CERTIFICATE REFERRED TO IN ARTICLE 39 CONCERNING JUDGMENTS ON PARENTAL RESPONSIBILITY

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ANNEX II

CERTIFICATE REFERRED TO IN ARTICLE 39 CONCERNING JUDGMENTS ON PARENTAL RESPONSIBILITY (¹)

Certificate referred to in Article 39 concerning judgments on parental responsibility

Council Regulation (EC) No 2201/2003 of 27 November 2003 concerning jurisdiction and the recognition and enforcement of judgments in matrimonial matters and the matters of parental responsibility, repealing Regulation (EC) No 1347/2000.

1. Member State of origin

2. Court or authority issuing the certificate

2.1. Name

2.2. Address

2.3. Tel./fax/e-mail

Tel.:

Fax:

E-mail:

2.3. Tel./fax/e-mail

3. Person(s) with rights of access

3.1. Full name

3.2. Address

3.3. Date and place of birth (where available)

Date of birth:

Place of birth:

3.3. Date and place of birth (where available)

4. Holders of parental responsibility other than those mentioned under 3

In cases of joint custody, a person already mentioned under item 3 may also be mentioned under item 4.

4. Holders of parental responsibility other than those mentioned under 3(²)

4.1

4.1.1. Full name

4.1.2. Address

4.1.3. Date and place of birth (where available)

Date of birth:

Place of birth:

4.1.3. Date and place of birth (where available)

4.2

4.2.1. Full Name

4.2.2. Address

4.2.3. Date and place of birth (where available)

Date of birth:

Place of birth:

4.2.3. Date and place of birth (where available)

4.3

4.3.1. Full name

4.3.2. Address

4.3.3. Date and place of birth (where available)

Date of birth:

Place of birth:

4.3.3. Date and place of birth (where available)

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