PRIJAVA

Prezime
Surname
PRIJAVA I ODJAVA BORAVITA I PREBIVALITA, ODNOSNO PRIJAVA PROMJENE ADRESE
REGISTRATION AND CANCELLATION OF RESIDENCE OR REGISTRATION OF CHANGE OF ADDRESS
Datum prijave:
Date of registration:
Ime
Given name(s)
Mjesto, drava i datum roenja
Place, country and date of birth
Dravljanstvo
Nationality
Vrsta i broj putne ili druge isprave o identitetu
Type and number of travel document or any other identity document
Vrsta i broj vize, mjesto izdavanja i rok vaenja
Type and number of visa, place of issue and date of expiry
Datum i mjesto ulaska u Republiku Hrvatsku
Date and place of entry into the Republic of Croatia
Rok vaenja odobrenja boravka
Residence permit valid until
Prebivalite (boravite) i adresa stanovanja
Residence (sojourn) and address
Prethodno prijavljeno boravite ili prebivalite u Republici Hrvatskoj
Residence in the Republic of Croatia registered previously
Datum odjave:
Date of cancellation:
Potpis podnositelja zahtjeva:
Signature of the applicant:
OBRAZAC 8a
FORM 8a
1????/12
Identitet utven:
The identity was determined:
Ime i prezime podnositelja prijave:
Name and surname of the applicant:
Zavrna izjava:
Pod materijalnom i kaznenom odgovornou izjavljujem da sam vlasnik nekretnine na adresi na koju se vri prijava, odnosno da je vlasnik nekretnine
suglasan da se na gore navednoj adresi izvri prijava stranca.
Final statement:
Hereby I declare under full substantive and criminal liability that I am a property owner at the address to which the application is made, or that the property
owner agrees that the alien is registrated to the above-mentioned address.
POTVRDA
Prezime
Surname
PRIJAVA I ODJAVA BORAVITA I PREBIVALITA, ODNOSNO PRIJAVA PROMJENE ADRESE
REGISTRATION AND CANCELLATION OF RESIDENCE OR REGISTRATION OF CHANGE OF ADDRESS
Ime
Given name(s)
Mjesto, drava i datum roenja
Place, country and date of birth
Vrsta i broj putne ili druge isprave o identitetu
Type and number of travel document or any other identity document
Prijava i odjava boravita ili prebivalita odnosno prijava promjene
adrese stanovanja
Registration or cancellation of residence or registration of change of address
Datum prijave:
Date of registration:
Datum odjave:
Date of cancellation:
Potpis slubene osobe:
Signature of the official person:
OBRAZAC 8a
FORM 8a
1????/12