You are on page 1of 21

Annexure ‘A’

Readmission Application Form

Pursuant to Article 5 of the Agreement of 26 October 2009 between the European Community and the Islamic Republic of Pakistan on the readmission
of persons residing without authorization:

Personal Details

1. o
Full Name Abid-ur-Rehman

2. Maiden name -
3. Date and place of birth 16-03-1978, Gujrat
4. Sex and physical description Male, normal height, Black hair, Brown eyes
(height, colour of eyes, distinguishing marks
etc)

5. Also known as (earlier names, Nil


other names used/by which
known or aliases)
6. Nationality and language Pakistani, Punjabi
7. Civil status: married, single, Married
divorced, widowed
If married: name of spouse Ishrat Jabeen
Names of children (if any) M. Shahbaz Rehman Choudhry, Bukhtawar Rehman, Janeeta Rehman
8. Last address in the
a)
Requesting Party: Detention Centre Madrid, Spain
b)
Requested Party: Village Sandoa, P.O.Darekhri, Thehsil Khrian,
Gujrat
B)
SPECIAL
CIRCUMSTANCES
RELATING TO THE
TRANSFEREE
i) State of health
Healthy
(e.g. possible reference to
special medical care; Latin
name of contagious disease)
ii) Indication of particularly dangerous person Undocumented/falsification of documents

(e.g. suspected of serious Normal Behaviour


offence; aggressive behavior)
Photograph Attached
CE/PK/Annex V/en 3
C)
EVIDENCE ATTACHED Copy of MRP &Finger prints
i)
Name
Passport No. Date and Place of AC1079533 dated 11-03-2016, Pakistan
Issue
Issuing authority, expiry date 10-03-2021
ii)
Name
Passport No. Date and Place of
Issue
Issuing authority, expiry date
iii)
Name
Passport No. Date and Place of
Issue
Issuing authority, expiry date
iv)
Other official document No.,
Date and place of issue
Issuing authority, expiry date
D
OBSERVATIONS Undocumented. Arrested on falsification and
identity fraud.

(Signature) (Seal/stamp)
Annexure ‘A’

Readmission Application Form

Pursuant to Article 5 of the Agreement of 26 October 2009 between the European Community and the Islamic Republic of Pakistan on the readmission
of persons residing without authorization:

Personal Details

9. o
Full Name Muhammad Javed Chaudhry

10. Maiden name -


11. Date and place of birth 06-04-1978, Sialkot
12. Sex and physical description Male, normal height, Black Hair, Brown eyes
(height, colour of eyes, distinguishing marks
etc)

13. Also known as (earlier names, Nil


other names used/by which
known or aliases)
14. Nationality and language Pakistani, Punjabi
15. Civil status: married, single, Married
divorced, widowed
If married: name of spouse -Bushra Bibi
Names of children (if any) Shamim Bibi (08 yrs), Gulshan Bibi (11 yrs)
16. Last address in the
a)
Requesting Party: Detention Centre Valencia, Spain
b)
Requested Party: Thehsil Phalia, M.B.Din
B)
SPECIAL
CIRCUMSTANCES
RELATING TO THE
TRANSFEREE
i) State of health
Healthy
(e.g. possible reference to
special medical care; Latin
name of contagious disease)
ii) Indication of particularly dangerous person Undocumented/Illegal Stay

(e.g. suspected of serious Normal Behaviour


offence; aggressive behavior)
Photograph Attached
CE/PK/Annex V/en 3
C)
EVIDENCE ATTACHED Copy of MRP, Finger prints
i)
Name
Passport No. Date and Place of D4199263 dated 27-11-2015, Pakistan
Issue
Issuing authority, expiry date 26-11-2020
ii)
Name
Passport No. Date and Place of
Issue
Issuing authority, expiry date
iii)
Name
Passport No. Date and Place of
Issue
Issuing authority, expiry date
iv)
Other official document No.,
Date and place of issue
Issuing authority, expiry date
D
OBSERVATIONS Sick and needed to be repatriated back to his
home in Pakistan.

