4652
ID | 4652 |
Data | 2017-11-17 |
Symbol | 2017/11/17/4652 |
Instytucja | Ministerstwo Finansów |
Nazwa | WGH WNIOSEK O WYDANIE DECYZJI O GRACH HAZARDOWYCH |
Czy Aktualny | 1 |
---|
Ustawy (1)
Pliki
Styl
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<strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: medium;">WGH</span>
</strong>
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<td> </td>
<td> </td>
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<p>
<span style="font-family: arial,helvetica,sans-serif; font-size: medium;">
<strong>WNIOSEK O WYDANIE DECYZJI, O KTÓREJ MOWA W ART. 2 UST. 6 USTAWY<br/>
</strong>
</span>
<span style="font-family: arial,helvetica,sans-serif; font-size: medium;">
<strong>Z DNIA 19 LISTOPADA 2009 R. O GRACH HAZARDOWYCH</strong>
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<span style="font-family: arial,helvetica,sans-serif; font-size: small;">Podstawa prawna:</span>
</td>
<td colspan="2" style="border-width: 1pt; border-style: solid solid none none; border-color: #000000; background-color: #d3d3d3; padding-left: 5px; width: 60%;" valign="top">
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<td style="border-width: 1pt; border-style: none none none solid; border-color: #000000; background-color: #d3d3d3; padding-left: 5px;" valign="top">
<span style="font-family: arial,helvetica,sans-serif; font-size: small; background-color: #d3d3d3;">Organ, do którego należy złożyć wniosek:</span>
</td>
<td colspan="2" style="border-width: 1pt; border-style: none solid none none; border-color: #000000; background-color: #d3d3d3; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">Minister właściwy do spraw finansów publicznych.</span>
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<strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">A. MIEJSCE ZŁOŻENIA WNIOSKU<br/>
</span>
</strong>
</td>
</tr>
<tr>
<td style="width: 5%; border-width: 1pt; border-style: none solid solid; border-color: #000000; background-color: #d3d3d3;"> </td>
<td style="width: 95%; border-width: 1pt; border-style: solid solid solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;"> 1. Miejsce złożenia wniosku<br/>
<span style="font-size: small; padding-left: 20px;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:NazwaAdresOrganuPodatkowego"/>
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</xsl:if>
</span>
</span>
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<table border="0" cellpadding="2" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="border-width: 1pt; border-style: solid none none solid; border-color: #000000; background-color: #d3d3d3; padding-left: 5px;" valign="top">
<strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">B.<br/>
</span>
</strong>
</td>
<td style="border-width: 1pt; border-style: solid solid none none; border-color: #000000; background-color: #d3d3d3; padding-left: 5px;">
<strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">DANE IDENTYFIKACYJNE SKŁADAJĄCEGO WNIOSEK</span>
</strong>
</td>
</tr>
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<table border="0" cellpadding="2" cellspacing="0" style="width: 100%;">
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<td style="width: 5%; border-width: 1pt; border-style: none solid none solid; border-color: #000000; background-color: #d3d3d3;"> </td>
<td style="width: 95%; border-width: 1pt; border-style: solid solid none none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;"> 2. Nazwa podmiotu / Imię, nazwisko</span>
</td>
</tr>
<tr>
<td style="width: 5%; border-width: 1pt; border-style: none solid; border-color: #000000; background-color: #d3d3d3;"> </td>
<td align="center" style="width: 95%; border-width: 1pt; border-style: none solid none none; border-color: #000000; padding-left: 5px; text-align: left;">
<xsl:for-each select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/inst:Instytucja">
<span style="font-family: arial,helvetica,sans-serif;">
<span style="font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="inst:NazwaInstytucji"/>
</span>
</xsl:if>
</span>
<br/>
</span>
</span>
</xsl:for-each>
<xsl:for-each select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/oso:Osoba">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="oso:Imie"/>
</span>
</xsl:if>
</span>
</span>
<span style="font-family: arial,helvetica,sans-serif; padding-left: 5px; ">
<span style="font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="oso:Nazwisko"/>
</span>
</xsl:if>
</span>
</span>
</span>
</xsl:for-each>
</td>
</tr>
</tbody>
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<xsl:for-each select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/oso:Osoba/adr:Adres">
