEOIDH AN XXXXXXXXX POIBLÍ XXXX XXXXXX XX XXXXXX XXX XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXX XXXXX XXXXXXX XXXXX XX XXXX OBRAZAC XXXXXXXX/ (XX) XXXXXXXÀ XXX RILASCIA XX XXXXXXXXX XXXXXXXX CUI XX XXXXXXXX MODULO È XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX PRIDEDAMA XX XXXXX, XXXXXXXXXX XXXXXXXX XXXXXXXXXXX/ (HU) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX TAD-DOKUMENT XXXXXXXX LI XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (NL) AUTORITEIT XXX XXXXXXX XXX XXX OPENBAAR XXXXXXXX XXXXXXX XXX FORMULIER XX GEHECHT/ (XX) XXXXX XXXXXĄXX DOKUMENT XXXĘXXXX, DO XXXXXXX XXXXXXXXX XXXXXXXXX JEST XXŁĄXXXXX/ (PT) XXXXXXXXXX XXX EMITE X XXXXXXXXX PÚBLICO X XXX O XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXXXXX EMITENTĂ X XXXXXXXXXXXX OFICIAL XX CARE ESTE XXXXXX PREZENTUL FORMULAR/ (XX) XXXXX XXXXXXXXXX XXXXXXX XXXXXXX, XX XXXXXX XX TENTO XXXXXXXX XXXXXXXXX/ (XX) XXXXX, XX XXXX XXXXX XXXXXXX, KI XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXXXXX, XXXX XX XXXXXXX YLEISEN XXXXXXXXXX, XXXXX TÄMÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX XXX UTFÄRDAR DEN XXXXXXXXXX XXXXXXXX XXXX XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX RELATIVA XX XXXXXXXXX XXXXXXX XX QUE XX XXXXXXX XXXX IMPRESO/ (XX) XXXXXXXXX XXXXXXXX XX XXXXXXX XXXXXXX, X XXX JE XXXXXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX VEDRØRENDE XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX FORMULAR XX XXXXÆXXXX/ (XX) XXXXXXX XXX ÖXXXXXXXXXXX XXXXXXX, XXX XXXXXX XXXXXXXX BEIGEFÜGT XXX/ (XX) TEAVE XXXXXXX 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 FORM XX XXXXXXXX/ (FR) XXXXXXXXXXXX XXXXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX LE PRÉSENT XXXXXXXXXX/ (XX) FAISNÉIS X BHAINEANN XXXX XX DOICIMÉAD XXXXXX XXXX XXXXXX XX XXXXXX XXX CEANGAILTE/ (XX) XXXXXXXXXXX XXXX XX ODNOSE XX XXXXX XXXXXXX KOJOJ XX XXXX XXXXXXX XXXXXXXX/ (IT) INFORMAZIONI XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX MODULO È XXXXXXXX/ (LV) XXXXXXĀXXXX XXX XXXXXXXX DOKUMENTU, XXXXX XĪ XXXXXXXX XX XXXXXXXXXX/ (XX) XXXXXXXXXXX, XXXXXXXX SU XXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATRA XXXXXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX LI MIEGĦU XXXX XXXXXŻX XXX XX-XXXXXXX/ (NL) XXXXXXXXXX XXXXXXXXXXX HET OPENBAAR XXXXXXXX WAARAAN XXX XXXXXXXXX IS XXXXXXX/ (XX) XXXXXXXXXX XXXXXXĄXX XXXXXXXXX URZĘDOWEGO, DO XXXXXXX XXXXXXXXX XXXXXXXXX XXXX ZAŁĄCZONY/ (PT) XXXXXXXÇÕXX XXXXXXXXX AO XXXXXXXXX XXXXXXX A XXX X XXXXXXXX XXXXXXXXXX ESTÁ XXXXXX/ (XX) XXXXXXXȚXX XXXXXXXXXXX XX DOCUMENTUL XXXXXXX XX XXXX XXXX XXXXXX PREZENTUL XXXXXXXX/ (XX) XXXXXXXXXX X XXXXXXXX LISTINE, XX XXXXXX XX XXXXX XXXXXXXX PRIPOJENÝ/ (XX) XXXXXXXXXXX X XXXXX X XXXXX XXXXXXX, XX JI XX XXXXXXXX TA XXXXXXX/ (XX) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, JOHON TÄMÄ XXXXXX XXXXXXÄÄX/ (SV) XXXXXXXXXXX XX DEN XXXXXXXXXX HANDLING XXXX XXXXXX DETTA XXXXXXÄX ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX XXXXXXXX XXX XXX XXXXXXXXX X XX XXXXXXXXXXX XXXXXXXXX X XXX XXXXXXX JURISDICCIONALES XX XX XXXXXX MIEMBRO/ (XX) LISTINA XXXXXX XXXXXXX XXXX XXXXXXXXX X XXXXXX NA XXXXX XXXXXX XXXXXXXXX XXXXX/ (DA) XXXXXXXX, XXX ER UDSTEDT XX XX XXXXXXXXX XXXXX EN EMBEDSMAND, XXX XX TILKNYTTET XXXXXXXX I EN XXXXXXXXXXX/ (XX) URKUNDE XXXXX XXXÖXXX XXXX XXXXX XXXXXXXXXX XXX XXXXX DER XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX ON XÄXXX XXXXXX XXXXXXXXXXXX XXXXXXXXX SEOTUD XXXXXXXXXXX XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX FROM AN XXXXXXXXX XX XX XXXXXXXX XXXXXXXXX WITH XXX XXXXXX XX XXXXXXXXX XX A XXXXXX STATE/ (XX) XXXXXXXX XXXXXXX X'XXX XXXXXXXX OU X'XX XXXXXXXXXXXXX RELEVANT D'UNE XXXXXXXXXXX X'XX ÉTAT XXXXXX/ (XX) DOICIMÉAD X XXXXXXX X XXXXXX XX X XXXXXXXXX X BHFUIL XXXXX XXXX XX XXXX XX XXXXXXXXXX XX LE XXXXX XX XXXXX BALLSTÁIT/ (XX) ISPRAVA XXXX XX XXXXXX TIJELO XXX SLUŽBENIK XXXX XXXXXX ČLANICE/ (XX) XXXXXXXXX EMANATO XX XX'XXXXXXXÀ X XX XX XXXXXXXXXXX APPARTENENTE XX XXX XXXXX XXXXXXXXXXXXX DI UNO XXXXX XXXXXX/ (LV) XXXXXXXXX, XXXX XXXXXXXXXX XX XXXĪXXXXXXX XXXXĀX XXXXXĪXX IESTĀDE VAI XXXXXXXXXXX/ (XX) XXXXXXXXXX, XXXXXXXX XXXXXXXX XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ XX XXXXXXXĖX NARĖS XXXXXXXX XX XXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX XXXXXXXXXXXX ÁLLÓ HATÓSÁG XXXX XXXXXXXXXXŐ XXXXX XXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXĦXXĠ XXXX XXXXXXXÀ XXX UFFIĊJAL XX JKOLLHOM XXXXX XXX-XXXXX XXX IT-TRIBUNALI XX' XXXX XXXXXX/ (XX) XXXXXXXX AFGEGEVEN XXXX EEN XXXXXXXXXX XX AMBTENAAR XXXXXXXXX XXX XXX XXXXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX/ (XX) DOKUMENT XXXXXXXĄXX OD XXXXXX XĄXXXXXX LUB URZĘDNIKA XĄXXXXXX XXŃXXXX XXŁXXXXXXXXXXX/ (XX) XXXXXXXXX PROVENIENTE XX XXX XXXXXXXXXX XX XX XX XXXXXXXXXXX XXXXXXXXXX DE XXXXXXXX XXXXXXXÇÃX XX XX XXXXXX-XXXXXX/ (XX) XXXXXXXX XXXX XX X AUTORITATE XXX XX UN FUNCȚIONAR XX XX XÂXXĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXX XXXXXXXXX X VÄZBOU XX XXXX XXXXXXXXX XXXXX/ (XX) LISTINA, XXXXXX X XXXXXX XXXXXX XXX XXXXXXXX XXXXX XXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX XX XXXXXXX XÄXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXX XXXXXXXXXXXX XXX VIRKAMIES/ (XX) HANDLING XXX XÄXXÖX FRÅN XX XXXXXXXXX XXXXX XX XXÄXXXXXXX TILLHÖRANDE XXXXXXXXXÄXXXXXX X XX MEDLEMSSTAT

3.1.1

(BG) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) KOHTUOTSUS/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX DECISION/ (XX) XXXXXXXX DE JUSTICE/ (XX) XXXXXXXX XX xXXXXX/ (HR) XXXXXX XXXXXX/ (XX) DECISIONE XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (XX) TEISMO XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXX/ (XX) DEĊIŻJONI XXX-XXXXX/ (XX) XXXXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXX XĄXXXX/ (XX) XXXXXÃX XXXXXXXX/ (RO) HOTĂRÂRE XXXXXĂXXXXXXXĂ/ (SK) XXXXX XXXXXXXXXXX/ (XX) SODNA XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXX/ (XX) XXXXXXX VYDANÁ STÁTNÍM XXXXXXXXX/ (XX) XXXXXXXX XXXXXXX XX XX XXXXXXXXXXXXXXXX/ (DE) URKUNDE XXXXX XXXXXXXXXXXXXXXXXX/ (ET) XXXXXXXX, XXXXX XX XÄXXX ANDNUD XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) DOCUMENT XXXXXXXXX XXXX X XXXXXX XXXXXXXXXX/ (FR) XXXXXXXX XXXXXXX XX MINISTÈRE XXXXXX/ (XX) DOICIMÉAD X THAGANN X XXXXXXXXXXXXXXX XXXXXX/ (XX) XXXXXXX XXXX XX XXXXXX DRŽAVNO ODVJETNIŠTVO/ (XX) DOCUMENTO EMANATO XXX XXXXXXXX MINISTERO/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (XX) ÜXXXXX XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ MINN XXXXXXXXXX PUBBLIKU/ (XX) XXXXXXXX AFGEGEVEN XXXX XXX XXXXXXXX MINISTERIE/ (XX) XXXXXXXX XXXXXXXĄXX XX PROKURATORA/ (XX) XXXXXXXXX XXXXXXXXXXX XX XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXX EMIS DE XX PROCUROR/ (XX) XXXXXXX XXXXXX PROKURÁTOROM/ (XX) XXXXXXX, KI XX XXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXXXÄXÄX ANTAMA ASIAKIRJA/ (XX) HANDLING XXX XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) XXXXXXXXX XXXXXXXX XXX XX XXXXXXXXXX XXXXXXXX/ (XX) LISTINA XXXXXX XXXXXX XXXXXXX ÚŘEDNÍKEM/ (XX) DOKUMENT XXXXXXX XX XX XXXXXXXXXXXXXÆX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXX XXX GESCHÄFTSSTELLE XXXXX GERICHTS/ (ET) XXXXXXXX, XXXXX XX XÄXXX ANDNUD KOHTUAMETNIK/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX XXXX A CLERK XX X XXXXX/ (XX) XXXXXXXX XXXXXXX X'XX GREFFIER/ (XX) XXXXXXXXX X XXXXXXX X CHLÉIREACH XX XXXXX CÚIRTE/ (XX) XXXXXXX KOJU XX XXXXX XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) DOCUMENTO XXXXXXX XX XX XXXXXXXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX TIESAS XXXXXXĀXX/ (LT) XXXXXX XXXXXXXXXX XXXXXXXX DOKUMENTAS/ (XX) XXXXXXXX TISZTVISELŐ XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXĠ XXXX XXĠXXXXXXXX TA' XXXXX/ (XX) XXXXXXXX XXXXXXXXX DOOR EEN XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXXXXXX XĄXXXXXX/ (PT) XXXXXXXXX XXXXXXXXXXX DE XX XXXXXXX DE XXXXXÇX/ (XX) DOCUMENT XXXX XX XX GREFIER XX INSTANȚEI/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXX, XX XX IZDA XXXXX USLUŽBENEC/ (XX) XXXXXXXXXXXXXX XXXXXXXXX ANTAMA XXXXXXXXX/ (SV) XXXXXXXX XXX XÄXXÖX XXÅX XX XXXXXXXXXXÄXXXXXXX

3.1.4

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (XX) DOCUMENTO XXXXXXXX XXX XX XXXXXX XXXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX („XXXXXXXX DE XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX AF XX XXÆXXXXXXXXXX (»XXXXXXXX DE XXXXXXX«)/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX XXXXXX XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXXXX XXXXXXX ('XXXXXXXX XX XXXXXXX')/ (FR) XXXXXXXX XXXXXXX D'UN HUISSIER XX XXXXXXX/ (XX) XXXXXXXXX X THAGANN X XXXXXXXXX XXXXXXXXXXXX (“XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXX XX IZDAO XXXXXX XXXXXXXXX (XXXXXXXX XX XXXXXXX)/ (XX) DOCUMENTO XXXXXXX XX XX XXXXXXXXX XXXXXXXXXXX ("XXXXXXXX XX XXXXXXX")/ (XX) XXXXXXXXX, XXXX IZSNIEDZIS XXXXXX XXXXXXĪXĀXX (XXXXXXXX XX JUSTICE)/ (LT) XXXXXXXXX (HUISSIER DE XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX („XXXXXXXX XX XXXXXXX”) XXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX XXXXĊXXX ĠUDIZZJARJU ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXĘXXXXX SĄDOWEGO (XXXXXXXX XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX ESCRIVÃO XX XXXXXXX («XXXXXXXX XX XXXXXXX»)/ (XX) XXXXXXXX XXXX DE XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX XX XXXXXXX”)/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXX, XX XX XXXX SODNI IZVRŠITELJ („XXXXXXXX XX XXXXXXX“)/ (XX) HAASTEMIEHEN (”HUISSIER XX XXXXXXX”) XXXXXX XXXXXXXXX/ (SV) XXXXXXXX XXX XÄXXÖX XXÅX XX XXÄXXXXXXXXX (HUISSIER XX XXXXXXX)

3.1.5

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (ESPECIFÍQUESE)/ (XX) XXXX (UPŘESNĚTE)/ (XX) XXXXX (XXXXXXX)/ (XX) XXXXXXXXX (XXXXX XXXXXXX)/ (ET) XXX (XÄXXXXXXXX)/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) OTHER (XX XX XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (XX) EILE (XX XXXXX)/ (XX) XXXXXX (XXXXXXX)/ (XX) XXXXX (XXXXXXXXX)/ (LV) XXXX (PRECIZĒT)/ (XX) XXXX (XXXXXXXX)/ (HU) XXXXX (XXXXÜX PONTOSÍTANI)/ (XX) OĦRAJN (XXXXXĊXŻX)/ (XX) XXXXXXX (XXXXXXXXXXXX)/ (XX) XXXX (XXXXXĘ XXXXŚXXĆ)/ (PT) XXXXXX (X XXXXXXXXXXX)/ (RO) XXXXX (X SE XXXXXXX)/ (XX) INÉ (XXXXXXXX)/ (XX) DRUGO (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (SV) XXXXX HANDLING (SPECIFICERAS)

3.2

(BG) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (CZ) XXXXXXX VYDANÁ XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (EL) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (XX) DOCUMENT XXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (IT) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXĪXX XXXXXXXXX/ (LT) XXXXXXXXXXXXXXX XXXXXXXXXX/ (HU) XÖXXXXXXXXXXX XXXXXX/ (MT) XXXXXXXX XXXXXXXXXXXXXX/ (XX) ADMINISTRATIEF XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XXXXXXXXX/ (XX) ADMINISTRATIV XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) PÅTEGNING/ (DE) XXXXXXXXXXXXX/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (HR) XXXXXXX/ (IT) XXXXXXXXXXX/ (XX) APLIECINĀJUMS/ (XX) XXXXXX, XXXXXXXXXX/ (HU) XXXXXXXXXXX/XXXXXXXXXXXX/ (XX) ĊERTIFIKAT/ (XX) XXXXXXXXXXX/ (XX) XXŚXXXXXXXXXX/ (PT) XXXXXXÃX XX CERTIFICADO/ (XX) XXXXXXXXXX/ (XX) OSVEDČENIE/ (XX) POTRDILO/ (XX) XXXXXXXX/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА ГРАЖДАНСКОТО СЪСТОЯНИЕ/ (XX) EXTRACTO DEL XXXXXXXX XXXXX/ (XX) XXXXX Z XXXXXXX/ (XX) XXXXXX XXX XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXX XXX DEM PERSONENSTANDSREGISTER/ (XX) XXXXXXXXXXXXXXXXXXXXXX XÄXXXXÕXX/ (XX) ΑΠΟΣΠΑΣΜΑ ΛΗΞΙΑΡΧΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX XXXXX XXXXXX REGISTER/ (XX) XXXXXXX DU XXXXXXXX XX L'ÉTAT XXXXX/ (XX) SLIOCHT AS XX gCLÁR STÁDAIS XXXXXXXXXX/ (XX) IZVADAK XX REGISTRA XXXXXXX XXXXXX/ (XX) ESTRATTO XX XXXX XX XXXXX XXXXXX/ (XX) XXXXXXXX NO XXXXXXXĀXXXĻX XXXX XXĢXXXXX/ (XX) XXXXXXX IŠ CIVILINĖS XŪXXĖX AKTŲ REGISTRO/ (XX) XXXXXÖXXXX XXXXXXX/ (XX) XXXXXXX MIR-REĠISTRU XXX-XXXXX ĊXXXXX/ (NL) XXXXXXXXXX XXX XXX XXXXXXXX XXX XX XXXXXXXXXXX STAND/ (PL) XXXXX XXXXXXXX XXXX XXXXX XXXXXXXXX/ (PT) XXXXXXX XX XXXX XX XXXXXXX XXXXX/ (XX) EXTRAS DIN XXXXXXXXX DE XXXXX XXXXXĂ/ (XX) XXXXX X REGISTRA XXXXXXXX XXXXX/ (XX) IZPISEK XX XXXXXXXX X XXXXXXX XXXXXX/ (XX) XÄXXXÖXXXXXXXXXXXX (SIVIILISÄÄTY)/ (XX) XXXXXX XX XXXXXXXXÖXXXXXX

3.2.3

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА НА НАСЕЛЕНИЕТО/ (ES) XXXXXXXX XXX XXXXX/ (XX) XXXXX Z XXXXXXXX OBYVATEL/ (DA) XXXXXX FRA XXXXXXXXXXXXXX/ (XX) AUSZUG XXX XXX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΔΗΜΟΤΟΛΟΓΙΟΥ/ (EN) XXXXXXX XXXX THE XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX DU XXXXXXXX XX XX XXXXXXXXXX/ (XX) SLIOCHT XX XX xXXXX XXXXXX/ (XX) IZVADAK IZ XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XX XXXXĪXXXĀXX XXĢXXXXX/ (XX) XXXXXXX XX XXXXXXXXŲ XXXXXXXX/ (XX) KIVONAT X XXXXXXXXXXXX- XX LAKCÍMNYILVÁNTARTÁSBÓL/ (XX) ESTRATT MIR-REĠISTRU XXX-XXXXXXXXXXXX/ (XX) UITTREKSEL XXX HET BEVOLKINGSREGISTER/ (XX) WYCIĄG X XXXXXXXX XXXXXŚXX/ (XX) XXXXXXX XX XXXXXXX XX XXXXXXÇÃX/ (RO) XXXXXX XXX XXXXXXXXX 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) XXXXXX KOPI XX CIVILSTANDSREGISTRE/ (XX) XÖXXXXXXX XXXXX XXX XXXXXXXXXXXXXXXXXXXÄXXX/ (ET) XXXXXXXXXXXXXXXXXX XXXXXX/ (XX) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟΥ ΠΡΟΣΩΠΙΚΗΣ ΚΑΤΑΣΤΑΣΗΣ/ (EN) XXXXXXXX XXXX XX XXXXX XXXXXX XXXXXXX/ (XX) XXXXX XXXXXXXXX D'ACTES XX X'XXXX XXXXX/ (XX) XXXX FOCAL XX FHOCAL XX XXXXXXX AR XXXXXX XXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XX EVIDENCIJA X XXXXXXX XXXXXX/ (XX) COPIA XXXXXXXXX XX XXXX DI XXXXX XXXXXX/ (XX) XXXXXXXĀXXXĻX AKTU XXĢXXXXX XXXXXXXX AUTENTISKA KOPIJA/ (XX) XXXXXXXĖX XŪXXĖX XXXŲ ĮRAŠŲ XXXXXXXĖ XXXXXX/ (XX) ANYAKÖNYVI XXXXXXXXX SZÓ SZERINTI XXXXXXXX/ (XX) KOPJA XXXXXXXX XXX-XXXX TAL-ISTAT ĊXXXXX/ (NL) EENSLUIDEND XXXXXXXXX XXX XXXXX XXX XX BURGERLIJKE XXXXX/ (PL) ODPIS XXXXŁXX AKTU XXXXX XXXXXXXXX/ (XX) CERTIDÃO XX CÓPIA XXXXXXXX XX DE XXXXXXXXX XX XXXX XX XXXXXXX CIVIL/ (RO) XXXXX EXACTĂ X XXXX XXX XX XXXXX XXXXXĂ/ (XX) XXXXXXXX XXXXX XX XXXXXXX O OSOBNOM XXXXX/ (SL) XXXXXXXXX XXXXXX XXXXXX X XXXXXXX XXXXXX/ (FI) XÄXXXÖXXXXXXXXXXXXXXXXX SANATARKKA XÄXXXXXÖX/ (XX) ORDAGRANN XXXXXXXX XX XXXXXXXXÖXXXXXXXXXXXXX

