IZJAVA

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IZJAVA

JA, ____________________________ SA JMBG _________________________ ,


BR.LINE KARTE _________________, IZDATE OD MUP _______________.

IZJAVLJUJEM POD PUNOM MORALNOM, MATERIJALNOM I KRIVINOM


ODGOVORNOU DA :

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IZJAVU DAJEM U SVRHU REGULISANJA :


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DATUM PODNOSILAC IZJAVE

Ovjera ove izjave vri se iskljuivo u prisustvu osobe iji se potpis ovjerava a iji se identitet
utvrdi uvidom u identifikacijski dokument.

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