Translated from Russian into English

COPY

PASSPORT
OF THE CITIZEN OF THE RUSSIAN FEDERATION

Page 2 ***
THE RUSSIAN FEDERATION

Passport issued by: DEPARTMENT OF THE ADMINISTRATION OF THE

FEDERAL MIGRATION SERVICE OF RUSSIA FOR NIZHNY NOVGOROD
REGION, NIZHEGORODSKY DISTRICT, NIZHNY NOVGOROD CITY

Date of issue: *** Subdivision code: 520-005

/Signature/
Signature

/Seal:
Personal code /FEDERAL MIGRATION SERVICE 520-005//

/Signature/
Personal signature

Page 3
Last name: ***
First name: ***
/PHOTO/ Patronymic: ***
Gender: FEMALE Date of birth: ***
Place of birth: GORKY CITY
***
Page 4
No records

Page 5
PLACE OF RESIDENCE
Stamp: /REGISTERED
March 28, 2003
Region: NIZHNY NOVGOROD REGION
Community: NIZHNY NOVGOROD CITY
Street: NIZHNE-PECHERSKAYA STR.
House: 11 Bld.: - Apt.: 5
DEPARTMENT OF THE ADMINISTRATION OF THE FEDERAL MIGRATION SERVICE
OF RUSSIA FOR NIZHNY NOVGOROD REGION, NIZHEGORODSKY DISTRICT, NIZHNY
NOVGOROD CITY
520-005 Certified by: /Signature//

Pages 6-12
No records

Page 13
 Translated from Russian into English

MILITARY DUTY
No records

Page 14
FAMILY STATUS
/Stamp:
STATE REGISTRATION OF DISSOLUTION OF MARRIAGE WAS PERFORMED on
***
(date)
***, ***
(spouse’s name, date of birth)
DEPARTMENT OF REGISTRATION AND CIVIL STATUS OF NIZHEGORODSKY
DISTRICT, NIZHNY NOVGOROD
(Name of authority performing dissolution of marriage)
Marriage was terminated on ***
Entry No. ***
520-005 Certified: /signature//

Page 15
No records

Pages 16-17
CHILDREN
Gender Full name Date of birth Personal code

No records

Page 18
No records

Page 19
Stamp: /Information about previously issued passport
Series Number Code Issued
XV-TH 599596 ***
22 01 794160 522-005 ***
22 03 169153 522-005 ***
520-005 Certified: /signature//

Stamp: /PASSPORT WAS ISSUED

Series 64 No. ***
***
Directorate of the Federal Migration Service No. 802
(Issuing authority)
/signature//
 Translated from Russian into English

EXTRACT
from the Provision on the passport of the citizen of the Russian Federation

1. The passport of the citizen of the Russian Federation is the primary document certifying
the identity of the citizen of the Russian Federation on the territory of the Russian
Federation.
All the citizens of the Russian Federation who achieved 14 year-old age and reside at the
Russian Federation shall hold the passport.
5. … The mark containing the blood group and Rh factor may be put in the passport by the
relevant health institutions at the passport holder’s wish.
6. … The passport containing the information, marks and notes not provided by the present
Provision is considered to be invalid.
7. The passport of the citizen is valid:
From 14 year-old age until 20 year-old age;
From 20 year-old age until 45 year-old age;
From 45 year-old age for an unlimited period of time.
17. The passport's holder shall carefully keep the passport. In case of loss of the passport its
holder shall immediately notify of the loss the Department of Internal Affairs.
22. The passport may not be withdrawn from the passport's holder except as otherwise
provided in the law of the Russian Federation.

The city of Nizhny Novgorod

***

I, ***, notary public of Nizhny Novgorod, the city of region subordinance, certify that this
copy is a true copy of the original document. The document contains no erasures, additions,
crossed out words and other non-stipulated corrections or peculiarities.

Fixed in the Register under No. 3K - 516.

Fee received 690 rubles.
Notary public /signature/ ***

Seal: /Notary public ***, Location: Nizhny Novgorod

Notary district: Nizhny Novgorod city of region subordinance/

Total bound, numbered and sealed

6 (six) pages.
Notary public /signature/ ***
Seal: /Notary public ***, Location: Nizhny Novgorod
Notary district: Nizhny Novgorod city of region subordinance/