dadgenileba

gadaudebeli aucileblobis SemTxvevaSi daTvalierebis warmoebis Sesaxeb

`____“ ______________ 201 w. q. --------------------------

saqarTvelos Sss sapatrulo policiis departamentis q.Tbilisis mTavari sammarTvelos sagamoZiebo

sammarTvelos gamomZiebelma _____________________
ganvixile ra sisxlis samarTlis #------------------------------------ saqme, danaSauli gaTvaliswinebuli
saqarTvelos sisxlis samarTlis kodeqsis
_______________________________________________________________________ arsebobs
dasabuTebuli varaudi, rom _____________________________________
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(aRiniSnos is uZravi-moZravi qoneba sadac unda Catardes sagamoZiebo moqmdeba,

_______________________________________________________________________qonebis mflobeli fizikuri an iuridiuli

piris vinaoba)

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(aRmosaCeni da amosaRebi sagani, nivTi, nivTiereba an sxva obieqti)

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da mis aRmosaCenad saWiroa Zebna, vixelmZRvanele ra saqarTvelos sssk-is 112-e muxlis me-5
nawiliT, _

d a v a d g i n e:

vinaidan arsebobs gadaudebeli aucilebloba:

- dayovnebam SeiZleba gamoiwvios gamoZiebisaTvis mniSvnelovani faqtobrivi monacemebis

ganadgureba an roca dayovneba SeuZlebels gaxdis aRniSnuli monacemebis mopovebas;
- saqmisaTvis saWiro sagani, dokumenti, nivTiereba an informaciis Semcveli sxva obieqti
aRmoCenilia sxva sagamoZiebo moqmedebis Catarebisas (Tu aRmoCenilia zedapiruli
daTvalierebis Sedegad);
- arsebobs sicocxlis an janmrTelobis xelyofis realuri safrTxe
(xazi gaesvas gadaudebel SemTxvevas, romelmac ganapiroba daTvalierebis Catarebis aucilebloba)

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(sad, visTan)

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gamomZiebeli: / /

dadgenileba gamomecxada: / /