1036
| ID | 1036 |
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| Data | 2012-10-19 |
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| Symbol | 2012/10/19/1036 |
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| Instytucja | Zakład Ubezpieczeń Społecznych |
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| Nazwa | Zaświadczenie o ubezpieczeniu - Umowa między Rzecząpospolitą Polską a Macedonią - PL/RM 101 |
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| Czy Aktualny | 1 |
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Ustawy (1)
| URI://Dziennik_Ustaw/2007/218/1619/4/2 | Art. 4 (2) Porozumienia Administracyjnego z 27 czerwca 2007 r. w sprawie stosowania Umowy między Rzecząpospoplitą Polską a Republiką Macedonii o zabezpieczeniu społecznym (Dz. U. z 2007 r. Nr 218, poz. 1619) |
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Pliki
Styl
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PL/RM 101 (Formularz) - Zakład Ubezpieczeń Społecznych
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<div style="left:21px; top:14px; width:840px; height:1212px; border-style: none; position:absolute;">
<div style="top:4px; text-align:center; width:100%; text-align:center; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">UMOWA MIĘDZY RZECZĄPOSPOLITĄ POLSKĄ A REPUBLIKĄ MACEDONII<br/>O ZABEZPIECZENIU SPOŁECZNYM</div>
<div style="top:33px; text-align:center; width:100%; text-align:center; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">ДОГОВОР МЕЃУ РЕПУБЛИКА ПОЛСКА И РЕПУБЛИКА МАКЕДОНИЈА<br/>ЗА СОЦИЈАЛНО ОСИГУРУВАЊЕ</div>
<div style="top:113px; text-align:center; width:100%; font-size:11px; font-weight:normal; font-family:arial; text-align:center; display:block; position:absolute; overflow:hidden;">Artykuł 8 Umowy<br/>Artykuł 5 Porozumienia Administracyjnego</div>
<div style="left:40px; top:192px; width:44px; text-align:center; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">1.</div>
<div style="left:54px; top:239px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">1.1 Nazwisko</div>
<div style="left:74px; top:256px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Презиме</div>
<div style="left:122px; top:183px; text-align:left; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Pracownik</div>
<div style="left:423px; top:184px; text-align:left; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Osoba pracująca na własny rachunek</div>
<div style="left:423px; top:198px; text-align:left; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Лице кое врши самостојна дејност</div>
<div id="10" style="left:85px; top:183px; width:25px; height:25px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
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<div style="left:122px; top:197px; text-align:left; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Вработено лице</div>
<div style="top:140px; text-align:center; width:100%; font-size:11px; font-weight:normal; font-family:arial; text-align:center; display:block; position:absolute; overflow:hidden;">Член 8 од Договорот<br/>Член 5 од Административната спогодба</div>
<div style="left:675px; top:-11px; width:107px; height:47px; border-style: solid; border-width: 1px; position:absolute;">
<div style="left:18px; top:10px; font-size:14px; font-weight:bold; font-family:arial; display:block; position:absolute; overflow:hidden;">PL/RM 101</div>
<div style="left:19px; top:26px; font-size:14px; font-weight:bold; font-family:arial; display:block; position:absolute; overflow:hidden;">ПЛ/РМ 101</div>
</div>
<div style="top:68px; text-align:center; width:100%; font-size:15px; font-weight:bold; font-family:arial; display:block; position:absolute; overflow:hidden;">ZAŚWIADCZENIE DOTYCZĄCE ZASTOSOWANIA PRZEPISÓW PRAWNYCH</div>
<div style="left:692px; top:63px; font-size:12px; font-weight:bold; font-family:arial; display:block; position:absolute; overflow:hidden;">(1)</div>
<div style="top:88px; text-align:center; width:100%; font-size:15px; font-weight:bold; font-family:arial; display:block; position:absolute; overflow:hidden;">ПОТВРДА ЗА ПРИМЕНА НА ПРАВНИТЕ ПРОПИСИ</div>
<div style="left:618px; top:82px; font-size:12px; font-weight:bold; font-family:arial; display:block; position:absolute; overflow:hidden;">(1)</div>
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<div style="left:41px; top:614px; width:44px; text-align:center; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">2.</div>
<div style="left:54px; top:664px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">2.1 Nazwa</div>
<div style="left:75px; top:683px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Назив</div>
<div style="left:125px; top:603px; text-align:left; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Pracodawca</div>
<div style="left:427px; top:603px; text-align:left; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Praca wykonywana na własny rachunek</div>
<div style="left:428px; top:617px; text-align:left; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Вршител на самостојна дејност</div>
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<div style="left:125px; top:617px; text-align:left; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Работодавач</div>
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<div style="padding-left: 6px; padding-top: 2px;">X</div>
