Division 11 Taking of evidence to be carried out

Description of the taking of evidence to be carried out (in annex, where appropriate):

Examination of witnesses: ☐

1. 11.2.1.

   Name and surname:

2. 11.2.2.

   Date of birth, if available:

3. 11.2.3.

   Address:

   1. 11.2.3.1.

      Street and number/PO box:

   2. 11.2.3.2.

      Place and postcode:

   3. 11.2.3.3.

      Country:

4. 11.2.4.

   Tel.^f1:

5. 11.2.5.

   Fax:

6. 11.2.6.

   Email:

7. 11.2.7.

   Questions to be put to the witness or a statement of the facts about which they are to be examined (in annex, where appropriate):

8. 11.2.8.

   Right to refuse to testify under the law of the Member State of the requesting court (in annex, where appropriate): yes ☐ no ☐

9. 11.2.9.

   Please examine the witness

   1. 11.2.9.1.

      under oath: ☐

   2. 11.2.9.2.

      on affirmation: ☐

10. 11.2.10.

    Any other information that the requesting court deems necessary (in annex, where appropriate):

Other taking of evidence

1. 11.3.1.

   documents to be inspected and a description of the requested taking of evidence (in annex, where appropriate):

2. 11.3.2.

   objects to be inspected and a description of the requested taking of evidence (in annex, where appropriate)