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SAGLASNOST ZA PUT MALOLETNOG DETETA

Mi dole potpisani roditelji saglasni smo da nae dete


____________________________ sa stanom u ulici
________________________________ , u __________________,
JMBG
,roeno u___________ , godine
______ moe prei granicu Srbije u pratnji sa
(ime i prezime punoletnog pratioca) radi putovanja u
__________________.

Saglasnost dali:
Otac__________________________________

Otac
Ime i _________________________________
prezime

Majka_________________________________

Ime i prezime
___________________
______________________________________
___________________
Adresa
Adresa
______________________________________
______________________________________
JMBG
JMBG
______________________________________
______________________________________
Br. Line karte Br. Line karte
______________________________________
______________________________________
Izdata od MUP Izdata od MUP-a

Ime i prezime
______________________________________
Adresa
______________________________________
JMBG
______________________________________
Br. Line karte
______________________________________
Izdata od MUP-a

U ______________, __.__.201_.god.
Otac_________________________
Majka________________________

Mesto overe optine- suda

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