Roberta Robinson,

an individual, born on {Birth.YMD} at {Birth.Adr.City}, {Birth.Adr.State}, {Birth.Adr.Nation},
a citizen of {Citizen.nationality},
whose profession is {Work.profession},
residing at 666 Winding Drive, Toronto, Ontario X9T-Z3Y, Canada,
herein referred to as "Roberta",

Roberta Robinson,

Née le {Birth.YMD} à {Birth.Adr.City}, {Birth.Adr.State}, {Birth.Adr.Nation},
de nationalité {Citizen.nationality},
Exerçant la profession de {Work.profession},
Demeurant 666 Winding Drive, X9T-Z3Y Toronto , Canada,
ci-après dénommée la « Roberta »,

Roberta Robinson

urodzonym dnia {Birth.YMD} w {Birth.Adr.City}, {Birth.Adr.State}, {Birth.Adr.Nation},
posiadającym obywatelstwo {Citizen.nationality},
z wykształcenia {Work.profession},
zamieszkałym pod adresem 666 Winding Drive, Toronto, Ontario X9T-Z3Y, Canada
zwanym dalej «Roberta»,

Roberta Robinson

("Roberta")

{xSignature}

Date: {Sign.YMD}
Signed at: Toronto, Ontario, Canada

Roberta Robinson

( « Roberta » ),

{xSignature}

le : {Sign.YMD}
à : Toronto, Ontario, Canada

Roberta Robinson

("Roberta")

{xSignature}

Dnia: {Sign.YMD}
Podpisana w: Toronto, Ontario, Canada