POCCI4IICKAA 413EAEPA111451
RUSSIAN FEDERATION
nOSAIIICb anamn
Holder's signature
P0CCHIACKAH / RUSSIAN FEDERATION
nacnopT /PASSPORT Type Katt ocmaperaa.' ode of
k
ebtileee USC j issuing State
(Dammam!Surname
time /Given 'Mete%
iNoknaHr-ren r
POCCHACKAA (DEAEPAL0454 / RUSSIAN FEDERATION
Mara poAcileHosi Dale ol birth YireT)48A
I ion Sex rvieero ormileurisi /Place of birth
X/ F
/late fluto,aNd“, Da/1e or issue iil rati. abiaaatui4A aoicymeirt /Authority
12.02.2013 OMC 77536
/lora OK 01r4aHNSI cposca Date of expiry ['impact, eatmenbua i Holder's signature
12.02.2023
EFTA01599485