Annex A - Specimen declaration for purposes travel on termination of employment 

This letter, together with a certified copy of the privileged person’s identity card mentioned below, serves as proof of the bearer’s legal stay in the Netherlands.

Mr/Mrs/Ms ……………………………………..

national of …………………………..

was employed in the Netherlands by the diplomatic mission / consular post of ………………………………………

from ………………. until the day of his/her departure from the Netherlands.

During this period he/she was officially registered with the Ministry of Foreign Affairs of the Netherlands and the holder of privileged person’s identity card no. …………...

Upon completion of his/her duties with the aforementioned diplomatic mission or consular post, the original identity card was returned to the Ministry of Foreign Affairs of the Netherlands.

In case of questions, information or assistance may be sought from the Host Nation Division (DPG/NG) of the Protocol Department of the Ministry of Foreign Affairs, tel.: +31 (0)70 348 4905 (outside office hours +31 6 51 14 36 34), email: DPG@minbuza.nl.

The Hague,

[Date and stamp of the diplomatic mission or consular post]

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