Form # 3
FORM
OF REQUESTING DOCUMENTS FROM ABROAD.
Two (2) original samples for
each document should be filled in.
Please, answer the questions carefully and completely.
|
QUESTION |
ANSWER |
|
Full name, previous names of a person, whose document is requested |
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Year, month, day of birth |
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Place of birth (region, district, city, village, settlement) |
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The citizenship of the person (indicate all, if changed) |
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Nationality |
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Which document is requested |
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Important additional information – For the document certifying the registration of birth, marriage, death etc., please, indicate the ex-act place and date of registration of birth, mar-riage, death etc., if the certificate of birth is re-quested, please, indicate the names of parents; – If the document of education is requested, please, indicate the exact name, address, date of entry in and graduation from the educational institution; – If the document about work, or performing com-pulsory works is requested, please, indicate the exact name of employer, position and period of work. |
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For what purpose the document is requested |
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Your exact address of current residence |
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If a document of another person
is requested, in addition,
please, also answer the following questions:
|
QUESTION |
ANSWER |
|
Your full name, name, other(s) names |
|
|
Relations to the person, whose documents are requested |
|
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An address of your place of residence |
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“___” ___________ _____ ____________________ Signature of an applicant
_________________
Consulate General of Ukraine in New York (tel. 212 3715690