Division III DECLARATION OF THE ADDRESSEE:
United Kingdom
I refuse to accept the document because it is not written in, or accompanied by a translation into, either a language which I understand or the official language or one of the official languages of the place of service.
I understand the following language(s):
| Bulgarian | ☐ | Lithuanian | ☐ |
| Spanish | ☐ | Hungarian | ☐ |
| Czech | ☐ | Maltese | ☐ |
| German | ☐ | Dutch | ☐ |
| Estonian | ☐ | Polish | ☐ |
| Greek | ☐ | Portuguese | ☐ |
| English | ☐ | Romanian | ☐ |
| French | ☐ | Slovak | ☐ |
| Irish | ☐ | Slovenian | ☐ |
| Croatian | ☐ | Finnish | ☐ |
| Italian | ☐ | Swedish | ☐ |
| Latvian | ☐ | ||
Other ☐ (please specify): …
Done at:
Date:
Signature and/or stamp or electronic signature and/or electronic seal:
Annotations
Footnotes
- f1
-
To be filled in and signed by the addressee.