3.3

(XX) НОТАРИАЛЕН АКТ/ (XX) XXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (DE) XXXXXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) XXXXXXXX XXX/ (XX) ACTE XXXXXXX/ (XX) XXXXXX NÓTAIREACHTA/ (XX) JAVNOBILJEŽNIČKA XXXXXXX/ (XX) ATTO XXXXXXXX/ (XX) NOTARIĀLS XXXX/ (XX) XXXXXXXXX XXXXX/ (XX) KÖZJEGYZŐI XXXXXX/ (XX) XXX NOTARILI/ (XX) XXXXXXËXX AKTE/ (XX) AKT XXXXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) NOTÁRSKA XXXXXXX/ (XX) XXXXXXXX LISTINA/ (XX) XXXXXXXX XXXXXX XXXXXXXXX/ (XX) NOTARIELL XXXXXXXX

3.4

(XX) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) CERTIFICACIÓN XXXXXXX XXXXXX XXXXX XX XXXXXXXXX XXXXXXX/ (CZ) XXXXXX OSVĚDČENÍ, XXXXXX XXXX OPATŘENA XXXXXXX XXXXXXXXX XXXXXXXXX OSOBOU/ (XX) OFFICIEL XÅXXXXXXX XÅ XX XXXXXXXX XXXXXXXXXXX XX XX XXXXXX X DENNES XXXXXXXX XX XXXXXXXXXXXX/ (XX) XXXXXXXX BESCHEINIGUNG XXX XXXXX XXXXXXXXXXXXX/ (XX) ISIKU XXXXX XXXXXXXXXX XXXXXXXXXXXXXX DOKUMENDILE XXXXXXXXXX XXXXXXX TÕEND/ (XX) ΕΠΙΣΗΜΟ ΠΙΣΤΟΠΟΙΗΤΙΚΟ ΕΝΣΩΜΑΤΩΜΕΝΟ ΣΕ ΕΓΓΡΑΦΟ ΥΠΟΓΕΓΡΑΜΜΕΝΟ ΑΠΟ ΑΤΟΜΟ ΠΟΥ ΕΝΕΡΓΕΙ ΩΣ ΙΔΙΩΤΗΣ/ (XX) XXXXXXXX XXXXXXXXXXX PLACED XX X DOCUMENT SIGNED XX X PERSON XX XXX XX XXX XXXXXXX CAPACITY/ (XX) XXXXXXXXXXX OFFICIELLE XXXXXXX XXX UN XXXX XXXX XXXXX XXXXX/ (GA) XXXXXXXX XXXXXXXXX A CHUIRTEAR XX XXXXXXXXXX ARNA XXXXXX AG XXXXX XXX XXXXX NÓ XXX XXXX XXXXXXXXXXXXXX/ (XX) SLUŽBENA POTVRDA XXXXXXXXX XX XXXXXXX XXXX XX OSOBA XXXXXXXXX U XXXXXXXXX XXXXXXXX/ (IT) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX SU XXX XXXXXXXXX XXXXXXX/ (XX) XXXXXĀXX XXXXXXXXĀXXXX XX DOKUMENTA, KO XXXĀ XĀXXĀ PARAKSTĪJUSI XĀXX PERSONA/ (LT) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX TANÚSÍTVÁNY/ (MT) ĊXXXXXXXXX UFFIĊJALI XX XXXXXXXĦXX X'XXXXXXXX XXXXXXXX XXXX XXXXXXX FIL-KAPAĊITÀ XXXXXXX XXXĦXX/ (NL) XXXXXXXXX CERTIFICAAT XX XXX XXXXXXXX ONDERTEKEND XXXX XXX XXXXXXX XX XXXX PARTICULIERE XXXXXXXXXXXX/ (PL) XXXĘXXXX XXŚXXXXXXXXXX UMIESZCZONE XX XXXXXXXXXX PODPISANYM PRZEZ XXXXĘ DZIAŁAJĄCĄ X XXXXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXÇÃX XXXXXXX INSERTA XXX ATO XX XXXXXXXX XXXXXXX/ (RO) XXXXXXXXXX XXXXXXX XXXXXXX XX XX DOCUMENT XXX SEMNĂTURĂ XXXXXXĂ/ (XX) XXXXXX XXXXXXXXXX XXXXXXX XX XXXXXXX XXXXXXXXXX OSOBOU XXXXXXXXX XXX XXXXXXXX OSOBA/ (XX) XXXXXX XXXXXX XX ZASEBNI LISTINI/ (XX) XXXXXXXXXX XXXXXXXX XXXXXXXXXXXX, JONKA XXXXXXÖ XX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXÖXÄ/ (XX) OFFICIELLT XXXXX XXXXXXXXX XÅ XX XXXXXXXX XXX XXXXXXXXXXXXX XX XX PRIVATPERSON

3.5

(BG) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (ES) XXXXXXXXX XXXXXXXX POR UN XXXXXX DIPLOMÁTICO O XXXXXXXX DE XX XXXXXX MIEMBRO CON XXXXXXXX OFICIAL/ (CZ) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX VÝKONU XXXX XXXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXÆXXXXXX AF XX XXXXXXXXXXXX XXXXXXXXXXXX XXXXX XXXXXXÆXX XXXXÆXXXXXXX/ (DE) XXX XXXXX DIPLOMATISCHEN XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXXX IN XXXXXX AMTLICHEN FUNKTION XXXXXXXXXX URKUNDE/ (ET) XXXXXXXXXXXX XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX POOLT AMETIKOHUSTUSTE XÄXXXXXXX XXXXXXXXX DOKUMENT/ (XX) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ / (XX) XXXXXXXX XXXXX XX XX X DIPLOMATIC XX XXXXXXXX XXXXX XX X XXXXXX STATE XX XXX XX XXX XXXXXXXX CAPACITY/ (XX) XXXXXXXX XXXXXX XX XX QUALITÉ XXXXXXXXXX XXX XX XXXXX XXXXXXXXXXXX XX XXXXXXXXXX X'XX ÉTAT XXXXXX/ (XX) XXXXXXXXX XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX XXXXXXXXX DE XXXXX XXXXXXXXX XXX XXXXX XX XXX XXXX XXXXXXXXX/ (XX) XXXXXXX XXXX XX X XXXXXXXXX SVOJSTVU XXXXXXXX DIPLOMATSKI XXX XXXXXXXXXX PREDSTAVNIK XXXXXX XXXXXXX/ (XX) DOCUMENTO XXXXXXX XX XXXXXX XXXXXXXXXXX O CONSOLARI XX XXX XXXXX XXXXXX XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (XX) XXXXXXXXX, KURU, XXXXXX XXXXX XXXXĀXXXXX, XXXXXXXXXXX XXXĪXXXXXXX DIPLOMĀTISKAIS XXX XXXXXXĀXXXX XĀXXXĀXXX/ (LT) XXXXXXXXXX, XXXXXXXXX XXXXXXXĖX XXXĖX DIPLOMATO XX XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX XXXXX OFICIALIUS ĮXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX VAGY KONZULI XXXXXXXXŐXX XXXXX HIVATALOS XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXXX XXXX XĠXXX XXXXXXXXXXX XXX XXXXXXXXX TA' XXXX XXXXXX XXX-XXXXĊXXÀ XXXXĊXXXX TIEGĦU/ (NL) XXXXXXXX OPGESTELD DOOR XX DIPLOMATIEKE XX XXXXXXXXXX AMBTENAAR XXX XXX XXXXXXXX IN XXXX XXXXXXËXX XXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXĄXXXXX XXXXX XXXXXXXXXXXXXXX DYPLOMATYCZNEGO XXX XXXĘXXXXX XXXXXXXXXXXX XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX XXXĘXXXXX / (XX) DOCUMENTO XXXXXXX POR XX XXXXXX DIPLOMÁTICO XX XXXXXXXX DE XX XXXXXX-XXXXXX XX XXXXXXXXX XXX XXXX XXXÇÕXX XXXXXXXX/ (XX) XXXXXXXX ÎXXXXXXX XX XĂXXX XX XXXXX DIPLOMATIC XXX XXXXXXXX XX XXXX XXXX XXXXXX, ÎX XXXXXXXX XXXXXXXĂ/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXXX ALEBO XXXXXXXXXXX ÚRADNÍKOM XXXXXXXXX XXXXX X RÁMCI XXXXXX XXXX XXXXXXX/ (XX) LISTINA, XX XX XXX URADNA XXXXX IZDA XXXXXXXXXXX XXX XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX JÄSENVALTION XXXXXXXXXXXXXX EDUSTAJA XXX XXXXXXXXXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXÄXXXX X XXÄXXXXX XX XX XXXXXXXXXXX XXXXX KONSULÄR XXÄXXXXXXX X XX XXXXXXXXXXX

3.6

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) FECHA (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX XXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) DATE (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (JJ/MM/AAAA) DE XXXXXXXXXX/ (GA) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (GG/MM/AAAA)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) IŠDAVIMO DATA (XX/XX/XXXX)/ (HU) A XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (JJ/XX/SSSS) XXX-ĦXXĠ/ (NL) DATUM (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (DD/MM/RRRR) XXXXXXX/ (XX) XXXX XX EMISSÃO (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXX/ (XX) ANTAMISPÄIVÄ (PP/KK/VVVV)/ (XX) XXXXX (XX/XX/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) NÚMERO XX XXXXXXXXXX XXX XXXXXXXXX XXXXXXX/ (CZ) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (XX) XXX XXXXXXXXXX XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) KENNNUMMER XXX ÖXXXXXXXXXXX URKUNDE/ (ET) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX NUMBER XX XXX XXXXXX XXXXXXXX/ (XX) XXXXXX XX RÉFÉRENCE DU XXXXXXXX PUBLIC/ (XX) XXXXXX XXXXXXXXX XX XXXXXXXXX PHOIBLÍ/ (HR) XXXXXXXXXX BROJ XXXXX XXXXXXX/ (IT) XXXXXX XX XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX XXXXXX/ (XX) VIEŠOJO XXXXXXXXX XXXXXXX/ (HU) X KÖZOKIRAT XXXXXXXXXXX XXXXX/ (MT) XXXXX XX' XXXXXXXXX XXX-XXXXXXXX XXXXXXXX/ (NL) REFERENTIENUMMER XXX XXX XXXXXXXX XXXXXXXX/ (PL) XXXXX XXXXXXXXXXXX XXXXXXXXX URZĘDOWEGO/ (XX) XXXXXX DE XXXXXÊXXXX XX XXXXXXXXX XXXXXXX/ (XX) NUMĂRUL XX XXXXXXXȚĂ XX XXXXXXXXXXXX OFICIAL/ (XX) XXXXXXXXXX XXXXX VEREJNEJ XXXXXXX/ (XX) XXXXXXXXXX XXXXXXXX XXXXX LISTINE/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (SV) DEN XXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА СЪОТВЕТНОТО ЛИЦЕ/ (ES) XXXXXXXXXXX XXXXX EL XXXXXXXXXX/ (XX) XXXXXXXXX X XXXXXXX XXXXX/ (XX) XXXXXXXXXXX XX XXX XÅXÆXXXXXX XXXXXX/ (DE) XXXXXXX XXX BETREFFENDEN XXXXXX/ (XX) ASJAOMAST XXXXXX KÄSITLEV XXXXX/ (XX) ΣΤΟΙΧΕΊΑ ΤΟΥ ΠΡΟΣΏΠΟΥ ΤΟ ΟΠΟΊΟ ΑΦΟΡΆ ΤΟ ΈΝΤΥΠΟ/ (XX) XXXXXXXXXXX ON XXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXXXXX SUR XX XXXXXXXX XXXXXXXXX/ (XX) FAISNÉIS XXXXXX XXXX AN XXXXX XXXX xXXXXXXXX/ (HR) XXXXXXXXXXX O XXXXXXXX XXXXX/ (IT) XXXXXXXXXXXX XXXXX XXXXXXX INTERESSATA/ (XX) INFORMĀCIJA PAR XXXXXXĪXX XXXXXXX/ (XX) XXXXXXXXXXX APIE XXXXXXXXXĄ XXXXXĮ/ (XX) AZ XXXXXXXX SZEMÉLYRE XXXXXXXXX XXXXXX/ (MT) XXXXXXXXXXXXX XXXX XX-XXXXXXX KKONĊERNATA/ (XX) XXXXXXXXXX XXXX XX BETROKKENE/ (XX) XXXX XXXXX, XXXXXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXÇÕXX SOBRE X XXXXXX EM XXXXX/ (XX) INFORMAȚII XXXXXXX XXXXXXXX VIZATĂ/ (XX) XXXXXXXXXX O XXXXXXXXX XXXXX/ (XX) INFORMACIJE X XXXXXXX XXXXX/ (XX) ASIANOMAISEN XXXXXXÖX XXXXXX/ (XX) UPPGIFTER XX XXX BERÖRDA XXXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) APELLIDO(S)/ (XX) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (XX) XXXXXXXXXXXX(X)/ (XX) XXXXXXXXXXXXX (-XXXXX)/ (EL) ΕΠΩΝΥΜΟ(-Α)/ (XX) SURNAME(S)/ (XX) NOM(S)/ (XX) XXXXXXX (XXXXXXXX)/ (HR) XXXXXXX(XX)/ (XX) XXXXXXX(X)/ (XX) XXXĀXXX(-X)/ (XX) XXXXXXĖ (-ĖS)/ (HU) XXXXXXX XXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX)/ (XX) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (XX) XXXXXXX(X)/ (XX) XXXX/ (XX) PRIEZVISKO(-Á)/ (XX) XXXXXXX(XXXXXXX)/ (XX) XXXXXXXX (-XXXXX)/ (XX) XXXXXXXXX

4.2

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (XX) XXXXXX(X)/ (CZ) XXXXX (XXXXX)/ (DA) FORNAVN(E)/ (XX) XXXXXXX(X)/ (XX) XXXXXXX (-XXXXX)/ (XX) ΟΝΟΜΑ (-ΤΑ)/ (XX) XXXXXXXX(X)/ (XX) XXXXXX(X)/ (XX) XXXXXXXX (CÉADAINMNEACHA)/ (XX) IME(NA)/ (IT) XXXX(X)/ (LV) XĀXXX(-X)/ (XX) XXXXXX (-XX)/ (XX) XXXXXXX(X)/ (MT) XXXX(/XXXXXXXX)/ (NL) VOORNA(A)M(EN)/ (XX) XXXĘ (XXXXXX)/ (XX) XXXX(X) PRÓPRIOS(S)/ (XX) PRENUME/ (XX) XXXX(-X)/ (SL) XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (XX) XÖXXXXX

4.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) FECHA (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXX/ (XX) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) GEBURTSDATUM (TT/MM/JJJJ)/ (XX) XÜXXXXXXXÄXX (PP/KK/AAAA)/ (XX) ΗΜΕΡΟΜΗΝΊΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) OF BIRTH/ (XX) XXXX (XX/XX/XXXX) XX NAISSANCE/ (GA) XXXX (LL/MM/BBBB) BREITHE/ (XX) XXXXX (XX/XX/XXXX) XXĐXXXX/ (XX) DATA XX NASCITA (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXX XXXX (XX/XX/XXXX)/ (HU) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXȘXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) FÖDELSEDATUM (XX/XX/ÅÅÅÅ)

4.4

(XX) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) LUGAR Y XXXX XX XXXXXXXXXX/ (XX) XXXXX X XXXX XXXXXXXX/ (DA) XØXXXXXX XX -XXXX/ (XX) XXX XXX XXXX DER XXXXXX/ (XX) SÜNNIKOHT XX -XXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (XX) PLACE XXX XXXXXXX XX BIRTH/ (XX) LIEU XX XXXX DE XXXXXXXXX/ (XX) ÁIT AGUS XXX XXXXXXXX/ (XX) XXXXXX I ZEMLJA XXĐXXXX/ (IT) XXXXX X XXXXX DI XXXXXXX/ (XX) XXXXXXXXX XXXXX XX VALSTS/ (XX) XXXXXX VIETA XX ŠALIS/ (HU) XXÜXXXXXX HELYE ÉS XXXXXXX/ (MT) XXXX X PAJJIŻ TAT-TWELID/ (XX) GEBOORTEPLAATS EN -XXXX/ (XX) XXXXXXX X PAŃSTWO XXXXXXXXX/ (XX) XXXXX X XXXX XX XXXXXXXXXX/ (XX) LOCUL ȘX ȚXXX XXȘXXXXX/ (SK) XXXXXX X ŠTÁT XXXXXXXXX/ (SL) XXXX XX XXXXXX XXXXXXX/ (XX) XXXXXXÄXXXXXX XX -XXX/ (SV) FÖDELSEORT XXX -XXXX

4.5

(XX) ПОЛ/ (XX) XXXX/ (CZ) XXXXXXX/ (DA) XØX/ (XX) GESCHLECHT/ (XX) XXXX/ (EL) ΦΥΛΟ/ (XX) XXX/ (FR) XXXX/ (XX) INSCNE/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXX/ (XX) XXXX/ (MT) SESS/ (XX) XXXXXXXX/ (XX) XŁXĆ/ (XX) SEXO/ (XX) SEXUL/ (SK) XXXXXXXX/ (SL) XXXX/ (XX) XXXXXXXXX/ (XX) XÖX

4.5.1

(XX) ЖЕНСКИ/ (XX) XXXXX/ (XX) ŽENA/ (XX) XXXXXX/ (XX) XXXXXXXX/ (ET) NAISSOOST/ (XX) ΘΗΛΥ/ (EN) XXXXXX/ (FR) XXXXXXX/ (XX) XXXXXXXX/ (HR) XXXXXX/ (IT) FEMMINILE/ (XX) SIEVIETE/ (XX) XXXXXXX/ (XX) XŐ/ (XX) MARA/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (RO) XXXXXXXX/ (XX) XXXXXX/ (XX) ŽENSKI/ (XX) XXXXXX/ (SV) XXXXXX

4.5.2

(XX) МЪЖКИ/ (XX) XXXXX/ (XX) XXX/ (DA) XXXX/ (XX) MÄNNLICH/ (XX) XXXXXXXXX/ (EL) ΑΡΡΕΝ/ (EN) MALE/ (XX) MASCULIN/ (XX) XXXXXXX/ (HR) XXXXX/ (XX) MASCHILE/ (XX) XĪXXXXXX/ (XX) XXXXX/ (XX) XXXXX/ (XX) XXĠXX/ (XX) XXX/ (XX) MĘŻCZYZNA/ (XX) XXXXXXXXX/ (RO) BĂRBĂTESC/ (XX) XXXXXX/ (SL) XXXXX/ (FI) MIES/ (XX) XXX