<xsl:if test="(/wnio:Dokument/wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/oso:Osoba/oso:Imie!="") or (/wnio:Dokument/wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/oso:Osoba/oso:Nazwisko!="")">
<table border="0" cellpadding="2" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 5%; border-width: 1pt; border-style: none solid; border-color: #000000; background-color: #d3d3d3;"> </td>
<td style="width: 95%; border-width: 1pt; border-style: solid solid none none; border-color: #000000; padding-left: 5px;">
<table border="0" cellpadding="2" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-width: 1pt; border-style: none solid solid none; border-color: #000000;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">3. Kraj<br/>
<span style="font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Uwagi"/>
</span>
</xsl:if>
</span>
</span>
</span>
</td>
<td colspan="2" style="width: 35%; border-width: 1pt; border-style: none solid solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">4. Województwo<br/>
<span style="font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Wojewodztwo"/>
</span>
</xsl:if>
</span>
</span>
</span>
</td>
<td colspan="3" style="width: 35%; border-width: 1pt; border-style: none none solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">5. Powiat<br/>
<span style="font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Powiat"/>
</span>
</xsl:if>
</span>
</span>
</span>
</td>
</tr>
<tr>
<td style="width: 30%; border-width: 1pt; border-style: none solid solid none; border-color: #000000;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">6. Gmina<br/>
<span style="font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Gmina"/>
</span>
</xsl:if>
</span>
</span>
</span>
</td>
<td colspan="2" style="width: 35%; border-width: 1pt; border-style: none solid solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">7. Ulica<br/>
<span style="font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Ulica"/>
</span>
</xsl:if>
</span>
</span>
</span>
</td>
<td style="width: 20%; border-width: 1pt; border-style: none solid solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">8. Nr domu<br/>
<span style="font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Budynek"/>
</span>
</xsl:if>
</span>
</span>
</span>
</td>
<td style="width: 15%; border-width: 1pt; border-style: none none solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">9. Nr lokalu<br/>
<span style="font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Lokal"/>
</span>
</xsl:if>
</span>
</span>
</span>
</td>
</tr>
<tr>
<td colspan="2" style="width: 45%; border-width: 1pt; border-style: none solid none none; border-color: #000000;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">10. Miejscowość<br/>
<span style="font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Miejscowosc"/>
</span>
</xsl:if>
</span>
</span>
</span>
</td>
<td style="width: 20%; border-width: 1pt; border-style: none solid none none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">11. Kod pocztowy<br/>
<span style="font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:KodPocztowy"/>
</span>
</xsl:if>
</span>
</span>
</span>
</td>
<td colspan="3" style="width: 35%; border-width: 1pt; border-style: none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">12. Poczta<br/>
<span style="font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Poczta"/>
</span>
</xsl:if>
</span>
</span>
</span>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
<xsl:for-each select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/inst:Instytucja/adr:Adres">
<xsl:if test="/wnio:Dokument/wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/inst:Instytucja/inst:NazwaInstytucji!=""">
<table border="0" cellpadding="2" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 5%; border-width: 1pt; border-style: none solid solid solid; border-color: #000000; background-color: #d3d3d3;"> </td>
<td style="width: 95%; border-width: 1pt; border-style: solid solid solid none; border-color: #000000; padding-left: 5px;">
<table border="0" cellpadding="2" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-width: 1pt; border-style: none solid solid none; border-color: #000000;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">3. Kraj<br/>
<span style="font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Uwagi"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</span>
</td>
<td colspan="2" style="width: 35%; border-width: 1pt; border-style: none solid solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">4. Województwo<br/>
<span style="font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Wojewodztwo"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</span>
