12.07.2015 Views

1951 Convention and Protocol relating to the Status of Refugees

1951 Convention and Protocol relating to the Status of Refugees

1951 Convention and Protocol relating to the Status of Refugees

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anne xSpecimen Travel DocumentThe document will be in booklet form (approximately 15 x 10 centimetres).It is recommended that it be so printed that any erasure or alteration bychemical or o<strong>the</strong>r means can be readily detected, <strong>and</strong> that <strong>the</strong> words “<strong>Convention</strong><strong>of</strong> 28 July <strong>1951</strong>” be printed in continuous repetition on each page, in<strong>the</strong> language <strong>of</strong> <strong>the</strong> issuing country.(Cover <strong>of</strong> booklet)TRAVEL DOCUMENT(<strong>Convention</strong> <strong>of</strong> 28 July <strong>1951</strong>)(1)TRAVEL DOCUMENT(<strong>Convention</strong> <strong>of</strong> 28 July <strong>1951</strong>)no.This document expires onunless its validity is extended or renewed.NameForename(s)Accompanied bychild (children).1. This document is issued solely with a view <strong>to</strong> providing <strong>the</strong> holder witha travel document which can serve in lieu <strong>of</strong> a national passport. It is withoutprejudice <strong>to</strong> <strong>and</strong> in no way affects <strong>the</strong> holder’s nationality.2. The holder is authorized <strong>to</strong> return <strong>to</strong>[state here <strong>the</strong> country whose authorities are issuing <strong>the</strong> document] on orbefore44 c o n v e n t i o n a n d p r o t o c o l

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