To . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Done at . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Signature and stamp of authority
extending or renewing the validity of
the document:
(This document contains 32 pages, exclusive of cover.)
(6)
Extension or renewal of validity
From . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
To . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Done at . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Signature and stamp of authority
extending or renewing the validity of
the document:
Fee paid:
Extension or renewal of validity
From . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
To . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Done at . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Signature and stamp of authority
extending or renewing the validity of
the document:
(This document contains 32 pages, exclusive of cover.)
(7-32)
Visas
The name of the holder of the document must be repeated in each visa.
(This document contains 32 pages, exclusive of cover.)
32
1954 c o n v e n t i o n
•
stateless
persons
UNHCR / DIP / STATELESS unit / C.5•conv1954 / ENG1 / june 2014
Fee paid: