annex Model Travel Document It is recommended that the document be in booklet form (approximately 15 x 10 centimetres), that it be so printed that any erasure or alteration by chemical or other means can be readily detected, and that the words “Convention of 28 September 1954” be printed in continuous repetition on each page, in the language of the issuing country. (Cover of booklet) TRAVEL DOCUMENT (Convention of 28 September 1954) No. . . . . . . . . . . . . . . . . . . . . . . (1) TRAVEL DOCUMENT (Convention of 28 September 1954) This document expires on. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . unless its validity is extended or renewed. Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Forename(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accompanied by. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . child (children). 1. This document is issued solely with a view to providing the holder with a travel document which can serve in lieu of a national passport. It is without prejudice to and in no way affects the holder’s nationality. 2. The holder is authorized to return to. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [state here the country whose authorities are issuing the document] on or before . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . unless some later date is hereafter specified. [The period during which the holder is allowed to return must not be less than three months except when 1954 c o n v e n t i o n • stateless persons 29