Formular Aplikimi Për Informim Të Të Vdekurve Apo Të Të Zhdukurve - Autoriteti për Informimin mbi Dokumentet e Ish-Sigurimit të Shtetit

SECTION A: INFORMATION ABOUT THE APPLICANT

1. Name

2. Surname

3. Father's name/surname

4. Mother's name/surname

5. Identification document number

6. Connection with the missing person

7. Gender

Male Female

8. Date of Birth

9. Place of Birth

10. Nationality

11. Adresa, Fshati, Nj. Administrative, Bashkia

12. Postal Code

13. E-mail

14. Phone Number

15. Landline Phone Number

SECTION B: INFORMATION ABOUT THE MISSING PERSON

16. Name

17. Surname

18. Known by another name/surname

19. Nickname

20. Father's Name/Surname

21. Mother's Name/Surname

22. Father's other known name/surname

23. Mother's Maiden Name

24. Gender

Male Female

25. Date of Birth

26. Nationality

27. Education

28. Profession

29. Place of birth/Residence before disappearance Full address: Village, City, District

30. Date when the missing person was last seen

31. Known place/location before disappearance (optional)

32. Date and place where he is believed to have disappeared (detailed description of the suspected location)

33. Date of Death

34. Data to facilitate the identification of archival documentation, the place where the event occurred, date/month/year; process and sentence; place of execution of the sentence; place of execution of deportation/internment; as well as any other detail that individualizes the missing person and that facilitates the search for data, should be attached to accompanying documentation, if any.

35. Name, Patronymic and Surname of the Heirs, Family Members and Relatives of the missing person, who are living

36. Missing Person Connection

37. Contact number

38. The applicant submits a request for information in the capacity of a relative of the deceased or missing person

Relatives of the Missing Person Relatives of the Missing Person Other

39. Reason for submitting the request:

To find the remains of the missing person, and clarify his fate

40. The applicant consents to:

Interview/testimony The provision, use/publication of any document/artifact brought and stored by AIDSSH Collection, processing and publication of data on the missing person, family members and applicants according to point 38

SECTION C: SUBMITTED DOCUMENTATION

41. Dokumentacioni i paraqitur:

Identification Tool

Power of Attorney Representation

Family relationship (proof of inheritance/certificate, etc.)

Ky formular nuk ndalon aplikantin të vazhdojë kërkimet edhe në institucione apo burime të tjera, ku ai e sheh të arsyeshme. E drejta e kërkimit për informimin dhe vënia në dispozicion e dokumenteve sipas ligjit nr 45/2015 “Për të drejtën e informimit për dokumentet e ish-Sigurimit, të Shtetit të Republikës Popullore Socialiste të Shqipërisë” ushtrohet nga kërkuesit e individëve, duke iu drejtuar Autoritetit për Informimin mbi Dokumentet e ish-Sigurimit të Shtetit, nëpërmjet shërbimit postar ose pranë zyrës së informimit të Autoritetit.

Applicant's Signature

Date of Signature

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Application Form for Information on the Deceased or Missing