4652

ID4652
Data2017-11-17
Symbol2017/11/17/4652
InstytucjaMinisterstwo Finansów
NazwaWGH WNIOSEK O WYDANIE DECYZJI O GRACH HAZARDOWYCH
Czy Aktualny1

Ustawy (1)

  • URI://Dziennik_Ustaw/2016/471/2/7b
  • Art. 2 ust. 7b ustawy z dnia 19 listopada 2009 r. o grach hazardowych (Dz. U. z 2016 r. poz. 471, z późn. zm.)

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    							<tr>
    								<td style="text-align: left; padding-left: 30px;">
    									<strong>
    										<span style="font-family: arial,helvetica,sans-serif; font-size: medium;">WGH</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>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>
    										</span>
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    									<p>
    										<span style="font-family: arial,helvetica,sans-serif; font-size: medium;">
    											<strong>
    												<br/>
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    								<td colspan="3" style="text-align: center;"> </td>
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    							<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">
    									<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>
    								</td>
    							</tr>
    						</tbody>
    					</table>
    					<table border="0" cellpadding="2" cellspacing="0" style="width: 100%;">
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    							<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;">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>
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    										</span>
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    								<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>
    						</tbody>
    					</table>
    					<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">
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    													<span>
    														<label>
    															<span/>
    														</label>
    														<xsl:if test="true()">
    															<span type="text">
    																<xsl:value-of select="inst:NazwaInstytucji"/>
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    													</span>
    													<br/>
    												</span>
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    									<xsl:for-each select="wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/oso:Osoba">
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    													<xsl:if test="true()">
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    															<xsl:value-of select="oso:Imie"/>
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    											<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"/>
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    						<xsl:if test="(/wnio:Dokument/wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/oso:Osoba/oso:Imie!=&#34;&#34;) or  (/wnio:Dokument/wnio:DaneDokumentu/str:Nadawcy/meta:Podmiot/oso:Osoba/oso:Nazwisko!=&#34;&#34;)">
    							<table border="0" cellpadding="2" cellspacing="0" style="width: 100%;">
    								<tbody>
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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-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>
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    														<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;">
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    																		<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>
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    														<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;">
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    																		<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>
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    									</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!=&#34;&#34;">
    							<table border="0" cellpadding="2" cellspacing="0" style="width: 100%;">
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    									<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=&#34;1&#34;">
    							<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>
    									</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;">A. DANE IDENTYFIKACYJNE SKŁADAJĄCEGO WNIOSEK<br/>
    												</span>
    											</strong>
    										</td>
    									</tr>
    									<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-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>
    										</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; 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%;">
    								<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;">B. PRZEDSIĘWZIĘCIE<br/>
    												</span>
    											</strong>
    										</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.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>
    										</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;"> 2.	</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:Opis"/>
    															</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.2. ZASADY URZĄDZANIA PRZEDSIĘWZIĘCIA</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;"> 3.</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:Zasady"/>
    															</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.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/>
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    																<xsl:value-of select="wnio:Sposob"/>
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    													</span>
    												</span>
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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;">
    											<span style="font-family: arial,helvetica,sans-serif; font-size: small;">B.4. PRZEWIDYWANE NAGRODY</span>
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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;"> 5.</span>
    											<br/>
    												<span style="font-family: arial,helvetica,sans-serif; font-size: small;">
    													<span>
    														<label>
    															<span/>
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    															<span>
    																<xsl:value-of select="wnio:Nagrody"/>
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    											<strong>
    												<span style="font-family: arial,helvetica,sans-serif; font-size: small;">C. OCENA SKŁADAJĄCEGO WNIOSEK</span>
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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;"> 6.</span>
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    																<xsl:value-of select="wnio:Ocena"/>
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    					<p style="text-align: justify;"> </p>
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