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
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 ..................................................................................
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Telephone No: Home .............................................
Daytime: ..................................................................
Name of advocate (if any) ..................................................................................
Name of firm of advocates ..................................................................................
Address of advocates ..................................................................................
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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 1) .....................................................................................
a separate passport (if not indicate whether
child is included on mother's or father's 2) .....................................................................................
passport)
3) .....................................................................................
Nationality (ies) 1) .....................................................................................
2) .....................................................................................
3) .....................................................................................
Description 1) .....................................................................................
(please enclose a recent photograph)
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2) .....................................................................................
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3) .....................................................................................
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III DETAILS OF PARENTS
1. 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
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4. Date and place of decree absolute of divorce
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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. Surname and Forenames .....................................................................................
2. Date and place of birth .....................................................................................
3. Nationality ....................................................................................
4. Occupation .....................................................................................
5. Passport or Identity Card No. .....................................................................................
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6. Relationship to child(ren) .....................................................................................
7. Description ..................................................................................……...
(please enclose photo if available)
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8. Last known address(es) .....................................................................................
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V PLACE WHERE THE CHILD(REN) LIVES OR IS (ARE) THOUGHT TO BE
1. Present address(es) of the child(ren) .....................................................................................
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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).
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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
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2. Outside Isle of Man
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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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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 ARRANGEMENTS FOR THE RETURN OF THE CHILD(REN)
1. 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
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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)
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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)
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WHERE THE APPLICATION IS FOR THE ENFORCEMENT OF RIGHTS OF ACCESS:
XI SET OUT YOUR PROPOSALS FOR FUTURE ACCESS HERE
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XII OTHER RELEVANT MATTERS
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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
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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: .......................................………………
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