Hair .............................................…………………………………………………………………….. Colour of eyes ............................…………………………………………………………………….. Nose ...........................................…………………………………………………………………….. Shape of face ..............................……………………………………………………………………. Complexion ..............................................................................................……………………….. Special peculiarities .....................……………………………………………………………………. Children accompanying holder Name Forename(s) Place and date of birth Sex ……………… ……………… ……………… ……………… ……………… ……………… ……………… ……………… ……………… ……………… ……………… ……………… ……………… ……………… ……………… ……………… *Strike out whichever does not apply. (This document contains 32 pages, exclusive of cover.) (3) Photograph of holder and stamp of issuing authority Finger-prints of holder (if required) Signature of holder………………………………………………………………………………. (This document contains 32 pages, exclusive of cover.) (4) 1. This document is valid for the following countries: ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… 2. Document or documents on the basis of which the present document is issued: ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… Issued at ………………………………………………………………………………………….. Date ……………………………………………………………………………………………….. Signature and stamp of authority issuing the document: Fee paid: (This document contains 32 pages, exclusive of cover.) (5) Extension or renewal of validity