DECLARATION

In connection with art. 8, para. 3, 4 of The Bulgarian Child Protection Act

Hereby I,
(first name, surname, last name)

Date of birth.: ., address: ________________________________________

Contact phone number: ___________________.

Declare that I am a parent of/appointed as a guardian of the following minor, to whom I take
personal responsibility:

(first name, surname, last name)

I agree to have voluntarily provided the personal data above.

Parent/Guardian: _____________
(Signature)

Personal data is collected according art. 4, par. 1, point 5 of The Bulgarian Personal Data Protection Act & The
Bulgarian Personal Security Activity Act.

DECLARATION
In connection with art. 8, para. 3, 4 of The Bulgarian Child Protection Act

Hereby I,
(first name, surname, last name)

Date of birth.: ., address: ________________________________________

Contact phone number: ___________________.

Declare that I am a parent of/appointed as a guardian of the following minor, to whom I take
personal responsibility:

(first name, surname, last name)

I agree to have voluntarily provided the personal data above.

Parent/Guardian: _____________
(Signature)

Personal data is collected according art. 4, par. 1, point 5 of The Bulgarian Personal Data Protection Act & The
Bulgarian Personal Security Activity Act.