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Annex 6 — 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)

REQUEST FOR APPROVAL OF TRANSIT OF ALIEN(S) BEING EXPELLED TO A THIRD STATE (art. 10, paragraph (1) of the Agreement and art. 5, paragraph 1 of the Implementing Protocol)

DATE OF REQUEST: ..... | CASE NO.: .....

FROM: COMPETENT AUTHORITY (requesting Party)

.....

Tel: | Fax: | Email:

TO: COMPETENT AUTHORITY (requested Party)

.....

Tel: | Fax: | Email:

1 - PERSONAL DETAILS OF THE PERSON WHOSE TRANSIT IS REQUESTED

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

MAIDEN NAME | ..... | | .....

OTHER NAMES | ..... | | .....

(alias, etc.) | ..... | | .....

.....

.....

SEX | .....

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

NATIONALITY | ..... | TYPE AND NO. OF TRAVEL DOCUMENT | .....

.....

.....

.....

2 - DECLARATION OF COMPETENT AUTHORITY OF REQUESTING PARTY

a. THE CONDITIONS HAVE BEEN MET (art. 9, paragraph (1) and (2) of the Agreement) | b. NO KNOWN REASONS FOR REFUSAL (art. 9, paragraph (3) of the Agreement)

3 - PROPOSED MANNER OF TRANSIT

DATE, HOUR AND PLACE OF ARRIVAL IN THE TERRITORY OF THE REQUESTED PARTY

On | ..... | At | .....

Airport 1) | ..... | Flight no. | .....

Border crossing point 1) | ..... | Car registration no. | .....

Port 1) | ..... | Shipping company | .....

DATE, HOUR AND PLACE OF DEPARTURE FROM THE TERRITORY OF THE REQUESTED PARTY

On | ..... | At | .....

Airport 1) | ..... | Flight no. | .....

Border crossing 1) | ..... | Car registration no. | .....

Port 1) | ..... | Shipping company | .....

OTHER STATES OF TRANSIT .....

STATE OF (FINAL) DESTINATION .....

1) Strike out what does not apply

4 - ACCOMPANIMENT

ESCORT | YES/NO 1)

NUMBER OF ESCORTS | .....

NAMES OF ESCORTS | 1. .....

2. .....

MEDICAL ESCORT | YES/NO 1)

REASONS WHY THE TRANSIT CANNOT BE EFFECTED BY AIR (medical or otherwise) | 1. ..... 2 ..... 3. ..... 4. .....

PROTECTIVE OR SAFETY MEASURES TO BE TAKEN | 1. ..... 2. ..... 3. .....

SUPPORT REQUESTED | YES/NO 1)

MANNER OF SUPPORT

1) Strike out what does not apply

5 - ANNEXES

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

2. .....

3. .....

4. .....

5. .....

6. .....

NAME OF OFFICIAL | STAMP AND SIGNATURE

RESPONSE TO THE TRANSIT REQUEST (art. 10, paragraph (2) of the Agreement and art. 5, paragraph 2 of the Implementing Protocol)

DATE OF RESPONSE: .....

1 - DECISION TAKEN

□ APPROVED | □ REFUSED

GROUNDS FOR REFUSAL IN THE EVENT OF A NEGATIVE RESPONSE

2 - SPECIAL OBSERVATIONS (see also under 3)

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