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<div style="left:40px; top:875px; width:44px; text-align:center; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">3.</div>
<div style="left:53px; top:922px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">3.1 została oddelegowana do pracy od</div>
<div style="left:70px; top:968px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">do firmy wymienionej poniżej</div>
<div style="left:71px; top:987px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">кај подолу наведениот работодавaч или фирма</div>
<div style="left:496px; top:922px; width:30px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">do</div>
<div style="left:497px; top:943px; width:30px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">до</div>
<div style="left:71px; top:941px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">е упатено на работа од</div>
<div style="left:122px; top:865px; text-align:left; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Osoba wymieniona w punkcie 1</div>
<div style="left:123px; top:880px; text-align:left; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Лицето наведено во точката 1</div>
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<div id="24" style="left:85px; top:865px; width:25px; height:25px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<xsl:if test="//wnio:TrescDokumentu/wnio:OsobaUbezpieczona/wnio:ZostalaOddelegowana ='true'">
<div style="padding-left: 6px; padding-top: 2px;">X</div>
</xsl:if>
</div>
<div style="left:54px; top:1070px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">3.3 Adres</div>
<div style="left:74px; top:1088px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Адреса</div>
<div style="left:53px; top:1018px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">3.2 Nazwa</div>
<div style="left:55px; top:1128px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">3.4 Numer identyfikacyjny w Macedonii (EDB, EMBS)</div>
<div style="left:75px; top:1148px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Број за идентификација во Македонија (ЕДБ, ЕМБС)</div>
<div style="left:74px; top:1038px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Име</div>
<div style="left:55px; top:713px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">2.2 Adres</div>
<div style="left:56px; top:776px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">2.3 Numer identyfikacyjny w Polsce (NIP i REGON) </div>
<div style="left:75px; top:732px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Адреса</div>
<div style="left:76px; top:795px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Број за идентификација во Полска (НИП, РЕГОН)</div>
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<img src="data:image/gif;base64, R0lGODdhAQABAOcdAAAAAAEBAQICAgMDAwQEBAUFBQYGBgcHBwgICAkJCQoKCgsLCwwMDA0NDQ4O Dg8PDxAQEBERERISEhMTExQUFBUVFRYWFhcXFxgYGBkZGRoaGhsbGxwcHB0dHR4eHh8fHyAgICEh ISIiIiMjIyQkJCUlJSYmJicnJygoKCkpKSoqKisrKywsLC0tLS4uLi8vLzAwMDExMTIyMjMzMzQ0 NDU1NTY2Njc3Nzg4ODk5OTo6Ojs7Ozw8PD09PT4+Pj8/P0BAQEFBQUJCQkNDQ0REREVFRUZGRkdH R0hISElJSUpKSktLS0xMTE1NTU5OTk9PT1BQUFFRUVJSUlNTU1RUVFVVVVZWVldXV1hYWFlZWVpa WltbW1xcXF1dXV5eXl9fX2BgYGFhYWJiYmNjY2RkZGVlZWZmZmdnZ2hoaGlpaWpqamtra2xsbG1t bW5ubm9vb3BwcHFxcXJycnNzc3R0dHV1dXZ2dnd3d3h4eHl5eXp6ent7e3x8fH19fX5+fn9/f4CA gIGBgYKCgoODg4SEhIWFhYaGhoeHh4iIiImJiYqKiouLi4yMjI2NjY6Ojo+Pj5CQkJGRkZKSkpOT k5SUlJWVlZaWlpeXl5iYmJmZmZqampubm5ycnJ2dnZ6enp+fn6CgoKGhoaKioqOjo6SkpKWlpaam pqenp6ioqKmpqaqqqqurq6ysrK2tra6urq+vr7CwsLGxsbKysrOzs7S0tLW1tba2tre3t7i4uLm5 ubq6uru7u7y8vL29vb6+vr+/v8DAwMHBwcLCwsPDw8TExMXFxcbGxsfHx8jIyMnJycrKysvLy8zM zM3Nzc7Ozs/Pz9DQ0NHR0dLS0tPT09TU1NXV1dbW1tfX19jY2NnZ2dra2tvb29zc3N3d3d7e3t/f 3+Dg4OHh4eLi4uPj4+Tk5OXl5ebm5ufn5+jo6Onp6erq6uvr6+zs7O3t7e7u7u/v7/Dw8PHx8fLy 8vPz8/T09PX19fb29vf39/j4+Pn5+fr6+vv7+/z8/P39/f7+/v///ywAAAAAAQABAAAIBAABBAQA Ozs=" alt="img" style="left:40px; top:216px; width:770px; height:1px; display:block; position:absolute"/>
<img src="data:image/gif;base64, R0lGODdhAQABAOcdAAAAAAEBAQICAgMDAwQEBAUFBQYGBgcHBwgICAkJCQoKCgsLCwwMDA0NDQ4O Dg8PDxAQEBERERISEhMTExQUFBUVFRYWFhcXFxgYGBkZGRoaGhsbGxwcHB0dHR4eHh8fHyAgICEh ISIiIiMjIyQkJCUlJSYmJicnJygoKCkpKSoqKisrKywsLC0tLS4uLi8vLzAwMDExMTIyMjMzMzQ0 NDU1NTY2Njc3Nzg4ODk5OTo6Ojs7Ozw8PD09PT4+Pj8/P0BAQEFBQUJCQkNDQ0REREVFRUZGRkdH R0hISElJSUpKSktLS0xMTE1NTU5OTk9PT1BQUFFRUVJSUlNTU1RUVFVVVVZWVldXV1hYWFlZWVpa WltbW1xcXF1dXV5eXl9fX2BgYGFhYWJiYmNjY2RkZGVlZWZmZmdnZ2hoaGlpaWpqamtra2xsbG1t bW5ubm9vb3BwcHFxcXJycnNzc3R0dHV1dXZ2dnd3d3h4eHl5eXp6ent7e3x8fH19fX5+fn9/f4CA gIGBgYKCgoODg4SEhIWFhYaGhoeHh4iIiImJiYqKiouLi4yMjI2NjY6Ojo+Pj5CQkJGRkZKSkpOT k5SUlJWVlZaWlpeXl5iYmJmZmZqampubm5ycnJ2dnZ6enp+fn6CgoKGhoaKioqOjo6SkpKWlpaam pqenp6ioqKmpqaqqqqurq6ysrK2tra6urq+vr7CwsLGxsbKysrOzs7S0tLW1tba2tre3t7i4uLm5 ubq6uru7u7y8vL29vb6+vr+/v8DAwMHBwcLCwsPDw8TExMXFxcbGxsfHx8jIyMnJycrKysvLy8zM zM3Nzc7Ozs/Pz9DQ0NHR0dLS0tPT09TU1NXV1dbW1tfX19jY2NnZ2dra2tvb29zc3N3d3d7e3t/f 3+Dg4OHh4eLi4uPj4+Tk5OXl5ebm5ufn5+jo6Onp6erq6uvr6+zs7O3t7e7u7u/v7/Dw8PHx8fLy 8vPz8/T09PX19fb29vf39/j4+Pn5+fr6+vv7+/z8/P39/f7+/v///ywAAAAAAQABAAAIBAABBAQA Ozs=" alt="img" style="left:40px; top:570px; width:770px; height:1px; display:block; position:absolute"/>
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<div id="11" style="left:389px; top:183px; width:25px; height:25px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<xsl:if test="//wnio:TrescDokumentu/wnio:InformacjeDotyczaceOsobyUbezpieczonej/wnio:DzialalnoscNaWlasnyRachunek ='true'">
