| ID | 11272 |
|---|---|
| Data | 2022-01-26 |
| Symbol | 2022/01/26/11272 |
| Instytucja | Urząd Miejski w Bielsku-Białej |
| Nazwa | Zgłoszenie zapotrzebowania na pojemniki DGO-5 (zabudowa jednorodzinna) |
| Czy Aktualny | 1 |
| Art. 16b ust. 1 ustawy z dnia 17 lutego 2005 r. o informatyzacji działalności podmiotów realizujących zadania publiczne (Dz. U. z 2021 r. poz. 2070) |
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<xsl:template match="/">
<xsl:for-each select="wnio:Dokument">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8"/>
</head>
<body>
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="2" style="text-align: center; text-transform: uppercase;">
<span style="font-size: small; font-family: verdana, geneva;">
<strong>ZGŁOSZENIE ZAPOTRZEBOWANIA NA POJEMNIKI
DGO-5</strong>
</span>
<br/>
<span style="font-size: small; font-family: verdana, geneva;">
<em>(zabudowa jednorodzinna)</em>
</span>
</td>
</tr>
<tr>
<td colspan="2" style="text-align: center; text-transform: uppercase;"> </td>
</tr>
<tr>
<td colspan="2"> </td>
</tr>
<tr>
<td colspan="2" style="background-color: #e2e2e2; border-style: solid; border-width: 1px; border-color: #000000;">
<strong>
<span style="font-size: small; font-family: verdana, geneva;">WNIOSKODAWCA</span>
</strong>
</td>
</tr>
<tr>
<td colspan="2">
<hr/>
</td>
</tr>
<tr>
<td colspan="2" style="border-style: solid; border-width: 1px; border-color: #000000;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 50%; border-right: 1px solid #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Imię</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID0"/></span></xsl:if></span></span>
</p>
</td>
<td style="width: 50%;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Nazwisko</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID3"/></span></xsl:if></span></span>
</p>
</td>
</tr>
<tr>
<td colspan="2" style="width: 50%; border-top: 1px solid #000000;">
<p>
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">Nazwa składającego deklarację dla
nieruchomości</span>
</strong>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID4"/></span></xsl:if></span></span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td colspan="2"> </td>
</tr>
<tr>
<td colspan="2">
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID1">
<xsl:if test="true()">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="2" style="background-color: #e6e4e7; border: 1px solid #000000; border-top: 1px solid #000000;">
<span style="font-size: small;">
<span style="font-family: verdana, geneva;">
<strong>ADRES NIERUCHOMOŚCI, KTÓREJ/YM SŁUŻYĆ MAJĄ
POJEMNIKI/KONTENERY</strong>
</span>
<span style="font-family: verdana, geneva;">
<br/>
</span>
</span>
</td>
</tr>
<tr>
<td colspan="2">
<hr/>
</td>
</tr>
<tr>
<td style="width: 50%; border: 1px solid #000000; border-top: 1px solid #000000;">
<p>
<strong>
<span style="font-family: verdana, geneva; font-size: x-small;">Ulica</span>
</strong>
</p>
<p>
<span style="font-size: x-small;"> <span style="font-family: verdana, geneva;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID8"/></span></xsl:if></span></span></span>
</p>
</td>
<td style="width: 50%; border-right: 1px solid #000000; border-bottom: 1px solid #000000; border-top: 1px solid #000000;">
<p>
<strong>
<span style="font-family: verdana, geneva; font-size: x-small;">Numer budynku</span>
</strong>
</p>
<p>
<span style="font-size: x-small;"> <span style="font-family: verdana, geneva;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID9"/></span></xsl:if></span></span></span>
</p>
</td>
</tr>
<tr>
<td colspan="2"> </td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
</td>
</tr>
<tr>
<td colspan="2" style="width: 50%;"> </td>
</tr>
<tr>
<td colspan="2" style="background-color: #e2e2e2; width: 50%; border-style: solid; border-width: 1px; border-color: #000000;">
<span style="font-size: small; font-family: verdana, geneva;">
<strong>ZAPOTRZEBOWANIE</strong>
</span>
</td>
</tr>
<tr>
<td colspan="2" style="width: 50%;">
<hr/>
</td>
</tr>
<tr>
<td colspan="2" style="width: 50%; border-style: solid; border-width: 1px; border-color: #000000;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 16.66%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; background-color: #e2e2e2; text-align: center;">
<span style="font-size: x-small; font-family: verdana, geneva;">
<strong>Frakcja</strong>
</span>
</td>
<td style="width: 16.66%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; background-color: #e2e2e2; text-align: center;">
