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
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
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