13001
| ID | 13001 |
|---|
| Data | 2023-11-14 |
|---|
| Symbol | 2023/11/14/13001 |
|---|
| Instytucja | Ministerstwo Cyfryzacji |
|---|
| Nazwa | Wniosek o wydanie zaświadczenia o stanie cywilnym |
|---|
| Czy Aktualny | 1 |
|---|
Ustawy (1)
Pliki
Styl
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Wniosek o wydanie zaświadczenia o stanie cywilnym
</title>
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img.eagle {
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padding: 0 10px 10px;
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}
}
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</head>
<body>
<!--<content>-->
<!-- image converted to code -->
<div style="position: relative" class="du-margin-top-35 du-second-view">
<div class="du-logo">
<div style="width: 230px">
<img class="eagle" src="data:image/jpeg;base64,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"/>
<p class="p5">Rzeczpospolita</p>
<p class="p6">Polska</p>
</div>
<div class="du-">
<div class="topright_corner">
<p class="p7">USC/W/11e</p>
</div>
</div>
</div>
<div class="clear"/>
<h1>Wniosek o wydanie zaświadczenia o stanie cywilnym</h1>
<h2>1. Dane wnioskodawcy, treść wniosku i oświadczenie</h2>
<div class="personal_data" style="border-collapse: separate;">
<div class="du-display-field">
<div class="du-label"/>
<div class="du-input">
<div class="du-warning">Uwaga! To jest wniosek elektroniczny. Nie drukuj go. Wyślij
przez Internet.
</div>
</div>
</div>
<div class="du-display-field">
<div class="du-label">
<div class="du-label-name">Imię (imiona)</div>
</div>
<div class="du-input">
<div class="full">
<xsl:value-of select="$nadawca/oso:Imie"/>
<xsl:if test="$nadawca/oso:ImieDrugie">
<xsl:value-of select="$nadawca/oso:ImieDrugie"/>
</xsl:if>
</div>
</div>
</div>
<div class="du-display-field">
<div class="du-label">
<div class="du-label-name">Nazwisko</div>
</div>
<div class="du-input">
<div class="full">
<xsl:value-of select="$nadawca/oso:Nazwisko"/>
</div>
</div>
</div>
<div class="du-display-field">
<div class="du-label">
<div class="du-label-name">Numer PESEL,
<br class="du-hide-on-mobile"/>
jeżeli został nadany
</div>
</div>
<div class="du-input">
<div class="du-address">
<div class="kratka">
<xsl:value-of select="substring($nadawca/oso:PESEL, 1, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($nadawca/oso:PESEL, 2, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($nadawca/oso:PESEL, 3, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($nadawca/oso:PESEL, 4, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($nadawca/oso:PESEL, 5, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($nadawca/oso:PESEL, 6, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($nadawca/oso:PESEL, 7, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($nadawca/oso:PESEL, 8, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($nadawca/oso:PESEL, 9, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($nadawca/oso:PESEL, 10, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($nadawca/oso:PESEL, 11, 1)"/>
</div>
</div>
</div>
</div>
<div class="du-display-field du-display-sub-title">
<div class="du-label"/>
<div class="du-input">
<h4>Adres do korespondencji</h4>
</div>
</div>
<xsl:if test="$tresc/wnio:AdresKorespondencjiJakZameldowania='true'">
<xsl:call-template name="AdresZameldowania"/>
</xsl:if>
<xsl:if test="$tresc/wnio:AdresKorespondencjiJakZameldowania='false'">
<xsl:call-template name="AdresZamieszkania"/>
</xsl:if>
<div class="du-display-field">
<div class="du-label">
<div class="du-label-name">Numer telefonu</div>
</div>
<div class="du-input">
<div class="du-telefon">
<div class="kratka">
<xsl:value-of select="substring($daneKontaktowe//wnio:NumerTelefonu, 1, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($daneKontaktowe//wnio:NumerTelefonu, 2, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($daneKontaktowe//wnio:NumerTelefonu, 3, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($daneKontaktowe//wnio:NumerTelefonu, 4, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($daneKontaktowe//wnio:NumerTelefonu, 5, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($daneKontaktowe//wnio:NumerTelefonu, 6, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($daneKontaktowe//wnio:NumerTelefonu, 7, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($daneKontaktowe//wnio:NumerTelefonu, 8, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($daneKontaktowe//wnio:NumerTelefonu, 9, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($daneKontaktowe//wnio:NumerTelefonu, 10, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($daneKontaktowe//wnio:NumerTelefonu, 11, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($daneKontaktowe//wnio:NumerTelefonu, 12, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($daneKontaktowe//wnio:NumerTelefonu, 13, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($daneKontaktowe//wnio:NumerTelefonu, 14, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($daneKontaktowe//wnio:NumerTelefonu, 15, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($daneKontaktowe//wnio:NumerTelefonu, 16, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($daneKontaktowe//wnio:NumerTelefonu, 17, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($daneKontaktowe//wnio:NumerTelefonu, 18, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($daneKontaktowe//wnio:NumerTelefonu, 19, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($daneKontaktowe//wnio:NumerTelefonu, 20, 1)"/>
</div>
<br/>
<div class="clear"/>
<div class="info_kratka">
Numer nie jest obowiązkowy, ale ułatwi kontakt w sprawie wydania zaświadczenia.