<div style="padding-left: 6px; padding-top: 2px;">X</div>
</xsl:if>
</div>
<div id="12" style="left:136px; top:224px; width:665px; height:25px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<div style="padding-left:5px; padding-top:3px;">
<xsl:value-of select="//wnio:TrescDokumentu/wnio:InformacjeDotyczaceOsobyUbezpieczonej/wnio:Nazwisko"/>
</div>
</div>
<div style="left:55px; top:290px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">1.2 Imię (imiona)</div>
<div style="left:76px; top:307px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Име(иња)</div>
<div style="left:55px; top:342px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">1.3 Data urodzenia</div>
<div style="left:76px; top:359px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Датум на раѓање</div>
<div style="left:54px; top:397px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">1.5 Adres zamieszkania</div>
<div style="left:54px; top:461px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">1.6 Numer identyfikacyjny w Polsce</div>
<div style="left:74px; top:481px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Број за идентификација во Полска</div>
<div style="left:74px; top:414px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Адреса во место на живеење</div>
<div style="left:357px; top:343px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">1.4 Obywatelstwo</div>
<div style="left:377px; top:363px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Државјанство</div>
<div style="left:455px; top:338px; font-size:11px; font-family:verdana; display:block; position:absolute; overflow:hidden;">(2)</div>
<div style="left:457px; top:358px; font-size:11px; font-family:verdana; display:block; position:absolute; overflow:hidden;">(2)</div>
<div style="left:274px; top:475px; font-size:11px; font-family:verdana; display:block; position:absolute; overflow:hidden;">(3)</div>
<div id="15" style="left:477px; top:329px; width:323px; height:25px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<div style="padding-left:5px; padding-top:3px;">
<xsl:value-of select="//wnio:TrescDokumentu/wnio:InformacjeDotyczaceOsobyUbezpieczonej/wnio:Obywatelstwo"/>
</div>
</div>
<div id="13" style="left:157px; top:273px; width:643px; height:25px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<div style="padding-left:5px; padding-top:3px;">
<xsl:value-of select="//wnio:TrescDokumentu/wnio:InformacjeDotyczaceOsobyUbezpieczonej/wnio:Imie"/>
</div>
</div>
<div style="left:54px; top:522px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">1.7 Numer identyfikacyjny w Macedonii (EMBG)</div>
<div style="left:73px; top:540px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Број за идентификација во Македонија(ЕМБГ)</div>
<div id="16" style="left:253px; top:384px; width:546px; height:55px; display:block; border-style: solid; border-width: 1px; border-color:#000000; position:absolute; overflow:hidden; background-color:#ffffff;">
<div style="padding-left:8px; padding-top:3px;">
<xsl:call-template name="formatowanie">
<xsl:with-param name="tekst" select="//wnio:TrescDokumentu/wnio:InformacjeDotyczaceOsobyUbezpieczonej/wnio:AdresZamieszkania"/>
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</div>
</div>
<div id="17" style="left:254px; top:446px; width:546px; height:25px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<div style="padding-left:5px; padding-top:3px;">
<xsl:value-of select="//wnio:TrescDokumentu/wnio:InformacjeDotyczaceOsobyUbezpieczonej/wnio:NumerIdentyfikacyjnyWPolsce"/>
</div>
</div>
<div id="18" style="left:326px; top:507px; width:474px; height:25px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<div style="padding-left:5px; padding-top:3px;">
<xsl:value-of select="//wnio:TrescDokumentu/wnio:InformacjeDotyczaceOsobyUbezpieczonej/wnio:NumerIdentyfikacyjnyWMacedonii"/>
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<div id="22" style="left:121px; top:699px; width:681px; height:55px; display:block; border-style: solid; border-width: 1px; border-color:#000000; position:absolute; overflow:hidden; background-color:#ffffff;">
<div style="padding-left:8px; padding-top:3px;">
<xsl:call-template name="formatowanie">
<xsl:with-param name="tekst" select="//wnio:TrescDokumentu/wnio:InformacjeDotyczacePracodawcyDzialalnosci/wnio:Adres"/>
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</div>
</div>
<div id="28" style="left:118px; top:1055px; width:674px; height:28px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<div style="padding-left:5px; padding-top:3px;">
<xsl:value-of select="//wnio:TrescDokumentu/wnio:OsobaUbezpieczona/wnio:Adres"/>
</div>
</div>
<div id="21" style="left:118px; top:649px; width:684px; height:25px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<div style="padding-left:5px; padding-top:3px;">
<xsl:value-of select="//wnio:TrescDokumentu/wnio:InformacjeDotyczacePracodawcyDzialalnosci/wnio:Nazwa"/>
</div>
</div>
<div id="27" style="left:121px; top:1005px; width:671px; height:25px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<div style="padding-left:5px; padding-top:3px;">
<xsl:value-of select="//wnio:TrescDokumentu/wnio:OsobaUbezpieczona/wnio:Nazwa"/>
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</div>
<div id="29" style="left:351px; top:1115px; width:439px; height:25px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<div style="padding-left:5px; padding-top:3px;">
