Справка об инвалидности - перевод на английский

1503004

The Decision of the Social Security Medical Assessment Board is binding for the relevant public authorities, local governments and organizations regardless of their forms of incorporation and forms of property (Article 8 of the Federal Law on Social Protection of Disabled People in the Russian Federation)

Ministry of Health and Social Development of the Russian Federation

Branch No.92 of the Moscow Social Security Medical Assessment Board,

federal state institution

(title of the federal state institution of the social security medical assessment board)

Phone: 1235555

RUSZN¹ of Chertanovo Iuzhnoe

CERTIFICATE Series MCЭ-2007 No. 2953840

(issued to a disabled person)

Ivanov Ivan Ivanovich

(surname, name, patronimic)

born on 14.12.1953, residing at the address: apt. 213, 18 Kirpichnaya str., Moscow 117323

(place of residence, place of staying in case of absence, actual place of residence within the territory of the Russian Federation, place of pension file of the disabled person who left beyond the orders of the Russian Federation (underline as appropriate))

to certify that she is repeatedly confirmed as a disabled person and her disability is extended

starting from 01.05.2010.

(date of established disability)

Disability group: second

Cause of disability: general disease

Level of restriction of ability to work: since 01.01.2010 not indicated

Disability is established perpetually

Next examination date: not applicable

Additional report

Grounds: inspection report of the Federal Social Security Medical Assessment Board No.676 of

March 19^th, 2010

Date of issue of certificate: 06.04.2010

Head of the Federal Social

Security Medical Assessment Board /signature/ Nadezhda Viktorovna Dudko

Seal: Moscow Social Security Medical Assessment Board federal state institution. Branch No.92

Certification by Translator

I Perevodchikov Ivan Petrovich, certify that I am fluent (conversant) in the English and Russian languages, and that the above/attached document is an accurate translation of the document attached entitled CERTIFICATE Series MCЭ-2007 No. 2953840.

_____________Perevodchikov Ivan Petrovich

July 17, 2015 Address: 123 Docfish drive, New York, NY 11011. Tel: (212) 555-5555