</div>
</div>
</div>
</div>
<div class="du-display-field">
<div class="du-label">
<div class="du-label-name">Adres poczty
<br class="du-hide-on-mobile"/>
elektronicznej
</div>
</div>
<div class="du-input">
<div class="full">
<xsl:value-of select="$daneKontaktowe//wnio:Email"/>
</div>
<br/>
<div class="info">
Adres poczty elektronicznej nie jest obowiązkowy, ale ułatwi kontakt w sprawie
wydania zaświadczenia.
</div>
</div>
</div>
<table class="personal_data" style="border-collapse: separate;">
<col id="left"/>
<col id="right"/>
<tr>
<td colspan="2">
<xsl:call-template name="ZgodaNaPrzekazanieDanychDoRDK">
<xsl:with-param name="zgodaRDK" select="wnio:TrescDokumentu/wnio:ZgodaRDK"/>
<xsl:with-param name="zgodaTelefonRDK" select="wnio:TrescDokumentu/wnio:ZgodaTelefonRDK"/>
<xsl:with-param name="zgodaEmailRDK" select="wnio:TrescDokumentu/wnio:ZgodaEmailRDK"/>
</xsl:call-template>
</td>
</tr>
<tr>
<th class="du-hide-on-mobile"/>
<td>Składam wniosek o wydanie zaświadczenia o moim stanie cywilnym, to jest:</td>
</tr>
<tr>
<th class="du-hide-on-mobile"/>
<td>
<xsl:choose>
<xsl:when test="$tresc/wnio:Cel='KAWALER' or $tresc/wnio:Cel='PANNA'">
<input class="du-checkbox" type="checkbox" checked="checked" disabled="disabled"/>
<span class="checkmark"/>
</xsl:when>
<xsl:otherwise>
<input class="du-checkbox" type="checkbox" disabled="disabled"/>
<span class="checkmark"/>
</xsl:otherwise>
</xsl:choose>
panna/kawaler
<br/>
<xsl:choose>
<xsl:when test="$tresc/wnio:Cel='ZONATY' or $tresc/wnio:Cel='ZAMEZNA'">
<input class="du-checkbox" type="checkbox" checked="checked" disabled="disabled"/>
<span class="checkmark"/>
</xsl:when>
<xsl:otherwise>
<input class="du-checkbox" type="checkbox" disabled="disabled"/>
<span class="checkmark"/>
</xsl:otherwise>
</xsl:choose>
zamężna/żonaty
<br/>
<xsl:choose>
<xsl:when test="$tresc/wnio:Cel='ROZWIEDZIONY' or $tresc/wnio:Cel='ROZWIEDZIONA'">
<input class="du-checkbox" type="checkbox" checked="checked" disabled="disabled"/>
<span class="checkmark"/>
</xsl:when>
<xsl:otherwise>
<input class="du-checkbox" type="checkbox" disabled="disabled"/>
<span class="checkmark"/>
</xsl:otherwise>
</xsl:choose>
rozwiedziona/rozwiedziony
<br/>
<xsl:choose>
<xsl:when test="$tresc/wnio:Cel='WDOWIEC' or $tresc/wnio:Cel='WDOWA'">
<input class="du-checkbox" type="checkbox" checked="checked" disabled="disabled"/>
<span class="checkmark"/>
</xsl:when>
<xsl:otherwise>
<input class="du-checkbox" type="checkbox" disabled="disabled"/>
<span class="checkmark"/>
</xsl:otherwise>
</xsl:choose>
wdowa/wdowiec
<br/>
</td>
</tr>
<tr>
<th class="du-hide-on-mobile"/>
<td>
<br/>
Pouczenie
<br/>
<br/>
Zgodnie z art. 233 § 1 w związku z § 6 ustawy z dnia 6 czerwca 1997 r. – Kodeks
karny: Kto, składając zeznanie mające służyć za dowód w postępowaniu sądowym lub w
innym postępowaniu prowadzonym na podstawie ustawy, zeznaje nieprawdę lub zataja
prawdę, podlega karze pozbawienia wolności od 6 miesięcy do lat 8.
