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Application for Singleness Certification

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Please fill in the fields of the form with the requested data. Please note that fields with an asterisk must be filled in.

Name and Surname

Date of Birth

Volume CI

Folio

Civil Registry

Other information you wish to add

Amount of Certifications

To take effect on:

Once the process is completed must be notified to:

Telephone

Collect certifications in:

Captcha

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