Portal for electronic administrative services

1. Applicant

Electronic service recipient

Bulgarian citizen

Foreign citizen

Legal entity

Foreign legal entity

Name

Middle name(s)

Surname

Name

Surname

Country

Settlement

Date of birth

UIC/BULSTAT

Name of entity

Country

Name of foreign legal entity

Register data Other data

Name of register in other country

Number in register of other country

Other data for foreign legal entity

The application is submitted

personally

through a representative

Electronic statement author(s)

Bulgarian citizen

Foreign citizen

Name

Middle name(s)

Surname

Name

Surname

Country

Settlement

Date of birth

Quality in which the author is acting on behalf of the recipient and the representative power

E-mail address for receiving electronic statements from supplier

E-Mail address

Send the electronic document and the documents attached to it together with the "Confirmation of receipt" document

2. For contact

Applicant contact data

District

Municipality

Settlement

Address

Zip

Post box

Other contact data

Telephones

Faxes

3. Circumstances

Verification type

I DECLARE

that in the following subject

Name

District

Municipality

Settlement

Address

Zip

checking measuring devices according Annex 1 for this application, which (will) use in cases under Article 5 of the Law on Measurements

Addition information

Proposed date of inspection

Place of inspection

The applicant shall provide calibration standards for the inspection.

ANNEX 1: Instrumentation requested for inspection

Order num: {{$index + 1}}

№ Register inspections	IE type	№ register of approved types
№ of the notifier	№ certificate	ID №
Range / Accuracy / Specification / split. ability
Data for previous inspection carried out
Date of inspection	Type of inspection	Name / Number of the person carrying out the inspection

Method of payment

Payment terms

If necessary to restore the pre-paid by the applicant amount the following banking details must be used:

Bank

Bank branch

BIC

IBAN

4. Attached documents

Description	File

Republic of
Bulgaria

Bulgarian Institute
metrology

Application form for subsequent verification of measuring instruments

1. Applicant

Electronic service recipient

Electronic statement author(s)

E-mail address for receiving electronic statements from supplier

2. For contact

Applicant contact data

Other contact data

3. Circumstances

I DECLARE

ANNEX 1: Instrumentation requested for inspection

4. Attached documents

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Application form for subsequent verification of measuring instruments

1. Applicant

Electronic service recipient

Electronic statement author(s)

E-mail address for receiving electronic statements from supplier

2. For contact

Applicant contact data

Other contact data

3. Circumstances

I DECLARE

ANNEX 1: Instrumentation requested for inspection

4. Attached documents

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