Annex 2 to the Implementing protocol to the Agreement between the Benelux States (the Kingdom of Belgium, the Grand Duchy of Luxembourg and the Kingdom of the Netherlands) and Mongolia on readmission Overeenkomst tussen de Benelux-Staten (het Koninkrijk België, het Groothertogdom Luxemburg en het Koninkrijk der Nederlanden) en Mongolië betreffende de terug- en overname van onregelmatig verblijvende personen (met Uitvoeringsprotocol met Bijlagen)
READMISSION APPLICATION
(Art. 3 of the Agreement and Art. 3 of the Implementing Protocol)
□ Readmission of a State´s own national ..........
DATE OF APPLICATION: .......... | CASE NO: ..........
FROM: COMPETENT AUTHORITY (Requesting State)
..........
Tel: | E-mail:
TO: COMPETENT AUTHORITY (Requested State)
..........
Tel: | E-mail:
1 – PERSONAL DETAILS OF THE PERSON WHOSE READMISSION IS APPLIED FOR
SURNAME | .......... | GIVEN NAMES | ..........
MAIDEN NAME | .......... | | ..........
OTHER NAMES | .......... | | ..........
(aliases, etc.) | .......... | | ..........
..........
..........
SEX | ..........
DATE OF BIRTH | .......... | PLACE OF BIRTH | ..........
LAST PLACE OF
RESIDENCE ON THE
TERRITORY OF THE
REQUESTED PARTY | ..........
CIVIL STATUS:
□ Unmarried
□ Married
□ Divorced
□ Widowed
SPOUSE
Name | ..........
Date of birth | ..........
Nationality | ..........
MINOR CHILDREN | .......... (number)
Name(s) | .......... | Date of birth | ..........
.......... | | | ..........
.......... | | | ..........
.......... | | | ..........
.......... | | | ..........
2 – MEANS OF EVIDENCE (Art. 4 of the Agreement and Art. 4 of the Implementing Protocol)
(NB – here one should include the date of issue, period of validity of documents, etc.)
1. | ..........
2. | ..........
3. | | ..........
4. | ..........
5. | ..........
(copies attached)
3 – INFORMATION ON THE UNLAWFUL RESIDENCE ON THE TERRITORY OF THE REQUESTING PARTY
DATE ON WHICH THE UNLAWFUL RESIDENCE WAS ESTABLISHED
4 – ANNEXES
NUMBER OF DOCUMENTS (incl. brief description) | 1. | ..........
2. | ..........
3. | ..........
4. | ..........
5. | ..........
6. | ..........
NAME OF OFFICIAL | STAMP AND SIGNATURE
REPLY TO THE READMISSION APPLICATION
(Art. 5(3 and 4) of the Agreement and Art. 5 of the Implementing Protocol)
DATE OF REPLY:
1 – DECISION TAKEN
□ APPROVED | □ REFUSED
GROUNDS FOR REFUSAL IN THE EVENT OF A NEGATIVE REPLY
2 – SPECIAL OBSERVATIONS
NAME OF OFFICIAL | STAMP AND SIGNATURE
- Regeling
- Overeenkomst tussen de Benelux-Staten (het Koninkrijk België, het Groothertogdom Luxemburg en het Koninkrijk der Nederlanden) en Mongolië betreffende de terug- en overname van onregelmatig verblijvende personen (met Uitvoeringsprotocol met Bijlagen)
- Soort
- Verdrag
- Geldend vanaf
- 01-02-2025
- BWB-id
- BWBV0007036
- Versie
- 2025-02-01_0