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Annex 4 — Protocol between the republic of armenia and the states of the benelux (the kingdom of belgium, the grand duchy of luxembourg, the kingdom of the netherlands) implementing the agreement between the european union and the republic of armenia on the readmission of persons residing without authorisation Protocol tussen de Republiek Armenië en de Benelux-Staten (het Koninkrijk België, het Groothertogdom Luxemburg, het Koninkrijk der Nederlanden) ter uitvoering van de Overeenkomst tussen de Europese Unie en de Republiek Armenië inzake de overname van personen die zonder vergunning op het grondgebied verblijven

Protocol between the republic of armenia and the states of the benelux (the kingdom of belgium, the grand duchy of luxembourg, the kingdom of the netherlands) implementing the agreement between the european union and the republic of armenia on the readmission of persons residing without authorisation

NOTIFICATION OF TRANSFER

(Article 7, paragraph 1 of this Protocol)

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

YOUR POSITIVE REPLY OF (date): .....

FROM: COMPETENT AUTHORITY (Requesting State)

.....

Tel: | Fax: | E-mail:

TO: COMPETENT AUTHORITY (Requested State)

.....

Tel: | Fax: | E-mail:

1 – PERSONAL DETAILS OF THE PERSON WHOSE TRANSFER IS ANNOUNCED

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

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

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

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

NATIONALITY | .....

SPOUSE

Name | .....

Date of birth | .....

Nationality | .....

MINOR CHILDREN | ..... | (number)

Name(s) | ..... | Date of birth | .....

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

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

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

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

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 attached)

3 – DATE, TIME, PLACE AND MODALITIES OF TRANSFER

DATE AND TIME OF TRANSFER

PLACE OF TRANSFER

MODES OF TRANSPORTATION | AIR/LAND*

MEANS OF TRANSPORT

– CAR | YES/NO*

REGISTRATION NUMBER .....

– AIRPLANE | YES/NO*

FLIGHT NO .....

ESCORT: | YES/NO*

NUMBER OF ESCORTS | .....

NAMES OF ESCORTS | 1. .....

2. .....

REASONS WHY THE READMISSION CANNOT BE EFFECTED BY AIR | .....

REQUIRED ASSISTANCE | .....

.....

.....

REQUIRED PROTECTION OR SECURITY MEASURES | .....

.....

.....

.....

.....

.....

.....

* Strike out what does not apply.

4 – ANNEXES

NUMBER OF DOCUMENTS (incl. brief description) | 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
Protocol tussen de Republiek Armenië en de Benelux-Staten (het Koninkrijk België, het Groothertogdom Luxemburg, het Koninkrijk der Nederlanden) ter uitvoering van de Overeenkomst tussen de Europese Unie en de Republiek Armenië inzake de overname van personen die zonder vergunning op het grondgebied verblijven
Soort
Verdrag
Geldend vanaf
01-09-2023
BWB-id
BWBV0006769
Versie
2023-09-01_0

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