Certified translation from Romanian into English
ROMANIA
MINISTRY OF ADMINISTRATION AND HOME AFFAIRS Series N No. XXXX
POLICE SUPERINTENDENCE, X County
-Criin!" Re#or$-
Fiscal
stamp
Notification for issuing personal data no. 1110 Illegible
stamp
CERTIFICATE OF CRIMINAL RECORD
Number XXXX of XXXXXXXXXXXX
Name
XXXXXXXXXXXXX
First name
XXXXXXXXXXXXX
Date of birth
XXXXXXXXXXXXX
Personal identification number
XXXXXXXXXXXXX
Place of birth
XXXXXXXXXXXXX
Last residence
XXXXXXXXXXXXX
T%e %o"$er i s not re&i stere$ in t%e #riin!" re#or$ 'oo(.
This certificate was issued to be used for: XXXXXXXXXXXXX.
He!$ o) #riin!" re#or$ $e*!rtent,
Police Chief Commissioner XXXXXXXXXXXXX
Stamp and illegible signature
CONFIDENTIAL!
OBSER!T"ON# Personal data$ issued accordin% to Law no& '(()*++,