(Signature) (Seal/stamp)
Annexure ‘A’

Readmission Application Form

Pursuant to Article 5 of the Agreement of 26 October 2009 between the European Community and the Islamic Republic of Pakistan on the readmission
of persons residing without authorization:

Personal Details

17. o Full Name Mohammad Ilyas

18. Maiden name -


19. Date and place of birth 01-01-1987, Sialkot
20. Sex and physical description Male, normal height, Black Hair, Brown eyes
(height, colour of eyes, distinguishing marks
etc)

21. Also known as (earlier names, Nil


other names used/by which
known or aliases)
22. Nationality and language Pakistani, Punjabi
23. Civil status: married, single, Single
divorced, widowed
If married: name of spouse -
Names of children (if any) -
24. Last address in the
a)
Requesting Party: Detention Centre Madrid, Spain
b)
Requested Party: Thehsil Daska, Dist. Sialkot, Bakhre wali shrif
B)
SPECIAL
CIRCUMSTANCES
RELATING TO THE
TRANSFEREE
i) State of health
Breathing problems, needs medical attention
(e.g. possible reference to
special medical care; Latin
name of contagious disease)
ii) Indication of particularly dangerous person Undocumented/Illegal Stay

(e.g. suspected of serious Normal Behaviour


offence; aggressive behavior)
Photograph Attached
CE/PK/Annex V/en 3
C)
EVIDENCE ATTACHED Finger prints
i)
Name
Passport No. Date and Place of
Issue
Issuing authority, expiry date
ii)
Name
Passport No. Date and Place of
Issue
Issuing authority, expiry date
iii)
Name
Passport No. Date and Place of
Issue
Issuing authority, expiry date
iv)
Other official document No.,
Date and place of issue
Issuing authority, expiry date
D
OBSERVATIONS Sick and needed to be repatriated back to his
home in Pakistan.

(Signature) (Seal/stamp)

Annexure ‘A’

Readmission Application Form

Pursuant to Article 5 of the Agreement of 26 October 2009 between the European Community and the Islamic Republic of Pakistan on the readmission
of persons residing without authorization:

Personal Details
25. o Full Name Mohammad Ilyas

26. Maiden name -


27. Date and place of birth 01-01-1987, Sialkot
28. Sex and physical description Male, normal height, Black Hair, Brown eyes
(height, colour of eyes, distinguishing marks
etc)

29. Also known as (earlier names, Nil


other names used/by which
known or aliases)
30. Nationality and language Pakistani, Punjabi
31. Civil status: married, single, Single
divorced, widowed
If married: name of spouse -
Names of children (if any) -
32. Last address in the
a)
Requesting Party: Detention Centre Madrid, Spain
b)
Requested Party: Thehsil Daska, Dist. Sialkot, Bakhre wali shrif
B)
SPECIAL
CIRCUMSTANCES
RELATING TO THE
TRANSFEREE
i) State of health
Breathing problems, needs medical attention
(e.g. possible reference to
special medical care; Latin
name of contagious disease)
ii) Indication of particularly dangerous person Undocumented/Illegal Stay

(e.g. suspected of serious Normal Behaviour


offence; aggressive behavior)
Photograph Attached
CE/PK/Annex V/en 3
C)
EVIDENCE ATTACHED Finger prints
i)
Name
Passport No. Date and Place of
Issue
Issuing authority, expiry date
ii)
Name
Passport No. Date and Place of
Issue
Issuing authority, expiry date
iii)
Name
Passport No. Date and Place of
Issue
Issuing authority, expiry date
iv)
Other official document No.,
Date and place of issue
Issuing authority, expiry date
D
OBSERVATIONS Sick and needed to be repatriated back to his
home in Pakistan.