</td>
<td colspan="3" style="width: 35%; border-width: 1pt; border-style: none none solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">5. Powiat<br/>
<span style="font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Powiat"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</span>
</td>
</tr>
<tr>
<td style="width: 30%; border-width: 1pt; border-style: none solid solid none; border-color: #000000;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">6. Gmina<br/>
<span style="font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Gmina"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</span>
</td>
<td colspan="2" style="width: 35%; border-width: 1pt; border-style: none solid solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">7. Ulica<br/>
<span style="font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Ulica"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</span>
</td>
<td style="width: 20%; border-width: 1pt; border-style: none solid solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">8. Nr domu<br/>
<span style="font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Budynek"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</span>
</td>
<td style="width: 15%; border-width: 1pt; border-style: none none solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">9. Nr lokalu<br/>
<span style="font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Lokal"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</span>
</td>
</tr>
<tr>
<td colspan="2" style="width: 45%; border-width: 1pt; border-style: none solid none none; border-color: #000000;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">10. Miejscowość<br/>
<span style="font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Miejscowosc"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</span>
</td>
<td style="width: 20%; border-width: 1pt; border-style: none solid none none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">11. Kod pocztowy<br/>
<span style="font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:KodPocztowy"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</span>
</td>
<td colspan="3" style="width: 35%; border-width: 1pt; border-style: none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">12. Poczta<br/>
<span style="font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="adr:Poczta"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</span>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
<table border="0" cellpadding="2" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="2" style="border-width: 1pt; border-style: solid solid none; border-color: #000000; background-color: #d3d3d3; padding-left: 5px; width: 5%;" valign="top">
<span style="font-size: small; font-family: arial,helvetica,sans-serif;">
<strong>C.</strong>
<strong>DODATKOWE INFORMACJE DOTYCZĄCE PRZEDSIĘWZIĘCIA</strong>
</span>
</td>
</tr>
</tbody>
</table>
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:C1">
<xsl:if test="true()">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="2" style="border-width: 1pt; border-style: solid solid none solid; border-color: #000000; background-color: #d3d3d3; padding-left: 10px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">C.1. Czy przedsięwzięcie było przedmiotem kontroli lub czynności procesowych przeprowadzonych przez organy Krajowej Administracji Skarbowej?<br/>
</span>
</td>
</tr>
<tr>
<td style="width: 5%; border-width: 1pt; border-style: none solid none solid; border-color: #000000; background-color: #d3d3d3;"> </td>
<td style="width: 95%; border-width: 1pt; border-style: none solid none none; border-color: #000000;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td align="left" style="width: 50%; border-width: 1pt; border-style: solid none none; border-color: #000000; background-color: #ffffff; padding-left: 5px; text-align: left;" valign="top">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">13.<br/>
</span>
</span>
</td>
<td style="width: 50%; border-width: 1pt; border-style: solid none none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<br/>
</span>
</span>
</td>
</tr>
<tr>
<td align="center" style="width: 50%; border-width: 1pt; border-style: none; border-color: #000000; padding-left: 5px;" valign="middle">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:choose>
<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:Tak)),' '), ' 1 ' )">
<span>☒</span>
</xsl:when>
<xsl:otherwise>
<span>☐</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span> 1. tak </span>
</label>
</span>
</xsl:if>
</span>
</span>
</td>
<td align="center" style="width: 50%; border-width: 1pt; border-style: none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:choose>
