Meno a priezvisko (Name and Surname): 
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Adresa trvalého pobytu (address of permanent residence):
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Okresný úrad
                                       	Odbor školstva
                                       	Hviezdoslavova 3
                                       911 01 Trenčín

Žiadosť o automatické uznanie dokladov o vzdelaní na účely pokračovania v štúdiu
(Application for Recognition of education for the purpose of continuing in study)

týmto žiadam o uznanie dokladu o ukončenom vzdelaní, ktoré som získal na zahraničnej škole 
(I hereby apply for recognition of the the leaving certificate (diploma) obtained at a foreign school)
Názov školy (Name of the school)..............................................................................................................................
Adresa školy (Address of the school)..........................................................................................................................
V štáte (Country)...........................................................................................................................................................
Rok ukončenia štúdia (year when I completed the school).....................................................................................

    K žiadosti prikladám nasledovné doklady (I enclose the following documents with the application):

1.	kópia dokladu totožnosti (copy of identification document),

2.	osvedčené kópie dokladov o ukončenom vzdelaní - preklad do slovenského jazyka musí vyhotoviť súdny tlmočník (certified copy of the leaving certificate (diploma) - translation into Slovak must be made by a court interpreter),

3.	doklad o zaplatení správneho poplatku 5 EUR (proof of payment of the administrative fee 5 EUR).

V (Place)  ........................................................		 dňa (Date) ...............................................

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                                                                                                             podpis žiadateľa
	 (signature of applicant)