of December 11, 2018 No. 579
About approval of blank forms of statements for state registration of acts of civil status, blank forms of civil registrations and procedure for their filling, forms (the description and samples) of forms of certificates on state registration of acts of civil status and procedure for their filling and blank forms of the documents confirming the facts of state registration of acts of civil status
According to the Law of the Kyrgyz Republic "About acts of civil status", articles 10 and 17 of the constitutional Law of the Kyrgyz Republic "About the Government of the Kyrgyz Republic" the Government of the Kyrgyz Republic decides:
1. Approve:
- blank forms of statements for state registration of acts of civil status according to appendix 1;
- blank forms of civil registrations according to appendix 2;
- forms (the description and samples) of forms of certificates on state registration of acts of civil status according to appendix 3;
- blank forms of the documents confirming the facts of state registration of acts of civil status according to appendix 4;
- procedure for filling of forms of civil registrations according to appendix 5;
- procedure for filling of forms of certificates on state registration of acts of civil status according to appendix 6.
2. To the public registration service under the Government of the Kyrgyz Republic:
- send in accordance with the established procedure to the Ministry of Foreign Affairs of the Kyrgyz Republic samples of new blank forms of certificates on state registration of acts of civil status;
- take the adequate measures following from this resolution.
3. In accordance with the established procedure to send to the Ministry of Foreign Affairs of the Kyrgyz Republic samples of new blank forms of certificates on state registration of acts of civil status through diplomatic channels to diplomatic representations and consular establishments of foreign states.
4. Determine that earlier granted registration certificates of acts of civil status according to the order of the Government of the Kyrgyz Republic "About approval of blank forms of statements for state registration of acts of civil status, blank forms of civil registrations and procedure for their filling, forms (the description and samples) of forms of certificates on state registration of acts of civil status and procedure for their filling and blank forms of the documents confirming the facts of state registration of acts of civil status" of May 17, 2017 to No. 294 are recognized valid and are subject to application on an equal basis with the certificates granted according to this resolution.
- the order of the Government of the Kyrgyz Republic "About approval of blank forms of statements for state registration of acts of civil status, blank forms of civil registrations and procedure for their filling, forms (the description and samples) of forms of certificates on state registration of acts of civil status and procedure for their filling and blank forms of the documents confirming the facts of state registration of acts of civil status" of May 17, 2017 to No. 294;
- the order of the Government of the Kyrgyz Republic "About modification of the order of the Government of the Kyrgyz Republic "About approval of blank forms of statements for state registration of acts of civil status, blank forms of civil registrations and procedure for their filling, forms (the description and samples) of forms of certificates on state registration of acts of civil status and procedure for their filling and blank forms of the documents confirming the facts of state registration of acts of civil status" of May 17, 2017 to No. 294" of October 24, 2017 with No. 698.
