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

Year, month, day of birth

Place of birth (region, district, city, village, settlement)

The citizenship of the person (indicate all, if changed)

Nationality

Which document is requested

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.

For what purpose the document is requested

Your exact address of current residence

 

 

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

An address of your place of residence

 

 

“___” ___________ _____               ____________________  Signature of an applicant 





 

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Consulate General of Ukraine in New York (tel. 212 3715690