<xsl:value-of select="//wnio:TrescDokumentu/wnio:OsobaUbezpieczona/wnio:NumerIdentyfikacyjnyWMacedonii"/>
</div>
</div>
<div id="14" style="left:169px; top:327px; width:147px; height:25px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<div style="padding-left:8px; padding-top:3px;">
<xsl:if test="//wnio:TrescDokumentu/wnio:InformacjeDotyczaceOsobyUbezpieczonej/wnio:DataUrodzenia !=''">
<xsl:value-of select="substring(//wnio:TrescDokumentu/wnio:InformacjeDotyczaceOsobyUbezpieczonej/wnio:DataUrodzenia, 9, 2)"/>/<xsl:value-of select="substring(//wnio:TrescDokumentu/wnio:InformacjeDotyczaceOsobyUbezpieczonej/wnio:DataUrodzenia, 6, 2)"/>/<xsl:value-of select="substring(//wnio:TrescDokumentu/wnio:InformacjeDotyczaceOsobyUbezpieczonej/wnio:DataUrodzenia, 1, 4)"/>
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<div id="25" style="left:300px; top:907px; height:25px; width:140px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<div style="padding-left:8px; padding-top:3px;">
<xsl:if test="//wnio:TrescDokumentu/wnio:OsobaUbezpieczona/wnio:OkresOddelegowania/wnio:Od !=''">
<xsl:value-of select="substring(//wnio:TrescDokumentu/wnio:OsobaUbezpieczona/wnio:OkresOddelegowania/wnio:Od, 9, 2)"/>/<xsl:value-of select="substring(//wnio:TrescDokumentu/wnio:OsobaUbezpieczona/wnio:OkresOddelegowania/wnio:Od, 6, 2)"/>/<xsl:value-of select="substring(//wnio:TrescDokumentu/wnio:OsobaUbezpieczona/wnio:OkresOddelegowania/wnio:Od, 1, 4)"/>
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</div>
<div id="26" style="left:524px; top:907px; width:144px; height:25px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<div style="padding-left:8px; padding-top:3px;">
<xsl:if test="//wnio:TrescDokumentu/wnio:OsobaUbezpieczona/wnio:OkresOddelegowania/wnio:Do !=''">
<xsl:value-of select="substring(//wnio:TrescDokumentu/wnio:OsobaUbezpieczona/wnio:OkresOddelegowania/wnio:Do, 9, 2)"/>/<xsl:value-of select="substring(//wnio:TrescDokumentu/wnio:OsobaUbezpieczona/wnio:OkresOddelegowania/wnio:Do, 6, 2)"/>/<xsl:value-of select="substring(//wnio:TrescDokumentu/wnio:OsobaUbezpieczona/wnio:OkresOddelegowania/wnio:Do, 1, 4)"/>
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</div>
</div>
<div style="left:833px; top:1198px; width:18px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">1</div>
</div>
</div>
</div>
<hr style="visibility: hidden;"/>
<div style="width:885px; margin-left:auto; margin-right:auto; position:relative; text-align:left; page-break-after:always;">
<div style="border-style: solid; border-width:1px; left:0px; width:885px; height:1270px; margin-bottom:10px; margin-left:0px; margin-top:0px; text-align:left;">
<div style="left:20px; top:10px; width:841px; height:1216px; border-style: none; position:absolute;">
<div style="left:83px; top:58px; text-align:left; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Osoba wymieniona w punkcie 1 podlega przepisom prawnym</div>
<div style="left:84px; top:77px; text-align:left; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Лицето наведено во точката 1 подлежи под правните прописи на</div>
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<img src="data:image/gif;base64, R0lGODdhAQABAOcdAAAAAAEBAQICAgMDAwQEBAUFBQYGBgcHBwgICAkJCQoKCgsLCwwMDA0NDQ4O Dg8PDxAQEBERERISEhMTExQUFBUVFRYWFhcXFxgYGBkZGRoaGhsbGxwcHB0dHR4eHh8fHyAgICEh ISIiIiMjIyQkJCUlJSYmJicnJygoKCkpKSoqKisrKywsLC0tLS4uLi8vLzAwMDExMTIyMjMzMzQ0 NDU1NTY2Njc3Nzg4ODk5OTo6Ojs7Ozw8PD09PT4+Pj8/P0BAQEFBQUJCQkNDQ0REREVFRUZGRkdH R0hISElJSUpKSktLS0xMTE1NTU5OTk9PT1BQUFFRUVJSUlNTU1RUVFVVVVZWVldXV1hYWFlZWVpa WltbW1xcXF1dXV5eXl9fX2BgYGFhYWJiYmNjY2RkZGVlZWZmZmdnZ2hoaGlpaWpqamtra2xsbG1t bW5ubm9vb3BwcHFxcXJycnNzc3R0dHV1dXZ2dnd3d3h4eHl5eXp6ent7e3x8fH19fX5+fn9/f4CA gIGBgYKCgoODg4SEhIWFhYaGhoeHh4iIiImJiYqKiouLi4yMjI2NjY6Ojo+Pj5CQkJGRkZKSkpOT k5SUlJWVlZaWlpeXl5iYmJmZmZqampubm5ycnJ2dnZ6enp+fn6CgoKGhoaKioqOjo6SkpKWlpaam pqenp6ioqKmpqaqqqqurq6ysrK2tra6urq+vr7CwsLGxsbKysrOzs7S0tLW1tba2tre3t7i4uLm5 ubq6uru7u7y8vL29vb6+vr+/v8DAwMHBwcLCwsPDw8TExMXFxcbGxsfHx8jIyMnJycrKysvLy8zM zM3Nzc7Ozs/Pz9DQ0NHR0dLS0tPT09TU1NXV1dbW1tfX19jY2NnZ2dra2tvb29zc3N3d3d7e3t/f 3+Dg4OHh4eLi4uPj4+Tk5OXl5ebm5ufn5+jo6Onp6erq6uvr6+zs7O3t7e7u7u/v7/Dw8PHx8fLy 8vPz8/T09PX19fb29vf39/j4+Pn5+fr6+vv7+/z8/P39/f7+/v///ywAAAAAAQABAAAIBAABBAQA Ozs=" alt="img" style="left:39px; top:94px; width:770px; height:1px; display:block; position:absolute"/>
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<img src="data:image/gif;base64, R0lGODdhAQABAOcdAAAAAAEBAQICAgMDAwQEBAUFBQYGBgcHBwgICAkJCQoKCgsLCwwMDA0NDQ4O Dg8PDxAQEBERERISEhMTExQUFBUVFRYWFhcXFxgYGBkZGRoaGhsbGxwcHB0dHR4eHh8fHyAgICEh ISIiIiMjIyQkJCUlJSYmJicnJygoKCkpKSoqKisrKywsLC0tLS4uLi8vLzAwMDExMTIyMjMzMzQ0 NDU1NTY2Njc3Nzg4ODk5OTo6Ojs7Ozw8PD09PT4+Pj8/P0BAQEFBQUJCQkNDQ0REREVFRUZGRkdH R0hISElJSUpKSktLS0xMTE1NTU5OTk9PT1BQUFFRUVJSUlNTU1RUVFVVVVZWVldXV1hYWFlZWVpa WltbW1xcXF1dXV5eXl9fX2BgYGFhYWJiYmNjY2RkZGVlZWZmZmdnZ2hoaGlpaWpqamtra2xsbG1t bW5ubm9vb3BwcHFxcXJycnNzc3R0dHV1dXZ2dnd3d3h4eHl5eXp6ent7e3x8fH19fX5+fn9/f4CA gIGBgYKCgoODg4SEhIWFhYaGhoeHh4iIiImJiYqKiouLi4yMjI2NjY6Ojo+Pj5CQkJGRkZKSkpOT k5SUlJWVlZaWlpeXl5iYmJmZmZqampubm5ycnJ2dnZ6enp+fn6CgoKGhoaKioqOjo6SkpKWlpaam pqenp6ioqKmpqaqqqqurq6ysrK2tra6urq+vr7CwsLGxsbKysrOzs7S0tLW1tba2tre3t7i4uLm5 ubq6uru7u7y8vL29vb6+vr+/v8DAwMHBwcLCwsPDw8TExMXFxcbGxsfHx8jIyMnJycrKysvLy8zM zM3Nzc7Ozs/Pz9DQ0NHR0dLS0tPT09TU1NXV1dbW1tfX19jY2NnZ2dra2tvb29zc3N3d3d7e3t/f 3+Dg4OHh4eLi4uPj4+Tk5OXl5ebm5ufn5+jo6Onp6erq6uvr6+zs7O3t7e7u7u/v7/Dw8PHx8fLy 8vPz8/T09PX19fb29vf39/j4+Pn5+fr6+vv7+/z8/P39/f7+/v///ywAAAAAAQABAAAIBAABBAQA Ozs=" alt="img" style="left:39px; top:58px; width:35px; height:1px; display:block; position:absolute"/>
