{\rtf1\adeflang1025\ansi\ansicpg1250\uc1\adeff0\deff0\stshfdbch0\stshfloch0\stshfhich0\stshfbi0\deflang1045\deflangfe1045{\fonttbl{\f0\froman\fcharset238\fprq2{\*\panose 02020603050405020304}Times New Roman;}{\f1\fswiss\fcharset238\fprq2{\*\panose 020b0604020202020204}Arial;} {\f2\fmodern\fcharset238\fprq1{\*\panose 02070309020205020404}Courier New;}{\f131\froman\fcharset0\fprq2 Times New Roman;}{\f130\froman\fcharset204\fprq2 Times New Roman Cyr;}{\f132\froman\fcharset161\fprq2 Times New Roman Greek;} {\f133\froman\fcharset162\fprq2 Times New Roman Tur;}{\f134\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\f135\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\f136\froman\fcharset186\fprq2 Times New Roman Baltic;} {\f137\froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\f141\fswiss\fcharset0\fprq2 Arial;}{\f140\fswiss\fcharset204\fprq2 Arial Cyr;}{\f142\fswiss\fcharset161\fprq2 Arial Greek;}{\f143\fswiss\fcharset162\fprq2 Arial Tur;} {\f144\fbidi \fswiss\fcharset177\fprq2 Arial (Hebrew);}{\f145\fbidi \fswiss\fcharset178\fprq2 Arial (Arabic);}{\f146\fswiss\fcharset186\fprq2 Arial Baltic;}{\f147\fswiss\fcharset163\fprq2 Arial (Vietnamese);}{\f151\fmodern\fcharset0\fprq1 Courier New;} {\f150\fmodern\fcharset204\fprq1 Courier New Cyr;}{\f152\fmodern\fcharset161\fprq1 Courier New Greek;}{\f153\fmodern\fcharset162\fprq1 Courier New Tur;}{\f154\fbidi \fmodern\fcharset177\fprq1 Courier New (Hebrew);} {\f155\fbidi \fmodern\fcharset178\fprq1 Courier New (Arabic);}{\f156\fmodern\fcharset186\fprq1 Courier New Baltic;}{\f157\fmodern\fcharset163\fprq1 Courier New (Vietnamese);}}{\colortbl;\red0\green0\blue0;\red0\green0\blue255;\red0\green255\blue255; \red0\green255\blue0;\red255\green0\blue255;\red255\green0\blue0;\red255\green255\blue0;\red255\green255\blue255;\red0\green0\blue128;\red0\green128\blue128;\red0\green128\blue0;\red128\green0\blue128;\red128\green0\blue0;\red128\green128\blue0; \red128\green128\blue128;\red192\green192\blue192;\red255\green255\blue255;}{\stylesheet{\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 \snext0 \styrsid14699127 Normal;}{\s1\qr \fi431\li0\ri0\sb240\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs24\expnd6\expndtw30\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 \sbasedon0 \snext0 \styrsid14699127 heading 1;}{\*\cs10 \additive \ssemihidden Default Paragraph Font;}{\* \ts11\tsrowd\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024 \snext11 \ssemihidden Normal Table;}{ \s15\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs24\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 \sbasedon0 \snext15 \styrsid14699127 Body Text 2;}{ \s16\qj \fi708\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs24\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 \sbasedon0 \snext16 \styrsid14699127 Body Text Indent 2;}}{\*\latentstyles\lsdstimax156\lsdlockeddef0}{\*\listtable{\list\listtemplateid-831504430\listhybrid{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext \leveltemplateid611105664\'02\'00.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fbias0 \fi-360\li1068\jclisttab\tx1068\lin1068 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0 {\leveltext\leveltemplateid68485145\'02\'01.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li1788\jclisttab\tx1788\lin1788 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0 {\leveltext\leveltemplateid68485147\'02\'02.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-180\li2508\jclisttab\tx2508\lin2508 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0 {\leveltext\leveltemplateid68485135\'02\'03.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li3228\jclisttab\tx3228\lin3228 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0 {\leveltext\leveltemplateid68485145\'02\'04.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li3948\jclisttab\tx3948\lin3948 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0 {\leveltext\leveltemplateid68485147\'02\'05.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-180\li4668\jclisttab\tx4668\lin4668 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0 {\leveltext\leveltemplateid68485135\'02\'06.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li5388\jclisttab\tx5388\lin5388 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0 {\leveltext\leveltemplateid68485145\'02\'07.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li6108\jclisttab\tx6108\lin6108 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0 {\leveltext\leveltemplateid68485147\'02\'08.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-180\li6828\jclisttab\tx6828\lin6828 }{\listname ;}\listid485243494}{\list\listtemplateid1951199000\listhybrid{\listlevel\levelnfc0\levelnfcn0\leveljc0 \leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid1505415276\'02\'00);}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \cf1\fbias0 \fi-360\li1428\jclisttab\tx1428\lin1428 }{\listlevel\levelnfc4\levelnfcn4\leveljc0 \leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid68485145\'02\'01.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li2148\jclisttab\tx2148\lin2148 }{\listlevel\levelnfc2\levelnfcn2\leveljc2 \leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid68485147\'02\'02.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-180\li2868\jclisttab\tx2868\lin2868 }{\listlevel\levelnfc0\levelnfcn0\leveljc0 \leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid68485135\'02\'03.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li3588\jclisttab\tx3588\lin3588 }{\listlevel\levelnfc4\levelnfcn4\leveljc0 \leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid68485145\'02\'04.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li4308\jclisttab\tx4308\lin4308 }{\listlevel\levelnfc2\levelnfcn2\leveljc2 \leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid68485147\'02\'05.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-180\li5028\jclisttab\tx5028\lin5028 }{\listlevel\levelnfc0\levelnfcn0\leveljc0 \leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid68485135\'02\'06.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li5748\jclisttab\tx5748\lin5748 }{\listlevel\levelnfc4\levelnfcn4\leveljc0 \leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid68485145\'02\'07.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li6468\jclisttab\tx6468\lin6468 }{\listlevel\levelnfc2\levelnfcn2\leveljc2 \leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid68485147\'02\'08.