4.5.3

(XX) НЕОПРЕДЕЛЕН/ (XX) INDETERMINADO/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) UNBESTIMMT/ (XX) XÄÄXXXXXX/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (XX) XXXXXXXXXXXX/ (XX) INDÉTERMINÉ/ (XX) XXXXXXXXXXXXXXX/ (XX) XXXXXXĐXX/ (XX) INDETERMINATO/ (LV) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) MEGHATÁROZATLAN/ (XX) XXXX STABBILIT/ (NL) XXXXXXXXX/ (XX) PŁEĆ XXXXXXXŚXXXX/ (PT) NÃO XXXXXXXX/ (RO) NEDETERMINAT/ (XX) NEURČENÉ/ (SL) XXXXXXXXX/ (XX) MÄÄRITTELEMÄTÖN/ (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 RESIDENCIA ACTUALES XX XX XXXXXXX X XX XXX XX XXXXXXX XX XXXXXXXXX PÚBLICO XX XXX XX XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXX XXXXXXXX NEBO XXXXX POBYTU XXXXX XXXXXXX VE XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (DA) XXXÆXXXXX XXXÆX XX/XXXXX OPHOLDSSTED XXX XXXXXXXX, DER XX BERØRT XX XXX XXXXXXXXXX DOKUMENT, XXX XXXXX XXXXXXXX XX XXXXÆXXXX/ (XX) XXXXXXXXX WOHNSITZ UND/ODER XXX DES XXXÖXXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXXXX XXXXXX GEMÄSS XXX ÖXXXXXXXXXXX XXXXXXX, DER XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (ET) XXXXXXXX XXXXXXXXXX, MILLELE XXX XXXX ON XXXXXXX, XXXXXXXXX ISIKU XXXXXXXX XXXXXXX XXXXXXX XX/XÕX XXXXXXX/ (EL) ΤΡΕΧΟΥΣΑ ΔΙΕΥΘΥΝΣΗ ΚΑΤΟΙΚΙΑΣ ΚΑΙ/Ή ΔΙΑΜΟΝΗΣ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) CURRENT XXXXXXXX XXX/XX XXXXXXXXX XX THE PERSON XXXXX IN XXX XXXXXX XXXXXXXX TO XXXXX XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXX ET/OU XXXXXXXXX XXXXXXX DE XX XXXXXXXX XXXXXXXXX PAR XX DOCUMENT XXXXXX XXXXXX XX PRÉSENT XXXXXXXXXX XXX JOINT/ (XX) SAINCHÓNAÍ XXXXXX XXXX/XX XXXXXXXXXXX XX XXXXX XXX XXXXXXXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX AN XXXXXX XXX XXXXXXXXXX/ (XX) TRENUTNO XXXXXXXXXXXX X/XXX XXXXXXXXX XXXXX XXXXXXXX X XXXXXX XXXXXXX XXXXX XX XXXX OBRAZAC XXXXXXXX/ (XX) XXXXXXXXX E/O XXXXXXXXX XXXXXXX XXXXX XXXXXXX INTERESSATA DAL XXXXXXXXX PUBBLICO XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĪXĀX PERSONAS XXXXXXXĒXXXX XXXXXXXX UN/VAI XXXXXĒXXXĀX XXXXX, XXX XXXĒXX XXXXXXXXXĀ DOKUMENTĀ, XXXXX XĪ VEIDLAPA XX XXXXXXXXXX/ (XX) VIEŠAJAME XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXX XXXXXX DABARTINĖ XXXXXXXXĖ GYVENAMOJI XXXXX XX (XXXX) GYVENAMOJI XXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATBAN XXXXXXXXXXX XXXXXXX JELENLEGI XXXXXXXXX XX/XXXX XXXXXXXXXXXX XXXXX/ (MT) XXXXĊXXXX X/XXX XXXXXXXXX ATTWALI XXX-XXXXXXX MSEMMIJA XXX-XXXXXXXX XXXXXXXX XX XXXXĦX XX XXXXXŻX DIN XX-XXXXXXX/ (XX) XXXXXXX XXXX- EN/OF XXXXXXXXXXXXXX XXX XX BETROKKENE XX XXXXX XXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXXXXX/ (PL) XXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXXXXX POBYTU XXXXX WSKAZANEJ X XXXXXXXXXX XXXĘXXXXX, XX XXXXXXX XXŁĄXXXXX XXXX XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX X/XX RESIDÊNCIA XXXXX XX XXXXXX XXXXXXXXX NO DOCUMENTO XXXXXXX A XXX X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (RO) XXXXXXXXXX ȘX/XXX XXȘXXXXȚX XXXXXX(Ă) XX (X) XXXXXXXXX VIZATE XX XXXXXXXXXX OFICIAL XX XXXX XXXX ANEXAT XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX BYDLISKO A/ALEBO XXXXX OSOBY XXXXXXXX XX XXXXXXXX XXXXXXX, XX XXXXXX JE XXXXXXXXX XXXXX XXXXXXXX/ (XX) TRENUTNO STALNO XXXXXXXXXXXX XX/XXX TRENUTNO XXXXXXXXXXXX XXXXX, XX XXXXXX XX NANAŠA XXXXX LISTINA, XX XX XX PRILOŽEN XX XXXXXXX/ (XX) XXXXXXXXÄ XXXXXXXXXXXX, JOHON XÄXÄ XXXXXX XXXXXXÄÄX, XXXXXXXXXXX XXXXXXÖX KOTI- XX/XXX XXXXXXXXXXX/ (XX) XXXXXXXXX HEMVIST OCH/ELLER XXXXXXXXXX FÖR XXX XXXXXX XXX XXXÖXX XX XXX XXXXXXXXXX XXXXXXXX TILL XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

5.1

(XX) МЕСТОЖИВЕЕНЕ/ (XX) XXXXXXXXX/ (CZ) BYDLIŠTĚ/ (XX) BOPÆL/ (XX) XXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (EL) ΚΑΤΟΙΚΙΑ/ (XX) DOMICILE/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXXĖ XXXXXXXXXX XXXXX/ (HU) LAKÓHELY/ (XX) XXXXĊXXXX/ (NL) XXXXXXXXXX/ (XX) MIEJSCE XXXXXXXXXXXX/ (PT) XXXXXXXXX/ (XX) DOMICILIUL/ (SK) XXXXXXXX/ (XX) STALNO XXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) HEMVIST

5.1.1

(BG) АДРЕС/ (XX) DIRECCIÓN/ (CZ) XXXXXX/ (XX) ADRESSE/ (XX) ANSCHRIFT/ (ET) XXXXXXX/ (XX) ΔΙΕΥΘΥΝΣΗ/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (XX) XXXXXX/ (XX) ADRESAS/ (XX) XXXX/ (XX) INDIRIZZ/ (XX) XXXXX/ (PL) XXXXX/ (XX) ENDEREÇO/ (XX) XXXXXX/ (SK) XXXXXX/ (XX) XXXXXX/ (XX) OSOITE/ (XX) XXXXXX

5.1.1.1

(XX) УЛИЦА И НОМЕР/ПОЩЕНСКА КУТИЯ/ (XX) XXXXX Y XXXXXX / APARTADO XX XXXXXXX/ (CZ) XXXXX X ČÍSLO XXXX / XXXXXXXX XXXXXXXXX/ (XX) XXX XX XXXXXXXXX/XXXXXXXX/ (XX) STRASSE XXX XXXXXXXXXX/XXXXXXXX/ (XX) XÄXXX XX XXXX XXXXXX / POSTKAST/ (XX) ΟΔΟΣ ΚΑΙ ΑΡΙΘΜΟΣ / Τ.Θ./ (XX) XXXXXX XXX XXXXXX/XX XXX/ (FR) XXX ET XXXXXX/XXÎXX XXXXXXX/ (XX) XXXXX XXXX UIMHIR/BOSCA POIST/ (XX) XXXXX X XXXX / XXXXXXXXX XXXXXXXX/ (IT) XXX X XXXXXX/XXXXXXX XXXXXXX/ (XX) XXXX XX XĀXXX XXXXXX / XXXXXXXXX/ (XX) XXXXĖ XX NAMO XXXXXXX / XXXXX XĖXXXĖ/ (XX) XXXX XX XXXXXXX/XXXXXXXXX/ (XX) XXXX X NUMRU/KAXXA XXXXXXX/ (XX) XXXXXX XX XXXXXX/XXXXXXX/ (PL) XXXXX X NUMER / XXXXXXX XXXXXXXX/ (XX) XXX E XXXXXX/XXXXX XXXXXX/ (RO) XXXXXX ȘX XXXĂXXX/XĂXXȚX XXȘXXXĂ/ (XX) XXXXX A XXXXX/ XXXXXXX XXXXXXXXX/ (XX) XXXXX IN XXXXXXXX/XXXXXX XXXXXX/ (FI) XÄXXXXXXXX/XXXXXXXXXXX/ (XX) GATUADRESS/POSTBOX

5.1.1.2

(BG) НАСЕЛЕНО МЯСТО И ПОЩЕНСКИ КОД/ (ES) XXXXXXXXX X XXXXXX XXXXXX/ (CZ) XXXXX X XXXXXXXX XXXXXXXXX XXXXX/ (DA) XX XX XXXXXXXXXX/ (DE) XXX UND XXX/ (XX) XXXX XÕX XXXXX XX XXXXXXXXXX/ (XX) ΤΟΠΟΣ ΚΑΙ ΤΑΧΥΔΡΟΜΙΚΟΣ ΚΩΔΙΚΟΣ/ (XX) XXXXX XXX XXXXXX XXXX/ (XX) XXXXXXXX XX XXXX XXXXXX/ (XX) XXX XXXX XXX XXXXX/ (XX) XXXXXX I XXXXXXXXX XXXX/ (XX) XXXXXXXÀ X CAP/ (XX) XXXXX XX PASTA XXXXXXX/ (LT) XXXXX XX PAŠTO XXXXX/ (XX) XXXXXXX ÉS XXXXXXXXXXXX/ (XX) XXXXXXXÀ X XXXXĊX XXXXXXX/ (XX) PLAATS EN XXXXXXXX/ (XX) XXXXXXXXXŚĆ X XXX XXXXXXXX/ (XX) XXXXXXXXXX E XXXXXX XXXXXX/ (RO) XXXXXXXXXXX ȘX CODUL XXȘXXX/ (SK) XXXXXX X XXXXXXX SMEROVACIE XXXXX/ (XX) KRAJ XX XXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX JA XXXXXXXXXXXXXXXX/ (XX) ORT XXX XXXXXXXXXX

5.1.1.3

(XX) ДЪРЖАВА/ (XX) PAÍS/ (CZ) XXXX/ (XX) LAND/ (XX) XXXX/ (XX) XXXX/ (XX) ΧΩΡΑ/ (XX) COUNTRY/ (XX) XXXX/ (XX) XXX/ (XX) XXXXXX/ (IT) XXXXX/ (XX) XXXXXX/ (XX) ŠALIS/ (XX) XXXXXX/ (XX) XXXXXŻ/ (XX) LAND/ (XX) XXŃXXXX/ (XX) XXXX/ (XX) ȚXXX/ (SK) XXXX/ (XX) DRŽAVA/ (XX) MAA/ (SV) XXXX

5.2

(XX) МЕСТОПРЕБИВАВАНЕ/ (XX) XXXXXXXXXX/ (XX) MÍSTO XXXXXX/ (DA) XXXXXXXXXXX/ (XX) XXX XXX XXXÖXXXXXXXX XXXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΔΙΑΜΟΝΗ/ (XX) XXXXXXXXX/ (XX) XXXXXXXXX/ (GA) XXXXXXXXXX/ (XX) XXXXXXXXX/ (IT) XXXXXXXXX/ (LV) UZTURĒŠANĀS XXXXX/ (XX) GYVENAMOJI XXXXX/ (XX) XXXXXXXXXXXX XXXX/ (XX) XXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) XXXXXXX XXXXXX/ (XX) XXXXXÊXXXX/ (XX) XXȘXXXXȚX/ (XX) POBYT/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX

6.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX XX XXXXX/ (XX) XXXX XXX PODPIS/ (XX) XXXXXXXXXXXXXXXX/ (XX) UNTERSCHRIFTENFELD/ (XX) ALLKIRJALAHTER/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (XX) XXXXXXXXX BOX/ (FR) XXXXX XXXX XX XXXXXXXXX/ (GA) XXXXX XXX XXXXX/ (XX) XXXXX XX XXXXXX/ (XX) XXXXXXXX PER XX XXXXX/ (LV) XXXXXXXX XXXXX/ (LT) XXXXXX LAUKELIS/ (HU) XX XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) VAK XXXX XX XXXXXXXXXXXX/ (XX) XXXX XXXXXXX/ (XX) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (RO) SEMNĂTURA/ (XX) XXXXXXX XX XXXXXX/ (SL) XXXXX XX XXXXXX/ (XX) XXXXXXXXXXXXXXXXXXÄ/ (XX) RUTA XÖX XXXXXXXXXXXXXX

6.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) APELLIDO(S) X XXXXXX(X) DEL XXXXXXXXXXX QUE XXXXXXX XXXX XXXXXXX/ (XX) XXXXXXXX X XXXXX (XXXXX) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (XX) XXXXXXXXX(X) XX XXXXXXX(X) PÅ XXX XXXXXXXXXX, DER XXX XXXXXXX XXXXX FORMULAR/ (XX) XXXXXXXXXXXX(X) UND XXXXXXX(X) DES BEAMTEN, XXX XXXXXX FORMULAR XXXXXXXXXXX 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) XXXXXXX(X) XXX XXXXXXXX(X) XX THE XXXXXXXX XXX ISSUED THIS XXXX/ (FR) XXX(X) XX XXXXXX(X) XX XXXXXXXXXXXXX XXX A XXXXXXX LE XXXXXXX XXXXXXXXXX/ (GA) XXXXXXX (XXXXXXXX) AGUS CÉADAINM (XXXXXXXXXXXXXX) XX XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (HR) XXXXXXX(XX) I IME(NA) XXXXXXXXXX KOJI JE XXXXX XXXX XXXXXXX/ (XX) XXXXXXX/X X XXXX/X XXX XXXXXXXXXXX XXX XX RILASCIATO XX PRESENTE MODULO/ (XX) AMATPERSONAS, XXXX XXXXXXXX XX XXXXXXXX, XXXĀXXX(-X) UN VĀRDS(-I)/ (XX) ŠIĄ FORMĄ XXXXXXXXX PAREIGŪNO XXXXXXĖ (-ĖX) IR XXXXXX (-XX)/ (HU) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXXXXXŐ XXXXXXX XXXX(X) ÉS XXXXXXX(X)/ (MT) XXXXXX(/XXXXXXXXXXX) X ISEM(/ISMIJIET) XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XX(X)X(XX) XX VOORNA(A)M(EN) XXX XX XXXXXXXXX DIE XXX FORMULIER HEEFT XXXXXXXXX/ (XX) NAZWISKO(-A) X XXXĘ (XXXXXX) XXXĘXXXXX, KTÓRY XXXXŁ XXXXXXXXX FORMULARZ/ (PT) XXXXXXX(X) E XXXX(X) XXXXXXX(X) DO XXXXXXXXXXX XXX XXXXXX X XXXXXXXX XXXXXXXXXX/ (XX) XXXXXX ȘX XXXXXXXXX XXXXȚXXXXXXXXX XXXX X XXXX XXXXXXXXX FORMULAR/ (XX) XXXXXXXXXX(-X) X XXXX(-X) XXXXXXXX, KTORÝ XXXXX XXXXX FORMULÁR/ (XX) XXXXXXX/XXXXXXX IN XXX/XXXXX XXXXXXXX, XX XX IZDAL TA XXXXXXX/ (XX) XÄXÄX XXXXXXXXX ANTANEEN XXXXXXXXXXX XXXXXXXX (-NIMET) XX XXXXXXX (-XXXXX)/ (XX) XXXXXXXXX OCH FÖRNAMN XÅ DEN XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

6.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX XXXXXXXXXXX QUE XXXXXXX XXXX XXXXXXX/ (XX) XXXXXX ÚŘEDNÍKA, XXXXX XXXXX TENTO FORMULÁŘ/ (XX) STILLING — XXX EMBEDSMAND, XXX XXX XXXXXXX XXXXX XXXXXXXX/ (DE) XXXXXXXX XXX BEAMTEN, XXX XXXXXX FORMULAR 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/ (FR) XXXXX XX XXXXXXXXXXXXX XXX X DÉLIVRÉ XX XXXXXXX XXXXXXXXXX/ (XX) XXXX AN OIFIGIGH X X’XXXXXX XX XXXXXX XXX/ (XX) XXXXXXXX XXXXXXXXXX KOJI XX IZDAO XXXX XXXXXXX/ (XX) XXXXXXXXX XXX XXXXXXXXXXX XXX XX RILASCIATO IL XXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXX, XXXX IZDEVUSI XX XXXXXXXX, XXXXX/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX TISZTVISELŐ XXXXXXXXX/ (XX) KARIGA XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX XXX XX AMBTENAAR XXX XXX FORMULIER XXXXX XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX FORMULARZ/ (XX) XXXXX DO XXXXXXXXXXX XXX EMITIU X PRESENTE FORMULÁRIO/ (XX) XXXXȚXX FUNCȚIONARULUI XXXX A XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, KTORÝ XXXXX TENTO FORMULÁR/ (XX) XXXXXXX URADNIKA, XX JE XXXXX XX OBRAZEC/ (XX) XÄXÄX XXXXXXXXX XXXXXXXX XXXXXXXXXXX ASEMA/ (XX) XXXXXXXXXX XÖX XXX XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (XX) UDSTEDELSESDATO (XX/XX/ÅÅÅÅ)/ (DE) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (ET) XÄXXXXXXXXXX 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) DÁTA (XX/XX/XXXX) EISIÚNA/ (HR) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX DI XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX DATUMS (XX/XX/XXXX)/ (XX) IŠDAVIMO DATA (XX/XX/XXXX)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (XX/XX/XXXX) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATA XX XXXXXÃX (XX/XX/XXXX)/ (XX) DATA (XX/XX/XXXX) XXXXXXXX/ (SK) XXXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (DD/MM/LLLL) XXXXXX/ (XX) XXXXXXXXÄXXÄ (PP/KK/VVVV)/ (XX) DATUM (DD/MM/ÅÅÅÅ) XÖX XXXÄXXXXXX

6.4

(XX) ПОДПИС/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXX/ (EL) ΥΠΟΓΡΑΦΗ/ (XX) SIGNATURE/ (FR) XXXXXXXXX/ (XX) XXXXX/ (XX) POTPIS/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) XXXXXXX/ (XX) FIRMA/ (XX) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (SK) XXXXXX/ (XX) PODPIS/ (XX) ALLEKIRJOITUS/ (SV) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (ES) SELLO X XXXXXX/ (XX) XXXXX XXXX XXXXXXX/ (XX) SEGL ELLER XXXXXXX/ (XX) SIEGEL XXXX STEMPEL/ (XX) XXXXXX XÕX XXXXXX/ (XX) ΣΦΡΑΓΙΔΑ/ (EN) XXXX XX XXXXX/ (XX) SCEAU XX XXXXXX/ (GA) XXXXX XX XXXXXX/ (XX) XXX XXX PEČAT/ (XX) XXXXX O XXXXXX/ (LV) XĪXXXX XXX XXXXXXXX/ (XX) XXXXXXX ARBA XXXXXXXXXX/ (XX) XXXXXX XXXX XXXXXXXŐXXXXXXXX/ (XX) XXĠXXX XXX XXXXXX/ (XX) XXXXX OF XXXXXXX/ (XX) PIECZĘĆ LUB XXXXXXX/ (XX) SELO XX CARIMBO/ (RO) XXXXXXXX XXX ȘXXXXXXX/ (XX) XXXXX XXXXX XXXXXXXX XXXXXXXX/ (XX) XXXXX XXX XXX/ (XX) SINETTI XXX XXXXX/ (SV) XXXXXX XXXXX STÄMPEL

XXXXXXXXXXX XXXXXXX X XXXXXXXXX TRESTŮ XXXXXXXXX XXXXX, XXXXX XX XXXXXXX OSOBA XXXXXXX PŘÍSLUŠNÍKEM

VÍCEJAZYČNÝ XXXXXXXXXX XXXXXXXX – XXXXXXX XXX XXXXXXX

Xxxxxx 7 xxxxxxxx Xxxxxxxxxx parlamentu x Xxxx (XX) 2016/1191 xx dne 6. xxxxxxxx 2016 x xxxxxxx xxxxxxx xxxxxx xxxxxx xxxxxxxxxxxxx xxxxxxxxx xx xxxxxxxxxxx xxxxxxxxx veřejných xxxxxx x Evropské xxxx x x xxxxx xxxxxxxx (XX) č. 1024/2012 (1)

Xxxxxx (XX) Xxxxxxxxx (XX)

Xxxxx xxxxxxxxx (XX)

Xxxxxx (DK) Německo (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxx (XX) Xxxxxxxxx (XX)

Xxxxxxx (XX) Chorvatsko (XX)

Xxxxxx (IT) Xxxx (XX)

Xxxxxxxx (XX) Xxxxx (XX)

Xxxxxxxxxxx (XX)

Xxxxxxxx (HU) Xxxxx (MT)

Nizozemsko (XX) Xxxxxxxx (XX)

Xxxxxx (XX) Xxxxxxxxxxx (PT)

Rumunsko (RO) Xxxxxxxxx (XX)

Xxxxxxxxx (SK) Xxxxxx (FI)

Švédsko (XX) Xxxxxxx xxxxxxxxxx (XX)

XXXXXXXX XXXXXXXXXX

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

Xxxxx xxxxxxxx xxxxxx xxxxx xxxxxxx xxxxxxx, k xxx xx xxxxxxxx. Xxxxx, xxxxx je xxxxxxx xxxxxxx předkládána, xxxx xxxx v xxxxxxxxx, xxx je xx xxxxxxxx xxx účely xxxxxxxxxx veřejné listiny, xxxxxxxxx xxxxxxx xx xxxxxx xxxxxxxxx, xxxxx xxxx ve xxxxxxxxx xxxxxxx.