<div id="30" style="left:80px; top:113px; width:25px; height:25px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<xsl:if test="//wnio:TrescDokumentu/wnio:PodleganiePrzepisomPrawaWPolsce/wnio:RepublikaPolski ='true'">
<div style="padding-left: 6px; padding-top: 2px;">X</div>
</xsl:if>
</div>
<div style="left:53px; top:71px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">4.</div>
<div style="left:54px; top:119px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">4.1</div>
<div style="left:54px; top:173px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">4.2 na mocy artykułu</div>
<div style="left:55px; top:339px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">4.3 od</div>
<div style="left:55px; top:397px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">4.4</div>
<div style="left:75px; top:363px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">од</div>
<div style="left:121px; top:398px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">na podstawie zgody z dnia</div>
<div style="left:57px; top:515px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">4.5</div>
<div style="left:91px; top:654px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Датум и место</div>
<div style="left:122px; top:514px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">jest zatrudniona w misji dyplomatycznej lub urzędzie konsularnym lub jako prywatna służba domowa</div>
<div style="left:122px; top:564px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">е вработено во дипломатско конзуларното претставништво или приватни домашни работници</div>
<div style="left:122px; top:542px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">(dotyczy osób wymienionych w artykule 8.1.8 i 8.1.9 Umowy) od</div>
<div style="left:122px; top:586px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">(случаите опфатени во член 8.1.8 и 8.1.9 од Договорот) од ден</div>
<div id="48" style="left:87px; top:507px; width:25px; height:25px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<xsl:if test="//wnio:TrescDokumentu/wnio:PodleganiePrzepisomPrawaWPolsce/wnio:ZatrudnienieJakoPrywatnaSluzbaDomowa ='true'">
<div style="padding-left: 6px; padding-top: 2px;">X</div>
</xsl:if>
</div>
<div style="left:121px; top:450px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">согласно одобрението од ден</div>
<div style="left:121px; top:423px; font-size:12px; font-weight:bold; font-family:arial; display:block; position:absolute; overflow:hidden;">(w przypadku art. 8.1.1 zdanie drugie oraz art. 8.2 Umowy)</div>
<div style="left:121px; top:474px; font-size:12px; font-weight:bold; font-family:arial; display:block; position:absolute; overflow:hidden;">(се однесува на член 8 став 1 точка 1 втора реченица и член 8 став 2, од Договорот).</div>
<div style="left:298px; top:338px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">do</div>
<div style="left:299px; top:362px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">до</div>
<div style="left:74px; top:189px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">врз основа на член</div>
<div style="left:117px; top:113px; text-align:left; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Republiki Polski</div>
<div style="left:117px; top:128px; text-align:left; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Република Полска</div>
<div id="32" style="left:237px; top:173px; width:25px; height:25px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<xsl:if test="//wnio:TrescDokumentu/wnio:PodleganiePrzepisomPrawaWPolsce/wnio:Artykul/wnio:Art8_1_1_ZdaniePierwsze ='true'">
<div style="padding-left: 6px; padding-top: 2px;">X</div>
</xsl:if>
</div>
<div style="left:274px; top:174px; text-align:left; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">8.1.1 zdanie pierwsze</div>
<div id="34" style="left:237px; top:212px; width:25px; height:25px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<xsl:if test="//wnio:TrescDokumentu/wnio:PodleganiePrzepisomPrawaWPolsce/wnio:Artykul/wnio:Art8_1_2 ='true'">
<div style="padding-left: 6px; padding-top: 2px;">X</div>
</xsl:if>
</div>
<div id="45" style="left:84px; top:391px; width:25px; height:25px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<xsl:if test="//wnio:TrescDokumentu/wnio:PodleganiePrzepisomPrawaWPolsce/wnio:NaPodstawieZgodyZDnia ='true'">
<div style="padding-left: 6px; padding-top: 2px;">X</div>
</xsl:if>
</div>
<div id="35" style="left:430px; top:215px; width:25px; height:25px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<xsl:if test="//wnio:TrescDokumentu/wnio:PodleganiePrzepisomPrawaWPolsce/wnio:Artykul/wnio:Art8_1_3 ='true'">
<div style="padding-left: 6px; padding-top: 2px;">X</div>
</xsl:if>
</div>
<div style="left:274px; top:219px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">8.1.2</div>
<div style="left:462px; top:222px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">8.1.3</div>
<div id="36" style="left:612px; top:213px; width:25px; height:25px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<xsl:if test="//wnio:TrescDokumentu/wnio:PodleganiePrzepisomPrawaWPolsce/wnio:Artykul/wnio:Art8_1_4 ='true'">
