Akim
Karabalyk district
Khalikov R.B.
from full name (specify the data in full)
address
phone
IIN
Application for an appointment for a personal appointment
I ask you to include me in the list for a personal appointment on the following issue.
To state in detail the essence of the question.
Attach supporting documents if necessary.
Date Signature
Note: the application can be sent by mail, brought on purpose, sent through the E-Government Portal (according to the current legislation, the electronic appeal must be signed by the author's EDS, that is, the full name in the EDS and the application must match).