XXXXXXXXXX PRO XXXXXXXXXX XXXXX

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

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

1. ORGÁN XXXXXXXXXX XXXXX XXXXXXXX

1.1 Xxxxx (3)

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

1.1 Xxxxx (4)

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

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

3.1.1 Xxxxxxxxxx xxxxx

3.1.2 Listina xxxxxx xxxxxxx zástupcem

3.1.3 Xxxxxxx xxxxxx xxxxxx xxxxxxx xxxxxxxxx

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

3.1.5 Xxxx (xxxxxxxxx)

(1) Úř. xxxx. X 200, 26.7.2016, x. 1.

(2) Xxx xxxxxxxxxx xxxxx xxxxxxxx xxxxxxx xxxxx.

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

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

3.2 Xxxxxxx xxxxxx správním xxxxxx

3.2.1 Xxxxxxxxx

3.2.2 Xxxxx z xxxxxxxxx trestů

3.2.3 Xxxx xxxxxxx x xxxxxxxxx xxxxxx

3.1.5 Xxxx (xxxxxxxxx)

3.3 Xxxxxxxx xxxxxxx

3.4 Xxxxxx xxxxxxxxx, kterým xxxx xxxxxxxx xxxxxxx podepsaná xxxxxxxxx xxxxxx

3.5 Xxxxxxx xxxxxxxxxx diplomatickým zástupcem xxxx xxxxxxxxxxx úředníkem xxxxxxxxx státu v xxxxx xxxxxx jeho xxxxxxxxxx povinností

3.6 Xxxxx (xx/xx/xxxx) xxxxxx

3.7 Referenční xxxxx xxxxxxx listiny

4. XXXXXXXXX X TOTOŽNOSTI XXXXX XXXXXXX XX XXXXXXX LISTINĚ, K XXX XX XXXXXXXX XXXXX FORMULÁŘ

4.1 Xxxxxxxx

4.2 Xxxxxxxxx xxxxxxxx

4.3 Jméno (xxxxx)

4.4 Xxxxxxxxx xxxxx (xxxxx)

4.5 Xxxxx (xx/xx/xxxx) xxxxxxxx

4.6 Místo (1) x xxxx (2) xxxxxxxx

4.7 Xxxxxxx:

4.7.1 Xxxx

4.7.2 Xxx

4.7.3 Xxxxxxxx

4.8 Státní xxxxxxxxxxx

4.9 Xxxxxxxxxxxxx xxxxx

4.10 Xxxx a číslo xxxxxxxxxxxxxxx xxxxxxx xxxxx:

4.10.1 Xxxxxxxxxxxx xxxxxx totožnosti / č.

4.10.2 Xxx / č.

4.10.3 Xxxxxxxx xxxxxx / x.

4.10.4 Xxxx (upřesněte) /x.

5. XXXXXXX LISTINA, K XXX XX XXXXXXXX XXXXX XXXXXXXX, XXXXXXXXX XXXXX XXXXXXXXX XXXXXXX XXXXX XXXXXXX V XXXXXXXXX XXXXXX XXXXXXXXX XXXXX, XXXXX XX XXXX OSOBA STÁTNÍM XXXXXXXXXXXX.

6. XXXX PRO XXXXXX

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

6.2 Funkce xxxxxxxx, xxxxx xxxxx xxxxx xxxxxxxx

6.3 Xxxxx (xx/xx/xxxx) xxxxxx

6.4 Xxxxxx

6.5 Xxxxx xxxx xxxxxxx

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

(2) Xxxxx země x – pokud xxxxxxxx – xxx XXX dané xxxx xxxx xxxxxxx „Jiné (xxxxxxxxx)“ xx xxxxx xxxxxx x xxxxxxxxxxx xxxxxxx xx xxxxxxxx xxxxxxxxxxxx xxxxxxxxxxx formuláři, xxxxx je x xxxxxxxxx na portálu xxxxxxxx x-xxxxxxx.

XXXXXXXXXXX XXXXXX XXXXX XXXXXXXXXXXX XXXXXXX

(XXXXXXXXXXX XXXXXXX X XXXXXXXXX XXXXXX XXXXXXXXX STÁTU, XXXXX JE XXXXXXX XXXXX STÁTNÍM PŘÍSLUŠNÍKEM)

1.

(BG) ОРГАН, ИЗДАВАЩ НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) AUTORIDAD XXX EXPIDE ESTE XXXXXXX/ (CZ) ORGÁN XXXXXXXXXX TENTO XXXXXXXX/ (XX) DENNE XXXXXXXXX XXXXXXXXXX XXXXXXXXX/ (XX) XXXÖXXX, DIE XXXXXX XXXXXXXX XXXXXXXXX/ (XX) XÄXXXXXXX XXXXX XÄXXX XXXXXX XXXXXX/ (XX) ΑΡΧΗ ΕΚΔΟΣΗΣ ΤΟΥ ΠΑΡΟΝΤΟΣ ΕΝΤΥΠΟΥ/ (XX) XXXXXXXXX XXXXXXX XXXX XXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXX FORMULAIRE/ (GA) XX xXXXXXX X XXXXXXXX XX XXXXXX XXX/ (XX) XXXXXX XXXX IZDAJE XXXX XXXXXXX/ (XX) XXXXXXXÀ XXX RILASCIA XX XXXXXXXX XXXXXX/ (XX) XXXXXXXXX XXXXXĒXXXXXĀXX/ (XX) XXĄ XXXXĄ XXXXXXXXXX XXXXXXXX INSTITUCIJA/ (XX) X XXXXXXXXXXXXXXXXX KIÁLLÍTÓ XXXXXXX/ (MT) XXXXXXXÀ XXXXXXXXX XX' XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX VAN XXX FORMULIER/ (XX) XXXXX WYDAJĄCY XXXXXXXXX XXXXXXXXX/ (PT) XXXXXXXXXX XXX XXXXX O XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXX EMITENTĂ X XXXXXXXXXXX XXXXXXXX/ (XX) XXXXX XXXXXXXXXX XXXXX XXXXXXXX/ (SL) XXXXX, XX XXXX TA XXXXXXX/ (XX) XÄXÄX XXXXXXXXX ANTAVA XXXXXXXXXXXX/ (XX) XXXXXXXXX XXX XXXÄXXXX XXXXXXÄXXX

1.1

(XX) НАИМЕНОВАНИЕ/ (XX) XXXXXXXXXXXX/ (CZ) XXXXX/ (DA) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (ET) XXXXXXX/ (EL) ΟΝΟΜΑΣΙΑ/ (XX) DESIGNATION/ (XX) XXXXXXXXXXXX/ (XX)XXXXXXX/ (HR) XXXXX/ (XX) XXXXXXXXXXXXX/ (XX) NOSAUKUMS/ (XX) XXXXXXXXXXX/ (HU) XXXXXXXXXX/ (XX) TITLU/ (XX) XXXXXXXX/ (XX) NAZWA/ (XX) DESIGNAÇÃO/ (RO) XXXXXXXX/ (XX) XXXXX/ (XX) XXX/ (XX) XXXX/ (XX) XXXX

2.

(XX) ОРГАН, ИЗДАВАЩ ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (ES) XXXXXXXXX XXX XXXXXX EL XXXXXXXXX PÚBLICO XX XXX XX XXXXXXX XXXX IMPRESO/ (CZ) XXXXX VYDÁVAJÍCÍ XXXXXXXX XXXXXXX, X XXX XX PŘILOŽEN XXXXX XXXXXXXX/ (XX) XXX XXXXXXXXX, XXX XXX XXXXXXX DET OFFENTLIGE XXXXXXXX, XXX DENNE XXXXXXXX ER VEDHÆFTET/ (XX) XXXÖXXX, XXX XXX ÖFFENTLICHE XXXXXXX, XXX XXXXXX FORMULAR XXXXXXÜXX XXX, AUSSTELLT/ (XX) ASUTUS, KES 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 WHICH XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXX XX XXXXXXXXXX XX XXXXXXXX PUBLIC XXXXXX XXX JOINT XX XXXXXXX XXXXXXXXXX/ (GA) XX xXXXXXX A XXXXXXXX AN XXXXXXXXX XXXXXX LENA XXXXXX XX FHOIRM XXX XXXXXXXXXX/ (HR) XXXXXX XXXX IZDAJE JAVNU XXXXXXX XXXXX JE XXXX XXXXXXX PRILOŽEN/ (XX) XXXXXXXÀ XXX XXXXXXXX XX DOCUMENTO XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (LV) XXXXXXXĀ XXXXXXXXX, XXXXX ŠĪ XXXXXXXX XX PIEVIENOTA, XXXXXĒXXXXXĀXX/ (XX) XXXXĄXĮ XXXXXXXXĄ, XXXX XXXXX XXXXXXXXX XX FORMA, XXXXXXXXXX VALDŽIOS INSTITUCIJA/ (XX) A FORMANYOMTATVÁNNYAL XXXXXX XÖXXXXXXXXX XXXXXXXX XXXXXXX/ (XX) XXXXXXXÀ XXXXXXXXX TAD-DOKUMENT XXXXXXXX XX XXXXĦX XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) XXXXXXXXXX XXX XXXXXXX XXX HET XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX IS XXXXXXX/ (XX) XXXXX XXXXXĄXX XXXXXXXX XXXĘXXXX, XX XXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXŁĄXXXXX/ (XX) XXXXXXXXXX XXX XXXXX O XXXXXXXXX XXXXXXX A QUE X XXXXXXXX XXXXXXXXXX XXXX XXXXXX/ (RO) XXXXXXXXXXX EMITENTĂ A XXXXXXXXXXXX XXXXXXX XX XXXX ESTE XXXXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXX VYDÁVAJÚCI VEREJNÚ XXXXXXX, XX XXXXXX XX XXXXX XXXXXXXX XXXXXXXXX/ (SL) XXXXX, XX XXXX XXXXX XXXXXXX, KI XX XX XXXXXXXX XX XXXXXXX/ (XX) VIRANOMAINEN, XXXX XX XXXXXXX XXXXXXX XXXXXXXXXX, XXXXX XÄXÄ XXXXXX XXXXXXÄÄX/ (XX) XXXXXXXXX SOM XXXÄXXXX XXX XXXXXXXXXX XXXXXXXX XXXX VILKEN XXXXX FORMULÄR ÄX XXXXXXX

3.

(XX) ИНФОРМАЦИЯ ОТНОСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXXXXX XX XXXXXXXXX PÚBLICO XX XXX XX XXXXXXX XXXX IMPRESO/ (CZ) XXXXXXXXX TÝKAJÍCÍ XX XXXXXXX XXXXXXX, K XXX XX PŘILOŽEN XXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXØXXXXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX FORMULAR XX XXXXÆXXXX/ (DE) XXXXXXX XXX ÖFFENTLICHEN XXXXXXX, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) XXXXX AVALIKU XXXXXXXXX XXXXX, MILLELE SEE XXXX ON LISATUD/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΣΧΕΤΙΚΑ ΜΕ ΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX RELATING XX XXX XXXXXX XXXXXXXX XX XXXXX THIS XXXX IS ATTACHED/ (XX) XXXXXXXXXXXX XXXXXXXXX XX DOCUMENT XXXXXX XXXXXX XXX XXXXX XX PRÉSENT XXXXXXXXXX/ (XX) XXXXXXXX X XXXXXXXXX LEIS XX XXXXXXXXX XXXXXX XXXX XXXXXX XX FHOIRM XXX XXXXXXXXXX/ (XX) XXXXXXXXXXX XXXX SE XXXXXX XX JAVNU XXXXXXX XXXXX XX XXXX XXXXXXX PRILOŽEN/ (XX) XXXXXXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXX XX XXXXXXXX XXXXXX È XXXXXXXX/ (XX) XXXXXXĀXXXX XXX XXXXXXXX XXXXXXXXX, XXXXX XĪ XXXXXXXX IR XXXXXXXXXX/ (XX) INFORMACIJA, XXXXXXXX XX XXXXXXXX XXXXXXXXX, XXXX KURIO XXXXXXXXX ŠI FORMA/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX XÖXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (MT) XXXXXXXXXXXXX XXXX XX-XXXXXXXX XXXXXXXX XX MIEGĦU XXXX XXXXXŻX XXX XX-XXXXXXX/ (XX) INFORMATIE XXXXXXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXX DIT XXXXXXXXX XX GEHECHT/ (XX) XXXXXXXXXX XXXXXXĄXX DOKUMENTU XXXĘXXXXXX, DO XXXXXXX XXXXXXXXX XXXXXXXXX JEST XXŁĄXXXXX/ (XX) XXXXXXXÇÕXX XXXXXXXXX XX DOCUMENTO XXXXXXX X XXX X XXXXXXXX FORMULÁRIO XXXX XXXXXX/ (RO) XXXXXXXȚXX XXXXXXXXXXX LA XXXXXXXXXX XXXXXXX XX XXXX XXXX ANEXAT XXXXXXXXX FORMULAR/ (SK) XXXXXXXXXX X XXXXXXXX XXXXXXX, XX KTOREJ XX XXXXX XXXXXXXX XXXXXXXXX/ (SL) XXXXXXXXXXX X XXXXX X XXXXX XXXXXXX, XX XX JE XXXXXXXX XX XXXXXXX/ (FI) XXXXXX XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ LOMAKE XXXXXXÄÄX/ (XX) XXXXXXXXXXX XX XXX OFFICIELLA XXXXXXXX XXXX VILKEN XXXXX XXXXXXÄX ÄX XXXXXXX

3.1

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ОРГАН ИЛИ ДЛЪЖНОСТНО ЛИЦЕ, СВЪРЗАН/О СЪС СЪДИЛИЩАТА ИЛИ ПРАВОРАЗДАВАТЕЛНИТЕ ОРГАНИ НА ДЪРЖАВА ЧЛЕНКА/ (XX) XXXXXXXXX XXXXXXXX POR XXX AUTORIDAD X XX XXXXXXXXXXX VINCULADO X XXX ÓRGANOS XXXXXXXXXXXXXXXX XX XX XXXXXX XXXXXXX/ (CZ) XXXXXXX VYDANÁ XXXXXXX XXXX XXXXXXXXX X XXXXXX NA XXXXX XXXXXX XXXXXXXXX XXXXX/ (XX) XXXXXXXX, XXX XX XXXXXXX AF XX MYNDIGHED XXXXX XX EMBEDSMAND, XXX XX TILKNYTTET DOMSTOLE X XX XXXXXXXXXXX/ (XX) XXXXXXX XXXXX XXXÖXXX ODER XXXXX XXXXXXXXXX XXX XXXXX XXX XXXXXXXXXXXX XXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX ON XÄXXX XXXXXX LIIKMESRIIGI XXXXXXXXX XXXXXX XXXXXXXXXXX XÕX XXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΜΙΑ ΑΡΧΗ Ή ΕΝΑΝ/ΜΙΑ ΥΠΑΛΛΗΛΟ ΠΟΥ ΣΥΝΔΕΕΤΑΙ ΜΕ ΤΑ ΔΙΚΑΣΤΗΡΙΑ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ/ (XX) XXXXXXXX XXXXXXXXX XXXX XX XXXXXXXXX XX XX OFFICIAL XXXXXXXXX XXXX XXX XXXXXX XX XXXXXXXXX OF X XXXXXX STATE/ (XX) DOCUMENT ÉMANANT X'XXX XXXXXXXX XX X'XX FONCTIONNAIRE XXXXXXXX X'XXX JURIDICTION X'XX XXXX XXXXXX/ (GA) XXXXXXXXX A THAGANN X ÚDARÁS XX X XXXXXXXXX A XXXXXX XXXXX XXXX XX XXXX XX XXXXXXXXXX XX LE XXXXX DE CHUID XXXXXXXXX/ (XX) ISPRAVA XXXX XX XXXXXX XXXXXX XXX SLUŽBENIK XXXX DRŽAVE ČLANICE/ (XX) XXXXXXXXX EMANATO XX XX'XXXXXXXÀ O XX XX XXXXXXXXXXX XXXXXXXXXXXX XX XXX XXXXX XXXXXXXXXXXXX XX XXX STATO XXXXXX/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XX DALĪBVALSTS XXXXĀX XXXXXĪXX XXXXĀXX XXX XXXXXXXXXXX/ (LT) XXXXXXXXXX, XXXXXXXX XXXXXXXX XXXXXXXXXXXX XX XXXXXXŪXX, XXXXXXXXŲ SU XXXXXXXĖX XXXĖX TEISMAIS AR XXXXXXXXXXX/ (HU) TAGÁLLAMI XXXXXXXXXX KAPCSOLATBAN ÁLLÓ XXXXXXX XXXX XXXXXXXXXXŐ XXXXX KIÁLLÍTOTT OKIRAT/ (XX) DOKUMENT XXĦXXĠ XXXX XXXXXXXÀ XXX XXXXĊXXX XX XXXXXXXX XXXXX XXX-XXXXX XXX XX-XXXXXXXXX TA' STAT XXXXXX/ (NL) DOCUMENT XXXXXXXXX DOOR EEN XXXXXXXXXX XX XXXXXXXXX XXXXXXXXX TOT EEN XXXXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX XXXXXX XĄXXXXXX XXX XXXĘXXXXX XĄXXXXXX PAŃSTWA XXŁXXXXXXXXXXX/ (XX) DOCUMENTO XXXXXXXXXXX DE XXX XXXXXXXXXX XX XX XX FUNCIONÁRIO XXXXXXXXXX XX QUALQUER XXXXXXXÇÃX XX XX XXXXXX-XXXXXX/ (XX) DOCUMENT EMIS XX X XXXXXXXXXX XXX XX XX XXXXȚXXXXX DE PE XÂXXĂ XXXXXXȚXXX XXXX XXXX XXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXX XXXXX XXXXXXXXX X XÄXXXX NA XXXX XXXXXXXXX XXXXX/ (XX) XXXXXXX, XXXXXX X XXXXXX XXXXXX ALI XXXXXXXX SODNE XXXXXXX XXXXXX ČLANICE/ (FI) XXXXXXXXX, JONKA XX XXXXXXX XÄXXXXXXXXXX OIKEUSLAITOKSEEN XXXXXXX VIRANOMAINEN XXX XXXXXXXXX/ (XX) HANDLING XXX HÄRRÖR XXÅX XX MYNDIGHET ELLER XX XXÄXXXXXXX XXXXXÖXXXXX XXXXXXXXXÄXXXXXX X XX XXXXXXXXXXX

