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Č E S T N É V Y H L ÁS E N I E

Podpísaný/á : ..................................................................................................................

Narodený/á : ..................................................................................................................

Rodné číslo : ..................................................................................................................

Číslo preukazu totožnosti : .............................................................................................

Trvale bytom : ................................................................................................................

týmto čestne vyhlasujem , že


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V ...................................... dňa............................

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