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-180\li7188\jclisttab\tx7188\lin7188 }{\listname ;}\listid1461918667}} {\*\listoverridetable{\listoverride\listid1461918667\listoverridecount0\ls1}{\listoverride\listid485243494\listoverridecount0\ls2}}{\*\rsidtbl \rsid212834\rsid216114\rsid277721\rsid294533\rsid348370\rsid348629\rsid397662\rsid414804\rsid464097\rsid469653 \rsid677164\rsid871513\rsid920526\rsid946502\rsid989476\rsid1059285\rsid1180506\rsid1253245\rsid1341526\rsid1463067\rsid1513853\rsid1539167\rsid1574092\rsid1580010\rsid1597720\rsid1653774\rsid1659971\rsid1801757\rsid1929711\rsid1972701\rsid1975049 \rsid1975775\rsid1978418\rsid2035726\rsid2059154\rsid2233605\rsid2425640\rsid2513752\rsid2717386\rsid2884300\rsid2913612\rsid2960673\rsid3102978\rsid3152495\rsid3289559\rsid3304002\rsid3547577\rsid3604934\rsid3616632\rsid3743754\rsid3762272\rsid3821253 \rsid3959919\rsid4011377\rsid4160748\rsid4291875\rsid4334647\rsid4403280\rsid4412879\rsid4477812\rsid4525740\rsid4664304\rsid4667327\rsid4806382\rsid4877804\rsid4878189\rsid4925916\rsid4937717\rsid4990023\rsid4999751\rsid5055761\rsid5069408\rsid5199530 \rsid5270238\rsid5447129\rsid5519282\rsid5575741\rsid5651860\rsid5655661\rsid5730042\rsid5782927\rsid5793975\rsid5911612\rsid6033779\rsid6033944\rsid6054112\rsid6231761\rsid6256892\rsid6305394\rsid6389725\rsid6501181\rsid6564019\rsid6689962\rsid6760313 \rsid6782217\rsid6820028\rsid6820654\rsid6832634\rsid7015317\rsid7086467\rsid7106383\rsid7218424\rsid7292550\rsid7305236\rsid7406581\rsid7431277\rsid7563534\rsid7806950\rsid7807337\rsid7892021\rsid7892252\rsid7999758\rsid8012128\rsid8066403\rsid8283335 \rsid8411511\rsid8457208\rsid8478595\rsid8537281\rsid8602498\rsid8609593\rsid8616282\rsid8655747\rsid8662248\rsid8724593\rsid8808531\rsid8851819\rsid8854477\rsid8925155\rsid8928263\rsid8930926\rsid8941888\rsid9069780\rsid9123726\rsid9125157\rsid9192382 \rsid9246368\rsid9257472\rsid9384031\rsid9394798\rsid9466929\rsid9581615\rsid9586546\rsid9636730\rsid9644725\rsid9655226\rsid9771315\rsid9783235\rsid10031658\rsid10159802\rsid10250182\rsid10570847\rsid10639528\rsid10644988\rsid10645687\rsid10760692 \rsid10764820\rsid10825205\rsid10956753\rsid11016656\rsid11225590\rsid11367593\rsid11428270\rsid11435338\rsid11565603\rsid11686445\rsid11735698\rsid11874682\rsid11887125\rsid11944885\rsid12015510\rsid12022839\rsid12124942\rsid12143330\rsid12150995 \rsid12273366\rsid12337823\rsid12388273\rsid12392754\rsid12452159\rsid12481479\rsid12612711\rsid12672202\rsid12722351\rsid12805670\rsid12872483\rsid12939802\rsid13053939\rsid13057544\rsid13112830\rsid13121957\rsid13128416\rsid13264983\rsid13508351 \rsid13510741\rsid13516322\rsid13531941\rsid13574744\rsid13581392\rsid13646914\rsid13763383\rsid13768506\rsid13837454\rsid13924929\rsid13973859\rsid14050567\rsid14160273\rsid14253489\rsid14577915\rsid14577973\rsid14624257\rsid14632924\rsid14642077 \rsid14699127\rsid14816984\rsid14840147\rsid14885198\rsid14964175\rsid15093720\rsid15097722\rsid15165605\rsid15167708\rsid15220870\rsid15285372\rsid15336508\rsid15420711\rsid15429865\rsid15475547\rsid15485696\rsid15488340\rsid15541638\rsid15551397 \rsid15663105\rsid15669398\rsid15669677\rsid15741871\rsid15747899\rsid15752916\rsid15824961\rsid15860027\rsid15873655\rsid15951329\rsid16057031\rsid16208120\rsid16328172\rsid16343685\rsid16404055\rsid16520856\rsid16584090\rsid16589423\rsid16610035 \rsid16678252}{\*\generator Microsoft Word 11.0.0000;}{\info{\title ZA\'a3\'a5CZNIK do rozporz\'b9dzenia Ministra Sprawiedliwo\'9cci }{\author Administrator}{\operator Administrator}{\creatim\yr2011\mo6\dy10\hr12\min8}{\revtim\yr2011\mo6\dy10\hr12\min10} {\version3}{\edmins1}{\nofpages2}{\nofwords819}{\nofchars4914}{\nofcharsws5722}{\vern24615}{\*\password 00000000}}{\*\xmlnstbl {\xmlns1 http://schemas.microsoft.com/office/word/2003/wordml}} \paperw11906\paperh16838\margl1417\margr1417\margt539\margb539\gutter0\ltrsect \deftab708\widowctrl\ftnbj\aenddoc\hyphhotz425\donotembedsysfont1\donotembedlingdata0\grfdocevents0\validatexml1\showplaceholdtext0\ignoremixedcontent0\saveinvalidxml0\showxmlerrors1\noxlattoyen\expshrtn \noultrlspc\dntblnsbdb\nospaceforul\formshade\horzdoc\dgmargin\dghspace120\dgvspace163\dghorigin1417\dgvorigin539\dghshow2\dgvshow2 \jexpand\viewkind1\viewscale116\viewzk2\pgbrdrhead\pgbrdrfoot\splytwnine\ftnlytwnine\htmautsp\nolnhtadjtbl\useltbaln\alntblind\lytcalctblwd\lyttblrtgr\lnbrkrule\nobrkwrptbl\snaptogridincell\allowfieldendsel \wrppunct\asianbrkrule\rsidroot14699127\newtblstyruls\nogrowautofit \fet0{\*\wgrffmtfilter 013f}\ilfomacatclnup0{\*\ftnsep \ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10760692 \chftnsep \par }}{\*\ftnsepc \ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10760692 \chftnsepc \par }}{\*\aftnsep \ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10760692 \chftnsep \par }}{\*\aftnsepc \ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10760692 \chftnsepc \par }}\ltrpar \sectd \ltrsect\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid14699127\sftnbj {\*\pnseclvl1\pnucrm\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl2\pnucltr\pnstart1\pnindent720\pnhang {\pntxta .}} {\*\pnseclvl3\pndec\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl4\pnlcltr\pnstart1\pnindent720\pnhang {\pntxta )}}{\*\pnseclvl5\pndec\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl6\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (} {\pntxta )}}{\*\pnseclvl7\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl8\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl9\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}\pard\plain \ltrpar \ql \li6095\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin6095\itap0\pararsid14699127 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs20\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f0\insrsid14699127\charrsid3304002 ZA\'a3\'a5CZNIK\~}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid3304002 do rozporz\'b9dzenia Ministra Sprawiedliwo\'9cci \par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\insrsid14699127 z dnia 9 czerwca 2011}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid3304002 r. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid3304002 \par }\pard \ltrpar\qc \li0\ri0\sb240\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14699127 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f0\insrsid14699127\charrsid3304002 KARTA ZG\'a3OSZENIA KANDYDATA NA \'a3AWNIKA}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid3304002 \par }\pard \ltrpar\qj \li0\ri0\sb240\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14699127 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid14253489 UWAGA - KART\'ca ZG\'a3OSZENIA NALE\'afY WYPE\'a3NI\'c6 DU\'af YMI DRUKOWANYMI LITERAMI, CZARNYM LUB NIEBIESKIM KOLOREM. \par }\pard \ltrpar\qj \fi-425\li357\ri249\sb240\sl360\slmult1\widctlpar\tx360\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin249\lin357\itap0\pararsid14699127 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127 A. W\'b3a\'9cciwa rada gminy*, do kt\'f3 rej nast\'eapuje zg\'b3oszenie kandydata na \'b3awnika (wype\'b3nia kandydat): ....................................................................................................................................................................... \par }\pard \ltrpar\qj \fi-425\li357\ri249\widctlpar\tx360\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin249\lin357\itap0\pararsid14699127 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127 *Zgodnie z art. 158 \'a7\~1 pkt 4 ustawy z dnia 27 lipca 2001 r. }{ \rtlch\fcs1 \af2 \ltrch\fcs0 \f2\insrsid14699127 \endash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127 Prawo o ustroju s\'b9d\'f3w powszechnych (Dz. U. Nr 98, poz. 1070, z p\'f3\'9fn. zm.). \par }\pard \ltrpar\qj \fi-426\li426\ri0\sb240\widctlpar\tx426\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin426\itap0\pararsid14699127 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127 B.\tab Dane kandydata na \'b3awnika }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid3304002 /wype\'b3nia kandydat/: \par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14699127 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid3304002 \par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph70\trleft-70\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3\tblrsid14699127\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb \brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth460\clshdrawnil \cellx390\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4035\clshdrawnil \cellx4425 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4364\clshdrawnil \cellx8789\pard \ltrpar \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14699127 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 1 \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 Imi\'ea (imiona) i nazwisko \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \par \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 \trowd \irow0\irowband0\ltrrow \ts11\trgaph70\trleft-70\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3\tblrsid14699127\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth460\clshdrawnil \cellx390\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4035\clshdrawnil \cellx4425\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl \brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4364\clshdrawnil \cellx8789\row \ltrrow}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14699127 { \rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 2 \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 Nazwiska poprzednio u\'bfywane \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \par \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 \trowd \irow1\irowband1\ltrrow \ts11\trgaph70\trleft-70\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3\tblrsid14699127\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth460\clshdrawnil \cellx390\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4035\clshdrawnil \cellx4425\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl \brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4364\clshdrawnil \cellx8789\row \ltrrow}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14699127 { \rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 3 \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 Imiona rodzic\'f3w \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \par \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 \trowd \irow2\irowband2\ltrrow \ts11\trgaph70\trleft-70\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3\tblrsid14699127\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth460\clshdrawnil \cellx390\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4035\clshdrawnil \cellx4425\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl \brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4364\clshdrawnil \cellx8789\row \ltrrow}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14699127 { \rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 4 \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 Data i miejsce urodzenia \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \par \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 \trowd \irow3\irowband3\ltrrow \ts11\trgaph70\trleft-70\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3\tblrsid14699127\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth460\clshdrawnil \cellx390\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4035\clshdrawnil \cellx4425\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl \brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4364\clshdrawnil \cellx8789\row \ltrrow}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14699127 { \rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 5 \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 Obywatelstwo \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \par \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 \trowd \irow4\irowband4\ltrrow \ts11\trgaph70\trleft-70\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3\tblrsid14699127\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth460\clshdrawnil \cellx390\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4035\clshdrawnil \cellx4425\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl \brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4364\clshdrawnil \cellx8789\row \ltrrow}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14699127 { \rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 6 \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 Numer PESEL \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \par \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 \trowd \irow5\irowband5\ltrrow \ts11\trgaph70\trleft-70\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3\tblrsid14699127\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth460\clshdrawnil \cellx390\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4035\clshdrawnil \cellx4425\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl \brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4364\clshdrawnil \cellx8789\row \ltrrow}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14699127 { \rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 7 \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 NIP \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \par \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 \trowd \irow6\irowband6\ltrrow \ts11\trgaph70\trleft-70\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3\tblrsid14699127\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth460\clshdrawnil \cellx390\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4035\clshdrawnil \cellx4425\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl \brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4364\clshdrawnil \cellx8789\row \ltrrow}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14699127 { \rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 8 \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 Miejsce zamieszkania}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127 ,}{ \rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 ze wskazaniem, od ilu lat kandydat mieszka na terenie gminy \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \par \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 \trowd \irow7\irowband7\ltrrow \ts11\trgaph70\trleft-70\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3\tblrsid14699127\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth460\clshdrawnil \cellx390\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4035\clshdrawnil \cellx4425\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl \brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4364\clshdrawnil \cellx8789\row \ltrrow}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14699127 { \rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 9 \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 Adres do korespondencji i dane kontaktowe (numer telefonu domowego, numer telefonu w miejscu pracy i\~ewentualnie adres e-mail) \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \par \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 \trowd \irow8\irowband8\ltrrow \ts11\trgaph70\trleft-70\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3\tblrsid14699127\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth460\clshdrawnil \cellx390\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4035\clshdrawnil \cellx4425\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl \brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4364\clshdrawnil \cellx8789\row \ltrrow}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14699127 { \rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 10 \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 Wykszta\'b3cenie i kierunek (np. wy\'bfsze ekonomiczne, \'9crednie zawodowe }{\rtlch\fcs1 \af2 \ltrch\fcs0 \f2\insrsid14699127 \endash }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127 technik budowlany}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 ) \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \par \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 \trowd \irow9\irowband9\ltrrow \ts11\trgaph70\trleft-70\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3\tblrsid14699127\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth460\clshdrawnil \cellx390\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4035\clshdrawnil \cellx4425\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl \brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4364\clshdrawnil \cellx8789\row \ltrrow}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14699127 { \rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 11 \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 Status zawodowy (np. pracownik, przedsi\'ea biorca, emeryt, bezrobotny) oraz wskazanie, od ilu lat (miesi\'eacy) w\~nim pozostaje \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \par \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 \trowd \irow10\irowband10\ltrrow \ts11\trgaph70\trleft-70\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3\tblrsid14699127\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth460\clshdrawnil \cellx390\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4035\clshdrawnil \cellx4425\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl \brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4364\clshdrawnil \cellx8789\row \ltrrow}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14699127 { \rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 12 \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 Miejsce pracy }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid10570847 lub prowadzonej}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 dzia\'b3alno\'9cci}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127 ,}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 ze wskazaniem, od ilu lat kandydat }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid10570847 jest zatrudniony lub prowadzi dzia\'b3alno\'9c\'e6 gospodarcz\'b9}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 na terenie gminy \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \par \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 \trowd \irow11\irowband11\ltrrow \ts11\trgaph70\trleft-70\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3\tblrsid14699127\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth460\clshdrawnil \cellx390\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4035\clshdrawnil \cellx4425\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl \brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4364\clshdrawnil \cellx8789\row \ltrrow}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14699127 { \rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127 13}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 Do\'9cwiadczenie w prac}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127 y spo \'b3ecznej (np. cz\'b3onkostwo w\~}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 organizacjach spo\'b3ecznych) \par \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \par \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 \trowd \irow12\irowband12\ltrrow \ts11\trgaph70\trleft-70\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3\tblrsid14699127\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth460\clshdrawnil \cellx390\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4035\clshdrawnil \cellx4425\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl \brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4364\clshdrawnil \cellx8789\row \ltrrow}\trowd \irow13\irowband13\ltrrow \ts11\trgaph70\trrh1459\trleft-70\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3\tblrsid14699127\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth460\clshdrawnil \cellx390\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4035\clshdrawnil \cellx4425\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl \brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4364\clshdrawnil \cellx8789\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14699127 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127 14}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 Motywy kandydowania na \'b3awnika \par \par \par \par \par \par \par \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \par \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 \trowd \irow13\irowband13\ltrrow \ts11\trgaph70\trrh1459\trleft-70\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3\tblrsid14699127\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth460\clshdrawnil \cellx390\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4035\clshdrawnil \cellx4425\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl \brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4364\clshdrawnil \cellx8789\row \ltrrow}\trowd \irow14\irowband14\ltrrow \ts11\trgaph70\trleft-70\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3\tblrsid14699127\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth460\clshdrawnil \cellx390\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4035\clshdrawnil \cellx4425\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl \brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4364\clshdrawnil \cellx8789\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14699127 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127 15}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 Informacja o pe\'b3nieniu funkcji \'b3awnika w poprzednich kadencjach \par \par \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \par \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 \trowd \irow14\irowband14\ltrrow \ts11\trgaph70\trleft-70\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3\tblrsid14699127\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth460\clshdrawnil \cellx390\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4035\clshdrawnil \cellx4425\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl \brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4364\clshdrawnil \cellx8789\row \ltrrow}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14699127 { \rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127 16}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 Informacja, do orzekania w kt\'f3rym s\'b9dzie (w s\'b9dzie okr\'eagowym albo rejonowym) proponowany jest kandydat \par \par \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \par \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 \trowd \irow15\irowband15\ltrrow \ts11\trgaph70\trleft-70\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3\tblrsid14699127\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth460\clshdrawnil \cellx390\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4035\clshdrawnil \cellx4425\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl \brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4364\clshdrawnil \cellx8789\row \ltrrow}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14699127 { \rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127 17}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \cell Informacja, czy zg\'b3aszany kandydat jest proponowany do orzekania w sprawach z\~ zakresu prawa pracy wraz ze zwi\'eaz\'b3ym uzasadnieniem potwierdzaj\'b9cym szczeg\'f3ln\'b9 znajomo\'9c\'e6 spraw pracowniczych \par \par (}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \i\f0\fs16\insrsid14699127\charrsid3304002 w}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \i\f0\fs16\insrsid14699127 razie braku miejsca w rubryce}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \i\f0\fs16\insrsid14699127\charrsid3304002 mo\'bfna do\'b3\'b9czy\'e6 odr\'eabn\'b9 kart\'ea) }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 \trowd \irow16\irowband16\lastrow \ltrrow\ts11\trgaph70\trleft-70\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3\tblrsid14699127\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb \brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth460\clshdrawnil \cellx390\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4035\clshdrawnil \cellx4425 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4364\clshdrawnil \cellx8789\row }\pard \ltrpar \qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14699127 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127 \par C. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid3304002 Dane podmiotu zg\'b3aszaj\'b9ce}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127 go kandydata na \'b3awnika (wype\'b3nia podmiot zg\'b3aszaj\'b9cy)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid3304002 : \par \par \ltrrow}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14699127 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 1 \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 Nazwa podmiotu i oznaczenie siedziby}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\super\insrsid14699127\charrsid10645687 *}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid8941888 \par }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \par \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 \trowd \irow0\irowband0\ltrrow \ts11\trgaph70\trleft-70\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3\tblrsid14699127\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth460\clshdrawnil \cellx390\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4035\clshdrawnil \cellx4425\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl \brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4364\clshdrawnil \cellx8789\row \ltrrow}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14699127 { \rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 2 \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 Imi\'ea i nazwisko osoby zg\'b3aszaj\'b9cej kan}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127 dydata,}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 uprawnionej do reprezentacji \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \par \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 \trowd \irow1\irowband1\ltrrow \ts11\trgaph70\trleft-70\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3\tblrsid14699127\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth460\clshdrawnil \cellx390\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4035\clshdrawnil \cellx4425\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl \brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4364\clshdrawnil \cellx8789\row \ltrrow}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14699127 { \rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 3 \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 