3.1.1

(XX) СЪДЕБНО РЕШЕНИЕ/ (XX) XXXXXXXXXX XXXXXXXX/ (XX) ROZHODNUTÍ SOUDU/ (XX) XXXXXXXXXXXØXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) ΔΙΚΑΣΤΙΚΗ ΑΠΟΦΑΣΗ/ (XX) XXXXX XXXXXXXX/ (XX) DÉCISION XX XXXXXXX/ (XX) CINNEADH XX xXXXXX/ (XX) XXXXXX ODLUKA/ (XX) XXXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX XĒXXXX/ (XX) XXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX/ (XX) XXĊXŻXXXX XXX-XXXXX/ (NL) XXXXXXXXXXXX XXXXXXXXXX/ (PL) XXXXXXXXXX XĄXXXX/ (PT) XXXXXÃX XXXXXXXX/ (RO) XXXĂXÂXX XXXXXĂXXXXXXXĂ/ (XX) XXXXX XXXXXXXXXXX/ (SL) XXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX XÄÄXÖX/ (XX) XXXXXXXXXXXXXX

3.1.2

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ ПРОКУРОР/ (XX) XXXXXXXXX EXPEDIDO XXX XX XXXXXXXXXX FISCAL/ (XX) XXXXXXX XXXXXX XXXXXXX XXXXXXXXX/ (XX) XXXXXXXX UDSTEDT XX XX XXXXXXXXXXXXXXXX/ (DE) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX ANDNUD XXXXXXX XÜÜXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΕΙΣΑΓΓΕΛΕΑ/ (XX) XXXXXXXX XXXXXXXXX XXXX X XXXXXX PROSECUTOR/ (FR) XXXXXXXX XXXXXXX XX XXXXXXÈXX XXXXXX/ (GA) XXXXXXXXX X XXXXXXX X XXXXXXXXXXXXXXX XXXXXX/ (XX) ISPRAVA XXXX XX IZDALO XXXXXXX XXXXXXXXXXXX/ (IT) DOCUMENTO XXXXXXX XXX XXXXXXXX XXXXXXXXX/ (XX) XXXXXXXXX, XXXX IZSNIEDZIS XXXXXXXXX/ (XX) XXXXXXXXX IŠDUOTAS XXXXXXXXXX/ (XX) ÜGYÉSZ XXXXX KIÁLLÍTOTT XXXXXX/ (XX) XXXXXXXX MAĦRUĠ XXXX XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX XXXX EEN XXXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX PROKURATORA/ (XX) XXXXXXXXX PROVENIENTE XX XXXXXXXXXX PÚBLICO/ (XX) XXXXXXXX XXXX XX UN PROCUROR/ (XX) XXXXXXX XXXXXX XXXXXXXXXXXX/ (SL) LISTINA, XX JO IZDA XXXXXXX TOŽILSTVO/ (XX) XXXXXXXXXX XXXXXÄXÄX XXXXXX XXXXXXXXX/ (XX) HANDLING XXX XÄXXÖX XXÅX ÅXXXXXXXÄXXXXXX

3.1.3

(XX) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН СЛУЖИТЕЛ/ (XX) DOCUMENTO XXXXXXXX XXX UN XXXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXX VYŠŠÍM SOUDNÍM XXXXXXXXX/ (XX) DOKUMENT XXXXXXX XX XX XXXXXXXXXXXXXÆX/ (XX) URKUNDE XXXXX URKUNDSBEAMTEN XXX XXXXXÄXXXXXXXXX EINES XXXXXXXX/ (XX) XXXXXXXX, MILLE XX VÄLJA XXXXXX XXXXXXXXXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΓΡΑΜΜΑΤΕΑ ΔΙΚΑΣΤΗΡΙΟΥ/ (XX) XXXXXXXX XXXXXXXXX XXXX A XXXXX XX X XXXXX/ (XX) XXXXXXXX XXXXXXX X'XX XXXXXXXX/ (XX) DOICIMÉAD X XXXXXXX X XXXXXXXXXX XX XXXXX XXXXXX/ (XX) ISPRAVA XXXX XX XXXXX XXXXXXXXXX XXXXXX XXXXXXXXX/ (XX) XXXXXXXXX EMANATO DA XX CANCELLIERE/ (LV) XXXXXXXXX, KURU XXXXXXXXXX XXXXXX SEKRETĀRS/ (LT) XXXXXX TARNAUTOJO IŠDUOTAS XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXŐ ÁLTAL XXXXXXXXXX XXXXXX/ (XX) DOKUMENT XXĦXXĠ XXXX REĠISTRATUR XX' QORTI/ (XX) XXXXXXXX XXXXXXXXX XXXX XXX XXXXXXXX/ (PL) XXXXXXXX POCHODZĄCY OD XXXXXXXXXX XĄXXXXXX/ (PT) XXXXXXXXX PROVENIENTE XX XX XXXXXXX XX XXXXXÇX/ (XX) DOCUMENT XXXX XX XX XXXXXXX XX XXXXXXȚXX/ (XX) XXXXXXX XXXXXX XXXXXX XXXXXXXXX/ (SL) XXXXXXX, XX XX XXXX XXXXX XXXXXXXXXX/ (XX) XXXXXXXXXXXXXX SIHTEERIN XXXXXX XXXXXXXXX/ (XX) XXXXXXXX SOM HÄRRÖR XXÅX EN DOMSTOLSTJÄNSTEMAN

3.1.4

(BG) ДОКУМЕНТ, ПРОИЗХОЖДАЩ ОТ СЪДЕБЕН ИЗПЪЛНИТЕЛ („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXXX EXPEDIDO XXX XX XXXXXX XXXXXXXX («XXXXXXXX XX JUSTICE»)/ (XX) XXXXXXX XXXXXX XXXXXXX VYKONAVATELEM („XXXXXXXX XX XXXXXXX“)/ (XX) XXXXXXXX XXXXXXX XX XX XXÆXXXXXXXXXX (»XXXXXXXX XX XXXXXXX«)/ (XX) XXXXXXX XXXXX XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX, XXXXX XX XÄXXX ANDNUD XXXXXXÄXXXX/ (XX) ΕΓΓΡΑΦΟ ΠΡΟΕΡΧΟΜΕΝΟ ΑΠΟ ΔΙΚΑΣΤΙΚΟ(-Η) ΕΠΙΜΕΛΗΤΗ(-ΡΙΑ) («HUISSIER XX XXXXXXX»)/ (XX) DOCUMENT XXXXXXXXX XXXX X XXXXXXXX XXXXXXX ('XXXXXXXX XX XXXXXXX')/ (XX) XXXXXXXX XXXXXXX D'UN XXXXXXXX XX JUSTICE/ (XX) DOICIMÉAD X XXXXXXX Ó OIFIGEACH XXXXXXXXXXXX (“HUISSIER XX XXXXXXX”)/ (XX) XXXXXXX XXXX XX XXXXX XXXXXX XXXXXXXXX (XXXXXXXX XX JUSTICE)/ (XX) XXXXXXXXX EMANATO XX XX XXXXXXXXX GIUDIZIARIO ("XXXXXXXX XX XXXXXXX")/ (XX) XXXXXXXXX, XXXX XXXXXXXXXX XXXXXX XXXXXXĪXĀXX (XXXXXXXX DE JUSTICE)/ (XX) XXXXXXXXX (XXXXXXXX XX XXXXXXX) XXXXXXXX XXXXXXXXXX/ (XX) BÍRÓSÁGI XXXXXXXXXX („XXXXXXXX DE XXXXXXX”) XXXXX KIÁLLÍTOTT XXXXXX/ (MT) DOKUMENT XXĦXXĠ MINN UFFIĊJAL ĠXXXXXXXXXX ('HUISSIER XX XXXXXXX')/ (XX) DOCUMENT XXXXXXXXX XXXX EEN XXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXĄXX XX URZĘDNIKA XĄXXXXXX (HUISSIER XX XXXXXXX)/ (XX) XXXXXXXXX XXXXXXXXXXX XX XX XXXXXXÃX XX XXXXXXX («XXXXXXXX XX JUSTICE»)/ (XX) XXXXXXXX EMIS XX XX XXXXXXXX XXXXXĂXXXXXX („XXXXXXXX DE XXXXXXX”)/ (SK) LISTINA XXXXXX XXXXXX XXXXXXXXXXĽXX („XXXXXXXX XX JUSTICE“)/ (XX) LISTINA, XX XX XXXX SODNI XXXXXXXXXX („HUISSIER XX XXXXXXX“)/ (XX) XXXXXXXXXXXX (”XXXXXXXX XX XXXXXXX”) XXXXXX ASIAKIRJA/ (XX) XXXXXXXX XXX HÄRRÖR XXÅX XX XXÄXXXXXXXXX (XXXXXXXX DE JUSTICE)

3.1.5

(BG) ДРУГИ (ДА СЕ ПОСОЧАТ)/ (XX) XXXX (XXXXXXXXXXXXX)/ (XX) XXXX (XXXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (DE) XXXXXXXXX (XXXXX XXXXXXX)/ (XX) XXX (TÄPSUSTAGE)/ (XX) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ)/ (XX) XXXXX (TO BE XXXXXXXXX)/ (XX) XXXXX (À XXXXXXXX)/ (XX) XXXX (LE XXXXX)/ (XX) XXXXXX (NAVESTI)/ (XX) ALTRO (PRECISARE)/ (XX) XXXX (XXXXXXĒX)/ (XX) XXXX (NURODYTI)/ (XX) XXXXX (KÉRJÜK XXXXXXXXXXX)/ (MT) OĦRAJN (XXXXXĊXŻX)/ (XX) OVERIGE (XXXXXXXXXXXX)/ (XX) XXXX (XXXXXĘ OKREŚLIĆ)/ (PT) XXXXXX (X XXXXXXXXXXX)/ (XX) XXXXX (X XX XXXXXXX)/ (XX) XXX (XXXXXXXX)/ (XX) XXXXX (XXXXXXX)/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ)/ (XX) XXXXX HANDLING (XXXXXXXXXXXX)

3.2

(XX) АДМИНИСТРАТИВЕН ДОКУМЕНТ/ (XX) DOCUMENTO XXXXXXXXXXXXXX/ (XX) XXXXXXX VYDANÁ XXXXXXXX ÚŘADEM/ (XX) XXXXXXXXXXXXXX DOKUMENT/ (XX) XXXXXXX EINER XXXXXXXXXXXXXXÖXXX/ (XX) XXXXXXXXXXXXXX/ (EL) ΔΙΟΙΚΗΤΙΚΟ ΕΓΓΡΑΦΟ/ (XX) XXXXXXXXXXXXXX XXXXXXXX/ (FR) XXXXXXXX XXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXX AMMINISTRATIVO/ (LV) XXXXXXXXXXXĪXX XXXXXXXXX/ (XX) XXXXXXXXXXXXXXX DOKUMENTAS/ (XX) XÖXXXXXXXXXXX OKIRAT/ (XX) XXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX DOCUMENT/ (XX) XXXXXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXXXXXX/ (SK) XXXXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXX/ (XX) XXXXXXXXXXXXXX ASIAKIRJA/ (XX) XXXXXXXXXXXXX XXXXXXXX

3.2.1

(XX) УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX/ (CZ) XXXXXXXXX/ (XX) PÅTEGNING/ (XX) BESCHEINIGUNG/ (XX) XÕXXX/ (XX) ΠΙΣΤΟΠΟΙΗΤΙΚΟ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXX/ (XX) DEIMHNIÚ/ (XX) XXXXXXX/ (IT) XXXXXXXXXXX/ (XX) XXXXXXXXĀXXXX/ (XX) XXXXXX, XXXXXXXXXX/ (XX) XXXXXXXXXXX/XXXXXXXXXXXX/ (MT) ĊXXXXXXXXX/ (XX) CERTIFICAAT/ (XX) XXŚXXXXXXXXXX/ (XX) XXXXXXÃX OU XXXXXXXXXXX/ (XX) CERTIFICAT/ (XX) XXXXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXX

3.2.2

(XX) ИЗВЛЕЧЕНИЕ ОТ РЕГИСТЪРА ЗА СЪДИМОСТ/ (XX) XXXXXXXX XXX XXXXXXXX DE ANTECEDENTES XXXXXXX/ (CZ) XXXXX X REJSTŘÍKU XXXXXX/ (XX) UDDRAG XXX XXXXXXXXXXXXXXXX/ (XX) STRAFREGISTERAUSZUG/ (XX) XXXXXXXXXXXXXXXX VÄLJAVÕTE/ (XX) ΑΠΟΣΠΑΣΜΑ ΠΟΙΝΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXX XXXX XXX XXXXXXXX XXXXXX/ (XX) EXTRAIT XX XXXXXX XXXXXXXXXX/ (XX) XXXXXXX XX XX XXXXXXX XXXXXXXX/ (XX) XXXXXXX XX XXXXXXX XXXXXXXXXX/ (XX) XXXXXXXX DEL XXXXXXXXXX XXXXXXXXXX/ (LV) XXXXXXXX XX XXXĀXĪXXX XXĢXXXXX/ (XX) XXXXXXX IŠ XXXXXXXXXXXŲ XXXXXXXX/ (XX) XXXXXXX X XŰXÜXXX XXXXXXXXXXXXXXXX/ (XX) XXXXXXX XXX-XXXXXX XXXXXXXXX/ (NL) XXXXXXXXXX XXX XXX XXXXXXXXXXXXX/ (XX) XXXXĄX X REJESTRU XXXXXXX/ (XX) CERTIFICADO DO XXXXXXX XXXXXXXX/ (XX) XXXXXX DIN CAZIERUL XXXXXXXX/ (XX) VÝPIS X XXXXXXXX XXXXXXX/ (XX) XXXXXXX IZ XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXXX/ (XX) UTDRAG XX XXXXXXXXXXXXXXXXX

3.2.3

(XX) ПЪЛЕН ПРЕПИС ОТ АКТ ОТ РЕГИСТЪРА ЗА СЪДИМОСТ/ (ES) XXXXX XXXXXXX XX INSCRIPCIONES XXX XXXXXXXX XX XXXXXXXXXXXX PENALES/ (CZ) XXXX ZÁZNAMU X XXXXXXXXX XXXXXX/ (XX) XXXXXX KOPI XX XXXXXXXXXXXXXXXX/ (DE) WÖRTLICHE XXXXXXXXX XXX XXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XÄXXXXÕXXX XXXXXX/ (EL) ΠΙΣΤΟ ΑΝΤΙΓΡΑΦΟ ΠΟΙΝΙΚΟΥ ΜΗΤΡΩΟΥ/ (XX) XXXXXXXX XXXX XX THE CRIMINAL XXXXXX/ (XX) COPIE XXXXXXXXX XX CASIER XXXXXXXXXX/ (XX) CÓIP XXXXX XX FHOCAL XXX XXXXXXX COIRIÚIL/ (XX) XXXXXXXX XXXXXXXX XX KAZNENE XXXXXXXXXX/ (XX) XXXXX XXXXXXXXX XXX CASELLARIO XXXXXXXXXX/ (XX) XXXĀXĪXXX REĢISTRA XXXXXXXXXX KOPIJA/ (XX) XXXXXXXXXXXŲ REGISTRO ĮXXXŲ XXXXXXXĖ XXXXXX/ (XX) X XŰXÜXXX NYILVÁNTARTÁS XXX SZERINTI MÁSOLATA/ (XX) KOPJA XXXXXXXX XXX-XXXXXX XXXXXXXXX/ (NL) XXXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXXXXXXXX/ (XX) XXXXX ZUPEŁNY Z XXXXXXXX XXXXXXX/ (XX) XXXXXXÃX XX XXXXX XXXXXXXX XX XX XXXXXXXXX XX REGISTO XXXXXXXX/ (RO) XXXXX XXXXXĂ X XXXXXXXXXX XXXXXXXX/ (XX) DOSLOVNÝ XXXXX X XXXXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXX IZ XXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXXXXXXXXX XXXXXXXXXX XÄXXXXXÖX/ (XX) XXXXXXXXX XXXXXXXX AV XXXXXXXXX UR KRIMINALREGISTRET

3.3

(BG) НОТАРИАЛЕН АКТ/ (ES) XXXX NOTARIAL/ (XX) XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXÆXXXX XXXXXXXX/ (XX) XXXXXXXXXX URKUNDE/ (ET) XXXXXXXXXXXXXXXXX/ (XX) ΣΥΜΒΟΛΑΙΟΓΡΑΦΙΚΗ ΠΡΑΞΗ/ (XX) NOTARIAL XXX/ (XX) ACTE XXXXXXX/ (XX) XXXXXX XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXX/ (XX) XXXX XXXXXXXX/ (LV) XXXXXXĀXX XXXX/ (XX) XXXXXXXXX XXXXX/ (HU) XÖXXXXXXŐX XXXXXX/ (MT) XXX XXXXXXXX/ (NL) XXXXXXËXX XXXX/ (XX) AKT XXXXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) XXX XXXXXXXX/ (XX) NOTÁRSKA XXXXXXX/ (XX) XXXXXXXX XXXXXXX/ (FI) XXXXXXXX XXXXXX ASIAKIRJA/ (XX) XXXXXXXXX HANDLING

3.4

(BG) ОФИЦИАЛНО УДОСТОВЕРЕНИЕ, ПРИЛОЖЕНО КЪМ ДОКУМЕНТ, ПОДПИСАН ОТ ЛИЦЕ В ЛИЧНО КАЧЕСТВО/ (XX) XXXXXXXXXXXXX XXXXXXX PUESTA XXXXX XX XXXXXXXXX XXXXXXX/ (XX) XXXXXX XXXXXXXXX, XXXXXX XXXX XXXXXXXX XXXXXXX PODEPSANÁ XXXXXXXXX XXXXXX/ (XX) XXXXXXXX XÅXXXXXXX PÅ XX XXXXXXXX UNDERTEGNET AF XX PERSON X XXXXXX EGENSKAB XX XXXXXXXXXXXX/ (XX) AMTLICHE XXXXXXXXXXXXX XXX XXXXX XXXXXXXXXXXXX/ (XX) ISIKU 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 A XXXXXXXX XXXXXX BY A XXXXXX XX XXX XX XXX XXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXX XXXXXXXXXX APPOSÉE XXX XX XXXX XXXX XXXXX XXXXX/ (XX) XXXXXXXX OIFIGIÚIL X XXXXXXXXX XX DHOICIMÉAD XXXX SHÍNIÚ XX XXXXX INA XXXXX XX XXX XXXX XXXXXXXXXXXXXX/ (XX) SLUŽBENA XXXXXXX XXXXXXXXX XX XXXXXXX XXXX JE XXXXX XXXXXXXXX X XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXX XXXXXXX XX UNA SCRITTURA XXXXXXX/ (LV) XXXXXĀXX XXXXXXXXĀXXXX XX XXXXXXXXX, XX SAVĀ VĀRDĀ XXXXXXXĪXXXX XĀXX XXXXXXX/ (XX) XXXXXXXŲ XXXXXŲ XXXXXXXXXŲ XXXXXXXXŲ XXXXXXXŪX XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ĊERTIFIKAT UFFIĊJALI XX JITQIEGĦED F'DOKUMENT XXXXXXXX XXXX PERSUNA XXX-XXXXĊXXÀ XXXXXXX XXXĦXX/ (XX) OFFICIEEL XXXXXXXXXXX XX XXX XXXXXXXX XXXXXXXXXXX XXXX XXX XXXXXXX XX XXXX XXXXXXXXXXXX HOEDANIGHEID/ (XX) XXXĘXXXX ZAŚWIADCZENIE UMIESZCZONE XX XXXXXXXXXX PODPISANYM XXXXX XXXXĘ XXXXŁXXĄXĄ X XXXXXXXXXXX PRYWATNYM/ (XX) XXXXXXXÇÃX XXXXXXX XXXXXXX XXX ATO XX XXXXXXXX XXXXXXX/ (XX) XXXXXXXXXX XXXXXXX XXXXXXX XX XX XXXXXXXX XXX XXXXĂXXXĂ XXXXXXĂ/ (SK) XXXXXX XXXXXXXXXX XXXXXXX NA XXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXX AKO XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXX NA XXXXXXX XXXXXXX/ (FI) VIRALLINEN XXXXXXXX XXXXXXXXXXXX, XXXXX XXXXXXÖ ON ALLEKIRJOITTANUT XXXXXXXXXXXXXXÖXÄ/ (XX) XXXXXXXXXX XXXXX XXXXXXXXX XÅ XX XXXXXXXX XXX XXXXXXXXXXXXX AV EN XXXXXXXXXXXX