<div style="padding-left: 6px; padding-top: 2px;">X</div>
</xsl:if>
</div>
<div style="left:644px; top:220px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">8.1.4</div>
<div id="37" style="left:237px; top:250px; width:25px; height:25px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<xsl:if test="//wnio:TrescDokumentu/wnio:PodleganiePrzepisomPrawaWPolsce/wnio:Artykul/wnio:Art8_1_5 ='true'">
<div style="padding-left: 6px; padding-top: 2px;">X</div>
</xsl:if>
</div>
<div id="38" style="left:430px; top:253px; width:25px; height:25px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<xsl:if test="//wnio:TrescDokumentu/wnio:PodleganiePrzepisomPrawaWPolsce/wnio:Artykul/wnio:Art8_1_6 ='true'">
<div style="padding-left: 6px; padding-top: 2px;">X</div>
</xsl:if>
</div>
<div style="left:274px; top:257px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">8.1.5</div>
<div style="left:462px; top:260px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">8.1.6</div>
<div id="39" style="left:612px; top:251px; width:25px; height:25px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<xsl:if test="//wnio:TrescDokumentu/wnio:PodleganiePrzepisomPrawaWPolsce/wnio:Artykul/wnio:Art8_1_8 ='true'">
<div style="padding-left: 6px; padding-top: 2px;">X</div>
</xsl:if>
</div>
<div style="left:644px; top:258px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">8.1.8</div>
<div id="40" style="left:237px; top:289px; width:25px; height:25px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<xsl:if test="//wnio:TrescDokumentu/wnio:PodleganiePrzepisomPrawaWPolsce/wnio:Artykul/wnio:Art8_1_9 ='true'">
<div style="padding-left: 6px; padding-top: 2px;">X</div>
</xsl:if>
</div>
<div id="41" style="left:430px; top:292px; width:25px; height:25px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<xsl:if test="//wnio:TrescDokumentu/wnio:PodleganiePrzepisomPrawaWPolsce/wnio:Artykul/wnio:Art8_1_10 ='true'">
<div style="padding-left: 6px; padding-top: 2px;">X</div>
</xsl:if>
</div>
<div style="left:274px; top:296px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">8.1.9</div>
<div style="left:462px; top:299px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">8.1.10</div>
<div id="42" style="left:612px; top:290px; width:25px; height:25px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<xsl:if test="//wnio:TrescDokumentu/wnio:PodleganiePrzepisomPrawaWPolsce/wnio:Artykul/wnio:Art8_2 ='true'">
<div style="padding-left: 6px; padding-top: 2px;">X</div>
</xsl:if>
</div>
<div style="left:644px; top:297px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">8.2</div>
<div style="left:720px; top:295px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Umowy</div>
<div style="left:720px; top:307px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">од Договорот</div>
<div style="left:274px; top:188px; text-align:left; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">8.1.1 прва реченица</div>
<div id="33" style="left:430px; top:173px; width:25px; height:25px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<xsl:if test="//wnio:TrescDokumentu/wnio:PodleganiePrzepisomPrawaWPolsce/wnio:Artykul/wnio:Art8_1_1_ZdanieDrugie ='true'">
<div style="padding-left: 6px; padding-top: 2px;">X</div>
</xsl:if>
</div>
<div style="left:467px; top:174px; text-align:left; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">8.1.1 zdanie drugie</div>
<div style="left:467px; top:188px; text-align:left; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">8.1.1 втора реченица</div>
<div id="31" style="left:290px; top:113px; width:25px; height:25px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<xsl:if test="//wnio:TrescDokumentu/wnio:PodleganiePrzepisomPrawaWPolsce/wnio:RepublikaMacedonii ='true'">
<div style="padding-left: 6px; padding-top: 2px;">X</div>
</xsl:if>
</div>
<div style="left:327px; top:113px; text-align:left; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Republiki Macedonii</div>
<div style="left:327px; top:128px; text-align:left; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Република Македонија</div>
<div style="left:470px; top:398px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">znak:</div>
<div style="left:470px; top:450px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">ознака</div>
<div id="47" style="left:506px; top:382px; width:285px; height:30px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<div style="padding-left:5px; padding-top:3px;">
<xsl:value-of select="//wnio:TrescDokumentu/wnio:PodleganiePrzepisomPrawaWPolsce/wnio:Znak"/>
</div>
</div>
<div style="left:482px; top:620px; width:210px; font-size:14px; font-weight:normal; font-family:verdana; text-align:center; display:block; position:absolute; overflow:hidden;">......................................</div>
<div id="50" style="left:175px; top:620px; width:203px; height:25px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<div style="padding-left:8px; padding-top:3px;">
<xsl:if test="//wnio:TrescDokumentu/wnio:PodleganiePrzepisomPrawaWPolsce/wnio:DataMiejsce !=''">
<xsl:value-of select="substring(//wnio:TrescDokumentu/wnio:PodleganiePrzepisomPrawaWPolsce/wnio:DataMiejsce, 9, 2)"/>/<xsl:value-of select="substring(//wnio:TrescDokumentu/wnio:PodleganiePrzepisomPrawaWPolsce/wnio:DataMiejsce, 6, 2)"/>/<xsl:value-of select="substring(//wnio:TrescDokumentu/wnio:PodleganiePrzepisomPrawaWPolsce/wnio:DataMiejsce, 1, 4)"/>