(Signature) (Seal/stamp)
Annexure ‘A’

Readmission Application Form

Pursuant to Article 5 of the Agreement of 26 October 2009 between the European Community and the Islamic Republic of Pakistan on the readmission
of persons residing without authorization:

Personal Details

33. o Full Name (underline surname) Tariq Mehmood S/O Chaudhry Mohammad
Ashraf
34. Maiden name -
35. Date and place of birth 01-04-1972, Gujrat
36. Sex and physical description Male, normal height, Brown, B/W Hair
(height, colour of eyes, distinguishing marks
etc)

37. Also known as (earlier names, Nil


other names used/by which
known or aliases)
38. Nationality and language Pakistani, Punjabi
39. Civil status: married, single, Single
divorced, widowed
If married: name of spouse -
Names of children (if any) -
40. Last address in the
a)
Requesting Party: Detention Centre Madrid, Spain
b)
Requested Party: P.O. Khass, Kakrali, Gujrat
B)
SPECIAL
CIRCUMSTANCES
RELATING TO THE
TRANSFEREE
i) State of health
Healthy
(e.g. possible reference to
special medical care; Latin
name of contagious disease)
ii) Indication of particularly dangerous person Caught in Drug Smuggling about 6-7 Kg Herein
(e.g. suspected of serious Normal Behaviour
offence; aggressive behavior)
Photograph Attached
CE/PK/Annex V/en 3
C)
EVIDENCE ATTACHED
i)
Name Tariq Mehmood
Passport No. Date and Place of DZ0155422 dated 02-04-2012, Pakistan
Issue
Issuing authority, expiry date IMPASS, Pakistan, 01-04-2017
ii)
Name
Passport No. Date and Place of
Issue
Issuing authority, expiry date
iii)
Name
Passport No. Date and Place of
Issue
Issuing authority, expiry date
iv)
Other official document No.,
Date and place of issue
Issuing authority, expiry date
D
OBSERVATIONS As stated by the applicant during his interview
that he has been imprisoned since August 2014
for 6 years on account of drug smuggling in
Barcelona. The local court has condoned his rest
of sentence in to expulsion. Court decision along
with translation is attached. Copy of his
Pakistani passport is attached as desired at
Annex-I.

(Signature) (Seal/stamp)
Annexure ‘A’

Readmission Application Form

Pursuant to Article 5 of the Agreement of 26 October 2009 between the European Community and the Islamic Republic of Pakistan on the readmission
of persons residing without authorization:

Personal Details

41. o Full Name (underline surname) Asif Mahmood S/O Bashir Ahmed

42. Maiden name -


43. Date and place of birth 01-01-1970, Gujrat
44. Sex and physical description Male, normal height, Brown, Black Hair
(height, colour of eyes, distinguishing marks
etc)

45. Also known as (earlier names, Nil


other names used/by which
known or aliases)
46. Nationality and language Pakistani, Punjabi
47. Civil status: married, single, Married
divorced, widowed
If married: name of spouse Rehana Kousar
Names of children (if any) Aqsa Noreen, Aleysha Zainab
48. Last address in the
a)
Requesting Party: Tores, Calle Romanica, Valencia, Spain
b)
Requested Party: Mohallah Mehmoodka, Shadiwal, Gujrat
B)
SPECIAL
CIRCUMSTANCES
RELATING TO THE
TRANSFEREE
i) State of health
Healthy
(e.g. possible reference to
special medical care; Latin
name of contagious disease)
ii) Indication of particularly dangerous person Undocumented

(e.g. suspected of serious Normal Behaviour


offence; aggressive behavior)
Photograph Attached
CE/PK/Annex V/en 3
C)
EVIDENCE ATTACHED
i)
Name Asif Mahmood
NICOP No. Date and Place of Issue 342010-381936-5 dated 11-08-2011, Spain
expiry date 11-08-2018
ii)
Name
Passport No. Date and Place of
Issue
Issuing authority, expiry date
iii)
Name
Passport No. Date and Place of
Issue
Issuing authority, expiry date
iv)
Other official document No.,
Date and place of issue
Issuing authority, expiry date
D
OBSERVATIONS As stated by the applicant during his interview
that he has been detained for being
undocumented. The decision of local court for
his expulsion with translation is attached. Copy
of his NICOP is attached as desired at Annex-I.