3.5

(XX) ДОКУМЕНТ, ИЗГОТВЕН ОТ ДИПЛОМАТИЧЕСКИ ИЛИ КОНСУЛСКИ СЛУЖИТЕЛ НА ДЪРЖАВА ЧЛЕНКА В СЛУЖЕБНО КАЧЕСТВО/ (ES) XXXXXXXXX XXXXXXXX XXX XX XXXXXX XXXXXXXXXXX X XXXXXXXX XX XX XXXXXX MIEMBRO XXX CARÁCTER OFICIAL/ (XX) LISTINA XXXXXXXXXX XXXXXXXXXXXXX ZÁSTUPCEM XXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX XXXXXX XXXX SLUŽEBNÍCH XXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXXX UDFÆRDIGET AF XX XXXXXXXXXXXX XXXXXXXXXXXX XXXXX KONSULÆRE REPRÆSENTANT/ (XX) XXX EINEM XXXXXXXXXXXXXX XXXX XXXXXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXXX XX XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX URKUNDE/ (XX) LIIKMESRIIGI XXXXXXXXXXXXXX XÕX XXXXXXXXXXXXXXXXX POOLT XXXXXXXXXXXXXXX XÄXXXXXXX XXXXXXXXX XXXXXXXX/ (EL) ΕΓΓΡΑΦΟ ΣΥΝΤΑΓΜΕΝΟ ΑΠΟ ΔΙΠΛΩΜΑΤΙΚΟ(-Η) Ή ΠΡΟΞΕΝΙΚΟ(-Η) ΥΠΑΛΛΗΛΟ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΥΠΟ ΤΗΝ ΕΠΙΣΗΜΗ ΙΔΙΟΤΗΤΑ ΤΟΥ/ΤΗΣ/ (XX) DOCUMENT XXXXX XX XX X XXXXXXXXXX XX XXXXXXXX XXXXX OF X MEMBER XXXXX XX XXX XX XXX XXXXXXXX XXXXXXXX/ (XX) XXXXXXXX ÉTABLI XX XX XXXXXXX XXXXXXXXXX PAR XX XXXXX DIPLOMATIQUE XX XXXXXXXXXX X'XX XXXX XXXXXX/ (GA) XXXXXXXXX XXXX XXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXX XX CONSALACH XX XXXXX XXXXXXXXX XXX XXXXX NÓ XXX XXXX OIFIGIÚIL/ (XX) XXXXXXX XXXX XX X SLUŽBENOM XXXXXXXX XXXXXXXX DIPLOMATSKI XXX XXXXXXXXXX PREDSTAVNIK XXXXXX XXXXXXX/ (XX) XXXXXXXXX XXXXXXX XX XXXXXX XXXXXXXXXXX X XXXXXXXXX XX UNO STATO XXXXXX XXXX'XXXXXXXXX XXXXX XXXX XXXXXXXX/ (XX) XXXXXXXXX, XXXX, XXXXXX XXXXX PIENĀKUMUS, XXXXXXXXXXX XXXĪXXXXXXX XXXXXXĀXXXXXXX VAI XXXXXXĀXXXX XĀXXXĀXXX/ (LT) XXXXXXXXXX, XXXXXXXXX VALSTYBĖS XXXĖX XXXXXXXXX XX XXXXXXXXXX XXXXXXŪXX, XXXXXXXXXX XXXXX XXXXXXXXXX ĮXXXXXXXXXX/ (XX) XXXXXXXX XXXXXXXX XXXXXXXXXXX XXXX XXXXXXX XXXXXXXXŐXX ÁLTAL XXXXXXXXX XXXŐXXXXXXX XXXXXXXXXX XXXXXX/ (XX) XXXXXXXX XXĦXXXX XXXX AĠENT DIPLOMATIKU XXX KONSULARI XX' XXXX MEMBRU FIL-KAPAĊITÀ XXXXĊXXXX XXXXĦX/ (XX) XXXXXXXX XXXXXXXXX DOOR XX DIPLOMATIEKE XX XXXXXXXXXX AMBTENAAR VAN XXX LIDSTAAT XX XXXX OFFICIËLE XXXXXXXXXXXX/ (XX) DOKUMENT XXXXXĄXXXXX XXXXX PRZEDSTAWICIELA XXXXXXXXXXXXXXX XXX XXXĘXXXXX KONSULARNEGO XXŃXXXX XXŁXXXXXXXXXXX XXXXŁXXĄXXXX X XXXXXXXXXXX XXXĘXXXXX/ (XX) XXXXXXXXX XXXXXXX XXX UM AGENTE XXXXXXXXXXX XX CONSULAR XX UM ESTADO-MEMBRO XX EXERCÍCIO XXX XXXX XXXÇÕXX XXXXXXXX/ (XX) DOCUMENT ÎNTOCMIT XX CĂTRE XX XXXXX XXXXXXXXXX SAU XXXXXXXX XX XXXX XXXX MEMBRU, ÎN XXXXXXXX OFICIALĂ/ (XX) XXXXXXX XXXXXXXXXX DIPLOMATICKÝM XXXXXXXXX XXXXX XXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX X XXXXX VÝKONU XXXX XXXXXXX/ (SL) XXXXXXX, KI XX XXX URADNA XXXXX XXXX XXXXXXXXXXX ALI XXXXXXXXXX XXXXXXXXXXX XXXXXX XXXXXXX/ (XX) XXXXXXXXX, XXXXX XÄXXXXXXXXXX DIPLOMAATTINEN XXXXXXXX XXX XXXXXXXXXXXXXXX XX XXXXXXXX XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXX UPPRÄTTAD X XXÄXXXXX XX XX XXXXXXXXXXX XXXXX XXXXXXÄX XXÄXXXXXXX I XX MEDLEMSSTAT

3.6

(BG) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX XXXXXXXXXX/ (XX) XXXXX (DD/MM/RRRR) VYDÁNÍ/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) VÄLJAANDMISE KUUPÄEV (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (XX) XXXXXXXX XXXX (XX/XX/XXXX)/ (XX) A XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (MT) XXXX (JJ/XX/SSSS) XXX-ĦXXĠ/ (XX) XXXXX (DD/MM/JJJJ) XXX XXXXXXX/ (XX) XXXX (XX/XX/XXXX) XXXXXXX/ (XX) DATA XX XXXXXÃX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) EMITERII/ (XX) DÁTUM (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXÄXXÄ (XX/XX/XXXX)/ (XX) XXXXX (DD/MM/ÅÅÅÅ) XÖX XXXÄXXXXXX

3.7

(XX) РЕФЕРЕНТЕН НОМЕР НА ОФИЦИАЛНИЯ ДОКУМЕНТ/ (XX) XXXXXX DE XXXXXXXXXX DEL XXXXXXXXX XXXXXXX/ (CZ) XXXXXXXXXX XXXXX XXXXXXX XXXXXXX/ (XX) DET OFFENTLIGE XXXXXXXXX XXXXXXXXXXXXXXX/ (DE) XXXXXXXXXX XXX ÖFFENTLICHEN XXXXXXX/ (ET) XXXXXXX XXXXXXXXX XXXXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΑΝΑΦΟΡΑΣ ΤΟΥ ΔΗΜΟΣΙΟΥ ΕΓΓΡΑΦΟΥ/ (XX) XXXXXXXXX XXXXXX XX XXX XXXXXX DOCUMENT/ (XX) XXXXXX XX XXXXXXXXX DU DOCUMENT XXXXXX/ (XX) XXXXXX XXXXXXXXX AN XXXXXXXXX XXXXXXX/ (XX) REFERENTNI XXXX JAVNE XXXXXXX/ (XX) XXXXXX XX XXXXXXXXXXX XXX DOCUMENTO XXXXXXXX/ (XX) XXXXXXXĀ XXXXXXXXX XXXXXXXX XXXXXX/ (XX) XXXXXXX DOKUMENTO XXXXXXX/ (XX) X XÖXXXXXXX XXXXXXXXXXX XXXXX/ (XX) NUMRU XX' XXXXXXXXX XXX-XXXXXXXX PUBBLIKU/ (XX) XXXXXXXXXXXXXXXX VAN XXX XXXXXXXX XXXXXXXX/ (XX) NUMER XXXXXXXXXXXX XXXXXXXXX URZĘDOWEGO/ (XX) XXXXXX DE XXXXXÊXXXX XX DOCUMENTO PÚBLICO/ (XX) XXXĂXXX XX XXXXXXXȚĂ XX XXXXXXXXXXXX XXXXXXX/ (SK) XXXXXXXXXX XXXXX XXXXXXXX LISTINY/ (XX) XXXXXXXXXX XXXXXXXX XXXXX XXXXXXX/ (XX) XXXXXXX XXXXXXXXXX XXXXXXXXXXX/ (XX) XXX OFFICIELLA XXXXXXXXXXX XXXXXXXXXXXXXX

4.

(XX) ИНФОРМАЦИЯ ЗА САМОЛИЧНОСТТА НА СЪОТВЕТНОТО ЛИЦЕ СЪГЛАСНО ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXXXXXXXX XXXXX LA XXXXXXXXX XX LA XXXXXXX X XX XXX XX REFIERE XX XXXXXXXXX PÚBLICO XX XXX XX XXXXXXX XXXX IMPRESO/ (XX) XXXXXXXXX X XXXXXXXXXX XXXXX UVEDENÉ XX XXXXXXX XXXXXXX, X XXX XX XXXXXXXX XXXXX XXXXXXXX/ (XX) INFORMATION XX XXXXXXXXXXX XÅ XXXXXXXX, XXX XXX XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX XX XXXXÆXXXX, XX XXXXXXX I/ (XX) ANGABEN XXX XXXXXXXÄX XXX XXXXXXXXXXXX XXXXXX XXXÄXX DER ÖXXXXXXXXXXX URKUNDE, XXX XXXXXX XXXXXXXX XXXXXXÜXX XXX/ (XX) TEAVE XXXXX ISIKUSAMASUSE KOHTA, XXX XX XXXXXXXXX XXXXXXXX DOKUMENDIS, XXXXXXX XXX XXXX XX XXXXXXX/ (XX) ΠΛΗΡΟΦΟΡΙΕΣ ΓΙΑ ΤΗΝ ΤΑΥΤΟΤΗΤΑ ΤΟΥ ΠΡΟΣΩΠΟΥ ΤΟ ΟΠΟΙΟ ΚΑΤΟΝΟΜΑΖΕΤΑΙ ΣΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXXXXX XX XXX IDENTITY XX XXX XXXXXX XXXXX XX XXX XXXXXX XXXXXXXX TO WHICH XXXX XXXX XX XXXXXXXX/ (XX) XXXXXXXXXXXX XXX X'XXXXXXXX DE XX XXXXXXXX CONCERNÉE XXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXX XX PRÉSENT XXXXXXXXXX/ (GA) XXXXXXXX XXXX XXXXXXXXXX XX XXXXX ATÁ XXXXXXXXX XX XXXXXXXXX XXXXXX XXXX XXXXXX AN XXXXXX SEO CEANGAILTE/ (XX) XXXXXXXXXXX O XXXXXXXXXX XXXXX XXXXXXXX X JAVNOJ XXXXXXX XXXXX XX XXXX XXXXXXX XXXXXXXX/ (IT) XXXXXXXXXXXX XXXX'XXXXXXXÀ XXXXX XXXXXXX XXXXXXXXXXX XXX XXXXXXXXX XXXXXXXX CUI XX XXXXXXXX XXXXXX È XXXXXXXX/ (LV) XXXXXXĀXXXX PAR XXXXXXXXXĀ XXXXXXXXĀ, KURAM XĪ XXXXXXXX XX XXXXXXXXXX, XXXĒXĀX XXXXXXXX IDENTITĀTI/ (XX) XXXXXXXXXXX APIE XXXXXX, NURODYTO XXXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX XX XXXXX, XXXXXXXĘ/ (XX) X XXXXXXXXXXXXXXXXXXX XXXXXX KÖZOKIRATBAN XXXXXXXXXXX XXXXXXX XXXXXXXXXXXXXXXXXXX XXXXXXXXX XXXXXX/ (XX) XXXXXXXXXXXXX DWAR X-XXXXXXXÀ XXX-XXXXXXX XXXXXXXX XXX-XXXXXXXX XXXXXXXX XX XXXXĦX XX MEHMUŻA XXX XX-XXXXXXX/ (NL) XXXXXXXXXX XXXX XX IDENTITEIT XXX XX XXXXXXXXXX XX XXXXX XXX XXX XXXXXXXX XXXXXXXX XXXXXXX XXX XXXXXXXXX XX GEHECHT/ (PL) XXXX XX XXXXX XXŻXXXXŚXX XXXXX XXXXXXXXX X XXXXXXXXXX XXXĘXXXXX, XX XXXXXXX XXŁĄXXXXX XXXX XXXXXXXXX XXXXXXXXX/ (XX) INFORMAÇÕES SOBRE X XXXXXXXXXX XX XXXXXX XXXXXXXXX NO XXXXXXXXX PÚBLICO A XXX X PRESENTE XXXXXXXXXX XXXX XXXXXX/ (XX) XXXXXXXȚXX XXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXXX XX XXXXXXXXXX OFICIAL XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX/ (XX) INFORMÁCIE X XXXXXXXXXX OSOBY XXXXXXXX XX XXXXXXXX XXXXXXX, XX XXXXXX XX XXXXX FORMULÁR PRIPOJENÝ/ (XX) INFORMACIJE O XXXXXXXXXXXX XXXXX, NA XXXXXX XX NANAŠA XXXXX XXXXXXX, XX XX XX XXXXXXXX XX XXXXXXX/ (XX) XXXXXXXXÄ ASIAKIRJASSA, XXXXX XÄXÄ XXXXXX LIITETÄÄN, XXXXXXXXXXX XXXXXXÖX XXXXXXÖXXXXXX/ (XX) UPPGIFTER XX XXXXXXXXXXX XÅ XXX XXXXXX SOM XXXÖXX XX DEN OFFICIELLA XXXXXXXX TILL XXXXXX XXXXX XXXXXXÄX ÄX XXXXXXX

4.1

(XX) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X)/ (XX) XXXXXXXX/ (XX) XXXXXXXXX(X)/ (XX) XXXXXXXXXXXX(X)/ (ET) XXXXXXXXXXXXX (-XXXXX)/ (XX) ΕΠΩΝΥΜΟ(-Α)/ (EN) XXXXXXX(X)/ (XX) XXX(X)/ (XX) XXXXXXX (XXXXXXXX)/ (XX) XXXXXXX(XX)/ (IT) XXXXXXX(X)/ (XX) UZVĀRDS(-I)/ (LT) XXXXXXĖ (-ĖX)/ (HU) XXXXXXX NEVE(I)/ (XX) XXXXXX(/XXXXXXXXXXX)/ (XX) XXXXXXXX(X)X(XX)/ (XX) XXXXXXXX(-X)/ (PT) XXXXXXX(X)/ (XX) XXXX/ (XX) XXXXXXXXXX(-X)/ (XX) XXXXXXX/XXXXXXX/ (XX) SUKUNIMI (-XXXXX)/ (XX) XXXXXXXXX

4.2

(XX) ПРЕДИШНО(И) ФАМИЛНО(И) ИМЕ(НА)/ (XX) XXXXXXXX(X) ANTERIOR(ES)/ (XX) PŘEDCHOZÍ XXXXXXXX/ (XX) XXXXXXXXX XXXXXXXXX(X)/ (XX) FRÜHERE(R) XXXXXXXXXXXX(X)/ (XX) XXXXXXX XXXXXXXXXXXXX (XXXXXXXXX XXXXXXXXXXXXXX)/ (XX) ΠΡΟΗΓΟΥΜΕΝΟ(-Α) ΕΠΩΝΥΜΟ(-Α)/ (XX) XXXXXXXX XXXXXXX(X)/ (XX) XXX(X) XXXXXXXXX(X)/ (XX) XXXXXXX (SLOINNTE) XXXXXX XXX/ (XX) XXXXXXXXX(-X) XXXXXXX(XX)/ (IT) COGNOME/I XXXXXXXXXX/X/ (XX) XXXXXXXXĒXXXX(-XX) XXXĀXXX(-X)/ (XX) XXXXXXXXĖ (-ĖX) XXXXXXĖ (-ĖX)/ (XX) ELŐZŐ CSALÁDI XXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) XXXĊXXXXXX/ (XX) XXXXXXXX XXXXXXXX(X)X(XX)/ (XX) XXXXXXXXXX XXXXXXXX(-X)/ (PT) XXXXXXX(X) XXXXXXXX(XX)/ (XX) NUME XXXXXXXX (NUME ANTERIOARE)/ (XX) PREDCHÁDZAJÚCE PRIEZVISKO(-Á)/ (XX) XXXXXXXX XXXXXXX/XXXXXXX / (XX) ENTINEN XXXXXXXX (XXXXXXX XXXXXXXXX)/ (XX) TIDIGARE XXXXXXXXX

4.3

(XX) СОБСТВЕНО(И) ИМЕ(НА)/ (ES) XXXXXX(X)/ (XX) XXXXX (XXXXX)/ (DA) XXXXXXX(X)/ (XX) XXXXXXX(X)/ (ET) XXXXXXX (-XXXXX)/ (EL) ΟΝΟΜΑ(-ΤΑ)/ (EN) FORENAME(S)/ (XX) PRÉNOM(S)/ (XX) XXXXXXXX (CÉADAINMNEACHA)/ (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 (IMIONA)/ (PT) XXXX(X) PRÓPRIO(S)/ (RO) XXXXXXX/ (SK) XXXX(-X)/ (XX) IME/IMENA/ (XX) XXXXXXX (-XXXXX)/ (XX) XÖXXXXX

4.4

(XX) ПРЕДИШНО(И) СОБСТВЕНО(И) ИМЕ(НА)/ (ES) XXXXXX(X) XXXXXXXX(XX)/ (XX) XXXXXXXXX XXXXX (XXXXX)/ (XX) XXXXXXXXX FORNAVN(E)/ (DE) XXÜXXXX(X) VORNAME(N)/ (XX) XXXXXXX EESNIMI (XXXXXXXXX XXXXXXXX)/ (EL) ΠΡΟΗΓΟΥΜΕΝΟ(-Α) ΟΝΟΜΑ(-ΤΑ)/ (XX) XXXXXXXX XXXXXXXX(X)/ (XX) XXXXXX(X) XXXXXXXXX(X)/ (GA) CÉADAINM (XXXXXXXXXXXXXX) XXXXXX SEO/ (XX) XXXXXXXXX(-X) IME(NA)/ (XX) XXXX/X XXXXXXXXXX/X/ (XX) XXXXXXXXĒXXXX(-XX) VĀRDS(-I)/ (XX) XXXXXXXXXX (-I) XXXXXX (-AI)/ (HU) XXŐXŐ XXXXXXX(X)/ (XX) XXXX/XXXXXXXX XXXĊXXXXXX/ (XX) XXXXXXXX XXXXXXX(X)X(XX)/ (XX) XXXXXXXXXX IMIĘ (XXXXXX)/ (XX) XXXX(X) PRÓPRIO(S) XXXXXXXX(XX)/ (XX) XXXXXXX XXXXXXXX (PRENUME XXXXXXXXXX)/ (XX) XXXXXXXXXXXXXX MENO(-Á)/ (XX) XXXXXXXX XXX/XXXXX/ (XX) XXXXXXX (-XXXXX)/ (XX) XXXXXXXX XÖXXXXX

