OGpasan, Musaeraperso yayrpaunnats noen Aupesuutja noamunje ny’ ‘Ynpaa sa erpanulOaesvene/Onee ia erpanue wc)36uamse uperysapnue wurpausia 1 PenyGaune Cpe Taps ‘Tobe filled oat by tke authorized person of s7xteno as Opa RODE Je WOWNET ENTER tori 1 which te application as submited Tipweeno iam Bpo] | Toran Spoj pee 3AXTEB 3A OJOBPEHE/IPOAY2KEHE IIPHBPEMEHOY BOPABKA H JO3BO.1E 3A PA CTPAHLY APPLICATION FOR ISSUANCE OF APPROVAL FOR TEMPORARY STAY AND WORK LICENSE TO FOREIGNER Tipesmae 1 | Sumame Hse Given name(s) sex {lon Direno mate Crcncro fame 4, | fis ecm ro phew: Dy. month and year of birth nissan Gp) — Pesonal enicalon mane 5, | Mesto apa pohena Plage and county of bith Tipxannavctao Nationality “Sanne Oceupation ino odpananans Level of education Tioeiowswoje aianialyengre wo apa Job performed sevies peovided bythe TipeGnacnae,oaiocko Gopi Waa 10, | rasa y soerpavcray Residence, plas of Stay and address abroad /Apoca errata y PeyTaMit CpOx(NOETO ‘ona, yan Op} arpa, crpaa cra). po) reseGovaaapeca cxexrponere noare 11, | ener somata ‘oreignets ates inthe Republic of Seria ‘municipality tee, number of the building, oor ‘number and apartment umber), phone number and e-mail 12, | ssn vee ysaem y Pen Ginay Cry Date and place of enty into Republic of Serbia (Ocnos npusperevor Gopasea 13. | Purpose of temporary residence inthe Republic of seria naecrpen Gp upora OSpacis sate (1-139 enter the ordinal number of fnnex of pplication fom (1-13). TBpsran Spo aytwe neNpURE, ABT waRaDRINN HD 4. | passport type and number, date of sue and date of expire Tiopaiir 9 may na covny eR CTATCRY Penna Cp ce Tpox axo6pese Sopuska Tipeanue te, eanmeroen sar ‘ete 630 _paannaerno, eTarye atana nopoamte. 15, | Batelatng the person onthe bass of whose status in the Republic of Serbia residenes penis requested Sutrame and piven name(s, Personal identification number, Nationality, Sats of he family member Hess gasyera, uxaze a apts opramaaie 16, | rae ce exper uxonye, ofan nparey Hee expan‘apes, wat Spa wT ‘Name of acl, schol or other organization aatendea by foreigner or where else performs ratce, adres, denifeaton number and ax 1D umber ‘Mev 1 ai pannor ia Ha pay SETa, forpara un npexeramiomrras xen Kora be Epa Si pan amos Kr erp Hono Tate 0 pape Oops 0 OHO 17, | amnoenena tanpeca, warts 6p 1 IK) Place and name of legal entity o entrepreneur with ‘whom foreigner applies fr traprary residence ‘on the bass of employment addres, denfieation ‘umber and wx ID number) Tlepvio. 28 Roi ee spk ROE HP APENETOT 18, | Gopanea's rasanase zospoxe 28 pas Anteipated period of say unt Pasa noma a eaonaiomnanase ~ Work pennitfor sel employment + wpe ote paasajecemapaanespamn | LD m io (oxaSpann cao jeu) Type of work pit ova nosso mw ociocoGnanse ut yaupuanaise~ Work pet fo ining and 19, | requested (choose only one}. Or yeast perm 8 vanced training D1 stornsa pasta somo. ~ Personal Work permit asp jae: Final statement 1. Oma novephyjew aa cy caw nozaua uaseaein y ra I-17 nomi Herauera aR oArosEpaly nosey apuACaE soxywevra.Tlorapre roe gy a apyrane jem nip ey ca eprint npe maton ~ Hereby Font that lhe data given vnder items TH-17 are complete, ha the’ are te and comespond 1 the dala in he altached documents, Ceasar languages ar attache togelter withthe Serbian translacon 2. Tipverajew na