of January 13, 2020 No. 2
About establishment of the document forms which are formed under the organization and carrying out appeal of citizens on compulsory military service, service in reserve
Based on Item 2 of the Regulations on appeal of citizens on compulsory military service, service in reserve approved by the resolution of Council of Ministers of the Republic of Belarus of November 4, 2019 No. 741, the Ministry of Defence of the Republic of Belarus DECIDES:
1. Establish forms:
agenda about appearance of the citizen of the Republic of Belarus (further - the citizen) on actions at the call of on compulsory military service, service in reserve according to appendix 1;
the directions on physical examination according to appendix 2;
register of the recruits directed to physical examination according to appendix 3;
the act of inspection of marital status of the citizen according to appendix 4;
the list of military commissariat (separate division) according to appendix 5;
books of protocols of the district (city) draft commission according to appendix 6;
books of protocols regional (Minsk city) the draft commission according to appendix 7;
agenda about appearance of the citizen who is called up for compulsory military service or service in reserve for sending to the duty station according to appendix 8;
the directions in body for work, employment and social protection according to appendix 9.
2. This resolution becomes effective after its official publication.
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Minister lieutenant general |
A. A. Ravkov |
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It is approved Ministry of Health of the Republic of Belarus |
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Ministry of Labour and Social Protection of the Republic of Belarus |
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Brest regional executive committee |
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Vitebsk regional executive committee |
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Gomel regional executive committee |
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Grodno regional executive committee |
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Minsk city executive committee |
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Minsk regional executive committee |
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Mogilev regional executive committee |
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Central office of republican state public association "Volunteer Society for Cooperation with the Army, Aviation, and Fleet of the Republic of Belarus" |
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to the Resolution of the Ministry of Defence of the Republic of Belarus of January 13, 2020 No. 2
Form
Face
The agenda about the citizen's appearance on actions at the call of on compulsory military service, service in reserve
To the citizen __________________________________________________________________,
(surname, own name, middle name (if that is available))
living _______________________________________________________________.
(address)
It is necessary to you to _____ to hours ___ _____________ 20 ____ to be in military commissariat (separate division) _______________________ the area (city), No. office ___ to the address: _____________________________________________________ for ____________________________________________. In case of itself it is necessary to have the certificate of the recruit, the passport of the citizen of the Republic of Belarus, this agenda, and also ____________________________________________________________.
You shall fulfill the requirements specified on the back of the agenda. In case of impossibility of appearance in the specified time I ask to phone about it ___________.
Military commissioner
(head of separate division)
_______________________________________
(area (city))
_______________________________________
(military rank, signature, initials, surname)
M.P.
(Cut edge)
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RECEIPT
The agenda addressed to ____________________________________ about appearance in military commissariat
(surname, initials)
(separate division) _______________________ the area (city) for appeal to ____ to hours ____ ___________ 20 ___ received in ____ hours ___ __________ 20 ___ ____________________________________________________________________________
(signature, initials, surname)
Back
1. Be in the established time and the place specified in this agenda for passing of actions at the call of on compulsory military service, service in reserve.
2. Have in case of itself the documents specified in this agenda.
3. Are reasonable excuses of absence according to this agenda:
mutilation (wound, injury, contusion) or the disease of the citizen connected with loss of working capacity by it;
serious condition of health of the father, mother, stepfather, stepmother, wife, son, daughter, brother or sister, grandfather, grandma, guardian of the citizen or participation in funeral of specified persons;
the obstacle which resulted from force majeure or other circumstance which is not depending on will of the citizen;
other reasons recognized valid in the procedure established by legal acts.
The reasons of absence shall be supported by the documents of relevant organs or organizations.
4. In case of absence on actions at the call of on compulsory military service, service in reserve according to the agenda, within five working days from the date of the termination of the circumstances interfering appearance on the specified actions to arrive to military commissariat (separate division) and to submit the documents confirming the absence reasons.
5. In case of absence without valid excuse the citizen can be brought to the administrative responsibility according to the Code of the Republic of Belarus about administrative offenses or criminal liability according to the Criminal code of the Republic of Belarus.
The place for mark about time of stay in military commissariat (separate division)
(Receipt cut edge for the handed agenda)
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to the Resolution of the Ministry of Defence of the Republic of Belarus of January 13, 2020 No. 2
Form
Face
Form details
(angular stamp)
The direction on physical examination
Citizen __________________________________________________________________.
(surname, own name, middle name (if that is available), year of birth)
For determination of category of the validity to compulsory military service, service in reserve for health reasons you go for physical examination in stationary (out-patient) conditions in _____________________________________________________
(name and address of the state organization of health care,
_____________________________________________________________________________
preliminary kliniko-functional diagnosis)
for the purpose of establishment of the final kliniko-functional diagnosis.