Podpi}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127 s osoby zg\'b3aszaj\'b9 cej kandydata,}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 uprawnionej do reprezentacji \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \par \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 \trowd \irow2\irowband2\ltrrow \ts11\trgaph70\trleft-70\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3\tblrsid14699127\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth460\clshdrawnil \cellx390\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4035\clshdrawnil \cellx4425\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl \brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4364\clshdrawnil \cellx8789\row \ltrrow}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14699127 { \rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 4 \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 Nazwa i numer rejestru}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127 lub ewidencji}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 , do kt\'f3r}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127 ych}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 podmiot jest wpisany \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \par \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 \trowd \irow3\irowband3\ltrrow \ts11\trgaph70\trleft-70\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3\tblrsid14699127\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth460\clshdrawnil \cellx390\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4035\clshdrawnil \cellx4425\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl \brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4364\clshdrawnil \cellx8789\row \ltrrow}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14699127 { \rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 5 \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 Dane teleadresowe do korespondencji: adres (je\'bfeli jest inny ni\'bf adres}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127 siedziby), telefon kontaktowy }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 i adres e-mail \par \cell }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \par \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 \trowd \irow4\irowband4\lastrow \ltrrow \ts11\trgaph70\trleft-70\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3\tblrsid14699127\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth460\clshdrawnil \cellx390\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl\brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4035\clshdrawnil \cellx4425\clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl \brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth4364\clshdrawnil \cellx8789\row }\pard \ltrpar\qj \li0\ri0\widctlpar\tx284\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14699127 { \rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid8941888 *}{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \f0\fs18\insrsid14699127 \tab Prezes s\'b9du wype\'b3nia w cz\'ea\'9cci C wy\'b3\'b9cznie rubryk\'ea 1.}{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \f0\fs18\insrsid14699127\charrsid3304002 \par }\pard \ltrpar\qj \li0\ri0\sb240\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14699127 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid3304002 Stosownie do art. 7 pkt 5 ustawy z dnia 29 sierpnia 1997 r. o ochronie danych osobowych (Dz. U. z\~2002\~r. Nr 101, poz. 926, z p\'f3\'9fn. zm.) o\'9cwiadczam, \'bfe wyra\'bfam zgod\'ea na przetwarzanie moich danych osobowych zamieszczonych w niniejszej karcie zg\'b3oszenia w zakresie niezb\'eadnym do przeprowadzenia procedury wyboru \'b3awnik\'f3w przez rad\'ea gminy oraz do czynno\'9cci administracyjnych s\'b9du zwi\'b9zanych z\~ organizacj\'b9 pracy \'b3awnik\'f3w. \par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14699127 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid14699127 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid14699127\charrsid3304002 Wyra\'bf am zgod\'ea na kandydowanie i potwierdzam prawdziwo\'9c\'e6 danych zawartych w karcie zg\'b3oszenia w\'b3asnor\'eacznym podpisem. \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid3304002 \par \par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph70\trleft-70\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3\tblrsid14699127\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrtbl \clbrdrr \brdrnone \cltxlrtb\clftsWidth3\clwWidth3584\clshdrawnil \cellx3514\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrtbl \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1822\clshdrawnil \cellx5336\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrtbl \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth3453\clshdrawnil \cellx8789\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14699127 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 ......................}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127 .....................}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 ........\cell }\pard \ltrpar \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14699127 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \cell }\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14699127 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{ \rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 .............}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127 ......................................}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 ...........\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 \trowd \irow0\irowband0\ltrrow\ts11\trgaph70\trleft-70\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3\tblrsid14699127\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrtbl \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth3584\clshdrawnil \cellx3514\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrtbl \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1822\clshdrawnil \cellx5336\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb \brdrtbl \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth3453\clshdrawnil \cellx8789\row \ltrrow}\trowd \irow1\irowband1\lastrow \ltrrow \ts11\trgaph70\trleft-70\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3\tblrsid14699127\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3584\clshdrawnil \cellx3514\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1822\clshdrawnil \cellx5336\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3453\clshdrawnil \cellx8789\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14699127 