1588
Uluslararası Adli İşbirliği
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(h) The offence(s) on the basis of which this warrant has been issued is(are) punishable by/
has(have) led to a custodial life sentence or lifetime detention order:
- the legal system of the issuing Member State allows for a review of the penalty or measure
imposed ó on request or at least after 20 years ó aiming at a non-execution of such penalty or
measure,
and/or
- the legal system of the issuing Member State allows for the application of measures of cle-
mency to which the person is entitled under the law or practice of the issuing Member State,
aiming at non-execution of such penalty or measure.
(i) The judicial authority which issued the warrant:
Official name:
Name of its representative: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ……….
Post held (title/grade): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
File reference: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Tel: (country code) (area/city code) (…) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Fax: (country code) (area/city code) (…) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
E-mail: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Contact details of the person to contact to make necessary practical arrangements for the
surrender: . . . . …….. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Where a central authority has been made responsible for the transmission and administrative
reception of European arrest warrants:
Name of the central authority:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Contact person, if applicable (title/grade and name):
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Tel: (country code) (area/city code) (…) . . . . . . . . . . . ……. . . . . . . . . . . . . . . .
Fax: (country code) (area/city code) (…) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
E-mail: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .
Signature of the issuing judicial authority and/or its representative:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Post held (title/grade): . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Date: . . . . . . . . . . . . ….. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Official stamp (if available)