7736
| ID | 7736 |
|---|
| Data | 2019-05-23 |
|---|
| Symbol | 2019/05/23/7736 |
|---|
| Instytucja | Starostwo Powiatowe w Giżycku |
|---|
| Nazwa | WNIOSEK O WYDANIE POZWOLENIA NA SPROWADZENIE DO POLSKI ZWŁOK LUB SZCZĄTKÓW OSÓB ZMARŁYCH ZA GRANICĄ |
|---|
| Czy Aktualny | 1 |
|---|
Ustawy (1)
Pliki
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<xsl:template match="/">
<xsl:for-each select="wnio:Dokument">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8"/>
</head>
<body>
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="background-color: #5b525b; border-top: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-left: 1px solid #ddd9da;">
<p style="text-align: center;">
<span style="color: #ffffff;">
<strong>
<span style="font-family: verdana, geneva; font-size: small;">WNIOSEK O WYDANIE POZWOLENIA NA SPROWADZENIE DO
POLSKI ZWŁOK LUB SZCZĄTKÓW OSÓB ZMARŁYCH ZA
GRANICĄ<br/>
</span>
</strong>
</span>
</p>
</td>
</tr>
</tbody>
</table>
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="background-color: #ddd9da; border-style: solid; border-width: 1px; border-color: #ddd9da;">
<strong>
<span style="font-family: verdana, geneva; font-size: small;">1. ADRESAT</span>
</strong>
</td>
</tr>
<tr>
<td style="border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-left: 1px solid #ddd9da; text-align: center;">
<p>
<span style="font-family: verdana, geneva; font-size: small;">
<span class="LrzXr">Starostwo Powiatowe w
Giżycku<br/>aleja 1 Maja 14<br/>11-500
Giżycko</span>
</span>
</p>
</td>
</tr>
<tr>
<td style="background-color: #ddd9da; text-align: left; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-left: 1px solid #ddd9da;">
<strong>
<span style="font-family: verdana, geneva; font-size: small;">2. RODZAJ WNIOSKODAWCY</span>
</strong>
</td>
</tr>
<tr>
<td style="border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-left: 1px solid #ddd9da; text-align: left;">
<span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:choose>
<xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID38) = normalize-space(' 1 ')">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>Członek rodziny </span>
</label>
</span>
<span>
<xsl:choose>
<xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID38) = normalize-space(' 2 ')">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>Pełnomocnik </span>
</label>
</span>
<span>
<xsl:choose>
<xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID38) = normalize-space(' 3 ')">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span>Inny podmiot </span>
</label>
</span>
</xsl:if>
</span>
</span>
</td>
</tr>
<tr>
<td style="text-align: left; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-left: 1px solid #ddd9da;">
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID3">
<xsl:if test="//wnio:TrescDokumentu/wnio:Wartosc/wnio:ID38='1'">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="2" style="background-color: #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td colspan="2" style="background-color: #ddd9da; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-left: 1px solid #ddd9da;">
<strong>
<span style="font-family: verdana, geneva; font-size: small;">3. DANE WNIOSKODAWCY</span>
</strong>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Imię</span>
</td>
<td>
<p> <span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID6"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
<td style="width: 50%; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Nazwisko</span>
</td>
<td>
<p> <span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID7"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Seria dokumentu tożsamości</span>
</td>
<td>
<p> <span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID8"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
<td style="width: 50%; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Numer dokumentu tożsamości</span>
</td>
<td>
<p> <span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID9"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td colspan="2" style="background-color: #ddd9da;">
<span style="font-family: verdana, geneva; font-size: small;">
<strong>4. ADRES ZAMIESZKANIA
WNIOSKODAWCY</strong>
</span>
</td>
</tr>
<tr>
<td style="width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Województwo</span>
</td>
<td>
<p> <span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID29"/>
</span>
</xsl:if>
</span>
<br/>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
<td style="width: 50%; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Powiat</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID30"/>
</span>
</xsl:if>
</span>
<br/>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Gmina</span>
</td>
<td>
<p> <span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID31"/>
</span>
</xsl:if>
</span>
<br/>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
<td style="width: 50%; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Miejscowość</span>
</td>
<td>
<p> <span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID32"/>
</span>
</xsl:if>
</span>
<br/>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Ulica</span>
</td>
<td>
<p> <span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID33"/>
</span>
</xsl:if>
</span>
<br/>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
<td style="width: 50%; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Kod pocztowy</span>
</td>
<td>
<p> <span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID10"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="width: 50%; border-right: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Numer budynku</span>
</td>
<td>
<p> <span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID11"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
<td style="width: 50%;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Numer lokalu</span>
</td>
<td>
<p> <span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID12"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
</td>
</tr>
<tr>
<td style="text-align: left; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-left: 1px solid #ddd9da;">
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID4">
<xsl:if test="//wnio:TrescDokumentu/wnio:Wartosc/wnio:ID38='2'">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="2" style="background-color: #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td colspan="2" style="background-color: #ddd9da; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-left: 1px solid #ddd9da;">
<span style="font-family: verdana, geneva; font-size: small;">
<strong>3. DANE PEŁNOMOCNIKA</strong>
