To whom it may concern TAME CHIE -HEIAVE Mosh. Hey 24, Lose a4 Daluslood, Nougsbour Distrih, Usiclun City, iwi. tego outs (Name, swame, address, telephone number: Passport dat: Serial number, 1 ferent often 4 Passport No: 56920223, Ninist Mioneagi oats. 4 From Application Form b_ TANG, (Wye -WSIAUG (oame and surname) give consent to send my personal data as for my fact of study at C ENIOR WDUSTRYAL SCHOOL (name of educational institution) Diploma 0419 20 June 4018 and receipt of (ype, serial number, date of educational document iste) and also providing photocopies and other additional information about the documents on previous education (School Leaving Certificate, Diploma, Academic Transcript, etc.), required by the Department of Intemational Cooperation and Protocol of the Ministry of Education and Science of Ukraine for the recognition in Ukraine of the abovementioned educational document. Period of consent validity: _one year 04» Yolials 2022 iI itt Tne Date ‘tnonth Sign Sumame