In the specified state organization of health care hours of _____ _____________ need to be to ______ 20 _____. In case of itself to have the passport of the citizen of the Republic of Belarus or other identity document, and also this direction. Upon termination of physical examination it is necessary to you to _________ to hours ____ ___________ 20 ___ to arrive to repeated medical examination, having in case of itself documents: _____________________________________________________
___________________________________________________________________________.
The doctor leading work of specialists doctors
_____________________________________________ Personal seal of the doctor (signature, initials, surname)
(Cut edge)
-----------------------------------------------------------------------------
RECEIPT
The direction addressed to ____________________________ about appearance in _______________________ (surname, initials) (the name ________________________________________________ for physical examination
state organization of health care)
to _____ to hours ____ __________ 20 ____ received in ______ hours ___ _________ 20 ____ ____________________________________
(signature, initials, surname)
Back
1. In this direction are reasonable excuses of absence:
mutilation (wound, injury, contusion) or the disease of the citizen connected with loss of working capacity by it;
serious condition of health of the father, mother, stepfather, stepmother, wife, son, daughter, brother or sister, grandfather, grandma, guardian of the citizen or participation in funeral of specified persons;
the obstacle which resulted from force majeure or other circumstance which is not depending on will of the citizen;
other reasons recognized valid in the procedure established by legal acts.
The reasons of absence shall be supported by the documents of relevant organs or organizations.
2. In case of absence to actions at the call of to compulsory military service, service in reserve in this direction within five working days from the date of the termination of the circumstances interfering appearance on the specified actions to arrive to military commissariat (separate division) and to submit the documents confirming the absence reasons.
3. In case of absence without valid excuse the citizen can be brought to the administrative responsibility according to the Code of the Republic of Belarus about administrative offenses or criminal liability according to the Criminal code of the Republic of Belarus.
(Receipt cut edge for the handed direction)
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to the Resolution of the Ministry of Defence of the Republic of Belarus of January 13, 2020 No. 2
Form
Register of the recruits directed to physical examination
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№ |
Surname, own name, middle name (if that is available) |
Year of birth |
Preliminary kliniko-functional diagnosis |
Date of the direction, name of the state organization of health care |
Date of completion of physical examination |
When arrived from physical examination |
Final kliniko-functional diagnosis. Category of the validity to compulsory military service, service in reserve |
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1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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to the Resolution of the Ministry of Defence of the Republic of Belarus of January 13, 2020 No. 2
Form
Act of inspection of marital status of the citizen
___ _____________ 20 ___.
1. Representatives:
military commissariat (separate division) _______________________
(area (city))
___________________________________________________________________________,
(position, military rank, surname, initials)
local executive and administrative organs:
____________________________________________________________________________
(position, surname, initials)
____________________________________________________________________________
____________________________________________________________________________
(position, surname, initials)
____________________________________________________________________________
conducted examination of marital status of the citizen __________________________
(surname, own name,
____________________________________________________________________________
middle name (if that is available), year of birth)
___________________________________________________________________________.
2. On the date of inspection the citizen has close relatives and family members:
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№ |
Related relation |
Surname, own name, middle name (if that is available) |
Year of birth |
Residence |
Place of employment (studies), position (group of disability) |
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3. Results of inspection _______________________________________________
____________________________________________________________________________
____________________________________________________________________________.
4. Conclusions ______________________________________________________________
____________________________________________________________________________
____________________________________________________________________________.
Signatures of representatives:
1. _________________________
2. _________________________
3. _________________________
5. Conclusion of the military commissioner (head of separate division)
____________________________________________________________________________
(area (city))
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________.
Military commissioner
(head of separate division)
________________________________________
(area (city))
_________________________________________
(military rank, signature, initials, surname)
M.P.
6. Conclusion of the military commissioner of area (Minsk)
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________.
Military commissioner _______________________
(areas (Minsk))
________________________________________
(military rank, signature, initials, surname)
M.P.
