ANNEX TO THE CONVENTION
ANNEX TO THE CONVENTION
FORMS
REQUEST FOR SERVICE ABROAD OF JUDICIAL
OR EXTRAJUDICIAL DOCUMENTS
Convention on the Service Abroad of Judicial and Extrajudicial
Documents in Civil or Commercial Matters, signed at The Hague,
_________________________________ 196 .
Identity and address of the applicant Address of receiving authority
The undersigned applicant has the honour to transmit - in duplicate - the
documents listed below and, in conformity with Article 5 of the
above-mentioned Convention, requests prompt service of one copy thereof
on the addressee, i.e,
(identity and address)______________________________________________
____________________________________________________________________
a) in accordance with the provisions of subparagraph (a) of the
first paragraph of Article 5 of the Convention**.
b) in accordance with the following particular method (sub-paragraph
(b) of the first paragraph of Article 5)*:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
c) by delivery to the addressee, if he accepts it voluntarily
(second paragraph of Article 5)*.
The authority is requested to return or to have returned to the applicant
a copy of the documents - and of the annexes* - with a certificate as
provided on the reverse side.
List of documents.
___________________________
___________________________
___________________________
___________________________ Done at___________, the ____________
___________________________
___________________________ Signature and/or stamp.
*Delete if inappropriate.
Reverse of the request
CERTIFICATE
The undersigned authority has the honour to certify, in conformity with
Article 6 of the Convention,
1) that the document has been served*
- the (date) _______________________________________________________
- at (place, street, number) _______________________________________
__________________________________________________________________
- in one of the following methods authorised by Article 5:**
__________________________________________________________________
a) in accordance with the provisions of sub-paragraph (a) of the
first paragraph of Article 5 of the Convention*.
b) in accordance with the following particular method*:_____________
__________________________________________________________________
c) by delivery to the addressee, who accepted it voluntarily*
The documents referred to in the request have been delivered to:
- (identity and description of person)______________________________
__________________________________________________________________
- relationship to the addressee (family, business or other):________
__________________________________________________________________
2) that the document has not been served, by reason of the following
facts*:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
In conformity with the second paragraph of Article 12 of the Convention,
the applicant is requested to pay or reimburse the expenses detailed in
the attached statement*.
Annexes
Documents returned:_____________________
________________________________________ Done at__________, the_______
________________________________________
In appropriate cases, documents estab-
lishing the service:
________________________________________
________________________________________
________________________________________ Signature and/or stamp.
*Delete if inappropriate.
SUMMARY OF THE DOCUMENT TO BE SERVED
Convention on the service abroad of judicial and extrajudicial documents
in civil or commercial matters, signed at The Hague,
the _________________________ 196
(article 5, fourth paragraph)
Name and address of the requesting authority:____________________________
____________________________
____________________________
Particulars of the parties*:_____________________________________________
_____________________________________________
_____________________________________________
JUDICIAL DOCUMENT**
Nature and purpose of the document:______________________________________
_____________________________________________
_____________________________________________
Nature and purpose of the proceedings and, where appropriate, the amount
in dispute: _____________________________________________
_____________________________________________
Date and place for entering appearance**: _______________________________
_____________________________________________
Court which has given judgment**: _______________________________________
_____________________________________________
Date of judgment**: _____________________________________________
Time-limits stated in the document**: ___________________________________
_____________________________________________
EXTRAJUDICIAL DOCUMENT**
Nature and purpose of the document: _____________________________________
_____________________________________________
_____________________________________________
Time-limits stated in the document**: ___________________________________
_____________________________________________
_____________________________________________
-------------------------------------------------------------------------
* If appropriate, identity and address of the person interested in the transmission of the document.
** Delete if inappropriate.
|
<< ARTICLE 31 |
||
| Convention on the Service Abroad of Judicial and Extrajudicial Documents in Civil or Commercial Matters (The Hague, November... |