<br/>
<br/>
Oświadczam, że nie istnieją okoliczności mające wpływ na stan cywilny,
nieodzwierciedlone w rejestrze stanu cywilnego.
<br/>
<br/>
</td>
</tr>
</table>
</div>
<h2>2. Sposób odbioru zaświadczenia</h2>
<table class="personal_data" style="border-collapse: separate;">
<col id="left"/>
<col id="right"/>
<tr>
<th class="du-hide-on-mobile"/>
<td>Chcę odebrać dokument:</td>
</tr>
<tr>
<th class="du-hide-on-mobile"/>
<td>
<xsl:choose>
<xsl:when test="$tresc/wnio:SposobOdbioru='inPerson'">
<input class="du-checkbox" type="checkbox" checked="checked" disabled="disabled"/>
<span class="checkmark"/>
</xsl:when>
<xsl:otherwise>
<input class="du-checkbox" type="checkbox" disabled="disabled"/>
<span class="checkmark"/>
</xsl:otherwise>
</xsl:choose>
osobiście na piśmie
<br/>
<xsl:choose>
<xsl:when test="$tresc/wnio:SposobOdbioru='byPost'">
<input class="du-checkbox" type="checkbox" checked="checked" disabled="disabled"/>
<span class="checkmark"/>
</xsl:when>
<xsl:otherwise>
<input class="du-checkbox" type="checkbox" disabled="disabled"/>
<span class="checkmark"/>
</xsl:otherwise>
</xsl:choose>
pocztą na piśmie
<br/>
<xsl:choose>
<xsl:when test="$tresc/wnio:SposobOdbioru='byMail'">
<input class="du-checkbox" type="checkbox" checked="checked" disabled="disabled"/>
<span class="checkmark"/>
</xsl:when>
<xsl:otherwise>
<input class="du-checkbox" type="checkbox" disabled="disabled"/>
<span class="checkmark"/>
</xsl:otherwise>
</xsl:choose>
w formie dokumentu elektronicznego
<br/>
</td>
</tr>
</table>
<h2>3. Załączniki</h2>
<table class="personal_data" style="border-collapse: separate;">
<col id="left"/>
<col id="right"/>
<tr>
<th class="du-hide-on-mobile"/>
<td>
<xsl:choose>
<xsl:when test="($tresc/wnio:OplataZrealizowana='true' and $tresc/wnio:SposobPlatnosci='potwierdzeniePrzelewu') or $tresc/wnio:SposobPlatnosci='platnoscOnline'">
<input class="du-checkbox" type="checkbox" checked="checked" disabled="disabled"/>
<span class="checkmark"/>
</xsl:when>
<xsl:otherwise>
<input class="du-checkbox" type="checkbox" disabled="disabled"/>
<span class="checkmark"/>
</xsl:otherwise>
</xsl:choose>
dowód należnej opłaty skarbowej lub uwierzytelniona kopia dowodu zapłaty
<br/>
<xsl:choose>
<xsl:when test="$tresc/wnio:DodanoInneZalaczniki='true'">
<input class="du-checkbox" type="checkbox" checked="checked" disabled="disabled"/>
<span class="checkmark"/>
</xsl:when>
<xsl:otherwise>
<input class="du-checkbox" type="checkbox" disabled="disabled"/>
<span class="checkmark"/>
</xsl:otherwise>
</xsl:choose>
inny (jaki)
<div class="other">
<xsl:call-template name="Zalaczniki">
<xsl:with-param name="rodzajZalacznika" select="'ZalacznikiInne'"/>
</xsl:call-template>
</div>
</td>
</tr>
</table>
<h2>4. Podpis</h2>
<table class="personal_data" style="border-collapse: separate;">
<col id="left"/>
<col id="right"/>
<tr>
<th class="du-hide-on-mobile"/>
<td>Opatrz dokument kwalifikowanym podpisem elektronicznym, podpisem osobistym albo podpisem
zaufanym.
