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									Annex No. 4 to Decree No. 628/2002 Coll. of Laws

SPECIMEN ACCESSION PROTOCOL
Letter-head preprint of the acquiring Archives with full name and address ● ●

Name and address of the submitter of archives
● Your letter No./As of Our No. Handled by/line ● Bratislava

Re Accession Protocol
................................................... , pursuant to decision about the disposal of registry records No. .......
(Name of the acquiring Archives)

of ............ issued by ................................................................................................................,
(Name of the State Archives)

acquires ............... archives

created by the activity of ..............................................................
(Name of the creator of archives)

from ......................................................................
(Submitter)

Archives are acquired on the basis of a list of transferred archives prepared by

.........................................................................................
(Submitter)

Archives created in the period from ........... to .............are stored in ................... archival boxes.
(quantity)

.................................................. declares that the archives are marked according to the specified
(Submitter)

decision issued by ................................................. and are in...........................................
(Name of the State Archives) Enclosure Imprint of the stamp of the acquiring Archives Signature of the authorized employee Title, name and surname Position Imprint of the submitter’s stamp (Physical condition of archives)

Signature of the authorized employee Title, name and surname Position

Annex to Accession Protocol No. :

List of transferred archives
Seq. No. RS Name of subject group Year Storage unit No. Comment________

Name of the organisational department 1. 2. . . . Name of the organisational department 12. 13. . Name of the organisational department 17. 18. 19.

Registration aids pursuant to guidelines for records management

................................ Date

................................................................. Name, surname and signature of employee who prepared the list

Explanatory notes: Seq. No.: Sequence number in the list of transferred archives. RS: Registry symbol according to the creator’s records schedule. Name of subject group is defined according to records schedule; with individual items of subject groups, the names of their registry symbols are defined. Year: Year of closing or time span of the origination of submitted archives Storage unit number or numbers of covers (archival boxes, tubes, etc.) in which the transferred archives of the relevant subject group are stored. Comment: For example, change of value, access restriction or physical condition.


								
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