4.5

(XX) ДАТА (ДД/ММ/ГГГГ) НА РАЖДАНЕ/ (XX) XXXXX (XX/XX/XXXX) XX NACIMIENTO/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXX/ (DA) XØXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÜXXXXXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΓΕΝΝΗΣΗΣ/ (XX) XXXX (XX/XX/XXXX) XX XXXXX/ (XX) XXXX (XX/XX/XXXX) XX XXXXXXXXX/ (XX) DÁTA (XX/XX/XXXX) XXXXXXX/ (XX) DATUM (XX/XX/XXXX) XXĐXXXX/ (XX) XXXX DI NASCITA (XX/XX/XXXX)/ (LV) XXXXXXXXX XXXXXX (DD/MM/GGGG)/ (LT) XXXXXX DATA (XX/XX/XXXX)/ (XX) XXÜXXXXXX XXXXX (XXXX/XX/XX)/ (XX) DATA (XX/XX/XXXX) XXX-XXXXXX/ (XX) XXXXXXXXXXXXX (XX/XX/XXXX)/ (PL) XXXX (XX/XX/XXXX) XXXXXXXXX/ (XX) DATA XX XXXXXXXXXX (XX/XX/XXXX)/ (XX) XXXX (XX/XX/XXXX) XXȘXXXXX/ (XX) XXXXX (XX/XX/XXXX) XXXXXXXXX/ (SL) XXXXX (XX/XX/XXXX) ROJSTVA/ (XX) XXXXXXÄXXXX (XX/XX/XXXX)/ (XX) XÖXXXXXXXXXX (DD/MM/ÅÅÅÅ)

4.6

(BG) МЯСТО И ДЪРЖАВА НА РАЖДАНЕ/ (XX) XXXXX X XXXX XX XXXXXXXXXX/ (XX) XXXXX X XXXX XXXXXXXX/ (XX) FØDESTED XX -XXXX/ (XX) XXX XXX XXXX DER XXXXXX/ (XX) SÜNNIKOHT XX -RIIK/ (EL) ΤΟΠΟΣ ΚΑΙ ΧΩΡΑ ΓΕΝΝΗΣΗΣ/ (EN) PLACE XXX COUNTRY XX XXXXX/ (XX) LIEU XX XXXX XX XXXXXXXXX/ (XX) ÁIT XXXX XXX XXXXXXXX/ (XX) XXXXXX I XXXXXX ROĐENJA/ (XX) XXXXX X XXXXX XX NASCITA/ (LV) XXXXXXXXX VIETA XX XXXXXX/ (XX) XXXXXX XXXXX XX XXXXX/ (XX) XXÜXXXXXX XXXXX XX XXXXXXX/ (XX) XXXX X XXXXXŻ XXX-XXXXXX/ (NL) XXXXXXXXXXXXXX XX -XXXX/ (XX) XXXXXXX X PAŃSTWO XXXXXXXXX/ (XX) LOCAL X XXXX XX XXXXXXXXXX/ (XX) XXXXX ȘX ȚXXX XXȘXXXXX/ (XX) MIESTO X XXXX XXXXXXXXX/ (XX) XXXX XX XXXXXX XXXXXXX/ (XX) XXXXXXÄXXXXXX XX -MAA/ (SV) XÖXXXXXXXX OCH -LAND

4.7

(BG) ПОЛ/ (XX) XXXX/ (XX) XXXXXXX/ (XX) XØX/ (XX) XXXXXXXXXX/ (XX) XXXX/ (EL) ΦΥΛΟ/ (XX) XXX/ (XX) XXXX/ (GA) XXXXXX/ (HR) SPOL/ (XX) XXXXX/ (LV) XXXXXXX/ (LT) LYTIS/ (XX) NEME/ (XX) XXXX/ (NL) XXXXXXXX/ (XX) PŁEĆ/ (XX) XXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXX/ (XX) XXXXXXXXX/ (XX) XÖX

4.7.1

(XX) ЖЕНСКИ/ (XX) MUJER/ (CZ) XXXX/ (DA) XXXXXX/ (XX) WEIBLICH/ (ET) XXXXXXXXX/ (XX) ΘΗΛΥ/ (XX) XXXXXX/ (FR) XXXXXXX/ (GA) XXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXX/ (LV) SIEVIETE/ (XX) MOTERIS/ (XX) XŐ/ (XX) MARA/ (XX) XXXXX/ (XX) XXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXXX/ (XX) XXXXXX/ (SL) ŽENSKI/ (XX) XXXXXX/ (SV) XXXXXX

4.7.2

(XX) МЪЖКИ/ (ES) XXXXX/ (CZ) XXX/ (XX) XXXX/ (DE) XÄXXXXXX/ (XX) MEESSOOST/ (XX) ΑΡΡΕΝ/ (EN) XXXX/ (XX) XXXXXXXX/ (XX) FIREANN/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) VĪRIETIS/ (XX) XXXXX/ (XX) XXXXX/ (XX) XXĠXX/ (XX) XXX/ (XX) XĘŻXXXXXX/ (XX) MASCULINO/ (RO) XĂXXĂXXXX/ (XX) XXXXXX/ (XX) MOŠKI/ (FI) XXXX/ (XX) MAN

4.7.3

(BG) НЕОПРЕДЕЛЕН/ (XX) INDETERMINADO/ (XX) NEURČENO/ (XX) XXXXXXXX/ (XX) XXXXXXXXXX/ (XX) MÄÄRAMATA/ (XX) ΔΕΝ ΠΡΟΣΔΙΟΡΙΖΕΤΑΙ/ (EN) XXXXXXXXXXXX/ (FR) XXXXXXXXXXX/ (XX) NEAMHCHINNTITHE/ (HR) XXXXXXĐXX/ (XX) INDETERMINATO/ (XX) XXXXXXXXXX/ (XX) XXXXXXXXXXX/ (HU) MEGHATÁROZATLAN/ (XX) XXXX XXXXXXXXX/ (XX) XXXXXXXXX/ (XX) XŁXĆ XXXXXXXŚXXXX/ (XX) XÃX XXXXXXXX/ (XX) XXXXXXXXXXXX/ (SK) NEURČENÉ/ (XX) NEDOLOČEN/ (FI) XÄÄXXXXXXXXÄXÖX/ (XX) XX XXXXXXÄXXX

4.8

(XX) ГРАЖДАНСТВО/ (ES) XXXXXXXXXXXX/ (XX) XXXXXX XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXÖXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) ΙΘΑΓΕΝΕΙΑ/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXĪXX/ (XX) XXXXXXXXĖ/ (XX) XXXXXXXXXXXXXXX/ (XX) ĊXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX/ (XX) XXXĂȚXXXX/ (SK) XXXXXX PRÍSLUŠNOSŤ/ (XX) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXXXXXXXX

4.9

(XX) ГРАЖДАНСКИ НОМЕР/ (ES) NÚMERO XX IDENTIDAD/ (XX) XXXXXXXXXXXXX XXXXX/ (XX) XXXXXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXÄXXXXXXXX/ (XX) XXXXXXXXX/ (XX) ΑΡΙΘΜΟΣ ΤΑΥΤΟΤΗΤΑΣ/ (EN) XXXXXXXX NUMBER/ (XX) XXXXXX D'IDENTITÉ/ (XX) XXXXXX AITHEANTAIS/ (XX) XXXXXXXXXXXXXXXX XXXX/ (XX) XXXXXX X'XXXXXXXXXXXXXXX/ (XX) XXXXXXXĀXXX XXXXXX/ (XX) XXXXXX XXXXX/ (HU) XXXXXXXX XXXXXXXXX XXXXX/ (XX) NUMRU XXX-XXXXXXXÀ/ (XX) XXXXXXXXXXXXXXXXX/ (XX) XXXXX XXXXXXXXXXXXXXX/ (XX) XXXXXX XX IDENTIFICAÇÃO/ (XX) XXXĂXXX DE XXXXXXXXXXXX/ (XX) IDENTIFIKAČNÉ XXXXX/ (XX) XXXXXXXXXXXXXXXX XXXXXXXX/ (FI) XXXXXXÖXXXXXX/ (XX) IDENTITETSNUMMER

4.10

(BG) ВИД И НОМЕР НА ДОКУМЕНТА ЗА САМОЛИЧНОСТ НА ЛИЦЕТО/ (XX) XXXX Y XXXXXX XX DOCUMENTO XX XXXXXXXXXXXXXX XXX INTERESADO/ (XX) XXXX X XXXXX IDENTIFIKAČNÍHO XXXXXXX XXXXX/ (DA) XXXXX XX XXXXXXXX XÅ XXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXX/ (XX) XXX XXX XXXXXX XXX XXXXXXXÄXXXXXXXXXXX XXX XXXXXX/ (XX) ISIKUT XÕXXXXXX XXXXXXXXX LIIK XX NUMBER/ (XX) ΕΙΔΟΣ ΚΑΙ ΑΡΙΘΜΟΣ ΕΓΓΡΑΦΟΥ ΤΑΥΤΟΤΗΤΑΣ ΤΟΥ ΠΡΟΣΩΠΟΥ/ (XX) TYPE XXX XXXXXX OF XXX XXXXXX’X XXXXXXXXXXXXXX XXXXXXXX/ (XX) XXXX XX NUMÉRO DE XX PIÈCE D'IDENTITÉ XX LA PERSONNE XXXXXXXXX/ (XX) CINEÁL XXXX XXXXXX XXXXXXXXXX XXXXXXXXXXX XX XXXXX/ (XX) XXXXX X XXXX IDENTIFIKACIJSKE XXXXXXX XXXXX/ (IT) TIPO X XXXXXX XXX XXXXXXXXX XX IDENTITÀ XXXXX XXXXXXX/ (XX) XXXXXXXX IDENTIFIKĀCIJAS XXXXXXXXX XXXXX XX XXXXXX/ (XX) ASMENS XXXXXXXĖX XXXXXXXXX XXXXX XX XXXXXXX/ (XX) X XXXXXXXXXXXXXXXX XXXXXX XXXXXX XX XXXXX/ (MT) XX-XXX X N-NUMRU XXX-XXXXXXXX XX' XXXXXXXÀ XXX-XXXXXXX/ (XX) XXXX XX XXXXXX XXX XXX XXXXXXXXXXXXXXXXXXX XXX XX BETROKKENE/ (XX) XXXXXX I XXXXX XXXXXXXXX XXŻXXXXŚXX/ (PT) XXXX E XXXXXX XX XXXXXXXXX XX XXXXXXXXXXÇÃX/ (XX) XXXXX ȘX NUMĂRUL DOCUMENTULUI XX XXXXXXXXXXXX XX XXXXXXXXX/ (SK) XXX X ČÍSLO PREUKAZU XXXXXXXXXX XXXXX/ (XX) XXXXX IN XXXXXXXX XXXXXXXXXXXXXXXXXX DOKUMENTA OSEBE/ (XX) HENKILÖTODISTUKSEN TYYPPI XX NUMERO/ (XX) XXX OCH XXXXXX XÅ XXXXXXXXX XXXXXXXXXXXXXXXXXX

4.10.1

(XX) НАЦИОНАЛНА ЛИЧНА КАРТА/№/ (XX) XXXXXXXXX NACIONAL XX XXXXXXXXX / XXX./ (XX) VNITROSTÁTNÍ XXXXXX XXXXXXXXXX / X./ (XX) NATIONALT XXXXXXXXXXXXXX/-XXXXXX/ (XX) XXXXXXXXXX XXXXXXXXXXXXXXX/XX./ (XX) XXXXXXX XXXXXXXXXXXXXX / XX/ (XX) ΕΘΝΙΚΟ ΔΕΛΤΙΟ ΤΑΥΤΟΤΗΤΑΣ / ΑΡΙΘ./ (XX) XXXXXXXX XXXXXXXX XXXX/XX./ (XX) XXXXX XXXXXXXXX X'XXXXXXXX/X°/ (XX) XXXXX NÁISIÚNTA XXXXXXXXXXX/XXXX./ (XX) NACIONALNA OSOBNA XXXXXXXXX / XX./ (XX) CARTA X'XXXXXXXÀ XXXXXXXXX/X./ (XX) XXXXXX XXXXXXXX APLIECĪBA / XX./ (LT) XXXXXXXXXXĖ XXXXXX XXXXXXXĖX KORTELĖ / NR./ (HU) XXXXXXX SZEMÉLYAZONOSÍTÓ XXXXXXXXXX/XXXXX/ (XX) KARTA TAL-IDENTITÀ XXXXXXXXXX/XXX/ (NL) XXXXXXXXX XXXXXXXXXXXXXXXX/XX./ (PL) XXXXXXX XXXXX XXŻXXXXŚXX / XX/ (PT) X.x XX XXXXXXXXX XX XXXXXXXXXXÇÃX XXXXXXXX/ (XX) XXXXX DE XXXXXXXXXX XXȚXXXXXĂ/XX./ (XX) XXXXXXX XXXXXXX XXXXXXXXXX/x./ (XX) XXXXXXXXXX XXXXXX XXXXXXXXX/XX./ (XX) XXXXXXXXXXX HENKILÖKORTTI/NRO/ (XX) XXXXXXXXXX IDENTITETSKORT/NUMMER

4.10.2

(BG) ПАСПОРТ/№/ (ES) PASAPORTE / NÚM./ (XX) XXX / X./ (XX) XXX/XX./ (XX) XXXXXXXXX/XX./ (ET) PASS/NR/ (XX) ΔΙΑΒΑΤΗΡΙΟ/ΑΡΙΘ./ (XX) XXXXXXXX/XX./ (XX) XXXXXXXXX/X°/ (XX) XXX/XXXX./ (HR) XXXXXXXXX / BR./ (XX) XXXXXXXXXX/X./ (XX) XXXX/XX./ (XX) XXXXX / XX./ (XX) XXXXXXX/XXXXX/ (XX) XXXXXXXXX/ XXX/ (NL) XXXXXXXX/XX./ (XX) XXXXXXXX / XX/ (PT) X.x XX PASSAPORTE/ (XX) XXȘXXXXX/XX./ (XX) CESTOVNÝ XXX/x./ (XX) XXXXX XXXX/XX./ (XX) PASSI/NRO/ (XX) XXXX/XXXXXX

4.10.3

(XX) СВИДЕТЕЛСТВО ЗА УПРАВЛЕНИЕ НА МПС/№/ (XX) PERMISO XX XXXXXXXXXX / XXX./ (CZ) XXXXXXXX XXXXXX / X./ (XX) XØXXXXXX/XX./ (XX) XÜXXXXXXXXXX/XX./ (XX) JUHILUBA/NR/ (XX) ΑΔΕΙΑ ΟΔΗΓΗΣΗΣ / ΑΡΙΘ./ (EN) XXXXXXX LICENCE/NO./ (FR) XXXXXX XX XXXXXXXX/X°/ (XX) CEADÚNAS TIOMÁNA/UIMH./ (XX) VOZAČKA XXXXXXX / XX./ (XX) XXXXXXX DI XXXXX/X./ (XX) XXXĪXĀXX APLIECĪBA / NR./ (XX) XXXXXXXXXX PAŽYMĖJIMAS / XX./ (XX) XXXXXŐX XXXXXXXX/XXXXX/ (MT) LIĊENZJA XXX-XXXXXX/XXX/ (NL) XXXXXXXXX/XX./ (XX) XXXXX XXXXX / NR/ (XX) X.x DA XXXXX XX XXXXXÇÃX/ (XX) XXXXXX XX XXXXXXXXX/XX./ (XX) XXXXXXXX XXXXXXX/x./ (XX) XXXXXXXX XXXXXXXXXX/XX./ (XX) AJOKORTTI/NRO/ (XX) XÖXXXXX/XXXXXX

4.10.4

(XX) ДРУГИ (ДА СЕ ПОСОЧАТ) … /№ …/ (ES) XXXX (XXXXXXXXXXXXX) … / XXX. …/ (XX) XXXX (XXXXXXXXX) … / Č …/ (DA) XXXXX (XXXXXXX) …/ XX. …/ (DE) XXXXXXXXX (XXXXX XXXXXXX) …/XX …/ (ET) XXX (XÄXXXXXXXX) … / XX …/ (EL) ΑΛΛΟ (ΔΙΕΥΚΡΙΝΙΣΤΕ) … / Αριθ. …/ (XX) XXXXX (XX XX XXXXXXXXX) …/Xx. …/ (XX) AUTRE (À PRÉCISER) …/X° …/ (XX) EILE (XX XXXXX) … …/Xxxx. …/ (XX) XXXXXX (NAVESTI) … / br. …/ (XX) ALTRO (PRECISARE) …/X. …/ (XX) XXXX (XXXXXXĒX) … / NR. …/ (XX) XXXX (XXXXXXXX) …/XX. …./ (XX) XXXXX (KÉRJÜK XXXXXXXXXXX) …/Xxxxx: …/ (MT) XĦXXXX (XXXXXĊXŻX) …/Nru …/ (XX) XXXXXXX (XXXXXXXXXXXX) …/NR. …/ (XX) XXXX (PROSZĘ XXXXŚXXĆ) … / xx …/ (XX) X.x XX XXXXX XXXXXXXXX (XXXXXXXXXXX) …/ (XX) XXXXX (X XX XXXXXXX) … /XX. …/ (XX) XXX (XXXXXXXX) …/č. …/ (XX) XXXXX (XXXXXXX) …/št. …/ (XX) XXX XXXXXXXXX (XÄXXXXXXXXÄXÄ) … /Xxx …/ (XX) ANNAN XXXXXXXX (XXXXXXXXXXXX) …/Nummer …

5.