<span style="font-size: x-small; font-family: verdana, geneva;">
<strong>worek 120 L</strong>
<em>(szt.)</em>
</span>
</td>
<td style="width: 16.66%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; background-color: #e2e2e2; text-align: center;">
<span style="font-size: x-small; font-family: verdana, geneva;"><strong>120 L</strong> <em>(szt.)</em></span>
</td>
<td style="width: 16.66%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; background-color: #e2e2e2; text-align: center;">
<span style="font-size: x-small; font-family: verdana, geneva;"><strong>240 L</strong> <em>(szt.)</em></span>
</td>
<td style="width: 16.66%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; background-color: #e2e2e2; text-align: center;">
<span style="font-size: x-small; font-family: verdana, geneva;"><strong>1100 L</strong> <em>(szt.)</em></span>
</td>
<td style="width: 16.66%; border-bottom: 1px solid #000000; background-color: #e2e2e2; text-align: center;">
<span style="font-size: x-small; font-family: verdana, geneva;">
<strong>Częstotliwość odbioru pojemnika</strong>
</span>
</td>
</tr>
<tr>
<td style="width: 16.66%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; background-color: #e2e2e2;">
<span style="font-size: x-small; font-family: verdana, geneva;">
<strong>Bioodpady</strong>
</span>
</td>
<td style="width: 16.66%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; background-color: #e2e2e2;"> </td>
<td style="width: 16.66%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID2"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="width: 16.66%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID6"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 16.66%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; background-color: #e2e2e2; text-align: center;">
<span style="font-size: x-small; font-family: verdana, geneva;"> </span>
</td>
<td style="width: 16.66%; border-bottom: 1px solid #000000; background-color: #e2e2e2; text-align: center;">
<span style="font-size: x-small; font-family: verdana, geneva;">1 raz na 2 tygodnie</span>
</td>
</tr>
<tr>
<td style="width: 16.66%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; background-color: #e2e2e2;">
<span style="font-size: x-small; font-family: verdana, geneva;">
<strong>Niesegregowane (zmieszane)</strong>
</span>
</td>
<td style="width: 16.66%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; background-color: #e2e2e2; text-align: center;">
<span style="font-size: x-small; font-family: verdana, geneva;"> </span>
</td>
<td style="width: 16.66%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID11"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="width: 16.66%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID12"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="width: 16.66%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID13"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 16.66%; border-bottom: 1px solid #000000; background-color: #e2e2e2; text-align: center;">
<span style="font-size: x-small; font-family: verdana, geneva;">1 raz na 2 tygodnie</span>
</td>
</tr>
<tr>
<td style="width: 16.66%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; background-color: #e2e2e2;">
<span style="font-size: x-small; font-family: verdana, geneva;">
<strong>Papier</strong>
</span>
</td>
<td style="width: 16.66%; border-right-style: solid; border-bottom: 1px solid #000000; border-right-width: 1px; border-right-color: #000000; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID5"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 16.66%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID14"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="width: 16.66%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID15"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="width: 16.66%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID16"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="width: 16.66%; border-bottom: 1px solid #000000; background-color: #e2e2e2; text-align: center;">
<span style="font-size: x-small; font-family: verdana, geneva;">1 raz na 4 tygodnie</span>
</td>
</tr>
<tr>
<td style="width: 16.66%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; background-color: #e2e2e2;">
<span style="font-size: x-small; font-family: verdana, geneva;">
<strong>Szkło</strong>
</span>
</td>