(Signature) (Seal/stamp)
Annexure ‘A’

Readmission Application Form

Pursuant to Article 5 of the Agreement of 26 October 2009 between the European Community and the Islamic Republic of Pakistan on the readmission
of persons residing without authorization:

Personal Details

49. o Full Name (underline surname) Tasleem Javed S/O Motalli Khan

50. Maiden name -


51. Date and place of birth 20-08-1985, Mundi Bahauddin
52. Sex and physical description Male, normal height, Brown, Black hair
(height, colour of eyes, distinguishing marks
etc)

53. Also known as (earlier names, Nil


other names used/by which
known or aliases)
54. Nationality and language Pakistani, Punjabi
55. Civil status: married, single, Single
divorced, widowed
If married: name of spouse -
Names of children (if any) -
56. Last address in the
a)
Requesting Party: Barcelona, Spain
b)
Requested Party: Village Rukkan, M.B. Din
B)
SPECIAL
CIRCUMSTANCES
RELATING TO THE
TRANSFEREE
i) State of health
Healthy
(e.g. possible reference to
special medical care; Latin
name of contagious disease)
ii) Indication of particularly dangerous person Drug Business

(e.g. suspected of serious Normal Behaviour


offence; aggressive behavior)
Photograph Attached
CE/PK/Annex V/en 3
C)
EVIDENCE ATTACHED
i)
Name Tasleem Javed
CNIC No. 61101-2234982-3
Issuing authority, expiry date
ii)
Name
Passport No. Date and Place of
Issue
Issuing authority, expiry date
iii)
Name
Passport No. Date and Place of
Issue
Issuing authority, expiry date
iv)
Other official document No.,
Date and place of issue
Issuing authority, expiry date
D
OBSERVATIONS As stated by the applicant during his interview
that he has been imprisoned since 2014 for 5
years on account of drug Business. The local
Court has condoned his rest of sentence in to
expulsion. The local court decision with
translation is attached. Copy of his CNIC is not
available however the number is provided above
as desired at Annex-I.

(Signature) (Seal/stamp)
Annexure ‘A’

Readmission Application Form

Pursuant to Article 5 of the Agreement of 26 October 2009 between the European Community and the Islamic Republic of Pakistan on the readmission
of persons residing without authorization:

Personal Details

57. o Full Name (underline surname) Imran Khan S/O Jalal Khan

58. Maiden name -


59. Date and place of birth 25-04-1984, Gujrat
60. Sex and physical description Male, normal height, Brown, Black Hair
(height, colour of eyes, distinguishing marks
etc)

61. Also known as (earlier names, Nil


other names used/by which
known or aliases)
62. Nationality and language Pakistani, Punjabi
63. Civil status: married, single, Married
divorced, widowed
If married: name of spouse Naseem Begum
Names of children (if any) Daud Imran, Ahad Ali
64. Last address in the
a)
Requesting Party: San Sebastián, Spain
b)
Requested Party: Not providing
B)
SPECIAL
CIRCUMSTANCES
RELATING TO THE
TRANSFEREE
i) State of health
Healthy
(e.g. possible reference to
special medical care; Latin
name of contagious disease)
ii) Indication of particularly dangerous person Sexual harassment

(e.g. suspected of serious Normal Behaviour


offence; aggressive behavior)
Photograph Attached
CE/PK/Annex V/en 3
C)
EVIDENCE ATTACHED
i)
Name Imran Khan
Passport No. Date and Place of DL4116222 dated 17-12-2014, Pakistan
Issue
Issuing authority, expiry date IMPASS, Pakistan, 16-12-2019
ii)
Name
Passport No. Date and Place of
Issue
Issuing authority, expiry date
iii)
Name
Passport No. Date and Place of
Issue
Issuing authority, expiry date
iv)
Other official document No.,
Date and place of issue
Issuing authority, expiry date
D
OBSERVATIONS As stated by the applicant during his interview
that he has been accused of sexual harassment
and sent to jail for three years. The local court
has condoned his rest of sentence in to
expulsion. Court decision along with translation
is attached. Copy of his Pakistani passport is
attached as desired at Annex-I.