6. This resolution is subject to official publication and becomes effective since December 12, 2018.
Prime Minister of the Kyrgyz Republic
M. Abylgaziyev
Appendix 1
Form No. 1
The statement is adopted |
|
Birth statement No. _______ |
"____" _____________________ ______ of. |
|
from "___" _________________ _____ of. |
registration No. ________________ |
|
|
______________________________________________ |
|
|
the signature of the official who adopted the statement |
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|
|
|
In body REGISTRY OFFICE __________________________________________ |
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______________________________________________________ |
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from ____________________________________________________ |
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|
surname, name, middle name (in the presence) father or mother |
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or __________________________________________________ |
|
|
surname, name, middle name (in the presence) |
|
|
or ___________________________________________________ |
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|
surname, name, middle name (in the presence) |
Form No. 1
The statement is adopted |
|
Birth statement No. _______ |
"____" _____________________ ______ of. |
|
from "___" _________________ _____ of. |
registration No. ________________ |
|
|
______________________________________________ |
|
|
the signature of the official who adopted the statement |
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|
|
|
In body REGISTRY OFFICE __________________________________________ |
|
|
______________________________________________________ |
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from ____________________________________________________ |
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|
surname, name, middle name (in the presence) father or mother |
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or __________________________________________________ |
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|
surname, name, middle name (in the presence) |
|
|
or ___________________________________________________ |
|
|
surname, name, middle name (in the presence) |
The statement for the birth (with scrap at parents)
I declare (I eat) about the child's birth: |
____________________________________________________________________ |
|
birth date of the child |
|
____________________________________________________________________ |
|
sex of the child (men's/women's) |
I report (I eat) the following data:
|
|
Father |
Mother |
1 |
Surname, name, middle name (in the presence) |
|
|
2 |
Birth date |
"___" _________________ _____ of. |
"___" _________________ _____ of. |
3 |
Birthplace |
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|
4 |
Nationality |
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|
5 |
Nationality (at will) |
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|
6 |
Residence |
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|
7 |
Basis for introduction of information about the child's father |
Certificate on marriage name of body of ZAGS | |
8 |
Details of the documents proving the identity of parents |
__________________________________________ name of the document No. ______________________ series ___________ __________________________________________ the name of the body which issued the document "___" _________________ _____ of. PIN _____________________________________ personal identification number |
__________________________________________ name of the document No. ______________________ series ___________ __________________________________________ the name of the body which issued the document "___" _________________ _____ of. PIN _____________________________________ personal identification number |
I ask to make (this) state registration of the birth of the child with assignment of PIN, with indication of:
surnames _______________________________________________________________________________________
name __________________________________________________________________________________________
middle names ________________________________________________________________________________________
I attach the health certificate on the birth (I eat).
"___" _________________ _____ of. |
_______________________________________ |
date of filling |
signature of the applicant |
Form No. 1
The statement is adopted |
|
Birth statement No. _______ |
"___" ___________________ _____ of. |
|
from "___" _________________ _____ of. |
registration No. ____________ |
|
|
_______________________________________________ |
|
|
the signature of the official who adopted the statement |
|
|
|
|
In body REGISTRY OFFICE ___________________________________________ |
|
|
_______________________________________________________ |
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from _____________________________________________________ |
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surname, name, middle name (in the presence) swear |
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or ___________________________________________________ |
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|
surname, name, middle name (in the presence) |
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or ___________________________________________________ |
|
|
surname, name, middle name (in the presence) |
The statement for the birth (if mother is not married)
I declare the child's birth: __________________________________________________________________
birth date of the child
_____________________________________________________________________________________________
sex of the child (men's/women's)
I report the following data on mother:
1 |
Surname, name, middle name (in the presence) |
|
2 |
Birth date |
"___" _________________ _____ of. |
3 |
Birthplace |
|
4 |
Nationality |
|
5 |
Nationality (at will) |
|
6 |
Residence |
|
7 |
Details of the identity document of mother |
__________________________________________________________________ name of the document No. _______________________ series __________________________________ __________________________________________________________________ the name of the body which issued the document "___" _________________ _____ of. PIN _____________________________________________________________ personal identification number |
I ask to make state registration of the birth of the child, with assignment of PIN, with indication of:
surnames _______________________________________________________________________________________
name __________________________________________________________________________________________
middle names ________________________________________________________________________________________
In the birth statement I ask not to enter data on the father of the child (crossed out section) or to bring the following
information about the father:
surname (by the name of mothers) ____________________________________________________________________
name ____________________________________________________________________________________________
middle name (in the presence) ___________________________________________________________________________
I attach the health certificate on the birth.