<td style="width: 16.66%; border-right-style: solid; border-bottom: 1px solid #000000; border-right-width: 1px; border-right-color: #000000; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID7"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 16.66%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID21"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="background-color: #e2e2e2; text-align: center; width: 16.66%; border-right-style: solid; border-bottom: 1px solid #000000; border-right-width: 1px; border-right-color: #000000;"> </td>
<td style="width: 16.66%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; background-color: #e2e2e2; text-align: center;">
<span style="font-size: x-small; font-family: verdana, geneva;"> </span>
</td>
<td style="width: 16.66%; border-bottom: 1px solid #000000; background-color: #e2e2e2; text-align: center;">
<span style="font-size: x-small; font-family: verdana, geneva;">1 raz na 4 tygodnie</span>
</td>
</tr>
<tr>
<td style="width: 16.66%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; background-color: #e2e2e2;">
<span style="font-size: x-small; font-family: verdana, geneva;">
<strong>Metale i Tworzywa sztuczne</strong>
</span>
</td>
<td style="width: 16.66%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; background-color: #e2e2e2; text-align: center;">
<span style="font-size: x-small; font-family: verdana, geneva;"> </span>
</td>
<td style="width: 16.66%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID25"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="width: 16.66%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID26"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="width: 16.66%; border-bottom: 1px solid #000000; border-right: 1px solid #000000; text-align: center;">
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID27"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="width: 16.66%; border-bottom: 1px solid #000000; background-color: #e2e2e2; text-align: center;">
<span style="font-size: x-small; font-family: verdana, geneva;">1 raz na 4 tygodnie</span>
</td>
</tr>
<tr>
<td style="width: 16.66%; border-right: 1px solid #000000; background-color: #e2e2e2;">
<span style="font-size: x-small; font-family: verdana, geneva;">
<strong>Popiół</strong>
</span>
</td>
<td style="width: 16.66%; border-right: 1px solid #000000; background-color: #e2e2e2;"> </td>
<td style="width: 16.66%; border-right: 1px solid #000000; text-align: center;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID42"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
<td style="width: 16.66%; border-right: 1px solid #000000; background-color: #e2e2e2; text-align: center;">
<span style="font-size: x-small; font-family: verdana, geneva;"> </span>
</td>
<td style="width: 16.66%; border-right: 1px solid #000000; background-color: #e2e2e2; text-align: center;">
<span style="font-size: x-small; font-family: verdana, geneva;"> </span>
</td>
<td style="width: 16.66%; background-color: #e2e2e2; text-align: center;">
<span style="font-size: x-small; font-family: verdana, geneva;">2 razy na miesiąc (X-IV)</span>
<br/>
<span style="font-size: x-small; font-family: verdana, geneva;">1 raz na 2 miesiące (V-IX)</span>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td colspan="2" style="width: 50%; border-right-style: solid; border-bottom-style: solid; border-left: 1px solid #000000; border-right-width: 1px; border-bottom-width: 1px; border-right-color: #000000; border-bottom-color: #000000;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td rowspan="2" style="background-color: #e2e2e2; width: 25%; border-right: 1px solid #000000;">
<span style="font-size: x-small; font-family: verdana, geneva;">Informacja na temat własnych pojemników*</span>
</td>
<td style="width: 25%; border-right-style: solid; border-bottom: 1px solid #000000; border-right-width: 1px; border-right-color: #000000;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">Frakcja
<strong><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID35"/></span></xsl:if></span></strong></span>
</p>
</td>
<td style="width: 25%; border-bottom: 1px solid #000000;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">Frakcja
<strong><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID38"/></span></xsl:if></span></strong></span>
</p>
</td>
<td rowspan="2" style="background-color: #e2e2e2; width: 25%; border-left: 1px solid #000000; text-align: center;">
<strong>
<span style="font-size: x-small; font-family: verdana, geneva;">UWAGA!!!</span>
</strong>
<br/>
<span style="font-size: x-small; font-family: verdana, geneva;">Zaznaczenie pola własność oznacza zgodę na
