Custody Child

ISLE OF MAN CHILD CUSTODY ACT 1987 HAGUE CONVENTION AND EUROPEAN CONVENTION QUESTIONNAIRE Please read the Notes for Guidance before completing this questionnaire. I. DETAILS OF THE APPLICANT .................................................................................. .................................................................................. .................................................................................. .................................................................................. .................................................................................. .................................................................................. .................................................................................. .................................................................................. .................................................................................. .................................................................................. .................................................................................. .................................................................................. .................................................................................. Telephone No: Home ............................................. Daytime: .................................................................. Name of advocate (if any) Name of firm of advocates Address of advocates .................................................................................. .................................................................................. .................................................................................. .................................................................................. .................................................................................. .................................................................................. Surname and Forenames Date and Place of Birth Country of Habitual Residence Nationality (ies) Occupation Passport or Identity Card No. Relationship to child(ren) Address at which the applicant can be contacted 1 Telephone No: ........................................................ Fax No: ................................................................... II DETAILS OF CHILD(REN) (if more than three children continue on separate page) Surname and Forenames 1) ..................................................................................... 2) ..................................................................................... 3) ..................................................................................... Date and Place of Birth 1) ..................................................................................... 2) ..................................................................................... 3) ..................................................................................... Country of habitual residence 1) ..................................................................................... 2) ..................................................................................... 3) ..................................................................................... Passport or identity Card No. if child holds a separate passport (if not indicate whether child is included on mother's or father's passport) 1) ..................................................................................... 2) ..................................................................................... 3) ..................................................................................... 1) ..................................................................................... 2) ..................................................................................... 3) ..................................................................................... Description (please enclose a recent photograph) 1) ..................................................................................... ..................................................................................... 2) ..................................................................................... ..................................................................................... 3) ..................................................................................... ..................................................................................... Nationality (ies) 2 III 1. DETAILS OF PARENTS Mother (if mother is also the applicant there is no need to repeat personal details) Surname and Forenames Date and place of birth Habitual Residence Passport or Identity Card No. Nationality Occupation ..................................................................................... ..................................................................................... ..................................................................................... ..................................................................................... ..................................................................................... ..................................................................................... 2. Father (if father is also the applicant there is no need to repeat personal details) Surname and Forenames Date and place of birth Habitual Residence Passport or Identity Card No. Nationality Occupation ..................................................................................... ..................................................................................... ..................................................................................... ..................................................................................... ..................................................................................... ..................................................................................... 3. Date and place of marriage ............................................................................................................................................................... 4. Date and place of decree absolute of divorce ............................................................................................................................................................... IV DETAILS OF PERSON WHO HAS TAKEN OR RETAINED CHILD(REN) OR WHO IS PREVENTING ACCESS (if this person is the mother or father only answer questions 6 to 8) 1. 2. 3. 4. 5. Surname and Forenames Date and place of birth Nationality Occupation Passport or Identity Card No. ..................................................................................... ..................................................................................... .................................................................................... ..................................................................................... ..................................................................................... 3 6. 7. Relationship to child(ren) (please enclose photo if available) ..................................................................................... ..................................................................................……... …………………………………………………………... Description 8. Last known address(es) ..................................................................................... ..................................................................................... ..................................................................................... V 1. PLACE WHERE THE CHILD(REN) LIVES OR IS (ARE) THOUGHT TO BE Present address(es) of the child(ren) ..................................................................................... ..................................................................................... ..................................................................................... ..................................................................................... ..................................................................................... 2. Where the address is not known, details of other persons in the country where the child(ren) is (are) living who might be able to supply additional information on the whereabouts of the child(ren) e.g. names, address, telephone numbers, relationship to the child(ren) or parent/taker of the child(ren). ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. 4 VI DETAILS OF COURT PROCEEDINGS THAT HAVE TAKEN PLACE OR ARE TAKING PLACE (EG. DIVORCE, RESIDENCE, CONTACT, WARDSHIP ETC.) IF THE PARENTS ARE OR HAVE BEEN MARRIED, IT IS IMPORTANT THAT YOU INCLUDE DETAILS OF ANY PROCEEDINGS RELATING TO THE MARRIAGE, WHETHER PENDING OR IN PROGRESS IN ANY JURISDICTION Provide details of names of parties, name of court, case number (if known) and the stage reached (eg. decree nisi/absolute, residence order made). Where the application is for the enforcement of an order, provide details of the date on which the proceedings for the order were commenced as well as the date on which the order was made. 1. Isle of Man ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. 2. Outside Isle of Man ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. 5 WHERE THE APPLICATION IS FOR THE RETURN OF THE CHILD(REN): VII BRIEF DETAILS OF THE TIME, DATE, PLACE AND CIRCUMSTANCES OF THE REMOVAL OF THE CHILD(REN) FROM THE ISLE OF MAN OR OF THE RETENTION OF THE CHILD(REN) OVERSEAS ............................................................................................................................................................. 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............................................................................................................................................................. 6 WHERE THE APPLICATION IS FOR THE RETURN OF THE CHILD(REN): VIII EVIDENCE (OTHER THAN COURT ORDERS) THAT THE APPLICANT HAS RIGHTS OF CUSTODY IN RESPECT OF THE CHILD(REN) AND WAS EXERCISING THOSE RIGHTS AT THE TIME OF THE REMOVAL ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. 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WHERE THE APPLICATION IS FOR THE RETURN OF THE CHILD(REN): IX 1. ARRANGEMENTS FOR THE RETURN OF THE CHILD(REN) Please indicate whether the applicant is prepared to travel to the country to which the child(ren) have been taken, both to attend the court hearing if necessary, and to collect the child(ren) should the application be successful or indicate any other person who could do so on their behalf ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. 2. Does the applicant wish an application to be made to the overseas court for an order to be made that the person who as taken the child(ren) meet any additional costs incurred by them e.g. air fares (Hague Convention only) ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. 7 WHERE THE APPLICATION IS FOR THE ENFORCEMENT OF RIGHTS OF ACCESS: X EVIDENCE THAT THE APPLICANT HAS RIGHTS OF ACCESS IN RESPECT OF THE CHILD(REN) ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. WHERE THE APPLICATION IS FOR THE ENFORCEMENT OF RIGHTS OF ACCESS: XI SET OUT YOUR PROPOSALS FOR FUTURE ACCESS HERE ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. XII OTHER RELEVANT MATTERS ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. 8 XIII DETAILS OF THE REMEDY REQUIRED BY THE APPLICANT Please tick appropriate box either Enforcement of rights of custody (and return of child[ren]) or Enforcement of rights of access Signature of applicant or his/her advocate Date 9 Applicant’s address: Dear Sirs, Please accept this letter as written authorisation, as may be required by Article 28 of the Hague Convention of the Civil Aspects of International Child Abduction and Article 13 (I) (a) of the European Convention on Recognition and Enforcement of Decisions concerning Custody of Children and on the Restoration of Custody of Children, empowering the Central Authority for or their designated representative, to act on my behalf. Yours faithfully Signature ......................................................................................................... Name of applicant (block capitals) ............................................................................................................. Date: .......................................……………… 10