(XX) В ОФИЦИАЛНИЯ ДОКУМЕНТ, КЪМ КОЙТО Е ПРИЛОЖЕНО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ, НЕ СЕ ПОСОЧВА СЪОТВЕТНОТО ЛИЦЕ ДА Е БИЛО ОСЪЖДАНО СЪГЛАСНО РЕГИСТРИТЕ ЗА СЪДИМОСТ НА ДЪРЖАВАТА ЧЛЕНКА, ЧИЙТО ГРАЖДАНИН Е ТОВА ЛИЦЕ/ (XX) EL XXXXXXXXX PÚBLICO XX XXX XX XXXXXXX XXXX IMPRESO XX XXXXXXXX XXX XXXXXX XXXXXX XXXXXXXXXXX XXXXX XXX XXXXXXXXXX XX XX REGISTRO XX XXXXXXXXXXXX XXXXXXX XXX XXXXXX XXXXXXX XXX XXX XXXXX LA XXXXXXXXXXXX/ (CZ) VEŘEJNÁ XXXXXXX, K NÍŽ XX PŘIPOJEN TENTO XXXXXXXX, XXXXXXXXX ŽÁDNÉ XXXXXXXXX DOTYČNÉ XXXXX XXXXXXXXXXX X REJSTŘÍKU XXXXXX XXXXXXXXX XXXXX, XXXXX JE TATO XXXXX XXXXXXX PŘÍSLUŠNÍKEM/ (XX) DET XXXXXXXXXX XXXXXXXX, XXX XXXXX XXXXXXXX ER XXXXÆXXXX, XÆXXXX INGEN DOM XXX XXXXXX XXX XXX PÅGÆLDENDE XXXXXX X STRAFFEREGISTRET X XXX XXXXXXXXXXX, HVOR XXXXXXXX XX STATSBORGER/ (XX) DIE ÖXXXXXXXXXX XXXXXXX, DER DIESES XXXXXXXX XXXXXXÜXX IST, XXXXÄXX KEINEN XXXXXXX XXX XXXX XXXXXXXXXXXX XXX XXXXXXXXXXXX XXXXXX XX XXXXXXXXXXXXX XXX XXXXXXXXXXXXXX IHRER STAATSANGEHÖRIGKEIT/ (XX) XXXXXXXX XXXXXXXXXX, XXXXXXX SEE VORM XX XXXXXXX, EI XXX MÄRGITUD ÜXXXXX XÜÜXXXÕXXXXXX KOHTUOTSUST, MIS XXXXX XXXXXX ASJAOMASE XXXXX SUHTES XX XXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXXÄXXXX LIIKMESRIIGI KARISTUSREGISTRISSE/ (XX) ΣΤΟ ΔΗΜΟΣΙΟ ΕΓΓΡΑΦΟ ΣΤΟ ΟΠΟΙΟ ΕΙΝΑΙ ΣΥΝΗΜΜΕΝΟ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ ΔΕΝ ΑΝΑΦΕΡΕΤΑΙ ΓΙΑ ΤΟ ΠΡΟΣΩΠΟ ΤΟ ΟΠΟΙΟ ΑΦΟΡΑ ΤΟ ΕΝΤΥΠΟ ΚΑΤΑΔΙΚΗ ΕΓΓΕΓΡΑΜΜΕΝΗ ΣΤΟ ΠΟΙΝΙΚΟ ΜΗΤΡΩΟ ΤΟΥ ΚΡΑΤΟΥΣ ΜΕΛΟΥΣ ΤΗΝ ΙΘΑΓΕΝΕΙΑ ΤΟΥ ΟΠΟΙΟΥ ΕΧΕΙ ΤΟ ΠΡΟΣΩΠΟ ΑΥΤΟ/ (EN) THE XXXXXX DOCUMENT XX XXXXX XXXX XXXX XX ATTACHED DOES XXX MENTION ANY XXXXXXXXXX IN XXXXXXX XX XXX PERSON XXXXXXXXX IN XXX XXXXXXXX RECORD XX XXX XXXXXX STATE XX XXXXXXXXXXX OF XXXX PERSON/ (FR) XX DOCUMENT XXXXXX XXXXXX XX XXXXXXX XXXXXXXXXX EST JOINT XX XXXXXXXXX AUCUNE XXXXXXXXXXXX XXXXXXXX XX XXXXXX XXXXXXXXXX XX XX PERSONNE XXXXXXXXX XXXX X'XXXX XXXXXX XXXX XXXXX PERSONNE X XX NATIONALITÉ/ (XX) XX XXXXXXXXX XXXXXX LENA XXXXXX XX XXXXXX XXX XXXXXXXXXX, XXX AON XXXXXX AR XXX XXXXXXX X XXXXX XX DUINE XXXX xXXXXXXXX SA TAIFEAD XXXXXXXX X xXXXXXXXX XXXXXXXXXXXXX XX XXXXX XXXX xXXXXXXXX/ (XX) X XXXXXX XXXXXXX XXXXX XX XXXX XXXXXXX PRILOŽEN NIJE XXXXXXXX XXXXXXX OSUĐUJUĆA XXXXXXX XXXXXX DOTIČNE XXXXX X XXXXXXXX XXXXXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXXX XX OSOBE/ (XX) IL XXXXXXXXX XXXXXXXX XXX IL XXXXXXXX MODULO È XXXXXXXX XXX XXXXXXX XXXXXX XXXXXXXX XXXXXXXX XXXX PERSONA INTERESSATA XXX QUANTO XXXXXXXX XX XXXXXXXXXX XXXXXXXXXX XXXXX XXXXX MEMBRO XX CITTADINANZA DI XXXX PERSONA/ (LV) XXXXXXXXXĀ DOKUMENTĀ, KURAM XĪ XXXXXXXX IR XXXXXXXXXX, XXX XXXXXXĪXX XXXXXXX XXX XXXĒXX XXXXXXX XXXXXXĀXXXX, XXX XXXĀXĪXX XXXĒXĀX PERSONAS XXXXXXXXXXXXĪXXX DALĪBVALSTS XXXĀXĪXXX XXĢXXXXĀ/ (LT) XXXXXXXXX XXXXXXXXX, XXXX XXXXX XXXXXXXXX ŠI XXXXX, XXXXXXXXXXX XXXX XX XXXXXXXXXX XXXXXXX SUSIJĘS XXXXXXXXXXX XX XXXXXX XXXXXXXXĖX XXXXXXXĖX XXXĖX XXXXXXXXXXXŲ XXXXXXXX/ (XX) X XXXXXXXXXXXXXXXXXXX KÍSÉRT XÖXXXXXXX XX XXXXXXXX XXXXXXXXXX XXXXXXXXXXXX XXX XXXXX AZ ÉRINTETT XXXXXXX ÁLLAMPOLGÁRSÁGA XXXXXXXX XXXXXXXX XŰXÜXXX XXXXXXXXXXXXXXXXX XXXXXXXŐ XXXXXXXXX/ (XX) XX-XXXXXXXX XXXXXXXX MEHMUŻ XX' XXX XX-XXXXXXX XX XXXXXX L-EBDA XXXXXXXX FIR-RIGWARD XXX-XXXXXXX XXXXĊXXXXXX FIR-REKORD KRIMINALI XXX-XXXXX MEMBRU XXĊ-ĊXXXXXXXXXXX XX' XXX XX-XXXXXXX/ (XX) XXX OPENBAAR XXXXXXXX WAARAAN XXX XXXXXXXXX IS XXXXXXX, XXXXXXXX GEEN XXXXXXXXXXXX XXXX XX XXXXXXXXXX XX XXX XXXXXXXXXXXXX XXX XX XXXXXXXX XXX XXXXXXXXXXXXX VAN XX XXXXXXXXXX/ (PL) XXXXXXXX XXXĘXXXX, XX XXXXXXX ZAŁĄCZONY XXXX XXXXXXXXX XXXXXXXXX, XXX XXXXXXX XXXXXXXXXX X XXXXXXXXX XXXXXX XXXXXXĄXXXX XXXXXXXX XXXXX XXXXX, XXXXXX DOTYCZY DOKUMENT, XXXXXXXXX XX REJESTRU XXXXXXX PAŃSTWA XXŁXXXXXXXXXXX, XXXXXXX XXXXX XX XXXX XXXXXXXXXX/ (XX) X XXXXXXXXX XXXXXXX X XXX O XXXXXXXX XXXXXXXXXX XXXX XXXXXX NÃO REFERE XXXXXXXX XXXXXXXÇÃX XX XXXXXX XX CAUSA XX XXXXXXX CRIMINAL XX XXXXXX-XXXXXX XX XXXXXXXXXXXXX DESSA PESSOA/ (XX) XXXXXXXXXX OFICIAL XX XXXX XXXX XXXXXX XXXXXXXXX XXXXXXXX XX MENȚIONEAZĂ XXXXX XXXXXXXXXX XXXXXXXXXXX XX XXXXXXXX XXXXXĂ DE XXXXXXXX JUDICIAR XXX XXXXXX MEMBRU XX XĂXXX XXXĂȚXXX ESTE XXXXXXXX XXXXXXXXXĂ/ (XX) XX XXXXXXXX LISTINE, XX KTOREJ JE XXXXX XXXXXXXX XXXXXXXXX, XX XXXXXXXX XXXXXX XXXXXXXXX DOTKNUTEJ XXXXX X XXXXXXXX TRESTOV XXXXXXXXX XXXXX, KTORÉHO XXXXXXX PRÍSLUŠNÍKOM JE XXXX XXXXX/ (SL) X XXXXX XXXXXXX, XX JI JE XXXXXXXX XX XXXXXXX, XX XXXXXXXX XXXXXX XXXXXXX X ZVEZI X XXXXXXX XXXXX X XXXXXXXX XXXXXXXX XXXXXX XXXXXXX, XXXXXX XXXXXXXXXXXXX IMA XX XXXXX/ (XX) XXXXXXXXÄ XXXXXXXXXXXX, XXXXX XÄXÄ XXXXXX LIITETÄÄN, XX XXX XXXXXXXXX XXXXXXXXXXXX XXXXXXÖÄ XXXXXXXXXX XXXXXXXXXX XXX JÄSENVALTION XXXXXXXXXXXXXXXXÄ, XXXXX XXXXXXXXXXX XXXXXXÖ XX/ (XX) X XXX XXXXXXXXXX HANDLING XXXX VILKEN XXXXX XXXXXXÄX ÄX XXXXXXX XÄXXX INGEN UPPGIFT XX XXX XXX XXX XXXÖXXX XXXXXXXX X XXXXXXXXXXXXXXXXX I XXX MEDLEMSSTAT DÄR XXXXX XXXXXX ÄR XXXXXXXXXX

6.

(XX) ПОЛЕ ЗА ПОДПИС/ (XX) XXXXXXXX XXXX LA XXXXX/ (XX) XXXX PRO XXXXXX/ (XX) UNDERSKRIFTSFELT/ (XX) XXXXXXXXXXXXXXXXXX/ (XX) XXXXXXXXXXXXXX/ (XX) ΤΕΤΡΑΓΩΝΙΔΙΟ ΥΠΟΓΡΑΦΗΣ/ (EN) SIGNATURE XXX/ (XX) XXXXX XXXX XX SIGNATURE/ (XX) XXXXX DON XXXXX/ (HR) XXXXX XX XXXXXX/ (XX) XXXXXXXX PER LA XXXXX/ (XX) XXXXXXXX XXXXX/ (XX) XXXXXX XXXXXXXX/ (HU) XX XXXXXXX XXÖXXXXXXXXX/ (XX) XXXXX XXX-XXXXXXXX/ (XX) XXX XXXX XX XXXXXXXXXXXX/ (XX) XXXX XXXXXXX/ (PT) XXXXÇX XXXXXXXXX À XXXXXXXXXX/ (XX) SEMNĂTURA/ (XX) XXXXXXX XX XXXXXX/ (XX) XXXXX ZA XXXXXX/ (FI) ALLEKIRJOITUSKENTTÄ/ (XX) XXXX FÖR XXXXXXXXXXXXXX

6.1

(XX) ФАМИЛНО(И) ИМЕ(НА) И СОБСТВЕНО(И) ИМЕ(НА) НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) APELLIDO(S) Y XXXXXX(X) XXX XXXXXXXXXXX XXX EXPIDIÓ XXXX XXXXXXX/ (CZ) PŘÍJMENÍ X XXXXX (XXXXX) XXXXXXXX, XXXXX XXXXX XXXXX FORMULÁŘ/ (XX) XXXXXXXXX(X) XX FORNAVN(E) XÅ DEN XXXXXXXXXX, XXX HAR UDSTEDT XXXXX FORMULAR/ (XX) XXXXXXXXXXXX(X) UND VORNAME(N) XXX BEAMTEN, DER XXXXXX XXXXXXXX XXXXXXXXXXX XXX/ (ET) KÄESOLEVA XXXXX VÄLJASTANUD AMETNIKU XXXXXXX (-NIMED) 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 OFFICIAL WHO XXXXXX XXXX XXXX/ (XX) XXX(X) XX XXXXXX(X) DU XXXXXXXXXXXXX XXX X XXXXXXX XX XXXXXXX FORMULAIRE/ (XX) XXXXXXX (XXXXXXXX) XXXX CÉADAINM (CÉADAINMNEACHA) XX XXXXXXXX A X’XXXXXX XX XXXXXX XXX/ (HR) PREZIME(NA) X IME(NA) XXXXXXXXXX XXXX JE XXXXX XXXX XXXXXXX/ (XX) XXXXXXX/X X NOME/I XXX XXXXXXXXXXX XXX XX RILASCIATO XX XXXXXXXX XXXXXX/ (LV) XXXXXXXXXXXX, KURA IZDEVUSI XX VEIDLAPU, UZVĀRDS(-I) XX VĀRDS(-I)/ (XX) XXĄ XXXXĄ XXXXXXXXX XXXXXXŪXX PAVARDĖ (-ĖX) XX XXXXXX (-AI)/ (XX) X XXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXXXXŐ XXXXXXX XXXX(X) XX XXXXXXX(X)/ (XX) XXXXXX(/XXXXXXXXXXX) X XXXX(/XXXXXXXX) XXX-XXXXĊXXX XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XX(X)X(XX) XX XXXXXX(X)X(XX) XXX XX XXXXXXXXX XXX XXX XXXXXXXXX XXXXX XXXXXXXXX/ (XX) XXXXXXXX(-X) X XXXĘ (XXXXXX) XXXĘXXXXX, XXXXX XXXXŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXXXX(X) X NOME(S) PRÓPRIO(S) XX FUNCIONÁRIO XXX XXXXXX O PRESENTE XXXXXXXXXX/ (XX) XXXXXX ȘX PRENUMELE FUNCȚIONARULUI XXXX X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXXXXX(-X) A MENO(-Á) XXXXXXXX, XXXXX XXXXX XXXXX XXXXXXXX/ (SL) XXXXXXX/XXXXXXX XX XXX/XXXXX XXXXXXXX, XX XX XXXXX TA XXXXXXX/ (XX) XÄXÄX LOMAKKEEN XXXXXXXX XXXXXXXXXXX XXXXXXXX (-XXXXX) XX XXXXXXX (-XXXXX)/ (SV) XXXXXXXXX XXX XÖXXXXX XÅ XXX XXÄXXXXXXX SOM XXX XXXÄXXXX XXXXX XXXXXXÄX

6.2

(XX) ДЛЪЖНОСТ НА ДЛЪЖНОСТНОТО ЛИЦЕ, ИЗДАЛО НАСТОЯЩОТО УДОСТОВЕРЕНИЕ/ (XX) XXXXX XXX XXXXXXXXXXX XXX XXXXXXX XXXX XXXXXXX/ (CZ) XXXXXX XXXXXXXX, XXXXX VYDAL XXXXX XXXXXXXX/ (XX) XXXXXXXX — XXX XXXXXXXXXX, DER HAR XXXXXXX XXXXX XXXXXXXX/ (XX) STELLUNG DES XXXXXXX, XXX XXXXXX XXXXXXXX AUSGESTELLT HAT/ (XX) XÄXXXXXXX VORMI XÄXXXXXXXXX AMETNIKU AMETIKOHT/ (XX) ΘΕΣΗ ΤΟΥ/ΤΗΣ ΥΠΑΛΛΗΛΟΥ ΠΟΥ ΕΞΕΔΩΣΕ ΤΟ ΠΑΡΟΝ ΕΝΤΥΠΟ/ (XX) XXXXXXXX OF XXX XXXXXXXX WHO XXXXXX XXXX FORM/ (XX) XXXXX XX XXXXXXXXXXXXX XXX A XXXXXXX XX PRÉSENT XXXXXXXXXX/ (XX) POST XX XXXXXXXX X X’XXXXXX XX XXXXXX XXX/ (XX) FUNKCIJA XXXXXXXXXX XXXX JE XXXXX XXXX XXXXXXX/ (XX) XXXXXXXXX DEL XXXXXXXXXXX CHE HA XXXXXXXXXX IL PRESENTE XXXXXX/ (XX) XXXXXXXXXXXX, XXXX XXXXXXXX XX XXXXXXXX, AMATS/ (LT) XXĄ XXXXĄ IŠDAVUSIO XXXXXXŪXX XXXXXXXX/ (XX) X FORMANYOMTATVÁNYT XXXXXXXX XXXXXXXXXXŐ BEOSZTÁSA/ (XX) XXXXXX TAL-UFFIĊJAL XX ĦXXXĠ XXX XX-XXXXXXX/ (XX) XXXXXXX VAN XX XXXXXXXXX XXX XXX XXXXXXXXX HEEFT XXXXXXXXX/ (XX) XXXXXXXXXX XXXĘXXXXX, KTÓRY WYDAŁ XXXXXXXXX XXXXXXXXX/ (XX) XXXXX DO XXXXXXXXXXX XXX XXXXXX O XXXXXXXX XXXXXXXXXX/ (RO) XXXXȚXX FUNCȚIONARULUI CARE X XXXX XXXXXXXXX XXXXXXXX/ (XX) XXXXXXX XXXXXXXX, KTORÝ XXXXX XXXXX FORMULÁR/ (SL) XXXXXXX XXXXXXXX, XX XX IZDAL XX XXXXXXX/ (FI) TÄMÄN XXXXXXXXX XXXXXXXX XXXXXXXXXXX XXXXX/ (SV) XXXXXXXXXX XÖX DEN XXÄXXXXXXX XXX XXX XXXÄXXXX XXXXX XXXXXXÄX

6.3

(XX) ДАТА (ДД/ММ/ГГГГ) НА ИЗДАВАНЕ/ (XX) XXXXX (DD/MM/AAAA) XX EXPEDICIÓN/ (XX) XXXXX (XX/XX/XXXX) XXXXXX/ (XX) XXXXXXXXXXXXXXX (XX/XX/ÅÅÅÅ)/ (XX) XXXXXXXXXXXXXXXXX (XX/XX/XXXX)/ (XX) XÄXXXXXXXXXX XXXXÄXX (XX/XX/XXXX)/ (EL) ΗΜΕΡΟΜΗΝΙΑ (ΗΗ/ΜΜ/ΕΕΕΕ) ΕΚΔΟΣΗΣ/ (EN) XXXX (XX/XX/XXXX) XX XXXXX/ (FR) XXXX (XX/XX/XXXX) XX DÉLIVRANCE/ (XX) DÁTA (LL/MM/BBBB) XXXXXXX/ (HR) XXXXX (XX/XX/XXXX) IZDAVANJA/ (XX) XXXX XX XXXXXXXX (XX/XX/XXXX)/ (LV) XXXXXXXXX XXXXXX (XX/XX/XXXX)/ (XX) XXXXXXXX DATA (DD/MM/MMMM)/ (XX) X XXXXXXXXX XXXXXX (XXXX/XX/XX)/ (XX) XXXX (JJ/XX/SSSS) XXX-ĦXXĠ/ (XX) XXXXX (XX/XX/XXXX) XXX AFGIFTE/ (XX) XXXX (XX/XX/XXXX) WYDANIA/ (XX) XXXX XX XXXXXÃX (XX/XX/XXXX)/ (XX) 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

6.4

(XX) ПОДПИС/ (ES) XXXXX/ (CZ) XXXXXX/ (XX) UNDERSKRIFT/ (XX) XXXXXXXXXXXX/ (XX) XXXXXXX/ (XX) ΥΠΟΓΡΑΦΗ/ (EN) XXXXXXXXX/ (FR) XXXXXXXXX/ (XX) XXXXX/ (XX) XXXXXX/ (XX) XXXXX/ (XX) XXXXXXXX/ (XX) XXXXXXX/ (XX) ALÁÍRÁS/ (XX) XXXXX/ (NL) XXXXXXXXXXXX/ (XX) XXXXXX/ (XX) XXXXXXXXXX/ (XX) XXXXĂXXXX/ (XX) XXXXXX/ (XX) PODPIS/ (FI) XXXXXXXXXXXXX/ (XX) XXXXXXXXXXXX

6.5

(XX) ПЕЧАТ ИЛИ ЩЕМПЕЛ/ (XX) XXXXX O XXXXXX/ (XX) XXXXX XXXX XXXXXXX/ (DA) XXXX ELLER STEMPEL/ (XX) XXXXXX XXXX XXXXXXX/ (ET) PITSER XÕX TEMPEL/ (XX) ΣΦΡΑΓΙΔΑ/ (XX) SEAL XX STAMP/ (FR) XXXXX XX TIMBRE/ (XX) XXXXX NÓ XXXXXX/ (XX) XXX XXX XXXXX/ (IT) XXXXX O XXXXXX/ (XX) ZĪMOGS XXX XXXXXXXX/ (XX) SPAUDAS XXXX XXXXXXXXXX/ (HU) XXXXXX VAGY BÉLYEGZŐLENYOMAT/ (XX) XXĠXXX JEW XXXXXX/ (NL) ZEGEL XX XXXXXXX/ (XX) XXXXXĘĆ LUB STEMPEL/ (XX) SELO XX XXXXXXX/ (XX) XXXXXXXX XXX ȘXXXXXXX/ (XX) XXXXX ALEBO XXXXXXXX XXXXXXXX/ (SL) PEČAT XXX ŽIG/ (FI) XXXXXXX TAI XXXXX/ (XX) SIGILL ELLER XXÄXXXX