7. Results of annual check of marital status of the citizen:
___ _________ 20 ___. Changes in marital status did not happen.
Head of department (groups) _____________________________________________________
(military rank, signature, initials, surname)
___ _________ 20 ___. Changes in marital status did not happen.
Head of department (groups) _____________________________________________________
(military rank, signature, initials, surname)
___ _________ 20 ___. Changes in marital status did not happen.
Head of department (groups) _____________________________________________________
(military rank, signature, initials, surname)
___ _________ 20 ___. Changes in marital status did not happen.
Head of department (groups) _____________________________________________________
(military rank, signature, initials, surname)
___ _________ 20 ___. Changes in marital status did not happen.
Head of department (groups) _____________________________________________________
(military rank, signature, initials, surname)
___ _________ 20 ___. Changes in marital status did not happen.
Head of department (groups) _____________________________________________________
(military rank, signature, initials, surname)
___ _________ 20 ___. Changes in marital status did not happen.
Head of department (groups) _____________________________________________________
(military rank, signature, initials, surname)
___ _________ 20 ___. Changes in marital status did not happen.
Head of department (groups) _____________________________________________________
(military rank, signature, initials, surname)
___ _________ 20 ___. Changes in marital status did not happen.
Head of department (groups) _____________________________________________________
(military rank, signature, initials, surname)
___ _________ 20 ___. Changes in marital status did not happen.
Head of department (groups) _____________________________________________________
(military rank, signature, initials, surname)
to the Resolution of the Ministry of Defence of the Republic of Belarus of January 13, 2020 No. 2
Form
Form details
(angular stamp)
List of military commissariat (separate division)
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№ |
Surname, own name, middle name (if that is available) |
Number, month, year of birth |
Place of employment (studies) |
Residence |
Mark about the end of training or the exception reason |
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1 |
2 |
3 |
4 |
5 |
6 |
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____________________________________________________________________________
(name of the organization of republican state and public
____________________________________________________________________________
associations " Volunteer Society for Cooperation with the Army, Aviation, and Fleet
___________________________________________________________________________.
Republic of Belarus")
Specialty _____________________________________________________________.
(name)
Beginning of training _____________________, end of training ___________________.
Military commissioner
(head of separate division)
________________________________________
(area (city))
________________________________________
(military rank, signature, initials, surname)
M.P.
_______ the person of _____ ______________ 20 ___ accepted educational group in quantity
Head _________________________________
(name of the organization)
_____________________________________________
(signature, initials, surname)
L. S. *
______________________________
* Except for the subjects of managing having the right not to use seal according to legal acts.
to the Resolution of the Ministry of Defence of the Republic of Belarus of January 13, 2020 No. 2
Form
Book of the ___________________________ protocols
(area (city))
district (city) draft commission
____________________ areas (Minsk)
It is begun ___ with _____________ 20 ____.
It is ended ___ by _____________ 20 ____.
Left side
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№ |
Surname, own name, middle name (if that is available) |
Year of birth |
Claims, anamnesis of disease (other statements of the recruit) |
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1 |
2 |
3 |
4 |
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Right side
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Objective data on the recruit. Kliniko-funktsionalny the diagnosis, category of the validity to compulsory military service, service in reserve |
Decision of the draft commission |
Note |
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5 |
6 |
7 |
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The commission chairman –
deputy manager of local executive
and administrative organ
_____________________________________________________________________________
(signature, initials, surname)
Members of the commission:
military commissioner of the area (city)
(head of separate division)
_____________________________________________________________________________
(military rank, signature, initials, surname)
deputy head of department, Department of Internal Affairs
city, district executive committee
(local administration)
_____________________________________________________________________________
(special rank, signature, initials, surname)
head (deputy manager) of central
district (city) organization of health care
_____________________________________________________________________________
(signature, initials, surname)
the doctor leading work of specialists doctors
_____________________________________________________________________________
(signature, initials, surname)
Secretary of the commission ___________________________________________________________
(signature, initials, surname)
to the Resolution of the Ministry of Defence of the Republic of Belarus of January 13, 2020 No. 2
Form
Book of the __________________ protocols
(area)
regional (Minsk city)
draft commission
It is begun ___ with _____________ 20 ____.
It is ended ___ by _____________ 20 ____.
Left side
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№ |
Surname, own name, middle name (if that is available) |
Year of birth |
In what draft commission, when and what is made the decision |
Claims |
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1 |
2 |
3 |
4 |
5 |
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Right side
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Objective data on the recruit. Kliniko-funktsionalny the diagnosis, category of the validity to compulsory military service, service in reserve |
Decision regional (Minsk city) draft commission |
Note |
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6 |
7 |
8 |
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The commission chairman –
vice-chairman regional (The Minsk city) executive committee
_____________________________________________________________________________
(signature, initials, surname)
Members of the commission:
military commissioner of area (Minsk)
_____________________________________________________________________________
(military rank, signature, initials, surname)
deputy head of department (head department) of internal affairs regional (The Minsk city) executive committee
_____________________________________________________________________________
(special rank, signature, initials, surname)
the deputy chief of head department on health care (health care) regional (the vice-chairman of Healthcare Committee of the Minsk city) executive committee
_____________________________________________________________________________
(signature, initials, surname)
Secretary of the commission ___________________________________________________________
(signature, initials, surname)
to the Resolution of the Ministry of Defence of the Republic of Belarus of January 13, 2020 No. 2
Form
Face
The agenda about appearance of the citizen who is called up for compulsory military service or service in reserve for sending to the duty station
To the citizen _________________________________________________________________,
(surname, own name, middle name (if that is available))
living ______________________________________________________________.
