UKRAINE

BIRTH CERTIFICATE
Surname Zadilska
name Nadiia patronymic Nadiia Romanivna
was born on 01 July 1996
(day, month and year

the first of July, one thousand nine hundred ninety six

(in figures and words)
place of birth Ukraine
(state,

Lvivska oblast, Skolivski district

oblast, district

Kozova village
city, town (village)

which fact was entered in the Birth Register in the year 1996 month June day 10
under the record No. 6
PARENTS:
Father
Zadilskyi
(surname,

Roman Mykhailovych
name, patronymic)
citizen of Ukraine
(citizenship)
Mother
Zadilska
(surname,

Halyna Oleksiivna
name, patronymic)
citizen of Ukraine
(citizenship)
Place of registration Executive Committee of Kozhyivska Village Council, Sokolivsky
District, Lviv Oblast
(name of state register office)
State Issuing Authority Galicia Department of State Registration of Acts of Civil Status of
Registry Office of the Lviv City Department of Justice__
(name of state register office)
Date of Issue 16 November 2023
Head of the State Register Office [signature] Yu. I. Lohay
(signature) (initials and surname)

Series 1-SG № 791394

 Apostille
(Convention de La Haye du 5 octobre 1961)

1. Country: Ukraine
This public document

2. Has been signed by Logai Yu.D.

3. Acting in the capacity of Head

4. bears the seal/stamp Galicia Department of State Registration of

Civil Status Acts in the city of Lviv of the
Western Interregional Department of the
Ministry of Justice

Certified
5. at city Kyiv 6. date 22.11.2023

7. by Chief specialist of the Ministry of Justice of

Ukraine Kutts O.O.

8№ 3597263

9. Seal/stamp 10. Signature

Electronically and digitally signed (stamped)
by the Ministry of Justice of Ukraine

Electronically and digitally signed (stamped) by the Ministry of Justice of Ukraine.

Electronically and digitally signed by the official of the Ministry of Justice of Ukraine and
accompanied by the image of his/her signature

To verify the issuance of this Apostille, see www.apostille.minjust.gov.ua