<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:Nie)),' '), ' 1 ' )">
<span>☒</span>
</xsl:when>
<xsl:otherwise>
<span>☐</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span> 2. nie </span>
</label>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
<tr>
<td align="center" style="width: 50%; border-width: 1pt; border-style: none; border-color: #000000; padding-left: 5px;" valign="middle"> </td>
<td align="center" style="width: 50%; border-width: 1pt; border-style: none; border-color: #000000; padding-left: 5px;"> </td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:C2">
<xsl:if test="true()">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="2" style="border-width: 1pt; border-style: solid solid none solid; border-color: #000000; background-color: #d3d3d3; padding-left: 10px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">C.2. Czy gry przedstawione we wniosku będą urządzane na automatach? <br/>
</span>
</td>
</tr>
<tr>
<td style="width: 5%; border-width: 1pt; border-style: none solid none solid; border-color: #000000; background-color: #d3d3d3;"> </td>
<td style="width: 95%; border-width: 1pt; border-style: none solid none none; border-color: #000000;">
<table border="0" cellpadding="2" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 50%; border-width: 1pt; border-style: solid none none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">14</span>
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">.<br/>
</span>
</td>
<td style="width: 50%; border-width: 1pt; border-style: solid none none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<br/>
</span>
</td>
</tr>
<tr>
<td align="center" style="width: 50%; border-width: 1pt; border-style: none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:choose>
<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:Tak)),' '), ' 1 ' )">
<span>☒</span>
</xsl:when>
<xsl:otherwise>
<span>☐</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span> 1. tak </span>
</label>
</span>
</xsl:if>
</span>
</span>
</td>
<td align="center" style="width: 50%; border-width: 1pt; border-style: none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:choose>
<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:Nie)),' '), ' 1 ' )">
<span>☒</span>
</xsl:when>
<xsl:otherwise>
<span>☐</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span> 2. nie </span>
</label>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
<tr>
<td align="center" style="width: 50%; border-width: 1pt; border-style: none; border-color: #000000;"> </td>
<td align="center" style="width: 50%; border-width: 1pt; border-style: none; border-color: #000000; padding-left: 5px;"> </td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:C3">
<xsl:if test="true()">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="2" style="border-width: 1pt; border-style: solid solid none solid; border-color: #000000; background-color: #d3d3d3; padding-left: 10px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">C.3. Czy gry przedstawione we wniosku będą urządzane przez sieć Internet?<br/>
</span>
</td>
</tr>
<tr>
<td style="width: 5%; border-width: 1pt; border-style: none solid solid; border-color: #000000; background-color: #d3d3d3;"> </td>
<td style="width: 95%; border-width: 1pt; border-style: none solid solid none; border-color: #000000;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td align="left" colspan="2" style="width: 50%; border-width: 1pt; border-style: solid none none; border-color: #000000; background-color: #ffffff; padding-left: 5px; text-align: left;" valign="top">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span style="font-size: x-small;">15.</span>
</span>
</td>
<td style="width: 50%; border-width: 1pt; border-style: solid none none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<br style="font-size: x-small;"/>
</span>
</td>
</tr>
<tr>
<td align="center" colspan="2" style="width: 50%; border-width: 1pt; border-style: none; border-color: #000000; padding-left: 5px;" valign="top">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:choose>
<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:Tak)),' '), ' 1 ' )">
<span>☒</span>
</xsl:when>
<xsl:otherwise>
<span>☐</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span> 1. tak </span>
</label>
</span>
</xsl:if>
</span>
</span>
</td>
<td align="center" style="width: 50%; border-width: 1pt; border-style: none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:choose>
<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:Nie)),' '), ' 1 ' )">
<span>☒</span>
</xsl:when>
<xsl:otherwise>
<span>☐</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span> 2. nie </span>
