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Семинары
- Главная
- Постановление Правительства Республики Тыва от 4 декабря 2004 г. N 1092 "О республиканском регистре лиц, имеющих право на государственную социальную помощь из республиканского бюджета"
- Приложение N 2 к Порядку. Данные о лице, имеющем право на социальную помощь
Приложение N 2 к Порядку. Данные о лице, имеющем право на социальную помощь
Приложение N 2
к Порядку представления информации
о лицах, имеющих право на государственную
социальную помощь из республиканского бюджета
Данные
о лице, имеющем право на социальную помощь
Страховой номер ._._._.-._._._.-._._._.
Фамилия ._._._._._._._._._._._._._._._._._._._._._._._._._._._._.
Имя ._._._._._._._._._._._._._._._._._._._._._._._._._._._._.._._
Отчество ._._._._._._._._._._._._._._._._._._._._._._._._._._._._
Пол (м/ж) ._.
Дата рождения /_._._._/_._/_._/ (год, месяц, день)
Место рождения
Город ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._.
Район ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._.
Регион ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._
Страна ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._
Гражданство ._._._._._._._._._._._._._._._._._._._._._._._._._._.
Документ, удостоверяющий личность
Наименование ._._._._._._._._._._._._._._._._._._._._._._._._._._
Серия ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._.
Номер ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._.
Дата выдачи /_._._._/_._/_._/ (год, месяц, день)
Наименование органа, выдавшего документ ._._._._._._._._._._._._.
._._._._._._._._._._._._._._._._._._._._._._._._._._._._.._._._._
Адрес места жительства (по паспорту) ._._._._._._._._._._._._._._
Адрес фактический _._._._._._._._._._._._._._.._._._._._._._._._.
Выбранный способ получения ежемесячной денежной выплаты ._._._._.
Количество льгот_._._.._._._._.
Данные о льготе
Категория льготника _._._._._._._._._._._._._._.._._._._._._._._.
Документ, подтверждающий льготу
Наименование _._._._._._._._._._._._._._.._._._._._._._._._._._._
Серия _._._._._._._._._._._._._._.._._._._._._._._._.__._._._._._
Номер
Дата выдачи (год, месяц, день) /_._._._/_._/_._/
Наименование органа, выдавшего документ _._._._._._._._._._._._._
._._._._._._._._._._._._._._._._._._._._._._._._._._._._.._._._._
Дата начала действия льготы (год, месяц, день) /_._._._/_._/_._/
Дата окончания действия льготы (год, месяц, день) /_._._._/_._/_._/
Начальник УТиСР
по ______________ району М.П. подпись (_____________)
(Ф.И.О.)