oznaczenie własnych pojemników/ kontenerów co do
ich frakcji oraz umieszczenie na nich nośników
RFID.</span>
</td>
</tr>
<tr>
<td style="width: 25%; border-right: 1px solid #000000;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">Pojemność
<strong><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID36"/></span></xsl:if></span></strong></span>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">Sztuk <strong><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID37"/></span></xsl:if></span></strong></span>
</p>
</td>
<td style="width: 25%;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">Pojemność
<strong><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID39"/></span></xsl:if></span></strong></span>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">Sztuk <strong><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID40"/></span></xsl:if></span></strong></span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td colspan="2" style="background-color: #e2e2e2; width: 50%; border-right-style: solid; border-bottom-style: solid; border-left: 1px solid #000000; border-right-width: 1px; border-bottom-width: 1px; border-right-color: #000000; border-bottom-color: #000000;">
<span style="font-size: x-small; font-family: verdana, geneva;">Liczbę oraz rodzaj pojemników i kontenerów, a także
częstotliwość ich opróżniania ustala Urząd Miejski w oparciu
o złożone zapotrzebowanie na pojemniki/ kontenery, biorąc
pod uwagę uwarunkowania prawne, ekonomiczne i techniczne
dotyczące gromadzenia i odbioru odpadów komunalnych z
nieruchomości.</span>
</td>
</tr>
<tr>
<td colspan="2" style="width: 50%;">
<span style="font-size: x-small;">
<span style="font-family: verdana, geneva;">*należy wypełnić
jeżeli właściciel nieruchomości gromadzi odpady
komunalne we własnym pojemniku</span>
</span>
</td>
</tr>
<tr>
<td colspan="2" style="width: 50%;"> </td>
</tr>
<tr>
<td colspan="2" style="background-color: #e6e4e7; width: 50%; border: 1px solid #000000;">
<span style="font-family: verdana, geneva; font-size: small;">
<strong>PODPIS WNIOSKODAWCY<br/></strong>
</span>
</td>
</tr>
<tr>
<td colspan="2">
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID41">
<xsl:if test="true()">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="background-color: #ffffff;">
<hr/>
</td>
</tr>
<tr>
<td style="background-color: #ffffff; border-style: solid; border-width: 1px; border-color: #000000;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 50%; border-right-style: solid; border-bottom: 1px solid #000000; border-right-width: 1px; border-right-color: #000000;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">Imię</span>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID28"/></span></xsl:if></span></span>
</p>
</td>
<td style="width: 50%; border-bottom: 1px solid #000000;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">Nazwisko</span>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID29"/></span></xsl:if></span></span>
</p>
</td>
</tr>
<tr>
<td colspan="2" style="width: 50%;">
<p>
<span style="font-size: x-small; font-family: verdana, geneva;">Data wypełnienia</span>
</p>
<p>
<span style="font-size: x-small; font-family: verdana, geneva;"> <xsl:if test="true()"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID30"/></xsl:if></span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
</td>
</tr>
</tbody>
</table>
<table align="right">
<tr>
<td style="width: 100%;">
<p/>
<p/>
<p align="right" style="text-align: left;font-size: small;font-family: verdana, geneva;line-height: 20px;">
<xsl:choose>
<xsl:when test="string-length(//wnio:Dokument/ds:Signature/ds:SignatureValue) > 0">
<xsl:text>Dokument został podpisany, aby go zweryfikować należy użyć oprogramowania do weryfikacji podpisu </xsl:text>
<br/>
<xsl:for-each select="//wnio:Dokument/ds:Signature/ds:Object">
<xsl:if test="descendant::*[local-name() = 'SigningTime']">
<xsl:value-of select="descendant::*[local-name() = 'SigningTime']"/>
</xsl:if>
<br/>
<xsl:choose>
<xsl:when test="descendant::*[local-name() = 'PodpisZP']">
Podpis profilem zaufanym: <xsl:value-of select="descendant::*[local-name() = 'Imie']"/><xsl:text> </xsl:text><xsl:value-of select="descendant::*[local-name() = 'Nazwisko']"/><br/></xsl:when>
</xsl:choose>
</xsl:for-each>
</xsl:when>
<xsl:otherwise>
<xsl:text>Dokument nie zawiera podpisu</xsl:text>
</xsl:otherwise>
</xsl:choose>
<br/>
</p>
</td>
</tr>
</table>
</body>
</html>
</xsl:for-each>
</xsl:template>
</xsl:stylesheet>