"___" _________________ _____ of. |
_______________________________________ |
date of filling |
signature of the applicant |
Form No. 1-b
The statement is adopted |
|
Birth statement No. _______ |
"___" ____________________ _____ of. |
|
from "___" _________________ _____ of. |
registration No. _____________ |
|
|
_______________________________________________ |
|
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the signature of the official who adopted the statement |
|
|
|
|
In body REGISTRY OFFICE __________________________________________ |
|
|
______________________________________________________ |
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from ____________________________________________________ |
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|
surname, name, middle name (in the presence) |
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|
______________________________________________________ |
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|
position |
|
|
______________________________________________________ |
|
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passport data, PIN |
|
|
______________________________________________________ |
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|
______________________________________________________ |
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|
name and legal address of the organization |
The statement for the birth of the found (thrown) child
I ask to make state registration of the birth of the found (thrown) child men's/women's
(necessary to emphasize) floor, with assignment of PIN found
"___" _______________________ _____ of in _____________________________________________________________
address (name of the area)
____________________________________________________________________________________________________
following person(s):
____________________________________________________________________________________________________
surname, name, middle name (in the presence)
PIN _______________________________________________________________________________________________
(personal identification number)
____________________________________________________________________________________________________
residence surname, name, middle name (in the presence)
PIN ________________________________________________________________________________________________
(personal identification number)
____________________________________________________________________________________________________
residence
Now the child is in _________________________________________________________________
name of the organization or surname, name, middle name of person,
____________________________________________________________________________________________________
which has child
In the birth statement I ask to specify the following information about the child:
surname ____________________________________________________________________________________________
name ________________________________________________________________________________________________
middle name (in the presence) ________________________________________________________________________________
birth date "___" ______________________ _____ of.
Information about parents is unknown.
The act of the found (thrown) child constituted by law-enforcement body and also the document issued
the medical organization, confirmatory age and sex of the child, I apply.
"___" _________________ _____ of. |
|
_______________________________________ |
date of filling |
|
signature of the applicant |
Form No. 2
The statement is adopted |
|
State registration of marriage "___" __________________ _____ of, "_____" hour. Record of the act of marriage No. __________ from "___" _________________ _____ of. |
"___" ___________________ _____ of. |
| |
registration No. ____________ |
| |
_______________________________________________ |
| |
the signature of the official who adopted the statement |
|
|
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In body REGISTRY OFFICE ___________________________________________ |
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|
_______________________________________________________ |
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from _____________________________________________________ |
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surname, name, middle name (in the presence) groom |
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and _____________________________________________________ |
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surname, name, middle name (in the presence) brides |
Statement for marriage
We confirm mutual voluntary consent on marriage and lack of the circumstances interfering marriage, specified in the Family code of the Kyrgyz Republic.
We report about ourselves the following data:
|
|
It |
It |
1 |
Surname, name, middle name (in the presence) |
|
|
2 |
Birth date |
"___" _________________ _____ of. |
"___" _________________ _____ of. |
Age |
___________ it was performed years |
___________ it was performed years | |
3 |
Birthplace |
|
|
4 |
Nationality |
|
|
5 |
Nationality (at will) |
|
|
6 |
Marital status (in scrap consisted, it is divorced, the widower (widow) |
|
|
7 |
Residence |
|
|
8 |
Details of the documents proving the identity of persons marrying |
__________________________________________ name of the document No. ______________________ series ___________ __________________________________________ the name of the body which issued the document "___" _________________ _____ of. PIN _____________________________________ personal identification number |
__________________________________________ name of the document No. ______________________ series ___________ __________________________________________ the name of the body which issued the document "___" _________________ _____ of. PIN _____________________________________ personal identification number |
We ask to make state registration of marriage and to appropriate surnames:
to the husband ____________________________________________________________________________________
to the wife ____________________________________________________________________________________
Copies of the documents confirming the termination of previous marriage (if person
(persons) was married scrap earlier and also permission to marriage before achievement
age of consent (if person (persons) entering scrap is (yutsyatsya)
the minor I apply (I eat).
About obligatory exchange of the documents proving the identity in connection with state
are warned by registration of marriage.
_________________________________________ |
|
_________________________________________ |
it |
|
it |
signatures of persons marrying (premarital surnames) |
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