Form No.

15

Registration Certificate

104 0995

Recruiter 1982 year of birth.

___ Pylypenko Oleksandr
Oleksandrovych______________________
(surname, name, patronymic)

Who was born 22.07

___________________Kyiv___________________________________
(region, city, district, village)

Assigned to the conscription station

____________________of Mynskyi district,

____________________________Kyiv city.
______________Mynskyi recruitment office
_____________Signed by: LTC Poshatalov
(rank, signature)
_________________________“26” 02 1999

Seal1:

Registration Notes

Registration status Deregistration status

Taken into military registration on 26.02.99

Seal2:

Conscription Results

Unfit for military service. Order No. 37 from 26.02.99

Seal3

1
Seal information: Ministry of defence of Ukraine, Minskyi district recruitment office
2
Seal information: Minskyi district recruitment office
3
Seal information: Minskyi district recruitment office
I certify that I am competent to translate from Ukrainian into English.
This document above is a correct and true translation to the best of my knowledge and
belief.

Signed: Pylypenko Kateryna Oleksandrivna

Address: Ukraine, Kyiv, Tymoshenko str. 33/35, ap. 56
Tel: +380969490513
Date: 25.11.2021