</xsl:if>
</div>
</div>
<div style="left:59px; top:634px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">4.5.1 Data i miejsce</div>
<div style="left:404px; top:634px; width:87px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">4.5.2 Podpis</div>
<div style="left:434px; top:655px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">(dotyczy osób wymienionych w artykule 8.1.8 i 8.1.9 Umowy</div>
<div style="left:435px; top:681px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Потпис</div>
<div style="left:434px; top:699px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">(на лицата опфатени во член 8.1.8 и 8.1.9 од Договорот)</div>
<div style="left:54px; top:793px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">5.</div>
<div style="left:55px; top:839px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">5.1 Nazwa</div>
<div style="left:76px; top:856px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Назив</div>
<div style="left:87px; top:781px; text-align:left; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Instytucja właściwa w Polsce</div>
<div style="left:86px; top:800px; text-align:left; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Надлежен полски носител</div>
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<div style="left:440px; top:1025px; width:210px; font-size:14px; font-weight:normal; font-family:verdana; text-align:center; display:block; position:absolute; overflow:hidden;">......................................</div>
<div style="left:371px; top:972px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">5.4 Data</div>
<div style="left:390px; top:995px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Датум</div>
<div style="left:59px; top:972px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">5.3 Pieczęć</div>
<div style="left:13px; top:1193px; width:36px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">2</div>
<div style="left:80px; top:995px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Печат</div>
<div style="left:371px; top:1039px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">5.5 Podpis</div>
<div style="left:392px; top:1059px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Потпис</div>
<div style="left:57px; top:905px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">5.2 Adres</div>
<div style="left:77px; top:925px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Адреса</div>
<div id="43" style="left:97px; top:323px; height:25px; width:140px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<div style="padding-left:8px; padding-top:3px;">
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</xsl:if>
</div>
</div>
<div id="44" style="left:320px; top:323px; height:25px; width:140px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<div style="padding-left:8px; padding-top:3px;">
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<div id="46" style="left:276px; top:383px; height:25px; width:140px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<div style="padding-left:8px; padding-top:3px;">
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<div id="49" style="left:472px; top:528px; height:25px; width:140px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<div style="padding-left:8px; padding-top:3px;">
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<div id="141" style="left:429px; top:958px; width:191px; height:25px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<div style="padding-left:8px; padding-top:3px;">
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</div>
<div id="52" style="left:125px; top:825px; width:660px; height:25px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<div style="padding-left:5px; padding-top:3px;">
<xsl:value-of select="//wnio:TrescDokumentu/wnio:InstytucjaWlasciwaWPolsce/wnio:Nazwa"/>
</div>
</div>
<div id="53" style="left:119px; top:891px; width:666px; height:25px; display:block; border-style: solid; border-width: 1px; position:absolute; overflow:hidden; background-color:#ffffff;">
<div style="padding-left:5px; padding-top:3px;">
<xsl:value-of select="//wnio:TrescDokumentu/wnio:InstytucjaWlasciwaWPolsce/wnio:Adres"/>
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</div>
</div>
</div>
<hr style="visibility: hidden;"/>
<div style="width:885px; margin-left:auto; margin-right:auto; position:relative; text-align:left; page-break-after:always;">
<div style="border-style: solid; border-width:1px; left:0px; width:885px; height:1270px; margin-bottom:10px; margin-left:0px; margin-top:0px; text-align:left;">
<div style="left:43px; top:100px; width:800px; height:500px; display:block; position:absolute;">
<font style="font-family:verdana; font-size: 12px;">
<p align="center">
<b>UWAGI</b>
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<b>УПАТСТВА</b>
</p>
<p align="justify">
(1) Właściwa instytucja w Polsce wydaje formularz na wniosek pracownika, pracodawcy lub osoby pracującej na własny rachunek i przekazuje go wnioskodawcy oraz do właściwego oddziału terenowego Funduszu Ubezpieczenia Zdrowotnego Macedonii miejsca pobytu.
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Formularz jest wystawiany w 4 egzemplarzach dla pracownika i w 3 dla osoby pracującej na własny rachunek.
<br/>
Formularz należy wypełnić drukowanymi literami wpisując tekst wyłącznie w zaznaczonych kropkami miejscach.
