APPLICATION FOR INDIVIDUAL VlTAL STATISTICS RECORDS
          (BIRTH, MARRIAGE, DEATH) FROM THE SLOVAK REPUBLIC

1. Name and address of the applicant ____________________________

_________________________________________________________________

2. Type of Certificate requested (birth, marriage, death) _______

3· Information on the person searched for:

a) Name _________________________________________________________

b) Date of birth ________ c) Place of birth _____________________

d) Further identification of the locality (county, parish or 

larger town nearby) ______________________________________________

e) Name of the father ____________________________________________

f) Name of the mother ____________________________________________

g) Religion ______________________________________________________

h) Other information _____________________________________________

__________________________________________________________________

4. I also request:
a) microfilms, photocopies, etc. of the records __________________

b) dupIicates of the records _____________________________________

5. My limit on research charges is US $ __________________________

6. I accept the mailing of the report upon the receipt of my
payment.


Date __________________  Signature  ______________________________


FEES (as valid by September, 1995)

The fee is calculated on the basis of amount 6 working hours and
difficulty of the research; copies, postage and handling are paid 
as well. Negative answer must be paid also.

- simple research: 350.00 Sk/l hr. (1 US $ = 30.00 Sk)
- demanding research: 550.00 Sk/hr.
- very demanding research: 600.00 Sk/hr.
- typing: 80.00 Sk/hr.
- administrative fee: 100.00/200.00 Sk