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8. Contact phone number of the Owner
7. E-mail of the Owner
6. Postal code of the address of residence of the Owner
5.Contact address of the Owner
4. Address of residence as in the Passport of the Owner
2. Date of birth of the Owner
1. Name of Owner in full
3. Passport ¹, date of issue, validity date, issued by
for example: Peter Hoff/
/for example: Carnegie Str., 11À, Sofia,BG/
/for example: Carnegie Str., 11À, Sofia,BG/
/for example: +359123456789/
OWNER’s DATA – PHYSICAL PERSON
This information is integral part of the Certificate Services Contract
Information is to be filled in and signed by the Owner.
FORM 4.2
®
Spektar Org
Revision: 1.1/01.02.2007
Form 4.2
OWNER’s data – physical person
SIGNATURE:
Passport ¹
, issued on
,
Valid until
, issued by
CONTENT
FIELD
.
.
.
.
/for example: 12.12.1971/