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Annex 2 — Implementing protocol to the Agreement between The Kingdom of Belgium, The Grand Duchy of Luxembourg and The Kingdom of The Netherlands (the States of the Benelux) and The Republic of Kosovo concerning the readmission of persons who have entered and/or are residing without authorisation (readmission agreement) Overeenkomst tussen het Koninkrijk België, het Groothertogdom Luxemburg en het Koninkrijk der Nederlanden (de Benelux-staten) en de Republiek Kosovo betreffende de terug- en overname van onregelmatig binnengekomen en/of verblijvende personen en haar Uitvoeringsprotocol

Implementing protocol to the Agreement between The Kingdom of Belgium, The Grand Duchy of Luxembourg and The Kingdom of The Netherlands (the States of the Benelux) and The Republic of Kosovo concerning the readmission of persons who have entered and/or are residing without authorisation (readmission agreement)

NOTIFICATION OF READMISSION (art. 8 of the Agreement and art. 4 of the Implementing Protocol)

DATE: ..... | CASE NO.: .....

YOUR NOTIFICATION OF APPROVAL OF (date): .....

FROM: COMPETENT AUTHORITY (requesting Party)

.....

Tel: | Fax: | Email:

TO: COMPETENT AUTHORITY (requested Party)

.....

Tel: | Fax: | Email:

1 - PERSONAL DETAILS OF THE PERSON WHOSE READMISSION IS ANNOUNCED

SURNAME | ..... | GIVEN NAMES | .....

..... | | .....

.....

.....

DATE OF BIRTH | ..... | PLACE OF BIRTH | .....

NATIONALITY OR CITIZENSHIP | .....

2 - DOCUMENTS POSSESSED BY THE PERSON NAMED UNDER 1 (NB – here one should include the date and place of issue, period of validity, etc.)

1. | LAISSEZ-PASSER

issued on | (date) ..... | at (place) .....

valid until | (date) .....

2. | OTHER (TRAVEL) DOCUMENTS | .....

.....

.....

.....

.....

(copies enclosed)

3 - DATE, TIME, PLACE AND MANNER OF TRANSFER

DATE AND TIME OF TRANSFER

PLACE OF TRANSFER

TRANSPORT METHOD | AIR/LAND/SEA 1)

MEANS OF TRANSPORT

– CAR | YES/NO 1)

REGISTRATION NUMBER

– AIRPLANE | YES/NO 1)

FLIGHT NO.

ESCORT: | YES/NO 1)

NUMBER OF ESCORTS | ....

NAMES OF ESCORTS | 1. ....

2. .....

MEDICAL ESCORT | YES/NO 1)

REASONS WHY THE READMISSION CANNOT BE EFFECTED BY AIR (medical or other) | 1. .....

2. .....

3. .....

4. .....

PROTECTIVE OR SAFETY MEASURES TO BE TAKEN | 1. .....

2. .....

3. .....

1) Strike out what does not apply

4 - ANNEXES

NUMBER OF DOCUMENTS (incl. brief descriptions) | 1. .....

2. .....

3. .....

4. .....

5. .....

6. .....

NAME OF OFFICIAL | STAMP AND SIGNATURE

CONFIRMATION OF RECEIPT OF NOTIFICATION

DATE: .....

NAME OF OFFICIAL | STAMP AND SIGNATURE

Regeling
Overeenkomst tussen het Koninkrijk België, het Groothertogdom Luxemburg en het Koninkrijk der Nederlanden (de Benelux-staten) en de Republiek Kosovo betreffende de terug- en overname van onregelmatig binnengekomen en/of verblijvende personen en haar Uitvoeringsprotocol
Soort
Verdrag
Geldend vanaf
01-04-2014
BWB-id
BWBV0005360
Versie
2014-04-01_0

In de hele regeling · Officiële tekst op wetten.overheid.nl