(address)
Based on the Law of the Republic of Belarus of November 5, 1992 "About conscription and military service" you are called up No. 1914-XII for compulsory military service (service in reserve) and enlisted in military team for sending to No. body _______________.
You shall ___ to hours ___ ________ 20 __ be for sending to military unit for recruiting (combined) station to the address: _________________________________________
and to fulfill the requirements specified on the back of the agenda.
Military commissioner
(head of separate division)
_______________________________________
(area (city))
_______________________________________
(military rank, signature, initials, surname)
M.P.
(Cut edge)
–––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––
RECEIPT
The agenda addressed to ______________________________________________________________
(surname, name, middle name (if that is available))
about appearance for sending to military unit to _____ to hours ____ ______________ 20 __.
received in ____ hours ___ ______________ 20 __ _________________________________
(signature, initials, surname)
Back
1. Be in the established time and the place specified in this agenda, for sending to the place of compulsory military service (service in reserve) dressed on season in operational clothes and footwear, having short hairstyle.
2. In case of itself to have the certificate of the recruit, food for days, toilet accessories, and to drivers of motorized vehicles, besides, – the car driver license.
3. Are reasonable excuses of absence according to this agenda:
mutilation (wound, injury, contusion) or the disease of the citizen connected with loss of working capacity by it;
serious condition of health of the father, mother, stepfather, stepmother, wife, son, daughter, brother or sister, grandfather, grandma, guardian of the citizen or participation in funeral of specified persons;
the obstacle which resulted from force majeure or other circumstance which is not depending on will of the citizen;
other reasons recognized valid in the procedure established by legal acts.
The reasons of absence shall be supported by the documents of relevant organs or organizations.
4. In case of absence to actions at the call of to compulsory military service, service in reserve according to this agenda within five working days from the date of the termination of the circumstances interfering appearance on the specified actions to arrive to military commissariat (separate division) and to submit the documents confirming the absence reasons.
5. In case of absence without valid excuse the citizen can be brought to trial according to the Criminal code of the Republic of Belarus.
(Receipt cut edge for the handed agenda)
–––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––
to the Resolution of the Ministry of Defence of the Republic of Belarus of January 13, 2020 No. 2
Form
Form details
(angular stamp)
The direction in body for work, employment and social protection
Citizen ___________________________________________________________________
(surname, own name, middle name (if that is available),
______________________, for the direction to the place of passing of alternative service
birth date)
You go in ____________________________________________________________
(name of body for work, employment
_____________________________________________________________________________
and social protection at the place of residence of the citizen)
to the address: ___________________________________________________________________.
In the specified body for work, employment and social protection it is necessary to be to ____ to hours ___ ___________ 20 ___.
In case of itself to have the passport of the citizen of the Republic of Belarus or other identity document, and this direction.
Military commissioner
(head of separate division)
________________________________________
(area (city))
________________________________________
(military rank, signature, initials, surname)
M.P.
(Cut edge)
––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––
RECEIPT
The direction on ___________________ about appearance in ___________________________________
|
(surname, initials) |
(name |
_____________________________________________________________________________
body for work, employment and social protection)
for the direction to the place of passing of alternative service to __________ to hours
____ ______________ 20 ___ received in _________ hours ____ _____________ 20 ___.
_____________________________________________________________________________
(signature, initials, surname)
Back
1. In this direction are reasonable excuses of absence:
mutilation (wound, injury, contusion) or the disease of the citizen connected with loss of working capacity by it;
serious condition of health of the father, mother, stepfather, stepmother, wife, son, daughter, brother or sister, grandfather, grandma, guardian of the citizen or participation in funeral of specified persons;
the obstacle which resulted from force majeure or other circumstance which is not depending on will of the citizen;
other reasons recognized valid in the procedure established by legal acts.
The reasons of absence shall be supported by the documents of relevant organs or organizations.
2. In case of absence without valid excuse the citizen can be brought to trial according to the Criminal code of the Republic of Belarus.
(Receipt cut edge for the handed direction)
–––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––
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