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1. ÔÀÌÈËÈß
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2. ÏÐÎ×ÈÅ ÔÀÌÈËÈÈ (äåâè÷üÿ, ïñåâäîíèì, ïðåæíèå
ôàìèëèè) ___________________________________________
3. ÈÌß è ÎÒ×ÅÑÒÂÎ _______________________________________________________________________________
4. ÄÀÒÀ è ÌÅÑÒÎ ÐÎÆÄÅÍÈß
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5. ÃÐÀÆÄÀÍÑÒÂÎ íûíåøíåå ____________________________
ïåðâîíà÷àëüíîå ____________________________
6. ÑÅÌÅÉÍÎÅ ÏÎËÎÆÅÍÈÅ_________________________________________________________________________
7. ÔÀÌÈËÈß, ÏÐÅÆÍÈÅ ÔÀÌÈËÈÈ, ÈÌß, ÎÒ×ÅÑÒÂÎ, ÄÀÒÀ,
ÌÅÑÒÎ ÐÎÆÄÅÍÈß è ÃÐÀÆÄÀÍÑÒÂÎ ÑÓÏÐÓÃÀ
_________________________________________________________________________________________________
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8. Ô.È.Î. ÐÎÄÈÒÅËÅÉ: Ìàòü________________________________________________________________________
Îòåö ____________________________________________________________________________________________
9. ÑÅÐÈß è ÍÎÌÅÐ ÇÀÃÐÀÍÏÀÑÏÎÐÒÀ ________________________________________________________________
ÄÀÒÀ ÂÛÄÀ×È ____________ ÎÐÃÀÍ, ÂÛÄÀÂØÈÉ ÄÎÊÓÌÅÍÒ______________ÄÅÉÑÒÂÈÒÅËÅÍ
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10. ÄÎÌÀØÍÈÉ ÀÄÐÅÑ È ÒÅËÅÔÎÍ__________________________________________________________________
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11. ÏÐÎÔÅÑÑÈß __________________________________________________________________________________
12. ÌÅÑÒÎ ÐÀÁÎÒÛ è ÄÎËÆÍÎÑÒÜ __________________________________________________________________
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13. ÑËÓÆÅÁÍÛÉ ÀÄÐÅÑ È ÒÅËÅÔÎÍ__________________________________________________________________
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14. ÏÐÅÄÏÎËÀÃÀÅÌÀß ÑÒÐÀÍÀ ÏÎÅÇÄÊÈ, ÑÐÎÊ
ÏÐÅÁÛÂÀÍÈß è ÄÀÒÀ ÂÚÅÇÄÀ
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15. ÅÑËÈ ÂÛ ÁÛËÈ ÐÀÍÅÅ Â ÑÒÐÀÍÀÕ ØÅÍÃÅÍÑÊÎÉ ÃÐÓÏÏÛ,
ÓÊÀÆÈÒÅ ÂÐÅÌß È ÌÅÑÒÎ
ÏÎÑËÅÄÍÅÃÎ ÏÐÅÁÛÂÀÍÈß ñ ____________ 199____ã. ïî___________
199____ ã. ñòðàíà______________________
ÊÎÃÄÀ È ÃÄÅ ÁÛËÀ ÎÔÎÐÌËÅÍÀ ÏÎÑËÅÄÍßß
ØÅÍÃÅÍÑÊÀß
ÂÈÇÀ ________________________________________
16. ÂÀØÈ ÊÎÍÒÀÊÒÍÛÅ ÒÅËÅÔÎÍÛ: ÑËÓÆÅÁÍÛÉ ____________________
ÄÎÌÀØÍÈÉ______________________
ÓÊÀÆÈÒÅ, ÊÎÌÓ ÂÛ ÄÎÂÅÐßÅÒÅ ÏÎËÓ×ÈÒÜ ÂÀØ ÏÀÑÏÎÐÒ
ÏÎÑËÅ ÎÔÎÐÌËÅÍÈß ÂÈÇÛ (åñëè äîêóìåíòû ñäàåò
òóðèñòè÷åñêàÿ ôèðìà, óêàæèòå íàçâàíèå
ôèðìû, êîíòàêòíûé òåëåôîí è âàøè ïðåäëîæåíèÿ
ïî äîñòàâêå èëè
âûäà÷å ïàñïîðòà)__________________________________________________________________________________
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Ñ óñëîâèÿìè îôîðìëåíèÿ îçíàêîìëåí, íà âîïðîñû
àíêåòû îòâåòèë ïðàâèëüíî.
"___" ____________________2000 ã.
______________________________(ïîäïèñü)
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