Ходатайство о реадмиссии в соответствии со статьей 7 соглашения между правительством российской федерации

Ходатайство о реадмиссии в соответствии со статьей 7 Соглашения между Правительством Российской Федерации и Правительством Королевства Дания о реадмиссии

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Annex 1 to the Agreement between the Government of the Russian Federation and the Government of Iceland on readmission

[Emblem of the Russian Federation]                      [Emblem of Iceland]

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____________________________________              (Place and date)

(Designation of the competent
of the requesting State)
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                                          ¦ ¦ ACCELERATED PROCEDURE

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(Designation of the competent

authority of the requested State)

                        READMISSION APPLICATION

                Pursuant to Article 7 of the Agreement

           Between the Government of the Russian Federation

             and the Government of Iceland on readmission

                                                       ----------------
. Personal details                                      ¦              ¦

. Full name (underline surname):                        ¦              ¦

...............................................          ¦  Photograph  ¦

. Maiden name:                                          ¦              ¦

...............................................          ¦              ¦

. Date and place of birth:                              ¦              ¦

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.  Sex  and  physical  description (height, colour of eyes, distinguishing
etc.):

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.  Also  known  as  (earlier  names,  other  names  used/by which known or
):

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. Nationality and language:

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                               -¬         -¬        -¬          -¬

. Civil status (where possible) L-married  L-single  L-divorced  L-widowed
married: name of spouse.................................................
and age of children (if any)

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. Last address in the requesting State:

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. Last place of residence in the requested State

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. Special circumstances relating to the transferee

. State of health

(E.g.  possible reference to special medical care; latin name of contagious
):

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. Indication of particularly dangerous person

(e.g. suspected of serious offence; aggressive behaviour):

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. Means of evidence attached

.                                       ..................................

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.........                                    (date and place of issue)

          (Passport No.)

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.........                                             (expiry date)

        (issuing authority)

.                                       ..................................

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.........                                    (date and place of issue)

       (Identity card No.)

                                       ..................................

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.........                                             (expiry date)

        (issuing authority)

.                                       ..................................

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.........                                    (date and place of issue)

       (Driving licence No.)

                                       ..................................

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.........                                             (expiry date)

        (issuing authority)

.                                       ..................................

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..........                                     (date and place of issue)

  (Other official document No.)

                                       ..................................

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.........                                             (expiry date)

        (issuing authority)
. Observations

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(Signature of the competent authority of the requesting State) (Seal/stamp)