</label>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
<tr>
<td align="center" colspan="2" style="width: 50%; border-width: 1pt; border-style: none; border-color: #000000; padding-left: 5px;" valign="top"> </td>
<td align="center" style="width: 50%; border-width: 1pt; border-style: none; border-color: #000000; padding-left: 5px;"> </td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:Oswiadczenia">
<xsl:if test="true()">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="2" style="border-width: 1pt; border-style: solid solid none; border-color: #000000; background-color: #d3d3d3; padding-left: 5px;">
<strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">D. INFORMACJE O ZAŁĄCZNIKACH<br/>
</span>
</strong>
</td>
</tr>
<tr>
<td style="width: 5%; border-width: 1pt; border-style: none solid none solid; border-color: #000000; background-color: #d3d3d3;"> </td>
<td style="width: 95%; border-width: 1pt; border-style: none solid none none; border-color: #000000;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td align="left" colspan="2" style="width: 50%; border-width: 1pt; border-style: solid none none; border-color: #000000; background-color: #ffffff; padding-left: 5px; text-align: left;" valign="top">
<table border="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 50%;">
<span style="text-align: left; font-family: arial,helvetica,sans-serif; font-size: x-small;">16. Liczba dołączonych załączników<br/>
</span>
</td>
<td style="width: 50%; border-width: 1pt; border-style: none none none solid; border-color: #000000; padding-left: 5px;"> </td>
</tr>
<tr>
<td style="width: 50%;">
<span style="text-align: left; font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:LiczbaZalacznikow"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td style="width: 50%; border-width: 1pt; border-style: none none none solid; border-color: #000000; padding-left: 5px;"> </td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="2" style="border-width: 1pt; border-style: solid solid none; border-color: #000000; background-color: #d3d3d3; padding-left: 5px;">
<strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">E. PODPIS WNIOSKODAWCY / PEŁNOMOCNIKA<br/>
</span>
</strong>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:PodpisWnioskodawcy">
<xsl:if test="true()">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 5%; border-width: 1pt; border-style: none solid; border-color: #000000; background-color: #d3d3d3; text-align: center;"> </td>
<td style="width: 95%; border-width: 1pt; border-style: solid solid none none; border-color: #000000;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td align="left" style="width: 50%; border-width: 1pt; border-style: none solid none none; border-color: #000000; background-color: #ffffff; padding-left: 5px; text-align: left;" valign="top">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">17. Imię<br/>
</span>
</td>
<td style="width: 50%; border-width: 1pt; border-style: none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">18. <span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">Nazwisko</span>
<br/>
</span>
</td>
</tr>
<tr>
<td align="left" style="width: 50%; border-width: 1pt; border-style: none solid none none; border-color: #000000; background-color: #ffffff; padding-left: 5px; text-align: left;" valign="top">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<span style="font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:Imie3"/>
</span>
</xsl:if>
</span>
</span>
</span>
</td>
<td style="width: 50%; border-width: 1pt; border-style: none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<span style="font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:Nazwisko3"/>
</span>
</xsl:if>
</span>
</span>
</span>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="width: 5%; border-width: 1pt; border-style: none solid solid; border-color: #000000; background-color: #d3d3d3;"> </td>
<td style="width: 95%; border-width: 1pt; border-style: solid solid solid none; border-color: #000000;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="2" style="border-width: 1pt; border-style: none none solid; border-color: #000000; background-color: #ffffff; padding-left: 5px; text-align: left;" valign="top">
<span style="font-size: x-small;">19. Data wypełnienia wniosku (dzień - miesiąc - rok)</span>
<p style="text-align: center;">
<span style="font-size: small;">
<span style="font-family: arial,helvetica,sans-serif;">
<xsl:if test="true()">
<xsl:value-of select="wnio:DataPodpisu"/>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
<tr>
<td colspan="2" valign="top">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;"> 20. Podpis osoby uprawnionej lub upoważnionej do podpisania wniosku<br/>
