appendix to the application for a criminal records check

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1 (1) Swedish Transport Agency Civil Aviation and Maritime Department SE-601 73 Norrköping, Sweden Office address Olai kyrkogata 35, Norrköping transportstyrelsen.se [email protected] Telephone +46 771 503 503 Telefax +46 11 185 256 TSL7111, v01.00, 2020-01-31 Appendix to the application for a criminal records check for aviation security, for persons under 18 years INFORMATION TO APPLYING COMPANY This appendix should be attached to the form ”Application for a criminal records check for aviation security” if the application is for persons under the age of 18. The undersigned guardian(s) hereby consent that criminal records check may be conducted for: Surname Forename(s) (all given names) Personal identity number (YYMMDD-XXXX) Applying company VAT/Organisation number Guardian signature 1, In case of joint custody, the certificate must be signed by both guardians. City Date Signature Name (in block letters) Personal identity number (YYMMDD-XXXX) Address Post code City/Country Guardian signature 2, In case of joint custody, the certificate must be signed by both guardians. City Date Signature Name (in block letters) Personal identity number (YYMMDD-XXXX) Address Post code City/Country An original signed and completed form must be sent to: Transportstyrelsen Sjö- och luftfartsavdelningen Sektionen för sjöpersonal Registerkontroll 603 71 Norrköping

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1 (1)

Swedish Transport Agency Civil Aviation and Maritime Department SE-601 73 Norrköping, Sweden Office address

Olai kyrkogata 35, Norrköping

transportstyrelsen.se

[email protected]

Telephone +46 771 503 503

Telefax +46 11 185 256TS

L7111,

v01.0

0,

2020-0

1-3

1

Appendix to the application for a criminal records check for aviation security, for persons under 18 years

INFORMATION TO APPLYING COMPANY

This appendix should be attached to the form ”Application for a criminal records check for aviation security” if

the application is for persons under the age of 18.

The undersigned guardian(s) hereby consent that criminal records check may be conducted for: Surname Forename(s) (all given names) Personal identity number

(YYMMDD-XXXX)

Applying company VAT/Organisation number

Guardian signature 1, In case of joint custody, the certificate must be signed by both guardians.

City Date

Signature Name (in block letters)

Personal identity number (YYMMDD-XXXX)

Address

Post code City/Country

Guardian signature 2, In case of joint custody, the certificate must be signed by both guardians.

City Date

Signature Name (in block letters)

Personal identity number (YYMMDD-XXXX)

Address

Post code City/Country

An original signed and completed form must be sent to:

Transportstyrelsen

Sjö- och luftfartsavdelningen

Sektionen för sjöpersonal

Registerkontroll

603 71 Norrköping