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 miejscowo\'9c\'e6 i data wype\'b3nienia \par \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14699127 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \par \cell }\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14699127 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 czytelny podpis kandydata na \'b3awnika \par \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 \trowd \irow1\irowband1\lastrow \ltrrow \ts11\trgaph70\trleft-70\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3\tblrsid14699127\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3584\clshdrawnil \cellx3514\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1822\clshdrawnil \cellx5336\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3453\clshdrawnil \cellx8789\row }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14699127 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid3304002 \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid14699127\charrsid3304002 Potwierdzam prawdziwo\'9c\'e6 danych zawartych w karcie zg\'b3oszenia w\'b3asnor\'eacznym podpisem.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid14699127 \par \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid14699127\charrsid3304002 \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127 \tab \tab \tab \tab \tab \tab \par \tab \par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph70\trleft-70\trftsWidth3\trwWidth9070\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3\tblrsid14699127\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrtbl \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth3584\clshdrawnil \cellx3484\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrtbl \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1706\clshdrawnil \cellx5176\clvertalt\clbrdrt\brdrnone \clbrdrl \brdrnone \clbrdrb\brdrtbl \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth3780\clshdrawnil \cellx9000\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14699127 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 ......................}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127 .......................}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 ........\cell }\pard \ltrpar \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14699127 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \cell ....}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127 ..................}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 .........}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127 .................................................}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 ..}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127 .}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 .........\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 \trowd \irow0\irowband0\ltrrow\ts11\trgaph70\trleft-70\trftsWidth3\trwWidth9070\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3\tblrsid14699127\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrtbl \clbrdrr \brdrnone \cltxlrtb\clftsWidth3\clwWidth3584\clshdrawnil \cellx3484\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrtbl \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth1706\clshdrawnil \cellx5176\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrtbl \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth3780\clshdrawnil \cellx9000\row \ltrrow}\trowd \irow1\irowband1\lastrow \ltrrow \ts11\trgaph70\trleft-70\trftsWidth3\trwWidth9070\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3\tblrsid14699127\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3584\clshdrawnil \cellx3484\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1706\clshdrawnil \cellx5176\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3856\clshdrawnil \cellx9000\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14699127 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127 (}{ \rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 miejscowo\'9c\'e6 i data wype\'b3nienia}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127 )}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \par \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14699127 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \par \cell }\pard \ltrpar\qj \li-70\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin-70\pararsid14699127 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127 (}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 czytelny podpis prezesa s\'b9du albo osoby reprezentuj\'b9cej podmiot }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127 okre\'9clony w }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 art. 162 \'a7 1 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid10570847 ustawy z dnia 27 lipca 2001 r. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid8854477 \endash }{ \rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid10570847 Prawo o ustroju s\'b9d\'f3w powszechnych}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127 ,}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid10570847 }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 uprawnion}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127 ej }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 do zg\'b3oszenia kandydata b\'b9d\'9f jednego }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127 \line }{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 z pi\'ea\'e6dziesi\'ea ciu obywateli zg\'b3aszaj\'b9cych kandydata}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127 )}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16\insrsid14699127\charrsid3304002 \cell }\pard \ltrpar \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14699127\charrsid3304002 \trowd \irow1\irowband1\lastrow \ltrrow \ts11\trgaph70\trleft-70\trftsWidth3\trwWidth9070\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3\tblrsid14699127\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3584\clshdrawnil \cellx3484\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1706\clshdrawnil \cellx5176\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3856\clshdrawnil \cellx9000\row }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14699127 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127 \par \tab }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\ul\insrsid14699127\charrsid3304002 POUCZENIE:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid14699127\charrsid3304002 \par }\pard \ltrpar\qj \fi708\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14699127 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid8854477 Zg\'b3oszenie}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid8854477 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid3304002 kt\'f3re wp\'b3yn\'ea\'b3o do rady gminy po up\'b3ywie terminu okre\'9clonego w art. 162 \'a7 1 ustawy}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid12672202 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127 z dnia \line 27 lipca 2001 r.