</span>
<p style="text-align: center;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;"> <br/>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ZalacznikiInformacja">
<xsl:if test="true()">
<table border="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="2" style="width: 100%; border-width: 1pt; border-style: solid solid none; border-color: #000000; background-color: #d3d3d3;"> <span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<strong>F. INFORMACJA O ZAŁĄCZNIKACH <br/> </strong> Chcę wypełnić załączniki: <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:choose>
<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:WskaznikF)),' '), ' 1 ' )">
<span>☒</span>
</xsl:when>
<xsl:otherwise>
<span>☐</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span> </span>
</label>
</span>
</xsl:if>
</span>
<strong>
<br/>
</strong>
</span>
</td>
</tr>
<tr>
<td style="width: 5%; border-width: 1pt; border-style: none solid solid; border-color: #000000; background-color: #d3d3d3;"> </td>
<td style="width: 95%; border-width: 1pt; border-style: solid solid solid none; border-color: #000000;">
<xsl:for-each select="wnio:InneZalaczniki">
<xsl:if test="true()">
<table border="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:NazwaZalacznika"/>
</span>
</xsl:if>
</span>
</span>
</td>
<td>
<xsl:for-each select="str:Zalacznik">
<xsl:if test="true()"> <span style="font-family: arial,helvetica,sans-serif;">
<span>
<label>
<span/>
</label>
<xsl:value-of select="str:DaneZalacznika/../@nazwaPliku"/>
</span>
</span>
</xsl:if>
</xsl:for-each>
</td>
<td style="width: 35%;"> <span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:OpisZalacznika"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
<table border="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td align="right" style="width: 2%;" valign="top"> </td>
<td> </td>
</tr>
<tr>
<td align="right" style="width: 2%;" valign="top"> </td>
<td> </td>
</tr>
<tr>
<td align="right" style="width: 2%;" valign="top"> </td>
<td align="center">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">
<strong>Objaśnienia</strong>
</span>
</td>
</tr>
<tr>
<td align="left" style="width: 2%;" valign="top">
<span style="font-size: x-small; font-family: arial,helvetica,sans-serif;">1.</span>
</td>
<td>
<span style="font-size: x-small; font-family: arial,helvetica,sans-serif;">Zgodnie z art. 2 ust. 7 ustawy należy przedłożyć:</span>
</td>
</tr>
<tr>
<td align="right" style="width: 2%;" valign="top">
<span style="font-size: x-small; font-family: arial,helvetica,sans-serif;">1)</span>
</td>
<td>
<span style="font-size: x-small; font-family: arial,helvetica,sans-serif;">badania techniczne danego automatu, przeprowadzone przez jednostkę badającą upoważnioną do badań technicznych automatów i urządzeń do gier – w przypadku gry na automatach;</span>
</td>
</tr>
<tr>
<td align="right" style="width: 2%;" valign="top">
<span style="font-size: x-small; font-family: arial,helvetica,sans-serif;">2)</span>
</td>
<td>
<span style="font-size: x-small; font-family: arial,helvetica,sans-serif;">opinię potwierdzającą zasady i prawidłowość oprogramowania do urządzania gier przez sieć Internet – w przypadku gier urządzanych przez tę sieć.</span>
</td>
</tr>
<tr>
<td align="left" style="width: 2%;" valign="top">
<span style="font-size: x-small; font-family: arial,helvetica,sans-serif;">2.</span>
</td>
<td>
<span style="font-size: x-small; font-family: arial,helvetica,sans-serif;">Zgodnie z art. 68 ust. 1 pkt 6 ustawy rozpatrzenie wniosku o wydanie decyzji, o której mowa w art. 2 ust. 6 ustawy, podlega opłacie w wysokości określonej w art. 69 ust. 1 pkt 7 ustawy.</span>
</td>
</tr>
<tr>
<td align="right" style="width: 2%;" valign="top"> </td>
<td> </td>
</tr>
<tr>
<td align="right" style="width: 2%;" valign="top"> </td>
<td> </td>
</tr>
</tbody>
</table>
<p style="text-align: justify;"> </p>
<p style="text-align: justify;"> </p>
<p style="text-align: justify;"> </p>
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:WGHZ">
<xsl:if test="/wnio:Dokument/wnio:TrescDokumentu/wnio:Wartosc/wnio:ZalacznikiInformacja/wnio:WskaznikF="1"">
<table border="0" cellpadding="2" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="text-align: left; padding-left: 30px;">
<strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: medium;">WGH/Z</span>
</strong>
</td>
<td> </td>
<td> </td>
</tr>
<tr>
<td colspan="3" style="text-align: center;">
<p>
<span style="font-family: arial,helvetica,sans-serif; font-size: medium;">
<strong>ZAŁĄCZNIK DO WNIOSKU O WYDANIE DECYZJI, <br/>O KTÓREJ MOWA W ART. 2 UST. 6 USTAWY<br/>
</strong>
</span>