</td>
</tr>
</table>
<xsl:call-template name="Podpis"/>
</div>
</body>
</html>
</xsl:template>
<xsl:template name="DaneUrzedu">
<xsl:param name="daneUrzedu" select="wnio:TrescDokumentu/wnio:Urzad"/>
<div class="du-margin-top-20 du-view">
<h2 class="du-uppercase-text du-h2">Urząd, który przyjmie zgłoszenie</h2>
</div>
<div class="du-bottom-line du-view du-margin-top-8">
<div class="du-uppercase-text du-margin-bottom-15">Dane urzędu:
<span class="du-bold">
<xsl:value-of select="$daneUrzedu"/>
</span>
</div>
</div>
</xsl:template>
<xsl:template name="AdresZameldowania">
<xsl:param name="adres" select="wnio:TrescDokumentu/wnio:AdresZameldowania"/>
<div class="du-display-field">
<div class="du-label">
<div class="du-label-name">Ulica</div>
</div>
<div class="du-input">
<div class="full">
<xsl:value-of select="$adres//adr:Ulica"/>
</div>
</div>
</div>
<div class="du-display-multi-fields">
<div class="du-display-sub-field--first du-display-field">
<div class="du-sub-label">
<div class="du-sub-label-name">Numer domu</div>
</div>
<div class="du-sub-input">
<div class="du-address">
<div class="kratka">
<xsl:value-of select="substring($adres//adr:Budynek, 1, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:Budynek, 2, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:Budynek, 3, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:Budynek, 4, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:Budynek, 5, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:Budynek, 6, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:Budynek, 7, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:Budynek, 8, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:Budynek, 9, 1)"/>
</div>
</div>
</div>
</div>
<div class="du-display-sub-field--second du-display-field">
<div class="du-sub-label">
<div class="du-sub-label-name">Numer lokalu</div>
</div>
<div class="du-sub-input">
<div class="du-address">
<div class="kratka">
<xsl:value-of select="substring($adres//adr:Lokal, 1, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:Lokal, 2, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:Lokal, 3, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:Lokal, 4, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:Lokal, 5, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:Lokal, 6, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:Lokal, 7, 1)"/>
</div>
</div>
</div>
</div>
</div>
<div class="du-display-multi-fields">
<div class="du-display-sub-field--first du-display-field">
<div class="du-sub-label">
<div class="du-sub-label-name">Kod pocztowy</div>
</div>
<div class="du-sub-input">
<div class="du-address">
<xsl:choose>
<xsl:when test="$adres//adr:Kraj='PL'">
<div class="kratka">
<xsl:value-of select="substring($adres//adr:KodPocztowy, 1, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:KodPocztowy, 2, 1)"/>
</div>
<div class="kratka_kreska">-</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:KodPocztowy, 4, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:KodPocztowy, 5, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:KodPocztowy, 6, 1)"/>
</div>
</xsl:when>
<xsl:otherwise>
<div class="post_code">
<xsl:value-of select="$adres//adr:KodPocztowy"/>
</div>
</xsl:otherwise>
</xsl:choose>
</div>
</div>
</div>
<div class="du-display-sub-field--second du-display-field">
<div class="du-sub-label">
<div class="du-label-name">Miejscowość</div>
</div>
<div class="du-sub-input">
<div class="du-city">
<div class="city">
<xsl:value-of select="$adres//adr:Miejscowosc"/>
</div>
</div>
</div>
</div>
</div>
</xsl:template>
<xsl:template name="AdresZamieszkania">
<xsl:param name="adres" select="wnio:TrescDokumentu/wnio:AdresZamieszkania"/>
<div class="du-display-field">
<div class="du-label">
<div class="du-label-name">Ulica</div>
</div>
<div class="du-input">
<div class="full">
<xsl:value-of select="$adres//adr:Ulica"/>
</div>
</div>
</div>
<div class="du-display-multi-fields">
<div class="du-display-sub-field--first du-display-field">
<div class="du-sub-label">
<div class="du-sub-label-name">Numer domu</div>
