CERTIFICATE REFERRED TO IN ARTICLE 41(1) CONCERNING JUDGMENTS ON RIGHTS OF ACCESS

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ANNEX III

CERTIFICATE REFERRED TO IN ARTICLE 41(1) CONCERNING JUDGMENTS ON RIGHTS OF ACCESS (¹)

Certificate referred to in Article 41(1) concerning judgments on rights of access

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 in item 4.
Please check only the box corresponding to the person against whom the judgment should be enforced.

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

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. Other

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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