</span>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<p>
<span style="font-family: verdana, geneva; font-size: x-small;">Nazwa firmy<br/>
</span>
</p>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID39"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
<td style="width: 50%; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">NIP<br/>
</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID44"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Imię reprezentanta pełnomocnika</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID45"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
<td style="width: 50%; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Nazwisko reprezentanta pełnomocnika<br/>
</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID46"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td colspan="2" style="background-color: #ddd9da;">
<span style="font-family: verdana, geneva; font-size: small;">
<strong>4. ADRES SIEDZIBY FIRMY<br/>
</strong>
</span>
</td>
</tr>
<tr>
<td style="width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Województwo</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID47"/>
</span>
</xsl:if>
</span>
</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;"/>
</p>
</td>
</tr>
</tbody>
</table>
</td>
<td style="width: 50%; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Powiat</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID40"/>
</span>
</xsl:if>
</span>
</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;"/>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Gmina</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID48"/>
</span>
</xsl:if>
</span>
</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;"/>
</p>
</td>
</tr>
</tbody>
</table>
</td>
<td style="width: 50%; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Miejscowość</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID49"/>
</span>
</xsl:if>
</span>
</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;"/>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Ulica</span>
</td>
<td>
<p> <span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID50"/>
</span>
</xsl:if>
</span>
</span>
<br/>
</p>
</td>
</tr>
</tbody>
</table>
</td>
<td style="width: 50%; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Kod pocztowy</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID51"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="width: 50%; border-right: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Numer budynku</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID52"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
<td style="width: 50%;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Numer lokalu</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID53"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
</td>
</tr>
<tr>
<td style="text-align: left; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-left: 1px solid #ddd9da;">
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID5">
<xsl:if test="//wnio:TrescDokumentu/wnio:Wartosc/wnio:ID38='3'">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td colspan="2" style="background-color: #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td colspan="2" style="background-color: #ddd9da; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-left: 1px solid #ddd9da;">
<span style="font-family: verdana, geneva; font-size: small;">
<strong>3. DANE PODMIOTU<br/>
</strong>
</span>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Imię i nazwisko reprezentanta<br/>
</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID41"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
<td style="width: 50%; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Nazwa organu, instytucji bądź organizacji</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID54"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">NIP</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID42"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
<td style="width: 50%; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">REGON</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID60"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td colspan="2" style="background-color: #ddd9da;">
<span style="font-family: verdana, geneva; font-size: small;">
<strong>4. ADRES PODMIOTU</strong>
</span>
</td>
</tr>
<tr>
<td style="width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Województwo</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID61"/>
</span>
</xsl:if>
</span>
</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;"/>
</p>
</td>
</tr>
</tbody>
</table>
</td>
<td style="width: 50%; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Powiat</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID62"/>
</span>
</xsl:if>
</span>
</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;"/>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Gmina</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID63"/>
</span>
</xsl:if>
</span>
</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;"/>
</p>
</td>
</tr>
</tbody>
</table>
</td>
<td style="width: 50%; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Miejscowość</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID64"/>
</span>
</xsl:if>
</span>
</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;"/>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Ulica</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID65"/>
</span>
</xsl:if>
</span>
<br/>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
<td style="width: 50%; border-bottom: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Kod pocztowy</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID66"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="width: 50%; border-right: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Numer budynku</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID67"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
<td style="width: 50%;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Numer lokalu</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID68"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</xsl:if>
</xsl:for-each>
</td>
</tr>
<tr>
<td style="background-color: #ddd9da; width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-left: 1px solid #ddd9da;">
<strong>
<span style="font-family: verdana, geneva; font-size: small;">5. INFORMACJE O OSOBIE ZMARŁEJ<br/>
</span>
</strong>
</td>
</tr>
<tr>
<td style="font-family: verdana, geneva; font-size: x-small; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-left: 1px solid #ddd9da;">
