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specific needs of children and elderly left behind as a ... - IOM Moldova

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Annexes<br />

Annex 7. Certificate for the registration <strong>of</strong> <strong>children</strong> who remain<br />

in the country but whose parents, citizens <strong>of</strong> the Republic<br />

<strong>of</strong> <strong>Moldova</strong>, are temporarily employed abroad<br />

Heading <strong>of</strong> Social Work <strong>and</strong> Family Protection Department/<br />

Child Protection Department from the municipality <strong>of</strong> Chisinau<br />

ECPAMS-1<br />

CERTIFICATE<br />

for the registration <strong>of</strong> <strong>children</strong> who remain in the country but whose parents,<br />

citizens <strong>of</strong> the Republic <strong>of</strong> <strong>Moldova</strong>, are temporarily employed abroad<br />

issued to the citizen ______________________________________________________,<br />

(surname, name)<br />

identity card ____________________________________________________________,<br />

(serial number)<br />

residence at ____________________________________________________________.<br />

(locality, address)<br />

This certificate confirms that in c<strong>as</strong>e <strong>of</strong> temporary employment abroad <strong>of</strong> the citizen<br />

______________________________________________________________________<br />

(surname, name)<br />

child __________________________________________________________________,<br />

(surname, name)<br />

born on ________________________________________________________________,<br />

(date, month, year)<br />

birth certificate __________________________________________________________,<br />

(serial number)<br />

is <strong>left</strong> in husb<strong>and</strong>’s/wife’s care ______________________________________________,<br />

(surname, name)<br />

identity card ____________________________________________________________<br />

(serial number)<br />

residence at ____________________________________________________________.<br />

(locality, address)<br />

Applicant’s signature_____________<br />

Head specialist in<br />

Child Rights Protection Signature_____________<br />

Head <strong>of</strong> Social Work<br />

<strong>and</strong> Family Protection Department/Signature_____________<br />

Child Protection Department from the municipality <strong>of</strong> Chisinau Authority seal<br />

Date <strong>of</strong> issue __________200_________<br />

The certificate is valid for 3 months from when it w<strong>as</strong> issued.<br />

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