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Вход
- Главная
- Приказ Фонда пенсионного и социального страхования РФ от 30 октября 2023 г. N 2153 "Об утверждении форм и форматов сведений, используемых для регистрации граждан в системе индивидуального (персонифицированного) учета, и порядка заполнения форм указанных сведений"
- Приложение N 1. Форма АДВ-1 "Анкета зарегистрированного лица"
Приложение N 1. Форма АДВ-1 "Анкета зарегистрированного лица"
Приложение N 1
к приказу Фонда пенсионного и социального
страхования Российской Федерации
от 30 октября 2023 г. N 2153
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Форма АДВ-1 Код по ОКУД | |
+--------------+
Анкета зарегистрированного лица
Заполняется зарегистрированным лицом печатными буквами
+-------------------------------------------------------------------------------------------------+
|Фамилия ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. |
|Имя ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. |
|Отчество (при ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. |
|наличии) |
|Пол ._. (м/ж) |
|Дата рождения: "._._." ._._._._._._._._. ._._._._. года |
|Место рождения: |
| населенный пункт ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. |
| район ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. |
| регион (область, край, ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. |
| республика,...) |
| страна ._._._._._._._._._._._._._._._._._._._._._. |
|Гражданство ._._._._._._._._._._._._._._._._._._._._._. |
| |
|Адрес индекс ._._._._._._.адрес ._._._._._._._._._._._._._._. |
|постоянного ._._._._._._._._._._._._._._._._._._._._._._._. |
|места жительства ._._._._._._._._._._._._._._._._._._._._._._._. |
| |
|Адрес индекс ._._._._._._.адрес ._._._._._._._._._._._._._._. |
|места ._._._._._._._._._._._._._._._._._._._._._._._. |
|пребывания ._._._._._._._._._._._._._._._._._._._._._._._. |
| (заполнять при отличии от адреса постоянного места жительства) |
| |
|Телефоны ._._._._._._._._._._._._._._._._._._._._._._. |
| (домашний и/или рабочий) |
|Документ, удостоверяющий личность: |
|Вид документа ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._.|
| (указать название документа: паспорт, удостоверение личности или другие документы, |
| удостоверяющие личность)