<span style="font-family: verdana, geneva; font-size: small;">
<span style="font-family: verdana, geneva; font-size: x-small;">Proszę o wydanie pozwolenia na sprowadzenie z zagranicy
w celu pochowania <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:if test="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID28 = 1">zwłok</xsl:if>
<xsl:if test="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID28 = 2">prochów</xsl:if>
</span>
</xsl:if>
</span>:</span>
</span>
</td>
</tr>
<tr>
<td style="width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-left: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 50%;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-bottom: 1px solid #ddd9da; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Imię</span>
</td>
<td style="width: 70%; border-bottom: 1px solid #ddd9da;">
<p> <span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID2"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
<td style="width: 50%;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-left: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Nazwisko</span>
</td>
<td style="width: 70%; border-bottom: 1px solid #ddd9da;">
<p> <span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID13"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="width: 50%;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-bottom: 1px solid #ddd9da; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Nazwisko rodowe</span>
</td>
<td style="width: 70%; border-bottom: 1px solid #ddd9da;">
<p> <span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID14"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
<td style="width: 50%;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-left: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Miejsce urodzenia</span>
</td>
<td style="width: 70%; border-bottom: 1px solid #ddd9da;">
<p> <span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID15"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="width: 50%; text-align: center;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-bottom: 1px solid #ddd9da; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Data urodzenia</span>
</td>
<td style="width: 70%; border-bottom: 1px solid #ddd9da; text-align: left;">
<p> <span style="font-family: verdana, geneva; font-size: x-small;">
<xsl:if test="true()">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID16"/>
</xsl:if>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
<td style="width: 50%;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-left: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Ostatnie miejsce zamieszkania</span>
</td>
<td style="width: 70%; border-bottom: 1px solid #ddd9da;">
<p> <span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID17"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="width: 50%;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-bottom: 1px solid #ddd9da; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Data zgonu</span>
</td>
<td style="width: 70%; border-bottom: 1px solid #ddd9da;">
<p> <span style="font-family: verdana, geneva; font-size: x-small;">
<xsl:if test="true()">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID18"/>
</xsl:if>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
<td style="width: 50%;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-left: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-right: 1px solid #ddd9da; text-align: center;">
<span style="font-family: verdana, geneva; font-size: x-small;">Miejsce zgonu<br/>
</span>
</td>
<td style="width: 70%; border-bottom: 1px solid #ddd9da;">
<p> <span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID19"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td colspan="2" style="background-color: #ddd9da; width: 50%; border-bottom: 1px solid #ddd9da;">
<strong>
<span style="font-family: verdana, geneva; font-size: small;">6. POZOSTAŁE INFORMACJE</span>
</strong>
</td>
</tr>
<tr>
<td style="width: 50%; border-bottom: 1px solid #ddd9da; border-right: 1px solid #ddd9da; text-align: justify;">
<span style="font-family: verdana, geneva; font-size: x-small;">Miejsce z którego zwłoki/prochy ludzkie zostaną
przewiezione:</span>
</td>
<td style="width: 50%; border-bottom: 1px solid #ddd9da;">
<p> <span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID20"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
<tr>
<td style="width: 50%; border-bottom: 1px solid #ddd9da; border-right: 1px solid #ddd9da; text-align: justify;">
<span style="font-family: verdana, geneva; font-size: x-small;">Miejsce pochówku:</span>
</td>
<td style="width: 50%; border-bottom: 1px solid #ddd9da;">
<p> <span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID21"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
<tr>
<td style="width: 50%; border-bottom: 1px solid #ddd9da; border-right: 1px solid #ddd9da; text-align: justify;">
<span style="font-family: verdana, geneva; font-size: x-small;">Środek transportu, którym zostaną przewiezione
zwłoki/prochy:</span>
<br/>
<span style="font-family: verdana, geneva; font-size: x-small;">(nazwa firmy, marka, nr rejestracyjny
pojazdu)</span>
</td>
<td style="width: 50%; border-bottom: 1px solid #ddd9da;">
<p> <span style="font-family: verdana, geneva; font-size: x-small;">
<span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID24"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
<tr>
<td colspan="2" style="width: 50%; text-align: justify;">
<span style="font-family: verdana, geneva;"> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span>
<xsl:choose>
<xsl:when test="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ID25)),' '), ' 1 ' )">
<span>[<b>X</b>]</span>
</xsl:when>
<xsl:otherwise>
<span>[ ]</span>
</xsl:otherwise>
</xsl:choose>
<label>
<span> </span>
</label>
</span>
</xsl:if>
</span>
<span style="font-size: x-small;">Oświadczam, że
jestem upoważniony/upoważniona do pochowania
zwłok/prochów mojej/mojego <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID26"/>
</span>
</xsl:if>
</span> Pani/Pana <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID27"/>
</span>
</xsl:if>
</span> zgodnie z art. 10 ust. 1 ustawy z dnia 31
stycznia 1959r. o cmentarzach i chowaniu zmarłych
(t. j. Dz.U. z 2011 r. Nr. 118, poz. 687).</span>
</span>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="background-color: #ddd9da; width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-left: 1px solid #ddd9da;">
<strong>
<span style="font-size: small;">
<span style="font-family: verdana, geneva;">7.
