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