<br/>
W przypadkach, o których mowa w art. 8.1.1. zdanie drugie oraz art. 8.2 Umowy właściwa instytucja w Polsce wystawia formularz, po uzyskaniu pisemnej zgody otrzymanej od oddziału terenowego Funduszu Ubezpieczenia Zdrowotnego Macedonii miejsca pobytu.
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Надлежниот полски носител го издава образецот на барање на работникот, на барање на лицето кое врши самостојна дејност или на барање на работодавачот, го предава на барателот, и еден примерок испраќа до подрачната служба на Фондот за здравствено осигурување на Македонија во местото на престој. Образецот се издава во четири примерока за вработено лице и во три примерока за лице кое врши самостојна дејност.
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Образецот да се пополни со печатни букви или на машина за пишување со впишување на текстот исклучиво наозначените места.
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Во сличаите опфатени во член 8.1.1 втора реченица и член 8.2 од Договорот, надлежниот полски носител го издава образецот по добивање на писмена согласност од подрачната служба на Фондот за здравствено осигурување на Македонија во местото на престој.
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(2) W przypadku zmiany obywatelstwa należy wpisać datę nadania aktualnego obywatelstwa.
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Во случај на промена на државјанство треба да се наведе датумот на добивање на новото државјанство.
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(3) PESEL i NIP, a w razie gdy ubezpieczonemu nie nadano tych numerów lub jednego z nich – seria i numer dowodu osobistego lub paszportu.
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Да се наведе бројот за евиденција ПЕСЕЛ, како и бројот за даночна идентификација НИП, а во случај кога едниот или двата броја не се познати, да се наведе серијата и бројот на личната карта или пасошот.
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<b>INFORMACJE DODATKOWE</b>
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<b>ДОПОЛНИТЕЛНИ ИНФОРМАЦИИ</b>
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Zgodnie z art. 5.2 Porozumienia Administracyjnego pracodawca oddelegowanego pracownika ma obowiązek poinformować instytucję właściwą tej Umawiającej się Strony, na której terytorium pracownik podlega ubezpieczeniu:
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• ustaniu stosunku pracy z danym pracownikiem przed upływem okresu oddelegowania lub
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• wcześniejszym powrocie przed upływem okresu oddelegowania
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Instytucja właściwa, której przepisom prawnym podlega pracownik powiadamia o tym właściwą instytucję drugiej strony.
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Согласно член 5.2 од Административната спогодба работодавачот на испратениот работник, е должен да го извести надлежниот носител на договорната страна чии правни прописи се применуваат:
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• За престанок на работниот однос пред истекот на периодот на испраќање
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• За предвременото враќање пред истекот на периодот на испраќање.
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Надлежниот носител на територијата под чии правни прописи подлежи работникот го известува надлежниот носител на
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втората договорна страна за настанатата промена.
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Zgodnie z art. 5.3 Porozumienia Administracyjnego osoba pracująca na własny rachunek ma obowiązek poinformować instytucję właściwą, której przepisom prawnym podlega:
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• zaprzestaniu działalności lub
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• powrocie przed upływem określonego w formularzu okresu.
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Instytucja właściwa, której przepisom prawnym podlega osoba pracująca na własny rachunek powiadamia o tym właściwą instytucję drugiej strony.
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Согласно член 5.3 од Административната спогодба лице кое врши самостојна дејност е должно да го извести надлежниот носител на таа договорна страна чии правни прописи се применуваат:
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• За престанок на дејноста
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• За предвременото враќање пред истекот на периодот на испраќање.
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Надлежниот носител на територијата под чии правни прописи подлежи лицето кое врши самостојна дејност го известува надлежниот носител на втората договорна страна за настанатата промена.
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<b>INSTYTUCJE WŁAŚCIWE</b>
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<b>НАДЛЕЖНИ ИНСТИТУЦИИ</b>
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w Polsce
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<p align="justify">a) dla celów realizacji art. 8.1.1 zdanie pierwsze, <i>8.1.2, 8.1.3, 8.1. 4, 8.1.5, 8.1.6, 8.1.8, 8.1.9 i 8.1.10</i> Umowy Terenowe jednostki organizacyjne Zakładu Ubezpieczeń Społecznych właściwe dla siedziby pracodawcy lub firmy prowadzonej przez osobę pracującą na własny rachunek.</p>
<p align="justify">a) за примена на член 8.1.1 прва реченица, <i>8.1.2, 8.1.3, 8.1.4, 8.1.5, 8.1.6, 8.1.8, 8.1.9 и 8.1.10</i> од Договорот Подрачните служби на Заводот за социјално осигурување надлежни во седиштето на работодавачот или на фирмата на лицето кое врши самостојна дејност.</p>
<p align="justify">b) dla celów realizacji art. 8.1.2, 8.1.5 Umowy – przy zastosowaniu przepisów o ubezpieczeniu społecznym rolników Centrala Kasy Rolniczego Ubezpieczenia Społecznego</p>
<p align="justify">б) со цел на примена на член 8.1.2 и 8.1.5 од Договорот – согласно правните прописи за социјално осигурување на земјоделците Централа на Каса на земјоделското социјално осигурување</p>
<p align="justify">c) dla celów realizacji <i>art. 8.1.1. zdanie drugie oraz art. 8.2</i> Umowy Centrala Zakładu Ubezpieczeń Społecznych</p>
<p align="justify">в) за примена на <i>член 8.1.1 втора реченица и член 8.2</i> од Договорот Централа на Завод за социјално осигурување</p>
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<div style="left:34px; top:1175px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">Skład: P/W-wa; zam. nr 566/10</div>
<div style="left:20px; top:1192px; font-family:arial; font-size:12px; display:block; position:absolute; overflow:hidden;">4</div>
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