ZAŁĄCZNIKI</span>
</span>
</strong>
</td>
</tr>
<tr>
<td style="width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-left: 1px solid #ddd9da; background-color: #ffffff;">
<xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID23">
<xsl:if test="true()">
<span style="background-color: #ffffff; display: block; font-family: verdana, geneva; font-size: x-small;"> Załącznik:
<xsl:value-of select="wnio:TrescDokumentu/str:Zalaczniki/str:Zalacznik/str:DaneZalacznika/../@nazwaPliku"/>
</span>
</xsl:if>
</xsl:for-each>
</td>
</tr>
<tr>
<td style="background-color: #ddd9da; width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-left: 1px solid #ddd9da;">
<strong>
<span style="font-size: small;">
<span style="font-family: verdana, geneva;">8. PODPIS
WNIOSKODAWCY</span>
</span>
</strong>
</td>
</tr>
<tr>
<td style="text-align: left; width: 50%; border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-left: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 50%; border-right: 1px solid #ddd9da;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da;">
<span style="font-family: verdana, geneva; font-size: x-small;">Imię</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID1"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
<td style="width: 50%;">
<table border="0" cellpadding="0" cellspacing="0" style="width: 100%;">
<tbody>
<tr>
<td style="width: 30%; border-right: 1px solid #ddd9da;">
<span style="font-family: verdana, geneva; font-size: x-small;">Nazwisko</span>
</td>
<td>
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> <span>
<label>
<span/>
</label>
<xsl:if test="true()">
<span type="text">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID43"/>
</span>
</xsl:if>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="border-right: 1px solid #ddd9da; border-bottom: 1px solid #ddd9da; border-left: 1px solid #ddd9da; text-align: center;">
<p>
<span style="font-family: verdana, geneva; font-size: x-small;"> Data wypełnienia</span>
</p>
<p>
<span style="font-size: x-small;">
<span style="font-family: verdana, geneva;"> </span>
<span style="font-family: verdana, geneva;">
<xsl:if test="true()">
<xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID22"/>
</xsl:if>
<span>
<label>
<span/>
</label>
</span>
<span>
<label>
<span/>
</label>
</span>
</span>
<span style="font-family: verdana, geneva;">
<br/>
</span>
</span>
</p>
</td>
</tr>
</tbody>
</table>
<table align="right">
<tr>
<td style="width: 100%;">
<p/>
<p/>
<p align="right" style="text-align: left;font-size: small;font-family: verdana, geneva;line-height: 20px;">
<xsl:choose>
<xsl:when test="string-length(//wnio:Dokument/ds:Signature/ds:SignatureValue) > 0">
<xsl:text>Dokument został podpisany, aby go zweryfikować należy użyć oprogramowania do weryfikacji podpisu </xsl:text>
<br/>
<xsl:for-each select="//wnio:Dokument/ds:Signature/ds:Object">
<xsl:if test="descendant::*[local-name() = 'SigningTime']">
<xsl:value-of select="descendant::*[local-name() = 'SigningTime']"/>
</xsl:if>
<br/>
<xsl:choose>
<xsl:when test="descendant::*[local-name() = 'PodpisZP']">
Podpis profilem zaufanym: <xsl:value-of select="descendant::*[local-name() = 'Imie']"/><xsl:text> </xsl:text><xsl:value-of select="descendant::*[local-name() = 'Nazwisko']"/><br/></xsl:when>
</xsl:choose>
</xsl:for-each>
</xsl:when>
<xsl:otherwise>
<xsl:text>Dokument nie zawiera podpisu</xsl:text>
</xsl:otherwise>
</xsl:choose>
<br/>
</p>
</td>
</tr>
</table>
</body>
</html>
</xsl:for-each>
</xsl:template>
</xsl:stylesheet>