ANNEX VIII

Name of State Logo of State …………. (Name of Office) APPROVAL OF THE EVIDENCE REGARDING THE RESPECT OF THE CONDITION OF THE DURATION OF A SHORT STAY IN CASES WHERE THE TRAVEL DOCUMENT DOES NOT BEAR AN ENTRY STAMP (1) On ____________________________ at (time) _______________________ at (place) ___________________________ We, the undersigning authority, __________________________________________________________ have before us: Surname __________________________________________ First name _____________________________________ Date of birth ______________________________________ Place of birth _______________________ Sex: ______ Nationality _______________________________ Resident in ___________________________________________ Travel document ____________________________________________ number _______________________________ Issued in __________________________________________ on _________________________________________ Visa number _______________ (if applicable) issued by _________________________________________ for a period of _______________ days on the following grounds: _________________________________________ Having regard to the evidence relating to the duration of his/her stay on the territory of the Member States that he/she) has provided, he/she) is considered to have entered the territory of the Member State ______________ on ___________ at __________________ at the border crossing point ________ Contact details of the undersigning authority: Tel __________________ Fax:_________________ e-mail:_______________ The person concerned will receive a copy of this document. Person concerned Officer responsible + stamp No logo is required for Norway and Iceland. (1)

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Source: EUR-Lex (Cellar) · retrieved 2026-11-14 · Text as adopted (Official Journal); later amendments are not incorporated in this text.