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Согласие на выезд, шаблон
Certifying officer (or the notary) of XXX (city) XXX (name) |
License No.XXX dated XXX, order No.XXX dated XXX
born on XXX,
resident at the following address: XXX,
passport No.XXX issued by XXX of the city of XXX on XXX, subdivision code XXX,
has concluded this document about the following:
1. I, XXX, according to the Art.20 of the Federal Law "About the Order of Departure from Russian Federation and Entry to Russian Federation”, give my consent to XXX of my juvenile son/daughter, XXX (name), born on XXX, to the Great Britain, countries of the Schengen agreement, including XXX, on terms provided by conditions of travels, without accompaniment.
This consent is effective during XXX.
2. Before signing this consent the content of Articles 20-23 of the Federal Law "About the Order of Departure from Russian Federation and Entry to Russian Federation” is made plain to me by the certifying officer (or the notary).
The city of XXX, Russian Federation, on XXX. This consent is certified by me, XXX (name), certifying officer (or the notary) of the city of XXX. This consent is signed by XXX (name) in my presence. Her/His identity is established; her/his capacity is checked.
Registered in the register XXX
Certifying officer (or notary) (signed)
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