(Signature) (Seal/stamp)
Annexure ‘A’

Readmission Application Form

Pursuant to Article 5 of the Agreement of 26 October 2009 between the European Community and the Islamic Republic of Pakistan on the readmission
of persons residing without authorization:

Personal Details

65. o Full Name (underline surname) Imran Shafi S/O Mohammad Shafi

66. Maiden name -


67. Date and place of birth 03-02-1982, Mandi Bahauddin
68. Sex and physical description Male, normal height, Brown, Black Hair
(height, colour of eyes, distinguishing marks
etc)

69. Also known as (earlier names, Nil


other names used/by which
known or aliases)
70. Nationality and language Pakistani, Punjabi
71. Civil status: married, single, Married
divorced, widowed
If married: name of spouse Rukhsana Kousar
Names of children (if any) 04, Aurangzeb, Saira, Badr, Erum
72. Last address in the
a)
Requesting Party: Bilbao, Spain
b)
Requested Party: Tehsil Kharia, Gujrat
B)
SPECIAL
CIRCUMSTANCES
RELATING TO THE
TRANSFEREE
i) State of health
Healthy
(e.g. possible reference to
special medical care; Latin
name of contagious disease)
ii) Indication of particularly dangerous person Undocumented

(e.g. suspected of serious Normal Behaviour


offence; aggressive behavior)
Photograph Attached
CE/PK/Annex V/en 3
C)
EVIDENCE ATTACHED
i)
Name Imran Shafi
Passport No. Date and Place of AU5180354 dated 02-06-2017, Pakistan
Issue
Issuing authority, expiry date IMPASS, Pakistan, 01-06-2022
ii)
Name
Passport No. Date and Place of
Issue
Issuing authority, expiry date
iii)
Name
Passport No. Date and Place of
Issue
Issuing authority, expiry date
iv)
Other official document No.,
Date and place of issue
Issuing authority, expiry date
D
OBSERVATIONS As stated by the applicant during his interview
that he has been detained due to undocumented
and not imprisoned. The local Court decision for
his expulsion along with translation is attached.
Copy of his Pakistani passport is attached as
desired at Annex-I.

(Signature) (Seal/stamp)
Annexure ‘A’

Readmission Application Form

Pursuant to Article 5 of the Agreement of 26 October 2009 between the European Community and the Islamic Republic of Pakistan on the readmission
of persons residing without authorization:

Personal Details

73. o Full Name (underline surname) Zaheer Ahmed S/O Nazeer Ahmed

74. Maiden name -


75. Date and place of birth 06-09-1981, Gujrat
76. Sex and physical description Male, normal height, Brown, B/W Hair
(height, colour of eyes, distinguishing marks
etc)

77. Also known as (earlier names, Nil


other names used/by which
known or aliases)
78. Nationality and language Pakistani, Punjabi
79. Civil status: married, single, Married
divorced, widowed
If married: name of spouse Anjum Naz
Names of children (if any) Abdul Hadi
80. Last address in the
a)
Requesting Party: Barcelona, Spain
b)
Requested Party: Kathala Chenab, Gujrat
B)
SPECIAL
CIRCUMSTANCES
RELATING TO THE
TRANSFEREE
i) State of health
Healthy
(e.g. possible reference to
special medical care; Latin
name of contagious disease)
ii) Indication of particularly dangerous person Drug selling

(e.g. suspected of serious Normal Behaviour


offence; aggressive behavior)
Photograph Attached
CE/PK/Annex V/en 3
C)
EVIDENCE ATTACHED Not Provided
i)
Name
Passport No. Date and Place of
Issue
Issuing authority, expiry date
ii)
Name
Passport No. Date and Place of
Issue
Issuing authority, expiry date
iii)
Name
Passport No. Date and Place of
Issue
Issuing authority, expiry date
iv)
Other official document No.,
Date and place of issue
Issuing authority, expiry date
D
OBSERVATIONS As stated by the applicant during his interview
that he has been accused of Drug abuse. The
local court has condoned his rest of sentence in
to expulsion. Court decision along with
translation is attached. Copy of his Pakistani
passport is not available. However, evidence
from the record provided by the police shows
that he has been issued Pakistani passport No.
KG6246568, as desired at Annex-I.

(Signature) (Seal/stamp)

You might also like