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the European arrest warrant - Statewatch

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ANNEX<br />

EUROPEAN ARREST WARRANT<br />

I hereby certify that this <strong>warrant</strong> corresponds to <strong>the</strong> au<strong>the</strong>ntic documents on which <strong>the</strong> <strong>warrant</strong><br />

is based and request that <strong>the</strong> person mentioned below shall be <strong>arrest</strong>ed and surrendered to <strong>the</strong><br />

judicial authority mentioned below:<br />

(a)<br />

Information regarding <strong>the</strong> identity of <strong>the</strong> requested person:<br />

Surname: ………………………………………………………………..<br />

Forename(s): ……………………………………………………………..<br />

Sex: ……………. …………………………………<br />

Nationality: ………………………………………………………………<br />

Date of birth: ………………………………………………………………<br />

Place of birth: ………………………………………………………………<br />

Residence: …………………………………………………………………..<br />

………………………………………………………………………………<br />

Distinctive marks: …………………………………………………………..<br />

……………………………………………………………………………….<br />

Photo and fingerprints of <strong>the</strong> requested person (if available):<br />

48

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