</div>
<div class="du-sub-input">
<div class="du-address">
<div class="kratka">
<xsl:value-of select="substring($adres//adr:Budynek, 1, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:Budynek, 2, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:Budynek, 3, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:Budynek, 4, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:Budynek, 5, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:Budynek, 6, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:Budynek, 7, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:Budynek, 8, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:Budynek, 9, 1)"/>
</div>
</div>
</div>
</div>
<div class="du-display-sub-field--second du-display-field">
<div class="du-sub-label">
<div class="du-sub-label-name">Numer lokalu</div>
</div>
<div class="du-sub-input">
<div class="du-address">
<div class="kratka">
<xsl:value-of select="substring($adres//adr:Lokal, 1, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:Lokal, 2, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:Lokal, 3, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:Lokal, 4, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:Lokal, 5, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:Lokal, 6, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:Lokal, 7, 1)"/>
</div>
</div>
</div>
</div>
</div>
<div class="du-display-multi-fields">
<div class="du-display-sub-field--first du-display-field">
<div class="du-sub-label">
<div class="du-sub-label-name">Kod pocztowy</div>
</div>
<div class="du-sub-input">
<div class="du-address">
<xsl:choose>
<xsl:when test="$adres//adr:Kraj='PL'">
<div class="kratka">
<xsl:value-of select="substring($adres//adr:KodPocztowy, 1, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:KodPocztowy, 2, 1)"/>
</div>
<div class="kratka_kreska">-</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:KodPocztowy, 4, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:KodPocztowy, 5, 1)"/>
</div>
<div class="kratka">
<xsl:value-of select="substring($adres//adr:KodPocztowy, 6, 1)"/>
</div>
</xsl:when>
<xsl:otherwise>
<div class="post_code">
<xsl:value-of select="$adres//adr:KodPocztowy"/>
</div>
</xsl:otherwise>
</xsl:choose>
</div>
</div>
</div>
<div class="du-display-sub-field--second du-display-field">
<div class="du-sub-label">
<div class="du-label-name">Miejscowość</div>
</div>
<div class="du-sub-input">
<div class="du-city">
<div class="city">
<xsl:value-of select="$adres//adr:Miejscowosc"/>
</div>
</div>
</div>
</div>
</div>
</xsl:template>
<xsl:template name="Zalaczniki">
<xsl:param name="zalaczniki" select="wnio:TrescDokumentu/str:Zalaczniki"/>
<xsl:param name="rodzajZalacznika"/>
<xsl:if test="count($zalaczniki/str:Zalacznik) > 0">
<div style="text-align: left;">
<ol style="padding-top: 0px;margin-top: 0px;">
<xsl:for-each select="$zalaczniki/str:Zalacznik[@nazwaPliku != '']">
<xls:if test="@rodzajZalacznika=$rodzajZalacznika">
<li>
<xsl:if test="@kodowanie='base64'">
<xsl:value-of select="@nazwaPliku"/>
<xsl:if test="string-length(str:OpisZalacznika) > 0">-</xsl:if>
<xsl:if test="string-length(str:OpisZalacznika) > 0">
<xsl:value-of select="str:OpisZalacznika"/>
</xsl:if>
</xsl:if>
<xsl:if test="@kodowanie='URI'">
<a href="{str:DaneZalacznika}">
<xsl:value-of select="@nazwaPliku"/>
</a>
<xsl:if test="string-length(str:OpisZalacznika) > 0">(wartość skrótu w chwili
załączania:
<xsl:value-of select="str:OpisZalacznika"/>
)
</xsl:if>
</xsl:if>
</li>
</xls:if>
</xsl:for-each>
</ol>
</div>
</xsl:if>
</xsl:template>
<xsl:template name="Podpis">
<div align="right" style="text-align: right;font-size: 10px;font-family: Verdana;line-height: 20px;">
<table style="float: right;">
<tr>
<td style="width: 340px;">
<p align="center" style="text-align: center;font-size: 10px;font-family: Verdana;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>
<xsl:choose>
<xsl:when test="count(//wnio:Dokument/ds:Signature/ds:Object/descendant::*[local-name() = 'SigningTime']) > 1">
<br/>
