Certificate referred to in Article 41(1) of Council Regulation (EC) No. 2201/2003 of 27 November 2003(1) concerning judgments on rights of access

Published date21 March 2018
Subject MatterChildren Act forms
Certificate referred to in
Article 41(1) of Council
Regulation (EC) No. 2201/2003
of 27 November 2003(1)
concerning judgments on
rights of access
1. Member State of origin ...........................................................................................................................
2. Court or authority issuing the certificate
2.1. Name ..........................................................................................................................................
2.2. Address .......................................................................................................................................
........................................................................................................................................
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) ..................................................................................
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) ..............................................................
4.2. 4.2.1. Full name ................................................................................................................
4.2.2. Address ...................................................................................................................
.................................................................................................................................
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) ...............................................................
(1) 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.
(2) In cases of joint custody, a person already mentioned under item 3 may also be mentioned under item 4.
(3) Please put a cross in the box corresponding to the person against whom the judgment should be enforced.
C61 Certificate referred to in Article 41(1) of Council Regulation (EC) No. 2201/2003 concerning judgments on rights of access (03.05) Printed by Publications Branch
In the
* [County Court]
* [Principal Registry of the Family Division]
Case number
(Always quote this)
Applicant’s Solicitors
reference
Respondent’s Solicitors
reference

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