's date of birth 39. Mecup Hapapx•HHn mma (woHki)/Spouse's place of birth kpaiHa/country rbt3aNdtY so6nacub (padm)/region day month year 40. Kani Bac cynpasawkwoub new i AHbl piecembi y Baw nawnapr, 3ano9Hiue Tabniuy/If you are accompanied by children and they are included in your passport fill in

39. Meow HaPaate3HHA myna (Hand)/Spouse's place of birth NA NA Kpama/country rOMOICRY aodnacla, (PaeH)/reglon NA MA day I month if year 40. Kani Bac cynpaaawKaote, mad i woe ysecetisyBatu natriam, 3anoyitie taranigyflf you are accompanied by chidren and they are included in your passport fill In