<span style="font-family: arial,helvetica,sans-serif; font-size: medium;">
<strong>Z DNIA 19 LISTOPADA 2009 R. O GRACH HAZARDOWYCH</strong>
</span>
</p>
<p>
<span style="font-family: arial,helvetica,sans-serif; font-size: medium;">
<strong>
<br/>
</strong>
</span>
</p>
</td>
</tr>
<tr>
<td style="text-align: center;"> </td>
<td style="text-align: center;"> </td>
<td style="width: 20%; border-width: 1pt; border-style: solid solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;">1. Nr załącznika</span>
</td>
</tr>
<tr>
<td style="text-align: center;"> </td>
<td style="text-align: center;"> </td>
<td align="center" style="width: 20%; border-width: 1pt; border-style: none solid; border-color: #000000; padding-left: 5px;">
<p>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:NumerZalacznika"/>
</span>
</xsl:if>
</span> / <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:LiczbaZalacznikow"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
<tr>
<td style="border-width: 1pt; border-style: solid none none solid; border-color: #000000; background-color: #d3d3d3; padding-left: 5px; width: 40%;" valign="top"> </td>
<td colspan="2" style="border-width: 1pt; border-style: solid solid none none; border-color: #000000; background-color: #d3d3d3; padding-left: 5px; width: 60%;" valign="top"> </td>
</tr>
<tr>
<td style="border-width: 1pt; border-style: none none solid solid; border-color: #000000; background-color: #d3d3d3; padding-left: 5px;" valign="top">
<span style="font-family: arial,helvetica,sans-serif; font-size: small; background-color: #d3d3d3;">Załącznik do wniosku WGH.</span>
</td>
<td colspan="2" style="border-width: 1pt; border-style: none solid solid none; border-color: #000000; background-color: #d3d3d3; padding-left: 5px;"> </td>
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</tbody>
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<table border="0" cellpadding="2" cellspacing="0" style="width: 100%;">
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<td colspan="2" style="border-width: 1pt; border-style: solid solid none solid; border-color: #000000; background-color: #d3d3d3; padding-left: 5px;">
<strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">A. DANE IDENTYFIKACYJNE SKŁADAJĄCEGO WNIOSEK<br/>
</span>
</strong>
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<td style="width: 5%; border-width: 1pt; border-style: none solid; border-color: #000000; background-color: #d3d3d3;"> </td>
<td style="width: 95%; border-width: 1pt; border-color: #000000; padding-left: 5px; border-style: solid solid none none;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;"> 1. Nazwa podmiotu / Imię, nazwisko<br/>
</span>
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<tr>
<td style="width: 5%; border-width: 1pt; border-style: none solid solid; border-color: #000000; background-color: #d3d3d3;"> </td>
<td style="width: 95%; border-width: 1pt; border-style: none solid solid none; border-color: #000000; padding-left: 5px;"> <span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:Nazwa"/>
</span>
</xsl:if>
</span>
</span> <span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:Imie"/>
</span>
</xsl:if>
</span>
</span> <span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:Nazwisko"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
</tbody>
</table>
<table border="0" cellpadding="2" cellspacing="0" style="width: 100%;">
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<strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">B. PRZEDSIĘWZIĘCIE<br/>
</span>
</strong>
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<span style="font-family: arial,helvetica,sans-serif; font-size: small;">B.1.</span>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">OPIS PRZEDSIĘWZIĘCIA</span>
<strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<br/>
</span>
</strong>
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<td style="width: 5%; border-width: 1pt; border-style: none solid solid; border-color: #000000; background-color: #d3d3d3;"> </td>
<td style="width: 95%; border-width: 1pt; border-style: solid solid solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;"> 2. </span>
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<span>
<label>
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<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:Opis"/>
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</span>
</span>
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</tr>
</tbody>
</table>
<table border="0" cellpadding="2" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="2" style="border-width: 1pt; border-style: solid solid none solid; border-color: #000000; background-color: #d3d3d3; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">B.2. ZASADY URZĄDZANIA PRZEDSIĘWZIĘCIA</span>
