MINISTRY OF ECONOMY,

MINUTES No.:

Today ............................... the employee .......................................................... 
in the position of ............................................. .................................................. .............,

(Unit Name)

Pursuant to Art. 29, Para. 5 of the APC compiled this protocol to certify that the Applicant .................................................... ............, with permanent or current address: Town / village ....................................................................................................................... No.
................ Str. (j.k./residential area) ......................Telephone: ... ........................... ......, ................... ........ fax, e-mail ....................................,

has verbally requested the following:

....................................................................................................................... 
.......................................................................................................................

The Applicant shall attach the following documents:

......................................................................................................................... 
........................................................................................................................

The Applicant has expressed the wish that the issued individual administrative act/decision be obtained through:

[_] The services of a licensed postal operator at the following address: .. ,

By declaring that the postal expenses shall be at his/her expense, payable upon receipt for domestic postal parcels and accepting that the documents shall be carried out for business purposes. The individual administrative act shall be sent:

[_] as a domestic registered mailed parcel

[_] as a domestic courier shipment

[_] as an international registered mailed parcel

[_] Personally from the administrative service unit

[_] By electronic mail.

Official: ............... Applicant: ……………

ATTENTION:......................

………………….......……….

APPLICATION

From:
.......................................................................

permanent or current address: Town / village ........................... 
................................................................................................ No.
................ Str. (j.k./residential area) ......................Telephone: ........., fax, e-mail

Please initiate proceedings to provide

.................................................................................................

(Please indicate the name of the administrative service)

The service shall be provided by .............................................. .................................................. .

(Please indicate the authority, competent to issue the administrative decision)

In connection with the proceedings, please issue and sent to the competent authority the following documents:

1. ............................................................................................

2. ............................................................................................

(Please specify the information and means of proof that must be provided and sent to the competent authority by the requesting authority)

I would like to receive the issued individual administrative act/decision in the following manner:

[_] Through the services of a licensed postal operator at the following address: ........................................................................................ 
............................, By declaring that the postal expenses shall be at his/her expense, payable upon receipt for domestic postal parcels and accepting that the documents shall be carried out for business purposes. The individual administrative act shall be sent:

[_] as a domestic registered mailed parcel

[_] as a domestic courier shipment

[_] as an international registered mailed parcel

[_] Personally from the administrative service unit at the competent authority

[_] By electronic mail.

Enclosed documents:

[_] Application to the competent authority in a form, approved by the authority for the relevant service.

[_] Information or documents, required by the competent authority to perform the service, if such documents are required;

[_] Document for paid fee, if required.

Date: ..............                                                                       Signature: ……………

City of /Town of .....................