Formular Aplikimi për Informim të Individëve AIDSSH

SECTION A: INFORMATION ABOUT THE APPLICANT

1. Name

2. Surname

3. Father's Name

4. NID Personal identification number

5. Gender

Male Female

6. Date of Birth

7. Place of Birth

8. Nationality

9. Address

10. City

11. District

12. Postal Code

13. E-mail

14. Phone Number

15. Landline Phone Number

SECTION B: INFORMATION ABOUT THE REQUESTER
If the Applicant and the Requester are the same person, proceed to complete Section C

16. Name

17. Surname

18. Father's Name

19. NID Personal identification number

20. Gender

Male Female

21. Date of Birth

22. Place of Birth

23. Nationality

24. Adresa

25. City

26. District

SECTION C: SPECIFIC INFORMATION ABOUT THE REQUESTER

27. The applicant

Lives Doesn't live.

28. Other names
if any

30. Father's last name
Others if any

31. Mother's Name

32. Mother's surname
Before marriage

33. Other citizenships
If any

34. The applicant submits a request for Information in the capacity of

35. Reason for submitting the request for information on the documents of the former State Security

To obtain information on whether I have ever been under surveillance by the former State Security and whether there are documents about me in the archives of the former State Security To rehabilitate the dead or missing To preserve the personal rights of the dead or missing, in particular to clarify the accusation of collaboration with the former State Security To clarify the fate of the dead or missing To prove that you were not a collaborator To prove that you were not favored For documents that exist and were prepared for collaborators For reports compiled and prepared by the collaborators themselves Other

36. Processing of the request

By ordinary procedure With priority

37. Argument for priority treatment of the request

For rehabilitation For compensation For avoidance of violation of private life or moral damage For confirmation of the fact of non-cooperation with the former state security

38. Data to facilitate the identification of archival documentation.
Specify: i) the place where the event occurred; ii) the time when the event occurred, date, month, year; iii) political process and sentence; iv) place of execution of the sentence; v) place of execution of the expulsion/internment; as well as any other detail or information that facilitates the search for data (attach accompanying documentation if available).

SECTION D: SUBMITTED DOCUMENTATION

Documents

Photocopy of identity card.

Proxy, when the application is submitted by an authorized representative.

Document proving family relationship (proof of inheritance/certificate, etc.).

The right to request information and make documents available under Law No. 45/2015 “On the Right to Information on Former State Security Documents of the People's Socialist Republic of Albania”, is exercised by individual applicants, by contacting the Authority for Information on Former State Security Documents through the postal service or at the Authority's information office.

Applicant's Signature

Date of Signature

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Application Form for Information on Individuals