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ANNEX IIIU.K.CERTIFICATE REFERRED TO IN ARTICLE 41(1) CONCERNING JUDGMENTS ON RIGHTS OF ACCESS()
1.Member State of originU.K.
2.Court or authority issuing the certificateU.K.
2.1.NameU.K.
2.2.AddressU.K.
2.3.Tel./fax/e-mailU.K.
3.Person(s) with rights of accessU.K.
3.1.Full nameU.K.
3.2.AddressU.K.
3.3.Date and place of birth (where available)U.K.
4.Holders of parental responsibility other than those mentioned under 3() () U.K.
4.1.
4.1.1.Full nameU.K.
4.1.2.AddressU.K.
4.1.3.Date and place of birth (where available)U.K.
4.2.
4.2.1.Full nameU.K.
4.2.2.AddressU.K.
4.2.3.Date and place of birth (where available)U.K.
4.3.OtherU.K.
4.3.1.Full nameU.K.
4.3.2.AddressU.K.
4.3.3.Date and place of birth (where available)U.K.
5.Court which delivered the judgmentU.K.
5.1.Name of CourtU.K.
5.2.Place of CourtU.K.
6.JudgmentU.K.
6.1.DateU.K.
6.2.Reference numberU.K.
7.Children who are covered by the judgment() U.K.
7.1.Full name and date of birthU.K.
7.2.Full name and date of birthU.K.
7.3.Full name and date of birthU.K.
7.4.Full name and date of birthU.K.
8.Is the judgment enforceable in the Member State of origin?U.K.
8.1.YesU.K.
8.2.NoU.K.
9.Where the judgment was given in default of appearance, the person defaulting was served with the document which instituted the proceedings or with an equivalent document in sufficient time and in such a way as to enable that person to arrange for his or her defence, or the person has been served with the document but not in compliance with these conditions, it is nevertheless established that he or she accepted the decision unequivocallyU.K.
10.All parties concerned were given an opportunity to be heardU.K.
11.The children were given an opportunity to be heard, unless a hearing was considered inappropriate having regard to their age or degree of maturityU.K.
12.Practical arrangements for exercise of rights of access (to the extent stated in the judgment)U.K.
12.1.Date and timeU.K.
12.1.1.StartU.K.
12.1.2.EndU.K.
12.2.PlaceU.K.
12.3.Specific obligations on holders of parental responsibilityU.K.
12.4.Specific obligations on the person with right of accessU.K.
12.5.Any restrictions attached to the exercise of rights of accessU.K.
13.Names of parties to whom legal aid has been grantedU.K.
Done at …, date …
Signature and/or stamp