</td>
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<tr>
<td style="width: 5%; border-width: 1pt; border-style: none solid solid; border-color: #000000; background-color: #d3d3d3;"> </td>
<td style="width: 95%; border-width: 1pt; border-style: solid solid solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;"> 3.</span>
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<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
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<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:Zasady"/>
</span>
</xsl:if>
</span>
</span>
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</tr>
</tbody>
</table>
<table border="0" cellpadding="2" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="2" style="border-width: 1pt; border-style: solid solid none solid; border-color: #000000; background-color: #d3d3d3; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">B.3. SPOSÓB WYŁANIANIA ZWYCIĘZCÓW</span>
</td>
</tr>
<tr>
<td style="width: 5%; border-width: 1pt; border-style: none solid solid; border-color: #000000; background-color: #d3d3d3;"> </td>
<td style="width: 95%; border-width: 1pt; border-style: solid solid solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;"> 4.</span>
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<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:Sposob"/>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
</tbody>
</table>
<table border="0" cellpadding="2" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="2" style="border-width: 1pt; border-style: solid solid none solid; border-color: #000000; background-color: #d3d3d3; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">B.4. PRZEWIDYWANE NAGRODY</span>
</td>
</tr>
<tr>
<td style="width: 5%; border-width: 1pt; border-style: none solid solid; border-color: #000000; background-color: #d3d3d3;"> </td>
<td style="width: 95%; border-width: 1pt; border-style: solid solid solid none; border-color: #000000; padding-left: 5px;">
<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;"> 5.</span>
<br/>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:Nagrody"/>
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</xsl:if>
</span>
</span>
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</tr>
</tbody>
</table>
<table border="0" cellpadding="2" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="2" style="border-width: 1pt; border-style: solid solid none solid; border-color: #000000; background-color: #d3d3d3; padding-left: 5px;">
<strong>
<span style="font-family: arial,helvetica,sans-serif; font-size: small;">C. OCENA SKŁADAJĄCEGO WNIOSEK</span>
</strong>
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</tr>
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<td style="width: 5%; border-width: 1pt; border-style: none solid solid; border-color: #000000; background-color: #d3d3d3;"> </td>
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<span style="font-family: arial,helvetica,sans-serif; font-size: x-small;"> 6.</span>
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<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:Ocena"/>
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</xsl:if>
</span>
</span>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
<p style="text-align: justify;"> </p>
</body>
</html>
</xsl:for-each>
<xsl:call-template name="Podpis_v23.99"/>
</xsl:template>
<xsl:template name="Podpis_v23.99">
<div align="right" style="text-align: right;font-size: 10px;font-family: Verdana;line-height: 20px;">
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<td style="width: 340px;">
<h5 class="acc" align="center">Podpisy elektroniczne</h5>
<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="."/>
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</xsl:when>
<xsl:when test="count(//wnio:Dokument/ds:Signature/ds:Object/descendant::*[local-name() = 'SigningTime']) = 1">
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<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="."/>
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</xsl:when>
<xsl:when test="0 >= count(//wnio:Dokument/ds:Signature/ds:Object/descendant::*[local-name() = 'SigningTime'])">
</xsl:when>
</xsl:choose>
</xsl:when>
<xsl:otherwise>
<xsl:text>Dokument nie zawiera podpisu</xsl:text>
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<br/>
<span name="info_v99.23" style="font-size: 7pt;font-weight: bold;">
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<div name="clear_v23.23" style="clear: both;"/>
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