nojn swt oman, saposiro oserIHoN Honaio wory 6a oSpahtnamt 07 eTpaNE noswruyjeRNx enya y oeryny ezotpensnppescror panes, ao aan roerynajyha so MOM aaNTeRY MOY APT MPOREPE An nD ATENR,-TePENENE nponepe,cavunanera cayadee Genewee i: woaeurajey wony yrupbvai wine Ko cy an yaa He noerynaK pewaana~ I agree ‘hat my persona data, as well as particularly senstive dats may be processed hy police officers in the procedure of approval of temporary ‘residence peri and that police officers may. upon my application. check the valid ofthe given data perform felt checks, mac oficial notes ‘or repors for the purpose a establishing the Fats which ve an impact onthe process of approval. 5. Tipwerajew na ce cw sou sur none wojn ce Manone Ha owOM GPACKY MOY APOCKENKTN Ha. NpoREPY MALEK Apa ‘opravana FenyGnue Cpe yeapey ayaa o one axresy ~T are that all my personal data given on this frm may be forwarded tothe ‘compen late ators of ihe Republic of Serbia To the purpose of deine upon his application Yin eas aa wo) aavTen aor Henorsyin ener noaraka oj ey Wet a0 Wor Ono Kwa aor ay 180K 2 sanpune ojase nome Gers onGujen 1am informed hat my application maybe rejected duc to incomplete and inaeuras data given, 25 well 15 duc to revoking the conse provided for in point 2 of te final statement y In Dane Torre roanooroua saxvena— Signature oF Date the applicant HATIOMEHA: Vs ona] saxtes, y ckraay 8 38KONOM, HoRHOCHLIAM MPHLTEE, OAOCKO HABIEATH OpraH MpHOAKNA 2OKESe esenewe y npnzory 1-13."The applicant encloses, ie the competent authority obtains the evidence listed in Annexes I-13, “nonytasa cTparan sa Kor noenoTAsAtL He MoMHOCH saKTES 38 pany aosBony* to be filled in by a foreigner for whom the ‘employer does na submit request fora work permit. Tlonyisana enyaGeno ie opravia Kowe je noser saNTeR ‘Tobe filled out by the authorized person ofthe authority to which the application was submitted axe Jevanien peer Term oben Tlepiox ouoGpenor npuspeewor Gopaaka ca | ox » aonpovios za pat Cepsjexs Gpe} axenie Tlary winasaisa ono6peraToonytsasa noeronesai Tobe ied out by an employer Tie nocnozasnaline w ape Kar 1, | sopacinia snd users af the sence ‘Name of employec/Given name and Semme ofthe Marie Spo) 2 | taeaiiation number Tab TAXID. Canine 4 | Head ice Tenehow hen ape Phone Tipeveani nenarioer | predominant sei 7 [aE par oes Due of employment TTepnaa i oj je axa pve TORO WT 8, | expaian yoyhen Period to which the contact i conclided Tlepion ba roe rp sazanate 1039oRe 50 9, | paniequested work permit period Fon & pera nosso pa oj ce pat 10, | (@atdparn caso jenyapery eguested work permit "9pe (ose oly one) Ti Paananona a snonimananse~ Work permit ir employment 1 Pasna sossea 32 ynyhena nua ~ Work permit fr refered persons 1 Pann soso. ae speraive y oxsupy npuspexnor xpyurrua ~ Work permit for ‘movement within te company 1 Panna xospon 30 oenocotnasae n yeappurasase Work permit for traning and ‘vanced taining y In aa Date ‘Sigur the sop employer oxaa nponeasn 3a vamasaise pase noasone aa kojy Je tocnoaaau noaweo aaxres aocTennajy ce wannexno) opraxnauigu. ‘a nocsose santounanatea enemrponenie my teM, Evidence required forthe purpose of work permit issuance, for which the emplayer submits an application, shall be submited to ‘the eompetent employment organization eletronically