<xsl:text>Daty złożenia podpisu: </xsl:text>
<xsl:for-each select="//wnio:Dokument/ds:Signature/ds:Object/descendant::*[local-name() = 'SigningTime']">
<xsl:value-of select="."/>
</xsl:for-each>
</xsl:when>
<xsl:when test="count(//wnio:Dokument/ds:Signature/ds:Object/descendant::*[local-name() = 'SigningTime']) = 1">
<br/>
<xsl:text>Data złożenia podpisu: </xsl:text>
<xsl:for-each select="//wnio:Dokument/ds:Signature/ds:Object/descendant::*[local-name() = 'SigningTime']">
<xsl:value-of select="."/>
</xsl:for-each>
</xsl:when>
<xsl:when test="0 >= count(//wnio:Dokument/ds:Signature/ds:Object/descendant::*[local-name() = 'SigningTime'])"/>
</xsl:choose>
</xsl:when>
</xsl:choose>
</p>
</td>
</tr>
</table>
</div>
<div style="clear: both;"/>
</xsl:template>
<xsl:template name="ZgodaNaPrzekazanieDanychDoRDK">
<xsl:param name="zgodaRDK"/>
<xsl:param name="zgodaTelefonRDK"/>
<xsl:param name="zgodaEmailRDK"/>
<div class="du-dotted-border du-relative">
<div class="du-col-12 du-left">
<div class="du-absolute-checkbox">
<xsl:choose>
<xsl:when test="$zgodaRDK='true'">
<input id="zgoda-rdk" type="checkbox" class="du-checkbox" checked="checked" disabled="disabled"/>
<span class="checkmark"/>
</xsl:when>
<xsl:otherwise>
<input id="zgoda-rdk" type="checkbox" class="du-checkbox" disabled="disabled"/>
<span class="checkmark"/>
</xsl:otherwise>
</xsl:choose>
<label for="zgoda-rdk" class="du-bold">
Wyrażam zgodę na przekazanie do rejestru danych kontaktowych imienia, nazwiska, numeru PESEL
oraz:
</label>
</div>
</div>
<div class="du-centered-inputs">
<div class="du-half">
<div class="du-absolute-checkbox">
<xsl:choose>
<xsl:when test="$zgodaTelefonRDK='true'">
<input id="zgoda-rdk-telefon" class="du-checkbox" type="checkbox" checked="checked" disabled="disabled"/>
<span class="checkmark"/>
</xsl:when>
<xsl:otherwise>
<input id="zgoda-rdk-telefon" class="du-checkbox" type="checkbox" disabled="disabled"/>
<span class="checkmark"/>
</xsl:otherwise>
</xsl:choose>
<label for="zgoda-rdk-telefon">
<div class="du-sr-only">
Wyrażam zgodę na przekazanie do rejestru danych kontaktowych
</div>
numeru telefonu komórkowego
</label>
</div>
</div>
<div class="du-half">
<div class="du-absolute-checkbox">
<xsl:choose>
<xsl:when test="$zgodaEmailRDK='true'">
<input id="zgoda-rdk-email" class="du-checkbox" type="checkbox" checked="checked" disabled="disabled"/>
<span class="checkmark"/>
</xsl:when>
<xsl:otherwise>
<input id="zgoda-rdk-email" class="du-checkbox" type="checkbox" disabled="disabled"/>
<span class="checkmark"/>
</xsl:otherwise>
</xsl:choose>
<label for="zgoda-rdk-email">
<div class="du-sr-only">
Wyrażam zgodę na przekazanie do rejestru danych kontaktowych
</div>
adresu poczty elektronicznej
</label>
</div>
</div>
<div class="du-italic du-padding-10 du-padding-top-0">
<span class="du-sr-only">
Podpowiedź do zgód na przekazanie danych do rejestru danych kontaktowych
</span>
<span>
Jeśli wyrażasz zgodę na przekazanie danych, zaznacz co najmniej jedno pole wyboru.
</span>
</div>
</div>
<div class="du-margin-20-0">
<p>
Zgodę możesz wyrazić jedynie, jeśli składasz wniosek w swoim imieniu.
<br/>
Przekazanie danych do rejestru danych kontaktowych nie jest obowiązkowe. Mogą one umożliwić innym
podmiotom (np. urzędom) szybki kontakt z tobą celem sprawnego załatwienia sprawy i poinformowania
cię o działaniach, jakie te podmioty podejmują w twoich sprawach. Zgodę możesz wycofać w każdej
chwili.
</p>
</div>
</div>
</xsl:template>
<xsl:template name="substitute">
<xsl:param name="string"/>
<xsl:param name="from" select="'
'"/>
<xsl:param name="to">
<br/>
</xsl:param>
<xsl:choose>
<xsl:when test="contains($string, $from)">
<xsl:value-of select="substring-before($string, $from)"/>
<xsl:copy-of select="$to"/>
<xsl:call-template name="substitute">
<xsl:with-param name="string" select="substring-after($string, $from)"/>
<xsl:with-param name="from" select="$from"/>
<xsl:with-param name="to" select="$to"/>
</xsl:call-template>
</xsl:when>
<xsl:otherwise>
<xsl:value-of select="$string"/>
</xsl:otherwise>
</xsl:choose>
</xsl:template>
</xsl:stylesheet>