ANNEX VIII
Name of State Logo of State … (Name of Office) (1) 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 OR EXIT STAMP 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 or left 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 (1) No logo is required for Norway and Iceland.
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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.