Ходатайство о реадмиссии в соответствии со статьей 2 исполнительного протокола к Соглашению между Правительством Российской Федерацией и Федеральным Советом Швейцарской Конфедерации о реадмиссии от 21 сентября 2009 года (англ.)

Annex 1 to the Implementing Protocol to the Agreement between the Government of the Russian Federation and the Federal Council of the Swiss Confederation on readmission dated 21 of September, 2009

[Emblem of the Russian Federation]      [Emblem of the Swiss Confederation]

___________________________________     ___________________________________
(Name of the competent                         (Place and date)
___________________________________
authority of the requesting State)

Reference: ________________________
To: _______________________________
(Name of the competent authority
___________________________________
of the requested State)

READMISSION APPLICATION
pursuant to Article 2 of the Implementing
Protocol to the Agreement between the Government
of the Russian Federation and the Federal Council
of the Swiss Confederation on readmission
dated 21 of September, 2009

A. Personal details
1. Full name (underline surname): __________________________
____________________________________________________________     Photograph
____________________________________________________________
2. Maiden name: ____________________________________________
____________________________________________________________
3. Date and place of birth: ________________________________
____________________________________________________________
4. Sex and physical description  (height,  color  of  eyes,  distinguishing
marks, etc.): _____________________________________________________________
5. Also known as  (earlier  names,  other  names  used/by  which  known  or
aliases): _________________________________________________________________
6. Nationality and language:
___________________________________________________________________________
7. Civil status (where possible): _________________________________________
___________________________________________________________________________
married, single, divorced, widowed
Name of spouse (if married): ______________________________________________
Names and age of children (if any): _______________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
8. Last place of residence in the requested State: ________________________
___________________________________________________________________________

B. Means of evidence attached
1. __________________________________         _____________________________
(passport No.)                         (date and place of issue)
_____________________________________         _____________________________
(issuing authority)                             (expiry date)
2. __________________________________         _____________________________
(identity card No.)                     (date and place of issue)
_____________________________________         _____________________________
(issuing authority)                             (expiry date)
3. __________________________________         _____________________________
(driving license No.)                     (date and place of issue)
_____________________________________         _____________________________
(issuing authority)                             (expiry date)
4. __________________________________         _____________________________
(other official document No.)               (date and place of issue)

С. Observations
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

Signature of the representative
of the competent authority
of the requesting State
__________________
Seal/stamp

Источник - Исполнительный протокол к Соглашению между Правительством Российской Федерации и Федеральным Советом Швейцарской Конфедерации о реадмиссии от 21.09.2009