Formular Aplikimi për Informim për Zyrtarët AIDSSH

SECTION A: INFORMATION ABOUT THE APPLICANT

1. Name

2. Surname

3. Other names
If any

3. Other surnames
(Before July 2, 1991) If any

4. NID Personal identification number

5. Gender

Male Female

3. Father's Name

7. Father's surname

8. Mother's Name

9. Mother's surnameBefore marriage

10. Date of Birth

11. Place of Birth

12. Nationality

13. Other citizenships
If any

14. Address

15. City

16. District

17. Postal Code

18. E-mail

19. Phone Number

20. Landline Phone Number

SECTION B: SPECIFIC INFORMATION ABOUT THE APPLICATION

Current position

22. Position for which the candidate is applying
If applicable

23. Entity in which the candidate is applying
If applicable

24. Reason for verification

Before appointment Promotion Elected Vetting process

SECTION C: ADDITIONAL INFORMATION FOR DATA SUPPORTING DOCUMENT IDENTIFICATION ARCHIVE
place of residence/work after reaching the age of 18 (before July 2, 1991)

From date dd/mm/yyyy

On date dd/mm/yyyy

Name of the Center / Institution where employed and the school where studied

District / City / Area / Unit / Border Post

Position held

Others

Have you previously applied for background verification?

Mezini Commission Bezhani Commission Document copy if available

SECTION C: SUBMITTED DOCUMENTATION

Documents

Photocopy of identity card.

Notarized copy of the name change decision, if there are other names (as filled in point 3).

Justification from the Subject for priority processing of the request.

Note: This form is to be completed and signed by the applicant, and the requesting institution shall submit it to the Authority for Information on the Documents of the former State Security.

I declare that the information provided by me in this document is true and that I have not declared anything that is untrue.

Applicant's Signature

Date of Signature

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Application Form for Information on Officials Prior to Appointment/Promotion/Election to High Positions/Vetting Process