Переклад Заява про згоду на виїзд дитини за кордон, батько

 

Ukraine

State emblem

 

TO THE COMPETENT BODIES

From the citizen

(place of residence:  —,

Passport — # —, issued by the —-  Regional Department

of Internal Affairs of Ukraine in — oblast on —,

identification number )

STATEMENT

I, , father, give my consent to my under age daughter, (born on -), going abroad to Thailand.

I inform that in accordance with the asset 6 of the Law of Ukraine “About the procedure of departure and entrance into Ukraine” there are no grounds to circumscribe the right of —- to go abroad.

Father Signature

 

June 04, 2007, I, —-, private notary of the —- regional notarial district in — oblast, certify the authenticity of the signature of the citizen which was made in my presence.

Person of the citizen who signed the document is identified.

Registry #

Payment received in accordance with the asset 31 of the Law of Ukraine “About Notary activities”

Private notary: Signature

 

— # —

Round official seal

Private notary

 

Attention! This blank has a multilevel falsification protection.

Ministry of Justice of Ukraine