| Rzeczpospolita Polska Republic of Poland | |
| Dowód osobisty Identity card | |
| NAZWISKO/ SURNAME © A p | |
| KOWALSKI | |
| IMIONA/ ayy | |
| DOCUMENT NUMBER | |
| 2ZC108201 | |
| TERMIN WAŻNOŚCI/ EXPIRY DATE | |
| 02.08.2031 ZZ | |
| PODPIS/ SIGNATURE = mee J | |
| 54 _" 123456 | |
| NUMER CAN/ CAN | |
| Rzeczpospolita Polska Republic of Poland | |
| Dowód osobisty Identity card | |
| NAZWISKO/ SURNAME © A p | |
| KOWALSKI | |
| IMIONA/ ayy | |
| DOCUMENT NUMBER | |
| 2ZC108201 | |
| TERMIN WAŻNOŚCI/ EXPIRY DATE | |
| 02.08.2031 ZZ | |
| PODPIS/ SIGNATURE = mee J | |
| 54 _" 123456 | |
| NUMER CAN/ CAN | |