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid8854477 \endash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127 Prawo o ustroju s\'b9}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid8854477 d\'f3w powszechnych}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid8854477 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127 lub niespe\'b3niaj\'b9ce wymaga\'f1 formalnych, o kt\'f3rych mowa w art.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid7305236 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127 162 \'a7 2 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid8854477 \endash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127 5}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid3304002 ustawy}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid12672202 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127 z dnia 27 lipca 2001 r.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid8854477 \endash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127 Prawo o ustroju s\'b9}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid8854477 d \'f3w powszechnych}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127 i }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid8854477 rozporz\'b9dzeni}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid15420711 u Ministra Sprawiedliwo\'9cci z }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127 dnia 9 czerwca 2011 r. w sprawie sposobu post\'eapowania }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid8854477 z dokumentami z\'b3o\'bfonymi radom gmin przy zg\'b3aszaniu kandydat\'f3w na \'b3awnik\'f3 w oraz wzoru karty zg\'b3oszenia}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid8854477 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid3304002 pozostawia si\'ea bez }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid10570847 dalszego}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid3304002 biegu.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid3304002 Termin do zg\'b3oszenia kandydata nie podlega przywr\'f3ceniu. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127\charrsid3304002 Kart\'ea zg\'b3os}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127 zenia wraz za\'b3\'b9cznikami }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127\charrsid3304002 (informacja z Krajowego Rejestru Karnego}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127\charrsid1978418 ; }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127\charrsid10570847 o\'9cwiadczenie}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf1\insrsid14699127\charrsid10570847 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127\charrsid10570847 kandydata}{ \rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127\charrsid10570847 \'bfe nie jest prowadzone}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127 przeciwko niemu post\'eapowanie o przest\'ea pstwo \'9ccigane z }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127\charrsid10570847 oskar\'bfenia publicznego lub przest\'eapstwo skarbowe; o\'9cwiadczenie kandydata, \'bfe nie jest lub nie by\'b3 pozbawiony w\'b3adzy rodzicielskiej, a tak\'bfe \'bfe w\'b3adza rodzicielska nie zosta\'b3a mu ograniczona ani zawieszona; za\'9cwiadczenie lekarskie}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127 o stanie zdrowia}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127\charrsid10570847 , stwierdzaj\'b9ce brak przeciwwskaza\'f1 do wykonywania funkcji \'b3awnika}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127 ; dwa zdj\'eacia}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127\charrsid3304002 ; }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid1978418 aktualny odpis z Krajowego Rejestru S\'b9dowego albo odpis lub za\'9cwiadczenie potwierdzaj\'b9ce wpis do innego w\'b3a\'9cciwego}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid14699127\charrsid1978418 rejestru lub ewidencji}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127\charrsid10570847 ;}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127 lista os\'f3b zg\'b3aszaj\'b9cych kandydata)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127\charrsid10570847 podmiot zg\'b3aszaj\'b9cy kandydata na \'b3awnika}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127 lub kandydat,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127\charrsid10570847 }{ \rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127 kt\'f3ry nie zosta\'b3 wybrany na \'b3awnika,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127\charrsid3304002 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127 powinien odebra\'e6 w }{ \rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127\charrsid3304002 nieprzekraczalnym terminie 60 dni od dnia przeprowadzenia wybor\'f3w. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127\charrsid2884300 W przypadku nieodebrania dokument\'f3w}{ \rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127 w terminie wy\'bfej wskazanym}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127\charrsid2884300 , dokumentacja zostanie zniszczona }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127 w terminie 30 dni.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127\charrsid2884300 \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127\charrsid3304002 Informacje zawarte w karcie zg\'b3oszenia s\'b9 jednocze\'9cnie wykorzys}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127 tywane przez administracj\'ea s\'b9du. \par }\pard \ltrpar\qj \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14699127 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127 \tab W }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127\charrsid3304002 razie }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127 zaistnienia jakichkolwiek zmian}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127\charrsid3304002 \'b3awnik powinien }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127 je }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127\charrsid3304002 zg\'b3osi\'e6 do oddzia\'b3u administracyjnego w\'b3a\'9cciwego s\'b9du.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf1\insrsid14699127 \par }}